Blomgren, Johanna Wells, Michael B Amongin, Dinah Erlandsson, Kerstin Wanyama, John Afrifa, Diana A Lindgren, Helena
BACKGROUND: Globally, the quality of maternal and newborn care remains inadequate, as seen through indicators like perineal injuries and low Apgar scores. While midwifery practices have the potential to improve care quality and health outcomes, there is a lack of evidence on how midwife-led initiatives, particularly those aimed at improving the use...
Wang, Pengxia Li, Kaihui Wu, Dongliang Cheng, Sen Zeng, Yinying Gao, Peng Wang, Zhibing Liu, Shanshan
Published in
Frontiers in Medicine
Background High altitudes are characterized by low-pressure oxygen deprivation. This is further exacerbated with increasing altitude. High altitudes can be associated with reduced oxygenation, which in turn, can affect labor, as well as maternal and fetal outcomes. Epidural anesthesia can significantly relieve labor pain. This study aimed to assess...
Huntley, Erin S Huntley, Benjamin J F Moreno, Miguel Bonilla Crowe, Ellen Pedroza, Claudia Mendez-Figueroa, Hector Sibai, Baha M Chauhan, Suneet
Published in
American journal of obstetrics and gynecology
Standardization of procedures improves outcomes. Though systematic reviews have summarized the evidence-based steps of cesarean delivery, their bundled implementation has not been investigated. In this preimplementation and postimplementation trial, we sought to ascertain if bundled evidence-based steps of cesarean delivery, compared with the surge...
Mikołajek-Bedner, Wioletta Rajewska, Aleksandra Sokołowska, Małgorzata Torbé, Andrzej
Published in
Pomeranian Journal of Life Sciences
Premature rupture of membranes or synonymously prelabor rupture of membranes (PROM) is defined as the outflow of amniotic fluid before the onset of uterine contractions. When it occurs after 37 weeks of gestation, it is called term PROM or tPROM, and its prevalence is as high as 8–10% of pregnancies. tPROM is a significant risk factor for intrauter...
Shi, Xueduo Xu, Chenyang Wen, Yazhou Jiang, Ming Yu, Huiling Wang, Xian Yuan, Hongmei Feng, Shanwu
Published in
BMC Anesthesiology
Objective An emergency cesarean section (CS), which is extremely life-threatening to the mother or fetus, seems to be performed within an adequate time horizon to avoid negative fetal-maternal denouement. An effective and vigilant technique for anesthesia remains vital for emergency cesarean delivery. Therefore, this study aimed to validate the imp...
Kinyina, Alen Chamos, Sarah Mohamed Moremi, Hussein Assenga, Melkior Bago, Mussa Mathias, Renatus
Published in
The Pan African Medical Journal
Introduction neonatal mortality rate (NMR) is defined as the probability of dying during the first 28 days of life expressed per 1,000 live births. The death of neonates without risk factors at the end of pregnancy could be an indicator of sub-optimal quality care during labor and care of sick neonates. Therefore, this study aimed to determine the ...
Mnabwiru, Lilian Remigius Cho, Yeon Seo Mahande, Michael Johnson Mazugun, Nicholous Mchome, Bariki Lawrence Park, Eun Young
Published in
Heliyon
• AMA births in northern Tanzania are linked to higher cesarean, diabetes, and pre-eclampsia risks. • Our study shows a significant AMA impact on pregnancy outcomes. • AMA is associated with increased alcohol use and preexisting conditions in pregnancy. • Higher odds of low birth weight, stillbirth, and NICU transfer are observed in AMA pregnancies...
Hirai, Sayaka Ida, Mitsuru Kinugasa, Yuki Kawaguchi, Masahiko
Published in
JA Clinical Reports
Introduction The surgical Apgar score is useful for predicting postoperative morbidity and mortality. However, its applicability in frail patients with minimal hemodynamic variation remains unknown. This study aimed to investigate the association between frailty and surgical Apgar score. Methods This secondary analysis included 210 patients ≥ 65 ye...
Hong, Jesrine Crawford, Kylie Jarrett, Kate Triggs, Tegan Kumar, Sailesh
Published in
The Lancet Regional Health: Western Pacific
Background The aim of this study was to ascertain risks of neonatal mortality, severe neurological morbidity and severe non-neurological morbidity related to the 5-min Apgar score in early term (37+0–38+6 weeks), full term (39+0–40+6 weeks), late term (41+0–41+6 weeks), and post term (≥42+0 weeks) infants. Methods This was a retrospective cohort st...
Jensen, Arne Rochow, Niels Voigt, Manfred Neuhäuser, Gerhard
Published in
AJOG Global Reports
BACKGROUND Fetal growth restriction and immaturity are associated with poor neurocognitive development and child psychopathology affecting educational success at school and beyond. However, the differential effects of either obstetrical risk factor on predicted psychomotor development have not yet been deciphered. OBJECTIVE This study aimed to sepa...