Pregnancy and Birth

Although the incidence of shoulder dystocia is low (reported between 0.6% and 1.4%), it continues to be a clinical challenge for birth attendants and is among the 4 largest causes of monetary awards in obstetric tort cases.

Shoulder dystocia can result in maternal and neonatal injuries, including brachial plexus palsies, fractures of the clavicle and humerus, and hypoxic-ischemic encephalopathy in babies as well as postpartum hemorrhage and fourth-degree lacerations in mothers. Although its incidence remains relatively low (reported between 0.6% and 1.4%), it continues to be a clinical challenge for birth attendants and is among the 4 largest causes of monetary awards in obstetric tort cases. Recognizing this problem, Dr Matthew K. Hoffman and colleagues sought to determine the efficacy of various obstetric maneuvers used to resolve shoulder dystocia and their impact on neonatal injury.

This is a 21 year old G3 P1 SAB2 (both at about 12 weeks, each with a D&C) who was sent to me for an ultrasound because she was bleeding. The LMP was unknown, and the pregnancy test had been positive several days before. She is Rh negative. She had a LEEP in 1994 for CIN 1 of the cervix.

This is a case of a 19-year-old female referred to the high-risk obstetrical laboratory for evaluation because of an abnormal sonogram that indicated cerebral ventriculomegaly. A series of sonographic examinations were performed over a three-month period.

This case study presents a 35-year-old white female who was referred to the UAMS High-Risk Obstetrical Clinic due to advanced maternal age. The patient and her husband received genetic counseling. This was the patient's first pregnancy. She presented with no obvious complications.

The stuck twin is part of the twin-twin transfusion syndrome. The easiest-to-understand explanation is that within the single placenta of a monochorionic twin pair, there are arteriorvenous communications between the circulation’s of the twins.

This article examines issues surrounding noncompliance, and offers advice regarding effective patient counseling. It also highlights the importance of OC packaging: Market research studies suggest that more discreet and more convenient styles of packaging may promote consistent use.

The following image set is taken from a 12 weeks pregnancy.

The diagnosis of trisomy 21 was made by chorion villus sampling because of increased (3,2 mm) fetal nuchal translucency thickness detected at routine first-trimester ultrasonographic examination.

Sending you an image of placenta, in late pregnancy (3rd trimester). I think it is low lying. Question is: can it be called mild previa?

The IUCD is the stainless steel 'Chinese ring' widely used in China for the last 20 years. We see quite a lot of these rings in Hong Kong from women who recently arrived from China and wanted to have them removed.

Mother is sure of LMP 17th Nov/98 ( EDD = 24/8/99). On ultrasound scan (17/7/99) the average gestational age is only 31 weeks, ie the ultrasound derived EDD=18/9/99.

This woman presents with a bloody discharge from the nipple of the left breast during the past two months. Mammography demonstrated increasing asymmetric opacity in the left retroareolar space.

In a transvaginal coronal plane, you can see on the left-hand side of the fundus a flourishing pregnancy with an embryo of 9 weeks. In the last pictures of the clip a thin hypoechogenic endomiometrial layer is more easily seen.

Anencephaly represents the most common neural tube defect. It’s incidence is approximately 1:1000 with female predominance (4:1) and geographical variability.

To study the value of Doppler ultrasound of the ductus venosus in the screening for chromosomal abnormalities at 10-14 weeks of gestation.

The mobile foraminal flap consisted of a thin membrane ballooning into the left atrium. During ventricular filling, the flap encroached on the mitral valve annulus, but did not appear to obstruct the mitral valve flow.

With its accuracy, scope, and reproducibility, might transvaginal cervical imaging help us not only predict preterm labor but understand its mechanisms? The early and timely diagnosis of preterm labor (PTL) continues to elude even the most accomplished obstetrician.

Women's health care has engendered innovations with enormous impact on the practice of medicine and on modern life in general--such innovations as hand-washing, the Papanicolaou smear, and oral contraceptives.

Twin to twin transfusion syndrome (TTTS) is a common complication of monochorionic twin gestations. If untreated, this condition carries a very high mortality rate for both twins. The therapeutic options available today are still rather limited.

Evaluation of the Rupture of Silicone Breast Implants by Mammography, Ultrasonograpy and Magnetic Resonance Imaging of Asymptomatic Patients: Correlation with Surgical Findings

Over the past 10 years controversy has surrounded the practice of ultrasound for entertainment purposes. In 1994, the ARDMS held and published a readership poll on this very subject. For our paper we decided to hold a similar poll to see if the opinion has changed over the last 5 years.

Hypoplasia of the right ventricle is uncommon as an isolated entity. It may result from tricuspid atresia, but is most commonly secondary to pulmonary atresia with intact ventricular septum.

Sacrococcygeal teratoma ( SCT ) is the most common congenital neoplasm of the fetus. This tumor contains derivatives of more than one of the three embryonic germ cell layers and usually arises as a mass in the sacrococcygeal region.

Trisomy 18 is a serious chromosomal anomaly which has a very poor (usually lethal) prognosis. T18 is usually associated with a variety of sonographically detectable abnormalities.