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5

Mother fails in bid to use dead daughter’s frozen eggs

A mother’s request to use her dead daughter’s frozen eggs to try to give birth to her own grandchild has been turned down by the High Court.  
feeds.bmj.com
about 5 years ago
Www.bmj
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15

Endometriosis is linked to greater risk of complications in pregnancy and birth, study finds

Women with endometriosis have a higher risk of miscarriage and ectopic pregnancy, a large cohort study in Scotland has found. Women with the condition who maintain a pregnancy for more than 24 weeks face further risks, including a higher risk of placenta praevia, bleeding before and after birth, and caesarean section.  
feeds.bmj.com
about 5 years ago
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Tranexamic acid for preventing bleeding after delivery | Cochrane

Postpartum haemorrhage is a common and an occasionally life-threatening complication of labour. The majority of women receive drugs that directly stimulate the uterus (prophylactic uterotonics) during childbirth to prevent haemorrhages resulting from failure of the uterine muscle to contract normally (uterine atony).  
cochrane.org
about 5 years ago
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Smoking rates among pregnant women fall to all time low of 11%

Last year the number of women in England who were recorded as smokers at the time of giving birth fell to an all time low of 11.4%, down from 12% in 2012-13 and from 15% in 2006-07.  
feeds.bmj.com
about 5 years ago
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12

Antibiotic prophylaxis during the second and third trimester in pregnancy to reduce adverse pregnancy outcomes and morbidity | Cochrane

Antibiotics are administered to pregnant women during the second and third trimester of pregnancy (before labour) to prevent bacteria in the vagina and cervix affecting the pregnancy. Infection by some infectious organisms in a woman’s genital tract can cause health problems for the mother and her baby, and has been associated with preterm births. This review of eight randomised trials involved approximately 4300 women in their second or third trimester. We found that antibiotics did not reduce the risk of preterm prelabour rupture of the membranes (one trial, low quality of evidence), or the risk of preterm birth (six trials, high quality of evidence). Preterm delivery was reduced in pregnant women who had a previous preterm birth and an imbalance of bacteria in the vagina (bacterial vaginosis) during the current pregnancy. There was no reduction in preterm delivery in pregnant women with previous preterm birth without a bacterial imbalance during the current pregnancy (two trials). Postpartum endometritis, or infection of the uterus following birth, was reduced overall (three trials, moderate quality of evidence), as well as in a trial of high-risk women who had a previous preterm birth (one trial, moderate quality of evidence). No reduction in neonatal illness was observed. Outcomes of interest were available in trials with high losses to follow-up. We could not estimate the side effects of antibiotics since side effects were rare; however, antibiotics may still have serious side effects on women and their babies.  
cochrane.org
about 5 years ago
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24

Effect of administration of antihelminthic for soil-transmitted helminths during pregnancy | Cochrane

Intestinal worms (helminths) contribute to iron-deficiency anaemia as they feed on blood and cause further bleeding by releasing anticoagulant compounds. They also affect the supply of nutrients and cause anorexia, vomiting and diarrhoea. Pregnancy complicated by maternal hookworm infection poses a serious threat to the health of mothers and their babies, especially in developing countries. Women who are anaemic during pregnancy are more likely to have ill health, give birth prematurely, and have low birthweight babies with low iron reserves. Antihelminthic drugs are highly effective and have minimal side-effects but information on their use during pregnancy is limited. The major concern is that the drugs may cause malformation of the fetus (teratogenic effects). We examined the research published up to 31 January 2015 on the impact of giving a single antihelminthic treatment in the second trimester of pregnancy on maternal anaemia and pregnancy outcomes.  
cochrane.org
about 5 years ago
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5

Protecting families from recurrent stillbirth

Stillbirth is a tragedy for parents and has enduring medical, psychological, social, and economic consequences. It remains a major problem in the United Kingdom; in 2013, 3286 babies were stillborn after 24 weeks of pregnancy, equating to one in every 240 births.1 Since 2011, when the UK was ranked 33rd out of 35 high income countries for stillbirths, there has been a downward trend in the stillbirth rate, but this has not yet reached the lower levels seen in Scandinavia or the Netherlands.2  
feeds.bmj.com
about 5 years ago
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Prolonged lung inflation for neonatal resuscitation | Cochrane

Does the use of sustained (> one second duration) lung inflations compared to standard inflations (≤ one second) improve survival and other important outcomes in newly born infants receiving resuscitation at birth?  
cochrane.org
about 5 years ago
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14

Routine ultrasound in late pregnancy (after 24 weeks' gestation) to assess the effects on the infant and maternal outcomes | Cochrane

Ultrasound can be used as a clinical diagnostic tool in late pregnancy to assess the baby's condition when there are complications, or to detect problems which may not otherwise be apparent. If such problems are identified this may lead to changes in care and an improved outcome for babies. Carrying out scans on all women is however controversial. Screening all women may mean that the number of interventions is increased without benefit to mothers or babies. Although popular, women may not fully understand the purpose of their scan and may be either falsely reassured, or unprepared for adverse findings. Existing evidence shows that routine ultrasound, after 24 weeks' gestation, in low-risk or unselected women does not provide any benefit for the mother or her baby. Thirteen studies involving 34,980 women who were randomly selected to screening or a control group (no or selective ultrasound, or ultrasound with concealed results) contributed to the review. The quality of trials was satisfactory. There were no differences between groups in the rates of women having additional scans, antenatal admissions, preterm delivery less than 37 weeks, induction of labour, instrumental deliveries or caesarean section. Babies’ birthweight, condition at birth, interventions such as resuscitation, and admission to special care were similar between groups. Infant survival, with or without congenital abnormalities, was no different with and without routine ultrasound screening in late pregnancy. None of the trials reported on the effect of routine ultrasound in late pregnancy on preterm birth less than 34 weeks, maternal psychology or mental development of babies when two years old.  
cochrane.org
about 5 years ago
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Intrauterine contraception soon after childbirth | Cochrane

Women have two main choices for intrauterine contraception (IUC): one that releases the hormone levonorgestrel, and one without hormones that contains copper. Beginning IUC use right after childbirth and before hospital discharge can be good for many reasons. The woman knows she is not pregnant, and the time and place are convenient for starting a method that works well. We looked at whether IUC would be more likely to come out on its own if put in right after birth of a baby. For women who wanted IUC but did not have it placed right away, we studied whether they returned later for insertion.  
cochrane.org
about 5 years ago
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11

Paracetamol (acetaminophen) for prevention or treatment of pain in newborns | Cochrane

Background: Newborn infants have the ability to experience pain. Newborns treated in neonatal intensive care units are exposed to numerous painful procedures. Healthy newborns are exposed to pain if the birth process consists of assisted vaginal birth by vacuum extraction or by forceps and during blood sampling for newborn screening tests.  
cochrane.org
about 5 years ago
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Repeat doses of prenatal corticosteroids for women at risk of preterm birth for preventing neonatal respiratory disease | Cochrane

This review shows that a repeat dose of prenatal corticosteroids given to women who remain at risk of an early birth after an initial course of prenatal corticosteroids helps the baby's lungs and reduces serious health problems in the first few weeks of life.  
cochrane.org
about 5 years ago
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5

India: Open defecation linked to adverse pregnancies - BBC News

New research suggests pregnant women who defecate in the open are more likely to have a premature delivery or give birth to a baby with low weight than those who use toilets.  
bbc.co.uk
about 5 years ago
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Royal college strengthens its guideline on female genital mutilation

The Royal College of Obstetricians and Gynaecologists has revised its guideline on female genital mutilation to clarify healthcare professionals’ legal responsibilities, the requirements to notify cases, and the management of women who have undergone mutilation who are pregnant or giving birth.  
feeds.bmj.com
about 5 years ago
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Assisted reproductive technology: an overview of Cochrane Reviews | Cochrane

As many as one in six couples encounter problems with fertility, defined as failure to achieve a clinical pregnancy after regular intercourse for 12 months. Increasingly, couples are turning to assisted reproductive technology (ART) for help with conceiving and ultimately giving birth to a healthy live baby of their own. Fertility treatments are complex and costly, and each assisted reproduction cycle consists of several steps. If one of the steps is incorrectly applied, the stakes are high as conception may not occur. With this in mind, it is important that each step involved in ART is supported by good evidence from well-designed studies. Cochrane reviewers examined the evidence from Cochrane systematic reviews on ART published in The Cochrane Library.  
cochrane.org
about 5 years ago
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Preconception health programs and interventions for women who are overweight or obese to improve pregnancy outcomes for the woman and her infant | Cochrane

Being overweight or obese, or having a high body weight for one's height, is becoming increasingly common among women of reproductive age. General health conditions such as high blood pressure, diabetes, sleep apnoea (pauses or reduced breathing during sleep), and polycystic ovary syndrome (PCOS), which can cause reduced fertility or failure to achieve pregnancy, are associated with being overweight or obese. During pregnancy, overweight women are at increased risk of sugar intolerance (gestational diabetes), pregnancy-related high blood pressure, losing a pregnancy (miscarriage), birth before some 40 weeks (preterm birth) and congenital birth defects such as neural tube and heart defects, and gastrointestinal malformations. Women who are overweight or obese are also at a higher risk of complications during labour including heavy blood loss after giving birth. Current guidelines about which preconception health programs or interventions are of benefit to reduce these adverse health outcomes are needed for overweight and obese women.  
cochrane.org
about 5 years ago
Www.bmj
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UK children are more than twice as likely to be obese than previous generations, figures show

Children born in the United Kingdom since the 1980s are two to three times more likely to be overweight or obese by age 10 than those in previous generations, shows an analysis of birth cohorts since the 1940s.  
feeds.bmj.com
about 5 years ago
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Induced Hypothermia for Hypoxic-Ischaemic Encephalopathy – Part 1 – Don't Forget the Bubbles

It’s 2am and you (the Paeds Reg), are called to the Birth Suite. The expectant mother has been pushing for over an hour and your Obstetric colleague has called for a vacuum after a post-dates induction. The CTG is “a bit iffy” according to the midwife who hands over to you. There has been an otherwise unremarkable antenatal course with normal scans.  
dontforgetthebubbles.com
about 5 years ago
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Postnatal psychosis: ‘I heard voices telling me to kill myself’ - BBC News

Postnatal psychosis is a serious mental illness that usually starts in the days or weeks after birth.  
bbc.co.uk
about 5 years ago
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2

Induced Hypothermia for Hypoxic-Ischaemic Encephalopathy – Part 2 – Don't Forget the Bubbles

It’s 2am and you (the Paeds Reg), have been called to the Birth Suite. After some significant resuscitation, you’ve taken the neonate to the Special Care Nursery. Read part 1 here.  
dontforgetthebubbles.com
about 5 years ago