Article
Acoustics
V. GIORGIONE, O. QUINTERO MENDEZ, A. PINAS, W. ANSLEY, B. THILAGANATHAN
Summary: Preterm birth (PTB) is a major public health issue worldwide, and this study aimed to investigate whether there is a shared uteroplacental etiology in PTB subtypes during the first trimester of pregnancy. The analysis found that factors used to predict preterm PE risk could also be used to predict PTB at < 33 weeks, suggesting a shared etiological pathway for preterm births.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2022)
Article
Acoustics
I. Dhaifalah, E. Magalova, D. Studnykova, J. Havalova, E. Slintakova, H. Cuckle
Summary: This study assesses the performance and impact of first-trimester preterm pre-eclampsia screening in a single center. The results show a high detection rate but further evaluation is needed to determine the impact on the condition.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2022)
Article
Obstetrics & Gynecology
Monica Minopoli, Laure Noel, Anna Meroni, Margaret Mascherpa, Alex Frick, Basky Thilaganathan
Summary: The objective of this study is to evaluate the positive predictive value (PPV) of first-trimester combined PE screening for various placenta-mediated adverse pregnancy outcomes. The findings suggest that women at high risk for preterm PE are also at increased risk for other adverse outcomes such as PTB, SGA birth, and stillbirth. Therefore, it is recommended to implement higher surveillance and interventions to mitigate these risks.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Obstetrics & Gynecology
G. P. Guy, K. Leslie, D. Diaz Gomez, K. Forenc, E. Buck, A. Khalil, B. Thilaganathan
Summary: The study evaluates the clinical effectiveness of implementing a first-trimester combined pre-eclampsia screening program in a public healthcare setting. The results show a significant reduction in screen-positive rate, increased aspirin use, and effective identification of preterm pre-eclampsia.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2021)
Article
Acoustics
S. Moungmaithong, X. Wang, C. S. L. Lau, A. W. T. Tse, N. M. W. Lee, H. H. Y. Leung, L. C. Poon, D. S. Sahota
Summary: Adding GlyFn to the FMF triple test increases the screening sensitivity for both preterm and any-onset pre-eclampsia in an Asian population.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Article
Obstetrics & Gynecology
Erika Bonacina, Pablo Garcia-Manau, Monica Lopez, Sara Caamina, Angels Vives, Eva Lopez-Quesada, Marta Ricart, Anna Maroto, Laura de Mingo, Elena Pintado, Laura Castillo-Ribelles, Lourdes Martin, Alicia Rodriguez-Zurita, Esperanza Garcia, Mar Pallarols, Laia Vidal-Sagnier, Mireia Teixidor, Carmen Orizales-Lago, Adela Perez-Gomez, Vanesa Ocana, Linda Puerto, Pilar Millan, Merce Alsius, Sonia Diaz, Nerea Maiz, Elena Carreras, Anna Suy, Manel Mendoza
Summary: The study aimed to assess whether aspirin treatment could be discontinued in pregnancies with a normal uterine artery pulsatility index (≤90th percentile) at 24-28 weeks. The results showed that discontinuing aspirin treatment was non-inferior to continuing aspirin treatment for preventing preterm pre-eclampsia in women with a uterine artery pulsatility index ≥90th percentile at 24-28 weeks.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Obstetrics & Gynecology
Diane Nzelu, Tom Palmer, Daniel Stott, Pranav Pandya, Raffaele Napolitano, Davide Casagrandi, Christina Ammari, Sara Hillman
Summary: This study investigates the cost-effectiveness of first trimester pre-eclampsia screening using the FMF algorithm and targeted aspirin prophylaxis compared with standard care. The results show that screening using the FMF algorithm can lead to cost savings and improved QALY values.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Peripheral Vascular Disease
Nir Melamed, Nanette Okun, Tianhua Huang, Elad Mei-Dan, Amir Aviram, Melinda Allen, Kasim E. Abdulaziz, Sarah D. McDonald, Beth Murray-Davis, Joel G. Ray, Jon Barrett, John Kingdom, Howard Berger
Summary: Unlike second-trimester AFP, elevated first-trimester AFP is not an independent risk factor for placenta-mediated complications.
Article
Acoustics
M. Mendoza, P. Garcia-Manau, S. Arevalo, M. Aviles, B. Serrano, M. A. Sanchez-Duran, I Garcia-Ruiz, E. Bonacina, E. Carreras
Summary: This study compared the prediction of early-onset and preterm PE when serum biomarkers were assessed before vs after 11 weeks of gestation, finding similar predictive abilities in both scenarios. This suggests that a two-step approach for PE risk assessment can be used, allowing for immediate risk calculation at the time of the first-trimester scan.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2021)
Article
Medicine, General & Internal
Oana Balint, Cristina Secosan, Laurentiu Pirtea
Summary: Pre-eclampsia is a major public health issue and current screening methods have limitations. This study investigated the potential of CA-125 as a marker for pre-eclampsia in the first trimester. The results indicate that CA-125 does not represent a valuable marker for pre-eclampsia screening.
MEDICINA-LITHUANIA
(2023)
Article
Obstetrics & Gynecology
Berta Serrano, Erika Bonacina, Carlota Rodo, Pablo Garcia-Manau, Maria Angeles Sanchez-Duran, Maria Pancorbo, Cristina Forcada, Maria Teresa Murcia, Ana Perestelo, Mireia Armengol-Alsina, Manel Mendoza, Elena Carreras
Summary: This study compared the predictive accuracy of the Gaussian algorithm and the FMF algorithm for early-onset pre-eclampsia (PE) and small for gestational age (SGA). The results showed that these two algorithms had similar performances for most outcomes and marker combinations. However, the Gaussian algorithm had significant differences in predicting early-onset PE in certain combinations.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Article
Medicine, General & Internal
Whitney E. Harrington, Kerryn A. Moore, Aung Myat Min, Mary Ellen Gilder, Nay Win Tun, Moo Kho Paw, Jacher Wiladphaingern, Stephane Proux, Kesinee Chotivanich, Marcus J. Rijken, Nicholas J. White, Francois Nosten, Rose McGready
Summary: This study found that falciparum malaria during pregnancy is associated with hypertensive disorders of pregnancy, while vivax malaria is not. Additionally, falciparum malaria is associated with the risk of pre-eclampsia/eclampsia in primigravidae, and with gestational hypertension in multigravidae.
Article
Acoustics
J. Hu, J. Gao, J. Liu, H. Meng, N. Hao, Y. Song, L. Ma, W. Luo, J. Sun, W. Gao, W. Meng, Y. Sun
Summary: The study evaluated the performance of screening for preterm pre-eclampsia in a Chinese population using the FMF competing-risks model and found it to be effective. Women who screened positive for preterm pre-eclampsia had an increased risk for other placenta-associated pregnancy complications, demonstrating the clinical applicability of the screening strategy in mainland China.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2021)
Article
Acoustics
Z. Ansbacher-Feldman, A. Syngelaki, H. Meiri, R. Cirkin, K. H. Nicolaides, Y. Louzoun
Summary: The accuracy of predicting the risk of developing pre-eclampsia using artificial-intelligence and machine-learning methods based on maternal demographic characteristics, medical history, and biomarkers is high. Race information plays an important role in prediction accuracy.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2022)
Article
Obstetrics & Gynecology
Pablo Garcia-Manau, Erika Bonacina, Berta Serrano, Sara Caamina, Marta Ricart, Eva Lopez-Quesada, Angels Vives, Monica Lopez, Elena Pintado, Anna Maroto, Sara Catalan, Marta Dalmau, Ester Del Barco, Alina Hernandez, Marta Miserachs, Marta San Jose, Mireia Armengol-Alsina, Elena Carreras, Manel Mendoza
Summary: This study found that routine first-trimester screening for pre-eclampsia with placental growth factor can reduce the incidence of preterm pre-eclampsia and other pregnancy complications. High treatment adherence to aspirin also plays a significant role in the effectiveness of this screening program.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2023)
Article
Acoustics
D. Di Mascio, G. Rizzo, A. Khalil, F. D'Antonio
Summary: This study aimed to investigate the role of fetal brain MRI in detecting associated anomalies in fetuses with congenital CMV infection and normal neurosonography. The results showed that fetal brain MRI can detect additional anomalies in fetuses with congenital CMV infection and negative neurosonography, and the viral load in the amniotic fluid is an independent predictor of the risk of associated anomalies in these fetuses.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Review
Acoustics
S. Sorrenti, D. Di Mascio, A. Khalil, N. Persico, F. D'antonio, F. Zullo, V. D'ambrosio, G. Greenberg, J. Hasson, F. Vena, L. Muzii, R. Brunelli, A. Giancotti
Summary: This study evaluated outcomes of dichorionic twin pregnancies undergoing early vs late selective termination of pregnancy. The results showed that the risk of pregnancy loss prior to 24 weeks was lower in the early-ST group, and the risks of preterm birth and low birth weight were also lower. Therefore, the importance of early diagnosis of fetal anomalies in twin pregnancies was highlighted.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Letter
Acoustics
F. D'Antonio, P. O'Brien, H. Blakeway, D. Buca, S. Prasad, A. Khalil
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Article
Obstetrics & Gynecology
Jose Morales-Rosello, Rohan Bhate, Nashwa Eltaweel, Asma Khalil
Summary: This study compared the accuracy of the ductus venosus pulsatility index (DV PI) and cerebroplacental ratio (CPR) in predicting adverse perinatal outcomes. The results showed that CPR was a better predictor than DV PI for adverse perinatal outcomes.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2023)
Review
Acoustics
F. D'Antonio, D. Marinceu, S. Prasad, N. Eltaweel, A. Khalil
Summary: This systematic review examines the outcomes of laser surgery for twin-twin transfusion syndrome (TTTS) in monochorionic diamniotic (MCDA) twin pregnancies complicated by selective fetal growth restriction (sFGR). The study finds that MCDA twin pregnancies with TTTS and sFGR have a higher risk of fetal loss after laser surgery, as well as a higher risk of neurological morbidity in the donor twin.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Article
Acoustics
S. Prasad, C. Di Fabrizio, N. Eltaweel, E. Kalafat, A. Khalil
Summary: The objective of this study was to assess the predictive accuracy of first-trimester choroid-plexus-to-lateral-ventricle/head ratios for development of ventriculomegaly at a later gestational age. The study found that first-trimester fetal choroid-plexus-to-lateral-ventricle/head ratios have good predictive accuracy for the development of ventriculomegaly.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Article
Acoustics
A. R. Anness, M. Nath, M. W. Osman, D. Webb, T. Robinson, A. Khalil, H. A. Mousa
Summary: This study aimed to investigate the difference in arterial stiffness (AS) between women with gestational diabetes mellitus (GDM) and healthy women, as well as the impact of different treatment modalities. The results showed that regardless of the treatment modality, pregnant women with GDM had significantly higher AS compared to low-risk pregnancies. The findings provide the basis for further research on the association between metformin therapy, changes in AS, and the risk of placenta-mediated diseases.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Article
Multidisciplinary Sciences
Laura A. Magee, Erika Molteni, Vicky Bowyer, Jeffrey N. Bone, Harriet Boulding, Asma Khalil, Hiten D. Mistry, Lucilla Poston, Sergio A. Silverio, Ingrid Wolfe, Emma L. Duncan, Peter von Dadelszen
Summary: Among women of reproductive age, older age, White ethnicity, and being in the least-deprived index of multiple deprivation are independently associated with higher vaccine uptake. Ethnicity has the strongest influence, while multiple deprivation has the weakest. These findings are crucial for informing future vaccination policies and public messaging.
NATURE COMMUNICATIONS
(2023)
Article
Medicine, General & Internal
Samantha Knights, Smriti Prasad, Erkan Kalafat, Anahita Dadali, Pam Sizer, Francoise Harlow, Asma Khalil
Summary: This study demonstrates that routine third trimester ultrasound or point-of-care ultrasound (POCUS) is associated with a reduction in undiagnosed term breech presentations and improved neonatal outcomes.
Article
Cell Biology
Clara Apicella, Camino S. M. Ruano, Basky Thilaganathan, Asma Khalil, Veronica Giorgione, Geraldine Gascoin, Louis Marcellin, Cassandra Gaspar, Sebastien Jacques, Colin E. Murdoch, Francisco Miralles, Celine Mehats, Daniel Vaiman
Summary: In this study, we aimed to identify genetic variants affecting gene expression in the human placenta, specifically in normal and pathological situations. The analysis was constrained by the fact that placental tissue samples from diseased individuals are typically obtained at an earlier gestational age compared to control samples, leading to confounding factors in transcriptome regulation. To address this issue, we implemented a novel approach that accounted for gestational age and identified disease-specific cis-eQTLs. Through statistical correction and analysis, we identified a list of e-genes that significantly influenced expression levels, demonstrating the validity of our methodology for future research purposes.
Review
Obstetrics & Gynecology
Hiba J. Mustafa, Enaja Sambatur, Julie P. Barbera, Giorgio Pagani, Yuval Yaron, Caitlin D. Baptiste, Ronald J. Wapner, Asma Khalil
Summary: This study aimed to assess the diagnostic yield of prenatal exome sequencing after negative chromosomal microarray analysis in cases of prenatally diagnosed bilateral severe ventriculomegaly or hydrocephalus. The study identified relevant studies published until June 2022 and included studies in English reporting on the diagnostic yield of exome sequencing following negative chromosomal microarray analysis in cases of prenatally diagnosed bilateral severe ventriculomegaly. Meta-analysis was performed using a random-effects model to assess the incremental diagnostic yield of exome sequencing.
AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
(2023)
Review
Genetics & Heredity
Hiba J. Mustafa, Faezeh Aghajani, Mohammad Jawwad, Nensi Shah, Alfred Abuhamad, Asma Khalil
Summary: This study investigated the outcomes of fetuses with hypoplastic left heart syndrome (HLHS) and intact or restrictive atrial septum (I/RAS) managed expectantly or with fetal atrial septal intervention (FASI). The study found no differences in survival rates between the two groups, but FASI may lead to a less restrictive septum at birth. Future multicenter studies are needed for better identification of cases with improved outcomes and standardized techniques and definitions.
PRENATAL DIAGNOSIS
(2023)
Correction
Multidisciplinary Sciences
Laura A. Magee, Erika Molteni, Vicky Bowyer, Jeffrey N. Bone, Harriet Boulding, Asma Khalil, Hiten D. Mistry, Lucilla Poston, Sergio A. Silverio, Ingrid Wolfe, Emma L. Duncan, Peter von Dadelszen, Debra Bick
NATURE COMMUNICATIONS
(2023)
Review
Medicine, General & Internal
Francesco D'Antonio, Nashwa Eltaweel, Smriti C. Prasad, Maria Elena C. Flacco, Lamberto C. Manzoli, Asma C. Khalil
Summary: This systematic review and meta-analysis aimed to evaluate the role of cervical cerclage in preventing preterm birth and adverse outcomes in twin pregnancies. The findings suggest that cervical cerclage in twin pregnancies with short cervical length or cervical dilatation is associated with a reduced risk of preterm birth and improved neonatal outcomes. However, confirmation of these findings in large and well-designed randomized controlled trials is needed for stronger evidence.
Article
Medicine, General & Internal
Nawa Schirwani-Hartl, Pilar Palmrich, Christina Haberl, Nicole Perkmann-Nagele, Herbert Kiss, Angelika Berger, Judith Rittenschober-Bohm, Gregor Kasprian, Patric Kienast, Asma Khalil, Julia Binder
Summary: This retrospective analysis investigated the efficacy of administering hyperimmune globulin (HIG) therapy every 2 weeks compared to every 4 weeks in pregnant women with primary cytomegalovirus (CMV) infection. The study found no significant difference in congenital CMV rates or fetal ultrasound and magnetic resonance imaging (MRI) anomalies between the two groups. Larger studies are needed to evaluate the impact of administering HIG every 2 weeks on maternal-fetal transmission rates.
JOURNAL OF CLINICAL MEDICINE
(2023)