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Results 101 - 150 of 1409
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Chitrit Yvon Y Department of Obstetrics and Gynecology, Robert Debré Hospital-AP-HP, Paris, - - 2014
Objective Describe a case of cloaca prenatally diagnosed in one of a set of monoamniotic twins. Study Design Retrospective review of a case. Results Cloaca is one of the most complex and severe degrees of anorectal malformations in girls. We present a discordant cloaca in monoamniotic twins. Fetal ultrasound showed a female fetus ...
Ganchimeg T T Department of Health Policy, National Center for Child Health and Development, Tokyo, - - 2014
To describe the mode and timing of delivery of twin pregnancies at ≥34 weeks of gestation and their association with perinatal outcomes. Secondary analysis of a cross-sectional study. Twin deliveries at ≥34 weeks of gestation from 21 low- and middle-income countries participating in the WHO Multicountry Survey on Maternal and Newborn Health. ...
Cho Inji I Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, - - 2014
Thanatophoric dysplasia (TD) is caused by mutation of the gene that encodes fibroblast growth factor 3 (FGFR3). Owing to the poor prognosis for TD, prenatal diagnosis is critical to optimal perinatal management. We report here a case of TD in twin pregnancy, which was prenatally diagnosed by DNA analysis following ...
Soltani M K - - 2014
To assess the incidence of cleft lip and palate and factors associated with them in the hospital births of Iran's Kurdistan province in 2010. Researcher-completed questionnaires captured data on gender, mother's age during pregnancy, parents' occupation, father's birthplace, family background, consanguinity, systemic diseases, mother's disease during pregnancy, drugs abuse, smoking, ...
Ngene Nnabuike C NC Specialist Obstetrician and Gynaecologist, Department of Obstetrics and Gynaecology, Grey's-Edendale Hospitals Complex, Pietermaritzburg and Department of Obstetrics and Gynecology, University of KwaZulu-Natal, South - - 2014
We present a case of spontaneous antepartum uterine rupture through a previous lower segment Caesarean section (LSCS) scar with clinical features mimicking an advanced extrauterine pregnancy (AEUP) in a twin pregnancy at 28 weeks gestation. This report illustrates the need to consider a diagnosis of a ruptured uterus in any ...
Jain Divya D 74 Resident Doctor Hostel, Government Medical College, Haldwani, Bareilly Road, Haldwani, Uttrakhand - - 2014
To study management and maternal and fetal outcome in single fetal death in twin pregnancies. We studied 64 (1.37 %) twin deliveries out of a total of 4,655 deliveries in GMC, Haldwani (Uttrakhand). Out of them, 5 (7.81 %) were complicated with single fetal death in the second or third trimester. These ...
Henningsen A A AA Fertility Clinic, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, - - 2014
Is the risk of stillbirth and perinatal deaths increased after assisted reproductive technology (ART) compared with pregnancies established by spontaneous conception (SC)? A significantly increased risk of stillbirth in ART singletons was only observed before 28 + 0 gestational weeks. The current literature indicates that children born after ART have ...
Haas Jigal J Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel-Hashomer, Ramat Gan, Israel. Electronic address: - - 2014
To compare the pregnancy outcomes of twin pregnancies following early transvaginal multifetal pregnancy reduction (MPR) with nonreduced twin gestations. Prospective cohort study. Two tertiary medical centers. A cohort of 77 multiple pregnancies after reduction to twins and 78 dichorionic-diamniotic nonreduced twins. Early fetal reduction. Pregnancy outcome. Triplet pregnancies reduced to ...
Combs C Andrew CA The Center for Research, Education, and Quality, Mednax, Inc., Sunrise, - - 2014
Objective The objective of this study was to compare cervicovaginal fetal fibronectin (FFN) versus transvaginal sonographic cervical length as predictors of preterm birth in twin pregnancy and to test whether 17-hydroxyprogesterone caproate (17OHPc) modifies the predictive value of FFN. Study Design Secondary analysis of a randomized trial of 17OHPc versus placebo in ...
Okyay Emre E Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, Dokuz Eylul University School of Medicine, Balcova, 35340, Izmir, Turkey, - - 2014
This study aimed at evaluating the pregnancy outcomes of IVF triplets which are spontaneously or electively reduced to twins and to compare them with non-reduced triplets and twins. Retrospective analysis of trichorionic triplets and dichorionic twins of IVF pregnancies. Preeclampsia rate was significantly higher in triplet group (p = 0.014). Premature contractions ...
Rizzo Giuseppe G Fetal Medicine Center, Rome, Italy; Dept Obstetrics and Gynecology Università di Roma "Tor - - 2014
To compare uterine artery pulsatility index(PI) obtained at 11 + 0-13 + 6 weeks in singleton and twin pregnancies and to evaluate changes in PI values of twin pregnancies developing pre-eclampsia (PE) or small for gestational age (SGA) of either one or both fetuses. Uterine artery PI was measured in 421 twin pregnancies (384 dichorionic, ...
Simpson Joe Leigh JL March of Dimes, 1275 Mamaroneck Avenue, White Plains, NY 10605, USA. Electronic address: - - 2014
Assisted reproductive technologies (ART) using in-vitro fertilization (IVF) account for ∼1% of births in the USA and as much as 3-4% in Europe or Australia. Initially studies involved infants prospectively examined in an early cohort of US births, with salutary results. Later studies began to show the frequency of birth ...
D'Antonio Francesco F Fetal Medicine Unit, Division of Developmental Sciences, St George's University of London, London, - - 2014
The aim of this systematic review was to explore the relationship between crown rump length discordance detected at 11-14 weeks of gestation and adverse pregnancy outcomes in twin pregnancies and to assess its predictive accuracy. This review was performed according to a protocol designed a priori and recommended for systematic ...
Drassinower Daphnie D Obstetrics & Gynecology, MedStar Georgetown University Hospital, Washington, DC; Maternal Fetal Medicine, Columbia University Medical Center, Washington, DC. Electronic address: - - 2014
To determine relationships between maternal race and obstetric outcomes in twin gestations by planned mode of delivery. We performed a secondary analysis of the Consortium on Safe Labor data. Patients with twin gestations in vertex-vertex presentation greater than 32 weeks gestational age were grouped according to race. Demographic information and ...
Evans Mark I MI Comprehensive Genetics, Fetal Medicine Foundation of America, New York, N.Y., - - 2014
Fetal reduction (FR) began in the 1980s to salvage the pregnancies of couples needing fertility therapy who were finally successful but with too many fetuses. Since then, it has gone from a rarity performed in only the highest risk situations to an integral fail-safe of infertility practice. Our understanding of ...
Taylor Amy E AE MRC Integrative Epidemiology Unit (IEU) at the University of Bristol, UK Centre for Tobacco and Alcohol Research Studies, School of Experimental Psychology, University of Bristol, 12a Priory Road, Bristol, BS8 - - 2014
To assess whether associations between maternal smoking during pregnancy and offspring smoking initiation are due to intrauterine mechanisms. Comparison of associations of maternal and partner smoking behaviour during pregnancy with offspring smoking initiation using partner smoking as a negative control (n=6,484) and a Mendelian randomisation analysis (N=1,020), using a genetic ...
Dodd Jodie M JM School of Paediatrics and Reproductive Health, Discipline of Obstetrics and Gynaecology, The University of Adelaide, Women's and Children's Hospital, 72 King William Road, Adelaide, South Australia, Australia, - - 2014
The optimal timing of birth for women with an otherwise uncomplicated twin pregnancy at term is uncertain, with clinical support for both elective delivery at 37 weeks, as well as expectant management (awaiting the spontaneous onset of labour). To assess a policy of elective delivery from 37 weeks' gestation compared ...
Lucovnik Miha M Department of Perinatology, Division of Obstetrics and Gynecology, University Medical Centre Ljubljana, - - 2014
Abstract Objective: To examine pre-gravid body-mass-index (BMI) and gestational BMI change impact on preeclampsia and gestational diabetes mellitus (GDM) Methods: Retrospective population-based cohort study. Data from Slovenian National Perinatal Information System were analyzed for the period 2002 - 2011. Three singleton controls were matched by parity and maternal age to ...
Baud David D Fetal Medicine Unit, Mount Sinai Hospital, University of Toronto, Ontario, - - 2014
To evaluate the incidence and consequences of "misdiagnosed" cases of twin-twin transfusion syndrome (TTTS). Chorionicity and referral diagnoses were reviewed in pregnant women with monochorionic twin pregnancies complicated by TTTS treated by fetoscopic laser ablation. "Misdiagnosed" cases, defined as failure to correctly identify chorionicity and/or to diagnose TTTS prior to ...
Yang Tse-Chuan TC Department of Sociology, Center for Social and Demographic Analysis, University at Albany, State University of New York, - - 2014
Drawing from both the place stratification and ethnic enclave perspectives, we use multilevel modeling to investigate the relationships between women's race/ethnicity (i.e., non-Hispanic white, non-Hispanic black, Asian, and Hispanic) and maternal smoking during pregnancy, and examine if these relationships are moderated by racial segregation in the continental United States. The ...
Ecker Jeffrey L JL From the Department of Obstetrics and Gynecology, Massachusetts General Hospital and Harvard Medical School, - - 2014
Marlise Muñoz was 33 years old and the mother of a 15-month-old when she collapsed on November 26, 2013, from what was later determined to be a massive pulmonary embolism. Initially described as apneic but alive, she was brought to the county hospital where her family was soon told that ...
Boyle B B EUROCAT Central Registry, Centre for Maternal Fetal and Infant Research, Institute for Nursing and Health Research, University of Ulster, Newtownabbey, - - 2014
To determine risk of Down syndrome (DS) in multiple relative to singleton pregnancies, and compare prenatal diagnosis rates and pregnancy outcome. Population-based prevalence study based on EUROCAT congenital anomaly registries. Eight European countries. 14.8 million births 1990-2009; 2.89% multiple births. DS cases included livebirths, fetal deaths from 20 weeks, and ...
McCarthy C M CM Anu Research Centre, Department of Obstetrics and Gynaecology, Cork Universtity Maternity Hospital, University College Cork , Cork , Republic of - - 2014
Conjoined twins are rare, with a reported incidence of 0.19 per 10,000 pregnancies in Europe. We discuss four spontaneous conjoined twin pregnancies presenting to a tertiary referral centre from 2005 to 2011, diagnosed on antenatal dating ultrasound. The cases were monitored closely throughout pregnancy by a multidisciplinary team, with serial ...
Vogel Joshua P - - 2014
Mode of delivery remains a topic of debate in vertex/non-vertex twin pregnancies. We used the WHO Global Survey dataset to determine the risk of adverse maternal/perinatal outcomes associated with presentation of the second twin, following vaginal delivery of a vertex first twin. We analysed a derived dataset of twin pregnancies ...
Bodnar L M LM 1] Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA [2] Department of Obstetrics, Gynecology, and Reproductive Sciences, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA [3] Magee-Womens Research Institute, Pittsburgh, PA, - - 2014
Our objective was to systematically review the data interrogating the association between gestational weight gain (GWG) and maternal and child health among women with twin gestations. We identified 15 articles of twin gestations that studied GWG in relation to a maternal, perinatal or child health outcome and controlled for gestational ...
Hall Judith G JG Departments of Medical Genetics and Pediatrics, University of British Columbia, BC Children's Hospital Vancouver, British Columbia, - - 2014
Of individuals with Amyoplasia, 16.8% (94/560) involve only the upper limbs (Upper Limb Amyoplasia-ULA) and 15.2% (85/560) involve only the lower limbs (Lower Limb Amyoplasia-LLA). The accompanying paper deals with other forms of Amyoplasia [Hall et al., ] and discusses etiology. An excess of one of monozygotic (MZ) twins is ...
van Tintelen J Peter JP Department of Genetics, University of Groningen, University Medical Center Groningen, Groningen, the - - 2014
Although familial forms of cardiomyopathy like hypertrophic or dilated cardiomyopathy have been recognized for decades, it is only recently that much of the genetic basis of these inherited cardiomyopathies has been elucidated. This has provided important insights into the pathophysiological mechanisms underlying the disease phenotype. This increased knowledge and the ...
Zoppi Maria Angelica - - 2014
Abstract We investigated the umbilical vein volume flow (UVVF) at 11-14 weeks in monochorionic-diamniotic (MCDA) twins, focusing on the occurrence of complications. We considered 87 MCDA pregnancies. We used "E-flow" to detect the umbilical vein and measured the mean velocities and diameters of veins, also calculating the UVVF. Pregnancies were ...
Fichera Anna A Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynaecology, University of Brescia, - - 2014
To assess the accuracy of a second trimester rapid cervical phosphorylated insulin-like growth binding protein-1 (phIGFBP-1) test to predict spontaneous preterm delivery in asymptomatic twin pregnancies. During the second trimester, a rapid test to detect phIGFBP-1 in cervical secretions was performed on consecutive twin pregnancies between 2009 and 2011, to ...
Segal Nancy L NL Department of Psychology, California State University, Fullerton, CA, - - 2014
The story of her allegedly stolen twin brother in Armenia is recounted by a 'singleton twin' living in the United States. The behavioral consequences and societal implications of this loss are considered. This case is followed by twin research reports on the evolution of sleep length, dental treatment of craniopagus ...
Hern Warren M WM Boulder Abortion Clinic, Boulder, CO, USA; Department of Obstetrics and Gynecology, University of Colorado Denver Health Sciences Center, Boulder, CO, - - 2014
To determine the frequency of diagnostic indications among women seeking to terminate pregnancies for reasons of fetal abnormality, spontaneous fetal demise, or a genetic disorder in a private outpatient clinic specializing in late outpatient abortion procedures. 1005 women requested termination of pregnancy for reasons of genetic disorder, fetal anomaly, or ...
Kang Helenice J HJ Department of Obstetrics and Gynecology, São Paulo University Medical School, São Paulo, SP, - - 2014
To investigate predictors of spontaneous fetal death and preterm delivery in twin pregnancies with one fetus affected by a major structural malformation. Retrospective study (1999-2012) conducted at a tertiary teaching hospital involving 51 twin pregnancies (dichorionic=31, monochorionic diamniotic=15, monochorionic monoamniotic=4, not established=1) with a major fetal abnormality, enrolled before 26 ...
Lesko Jennifer J Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, - - 2014
Cervical varices are an extremely rare complication of pregnancy; they can result in significant maternal morbidity secondary to acute hemorrhage. There is limited evidence to guide the management of cervical varices during termination of pregnancy. A 37-year-old woman presented with recurrent vaginal hemorrhage at 17 weeks of gestation in the ...
Mitchell Timothy T Department of Obstetrics and Gynecology, University of Washington, Seattle, - - 2014
To demonstrate that vaginal delivery is a safe alternative to hysterotomy when planning pregnancy termination of late-second-trimester conjoined twins. We present two cases of conjoined twins in the late second trimester desiring pregnancy termination. The first case involved a multiparous 29-year-old woman at 23 6/7 weeks of gestation with thoraco-omphalopagus ...
Mulcahy C C National Maternity Hospital, - - 2014
Fetal Doppler evaluation forms an important part of twin pregnancy assessment, however no twin-specific fetal Doppler centiles are available for clinical practice. To construct monochorionic and dichorionic twin reference ranges for umbilical artery (UA) pulsatility index (PI), UA resistance index (RI), middle cerebral artery (MCA) PI and peak systolic velocity ...
Gizzo Salvatore S Department of Woman and Child Health - University of Padua - Padua - - 2014
Abstract Objective: To described the maternal and neonatal outcome of a twin pregnancy in a renal transplant recipient patient and reviewed the current literature on this theme. Methods: A case of 27 years old woman with a twin pregnancy arisen spontaneously in a renal transplant recipient from living donor characterized ...
Barrett Jon F R JF Professor and Chief of Maternal Fetal Medicine, University of Toronto, Sunnybrook Health Science Centre, Aubrey and Marla Dan Program, 2075 Bayview Ave, M4 - 172, Toronto M4N 3M5, Canada. Electronic address: - - 2014
The incidence of twin pregnancy has increased worldwide over the past 10 years, largely as a consequence of the assisted reproductive technologies. Issues such as intrapartum monitoring and operative interventions, especially relating to the second twin, provide a unique challenge in labour and delivery. Epidemiological and cohort data suggest that ...
Bebbington Michael M Department of Obstetrics, Gynecology and Reproductive Sciences, University of Texas Health Science Center at Houston, USA; The Texas Fetal Center, 6410 Fannin, Suite 700, Houston Texas 77030, USA. Electronic address: - - 2014
The frequency of multiple gestations has increased dramatically. Twins and higher order multiple gestations have pregnancies with increased risks for almost every complication of pregnancy, especially preterm labour, preterm delivery, and congenital anomalies. Monochorionic twins, by virtue of the unique placental angioarchitecture, are at risk for additional complications, such as ...
Van Klink Jeanine M M JM Department of Pediatrics, Division of Neonatology. Electronic address: - - 2014
To compare the incidence of neurodevelopmental impairment in surviving children from pregnancies with twin-twin transfusion syndrome treated with laser surgery between two time periods. We compared the neurodevelopmental outcome between the first consecutive cohort of twin-twin transfusion syndrome pregnancies treated with laser surgery from 2000 to 2005, with a cohort ...
Araujo Júnior Edward E Referral Center for Teaching of Diagnostic Imaging (CETRUS), São Paulo, SP, Brazil; Department of Obstetrics, Federal University of São Paulo (UNIFESP), São Paulo, SP, - - 2014
To determine reference values for fetal biometric parameters in twin pregnancies and to compare these values between monochorionic and dichorionic pregnancies. A retrospective cross-sectional study was conducted among 157 monochorionic and 176 dichorionic twin pregnancies between 14 and 38 weeks of gestation. Biometric measurements included the biparietal diameter (BPD), abdominal ...
Sueters Marieke M Department of Obstetrics, Leiden University Medical Centre, Leiden, The - - 2014
Monochorionic twin pregnancies are well known to be at risk for a variety of severe complications, a true challenge for the maternal-fetal medicine specialist. With current standards of care, monochorionicity should be established in the first trimester. Subsequently, frequent monitoring using the appropriate diagnostic tools, and in-depth knowledge about the ...
St Clair John J Pieta Research, Edinburgh, - - 2014
Monozygotic (MZ) twinning is generally considered to be rare in species other than human. We inspected sex ratios in European zoo-bred ring-tailed lemurs (Lemur catta), revealing a significant excess of same-sex twins. Of 94 pairs, 60 (64%) were either both males or both females (p = .004). Application of the ...
Allaf M Baraa MB Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Baylor College of Medicine, Pavilion for Women-Texas Children's Fetal Center, 6651 Main St, Suite F1020, Houston, TX 77030 USA. - - 2014
Objectives- The purpose of this study was to investigate whether discordant nuchal translucency and crown-rump length measurements in monochorionic diamniotic twins are predictive of adverse obstetric and neonatal outcomes. Methods- We conducted a multicenter retrospective cohort study including all monochorionic diamniotic twin pregnancies with two live fetuses at the 11-week ...
Zuberi Zia Z Department of Cardiology, King College Hospital, Denmark Hill, - - 2014
We describe a patient presenting with incessant ectopic atrial tachycardia during a high risk twin pregnancy. Tachycardia was resistant to escalating doses of beta-blockade with digoxin. Because of increasing left ventricular dysfunction early in the third trimester, catheter ablation was performed successfully at 30 weeks gestation. Electro-anatomic mapping permitted the ...
Nguyen Ngoc Minh Phuong NM Department of Human Genetics, McGill University Health Centre Research Institute, Montreal, Quebec Canada ; Department of Obstetrics and Gynecology, McGill University Health Centre Research Institute, Montreal, Quebec - - 2014
Gestational trophoblastic disease (GTD) is a group of conditions that originate from the abnormal hyperproliferation of trophoblastic cells, which derive from the trophectoderm, the outer layer of the blastocyst that would normally develop into the placenta during pregnancy. GTDs encompass hydatidiform mole (HM) (complete and partial), invasive mole, gestational choriocarcinoma, ...
Felekis Theodoros T 0000-0002-7059-476X Department of Obstetrics and Gynecology, "G. Hatzikosta" General State Hospital, Makrygianni Avenue, 45445 Ioannina, - - 2014
Heterotopic triplet pregnancy is an exceptionally rare medical condition. The broad use of assisted reproductive technologies has contributed to the increase of ectopic and subsequently heterotopic pregnancy rate, masking a life-threatening condition for the gravid and the intrauterine pregnancy. We describe a case of a woman with heterotopic triplets at ...
Kyvernitakis Ioannis I Department of Prenatal and Perinatal Medicine, Clara Angela Foundation, Koenigsallee 36, 14193 Berlin, Germany ; Department of Pre- and Perinatal Medicine, Center of Mother and Child, University Hospital of Giessen and Marburg, Philipps University of Marburg, Campus Marburg, Baldinger Straße 1, 35043 Marburg, - - 2014
Radical and repeated cone biopsies are associated with a high risk of spontaneous preterm birth. A 30-year-old gravida 1 presented with a spontaneous dichorionic twin pregnancy. She had a history of two radical surgical conizations. By speculum examination, no cervical tissue was detected. A history-indicated transabdominal cervicoisthmic cerclage was performed ...
R Kalyani K Associate Professor, Department of Pathology, ESIC Medical College & PGIMSR , Bangalore, Karnataka, India - - 2014
Twin reversed arterial perfusion (TRAP) syndrome is a rare condition (0.3:10,000 births) that occurs in monochorionic twin pregnancies, resulting in coexistence of a normal "pump" twin and an acardiac twin. The acardiac twin is dependent upon the normal twin to provide circulation by means of vascular anastomosis. Many of the ...
Akhanoba Folasade F Department of Obstetrics and Gynaecology, Addenbrooke's Hospital, Cambridge, - - 2014
A 41-year-old nulliparous woman, with a medical history of unexplained infertility and multiple in vitro fertilisation (IVF) cycles with immunosuppressive therapy, was admitted to our tertiary obstetrics unit with sepsis at 18 weeks of pregnancy with dichorionic diamniotic twins. Candida glabrata was grown from her blood cultures, then subsequently from ...
Nigam Aruna A Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research, New Delhi, - - 2014
Acardiac twin is a rare congenital anomaly and is exclusively associated with monochorionic twin pregnancies. The abnormalities occur due to abnormal communication between the two fetuses in the form of arterioarterial and venovenous communications, resulting in a grossly abnormal acardiac twin with reduction anomalies mainly of the upper body and ...
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