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Results 451 - 500 of 2044
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Reuss Annette - - 2011
We report on the prenatal and postnatal cytogenetic, molecular genetic and clinical findings in monochorionic diamniotic twins discordant for trisomy 18. For prenatal diagnosis sampling of both sacs is recommended in monochorionic diamniotic twin pregnancy, especially if one twin has structural anomalies on ultrasound scan. Copyright © 2011 ISUOG. Published ...
Mocarski M - - 2011
The purpose of the study was to examine ethnic variation in the impact of Gestational Diabetes Mellitus (GDM) on birth outcome. The authors examined the association between GDM and pregnancy-induced hypertension, macrosomia, primary Cesarean delivery, and preterm birth, using New York City Birth Certificate data from 2001-2006. Logistic regression was ...
Roman Ashley S - - 2011
Objective.?To examine the impact of maternal obesity on maternal and neonatal outcomes in pregnancies complicated with gestational diabetes mellitus (GDM). Methods.?Women with singleton pregnancies and GDM enrolled in an outpatient GDM education, surveillance and management program were identified. Maternal and neonatal pregnancy outcomes were compared for obese (pre-pregnancy BMI???30?kg/m(2)) and ...
Lee Yong-Taek - - 2011
The etiology of congenital muscular torticollis (CMT) remains controversial. Ultrasonographically, severe fibrosis involving the entire sternocleidomastoid muscle (SCM; type 3 or 4) fibrosis has been associated with poor clinical outcomes and indicates a chronic state of the condition. The purpose of this study was to test whether or not type ...
Combs C Andrew - - 2011
We sought to determine whether prophylactic treatment with 17-alpha-hydroxyprogesterone caproate (17Pc) in twin pregnancy will reduce neonatal morbidity (primary outcome) by prolonging pregnancy (secondary outcome). This was a double-blind, randomized clinical trial. Mothers carrying dichorionic-diamniotic twins were randomly assigned (in a 2:1 ratio) to weekly injections of 250 mg of ...
Nomura Roseli Mieko Yamamoto - - 2011
To describe pregnancies with conjoined twins according to the request for legal termination of pregnancy. Retrospective review of pregnancies with conjoined twins, with no possibility of extrauterine survival or postnatal surgical separation, observed at a tertiary teaching hospital, between 1998 and 2010. Amongst 30 cases seen during the study period, ...
Gaudet Laura M - - 2011
Objective: Misclassification of body mass index (BMI) by pregnant women could be a significant barrier to minimizing weight-related adverse pregnancy outcomes and improving the short- and long-term health of mother and child. The primary objective in this study was to determine the proportion of a group of pregnant women who ...
Belfort Michael A - - 2011
Fetal electrocardiogram (ECG) ST segment analysis (STAN) was approved in 2005 in the United States as an adjunct to electronic fetal heart rate monitoring to determine whether obstetrical intervention is warranted when there is an increased risk for developing metabolic acidosis. STAN has utility in the reduction of fetal acidosis ...
van der Post Joris A M - - 2011
Pre-eclampsia (P-EC), a heterogenic multisystem disorder characterized by hypertension and proteinuria, usually develops in the second half of pregnancy. The incidence is 2 to 5%, and P-EC is therefore a major cause of maternal and perinatal morbidity and mortality. Although the exact etiology is unknown, placental factors released into the ...
Stout Molly J - - 2011
Electronic fetal monitoring (EFM) using cardiotocography is a common tool used during labor and delivery for assessment of fetal well-being. It has largely replaced the use of intermittent auscultation and fetal scalp pH sampling. However, data suggesting improved clinical outcomes with the use of EFM are sparse. In this review, ...
Jones Kenneth Lyons - - 2011
Prenatal exposure to alcohol has profound effects on many aspects of fetal development. Although alterations of somatic growth and specific minor malformations of facial structure are most characteristic, the effects of alcohol on brain development are most significant in that they lead to substantial problems with neurobehavioral development. Since the ...
Hutti Marianne H - - 2011
To evaluate the influence of previous perinatal loss, anxiety, depressive symptoms, impact of the previous loss, and maternal investment in the baby on mothers' healthcare utilization (HCU) during the subsequent pregnancy and postpartum periods. A longitudinal, cohort study design gathered telephone interview data from 36 mothers with a history of ...
Kinugasa-Taniguchi Yukiko - - 2011
To compare obstetric and delivery outcomes between myoma-complicated pregnancies and pregnancies that follow myomectomy. Among the 7,589 deliveries performed in the Department of Obstetrics and Gynecology of the Osaka University Hospital, Osaka, Japan, from 1994 to 2007, women with a past history of myomectomy and those with myoma during their ...
Check Jerome H - - 2011
To determine if there is a certain age when the uterus is somewhat less receptive to successful pregnancy despite the transfer of embryos from donated oocytes. We conducted a retrospective evaluation of donor oocyte recipient cycles according to specific ages. The recipients used an oral/vaginal graduated estradiol regimen followed by ...
Gollenberg Audra L - - 2011
To assess the validity of retrospectively reported maternal behaviors while attempting pregnancy. Participants in a prospective pregnancy cohort study with periconception enrollment were queried about use of cigarettes, alcohol, vitamins and caffeine and the consumption of sport fish while attempting pregnancy. Prospective longitudinal data reported in daily diaries (gold standard) ...
de Maat Moniek P M - - 2011
Pre-eclampsia (P-EC) poses an increased risk for fetal and maternal morbidity and sometimes even mortality. Several risk factors have been identified, among which an important extensively studied group is formed by the early recognizable genetic factors resulting in thrombophilia. The discussion is ongoing whether the associations found for thrombophilia are ...
Miller David A - - 2011
A review of standardized fetal heart rate (FHR) monitoring definitions and interpretation. Evidence suggests that standardization of intrapartum management can reduce adverse outcomes and professional liability claims. However, standardization of FHR monitoring has been impeded by a lack of consensus on standard definitions and interpretation. In recent years, consensus has ...
Wu Justine P - - 2011
Intrauterine pregnancy in the presence of an intrauterine device (IUD) is a rare event. If the pregnancy is desired, IUD removal must be negotiated so that the risk of pregnancy disruption is minimized. Cases in which the IUD strings are "missing" present further challenges. We report successful removal of a ...
Reeves Shane A - - 2011
Available evidence now suggests that magnesium sulfate administered to mothers prior to early preterm delivery reduces the risk of cerebral palsy in surviving neonates. The American College of Obstetricians and Gynecologists along with the Society for Maternal-Fetal Medicine state that physicians who choose to administer magnesium sulfate for neuroprotection should ...
Zelinkova Z - - 2011
Background  Typically, inflammatory bowel disease (IBD) patients are in their reproductive years, raising questions about safely using antitumour necrosis factor antibodies like infliximab (IFX) during pregnancy. IgG antibodies naturally cross the placenta, especially during the last trimester. To prevent foetal intra-uterine exposure, stopping IFX treatment at gestational week 30 is ...
Danerek Margaretha - - 2011
Background:  A woman's refusal or request for a cesarean section can be a problem for midwives and obstetricians working in maternity units. The objective of this study was to describe the attitudes of midwives in Sweden toward the obstetrician's decision making in relation to a woman's refusal of an emergency ...
Paspulati Raj M - - 2011
Vaginal bleeding is the most common cause of emergency care in the first trimester of pregnancy and accounts for the majority of premenopausal bleeding cases. Ultrasound evaluation combined with a quantitative beta human chorionic gonadotropin test is an established diagnostic tool to assess these patients. Spontaneous abortion because of genetic ...
Qazi Gulrukh - - 2011
Objective: To determine the obstetric and perinatal outcome in multiple pregnancies at a teaching hospital. Study Design: Cross-sectional observational study. Place and Duration of Study: Unit-A of the Department of Obstetrics and Gynaecology, PGMI, Lady Reading Hospital, Peshawar, from January to December 2009. Methodology: The analysis included data on all ...
Li Yiu-Tai - - 2011
Simultaneous mifepristone 200mg and vaginal misoprostol 800μg produces a complete abortion rate of approximately 90% at up to 63 days of gestation. The aim of this study was to determine the effectiveness of concurrent administration of mifepristone 200mg and vaginal misoprostol 600μg with respect to early medical abortion. A total ...
Foster Diana Greene - - 2011
: To estimate how number of oral contraceptive pill packages dispensed relates to subsequent pregnancies and abortions. : We linked 84,401 women who received oral contraceptives through the California family planning program in January 2006 to Medi-Cal pregnancy events and births conceived in 2006. We compared pregnancy rates for women ...
Julian Colleen Glyde - - 2011
One of the greatest physiologic challenges during pregnancy is to maintain an adequate supply of oxygenated blood to the uteroplacental circulation for fetal development. This challenge is magnified under conditions of limited oxygen availability. High altitude impairs fetal growth, increases the incidence of preeclampsia, and, as a result, significantly increases ...
Dildy Gary A - - 2011
The original expectation of fetal pulse oximetry (FPO) for the field of obstetrics was predicated on the tremendous positive impact pulse oximetry had upon the fields of anesthesiology, critical care medicine, and many other disciplines of medicine. With the general acceptance that many, if not most, concerning fetal heart rate ...
Moore Thomas R - - 2011
Owing to the frequent use of bedside ultrasound, much is known about the regulation of and normative values for amniotic fluid volume and the mechanisms by which this fluid is regulated. The management protocols for conditions with extremes of amniotic fluid volume have become more exact, resulting in interventions more ...
Gunes Tamer - - 2011
There have been several studies confirming an association between maternal smoking during pregnancy and low birth weight. The detrimental effect of nicotine exposure beginning in fetal life continues during lactation, in infancy and in the early childhood period. In our previous studies, we found increased aortic intima-media thickness (aIMT) as ...
Choe Han Kyoung - - 2011
The environment of a pregnant mother has a life-long impact on later life of offspring. Maternal stress is known to cause low birth weight and programs several physiological dysfunctions in offspring. However, the direct effects of maternal stress on the developing fetus remain largely unknown. The present study focused on ...
Murin Susan - - 2011
Smoking during pregnancy is among the leading preventable causes of adverse maternal and fetal outcomes. Smoking prevalence among young women is the primary determinant of smoking prevalence during pregnancy. Smoking among women of childbearing age is associated with reduced fertility, increased complications of pregnancy, and a variety of adverse fetal ...
Knol H M - - 2011
Summary.  Reproductive choices, pregnancy and childbirth are influenced by culture and traditions. This probably also plays a role in carriers of haemophilia. The aim of the study is to evaluate the reproductive choices and obstetrical experiences in the current generation of carriers of haemophilia in our Haemophilia Centre in the ...
Rausch Mary E - - 2011
: Many serum markers have been proposed to aid in the identification of an ectopic pregnancy, but few have been validated. Most studies have been limited by sample size and design. The goal of this study was to assess putative markers to identify which can be optimally combined. : We ...
Schenone Mauro H - - 2011
Doppler velocimetry of the middle cerebral artery (MCA) has played a major role in fetal medicine for the last 23 years, both in intrauterine growth-restricted (IUGR) and anemic fetuses. Its utility in the diagnosis and management of cases of fetal anemia was initially demonstrated in cases of red cell alloimmunization ...
Ross Michael G - - 2011
Although intrauterine fetal compromise during labor accounts for a small proportion of cerebral palsy cases, fetal hypoxic-ischemic encephalopathy remains an important and sometimes preventable etiology. This paper reviews the mechanisms regulating fetal heart rate responses, pathogenesis of fetal metabolic acidosis, and thresholds for metabolic acidosis associated with hypoxic-ischemic encephalopathy. The ...
Grandone E - - 2011
Although an association between thrombophilias and adverse pregnancy outcome has been shown, the influence of the most common inherited thrombophilias and the somatic mutation JAK2 V617F in determining an adverse outcome is questioned. We examined the contribution of the factor V Leiden (FVL), the prothrombin G20210A (PTm) and the somatic ...
El-Sayyad Hassan I - - 2011
OBJECTIVE: Acrylamide (ACR), a proven rodent carcinogen, is present at significantly high quantities in commonly consumed foods such as potato chips, raising a health concern worldwide. METHODS: The effects of ACR and fried potato chips (FPC) on pregnant mice and their offspring before and after birth were investigated and compared. ...
Cogendez Ebru - - 2011
OBJECTIVE: Recurrent pregnancy loss is often defined as three or more consecutive pregnancy losses but there are no strict criteria for initiation of investigations after a miscarriage. We compared the frequency of uterine anomalies diagnosed by hysteroscopy following one, two and three or more miscarriages. STUDY DESIGN: In our study ...
McArdle John R - - 2011
The challenges posed by cystic fibrosis (CF), including poor nutrition and progressive lung function decline, may pose problems for pregnancy for both mother and child. A multidisciplinary team of providers is optimal to help address the variety of issues that might arise in such a pregnancy. Careful attention to maternal ...
Baroncelli Silvia - - 2011
Postnatal prophylaxis with oral zidovudine (ZDV) is associated with hematological effects. However, it is still unknown whether selection of non-ZDV-based regimens in pregnancy may reduce hematological toxicity associated with postnatal ZDV prophylaxis. The aim of this study was to define the hematological effects of ZDV prophylaxis in newborns with and ...
Miller Margaret A - - 2011
Pregnancy is an example of Virchow's triad predisposing to the development of venous thromboembolism (VTE). Specific risk factors for antepartum and postpartum VTE have been identified. The diagnosis of pulmonary embolism in pregnancy is complicated by the physiologic changes of pregnancy as well as physicians' apprehension about ordering radiologic studies ...
Garite Thomas J - - 2011
Intrauterine resuscitative measures are commonly initiated during labor when the fetal heart rate (FHR) pattern is indeterminate or abnormal. The most effective use of these measures is directed at the presumed underlying cause. However, some FHR patterns are nonspecific, while others are such that intrauterine resuscitation will not remedy the ...
Sun Hui-Lin - - 2011
PURPOSE: To understand the experiences of Asian women in Taiwan who are adjusting to motherhood following previous pregnancy loss. STUDY DESIGN AND METHODS: Phenomenology was used as the study design, and interviews were used to collect data in a medical center in Northern Taiwan with six women who had given ...
Baschat Ahmet Alexander - - 2011
Evaluation of venous Doppler parameters has significantly contributed to the understanding of the vascular mechanisms that lead to fetal growth restriction (FGR) and subsequent fetal deterioration in the setting of progressive placental dysfunction. Venous redistribution of umbilical venous blood flow away from the fetal liver precedes fetal growth delay. Venous ...
Filiz Avsar A - - 2011
To determine the possible protective effects of Wharton's jelly (WJ) in umbilical cord and fetal growth by investigating the relationship between the amount of WJ and fetal birth weight. This study enrolled 299 women who delivered after an uneventful pregnancy. After separation of the placenta, a 5cm long section of ...
Maulik Dev - - 2011
Antepartum fetal surveillance with Doppler ultrasound of umbilical artery has shown significant diagnostic efficacy in identifying fetal compromise in pregnancies complicated with fetal growth restriction (FGR). Its effectiveness in decreasing perinatal mortality has been shown by randomized clinical trials (Level I evidence). This test is the only antepartum fetal test ...
Bigelow Catherine - - 2011
The use of bed rest in medicine dates back to Hippocrates, who first recommended bed rest as a restorative measure for pain. With the formalization of prenatal care in the early 1900s, maternal bed rest became a standard of care, especially toward the end of pregnancy. Antepartum bed rest is ...
Rey E - - 2011
Background: pregnancy is associated with an increased incidence of heartburn. However, there is no information for other symptoms related to gastro-esophageal reflux (GOR).Aim: to assess the prevalence of atypical symptoms of GOR during pregnancy, and to examine its association with typical GOR symptoms.Methods: we report data for 263 women with ...
Norman Wendy V - - 2011
Objective: We sought to quantify the accuracy of estimating gestational age by reported last menstrual period among women seeking surgical abortion. We observed that women seeking surgical abortion underestimated their gestational age when making the appointment, leading to poor allocation of resources. This tendency to underestimate has not previously been ...
Ramirez Edwin Ricardo - - 2011
This pilot study was performed from March 2008 through February 2010 to demonstrate that pregnancy can be achieved in a uterine allograft in the sheep model with the guidance of assisted reproductive technology. Uterine allotransplantation was performed in 12 sexually mature African sheep (Sudanese and Ethiopian). All animals underwent uterine ...
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