دورية أكاديمية
Successful amnioinfusion for severe fetal growth restriction with umbilical cord complications: two case reports.
| العنوان: | Successful amnioinfusion for severe fetal growth restriction with umbilical cord complications: two case reports. |
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| المؤلفون: | KATSURA Daisuke, TAKAHASHI Yuichiro, IWAGAKI Shigenori, CHIAKI Rika, ASAI Kazuhiko, KOIKE Masako, TSUJI Shunichiro, KIMURA Fuminori, MURAKAMI Takashi, 桂 大輔, 辻 俊一郎, 木村 文則, 村上 節 |
| المصدر: | http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8320090Test/. |
| بيانات النشر: | BioMed Central Ltd |
| سنة النشر: | 2021 |
| المجموعة: | Shiga University of Medical Science Repository BI WAKO / 滋賀医科大学機関リポジトリ |
| مصطلحات موضوعية: | Amnioinfusion, Fetal growth restriction, Oligohydramnios, Umbilical cord compression, Umbilical cord factors |
| الوصف: | Background:There is no established treatment for fetal growth restriction during pregnancy. We report two cases that represent an example of an amnioinfusion-based management strategy for severe fetal growth restriction with umbilical cord complications. ; Case presentation:We encountered two cases of fetal growth restriction with abnormal fetal Doppler velocity. In one case, fetal ultrasound revealed a hypercoiled umbilical cord with a single umbilical artery and oligohydramnios, while fetal Doppler revealed a reversed end-diastolic flow in the umbilical artery and reversed a-waves of the ductus venosus. Umbilical cord compression was confirmed at 22 weeks and 2 days of gestation, and nine amnioinfusions were performed to relieve the umbilical cord compression. A cesarean section was performed at 31 weeks and 2 days of gestation because of severe preeclampsia. The Asian infant is now a normally developed 6-month-old. In another Asian case, fetal ultrasound revealed a hypercoiled cord, while fetal Doppler revealed a reversed end-diastolic flow in the umbilical artery and intermittent reversed a-waves of the ductus venosus. Umbilical cord compression was confirmed at 24 weeks and 5 days of gestation, and seven amnioinfusions were performed. A cesarean section was performed at 31 weeks and 1 day of gestation because of nonreassuring fetal status. At the age of 1 month, the Asian infant was stable on respiratory circulation. In both cases, fetal Doppler findings improved significantly following amnioinfusions. ; Conclusions:Amnioinfusion is a symptomatic treatment for umbilical cord compression. However, to determine the therapeutic effect of amnioinfusion, complete resolution of the umbilical cord compression should be ascertained by ultrasonography. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | |
| اللغة: | English |
| تدمد: | 1752-1947 |
| العلاقة: | https://doi.org/10.1186/s13256-021-02904-4Test; https://shiga-med.repo.nii.ac.jp/?action=repository_uri&item_id=3955Test; http://hdl.handle.net/10422/00013053Test; Journal of Medical Case Reports, 15(1), (2021-07-29); https://shiga-med.repo.nii.ac.jp/?action=repository_action_common_download&item_id=3955&item_no=1&attribute_id=17&file_no=1Test |
| الإتاحة: | https://doi.org/10.1186/s13256-021-02904-4Test http://hdl.handle.net/10422/00013053Test https://shiga-med.repo.nii.ac.jp/?action=repository_uri&item_id=3955Test https://shiga-med.repo.nii.ac.jp/?action=repository_action_common_download&item_id=3955&item_no=1&attribute_id=17&file_no=1Test |
| حقوق: | © 2021. The Author(s). |
| رقم الانضمام: | edsbas.B31B1B0F |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 17521947 |
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