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showing 10 items of 1632 documents

Lifestyle intervention to limit gestational weight gain: the Norwegian Fit for Delivery randomised controlled trial

2015

Objective To examine whether a lifestyle intervention in pregnancy limits gestational weight gain (GWG) and provides measurable health benefits for mother and newborn. Design Randomised controlled trial. Setting Healthcare clinics of southern Norway. Population Healthy, non-diabetic, nulliparous women, aged ≥18 years, with a body mass index of ≥19 kg/m2 , and with a singleton pregnancy at ≤20 weeks of gestation. Methods Women were randomised to an intervention group (with dietary counselling twice by telephone and access to twice-weekly exercise groups) or to a control group (with standard prenatal care). Participants were measured three times during pregnancy and at delivery, and newborns …

AdultCounselingPediatricsmedicine.medical_specialtyPopulationPrenatal careWeight GainBody Mass Indexlaw.invention03 medical and health sciences0302 clinical medicineDouble-Blind MethodRandomized controlled trialPregnancylawmedicineHumansObesity030212 general & internal medicineeducationExerciseLife Styleeducation.field_of_studyPregnancy030219 obstetrics & reproductive medicineIntention-to-treat analysisNorwayObstetricsbusiness.industryInfant NewbornObstetrics and GynecologyPrenatal CareOverweightDelivery Obstetricmedicine.diseaseConfidence intervalPregnancy ComplicationsCase-Control StudiesGestationFemalebusinessBody mass indexBJOG: An International Journal of Obstetrics & Gynaecology
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Recurrent cerebral ischaemia in a pregnant woman with patent foramen ovale II° and thrombophilia.

2014

SummaryThis case report concerns a pregnant multipara (age: 27 years) in the 16th gestational week. She developed a sudden onset of paraesthesia in her left lower arm although injecting dalteparin 5000 IU once daily subcutaneously (s. c.) due to a heterozygous factor V Leiden mutation and a prior miscarriage in the first pregnancy and preeclampsia in her third pregnancy. After the miscarriage she delivered two healthy children under prophylactic anticoagulation with low molecular weight heparin (LMWH). Now via magnetic resonance imaging (MRI) she was diagnosed as having multiple cerebral ischaemic lesions. Further workup revealed the presence of a patent foramen ovale (PFO) II° but no venou…

AdultDalteparinmedicine.medical_specialtymedicine.drug_classInjections SubcutaneousPregnancy Complications CardiovascularLow molecular weight heparinForamen Ovale PatentThrombophiliaPreeclampsiaMiscarriageBrain IschemiaPregnancyRecurrencemedicineHumansThrombophiliaPregnancybusiness.industryPregnancy Complications HematologicAnticoagulantsHematologymedicine.diseaseSurgeryVenous thrombosisTreatment OutcomeAnesthesiaPatent foramen ovaleGestationFemalebusinessHamostaseologie
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Association of the Dietary-Based Diabetes-Risk Score (DDS) with the risk of gestational diabetes mellitus in the Seguimiento Universidad de Navarra (…

2019

AbstractIt is crucial to identify people at risk for type 2 diabetes mellitus (T2DM) and gestational diabetes mellitus (GDM) to implement preventive interventions in order to address these pandemics. A simple score exclusively based on dietary components, the Dietary-Based Diabetes-Risk Score (DDS) showed a strong inverse association with incident T2DM. The objective was to assess the association between DDS and the risk of GDM in a cohort of Spanish university graduates. The ‘Seguimiento Universidad de Navarra’ project is a prospective and dynamic cohort which included data of 3455 women who notified pregnancies between 1999 and 2012. The diagnosis of GDM is self-reported and further confi…

AdultDiabetes dietary scoreInverse Associationmedicine.medical_specialtyDiabetes riskSettore MED/09 - Medicina Internaendocrine system diseasesMedicine (miscellaneous)Cohort StudiesFood groupYoung AdultPregnancyRisk FactorsInternal medicineHumansMedicineProspective StudiesDiabetes preventionNutrition and Dieteticsbusiness.industryIncidence (epidemiology)Gestational diabetes risknutritional and metabolic diseasesType 2 Diabetes Mellitusmedicine.diseaseDietGestational diabetesDiabetes GestationalSpainCohortFemalebusinessCohort studieCohort study
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Bowel Dilation Diagnosed Prenatally.

2017

AdultDiarrheamedicine.medical_specialtyCongenital chloride diarrheaColonMEDLINEPrenatal diagnosisGestational AgeConservative TreatmentUltrasonography Prenatal03 medical and health sciences0302 clinical medicinePregnancy030225 pediatricsPrenatal DiagnosismedicineHumansChloride-Bicarbonate AntiportersPregnancy030219 obstetrics & reproductive medicinebusiness.industryObstetricsCesarean SectionFollow up studiesInfant NewbornPregnancy OutcomeGestational ageGene Expression Regulation Developmentalmedicine.diseaseDilatationMagnetic Resonance ImagingSulfate TransportersPediatrics Perinatology and Child HealthFemaleUltrasonographybusinessBowel dilationMetabolism Inborn ErrorsFollow-Up StudiesThe Journal of pediatrics
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Quantitative methylation analysis of developmentally important genes in human pregnancy losses after ART and spontaneous conception.

2009

To study possible effects of assisted reproductive technologies (ART) on epigenetic reprogramming, we have analyzed the DNA methylation levels of differentially methylated regions (DMRs) of seven imprinted genes (H19, MEG3, LIT1, MEST, NESP55, PEG3 and SNRPN) as well as the promoter regions of the pluripotency gene NANOG and the tumor suppressor gene APC in chorionic villus samples (CVS) of 42 spontaneous miscarriages and stillbirths after ART and 29 abortions/stillbirths after spontaneous conception. We did not find an increased rate of faulty methylation patterns after ART, but significant and trend differences (ROC curve analysis, Wilcoxon test) in the methylation levels of LIT1 (P = 0.0…

AdultEmbryologyGenes APCReproductive Techniques AssistedKruppel-Like Transcription FactorsGestational AgeReproductive technologyBiologyRisk AssessmentYoung AdultPregnancyRisk FactorsGermanyGeneticsHumansGenetic Predisposition to DiseaseEpigeneticsIsraelMolecular BiologyGeneticsRegulation of gene expressionMosaicismObstetrics and GynecologyGene Expression Regulation DevelopmentalCell BiologyMethylationDNA MethylationMiddle AgedStillbirthAbortion SpontaneousDifferentially methylated regionsPhenotypeReproductive MedicineDNA methylationLinear ModelsFemaleGenomic imprintingReprogrammingDevelopmental BiologyMaternal AgeMolecular human reproduction
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Developmental and Early Life Origins of Cardiometabolic Risk Factors

2021

The intent of this review is to critically consider the data that support the concept of programming and its implications. Birth weight and growth trajectories during childhood are associated with cardiometabolic disease in adult life. Both extremes, low and high birth weight coupled with postnatal growth increase the early presence of cardiometabolic risk factors and vascular imprinting, crucial elements of this framework. Data coming from epigenetics, proteomics, metabolomics, and microbiota added relevant information and contribute to better understanding of mechanisms as well as development of biomarkers helping to move forward to take actions. Research has reached a stage in which suff…

AdultEpigenomicsMaleProteomicsGerontologyAgingAdolescentBirth weightGestational Age030204 cardiovascular system & hematologyCardiovascular SystemEpigenesis Genetic03 medical and health sciences0302 clinical medicineMetabolic DiseasesAdverse Childhood ExperiencesPregnancyRisk FactorsInternal MedicineBirth WeightHumansMetabolomics030212 general & internal medicinePrecision MedicinePostnatal growthChildImprinting (organizational theory)High birth weightCardiometabolic riskMicrobiotaInfant NewbornInfantInfant Low Birth WeightMiddle AgedEarly lifeAdult lifeCardiovascular DiseasesChild PreschoolPrenatal Exposure Delayed EffectsFemalePsychologyRelevant informationInfant PrematureForecastingHypertension
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Fast food consumption and gestational diabetes incidence in the SUN project.

2014

Background: Gestational diabetes prevalence is increasing, mostly because obesity among women of reproductive age is continuously escalating. We aimed to investigate the incidence of gestational diabetes according to the consumption of fast food in a cohort of university graduates. Methods: The prospective dynamic ‘‘Seguimiento Universidad de Navarra’’ (SUN) cohort included data of 3,048 women initially free of diabetes or previous gestational diabetes who reported at least one pregnancy between December 1999 and March 2011. Fast food consumption was assessed through a validated 136-item semi-quantitative food frequency questionnaire. Fast food was defined as the consumption of hamburgers, …

AdultGerontologySettore MED/09 - Medicina InternaMaternal Healthlcsh:MedicineCohort StudiesFast foodPregnancyDiabetes mellitusConfidence IntervalsOdds RatioMedicine and Health SciencesDiabetes MellitusmedicineHumansSUN ProjectRisk factorlcsh:ScienceGestational diabetesNutritionPregnancyMultidisciplinarybusiness.industryIncidencelcsh:RBiology and Life SciencesObstetrics and Gynecologymedicine.diseaseObesityDietType 2 DiabetesPregnancy ComplicationsGestational diabetesDiabetes GestationalDiet and Type 2 DiabetesSpainMetabolic DisordersCohortFast FoodsWomen's HealthFemalelcsh:Qbusinessfastfood gestational diabetes body mass index cohort prospectiveBody mass indexResearch ArticleDemographyCohort studyPLoS ONE
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Livebirth after uterus transplantation.

2015

Uterus transplantation is the first available treatment for absolute uterine infertility, which is caused by absence of the uterus or the presence of a non-functional uterus. Eleven human uterus transplantation attempts have been done worldwide but no livebirth has yet been reported.In 2013, a 35-year-old woman with congenital absence of the uterus (Rokitansky syndrome) underwent transplantation of the uterus in Sahlgrenska University Hospital, Gothenburg, Sweden. The uterus was donated from a living, 61-year-old, two-parous woman. In-vitro fertilisation treatment of the recipient and her partner had been done before transplantation, from which 11 embryos were cryopreserved.The recipient an…

AdultGraft RejectionMalemedicine.medical_specialty46 XX Disorders of Sex Developmentmedicine.medical_treatmentUterusFertilization in VitroTacrolimusCongenital AbnormalitiesGynecologic Surgical ProceduresPre-EclampsiaAdrenal Cortex HormonesPregnancyUterus transplantationAzathioprinemedicineLiving DonorsHumansCaesarean sectionMullerian DuctsSwedenPregnancybusiness.industryObstetricsCesarean SectionUterusInfant NewbornGestational ageImmunosuppressionGeneral Medicinemedicine.diseaseEmbryo TransferSurgeryTransplantationmedicine.anatomical_structureApgar ScoreApgar scoreFemalebusinessLive BirthImmunosuppressive AgentsInfant PrematureLancet (London, England)
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Transient CD15-positive endothelial phenotype in the human placenta correlates with physiological and pathological fetoplacental immaturity

2013

Abstract Objective Placental growth and villous maturation are critical parameters of placental function at the end of pregnancy. A failure in these processes leads to the development of placental dysfunction, as well as fetal and neonatal mortality and morbidity. The aim of the study was to determine the relevant diagnostic markers associated with pathological placental development. Study design Forty tissue samples from normal placentas of different gestational age and 68 pathological term placentas with defective villous maturation (GDM, idiopathic IUFD, preeclamsia, HELLP syndrome) comprised the comparative immunohistochemical study (CD15, CD45 and CD34). Positive immunohistochemical re…

AdultHELLP SyndromePathologymedicine.medical_specialtyStromal cellEndotheliumHELLP syndromePlacentaCD34Lewis X AntigenAntigens CD34Gestational AgePre-EclampsiaPregnancymedicineHumansPathologicalPregnancyFetusFetal Growth Retardationbusiness.industryEndothelial CellsObstetrics and GynecologyFucosyltransferasesmedicine.diseaseImmunohistochemistryPlacentationDiabetes Gestationalmedicine.anatomical_structureReproductive MedicineCase-Control Studiesembryonic structuresLeukocyte Common AntigensImmunohistochemistryFemalebusinessEuropean Journal of Obstetrics & Gynecology and Reproductive Biology
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Pregnancy-associated diseases are characterized by the composition of the systemic regulatory T cell (Treg) pool with distinct subsets of Tregs

2011

Dysregulations concerning the composition and function of regulatory T cells (T(regs)) are assumed to be involved in the pathophysiology of complicated pregnancies. We used six-colour flow cytometric analysis to demonstrate that the total CD4(+) CD127(low+/-) CD25(+) forkhead box protein 3 (FoxP3)(+) T(reg) cell pool contains four distinct T(reg) subsets: DR(high+) CD45RA(-), DR(low+) CD45RA(-), DR(-) CD45RA(-) T(regs) and naive DR(-) CD45RA(+) T(regs). During the normal course of pregnancy, the most prominent changes in the composition of the total T(reg) cell pool were observed between the 10th and 20th weeks of gestation, with a clear decrease in the percentage of DR(high+) CD45RA(-) and…

AdultHELLP Syndromemedicine.medical_specialtyTranslational StudiesRegulatory T cellImmunologyGestational Agechemical and pharmacologic phenomenaT-Lymphocytes RegulatoryImmunophenotypingFlow cytometryObstetric Labor PrematureImmunophenotypingPre-EclampsiaPregnancyT-Lymphocyte Subsetsimmune system diseaseshemic and lymphatic diseasesInternal medicinemedicineHomeostasisHumansImmunology and AllergyIL-2 receptorInterleukin-7 receptormedicine.diagnostic_testbusiness.industryvirus diseasesFOXP3hemic and immune systemsFlow CytometryCoculture TechniquesPathophysiologyEndocrinologymedicine.anatomical_structureCervical Length MeasurementImmunologyLeukocyte Common AntigensFemaleUterine Cervical IncompetencebusinessHomeostasisClinical and Experimental Immunology
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