Dr. Todros studies how various conditions and factors during pregnancy, such as low oxygen levels, diabetes, and preeclampsia, impact fetal development and maternal health. He investigates both the physiological changes in fetuses and mothers as well as potential treatments to improve outcomes. For example, his research looks at how fetuses respond to face-like images, how adrenal glands react in growth-restricted fetuses, and how different interventions can manage complications like preeclampsia and gestational diabetes.
Key findings
By 26 weeks of pregnancy, fetuses show a significant preference for face-like images, which is linked to the growth of certain brain structures.
In fetuses with intrauterine growth restriction (IUGR), the adrenal glands are larger and produce more hormones, indicating they are under stress.
A placenta-derived treatment used on mice with preeclampsia resulted in no fetal growth restrictions and lower blood pressure compared to untreated mice.
In a large study of over 27,800 deliveries, higher pre-pregnancy body weights were associated with nearly 30% higher risks of gestational diabetes and preeclampsia.
The use of a new fetal monitoring technology during labor reduced cases of metabolic acidosis by 36% and decreased the need for assisted deliveries by 8%.
Frequently asked questions
Does Dr. Todros study pregnancy complications?
Yes, Dr. Todros specifically investigates various complications during pregnancy, including preeclampsia, gestational diabetes, and intrauterine growth restriction.
What does Dr. Todros find about fetal development?
He has found that fetuses as young as 26 weeks prefer face-like images, which indicates their brain is developing in ways that prepare them for social interactions.
How does Dr. Todros's work help pregnant women?
His research helps healthcare providers understand and manage pregnancy complications, ultimately leading to better health outcomes for both mothers and their babies.
Is Dr. Todros's research relevant to women with Multiple Sclerosis?
Yes, his studies explore how pregnancy can affect immune responses in women with Multiple Sclerosis, providing insights that could help manage the condition during pregnancy.
What treatments has Dr. Todros researched for preeclampsia?
He has researched a placenta-derived treatment that showed promise in reversing harmful effects of preeclampsia in animal models, indicating potential for human application.
Publications in plain English
At First Sight: Fetal Eye Movements Reveal a Preference for Face-Like Configurations From 26 Weeks of Gestation.
2025
Developmental science
Ronga I, Poles K, Pace C, Fantoni M, Luppino J +3 more
Plain English This study looked at how fetuses respond to images that look like faces compared to those that don't, specifically from 26 weeks of pregnancy. Researchers found that as the pregnancy progressed, fetuses made more eye movements when they saw face-like shapes. By 26 weeks, they preferred face-like images over other shapes, and this preference correlated with the growth of certain brain structures.
Who this helps: This helps parents and doctors understand early brain development and the importance of face recognition.
In vivo mitochondria-targeted protection against uterine artery vascular dysfunction and remodelling in rodent hypoxic pregnancy.
2024
The Journal of physiology
Wang Z, Camm EJ, Nuzzo AM, Spiroski AM, Skeffington KL +8 more
Plain English This study looked at how low oxygen levels during pregnancy negatively affect the blood vessels in the uterus and explored a potential treatment. Researchers found that giving a special antioxidant called MitoQ to pregnant rats exposed to low oxygen improved the function of their uterine arteries and prevented changes to their blood vessel structure. This matters because problems with these arteries can lead to serious complications for both mothers and their babies during pregnancy.
Who this helps: This helps pregnant women at risk of complications and their healthcare providers.
Anatomical and functional changes of the fetal adrenal gland in intrauterine growth restriction.
2024
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Martinelli S, Rolfo A, Pace C, Canu L, Nuzzo AM +3 more
Plain English This study looked at the adrenal glands of fetuses that are smaller than expected due to poor growth in the womb, known as intrauterine growth restriction (IUGR). Researchers found that the adrenal glands in IUGR fetuses were larger compared to healthy controls and produced more noradrenaline and adrenaline, suggesting they work harder under stressful conditions. This matters because understanding these changes can help doctors better manage the health of these vulnerable fetuses and improve outcomes after birth.
Who this helps: This helps doctors and healthcare providers caring for pregnant patients and their babies.
Corrigendum to "The Italian guidelines on ultrasound in obstetrics and gynecology: Executive summary of recommendations for practice" [Eur. J. Obstetrics Gynecol. 279 (2022) 176-182].
2023
European journal of obstetrics, gynecology, and reproductive biology
Aprile A, Calì G, Chianchiano N, Chiappa V, Corbella P +46 more
RETRACTED: Correlations between parameters of glycaemic variability and foetal growth, neonatal hypoglycaemia and hyperbilirubinemia in women with gestational diabetes.
2023
PloS one
Blasi I, Daolio J, Pugni V, Comitini G, Morciano M +4 more
Plain English This study looked at how changes in blood sugar levels in pregnant women with gestational diabetes can predict problems for their babies, such as excessive growth, low blood sugar right after birth, and high bilirubin levels, which can cause jaundice. Researchers analyzed data from 12 women and found that certain fluctuations in blood sugar levels during the third trimester were linked to these complications. Understanding these patterns could help improve care for these pregnancies and reduce risks for newborns.
Who this helps: This benefits pregnant women with gestational diabetes and their babies.
Effect of Placenta-Derived Mesenchymal Stromal Cells Conditioned Media on an LPS-Induced Mouse Model of Preeclampsia.
2022
International journal of molecular sciences
Nuzzo AM, Moretti L, Mele P, Todros T, Eva C +1 more
Plain English This study investigated how a special treatment from human placenta cells could help mice with a severe pregnancy condition called preeclampsia. The researchers found that mice treated with this placenta-derived treatment had no signs of fetal growth restriction and lower blood pressure and inflammation markers compared to untreated mice. This is important because it shows that this treatment could potentially reverse harmful effects of preeclampsia during pregnancy.
Who this helps: This helps pregnant women facing preeclampsia and their babies.
Role of the Macrophage Migration Inhibitory Factor in the Pathophysiology of Pre-Eclampsia.
2021
International journal of molecular sciences
Todros T, Paulesu L, Cardaropoli S, Rolfo A, Masturzo B +3 more
Plain English This research paper studied a protein called macrophage migration inhibitory factor (MIF) and its role in a pregnancy complication known as pre-eclampsia (PE). It found that low levels of MIF early in pregnancy may lead to issues with how the placenta develops, which in turn can cause problems later, such as high MIF levels in the mother’s blood. Understanding MIF’s role is important because it could help us better identify and treat pre-eclampsia, a condition that can seriously affect both mothers and babies.
Who this helps: Patients, especially pregnant women at risk of pre-eclampsia.
Current use and performance of the different fetal growth charts in the Italian population.
2020
European journal of obstetrics, gynecology, and reproductive biology
Stampalija T, Ghi T, Rosolen V, Rizzo G, Ferrazzi EM +6 more
Plain English This study looked at how different hospitals in Italy use fetal growth charts to track the growth of unborn babies. Researchers found that 86% of the hospitals surveyed had different practices, leading to inaccurate assessments of fetal size. For example, using the Intergrowth-21st charts, 3.9% of babies were considered too small, while 29.9% were labeled too large, compared to higher numbers using the World Health Organization charts.
Who this helps: This impacts healthcare providers and improves the care of expecting mothers and their babies.
Genetic and molecular evidence for complement dysregulation in patients with HELLP syndrome.
2020
Thrombosis research
Bazzan M, Todros T, Tedeschi S, Ardissino G, Cardaropoli S +5 more
Plain English This study looked at the causes of HELLP syndrome, a serious pregnancy complication that affects 2.5 out of every 1,000 deliveries. The researchers found that women with HELLP had much higher levels of certain proteins in their blood related to a part of the immune system called the complement system compared to healthy pregnant women. The findings highlight that both immune system issues and blood clotting problems play a role in the syndrome, suggesting that targeting these areas could help manage the condition and potentially delay delivery.
Who this helps: This helps pregnant women at risk for HELLP syndrome by improving understanding and potential treatment options.
Should phenotype of previous preterm birth influence management of women with short cervix in subsequent pregnancy? Comparison of vaginal progesterone and Arabin pessary.
2019
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
Care A, Muller-Myhsok B, Olearo E, Todros T, Caradeux J +4 more
Plain English This study looked at how a woman’s past experience with preterm birth affects the effectiveness of two treatments—cervical pessary and vaginal progesterone—for preventing preterm birth in future pregnancies when the woman has a short cervix. Researchers found that among women treated with a pessary, 16% of those with a history of preterm labor had a preterm birth before 34 weeks, compared to 55% of those with a history of preterm rupture of membranes (PPROM). For women receiving progesterone, the rates were 13% for the labor group and 21% for the PPROM group. This research matters because it highlights that a woman’s previous birth type can significantly impact the prevention treatment's success in future pregnancies.
Who this helps: This helps pregnant women at risk of preterm birth and their doctors in making informed treatment decisions.
Risk of adverse pregnancy outcomes by pre-pregnancy Body Mass Index among Italian population: a retrospective population-based cohort study on 27,807 deliveries.
2019
Archives of gynecology and obstetrics
Masturzo B, Franzè V, Germano C, Attini R, Gennarelli G +7 more
Plain English This study looked at how a woman's weight before pregnancy affects complications during pregnancy and childbirth in Italy. It included 27,807 deliveries and found that women with higher Body Mass Index (BMI) faced significantly higher risks of issues like gestational diabetes and preeclampsia; for instance, lowering BMI by 10% reduced the risk of these complications by nearly 30%. Understanding this relationship is crucial because it helps highlight the importance of maintaining a healthy weight before pregnancy to improve outcomes for both mothers and babies.
Who this helps: This benefits expectant mothers and healthcare providers.
Comparison of two "a priori" risk assessment algorithms for preeclampsia in Italy: a prospective multicenter study.
2019
Archives of gynecology and obstetrics
Di Martino D, Masturzo B, Paracchini S, Bracco B, Cavoretto P +12 more
Plain English This study compared two methods for assessing the risk of preeclampsia in pregnant women in Italy. Researchers looked at data from over 11,600 pregnancies and found that the Fetal Medicine Foundation's algorithm detected early preeclampsia in 58.2% of cases and late preeclampsia in 44.1%, while the BCNatal algorithm detected 41.8% and 38%, respectively. These findings are important because early detection of preeclampsia can lead to better management and outcomes for both mothers and babies.
Who this helps: This helps doctors and healthcare providers in managing the care of pregnant women.
Fetal electrocardiography ST-segment analysis for intrapartum monitoring: a critical appraisal of conflicting evidence and a way forward.
2019
American journal of obstetrics and gynecology
Amer-Wåhlin I, Ugwumadu A, Yli BM, Kwee A, Timonen S +9 more
Plain English This study examined the use of a new technology that analyzes fetal heart signals during labor to see if it improves monitoring compared to standard methods. The findings showed that using this technique reduced cases of metabolic acidosis (a harmful condition related to low oxygen levels) by 36% and decreased the need for assisted vaginal deliveries by 8%. This is important because better monitoring can lead to safer deliveries and fewer unnecessary medical interventions.
Who this helps: Patients and their babies during labor.
Vaginal delivery in women with HIV in Italy: results of 5 years of implementation of the national SIGO-HIV protocol.
2019
Infection
Tibaldi C, Masuelli G, Sansone M, Tassis B, Cetin I +14 more
Plain English This study looked at the safety of vaginal delivery for women with HIV in Italy over five years. Out of 580 women, 142 (24.5%) had vaginal deliveries, which increased from 18.9% in 2012 to 35.3% in 2017. The results showed that vaginal delivery posed minimal risk, with only a 0.4% rate of HIV transmission and similar rates of delivery complications compared to cesarean sections, but it remains underused compared to other countries.
Who this helps: This helps women with HIV and their healthcare providers by showing that vaginal delivery can be a safe option.
Ultrasound accuracy in prenatal diagnosis of abnormal placentation of posterior placenta previa.
2019
European journal of obstetrics, gynecology, and reproductive biology
Garofalo A, Pilloni E, Alemanno MG, Garofalo G, Sciarrone A +2 more
Plain English This study looked at how well ultrasound can detect certain complications related to the placenta in pregnant women who have a condition called posterior placenta previa. Among 198 women examined, 20 were found to have these complications, known as placenta accreta spectrum disorders, with ultrasound showing 60% sensitivity, meaning it correctly identified the condition in 60% of cases. The research indicates that getting a prenatal diagnosis can lead to better maternal outcomes, even though the differences weren't statistically significant.
Who this helps: This benefits pregnant women with posterior placenta previa and their healthcare providers.
Time remaining in labor and probability of vaginal delivery as a function of the angle of progression in a low risk population with a normal first stage of labor. In-house observational study and comparison with the data in the literature.
2018
Minerva ginecologica
Masturzo B, Piazzese A, Paracchini S, Quezada MS, Todros T +1 more
Plain English This study looked at whether the angle of progression (AoP) during labor could predict how long a woman would remain in labor and her chances of having a vaginal delivery. Researchers followed 270 low-risk pregnant women and found that those with a higher AoP had much shorter labors and a higher likelihood of delivering vaginally. For example, women in the highest quartile of AoP had a 99.3% chance of vaginal delivery, compared to 51.5% in the lowest quartile.
Who this helps: This research helps expectant mothers and healthcare providers understand labor progression better.
Maternal outcomes in first and second trimester termination of pregnancy: which are the risk factors?
2018
Journal of perinatal medicine
Garofalo G, Garofalo A, Sochirca O, Alemanno MG, Pilloni E +4 more
Plain English This study looked at the health complications that women might face when ending a pregnancy in the first or second trimester, especially after tests indicated genetic issues. Researchers analyzed data from 844 women and found that those who had second trimester terminations experienced more complications—about six women had uterine ruptures, and three needed hysterectomies, all in women who had previously given birth by cesarean. The findings highlight that earlier terminations in the first trimester can lead to better health outcomes and lower costs for women at risk of complications.
Who this helps: This helps women facing high-risk pregnancies and their healthcare providers.
Outcome in early-onset fetal growth restriction is best combining computerized fetal heart rate analysis with ductus venosus Doppler: insights from the Trial of Umbilical and Fetal Flow in Europe.
2018
American journal of obstetrics and gynecology
Frusca T, Todros T, Lees C, Bilardo CM,
Plain English This study looked at how to best manage pregnancies where a fetus isn't growing properly early on, which can lead to serious complications. Out of 511 women studied, 92% of the fetuses survived, and only 1% of babies with known outcomes developed cerebral palsy. The findings show that using a specific monitoring method (late ductus venosus Doppler analysis) led to better outcomes for the babies compared to just monitoring heart rate, suggesting this approach should be prioritized for safer deliveries.
Who this helps: This research benefits patients, particularly pregnant women dealing with fetal growth issues and their healthcare providers.
Maternal serum levels and placental expression of hepcidin in preeclampsia.
2018
Pregnancy hypertension
Cardaropoli S, Todros T, Nuzzo AM, Rolfo A
Plain English This study looked at hepcidin levels in pregnant women to see if they could help understand preeclampsia, a serious pregnancy condition. The researchers found that, compared to healthy pregnancies, hepcidin levels in the placenta were lower in women with preeclampsia and fetal growth restriction. They also discovered that women who later developed preeclampsia had higher hepcidin levels in their blood during the first half of their pregnancy.
Who this helps: This research helps pregnant women and their healthcare providers by identifying potential early warning signs of preeclampsia.
Lower maternal serum tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) levels in early preeclampsia. A retrospective study.
2018
Pregnancy hypertension
Morano D, Rolfo A, Tisato V, Farina A, Rimondi E +4 more
Plain English This study looked at levels of a substance called TRAIL in the blood of pregnant women to see if those levels were different in women with early preeclampsia compared to those with normal pregnancies. It found that women with early preeclampsia had significantly lower TRAIL levels (about 29.64 pg/dL) compared to those with uncomplicated pregnancies (around 43.8 pg/dL). This matters because these lower levels of TRAIL could indicate a higher risk for heart problems later in life for these women.
Who this helps: This helps patients, especially pregnant women at risk for preeclampsia and their healthcare providers.
Randomised Italian Sonography for occiput POSition Trial Ante vacuum (R.I.S.POS.T.A.).
2018
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
Ghi T, Dall'Asta A, Masturzo B, Tassis B, Martinelli M +9 more
Plain English This study looked at whether using an ultrasound to check the position of a baby's head before attempting a vacuum delivery would lower the chances of needing an emergency C-section due to a failed delivery. The research involved nearly 221 women and found no significant difference in emergency C-sections between those diagnosed with vaginal exams and those who also had ultrasound assessments. This matters because it means that adding ultrasound does not improve delivery outcomes for mothers and babies.
Who this helps: This helps mothers in labor and their healthcare providers.
A best-practice position statement on pregnancy after kidney transplantation: focusing on the unsolved questions. The Kidney and Pregnancy Study Group of the Italian Society of Nephrology.
2018
Journal of nephrology
Cabiddu G, Spotti D, Gernone G, Santoro D, Moroni G +8 more
Plain English This study looks at the challenges and risks of pregnancy for women who have received a kidney transplant. It found that women with good kidney function—defined as a filtration rate of at least 60 ml/min and low protein levels—are at lower risk during pregnancy. However, those with kidney-related issues, like high blood pressure or poor kidney function, face greater risks, including worse kidney health and complications like preeclampsia. This matters because understanding these risks can help healthcare providers better manage pregnancies in women with kidney transplants.
Who this helps: This benefits patients who are kidney transplant recipients and considering pregnancy, as well as their healthcare providers.
Correction to: A best-practice position statement on pregnancy after kidney transplantation: focusing on the unsolved questions. The Kidney and Pregnancy Study Group of the Italian Society of Nephrology.
2018
Journal of nephrology
Cabiddu G, Spotti D, Gernone G, Santoro D, Moroni G +8 more
Plain English This paper is a correction to a previous publication that focused on the best practices for pregnancy after kidney transplantation. It noted that the original article had an error where the authors' names were switched. This matters because accurate authorship is crucial for proper credit and acknowledgment in medical research.
Who this helps: This helps researchers and healthcare professionals who rely on accurate information in medical literature.
Reflux nephropathy and the risk of preeclampsia and of other adverse pregnancy-related outcomes: a systematic review and meta-analysis of case series and reports in the new millennium.
2018
Journal of nephrology
Attini R, Kooij I, Montersino B, Fassio F, Gerbino M +4 more
Plain English This study looked at how reflux nephropathy, a condition that affects the urinary system, impacts pregnancy outcomes, particularly risks like high blood pressure during pregnancy and preeclampsia. Researchers reviewed data from 434 women who had 879 pregnancies and found that women with reflux nephropathy were significantly more likely to develop pregnancy-induced hypertension (5.5 times more likely) and preeclampsia (6.0 times more likely) compared to women with low-risk pregnancies. This matters because it highlights the need for close monitoring of women with this condition during pregnancy to prevent serious complications.
Who this helps: This helps patients with reflux nephropathy and their healthcare providers.
A Systematic Review on Materno-Foetal Outcomes in Pregnant Women with IgA Nephropathy: A Case of "Late-Maternal" Preeclampsia?
2018
Journal of clinical medicine
Piccoli GB, Kooij IA, Attini R, Montersino B, Fassio F +5 more
Plain English This study looked at the effects of IgA nephropathy, a kidney disease, on pregnant women and their babies. Researchers analyzed data from 729 pregnancies in women with this condition and found that these women are more than ten times more likely to develop high blood pressure and preeclampsia during pregnancy compared to healthy women. However, pregnancy did not seem to worsen kidney function. This information matters because it highlights specific risks that doctors need to be aware of when caring for pregnant women with IgA nephropathy.
Who this helps: Expecting mothers with IgA nephropathy and their healthcare providers.
Placental Adaptation to Early-Onset Hypoxic Pregnancy and Mitochondria-Targeted Antioxidant Therapy in a Rodent Model.
2018
The American journal of pathology
Nuzzo AM, Camm EJ, Sferruzzi-Perri AN, Ashmore TJ, Yung HW +10 more
Plain English Researchers studied how the placenta adapts to low oxygen levels during pregnancy and whether a special antioxidant treatment could help protect the placenta from stress. They found that while low oxygen didn't affect fetal growth, it increased the size of the placenta and put stress on its cells. Treating pregnant rats with the antioxidant MitoQ improved the placenta's blood flow and reduced stress, suggesting it could help in pregnancies complicated by low oxygen.
Who this helps: This benefits pregnant women facing low oxygen conditions and their unborn babies.
Pregnancy Epigenetic Signature in T Helper 17 and T Regulatory Cells in Multiple Sclerosis.
2018
Frontiers in immunology
Iannello A, Rolla S, Maglione A, Ferrero G, Bardina V +18 more
Plain English This study looked at how pregnancy affects specific immune cells in women with Multiple Sclerosis (MS), focusing on the roles of estrogen in these changes. Researchers found that during pregnancy, certain gene regions in T helper and regulatory cells were influenced by estrogen, leading to a reduction in harmful immune responses. Specifically, in the third trimester, the profile of these cells suggested a positive effect of the pregnancy hormones, which could help manage the disease.
Who this helps: This helps women with Multiple Sclerosis, especially those who are pregnant or planning to become pregnant.
Longitudinal study of computerized cardiotocography in early fetal growth restriction.
2017
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
Wolf H, Arabin B, Lees CC, Oepkes D, Prefumo F +21 more
Plain English This study looked at how to monitor and predict problems in babies with early growth restrictions before birth by analyzing patterns in their heart rates. Researchers found that using heart rate data, the chances of identifying potential distress were low—around 42% sensitivity and 91% specificity. However, the risk of low heart rate variation was about 5% each day, and factors like heart rate patterns did not effectively predict the baby’s long-term health outcomes.
Who this helps: This research helps doctors caring for pregnant women with high-risk pregnancies.
Fetal monitoring indications for delivery and 2-year outcome in 310 infants with fetal growth restriction delivered before 32 weeks' gestation in the TRUFFLE study.
2017
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
Visser GHA, Bilardo CM, Derks JB, Ferrazzi E, Fratelli N +8 more
Plain English In the TRUFFLE study, researchers looked at how different fetal monitoring methods impacted the delivery and two-year outcomes for 310 infants who had growth restrictions and were born before 32 weeks of pregnancy. They found that only 32% of infants were delivered based on the recommended monitoring methods, while many others were delivered for safety reasons or maternal concerns. Within the monitoring groups, those in the fetal ductus venosus (DV) groups had better survival rates at two years compared to those monitored with fetal heart rate changes.
Who this helps: This research benefits doctors and healthcare providers who manage pregnancies complicated by fetal growth restriction.
Altered expression of G1/S phase cell cycle regulators in placental mesenchymal stromal cells derived from preeclamptic pregnancies with fetal-placental compromise.
2017
Cell cycle (Georgetown, Tex.)
Nuzzo AM, Giuffrida D, Masturzo B, Mele P, Piccoli E +3 more
Plain English This study looked at placental cells from both healthy pregnancies and those affected by preeclampsia, a condition that can complicate pregnancy. The researchers found that cells from preeclamptic pregnancies had higher levels of certain proteins (p16 and p18) that regulate how cells grow and divide. Specifically, they reported that the levels of p16 and p18 were significantly higher in cells from preeclamptic pregnancies compared to normal ones, which suggests that something is wrong with how these cells function, potentially leading to issues in the pregnancy.
Who this helps: This research benefits doctors and researchers working to understand and manage complications in pregnancies affected by preeclampsia.
Outcomes of Pregnancies After Kidney Transplantation: Lessons Learned From CKD. A Comparison of Transplanted, Nontransplanted Chronic Kidney Disease Patients and Low-Risk Pregnancies: A Multicenter Nationwide Analysis.
2017
Transplantation
Piccoli GB, Cabiddu G, Attini R, Gerbino M, Todeschini P +20 more
Plain English This study looked at the outcomes of pregnancies in women who had received kidney transplants compared to those with chronic kidney disease (CKD) and those with low-risk pregnancies. The researchers found that pregnancies after kidney transplants had similar outcomes to those of women with CKD, especially when considering factors like kidney function and high blood pressure. For example, women with CKD stages 2 to 5 had more than three times the risk of having preterm deliveries compared to those with stage 1 kidney disease, highlighting the challenges faced by these patients.
Who this helps: This research helps doctors and patients considering pregnancy after kidney transplantation or dealing with chronic kidney disease.
How to monitor pregnancies complicated by fetal growth restriction and delivery before 32 weeks: post-hoc analysis of TRUFFLE study.
2017
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
Ganzevoort W, Mensing Van Charante N, Thilaganathan B, Prefumo F, Arabin B +21 more
Plain English This study looked at how to best monitor pregnancies affected by fetal growth restriction (FGR) when delivery happens before 32 weeks. Researchers analyzed data from 317 pregnancies and found that monitoring changes in the fetal ductus venosus (DV) led to a survival rate without neurological impairment of 83% for infants in those groups, compared to 77% for those monitored with fetal heart rate methods, although this difference wasn't statistically significant. Notably, 93% of infants in the DV groups were free from neurological issues, indicating better outcomes for those monitored with this method.
Who this helps: This research benefits doctors managing pregnancies at risk of complications and their patients.
Maternal-foetal outcomes in pregnant women with glomerulonephritides. Are all glomerulonephritides alike in pregnancy?
2017
Journal of autoimmunity
Piccoli GB, Attini R, Cabiddu G, Kooij I, Fassio F +5 more
Plain English This study looked at how pregnant women with different types of kidney inflammation, known as glomerulonephritides (GN), fare during pregnancy. Out of 714 single births, 126 were from women with GN, with higher risks for early preterm births and complications like high blood pressure and protein in urine. Specifically, IgA nephropathy was strongly linked to a much higher chance of preeclampsia compared to other forms of GN.
Who this helps: This helps pregnant women with kidney issues and their healthcare providers.
Sonographic evaluation of the fetal spine position and success rate of manual rotation of the fetus in occiput posterior position: A randomized controlled trial.
2017
Journal of clinical ultrasound : JCU
Masturzo B, Farina A, Attamante L, Piazzese A, Rolfo A +2 more
Plain English This study looked at how knowing the position of a baby's spine during labor could improve the chances of successfully turning a baby that is facing the wrong way (occiput posterior position). The researchers found that when doctors knew the spine position, the success rate for turning the baby was 82.8%, compared to only 41.4% when they didn't know the position. This is important because it means that understanding the baby's spine position can lead to better outcomes for mothers and reduce complications during delivery.
Who this helps: This helps mothers in labor and healthcare providers assisting with childbirth.
A best practice position statement on the role of the nephrologist in the prevention and follow-up of preeclampsia: the Italian study group on kidney and pregnancy.
2017
Journal of nephrology
Piccoli GB, Cabiddu G, Castellino S, Gernone G, Santoro D +10 more
Plain English This study focuses on how nephrologists (kidney specialists) can help manage preeclampsia, a condition affecting 3-10% of pregnancies that causes high blood pressure and kidney problems. The research highlights the need for better coordination between nephrologists and obstetricians, as well as the importance of follow-up care for women who have had preeclampsia to prevent future kidney disease. It emphasizes that more resources and tailored strategies are needed to support these patients effectively.
Who this helps: This helps patients who experience preeclampsia, as well as their doctors.
Evidence of lower oxygen reserves during labour in the growth restricted human foetus: a retrospective study.
2017
BMC pregnancy and childbirth
Parisi S, Monzeglio C, Attini R, Biolcati M, Masturzo B +4 more
Plain English This study looked at how growth-restricted fetuses (those smaller than expected for their age) respond during labor compared to normally sized fetuses. It found that 43.8% of growth-restricted fetuses had concerning heart rate patterns during labor, while only 21.6% of normal fetuses had these patterns. Additionally, problems in heart rate patterns developed much faster in growth-restricted fetuses, taking an average of just over 53 minutes compared to 170.5 minutes for normal fetuses. These findings are important because they highlight the need for careful monitoring of growth-restricted fetuses during labor to prevent complications.
Who this helps: This helps doctors and healthcare providers in monitoring at-risk pregnancies.
Pregnancy, Proteinuria, Plant-Based Supplemented Diets and Focal Segmental Glomerulosclerosis: A Report on Three Cases and Critical Appraisal of the Literature.
2017
Nutrients
Attini R, Leone F, Montersino B, Fassio F, Minelli F +7 more
Plain English This study looked at three pregnant women with chronic kidney disease (CKD) and a specific kidney condition called focal segmental glomerulosclerosis. The researchers implemented a plant-based diet that limited protein and included supplements, leading to stabilized or reduced protein levels in two of the patients, with one seeing a decrease from 6.3 grams to lower levels. All three babies were born healthy, which suggests this diet may be safe and beneficial for managing protein levels in pregnant women with CKD.
Who this helps: This helps pregnant women with chronic kidney disease and their doctors.
A Single Sphingomyelin Species Promotes Exosomal Release of Endoglin into the Maternal Circulation in Preeclampsia.
2017
Scientific reports
Ermini L, Ausman J, Melland-Smith M, Yeganeh B, Rolfo A +5 more
Plain English This study looked at how a specific type of fat molecule, called sphingomyelin (SM-18:0), affects the release of a protein linked to preeclampsia (PE), a serious pregnancy condition. Researchers found that SM-18:0 helps the protein endoglin (sENG) break apart and move into the maternal bloodstream, along with other important receptors. This matters because the released endoglin can interfere with blood vessel function in pregnant women with PE, potentially worsening the condition.
Who this helps: This research benefits pregnant women dealing with preeclampsia and healthcare providers managing their care.
Upcoming strategies in obstetrics: how the technology of clinical audit may reduce cesarean birth.
2017
Minerva ginecologica
Paracchini S, Masturzo B, Tangolo D, Roletti E, Piazzese A +3 more
Plain English This study looked at the rising number of cesarean deliveries in Italy, which reach 38% of all births. Researchers reviewed medical records of 150 women who had elective cesareans and found that the rate of repeat cesareans was 84%, much higher than the recommended rate of 30%. After implementing a plan to improve care, including better support for women who previously had cesareans, the rate of cesarean births after a cesarean dropped to 62%.
Who this helps: This helps patients, especially those with a history of cesareans who want to explore other birthing options.
The HMGB1/RAGE Pro-Inflammatory Axis in the Human Placenta: Modulating Effect of Low Molecular Weight Heparin.
2017
Molecules (Basel, Switzerland)
Zenerino C, Nuzzo AM, Giuffrida D, Biolcati M, Zicari A +2 more
Plain English This study examined how a protein called HMGB1 and its receptor RAGE behave in both normal and pre-eclamptic placentas, which have heightened inflammation. Researchers found that in pre-eclamptic placentas, HMGB1 levels were increased, while RAGE levels stayed the same. Low Molecular Weight Heparin (LMWH) treatment changed HMGB1's structure, preventing it from binding to RAGE, reducing inflammation markers like IL-6 and TNFα after 48 hours.
Who this helps: This research benefits pregnant women at risk of pre-eclampsia and their healthcare providers.
Helicobacter pylori infection contributes to placental impairment in preeclampsia: basic and clinical evidences.
2017
Helicobacter
Di Simone N, Tersigni C, Cardaropoli S, Franceschi F, Di Nicuolo F +8 more
Plain English This study looked at the link between Helicobacter pylori (Hp) infection and preeclampsia (PE), a serious pregnancy condition that can harm both mothers and babies. Researchers found that 57% of women with PE had Hp infection, compared to only 33% of healthy pregnant women. This matters because it suggests that treating Hp infection might help improve placental health and reduce the risks associated with preeclampsia.
Who this helps: This helps pregnant women at risk for preeclampsia and their healthcare providers.
Italian Advisory Board: sFlt-1/PlGF ratio and preeclampsia, state of the art and developments in diagnostic, therapeutic and clinical management.
2016
European journal of obstetrics, gynecology, and reproductive biology
Di Martino D, Cetin I, Frusca T, Ferrazzi E, Fuse' F +3 more
Plain English The research focused on a specific test called the sFlt-1/PlGF ratio, which helps predict and manage preeclampsia, a serious condition that can occur during pregnancy. The study found that this test can identify preeclampsia before clinical symptoms appear, allowing for earlier intervention. However, guidelines for its use in clinical practice are not yet established across Europe, with Germany being the only country to incorporate it as a diagnostic tool recently.
Who this helps: This research benefits pregnant women at risk of preeclampsia and their healthcare providers.
Vegan-vegetarian low-protein supplemented diets in pregnant CKD patients: fifteen years of experience.
2016
BMC nephrology
Attini R, Leone F, Parisi S, Fassio F, Capizzi I +15 more
Plain English This study looked at the effects of a vegan-vegetarian low-protein diet on pregnant women with chronic kidney disease (CKD) over 15 years. It found that this type of diet, involving moderate protein restriction, did not lead to more complications during pregnancy compared to those on unrestricted diets. Specifically, babies born to mothers on the diet were less likely to be small for their gestational age (12.9% compared to 33.3% in controls) or be extremely preterm.
Who this helps: This research benefits pregnant women with CKD and their healthcare providers.
Pregnancy in dialysis patients in the new millennium: a systematic review and meta-regression analysis correlating dialysis schedules and pregnancy outcomes.
2016
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
Piccoli GB, Minelli F, Versino E, Cabiddu G, Attini R +6 more
Plain English This study looked at how different dialysis schedules affect pregnancy outcomes for women undergoing dialysis. Out of 681 pregnancies analyzed, 83% resulted in preterm deliveries, and women receiving more hours of hemodialysis each week were more likely to have babies born small for their gestational age. This is significant because it highlights the need for tailored dialysis treatments during pregnancy to improve outcomes for both mothers and babies.
Who this helps: This helps patients on dialysis who are pregnant, as well as their healthcare providers.
Pregnancy outcomes after kidney graft in Italy: are the changes over time the result of different therapies or of different policies? A nationwide survey (1978-2013).
2016
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
Piccoli GB, Cabiddu G, Attini R, Gerbino M, Todeschini P +20 more
Plain English This study looked at pregnancy outcomes for women who had kidney transplants in Italy between 1978 and 2013, comparing those who gave birth before 2000 with those who did so afterward. The researchers found that the number of early preterm babies increased from 13.4% to 27.1%, while the number of babies born too small for their gestational age decreased from 22.2% to 9.6%. This is important because it shows that, despite higher rates of premature births, improvements in care have led to healthier babies over time, with no neonatal deaths reported after 2000.
Who this helps: This research benefits pregnant women with kidney transplants and their healthcare providers by highlighting the need for tailored pregnancy care.
Placental Chemokine Receptor D6 Is Functionally Impaired in Pre-Eclampsia.
2016
PloS one
Tersigni C, Di Nicuolo F, Maulucci G, Rolfo A, Giuffrida D +5 more
Plain English This study looked at a protein called D6 in the placenta of women with pre-eclampsia (PE) compared to healthy pregnant women. Researchers found that women with PE had higher levels of certain inflammatory markers (like CCL7 and IL-6) and lower levels of others (like CCL4), indicating an impaired response. This matters because understanding how D6 functions differently in pre-eclampsia can help develop better treatments for this serious condition that affects both mothers and babies.
Who this helps: This helps patients experiencing pre-eclampsia by providing insights for better management and treatment options.