China
Africa
Explore chapters and articles related to this topic
Preparation Before Labor
Published in Vincenzo Berghella, Obstetric Evidence Based Guidelines, 2022
Daniele Di Mascio, Leen Al-Hafez
Women allocated to admission cardiotocography (CTG) have an increase in the incidence of cesarean delivery than women allocated to intermittent auscultation. Obtaining an amniotic fluid index in early labor is associated with a higher incidence of cesarean delivery and similar neonatal outcomes.
Amnioinfusion
Published in Hung N. Winn, Frank A. Chervenak, Roberto Romero, Clinical Maternal-Fetal Medicine Online, 2021
James Kerns, Erol Amon, Hung N. Winn
Ultrasound evaluation of the amniotic fluid includes the one largest vertical pocket and the amniotic fluid index (AFI). The latter is a summation of the highest vertical dimensions of the four quadrants of the uterine cavity. Oligohydramnios exists if the AFI is less than 5cm. If the vertical dimension of the largest pocket of fluid is <1cm, severe oligohydramnios is present.
Intrapartum care
Published in Marwan Habiba, Andrea Akkad, Justin Konje, MRCOG Part 2, 2017
Marwan Habiba, Andrea Akkad, Justin Konje
A 25-year-old primigravida with a 10-year history of IDDM attends the obstetric-diabetic clinic at 36 weeks’ gestation following an ultrasound assessment of fetal growth. This suggests fetal head circumference on the 90th centile, and the abdominal circumference is above the 95th centile. Amniotic fluid index is above the 95th centile.
Intrauterine Fetal Demise Associated with Vascular Malperfusion and Multiple Uterine Leiomyomata: A Report of Two Cases
Published in Fetal and Pediatric Pathology, 2023
Tess E. K. Cersonsky, Megan Lord, Halit Pinar
A 34-year-old G2P0010 with a history of one prior spontaneous first trimester miscarriage and anemia was found to have multiple uterine leiomyomata on ultrasound at 12 weeks 3 days GA; alongside a fetus with crown-rump length (CRL) of 5.8 cm, appropriate for GA, a fundal leiomyoma measuring 3.9 × 3.6 × 4.4 cm, two posterior leiomyomata measuring 2.5 × 2.0 × 2.5 cm and 3.4 × 3.2 × 3.6 cm, and many smaller leiomyomata were observed (Fig. 1b). No abnormalities were observed at 20 week fetal anatomic survey. The patient noted an absence of fetal movement at approximately 25 weeks 4 days GA; no fetal cardiac activity was appreciated on ultrasound. Minimal amniotic fluid was noted, with amniotic fluid index of 2.3 cm. The patient was admitted for induction of labor and delivered a stillborn fetus and placenta without complication.
A foetus with a mass in the oral cavity: a rare case of oral eruption cyst
Published in Journal of Obstetrics and Gynaecology, 2022
Qianqian Gao, Yu Wang, Hanmin Liu, Jiao Chen
A 26-year-old woman, gravida 1, para 0, underwent a mid-trimester ultrasound scan at 28 weeks’ gestation in our centre using the General Electri c Healthcare Voluson E10 (Zipf, Austria) with a RAB6-D transducer. Two-dimensional (2 D) ultrasound showed a cyst (6 × 5 × 5 mm) originating from the body of the left mandible, and a hyperechogenic solid mass with a homogeneous texture without blood flow was detected (Figure 1A). Three-dimensional (3 D) ultrasound revealed a cyst located above the inferior alveolar bone (Figure 1B) when the lower lip was eliminated by MagiCut. A foetal anatomical study found no other abnormalities and a normal amniotic fluid index. Follow-up ultrasound scans using the Philips EPIQ 7 C (Philips Medical Systems, Andover, MA, USA) with a C5-1 probe (1–6 MHz) at 31 weeks’ gestation showed no major changes (Supplementary video).
Recurrent Infections and Immunodeficiency Caused by Severe Pancytopenia Associated with a Novel Life-Threatening Mutation in Hypoxia-Upregulated Protein 1
Published in Immunological Investigations, 2022
Hossein Jafari Khamirani, Mehdi Dianatpour, Sina Zoghi, Sanaz Mohammadi, Ashkan Habib, Seyed Alireza Dastgheib, Seyed Mohammad Bagher Tabei, Mohadeseh Molayemat, Babak Shirazi Yeganeh
In the study by Haapaniemi et al., the patient was born to non-consanguineous parents at gestational age of 36 weeks with an uneventful pregnancy and delivery; however, with low weight of 2,270 g. In our study, the increased amniotic fluid index and a breech fetal presentation were noted, requiring C-section delivery. The proband’s weight was normal (2,800 g) and she was born at 38 weeks of gestational age. Both probands presented in this study and the study by Haapaniemi et al. experienced hyperbilirubinemia and required phototherapy (Table 3). Haapaniemi et al. also described hypoglycemia and omphalitis several days after birth, which were not recorded during the course of this study. The case reported by Haapaniemi et al. had several dysmorphic facial features, such as micrognathia, high-sloped forehead, low-set ear lobes, broad nasal bridge along with long slender fingers and nails, while the proband in this study did not show any dysmorphic facial or upper extremity features. Notably, both probands showed pectus carinatum.