Abstract:
:We present an unusual complication of midtrimester genetic amniocentesis of a monochorionic twin gestation in which prolonged fetal bradycardia of 60 to 80 beats per minute sustained over two hours was associated with multiple subsequent fetal anomalies. These included: microcephaly, bilateral closed-lip schizencephaly, duodenal atresia, and complete paresis of the left upper extremity. Etiology of the fetal bradycardia was unclear. Fetal hemorrhage was not visualized despite targeted, continued real-time ultrasonography and was therefore considered an unlikely etiology. Although the bradycardia and associated hypoperfusion could alone explain the fetal outcome, destabilization of hemodynamics of a communicating vessel, resulting in a possible (although unproven) acute twin-twin transfusion induced at the time of amniocentesis due to decreased intra-amniotic pressure in association with a velamentous umbilical cord insertion could have led to this unusual occurrence.
journal_name
Am J Perinatoljournal_title
American journal of perinatologyauthors
Sherer DM,Salafia CMdoi
10.1055/s-2007-994354subject
Has Abstractpub_date
1996-08-01 00:00:00pages
347-50issue
6eissn
0735-1631issn
1098-8785journal_volume
13pub_type
杂志文章abstract:OBJECTIVE: It is well established that women with a previous vaginal delivery have higher success rates in relation to vaginal birth after cesarean than those without. The aim of this study was to examine the effect of past mode of delivery on contractile parameters of human myometrium in vitro. STUDY DESIGN: Myometri...
journal_title:American journal of perinatology
pub_type: 杂志文章
doi:10.1055/s-0039-1694980
更新日期:2021-01-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章
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更新日期:2010-10-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章
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journal_title:American journal of perinatology
pub_type: 杂志文章
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journal_title:American journal of perinatology
pub_type: 杂志文章,评审
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更新日期:2016-04-01 00:00:00
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journal_title:American journal of perinatology
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journal_title:American journal of perinatology
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更新日期:2002-08-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章
doi:10.1055/s-2002-33090
更新日期:2002-07-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章
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更新日期:1986-04-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章,评审
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更新日期:2000-01-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章
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更新日期:2018-09-01 00:00:00
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journal_title:American journal of perinatology
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journal_title:American journal of perinatology
pub_type: 杂志文章,评审
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更新日期:1989-07-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章
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更新日期:2015-02-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章
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更新日期:1988-04-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章,评审
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更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:This study aimed to describe the experience with a protocol of therapeutic hypothermia (TH) in southern Brazil. STUDY DESIGN:Newborns with gestational age > 35 weeks with evidence of perinatal asphyxia plus moderate or severe encephalopathy were recruited between March 2011 and November 2017. Whole-body hypo...
journal_title:American journal of perinatology
pub_type: 杂志文章
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更新日期:2020-07-01 00:00:00
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journal_title:American journal of perinatology
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journal_title:American journal of perinatology
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更新日期:2020-11-03 00:00:00
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journal_title:American journal of perinatology
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journal_title:American journal of perinatology
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更新日期:2019-02-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章
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更新日期:2010-10-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章
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更新日期:2000-01-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章
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更新日期:2020-07-21 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章
doi:10.1055/s-0029-1220788
更新日期:2009-10-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章
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journal_title:American journal of perinatology
pub_type: 杂志文章
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更新日期:2013-10-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章
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更新日期:2011-08-01 00:00:00
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journal_title:American journal of perinatology
pub_type: 杂志文章
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更新日期:2009-11-01 00:00:00