1
|
Amian J, Weber CF, Sonntagbauer M, Messroghli L, Louwen F, Buxmann H, Paulke A, Zacharowski K. Association of free maternal and fetal ropivacaine after epidural analgesia for intrapartum caesarean delivery: a prospective observational trial. Int J Obstet Anesth 2024; 58:103975. [PMID: 38508960 DOI: 10.1016/j.ijoa.2024.103975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 12/17/2023] [Accepted: 01/06/2024] [Indexed: 03/22/2024]
Abstract
BACKGROUND Ropivacaine is present in plasma in both protein-bound and free forms. The free form is responsible for the occurrence of toxic side effects. During obstetric epidural analgesia, free ropivacaine enters the fetal circulation depending on various factors. The aim of this study was to analyse a potential association between ropivacaine concentrations in maternal and fetal plasma and hence the extent of fetal exposure to ropivacaine. METHODS In this prospective monocentre study, parturients who met the following criteria were included in the study: 1. epidural administration as part of obstetric anaesthesia, and 2. subsequent intrapartum caesarean delivery, which 3. was performed after an epidural bolus administration of ropivacaine within the existing epidural analgesia. Total and free ropivacaine concentrations were analysed in maternal blood at baseline, prior to epidural bolus administration for caesarean delivery, and in maternal and fetal (umbilical venous, oxygenated) blood at delivery. The results are presented as mean ± SD or median (25/75th percentile). RESULTS We screened 128 parturients who went into labour at term and requested epidural analgesia, of whom 39 were ultimately included in the study. An intrapartum caesarean delivery was performed after the epidural application of 207 (166/276) mg ropivacaine during an epidural treatment period of 577 (360/1010) min. Total and free ropivacaine concentrations were 1402 ± 357 ng/ml and 53 ± 46 ng/ml, respectively, in maternal venous blood and 457 ± 243 ng/ml and 43 ± 27 ng/ml, respectively, in fetal blood. The maternal total and free ropivacaine concentrations were significantly correlated (r = 0.873; P < 0.0001). CONCLUSION The results of the present study suggest that determining the concentration of free ropivacaine in maternal blood may be a feasible option for estimating neonatal exposure to ropivacaine.
Collapse
Affiliation(s)
- J Amian
- Department of Anaesthesiology, Intensive Care and Emergency Medicine, Asklepios Clinics Hamburg, AK Wandsbek, Germany
| | - C F Weber
- Department of Anaesthesiology, Intensive Care and Emergency Medicine, Asklepios Clinics Hamburg, AK Wandsbek, Germany; Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.
| | - M Sonntagbauer
- Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Germany
| | - L Messroghli
- Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University, Frankfurt, Germany
| | - F Louwen
- Department of Gynaecology and Obstetrics, University Hospital Frankfurt, Goethe University, Frankfurt, Germany
| | - H Buxmann
- Department for Children and Adolescents, Division for Neonatology, University Hospital Frankfurt, Goethe University, Frankfurt, Germany
| | - A Paulke
- Institute of Legal Medicine, University of Frankfurt, Goethe University, Frankfurt, Germany
| | - K Zacharowski
- Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University, Frankfurt, Germany
| |
Collapse
|
2
|
Romberg S, Solbach C, Louwen F, Yuan J, Ritter A. 257 Primary cilia in placental mesenchymal stem/stromal cells: Implication in placental development and preeclampsia. Eur J Obstet Gynecol Reprod Biol 2022. [DOI: 10.1016/j.ejogrb.2021.11.269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
3
|
Eichbaum C, Feidicker S, Eichler K, Giokoglu E, Louwen F. 137 Huge supravaginal hematoma due to therapeutic anticoagulation for venous thrombosis after spontaneous delivery – case report of an individual risk-adapted management. Eur J Obstet Gynecol Reprod Biol 2022. [DOI: 10.1016/j.ejogrb.2021.11.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
4
|
Hoock S, Brüggmann D, Irani M, Fischer K, Steglich Souto A, Wilhelm L, Neuhoff A, Hentrich A, Eichbaum C, Louwen F. 273 Overview of the clinical management and outcome of sars-cov-2 pregnant women and their infants in the university clinic frankfurt, Germany. Eur J Obstet Gynecol Reprod Biol 2022. [PMCID: PMC8941255 DOI: 10.1016/j.ejogrb.2021.11.273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
5
|
Eichbaum C, Jennewein L, Feidicker S, Mavrova-Risteska L, Brueggmann D, Louwen F. 136 Prolongation of pregnancy in a patient with severe paraneoplastic syndrome due to metastatic breast cancer. Eur J Obstet Gynecol Reprod Biol 2022. [DOI: 10.1016/j.ejogrb.2021.11.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
6
|
Allert R, Jennewein L, Bock N, Brüggmann D, Louwen F. Perinatal outcomes of intended vaginal breech births with epidural versus non-epidural analgesia. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- R Allert
- Universitäts-Klinikum Frankfurt, Geburtshilfe
| | - L Jennewein
- Universitäts-Klinikum Frankfurt, Geburtshilfe
| | - N Bock
- Universitäts-Klinikum Frankfurt, Geburtshilfe
| | - D Brüggmann
- Universitäts-Klinikum Frankfurt, Geburtshilfe
| | - F Louwen
- Universitäts-Klinikum Frankfurt, Geburtshilfe
| |
Collapse
|
7
|
Paul B, Möllmann CJ, Kielland-Kaisen U, Schulze S, Schaarschmidt W, Bock N, Brüggmann D, Louwen F, Jennewein L. Maternal and neonatal outcome after vaginal breech delivery at term after cesarean section - a prospective cohort study of the Frankfurt breech at term cohort (FRABAT). Eur J Obstet Gynecol Reprod Biol 2020; 252:594-598. [PMID: 32507288 DOI: 10.1016/j.ejogrb.2020.04.030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2020] [Accepted: 03/24/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVE To compare the neonatal and maternal outcomes as well as the mode of delivery of intended vaginal breech deliveries in women with a prior cesarean section to primiparous patients. STUDY DESIGN The prospective monocenter cohort study was conducted among 604 women who presented for an intended vaginal singleton breech delivery at term between January 2007 and December 2016. RESULTS Out of 37 women with a prior cesarean 19 had a successful vaginal delivery. 344 of 567 primiparous women had a successful vaginal delivery. Neonatal morbidity and mortality as well as maternal outcome were not significantly different in successful vaginal deliveries of women with prior cesarean compared to primiparous patients. The cesarean section rate was not significantly higher in the group of women with a prior cesarean (49%) compared to the group of primipara (39%). CONCLUSION A prior cesarean should not be taken as an exclusion criterion for a planned vaginal delivery out of a breech presentation at term. Large multicenter, case-controlled studies are necessary to implement international guidelines.
Collapse
Affiliation(s)
- B Paul
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany.
| | - C J Möllmann
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | - U Kielland-Kaisen
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | - S Schulze
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | - W Schaarschmidt
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | - N Bock
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | - D Brüggmann
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | - F Louwen
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | - L Jennewein
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | -
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| |
Collapse
|
8
|
Sommerlad S, Schermelleh-Engel K, Bieber M, Louwen F, Oddo-Sommerfeld S. Risiko- und Schutzfaktoren postpartaler traumatischer Belastungssymptome bei Frauen mit und ohne (drohende) Frühgeburt. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0039-3402973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Affiliation(s)
- S Sommerlad
- Klinik für Geburtshilfe und Pränatalmedizin, Universitätsklinikum Frankfurt am Main
| | | | - M Bieber
- Klinik für Geburtshilfe und Pränatalmedizin, Universitätsklinikum Frankfurt am Main
| | - F Louwen
- Klinik für Geburtshilfe und Pränatalmedizin, Universitätsklinikum Frankfurt am Main
| | - S Oddo-Sommerfeld
- Klinik für Geburtshilfe und Pränatalmedizin, Universitätsklinikum Frankfurt am Main
| |
Collapse
|
9
|
Wildner JM, Kreis NN, Friemel A, Yuan J, Louwen F. Functional analysis of RITA in trophoblastic cell fusion and preeclampsia. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- JM Wildner
- J. W. Goethe-University, Department of Gynecology and Obstetrics, Frankfurt, Deutschland
| | - NN Kreis
- J. W. Goethe-University, Department of Gynecology and Obstetrics, Frankfurt, Deutschland
| | - A Friemel
- J. W. Goethe-University, Department of Gynecology and Obstetrics, Frankfurt, Deutschland
| | - J Yuan
- J. W. Goethe-University, Department of Gynecology and Obstetrics, Frankfurt, Deutschland
| | - F Louwen
- J. W. Goethe-University, Department of Gynecology and Obstetrics, Frankfurt, Deutschland
| |
Collapse
|
10
|
Brüggmann D, Schaarschmidt W, Klingelhöfer D, Groneberg DA, Louwen F. Beckenendlage – Eine szientometrische Analyse. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- D Brüggmann
- Goethe Universität Frankfurt, Geburtshilfe, Frankfurt, Deutschland
- Institut für Arbeitsmedizin, Sozialmedizin und Umweltmedizin, Female Health, Frankfurt, Deutschland
| | - W Schaarschmidt
- Goethe Universität Frankfurt, Geburtshilfe, Frankfurt, Deutschland
| | - D Klingelhöfer
- Institut für Arbeitsmedizin, Sozialmedizin und Umweltmedizin, Female Health, Frankfurt, Deutschland
| | - DA Groneberg
- Institut für Arbeitsmedizin, Sozialmedizin und Umweltmedizin, Female Health, Frankfurt, Deutschland
| | - F Louwen
- Goethe Universität Frankfurt, Geburtshilfe, Frankfurt, Deutschland
| |
Collapse
|
11
|
Neuhoff A, Jennwein L, Voigt I, Louwen F, Brüggmann D. Maternal mortality in venous sinus thrombosis. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- A Neuhoff
- Universitätsklinikum Frankfurt, Geburtshilfe, Frankfurt, Deutschland
| | - L Jennwein
- Universitätsklinikum Frankfurt, Geburtshilfe, Frankfurt, Deutschland
| | - I Voigt
- Universitätsklinikum Frankfurt, Geburtshilfe, Frankfurt, Deutschland
| | - F Louwen
- Universitätsklinikum Frankfurt, Geburtshilfe, Frankfurt, Deutschland
| | - D Brüggmann
- Universitätsklinikum Frankfurt, Geburtshilfe, Frankfurt, Deutschland
| |
Collapse
|
12
|
Bock N, Jennewein L, Louwen F. Chromophobe renal-cell carcinoma during pregnancy: A robot-assisted laparoscopic partial nephrectomy (Da Vinci) at 32+0 gestational weeks. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- N Bock
- Universitätsklinikum Frankfurt, Geburtshilfe, Frankfurt am Main, Deutschland
| | - L Jennewein
- Universitätsklinikum Frankfurt, Geburtshilfe, Frankfurt am Main, Deutschland
| | - F Louwen
- Universitätsklinikum Frankfurt, Geburtshilfe, Frankfurt am Main, Deutschland
| |
Collapse
|
13
|
Kreis NN, Friemel A, Louwen F, Yuan J. The role of p21Cip1/CDKN1A in trophoblastic cells and preeclampsia. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- NN Kreis
- J. W. Goethe-University, Department of Gynecology and Obstetrics, Frankfurt, Deutschland
| | - A Friemel
- J. W. Goethe-University, Department of Gynecology and Obstetrics, Frankfurt, Deutschland
| | - F Louwen
- J. W. Goethe-University, Department of Gynecology and Obstetrics, Frankfurt, Deutschland
| | - J Yuan
- J. W. Goethe-University, Department of Gynecology and Obstetrics, Frankfurt, Deutschland
| |
Collapse
|
14
|
Paul B, Kielland-Kaisen U, Jennewein L, Möllmann C, Brüggmann D, Holetzke L, Schaarschmidt W, Bock N, Louwen F. Vaginale Geburten aus Beckenendlage bei vorangegangener Sectio caesarea (FRABAT Group) – eine prospektive Evaluation. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- B Paul
- Uniklinik Frankfurt, Geburtshilfe, Frankfurt am Main, Deutschland
| | | | - L Jennewein
- Uniklinik Frankfurt, Geburtshilfe, Frankfurt am Main, Deutschland
| | - C Möllmann
- Uniklinik Frankfurt, Geburtshilfe, Frankfurt am Main, Deutschland
| | - D Brüggmann
- Uniklinik Frankfurt, Geburtshilfe, Frankfurt am Main, Deutschland
| | - L Holetzke
- Uniklinik Frankfurt, Geburtshilfe, Frankfurt am Main, Deutschland
| | - W Schaarschmidt
- Uniklinik Frankfurt, Geburtshilfe, Frankfurt am Main, Deutschland
| | - N Bock
- Uniklinik Frankfurt, Geburtshilfe, Frankfurt am Main, Deutschland
| | - F Louwen
- Uniklinik Frankfurt, Geburtshilfe, Frankfurt am Main, Deutschland
| |
Collapse
|
15
|
Schulze S, Sommerlad S, Haug S, Louwen F, Oddo-Sommerfeld S. Cortisol awakening response during risk of preterm birth and associations with anxiety. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- S Schulze
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - S Sommerlad
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - S Haug
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - F Louwen
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - S Oddo-Sommerfeld
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| |
Collapse
|
16
|
Ritter A, Friemel A, Kreis NN, Hoock SC, Roth S, Kielland-Kaisen U, Brüggmann D, Solbach C, Louwen F, Yuan J. Primary cilia are dysfunctional in obese adipose-derived mesenchymal stem cells. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- A Ritter
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - A Friemel
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - NN Kreis
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - SC Hoock
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - S Roth
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - U Kielland-Kaisen
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - D Brüggmann
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - C Solbach
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - F Louwen
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - J Yuan
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| |
Collapse
|
17
|
Hoock SC, Kreis NN, Ritter A, Friemel A, Solbach C, Yuan J, Louwen F. The role of RITA in migration of breast cancer cells. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- SC Hoock
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - NN Kreis
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - A Ritter
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - A Friemel
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - C Solbach
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - J Yuan
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| | - F Louwen
- Universitätsklinikum Frankfurt, ZFG – Molekulare Geburtshilfe, Frankfurt am Main, Deutschland
| |
Collapse
|
18
|
Schaarschmidt W, Holetzke L, Brüggmann D, Louwen F. Folsäuremangel-bedingte Panzytopenie in der Schwangerschaft – ein Fallbericht. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
| | - L Holetzke
- Universität Frankfurt, Frankfurt am Main, Deutschland
| | - D Brüggmann
- Universität Frankfurt, Frankfurt am Main, Deutschland
| | - F Louwen
- Universität Frankfurt, Frankfurt am Main, Deutschland
| |
Collapse
|
19
|
Möllmann CJ, Jennewein L, Paul B, Kielland-Kaisen U, Brüggmann D, Louwen F. Vaginale Beckenendlagengeburt vor und nach dem errechneten Geburtstermin Fall-Kontroll-Studie – FRABAT Kohorte. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- CJ Möllmann
- Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland
| | - L Jennewein
- Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland
| | - B Paul
- Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland
| | | | - D Brüggmann
- Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland
| | - F Louwen
- Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland
| |
Collapse
|
20
|
Hagen M, Jennewein L, Misselwitz B, Louwen F. Adipositas in der Schwangerschaft – Risiken für Mutter und Kind in der prä-, peri- und postnatalen Phase. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- M Hagen
- Universitätsklinikum Frankfurt am Main, Klinik für Frauenheilkunde und Geburtshilfe, Frankfurt am Main, Deutschland
| | - L Jennewein
- Universitätsklinikum Frankfurt am Main, Klinik für Frauenheilkunde und Geburtshilfe, Frankfurt am Main, Deutschland
| | - B Misselwitz
- Geschäftsstelle Qualitätssicherung Hessen, Eschborn, Deutschland
| | - F Louwen
- Universitätsklinikum Frankfurt am Main, Klinik für Frauenheilkunde und Geburtshilfe, Frankfurt am Main, Deutschland
| |
Collapse
|
21
|
Bock N, Raddatz LM, Louwen F. A giant fetal lymphangioma of the axilla and the anterolateral thorax: pre- and postnatal aspects. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- N Bock
- Universitätsklinikum Frankfurt, Geburtshilfe, Frankfurt am Main, Deutschland
| | - LM Raddatz
- Universitätsklinikum Frankfurt, Geburtshilfe, Frankfurt am Main, Deutschland
| | - F Louwen
- Universitätsklinikum Frankfurt, Geburtshilfe, Frankfurt am Main, Deutschland
| |
Collapse
|
22
|
Jennewein L, Kielland-Kaisen U, Paul B, Möllmann CJ, Brüggmann D, Raddatz LM, Schulze S, Bock N, Schaarschmidt W, Jörgens M, Louwen F. Das fetale Geburtsgewicht korreliert mit einer erhöhten Rate an sekundären Kaiserschnitten, jedoch nicht mit einer erhöhten perinatalen Morbidität bei vaginal angestrebten Geburten aus Beckenendlage. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- L Jennewein
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - U Kielland-Kaisen
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - B Paul
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - CJ Möllmann
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - D Brüggmann
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - LM Raddatz
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - S Schulze
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - N Bock
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - W Schaarschmidt
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - M Jörgens
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - F Louwen
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| |
Collapse
|
23
|
Ritter A, Louwen F, Yuan J. Deficient primary cilia in obese adipose-derived mesenchymal stem cells: obesity, a secondary ciliopathy? Obes Rev 2018; 19:1317-1328. [PMID: 30015415 DOI: 10.1111/obr.12716] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2018] [Revised: 04/24/2018] [Accepted: 05/09/2018] [Indexed: 12/14/2022]
Abstract
Obesity alters the composition, structure and function of adipose tissue, characterized by chronic inflammation, insulin resistance and metabolic dysfunction. Adipose-derived mesenchymal stem cells (ASCs) are responsible for cell renewal, spontaneous repair and immunomodulation in adipose tissue. Increasing evidence highlights that ASCs are deficient in obesity, and the underlying mechanisms are not well understood. We have recently shown that obese ASCs have defective primary cilia, which are shortened and unable to properly respond to stimuli. Impaired cilia compromise ASC functions. This work suggests an intertwined connection of obesity, defective cilia and dysfunctional ASCs. We have here discussed the current data regarding defective cilia in various cell types in obesity. Based on these observations, we hypothesize that obesity, a systemic chronic metainflammation, could impair cilia in diverse ciliated cells, like pancreatic islet cells, stem cells and hypothalamic neurons, making these critical cells dysfunctional by shutting down their signal sensors and transducers. In this context, obesity may represent a secondary form of ciliopathy induced by obesity-related inflammation and metabolic dysfunction. Reactivation of ciliated cells might be an alternative strategy to combat obesity and its associated diseases.
Collapse
Affiliation(s)
- A Ritter
- Department of Gynecology and Obstetrics, University Hospital, Goethe University Frankfurt, Frankfurt, Germany
| | - F Louwen
- Department of Gynecology and Obstetrics, University Hospital, Goethe University Frankfurt, Frankfurt, Germany
| | - J Yuan
- Department of Gynecology and Obstetrics, University Hospital, Goethe University Frankfurt, Frankfurt, Germany
| |
Collapse
|
24
|
Raddatz LM, Pulcer P, Jennewein L, Louwen F. Pregnancy outcome in patients with intrahepatic cholestasis of pregnancy in a single German Center. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- LM Raddatz
- Universitätsklinikum Frankfurt, Frankfurt, Deutschland
| | - P Pulcer
- Universitätsklinikum Frankfurt, Frankfurt, Deutschland
| | - L Jennewein
- Universitätsklinikum Frankfurt, Frankfurt, Deutschland
| | - F Louwen
- Universitätsklinikum Frankfurt, Frankfurt, Deutschland
| |
Collapse
|
25
|
Sommerlad S, Schulze S, Schermelleh-Engel K, Louwen F, Oddo-Sommerfeld S. Was triggert postpartale traumatische Belastungssymptome bei Patientinnen mit und ohne drohende Frühgeburt? Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- S Sommerlad
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - S Schulze
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - K Schermelleh-Engel
- Institut für Psychologie, Abteilung Methodenlehre und Evaluation/Goethe Universität, Frankfurt am Main, Deutschland
| | - F Louwen
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - S Oddo-Sommerfeld
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| |
Collapse
|
26
|
Hug T, Schulze S, Oddo-Sommerfeld S, Sommerlad S, Louwen F. Zusammenhänge zwischen medizinischen Risikofaktoren, peripartaler Depressivität der Mutter und Geburtsoutcome des Kindes im Rahmen einer drohenden Frühgeburt. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- T Hug
- Universitätsklinikum der J.-W.-Goethe Universität Frankfurt, Frauenklinik, Geburtshilfe, Frankfurt, Deutschland
| | - S Schulze
- Universitätsklinikum der J.-W.-Goethe Universität Frankfurt, Frauenklinik, Geburtshilfe, Frankfurt, Deutschland
| | - S Oddo-Sommerfeld
- Universitätsklinikum der J.-W.-Goethe Universität Frankfurt, Frauenklinik, Geburtshilfe, Frankfurt, Deutschland
| | - S Sommerlad
- Universitätsklinikum der J.-W.-Goethe Universität Frankfurt, Frauenklinik, Geburtshilfe, Frankfurt, Deutschland
| | - F Louwen
- Universitätsklinikum der J.-W.-Goethe Universität Frankfurt, Frauenklinik, Geburtshilfe, Frankfurt, Deutschland
| |
Collapse
|
27
|
Abstract
Obesity is associated with a variety of disorders including cardiovascular diseases, diabetes mellitus and cancer. Obesity changes the composition and structure of adipose tissue, linked to pro-inflammatory environment, endocrine/metabolic dysfunction, insulin resistance and oxidative stress. Adipose-derived mesenchymal stem cells (ASCs) have multiple functions like cell renewal, spontaneous repair and homeostasis in adipose tissue. In this review article, we have summarized the recent data highlighting that ASCs in obesity are defective in various functionalities and properties including differentiation, angiogenesis, motility, multipotent state, metabolism and immunomodulation. Inflammatory milieu, hypoxia and abnormal metabolites in obese tissue are crucial for impairing the functions of ASCs. Further work is required to explore the precise molecular mechanisms underlying its alterations and impairments. Based on these data, we suggest that deregulated ASCs, possibly also other mesenchymal stem cells, are important in promoting the development of obesity. Restoration of ASCs/mesenchymal stem cells might be an additional strategy to combat obesity and its associated diseases.
Collapse
Affiliation(s)
- F Louwen
- Department of Gynecology and Obstetrics, J. W. Goethe-University, Frankfurt, Germany
| | - A Ritter
- Department of Gynecology and Obstetrics, J. W. Goethe-University, Frankfurt, Germany
| | - N N Kreis
- Department of Gynecology and Obstetrics, J. W. Goethe-University, Frankfurt, Germany
| | - J Yuan
- Department of Gynecology and Obstetrics, J. W. Goethe-University, Frankfurt, Germany
| |
Collapse
|
28
|
Abstract
Our primary objective was to compare neonatal and maternal outcomes in women with twin pregnancies, beyond 32 weeks, having a planned vaginal birth or a planned caesarean section (CS). This was a retrospective cohort study from a single tertiary centre over nine years. 534 sets of twins ≥32 + 0 weeks of gestation were included. 401 sets were planned vaginally and 133 sets were planned by CS. We compared a composite adverse perinatal outcome (perinatal mortality or serious neonatal morbidity; five minute APGAR score ≤4, neurological abnormality and need for intubation) and a composite maternal adverse outcome (major haemorrhage, trauma or infection) between the groups. There were no significant differences. Given the similarity of these results with several other larger studies of twin birth, we sought to look at reasons why there is still a rising rate of CS for twin births. We further make suggestions for keeping this rate to a sensible minimum. Impact statement What is already known on this subject? The largest randomised controlled study comparing planned vaginal birth with planned CSs for lower risk twins between 32 and 39 weeks of gestation, showed no added safety from planned CS. However, in most of the Western countries this conclusion has failed to increase the number of planned vaginal births for lower risk twins. What do the results of this study add? This observational study from a single tertiary centre provides external validation of the twin trial results in a practical day-to-day setting. It also provides insights as to how planned vaginal birth can be developed and maintained, with a key focus on safety and maternal participation in decision making. It does focus on consent and providing accurate data. What are the implications of these findings for clinical practice and/or further research? There are good grounds to encourage vaginal birth for low-risk twin pregnancies. The trend of rising caesarean rates in low-risk twin pregnancies worldwide will erode important skills for the conduct of vaginal births without any clear benefit for mothers or babies. The current situation demands careful thought about implementing innovative training opportunities for younger obstetricians. Finally, we need intelligent responses to many non-evidence-based factors which can drive clinical practice.
Collapse
Affiliation(s)
- A Reitter
- a Department of Obstetrics and Gynaecology , University Hospital Frankfurt, Goethe-University , Frankfurt , Germany
| | - B A Daviss
- b Department of Obstetrics and Gynaecology, Midwifery Division , Montfort Hospital , Ottawa , Canada
| | - M J Krimphove
- a Department of Obstetrics and Gynaecology , University Hospital Frankfurt, Goethe-University , Frankfurt , Germany
| | - K C Johnson
- c Department of Epidemiology and Community Medicine , University of Ottawa , Ottawa , Canada
| | - R Schlößer
- d Department of Pediatrics, Division Neonatology , University Hospital Frankfurt, Goethe-University , Frankfurt , Germany
| | - F Louwen
- a Department of Obstetrics and Gynaecology , University Hospital Frankfurt, Goethe-University , Frankfurt , Germany
| | - A Bisits
- e Department of Obstetrics and Gynecology, Royal Hospital for Women , University of New South Wales , Randwick , Australia
| |
Collapse
|
29
|
Raddatz R, Reinhard J, Langer R, Fessler S, Kaufmann C, Nteli VA, Yuan J, Schiermeier S, Herrmann E, Eichbaum M, Louwen F. Mechanical versus pharmacological term induction: a cohort group analysis of maternal and neonatal outcome – hygroscopic cervical dilator versus intravaginal versus intracervical prostaglandin E2. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
30
|
Jasmer B, Muschol-Steinmetz C, Kreis NN, Steinhäuser K, Ritter A, Friemel A, Yuan J, Louwen F. The function of B-cell lymphoma 6 in trophoblastic cells. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
31
|
Morr AK, Hürter H, Voigt I, Louwen F. BEL bei Zustand nach Sektio. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
32
|
Voigt I, Louwen F. Ist die vaginale Geburt aus BEL bei Kindern > 3800gr kontraindiziert? Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
33
|
Hürter H, Voigt I, Zacharias M, Louwen F. Die vaginale Geburt aus BEL bei Terminüberschreitung – Management jenseits der 40. SSW. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
34
|
Klemt AS, Bogdanyova S, Louwen F. Peripartale Kardiomyopathie einer 29-jährigen IG/0P in der 37 SSW mit DC/DA-Gemini. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
35
|
Oddo-Sommerfeld S, Schulze S, Bodniece L, Schermelleh-Engel K, Louwen F. Depressivität bei (drohender) Frühgeburt im Längsschnittverlauf. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
36
|
Zacharias M, Louwen F. Einfluss der Parität auf den Geburtsmodus bei BEL. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
37
|
Mikic M, Stücker AU, Louwen F. Erfolgreiche Schwangerschaft unter Dialysetherapie. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
38
|
Streibert LA, Reinhard J, Yuan J, Schiermeier S, Eichbaum M, Louwen F. Clinical study: change in outlook towards birth after a midwife led antenatal education programme versus hypnoreflexogenous self-hypnosis training for childbirth. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
39
|
Buxmann H, Reitter A, Bapistella S, Stürmer M, Königs C, Ackermann H, Louwen F, Bader P, Schlößer RL, Willasch AM. Maternal CD4+ microchimerism in HIV-exposed newborns after spontaneous vaginal delivery or caesarean section. Early Hum Dev 2016; 98:49-55. [PMID: 27351353 DOI: 10.1016/j.earlhumdev.2016.06.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2016] [Revised: 05/24/2016] [Accepted: 06/14/2016] [Indexed: 01/21/2023]
Abstract
BACKGROUND Maternal CD4+ cell microchimerism may be greater after caesarean section compared to spontaneous vaginal delivery and could cause mother-to-child transmission (MTCT) in HIV-exposed newborns. AIMS To evaluate maternal CD4+ cell microchimerism in HIV-exposed newborns after spontaneous vaginal delivery or caesarean section. STUDY DESIGN AND SUBJECTS In this prospective single-centre study, neonates whose mothers were infected with HIV and had normal MTCT risk according to the German Austrian Guidelines were considered for study enrolment. Maternal CD4+ cell microchimerism in the newborns' umbilical cord blood was measured and compared by mode of delivery. RESULTS Thirty-seven HIV-infected mothers and their 39 newborns were included in the study. None of the 17 (0.0%) newborns delivered vaginally had quantifiable maternal CD4+ cells (95% confidence interval (CI): 0.00-0.00) in their circulation at birth compared with four of 16 (25.0%) newborns delivered via planned caesarean section, who showed 0.01-0.66% maternal cells (95% CI: -0.06-0.16; P=0.02) in their circulation. The intention to treat analysis, which included six additional newborns delivered by unplanned caesarean section, showed quantifiable maternal CD4+ cells in one (0.05%; 95% CI: -0.02-0.04) of 23 (4.3%) newborn at birth compared to four of 16 (25.0%) born via planned caesarean section (95% CI: -0.06-0.16; P=0.04). There was no MTCT in any of the newborns. CONCLUSION In this small cohort, spontaneous vaginal delivery in HIV-infected women with normal MTCT risk was associated with lower maternal CD4+ cell transfer to newborns compared to planned caesarean section.
Collapse
Affiliation(s)
- H Buxmann
- Goethe University, Department for Children and Adolescents, Division for Neonatology, University Hospital Frankfurt/Main, Germany.
| | - A Reitter
- Department of Gynecology and Obstetrics, Division of Obstetrics and Prenatal Medicine, University Hospital Frankfurt/Main, Germany
| | - S Bapistella
- Goethe University, Department for Children and Adolescents, Division for Neonatology, University Hospital Frankfurt/Main, Germany
| | - M Stürmer
- Institute for Medical Virology, University Hospital Frankfurt/Main, Germany
| | - C Königs
- Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt/Main, Germany
| | - H Ackermann
- Institute of Biostatistics and Mathematical Modeling, University Hospital Frankfurt/Main, Germany
| | - F Louwen
- Department of Gynecology and Obstetrics, Division of Obstetrics and Prenatal Medicine, University Hospital Frankfurt/Main, Germany
| | - P Bader
- Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt/Main, Germany
| | - R L Schlößer
- Goethe University, Department for Children and Adolescents, Division for Neonatology, University Hospital Frankfurt/Main, Germany
| | - A M Willasch
- Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt/Main, Germany
| |
Collapse
|
40
|
Streibert LA, Reinhard J, Yuan J, Schiermeier S, Louwen F. Clinical Study: Change in Outlook Towards Birth After a Midwife Led Antenatal Education Programme Versus Hypnoreflexogenous Self-Hypnosis Training for Childbirth. Geburtshilfe Frauenheilkd 2015; 75:1161-1166. [PMID: 26719600 DOI: 10.1055/s-0035-1558250] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
Aim: To compare the change of maternal outlook towards birth due to a midwife led antenatal education programme versus hypnoreflexogenous self-hypnosis training for childbirth. Method: Before beginning of the classes and after the last class maternal perception on birth was evaluated using Osgood semantic differential questionnaire. The Gießen personality score was evaluated once. Results: 213 patients were enrolled in this study. 155 were in the midwife led education programme and 58 in the self-hypnosis training programme. There was no statistically significant difference between the two groups in regard of participants' characteristics, Gießen personality score and initial Osgood semantic differential scores. After the midwife led course childbirth was emotionally more negatively scored (displeasure, tarnishing, dimension evaluation [p < 0.05]), whereas after the hypnosis course childbirth was emotionally more positively evaluated (pleasure, harmony, dimension evaluation [p < 0.01] and brightness [p < 0.05]). Summary: In this study hypnoreflexogenous self-hypnosis training resulted in a positive maternal outlook towards childbirth, in comparison to the midwife led course. Further prospective randomised studies are required to test these initial results.
Collapse
Affiliation(s)
- L A Streibert
- Johann Wolfgang Goethe-University Frankfurt am Main, Faculty of Medicine, Department of Obstetrics and Gynaecology, Frankfurt am Main
| | - J Reinhard
- St. Marienkrankenhaus, Frauenklinik, Frankfurt
| | - J Yuan
- Johann Wolfgang Goethe-University Frankfurt am Main, Faculty of Medicine, Department of Obstetrics and Gynaecology, Frankfurt am Main
| | - S Schiermeier
- University Witten/Herdecke, Marien-Hospital Witten, Witten
| | - F Louwen
- Johann Wolfgang Goethe-University Frankfurt am Main, Faculty of Medicine, Department of Obstetrics and Gynaecology, Frankfurt am Main
| |
Collapse
|
41
|
Fornoff F, Rebhan D, Messroghli L, Zangos S, Louwen F. Frankfurt Placenta Percreta Procedure (FPPP) bei Plazena praevia et percreta mit Beckenwand- und Mesenteriuminfiltration nach Sectio und Asherman-Syndrom. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
42
|
Klemt AS, Zangos S, Voigt I, Louwen F. Korrelation der Rate sekundärer Sectiones Erstgebärender mit BEL mit der CVO, dem Abstand zwischen den Tuber ischiadicae. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
43
|
Voigt I, Hürter H, Zacharias M, Louwen F. Ist die vaginale Geburt aus BEL bei Kindern > 3800gr kontraindiziert? Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
44
|
Neuhoff A, Fornoff F, Louwen F. Zusammenhang von präpartalem HbA1c, BMI und peripartalem Outcome. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
45
|
Morr AK, Zacharias M, Klemt A, Hürter H, Voigt I, Louwen F. Zustand nach Sektio, Einlingsgravidität und BEL. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
46
|
Voigt I, Louwen F. Schwangerschaft nach multimodaler Myombehandlung. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
47
|
Hürter H, Gfrörer S, Wittekindt B, Fornoff F, Louwen F. Erfolgreiches interdisziplinäres Management eines soliden fetalen Steißbeinteratoms Typ II mit kardialer Dekompensation und generalisiertem Hydrops fetalis in der 30. SSW. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
48
|
Kiene P, Fornoff F, Louwen F. Ductus arteriosus Aneurysma (DAA) – imposanter Befund mit Spontanheilung. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
49
|
Mikic M, Louwen F. Syntheseleistung Placenta percreta et praevia im Vergleich zu Schwangeren ohne Plazentaimplantationsstörung. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
50
|
Zacharias M, Klemt A, Hürter H, Voigt I, Morr AK, Louwen F. Erst- und Mehrgebärende mit Einlingsgravidität und BEL. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|