OBJECTIVE: To compare maternal and neonatal outcomes in women who underwent induction of labor or planned cesarean delivery indicated preterm births before 34 weeks gestation. METHODS: We conducted a retrospective cohort study all singleton (23–34 gestation) tertiary center from 2011 to 2014. The primary outcome was composite early postpartum hemorrhage, blood transfusion, operative complications, clinical chorioamnionitis. death, cardiopulmonary resuscitation the room, grade 3 4...

To assess whether outpatient cervical ripening with a transcervical Foley catheter in parous women undergoing elective induction of labor shortens the total duration time from admission to ward until delivery.We performed an open-label randomized controlled trial at single academic center 39 weeks gestation or greater cervix 3 cm less dilated, or, if 2-3 than 80% effaced and reassuring fetal heart rate monitoring (defined as moderate variability normal baseline absence decelerations)....

OBJECTIVE: To assess whether outpatient cervical ripening with a transcervical Foley catheter in nulliparous women undergoing elective labor induction shortens the time from admission to delivery. METHODS: We performed randomized controlled trial of patients singleton pregnancies at 39 weeks gestation or more modified Bishop score less than 5. Women were 1:1 inpatient Foley. In group, was inserted day before for scheduled induction; insertion group. The primary outcome duration and delivery...

Abstract Objective Evaluate fetal echocardiography's ability to detect critical (lesions requiring immediate neonatal intensive care) congenital heart disease (CHD) after normal anatomic cardiac views on detailed ultrasound. Methods Singletons with both a ultrasound at 18 + 0 22 6 weeks and echocardiogram performed least 14 days later 20 24 weeks. Cases pathology were excluded. Different combinations of described: Basic (four‐chamber, outflow tracts), Expanded (plus three‐vessel view),...

This study aimed to assess whether patient satisfaction differs between women beginning cervical ripening in the outpatient versus inpatient setting.We performed a planned secondary analysis evaluating randomized ripening. In original controlled trial, low-risk parous ≥39 weeks who required for induction and had reassuring fetal heart rate monitoring were included with transcervical Foley's catheter. All then admitted labor ward on following day. Patient was evaluated using three separate...

We sought to determine if administration of antenatal corticosteroids in early preterm births (<34 weeks) is associated with an increased risk developing neonatal hypoglycemia (<40 mg/dL) within the first 48 h life.Retrospective cohort all indicated singleton (23-34 a single tertiary center from 2011 2014. The primary outcome was life. compared by received at any point during gestation, 2-7 d delivery, and whether patient partial, full, or repeat course corticosteroids. Logistic regression...

To examine the relationship between baseline renal function tests in pregnant patients with chronic hypertension and adverse pregnancy outcomes.This was a retrospective cohort study of women singleton assessment (urine protein-to-creatinine ratio serum creatinine) before 20 weeks gestation. The primary outcome severe preeclampsia at less than 34 Secondary outcomes were any gestational age, preeclampsia, preterm birth 35 gestation, composite perinatal (perinatal death, assisted ventilation,...

Objective We aim to examine whether outcomes of preterm birth (PTB) are further modified by the indication for delivery. Study Design performed a retrospective cohort study all singletons delivered at 23 34 weeks from 2011 2014. Women were classified their primary delivery: maternal (preeclampsia) or fetal/obstetric (growth restriction, nonreassuring fetal status, and vaginal bleeding). The neonatal outcome was composite death, cord pH &lt;7 base excess &lt; − 12, 5-minute Apgar ≤3,...

To analyze the labor curves of nulliparous and multiparous women between 23.0 34.0 weeks gestation who underwent induction achieved vaginal delivery.This is a retrospective cohort study all live singletons delivered vaginally after medically indicated from 2011 through 2014 at our institution. We excluded those with one or no cervical examinations available during labor. Prior cesarean delivery, 5-minute Apgar score less than 5, arterial cord pH 7.0 were exclusions. The course dilation was...

Background Scheduled cesarean is frequently performed for fetal growth restriction due to concerns intolerance of labor. Objective We compared neonatal outcomes in preterm growth-restricted fetuses by intended mode delivery. Study Design a retrospective cohort study indicated births with prenatally diagnosed from 2011 2014 at single institution. Patients were classified The primary outcome was composite adverse outcomes, including perinatal death, cord blood acidemia, chest compressions...

In full-term patients, early artificial rupture of membranes (AROMs) decreases time in labor. We assessed the impact AROM preterm patients undergoing indicated induction labor.We conducted a retrospective cohort study all (23-34 weeks) at single tertiary care center from 2011 to 2014. Early was defined as <4 cm and late ≥4 cm. The primary outcomes evaluated were cesarean delivery Secondary chorioamnionitis composite maternal neonatal adverse outcomes.Of 149 women included, 65 (43.6%) had...

Objective We sought to validate the SunTech Medical Advantage Model 2 Series with firmware LX 3.40.8 algorithm noninvasive blood pressure module in a pregnant population, including those preeclampsia. Study Design Validation study of an oscillometric using ANSI/AAMI ISO 81060-2:2013 standard guidelines. Pregnant women were enrolled into three subgroups: normotensive, hypertensive without proteinuria, and preeclampsia (hypertensive random protein-to-creatinine ratio ≥ 0.3 or 24-hour urine...

Pregnancies complicated by pulmonary hypertension are associated with a high rate of maternal morbidity and mortality. Pulmonary endarterectomy is curative treatment for in select patients chronic thromboembolic hypertension. Limited data exist regarding the perinatal outcomes following endarterectomy. We present case patient her 20s antiphospholipid antibody syndrome who underwent subsequently carried two pregnancies. Her cardiopulmonary status remained stable throughout both first...

To evaluate how duration of exposure to antenatal corticosteroids (ACSs) prior delivery affects neonatal outcomes in indicated preterm deliveries.This is a retrospective cohort all singleton deliveries (23-34 weeks) single tertiary center from 2011 2014 comparing those who received ACS 2 7 days versus >7 delivery. The primary outcome was composite arterial cord pH < or base excess ≤ 12, 5-minute Apgar 3, cardiopulmonary resuscitation, culture-proven sepsis, intraventricular hemorrhage grade...