Early prenatal diagnosis of major congenital heart defects.

Abstract:

:Specialized fetal echocardiography at 18 to 22 weeks for high-risk groups is well established as being sensitive and specific for most cardiac abnormalities. Early fetal echocardiography (< 16(+0) weeks, i.e. 16 weeks and 0 days) is a feasible alternative to mid second trimester scanning for families at risk of congenital heart disease. Two main areas have contributed to the increasing interest in first and early second trimester fetal echo. The recognition of the association between increased nuchal translucency and structural heart abnormalities has led to the identification of an important high-risk group at 11 to 14 weeks. Furthermore, the use of modern ultrasound technology has allowed greater utilization of transabdominal scanning in addition to the transvaginal route. Most major structural heart defects can accurately be diagnosed from the late first trimester of pregnancy and many families at-risk can be reassured of 'normality' of cardiac connections at an early stage. Some lesions may evolve throughout pregnancy and therefore early scans should not replace mid trimester fetal echocardiography.

authors

Carvalho JS

doi

10.1097/00001703-200104000-00010

keywords:

subject

Has Abstract

pub_date

2001-04-01 00:00:00

pages

155-9

issue

2

eissn

1040-872X

issn

1473-656X

journal_volume

13

pub_type

杂志文章,评审
  • Fetal hypoxic and ischemic injuries.

    abstract:PURPOSE OF REVIEW:The principles of neonatal neurological protection following intrapartum hypoxia are briefly reviewed. The physiological principles behind the use of cardiotocograph patterns in defining the timing and mechanism of fetal hypoxia and injury are then demonstrated. RECENT FINDINGS:Fetal neurological inj...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/01.gco.0000192984.15095.7c

    authors: Schifrin BS,Ater S

    更新日期:2006-04-01 00:00:00

  • Recent thoughts on management and prevention of recurrent early pregnancy loss.

    abstract:PURPOSE OF REVIEW:To provide an overview of the latest views and evidence available to clinicians managing couples with recurrent early pregnancy loss (RPL). RECENT FINDINGS:RPL is a heterogeneous condition associated with many pathologies, none of which is found in more than 50% of couples after routine investigation...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e32833e124e

    authors: Tang AW,Quenby S

    更新日期:2010-12-01 00:00:00

  • Current trends in minilaparoscopy.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to understand the current use of minilaparoscopy in the field and how minilaparoscopy compares with traditional laparoscopy in terms of operative times, complications, pain, and cosmesis. RECENT FINDINGS:Although there are few randomized controlled trials comparing minil...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0000000000000290

    authors: Small Layne A,Pinkard L,Shepherd J

    更新日期:2016-08-01 00:00:00

  • Cryopreservation of human embryos and oocytes.

    abstract::Human embryo cryopreservation is now a fully established adjunct to assisted reproduction, with thawed embryos implanting at a rate approaching that of fresh embryos. As with fresh embryos, the quality of frozen-thawed embryos is affected by patient age at the time of oocyte retrieval, and by culture conditions. Ovari...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00001703-199506000-00006

    authors: Tucker MJ,Morton PC,Sweitzer CL,Wright G

    更新日期:1995-06-01 00:00:00

  • Progress in ovarian cancer.

    abstract::The management of advanced ovarian cancer relies on appropriate surgical cytoreduction in conjunction with appropriate adjuvant chemotherapy. In the past year several studies have continued to support aggressive cytoreduction at the initial operation, including for stage IV disease, as well as in a second-look setting...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00001703-199802000-00010

    authors: Chen LM,Berek JS

    更新日期:1998-02-01 00:00:00

  • Herpes simplex virus: incidence of neonatal herpes simplex virus, maternal screening, management during pregnancy, and HIV.

    abstract:PURPOSE OF REVIEW:Neonatal herpes simplex virus infection is often severe, if not fatal. What is our understanding of the epidemiology of this disease? How is it diagnosed? Would maternal screening for herpes simplex virus-2 (HSV-2) in pregnancy make a difference? Does maternal HSV alter transmission of HIV vertically ...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e3283294840

    authors: Roberts S

    更新日期:2009-04-01 00:00:00

  • Ureteral stents and retrograde studies: a primer for the gynecologist.

    abstract:PURPOSE OF REVIEW:To review basic techniques and recent advances in endourology for the practicing gynecologist. RECENT FINDINGS:New ureteral stent designs are available to improve comfort and reduce some of the complications of indwelling ureteral stents. A large prospective study failed to show a significant benefit...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e32832fd23a

    authors: Aungst MJ,Sears CL,Fischer JR

    更新日期:2009-10-01 00:00:00

  • The role of electrophysiology in the evaluation of incontinence and prolapse.

    abstract:PURPOSE OF REVIEW:Apart from histopathology, electrophysiological methods are the only tests to reveal neuromuscular involvement in the absence of gross anatomical lesions. They have played a major role in establishing the neuromuscular lesion due to vaginal delivery as a risk factor for incontinence and pelvic organ p...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00001703-200210000-00012

    authors: Vodusek DB

    更新日期:2002-10-01 00:00:00

  • Autoimmunity and premature ovarian failure.

    abstract:PURPOSE OF REVIEW:The different patterns of autoreactivity that may account for the premature infertility observed in patients with premature ovarian failure are described. RECENT FINDINGS:Animal model studies have detailed fundamental immune dysregulatory patterns that induce ovarian failure in the context of global ...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e328220e90c

    authors: Tuohy VK,Altuntas CZ

    更新日期:2007-08-01 00:00:00

  • Neoadjuvant chemotherapy in cervical cancer: a new trend.

    abstract:PURPOSE OF REVIEW:Although there is effective screening for cervical cancer, it continues to be a healthcare problem in developing countries. To increase survival rates, different strategies with neoadjuvant chemotherapy have been developed. Nearly all trials that analysed neoadjuvant chemotherapy plus surgery demonstr...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00001703-200502000-00008

    authors: Sardi JE,Boixadera MA,Sardi JJ

    更新日期:2005-02-01 00:00:00

  • Laboratory models for studying ectopic pregnancy.

    abstract:PURPOSE OF REVIEW:Understanding the cause of tubal ectopic pregnancy (tEP) remains incomplete. We aim to summarize the latest advances in laboratory models of tEP that we believe will, ultimately, contribute to improving the diagnosis and management of the condition. RECENT FINDINGS:Progress in proteome prefractionati...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e3283481212

    authors: Brown JK,Horne AW

    更新日期:2011-08-01 00:00:00

  • Managing the toxicities of the aromatase inhibitors.

    abstract:PURPOSE OF REVIEW:The aromatase inhibitors are increasingly used as adjuvant therapy in postmenopausal women with hormone receptor positive breast cancer. With additional experience using these agents, unanticipated side effects have become apparent. Women who experience side effects from adjuvant endocrine therapy are...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e328334e44e

    authors: Mortimer JE

    更新日期:2010-02-01 00:00:00

  • Updates in the treatment of ductal carcinoma in situ of the breast.

    abstract:PURPOSE OF REVIEW:Ductal carcinoma in situ (DCIS) accounts for approximately 20% of mammographically diagnosed breast cancers. Currently, there is a trend to consider DCIS as a lesion for which treatment deescalation is advocated to avoid overtreatment, that is, radiotherapy in addition to breast-conserving surgery or ...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0000000000000237

    authors: Lebeau A,Kühn T

    更新日期:2016-02-01 00:00:00

  • Human papillomaviruses in gynecological cancer.

    abstract::Human papillomavirus-related anogenital neoplasia is an active area of basic and clinical research. The research topics are broad based, but mostly are focused on delineating the clinical utility of human papillomavirus testing, the natural history of human papillomavirus infections and associated premalignancies, cha...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Duggan MA

    更新日期:1996-02-01 00:00:00

  • Fetal assessment in low-risk pregnancy.

    abstract::The value of directed management based on contemporary fetal assessment techniques in the high-risk pregnancy is undisputed. Whether such benefits are evident in the low-risk pregnancy is now an issue of considerable clinical and economic importance. Recent literature suggests that extension of fetal surveillance to t...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00001703-199512000-00011

    authors: Manning FA

    更新日期:1995-12-01 00:00:00

  • Implantable hormonal and emergency contraception.

    abstract::Recent publications about emergency and implantable contraception focused on increasing the awareness about emergency contraceptive methods and on updating readers about the controversies surrounding Norplant. Both emergency and implantable contraception have excellent safety and efficacy profiles, yet neither has rea...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Cullins VE,Garcia FA

    更新日期:1997-06-01 00:00:00

  • Postpartum hormonal contraception in breastfeeding women.

    abstract:PURPOSE OF REVIEW:To provide an overview of recent research and guidelines regarding contraception and breastfeeding. RECENT FINDINGS:Recent studies assessed lactogenesis, breastfeeding rates, and milk supply concerns in patients starting postpartum hormonal contraception. One study showed a small but statistically si...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0000000000000571

    authors: Stanton TA,Blumenthal PD

    更新日期:2019-12-01 00:00:00

  • Minimally invasive surgery in assisted conception.

    abstract::Minimally invasive surgery enables the avoidance of, preparation for, participation in, and treatment of complications following assisted reproductive technology (ART). The major recent changes are, the development of surgical techniques to diagnose and treat intrafallopian tubal abnormalities; the use of operative en...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Wood C

    更新日期:1994-06-01 00:00:00

  • Voiding dysfunction in women.

    abstract::Voiding disorders are frequently associated with urinary incontinence and other lower urinary tract dysfunction in women, but the cause of these disorders is not well understood and treatment options are limited. Little has changed in the treatment and evaluation of voiding disorders. New approaches to the study of de...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Stevenson KR

    更新日期:1996-10-01 00:00:00

  • New trends in combined use of gonadotropin-releasing hormone antagonists with gonadotropins or pulsatile gonadotropin-releasing hormone in ovulation induction and assisted reproductive technologies.

    abstract::The use of gonadotropin-releasing hormone agonists as adjunctive therapy with gonadotropins for ovulation induction in in vitro fertilization and other assisted reproductive technologies has become common clinical practice. With the recent advent of potent gonadotropin-releasing hormone antagonists free from the marke...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Gordon K,Danforth DR,Williams RF,Hodgen GD

    更新日期:1992-10-01 00:00:00

  • Current status of human oocyte and embryo cryopreservation.

    abstract:PURPOSE OF REVIEW:To summarize recent advances in oocyte and embryo cryopreservation techniques and outcomes. RECENT FINDINGS:Vitrification is gradually replacing slow freezing due to a better survival rate after thawing. Most units use vitrification for both oocyte and blastocyst cryopreservation, as these two biolog...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e32834874e2

    authors: Herrero L,Martínez M,Garcia-Velasco JA

    更新日期:2011-08-01 00:00:00

  • Ultrasound of the fetal central nervous system.

    abstract::Current ultrasound equipment allows the antenatal identification of many central nervous system anomalies from early gestation. In selected cases, special techniques (transvaginal sonography, three-dimensional ultrasound, colour Doppler) may enhance the diagnostic potential. Diagnostic accuracy, however, remains heavi...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00001703-200004000-00007

    authors: Pilu G,Perolo A,Falco P,Visentin A,Gabrielli S,Bovicelli L

    更新日期:2000-04-01 00:00:00

  • The feasibility of laparoscopic bowel resection performed by a gynaecologist to treat endometriosis.

    abstract:PURPOSE OF REVIEW:Intestinal endometriosis is commonly diagnosed in the setting of deeply infiltrating endometriosis. A multidisciplinary team that includes gynaecologists and general surgeons traditionally performs laparoscopic bowel resections for symptomatic patients. Recently, Pereira et al. has published the resul...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e32833beae0

    authors: Pereira RM,Zanatta A,Serafini PC,Redwine D

    更新日期:2010-08-01 00:00:00

  • Induction of labour with misoprostol.

    abstract::Misoprostol, an orally active prostaglandin E1 analogue, has been used widely by the vaginal and oral routes for labour induction at or near term. Several recent trials have confirmed that it is highly effective. Overall caesarean section rates appear to be reduced, despite a relative increase in caesarean sections fo...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00001703-200112000-00005

    authors: Hofmeyr GJ

    更新日期:2001-12-01 00:00:00

  • Stratified reproduction, family planning care and the double edge of history.

    abstract:PURPOSE OF REVIEW:There is a growing clinical consensus that Medicaid sterilization consent protections should be revisited because they impede desired care for many women. Here, we consider the broad social and ideological contexts for past sterilization abuses, beyond informed consent. RECENT FINDINGS:Throughout the...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 历史文章,杂志文章,评审

    doi:10.1097/GCO.0000000000000121

    authors: Harris LH,Wolfe T

    更新日期:2014-12-01 00:00:00

  • Vulvar malignancy.

    abstract::Treatment of invasive vulvar malignancy has become more individualized during the past decade. In the past, radical vulvectomy with bilateral inguinofemoral lymphadenectomy was the standard therapy for invasive squamous cell carcinoma and melanoma of the vulva. This is no longer always the case. The treatment of stage...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Girtanner RE,Kaufman RH

    更新日期:1991-02-01 00:00:00

  • Female sexual dysfunction: what's new?

    abstract:PURPOSE OF REVIEW:The aim of this article is to summarize the most important and interesting achievements which have recently been made in the field of female sexual dysfunction. RECENT FINDINGS:During the last years, the characterization of the female sexual response has been re-examined, resulting in new approaches ...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e3282f1c733

    authors: Mayer ME,Bauer RM,Schorsch I,Sonnenberg JE,Stief CG,Uckert S

    更新日期:2007-12-01 00:00:00

  • Abortion: epidemiology, safety, and technique.

    abstract::In 1991, the abortion literature was characterized by articles relating to 1) epidemiologic issues in abortion care, 2) advances in knowledge and experience with medical abortifacients such as mifepristone (RU 486), and 3) cervical ripening prior to abortion with the use of both mifepristone and prostaglandins. Techni...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Blumenthal PD

    更新日期:1992-08-01 00:00:00

  • Robotic surgery in gynecologic cancer.

    abstract:PURPOSE OF REVIEW:The development of robotic technology has facilitated the application of minimally invasive techniques for complex operations in gynecologic oncology. The objective of this article is to review the published literature regarding robotic surgery and its application to gynecologic cancer. RECENT FINDIN...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e32834daebc

    authors: Yim GW,Kim YT

    更新日期:2012-02-01 00:00:00

  • Selective oestrogen receptor modulators: a new paradigm for HRT.

    abstract::Selective oestrogen receptor modulators are a range of compounds which mimic some, but not all, agonist actions of oestrogen in different tissues. They were developed with the aim of maximizing the benefits of oestrogen-like drugs in a number of important conditions whilst reducing adverse side-effects. The molecular ...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00001703-199806000-00002

    authors: Baynes KC,Compston JE

    更新日期:1998-06-01 00:00:00