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Gribaa Rym - - 2014
A Fontan operation is performed to provide palliation for patients with many forms of highly complex congenital heart disease that cannot support a biventricular circulation. Increasing numbers of women who have undergone these connections in childhood are now reaching their childbearing years, and some are becoming pregnant. The low flow ...
Nash Zachary Z Department of Obstetrics and Gynaecology, St. Thomas' Hospital, London; King's College, - - 2014
Kielland's rotational forceps are designed to overcome malposition of the fetal head in the second stage of labor. After a decline in their use because of reported adverse outcomes and fear of litigation, recent evidence suggests that they may be safe and effective in trained hands and significantly more successful ...
Creinin Mitchell D MD University of California, Davis, Sacramento, California; and the University of Tennessee, Knoxville, - - 2014
Female sterilization, one of the most effective forms of pregnancy prevention, can be performed remote from pregnancy (interval sterilization) or around the time of delivery. Modern methods for sterilization include tubal interruption, salpingectomy, and transcervical sterilization. Tubal interruption has been the primary method for interval sterilization for decades, developing as ...
Christov I I Institute of Biophysics and Biomedical Engineering, Bulgarian Academy of Science, Sofia, - - 2014
No signal processing technique has been able to reliably deliver an undistorted fetal electrocardiographic (fECG) signal from electrodes placed on the maternal abdomen because of the low signal-to-noise ratio of the fECG recorded from the maternal body surface. As a result, this led to increased rates of Caesarean deliveries of ...
Chen Yongjie - - 2014
Synchronization of preimplantation embryo development to blastocysts is one of the prerequisite for normal embryo implantation. While previous studies have ascribed an adverse effect to aberrant opioid signaling on embryo and fetal development, it remained elusive whether the opioid system is operative in early pregnancy events. In the present study, ...
Cecconi Sandra S Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy. Electronic address: - - 2014
The role of the endocannabinoid system (ECS) in mammalian reproduction is a rather active field of research, due to its potential exploitation to combat human infertility. Available data shows that the aberrant endocannabinoid signaling negatively affects embryo development, implantation and pregnancy. Although many efforts have been devoted to a better ...
Lyle S K SK Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, - - 2014
Placentitis is reported to be the cause of 9.8 to 33.5% of abortions, stillbirths, and perinatal losses in horses. Bacterial infections are responsible for 53% of placentitis cases with Streptococcus equi subsp. zooepidemicus (S. zooepidemicus) being isolated in 28% of these cases. Clinically, mares may have a vaginal discharge, show ...
Nunes Inês - - 2014
Abstract Objective: To compare fetal heart rate (FHR) signals acquired simultaneously by an external ultrasound probe and a scalp electrode during the second stage of labor. Methods: This was a prospective observational study in a labor ward of a tertiary care university hospital. The population was women in labor with ...
Casati Daniela D Department of the Woman, Mother and Neonate, Children's Hospital Vittore Buzzi, Biomedical and Clinical Sciences School of Medicine University of Milan, Milan, - - 2014
Couplings between uterine contractions (UC) and fetal heart rate (fHR) provide important information on fetal condition during labor. At present, couplings between UC and fHR are assessed by visual analysis and interpretation of cardiotocography. The application of computerized approaches is restricted due to the non-stationarity of the signal, missing data ...
Fanelli Andrea - - 2013
Since the 1980s, cardiotocography (CTG) has been the most diffused technique to monitor fetal well-being during pregnancy. CTG consists of the simultaneous recording of fetal heart rate (FHR) signal and uterine contractions and its interpretation is usually performed through visual inspection by trained obstetric personnel. To reduce inter- and intraobserver ...
Zhu Ronghui R Center for Preinatal Biology, Division of Pharmacology, Department of Basic Sciences, Loma Linda University School of Medicine, Loma Linda, CA 92350, USA. - - 2013
During a normal course of pregnancy, uterine vascular tone is significantly decreased resulting in a striking increase in uterine blood flow, which is essential for fetal development and fetal growth. Chronic hypoxia during gestation may adversely affect the normal adaptation of uterine vascular tone and increase the risk of preeclampsia ...
Das Ranjan - - 2013
High risk pregnancy conditions such as preeclampsia, pregnancy induced hypertension, intra-uterine growth restriction and gestational diabetes are associated with defective utero-placental circulation. These conditions, if undetected early during pregnancy, are associated with poor pregnancy outcomes including high morbidity/mortality for the fetus/mother. The current state of the art for monitoring such ...
Sriram Bhargavi - - 2013
Non-invasive recordings of fetal heart and brain have been possible for almost a decade with the advancement in biomagnetic sensors using the SQUID (Superconducting Quantum Interference Device) technology. Techniques such as orthogonal projection and ICA have been applied to attenuate interference from other biological sources such as maternal heart. Successful ...
Li Ping - - 2013
Is there a molecular link between Wnt signaling in fallopian tube inflammation and ectopic tubal implantation? Enhanced beta-catenin expression, reduced E-cadherin expression and glycogen accumulation in the tubal epithelia and hyperplasia in tubal arteries were found in ectopic tubal pregnancy, consistent with the effects induced by Wnt signaling and inflammation. ...
Nagashima Takashi T Department of Pathology and Immunology, Baylor College of Medicine, Houston, Texas 77030, - - 2013
Abnormalities in cell-cell communication and growth factor signaling pathways can lead to defects in maternal-fetal interactions during pregnancy, including immunologic rejection of the fetal/placental unit. In this study, we discovered that bone morphogenetic protein receptor type 2 (BMPR2) is essential for postimplantation physiology and fertility. Despite normal implantation and early ...
Kiefer-Schmidt Isabelle - - 2013
Abstract Aim: Fetal magnetography enables the recording of biomagnetic fetal signals, including fetal heart and fetal brain signals. These signals allow the determination of fetal behavioral states and functional brain signals with auditory evoked responses (AER). In the current study, we investigated how the behavioral state influences the AER and ...
Sänger Nicole - - 2013
OBJECTIVE: Recently, a non-invasive fetal electrocardiogram monitor has been approved for clinical usage in labour and delivery. To determine the fetal signal quality of vaginal breech deliveries in comparison with a case-controlled cephalic group during labour. STUDY DESIGN: This case-control study was carried out at the Department of Obstetrics and ...
Thompson Jennifer A JA MCG Department of Physiology, Georgia Regents University, 1120 15th St, Augusta, GA 30912, USA. - - 2013
The developmental origins of the metabolic syndrome have been established through the consistent observation that small-for-gestational age and large-for-gestational age fetuses have an increased risk for hypertension and related metabolic disorders later in life. These phenotypes have been reproduced in various species subjected to a range of intrauterine insults and ...
Sande Ragnar K - - 2013
OBJECTIVE: To test the hypothesis that clinically relevant vessels can be visualized and interrogated with Doppler recording during the second half of pregnancy at an output energy below the currently advocated limits without loss of information. DESIGN: Observational cross-sectional study. SETTING: Tertiary fetal medicine center. SAMPLE: Based on a power ...
Bazer Fuller W - - 2013
Maternal recognition of pregnancy refers to the requirement for the conceptus (embryo and its associated extra-embryonic membranes) to produce a hormone that acts on the uterus and/or corpus luteum (CL) to ensure maintenance of a functional CL for production of progesterone; the hormone required for pregnancy in most mammals. The ...
Valadares Sara S Maternidade Dr. Alfredo da Costa, Obstetrics Department, Centro Hospitalar Lisboa Central, São Sebastião da Pedreira, 1069-089 Lisbon, Portugal ; Obstetrics and Gynecology Department, Medical Science School, Lisbon Nova University, 1169-056 Lisbon, - - 2013
The authors present a case of a 27-year-old multiparous woman, with multiple thrombophilia, whose pregnancy was complicated with deep venous thrombosis requiring placement of a vena cava filter. At 15th week of gestation, following an acute deep venous thrombosis of the right inferior limb, anticoagulant therapy with low-molecular-weight heparin (LMWH) ...
Fonseca B M BM Biologia da Inflamação e Reprodução, Instituto de Biologia Molecular e Celular (IBMC), Rua do Campo Alegre No. 823, 4150-180 Porto, Portugal ; Laboratório de Bioquímica, Departamento Ciências Biológicas, Faculdade de Farmácia da Universidade do Porto, Ciências Biológicas Rua de Jorge Viterbo Ferreira No. 228, 4050-313 Porto, - - 2013
Although the detrimental effects of cannabis consumption during gestation are known for years, the vast majority of studies established a link between cannabis consumption and foetal development. The complex maternal-foetal interrelationships within the placental bed are essential for normal pregnancy, and decidua definitively contributes to the success of this process. ...
Koo J - - 2012
In the United States, an estimate of 1.3 million women suffering from epilepsy are in their childbearing age. Potential teratogenicity of antiepileptic drugs (AEDs) is of concern to these women considering pregnancy because discontinuing pharmacotherapy during pregnancy may not be advised due to the risk of seizures that may be dangerous ...
Sørensen Anne - - 2012
OBJECTIVE: Changes in blood oxygen level dependent (BOLD) magnetic resonance imaging (MRI) signal are closely related to changes in fetal oxygenation. In this study, we aimed to investigate the changes in human fetal oxygenation during maternal hyperoxia by using the non-invasive BOLD MRI technique. METHOD: Eight healthy pregnant women in ...
Hassan M - - 2012
The Objective of this paper is to evaluate novel method for analyzing the nonlinear correlation of the uterine electromyography (EMG). The application of this method may improve monitoring in pregnancy, labor detection and preterm labor detection. Uterine EMG signals recorded from a 4x4 matrix of electrodes on the subjects' abdomen ...
Razavipour Fatemeh - - 2012
The analysis of auditory evoked cortical responses in fetal Magnetoencephalography (fMEG) can be used as an early marker of functional cerebral development. A major obstacle for this objective is the very low signal-to-noise ratio of the fMEG recordings in presence of other biological contaminants (mainly maternal and fetal cardiac activities). ...
Iliodromiti Zoe - - 2012
Considering that preterm birth accounts for about 6-10% of all births in Western countries and of more than 65% of all perinatal deaths, elucidation of the particularly complicated mechanisms of labor is essential for determination of appropriate and effective therapeutic interventions. Labor in humans results from a complex interplay of ...
Domville-Lewis C - - 2012
Introduction: A Pott's puffy tumour is a subperiosteal abscess and osteomyelitis of the frontal bone secondary to frontal sinusitis. Intracranial complications are seen in approximately 40 per cent of cases and are potentially life-threatening; such complications have not previously been reported in pregnancy. Case report: A 21-year-old woman at 35 ...
Park Eliza M - - 2012
BACKGROUND: Opioid use disorders are a growing public health problem in the United States. Most women who are opioid-dependent are of childbearing age, and management of opioid dependence during pregnancy poses unique challenges. Assessment includes evaluation for addiction, withdrawal syndromes, and comorbid psychiatric diagnoses. Consultation-liaison (C-L) psychiatrists may also be ...
Iriyama Takayuki - - 2012
Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a cardiac disease that affects the right side of the heart and causes ventricular arrhythmias. It is considered as the most common cause of sudden cardiac death in young adults. However, risk and optimal management of ARVC during pregnancy and delivery remain unclear due ...
Bellieni C V - - 2012
Abstract Recent progresses in fetal surgery have raised concern on fetal pain, its long-term consequences and the risks of sudden fetal movements induced by pain. In several studies, surgeons have directly administered opioids to the fetus, while others have considered sufficient the maternally administered analgesics. We performed a review of ...
Dixit A - - 2012
The diagnosis and management of a heterokaryotypic monochorionic pregnancy, in which one of twins had trisomy 13, is presented. Monozygosity and discordant karyotypes were confirmed by amniocentesis of both the sacs. Radiofrequency ablation of the trisomic twin was successfully performed at 18-weeks gestation and the pregnancy ended at term with ...
Sahni Gagan - - 2012
Chest pain syndromes in pregnancy include numerous catastrophic cardiovascular events. Acute myocardial infarction, aortic dissection, pulmonary embolism, and amniotic fluid embolism are the most important causes of nonobstetric mortality and morbidity in pregnancy. Each of these could result in poor maternal and fetal outcomes if not diagnosed and treated in ...
Mulvihill Margaret - - 2012
A case report describing an unusual complication following a 17-week elective termination of pregnancy in a pediatric patient that was managed laparoscopically.
Brennan Matthew C - - 2012
The use of prescription opioids is becoming an increasing problem among women of reproductive age. More than half of pregnancies are unintended; therefore, many first-trimester exposures to opioids occur before pregnancy confirmation. Studies are limited about the fetal risks to opioid exposure in early pregnancy. One large study demonstrated an ...
Nunes Inês - - 2012
Abstract A variety of systems for centralised viewing of fetal signals during labour are currently available, allowing simultaneous monitoring of multiple tracings in one or more locations. Display of maternal vital signs, ST signals and an electronic partogram are available in the majority of these systems. A few of them ...
Yamamoto Takuma T Department of Legal Medicine, Osaka University Graduate School of Medicine, Osaka Department of Blood Transfusion Medicine, Nara Medical University, Nara, Japan. - - 2013
A 31-year-old pregnant woman was transferred to the emergency room at 27 weeks of gestation. She had one-day history of fever and upper abdominal pain. Soon after admission, she underwent cardiopulmonary arrest. Autopsy was performed and multiple microthrombi were seen within the small-caliber vessels of many organs, but not in the ...
Al-Sayegh Nowall A - - 2012
Objective.  To determine prevalence and risk factors of pregnancy-related lumbopelvic pain (PRLPP) in women in Kuwait. Design.  The study was designed as a multisite, cross-sectional design in which self-administered surveys were distributed. Setting and Participants.  Public locations and health care facilities in Kuwait. Pregnant women (400) were invited to participate. ...
Rosenbaum Talli Y - - 2012
Introduction.  Vaginismus and dyspareunia most commonly affect women in their childbearing years, yet sexual function, and not childbirth, has been the focus of most research. Aim.  The aim of this study is to discuss pregnancy and birth outcomes in women with sexual pain disorders (SPDs) and address practical concerns of ...
Dennis A T - - 2012
Pre-eclampsia is a leading cause of maternal morbidity and mortality. Substandard care is often present and many deaths are preventable. The aim of this review is to summarise the key management issues for anaesthetists in the light of the current literature. A systematic literature search of electronic databases was undertaken ...
Aldabe Daniela - - 2012
To determine the level of evidence for altered mechanical and motor control of the pelvis being associated with pregnancy-related pelvic girdle pain (PPGP). This systematic review was undertaken by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Six different databases were used for the electronic search. ...
Shields Rebecca - - 2012
Case study Samantha, 29 years of age, presented with 3 days of worsening left iliac fossa pain at 9 weeks gestation with dichorionic-diamniotic (DCDA) twins. There was no vaginal bleeding, nausea, vomiting or diarrhoea. She had experienced intermittent vaginal bleeding throughout the pregnancy, and had undergone ultrasound examinations at 5 ...
Craig Latasha B - - 2012
This article will provide a review of the literature regarding expectant management of ectopic pregnancy. Detailed definitions and methods of evaluation are discussed, as well as pooled existing data on success rates of expectant management. A comparison of expectant management versus other treatment options is provided as well as a ...
Henry J B - - 2012
Objective:Nontraumatic spinal epidural hematoma (SEH) during pregnancy is rare. Therefore, appropriate management of this occurrence is not well defined. The aim of this study was to extensively review the literature on this subject, to propose some novel treatment guidelines.Methods:Electronic databases, manual reviews and conference proceedings up to December 2011 were ...
Atis Alev - - 2012
Klippel-Trenaunay syndrome (KTS) is a rare, sporadic and complex malformation characterized by the clinical triad of: (i) capillary malformation (port-wine stain); (ii) soft tissue and bone hypertrophy or occasionally, hypertrophy of one lower limb; and (iii) atypical lateral varicosity. The maternal and fetal risks associated with pregnancy in women with ...
Ovadia Caroline - - 2012
The incidence of gestational diabetes is increasing, with higher obesity in the pregnant population, lifestyle changes and migration thought to underlie this. Recent large studies, such as the MiG, HAPO and ACHOIS trials, have furthered our understanding of both the implications of the disease and the management options available. Previous ...
Larsen Pernille Stemann - - 2012
OBJECTIVES: Pelvic pain during pregnancy is a common ailment, and the disease is a major cause of sickness absence during pregnancy. It is plausible that occupational lifting may be a risk factor of pelvic pain during pregnancy, but no previous studies have examined this specific exposure. The aim of this ...
Bayer Lisa L - - 2012
BACKGROUND: Adolescents contribute disproportionately to the epidemic level of unintended pregnancy in the USA. Intrauterine devices (IUDs) are highly effective but underutilized in this age group. STUDY DESIGN: We searched our electronic clinic database to identify females ≤19 years old who underwent attempted IUD insertion between January 2007 and June ...
Myers Bethan - - 2012
Thrombocytopenia is a common finding in pregnancy, occurring in approximately 7-10% of pregnancies. It may be a diagnostic and management problem, and has many causes, some of which are specific to pregnancy. Although most cases of thrombocytopenia in pregnancy are mild, and have no adverse outcome for either mother or ...
Erfurt-Berge Cornelia - - 2012
Background:Pyoderma gangrenosum is a rare ulcerative skin disease usually starting with a pustular lesion that rapidly progresses to painful ulcers with undermined violaceous borders. Numerous associated disorders have been described, including inflammatory bowel disease, rheumatologic or hematologic disorders, chronic active hepatitis, and malignancies. The occurrence of pyoderma gangrenosum during pregnancy ...
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