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Acute Pancreatitis in Pregnancy and Puerperium: Assessing Maternal and Fetal Impact, Etiologies, and Clinical Outcomes at a Tertiary Care Hospital in Pakistan.
Cureus
December 2024
Obstetrics and Gynaecology, Aga Khan University Hospital, Karachi, PAK.
Introduction The association of acute pancreatitis with adverse obstetric outcomes remains subject to great controversy. Outcomes are affected by the standard of care available, and hence, will be better in developed countries than in underdeveloped countries like Pakistan. Therefore, this study aimed to understand the clinical characteristics and treatment of acute pancreatitis in pregnancy (APIP) and its associated maternal and neonatal outcomes in a tertiary care hospital in Pakistan.
View Article and Find Full Text PDFFetal Ascites: Its Prenatal Management and Postnatal Outcome.
J Obstet Gynaecol India
December 2024
Department of Fetal Medicine, Amrita Institute of Medical Sciences, Ponekkara, Kochi, Kerala 682041 India.
Objective: To report a single tertiary center experience in the management of prenatally diagnosed cases of fetal ascites and their postnatal outcomes.
Methods: Prenatally diagnosed fetal ascites cases were retrospectively analyzed from 2015 to 2022 using two-dimensional ultrasound with other investigations as required in a tertiary care center.
Results: Of 126 fetuses with fetal ascites, 70 progressed to hydrops and hence were excluded from the study.
Identification and Functional Investigation of as a Novel Gene Underpinning Familial Atrial Fibrillation.
Diagnostics (Basel)
October 2024
Department of Cardiology, Shanghai Fifth People's Hospital, Fudan University, Shanghai 200240, China.
Atrial fibrillation (AF) signifies the most prevalent supraventricular arrhythmia in humans and may lead to cerebral stroke, cardiac failure, and even premature demise. Aggregating strong evidence points to genetic components as a cornerstone in the etiopathogenesis of familial AF. However, the genetic determinants for AF in most patients remain elusive.
View Article and Find Full Text PDFFoetal cerebral blood redistribution in idiopathic polyhydramnios and the impact on perinatal outcomes.
J Obstet Gynaecol
December 2024
Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel.
Article Synopsis
- A study investigated the use of the middle cerebral artery pulsatility index (MCA-PI) to predict adverse outcomes in pregnancies affected by idiopathic polyhydramnios, which is an abnormal excess of amniotic fluid.
- The research included 128 pregnancies with idiopathic polyhydramnios, revealing that those with MCA-PI below the 10th percentile had significantly higher rates of emergency cesarean deliveries (25.9% vs. 7.9%) and adverse perinatal outcomes (37.0% vs. 15.8%).
- The findings suggest that a lower MCA-PI may indicate fetal distress and increased risk for neonatal complications, though cerebroplacental ratio values did not correlate with adverse outcomes
Premature Closure of the Ductus Arteriosus and Veno-Arterial Extracorporeal Membrane Oxygenation in Critically Ill Neonates: A 10-Year Single-Center Retrospective Study.
Pediatr Cardiol
July 2024
Neonatal and Pediatric Intensive Care Unit, Armand-Trousseau Children's Hospital, Paris, France.
To describe critically ill neonates with premature closure of the ductus arteriosus (DA) and assess the frequency as well as predictive factors for extracorporeal membrane oxygenation (ECMO) support in the latter. This was a monocentric retrospective observational study conducted in the NICU of a French academic medical center between 01/01/2013 and 01/01/2023. All neonates diagnosed with premature closure of the DA were included.
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