Pregnancy and Birth

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.

The embryonic heart rate (EHR) has been found to correlate with gestational age by crown-rump length (CRL) in normal pregnancies. This research compares the EHR and CRL for a population (n=173) in an assisted fertility program, and a population (n=173) of normal pregnancies which were paired by CRLs.

The introduction of the Pill in the 1960’s was probably one of the most liberating events in the history of women. Providing a safe and effective method of contraception, which women could easily control themselves, it enabled women to impact society like never before. Since its introduction, it has probably become one of the most widely studied medications ever.

There are many factors that go into the decision to choose a birth control method. This article is intended to be an overview to help you to think about these choices, and make a decision about what method is best for you.

In general decline in fertility is associated with increasing age, most notably for women. Women are born with a fixed number of oocytes which diminish with age leaving few if any capable of fertilization in the peri menopause.

Contraceptive behavior is related to changing age structure, and change in upper age limits for OCs use. However, there are unpredictable factors affecting contraceptive use such as the publicity regarding OCs and breast cancer and concern about sexually transmitted diseases (STDs) including human immunodeficiency virus infection as well as abortion legislation.

Each year there are millions of unplanned, and often unwanted, pregnancies due to lack of contraception or contraception failure. We have all read about the epidemic of teen pregnancies in the United States and other countries.

(fig. 1) I was so astonished by the 3D image that I wanted to share with you.  Look at the shape of the copper coil, it's amazing.  Submitted by Daniel Margulies, Argentina. (fig. 2) "This is my best 3D Multiplanar Reconstruction of  Multiload IUD."Image provided by:Mrio Libardi, M.D.Multimagem Ultra-sonografiaBotucatu, Sao PauloBrasil (fig. 3) Image provided courtesy of Antwoord van dr. R.J.C.M. Beerthuizen, directeur Stichting Anticonceptie Nederland, Winterswijk (fig. 4) Image provided by:Mrio Libardi, M.D.Multimagem Ultra-sonografiaBotucatu, Sao PauloBrasilFor more images and information about IUDs, please click here CommentsMy gut tells me that this may be an image artifact that is unique to 3D sonography.  If any of you heard the lecture on 3D artifacts in Buenos Aries by Dr. Andrew Hull... he was clear that 3D introduces new categories of image artifacts and a new "twist" on old familiar artifacts.  You can see the interview of Dr. Hull at:http://www.obgyn.net/displaytranscript.asp?page=/avtranscripts/dubose_hull This is probably not useful pathologically, but as a phenomenon of 3D sonography it may be important educationally to us end users.  I would like to post it and see more discussion. Peace, Terry J. DuBose, M.S., RDMS Assistant Professor & Director, Diagnostic Medical Sonography Program CHRP, University of Arkansas for Medical Sciences Little Rock, Arkansas, USA 501-686-6510http://www.io.com/~dubose/http://www.uams.edu/CHRP/dmshome.htmhttp://www.obgyn.net/us/panel/panel.htm