Abstract：
OBJECT:To assess whether transvaginal ultrasound is helpful in predicting the post-term onset of labor (> or = 1 weeks). SETTING:Antenatal clinic of a University hospital and referral center. SUBJECT AND MEHODS: One hundred and twenty singleton uncomplicated pregnancies in primiparous women were enrolled at 37 weeks of gestation. Ultrasound examination of the cervical length by a transvaginal probe was performed at recruitment and at weekly intervals until 40 completed weeks. Subjects were divided into Group A (those with spontaneous onset of labor < or = 1 completed weeks) and Group B (those not in labor by that date). RESULTS:Eighty women delivered < or = 41 completed weeks, forty were not in labor by that date. The cervix was significantly shorter at 39 and 40 weeks in group A, but no particular cervical length was predictive of post-term delivery. DISCUSSION:There is a significant difference in cervical length in women delivering at term compared with those due to have a post-term delivery. This difference is significant from 39 weeks of gestation onwards. We speculate that targeted transvaginal ultrasound may be useful in predicting the post-term onset of labor and possibly in assisting its active management.
journal_name
J Perinat Medjournal_title
Journal of perinatal medicineauthors
Vimercati A,Greco P,Lopalco P,Loizzi V,Scioscia M,Mei L,Rossi AC,Selvaggi Ldoi
10.1515/JPM.2001.045keywords:
subject
Has Abstractpub_date
2001-01-01 00:00:00pages
317-21issue
4eissn
0300-5577issn
1619-3997journal_volume
29pub_type
杂志文章abstract：:During pregnancy the role of the cervix shifts between two opposing functions. Throughout most of gestation, the cervix is rigid and resists tension in order to maintain the products of conception inside the uterus. At term, however, cervical function changes drastically in order to accommodate stretch and delivery. T...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/JPM.1999.026
更新日期：1999-01-01 00:00:00
abstract：:Monitoring of spontaneous brain electrical activity (EEG) has three purposes: Detecting sudden loss of background activity as an early sign of brain hypoxia/ischaemia, detection of silent seizures, and helping to diagnose brain damage. Tape-recording allows storage of upto 8 channels of standard EEG for prolonged peri...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章,评审
doi：
更新日期：1994-01-01 00:00:00
abstract：:The obesity epidemic is a problem of global importance with a profound impact on maternal-fetal health. Currently, 1 in 5 women, worldwide, are obese at time of conception. Normalizing pregravid weight may significantly reduce obstetrical complications and alter the long-term weight status of mother and child. Bariatr...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章,评审
doi：10.1515/jpm-2012-0237
更新日期：2013-03-01 00:00:00
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journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/JPM.2004.012
更新日期：2004-01-01 00:00:00
abstract：OBJECTIVE:To assess risk factors for adverse perinatal and neonatal outcomes in "well-selected" singleton vaginal breech deliveries at term. METHODS:During the time span from January 2008 up to April 2015 a total of 786 singleton term breech deliveries with a planned vaginal delivery were identified in a retrospective...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/jpm-2015-0342
更新日期：2017-04-01 00:00:00
abstract：:A computer program was developed for the IBM PC computer to be used for maternal serum alpha fetoprotein screening (MSAFP). This program, written in BASIC, 1) maintains a data base for patients tested, 2) allows input and storage of MSAFP results, 3) calculates the gestational age dependent result in multiple of the m...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/jpme.1989.17.3.221
更新日期：1989-01-01 00:00:00
abstract：:We report on an exceptional therapy with epidural anesthesia and tunnelling of the peridural catheter over a time period of 2-14 days in patients with threatening early preterm labor, intact membranes and vaginal engagement of the infants (4 singleton, 8 twin and 2 triplet pregnancies). A combination of bupivacaine (0...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/JPM.2008.081
更新日期：2008-01-01 00:00:00
abstract：OBJECTIVE:The receptor for advanced glycation end products, RAGE, plays an important role in the pathogenesis of several diseases. sRAGE, soluble receptor for advanced glycation end products, is an inhibitor of the pathological effect mediated via RAGE. The aim of this study was to assess the usefulness of measuring sR...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/JPM.2008.080
更新日期：2008-01-01 00:00:00
abstract：:Non-selective multifetal pregnancy reduction is carried out to reduce healthy higher order multiple fetuses to one or two fetuses. No studies exist to show any benefit of this practice and a Cochrane review, as well as investigators in the field, have not found any justification for such practice. From a medical point...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章,评审
doi：10.1515/JPM.2006.072
更新日期：2006-01-01 00:00:00
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journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/JPM.2005.060
更新日期：2005-01-01 00:00:00
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journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/jpme.1992.20.3.241
更新日期：1992-01-01 00:00:00
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journal_title：Journal of perinatal medicine
pub_type： 杂志文章,评审
doi：10.1515/JPM.2004.036
更新日期：2004-01-01 00:00:00
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journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/jpme.1991.19.3.151
更新日期：1991-01-01 00:00:00
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journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/jpme.1987.15.1.21
更新日期：1987-01-01 00:00:00
abstract：:Turbo spin echo technique is a sequence that enables T2 weighted magnetic resonance (MR) images to be obtained in a few seconds. The purpose of this study is to evaluate the usefulness of this sequence in the prenatal diagnosis of fetal urogenital abnormalities associated with oligohydramnios, which make the ultrasoun...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
abstract：UNLABELLED:The aim of this study was to evaluate the fluctuation of fetal pH in blood samples taken at the beginning of labor and at the moment of birth as related to intrauterine growth retardation syndrome. This is a prospective follow-up of term gestations, of which 41 were diagnosed as intrauterine growth retardati...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/jpme.1994.22.4.329
更新日期：1994-01-01 00:00:00
abstract：:Computerised cardiotocograph analysis has been used in our medical antenatal clinic for women with insulin dependent diabetes mellitus for five years. We had observed that many of the patients failed the computer criteria and wished to examine this finding in more detail. All cardiotocographs from 40 pregnant women wi...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/jpme.1998.26.2.102
更新日期：1998-01-01 00:00:00
abstract：:In order to determine the risk factors and outcomes of ventilator-associated pneumonia (VAP) in the neonatal intensive care unit (NICU), a retrospective cohort study was conducted on 259 patients who were ventilated >48 h. Clinical characteristics and risk factors were compared and non-conditional logistic regression ...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/JPM.2007.065
更新日期：2007-01-01 00:00:00
abstract：AIM:To analyze short-term neonatal outcome and the sampling to delivery interval in cases with severe intrapartum acidemia diagnosed with fetal scalp blood sampling (FBS). METHODS:This is a secondary analysis of data from a trial of 2992 women, who were, when indicated, randomized to either lactate or pH analyses by F...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章,随机对照试验
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更新日期：2011-09-01 00:00:00
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journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/jpme.1990.18.3.157
更新日期：1990-01-01 00:00:00
abstract：BACKGROUND:The Apgar score is used worldwide to assess the newborn infant shortly after birth. Apgar scores, including mean scores and those with high cut-off scores, have been used to support claims that planned home birth is as safe as hospital birth. The purpose of this study was to determine the distribution of 5 m...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/jpm-2014-0003
更新日期：2015-07-01 00:00:00
abstract：:Acute myocardial infarction (AMI) during pregnancy is usually transmural and occurs in late pregnancy with a peak incidence during the peripartum or postpartum periods. We report a pregnancy-related AMI, which occurring as early as the first trimester, was treated conservatively with antithrombotic and anti-ischemic d...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/JPM.2004.127
更新日期：2004-01-01 00:00:00
abstract：:The renin-angiotensin system and dietary sodium have been repeatedly implicated in the pathogenesis of pregnancy induced hypertension (PIH). Mechanisms responsible for increased vascular responsiveness to angiotensin II (A-II) observed in PIH are not completely understood. Plasma A-II levels and blood pressure are fun...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/jpme.1984.12.4.167
更新日期：1984-01-01 00:00:00
abstract：:Bronchial reactivity was compared among mothers of neonates with unexplained premature delivery and mothers of preterm neonates with known etiology of prematurity as well as mothers who delivered their children at term. Bronchial reactivity was measured by unspecific bronchial provocation testing with histamine. A sig...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/jpme.1989.17.2.151
更新日期：1989-01-01 00:00:00
abstract：:Twin gestations frequently involve maternal and fetal complications, and are quite often considered as "premium" pregnancies. Hence, many clinicians that follow the cliche "no high risk pregnancy should end with a high risk delivery" may deliver twins by CS for many subtle reasons, other than clear-cut, evidence-based...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章,评审
doi：10.1515/JPM.2000.024
更新日期：2000-01-01 00:00:00
abstract：:Postpartum hemorrhage is a continuing problem occurring in 5-10% of all deliveries. Due to recent problems with blood transfusion, heterologous blood is nowadays restricted to life-threatening indications. As a consequence the clinician is faced with many patients suffering from overt symptoms of anemia. We therefore ...
journal_title：Journal of perinatal medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1515/jpme.1995.23.1-2.111
更新日期：1995-01-01 00:00:00
abstract：OBJECTIVE:To determine pregnancy outcome in patients with short cervix on transvaginal ultrasound between 16 and 24 weeks' gestation treated with McDonald cerclage compared to weekly intramuscular injections of 17 alpha-hydroxyprogesterone caproate (17OHP-C). METHODS:From November 2003 through December 2006, asymptoma...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章,随机对照试验
doi：10.1515/JPM.2009.083
更新日期：2009-01-01 00:00:00
abstract：AIMS:Heart rate variability (HRV) reveals information on the functional state of the autonomic nervous system (ANS). This study was initiated to assess the physiological- and maturational development of the ANS by comparing HRV data of healthy prematures with term infants. METHODS:Short-term recordings of HRV in 39 pr...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/JPM.2006.058
更新日期：2006-01-01 00:00:00
abstract：:Neuraxial labor analgesia can be initiated via combined spinal-epidural (CSE) or stand-alone epidural. Pros and cons of these techniques are outlined in this review. In recent years computer-integrated patient-controlled epidural analgesia (CI-PCEA) and programed intermittent epidural boluses (PIEB) have been develope...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章,评审
doi：10.1515/jpm-2016-0118
更新日期：2017-04-01 00:00:00
abstract：:A fatality from a tracheoesophageal fistula (TEF) in two extremely low birth weight infants is presented. The sudden onset of intractable respiratory failure accompanied by the absence of chest movement and breathing sounds was observed. The typical clinical symptoms were concealed because the infants required mechani...
journal_title：Journal of perinatal medicine
pub_type： 杂志文章
doi：10.1515/JPM.2002.037
更新日期：2002-01-01 00:00:00
