Publications by authors named "Diego Lerma Puertas"

Management of suspected large for gestational age (LGA) fetuses remains unclear because ultrasound-estimated fetal weight (EFW) is not accurate. This was a systematic review of observational studies on fetal soft tissues measurements used alone or in combination to create a new EFW formula, to improve the screening for LGA fetuses. Studies were scored using a predefined set of independently agreed methodological criteria and an overall quality score was assigned for study design, statistical analysis, and reporting methods.

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Maternal smoking during pregnancy increases oxidative stress and decreases antioxidant capacity in newborns. Uncontrolled oxidative stress plays a role in fetal development disorders and in adverse perinatal outcomes. In order to identify molecular pathways involved in low fetal growth, epigenetic modifications in newborns of smoking and non-smoking mothers were examined.

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Introduction: Smoking during pregnancy is associated with reduced foetal growth, amongst other effects. Epigenetic modification in the foetus and placenta during embryonic development as a result of changes in the function of miRNAs is one of the pathophysiological mechanisms responsible for this. This dysregulation may be due to environmental changes or toxins such as tobacco.

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Objective: To assess the predictive ability of the ultrasound estimated percentile weight (EPW) at 35 weeks of pregnancy to predict adverse perinatal outcomes (APOs) at term delivery according to 5 fetal growth standards, including population, population-customized, and international references.

Methods: This was a retrospective cohort study of 9,585 singleton pregnancies. Maternal clinical characteristics, fetal ultrasound data obtained at 35 weeks and pregnancy and perinatal outcomes were used to calculate EPWs to predict APOs according to: the customized and noncustomized (NC) Miguel Servet University Hospital (MSUH), the customized Figueras, the NC INTERGROWTH-21st, and the NC World Health Organization (WHO) international standards.

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Article Synopsis
  • The study aimed to clarify the prognosis of umbilical cord cysts diagnosed via prenatal ultrasound across different gestational trimesters, along with examining related ultrasound findings and chromosome changes.
  • Data from 27 cases of umbilical cord cysts collected between 2003 and 2015 in Spain showed that the prognosis for isolated cases is generally favorable, regardless of the timing of diagnosis or the type of cyst.
  • The researchers emphasized the need for thorough ultrasound evaluations to identify any other malformations, particularly in cases with associated anomalies, which may require further genetic testing.
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Article Synopsis
  • Persistent right umbilical vein (PRUV) is a vascular anomaly that can lead to various congenital defects in fetuses, and this study differentiates between its intrahepatic (I-PRUV, better prognosis) and extrahepatic variants (worse prognosis).
  • A multicenter study conducted from 2003 to 2013 analyzed 56 cases of I-PRUV against 4,050 singleton pregnancies without risk factors for congenital malformations.
  • The findings showed a significant association between I-PRUV and congenital malformations, particularly in the genitourinary system, with an overall malformation rate of 17.9%, while isolated I-PRUV did not indicate a worse prognosis.
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Objective: To evaluate the success rate and reliability of fetal sex determination in first trimester between 11-13+ 6 weeks and make a comparative study with other studies.

Material And Methods: A cohort study was performed. 2314 first trimester pregnancy ultrasounds were examined.

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Split hand-foot malformation is a rare disorder inherited in an autosomal dominant pattern with variable expression. Inour case, it was detected early by ultrasound in the twelfth week of gestation. The sonographic findings were bilateral split hands and feet.

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