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Wünsche S S Department of Pediatrics, University Hospital - - 2014
Purpose: Hypohidrotic ectodermal dysplasia, a potentially life-threatening heritable disorder, may be recognized already in utero by characteristic features such as oligodontia and mandibular hypoplasia. As therapeutic options and prognosis depend on the time point of diagnosis, early recognition was attempted during routine prenatal ultrasound examinations. Subjects and Methods: Fetuses of ...
Kleemann DO D Turretfield Research Centre, South Australian Research and Development Institute, Rosedale, SA, - - 2014
Poor reproductive performance of Merino ewe flocks when mated to Border Leicester rams during spring may be due to seasonality of the Border Leicester breed. Two approaches were taken to test this assumption. Six young (12 months old) or six mixed-age (12, 24 and ≥36 months old) Border Leicester rams were either ...
López-Pérez Rocío R Unidad de Medicina Fetal, Hospital General Universitario Santa Lucía, Cartagena, - - 2014
We report a case of a twin-reversed arterial perfusion (TRAP) sequence complication in monochorionic triplets, in which both normal fetuses were directly connected to the umbilical cord of the acardiac fetus, thus both acting as a pump twin. Doppler ultrasound showed a significant waveform pattern with two superposed systolic waveforms ...
Akkermans Joost J Department of Obstetrics, Leiden University Medical Center, Leiden, The - - 2014
Background and Objective: To investigate the efficacy of sequential laser coagulation in the treatment of twin-to-twin transfusion syndrome (TTTS). Data Sources: MEDLINE, EMBASE and the Cochrane Library were systematically searched for comparative studies on the efficacy of sequential versus standard selective laser coagulation for TTTS. The primary outcome measure in ...
Reese Maria E ME Rehabilitation Institute of Chicago, Northwestern University Feinberg School of Medicine, 345 E Superior Street, Chicago, IL 60611. Electronic address: - - 2014
Transient osteoporosis of pregnancy (TOP) has been described as a rare, self-limiting disease of unclear etiology presenting as severe pain, typically affecting pregnant women in their third trimester. We describe three cases of primigravid pregnant women with twin gestation reporting unilateral hip pain who were diagnosed with TOP of the ...
Cade Thomas J TJ Division of Maternity Services,The Royal Women's - - 2014
To determine the prognosis of an isolated single umbilical artery (SUA) in a twin pregnancy, we selected twin pregnancies with a second trimester ultrasound diagnosing a SUA in at least one fetus at our tertiary hospital. This was confirmed by placental histopathology or by expert review of ultrasound images. Cases ...
Bigelow Catherine A CA Icahn School of Medicine at Mount Sinai, Department of Department of Obstetrics, Gynecology and Reproductive Science, Division of Maternal Fetal Medicine, New York, NY; Brigham and Women's Hospital, Department of Obstetrics and Gynecology, Boston, - - 2014
To determine if selective termination (ST) of an anomalous dichorionic twin at early gestational age (GA) is associated with a decreased risk of fetal loss and prematurity. All patients who had ST for dichorionic twin pregnancies from 2004 through 2010 at Mount Sinai Medical Center were included. Data was collected ...
Stach Sonia C L SC Department of Obstetrics and Gynecology, São Paulo University Medical School, Sao Paulo, - - 2014
In twin pregnancies, factors that influence total umbilical cord IgG concentration and IgG transfer ratio are not well known. Blood samples were prospectively collected from 57 twin pregnancies. Stepwise multivariate regression analysis was used to evaluate the association between total IgG levels in the umbilical cord blood and IgG transfer ...
Ippolito Danielle L DL Department of Clinical Investigation (D.L.I.) and Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology (M.A.L., S.K.F.-N.), Madigan Army Medical Center, Tacoma, Washington USA; Department of Obstetrics and Gynecology, Naval Medical Center, Portsmouth, Virginia USA (J.E.B.); and Department of Obstetrics and Gynecology, University of Arkansas for the Medical Sciences, Little Rock, Arkansas USA - - 2014
The objectives of this systematic review were to examine the reproducibility of sonographic estimates of amniotic fluid volume (AFV) in twin pregnancies, compare the association of sonographic estimates of AFV with dye-determined AFV, and correlate AFV with antepartum, intrapartum, and perinatal outcomes in twin pregnancies. Studies were included if they ...
Quinlan J J Division of Neonatal-Perinatal Medicine, The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI, - - 2014
We describe a monozygotic twin discordant for VATER association with single dysplastic kidney and cloacal anomaly, who had no pulmonary hypoplasia. This twin probably had little or no urine output in utero, but still had normal lung development due to production of adequate amniotic fluid by the healthy twin preventing ...
Has Recep R Department of Obstetrics and Gynecology, Istanbul University Istanbul Faculty of Medicine, Istanbul, - - 2014
Aim: To review the perinatal outcome of twin-to-twin transfusion syndrome (TTTS) treated with fetoscopic laser coagulation in a developing country with detailed analysis according to the stage of the syndrome. Methods: This was a retrospective study of 85 TTTS cases treated with fetoscopic laser coagulation at the Fetal Diagnosis and ...
Geisler Minna E ME Cork Fertility Centre, Fernhurst Clinic, College Road, Cork, Ireland; Anu Research Centre, Department of Obstetrics and Gynaecology, Cork University Maternity Hospital, Wilton Road, Cork, Ireland. Electronic address: - - 2014
Twin pregnancy is associated with increased obstetric and perinatal risk. There are conflicting reports on whether assisted conception (ART) further increases these risks. The aim of this study is to assess the obstetric and perinatal outcomes of twin pregnancies according to mode of conception. A retrospective study of all viable ...
Vogell Alison A Department of Obstetrics and Gynecology, Jefferson Medical College, and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, - - 2014
Bell palsy is a facial nerve neuropathy that is a rare disorder but occurs at higher frequency in pregnancy. Almost 30% of cases are associated with preeclampsia or gestational hypertension. Bilateral Bell palsy occurs in only 0.3%-2.0% of cases of facial paralysis, has a poorer prognosis for recovery, and may ...
Moise Kenneth J KJ Jr Department of Obstetrics, Gynecology and Reproductive Sciences, UT Health School of Medicine, Houston, - - 2014
Until recently, all twin pregnancies were treated in a similar fashion. Ultrasounds were undertaken every 3 to 4 weeks to assess serial fetal growth. Monochorionic (MC) twins comprise only 20% of all twin pregnancies yet unique complications such as twin-twin transfusion syndrome (TTTS), twin reversed arterial perfusion sequence, twin anemia-polycythemia ...
Bebbington Michael M Department of Obstetrics, Gynecology and Reproductive Sciences, University of Texas Health Science Center at Houston, Houston, - - 2014
The early determination of chorionicity in twin gestations is a critical factor in the management of twin gestations. While twins and higher order multiple gestations have increased risks of almost any complication of pregnancy, those pregnancies involving a monochorionic (MC) twin pair are at an especially high risk. The presence ...
Fox Nathan S NS Maternal Fetal Medicine Associates, PLLC, and the Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai. Electronic address: - - 2014
To estimate independent risk factors for cesarean delivery in patients with twin pregnancies attempting vaginal delivery. Historical cohort of twin pregnancies delivered in one practice between June 2005 and February 2014. Baseline characteristics were compared between women who delivered vaginally and women who underwent cesarean delivery in labor. Logistic regression ...
García-Díaz Lutgardo - - 2014
Indications for the ex utero intrapartum therapy (EXIT) procedure have evolved and nowadays in addition to secure the airway, obtain vascular access, administer surfactant and other resuscitation medications, EXIT is used to resect cervical or thoracic masses, for extracorporeal membrane circulation (ECMO) cannulation, as well as to rescue maximum intra-thoracic ...
Cohen Aviad A Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, 6 Weizman St., Tel-Aviv 6423906, Israel(1). Electronic address: - - 2014
To compare the neonatal outcome in twin gestations complicated by prolonged preterm premature rupture of membranes (PPROM). Between the years 2000 and 2010 we identified 48 women with twin pregnancies who were diagnosed as having PPROM and a latency period to delivery >24h. We compared the neonatal morbidity and mortality ...
Morikawa Mamoru M Department of Obstetrics, Hokkaido University Hospital, Kita-ku N15 W7, Sapporo, 060-8638, - - 2014
There is conflicting information regarding the risk of gestational diabetes mellitus (GDM) in twin pregnancies. To determine whether the risk of GDM is higher in pregnant Japanese women with twin vs. singleton pregnancy. The prevalence of GDM was studied in two different populations: 144589 women registered with the Japan Society ...
Stirrup O T OT MRC Clinical Trials Unit at UCL, University College London, London, - - 2014
To generate reference charts for expected fetal growth in dichorionic diamniotic (DCDA) and monochorionic diamniotic (MCDA) twin pregnancies and to compare these with those from singleton pregnancies. This was a retrospective study of biometric measurements from serial ultrasound examinations of twin pregnancies in the second and third trimesters, from 14 ...
Molina Inmaculada I Hospital Universitari i Politecnic La Fe, Valencia, Spain. Electronic address: - - 2014
To demonstrate the usefulness of image analysis in designing objective embryonic morphometric variables. Retrospective study of 214 top-quality day-2 embryo photographs from 50 double-embryo transfers resulting in no pregnancy (group 0) and 57 resulting in twin pregnancy (group 1). Human reproduction unit. Study of 107 in vitro fertilization-intracytoplasmic sperm injection (IVF-ICSI) ...
Aurioles-Garibay Alma A Perinatology Research Branch, NICHD/NIH/DHHS, Bethesda, Md., - - 2014
Objective: To examine the association between an umbilical artery notch and fetal deterioration in monochorionic/monoamniotic (MC/MA) twins. Methods: Six MC/MA twin pregnancies were admitted at 24-28 weeks of gestation for close fetal surveillance until elective delivery at 32 weeks or earlier in the presence of signs of fetal deterioration. Ultrasound ...
Hyman Jordana H JH Department of Obstetrics and Gynecology, MUHC Reproductive Center F6.58, Royal Victoria Hospital, McGill University, 687 Pine Ave.West, Montreal, QC, H3A1A1, - - 2014
This case reports the first twin live births achieved in a woman with a serum FSH of such magnitude -80 IU/L, after following early hCG administration in natural cycle in vitro fertilization (IVF). Case report. A 27-year-old with 2 years of primary infertility presented with regular menses since menarche. FSH following clomiphene ...
Aduloju Olusola Peter OP Department of Obstetrics and Gynaecology, Ekiti State University , Ado-Ekiti , - - 2014
Abstract Background: Twin pregnancy is considered a high risk pregnancy due to associated adverse obstetric outcomes. The objective was to determine the prevalence, complications and the obstetric outcomes of twin deliveries in EKSUTH. Material and methods: A retrospective analysis of twin gestations managed at the Ekiti State University Teaching Hospital, ...
Domingues Ana Patrícia AP Obstetrics Department - Maternidade Dr Daniel de Matos, Coimbra University Hospitals, - - 2014
Abstract Objective: To evaluate the influence of the local of prenatal surveillance of twin pregnancies in the obstetrical results. Methods: A prospective cohort study of multiple pregnancies delivered over a period of 16 years in a tertiary centre was conducted. Were included 861 twin pregnancies. They were compared about obstetric ...
Garretto Diana D Department of Obstetrics, Gynecology and Reproductive Medicine, Stony Brook University, Stony Brook, - - 2014
Early recognition and timely treatment of an interstitial pregnancy is imperative to avoid the high morbidity and mortality of this type of ectopic pregnancy. We report a case of twin interstitial pregnancy that was initially missed on initial sonogram and was subsequently recognized at our institution by transvaginal sonography. The ...
Huber Georgine G Department of Obstetrics and Gynecology, University Regensburg, St. Hedwig Hospital, Regensburg, - - 2014
Abstract Objective. To compare the effectiveness and safety of oral misoprostol versus vaginal dinoprostone for the induction of labor in twin pregnancies. Methods. All twin pregnancies ? 34 weeks 0 days that were induced with either misoprostol or dinoprostone in St. Hedwig Hospital between 2002 and 2013 were included in ...
Nayak Shalini S SS Department of Medical Genetics, Kasturba Medical College, Manipal, Karnataka, - - 2014
We report on two unrelated fetuses born to nonconsanguineous couples with fetal akinesia deformation sequence (FADS). The fetuses shared facial features, micrognathia, fetal finger pads, bulbous digital tips, pterygia, clubfeet, ventriculomegaly, and cerebellar anomalies. Both had loss/absence of Purkinje cells in cerebellum. The first family had a similarly affected previous ...
Osmundson Sarah S SS Departments of Obstetrics and Gynecology, Medicine, and Pathology, Stanford University School of Medicine, Stanford, and the Department of Obstetrics and Gynecology, Santa Clara Valley Medical Center, San Jose, - - 2014
To compare 24-hour urinary protein excretion in twin and singleton pregnancies not complicated by hypertension. We prospectively evaluated mean 24-hour urinary protein excretion in twin and singleton pregnancies between 24 0/7 weeks and 36 0/7 weeks of gestation. Women with urinary tract infections, chronic hypertension, pregestational diabetes, and renal or ...
Kubotani Juliana Sayuri JS Pelvic Floor Sector, Department of Obstetrics, Federal University of São Paulo, São Paulo, - - 2014
The purpose of this study was to compare the morphologic characteristics of the pelvic floor musculature between women with twin and singleton pregnancies. We conducted a cross-sectional case-control study of 40 nulliparous women aged 20 to 38 years to compare women with singleton pregnancies (n = 23) to women with ...
Stach Sonia Leme SL Department of Obstetrics and Gynecology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, - - 2014
We aimed to examine maternal postpartum complications of twin deliveries according to mode of delivery and investigate the associated risk factors. This was a retrospective cohort review of twin pregnancies with delivery after 26 weeks at a tertiary teaching hospital (1993-2008). The rates of maternal postpartum complications were compared among ...
Himoto Yuki Y Department of Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine, Kyoto University, Kyoto, - - 2014
To assess the use of magnetic resonance imaging (MRI) for prenatal differentiation between complete hydatidiform mole with a twin live fetus (CHMTF) and placental mesenchymal dysplasia (PMD). Three CHMTF cases and three PMD cases, from two institutions over a 6-year period, were retrospectively included in this study. Clinical findings including ...
Baud David D Fetal Medicine Unit, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, - - 2014
Both "early" (< 16 weeks' gestation) and "late" (> 26 weeks' gestation) presentations of twin-twin transfusion syndrome (TTTS) are rare and challenging complications of monochorionic/diamniotic twin pregnancies. Growing evidence suggests that fetoscopic laser therapy for both "early" and "late" TTTS is feasible, safe, and yields similar outcomes to cases treated ...
Peeters Suzanne H P SH Department of - - 2014
To evaluate management and outcome of iatrogenic monoamniotic twins (iMAT) compared to twins with intact intertwin dividing membranes after laser surgery for twin-to-twin transfusion syndrome (TTTS). Retrospective analysis of twins treated for TTTS with laser surgery at our center between 2004 and 2012 with and without iatrogenic rupture of the ...
Tendais Iva - - 2014
Abstract Aims: To evaluate the differences in linear and complex heart rate dynamics in twin pairs according to fetal sex combination [male-female (MF), male-male (MM), and female-female (FF)]. Methods: Fourteen twin pairs (6 MF, 3 MM, and 5 FF) were monitored between 31 and 36.4 weeks of gestation. Twenty-six fetal ...
Guillén M A MA Division of Diabetes, Department of Endocrinology and Nutrition, Hospital Universitario La Paz, Madrid, - - 2014
To evaluate the influence of gestational diabetes mellitus on neonatal birthweight, macrosomia and weight discrepancy in twin neonates METHODS: An observational retrospective study was performed. One hundred and six women with gestational diabetes and twin pregnancy and 166 twin controls who delivered viable fetuses > 24 weeks were included. Impact of maternal ...
Zanardini Cristina C Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynaecology, University of Brescia, - - 2014
To assess myocardial performance index (MPI) measured by conventional Doppler and by tissue Doppler imaging (MPI') at 18 weeks' gestation in monochorionic diamniotic twins for the prediction of twin-to-twin transfusion syndrome (TTTS). Single-center observational study from 2009 to 2012. MPI and MPI' were obtained in the left (LV) and right ...
Moon-Grady Anita J AJ Division of Cardiology, Department of Pediatrics and Fetal Treatment Center, University of California San Francisco Benioff Children's Hospital, San Francisco, - - 2014
Twin-twin transfusion syndrome is a complex disease process affecting monochorionic twin pregnancies that has implications for the cardiovascular system in both recipient and donor cotwins. Systolic, diastolic, and structural cardiac changes can occur; these have been the subject of intense study over the past two decades, and the use of ...
Esin S S Department of Obstetrics and Gynecology, Hacettepe University School of Medicine , Ankara , - - 2014
Our objective was to compare the latency periods after preterm premature rupture of membranes (PPROM) and determine its subsequent impact on maternal and fetal outcomes for singleton and twin gestations > 24 weeks' and ≤ 34 weeks' gestation. Delivery in the first 72 h after the rupture of membranes was ...
Kazemier Bm B Department of Obstetrics and Gynaecology, Academic Medical Centre, Amsterdam, the - - 2014
Information about the recurrence of spontaneous preterm birth in subsequent twin/singleton pregnancies is scattered. To quantify the risk of recurrence of spontaneous preterm birth in different subtypes of subsequent pregnancies. An electronic literature search in OVID MEDLINE and EMBASE, complemented by PubMed, to find recent studies. Studies comparing the risk ...
Dior Uri P UP Department of Obstetrics and Gynecology, The Hebrew University-Hadassah Medical Center, P.O.B. 12272, Jerusalem 91120, Israel; Braun School of Public Health, The Hebrew University-Hadassah Medical Center, P.O.B. 12272, Jerusalem 91120, Israel. Electronic address: - - 2014
To examine the association of maternal and/or paternal smoking during pregnancy with offspring cardio-metabolic risk (CMR) factors at adolescence and early adulthood, taking into account socio-demographic, medical and lifestyle characteristics of parents and offspring, as well as offspring common genetic variation. We used a population-based cohort of all 17 003 ...
Pickle Sarah S Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, 1 Robert Wood Johnson Place, Medical Education Building Room 262, New Brunswick, NJ 08901, USA. Electronic address: - - 2014
This article summarizes the literature regarding the epidemiology and prevention of unintended pregnancy in the United States. Because of the Affordable Care Act and its accompanying contraceptive provision, there is a need for more primary care clinicians to provide family planning services. Office-based interventions to incorporate family planning services in ...
Taguchi Takako T Department of Maternal Fetal Medicine, Osaka Medical Center and Research Institute for Maternal and Child Health, Izumi, Osaka, - - 2014
The aim of this study was to identify the incidence, clinical features, and prenatal risk factors for hypertensive disorders, including gestational hypertension (GH) and pre-eclampsia (PE), in twin pregnancies. We carried out a retrospective cohort study of twin pregnancies managed from the first trimester onward at a single center from ...
Kaveh Mahbod M Department of Pediatrics, Tehran University of Medical Science, Bahrami Hospital, Tehran, - - 2014
Dicephalic parapagus tribrachius conjoined twin is a very rare condition. We present a case of 5-days-old male dicephalic parapagus conjoined twins. The conjoined twins were diagnosed in 4(th) month of pregnancy by ultrasonography. The pregnancy terminates at 36 weeks by cesarean section and triplets were born. The babies were male ...
Temple Richard R Naval Hospital Camp Lejune Family Medicine Residency, Camp Lejeune, NC, USA. Email: - - 2014
The death of a fetus late in pregnancy can be devastating. Your role: Help the mother through the physical process, conduct a postdelivery evaluation, and provide support to the grieving family.
Siddiqui Anwar Hasan AH Department of Physiology, Jawaharlal Nehru Medical College, Aligarh, - - 2014
Objective: Pregnancy brings about significant changes in respiratory function, as evidenced by alterations in lung volumes and capacities, which are attributable to the mechanical impediment caused by the growing foetus. This study was undertaken in order to identify changes in respiratory function during normal pregnancy and to determine whether such ...
Boyer Ananda A Div. of Fetal Imaging, Dept. of Obstetrics and Gynecology, Oakland University William Beaumont School of Medicine, 3601 W. 13 Mile Rd. Royal Oak, MI, USA 48073. Electronic address: - - 2014
To determine the clinical significance of amniotic fluid sludge in twin pregnancies with a short cervix. We evaluated twin pregnancies with a short cervical length that had an ultrasound between 16 and 26 weeks (n= 78). Pregnancy outcomes in those with sludge (n= 27) and those without (n=51) were compared. ...
Fox Nathan S NS Maternal Fetal Medicine Associates, PLLC, and the Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: - - 2014
Preeclampsia and IUGR are correlated in singleton pregnancies. The objective of this study was to estimate their relationship in twin pregnancies. Cohort of 578 patients with twin pregnancies delivered by one maternal fetal medicine practice from 2005-2013. Patients with chronic hypertension, monochorionic-monoamniotic placentation, twin-twin transfusion, and major congenital anomalies were ...
Lucovnik Miha M Department of Perinatology, Division of Obstetrics and Gynecology, University Medical Centre Ljubljana, - - 2014
Abstract Objective: To examine the impact of pre-pregnancy obesity on adverse outcomes in twin compared to singleton pregnancies. Methods: Dichorionic twin gestations with maternal body mass index >30 were matched to 3 singleton controls. Both obese groups were matched (1:3) with non-obese controls. Rates of preeclampsia, gestational diabetes, cesarean section, ...
Shen Ori O Department of Radiology, Tel Aviv Medical Center, Tel Aviv, - - 2014
Molar tooth sign (MTS) is pathognomonic for Joubert syndrome (JS) and related disorders. We report a case in which MTS was suspected in an 'at risk' patient at 16 weeks' gestation by sonography and at 18 weeks by additional ultrasound. It was then confirmed at 20 weeks by MRI. A ...
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