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DRCOG MCQs for Circuit B Questions
Published in Una F. Coales, DRCOG: Practice MCQs and OSCEs: How to Pass First Time three Complete MCQ Practice Exams (180 MCQs) Three Complete OSCE Practice Papers (60 Questions) Detailed Answers and Tips, 2020
Unstable lie in late pregnancy may be associated with:Bicornuate uterus.Uterine fibroids.Intrauterine growth retardation (IUGR).Placenta praevia.Indication for hospital admission before term.
The Use of Magnetic Resonance Imaging in Intrauterine Growth Retardation
Published in Asim Kurjak, John M. Beazley, Fetal Growth Retardation: Diagnosis and Treatment, 2020
The diagnosis of intrauterine growth retardation (IUGR) is traditionally made on clinical examination, in combination with ultrasound. However, the detection rate by measurement of symphysis-fundal height (SFH) is only 76%, and screening, with both SFH and ultrasound measurement of fetal abdominal circumference, has a sensitivity of 93%, a specificity of 67%, and a positive predictive value of only 32%.14 Underdiagnosing the condition results in poor fetal surveillance and is associated with a higher perinatal mortality. Overdiagnosing produces unnecessary intervention, which is costly, and causes increased anxiety for the mother. Good tissue resolution, and the ability to visualize fetal fat clearly, which appears bright with MRI, suggests that MRI is a potentially useful tool in the diagnosis and management of IUGR. In addition, the presence of oligohydramnios may limit fetal movement and thus improve visualization.
Preconception Care: Optimization of Cardiac Risk
Published in Afshan B. Hameed, Diana S. Wolfe, Cardio-Obstetrics, 2020
Regardless of whether she is considering a pregnancy, each female should be counseled about the potential problems, such as arrhythmias and ventricular dysfunction, that may occur as a result of her heart defect/disorder, as well as any risks that the medications she takes may have on fetal development. Patients at higher risk need to be aware of the increased risk for obstetrical complications including preterm delivery, premature rupture of membranes (PROM), and intrauterine growth retardation (IUGR). The patient should also understand that at the time she begins to contemplate pregnancy, she will undergo a diagnostic evaluation to determine her underlying clinical status and pregnancy risk. It also provides an opportunity to identify and correct any unrepaired or residual heart defects as well as treat any complications such as arrhythmias to improve cardiac function prior to conception.
Prenatal sonographic findings in a cohort of foetuses with a confirmed 22q11.2 microdeletion at a single Chinese Tertiary Centre
Published in Journal of Obstetrics and Gynaecology, 2022
Xiang-Yi Jing, Yong-Ling Zhang, Li Zhen, Yan-Lin Li, Dong-Zhi Li
Extracardiac findings were reported in 31.6% (24/76) of cases, and were combined with CHD in 7 cases (Table 2). The most commonly observed extracardiac anomalies were unilateral multicystic dysplastic kidney and clubfoot; both were found in 5 cases, and as a single finding in 3 cases. Increased NT was found in 4 cases as an isolated first-trimester finding. Intrauterine growth retardation (IUGR) and was observed in 2 cases and fetalis hydrops in 1 case. Polyhydramnios was found in 3 cases, and as a single finding in 1 case. Twelve cases had normal sonographic scans at the time of first-trimester prenatal diagnosis, including 5 with positive serum screening results, 4 with positive cell-free DNA screening for del22q11.2, 2 with parental del22q11.2 carriers, and 1 with the indication of single-gene disorder.
Increased expression of lncRNA SNHG7 promotes the cell viability, migration, and invasion in pre-eclampsia via modulating the miR-214-5p/TWIST1 axis
Published in Hypertension in Pregnancy, 2021
From June 2017 to December 2019, 20 PE pregnant women and 20 normal pregnant women underwent cesarean section in our hospital, whose placental tissues were gathered within 1 h of cesarean birth and immediately temporarily frozen with liquid nitrogen, then kept in −80°C for further experiments. The diagnostic criteria for PE were as follows: a systolic blood pressure ≥140 mm Hg and/or a diastolic blood pressure ≥90 mm Hg in two successive measurements 4–6 h apart, and a urinary protein level that was >0.3 g in a 24 h urine collection. Additionally, the two groups did not have any other complications, including maternal history of hypertension and/or renal disease, severe intrauterine growth retardation (IUGR), diabetics, smoking, alcoholism, chemical dependency, and fetal congenital abnormalities. This study was permitted by our hospital’s ethics committee. Each participant has signed the informed consent.
Psychological state during pregnancy is associated with sleep quality: preliminary findings from MY-CARE cohort study
Published in Chronobiology International, 2021
Ai Ni Teoh, Satvinder Kaur, Nurul Husna Mohd Shukri, Siti Raihanah Shafie, Normina Ahmad Bustami, Masaki Takahashi, Pei Jean Lim, Shigenobu Shibata
Pregnancy is an important life stage in women as they undergo physiological, social and emotional changes. Optimal psychological state during pregnancy is crucial for optimal maternal and infant outcomes. A few prospective studies have related psychological distress during pregnancy with higher risks of adverse infant outcomes, such as intrauterine growth retardation (IUGR), low birth weight and preterm delivery (Ding et al. 2014). Primigravida women may be more prone to experience psychological distress during pregnancy due to no prior birth experience, even though evidence relating the role of parity with antenatal depression and anxiety has been inconsistent (Biaggi et al. 2016). More attention should be provided to primigravida women to ensure their psychological well-being as their pregnancy experience may create a lasting effect on subsequent pregnancies. It was reported that mood disorders tend to be more prevalent beginning in the second trimester of pregnancy and remain relatively constant until the third trimester (Bennett et al. 2004). However, most studies have focused on psychological states during late pregnancy. Hence, it is imperative to identify the factors associated with psychological states in the second trimester for early intervention.