Modifiable risk factors for growth restriction in twin pregnancies.

Objective: This study was undertaken to evaluate modifiable risk factors for adverse fetal growth in twin pregnancies.

Study Design: A large cohort study from a database of women with twin gestations identified at risk for preterm labor was performed. Examining each infant's birth weight and gestational age at delivery, infants were classified as being average (AGA), large (LGA), or small (SGA) for gestational age, using the Alexander reference curve.

Factors influencing maternal perception of uterine contractions.

Objectives: The purpose of this study was to assess factors associated with perception of uterine contractions.

Study Design: A database of ambulatory uterine activity monitoring was examined. All patients having singleton pregnancies evaluated between March 1997 and March 2002 were eligible for analysis.

An aggressive interventional protocol for early midtrimester premature rupture of the membranes using gelatin sponge for cervical plugging.

Objective: This study was performed to evaluate a protocol for treatment of previable premature rupture of membranes (PROM) that includes the administration of gelatin sponge to retard the loss of fluid from the amniotic cavity.

Study Design: Women with PROM at View Article and Find Full Text PDF

Gelatin sponge embolization. a method for the management of iatrogenic preterm premature rupture of the membranes.

Despite the morbidity and mortality associated with early midtrimester premature rupture of the membranes (PROM), limited therapeutic options currently exist for its treatment. A new operative approach to this condition termed embolization involves intra-uterine administration of a gelatin sponge which can remarkably reduce or eliminate further loss of amniotic fluid. A successful case of embolization for the treatment of iatrogenic previable PROM complicating therapeutic fetoscopy is described.