Publications by authors named "Jinnen Masri"
Objective: To describe (1) procedure-related complications, and (2) gestational age (GA) at delivery in patients who received their final intrauterine transfusion (IUT) at ≥ 34 weeks 0 days versus at < 34 weeks 0 days.
Methods: This was a retrospective study of pregnancies treated with IUT. Procedure-related complications were defined as any of the following within 48 h of IUT: (1) rupture of membranes or preterm delivery, (2) intrauterine infection, (3) fetal death, (4) fetal compromise resulting in emergency cesarean, or (5) neonatal death.
Third-trimester fetoscopic ablation therapy for types II and III vasa previa.
Am J Obstet Gynecol
January 2024
Background: Vasa previa is an obstetrical condition in which fetal vessels located near the cervix traverse the fetal membranes unprotected by underlying placenta. Type I vasa previa arises directly from a velamentous cord root, whereas types II and III arise from an accessory lobe or a distal lobe of the same placenta, respectively. Fetoscopic laser ablation for types II and III vasa previa is a novel therapeutic option with benefits that include surgical resolution of the vasa previa, avoidance of prolonged hospitalization, and opportunity for a term vaginal delivery.
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- - This study investigates the impact of subclassifying monochorionic twins with selective fetal growth restriction (type II) into two categories (IIa and IIb) based on specific Doppler ultrasound findings, due to their differing neonatal survival rates after laser surgery.
- - Researchers conducted a retrospective analysis of 262 patients who underwent laser surgery for severe twin-twin transfusion syndrome from 2006 to 2021, focusing specifically on donor twins with growth restriction to compare survival outcomes between type IIa and IIb classifications.
- - The analysis revealed that of the 919 patients in total, 189 had donor fetal growth restriction type II, highlighting the need to understand the associated risks for more tailored treatments and better outcomes in neonatal care
Introduction: Congenital high airway obstruction syndrome (CHAOS) is a rare condition that can progress to fetal hydrops and demise in utero or at birth unless interventions are undertaken to alleviate the tracheal obstruction. While the ex-utero intrapartum treatment (EXIT) procedure for airway stabilization is technically feasible, abnormal pulmonary development as a result of the antenatal obstructive process may result in severe postnatal respiratory complications.
Case Presentation: We describe a case of CHAOS with secondary hydrops treated in utero at 24 0/7 weeks' gestation by fetoscopic tracheal decompression via laser perforation of the airway obstruction.