American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Jul 2013
Comparative StudyGlial fibrillary acidic protein as a biomarker for periventricular white matter injury.
Periventricular white matter injury (PWMI), a precursor of cerebral palsy, traditionally is not diagnosed until 6 weeks of life by head ultrasound scanning. We sought to determine whether early neonatal glial fibrillary acidic protein (GFAP) levels could identify PWMI in low birthweight (<2500 g) infants. ⋯ The ability to predict PWMI with a blood test for GFAP shortly after birth opens the possibility for rapid identification of infants for early intervention and provides a benchmark for the qualification of new therapies to improve neurodevelopmental outcomes.
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Am. J. Obstet. Gynecol. · Jul 2013
Randomized Controlled TrialRisk factors for uterine atony/postpartum hemorrhage requiring treatment after vaginal delivery.
We sought to identify risk factors for uterine atony or hemorrhage. ⋯ Independent risk factors for uterine atony requiring treatment include Hispanic and non-Hispanic white ethnicity, preeclampsia, and chorioamnionitis.
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Am. J. Obstet. Gynecol. · Jun 2013
The risk of adverse pregnancy outcome after bariatric surgery: a nationwide register-based matched cohort study.
The aim of this study was to describe the risk of adverse obstetric and neonatal outcome after bariatric surgery. ⋯ Infants born after maternal bariatric surgery have lower birthweight, lower gestational age, 3.3-times lower risk of large for gestational age, and 2.3-times higher risk of SGA than infants born by a matched group of women without bariatric surgery. The impact on SGA was even higher in the subgroup with gastric bypass.
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Am. J. Obstet. Gynecol. · Jun 2013
Multicenter StudyThe influence of BMI on perioperative morbidity following abdominal hysterectomy.
The objective of the study was to assess the impact of body mass index (BMI) on 30 day perioperative morbidity following abdominal hysterectomy. ⋯ Obese and overweight patients demonstrated an increased risk for periorperative morbidity following abdominal hysterectomies.
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Am. J. Obstet. Gynecol. · May 2013
Randomized Controlled Trial Multicenter Study Comparative StudyA randomized trial comparing conventional and robotically assisted total laparoscopic hysterectomy.
The purpose of this study was to compare operative time and intra- and postoperative complications between total laparoscopic hysterectomy and robotic-assisted total laparoscopic hysterectomy. ⋯ Although laparoscopic and robotic-assisted hysterectomies are safe approaches to hysterectomy, robotic-assisted hysterectomy requires a significantly longer operative time.