A new ultrasound sign observed in a 22-week fetus with trisomy 18 or Edwards syndrome, consisting of permanent hyperextension of both index fingers (sign named “pointer finger”), and associated with arthrogryposis of wrists is reported. The relevance of this finding is that it could be recognized as another marker in the screening for this disease.

Objectives: To determine the feasibility of cervical length measurement by transabdominal ultrasound at 20-23 weeks of gestation and to correlate this measurements with those obtained by tansvaginal ultrasound. Design: Observational cross-sectional study. Setting: Instituto Latinoamericano de Salud Reproductiva (ILSAR), Lima, Peru. Participants: Pregnant women. Methods: In 67 pregnant women with no risk factors for preterm delivery (PTD) measurement of the uterine cervix at 20-23 weeks of gestation was performed. Thirty women (30) underwent both transabdominal and transvaginal ultrasound measurement. Main outcome measures: Correlation of uterine cervix measurement by abdominal and transvaginal ultrasound. Results: The cervix could be measured satisfactorily by transabdominal measurement in 65 women (97%). There was a good correlation between transabdominal and transvaginal measurement  ...

We studied 8 women transplanted kidney, who completed 10 pregnancies. All grafts were from living persons and 75% were family. The age of pregnant women ranged between 17 and 33 years. The interval between the graft and the pregnancy was 4 months to 5 years, in 3 cases less than one year. Immunosuppression during pregnancy was performed with prednisone (0.15 to 0.20 mglKgldía) and Azothioprina (1.5 to 2.0 mgldía). The most frequent maternal complications were pregnancy-induced hypertension (7 cases), including one case of eclampsia. It was high incidence of urinary tract infection (3 cases), and hydronephrosis, negative factors in the future of the graft. decreased renal function in 2 cases reversible acute rejection and in 1 case was detected. The delivery was by Caesarean section seven cases, a figure that we consider high and may decrease in the future. Delivery implemented to short...

Introduction: Early prenatal diagnosis of chromosomal abnormalities requires invasive techniques, including chorionic villous sampling (CVS) and amniocentesis (AMC) in order to acquire, culture and kayotype cells from fetuses at high risk for these abnormalities based on sonographic and biochemical markers present after week 11. We report our experience through June 2016.Design: Descriptive, longitudinal study. Setting: Instituto Latinoamericano de Salud Reproductiva (ILSAR), Lima, Peru. Participants: First and second trimester of pregnancy fetuses. Interventions: Results of the study of 400 first and second trimester fetuses at high risk for chromosomal abnormalities (greater than 1/270 initially or 1/100 starting in 2012) based on Spain Fetal Test database and the results of biochemical markers (combined risk). Fetal karyotype analysis was performed on samples obtained from 338 genetic...

Two cases of pregnant women treated with total parenteral nutrition (TPN) for addisonian crisis and gravidarum, respectively, making a brief review of this interesting topic, as well as indications of the NPT in obstetrics hiperemessis is presented. Our report is the first in Peru.

Objectives: To assess the feasibility of measuring cervical by transabdominal ultrasound between 20 and 23 weeks of gestation and compare these measurements with those obtained by transvaginal ultrasound. Design: Cross-sectional study. Setting: Instituto Latinoamericano de Salud Reproductiva (ILSAR), Lima, Peru. Participants: Normal pregnant women with no risk factors for preterm delivery (PTD). Methods: Cervical length was measured to 67 normal pregnant women 20-23 weeks by transabdominal ultrasound. In 30 women cervical length was measured by abdominal ultrasound using 3-5 MHZ convex transducer and by vaginal ultrasound with 5-7 MHZ endotransducer. Main outcome measures: Cervical length measurement. Results: The cervix was satisfactorily measured by transabdominal ultrasound in 65 women (97%). There was good correlation between transabdominal and transvaginal measurement (r<....

Objectives: To assess the feasibility of measuring cervical by transabdominal ultrasound between 20 and 23 weeks of gestation and compare these measurements with those obtained by transvaginal ultrasound. Design: Cross-sectional study. Setting: Instituto Latinoamericano de Salud Reproductiva (ILSAR), Lima, Peru. Participants: Normal pregnant women with no risk factors for preterm delivery (PTD). Methods: Cervical length was measured to 67 normal pregnant women 20-23 weeks by transabdominal ultrasound. In 30 women cervical length was measured by abdominal ultrasound using 3-5 MHZ convex transducer and by vaginal ultrasound with 5-7 MHZ endotransducer. Main outcome measures: Cervical length measurement. Results: The cervix was satisfactorily measured by transabdominal ultrasound in 65 women (97%). There was good correlation between transabdominal and transvaginal measurement (r&l...

Two cases of pregnant women treated with total parenteral nutrition (TPN) for addisonian crisis and gravidarum, respectively, making a brief review of this interesting topic, as well as indications of the NPT in obstetrics hiperemessis is presented. Our report is the first in Peru.

We studied 8 women transplanted kidney, who completed 10 pregnancies. All grafts were from living persons and 75% were family. The age of pregnant women ranged between 17 and 33 years. The interval between the graft and the pregnancy was 4 months to 5 years, in 3 cases less than one year. Immunosuppression during pregnancy was performed with prednisone (0.15 to 0.20 mglKgldía) and Azothioprina (1.5 to 2.0 mgldía). The most frequent maternal complications were pregnancy-induced hypertension (7 cases), including one case of eclampsia. It was high incidence of urinary tract infection (3 cases), and hydronephrosis, negative factors in the future of the graft. decreased renal function in 2 cases reversible acute rejection and in 1 case was detected. The delivery was by Caesarean section seven cases, a figure that we consider high and may decrease in the future. Delivery implemented to short...

The amount of amniotic fluid is studied by measuring wells in millimeters high by ultrasonography in 300 normal pregnant women who were enrolled in different stages of pregnancy without complications, date of last normal menstruation precisada well, with only normal fetal development, no major malformations or delay growth and macrosomia, with apparently normal placentas without premature ripening. The well height during pregnancy ranged from an average of 32.5 mm. between 11 and 12 weeks to 61.3 mm. between 28 and 32 weeks, then remain more or less stationary values to 40 weeks. The maximum and minimum limits in the second half of pregnancy were 80 and 40 mm., Which corroborates in our results reported in other countries.

Ultrasound Fetal Monitoring - Electronic Surveillance, Clinical surveillance.

Peruvian Network of Perinatology. Summaries of the Day

Peruvian Network of Perinatology. Summaries of the Day