Cell-free DNA (cfDNA) sequencing analysis for fetal aneuploidies - chromosomal abnormalities - can incidentally detect maternal cancer, according to a study published in NEJM. Researchers screened 107 pregnant and postpartum mothers with no symptoms of cancer, but who had received unusual clinical cfDNA sequencing results, for cancer. In this sample, cancer was present in 48% of the women.
Men often struggle with the transition to fatherhood due to a lack of information and emotional support targeted to their needs, suggests a review of the available qualitative evidence, published in the open access journal BMJ Open. The researchers say there needs to be a greater focus on clinical practice, antenatal services and research into men's unique experiences during the perinatal period, which encompasses pregnancy and the first 12 months after birth.
Canadian research analysing more than 863,000 births over almost a decade, including 806 surrogacy deliveries, concluded that the risk of severe maternal morbidity was 7.8% in gestational carriers, more than three times the risk of conception without assisted reproductive techniques and almost twice the risk in IVF pregnancies. The three most frequent complications were severe postpartum haemorrhage, severe pre-eclampsia and puerperal sepsis. The study is published in the Annals of Internal Medicine.
An international team of researchers has conducted a study in which they conclude that increased activity of the brain amygdala detected by magnetic resonance imaging is associated with an increased risk of developing symptoms of depression in pregnant women. According to the authors, the finding could be used to identify those who are more likely to suffer from postpartum depression. The results of the study, still in prepublication form and not yet peer-reviewed, will be presented at the ECNP (European College of Neuropsychopharmacology) conference.
A study describes changes in a woman's brain during and after pregnancy, including a ‘pronounced’ decrease in grey matter volume and cortical thickness, and an increase in ventricular volume and cerebrospinal fluid. Some of the changes are maintained in the postpartum period; others reverse within months. The team performed 26 MRI scans and blood tests on one mother, from pre-conception until two years postpartum, and publish the results in Nature Neurology.
A healthy diet during pregnancy is associated with a lower likelihood of children being diagnosed with autism or communication difficulties, according to a study. The research team did not find a correlation between prenatal diet and repetitive and restricted behaviors (characteristic of these disorders). The analysis is published in JAMA Network Open and gathers data from more than 96,000 mother-child pairs in England and Norway.
Management of gestational diabetes should include earlier testing during pregnancy, as well as testing in the postpartum period, according to a series of papers published in The Lancet. Screening is usually done during the second half of pregnancy, but the authors note that diagnosis and treatment is especially beneficial before 14 weeks of pregnancy.
A study conducted in Spain and five other European countries shows that exposure to mixtures of endocrine disruptors during pregnancy is associated with metabolic health problems in children. The research, published in JAMA Network Open, followed more than 1,100 mother-child pairs between 2003 and 2016 and found a correlation between measures of metabolic dysfunction in children aged 6-11 years, and their prenatal exposure to chemicals such as metals or organochlorine pesticides, among others. According to the authors, these results could be related to the current increase in metabolic syndrome across the lifespan, which results in an increased risk of cardiovascular disease and type 2 diabetes.
Un estudio analizó la edad biológica de más de 1.700 participantes utilizando seis relojes epigenéticos diferentes. Los resultados mostraban que cada embarazo individual reportado por una mujer se correlacionaba con un envejecimiento biológico adicional de dos a tres meses. Estos efectos persistían incluso cuando se tenían en cuenta el estatus socioeconómico, el tabaquismo, la variación genética y la urbanidad del entorno de los participantes. El estudio se publica en PNAS.
The NEJM publishes the results of a phase III clinical trial conducted by GSK that had to be suspended due to a safety signal. The study shows that newborns of vaccinated mothers had a lower risk of experiencing severe events associated with the respiratory syncytial virus (RSV), but also a higher risk of being born prematurely.