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A comparison of four techniques for measuring central adiposity in postpartum adolescents. 产后青少年中心性肥胖的四种测量方法的比较。
The Journal of maternal-fetal medicine Pub Date : 2001-06-01 DOI: 10.1080/714052734
C. Stevens-Simon, P. Thureen, E. Stamm, A. Scherzinger
{"title":"A comparison of four techniques for measuring central adiposity in postpartum adolescents.","authors":"C. Stevens-Simon, P. Thureen, E. Stamm, A. Scherzinger","doi":"10.1080/714052734","DOIUrl":"https://doi.org/10.1080/714052734","url":null,"abstract":"Objective : To develop a reliable office technique for measuring central body fat in postpartum adolescents, we compared: first, a direct sonographic measurement of visceral adiposity to measurements of visceral and subcutaneous abdominal adiposity by computed tomography (CT); and second, skinfold caliper and sonographic measurements of subcutaneous adipose tissue distribution to CT measurements of visceral and subcutaneous abdominal adiposity. Methods : Postpartum adipose tissue distribution was assessed in 15 teenagers by measuring the thickness of the subcutaneous fat at six body sites with skinfold calipers and ultrasound. Visceral adiposity was measured directly by ultrasound and CT. Taking the CT measurements as the standards, Pearson correlations and regression analyses were used to compare ultrasound measurement of visceral adiposity and the skinfold caliper and sonographic measurements of subcutaneous adipose tissue distribution. Results : All of the adiposity measurements correlated significantl...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"46 4","pages":"209-213"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72422787","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
Sequential use of Prepidil and extra-amniotic saline infusion for the induction of labor in nulliparous women with very low Bishop scores. 序贯使用Prepidil和羊膜外盐水输注引产的产妇非常低的主教评分。
The Journal of maternal-fetal medicine Pub Date : 2001-06-01 DOI: 10.1080/714904325
M. Chammas, Tuan M. Nguyen, R. Vasavada, B. Nuwayhid, L. Castro
{"title":"Sequential use of Prepidil and extra-amniotic saline infusion for the induction of labor in nulliparous women with very low Bishop scores.","authors":"M. Chammas, Tuan M. Nguyen, R. Vasavada, B. Nuwayhid, L. Castro","doi":"10.1080/714904325","DOIUrl":"https://doi.org/10.1080/714904325","url":null,"abstract":"Objective : To evaluate the efficacy of sequential use of Prepidil ® (prostaglandin E 2 gel) and extra-amniotic saline infusion for the induction of labor in nulliparous women with very low Bishop scores. Study design : Nulliparous women with singleton gestations, intact membranes and a cervical Bishop score of h 2 who received Prepidil gel and extra-amniotic saline infusion sequentially for the induction of labor between July 1996 and July 1998 were studied. Results : Thirty-one women met the inclusion criteria. Indications for induction included post-dates (six of 31), pre-eclampsia (ten of 31), diabetes (three of 31), oligohydramnios (three of 31), intrauterine growth restriction (two of 31) and non-reactive non-stress test (NST) (seven of 31). The average time from onset of induction to delivery was 38.1 - 13.5 h. Vaginal delivery was achieved in 80.6%. Women requiring >2 doses of Prepidil had a higher risk of delivering abdominally (OR = 3.5). Three of seven (42.9%) women with labor induced fo...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"37 1","pages":"193-196"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87893028","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
A comparison of intermittent vaginal administration of two different doses of misoprostol suppositories with continuous dinoprostone for cervical ripening and labor induction. 阴道间歇给药两种不同剂量米索前列醇栓剂与连续地诺前列酮用于宫颈成熟和引产的比较。
The Journal of maternal-fetal medicine Pub Date : 2001-06-01 DOI: 10.1080/714052744
A. Khoury, Qiuping Zhou, D. Gorenberg, B. Nies, G. E. Manley, F. Mecklenburg
{"title":"A comparison of intermittent vaginal administration of two different doses of misoprostol suppositories with continuous dinoprostone for cervical ripening and labor induction.","authors":"A. Khoury, Qiuping Zhou, D. Gorenberg, B. Nies, G. E. Manley, F. Mecklenburg","doi":"10.1080/714052744","DOIUrl":"https://doi.org/10.1080/714052744","url":null,"abstract":"Purpose : To compare the efficacy of a vaginal insert administering continuous dinoprostone with vaginal suppositories containing two different doses of misoprostol for cervical ripening and induction of labor. Study design : In this prospective, randomized, double-blinded study, 118 patients with indications for induction of labor and an unfavorable Bishop score were randomly assigned to receive either continuous dinoprostone, misoprostol 35- w g suppositories, or misoprostol 50- w g suppositories. Results : No significant differences were noted among the three groups in the change of Bishop score, induction of active labor or the time from initial treatment to delivery. Active labor occurred in roughly two-thirds of the patients in an average of about 5.7-6.7 h regardless of treatment assignment. When the two misoprostol groups were combined, a shorter interval from insertion to vaginal delivery was observed in the nulliparous women receiving misoprostol than those receiving continuous dinoprost...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"67 1","pages":"186-192"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90376341","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
Evaluation of a rapid optical immunoassay-based test for group B streptococcus colonization in intrapartum patients. 基于光学免疫分析法的产时患者B群链球菌定植快速检测方法的评价。
The Journal of maternal-fetal medicine Pub Date : 2001-06-01 DOI: 10.1080/714904326
R. Samadi, A. Stek, J. Greenspoon
{"title":"Evaluation of a rapid optical immunoassay-based test for group B streptococcus colonization in intrapartum patients.","authors":"R. Samadi, A. Stek, J. Greenspoon","doi":"10.1080/714904326","DOIUrl":"https://doi.org/10.1080/714904326","url":null,"abstract":"Objective : To compare an optical immunoassay (OIA) rapid diagnostic kit to standard culture for the diagnosis of vaginal colonization with group B streptococcus (GBS) and to assess the accuracy and reproducibility of the OIA results. Method : A total of 301 patients in labor were prospectively evaluated for GBS colonization with a test approved by the Food and Drug Administration (STREP B OIA kit, Biostar, Boulder, CO, USA) and by culture. The vagina was simultaneously sampled with two swabs. Rectal culture was obtained separately. Results : By the criterion of a positive culture, the vagina was colonized by GBS in 33 of 301 (11%) patients; and the rectum in 42 of 301 (13.9%). The vagina or rectum or both were colonized by GBS in 54 of 301 (17.9%) of patients. The OIA had sensitivity, specificity, positive predictive value and negative predictive value of 63.6%, 86.3%, 37.5% and 94.8%, respectively. The OIA had a kappa statistic score of 0.59. Conclusion : The OIA is not an adequately sensitive rapid kit...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"47 1","pages":"203-208"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88420411","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
Prospective comparison of the startle test (recoil) and non-stress test. 惊吓试验(后坐力)与非应激试验的前瞻性比较。
The Journal of maternal-fetal medicine Pub Date : 2001-06-01 DOI: 10.1080/714052738
H. Gabert, Joseph M. Miller
{"title":"Prospective comparison of the startle test (recoil) and non-stress test.","authors":"H. Gabert, Joseph M. Miller","doi":"10.1080/714052738","DOIUrl":"https://doi.org/10.1080/714052738","url":null,"abstract":"Objective : Our purpose was to compare fetal heart rate reaction to external physical stimulation with the non-stress test (NST). Methods : This was a prospective study evaluating documentation of fetal heart accelerations by two methods. The standard NST was performed prior to the ultrasound evaluation. The NST results were not available to the ultrasonographer. M-mode ultrasound was used to establish a stable fetal heart rate. The ultrasound transducer was used to stimulate fetal movement by indentations of the uterus over the fetal small parts. A second fetal heart rate was determined within 15 s after stimulation. Results : A total of 122 patients had 159 studies performed. The fetal heart rate range due to fetal startle (recoil) was m 22 to 14 (median of 3) in the 45 fetuses with non-reactive NSTs and 1 to 38 (median of 15) in the 114 fetuses with a reactive NST ( p < 0.001). A receiver operating curve comparing the fetal response to the startle and the NST revealed an area under the curve of 0.9...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"1995 1","pages":"159-161"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82435892","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
Reference values of amniotic fluid neuron-specific enolase. 羊水神经元特异性烯醇化酶参考值。
The Journal of maternal-fetal medicine Pub Date : 2001-06-01 DOI: 10.1080/714904324
A. Elimian, R. Figueroa, K. Patel, P. Visintainer, P. Sehgal, N. Tejani
{"title":"Reference values of amniotic fluid neuron-specific enolase.","authors":"A. Elimian, R. Figueroa, K. Patel, P. Visintainer, P. Sehgal, N. Tejani","doi":"10.1080/714904324","DOIUrl":"https://doi.org/10.1080/714904324","url":null,"abstract":"Objective : Enolase is a dimeric cytoplasmic enzyme whose double n isoenzyme, neuron-specific enolase, is predominantly found in neuronal and neuroendocrine tissues. Cell injury causes its release into the blood and cerebrospinal fluid (CSF). Neuron-specific enolase has been measured in the serum and CSF of adults and full-term asphyxiated neonates as a marker of neurological injury. We recently observed an elevation of neuron-specific enolase in the amniotic fluid of women whose neonates subsequently developed intraventricular hemorrhage or periventricular leukomalacia. The purpose of our study was to establish reference values of neuron-specific enolase in the amniotic fluid as a function of gestational age. Methods : A total of 110 amniotic fluid samples, obtained primarily for genetic studies (16-20 weeks, n = 22), for evaluation of preterm labor (21-35 weeks, n = 66) and for fetal lung maturity studies (36-40 weeks, n = 22), were analyzed for neuron-specific enolase. Samples were from women who s...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"73 1","pages":"155-158"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83352924","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
Characterization of growth-restricted fetuses with breakdown of the brain-sparing effect diagnosed by spectral Doppler. 频谱多普勒诊断脑保留效应破裂的生长受限胎儿的特征。
The Journal of maternal-fetal medicine Pub Date : 2001-04-01 DOI: 10.1080/714052730
Y. Takahashi, I. Kawabata, T. Tamaya
{"title":"Characterization of growth-restricted fetuses with breakdown of the brain-sparing effect diagnosed by spectral Doppler.","authors":"Y. Takahashi, I. Kawabata, T. Tamaya","doi":"10.1080/714052730","DOIUrl":"https://doi.org/10.1080/714052730","url":null,"abstract":"Objective : To characterize serial findings of the middle cerebral artery (MCA) and umbilical artery (UA) flow patterns, their relationship to each other, and neonatal outcomes in growth-restricted fetuses. Methods : Serial pulsatility indices (PIs) from MCA and UA Doppler waveforms were measured in 41 growth-restricted fetuses until Cesarean delivery. We found three patterns, as follows: phase 1 ( n = 27), UA PI MCA PI (brain-sparing effect); phase 3 ( n = 3), both PIs elevated with the absence of end-diastolic flow or presence of reverse end-diastolic flow, which was designated as the 'breakdown of the brain-sparing effect'. Umbilical cord blood gas data at delivery were compared between each group. Results : Age at delivery and body weights were significantly different for each phase. The mean body weights in all phases were significantly diminished from Japanese standard body weights, indicating growth restriction. The phase 3 pH and base ...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"27 1","pages":"122-126"},"PeriodicalIF":0.0,"publicationDate":"2001-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87438985","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
Volumetric umbilical artery blood flow: comparison of the normal versus the single umbilical artery cord. 容量脐动脉血流:正常与单脐动脉脐带的比较。
The Journal of maternal-fetal medicine Pub Date : 2001-04-01 DOI: 10.1080/714052729
J. Goldkrand, C. Pettigrew, S. U. Lentz, S. Clements, J. Bryant, J. Hodges
{"title":"Volumetric umbilical artery blood flow: comparison of the normal versus the single umbilical artery cord.","authors":"J. Goldkrand, C. Pettigrew, S. U. Lentz, S. Clements, J. Bryant, J. Hodges","doi":"10.1080/714052729","DOIUrl":"https://doi.org/10.1080/714052729","url":null,"abstract":"Objective : This was a study of the volumetric blood flow in single umbilical artery (SUA) cords as compared to three-vessel cords. Hypothesis: SUA flow will be twice that of an artery in a normal cord. Methods : We studied 276 patients (24 SUA, 252 normal cord) at 18-40 weeks' gestation utilizing gray-scale and color Doppler. Flow, flow/kg, velocity, artery diameter, Doppler velocimetry indices, estimated fetal weight (EFW) and amniotic fluid index (AFI) were compared. All fetuses were anatomically and cytogenetically normal. Results : Blood flow increased with advancing gestation and the SUA volume was twice that in the normal cord artery. Flow/kg decreased for both cords, with the SUA values twice those of normal cords. Arterial diameter and velocity increased, but to a greater degree in SUA. Velocimetry, although in the normal range, decreased progressively with the resistance indices always lower in the SUA cord. EFW and AFI were the same for both groups. Conclusion : Volumetric blood and its compone...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"41 1","pages":"116-121"},"PeriodicalIF":0.0,"publicationDate":"2001-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87833582","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
University hospital-based prenatal care decreases the rate of preterm delivery and costs, when compared to managed care. 与管理护理相比，以大学医院为基础的产前护理降低了早产率和成本。
The Journal of maternal-fetal medicine Pub Date : 2001-04-01 DOI: 10.1080/714904309
J. Bienstock, S. Ural, K. Blakemore, E. Pressman
{"title":"University hospital-based prenatal care decreases the rate of preterm delivery and costs, when compared to managed care.","authors":"J. Bienstock, S. Ural, K. Blakemore, E. Pressman","doi":"10.1080/714904309","DOIUrl":"https://doi.org/10.1080/714904309","url":null,"abstract":"Objective : Our purpose was to compare the rate of recurrent preterm delivery and the combined costs of mother/infant care for patients with a history of preterm delivery cared for in an inner city hospital house staff (HS) clinic versus an inner city managed care organization (MCO). Methods : A retrospective cohort study was conducted. The groups consisted of 96 patients with a history of preterm delivery who were cared for by the HS clinic and 164 patients cared for in a neighborhood MCO. All patients with a history of previous preterm delivery who delivered at the Johns Hopkins Hospital between 1 January 1994 and 31 December 1996 were included in the study. The groups were examined regarding source of prenatal care for the subsequent pregnancy (HS vs. MCO), baseline demographics, intensity of prenatal care, maternal and neonatal outcomes and total cost of the provision of care. Results : There were no differences in baseline demographics between the groups. There was a higher rate of recurrent prematur...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"15 1","pages":"127-130"},"PeriodicalIF":0.0,"publicationDate":"2001-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75608232","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
Effects of actinomycin D on fetal growth in rats. 放线菌素D对大鼠胎儿生长的影响。
The Journal of maternal-fetal medicine Pub Date : 2001-04-01 DOI: 10.1080/714904314
K. Nagai, T. Ikenoue, N. Mori
{"title":"Effects of actinomycin D on fetal growth in rats.","authors":"K. Nagai, T. Ikenoue, N. Mori","doi":"10.1080/714904314","DOIUrl":"https://doi.org/10.1080/714904314","url":null,"abstract":"Objective : The goal of this study was to determine the effects of actinomycin D on fetal growth and prostaglandin dehydrogenase activity and to determine whether these effects could be obtained by administering extracts of fetal calf serum (SS-094). Methods : Actinomycin D (7 w g/100 g body weight) was injected intraperitoneally on days 11 and 12 of pregnancy to induce growth restriction in rats. In another group, SS-094 was given (0.1 ml/100 g body weight) on days 12, 15, 17 and 19 of pregnancy, following the administration of actinomycin D. Placental prostaglandin dehydrogenase (PGDH) activity was measured on days 15 and 21 of pregnancy. Statistical analysis was performed by ANOVA and Dunnet's test. Results : In the group injected with actinomycin D, fetal weight was significantly restricted (on day 15; p < 0.05; on day 21; p < 0.01), compared to the controls, and this restriction was successfully reversed by SS-094. PGDH activity in the placenta was significantly ( p < 0.01) decreased in growth-re...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"68 1","pages":"136-140"},"PeriodicalIF":0.0,"publicationDate":"2001-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88102371","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
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