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abdominal pregnancy

Hein Bogers, Leonie Baken, Titia E Cohen-Overbeek, Anton H J Koning, Sten P Willemsen, Peter J van der Spek, Niek Exalto, Eric A P Steegers
INTRODUCTION: The aim of this study was to investigate the development of midgut herniation in vivo using three-dimensional (3D) ultrasonographic volume and distance measurements and to create reference data for physiological midgut herniation in ongoing pregnancies in a tertiary hospital population. MATERIALS AND METHODS: The transvaginal 3D ultrasound volumes of 112 women, seen weekly during the first trimester of pregnancy, were obtained and subsequently analysed in a virtual reality environment...
August 15, 2018: Fetal Diagnosis and Therapy
Jacob A Macdonald, Philip A Corrado, Sydney M Nguyen, Kevin M Johnson, Christopher J Francois, Ronald R Magness, Dinesh M Shah, Thaddeus G Golos, Oliver Wieben
BACKGROUND: Pregnancy complications are often associated with poor uteroplacental vascular adaptation and standard diagnostics are unable to reliably quantify flow in all uteroplacental vessels and have poor sensitivity early in gestation. PURPOSE: To investigate the feasibility of using 4D flow MRI to assess total uteroplacental blood flow in pregnant rhesus macaques as a precursor to human studies. STUDY TYPE: Retrospective feasibility study...
August 13, 2018: Journal of Magnetic Resonance Imaging: JMRI
Niko S Wasenius, Mika Simonen, Liisa Penttinen, Minna K Salonen, Samuel Sandboge, Johan G Eriksson
PURPOSE: Maternal obesity can unfavorably influence offspring body composition, muscle strength, and possibly muscle's adaptability to training, but the human studies are scarce. Therefore, we aimed to investigate the effect of maternal obesity on offspring muscle strength responses to resistance training intervention in elderly frail women. MATERIALS/METHODS: Recruited participants were elderly frail women offspring of lean/normal weight mothers (n = 19, mean body mass index (BMI): 22...
August 9, 2018: Advances in Medical Sciences
Xiao Ai, Lin Wang, Xiao-Yu Liu, Chao-Qun Cai, Wei Yi
OBJECTIVE: To observe the effectiveness of electroacupuncture (EA) therapy in promoting medicinal abortion. METHODS: Sixty participants with early pregnancy were randomly divided into medication (control) and EA+ medication groups ( n =30 in each). Participants in the control group were treated by regular medication (mifepristone and misoprostol tablets), and those of the EA group were treated by EA stimulation (2 Hz/100 Hz, a tolerable strength) of bilateral Hegu(LI 4) and Sanyinjiao(SP 6) for 25 min, and also by the same medication method mentioned in the control group...
July 25, 2018: Zhen Ci Yan Jiu, Acupuncture Research
Hyunjin Cho
Uterine rupture during pregnancy is a rare but dangerous complication. A history of cesarean section is known to be a risk factor, but other types of uterine surgery can also increase the risk. We report a case of rupture of a myomectomy site in the third trimester of pregnancy without uterine contractions in a woman who had previously undergone myomectomy, septoplasty and cesarean section. The 39-year-old woman (gravida 2, para 2) presented at 29 weeks' gestation with uterine contractions. She was successfully treated with tocolytics...
July 2018: Case Reports in Women's Health
Russell Stanley, Anjana Nair, Francisco Fiallo
Heterotopic pregnancy is a simultaneous intrauterine and ectopic pregnancy. We report a case of a spontaneous ovarian heterotopic pregnancy. A 36-year-old woman, gravida 7 para 4-1-1-5 at 4 weeks gestation (spontaneous conception), presented to the emergency department with vaginal spotting, lower abdominal cramps with human chorionic gonadotropin(hCG) 10 772 mIU/mL (hCG at T0). Abdominal and pelvic examinations were benign. Transvaginal sonogram (TVS) showed an intrauterine gestational sac and yolk sac, no fetal pole visualised...
August 9, 2018: BMJ Case Reports
Cheng Yu, Jie Wang, Weiguo Lu, Xing Xie, Xiaodong Cheng, Xiao Li
BACKGROUND: Pregnancy with an adnexal mass is one of the most common complications during pregnancy and clinicians are sometimes caught in a dilemma concerning the decision to be made regarding clinical management. OBJECTIVES: The objective of this study was to outline and discuss the clinical features, management and outcomes of adnexal masses that were encountered during a cesarean section (CS) at a university affiliated hospital in China. MATERIAL AND METHODS: The medical records of the patients with an adnexal mass observed during a CS were retrospectively collected at Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China, from January 1991 to December 2011...
August 7, 2018: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
Jennifer Wh Wong, Jennifer My Chin, Ryan J Schlueter
Pregnancy can complicate the presentation and workup of abdominal pain. A healthy 21-year-old gravida-3 para-1 woman at 34 weeks of gestation presented for severe pain localized to her abdominal left upper quadrant (LUQ. Physical exam was unremarkable except for localized pain on palpation, and she was discharged with acetaminophen and cyclobenzaprine for presumed musculoskeletal pain. The next day, she returned for worsening pain. An extensive workup including labs, electrocardiogram, chest x-ray, and abdominal computed tomography was unremarkable, and she was discharged with hydrocodone/acetaminophen...
August 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
Mihaela Grigore, Cristina Furnica, Irina Esanu, Dumitru Gafitanu
RATIONALE: Pentalogy of Cantrell, a very rare congenital condition, has an estimated incidence of 5.5 per 1 million live births. It includes five defects: a midline supraumbilical wall defect, a diaphragmatic defect, a cleft distal sternum, a defect in the diaphragmatic pericardium, and an intracardiac defect. Very few cases of this condition have been reported in the literature, most of them diagnosed in the second or third trimester of pregnancy. PATIENT CONCERNS: We present a case of pentalogy of Cantrell associated with cranioschisis and unilateral anophthalmia diagnosed at 14 weeks of amenorrhea...
August 2018: Medicine (Baltimore)
J P Edevbie, A O Akhigbe
Background: Belated booking for antenatal care remains a common practice among pregnant women in developing countries. Many of the existing conventional ultrasonographic indices used for assessing gestational age (GA) become increasingly unreliable beyond the 2nd trimester. Materials and Methods: A prospective cross-sectional study of booked healthy pregnant women with regular menstrual cycles and certain last menstrual period (LMP) were examined using ultrasound over a 6-month period...
August 2018: Nigerian Journal of Clinical Practice
Sujitkumar S Hiwale
Background: The purpose of this study was to systematically evaluate ultrasound-based fetal weight estimation models on Indian population to find out their performance across different weight bands and ability to correctly categorize low birth weight (LBW) and high birth weight (HBW) fetuses. Methods: We used retrospectively collected data of 154 cases for the study. Inclusion criteria were a live singleton pregnancy, gestational age ≥34 weeks and ultrasound scan to delivery duration ≤7 days...
October 2017: Journal of Medical Ultrasound
Chuansha Wu, Jiufeng Li, Wei Xia, Yuanyuan Li, Bin Zhang, Aifen Zhou, Jie Hu, Chunhui Li, Hongzhi Zhao, Minmin Jiang, Chen Hu, Jiaqiang Liao, Wenqian Huo, Xi Chen, Bing Xu, Shi Lu, Zongwei Cai, Shunqing Xu
BACKGROUND: Triclosan (TCS) is known to possess endocrine disrupting properties and metabolize rapidly in the human body. Human data concerning repeated measurements of TCS throughout pregnancy in relation to fetal and childhood growth are sparse. OBJECTIVES: We investigated the associations between multiple measurements of maternal urinary concentrations of TCS during pregnancy and fetal and early-childhood growth. METHODS: The study population included 850 mother-infant pairs who participated in a prenatal cohort established between 2014 and 2015 in Wuhan...
July 28, 2018: Environment International
Katsuko Egashira, Kana Hiasa, Natsuko Yokota, Teruhiko Kawamura, Tomoko Matsushita, Kaoru Okugawa, Hideaki Yahata, Kenzo Sonoda, Kiyoko Kato
INTRODUCTION: Despite numerous reports on pregnancy outcomes after trachelectomy, there are few descriptions of fertility treatment after trachelectomy. Moreover, little is known about the differences in fertility outcomes between various radical trachelectomy procedures. The purpose of this report was to clarify the infertility problems that occur in patients who have previously undergone an abdominal trachelectomy. MATERIAL AND METHODS: We retrospectively investigated the medical records of 37 patients who received fertility treatments or were evaluated for menstrual disorders after trachelectomies in our institution between 2012 and 2016...
July 31, 2018: Acta Obstetricia et Gynecologica Scandinavica
Yuji Kamei, Ai Miyoshi, Nao Wakui, Takeya Hara, Serika Kanao, Hirokazu Naoi, Hirofumi Otsuka, Takeshi Yokoi
Women in the reproductive age group diagnosed with cervical cancer can receive radical trachelectomy in case they wish to preserve fertility. However, the indication for this procedure in infertile women with cervical cancer is controversial depending on the underlying cause of infertility. Here, we present a case of a successful pregnancy following myomectomy accompanied with abdominal radical trachelectomy for an infertile woman with early cervical cancer. The patient was a 38-year-old nulliparous woman with a significant past medical history of infertility of unknown origin...
2018: Case Reports in Surgery
Ida Almenning Kiel, Kari Magrethe Lundgren, Siv Mørkved, Sigrun Beate Kjøtrød, Øyvind Salvesen, Liv Bente Romundstad, Trine Moholdt
Objectives: Overweight and obese women often seek assisted fertilisation. In the obese population, pregnancy rates are 30%-75% below that of normal weight women who undergo assisted fertilisation. We hypothesised that high-intensity interval training (HIT) would improve fertility by improving insulin sensitivity and thus affect the hypothalamic-pituitary-ovarian axis and ovarian androgen production. Our aim was to assess whether HIT prior to assisted fertilisation would increase pregnancy rate...
2018: BMJ Open Sport & Exercise Medicine
Deanne Vagg, Lima Arsala, Shamitha Kathurusinghe, W Catarina Ang
Intramural pregnancy is a rare form of ectopic pregnancy with early diagnosis essential for prevention of severe hemorrhage and uterine rupture. We report a rare case of an intramural ectopic pregnancy at 12 weeks gestation in a woman 1 year post open myomectomy. Both transvaginal ultrasound and magnetic resonance imaging were utilized as diagnostic aids in this case. The rare nature of this clinical scenario and lack of guidelines for management made clinical decision making difficult. Due to the size and location of the gestational sac, hysterectomy was deemed to be the safest modality, and a midline laparotomy, total abdominal hysterectomy, and bilateral salpingectomy was performed...
January 2018: Journal of Investigative Medicine High Impact Case Reports
Setare Nasiri, Shahrzad Sheikh Hasani, Azamosadat Mousavi, Mitra Modarres Gilani, Setare Akhavan, Mohammad Rahim Vakili
Choriocarcinoma and placental site trophoblastic tumor (PSTT) are rare varieties of gestational trophoblastic disease (GTD). PSTT alone constitutes about 1-2% of all trophoblastic tumors, which presents at early reproductive age and the serum beta-hCG level is much lower than choriocarcinoma. This tumor usually invades the myometrium and its depth of penetration is a prognostic factor. The first case report is regarding a 33-year-old woman with vaginal bleeding 3 months after abortion. The ultrasound exhibited heterogeneous and hypervascular mass related to previous cesarean scar...
July 2018: Iranian Journal of Medical Sciences
Valeria Conti, Giovanni Luciano, Giovanni Pecoraro, Roberto Iovieno, Amelia Filippelli, Maurizio Guida
Ectopic pregnancy (EP) is the implantation of an embryo outside the endometrial cavity of the uterus. Signs and symptoms of EP may arise between the 6th and the 8th week of gestation and include vaginal bleeding, lower abdominal and pelvic pain. Frequently EPs implant in the fallopian tubes. A rare EP is the interstitial pregnancy, a life-threatening condition being responsible for nearly 20% of all deaths caused by EPs. Because of its unique location, the diagnosis is difficult and based on signs and specific criteria together with measuring of serum β-hCG...
2018: Frontiers in Endocrinology
Jodie M Dodd, Rosalie M Grivell, Andrea R Deussen, William M Hague
BACKGROUND: There has been considerable interest in providing antenatal dietary and lifestyle advice for women with obesity or who are overweight during pregnancy, as a strategy to limit gestational weight gain and improve maternal and infant health. However, such antenatal interventions appear to have a modest effect on gestational weight gain and other clinical pregnancy and birth outcomes and additional strategies are required.Metformin is an oral insulin-sensitising medication that acts to decrease blood glucose concentrations...
July 24, 2018: Cochrane Database of Systematic Reviews
H J Lacassie, A Rolle, L I Cortínez, S Solari, M A Corvetto, F R Altermatt
BACKGROUND: Transversus abdominis plane block is increasingly used for post-Caesarean section analgesia. Cases of toxicity and the limited pharmacokinetic information during pregnancy motivated this study. The objective of the study was to characterise and compare the pharmacokinetics of levobupivacaine with epinephrine in tranversus abdominis plane block, in post-Caesarean section patients and healthy volunteers. METHODS: After approval by the Ethics Committee, we collected data from 12 healthy parturients after elective Caesarean section (Study 1) and data from 11 healthy male volunteers from a previous study (Study 2)...
August 2018: British Journal of Anaesthesia
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