scholarly journals The role of three-dimensional ultrasound in pregnancies submitted to cerclage

2018 ◽  
Vol 64 (7) ◽  
pp. 620-626
Author(s):  
Thais da Fonseca Borghi ◽  
Mário Henrique Burlacchini de Carvalho ◽  
Antonio Gomes de Amorim Filho ◽  
Silvio Martinelli ◽  
Marcelo Zugaib ◽  
...  
Keyword(s):  
Gestational Age ◽  
Cox Regression ◽  
Three Dimensional ◽  
Cervical Length ◽  
Second Trimester ◽  
Regression Analyses ◽  
Third Trimester ◽  
The Third ◽  
Gestational Age At Birth ◽  
Age At Birth

SUMMARY OBJECTIVE: Cervical cerclage is the standard treatment for cervical incompetence (CI); however, there is still a high risk of preterm birth for women who undergo this treatment. The aim of this study was to longitudinally evaluate findings on two-dimensional transvaginal ultrasonography (2DTVUS) and three-dimensional transvaginal ultrasonography (3DTVUS) that could be related to gestational age at birth. METHODS: A total of 68 pregnant women who were treated with cerclage were evaluated by 2DTVUS and 3DTVUS in the second and third trimesters of pregnancy. Log-rank tests and Cox regression analyses were used to identify significant findings related to gestational age at delivery. RESULTS: A cervical length lower than 281 mm (p= 0.0083), a proximal cervical length lower than 10 mm (p= 0.0151), a cervical volume lower than 18.17 cm3 (p= 0.0152), a vascularization index (VI) under 2.153 (p= 0.0044), and a vascularization-flow index (VFI) under 0.961 (p= 0.0059) in the second trimester were all related to earlier delivery. In the third trimester, a cervical length lower than 20.4 mm (p= 0.0009), a VI over 0.54 (p= 0.0327) and a VFI over 2.275 (p= 0.0479) were all related to earlier delivery. Cervical funnelling in the second and third trimesters and proximal cervical length in the third trimester were not related to gestational age at birth. The COX regression analyses showed that cervical volume in the second trimester; FI and VFI in the third trimester were significantly associated with gestational age at birth. CONCLUSION: In women treated with history-indicated cerclage or ultrasound-indicated cerclage, 2nd trimester cervical volume and 3rd trimester FI and VFI are independent significant sonographic findings associated with time to delivery.

Fetal abdominal circumference in the second trimester and prediction of small for gestational age at birth

2019 ◽  
Vol 33 (14) ◽  
pp. 2415-2421
Author(s):  
Georgios Doulaveris ◽  
Patience Gallagher ◽  
Elizabeth Romney ◽  
Michael Richley ◽  
Juliana Gebb ◽  
...  
Keyword(s):  
Gestational Age ◽  
Small For Gestational Age ◽  
Abdominal Circumference ◽  
Second Trimester ◽  
Gestational Age At Birth ◽  
Age At Birth

scholarly journals Neurodevelopment in the third year of life in children with antenatal ZIKV-exposure

2021 ◽  
Vol 55 ◽  
pp. 15
Author(s):  
Carolina Yuri Panvequio Aizawa ◽  
Deyse Mayara Rodrigues Caron ◽  
Carolina Barbosa Souza ◽  
Paula Fernanda Augusto Kozima ◽  
Luana Damasceno ◽  
...  
Keyword(s):  
School Age ◽  
Third Trimester ◽  
The Third ◽  
Maternal Illness ◽  
Long Term Follow Up ◽  
Virus Exposure ◽  
Gestational Age At Birth ◽  
Age At Birth

We report cognitive, language and motor neurodevelopment, assessed by the Bayley-III test, in 31 non-microcephalic children at age 3 with PCR-confirmed maternal Zika virus exposure (Rio de Janeiro, 2015–2016). Most children had average neurodevelopmental scores, however, 8 children (26%) presented delay in some domain. Language was the most affected: 7 children (22.6%) had a delay in this domain (2 presenting severe delay). Moderate delay was detected in the cognitive (3.2%) and motor (10%) domains. Maternal illness in the third trimester of pregnancy and later gestational age at birth were associated with higher Bayley-III scores. Zika-exposed children require long-term follow-up until school age.

Preterm birth, low fetal growth and risk of suicide in adulthood: a national cohort and co-sibling study

2021 ◽  
Author(s):  
Casey Crump ◽  
Jan Sundquist ◽  
Kenneth S Kendler ◽  
Alexis C Edwards ◽  
Kristina Sundquist
Keyword(s):  
Preterm Birth ◽  
Environmental Factors ◽  
Fetal Growth ◽  
Gestational Age ◽  
Cox Regression ◽  
Suicide Death ◽  
Increased Risk ◽  
National Cohort ◽  
Gestational Age At Birth ◽  
Age At Birth

Abstract Background Adverse perinatal exposures have been associated with psychiatric disorders and suicidal behaviours later in life. However, the independent associations of gestational age at birth or fetal growth with suicide death, potential sex-specific differences, and causality of these associations are unclear. Methods A national cohort study was conducted of all 2 440 518 singletons born in Sweden during 1973–98 who survived to age 18 years, who were followed up through 2016. Cox regression was used to compute hazard ratios (HRs) for suicide death associated with gestational age at birth or fetal growth while mutually adjusting for these factors, sociodemographic characteristics and family history of suicide. Co-sibling analyses assessed the influence of unmeasured shared familial (genetic and/or environmental) factors. Results In 31.2 million person-years of follow-up, 4470 (0.2%) deaths by suicide were identified. Early preterm birth (22–33 weeks) was associated with an increased risk of suicide among females [adjusted hazard ratio (HR), 1.97; 95% confidence interval CI), 1.29, 3.01; P = 0.002) but not males (0.90; 0.64, 1.28; P = 0.56), compared with full-term birth (39–41 weeks). Small for gestational age was associated with a modestly increased risk of suicide among females (adjusted HR, 1.27; 95% CI, 1.08, 1.51; P = 0.005) and males (1.14; 1.03, 1.27; P = 0.02). However, these associations were attenuated and non-significant after controlling for shared familial factors. Conclusions In this large national cohort, preterm birth in females and low fetal growth in males and females were associated with increased risks of suicide death in adulthood. However, these associations appeared to be non-causal and related to shared genetic or prenatal environmental factors within families.

91: Second trimester cervical length and persistence of placenta previa in the third trimester

2013 ◽  
Vol 208 (1) ◽  
pp. S53
Author(s):  
Amanda Trudell ◽  
Molly Stout ◽  
Alison Cahill ◽  
Anthony Odibo ◽  
George Macones ◽  
...  
Keyword(s):  
Placenta Previa ◽  
Cervical Length ◽  
Second Trimester ◽  
Third Trimester ◽  
The Third

Midwifery Care for Pregnant Women With Back Pain Discomfort in Trimester III Pregnancy at the Karunia Birth Clinic, Sidoarjo.

Academia Open ◽  
2021 ◽  
Vol 5 ◽  
Author(s):  
Anggraeni Kriswidya Putri ◽  
Hanik Machfudloh
Keyword(s):  
Back Pain ◽  
Data Collection ◽  
Pregnant Women ◽  
Gestational Age ◽  
Analysis Data ◽  
Second Trimester ◽  
Third Trimester ◽  
Midwifery Care ◽  
The Third ◽  
Maternity Clinic

Pregnancy is a process that begins with the unification of spermatozoa with ovum called fertilization and then continued with implantation. Normal pregnancies generally last for 9 months, and are divided into the first 3 trimesters 1-12 weeks, the second trimester 13-27 weeks, the third trimester 28-40 weeks. Various complaints felt by pregnant women, one of which is back pain that causes pregnant women discomfort. This aerikel was written taken from the place of Maternity Clinic Karunia Sidoarjo on January 05, 2020. The way of data collection is by means of anamnesa, examination of analysis, data then documenting by comparing between the data that has been obtained with existing theories. Mrs. .m 40 weeks gestational age, with complaints of physiological back pain with good maternal and fetal conditions.

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