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Artykuły w czasopismach na temat „Antenatal”

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Autor: Grafiati

Data publikacji: 4 czerwca 2021

Data aktualizacji: 26 sierpnia 2024

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1

Ernst, Sinja Alexandra, Tilman Brand, Anna Reeske, Jacob Spallek, Knud Petersen i Hajo Zeeb. "Care-Related and Maternal Risk Factors Associated with the Antenatal Nondetection of Intrauterine Growth Restriction: A Case-Control Study from Bremen, Germany". BioMed Research International 2017 (2017): 1–10. http://dx.doi.org/10.1155/2017/1746146.

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Objective. To identify care-related and maternal risk factors for the antenatal nondetection of IUGR.Methods. In this hospital-based case-control study we compared antenatally undetected IUGR neonates (cases) to detected IUGR neonates (controls). Data were collected using newborn documentation sheets and standardized personal interviews with the mothers. We calculated antenatal detection rates and used uni- and multivariable logistic regression models to assess the association of antenatal nondetection of IUGR and maternal and care-related factors.Results. A total of 161 neonates from three hospitals were included in the study. Suboptimal fetal growth was identified antenatally inn=77pregnancies while inn=84it was not detected antenatally (antenatal detection rate: 47.8%). Severity of IUGR, maternal complications, and a Doppler examination during the course of pregnancy were associated with IUGR detection. We did not find statistically significant differences regarding parental socioeconomic status and maternal migration background.Conclusions. In our study, about half of all pregnancies affected by suboptimal growth remained undetected. Future in-depth studies with larger study populations should further examine factors that could increase antenatal detection rates for IUGR.

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Henderson, Jane, Tracy Roberts, Jim Sikorski, Jennifer Wilson i Sarah Clement. "An Economic Evaluation Comparing Two Schedules of Antenatal Visits". Journal of Health Services Research & Policy 5, nr 2 (kwiecień 2000): 69–75. http://dx.doi.org/10.1177/135581960000500203.

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Objectives: To conduct an economic evaluation comparing a traditional antenatal visiting schedule (traditional care) with a reduced schedule of visits (new style care) for women at low risk of complications. Methods: Economic evaluation using the results of a randomised controlled trial, the Antenatal Care Project. This took place between 1993 and 1994 in antenatal clinics in South East London and involved 2794 women at low risk of complications. Results: The estimated baseline costs to the UK National Health Service (NHS) for the traditional schedule were £544 per woman, of which £251 occurred antenatally, with a range of £327–1203 per woman. The estimated baseline costs to the NHS for the reduced visit schedule was £563 per woman, of which £225 occurred antenatally, with a range of £274–1741 per woman. Savings from new style care that arose antenatally were offset by the greater numbers of babies in this group who required special or intensive care. Sensitivity analyses based on possible variations in unit costs and resource use and modelled postnatal stay showed considerable variation and substantial overlap in costs. Conclusions: Patterns of antenatal care involving fewer routine visits for women at low risk of complications are unlikely to result in savings to the Health Service. In addition, women who had the reduced schedule of care reported greater dissatisfaction with their care and poorer psychosocial outcomes which argues against reducing numbers of antenatal visits.

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Springer, Drahomira, Jaroslav Loucky, Pavel Tesner, David Cutka, David Stejskal, Vladimir Gregor i Tomas Zima. "Importance of the integrated test in the Down’s syndrome screening algorithm". Journal of Medical Screening 25, nr 3 (25.03.2018): 114–18. http://dx.doi.org/10.1177/0969141317752533.

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Objective In the Czech Republic, over 97% of all pregnant women undergo some type of antenatal screening for Down’s syndrome. In about 95% of cases with a confirmed fetal chromosomal abnormality, the pregnancy is terminated. The most commonly used test is the first trimester combined test. We investigated the impact of implementing an integrated sequential test to improve the detection of Down’s syndrome pregnancies. Methods Data on the incidence of congenital defects, number of births, and affected pregnancies terminated are recorded in the National Registry of Congenital Anomalies. Anonymous data on cases of Down’s syndrome diagnosed antenatally or postnatally between 2010 and 2015 in one of the large antenatal care centers were analyzed. Results There were 600 diagnoses of Down’s syndrome (5.7 per 1000 births), 90% of which were made antenatally. Of antenatally detected cases, 80% were indicated for diagnostic procedure by multimarker screening results. In the multimarker screen positive group, 75% cases were first trimester positive and 25% second trimester positive (most of these had positive integrated test results). Among Down’s syndrome cases indicated for antenatal diagnosis by multimarker screening results 6.25% (n = 26) were first trimester negative, and became positive after integration with the second trimester screening results. Conclusions Results from five major Czech antenatal centers confirm that an integrated sequential test would detect 80–85% of Down’s syndrome fetuses in the first trimester and at least an extra 5–10% of Down’s syndrome pregnancies in the second trimester of pregnancy. These are important data that should be considered in implementing the national antenatal screening program.

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Dharmik, Ashish, i Jaikrishan Mittal. "Antenatal Diagnosis and Genetic Counseling". Journal of Neonatology 21, nr 4 (grudzień 2007): 221–25. http://dx.doi.org/10.1177/097321790702100404.

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Antenatal diagnosis plays a major role in management of surgical problems of the fetus. Diagnostic testing in the antenatal period offers parents the option of avoiding the physical suffering and emotional trauma that may occur during the birth of a child with a severe, debilitating illness. Along with diagnosis, a good antenatal counseling reduces parents' stress and assists them to prepare for the hardship of a complicated pregnancy. Various medical and surgical anomalies involving wide range organ systems can be diagnosed antenatally. Antenatally diagnosed congenital surgical anomalies are usually first brought to the notice of the obstetrician who decides the fate of the fetus. Eighty percent of these fetuses are terminated at the level of the obstetrician. These include anencephaly, neural tube defects, polycystic kidneys, gastroschisis and omphalocele where the decision is unequivocal. On the contrary these also include few cases of minor anomalies like unilateral multicystic kidney, unilateral hydronephrosis and cleft lip where the decision of a pediatric surgeon would be to continue the pregnancy. There seems to be a huge scope for fetal therapy and this seems to be particularly possible in certain surgical conditions which are easily accessible with risk of fetal mortality being less (eg. abdominal wall defects). Antenatal diagnosis of various surgical conditions like abdominal wall defects and diaphragmatic abnormalities (eg. Congenital diaphragmatic hernia - CDH) allows early planning of management by a group of specialists including obstetricians, neonatologists, pediatric surgeons, and geneticists. This article discusses various aspects of antenatal diagnosis and counseling, focusing on the surgical aspects along with current status of fetal therapy for various surgical conditions.

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Retnowati, Frida Dwi. "ANALISIS FAKTOR YANG MEMPENGARUHI SIKAP IBU HAMIL DALAM MELAKUKAN KUNJUNGAN ANTENATAL CARE". Pengembangan Ilmu dan Praktik Kesehatan 3, nr 1 (15.02.2024): 16–28. http://dx.doi.org/10.56586/pipk.v3i1.338.

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Kehamilan merupakan kondisi yang rawan bagi setiap perempuan. Hal ini dikarenakan selama masa kehamilan, ibu hamil mengalami beragam perubahan baik psikologis maupun fisiologis. Kehamilan yang terjadi beresiko untuk mengalami beragam gangguan. Salah satu upaya untuk menurunkan resiko akibat kehamilan yang terjadi adalah dengan melakukan kunjungan antenal care. Namun untuk memastikan ibu hamil melakukan kunjungan antenatal care, dibutuhkan adanya sikap yang positif dari ibu hamil terkait dengan antenatal care itu sendiri. Desain penelitian yang digunakan adalah analitik dengan pendekatan crosssectional. Sampel dalam penelitian ini sebanyak 37 ibu hamil di Desa Masangan Kabupaten Pasuruan. Variabel dalam penelitian ini adalah sikap ibu hamil terhadap antenatal care, usia ibu hamil, pendidikan ibu hamil dan pekerjaan ibu hamil. Uji analisa dilakukan menggunakan uji regresi linear. Dari hasil penelitian didapatkan sebagian besar ibu hamil memiliki sikap negatif terkait kunjungan antenatal care. Dari hasi uji regresi didapatkan untuk faktor usia ibu hamil berpengaruh secara signifikan terhadap sikap antenatal care (p value : 0,004), sedangkan untuk faktor pendidikan (p value : 0,075) dan faktor pekerjaan (0,578) tidak berpengaruh secara signifikan terhadap sikap antenatal care. Antenatal care merupakan salah satu kebutuhan penting yang harus terpenuhi pada ibu hamil. Hal ini dikarenakan melalui antenatal care, perkembangan kehamilan yang terjadi dapat dipantau dan jika didapatkan adanya gangguan kehamilan dapat secara langsung untuk ditangani oleh tenaga kesehatan. Dibutuhkan kerjasama yang baik dari semua pihak untuk memastikan ibu hamil memiliki sikap positif terkait dengan antenatal care

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Siddique, Ayesha, Rafia Gul, Zahid Anwar, Nida Siddique, Faiza ,. Yasin i Zunaira Naeem Malik. "Characteristics and Outcome of Babies with Antenatal Renal Pelvis Dilatation (RPD)". Pakistan Journal of Medical and Health Sciences 16, nr 11 (30.11.2022): 228–30. http://dx.doi.org/10.53350/pjmhs20221611228.

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Background: Antenatal renal pelvis dilatation (RPD) is the most common congenital renal anomaly detected on antenatal ul-trasound. The present study was planned to determine the characteristics and outcome of neonates with antenatal renal pel-vis dilatation. Patients and Methods: A prospective, observational, non-interventional study was conducted in Fatima Memorial Hospital over a period of 12 months from April 2021 to March 2022. This study included 130 kidneys of 91 neonates >28 weeks of gestation with antenatally diagnosed isolated renal pelvis dilatation. Postnatal ultrasound was performed at 24-72 hours of life. Cases those resolved spontaneously were labelled as Physiological RPD (Transient RPD) , while all others were labelled as Pathological RPD (Persistent RPD).Descriptive statistics and tests of significance were calculated for all variables. Univariate analysis was performed to compare all possible risk factors for postnatal transient vs. persistent RPD of any grade. Correla-tion coefficients were calculated between risk factors with pathological RPD. Results: Every 4th neonate of antenatally diagnosed RPD had persistent RPD (p<0.05). Only 5% of neonates showed a se-vere variety of persistent RPD. Statistically significant risk factors associated with pathological RPD were maternal anemia, oligohydramnios, diabetes mellitus, gestation age < 37 weeks, birth weight <3 kg, antibiotics administration, admission in in-tensive care unit, urinary tract infections, oliguria, high BUN and creatinine, posterior urethral valve, vesicoureteral reflux, neurogenic bladder and other urinary tract malformations (P<0.05). Persistent RPD had a strong positive direct correlation with the severity of antenatally diagnosed RPD, a moderate positive correlation of persistent RPD was seen with maternal anemia, oligohydramnios, high serum creatinine, PUV, and PUJ. Hence the study will help us in formulating management and follow up plan of our newborns with antenatal RPD. Conclusion: About 71% of neonates with antenatally diagnosed RPD undergo spontaneous resolution. Severe antenatally diagnosed RPD persisted in neonatal life and persistent RPD has a strong correlation with the severity of renal pelvis dilata-tion. Keywords: Ultrasonography, Renal Pelvis Dilatation (RPD), Antenatal, Postnatal, PUJ, Urinary tract malformation, neonatal kidney.

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Balasankar, Soundaiyan, i Jeyaraman Balasubramanian. "A study on postnatal evaluation and follow-up of infants with antenatally detected hydronephrosis". International Journal of Contemporary Pediatrics 4, nr 5 (23.08.2017): 1677. http://dx.doi.org/10.18203/2349-3291.ijcp20173716.

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Background: Antenatal hydronephrosis(ANH) has now become a frequent diagnosis with the increasing use of antenatal ultrasonography. Objective of present study was to evaluate and follow up infants with antenatally detected hydronephrosis and to determine whether there is significant correlation between anteroposterior renal pelvic diameter detected in antenatal USG and urinary tract anomalies detected postnatally.Methods: After obtaining an informed consent, all neonates with antenatal ultrasound showing hydronephrosis (n=80) were enrolled in the study. Postnatal ultrasound was done at 3 days ,1 month and 6 months of postnatal life. Atleast 6 months followup was done to look for spontaneous resolution or other significant pathology. Micturating cystourethrography/radionuclide scan done in selected cases.Results: Out of 80 cases ,43 had mild,24 had moderate and 13 had severe degrees of hydronephrosis.31 of them (9 mild,10 moderate and 12 with severe hydronephrosis) had postnatal anomaly detected.14 of them (1 mild, 4 moderate and 9 with severe hydronephrosis) underwent surgery. As the grade of antenatal hydronephrosis increases from mild, moderate to severe, the relative risk of postnatal anomaly and requirement of surgical intervention also increased (p value<0.0001).Conclusions: Antenatal hydronephrosis may be associated with significant postnatal urinary tract anomaly with risk quantified by the measurement of anteroposterior renal pelvic diameter(APPD).

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Mäki, P., T. Taka-Eilola i J. Veijola. "Substance use Disorder in the Offspring of Antenatally Depressed Mothers in the Northern Finland 1966 Birth Cohort: Relationship to Parental History of Severe Mental Disorder". European Psychiatry 41, S1 (kwiecień 2017): s246. http://dx.doi.org/10.1016/j.eurpsy.2017.02.025.

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IntroductionMaternal depression during pregnancy is common. However, reports of the adult offspring with maternal antenatal depression are scarce.ObjectivesOur aim was to study whether offspring of antenatally depressed mothers have increased risk for substance use disorder when taking account parental mental disorder.MethodsIn the Northern Finland 1966 Birth Cohort, the mothers of 12,058 children were asked at the antenatal clinic if they felt depressed. The offspring were followed for over 40 years. Substance use disorders were detected using the Finnish Care Register for Health Care, which was also used for identifying severe mental disorders in the parents till 1984.ResultsOf the mothers, 14% had rated themselves as depressed during pregnancy. Of the parents, 10% had had a hospital-treated mental disorder. The risk for substance use disorder was slightly increased in the offspring of antenatally depressed mothers (crude OR 1.6; 95% CI 1.2–2.1), when compared with the cohort members without maternal antenatal depression. The risk for substance use disorder was higher in the offspring with both maternal antenatal depression and parental mental disorder (2.8; 1.7–4.7) than in those with maternal depression but without parental mental disorder (1.4; 1.1–2.0) or those without maternal depression and with parental mental disorder (1.5; 1.1–2.2). The reference group was cohort members without maternal antenatal depression and without parental mental disorder. The association remained significant after adjustment [1].ConclusionsOffspring with both maternal depression during pregnancy and parental severe mental disorder have elevated risk for substance use disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Chougule, Akshaya, Jayashree Purkayastha, Leslie Lewis, Gourav Aiyappa i Apurv Barche. "Study of Congenital Anomalies of the Kidneys and Urinary Tract in Neonates". Journal of Nepal Paediatric Society 38, nr 3 (31.12.2018): 176–81. http://dx.doi.org/10.3126/jnps.v38i3.23477.

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Introduction: Congenital anomalies of the kidneys and urinary tract (CAKUT) comprise various structural malformations that result from defects in morphogenesis of the kidney and/or urinary tract. In most cases, CAKUT are associated with infant mortality and morbidity in older children and adults. Hence this study was undertaken to follow up antenatally diagnosed cases of CAKUT and see their outcome in the first six months of life. Material and Methods: An observational follow up study was conducted in the department of Paediatrics in a tertiary care hospital. All inborn neonates, whose antenatal anomaly scans showed the presence of CAKUT were included in the study. Abdominal ultrasound (USG) were done on day three of life for all these neonates and those whose day three USGs showed presence of CAKUT were followed up over a period of six months and outcome was assessed. Results: CAKUT was more common among males. Hydronephrosis was the most common CAKUT in antenatal scans. Anomalies of the renal collecting system formed 93.9% of all CAKUT detected on antenatal anomaly scan and 57.4% of these resolved by six months of age. Abnormalities of the renal collecting system together formed 93.9% of all antenatally diagnosed CAKUT and were more common than abnormalities of the renal parenchyma which formed 6.1%. Postnatal resolution on day three USG was seen in seven out of 22 (31.8%) cases of antenatally diagnosed mild hydronephrosis irrespective of their site. Out of the 28 antenatally diagnosed hydronephrosis, 11 (39.3%) resolved at some point during the follow up period of six months. Conclusions: Antenatally diagnosed CAKUT were more common among male foetuses. On day three scan, 29.2% of CAKUT showed resolution. Hydronephrosis remained the most common antenatally as well as postnatally detected CAKUT. Anomalies of renal collecting system were better detected by antenatal scans than anomalies of renal parenchyma

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Sitorus, Samsider, Juliana Purba, Robert Harnat Silalahi i Jusuf Kristianto. "PENYULUHAN IBU HAMIL TENTANG ANTENATALCARE 10 T DI DESA WILAYAH PUSKESMAS BAHAL GAJAH KABUPATEN DAIRI SUMATERA UTARA INDONESIA". GEMAKES: Jurnal Pengabdian Kepada Masyarakat 2, nr 2 (1.11.2022): 118–23. http://dx.doi.org/10.36082/gemakes.v2i2.596.

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Pendahuluan: Pemeriksaan kehamilan atau antenatal care suatu program yang terdiri dari: pemeriksaan kesehatan, pengamatan, pendidikan kepada ibu hamil secara terstruktur dan terencana untuk mendapatkan suatu proses kehamilan dan persalinan yang aman dan memuaskan. Pelayanan antenatal care merupakan pelayanan kesehatan yang diberikan oleh tenaga kesehatan yang profesional untuk meningkatkan derajat kesehatan ibu hamil beserta janin dikandungnya. Antenatal care yang dilakukan secara teratur dan komprehensif dapat mendeteksi secara dini kelainan dan risiko yang mungkin timbul selama kehamilan, sehingga kelainan dan risiko tersebut dapat diatasi dengan cepat dan tepat. Tujuan dari pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan ibu hamil melalui Penyuluhan antenatal care) standar 10 T. Metode: Desain dengan survey ibu hamil untuk memberikan penyuluhan tentang pemeriksaan antenatal care standar 10 T kepada 20 orang ibu hamil di 4 desa Wilayah Pusat kesehatan masyarakat Bahal Gajah yakni di desa Siboras, Urukblin, Bahal Gajah, Sumbari Kecamatan Silima Pungga Pungga Kabupaten Dairi. Hasil: Hasil pengabdian masyarakat bahwa pengetahuan ibu hamil tentang antenatal care standar 10 T sebelum penyuluhan mayoritas berpengetahuan kurang 11 orang (55%) setelah diberikan penyuluhan mayoritas berpengetahuan cukup 11 orang (55%), Nilai skore terendah sebelum penyuluhan adalah 35 dan tertinggi 65 sedangkan sesudah penyuluhan nilai skore terendah 50 dan tertinggi 80. Mean sebelum penyuluhan 50 dan sesudah penyuluhan 77 dengan selisih 27, nilai dan p-value < 0,001 atau (p<0,05) artinya ada pengaruh penyuluhan terhadap peningkatan pengetahuan Ibu hamil tentang antenata care. Kesimpulan : terdapat perbedaan yang signifikan, antara pengetahuan sebelum dan sesudah penyuluhan tentang antenatal care standar 10 T . Saran diharapkan kepada tenaga kesehatan agar dapat memberikan penyuluhan kepada ibu hamil untuk meningkatkan pengetahuan

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Kajal, Pradeep, Namita Bhutani i Bhaswati Bharadwaj. "A rare presentation of antenatally diagnosed Wilms tumor: A case report". Journal of Neonatal Surgery 13 (5.08.2024): 31. http://dx.doi.org/10.47338/jns.v13.1302.

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Background: Wilms’ tumor is the most common renal malignancy in children, with a peak incidence between 1 and 4 years of age. The prevalence of antenatal renal tumors is scarce, around 7 in 100,000 live births. We report a case of an antenatally diagnosed Wilms tumor. Case Presentation: A 2-month-old infant presented with a right renal lump since birth. The antenatal USG done at 35 weeks of gestation, showed an ill-defined heteroechoic area of size 57.3X29.9 mm at the upper pole of the right kidney, with few cystic areas with increased echogenicity. A right nephroureterectomy was done. It was WT1 and Vimentin positive and focally positive for Cyclin D1, whereas negative for Desmin, SMA, and PAX8, thus confirming the histopathological diagnosis of Wilms’ tumor. Conclusion: Antenatal Wilms’ tumor is rarely detected. A high degree of suspicion and active investigations should be conducted in antenatal and immediate neonatal periods for prompt decision-making and better outcomes.

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Chamberlain, G. "ABC of antenatal care. Normal antenatal management." BMJ 302, nr 6779 (30.03.1991): 774–79. http://dx.doi.org/10.1136/bmj.302.6779.774.

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Tomlinson, M., M. J. Rotheram-Borus, A. Scheffler i I. le Roux. "Antenatal depressed mood and child cognitive and physical growth at 18-months in South Africa: a cluster randomised controlled trial of home visiting by community health workers". Epidemiology and Psychiatric Sciences 27, nr 6 (13.06.2017): 601–10. http://dx.doi.org/10.1017/s2045796017000257.

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Aim.To examine the child outcomes at 18-months post-birth of a population cohort of women with antenatal depressed mood, half of whom were randomly chosen to receive perinatal home visits from community health workers during pregnancy.Method.Pregnant women in 24 neighbourhoods (98% participation) were randomised by neighbourhood to: (1) standard clinic care (SC; 12 neighbourhoods; n = 594) or (2) the Philani Intervention Program, a home visiting intervention plus standard care (12 neighbourhoods; n = 644). The physical and cognitive outcomes of children of mothers with antenatally depressed mood (Edinburg Perinatal Depression Scale >13) in the intervention condition were compared at 18-months post-birth to children of mothers without depressed mood in pregnancy in both conditions.Results.More than a third of mothers had heightened levels of antenatal depressed mood (35%), similar across conditions. Antenatal depressed mood was significantly associated with being a mother living with HIV, using alcohol and food insecurity. At 18-months, the overall cognitive and motor scale scores on the Bayley Scales of Development were similar. However, 10.3% fewer children of mothers with antenatal depressed mood in the intervention condition had cognitive scores on the Bayley Scales that were less than 85 (i.e., s.d. = 2 lower than normal) compared with children of mothers with antenatal depressed mood in the SC condition. Intervention children of mothers with antenatal depressed mood were also significantly less likely to be undernourished (Weight-for-Age Z-scores < −2).Conclusion.Cognitive development and child growth among children born to mothers with antenatal depressed mood can be improved by mentor mother home visitors, probably resulting from better parenting and care received early in life.

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Swan, H. D., i D. C. Borshoff. "Informed Consent—Recall of Risk Information following Epidural Analgesia in Labour". Anaesthesia and Intensive Care 22, nr 2 (kwiecień 1994): 139–41. http://dx.doi.org/10.1177/0310057x9402200202.

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Recall of information pertaining to informed consent for epidural insertion in 40 primiparous labouring women was assessed. The recall of informed consent was compared between those patients who had attended antenatal epidural education classes, and those who had not. Overall recall of information was poor. Recall of information was significantly better in patients who had attended antenatal epidural education classes. We recommend that informed consent for epidural analgesia in labour be obtained antenatally whenever possible, and that details of the consent be recorded in the patient's notes.

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Yim, Hyung Eun. "Antenatally detected urinary tract dilatation: a pediatric nephrologist's point of view". Childhood Kidney Diseases 28, nr 1 (28.02.2024): 1–7. http://dx.doi.org/10.3339/ckd.24.002.

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Antenatally diagnosed urinary tract dilatation (UTD), previously referred to as antenatal hydronephrosis, is the most commonly detected abnormality by prenatal ultrasonography. Several grading systems have been developed for the classification of antenatal UTD using prenatal and postnatal ultrasonography. UTD comprises a wide variety of congenital abnormalities of the kidney and urinary tract ranging from transient UTD to more significant abnormalities such as vesicoureteral reflux, ureteropelvic junction obstruction, ureterocele, ureterovesical junction obstruction, posterior urethral valves, and non-refluxing megaureter. Optimizing the evaluation of antenatally detected UTD is essential to recognize children with important disorders while avoiding excessive investigations. Conservative approach with close follow-up is increasingly accepted as an appropriate treatment option for patients with asymptomatic vesicoureteral reflux and ureteropelvic junction obstruction in recent years. However, predicting permanent kidney damage in an unselected group of children with antenatal UTD is still challenging. The management and follow-up of children with UTD should be individualized based on recommendations from a pediatric nephrologist, a pediatric urologist, or both. Future research directed at predicting long-term outcomes of children diagnosed with UTD from mild findings to severe disease is needed to refine management for those at higher risk of kidney disease progression.

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Krishna, Anurag, Arun Soni i Avneet Kaur. "Urogenital Malformations: Current Questions and Dilemmas". Journal of Neonatology 21, nr 4 (grudzień 2007): 238–42. http://dx.doi.org/10.1177/097321790702100407.

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The incidence of an antenatally detected genitourinary abnormality is 0.5% of all pregnancies assessed, and rarely is antenatal intervention indicated. The most common urological abnormality diagnosed antenatally is hydronephrosis and carries an excellent prognosis. In majority (> 50%) the antenatally detected dilatation is transient and resolves spontaneously. Currently any intrauterine manipulation or surgery should be reserved for a fetus that has bilateral involvement that is progressive, destructive, and associated with oligohydramnios. If bilateral renal agenesis, bilateral multicystic kidneys, or bilateral infantile polycystic kidneys are demonstrated early in gestation, the obstetrician and parents may choose to terminate the pregnancy because these conditions are not compatible with extrauterine life. Malformations like megaureter, ectopic kidney, ureteric duplication, unilateral renal agenesis/multicystic kidney and bladder exstrophy have a good prognosis. This review aims to outline the current management strategies in patients diagnosed with urogenital malformations in the antenatal and neonatal period.

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Schlomer, Bruce J., i Hillary L. Copp. "Antenatal Hydronephrosis". NeoReviews 14, nr 11 (listopad 2013): e551-e561. http://dx.doi.org/10.1542/neo.14-11-e551.

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Hasan, Mahmood, Fazal Naser, Shafiqul Azam, Abul Hossain i Shohrab Hossain. "Antenatal Hydronephrosis". Bangladesh Journal of Urology 22, nr 2 (5.11.2020): 194–203. http://dx.doi.org/10.3329/bju.v22i2.50141.

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Ali, Farasat, Ammara Butt, Aamir Hameed, Aamir Furqan i Farman Ali. "ANTENATAL DEPRESSION;". Professional Medical Journal 24, nr 03 (7.03.2017): 458–61. http://dx.doi.org/10.29309/tpmj/2017.24.03.1614.

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Objectives: To determine frequency of Antenatal Depression by ICD_10diagnostic criteria in patients presenting to a tertiary care hospital and contributing factors forantenatal depression. Study Design: Cross-sectional study. Setting: Department of Psychiatryand outdoor of Gynae & Obs Sir Ganga Ram Hospital / Fatima Jinnah Medical College Lahore.Period: November 2012 to May 2013. Materials and Method: Three hundred and fifty (350)patients were included in this study. SPSS version 12 was used for data analysis. Frequenciesand percentages were calculated to present qualitative variables and mean ± standard deviationwas calculated to present quantitative data. Results: A total of 350 patients were included inthis study. Out of 350 patients, depression was found in 104 patients. Out of these 104 patients,52 patients (50.0%) had mild depression, 37 patients (35.6%) had moderate depression while115 patients (14.4%) had severe depression. Conclusion: Antenatal depression was noted in29.7% of patients. Most common contributing factor was low socioeconomic status (64.4%)a second factor was no partner social support (22.1%) and previous history of psychiatric ofpsychological consultation (13.5%) of antenatal depression.

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Jabeen, Mah. "Antenatal screening". InnovAiT: Education and inspiration for general practice 13, nr 9 (24.06.2020): 528–33. http://dx.doi.org/10.1177/1755738020931873.

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Antenatal screening should be offered to all pregnant patients in the UK. Patients require information to understand and make decisions about antenatal screening tests. Women are choosing to have children later in their lives, which can lead to a greater risk of antenatal complications. Effective screening tests (such as non-invasive prenatal testing) have been developed with a reduced risk of miscarriage compared with invasive tests (chorionic villus sampling or amniocentesis) for genetic conditions. Information about the purpose of testing should be given to patients in a manner that can be easily understood and allows the advantages and disadvantages of tests to be considered. GPs take a holistic approach that considers patients’ medical, psychological and social backgrounds. This is invaluable when working collaboratively with other health professionals and has become an essential part of antenatal care. This article gives an overview of antenatal screening for GPs and considers relevant haematological conditions, chromosomal disorders, structural anomalies, maternal clinical conditions and infections.

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Bréart, Gérard. "Antenatal care". Current Opinion in Obstetrics and Gynecology 7, nr 6 (grudzień 1995): 417–19. http://dx.doi.org/10.1097/00001703-199512000-00002.

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Nugent, Clark E. "Antenatal Corticosteroids". Postgraduate Obstetrics & Gynecology 19, nr 21 (październik 1999): 1–4. http://dx.doi.org/10.1097/00256406-199919210-00001.

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Yanaral, Fatih, i Zafer Tandogdu. "Antenatal Hydronephrosis". Journal of Academic Research in Medicine 3, nr 2 (27.09.2013): 60–65. http://dx.doi.org/10.5152/jarem.2013.16.

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Romejko-Wolniewicz, Ewa, Justyna Teliga-Czajkowska i Krzysztof Czajkowski. "Antenatal steroids". Current Opinion in Obstetrics and Gynecology 26, nr 2 (kwiecień 2014): 77–82. http://dx.doi.org/10.1097/gco.0000000000000047.

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Chiswick, Malcolm. "Antenatal TRH". Lancet 345, nr 8954 (kwiecień 1995): 872–73. http://dx.doi.org/10.1016/s0140-6736(95)90002-0.

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Cuckle, Howard. "Antenatal screening". Seminars in Neonatology 3, nr 1 (luty 1998): 1–8. http://dx.doi.org/10.1016/s1084-2756(98)80143-7.

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Elimian, Andrew, Reinaldo Figueroa, Alan R. Spitzer, Paul L. Ogburn, Vandy Wiencek i J. Gerald Quirk. "Antenatal Corticosteroids". Obstetrics & Gynecology 102, nr 2 (sierpień 2003): 352–55. http://dx.doi.org/10.1097/00006250-200308000-00025.

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Chen, Yu-Chi, Victor C. Lin i Tsan-Jung Yu. "Antenatal Hydronephrosis". Urological Science 21, nr 3 (wrzesień 2010): 109–12. http://dx.doi.org/10.1016/s1879-5226(10)60024-3.

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Smith, AlanM, MarieC Mccormick i Sam Shapiro. "ANTENATAL CARE". Lancet 327, nr 8493 (czerwiec 1986): 1331–32. http://dx.doi.org/10.1016/s0140-6736(86)91254-7.

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Sharp, Deborah. "ANTENATAL CARE". Lancet 327, nr 8496 (czerwiec 1986): 1494. http://dx.doi.org/10.1016/s0140-6736(86)91524-2.

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Lehman, Sharon S. "Antenatal ophthalmology". Journal of American Association for Pediatric Ophthalmology and Strabismus 7, nr 6 (grudzień 2003): 428–29. http://dx.doi.org/10.1016/j.jaapos.2003.07.001.

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Elder, Jack S. "ANTENATAL HYDRONEPHROSIS". Pediatric Clinics of North America 44, nr 5 (październik 1997): 1299–321. http://dx.doi.org/10.1016/s0031-3955(05)70558-7.

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Clements, Joy. "Antenatal education". Nursing Standard 4, nr 1 (27.09.1989): 51–54. http://dx.doi.org/10.7748/ns.4.1.51.s54.

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Jones, Chrissie, i Paul Heath. "Antenatal immunization". Human Vaccines & Immunotherapeutics 10, nr 7 (7.07.2014): 2118–22. http://dx.doi.org/10.4161/hv.29610.

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Havaldar, NusratA, Saravana Anniyappa i Pallavi Purra. "Antenatal myomectomy". Saudi Journal for Health Sciences 4, nr 2 (2015): 138. http://dx.doi.org/10.4103/2278-0521.157899.

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Liebowitz, Melissa, i Ronald I. Clyman. "Antenatal Betamethasone". Obstetrical & Gynecological Survey 72, nr 1 (styczeń 2017): 13–15. http://dx.doi.org/10.1097/01.ogx.0000511936.72099.02.

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Young, J. M., i A. J. W. Hilson. "Antenatal hydronephrosis". Nuclear Medicine Communications 16, nr 4 (kwiecień 1995): 212. http://dx.doi.org/10.1097/00006231-199504000-00016.

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Wright, Michelle L., i Angela R. Starkweather. "Antenatal Microbiome". Nursing Research 64, nr 4 (2015): 306–19. http://dx.doi.org/10.1097/nnr.0000000000000101.

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Kfouri, Julia, i Rohan D’Souza. "Antenatal corticosteroids". Canadian Medical Association Journal 189, nr 8 (26.02.2017): E319. http://dx.doi.org/10.1503/cmaj.160392.

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Gyamfi-Bannerman, C. "Antenatal Corticosteroids". Obstetric Anesthesia Digest 38, nr 3 (wrzesień 2018): 129. http://dx.doi.org/10.1097/01.aoa.0000542347.66761.0c.

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Frändberg, J., J. Sandblom, M. Bruschettini, K. Maršál i K. Kristensen. "Antenatal Corticosteroids". Obstetric Anesthesia Digest 39, nr 1 (marzec 2019): 38–39. http://dx.doi.org/10.1097/01.aoa.0000552911.20577.b7.

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Baillie, C., J. Hewison, E. Dormandy i T. Fitzgerald. "Antenatal screening". BMJ 318, nr 7186 (20.03.1999): 805. http://dx.doi.org/10.1136/bmj.318.7186.805.

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Visser, G. H. A. "Antenatal cardiotocography". International Congress Series 1279 (kwiecień 2005): 315–20. http://dx.doi.org/10.1016/j.ics.2005.01.001.

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Kitchens, David M., i C. D. Anthony Herndon. "Antenatal hydronephrosis". Current Urology Reports 10, nr 2 (marzec 2009): 126–33. http://dx.doi.org/10.1007/s11934-009-0023-x.

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Booker, Whitney A., i Cynthia Gyamfi-Bannerman. "Antenatal Corticosteroids". Clinics in Perinatology 45, nr 2 (czerwiec 2018): 181–98. http://dx.doi.org/10.1016/j.clp.2018.01.002.

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Nash, Christopher, i Jerry Coleman. "Antenatal Ultrasound". Postgraduate Medical Journal of Ghana 7, nr 2 (12.07.2022): 67. http://dx.doi.org/10.60014/pmjg.v7i2.169.

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Mounika T E, Renu. "Correlation between Anaemia and Perceived Stress in Antenatal Women Attending Antenatal Clinics". International Journal of Science and Research (IJSR) 12, nr 3 (5.03.2023): 408–10. http://dx.doi.org/10.21275/sr23308152321.

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Chamberlain, G. "ABC of antenatal care. Organisation of antenatal care." BMJ 302, nr 6777 (16.03.1991): 647–50. http://dx.doi.org/10.1136/bmj.302.6777.647.

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Guichoud, Yohan, Oumama El Ezzi i Anthony de Buys Roessingh. "Cleft Lip and Palate Antenatal Diagnosis: A Swiss University Center Performance Analysis". Diagnostics 13, nr 15 (26.07.2023): 2479. http://dx.doi.org/10.3390/diagnostics13152479.

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Precision of cleft lip and/or palate antenatal diagnosis plays a significant role in counselling, neonatal care, surgical strategies and psychological support of the family. This study aims to measure the accuracy of antenatal diagnosis in our institution and the detection rate of cleft lip and/or palate on routine morphologic ultrasonography. In this retrospective observational study, we compared antenatal and postnatal diagnosis of 233 patients followed in our unit. We classified our patients according to the Kernahan and Stark’s classification system: Group 1: facial cleft including labial and labio-maxillary clefts; Group 2: facial cleft including total, subtotal and submucous palatal clefts; Group 3: labio-maxillary-palatal clefts. Out of 233 patients, 104 were antenatally diagnosed with a facial cleft, i.e., an overall detection rate of 44.6%. The diagnosis was confirmed at birth in 65 of these patients, i.e., an overall accuracy of 62.5%. Of the 67 children (29.2%) in Group 1, the screening detection rate was 58.2% with an antenatal diagnostic accuracy of 48.7%. Of the 97 children (41.6%) in Group 2, the screening detection rate was 2% with an antenatal diagnostic accuracy of 50%. Of the 69 children (29.6%) in Group 3, the screening detection rate was 91.3% with an antenatal diagnostic accuracy of 71.4%. Our study demonstrates a relatively poor diagnostic accuracy in prenatal ultrasound, where the diagnosis was inaccurate in one third to one half of patients. It showed great variability in the screening detection rate depending on the diagnostic group observed, as well as a low rate of detection of palatal clefts.

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Mulhall, J. Connor, Kayla E. Ireland, John J. Byrne, Patrick S. Ramsey, Georgia A. McCann i Jessian L. Munoz. "Association between Antenatal Vaginal Bleeding and Adverse Perinatal Outcomes in Placenta Accreta Spectrum". Medicina 60, nr 4 (22.04.2024): 677. http://dx.doi.org/10.3390/medicina60040677.

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Background and Objectives: Placenta accreta spectrum (PAS) disorders are placental conditions associated with significant maternal morbidity and mortality. While antenatal vaginal bleeding in the setting of PAS is common, the implications of this on overall outcomes remain unknown. Our primary objective was to identify the implications of antenatal vaginal bleeding in the setting of suspected PAS on both maternal and fetal outcomes. Materials and Methods: We performed a case-control study of patients referred to our PAS center of excellence delivered by cesarean hysterectomy from 2012 to 2022. Subsequently, antenatal vaginal bleeding episodes were quantified, and components of maternal morbidity were assessed. A maternal composite of surgical morbidity was utilized, comprised of blood loss ≥ 2 L, transfusion ≥ 4 units of blood, intensive care unit (ICU) admission, and post-operative length of stay ≥ 4 days. Results: During the time period, 135 cases of confirmed PAS were managed by cesarean hysterectomy. A total of 61/135 (45.2%) had at least one episode of bleeding antenatally, and 36 (59%) of these had two or more bleeding episodes. Increasing episodes of antenatal vaginal bleeding were associated with emergent delivery (p < 0.01), delivery at an earlier gestational age (35 vs. 34 vs. 33 weeks, p < 0.01), and increased composite maternal morbidity (76, 84, and 94%, p = 0.03). Conclusions: Antenatal vaginal bleeding in the setting of PAS is associated with increased emergent deliveries, earlier gestational ages, and maternal composite morbidity. This important antenatal event may aid in not only counseling patients but also in the coordination of multidisciplinary teams caring for these complex patients.

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