scholarly journals Percent absent end-diastolic velocity in the umbilical artery waveform as a predictor of intrauterine fetal demise of the donor twin after selective laser photocoagulation of communicating vessels in twin–twin transfusion syndrome

2007 ◽  
Vol 30 (1) ◽  
pp. 35-39 ◽  
Author(s):  
E. V. Kontopoulos ◽  
R. A. Quintero ◽  
R. H. Chmait ◽  
P. W. Bornick ◽  
Z. Russell ◽  
...  
Keyword(s):  
Laser Photocoagulation ◽  
Umbilical Artery ◽  
Fetal Demise ◽  
Intrauterine Fetal Demise ◽  
Diastolic Velocity

Ultrasound Assessment prior to Laser Photocoagulation for Twin-Twin Transfusion Syndrome for Predicting Intrauterine Fetal Demise after Surgery in Japanese Patients

2006 ◽  
Vol 22 (2) ◽  
pp. 149-154 ◽  
Author(s):  
Keisuke Ishii ◽  
Satoshi Hayashi ◽  
Masahiko Nakata ◽  
Takeshi Murakoshi ◽  
Haruhiko Sago ◽  
...  
Keyword(s):  
Laser Photocoagulation ◽  
Japanese Patients ◽  
Fetal Demise ◽  
Intrauterine Fetal Demise ◽  
Ultrasound Assessment

scholarly journals Neonatal Outcomes Among Survivors of Twin-twin Transfusion Syndrome After Single Fetal Demise

2020 ◽  
Author(s):  
Ya-Lan Lin ◽  
Yi-Li Hung ◽  
Chung-Min Shen ◽  
Wu-Shiun Hsieh
Keyword(s):  
Neonatal Intensive Care ◽  
Laser Photocoagulation ◽  
Medical Center ◽  
Kidney Injury ◽  
Neonatal Outcomes ◽  
High Morbidity ◽  
Fetal Demise ◽  
Intrauterine Fetal Demise ◽  
Intracranial Lesions ◽  
Twin Delivery

Abstract Twin-twin transfusion syndrome (TTTS) is due to unbalanced inter-twin blood flow. We aimed to evaluate neonatal outcomes among surviving co-twins of TTTS without fetal laser photocoagulation after single-twin intrauterine fetal demise (sIUFD). All patients admitted between January 2014 and December 2017 to the neonatal intensive care unit of a medical center were recruited. Moreover, a comprehensive literature review of PubMed from 1993 to 2020 was performed. Medical records of 124 patients were retrieved, including 119 from published literature and five from our institution. Seventy-three (58.8%) patients were born prematurely. In addition, twenty-four (19.3 %) patients presented with anemia at birth, and seventeen (13.7%), four (3.2%), and four (3.2%) neonates had intracranial lesions, acute kidney injury, and gastrointestinal (GI) tract dysmotility, respectively. The overall survival rate was 69.4 %. Among our cases, we found that the hemoglobin level at birth was positively correlated with the duration between co-twin intrauterine fetal demise and the delivery time of the surviving co-twins (rs=0.9, p=0.037). Conclusions: High morbidity and mortality rates were observed among co-twins of TTTS after sIUFD without laser photocoagulation. The shorter duration between diagnosis of sIUFD and surviving twin delivery resulted in more severe anemia.

scholarly journals Factors Associated with the Recent Increasing Cesarean Delivery Rate at a Japanese Perinatal Center

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Shunji Suzuki ◽  
Mariyo Nakata
Keyword(s):  
Cesarean Delivery ◽  
Umbilical Artery ◽  
Breech Presentation ◽  
Maternity Hospital ◽  
Delivery Rate ◽  
Fetal Demise ◽  
Factors Associated ◽  
Intrauterine Fetal Demise ◽  
Perinatal Center ◽  
Cesarean Delivery Rate

Objective. We examined which specific factors contributed to the increase in Cesarean delivery rate at our hospital over a 10-year period. Methods. From January 2002 to December 2012, data on the Japanese singleton deliveries at ≥22-week gestation managed at Japanese Red Cross Katsushika Maternity Hospital were collected. Potential factors associated with the increasing Cesarean delivery rate were selected according to previous studies. In this study, the incidences of intrauterine fetal demise, umbilical artery pH <7.1, and severe perineal laceration were calculated for each year. Results. The Cesarean delivery rate at our institution increased significantly during the study period (17.3% in 2002 versus 23.4% in 2012, P<0.01). During the study period, the Cesarean delivery rates in the cases of nulliparity, preterm delivery, low birth weight (<2,500 g), previous Cesarean deliveries and breech presentation were increased significantly. The incidence of intrauterine fetal demise and low umbilical artery pH was significantly decreased, and a negative correlation was found between the Cesarean delivery rate and the incidence of low umbilical artery pH for each year (r=−0.92, P<0.01). Conclusion. At our institute, the neonatal outcomes seemed to be improved associated with the increased Cesarean delivery rate between 2002 and 2012.

Triphasic umbilical artery waveform: association with severe fetal growth restriction, fetal demise, and extreme velamentous cord insertion

2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Burton Rochelson ◽  
Tharwat Stewart Boulis ◽  
Hima Tam Tam ◽  
Morris Edelman
Keyword(s):  
Umbilical Artery ◽  
Perinatal Outcomes ◽  
Positive Component ◽  
Vascular Abnormality ◽  
Fetal Demise ◽  
Diastolic Velocity ◽  
Chorionic Plate ◽  
Adverse Perinatal Outcomes ◽  
Premorbid State ◽  
Velamentous Cord Insertion

AbstractExtreme Doppler abnormalities of the umbilical artery such as absent or reversed end diastolic velocity are associated with adverse perinatal outcomes. We present a case of a triphasic umbilical artery waveform identified at 24 weeks. The fetus was severely growth restricted with an estimated fetal weight of 314 g. A week later, fetal demise occurred. Placental pathology revealed a placental weight of 83 g, an extensive maternal floor infarction, and an extreme velamentous cord insertion 7 cm from the edge of the placental disc, with vessels entering at opposite poles of the placental disc and a single anastomotic bridging vessel on the chorionic plate connecting these two vascular poles. A triphasic umbilical artery waveform may be associated with a premorbid state and severe placental vascular abnormality. We hypothesize that the third and positive component in late diastole is present due to forward flow across the communicating bridging vessel into the contralateral entering vessel.

Florid Bacillus cereus Infection of the Placenta Associated With Intrauterine Fetal Demise

2021 ◽  
pp. 109352662199902
Author(s):  
Stephanie Shea ◽  
Alberto Paniz-Mondolfi ◽  
Emilia Sordillo ◽  
Michael Nowak ◽  
Fumiko Dekio
Keyword(s):  
Bacillus Cereus ◽  
Placental Tissue ◽  
Maternal Blood ◽  
Gastrointestinal Infections ◽  
Gram Positive ◽  
Fetal Demise ◽  
Placental Infection ◽  
Intrauterine Fetal Demise ◽  
Acute Necrotizing ◽  
Poor Outcomes

Bacillus cereus is a gram-positive, rod-shaped bacterium that is commonly implicated in foodborne illness but has also become increasingly recognized as a source of serious non-gastrointestinal infections, including sepsis, meningitis, and pneumonia. Non-gastrointestinal B. cereus infections have been identified in children, especially in neonates; however, there are no previously described cases of fetal demise associated with B. cereus placental infection. We present a case of acute chorioamnionitis-related intrauterine fetal demise of twin A at 17 weeks gestation, noted two days after selective termination of twin B. Histological examination revealed numerous gram-positive bacilli in placental tissue, as well as fetal vasculature, in the setting of severe acute necrotizing chorioamnionitis and subchorionitis, intervillous abscesses, acute villitis, and peripheral acute funisitis. Cultures of maternal blood and placental tissue both yielded growth of B. cereus. This case underscores the importance of B. cereus as a human pathogen, and specifically demonstrates its potential as an agent of severe intraamniotic and placental infection with poor outcomes for the fetus.

Three Cases with Cavitary Lesions in a Twin Gestation Complicated by a Single Intrauterine Fetal Demise

1993 ◽  
Vol 13 (4) ◽  
pp. 269-275
Author(s):  
Kimiko Tamagawa ◽  
Ryoko Ishibashi ◽  
Yoshihiko Mizuno ◽  
Kazuhiko Komiya ◽  
Masaya Oda ◽  
...  
Keyword(s):  
Fetal Demise ◽  
Intrauterine Fetal Demise
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