{"title":"The cervical length correlates with the amount of bleeding during cesarean section of the pernicious placenta previa","authors":"Ling-da Feng","doi":"10.11138/JPM/2017.11.1.008","DOIUrl":"https://doi.org/10.11138/JPM/2017.11.1.008","url":null,"abstract":"Introduction: to investigate the association between the amount of bleeding during a cesarean section and the effacement of the uterine cervix in patients with pernicious placenta previa. Methods: this study reviewed 50 singleton pregnancies with pernicious placenta previa. In cases of pernicious placenta previa, the cervical length were retrospectively measured and compared with the amount of bleeding during the cesarean","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"104 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88131876","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}
{"title":"Association between echogenic intracardiac focus in first trimester and biochemical screening an analysis","authors":"S. Kandasamy","doi":"10.11138/JPM/2017.11.1.014","DOIUrl":"https://doi.org/10.11138/JPM/2017.11.1.014","url":null,"abstract":"Introduction: to analyze the relation between presence of EIF in the first trimester, nuchal translucency (NT) and combined biochemical","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"30 1","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74146768","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}
{"title":"Congenital cervical teratoma in association with neuronal migration disorder","authors":"Judith Berry Mary","doi":"10.11138/JPM/2017.11.1.001","DOIUrl":"https://doi.org/10.11138/JPM/2017.11.1.001","url":null,"abstract":"Congenital cervical teratoma is a rare congenital malformation with an estimated incidence of one in 20,000-40,000 live births. Due to its mass effect it has a potential to cause significant fetal airway obstruction, while its hyper-vascularity may result in fetal heart failure and hydrops fetalis. An association with intracranial abnormalities has been previously described but is extremely rare and no cases of postnatal survival have previously been reported. In this study we report the first case of congenital cervical teratoma with neuronal migration disorder in a live-born infant and the role of in-utero cyst drainage as an airway salvage intervention. We also present a literature review on etiology, diagnosis, management options and prognosis of congenital cervical teratoma with and without intracranial abnormalities.","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"1 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89241203","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}
{"title":"Fetal-MRI prenatal diagnosis of severe bilateral lung hypoplasia: alveolar capillary dysplasia case report.","authors":"Salvatore Zirpoli, Alice Marianna Munari, Mariangela Rustico, Gaetano Bulfamante, Gianluca Lista, Luigina Spaccini, Claudia Cesaretti","doi":"10.11138/jpm/2016.10.3.015","DOIUrl":"https://doi.org/10.11138/jpm/2016.10.3.015","url":null,"abstract":"<p><p>Alveolar capillary dysplasia with misalignment of pulmonary veins (ACD/MPV) is a rare and lethal developmental disorder of the lung that affect both acinar structure and the intrinsic pulmonary vasculature. We report prenatal and postnatal imaging with histopathological findings of this rare condition. We, first, describe MR imaging features and discuss its role in prenatal imaging.</p>","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"10 3-4","pages":"15-19"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505476/pdf/15-19.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35184881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predictive value of procalcitonin or c-reactive protein for subclinical intrauterine infection in patients with premature rupture of membranes (PROM).","authors":"Kemin Li, Haiyan Yu, Xiaodong Wang, Xinghui Liu","doi":"10.11138/jpm/2016.10.3.023","DOIUrl":"https://doi.org/10.11138/jpm/2016.10.3.023","url":null,"abstract":"<p><strong>Introduction: </strong>to evaluate the diagnostic value of procalcitonin (PCT) and C-reactive protein (CRP) for the prediction of subclinical intrauterine infection in patients with premature rupture of membranes (PROM).</p><p><strong>Methods: </strong>a retrospective analysis was performed based on patients with PROM admitted into our hospital between January 2011 and January 2016. Using the pathological diagnosis of placenta as the gold standard, the sensitivities, specificities, positive predictive values, and negative predictive values of PCT and CRP for the diagnosis of subclinical intrauterine infection at different gestational weeks were analyzed. Further, the diagnostic accuracies were compared according to their receiver operating characteristic (ROC) curves.</p><p><strong>Results: </strong>276 cases were included. The area under the ROC curve of CRP is 0.632, and it is significantly better than PCT. The sensitivity, specificity, positive predictive value, and negative predictive value of CRP are 0.686, 0.958, 0.501, and 0.765, which are all better than those of PCT. The group analysis according to different gestational weeks demonstrated that for the group of 28-33+6 weeks pregnant women, the area under the ROC curve of CRP and PCT is 0.869, and 0.787. The both test have satisfactory accuracy. But the sensitivity and specificity of PCT is 0.830, and 0.950, respectively. That are significantly better than CRP.</p><p><strong>Conclusion: </strong>both PCT and CRP have good application potential for the diagnostic prediction of subclinical intrauterine infection in <34 gestational weeks pregnant women with PROM, and PCT is more applicable to 28-33+6 gestational weeks pregnant women with PROM.</p>","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"10 3-4","pages":"23-28"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11138/jpm/2016.10.3.023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35183343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dino Cancemi, Maria Urciuoli, Franco Morelli, Maria Concetta Lonardo, Valeria Lonardo, Carmine Spampanato, Marialuisa Ventruto, Valerio Ventruto, Carmine Sica
{"title":"A case of polimalformed fetus with a microdeletion of CTNNA3 gene.","authors":"Dino Cancemi, Maria Urciuoli, Franco Morelli, Maria Concetta Lonardo, Valeria Lonardo, Carmine Spampanato, Marialuisa Ventruto, Valerio Ventruto, Carmine Sica","doi":"10.11138/jpm/2016.10.3.020","DOIUrl":"https://doi.org/10.11138/jpm/2016.10.3.020","url":null,"abstract":"<p><p>We report a case of a male fetus of 20 weeks of gestation with plurimalformed observed by transonic scan and confirmed by MR. The karyotype was 46, XY. Molecular analysis showed a microdeletion of about 100 kb in the CTNNA3 gene.</p>","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"10 3-4","pages":"20-22"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505477/pdf/20-22.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35184882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Diletta D'Eufemia, Stefano Cianci, Filippo Di Meglio, Letizia Di Meglio, Lavinia Di Meglio, Salvatore Giovanni Vitale, Antonio Simone Laganà, Benito Chiofato, Agnese Maria Chiara Rapisarda, Francesco Padula, Valentina La Rosa, Claudio Coco, Carmine Vascone
{"title":"Congenital high airway obstruction syndrome (CHAOS): discussing the role and limits of prenatal diagnosis starting from a single-center case series.","authors":"Maria Diletta D'Eufemia, Stefano Cianci, Filippo Di Meglio, Letizia Di Meglio, Lavinia Di Meglio, Salvatore Giovanni Vitale, Antonio Simone Laganà, Benito Chiofato, Agnese Maria Chiara Rapisarda, Francesco Padula, Valentina La Rosa, Claudio Coco, Carmine Vascone","doi":"10.11138/jpm/2016.10.1.004","DOIUrl":"https://doi.org/10.11138/jpm/2016.10.1.004","url":null,"abstract":"<p><strong>Objectives: </strong>we aimed to report our experience about congenital high airway obstruction syndrome (CHAOS) that is a rare and fatal congenital anomaly; laryngeal atresia is the most frequent cause. Sonographic findings are enlarged echogenic lungs, dilated trachea, and ascites.</p><p><strong>Methods: </strong>we performed a single-center case series analysis collecting antenatally through ultrasound examination, and some of them confirmed by autopsy.</p><p><strong>Results: </strong>we report six cases of CHAOS diagnosed by antenatal ultrasonography between 2007 and 2013.</p><p><strong>Conclusion: </strong>to date literature provides very few individual case reports. This work describes typical sonographic findings of this syndrome and it underlines the importance of early prenatal diagnosis to improve prognosis thought an ex utero intrapartum treatment, that seems to be the only chance of survival for the affected fetus.</p>","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"10 1-2","pages":"4-7"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505473/pdf/4-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35184877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vittoria Del Vecchio, Annarosa Chincoli, Francesco Caradonna, Antonella Vimercati
{"title":"US-color Doppler early diagnosis of uterine rupture with protrusion of umbilical cord.","authors":"Vittoria Del Vecchio, Annarosa Chincoli, Francesco Caradonna, Antonella Vimercati","doi":"10.11138/jpm/2016.10.1.001","DOIUrl":"https://doi.org/10.11138/jpm/2016.10.1.001","url":null,"abstract":"<p><strong>Objective: </strong>to analyze a case of uterine rupture in a pregnant woman that had a previous laparoscopic myomectomy.</p><p><strong>Methods: </strong>pregnant woman at 34 weeks gestation came to our emergency room for abdominal pain. She had undergone a previous laparoscopic multiple myomectomy. Patient was evaluated in our Department, that is a tertiary center, by a team of experienced ultrasonographers.</p><p><strong>Results: </strong>at a first clinical examination, the findings were a deep abdominal pain, dysuria and a positive Giordano's sign on the right. 2D ultrasound showed an alive intrauterine foetus, normal anterior fundal placenta and mild reduction of amniotic fluid. It revealed also a maternal right pyelectasis. A further meticulous ultrasound evaluation plus color Doppler revealed on the left side of the uterus the presence of a small vascularised area with venous and arterial flow that seemed to be in continuity with umbilical cord and that had its ultrasound characteristics. Emergency laparotomy was performed and confirmed the hypothesis of uterine rupture.</p><p><strong>Discussion: </strong>uterine rupture seems to occur more frequently as a consequence of a laparoscopic myomectomy and the classic signs and symptoms are fetal distress, loss of uterine contractility, abdominal pain, hemorrhage and shock, so the early US suspect of uterine rupture was extremely important in the decision to perform an emergency caesarean section.</p><p><strong>Conclusion: </strong>the correlation between clinical examination and ultrasound-Doppler findings has been essential to recognise an obstetrical emergency and to perform prompt surgery.</p>","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"10 1-2","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505472/pdf/1-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35184876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francesco Cosentino, Luigi Carlo Turco, Stefano Cianci, Francesco Fanfani, Anna Fagotti, Salvatore Gueli Alletti, Giuseppe Vizzielli, Salvatore Giovanni Vitale, Antonio Simone Laganà, Francesco Padula, Claudio Coco, Salvatore Pisconti, Giovanni Scambia
{"title":"Management, prognosis and reproductive outcomes of borderline ovarian tumor relapse during pregnancy: from diagnosis to potential treatment options.","authors":"Francesco Cosentino, Luigi Carlo Turco, Stefano Cianci, Francesco Fanfani, Anna Fagotti, Salvatore Gueli Alletti, Giuseppe Vizzielli, Salvatore Giovanni Vitale, Antonio Simone Laganà, Francesco Padula, Claudio Coco, Salvatore Pisconti, Giovanni Scambia","doi":"10.11138/jpm/2016.10.1.008","DOIUrl":"https://doi.org/10.11138/jpm/2016.10.1.008","url":null,"abstract":"<p><strong>Background: </strong>fertility sparing surgery is the first option for treatment of childbearing age women affected by borderline ovarian tumor (BOT). This review put in evidence the benefits and the risks of conservative surgery procedure. Moreover, the literature review is aimed to analyze the possibility of fertility sparing surgery in BOTs and to define a standard treatment in the management of this pathology during pregnancy.</p><p><strong>Methods: </strong>systematic analysis of the relevant literature for fertility sparing during pregnancy for BOT, accessed through MEDLINE (1982-2015), bibliographies, and interactions with investigators. The data were assimilated into a rigorous and objective contemporary description, enriched by prospective, controlled, and evidence-based studies.</p><p><strong>Results: </strong>there are not many studies about BOT during pregnancy. It can reasonably assumed that after the diagnosis of a suspected BOT during the third trimester of pregnancy, an attitude of close surveillance could be adopted. To the best of our knowledge, we report the only case in literature focused about the treatment and management of borderline ovarian tumor relapse detected during pregnancy.</p><p><strong>Conclusion: </strong>basing on our experience and on literature reported, the conservative management of BOT during gestation up to delivery could be considered feasible. The conservative debulking surgery should be performed at the time of cesarean section in a third referral center for gynecologic oncology.</p>","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"10 1-2","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505474/pdf/8-14.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35184879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Enrico Colosi, Rosalia Musone, Gilda Filardi, Alma Fabbo
{"title":"First trimester fetal anatomy study and identification of major anomalies using 10 standardized scans.","authors":"Enrico Colosi, Rosalia Musone, Gilda Filardi, Alma Fabbo","doi":"10.11138/jpm/2015.9.3.024","DOIUrl":"https://doi.org/10.11138/jpm/2015.9.3.024","url":null,"abstract":"<p><strong>Objective: </strong>to validate the use of the first trimester scan not just as a screening tool for chromosomal anomalies, but also as a method to identify the major anatomic anomalies using 10 standardized scans.</p><p><strong>Methods: </strong>five years of prospective study analyzing the fetal anatomy of 5924 patients with a singleton pregnancy during the first trimester screening for chromosomopathies. A check list of 10 predetermined scans had been used. The follow up consisted of two more scans in the second and third trimester, according to the local protocol, and a final evaluation of neonatal outcome at birth.</p><p><strong>Results: </strong>in the 5924 examined patients, the percentage of major malformations is 0.74%, most of all discovered in the first trimester (47.7%). The Detection Rate for the malformations related to the nervous system is about 50% and for the malformations of the abdomen, heart and skeleton is slightly lower (43.5%).</p><p><strong>Conclusions: </strong>first trimester ultrasound using 10 standardized scans is a valid screening method for chromosomopathies and also an effective method to identify many of the major fetal anato - mical anomalies.</p>","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"9 3-4","pages":"24-8"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4909108/pdf/24-28.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34525895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}