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1.
Acta Vet Hung ; 72(1): 51-55, 2024 04 12.
Artigo em Inglês | MEDLINE | ID: mdl-38573775

RESUMO

Placental abnormalities more frequently occur during pregnancy of somatic cell clones and may lead to pregnancy loss or dystocia. Adventitious placentation, or diffuse semi-placenta, is determined by the development of areas of accessory placentation between the cotyledons due to the abnormal growth of placentomes.After a full-term pregnancy, a 3-year-old Jersey heifer was referred for dystocia which resulted in the delivery of a dead calf. The cause of dystocia was found to be foetal malposition, while the placenta was physiologically expelled after dystocia resolution.Grossly, cotyledons appeared reduced in size and number in one placental horn, while the surface of the other horn was covered with microplacentomes. Numerous villous structures without trophoblastic coating were highlighted after histopathology. The dominant sign was an inflammatory reaction. The findings were consistent with inter-cotyledonal placentitis, which led to adventitial placentation.Diffuse semi-placenta compensates for the inadequate development of placentomes and may occur as a congenital or acquired defect. The outcome depends on its severity: in the worst scenario, pregnancy may not proceed beyond midterm and may be complicated by hydrallantois. In the case under examination, the dimensions of the cotyledons (from 2 to 10 cm) allowed for the natural course of pregnancy.


Assuntos
Doenças dos Bovinos , Distocia , Bovinos , Gravidez , Animais , Feminino , Placenta/patologia , Placenta/fisiologia , Placentação , Pelve , Distocia/veterinária , Doenças dos Bovinos/diagnóstico , Doenças dos Bovinos/patologia
2.
Pediatr Dev Pathol ; 26(5): 472-481, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37672690

RESUMO

INTRODUCTION: Gestational diabetes mellitus (GDM) is a common metabolic disorder linked to adverse pregnancy outcomes. Recent research indicates that HbA1c is reliable in detecting maternal glycemia during the first trimester but may underestimate glucose intolerance in the late second to third trimesters. Therefore, it is reasonable to hypothesize that mothers with GDM, despite apparently normal HbA1c levels in the third trimester, may give birth to infants displaying characteristic features often seen in infants of diabetic mothers with suboptimal glycemic control. This study aimed to describe a case series of autopsy cases involving stillborn or deceased neonates delivered in the third trimester to mothers diagnosed with GDM and having normal HbA1c levels at or around the time of delivery. The primary focus was on identifying and documenting the characteristic features commonly associated with "infants of diabetic mothers" with suboptimal glycemic control in this series of cases. MATERIALS AND METHODS: We conducted a retrospective review of autopsy reports from our institution spanning 7.5 years. The study included cases that met the following criteria: (1) stillborn or infants who died in the early neonatal period, delivered in the third trimester; (2) mothers diagnosed with GDM; (3) normal maternal HbA1c levels of ≤6.1% at or around the time of delivery; (4) birthweight or femoral length exceeding the 90th percentile for gestational age; and (5) absence of genetic aberrations. We also examined these cases for other characteristic features associated with "infants of diabetic mothers." RESULTS: Ten autopsy cases met our inclusion criteria, including 9 stillbirths and 1 neonatal death. Gestational age at delivery ranged from 32 to 39 weeks (mean: 35.7 weeks). Femoral length exceeded the 90th percentile in all cases, and 6 cases had birthweights above the 90th percentile. Puffy facies were observed in 6 cases. Among the 9 cases with complete autopsies including internal examination, 6 exhibited excess adipose tissue, 4 had cardiomegaly, and 3 showed pancreatic islet hyperplasia. Hypoxic-ischemic encephalopathy was detected in 7 cases. No structural abnormalities were noted. DISCUSSION: Our findings demonstrated that fetuses and neonates born to mothers with apparently normal HbA1c levels in the third trimester could still display characteristic features commonly observed in infants of diabetic mothers with poor glycemic control, also known as "infants of diabetic mothers." This study underscores the potential of third-trimester maternal HbA1c measurements to underestimate maternal glycemia and its consequential impact on fetal development, as well as the subsequent manifestation of features of "infants of diabetic mothers."


Assuntos
Diabetes Gestacional , Hiperglicemia , Gravidez , Recém-Nascido , Feminino , Humanos , Lactente , Diabetes Gestacional/diagnóstico , Terceiro Trimestre da Gravidez , Hemoglobinas Glicadas , Autopsia , Peso ao Nascer
3.
Arch Gynecol Obstet ; 308(5): 1457-1462, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-36348075

RESUMO

BACKGROUND: Internationally, potential effects of national SARS-CoV-2-related lockdowns on stillbirth rates have been reported, but data for Germany, including risk factors for fetal pregnancy outcome, are lacking. The aim of this study is to compare the stillbirth rates during the two first lockdown periods in 2020 with previous years from 2010 to 2019 in a large Bavarian cohort. METHODS: This study is a secondary analysis of the Bavarian perinatal data from 2010 to 2020, including 349,245 births. Univariate and multivariable regression analyses were performed to investigate the effect of two Bavarian lockdowns on the stillbirth rate in 2020 compared to the corresponding periods from 2010 to 2019. RESULTS: During the first lockdown, the stillbirth rate was significantly higher compared to the reference period (4.04 vs. 3.03 stillbirths per 1000 births; P = 0.03). After adjustment for seasonal and long-term trends, this effect can no longer be observed (P = 0.2). During the second lockdown, the stillbirth rate did not differ in univariate (3.46 vs. 2.93 stillbirths per 1000 births; P = 0.22) as well as in multivariable analyses (P = 0.68), compared to the years 2010 to 2019. CONCLUSION: After adjustment for known long-term effects, in this study we did not find evidence that the two Bavarian lockdowns had an effect on the rate of stillbirths.


Assuntos
COVID-19 , Natimorto , Feminino , Gravidez , Humanos , Natimorto/epidemiologia , SARS-CoV-2 , Pandemias/prevenção & controle , COVID-19/epidemiologia , COVID-19/prevenção & controle , Controle de Doenças Transmissíveis
4.
J Reprod Infant Psychol ; 41(1): 93-109, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34510967

RESUMO

OBJECTIVE: To investigate any association between expressions of parents' continuing bond with their stillborn baby and bereavement adaptation. BACKGROUND: Continuing bonds theory suggests that bereaved parents adapt to the loss of their child by sharing and transforming mental representations of the child, allowing them to be integrated into parents' everyday lives. Little is known about the mental health benefits of expressing continuing bonds following stillbirth. This study examined any association between aspects of parents' relationship with their stillborn baby, social support for the relationship, and bereavement adaptation. METHODS: Cross-sectional questionnaire study. Parents of stillborn babies (N=170) completed an online questionnaire examining engagement in continuing bonds expressions; characteristics of parents' relationship with their stillborn baby and their experience of sharing it; social support, and meaning-making. Measures of mental health were included to quantify bereavement adaptation. RESULTS: Regression analyses showed that time since death, meaning-making, engaging with nature, and legacy building are positively linked to bereavement adaptation. Risk factors included inadequate social support for the relationship, a greater desire to share it more freely, an increased sense of integration with baby, and societal pressure to move on. CONCLUSION: Key aspects of parents' ongoing relationship with their stillborn baby and the social context are related to bereavement adaptation.


Assuntos
Luto , Natimorto , Feminino , Gravidez , Lactente , Criança , Humanos , Natimorto/psicologia , Estudos Transversais , Pais/psicologia , Fatores de Risco
5.
Zhongguo Dang Dai Er Ke Za Zhi ; 25(1): 18-24, 2023 Jan 15.
Artigo em Zh | MEDLINE | ID: mdl-36655659

RESUMO

OBJECTIVES: To identify the perinatal risk factors for the occurrence of singleton apparently stillborn infants. METHODS: This was a case-control study. A total of 154 singleton neonates with gestational age ≥28 weeks and Apgar score of 0-1 who were subsequently successfully resuscitated in the Obstetrics and Gynecology Hospital of Fudan University from January 2006 to December 2015 were enrolled as the case group (apparently stillborn group). A total of 616 singleton infants born from January 2006 to December 2015 (1-minute Apgar score >1) were randomly selected in a 1:4 ratio as the control group. Univariate analysis and multivariate logistic regression were used to analyze the perinatal risk factors for the occurrence of apparently stillborn infants. RESULTS: The gestational age and birth weight in the apparently stillborn group were significantly lower than those in the control group (P<0.05). The incidences of fetal hydrops, cord prolapse, grade III meconium-stained amniotic fluid, placental abruption, breech presentation, severe pre-eclampsia, maternal general anesthesia at delivery, abnormal antenatal fetal heart monitoring and decreased fetal movement were significantly higher in the apparently stillborn group than those in the control group (P<0.05). The multivariate logistic analysis showed that the mother had general anesthesia at delivery (OR=34.520), decreased antenatal fetal movement (OR=28.168),placental abruption (OR=15.641), grade III meconium-stained amniotic fluid (OR=6.365), abnormal antenatal fetal heart monitoring (OR=5.739), and breech presentation (OR=2.614) were risk factors for the occurrence of apparently stillborn infants (P<0.05), while higher gestational age was a protective factor (OR=0.686, P<0.05). CONCLUSIONS: Attention needs to be paid to mothers with abnormal prenatal fetal heart monitoring, decreased fetal movement, preterm labor, placental abruption, breech presentation, grade III meconium-stained amniotic fluid, and general anesthesia. Preparations for resuscitation should be done to rescue apparently stillborn infants.


Assuntos
Descolamento Prematuro da Placenta , Apresentação Pélvica , Complicações na Gravidez , Feminino , Humanos , Lactente , Recém-Nascido , Gravidez , Descolamento Prematuro da Placenta/epidemiologia , Índice de Apgar , Estudos de Casos e Controles , Placenta , Complicações na Gravidez/epidemiologia , Fatores de Risco , Natimorto
6.
Int J Mol Sci ; 23(21)2022 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-36362120

RESUMO

Total number born (TNB), number of stillborn (NSB), and gestation length (GL) are economically important traits in pig production, and disentangling the molecular mechanisms associated with traits can provide valuable insights into their genetic structure. Genotype imputation can be used as a practical tool to improve the marker density of single-nucleotide polymorphism (SNP) chips based on sequence data, thereby dramatically improving the power of genome-wide association studies (GWAS). In this study, we applied Beagle software to impute the 50 K chip data to the whole-genome sequencing (WGS) data with average imputation accuracy (R2) of 0.876. The target pigs, 2655 Large White pigs introduced from Canadian and French lines, were genotyped by a GeneSeek Porcine 50K chip. The 30 Large White reference pigs were the key ancestral individuals sequenced by whole-genome resequencing. To avoid population stratification, we identified genetic variants associated with reproductive traits by performing within-population GWAS and cross-population meta-analyses with data before and after imputation. Finally, several genes were detected and regarded as potential candidate genes for each of the traits: for the TNB trait: NOTCH2, KLF3, PLXDC2, NDUFV1, TLR10, CDC14A, EPC2, ORC4, ACVR2A, and GSC; for the NSB trait: NUB1, TGFBR3, ZDHHC14, FGF14, BAIAP2L1, EVI5, TAF1B, and BCAR3; for the GL trait: PPP2R2B, AMBP, MALRD1, HOXA11, and BICC1. In conclusion, expanding the size of the reference population and finding an optimal imputation strategy to ensure that more loci are obtained for GWAS under high imputation accuracy will contribute to the identification of causal mutations in pig breeding.


Assuntos
Estudo de Associação Genômica Ampla , Polimorfismo de Nucleotídeo Único , Animais , Canadá , Genótipo , Análise de Sequência com Séries de Oligonucleotídeos , Fenótipo , Suínos/genética
7.
Bull Exp Biol Med ; 173(6): 691-705, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36329333

RESUMO

Analysis of published data on the possibilities of using postmortem radiation studies in perinatology is carried out and the results of own thanatoradiological studies of the bodies of dead fetuses and newborns are presented. The possibilities of postmortem radiation studies for differential diagnosis of stillborn and deceased newborns, evaluation of the severity of maceration and the time of intrauterine fetal death, detection of pathological changes in the brain and spinal cord, respiratory and digestive organs, in the cardiovascular and urinary systems were demonstrated. It is concluded that postmortem CT has a high diagnostic efficiency in the study of the bone skeleton, free fluid accumulations in serous cavities and gas in the vessels and tissues of dead fetuses and deceased newborns. The advantage of postmortem MRI is more effective visualization of internal organs and soft tissues, which allows assessing their topography and size, as well as identifying a wide range of pathological changes. For a comprehensive objective analysis of the bodies of stillborn and deceased newborns, combined use of both imaging methods (CT and MRI) is required. At the same time, thanatoradiology should be used as a part of a comprehensive pathological study, but not as a substitute for traditional autopsy.


Assuntos
Morte Fetal , Feto , Gravidez , Feminino , Recém-Nascido , Humanos , Feto/diagnóstico por imagem , Autopsia/métodos , Natimorto , Imageamento por Ressonância Magnética/métodos
8.
BMC Genomics ; 22(1): 1, 2021 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-33388042

RESUMO

BACKGROUND: Bovine frontonasal dysplasias like arhinencephaly, synophthalmia, cyclopia and anophthalmia are sporadic congenital facial malformations. In this study, computed tomography, necropsy, histopathological examinations and whole genome sequencing on an Illumina NextSeq500 were performed to characterize a stillborn Limousin calf with frontonasal dysplasia. In order to identify private genetic and structural variants, we screened whole genome sequencing data of the affected calf and unaffected relatives including parents, a maternal and paternal halfsibling. RESULTS: The stillborn calf exhibited severe craniofacial malformations. Nose and maxilla were absent, mandibles were upwardly curved and a median cleft palate was evident. Eyes, optic nerve and orbital cavities were not developed and the rudimentary orbita showed hypotelorism. A defect centrally in the front skull covered with a membrane extended into the intracranial cavity. Aprosencephaly affected telencephalic and diencephalic structures and cerebellum. In addition, a shortened tail was seen. Filtering whole genome sequencing data revealed a private frameshift variant within the candidate gene ZIC2 in the affected calf. This variant was heterozygous mutant in this case and homozygous wild type in parents, half-siblings and controls. CONCLUSIONS: We found a novel ZIC2 frameshift mutation in an aprosencephalic Limousin calf. The origin of this variant is most likely due to a de novo mutation in the germline of one parent or during very early embryonic development. To the authors' best knowledge, this is the first identified mutation in cattle associated with bovine frontonasal dysplasia.


Assuntos
Anormalidades Craniofaciais , Holoprosencefalia , Animais , Bovinos , Anormalidades Craniofaciais/genética , Anormalidades Craniofaciais/veterinária , Face/anormalidades , Mutação da Fase de Leitura , Holoprosencefalia/genética , Holoprosencefalia/veterinária
9.
BMC Pregnancy Childbirth ; 21(1): 830, 2021 Dec 14.
Artigo em Inglês | MEDLINE | ID: mdl-34906118

RESUMO

OBJECTIVE: To explore the experiences and perceptions of stillbirth among mothers from a tertiary medical centre in Kano, Northern Nigeria. DESIGN: Qualitative, interpretative. SETTING: Tertiary healthcare facility, Murtala Muhammad Specialist Hospital (MMSH), Kano, Northern Nigeria. SAMPLE: Mothers who had given birth to a liveborn baby at the MMSH in the prior 6 months (n = 31). In order to capture the experiences and perception of stillbirth within this cohort we approached mothers who had in a previous pregnancy experienced a stillbirth. Of the 31 who attended 16 had a previous stillbirth. METHODS: Semi-structured Focus Group Discussions, consisting of open-ended questions about stillbirth, beliefs, experiences and influences were held in MMSH, conducted over 1 day. RESULTS: Our findings highlight that this is a resource-poor tertiary facility serving an ever-growing population, increasing strain on the hospital and healthcare workers. Many of the participants highlighted needing permission from certain family members before accessing healthcare or medical treatment. We identified that mothers generally have knowledge on self-care during pregnancy, yet certain societal factors prevented that from being their priority. Judgement and blame was a common theme, yet a complex area entwined with traditions, superstitions and the pressure to procreate with many mothers described being made to feel useless and worthless if they did not birth a live baby. CONCLUSIONS: As access to healthcare becomes easier, there are certain traditions, family and social dynamics and beliefs which conflict with scientific knowledge and act as a major barrier to uptake of healthcare services. The findings highlight the need for investment in maternity care, appropriate health education and public enlightenment; they will help inform appropriate interventions aimed at reducing stigma around stillbirth and aide in educating mothers about the importance of appropriate health seeking behaviour. Stillbirths are occurring in this area of the world unnecessarily, globally there has been extensive research conducted on stillbirth prevention. This research has highlighted some of the areas which can be tackled by modifying existing successful interventions to work towards reducing preventable stillbirths.


Assuntos
Mães/psicologia , Natimorto/psicologia , Relações Familiares/etnologia , Feminino , Grupos Focais , Acessibilidade aos Serviços de Saúde , Humanos , Nigéria/etnologia , Gravidez , Pesquisa Qualitativa , Valores Sociais/etnologia , Vulnerabilidade Social
10.
Trop Anim Health Prod ; 53(1): 175, 2021 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-33611655

RESUMO

This study aimed to investigate the fetal mortality, including stillborn piglets (SB) and mummified fetuses (MM), in relation to backfat thickness both at first mating (MBF) and at first farrowing (FBF) in 200 primiparous sows accommodated in a commercial breeding herd in Thailand. Backfat thickness of all pigs was measured at P2 position using an A-mode ultrasonography. Based on MBF, the gilts were classified into four groups: MBF1 (≤12.0 mm), MBF2 (>12.0-15.0 mm), MBF3 (>15.0-18.0 mm), and MBF4 (>18.0 mm). According to FBF, the primiparous sows were categorized into four classes: FBF1 (≤15.0 mm), FBF2 (>15.0-18.0 mm), FBF3 (>18.0-21.0 mm), and FBF4 (>21.0 mm). At farrowing, 174 litters were examined for percentage of SB and MM. The results indicated that mean MBF and FBF were 16.7 ± 0.3 mm and 19.6 ± 0.3 mm, respectively. Based on MBF, the pigs in MBF1 significantly possessed higher percentage of MM (13.8 ± 4.5%) than others; meanwhile, SB percentage was not different among groups (P > 0.05). According to FBF, the pigs in FBF4 farrowed the highest percentage of SB (9.1 ± 3.2%) than others, whereas MM percentage was not different among classes (P > 0.05). In summary, backfat thickness of the gilts should be one of the parameters to pay more attention since it is related to fetal mortality of the primiparous sows. The farmers should monitor the backfat thickness not only at the first mating time, but also along the gestation period in order to minimize fetal mortality in the primiparous sows.


Assuntos
Mortalidade Fetal , Reprodução , Animais , Feminino , Tamanho da Ninhada de Vivíparos , Paridade , Gravidez , Natimorto/veterinária , Suínos , Tailândia
11.
J Med Primatol ; 49(2): 110-112, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31912505

RESUMO

Perosomus Elumbis (PE) is a rare congenital disorder characterized by absence of caudal spine (lumbar, sacral, and coccygeal vertebrae). Here, we present the first reported case of PE in a rhesus macaque (Macaca mulatta) and relate our findings to those described in other species.


Assuntos
Macaca mulatta , Doenças dos Macacos/congênito , Doenças da Coluna Vertebral/veterinária , Animais , Feminino , Doenças Fetais/etiologia , Doenças Fetais/veterinária , Feto/patologia , Doenças da Coluna Vertebral/congênito , Natimorto
12.
BMC Vet Res ; 15(1): 189, 2019 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-31174528

RESUMO

BACKGROUND: Perinatal mortality may vary between herds, but the cost of deaths are always higher than value of the calf. When diagnosing the cause of a calf's death it is important to determine when it occurred, before or after calving. Metabolomics is widely used to identify many human diseases, but quite rarely applied in veterinary science. The aim of this study was to compare the metabolic profiles of calves with different times of death and those of calves born alive. Into the study, twenty one healthy controls (singleton, normal assisted calving, born alive) and 75 stillborn (SB) calves (with a gestation length of ≥260 days, SB, or dead within 6 h of birth) were enrolled. Plasma and urine from SB and control calves were investigated by proton nuclear magnetic resonance based metabolomic methods. SB calves were divided into four PMI groups. One PMI group included calves that died after calving and the other groups - three comprised in utero deaths, based on pathophysiological changes (lung inflation, autolysis in internal organs, hemoglobin imbibition in the pleura and aortic arch). Partial Least Squares - Discriminant Analysis models based on plasma metabolites were calculated, reflecting assumed data clustering. RESULTS: Twenty six metabolites in plasma and 29 in urine changed significantly with PMI according to one way analysis of variance. Half the metabolites in plasma and the majority in urine increased with PMI. Six metabolites increased simultaneously in plasma and urine: acetate, sn-glycero-3-phosphocholine (GPC), leucine, valine, creatine, and alanine. CONCLUSIONS: Post-mortem changes in calves were associated with molecular variations in blood plasma and urine, showing the greatest differences for the group in which the post-mortem pathological changes were the most advanced. The results of the study show that evaluation of calf plasma or urine may be used as a diagnostic method for the determination of the PMI. Moreover, the metabolites, which unambiguously increased or decreased, can be used as potential biomarkers of PMI.


Assuntos
Bovinos/sangue , Bovinos/urina , Metaboloma , Natimorto/veterinária , Animais , Animais Recém-Nascidos/sangue , Animais Recém-Nascidos/urina , Biomarcadores/sangue , Biomarcadores/urina , Feminino , Masculino , Gravidez , Resultado da Gravidez/veterinária , Espectroscopia de Prótons por Ressonância Magnética/métodos , Fatores de Tempo
13.
Bull Exp Biol Med ; 167(6): 823-826, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31656007

RESUMO

The potentialities of postmortem MRI for differential diagnosis of stillbirth and death of a live newborn are studied. The results of MRI and pathomorphological studies of autopsy material from 20 stillborns dead at weeks 22-40 of gestation (group 1) and 19 newborns dead at the age of 2 h to 36 days (group 2) are analyzed. Control group has been formed from 7 live newborns aged 1-7 days. Postmortem MRI provides an objective quantitative evaluation of the intensity of MR signal in various tissues and regions. Calculation of the proportions of MR signal intensities in the lung tissue and environmental air and/or pleural fluid and the respiration values promotes an objective differential diagnosis of stillbirth and death of a live newborn. These data are expected to facilitate clearing out the circumstances and the direct cause of death. However, postmortem MRI cannot completely replace autopsy with complex macroscopic and microscopic studies of organs and tissues.


Assuntos
Autopsia/métodos , Nascido Vivo , Imageamento por Ressonância Magnética , Natimorto , Diagnóstico Diferencial , Feminino , Morte Fetal , Maturidade dos Órgãos Fetais , Humanos , Lactente , Recém-Nascido , Pulmão/diagnóstico por imagem , Pulmão/embriologia , Pulmão/patologia , Masculino , Valor Preditivo dos Testes , Gravidez
14.
Soins Pediatr Pueric ; 40(306): 22-24, 2019.
Artigo em Francês | MEDLINE | ID: mdl-30661776

RESUMO

Practices around the care of stillborn babies have evolved considerably over the last 15 years. Perinatal bereavement care requires a team approach to support the parents experiencing this ordeal. The place of rituals is important as is the personalisation of the care. The humanity which surrounds such moments constitutes the foundation on which the future equilibrium of these bereaved families will be based.


Assuntos
Luto , Pais/psicologia , Relações Profissional-Família , Natimorto/psicologia , Comportamento Ritualístico , Feminino , Humanos , Recém-Nascido , Masculino , Gravidez
15.
BMC Vet Res ; 14(1): 322, 2018 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-30382887

RESUMO

BACKGROUND: It is known that the bovine fetus can mount an immune and inflammatory reaction to infection, but it is not known whether there is a contemporaneous maternal response. Nor is it known whether the response of calves which die perinatally, with or without infection, differs from that of live perinates. Hence, the objective of this study was to determine if acute phase reactant and immunoglobulin concentrations differed between calves (and their dams) in three groups: live calves (CC; n = 21) and dead calves with (PM INF+; n = 22) or without (PM INF-; n = 89) in utero infection. In calf plasma, serum amyloid A, haptoglobin, immunoglobulins M, G1 and G2 and interleukin-6 were measured. In dam serum, SAA and Hp was measured and in amniotic and abomasal fluid, IL-6 was measured. RESULTS: Live calves had higher plasma concentrations of SAA and IL-6 than dead calves with (PM INF+) or without (PM INF-) in utero infection. Calves in the PM INF-, but not PM INF+ group, had higher Hp concentrations than calves in the CC group. Calves in the PM INF+ group had higher IgG1 concentrations than calves in the PM INF- and CC groups. Except for higher IgG1 and IgG2 concentrations, biomarker values did not differ significantly between dead calves with or without in utero infection. Live calves had higher IL-6 concentrations in abomasal fluid compared to PM INF- calves. There were no significant differences in blood biomarker concentrations between dams of the three groups of calves. Amniotic fluid IL-6 concentrations were higher from the dams of control calves than the dams of uninfected calves. CONCLUSIONS: Differences in biomarkers (higher Hp and IgG1; lower SAA and IL-6) between perinatal mortalities and live perinates probably reflect differences between these two groups in age at sampling (SAA and IL-6) and in utero infection (IgG1). Out of the six analytes measured in calves, only IgG1 and IgG2 were biomarkers of (chronic) in utero infection.


Assuntos
Doenças dos Bovinos/embriologia , Inflamação/veterinária , Abomaso/química , Abomaso/imunologia , Líquido Amniótico/química , Líquido Amniótico/imunologia , Animais , Animais Recém-Nascidos/imunologia , Biomarcadores/análise , Biomarcadores/sangue , Bovinos , Doenças dos Bovinos/imunologia , Doenças dos Bovinos/mortalidade , Feminino , Haptoglobinas/análise , Imunidade/imunologia , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Infecções/embriologia , Infecções/imunologia , Infecções/veterinária , Inflamação/embriologia , Inflamação/imunologia , Interleucina-6/sangue , Gravidez , Proteína Amiloide A Sérica/análise , Natimorto/veterinária
16.
Int Heart J ; 59(2): 448-450, 2018 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-29503402

RESUMO

Acute aortic dissection occurring during pregnancy poses great danger to both the mother and fetus. Cesareans are usually performed before or after the aortic repair depending on the conditions of the mother and fetus. Here we report our experience in treating a 32-week pregnant woman with a type B aortic dissection, whose baby had died before admission. A cesarean section was initially arranged after emergency aortic repair. However, the patient started to deliver the fetus vaginally after the aortic surgery and the stillborn baby was delivered vaginally. This case report provides new insight into the method of delivery in a pregnant woman with an aortic dissection.


Assuntos
Dissecção Aórtica/cirurgia , Complicações Cardiovasculares na Gravidez/cirurgia , Natimorto , Dissecção Aórtica/complicações , Dissecção Aórtica/diagnóstico , Feminino , Humanos , Gravidez , Complicações Cardiovasculares na Gravidez/diagnóstico , Complicações Cardiovasculares na Gravidez/etiologia
17.
Pol J Vet Sci ; 21(3): 441-444, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30468334

RESUMO

Perinatal calf mortality in dairy herds has been reported worldwide. The etiology of stillbirth is multifactorial, and can be caused by various species of bacteria and environmental factors. Among them some potential pathogens from the Mollicutes class such as Mycoplasma (M.) spp. and Ureaplasma (U.) diversum can be isolated from the bovine genital tract and other organs of the suspected cattle. The aim of this study was to evaluate if the bacteria belonging to the Molli- cutes class i.e. M. bovis, M. bovigenitalium, M. canadense, M. canis, M. arginini, M. bovirhinis, M. dispar, M. alkalescens and U. diversum could have an impact on perinatal calf mortality in selected Polish dairy farms. The material was: 121 stillborn calves (SB), 21 live born calves (C) and 131 cows (dams) from 30 Polish Holstein-Friesian herds. Samples were examined from all the SB calves' and six control euthanized calves' abomasal contents and lung samples collected during necropsy, and from the dams' serum and placenta. In dams the serological ELISA, and in calves and placenta samples molecular PCR/denaturing gradient gel electrophoresis, methods were used. Screening of dams' sera for antibodies to M. bovis (ELISA) showed seven dams positive for M. bovis, whereas none of the nine examined Mollicutes microorganisms were detected in the placenta and calves.


Assuntos
Infecções Bacterianas/veterinária , Doenças dos Bovinos/microbiologia , Natimorto/veterinária , Tenericutes/isolamento & purificação , Animais , Infecções Bacterianas/diagnóstico , Infecções Bacterianas/epidemiologia , Estudos de Casos e Controles , Bovinos , Doenças dos Bovinos/epidemiologia , Doenças dos Bovinos/patologia , Feminino , Gravidez
18.
Clin Infect Dis ; 65(suppl_2): S125-S132, 2017 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-29117322

RESUMO

BACKGROUND: There are an estimated 2.6 million stillbirths each year, many of which are due to infections, especially in low- and middle-income contexts. This paper, the eighth in a series on the burden of group B streptococcal (GBS) disease, aims to estimate the percentage of stillbirths associated with GBS disease. METHODS: We conducted systematic literature reviews (PubMed/Medline, Embase, Literatura Latino-Americana e do Caribe em Ciências da Saúde, World Health Organization Library Information System, and Scopus) and sought unpublished data from investigator groups. Studies were included if they reported original data on stillbirths (predominantly ≥28 weeks' gestation or ≥1000 g, with GBS isolated from a sterile site) as a percentage of total stillbirths. We did meta-analyses to derive pooled estimates of the percentage of GBS-associated stillbirths, regionally and worldwide for recent datasets. RESULTS: We included 14 studies from any period, 5 with recent data (after 2000). There were no data from Asia. We estimated that 1% (95% confidence interval [CI], 0-2%) of all stillbirths in developed countries and 4% (95% CI, 2%-6%) in Africa were associated with GBS. CONCLUSIONS: GBS is likely an important cause of stillbirth, especially in Africa. However, data are limited in terms of geographic spread, with no data from Asia, and cases worldwide are probably underestimated due to incomplete case ascertainment. More data, using standardized, systematic methods, are critical, particularly from low- and middle-income contexts where the highest burden of stillbirths occurs. These data are essential to inform interventions, such as maternal GBS vaccination.


Assuntos
Natimorto/epidemiologia , Infecções Estreptocócicas/epidemiologia , Streptococcus agalactiae , Feminino , Saúde Global/estatística & dados numéricos , Humanos , Gravidez , Complicações Infecciosas na Gravidez/epidemiologia , Complicações Infecciosas na Gravidez/microbiologia , Infecções Estreptocócicas/complicações , Infecções Estreptocócicas/microbiologia
19.
Arkh Patol ; 79(6): 60-65, 2017.
Artigo em Russo | MEDLINE | ID: mdl-29265079

RESUMO

The paper analyzes the data available in the literature on the possibilities of determining the time of fetal death during an autopsy study. It presents gross changes in the appearance and internal organs of the fetus, as well as histological changes in the organs and placenta, which develop during maceration. The microscopic characteristics of the development of lung and kidney tissues are given in relation to the gestational age of the fetus. Changes in the mass of internal organs during maceration, as well as their standard values are indicated depending on gestational age and degree of maceration.


Assuntos
Morte Fetal , Feto/patologia , Rim/patologia , Pulmão/patologia , Autopsia , Feminino , Idade Gestacional , Humanos , Gravidez
20.
Trop Anim Health Prod ; 48(3): 525-31, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26712363

RESUMO

The present study aimed to investigate the prevalence of constipation and its influence on farrowing duration and the evidence of post-parturient disorders in tropical sows and to evaluate the efficacy of a laxative supplementation during gestation and around farrowing on the incidence of constipation. Two experiments were performed in a commercial swine herd in Thailand. In experiment 1, the prevalence of constipation was determined in 96 gestating sows. Subsequently, 62 of them (64.6 %), with a severe to moderate degree of constipation, received 20 ml of a laxative for 3 days during gestation. In experiment 2, constipation score was determined in sows before, during, and after farrowing. A total of 98 sows were randomly allocated to one of two groups: the treatment group (n = 48) received 20 ml of a laxative for 3 days before farrowing, and the control group (n = 50) did not receive any laxative. Rectal temperature, appetite score, incidence of postpartum dysgalactia syndrome (PDS), and vaginal discharge score was determined for 4 days. In experiment 1, supplementation of laxative reduced the proportion of sows with moderate to severe constipation (P < 0.05). In experiment 2, sows with moderate to very severe constipation had a 28-min longer duration of farrowing than sows with normal faeces. Constipation in sows on the day of farrowing resulted in reduced appetite on day 1 postpartum (P = 0.008). The incidence of sows with fever on day 1 postpartum was two times higher in sows with constipation than in sows with normal faeces (36.2 and 16.7 %, respectively; P = 0.041).


Assuntos
Constipação Intestinal/veterinária , Transtornos Puerperais/veterinária , Doenças dos Suínos/epidemiologia , Animais , Constipação Intestinal/epidemiologia , Feminino , Incidência , Período Pós-Parto , Prevalência , Transtornos Puerperais/epidemiologia , Suínos , Tailândia/epidemiologia , Clima Tropical
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