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Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
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The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
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Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
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Updated: May 24, 2026

The Perinatal Asphyxiated Lamb Model: A Model for Newborn Resuscitation
09:03

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Published on: August 15, 2018

Early term births: considerations in management.

Luisa Wetta1, Alan T N Tita

  • 1Maternal and Fetal Medicine Division, UAB Department of Obstetrics & Gynecology, 1700 6th Avenue South, Women & Infants Center, Room 10270, Birmingham, AL 35233, USA. luisa.wetta@obgyn.uab.edu

Obstetrics and Gynecology Clinics of North America
|February 29, 2012
PubMed
Summary

Early term birth, often without clear benefit, is linked to poorer infant outcomes. Interventions reducing early deliveries can significantly improve neonatal health and avoid unnecessary risks.

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07:36

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Published on: November 20, 2015

Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Health
  • Healthcare Management

Background:

  • Early term deliveries (37-38 weeks) are common but associated with suboptimal neonatal outcomes.
  • There is no clear maternal benefit demonstrated for early term births.
  • Some early term births are medically indicated for maternal or fetal well-being.

Purpose of the Study:

  • To analyze factors influencing early term birth rates.
  • To evaluate strategies for reducing non-medically indicated early term deliveries.
  • To highlight the importance of fetal lung maturity assessment.

Main Methods:

  • Review of patient, provider, and system characteristics affecting delivery timing.
  • Analysis of outcomes associated with early term birth versus full term.
  • Implementation of an intervention involving administrative support, indication review, and provider feedback.

Main Results:

  • Early term delivery frequency varies significantly based on multiple factors.
  • Demonstrated fetal lung maturity can mitigate some risks but may not equate to 39-40 week outcomes.
  • The intervention significantly reduced the frequency of early term births over time.

Conclusions:

  • Early term delivery should be avoided when there are no medical or obstetric risks.
  • Provider and patient desires are crucial in guiding delivery decisions.
  • Simple interventions can effectively decrease early term birth rates, improving neonatal outcomes.