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Yukiko Chinen, Tadatsugu Kinjo, Hayase Nitta, Yui Kinjo, Hitoshi Masamoto, Yoichi Aoki
It was demonstrated that second- and third-trimester therapeutic termination of pregnancy (TOP) is feasible in cases with placenta previa. We report a 34-year-old woman with complex fetal malformations associated with placenta previa. An ultrasound examination at 21 weeks of gestation revealed fetal growth restriction (FGR) and complex fetal malformations associated with a placenta previa. After extensive information, the parents opted for careful observation. Thereafter, FGR gradually progressed and we observed arrest of end-diastolic velocity of the umbilical artery...
2016: Case Reports in Obstetrics and Gynecology
Arundhati Gosavi, Pradip D Vijayakumar, Bryan Sw Ng, May-Han Loh, Lay Geok Tan, Nuryanti Johana, Yi Wan Tan, Dedy Sandikin, Lin Lin Su, Tuangsit Wataganara, Arijit Biswas, Mahesh A Choolani, Citra Nz Mattar
INTRODUCTION: Management of complicated monochorionic twins and certain intrauterine structural anomalies is a pressing challenge in communities still lacking advanced fetal therapy. We describe our efforts to rapidly initiate selective feticide using radiofrequency ablation (RFA) and selective fetoscopic laser photocoagulation (SFLP) for twin-twin transfusion syndrome (TTTS) and present the latter as a potential model for aspiring fetal therapy units. METHODS: Five pregnancies with fetal complications were identified for RFA...
July 21, 2016: Singapore Medical Journal
D Abehsera, M de la Calle, R Rodríguez, R Revello, I Brunel, J L Bartha
No abstract text is available yet for this article.
February 2016: Taiwanese Journal of Obstetrics & Gynecology
Marie Elhenicky, Klaus Distelmaier, Mariella Mailath-Pokorny, Christof Worda, Martin Langer, Katharina Worda
OBJECTIVE: The objective of our study was to evaluate the prevalence of abnormal maternal echocardiographic findings in triplet pregnancies presenting with dyspnoea. STUDY DESIGN: Between 2003 and 2013, patients' records of 96 triplet pregnancies at our department were analysed including maternal and fetal outcome, echocardiographic parameters and N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels. After exclusion of triplet pregnancies with fetal demise before 23 + 0 weeks, selective feticide or missing outcome data, the study population consisted of 60 triplet pregnancies...
March 2016: Wiener Klinische Wochenschrift
Cherynne Johansson
Pregnancy Summit, Cineworld, The O2, London, UK, 29 September to 1 October 2015 The 2015 Pregnancy Summit was held over 3 days from 29 September to 1 October at Cineworld, The O2, London, UK. The event brings together a multidisciplinary faculty of international researchers and clinicians to discuss both scientific and clinical aspects of pregnancy-related issues in an informal setting. The goal of the meeting was to provide delegates with an update of recent advances in management of pregnancy-related conditions, to present research data and to discuss the current attitudes and practices in relevant topics...
2016: Women's Health
Chaitali Patel, Joseph Feldman, Chinwe Ogedegbe
BACKGROUND: Abdominal pregnancy (pregnancy in the peritoneal cavity) is a very rare and serious type of extrauterine gestation that accounts for approximately 1.4% of all ectopic pregnancies. It also represents one of the few times an ectopic pregnancy can be carried to term. Early strategic diagnosis and management decisions can make a critical difference with regards to severity of morbidity and mortality risk. After an extensive search of the English language medical literature, we are unaware of any case of abdominal pregnancy in which the placenta was receiving its vascular supply from the sacral plexus...
2016: Journal of Medical Case Reports
Ronit D Leichtentritt, Judy Leichtentritt, Michal Mahat Shamir
This qualitative research explores the justifications that Israeli women provided for their decision to end their late-stage pregnancies, or in other words to undergo feticide. A constructivist approach was used, as it recognizes the significance of sociocultural narratives in the construction of people's experiences. Data from in-depth interviews were analyzed using an adapted version of constant comparative analysis to identify and develop categories and thematic patterns. Three main themes were identified, which incorporated the various justifications women use in explaining their decision to undergo feticide: justifications related to the mother and her family; justifications related to the fetus; and justifications related to the views of medical professionals and society at large...
January 28, 2016: American Journal of Orthopsychiatry
Florent Fuchs, Dina Zaki, Francine Morin, François Audibert
No abstract text is available yet for this article.
July 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Marzieh Talebian, Fatemeh Rahimi-Sharbaf, Mahboobeh Shirazi, Batool Teimoori, Narges Izadi-Mood, Soheila Sarmadi
BACKGROUND: Monozygotic monochorionic triplet pregnancy with conjoined twins is a very rare condition and is associated with many complications. CASE: In this study, we describe a monochorionic-diamniotic triplet pregnancy after in vitro fertilization with an intracytoplasmic sperm injection. At a gestational age of 6 weeks and 4 days of pregnancy one gestational sac was observed, and at a gestational age of 12 weeks and 2 days, triplets with conjoined twins were diagnosed...
November 2015: Iranian Journal of Reproductive Medicine
Patricia Grether, Rubén Lisker, Alvar Loria, Asunción Álvarez-del-Río
OBJECTIVE: To examine the opinions of a perinatal health team regarding decisions related to late termination of pregnancy and severely ill newborns. MATERIALS AND METHODS: An anonymous questionnaire was administered to physicians, social workers, and nurses in perinatal care. Differences were evaluated using the chi square and Student's t tests. RESULTS: When considering severely ill fetuses and newborns, 82% and 93% of participants, respectively, opted for providing palliative care, whereas 18% considered feticide as an alternative...
November 2015: Salud Pública de México
Ronit D Leichtentritt, Michal Mahat-Shamir
The nature of the ongoing bond maintained by the bereaved with the deceased has attracted considerable attention, but studies have generally ignored postdeath relationships when loss occurs in utero. The goal of this research was to reach an interpretive understanding of the continuing bond experience among Israeli mothers who underwent feticide, examining the strategies they use in maintaining a postdeath relationship with a child they did not know, whose death they chose and witnessed, within a social context that ignores their loss and forces them to silence their grief...
December 1, 2015: Qualitative Health Research
S C Chima, F Mamdoo
Termination of pregnancy (TOP) or feticide for severe fetal anomalies is ethically and morally challenging and maybe considered illegal in countries with restrictive abortion laws. While diagnostic modalities such as fetal ultrasound, magnetic resonance imaging, and genetic screening have improved prenatal diagnosis, these technologies remain scarce in many African countries making diagnosis and counseling regarding TOP difficult. Ethical dilemmas such as women's autonomy rights may conflict with fetus' right to personhood, and doctor's moral obligations to society...
December 2015: Nigerian Journal of Clinical Practice
Andrew Sharp, Kate Navaratnam, Patricia Abreu, Zarko Alfirevic
BACKGROUND: Termination of pregnancy requires a 48-hour 'window' between mifepristone and misoprostol. Shorter durations have been used in first-trimester termination, but there are few data available in later termination for fetal anomaly. MATERIAL AND METHODS: We reviewed all terminations for fetal anomaly at ≥13 weeks from May 2013 to May 2014. Cases were managed using a short (≤12 h) or standard (≥36 h) mifepristone-to-misoprostol interval. RESULTS: Two hundred and twenty women underwent a termination of pregnancy for fetal anomaly during the study period, of which 119 were included for analysis...
2016: Fetal Diagnosis and Therapy
Vanessa Fay, Sophie Thomas, Pauline Slade
OBJECTIVES: This study aimed to explore maternal-fetal medicine specialists' experiences of conducting feticide in late termination of pregnancy. METHODS: Participants were recruited via email. Purposeful sampling resulted in ten maternal-fetal specialists. Semistructured interviews were used to examine their experiences of conducting feticide. Interviews occurred across four English National Health Service hospitals. Interpretative phenomenological analysis was used...
January 2016: Prenatal Diagnosis
Michael Hawking
In the aftermath of the Kermit Gosnell trial and Giubilini and Minerva's article 'After-birth abortion', abortion-rights advocates have been pressured to provide an account of the moral difference between abortion, particularly late-term abortion, and infanticide. In response, some scholars have defended a moral distinction by appealing to an argument developed by Judith Jarvis Thomson in A defense of abortion. However, once Thomson's analogy is refined to account for the morally relevant features of late-term pregnancy, rather than distinguishing between late-term abortion and infanticide, it reinforces their moral similarity...
June 2016: Bioethics
(no author information available yet)
No abstract text is available yet for this article.
May 2015: Practising Midwife
H Chappé, P Bétrémieux, V Morel, M-L Huillery, G Le Bouar
PURPOSE: Termination of pregnancy without feticide (TOPWF) is poorly known in France and far less practiced than palliative care after term birth of a child having a lethal pathology. Few teams consider it and its practice remains confidential. This survey tries to describe it. MATERIAL AND METHODS: A national survey was realized in 2014 using a questionnaire sent to 50 centers of prenatal diagnosis depending on a perinatal diagnosis center in France. RESULTS: Thirty-one centers answered the questionnaire...
June 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Jmm van Klink, H M Koopman, J M Middeldorp, F J Klumper, M Rijken, D Oepkes, E Lopriore
OBJECTIVE: To assess the incidence of and risk factors for adverse long-term neurodevelopmental outcome in complicated monochorionic pregnancies treated with selective feticide at our centre between 2000 and 2011. DESIGN: Observational cohort study. SETTING: National referral centre for fetal therapy (Leiden University Medical Centre, the Netherlands). POPULATION: Neurodevelopmental outcome was assessed in 74 long-term survivors...
October 2015: BJOG: An International Journal of Obstetrics and Gynaecology
Xueju Wang, Yuan Wei, Pengbo Yuan, Yangyu Zhao
OBJECTIVE: To explore the prevalence, number and size of anastomoses, placenta sharing and placental cord insertion in twin-to-twin transfusion syndrome (TTTS). METHODS: A total of 97 monochorionic placentas were collected from June 2013 to June 2014 during fetoscopic laser surgery or selective feticide. After eliminating 23 placentas of selective intrauterine growth restriction (sIUGR), 79 placents were analyzed. There were 24 placentas of TTTS and 32 placentas of normal monochorionic twins (McT) without complex twin preganancy...
May 5, 2015: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Ramen H Chmait, Eftichia V Kontopoulos, Marc Jackson, Janet Horenstein, Ilan Timor-Tritsch, Rubén A Quintero
Selective reduction (SR) via intravascular potassium chloride (KCl) injection is contraindicated in monochorionic twins due to the presence of placental vascular communications, which may serve as a conduit for inter-twin passage of KCl or allow exsanguination of the living twin into the demised twin. After successful selective laser photocoagulation of communicating vessels (SLPCV) for twin-twin transfusion syndrome (TTTS), the twins' circulatory systems are rendered independent. Theoretically, intravascular KCl injection into one twin after successful SLPCV should not result in passage of the feticidal agent nor cause hemodynamic alterations in the co-twin...
2016: Fetal Diagnosis and Therapy
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