Fetal cardiac function is increasingly recognized as a marker of disease severity and prognosis in selected fetal conditions. Magnetic resonance imaging (MRI) has been used in experimental (animal) fetal cardiology but the lack of a noninvasive fetal electrocardiogram (ECG) to trigger image acquisition remains a major limiting factor precluding its application in humans. Fetal medicine speciali...

as fetal compensation against hypoxemia progresses, the afterload on the heart and peripheral vascular resistance increases. eventually, the right heart fails, which is transmitted to the fetal venous system, causing decreased flow during late diastole or atrial contraction and increased resistance in the ductus venosus and inferior vena cava. the ductus has forward flow during atrial contracti...

Antepartum cardiotocography (CTG) is the most frequently used method for fetal surveillance during labor. In highrisk-pregnancies antepartum fetal heart rate assessment can be used to predict fetal compromise. However, the false-positive rate can be as high as 60 % for various reasons. Higher sensitivity might be achieved either by longer recording (fetal deep sleep phase) or by adding ultrasou...

ACR Appropriateness Criteria 1 Assessment of Fetal Well-Being American College of Radiology ACR Appropriateness Criteria Clinical Condition: Assessment of Fetal Well-Being Variant 1: Low-risk pregnancy. Radiologic Procedure Rating Comments RRL* US pregnant uterus biophysical profile 2 O US pregnant uterus modified biophysical profile 2 O US duplex Doppler velocimetry 2 O US echocardiography fet...

BACKGROUND Single fetal death (sFD) in monochorionic twin pregnancies is associated with substantial morbidity and mortality in the survivor. The aim of our study was to evaluate the rate of cerebral lesions detected at fetal Magnetic Resonance Imaging (MRI) and to correlate the results with the neurologic outcome of the survivors of monochorionic twin pregnancies after sFD. METHODS Between 2...

The self-assessment of the quality ofthe Family Health Strategy(FHS) was assessed in the context ofmanagement and its correlation with characteristics of FHS and of the municipality. Managers, coordinators and Family Health Unit managers of municipalities in the Northeast region of Minas Gerais replied with tools 1, 2 and 3 of the Assessment for Improving the Quality of Family Health Strategy (...

Sixty pregnant women whose fetuses were considered to be at high risk were intensively studied with fetal and placental function tests. Fetal breathing movements were studied with real-time ultrasound and the amount of time spent breathing and the variability of the breath-to-breath interval were measured. A reduction in the amount of time the fetus spent making breathing movements and decrease...