RESUMO
Introduction: Fetal hydrops is a serious condition which can be caused by immune and non-immune aetiologies. We aimed to review the management of fetal hydrops at our hospital. Materials and Methods: A retrospective review of all cases of fetal hydrops diagnosed in our institution from 2006 to 2013 was carried out. Results: Out of the 30 cases of fetal hydrops diagnosed antenatally, 17 were cases of Bart's hydrops which were all terminated in-utero. Of the remaining 13 cases, 11 cases consisted of non-immune causes of hydrops. Planned antenatal interventions including in-utero blood transfusions (n = 4) and thoracentesis (n = 5) as well as planned caesarean deliveries (n = 11) were performed in the majority of cases. Postnatal neonatal intensive care with interventions including chest drainage and transfusions were also performed. A majority, 92%, of the cases survived the perinatal period following a variable length of hospital stay ranging from a week to 3 months. Conclusion: Management of fetal hydrops is complex. Close coordination between the obstetric and neonatal teams was the key to good short-term survival of neonates with antenatally diagnosed hydrops, as it allows timely antenatal intervention and anticipation of potential perinatal complications.
Assuntos
Transfusão de Sangue , Cesárea , Terapias Fetais , Hidropisia Fetal/terapia , Toracentese , Aborto Induzido , Gerenciamento Clínico , Drenagem , Feminino , Hemoglobinas Anormais , Humanos , Hidropisia Fetal/sangue , Hidropisia Fetal/etiologia , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Gravidez , Diagnóstico Pré-Natal , Estudos Retrospectivos , Singapura , Taxa de Sobrevida , Centros de Atenção Terciária , Talassemia alfa/sangue , Talassemia alfa/complicaçõesRESUMO
The morphological features of the ovaries in women with polycystic ovary syndrome (PCOS) have been well described by ultrasound imaging technology. These include enlarged ovary size, multiple small follicles of similar size, increased ovarian stromal volume and echogenicity, peripheral distribution of the follicles, and higher stromal blood flow. Ultrasound identification of the presence of polycystic ovarian morphology (PCOM) has been recognized as a component of PCOS diagnosis. With the advance of ultrasound technology, new definition has been proposed recently. There is, however, a paucity of data for the ovarian morphology in normal and PCOS adolescents. Magnetic resonance imaging has the potential to be an alternative imaging modality for diagnosing PCOM in adolescence.
Assuntos
Folículo Ovariano/diagnóstico por imagem , Síndrome do Ovário Policístico/diagnóstico por imagem , Adolescente , Adulto , Fatores Etários , Feminino , Humanos , Imageamento por Ressonância Magnética , Tamanho do Órgão , Folículo Ovariano/irrigação sanguínea , Ovário/irrigação sanguínea , Ovário/diagnóstico por imagem , Fluxo Sanguíneo Regional , UltrassonografiaRESUMO
We document the value of non-invasive fetal electrocardiography (fECG) in a case of fetal arrhythmia in which an unnecessary cesarean section was almost performed. The fetal heart rate (fHR) was 60-70 beats per minute (bpm) on the cardiotocography (CTG), with occasional, sudden fluctuations to 130 bpm. This was probably a result of the technical limitations of the CTG.
