M515 Maternal Risk Factors and Neonatal Outcome of the Admitted Patients for Preterm Spontaneous Uterine Contractions

Jahromi, Bahia Namavar; Salarian, Leila; Shiravani, Zahra

doi:10.1016/s0020-7292(12)61703-2

Cited by 3 publications

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“…With prevalence of 5 to 13%, preterm birth is referred to a birth that occurs between the 20 th and 37 th gestational week ( Subramaniam et al, 2012 , Jahromi et al, 2011 , Lima de Souza and Pinheiro-Fernandes, 2010 ). Outcomes of preterm infants are associated with such factors as infant’s status, parents’ attitude, socio-economic parameters, infant’s characteristics, mother-infant relationship, and the family atmosphere ( Pierrehumbert et al, 2003) .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with Posttraumatic Stress Disorder and Its Coping Styles in Parents of Preterm and Full-Term Infants

Ghorbani

Dolatian

Shams

et al. 2014

GJHS

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Introduction:Birth of a premature infant and subsequent neonatal intensive care leads to psychological distress and trauma in parents. A large proportion of mothers show signs of trauma long after discharge from hospital. Fathers of premature infants are known to experience more stress than fathers of full-term infants. The sorrow experienced by parents of preterm infants is significantly higher than that experienced by parents of full-term infants because they have not been adequately prepared for the experience of birth, and need to cope with the stress caused by the clinical state and intensive care of the infant.Method:This was a descriptive-comparative study conducted in medical centers of Qom, Iran in 2012. In this study, 82 couples (164 mothers and fathers), participated in two groups as parents of preterm and full-term infants and completed demographic, midwifery, posttraumatic stress disorder, Spielberg anxiety questionnaires, and the Coping Inventory with Stressful Situation within 2 months after birth of their infant. Data were analyzed using Chi-square, Fisher’s exact, Mann-Whitney, independent t tests, logistic regression, and Repeated measures ANOVA in SPSS-18 software.Results:Posttraumatic stress disorder in preterm group mothers was significantly higher than in term group mothers (P=0.03), but no significant difference in this disorder was observed between fathers in these groups. There was a significant difference in coping styles with stress between mothers in the two groups (P<0.001) and between fathers in the two groups (P<0.001). Logistic model showed a significant correlation between posttraumatic stress and housing and coping strategies with stress in mothers.Conclusion:Parents of premature infants are more exposed to psychological disorders, and there is a need to adopt educational approaches to improve parents’ coping ability with preterm infant’s circumstance.

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Section: Introductionmentioning

confidence: 99%

Factors associated with Posttraumatic Stress Disorder and Its Coping Styles in Parents of Preterm and Full-Term Infants

Ghorbani

Dolatian

Shams

et al. 2014

GJHS

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“…Complications such as urinary tract infection and so on are common after ureteroscopy, but premature delivery or abortion derived from regular uterine contraction is one of the most severe complications [8,9]. Persistent and intense uterine contraction, which could lead to cervical dilatation, is a sign of threatened preterm birth [10], even if the length of cervical canal changes little [11], the premature birth rate of pregnant women with renal colic could be as high as 12.8% according to previous literatures [12]. Therefore, preventing the occurrence of continuously regular uterine contraction is the premise to avoid adverse pregnancy events.…”

Section: Introductionmentioning

confidence: 99%

Risk factors of uterine contraction after ureteroscopy in pregnant women with renal colic

Guo

Luo

et al. 2021

Int Urol Nephrol

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Background Ureteroscopy is widely applied in pregnant women with renal colic, but such patients are easy to experience uterine contraction after surgery. There are many factors which may affect uterine contraction, this study aims to explore the risk factors of uterine contraction triggered by ureteroscopy in pregnant women with renal colic. Methods One hundred and one pregnant women were retrospectively analyzed, the patients were hospitalized because of severe renal colic. All patients received ureteroscopy during which double J catheters were inserted into ureters for drainage. Patients received other medical treatments individually according to their condition and uterine contractions were detected by EHG within 12 h after operation. Patients were classified as group A (uterine contraction) and group B (no uterine contraction) according to the presence or absence of continuously regular uterine contraction. Clinical characteristics were collected for further analysis, including history of childbirth, anesthesia method, application of phloroglucinol or not, operation time, Oxygen inhalation or not, pain relief or not after surgery, systemic inflammatory response syndrome (SIRS) occurred or not. A binary logistic regression analysis model was established to explore whether such clinical characteristics were relevant to uterine contraction after ureteroscopy. Results Continuously regular uterine contraction presented in 46 pregnant women within 12 h after ureteroscopy, making the incidence of uterine contraction as high as 45.54%. The presence of uterine contraction was related to the following factors(P < 0.05): history of childbirth (primipara versus multipara)(OR 6.593, 95% CI 2.231–19.490), operation time (each quarter additional) (OR 2.385, 95% CI 1.342–4.238), application of phloroglucinol (yes versus not) (OR 6.959, 95% CI 1.416–34.194), pain relief after surgery(yes versus not)(OR 6.707, 95% CI 1.978–22.738), SIRS occurred after surgery (yes versus not) (OR 0.099, 95% CI 0.014–0.713). Conclusion Continuously regular uterine contraction is easy to occur within 12 h after ureteroscopy in pregnant women. SIRS occurred after surgery is a risk factor for uterine contraction; on the contrary, no history of childbirth, shorter operation time, application of phloroglucinol, pain relief after surgery are protective factors.

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“…Complications such as urinary tract infection and so on are common after ureteroscopy, but regular uterine contraction is one of the most severe complications [8,9] . Persistent and intense uterine contraction, which could lead to cervical dilatation, is a sign of threatened preterm birth [10] , even if the length of cervical canal changes little [11] , the premature birth rate of pregnant women with renal colic could be as high as 12.8% according to previous literatures [12] . Therefore, preventing the occurence of continuously regular uterine contraction is the premise to avoid adverse pregnancy events.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors of Uterine Contraction After Ureteroscopy in Pregnant Women With Renal Colic

Zhou

et al. 2021

Preprint

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Background: Ureteroscopy is widely applied in pregnant women with renal colic, but such patients are easy to experience uterine contraction after ureteroscopy, There are many factors which may result to uterine contraction, this study aims to explore the risk factors of uterine contraction triggered by ureteroscopy in pregnant women with renal colic. Methods: 101 pregnant women were retrospectively analyzed, all patients were hospitalized because of severe renal colic. All patients received ureteroscopy during which double J catheters were inserted into ureters for drainage. Patients received medical treatment individually according to their condition and the uterine contractions were detected by EHG within 12 hours after operation. Patients were classified as group A (uterine contraction, n=46) and group B (no uterine contraction, n=55) according to the presence or absence of continuously regular uterine contraction. Clinical characteristics were collected for further analysis, including history of deliveries, anesthesia methods, application of phloroglucinol or not, surgical time, Oxygen inhalation or not, pain relief or not after surgery, systemic inflammatory response syndrome(SIRS) occurred or not. A binary logistic regression analysis model was established to explore whether such clinical characteristics were relevant to uterine contraction after ureteroscopy. Results: The incidence of continuously regular uterine contraction occurred within 12 hours after ureteroscopy in pregnant women was 45.54%, and the presence of uterine contraction was related to the following factors(P<0.05): history of deliveries(primipara versus multipara)(OR=6.593, 95%CI 2.231-19.490), surgical time(each quarter additional)(OR=2.385, 95%CI 1.342-4.238), application of phloroglucinol(yes versus not)(OR=6.959, 95%CI 1.416-34.194), pain relief after surgery(yes versus not)(OR=6.707, 95%CI 1.978-22.738), SIRS occurred after surgery(yes versus not)(OR=0.099, 95%CI 0.014-0.713). Conclusion: Continuously regular uterine contraction is easy to occur within 12 hours after ureteroscopy in pregnant women. SIRS occurred after surgery is a risk factor for uterine contraction; on the contrary, no history of childbirth, shorter surgical time, application of phloroglucinol, pain relief after surgery are protective factors.

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M515 Maternal Risk Factors and Neonatal Outcome of the Admitted Patients for Preterm Spontaneous Uterine Contractions

Cited by 3 publications

References 0 publications

Factors associated with Posttraumatic Stress Disorder and Its Coping Styles in Parents of Preterm and Full-Term Infants

Factors associated with Posttraumatic Stress Disorder and Its Coping Styles in Parents of Preterm and Full-Term Infants

Risk factors of uterine contraction after ureteroscopy in pregnant women with renal colic

Risk Factors of Uterine Contraction After Ureteroscopy in Pregnant Women With Renal Colic

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