Discordant dating of pregnancy by LMP and ultrasound and its implications in perinatal statistics
Conclusion: Accurate dating of pregnancy and systematic follow-up integrating radiology imaging and obstetrics care for appropriate risk-based management of pregnant women can significantly improve perinatal statistics of India.
Ectopic pregnancy is a gynecological complication characterized by an abnormal implantation of the embryo out of the endometrial cavity, occurring between 1-2% of all pregnancies, entailing a major cause of maternal morbimortality during early pregnancy .
Introduction: Frozen–thawed embryo transfers (FET) have become a standard practice to increase cumulative pregnancy rates, however, the choice of the best preparation protocol remains a matter of debate.Design: Retrospective analysis of clinical pregnancy (CPR) and live birth rate (LBR) of FET in natural cycles (NC-FET), modified natural cycles with hCG-triggered ovulation (mNC-FET), and hormonal artificial replacement (AR-FET).Materials and Methods: For natural cycles, patients were monitored by ultrasound to evaluate the dominant follicle and by urinary LH kits (NC-FET). When the endometrial thickness reached at le...
I was interested to read the paper by Leonardi M et al. published in the Apr 2020 issue of Eur J Obstet Gynecol Reprod Biol . The authors aimed to evaluate if a decreasing human chorionic gonadotropin (hCG) between day (D) 1 and D7 is an equal or better predictor of tubal ectopic pregnancy (EP) resolution following methotrexate (MTX) treatment than the current standard of care. They used a retrospective cohort study of women with a transvaginal ultrasound (TVS)-confirmed tubal EP. After single-dose MTX treatment, D4/7 hCG ratios were compared with that of D1/D7 in terms of sensitivity, specificity, positive predictive v...
Researchers using MRI to study blood flow through the placenta discovered a...Read more on AuntMinnie.comRelated Reading: Can ultrasound, 3D printing deepen maternal-fetal bonds? Third-trimester ultrasound finds undetected fetal abnormalities Gadolinium MRI scans most common early in pregnancy More pregnant women are undergoing imaging In utero MRI on par with ultrasound for fetal brain evaluation
Gastric point-of-care ultrasound (PoCUS) is emerging as a useful tool in the anaesthetist ’s arsenal as a means of evaluating the patient’s stomach contents before surgery. It enables assessment of the risk of pulmonary aspiration which is a serious complication of general anaesthesia and which has an incidence of 1:4000 in all elective surgeries.1 Pulmonary aspiration occurs more co mmonly in obstetric surgery, where the incidence may rise to 1:700 general anaesthetics.2 A UK Obstetric Surveillance System (UKOSS) study also identified an incidence of 8% following failed intubation in obstetric surgery compared...
Conclusion: Ultrasound and isotopic studies will be requested only by a small proportion of Thai endocrinologists. Higher physician preference for ATD is similar to Europe, Latin America, and other Asian countries. Geographical differences in the use of ATD, radioactive iodine, and thyroidectomy exist. PMID: 32454522 [PubMed - as supplied by publisher]
This article will discuss the spectrum of C-section complications in the MR image-rich form and will provide a systematic discussion of the possible pathology that can occur, showing comprehensive anatomical insight into the pelvis after C-section thanks to MRI that facilitates clinical decisions.
ConclusionsWe present data from 35 cases of exome sequencing applied in a setting of fetal malformations. Importantly, though, we wish to share our personal experiences with implementing WES into a prenatal setting. As a medical society, we must continue to share what we do not understand, what went wrong, what is difficult, and what we do not agree upon. A common understanding and language are warranted. We also advocate that more research is needed concerning the clinical value, as well as costs and patient perspectives, of using WES in pregnancy. We believe that WES will lead to improved prenatal and perinatal care.
amo JA, Ruiz-Martinez S PMID: 32449242 [PubMed - as supplied by publisher]
Screening for pre-eclampsia at 11-13 weeks' gestation: use of PAPP-A, PlGF or both. Ultrasound Obstet Gynecol. 2020 May 22;: Authors: Zumaeta AM, Wright A, Syngelaki A, Maritsa VA, Da Silva AB, Nicolaides KH Abstract OBJECTIVE: First-trimester screening for preeclampsia (PE) is useful because treatment of the high-risk group with aspirin reduces the rate of early-PE with delivery at