OBJECTIVE The reported rate of preterm delivery in women with type 1 diabetes ranges from 22 to 45%, but the reasons are unclear. The purpose of this study was to identify factors associated with preterm delivery in these women. RESEARCH DESIGN AND METHODS We studied the influence of maternal and diabetes-related factors on the occurrence of preterm delivery in 168 single pregnancies occurrin...

BACKGROUND Identifying risk factors for breast cancer specific to women in their 40s could inform screening decisions. PURPOSE To determine what factors increase risk for breast cancer in women aged 40 to 49 years and the magnitude of risk for each factor. DATA SOURCES MEDLINE (January 1996 to the second week of November 2011), Cochrane Central Register of Controlled Trials and Cochrane Dat...

BACKGROUND Emerging evidence indicates that metabolic hormones are present in human milk, but, to our knowledge, no studies have investigated the impact of maternal metabolic status assessed during pregnancy on insulin and adiponectin concentrations in milk. OBJECTIVES We aimed to investigate the associations of prenatal metabolic abnormalities with insulin and adiponectin in human milk and t...

OBJECTIVE To examine labor patterns in a large population and to explore an alternative approach for diagnosing abnormal labor progression. METHODS Data from the National Collaborative Perinatal Project were used. A total of 26,838 parturients were selected who had a singleton term gestation, spontaneous onset of labor, vertex presentation, and a normal perinatal outcome. A repeated-measures ...

OBJECTIVE The aim of this study was to compare the risk factors associated with mild/moderate meconium aspiration syndrome (MAS) with those associated with severe in meconium-stained term neonates. METHODS Consecutive singleton term neonates (n=671) with meconium staining at birth from all deliveries (n=14,666) in our institution from January 2006 to December 2012 were included. Both maternal...

BACKGROUND For women at low risk of childbirth complications, water immersion during labour is a care option in many high income countries. Our aims were (a) to describe maternal characteristics, intrapartum events, interventions, maternal and neonatal outcomes for all women who used a birthing pool during labour who either had a waterbirth or left the pool and had a landbirth, and for the subg...

OBJECTIVE To determine the effects of elective induction on the risk of cesarean delivery in a cohort of women with low-risk term pregnancies and to evaluate the costs of elective induction services within our hospital system. METHODS Records of 1135 eligible women with low-risk, singleton, vertex pregnancies at 38-41 weeks' gestation who were eligible for vaginal delivery were analyzed retro...

OBJECTIVE To determine the extent to which prenatal post-traumatic stress disorder (PTSD) is associated with lower birthweight and shorter gestation, and to explore the effects of childhood maltreatment as the antecedent trauma exposure. DESIGN Prospective three-cohort study. SETTING Ann Arbor and Detroit, Michigan, United States. SAMPLE In all, 839 diverse nulliparas in PTSD-positive (n ...

Abstract Background COVID-19 caused some worries among pregnant women. Worries during pregnancy can affect women’s well-being. We investigated worry and well-being associated factors women the pandemic. Methods This descriptive cross-sectional study was conducted on 484 using an online questionnaire. Sampling performed in a period between May 5 Aug 5, 2020. Inclusion criteria were having single...

Abstract Background Few studies examine differences in neurodevelopmental outcomes between spontaneous preterm birth (sPTB) and those additionally complicated by prelabour rupture of membranes (PPROM). Objectives This prospective cohort study from the Canadian Neonatal Follow-Up Network compared mortality (Bayley-III scores <70 <85, hearing/vision loss cerebral palsy) at 18-24 mon...