ABSTRACT
Twin pregnancies are at substantially higher risks for premature delivery than singleton pregnancies. This further increases their risk of perinatal and infant mortality. Recently there has been a marked increase in multiple pregnancies as a direct result of assisted reproductive technology. Cervical incompetency is a condition in which a pregnant woman's cervix begins to dilate and efface before her pregnancy has reached term. And multiple pregnancies and pregnancies by in vitro fertilization (IVF) have been increasing the risk of cervical incompetency. In twin pregnancy during preterm delivery, successful delayed-interval deliveries may improve the neonatal outcomes of the second fetus. We report a case of a delayed interval delivery in twin pregnancy of incompetent of cervix with an interval of 28 days after 3rd emergency cerclage.
Subject(s)
Female , Humans , Infant , Pregnancy , Cervix Uteri , Emergencies , Fertilization in Vitro , Fetus , Infant Mortality , Pregnancy, Multiple , Pregnancy, Twin , Reproductive Techniques, Assisted , TwinsABSTRACT
Twin pregnancies are at substantially higher risks for premature delivery than singleton pregnancies. This further increases their risk of perinatal and infant mortality. Recently there has been a marked increase in multiple pregnancies as a direct result of assisted reproductive technology. Cervical incompetency is a condition in which a pregnant woman's cervix begins to dilate and efface before her pregnancy has reached term. And multiple pregnancies and pregnancies by in vitro fertilization (IVF) have been increasing the risk of cervical incompetency. In twin pregnancy during preterm delivery, successful delayed-interval deliveries may improve the neonatal outcomes of the second fetus. We report a case of a delayed interval delivery in twin pregnancy of incompetent of cervix with an interval of 28 days after 3rd emergency cerclage.
Subject(s)
Female , Humans , Infant , Pregnancy , Cervix Uteri , Emergencies , Fertilization in Vitro , Fetus , Infant Mortality , Pregnancy, Multiple , Pregnancy, Twin , Reproductive Techniques, Assisted , TwinsABSTRACT
Subject(s)
Humans , Cerebral Palsy , Cleft Palate , Muscles , Nasopharynx , Nervous System Diseases , Oropharynx , Palate , Palate, Soft , Parkinson Disease , Pharynx , Sclerosis , StrokeABSTRACT
Subject(s)
Humans , Atrophy , Biopsy , Cleft Palate , Collagen , Fibrosis , Mitochondria , Mitochondrial Myopathies , Muscle Cells , Muscular Diseases , Palate, SoftABSTRACT
An elderly Thai widow with progressive dementia was transferred to Siriraj Hospital for properly continued supportive treatment. Due to the course of the disease, she lacked the ability to make any valid decision related to giving consent to medical treatment and to manage her own affairs. Giving medical consent was a critical issue confronting the treating physician whereas the patient\'s relatives might face with the issue of administering her personal affairs and property. In order to establish the patient's lawful substitute decision maker and administration for the patient's best interest, a declaration of the patient\'s incompetency and the appointment of suitable guardian were needed. The legal proceedings would inevitably be undertaken by filing a petition to the court. This would also have profound implications for the patient's rights and the physician's roles under the justice system.
ABSTRACT
Velopharyngeal function refers to the combined activity of the soft palate and pharynx in closing and opening the velopharyngeal port to the required degree. In normal speech, various muscles of palate & pharynx function as sphincter and occlude the oropharynx from the nasopharynx during the production of oral consonant sounds. Inadequate velopharyngeal function caused by neurologic disorder-cerebral apoplexy, regressive diseases-disseminated sclerosis, Parkinson's disease, congenital deformity-cleft palate, cerebral palsy and etc. may result in abnormal speech characterized by hypernasality, nasal emission and decreased intelligibility of speech due to weak consonant production. In our study, we constructed speech aids prosthesis-Palatal lift in acquired idiophathic VPI patient and assessed velopharyngeal function with various diagnostic instruments which can evaluate the speech characteristics objectively.