Donald School Journal of Ultrasound in Obstetrics and Gynecology

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2015 | July-September | Volume 9 | Issue 3

EDITORIAL

Panos Antsaklis

Editorial

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/dsjuog-9-3-xii  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Ritsuko K Pooh

A New Field of ‘Fetal Sono-ophthalmology’ by 3D HDlive Silhouette and Flow

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:2] [Pages No:221 - 222]

Keywords: Ultrasound,3D,Fetus,HDlive flow,HDlive silhouette,Prenatal diagnosis,See-through fashion,Sono-ophthalmology

PDF  |  DOI: 10.5005/jp-journals-10009-1407  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Pooh RK. A New Field of ‘Fetal Sonoophthalmology’ by 3D HDlive Silhouette and Flow. Donald School J Ultrasound Obstet Gynecol 2015;9(3):221-222.

RESEARCH ARTICLE

Christos Ioannou

Maternal Vitamin D Deficiency and Fetal Growth

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:7] [Pages No:223 - 229]

Keywords: 3D ultrasound,Biometry,Femur,Vitamin D

PDF  |  DOI: 10.5005/jp-journals-10009-1408  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Ioannou C. Maternal Vitamin D Deficiency and Fetal Growth. Donald School J Ultrasound Obstet Gynecol 2015;9(3):223-229.

RESEARCH ARTICLE

Jeanne Hortence Fouedjio, Florent Ymele Fouelifack, Jovanny Tsuala Fouogue, Thierry Tetka Tetka

Associations between the Grade of Placental Maturity at Third Trimester Ultrasound and Maternofetal Outcomes at the Maternity of the Yaoundé Central Hospital: A Prospective Cohort Study

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:4] [Pages No:230 - 233]

Keywords: Maternofetal prognosis,Placental grade,Pregnancy

PDF  |  DOI: 10.5005/jp-journals-10009-1409  |  Open Access |  How to cite  | 

Abstract

Background

Placental maturity assessed by ultrasound has been classified into 3 grades by Grannum. Grade 3 before the 36th week of pregnancy is associated with adverse maternofetal morbidity. We sought to determine the prevalence of grade 3 placenta between the 34th and the 36th week of pregnancy and to assess its impact on maternofetal outcomes in Cameroon.

Materials and methods

This prospective cohort study was conducted from January 2012 to July 2013 in the maternity unit of the Yaoundé Central Hospital.

Results

One hundred and two women with singleton pregnancies between the 34th and 36th weeks were included. Grade 3 placenta accounted for 5.9% of our sample. Grade 3 was significantly associated with the following: anterior location of the placenta (RR = 5.36; 95% CI: 1.36–9.62; p = 0.03), pre-eclampsia (RR = 12; 95% CI: 3.52–20.8; p = 0,003), meconium-stained amniotic fluid (RR = 4.32; 95% CI: 1.65–11.51; p = 0.04) and intrauterine growth restriction (RR = 2.43; 95% CI: 1.33–15.6; p = 0.007).

Conclusion

Grade 3 placental maturity before the 36th week of pregnancy is significantly associated with some maternal and fetal morbidities. Therefore, it warrants close monitoring to detect and avoid complications.

How to cite this article

Hortence FJ, Florent FY, Fouogue JT, Thierry TT. Associations between the Grade of Placental Maturity at Third Trimester Ultrasound and Maternofetal outcomes at the Maternity of the Yaoundé Central Hospital: A Prospective Cohort Study. Donald School J Ultrasound Obstet Gynecol 2015;9(3):230-233.

RESEARCH ARTICLE

Panos Antsaklis, George Daskalakis, Vasilios Pergialiotis, Alexandros Rodolakis, George Vlachos, Dimitrios Loutradis, Nikolaos Papantoniou

Evaluation of Parameters that Influence Morbidity in Peripartum Hysterectomy

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:5] [Pages No:234 - 238]

Keywords: Morbidity,Obstetrical hysterectomy,Peripartum hysterectomy,Placenta accreta

PDF  |  DOI: 10.5005/jp-journals-10009-1410  |  Open Access |  How to cite  | 

Abstract

Objective

To evaluate which factors affect the intraoperative and postoperative morbidity in cases of peripartum hysterectomy.

Study design

A retrospective study of all cases of peripartum hysterectomy performed during a 5-year period (January 2008–June 2013) in a tertiary maternity hospital.

Results

A total of 22,437 deliveries were reviewed and 63 cases of peripartum hysterectomy (2.8/1000) were identified. The indications for peripartum hysterectomy included: uterine atony (10 cases—15.9%), placenta accreta (21 cases—33.3%), placenta previa (30 cases—47.6%) and cervical pregnancy (2 cases—3.2%). Significantly higher rates of perioperative blood transfusion were noted in the emergency cases group, compared to the elective hysterectomies. Hypogastric artery ligation did not have any significant impact on the outcome. Preoperative bilateral ureteral catheterization was associated with lower need for blood transfusion (p < 0.001), and with less complications, although this was not statistically significant.

Conclusion

Maternal morbidity is significantly higher in emergency cases of peripartum hysterectomies compared to expected-planned cases.

How to cite this article

Daskalakis G, Antsaklis P, PergialiotisV, Rodolakis A, Vlachos G, Loutradis D, Papantoniou N. Evaluation of Parameters that Influence Morbidity Peripartum Hysterectomy. Donald School J Ultrasound Obstet Gynecol 2015;9(3):234-238.

RESEARCH ARTICLE

Panos Antsaklis, Aris Antsaklis, Daniela Paulescu, Stefania Tudorache, Iuliana Ceausu, Liliana Novac, Nicolae Cernea, Dominic Iliescu, Monica Cara

Challenges in Sonographic Detection of Fetal Major Structural Abnormalities at the First Trimester Anomaly Scan

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:21] [Pages No:239 - 259]

Keywords: Anomaly scan,Early or mid pregnancy,First trimester

PDF  |  DOI: 10.5005/jp-journals-10009-1411  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Iliescu D, Cara M, Tudorache S, Antsaklis P, Ceausu I, Paulescu D, Novac L, Cernea N, Antsaklis A. Challenges in Sonographic Detection of Fetal Major Structural Abnormalities at the First Trimester Anomaly Scan. Donald School J Ultrasound Obstet Gynecol 2015;9(3):239-259.

REVIEW ARTICLE

Maja Predojevic, Radu Vladareanu, Panos Antsaklis, Milan Stanojevic, Aida Salihagic Kadic

Is Kurjak Antenatal Neurodevelopmental Test Ready for Routine Clinical Application? Bucharest Consensus Statement

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:6] [Pages No:260 - 265]

Keywords: Fetal behavior,Four-dimensional ultrasound,Kurjak antenatal neurodevelopmental test,Statement,Cerebral palsy

PDF  |  DOI: 10.5005/jp-journals-10009-1412  |  Open Access |  How to cite  | 

Abstract

Background

While two-dimensional ultrasound (2D US) is used only for the assessment of fetal startles and general movements, introduction of Kurjak antenatal neurodevelopmental test (KANET) by four-dimensional ultrasound (4D US) enabled assessment of not only movements but also some signs used in postnatal neurological assessment like cranial sutures, head circumference and finger movements of the hand for the detection of neurological thumb (adducted thumb in the clenched feast). Overall impression on general movement called by Prechtl ‘Gestalt perception’ is also a part of KANET assessment. These parameters cannot be assessed by 2D US, and according to our opinion they are making the difference enabling more accurate and functionally more reliable assessment of the young and immature CNS.

After Osaka standardization of KANET has been published, many studies on fetal behavior from different centers using this method have been conducted and published. Although there is lack of long-term follow-up of children who were assessed by KANET as fetuses, some conclusions on the usage of KANET test in clinical practice can be made. There are still inconclusive results of prenatal neurological assessment using KANET test in fetuses with borderline scores, although it was revealed that negative predictive value of the test as well as inter-observer reliability were satisfactory and acceptable.

Conclusion

It can be concluded that KANET test can be used in everyday clinical practice for the follow-up of fetuses at neurological risk with the strong recommendation for strict and reliable multidisciplinary postnatal follow-up till the corrected age of at least 3 years and longer whenever appropriate. This will enable to make better correlation of prenatal KANET scores with postnatal neurodevelopmental outcomes.

How to cite this article

Stanojevic M, Antsaklis P, Kadic AS, Predojevic M, Vladareanu R, Vladareanu S, Neto RM. Is Kurjak Antenatal Neurodevelopmental Test Ready for Routine Clinical Application? Bucharest Consensus Statement. Donald School J Ultrasound Obstet Gynecol 2015;9(3):260-265.

REVIEW ARTICLE

Aris Antsaklis, Themos Grigoriadis, Sylvia-Christina Mylona, George Giannoulis, Stavros Athanasiou

Sonographic Evaluation of Obstetric Anal Injuries

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:9] [Pages No:266 - 274]

Keywords: Anal injuries,Postpartum,Ultrasound

PDF  |  DOI: 10.5005/jp-journals-10009-1413  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Grigoriadis T, Mylona SC, Giannoulis G, Athanasiou S, Antsaklis A. Sonographic Evaluation of Obstetric Anal Injuries. Donald School J Ultrasound Obstet Gynecol 2015;9(3):266-274.

REVIEW ARTICLE

Panos Antsaklis, Panagiotis Antsaklis, Stavros Natsis, Themos Grigoriadis

Sonographic Signs of Perinatal Infection

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:5] [Pages No:275 - 279]

Keywords: Perinatal,TORCH,Ultrasound,Infection

PDF  |  DOI: 10.5005/jp-journals-10009-1414  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Natsis S, Antsaklis P, Grigoriadis T, Antsaklis A. Sonographic Signs of Perinatal Infection. Donald School J Ultrasound Obstet Gynecol 2015;9(3):275-279.

REVIEW ARTICLE

Aris Antsaklis, Panagiotis Antsaklis

Invasive Procedures in Monochorionic Twins

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:13] [Pages No:280 - 292]

Keywords: Invasive procedures,Monochorionic twins,Twin-to-twin transfusion syndrome

PDF  |  DOI: 10.5005/jp-journals-10009-1415  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Antsaklis A, Antsaklis P. Invasive Procedures in Monochorionic Twins. Donald School J Ultrasound Obstet Gynecol 2015;9(3):280-292.

REVIEW ARTICLE

Panos Antsaklis, Aris Antsaklis, Michael Sindos, Fotodotis M Malamas

Invasive Prenatal Diagnosis: Chorionic Villus Sampling

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:14] [Pages No:293 - 306]

Keywords: Chorionic villus sampling,Invasive prenatal diagnosis

PDF  |  DOI: 10.5005/jp-journals-10009-1416  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Sindos M, Malamas FM, Antsaklis P, Antsaklis A. Invasive Prenatal Diagnosis: Chorionic Villus Sampling. Donald School J Ultrasound Obstet Gynecol 2015; 9(3):293-306.

REVIEW ARTICLE

Panos Antsaklis, Aris Antsaklis, Mariana Theodora

Invasive Prenatal Diagnosis: Amniocentesis

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:7] [Pages No:307 - 313]

Keywords: Amniocentesis,Invasive prenatal diagnosis

PDF  |  DOI: 10.5005/jp-journals-10009-1417  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Theodora M, Antsaklis P, Antsaklis A. Invasive Prenatal Diagnosis: Amniocentesis. Donald School J Ultrasound Obstet Gynecol 2015;9(3):307-313.

REVIEW ARTICLE

Cihat Sen, Orhan Uzun, Gokhan Goynumer, Bryan Beattie

Systematic Appraisal of Diagnosis and Management of Arrhythmias in the Fetus

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:13] [Pages No:314 - 326]

Keywords: Arrhythmia,Ectopy,Fetus,Heart block,Tachycardia,Treatment

PDF  |  DOI: 10.5005/jp-journals-10009-1418  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Uzun O, Goynumer G, Sen C, Beattie B. Systematic Appraisal of Diagnosis and Management of Arrhythmias in the Fetus. Donald School J Ultrasound Obstet Gynecol 2015;9(3):314-326.

CASE REPORT

Nageshu Shailaja, Lingegowda Krishna, BS Bhat, Krishna Kirtan

An Interesting Case of Undiagnosed Conjoined Twins

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:4] [Pages No:327 - 330]

Keywords: Conjoined twins,Dibrachius twins,Dicephalus twins,Dispinous twins,Paraphagus,Thoraco-omphalophagus twins

PDF  |  DOI: 10.5005/jp-journals-10009-1419  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kirtan K, Doopadapalli D, Shailaja N, Krishna L, Bhat BS. An Interesting Case of Undiagnosed Conjoined Twins. Donald School J Ultrasound Obstet Gynecol 2015;9(3):327-330.

CASE REPORT

Tapasi Pati, Sibananda Nayak, Sanjukata Mohapatra, Mahesh Chandra Sahu, Rabindra Nath Padhy

Hysterectomy of a 15 Years Old Girl: A Rare Case Report

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:4] [Pages No:331 - 334]

Keywords: Vaginal atresia,Vesicovaginal fistula,Hematometra,McIndoe's vaginoplasty

PDF  |  DOI: 10.5005/jp-journals-10009-1420  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Pati T, Nayak S, Mohapatra S, Sahu MC, Padhy RN. Hysterectomy of a 15 Years Old Girl: A Rare Case Report. Donald School J Ultrasound Obstet Gynecol 2015;9(3):331-334.

RESEARCH ARTICLE

ABSTRACTS

[Year:2015] [Month:July-September] [Volume:9] [Number:3] [Pages:20] [Pages No:335 - 354]

PDF  |  DOI: 10.5005/dsjuog-9-3-335  |  Open Access |  How to cite  | 

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