ABSTRACT
OBJECTIVE: There have been conflicting reports as to whether higher rates of poor perinatal outcome carry over in cases of idiopathic hydramnios. Thus, this study was undertaken to determine whether there is any association between idiopathic hydramnios and adverse perinatal outcome. METHODS: From January 1995 to December 1999, 103 consecutive women with singleton pregnancies complicated by idiopathic hydramnios(amniotic fluid index>or=25cm) who were delivered at the Severance hospital were studied. Measured perinatal outcomes and maternal complications included preterm delivery, small for gestational age, large for gestational age, malpresentation at delivery, primary cesarean section rate, Apgar score at 5 minutes<7, admission to the neonatal intensive care unit, perinatal death, and postpartum hemorrhage. These findings were compared by means of the chi-square test, Fisher exact test, student's t-test, and logistic regression test with those of 320 control subjects with normal amniotic fluid index(5Subject(s)
Female
, Humans
, Infant, Newborn
, Pregnancy
, Pregnancy
, Amniotic Fluid
, Apgar Score
, Cesarean Section
, Fetal Development
, Gestational Age
, Intensive Care, Neonatal
, Logistic Models
, Polyhydramnios
, Postpartum Hemorrhage
, Pregnancy Outcome
ABSTRACT
Sirenomelia, characterised by a complete or incomplete fusion of the lower extremities, is a severe form of caudal defect affecting 1.5-4.2 in 100,000 births. Most cases of sirenomelia die within 5days after birth and are associated with abnormalities such as renal agenesis, urinary tract agenesis, single umbilical artery, etc. Third trimester ultrasonographic diagnosis is usually impaired by severe oligohydramnios whereas the amount of amniotic fluid may be sufficient to allow diagnosis in the early second trimester. We report a case of sirenomelius at 12 weeks of gestation using prenatal transvaginal ultrasonography.
Subject(s)
Female , Humans , Pregnancy , Amniotic Fluid , Diagnosis , Ectromelia , Lower Extremity , Oligohydramnios , Parturition , Pregnancy Trimester, Second , Pregnancy Trimester, Third , Single Umbilical Artery , Ultrasonography , Urinary TractABSTRACT
Interrupted aortic arch is a extreme type of coarctation of aorta and mostly associated with other cardiac anomalies. Unless there were no proper management, about 90% of babies would be dead in their neonatal period. A 28-year-old nulliparous woman was refered to our hospital for fetal echocardiography at 23 weeks' gestation with an abnormal prenatal ultrasonographic findings. We found interrupted aortic arch(type A), which was located in distal portion of the left subclavian artery, and ventricular septal defect. After 5 months follow up, the baby was vaginally delivered at 40 weeks' gestation. This baby was delivered at 40 weeks' gestation of a male infant with APGAR scores of 8 and 9 at 1 and 5 minutes, respectively. Neonatal echocardiography and electron beam tomography revealed interrupted aortic arch(type A), ventricular septal defect(subaortic type), patent ductus arteriosus, and atrial septal defect(ostium secondum defect). At the 10th day of birth, the infant was performed the operation of end to end anastomosis of desending aorta, patch repair of atrial septal defect, ligation of patent ductus arteriosus, and direct closure of patent foramen ovale.
Subject(s)
Adult , Female , Humans , Infant , Male , Pregnancy , Aorta , Aorta, Thoracic , Aortic Coarctation , Ductus Arteriosus, Patent , Echocardiography , Follow-Up Studies , Foramen Ovale, Patent , Heart Septal Defects, Atrial , Heart Septal Defects, Ventricular , Ligation , Parturition , Subclavian Artery , Tomography, X-Ray ComputedABSTRACT
No abstract available.
Subject(s)
Female , Pregnancy , Amniotic Fluid , Corticotropin-Releasing Hormone , Obstetric Labor, PrematureABSTRACT
No abstract available.