Do you want to publish a course? Click here

The Association between Isolated Oligohydramnios at Term and Pregnancy Outcomes

العلاقة بين قلّة السائل الأمنيوسي المعزولة بتمام الحمل ونتائج الحمل

629   1   0   0.0 ( 0 )
 Publication date 2021
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




Ask ChatGPT about the research

Conflicting data exist concerning the implications of isolated oligohydramnios on pregnancy outcome at term. Aim: To assess the association between isolated oligohydramnios at term and pregnancy outcome in low-risk pregnancies. Materials and Methods: This was a retrospective cohort study of term pregnancies with sonographic finding of isolated Oligohydramnios (amniotic fluid index (AFI) <5 cm) between 2017 and 2019, conducted at Obstetrics and Gynecology Department, Tishreen University Hospital, Lattakia, Syria, during the period between January 2019 – January 2020. Outcome was compared to a control group of pregnancies with normal AFI (5–25 cm). Pregnancies complicated by hypertension, diabetes, deviant fetal growth or chromosomal/ structural abnormalities were excluded. Composite adverse outcome included cesarean section delivery, low Apgar score, neonatal intensive care admission, meconium aspiration syndrome, or intubation. Results: Overall, 190 pregnancies complicated by isolated oligohydramnios were compared to 200 low-risk pregnancies with normal AFI. Isolated oligohydramnios was associated with a higher rate of induction of labor (29.8 % vs. 4 %, p < 0.05), cesarean section delivery (21.6 vs. 13 %, p < 0.05) and composite adverse outcome (13.2 % vs. 7 %, p < 0.05). However, after adjusting for potential confounders as induction of labor and nulliparity using multivariable logistic regression analysis, isolated oligohydramnios was not found to be independently associated with increased risk for composite adverse outcome (OR 1.07, 95 % CI 0.9–1.31, p = 0.87). Conclusion: Isolated oligohydramnios at term by itself is not associated with increased obstetrical morbidity.


Artificial intelligence review:
Research summary
تتناول هذه الدراسة العلاقة بين قلة السائل الأمنيوسي المعزولة بتمام الحمل ونتائج الحمل في حالات الحمل منخفضة الخطورة. تم إجراء الدراسة بأثر رجعي في مستشفى تشرين الجامعي في اللاذقية، سوريا، وشملت 190 حالة حمل مع قلة السائل الأمنيوسي المعزولة و200 حالة حمل مع مستوى طبيعي من السائل الأمنيوسي. أظهرت النتائج أن قلة السائل الأمنيوسي المعزولة ترتبط بزيادة معدلات تحريض المخاض والولادة القيصرية، ولكن بعد ضبط العوامل المربكة باستخدام تحليل الانحدار اللوجستي متعدد المتغيرات، لم تظهر قلة السائل الأمنيوسي المعزولة ارتباطًا مستقلًا بزيادة خطر نتائج الحمل السلبية. خلصت الدراسة إلى أن قلة السائل الأمنيوسي المعزولة بحد ذاتها لا ترتبط بزيادة المراضة التوليدية، وأن التداخلات الطبية مثل تحريض المخاض قد تكون مسؤولة عن الفروق الملحوظة في معدلات النتائج السلبية.
Critical review
دراسة نقدية: تعتبر هذه الدراسة خطوة مهمة نحو فهم تأثير قلة السائل الأمنيوسي المعزولة على نتائج الحمل. ومع ذلك، هناك بعض النقاط التي يمكن تحسينها. أولاً، الدراسة بأثر رجعي مما قد يؤدي إلى تحيز في اختيار العينات. ثانيًا، لم يتم تضمين بعض العوامل المربكة المحتملة مثل مشعر كتلة الجسم (BMI) الوالدي. ثالثًا، كانت الدراسة وحيدة المركز مما قد يحد من تعميم النتائج. وأخيرًا، لم يتم إجراء تقييم حجم السائل الأمنيوسي بالتصوير التسلسلي بالأمواج فوق الصوتية لجميع النساء، مما قد يؤثر على دقة النتائج. على الرغم من هذه القيود، تقدم الدراسة رؤى قيمة وتوصيات مهمة لإدارة حالات قلة السائل الأمنيوسي المعزولة بتمام الحمل.
Questions related to the research
  1. ما هي العلاقة بين قلة السائل الأمنيوسي المعزولة ونتائج الحمل السلبية؟

    الدراسة أظهرت أن قلة السائل الأمنيوسي المعزولة ترتبط بزيادة معدلات تحريض المخاض والولادة القيصرية، ولكنها ليست مرتبطة بشكل مستقل بزيادة خطر نتائج الحمل السلبية بعد ضبط العوامل المربكة.

  2. ما هي العوامل المربكة التي تم ضبطها في الدراسة؟

    تم ضبط عوامل مثل تحريض المخاض والخروس باستخدام تحليل الانحدار اللوجستي متعدد المتغيرات.

  3. ما هي التوصيات الرئيسية للدراسة؟

    تشير الدراسة إلى أنه لا يوجد ما يبرر التحريض الروتيني للمخاض في جميع حالات قلة السائل الأمنيوسي المعزولة بتمام الحمل، وأن تدبير هذه الحالات ينبغي أن يكون بشكل فردي.

  4. ما هي القيود الرئيسية للدراسة؟

    القيود تشمل التصميم بأثر رجعي، عدم تضمين بعض العوامل المربكة مثل مشعر كتلة الجسم الوالدي، كون الدراسة وحيدة المركز، وعدم إجراء تقييم حجم السائل الأمنيوسي بالتصوير التسلسلي بالأمواج فوق الصوتية لجميع النساء.


References used
Elsandabesee D, Majumdar S, Sinha S (2007) Obstetricians’ attitudes tow ards ‘isolated’ oligohydramnios at term. J Obstet Gynaecol 27(6):574 – 576 .
rate research

Read More

Introduction: Maternal body mass index (BMI) has an impact on maternal and fetal pregnancy outcome. Aim : To investigate the effect of pre-pregnancy BMI on adverse maternal and neonatal outcomes in a sample of Syrian pregnant women attending Tishreen University Hospital .
Ectopic Pregnancy: Avery rare case of cornual pregnancy The statement dexcribes a very rare case of ectopic pregnancy "Cornual pregnancy" which unusually had continued to full term. The case had been diagnosed after the laparatomy during cesarean section which had been achieved in very difficult circumstances, because the hemorrhage was very heavy. The author could deliver a healthy fetus, save the patient's life, and save her uterus and fertility.
Objectives: Syria is considered to have the highest fertility rate in the world, some of the reasons are due to women themselves and some are due to the health system and its providers. Methods: Our study is a cross sectional study. It included wome n at fertility age between (15-49 years) they were selected using cluster samples at the six Syrian regions. Results: The study showed that about (24%) of sampled women did not use any form of contraception. Husband refusal was the main reason, followed by health issues and fear of side effects, while religious believes and less frequent intercourse were only responsible for a small percentage. The study also showed that about half of the women who underwent induced abortion was because of social reasons and couples wishing not to keep the pregnancy, followed by failure of contraceptive methods mainly oral contraceptive pills. The majority of induced abortions (96%) were done surgically by dilatation and evacuation while medication was only used in a small percentage. Conclusion: Although (95%) of the induced abortions were done by specialists and (96%) of women were satisfied with the service provided, however this procedure was not devoid of major complications although it was in a small percentage but it was serious enough to affect the woman's life and her future fertility.
Gestational Diabetes Mellitus (GDM) is one of the most common complications during pregnancy. The prevalence of gestational diabetes (GDM) is increasing all over the world. Hence, the impact of GDM on maternal and infant health is an important topi c of research. Objective: The aim of the study was to determine the prevalence of GDM, and to assess the impact of universal screening to detect Gestational diabetes mellitus. Subjects and methods: A representative sample of 760 pregnant women who attended the antenatal department of Al Assad Hospital in Lattakia were surveyed during the period from June 1st, 2013 to December 1st, 2014. The questionnaire covered variables related maternal age, gestational age, BMI, and women underwent the diagnostic tests for GDM. 73 pregnant women had positive results.
This study describes our proposed model design for SMM4H 2021 shared tasks. We fine-tune the language model of RoBERTa transformers and their connecting classifier to complete the classification tasks of tweets for adverse pregnancy outcomes (Task 4) and potential COVID-19 cases (Task 5). The evaluation metric is F1-score of the positive class for both tasks. For Task 4, our best score of 0.93 exceeded the mean score of 0.925. For Task 5, our best of 0.75 exceeded the mean score of 0.745.

suggested questions

comments
Fetching comments Fetching comments
Sign in to be able to follow your search criteria
mircosoft-partner

هل ترغب بارسال اشعارات عن اخر التحديثات في شمرا-اكاديميا