Single umbilical artery stenosis associated with intrauterine fetal death post-transfusion

2002 ◽  
Vol 22 (3) ◽  
pp. 186-188 ◽  
Author(s):  
Karen Meir ◽  
Simcha Yagel ◽  
Hagai Amsalem ◽  
Ilana Ariel
Keyword(s):  
Umbilical Artery ◽  
Fetal Death ◽  
Artery Stenosis ◽  
Intrauterine Fetal Death ◽  
Single Umbilical Artery

scholarly journals Prevalence of single umbilical artery, clinical outcomes and its risk factors: A cross-sectional study

2021 ◽  
Author(s):  
Homeira Vafaei ◽  
Khatoon Rafeei ◽  
Maryam Dalili Maryam Dalili ◽  
Nasrin Asadi ◽  
Nosaibe Seirfar ◽  
...  
Keyword(s):  
Birth Weight ◽  
Neonatal Death ◽  
Umbilical Artery ◽  
Fetal Death ◽  
Cross Sectional Study ◽  
Intrauterine Fetal Death ◽  
Early Neonatal Death ◽  
Sectional Study ◽  
Single Umbilical Artery ◽  
Cross Sectional

Background: Single umbilical artery (SUA) is found in 0.5–6% of all pregnancies worldwide. Although the association of SUA with some congenital malformations is mainly accepted, its effect on pregnancy/neonatal outcomes is still controversial. Objective: This is the first study aimed to approximate the SUA prevalence in southern part of Iran. SUA epidemiologic features accompanied by some of its effects on pregnancy/neonatal outcomes are investigated as well. Materials and Methods: In this cross-sectional study, data from two referral centers in Southern Iran were analyzed. In total, 1,469 pregnancies, fetuses, and neonates were examined for epidemiological features associated with SUA. SUA was confirmed by pathological examination, while congenital anomalies were diagnosed by clinical, ultrasound, and echocardiographical examinations. Data on pregnancy outcome were recorded based on the patients’ medical records. Results: The prevalence of SUA was 3.47% (95% CI: 2.6–4.6%). Fetal anomalies including renal, cardiac, and other congenital anomalies, intrauterine fetal death, early neonatal death, low birth weight, low placental weight, and preterm birth were significantly higher in the SUA group (OR = 68.02, 31.04, 16.03, 3.85, 11.31, 3.22, 2.70, and 2.47, respectively). However, the maternal multiparity was lower in the SUA group (OR = 0.65; 95% CI: 0.44–0.98). Conclusion: A significant association was observed between SUA and increased risk of intrauterine fetal death and early neonatal death, as well as low birth weight and preterm birth. Obstetrical history of the mother like parity was identified as an important predictor of SUA. Further investigations are suggested on risk stratification of neonates in this regard.   Key words: Umbilical cord, Single umbilical artery, Pregnancy outcome, Congenital abnormalities.

Maternal and neonatal outcomes in pregnancies complicated by eclampsia – analysis of cases from 2008–2018

2021 ◽  
Vol 86 (5) ◽  
pp. 297-303
Author(s):  
Andrea Solárová ◽  
◽  
Lukáš Hruban ◽  
Petr Janků ◽  
Romana Gerychová ◽  
...  
Keyword(s):  
Umbilical Artery ◽  
Fetal Death ◽  
Neonatal Period ◽  
Neurological Complications ◽  
Obstetric Complications ◽  
University Hospital ◽  
Intrauterine Fetal Death ◽  
University Faculty ◽  
Early Neonatal Period ◽  
Gynecology And Obstetrics

Objective: Evaluation of perinatal results in a set of pregnancies complicated by eclampsia. Methods: Analysis of 67,304 births performed at the Department of Gynecology and Obstetrics, Masaryk University, Faculty of Medicine and University Hospital, Brno from 2008–2018. During the given period, eclampsia was dia gnosed in 16 mothers (0.2‰). The during the time of eclampsia (week of gestation, prepartum, intrapartum, postpartum) fetal and neonatal status (signs of intrauterine distress, pH of the umbilical artery, Apgar score, intrauterine fetal death, death in the early neonatal period) were evaluated. Symptoms and course of the eclamptic attack, maternal comorbidities, associated obstetric complications (placental abruption, surgical complications, blood loss, hysterectomy) and non-obstetric complications (coagulopathy, renal and hepatic impairment, neurological complications) were monitored. Results: Out of a total of 16 cases of eclampsia, 13 cases (81.3%) were confi rmed during pregnancy, one case (6.2%) during childbirth, and two cases (12.5%) within 24 hours after childbirth. The mean gestational week of eclampsia was 33 weeks and 3 days. The typical course of an eclamptic attack characterized by headache and visual disturbances followed by a rapid onset of convulsions was noted in fi ve cases (31%). Fetal hypoxia with a pH of the umbilical artery less than 7.10 occurred in four cases (25%). The dependence of the decrease in pH value on the time interval from the dia gnosis of eclampsia to the termination of pregnancy was demonstrated. The pH of the umbilical artery decreased on average by 0.054 every 30 minutes from the onset of the eclamptic attack until the end of pregnancy. There were 3 perinatal deaths in the group (19%). Intrauterine fetal death occurred in one case due to partial abruption of the placenta during an eclamptic attack; two newborns died in the early neonatal period. The cause of death was sepsis in one case and perforation of the intestine in necrotizing enterocolitis in the other. The death of the mother was not recorded in the fi le. The incidence of preeclampsia in subsequent pregnancies reached 18.8%. Non-obstetric and neurological complications (amaurosis, subarachnoid hemorrhage, amnesia) occurred in the group in three cases (18.8%), and renal failure occurred in two cases (12.5%). Conclusion: The incidence of eclampsia at the Department of Gynecology and Obstetrics, Masaryk University, Faculty of Medicine and University Hospital, Brno reached 0.2‰ and was stable for a long time. Associated serious maternal complications occurred in 37.5% of cases and neonatal complications in 31.3% of cases. Early dia gnosis of eclampsia and minimization of the time delay until the end of pregnancy is a prerequisite for reducing the risk of associated complications. An interdisciplinary approach is needed. Key words: eclampsia – convulsions – urgent conditions in obstetrics – perinatal outcomes – hypoxia

Modern aspects of tactics in the genital herpes viral infection (literature review)

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (2) ◽  
pp. 67-73
Author(s):  
T Yu Pestrikova ◽  
E A Yurasova ◽  
I V Yurasov ◽  
A V Kotelnikova
Keyword(s):  
Literature Review ◽  
Viral Infection ◽  
Genital Herpes ◽  
Fetal Death ◽  
Malignant Tumors ◽  
Adult Population ◽  
Viral Disease ◽  
Intrauterine Fetal Death ◽  
Complicated Course ◽  
Simplex Virus

Genital herpes affects all population groups. 98% of the adult population worldwide have antibodies to the herpes simplex virus (HSV-1 or 2). This viral infection is a significant medical and social problem. HSV can lead to a complicated course of pregnancy, causing miscarriages, premature birth, intrauterine fetal death, systemic viral disease in newborns. There is evidence that HSV has a connection with malignant tumors of the prostate and cervix, contributing to their development. This literature review contains modern aspects of epidemiology, etiology, pathogenesis, clinic, diagnosis, treatment of genital herpes, including its recurring forms with valacyclovir (Valvir). Indications for hospitalization of patients with genital herpes were noted and the prognosis of this pathology was determined. The tactics of managing pregnant women with this pathology is presented.

Prenatal particulate matter exposure and Intrauterine Fetal Death

2021 ◽  
Vol 234 ◽  
pp. 113720
Author(s):  
Tamar Wainstock ◽  
Israel Yoles ◽  
Ruslan Sergienko ◽  
Itai Kloog ◽  
Eyal Sheiner
Keyword(s):  
Particulate Matter ◽  
Fetal Death ◽  
Intrauterine Fetal Death ◽  
Particulate Matter Exposure

scholarly journals Intrauterine fetal death in triplet gestation caused by feto-fetal transfusion syndrome – a case report

2016 ◽  
Vol 2 (4) ◽  
pp. 213-217
Author(s):  
Lingling Long ◽  
Jie Yan ◽  
Qiyan Li ◽  
Ziqi Zhou ◽  
Haixiao Deng ◽  
...  
Keyword(s):  
Case Report ◽  
Fetal Death ◽  
Intrauterine Fetal Death
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