[THE FETAL MIDDLE CEREBRAL ARTERY PEAK SYSTOLIC VELOCITY AS A PEDICTOR OF FETAL ANEMIA IN RH-ALLOIMMUNIZED PREGNANCY].

Unlabelled: Rh-isoimmunization is a pathological condition in which the fetal red blood cells of a Rh (+) fetus are destroyed by the isoantibodies of a Rh (-) woman sensitized in a previous event. Despite of the wide spread implementation of anti D-gammaglobolin prophylaxis this is still the most common cause for fetal anemia. Recently, sonographic measurement of the fetal middle cerebral artery peak systolic velocity (MCA-PSV) has been shown to be an accurate non-invasive test to predict low fetal hemoglobin levels.

[Hyperandrogenism in multiple pregnancy].

Hyperandrogenism caused by pregnancy is an extremely rare condition. One of the most common reasons is the hyperreactio luteinalis (LH). The literature describes 51 cases of LH where 8 of them have occurred during spontaneous multiple pregnancy.

[Cesarean scar ectopic pregnancy: diagnosis with 2D, three-dimensional (3D) ultrasound and 3D power doppler of a case and review of the literature].

Cesarean scar pregnancy is rare type of ectopic pregnancy. It is associated with severe complication if it is not diagnosed early in pregnancy. We present a case of difficult first-trimester diagnosis of Cesarean scar pregnancy.

[Fetal meconium pseudocyst secondary to in utero perforation of colon transversum and meconium peritonitis].

Fetal bowel intrauterine perforation causes sterile inflammation of the peritoneum, known as meconium peritonitis. In some cases the perforation closes spontaneously, thus forming a meconium pseudocyst between the intestinal loops and the omentum. Meconium peritonitis, complicated by pseudocyst formation, should always be considered when a fetal abdominal mass with diverse echogenicity and hyperechogenic calcifications is observed on prenatal ultrasound.

[Transposition of the great arteries--difficulties in prenatal diagnosis].

Transposition of the great arteries is a rare congenital heart malformation associated with significant perinatal morbidity and mortality. Prenatal diagnosis is possible after detailed examination of the fetal heart and knowledge of the ultrasound appearance of the two types of transposition--complete and corrected form. We present a case report of antenatally diagnosed complete transposition of the great arteries in 22 weeks of gestation and discuss the difficulties in prenatal diagnosis.

[Congenital cystic adenomatoid malformation of the lung--report of two cases].

Congenital cystic adenomatoid malformation (CCAML) is a rare anomaly of the fetal lung which can be diagnosed prenatally by ultrasound. We present two cases of CCAML with different pregnancy outcome diagnosed at 17 and 24 weeks gestation, respectively, and discuss the major aspects of the obstetrical and therapeutical management.

[Pregnancy and delivery in women with cerebrospinal fluid shunt due to hydrocephalus].

Unlabelled: The aim of the study is following up the pregnancy and delivery in women with cerebrospinal fluid shunts for hydrocephalus.

Material And Methods: The study includes 12 pregnant women (9 nuliparous and 3 multiparous) ranging in age from 19 to 36 years which were initially shunted prior to the pregnancy. 9 of the patients had VP shunts and 3 with VA shunt.

[Treatment of preterm delivery with calcium channel blockers--Nifedipine].

Aim: To assess the feasibility of the calcium antagonist Nifedipine as an oral tocolytic for the treatment of preterm labor.

Methods: Thirty-seven pregnant women in preterm labor participated in a prospective longitudinal study. Inclusion criteria were: gestational age between 24 and 32 weeks gestation; uterine contractions in 30 min interval; lack of cervical dilatation and lack of contraindications for tocolysis.

[Partial mole in 18 weeks of gestation].

Partial mole is a form of gestational trophoblastic disease which occasionally progresses to the second trimester of pregnancy and may be associated with serious medical complications. We present a case report of a partial mole diagnosed in 18 weeks of gestation associated with severe fetal polymalformation sequence.

Diagnostic value of the Conventional and Doppler ultrasound in pregnancy complicated with preeclampsia.

Background: Preeclampsia (PE) is a pregnancy complication usually of the third trimester. The clinical manifestations are hypertension and proteinuria with or without edema. Its pathogenesis is characterized by generalized vasoconstriction and endothelial dysfunction.

[Hemodynamic measurements with the Swan-Ganz catheter (in the pulmonary artery) in severe preeclampsia patients].

We compared the results of Swan-Ganz measurements in 11 preeclamptic women and report of the hemodynamic profile in severe preeclampsia. Measurements were performed between 28-36 weeks of gestation.