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Antenatal diagnosis

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https://www.readbyqxmd.com/read/29769499/toxoplasma-gondii-seropositivity-and-its-possible-associated-risk-factors-among-pregnant-women-attending-antenatal-clinic-in-a-tertiary-care-hospital-of-dhaka-bangladesh
#1
C R Naheen, S Tarafder, S Khan
Toxoplasmosis is a well-documented cause of bad obstetric history (BOH) and a major reason of congenitally acquired infection. This observational study was conducted to detect the rate of seropositivity of toxoplasmosis in pregnant women and observe their risk factors associated with disease transmission attending the antenatal clinic of the Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from July 2015 to August 2016. The study subjects included 150 pregnant women of different gestational ages...
April 2018: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/29769237/outcomes-following-antenatal-identification-of-hydrops-fetalis-a-single-centre-experience-from-2001-to-2012
#2
Damien M Gilby, J Bridie Mee, C Omar Farouk Kamlin, Louise H Kornman, Peter G Davis, Brett James Manley
OBJECTIVE: To describe the aetiologies and outcomes of pregnancies complicated by hydrops fetalis (HF). STUDY DESIGN: Case series of all pregnancies complicated by HF managed at The Royal Women's Hospital (RWH), Melbourne, Australia, between 2001 and 2012. Multiple pregnancies, and cases where antenatal care was not provided at RWH were excluded. Cases were identified from neonatal and obstetric databases. Data were extracted from maternal and neonatal case files, electronic pathology and radiology reports, and obstetric and neonatal databases...
May 16, 2018: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/29766152/undesired-effect-of-excessive-betamethasone-administration-during-pregnancy-a-rare-case
#3
Alireza Mirzaei, Solmaz Piri, Kaveh Gharanizadeh, Mozhdeh Zabihiyeganeh
Background: Postpartum bilateral femoral neck fracture (BFNF) is a rare condition. We here report a case of BFNF due to excessive corticosteroid consumption, twin pregnancy, immobility, and vitamin D deficiency. Case: This is a report of a 32-yr-old woman with bilateral femoral insufficiency fracture five days after emergency cesarean section due to preterm labor, twin pregnancy, and the history of a previous cesarean section at 33 wk. Antenatal repeated courses of betamethasone injections for fetal lung maturity, daily oral use of prednisolone for the history of miscarriage, immobilization, and vitamin D deficiency were the important contributing factors in her past medical history and lab investigations...
March 2018: International Journal of Reproductive Biomedicine (Yazd, Iran)
https://www.readbyqxmd.com/read/29759095/giant-left-ventricular-rhabdomyoma-treated-successfully-with-everolimus-case-report-and-review-of-literature
#4
Alfonso Martínez-García, Carolina Michel-Macías, Guadalupe Cordero-González, Karla I Escamilla-Sánchez, Mónica Aguinaga-Ríos, Alejandra Coronado-Zarco, Jorge A Cardona-Pérez
IntroductionIntracardiac rhabdomyomas can cause severe ventricular dysfunction and outflow tract obstruction.Case reportA term newborn infant with antenatal diagnosis of giant left ventricle rhabdomyoma presented with cardiac failure and duct-dependent systemic circulation after birth. She was treated successfully with everolimus, showing decrease in tumour size and improvement in left ventricular ejection fraction.DiscussionTumour regression rate was 0.32 cm2/day and improved to 0.80 cm2/day with the use of everolimus...
May 15, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29757579/isolated-low-grade-prenatally-detected-unilateral-hydronephrosis-do-we-need-long-term-follow-up
#5
Osama M Sarhan, Ahmed El Helaly, Abdulhakim Al Otay, Mustafa Al Ghanbar, Ziad Nakshabandi
PURPOSE: To assess the need for postnatal evaluation and the medium term outcome in patients with isolated unilateral low grade prenatally detected hydronephrosis. MATERIALS AND METHODS: We prospectively selected 424 patients (690 kidney units) with a prenatal diagnosis of urinary tract dilatation between 2010 and 2013. We included only those patients with isolated unilateral low-grade hydronephrosis who underwent at least 2 postnatal ultrasound examinations. The Society for Fetal Urology (SFU) grading system was utilized for assessment of the hydronephrosis...
April 30, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29756715/an-update-on-amniotic-bands-sequence
#6
Eunice López-Muñoz, Luis E Becerra-Solano
Amniotic bands sequence is a congenital disorder characterized by craniofacial, body wall, and limb anomalies that may be associated with fetalplacental fibrous bands. Its prevalence has been reported to range from 0.19 to 8.1 per 10 000 births. Different theories have attempted to explain the etiology of amniotic band sequence; however, none has individually been able to support each and every defect observed, so it has been considered to be a multifactorial condition. The (pre- and post-natal) identification of anomalies suggestive of amniotic band sequence is useful for the diagnostic approach and implementation of timely therapeutic interventions favoring the release of the amniotic bands using fetoscopy with recovery of the involved distal limb perfusion, or else the possibility of performing a post-natal surgical repair...
June 1, 2018: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/29751786/meconium-peritonitis-due-to-fetal-appendiceal-perforation-two-case-reports-and-a-brief-review-of-the-literature
#7
Yi Wang, Yeming Wu, Wenbin Guan, Wenbo Yan, Yuhua Li, Jin Fang, Jun Wang
BACKGROUND: Meconium peritonitis is an infrequent congenital disease usually caused by perforation of the fetal digestive tract. Meconium peritonitis resulting from intrauterine appendiceal perforation has been rarely reported and is often overlooked during pregnancy. We herein report two cases of fetal appendiceal perforation. CASE PRESENTATION: Two neonates were found to have intestinal distension and gradually increasing ascites antenatally. After birth, diagnostic abdominal punctures revealed meconium peritonitis...
May 11, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29747771/-feelings-of-caregivers-faced-with-trisomy-21
#8
Myriam Pidoux
Caregivers' practices with children with trisomy 21 can be influenced by many factors. The issues of antenatal diagnosis and the termination of pregnancy for medical reasons can cause contradictory feelings. Collective and individual defence strategies can however be put in place to support the children and their families along their care and life pathway.
May 2018: Soins. Pédiatrie, Puériculture
https://www.readbyqxmd.com/read/29747766/-trisomy-21-the-ethics-between-the-right-to-life-and-a-possible-termination-of-pregnancy-for-medical-reasons
#9
Marie-José Riss-Minervini
The antenatal diagnosis tools now available feed the fantasy of the 'perfect baby'. In this context and in parallel to a whole range of other foetal pathologies, trisomy 21 represents an emblematic situation which acts as a reminder that it is ethically essential to keep open the question of terminating or continuing with a pregnancy. Multidisciplinary team work remains the best safeguard against possible abuses.
May 2018: Soins. Pédiatrie, Puériculture
https://www.readbyqxmd.com/read/29747657/policies-and-clinical-practices-relating-to-the-management-of-gestational-diabetes-mellitus-in-the-public-health-sector-south-africa-a-qualitative-study
#10
Lorrein Shamiso Muhwava, Katherine Murphy, Christina Zarowsky, Naomi Levitt
BACKGROUND: Women with a prior gestational diabetes have an increased lifetime risk of developing type 2 diabetes. Although post-partum follow-up for GDM women is essential to prevent progression to type 2 diabetes, it is poorly attended. The need for health systems interventions to support postpartum follow-up for GDM women is evident, but there is little knowledge of actual current practice. The aim of this study was to explore current policies and clinical practices relating to antenatal and post-natal care for women with GDM in South Africa, as well as health sector stakeholders' perspectives on the barriers to -- and opportunities for -- delivering an integrated mother - baby health service that extends beyond the first week post-partum, to the infant's first year of life...
May 10, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29745055/where-do-we-diagnose-hiv-infection-monitoring-new-diagnoses-made-in-nontraditional-settings-in-england-wales-and-northern-ireland
#11
S Croxford, Z Yin, M Kall, F Burns, R Simmons, A Copas, G Ireland, P Kirwan, C Chau, V Delpech
OBJECTIVES: The objectives of the study were to describe 10-year trends in HIV diagnosis setting and to explore predictors of being diagnosed outside a sexual health clinic (SHC). METHODS: Analyses of national HIV surveillance data were restricted to adults (aged ≥ 15 years) diagnosed in 2005-2014 in England, Wales and Northern Ireland. Logistic regression identified factors associated with diagnosis outside an SHC (2011-2014). RESULTS: Between 2005 and 2014, 63 599 adults were newly diagnosed with HIV infection; 83% had a diagnosis setting reported...
May 9, 2018: HIV Medicine
https://www.readbyqxmd.com/read/29739032/management-and-outcome-of-neonates-with-a-prenatal-diagnosis-of-esophageal-atresia-type-a-a-population-based-study
#12
C Garabedian, A Bonnard, V Rousseau, R Sfeir, S Blanc, J Boubnova, C Jacquier, S Irtan, A Breton, V Fouquet, A Guinot, T Lamireau, E Habonimana, A Schneider, F Elbaz, A Ranke, M L Poli-Merol, N Kalfa, T Petit, J-L Michel, P Buisson, J Lirussi-Borgnon, H Lardy, B Parmentier, C Cremillieux, F Schmitt, C Borderon, O Jaby, C Pelatan, P De Vries, M Pouzac-Arnould, C Grosos, J Breaud, C Tolg, Y Chaussy, C Laplace, E E Drumez, L Michaud, F Gottrand, V Houfflin-Debarge
OBJECTIVE: Evaluate the neonatal management and outcomes of neonates with prenatal diagnosis of esophageal atresia EA type A. METHODS: This population-based study was conducted using data from the French National Register for Infants with EA born from 2008 to 2014, including all cases of EA type A. We compared prenatal and neonatal characteristics and outcomes in children with prenatal diagnosis of EA type A to those with a postnatal diagnosis until the age of one...
May 8, 2018: Prenatal Diagnosis
https://www.readbyqxmd.com/read/29733801/evaluation-of-renal-tumors-in-children
#13
Gülçin Bozlu, Elvan Çağlar Çıtak
OBJECTIVE: Renal tumors are not uncommon in children. In this study, we aimed to evaluate the clinical and pathological features of renal tumors in children. MATERIAL AND METHODS: Between January 2008 and December 2017, the records of children with renal tumors in our institution were retrospectively analyzed. Data collected were composed of demographic and clinical characteristics including gender, age at time of diagnosis, symptoms, laterality of the tumor and pathological evaluation...
May 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29712484/does-prenatal-diagnosis-of-critical-congenital-heart-diseases-influence-the-prereferral-mortality-in-a-center-without-surgical-intervention
#14
Buse Özer Bekmez, Evrim Alyamaç Dizdar, Nilüfer Okur, Mehmet Büyüktiryaki, Nurdan Uraş, Serife Suna Oğuz
BACKGROUND: Prenatal diagnosis ameliorates some preoperative and postoperative outcomes in critical congenital heart disease (CHD). Despite large variability among anatomical defect types, nearly half of them are diagnosed antenatally. We aimed to investigate the effect of the antenatal diagnosis on prereferral mortality of infants with critical CHD in a center without cardiovascular surgery clinic. METHODS: Medical records of the neonates who were diagnosed with critical CHD between the years 2010 and 2016 in Zekai Tahir Burak Women's health Education and Research Hospital were retrospectively reviewed for the study...
April 30, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29674196/clinical-and-imaging-profile-of-patients-with-new-onset-seizures-a-presumptive-diagnosis-of-eclampsia-a-prospective-observational-study
#15
Vandana Bojja, Anish Keepanasseril, Pradeep P Nair, V C Sunitha
OBJECTIVE: To study the clinical and imaging profile of patients with new-onset seizures with a presumptive diagnosis of eclampsia. METHODS: This was a cross-sectional study, conducted in a tertiary teaching hospital, on pregnant women presenting with new onset seizures with presumptive diagnosis of eclampsia excluding those with pre-existing neurological conditions. Demographic details, medical and obstetric examination findings were noted. All women underwent neuroimaging within 5 days of onset seizures...
February 25, 2018: Pregnancy Hypertension
https://www.readbyqxmd.com/read/29661565/fetal-growth-restriction-in-twins
#16
REVIEW
R Townsend, A Khalil
Twin pregnancies are more likely to be affected by fetal growth restriction (FGR), preterm birth and perinatal loss. The management of fetal growth restriction in multiple pregnancy, particularly where only one fetus is affected is complicated by the need to consider the interests of both twins. Selective growth restriction in monochorionic (MC) twins is a pathophysiological process distinct from FGR in dichorionic (DC) pregnancies and management demands an understanding of the monochorionic placental structure and interdependent fetal circulations...
February 24, 2018: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29657906/imaging-characteristics-of-dural-arteriovenous-fistulas-involving-the-vein-of-galen-a-comprehensive-review
#17
REVIEW
Mohammad W Kassem, Paul J Choi, Joe Iwanaga, Martin M Mortazavi, R Shane Tubbs
Vein of Galen aneurysmal malformation (VGAM) is a rare angiopathy, which most commonly presents in infancy. Although very rare, it is associated with high morbidity and mortality rates. In order to minimize such morbid rates, a prompt diagnosis followed by a timely initiation of management is crucial. Multiple antenatal and postnatal imaging techniques for the diagnosis have been described and discussed in the literature. However, to our knowledge, a comprehensive review exploring such a list of imaging options for VGAM has never been established...
February 11, 2018: Curēus
https://www.readbyqxmd.com/read/29656674/psycho-social-approach-of-perinatal-palliative-care
#18
Barthélémy Tosello, Lionel Dany
The diagnosis of some of these antenatal pathologies is difficult to reconcile with post-natal survival. Indeed, the diagnosis and management of pregnancies complicated by lethal fetal abnormalities (LFA) pose a challenge for both the parents and the clinicians. The practices discussed are characterized by the multiple challenges involved (on professional, informational, human, and ethical levels) and question the necessity and validity of a multidisciplinary approach. Revealing professional experiences and practices and the biopsychosocial processes behind them could prove useful in advancing attitudes toward LFA, how it is managed, and the care options available...
April 15, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29650748/exploring-the-prenatal-experience-of-women-with-intellectual-and-developmental-disabilities-in-a-southeastern-ontario-family-health-team
#19
Elaine Xie, Meg Gemmill
OBJECTIVE: To identify psychosocial challenges facing pregnant women with intellectual and developmental disabilities (IDD) using retrospective, routinely collected electronic medical record data. DESIGN: A retrospective qualitative study using narratives and supporting documents found in the electronic medical record of an academic family health team (FHT). SETTING: Academic FHT in southeastern Ontario. PARTICIPANTS: A sample of 10 women with a diagnosis of IDD, rostered to physicians at the academic FHT, who delivered a child between January 2010 and June 2015 (14 pregnancies)...
April 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29644040/a-rare-case-of-a-lingual-mass-in-a-neonate
#20
Laura Leach, Nico Jonas
A large lingual cyst was noted on the 22-week antenatal ultrasound, which grew in proportion to the foetus on serial imaging. An elective c-section was performed in view of possible airway obstruction, and the neonate initially required oxygen to maintain saturations. Aged 1 month, the baby developed significant breastfeeding difficulties secondary to rapid cyst and secondary tongue enlargement, completely filling the oral cavity. Fifteen millilitres of fluid were aspirated in clinic, resulting in reduction of tongue size and immediate improvement in feeding...
April 2018: Journal of Surgical Case Reports
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