keyword
https://read.qxmd.com/read/38489687/spontaneous-uterine-rupture-with-amniotic-sac-protrusion-during-the-third-trimester-of-a-unicornuate-uterus-pregnancy-a-rate-case-report
#1
JOURNAL ARTICLE
Yin Yin, Linlin Wang, Zhihong Shi, Yuxin Ma, Juan Yina
RATIONALE: Uterine rupture is an obstetrical emergency associated with severe maternal and fetal mortality. It is rare in the unscarred uterus of a primipara. PATIENT CONCERNS: A 25-year-old woman in her 38th week of gestation presented with slight abdominal pain of sudden onset 10 hours before. An emergency cesarean section was done. After surgery, the patient and the infant survived. DIAGNOSES: With slight abdominal pain of clinical signs, ultrasound examination showed that the amniotic sac was found in the peritoneal cavity with a rupture of the uterine fundus...
March 15, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38488876/thoracic-fluid-content-tfc-using-electrical-cardiometry-versus-lung-ultrasound-in-the-diagnosis-of-transient-tachypnea-of-newborn
#2
JOURNAL ARTICLE
Nagwa Mohamed Abd El-Fattah, Heba Saied El-Mahdy, Manal Fathy Hamisa, Ashraf Mohamed Ibrahim
This study aimed to evaluate TFC by EC versus lung ultrasound (LUS) findings for diagnosing and follow-up of TTN in late preterm and term neonates. This prospective observational study was conducted on 80 neonates with gestational age ≥ 34 weeks. TTN group included 40 neonates diagnosed with TTN, and no lung disease (NLD) group included 40 neonates without respiratory distress. LUS and EC were performed within the first 24 h of life and repeated after 72 h. There was a statistically significant increase in TFC in TTN group on D1 [48...
March 15, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38485431/point-of-care-testing-and-treatment-of-sexually-transmitted-and-genital-infections-to-improve-birth-outcomes-in-high-burden-low-resource-settings-wantaim-a-pragmatic-cluster-randomised-crossover-trial-in-papua-new-guinea
#3
JOURNAL ARTICLE
Michaela A Riddell, Lisa M Vallely, Alice Mengi, Steven G Badman, Nicola Low, Handan Wand, John W Bolnga, Delly Babona, Glen D L Mola, Virginia Wiseman, Angela Kelly-Hanku, Caroline S E Homer, Christopher Morgan, Stanley Luchters, David M Whiley, Leanne J Robinson, Lucy Au, Irene Pukai-Gani, Moses Laman, Grace Kariwiga, Pamela J Toliman, Neha Batura, Sepehr N Tabrizi, Stephen J Rogerson, Suzanne M Garland, Rebecca J Guy, Rosanna W Peeling, William S Pomat, John M Kaldor, Andrew J B Vallely
BACKGROUND: Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, and bacterial vaginosis have been associated with adverse maternal and perinatal outcomes, but there is conflicting evidence on the benefits of antenatal screening and treatment for these conditions. We aimed to determine the effect of antenatal point-of-care testing and immediate treatment of C trachomatis, N gonorrhoeae, T vaginalis, and bacterial vaginosis on preterm birth, low birthweight, and other adverse maternal and perinatal outcomes compared with current standard of care, which included symptom-based treatment without laboratory confirmation...
April 2024: Lancet Global Health
https://read.qxmd.com/read/38481740/case-report-foetal-gastroschisis-with-ideal-pregnancy-outcomes-under-multidisciplinary-treatment-management
#4
Shuhua Liu, Jingyu Qian, Qiuru Li, Dehong Liu, Bin Zhang, Xianxia Chen
BACKGROUND: Gastroschisis has increased in recent years, however, complicated gastroschisis is associated with higher mortality, as well as higher health care costs and disease burdens from short- and long-term complications. CASE INTRODUCTION: A woman aged 25 years old at 37 + 1 weeks gestation (gravida 2; para 0) was admitted to the hospital because of foetal gastroschisis. Targeted quaternary ultrasound performed at our hospital showed that 34 mm of the abdominal wall was interrupted continuously, an intestinal echo with a range of approximately 88 × 50 mm was seen bulging outwards the local area close to the intestinal wall showed a 34 × 23 m anecho, and the foetus was measuring 2 weeks smaller than expected...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38477629/respiratory-morbidity-among-offspring-misclassified-as-growth-restricted
#5
JOURNAL ARTICLE
Omri Zamstein, Tamar Wainstock, Eyal Sheiner
OBJECTIVE: An ultrasound-based diagnosis implies that some fetuses suspected to be growth-restricted (FGR) are discovered at birth to be appropriately grown (appropriate for gestational age [AGA] birth weight, between the 10th and 90th percentile). These fetuses may thus be exposed to unnecessary medical interventions, including early labor induction. In this study, we have evaluated the long-term respiratory health of offspring misclassified as FGR. STUDY DESIGN: A population-based cohort analysis was conducted, including deliveries of AGA singletons between 1991 and 2021 at a tertiary referral hospital...
March 13, 2024: Pediatric Pulmonology
https://read.qxmd.com/read/38475689/progress-in-the-application-of-echocardiography-in-neonatal-pulmonary-hypertension
#6
REVIEW
Zehang Hu, Shumin Fan
Purpose: This review aims to overview the use of echocardiography in diagnosing neonatal pulmonary hypertension, assessing cardiac function, and understanding the significance and limitations of various parameters in clinical practice. Materials and methods: Advancements in echocardiography for diagnosing and assessing neonatal pulmonary hypertension, evaluating cardiac function, monitoring treatment effectiveness, and predicting prognosis are discussed. Results: Echocardiography is a pivotal tool for diagnosing and managing neonatal pulmonary hypertension...
December 2024: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/38466173/clinical-value-of-screening-prenatal-ultrasound-combined-with-chromosomal-microarrays-in-prenatal-diagnosis-of-chromosomal-abnormalities
#7
JOURNAL ARTICLE
Hongru Jiang, Xiangtian Kong, Wenjun Bian, Jiangyue Liu, Yuanyuan Xu, Aimin Cui, Xian Cao
OBJECTIVE: To evaluate the clinical value of ultrasound findings in the screening of fetal chromosomal abnormalities and the analysis of risk factors for chromosome microarray analysis (CMA) abnormalities. METHODS: We retrospectively analyzed the datasets of 15,899 pregnant women who underwent prenatal evaluations at Affiliated Maternity and Child Health Care Hospital of Nantong University between August 2018 and December 2022. Everyone underwent ultrasound screening, and those with abnormal findings underwent CMA to identify chromosomal abnormalities...
December 2024: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/38464933/giant-bile-duct-dilatation-in-newborn-a-case-report
#8
Dong-Wen Quan, Peng-Gang Li, Xiang-Hua Xu, Shi-Qi Liu
BACKGROUND: Giant congenital biliary dilation (CBD) is a rare condition observed in clinical practice. Infants born with this condition often experience a poor overall health status, and the disease progresses rapidly, leading to severe biliary obstruction, infections, pressure exerted by the enlarged CBD on abdominal organs, disturbances in the internal environment, and multiple organ dysfunction. The treatment of giant CBD using laparoscopy is challenging due to the high degree of variation in the shape of the bile duct and other organs, making it difficult to separate the bile duct wall from adjacent tissues or to control bleeding...
February 26, 2024: World Journal of Clinical Cases
https://read.qxmd.com/read/38463451/neonatal-graves-disease-with-persistent-hypoglycemia-a-case-report
#9
Samantha Fine, Michael Gottschalk, Krishelle Marc-Aurele
Neonatal Graves disease is the most common cause of hyperthyroidism during the newborn period. Maternal Graves disease increases the risk of intrauterine growth restriction, small for gestational age, and neonatal Graves disease. Intrauterine growth restriction and small for gestational age are associated with hypoglycemia and transient neonatal hyperinsulinism. Neonatal Graves disease with severe persistent hypoglycemia has not been well described. We present the case of a female patient born at 34 weeks and 3 days with a birth weight of 1...
2024: SAGE Open Medical Case Reports
https://read.qxmd.com/read/38462251/parturition-at-term-induction-second-and-third-stages-of-labor-and-optimal-management-of-life-threatening-complications-hemorrhage-infection-and-uterine-rupture
#10
EDITORIAL
Roberto Romero, Virginia Sabo Romero, Karim D Kalache, Joanne Stone
Childbirth is a defining moment in anyone's life, and it occurs 140 million times per year. Largely a physiologic process, parturition does come with risks; one mother dies every two minutes. These deaths occur mostly among healthy women, and many are considered preventable. For each death, 20 to 30 mothers experience complications that compromise their short- and long-term health. The risk of birth extends to the newborn, and, in 2020, 2.4 million neonates died, 25% in the first day of life. Hence, intrapartum care is an important priority for society...
March 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38454441/safety-and-efficacy-of-remifentanil-target-controlled-infusion-for-conscious-sedation-in-a-pregnant-woman-a-case-report
#11
JOURNAL ARTICLE
Camilla Munafo', Antonella Loperfido, Fulvio Mammarella, Arianna Crosti, Federico Iannilli, Francesca Romana Millarelli, Gianluca Bellocchi, Luigi Tritapepe
BACKGROUND: Every year 2% of pregnant women undergo nonobstetric surgical interventions worldwide. According to the American College of Obstetricians and Gynecologists Committee on Obstetric Practice, pregnant women should never be denied the most appropriate surgical treatment, regardless of the trimester of pregnancy. However, additional attention should be paid during the first trimester since it has the highest risk of inducing teratogenic mutations; additionally, during the third trimester, due to the possibility of preterm birth and low birth weight of the newborn, great care should be paid...
March 7, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38450579/spontaneous-rupture-of-neonatal-hepatic-hemangioma-diagnosed-by-ultrasound-a-case-report
#12
Xueyi Li, Wenhua Zhang
Hepatic hemangioma is the most prevalent benign liver tumor during the fetal and neonatal period, and its rupture poses a severe threat to newborns' lives-this article presents a case involving the spontaneous rupture of a hepatic hemangioma in a neonate. Early diagnosis through ultrasound enabled prompt treatment, resulting in the patient's timely discharge.
March 7, 2024: Journal of Clinical Ultrasound: JCU
https://read.qxmd.com/read/38444155/enhanced-diagnostic-capabilities-ultrasound-imaging-of-fetal-alimentary-tract-obstruction-with-advanced-imaging-technologies
#13
JOURNAL ARTICLE
Daniel Wolder, Adrian Swat, Przemysław Wolak, Anna Zmelonek-Znamirowska, Katarzyna Białek, Wojciech Rokita, Piotr Kaczmarek, Grzegorz Świercz
BACKGROUND Congenital malformations of the alimentary tract constitute 5% to 6% of newborn anomalies, with congenital intestinal atresia being a common cause of alimentary tract obstruction. This study explores advanced ultrasound diagnostic possibilities, including 2D, HDlive, HDlive inversion, and HDlive silhouette imaging modes, through the analysis of 3 cases involving duodenal and intestinal obstructions. Congenital malformations of the alimentary tract often present challenges in prenatal diagnosis. The most prevalent defect is congenital intestinal atresia leading to alimentary tract obstruction, with an incidence of approximately 6 in 10 000 births...
March 6, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38442990/second-trimester-screening-for-the-basilar-artery-a-new-approach-using-slowflowhd
#14
JOURNAL ARTICLE
Zhengfeng Zhu, Hezhou Li, Ming Wang
OBJECTIVES: Sonographic evaluation of the basilar artery is challenging, and a limited number of reports are available about the prenatal period, as manual positioning of probes is technically difficult. The objective of this study was to describe a sonographic transabdominal approach based on slowflow HD for screening of the basilar artery during the second trimester scan. METHODS: A total of 49 women who were enrolled in a second trimester screening were included when the fetus was in the occipitoanterior position...
December 2024: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/38439537/enterovirus-and-paraechovirus-meningitis-in-neonates-which-is-the-difference
#15
JOURNAL ARTICLE
Simonetta Picone, Vito Mondì, Federico Di Palma, Maria Beatrice Valli, Martina Reuca, Manuela Bedetta, Piermichele Paolillo
Enterovirus (EV) and parechovirus (HPeV) are common viruses in the neonatal period, with similar seasonality and symptomatology. They also are the main causes of aseptic meningitis in newborns and children under 1 year of age. We compared the clinical signs, laboratory data, brain, and neurodevelopmental outcome of 10 infants with HPeV and 8 with EV meningitis. In patients with EV meningitis, serum C-reactive protein (CRP) values were significantly higher than those of patients with HPeV infection. Procalcitonin values were low in both groups...
March 4, 2024: Clinical Pediatrics
https://read.qxmd.com/read/38436297/a-novel-neonatal-protocol-for-safe-insertion-of-umbilical-venous-catheters-siuvec-minimizing-complications-in-placement-and-management
#16
JOURNAL ARTICLE
Giovanni Barone, Mauro Pittiruti, Giorgia Prontera, Gina Ancora, Vito D'Andrea
Insertion of umbilical venous catheters is a common procedure in neonatal intensive care. Though sometimes lifesaving, this maneuver is potentially associated with early and late complications, some of which may be severe and even life threatening (catheter malposition, hepatic lesions, venous thrombosis, pericardial effusion, etc.). The recent literature suggests several operative strategies that, if adopted systematically, may significantly reduce the incidence of both early and late catheter related complications...
March 4, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38429824/ultrasound-findings-and-specific-intrinsic-blood-volume-expansion-therapy-for-neonatal-capillary-leak-syndrome-report-from-a-multicenter-prospective-self-control-study
#17
JOURNAL ARTICLE
Jing Liu, Yue-Qiao Gao, Wei Fu
OBJECTIVE: Capillary leak syndrome (CLS) is characterized by severe systemic edema without specific treatment, resulting in a high mortality rate. This study investigated whether there is organ edema in neonatal CLS patients and specific treatment strategies to improve patient prognosis. METHODS: Thirty-seven newborns diagnosed with CLS were included in this study. (1) Routine point-of-care ultrasound (POCUS) was used to identify whether the patients had visceral edema or fluid collection...
March 1, 2024: European Journal of Medical Research
https://read.qxmd.com/read/38429195/the-role-of-measuring-peak-systolic-velocity-of-the-middle-cerebral-artery-blood-flow-and-anti-k1-titre-during-pregnancy-to-detect-foetuses-with-severe-anaemia-foetal-hydrops-and-the-requirement-of-intrauterine-transfusion-a-systematic-review-and-meta-analysis
#18
REVIEW
Mufleha Ahmed, Denise E Jackson
The clinical manifestation of foetal anaemia caused by maternal Kell alloantibodies differs from that caused by non-Kell alloantibodies. Severe anaemia develops in the foetus in the early weeks of gestation; therefore, proper management and early intervention are important. A systematic review and meta-analysis was performed to determine whether the anti-K1 titre can determine the sequelae of Kell alloimmunised pregnancies. Prospective and retrospective cohort studies were used to conduct a systematic review following a comprehensive literature search, in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines...
February 26, 2024: Hematology, Transfusion and Cell Therapy
https://read.qxmd.com/read/38425627/early-detection-and-treatment-of-congenital-cataracts-using-fetal-ultrasound-a-case-of-a-newborn-with-a-family-history-of-congenital-cataracts
#19
Megumi Ito, Takashi Negishi, Sachi Funayama, Satoko Murakami, Sachiko Iizuka
This case study highlights the advances in fetal ultrasonography, illustrating its role in early detection and management of congenital cataracts. We present the case of a male infant with a family history of congenital cataracts, where an in-utero ultrasound examination at 25 weeks of gestation revealed potential cataracts. His mother and brother underwent cataract surgery. After birth examination revealed that the infant was diagnosed with bilateral congenital cataracts at two days. Bilateral lens aspiration and anterior vitrectomy without intraocular lens insertion were done...
January 2024: Curēus
https://read.qxmd.com/read/38421237/the-outcome-of-reduced-and-non-reduced-triplet-pregnancies-managed-in-a-tertiary-hospital-during-a-15-year-period%C3%A2-a-retrospective-cohort-study
#20
JOURNAL ARTICLE
Riina Maria Jernman, Annu-Riikka Susanna Rissanen, Vedran Stefanovic
OBJECTIVES: Triplet pregnancies involve several complications, the most important being prematurity as virtually all triplets are born preterm. We conducted this study to compare the outcomes of reduced vs. non-reduced triplet pregnancies managed in the largest tertiary hospital in Finland. METHODS: This was a retrospective cohort study in the Helsinki University Hospital during 2006-2020. Data on the pregnancies, parturients and newborns were collected from patient records...
March 1, 2024: Journal of Perinatal Medicine
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