Journal of prenatal medicine最新文献_第9页

Is counselling for CCAM that difficult? Learning from parental experience. 为CCAM提供咨询有那么困难吗?学习父母的经验。

Journal of prenatal medicine Pub Date : 2011-07-01

Lucia Aite, Antonio Zaccara, Alessandro Trucchi, Antonella Nahom, Irma Capolupo, Luisa Mobili, Pietro Bagolan

{"title":"Is counselling for CCAM that difficult? Learning from parental experience.","authors":"Lucia Aite, Antonio Zaccara, Alessandro Trucchi, Antonella Nahom, Irma Capolupo, Luisa Mobili, Pietro Bagolan","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Cystic adenomatoid malformations (CCAM) are relatively rare developmental abnormalities of the lung. Despite outcome is usually benign, parents often exhibit high anxiety level. The purpose of the present study was to collect parents'subjective experience of communication of diagnosis when expecting a fetus with CCAM.Methods: In the period ranging between 2004 to 2007 all couples referred to our hospital for prenatal suspicion of CCAM, were contacted to participate in the study by means of a questionnaire.Results: Twenty-seven couples returned fully completed questionnaire and form the object of this study. 13/27 couples were recommended pregnancy termination.MAJOR RISKS PRESENTED WERE: fetal distress (27/27), intrauterine death (16/27), death at birth (12/27).THE MOST DISTRESSING MOMENTS WERE: communication of diagnosis and the time lag between communication of diagnosis and consultation with the surgeon.Conclusions: Despite CCAM carries a favourable prognosis, couples often appear to receive incomplete information with risk of fetal distress and demise prevailing over survival rate and long term outcome. To provide the couple with the most accurate information concerning the anomaly and the associated prognosis to make informed decision a referral to a tertiary pediatric surgery unit should be made as soon as possible.","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"5 3","pages":"65-8"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279169/pdf/prenatal-05-0065.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30521019","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}

引用次数: 0

Biochemical markers for prediction of preclampsia: review of the literature. 生化标记物预测钳先兆:文献综述。

Journal of prenatal medicine Pub Date : 2011-07-01

Santo Monte

引用次数: 0

Maternal weight gain during pregnancy and neonatal birth weight: a review of the literature. 孕妇孕期体重增加与新生儿出生体重:文献综述。

Journal of prenatal medicine Pub Date : 2011-04-01

Santo Monte, Oriana Valenti, Elsa Giorgio, Eliana Renda, Entela Hyseni, Marianna Faraci, Roberta De Domenico, Fosca A F Di Prima

{"title":"Maternal weight gain during pregnancy and neonatal birth weight: a review of the literature.","authors":"Santo Monte, Oriana Valenti, Elsa Giorgio, Eliana Renda, Entela Hyseni, Marianna Faraci, Roberta De Domenico, Fosca A F Di Prima","doi":"","DOIUrl":"","url":null,"abstract":"Obesity has become a serious global public health issue and has consequences for nearly all areas of medicine. Within obstetrics, obesity not only has direct implications for the health of a pregnancy but also impacts on the weight of the child in infancy and beyond. As such, maternal weight may influence the prevalence and severity of obesity in future generations. Pregnancy has been identified as a key time to target a weight control or weight loss strategy to help curb the rapidly growing obesity epidemic. This study reviews the current evidence for interventions to promote weight control or weight loss in women around the time of pregnancy. Studies have shown positive correlations between both maternal pre-pregnancy weight and gestational weight gain with the birth weight of the infant and associated health risks, so interventions have been put to clinical trials at both time points. Many women are concerned about the health of their babies during pregnancy and are in frequent contact with their healthcare providers, pregnancy may be an especially powerful \"teachable moment\" for the promotion of healthy eating and physical activity behaviors among women.","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"5 2","pages":"27-30"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279163/pdf/prenatal-05-0027.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30520538","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}

引用次数: 0

Fetal growth restriction: current perspectives. 胎儿生长限制:目前的观点。

Journal of prenatal medicine Pub Date : 2011-04-01

Marianna Faraci, Eliana Renda, Santo Monte, Fosca A F Di Prima, Oriana Valenti, Roberta De Domenico, Elsa Giorgio, Entela Hyseni

引用次数: 0

Gestational weight gain, prepregnancy body mass index related to pregnancy outcomes in KAZERUN, FARS, IRAN. 伊朗法尔斯卡泽伦孕妇孕期体重增加、孕前体重指数与妊娠结局相关

Journal of prenatal medicine Pub Date : 2011-04-01

Mozhgan Tabatabaei

{"title":"Gestational weight gain, prepregnancy body mass index related to pregnancy outcomes in KAZERUN, FARS, IRAN.","authors":"Mozhgan Tabatabaei","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The aim of this study was to evaluate associations between pregnancy outcomes and prepregnancy body mass index and gestational weight gain among pregnant women who regularly attended health centers of Kazerun, Fars, Iran.Methods: In this descriptive study records from 5172 pregnant women were considered in this study, based on the methodology criteria. Women were distributed across 4 prepregnancy categories according to the Institute of Medicine (IOM) (1990) classification of body mass index, and to 4 end-of-pregnancy categories according to median weekly gestational weight gain.Results: The risks for gestational diabetes, gestational hypertension, pre-eclampsia, and preterm premature rupture of membranes were higher for those who were overweight or obese before becoming pregnant (P < 0.05). Moreover, a gestational weight gain of 0.50 kg per week or greater was associated with a higher risk for gestational hypertension, preterm premature rupture of membranes, and fetal macrosomia (P < 0.05). Women in the highest quartile for weight gain (≥ 0.59 kg per week) were at higher risk for pre-eclampsia (P < 0.05).Discussion: The results seems to indicate that excessive gestational weight gain and high prepregnancy body mass index were associated with increased risks for adverse pregnancy outcomes.","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"5 2","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279161/pdf/prenatal-05-0035.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30521014","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}

引用次数: 0

The use of uterine artery doppler as a predictive tool for adverse gestational outcomes in pregnant patients with autoimmune and thrombophilic disease. 子宫动脉多普勒作为自身免疫性和血栓性疾病孕妇不良妊娠结局的预测工具

Journal of prenatal medicine Pub Date : 2011-04-01

Roberta Capucci, Elena Pivato, Simona Carboni, Elena Mossuto, Gabriella Castellino, Melissa Padovan, Marcello Govoni, Roberto Marci, Alfredo Patella

{"title":"The use of uterine artery doppler as a predictive tool for adverse gestational outcomes in pregnant patients with autoimmune and thrombophilic disease.","authors":"Roberta Capucci, Elena Pivato, Simona Carboni, Elena Mossuto, Gabriella Castellino, Melissa Padovan, Marcello Govoni, Roberto Marci, Alfredo Patella","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To verify whether Doppler velocimetry on the uterine arteries can be used to single out abnormal hemodynamic adjustments in the uteroplacental district and to prognose adverse gestational outcomes in pregnant women with autoimmune and trombophilic disease.Methods: The study included 67 patients divided into 3 groups selected by a developed pathology. Attention was given to the performance of the Resistance Index (RI) in Doppler velocimetry checks at 10th, 16th-18th, 21st and 28th weeks of gestation.Results: A significant correlation between Doppler values at week 21st and development of preeclampsia was observed (p <0.05) in the three patient groups. High Doppler values at the 21st week were found to be strongly associated (p <0.01) with preterm delivery. We also observed a significant correlation (p <0.05) between high Doppler values at week 21st and low weight at birth. Doppler was found to have a predictive power for gestational adverse outcomes already at week 16th.Conclusion: RI values of more than 0.58 (taken as a cut-off) at 16/18th weeks allowed us to identify the category most at risk, if confirmed at 21 weeks.","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"5 2","pages":"54-8"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279160/pdf/prenatal-05-0054.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30521015","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}

引用次数: 0

Antiphospholipid Syndrome during pregnancy: the state of the art. 妊娠期抗磷脂综合征：最新技术。

Journal of prenatal medicine Pub Date : 2011-04-01

Fosca A F Di Prima, Oriana Valenti, Entela Hyseni, Elsa Giorgio, Marianna Faraci, Eliana Renda, Roberta De Domenico, Santo Monte

{"title":"Antiphospholipid Syndrome during pregnancy: the state of the art.","authors":"Fosca A F Di Prima, Oriana Valenti, Entela Hyseni, Elsa Giorgio, Marianna Faraci, Eliana Renda, Roberta De Domenico, Santo Monte","doi":"","DOIUrl":"","url":null,"abstract":"Obstetric complications are the hallmark of antiphospholipid syndrome. Recurrent miscarriage, early delivery, oligohydramnios, prematurity, intrauterine growth restriction, fetal distress, fetal or neonatal thrombosis, pre-eclampsia/eclampsia, HELLP syndrome, arterial or venous thrombosis and placental insufficiency are the most severe APS-related complication for pregnant women. Antiphospholipid antibodies promote activation of endothelial cells, monocytes and platelets, causing an overproduction of tissue factor and thromboxane A2. Complement activation might have a central pathogenetic role. These factors, associated with the typical changes in the hemostatic system during normal pregnancy, result in a hypercoagulable state. This is responsible of thrombosis that is presumed to provoke many of the pregnancy complications associated with APS. Obstetric care is based on combined medical-obstetric high-risk management and treatment with the association between aspirin and heparin. This review aims to deter- mine the current state of the art of APS by investigating the knowledge achievements of recent years, to provide the most appropriate diagnostic and therapeutic management for pregnant women suffering from this syndrome.","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"5 2","pages":"41-53"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279165/pdf/prenatal-05-0041.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30521016","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}

引用次数: 0

Increased nuchal traslucency in normal karyotype fetuses. 正常核型胎儿颈部透明度增高。

Journal of prenatal medicine Pub Date : 2011-04-01

Roberta De Domenico, Marianna Faraci, Entela Hyseni, Fosca A F Di Prima, Oriana Valenti, Santo Monte, Elsa Giorgio, Eliana Renda

{"title":"Increased nuchal traslucency in normal karyotype fetuses.","authors":"Roberta De Domenico, Marianna Faraci, Entela Hyseni, Fosca A F Di Prima, Oriana Valenti, Santo Monte, Elsa Giorgio, Eliana Renda","doi":"","DOIUrl":"","url":null,"abstract":"Nuchal traslucency (NT) measurement between 11 and 14 weeks' gestation is a reliable marker for chromosomal abnormalities, including trisomy 21. However, even if conventional karyotyping is normal, increased NT is a predictive value of adverse pregnancy outcome, because it is associated with several fetal malformations, congenital heart defects, genetic syndromes, intrauterine death and miscarriages; the majority of these structural anomalies are undetectable before birth. The risk is proportional to the nuchal translucency thickness, in fact it statistically increases after measurement reaching 3.5 mm or more. However, when these chromosomally normal fetuses with an enlarged NT survive, even if a detailed ultrasound examination and echocardiography fail to reveal any abnormalities, their uneventful outcome and postnatal developmental delay will be not statistically increased when compared to the general population. These parents should be confidently reassured that the residual chance of structural anomalies and abnormal neurodevelopment may not be higher than in the general population.","PeriodicalId":89592,"journal":{"name":"Journal of prenatal medicine","volume":"5 2","pages":"23-6"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279164/pdf/prenatal-05-0023.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30520537","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}

引用次数: 0

Current strategy for detection and diagnosis of hyperglycemic disorders in pregnancy. 妊娠期高血糖障碍的当前检测和诊断策略。

Journal of prenatal medicine Pub Date : 2011-01-01

Angelo Santamaria, Pietro Cignini, Angelica Trapanese, Silvia Bonalumi

引用次数: 0

Cytomegalovirus infection in pregnancy: review of the literature. 妊娠期巨细胞病毒感染:文献综述。

Journal of prenatal medicine Pub Date : 2011-01-01

Silvia Bonalumi, Angelica Trapanese, Angelo Santamaria, Laura D'Emidio, Luisa Mobili

引用次数: 0