Carme Merced

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BACKGROUND Most previous studies of the use of cervical pessaries were either retrospective or case controlled and their results showed that this intervention might be a preventive strategy for women at risk of preterm birth; no randomised controlled trials have been undertaken. We therefore undertook a randomised, controlled trial to investigate whether(More)
OBJECTIVES To ascertain the risk factors for imminent delivery and infection in pregnant women with premature rupture of membranes (PPROM) before 34 weeks of gestation, evaluate maternal and fetal outcomes and identify obstetric factors for determining which patients meet the criteria for home follow-up. METHODS Medical charts of all women with PPROM(More)
BACKGROUND Spontaneous preterm birth (SPB) is the leading cause of perinatal morbidity and mortality. In twins, the rate of preterm birth is higher than in singletons; interventions to prevent preterm birth are needed in this high-risk population. OBJECTIVE We sought to test whether a cervical pessary reduces the preterm birth rate in twin pregnancies(More)
OBJECTIVES To observe the modifications in cervical length (CL) in patients with and without cervical pessary (Arabin® ASQ 65/25/32) and correlate these modifications with gestational age at delivery. STUDY DESIGN Prospective study of asymptomatic singleton pregnancies (PECEP-Trial) between weeks 20 + 0 and 23 + 6 with maternal short cervix (<25 mm)(More)
A32-year-old woman presented to our breast unit with a lump on the left breast that was incidentally found on a recent PET scan. The patient had a past medical history of alveolar rhabdomyosarcoma of the nasal septum stage IV diagnosed 8 months earlier, in July 2008. At the time of diagnosis of the nasal septum rhabdomyosarcoma, the patient was 34 weeks(More)
OBJECTIVES To study maternal and perinatal outcomes after physical examination-indicated cerclage in both singleton and twin pregnancies and evaluate the possible risk factors associated. STUDY DESIGN Retrospective review of all women undergoing physical examination-indicated cerclage at the Hospital Vall d'Hebro, Barcelona from January 2009 to December(More)
OBJECTIVES The objective of this study is to evaluate obstetric outcomes in women with heart disease and determine whether current multidisciplinary management approaches adversely affect the mother, the neonate, or both. Also to compare the accuracy of several risk scores (RS) including the modified World Health Organization classification (mWHO) and(More)
We present the case of a 29-year-old pregnant woman with Marfan syndrome who presented an aortic root diameter of <45 mm at the start of gestation with no other abnormalities. She had been diagnosed of Marfan syndrome 2 years previously as a result of a family study. The patient underwent a follow-up cardiologic examination before becoming pregnant. At that(More)
BACKGROUND/OBJECTIVE Several risk scores (RSs) have been used to stratify risk of cardiac complications (CCs) in pregnant patients with heart disease. We aimed to compare and contrast the accuracy of several RSs for predicting CC in this population. METHODS Prospective inclusion of all consecutive pregnant patients with heart disease, and follow-up until(More)
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