Article
Medicine, General & Internal
Justine Davies, Adrian W. Gelb, Julian Gore-Booth, Jannicke Mellin-Olsen, Janet Martin, Christina Akerman, Emmanuel A. Ameh, Bruce M. Biccard, Geir Sverre Braut, Kathryn M. Chu, Miliard Derbew, Hege Langli Ersdal, Jose Miguel Guzman, Lars Hagander, Carolina Haylock-Loor, Hampus Holmer, Walter Johnson, Sabrina Juran, Nicolas J. Kassebaum, Tore Laerdal, Andrew J. M. Leather, Michael S. Lipnick, David Ljungman, Emmanuel Malabo Mwenda Makasa, John G. Meara, Mark W. Newton, Doris Ostergaard, Teri Reynolds, Lauri J. Romanzi, Vatshalan Santhirapala, Mark G. Shrime, Kjetil Soreide, Margit Steinholt, Emi Suzuki, John E. Varallo, Gerard H. A. Visser, David Watters, Thomas G. Weiser
Summary: Global experts have collaboratively developed and defined a set of indicators for evaluating timely access to quality SAO care using the Utstein process, aiming to improve comparability and support the global goal of improving access to safe affordable surgical and anaesthesia care. These indicators should be universally implemented at the basic level as soon as possible, with all countries achieving intermediate and full indicator sets over time to track progress and support national surgical plans.
Article
Public, Environmental & Occupational Health
Nathalie Auger, Francois M. Carrier, Laura Arbour, Aimina Ayoub, Jessica Healy-Profitos, Brian J. Potter
Summary: The study found that receiving anesthesia in early pregnancy may increase the risk of congenital heart defects in offspring, especially during critical periods of fetal heart development. Specifically, general anesthesia during weeks 5-6 of pregnancy was significantly associated with a higher risk of heart defects.
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY
(2022)
Article
Medicine, General & Internal
Leonor Silva Sousa, Jania Pacheco, Catarina Reis-de-Carvalho, Filipa Lanca
Summary: Postpartum peripheral nerve disorders, while uncommon, can result from intrinsic obstetric palsies. We presented a case of a full-term nulliparous woman who developed this complication following a vacuum-assisted vaginal delivery. The patient experienced lower limb deficits but gradually recovered over two months.
Review
Anesthesiology
C. H. Prior, C. E. G. Burlinson, A. Chau
Summary: This article provides a narrative review of six areas of obstetric emergencies, focusing on recent research, practice guidelines, and recommendations. Key topics include prevention and management of complications related to neuraxial anesthesia, management of difficult and failed obstetric airway, and the use of various interventions in maternal cardiac arrest.
Article
Anesthesiology
Sunil T. Pandya, Kousalya Chakravarthy, Pratibha Jain Shah, Anjan Trikha
Summary: Obstetric anaesthesia is emerging as one of the most demanding subspecialties of anaesthesia, with the potential for early establishment. Obstetric anaesthesiologists can choose between team or independent practice, and group practice with a multidisciplinary team can provide support and meet personal needs. The field demands excellent clinical and interpretative skills from physicians and offers lucrative compensation.
INDIAN JOURNAL OF ANAESTHESIA
(2021)
Editorial Material
Anesthesiology
Olivia A. Moody, Kathleen F. Vincent, Ken Solt
Summary: The study highlights significant sex differences in sensitivity to a novel neurosteroid anesthetic, with female rats being more sensitive than male rats. This underscores the importance of sex differences in anesthesia research and the need for more efforts to understand these disparities.
BRITISH JOURNAL OF ANAESTHESIA
(2021)
Article
Public, Environmental & Occupational Health
Justina O. Seyi-Olajide, Jamie E. Anderson, Omolara M. Williams, Omolara Faboya, Joseph O. Amedu, Stanley N. C. Anyanwu, Abraham Bethuel-Kasimu, Olubunmi Lawal, Opubo B. da Lilly-Tariah, Bisola Onajin-Obembe, Diana L. Farmer, Emmanuel A. Ameh
Summary: Collaboration with professional societies and partners led to the development of a national surgical, obstetric, anaesthesia and nursing plan 2019-2023 to address the lack of emphasis on surgical care in Nigeria's national strategic health development plan 2018-2022. Pilot implementation has begun, focusing on training, research, media mobilization, and planning a children's hospital. Innovative domestic funding strategies are needed to overcome the key challenge of funding for full implementation.
BULLETIN OF THE WORLD HEALTH ORGANIZATION
(2021)
Article
Medicine, General & Internal
Jialu Qian, Shuyi Chen, Cecilia Jevitt, Shiwen Sun, Man Wang, Xiaoyan Yu
Summary: This qualitative study explored the experiences of obstetric nurses and midwifery professionals with the Perinatal Bereavement Care Training Programme (PBCTP) after implementation. The findings showed that the PBCTP met the learning and skills enhancement needs of nurses and midwives, and had a positive impact on their care for bereaved families. The optimized training programme should be widely applied in the future, and efforts from hospitals, managers, obstetric nurses, and midwives are needed to promote a supportive perinatal bereavement care practice.
FRONTIERS IN MEDICINE
(2023)
Article
Oncology
Julius C. C. Heemelaar, Steffie Heemelaar, Svenja N. N. Hertel, J. Wouter Jukema, Marieke Sueters, Marloes Louwerens, M. Louisa Antoni
Summary: This study examined the cardiac function of childhood cancer survivors with prior cardiotoxic treatment during pregnancy using echocardiographic parameters. The researchers found that the risk of left ventricular dysfunction (LVD) during pregnancy was low if the global longitudinal strain (GLS) at baseline was normal. The obstetric outcomes were comparable to the general population, except for patients who underwent abdominal irradiation, which had a high rate of preterm birth and miscarriage.
Article
Education & Educational Research
Wendy Nieto-Gutierrez, Alvaro Taype-Rondan
Summary: The study found that certain academic factors, such as having a previous health career, completing an internship in specific hospitals, and completing a university externship, were associated with a higher prevalence of self-perceived competence in obstetric emergencies among recently graduated physicians.
BMC MEDICAL EDUCATION
(2023)
Article
Obstetrics & Gynecology
Lami Yeo, Roberto Romero
Summary: This article discusses the challenges in learning obstetric sonography and the process of acquiring expert skills. It emphasizes the importance of simulation-based education and learning, and the effectiveness of ultrasound simulators. Introduction of a novel high-fidelity optical positioning ultrasound simulation system is presented to address current problems and gaps in ultrasound simulation.
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
(2022)
Article
Engineering, Biomedical
Yushen Zhang, Lei Wang, Yubo Shi, Debin Cheng, Dongze Zhu, Zhenzhou Mi, Jingyi Dang, Zhao Zhang, Xincheng Liu, Hongbin Fan
Summary: Cartilage tissue engineering provides a new approach for treating cartilage damage by using a combination of drug systems and tissue scaffolds. This study explores the mechanism of resveratrol for chondrocyte and macrophages using systems biology and network pharmacology methods. The results show that the cHA-CS-RES composite hydrogel has good cartilage repair effects, anti-inflammatory, and pro-chondrogenesis abilities.
BIOMEDICAL MATERIALS
(2023)
Review
Obstetrics & Gynecology
K. E. Eddy, J. P. Vogel, R. Zahroh, M. A. Bohren
Summary: This qualitative evidence synthesis identified key factors influencing the underutilization of MgSO4 for the prevention and treatment of pre-eclampsia and eclampsia, with themes such as provider competence, health system capability, and knowledge translation. Mapping facilitators and barriers within the COM-B behavior change theory framework highlighted the complex interplay between physical and psychological capability, social and physical opportunity, and motivation. The findings from this review can guide policy and guideline development to improve the appropriate use of MgSO4 in clinical care worldwide.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2022)
Article
Health Care Sciences & Services
Maria Fernanda Escobar, Maria Paula Echavarria, Juan Carlos Gallego, Natalia Riascos, Hilda Vasquez, Daniela Nasner, Stephanie Pabon, Zindy Alexandra Castro, Didier Augusto Cardona, Ana Milena Castro, Isabella Ramos, Maria Antonia Hincapie, Juan Pedro Kusanovic, Diana Marcela Martinez-Ruiz, Javier Andres Carvajal
Summary: This study aimed to identify changes in maternal and perinatal indicators after implementing a model based on education and telecare between low-complexity hospitals and a high-complexity hospital in the southwestern region of Colombia. The results showed that implementing education and teleassistance generated changes in indicators that reflect greater access to rural areas and lower morbidity.
Article
Obstetrics & Gynecology
Beatriz A. Fernandez-Campos, Joaquin Vargas-Penafiel, Maria P. Cruz-Dominguez, Janet Mijangos-Chavez, Edgar Mendoza-Reyes, Ilze J. Huerta-L, Sara Morales-Hernandez, Nelly Berenice Gonzalez Tovar
Summary: This study retrospectively analyzed clinical data from pregnant women with heart disease at two referral centers in Mexico City, finding that the risks of MACEs and preterm birth were associated with the severity of heart disease, while the association with obstetric events was not significant.
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
(2022)
