Publications by authors named "G Bueno-Pacheco"
Article Synopsis
- The article systematically reviews published clinical prediction rules that estimate the risk of Down syndrome (DS) based on second-trimester ultrasound findings during pregnancy.
- Ten clinical prediction rules were identified; only three of them have been validated, and a study using the rules on 2216 ultrasound scans showed low agreement among different methods.
- While these prediction rules can aid in assessing DS risk, their inconsistent results highlight the need for further external validation to determine the most reliable options for clinical practice.
Objective: To review systematically the literature on diagnostic tests and performance of second-trimester sonographic assessment of nasal bone (NB) in identifying fetuses affected by Down syndrome.
Methods: A search of studies involving screening tests for NB evaluation and measurements was carried out in the main international bibliographic databases (MEDLINE, EMBASE and CINAHL). Those considered to be relevant were then subjected to critical reading, following Critical Appraisal Skills Programme (CASP) criteria, by at least three independent observers.
Objectives: To evaluate the efficacy, applicability and safety of two recently introduced preventive-restrictive measures on the use of episiotomy and active management of the third stage of labour, in order to reduce puerperal bleeding results.
Material And Method: Cohort study of a prospective series of 1098 women who gave birth in the Obstetrics and Gynaecology Department of the La Mancha General Hospital. Data were collected in two phases (1st phase, before applying the measures: 591; 2nd phase, after: 507).