Pub Date : 2001-10-01DOI: 10.1046/j.1469-0705.2001.abs19-5.x
S. Degani, Z. Leibovitz, I. Shapiro, G. Ohel
Objective: To evaluate cardiac dimensions and function in euploid fetuses with intracardiac echogenic foci.
目的:评价心脏超声病灶整倍体胎儿的心脏尺寸和功能。
{"title":"Fetal cardiac function in fetuses with intracardiac echogenic foci","authors":"S. Degani, Z. Leibovitz, I. Shapiro, G. Ohel","doi":"10.1046/j.1469-0705.2001.abs19-5.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs19-5.x","url":null,"abstract":"Objective: To evaluate cardiac dimensions and function in euploid fetuses with intracardiac echogenic foci.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76186243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-10-01DOI: 10.1046/j.1469-0705.2001.abs27-2.x
L. Solerte, A. Ragusa, S. Garsia
Fetal surveillance in adequate for gestational age (AGA) and small for gestational age (SGA) allows to predict distress conditions and improve neonatal outcome. Doppler velocimetry (DV), fetal heart rate monitoring (CTG), biophysical profile with amniotic fluid index, are the common tools used to have fetal direct–indirect signs of well‐being. Several clinical studies stressed DV and CTG‐like reliable evidences of fetal conditions, despite their known limitations, connected with gestational age and compensatory mechanisms. In order to establish the best follow up time for fetal health, we analyzed two different groups of 20 non‐selected pregnant women with SGA 10–30 percentile. Intrauterine growth retardation were excluded for different role of DV in prediction and screening in placental disorders. From January to July 2001 we observed our two groups divided by maternal history; women were homogeneous for age and weight, with SGA.
{"title":"Weekly and 2‐week Doppler investigations to avoid misunderstanding compromised fetal conditions? SGA fetuses management in our experience","authors":"L. Solerte, A. Ragusa, S. Garsia","doi":"10.1046/j.1469-0705.2001.abs27-2.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs27-2.x","url":null,"abstract":"Fetal surveillance in adequate for gestational age (AGA) and small for gestational age (SGA) allows to predict distress conditions and improve neonatal outcome. Doppler velocimetry (DV), fetal heart rate monitoring (CTG), biophysical profile with amniotic fluid index, are the common tools used to have fetal direct–indirect signs of well‐being. Several clinical studies stressed DV and CTG‐like reliable evidences of fetal conditions, despite their known limitations, connected with gestational age and compensatory mechanisms. In order to establish the best follow up time for fetal health, we analyzed two different groups of 20 non‐selected pregnant women with SGA 10–30 percentile. Intrauterine growth retardation were excluded for different role of DV in prediction and screening in placental disorders. From January to July 2001 we observed our two groups divided by maternal history; women were homogeneous for age and weight, with SGA.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74273326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-10-01DOI: 10.1046/j.1469-0705.2001.0180S1027.x
K. Błaszczyk, M. Wojcieszyn, A. Lukasik, K. Swadzba, M. Stokowacka, R. Poręba
Objectives: The objective of this study is to evaluate weather there is a correlation between Doppler velocity waveform parameters obtained from fetal pulmonary artery and fetal lung length considered as one of the lung hypoplasia risk parameters in pregnancies complicated by oligohydramnios.
{"title":"Relationship between fetal pulmonary artery blood flow velocity waveform and fetal lung length in pregnancies complicated by oligohydramnios","authors":"K. Błaszczyk, M. Wojcieszyn, A. Lukasik, K. Swadzba, M. Stokowacka, R. Poręba","doi":"10.1046/j.1469-0705.2001.0180S1027.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.0180S1027.x","url":null,"abstract":"Objectives: The objective of this study is to evaluate weather there is a correlation between Doppler velocity waveform parameters obtained from fetal pulmonary artery and fetal lung length considered as one of the lung hypoplasia risk parameters in pregnancies complicated by oligohydramnios.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90073876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-10-01DOI: 10.1046/j.1469-0705.2001.abs27-38.x
A. Salim, P. Handaya, G. Wiknjosastro, B. Karsono
Introduction: Surviving of the fetus of the third trimester abdominal pregnancy is possible although very rare. The high fetal and maternal mortality rates is associated with it. We report four cases which succeed in having two living healthy babies. The subsequent problem is about the placenta which is left in the abdomen.
{"title":"Third trimester abdominal pregnancy","authors":"A. Salim, P. Handaya, G. Wiknjosastro, B. Karsono","doi":"10.1046/j.1469-0705.2001.abs27-38.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs27-38.x","url":null,"abstract":"Introduction: Surviving of the fetus of the third trimester abdominal pregnancy is possible although very rare. The high fetal and maternal mortality rates is associated with it. We report four cases which succeed in having two living healthy babies. The subsequent problem is about the placenta which is left in the abdomen.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91426891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-10-01DOI: 10.1046/j.1469-0705.2001.0180S1038.x
F. Vasques, A. Moron, C. Murta, F. Carvalho, H. Cattini, T. Gonçalves, M. Barbosa, W. J. Hishaba
A prospective cross‐sectional study was developed in order to determine the reproducibility of the measurement of the umbilical cord cross‐sectional area (UCCSA) during normal pregnancies (patients with known dates of LMP and an ultrasound examination before the 20th week, without any pathologic condition), measured by different and trained examiners. The measurements of the umbilical cord cross‐sectional area were obtained in a plane adjacent to the insertion of the cord abdomen, as proposed by Raio et al. 1999, after the different examiners were trained by the author. The inclusion criteria were: (1) singleton pregnancy; (2) gestation age >20 weeks; (3) intact membranes (4) normal umbilical Doppler flow velocimetry. The exclusion criteria, in the presence of any of those were: (1) congenital and/or chromosomal abnormalities; (2) pregnancy complications (any type); (3) inadequate size for gestational age with when the examination was performed, i.e. the weight below the 10th percentile or above the 90th; (4) abnormal AFI for the gestational age. The patients were examined and included only once. During the period of the study (February 2000–May 2001), 545 patients were examined, after meeting the inclusion criteria determined for the present study. The age of the patients ranged from 15 to 42 years (mean = 26.7 ± 4.8), 242 patients (44.4%) had two gestations, 135 patients (28.1%) were at their first gestation, 129 patients (23.7%) were at their third gestation and 39 patients had four or more gestations (3.8%). The ultrasound machine used was the Synergy Multi Sync M 500. The statistical program used was the statistical package for social sciences (SPSS). The first examiner collected 22% of the data, the second examiner collected 45% of the data, the third examiner collected 24% of the data and the fourth one collected 9% of the data. According to the analysis of variance (anova), we performed, comparing the data obtained by the different examiners, no significance was found and this fact was also showed by the comparison of the data among them and verifying that the data had a dispersion inside tolerable limits. The anova showed the following data (example for 3 weeks): At 25 weeks, the F‐test showed a value of 0.930 and a P‐value of 0.454; at 32 weeks the values were 0.106 for the F‐test and 0.956 for the P‐value and for week 38 the values were 0.102 (F‐test) and 0.904 (P‐value). We conclude that the measurement of the UCCSA as proposed by Raio et al. 1999 is reproductible and can be adopted as a new obstetric ultrasound parameter.
一项前瞻性横断面研究是为了确定正常妊娠期间(已知LMP日期和20周前超声检查的患者，无任何病理状况)脐带横断面面积(UCCSA)测量的可重复性，由不同的训练有素的检查员测量。根据Raio等人1999年的建议，在作者培训了不同的检查人员后，在脐带腹部插入处附近的平面上测量脐带横截面积。纳入标准为:(1)单胎妊娠;(2)胎龄>20周;(3)完整膜(4)正常脐带多普勒血流测速。存在上述任何一种情况的排除标准是:(1)先天性和/或染色体异常;(2)妊娠并发症(任何类型);(3)与检查时胎龄不符，即体重低于第10百分位或高于第90百分位;(4)胎龄AFI异常。这些患者只接受了一次检查。在研究期间(2000年2月至2001年5月)，545名患者在符合本研究确定的纳入标准后接受了检查。年龄15 ~ 42岁，平均26.7±4.8岁，两次妊娠242例(44.4%)，首次妊娠135例(28.1%)，第三次妊娠129例(23.7%)，四次及以上妊娠39例(3.8%)。使用的超声仪是Synergy Multi Sync m500。使用的统计程序是社会科学统计软件包(SPSS)。第一审查员收集了22%的数据，第二审查员收集了45%的数据，第三审查员收集了24%的数据，第四审查员收集了9%的数据。根据方差分析(anova)，我们进行了，比较不同检验者获得的数据，没有发现显著性，这一事实也表明了数据之间的比较，并验证了数据具有可容忍范围内的离散度。方差分析显示以下数据(以3周为例):在25周时，F检验显示值为0.930,P值为0.454;32周时，F检验的值为0.106,P值为0.956;38周时，F检验的值为0.102,P值为0.904。我们得出结论，Raio等人1999年提出的UCCSA的测量是可重复的，可以作为新的产科超声参数。
{"title":"Ultrasonographically measured umbilical cord cross‐sectional area – reproducibility of the method","authors":"F. Vasques, A. Moron, C. Murta, F. Carvalho, H. Cattini, T. Gonçalves, M. Barbosa, W. J. Hishaba","doi":"10.1046/j.1469-0705.2001.0180S1038.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.0180S1038.x","url":null,"abstract":"A prospective cross‐sectional study was developed in order to determine the reproducibility of the measurement of the umbilical cord cross‐sectional area (UCCSA) during normal pregnancies (patients with known dates of LMP and an ultrasound examination before the 20th week, without any pathologic condition), measured by different and trained examiners. The measurements of the umbilical cord cross‐sectional area were obtained in a plane adjacent to the insertion of the cord abdomen, as proposed by Raio et al. 1999, after the different examiners were trained by the author. The inclusion criteria were: (1) singleton pregnancy; (2) gestation age >20 weeks; (3) intact membranes (4) normal umbilical Doppler flow velocimetry. The exclusion criteria, in the presence of any of those were: (1) congenital and/or chromosomal abnormalities; (2) pregnancy complications (any type); (3) inadequate size for gestational age with when the examination was performed, i.e. the weight below the 10th percentile or above the 90th; (4) abnormal AFI for the gestational age. The patients were examined and included only once. During the period of the study (February 2000–May 2001), 545 patients were examined, after meeting the inclusion criteria determined for the present study. The age of the patients ranged from 15 to 42 years (mean = 26.7 ± 4.8), 242 patients (44.4%) had two gestations, 135 patients (28.1%) were at their first gestation, 129 patients (23.7%) were at their third gestation and 39 patients had four or more gestations (3.8%). The ultrasound machine used was the Synergy Multi Sync M 500. The statistical program used was the statistical package for social sciences (SPSS). The first examiner collected 22% of the data, the second examiner collected 45% of the data, the third examiner collected 24% of the data and the fourth one collected 9% of the data. According to the analysis of variance (anova), we performed, comparing the data obtained by the different examiners, no significance was found and this fact was also showed by the comparison of the data among them and verifying that the data had a dispersion inside tolerable limits. The anova showed the following data (example for 3 weeks): At 25 weeks, the F‐test showed a value of 0.930 and a P‐value of 0.454; at 32 weeks the values were 0.106 for the F‐test and 0.956 for the P‐value and for week 38 the values were 0.102 (F‐test) and 0.904 (P‐value). We conclude that the measurement of the UCCSA as proposed by Raio et al. 1999 is reproductible and can be adopted as a new obstetric ultrasound parameter.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84609099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-10-01DOI: 10.1046/j.1469-0705.2001.abs27-11.x
M. Wojcieszyn, K. Błaszczyk, A. Lukasik, K. Swadzba, M. Stokowacka, R. Poręba
Objective: The objective of the study was to evaluate intraplacental Doppler indices in pregnancies complicated with oligohydramnios.
目的:探讨妊娠合并羊水过少时胎盘多普勒指数的变化。
{"title":"Evaluation of placental Doppler velocimetry in pregnancies complicated with oligohydramnios","authors":"M. Wojcieszyn, K. Błaszczyk, A. Lukasik, K. Swadzba, M. Stokowacka, R. Poręba","doi":"10.1046/j.1469-0705.2001.abs27-11.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs27-11.x","url":null,"abstract":"Objective: The objective of the study was to evaluate intraplacental Doppler indices in pregnancies complicated with oligohydramnios.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78017847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-10-01DOI: 10.1046/j.1469-0705.2001.abs28-17.x
J. O'Brien, B. Houseman, A. A. Allen, J. Barton
Purpose: Our purpose was to evaluate the performance of two different contrast agents for cervical sonography in obstetrical patients. In addition, we sought to evaluate this technique in a setting other than with transvaginal sonography, such as utilizing a transperineal or transabdominal approach.
{"title":"Enhancing cervical sonography with methyl‐cellulose gel","authors":"J. O'Brien, B. Houseman, A. A. Allen, J. Barton","doi":"10.1046/j.1469-0705.2001.abs28-17.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs28-17.x","url":null,"abstract":"Purpose: Our purpose was to evaluate the performance of two different contrast agents for cervical sonography in obstetrical patients. In addition, we sought to evaluate this technique in a setting other than with transvaginal sonography, such as utilizing a transperineal or transabdominal approach.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79206890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-10-01DOI: 10.1046/j.1469-0705.2001.absextra-2.x
Chen‐Hsiang Yu, F. Chang, T. Liao
Purpose: Precise assessment of the fetal organ volumes by prenatal ultrasound (US) is very important in the evaluation of fetal well‐being and maturation. Limb volume may be a possible predictive factor of intrauterine growth retardation. However, using two‐dimensional (2D) US to accurately estimate the fetal upper arm volume is difficult. With the advent of three‐dimensional (3D) US, the obstacle of 2DUS can be overcome. In this study we attempt to construct a normal reference centiles of fetal upper arm volume during gestation for clinical application using 3DUS.
{"title":"Assessment of normal fetal upper arm volume by three‐dimensional ultrasound","authors":"Chen‐Hsiang Yu, F. Chang, T. Liao","doi":"10.1046/j.1469-0705.2001.absextra-2.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.absextra-2.x","url":null,"abstract":"Purpose: Precise assessment of the fetal organ volumes by prenatal ultrasound (US) is very important in the evaluation of fetal well‐being and maturation. Limb volume may be a possible predictive factor of intrauterine growth retardation. However, using two‐dimensional (2D) US to accurately estimate the fetal upper arm volume is difficult. With the advent of three‐dimensional (3D) US, the obstacle of 2DUS can be overcome. In this study we attempt to construct a normal reference centiles of fetal upper arm volume during gestation for clinical application using 3DUS.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74595185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-10-01DOI: 10.1046/j.1469-0705.2001.abs26-17.x
B. Woelfer, R. Salim, J. Elson, A. Lawrence, D. Jurković
Background: Rising Cesarean section rates have led to an increasing number of pregnancies implanted into postoperative uterine scars. We report a large series of Cesarean scar pregnancies treated in a single tertiary referral center.
{"title":"Diagnosis and management of low segment Cesarean section scar pregnancies","authors":"B. Woelfer, R. Salim, J. Elson, A. Lawrence, D. Jurković","doi":"10.1046/j.1469-0705.2001.abs26-17.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs26-17.x","url":null,"abstract":"Background: Rising Cesarean section rates have led to an increasing number of pregnancies implanted into postoperative uterine scars. We report a large series of Cesarean scar pregnancies treated in a single tertiary referral center.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73813672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-10-01DOI: 10.1046/j.1469-0705.2001.abs27-25.x
M. Vitug, R. Rivera, L. R. Clemente
Background: The birth weight of an infant is one of the most important factors affecting its survival. Four computer‐generated formulas, Hadlock, Merz, Osaka and Shepard for weight estimation are in common use in our institution, but none of them has been devised specifically for Filipinos. It is the objective of the study to determine which among these formulas is accurate in diagnosing the fetus weighing 4000 g or more among Filipinos.
{"title":"Accuracy of ultrasonographic determination of fetal weight at term among Filipinos","authors":"M. Vitug, R. Rivera, L. R. Clemente","doi":"10.1046/j.1469-0705.2001.abs27-25.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs27-25.x","url":null,"abstract":"Background: The birth weight of an infant is one of the most important factors affecting its survival. Four computer‐generated formulas, Hadlock, Merz, Osaka and Shepard for weight estimation are in common use in our institution, but none of them has been devised specifically for Filipinos. It is the objective of the study to determine which among these formulas is accurate in diagnosing the fetus weighing 4000 g or more among Filipinos.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75022609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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