Risk assessment of hypertensive disorders in pregnancy with maternal characteristics in early gestation: A single-center cohort study

Muto, Haruka; Yamamoto, Ryo; Ishii, Keisuke; Kakubari, Reisa; Takaoka, S.; Mabuchi, Aki; Mitsuda, Nobuaki

doi:10.1016/j.tjog.2016.04.009

Cited by 13 publications

(9 citation statements)

References 17 publications

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“…Maternal deaths are declining worldwide due to advances in medical and surgical techniques while adverse obstetric complications are increasing . Childbirth at both young and advanced maternal age has been associated with adverse obstetric outcomes and exhibited impacts of near‐miss maternal morbidities on their physical and mental health .…”

Section: Introductionmentioning

confidence: 99%

“…Maternal deaths are declining worldwide due to advances in medical and surgical techniques while adverse obstetric complications are increasing. 1,2 Childbirth at both young and advanced maternal age has been associated with adverse obstetric outcomes and exhibited impacts of near-miss maternal morbidities on their physical and mental health. 3 Affected patients, including reproductive disorders, infertility and advanced maternal age, often require assisted reproductive technologies (ART) to conceive, which may lead to the increased risk to both mothers and infants.…”

Section: Introductionmentioning

confidence: 99%

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Satisfaction of a new telephone consultation service for prenatal and postnatal health care

Kobayashi

Sado

2019

J of Obstet and Gynaecol

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Aims In October 2017, the ‘Prenatal and Postnatal Health Care Service in Nara (PPHSN)’ has piloted the introduction of a new telephone consultation service to support prenatal and postnatal health care and childcare. This study aimed to document the feasibility, acceptability and satisfaction with the service provided by a trained nurse specialist who can access to clinician support when necessary. Methods The pilot study was conducted between November 2017 and February 2018. Japanese women who are undergoing a health checkup at the Nara Medical University hospital for delivery and post‐partum women who had recently (<1 year) given birth at this hospital (they are raising a child) were invited to participate in the study. They called a free mobile phone number, and spoke to a trained nurse to consult maternal and newborn care practices. The PPHSN project also provided information for supporting raising a child. The postal survey of the PPHSN service was conducted in March 2018. Results A total of 26 participants were enrolled. The questionnaire was answered by 23 (88.5%) participants, of which over half (52.2–95.7%) of participants declared they were ‘strongly agree’ plus ‘agree’ regarding ‘patient‐centered care’, ‘communication and information’, ‘technical quality’, ‘efficiency’, ‘access and convenience (feasibility)’, and ‘willing to use the service again (acceptability)’. The majority (95.7%) of respondents reported being willing to use the service again for a similar health problem. Conclusion This study provided the first evidence of satisfaction with telephone or social networking consultation service by nurse specialists in Japan.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Satisfaction of a new telephone consultation service for prenatal and postnatal health care

Kobayashi

Sado

2019

J of Obstet and Gynaecol

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“…The number of OB/GYN physicians, obstetricians and gynecologists, is specifically decreasing. Furthermore, emerging evidence indicates an increase in the incidence of obstetric complications in recent years (2). The recent trend of delayed parenthood and the associated use of assisted reproductive technologies (ARTs) have led to the increased risk of obstetric complications (4).…”

Section: Discussionmentioning

confidence: 99%

“…In line with the government policy in Japan, the ambulance functions as an emergency transfer team and works 24 h a day, every day. Preterm birth is one of the most important complications of pregnancy and plays a major role in neonatal mortality and morbidity (2)(3)(4). Furthermore, major causes of direct maternal deaths from pregnancy complications include peripartum hemorrhage, amniotic fluid embolism, pulmonary embolism and preeclampsia (5,6).…”

Section: Introductionmentioning

confidence: 99%

Impact of reorganized interfacility transfer on emergency obstetric care in Nara prefecture, Japan

Kobayashi

Akasaki²,

Tsunemi

et al. 2019

Wrld Acd Sci

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The aim of this study was to assess the impact of interfacility transfers (IFTs) and medical coverage of complicated obstetric cases at emergency obstetric and neonatal care (EONC) centers. This is a retrospective time series study using a longitudinal design between January, 2006 and December, 2017 in Nara Prefecture, Japan. The Council for Perinatal Care (CPC) Committee set up and reorganized two EONC centers in Nara Medical University (NMU) Hospital in 2008 and Nara Prefecture General Medical Center (NPGMC) Hospital in 2010, coupled with an efficient coordination using telephone-based services by a transfer coordinator. The timespan was divided into three periods according to the reorganization date, 2006-2007 (before reorganization, Period 1), 2008-2010 (one reorganization, Period 2) and 2011-2017 (two reorganization and established coordinated protocols, Period 3). There were 3,020 IFTs during the study period. The IFT rate significantly increased from 1.6% (Period 1) to 2.7% (Period 3) (P<0.05). A significant decrease in the Out-of-Nara transfer rate was observed, ranging from 22.8% (95% CI 21.5-24.2) in Period 1 to 13.5% (95% CI 9.6-36.5) in Period 2 and 6.6% (95% CI 4.2-8.9) in Period 3 (P<0.05). The most common reason for IFTs to the EONC centers was preterm labor (36.7%). Maternal death and perinatal mortality rate are rare events and exhibited no significant differences between the time periods. The combination of the reorganization of two EONC centers and the implementation of an efficient coordination by a transfer operator is imperative for the successful management of IFTs.

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“…It appears that the severity of the effects of GDM are much higher in developing countries than in developed countries (49). In such countries, pregnant females at high risk for hypertensive disorders require exact and careful management to avert maternal and fetal complications (50).…”

Section: Discussionmentioning

confidence: 99%

Effect of Probiotic Supplementation on Blood Pressure of Females with Gestational Diabetes Mellitus: A Randomized Double Blind Controlled Clinical Trial

Hajifaraji¹,

Jahanjou²,

Abbasalizadeh³

et al. 2017

Iran Red Crescent Med J

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Risk assessment of hypertensive disorders in pregnancy with maternal characteristics in early gestation: A single-center cohort study

Abstract: The combination of maternal background and physical findings is useful to identify the population with a high risk of hypertensive disorders.

Cited by 13 publications

References 17 publications

Satisfaction of a new telephone consultation service for prenatal and postnatal health care

Satisfaction of a new telephone consultation service for prenatal and postnatal health care

Impact of reorganized interfacility transfer on emergency obstetric care in Nara prefecture, Japan

Effect of Probiotic Supplementation on Blood Pressure of Females with Gestational Diabetes Mellitus: A Randomized Double Blind Controlled Clinical Trial

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