ABSTRACT
Vasa previa is a rare accident in obstetrics with high fetal mortality. There are simple tests available to distinguish fetal from maternal blood. Recently it has been called into medicolegal question whether patients with third-trimester bleeding need to be tested for fetal bleeding. We surveyed 100 community hospitals and all the medical schools in the United States in an attempt to answer the question. It appears that the standard of care in the United States does not require such testing.
Subject(s)
Fetal Blood , Prenatal Care/standards , Uterine Hemorrhage/etiology , Female , Fetal Death/etiology , Health Surveys , Hospitals, Community , Humans , Labor Presentation , Malpractice , Pregnancy , Pregnancy Trimester, Third , Schools, Medical , United StatesABSTRACT
Fetal urinary tract malformations are diagnosed frequently with ultrasonography. There are many published papers on in utero detection of fetal cystic abnormalities. In this case the prenatal diagnosis of a solid kidney mass was made, and histopathologic examination after surgical resection revealed congenital mesoblastic nephroma.
Subject(s)
Kidney Neoplasms/congenital , Prenatal Diagnosis/methods , Ultrasonography/methods , Wilms Tumor/congenital , Adult , Female , Gestational Age , Humans , Kidney/pathology , Kidney Neoplasms/pathology , Nephrectomy , Pregnancy , Wilms Tumor/pathologyABSTRACT
Phosphatidylglycerol determination has been used as an additional parameter in the evaluation of fetal lung maturity. Meconium was added to aliquot samples of amniotic fluid after phosphatidylglycerol determination. On those amniotic fluid samples without phosphatidylglycerol, phosphatidylglycerol standard and meconium were added. Two-dimensional thin-layer chromatography was performed to detect the phosphatidylglycerol spot. Our results show that lightly stained meconium contamination of amniotic fluid does not hinder the detection of the phosphatidylglycerol spot on the chromatographic plate.
Subject(s)
Amniotic Fluid/analysis , Meconium , Phosphatidylglycerols/analysis , Chromatography, Thin Layer , Female , Fetal Organ Maturity , Humans , Lung/embryology , Phosphatidylcholines/analysis , Pregnancy , Sphingomyelins/analysisSubject(s)
Amniotic Fluid/analysis , Phosphatidylglycerols/analysis , Pregnancy Complications/diagnosis , Chromatography, Thin Layer , Female , Fetal Organ Maturity , Humans , Infant, Newborn , Lung/embryology , Phosphatidylcholines/analysis , Pregnancy , Prenatal Diagnosis , Respiratory Distress Syndrome, Newborn/diagnosis , Sphingomyelins/analysisABSTRACT
A case is presented in which cytomegalovirus was isolated from the amniotic fluid at 36 weeks' gestation in a pregnancy complicated by cytomegalovirus hepatitis at 10 weeks of gestation. Abnormalities noted in the newborn infant included an undescended testis, right equinovarus, and hypotonia. All cultures revealed cytomegalovirus. Subsequent immunoglobulin studies, chest x-ray film, and bone films were all normal.
