Maternal and neonatal outcomes after attempted suicide.

Abstract:

OBJECTIVE:The purpose of this study was to describe identifiers and estimate maternal and neonatal outcomes in women who attempt suicide during pregnancy. METHODS:A linked Vital Statistics-Patient Discharge database of the State of California was used to identify cases of intentional injury during pregnancy. A retrospective analysis of maternal and neonatal outcomes in pregnant women who were admitted for attempted suicide is presented. RESULTS:There were 4,833,286 deliveries in California from 1991 to 1999. Of those deliveries, 2,132 were complicated by attempted suicide during pregnancy (0.4 per 1,000 pregnancies). The control population was composed of patients who did not attempt suicide. The group of women that attempted suicide during pregnancy had increases in premature labor, cesarean delivery, and need for blood transfusion. Analysis of neonatal outcomes revealed increases in respiratory distress syndrome and low birth weight infants. A subanalysis, including women who delivered at the hospitalization for attempted suicide, demonstrated increased premature delivery, respiratory distress syndrome, and neonatal and infant death. CONCLUSION:Attempted suicide is associated with significantly higher rates of maternal and perinatal morbidity, and in some cases, perinatal mortality. The best identifier for women at risk for attempting suicide is substance abuse. Care provider identification and prevention are of key importance in preventing these outcomes.

journal_name

Obstet Gynecol

authors

Gandhi SG,Gilbert WM,McElvy SS,El Kady D,Danielson B,Xing G,Smith LH

doi

10.1097/01.AOG.0000216000.50202.f6

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

984-90

issue

5

eissn

0029-7844

issn

1873-233X

pii

107/5/984

journal_volume

107

pub_type

杂志文章
  • Hepatitis B: a controllable disease.

    abstract::Major advances have been made in understanding the epidemiology and biology of the hepatitis B virus. Two particular developments--hepatitis B immune globulin and a new hepatitis B virus vaccine--are of special interest to obstetricians, gynecologists, and others who provide health care to women. The appropriate use o...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Baker DA,Polk BF

    更新日期:1983-07-01 00:00:00

  • Exogenous gonadotropin therapy in World Health Organization groups I and II ovulatory disorders.

    abstract:OBJECTIVE:To analyze cumulative conception rates and the prognostic factors influencing them during exogenous human menopausal gonadotropin (hMG) therapy for World Health Organization (WHO) group I or II ovulatory disorders. METHODS:A retrospective review was conducted of 468 treatment cycles in 146 women with ovulato...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Fluker MR,Urman B,Mackinnon M,Barrow SR,Pride SM,Yuen BH

    更新日期:1994-02-01 00:00:00

  • Transforming growth factor-beta1 in fetal serum correlates with insulin-like growth factor-I and fetal growth.

    abstract:OBJECTIVE:To estimate whether transforming growth factor-beta1 in fetal serum obtained by umbilical cord sampling at delivery is correlated with fetal growth. We also estimated whether transforming growth factor-beta1 is correlated with insulin-like growth factor-I and insulin-like growth factor binding protein-1, whic...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Ostlund E,Tally M,Fried G

    更新日期:2002-09-01 00:00:00

  • Fetal contribution to oxytocin in human labor.

    abstract::Fetal oxytocin contribution to the mother during spontaneous labor was investigated using a specific and sensitive radioimmunoassay to measure oxytocin in blood, amniotic fluid, and urine. In 26 subjects with spontaneous labor and vaginal delivery (Group I) and 18 subjects with cesarean section after labor (Group II),...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Dawood MY,Wang CF,Gupta R,Fuchs F

    更新日期:1978-08-01 00:00:00

  • Late meconium passage in labor--a sign of fetal distress?

    abstract::Although the passage early in labor of thick amniotic fluid heavily stained with meconium is recognized as an indication of potential fetal asphyxia, the significance of late passage of meconium-stained fluid in labor is less certain. One hundren twenty-eight patients with late passage of meconium in labor and 134 con...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Meis PJ,Hobel CJ,Ureda JR

    更新日期:1982-03-01 00:00:00

  • Hormonal therapy in the patient with surgical menopause.

    abstract::Removal of both ovaries in the premenopausal patient is performed infrequently, but when it is, attention must be paid to hormone replacement. The benefits of hormone replacement include protection from osteoporosis, elimination of vasomotor symptoms, improvement in general well-being, and some decrease in the risk of...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Weinstein L

    更新日期:1990-04-01 00:00:00

  • Anterior vaginotomy: abdominal delivery without a uterine incision.

    abstract::To determine whether planned anterior vaginotomy is a logical and safe means of avoiding a uterine scar with term abdominal delivery. I recorded the complications of the technique and whether vaginal birth after anterior vaginotomy occurred. Thirteen anterior vaginotomies were done when the vagina had advanced during ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(96)00209-8

    authors: Goodlin RC

    更新日期:1996-09-01 00:00:00

  • Influence of an "opt-out" test strategy and patient factors on human immunodeficiency virus screening in pregnancy.

    abstract:OBJECTIVE:To estimate both human immunodeficiency virus (HIV) testing acceptance rates in pregnancy using an opt-out policy and patient characteristics influencing acceptance. METHODS:At the first prenatal visit, HIV testing was offered using an opt-out approach. Reasons for refusing testing were explored. Demographic...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000267497.39041.06

    authors: Yudin MH,Moravac C,Shah RR

    更新日期:2007-07-01 00:00:00

  • Cerebral artery blood flow in relation to age and menopausal status.

    abstract:OBJECTIVE:To investigate vascular reactivity in women's cerebral arteries from reproductive age to postmenopause. METHODS:The pulsatility index (PI) was measured cross-sectionally in the internal carotid and middle cerebral arteries of 120 women, using a Doppler ultrasound system. Fifteen women were enrolled in each o...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(96)00119-6

    authors: Penotti M,Farina M,Sironi L,Barletta L,Gabrielli L,Vignali M

    更新日期:1996-07-01 00:00:00

  • Successful one-stage radical removal of intravenous leiomyomatosis extending to the right ventricle.

    abstract:BACKGROUND:Intravenous leiomyomatosis is a rare tumor originating from the uterus that spreads through vessels. This tumor, while histologically benign, can cause fatal cardiovascular symptoms resulting from growth within the heart cavity. CASE:A 51-year-old woman with chronic hypertension was found to have a murmur. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/01.AOG.0000127947.14387.01

    authors: Uchida H,Hattori Y,Nakada K,Iida T

    更新日期:2004-05-01 00:00:00

  • The paramedic abortionist.

    abstract::Exception is taken to the reported safety of paramedical personnel using the ''super coil'' method for midtrimester abortion. In contrast to a report of no complications in 56 women undergoing midtrimester abortion performed by paramedics using this method, 9 of 15 women undergoing ''super coil'' abortions developed ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Mattingly RF

    更新日期:1973-06-01 00:00:00

  • Chemotherapy, Radiation, or Combination Therapy for Stage III Uterine Cancer.

    abstract:OBJECTIVE:To compare the outcomes of women with stage III uterine cancer treated with chemotherapy alone, external beam radiation alone, and combination chemotherapy and radiation. METHODS:The National Cancer Database was used to identify women with stage III endometrioid, serous, and clear cell uterine cancer treated...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003287

    authors: Syeda S,Chen L,Hou JY,Tergas AI,Khoury-Collado F,Melamed A,St Clair CM,Ananth CV,Neugut AI,Hershman DL,Wright JD

    更新日期:2019-07-01 00:00:00

  • Conservative management of placenta percreta: experiences in two cases.

    abstract:BACKGROUND:The management of an abnormally invaded placenta presents a challenging obstetric problem. Recent reports have suggested that a conservative approach to the treatment of this condition is appropriate in selected cases. We present the courses of two women with suspected placenta percreta who were managed cons...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181794727

    authors: Hays AM,Worley KC,Roberts SR

    更新日期:2008-08-01 00:00:00

  • Gestational Alloimmune Liver Disease: A Devastating Condition Preventable With Maternal Intravenous Immunoglobulin.

    abstract:BACKGROUND:Gestational alloimmune liver disease, a form of profound liver failure in the newborn, is the main underlying cause of the entity formerly known as neonatal hemochromatosis. Antepartum maternal intravenous immunoglobulin (IVIG) has been shown to prevent gestational alloimmune liver disease, which otherwise h...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001569

    authors: Anastasio HB,Grundy M,Birsner ML,Blakemore KJ

    更新日期:2016-11-01 00:00:00

  • Academic manpower for obstetrics and gynecology in the United States.

    abstract::All 119 medical schools in the United States provided information for a study of academic manpower conducted by the Association of Professors of Gynecology and Obstetrics (APGO). The average number of full-time faculty members per medical school is 13.2, with 2 positions vacant per school. Subspecialists are concentra...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Messer RH,Pearse WH,Fielden JG

    更新日期:1979-05-01 00:00:00

  • Hospital variation in postpartum tubal sterilization rates in California and Texas.

    abstract:OBJECTIVE:To estimate variation across hospitals in the rate of postpartum sterilization. METHODS:All hospitals with deliveries in California and Texas in 2009 were included. Proportion of live singleton deliveries with postpartum sterilization was calculated by hospital, insurance status (Medicaid compared with priva...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/aog.0b013e318278f241

    authors: Potter JE,Stevenson AJ,White K,Hopkins K,Grossman D

    更新日期:2013-01-01 00:00:00

  • Understanding risk: a randomized controlled trial of communicating contraceptive effectiveness.

    abstract:OBJECTIVE:To determine which of three different approaches increased women's understanding of risk of pregnancy associated with different contraceptive methods. METHODS:We randomly assigned 461 reproductive-age women to one of three tables presenting pregnancy risk (Food and Drug Administration table with numbers, Wor...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0029-7844(03)00662-8

    authors: Steiner MJ,Dalebout S,Condon S,Dominik R,Trussell J

    更新日期:2003-10-01 00:00:00

  • Lymphatic spread in stage Ib and II cervical carcinoma: anatomy and surgical implications.

    abstract:OBJECTIVE:To determine the frequency and topography of pelvic and para-aortic node involvement in cervical carcinoma and to identify the appropriate level for resection of the lymphatic chains. METHODS:Between 1985 and 1994, 421 women with stage Ib or II cervical carcinoma were treated by surgery in combination with i...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00696-0

    authors: Michel G,Morice P,Castaigne D,Leblanc M,Rey A,Duvillard P

    更新日期:1998-03-01 00:00:00

  • Antepartum detection of macrosomic fetus: clinical versus sonographic, including soft-tissue measurements.

    abstract:OBJECTIVE:To compare clinical and sonographic estimates of birth weights with five new estimation techniques that involve measurements of soft tissue, for identifying newborns with birth weights of at least 4000 g. METHODS:Over 1 year, each woman at or after 36 weeks' gestation and suspected of having a macrosomic fet...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(99)00606-7

    authors: Chauhan SP,West DJ,Scardo JA,Boyd JM,Joiner J,Hendrix NW

    更新日期:2000-05-01 00:00:00

  • Fetal urinary biochemistry predicts postnatal renal function in children with bilateral obstructive uropathies.

    abstract:OBJECTIVE:To investigate the ability of fetal urinalysis to predict in utero the renal function of children with bilateral uropathy who survive to the second year of life. METHODS:This was a prospective cohort study of 100 consecutive patients with prenatal diagnosis of bilateral uropathy who underwent fetal urine sam...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Muller F,Dommergues M,Mandelbrot L,Aubry MC,Nihoul-Fekete C,Dumez Y

    更新日期:1993-11-01 00:00:00

  • Efficacy of different starting doses of oxytocin for induction of labor.

    abstract::One thousand twenty inductions of labor by amniotomy and continuous infusion of oxytocin at the Royal Women's Hospital were reviewed. Three different starting rates of infusion of oxytocin were used by altering the concentration to 2, 5, or 10 U/L. There was no difference in success of induction as measured by inducti...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Wein P

    更新日期:1989-12-01 00:00:00

  • What Is New in Maternal Heart Disease?: Best Articles From the Past Year.

    abstract::This month we focus on current research in maternal heart disease. Dr. Metz discusses four recent publications, which are concluded with a "bottom-line" that is the take-home message. A complete reference for each can be found on on this page along with direct links to abstracts. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003037

    authors: Metz TD

    更新日期:2019-01-01 00:00:00

  • ACOG Committee Opinion No. 763: Ethical Considerations for the Care of Patients With Obesity.

    abstract::Obesity is a medical condition that may be associated with bias among health care professionals, and this bias may result in disrespectful or inadequate care of patients with obesity. Obstetrician-gynecologists regularly care for patients with obesity and play an integral role in advocating for best practices in healt...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/AOG.0000000000003015

    authors:

    更新日期:2019-01-01 00:00:00

  • Human Metapneumovirus Infection and Acute Respiratory Distress Syndrome During Pregnancy.

    abstract:BACKGROUND:Human metapneumovirus has recently been recognized as an important cause of severe respiratory viral infections and of viral infections in patients admitted to intensive care units. Little is known about the course of this infection in pregnancy. CASE:A late-preterm primigravid woman was admitted to the int...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000002165

    authors: Fuchs A,McLaren R Jr,Saunders P,Karakash S,Minkoff H

    更新日期:2017-09-01 00:00:00

  • Prenatal diagnosis of chondrodysplasia punctata by sonography.

    abstract::The rhizomelic form of chondrodysplasia punctata is a lethal autosomal recessive disorder of unknown cause. It is characterized by marked shortening and bowing of the proximal limbs, vertebral column abnormalities, eye and skin defects, severe mental retardation, and recurrent infection. Previously, antenatal diagnosi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Duff P,Harlass FE,Milligan DA

    更新日期:1990-09-01 00:00:00

  • Survey of forceps delivery in North America in 1990.

    abstract:OBJECTIVE:To determine whether opinions and practice patterns have markedly changed over the past decade and whether clinicians are cognizant of the new ACOG definitions for forceps deliveries. METHODS:Two hundred ninety-five United States and Canadian residency programs were surveyed via a questionnaire; 203 (69%) re...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Ramin SM,Little BB,Gilstrap LC 3rd

    更新日期:1993-02-01 00:00:00

  • An interactive web site for research on fetal heart rate monitoring.

    abstract:BACKGROUND:Traditional methods of exchange of research information may not be rapid enough, especially for international multicenter studies or when discussing controversial issues such as the value of fetal monitoring. The Internet is a useful tool that provides numerous opportunities for immediate communication withi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(99)00569-4

    authors: Costa Santos C,Ayres de Campos D,da Costa Pereira A,Bernardes J

    更新日期:2000-02-01 00:00:00

  • Comparison of probe sheaths for endovaginal sonography.

    abstract:OBJECTIVE:To compare the effectiveness of commercially available probe covers with less expensive condoms. METHODS:During a 10-month period, sonographers performed endovaginal ultrasound examinations on patients by randomly testing either commercially available probe covers or condoms on the vaginal probe. After use, ...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0029-7844(95)00336-3

    authors: Rooks VJ,Yancey MK,Elg SA,Brueske L

    更新日期:1996-01-01 00:00:00

  • Cortical blindness in severe preeclampsia: computed tomography, magnetic resonance imaging, and single-photon-emission computed tomography findings.

    abstract:BACKGROUND:Cortical blindness is a complication of severe preeclampsia, but it is unclear whether it results from cerebral vasospasm and ischemic injury or vasogenic (hydrostatic) edema due to increased capillary permeability. CASE:Reversible cortical blindness in a 33-year-old gravida 2, para 1, with severe postpartu...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)00878-4

    authors: Apollon KM,Robinson JN,Schwartz RB,Norwitz ER

    更新日期:2000-06-01 00:00:00

  • Clinical evaluation of a new herpes simplex virus ELISA: a rapid diagnostic test for herpes simplex virus.

    abstract::A new sensitive and rapid enzyme-linked immunosorbent assay (ELISA) test (Du Pont HERPCHEK) for the detection of herpes simplex virus (HSV) antigen was evaluated. A total of 563 clinical samples collected from patients attending obstetrics and gynecology and sexually transmitted disease clinics in two geographic locat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Baker DA,Gonik B,Milch PO,Berkowitz A,Lipson S,Verma U

    更新日期:1989-03-01 00:00:00