Fetal diagnosis and therapy
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Fetal. Diagn. Ther. · Jan 1997
Case ReportsDiagnosis and successful in utero treatment of a fetal goitrous hyperthyroidism caused by maternal Graves' disease. A case report.
A case of maternal treated Graves' disease associated with hyperthyroid fetal goiter is presented. Fetal goiter is diagnosed by ultrasound and hyperthyroidism is confirmed by fetal blood sampling. ⋯ The infant is euthyroid at birth. Pathogenesis, diagnosis and treatment of fetal thyrotoxicosis complicated with maternal Graves' disease are discussed.
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Fetal. Diagn. Ther. · Sep 1996
Case ReportsLarge chorioangioma associated with hydrops fetalis: prenatal diagnosis and management.
A large chorioangioma located at the insertion area of the umbilical cord was diagnosed at 19 weeks of gestation by ultrasound and color Doppler ultrasound. This chorioangioma led to a progressively appearing hydrops fetalis and to fetal distress. The infant presented at birth with edemas and ascites associated with severe hemolytic anemia and thrombocytopenia.
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The objectives of the study were to assess the ability of a fetal pulse oximeter to measure the fetal oxygen saturation (SPO2) continuously during labor and to assess the correlation between readings of fetal pulse oximetry and cord blood gases at birth. The Nellcor N-400 Fetal Oximeter was used in 62 women prospectively. The mean SPO2 was unchanged at the different stages of normal labor. 53.3 +/- 9.1 to 50.1 +/- 11.8% (n = 50). ⋯ SPO2 was also correlated with scalp pH (r = 0.52; p < 0.05; n = 21). No side effects were noted. Fetal pulse oximetry could be useful to assess fetal oxygenation during labor and at birth.
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Fetal. Diagn. Ther. · May 1995
Case ReportsA case of fetal bradycardia and sinusoid-like fetal heart rate pattern associated with maternal hypothermia.
A 23-year-old pregnant woman presented with severe hypothermia (33.8 degrees C) as a complication of treatment for urosepsis. The baseline fetal heart rate was 100 beats/min. ⋯ However, the fetal heart rate gradually returned to normal after rewarming the patient. This suggests that maternal hypothermia may induce fetal bradycardia and a 'sinusoid-like' fetal heart rate pattern.
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Fetal. Diagn. Ther. · Jul 1994
Fetal and obstetrical impact of percutaneous balloon mitral commissurotomy during pregnancy.
Since 1984 percutaneous mitral balloon commissurotomy (PMC) has replaced closed mitral commissurotomy in most of its indications. However the application of this technique to pregnant women had raised considerable concern essentially because of the risk of fetal distress and irradiation. Of 1,017 PMC performed between March 1986 and December 1992, 11 were carried out during pregnancy. ⋯ Fetal heart rate was monitored during the procedure and showed only minor abnormalities. The outcomes of these 11 pregnancies were: 4 vaginal deliveries after 37 weeks, 5 cesarean sections after 37 weeks and 1 at 29 weeks. All newborn children were normotrophic and without malformation.