Abstract：
OBJECTIVE:This study aims to compare how national guidelines approach the management of obesity in reproductive age women. STUDY DESIGN:We conducted a search for national guidelines in the English language on the topic of obesity surrounding the time of a pregnancy. We identified six primary source documents and several secondary source documents from five countries. Each document was then reviewed to identify: (1) statements acknowledging increased health risks related to obesity and reproductive outcomes, (2) recommendations for the management of obesity before, during, or after pregnancy. RESULTS:All guidelines cited an increased risk for miscarriage, birth defects, gestational diabetes, hypertension, fetal growth abnormalities, cesarean sections, difficulty with anesthesia, postpartum hemorrhage, and obesity in offspring. Counseling on the risks of obesity and weight loss before pregnancy were universal recommendations. There were substantial differences in the recommendations pertaining to gestational weight gain goals, nutrient and vitamin supplements, screening for gestational diabetes, and thromboprophylaxis among the guidelines. CONCLUSION:Stronger evidence from randomized trials is needed to devise consistent recommendations for obese reproductive age women. This research may also assist clinicians in overcoming one of the many obstacles they encounter when providing care to obese women.
journal_name
Am J Perinatoljournal_title
American journal of perinatologyauthors
Kominiarek MA,Chauhan SPdoi
10.1055/s-0035-1567856subject
Has Abstractpub_date
2016-04-01 00:00:00pages
433-41issue
5eissn
0735-1631issn
1098-8785journal_volume
33pub_type
杂志文章,评审abstract：OBJECTIVE:The aim of this study is to evaluate the impact of multiple pregnancies, maternal obesity, and preeclampsia on the effect of antenatal steroids on neonatal respiratory distress syndrome (RDS). STUDY DESIGN:The retrospective cohort study was performed in a level III maternity ward. Population was composed of ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0035-1548537
更新日期：2015-09-01 00:00:00
abstract：OBJECTIVE: The aim of this study is to determine patterns of neurally adjusted ventilatory assist (NAVA) use in ventilator-dependent preterm infants with evolving or established severe bronchopulmonary dysplasia (sBPD) among centers of the BPD Collaborative, including indications for its initiation, discontinuation, an...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0040-1708559
更新日期：2020-03-24 00:00:00
abstract：:The objective of this study was to determine if the rate of preeclampsia is increased in triplet as compared to twin gestations. Fifty-three triplet pregnancies between 1986 and 1993 at The New York Hospital-Cornell Medical Center were reviewed. These were matched for maternal age, parity, and race to twin gestations ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994140
更新日期：1997-05-01 00:00:00
abstract：OBJECTIVE:The aim of this study is to examine the hypothesis that prolonged rupture of membranes (PROM) is associated with increased cord blood erythropoietin (EPO) concentrations, proportional to the duration of ruptured membranes. STUDY DESIGN:This study is a prospective, cross-sectional, observational (nonintervent...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0034-1384643
更新日期：2015-03-01 00:00:00
abstract：:Hepatoblastoma is a rare childhood embryonal malignancy. Recent reports suggested a linkage between premature birth and later development of hepatoblastoma. In August 2000, we encountered a 24-month-old boy with extremely low birth weight who developed hepatoblastoma with an unfavorable histology. His birth weight was...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2002-25309
更新日期：2002-04-01 00:00:00
abstract：:Neonatal alloimmune neutropenia (NAN) results from neutrophil destruction by transplacental maternal neutrophil-specific immunoglobulin G (IgG) antibodies directed against the antigen inherited from the father. Treatment is usually based on recombinant human granulocyte colony-stimulating factor (G-CSF) and prevention...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0030-1270113
更新日期：2011-06-01 00:00:00
abstract：:This prospective study was performed to determine a way to improve conventional transcutaneous bilirubinometry results in healthy term newborn infants. In 118 infants during phototherapy (group A), and in 118 infants without phototherapy (group B), bilirubin determinations were done in duplicate using the Minolta AirS...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2005-867087
更新日期：2005-05-01 00:00:00
abstract：OBJECTIVE:To analyze outcomes after second-stage labor beyond 3 hours and determine if prolonged second stages were intentional. STUDY DESIGN:Retrospective cohort analysis of maternal and neonatal outcomes in nulliparous women based on second-stage duration. Medical records were reviewed for management decisions in wo...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0032-1314894
更新日期：2012-10-01 00:00:00
abstract：:A case of massive hydramnios involving a twin-twin transfusion syndrome is presented with death of the larger twin and the development of hydrops fetalis in the surviving smaller twin. The amniotic fluid volume of the surviving twin became normal and the hydrops fetalis resolved spontaneously in utero. Concomitant wit...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999457
更新日期：1990-04-01 00:00:00
abstract：:We investigated body mass index (BMI) and weight gain among pregnant women (ages 14 to 25) and assessed the relationship of BMI and weight gain on birth outcomes. We performed a secondary analysis of 841 women enrolled in a randomized controlled trial receiving prenatal care in two university-affiliated clinics. Almos...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0028-1110088
更新日期：2009-05-01 00:00:00
abstract：:In insulin dependent diabetic (IDDM) gestations, fetal pulmonary maturity is delayed in the presence of suboptimal glycemic control. Serum glycosylated hemoglobin (HbA1c) provides a means of assessing glycemic control. We evaluated maternal HbA1c in IDDM pregnancies at term undergoing amniocentesis for lung maturity t...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-993868
更新日期：1999-01-01 00:00:00
abstract：OBJECTIVE:To review developmental outcomes of neonates with mild hypoxic-ischemic encephalopathy (HIE) treated with therapeutic hypothermia (TH). STUDY DESIGN:Neonates ≥35 weeks' gestation with mild HIE/TH (TH group, n = 30) were matched with healthy term-born infants (control group, n = 30) and reviewed for the prese...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0038-1676973
更新日期：2019-11-01 00:00:00
abstract：:Classically, genetically decreased bilirubin conjugation and/or hemolysis account for the mechanisms contributing to neonatal hyperbilirubinemia associated with glucose-6-phosphate dehydrogenase (G6PD) deficiency. However, these mechanisms are not involved in most cases of this hyperbilirubinemia. Additional plausible...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-0036-1585465
更新日期：2017-02-01 00:00:00
abstract：:The aim of this study was to determine the risk of respiratory distress syndrome (RDS) and neonatal death (NND) in relation to birth weight in preterm neonates. A group of 255 singleton preterm neonates born at 22-36 weeks were examined. The mean birth weight for each gestational week was estimated from a fitted curve...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994327
更新日期：1997-10-01 00:00:00
abstract：:Major akinesia with arthrogryposis and craniosynostosis at birth mimics irreversible disorders of the nervous system of pejorative outcome. In this context, the early detection of anti-acetylcholine fetal receptor antibodies in the mother may allow rapid diagnosis of transient neonatal myasthenia of favorable prognosi...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2002-34468
更新日期：2002-08-01 00:00:00
abstract：:Acute physiologic changes induced by the infusion of resuscitative fluids may be harmful, resulting in the clinical sequelae of pulmonary and intraventricular hemorrhage. Using a chronically catheterized lamb model, changes in plasma sodium concentration, osmolality, hematocrit, glucose, colloid osmotic pressure, and ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-1000056
更新日期：1983-10-01 00:00:00
abstract：:The purpose of this study is to compare the effectiveness of double phototherapy versus single conventional phototherapy in decreasing serum bilirubin levels in jaundiced neonates. Forty-two preterm infants who were less than 37 weeks' gestational age and less than 2000 g birthweight with nonhemolytic jaundice were al...
journal_title：American journal of perinatology
pub_type： 临床试验,杂志文章
doi：10.1055/s-2007-994446
更新日期：1995-05-01 00:00:00
abstract：:The objective of this study was to perform antiphospholipid antibody screening in women with chronic hypertension to assess whether the presence of such antibodies is associated with adverse pregnancy outcome. Serum for anticardiolipin antibodies and lupus anticoagulant was obtained in pregnant women with chronic hype...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2004-829870
更新日期：2004-07-01 00:00:00
abstract：:To determine the accuracy of antenatal renal pelvis measurement as a screening tool for renal anomalies we reviewed the antenatal ultrasounds performed at our institution over 1 year. Renal pelvis dilation was found in 3.8% of pregnancies followed by our obstetrics department. In nine (17.6%) infants renal anomalies w...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-993918
更新日期：1998-03-01 00:00:00
abstract：OBJECTIVE: The study aims to assess the impact on neurodevelopmental outcomes of a prolonged hemodynamically significant patent ductus arteriosus (PDA) after a conservative treatment. STUDY DESIGN: This involves the study of two cohorts of preterm infants 23 to 29 weeks gestation, before (n = 29) and after (n = 54) a ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0039-1697674
更新日期：2019-10-10 00:00:00
abstract：OBJECTIVE:To compare the obstetric recommendations in American Congress of Obstetricians and Gynecologists (ACOG) practice bulletins (PB) with similar topics in UpToDate (UTD). STUDY DESIGN:We accessed all obstetric PB and cross-searched UTD (May 1999-May 2013). We analyzed only the PB which had corresponding UTD chap...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-0034-1396684
更新日期：2015-04-01 00:00:00
abstract：:A previously healthy multigravida woman presenting with pyrexia was found to be pancytopenic at 32 weeks' gestation. The leukopenia and the thrombocytopenia responded to supportive therapy. The anemia, which was Coombs' negative, continued and was associated with a drop in fibrinogen, but both eventually returned to n...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994758
更新日期：1993-09-01 00:00:00
abstract：:Pleural effusion is not an uncommon complication of percutaneous intravenous catheters in neonates. Umbilical venous catheters (UVCs) are associated with pleural effusion following abnormal placement in the left atrium or pulmonary veins due to venous obstruction. We report for the first time a case of right-sided ple...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-992174
更新日期：2007-11-01 00:00:00
abstract：:Fifty-four pregnant patients referred for nonstress testing with findings suggestive of intrauterine growth retardation (IUGR) were followed with serial biochemical determinations and ultrasound evaluations. Confirmation of IUGR was made in 18 of the neonates based on body weights below the 10th percentile. Stepwise d...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999770
更新日期：1987-07-01 00:00:00
abstract：:The aim of this study is to identify clinical, etiologic, and laboratory factors that potentiate adverse outcome of hyperbilirubinemia among term and late preterm neonates in logistic regression analysis. A retrospective cohort of infants with total serum bilirubin (TSB) ≥ 20 mg/dL from 1995 to 2007 was surveyed. Eigh...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0031-1274506
更新日期：2011-05-01 00:00:00
abstract：OBJECTIVE:There is limited research exploring the relationship between design and patient safety outcomes, especially in maternal and neonatal care. We employed design thinking methodology to understand how the design of labor and delivery units impacts safety and identified spaces and systems where improvements are ne...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0039-1685494
更新日期：2020-05-01 00:00:00
abstract：:Mixoploidy is rare chromosomal disorder characterized by multiple cell lines, usually including triploidy, within tissues. Pregnancy outcome has generally been considered poor with congenital anomalies and developmental delay reported in postnatally diagnosed cases. We report on two cases of abnormal midtrimester ultr...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0030-1249361
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVE: Neuromuscular re-education (NMRE) therapy including bracing, containment, facilitation techniques, joint compression, weight (WT) bearing, and myofascial release has been shown to improve neurodevelopmental maturation in premature infants. This study aimed to examine the association of NMRE with growth param...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0040-1716492
更新日期：2020-09-11 00:00:00
abstract：:The most common mechanism of fetal tachycardia is orthodromic reciprocating tachycardia utilizing an accessory atrioventricular connection, however, data regarding accessory connection location in patients with fetal tachycardia is limited. To investigate the location of accessory connections in fetal tachycardia, pos...
journal_title：American journal of perinatology
pub_type： 临床试验,杂志文章
doi：10.1055/s-2003-40014
更新日期：2003-04-01 00:00:00
abstract：:Exposure to immunosuppressant agents during gestation can affect the fetal immune system. The aim of this study was to evaluate the immune function of infants whose mothers were administered immunosuppressants during pregnancy for the treatment of autoimmune disorders. Circulating lymphocyte subsets and in vitro immun...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-986679
更新日期：2007-09-01 00:00:00
