Detecting molar pregnancy by ultrasound remains a diagnostic challenge, particularly for partial moles. These data suggest that there has been an increase in both the predictive value and the sensitivity of ultrasound over time, with a high LR and post-test probability; however, the diagnostic criteria remain ill-defined and could be improved.
Oral communication abstractsdemographics and pregnancy outcome were obtained from obstetric records. Descriptive statistics was performed. Mean gestational age at delivery and fetal birthweight with z-scores were compared between groups. Prevalence of small for gestational age fetuses (SGA, <5th percentile) and preterm birth (<37 weeks) was calculated and compared. Mann-Whitney U, independent samples t-tests and chi-square test were used. Results: A total of 35,194 women were included at a mean gestational age of 21.5±1.1 weeks. UtAD impedance was normal in 30,915/35,194 (87.8%) women and elevated in 4,279/35,194 (12.2%). In the group with normal UtAD 30,570/30,915 (98.9%) had a live birth. Intrauterine demise or neonatal death was reported in 345/30915 (1.1%). In the group with raised UtAD, 4,159/4,279 (97.2%) women had a live birth, whereas intrauterine demise or neonatal death was reported in 120/4,279 (2.8%). Mean gestational age at delivery was 39.1±2.4 and 38.1±3.3 weeks in the normal and raised UtAD group, respectively (p=0.001). Mean birthweight z scores were 0.06 and -0.33 in the normal and abnormal UtAD groups, respectively (p=0.001). Objectives: Pre-eclampsia is a risk factor of peripartum cardiomyopathy and increases the risks of cardiovascular diseases. To date, few studies were conducted about the influences of maternal cardiac function in mild and severe pre-eclampsia compared with normal pregnant women. The aim of this study was to examine maternal cardiac function in patients with pre-eclampsia during peripartum period. Methods: Patients with pre-eclampsia were enrolled in this study from 2010 to 2016. We defined severe pre-eclampsia as systolic blood pressure (BP) over 160 mmHg or diastolic BP over 110 mmHg. Echocardiography was conducted three times; late stage of pregnancy, early and one-month postpartum. In the same period, pregnant women without high BP took echocardiography as a control group. Results: Eighty seven patients with severe pre-eclampsia and 51 patients with mild pre-eclampsia were compared with 36 normal pregnant women. Left ventricular ejection fraction (LVEF) was not significantly different among three groups. Though LV diastolic parameter, which was measured by early transmitral velocity/early diastolic velocity of the mitral annulus (E/E'), became worse in mild group at late pregnancy, the cardiac parameters were not significantly different in normal pregnant after delivery. At late pregnancy, E/E', left ventricular (LV) diameter and LV wall thickness deteriorated in severe group compared with other groups. These deteriorations were shown after delivery, even at one-month postpartum. Conclusions: Maternal cardiac function of mild pre-eclampsia became normal in early postpartum. On the other hand, severe pre-eclamptic patients experienced cardiac changes and these deteriorations did not recover completely at early and even one-month postpartum. These changes are assumed to correlate with future onset of cardiovascular diseases. Obstetricians should keep in mind the contin...
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