foetal movement
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2021 ◽  
Vol 65 (4) ◽  
pp. 7-11
Author(s):  
T. A. Ajadi ◽  
L. Mustapha ◽  
I. O. Oyenekan ◽  
M. O. Ilugbo ◽  
A. A. Adebiyi ◽  
...  

Abstract A three year old nulliparous Boerboel bitch presented with complaints of fever and inappetence six weeks after an elective caesarean section was diagnosed with an extrauterine foetus. A per-cutaneous abdominal ultrasound revealed a foetal sac showing a well-developed skeletal structure and the absence of foetal movement or heartbeat. During laparotomy, a foetal sac containing a dead foetus was located between the spleen and the stomach. The foetal sac was excised following ligation of its mesenteric attachment to the spleen. The previously operated uterus was observed to have involuted but revealed a small bud observed on the middle portion of the left uterine horn. The histological findings of the foetal sac revealed fibro-adipose tissue with numerous congested vessels. It was concluded that the Boerboel bitch had a secondary abdominal ectopic pregnancy and recommended that owing to the difficulty of diagnosing the condition before or during routine elective caesarean surgery, post-operative abdominal ultrasound would have been instructive.


2021 ◽  
Author(s):  
Ankitha Devaraj ◽  
Jamaal Raoof ◽  
Osman Janjua ◽  
Kevin Tsang ◽  
Muhammad Zamir

Objective: Symptomatic vertebral haemangiomas that present during pregnancy are extremely uncommon with few cases reported in literature. Epidural haemangiomas are rarer still with few documented. Methods: In this report, we describe the case of a 22-year-old pregnant patient who presented with apparent loss of foetal movement at 38 weeks’ gestation. Clinical review demonstrated the foetus was well but neurological examination revealed lower limb paresthesia, paresis, and evident uterine hypoesthesia. An MRI scan illustrated a haemangioma in the T1 vertebral body with an epidural component causing cord compression. Results: The management of spinal haemangiomas that present during pregnancy is a complex clinical scenario which requires careful multidisciplinary consideration to determine if surgical intervention is appropriate. In this case, the patient had an emergency caesarean section followed by posterior decompression and laminectomy of the T1 vertebra with excellent post-operative recovery. Conclusion: Gestational increase in the size of vertebral haemangiomas is well documented. We discuss a rare case in which a young pregnant patient presents with an atypical symptom of a vertebral haemangioma (uterine hypoesthesia). This case highlights the importance of prompt imaging in these scenarios and a cohesive multidisciplinary approach in order to provide optimal treatment for the patient.


2021 ◽  
pp. 150-152
Author(s):  
Nitesh Meena ◽  
Suhail Iqbal ◽  
Heena Kaurani

BACKGROUND: Fetal movement is described as motion of the fetus perceived by the mother and is considered as a sign of foetal wellbeing. A reduction of foetal movements causes concern and anxiety, both to the mother and obstetrician.Decreased foetal movements are regarded as a marker for suboptimal intrauterine conditions,possibly of placental dysfunction and intrauterine stress. Evaluation of maternal perception of decrease foetal movement is done by taking proper history,daily foetal movement count (DFMC),non-stress test (NST) and ultrasonography. AIM AND OBJECTIVES: The aim of this study was to find out perinatal outcome among women with decreased foetal movements. The rational for the study is that our findings should contribute to maternal understanding of foetal wellbeing in utero,and possible ways to work with mothers to prevent intrauterine foetal deaths and stillbirths. MATERIAL AND METHODS: This is a hospital based descriptive study conducted at Obstetrics and Gynaecology department, Srimati Heera Kunwar Ba Mahila Chikitsalaya,Jhalawar Medical College Jhalawar from November 2018 to October 2019. Ethical approval was taken from ethical committee and written informed consent was taken from the participants.Total 192 women were included in the study with complain of decreased foetal movements.To ev aluate the foetal well-being daily foetal movement count (DFMC),non-stress test (NST) and ultrasonography was done. RESULT: There was no statistically significant association between DFMC and foetal outcome, but reactive NST is associated with good foetal outcome. CONCLUSION: W rd e conclude that reduced foetal movement during 3 trimester could be ominous sign. Our study suggests that NST,sonography and DFMC may be used to evaluate the women complaining of decrease foetal movement and may identify the women at risk for adverse perinatal outcome.


Author(s):  
V. K. Das ◽  
Kaveri Pandya ◽  
Bincy Mathew ◽  
Anjali Prajapati

Background: The coronavirus disease is continuously affecting the lives of all people and it has grown into a pandemic. Understanding the impact of COVID-19 on pregnancy in terms of morbidity, mortality as well as perinatal-maternal and foetal outcomes is essential to propose strategies for prevention and infection control. In this study, an attempt has been made to assess the impact of COVID-19 on perinatal outcomes.Methods: It was a retrospective analytical study. The case-files of 47 antenatal mothers who were RT-PCR positive & delivered during the course of treatment were taken for the study.Results: Out of all samples, 91.49% were asymptomatic, 10.63% had pregnancy induced hypertension (PIH) as comorbidity, 88.10% had anaemia, 40.43% had WBC count more than 10,000/mm3. 97.87 % of the samples recovered from COVID-19 with routine obstetrical management and only one case was kept on BIPAP support. Perinatal complications like preterm deliveries (27.66%), foetal distress (27.66%), NRNST (19.15%), PROM (4.26%), decreased foetal movement (2.13 %), LBW (6.38%), APGAR<7 at 5 min (15.55%), still birth (4.26%), NICU admission (31.11%), neonatal death (2.13%) were identified. 68.89% neonates were breastfed. The RT-PCR of all neonates came negative on first day of delivery which indicates that there was no vertical transmission. In this study, the results show that the perinatal outcomes are mildly affected by COVID-19.Conclusions: Although COVID-19 doesn’t directly affect perinatal outcomes, it has indirect adverse effects on MCH services. Hence, emergency obstetric and neonatal care is an essential service to be continued with awareness of people while maintaining social distancing and personal hygiene.


Author(s):  
B. Jeyapoornima ◽  
V. Chinnammal ◽  
S. Vanaja ◽  
J.Joselin Jeya Sheela ◽  
Rahul Krishnan ◽  
...  

Author(s):  
Jignya Vinodbhai Asari ◽  
Anjali Pushkar Tiwari

Introduction: Pregnant woman experience various physical, emotional, and hormonal changes that may cause anxiety. The anxiety and worries can be decreased by sharing information about the developing child, like foetal body movement. Aim: To assess effect of Foetal Movement Counting (FMC) on prenatal attachment and maternal worries among primigravida mothers. Materials and Methods: A longitudinal study was carried out among primigravida mothers of selected Hospitals of Central Gujarat using proforma of Cranley’s maternal foetal attachment scale and Cambridge worry scale. The study was conducted from March 2019 to July 2020. Eighty participants were recruited by convenient sampling 40 in each study group and control group. The study group were provided with foetal movement chart and the participants were asked to record foetal movements for seven consecutive days, twice a day for 20 minutes. Post assessment of prenatal attachment and maternal worries was done using tools of data collection for both study and control group. Chi- square test was used to test the significance (p-value <0.05). Results: The study results revealed that in study group mean score for prenatal attachment was 79.43 at the start and improved to 101.25 (p-value <0.001) after seven days of FMC. In control group, the mean score for prenatal attachment did not show significant difference pre-test and post-test (74.20 vs 74.85, p-value=0.077). In study group, the mean Cambridge worry scale score was 36.55 which came down to 20.28 (p-value <0.001) after seven days, while in control group it was 41.38 at the beginning and 41.30 after seven days (p-value=0.998). Conclusion: Foetal Movement Counting was found to improve maternal foetal attachment and reduce maternal worries. FMC can be routinely and effectively promoted among the pregnant population to help them achieve a positive pregnancy experience and outcome.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Ramona Jühlen ◽  
Valérie Martinelli ◽  
Chiara Vinci ◽  
Jeroen Breckpot ◽  
Birthe Fahrenkrog

Abstract Ciliopathies are clinical disorders of the primary cilium with widely recognised phenotypic and genetic heterogeneity. Here, we found impaired ciliogenesis in fibroblasts derived from individuals with fetal akinesia deformation sequence (FADS), a broad spectrum of neuromuscular disorders arising from compromised foetal movement. We show that cells derived from FADS individuals have shorter and less primary cilia (PC), in association with alterations in post-translational modifications in α-tubulin. Similarly, siRNA-mediated depletion of two known FADS proteins, the scaffold protein rapsyn and the nucleoporin NUP88, resulted in defective PC formation. Consistent with a role in ciliogenesis, rapsyn and NUP88 localised to centrosomes and PC. Furthermore, proximity-ligation assays confirm the respective vicinity of rapsyn and NUP88 to γ-tubulin. Proximity-ligation assays moreover show that rapsyn and NUP88 are adjacent to each other and that the rapsyn-NUP88 interface is perturbed in the examined FADS cells. We suggest that the perturbed rapsyn-NUP88 interface leads to defects in PC formation and that defective ciliogenesis contributes to the pleiotropic defects seen in FADS.


2019 ◽  
Author(s):  
Disha Sasan ◽  
Phillip GD Ward ◽  
Meredith Nash ◽  
Edwina R Orchard ◽  
Michael J Farrell ◽  
...  

During pregnancy, a woman will attribute increased abdominal sensations to foetal movement. Surprisingly, many women report that they feel kick sensations long after the pregnancy, however this experience has never been reported in the scientific literature. Here, we show that almost 40% of women in our sample experienced phantom foetal kicks after their first pregnancy, up to 28-years (average 6.8-years) post-partum. Using a qualitative approach, we found that women describe the phantom sensations as ‘convincing’, ‘real kicks’ or ‘flutters’. Twenty-five percent of women described the experience as positive, and 27% reported felt confused or upset by the experience. Our results demonstrate that phantom kicks in the post-partum period are a widely experienced sensation, that may have implications for a woman’s post-partum mental health. The mechanism behind the phantom kick phenomenon is unknown, but may be related to changes in the somatosensory homunculus or proprioception during pregnancy.


2019 ◽  
Author(s):  
Ramona Jühlen ◽  
Valérie Martinelli ◽  
Chiara Vinci ◽  
Jeroen Breckpot ◽  
Birthe Fahrenkrog

AbstractCiliopathies are clinical disorders of the primary cilium with widely recognised phenotypic and genetic heterogeneity. Here we found impaired ciliogenesis in fibroblasts derived from individuals with fetal akinesia deformation sequence (FADS), a broad spectrum of neuromuscular disorders arising from impaired foetal movement. We show that cells derived from FADS individuals have shorter and less primary cilia (PC), in association with alterations in post-translational modifications in α-tubulin. Similarly, siRNA-mediated depletion of two known FADS proteins, the scaffold protein rapsyn and the nucleoporin NUP88, resulted in defective PC formation. Consistent with a role in ciliogenesis, rapsyn and NUP88 localised to centrosomes and PC. By proximity-ligation assays, we show that rapsyn and NUP88 are adjacent and that both proteins are adjoining to all three tubulin isoforms (α, and γ rapsyn-NUP88 interface, as well as their contact to microtubules, is perturbed in the examined FADS cells. We suggest that the perturbed rapsyn-NUP88-tubulin interface leads to defects in PC formation and that defective ciliogenesis contributes to the pleiotropic defects seen in FADS.SummaryFibroblasts derived from fetal akinesia individuals are characterised by ciliary defects and rapsyn and NUP88 are required for proper formation of the primary cilium.


Author(s):  
Luís M. Borges ◽  
Norberto Barroca ◽  
Fernando J. Velez ◽  
J. Martinez-de-Oliveira ◽  
António S. Lebres

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