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Purpose: To evaluate whether or not maternal body mass index (BMI) has an effect on pregnancy rates following in vitro fertilization-intracytoplasmic sperm injection (IVF-ICSI) treatment.Methods: A total of 869 patients who had undergone IVF-ICSI treatment between 2012 and 2017 were included in this study. The participants were stratified according to maternal BMI as Group 1 (BMI2; n=394), Group 2 (25 kg/m225 kg/m2; n=172). Basal parameters and IVF-ICSI outcomes were compared between the groups.Results: While there were no differences between the groups in terms of age, smoking status, etiology of infertility, thyroid-stimulating hormone, prolactin levels, antral follicle count, and stimulation protocol (p>0.05), there was significant statistical difference (p2), duration of stimulation, total gonadotropin dose required, peak E2 levels, progesterone levels, endometrial thickness on hCG administration, and cycle cancellation rate. In addition, the numbers of MII and 2PN oocytes retrieved and the rates of clinical pregnancy, live births, and miscarriages were also different between the groups (pConclusion: Our data suggest that there is an inverse impact of increased BMI on laboratory and reproductive outcome parameters of IVF-ICSI treatment. Taking cost-effectiveness into consideration, weight loss should be suggested before ovulation is induced.

The aim of our systematic review and meta-analysis was to evaluate the risk of neural tube defects (NTDs) according to the pre-pregnancy body mass index. Electronic databases were searched (MEDLINE, EMBASE, Web of Sciences, Scopus, ClinicalTrial.gov, OVID, and Cochrane Library). Selection criteria included prospective and retrospective cohort studies reporting the prevalence of fetal NTDs in obese, overweight, and underweight pregnant women. Odds ratios (ORs) comparing risk among these subsets of pregnancies with normal weight mothers were determined with 95% confidence intervals (CI). The evaluated outcome was the association between maternal underweight, overweight, and obesity and the risk of NTDs. We included ten studies published between 2000 and 2017, including underweight, overweight, and obese pregnant women with fetal NTD (cases) and pregnant women with recommended BMI with fetal NTD (controls). Compared with normal BMI women, obese mothers were at significantly higher risk of fetal NTDs (0.53 vs. 0.33%; OR 1.62 95% CI 1.32–1.99, p < .0001), while no difference for the risk of NTDs was found when comparing overweight (0.34 vs. 0.32%; OR 1.09 95% CI 0.92–1.3, p = .3) and underweight (0.65 vs. 0.24%; OR 1.34 95% CI 0.73–2.47, p = .34) with normal weight pregnant women. Obese pregnant women are at significantly higher risk NTDs, while no significant difference has been found in overweight and underweight pregnant women. Key message Obese pregnant women are at significantly higher risk of NTDs, such as spina bifida compared with normal weight women. No difference was found when comparing overweight and underweight with normal weight women. Obese pregnant women are at significantly higher risk of NTDs, such as spina bifida compared with normal weight women. No difference was found when comparing overweight and underweight with normal weight women.

Stunting merupakan kondisi kesehatan yang sangat buruk bagi seorang anak dan keluarganya. Stunting berdampak besar pada status kesehatan di masa depan, bahkan ada prediksi penurunan ekonomi akibat kondisi stunting. Di tengah pandemi, tantangan perubahan paradigma, reformulasi sistem pelayanan, dan modifikasi inovasi ditujukan untuk memastikan pelayanan kesehatan yang prima, sesuai dengan prinsip kode etik kesehatan. Penelitian kuantitatif dengan kuasi eksperimental dan studi literatur dengan tujuan mengetahui pengaruh penguatan pengetahuan perawatan Ibu terhadap anak dengan stunting di masa pandemi. Penelitian ini merupakan studi kolaboratif antara perawat, dokter, dan kader kesehatan yang memberikan layanan penguatan kognisi stunting terhadap 28 kasus stunting selama pandemi 2019-2020. Hasil penelitian menunjukkan peningkatan berat badan pada anak dengan stunting serta pengetahuan ibu yang signifikan. Penguatan kolaborasi dilakukan secara terintegrasi dan signifikan, yang sangat baik untuk komunikasi, peran, dan kerjasama. Dan, faktor keberadaan bagi Ibu, dan anak yang selalu berada di rumah saat terjadi pandemi, pengawasan intensif oleh kader kesehatan merupakan faktor akses yang mudah untuk memberikan penguatan yang terintegrasi.

The prevalence of overweight and obesity is increasing among reproductive-age women in sub-Saharan Africa. Whether maternal body mass index (BMI) influences the risk of infant infections in low- and middle-income countries (LMIC) is uncertain. We used data from a birth cohort of 5344 HIV-unexposed Zimbabwean infants with available data on maternal BMI, to calculate rates of sick clinic visits for infections during the first 12 months postpartum, and adjusted hazard ratios (aHR) for each maternal BMI group. Compared to infants of mothers with normal BMI, the rate of sick clinic visits for any infection progressively rose among infants of overweight (aHR 1.05; 95%CI 0.99, 1.11) and obese women (aHR 1.15; 95%CI 1.05, 1.25). Excess clinic attendances were particularly due to skin, respiratory and ear infections. Maternal obesity may therefore influence infant infectious morbidity in LMIC over the first year after birth.

Oxidative stress is related to pregnancy complications that could increase maternal and infant mortality. This study aimed to determine the effect of propolis extract supplementation during pregnancy on oxidative stress level and pregnancy outcomes utilizing Malonedealdehyde (MDA) and 8-Oxo-2′-Deoxogunosine (8-OHdG) levels, maternal body weight, and the average number of fetuses as the parameters. The study was conducted by using a posttest only control group design on 24 pregnant Wistar rats, which were divided into four groups. Group I was control, Group II-IV were the treatment groups given propolis extract of 1.8mg, 3.6mg, and 7.2mg/200gBW/day, respectively. The standard feed given was AIN93G dose of 20g/day and distilled water ad libitum. Propolis extract was given using a gastric feeding tube every morning for 20 days. At the end of the treatment, body weight was meisured and blood collected for assessed MDA and 8-OHdG levels by ELISA method and then we performed abdominal surgery to count number of fetuses. The result are there were decreasing level of MDA and 8-OHDG by administration of propolis significantly (p

This work offers a theoretically informed analysis of the characterization of maternity in religion using a spatial lens. The maternal body as a space is used as an analytical framework to discuss how Mary’s pregnancy is located and spatialized in Christianity. Through examining selected medieval Marian iconography, this work discusses what kind of space Mary’s body represents in the Christian doctrine. Analysis shows three central themes on the characterization of the maternal body as a space: (1) as a transitional space, (2) as a landmark, and (3) as a liminal space. The images of Marian pregnancy show that the maternal body is beyond its biological purpose in the Bible, but serves as a space that enables various interactions and spiritual events. The examination of Mary’s maternal body as a space offers an alternative perspective to discuss Mary’s character as a point of interface for Christian doctrines, biblical periods, and the Scriptures. In many ways, understanding Mary’s maternal body as a space speaks about the complexities and unveiled aspects of maternity’s role in religion. This work hopes to spark further discussions on how the maternal body intersects with spatiality in the context of religion.

The prenatal developmental toxicity of bitumen fume was tested by nose-only inhalation in the rat. The fumes for exposure were collected from the headspace of a storage tank filled with a bitumen corresponding in composition to an anticipated worst-case occupational exposure. The composition of these fumes was compared to actual paving site fumes to ensure its representativeness for workplace exposures. In a dose-range-finding study male and female rats were exposed to 0, 103, 480 or 1043 mg/m3 of fume (as total organic mass), for 6 h/day during 20 days post conception (p.c.). Dose-related effects on body weight and lungs were observed in the mid- and high-dose groups. In the main study, dams were exposed to 0, 52, 151 and 482 mg/m3 of fume, for 6 h/day during 19 days p.c. The maternal NOAEL was 52 mg/m³. In the high-dose group treatment-related effects on body weight (gain), food consumption, lung weights, and histopathological changes in lungs and larynx were observed. In the mid-dose group only histopathological changes in the larynx and lungs were found. The NOAEL for prenatal developmental toxicity was 151 mg/m³ based on reduced fetal weight in the high-dose group (482 mg/m³). However, these changes are most likely a consequence of the maternal toxicity, in particular the reduction of maternal body weight gain by 26 % as compared to control. Nose-only exposure to bitumen fumes in concentrations up to 482 mg/m³ from days 1-19 p.c. did not induce any significant fetal anomalies.

Worldwide, obesity is the prevalent, chronic medical condition (1). The rate of obesity in pregnant women is rising, increasing the significance of its impact on obesity-related pregnancy complications.(2) Maternal body mass index (BMI) is one of the predictors of the nutritional status of pregnant ladies. The problem of rising obesity is not unique to India. In earlier research, the relationship between maternal height and weight with pregnancy complications have been extensively explored, but in recent times, BMI is widely accepted as a better measure of over or underweight [3].

Background: Obesity is associated with higher surgical and anaesthetic morbidity and difficulties. Aims: We aimed to investigate associations between maternal body mass index (BMI) and the in-theatre time taken to produce an anaesthetised state or to perform surgery for caesarean delivery. Materials and Methods: Using the Strengthening the Reporting of Observational Studies in Epidemiology guidelines, we identified all women who underwent caesarean section at a single institution (2009–2015). The prospectively collected data arising from antenatal and peripartum care were analysed. Generalised linear regression was used to examine associations between maternal BMI and the time taken to anaesthetise the mother and the duration of surgery. Results: Of a total of 24 761 caesarean deliveries, 5607 (22.7%) women were obese at antenatal registration. In-theatre anaesthetic preparation (18 vs 32 min, P < 0.001) and surgical duration (38 vs 52 min, P < 0.001) were longer in women with BMI ≥50 kg/m (BMI-50) than those with normal BMI (BMI-N). This difference remained significant after controlling for antenatal, intra-operative and immediate postoperative variables. Modifiable variables were identified that may mitigate the effects of severe obesity. Senior obstetric and anaesthetic care were both independently associated with a significant reduction in mean in-theatre anaesthetic preparation time and surgical duration, by 11 and three minutes respectively (P < 0.001), while epidural top-up significantly lessened mean anaesthetic in-theatre preparation duration by seven minutes (P < 0.001). Conclusions: Obese women had greater anaesthesia and surgery time, but the effect may potentially be mitigated by provision of care by experienced staff and prior establishment of epidural analgesia.

This paper explores the maternal body work practices of black low-income mothers from resource-poor urban spaces in South Africa. Using Southern Theory to open our analytical lens, we recognise that location has implications for how we understand the embodiment of gender and the lactating body in the global South. We argue that maternal body work, as one form of gendered embodiment, must be understood in a postcolonial landscape where histories of colonisation and indigenous gender orders continue to shape how women respond to work conditions and how they manage the competing demands of work and breastfeeding. Our analysis from 51 in-depth interviews conducted in Cape Town, demonstrates that maternal body work practices are interpreted through the entanglement of embodiment and work and non-work spaces. By emphasising contextual specificities relating to low-income worker’s living, working and family realities, we advance studies on maternal body work and employment from the global South.

OBJECTIVE To examine the effects of maternal body mass index (BMI) and gestational age (GA) on the number of single circulating trophoblasts (SCT). METHODS Maternal blood was collected in 20 to 40 mL. All singleton pregnant women at any gestation were recruited. Trophoblasts were recovered by immunomagnetic enrichment and stained for cytokeratin and CD45. Candidate trophoblasts were identified by fluorescence microscopy. RESULTS Blood samples were collected from 425 singleton pregnancies from April 2018 to December 2019. At least one candidate cell was identified in 88% (373/425). There was an inverse correlation between trophoblasts yield and increasing BMI (r = -0.19, P

BackgroundMaternal nutrition depletion during pregnancy compromises fetal programming, and is a cause of adverse birth outcomes. Maternal body composition measurement using direct body composition assessment methods such as the deuterium dilution technique provides better prediction of birth outcomes as compared with commonly used techniques like anthropometry. This study assessed body composition of pregnant mothers in urban informal settlements in Nairobi, Kenya, and established the relationship between maternal body composition and infant birth weight.MethodsDeuterium dilution technique was used to determine body composition, including total body water (TBW), fat-free mass (FFM) and fat mass (FM), among 129 pregnant women who were enrolled into the study in their first or second trimester. Descriptive statistics and regression analysis were applied using Stata V.13.ResultsThe mean TBW, FFM and FM were 33.3 L (±4.7), 45.7 kg (±6.5) and 17.01 kg (±7.4), respectively. Both TBW and FFM were significantly related to maternal age and gestation/pregnancy stage during body composition assessment while FM was significantly associated with gestation stage during body composition assessment. TBW and FFM were significantly lower in younger mothers (ConclusionNon-fat components of the body (TBW and FFM) have a positive association with birth weight. Therefore, interventions to improve optimal maternal feeding practices, to enhance optimal gains in FFM and TBW during pregnancy are recommended, especially among young mothers.

Background: The worldwide obesity epidemic continues to be a major public health challenge, particularly in women of childbearing age. There is a need to understand the associations between maternal BMI and perinatal outcome. Objectives: To evaluate recent trends in maternal body mass index (BMI) and to quantify its association with foetal outcome. Methodology: It is a cross sectional study including a total of 384 pregnant women who were primi gravida and carry singleton pregnancy admitted at term in the department of Obstetrics and Gynaecology of DMCH for the management of labour. All the mothers were chosen by purposive sampling. The study populations were classified into four groups according to BMI. Group-I stands for 44 mothers who are underweight, Group-II consists of 234 mothers who are normal weight, Group III represents to 81 mothers who are overweight and Group IV signifies for 25 mothers who are obese. The women with multiple pregnancies, preterm labour and hypertension or diabetes were excluded from the study. Data regarding socio demographic, clinical, obstetrical and foetal outcome were recorded, afterwards the data were edited, managed and analyzed. The observations were plotted into tabular and figure form. The categorical variable was analyzed by chi square test and the quantitative variables were analyzed by ANOVA test. At all level 95% confidence interval & level of significance was p 2.5 kg in Group IV whereas 72.7% had ≤2.5 kg birth weight in Group I. Maximum (57%) mothers underwent NVD in Group I as long as the paramount (71%) mothers endured LSCS in Group III. Out of 384, total 180(46.9%) mothers had NVD and 204(53.1%) mothers deferred LSCS. APGAR score ≤7 was found 31.8%, 12.8%, 38.3% and 20% in Group I, Group II, Group III and Group IV independently. The P-value showed statistically significant of the groups (P=0.00016). Among 204 LSCS, 167(81.9%) mother sustained emergency and 37(18.1%) undertook elective LSCS. 52.9% of mothers went through LSCS were due to meconium staining liquor in Group IV which was subsequently followed by 46.6% in Group-III. 25.0%, 9.8%, 32.1% and 16% neonates required NICU admission in Group I, Group II, Group III and Group IV severally. There was a moderately positive significant correlation between maternal BMI and neonatal birth weight (r=+.383, p

The work was funded from core support given to the Sea Mammal Research Unit, Scottish Oceans Institute, from the National Environmental Research Council (UK), and separately by the Universities of Glasgow and Strathclyde. The funding of mass spectrometry equipment for metabolomics was provided by the Scottish Life Sciences Alliance. During the uniquely short lactations of true seals, pups acquire a greater proportion of maternal body resources, at a greater rate, than in any other group of mammals. Mothers in many species enter a period of anorexia but must preserve sufficient reserves to fuel hunting and thermoregulation for return to cold seas. Moreover, pups may undergo a period of development after weaning during which they have no maternal care or nutrition. This nutritionally closed system presents a potentially extreme case of conflict between maternal survival and adequate provisioning of offspring, likely presenting strains on their metabolisms. We examined the serum metabolomes of five mother and pup pairs of Atlantic grey seals, Halichoerus grypus, from birth to weaning. Changes with time were particularly evident in pups, with indications of strain in the fat and energy metabolisms of both. Crucially, pups accumulate certain compounds to levels that are dramatically greater than in mothers. These include compounds that pups cannot synthesise themselves, such as pyridoxine/vitamin B6, taurine, some essential amino acids, and a conditionally essential amino acid and its precursor. Fasting mothers therefore appear to mediate stockpiling of critical metabolites in their pups, potentially depleting their own reserves and prompting cessation of lactation. Publisher PDF

Objective − Maternal general health and diet prior to and during pregnancy create conditions for intrauterine foetal development. This may influence long-term growth, development and health of the child. The aim of this study was to define the influence of maternal body weight (BW) on offspring growth in early childhood. Materials and Methods − 162 Slovenian mothers and their children were included in the study and subsequent analysis. We collected information on anthropometric measurements of mothers prior to and during pregnancy, and of their children (BW, length, head circumference (HC)) up to the age of three. To perform statistical analysis, the Pearson correlation test, linear regression and F-test were utilized. Results − A statistically significant association between the mother’s BW and newborn BW (P

In Islamic law, kinship is defined by consanguineal and affinal relationships. Birth and Islamic marriage are important events that define religious responsibilities of family members towards each other. Some responsibilities are connected to Mahramiyat, a framework of interpersonal relations that regulates marriages and interactions with the opposite sex. Besides consanguineal and affinal bonds, mahramiyat and kinship can also be established through breastfeeding. The relationship formed through breastfeeding is called milk mahramiyat/kinship. It is spoken of in the Quran and hadith and has been extensively discussed in Islamic Feqh. This study investigates Shi’i guidelines on milk kinship. My interest is in the exploration of existing gendered rulings on the conditions of milk mahramiyat/kinship in Shi’i jurisprudence. The analysis aims to bring forth discussions on the significance of breast milk and the maternal body, and to investigate how milk kinship is framed within the patrilineal system of kinship in Shi’a Islam. The findings discuss rulings on the role of milk-mother and -father in the way kinship takes effect. While patrilineal kinship is often defined based on a paternal ‘milk line’, the study suggests that alternative readings and interpretations of the Quran and hadith are available that centralize the mother and the maternal body.

Background: Excessive weight gain during pregnancy is common and has been shown to be associated with increased long-term maternal weight. However, less is known on whether there is a cumulative effect of excessive gestational weight gain (GWG) over multiple pregnancies. Methods: Data from the Study of Women's Health Across the Nation were used, restricted to parous women with no history of stillbirth or premature birth. The effect of the number of excessive GWG pregnancies on body mass index (BMI) in midlife (age 42–53) was analyzed using multivariable linear regression. Fully adjusted models included parity, inadequate GWG, demographic, and behavioral characteristics. Results: The 1181 women included in this analysis reported a total of 2693 births. Overall, 466 (39.5%) were categorized as having at least one pregnancy with excessive GWG. The median BMI at midlife was 26.0 kg/m(2) (interquartile range 22.5–31.1). In fully adjusted models, each additional pregnancy with excessive GWG was associated with 0.021 higher estimated log BMI (p = 0.031). Among women with 1–3 births, adjusted mean (95% confidence interval) BMI for those with 0, 1, 2, and 3 excessive GWG pregnancies was 25.4 (24.9–25.9), 26.8 (26.1–27.5), 27.5 (26.6–28.4), and 28.8 (27.3–30.5), respectively. Conclusions: In this multiethnic study of women with a history of term live births, the number of pregnancies with excessive GWG was associated with increased maternal BMI in midlife. Our findings suggest that prevention of excessive GWG at any point in a woman's reproductive history can have an impact on long-term maternal health.

BACKGROUND: Anemia is the most common type of malnutrition in pregnant women, and when combined with another nutritional problem, it would increase the risk of adverse pregnancy outcomes. AIM: This study aims to analyze the risk of double undernutrition in pregnant women with anemia. MATERIALS AND METHODS: We used secondary data from the 2018 National Basic Health Survey as well as biomedical anemia samples. Anthropometric measurements were maternal body height, middle–upper circumference (MUAC) for chronic energy malnutrition (CEM); anemia was predicted using hemoglobin levels. The number of samples is 484, considering the minimum sample size for each undernutrition proportion. RESULTS: Anemia in pregnant women is not a single malnutrition issue. Almost one–third of pregnant women with anemia also had another form of undenutrition. In this study, the prevalence of anemia among pregnant women (%) is 35.7; stunted is 35.9, and CEM is 16.7. The malnutrition was identified as double nutritional problems coexistence to anemia, such as prevalence stunted–anemia (%) 12.5; anemia–CEM 9.2; and anemia–stunted–CEM 4.4. Overall, CEM is associated with anemia with p < 0.05 and AOR 2.25 (CI; 1.38–3.66), adjusted to height and type of residence, education, and occupation. Urban areas have a similar risk to rural areas with AOR for CEM to anemia, 2.29 (CI; 1.12–4.69); rural areas 2.23 (CI; 1.14–4.33), respectively. Moreover, women with double of undernutrition stunted–CEM in rural areas have a risk of anemia with AOR 2.75 (1.14–6.65). CONCLUSION: The risk of anemia in pregnant women with chronic energy malnutrition has increased more than twice in rural and urban areas.

Background; the body mass index (BMI) is frequently used to classify the severity of obesity and to inform weight-gain guidelines throughout pregnancy. Aim and objectives; to evaluate the impact of BMI of nulliparous females on progress of labour, incidence of peri-partum complications (1ry outcome) and neonatal outcome of these women (secondary outcome). Subjects and methods; This is a prospective cohort study, was carried out on 330nulliparous patients attending the labor ward of Al-Hussein and Sayed Galal hospitals, Al-Azhar University, Egypt, during active phase of labor, divided into 4 groups, from January 2021 until the end of the specified cases. Result; In terms of weight and BMI, there is a considerable disparity between the 4 groups. Conclusion; Labor development and labor time varied by BMI category, as evaluated by cervical dilatation rates. As per recent research, a higher BMI in nulliparous women is linked to a higher chance of caesarean birth during labor. This training should be available to first-time mothers prior to conception, and labor ward staff should be informed of this group of women before labour, with a concentration on the issues of analgesia and anesthesia in obese parturients.

Introduction Obese primiparous women with induction of labor are at high risk for a cesarean section. There are contradictory results regarding time in induced labor in relation to maternal body mass index (BMI). It is important to characterize the course of induced labor to prevent unnecessary cesarean section. We aimed to evaluate whether the duration of labor was associated with maternal BMI in primiparous women with induction of labor. Material and methods A national retrospective cohort study, including 15 259 primiparae with a single term pregnancy, admitted for induction of labor from January 2014 to August 2017. Data were obtained from the Swedish Pregnancy Registry. Cox regression analyses were used to illustrate the association between BMI and active labor and between BMI and time from admission until start of active labor. Results Duration of active labor was shorter in underweight women and prolonged in women with BMI amp;gt;= 40 kg/m(2) compared with women in other BMI classes, illustrated by Cox regression graphs (P amp;lt; .001). The median durations of active labor in underweight women were 6.1 and 7.4 hours in women with BMI amp;gt;= 40 kg/m(2). The time from admission until start of active labor increased with maternal BMI, illustrated by Cox regression graphs (P amp;lt; .001) and the median duration increased from 12.9 hours in underweight women to 22.6 hours in women with BMI amp;gt;= 40 kg/m(2). The cesarean section rate in active labor increased significantly with BMI (P amp;lt; .001) from 7.4% in underweight women to 22.0% in women with BMI amp;gt;= 40 kg/m(2). Obese and normal weight women had similar rates of spontaneous vaginal delivery (69.9% in the total study population). Conclusions The duration of active labor was associated with maternal BMI for underweight women and women with BMI amp;gt;= 40 kg/m(2). Although women with BMI amp;gt;= 40 kg/m(2) who reached the active phase of labor had the same chance for a spontaneous vaginal delivery as normal weight women, the duration of active labor and the cesarean section rate were increased. The time from admission until start of active labor increased successively with maternal BMI. Funding Agencies|ALF-grants Region Ostergotland Sweden

Background: A proportion of twin-twin transfusion syndrome (TTTS) patients may have elevated liver enzymes (ELEzs) before fetoscopic laser therapy, but the incidence of ELEzs before laser therapy and the association with the perinatal outcomes after laser therapy remain unclear. Methods: From October 2008 to April 2015, 93 patients with TTTS who received fetoscopic laser therapy at our hospital were included in this study, and aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels were measured within 24 h before therapy. If ELEzs (AST > 34 U/L or ALT > 36 U/L) were observed before therapy, the AST and ALT levels were evaluated within 24 h after therapy. The pre-operative characteristics and post-therapy outcomes were compared between patients with and without ELEzs. Results: Among 93 TTTS patients before laser operation, 18 patients (were found with ELEzs (19.4%) before laser therapy. In 17 (94.4%) of the 18 cases, their liver enzymes values dropped after laser surgery. Maternal body mass index, age, gestational age of laser therapy, hemoglobin level before laser therapy and survival rates after laser therapy were not significantly different between TTTS with and without ELEzs. The maternal hemoglobin dropped significantly from 10.8 [1.6] g/dL before surgery to 9.6 [1.5] g/dL after laser therapy in TTTS with ELEzs (p

he long‐term studies included in this paper were funded by the Natural Environment Research Council through the grant ‘SMRU Long‐term measurement of marine mammal population structure, dynamics and trophic interactions’, grant reference SMRU1001. PP was in receipt of NERC grant no. NE/G008930/1 and Esmée Fairbairn Foundation funding during the work. SCS was supported as a postdoctoral fellow in an EPSRC award to RK and PP. 1. Capital breeding animals such as true seals (Phocidae) rely on accumulated body reserves to rear offspring. A mother's body composition at the start of a breeding episode may depend on recent environmental conditions and sets the resources available for the reproductive episode. 2. At two grey seal (Halichoerus grypus) breeding colonies with contrasting demographic characteristics, factors influencing individual variation and temporal trends in the body composition (expressed as the lipid‐to‐protein mass ratio) of females were examined. 3. Maternal reproductive expenditure, and the consequences for mothers and their pups, were investigated. 4. Individual variation in postpartum maternal body composition was considerable. Mean values of 27% (±5%) lipid and 18% (±1%) protein were estimated by hydrogen isotope dilution. No evidence of age effects was detected. 5. Mothers with a high lipid‐to‐protein mass ratio expended a higher proportion of lipid resources, conserved protein and returned with more protein the following year. 6. Average maternal postpartum body composition was similar between the two colonies, but temporal patterns differed at one colony where pup production was decreasing from another where pup production was increasing. Mothers at the declining colony consistently weaned larger pups than mothers at the increasing colony across the range of mother sizes, but measures of maternal body composition did not predict pup weaning masses. Postprint

Mercury (Hg), cadmium (Cd), and lead (Pb) are of great concern for food safety and infants are especially sensitive to exposure to the maternal body burden. We quantified these elements in breast milk from Norwegian mothers and determined their association with dietary habits, maternal amalgam fillings, and smoking. Breast milk (n = 300) from the Norwegian Human Milk Study (HUMIS) was analyzed using triple quadrupole inductively coupled plasma mass spectrometry, after an acidic decomposition using microwave technique. We used multiple linear regression to examine predictors of Hg and Cd in breast milk, and logistic regression to test predictors of Pb above the quantification limit. The median breast milk concentrations (minimum - maximum) were 0.20 μg Hg/kg (0.058-0.89), 0.057 μg Cd/kg (0.017-1.2), and0.67 μg Pb/kg (0.2-7.5). Cadmium showed no significant relation with any exposure variable investigated. Lead was associated with intake of liver and kidneys from game. For Hg concentration in breast milk, number of amalgam fillings and high fish consumption were significant predictors (p 0.001). We detected a significant association (p 0.01) between Hg in breast milk and maternal consumption of Atlantic halibut, lean fish, mussels and scallops and lifetime consumption of crab. Seafood intake alone explained 10% of variance, while together with amalgam explained 46% of variance in Hg concentration in breast milk. Our findings emphasize the importance of following consumer advice with respect to fish and seafood and points to amalgam as an important source for Hg exposure.

Objectives: to investigate the relationship between the Diet Quality Index Adapted for Pregnant Women (IQDAG) and excess maternal body weight. Methods: a cross-sectional study was conducted with 754 adult pregnant women, in Ribeirão Preto, São Paulo, between 2011 and 2012. The criteria proposed by Atalah were used to classify the body mass index (BMI). Adjusted multinomial logistic regression models were employed to investigate the relationship between the IQDAG and being overweight and obese, estimating the odds ratio (OR) and the 95% confidence interval (CI95%). Results: the mean (SD) age of women was 28 (5) years, 33.4% were overweight and 25.6% obese. The pregnant women with higher scores in the IQDAG were less likely to be overweight [OR= 0.56 (CI95% = 0.37-0.85)] or obese [0.43 (0.26-0.71)]; those with higher scores in the "Fiber" [0.51 (0.33; 0.78)] and "Iron" [0.62 (0.40-0.96)] components were less likely to be overweight. However, women with higher scores in the percentage of energy from ultra-processed foods were more likely to be overweight [1.72 (1.10-2.94)] or obese [5.24 (2.80-9.80)], when compared to women with lower scores. Conclusions: poorer quality maternal diets were observed among the women who were overweight and obese during pregnancy. Resumo Objetivos: investigar a relação entre o Índice de Qualidade da Dieta Adaptado para Gestantes (IQDAG) e o excesso de peso materno. Métodos: estudo transversal conduzido entre 754 gestantes adultas em Ribeirão Preto, SP, entre 2011 e 2012. Os critérios propostos por Atalah foram empregados para a classificação do índice de massa corporal (IMC). Modelos de regressão logística multinomial ajustados foram utilizados para investigar a relação da pontuação do IQDAG com o sobrepeso e obesidade, estimando-se o odds ratio (OR) e seu intervalo de confiança de 95% (IC95%). Resultados: a média (DP) de idade das mulheres foi de 28 (5) anos, 33,4% e 25,6% eram portadoras de sobrepeso e obesidade, respectivamente. As gestantes com maior pontuação do IQDAG apresentaram menor chance de sobrepeso [OR= 0,56 (IC95%= 0,37-0,85)] e obesidade [0,43 (0,26-0,71)]; as com maior pontuação para os componentes "Fibras" [0,51 (0,33-0,78)] e "Ferro" [0,62 (0,40-0,96)] apresentaram menor chance de sobrepeso. Em contrapartida, mulheres com maior pontuação para o percentual do valor energético proveniente dos alimentos ultraprocessados apresentaram maior chance de sobrepeso [1,72 (1,10-2,94)] e obesidade [5,24 (2,80-9,80)], quando comparadas com as mulheres com menor pontuação. Conclusões: pior qualidade da dieta materna foi observada entre as mulheres portadoras de sobrepeso e obesidade no período gestacional.

Background: This study aimed to determine the correlation between maternal weight gain in each trimester and fetal growth according to pre-pregnancy maternal body mass index in twin pregnancies.Methods: We conducted a retrospective review of the medical records of 500 twin pregnancies delivered at 28 weeks’ gestation or greater at a single tertiary center between January 2011 and December 2020. We measured the height, pre-pregnant body weight, and maternal body weight of women with twin pregnancies and evaluated the relationship between the maternal weight gain at each trimester and fetal growth restriction according to pre-pregnancy body mass index.Results: The overweight pregnant women were older than the normal or underweight pregnant women, and the risk of gestational diabetes was high. The underweight pregnant women were younger, and the incidences of preterm labor and short cervical length during pregnancy was high. Especially in normal weight pregnant women, the heavier the weight of the newborn babies as the second trimester of pregnancy weight gain, the less significant the weight gain in the first trimester of pregnancy and fetal growth. The most predictive single factor for the prediction of small neonates was weight gain during 24-28 weeks and 15-18 weeks, and the cutoff value was 6.2 kg. (area under the curve 0.592, p < 0.001).Conclusions: In twin pregnancy, regardless of the pre-pregnant body mass index, maternal weight gain affected fetal growth. Furthermore, weight gain in the second trimester of pregnancy is considered a powerful indicator of fetal growth, especially in normal weight pregnancies.

Ce mémoire porte sur le dualisme sujet/objet visible dans les représentations sociales du corps maternel véhiculées par les discours portant sur la gestation pour autrui. À travers une analyse des discours juridiques, gouvernementaux et de presse, nous montrerons de quelle manière une vision objectivante du corps maternel côtoie une vision subjectivante de celui-ci et comment ce double regard constitue une condition d’émergence de la pratique étudiée. Pour ceux qui s’opposent à la pratique, la subjectivité maternelle prend place dans le corps enceint et pour les tenants, elle se situe prioritairement dans l’intention, dans le projet parental. Le corps maternel ne peut être désigné comme tel seulement s’il accompagne l’intention, sinon, il n’est qu’enceint. La littérature en science sociale est abondante quant à la manière dont les acteurs directement concernés, comme les mères porteuses, les parents d’intention et les tiers reproducteurs et reproductrices conçoivent la pratique, mais peu de recherches s’intéressent aux représentations du corps maternel, et encore moins, à la place du dualisme sujet/objet en leur sein. Ainsi, suivant la conception du corps humain et du sujet moderne, le corps reproducteur féminin est appréhendé comme une entité séparée du sujet et de nature mécanique et pathologique que l’obstétrique moderne doit contrôlée afin de soigner plus facilement le nouveau patient, le fœtus. Toutefois, en parallèle se construit un discours psychologique concevant le corps maternel comme un lieu où la subjectivité de la future mère et du futur enfant se construisent. Le corps maternel pose problème à la figure hégémonique moderne d’un sujet masculin séparé du monde, de par ses potentialités reproductives et sa position face à l’altérité qui est vécue de manière interne et corporelle. Il est donc l’objet d’un recadrage technique et discursif vers cette hégémonie. Les techniques de reproduction assistée et la gestation pour autrui sont des exemples de ce recadrage et du double processus de subjectivation et d’objectivation. Ce mémoire démontrera comment les discours sociaux sur la pratique suggérant une vision de la subjectivité maternelle fluide (priorité à l’intention) se heurtent à une vision rigide (inscrite dans le corps maternel) de celle-ci., This thesis focuses on the subject/object dualism visible in the social representations of the maternal body conveyed by the different speeches on surrogacy. Through an analysis of governmental, legal and media discourses, we will demonstrate how an objectivating conception of the maternal body stand alongside a subjectivating conception of it and how this double glance constitutes one of the emergence condition of the studied practice. For whom who disagree with surrogacy, the maternal subjectivity take place inside the pregnant body while for the upholder, it is located in priority in the intention, the parental project. The maternal body cannot be designated as such if it doesn’t come with the intention, if not, it is only pregnant. The social literature is abundant about the way the different actors, like surrogate mothers, intentional parents, and third parties perceive the practice but limited researches take a direct interest in the social representations of the maternal body, less again in the place of the subject/object dualism in them. In this way, following the modern conception of the human body and of the subject, the female reproductive body is seen as a entity separated of the subject and with a mechanical and pathological nature that the modern obstetrics should control so it can treat the real patient, the fetus. However, in parallel, a psychological discourse is being constructed in which the maternal body is seen like a place where subjectivity of the future mother and the future child are developing. The maternal body is problematic for the hegemonic modern figure of the masculine subject separated from the world, because of its reproductive potentialities and its position in front of the alterity whom is experience in an internal and a corporal way. It is then the object of a technical and a discursive reframing towards hegemony. The assisted reproduction technologies and surrogacy are examples of this reframing and of the double process of subjectification and objectification. This paper will show how the social discourses on surrogacy that suggest a vision of a flowing maternal subjectivity (intention is priority) collide with a inflexible vision of it, that is inscribed in the body.

Background:. One inevitable shortcoming of non-invasive prenatal screening (NIPS)/cell-free DNA (cfDNA) sequencing is the uninterpretable (“no-call”) result, which is mainly caused by an insufficient fetal fraction. This study was performed to investigate the factors associated with a successful second NIPS in these cases and determine the optimal management for women with initial no-call results. Methods:. We retrospectively analyzed the data of women who underwent NIPS with initial no-call results due to an insufficient fetal fraction from 2017 to 2019 in our center. We compared these women's maternal and pregnancy information with the data of women who had attained a successful second NIPS result and women who had received no-call results for a second time. Results:. Among the 33,684 women who underwent NIPS, 137 with a no-call result underwent a retest. Comparison between the 87 (63.50%) women with a successful retest and the other 50 (36.50%) women showed a significant difference in both the initial fetal fraction and maternal body mass index (BMI), whereas the other factors showed no significant differences. In addition, with an initial fetal fraction of

Postpartum depression is one of the most common mental diseases that occur in women after childbirth; this disorder is extremely painful for women and represents a major burden on the society. Therefore, we designed this study to explore the possible material basis of the disease, and provide potential novel antidepressants therapy using a mouse model. We established a postpartum immobilization stress model. Maternal body weight changes and food intake were recorded for half a month after delivery, and levels of ghrelin and its receptor, growth hormone secretagogue receptor (GHSR) were measured. The mice in the immobilization stress group showed stress activity as well as low body weight and low feeding status. Ghrelin expression was elevated in blood whereas ghrelin or GHSR expression decreased in the hippocampus and prefrontal cortex of the immobilization stress mice, and the number of ghrelin-active and GHSR cells reduced.

Female fitness is often influenced by trade-offs in energy allocated to reproduction or self-maintenance that is dependent upon the life history of the organism. Maternal body size and condition are factors that are often positively correlated with clutch size and offspring size. We investigated whether maternal body size (snout–vent length, SVL) and condition (residual of mass on SVL) could predict measures of reproductive success including clutch size, offspring body size (SVL), and offspring survival in the territorial Eastern Red-backed Salamander (Plethodon cinereus). Brooding females and their eggs were collected and then housed in a controlled laboratory setting. We recorded the number of eggs found with each female and separated offspring from females once hatched. At 40 d after hatching, we measured the SVL and mass of females and juveniles. Maternal SVL, but not condition, was positively related to clutch size and offspring SVL; however, there was no significant relationship between clutch size and offspring SVL, indicating no trade-off between number and body size of offspring. In the laboratory, survival of the offspring to 185 d post-hatching was positively related to maternal SVL and negatively related to maternal condition. Also, the mean SVL, measured on day 40, of the offspring that survived to 185 d was significantly greater than the SVL of the offspring that did not survive, indicating a benefit of larger offspring body size. Finally, subsequent egg production (number of new oocytes produced by females following the current reproductive bout) was positively related to maternal SVL and condition (measured 185 d after hatching their previous clutches). These results suggest that larger maternal body size and condition of Eastern Red-backed Salamanders provide increased reproductive success through the number and body size of offspring produced in current or subsequent reproductive bouts and in offspring survival. Large body size in territorial animals like P. cinereus provides benefits for holding high quality territories as well as for increased reproductive success.

Objectives: The overall aim of this thesis was to evaluate the impact of maternal body mass index (BMI) on obstetric and neonatal outcomes in adolescents as well as on treatment with oxytocin infus ...

Background Nutritional management in the dry period can alter body condition score (BCS) in dairy cows, a subjective measure of body fat. As such, differences in BCS during late-pregnancy not only mirror nutrient utilization by fat depots, but also can play important roles on the metabolic and hormonal environment. We investigated the association between cow BCS during late-pregnancy on developmental parameters and blood variables of neonatal calves. Forty-nine multiparous Holstein cows were retrospectively divided by prepartal BCS into normal BCS ≤3.25 (NormBCS; 3.02 ± 0.17, n = 30) or high BCS ≥3.75 (HighBCS; 3.83 ± 0.15, n = 19) groups. Plasma samples were collected from cows at − 10 d relative to parturition. Body weight, hip and wither height, hip width and body length were measured at birth and weekly through weaning (42 d of age) and until 9 weeks of age. Calf blood samples were collected from the jugular vein at birth (before receiving colostrum, 0 d), 24 h after first colostrum and at 7, 21, 42 and 50 d of age. The data were subjected to ANOVA using the mixed procedure of SAS. The statistical model included day, BCS, and their interactions. Results Dry matter intake (kg/d or % of body weight) during the last 4 weeks of pregnancy was lower (P ≤ 0.06) in HighBCS cows. Plasma concentrations of fatty acids, ceruloplasmin, and nitric oxide were greater overall (P P = 0.08) to have greater concentrations of reactive oxygen metabolites. Birth body weight was lower (P = 0.03) in calves born to dams with HighBCS. In addition, plasma concentrations of fatty acids, albumin and urea (P P = 0.04), hip and wither height, hip width, and body length, there was no difference (P > 0.05) in daily starter intake and average daily gain due to maternal BCS. Conclusions Overall, results highlight an association between BCS during late-gestation on in utero calf development and postnatal growth. A high maternal BCS during late-gestation was associated with lower calf body weights, which could be due to lower maternal intakes and a state of inflammation and metabolic stress.

This article analyzes my personal experience of having a maternal body through autoethnographic means. Being pregnant is a time of celebration, but moms experience private and public changes in their bodies. These public changes continue during the postpartum period. Ground in Foucault’s panopticon, this paper explores how the maternal body undergoes self-surveillance as well as surveillance by the proverbial others. I provide vignettes and personal experiences to highlight the panopticon: moms self-surveil but moms are also being surveilled when in the public eye. I make the argument of how the maternal body is a site of surveillance often used to judge the goodness of the mother or the usefulness of the maternal body. I conclude with a suggestion of how the panopticon can be used to examine parenting practices.

Background/objectiveTo investigate the longitudinal development of maternal body weight and analyze the influence of obesity on obstetrics during more than two decades in Germany.Subjects/methodsData collected from the Federal state of Schleswig-Holstein (German Perinatal Survey) were analyzed with regard to the dynamics of maternal anthropometric variables (body weight, BMI) between 1995–7 and 2004–17. In total 335,511 mothers substantiated the presented study-collective. The statistical analysis was performed using IBM SPSS Statistics for Windows, Version 26.0. Armonk, NY.ResultsMaternal BMI advanced significantly over the study period. Among a rise in mean periconceptional body weight (67.6–72.0 kg), the segment of obese women increased disproportionately (in average 9.4–19.2%). Despite the observed trend to late giving birth (mean maternal age 1995: 29.3 vs. 30.7 years in 2017), it was not advanced maternal age but parity that influenced the continuous increase in maternal weight (mean maternal body weight 1995–7: primi- bi-, multiparae 67.4, 68.3 and 69.0 kg vs. 2004–17: primi- bi-, multiparae 70.0, 71.5 and 73.2 kg respectively).ConclusionObesity is a major problem on health issues in obstetrics. Advancing maternal BMI, increasing mother’s age and derived prenatal risks considerably complicate pregnancy and delivery. It has to be emphasized that its consequences do not end with delivery or childbed, but represent a livelong burden to the mother and their offspring. Hence, multimodal strategies to reduce/control periconceptional body weight are mandatory.

Background Insulin, leptin, and adiponectin regulate energy balance and may influence infant growth via their presence in human milk. Maternal body mass index has been associated with human milk insulin, leptin, and adiponectin concentrations, but results are inconsistent. Maternal serum hormone concentrations and fat mass may better characterize human phenotype and be more appropriate predictors of human milk insulin, leptin, and adiponectin. Research aim To examine the associations of human milk insulin, leptin, and adiponectin with their concentrations in maternal circulation and with maternal fat mass. Methods Insulin, leptin, and adiponectin were measured in serum and human milk at 1 month postpartum in 25 women. Total body fat mass and fat-free mass were measured using bioelectrical impedance analysis. Linear regression modeling was used to examine associations of serum hormone concentrations or fat mass with human milk insulin, leptin, and adiponectin after adjusting for covariates. Results Serum insulin ( p = .007), leptin ( p < .001), and adiponectin ( p < .001) were each associated with their respective concentrations in human milk. Fat mass was positively associated with insulin ( p = .005) and leptin ( p < .001), but not with adiponectin ( p = .65), in human milk. Conclusions Human milk insulin, leptin, and adiponectin were positively associated with their concentrations in serum, and human milk insulin and leptin were associated with maternal fat mass. Future research is needed to elucidate the role of human milk hormones in infant energy balance and growth.

Antecedentes: As taxas de obesidade continuam aumentando, principalmente entre as crianças. Estudos apontam a subestimação do peso corporal como principal fator para a não adesão aos comportamentos de perda de peso e, em crianças, bem como a subestimação do tamanho do corpo, a percepção percebida pelos pais sobre o peso de seus próprios filhos. é crucial para a manutenção principal do sobrepeso e obesidade. Assim, enfatiza-se que a percepção acurada da imagem corporal de crianças e pais é essencial para combater a alta prevalência de sobrepeso e obesidade na população infantil. Objetivo: Avaliar a concordância entre a autopercepção e a percepção materna do peso corporal das crianças e seu status de peso corporal. Métodos: Foram avaliadas 935 crianças de 6 a 10 anos e 922 mães. O status do peso corporal foi avaliado por meio de medidas de peso e altura e a percepção da imagem corporal por meio de software para Avaliação da Percepção Corporal Infantil. Resultados: Crianças classificadas como "baixo peso" ou "peso normal" demonstraram maior acurácia em suas percepções e tendência à superestimação em meninas cujo status de peso é "normal", enquanto crianças obesas ou com excesso de peso tendem a superestimar seu status de peso. As mães, por outro lado, subestimaram o status de peso dos filhos, independentemente do sexo do filho. Conclusão: As crianças apresentaram percepções mais precisas do que as mães em relação ao peso / tamanho corporal.

Background States which reduce foetal oxygen delivery are associated with impaired intrauterine growth. Hypoxia results when barometric pressure falls with ascent to altitude, and with it the partial pressure of inspired oxygen (‘hypobaric hypoxia’). birthweight is reduced when native lowlanders gestate at such high altitude (HA)—an effect mitigated in native (millennia) HA populations. Studying HA populations offer a route to explore the mechanisms by which hypoxia impacts foetal growth. Methods Between February 2017 and January 2019, we prospectively studied 316 pregnant women, in Leh, Ladakh (altitude 3524 m, where oxygen partial pressure is reduced by 1/3) and 101 pregnant women living in Delhi (low altitude, 216 m above sea level). Results Of Ladakhi HA newborns, 14% were small for gestational age (10th weight centile. Conclusions This study showed that Ladakhi offspring birthweight is relatively spared from the expected adverse HA effects. Furthermore, maternal body composition and greater UtA size may be physiological HA adaptations and warrant further study, as they offer potential mechanisms to overcome hypoxia-related growth issues. Impact Reduced foetal oxygen delivery seen in native lowlanders who gestate at HA causes foetal growth restriction—an effect thought to be mitigated in native HA populations. We found that greater maternal body mass and UtA diameter were associated with increased offspring birthweight in a (Ladakh) HA population. This supports a role for them as physiological mediators of adaptation and provides insights into potential mechanisms that may treat hypoxia-related growth issues.

Congenital malformations are one of the leading causes of neonates and infants’ mortality and morbidity. The frequency of these congenital malformations varies in different populations. The objective of this study was to find out the prevalence and pattern of congenital malformations in a tertiary teaching hospital in Rabat, Morocco. This four-year retrospective descriptive study was conducted from January 2011 to December 2014. All newborns with congenital malformations diagnosed at birth were included. Mothers and newborn characteristics were analyzed using SPSS 13.0. A total of 706 newborns were noted to have congenital malformation. The prevalence rate was 1.02%. The mean maternal age was 28.8±7.2 years. The mean maternal body mass index was 28.1±6.9 kg/m2. 13.3% of the mothers had a history of abortion. The nervous system was the most affected system (19.4%) followed by the musculoskeletal system (14.2%), the chromosomal abnormalities (12.3%) and the genito-urinary system (10.8%). Males newborns (57.9%) had more congenital malformations than females (40.5%). The rates for live-births, fetal asphyxia and stillbirths were 75.2%, 7.2% and 17.3%, respectively. This retrospective study provides recent and detailed data about congenital malformations in a Moroccan region. The result from this study will contribute to the knowledge of congenital malformations in this particular area and hence the supportive preventive policy.