ABSTRACT
OBJECTIVE: To explore the maternal attitude towards the screening for structural abnormalities at the 11-13-week scan, according to the severity of the abnormality. A secondary aim was to analyse which maternal characteristics influence in the maternal response. METHODS: This is a descriptive study based on the responses to 300 self-administrated questionnaires completed immediately before routine ultrasounds scan. RESULTS: A totally of 296 (98.7%) women participated in the study. If the baby had any abnormality 93.9% would prefer to know at 12 weeks, 96.6% if the abnormality was lethal, 95.3% if the abnormality involves severe handicap, 91.2% if the abnormality can only be suspected, but not confirmed until the pregnancy is more advanced (16 or 20 weeks), 77.0% if the abnormality was minor and 79.4% women would like to know at 12 weeks if the baby appeared normal. Maternal age, gestational age at the time of the questionnaire and maternal attitude towards termination of pregnancy were the only factors affecting maternal responses. CONCLUSION: Pregnant women prefer to be informed in the first trimester about any abnormality in their fetuses, even in cases of minor or only suspected abnormalities. © 2016 John Wiley & Sons, Ltd.
Subject(s)
Attitude to Health , Congenital Abnormalities/diagnostic imaging , Mothers , Ultrasonography, Prenatal , Abortion, Induced , Adolescent , Adult , Female , Gestational Age , Humans , Maternal Age , Middle Aged , Pregnancy , Pregnancy Trimester, First , Pregnant Women , Young AdultABSTRACT
Presentamos un caso de diagnóstico prenatal de transposición pene-escrotal completa a la semana 20 de gestación. La exploración sistemática de todos los órganos, incluidos los genitales, posibilitan el diagnóstico de estas raras e infrecuentes malformaciones (AU)
We report a case of prenatal diagnosis of complete penoscrotal transposition in a fetus at 20 weeks of gestation. Systematic exploration of all the organs, including the genitals, allowed the diagnosis of these rare malformations (AU)
Subject(s)
Humans , Female , Pregnancy , Adult , Prenatal Diagnosis/methods , Prenatal Diagnosis , Hypospadias/diagnosis , Hypospadias/surgery , Amniocentesis , Hypospadias , Prenatal Care , Ultrasonography, Prenatal/methods , Ultrasonography, Prenatal , Scrotum/abnormalities , Scrotum/pathology , ScrotumABSTRACT
Objetivos: Conocer y comparar entre sí los resultados perinatales de 194 gestaciones múltiples (97 embarazos gemelares y 97 embarazos triples). Pacientes y métodos: Se estudian de forma retrospectiva los resultados perinatales de 97 gestaciones triples atendidas en nuestro hospital entre enero de 1989 y diciembre de 2004. En el grupo control se han incluido 97 embarazos gemelares atendidos durante el mismo período, escogiendo siempre el más próximo en cuanto a fecha del parto respecto de cada triple analizado. Resultados: Los embarazos triples tienden a ser más frecuentemente consecutivos a técnicas de reproducción asistida que los dobles y presentan una edad gestacional (34 ± 2,9 frente a 36 ± 3,5 semanas) y un peso al nacimiento (1.782 ± 523 frente a 2.215 ± 619 g) significativamente menor que los gemelares. Sin embargo, la prematuridad extrema (< 28 semanas) es similar en ambos grupos. No hay diferencias en cuanto al índice de malformaciones, valoración neonatal al nacimiento ni mortalidad perinatal. De las complicaciones obstétricas, la amenaza de parto pretérmino presenta una incidencia similar en ambos grupos y sólo la colestasis intrahepática (9 casos entre las gestaciones triples y ninguna entre los embarazos dobles) se presenta con una incidencia mayor entre las gestaciones triples que en las gemelares. Conclusiones: La morbimortalidad de los recién nacidos de gestaciones múltiples depende fundamentalmente de la prematuridad y, por tanto, de la duración del embarazo, por lo que el control obstétrico debe centrarse en intentar alcanzar la mayor duración. Todos los embarazos múltiples son embarazos de riesgo, pero triples y gemelos tienen un pronóstico similar cuando se ajustan por edad gestacional
Objectives: To determine and compare the perinatal results of 104 multiple pregnancies (97 twin pregnancies and 97 triple pregnancies). Patients and methods: The perinatal results of 97 triple pregnancies attended in our hospital between January 1989 and December 2004 were retrospectively studied. As a control group, 97 twin pregnancies attended during the same period were used. In all cases, the twin pregnancy closest to the delivery date of the triple pregnancy analyzed was chosen. Results: Triple pregnancies tended to occur more frequently after assisted reproduction techniques than twin pregnancies. Gestational age (34 ± 2.9 versus 36 ± 3.5 weeks) and birth weight (1782 ± 523 versus 2215 ± 619 g) were significantly lower in triple pregnancies than in twin pregnancies. However, extreme prematurity (< 28 weeks) was similar in both groups. No differences were found in the rate of malformations, neonatal evaluation at birth or perinatal mortality. Among obstetric complications, the threat of preterm delivery was similar in both groups. Only the incidence of intrahepatic cholestasis was higher among triple pregnancies than among twin pregnancies (9 cases among triple pregnancies and none among twin pregnancies). Conclusions: Morbidity and mortality among neonates of multiple pregnancies depends mainly on prematurity and therefore on pregnancy duration. Consequently, pregnancy follow-up should aim to achieve the longest duration possible. All multiple pregnancies are high-risk. However, triple and twin pregnancies have a similar prognosis when adjusted by gestational age
