Journal of Maternal - Fetal & Neonatal Medicine back issues from May 2006:
DEVELOPMENTAL CHARACTERISTICS OF IMMUNE RESPONSIVENESS DURING NEONATAL PERIOD AND EARLY INFANCY: POTENTIAL ROLE OF MUCOSAL IMMUNITY AND MUCOSAL MICROFLORA
May 01, 2006; ... The human infant is richly endowed with all the major elements of antigen-reactive innate and adaptive immunologic repertoire. However, the early neonatal period is characterized by a relative deficiency of defensins, complement components; neutrophil, macrophage, dendritic cell and other ...
COARCTATION OF THE AORTA - 'TO PGE OR NOT TO PGE' - THE NEONATOLOGIST'S VIEW
May 01, 2006; ... Coarctation of the aorta (COA) occurs in about 0.37 per 1000 live born and constitutes 5-8% of congenital heart defects (CHD), which makes it the one of the most frequent critical CHD in the neonatal period. Currently, more than 50% of patients with COA are newborns. Comparatively to other CHDs, ...
COARCTATION OF THE AORTA - TO PGE OR NOT TO PGE? THE FETAL CARDIOLOGIST'S VIEW
May 01, 2006; ... Coarctation of the aorta is a progressive lesion, commonly involving the aortic isthmal area, although more extensive narrowing of the transverse aortic arch is not infrequent. The neonate with undiagnosed duct dependent coarctation is at risk of sudden cardiac decompensation and death. Prenatal ...
DUCT DEPENDANT SYSTEMIC CIRCULATION - CIRCULATORY ADAPTATION AND FETAL DIAGNOSIS
May 01, 2006; ... The normal fetal circulation differs profoundly from that of the adult. Fetal pulmonary blood flow accounts for only a small proportion of the combined cardiac output as the placenta provides means for oxygen transfer to the growing baby. To adapt to this difference, the fetus has three ...
AORTIC COARCTATION - 'TO PGE OR NOT TO PGE' - THE PAEDIATRIC CARDIOLOGIST'S VIEW
May 01, 2006; ... Two mainstream theories have been entertained as to the prenatal mechanism for development of coarctation of the aorta (COA). These relate to the reduced blood flow through aortic arch pre-natally and the extension and contraction of arterial ductal tissue encircling aorta pre- and post-natally ....
GLUCOCORTICOIDS AND EPIGENETIC MODIFICATIONS DURING DEVELOPMENT
May 01, 2006; ... Numerous epidemiological studies have demonstrated a link between low birth weight and subsequent cardio-metabolic disease including insulin resistance, type 2 diabetes, hypertension and the metabolic syndrome. This has given rise to the hypothesis that events in fetal life permanently programme ...
MATERNAL DIETARY PROTEIN RESTRICTION DURING PREGNANCY INDUCES A DECREASE IN THE EXPRESSION OF DNA METHYLTRANSFERASE I AND THE ALTERED EPIGENETIC REGULATION OF GENES IN THE LIVER OF THE OFFSPRING AFTER WEANING
May 01, 2006; ... Background: Numerous studies have demonstrated that feeding a protein-restricted (PR) diet during pregnancy in the rat induces a phenotype characterised by hypertension, insulin resistance and dyslipidaemia in the offspring [1,2]. The mechanism underlying this phenomenon is unknown, although ...
ADVANCES OF 3D IN NEONATAL PERIOD
May 01, 2006; ... Introduction: In the 1990's, a new exciting technique of 3D and 4D ultrasonography (USG) was developed, enabling depiction of neonatal organs in the third dimension in real-time. Brain ultrasound became the most widely used technique for the evaluation of brain morphology and cerebral lesions in ...
INTERVENTIONAL ULTRASOUND, WHAT DOES 3D-4D ADD?
May 01, 2006; ... Objective: We evaluate, among others, the efficiency of using 3D-4D ultrasound as an invasive technique procedure in Obstetrics and Gynecology. Prenatal invasive techniques by 4D echography gives us information in three planes and allows us to ensure the optimal critical point of ...
PATIENT CHOICE CESAREAN: EVIDENCE AND ETHICS
May 01, 2006; ... Patient choice cesarean is a current clinical controversy. Ethics is an essential dimension of addressing this controversy in a clinically appropriate fashion. In this lecture, current evidence is presented regarding the benefits and risks of elective cesarean delivery. This evidence, which is ...
IS THERE STILL A ROLE FOR POSTNATAL CORTICOSTEROIDS?
May 01, 2006; ... Objective: To debate the role of postnatal corticosteroid therapy in the prevention and treatment of chronic lung disease in preterm infants. Methods: The results randomised controlled trials (RCTs) and systematic reviews of RCTs will be used to develop evidence-based guidelines for ...
WHO SHOULD DECIDE UPON THE MODE OF DELIVERY - MEDICAL INDICATION VERSUS SHARED DECISION MAKING
May 01, 2006; ... Over the past 20 years, the rate of caesarean section has undergone a marked increase on a global level, and it appears unlikely that this trend will be reversed in the near future. This fact has also raised a number of questions regarding the growing preference for elective caesarean ...
VAGINAL DELIVERY FOR BREECH PRESENTATION
May 01, 2006; ... The total incidence of breech presentation is around 4% and at term 3.3%. It is by far the most common abnormal fetal presentation. To carry out a safe vaginal breech delivery (VBL) belongs to the traditional art of obstetrics. Retrospective reports maintain that VBL at term brings about an ...
FETAL MONITORING AND FREQUENCY OF OPERATIVE DELIVERIES
May 01, 2006; ... Caesarian section has become the most common operative procedure worldwide. The consequences of this development have become a political issue and in some countries, obstetricians are an endangered species due to medico-legal consequences of inadequacies in fetal monitoring. With ...
POSTNATAL CORTICOSTEROIDS - DANGEROUS AND AVOIDABLE
May 01, 2006; ... Corticostcroids have seen fluctuating popularity in the prevention and treatment of Bronchopulmonary Dysplasia in preterm infants over the past 3 decades. In the late 1990's, evidence accumulated showing increased risk of cerebral palsy and neurodevelopmental delay in preterm infants treated ...
CARDIAC TOLERANCE TO OXYGEN DEPRIVATION IN THE NEONATAL PERIOD
May 01, 2006; ... The neonatal mammalian heart is highly resistant to oxygen deprivation but the tolerance rapidly decreases after birth. The mechanisms of the high tolerance have not yet been satisfactorily clarified. As the mammalian fetus lives at oxygen partial pressure corresponding to the altitude of 8000 ...
PROINFLAMMATORY CYTOKINES AND CHEMOKINES IN NEONATAL BRAIN DAMAGE
May 01, 2006; ... It is well known that perinatal infections and perinatal asphyxia represent major causes of neonatal morbidity and mortality. The role of proinfiammatory cytokines and chemokines during the inflammation caused by perinatal asphyxia and or infections along with the association of these mediators ...
ASSISTED REPRODUCTIVE TECHNOLOGY (ART) AND MULTIPLE PREGNANCIES
May 01, 2006; ... Objective: the aim of the study is to review the benefits and risks od infertility treatment using assisted reproductive technologies (ART) especially regarding the multiple pregnancies and the evaluation of current strategies in avoiding this complication. Methods: the impact of ART on ...
PERINATAL MANAGEMENT OF THE NEWBORN WITH HLHS
May 01, 2006; ... Hypoplastic left heart syndrome (HLHS) comprises a group of congenital heart defects characterised by various degree of hypoplasia of the left ventricle and ascending aorta. Fetal circulation supports end organ perfusion in HLHS well and mimicking its pattern postnatally forms the basis of ...
THE COMPLICATIONS OF CAESAREAN DELIVERY
May 01, 2006; ... The Caesarean section is in the developped countries the most frequent major obstetrical surgery. The rate of this operation in CZ reached 16.3% in 2004. With the developpement of surgical techniques of caesarean section, pre, intra and postpartum care and the rise of the rate of this conduct of ...
THE FETAL ENDOCRINE PANCREAS AND THE LONG TERM EFFECT
May 01, 2006; ... The fetal endocrine pancreas undergoes important changes in fetal macrosomia as well as in intra uterine growth restriction. In the human, fetal asymmetric macrosomia is related to maternal diabetes. The fetal endocrine pancreas shows islet hypertrophy and B cell hyperplasia. In situations of ...
VAGINAL OBSTETRIC OPERATIONS - AN UP-DATE
May 01, 2006; ... Forceps delivery (FD), and vacuum extraction (VE) are operations to hasten the natural vaginal delivery. An important prerequisite is a full dilatation of cervix. In Finland, the rate of these operations varies from 5% to 7% of all deliveries. There are two main indications. 1) The first ...
INTERNAL POUDALIC VERSION AND BREECH EXTRACTION - DO THEY STILL HAVE A ROLE IN OBSTETRICS?
May 01, 2006; ... In the past, IPV has been a widely performed and favored procedure. In ancient times, the indications were: 1) delivery of second twin or twin B, 2) shoulder presentation, 3) cord prolapse, 4) placental previa, and 5) delivery of the rump following embryotomy. The other indications have become ...
CURRENT SCREENING FOR FETAL ANOMALIES
May 01, 2006; ... Ultrasound examination of the fetus at 11^sup +0^-13^sup +6^ weeks of pregnancy allows early diagnosis of many conditions, but the ultrasound scan betwen 18-22 weeks remains essential in detection of fetal malformations. Management of anomalous fetuses in twin pregnancies needs special ...
QF-PCR - NEW WINDOWS IN PRENATAL DIAGNOSIS
May 01, 2006; ... For the last 35 years, karyotype analysis of cultured fetal cells has been the gold standard for cytogenetic prenatal diagnosis. This analysis has proved to be highly reliable for identifying numerical chromosome abnormalities (aneuploidy) and large structural rearrangements in fetal cells ...
ECHOCARDIOGRAPHY IN DETECTION OF FETAL HEART ABNORMALITIES
May 01, 2006; ... Congenital heart disease (CHD) is the most common single organ malformation of the fetus with a frequency of 8/1000 births. Identification of CHD before birth allows appropriate prognostication, patient counseling and management, and significantly improves the outcome. Fetal echocardiography ...
THE FIRST FEW BREATHS OF LIFE
May 01, 2006; ... Respiratory movements commence at around 11 weeks of gestation. The first breaths occur with a mean delay of 10 seconds. Factors involved include extrinsic factors (cooling, pain, audiovisual, tactile) and intrinsic factors central including sensitivity to CO2 and removal of respiratory ...
OXYGEN DELIVERY AND DISTRIBUTION IN A FETUS AND A VERY PRETERM INFANT: HOW MUCH IS TOO MUCH?
May 01, 2006; ... Oxygen is the most commonly used drug and has been widely accepted as an integral part of respiratory support in neonatal intensive care units. It has also been known for more than 50 years that it is easy to damage the eyes of a preterm infant by giving too much oxygen especially in the first ...
ASSESSMENT OF EXHALED H^sub 2^O^sub 2^ IN VENTILATED PREMATURE INFANTS AS A MARKER OF OXIDATIVE STRESS?
May 01, 2006; ... Objective: Although an enhancement of ROS production (incl. H^sub 2^O^sub 2^) is likely a crucial component of acute lung injury, a reliable assessment of an oxidative load in the lungs of premature newborns is not available. Because of its position in the metabolic pathway of ROS, its relative ...
RESPONSE OF PULMONARY VASCULAR BED TO CHRONIC HYPOXIA
May 01, 2006; ... Chronic lung hypoxia results in hypoxic pulmonary hypertension (HPH) due to increase in vascular tone and structural remodeling of pulmonary blood vessels. Muscularization and fibrotization of the walls of prealveolar arteries is the main cause of high vascular resistance to lung blood flow in ...
CAESAREAN SECTION OR SPONTANEOUS BIRTH? MATERNAL REQUEST IN GERMANY AND USA
May 01, 2006; ... Objective: To find out the preferences and predictive impact of healthy first mothers - to be according to mode of birth in correlation to general well being/depression. Methods: The results to be presented combine the samples of 2 quantitative prospective studies including 366 German ...
CAESAREAN SECTION ON MATERNAL REQUEST: A COMPARISON OF OBSTETRICIANS' ATTITUDES IN EIGHT EUROPEAN COUNTRIES
May 01, 2006; ... Objective: To explore the attitudes of European obstetricians to performing a caesarean section on maternal request in the absence of medical indication. Methods: Within a European collaborative project (EUROBS), NICU-associated maternity units were selected by census in Luxembourg, ...
THE GUIDANCE OF LABOURS IN WOMEN WITH PREVIOUS CAESAREAN SECTION IN LOW GESTATIONAL WEEK
May 01, 2006; ... Type of the study: Randomised prospective study. Aim: To evaluate the safeness and successfulness of vaginal labors in women with previous s.c. on uterus with non-developed low uterine segment (high placed transverse U scission). Methodology: In the years 1996-2005, 296 pregnant ...
LACK OF CORRELATION BETWEEN RATES OF CAESAREAN SECTION AND PERINATAL MORTALITY IN ICELAND
May 01, 2006; ... Introduction: Cesarean section (CS) rates have increased over the past decades without a decrease in perinatal mortality (PNM) rate. In Iceland, where the PNM is low, the same trend has been seen. Crude PNM rates give limited information about whether the increase in CS rates leads to a lower ...
ELECTIVE CAESAREAN SECTION AND RESPIRATORY MORBIDITY IN THE NEONATE
May 01, 2006; ... Objective: Elective caesarean section (CS) has been associated with an increased risk of respiratory morbidity in the newborn. Studies have shown a 1.5-15 times increased risk of respiratory morbidity when comparing infants delivered by elective CS to vaginally delivered infants after 37 ...
AN ANALYSIS OF CAESAREAN SECTIONS PERFORMED AT OUR INSTITUTE IN 2003-2005
May 01, 2006; ... Objective: Since the 1980s there has been a significant increase in the incidence of caesarean sections in the Czech Republic. In 1982, the incidence was 8.2%, in 2003 15.75%, and in 2004 already 16.6%. A similar trend is seen in one of the largest pcrinatology centers in the Czech Republic. In ...
OUTCOMES AND COMPLICATIONS OF REPEATED (3-8) CAESAREAN SECTIONS
May 01, 2006; ... Objective: A prospective study to evaluate outcomes in caesarean sections repeated several times. Methods: Three hundred and twenty-seven patients who had had three or more (3-8) caesarean sections were studied and compared with a control group of 330 patients undergoing third caesarean ...
MATERNAL HEALTH OUTCOMES AND MOTHERS' VIEWS OF THEIR CHILDBIRTH EXPERIENCE TWO YEARS AFTER TERM BREECH DELIVERY
May 01, 2006; ... Objective: To evaluate maternal health outcomes and mothers' views of their childbirth experience two years after term breech delivery. Design: A nonrandomized single-centre prospective cohort study. Methods: Mothers were asked to fill out questionnaires concerning breastfeeding, ...
RE-ATTEMPT OF EXTERNAL CEPHALIC VERSION UNDER SPINAL ANAESTHESIA: IMPROVES SUCCESSFUL RATE AND REDUCES THE FORCE REQUIRED FOR SUCCESSFUL VERSION
May 01, 2006; ... Objective: To investigate if the use of spinal anaesthesia (SA) during re-attempts of external cephalic version (ECV) (1) improves successful rate, and (2) affects the degree of force applied during version. Methods: Patients with an uncomplicated singleton breechpresenting pregnancy ...
INCIDENCE OF URINARY INCONTINENCE AND SEXUAL DYSFUNCTION IN THE RELATION TO PREGNANCY AND LABOUR
May 01, 2006; ... Objective: The aim of our study is to objectify the influence of pregnancy and labour on the incidence of urinary incontinence and sexual dysfunction. Methods: All primiparas who gave birth at our maternity ward from June 12, 2004 through February 28, 2005 were included into our study, ...
YOLK SAC DIAMETER AND SHAPE - PREDICTORS OF OUTCOME IN THE FIRST TRIMESTER OF PREGNANCY COMPLICATED WITH TYPE 1 DIABETES MELLITUS
May 01, 2006; ... Information on the predictive value in normal and pregnancy complicated with type 1 diabetes mellitus outcome, of yolk sac (YS) measurement and YS morphology has been scant. During first trimester, peripherally placed (within gestational sac) YS measuring 5 mm or less is likely to be normal. YS ...
ANTENATAL SCREENING FOR HERITABLE THROMBOPHILIA
May 01, 2006; ... Background: Hernostasis represents a delicate balance between thrombosis and bleeding and is coordinated through a large number of interacting proteins. Mutations in some of the genes encoding these proteins have been identified and it is clear that hereditary factors contribute significantly to ...
PRIMARY VESICOURETERAL REFLUX DETECTED FOLLOWING FOETAL PELVIS DILATATION. A PROSPECTIVE CLINICAL AND IMAGING STUDY
May 01, 2006; ... Objective: To assess the clinical outcome and imaging features of neonatal primary vesicoureteral reflux (VUR). We also investigated the evolution of renal function in children with high-grade reflux. Methods: We prospectively followed 43 infants with primary VUR identified among a ...
ASSESSMENT OF FETAL LUNG MATURITY BY COMPARING FOUR TESTS (TAP TEST, SHAKE TEST, TDx FLM, LAMELLAR BODIES)
May 01, 2006; ... Objective: This study was performed to determine the sensitivity, specificity, predictive positive and negative values of four diagnostic tests of fetal lung maturity (FLM). Methods: Samples of amniotic fluid were obtained from 166 patients between 28 and 39 weeks of gestation. All ...
SCREENING GROUP B STREPTOCOCCUS COLONIZATION IN 98.6% OF PREGNANT WOMEN - IS IT ENOUGH?
May 01, 2006; ... Objective: To determine the prevalence of group B Streptococcus carriers and report the outcome of an intervention to reduce early-onset GBS disease. Methods: Prospective study, from 1st October 2004 to 31st March 2005, including all pregnant women. GBS was isolated and identified ...
PERINATAL MANAGEMENT IN CONGENITAL CYSTIC ADENOMATOID MALFORMATION OF THE LUNG (CCAML): 10 YEARS RETROSPECTION
May 01, 2006; ... Introduction: CCAML is a rare tumour of the fetal lung resulting from disturbed airway embryogcnesis. We here wanted to review the perinatal management of fetuses and neonates diagnosed with this condition. Methods: Clinical antenatal and postnatal charts of all neonates diagnosed with ...
HIGH FREQUENCY OF ABDOMINAL PREGNANCY IN EAST TIMOR AND THE DIFFICULTIES WITH DIAGNOSTICS
May 01, 2006; ... Objective: Presentation of high frequency of abdominal pregnancy cases among East Timorese women. Methods: Case study. Results: Over 18 months period we managed 6 cases of abdominal pregnancy in East Timor, a country with population of 1 million. Four mothers presented with ...
HEMODYNAMIC EXAMINATION OF FETAL CARDIOPATHIES WITH DOPPLER-ECHOCARDIOGRAPHY
May 01, 2006; ... Examination of the fetal heart with echocardiography often fails to reveal the severity of cardiopathy. Abnormal hemodynamics, as heart failure, decreased cardiac output can be assessed with fetal color Doppler-echocardiography (FCDE). Aim: This study was performed to evaluate the ...
PREDICTION OF TERM BIRTH WEIGHT BASED ON ULTRASOUND AND MATERNAL CHARACTERISTICS
May 01, 2006; ... Objective: The aim of the study was to compare an ultrasound-based prediction formula of Shepard, Hadlock, our new equation and equation of Nahum based on maternal characteristics. Methods: We have collected three groups of healthy term pregnant women: 125 (Group A) and 130 (Group B), ...
PLANNED AND UNPLANNED PREGNANCY - COMPARISON OF A FEMALE SEXUALITY AND THE COURSE OF A LABOUR
May 01, 2006; ... Objective: The aim of this study is to compare several parameters of sexual life and the course of a labour in women with planned and unplanned pregnancy. Methods: 339 primiparas participated in our study. They filled in questionnaire concerning their sexual life during pregnancy on the ...
BOTH FIRST TRIMESTER CROWN RUMP LENGTH AND MATERNAL SERUM LEVELS OF PREGNANCY ASSOCIATED PLASMA PROTEIN A ARE INDEPENDENT PREDICTORS OF BIRTH WEIGHT
May 01, 2006; ... Objective: To study if first trimester crown rump length (CRL), maternal serum levels of pregnancy associated plasma protein A (PAPP-A) and free beta-human chorionic gonadotropin (fb-hCG) are independent predictors of second trimester fetal growth parameters. Methods: It was a ...
COMPLETE FETAL HEART BLOCK: A CASE OF SUCCESSFUL IN UTERO THERAPY
May 01, 2006; ... Congenital complete heart block is often associated with maternal anti-SSA/Ro and/or anti-SSB/La antibodies, which injure the fetal cardiac conduction system and the myocardium. This situation usually has a poor prognosis. Clinical Case: Our case refers to an apparently healthy ...
RESULTS OF FETAL RENAL PYELECTASIS AT 18-23 WEEKS ULTRASOUND IN AN UNSELECTED POPULATION
May 01, 2006; ... Objective: A prospective study to evaluate the value of mild or moderate/severe fetal renal pelvis dilatation detected at 18-23 weeks in an unselected obstetric population in the prediction of significant need post-natal treatment. Methods: During the period from August 2001-January 2005 ...
PREVALENCE OF FACTOR V LEIDEN, PROTHROMBIN G20210A, MTHFR C677T AND SELECTED PREGNANCY VARIABLES IN WOMEN WITH PLACENTAL ABRUPTION
May 01, 2006; ... Objective: A growing view holds that inherited or acquired thrombophilia may predispose to a woman towards an adverse pregnancy outcome. The aim of this study was to investigate risk factors for placental abruption due to such thrombophilias (as carriership of factor V Leiden, prothrombin ...
PRACTICAL USEFULNESS OF COMMON TESTS FOR PRENATAL INFLAMMATION IN SEVERE PREMATURITY
May 01, 2006; ... Objective: Prenatal inflammation is related to the increased perinatal morbidity and mortality. The purpose of this study is to verify the value of common diagnostic tests of prenatal inflammation in current clinical practice. Methods: In 245 premature infants born between 23 + 0 and 30 ...
MATERNAL COMPLICATION RATE AND PERINATAL MORTALITY DATA DO NOT JUSTIFY THE FIRST TRIMESTER REDUCTION OF TRIPLETS TO TWINS
May 01, 2006; ... Objective: To justify or to reject the concept of first trimester reduction of triplets to twins based on the maternal complication rate and perinatal mortality data observed in triplet and twin population of a single institute. Methods: We conducted a prospective cohort study comparing ...
COMPARISON OF PREGNANCY COURSE AND OUTCOME WITH COLOR AND RADIOGRAPHIC ANGIOGRAPHY OF THE PLACENTA IN A MONOCHORIONIC TRIPLET PREGNANCY
May 01, 2006; ... Objective: The pathophysiology of feto-fetal transfusion syndrome (FFTS) is linked to placental vascular anastomoses between monochorionic (MC) monozygotic fetuses and an unbalanced interfetal transfusion mediated by arterio-venous (AV) anastomoses with inadequate compensation along superficial ...
INTRAUTERINE LASER THERAPY IN TWIN-TO-TWIN TRANSFUSION SYNDROME IMPROVES OUTCOME OF VERY PRETERM INFANTS
May 01, 2006; ... There remain significant perinatal mortality and morbidity in pregnancies complicated by twin-to-twin transfusion syndrome (TTTS), principally related to the high preterm birth rate. Serial amnioreduction is still the most widely used therapy. More recently, endoscopic laser coagulation of ...
MONOCHORIONIC TWINS AFFECTED BY TTTS TREATED IN UTERO WITH LASER: LONG-TERM NEUROLOGIC AND NEURODEVELOPMENTAL EVALUATION
May 01, 2006; ... Objective: Long-term neurologic and neurodevelopmental evaluation of a group of monochorionic twins affected by TTTS treated with selective endoscopic laser photocoagulation. Methods: We evaluated 64 children between 11 and 17 months old with a standardized neurologic examination and the ...
NEONATAL OUTCOME IN MONOCHORIONIC TWINS WITH TWIN-TO-TWIN TRANSFUSION SYNDROME AND DICHORIONIC TWINS: A CASE CONTROL STUDY
May 01, 2006; ... Monochorionic (MC) pregnancies complicated by twin-to-twin transfusion syndrome (TITS) are at increased risk for prematurity as well as perinatal mortality and morbidity. Although perinatal outcome in TTTS has improved after laser therapy, neonatal mortality and morbidity remain high. The ...
NEONATAL OUTCOME OF 189 TRIPLETS
May 01, 2006; ... Objective: To determine neonatal morbidity and mortality in triplets. Method: Retrospective study of 189 triplets born between January 1998 and December 2004. Results: Mean maternal age was 33 years. 71.4% of pregnancies were achieved using fertilization techniques. 84.1% ...
CERVICAL RIPENING WITH PROSTAGLANDIN-E2 AT PRETERM
May 01, 2006; ... Objective: To evaluate the efficacy and safety of PGE2 for cervical ripening at preterm and to identify factors predicting induction failure and mode of delivery. Methods: The study group included women admitted for cervical ripening with PGE2 vaginal tablets at preterm (gestational age ...
EXPECTANT MANAGEMENT IN PATIENTS WITH CERVICAL DILATATION (5-10 cm) OR PROTRUSION OF MEMBRANES
May 01, 2006; ... Objective: Fetal Inflammatory Response Syndrome (FIRS) is increased in early spontaneous preterm birth (SPB). Risks of prematurity and infection have to be balanced and analyzed in cases with progressive dilatation. Methods: In selected patients with a cervical dilatation of >5 cm or ...
STUDY OF THE USE OF ATOSIBAN IN HOSPITAL SANT JOAN DE DEU (BARCELONA)
May 01, 2006; ... Objective: Preterm labour is the main cause of perinatal morbimortality. In our hospital we have been using atosiban for 2 years and the objective of this study is to evaluate the results. Our treatment guidelines include atosiban as first tocolytic option in multiple pregnancies, gestational ...
PPROM BETWEEN 19 AND 28 WEEKS PREGNANCY
May 01, 2006; ... Objective: Preterm premature rupture of membranes (PPROM) is a serious cause of neonatal complications such as pulmonary hypoplasia. The purpose of the study was to determine the effects of PPROM and to give better counselling to the parents. Methods: We retrospectively identified 12 ...