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Ryo Eiji - - 2013
Abstract A fetal movement acceleration measurement (FMAM) recorder was developed for home monitoring of fetal movements. We provided a 32-year-old pregnant woman with the FMAM recorder to home monitor fetal movements, thereby self-recording decreased fetal movements at 30 weeks' gestation. On routine checkup, a nonstress test revealed scant fetal heart ...
Rossi A Cristina - - 2013
To review the literature concerning the efficacy of early ultrasonography (at 11-14 weeks of gestation) to identify fetal malformations. A search in PubMed, MEDLINE, Embase, Cochrane Library, and ClinicalTrials.gov was performed (January 2000 to December 2012). Keywords were: fetal anatomy, fetal echocardiography, nuchal translucency, fetal structural anomalies, fetal malformations, prenatal ...
McBrien A - - 2013
To document changes in the normal embryonic/fetal cardiac axis in the late first and early second trimesters of pregnancy. Images from 188 fetal echocardiograms performed prospectively between 8 and 15 weeks' gestation in 166 healthy pregnancies and in 10 pregnancies with severe fetal heart disease were reviewed. For each echocardiogram, three ...
Opotowsky Alexander R - - 2013
"Few subjects can be conceived calculated to attract...more serious thought and attention on the part of obstetricians, than the bearing of organic disease of the heart upon the condition of the pregnant, parturient, and lying-in woman....and yet scarcely a subject that borders on the mutual region occupied by the obstetric ...
Soncini Emanuele - - 2013
Abstract Objective. To assess the ability of the intrapartum fetal heart rate interpretation system developed in 2008 by the National Institute of Child Health and Human Development (NICHD) to predict fetal metabolic acidosis at delivery and neonatal neurological morbidity. Methods. We analyzed the intrapartum fetal heart rate tracings of 314 ...
Van Laar Judith O E H - - 2013
Non-invasive spectral analysis of fetal heart rate variability is a promising new field of fetal monitoring. To validate this method properly, we studied the relation between gestational age and the influence of fetal rest-activity state on spectral estimates of fetal heart rate variability. Design Prospective longitudinal study. Tertiary care teaching ...
Elito Júnior Julio - - 2013
Abstract Objective: To evaluate the efficacy of conservative management of cervical pregnancy with embryonic heart activity by ultrasound-guided local injection. Methods: Retrospective case series at University tertiary care Hospital. Eight patients diagnosed with cervical pregnancy with embryonic heart activity managed conservatively. The intervention was ultrasound-guided local injection of methotrexate (1mg/kg) ...
Morikawa Mamoru - - 2013
It is not clear whether fetuses with Ebstein's anomaly are likely to show abnormalities on electronic fetal heart rate (FHR) monitoring during labor. We performed retrospective analysis of FHR monitoring results obtained between 2.5 and 0.5 h prior to delivery in all of five fetuses prenatally diagnosed as having Ebstein's anomaly ...
Foy Pamela M - - 2013
Objectives- The purpose of this study was to determine whether normal fetal cardiac anatomy could be successfully demonstrated and congenital heart disease detected transabdominally at 14 to 18 weeks' gestation in fetuses with a nuchal translucency greater than or equal to the 95th percentile. Methods- In this retrospective chart review, ...
Dokus K - - 2013
A retrospective observational study on a sample of 13,413 deliveries analysed the effect of a withdrawal of the CTG additional diagnostic methods of fetal hypoxia (fetal pulse oximetry and ST analysis of the fetal ECG) on operative delivery rates and frequency of the umbilical arterial pH < 7.15. Following the ...
Mottola Michelle F - - 2013
Although a healthy lifestyle approach is intuitive for obese pregnant women, no guidelines currently exist to manage these women throughout pregnancy. Women who are medically prescreened for contraindications can engage in a walking program three to four times per week, starting at 25 min per session and adding 2 min per week ...
Boukhris M - - 2013
Patients with a single ventricle represent a rare abnormality found in 1% of patients with congenital heart disease, often discovered during childhood. Without pulmonary stenosis, the disease can progress to fixed pulmonary hypertension. Both pregnancy and delivery are risky events capable of increasing the right-to-left shunt. Pregnancy is contraindicated. We ...
Batra Chandar Mohan - - 2013
Fetal thyrotoxicosis is a rare disease occurring in 1 out of 70 pregnancies with Grave's disease or in 1 out of 4000-50,000 deliveries. The mortality is 12-20%, usually from heart failure, but other complications are tracheal compression, infections and thrombocytopenia. It results from transfer of thyroid stimulating immunoglobulins from mother ...
Wouters Blaire B District Medical Group, Phoenix, AZ, USA. - - 2013
Fetal heart tone monitoring is a frequently used tool during nonobstetric maternal surgery to evaluate the immediate well-being of a fetus. We present a case of a parturient requiring an emergency craniotomy, during which fetal heart tone monitoring demonstrated fetal distress patterns. A simultaneous emergency craniotomy and emergency cesarean delivery ...
Vento Máximo - - 2013
The in-utero environment is relatively hypoxic, but fetal physiologic adaptation assures adequate tissue oxygen supply. Fetal reactions to acute or chronic hypoxia are different and are modified by the preceding fetal condition. Acute fetal hypoxia episodes are often not preventable. By contrast, good obstetric care during labor may prevent poor ...
Baghirzada Leyla - - 2013
To review and report maternal and neonatal outcomes after cardiac arrest during pregnancy in a large tertiary care centre and to consider steps to improve the outcomes. We performed a retrospective chart review of maternal cardiac arrest in the Mount Sinai Hospital, University of Toronto health records database for the ...
Lurie Samuel - - 2013
Abstract Objective: To examine the influence of cigarette smoking during pregnancy on mode of delivery. Methods: A retrospective analysis of 6105 uncomplicated term singleton pregnancies for mode of delivery was performed with respect to smoking status. Results: 680 (84.0%) smokers and 4588 (86.7%) non-smokers had a spontaneous vaginal delivery, 65 ...
Matsumoto Tadashi - - 2013
High titer of maternal thyroid-stimulating hormone receptor antibody (TRAb) in patients with Graves' disease could cause fetal hyperthyroidism during pregnancy. Clinical features of fetal hyperthyroidism include tachycardia, goiter, growth restriction, advanced bone maturation, cardiomegaly, and fetal death. The recognition and treatment of fetal hyperthyroidism are believed to be important to ...
Hofmeyr F - - 2013
Abstract Introduction With advancing technology it has become possible to accurately record and assess fetal heart rate (FHR) patterns from gestations as early as 20 weeks. The aim of our study was to describe early patterns of FHR, as recorded by transabdominal fetal electrocardiogram according to the Dawes-Redman criteria. Accordingly, ...
Roos-Hesselink J W - - 2013
Cardiac disease in pregnancy is a challenging health care problem. The number of cases and their complexity is increasing, such that heart disease is now the leading cause of maternal mortality in developed countries. Numerically, women with congenital heart disease (CHD) make up the majority of cases and although maternal ...
Dennis A T AT Department of Anaesthesia, The Royal Women's Hospital, Parkville, Victoria, Australia. Electronic address: - - 2013
Supraventricular tachycardia is uncommon in pregnancy. It is defined as intermittent pathological and usually narrow complex tachycardia >120 beats/min which originates above the ventricle, excluding atrial fibrillation, flutter and multifocal atrial tachycardia. It is usually self-limiting or relatively easily treated with most cases responding to physical or pharmacological therapies. We ...
Chung Eunhee - - 2013
Calcium fluctuations and cardiac hypertrophy occur during pregnancy but the role of the well-studied calcium-activated phosphatase, calcineurin, has not been studied in this setting. The purpose of this study was to determine whether calcineurin signaling is required for cardiac remodeling during pregnancy in mice. We first examined calcineurin expression in ...
Thilaganathan Baskaran - - 2013
Dramatic developments in medical imaging technologies over the last forty years mean we can now collect unprecedented amounts of information on cardiac and vascular structure and function. Fetal cardiac imaging, because of its requirement to image hearts on a very small scale, while coping with both unpredictable movement and a ...
Jooste Edmund H - - 2013
Understanding the management of the parturient with single ventricle physiology starts with knowledge of the lesion, the patient's current stage of surgical palliation, her current functional status, and the impact of pregnancy and labor on her cardiac physiology. A multidisciplinary team approach, described in this article, is crucial to a ...
Stec Sebastian - - 2013
Radiofrequency ablation (RFCA) became a treatment of choice in patients with recurrent ventricular tachycardia, ventricular fibrillation, and appropriate interventions of implanted cardioverter-defibrillator (ICD), however, electric storm (ES) ablation in a pregnant woman has not yet been reported. We describe a case of a successful rescue ablation of recurrent ES in ...
Westhoff-Bleck Mechthild - - 2013
Cardiovascular diseases (CVDs) are a major cause of complications in pregnancy worldwide and the number of patients who develop cardiac problems during pregnancy is increasing. This review summarises recent literature on the aetiology and the underlying pathophysiology, diagnostic tools, risk stratification and prognosis in women who develop heart failure during ...
Siwawong Woralak - - 2013
Objectives- The purpose of this study was to evaluate the efficacy of the fetal cardiac circumference derived by spatiotemporal image correlation (STIC) for predicting fetal hemoglobin (Hb) Bart disease. Methods- Pregnancies at risk of fetal Hb Bart disease at 17 to 22 weeks' gestation were enrolled. All underwent STIC volume ...
Chugh Reema - - 2013
Pregnancy carries varying risks in women with congenital heart defects even after repair. Preconception evaluation is essential for genetic consultation, identifying/optimizing medical and surgical issues before pregnancy in order to improve outcomes. Echocardiography is the preferred imaging modality for guiding management. A multidisciplinary approach with collaboration between obstetrics, perinatology, anesthesiology, ...
Kane Andrew D - - 2013
Background: Fetal hypoxia is common and in vitro evidence supports its role in the programming of adult cardiovascular dysfunction through the generation of oxidative stress. Whether fetal chronic hypoxia programmes alterations in cardiovascular control in vivo, and if these alterations can be prevented by antioxidant treatment, is unknown. This study investigated ...
Stingl Krunoslav - - 2013
Abstract Introduction: Current standard methods of monitoring fetal heart function are mainly based on echocardiography, which provides indirect information (through mechanical assessment) of the fetal heart rhythm. Fetal magnetocardiography (fMCG) allows a reliable quantification of the temporal structure of fetal heart signals. However, its application in clinical studies is difficult ...
Abel David E - - 2013
During routine fetal auscultation, it is not uncommon to encounter an abnormal fetal heart rate. The rate may be abnormally slow or fast, or irregular. This article focuses on fetal dysrhythmias, defined as any irregular fetal cardiac rhythm or a regular rhythm with an abnormal rate outside the range of ...
Habib A - - 2013
Hypertrophic cardiomyopathy (HCM) is a relatively common genetic disorder (1:500) inherited as an autosomal dominant trait. It is caused by mutations in any one of 10 genes encoding protein components of cardiac sarcomere. Some theoretically calculated risks exist when patients with HCM become pregnant. The physiologic increase of cardiac output ...
Wang Qianqian - - 2013
The development of the fetal cardiovascular system plays a crucial role in fetal health. The evolution of the relationship between fetal and maternal cardiac systems during fetal maturation is a characterizing feature for fetal cardiac development. This paper aims to evaluate this relationship by investigating the beat-to-beat synchronization between fetal ...
Warmerdam G - - 2013
Non-invasive fetal electrocardiography (ECG) can be used for prolonged monitoring of the fetal heart rate (FHR). However, the signal-to-noise-ratio (SNR) of non-invasive ECG recordings is often insufficient for reliable detection of the FHR. To overcome this problem, source separation techniques can be used to enhance the fetal ECG. This study ...
Ungureanu G Mihaela - - 2013
The analysis of the fetal heart rate (fHR) is important in detecting the fetal distress related with hypoxic episodes, noticed sometimes during the uterine activity, which can severely affect the fetus. Occasional synchrony between the fHR and the maternal heart rate (mHR) was reported and the mHR shows some variations ...
Veerabhadrappa S T - - 2013
This paper presents the study of bispectrum analysis methods of heart rate variability in normotensive pregnant and postpartum women. The self and cross spectral components are estimated from bispectrum of ECG of pregnant and postpartum women. It is observed that, very low frequency (VLF) and low frequency (LF) component coupling ...
Chudacek Vaclav - - 2013
Early acidosis detection and asphyxia prediction in intrapartum fetal heart rate is of major concern. This contribution aims at assessing the potential of the Scattering Transform to characterize intrapartum fetal heart rate. Elaborating on discrete wavelet transform, the Scattering Transform performs a non linear and multiscale analysis, thus probing not ...
Schwartzenberg Shmuel - - 2013
Effective anticoagulation is critical in patients with mechanical prosthetic heart valve (MPHV), but remains challenging in pregnancy because both oral anticoagulation and heparins are associated with important fetal and maternal risks. A 33-year-old high-risk pregnant woman presented with MPHV thrombosis during early pregnancy. Resolution of the thrombus and eventual resumption ...
Lee Mi-Young - - 2013
Congenital heart disease is the most common abnormality in the human fetus. Fetal echocardiography has been used to detect the majority of cardiac defects, and it is now part of the routine screening method for fetal evaluation. In this article, we present standard ultrasonographic views of the normal fetal heart ...
Balakumar Karippaliyil K Department of Ultrasonography, Balku's Scan, PVS Hospital, Calicut 2, Kerala, - - 2013
Fetal endocardial fibroelastosis (EFE) has been diagnosed by antenatal ultrasonography in the past few years. A typical case of isolated endocardial fibroelastosis is illustrated here, in a fetus of 22 weeks of gestational age exposed to maternal organophosphorus poisoning at 20 weeks. No other structural cardiac or other systemic anomalies ...
Shamshirsaz Alireza A - - 2013
Abstract Objective: To investigate different cut-off levels of nuchal translucency (NT) to predict abnormal cardiac findings (ACF) in second trimester ultrasound examination and confirmed postnatal congenital heart defects (CHD) in euploid pregnancies. Methods: A retrospective analysis was performed on singleton pregnancies examined in our ultrasound units from 2006 to 2011. ...
Shabani Zanjani Mansoureh - - 2013
Gestational diabetes mellitus (GDM) is one of the most common complications in pregnancies. Evaluating other conditions, including intra uterine growth restriction and pre-eclampsia, some studies have shown significant changes in blood flow velocity of fetal middle cerebral artery (MCA). Our study is one of the few that has aimed to ...
Votino C - - 2013
To prospectively assess the use of four-dimensional (4D) spatio-temporal image correlation (STIC) modality in the evaluation of fetal heart at 11 to 14 weeks gestation. Offline analysis of 4D-STIC volumes of the fetal heart acquired at 11 to 14 weeks in a high risk population for congenital heart disease (CHD). ...
Mhallem Gziri Mina - - 2013
Anthracyclines are used to treat cancers during the second and third trimester of pregnancy. Chemotherapeutic effect of anthracyclines is associated with a dose- and time-dependent cardiotoxicity which is well described for infants and adults. However, data regarding fetal anthracycline-related cardiotoxicity after administration of chemotherapeutics during pregnancy are very limited. In ...
Balli Sevket - - 2013
We investigated cardiac function in 67 fetuses of gestational diabetic mothers (FGDMs) and 122 fetuses of healthy mothers between 24 and 36 weeks of gestation. Cardiac functions were evaluated by M-mode, pulsed-wave, and tissue Doppler echocardiography. Fetal echocardiograms were performed at 24, 28, 32, and 36 weeks of gestation. Glycated hemoglobin (HbA1c) ...
Tulzer Gerald - - 2013
Fetal congenital heart disease may progress during pregnancy and may lead to irreversible myocardial or pulmonary damage. The rationale of fetal intracardiac interventions is to change fetal hemodynamics, prevent secondary damage and improve long-term outcome at an acceptable risk for mother and fetus. This review focuses on the current experience ...
Khalil Asma - - 2013
Congenital heart defects (CHDs) are the leading cause of infant mortality due to birth defects. In the last 15 years, with the shift in screening for aneuploidies to the first trimester, extensive research has concentrated on early screening and detection of CHDs. Early detailed assessment of the fetal heart requires ...
Margulis Andrea V - - 2013
PURPOSE: Research on the association of maternal selective serotonin reuptake inhibitor (SSRI) use and cardiac malformations in the offspring has yielded conflicting findings. We therefore sought to further investigate the association using data from a large population-based cohort in the UK. METHODS: The study population consisted of 149 464 pregnancies ending ...
Lin Tzu-Hung - - 2013
Fetal intracranial hemorrhage (ICH) in utero is a rare complication of pregnancy associated with subsequent neurological sequelae or fetal death. A 34-year-old woman with Crohn's disease presented at 36 weeks' gestation due to decreased fetal movement. Fetal heart-rate tracing indicated poor beat-to-beat variability. In addition, a Doppler ultrasonography suggested a ...
Ercan Suleyman - - 2013
Herein, we present a case of asymptomatic isolated cardiac cystic echinococcosis localized entirely to the inter-atrial septum in a pregnant woman. The patient underwent successful surgery. Cardiac cystic echinococcosis is rarely seen in pregnancy. A high index of suspicion is necessary for the diagnosis of a cardiac cyst hydatid. The ...
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