AIM To rule out maternal and pregnancy factors that may contribute to platelet count (PLT) changes in the first trimester of gestation and examine if there is any association between its levels and adverse perinatal outcome. METHODS The study population included all patients from the first-trimester visit between 2013-2015 with pregnancy results. Linear multiple regression was constructed to ...

Sir, We read with interest the study of Becker et al. on the added predictive value of biphasic events in ST analysis (STAN) (1). The authors used the cardiotocography (CTG) arm of the Swedish randomized controlled trial where STAN was recorded, but blinded for the clinician. Cases with Biphasic ST and concomitant CTG abnormalities indicating intervention were compared with all remaining cases ...

Cardiotocography is widely used, all over the world, for fetal heart rate and uterine contractions monitoring before (antepartum) and during (intrapartum) labor, regarding the detection of fetuses in danger of death or permanent damage. However, analysis of cardiotocogram tracings remains a large and unsolved issue. State-of-the-art monitoring systems provide quantitative parameters that are di...

Objectives: To evaluate the role of intrapartum vibroacoustic stimulation (VAST) and cardiotocography (CTG) for the prediction of neonatal outcome. Materials and methods: One hundred and twenty-five patients in labor with cephalic presentation were selected and subjected to CTG and VAST was done further to find out whether fetus is reactive or nonreactive and findings were correlated with the f...

In modern obstetrics the cardiotocography is a routine method of fetal condition assessment based mainly on analysis of the fetal heart rate signals. The correct interpretation of recorded traces from a bedside monitor is very difficult even for experienced clinicians. Therefore, computerized fetal monitoring systems are used to yield the quantitative description of the signal. However, the eff...

We report two methods of intraoperative fetal heart rate (FHR) monitoring in cases of cerebral arteriovenous malformation surgery during pregnancy. In one case in her third trimester, cardiotocography was used. In another case in her second trimester, ultrasound sonography was used, with a transesophageal echo probe attached to her lower abdomen. Especially, the transesophageal echo probe was u...

OBJECTIVE The purpose of this study was to calculate the prospective risk of fetal death in monochorionic-diamniotic twins. STUDY DESIGN We evaluated 193 monochorionic diamniotic twin pregnancies that were followed and delivered after 24 weeks. Surveillance included cardiotocography and sonography performed at least once weekly. The prospective risk of fetal death was calculated as the total ...

OBJECTIVES (1) To compare perinatal outcomes and costs of care among women giving birth in a single room maternity care (SRMC) setting versus a traditional delivery suite or postpartum setting; and (2) to report on physicians' responses to the SRMC environment. METHODS Among women who were determined to be at "low risk" for intrapartum complications through the use of a triage tool, the outco...