Are maternal serum troponin I levels affected by vaginal or cesarean delivery?

Abstract:

:Our objective was to describe the change in the level of troponin I in patients who undergo a vaginal or cesarean delivery. We obtained troponin I levels on admission and 1 hour after delivery in women undergoing vaginal and cesarean deliveries. Exclusion criteria included <37 weeks' gestation, a history of cardiac disease, hypertension, or cardiac symptoms. The troponin I level used to indicate myocardial ischemia was 2.0 ng/mL; levels were analyzed using the Wilcoxon test. The median age of women in the vaginal versus the cesarean group were 25.6 years and 34.4 years, and the median gestational age for both groups was 39.6 weeks. The median troponin I level before and after vaginal delivery was <0.3 ng/mL and before and after cesarean was <0.3 ng/mL. The highest level of troponin I in either group was 0.3 ng/mL. Troponin I is not elevated as a result of undergoing a vaginal or cesarean delivery. We conclude that troponin I may be used as a reliable marker to diagnose myocardial ischemia in postpartum women.

journal_name

Am J Perinatol

authors

Koscica KL,Bebbington M,Bernstein PS

doi

10.1055/s-2004-820507

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

31-4

issue

1

eissn

0735-1631

issn

1098-8785

journal_volume

21

pub_type

杂志文章
  • Evaluating Fundal Dominant Contractions on Spatiotemporal Electrohysterography as a Marker for Effective Labor Contractions.

    abstract:OBJECTIVE:To evaluate if fundal (F) dominance of the electrohysterogram is associated with vaginal delivery and lack of F dominance is associated with cesarean for labor dystocia. STUDY DESIGN:We conducted a prospective cohort study of nulliparous women in spontaneous labor at ≥36 weeks. Clinicians were blinded to ele...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1675621

    authors: Edwards RK,Euliano NR,Singh S,LeDuke RC,Andrews WW,Jauk V,Subramaniam A,Szychowski JM

    更新日期:2019-07-01 00:00:00

  • Intrapartum predictors of uterine rupture.

    abstract::This case-controlled study reviewed 26 cases of uterine rupture at an academic medical center. Controls were selected in a 2:1 design by reviewing the immediate successful vaginal birth after cesarean delivery (VBAC) before and after each case of uterine rupture. At less than 2 hours before delivery or acute uterine r...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-981433

    authors: Craver Pryor E,Mertz HL,Beaver BW,Koontz G,Martinez-Borges A,Smith JG,Merrill D

    更新日期:2007-05-01 00:00:00

  • Pleural effusion with parenteral nutrition solution: an unusual complication of an "appropriately" placed umbilical venous catheter.

    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

    authors: Pabalan MJ,Wynn RJ,Reynolds AM,Ryan RM,Youssfi M,Manja V,Lakshminrusimha S

    更新日期:2007-11-01 00:00:00

  • A simplified risk-scoring system for prematurity.

    abstract::Prematurity, the major cause of perinatal morbidity and mortality, results from a multifactorial interaction of medical, historic, and psychosocial conditions. Although the literature contains several reports of prematurity risk-scoring systems, the relative importance of specific risk factors may depend on the popula...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999893

    authors: Ross MG,Hobel CJ,Bragonier JR,Bear MB,Bemis RL

    更新日期:1986-10-01 00:00:00

  • First-trimester transvaginal ultrasonographic diagnosis of Dandy-Walker malformation.

    abstract::We present transvaginal ultrasonographic findings of a fetus with Dandy-Walker malformation and associated massive obstructive hydrocephalus at 13 weeks' gestation. First-trimester ultrasonographic diagnosis of Dandy-Walker malformation is uncommon with only two such occurrences having been reported previously. These ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2001-18697

    authors: Sherer DM,Shane H,Anyane-Yeboa K

    更新日期:2001-11-01 00:00:00

  • Population study of the risk of fetal death and its relationship to birthweight, gestational age, and race.

    abstract::With more than 20,000 fetal deaths occurring annually in the United States, accurate epidemiological data concerning fetal death offer the potential to develop interventions aimed at saving a considerable number of fetuses. Currently, fetal death rates are determined by dividing the number of deaths by total births. T...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994589

    authors: Ferguson R,Myers SA

    更新日期:1994-07-01 00:00:00

  • Sudden unexpected death in a neonate.

    abstract::A sudden and unexpected death, at 26 hours of age, of a term infant with no identifiable risk factors either in the prenatal or in the immediate neonatal period is described. The most remarkable postmortem findings were confined to the lungs, which had many areas of aspirated amniotic fluid, as well as extensive areas...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999592

    authors: Imaizumi SO,Balsara GR

    更新日期:1989-07-01 00:00:00

  • A clinical scoring system to predict the development of bronchopulmonary dysplasia.

    abstract:OBJECTIVE:This study aims to develop a scoring system for the prediction of bronchopulmonary dysplasia (BPD). METHODS:Medical records of 652 infants whose gestational age and birth weight were below 32 weeks and 1,500 g, respectively, and who survived beyond 28th postnatal day were reviewed retrospectively. Logistic r...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0034-1393935

    authors: Gursoy T,Hayran M,Derin H,Ovali F

    更新日期:2015-06-01 00:00:00

  • Intravenous immunoglobulin in antiphospholipid syndrome and maternal floor infarction when standard treatment fails: a case report.

    abstract::Obstetrical antiphospholipid syndrome (APS) is associated with maternal and fetal morbidity and mortality. Standard treatment with low-dose acetylsalicylic acid and unfractionated heparin has achieved up to a 70 to 80% likelihood of success. Conversely, up to 30% of women with APS will have further pregnancy losses, d...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2006-931805

    authors: Chang P,Millar D,Tsang P,Lim K,Houlihan E,Stephenson M

    更新日期:2006-02-01 00:00:00

  • The very low birthweight infant: incidence and significance of low Apgar scores, "asphyxia," and morbidity. Findings at delivery.

    abstract::Cord blood gas determinations were made on arterial and venous blood from 78 babies weighing less than 2000 gm at birth, including 52 weighing 1500 gm or less. Correlations were made with Apgar scores and intrapartum events as well as with birthweight (BW) and gestational age (GA). Significant differences were seen be...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999925

    authors: Perkins RP,Papile LA

    更新日期:1985-04-01 00:00:00

  • Neonatal Morbidities among Moderately Preterm Infants with and without Exposure to Antenatal Corticosteroids.

    abstract:OBJECTIVE:We aimed to compare the rates of "surfactant treated respiratory disease" and other neonatal morbidities among moderately preterm (MPT) infants exposed to no, partial, or a complete course of antenatal corticosteroids (ANS). STUDY DESIGN:This observational cohort study evaluated MPT infants (290/7-336/7 week...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-0038-1642059

    authors: Chawla S,Natarajan G,Chowdhury D,Das A,Walsh M,Bell EF,Laptook AR,Van Meurs K,D'Angio CT,Stoll BJ,DeMauro SB,Shankaran S

    更新日期:2018-10-01 00:00:00

  • Prediction of survival in infants with congenital diaphragmatic hernia based on stomach position, surgical timing, and oxygenation index.

    abstract:OBJECTIVE:To identify characteristics predictive of survival of patients with congenital diaphragmatic hernia (CDH). STUDY DESIGN:Retrospective analysis of clinical characteristics including severity of lung disease measured by oxygenation index (OI) associated with single-center survival in CDH patients (n = 81) from...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0032-1304817

    authors: Mann PC,Morriss FH Jr,Klein JM

    更新日期:2012-05-01 00:00:00

  • Efficacy of antenatal corticosteroids according to maternal and perinatal factors: a retrospective cohort study.

    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

    authors: Claire L,Vieux R

    更新日期:2015-09-01 00:00:00

  • The surfactants.

    abstract::Surfactants have been routinely used since 1990 for the treatment of respiratory distress syndrome (RDS). The use of surfactant has coincided with a decrease in mortality in infants due to RDS. This review focuses on clinical aspects of surfactant use. New information, particularly effects of ventilatory styles on sur...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2000-13445

    authors: Kallapur S,Ikegami M

    更新日期:2000-01-01 00:00:00

  • Color Doppler aided prenatal diagnosis of a type 1 cystic sacrococcygeal teratoma simulating a meningomyelocele.

    abstract::Type 1 cystic sacrococcygeal teratomas, usually associated with good outcome following neonatal resection, must be differentiated at the time of prenatal diagnosis from sonographically similar meningomyeloceles, which carry a grave prognosis. We present an unusual case in which color Doppler imaging assisted correct m...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994089

    authors: Sherer DM,Fromberg RA,Rindfusz DW,Harris BH,Sanz LE

    更新日期:1997-01-01 00:00:00

  • Diagnosis of preterm rupture of membranes: is testing for alpha-fetoprotein better than ferning or nitrazine?

    abstract::This article evaluates the role of alpha-fetoprotein (AFP) testing in the diagnosis of ruptured membranes in the preterm patient. AFP is normally found in amniotic fluid and is not present in vaginal secretions. Testing for AFP in vaginal fluid was compared with nitrazine evaluation and ferning in two groups of preter...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999500

    authors: Garite TJ,Gocke SE

    更新日期:1990-07-01 00:00:00

  • Birthweight Extremes and Neonatal and Childhood Outcomes after Preterm Premature Rupture of Membranes.

    abstract::Objective To determine the association between birthweight extremes and risk of adverse neonatal and childhood outcomes following preterm premature rupture of membranes (PPROM). Study Design This is a secondary analysis of data from the Beneficial Effects of Antenatal Magnesium Sulfate Trial. Women with nonanomalous s...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-0036-1584898

    authors: Grace MR,Dotters-Katz S,Varner MW,Boggess K,Manuck TA

    更新日期:2016-10-01 00:00:00

  • The significance of a positive fetal fibronectin in the setting of a normal cervical length in twin pregnancies.

    abstract::To estimate the risk of preterm birth in asymptomatic women with twin pregnancies with a normal cervical length (CL) and a positive fetal fibronectin (fFN), we reviewed a retrospective cohort of twin pregnancies delivered in our practice from 2005 to 2010. Patients were screened from 22 to 32 weeks with CL and fFN at ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0031-1285827

    authors: Fox NS,Rebarber A,Roman AS,Klauser CK,Saltzman DH

    更新日期:2012-04-01 00:00:00

  • AmniSure placental alpha microglobulin-1 rapid immunoassay versus standard diagnostic methods for detection of rupture of membranes.

    abstract::The purpose of this study was to compare the AmniSure rapid immunoassay with standard methods for diagnosing rupture of fetal membranes. Patients presenting with signs/symptoms of membrane rupture between 15 and 42 weeks of gestation were invited to participate. Standard/control methods were performed to establish a d...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2005-870896

    authors: Cousins LM,Smok DP,Lovett SM,Poeltler DM

    更新日期:2005-08-01 00:00:00

  • Aplasia cutis congenita in an infant of an initial triplet gestation: a case report.

    abstract::Aplasia cutis congenita (ACC) is the clinical manifestation of an uncommon group of skin disorders. One postulated etiology is disseminated intravascular coagulation from release of thrombogenic maternal arising from placental injury or fetal demise. This leads to disruption of the ectodermal blood supply responsible ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-1999-7279

    authors: Da-Silva SS,Fagbongbe EO

    更新日期:1999-01-01 00:00:00

  • Neonatal Biomarkers of Inflammation: Correlates of Early Neurodevelopment and Gait in Very-Low-Birth-Weight Preterm Children.

    abstract:OBJECTIVE:Neonatal biomarkers of inflammation were examined in relation to early neurodevelopment and gait in very-low-birth-weight (VLBW) preterm children. We hypothesized that preterm infants exposed to higher levels of neonatal inflammation would demonstrate lower scores on Bayley Scales of Infant Toddler Developmen...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0035-1557106

    authors: Rose J,Vassar R,Cahill-Rowley K,Hintz SR,Stevenson DK

    更新日期:2016-01-01 00:00:00

  • Response to Bacillus Calmette-Guérin vaccine in full-term and preterm infants.

    abstract::The purpose of this study was to compare the delayed response to Bacillus Calmette-Guérin (BCG) immunization in preterm infants 31.4 to 34.6 weeks of age with full-terms infants by tuberculin test (tuberculin skin test with purified protein derivative [PPD]). One hundred newborns were studied from November 2000 to Apr...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-970080

    authors: Negrete-Esqueda L,Vargas-Origel A

    更新日期:2007-03-01 00:00:00

  • Accuracy of clinically estimated fetal weight in pregnancies complicated by diabetes mellitus and obesity.

    abstract:OBJECTIVE:To determine the accuracy of clinically estimated fetal weight (CEFW) in patients with gestational diabetes (GDM), pregestational diabetes (DM), and obesity. STUDY DESIGN:This is a retrospective analysis of Consortium of Safe Labor data. Subjects were classified into six groups: DM, DM and obese, GDM, GDM an...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0033-1334450

    authors: Drassinower D,Timofeev J,Huang CC,Benson JE,Driggers RW,Landy HJ

    更新日期:2014-01-01 00:00:00

  • Early Postnatal IGF-1 and IGFBP-1 Blood Levels in Extremely Preterm Infants: Relationships with Indicators of Placental Insufficiency and with Systemic Inflammation.

    abstract:OBJECTIVE:To evaluate to what extent indicators of placenta insufficiency are associated with low concentrations of insulin-like growth factor 1 (IGF-1) and IGF-1-binding protein-1 (IGFBP-1) in neonatal blood, and to what extent the concentrations of these growth factors are associated with concentrations of proteins w...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1677472

    authors: Leviton A,Allred EN,Fichorova RN,VanderVeen DK,O'Shea TM,Kuban K,Dammann O,ELGAN Study Investigators.

    更新日期:2019-12-01 00:00:00

  • Community-Acquired Pneumonia in Children: Myths and Facts.

    abstract::Community-acquired pneumonia (CAP) is the leading cause of death in children < 5 years of age worldwide. It is also one of the most frequent infectious diseases in children, leading to large antibiotic use and hospitalization even in the industrialized countries. However, the optimal management of CAP in children is s...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-1691801

    authors: Yun KW,Wallihan R,Juergensen A,Mejias A,Ramilo O

    更新日期:2019-07-01 00:00:00

  • Plasma and erythrocyte profiles of nonesterified polyunsaturated fatty acids during normal pregnancy and labor.

    abstract::This study was undertaken to determine the plasma and erythrocyte profiles of metabolically important nonesterified polyunsaturated fatty acids (PUFA), that is, free fatty acids, in each trimester of pregnancy and in labor. Blood was drawn from patients in the first, second, and third trimester and in labor. Nonesteri...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2008-1040766

    authors: Ashby AM,Robinette B,Kay HH

    更新日期:1997-11-01 00:00:00

  • Noninvasive High-Frequency Oscillatory Ventilation: A Retrospective Chart Review.

    abstract:OBJECTIVE: This study aimed to review the feasibility of nasal high-frequency oscillatory ventilation (NHFOV) in preventing reintubation in preterm infants STUDY DESIGN:  This is a retrospective cohort study of all premature newborn infants placed on NHFOV in a single-center neonatal intensive care unit. RESULTS: Twen...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1718738

    authors: Ali YAH,Seshia MM,Ali E,Alvaro R

    更新日期:2020-10-19 00:00:00

  • Coagulation studies in patients with marked thrombocytopenia due to severe preeclampsia.

    abstract::From July 1, 1990, to July 1, 1993, we analyzed the results of fibrinogen levels, prothrombin time, and partial thromboplastin time in patients with severe preeclampsia, at least one platelet count less than 100,000/microL, and no signs of abruption or hemorrhage. Analysis was by Pearson's correlation coefficient and ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994457

    authors: Prieto JA,Mastrobattista JM,Blanco JD

    更新日期:1995-05-01 00:00:00

  • Plasma homocysteine in late pregnancies complicated with preeclampsia and in newborns.

    abstract::The aim of this study was to determine the relationship between maternal serum homocysteine levels in preeclampsia and the severity of the disease, neonatal serum homocysteine levels, maternal complications, and fetal outcome. Fifty pregnant women were included in this prospective study, of which 25 were severe (group...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2005-918889

    authors: Baksu A,Taskin M,Goker N,Baksu B,Uluocak A

    更新日期:2006-01-01 00:00:00

  • Feto-neonatal ultrasonography to detect renal abnormalities: evaluation of 1-year screening program.

    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

    authors: Fasolato V,Poloniato A,Bianchi C,Spagnolo D,Valsecchi L,Ferrari A,Paesano P,Del Maschio A

    更新日期:1998-03-01 00:00:00