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Use of a Fibrin Sealant Patch at Cesarean for Conservative Management of Morbidly Adherent Placenta
Conclusion Postpartum hemorrhage is an ongoing leading source of maternal morbidity and mortality. A case is presented in which a fibrin sealant patch provided control of focal placental bed bleeding, allowing removal of a focal morbidly adherent placenta and avoidance of hysterectomy. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - November 14, 2018 Category: Perinatology & Neonatology Authors: Greenberg, James A. Robinson, Julian N. Carabuena, Jean M. Farber, Michaela K. Carusi, Daniela A. Tags: Case Report Source Type: research

Recurrent Cholangiocarcinoma in Pregnancy: A Case Report
AJP Rep 2018; 08: e261-e263 DOI: 10.1055/s-0038-1675376Hepatobiliary malignancies during pregnancy are extremely rare and portend a poor prognosis. There are only seven published cases of cholangiocarcinoma in an obstetrical patient, all are cases of primary cholangiocarcinoma (1–7). Herein, we describe the first case of recurrent cholangiocarcinoma during pregnancy. The patient did not receive chemotherapy during pregnancy and required prolonged hospitalizations for nutritional and intensive medical support. She delivered preterm, at 30 2/7 weeks gestation, after developing pre-eclampsia with severe features. The infant...
Source: American Journal of Perinatology Reports - November 12, 2018 Category: Perinatology & Neonatology Authors: Francis, Antonia P. Chang, Michelle Dolin, Cara D. Chervenak, Judith Cardonick, Elyce Tags: Case Report Source Type: research

Induction of Labor for Maternal Indications at a Periviable Gestational Age; Survey on Management, Reporting and Auditing amongst Dutch Maternal-Fetal Medicine Specialists and Neonatologists
Conclusion Perspective of MFM specialists and neonatologists differs with regard to counseling prospect parents in case of severe early onset pre-eclampsia. The majority of professionals is willing to report late termination (after 24 weeks' gestation) for severe maternal disease to medical experts for internal audits but not for legal auditing. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - November 1, 2018 Category: Perinatology & Neonatology Authors: van Eerden, Leonoor de Groot, Christianne J.M. Page-Christiaens, Godelieve C.M.L. Pajkrt, Eva Zeeman, Gerda G. Bolte, Antoinette C. Tags: Original Article Source Type: research

Understanding if, How, and Why Women with Prior Spontaneous Preterm Births are Treated with Progestogens: A National Survey of Obstetrician Practice Patterns
Conclusion Study findings support SMFM's contention of continued 17-OHPC underutilization to prevent PTB. Need for additional physician education merits assessment along with appropriate follow-up actions. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - November 1, 2018 Category: Perinatology & Neonatology Authors: Gallagher, Jack R. Gudeman, Jennifer Heap, Kylee Vink, Joy Carroll, Susan Tags: Case Report Source Type: research

Comparison of Birth Outcomes by Gestational Diabetes Screening Criteria
Conclusion Little difference in birth outcomes was found between the two criteria, GDM/CC and GDM/IADPSG. Randomized controlled trials are needed to clarify the risks and benefits of these screening paradigms before their incorporation into clinical practice. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - October 29, 2018 Category: Perinatology & Neonatology Authors: Davis, Esa M. Scifres, Christina M. Abebe, Kaleab Costacou, Tina Comer, Diane Catalano, Patrick Simhan, Hyagriv Freiberg, Matthew Day, Nancy Tags: Original Article Source Type: research

Clinical Insights for Cervical Ripening and Labor Induction Using Prostaglandins
AJP Rep 2018; 08: e307-e314 DOI: 10.1055/s-0038-1675351Cervical ripening is often the first component of labor induction and is used to facilitate the softening and thinning of the cervix in preparation for labor. Common methods used for cervical ripening include both mechanical (e.g., Foley or Cook catheters) and pharmacologic (e.g., prostaglandins) methods. The choice of method(s) for ripening should take into account the patient's medical and obstetric history, clinical characteristics, and risk of adverse effects if uterine tachysystole were to occur. In this narrative review, we highlight the differences between the p...
Source: American Journal of Perinatology Reports - October 29, 2018 Category: Perinatology & Neonatology Authors: Pierce, Stephanie Bakker, Ronan Myers, Dean A. Edwards, Rodney K. Tags: Case Report Source Type: research

Fetal/Neonatal Pericardial Effusion in Down's Syndrome: Case Report and Review of Literature
We report a preterm (35 4/7 weeks) male neonate with Down's syndrome (DS) diagnosed with isolated pericardial effusion (PE) at 20 weeks of gestation. He was born by precipitous delivery, needed no resuscitation and presented within first 24 hours of life with respiratory distress, anemia due to feto-maternal bleed, hypotension, hepatomegaly, and coagulopathy. Postnatal echocardiography confirmed a 5 mm rim of PE without tamponade, normal cardiac structure, and function. He was stabilized with ventilation, packed red cell, fresh frozen plasma, inotropes (dopamine, dobutamine, and adrenaline), and steroid (hydrocortisone)....
Source: American Journal of Perinatology Reports - October 29, 2018 Category: Perinatology & Neonatology Authors: Pharande, Pramod Balegar Virupakshappa, Kiran Kumar Mehta, Bhavesh Badawi, Nadia Tags: Case Report Source Type: research

Importance of Individual Elements for Perineal Protection in Childbirth: An Interventional, Prospective Trial
Conclusion Using a quality improvement framework, we documented the individual elements of the intervention. Hand on the infant's head reduced the risk of OASIS. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - October 29, 2018 Category: Perinatology & Neonatology Authors: Rasmussen, Ole Bredahl Yding, Annika Lauszus, Finn Andersen, Charlotte Sander Anh øj, Jacob Boris, Jane Tags: Case Report Source Type: research

Early-Onset Neonatal Sepsis with Extended Spectrum Beta-Lactamase Producing Escherichia Coli in Infants Born to South and South East Asian Immigrants: A Case Series
We present three cases of early onset ESBL Escherichia coli sepsis in infants born to families from South and Southeast Asia to inform the practitioner community about this emerging threat. Infants with suspected sepsis, whose mother is from Asia or Southeast Asia, should be suspected of having an infection with an ESBL-producing organism, and practitioners should strongly consider adding a carbapenem to their usual initial antibiotic regimen. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Am...
Source: American Journal of Perinatology Reports - October 29, 2018 Category: Perinatology & Neonatology Authors: Dolma, Kalsang Summerlin, Thanh L. Wongprasert, Hansa Lal, Charitharth Vivek Philips III, Joseph B. Winter, Lindy Tags: Case Report Source Type: research

Fetal MRI in the Identification of a Fetal Ventral Wall Defect Spectrum
Conclusion There is a lack of consensus on useful diagnostic criteria within the published literature which is reflected in our own diagnostic experience and poses a challenge for accurate prenatal counseling. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - October 29, 2018 Category: Perinatology & Neonatology Authors: Coleman, Peter W. Marine, Megan B. Weida, Jennifer N. Gray, Brian W. Billmire, Deborah F. Brown, Brandon P. Tags: Case Report Source Type: research

Structured Training for Fetal Diagnostic Skills in a Maternal-Fetal Medicine Fellowship
Conclusion Our curriculum, by following the explicit guidelines and expectations set out by the American Institute of Ultrasound in Medicine and the American Board of Obstetrics and Gynecology for practicing maternal-fetal medicine fellowship graduates, provides an opportunity to explore national standardization for this component of training. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - October 25, 2018 Category: Perinatology & Neonatology Authors: Antony, Kathleen M. Khurshid, Nauman Trampe, Barbara Gupta, Vivek K. Iruretagoyena, J. Igor Stewart, Katharina S. Shah, Dinesh Tags: Original Article Source Type: research

Introduction of Posterior Axilla Sling Traction in Simulated Shoulder Dystocia
Conclusion PAST is an adjunct to management of shoulder dystocia that has not previously been taught in our facility. The majority of participants in our simulation felt comfortable with using PAST. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - October 18, 2018 Category: Perinatology & Neonatology Authors: Whittington, Julie R. Poole, Aaron T. Tags: Original Article Source Type: research

Decidual Vasculopathy in Preeclampsia and Spiral Artery Remodeling Revisited: Shallow Invasion versus Failure of Involution
AJP Rep 2018; 08: e241-e246 DOI: 10.1055/s-0038-1675348Decidual vasculopathy is commonly associated with preeclampsia and develops in the late pregnancy in the uterine spiral arteries, which were previously remodeled by the extravillous trophoblasts. In normal early pregnancy, trophoblasts invade into the spiral artery, leading to vascular transformation, and this transformation is found to be associated with phenotypic switch of the endovascular trophoblasts to express CD56, a maternal protein likely from the natural killer (NK) cells. These endovascular trophoblasts are diminished at term. The decidual vessels are also r...
Source: American Journal of Perinatology Reports - October 18, 2018 Category: Perinatology & Neonatology Authors: Zhang, Peilin Tags: Case Report Source Type: research

Pregnancy after Aortic Root Replacement in Marfan's Syndrome: A Case Series and Review of the Literature
Conclusions Women with Marfan's syndrome who become pregnant following aortic root replacement remain at risk for distal aortic dissection related to pregnancy. The exact risk is difficult to quantify but is not zero and women should be counseled accordingly. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - October 18, 2018 Category: Perinatology & Neonatology Authors: Williams, Dominique Lindley, Kathryn J. Russo, Melissa Habashi, Jennifer Dietz, Harry C. Braverman, Alan C. Tags: Case Report Source Type: research

Successful Management of Giant Placental Chorangioma by Microcoil Embolization
We report a minimally invasive, extra-amniotic approach, technically similar to cordocentesis, of microcoil embolization of the feeding vessel. These percutaneously placed microcoils initiate clot formation at the site of insertion and are unable to migrate through the tumor, thereby minimizing fetal harm by downstream embolic phenomena. Intervention at 26 and 22 weeks resulted in intraoperative fetal loss in the former and vaginal delivery at term of a healthy neonate in the latter. Preoperative, intraoperative, and placental findings are highlighted. The ease and safety of this procedure may alter the risk–benefit equa...
Source: American Journal of Perinatology Reports - October 15, 2018 Category: Perinatology & Neonatology Authors: Emery, Stephen P. Orons, Philip D. Bonadio, Jeffrey F. Tags: Case Report Source Type: research