Clinical Outcomes in Maternal–Fetal Medicine

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Obstetrics & Gynecology".

Deadline for manuscript submissions: 25 May 2024 | Viewed by 512

Special Issue Editors

Department of Obstetrics, Perinatology and Neonatology, Centre of Postgraduate Medical Education, Marymoncka 99/103, 01-813 Warsaw, Poland
Interests: gynaecology and obstetrics; perinatology
Second Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, 00-189 Warsaw, Poland
Interests: uterine fibroids; pharmacology; miminally invasive therapy; reproductive endocrinology
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Special Issue Information

Dear Colleagues,

Several pregnancy complications, including hypertensive disorders, gestational diabetes, fetal growth abnormalities, preterm delivery, and preterm rupture of membranes, affect approximately a quarter of pregnant women. They may be associated with short-term complications and adverse perinatal outcomes. Today, significant attention is paid to the long-term complications for maternal and offspring health resulting from these pregnancy conditions. The goal of this Special Issue is to present current advances in the screening, diagnosis, management, prediction, and prevention of pregnancy complications and their associated risks for the future health of women and their offspring.

We welcome high-quality and informative original studies (clinical and experimental), meta-analyses, and reviews. We look forward to receiving your contributions.

Dr. Katarzyna Kosinska-Kaczynska
Prof. Dr. Michał Ciebiera
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

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Keywords

  • pre-eclamsia
  • hypertensive disorders
  • gestational diabetes
  • fetal growth restriction
  • preterm delivery
  • intrahepatic cholestasis of pregnancy
  • perinatal outcome

Published Papers (1 paper)

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Research

10 pages, 576 KiB  
Article
A Multicenter, Retrospective Comparison Study of Pregnancy Outcomes According to Placental Location in Placenta Previa
J. Clin. Med. 2024, 13(3), 675; https://doi.org/10.3390/jcm13030675 - 24 Jan 2024
Viewed by 379
Abstract
Background: We investigated the association between placental location and pregnancy outcomes in placenta previa. Methods: This multi-center retrospective study enrolled 781 women who delivered between May 1999 and February 2020. We divided the dataset into anterior (n = 209) and posterior ( [...] Read more.
Background: We investigated the association between placental location and pregnancy outcomes in placenta previa. Methods: This multi-center retrospective study enrolled 781 women who delivered between May 1999 and February 2020. We divided the dataset into anterior (n = 209) and posterior (n = 572) groups and compared the baseline characteristics and obstetric and neonatal outcomes. The adverse obstetric outcomes associated with placenta location were evaluated using a multivariate logistic analysis. Results: Gestational age at delivery in the anterior group (253.0 ± 21.6) was significantly lower than that in the posterior group (257.6 ± 19.1) (p = 0.008). The anterior group showed significantly higher parity, rates of previous cesarean section, non-vertex fetal positions, admissions for bleeding, emergency cesarean sections, transfusions, estimated blood loss, and combined placenta accrete spectrum (p < 0.05). In the multivariate analysis, the anterior group had higher rates of transfusion (OR 2.23; 95% CI 1.50–3.30), placenta accreta spectrum (OR 2.16; 95% CI 1.21–3.97), and non-vertex fetal positions (OR 2.47; 95% CI 1.09–5.88). Conclusions: These findings suggest that more caution is required in the treatment of patients with anterior placenta previa. Therefore, if placenta previa is diagnosed prenatally, it is important to determine the location of the body and prepare for massive bleeding in the anterior group. Full article
(This article belongs to the Special Issue Clinical Outcomes in Maternal–Fetal Medicine)
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