Fetal diagnosis and therapy
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Fetal. Diagn. Ther. · Jan 2007
Emergency peripartum hysterectomy in a tertiary obstetric center: 8-year evaluation.
The aim of the study was to present the incidence, indications, and operative morbidity and mortality in pregnant women undergoing emergency peripartum hysterectomy (EPH) at a tertiary obstetric institution. ⋯ Invasive malplacentation is a major isolated risk factor for EPH, as shown in the present study. Other risk factors for EPH are massive hemorrhage because placenta previa, uterine atony and uterine rupture associated with multiparity, and previous cesarean section. A great proportion of EPH procedures can be prevented by the introduction of compressive operative methods such as B-Lynch suture in the obstetric algorithms, which will certainly favorably reflect in future fertility and genital health of the female population.
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Fetal. Diagn. Ther. · Jan 2006
Randomized Controlled Trial Clinical TrialWhich phototherapy system is most effective in lowering serum bilirubin in very preterm infants?
To compare the effectiveness of various phototherapy systems in lowering serum bilirubin levels in preterm infants. ⋯ Our data suggest that combined phototherapy should be the method of choice in treating hyperbilirubinemia in very preterm infants.
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Fetal. Diagn. Ther. · Jan 2006
Review Case ReportsAmiodarone in treatment of fetal supraventricular tachycardia. A case report and review of literature.
We report a case of nonimmune hydrops fetalis detected at 32 weeks of gestation. Fetal heart rate was 300 beats per minute. ⋯ Conversion to sinus rhythm and resolution of hydrops followed this treatment. Since there is no ideal treatment protocol for these cases at present, we reviewed reports of transplacental treatment of SVT.
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Fetal. Diagn. Ther. · Jan 2006
Case ReportsManifestation of mirror syndrome after fetoscopic laser photocoagulation in severe twin-twin transfusion syndrome.
Mirror syndrome is a preeclampsia-like disease first described in a case of severe hydrops fetalis caused by rhesus isoimmunization, later reported in some cases of nonimmunological fetal hydrops. Twin-twin transfusion syndrome (TTTS) is a severe complication associated with monochorionic pregnancies, in particular, severe TTTS with one hydropic fetus leading to a poor prognosis. We report here a case of mirror syndrome that occurred after selective fetoscopic laser photocoagulation in severe TTTS at 24 weeks' gestation.
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Fetal. Diagn. Ther. · Sep 2005
Case ReportsSuccessful management of supraventricular tachycardia in a fetus using fetal magnetocardiography.
We report a fetus at 33 weeks of gestation with supraventricular tachycardia, which was successfully managed by transplacental administration of an antiarrhythmic agent. Fetal magnetocardiography (fMCG) revealed supraventricular tachycardia of the long RP' tachycardia type. ⋯ Sotalol was also effective after birth to maintain sinus rhythm. This case demonstrates that fMCG is potentially useful for prenatal differentiation of the type of supraventricular tachycardia and for prenatal treatment of fetal tachyarrhythmias.