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Obstetrics ultrasound

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https://www.readbyqxmd.com/read/27904846/complete-congenital-heart-block-in-a-neonate-with-a-complex-congenital-heart-defect-in-africa
#1
Clovis Nkoke, Edvine Yonta Wawo, Liliane Kuate Mfeukeu, Larissa Makamte, Sandrine Dikosso Edie, Flore Esiene Balana
Congenital heart block (CHB) is rare disorder that has a higher mortality when associated with structural congenital heart defects. Very few cases have been reported in Sub-Saharan Africa (SSA). We present a case of complete CHB associated with a complex congenital heart defect in a neonate in Cameroon. A 1-month-old neonate in Cameroon was referred for the evaluation of bradycardia. The obstetrical ultrasound done during pregnancy revealed fetal bradycardia without further evaluation. Clinical examination showed well a developed neonate with bradycardia at 62 beats/minute, and mild cyanosis with oxygen saturation at 93% at room air...
October 2016: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/27897026/-acute-myocardial-infarction-complicated-pregnancy-of-patient-after-kindey-transplantation-and-knee-osteosarcoma
#2
K Lehnertová, K Huml, R Pilka
OBJECTIVE: Case report describes a patient with acute ST elevation myocardial infarction with Q wave in 26 weeks gestation. DESIGN: Case report. SETTING: Department of Obstetrics and Gynecology, University Hospital, Palacky University, Olomouc. CASE REPORT: Medical history is complicated with a cadaveric transplantation of kindey, osteosarcoma of the left knee with a joint extraction and chemotherapy, serious hypothyreosis after spontaneous discontinuation of medication and missing fetal nasal bone at the ultrasound examination...
2016: Ceská Gynekologie
https://www.readbyqxmd.com/read/27897018/-ultrasound-comparison-of-adjustable-single-incision-ajust-and-transobturator-tapes-to-assess-post-operative-fixation-and-function-and-clinical-efficacy
#3
F Farhat, K Švabík, P Hubka, A Martan, J Mašata
OBJECTIVE: The aim of this study was to compare fixation and mobility of adjustable single-incision (Ajust) and standard transobturator midurethral sling (TVT-O) tapes based on postoperative ultrasound monitoring of the position of the tape at rest and at maximal Valsava (tape descent). The hypothesis was that fixation of SIMS Ajust is comparable to that achieved by the standard transobturator midurethral sling. SETTING: Gynecology and Obstetrics Department, GUH and 1st Charles University Prague; Gynecology and Obstetrics Department Masarykova nemocnice Ústí nad Labem...
2016: Ceská Gynekologie
https://www.readbyqxmd.com/read/27896258/secondary-abdominal-pregnancy-in-human-immunodeficiency-virus-positive-woman
#4
Myoung Chan Kim, Hudson Manyanga, Flora Lwakatare
We report on an abdominal pregnancy in human immunodeficiency virus-positive mother, currently on antiretroviral therapy, which was discovered incidentally while training the obstetric ultrasound capacity building program. Although abdominal pregnancy is a rare form of ectopic pregnancy, it may be more common in women with HIV infection because they tend to have a higher rate of sexually transmitted diseases than the general population. The positive diagnosis of abdominal pregnancy is difficult to establish and is usually missed during prenatal assessment particularly in settings that lack routine ultrasound examination as is the case in most developing countries...
November 2016: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/27886376/-the-burden-of-pregnancy-heavier-for-the-heaviest-the-changes-in-health-related-quality-of-life-hrqol-assessed-by-the-15d-instrument-during-pregnancy-and-postpartum-in-different-body-mass-index-groups-a-longitudinal-survey
#5
Niina Sahrakorpi, Saila B Koivusalo, Beata Stach-Lempinen, Johan Gunnar Eriksson, Hannu Kautiainen, Risto Roine
INTRODUCTION: Only little information is available on health-related quality of life (HRQoL) and its changes during the course of a normal pregnancy. We studied changes in HRQoL in a pregnant population during pregnancy and until one year postpartum in different body mass index (BMI) groups. MATERIAL AND METHODS: 750 pregnant women attending the first ultrasound examination before gestational week 14 were invited to participate in a longitudinal, communal-based survey...
November 25, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27882752/-bronchopulmonary-sequestration
#6
J Bombová, M Lubušký
OBJECTIVE: To describe the case of prenatal diagnosis of bronchopulmonary sequestration and compelete spontaneous antenatal regresion of the lesion. DESIGN: Case report and review of the literature. SETTING: Complex Cancer Center Novy Jicin, Department of Obstetrics and Gynecology Palacky University Hospital Olomouc. CASE REPORT: We describe the case reports about the complete regression of a quite large bronchopulmonary sequestration during pregnancy...
2016: Ceská Gynekologie
https://www.readbyqxmd.com/read/27882747/-present-properties-of-ultrasound-diagnostics-in-urogynecology
#7
D Gágyor
OBJECTIVE: The review article describes properties of sonography diagnostics in urogynecology. DESIGN: Review article. SETTING: Department of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry, Palacky University in Olomouc. MATERIAL AND METHODS: The review of sonography methods in urogynecology, their practical use for low urinary tract dysfunctions diagnostics, monitoring of surgical therapy effect and diagnostics of complications...
2016: Ceská Gynekologie
https://www.readbyqxmd.com/read/27875469/practice-bulletin-no-175-summary-ultrasound-in-pregnancy
#8
(no author information available yet)
Obstetric ultrasonography is an important and common part of obstetric care in the United States. The purpose of this document is to present information and evidence regarding the methodology of, indications for, benefits of, and risks associated with obstetric ultrasonography in specific clinical situations. Portions of this Practice Bulletin were developed from collaborative documents with the American College of Radiology and the American Institute of Ultrasound in Medicine (1, 2).
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27874196/prenatal-diagnosis-of-upper-extremity-malformations-with-ultrasonography-diagnostic-features-and-perinatal-outcome
#9
Mehmet Serdar Kutuk, Ozguc Altun, Sadan Tutus, Muhammet Ensar Dogan, Mahmut Tuncay Ozgun, Munis Dundar
OBJECTIVE: The aim of this study was to assess the sonographic (US) characteristics, associated malformations, chromosomal status, and perinatal outcomes of fetuses with an upper extremity malformation (UEM) detected by US examination. METHODS: The data of all patients evaluated in the Department of Obstetrics and Gynecology, Prenatal Diagnosis Unit between 2010 and 2015 were searched for UEM. RESULTS: A total of 51 cases with UEM were detected...
November 22, 2016: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/27871275/rationale-and-design-of-support-a-multi-centre-randomised-controlled-trial-to-compare-three-treatments-cervical-cerclage-cervical-pessary-and-vaginal-progesterone-for-the-prevention-of-preterm-birth-in-women-who-develop-a-short-cervix
#10
Natasha L Hezelgrave, Helena A Watson, Alexandra Ridout, Falak Diab, Paul T Seed, Evonne Chin-Smith, Rachel M Tribe, Andrew H Shennan
BACKGROUND: Clinically, once a woman has been identified as being at risk of spontaneous preterm birth (sPTB) due to a short cervical length, a decision regarding prophylactic treatment must be made. Three interventions have the potential to improve outcomes: cervical cerclage (stitch), vaginal progesterone and cervical pessary. Each has been shown to have similar benefit in reduction of sPTB, but there have been no randomised control trials (RCTs) to compare them. METHODS: This open label multi-centre UK RCT trial, will evaluate whether the three interventions are equally efficacious to prevent premature birth in women who develop a short cervix (<25 mm on transvaginal ultrasound)...
November 21, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27867406/helping-expectant-mothers-understand-inadequate-ultrasound-images
#11
Crispian Oates, Paula Taylor
BACKGROUND: Obstetric ultrasound scans may fail to provide all the information that is needed because of poor visualisation. Two main causes of poor visualisation are addressed. These are poor foetal position and poor quality imaging due to beam distortion by overlying fatty tissue. METHOD: To improve communication with patients attending obstetric scans, a poster and leaflet were designed to explain these causes of inadequate scans. A questionnaire was used to assess the value of the poster...
August 2016: Ultrasound: Journal of the British Medical Ultrasound Society
https://www.readbyqxmd.com/read/27862004/sonographic-measurement-of-fetal-thymus-size-in-uncomplicated-singleton-pregnancies
#12
Chayada Tangshewinsirikul, Panyu Panburana
PURPOSE: To establish sonographic reference ranges of the normal fetal thymus size between 17 and 38 weeks of gestational age (GA). METHODS: The study was conducted between April 1 and December 31, 2013. Low-risk singleton pregnancies without obstetrical and medical complications at the GAs between 17 and 38 weeks were recruited for thymus measurement. The fetal thymus was identified on transabdominal sonography at the three-vessel view. Maximal transverse diameter, perimeter, and thymus/thoracic ratio were measured...
November 10, 2016: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/27847536/is-there-a-relationship-between-ultrasound-scanning-ability-sonography-and-visuospatial-perception-or-psychomotor-ability
#13
Elizabeth Chapman, Suzanne Hagen, Helen Gallagher
BACKGROUND: Competent sonography is thought to include a unique combination of skills not yet fully defined. This presents challenges when recruiting the correct people for training. Skills are thought to include visuospatial perception and psychomotor skills, but little is known about the relationship between these aptitudes and scanning ability. This feasibility study explored such relationships, to identify evaluation techniques which may improve selection and recruitment. METHODS: A sample of 30 experienced ultrasound practitioners and 30 trainees at commencement and on completion of training were administered eight tests...
November 2016: Ultrasound: Journal of the British Medical Ultrasound Society
https://www.readbyqxmd.com/read/27845691/non-invasive-evaluation-of-placental-blood-flow-lessons-from-animal-models
#14
Eve Mourier, Anne Tarrade, Jie Duan, Christophe Richard, Charline Bertholdt, Marine Beaumont, Olivier Morel, Pascale Chavatte-Palmer
In human obstetrics, placental vascularisation impairment is frequent as well as linked to severe pathological events (preeclampsia and intra-uterine growth restriction) and there is a need for reliable methods allowing non-invasive evaluation of placental blood flow. Uteroplacental vascularisation is complex and animal models are essential for the technical development and safety assessment of these imaging tools for human clinical use but these techniques can also be applied in the veterinary context. This paper reviews how ultrasound based imaging methods such as 2D and 3D Doppler can provide valuable insight for the exploration of placental blood flow both in humans and animals and how new approaches such as the use of ultrasound contrast agents or ultrafast Doppler may allow to discriminate between maternal (non-pulsatile) and fetal (pulsatile) blood flow in the placenta...
November 14, 2016: Reproduction: the Official Journal of the Society for the Study of Fertility
https://www.readbyqxmd.com/read/27836377/-prevention-of-spontaneous-preterm-birth-excluding-preterm-premature-rupture-of-membranes-guidelines-for-clinical-practice%C3%A2-%C3%A2-text-of-the-guidelines-short-text
#15
L Sentilhes, M-V Sénat, P-Y Ancel, E Azria, G Benoist, J Blanc, G Brabant, F Bretelle, S Brun, M Doret, C Ducroux-Schouwey, A Evrard, G Kayem, E Maisonneuve, L Marcellin, S Marret, N Mottet, S Paysant, D Riethmuller, P Rozenberg, T Schmitz, H Torchin, B Langer
OBJECTIVES: To determine the measures to prevent spontaneous preterm birth (excluding preterm premature rupture of membranes)and its consequences. MATERIALS AND METHODS: The PubMed database, the Cochrane Library and the recommendations from the French and foreign obstetrical societies or colleges have been consulted. RESULTS: In France, premature birth concerns 60,000 neonates every year (7.4 %), half of them are delivered after spontaneous onset of labor...
November 8, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/27833953/in-vitro-fertilization-represents-a-risk-factor-for-vasa-praevia
#16
LaurenŢiu Cornel Pirtea, Dorin Grigoraş, Ioan Sas, Adrian Cosmin Ilie, Loredana Gabriela Stana, Andrei Gheorghe Marius Motoc, Adelina Maria Jianu, Octavian Mazilu
Vasa praevia is a rare but very dangerous obstetrical condition. The purpose of our article is to evaluate data available in literature that indicate in vitro fertilization as a risk factor for vasa praevia. PubMed Library and Cochrane Database were searched using the keywords vasa praevia, in vitro fertilization, velamentous cord insertion, placenta praevia. The conditions related to in vitro fertilization that increase the risk of vasa praevia formation were identified and discussed. Also, the diagnosis and management options were reviewed...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/27827521/ultrasonography-for-neuraxial-blocks-a-review-of-the-evidence
#17
Maria F Elgueta, Silvia Duong, Roderick J Finlayson, De Qh Tran
INTRODUCTION: This narrative review summarizes the evidence derived from randomized controlled trials (RCTs) pertaining to the use of adjunctive ultrasonography (US) for neuraxial blocks. EVIDENCE ACQUISITION: The literature search was conducted using the MEDLINE, EMBASE and PUBMED databases. For the MEDLINE and EMBASE searches, the MESH terms "ultrasonography" and key word "ultrasound" were queried; using the operator "and", they were combined with the MESH terms "neuraxial block", "epidural anesthesia", "epidural analgesia", "spinal anesthesia", "spinal analgesia", "intrathecal anesthesia", "intrathecal analgesia", "caudal anesthesia", and "caudal analgesia"...
November 9, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27821652/frequency-and-importance-of-incomplete-screening-fetal-anatomic-sonography-in-pregnancy
#18
Mark T Silvestri, Christian M Pettker, Julia H Raney, Xiao Xu, Joseph S Ross
OBJECTIVES: To determine (1) how often routine screening fetal anatomic sonography fails to completely visualize fetal anatomy; (2) the proportion of women with incomplete ultrasound examinations who are recommended for repeat screening and then undergo repeat sonography; and (3) how often abnormal fetal anatomy is detected on repeat sonography. METHODS: We conducted a retrospective cohort study at a high-volume academic obstetric ultrasound center. Participants were 16,300 women at 17 through 21 weeks' gestation with a singleton pregnancy presenting for screening anatomic sonography between January 2009 and December 2013...
November 7, 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27819791/-effectiveness-of-a-rapid-response-team-rrt-in-a-case-of-ruptured-ectopic-pregnancy
#19
José Miguel Campechano-López, María Lourdes Carranza-Bernal, Guillermina Juanico-Morales, María Rayo Reyes-Gil
BACKGROUND: An ectopic pregnancy happens when a fertilized egg attaches somewhere outside the endometrial surface. This sort of pregnancy has an estimated incidence of 1.6 to 2 each 100 births. The main objective was to expose the effective answer of a Rapid Response Team in a case of ruptured cervical ectopic pregnancy. We also describe a clinical case of this sort of pregnancy. CLINICAL CASE: 37-year-old female with a two-month history of amenorrhea. The patient entered the Labor & Delivery department with hypovolemic shock secondary to vaginal bleeding...
November 2016: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/27816740/relation-between-the-quality-of-the-ultrasound-image-acquisition-and-the-precision-of-the-measurement-of-the-crown-rump-length-in-the-late-first-trimester-what-are-the-consequences
#20
Ferdinand Dhombres, Nathalie Roux, Stéphanie Friszer, Roger Bessis, Babak Khoshnood, Jean-Marie Jouannic
OBJECTIVE: To assess the extent to which the distribution of crown-rump length (CRL) values may be correlated with different criteria for the quality of the CRL images. STUDY DESIGN: This is a retrospective analysis of a series of 977 CRL images, by two independent observers, for the presence or the absence of 14 quality hallmarks. Inter-observer agreement for the hallmarks was assessed by the proportion of agreement and Cohen's kappa. The association between the quantiles of the CRL distribution and the presence or absence of the 14 quality hallmarks was modeled using quantile regression...
October 27, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
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