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Journal of Prenatal Medicine

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https://www.readbyqxmd.com/read/28725343/predictive-value-of-procalcitonin-or-c-reactive-protein-for-subclinical-intrauterine-infection-in-patients-with-premature-rupture-of-membranes-prom
#1
Kemin Li, Haiyan Yu, Xiaodong Wang, Xinghui Liu
INTRODUCTION: to evaluate the diagnostic value of procalcitonin (PCT) and C-reactive protein (CRP) for the prediction of subclinical intrauterine infection in patients with premature rupture of membranes (PROM). METHODS: a retrospective analysis was performed based on patients with PROM admitted into our hospital between January 2011 and January 2016. Using the pathological diagnosis of placenta as the gold standard, the sensitivities, specificities, positive predictive values, and negative predictive values of PCT and CRP for the diagnosis of subclinical intrauterine infection at different gestational weeks were analyzed...
July 2016: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/28725342/a-case-of-polimalformed-fetus-with-a-microdeletion-of-ctnna3-gene
#2
Dino Cancemi, Maria Urciuoli, Franco Morelli, Maria Concetta Lonardo, Valeria Lonardo, Carmine Spampanato, Marialuisa Ventruto, Valerio Ventruto, Carmine Sica
We report a case of a male fetus of 20 weeks of gestation with plurimalformed observed by transonic scan and confirmed by MR. The karyotype was 46, XY. Molecular analysis showed a microdeletion of about 100 kb in the CTNNA3 gene.
July 2016: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/28725341/fetal-mri-prenatal-diagnosis-of-severe-bilateral-lung-hypoplasia-alveolar-capillary-dysplasia-case-report
#3
Salvatore Zirpoli, Alice Marianna Munari, Mariangela Rustico, Gaetano Bulfamante, Gianluca Lista, Luigina Spaccini, Claudia Cesaretti
Alveolar capillary dysplasia with misalignment of pulmonary veins (ACD/MPV) is a rare and lethal developmental disorder of the lung that affect both acinar structure and the intrinsic pulmonary vasculature. We report prenatal and postnatal imaging with histopathological findings of this rare condition. We, first, describe MR imaging features and discuss its role in prenatal imaging.
July 2016: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/28725340/management-prognosis-and-reproductive-outcomes-of-borderline-ovarian-tumor-relapse-during-pregnancy-from-diagnosis-to-potential-treatment-options
#4
REVIEW
Francesco Cosentino, Luigi Carlo Turco, Stefano Cianci, Francesco Fanfani, Anna Fagotti, Salvatore Gueli Alletti, Giuseppe Vizzielli, Salvatore Giovanni Vitale, Antonio Simone Laganà, Francesco Padula, Claudio Coco, Salvatore Pisconti, Giovanni Scambia
BACKGROUND: fertility sparing surgery is the first option for treatment of childbearing age women affected by borderline ovarian tumor (BOT). This review put in evidence the benefits and the risks of conservative surgery procedure. Moreover, the literature review is aimed to analyze the possibility of fertility sparing surgery in BOTs and to define a standard treatment in the management of this pathology during pregnancy. METHODS: systematic analysis of the relevant literature for fertility sparing during pregnancy for BOT, accessed through MEDLINE (1982-2015), bibliographies, and interactions with investigators...
January 2016: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/28725339/congenital-high-airway-obstruction-syndrome-chaos-discussing-the-role-and-limits-of-prenatal-diagnosis-starting-from-a-single-center-case-series
#5
REVIEW
Maria Diletta D'Eufemia, Stefano Cianci, Filippo Di Meglio, Letizia Di Meglio, Lavinia Di Meglio, Salvatore Giovanni Vitale, Antonio Simone Laganà, Benito Chiofato, Agnese Maria Chiara Rapisarda, Francesco Padula, Valentina La Rosa, Claudio Coco, Carmine Vascone
OBJECTIVES: we aimed to report our experience about congenital high airway obstruction syndrome (CHAOS) that is a rare and fatal congenital anomaly; laryngeal atresia is the most frequent cause. Sonographic findings are enlarged echogenic lungs, dilated trachea, and ascites. METHODS: we performed a single-center case series analysis collecting antenatally through ultrasound examination, and some of them confirmed by autopsy. RESULTS: we report six cases of CHAOS diagnosed by antenatal ultrasonography between 2007 and 2013...
January 2016: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/28725338/us-color-doppler-early-diagnosis-of-uterine-rupture-with-protrusion-of-umbilical-cord
#6
Vittoria Del Vecchio, Annarosa Chincoli, Francesco Caradonna, Antonella Vimercati
OBJECTIVE: to analyze a case of uterine rupture in a pregnant woman that had a previous laparoscopic myomectomy. METHODS: pregnant woman at 34 weeks gestation came to our emergency room for abdominal pain. She had undergone a previous laparoscopic multiple myomectomy. Patient was evaluated in our Department, that is a tertiary center, by a team of experienced ultrasonographers. RESULTS: at a first clinical examination, the findings were a deep abdominal pain, dysuria and a positive Giordano's sign on the right...
January 2016: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/27358695/conservative-management-in-a-case-of-uncomplicated-trap-sequence-a-case-report-and-brief-literature-review
#7
Franco Pepe, Maria Cristina Teodoro, Carlo Luca, Francesca Privitera
INTRODUCTION: twin reversed arterial perfusion (TRAP) sequence is a rare anomaly that occurs in monochorionic twins with overall mortality rate ranging from 50% to 70% in the normal fetus, above all for congestive cardiac failure. CASE REPORT: a 31-year-old Caucasian gravida was referred to our fetomaternal medicine unit in the 25 gestational age. Ultrasound examination revealed a monochorionic, biamniotic twin pregnancy with a donor fetus showing normal morphology and growth corresponding to gestational age...
July 2015: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/27358694/first-trimester-fetal-anatomy-study-and-identification-of-major-anomalies-using-10-standardized-scans
#8
Enrico Colosi, Rosalia Musone, Gilda Filardi, Alma Fabbo
OBJECTIVE: to validate the use of the first trimester scan not just as a screening tool for chromosomal anomalies, but also as a method to identify the major anatomic anomalies using 10 standardized scans. METHODS: five years of prospective study analyzing the fetal anatomy of 5924 patients with a singleton pregnancy during the first trimester screening for chromosomopathies. A check list of 10 predetermined scans had been used. The follow up consisted of two more scans in the second and third trimester, according to the local protocol, and a final evaluation of neonatal outcome at birth...
July 2015: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/27358693/alpha-fetoprotein-and-its-value-for-predicting-pregnancy-outcomes-a-re-evaluation
#9
Ayham Alhaj Darouich, Thomas Liehr, Anja Weise, Dietmar Schlembach, Ekkehart Schleußner, Michael Kiehntopf, Isolde Schreyer
INTRODUCTION: Alpha-fetoprotein (AFP) concentrations can be determined framing others from invasively acquired amnion fluid (AF-AFP). While the biological role of AFP remains unclear it is well known that AFP-levels can be altered in connection with specific clinical and/or genetic alterations of the fetus. MATERIALS AND METHOD: here a retrospective study based on 3,119 singleton and 56 twin pregnancies is presented. The standard levels of amnion fluid derived alpha-fetoprotein level (AF-AFP) between 12th and 36th weeks of gestation were determined...
July 2015: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/26918094/ultrasound-prenatal-diagnosis-of-congenital-primary-aphakia-case-report
#10
Filippo Di Meglio, Carmine Vascone, Letizia Di Meglio, Luigi Carlo Lo Turco, Salvatore Giovanni Vitale, Pietro Cignini, Gaetano Valenti, Ferdinando Antonio Gulino, Agnese Maria Chiara Rapisarda, Stefano Cianci
INTRODUCTION: the ultrasound prenatal diagnosis of aphakia is a difficult diagnosis and often requires a genetic study of the karyotype. CASE REPORT: we present a rare case of prenatal bilateral aphakia, confirmed after bird. The patient was observed by ultrasound during the 23rd week of pregnancy. Through transabdominal ultrasound the lens could not be visualized bilaterally. The remaining anathomy, explorable by ultrasound, was still regular. When aphakia is suspected, genetic counseling is essential...
January 2015: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/26918093/a-comparison-between-amniotic-fluid-index-and-the-single-deepest-vertical-pocket-technique-in-predicting-adverse-outcome-in-prolonged-pregnancy
#11
Paolo Rosati, Lorenzo Guariglia, Anna Franca Cavaliere, Paola Ciliberti, Silvia Buongiorno, Andrea Ciardulli, Stefano Cianci, Salvatore Giovanni Vitale, Pietro Cignini, Ilenia Mappa
OBJECTIVE: to compare perinatal outcome in induced postterm pregnancies with normal amniotic volume and in patients with prolonged pregnancy undergone induction for oligohydramnios, evaluated by two different ultrasonographic methods. METHODS: amniotic fluid volume was measured, using Single Deepest Vertical Pocket (SDVP) and Amniotic Fluid Index (AFI), in 961 singleton uncomplicated prolonged pregnancies. In 109 of these patients, hospitalization was planned for induction of labor, during or after 42 weeks of gestation, for oligohydramnios, postterm pregnancy and other indications in 47, 51 and 11 cases, respectively...
January 2015: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/26918092/a-new-case-of-interstitial-1q-25-3-32-1-deletion-cytogenetic-analysis-molecular-characterization-and-ultrasound-findings
#12
Francesco Libotte, Domenico Bizzoco, Ivan Gabrielli, Caterina Tamburrino, Cristina Ernandez, Lorena Carpineto, Maria Pia D'Aleo, Antonella Cima, Alvaro Mesoraca, Pietro Cignini, Alessia Aloisi, Roberto Angioli, Salvatore Giovanni Vitale, Claudio Giorlandino
INTRODUCTION: deletion of long arm of chromosome 1(1q-) is a rare condition. Clinical features include Dwarfism, severe mental retardation, microcephaly and short neck delineating the "intermediate 1q deletion syndrome". CASE REPORT: we report a new case of interstitial deletion of the long arm of chromosome 1, diagnosed in a 22+3 weeks gestation fetus in which cytogenetic analysis localized a loss of genetic materials of 18Mb in the 1q25.3-32.1. Fetal ultrasound showed neurodegenerative defects resembling Dandy-Walker's syndrome and bilateral clubfoot...
January 2015: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/26918091/supplementation-with-a-dietary-multicomponent-lafergin-%C3%A2-based-on-ferric-sodium-edta-ferrazone-%C3%A2-results-of-an-observational-study
#13
Pietro Cignini, Lucia Mangiafico, Francesco Padula, Laura D'Emidio, Nella Dugo, Alessia Aloisi, Claudio Giorlandino, Salvatore Giovanni Vitale
During pregnancy, iron deficiency anemia is recognized as a specific risk factor for both adverse maternal and perinatal outcome. We decided to test the hypothesis that the daily administration of Lafergin(®), a dietary multicomponent based on Ferrazone(®) (Ferric Sodium EDTA), Lactoferrin, Vitamin C and Vitamin B12, from first trimester of pregnancy until the end of gestation, may significantly reduce, in anemic women, the severity of anemia compared to controls who received ferrous sulfate or liposomal iron...
January 2015: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/26266004/antenatal-diagnosis-of-seckel-syndrome-a-rare-case-report
#14
Carmine Vascone, Filippo Di Meglio, Letizia Di Meglio, Luigi Carlo Lo Turco, Salvatore Giovanni Vitale, Pietro Cignini, Ilaria Marilli, Agnese Maria Chiara Rapisarda, Gaetano Valenti, Stefano Cianci
INTRODUCTION: Seckel Syndrome is a rare autosomal recessive disorder characterized by dwarfism, microcephaly and the absence of visceral malformations. CASE REPORT: we observed sonographic features of a Seckel Syndrome, in a patient during the 24th week of pregnancy. Her family history was negative for malformation and chromosomal disorders. The diagnosis was later confirmed by molecular tests. CONCLUSION: diagnosis should be made only by expert operators...
April 2014: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/26266003/comparative-study-of-acgh-and-next-generation-sequencing-ngs-for-chromosomal-microdeletion-and-microduplication-screening
#15
Claudio Dello Russo, Gianluca Di Giacomo, Pietro Cignini, Francesco Padula, Lucia Mangiafico, Alvaro Mesoraca, Laura D'Emidio, Megan R McCluskey, Arianna Paganelli, Claudio Giorlandino
BACKGROUND: prenatal genetic diagnosis of rare disorders is undergoing in recent years a significant enhancement through the application of methods of massive parallel sequencing. Despite the quantity and quality of the data produced, just few analytical tools and software have been developed in order to identify structural and numerical chromosomal anomalies through NGS, mostly not compatible with benchtop NGS platform and routine clinical diagnosis. METHODS: we developed technical, bioinformatic, interpretive and validation pipelines for Next Generation Sequencing to identify SNPs, indels, aneuploidies, and CNVs (Copy Number Variations)...
April 2014: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/26266002/retrospective-study-evaluating-the-performance-of-a-first-trimester-combined-screening-for-trisomy-21-in-an-italian-unselected-population
#16
Francesco Padula, Pietro Cignini, Diana Giannarelli, Cristiana Brizzi, Claudio Coco, Laura D'Emidio, Elsa Giorgio, Maurizio Giorlandino, Lucia Mangiafico, Marialuisa Mastrandrea, Vincenzo Milite, Luisa Mobili, Cinzia Nanni, Raffaella Raffio, Cinzia Taramanni, Roberto Vigna, Alvaro Mesoraca, Domenico Bizzoco, Ivan Gabrielli, Gianluca Di Giacomo, Maria Antonietta Barone, Antonella Cima, Francesca Romana Giorlandino, Sabrina Emili, Marina Cupellaro, Claudio Giorlandino
OBJECTIVES: to assess the performance of a combined first-trimester screening for trisomy 21 in an unselected Italian population referred to a specialized private center for prenatal medicine. METHODS: a retrospective validation of first-trimester screening algorithms [risk calculation based on maternal age and nuchal translucency (NT) alone, maternal age and serum parameters (free β-hCG and PAPP-A) alone and a combination of both] for fetal aneuploidies evaluated in an unselected Italian population at Artemisia Fetal-Maternal Medical Centre in Rome...
April 2014: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/26266001/tubal-primary-metastatic-choriocarcinoma-coexistent-with-a-viable-early-pregnancy-a-case-report
#17
Stefano Cianci, Salvatore Giovanni Vitale, Roberto Tozzi, Pietro Cignini, Francesco Padula, Laura D'Emidio, Lucia Mangiafico, Claudio Giorlandino, Luigi Frigerio, Diego Rossetti, Salvatore Caruso
INTRODUCTION: fallopian tube choriocarcinoma coexistent with viable intrauterine pregnancy is an extremely rare condition. CASE REPORT: we present the first case reported in literature of tubal choriocarcinoma coexistent with viable intrauterine pregnancy detected at early gestational age (20 weeks) and successfully managed by seriate monitoring of maternal and fetal health status until 31 weeks, then treated by cesarean section followed by etoposide, methotrexate, actinomycin D, cyclophosphamide, and vincristine (EMA-CO) chemotherapy protocol...
April 2014: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/26266000/congenital-megaurethra-in-a-fetus-with-meckel-syndrome-and-in-a-fetus-with-female-pseudoermanphroditism-the-first-report-of-these-occurrences
#18
Letizia Di Meglio, Laura Letizia Mazzarelli, Amedeo Boscaino, Dino Cancemi, Franco Morelli, Maria Concetta Lonardo, Valeria Lonardo, Patrizia Friso, Carmine Spampanato, Maria Urciuoli, Marialuisa Ventruto, Valerio Ventruto
OBJECTIVE: the purpose of this paper is to report the first case of megaurethra in a fetus with Meckel syndrome and in a fetus with femal pseudoermaphroditism. RESULTS: the former case refers to a fetus of 13 weeks gestation with the three following prominent anomalies, observed by transonic scan and confirmed by autopsy: congenital megaurethra, anal atresia, single umbelical artery. The latter case refers to a fetus of 18 weeks gestation. Autopsy confirmed penile malformation and revealed ovaries in the abdomen...
April 2014: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/26265999/comparison-between-modified-misgav-ladach-and-pfannenstiel-kerr-techniques-for-cesarean-section-review-of-literature
#19
REVIEW
Salvatore Giovanni Vitale, Ilaria Marilli, Pietro Cignini, Francesco Padula, Laura D'Emidio, Lucia Mangiafico, Agnese Maria Chiara Rapisarda, Ferdinando Antonio Gulino, Stefano Cianci, Antonio Biondi, Claudio Giorlandino
In the last decades cesarean section rates increased in many countries becoming the most performed intraperitoneal surgical procedure. Despite its worldwide spread, a general consensus on the most appropriate technique to use has not yet been reached. The operative technique performed is made chiefly on the basis of the individual experience and preference of operators, the characteristics of patients, timing and urgency of intervention. We compared the two most known and used techniques, modified Misgav-Ladach and traditional Pfannenstiel-Kerr, and analyzed their impact on primary, short- and long-term outcomes and outcome related to health service use...
April 2014: Journal of Prenatal Medicine
https://www.readbyqxmd.com/read/25332757/six-consecutive-false-positive-cases-from-cell-free-fetal-dna-testing-in-a-single-referring-centre
#20
Nella Dugo, Francesco Padula, Luisa Mobili, Cristiana Brizzi, Laura D'Emidio, Pietro Cignini, Alvaro Mesoraca, Domenico Bizzoco, Antonella Cima, Claudio Giorlandino
INTRODUCTION: recent studies have proposed the introduction of cell-free fetal DNA testing (NIPT-Non Invasive Prenatal Testing) in routine clinical practice emphasizing its high sensibility and specificity. In any case, false positive and false negative findings may result from placental mosaicism, because cell-free fetal DNA originates mainly from placenta. CASE: WE REPORT SIX CASES OF WOMEN WHO UNDERWENT CHORIONIC VILLUS SAMPLING (CVS) OR AMNIOCENTESIS TO CONFIRM THE RESULTS FROM NIPT: two Turner syndromes, two Triple X, one Patau syndrome, one Edward syndrome...
January 2014: Journal of Prenatal Medicine
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