scholarly journals Performing Obstetrical Ultrasound Examinations in the Era of Covid‐19

2021 ◽  
Author(s):  
Angela C. Ranzini
Keyword(s):  
Obstetrical Ultrasound

468: The predictive value of obstetrical ultrasound for neonatal survival in preterm birth less than 26 weeks

2009 ◽  
Vol 201 (6) ◽  
pp. S176-S177
Author(s):  
Ming K. Zhou ◽  
Marc Belcastro ◽  
Christopher S. Croom ◽  
Jiri D. Sonek ◽  
Christine Kovac ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Predictive Value ◽  
Obstetrical Ultrasound

scholarly journals Feasibility study of minimally trained medical students using the Rural Obstetrical Ultrasound Triage Exam (ROUTE) in rural Panama

2018 ◽  
Vol 9 (3) ◽  
pp. 216 ◽  
Author(s):  
Annasha Vyas ◽  
Katherine Moran ◽  
Joshua Livingston ◽  
Savannah Gonzales ◽  
Marlene Torres ◽  
...  
Keyword(s):  
Medical Students ◽  
Feasibility Study ◽  
Obstetrical Ultrasound

scholarly journals Siamese twin pregnancy in peritoneal dialysis : first case in the world

2018 ◽  
Vol 1 (1) ◽  
pp. 39-42
Author(s):  
D El Hamssili ◽  
T. Bouattar ◽  
R. Bayahia ◽  
L. Benamar
Keyword(s):  
Peritoneal Dialysis ◽  
Twin Pregnancy ◽  
Antihypertensive Drugs ◽  
Successful Pregnancy ◽  
Dialysis Dose ◽  
Cerebral Malformation ◽  
Emergency Cesarean ◽  
First Case ◽  
Obstetrical Ultrasound

 Introduction: The probability of conception is low in peritoneal dialysis (PD), and the probability of successful pregnancy is even lower. Nearly 60 years after the first reported case of successful pregnancy in a dialysis patient, many questions about pregnancy during dialysis remain unresolved, namely the required dialysis dose, the follow-up rhythm, the choice of the the most appropriate dialysis technique. Case report: We report the first case worldwide of twin Siamese pregnancy in a patient on continuous ambulatory peritoneal dialysis (CAPD). The pregnancy was diagnosed at 7 weeks of amenorrhea (WA). The patient was initially under 2 exchanges per day, with 2-liter bags of Dianealof 1.36% glucose. As soon as the pregnancy was discovered, the prescription was modified, putting the patient under 3 exchanges a day with the same concentrates. The infusion volume was maintained at 2 liters up to 18 WA , and then reduced to 1.5 liters due to patient discomfort and abdominal hyperpressure. Daily ultrafiltration ranged from 180 to 800 ml with 1 liter diuresis. The blood pressure was well controlled, with an average of 125/80 mmHg, without need of  antihypertensive drugs. On a biological level, the Kt / V was 2.2, nPCR was 0.8, and the weekly clearance was 80 L / 1.73 m². The average hemoglobin was 11.5 g / dl under erythropoietin 9000 units per week. At 20 WA, obstetrical ultrasound revealed a mono-chorionic, mono-amniotic twin pregnancy. Due to high maternal and fetal risks, closer obstetrical control was indicated. At 24 WA, morphological obstetrical ultrasound coupled with Doppler examination of the uterine and umbilical arteries favored the diagnosis of mono-amniotic mono-chorionic twin pregnancy with strong suspicion of Siamese contiguous to the pelvis, with a cerebral malformation in one of the fetuses. The patient experienced intense contractions and pelvic pain leading to an emergency cesarean section with two surviving Siamese twins, contiguous to the pelvis, weighing 900g, but who died one day after delivery. Conclusion: Pregnancy during dialysis is at high maternal and fetal risks. It is necessary to prepare and follow this pregnancy to optimize the chances of success. This implies an adaptation of the medical treatment and dialysis prescription, including the volume and modality of exchanges. The same holds true for gynecological and obstetrical follow-up, which must be regular and strict, in order to prevent any maternal-fetal complications.

The Rural Obstetrical Ultrasound Triage Exam

2014 ◽  
Vol 123 ◽  
pp. 119S
Author(s):  
Jonathan G. Steller ◽  
Lauren Sims ◽  
John C. Fox ◽  
Julianne Toohey ◽  
Carol Major ◽  
...  
Keyword(s):  
Obstetrical Ultrasound

scholarly journals Telerobotic ultrasound to provide obstetrical ultrasound services remotely during the COVID-19 pandemic

2020 ◽  
pp. 1357633X2096542
Author(s):  
Scott J Adams ◽  
Brent Burbridge ◽  
Leslie Chatterson ◽  
Veronica McKinney ◽  
Paul Babyn ◽  
...  
Keyword(s):  
Second Trimester ◽  
Rural And Remote ◽  
Third Trimester ◽  
Remote Communities ◽  
Remote Community ◽  
System A ◽  
Patient Travel ◽  
Ultrasound System ◽  
Clinical Questions ◽  
Obstetrical Ultrasound

Introduction Obstetrical ultrasound imaging is critical in identifying at-risk pregnancies and informing clinical management. The coronavirus disease 2019 (COVID-19) pandemic has exacerbated challenges in accessing obstetrical ultrasound for patients in underserved rural and remote communities where this service is not available. This prospective descriptive study describes our experience of providing obstetrical ultrasound services remotely using a telerobotic ultrasound system in a northern Canadian community isolated due to a COVID-19 outbreak. Methods A telerobotic ultrasound system was used to perform obstetrical ultrasound exams remotely in La Loche, Canada, a remote community without regular access to obstetrical ultrasound. Using a telerobotic ultrasound system, a sonographer 605 km away remotely controlled an ultrasound probe and ultrasound settings. Twenty-one exams were performed in a five-week period during a COVID-19 outbreak in the community, including limited first-, second- and third-trimester exams ( n = 11) and complete second-trimester exams ( n = 10). Participants were invited to complete a survey at the end of the telerobotic ultrasound exam describing their experiences with telerobotic ultrasound. Radiologists subsequently interpreted all exams and determined the adequacy of the images for diagnosis. Results Of 11 limited obstetrical exams, radiologists indicated images were adequate in nine (81%) cases, adequate with some reservations in one (9%) case and inadequate in one (9%) case. Of 10 second-trimester complete obstetrical exams, radiologists indicated images were adequate in two (20%) cases, adequate with some reservations in three (30%) cases and inadequate in five (50%) cases. Second-trimester complete obstetrical exams were limited due to a combination of body habitus, foetal lie and telerobotic technology. Discussion A telerobotic ultrasound system may be used to answer focused clinical questions such as foetal viability, dating and foetal presentation in a timely manner while minimising patient travel to larger centres and potential exposure to severe acute respiratory virus coronavirus 2 during the COVID-19 pandemic.

Introduction of a student tutor-based basic obstetrical ultrasound screening in undergraduate medical education

2019 ◽  
Vol 300 (1) ◽  
pp. 59-66 ◽  
Author(s):  
A. Hamza ◽  
J. C. Radosa ◽  
E.-F. Solomayer ◽  
Z. Takacs ◽  
I. Juhasz-Boess ◽  
...  
Keyword(s):  
Medical Education ◽  
Undergraduate Medical Education ◽  
Ultrasound Screening ◽  
Student Tutor ◽  
Obstetrical Ultrasound
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