DOCSLIB.ORG

The Conclusion Report of 13Th National Perinatology Congress

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
The Conclusion Report of 13Th National Perinatology Congress Perinatal Journal 2011;19(1):35-50 e-Adress: http://www.perinataljournal.com/20110191009 doi:10.2399/prn.11.0191009 The Conclusion Report of 13th National Perinatology Congress Ayfle Kafkasl›1, Alper Tanr›verdi2, Yeflim Baytur3, Özlem Pata3, Ertan Adal›3, Hakan Camuzcuo¤lu3, Arif Güngören3, ‹lker Ar›kan3 1Head of the Congress, 13th National Perinatology Congress, ‹stanbul Türkiye 2Congress Secretary, 13th National Perinatology Congress, ‹stanbul Türkiye 3Congress Reporter, 13th National Perinatology Congress, ‹stanbul Türkiye The Conclusion Report of 13th The subject of “Fetal Postmortem Examination National Perinatology Congress and Chromosomal Analysis of Abortion Material” 13th National Perinatology Congress was held was presented by Dr. Gülay Ceylaner. According in ‹stanbul Military Museum and Culture Site in to the results of this presentation, postmortem between 13th and 16th April, 2011. examination should be performed on congenital anomalies, intrauterine growth retardation, non- Before the congress, 3 pre-congress courses immune hydrops fetalis, fetal-neonatal death histo- were held on 13th April, 2011. ry of unknown etiology or in fetuses with unknown death reason or maser (high frequency 1. Perinatal Genetic and Postmortem of chromosomal disorder). Findings should cer- Diagnosis Course tainly be recorded during examination, pho- In the first session, Assoc. Prof. Serdar Ceylaner tographs and X-ray should be taken and skin biop- made a presentation about “Basic Genetics and sy should be done. Fetus evaluation is really an Management of Genetic Diseases for the Clinician” easy and convenient examination method. and he explained that chromosomal analysis indi- In the presentation of “Fetal Autopsy: The cations are recurrent gestational losses, intrauterine Influence on Perinatal Mortality”, Prof. Dr. Erdener death, stillbirth of unknown etiology, neonatal Özer emphasized the importance of perinatal death, congenital malformations, suspicious genital autopsy and stated that perinatal autopsy is essen- structure, mental-motor retardation, growth retar- tial for verifying the results of fetal maturity and dation, primary amenorrhea and some secondary diagnostic processes, reviewing clinical approach- amenorrhoea. He also suggested performing chro- es and establishing national perinatal death statis- mosomal analysis if chromosomal disorder was tics. found in previous children, one of the spouses has balanced chromosomal disorder, fetal anomaly is Dr. Nefle Karada¤ specified in her presentation detected in ultrasonographic follow-ups, if there “Placenta: The Importance of Pathological are high risk rates in triple screen test and com- Examination” that evaluating placenta provides bined tests, history of recurrent gestational loss, important information in terms of care and health history of intrauterine and postnatal death of of mother and baby during and after delivery as unknown etiology, and if mosaicism is detected in well as creating medicolegal support in terms of CVS sample during chromosomal analysis study. physician when compared to unexpected fetal or Correspondence: Yeflim Baytur, Celal Bayar Üniversitesi T›p Fakültesi, Kad›n Hastal›klar› ve Do¤um Anabilim Dal›, Manisa, Türkiye e-mail: [email protected] 36 Kafkasl› A et al. The Conclusion Report of 13th National Perinatology Congress maternal results and she emphasized that evaluat- patient’s history and to check some systems more ing placenta is an inseparable part of autopsies for carefully accordingly and he emphasized the fetal and neonatal deaths. importance of systematic evaluation and the use of a check list. It was underlined that at least 20 min- utes should be spared for examination and he sug- 2. Perinatal Ultrasonography Course gested the importance of carrying on physician Assoc. Prof. Yeflim Baytur talked on “Normal training and technical competency of the device. Sonographic Findings in Early Pregnancy” and He also indicated that anomalies could be missed emphasized the importance of determining gesta- even in the best clinics; skeletal system and KVS tional age, viability and chorionicity within first defects were those mostly missed, and CNS and three months. She stated that yolk sac had to be GUS anomalies were those easily detected. He also observed at 5th week and fetal heart beat had to remarked following topics: be observed when the sac reached 25 mm. She emphasized that some of fetal anomalies such as a. The evaluation of fetal biometry, placenta anencephaly and omphalocele can be detected and amnion fluid, and the systematic and she also said that fetal anatomy should be paid screening of fetal anatomy should be per- attention. She indicated that week 14 should be formed. waited for heart screening and that anencephaly, b. If necessary, Doppler ultrasonography omphalocele and Dandy-Walker can not be diag- should be included. nosed before 11th week. c. During systematic evaluation of the anatomy, “Fetal Anatomical Examination in 11-14 Weeks orbitas on face, lips, nasopalatine, fetal pro- Gestation” was presented by Prof. Dr. Yakup Erata. file, extremities, 4 cardiac chambers, major By the developed technique and the perinatology vessel outlets, 3 vessel images, falx cerebri being a sub-branch, it was begun to do anatomical on central nervous system, ventricular sys- evaluation in earlier weeks and therefore ultra- tem, posterior fossa, choroids plexuses, sonographic imaging became important. stomach, bladder, diaphragm and kidneys “Fetal Chromosomal Anomaly Markers in 11-14 should be checked. Weeks Gestation” was explained by Prof. Dr. d. Indications such as heart anomaly of Down Turgay fiener. He stated that the major anomalies syndrome, duodenal atresia that may be among sonographic identifiers that may cause seen at 2nd trimester should be paid atten- chromosomal anomalies were anatomical defects tion. such as omphalocele, megacystitis, holoprosen- In the same session, Prof. Dr. Lütfü Öndero¤lu cephaly, and that the tests such as NT measure- emphasized in his presentation “Which Fetal ment, nasal bone, ductus venosus, and tricuspid Anomalies Should Not Be Overlooked in the regurgitation should be used for screening purpos- Second Trimester?” that there is confusion about es. Though it is known that chromosomal anomaly who should perform the ultrasonographic evalua- risk increases as maternal age increases, it was tion due to the increase in medicolegal events and remarked by him that it is possible to decrease stated that there is 60% chance to detect in ultra- invasive tests performed and to increase Down sonography and expectation of patient should not Syndrome diagnoses detected by various screening be raised. He expressed that all those normally to strategies. The importance of training was empha- be checked between 18th and 22nd weeks could sized and it was also stated that it should certainly be possibly found in all books and internet, and be certified for effective use of screening tests. everybody who got ultrasonography training can On the session of second trimester, Prof. Dr. perform standard and detailed ultrasonography. Alper Tanr›verdi made a speech about “Fetal He noted that regular care of devices, reporting Anatomical Examination in the Second Trimester”. and image recording should be provided, and It was stated that the examination was done from obese patients should be registered. He stated that the point of fetal anatomy during ultrasonography 83% of lethal anomalies were detected; however, evaluation and it was important to question we can detect 54% of lethal anomalies such as Perinatal Journal 2011;19(1):35-50 37 hypoplastic heart and 90% of renal agenesia, but gestational week. He indicated that intervillous lethal musculoskeletal anomalies can be missed. blood flow can be measured by 3D and it can be He pointed out that the actual problem is in babies utilized in hypoxic cases. He also gave information with serious morbidity and chance of living. He about placental anomalies. It was talked about pla- expressed that neural tube defects, hydrocephaly, cental tumors, chorioangioma and placental complex heart abnormalities, abdominal anterior infarcts. Though placental calcifications are accept- wall defects, diaphragmatic hernia, small intestine ed as physiological, it was asked to pay attention obstructions and bladder extrophies should be that they may be the indication of infections at detected (and also they can be missed). early pregnancy. It was stated that there may be Assoc. Prof. Dr. Ebru Tar›m presented the hyperechoic image at 0th-48th hours in ablatio pla- “Anomalies that can be detected during late preg- centae, isoechoic image at 3rd-7th days, hypoe- choic image at 1st-2nd weeks and anechoic image nancy period” and she stated that anomaly can after 2nd week. It was emphasized that umbilical become apparent at 3rd trimester (diaphragmatic vessels blocks servical channel at vasa praevia, it is hernia) though it exists at 2nd trimester since frequent at velamentous insertion, and membrane anomaly appears lately and there is a pause in the rupture and abnormal bleeding may occur if not development of anatomical structure (micro- diagnosed. It was underlined that inferior uterine cephalia). It was said that normal anatomic devel- segment is formed at 28th week at placenta prae- opment continues during pregnancy and some via diagnosis and therefore it should not be diag- anomalies such as central nervous system anom- nosed before this week. It was expressed that alies may arise late. It was emphasized
Load more

Recommended publications
  • Lung Growth and Lung Function Alter A) Fetal Lamb Tracheal Occlusion
    • Lung Growth and Lung Function Alter a) Fetal Lamb Tracheal Occlusion and Exogenous Surfactant at Birth in Congenital Diaphragmatic Hernia and b) Selective Perfluorocarbon Distention in Healthy Newborn Piglets Andreana Bütter Department ofExperimental Surgery McGill University, Montreal • Submitted June, 2001 A thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment ofthe requirements ofthe degree ofMaster ofScience © Andreana Bütter, 2001 • Nationallibrary BibbolhèQue nationale 1+1 of·Canada duClnadi Acquisitions et services bibliographiques _.rueW~ 0ftaM ON K1A ClN4 0INdlI The author bas anmted a DOD­ L'auteur a acconIé une licence DOn Bdusiwlicence aBowÎDI the exclusive pametbmt à la Natioual LiI:ny ofCuada to Biblioth6que DltiODlle du CaDada de œproduco, 1oaD, distribute or sen reproduire, Jdter. distribua- ou copi. oItbis tbesis ÎD microfonn, vendre des caP- de celte daàe sous pep«or electrorûc formats. la forme de mic:rofidleIfiJ de reproduction sur papier ou sur format Sectronique. The author ret- 0WMrSbip ofthe L'auteur CODIeI'W la propri6t6 .. copyriabt in tbis thesïs. Neitber the droit d'auteur qui P'Otèae cette". thesis .......tiaI exIrads hmil Ni la th6se Di des eJdJills substantiels may be priDted or otbawise de ceJle.ci De doiwDt an impIimés reproduced without the 8UthÔr's ou autremeoI repJoduits saas son permission. autorisation. 0-612-B0111-X Canadl TABLE OF CONTENTS Page Abstract 3 Abrégé 4 • Acknowledgements 5 Dedication 6 Abbreviations 7 Introduction 9 Review ofthe Literature: A. Normal Lung Development 11 B. Normal Diaphragm Development 12 C. Pathophysiology ofCDH 12 D. Animal Models ofCDH 14 E. Prenatal Interventions to Treat CDH 1. Tracheal Occlusion 14 2.
    [Show full text]
  • Massive Subchorionic Haemorrhage: a Rare Case Report Associated with Secondary PPH Due to Uterine Artery Pseudoaneurysm
    International Journal of Reproduction, Contraception, Obstetrics and Gynecology Arumaikannu J et al. Int J Reprod Contracept Obstet Gynecol. 2017 Oct;6(10):4723-4726 www.ijrcog.org pISSN 2320-1770 | eISSN 2320-1789 DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20174475 Case Report Massive subchorionic haemorrhage: a rare case report associated with secondary PPH due to uterine artery pseudoaneurysm J. Arumaikannu*, S. Usha Rani, T. S. Aarifa Thasleem Institute of Obstetrics and Gynecology, Egmore, Chennai, Tamil Nadu, India Received: 08 August 2017 Accepted: 04 September 2017 *Correspondence: Dr. J. Arumaikannu, E-mail: [email protected] Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Massive subchorionic hemorrhage is a rare but serious condition in pregnancy in which a large amount of blood, mainly maternal collects between the uterine wall and the chorionic membrane and may leak through the cervical canal. Although many associations have been reported, an underlying etiology has not been elucidated. Association of massive subchorionic hemorrhage with thrombophilias have been reported in few articles. We are reporting a case of massive subchorionic hemorrhage presented at 13 weeks of gestation associated with secondary post-partum hemorrhage due to uterine artery pseudoaneurysm. Keywords: Massive subchorionic haemorrhage, Secondary PPH, Uterine artery pseudoaneurysm INTRODUCTION hemorrhage in the second trimester may also compromise maternal health.2,3 During pregnancy, minor degrees of haemorrhage on the chorionic plate surface of the placenta are commonly A subchorionic hemorrhage can be considered large or identified on ultrasound assessment.
    [Show full text]
  • Unfavorable Progression of a Subchorionic Hematoma: a Case Report and Review of the Literature
    GSC Biological and Pharmaceutical Sciences, 2020, 12(02), 074-079 Available online at GSC Online Press Directory GSC Biological and Pharmaceutical Sciences e-ISSN: 2581-3250, CODEN (USA): GBPSC2 Journal homepage: https://www.gsconlinepress.com/journals/gscbps (RESEARCH ARTICLE) Unfavorable progression of a subchorionic hematoma: A case report and review of the literature. Sofiane Kouas 1, *, Olfa Zoukar 2, Khouloud Ikridih 1, Sameh Mahdhi 1, Ichrak Belghaieb 1 and Anis Haddad 2 1Department of Gynecology and Obstetrics, Monastir Medical School, Monastir University, Gynecology-Obstetric Service Mahdia-Tunisia. 2 Department of Gynecology and Obstetrics, Monastir Medical School, Monastir University, El Omrane Hospital of Monastir-Monastir-Tunisia. Publication history: Received on 26 July 2020; revised on 06 August 2020; accepted on 09 August 2020 Article DOI: https://doi.org/10.30574/gscbps.2020.12.2.0242 Abstract A hematoma in the uterus or intrauterine hematoma is an effusion of blood that accumulates inside the uterine cavity during gestation. Hematomas, especially subchorionic hematomas, appear most often during the first trimester of pregnancy and can occur with or without vaginal bleeding. They are always a major cause for concern for pregnant women. We will consider pregnancy as a high risk pregnancy. It will then be necessary for the woman to keep rest and benefit from more exhaustive follow-up. This work, carried out from a case observed in our service and from a review of the literature, aims to highlight the existence of this entity and the possible unfavorable development with fetal and maternal risks. Keywords: Subchorionic hematoma; Ultrasound; Bleeding; Possible unfavorable course 1.
    [Show full text]
  • 1. State That Your Patient Is Pregnant Or Postpartum. the Pregnancy 2
    Louisiana Guidelines for Drafting Work Accommodation Notes for Pregnant and Postpartum Patients *These guidelines apply only in Louisiana. Visit the Pregnant@Work website (www.pregnantatwork.org) for other states. ACOG’s Committee Opinion on Employment Considerations (#733) recommends that obstetric care providers assist their patients to obtain accommodations by writing appropriate notes to employers following these state-specific guidelines. Attached as Appendix A is a sample work note that maximizes the likelihood that your patient will receive the accommodation she needs to continue working. Louisiana law1 requires employers with 25 or more employees: • To temporarily transfer a pregnant employee to a less strenuous or hazardous position based on the advice of her physician, where a position exists and is open, and where the pregnant woman is qualified to perform the job. • To provide leave to a woman who is disabled on account of pregnancy, childbirth, or a related medical condition, during the period of her disability, but for no more than 4 months. Federal and state law may also require employers to provide a pregnant woman accommodations other than transfer or leave, so she can continue working safely. Health care providers can play an important role in enabling patients to receive the accommodations they need to keep their jobs during pregnancy and following childbirth. In most cases, the goal is to write a note that will assist your patient to receive the accommodation she needs to continue working and earning an income for the family she supports. Before you recommend that a pregnant patient take leave or adopt a reduced schedule, see “Caution: Recommending leave” under #6 below.
    [Show full text]
  • Prenatal Corticosteroids for Reducing Morbidity and Mortality After Preterm Birth
    PRENATAL CORTICOSTEROIDS FOR REDUCING MORBIDITY AND MORTALITY AFTER PRETERM BIRTH The transcript of a Witness Seminar held by the Wellcome Trust Centre for the History of Medicine at UCL, London, on 15 June 2004 Edited by L A Reynolds and E M Tansey Volume 25 2005 ©The Trustee of the Wellcome Trust, London, 2005 First published by the Wellcome Trust Centre for the History of Medicine at UCL, 2005 The Wellcome Trust Centre for the History of Medicine at UCL is funded by the Wellcome Trust, which is a registered charity, no. 210183. ISBN 978 0 85484 102 8 Histmed logo images courtesy of the Wellcome Library, London. All volumes are freely available online at: www.history.qmul.ac.uk/research/modbiomed/wellcome_witnesses/ Please cite as: Reynolds L A, Tansey E M. (eds) (2005) Prenatal Corticosteroids for Reducing Morbidity and Mortality after Preterm Birth. Wellcome Witnesses to Twentieth Century Medicine, vol. 25. London: Wellcome Trust Centre for the History of Medicine at UCL. CONTENTS Illustrations and credits v Witness Seminars: Meetings and publications; Acknowledgements vii E M Tansey and L A Reynolds Introduction xxi Barbara Stocking Transcript 1 Edited by L A Reynolds and E M Tansey Appendix 1 85 Letter from Professor Sir Graham (Mont) Liggins to Sir Iain Chalmers (6 April 2004) Appendix 2 89 Prenatal glucocorticoids in preterm birth: a paediatric view of the history of the original studies by Ross Howie (2 June 2004) Appendix 3 97 Premature sheep and dark horses: Wellcome Trust support for Mont Liggins’ work, 1968–76 by Tilli Tansey (25 October 2005) Appendix 4 101 Prenatal corticosteroid therapy: early Auckland publications, 1972–94 by Ross Howie (January 2005) Appendix 5 103 Protocol for the use of corticosteroids in the prevention of respiratory distress syndrome in premature infants.
    [Show full text]
  • Ultrasound in Prediction of Threatened Abortion in Early Pregnancy: a Clinical Study
    International Journal of Medical Arts 2020; 2 [2]: 451-456. Available online at Journal Website https://ijma.journals.ekb.eg/ Main subject [Medicine [Obstetrics]] * Original article Ultrasound in Prediction of Threatened Abortion in Early Pregnancy: A clinical study Shimaa Shaker Zeed Saleha; Khattab Abd El-halim Omar Khattabb; Ehab Mohammed Elhelwb Department of Obstetrics and Gynecology, Damietta Specialized Hospital, Ministry of Health, Egypt[a]. Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Egypt[b]. Corresponding author: Shimaa Shaker Zeed Saleh Email: a [email protected] Submitted at: September 25, 2019; Revised at: April 14, 2020; Accepted at: April 15, 2020; Available online at: April 15, 2020 DOI: 10.21608/ijma.2020.17353.1032 ABSTRACT Background: Early pregnancy loss is a challenging health problem and the prediction of exposed females is mandatory to permit early intervention and prevention. Aim of the work: To assess utility of ultrasound in detection of threatened abortion in early pregnancy. Patients and Methods: One-hundred females with history of threatened abortion were included. A written consent was obtained from each participant. Patients were divided into two groups: Group [I]: 85 Cases who continued their pregnancy. Group [II]: 15 Cases ended by abortion. All females were submitted to: detailed history, clinical examination [General and abdominal] and investigations in the form of ultrasound. Data were collected and statistically analyze. Results: 15% of studied females had early miscarriage. There was a significant relation between occurrence of abortion and gestational age as abortion was more frequent with reduced gestational age. In addition, high parity [P1-2] was significantly associated with abortion.
    [Show full text]
  • Antenatal Steroids for Women at Risk of Preterm Delivery
    Revised: November 2020 ANTENATAL STEROIDS FOR WOMEN AT RISK OF PRETERM DELIVERY CHOICE OF AGENT: Two regimens of antenatal glucocorticoid treatment have evolved and are effective for accelerating fetal lung maturity 1. Betamethasone (two doses of 12 mg given intramuscularly 24 hours apart) preferred agent if available. 2. Dexamethasone (four doses of 6 mg given intramuscularly 12 hours apart). GESTATIONAL AGE AT ADMINISTRATION: 1. Administration of steroids for patients with threatened and imminent periviable birth at less than 220/7 weeks is not recommended. 2. Administration of steroids for patients with threatened and imminent periviable birth between 220/7 and 236/7 weeks can be considered after counseling by both MFM and NICU based on existing evidence.1-4 3. All fetuses between 240/7 and 336/7 weeks of gestation at risk of preterm delivery should be considered candidates for antenatal treatment with corticosteroids regardless of membrane status (intact or ruptured). 4. In women with a singleton pregnancy between 340/7 and 366/7 weeks who are at high risk for preterm birth within next 7 days (and before 370/7 weeks of gestation), we recommend treatment with a course of betamethasone (without tocolysis) provided they meet eligibility criteria. a. Inclusion criteria: i. Singleton pregnancy ii. Gestational age at presentation between 340/7 and 366/7 weeks iii. High probability of delivery (any one of the following): 1. Preterm labor with intact membranes and at least 3cm dilation or 75% effacement 2. Delivery expected by induction of labor or cesarean section in no less than 24 hours and no more than 7 days, as deemed necessary by the provider.
    [Show full text]
  • Aplastic Anemia During Pregnancy Open Access to Scientific and Medical Research DOI: 149683
    Journal name: International Journal of Women’s Health Article Designation: Review Year: 2018 Volume: 10 International Journal of Women’s Health Dovepress Running head verso: Riveros-Perez et al Running head recto: Aplastic anemia during pregnancy open access to scientific and medical research DOI: 149683 Open Access Full Text Article REVIEW Aplastic anemia during pregnancy: a review of obstetric and anesthetic considerations Efrain Riveros-Perez1 Abstract: Aplastic anemia is a hematologic condition occasionally presenting during pregnancy. Amy C Hermesch2 This pathological process is associated with significant maternal and neonatal morbidity and Linda A Barbour3 mortality. Obstetric and anesthetic management is challenging, and treatment requires a Joy L Hawkins4 coordinated effort by an interdisciplinary team, in order to provide safe care to these patients. In this review, we describe the current state of the literature as it applies to the complexity of 1Department of Anesthesiology and Perioperative Medicine, Medical aplastic anemia in pregnancy, focusing on pathophysiologic aspects of the disease in pregnancy, College of Georgia, Augusta as well as relevant obstetric and anesthetic considerations necessary to treat this challenging 2 University, Augusta, GA, Maternal problem. A multidisciplinary-team approach to the management of aplastic anemia in pregnancy Fetal Medicine, 3Obstetrics and Gynecology, 4Department of is necessary to coordinate prenatal care, optimize maternofetal outcomes, and plan peripartum Anesthesiology, University of interventions. Conservative transfusion management is critical to prevent alloimmunization. Colorado School of Medicine, Although a safe threshold-platelet count for neuraxial anesthesia has not been established, Aurora, CO, USA For personal use only. selection of anesthetic technique must be evaluated on a case-to-case basis.
    [Show full text]
  • RMHP Perinatal Care Guideline
    Perinatal Care Guideline Gestational Assessments Routine Lab/Diagnostic Routine Patient Education High Risk Lab/ High Risk Counseling Age Procedures Diagnostic Procedure Up to 12 Weeks Screen for Preterm labor (PTL) risk Complete Blood Count or Premature labor signs and symptoms Chorionic villi sampling Domestic Violence factorsat first visit HCT/HGB Appropriate weight gain based on BMI (CVS)if indicated Remain alert for signs Screen for sexually transmitted disease Urinalysis with culture and E x e r c i s e Ultrasound (US) Chronic Hypertension Calculate BMI and set weight gain goals follow up with test for cure if N u t r i t i o n Offer Cystic fibrosis screen Early and frequent visits for pregnancy positive Smoking Cessation - referral to CO Quit Offer nuchal translucency Advise about the adverse effects of smoking and alcohol and drug Assess fundal height measurements, Blood Group & Rh Type Toxoplasmosis measurements and abuse FHT’s, weight, and blood pressure biochemical markers to Antibody screen Communicable diseases Nutritional counseling regarding diet and salt intake Assess for gestational diabetes mellitus detect Down syndrome and Syphilis screen Sexual activity Obesity (GDM) risk factors and screen if high other genetic disorders Cervical Cytology Breastfeeding Importance of optimal weight gain and exercise risk Other genetic testing Hepatitis B Seat belt use during pregnancy Dietician consult as needed Assess oral health and refer for dental Rubella Antibodies Dental hygiene, flossing and
    [Show full text]
  • NICU Data Manual of Definitions
    NICU Data Manual of Definitions 2020 2 Table of Contents Table of Contents ............................................................................................................... 2 Introduction ....................................................................................................................... 12 NICU Data Eligibility ......................................................................................................... 13 NICU Data DRD Form and Admission/Discharge Form ................................................. 17 Demographics ............................................................................................................... 17 Hospital ID [HOSPNO] .............................................................................................. 17 Infant ID [ID] .............................................................................................................. 17 Year of Birth [BYEAR] ............................................................................................... 17 Deleted Flag .............................................................................................................. 17 Item 1. Birth Weight [BWGT] .................................................................................... 17 Item 2. Head Circumference at Birth [BHEADCIR] .................................................. 18 Item 3. Best Estimate of Gestational Age [GAWEEKS], [GADAYS] ....................... 18 Infant's Date and Time of Birth ................................................................................
    [Show full text]
  • JMSCR Vol||06||Issue||10||Page 1356-1364||October 2018
    JMSCR Vol||06||Issue||10||Page 1356-1364||October 2018 www.jmscr.igmpublication.org Impact Factor (SJIF): 6.379 Index Copernicus Value: 79.54 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v6i10.228 A Prospective Study done to Delineate the Parameters of Sub Chorionic Hematoma (Ultrasound detected) which Correlate with Favourable Pregnancy Outcome. do IVF pregnancies show a higher incidence of Subchorionic hematoma? Authors Dr Nidhi Gupta1, Dr Akanksha2, Dr Kaustubh Srivastav3 1Professor, Dept of Obstetrics and Gynaecology, S.N. Medical College Agra, U.P. India 2Assistant Professor, Dept of Obstetrics and Gynaecology, S.N. Medical College Agra, U.P. India 3Consultant Dept of Obstetrics and Gynaecology, TAURUS HOSPITAL Kanpur U.P. India Institution where the study was done Malhotra test tube baby and Maternity Center and Global Rainbow Hospital Pvt Ltd., Agra-282003, U.P. India Corresponding Author Dr Nidhi Gupta 4/16 A Bagh Farzana Agra -282002, Uttar Pradesh, India Email: [email protected] Abstract Introduction: Intrauterine hematomas are common ultrasonographic findings that may be associated with first-trimester bleeding. Serial ultrasonography can detect haematoma characteristics and progression which may have predictive value for a favourable pregnancy outcome. Material and Methods: This was a prospective study involving pregnant women of 14 weeks or less attending antenatal clinic in Malhotra test tube baby and Maternity centre and Global Rainbow hospital Pvt. Ltd. Agra with chief complaints of vaginal bleeding. 788 cases were screened from Jan 2016—Jan 2018, subchorionic haematoma was identified in 97 cases and these were followed up with serial sonograms till 24 weeks of gestation.
    [Show full text]
  • WHO Recommendations on Interventions to Improve Preterm Birth Outcomes
    WHO recommendations on interventions to improve preterm birth outcomes For more information, please contact: Department of Reproductive Health and Research World Health Organization ISBN 978 92 4 150898 8 Avenue Appia 20, CH-1211 Geneva 27, Switzerland Fax: +41 22 791 4171 E-mail: [email protected] www.who.int/reproductivehealth WHO recommendations on interventions to improve preterm birth outcomes WHO Library Cataloguing-in-Publication Data WHO recommendations on interventions to improve preterm birth outcomes. Contents: Appendix: WHO recommendations on interventions to improve preterm birth outcomes: evidence base 1.Premature Birth – prevention and control. 2.Infant, Premature. 3.Infant Mortality – prevention and control. 4.Prenatal Care. 5.Infant Care. 6.Guideline. I.World Health Organization. ISBN 978 92 4 150898 8 (NLM Classifi cation: WQ 330)Contents © World Health Organization 2015 All rights reserved. Publications of the World Health Organization are available on the WHO web site (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: [email protected]). Requests for permission to reproduce or translate WHO publications –whether for sale or for non-commercial distribution– should be addressed to WHO Press through the WHO website (www.who.int/about/licensing/copyright_form/en/index.html). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries.
    [Show full text]