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Fetal movement

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https://www.readbyqxmd.com/read/28227711/detection-of-fetal-kicks-using-body-worn-accelerometers-during-pregnancy-trade-offs-between-sensors-number-and-positioning
#1
Marco Altini, Patrick Mullan, Michiel Rooijakkers, Stefan Gradl, Julien Penders, Nele Geusens, Lars Grieten, Bjoern Eskofier, Marco Altini, Patrick Mullan, Michiel Rooijakkers, Stefan Gradl, Julien Penders, Nele Geusens, Lars Grieten, Bjoern Eskofier, Julien Penders, Michiel Rooijakkers, Nele Geusens, Stefan Gradl, Patrick Mullan, Lars Grieten, Bjoern Eskofier, Marco Altini
Monitoring fetal wellbeing is key in modern obstetrics. While fetal movement is routinely used as a proxy to fetal wellbeing, accurate, noninvasive, long-term monitoring of fetal movement is challenging. A few accelerometer-based systems have been developed in the past few years, to tackle common issues in ultrasound measurement and enable remote, self-administrated monitoring of fetal movement during pregnancy. However, many questions remain unanswered to date on the optimal setup in terms of body-worn accelerometers as well as signal processing and machine learning techniques used to detect fetal movement...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28213879/arthrogryposis-multiplex-congenita-classification-diagnosis-perioperative-care-and-anesthesia
#2
REVIEW
Lulu Ma, Xuerong Yu
Arthrogryposis multiplex congenita (AMC) is a rare disorder characterized by non-progressive, multiple contractures. In addition to affected extremities, patients may also present microstomia, decreased temporomandibular joint mobility. Although the etiology of AMC is unclear, any factor that decreases fetal movement is responsible for AMC. Thus, accurate diagnosis and classification are crucial to the appropriate treatment of AMC. The development of ultrasound technology has enabled prenatal diagnosis. Very early treatment is favorable, and multidisciplinary treatment is necessary to improve the function of AMC patients...
February 17, 2017: Frontiers of Medicine
https://www.readbyqxmd.com/read/28188773/maternal-buprenorphine-treatment-and-fetal-neurobehavioral-development
#3
Lauren M Jansson, Martha Velez, Krystle McConnell, Nancy Spencer, Michelle Tuten, Hendree E Jones, Van L King, Neeraj Gandotra, Lorraine A Milio, Kristin Voegtline, Janet A DiPietro
BACKGROUND: Gestational opioid use/misuse is escalating in the United States, however, little is understood about the fetal effects of medications used to treat maternal opioid use disorders. OBJECTIVE: The purpose of this study was to determine the effect of maternal buprenorphine administration on longitudinal fetal neurobehavioral development. STUDY DESIGN: Forty-nine buprenorphine-maintained women attending a substance use disorder treatment facility with generally uncomplicated pregnancies underwent fetal monitoring for 60 minutes at times of trough and peak maternal buprenorphine levels...
February 7, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28183709/consequences-of-delivery-at-home-in-a-woman-without-prenatal-care
#4
Nakul Kumar, Lisa Gilbert, Terry Ellis, Sandeep Krishnan
This is a case report of a 39-year-old multigravida woman without allopathic prenatal care who, after three previous caesarean sections, attempted to deliver her fourth child at home with the help of a direct entry midwife. During labour, fetal movement and fetal heart tones became undetectable, at which time the patient was referred by the midwife to the hospital. The patient was diagnosed with uterine rupture, bladder rupture and fetal demise; she was rushed to emergency surgery. The patient's lack of allopathic prenatal care, attempt of vaginal birth after three previous caesarean sections, coupled with her desire for delivery at home, led to her complicated course...
February 9, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28182292/metastatic-neuroblastoma-diagnosed-on-prenatal-sonographic-examination-performed-for-decreased-fetal-movement
#5
Hector O Chapa, Steven Gywnn Geddie, Rebecca Flores
We report a case of fetal neuroblastoma presenting with massive liver metastasis diagnosed during the biophysical profile sonographic examination performed for decreased fetal movement. The patient presented at 37 weeks' gestation with limited fetal movement over 24 hours. Biophysical profile showed marked polyhydramnios and an enlarged abdomen filled with a homogeneous mass lesion suspicious for liver metastasis. Primary urgent cesarean section was performed revealing a cachectic neonate with a rigid and grossly distended abdomen...
February 9, 2017: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/28182029/very-severe-spinal-muscular-atrophy-type-0
#6
Suleiman Al Dakhoul
This case report describes a rare phenotype of very severe spinal muscular atrophy (SMA) in a newborn who presented with reduced fetal movements in utero and significant respiratory distress at birth. The patient was homozygously deleted for exon 7 and exon 8 of the survival motor neuron gene 1. Very severe SMA should be considered in the differential diagnosis of respiratory distress at birth, and more research should be dedicated to investigate the genetic determinants of its widely variable phenotypes.
January 2017: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/28162972/novel-strategies-to-prevent-stillbirth
#7
REVIEW
Jane Warland, Edwin A Mitchell, Louise M O'Brien
This article reviews three new and emerging risk factors for stillbirth that may be modifiable or might identify a compromised fetus. We focus on fetal movements, maternal sleep, and maternal diet. Recent studies have suggested than a sudden increase in vigorous fetal activity may be associated with increased risk of stillbirth. We review the papers that have reported this finding and discuss the implications as well as potential future directions for research. There is emerging literature to suggest that maternal sleep position may be a risk for stillbirth, especially if the woman settles to sleep supine...
February 2, 2017: Seminars in Fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28145864/epigenetic-regulation-of-lateralized-fetal-spinal-gene-expression-underlies-hemispheric-asymmetries
#8
Sebastian Ocklenburg, Judith Schmitz, Zahra Moinfar, Dirk Moser, Rena Klose, Stephanie Lor, Georg Kunz, Martin Tegenthoff, Pedro Faustmann, Clyde Francks, Jörg T Epplen, Robert Kumsta, Onur Güntürkün
Lateralization is a fundamental principle of nervous system organization but its molecular determinants are mostly unknown. In humans, asymmetric gene expression in the fetal cortex has been suggested as the molecular basis of handedness. However, human fetuses already show considerable asymmetries in arm movements before the motor cortex is functionally linked to the spinal cord, making it more likely that spinal gene expression asymmetries form the molecular basis of handedness. We analyzed genome-wide mRNA expression and DNA methylation in cervical and anterior thoracal spinal cord segments of five human fetuses and show development-dependent gene expression asymmetries...
February 1, 2017: ELife
https://www.readbyqxmd.com/read/28137517/effect-of-turkish-classical-music-on-prenatal-anxiety-and-satisfaction-a-randomized-controlled-trial-in-pregnant-women-with-pre-eclampsia
#9
Eylem Toker, Nuran Kömürcü
OBJECTIVES: The present study aimed to evaluate the effect of music therapy on anxiety and satisfaction in pregnant women with preeclampsia. DESIGN, SETTING AND SUBJECTS: A randomized controlled trial was performed on 70 pregnant women with pre-eclampsia hospitalized in the research and application hospital of Kahramanmaras Sütcü İmam University between December 2012 and February 2014. The subjects were allocated to experimental or control groups in a random manner (n=35 each)...
February 2017: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/28130960/fetal-face-as-important-indicator-of-fetal-brain-function
#10
Mohamed Ahmed Mostafa AboEllail, Toshiyuki Hata
Fetuses show various facial expressions, such as blinking, yawning, sucking, mouthing, tongue expulsion, scowling, and smiling, assessed by four-dimensional ultrasound from the early second trimester of pregnancy. Moreover, some fetuses demonstrate emotion-like behaviors as noted in infants, children, and adults. Selective fetal responses to stimuli indicate a high degree of brain development, which is reflected in the facial reactions. The fetal face with its movements and expressions can mirror the fetal brain function and development during different stages of the fetus in utero...
January 28, 2017: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/28116216/subsequent-fertility-of-goats-with-prenatal-mortality-diagnosed-by-ultrasound-and-treated-by-pgf2%C3%AE-and-oxytetracycline
#11
A S Aban, R M Abdelghafar, M E Badawi, A M Almubarak
Thirteen Saanen and Saanen crossbred female goats, between the ages of 6 months and 7, years were presented to the clinic, College of Veterinary Medicine, Sudan University of Science and Technology, for sonographic pregnancy diagnosis. Transabdominal ultrasound was performed using 3.5 MHz probe which revealed non-viable fetuses as judged by absence of heart beats and movements. Twelve goats were given single i/m injection of PGF2α analogue and 5% oxytetracycline. Ten goats responded to the treatment and six of them became pregnant and gave birth within the normal gestational period...
2017: Veterinary Medicine International
https://www.readbyqxmd.com/read/28113289/segmentation-of-fetal-left-ventricle-in-echocardiographic-sequences-based-on-dynamic-convolutional-neural-networks
#12
Li Yu, Yi Guo, Yuanyuan Wang, Jinhua Yu, Ping Chen
Segmentation of fetal left ventricle (LV) in echocardiographic sequences is important for further quantitative analysis of fetal cardiac function. However, image gross inhomogeneities and fetal random movements make the segmentation a challenging problem. In this paper, a dynamic convolutional neural networks (CNN) based on multiscale information and fine-tuning is proposed for fetal LV segmentation. The CNN is pre-trained by amount of labeled training data. In the segmentation, the first frame of each echocardiographic sequence is delineated manually...
November 15, 2016: IEEE Transactions on Bio-medical Engineering
https://www.readbyqxmd.com/read/28100488/kinetic-analyses-of-vasculogenesis-inform-mechanistic-studies
#13
Kaela M Varberg, Seth Winfree, Chenghao Chu, Wanzhu Tu, Emily K Blue, Cassandra R Gohn, Kenneth W Dunn, Laura S Haneline
Vasculogenesis is a complex process by which endothelial stem and progenitor cells undergo de novo vessel formation. Quantitative assessment of vasculogenesis is a central readout of endothelial progenitor cell (EPC) functionality. However, current assays lack kinetic measurements. To address this issue, new approaches were developed to quantitatively assess in vitro endothelial colony forming cell (ECFC) network formation in real time. Eight parameters of network structure were quantified using novel Kinetic Analysis of Vasculogenesis (KAV) software...
January 18, 2017: American Journal of Physiology. Cell Physiology
https://www.readbyqxmd.com/read/28079273/abnormal-fetal-muscle-forces-result-in-defects-in-spinal-curvature-and-alterations-in-vertebral-segmentation-and-shape
#14
Rebecca A Rolfe, James H Bezer, Tyler Kim, Ahmed Z Zaidon, Michelle L Oyen, James C Iatridis, Niamh C Nowlan
The incidence of congenital spine deformities, including congenital scoliosis, kyphosis and lordosis, may be influenced by the in utero mechanical environment, and particularly by fetal movements at critical time-points. There is a limited understanding of the influence of fetal movements on spinal development, despite the fact that mechanical forces have been shown to play an essential role in skeletal development of the limb. This study investigates the effects of muscle forces on spinal curvature, vertebral segmentation and vertebral shape by inducing rigid or flaccid paralysis in the embryonic chick...
January 12, 2017: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/28074994/-normoglycemic-diabetic-ketoacidosis-in-pregnancy-report-of-one-case
#15
Margarita Rivas M, Pamela Belmar Z, Pilar Durruty A, Lilian Sanhueza M, Gloria López S
Normoglycemic diabetic ketoacidosis should be suspected in pregnant women presenting nausea, vomiting, abdominal pain and anorexia. We report a 39 years old woman with a 32 weeks pregnancy who sought emergency care due to hyperemesis. She was hospitalized with the following diagnoses: pregnancy hypertension syndrome, gestational diabetes, morbid obesity and poor prenatal control. The evaluation of the feto-placental unit showed perception of fetal movements, non-reactive non-stress baseline record and a biophysical profile of 6/8...
October 2016: Revista Médica de Chile
https://www.readbyqxmd.com/read/28043184/perceived-fetal-movement-count-as-a-traditional-but-essential-tool-for-evaluating-fetal-health-some-additions-and-japanese-obstetricians-and-pediatricians-view
#16
Shigeki Matsubara, Daisuke Matsubara, Hironori Takahashi, Yosuke Baba
No abstract text is available yet for this article.
January 2, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28030594/understanding-misclassification-between-neonatal-deaths-and-stillbirths-empirical-evidence-from-malawi
#17
Li Liu, Henry D Kalter, Yue Chu, Narjis Kazmi, Alain K Koffi, Agbessi Amouzou, Olga Joos, Melinda Munos, Robert E Black
Improving the counting of stillbirths and neonatal deaths is important to tracking Sustainable Development Goal 3.2 and improving vital statistics in low- and middle-income countries (LMICs). However, the validity of self-reported stillbirths and neonatal deaths in surveys is often threatened by misclassification errors between the two birth outcomes. We assessed the extent and correlates of stillbirths being misclassified as neonatal deaths by comparing two recent and linked population surveys conducted in Malawi, one being a full birth history (FBH) survey, and the other a follow-up verbal/social autopsy (VASA) survey...
2016: PloS One
https://www.readbyqxmd.com/read/28017280/nutritional-beliefs-and-practices-among-diabetic-pregnant-mothers-in-a-tertiary-care-hospital-in-bangladesh
#18
Ummy Salma Munni, Sharmin Hossain, Kazi Rumana Ahmed
BACKGROUND & AIM: Pregnant mothers with diabetes, especially in developing countries, are particularly prone to suffer from dietary imbalances due to superstitions and irrational beliefs and practices. The study aimed to explore the existing beliefs and practices related to food intake among Bangladeshi diabetic pregnant mothers. MATERIAL & METHODS: A cross-sectional study was conducted among 200 diabetic pregnant mothers (age in yrs, M±SD, 30±4), selected purposively from outpatient department of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine & Metabolic Disorders...
December 13, 2016: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/27997256/ultrasound-functional-evaluation-of-fetuses-with-myelomeningocele-study-of-the-interpretation-of-results
#19
A Maroto, T Illescas, M Meléndez, S Arévalo, C Rodó, J L Peiró, M Belfort, A Cuxart, E Carreras
OBJECTIVE: To assess the reliability of the interpretation of a new technique for the ultrasound evaluation of the level of neurological lesion in fetuses with myelomeningocele. METHODS: Observational study including myelomeningocele fetuses, referred to our center for the sonographic assessment of the fetal lower-limb movements, made and recorded by an expert in Maternal-fetal medicine and a specialist in Rehabilitation. Two observers, with different levels of expertise and blinded to each other's results, interpreted each recorded scan two different times...
December 20, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27987340/ethnic-analogies-and-differences-in-fetal-heart-rate-variability-signal-a-retrospective-study
#20
Salvatore Tagliaferri, Francesca Giovanna Esposito, Rosa Fagioli, Marco Di Cresce, Lucia Sacchi, Maria Gabriella Signorini, Marta Campanile, Pasquale Martinelli, Giovanni Magenes
AIM: We aimed to analyze computerized cardiotocographic (cCTG) parameters (including fetal heart rate baseline, short-term variability, Delta, long-term irregularity [LTI], interval index [II], low frequency [LF], movement frequency [MF], high frequency [HF], and approximate entropy [ApEn]) in physiological term pregnancies in order to correlate them with ethnic differences. The clinical meaning of numerical parameters may explain physiological or paraphysiological phenomena that occur in fetuses of different ethnic origins...
December 17, 2016: Journal of Obstetrics and Gynaecology Research
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