{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,6]],"date-time":"2025-04-06T11:10:01Z","timestamp":1743937801988,"version":"3.40.3"},"reference-count":6,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T00:00:00Z","timestamp":1715040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Research on healthy pregnant women's reflexes is almost unheard of, even if an estimation of reflexes is a conventional part of the physical examination of preeclamptic patients, and hyperreflexia is generally considered to be a warning sign of eclampsia. The aim of the present study was to investigate the possible impact of gestation on tendon reflexes and the Babinski response, as examined in a clinical bed\u2010side manner.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>A prospective, single\u2010blind, cross\u2010sectional study. Three study groups comprised non\u2010pregnant (<jats:italic>n<\/jats:italic>\u2009=\u200920), 14\u201318\u2009weeks (<jats:italic>n<\/jats:italic>\u2009=\u200916), and 34\u201338\u2009weeks (<jats:italic>n<\/jats:italic>\u2009=\u200915) healthy pregnant women respectively. Two experienced neurologists examined separately each participant's patellar reflexes, Achilles reflexes, and Babinski response and rated them on two different scales, National Institute of Neurological Disorders and Stroke (NINDS) scale and Mayo Clinic Scale for Tendon Reflex Assessment. Inter\u2010observer estimations between the patient groups and the neurologists were made by mixed effect model methodology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patellar and Achilles reflexes\u00b4 strengths were rated similarly in all three groups (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05). The inter\u2010observer difference was non\u2010significant between the neurologists\u00b4 estimations (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05). The neurologists estimated the Babinski response in a few cases as neutral (0), otherwise down (normal).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The patellar and Achilles reflex strengths are not affected in uncomplicated pregnancy. There is good concordance between neurologists\u00b4 estimations of tendon reflex strengths rated on the NINDS and Mayo scales.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14866","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T04:44:22Z","timestamp":1715143462000},"page":"1420-1425","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The strength of the patellar and Achilles tendon reflexes is not affected in uncomplicated pregnancy"],"prefix":"10.1111","volume":"103","author":[{"given":"Isold","family":"Nordfjord","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Iceland  Reykjavik Iceland"},{"name":"Landspitali University Hospital  Reykjavik Iceland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8161-173X","authenticated-orcid":false,"given":"Thora","family":"Steingrimsdottir","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Iceland  Reykjavik Iceland"},{"name":"Department of Obstetrics and Gynecology Landspitali University Hospital  Reykjavik Iceland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Valtorta","sequence":"additional","affiliation":[{"name":"Faculty of Physical Sciences University of Iceland  Reykjavik Iceland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agust","family":"Hilmarsson","sequence":"additional","affiliation":[{"name":"Department of Neurology Landspitali University Hospital  Reykjavik Iceland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haukur","family":"Hjaltason","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Iceland  Reykjavik Iceland"},{"name":"Department of Neurology Landspitali University Hospital  Reykjavik Iceland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443619109013575"},{"key":"e_1_2_11_3_1","first-page":"318","volume-title":"Obstetrik","author":"Nisell H","year":"2008"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12580"},{"key":"e_1_2_11_5_1","unstructured":"Hypertension in pregnancy: diagnosis and management. Accessed June 15 2023https:\/\/www.nice.org.uk\/guidance\/ng133"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.64.2.253"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mehy.2014.02.022"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14866","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,6]],"date-time":"2025-04-06T10:48:42Z","timestamp":1743936522000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.14866"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,7]]},"references-count":6,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1111\/aogs.14866"],"URL":"https:\/\/doi.org\/10.1111\/aogs.14866","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"type":"print","value":"0001-6349"},{"type":"electronic","value":"1600-0412"}],"subject":[],"published":{"date-parts":[[2024,5,7]]},"assertion":[{"value":"2023-12-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}