MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Zeitschrift fur Geburtshilfe und Neonatologie' source. Tue, 02 Mar 2010 17:35:28 +0100 http://www.medworm.com/index.php?rid=3276805&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20155661%26dopt%3DAbstract CONCLUSIONS: FHR characteristics in different foetal behavioural states offer the opportunity to design a new index, the WAS index, which shows close (p<<10 (-4)) correlations with all variables of the foetal ABB. Thus, the pH value in cord blood can be predicted within clinically reasonable limits. The qualitative CTG analysis remains untouched. PMID: 20155661 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3276805 Fri, 01 Jan 2010 00:00:00 +0100 3276805 http://www.medworm.com/index.php?rid=3269405&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20148384%26dopt%3DAbstract CONCLUSIONS: Maturation of the ANS is accompanied by increasing HRV with a pronounced increase of sympathetic activity. These changes are measurable by CTG recordings with a computer algorithm which can calculate short-term variability on the basis of CTG data. Problems of the CTG signal, as shown before, were the parameters of the time domain, which could only be well detected by ECG or foetal magnetocardiography (FMCG). PMID: 20148384 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3269405 Fri, 01 Jan 2010 00:00:00 +0100 3269405 http://www.medworm.com/index.php?rid=3269404&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20148385%26dopt%3DAbstract CONCLUSIONS AND DISCUSSION: For the first time in Germany, the SNiP collected comprehensive population-based data on the age and socio-demographic variables of children and their mothers in a defined geographical region. A significant discrepancy for average age of primiparae between the study results and the official statistics is discussed in the light of methodological and regional issues. Our results require the continuation of comprehensive population-based data assessment. Furthermore, the SniP region could serve as a model region for future research. In international comparisons Germany?s reproductive behaviour has proved to be unfavourable, which is accentuated in the region under examination. PMID: 20148385 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshi... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3269404 Fri, 01 Jan 2010 00:00:00 +0100 3269404 http://www.medworm.com/index.php?rid=3269403&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20148386%26dopt%3DAbstract Authors: Voigt M, Rochow N, Hesse V, Olbertz D, Schneider KT, Jorch G PMID: 20148386 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3269403 Fri, 01 Jan 2010 00:00:00 +0100 3269403 http://www.medworm.com/index.php?rid=3212920&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20099208%26dopt%3DAbstract Authors: Bohlmann MK, Diedrich K PMID: 20099208 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3212920 Tue, 01 Dec 2009 00:00:00 +0100 3212920 http://www.medworm.com/index.php?rid=3212919&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20099209%26dopt%3DAbstract CONCLUSIONS: Pregnancies after ART are to be regarded as risk constellations with a need for closer surveillance during gestation - irrespective of the number of developing foetuses. Couples seeking advice about infertility should be informed in detail before the onset of ART. PMID: 20099209 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3212919 Tue, 01 Dec 2009 00:00:00 +0100 3212919 http://www.medworm.com/index.php?rid=3212918&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20099210%26dopt%3DAbstract CONCLUSIONS: The knowledge about specific preventive approaches against complications in twin pregnancies and gestations after ART is scarce. More prospective trials are urgently needed to assess the risks and benefits of prophylactic approaches for these risk constellations. PMID: 20099210 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3212918 Tue, 01 Dec 2009 00:00:00 +0100 3212918 http://www.medworm.com/index.php?rid=3212917&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20099211%26dopt%3DAbstract Authors: Slaghekke F, Kist WJ, Oepkes D, Middeldorp JM, Klumper FJ, Vandenbussche FP, Lopriore E Monochorionic twins share a single placenta with inter-twin vascular anastomoses, allowing the transfer of blood from one fetus to the other and vice versa. These anastomoses are the essential anatomical substrate for the development of severe complications, including twin-twin transfusion syndrome (TTTS) and twin-anemia-polycythemia sequence (TAPS). TTTS and TAPS are both chronic forms of feto-fetal transfusion. TTTS is characterized by the twin oligo-polyhydramnios sequence (TOPS), whereas TAPS is characterized by large inter-twin hemoglobin differences in the absence of amniotic fluid discordances. TAPS may occur spontaneously in a minority of monochorionic twins or in TTTS cases after l... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3212917 Tue, 01 Dec 2009 00:00:00 +0100 3212917 http://www.medworm.com/index.php?rid=3212916&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20099212%26dopt%3DAbstract Authors: Arabin B Monochorionic monoamniotic (MCMA) multiple pregnancies are rare events with an incidence of around 0.004% of all life births. They are the result of a delayed splitting of a single blastocyst whereby the stimuli and mechanisms are still unknown. The Incidence of MCMA multiple pregnancies is increased after artificial reproductive techniques. With the advent of modern ultrasonography the diagnosis of MCMA multiple pregnancies and the combined complications such as cord entanglement, malformations including the incidence if conjoined twins and even threatening preterm delivery or twin-twin transfusion syndrome has improved. The chances of intact survival of up to 80-90% have improved through intensified surveillance. It is recommended to perform a Cesarean section at ar... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3212916 Tue, 01 Dec 2009 00:00:00 +0100 3212916 http://www.medworm.com/index.php?rid=3212915&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20099213%26dopt%3DAbstract CONCLUSION: Further improvement in the case of complicated twin pregnancy is essential to improve fetal and maternal health. PMID: 20099213 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3212915 Tue, 01 Dec 2009 00:00:00 +0100 3212915 http://www.medworm.com/index.php?rid=3212914&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20099214%26dopt%3DAbstract This study aims to provide data on expenses of twin deliveries and to compare expenditures of deliveries after spontaneous conception with deliveries after infertility treatment. PATIENTS AND METHODS: Retrospective cohort-analysis on obstetrical data of twin deliveries at the Department of Obstetrics and Gynaecology of the University Hospital Schleswig-Holstein, Campus Luebeck between January 2000 and December 2008. A comparison of delivery expenses of spontaneous twin pregnancies and after infertility treatment. RESULTS: Patients delivering twins after infertility treatment stay 1.1 days longer at the hospital, are 2.5 years older and the number of previous pregnancies and deliveries are significantly lower compared to women after spontaneous conception of twins. In our setting fetal outc... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3212914 Tue, 01 Dec 2009 00:00:00 +0100 3212914 http://www.medworm.com/index.php?rid=3212913&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20101571%26dopt%3DAbstract Authors: Bahlmann F Monochorionic twin pregnancies have an increased risk of intrauterine and postnatal complications because of the present placental vascular anastomoses. The main problems are the development of twin-to-twin transfusion syndrome, selective intrauterine growth restriction, monoamniotic twins and single intrauterine death on the one hand and congenital abnormalities like twin reversed-arterial perfusion and conjoined twins on the other hand. Fetoscopic laser therapy with selective coagulation of placental intertwin anastomoses is the best option in the treatment of twin-to-twin transfusion syndrome. The risk of preterm delivery, cerebral injury and abnormalities of long-term neurodevelopmental outcome are increased. Perinatal management of monochorionic twin pregnancie... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3212913 Tue, 01 Dec 2009 00:00:00 +0100 3212913 http://www.medworm.com/index.php?rid=2959914&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856238%26dopt%3DAbstract CONCLUSION: The pregnant woman should be informed about the statistically proved different maternal risk factors for a shoulder dystocia and a possible paresis of the Plexus brachialis in relation to the fetal birth weight. The sensitivity of 60% of the sonographic estimation of the fetal birth weight is to low and cannot be the only content of an information about this danger for the newborn. PMID: 19856238 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2959914 Thu, 01 Oct 2009 00:00:00 +0100 2959914 http://www.medworm.com/index.php?rid=2959913&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856239%26dopt%3DAbstract Authors: Bahm J, Rath W Brachial plexus injuries are an interdisciplinary challenge to obstetricians, neonatologists and plexus surgeons. The incidence of brachial plexus injuries is 1-4/1,000 live births, and the incidence of permanent lesions has been estimated to be 1/10,000 live births. Shoulder dystocia is associated with a 75-100-fold increase in plexus injuries. The antenatal (intrauterine) development of brachial plexus injuries is still a matter of controversial debate. The early recognition of antenatal risk factors of shoulder dystocia and its proper management by experienced obstetricians are mandatory; 90% of brachial plexus injuries recover without clinical sequelae for the newborn, however, 10% of the cases may lead to severe pareses requiring surgical intervention. Micr... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2959913 Thu, 01 Oct 2009 00:00:00 +0100 2959913 http://www.medworm.com/index.php?rid=2959912&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856240%26dopt%3DAbstract DISCUSSION: The accuracy of the estimation of foetal macrosomia has been improved by combining ultrasonography with prepartal maternal risk factors. PMID: 19856240 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2959912 Thu, 01 Oct 2009 00:00:00 +0100 2959912 http://www.medworm.com/index.php?rid=2959911&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856241%26dopt%3DAbstract CONCLUSION: Our new and previously existing data support the idea that NVP has been selected for by evolution, as a functional adaptation to vulnerable early pregnancy, which benefits mother and child. This assumption is supported by the correlation of NVP with a better foetal prognosis, the cross-culturally high prevalence and a favorable relation of low biological costs versus high effects. The benefit of NVP could be realised by nutritional change, increased social support, more passive and careful behaviour, earlier recognition of pregnancy and a positive influence on foetal development. To understand the functionality of NVP, one needs to consider the complex somato-psychoemotional interplay in the context of an environment of evolutionary adaptedness (EEA). PMID: 19856241 [PubMed... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2959911 Thu, 01 Oct 2009 00:00:00 +0100 2959911 http://www.medworm.com/index.php?rid=2959910&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856242%26dopt%3DAbstract CONCLUSIONS: Our results allow the definition of groups of women who are at higher risk of SGA births. We show that especially older primiparous women (aged >or=31 years) who smoke >10 cigarettes a day are at increased risk of experiencing fetal growth restriction. PMID: 19856242 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2959910 Thu, 01 Oct 2009 00:00:00 +0100 2959910 http://www.medworm.com/index.php?rid=2959909&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856243%26dopt%3DAbstract CONCLUSIONS: Atosiban was comparable in clinical effectiveness and was associated with fewer maternal and fetal adverse effects, so that fenoterol cannot be recommended. Completion of tocolytic therapy 12 hours after arrest of preterm labour is effective and associated with a short mean duration. PMID: 19856243 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2959909 Thu, 01 Oct 2009 00:00:00 +0100 2959909 http://www.medworm.com/index.php?rid=2959908&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856244%26dopt%3DAbstract Authors: Kulas T, Habek D, Hrgović Z A rare case is presented of vulvar edema and abscess with subsequent labia minor hypertrophy in a 26-year-old woman, which developed during two consecutive pregnancies with normal maternal and neonatal outcome. After a first pregnancy, the patient was initially treated conservatively, followed by incision of the abscess. After the second pregnancy, surgical correction of the hypertrophic labia minor was performed. The possible causes, complications and therapeutic options are discussed. PMID: 19856244 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2959908 Thu, 01 Oct 2009 00:00:00 +0100 2959908 http://www.medworm.com/index.php?rid=2959907&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856245%26dopt%3DAbstract We report on a female patient who was born at 37 weeks of gestation and was both small and light for gestational age who displayed typical signs of SLOS. After the diagnosis had been confirmed, a therapeutic approach with oral substitution of cholesterol and the administration of simvastatin was initiated. In spite of this strategy, the patient died at the age of 12 weeks from the disease. Based on the case presented, we review and discuss current diagnostic and therapeutic options for patients with SLOS. PMID: 19856245 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2959907 Thu, 01 Oct 2009 00:00:00 +0100 2959907 http://www.medworm.com/index.php?rid=2935389&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856238%26dopt%3DAbstract CONCLUSION: The pregnant woman should be informed about the statistically proved different maternal risk factors for a shoulder dystocia and a possible paresis of the Plexus brachialis in relation to the fetal birth weight. The sensitivity of 60% of the sonographic estimation of the fetal birth weight is to low and cannot be the only content of an information about this danger for the newborn. PMID: 19856238 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2935389 Thu, 01 Oct 2009 00:00:00 +0100 2935389 http://www.medworm.com/index.php?rid=2935388&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856239%26dopt%3DAbstract Authors: Bahm J, Rath W Brachial plexus injuries are an interdisciplinary challenge to obstetricians, neonatologists and plexus surgeons. The incidence of brachial plexus injuries is 1-4/1 000 live births, and the incidence of permanent lesions has been estimated to be 1/10 000 live births. Shoulder dystocia is associated with a 75-100-fold increase in plexus injuries. The antenatal (intrauterine) development of brachial plexus injuries is still a matter of controversial debate. The early recognition of antenatal risk factors of shoulder dystocia and its proper management by experienced obstetricians are mandatory; 90% of brachial plexus injuries recover without clinical sequelae for the newborn, however, 10% of the cases may lead to severe pareses requiring surgical intervention. Micr... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2935388 Thu, 01 Oct 2009 00:00:00 +0100 2935388 http://www.medworm.com/index.php?rid=2935387&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856240%26dopt%3DAbstract DISCUSSION: The accuracy of the estimation of foetal macrosomia has been improved by combining ultrasonography with prepartal maternal risk factors. PMID: 19856240 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2935387 Thu, 01 Oct 2009 00:00:00 +0100 2935387 http://www.medworm.com/index.php?rid=2935386&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856241%26dopt%3DAbstract CONCLUSION: Our new and previously existing data support the idea that NVP has been selected for by evolution, as a functional adaptation to vulnerable early pregnancy, which benefits mother and child. This assumption is supported by the correlation of NVP with a better foetal prognosis, the cross-culturally high prevalence and a favorable relation of low biological costs versus high effects. The benefit of NVP could be realised by nutritional change, increased social support, more passive and careful behaviour, earlier recognition of pregnancy and a positive influence on foetal development. To understand the functionality of NVP, one needs to consider the complex somato-psychoemotional interplay in the context of an environment of evolutionary adaptedness (EEA). PMID: 19856241 [PubMed... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2935386 Thu, 01 Oct 2009 00:00:00 +0100 2935386 http://www.medworm.com/index.php?rid=2935385&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856242%26dopt%3DAbstract CONCLUSIONS: Our results allow the definition of groups of women who are at higher risk of SGA births. We show that especially older primiparous women (aged >/=31 years) who smoke >10 cigarettes a day are at increased risk of experiencing fetal growth restriction. PMID: 19856242 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2935385 Thu, 01 Oct 2009 00:00:00 +0100 2935385 http://www.medworm.com/index.php?rid=2935384&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856243%26dopt%3DAbstract CONCLUSIONS: Atosiban was comparable in clinical effectiveness and was associated with fewer maternal and fetal adverse effects, so that fenoterol cannot be recommended. Completion of tocolytic therapy 12 hours after arrest of preterm labour is effective and associated with a short mean duration. PMID: 19856243 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2935384 Thu, 01 Oct 2009 00:00:00 +0100 2935384 http://www.medworm.com/index.php?rid=2935383&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856244%26dopt%3DAbstract Authors: Kulaš T, Habek D, Hrgović Z A rare case is presented of vulvar edema and abscess with subsequent labia minor hypertrophy in a 26-year-old woman, which developed during two consecutive pregnancies with normal maternal and neonatal outcome. After a first pregnancy, the patient was initially treated conservatively, followed by incision of the abscess. After the second pregnancy, surgical correction of the hypertrophic labia minor was performed. The possible causes, complications and therapeutic options are discussed. PMID: 19856244 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2935383 Thu, 01 Oct 2009 00:00:00 +0100 2935383 http://www.medworm.com/index.php?rid=2935382&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19856245%26dopt%3DAbstract We report on a female patient who was born at 37 weeks of gestation and was both small and light for gestational age who displayed typical signs of SLOS. After the diagnosis had been confirmed, a therapeutic approach with oral substitution of cholesterol and the administration of simvastatin was initiated. In spite of this strategy, the patient died at the age of 12 weeks from the disease. Based on the case presented, we review and discuss current diagnostic and therapeutic options for patients with SLOS. PMID: 19856245 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2935382 Thu, 01 Oct 2009 00:00:00 +0100 2935382 http://www.medworm.com/index.php?rid=2712989&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19685404%26dopt%3DAbstract This study was based on personal considerations and a selective online literature search. HYPOTHESIS: SIDS is the result of a frequently protracted ATP-depletion. DISCUSSION: Especially in combination, all risk factors for SIDS favour an ATP-deficiency by increasing ATP-catabolism and/or by diminishing ATP-synthesis. Prenatal chronic hypoxaemia and an insufficient supply with nutrients lead to low birth-weight, reduced adipose tissue, elevated haemoglobin F, increased sympathetic activity, hypermetabolism, and diminished hypoxia tolerance in the neonates. Because of reduced adipose tissue, more energy for thermogenesis is needed after birth. In reaction to hypoxaemia, infants with risk factors show hyperventilation instead of hypoxic hypometabolism and respiratory depression. Enhanced brea... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2712989 Fri, 31 Jul 2009 23:00:00 +0100 2712989 http://www.medworm.com/index.php?rid=2712988&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19685405%26dopt%3DAbstract CONCLUSION: It was possible to diagnose preterm labour early enough for prenatal transfer. DISCUSSION: On the strength of past experience it may be assumed that the obstetrician's or institution's willingness to transfer mothers before delivery was the critical factor of the nearly complete regionalization. PMID: 19685405 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2712988 Fri, 31 Jul 2009 23:00:00 +0100 2712988 http://www.medworm.com/index.php?rid=2712987&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19685406%26dopt%3DAbstract CONCLUSIONS: We have shown that certain combinations of maternal parameters are associated with a high risk of premature deliveries (>10%). The risk table that we present here may assist in predicting premature delivery. PMID: 19685406 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2712987 Fri, 31 Jul 2009 23:00:00 +0100 2712987 http://www.medworm.com/index.php?rid=2712986&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19685407%26dopt%3DAbstract CONCLUSIONS: Good decision making in neonatology must be context sensitive. General guidelines can be a helpful resource for carefully developing such a process. By taking the factors described in this paper into consideration, this task will be completed more efficiently. PMID: 19685407 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2712986 Fri, 31 Jul 2009 23:00:00 +0100 2712986 http://www.medworm.com/index.php?rid=2712985&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19685408%26dopt%3DAbstract CONCLUSION: Extensive lymphatic malformations of the Head and Neck challenge treating physicians and affected families. Advancements of prenatal diagnostics and opportunities of peri- and postnatal interventions contribute to an improved survival chance and prognosis. Intensive interdisciplinary cooperation in specialised centers is of outstanding importance for an optimal care of these patients. PMID: 19685408 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2712985 Fri, 31 Jul 2009 23:00:00 +0100 2712985 http://www.medworm.com/index.php?rid=2712984&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19685409%26dopt%3DAbstract We report the case of a preterm (gestational age 32+2 weeks) infant with an accidental administration of a ten-fold dose of gentamicin. The baby was treated with a slight increase of fluid intake and monitoring of renal function and gentamicin levels, respectively. A rapid decrease of the gentamicin level (peak level 44.5 mg/L, extrapolated peak level 65 mg/L) was observed. Nephrotoxicity or ototoxicity did not occur. Because of the small number of described cases, a general recommendation for the management of gentamicin intoxication is not possible. The intensity of treatment depends on renal function and gentamicin level. Only isolated patients will need dialysis or exchange transfusion. The case also demonstrates the need for the continuous discussion about hospital-associated damage a... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2712984 Fri, 31 Jul 2009 23:00:00 +0100 2712984 http://www.medworm.com/index.php?rid=2712983&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19685410%26dopt%3DAbstract [Congress Report: "Recent advances in neonatology" , Würzburg, October 2nd-4th, 2008] Z Geburtshilfe Neonatol. 2009 Aug;213(4):164-7 Authors: Kramer BW PMID: 19685410 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2712983 Fri, 31 Jul 2009 23:00:00 +0100 2712983 http://www.medworm.com/index.php?rid=2548112&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19536705%26dopt%3DAbstract Authors: Schmidt S PMID: 19536705 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2548112 Sun, 31 May 2009 23:00:00 +0100 2548112 http://www.medworm.com/index.php?rid=2548111&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19536706%26dopt%3DAbstract Authors: Schneider H PMID: 19536706 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2548111 Sun, 31 May 2009 23:00:00 +0100 2548111 http://www.medworm.com/index.php?rid=2548110&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19536707%26dopt%3DAbstract Authors: Cetin I, Antonazzo P Intrauterine growth restriction (IUGR) represents a reduction from the physiological growth rate. Fetal growth depends from the maternal supply of nutrients through the placenta into the umbilical circulation. Consequently, fetal growth restriction is associated with a reduced nutritional placental supply and this can result from a decrease in utero-placental blood flows as well as a reduced placental transport capacity. In IUGR, the placental supply of amino acids is significantly reduced independently from the severity of growth restriction and from the presence of hypoxia. Moreover, maternal-fetal gradients of glucose are increased in severe IUGR fetuses, i. e. those with alterations of umbilical blood flows, and reduced conversion ratios of long chain-... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2548110 Sun, 31 May 2009 23:00:00 +0100 2548110 http://www.medworm.com/index.php?rid=2548109&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19536708%26dopt%3DAbstract CONCLUSIONS: The results suggest that perfusion with xanthine/xanthine oxidase and free hemoglobin induce changes in gene expression similar to what has been described for the preeclamptic placenta. PMID: 19536708 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2548109 Sun, 31 May 2009 23:00:00 +0100 2548109 http://www.medworm.com/index.php?rid=2548108&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19536709%26dopt%3DAbstract Authors: Herr F, Baal N, Zygmunt M Undisturbed development and growth of the fetus depends on an adequate vascular development in the fetomaternal unit. Several steps of vascular adaptation both on fetal and maternal side are necessary and involve uterine vasodilation and remodelling by extravillous trophoblast as well as vasculo- and angiogenesis within the placenta. Ubiquitous (e. g. VEGF, bFGF) as well as pregnancy specific (PlGF, hCG, IGF-II, AFP) angiogenic factors are involved. Consequences of abnormal vascular development have been associated with different pregnancy-related pathologies ranging from miscarriage to intrauterine growth restriction or preeclampsia. Pregnancy-associated exposure to bacterial and viral infections or toxic agents (e. g. alcohol, nicotine or drugs) may... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2548108 Sun, 31 May 2009 23:00:00 +0100 2548108 http://www.medworm.com/index.php?rid=2548107&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19536710%26dopt%3DAbstract Authors: Stepan H, Jank A Angiogenic factors like placental growth factor (PlGF) and its anti-angiogenic antagonists soluble fms-like tyrosine kinase 1 (sFlt1) and soluble endoglin (sEng) are closely related to the pathogenesis of preeclampsia and intrauterine growth restriction (IUGR). The discovery and investigation of these angiogenic factors could characterize important pathogenetic mediators of preeclampsia or even the cause for placental dysfunctions. These anti-angiogenic proteins are dramatically elevated in maternal circulation weeks prior to the onset of the syndrome preeclampsia. Since it is known that altered maternal sFlt1, sEng and PlGF levels are detectable weeks prior to the onset of these pregnancy complications, it was the aim of the study to investigate the predictiv... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2548107 Sun, 31 May 2009 23:00:00 +0100 2548107 http://www.medworm.com/index.php?rid=2548106&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19536711%26dopt%3DAbstract Authors: Seck K, Fischer T The new german guidelines for the treatment of hypertensive disorders in pregnancy have some important differentiations. The aim of the new guidelines is to avoid the early premature birth and to reduce the fetal and maternal morbidity and mortality. For the first time there ist the possibility and the recommendation for the prolongation of pregnancy. This means that the treatment of hypertensive disorders should start not before a blood pressure of >/=170/110 mmHg; thus the nutrition of the fetus will not be worsened and the worse perfusion of the placenta will be avoided. Further more the selection of antihypertensive treatment has changed: the first choice is not longer Dihydralazin (Nepresol ((R))) but Nifedipin (Adalat ((R))). In the treatment of HELL... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2548106 Sun, 31 May 2009 23:00:00 +0100 2548106 http://www.medworm.com/index.php?rid=2295466&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19319791%26dopt%3DAbstract CONCLUSION: Surfactant inactivation and dysfunction is also a hallmark in newborns with meconium aspiration syndrome (MAS), for which a beneficial effect of exogenous surfactant replacement. i.e., reduction of need for ECMO, could be shown. Although for the majority of the above-mentioned diseases process data from randomised, controlled trials are lacking, it is evident from clinical experience that surfactant replacement which counterbalances surfactant inactivation seems to improve oxygenation and lung function in many babies with ARDS without apparent negative side effects. Thus surfactant treatment seems to be justified in many neonates with ARDS. PMID: 19319791 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2295466 Sun, 29 Mar 2009 02:06:24 +0100 2295466 http://www.medworm.com/index.php?rid=2295461&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19319792%26dopt%3DAbstract CONCLUSION: The history of the risk catalogue shows that its revision is essential to meet current health science requirements. Likewise, arguments for an evidence-based revision of the items of the risk catalogue are to be found in current literature. PMID: 19319792 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2295461 Sun, 29 Mar 2009 02:06:12 +0100 2295461 http://www.medworm.com/index.php?rid=2295457&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19319793%26dopt%3DAbstract Authors: Jacobs VR, Schneider KT Umbilical cord blood (UCB) of a newborn contains stem cells with a remarkably high differentiation and regeneration potential. They are therefore useful for application in regenerative medicine. In this review current clinical applications are summarised and the necessity for the storage of UCB stem cells is derived and discussed. A Medline search for publications regarding clinical application of UCB stem cells was carried out and other data bases were reviewed. The transplantation of UCB stem cells, a special class of adult stem cells, has not only been established successfully in a variety of haematoblastoses but could also improve the prognosis in diseases which are related to degeneration and/or injuries of body cells and organs. The current focus ... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2295457 Sun, 29 Mar 2009 02:05:59 +0100 2295457 http://www.medworm.com/index.php?rid=2295452&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19319794%26dopt%3DAbstract Authors: Dembinski J, Kroll M, Lewin M, Winkler P Unilateral pulmonary anomalies are rare events of unknown etiology and large clinical variability. Neonatal history does not allow for a reliable prognosis. Interdisciplinary mangament includes prenatal diagnostics and obstetrics, genetics, neonatology, pediatric cardiology and surgery as well as pediatric orthopedics. Neonatal history and long-term follow-up in three patients are presented here including a discussion of prenatal diagnostics and the embryo-genetic basics of lung development. In three term neonates the diagnoses of unilateral pulmonary agenesis, aplasia and dysplasia, respectively, were based on angiography, MRI and bronchoscopy. Neonatal presentation and long-term consequences were studied in the context of the current ... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2295452 Sun, 29 Mar 2009 02:05:45 +0100 2295452 http://www.medworm.com/index.php?rid=2295448&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19319795%26dopt%3DAbstract We report about a 3-day-old full-term newborn who suffered from series of tonic-clonic and myoclonic seizures. His mother was treated with lamotrigin for epilepsy. It is worthy of note that the drug level of the neonate had already decreas-ed to 37% of the basic level of his mother. At the same time, there was a catabolic metabolic situation and a mild hyponatriaemia. We believe that the neonatal seizures were caused by lamotrigin withdrawal. PMID: 19319795 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2295448 Sun, 29 Mar 2009 02:05:32 +0100 2295448 http://www.medworm.com/index.php?rid=2295445&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19319796%26dopt%3DAbstract We report about a male, term newborn [birth weight 2 810 g (P10), length 49 cm (P30), head circumferance 35 cm (P50), APGAR 7/8/10] with hydrops fetalis. In the follow-up examination a pericardial effusion and increasing biventricular hypertrophic cardiomyopathy were obvious. A chemotherapy with cytarabine was initiated for five days. In further examinations cardiac recovery was observed. To the best of our knowledge this is the first case report of a term newborn with TMD and biventricular hypertrophic cardiomyopathy. PMID: 19319796 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2295445 Sun, 29 Mar 2009 02:05:18 +0100 2295445 http://www.medworm.com/index.php?rid=2241643&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19259898%26dopt%3DAbstract Authors: Lehnen H, Vinke M, Schwennicke C, Pascheberg U Phenylketonuria is the best known pathology of amino acid metabolism. Presented here is the case of a 23-year-old prima gravida with phenylketonuria since birth. After delivery, her child was diagnosed with free trisomy 21. Abnormal sonographic signs such as bilateral hydrothorax, polyhydramnion, and short femura under the 10th percentile could be demonstrated in the ultrasound scan at 33weeks of gestation. Regularly measured maternal phenylalanine levels during the complete pregnancy as well as preconceptionally were always under the embryopathic cutoff point of 1 200 micromoles/L (20 mg/L). An association seems unlikely. This is the first description of such a constellation according to a literature search (PubMed, Cochrane Libr... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2241643 Sun, 01 Feb 2009 05:00:00 +0100 2241643 http://www.medworm.com/index.php?rid=2241642&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19259899%26dopt%3DAbstract CONCLUSION: Fetal pulse oximetry saturation rates can be another helpful marker for fetal well-being in a modern labour ward. Further studies are required to verify whether fetal pulse oximetry saturation rates can improve the specificity of CTG for fetal acidosis. PMID: 19259899 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2241642 Sun, 01 Feb 2009 05:00:00 +0100 2241642 http://www.medworm.com/index.php?rid=2241641&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19259900%26dopt%3DAbstract CONCLUSION: Clinical expertise, emotional support and successful communication are the key indicators for quality in maternity care as viewed by postnatal women. These skills need further development if women's satisfaction as well as their willingness to recommend the maternity hospital is to be improved. PMID: 19259900 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2241641 Sun, 01 Feb 2009 05:00:00 +0100 2241641 http://www.medworm.com/index.php?rid=2241640&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19259901%26dopt%3DAbstract CONCLUSION: The poor prognosis of extremely preterm infants improves rapidly with increasing gestational age, therefore long-term tocolysis should be considered as a therapeutic option in the case of an imminent birth. PMID: 19259901 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2241640 Sun, 01 Feb 2009 05:00:00 +0100 2241640 http://www.medworm.com/index.php?rid=2241639&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19259902%26dopt%3DAbstract CONCLUSIONS: Preliminary results showed that blood flow of the umbilical artery can be improved by hypnosis. Further clinical studies are required to verify this hypothesis. The subjective impression of participants that foetal movements increase at the beginning of the trance seems to be correct. PMID: 19259902 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2241639 Sun, 01 Feb 2009 05:00:00 +0100 2241639 http://www.medworm.com/index.php?rid=2241638&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19259903%26dopt%3DAbstract CONCLUSION: These cerebral lesions could be classified as posterior reversible encephalopathy syndrome (PRES) or as reversible leukoencephalopathy syndrome (PLES). Thus, MRI supports differential diagnosis regarding non pregnancy-related cerebral disease and can be helpful for therapy planning in cases of pre-eclampsia. PMID: 19259903 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2241638 Sun, 01 Feb 2009 05:00:00 +0100 2241638 http://www.medworm.com/index.php?rid=2047961&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19085735%26dopt%3DAbstract CONCLUSIONS: Obesity during pregnancy is associated with a range of maternal and fetal adverse outcomes. Pregnancy in obese women therefore calls for close monitoring and careful planning of delivery. Pre-conceptional weight reduction should be considered. PMID: 19085735 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2047961 Mon, 01 Dec 2008 05:00:00 +0100 2047961 http://www.medworm.com/index.php?rid=2047960&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19085736%26dopt%3DAbstract CONCLUSIONS: Older primiparas have a higher proportion of previous miscarriages and terminations of pregnancy. They more commonly experience pathological presentations and also more frequently require Caesarean section. This means that a delayed first pregnancy - an increasingly common phenomenon in Germany - goes along with an increased likelihood of birth risks, Caesarean sections and peripartal interventions. Older primiparous women constitute a special risk group which may require a more intense level of care. PMID: 19085736 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2047960 Mon, 01 Dec 2008 05:00:00 +0100 2047960 http://www.medworm.com/index.php?rid=2047959&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19085737%26dopt%3DAbstract CONCLUSION: A BIP-thoracic diameter difference of greater than 14 mm is able to predict probable difficult courses of birth. This means that, from our point of view, ultrasonography close before delivery is an obligate necessity. PMID: 19085737 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2047959 Mon, 01 Dec 2008 05:00:00 +0100 2047959 http://www.medworm.com/index.php?rid=2047958&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19085738%26dopt%3DAbstract CONCLUSION: The risks for Caesarean section are increased even for uncomplicated pregnancies when they follow infertility treatment. It can be assumed that, amongst other things, increased safety needs for couples and doctors together with more high-tech intensive care of pregnancies following infertility treatment will be required. In the event of a planned Caesarean section, comprehensive explanation of the risks involved will be necessary. PMID: 19085738 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2047958 Mon, 01 Dec 2008 05:00:00 +0100 2047958 http://www.medworm.com/index.php?rid=2047957&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19085739%26dopt%3DAbstract DISCUSSION: The increasing Caesarean rates in rural sub-Saharan Africa might impose an additional hazard of increasing rates of uterine rupture without reducing the rates of maternal mortality and stillbirths. PMID: 19085739 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2047957 Mon, 01 Dec 2008 05:00:00 +0100 2047957 http://www.medworm.com/index.php?rid=2047956&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19085740%26dopt%3DAbstract CONCLUSION: The foetal ECG monitor system may be a good alternative to Doppler ultrasound CTGs. With the perspective to analyse in a beat to beat manner foetal EKG heart rates, this new monitor system should be superior to Doppler ultrasound CTGs, however further larger studies are needed to confirm this hypothesis. PMID: 19085740 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2047956 Mon, 01 Dec 2008 05:00:00 +0100 2047956 http://www.medworm.com/index.php?rid=2013945&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18956273%26dopt%3DAbstract Authors: Wirbelauer J, Thomas W, Siauw C, Wössner R, Speer CP Extremely immature preterm infants rarely present with a leukocytosis exceeding 30,000/microL. The pathogenetic sequence leading to leukemoid reactions in non-malignant diseases remains to be elucidated. Potential triggers for leukemoid reactions in premature infants include prenatal corticosteroids, chorioamnionitis and funisitis or systemic infection. In the two-year period from 2006 to 2007 all infants with a gestational age of less than 26 weeks were screened for leukocytosis. Among our cases, one preterm infant presented with a leukocyte count of 229,300/microL at the age of 48 hours, lasting throughout the first three weeks of life. Impairment of microcirculation and resulting organ dysfunction were not observed. ... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2013945 Wed, 01 Oct 2008 04:00:00 +0100 2013945 http://www.medworm.com/index.php?rid=2013944&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18956274%26dopt%3DAbstract CONCLUSION: The inclusion of many new departments in NEO-KISS shows no influence to the reference data. And also the comparison of infection rates between new and old-departments shows no systematic discrepancy. It follows the unnecessary of separating the data from old-departments and new-departments and the appropriateness of the entire databank to generate the national reference data. PMID: 18956274 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2013944 Wed, 01 Oct 2008 04:00:00 +0100 2013944 http://www.medworm.com/index.php?rid=2013943&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18956275%26dopt%3DAbstract CONCLUSIONS: Intrapartum midwife presence covers a large portion of the birth process, but continues to be poorly understood. PMID: 18956275 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2013943 Wed, 01 Oct 2008 04:00:00 +0100 2013943 http://www.medworm.com/index.php?rid=2013942&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18956276%26dopt%3DAbstract CONCLUSION: Oral misoprostol is effective and safe for induction of labour at term. In addition, it is much cheaper and independent of storage conditions. At the doses and with the administration intervals used in this study, dinoprostone was slightly more effective than misoprostol. PMID: 18956276 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2013942 Wed, 01 Oct 2008 04:00:00 +0100 2013942 http://www.medworm.com/index.php?rid=2013941&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18956277%26dopt%3DAbstract CONCLUSIONS: Norm values of the FIGO parameters baseline, acceleration and deceleration should be re-examined using large computer databases. Computerised analyses of the FIGO parameter for deceleration is promising, however, further studies are needed to increase its sensitivity and specificity. PMID: 18956277 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2013941 Wed, 01 Oct 2008 04:00:00 +0100 2013941 http://www.medworm.com/index.php?rid=2013940&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18956278%26dopt%3DAbstract CONCLUSION: Congenital anaplastic astrocytomas have a variable outcome, with different survival rates as compared to adults. In the literature, survival rates of 36-50 % were found after complete tumour resection. In cases of neonatal intracerebral bleeding, a tumour might be the cause of the haemorrhage. PMID: 18956278 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2013940 Wed, 01 Oct 2008 04:00:00 +0100 2013940 http://www.medworm.com/index.php?rid=2013939&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18956279%26dopt%3DAbstract CONCLUSION: This definition is consistent with the one recommended by the WHO and a general use is the basis for precise medical decisions, internationally valid statistics and better communication. PMID: 18956279 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=2013939 Wed, 01 Oct 2008 04:00:00 +0100 2013939 http://www.medworm.com/index.php?rid=1915172&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18956273%26dopt%3DAbstract Authors: Wirbelauer J, Thomas W, Siauw C, Wössner R, Speer CP Extremely immature preterm infants rarely present with a leukocytosis exceeding 30 000 / microL. The pathogenetic sequence leading to leukemoid reactions in non-malignant diseases remains to be elucidated. Potential triggers for leukemoid reactions in premature infants include prenatal corticosteroids, chorioamnionitis and funisitis or systemic infection. In the two-year period from 2006 to 2007 all infants with a gestational age of less than 26 weeks were screened for leukocytosis. Among our cases, one preterm infant presented with a leukocyte count of 229,300 / microL at the age of 48 hours, lasting throughout the first three weeks of life. Impairment of microcirculation and resulting organ dysfunction were not observ... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1915172 Wed, 01 Oct 2008 04:00:00 +0100 1915172 http://www.medworm.com/index.php?rid=1915171&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18956274%26dopt%3DAbstract CONCLUSION: The inclusion of many new departments in NEO-KISS shows no influence to the reference data. And also the comparison of infection rates between new and old-departments shows no systematic discrepancy. It follows the unnecessary of separating the data from old-departments and new-departments and the appropriateness of the entire databank to generate the national reference data. PMID: 18956274 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1915171 Wed, 01 Oct 2008 04:00:00 +0100 1915171 http://www.medworm.com/index.php?rid=1915170&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18956275%26dopt%3DAbstract CONCLUSIONS: Intrapartum midwife presence covers a large portion of the birth process, but continues to be poorly understood. PMID: 18956275 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1915170 Wed, 01 Oct 2008 04:00:00 +0100 1915170 http://www.medworm.com/index.php?rid=1915169&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18956276%26dopt%3DAbstract CONCLUSION: Oral misoprostol is effective and safe for induction of labour at term. In addition, it is much cheaper and independent of storage conditions. At the doses and with the administration intervals used in this study, dinoprostone was slightly more effective than misoprostol. PMID: 18956276 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1915169 Wed, 01 Oct 2008 04:00:00 +0100 1915169 http://www.medworm.com/index.php?rid=1915168&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18956277%26dopt%3DAbstract CONCLUSIONS: Norm values of the FIGO parameters baseline, acceleration and deceleration should be re-examined using large computer databases. Computerised analyses of the FIGO parameter for deceleration is promising, however, further studies are needed to increase its sensitivity and specificity. PMID: 18956277 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1915168 Wed, 01 Oct 2008 04:00:00 +0100 1915168 http://www.medworm.com/index.php?rid=1915167&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18956278%26dopt%3DAbstract CONCLUSION: Congenital anaplastic astrocytomas have a variable outcome, with different survival rates as compared to adults. In the literature, survival rates of 36-50 % were found after complete tumour resection. In cases of neonatal intracerebral bleeding, a tumour might be the cause of the haemorrhage. PMID: 18956278 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1915167 Wed, 01 Oct 2008 04:00:00 +0100 1915167 http://www.medworm.com/index.php?rid=1915166&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18956279%26dopt%3DAbstract Authors: Spätling L PMID: 18956279 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1915166 Wed, 01 Oct 2008 04:00:00 +0100 1915166 http://www.medworm.com/index.php?rid=1747208&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18729034%26dopt%3DAbstract Authors: Rath W PMID: 18729034 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1747208 Fri, 01 Aug 2008 04:00:00 +0100 1747208 http://www.medworm.com/index.php?rid=1747207&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18729035%26dopt%3DAbstract DISCUSSION: By means of the new AFS-3D method the same count of diseased fetuses was detected compared with prior screening tests. Simultaneously, expectant mothers were spared from unnecessary invasive diagnostics in 65 % of the cases. The choice of an altered cut-off or other volume shapes are feasible and should be examined in further studies. PMID: 18729035 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1747207 Fri, 01 Aug 2008 04:00:00 +0100 1747207 http://www.medworm.com/index.php?rid=1747206&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18729036%26dopt%3DAbstract CONCLUSION: Thresholds in UA blood for pH, pCO (2,) sO (2) and BE (oxy.) in term-infants are: 7.000, 84 mmHg, 3.0 % and - 20 mmol / l, respectively. Delivery of an otherwise healthy baby without getting in touch with these thresholds seems to be safe both for the baby and the obstetrician. In addition, severe neonatal depression (Apgar 1 min: 0 and 1) is usually avoided (0 / 398). BE (oxy.) does not offer a higher diagnostic power when compared with actual pH. PMID: 18729036 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1747206 Fri, 01 Aug 2008 04:00:00 +0100 1747206 http://www.medworm.com/index.php?rid=1747205&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18729037%26dopt%3DAbstract Authors: Rath W Paradigm shift is moulded by the rapid advances in scientific knowledge, the results of evidence-based medicine and the guidelines and recommendations resulting therefrom as well as the continuous changes in medicine's social-cultural ambient. Features of a complex medical and social development are the declining number of births, a significant increase in the frequency of caesarean sections and an almost two-fold elevation of the number of induced births. This is especially valid for an overproportional rise in elective induction of labour which, today, represents the most frequently indicated intervention in obstetrics. The elective induction of labour in nulliparous women, however, is associated with an almost two-fold higher incidence of caesarean sections. It is cl... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1747205 Fri, 01 Aug 2008 04:00:00 +0100 1747205 http://www.medworm.com/index.php?rid=1747204&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18729038%26dopt%3DAbstract Authors: Meyersiek D PMID: 18729038 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1747204 Fri, 01 Aug 2008 04:00:00 +0100 1747204 http://www.medworm.com/index.php?rid=1720635&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709625%26dopt%3DAbstract Authors: Siedentopf JP BACKGROUND: Smoking in pregnancy has, besides the effects on maternal health, well documented negative effects on pregnancy outcome, fetal growth and neonatal health. Most of the pathophysiological mechanisms of harm are not readily understood, often analogies to animal studies or mechanisms of disease known in adults are presumed to be effective in intrauterine life as well. MATERIALS AND METHODS: A Medline literature search was performed to retrieve articles on smoking, pregnancy and pathophysiology. Some aspects of pathophysiology are described here. RESULTS: Adaptation of the circulation to acute intrauterine stress is well documented in diseases of the trophoblast like the HELLP syndrome. Only few authors have focused their work on the unique physiological a... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1720635 Sun, 01 Jun 2008 04:00:00 +0100 1720635 http://www.medworm.com/index.php?rid=1720634&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709626%26dopt%3DAbstract CONCLUSIONS: A quarter of the pregnant women in Germany smoke through to delivery, which means that 150 000 newborns per year have been exposed to passive smoking in utero, and its long-term health effects, which is a national disaster. PMID: 18709626 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1720634 Sun, 01 Jun 2008 04:00:00 +0100 1720634 http://www.medworm.com/index.php?rid=1720633&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709627%26dopt%3DAbstract CONCLUSIONS: The effects of such interventions are small and diminish between six and twelve months postpartum. With respect to population impact, it may be assumed that implementation in routine care will show sustained effects at the population level. PMID: 18709627 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1720633 Sun, 01 Jun 2008 04:00:00 +0100 1720633 http://www.medworm.com/index.php?rid=1720632&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709628%26dopt%3DAbstract CONCLUSION: Despite the increasing prevalence and severity of obesity in pregnant women most parameters of neonatal outcome did not change. The observed relative rate of macrosomia and shoulder dystocia declined, but the case number of these complications is still relevant. Obviously obstetricians have responded appropriately to the changing risk profile. PMID: 18709628 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1720632 Sun, 01 Jun 2008 04:00:00 +0100 1720632 http://www.medworm.com/index.php?rid=1720631&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709629%26dopt%3DAbstract CONCLUSION: Most children fulfil the admission criteria for the lowest level of care whereas the need for specialised centres is rather low. Optimising the place of birth appropriately remains a challenge. Definition of levels of care based on admission criteria are difficult to implement due to a broad variety of interpretations. PMID: 18709629 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1720631 Sun, 01 Jun 2008 04:00:00 +0100 1720631 http://www.medworm.com/index.php?rid=1720630&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709630%26dopt%3DAbstract Authors: , , , , PMID: 18709630 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1720630 Sun, 01 Jun 2008 04:00:00 +0100 1720630 http://www.medworm.com/index.php?rid=1720629&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709632%26dopt%3DAbstract CONCLUSION: Successful initiatives aiming at improving outcomes in perinatal and neonatal care require collaborative networking, an attitude of constructive criticism and thorough comparative analysis of the outcomes and incidents in the health-care process. PMID: 18709632 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1720629 Sun, 01 Jun 2008 04:00:00 +0100 1720629 http://www.medworm.com/index.php?rid=1717751&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709625%26dopt%3DAbstract Authors: Siedentopf JP BACKGROUND: Smoking in pregnancy has, besides the effects on maternal health, well documented negative effects on pregnancy outcome, fetal growth and neonatal health. Most of the pathophysiological mechanisms of harm are not readily understood, often analogies to animal studies or mechanisms of disease known in adults are presumed to be effective in intrauterine life as well. MATERIALS AND METHODS: A Medline literature search was performed to retrieve articles on smoking, pregnancy and pathophysiology. Some aspects of pathophysiology are described here. RESULTS: Adaptation of the circulation to acute intrauterine stress is well documented in diseases of the trophoblast like the HELLP syndrome. Only few authors have focused their work on the unique physiological a... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1717751 Sun, 01 Jun 2008 04:00:00 +0100 1717751 http://www.medworm.com/index.php?rid=1717750&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709626%26dopt%3DAbstract CONCLUSIONS: A quarter of the pregnant women in Germany smoke through to delivery, which means that 150 000 newborns per year have been exposed to passive smoking in utero, and its long-term health effects, which is a national disaster. PMID: 18709626 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1717750 Sun, 01 Jun 2008 04:00:00 +0100 1717750 http://www.medworm.com/index.php?rid=1717749&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709627%26dopt%3DAbstract CONCLUSIONS: The effects of such interventions are small and diminish between six and twelve months postpartum. With respect to population impact, it may be assumed that implementation in routine care will show sustained effects at the population level. PMID: 18709627 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1717749 Sun, 01 Jun 2008 04:00:00 +0100 1717749 http://www.medworm.com/index.php?rid=1717748&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709628%26dopt%3DAbstract CONCLUSION: Despite the increasing prevalence and severity of obesity in pregnant women most parameters of neonatal outcome did not change. The observed relative rate of macrosomia and shoulder dystocia declined, but the case number of these complications is still relevant. Obviously obstetricians have responded appropriately to the changing risk profile. PMID: 18709628 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1717748 Sun, 01 Jun 2008 04:00:00 +0100 1717748 http://www.medworm.com/index.php?rid=1717747&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709629%26dopt%3DAbstract CONCLUSION: Most children fulfil the admission criteria for the lowest level of care whereas the need for specialised centres is rather low. Optimising the place of birth appropriately remains a challenge. Definition of levels of care based on admission criteria are difficult to implement due to a broad variety of interpretations. PMID: 18709629 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1717747 Sun, 01 Jun 2008 04:00:00 +0100 1717747 http://www.medworm.com/index.php?rid=1717746&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709630%26dopt%3DAbstract Authors: Pohlandt F PMID: 18709630 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1717746 Sun, 01 Jun 2008 04:00:00 +0100 1717746 http://www.medworm.com/index.php?rid=1717745&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709631%26dopt%3DAbstract Authors: Roll C PMID: 18709631 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1717745 Sun, 01 Jun 2008 04:00:00 +0100 1717745 http://www.medworm.com/index.php?rid=1717744&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18709632%26dopt%3DAbstract CONCLUSION: Successful initiatives aiming at improving outcomes in perinatal and neonatal care require collaborative networking, an attitude of constructive criticism and thorough comparative analysis of the outcomes and incidents in the health-care process. PMID: 18709632 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1717744 Sun, 01 Jun 2008 04:00:00 +0100 1717744 http://www.medworm.com/index.php?rid=1664812&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18655322%26dopt%3DAbstract Authors: PMID: 18655322 [PubMed - indexed for MEDLINE] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1664812 Thu, 01 May 2008 04:00:00 +0100 1664812 http://www.medworm.com/index.php?rid=1554635&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18432555%26dopt%3DAbstract CONCLUSION: Carefully preparation of the parents for the diagnostic procedures, especially where expectations, anxieties and uncertainties exist, is highly recommended. PMID: 18432555 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1554635 Tue, 01 Apr 2008 04:00:00 +0100 1554635 http://www.medworm.com/index.php?rid=1554634&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18432556%26dopt%3DAbstract CONCLUSION: A circadian rhythm of the Doppler parameters could not be confirmed in the examined collective. The time of the applied Doppler sonography on physiological conditions might represent a factor which does not affect the validity of the Doppler sonographic results. As a consequence a single Doppler examination at a freely chosen time seems to be sufficient to obtain a correct assessment of fetal and maternal blood perfusion. Further studies on larger collectives are necessary to evaluate the clinical importance of a possible circadian rhythm, especially in fetuses with pathological Doppler values. PMID: 18432556 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1554634 Tue, 01 Apr 2008 04:00:00 +0100 1554634 http://www.medworm.com/index.php?rid=1554633&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18432557%26dopt%3DAbstract CONCLUSIONS: Liver rupture should considered in neonates with otherwise unexplained hypovolaemia or anaemia. Neonates with a history of cardiopulmonary resuscitation should be evaluated carefully for possible liver injuries. PMID: 18432557 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1554633 Tue, 01 Apr 2008 04:00:00 +0100 1554633 http://www.medworm.com/index.php?rid=1554632&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18432558%26dopt%3DAbstract CONCLUSIONS: At preschool age, the intelligence of VLBW infants is normally distributed and correlates only slightly with the very low birth weight. Hypoglycemia after the first day of life and bronchopulmonary dysplasia are risk factors for lower intelligence. Hyperexcitability at discharge seemed to represent a promising prognostic factor for a later intelligence reduction. PMID: 18432558 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1554632 Tue, 01 Apr 2008 04:00:00 +0100 1554632 http://www.medworm.com/index.php?rid=1554631&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18432559%26dopt%3DAbstract Authors: Gallwas J, Ackermann H, Friedmann W Thrombotic thrombocytopenic purpura (TTP) represents a rare complication mainly in the second trimester and can, in its early stage, mimic HELLP syndrome. At 38 weeks of gestation, a 40-year-old primigravida with elevated blood pressure, thrombocytopenia and elevated liver enzymes was diagnosed with HELLP syndrome. Despite a Ceasarean section her laboratory parameters remained pathological with severe thrombocytopenia and hemolysis. In addition, the patient developed neurological comatose-like symptoms. The diagnosis of TTP was made after further tests revealed fragmented red cells in the blood, autoantibodies against ADAMTS13 and a nearly total loss of ADAMST13 plasma activity. The patient fully recovered following repeated plasmapheresis a... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1554631 Tue, 01 Apr 2008 04:00:00 +0100 1554631 http://www.medworm.com/index.php?rid=1399504&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18432555%26dopt%3DAbstract CONCLUSION: Carefully preparation of the parents for the diagnostic procedures, especially where expectations, anxieties and uncertainties exist, is highly recommended. PMID: 18432555 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1399504 Tue, 01 Apr 2008 04:00:00 +0100 1399504 http://www.medworm.com/index.php?rid=1399503&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18432556%26dopt%3DAbstract CONCLUSION: A circadian rhythm of the Doppler parameters could not be confirmed in the examined collective. The time of the applied Doppler sonography on physiological conditions might represent a factor which does not affect the validity of the Doppler sonographic results. As a consequence a single Doppler examination at a freely chosen time seems to be sufficient to obtain a correct assessment of fetal and maternal blood perfusion. Further studies on larger collectives are necessary to evaluate the clinical importance of a possible circadian rhythm, especially in fetuses with pathological Doppler values. PMID: 18432556 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1399503 Tue, 01 Apr 2008 04:00:00 +0100 1399503 http://www.medworm.com/index.php?rid=1399502&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18432557%26dopt%3DAbstract CONCLUSIONS: Liver rupture should considered in neonates with otherwise unexplained hypovolaemia or anaemia. Neonates with a history of cardiopulmonary resuscitation should be evaluated carefully for possible liver injuries. PMID: 18432557 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1399502 Tue, 01 Apr 2008 04:00:00 +0100 1399502 http://www.medworm.com/index.php?rid=1399501&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18432558%26dopt%3DAbstract CONCLUSIONS: At preschool age, the intelligence of VLBW infants is normally distributed and corre-lates only slightly with the very low birth weight. Hypoglycemia after the first day of life and bronchopulmonary dysplasia are risk factors for lower intelligence. Hyperexcitability at discharge seemed to represent a promising prognostic factor for a later intelligence reduction. PMID: 18432558 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1399501 Tue, 01 Apr 2008 04:00:00 +0100 1399501 http://www.medworm.com/index.php?rid=1399500&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18432559%26dopt%3DAbstract Authors: Gallwas J, Ackermann H, Friedmann W Thrombotic thrombocytopenic purpura (TTP) represents a rare complication mainly in the second trimester and can, in its early stage, mimic HELLP syndrome. At 38 weeks of gestation, a 40-year-old primigravida with elevated blood pressure, thrombocytopenia and elevated liver enzymes was diagnosed with HELLP syndrome. Despite a Ceasarean section her laboratory parameters remained pathological with severe thrombocytopenia and hemolysis. In addition, the patient developed neurological comatoselike symptoms. The diagnosis of TTP was made after further tests revealed fragmented red cells in the blood, autoantibodies against ADAMTS13 and a nearly total loss of ADAMST13 plasma activity. The patient fully recovered following repeated plasmapheresis an... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1399500 Tue, 01 Apr 2008 04:00:00 +0100 1399500 http://www.medworm.com/index.php?rid=1399499&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18432560%26dopt%3DAbstract [Arbeitsgemeinschaft für maternofetale Medizin, AGMFM e. V., Protokoll der Jahrestagung, 28.11.2007.] Z Geburtshilfe Neonatol. 2008 Apr;212(2):67-69 Authors: PMID: 18432560 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1399499 Tue, 01 Apr 2008 04:00:00 +0100 1399499 http://www.medworm.com/index.php?rid=1252010&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18293255%26dopt%3DAbstract CONCLUSION: In the future, as a rule, every baby should have his/her blood taken around the 48 (th) hour, in any case between the 36 (th) and 72 (nd) hour of life. Moreover, sample shipping needs to be optimised in order to guarantee early diagnosis of inborn errors of metabolism. Also, more attention has to be paid to the quality of blood samples. PMID: 18293255 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1252010 Fri, 01 Feb 2008 05:00:00 +0100 1252010 http://www.medworm.com/index.php?rid=1252009&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18293256%26dopt%3DAbstract CONCLUSION: Previous interruptions, miscarriages and IUFD are relevant risk factors for prematurity and are related with low birth weight of the new borns. Pregnant women with such risk factors have to been considered as risk pregnancies and need intensive surveillance. PMID: 18293256 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1252009 Fri, 01 Feb 2008 05:00:00 +0100 1252009 http://www.medworm.com/index.php?rid=1252008&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18293257%26dopt%3DAbstract CONCLUSION: With 6 triplet pregnancies, the number of high-risk multiple pregnancies was obviously higher within the ETCO group, thus perinatal mortality within this group was approximately half that in the reference group (2.52 versus 4.05 %). PMID: 18293257 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1252008 Fri, 01 Feb 2008 05:00:00 +0100 1252008 http://www.medworm.com/index.php?rid=1252007&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18293258%26dopt%3DAbstract CONCLUSION: Compressive sutures of the uterus as described by Pereira are easy and quick to perform for treating uterine atony with postpartum bleeding. PMID: 18293258 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1252007 Fri, 01 Feb 2008 05:00:00 +0100 1252007 http://www.medworm.com/index.php?rid=1252006&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18293259%26dopt%3DAbstract CONCLUSION AND DISCUSSION: This is the first report on Mf lung colonisation of ELBWI during mechanical ventilation. Because Mf is generally not detected in standard cultures it appears to be an overlooked, potentially pathogenic fungus in prematures. Mf must be considered in the differential diagnosis of VAP in ELBWI exposed to topical steroids, especially when natural surfactant was administered. PMID: 18293259 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1252006 Fri, 01 Feb 2008 05:00:00 +0100 1252006 http://www.medworm.com/index.php?rid=1252005&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18293260%26dopt%3DAbstract Authors: Poets CF, Bodman A Supine sleeping is recommended to prevent the sudden infant death syndrome (SIDS). Low birth weight infants are at increased risk for SIDS, which is increased further if they are placed prone. Prone sleeping, however, also has advantages for preterm infants, such as a reduced apnoea rate, an increased lung volume and more quiet sleep. In their first weeks of life, these infants are usually on a monitor and under continuous observation. SIDS is extremely unlikely under these circumstances. Because of the aforementioned advantages, these infants may be placed prone during their first few weeks of life in the hospital. One week before discharge, however, they should be changed to back sleeping and the parents be explained that their baby is now nearing discharg... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1252005 Fri, 01 Feb 2008 05:00:00 +0100 1252005 http://www.medworm.com/index.php?rid=1252004&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18293261%26dopt%3DAbstract We present a case of vulvulus without malrotation in a single fetus revealed in the 32 (nd) gestation week in a 44-year-old woman. The presenting complaint of this patient was reduced fetal movements. Ultrasound examination showed a normal result except for a dilated stomach. Doppler ultrasound results were within the normal range. Computed cardiotocography (CTG) showed pathological results for acceleration and suspect values for variability. Short-term variability (STV) was at 2.80 ms. Due to the pathological computed CTG results a Caesarian section was carried out. The newborn recieved prompt postnatal surgical treatment and continues to be in good overall condition. PMID: 18293261 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1252004 Fri, 01 Feb 2008 05:00:00 +0100 1252004 http://www.medworm.com/index.php?rid=1137371&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18176901%26dopt%3DAbstract Authors: Fill S, Malfertheiner M, Costa SD, Mönkemüller K Gastroesophageal reflux disease (GERD) is common during pregnancy. The pathogenesis is a decrease in lower oesophageal sphincter pressure caused by female sex hormones, especially progesterone. The most common symptom of GERD is heartburn. Nevertheless, serious reflux complications during pregnancy are rare. In contrast to non-pregnant patients, GERD during pregnancy should be managed with a step-up algorithm beginning with lifestyle modifications and dietary changes. Antacids or sucralfate are considered the first-line on-demand drug therapy. If symptoms persist, any of the histamine-2-receptor antagonists can be used. Proton pump inhibitors are reserved for women with intractable symptoms or complicated reflux diseas... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1137371 Sat, 01 Dec 2007 05:00:00 +0100 1137371 http://www.medworm.com/index.php?rid=1137370&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18176902%26dopt%3DAbstract CONCLUSION: Correction of BE in UA, i. e., correction of BE to 100 % oxygen saturation using the (calculated) actual oxygen saturation (%) of the blood sample is mandatory in perinatal medicine. Correction uniformly leads to lower BE values (median: 2.7 mmol / L) and significantly higher correlation coefficients with important clinical variables (e. g., the APGAR index). PMID: 18176902 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1137370 Sat, 01 Dec 2007 05:00:00 +0100 1137370 http://www.medworm.com/index.php?rid=1137369&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18176903%26dopt%3DAbstract CONCLUSIONS: Transmission prophylaxis in offspring of HIV-positive mothers may give rise to adverse effects. Their frequency is higher in preterm infants than in near-term infants. However; this may be related to prematurity, and not to the antiretroviral treatment itself. PMID: 18176903 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1137369 Sat, 01 Dec 2007 05:00:00 +0100 1137369 http://www.medworm.com/index.php?rid=1137368&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18176904%26dopt%3DAbstract CONCLUSION: This survey ("Kinderwunschstudie") in fact indicates differences regarding the reasons for a delay of birth between east andwest German women (in childbed). However, it also highlights the generally negative influence of the given social and economic conditions on the number of births and underlines the prospects for an ongoing decrease. As a result, society will in future have to face problems of unknown dimensions. PMID: 18176904 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1137368 Sat, 01 Dec 2007 05:00:00 +0100 1137368 http://www.medworm.com/index.php?rid=1137367&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18176905%26dopt%3DAbstract CONCLUSIONS: The calculation with AFS(R) generated more precise risk estimations for trisomy 13, 18, and 21. An examination in large, prospective studies may be recommended to consider an introduction of this novel test strategy. PMID: 18176905 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1137367 Sat, 01 Dec 2007 05:00:00 +0100 1137367 http://www.medworm.com/index.php?rid=1137366&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18176906%26dopt%3DAbstract Authors: Lautmann K, Staboulidou I, Schippert C, Hillemanns P, Wüstemann M Posterior urethral valves are the main cause of fetal lower urinary tract obstruction (LUTO) with typical sonographic signs like urinary tract dilatation and reduction of amniotic fluid. LUTO is associated with a high rate of perinatal mortality and is the main cause of kidney failure in early childhood. In such cases vesico-amniotic shunting is a common but risky procedure of fetal surgery to prevent anhydramnion and lethal lung hypoplasia. This case report demonstrates that lung hypoplasia can be prevented by vesico-amniotic shunting of the fetal megacytis in the 23 (rd) week of gestation in a fetus with lower urinary tract obstruction and anhydramnion. The prenatal measured concentration of cystatin C in... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=1137366 Sat, 01 Dec 2007 05:00:00 +0100 1137366 http://www.medworm.com/index.php?rid=980726&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17960515%26dopt%3DAbstract CONCLUSION: FMCG permits a substantially more differentiated examination of fetal HRV and offers new possibilities in the analysis of fetal cardiac activity. PMID: 17960515 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=980726 Mon, 01 Oct 2007 04:00:00 +0100 980726 http://www.medworm.com/index.php?rid=980725&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17960516%26dopt%3DAbstract CONCLUSIONS: Therapeutic intervention depending on sonographically detected hypertrophy must be considered as being delayed. The currently valid therapeutic criteria including intended normoglycemia and regular fetometric ultrasound controls cannot prevent markedly high SGA rates, especially among obese women, in adequately treated GDM. PMID: 17960516 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=980725 Mon, 01 Oct 2007 04:00:00 +0100 980725 http://www.medworm.com/index.php?rid=980724&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17960517%26dopt%3DAbstract CONCLUSIONS: Height and body weight are important determinants of the weight gain during pregnancy. They should therefore be used when assessing the weight gain in clinical practice. With the standard values introduced here such an assessment is possible. PMID: 17960517 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=980724 Mon, 01 Oct 2007 04:00:00 +0100 980724 http://www.medworm.com/index.php?rid=980723&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17960518%26dopt%3DAbstract CONCLUSIONS: We present a rough estimate of the additional health care costs for neonates because of smoking. Costs were estimated only with regard to premature deliveries. Other effects of smoking during pregnancy on neonatal health were not considered. More detailed cost analyses will likely reveal even higher costs. PMID: 17960518 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=980723 Mon, 01 Oct 2007 04:00:00 +0100 980723 http://www.medworm.com/index.php?rid=898171&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17729196%26dopt%3DAbstract Authors: Versmold H PMID: 17729196 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898171 Wed, 01 Aug 2007 04:00:00 +0100 898171 http://www.medworm.com/index.php?rid=898170&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17729197%26dopt%3DAbstract Authors: Vetter K PMID: 17729197 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898170 Wed, 01 Aug 2007 04:00:00 +0100 898170 http://www.medworm.com/index.php?rid=898169&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17729198%26dopt%3DAbstract Authors: Hart NC, Jünemann AG, Siemer J, Meurer B, Goecke TW, Schild RL Many ophthalmologists and obstetricians recommend either an assisted vaginal delivery with forceps or vacuum extraction or a Caesarean section in cases of pre-existing eye diseases such as severe myopia, retinal detachment, diabetic retinopathy, or glaucoma. These recommendations, however, are not evidence-based. None of the published trials have reported any retinal changes after vaginal delivery. In general, eye disease is not an indication for an instrumental or operative delivery provided that regular eye examinations (once each trimester) have been performed. PMID: 17729198 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898169 Wed, 01 Aug 2007 04:00:00 +0100 898169 http://www.medworm.com/index.php?rid=898168&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17729199%26dopt%3DAbstract CONCLUSIONS: Health and nutritional counselling in early pregnancy by the BabyCare programme leads to a stable, significant, effective and efficient reduction of preterm births. The additional preconceptional and antepartal measures may contribute to a further reduction of complications. PMID: 17729199 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898168 Wed, 01 Aug 2007 04:00:00 +0100 898168 http://www.medworm.com/index.php?rid=898167&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17729200%26dopt%3DAbstract CONCLUSIONS: Height and body weight at the beginning of pregnancy are important determinants of the weight gain. They should therefore be used when assessing the weight gain in clinical practice. Use of the BMI, however, is not appropriate. We are investigating other ways of combining body weight and height. This will be discussed in a later publication. PMID: 17729200 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898167 Wed, 01 Aug 2007 04:00:00 +0100 898167 http://www.medworm.com/index.php?rid=898166&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17729201%26dopt%3DAbstract CONCLUSIONS: It was demonstated that low Apgar scores - as well as treansfer rates - increase if UA-pH falls below 7.1 and the base excess at the same time is below - 10 mmol / l. The aim of modern obstetrics should be to promote the birth of vital children with normal pH values. PMID: 17729201 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898166 Wed, 01 Aug 2007 04:00:00 +0100 898166 http://www.medworm.com/index.php?rid=898165&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17729202%26dopt%3DAbstract CONCLUSION: Vitamin B (12) deficiency can easily be diagnosed by detection of methylmalonic acid when measuring the organic acids in urine. Vitamin B (12) deficiency should be avoided or diagnosed as early as possible since a supplementation of mother and child can prevent neurological symptoms of the baby. Furthermore, the neurological symptoms of the infant with manifest vitamin B (12) deficiency are (partially) reversible. PMID: 17729202 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898165 Wed, 01 Aug 2007 04:00:00 +0100 898165 http://www.medworm.com/index.php?rid=898164&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17729203%26dopt%3DAbstract CONCLUSION: The programme specifically developed by Schauble as the hypnoreflexogenous method is an appropiate and efficient tool to interrupt the fear-tension-pain / pain-tension-fear circuit. Women who were prepared with the hypnoreflexogenous method had significantly less fear and pain, required significantly less analgesia, had a shorter period of labour and delivery and recovered faster from labour. PMID: 17729203 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898164 Wed, 01 Aug 2007 04:00:00 +0100 898164 http://www.medworm.com/index.php?rid=898163&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17729204%26dopt%3DAbstract Authors: Fotopoulou C, Toennies H, Guschmann M, Henrich W Oropharyngeal teratomas are rare congenital malformations that arise from all three basic germinal layers and form a high risk situation for the neonate. Their incidence is only sporadic and they are not associated with a high recurrence risk, although some cases of associated chromosomal aberrations have been described. In this case report we present the clinical course and the histopathological findings of a prenatal diagnosed stillborn infant with an oropharyngeal teratoma of the left maxilla by a 33-year-old primigravida woman at 40 weeks 5 days' gestation. Moreover we emphasize on the relevance of the prenatal diagnosis and visualisation of such fetal tumors not only because of their great importance on the obstetrical mana... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898163 Wed, 01 Aug 2007 04:00:00 +0100 898163 http://www.medworm.com/index.php?rid=898162&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17729205%26dopt%3DAbstract We report on a patient in the 26 (th) week of pregnancy who was admitted with vaginal bleeding. A uterus bicornis had been found previously. Sonography showed severe foetal growth retardation and a pathological foetal Doppler signal. A haematoma located cranial of the os uteri was sonographically diagnosed, and a partial placental abruption was suspected. Due to a pathological cardiotocography, a primary Caesarean section was performed. Intraoperative evaluation confirmed the presence of a uterus bicornis. In addition, the placenta showed an insertio velamentosa. The growth retarded foetus - 490 g birth weight - was anaemic. Respiratory therapy and surfactant substitution were performed because of a respiratory distress syndrome. At a corrected age of 8 weeks the boy was sent home without ... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898162 Wed, 01 Aug 2007 04:00:00 +0100 898162 http://www.medworm.com/index.php?rid=898177&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17541874%26dopt%3DAbstract Authors: Bauer K PMID: 17541874 [PubMed - indexed for MEDLINE] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898177 Fri, 01 Jun 2007 04:00:00 +0100 898177 http://www.medworm.com/index.php?rid=898176&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17541875%26dopt%3DAbstract Authors: Poets CF, Bartels DB PMID: 17541875 [PubMed - indexed for MEDLINE] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898176 Fri, 01 Jun 2007 04:00:00 +0100 898176 http://www.medworm.com/index.php?rid=898175&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17541876%26dopt%3DAbstract Authors: Vetter K PMID: 17541876 [PubMed - indexed for MEDLINE] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898175 Fri, 01 Jun 2007 04:00:00 +0100 898175 http://www.medworm.com/index.php?rid=898174&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17541877%26dopt%3DAbstract CONCLUSIONS: In addition to fulfilling formal structural requirements, perinatal centres should be established in large delivery hospitals with at least 35 to 50 VLBW admissions per year. PMID: 17541877 [PubMed - indexed for MEDLINE] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898174 Fri, 01 Jun 2007 04:00:00 +0100 898174 http://www.medworm.com/index.php?rid=898173&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17541878%26dopt%3DAbstract CONCLUSION: In Nordrhein-Westfalen/Germany, survival rate of immature infants is significantly higher if treated in larger neonatal intensive care units with a minimal annual volume of more than 40-50 premature infants < 32 weeks GA. Patient volume seemed to be a better indicator of performance than formal level of care. PMID: 17541878 [PubMed - indexed for MEDLINE] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898173 Fri, 01 Jun 2007 04:00:00 +0100 898173 http://www.medworm.com/index.php?rid=898172&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17541879%26dopt%3DAbstract CONCLUSION: Adoption of a minimum VLBW patient volume in addition to the structural requirements consented by the Federal Joint Committee (G-BA) seems reasonable, to maintain or improve the quality of VLBW health care provision in Germany. PMID: 17541879 [PubMed - indexed for MEDLINE] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898172 Fri, 01 Jun 2007 04:00:00 +0100 898172 http://www.medworm.com/index.php?rid=898186&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17486524%26dopt%3DAbstract Authors: Hohmann M, Künzel W There has been a controversial discussion for decades about the significance of low blood pressure during pregnancy. This review should answer the question, whether low blood pressure itself or the decrease in blood pressure on standing have a negative effect on pregnant women. In addition, we will focus on physiologic and pathophysiologic pregnancy related mechanisms of changes in blood pressure. Subjective symptoms occur more frequently with low blood pressure, however, they disappear at the end of pregnancy. Physiologically, blood pressure decreases towards midpregnancy and rises to preconceptional values at term. Birthweight was directly related to the magnitude and direction of the pressor response on standing in late pregnancy but not to the low ... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898186 Sun, 01 Apr 2007 04:00:00 +0100 898186 http://www.medworm.com/index.php?rid=898185&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17486525%26dopt%3DAbstract Authors: Schulze A, Wermuth I Involvement of the family in decisions to withhold or withdraw intensive care and parental involvement in care planning for terminally ill infants does not aggravate or prolong parents' grief responses, their feelings of guilt, or the incidence of pathological grief responses. Effective physical pain and symptom management is critically important. Compassionate care plans, however, need to implement a number of other and equally important components. Parents are not uniform in their perceived needs to make various kinds of contacts with their dying infant. They should be allowed to make their individual choices regarding contact with their baby during that time. The perinatal loss of a twin infant appears to evoke no less serious stress and risks to parent... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898185 Sun, 01 Apr 2007 04:00:00 +0100 898185 http://www.medworm.com/index.php?rid=898184&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17486526%26dopt%3DAbstract Authors: Mylonas I, Gutsche S, Anton G, Jeschke U, Weissenbacher ER, Friese K The parvovirus B 19 is part of the family of the parvoviridae and shows a distinctive tropism for erythropoid precursor cells. The virus causes in children the erythema infectiosum (German measles). Meanwhile, parvovirus B 19 infections can be associated with a wide spectrum of hematological and non-hematological complications (e.g. liver failure, hepatitis, aplastic crises primarily in association with chronic hemolytic anaemias, chronic arthritis, arthralgia/arthritis, transient/persistent anaemias, vasculitis, glomerulonephritis). Intrauterine infections can lead to specific or permanent organ defects (e.g. heart anomalies, eye diseases, micrognathy, chronic anaemia, myocarditis, hepatitis, mekonium perito... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898184 Sun, 01 Apr 2007 04:00:00 +0100 898184 http://www.medworm.com/index.php?rid=898183&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17486527%26dopt%3DAbstract DISCUSSION: An new approach to examine the aethiology of pregnancy-induced hypertensive diseases consists in measuring immunotransmitters such as interferon, Interleukin and the tumor necrosis factor. The increased concentration of TNF-alpha and TNF-alpha-receptor shows the involvement of the cytokines thus supporting the hypothesis of an immunological genesis. PMID: 17486527 [PubMed - indexed for MEDLINE] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898183 Sun, 01 Apr 2007 04:00:00 +0100 898183 http://www.medworm.com/index.php?rid=898182&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17486528%26dopt%3DAbstract CONCLUSION: Our results show, that the individual care and involvement of women in the birth process and pain therapy had a greater influence on satisfaction with birth than the type of analgesia. PMID: 17486528 [PubMed - indexed for MEDLINE] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898182 Sun, 01 Apr 2007 04:00:00 +0100 898182 http://www.medworm.com/index.php?rid=898181&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17486529%26dopt%3DAbstract Authors: Niederhofer H There is much controversial discussion about possible associations of delivery and the perinatal period and later developmental parameters, but recent studies practically not include any possible influence of mother-child attachment during pregnancy and in the postnatal period. This long-time observation should indicate possible associations of this kind. The results show, that avoidant attachment during pregnancy may have some negative influence on later attachment. Furthermore, prenatal ambivalent attachment may lead to also ambivalent attachment in the postnatal period. Prenatally secure attachment may help to beware later avoidant attachment and vice versa. As our results indicate, intrauterine fetal movements do not predict later attachment. PMID: 174865... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898181 Sun, 01 Apr 2007 04:00:00 +0100 898181 http://www.medworm.com/index.php?rid=898180&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17486530%26dopt%3DAbstract Authors: Stähler van Amerongen K, Kuhn A, Surbek D, Nelle M The current study demonstrates for the first time the presence of ear acupuncture points in prematurely delivered triplets of 31 weeks and two days gestational age. Pregnancy was an IVF pregnancy and caesarean section was performed because of preeclampsia. Ear acupuncture points were determined with the Svesa point selector 1070 and correlated well with the clinical state of the neonates meaning that the sickest child demonstrated the most active ear points. Psychotropic points were not found. For the future ear acupuncture points may be further used for diagnostics and therapy in neonates. PMID: 17486530 [PubMed - indexed for MEDLINE] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898180 Sun, 01 Apr 2007 04:00:00 +0100 898180 http://www.medworm.com/index.php?rid=898179&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17486531%26dopt%3DAbstract CONCLUSION: Today interdisciplinary treatment and exactly planning of the birth may led even high risk pregnancies to a successful end. PMID: 17486531 [PubMed - indexed for MEDLINE] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898179 Sun, 01 Apr 2007 04:00:00 +0100 898179 http://www.medworm.com/index.php?rid=898178&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17486532%26dopt%3DAbstract Authors: Langner S, Halank M, Kolditz M, Schiemanck S, Höffken G Obstructive sleep apnea during pregnancy, associated with arterial hypertension, pre-eclampsia and adverse outcome of the newborn, has been described. Usually it can successfully be treated with non-invasive ventilation. A 36-year-old, twin-pregnant woman at 28 + 6 weeks of gestation presented with the complaints of snoring and nocturnal oxygen desaturations. Polysomnography confirmed the diagnosis of severe obstructive sleep apnea (respiratory disturbance index [RDI] 104/h, minimal oxygen saturation in pulse oximetry [SpO2/min] 75%). First therapeutic approaches including oxygen supplementation, non-invasive ventilation with continuous positive airway pressure (CPAP) or bilevel positive airway pressure--spontaneous ... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898178 Sun, 01 Apr 2007 04:00:00 +0100 898178 http://www.medworm.com/index.php?rid=898195&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17327984%26dopt%3DAbstract Authors: Richter ON, Rath W In pregnancy, thromboembolic complications are six times more frequent than in nonpregnant women. Maternal age, idiopathic or secondary thrombosis in the patients history, the mode of delivery, bed rest and / or obesity as well as the thrombophilic defects are considerable factors for an increased risk of deep vein thrombosis (DVT) and pulmonary embolism (PE). Compared to unfractionated heparins (UFHs) prophylactic treatment relies mainly on low molecular weight heparins (LMWHs) which safety is now well established in pregnant women. In view of their multiple side effects oral anticoagulants such as cumarine or aspirin are contraindicated or of subordinate importance. The procedures to exclude DVT follow the usual diagnostic algorithms considering maximum ra... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898195 Thu, 01 Feb 2007 05:00:00 +0100 898195 http://www.medworm.com/index.php?rid=898194&cid=s_36242_69_f&fid=36242&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17327985%26dopt%3DAbstract This article highlights the aspects of growth and nutritional needs, infection prophylaxis and neurological development with regard to the use of human milk versus formula for the preterm infant. Approaches to the initiation and maintenance of milk supply and the decision about when to replace gavage by breast feeding are illustrated. PMID: 17327985 [PubMed - indexed for MEDLINE] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=898194 Thu, 01 Feb 2007 05:00:00 +0100 898194