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Rare Presentation of Limb –Body Wall Complex in a Neonate: Case Report and Review of Literature
We present this rare case with occurrence in a preterm infant of 35 weeks' gestation. Our report highlights majority of the clinical presentations as reported in previous literature, but the significant pathological findings of absent genitalia and malformed genitourinary as well as anorectal malformations make this case presentation an even more rare occurrence. Infant karyotyping was normal male and there is no specific underlying genetic correlation in this condition which has a fatal prognosis. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Tabl...
Source: American Journal of Perinatology Reports - March 11, 2022 Category: Perinatology & Neonatology Authors: Adeleke, Omoloro Gill, Farrukh Krishnan, Ramesh Tags: Case Report Source Type: research

Perinatal Carbon Monoxide Poisoning: Treatment of a 2-Hour-Old Neonate with Hyperbaric Oxygen
AJP Rep 2022; 12: e113-e116 DOI: 10.1055/s-0042-1744216A 41-year-old gravida 4 para 3 (G4P3) and 385/7 weeks pregnant woman presented to labor and delivery with dizziness, headache, and decreased fetal movement after 12 hours of exposure to carbon monoxide (CO) from a grill that was used inside for heat. The mother was hemodynamically stable, and her neurologic examination was intact. Her carboxyhemoglobin level, which was obtained 12 hours after removal from the CO exposure, was 7.4%. The fetus's heart rate was 173 beats per minute with moderate variability and one late appearing deceleration, not associated with cont...
Source: American Journal of Perinatology Reports - March 9, 2022 Category: Perinatology & Neonatology Authors: Kreshak, Allyson A. Lawrence, Shelley M. Ontiveros, Sam T. Castellano, Tiffany VanHoesen, Karen B. Tags: Case Report Source Type: research

Rare Presentation of Limb –Body Wall Complex in a Neonate: Case Report and Review of Literature
We present this rare case with occurrence in a preterm infant of 35 weeks' gestation. Our report highlights majority of the clinical presentations as reported in previous literature, but the significant pathological findings of absent genitalia and malformed genitourinary as well as anorectal malformations make this case presentation an even more rare occurrence. Infant karyotyping was normal male and there is no specific underlying genetic correlation in this condition which has a fatal prognosis. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Tabl...
Source: American Journal of Perinatology Reports - March 7, 2022 Category: Perinatology & Neonatology Authors: Adeleke, Omoloro Gill, Farrukh Krishnan, Ramesh Tags: Case Report Source Type: research

Complete Molar Pregnancies with a Coexisting Fetus: Pregnancy Outcomes and Review of Literature
Conclusion This series is the largest report of obstetric outcomes for CHMCF to date and highlights the need to counsel patients about the severe maternal and fetal complications in continuing pregnancies, including progression to gestational trophoblastic neoplastic disease. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - February 14, 2022 Category: Perinatology & Neonatology Authors: Irani, Roxanna A. Holliman, Kerry Debbink, Michelle Day, Lori Mehlhaff, Krista Gill, Lisa Heuser, Cara Kachikis, Alisa Strickland, Kristine Tureson, Justin Shank, Jessica Pilliod, Rachel Iyer, Chitra Han, Christina S. Tags: Case Report Source Type: research

Respiratory and Gastrointestinal Management of an Infant with a Birth Weight of 258 Grams
AJP Rep 2022; 12: e89-e95 DOI: 10.1055/a-1678-3755Today, more infants weighing less than or equal to 300 g are born, and they survive because of the improvements in neonatal care and treatment. However, their detailed clinical course and neonatal intensive care unit management remain unknown due to their low survival rate and dearth of reports. A male infant was born at 24 weeks and 5 days of gestation and weighed 258 g. The infant received 72 days of invasive and 92 days of noninvasive respiratory support, including high-frequency oscillatory ventilation with volume guarantee and noninvasive neurally adjusted ventilat...
Source: American Journal of Perinatology Reports - February 9, 2022 Category: Perinatology & Neonatology Authors: Itoshima, Ryo Oda, Arata Ogawa, Ryo Yanagisawa, Toshimitsu Hiroma, Takehiko Nakamura, Tomohiko Tags: Case Report Source Type: research

Transvaginal Sonographic Assessment Following Cervical Pessary Placement for Preterm Birth Prevention
Conclusion Contrary to current thinking, no significant changes in uterocervical and intracervical angle following cervical pessary placement were identified. However, preplacement sonographic measurement of funneling, anterior cervical length, and cervical diameter are predictive of appropriate pessary placement and extreme preterm birth. These may represent markers for candidacy of cervical pessary placement. Postplacement transvaginal sonography represents an important tool to assess potential efficacy of this therapeutic modality, and further investigation of these factors is warranted. [...] Thieme Medical Publisher...
Source: American Journal of Perinatology Reports - February 4, 2022 Category: Perinatology & Neonatology Authors: Schnettler, William Manoharan, Shwetha Smith, Kate Tags: Original Article Source Type: research

Hemodynamic Assessment of Pregnant People with and without Obesity by Noninvasive Bioreactance: A Pilot Study
Conclusion Fat mass gain in the period between the first and second trimesters in addition to the hemodynamic changes due to obesity and pregnancy contribute to some degree of left ventricular diastolic dysfunction which was manifested by lower SVs. Future work should investigate the possible causative role of obesity in the cardiovascular changes identified in people with obesity. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - February 4, 2022 Category: Perinatology & Neonatology Authors: Figueiro-Filho, Ernesto A. Robinson, Na T. S. Carvalho, Jose Keunen, Johannes Robinson, Monique Maxwell, Cynthia Tags: Original Article Source Type: research

Does the Degree of Maternal Fever in the Setting of Chorioamnionitis Lead to Adverse Neonatal Outcomes?
Conclusion The degree of maternal fever does not appear to be associated with an increased likelihood of adverse neonatal outcomes. Better understanding maternal factors that affect neonatal morbidity in the setting of chorioamnionitis is critical. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - February 4, 2022 Category: Perinatology & Neonatology Authors: Varvoutis, Megan S. Abdalla, Azza E. Dotters-Katz, Sarah K. Tags: Original Article Source Type: research

Preconception Counseling: Identifying Ways to Improve Services
Conclusion During the initial evaluation, 58% (n = 34) of patients were determined to have no concern for immediate conception while 7% (n = 4) were ultimately advised to not conceive. Using this data, we identified areas of preconception counseling that standardization will improve by ensuring patients receive comparable services and advice. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - February 4, 2022 Category: Perinatology & Neonatology Authors: Burrows, Khyla Sheeder, Jeanelle Lijewski, Virginia Harper, Teresa Tags: Original Article Source Type: research

The Loop Electrosurgical Excision Procedure and Cone Conundrum: The Role of Cumulative Excised Depth in Predicting Preterm Birth
Conclusion Total excised depth should be considered in addition to cervical length screening when managing subsequent pregnancies. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - February 4, 2022 Category: Perinatology & Neonatology Authors: Panelli, Danielle M. Wood, Rachel L. Elias, Kevin M. Growdon, Whitfield B. Kaimal, Anjali J. Feldman, Sarah McElrath, Thomas F. Tags: Original Article Source Type: research

Limitations of Gravimetric Quantitative Blood Loss during Cesarean Delivery
Conclusion QBL was only moderately correlated with the reference assay. While overestimation was more common than underestimation, both occurred. Moreover, QBL was particularly inaccurate when substantial bleeding occurred. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - February 4, 2022 Category: Perinatology & Neonatology Authors: Thurer, Robert L. Doctorvaladan, Sahar Carvalho, Brendan Jelks, Andrea T. Tags: Original Article Source Type: research

Prenatal Genetic Screening and Diagnostic Testing: Assessing Patients' Knowledge, Clinical Experiences, and Utilized Resources in Comparison to Provider's Perceptions
Conclusion Our findings suggest a positive impact from patient and provider discussions in office on patient knowledge and understanding. Discrepancies between educational resources distributed in the clinic and individually accessed resources highlight possible areas of change. Future work should evaluate and implement differing resources to increase patient knowledge. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - February 4, 2022 Category: Perinatology & Neonatology Authors: Delgado, Arlin Schulkin, Jay Macri, Charles J. Tags: Original Article Source Type: research

Bedside Ultrasonography in Evaluating Mediastinum Leakage in an Extremely-Low-Birth-Weight Infant with Esophageal Perforation
AJP Rep 2022; 12: e76-e79 DOI: 10.1055/s-0041-1741538Esophageal perforation in premature infants is a life-threatening condition that requires prompt treatment. Contrast-enhanced computed tomography (CECT) is recommended for diagnosis. However, it is difficult to obtain CECT images in premature infants because of their unstable conditions. We encountered a case of esophageal perforation in an extremely-low-birth-weight female infant. Bedside ultrasonography was useful in the diagnosis and follow-up evaluation of leakage in the mediastinum. Ultrasonography can be a useful modality for the evaluation of perforation of the lo...
Source: American Journal of Perinatology Reports - February 4, 2022 Category: Perinatology & Neonatology Authors: Haga, Mitsuhiro Sato, Yumiko Kakihara, Tomo Sumiya, Wakako Kanno, Masayuki Ishimaru, Tetsuya Shimizu, Masaki Kawashima, Hiroshi Tags: Case Report Source Type: research

Financial Literacy and Physician Wellness: Can a Financial Curriculum Improve an Obstetrician/Gynecologist Resident and Fellow's Well-Being?
Conclusion Cultivating financial literacy is associated with an improvement in the sense of well-being in residents and fellows and should be considered for inclusion in other graduate medical education (GME) programs. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - February 4, 2022 Category: Perinatology & Neonatology Authors: Cawyer, Chase R. Blanchard, Christina Kim, Kenneth H. Tags: Case Report Source Type: research

COVID-19-Associated Coagulopathy in the Peripartum Setting: A Case Report
We present the case of a critically ill postpartum patient with COVID-19 infection. This patient presented with clinical signs of COVID-19 infection and developed acute respiratory failure requiring invasive mechanical ventilation and subsequent cesarean delivery at 34 weeks. She initially improved postoperatively but deteriorated after postoperative day 5. She was found to have a very elevated D-dimer of 58 μg/mL and anticoagulation was escalated to full dosing. She required prolonged mechanical ventilation and deceased after developing gram-positive cocci bacteremia. This case demonstrates that recognition and managemen...
Source: American Journal of Perinatology Reports - February 4, 2022 Category: Perinatology & Neonatology Authors: Allen, Ashley Hoang, Christine Sangha, Roopina Tags: Case Report Source Type: research