Talcum Powder Toxicosis in Pregnancy
Conclusion This case highlights the importance of screening for mental health disorders, which may be exacerbated during the peripartum period. Patients' coping mechanisms for mental health disorders may have unintended consequences. [...] 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 - December 28, 2018 Category: Perinatology & Neonatology Authors: Pennycuff, Jon F. Davenport, Abigail Ellis, Jane Patberg, Elizabeth Cwiak, Carrie Tags: Case Report Source Type: research

Challenges and Limitations of Clinical Trials on Labor Induction: A Review of the Literature
AJP Rep 2018; 08: e365-e378 DOI: 10.1055/s-0038-1676577Induction of labor is a common obstetric procedure performed in nearly a quarter of all deliveries in the United States. Pharmacological (prostaglandins, oxytocin) and/or mechanical methods (balloon catheters) are commonly used for labor induction; however, there is ongoing debate as to which method is the safest and most effective. This narrative review discusses key limitations of published trials on labor induction, including the lack of well-designed randomized controlled trials directly comparing specific methods of induction, heterogeneous trial populations, and ...
Source: American Journal of Perinatology Reports - December 26, 2018 Category: Perinatology & Neonatology Authors: Viteri, Oscar A. Sibai, Baha M. Tags: Review Article Source Type: research

Diagnostic Errors in the Neonatal Intensive Care Unit: A Case Series
AJP Rep 2018; 08: e379-e383 DOI: 10.1055/s-0038-1676619Diagnostic errors remain understudied in neonatal intensive care units (NICUs). The few available studies are primarily autopsy-based, and do not evaluate diagnostic errors that did not result in the patient's death. This case series presents 10 examples of nonlethal diagnostic errors in the NICU—classified according to the component of the diagnostic process which led to the error. These cases demonstrate the presence of diagnostic error in the NICU and highlight the need for further research on this important topic. [...] Thieme Medical Publishers 333 Seventh A...
Source: American Journal of Perinatology Reports - December 26, 2018 Category: Perinatology & Neonatology Authors: Shafer, Grant J. Suresh, Gautham Tags: Case Report Source Type: research

Pregnancies Complicated by Familial Hypertriglyceridemia: A Case Report
Conclusion Treatment with gemfibrozil in pregnancies complicated by hypertriglyceridemia may prevent complications without adverse maternal or fetal effects and could be considered in treating pregnant patients with severe hypertriglyceridemia. These cases also demonstrate the importance of medication compliance in the prevention of poor outcomes. [...] 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 - December 26, 2018 Category: Perinatology & Neonatology Authors: Cao, Suzanne Dao, NhuChi Roloff, Kristina Valenzuela, Guillermo J. Tags: Case Report Source Type: research

Bronchopulmonary Sequestration with Fetal Hydrops in a Monochorionic Twin Successfully Treated with Multiple Courses of Betamethasone
Conclusion Antenatal steroids might be considered for noninvasive therapy in high-risk fetal patients with BPS especially when fetal intervention is unsuitable or not available. [...] 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 - December 3, 2018 Category: Perinatology & Neonatology Authors: Pock, Radovan Stra ňák, Zbyněk Vojt ěch, Jiří Ha šlík, Lubomír Feyereisl, Jaroslav Krofta, Ladislav Tags: Case Report Source Type: research

Isolated Fetal Cardiac Abnormalities: Are They Really Isolated?
Conclusion Patients with a suspected isolated fetal cardiac anomaly on ultrasound should be aware of the possibility of other major structural abnormalities, especially in cases of conotruncal cardiac anomalies. [...] 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 30, 2018 Category: Perinatology & Neonatology Authors: Razavi, Armin S. Chasen, Stephen T. Tags: Case Report Source Type: research

Maternal and Neonatal Outcomes after Attempted External Cephalic Version among Women with One Previous Cesarean Delivery
This study was aimed to evaluate success rates of (1) external cephalic version (ECV) among women with one prior cesarean delivery (CD) and (2) maternal and neonatal outcomes after ECV among women with prior CD. Study Design Two linked studies using U.S. Natality Database were performed. First we performed a retrospective cohort comparing ECV success rates of women with prior CD and women without prior CD. Then we compared the outcomes of TOLACs (trial of labor after cesarean delivery) that occurred after ECV with those that occurred without ECV. Multivariable logistic regression analysis was used to estimate adver...
Source: American Journal of Perinatology Reports - November 28, 2018 Category: Perinatology & Neonatology Authors: McLaren, Rodney A. Atallah, Fouad Fisher, Nelli Minkoff, Howard Tags: Original Article Source Type: research

Maternal and Fetal Outcomes in Pregnancies affected by Bone and Soft Tissue Tumors
Conclusion Pregnant women with bone and soft tissue tumors are candidates for standard surgical management during pregnancy. Other treatments, such as chemotherapy and radiotherapy must be evaluated for each woman on a case-by-case basis. Iatrogenic prematurity was common in our findings. [...] 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 28, 2018 Category: Perinatology & Neonatology Authors: Figueiro-Filho, Ernesto Antonio Al-Sum, Hythem Parrish, Jacqueline Wunder, Jay S. Maxwell, Cynthia Tags: Case Report Source Type: research

Bromocriptine Use in Peripartum Cardiomyopathy: Review of Cases
Conclusion Bromocriptine seems to be a promising treatment, there is currently insufficient evidence for universal utilization of bromocriptine for all patients with PPCMP. Addition of bromocriptine to the standard heart failure therapy should be individualized. [...] 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 21, 2018 Category: Perinatology & Neonatology Authors: Simon, Rebecca Yang, Sophia Hameed, Afshan B. Tags: Case Report Source Type: research

Heterogeneous Presentation of Neonatal Hemochromatosis in Dichorionic Twins
We present a pair of dichorionic twin who had a diverse clinical presentation of NH. One twin passed away despite medical treatment with exchange transfusion and intravenous immunoglobulin (IVIg), whereas the other twin suffered from only mildly deranged liver function, which normalized spontaneously. Early identification of liver failure and clinical awareness of this disease entity are essential to its timely diagnosis and treatment. Antenatal management using IVIg prevents the recurrence of NH in subsequent pregnancies. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJourna...
Source: American Journal of Perinatology Reports - November 20, 2018 Category: Perinatology & Neonatology Authors: Chee, Yee Yuet Wong, Siu Chun Mabel Wong, Ming Sum Rosanna Tags: Case Report Source Type: research

Mermaid Syndrome: A Case Report of a Rare Congenital Anomaly in Full-Term Neonate with Thumb Deformity
AJP Rep 2018; 08: e328-e331 DOI: 10.1055/s-0038-1669943The mermaid syndrome (sirenomelia) is an extremely rare anomaly, an incidence of 1 in 100,000 births, in which a newborn born with legs joined together featuring a mermaid-like appearance (head and trunk like humans and tail like fish), and in most cases die shortly after birth. Gastrointestinal and urogenital anomalies and single umbilical artery are clinical outcome of this syndrome. There are two important hypotheses for pathogenesis of mermaid syndrome: vitelline artery steal hypothesis and defective blastogenesis hypothesis. The cause of the mermaid syndrome is un...
Source: American Journal of Perinatology Reports - November 14, 2018 Category: Perinatology & Neonatology Authors: Taee, Nadereh Tarhani, Fariba Goodarzi, Mojgan Faraji Safdari, Mohammad Bajelan, Amir Tags: Case Report Source Type: research

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 in...
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
AJP Rep 2018; 08: e315-e324 DOI: 10.1055/s-0038-1675556 Objective In 2017, the Society for Maternal-Fetal Medicine (SMFM) Guideline Committee reaffirmed that 17α-hydroxyprogesterone caproate (17-OHPC) to prevent preterm birth (PTB) is underutilized. We sought to determine what drove progestogen treatment choice of obstetricians managing pregnant women with histories of 1+ singleton spontaneous PTBs (
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
This study is to examine the association between different diagnostic criteria for gestational diabetes mellitus (GDM) and adverse birth outcomes. Study Design A retrospective cohort study of 5,937 women with a singleton pregnancy was conducted, who completed GDM screening between 24 to 32 weeks gestational age. Four nonoverlapping groups of women defined as: 1) Normal: glucose challenge test (GCT)
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 (hydrocortis...
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  |  op...
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 ...
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

Methemoglobinemia during the Use of Glyceryl Trinitrate Patches in Neonates: Two Case Reports
In conclusion, routine monitoring of methemoglobin levels should be undertaken when GTN patches are used in very prematurely born infants. [...] 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 15, 2018 Category: Perinatology & Neonatology Authors: Mintoft, Alison Williams, Emma Harris, Christopher Kennea, Nigel Greenough, Anne Tags: Case Report Source Type: research

Progressive Devascularization: A Novel Surgical Approach for Placenta Previa
Conclusion For patients with placenta previa and low risk for placenta creta, counseling should include the risk for maternal morbidity and criteria for pursuing peripartum hysterectomy. Our devascularization, a stepwise surgical approach, shows promising outcomes in placenta previa cases. Précis We propose a novel surgical approach, using a progressive devascularization surgical technique, for management of women with placenta previa, undergoing cesarean delivery. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  | ...
Source: American Journal of Perinatology Reports - October 15, 2018 Category: Perinatology & Neonatology Authors: Saad, Antonio F. Kirsch, Nathan Saade, George R. Hankins, Gary D. V. Tags: Case Report Source Type: research

Sildenafil Use in the Treatment of Bronchopulmonary Dysplasia-Associated Pulmonary Hypertension: A Case Series
Conclusion Sildenafil reduced NTproBNP levels in all infants with BPD-PH but the echocardiographic findings and respiratory scores did not improve consistently. We speculate that this may be due to a delay in diagnosis and initiation of therapy after irreversible pulmonary changes have set in. [...] 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 15, 2018 Category: Perinatology & Neonatology Authors: Qasim, Amna Dasgupta, Soham Aly, Ashraf M. Jain, Sunil K. Tags: Case Report Source Type: research

Safe Motherhood Initiative: Early Impact of Severe Hypertension in Pregnancy Bundle Implementation
Conclusion There were increasing numbers of patients receiving timely treatment of severe hypertension during early implementation of a Severe Hypertension in Pregnancy bundle in New York State obstetric hospitals. However, bundle implementation requires significant financial and human resources and the long-term impact on maternal morbidity and mortality in our state remains uncertain. Precis There was a tendency toward more timely treatment of severe hypertension following implementation of a Severe Hypertension in Pregnancy bundle in New York obstetric hospitals. [...] Thieme Medical Publishers 333 Seventh Avenu...
Source: American Journal of Perinatology Reports - October 11, 2018 Category: Perinatology & Neonatology Authors: Simpson, Lynn L. Rochelson, Burton Ananth, Cande V. Bernstein, Peter S. D'Alton, Mary Chazotte, Cynthia Lavery, Jessica A. Zielinski, Kristin Tags: Case Report Source Type: research

Visual Estimation of Force Applied During Simulated Deliveries Complicated by Shoulder Dystocia
AJP Rep 2018; 08: e206-e211 DOI: 10.1055/s-0038-1673377 Background Shoulder dystocia occurs when the fetal head delivers, but the shoulder is lodged behind the pubic symphysis. Training for these emergency deliveries is not optimized, and litigation can occur around a shoulder dystocia delivery. Objective Evaluate the ability of an outside observer to visually estimate the amount of traction applied to the fetal head during simulated deliveries complicated by shoulder dystocia. Study Design Simulated deliveries with an objective measurement of traction were randomly organized for estimation of tract...
Source: American Journal of Perinatology Reports - October 9, 2018 Category: Perinatology & Neonatology Authors: Walters, Margaret Eubanks, Allison Weissbrod, Elizabeth Fischer, John Staat, Barton Deering, Shad Tags: Case Report Source Type: research

Fetal Congenital Peripheral Bronchial Atresia Diagnosed by Magnetic Resonance Imaging: Two Case Reports
We report two cases of peripheral bronchial atresia diagnosed by prenatal ultrasonography (US) and magnetic resonance imaging (MRI). Evaluating an enlarged lung mass that is homogeneously hyperechoic on US and hyperintense on T2-weighted MRI can help in determining whether bronchial atresia is present. Proximal type is suggested when a dilated main bronchus is observed as a tubule structure of an involved lung hilum. In our cases, T2-weighted MRI revealed homogeneously hyperintense lung lesion with decreased signal intensity of adjacent lobe, flattening diaphragm, and mediastinal shift. Dilatation of the main bronchus was ...
Source: American Journal of Perinatology Reports - October 9, 2018 Category: Perinatology & Neonatology Authors: Kozaki, Mitsuru Iraha, Yuko Masamoto, Hitoshi Nitta, Hayase Chinen, Yukiko Kinjo, Tadatsugu Mekaru, Keiko Aoki, Yoichi Tags: Case Report Source Type: research

The Use of Fetal Bronchoscopy in the Diagnosis and Management of a Suspected Obstructive Lung Mass
AJP Rep 2018; 08: e195-e200 DOI: 10.1055/s-0038-1673378Etiologies of fetal lung anomalies include congenital pulmonary airway malformation (CPAM), intra- or extralobar pulmonary sequestration, congenital high airway obstruction syndrome (CHAOS), bronchogenic cyst, and bronchial atresia. Fetal tracheobronchoscopy has been reported both as a diagnostic and therapeutic procedure in the setting of severe congenital lung lesions. In this case report, prenatal imaging of a fetus with a large chest mass was suspicious for an obstructive bronchial lesion. The absence of visible normal lung tissue on the right side and mass effect ...
Source: American Journal of Perinatology Reports - September 25, 2018 Category: Perinatology & Neonatology Authors: Chon, Andrew H. Stein, James E. Gerstenfeld, Tammy Wang, Larry Vazquez, Walter D. Chmait, Ramen H. Tags: Case Report Source Type: research

Monitoring of Blood Pressure is not Enough to Avoid Neonatal Postoperative Encephalopathy
Conclusion Perioperative monitoring of blood pressure is not enough in neonatal surgery. Cerebral magnetic resonance imaging should be considered in infants with noncardiac congenital anomalies after neonatal surgery and long-term follow-up is required. [...] 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 - September 20, 2018 Category: Perinatology & Neonatology Authors: Lubi án López, Simón Pedro Zuazo Ojeda, Amaya Jimenez G ómez, Gema Benavente Fern ández, Isabel Tags: Case Report Source Type: research

Uterine Monitoring Techniques from Patients' and Users' Perspectives
AJP Rep 2018; 08: e184-e191 DOI: 10.1055/s-0038-1669409 Objective To evaluate preferences from patients and users on 3 uterine monitoring techniques, during labor. Study Design Women in term labor were simultaneously monitored with the intrauterine pressure catheter, the external tocodynamometer, and the electrohysterograph. Postpartum, these women filled out a questionnaire evaluating their preferences and important aspects. Nurses completed a questionnaire evaluating users' preferences. Results Of all 52 participating women, 80.8% preferred the electrohysterograph, 17.3% the intrauterine pressure ...
Source: American Journal of Perinatology Reports - September 14, 2018 Category: Perinatology & Neonatology Authors: Thijssen, Kirsten M. J. Vlemminx, Marion W. C. Westerhuis, Michelle E. M. H. Dieleman, Jeanne P. Van der Hout-Van der Jagt, M. Beatrijs Oei, S. Guid Tags: Case Report Source Type: research

A Novel Approach to Serial Amnioinfusion in a Case of Premature Rupture of Membranes Near the Limit of Viability
AJP Rep 2018; 08: e180-e183 DOI: 10.1055/s-0038-1669964Prelabor rupture of the membranes (PROM) near the limit of viability is associated with significant risks for both mother and fetus. Preterm labor, intra-amniotic infection, and placental abruption are the immediate risks to the pregnancy; however, the fetus incurs additional risks related to the sequela of persistent oligohydramnios. Transabdominal intra-amniotic infusions have been studied. Results, suggesting that this intervention may prolong the latency period, and potentially, decrease pulmonary hypoplasia in surviving neonates without evidence of increasing risk...
Source: American Journal of Perinatology Reports - September 14, 2018 Category: Perinatology & Neonatology Authors: Kohari, Katherine Mehlhaff, Krista Merriam, Audrey Abdel-Razeq, Sonya Grechukhina, Olga Leon-Martinez, Daisy Bahtiyar, Mert Ozan Tags: Case Report Source Type: research

Cardiothoracic Area Ratio Predicts Lethal Pulmonary Venous Obstruction in Patients with Single Ventricle and Total Anomalous Pulmonary Venous Connection
Conclusion Reduced CTAR in the antenatal period is a good predictor of l-PVO after birth. [...] 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 - September 14, 2018 Category: Perinatology & Neonatology Authors: Emi, Misugi Inamura, Noboru Tags: Original Article Source Type: research

Dexmedetomidine for Sedation of Neonates with HIE Undergoing Therapeutic Hypothermia: A Single-Center Experience
The objective of this study is to evaluate the efficacy and short-term safety of dexmedetomidine infusion for sedation in term neonates undergoing therapeutic hypothermia for HIE. [...] 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 - September 4, 2018 Category: Perinatology & Neonatology Authors: O'Mara, Keliana Weiss, Michael D. Tags: Case Report Source Type: research

Randomized Quality Improvement Trial of Opting-In Versus Opting-Out to Increase Influenza Vaccination Rates during Pregnancy
Conclusion While prenatal influenza vaccination uptake doubled from the 2009–2010 influenza season, opting-out did not perform better than opting-in, a conclusion opposite that we would have reached had this been a nonconcurrent trial. Vaccination rates dropped posttrial; hence, continued research is needed to increase the prenatal influenza immunizations. [...] 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 - August 28, 2018 Category: Perinatology & Neonatology Authors: Wootton, Susan H. Blackwell, Sean C. Saade, George Berens, Pamela D. Hutchinson, Maria Green, Charles E. Sridhar, Sujatha Elam, Kara M. Tyson, Jon E. Tags: Original Article Source Type: research

Delayed Birth-Related Femur Fracture after Cesarean Section: A Case Report
Conclusion Birth-related fracture should be considered in all neonatal femur fracture cases and in patients with no symptoms at birth. Neonates delivered in the breech presentation by cesarean section should be carefully monitored after birth. The findings of the present case further our understanding of the pathogenic mechanisms underlying delayed diagnosis of birth-related femur fracture. [...] 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 Journa...
Source: American Journal of Perinatology Reports - August 7, 2018 Category: Perinatology & Neonatology Authors: Kanai, Yuji Honda, Yoshinobu Honda, Tsuyoshi Sanpei, Minoru Tags: Case Report Source Type: research

The Contribution of Untreated and Treated Anxiety and Depression to Prenatal, Intrapartum, and Neonatal Outcomes
Conclusion Untreated cases were associated with increased maternal adverse outcomes, whereas treated cases were associated with more adverse neonatal outcomes when compared with unaffected pregnancies. [...] 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 - July 10, 2018 Category: Perinatology & Neonatology Authors: Ogunyemi, Dotun Jovanovski, Andrew Liu, James Friedman, Perry Sugiyama, Nathaniel Creps, James Madan, Ichchha Tags: Original Article Source Type: research

Prophylactic Hypogastric Artery Ligation during Placenta Percreta Surgery: A Retrospective Cohort Study
AJP Rep 2018; 08: e142-e145 DOI: 10.1055/s-0038-1666793 Objective To evaluate if prophylactic hypogastric artery ligation (HAL) decreases surgical blood loss and blood products transfused. Study Design This is a retrospective cohort study comparing patients with placenta percreta undergoing prophylactic HAL at the time of cesarean hysterectomy versus those who did not. Data were presented as means ± standard deviations, proportions, or medians with interquartile ranges. Demographic and clinical data were compared in the groups using Student's t-test for normally distributed data or the ...
Source: American Journal of Perinatology Reports - June 28, 2018 Category: Perinatology & Neonatology Authors: Kuhn, Theresa Martimucci, Kristina Al-Khan, Abdulla Bilinski, Robyn Zamudio, Stacy Alvarez-Perez, Jesus Tags: Original Article Source Type: research

An Unusual Neonatal Presentation of Scimitar Syndrome
We present a case of a 37 weeks' gestation male infant with antenatal ultrasound findings of suspected partial anomalous pulmonary venous return (PAPVR) and coarctation of the aorta. The newborn presented with respiratory distress, a chest X-ray and chest computed tomography (CT) angiogram confirmed the diagnosis of scimitar syndrome. The combination of scimitar syndrome with aortic coarctation is extremely rare with only a few cases previously reported. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |&nb...
Source: American Journal of Perinatology Reports - June 20, 2018 Category: Perinatology & Neonatology Authors: Abdul Aziz, Ahmad Thomas, Sumesh Lautner, David Al Awad, Essa Hamadan Tags: Case Report Source Type: research

Immunological Emergency in Neonate: Case Report and Role of Early Screening
We report a case of SCID in term infants born to consanguineous parents who were presented with clinical and laboratory findings of erythroderma, severe infection, failure to thrive, eosinophilia, and elevated immunoglobulin E (IgE) together with immunodeficiency. A timely diagnosis was followed by successful hematopoietic stem cell transplantation (HSCT) therapy. [...] 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 - June 18, 2018 Category: Perinatology & Neonatology Authors: Samedi, Veronica Mugarab Shafey, Amy Al Awad, Essa Favela, Luis Murguia Tags: Case Report Source Type: research

Sonographic Estimated Fetal Weight among Diabetics at  ≥ 34 Weeks and Composite Neonatal Morbidity
Conclusion Among diabetic women with SEFW > 90th percentile for GA, CNM was significantly higher than in women with estimate at 10 to 90th percentile. Despite the increased risk of CNM, these newborns did not have long-term morbid sequela. [...] 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 - June 11, 2018 Category: Perinatology & Neonatology Authors: Al-Hafez, Leen Pirics, Michael L. Chauhan, Suneet P. Tags: Original Article Source Type: research

A Qualitative Analysis of Challenges and Successes in Retinopathy of Prematurity Screening
Conclusion Structure, culture, education, and commitment all contribute to the success of ROP screening in the NICU. [...] 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 - June 11, 2018 Category: Perinatology & Neonatology Authors: Bain, Lisa C. Kristensen-Cabrera, Alexandria I. Lee, Henry C. Tags: Case Report Source Type: research

Comparison of Serum and Cervical Cytokine Levels throughout Pregnancy between Preterm and Term Births
Conclusion For each CVF cytokine that differed by birth status, values were higher for PTB than term, averaged over trimester. Numerous cytokine profiles varied across trimesters in women delivering term versus preterm in both CVF and serum. [...] 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 - May 31, 2018 Category: Perinatology & Neonatology Authors: Ashford, Kristin Chavan, Niraj R. Wiggins, Amanda T. Sayre, Molly Malany McCubbin, Andrea Critchfield, Agatha S. O'Brien, John Tags: Original Article Source Type: research

Pharmacokinetics of Hydroxyprogesterone Caproate and its Primary Metabolites during Pregnancy
Conclusion After the first injection, OHPC maximum serum level was approximately half steady-state level. Measurable metabolites of unknown activity were detected. [...] 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 - May 14, 2018 Category: Perinatology & Neonatology Authors: Boggess, Kim A. Baker, Jeffrey B. Murtha, Amy P. Peaceman, Alan M. Shah, Dinesh M. Siegfried, Sylvia L. Birch, Robert Tags: Case Report Source Type: research

Early Pulmonary Interstitial Emphysema in Preterm Neonates —Respiratory Management and Case Report in Nonventilated Very Low Birth Weight Twins
AJP Rep 2018; 08: e99-e105 DOI: 10.1055/s-0038-1648253Early pulmonary interstitial emphysema in extreme preterm neonates is closely linked with respiratory distress syndrome and exposure to mechanical ventilation. In severe cases, maintaining adequate gas exchange aiming to avoid further lung damage and other neonatal morbidities associated with systemic/pulmonary hypoperfusion, prolonged hypoxia, and respiratory acidosis can be challenging and requires in-depth knowledge into the pathophysiology of the disease. Herein, we report on very low birth weight twins who developed early pulmonary interstitial emphysema during non...
Source: American Journal of Perinatology Reports - May 14, 2018 Category: Perinatology & Neonatology Authors: Gronbach, Judith Ehrhardt, Harald Zimmer, Klaus-Peter Waitz, Markus Tags: Case Report Source Type: research

Liver Failure and Conjugated Hyperbilirubinemia in a Preterm Neonate: Role of Early IVIG and Exchange Transfusion
We report a case of liver failure in a premature infant with abnormal iron profile within 48 hours of birth. Lack of accepted guidelines for the initial management of severe jaundice with a high direct component in the first week after birth made treatment challenging. The infant underwent intensive phototherapy along with four exchange transfusions (ET) and two courses of intravenous immunoglobulins (IVIG). The clinical goals were to keep total bilirubin values ≤ 20 mg/dL in this premature neonate and to minimize the risk of bilirubin-induced neurologic dysfunction and decompensated liver failure. Abnorma...
Source: American Journal of Perinatology Reports - May 14, 2018 Category: Perinatology & Neonatology Authors: Nair, Jayasree Kumar, Vasantha H.S. Tags: Case Report Source Type: research