Follow-Up on 107 Fetuses with Normal Us + Echo After 37TH Week of Gestation

Strzelecka, Iwona; Michalska, Eliza; Zych-Krekora, Katarzyna; Respondek-Liberska, Maria

doi:10.1515/pcard-2017-0005

Cited by 6 publications

(9 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The possible beneficial effects of transplacental digoxin therapy are discussed. The literature consists of a small number of cases showing an attempt to reduce the progression of cardiomegaly and improve the contractility of the heart in the case of fetal Ebstein's anomaly [20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

“…At this point the authors would like to highlight the special importance of fetal heart and cardiovascular system examination. One of the methods of fetal monitoring is targeted echocardiography, which, with high probability, predicts normal fetal development before and after delivery [21]. Fetal echocardiographic examination contains basic obstetrical screening in addition to elaborate cardiovascular assessment (Table 3) [22].…”

Section: Separate Elements Of Examinationmentioning

confidence: 99%

See 1 more Smart Citation

Prenatal ultrasound evaluation in the current era of COVID-19 – looking only for major congenital defects or subtle sonographic and echocardiographic findings, as well?

Sylwestrzak¹,

Respondek‐Liberska²

2020

pcard

Self Cite

View full text Add to dashboard Cite

Introduction: In December 2019 a novel coronavirus emerged. COVID-19 disease varies in severity. Pregnancy implicates special susceptibility to pathogens and severe pneumonia. It is rational to compare accessible literature and discuss possible prenatal ultrasound monitoring in cases of COVID-19 among gravidas. Material and methods: A PubMed search was conducted, utilising the terms 'covid 19' and 'pregnancy' . Only original source materials were used for comparison. Collected data included: author, date of study, region of study, number of cases, gravidas' age, trimester of pregnancy during examination, chronic, concomitant diseases, symptoms of infection, type of delivery, Apgar score range, fetal problems, perinatal outcome, and the possibility of vertical transmission. Results: From a total of 39 results initially identified, six matched our search criteria. Mothers' ages ranged from 22 to 40 years. Mostly they were healthy women, previously with COVID-19 infection, and without chronic diseases. Symptoms of COVID-19 were similar to those presented in the general population: fever, cough, sneezing, nasal congestion, sore throat, myalgia, malaise, dyspnoea, and diarrhoea. Caesarean section constituted 93% of all deliveries. Twenty of 48 (41%) fetuses were delivered preterm. Apgar scores ranged from 7 to 10 points; only one neonate received 7 points. There is no evidence of SARS-CoV-2 vertical transmission until now. Conclusions: Current literature does not allow for more precise description of fetal functional changes in the course of maternal COVID-19. More extensive studies are needed with special consideration of fetal cardiovascular system examination and further postnatal monitoring and more extensive epidemiological evaluation.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Separate Elements Of Examinationmentioning

confidence: 99%

Prenatal ultrasound evaluation in the current era of COVID-19 – looking only for major congenital defects or subtle sonographic and echocardiographic findings, as well?

Sylwestrzak¹,

Respondek‐Liberska²

2020

pcard

Self Cite

View full text Add to dashboard Cite

show abstract

“…We also would like to underline the value of prenatal detailed echocardiography evaluation in 3rd trimester. There was normal heart anatomy and no functional abnormalities which allowed to assume no necessity for premature delivery and good clinical outcome of the newborn baby without respiratory or heart problems 19,20 .…”

Section: Discussionmentioning

confidence: 99%

Extraordinary Bulging Mass in the Foetus - A Case Report of Bladder Exstrophy

Losinska

Respondek-Liberska

2018

Prenatal Cardiology

Self Cite

View full text Add to dashboard Cite

INTRODUCTION: Prenatal diagnosis of bladder exstrophy is extremley rare and difficult. BACKGROUND: Due to abnormal development of the cloacal membrane there is an incomplete closure of the lower abdominal wall, absence of the anterior wall of the bladder and external exposition of the posterior wall. The pubic bones are usually separated, the umbilical cord low inserted and there is abnormal external genitalia development. CASE REPORT: At 21st week of gestation of 39-year-old multigravida multipara referred by a primary care obstetrician to high-specialised centre for a detailed ultrasound examination with a suspicion of bladder absence and inferior umbilical localisation. At 29 weeks of gestation presence of bulging mass of 2 cm, between the umbilical outlet and labia was detected. At 31 weeks of gestation previously detected structure among thighs had 3 cm diameter with lateral umbilical outlet. Major labia were prominent and minor labia were within normal limits. Between two umbilical arteries with an appropriate intraabdominal course there were no transsonic area corresponding to the urinary bladder. The newborn baby was born at term in a good condition, but with an exposed bladder of 4 cm in diameter. The urethral outlet was not visualised and the female genitals were abnormal. After a month the girl underwent primary bladder exstrophy closure. Although she suffers from recurring urinary tract infections, she is in a good general condition. CONCLUSIONS: Due to prenatal diagnostics it was possible to detect and make an initial diagnosis of severe malformation. Early diagnosis allowed to prepare parents for a newborn with a defect and teach them how to take care of the baby.

show abstract

“…Moreover, if the fetus is monitored using fetal echocardiography over a period of several weeks, and the last examination is performed shortly before delivery, the condition of the newborn in the first hours and days of extrauterine life can be reliably predicted [1,2,16]. On the basis of the analysis of echocardiographic examinations of 107 fetuses, Strzelecka et al demonstrated, that if the anatomy and function of the fetal heart was evaluated as normal at the 37 th week of pregnancy or later, the newborn would be born in good general condition in each case [17]. The most important objectives of fetal echocardiography in the third trimester of uncomplicated pregnancy are listed below and will be discussed in detail later in the text:…”

Section: The Rationale and Goals Of Fetal Echocardiography In The Thimentioning

confidence: 99%

Fetal echocardiography in the 3rd trimester of pregnancy as an essential element of modern prenatal diagnostics and perinatal care – recommendations of Polish Society of Prenatal Cardiology 2020

Sokołowski¹,

Słodki²,

Murlewska³

et al. 2020

pcard

Self Cite

View full text Add to dashboard Cite

The purpose of this article is to show that fetal echocardiography should also be performed in the third trimester of pregnancy, both in normal and complicated pregnancies. The article presents a review of the current literature presenting the possibilities and goals of fetal echocardiography in the third trimester of pregnancy in situations such as: coarctation of the aorta, premature constriction of the ductus arteriosus, increased fetal lung vascular resistance, hypoplastic left heart syndrome, dextro-transposition of the great arteries, fetal growth restriction, pregestational diabetes mellitus, and gestational diabetes mellitus. A specific feature of fetal echocardiography in the third trimester is the emphasis on the assessment of fetal heart function; therefore, the article describes the current method of assessing it.

show abstract

Follow-Up on 107 Fetuses with Normal Us + Echo After 37TH Week of Gestation

Abstract: Introduction: Echocardiography of the fetal heart is an ultrasound examination that allows the evaluation of the anatomical structure and cardiovascular system usually performed in first half of pregnancy.

Cited by 6 publications

References 14 publications

Prenatal ultrasound evaluation in the current era of COVID-19 – looking only for major congenital defects or subtle sonographic and echocardiographic findings, as well?

Prenatal ultrasound evaluation in the current era of COVID-19 – looking only for major congenital defects or subtle sonographic and echocardiographic findings, as well?

Extraordinary Bulging Mass in the Foetus - A Case Report of Bladder Exstrophy

Fetal echocardiography in the 3rd trimester of pregnancy as an essential element of modern prenatal diagnostics and perinatal care – recommendations of Polish Society of Prenatal Cardiology 2020

Contact Info

Product

Resources

About