Comparison between maternal and neonatal outcome of PPROM in the cases of amniotic fluid index (AFI) of more and less than 5 cm.
Comparison between maternal and neonatal outcome of PPROM in the cases of amniotic fluid index (AFI) of more and less than 5 cm. J Obstet Gynaecol. 2018 Feb 09;:1-5 Authors: Mousavi AS, Hashemi N, Kashanian M, Sheikhansari N, Bordbar A, Parashi S Abstract The study was performed on pregnant women with a gestational age of 26-32 weeks of pregnancy, who had been admitted to the hospital with a confirmed diagnosis of premature rupture of membranes. In all eligible women, ultrasounds were performed for the evaluation of amniotic fluid index. Then, the women were divided into two groups according to amniotic fluid index of ≥5 cm and
Conclusion: We recommend that patients with severe uterine dehiscence undergo transvaginal or laparoscopic repair before attempting another pregnancy. However, if they become pregnant without repair of the dehiscence, they can be managed conservatively with routine surveillance and intermittent monitoring by ultrasound to term unless there is an emergency. PMID: 30230795 [PubMed - in process]
CONCLUSION: Incorporation of a detailed fetal anomaly scan (FA) into first-trimester screening algorithms can improve the detection rates for trisomy 18 and 13, triploidy and Turner syndrome. PMID: 30241105 [PubMed - as supplied by publisher]
ConclusionCurettage for miscarriage or undesired pregnancy is not exempt from complications (as hemorrhage, simple perforation, or infection) Intrauterine fallopian tube incarceration is uncommon but can affect fertility. This diagnosis is important to avoid destruction of the fimbriae, necrosis of the tube and also to reduce the risk for ectopic pregnancy.
Conclusion: This case highlights the likelihood of RCSP and the need for transvaginal CSP lesion resection to decrease the risk of RCSP in CSP patients who desire future pregnancy. PMID: 30226731 [PubMed - in process]
Conclusion: The site of an ectopic pregnancy should be sought thoroughly to avoid missing an abdominal pregnancy and hence disastrous hemoperitoneum. While medical therapy with high-dose methotrexate is not a standard treatment, it can be considered after failing the traditional therapy, provided that there is adequate treatment monitoring and expertise in handling the side effects of the medication. PMID: 30226730 [PubMed - in process]
Conclusion: PD measurement in the fetus is feasible and reliable in the second half of gestation and can be used to support the antenatal diagnosis of bladder exstrophy with PD values exceeding 10 mm.Fetal Diagn Ther
This article suggests how this method can be extended to longitudinal data using fractional polynomials in linear mixed effect regression. The presented approach includes maximum likelihood estimation for fitting first- and second-order fractional polynomial models, and multimodel inference using Akaike's information criterion and related tools as a suitable strategy for model selection. Finally, an example of the suggested approach is presented.
ConclusionGeneral implementation of ultrasound screening in maternity care can significantly reduce the number of late TOPs in Germany.
When Nichelle Obar learned she was pregnant with her second child last year, she never expected that her pregnancy, or her baby, would make history. But when the 40-year-old food-and-beverage coordinator from Hawaii and her fiancé Christopher Constantino went to their 18-week ultrasound, they learned something was wrong. The heart was larger than it should have been, and there was evidence that fluid was starting to build up around the organ as well. Both were signs that the fetus was working extra hard to pump blood to its fast-growing body and that its heart was starting to fail. Obar’s doctor knew what coul...
Authors: Zhang Y, Zhang C, He J, Bai J, Zhang L Abstract OBJECTIVE: To evaluate the correlation between the gestational sac size and the effect and safety of high intensity focused ultrasound (HIFU) combined with ultrasound-guided suction curettage for caesarean scar pregnancy (CSP). METHODS: Seventy-six patients with CSP were enrolled. Based on their gestational sac size, patients were divided into three groups: Group 1 (n = 16, 10-20 mm), Group 2 (n = 28, 21-30 mm) and Group 3 (n = 32,>30 mm). All of them were treated by HIFU combined with ultr...