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写真a

アオキ シゲル
青木 茂
Shigeru Aoki
所属
附属市民総合医療センター 総合周産期母子医療センター 准教授
職名
准教授
ホームページ
外部リンク

学位

  • 博士(医学) ( 横浜市立大学 )

研究キーワード

  • 妊産婦合併症

  • 周産期医学

研究分野

  • ライフサイエンス / 産婦人科学

論文

  • Impact of introducing the International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria on pregnancy outcomes in Japan. 査読

    Ryosuke Shindo, Shigeru Aoki, Junko Kasai, Yusuke Saigusa, Sayuri Nakanishi, Etsuko Miyagi

    Endocrine journal   67 ( 1 )   15 - 20   2020年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    To estimate pregnancy complications in women newly diagnosed with gestational diabetes mellitus (GDM) according to the new International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria and verify the validity of introducing the IADPSG criteria in Japan. This retrospective study included data from women with singleton delivery at 22 weeks or later at a tertiary hospital during 2000-2009. We compared pregnancy outcomes between women who would now be diagnosed with GDM according to the IADPSG criteria but not by the old JSOG criteria (IGT group, n = 503) and women with normal glucose tolerance according to both the criteria (NGT group, n = 2,789). Multivariate analysis was performed and adjusted for background factors. Maternal age at delivery and pre-pregnancy BMI were significantly higher in the IGT group than in the NGT group, while gestational weeks at delivery did not differ between the groups. No difference was observed in the rates of GDM-related composite complications (defined as cases with at least one of the following: macrosomia, shoulder dystocia, neonatal hypoglycemia, neonatal hyperbilirubinemia, or neonatal respiratory distress syndrome) at 11.9% and 8.8% (adjusted odds ratio (OR) 1.30, 95% confidence interval (CI) 0.90-1.87, p = 0.16). Pregnancy outcomes did not differ significantly between the IGT and NGT groups, except for frequencies of total neonatal admissions at 10.5% and 7.1%, respectively (adjusted OR 1.55, 95% CI 1.12-2.13, p < 0.01).

    DOI: 10.1507/endocrj.EJ19-0279

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  • Perinatal outcomes of recurrent placental abruption. 査読 国際誌

    Tomoyuki Kojima, Mio Takami, Ryosuke Shindo, Yusuke Saigusa, Etsuko Miyagi, Shigeru Aoki

    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians   34 ( 13 )   1 - 5   2019年9月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Introduction: The purpose of this study was to classify patients with placental abruption (PA) into those with a history of PA (recurrence group) and those without a history (first-occurrence group), and compare the two groups to investigate whether perinatal outcomes differ between first-time PA and recurrent PA. Materials and methods: Subjects include 6475 patients diagnosed with PA from the Pregnancy Birth Registry System of the Japan Society of Obstetrics and Gynecology. Patients were classified into recurrence group and first-occurrence group. Perinatal outcomes were compared between 141 patients in the recurrence group and 705 patients in the first-occurrence group with 1:5 propensity score matching, adjusting for maternal age, history of smoking, pregnancy-induced hypertension, and premature rupture of membranes as covariates. Results: There were no cases of maternal mortality in either groups, and the perinatal mortality rate did not exhibit a significant difference. Gestational age at delivery was significantly earlier in the recurrence group than in the first-occurrence group (35.3 vs 37.9 weeks, p < .001). The rate of preterm delivery at less than both 32 and 37 weeks of gestation was significantly higher in the recurrence group. The rate of UmApH < 7.1 and 5 min Apgar score < 7 were significantly higher in the recurrence group (21 vs 13%, p = .020, 20% vs 10%, p = .003, respectively). Conclusions: The results suggest that recurrent PA occurs at an earlier gestational age and follows a more severe course than the first occurrence of PA.

    DOI: 10.1080/14767058.2019.1660766

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  • Does pre-eclampsia without proteinuria lead to different pregnancy outcomes than pre-eclampsia with proteinuria? 査読 国際誌

    Azusa Tochio, Soichiro Obata, Yusuke Saigusa, Ryosuke Shindo, Etsuko Miyagi, Shigeru Aoki

    The journal of obstetrics and gynaecology research   45 ( 8 )   1576 - 1583   2019年8月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    AIMS: The Japanese Society for the Study of Hypertension in Pregnancy revised the diagnostic criteria for pre-eclampsia (PE) to conform to those of the International Society for the Study of Hypertension in Pregnancy (ISSHP) in 2018. This study aimed to investigate whether pregnancy outcomes differ based on the presence of proteinuria and validate the adoption of the ISSHP criteria in Japan. METHODS: This is a retrospective study involving 308 women diagnosed with hypertensive disorders of pregnancy at a tertiary center. They were divided into the following groups: PE with proteinuria (n = 218), PE without proteinuria (n = 45) and gestational hypertension (n = 45) according to the ISSHP criteria for comparison of pregnancy outcomes. RESULTS: Applying the ISSHP criteria increased the number of pregnant women diagnosed as having PE by 14.6% (45 women). The difference in the rate of composite maternal complications between the two groups was unremarkable, with 33 cases (15.1%) in the PE with proteinuria group and 9 cases (20%) in the PE without proteinuria group. Moreover, composite neonatal complications occurred in 37 cases (17%) of PE with proteinuria group and 6 cases (13.3%) of PE without proteinuria group, showing remarkably similar incidence rate in the two groups. Women with PE with and without proteinuria had significantly earlier deliveries and lower neonatal birth weight than those with gestational hypertension. CONCLUSION: Pregnancy outcomes of PE with and without proteinuria were almost similar although their incidence increased, confirming its validity for adaptation of the ISSHP criteria in Japan.

    DOI: 10.1111/jog.14017

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  • Case of decidual discharge from the nonpregnant uterine cavity of the bicorporeal uterus before onset of delivery. 査読 国際誌

    Obata S, Noguchi T, Chiba S, Miyagi E, Aoki S

    The journal of obstetrics and gynaecology research   45 ( 7 )   1410 - 1413   2019年7月

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    記述言語:英語  

    DOI: 10.1111/jog.13971

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  • Massive subchorionic hematoma (Breus' mole) presents a variety of ultrasonic appearances: A case report and literature review. 査読 国際誌

    Yanagisawa F, Aoki S, Odagami M, Miyagi E

    Clinical case reports   7 ( 4 )   744 - 748   2019年4月

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    記述言語:英語  

    DOI: 10.1002/ccr3.2036

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  • Adverse pregnancy outcomes related to preterm cesarean delivery. 査読 国際誌

    Kino T, Yamamoto Y, Saigusa Y, Aoki S, Miyagi E

    European journal of obstetrics, gynecology, and reproductive biology   234   89 - 91   2019年3月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1016/j.ejogrb.2018.12.033

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  • Efficacy of expectant management of severe preeclampsia and preeclampsia superimposed on chronic hypertension before 34 weeks gestation. 査読 国際誌

    Hoshino A, Obata S, Tochio A, Seki K, Miyagi E, Aoki S

    Pregnancy hypertension   15   177 - 180   2019年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1016/j.preghy.2019.01.007

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  • Comprehensive medical treatment of women with Turner syndrome may improve pregnancy outcomes: A case report. 査読

    Soichiro Obata, Taku Tsuburai, Ryosuke Shindo, Shigeru Aoki, Etsuko Miyagi, Hideya Sakakibara

    Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology   28 ( 2 )   37 - 41   2019年

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    A 35-year-old primiparous woman was diagnosed with Turner syndrome at the age of 12 yr due to short stature. Her karyotype showed a mosaic pattern [45, X(19)/46, XX(11)]. She had been followed up by the pediatric service. GH was not prescribed because, although she was of relatively short stature, her growth trajectory was reasonable. She was started on estrogen replacement therapy at 15 yr of age and switched to Kaufmann therapy after 1 yr. After transitioning her care to the gynecology service at 20 yr of age, she was screened for complications and Kaufmann therapy was continued. No abnormalities were detected in the pre-pregnancy screening. She conceived by in vitro fertilization and embryo transplantation with oocyte donation. No severe complications occurred during gestation, and she gave birth to a female neonate vaginally at 41 wk and 6 d of gestation. The neonate's birthweight was 3166 g, and her Apgar scores were 8 and 9 at 1 and 5 min, respectively. No severe complications occurred during the postpartum period. Comprehensive medical treatment and appropriate transition from pediatric to adult services may improve the pregnancy outcomes of women with Turner syndrome.

    DOI: 10.1297/cpe.28.37

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  • Genital Ulcer of Behçet Disease Localized in the Vagina May Lack Pain, Making It Difficult to Assess. 査読 国際誌

    Obata S, Kobayashi K, Toda M, Miyagi E, Aoki S

    Case reports in rheumatology   2019   2953676 - 2953676   2019年

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    記述言語:英語  

    DOI: 10.1155/2019/2953676

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  • Effects of physical activity during pregnancy on preterm delivery and mode of delivery: The Japan Environment and Children's Study, birth cohort study 査読

    Mio Takami, Akiko Tsuchida, Ayako Takamori, Shigeru Aoki, Mika Ito, Mika Kigawa, Chihiro Kawakami, Fumiki Hirahara, Kei Hamazaki, Hidekuni Inadera, Shuichi Ito, Toshihiro Kawamoto, Hirohisa Saito, Reiko Kishi, Nobuo Yaegashi, Koichi Hashimoto, Chisato Mori, Zentaro Yamagata, Michihiro Kamijima, Takeo Nakayama, Hiroyasu Iso, Masayuki Shima, Yasuaki Hirooka, Narufumi Suganuma, Koichi Kusuhara, Katoh Takahiko

    PLoS ONE   13 ( 10 )   e0206160   2018年10月

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    掲載種別:研究論文(学術雑誌)  

    DOI: 10.1371/journal.pone.0206160

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  • Should the IADPSG criteria be applied when diagnosing early-onset gestational diabetes? 査読

    Yuko Hagiwara, Junko Kasai, Sayuri Nakanishi, Yusuke Saigusa, Etsuko Miyagi, Shigeru Aoki

    Diabetes Research and Clinical Practice   140   154 - 161   2018年6月

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    掲載種別:研究論文(学術雑誌)   出版者・発行元:Elsevier BV  

    DOI: 10.1016/j.diabres.2018.03.048

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  • Optimal weight gain in obese and overweight pregnant Japanese women. 査読

    Junko Hirooka-Nakama, Kimiko Enomoto, Kentaro Sakamaki, Kentaro Kurasawa, Etsuko Miyagi, Shigeru Aoki

    Endocrine journal   65 ( 5 )   557 - 567   2018年5月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    We aimed to determine the optimal gestational weight gain (GWG) in Japanese women with a Body Mass Index (BMI) ≥25 kg/m2. The present retrospective study investigated singleton pregnancies in 6,781 Japanese women registered in the Japan Society of Obstetrics and Gynecology system in 2013. We divided overweight and obese women into four GWG categories based on the Institute of Medicine (IOM) recommended: weight loss, small weight gain, within IOM criteria, and above IOM criteria. The adjusted odds ratios and predicted probabilities of maternal and neonatal outcomes of interest with weight change were calculated. In overweight women, GWG was associated with neonatal birth weight. In the loss and small gain subgroups, there was a significant increase in small for gestational age (SGA) and low birth weight neonates (LBW). Predicted probabilities showed the lowest risk was observed in a weight gain of 0 kg; the risk sharply increased at a gain of 11.5 kg. In obese women, weight gain increased the prevalence of large for gestational age (LGA) neonates; however; SGA was not associated with GWG. Predicted probabilities showed an increase in the risk with weight gain. The observed optimal GWG was 0 to 11.5 kg in overweight, and weight loss in obese, pregnant Japanese women.

    DOI: 10.1507/endocrj.EJ18-0027

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  • Clinical significance of low result of 1-h 50-g glucose-challenge test in pregnant women. 査読

    Oawada N, Aoki S, Sakamaki K, Obata S, Seki K, Hirahara F

    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians   1 - 4   2018年1月

  • Hygroscopic dilators vs balloon catheter ripening of the cervix for induction of labor in nulliparous women at term: Retrospective study 査読

    Ryosuke Shindo, Shigeru Aoki, Naohiro Yonemoto, Yuriko Yamamoto, Junko Kasai, Michi Kasai, Etsuko Miyagi

    PLOS ONE   12 ( 12 )   e0189665   2017年12月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1371/journal.pone.0189665

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  • Management of fetal death complicated by placenta previa during the midtrimester. 査読 国際誌

    Sayuri Nakanishi, Ryosuke Shindo, Shigeru Aoki

    Clinical case reports   5 ( 7 )   1111 - 1114   2017年7月

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    記述言語:英語  

    Expectant management of fetal death complicated by placenta previa occurring during midtrimester trimester may induce fetal/placental atrophy and decrease uterine blood flow to facilitate vaginal delivery. Our experience with these cases suggests that about 4 weeks of expectant management should be considered as a management strategy.

    DOI: 10.1002/ccr3.1012

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  • Association of antenatal antithrombin activity with perinatal liver dysfunction: A prospective multicenter study 査読

    Mamoru Morikawa, Hirotada Suzuki, Mana Obata-Yasuoka, Michi Kasai, Hiroaki Itoh, Akihide Ohkuchi, Hiromi Hamada, Shigeru Aoki, Naohiro Kanayama, Hisanori Minakami

    JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY   32 ( 7 )   1378 - 1386   2017年7月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1111/jgh.13714

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  • Incidence and pregnancy outcomes of superimposed preeclampsia with or without proteinuria among women with chronic hypertension 査読

    Sayuri Nakanishi, Shigeru Aoki, Ami Nagashima, Kazuo Seki

    PREGNANCY HYPERTENSION-AN INTERNATIONAL JOURNAL OF WOMENS CARDIOVASCULAR HEALTH   7   39 - 43   2017年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1016/j.preghy.2017.01.001

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  • Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation 査読

    Soichiro Obata, Michi Kasai, Junko Kasai, Kazuo Seki, Zenjiro Sekikawa, Izumi Torimoto, Shigeo Takebayashi, Fumiki Hirahara, Shigeru Aoki

    BIOMED RESEARCH INTERNATIONAL   2017   1562432   2017年

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1155/2017/1562432

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  • Expectant Management Leading to Successful Vaginal Delivery following Intrauterine Fetal Death in a Woman with an Incarcerated Uterus. 査読 国際誌

    Masafumi Yamamoto, Mio Takami, Ryosuke Shindo, Michi Kasai, Shigeru Aoki

    Case reports in obstetrics and gynecology   2017   2635275 - 2635275   2017年

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    記述言語:英語  

    Expectant management leads to successful vaginal delivery following intrauterine fetal death in a woman with an incarcerated uterus. Management of intrauterine fetal death in the second or third trimester of pregnancy in women with an incarcerated uterus is challenging. We report a case of successful vaginal delivery following intrauterine fetal death by expectant management in a woman with an incarcerated uterus. In cases of intrauterine fetal death in women with an incarcerated uterus, vaginal delivery may be possible if the incarceration is successfully reduced. If the reduction is impossible, expectant management can reduce uterine retroversion, thereby leading to spontaneous reduction of the incarcerated uterus. Thereafter, vaginal delivery may be possible.

    DOI: 10.1155/2017/2635275

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  • Effect of transarterial embolization for post-partum hemorrhage on subsequent pregnancy 査読

    Yuko Nakamura, Shigeru Aoki, Shigeo Takebayashi, Fumiki Hirahara

    JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH   42 ( 9 )   1186 - 1189   2016年9月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1111/jog.13029

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  • Systemic lupus erythematosus: Strategies to improve pregnancy outcomes 査読

    Yuriko Yamamoto, Shigeru Aoki

    International Journal of Women's Health   8   265 - 272   2016年7月

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    記述言語:英語   出版者・発行元:Dove Medical Press Ltd  

    DOI: 10.2147/IJWH.S90157

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  • Spontaneous reduction of an incarcerated gravid uterus in the third trimester. 査読

    Takami M, Hasegawa Y, Seki K, Hirahara F, Aoki S

    Clinical case reports   4 ( 6 )   605 - 610   2016年6月

  • Preterm premature rupture of membrane after polypectomy using an Endoloop polydioxanone suture II(™). 査読

    Aoki S, Hayashi M, Seki K, Hirahara F

    Clinical case reports   4 ( 4 )   331 - 332   2016年4月

  • Seizures associated with Lupus during pregnancy. 査読

    Aoki S, Kobayashi N, Mochimaru A, Takahashi T, Hirahara F

    Clinical case reports   4 ( 4 )   366 - 368   2016年4月

  • A monochorionic diamniotic twin pregnancy requiring termination due to maternal anemia caused by bleeding from chronic abruption. 査読

    Nagashima A, Aoki S, Seki K, Hirahara F

    Clinical case reports   4 ( 4 )   320 - 322   2016年4月

  • Status epilepticus due to brain tumor during pregnancy. 査読

    Kasai M, Aoki S, Kobayashi N, Hirahara F, Takahashi T

    Clinical case reports   4 ( 4 )   333 - 335   2016年4月

  • Relationship Between Short Umbilical Cord Length and Adverse Pregnancy Outcomes 査読

    Yuriko Yamamoto, Shigeru Aoki, Mari S. Oba, Kazuo Seki, Fumiki Hirahara

    FETAL AND PEDIATRIC PATHOLOGY   35 ( 2 )   81 - 87   2016年3月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.3109/15513815.2015.1122126

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  • Pregnancy Outcomes Based on Pre-Pregnancy Body Mass Index in Japanese Women. 査読 国際誌

    Kimiko Enomoto, Shigeru Aoki, Rie Toma, Kana Fujiwara, Kentaro Sakamaki, Fumiki Hirahara

    PloS one   11 ( 6 )   e0157081   2016年

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    記述言語:英語  

    OBJECTIVE: To verify whether body mass index (BMI) classification proposed by the Institute of Medicine (IOM) is valid in Japanese women. METHOD: A study was conducted in 97,157 women with singleton pregnancies registered in the Japan Society of Obstetrics and Gynecology (JSOG) Successive Pregnancy Birth Registry System between January 2013 and December 2013, to examine pregnancy outcomes in four groups stratified by pre-pregnancy BMI category according to the 2009 criteria recommended by the Institute of Medicine (IOM). The groups comprised 17,724 underweight women with BMI <18.5, 69,126 normal weight women with BMI 18.5-24.9, 7,502 overweight women with BMI 25-29.9, and 2,805 obese women with BMI ≥30. The pregnancy outcomes were also compared among subgroups stratified by a gestational weight gain below, within, and above the optimal weight gain. RESULTS: The higher the pre-pregnancy BMI, the higher the incidences of pregnancy-induced hypertension, gestational diabetes mellitus, macrosomia, cesarean delivery, postpartum hemorrhage, and post-term birth, but the lower the incidence of small for gestational age (SGA). In all pre-pregnancy BMI category groups, excess gestational weight gain was associated with a higher frequency of large for gestational age and macrosomia; poor weight gain correlated with a higher frequency of SGA, preterm birth, preterm premature rupture of membranes, and spontaneous preterm birth; and optimal weight gain within the recommended range was associated with a better outcome. CONCLUSION: The BMI classification by the IOM was demonstrated to be valid in Japanese women.

    DOI: 10.1371/journal.pone.0157081

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  • Acute respiratory failure due to thyroid storm developing immediately after delivery. 査読

    Kitazawa C, Aoki S, Takahashi T, Hirahara F

    Clinical case reports   3 ( 12 )   997 - 999   2015年12月

  • Clinical characteristics of mirror syndrome: a comparison of 10 cases of mirror syndrome with non-mirror syndrome fetal hydrops cases. 査読

    Hirata G, Aoki S, Sakamaki K, Takahashi T, Hirahara F, Ishikawa H

    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians   29 ( 16 )   1 - 5   2015年10月

  • Association of biparietal diameter growth rate with neurodevelopment in infants with fetal growth restriction 査読

    Yoshimi Hasegawa, Shigeru Aoki, Kentaro Kurasawa, Tsuneo Takahashi, Fumiki Hirahara

    TAIWANESE JOURNAL OF OBSTETRICS & GYNECOLOGY   54 ( 4 )   371 - 375   2015年8月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1016/j.tjog.2014.04.031

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  • Acute polyhydramnios after maternal status epilepticus. 査読 国際誌

    Ryosuke Shindo, Shigeru Aoki, Michi Kasai, Tsuneo Takahashi, Fumiki Hirahara

    Clinical case reports   3 ( 8 )   707 - 9   2015年8月

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    記述言語:英語  

    Maternal status epilepticus can cause fetal hypoxic ischemic encephalopathy that in turn results in acute polyhydramnios caused by fetal dysphagia; thus, acute polyhydramnios is a symptom that should lead to a suspicion of fetal dysphagia caused by hypoxic ischemic encephalopathy.

    DOI: 10.1002/ccr3.315

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  • Prediction of perinatal outcomes based on primary symptoms in women with placental abruption 査読

    Michi Kasai, Shigeru Aoki, Miyuki Ogawa, Kentaro Kurasawa, Tsuneo Takahashi, Fumiki Hirahara

    JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH   41 ( 6 )   850 - 856   2015年6月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1111/jog.12637

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  • Pregnancy outcomes of women with coexisting systemic lupus erythematosus flare and preeclampsia 査読

    Shigeru Aoki, Aya Mochimaru, Yuriko Yamamoto, Kentaro Kurasawa, Tsuneo Takahashi, Fumiki Hirahara

    MODERN RHEUMATOLOGY   25 ( 3 )   410 - 414   2015年5月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.3109/14397595.2014.979522

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  • Adverse pregnancy outcomes associated with adenomyosis with uterine enlargement 査読

    Aya Mochimaru, Shigeru Aoki, Mari S. Oba, Kentaro Kurasawa, Tsuneo Takahashi, Fumiki Hirahara

    JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH   41 ( 4 )   529 - 533   2015年4月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1111/jog.12604

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  • Clinical features of gestational thrombocytopenia difficult to differentiate from immune thrombocytopenia diagnosed during pregnancy 査読

    Junko Kasai, Shigeru Aoki, Natsuko Kamiya, Yoshimi Hasegawa, Kentaro Kurasawa, Tsuneo Takahashi, Fumiki Hirahara

    JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH   41 ( 1 )   44 - 49   2015年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1111/jog.12496

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  • Effect of Umbilical Cord Entanglement and Position on Pregnancy Outcomes. 査読

    Kobayashi N, Aoki S, Oba MS, Takahashi T, Hirahara F

    Obstetrics and gynecology international   2015   342065   2015年

  • A classification of congenital uterine anomalies predicting pregnancy outcomes 査読

    Mio Takami, Shigeru Aoki, Kentaro Kurasawa, Mika Okuda, Tsuneo Takahashi, Fumiki Hirahara

    ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA   93 ( 7 )   691 - 697   2014年7月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1111/aogs.12400

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  • Warfarin-associated fetal intracranial subdural hematoma: a case report. 査読 国際誌

    Fujiwara K, Aoki S, Kurasawa K, Okuda M, Takahashi T, Hirahara F

    Clinical case reports   2 ( 3 )   108 - 111   2014年6月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1002/ccr3.75

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  • Associations of maternal pre-pregnancy underweight with small-for-gestational-age and spontaneous preterm birth, and optimal gestational weight gain in Japanese women 査読

    Kana Fujiwara, Shigeru Aoki, Kentaro Kurasawa, Mika Okuda, Tsuneo Takahashi, Fumiki Hirahara

    JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH   40 ( 4 )   988 - 994   2014年4月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1111/jog.12283

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  • Emergency cerclage versus expectant management for prolapsed fetal membranes: A retrospective, comparative study 査読

    Shigeru Aoki, Emi Ohnuma, Kentaro Kurasawa, Mika Okuda, Tsuneo Takahashi, Fumiki Hirahara

    JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH   40 ( 2 )   381 - 386   2014年2月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1111/jog.12207

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  • Retrospective study of pregnant women placed under expectant management for persistent hemorrhage 査読

    Shigeru Aoki, Megumi Inagaki, Kentaro Kurasawa, Mika Okuda, Tsuneo Takahashi, Fumiki Hirahara

    ARCHIVES OF GYNECOLOGY AND OBSTETRICS   289 ( 2 )   307 - 311   2014年2月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1007/s00404-013-2972-z

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  • Significance of cervical ripening in pre-induction treatment for premature rupture of membranes at term 査読

    Kentaro Kurasawa, Megumi Yamamoto, Yuki Usami, Aya Mochimaru, Akihiko Mochizuki, Shigeru Aoki, Mika Okuda, Tsuneo Takahashi, Fumiki Hirahara

    JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH   40 ( 1 )   32 - 39   2014年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1111/jog.12116

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  • Expectant management of severe preeclampsia with severe fetal growth restriction in the second trimester 査読

    Shigeru Aoki, Rie Toma, Kentaro Kurasawa, Mika Okuda, Tsuneo Takahashi, Fumiki Hirahara

    PREGNANCY HYPERTENSION-AN INTERNATIONAL JOURNAL OF WOMENS CARDIOVASCULAR HEALTH   4 ( 1 )   81 - 86   2014年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1016/j.preghy.2013.11.006

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  • Circumvallate placenta: associated clinical manifestations and complications-a retrospective study. 査読 国際誌

    Hanako Taniguchi, Shigeru Aoki, Kentaro Sakamaki, Kentaro Kurasawa, Mika Okuda, Tsuneo Takahashi, Fumiki Hirahara

    Obstetrics and gynecology international   2014   986230 - 986230   2014年

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Aims. To analyze the pregnancy outcomes of circumvallate placenta retrospectively and to predict circumvallate placenta during pregnancy based on its clinical features. Methods. The pregnancy outcomes of 92 women with circumvallate placenta who delivered live singletons at a tertiary care center between January 2000 and September 2012 were compared with those of 9057 controls. Results. Women with circumvallate placenta were associated with higher incidences of preterm delivery (64.1%), placental abruption (10.9%), emergency cesarean section (45.6%), small-for-gestational age (36.9%), neonatal death (8.9%), neonatal intensive care unit admission (55.4%), and chronic lung disease (33.9%). When vaginal bleeding during the second trimester and premature chemical rupture of membranes (PCROM) were both used as predictive factors for circumvallate placenta, the sensitivity was 28.8% and specificity was 99.9%. Conclusion. With circumvallate placenta, pregnancy outcomes were poor and had characteristic clinical manifestations. In women with both vaginal bleeding and PCROM during pregnancy, circumvallate placenta should be strongly suspected.

    DOI: 10.1155/2014/986230

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  • A case of misdiagnosed cesarean scar pregnancy with a viable birth at 28 weeks. 査読 国際誌

    Nukaga S, Aoki S, Kurasawa K, Takahashi T, Hirahara F

    Case reports in obstetrics and gynecology   2014   375685 - 375685   2014年

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1155/2014/375685

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