Fetal therapy最新文献

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Prenatal diagnosis of congenital uropathies. 先天性泌尿系统疾病的产前诊断。
Fetal therapy Pub Date : 1989-01-01 DOI: 10.1159/000263465
G Noia, L Masini, A Caruso, L Perrelli, A Calisti, E Salvaggio, S Mancuso
{"title":"Prenatal diagnosis of congenital uropathies.","authors":"G Noia,&nbsp;L Masini,&nbsp;A Caruso,&nbsp;L Perrelli,&nbsp;A Calisti,&nbsp;E Salvaggio,&nbsp;S Mancuso","doi":"10.1159/000263465","DOIUrl":"https://doi.org/10.1159/000263465","url":null,"abstract":"<p><p>We discuss data on urinary tract dilatations diagnosed in utero from February 1980 to May 1988. Over 8,900 pregnancies prenatally investigated with ultrasound during second and third trimester in our center. We diagnosed 401 fetal defects (4.5%) with 121 urinary system anomalies (1.35%). In 90 cases (1.01%) urinary tract dilatation was present, representing the most frequent urinary pathology in utero (74.3% of all urinary anomalies). We describe some diagnostic findings as particularly useful in differential diagnosis of functional and obstructive conditions, stressing the possibility and the difficulty of diagnostic accuracy for urinary tract anomalies. The perinatal outcome of each condition is reported.</p>","PeriodicalId":77713,"journal":{"name":"Fetal therapy","volume":"4 Suppl 1 ","pages":"40-51"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000263465","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13634251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Tryptophan availability and fetal behavioral states. 色氨酸可用性与胎儿行为状态。
Fetal therapy Pub Date : 1989-01-01 DOI: 10.1159/000263468
C Romanini, H Valensise, G Ciotti, D Arduini, P Giorgi
{"title":"Tryptophan availability and fetal behavioral states.","authors":"C Romanini,&nbsp;H Valensise,&nbsp;G Ciotti,&nbsp;D Arduini,&nbsp;P Giorgi","doi":"10.1159/000263468","DOIUrl":"https://doi.org/10.1159/000263468","url":null,"abstract":"<p><p>Behavioral state instability in growth-retarded fetuses might be related to a decrease in serotonine production. Tryptophan maternal and cord blood values after elective cesarean section have been investigated by means of high performance liquid chromatography in 20 growth-retarded fetuses due to pregnancy-induced hypertension (PIH) and 20 normal pregnancies as control group. The feto-maternal ratio of tryptophan is significantly higher in normal fetuses than in PIH growth-retarded fetuses (p less than 0.001). Behavioral states have been determined 1 week and just before cesarean section. Values of 1F, 2F, 3F and 4F differ in the 2 groups (p less than 0.001). A higher percentage of non-coincidences (p less than 0.001) and state interruptions (p less than 0.001) is found in PIH fetuses. A significant correlation is demonstrated between the increase of non-coincidences and decrease in the feto-maternal Trp ratio (p less than 0.001).</p>","PeriodicalId":77713,"journal":{"name":"Fetal therapy","volume":"4 Suppl 1 ","pages":"68-72"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000263468","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13634253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Neural tube defects: considerations on the pathogenesis and correlation with myelodysplasia in man. II. An experimental model. 神经管缺损:对男性骨髓发育异常的发病机制及相关性的思考。2实验模型。
Fetal therapy Pub Date : 1989-01-01 DOI: 10.1159/000263473
C Di Rocco, M Rende
{"title":"Neural tube defects: considerations on the pathogenesis and correlation with myelodysplasia in man. II. An experimental model.","authors":"C Di Rocco,&nbsp;M Rende","doi":"10.1159/000263473","DOIUrl":"https://doi.org/10.1159/000263473","url":null,"abstract":"<p><p>In this second part, the authors report the results obtained by evaluating the presence of glycosaminoglycans (GAGs) in the brain of rat fetuses with neural tube defects and hydrocephalus, secondary to the administration of trypan blue during pregnancy. A decrease in the GAG content was found. The authors hypothesize that this anomaly in GAG formation is responsible for both the neural tube defect and the associated malformations, namely hydrocephalus and hypoplasia of the posterior cranial fossa.</p>","PeriodicalId":77713,"journal":{"name":"Fetal therapy","volume":"4 Suppl 1 ","pages":"99-103"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000263473","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13634257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Ethical issues in prenatal diagnosis and fetal therapy: a Catholic perspective. 产前诊断和胎儿治疗中的伦理问题:天主教的观点。
Fetal therapy Pub Date : 1989-01-01 DOI: 10.1159/000263463
E. Sgreccia
{"title":"Ethical issues in prenatal diagnosis and fetal therapy: a Catholic perspective.","authors":"E. Sgreccia","doi":"10.1159/000263463","DOIUrl":"https://doi.org/10.1159/000263463","url":null,"abstract":"The author deals with the ethical problems arising from the techniques of prenatal diagnosis and fetal therapy. With regard to the use of prenatal diagnostic response, he underlines the frequent connection between the unfortunate response and the voluntary termination of pregnancy; with regard to this, he reports the various positions which can be found in the literature on ethics. In the light of Catholic ethics, the author affirms that prenatal diagnosis is only acceptable when it respects the life and integrity of the embryo and the human fetus and is directed towards its safeguarding or healing. The moment and form of the communication of the response is also considered. Finally, some guidelines to justify conditions for fetal therapy intervention are pointed out.","PeriodicalId":77713,"journal":{"name":"Fetal therapy","volume":"33 1","pages":"16-27"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000263463","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64899935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Effect of prednisone and heparin treatment in 14 patients with poor reproductive efficiency related to lupus anticoagulant. 强的松联合肝素治疗狼疮抗凝相关生殖功能低下患者14例疗效观察。
Fetal therapy Pub Date : 1989-01-01 DOI: 10.1159/000263469
A E Semprini, A Vucetich, S Garbo, G Agostoni, G Pardi
{"title":"Effect of prednisone and heparin treatment in 14 patients with poor reproductive efficiency related to lupus anticoagulant.","authors":"A E Semprini,&nbsp;A Vucetich,&nbsp;S Garbo,&nbsp;G Agostoni,&nbsp;G Pardi","doi":"10.1159/000263469","DOIUrl":"https://doi.org/10.1159/000263469","url":null,"abstract":"<p><p>In women with a previous intrauterine fetal death related to lupus anticoagulant (LAC), we studied the effect of prednisone and calcieparine treatment to enable longer intrauterine life, increased fetal growth and increased survival rate. LAC was determined by the kaolin clotting time and was associated with elevated levels of antinuclear and anticardiolipin antibody in 42% and 21% of the cases, respectively. 14 women entered the study; they had a past history of 27 pregnancies, with only 1 small-for-gestational age (SGA) liveborn. The mean gestational age at the time of fetal death was 30 +/- 4 weeks. During index pregnancies, we observed 2 miscarriage, 9 liveborns (6 of appropriated gestational weight, 3 SGA) and a mean gestational age of 35 +/- 3 weeks. The mean decrease in fetal weight from the 50th percentile in previous pregnancies was 44%, and with treatment this was reduced to 12%. All these differences were statistically significant. We conclude that prednisone and heparin treatment can improve reproductive prognosis in fertile patients with LAC.</p>","PeriodicalId":77713,"journal":{"name":"Fetal therapy","volume":"4 Suppl 1 ","pages":"73-6"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000263469","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13663140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Fetal blood values by percutaneous umbilical blood sampling. 经皮脐血取样胎儿血液值。
Fetal therapy Pub Date : 1989-01-01 DOI: 10.1159/000263438
K Takagi, H Tanaka, S Nishijima, N Masaoka, Y Miyake, H Sakata, K Satoh
{"title":"Fetal blood values by percutaneous umbilical blood sampling.","authors":"K Takagi,&nbsp;H Tanaka,&nbsp;S Nishijima,&nbsp;N Masaoka,&nbsp;Y Miyake,&nbsp;H Sakata,&nbsp;K Satoh","doi":"10.1159/000263438","DOIUrl":"https://doi.org/10.1159/000263438","url":null,"abstract":"<p><p>Cordocentesis was performed, and fetal blood was sampled in 81 of 93 attempted procedures. In 45 fetuses, who proved to be normal later by normal pregnancy outcome, hematological analyses and blood chemistries were performed. The results showed an increase in total white blood cell count, red blood cell, hemoglobin, hematocrit and platelet count, while the mean corpuscular volume and mean corpuscular hemoglobin decreased during gestation. Total protein and albumin concentrations increased during pregnancy. These results provide information for the diagnosis of fetal hematological disorders, and assist in making decisions for possible fetal therapy in utero.</p>","PeriodicalId":77713,"journal":{"name":"Fetal therapy","volume":"4 2-3","pages":"152-60"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000263438","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13632306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
Seasonal variation in conception does not appear to influence the rate of prenatal diagnosis of nondisjunction. 季节变化的概念似乎不影响产前诊断率不分离。
Fetal therapy Pub Date : 1989-01-01 DOI: 10.1159/000263451
A Drugan, S F Bottoms, M P Johnson, M I Evans
{"title":"Seasonal variation in conception does not appear to influence the rate of prenatal diagnosis of nondisjunction.","authors":"A Drugan,&nbsp;S F Bottoms,&nbsp;M P Johnson,&nbsp;M I Evans","doi":"10.1159/000263451","DOIUrl":"https://doi.org/10.1159/000263451","url":null,"abstract":"<p><p>A seasonal effect on ovulation patterns and conception rates is well documented in animal studies. The etiology of reported variation in human fertility is, however, uncertain. Abnormal ovulation has been implicated in the etiology of aneuploid conceptions, many of which abort spontaneously. To investigate the possibility that the frequency of aneuploidy reflects seasonal variation in ovulation patterns, we analyzed 5,292 consecutive prenatal karyotypes obtained from 1985 to 1987. Karyotypes were logged according to month and year of conception. Results were evaluated for cyclicity using frequency spectrum and time series analysis. Variation in the number of prenatal diagnostic procedures corresponded to known peaks in conception and delivery rates. No significant monthly or quarterly trend in the total rate of trisomies or in the rate of trisomy 21 was demonstrated. Although the sample size in this study may not be adequate to detect minor effects, seasonal variation does not appear to be a major determinant of nondisjunction rates in the population referred for prenatal diagnosis.</p>","PeriodicalId":77713,"journal":{"name":"Fetal therapy","volume":"4 4","pages":"195-9"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000263451","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13633333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Prevention and treatment of fetal lung immaturity. 胎儿肺不成熟的预防与治疗。
Fetal therapy Pub Date : 1989-01-01 DOI: 10.1159/000263466
E V Cosmi, G C Di Renzo
{"title":"Prevention and treatment of fetal lung immaturity.","authors":"E V Cosmi,&nbsp;G C Di Renzo","doi":"10.1159/000263466","DOIUrl":"https://doi.org/10.1159/000263466","url":null,"abstract":"<p><p>In the last 10 years the strategy for the prevention of neonatal respiratory distress syndrome (RDS) has been directed towards the acceleration of fetal lung maturity in utero by means of drugs administered to the mother, the most thoroughly investigated being glucocorticoids (GC), and to the development of surfactant substitutes for the treatment of surfactant deficiency at birth or following the development of RDS. GC decreases the incidence of RDS in the neonate delivered between 28 and 32 weeks and weighing less than 1,500 g. The type of GC and the drug-delivery interval are critical. Harmful potential side effects of GC have led to the testing of other drugs capable of accelerating fetal lung maturity, among which are ambroxol and aminophylline. Ambroxol has been shown to significantly reduce RDS compared to placebo without causing important adverse effects in either mother or baby. Our experimental studies on aminophylline have shown that the drug exerts only minor beneficial effects on fetal lung maturation and surfactant production. We have evaluated the association of GC with inositol. The sugar alcohol administered to the mother dramatically affected fetal lung mechanics, reducing GC adverse effects such as the decrease of lung protein content. More recently supplementary surfactant instilled into the trachea has been shown to improve oxygenation of premature babies and to reduce the severity of RDS.</p>","PeriodicalId":77713,"journal":{"name":"Fetal therapy","volume":"4 Suppl 1 ","pages":"52-62"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000263466","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13720827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Genetic correction of hereditary disease. 遗传性疾病的基因校正。
Fetal therapy Pub Date : 1989-01-01 DOI: 10.1159/000263464
M P Johnson, A Drugan, O J Miller, M I Evans
{"title":"Genetic correction of hereditary disease.","authors":"M P Johnson,&nbsp;A Drugan,&nbsp;O J Miller,&nbsp;M I Evans","doi":"10.1159/000263464","DOIUrl":"https://doi.org/10.1159/000263464","url":null,"abstract":"<p><p>Several hereditary disorders may be potentially correctable by the introduction and incorporation of the normal gene into human tissues using a variety of systems. Although technical issues surrounding integration, stable expression and potential insertional mutagenesis to the treated cells has not yet been fully resolved, enough scientific progress has already been made to consider somatic cell gene therapy acceptable from both the scientific and ethical viewpoints. Tissue-specific stem cell and embryonic stem cell transplantation will allow therapy earlier in the developing embryo. As technical problems are eliminated, these procedures will become morally permissible, as they will allow the correction of devastating hereditary disease.</p>","PeriodicalId":77713,"journal":{"name":"Fetal therapy","volume":"4 Suppl 1 ","pages":"28-39"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000263464","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13720221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Comparison of four types of intrauterine transfusion: effect on fetal hematocrit. 四种宫内输血方式对胎儿红细胞压积的影响。
Fetal therapy Pub Date : 1989-01-01 DOI: 10.1159/000263434
K J Moise, R J Carpenter, B Kirshon, R L Deter, J D Sala, L E Cano
{"title":"Comparison of four types of intrauterine transfusion: effect on fetal hematocrit.","authors":"K J Moise,&nbsp;R J Carpenter,&nbsp;B Kirshon,&nbsp;R L Deter,&nbsp;J D Sala,&nbsp;L E Cano","doi":"10.1159/000263434","DOIUrl":"https://doi.org/10.1159/000263434","url":null,"abstract":"<p><p>The advent of cordocentesis has made it possible to treat fetuses affected by severe red cell alloimmunization by infusing red cells into umbilical vessels. In addition, serial hematocrits can be followed between transfusions. Twenty fetuses underwent a total of 118 intrauterine procedures. Four transfusion techniques were compared to assess the effect of each method on the stability of the fetal hematocrit between procedures. The change in hematocrit per day for direct intravascular transfusion was -1.06 +/- 0.68%, for intraperitoneal transfusion: +0.03 +/- 0.6%, for combined exchange intravascular and intraperitoneal transfusion: +0.02 +/- 0.3% and for combined direct intravascular and intraperitoneal technique: -0.01 +/- 0.4%. The greatest fall in hematocrit was noted with the use of the direct intravascular technique alone (p less than 0.001). The combined direct intravascular/intraperitoneal approach produces a stable hematocrit between procedures and offers the possibility of performing intrauterine transfusions at less frequent intervals.</p>","PeriodicalId":77713,"journal":{"name":"Fetal therapy","volume":"4 2-3","pages":"126-37"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000263434","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13632303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 40
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