发布求助
文献互助 智能选刊 最新文献

The Journal of maternal-fetal medicine最新文献

筛选
英文 中文
Histopathologic effects of meconium on human umbilical artery and vein: in vitro study. 胎粪对人脐动静脉的组织病理学影响:体外研究。
The Journal of maternal-fetal medicine Pub Date : 2009-07-07 DOI: 10.3109/14767059709162021
A. Kafkaslı, M. Belfort, G. Giannina, Y. P. Vedërnikov, D. Schaffner, E. Popek
{"title":"Histopathologic effects of meconium on human umbilical artery and vein: in vitro study.","authors":"A. Kafkaslı, M. Belfort, G. Giannina, Y. P. Vedërnikov, D. Schaffner, E. Popek","doi":"10.3109/14767059709162021","DOIUrl":"https://doi.org/10.3109/14767059709162021","url":null,"abstract":"OBJECTIVE\u0000To determine the histopathologic effects of meconium on human umbilical artery and vein.\u0000\u0000\u0000METHODS\u0000Umbilical cords from six patients with uncomplicated, singleton, term gestations were obtained immediately after delivery. One centimeter segments from each cord were flushed, isolated, placed in either modified Krebs solution alone or modified Krebs solution with various concentrations (1%, 10%, or 25%) of fresh meconium, and then incubated at pH 7.2, temperature 37 degrees C, PCO2 50-55 mmHg, PO2 40-45 mmHg for 1, 6, 12, or 24 h. The specimens were then fixed, stained, and examined under light microscopy.\u0000\u0000\u0000RESULTS\u0000Umbilical arteries exhibited focal vacuolation of the endothelium after exposure of the cord to meconium. Umbilical veins revealed: 1) endothelial loss proportionate to the meconium concentration at all intervals (P < 0.05), 2) increased density or focal absence of the internal elastic lamina, and 3) focal loss of myocyte nuclei. Rare nonpigmented macrophages and increased mast cells were identified in the Wharton's jelly.\u0000\u0000\u0000CONCLUSIONS\u0000Exposure to meconium in vitro results in histopathologic changes in the umbilical artery and vein.","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"20 1","pages":"356-61"},"PeriodicalIF":0.0,"publicationDate":"2009-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88722684","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: 4
Very-Low-Birthweight Breech Infants 极低出生体重臀位婴儿
The Journal of maternal-fetal medicine Pub Date : 2009-07-07 DOI: 10.3109/14767059709161976
É. Görbe, S. Chasen, Á. Harmath, P. Patkós, Z. Papp
{"title":"Very-Low-Birthweight Breech Infants","authors":"É. Görbe, S. Chasen, Á. Harmath, P. Patkós, Z. Papp","doi":"10.3109/14767059709161976","DOIUrl":"https://doi.org/10.3109/14767059709161976","url":null,"abstract":"The purpose of this study was to determine the incidence of mortality and morbidity of the very-low-birthweight infant (<1,500 g) in breech presentation based on mode of delivery and birthweight. A retrospective chart review of 1,009 infants who were in breech presentation at the time of delivery between January 1, 1990 and December 31, 1995 at the First Department of Obstetrics and Gynecology of Semmelweis Medical School in Budapest, Hungary. Data collected included birthweight, mode of delivery, pregnancy complications and neonatal mortality and morbidity. Comparison of groups was made based on mode of delivery, and data were analyzed using Fisher's exact test and chi-square analysis. For those infants weighing less than 1,500 g at birth, vaginal delivery was associated with higher mortality than for those delivered abdominally (73.8% vs. 37.7%, P < 0.001). There was no significant difference in survival for those infants weighing 1,500 g or more. Regarding morbidity, in those infants weighing less than...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"1 1","pages":"155-158"},"PeriodicalIF":0.0,"publicationDate":"2009-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82391348","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: 1
Total Parenteral Nutrition in Pregnancy 妊娠期全肠外营养
The Journal of maternal-fetal medicine Pub Date : 2009-07-07 DOI: 10.3109/14767059709161988
Tujuana Badgett, M. Feingold
{"title":"Total Parenteral Nutrition in Pregnancy","authors":"Tujuana Badgett, M. Feingold","doi":"10.3109/14767059709161988","DOIUrl":"https://doi.org/10.3109/14767059709161988","url":null,"abstract":"Although many aspects of the use of total parenteral nutrition (TPN) in pregnancy are controversial, the long-term sequelae of maternal malnutrition in fetal health are not.To avoid these complications, TPN is advocated for use in pregnancies complicated by maternal starvation. The purpose of this paper is to outline an easy to follow method for prescribing TPN solution to meet the needs of the gravid patients.","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"15 1","pages":"215-217"},"PeriodicalIF":0.0,"publicationDate":"2009-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80392849","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: 2
There is poor agreement between manual auscultatory and automated oscillometric methods for the measurement of blood pressure in normotensive pregnant women. 在血压正常的孕妇中，人工听诊和自动示波法测量血压的一致性很差。
The Journal of maternal-fetal medicine Pub Date : 2001-12-01 DOI: 10.1080/714052781
F. Pomini, M. Scavo, S. Ferrazzani, S. Carolis, A. Caruso, S. Mancuso
{"title":"There is poor agreement between manual auscultatory and automated oscillometric methods for the measurement of blood pressure in normotensive pregnant women.","authors":"F. Pomini, M. Scavo, S. Ferrazzani, S. Carolis, A. Caruso, S. Mancuso","doi":"10.1080/714052781","DOIUrl":"https://doi.org/10.1080/714052781","url":null,"abstract":"Objective: To assess the agreement between manual auscultatory arterial blood pressure values and the values obtained by an automated oscillometric device in normotensive pregnant patients. Methods: Arterial blood pressure was determined concomitantly by a Dinamap 1846 sx/p device and by one observer (I, IV, V Korotkoff sounds) blinded to the Dinamap values. Agreement between methods was tested and graded according to the protocol of the British Hypertension Society. Results: A total of 490 observations were performed. Differences were observed between the manual auscultatory method and the Dinamap method. In monitoring normotensive pregnant patients with a Dinamap device, an error was made of about 10 mmHg in 22% of the observations for systolic arterial blood pressure (BP); in 11% for diastolic arterial BP (IV sound); and in 15% for diastolic arterial BP (V sound). According to the British Hypertension Society protocol, the overall grade reached was 'C'. Conclusions: Although an underestimation of only ...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"10 1","pages":"398-403"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85444879","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
Placenta previa: obstetric risk factors and pregnancy outcome. 前置胎盘:产科危险因素和妊娠结局。
The Journal of maternal-fetal medicine Pub Date : 2001-12-01 DOI: 10.1080/714052784
E. Sheiner, I. Shoham-Vardi, M. Hallak, R. Hershkowitz, M. Katz, M. Mazor
{"title":"Placenta previa: obstetric risk factors and pregnancy outcome.","authors":"E. Sheiner, I. Shoham-Vardi, M. Hallak, R. Hershkowitz, M. Katz, M. Mazor","doi":"10.1080/714052784","DOIUrl":"https://doi.org/10.1080/714052784","url":null,"abstract":"Objective: To determine the incidence, obstetric risk factors and perinatal outcome of placenta previa. Study design: All singleton deliveries at our institution between 1990 and 1998 complicated with placenta previa were compared with those without placenta previa. Results: Placenta previa complicated 0.38% ( n = 298) of all singleton deliveries ( n = 78 524). A back-step multiple logistic regression model found the following factors to be independently correlated with the occurrence of placenta previa: maternal age above 40 years (OR 3.1, 95% CI 2.0-4.9), infertility treatments (OR 3.1, 95% CI 1.8-5.6), a previous Cesarean section (OR 1.8, 95% CI 1.4-2.4), a history of habitual abortions (OR 1.3, 95% CI 1.3-2.7) and Jewish ethnicity (OR 1.3, 95% CI 1.1-1.8). Pregnancies complicated with placenta previa had significantly higher rates of second-trimester bleeding (OR 156.0, 95% CI 87.2-277.5), pathological presentations (OR 7.6, 95% CI 5.7-10.1), abruptio placentae (OR 13.1, 95% CI 8.2-20.7), congenital m...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"16 1","pages":"414-419"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87506842","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: 37
Is routine fetal karyotyping necessary for patients undergoing amniocentesis for elevated maternal serum α-fetoprotein? 因母体血清α-胎蛋白升高而接受羊膜穿刺术的患者是否需要常规胎儿核型分析?
The Journal of maternal-fetal medicine Pub Date : 2001-12-01 DOI: 10.1080/714052777
D. Gonzalez, T. Barrett, J. Apuzzio
{"title":"Is routine fetal karyotyping necessary for patients undergoing amniocentesis for elevated maternal serum α-fetoprotein?","authors":"D. Gonzalez, T. Barrett, J. Apuzzio","doi":"10.1080/714052777","DOIUrl":"https://doi.org/10.1080/714052777","url":null,"abstract":"Objective: The object of the study was to determine the necessity of routine fetal karyotyping in patients undergoing amniocentesis for elevated maternal serum f -fetoprotein (AFP). Methods: Data were collected retrospectively on patients under age 35 who underwent amniocentesis for elevated maternal serum AFP at the University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey, between 1 January 1986 and 31 March 1995. A total of 537 patients with maternal serum AFP values greater than 2.5 multiples of the median were included in the study. Results: Of 509 patients in the group with normal amniotic fluid AFP, 505 had a normal karyotype (specificity 94.9%, negative predictive value 99.2%). One of 28 patients in the group with an elevated amniotic fluid AFP demonstrated an abnormal karyotype (sensitivity 20%, positive predictive value 3.6%). Conclusions: Routine fetal chromosomal analysis of amniotic fluid amniocytes may not be necessary in patients with a normal lev...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"53 1","pages":"376-379"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84766180","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: 0
Long-term follow-up of children with prenatally diagnosed omphalocele and gastroschisis. 产前诊断为脐膨出和胃裂患儿的长期随访。
The Journal of maternal-fetal medicine Pub Date : 2001-12-01 DOI: 10.1080/714052779
H. Lunzer, G. Menardi, C. Brezinka
{"title":"Long-term follow-up of children with prenatally diagnosed omphalocele and gastroschisis.","authors":"H. Lunzer, G. Menardi, C. Brezinka","doi":"10.1080/714052779","DOIUrl":"https://doi.org/10.1080/714052779","url":null,"abstract":"Objective: The aim of this study was to follow up the 19 infants born in Tyrol province with abdominal wall defects between 1985 and 1996 whose malformation had been diagnosed prenatally, who were operated on immediately postpartum and who are alive today. Method: There were seven children in the omphalocele group and 12 in the gastroschisis group; 18 parents of affected infants took part in the study. Results: Four out of seven children with omphalocele had major associated malformations (two Beckwith-Wiedemann syndrome, one porencephalic cyst, one with skeletal defects). These children presented handicaps related to the associated malformations but not to the abdominal wall defect. The three other children with omphalocele are developing normally. Five out of 11 children with gastroschisis had associated intestinal but no extraintestinal malformations. After discharge, ten of 11 children with gastroschisis were developing normally; one child shows signs of mental retardation. Of 14 mothers who had origi...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"91 1","pages":"385-392"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78366127","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: 15
Plasma endothelin-1 and atrial natriuretic peptide levels during prolonged (24-h) non-acidemic hypoxemia in fetal goats. 胎山羊长时间(24小时)非酸性低氧血症期间血浆内皮素-1和房利钠肽水平的变化。
The Journal of maternal-fetal medicine Pub Date : 2001-12-01 DOI: 10.1080/714052783
J. Yamada, K. Fujimori, T. Ishida, M. Sanpei, S. Honda, A. Sato
{"title":"Plasma endothelin-1 and atrial natriuretic peptide levels during prolonged (24-h) non-acidemic hypoxemia in fetal goats.","authors":"J. Yamada, K. Fujimori, T. Ishida, M. Sanpei, S. Honda, A. Sato","doi":"10.1080/714052783","DOIUrl":"https://doi.org/10.1080/714052783","url":null,"abstract":"Objective: The purpose of this study was to investigate the effects of prolonged (24-h) non-acidemic hypoxemia on plasma endothelin-1 and atrial natriuretic peptide (ANP) in fetal goats. Methods: During continuous infusion of nitrogen into the maternal trachea, fetal plasma endothelin-1 and ANP levels were measured in nine chronically instrumented goat fetuses at 117-129 days' gestation. Endothelin-1 and ANP were measured by radioimmunoassay. Results: Fetal arterial p O 2 decreased significantly from 23.1 - 1.0 mmHg (control) to 15.2 - 0.9 mmHg during the first 2 h of hypoxemia and to 15.7 - 1.1 mmHg at the end of the experimental period of hypoxemia. The plasma endothelin-1 concentration increased from 10.6 - 1.9 pg/ml to 20.4 - 4.3 pg/ml ( p < 0.05) during the first 2 h and was 19.7 - 2.4 pg/ml ( p < 0.01) at the end of the experimental period. The plasma ANP concentration also increased, from 20.3 - 5.5 pg/ml to 23.0 - 4.7 pg/ml in the first 2 h and then to 58.0 - 8.8 pg/ml (...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"56 1","pages":"409-413"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78426669","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: 3
Cost effectiveness of bedside fetal fibronectin testing varies according to treatment algorithm. 床边胎儿纤维连接蛋白检测的成本效益因治疗算法而异。
The Journal of maternal-fetal medicine Pub Date : 2001-12-01 DOI: 10.1080/714052778
A. Sullivan, N. Hueppchen, A. Satin
{"title":"Cost effectiveness of bedside fetal fibronectin testing varies according to treatment algorithm.","authors":"A. Sullivan, N. Hueppchen, A. Satin","doi":"10.1080/714052778","DOIUrl":"https://doi.org/10.1080/714052778","url":null,"abstract":"Objective: To determine the cost effectiveness of implementing fetal fibronectin testing in women with threatened preterm labor. Methods: We developed a cost analysis model based upon our institution's experience with threatened preterm labor. Model estimates related to fetal fibronectin were obtained from the literature. The model considered hospital admission and assay cost. Results: Approximately 2000 women deliver annually at our tertiary care facility. In the prior 11 months, 340 (19%) presented for threatened preterm labor with 45 (13%) admissions. In a group of individuals with threatened preterm labor and < 3 cm cervical dilatation, approximately 25% can be expected to have a positive fetal fibronectin test. If fetal fibronectin testing were used to influence the decision of admission, 93 (25%) would have a positive test over a 12-month period, potentially increasing admissions by 94%. At a cost of $225 per test, our institution's antepartum admission cost of $1919, a prevalence of threatened pret...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"17 1","pages":"380-384"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87336091","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: 4
The cerebroplacental Doppler ratio and neonatal outcome in diamnionic monochorionic and dichorionic twins. 双阴离子、单绒毛膜和双绒毛膜双胞胎的脑胎盘多普勒比和新生儿结局。
The Journal of maternal-fetal medicine Pub Date : 2001-12-01 DOI: 10.1080/714052776
E. Gaziano, C. Gaziano, C. Terrell, R. E. Hoekstra
{"title":"The cerebroplacental Doppler ratio and neonatal outcome in diamnionic monochorionic and dichorionic twins.","authors":"E. Gaziano, C. Gaziano, C. Terrell, R. E. Hoekstra","doi":"10.1080/714052776","DOIUrl":"https://doi.org/10.1080/714052776","url":null,"abstract":"Objective: Neonatal outcome in twins was studied in relation to the cerebroplacental ratio (CPR). Methods: Seventy-five infants from twin pregnancies with fetal Doppler data obtained within 3 weeks of delivery were candidates for study (23 infants from diamnionic monochorionic and 52 infants from diamnionic dichorionic twin pregnancies). Multivariate regression analyses were expanded to include 114 twin infants (34 diamnionic monochorionic and 80 diamnionic dichorionic twins). Patients with twin transfusion syndrome were excluded from analysis in the monochorionic group. Targeted ultrasound examination with biometry was performed, and Doppler resistance index (RI) of the umbilical artery (UA) and the middle cerebral artery (MCA) were obtained, and the CPR, a measure of blood flow redistribution, was calculated. Outcome variables included major complications, growth restriction, days of ventilator and oxygen use, days in the neonatal intensive care unit and length of stay. Results: The CPR was correlated m...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"24 1","pages":"371-375"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75546977","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信