Maternal diabetes insipidus does not usually adversely affect the course of pregnancy. We present a rare case of central diabetes insipidus diagnosed at 31 weeks of gestation with fetal oligohydramnios successfully treated with intranasal desmopressin. To date, only three cases of diabetes insipidus with oligohydramnios have been reported.

Objective: To examine the effect of maternal age on placental abruption Design: Prospective cohort study Setting: Fifteen regional centers across Japan Population: We identified 94,410 Japanese women (93,994 without placental abruption and 416 with placental abruption) who were recruited in the Japan Environment and Children’s study between January 2011 and March 2014. Methods: Multiple regression models were used to identify whether maternal age (<20 years, 20–24 years, 25–29 years, 30–34 years, and ≥ 35 years) is a risk factor for placental abruption. The analyses were conducted while considering history of placental abruption, assisted reproductive technology, number of previous deliveries, smoking during pregnancy, body mass index before pregnancy, chronic hypertension, and uterine myoma as confounding factors. Main outcome measures: Maternal age as a risk factor for placental abruption Results: Besides advanced maternal age (≥35 years; adjusted odds ratio [aOR]: 1.7, 95% confidence interval [CI]: 1.1–2.5), teenage pregnancy was also a risk factor for placental abruption (aOR: 2.8, 95% CI: 1.2–6.5) when maternal age of 20–24 years was set as a reference. Conclusions: In the Japanese general population, besides advanced maternal age, teenage pregnancy was also a strong risk factor for placental abruption. The maternal age in Japan is changing since recent decades. Therefore, it is important for obstetric care providers to provide proper counseling to young women based on the up-to-date evidences. Funding: The Japan Environment and Children’s Study was funded by the Ministry of the Environment, Japan

Objective: To investigate the correlation of prepregnancy dietary inflammatory index (DII) with obstetric outcomes in women with endometriosis. Design: Prospective cohort study Setting: Japan Population: We identified 88,398 Japanese women (n=85,149 without endometriosis and n=3,249 with endometriosis) who were recruited in the Japan Environment and Children’s study (JECS) between January 2011 and March 2014. Methods: Participants were categorised according to DII quintiles (Q1 and Q5 were the most pro-inflammatory and most anti-inflammatory groups, respectively) and stratified according to the presence or absence of endometriosis. Women with endometriosis were further categorised based on conceptions after assisted reproductive technology. Main outcomes were preterm birth (PTB) and low birth weight (LBW) infant. A multiple logistic regression model was used to estimate the effect of anti-inflammatory diet on PTB before 37 or 34 weeks and LBW <2500 g or 1500 g. Results: In women with endometriosis without ART, Q5 significantly decreased the risk of PTB before <34 weeks (aOR 0.25, 95% CI 0.07–0.83) and LBW <1500 g (aOR 0.07, 95% CI 0.01–0.60). Conclusions: This study suggested a distinctive effect of anti-inflammatory diet on more severe obstetrics outcomes, specifically PTB before 34 weeks and LBW <1500 g, among women with endometriosis. Moreover, preconception lifestyle may improve perinatal mortality and morbidity among women with endometriosis. Funding: None