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Journals and Conferences
Microscope slides were prepared to confirm the presence of ferning from a 32-week gestation with possible premature rupture of the membranes. Although no amniotic fluid was seen in the vagina, an atypical ferning pattern was produced and was again reproducible with fingerprints on the glass slide. Guidelines to recognize and avoid this source of error are… (More)
Antenatal diagnosis was made of bilobed epignathus arising from the fetal palate. The fetus survived. Antenatal recognition of this malformation allows adequate preparation of the neonatal and surgical teams to ensure optimal fetal survival.
Transabdominal amniocentesis was used in 73 consecutive, referred patients with premature rupture of membranes and no clinical signs of infection or labor. Positive Gram stain or positive culture of obtained amniotic fluid was used as an indication for delivery. The outcome of pregnancy in this group of patients was compared with the outcome of a historic… (More)
Ultrasound diagnosis of a lateral ventricle choroid plexus cyst was made in a 20-week gestational age fetus. The cyst remained visible until the 34th week, after which it spontaneously resolved. Persistence of such cysts beyond 23 weeks has been suggested as a poor prognostic sign by some investigators. The importance of serial ultrasound evaluation and… (More)
Nalbuphine hydrochloride (Nubain) is a synthetic analgesic available for use during labor. It is known to possibly cause respiratory depression in the neonate, but to date there are no published reports of any intrapartum alterations of fetal heart rate. A case presentation is given of a persistent sinusoidal pattern appearing after Nubain administration.
Fetal ponderal indexes were calculated by ultrasound examination and compared with the neonatal ponderal indexes in 113 pregnancies. The relationship between the fetal and neonatal ponderal indexes throughout gestation is described. The fetal ponderal index also was evaluated as a predictor of intrauterine growth retardation (IUGR) and was found to have… (More)
A case of megacystis-microcolon-intestinal hypoperistalsis syndrome (MMIHS) in a male infant followed with serial prenatal sonographic examinations is presented. Upon review of the literature, 26 cases of MMIHS have been previously reported of which only 3 were males. The prenatal sonographic diagnosis of this rare syndrome is discussed along with the… (More)
The fetal biophysical profile (nonstress test, fetal breathing movements, fetal movements, fetal tone, amniotic fluid volume, placental grading) was assessed in 49 consecutive referred high-risk patients with twin gestations. The relationship between the last fetal biophysical profile score before delivery was compared with the pregnancy outcome--as… (More)
A retrospective study of 1151 fetal biophysical profiles and scores associated with good pregnancy outcome was conducted over a three-year period in the author's institution. Normal fetal biophysical activities and scores were determined throughout gestation from 25 to 44 weeks in patients with intact membranes, and compared with profiles and scores of a… (More)
Echocardiography documented fetal premature atrial contractions after maternal hydralazine treatment for hypertension. No signs of fetal congestive heart failure were noted, and other tests of fetal surveillance remained reassuring. The arrhythmia spontaneously subsided after discontinuation of hydralazine. A possible cause-and-effect relationship of… (More)