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By Vicente Bebia OB/GYN Residente Hospital 12 de Octubre, Madrid
Katharine D Wenstrom, Stephen R Carr
Since the first human fetal surgery was reported in 1965, several different fetal surgical procedures have been developed and perfected, resulting in significantly improved outcomes for many fetuses. The currently accepted list of fetal conditions for which antenatal surgery is considered include lower urinary tract obstruction, twin-twin transfusion syndrome, myelomeningocele, congenital diaphragmatic hernia, neck masses occluding the trachea, and tumors such as congenital cystic adenomatoid malformation or sacrococcygeal teratoma when associated with developing fetal hydrops...
October 2014: Obstetrics and Gynecology
Tamara Stampalija, Daniela Casati, Marcella Montico, Roberto Sassi, Massimo W Rivolta, Valeria Maggi, Axel Bauer, Enrico Ferrazzi
OBJECTIVE: Intrauterine growth restriction (IUGR) is characterized by chronic nutrient deprivation and hypoxemia that alters the autonomous nervous system regulation of fetal heart rate variability (fHRV). Phase-rectified signal averaging (PRSA) is a new algorithm capable to identify periodic and quasi-periodic patterns of HR, and which is used to quantify the average acceleration and deceleration capacity (AC/DC) of the heart. The computation of AC/DC depends on the parameters T and s, which we set so that s=T...
May 2015: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Giancarlo Mari, Mary E Norton, Joanne Stone, Vincenzo Berghella, Anthony C Sciscione, Danielle Tate, Mauro H Schenone
OBJECTIVE: We sought to provide evidence-based guidelines for the diagnosis and management of fetal anemia. METHODS: A systematic literature review was performed using MEDLINE, PubMed, EMBASE, and the Cochrane Library. The search was restricted to English-language articles published from 1966 through May 2014. Priority was given to articles reporting original research, in particular randomized controlled trials, although review articles and commentaries were consulted...
June 2015: American Journal of Obstetrics and Gynecology
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