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Risk-scoring systems for the prevention of preterm birth | Cochrane

Identification of women whose pregnancies are at higher than average risk of preterm birth would allow the possibility of providing the women with higher level antenatal care with the aim of preventing the preterm birth. Preterm birth (before 37 completed weeks' gestation) is a major public health problem worldwide, and occurs in 6% to 10% of births in high-income countries. The proportion of pregnancies which end prematurely, between 20 and 36 weeks, has not fallen in recent years. Perinatal interventions, both before birth (transfer of women to tertiary care, antenatal steroids), and after birth (intensive care, surfactant) have markedly improved perinatal outcomes. A number of scoring systems of risk factors associated with preterm birth have been used. Systematic, objective measures can include age, marital status, socio-economic factors, smoking, threatened miscarriage, previous low birthweight baby, previous stillbirth, maternal weight and height. Their ability to identify women at increased risk of preterm birth, and subsequently to prevent preterm birth, has not been evaluated by randomised controlled trials. The literature search for this review revealed no trials of the use of risk-scoring systems to prevent preterm birth. There are a number of ethical issues involved in the decision to implement risk scoring that have not been evaluated; for example, an intervention with potential morbidity and may be used, or used more frequently with no evidence of more favourable outcomes, or the woman may prefer not to disclose some sensitive information included in the measures. There is a need for prospective studies that evaluate the use of risk-scoring systems to prevent preterm birth, including an assessment of their impact on women's well-being. If these prove promising, they should be followed by an adequately powered, well-designed randomised controlled trial.  
cochrane.org
about 4 years ago
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American Society for Reproductive Medicine (ASRM) 2015 Annual Meeting

American Society for Reproductive Medicine (ASRM) 2015 Annual Meeting: Read clinically focused news coverage of key developments from ASRM 2015.  
medscape.com
about 4 years ago
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Preeclampsia Linked to Heart Defects in Infants

Women with preeclampsia had a higher prevalence of infants with heart defects in a new population-based study.  
medscape.com
about 4 years ago
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'Why I filmed my miscarriage' - BBC News

One in four pregnancies are thought to end in a miscarriage, and yet most women never talk about it. The Miscarriage Association wants people to open up about baby loss to break what they call "the last taboo".  
bbc.co.uk
about 4 years ago
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New difficult intubation guidelines in obstetrics – can’t intubate/can’t oxygenate algorithm

New difficult intubation guidelines in obstetrics - can't intubate/can't oxygenate algorithm http://t.co/Qymdx2EmcC pic.twitter.com/8UHTVSYDa5— Anaesthesia (@Anaes_Journal) October 12, 2015 //platform.twitter.com/widgets.js  
prehospitalmed.com
about 4 years ago
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The women sharing their miscarriage stories - BBC News

Women are using a Facebook page as a forum to share their grief over miscarriages  
bbc.co.uk
about 4 years ago
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Gestational Diabetes: Ultrasounds Overestimate LGA Risk

Ultrasounds for women with gestational diabetes overestimate the risk for large-for-gestational-age infants and, regardless of the infant's actual weight, increase the odds of cesarean delivery.  
medscape.com
about 4 years ago
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HbA1c Screening for Gestational Diabetes in Women With PCOS

A new study assesses the diagnostic accuracy of HbA1c as a screening test for gestational diabetes in pregnant women with polycystic ovary syndrome. Is it a viable option?  
medscape.com
about 4 years ago
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Resuscitative Hysterotomy by Dr Rob Bryant

Resuscitative Hysterotomy from Rob Bryant on Vimeo.  
prehospitalmed.com
about 4 years ago
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Urinary BPA Levels During Pregnancy and Preterm Birth Risk

Evidence suggests that exposure to the chemical BPA may affect pregnancy through a variety of hormone-mediated mechanisms. Is it implicated in premature birth?  
medscape.com
about 4 years ago
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Freezing ovaries 'safe option' for cancer sufferers - BBC News

Ovarian transplants are a safe and effective way for women who have had cancer to have their own children, a study suggests.  
bbc.co.uk
about 4 years ago
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Updated VBAC Guidelines Released

The Royal College of Obstetricians and Gynaecologists has released an updated guideline on vaginal birth after previous cesarean delivery.  
medscape.com
about 4 years ago
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Assisted Reproduction Ups Risk of Gestational Diabetes

Women who become pregnant after assisted reproduction are a third more likely to have gestational diabetes than women who conceive normally, even after adjustment for confounding factors.  
medscape.com
about 4 years ago
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Air Pollution and Risk of Gestational Diabetes Mellitus

Does exposure to air pollution during pregnancy increase the risk of gestational diabetes?  
medscape.com
about 4 years ago
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New Treatment for Preeclampsia May Allow for Delayed Delivery

Removing a serum protein through apheresis may allow clinicians to safely delay delivery in women with preeclampsia, a pilot study suggests.  
medscape.com
about 4 years ago
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Miscarriage Ultrasound Diagnosis May Still Need Rescan

Current guidelines on ultrasonographic diagnosis of miscarriage may still misdiagnose women with viable pregnancies, according to a new study.  
medscape.com
about 4 years ago
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ACOG Issues Guideline on Nausea/Vomiting in Pregnancy CME/CE

: Lifestyle and dietary changes may resolve mild cases of nausea and vomiting of pregnancy, and safe, effective treatments are available for more severe cases, based on an obstetrics practice bulletin.  
medscape.org
about 4 years ago
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No Link Seen Between Bivalent HPV Vaccine and Early Miscarriage

Women who conceive within 90 days of vaccination with the bivalent human papillomavirus (HPV) vaccine do not have an increased risk of miscarriage, according to long-term follow-up of participants in a randomized trial in Costa Rica.  
medscape.com
about 4 years ago
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Vaginal Mesh Revision Rates Low

One in 30 women who had surgery with a mesh sling to treat urinary incontinence required revision; high-volume surgeons had lower revision rates.  
medscape.com
about 4 years ago
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Ectopic pregnancy and miscarriage

Zoom on on the app or click on the website to see a bigger version! Hope it helps ! CF: clinical features TVS- transvaginal ultrasound scan  
Katerina Efstathiou
about 4 years ago