Pub Date : 2001-10-01DOI: 10.1046/j.1469-0705.2001.abs26-25.x
A. Malvasi, A. Losito, D. Baldini, A. Mudoni, V. Traina
Background: In our reproductive medicine service, more than 3000 abortions have been practised every year, since 1978. The standard operation for legal abortion is executed, according to law 194/78 within 90 days. The technique in voluntary or spontaneous abortion provides D&C as well as hysterosuction with the patients in general anesthesia. In order to reduce the possible complications for this operation and the increasing legal cases, routine perioperative sonography has been used to evaluate sudden abortion complications.
{"title":"Reduction of complications during first trimester abortion with the use of sonography","authors":"A. Malvasi, A. Losito, D. Baldini, A. Mudoni, V. Traina","doi":"10.1046/j.1469-0705.2001.abs26-25.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs26-25.x","url":null,"abstract":"Background: In our reproductive medicine service, more than 3000 abortions have been practised every year, since 1978. The standard operation for legal abortion is executed, according to law 194/78 within 90 days. The technique in voluntary or spontaneous abortion provides D&C as well as hysterosuction with the patients in general anesthesia. In order to reduce the possible complications for this operation and the increasing legal cases, routine perioperative sonography has been used to evaluate sudden abortion complications.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76039707","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.abs26-23.x
S. A. Jun, M. Ahn
Early fetal growth delay and early oligohydramnios have been suspected as signs of embryonal jeopardy. Sonographic examinations of 100 early pregnancies between the sixth and ninth gestational week were performed to investigate predictable sonographic findings of early abortion. Sonographic measurements of the gestational sac (G‐SAC), Crown‐rump length (CRL) and fetal heart rate (FHR) were performed using a transvaginal transducer with Doppler. All measurement of 11 early abortions were compared to those of 89 normal pregnancies to investigate the objective rules for the screening of early abortion. Most of the early aborted pregnancies were classified correctly by discriminant analysis with G‐SAC and CRL (G‐SAC = 0.5222 × CRL + 14.6673 = 0.5 × CRL + 15). In conclusion, early fetal growth retardation and oligohydramnios could discriminate the poor prognosis of early pregnancies.
{"title":"How to discriminate between normal and abnormal early pregnancy","authors":"S. A. Jun, M. Ahn","doi":"10.1046/j.1469-0705.2001.abs26-23.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs26-23.x","url":null,"abstract":"Early fetal growth delay and early oligohydramnios have been suspected as signs of embryonal jeopardy. Sonographic examinations of 100 early pregnancies between the sixth and ninth gestational week were performed to investigate predictable sonographic findings of early abortion. Sonographic measurements of the gestational sac (G‐SAC), Crown‐rump length (CRL) and fetal heart rate (FHR) were performed using a transvaginal transducer with Doppler. All measurement of 11 early abortions were compared to those of 89 normal pregnancies to investigate the objective rules for the screening of early abortion. Most of the early aborted pregnancies were classified correctly by discriminant analysis with G‐SAC and CRL (G‐SAC = 0.5222 × CRL + 14.6673 = 0.5 × CRL + 15). In conclusion, early fetal growth retardation and oligohydramnios could discriminate the poor prognosis of early pregnancies.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83244979","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.abs22-2.x
D. Amaraddio, F. Y. Chan, M. Stone, D. Cooper, D. Payton
Background: Antenatal ultrasound is an accepted and widespread method for prenatal diagnosis. It has been shown that the performance of ultrasound in tertiary referral centers is better than in general units. Even so, some anomalies could still be missed in tertiary centers. Audits based on neonatal outcomes may not be completely accurate, as some anomalies may not be apparent yet. Postmortem is considered to be the Gold Standard for all identifiable fetal anomalies.
{"title":"Accuracy of antenatal ultrasound diagnosis assessed by Gold Standard – postmortem","authors":"D. Amaraddio, F. Y. Chan, M. Stone, D. Cooper, D. Payton","doi":"10.1046/j.1469-0705.2001.abs22-2.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs22-2.x","url":null,"abstract":"Background: Antenatal ultrasound is an accepted and widespread method for prenatal diagnosis. It has been shown that the performance of ultrasound in tertiary referral centers is better than in general units. Even so, some anomalies could still be missed in tertiary centers. Audits based on neonatal outcomes may not be completely accurate, as some anomalies may not be apparent yet. Postmortem is considered to be the Gold Standard for all identifiable fetal anomalies.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":"89 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82219197","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.abs22-8.x
S. Bakalis, S. Sairam, M. Patton, K. Harrington, K. Nicolaides, B. Thilaganathan
Aim: Congenital talipes equinovarus is a relatively poorly studied congenital anomaly with very little information available for parents. The aim of this study is to investigate the natural history and postnatal outcome of fetal talipes detected at 18–23 weeks in a large, unselected obstetric population.
{"title":"The outcome of antenatally diagnosed talipes equinovarus","authors":"S. Bakalis, S. Sairam, M. Patton, K. Harrington, K. Nicolaides, B. Thilaganathan","doi":"10.1046/j.1469-0705.2001.abs22-8.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs22-8.x","url":null,"abstract":"Aim: Congenital talipes equinovarus is a relatively poorly studied congenital anomaly with very little information available for parents. The aim of this study is to investigate the natural history and postnatal outcome of fetal talipes detected at 18–23 weeks in a large, unselected obstetric population.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83889283","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.1469-0705.2001.0180S1057.x
S. P. Higgins, F. NiChuileannain
Congenital cystic adenomatoid malformation (CCAM) is a pulmonary developmental anomaly arising from an overgrowth of the terminal respiratory bronchioles, while the development of the alveoli is completely suppressed except at the periphery. The condition, in the vast majority of cases is confined to a single lung (85%) or lobe. Congenital cystic adenomatoid malformation has been classified into three subgroups according to the size of the cysts. The inheritance pattern of the lesion appears to be sporadic, with no known teratogenic associations. The condition is usually isolated and there is no association with chromosomal defects. The ultrasound diagnosis is based on the finding of a solid or cystic, non‐pulsatile intrathoracic tumor. Common associated findings are polyhydramnios (65%), which is likely to be due to decreased fetal swallowing, the consequence of esophageal compression by the mass or decreased absorption of lung fluid by the hypoplastic, malformed lungs, hydrops (common in microcystic form) and placentomegaly (in cases of hydrops). Unilateral lesions are often associated with deviation of the mediastinum in the contralateral side. In bilateral disease, the heart may be severely compressed, and this is usually associated with ascites from venocaval obstruction or cardiac compression. We wish to present the outcome of 25 pregnancies where a diagnosis of congenital cystic adenomatoid malformation was made on the basis of ultrasound findings during second and third trimester scans. The patients were subsequently managed through the Fetal Management Unit at the Royal Women's Hospital over the 6‐year period from 1995 to 2001. We will present data on the progression of the lesions through pregnancy, pregnancy outcome with short‐ and long‐term follow up data on the babies.
{"title":"Outcome of 25 pregnancies complicated with CCAM","authors":"S. P. Higgins, F. NiChuileannain","doi":"10.1046/j.1469-0705.2001.0180S1057.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.0180S1057.x","url":null,"abstract":"Congenital cystic adenomatoid malformation (CCAM) is a pulmonary developmental anomaly arising from an overgrowth of the terminal respiratory bronchioles, while the development of the alveoli is completely suppressed except at the periphery. The condition, in the vast majority of cases is confined to a single lung (85%) or lobe. Congenital cystic adenomatoid malformation has been classified into three subgroups according to the size of the cysts. The inheritance pattern of the lesion appears to be sporadic, with no known teratogenic associations. The condition is usually isolated and there is no association with chromosomal defects. The ultrasound diagnosis is based on the finding of a solid or cystic, non‐pulsatile intrathoracic tumor. Common associated findings are polyhydramnios (65%), which is likely to be due to decreased fetal swallowing, the consequence of esophageal compression by the mass or decreased absorption of lung fluid by the hypoplastic, malformed lungs, hydrops (common in microcystic form) and placentomegaly (in cases of hydrops). Unilateral lesions are often associated with deviation of the mediastinum in the contralateral side. In bilateral disease, the heart may be severely compressed, and this is usually associated with ascites from venocaval obstruction or cardiac compression. We wish to present the outcome of 25 pregnancies where a diagnosis of congenital cystic adenomatoid malformation was made on the basis of ultrasound findings during second and third trimester scans. The patients were subsequently managed through the Fetal Management Unit at the Royal Women's Hospital over the 6‐year period from 1995 to 2001. We will present data on the progression of the lesions through pregnancy, pregnancy outcome with short‐ and long‐term follow up data on the babies.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89300818","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.abs28-36.x
S. Blazer, E. Zimmer, M. Bronshtein
Purpose: To assess the incidence of a non‐visualized gallbladder in early pregnancy and to determine its prognostic significance.
目的:评估妊娠早期胆囊未显像的发生率，并探讨其预后意义。
{"title":"The Significance of non‐visualization of the fetal gallbladder in early pregnancy","authors":"S. Blazer, E. Zimmer, M. Bronshtein","doi":"10.1046/j.1469-0705.2001.abs28-36.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs28-36.x","url":null,"abstract":"Purpose: To assess the incidence of a non‐visualized gallbladder in early pregnancy and to determine its prognostic significance.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":"118 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88057999","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.abs19-2.x
M. Meyer-Wittkopf, J. Vaughan, Gary F. Sholler
We applied 3D echocardiography to the diagnosis or exclusion of congenital heart disease (CHD) using rate gating with Doppler. Gated 3D volume data sets enabled diagnostically acceptable visualization of all cardiac structures in 16 of 29 fetuses without CHD and in 7 of 22 fetuses with CHD, and significant elements of anatomy in the remainder. In fetuses without CHD a dynamic 3D perspective of valve morphology and ventricular wall motion of the four‐ and five‐chamber view projection was available in 19/29 cases. A high quality 3D reconstruction of the site and spatial orientation of VSD could be obtained in 9/13 patients with CHD. The 2D imaging remained the principal diagnostic modality in all cases with additonal structural detail obtained by 3D imaging in only two fetuses with CHD. The 3D imaging of the fetal heart is feasible and may provide additional information of clinical value in a small number of cases with CHD when compared with 2D imaging.
{"title":"Evaluation of normal and abnormal fetal heart anatomy using 3D echocardiography","authors":"M. Meyer-Wittkopf, J. Vaughan, Gary F. Sholler","doi":"10.1046/j.1469-0705.2001.abs19-2.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs19-2.x","url":null,"abstract":"We applied 3D echocardiography to the diagnosis or exclusion of congenital heart disease (CHD) using rate gating with Doppler. Gated 3D volume data sets enabled diagnostically acceptable visualization of all cardiac structures in 16 of 29 fetuses without CHD and in 7 of 22 fetuses with CHD, and significant elements of anatomy in the remainder. In fetuses without CHD a dynamic 3D perspective of valve morphology and ventricular wall motion of the four‐ and five‐chamber view projection was available in 19/29 cases. A high quality 3D reconstruction of the site and spatial orientation of VSD could be obtained in 9/13 patients with CHD. The 2D imaging remained the principal diagnostic modality in all cases with additonal structural detail obtained by 3D imaging in only two fetuses with CHD. The 3D imaging of the fetal heart is feasible and may provide additional information of clinical value in a small number of cases with CHD when compared with 2D imaging.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90243385","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.abs27-9.x
A. Geipel, C. Berg, U. Germer, S. Gröger, M. Krapp, A. Katalinic, U. Gembruch
Objective: To compare singleton nomograms of the uterine circulation with previously established twin nomograms in the prediction of hypertensive disorders, small‐for‐gestational age (SGA) and birth weight discordance >20%.
{"title":"Doppler assessment of the uterine circulation in the second trimester in twin pregnancies: prediction of hypertensive disorders, small‐for‐gestational age and weight discordance","authors":"A. Geipel, C. Berg, U. Germer, S. Gröger, M. Krapp, A. Katalinic, U. Gembruch","doi":"10.1046/j.1469-0705.2001.abs27-9.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs27-9.x","url":null,"abstract":"Objective: To compare singleton nomograms of the uterine circulation with previously established twin nomograms in the prediction of hypertensive disorders, small‐for‐gestational age (SGA) and birth weight discordance >20%.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78783973","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.1469-0705.2001.0180S1059.x
T. Tan, A. Tan
A reduction in the amount of amniotic fluid occurs in 3–5% of all deliveries. This could be due to congenital anomalies, IUGR or premature rupture of membranes. Preterm rupture of membranes places the fetus at risk of cord compression and amnionitis. On the other hand, oligo‐hydramnios has been associated with severe pulmonary hypoplasia. In 1983, Miyazaki and Nevarez first reported the effectiveness of intrauterine installation of saline solutions in relieving variable decelerations during labor. Since then, amnio‐infusion has aroused interest. To our knowledge, there has been no conclusive study done to evaluate the use of antenatal amnio‐infusion for oligo‐hydramnios diagnosed antenatally. We would like to present three case‐studies of oligo‐hydramnios seen in our department in the period 1997–2001 which we performed antenatal transabdominal amnio‐infusion. Warm saline/Hartmann solution was injected through a 22G spinal needle under ultrasound guidance. Vaginal delivery occurred in two cases (one term and one preterm); the third pregnancy is still on‐going. There was no meconium aspiration and no signs of fetal distress. Both cases had good maternal and neonatal outcome except that the preterm baby was treated with intravenous ampicillin/gentamicin for pneumonia. There was no congenital malformation noted.
{"title":"Antenatal transabdominal amnio‐infusion for oligo‐hydramnios due to preterm premature rupture of membranes","authors":"T. Tan, A. Tan","doi":"10.1046/j.1469-0705.2001.0180S1059.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.0180S1059.x","url":null,"abstract":"A reduction in the amount of amniotic fluid occurs in 3–5% of all deliveries. This could be due to congenital anomalies, IUGR or premature rupture of membranes. Preterm rupture of membranes places the fetus at risk of cord compression and amnionitis. On the other hand, oligo‐hydramnios has been associated with severe pulmonary hypoplasia. In 1983, Miyazaki and Nevarez first reported the effectiveness of intrauterine installation of saline solutions in relieving variable decelerations during labor. Since then, amnio‐infusion has aroused interest. To our knowledge, there has been no conclusive study done to evaluate the use of antenatal amnio‐infusion for oligo‐hydramnios diagnosed antenatally. We would like to present three case‐studies of oligo‐hydramnios seen in our department in the period 1997–2001 which we performed antenatal transabdominal amnio‐infusion. Warm saline/Hartmann solution was injected through a 22G spinal needle under ultrasound guidance. Vaginal delivery occurred in two cases (one term and one preterm); the third pregnancy is still on‐going. There was no meconium aspiration and no signs of fetal distress. Both cases had good maternal and neonatal outcome except that the preterm baby was treated with intravenous ampicillin/gentamicin for pneumonia. There was no congenital malformation noted.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88022200","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.abs19-3.x
J. Smrcek, U. Germer, C. Berg, U. Gembruch
Purpose: To evaluate the value of early cardiac biometry for the detection of congenital heart defects (CHD) using our normative data.
目的:探讨早期心脏生物测量技术在先天性心脏缺陷(CHD)诊断中的应用价值。
{"title":"The diagnostic value of fetal heart biometry in early pregnancy","authors":"J. Smrcek, U. Germer, C. Berg, U. Gembruch","doi":"10.1046/j.1469-0705.2001.abs19-3.x","DOIUrl":"https://doi.org/10.1046/j.1469-0705.2001.abs19-3.x","url":null,"abstract":"Purpose: To evaluate the value of early cardiac biometry for the detection of congenital heart defects (CHD) using our normative data.","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":"129 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73400578","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：