Pub Date : 2025-04-01Epub Date: 2025-02-17DOI: 10.1097/FM9.0000000000000268
Liping Shui, Jia Liu, Lin Tang, Guolin He
{"title":"Pregnancy Loss Caused by Repeated Unexplained Infections in the Second Trimester.","authors":"Liping Shui, Jia Liu, Lin Tang, Guolin He","doi":"10.1097/FM9.0000000000000268","DOIUrl":"10.1097/FM9.0000000000000268","url":null,"abstract":"","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"7 2","pages":"100-101"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-01Epub Date: 2025-03-17DOI: 10.1097/FM9.0000000000000284
Cuilin Zhang, Huixia Yang
{"title":"Advancing Maternal and Fetal Medicine in Low- and Middle-Income Countries.","authors":"Cuilin Zhang, Huixia Yang","doi":"10.1097/FM9.0000000000000284","DOIUrl":"10.1097/FM9.0000000000000284","url":null,"abstract":"","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"7 2","pages":"65-66"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-01Epub Date: 2024-12-12DOI: 10.1097/FM9.0000000000000258
Patrick Ashinze, Eniola Obafemi, Elelu Muhammed, Aremu Sikiru Ademola, Nelson Mafua, Olajuwon Tolulope, Lawal Qudus
{"title":"Crisis at Birth: Confronting Unconventional Practices for Maternal and Neonatal Well-being in the Hinterlands of Africa.","authors":"Patrick Ashinze, Eniola Obafemi, Elelu Muhammed, Aremu Sikiru Ademola, Nelson Mafua, Olajuwon Tolulope, Lawal Qudus","doi":"10.1097/FM9.0000000000000258","DOIUrl":"10.1097/FM9.0000000000000258","url":null,"abstract":"","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"7 2","pages":"107-108"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-01Epub Date: 2025-02-10DOI: 10.1097/FM9.0000000000000265
Ruxiu Ge, Xiaoxia Wu
{"title":"Intrauterine Transfusion Navigates Severe Fetal Anemia due to Anti-Jkb.","authors":"Ruxiu Ge, Xiaoxia Wu","doi":"10.1097/FM9.0000000000000265","DOIUrl":"10.1097/FM9.0000000000000265","url":null,"abstract":"","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"7 2","pages":"95-96"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2024-09-10DOI: 10.1097/FM9.0000000000000241
Suzi AbdelAziz, Nour A El-Goly, Ahmed M Maged, Nehal Bassiouny, Nihal El-Demiry, Ahmed Shamel
Objective: To evaluate the diagnostic accuracy of magnetic resonance imaging (MRI) in diagnosing placenta accreta spectrum (PAS).
Methods: We conducted a comprehensive literature search from database inception to November 2023 using terms such as placenta creta, increta, percreta, PAS, MRI, and their respective Medical Subject Headings terms. All prospective and retrospective cohort, case-control, and cross-sectional studies involving prenatal magnetic resonance imaging diagnosis of PAS with subsequent pathological confirmation were included.
Results: A total of 40 studies encompassing 3664 women met the inclusion criteria, with 1894 cases confirmed pathologically as PAS. The overall sensitivity of MRI was 0.867 (95% confidence interval (CI): 0.807-0.910), and the specificity was 0.860 (95% CI: 0.799-0.905), with a correlation of 0.693 between sensitivity and specificity. The estimated odds ratio was 28.693 (95% CI: 14.463-56.924), the negative likelihood ratio was 0.178 (95% CI: 0.122-0.258), and the positive likelihood ratio was 4.316 (95% CI: 3.186-5.846). Analysis of individual MRI criteria revealed estimates of sensitivity, specificity, odds ratio, negative likelihood ratio, and positive likelihood ratio for abnormal placental bed vascularization as 0.500, 0.740, 2.788, 0.571, and 1.645 respectively; 0.384, 0.985, 6.270, 0.471, and 2.720 for bladder wall interruption; 0.766, 0.818, 13.638, 0.262, and 3.375 for the presence of dark intraplacental bands; 0.691, 0.913, 10.828, 0.352, and 3.361 for heterogeneous placenta; 0.688, 0.984, 34.886, 0.254, and 7.164 for indistinctive myometrium; 0.757, 0.864, 8.496, 0.362, and 2.778 for loss of retroplacental dark zone; 0.828, 0.593, 5.829, 0.329, and 1.766 for myometrial thinning; and 0.518, 0.916, 9.473, 0.411, and 3.526 for placental bulge, respectively.
Conclusion: MRI demonstrates significant utility in diagnosing PAS and its severity. It is recommended for use in all cases with inconclusive ultrasonographic findings.
{"title":"Diagnostic Accuracy of Magnetic Resonance Imaging in the Diagnosis of Placenta Accreta Spectrum: A Systematic Review and Meta-analysis.","authors":"Suzi AbdelAziz, Nour A El-Goly, Ahmed M Maged, Nehal Bassiouny, Nihal El-Demiry, Ahmed Shamel","doi":"10.1097/FM9.0000000000000241","DOIUrl":"10.1097/FM9.0000000000000241","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the diagnostic accuracy of magnetic resonance imaging (MRI) in diagnosing placenta accreta spectrum (PAS).</p><p><strong>Methods: </strong>We conducted a comprehensive literature search from database inception to November 2023 using terms such as placenta creta, increta, percreta, PAS, MRI, and their respective Medical Subject Headings terms. All prospective and retrospective cohort, case-control, and cross-sectional studies involving prenatal magnetic resonance imaging diagnosis of PAS with subsequent pathological confirmation were included.</p><p><strong>Results: </strong>A total of 40 studies encompassing 3664 women met the inclusion criteria, with 1894 cases confirmed pathologically as PAS. The overall sensitivity of MRI was 0.867 (95% confidence interval (<i>CI</i>): 0.807-0.910), and the specificity was 0.860 (95% <i>CI</i>: 0.799-0.905), with a correlation of 0.693 between sensitivity and specificity. The estimated odds ratio was 28.693 (95% <i>CI</i>: 14.463-56.924), the negative likelihood ratio was 0.178 (95% <i>CI</i>: 0.122-0.258), and the positive likelihood ratio was 4.316 (95% <i>CI</i>: 3.186-5.846). Analysis of individual MRI criteria revealed estimates of sensitivity, specificity, odds ratio, negative likelihood ratio, and positive likelihood ratio for abnormal placental bed vascularization as 0.500, 0.740, 2.788, 0.571, and 1.645 respectively; 0.384, 0.985, 6.270, 0.471, and 2.720 for bladder wall interruption; 0.766, 0.818, 13.638, 0.262, and 3.375 for the presence of dark intraplacental bands; 0.691, 0.913, 10.828, 0.352, and 3.361 for heterogeneous placenta; 0.688, 0.984, 34.886, 0.254, and 7.164 for indistinctive myometrium; 0.757, 0.864, 8.496, 0.362, and 2.778 for loss of retroplacental dark zone; 0.828, 0.593, 5.829, 0.329, and 1.766 for myometrial thinning; and 0.518, 0.916, 9.473, 0.411, and 3.526 for placental bulge, respectively.</p><p><strong>Conclusion: </strong>MRI demonstrates significant utility in diagnosing PAS and its severity. It is recommended for use in all cases with inconclusive ultrasonographic findings.</p><p><strong>Registration: </strong>Registration number CRD42021267501.</p>","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"7 1","pages":"15-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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