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The COMT Val158Met Polymorphism is Significantly Associated with Early Onset Preeclampsia in Both African American and Caucasian Mothers COMT Val158Met 多态性与非裔美国人和白种人母亲的早发子痫前期显著相关
Pub Date : 2024-05-03 DOI: 10.1101/2024.05.01.24306705
Melissa R. Kaufman, Amy E. Hwang, Anthony M. Pickrel, Cassandra M. Gray, Kriti M. Goel, David N. Dhanraj, Jerome L. Yaklic, Rose A. Maxwell, Thomas L. Brown
The aim of this study was to evaluate maternal and infant Val158Met polymorphisms of Catechol-O-Methyltransferase (COMT), a reported indicator of preeclamptic risk, in a United States population. Healthy control, early-onset preeclamptic, and late-onset preeclamptic patients were enrolled in this study. Genomic DNA was isolated from mothers and infants via buccal swabs and DNA was genotyped via tetra-primer amplification PCR. Our findings indicate that the COMT genotype was not significantly associated with late-onset PE. While there were no significant differences between African American and Caucasian races, the maternal COMTMet158Met genotype was significantly associated with early-onset preeclampsia in both African Americans and Caucasians when compared to COMTVal158Val or COMTVal158Met. These results suggest that the maternal COMTMet158Met genotype may be a risk factor for early-onset PE.
本研究旨在评估美国人群中母婴儿茶酚-O-甲基转移酶(COMT)的 Val158Met 多态性。本研究招募了健康对照组、早发先兆子痫患者和晚发先兆子痫患者。通过口腔拭子从母亲和婴儿体内分离出基因组 DNA,并通过四引物扩增 PCR 对 DNA 进行基因分型。我们的研究结果表明,COMT 基因型与晚发型 PE 并无明显关联。虽然非裔美国人和白种人之间没有明显差异,但与 COMTVal158Val 或 COMTVal158Met 相比,非裔美国人和白种人的母体 COMTMet158Met 基因型与早发子痫前期有明显相关性。这些结果表明,母体 COMTMet158Met 基因型可能是早发性子痫前期的一个风险因素。
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引用次数: 0
Examining Effective Patient-Provider Communication in Antenatal Settings across England: An In-Depth Analysis of Woman’s Experiences 研究英格兰产前护理机构中患者与护理人员之间的有效沟通:深入分析妇女的经历
Pub Date : 2024-05-03 DOI: 10.1101/2024.05.02.24306775
Martyna Andrzejczak, Gareth Elfed Jones, Gareth Anthony Nye
Pregnancy requires appropriate guidance and support from healthcare professionals. Understanding women’s experiences of effective patient-provider communication through antenatal care is critical, as evidence suggests, inadequate communication could pose various risks to maternal and neonatal well-being. Despite efforts to modernise maternity services, recent assessments reveal persistent challenges, with nearly half of maternity services inspections categorised as ‘inadequate’ or ‘requires improvement’. This qualitative systematic review investigated effective patient-provider communication in antenatal care settings across England, contributing essential insights into women’s experiences and feelings from various backgrounds.
怀孕需要医护人员提供适当的指导和支持。了解产妇在产前护理过程中与医护人员进行有效沟通的经历至关重要,因为有证据表明,沟通不足会给产妇和新生儿的健康带来各种风险。尽管在努力实现产科服务的现代化,但最近的评估显示挑战依然存在,近一半的产科服务检查被归类为 "不足 "或 "需要改进"。这篇定性系统性综述调查了英格兰产前护理机构中患者与提供者之间的有效沟通,为了解来自不同背景的产妇的经历和感受提供了重要依据。
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引用次数: 0
Usage of AMH as a determining test of fertility in women with polycystic ovary 2 syndrome (PCOS) 使用 AMH 作为多囊卵巢 2 综合征(PCOS)妇女生育能力的决定性检测指标
Pub Date : 2024-04-30 DOI: 10.1101/2024.04.29.24306527
Rita Grabowska
PCOS is the most common hormonal disorder and cause of infertility in females of reproductive age. The symptoms and their severity vary strongly between particular cases. PCOS is correlated with hormonal, environmental and genetic factors. Complex interactions between genetics and hormonal levels is important to understand the hormonal 31 abnormality and to assess the chance of pregnancy in women with PCOS.
多囊卵巢综合症是育龄女性最常见的荷尔蒙紊乱,也是导致不孕的原因。不同病例的症状及其严重程度差异很大。多囊卵巢综合症与激素、环境和遗传因素有关。遗传和荷尔蒙水平之间的复杂相互作用对于了解荷尔蒙 31 异常和评估多囊卵巢综合症女性的怀孕几率非常重要。
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引用次数: 0
EVALUATING THE IMPACT OF COVID-19 ON THE PREGNANCY AND POSTNATAL PERIOD FOR UK WOMEN 评估 COVID-19 对英国妇女怀孕和产后期间的影响
Pub Date : 2024-04-30 DOI: 10.1101/2024.04.29.24306539
Gareth A Nye, George Abou Deb, Seóna Dunne
INTRODUCTION Pregnancy is a crucial period which ultimately directly impacts two individuals health and wellbeing. Within the UK, a standardised pattern of care is established with collaborations across disciplines to the benefit of women and babies. During the COVID19 pandemic, this pattern of care was disrupted to align with protective protocols which until now, has not been formally reported.
引言 怀孕是一个关键时期,最终会直接影响到两个人的健康和幸福。在英国,为了妇女和婴儿的利益,各学科合作建立了标准化的护理模式。在 COVID19 大流行期间,这种护理模式被打乱,无法与保护规程保持一致,但到目前为止,这种情况尚未正式报告。
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引用次数: 0
Investigating Musculoskeletal Pain Among Pregnant Women in Dhaka Division: A Cross-Sectional Study 调查达卡地区孕妇的肌肉骨骼疼痛:横断面研究
Pub Date : 2024-04-29 DOI: 10.1101/2024.04.27.24306482
Jalal Uddin, Shahida Sultana Shumi
Objectives This study aimed to investigate musculoskeletal pain among pregnant women in Dhaka Division, Bangladesh, considering demographic factors, pain and pregnancy-related experiences.
本研究旨在调查孟加拉国达卡省孕妇的肌肉骨骼疼痛情况,其中考虑到了人口因素、疼痛和与怀孕有关的经历。
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引用次数: 0
Prevalence of Dural Puncture headache after caesarean section at a Tertiary Hospital in the Gambia 冈比亚一家三级医院剖腹产术后硬膜穿刺头痛的发病率
Pub Date : 2024-04-28 DOI: 10.1101/2024.04.25.24306406
Matthew Anyanwu, Admire Coker, Donkor Simon
Background Following a caesarean section performed under spinal anaesthesia, a common complication is post-dural puncture headache (PDPH). Spinal anaesthesia has become the most common anaesthetic procedure during caesarean section in our practice. Therefore, knowing the prevalence and risk factors of PDPH will inform practice and add value in our obstetrics practice.
背景 在脊髓麻醉下进行剖腹产手术后,常见的并发症是硬膜穿刺后头痛(PDPH)。在我们的临床实践中,脊髓麻醉已成为剖腹产手术中最常见的麻醉程序。因此,了解硬膜穿刺后头痛的发生率和风险因素将为我们的产科实践提供参考并增加价值。
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引用次数: 0
Does anyone fit the average? Describing the heterogeneity of pregnancy symptoms using wearables and mobile apps 有人符合平均值吗?利用可穿戴设备和移动应用程序描述怀孕症状的异质性
Pub Date : 2024-04-27 DOI: 10.1101/2024.04.26.24306455
Sarah Goodday, Robin Yang, Emma Karlin, Jonell Tempero, Christiana Harry, Alexa Brooks, Tina Behrouzi, Jennifer Yu, Anna Goldenberg, Marra Francis, Daniel Karlin, Corey Centen, Sarah Smith, Stephen Friend
Wearables, apps and other remote smart devices can capture rich, objective physiologic, metabolic, and behavioral information that is particularly relevant to pregnancy. The objectives of this paper were to 1) characterize individual level pregnancy self-reported symptoms and objective features from wearables compared to the aggregate; 2) determine whether pregnancy self-reported symptoms and objective features can differentiate pregnancy-related conditions; and 3) describe associations between self-reported symptoms and objective features. Data are from the Better Understanding the Metamorphosis of Pregnancy study, which followed individuals from preconception to three-months postpartum. Participants (18-40 years) were provided with an Oura smart ring, a Garmin smartwatch, and a Bodyport Cardiac Scale. They also used a study smartphone app with surveys and tasks to measure symptoms. Analyses included descriptive spaghetti plots for both individual-level data and cohort averages for select weekly reported symptoms and objective measures from wearables. This data was further stratified by pregnancy-related clinical conditions such as preeclampsia and preterm birth. Mean Spearman correlations between pairs of self-reported symptoms and objective features were estimated. Self-reported symptoms and objective features during pregnancy were highly heterogeneous between individuals. While some aggregate trends were notable, including an inflection in heart rate variability approximately eight weeks prior to delivery, these average trends were highly variable at the n-of-1 level, even among healthy individuals. Pregnancy conditions were not well differentiated by objective features. With the exception of self-reported swelling and body fluid volume, self-reported symptoms and objective features were weakly correlated (mean Spearman correlations <0.1).
可穿戴设备、应用程序和其他远程智能设备可以捕获丰富、客观的生理、代谢和行为信息,这些信息与妊娠尤其相关。本文的目的是:1)与总体相比,描述个体水平的妊娠自我报告症状和来自可穿戴设备的客观特征;2)确定妊娠自我报告症状和客观特征是否能区分与妊娠相关的疾病;3)描述自我报告症状和客观特征之间的关联。数据来自 "更好地了解妊娠的蜕变 "研究,该研究从受孕前一直跟踪到产后三个月。研究为参与者(18-40 岁)提供了 Oura 智能戒指、Garmin 智能手表和 Bodyport 心脏量表。他们还使用了一款智能手机应用程序,该应用程序包含调查问卷和测量症状的任务。分析包括个人层面数据的描述性意大利面条图,以及每周报告的特定症状和可穿戴设备客观测量结果的队列平均值。这些数据根据与妊娠相关的临床症状(如子痫前期和早产)进行了进一步分层。对自我报告症状和客观特征之间的平均斯皮尔曼相关性进行了估算。妊娠期自我报告的症状和客观特征在个体之间存在很大差异。虽然一些总体趋势值得注意,包括心率变异性在分娩前约八周出现拐点,但这些平均趋势在 n-of-1 的水平上变化很大,即使在健康人中也是如此。妊娠状况并不能通过客观特征很好地区分。除自我报告的浮肿和体液量外,自我报告的症状和客观特征之间的相关性很弱(平均 Spearman 相关性为 0.1)。
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引用次数: 0
Modified one-step conservative surgery for placenta accreta spectrum versus caesarean hysterectomy: The CMNT PAS prospective comparative Non-Randomized pilot study 改良的一步法胎盘早剥保守手术与剖腹产子宫切除术:CMNT PAS 前瞻性比较非随机试验研究
Pub Date : 2024-04-15 DOI: 10.1101/2024.04.14.24305051
Hassine S Abouda, Haithem Aloui, Sofiene B Marzouk, Hatem Frikha, Rami Hammami, Rachid Hentati, Badis Chennoufi, Hayen Maghrebi
Introduction The surgical procedure known as one-step conservative surgery for placenta accreta spectrum involves the excision of the placenta and its attachment site on the myometrium. We aimed to conduct a non-randomized comparative study between conservative surgical treatment of placenta accreta spectrum and classical caesarean hysterectomy, under the name of the “CMNT PAS” study. To determine the sample size and the expected difference between the two groups, we conduct this pilot study.
引言 被称为 "一步到位 "的胎盘早剥保守治疗手术包括切除胎盘及其在子宫肌层上的附着点。我们以 "CMNT PAS "研究为名,旨在对胎盘早剥保守手术治疗和传统剖腹产子宫切除术进行非随机比较研究。为了确定样本量和两组之间的预期差异,我们进行了这项试验性研究。
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引用次数: 0
Exploring the Digital Landscape: A Comprehensive Analysis of Infertility Narratives on Instagram 探索数字景观:全面分析 Instagram 上的不孕不育叙事
Pub Date : 2024-04-09 DOI: 10.1101/2024.04.07.24305110
Abhijay Gillellamudi, Venkata Sujatha Vellanki, Binay Kumar Panjiyar
In the digital age, the prevalence of infertility and the trend of delaying childbearing have significantly influenced fertility choices. Social media, particularly Instagram, has emerged as a vital part of daily life for many, with a notable percentage of American adults engaging daily. Recognizing the impact of online platforms, this cross-sectional observational study, conducted in May 2023, delved into the nature and quality of 673 Instagram posts related to infertility. It aimed to analyze the information and support available to individuals’ navigating infertility, particularly focusing on the posts DISCERN and Global Quality Scores (GQS) to assess their reliability and quality.
在数字时代,不孕不育症的流行和推迟生育的趋势极大地影响了生育选择。社交媒体,尤其是 Instagram,已成为许多人日常生活的重要组成部分,有相当比例的美国成年人每天都在使用社交媒体。认识到网络平台的影响,这项于 2023 年 5 月开展的横断面观察研究深入研究了 673 篇 Instagram 上与不孕不育有关的帖子的性质和质量。研究旨在分析个人在不孕不育方面可获得的信息和支持,尤其关注帖子的 DISCERN 和全球质量评分 (GQS),以评估其可靠性和质量。
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引用次数: 0
Exosomal miRNAs from maternal vaginal discharge as biomarkers for preterm labor: non-invasive liquid biopsy 作为早产生物标志物的产妇阴道分泌物外泌体 miRNA:无创液体活检技术
Pub Date : 2024-04-03 DOI: 10.1101/2024.04.03.24304152
Taewoon Kim, Jee Yoon Park, Hyo Jin Lee, Bo young Choi, Hyeon Ji Kim, Luke P. Lee, Jong Wook Hong
Preterm labor is a serious issue that can lead to preterm birth, posing significant risks to both the mother and the neonate. Despite the high incidence of approximately 15 million preterm births worldwide per year, there is a lack of sufficient strategies for predicting and preventing preterm labor. Here, we found that exosomal miRNAs in maternal vaginal discharge can serve as biomarkers for early diagnosis of life-threatening conditions in both the mother and neonate. Our non-invasive biopsy of vaginal discharge using a swab allows us to isolate enriched exosomes via an advanced microfluidic platform called BEST (Biologically intact Exosome Separation Technology). We have identified specific miRNAs differentially expressed in mothers with preterm labor compared to those with full-term mothers. These miRNAs included hsa-miR-206, which was up-regulated in preterm labor, and hsa-miR-3674, hsa-miR-365a-5p, and hsa-miR-193b-3p, which were down-regulated. We believe our discovery of unique miRNAs as biomarkers can aid in early detection and effective treatment of preterm labor, potentially revolutionizing global healthcare.
早产是一个严重的问题,它可能导致早产,给母亲和新生儿带来巨大风险。尽管全球每年约有 1500 万早产儿,早产发生率很高,但目前还缺乏足够的策略来预测和预防早产。在这里,我们发现产妇阴道分泌物中的外泌体 miRNA 可作为生物标记物,用于早期诊断危及产妇和新生儿生命的疾病。我们使用拭子对阴道分泌物进行无创活检,通过一种名为 BEST(生物完整外泌体分离技术)的先进微流控平台分离出富集的外泌体。与足月母亲相比,我们发现了早产母亲体内表达不同的特定 miRNA。这些 miRNA 包括在早产中上调的 hsa-miR-206,以及下调的 hsa-miR-3674、hsa-miR-365a-5p 和 hsa-miR-193b-3p。我们相信,我们发现的作为生物标志物的独特 miRNAs 有助于早产的早期检测和有效治疗,有可能给全球医疗保健带来革命性的变化。
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引用次数: 0
期刊
medRxiv - Obstetrics and Gynecology
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