Richard A Ajayi

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OBJECTIVE To analyse the effect of a fetal surveillance unit, which undertakes a wide range of maternal and fetal tests on an outpatient or inpatient basis, on the number and length of antenatal hospital admissions. DESIGN A comparison of the number and length of antenatal admissions six months before and five months after the opening of the unit on 1(More)
This report describes the early prenatal diagnosis of the Pena Shokeir phenotype in an at-risk patient at 14 weeks' gestation. The diagnosis was based on an abnormal fetal movement profile, in association with an abnormal position of the fetal limbs. Pena Shokeir phenotype describes an inherited condition characterized by arthrogryposis and dysmorphic(More)
OBJECTIVE To investigate whether Doppler studies of placental perfusion and antenatal tests for fetal hypoxia can identify reduced placental functional reserve in women with unexplained antepartum haemorrhage (APH). DESIGN A prospective, longitudinal study. SETTING Fetal Surveillance Unit, King's College Hospital, London. SUBJECTS 48 women with(More)
OBJECTIVE To assess the relationship between subsequent neuro-development and measurements in small for gestational age (SGA) fetuses, including oxygenation at cordocentesis. DESIGN A longitudinal study of a cohort of SGA fetuses using those with normal oxygenation as controls. SUBJECTS 65 chromosomally normal children aged 12-66 months who, as fetuses,(More)
OBJECTIVE To assess the ability of noninvasive tests of fetal wellbeing to predict hypoxic morbidity independent of fetal size. DESIGN A prospectively planned, longitudinal, observational study. SETTING Fetal Surveillance Unit, King's College Hospital, London. SUBJECTS One hundred and ninety-one pregnant women with singleton pregnancies who were(More)
OBJECTIVE To determine the number of oocytes sufficient for satisfactory fertilization and pregnancy rates in intracytoplasmic sperm injection cycles. DESIGN A retrospective analysis. SETTING A private assisted conception unit. PATIENT(S) Women in whom at least one oocyte was retrieved in consecutive ultrasound-directed follicular aspirations between(More)
To determine whether there is a relationship between chronic fetal acidemia and subsequent neurodevelopment, a follow-up study was undertaken of 36 children with normal karyotype and morphology, who had prenatal cordocentesis for severe growth retardation. The main outcome measure was the Griffiths neurodevelopmental quotient. The children who had acidemia(More)
The ability of the amniotic fluid index and the single deepest pool to predict perinatal morbidity was compared in 291 high-risk singleton pregnancies without ruptured membranes or fetal renal abnormalities. A poor outcome was defined as a birth weight < -2 standard deviations, emergency Cesarean section for fetal heart rate abnormalities in labor, 5-minute(More)
A substantial proportion of fetuses with severe early onset growth retardation are chromosomally abnormal and in these cases detailed ultrasound scanning will often demonstrate the presence of fetal anatomical defects. Chromosomally normal SGA fetuses with no biochemical abnormalities are likely to be normal small fetuses and seem to develop normally. SGA(More)
OBJECTIVE To compare computer cardiotocographic (CTG) analysis with clinical visual analysis. DESIGN A retrospective blind comparison of the two techniques of CTG assessment. SETTING Fetal Assessment Unit, King's College Hospital, London. SUBJECTS One hundred CTG traces of women referred to the unit were studied; the traces were taken after 32 weeks'(More)
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