The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
-
J. Matern. Fetal. Neonatal. Med. · Jun 2015
Diagnostic and prognostic value of presepsin in preterm deliveries.
To evaluate the association between serum presepsin (soluble CD14 antigen subtype, sCD14-ST) levels soon after the appearance of signs of preterm delivery and preterm delivery within 48 h, before the 34th and 37th gestational weeks and the possible additional value of concurrently evaluated ultrasound vaginal cervicometry with serum presepsin measurement. ⋯ Elevated maternal serum concentration of sCD14-ST could be an independent and relevant risk factor for preterm delivery.
-
J. Matern. Fetal. Neonatal. Med. · Jun 2015
Randomized Controlled TrialEfficacy of tranexamic acid in decreasing blood loss in elective caesarean delivery.
To evaluate the efficacy of tranexamic acid (TA) in decreasing blood loss during and after elective caesarean section (CS). ⋯ TA reduces blood loss during and immediately after CS. Its use in caesarean delivery may be considered especially in cases where blood loss is expected to be high or in anemic patients.
-
J. Matern. Fetal. Neonatal. Med. · May 2015
Comparative StudyUniversal versus risk factor-targeted early inpatient postpartum depression screening.
To assess differences in two different approaches to early inpatient Edinburgh Postnatal Depression Scale (EPDS) screening (targeted risk factor screening versus universal screening). ⋯ Early EPDS screening targeted for those with a history of mental illness is an efficient way to identify postpartum women with active mental health problems, but may miss up to 36.4% of potential screen positive women.
-
J. Matern. Fetal. Neonatal. Med. · May 2015
Clinical TrialAsymmetric dimethylarginine and L-arginine levels in neonatal sepsis and septic shock.
Nitric oxide (NO) formed by the enzyme NO synthase (NOS) from L-arginine, is an important mediator for pathogen elimination. Being a potent vasodilator NO is implicated in hypotension and decreased organ perfusion in sepsis. Asymmetric dimethylarginine (ADMA) is an endogenous NOS inhibitor. We investigated ADMA and L-arginine levels in neonatal sepsis and their relation to disease severity. ⋯ L-arginine and ADMA levels are elevated in neonatal sepsis and even higher levels are observed in septic shock.
-
J. Matern. Fetal. Neonatal. Med. · May 2015
Risk factors for early postpartum hemorrhage (PPH) in the first vaginal delivery, and obstetrical outcomes in subsequent pregnancy.
To investigate risk factors for postpartum hemorrhage (PPH) in vaginal deliveries and the influence of previous PPH on the subsequent pregnancy. ⋯ Previous PPH poses a risk for recurrent PPH in subsequent delivery and an increased risk for CS. As PPH remains one of the major causes of maternal morbidity, this study strengthens the need for a comprehensive evaluation of prior PPH as a major risk factor for PPH recurrence.