Fetal primary hydrothorax with spontaneous resolution

We present a case of a unilateral fetal pleural effusion identified at 35th gestational week. A 37year-old woman (G2P1) presented to our routine term pregnancy evaluation. The pregnancy had been otherwise uneventful. At ecographic evaluation a large anechogenic fluid collection was identified in the right fetal hemithorax, with atelectasis of right lung, displacing the heart and mediastinal structures to the contralateral hemithorax. Hydramnios was also identified. No other structural abnormalities were detected, as no signs of hydrops. Fetal biometry was compatible with gestational age. Fetal ecochardiogram was structurally and functionally normal. Doppler evaluation of the peak systolic velocity in the middle cerebral artery was normal. Screening for congenital infections was negative. Complete blood cell count, blood type and antibody screening rulled-out immune hydrops. Karyotype analysis was not performed as family decision. Serial ecographic re-evaluations showed a progressive volume decrease and at the 38th week there was total resolution of the effusion. A C-section was performed at the 39th week. A live female infant was born weighing 3205g, with no need of ventilatory support. One year post-partum follow-up evaluation confirmed the child was healthy. Spontaneous regression has been reported to occur in 9–22% of primary fetal hydrothoraxes, but the features predicting a better prognosis remain difficult to define. Unilateral effusion, spontaneous resolution and...
Source: Case Reports in Womens Health - Category: OBGYN Source Type: research

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Publication date: Available online 13 December 2019Source: The Egyptian RheumatologistAuthor(s): Maryam Ahmed Abdulrahman, Samah A. Elbakry, Nagham Safwat Samy, Rehab M. Abdelrahman, Nermeen SamyAbstractBackgroundFemale patients with rheumatoid arthritis (RA) can have successful pregnancies. However, those who experience a higher disease activity during pregnancy and require continued treatment have a potential risk of maternal and neonatal complications.Aim of the workTo assess pregnancy outcome (adverse maternal and neonatal outcomes) in an Egyptian cohort of female RA patients.Patients and methodsThiscross-sectional stu...
Source: The Egyptian Rheumatologist - Category: Rheumatology Source Type: research
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Source: Browsing - Category: Databases & Libraries Tags: midwifery Source Type: blogs
Condition:   Umbilical Cord Clamping Intervention:   Other: Documentation of Maternal blood loss and neonatal outcome Sponsor:   Cairo University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
A large new study found no link between the method of birth and obesity.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Pregnancy and Childbirth Caesarean Section Obesity Source Type: news
ConclusionsIn this study, we observed pooled infection estimates of almost 4% in labour and between 1% –2% of each infection outcome postpartum. This indicates maternal peripartum infection is an important complication of childbirth and that preventive efforts should be increased in light of antimicrobial resistance. Incidence risk appears lower than modelled global estimates, although differences in definitions limit comparability. Better-quality research, using standard definitions, is required to improve comparability between study settings and to demonstrate the influence of risk factors and protective interventions.
Source: PLoS Medicine - Category: Internal Medicine Authors: Source Type: research
Publication date: Available online 6 December 2019Source: World Journal of Acupuncture - MoxibustionAuthor(s): Da-zhe Tian, Ying-zhe Bai, Nai-qi LiABSTRACTThe patient was in conception 27 weeks + 6 days, and got right waist pain, complicated with nausea, vomiting (vomit as gastric content), which was diagnosed as non-specific pain on waist after consultations of many departments. The patient received acupuncture with the following acupoints: Shuĭgōu (水沟GV26), Yìntáng (印堂EX-HN3), left Hégŭ (合谷LI4), and right Tàichōng (太冲LR3) . On the first date of acupuncture, the patient ...
Source: World Journal of Acupuncture Moxibustion - Category: Complementary Medicine Source Type: research
AbstractBackgroundTo investigate the effect of fetal sex on fibroids ’ growth during pregnancy according to the hCG serum levelsMethodsObservational study conducted from January 2007 to December 2016 on women with ultrasound identification of uterine fibroids who had a pregnancy within 1 year from diagnosis. The fibroids diameter was determined during the pre-pregnancy ultrasound, early first trimester (5 –7 weeks), late first trimester (11–13 weeks), second trimester (19–21 weeks), and third trimester (31–33 weeks). The diameter growth was calculated in each interval between two ultrasounds. ...
Source: Biology of Sex Differences - Category: Biology Source Type: research
This study aimed to compare the long-term reproductive and obstetric outcomes in women treated for FOC during their first pregnancy with women who did not experience FOC with their first pregnancy.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Mother, Fetus, Neonate Source Type: research
This study aimed to compare ACTG with IA in terms of cesarean section, obstetric intervention, and neonatal morbidity in a low-risk population of healthy pregnant women presenting for possible labor onset, before confirmation of labor.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Mother, Fetus, Neonate Source Type: research
AbstractIntroductionIt is hypothesized that increased intraabdominal pressure (IAP) may be a cause of preeclampsia. There is, however, a paucity of clinical data regarding IAP in preeclamptics. We evaluated and compared the IAP and its effects on organ functions, in normotensive and preeclamptic patients.Material and methodsPreviously healthy non ‐laboring patients with a singleton pregnancy scheduled for elective cesarean section under subarachnoid block were enrolled (preeclamptic and normotensive; n = 29 each). IAP was measured using an indwelling Foley catheter, and compared in both cohorts at four predefin...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
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