Search results for " Prenatal"

Parental and professional agency in terminations for fetal anomalies: analysis of Finnish women's accounts

2013

This study explores the construction of parental and professional agency in the written accounts by women who have undergone selective abortion (N=8). The analysis of the data was based on qualitative, linguistic discourse analysis. The accounts indicate that the mothers themselves exhibited both strong and weak agency during the process of prenatal diagnosis. The role of the professionals was usually discussed in these accounts concerning only the phases of pregnancy when something out of ordinary had been detected. After the termination, the mothers expressed that they were forced to exhibit strong agency and find ways to cope with their distress unaided due to a lack of professional supp…

Three-dimensional ultrasonography in prenatal diagnosis

1995

Within the past five years, 3D ultrasonography has developed to the degree that it offers both the patient and the examiner an entirely new visual experience in prenatal diagnosis. With the system described here (Kretz-technik, Austria), any desired plane can be displayed within the stored volume, and within seconds a high-quality 3D surface or transparent image can be calculated and displayed on the ultrasound monitor without need for an external workstation. All of this can be performed routinely in the clinical setting. Since 1989 we have routinely examined a total of 458 fetuses (242 normal and 216 with anomalies) between 16 and 38 weeks of gestation, supplementing our conventional 2D u…

Warum ist Pränataldiagnostik in der Diskussion? Eine Einführung

2017

Prenatal diagnosis has been a subject of intense discussion since it became technically achievable. This is because the results it provides can dramatically change the attitude of mothers towards their unborn children, and can lead to considerable social pressure to abort the child. These undesirable effects might come as a surprise, given that prenatal testing was primarily intended to allow better care for infants waiting to be born. The possible risks of invasive procedures and the only statistical evidence of results are the factors most responsible for the ambivalent attitudes that surround prenatal diagnosis. Another significant factor is the discrepancy between the general availabili…

Persistent Left Superior Vena Cava Significance in Prenatal Diagnosis—Case Series

2022

The persistent left superior vena cava (PLSVC) is a congenital heart anomaly reported in 0.3–0.5% of the general population and can be associated with congenital heart diseases in up to 8% of cases. Prenatal identification of PLSVC is important to prompt an extended cardiac and extracardiac fetal examination. We retrospectively reevaluated anomaly scans performed in our unit in a 2-year interval according to the national guidelines to evaluate the incidence of PLSVC and its association with prenatal morbidity. In our population, the incidence of PLSVC was 0.31%, and we found a low association with cardiac and extracardiac anomalies. The standard sections (three-vessel and trachea view, four…

Duplicazione della regione critica per la sindrome di Down in un feto con cardiopatia

2008

Duplicazione 5p13.3-p14 in diagnosi prenatale

2009

Duplicazione de novo 9p22.3 in diagnosi prenatale

2009

Valoración de los parámetros normales de ecocardiografía fetal en 2D y 3D a lo largo de la gestación

2015

La evaluación cardiaca fetal mediante ecografía forma parte de nuestra práctica clínica diaria. Por tanto, es muy importante disponer de valores de referencia para todos los parámetros cardiacos ajustados a nuestra población. Una forma de describir una medida de un parámetro cardiaco es mediante los Z score, que expresan cuántas desviaciones estándar está una observación por encima o debajo de la media esperada. Los Z score permiten normalizar el tamaño de las estructuras cardiacas respecto a algún parámetro de la biometría fetal, en vez de con la edad gestacional. Los Z-score son útiles para determinar si una estructura cardiaca mantiene su crecimiento respecto al crecimiento somático glob…

Computerized analysis of normal fetal heart rate pattern throughout gestation.

2009

Objective To analyze the evolution of computerized cardiotocography (cCTG) parameters throughout gestation in a large archive of traces from healthy fetuses. Methods This was a cross-sectional study of the first cCTG record from 4412 singleton fetuses with good pregnancy outcome. Normal ranges of cCTG parameters for 25 to 42 weeks were derived from analysis of only one cCTG record per fetus, and the relationship between the parameters and gestational age was investigated. Results Fetal heart rate (FHR) accelerations, short- and long-term variation overall, duration of episodes of high and low variation and variation in high episodes increased with advancing gestation. In contrast, maternal …

Role of prenatal magnetic resonance imaging in fetuses with isolated severe ventriculomegaly at neurosonography: A multicenter study.

2021

Objective: The aim of this study was to report the rate of additional anomalies detected exclusively at prenatal magnetic resonance imaging (MRI) in fetuses with isolated severe ventriculomegaly undergoing neurosonography. Method: Multicenter, retrospective, cohort study involving 20 referral fetal medicine centers in Italy, United Kingdom, Spain and Denmark. Inclusion criteria were fetuses affected by isolated severe ventriculomegaly (≥15 mm), defined as ventriculomegaly with normal karyotype and no other additional central nervous system (CNS) and extra-CNS anomalies on ultrasound. In all cases, a multiplanar assessment of fetal brain as suggested by ISUOG guidelines on fetal neurosonogra…