Pregnancy and Birth

Normal 35 week pregnancy

An approx. 12 week fetus, first ultrasound of this pregnancy.

4D image of 29 weeks pregnancy, multiple anomalies: Clinch hand, omphalocoele, single atrium

This is a confirmed case of scar ectopic pregnancy. Yesterday, I carried out this exam in an emergency room, without much time to perform an adequate sonogram, the patient did not feel good with “cramps” but no signs of bleeding.

Although ultrasounds are relatively safe and have become integral tools in medicine, the underlying thermal and mechanical mechanisms have the potential for causing negative biological effects. To protect patients, the National Electrical Manufacturers Association developed standards requiring the on-screen display of thermal indexes (TI) and mechanical indexes (MI) on machines capable of producing MIs or TIs greater than 1.

At the time I was starting this blog two patients with similar fibroids came to see me. Both were severely anemic, and one was hemorrhaging and in shock.

Doppler ultrasonography (US) is increasingly being utilized as an imaging modality in breast cancer. It is used to study the vascular characteristics of the tumor.

This random retrospective cross-sectional study was preformed to determine the frequency of uterine malformation in restricted gene pool communities. In 4 groups of women desiring to conceive during their reproductive years, all women lives in lacrete, a community in north Alberta, Canada

Ultrasound lets the doctor check on some aspects of the baby's health, especially those that involve the baby's structure and size. There are other tests that can be used together with ultrasound to get extra information about the baby.

Three-dimensional ultrasound (3D US) is a new imaging modality, which is being introduced into clinical practice. Although this technique will not probably replace two-dimensional ultrasound, it is being increasingly used.

A 29-year-old gravida 10, para 3 (1 term gestation, 1 preterm gestation of twins, 1 stillbirth at 5 months, 2 spontaneous abortions, and 4 elective abortions) presented to the clinic at about 5 weeks’ gestation with abdominal pain and vaginal bleeding. She described the pain as sporadic, mostly on the left side, exacerbated by movement, and resolving with rest, and the bleeding as initially intermittent but then heavier “like a period.”

Implantation in the scar of a previous Cesarean is thought to be the rarest of ectopic pregnancies. With the increasing numbers of Cesareans performed, scar implantation may become more frequent as well. We present an illustrative case.

Clinicians and researchers have seen an increase in the prevalence of gastroschisis, with the greatest risk seen in women who are younger than 20 years. That, coupled with an evident increase in developing countries, has led researchers to believe that gastroschisis is associated with environmental factors (with or without underlying genetic susceptibility).

Persistent infection with HPV is the principal cause of cervical cancer, with HPV implicated in more than 99% of cervical cancer cases worldwide.1 The cobas HPV (human papillomavirus) Test, recently approved by the FDA, identifies women at highest risk for the development of cervical cancer.

Varying risks and benefits are associated with cesarean deliveries as compared to vaginal deliveries, including the impact on the mother’s health and the infant’s health. Ultimately, the goal is to deliver the baby the safest way possible for both mother and baby, but does the mode of delivery significantly impact the health-related quality of life in the immediate postpartum period through the first year after childbirth?

Pelvic pain and urinary symptoms can present following delivery, but how does delivery method impact these symptoms? Dr Daniel G. Kiefer, physician in the division of maternal-fetal medicine/obstetrics in Lehigh Valley Health Network in Allentown, Pennsylvania, and colleagues conducted a prospective observational cohort study to further explore this question.