The ultrasonic diagnosis of intrauterine fetal death

Gottesfeld, Kenneth R.

doi:10.1016/0002-9378(70)90243-7

Cited by 19 publications

(4 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The skull appeared irregular in outline and no midline echo could be obtained. This suggested fetal death ( 1 ) . No fetal movements or heartbeat were detected and a lateral abdominal radiograph showed Spalding's sign and gas in the umbilical cord.…”

Section: Casementioning

confidence: 98%

Ultrasonic b‐scanning in Rhesus incompatibility

Jones

1974

J of Clinical Ultrasound

View full text Add to dashboard Cite

Three patients are presented with pregnancies complicated by Rhesus incompatibility. The presence of fetal ascites in hydrops fetalis is demonstrated with ultrasonic B-scanning and compared with conventional radiographs. The value of localizing the placenta and estimating its volume is discussed. Indexing Words Ultrasound PlacentaThe value of ultrasonic B-scanning in obstetric diagnosis is well established. This paper describes three Rhesus-negative patients who presented during their third pregnancies with Rhesus isoimmunization. The patients were referred t o the radiological department for placental localization by ultrasound prior to intrauterine transfusion t o the affected fetus. The ultrasonic features of the pregnancies are described, and are correlated with the clinical data and conventional abdominal radiographs. TECHNIQUEOur scanning apparatus is a Picker Ultrasonoscope, Model 102. We use a pulsed frequency of 2 MHz with variable intensity. Liquid paraffin is used to secure acoustic coupling and the patient is examined in the supine position and longitudinal and transverse scans are taken. In the cases illustrated, the longitudinal scans are recognized by the labelled symphysis pubis (S) on the right side of the picture. The transverse scans are labelled (R) on the patient's right side to the left of the picture. The scans are recorded on Polaroid film. Fetal Ascites Rhesus incompatibility CASE REPORTS Case 1A 32-year-old Rh-negative, gravida 3 patient was admitted at 28 weeks' gestation. The fundal height and growth were compatible with 40 weeks' gestation, suggesting the presence of polydramnios. The first pregnancy had been normal, but the second infant was severely affected by Rhesus incompatibility. The patient developed a high antibody titer during the second trimester of her third pregnancy and amniocentesis showed a high level of bilirubin in the amniotic fluid.Abdominal Radiograph (Fig. 1) There was a vertex presentation with the fetal back to the left of the maternal spine. The arms and legs were extended, suggesting a large fetal abdomen but the soft tissue outline was not visible. The ossification centers for the talus and calcaneum were present. Ultrasonogram (Figs. 2a-2f) This showed a large posterior placenta extending into the fundus and over the lower uterine segment. The outline of the fetal trunk and abdomen was clearly seen. There was obvious fetal ascites. The compact triangular collection of echoes in the fetal abdomen was interpreted as representing the liver. The biparietal diameter was 6.4 cm which is 24 weeks' gestation for our department.185 VOLUME 2, NUMBER 3

show abstract

Section: Casementioning

confidence: 98%

Ultrasonic b‐scanning in Rhesus incompatibility

Jones

1974

J of Clinical Ultrasound

View full text Add to dashboard Cite

show abstract

“…Its utility in gynecological disease is being increasingly recognized. Longitudinal and transverse scans have been utilized to measure biparietal diameter (4), determine fetal death (7) and embryonic malformations (91, diagnose ectopic pregnancy ( l l ) , placenta previa, blighted ovum (5), retained fetal parts, and a host of other abnormalities associated with pregnancy. Our clinical obstetrical and gynecological experience in veterinary medicine has been limited to primates.…”

Section: Bmentioning

confidence: 99%

The Use of Compound B-Mode Ultrasound in Abdominal Disease of Animals

James

Osterman

Bush

et al. 1976

Veterinary Radiology

View full text Add to dashboard Cite

“…The fetal outline is also said to become "fluffy" due to the absorption of amniotic fluid by the skin, resulting in edema. 8 After fetal death, amniotic fluid volume decreases because of both a lack of production by the fetus and absorption of the remaining fluid by the mother. As a result, severe oligohydramnios is an associated finding in many cases of IUFD.…”

Section: Diagnosismentioning

confidence: 99%