Objective: This study was undertaken to describe the sonographic features of fetal glossoptosis in the Pierre Robin sequence. Study design: Fetal sonography was prospectively performed in 8000 consecutive pregnancies ...Objective: This study was undertaken to describe the sonographic features of fetal glossoptosis in the Pierre Robin sequence. Study design: Fetal sonography was prospectively performed in 8000 consecutive pregnancies at 14 to 24 weeks’gestation. In addition we retrospectively reevaluated ultrasound recordings of 4 fetuses from other hospitals, in which the diagnosis of Pierre Robin sequence was overlooked at 22 weeks’gestation. Glossoptosis was defined as a posteriorly displaced tongue that never reached the anterior mandibular alveolar ridge while watching the fetal profile. Micrognathia, which is a component of the sequence, was subjectively defined. Results: Glossoptosis with micrognathia was detected in 2 fetuses in the prospective group at 14 and 15 weeks’gestation. Both pregnancies were terminated; the diagnosis was confirmed in 1 case where postmortem examination was performed. There were no false-negative diagnoses in the other 7998 fetuses. Glossoptosis and micrognathia were observed in the 4 retrospective cases. Conclusion: Sonographic identification of glossoptosis with fetal micrognathia suggests the possibility of Pierre Robin sequence.展开更多
Objective: The purpose of this study was to evaluate the impact of labor pain intensity and labor pain catastrophizing on maternity blues and postpartum social functioning. Study design: Pain intensity and pain catast...Objective: The purpose of this study was to evaluate the impact of labor pain intensity and labor pain catastrophizing on maternity blues and postpartum social functioning. Study design: Pain intensity and pain catastrophizing were assessed in 89 women in active labor before the administration of analgesia. Both these measures were assessed again retrospectively 2 days after delivery in 82 women who had a spontaneous vaginal delivery. Women also filled out the Edinburgh Postnatal Depression Scale. Six weeks later women completed the social functioning domain of the short form SF36 health survey. Results: Pain catastrophizing during labor significantly predicted both maternity blues (P =. 001) and postpartum social functioning (P =. 001) when being controlled for maternal age and education, parity, type of analgesia, and labor pain intensity. Low level of education and younger age also contributed to the prediction of maternity blues and social functioning. Conclusion: Labor pain catastrophizing rather than labor pain intensity predicts postpartum maternal adjustments.展开更多
Objective: The purpose of this study was to present sonographic and pathologic findings in early and late onset fetal microphthalmia. Study design: Fetal sonography was prospectively performed in 30,989 consecutive pr...Objective: The purpose of this study was to present sonographic and pathologic findings in early and late onset fetal microphthalmia. Study design: Fetal sonography was prospectively performed in 30,989 consecutive pregnancies at 14 to 24 weeks gestation. In addition, we retrospectively reevaluated US recordings of 4 fetuses from other hospitals, in which normal eyes were observed in early and midgestation and microphthalmia was diagnosed only in the third trimester of pregnancy or after birth. Results: Microphthalmia was detected in 13 fetuses in the prospective group. Twelve of 13 had additional structural and chromosomal anomalies. Termination of pregnancy was performed in 12 cases. In the retrospective group of late onset microphthalmia we confirmed the normal eye measurements performed in the early and midpregnancy. Severe visionim pairment or blindness was noted in 3 of these children, while the fourth pregnancy was terminated. Conclusion: Normal measurements of the fetal eyes in early and midpregnancy do not exclude the possibility of subsequent development of microphthalmia.展开更多
文摘Objective: This study was undertaken to describe the sonographic features of fetal glossoptosis in the Pierre Robin sequence. Study design: Fetal sonography was prospectively performed in 8000 consecutive pregnancies at 14 to 24 weeks’gestation. In addition we retrospectively reevaluated ultrasound recordings of 4 fetuses from other hospitals, in which the diagnosis of Pierre Robin sequence was overlooked at 22 weeks’gestation. Glossoptosis was defined as a posteriorly displaced tongue that never reached the anterior mandibular alveolar ridge while watching the fetal profile. Micrognathia, which is a component of the sequence, was subjectively defined. Results: Glossoptosis with micrognathia was detected in 2 fetuses in the prospective group at 14 and 15 weeks’gestation. Both pregnancies were terminated; the diagnosis was confirmed in 1 case where postmortem examination was performed. There were no false-negative diagnoses in the other 7998 fetuses. Glossoptosis and micrognathia were observed in the 4 retrospective cases. Conclusion: Sonographic identification of glossoptosis with fetal micrognathia suggests the possibility of Pierre Robin sequence.
文摘Objective: The purpose of this study was to evaluate the impact of labor pain intensity and labor pain catastrophizing on maternity blues and postpartum social functioning. Study design: Pain intensity and pain catastrophizing were assessed in 89 women in active labor before the administration of analgesia. Both these measures were assessed again retrospectively 2 days after delivery in 82 women who had a spontaneous vaginal delivery. Women also filled out the Edinburgh Postnatal Depression Scale. Six weeks later women completed the social functioning domain of the short form SF36 health survey. Results: Pain catastrophizing during labor significantly predicted both maternity blues (P =. 001) and postpartum social functioning (P =. 001) when being controlled for maternal age and education, parity, type of analgesia, and labor pain intensity. Low level of education and younger age also contributed to the prediction of maternity blues and social functioning. Conclusion: Labor pain catastrophizing rather than labor pain intensity predicts postpartum maternal adjustments.
文摘Objective: The purpose of this study was to present sonographic and pathologic findings in early and late onset fetal microphthalmia. Study design: Fetal sonography was prospectively performed in 30,989 consecutive pregnancies at 14 to 24 weeks gestation. In addition, we retrospectively reevaluated US recordings of 4 fetuses from other hospitals, in which normal eyes were observed in early and midgestation and microphthalmia was diagnosed only in the third trimester of pregnancy or after birth. Results: Microphthalmia was detected in 13 fetuses in the prospective group. Twelve of 13 had additional structural and chromosomal anomalies. Termination of pregnancy was performed in 12 cases. In the retrospective group of late onset microphthalmia we confirmed the normal eye measurements performed in the early and midpregnancy. Severe visionim pairment or blindness was noted in 3 of these children, while the fourth pregnancy was terminated. Conclusion: Normal measurements of the fetal eyes in early and midpregnancy do not exclude the possibility of subsequent development of microphthalmia.
