Publications by authors named "Hisham Mirghani"

A chorionic bump (CB) is a focal irregular bulge in the surrounding choriodecidual due to hematoma. The incidence of CB is between 1.5 and 7 per 1000 pregnancies.

View Article and Find Full Text PDF

A retrospective study was conducted in women with history of a caesarean scar pregnancy (CSP) to explore the possible causative mechanisms. Over a period of 40 months, a total of 16,926 deliveries and 3554 caesarean sections (CS) occurred in our hospital. Nine cases of CSP were identified at an incidence of 1:1880 births and 0.

View Article and Find Full Text PDF

Objective: To determine the transfer of 2-naphthol (2-NPH) in fullterm human placental tissues.

Methods: Six placentas were studied. The ex-vivo dual closed-loop human placental cotyledon perfusion model was used.

View Article and Find Full Text PDF

Background: Maternal diet restriction might be associated with adverse maternal and perinatal outcomes due to metabolic changes. This study aimed to investigate the prevalence of changes in glucose levels due to Ramadan fasting in Emirati pregnant women. We conducted a cross-sectional observational study of 150 women from the United Arab Emirates, (76 during Ramadan and 74 after Ramadan), with uncomplicated pregnancies at a gestational age between 20 and 36 weeks.

View Article and Find Full Text PDF

Introduction: Students' learning approaches have a significant impact on the success of the educational experience, and a mismatch between instructional methods and the learning approach is very likely to create an obstacle to learning. Educational institutes' understanding of students' learning approaches allows those institutes to introduce changes in their curriculum content, instructional format, and assessment methods that will allow students to adopt deep learning techniques and critical thinking. The objective of this study was to determine and compare learning approaches among medical students following an interdisciplinary integrated curriculum.

View Article and Find Full Text PDF

Objective: To report the perinatal pattern and outcome of fetuses with congenital heart disease (CHD) in consanguineous marriages.

Methods: Retrospective chart review was performed for fetuses undergoing fetal echocardiography (FE) in our institution. The primary outcome was survival at 28 days after birth.

View Article and Find Full Text PDF

Objective: The aim of this study was to determine the knowledge and attitudes among women in a high-income developing country regarding pregnancy and antenatal care.

Methods: Women who participated in the study were asked to complete a questionnaire. The questionnaire enquired about age, level of education, Internet use, marital status, and employment.

View Article and Find Full Text PDF

Background: We aimed to study the distribution and causes of trauma in women of child-bearing age.

Methods: Data were collected from Al-Ain Hospital (United Arab Emirates-UAE) Trauma Registry. Females aged 16 to 45 years (child-bearing age) who were admitted with trauma between March 2003 and March 2006 were included in the study.

View Article and Find Full Text PDF
Article Synopsis
  • The study examines severe acute maternal morbidity (SAMM) in Abu Dhabi, a rapidly developing multiethnic region, to assess maternal care quality and its relationship with ethnicity.
  • Over six years, researchers analyzed 122,705 births and identified 926 cases of SAMM, resulting in a ratio of 7.5 cases per 1,000 deliveries, with hypertensive disorders and hemorrhage as the leading causes.
  • The findings highlight distinct ethnic differences in maternal health issues, revealing that preeclampsia is more prevalent in women from the Indian subcontinent while hemorrhage is more common among UAE women, indicating complex interactions between ethnicity, socioeconomic status, and health outcomes. *
View Article and Find Full Text PDF

Pregnant women are at an increased risk of a number of conditions that are associated with bleeding. Conditions such as ectopic pregnancy, retained products of conception, placenta previa, abruptio placentae, morbid adhesion of the placenta, and postpartum hemorrhage can be associated with massive bleeding that endangers the maternal life and health. Screening, early detection, and prevention play a key role in reducing maternal morbidity and mortality caused by these conditions.

View Article and Find Full Text PDF

Aim: Routine confidential enquiry into maternal deaths is not yet part of the United Arab Emirates health care system. A confidential enquiry into maternal deaths was undertaken to test the feasibility of this approach and to identify the causes and preventability of maternal deaths.

Material & Methods: Data on all maternal deaths over a six year period from 1998 to 2003 were abstracted and reviewed by a panel of experts to assign the cause if in doubt, and to determine whether the deaths were preventable.

View Article and Find Full Text PDF

Aim: This study aimed to compare the pregnancy outcome at maternal age 35 years and above with those aged between 20 and 34 years in a high-income developing country.

Methods: In this prospective study, pregnant women that delivered at Al-Ain Hospital from the 1st April 2009 till 30th September 2009 were included. The obstetrical and perinatal outcome of mothers aged between 20 and 34 years and those aged 35 years old and above was compared.

View Article and Find Full Text PDF

Conjoined twins occur at the rate of 1 in 50 to 200,000 live births, and 75% of these share the thorax (thoracopagus) or the thorax and upper abdomen (thoraco-omphalopagus), resulting in cardiac and hepatic sharing. Antenatal diagnosis can delineate the cardiac anatomy and provide parental counseling on whether separation is possible after birth. In the majority of cases, thoracopagus twins have a complex cardiac anatomy and share a common pericardial sac.

View Article and Find Full Text PDF

Hypertrophic cardiomyopathy (HCM) affects most infants with Pompe disease (PD), and may serve as a marker for its antenatal diagnosis (ANDx) by fetal echocardiography (FE). Fetuses diagnosed with HCM between 2006 and 2009 were included in this study. HCM, defined as Z-score of mean left ventricular wall thickness (LVWT) and/or mass (LVM) above 2, was detected in 5/1,268 fetuses (0.

View Article and Find Full Text PDF

Objectives: To define the clinical outcome of fetal renal pelvic dilatation (FRPD) in cohort of infants in United Arab Emirates.

Study Design: Data were collected from all fetuses having FRPD from January 2005 to February 2008. FRPD was graded as normal (<5 mm), mild (5-9 mm), moderate (10-15 mm), and severe (>15 mm).

View Article and Find Full Text PDF

We sought to identify risk factors of prenatal presentation of holoprosencephaly associated with triploidy. A case report is presented with review of the literature performed using the PubMed database. The latest search was done in June 2008.

View Article and Find Full Text PDF

Aim: To determine the effect maternal diet pattern on the uterine artery Doppler flow velocimetry.

Methods: This is a cross-sectional observational study. The uterine artery Doppler flow velocimetry was measured between 20 and 24 weeks' gestation in healthy pregnant women observing Ramadan.

View Article and Find Full Text PDF

Purpose: To evaluate sonographic measurements of the fetal liver, fetal abdominal fat layer, interventricular septum, and Wharton's jelly area between 21 and 24 weeks' gestation in women with gestational diabetes mellitus (GDM).

Methods: A total of 123 consecutive healthy pregnant women underwent sonographic examination at 21-24 weeks' gestational age. The measurements included fetal biometry, detailed anomaly scan, and fetal body composition measurements (subcutaneous fat, liver size, cardiac muscle thickness, and Wharton's jelly area).

View Article and Find Full Text PDF

The purpose of this study was to determine the effect of intermittent maternal fasting on pregnancy outcome. The course and outcome of 168 fasted pregnant women were reviewed. A total of 168 fasted and 156 control pregnant women were studied.

View Article and Find Full Text PDF

Aim: To compare the accuracy of eight sonographic formulae for predicting fetal birth weight at term in a multiethnic population.

Methods: Pregnant women at term who were booked for induction of labor or elective cesarean section were included in the study. Eight ultrasonic fetal biometric formulae were used to predict fetal birth weight.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to compare the effectiveness of visual versus computerized cardiotocography (cCTG) in predicting pregnancy outcomes for low-risk pregnant women.
  • A total of 153 fetal heart tracings were examined by two experienced obstetricians, none of which showed a significant correlation between cCTG results and newborn outcomes like Apgar scores or the rate of cesarean sections.
  • The findings suggest that cCTG offers minimal benefit over traditional methods in predicting neonatal health outcomes in this low-risk group.
View Article and Find Full Text PDF

The incidence of perinatal death resulting from rhesus Rh isoimmunization has dropped dramatically since the introduction of Rh immunoglobulin. However, Rh sensitization continues to be one of the leading causes of fetal anemia. Our patient is a 38-year-old woman; she gives a history of 2 uneventful pregnancies followed by 5 consecutive stillbirths.

View Article and Find Full Text PDF

Objective: To determine effects of maternal fasting on antepartum computerized fetal heart tracing analysis.

Study Design: This was a cross-sectional study of two groups of healthy pregnant women who were recruited, a fasting and a nonfasting control group. Each pregnant woman gave a blood sample, and had a computerized fetal heart tracing.

View Article and Find Full Text PDF

Background: The success in performing organ transplantations and prevention of rejection has resulted not only in a substantial increase in life expectancy, but also improvement in the patients' quality of life. Thus, women who underwent organ transplantation are now reaching puberty and the age of reproduction. This has presented new challenges regarding the teratogenicity and the long-term effect of immunosuppressive medications used by these patients.

View Article and Find Full Text PDF