Publications by authors named "Medina-Jimenez Virginia"
Article Synopsis
- Open spina bifida (OSB) is a serious condition linked to severe health issues, but intrauterine repair can enhance neonatal outcomes in some cases.
- A rare case involving double myelomeningocele with multiple complications was treated successfuly at 25 weeks using innovative micro-neurosurgery.
- The successful repair through a minimal incision showed promising results with normal neurodevelopmental outcomes, indicating potential for further research on double OSB intrauterine interventions.
Management of Late Twin-to-Twin Transfusion Syndrome beyond 26 Weeks: Comparison between Fetoscopic Laser Therapy versus Traditional Management.
Fetal Diagn Ther
December 2023
Introduction: A proportion of monochorionic diamniotic (MCDA) twin pregnancies complicated by twin-to-twin transfusion syndrome (TTTS) can present after 26 weeks of gestation. The aim of this study was to compare perinatal outcomes of late TTTS treated by fetoscopic laser coagulation versus traditional management with amniodrainage and/or emergency preterm cesarean delivery (CD).
Methods: Retrospective cohort from January 2012 to January 2023 of consecutive MCDA twin pregnancies complicated by TTTS after 26 weeks and evaluated in our referring centers.
The prenatal approach from a preventive perspective is necessary to reduce perinatal complications. A perinatal care model with a holistic and horizontal approach is required. Mexico is currently considered an emerging market economy with inequality and an economic gap that impacts the accessibility and distribution of healthcare services.
View Article and Find Full Text PDFGiant chorioangiomas are a potentially life-threatening condition that may require intrauterine therapy. We describe a case of a large chorioangioma (>4cm) diagnosed at 30 weeks of gestation causing severe fetal anemia and hydrops. An intrauterine blood transfusion was performed at 31 weeks with reversal of the anemia and hydrops.
View Article and Find Full Text PDFArticle Synopsis
- Cardiomyocyte injury and elevated troponin T levels in COVID-19 patients are linked to a worse prognosis, particularly among those who are pregnant.
- The study analyzed the relationship between troponin T levels in severely ill COVID-19 pregnant women and their risk of complications like viral sepsis, ICU admission, or maternal death.
- Among 87 pregnant patients, a significant correlation was found between high troponin T levels and maternal death, suggesting that elevated troponin T can be a critical indicator of severe pneumonia and increased mortality risk in this group.
Objective: The aim of this study was to compare perinatal outcomes between patients with and without prenatal ultrasound markers predictive of complex gastroschisis.
Study Design: A prospective cohort of 98 patients with isolated fetal gastroschisis underwent antenatal ultrasound and delivered in a tertiary referral center. Patients were classified according to eight ultrasonographic markers predictive of complexity, and perinatal outcomes were assessed accordingly.
The impact of the COVID-19 pandemic on depression and stress levels in pregnant women: a national survey during the COVID-19 pandemic in Mexico.
J Matern Fetal Neonatal Med
December 2022
Background: COVID-19 outbreak has been associated with a wide variety of psychiatric manifestations such as panic, anxiety, and depression. We aim to assess the impact of the COVID - 19 pandemic on the levels of stress and depression of pregnant women in Mexico.
Methods: A cross-sectional web survey was carried out in pregnant women in 10 states of the Mexican Republic during the COVID-19 pandemic among public and private hospitals.