Objectives: To assess ductus venosus (DV) indices during the first stage of labor and the effect of ruptured membranes, meconium stained liquor and epidural analgesia (EDA).
Methods: Prospective cross-sectional study...
Keywords: Amniorrhea, ductus venosus, epidural analgesia, labor, PROM
05/2007 | Journal of Perinatal Medicine, Walter de Gruyter
Aims: To measure maternal serum interleukins (IL) in pregnancy, delivery and early puerperium, and to identify their potential determinants.
Methods: Prospective longitudinal measures of serum IL-1?, IL-6 and IL-8 in 38 healthy pregnant women at antenatal visits, through labor and delivery, with clinical correlates (infection, vaginal hemorrhage and anemia) recorded by questionnaire.
Results: Pregnancy IL levels remained consistently low...
Keywords: infection, interleukins, labor, pregnancy, puerperium
11/2004 | Journal of Perinatal Medicine, Walter de Gruyter
Objective: To evaluate and compare interobserver variation in interpretation of intrapartum cardiotocograms.
Subjects: Fifteen senior (experience >4 years) and 16 junior (experience ?4 years) obstetricians from 10 delivery units.
Design: Thirty-one obstetricians interpreted intrapartum cardiotocographic (CTG) readings from 22 parturients.
Methods: Inter-observer agreement in CTG interpretation and decision-making was assessed via proportions of agreement (Pa), with 95% confidence intervals (CI).
Main outcome measures: The level of inter-observer agreement was analyzed by calculating Pa values for CTG baseline, variability, early, variable and late decelerations, uterine tonus, power of contractions, hypertonus and clinical decision.
Results: In assessments of normal cases the Pa were acceptable or good (0.63–0.82) as regards all CTG interpretation elements except for the power of contractions (0.24), but in assessments of abnormal cases the Pa values were lower (0.18–0.60)...
Keywords: cardiotocography, description, interobserver agreement, interpretation, intrapartum, labor
08/2006 | Journal of Perinatal Medicine, Walter de Gruyter
Objective: This study was undertaken to determine whether premature labor is associated with changes in the maternal plasma concentration of soluble CD40 ligand (sCD40L), a marker of platelet activation.
Methods: A cross-sectional study included patients in the following groups: 1) non-pregnant (n=21); 2) normal pregnancy (n=71); 3) normal pregnancy at term with (n=67) and without labor (n=88); 4) preterm labor (PTL) with intact membranes (n=136) that was divided into the following sub-groups: 4a) PTL who delivered at term (n=49); 4b) PTL without intra-amniotic infection and/or inflammation (IAI) who delivered preterm (n=54); and 4c) PTL with IAI who delivered preterm (n=33)...
Keywords: Coagulation, inflammation, labor, prematurity, Platelet, thrombin, sCD40L
09/2008 | Journal of Perinatal Medicine, Walter de Gruyter
Objectives: To investigate the obstetric antecedents for preterm delivery (PTD) in an Irish urban obstetric population, and to evaluate the incidence and outcome of such deliveries.
Study design: A retrospective observational study of all preterm deliveries at the Rotunda Hospital, Dublin during the six-year period 1997–2002...
Keywords: Antecedents, delivery, etiology, labor, outcome, preterm
07/2008 | Journal of Perinatal Medicine, Walter de Gruyter
Background: Carnitine blood levels are closely related to ?-oxidation and implicated with strenuous muscle contractions...
Keywords: carnitine, delivery, labor, Newborn, Oxidation
05/2008 | Clinical Chemical Laboratory Medicine, Walter de Gruyter