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, 29 Nov 2011 06:48:33 +0100 http://www.medworm.com/index.php?rid=5358356&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%3D22028055%26dopt%3DAbstract [Postpartum Haemorrhage (PPH): "too little is done too late"!]. Z Geburtshilfe Neonatol. 2011 Oct;215(5):177-81 Authors: Rath W PMID: 22028055 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5358356 Sat, 01 Oct 2011 04:00:00 +0100 5358356 http://www.medworm.com/index.php?rid=5358355&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%3D22028056%26dopt%3DAbstract Authors: PMID: 22028056 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5358355 Sat, 01 Oct 2011 04:00:00 +0100 5358355 http://www.medworm.com/index.php?rid=5358354&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%3D22028057%26dopt%3DAbstract Authors: Kowalcek I Abstract Differences in the experience of pregnancy and birth after ART compared to spontaneous conception are of interest for the developmental pyschologist. Studies performed to date have compared mainly the psychological aspects of experiencing the singleton pregnancy and the single birth. Couples after ART are at higher anxiety levels compared to those who have conceived naturally in the early stages of pregnancy. Individual experiences with infertility in those affected have often led to states of anxiety, low self-esteem and low confidence, but this does not seem to persist in pregnancy. Higher anxiety symptoms occur primarily. Increased symp-toms of anxiety are found in pregnant women and their partners who have undergone the high stress of infertility. P... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5358354 Sat, 01 Oct 2011 04:00:00 +0100 5358354 http://www.medworm.com/index.php?rid=5358353&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%3D22028058%26dopt%3DAbstract Authors: Maier B, Reitsamer-Tontsch S, Weisser C, Schreiner B Abstract Austria still lacks a baby-take-home rate after assisted reproductive technologies (ART) and therefore an adequate quality management of ART.This paper extrapolates data about births/infants after ART at the University Clinic of Obstetrics and Gynaecology (PMU/SALK) in Salzburg for Austria, especially in regard to multiple births/infants collected between 2000 and 2009.On average 2 271 infants were born per year during the last 10 years. Among them, 76 infants (3.34% of all children) were born after ART. Of all children conceived by ART and born (759) at the University Clinic of Obstetrics and Gynaecology 368 are multiples. This is 48.5% of all children born after ART. 31.6% of all multiples born were conceive... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5358353 Sat, 01 Oct 2011 04:00:00 +0100 5358353 http://www.medworm.com/index.php?rid=5358352&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%3D22028059%26dopt%3DAbstract Authors: Reif P, Haas J, Schöll W, Lang U Abstract Interpretation of a suspicious, non-reassuring or pathological foetal heart rate tracing does not provide any direct information about foetal oxygen saturation, blood gas status or the extent of changes in pH. Without foetal scalp blood sampling, such tracings often necessitate rapid intervention to deliver the baby by Caesarean section or assisted vaginal delivery. The aim of this study was to show the impact of foetal blood sampling on reducing the number of Caesarean sections and assisted vaginal deliveries in a clinical setting in such cases.A retrospective study of the mode of delivery in 669 women where foetal scalp blood sampling had been performed for suspicious or pathological foetal heart rate monitoring, in the period 2... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5358352 Sat, 01 Oct 2011 04:00:00 +0100 5358352 http://www.medworm.com/index.php?rid=5358351&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%3D22028060%26dopt%3DAbstract Authors: Reinhard J, Hayes-Gill BR, Schiermeier S, Löser H, Niedballa LM, Haarmann E, Sonnwald A, Hatzmann W, Heinrich TM, Louwen F Abstract The aim of this study was to determine the quality of intrapartum uterine activity (UA) monitoring in daily practice during the first and second stages of labour. The total duration of inadequate UA monitoring is quantified in relation to the technique applied, namely, external tocodynamometry (TOCO) or electrohysterography (EHG).144 UA recordings, collected from 1st September 2008 until 15th October 2009 from deliveries at the Marien-Hospital Witten, Germany, were analysed by obstetricians based at different centres. The included recordings were from singleton and simultaneously with external TOCO and EHG monitored pregnancies. External TOCO... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5358351 Sat, 01 Oct 2011 04:00:00 +0100 5358351 http://www.medworm.com/index.php?rid=5358350&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%3D22028061%26dopt%3DAbstract Authors: Zbinden A, Zbinden R, Natalucci G, Zimmermann R, Bucher HU, Krafft A Abstract Our aim was to evaluate the clinical impact of routine amniotic fluid and neonatal surface swab microbiology at Caesarean section.Microbiology data from 1 537 neonates delivered by Caesarean section were analysed in the light of clinical outcome.1 340 (87%) neonates had non-pathogenic bacteria or negative culture results from both amniotic fluid and surface swab samples. Of the 197 (13%) neonates with pathogenic bacteria, 22 (1.4%) were diagnosed with infection, but only in 6 (0.4%) were the bacteria presumed to be responsible for the infection. Amniotic fluid and surface swab culture had sensitivities of 54% and 35%, and positive predictive values of 14% and 17%, respectively, for detecting ... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5358350 Sat, 01 Oct 2011 04:00:00 +0100 5358350 http://www.medworm.com/index.php?rid=5358349&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%3D22028062%26dopt%3DAbstract We present a case where a 37-year-old gravida was admitted to hospital with diffuse thoracic pain. In the patient's history, we found several putative reasons for the thoracic pain that pointed to a musculoskeletal cause. Based on an elevation of ischaemic heart markers and continuous non-specific thoracic pain we performed a primary Cesarean section. In the coronary angiography procedure that followed, a thrombotic occlusion of the ramus diagonalis was diagnosed. We here describe the differential diagnosis as well as the problems associated with diagnosing myocardial infarction in the third trimester of pregnancy . PMID: 22028062 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5358349 Sat, 01 Oct 2011 04:00:00 +0100 5358349 http://www.medworm.com/index.php?rid=5358348&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%3D22028063%26dopt%3DAbstract CONCLUSION: This is a rare case report of a congenital gliomatosis cerebri WHO grade III, treated with partial hemispherectomy, leading to a good clinical and neurological long-term outcome. PMID: 22028063 [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=5358348 Sat, 01 Oct 2011 04:00:00 +0100 5358348 http://www.medworm.com/index.php?rid=5190984&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%3D21874633%26dopt%3DAbstract DISCUSSION: Moderate preterm birth is associated with maternal morbidity frequently due to a high rate of Caesarean sections. Neonatal morbidity is also increased. In comparison with previous research, we saw an increased rate of pregnancy complications. This could be typical for a level 1 perinatal centre. Moderate preterm birth is seen as the cause of considerable treatment costs. PMID: 21874633 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5190984 Sun, 31 Jul 2011 23:00:00 +0100 5190984 http://www.medworm.com/index.php?rid=5171853&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%3D21863526%26dopt%3DAbstract Authors: Rath W, Schmidt S PMID: 21863526 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5171853 Sun, 31 Jul 2011 23:00:00 +0100 5171853 http://www.medworm.com/index.php?rid=5171852&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%3D21863527%26dopt%3DAbstract Authors: Beinder E Abstract The incidence of premature births is not decreasing in developed countries, but rather shows a tendency to increase. This rise is primarily due to an increase in the number iatrogenic late preterm births at a gestational age between 34 + 0 and 36 + 6 weeks. Late preterm births account for up to 80% of all preterm births and these newborns have higher morbidity and mortality rates and a higher rate in neurodevelopmental long-term impairment in comparison to term infants. In order to reduce iatrogenic preterm birth, it is necessary to apply standardised treatment algorithms especially in cases of mild preeclampsia and intrauterine growth restriction. PMID: 21863527 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5171852 Sun, 31 Jul 2011 23:00:00 +0100 5171852 http://www.medworm.com/index.php?rid=5171851&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%3D21863528%26dopt%3DAbstract Authors: Schmidt S, Misselwitz B PMID: 21863528 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5171851 Sun, 31 Jul 2011 23:00:00 +0100 5171851 http://www.medworm.com/index.php?rid=5171850&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%3D21863529%26dopt%3DAbstract Authors: Gortner L, Tutdibi E Abstract Respiratory disorders remain a major problem in postnatal adaptation. In term neonates, an increased incidence of the risk for transient tachypnoea of the neonate has been observed during the past decade, most likely secondary to an increased usage of primary Caesarean section. The disorder is mainly caused by a delayed resorption of foetal lung fluid. Further disorders in term neonates include meconium aspiration syndrome and congenital diaphragmatic hernia leading to impaired gas exchange and pulmonary hypertension. In preterm neonates, respiratory distress syndrome is the main disorder leading to severe acute and long-term impaired gas exchange. Prenatal administration of glucocorticoids and postnatal surfactant therapy remains an establish... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5171850 Sun, 31 Jul 2011 23:00:00 +0100 5171850 http://www.medworm.com/index.php?rid=5171849&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%3D21863530%26dopt%3DAbstract Authors: Nelle M, Gerull R Abstract Late preterm births with a gestational age of 340/7-366/7 are physiologically, anatomically and metabolically immature and develop medical complications significantly more frequently, have a high morbidity and an elevated mortality. Consideration of this knowledge will in future require new strategies for obstretric, peripartal and neonatal management options that take into account not only maternal risks and demands but also those of the infant. PMID: 21863530 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5171849 Sun, 31 Jul 2011 23:00:00 +0100 5171849 http://www.medworm.com/index.php?rid=5171848&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%3D21863531%26dopt%3DAbstract Authors: Krentz H, Voigt M, Guthmann F, Hesse V, Straube S PMID: 21863531 [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=5171848 Sun, 31 Jul 2011 23:00:00 +0100 5171848 http://www.medworm.com/index.php?rid=5171847&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%3D21863532%26dopt%3DAbstract Authors: Dudenhausen J, Kirschner R, Grunebaum A PMID: 21863532 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5171847 Sun, 31 Jul 2011 23:00:00 +0100 5171847 http://www.medworm.com/index.php?rid=5171846&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%3D21863533%26dopt%3DAbstract Authors: Saling E PMID: 21863533 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5171846 Sun, 31 Jul 2011 23:00:00 +0100 5171846 http://www.medworm.com/index.php?rid=5092905&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%3D21755480%26dopt%3DAbstract Authors: Ermisch C, Markert UR Pregnancy is a unique immunological situation in which 2 allogeneic organisms live in intimate symbiosis without developing rejection reactions. At different locations, interfaces exist between mother and foetus with direct contact between both individuals: 1) maternal blood surrounds foetal villi, which are covered with syncitiotrophoblast cells; 2) cytotrophoblast cells invade the decidua, in which they touch tissue lymphocytes; 3) trophoblast cells, which substitute endothelium of maternal arterioles filled with maternal blood; and 4) trophoblast particles, which are expressed from syncytiotrophoblast and circulate within the maternal blood until they settle in the lung capillaries, where they become degraded by alveolar macrophages. Several factors ar... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5092905 Tue, 31 May 2011 23:00:00 +0100 5092905 http://www.medworm.com/index.php?rid=5092899&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%3D21755481%26dopt%3DAbstract Authors: Zollner U, Ahmadi M, Dietl J Gestational diabetes mellitus (GDM) occurs in 3-5% of all pregnant women. As there is no general screening in Germany, many cases remain undetected. Maternal as well as foetal morbidity are increased in GDM. The aim of this study was to investigate whether amniotic fluid insulin or C-peptide levels, collected by genetic amniocentesis in early pregnancy, are predictive for gestational diabetes. Patients at risk for developing GDM might be identified and treated very early. PMID: 21755481 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5092899 Tue, 31 May 2011 23:00:00 +0100 5092899 http://www.medworm.com/index.php?rid=5092895&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%3D21755482%26dopt%3DAbstract Authors: Linz A, Bacher M, Kagan KO, Buchenau W, Arand J, Poets CF Pierre Robin Sequence (PRS) is characterised by mandibular micrognathia and/or retrognathia, glossoptosis and upper airway obstruction (UAO). In severe cases, UAO and cyanosis occur immediately after birth and endoscopic intubation may become necessary. Therefore, prenatal diagnosis with referral to a specialized department is important. PMID: 21755482 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5092895 Tue, 31 May 2011 23:00:00 +0100 5092895 http://www.medworm.com/index.php?rid=5092891&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%3D21755483%26dopt%3DAbstract We report the consequences of this and similar developments on our pre- und postnatal approach after diagnosis in our department. PATIENTS AND CASE REPORTS: 2 parents decided to carry the child to term after the recommendation for abortion. According to standard perinatological aspects one child was vaginally delivered, the second with Caesarean section. After informed consent with the parents we planned a supportive management without more resuscitation than stimulation and ventilation by mask. Both children could be stabilised with nasal CPAP. The first one had been operated on a double outlet right ventricle at the age of 6 months, the second needed to be operated for diaphragm hernia. The third child had been delivered by emergency Caesarean section. A bilateral choanal atresia had bee... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=5092891 Tue, 31 May 2011 23:00:00 +0100 5092891 http://www.medworm.com/index.php?rid=5092883&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%3D21755484%26dopt%3DAbstract CONCLUSIONS: Actual pH (cH (+)) offers the closest correlation with 2 essential clinical parameters: FHF and Apgar scores; the advantages of ctH (+)(B) and ctH (+)(Ecf), are not self-evident; if determination of the metabolic component becomes necessary standard BE, (ctH (+)(Ecf)) should be used with correction to 100% oxygen saturation (ctH (+)(Ecf,ox.)) of haemoglobin (HbF), because this quantity (after pH (UA)) correlates best with clinical indices. However if the 'correction' is omitted the difference seems clinically irrelevant. PMID: 21755484 [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=5092883 Tue, 31 May 2011 23:00:00 +0100 5092883 http://www.medworm.com/index.php?rid=5092880&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%3D21755485%26dopt%3DAbstract We report about a term newborn with a third degree AV block, examined by this method. PMID: 21755485 [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=5092880 Tue, 31 May 2011 23:00:00 +0100 5092880 http://www.medworm.com/index.php?rid=4798643&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%3D21541903%26dopt%3DAbstract Authors: Zollner U, Rehn M, Girschick G, Dietl J Intrauterine growth restriction (IGUR) can have different etiologies, but placental insufficiency is the clinically most relevant. Fetuses with IUGR have a significantly higher morbidity and mortality than normally grown fetuses of the same gestational age. It is important to distinguish a growth restricted fetus from a normal, small fetus and from a fetus being small because of a disease, e. g., an aneuploidy. This differentiation requires the knowledge of the gestational age and the use of multiple imaging modalities. Serial assessments of fetal growth by ultrasound are necessary to recognize declining growth. Doppler sonography can detect changes in the uteroplacentar and the fetal perfusion. Blood vessels of clinical relevance are ... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=4798643 Thu, 31 Mar 2011 23:00:00 +0100 4798643 http://www.medworm.com/index.php?rid=4798642&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%3D21541904%26dopt%3DAbstract CONCLUSIONS: Prenatal volumetry is time-consuming, but reliable especially for left MM and brain volume. Linear growth of brain and liver volume is present in utero irrespective of CHD. Application of our reference graphs of MM growth allows early differentiation in CHD. PMID: 21541904 [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=4798642 Thu, 31 Mar 2011 23:00:00 +0100 4798642 http://www.medworm.com/index.php?rid=4798641&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%3D21541905%26dopt%3DAbstract CONCLUSION: Foetal weight estimation by means of ultrasound is easy and fast and does not need a high level of experience. There is no negative influence on accuracy of weight estimate by examination conditions and week of gestation. Ultrasound examinations also give information about foetal position, placental localisation and amount of amniotic fluid. Together with maternal risk factors, the prospective planning and leading of birth requires ultrasound biometry prior to delivery. PMID: 21541905 [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=4798641 Thu, 31 Mar 2011 23:00:00 +0100 4798641 http://www.medworm.com/index.php?rid=4798640&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%3D21541906%26dopt%3DAbstract CONCLUSIONS: Our results confirm international studies showing differences regarding the social context of women who give birth to a child with normal or low birth weight. Apart from vertical status characteristics, marital conditions and resulting psychosocial stressors seem to have an impact. PMID: 21541906 [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=4798640 Thu, 31 Mar 2011 23:00:00 +0100 4798640 http://www.medworm.com/index.php?rid=4798639&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%3D21541907%26dopt%3DAbstract Authors: Lehnen H, Schwennicke G, Rommen W, Mayer K, Maiwald R A double-bubble sign was detected by ultrasonography in a GII, PII, who suffers from Ehlers-Danlos syndrome type II. The delivery was done by Caesarean section based on the suspicion of premature placental separation. Postnatally, the child was found to have duodenal atresia caused by an annular pancreas. These features have not been described in EDS so far. Molecular genetic analysis showed a novel COL5A1 splice mutation in the mother, which is responsible for the EDS phenotype. The mutation is absent in the male newborn. Therefore, we assume that maternal EDS and the malformation of the child are not related. PMID: 21541907 [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=4798639 Thu, 31 Mar 2011 23:00:00 +0100 4798639 http://www.medworm.com/index.php?rid=4798638&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%3D21541908%26dopt%3DAbstract We report an 18-day-old newborn with sepsis caused by Salmonella apapa. Salmonella apapa was isolated from the feces of a bearded dragon living along with the family. PMID: 21541908 [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=4798638 Thu, 31 Mar 2011 23:00:00 +0100 4798638 http://www.medworm.com/index.php?rid=4798637&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%3D21541909%26dopt%3DAbstract Authors: Saling E PMID: 21541909 [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=4798637 Thu, 31 Mar 2011 23:00:00 +0100 4798637 http://www.medworm.com/index.php?rid=4575299&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%3D21351051%26dopt%3DAbstract CONCLUSION: Infections with enterovirus are both clinically and epidemiologically relevant during the neonatal period. Predominantly in the typical season, from June to October, enteroviral infections may be an important differential diagnosis to neonatal sepsis. The infection may be transmitted via infected parents during rooming-in within the hospital. PMID: 21351051 [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=4575299 Tue, 01 Feb 2011 00:00:00 +0100 4575299 http://www.medworm.com/index.php?rid=4575298&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%3D21351052%26dopt%3DAbstract CONCLUSION: During the individual premedication visit, patients should be asked directly about negative pre-information and perioperative experience. Thus the conversation can be customised to the individual stress factors and show empathy as well. Independent of any medical intervention, this approach can be an effective contribution to stress reduction. PMID: 21351052 [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=4575298 Tue, 01 Feb 2011 00:00:00 +0100 4575298 http://www.medworm.com/index.php?rid=4575297&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%3D21360418%26dopt%3DAbstract Authors: Kleinsorge F, Smetanay K, Rom J, Hörmannsdörfer C, Scharf A, Schmidt P PMID: 21360418 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=4575297 Tue, 01 Feb 2011 00:00:00 +0100 4575297 http://www.medworm.com/index.php?rid=4521576&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%3D21344344%26dopt%3DAbstract Authors: Schildberger B Notwithstanding scientific evidence about the development of sexuality and possible sexual variations, the social dogma of the duality of the sexes hardly tolerates deviations from the defined norms of female and male. The diagnosis of intersexuality is mostly considered as a treatable disease with the chance of eventual sexual adaptation; transsexuality in any form is placed at the social periphery as an individual symptomatology. This review discusses the presence, actuality and sense of coherence of heteronormativity and outlines the consequences of an attributed sexuality. PMID: 21344344 [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=4521576 Tue, 01 Feb 2011 00:00:00 +0100 4521576 http://www.medworm.com/index.php?rid=4521575&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%3D21344345%26dopt%3DAbstract CONCLUSION: This analysis shows that the quality assurance data miss more than 1/3 of deaths in extremely low birthweight infants. Transfers between hospitals may result in multiple data entries and additional bias. Comparing outcome statistics based on the neonatal quality assurance dataset may lead to a substantial systematic error. Linkage to national birth and death certificates and/or to the perinatal dataset is urgently needed. PMID: 21344345 [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=4521575 Tue, 01 Feb 2011 00:00:00 +0100 4521575 http://www.medworm.com/index.php?rid=4521574&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%3D21348005%26dopt%3DAbstract CONCLUSIONS: The rate of central positioning with UVC is about 75%. Positioning was not influenced by GA, BW, indication, sex or insertion period. Severe complications can occur also in catheters with previous correct position. Because of the higher risk of colonisation and infection with longer indwelling times, the UVC should be removed as soon as possible. PMID: 21348005 [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=4521574 Tue, 01 Feb 2011 00:00:00 +0100 4521574 http://www.medworm.com/index.php?rid=4521573&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%3D21348006%26dopt%3DAbstract CONCLUSIONS: Smoking and low maternal BMI in combination can cause high rates of preterm birth and SGA neonates as well as low mean birth weight. Although smoking offers some apparent benefit regarding LGA rates and pre-eclampsia this should not distract from its overall adverse influence. PMID: 21348006 [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=4521573 Tue, 01 Feb 2011 00:00:00 +0100 4521573 http://www.medworm.com/index.php?rid=4521572&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%3D21348007%26dopt%3DAbstract CONCLUSION: The rise in Cesarean section rates cannot be explained by the patients' preferences. In terms of patient autonomy, obstetricians should respect a woman's wish for vaginal delivery, avoiding medical intervention if clinically possible. PMID: 21348007 [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=4521572 Tue, 01 Feb 2011 00:00:00 +0100 4521572 http://www.medworm.com/index.php?rid=4521571&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%3D21348008%26dopt%3DAbstract CONCLUSION: Although water birth is restricted to low risk patients, unforeseen complications may occur. Because of the special situation in an underwater birth complications may be diagnosed late and their management will be more difficult. Obstetricians should be aware of this risk. PMID: 21348008 [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=4521571 Tue, 01 Feb 2011 00:00:00 +0100 4521571 http://www.medworm.com/index.php?rid=4322728&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%3D21207321%26dopt%3DAbstract Authors: Rath W Venous thromboembolism (VTE) is one of the leading causes of maternal deaths worldwide. Mortality and morbidity of VTE are potentially preventable, since two-thirds of these women have identifiable risk factors and may benefit from appropriate thromboprophylaxis. Individual and careful assessment of the personal and family history as well as the assessment of pre-existing and new-onset/transient risk factors during pregnancy and after delivery are mandatory for an effective prevention of VTE. Current guidelines (American College of Chest Physicians 2008, AWMF-Guideline 003/001 2009 and the Royal College Guideline No. 37 2009) provide practical recommendations for risk stratification regarding low, intermediate and high risk conditions. At high risk are women with previo... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=4322728 Wed, 01 Dec 2010 00:00:00 +0100 4322728 http://www.medworm.com/index.php?rid=4322727&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%3D21207322%26dopt%3DAbstract CONCLUSIONS: Previous extrauterine pregnancies are associated with higher rates of preterm birth and infants of low birth weight in subsequent pregnancies. PMID: 21207322 [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=4322727 Wed, 01 Dec 2010 00:00:00 +0100 4322727 http://www.medworm.com/index.php?rid=4322726&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%3D21207323%26dopt%3DAbstract CONCLUSION: In the clinical setting of "suspected preeclampsia", determination of the sFlt-1/PlGF ratio can serve as an aid in the diagnosis of hypertensive disorders in pregnancy. The reliable exclusion of the diagnosis "preeclampsia" can help in an appropriate and cost-effective management of patients with signs and symptoms of the disease. PMID: 21207323 [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=4322726 Wed, 01 Dec 2010 00:00:00 +0100 4322726 http://www.medworm.com/index.php?rid=4322725&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%3D21207324%26dopt%3DAbstract CONCLUSION: As already shown in former studies, the higher specificity of the AFS is a result of a reduction of the false positive rate (28 to 17 cases). As a consequence of the AFS with a detection rate of 100% the rate of further invasive diagnostics in pregnant women is decreased by having 39% fewer positive tested women. PMID: 21207324 [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=4322725 Wed, 01 Dec 2010 00:00:00 +0100 4322725 http://www.medworm.com/index.php?rid=4322724&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%3D21207325%26dopt%3DAbstract CONCLUSIONS: Congenital malformations are important determinants of childhood morbidity and mortality. Malformation prevalence and types of malformations, along with morbidity and mortality, are important parameters in perinatal medicine. The establishment of active malformation registries is therefore an important task. PMID: 21207325 [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=4322724 Wed, 01 Dec 2010 00:00:00 +0100 4322724 http://www.medworm.com/index.php?rid=4322723&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%3D21207326%26dopt%3DAbstract We report of a 30-year-old primipara with secondary realized intrathecal placement. In due consideration of the current state of labor, we decided to leave the catheter in place and initiate a pain therapy applying bupivacain via this catheter immediately after the motor block had ceased. Within the first stage of labor sufficient pain relief was established. There was no change in tonicity. It resulted in a normal unproblematic vaginal birth. After an initial irritation due to the high dispersion the patient described a noticeable alleviation of pain during the adequate controlled labor. PMID: 21207326 [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=4322723 Wed, 01 Dec 2010 00:00:00 +0100 4322723 http://www.medworm.com/index.php?rid=4322722&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%3D21207327%26dopt%3DAbstract Z Geburtshilfe Neonatol. 2010 Dec;214(6):252-253 Authors: Trotter A, Pohlandt F, PMID: 21207327 [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=4322722 Wed, 01 Dec 2010 00:00:00 +0100 4322722 http://www.medworm.com/index.php?rid=4122157&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%3D21031325%26dopt%3DAbstract Authors: Schmidt S PMID: 21031325 [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=4122157 Fri, 01 Oct 2010 00:00:00 +0100 4122157 http://www.medworm.com/index.php?rid=4122156&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%3D21031326%26dopt%3DAbstract "Save Today, Better Control Tomorrow" Z Geburtshilfe Neonatol. 2010 Oct;214(5):177-179 Authors: Feige A PMID: 21031326 [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=4122156 Fri, 01 Oct 2010 00:00:00 +0100 4122156 http://www.medworm.com/index.php?rid=4122155&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%3D21031327%26dopt%3DAbstract Authors: Meyersiek D International comparisons show that life expectancy is positively correlated with national expenditures on health care (% of Gross National Product) - albeit with significant differences. Over the past decade the increase in health-care expenditures grew at twice the rate of the increase in life expectancy. Total volume and growth of resources spent on health care require more consideration of economic aspects. On the basis of empirical examples (World Health Organization) and diagrammatic illustrations of the efficiency of market mechanisms, the present paper offers a visual illustration of the argument that market-oriented health systems seem to be more effective, and that government rules and regulations have to consider the demand AND supply sides of health car... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=4122155 Fri, 01 Oct 2010 00:00:00 +0100 4122155 http://www.medworm.com/index.php?rid=4122154&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%3D21031328%26dopt%3DAbstract Authors: Schwenzer T, Schwenzer C INTRODUCTION Based on the data of the Institut für das Entgeltsystem im Krankenhaus (InEK) cost and revenue data for deliveries in Germany can be compared. The InEK calculates the cost data for each individual diagnosis-related group (DRG) on the basis of those hospitals that deliver their individual cost data, so-called "Kalkulationshäuser". The InEK only publishes data for patients with standard lengths of stay. It does not deliver data for short- and long-stay patients. Beside these cost data, the InEK publishes the nationwide case volume for each DRG. Having a knowledge of the individual base rate (Landesbasisfallwert), which differs from province (Bundesland) to province and, in addition, the nationwide case weight for each DRG, the average reve... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=4122154 Fri, 01 Oct 2010 00:00:00 +0100 4122154 http://www.medworm.com/index.php?rid=4122153&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%3D21031329%26dopt%3DAbstract CONCLUSION: A perinatal center level I can operate cost-coveringly on the basis of the DRG system. To achieve this it's not necessary to increase the number of caesarean sections, but what is needed instead is a high number of normal deliveries and an economical non-medical infrastructure and care. PMID: 21031329 [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=4122153 Fri, 01 Oct 2010 00:00:00 +0100 4122153 http://www.medworm.com/index.php?rid=4122152&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%3D21031330%26dopt%3DAbstract CONCLUSIONS: Planned vaginal delivery of dichorionic twins at term and active second-stage management is associated with lower rate of normal neonatal outcome. These risks should be considered in prenatal informed consent discussions with the pregnant woman. PMID: 21031330 [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=4122152 Fri, 01 Oct 2010 00:00:00 +0100 4122152 http://www.medworm.com/index.php?rid=4122151&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%3D21031331%26dopt%3DAbstract CONCLUSIONS: With the increasing number of Caesarean sections the incidence of birth trauma has decreased. Nevertheless, when performing a CS there is still a risk of serious trauma to the neonate, including bone fractures. A Caesarean section for breech presentation constitutes a predisposition for femoral fractures. When diagnosed early and treated properly, the prognosis for these fractures is good without sequelae and one can expect a satisfactory clinical outcome for the child. We suggest that the possibility of this complication be mentioned when counselling the mother and getting informed consent. PMID: 21031331 [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=4122151 Fri, 01 Oct 2010 00:00:00 +0100 4122151 http://www.medworm.com/index.php?rid=3933947&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%3D20806147%26dopt%3DAbstract Authors: Schmidt S PMID: 20806147 [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=3933947 Sat, 31 Jul 2010 23:00:00 +0100 3933947 http://www.medworm.com/index.php?rid=3933946&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%3D20806148%26dopt%3DAbstract Authors: Weichert J, Kahl FO, Schröer A, Bohlmann MK, Diedrich K, Hartge DR The birth prevalence of gastroschisis is increasing world-wide. This situation applies particularly to young, slim women who smoke. At a first glance this is a paradox in light of the ever-increasing age of pregnant women among whom there are fewer and fewer smokers. In numerous studies it has been clearly demonstrated that not only (nutritional) teratogenic substances and environmental factors but also epidemiological causes can be held responsible for this phenomenon. Nowadays gastroschisis is detected prenatally in up to 90% of all foetuses. Advantages of a prenatal diagnosis include the identification of associated disorders and the determination of a high-risk constellation (IUGR, intraabdominal bowel d... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3933946 Sat, 31 Jul 2010 23:00:00 +0100 3933946 http://www.medworm.com/index.php?rid=3933945&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%3D20806149%26dopt%3DAbstract CONCLUSIONS: Proper informed consent, appropriate monitoring for the mother and the newborn, one-to-one nursing or midwifery care as well as the availability of an attending physician experienced in neonatal resuscitation and an anaesthesiologist with experience regarding the use of remifentanil are important to ensure that this method retains its good reputation for obstetric analgesia. PMID: 20806149 [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=3933945 Sat, 31 Jul 2010 23:00:00 +0100 3933945 http://www.medworm.com/index.php?rid=3933944&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%3D20806150%26dopt%3DAbstract CONCLUSION: Using sensitivity, specificity, FPR and FNR of the FHR sub partu, it is possible to discriminate online a normal (reassuring) from an abnormal (non-reassuring) FHR tracing by a simple computer-aided procedure which we call WAS scoring. PMID: 20806150 [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=3933944 Sat, 31 Jul 2010 23:00:00 +0100 3933944 http://www.medworm.com/index.php?rid=3933943&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%3D20806151%26dopt%3DAbstract CONCLUSIONS: The magnitude and age-dependence of the preterm birth rate can to some extent be explained with the age-dependent prevalence of anamnestic risk factors for preterm birth. Excluding women with anamnestic risk factors from our study population lowered the preterm birth rates substantially. PMID: 20806151 [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=3933943 Sat, 31 Jul 2010 23:00:00 +0100 3933943 http://www.medworm.com/index.php?rid=3933942&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%3D20806152%26dopt%3DAbstract We report on a foetal rhabdomyosarcoma of the head and neck area with massive cardiac and placental infiltration associated with intrauterine foetal death in the second trimester. Sonographic features and necropsy findings are described and the differential diagnosis is discussed. Furthermore, diagnostic approaches to rule out a pattern of transplacental metastases are presented. PMID: 20806152 [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=3933942 Sat, 31 Jul 2010 23:00:00 +0100 3933942 http://www.medworm.com/index.php?rid=3933941&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%3D20809460%26dopt%3DAbstract Authors: Saling E PMID: 20809460 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3933941 Sat, 31 Jul 2010 23:00:00 +0100 3933941 http://www.medworm.com/index.php?rid=3701842&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%3D20574935%26dopt%3DAbstract Authors: PMID: 20574935 [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=3701842 Mon, 31 May 2010 23:00:00 +0100 3701842 http://www.medworm.com/index.php?rid=3701841&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%3D20574936%26dopt%3DAbstract CONCLUSION: In the hypnosis group there were significantly less preterm deliveries after parallelising the socio-economical demographics. A planned randomised controlled study of preterm labour should identify whether clinical hypnosis can reduce the incidence of preterm labour. PMID: 20574936 [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=3701841 Mon, 31 May 2010 23:00:00 +0100 3701841 http://www.medworm.com/index.php?rid=3701840&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%3D20574937%26dopt%3DAbstract CONCLUSIONS: A postpartum psychiatric disorder of the mother is a risk not only for the baby but also for the father. High levels of awareness for the early detection and early treatment of this condition is essential1. PMID: 20574937 [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=3701840 Mon, 31 May 2010 23:00:00 +0100 3701840 http://www.medworm.com/index.php?rid=3701839&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%3D20574938%26dopt%3DAbstract CONCLUSIONS: Considering common recommendations for training, as well as careful measures and contraindications, a moderate individual training to maintain physical and psychic fitness is desirable. Many kinds of sports like jogging, nordic walking, swimming and cycling, for example, can be carried out in a pregnancy without any risks and furthermore promote the health of the future mother and child. PMID: 20574938 [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=3701839 Mon, 31 May 2010 23:00:00 +0100 3701839 http://www.medworm.com/index.php?rid=3701838&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%3D20574939%26dopt%3DAbstract We report on a 30-year-old primagravid woman in the 34 (th) week of gestation who was admitted to our hospital. ARPKD of the foetus had been sonographically suspected since the 26 (th) week of gestation. Ultrasound examination showed big polycystic kidneys on both sides. The non-consanguineous parents wanted a maximum therapy for the infant. Foetal digitalisation because of heart insufficiency and prophylactic lung maturation was started. In the further course, Doppler sonographic values worsened and a Caesarean section was performed in the 34 (th) week of gestation at the demand of the parents and due to the expected problems in case of a vaginal delivery. The weight of the newborn was 3 780 g and the abdominal circumference was 50 cm. The newborn was intubated immediately after birth and... Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3701838 Mon, 31 May 2010 23:00:00 +0100 3701838 http://www.medworm.com/index.php?rid=3701837&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%3D20574940%26dopt%3DAbstract Authors: Schmidt S PMID: 20574940 [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=3701837 Mon, 31 May 2010 23:00:00 +0100 3701837 http://www.medworm.com/index.php?rid=3701836&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%3D20574941%26dopt%3DAbstract Authors: Trotter A, Pohlandt F PMID: 20574941 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie) Zeitschrift fur Geburtshilfe und Neonatologie journals http://www.medworm.com/rss/comments.php?id=3701836 Mon, 31 May 2010 23:00:00 +0100 3701836 http://www.medworm.com/index.php?rid=3701835&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%3D20577958%26dopt%3DAbstract CONCLUSIONS: Computer-aided evaluation of FHR patterns leads to a novel index (WAS score) which predicts foetal acidaemia with a high level of accuracy. Therefore online WAS scoring is proposed as an ancillary test procedure for future evaluation of FHR patterns. The conventional EFM remains untouched. PMID: 20577958 [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=3701835 Mon, 31 May 2010 23:00:00 +0100 3701835 http://www.medworm.com/index.php?rid=3701834&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%3D20577959%26dopt%3DAbstract Authors: Hummler H PMID: 20577959 [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=3701834 Mon, 31 May 2010 23:00:00 +0100 3701834 http://www.medworm.com/index.php?rid=3691368&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%3D20571994%26dopt%3DAbstract CONCLUSION: Ear points are detectable in neonates with NAS and do not depend on the side of the ear lobe. The most important point is the psychovegetative rim and, in all neonates with NAS, psychic ear points were detectable. So for the first time it is possible to identify psychic ear acupuncture points in neonates. In the future it could be possible to use active ear points in neonates for diagnostic and therapeutic options. PMID: 20571994 [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=3691368 Mon, 31 May 2010 23:00:00 +0100 3691368 http://www.medworm.com/index.php?rid=3691367&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%3D20571995%26dopt%3DAbstract We present the clinical course of a 32-year-old primigravida in the 40 (th) week of gestation delivered in general anaesthesia by Caesarean section after premature rupture of the membranes and obstructed labour. Immediately after delivery and extubation, the patient appeared drowsy and with reduced consciousness. An emergency CCT presented an acute frontal haemorrhage with intraventricular bleeding. In this case there was no history of risk factors and no origin of the bleeding could be identified. A complete remission of the symptoms was achieved after ventricular drainage, intensive care support and consecutive rehabilitation. PMID: 20571995 [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=3691367 Mon, 31 May 2010 23:00:00 +0100 3691367 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