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Article ; Online: New strategy for diagnosing abnormal glucose tolerance before 24 gestational weeks during the coronavirus disease 2019 pandemic.

Kasuga, Yoshifumi / Saisho, Yoshifumi / Tamagawa, Masumi / Ikenoue, Satoru / Tanaka, Mamoru / Ochiai, Daigo

2021 Volume 12, Issue 11, Page(s) 2104–2105

Abstract: The Japanese abnormal glucose tolerance before 24 gestational weeks diagnostic strategy in the evolving coronavirus disease 2019 pandemic published by the Japanese Society of Diabetes and Pregnancy. ...

Abstract	The Japanese abnormal glucose tolerance before 24 gestational weeks diagnostic strategy in the evolving coronavirus disease 2019 pandemic published by the Japanese Society of Diabetes and Pregnancy.
MeSH term(s)	Adult ; COVID-19/epidemiology ; Diabetes Mellitus/diagnosis ; Diabetes, Gestational/diagnosis ; Female ; Gestational Age ; Glucose Intolerance/diagnosis ; Glycated Hemoglobin/analysis ; Humans ; Japan/epidemiology ; Pregnancy ; Retrospective Studies ; SARS-CoV-2
Chemical Substances	Glycated Hemoglobin A
Language	English
Publishing date	2021-05-24
Publishing country	Japan
Document type	Letter
ZDB-ID	2625840-7
ISSN	2040-1124 ; 2040-1116
ISSN (online)	2040-1124
ISSN	2040-1116
DOI	10.1111/jdi.13570
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Article ; Online: The Associated Factors of Low Birthweight Among Term Singletons in Japan: A Pregnancy Birth Registry Analysis.

Kasuga, Yoshifumi / Iida, Miho / Tanaka, Yuya / Tamagawa, Masumi / Hasegawa, Keita / Ikenoue, Satoru / Sato, Yasunori / Tanaka, Mamoru / Ochiai, Daigo

Journal of epidemiology

2022 Volume 33, Issue 9, Page(s) 450–455

Abstract: Background: Progress in reducing the global low birthweight (LBW) has been insufficient. Although the focus has been on preventing preterm birth, evidence regarding LBW in term births is limited. Despite its low preterm birth prevalence, Japan has a ... ...

Abstract	Background: Progress in reducing the global low birthweight (LBW) has been insufficient. Although the focus has been on preventing preterm birth, evidence regarding LBW in term births is limited. Despite its low preterm birth prevalence, Japan has a higher LBW proportion than other developed countries. This study aimed to examine the prevalence of LBW in term singleton births and its associated factors using a national database. Methods: We retrospectively analyzed the data of neonates registered in the Japan Society of Obstetrics and Gynecology Successive Pregnancy Birth Registry System who were born 2013-2017. Exclusion criteria included stillbirths, delivery after 42 gestational weeks, and missing data. Logistic regression analyses were performed to investigate the maternal and perinatal factors associated with LBW in term singletons using the data of 715,414 singleton neonates. Results: The overall prevalence of LBW was 18.3%, and 35.7% of LBWs originated from singleton term pregnancies. Multiple logistic regression analyses indicated that both modifiable and non-modifiable factors were independently associated with LBW in term neonates. The modifiable maternal factors included pre-pregnancy underweight, inadequate gestational weight gain, and smoking during pregnancy, while the non-modifiable factors included younger maternal age, nulliparity, hypertensive disorders of pregnancy, cesarean section delivery, female offspring, and congenital anomalies. Conclusion: Using the Japanese pregnancy birth registry data, more than one-third of LBWs were found to originate from singleton term pregnancies. Both modifiable and non-modifiable factors were independently associated with LBW in term neonates. Prevention strategies on modifiable risk factor control will be effective in reducing LBW worldwide.
MeSH term(s)	Infant, Newborn ; Female ; Pregnancy ; Humans ; Birth Weight ; Premature Birth/epidemiology ; Retrospective Studies ; Japan/epidemiology ; Cesarean Section/adverse effects ; Risk Factors ; Registries
Language	English
Publishing date	2022-08-10
Publishing country	Japan
Document type	Journal Article
ZDB-ID	1442118-5
ISSN	1349-9092 ; 0917-5040
ISSN (online)	1349-9092
ISSN	0917-5040
DOI	10.2188/jea.JE20210483
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Article: Prepregnancy Assessment of Liver Function to Predict Perinatal and Postpregnancy Outcomes in Biliary Atresia Patients with Native Liver.

Takahashi, Nobuhiro / Ochiai, Daigo / Yamada, Yohei / Tamagawa, Masumi / Kanamori, Hiroki / Kato, Mototoshi / Ikenoue, Satoru / Kasuga, Yoshifumi / Kuroda, Tatsuo / Tanaka, Mamoru

Journal of clinical medicine

2021 Volume 10, Issue 17

Abstract: Considering that some biliary atresia (BA) survivors with native liver have reached reproductive age and face long-lasting complications, specific attention needs to be paid to pregnant cases. This study aimed to investigate the relationship between ... ...

Abstract	Considering that some biliary atresia (BA) survivors with native liver have reached reproductive age and face long-lasting complications, specific attention needs to be paid to pregnant cases. This study aimed to investigate the relationship between liver function, perinatal outcomes, and prognosis. A database review was conducted to identify pregnant BA cases with native liver and perinatal data, and clinical information on BA-related complications was analyzed. Perinatal serum cholinesterase (ChE) levels, model for end-stage liver-disease (MELD) score, and platelet trends were analyzed, and the association between these indicators and perinatal outcomes was investigated. Patients were categorized into three groups according to the perinatal clinical outcomes: favorable (term babies with or without several episodes of cholangitis;
Language	English
Publishing date	2021-08-31
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm10173956
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Article ; Online: What are the causes for low birthweight in Japan? A single hospital-based study.

Kasuga, Yoshifumi / Ikenoue, Satoru / Tamagawa, Masumi / Oishi, Maki / Endo, Toyohide / Sato, Yu / Iida, Miho / Sato, Yasunori / Tanaka, Mamoru / Ochiai, Daigo

PloS one

2021 Volume 16, Issue 6, Page(s) e0253719

Abstract: Low-birthweight (LBW; <2,500 g) babies are at a higher risk of poor educational achievement, disability, and metabolic diseases than normal-birthweight babies in the future. However, reliable data on factors that contribute to LBW have not been ... ...

Abstract	Low-birthweight (LBW; <2,500 g) babies are at a higher risk of poor educational achievement, disability, and metabolic diseases than normal-birthweight babies in the future. However, reliable data on factors that contribute to LBW have not been considered previously. Therefore, we aimed to examine the distribution of the causes for LBW. A retrospective review of cases involving 4,224 babies whose mothers underwent perinatal care at Keio University Hospital between 2013 and 2019 was conducted. The LBW incidence was 24% (1,028 babies). Of the 1,028 LBW babies, 231 babies were from multiple pregnancies. Of the 797 singleton LBW babies, 518 (65%) were born preterm. Obstetric complications in women with preterm LBW babies included premature rupture of membrane or labor onset (31%), hypertensive disorders of pregnancy (HDP, 64%), fetal growth restriction (24%), non-reassuring fetal status (14%), and placental previa/vasa previa (8%). Of the 279 term LBW babies, 109 (39%) were small for gestational age. Multiple logistic regression analyses revealed the following factors as LBW risk factors in term neonates: low pre-pregnancy maternal weight, inadequate gestational weight gain, birth at 37 gestational weeks, HDP, anemia during pregnancy, female sex, and neonatal congenital anomalies. HDP was an LBW risk factor not only in preterm births but also in term births. Our results suggest that both modifiable and non-modifiable factors are causes for LBW. It may be appropriate to consider a heterogeneous rather than a simple classification of LBW and to evaluate future health risks based on contributing factors.
MeSH term(s)	Female ; Gestational Weight Gain/physiology ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature ; Infant, Small for Gestational Age ; Japan ; Male ; Pregnancy ; Retrospective Studies ; Risk Factors
Language	English
Publishing date	2021-06-23
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0253719
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Article ; Online: Expectant management for early pregnancy miscarriage after radical trachelectomy: A single hospital-based study.

Kasuga, Yoshifumi / Ikenoue, Satoru / Tanaka, Yuya / Tamagawa, Masumi / Hasegawa, Keita / Oishi, Maki / Endo, Toyohide / Sato, Yu / Tanaka, Mamoru / Ochiai, Daigo

Acta obstetricia et gynecologica Scandinavica

2021 Volume 100, Issue 7, Page(s) 1322–1325

Abstract: Introduction: Women who have undergone radical trachelectomy as a fertility-sparing treatment for early-stage cervical cancer may be at higher risk for retained tissues after early-term miscarriage due to cervical cerclage or cervical necrosis. ... ...

Abstract	Introduction: Women who have undergone radical trachelectomy as a fertility-sparing treatment for early-stage cervical cancer may be at higher risk for retained tissues after early-term miscarriage due to cervical cerclage or cervical necrosis. Dilatation and curettage or aspiration may present additional risks in these women. The aim of this study was to assess the efficacy of expectant management for early pregnancy miscarriage after radical trachelectomy. Material and methods: Keio University Hospital records were reviewed for women who conceived after abdominal radical trachelectomy and received perinatal care between 1 April 2012 and 31 March 2020. A total of 62 women (76 pregnancies) were identified, and 13 of these women experienced miscarriage before 12 gestational weeks. The management and outcome of these cases were reviewed in detail. Results: The median maternal age at miscarriage was 39 years (range 31-42 years) and the median duration from abdominal radical trachelectomy to conception was 2.60 years (range 0.49-7.30 years). Cervical necrosis before conception occurred in one case (8%). One patient requested treatment with aspiration and the remaining 12 cases were managed with observation for a median of 23 days (range 7-50 days). There were no cases of endometritis or cases requiring dilatation and curettage for residue tissue. Further, no cases developed laceration of the residual cervix and no loss of cerclage sutures after discharge was noted. Conclusions: Expectant management seems to be safe and appropriate for first trimester miscarriage after abdominal radical trachelectomy.
MeSH term(s)	Abortion, Spontaneous/etiology ; Adult ; Female ; Follow-Up Studies ; Humans ; Pregnancy ; Pregnancy Complications, Neoplastic/surgery ; Pregnancy Outcome/epidemiology ; Trachelectomy/adverse effects ; Treatment Outcome ; Uterine Cervical Neoplasms/surgery ; Watchful Waiting
Language	English
Publishing date	2021-04-12
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80019-3
ISSN	1600-0412 ; 0001-6349
ISSN (online)	1600-0412
ISSN	0001-6349
DOI	10.1111/aogs.14158
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Article ; Online: DNA methylation analysis of cord blood samples in neonates born to gestational diabetes mothers diagnosed before 24 gestational weeks.

Kasuga, Yoshifumi / Kawai, Tomoko / Miyakoshi, Kei / Hori, Asuka / Tamagawa, Masumi / Hasegawa, Keita / Ikenoue, Satoru / Ochiai, Daigo / Saisho, Yoshifumi / Hida, Mariko / Tanaka, Mamoru / Hata, Kenichiro

BMJ open diabetes research & care

2022 Volume 10, Issue 1

Abstract: Introduction: Genome-wide methylation analyses of gestational diabetes mellitus (GDM) diagnosed after 24 gestational weeks (late GDM (L-GDM)) using cord blood have been reported. However, epigenetic changes in neonates born to mothers with GDM diagnosed ...

Abstract	Introduction: Genome-wide methylation analyses of gestational diabetes mellitus (GDM) diagnosed after 24 gestational weeks (late GDM (L-GDM)) using cord blood have been reported. However, epigenetic changes in neonates born to mothers with GDM diagnosed before 24 gestational weeks (early GDM (E-GDM)) have not been reported. We investigated DNA methylation in neonates born to mothers with E-GDM using cord blood samples. Research design and methods: Genome-wide DNA methylation analysis was performed using an Illumina EPIC array to compare methylation rates of 754 255 autosomal sites in cord blood samples from term neonates born to 162 mothers with GDM (E-GDM: n=84, L-GDM: n=78) and 60 normal glucose tolerance (normal OGTT) pregnancies. GDM was diagnosed based on Japan Society of Obstetrics and Gynecology criteria modified with International Association of Diabetes in Pregnancy Study Group criteria. In this study, all GDM mothers underwent dietary management, while self-monitoring of blood glucose and insulin administration was initiated when dietary modification did not achieve glycemic control. Results: There were no significant differences in genome-wide DNA methylation of cord blood samples between the GDM (E-GDM and L-GDM) groups and normal OGTT group or between the E-GDM and normal OGTT groups, L-GDM and normal OGTT groups, and E-GDM and L-GDM groups. Conclusions: This is the first report to determine the DNA methylation patterns in neonates born to mothers with E-GDM. Neonates born to mothers with GDM, who were diagnosed based on Japan Society of Obstetrics and Gynecology criteria, may not differ in DNA methylation compared with those born to normal OGTT mothers.
MeSH term(s)	DNA Methylation ; Diabetes, Gestational/diagnosis ; Diabetes, Gestational/genetics ; Female ; Fetal Blood ; Glucose Tolerance Test ; Humans ; Infant, Newborn ; Mothers ; Pregnancy
Language	English
Publishing date	2022-01-19
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2732918-5
ISSN	2052-4897 ; 2052-4897
ISSN (online)	2052-4897
ISSN	2052-4897
DOI	10.1136/bmjdrc-2021-002539
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Article ; Online: A safe delivery system to prevent COVID-19 transmission without negative-pressure isolation delivery rooms: Experience from a hospital with nosocomial outbreak.

Kasuga, Yoshifumi / Ochiai, Daigo / Tamagawa, Masumi / Oishi, Maki / Endo, Toyohide / Sato, Yu / Iida, Miho / Ikenoue, Satoru / Tanaka, Mamoru

Taiwanese journal of obstetrics & gynecology

2020 Volume 60, Issue 1, Page(s) 183–184

MeSH term(s)	Adult ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/virology ; COVID-19 Nucleic Acid Testing/methods ; Cross Infection/prevention & control ; Cross Infection/virology ; Delivery Rooms ; Delivery, Obstetric/adverse effects ; Delivery, Obstetric/methods ; Disease Outbreaks ; Disease Transmission, Infectious/prevention & control ; Female ; Hospitals ; Humans ; Infant, Newborn ; Infant, Newborn, Diseases/prevention & control ; Infant, Newborn, Diseases/virology ; Pregnancy ; Pregnancy Complications, Infectious/prevention & control ; Pregnancy Complications, Infectious/virology ; SARS-CoV-2 ; Tokyo
Language	English
Publishing date	2020-12-07
Publishing country	China (Republic : 1949- )
Document type	Letter
ISSN	1875-6263
ISSN (online)	1875-6263
DOI	10.1016/j.tjog.2020.12.001
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Article: Epigenetic Changes in Neonates Born to Mothers With Gestational Diabetes Mellitus May Be Associated With Neonatal Hypoglycaemia.

Kasuga, Yoshifumi / Kawai, Tomoko / Miyakoshi, Kei / Saisho, Yoshifumi / Tamagawa, Masumi / Hasegawa, Keita / Ikenoue, Satoru / Ochiai, Daigo / Hida, Mariko / Tanaka, Mamoru / Hata, Kenichiro

Frontiers in endocrinology

2021 Volume 12, Page(s) 690648

Abstract: The detection of epigenetic changes associated with neonatal hypoglycaemia may reveal the pathophysiology and predict the onset of future diseases in offspring. We hypothesized that neonatal hypoglycaemia reflects ... ...

Abstract	The detection of epigenetic changes associated with neonatal hypoglycaemia may reveal the pathophysiology and predict the onset of future diseases in offspring. We hypothesized that neonatal hypoglycaemia reflects the
MeSH term(s)	Adult ; Alleles ; Blood Glucose/analysis ; DNA Methylation ; Diabetes, Gestational/blood ; Diabetes, Gestational/genetics ; Female ; Gene Frequency ; Humans ; Hypoglycemia/blood ; Hypoglycemia/genetics ; Infant, Newborn ; Infant, Newborn, Diseases/blood ; Infant, Newborn, Diseases/genetics ; Middle Aged ; Pregnancy
Chemical Substances	Blood Glucose
Language	English
Publishing date	2021-06-29
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2592084-4
ISSN	1664-2392
ISSN	1664-2392
DOI	10.3389/fendo.2021.690648
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Article ; Online: Predictors of later insulin therapy for gestational diabetes diagnosed in early pregnancy.

Tamagawa, Masumi / Kasuga, Yoshifumi / Saisho, Yoshifumi / Tanaka, Yuya / Hasegawa, Keita / Oishi, Maki / Endo, Toyohide / Sato, Yu / Ikenoue, Satoru / Tanaka, Mamoru / Ochiai, Daigo

Endocrine journal

2021 Volume 68, Issue 11, Page(s) 1321–1328

Abstract: Interventions for gestational diabetes mellitus (GDM), diagnosed in early pregnancy, have been a topic of controversy. This study aimed to elucidate factors that predict patients with GDM diagnosed before 24 gestational weeks (early GDM: E-GDM) who ... ...

Abstract	Interventions for gestational diabetes mellitus (GDM), diagnosed in early pregnancy, have been a topic of controversy. This study aimed to elucidate factors that predict patients with GDM diagnosed before 24 gestational weeks (early GDM: E-GDM) who require insulin therapy later during pregnancy. Furthermore, we identified patients whose impaired glucose tolerance should be strictly controlled from early gestation onward. Women diagnosed with GDM were categorized based on the gestational age at diagnosis into E-GDM (n = 388) or late GDM (L-GDM, diagnosed after 24 weeks, n = 340) groups. Clinical features were compared between the groups, and the predictors for insulin therapy was evaluated in the E-GDM group. There were no significant between-group differences in terms of perinatal outcomes (e.g., gestational weeks at delivery, fetal growth, hypertensive disorder of pregnancy), with the exception of the Apgar score at 5 min. Moreover, there was no significant difference in the frequency of insulin therapy during pregnancy between the two groups. Using multiple logistic regression analysis, pre-pregnancy body mass index (BMI) ≥25 kg/m
MeSH term(s)	Adult ; Blood Glucose ; Body Mass Index ; Diabetes, Gestational/blood ; Diabetes, Gestational/diagnosis ; Diabetes, Gestational/drug therapy ; Female ; Glucose Intolerance ; Glucose Tolerance Test ; Humans ; Hypoglycemic Agents/therapeutic use ; Insulin/blood ; Insulin/therapeutic use ; Pregnancy ; Risk Factors
Chemical Substances	Blood Glucose ; Hypoglycemic Agents ; Insulin
Language	English
Publishing date	2021-06-10
Publishing country	Japan
Document type	Journal Article
ZDB-ID	1151918-6
ISSN	1348-4540 ; 0918-8959
ISSN (online)	1348-4540
ISSN	0918-8959
DOI	10.1507/endocrj.EJ21-0118
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