American journal of obstetrics and gynecology
-
Am. J. Obstet. Gynecol. · Jan 2014
Modifiable risk factors of obstetric anal sphincter injury in primiparous women: a population-based cohort study.
To determine modifiable risk factors and incidence of obstetric anal sphincter injury (OASIS) in primiparous women. ⋯ Epidural analgesia in itself was protective against OASIS. Vacuum extraction increased the risk of OASIS, although mediolateral episiotomy was protective when applied in deliveries assisted by vacuum extraction.
-
Am. J. Obstet. Gynecol. · Dec 2013
The fetal inflammatory response syndrome is a risk factor for morbidity in preterm neonates.
The aim of this study was to show and discuss an association between fetal inflammatory response syndrome (FIRS) and an adverse neonatal outcome defined as combined severe neonatal morbidity and mortality in preterm neonates hospitalized in our neonatal intensive care unit. ⋯ FIRS is a risk factor for adverse neonatal outcome in preterm infants. In particular, the combination of IL-6 greater than 11 pg/mL and low gestational age increased the risk for severe neonatal morbidity or death.
-
Am. J. Obstet. Gynecol. · Dec 2013
Vitamin D deficiency in gestational diabetes mellitus and the role of the placenta.
The aim of this study was to evaluate the relationships between maternal vitamin D levels and gestational diabetes mellitus (GDM) and differences in the placental production of vitamin D receptor (VDR), CYP24A, and CYP27B1. ⋯ In this study, vitamin D deficiency was associated with GDM. Given that 25(OH)D is hydroxylated by CYP27B1 to the bioactive 1,25(OH)2D form, and CYP24A1 catabolizes both 25(OH)D and 1,25(OH)2D to the inactive metabolites, respectively, our data indicate that the elevated activity of CYP24A1 in the placenta may play a key role in the development of vitamin D deficiency in GDM.
-
Am. J. Obstet. Gynecol. · Dec 2013
Review of contributory factors in maternity admissions to intensive care at a New Zealand tertiary hospital.
The purpose of this study was to identify factors that contributed to severe maternal morbidity, defined by admission of pregnant women and women in the postpartum period to the intensive care unit (ICU) from 2010-2011 at Auckland City Hospital (ACH), a tertiary hospital that delivers 7500 women/year, and to determine potentially avoidable morbidity with the use of local multidisciplinary review. ⋯ Forty-eight percent of severe maternal morbidity, which was defined as admission to the ICU at ACH from 2010-2011, was considered to be potentially avoidable by a local multidisciplinary review team; priorities were identified for improvement of local maternity services.
-
Our objective was to estimate the occurrence of surgical site infections (SSI) after hysterectomy and the associated risk factors. ⋯ Our finding of the decreased occurrence of superficial SSI after the vaginal approach for hysterectomy reaffirms the role for vaginal hysterectomy as the route of choice for hysterectomy.