Article
Medicine, General & Internal
Veronica Giorgione, Corey Briffa, Carolina Di Fabrizio, Rohan Bhate, Asma Khalil
Summary: Using twin-specific charts can reduce unnecessary medical interventions in twin pregnancies by accurately predicting adverse outcomes. Twin charts identify fewer babies as small for gestational age compared to singleton charts, but show a higher percentage of adverse neonatal outcomes in this group.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Endocrinology & Metabolism
Wei-Zhen Jiang, Xi-Lin Yang, Jian-Ru Luo
Summary: Age, BMI, and mGSD-CRL were identified as independent risk factors for missed abortion, suggesting the need for closer monitoring and interventions in early pregnancy.
REPRODUCTIVE BIOLOGY AND ENDOCRINOLOGY
(2022)
Article
Pediatrics
Yin Xu, Meng Ni, Qianqian Zhang, Jiuru Zhao, Zheng Tang, Zhiwei Liu
Summary: The study found that in early pregnancy, maternal age, multiple pregnancies, and folic acid supplement use were positively associated with crown-rump length (CRL), while pre-pregnancy BMI was negatively associated with CRL. Additionally, CRL was found to be negatively associated with fetal size, small for gestational age (SGA), preterm birth, and neonatal intensive care unit (NICU) admission rate, but positively associated with large for gestational age (LGA).
Article
Acoustics
C. Briffa, C. Di Fabrizio, E. Kalafat, V. Giorgione, R. Bhate, C. Huddy, J. Richards, S. Shetty, A. Khalil
Summary: This study aimed to compare the impact of using twin-specific and singleton growth charts on the diagnosis of small-for-gestational age (SGA) and its association with adverse neonatal outcomes. The results showed that infants classified as SGA using twin-specific charts had a significantly higher risk of adverse neonatal outcomes compared to those classified using singleton charts.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2022)
Article
Obstetrics & Gynecology
Sofie K. M. van Zundert, Lenie van Rossem, Sten P. Willemsen, Lindsey van der Meer, Hiske E. Ernst-Smelt
Summary: This study suggests that a higher degree of maternal vulnerability during periconception is associated with reduced embryonic growth in naturally conceived pregnancies, but not in pregnancies conceived through IVF or ICSI.
REPRODUCTIVE BIOMEDICINE ONLINE
(2022)
Article
Obstetrics & Gynecology
Chunyi Tan, Chethana N. Ellewela, Sandeep S. Sandhu, Nir Melamed, Clifford L. Librach, Amir Aviram
Summary: This study aimed to develop new formulas for estimating gestational age based on first-trimester ultrasound scans and compare them with preexisting formulas. The research concluded that a cubic model appeared to provide a more accurate estimation of gestational age in the first trimester based on crown-rump length compared to previously published formulas.
AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
(2023)
Article
Obstetrics & Gynecology
Prativa Basnet, Rolv Skjaerven, Quaker E. Harmon, Allen J. Wilcox, Kari Klungsoyr, Linn Marie Sorbye, Nils-Halvdan Morken, Liv G. Kvalvik
Summary: Birthweight is an important pregnancy indicator, and previous studies have shown that second-born babies tend to be heavier. This study compared birthweight in subsequent singleton pregnancies following a first twin pregnancy versus a first singleton pregnancy. The results indicated that while first twin pregnancies contribute to a greater combined total offspring birthweight, birthweights of subsequent singleton babies were similar regardless of whether the first pregnancy was a twin or singleton.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2023)
Article
Multidisciplinary Sciences
Agnese Maria Chiara Rapisarda, Edgardo Somigliana, Chiara Dallagiovanna, Marco Reschini, Maria Grazia Pezone, Veronica Accurti, Giuditta Ferrara, Nicola Persico, Simona Boito
Summary: There is a discrepancy between gestational ages determined by ultrasound measurement of CRL and by the date of embryo transfer in IVF pregnancies. The difference could be due to an earlier ovulation and fertilization in IVF pregnancies.
Article
Obstetrics & Gynecology
Tracey H. DeYoung, Sharon K. Stortz, Robert H. Riffenburgh, Monica A. Lutgendorf, Andrew S. Thagard
Summary: This study compared the accuracy of estimating the due date in dichorionic twin pregnancies conceived by assisted reproductive technology using the crown-rump length of the smaller twin versus the larger twin. The results showed that using the crown-rump length of the smaller twin resulted in a more accurate estimation of the due date and a better detection of fetal growth restriction.
AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
(2023)
Article
Nutrition & Dietetics
Rebecca K. Campbell, Catalin S. Buhimschi, Guomao Zhao, Cielo Dela Rosa, Bethany T. Stetson, Carl H. Backes, Irina A. Buhimschi
Summary: Iron deficiency in utero and infancy can cause irreversible neurocognitive damage, but the burden of neonatal iron deficiency in the United States is unknown. Infants born from twin pregnancies may be at higher risk of inadequate nutrient endowment at birth. This study compared the burden of neonatal iron deficiency in cord blood serum samples from twin and singleton pregnancies.
Article
Multidisciplinary Sciences
Motoki Katsube, Shigehito Yamada, Natsuko Utsunomiya, Yutaka Yamaguchi, Tetsuya Takakuwa, Akira Yamamoto, Hirohiko Imai, Atsushi Saito, Siddharth R. Vora, Naoki Morimoto
Summary: Significant shape changes in human facial skeleton occur in early prenatal period, with the growth trajectory following a curved line with three flexion points. Early antero-posterior development leads to a shift from mandibular prognathic to orthognathic appearance, followed by lateral expansion. Development of zygoma and mandibular ramus is closely integrated with masseter muscle during this time.
SCIENTIFIC REPORTS
(2021)
Article
Acoustics
Michael M. Aziz, Michael VanDillen, Abigail Combs, Hiral Banker, Harris L. Cohen
Summary: This study aimed to compare the accuracy of neonatal transcerebellar diameter (TCD) measurement with first trimester ultrasound (1TUS) in estimating postconceptual gestational age (PCGA). The results showed a high correlation between TCD measurement and 1TUS in PCGA estimation, but TCD generally underestimated gestational age by 4.6 days. Further research is needed to determine the generalizability of this method for estimating PCGA in undated gestations.
JOURNAL OF ULTRASOUND IN MEDICINE
(2023)
Article
Obstetrics & Gynecology
Eran Ashwal, Howard Berger, Liran Hiersch, Eugene W. Yoon, Arthur Zaltz, Baiju Shah, Ilana Halperin, Jon Barrett, Nir Melamed
Summary: This study found that gestational diabetes mellitus is less likely to be associated with accelerated fetal growth in twin pregnancies compared to singleton pregnancies. The results suggest the need for individualized diagnostic criteria and blood glucose targets for women diagnosed with gestational diabetes mellitus in twin pregnancies.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2021)
Article
Medicine, General & Internal
Aki Minoda, Hiroyuki Tsuda, Yoshiki Masahashi, Takuto Nakamura, Miho Suzuki, Nobuhiko Fukuhara, Yumiko Ito, Atsuko Tezuka, Tomoko Ando, Kimio Mizuno
Summary: This study evaluated the differences in maternal renal function between singleton and twin pregnancies in the second half of pregnancy. The study included 1711 pregnant women, with 1547 singleton pregnancies and 164 twin pregnancies. The results showed that twin pregnancies had higher serum creatinine levels, lower eGFR, and a higher rate of renal dysfunction compared to singleton pregnancies. Twin pregnancy, nulliparity, and preeclampsia were identified as significant risk factors for maternal renal dysfunction. Monitoring renal function is important in twin pregnancies.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Obstetrics & Gynecology
Emma C. Schaefer, David S. McKenna, Jiri D. Sonek
Summary: The purpose of the study was to determine the accuracy of fetal sex determination by ultrasound at 11-14 weeks' gestation. A total of 567 fetuses were assessed, and the angle of the genital tubercle was measured to assign male or female sex. The overall accuracy of fetal sex assignment was 94.4%, with higher accuracy at later gestational ages.
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2023)
Editorial Material
Obstetrics & Gynecology
Amar Bhide, Pal Oian, Ganesh Acharya
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2023)
Review
Peripheral Vascular Disease
Veronica Giorgione, Gwyneth Jansen, Jamie Kitt, Chahinda Ghossein-Doha, Paul Leeson, Basky Thilaganathan
Summary: There is an increased occurrence of cardiovascular diseases in women within 1 to 2 decades after a preeclamptic pregnancy. Recent evidence suggests that the abnormal biochemical and echocardiographic findings in preeclamptic women do not resolve after giving birth. Many women remain hypertensive in the immediate postnatal period, with some showing signs of cardiac dysfunction. Close monitoring and effective blood pressure control in the immediate postnatal period may lead to persistently lower blood pressures in women years after stopping medication. This review emphasizes the importance of delivering effective medical care in the fourth trimester of pregnancy to improve long-term cardiovascular health after a preeclamptic birth.
Article
Acoustics
E. Jauniaux, F. D'Antonio, A. Bhide, F. Prefumo, R. M. Silver, A. M. Hussein, S. A. Shainker, F. Chantraine, Z. Alfirevic
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Article
Obstetrics & Gynecology
Anna Meroni, Margaret Mascherpa, Monica Minopoli, Benjamin Lambton, Rawan Elkalaawy, Alexander Frick, Basky Thilaganathan
Summary: Routine mid-gestational uterine artery Doppler can modify the risk for preterm pre-eclampsia after first-trimester combined pre-eclampsia screening. Women at low risk in the first trimester but with high mid-gestational uterine artery Doppler resistance had a higher prevalence of preterm pre-eclampsia. This suggests that pregnancy care should not be de-escalated for women at high risk in the first trimester with low mid-gestational uterine artery Doppler resistance, and escalation of care may be justified for women at low risk but with high mid-gestational uterine artery Doppler resistance.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Obstetrics & Gynecology
Amarnath Bhide, Anna Meroni, Alexander Frick, Basky Thilaganathan
Summary: This study examines the significance of not meeting Dawes-Redman criteria on computerised cardiotocography in high-risk pregnancies. The results show that the risk of stillbirth is higher in the group that does not meet the criteria, even after excluding cases with low short-term variation. Therefore, pregnancies that do not meet the criteria should be closely monitored.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Obstetrics & Gynecology
E. Kalafat, B. Liu, I. Barratt, R. Bhate, A. Papageorghiou, A. Khalil
Summary: This study investigated the perinatal outcomes of dichorionic twin pregnancies complicated by selective fetal growth restriction (sFGR). The umbilical artery Z-scores were found to be associated with both intrauterine death and adverse perinatal outcomes.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Acoustics
A. Bhide, A. M. Hussein, R. M. Elbarmelgy, R. A. Elbarmelgy, M. M. Thabet, E. Jauniaux
Summary: The study aimed to evaluate the prenatal ultrasound features associated with operative complications and assess the interobserver agreement of prenatal ultrasound assessment with histopathological confirmation of placenta accreta spectrum (PAS). The results showed moderate agreement between examiners in assessing the low or high probability of PAS based on ultrasound features. Concordant assessment of high probability of PAS was associated with high morbidity and a very high likelihood of histopathologic confirmation.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Letter
Acoustics
M. S. Scalia, C. Lees, G. Zamagni, T. Ghi, A. Bhide, L. Monasta, G. Ricci, G. Maso, H. Valensise, T. Stampalija
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Article
Acoustics
B. Liu, B. Thilaganathan, A. Bhide
Summary: This study compared the short-term variation (STV) outputs of a novel self-applied non-invasive fetal electrocardiography (NIFECG) device with those obtained from computerized cardiotocography (cCTG). The study found that, after appropriate filtering, removal of poor-quality traces, and correction for signal loss, NIFECG was able to produce STV values strongly correlated with those of cCTG.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Article
Acoustics
B. Liu, B. Thilaganathan, A. Bhide
Summary: The study found that there is a correlation between phase-rectified signal averaging (PRSA) and computerized cardiotocography (cCTG), as well as a relationship between PRSA and short-term variation (STV). PRSA may be an equivalent method of fetal assessment to STV and can generate interpretable non-invasive fetal electrocardiography (NIFECG) traces with high accuracy. These findings raise the possibility of self-applied at-home or remote fetal heart-rate monitoring, increasing surveillance in high-risk women without impacting service demand.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Editorial Material
Acoustics
T. Stampalija, A. Bhide, A. E. P. Heazell, A. Sharp, C. Lees
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Article
Public, Environmental & Occupational Health
Diego F. Wyszynski, Aris T. Papageorghiou, Cheryl Renz, Torri D. Metz, Sonia Hernandez-Diaz
Summary: This study aims to assess the relative risk of obstetric, neonatal, and infant outcomes associated with the use of drugs specifically indicated for COVID-19 treatment compared with other drug treatment strategies. The COVID-PR is a noninterventional, postmarketing cohort study designed to evaluate the safety profile of each studied drug and its potential effects on neonatal outcomes.
Article
Engineering, Biomedical
Bing Zhang, Yang Wang, Caifu Ding, Ziqing Deng, Linwei Li, Zesheng Qin, Zhao Ding, Lifeng Bian, Chen Yang
Summary: Medical image segmentation is crucial in diagnostic and clinical research. This article proposes a Multi-Scale Feature Pyramid Fusion Network (MS-Net) that combines Multi-Scale Attention Module (MSAM) and Stacked Feature Pyramid Module (SFPM) to improve the accuracy of segmentation. Experimental results show that the proposed MS-Net achieves better segmentation results on different datasets.
INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY
(2023)