Obstetric training in Emergency Medicine: a needs assessment.

Conclusions The identification and management of obstetric emergencies is the cornerstone of EM. We found preliminary evidence of a concerning lack of resident comfort regarding obstetric conditions and knowledge deficits on core obstetrics topics. EM residents may benefit from educational interventions to increase exposure to these topics. PMID: 28165956 [PubMed - in process]
Source: Medical Education Online - Category: Universities & Medical Training Tags: Med Educ Online Source Type: research

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ConclusionIn conclusion, transvaginal ultrasound guided local and systemic methotrexate injection may be performed successfully for the cases of advanced gestational age with fetal cardiac activity and high serum β-hCG levels.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
To investigate the diagnostic accuracy of contrast-enhanced ultrasound (CEUS) and to search for cut-offs in caesarean scar pregnancy (CSP) patients for making quantitative diagnoses. Study Design: Thirty patients in the first trimester of pregnancy were enrolled in our study. They were suspected as being at risk of caesarean scar pregnancy by conventional ultrasound and insisted on abortions. Transvaginal ultrasonography (TVU) and CEUS were performed, and parameters were analysed on the time-intensity curve (TIC).
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Full length article Source Type: research
Authors: Tagliaferri S, Esposito FG, Esposito G, Saccone G, Signorini MG, Magenes G, Campanile M, Guida M, Zullo F Abstract Analysing antepartum and intrapartum computerised cardiotocographic (cCTG) parameters in physiological term pregnancies with nuchal (NC) or body cord (BC), in order to correlate them with labour events and neonatal outcome. We enrolled 808 pregnant women, composed of 264 with 'one NC', 121 with 'multiple NCs', 39 with BC and 384 with 'no NC', were monitored from the 37th week of gestation before labour, while 49 pregnant women with 'one or more NCs' and 47 with 'no NCs' were analysed during la...
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research
ConclusionsNineteen quality indicators to measure early pregnancy care provided by EPAU were identified.
Source: Reproductive BioMedicine Online - Category: Reproduction Medicine Source Type: research
ConclusionCombined Rendez-vous isthmoplasty is feasible, safe, and effective in experienced hands, giving the surgeon a comprehensive evaluation of the anatomy of the isthmocele, and increasing the odds of a complete resection and restoration of the anatomy 4, 5, 6, 7. In this patient, the procedure was uneventful, without any intra- or postoperative complications, and the symptoms were completely controlled.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Authors: Spruijt MS, Lopriore E, Steggerda S, Slaghekke F, van Klink JMM Abstract Introduction: Twin-twin transfusion syndrome (TTTS) is a devastating complication of monochorionic twin pregnancy and remains a major challenge for worldwide fetal medicine specialists. In TTTS, inter-twin transfusion through vascular anastomoses in the shared placenta leads to severe hemodynamic imbalance. This review summarizes the current knowledge of TTTS.Areas covered: The most recent insights concerning the management of TTTS, as well as fetal and neonatal complications are described. Relevant articles were selected based on a P...
Source: Expert Review of Hematology - Category: Hematology Tags: Expert Rev Hematol Source Type: research
This study is registered with ClinicalTrials.gov, NCT02409680, and the Clinical Trial Registry-India, CTRI/2016/05/006970.FindingsFrom March 23, 2016 to June 30, 2018, 14 361 women were screened for inclusion and 11 976 women aged 14–40 years were randomly assigned to receive low-dose aspirin (5990 women) or placebo (5986 women). 5780 women in the aspirin group and 5764 in the placebo group were evaluable for the primary outcome. Preterm birth before 37 weeks occurred in 668 (11·6%) of the women who took aspirin and 754 (13·1%) of those who took placebo (RR 0·89 [95% CI 0·81 to 0&middo...
Source: The Lancet - Category: General Medicine Source Type: research
Abstract OBJECTIVE: To identify the risk factors of fetal loss associated with cordocentesis METHODS: Based on our prospective database, a retrospective cohort study was conducted on pregnancies undergoing cordocentesis at mid-pregnancy from a single center (a tertiary hospital, teaching school). All consecutive cases were validated to retrieve those meeting the inclusion criteria, including 1) low risk pregnancies; 2) singleton pregnancies; 3) availability of the data of pregnancy outcomes; and 4) normal fetuses (no structural / chromosomal abnormalities and severe disorders). The cases with therapeutic terminati...
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
DiscussionMainly in the early first trimester, larger placental volumetric parameters are associated with lower pressure and more FMVD in the fetoplacental vasculature after delivery. This may suggest that larger and/or more vascularized placentas in early pregnancy have better adaptive mechanisms and possibly lead to better pregnancy outcomes.
Source: Frontiers in Physiology - Category: Physiology Source Type: research
AbstractMounting evidence suggests that the placenta is involved in nearly all abnormalities of pregnancy and fetal development. Traditional imaging evaluation of the placenta by ultrasound has more recently been complemented by MRI for complex cases requiring additional information, such as in the diagnosis of the placenta accreta spectrum (placenta accreta, increta and percreta). MRI can often help delineate the safest approach to delivery and adds diagnostic certainty to enable prognostication and to avoid potentially lethal complications. Increasingly, prenatal MRI has become the purview of the pediatric imager and is ...
Source: Pediatric Radiology - Category: Radiology Source Type: research
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