OBJECTIVE: To demonstrate that antepartum transabdominal ultrasound measurement of the depth and breadth of the cutout lace and the perpendicular distance from the midpoint of the notch to the fetal shell can predict the presence of nuchal cord asphyxia by neck in single fetuses term with vertex presentation. MATERIALS AND METHODS: In the Specialized Maternal Perinatal Institute between December 2002 and February 2003, an observational study of case-control in pregnant women with live term fetuses in vertex presentation without birth defects was performed. 120 pregnant women compared with suspected prenatal ultrasound fetal nuchal cord neck, confirmed the birth within 48 hours of the test, with 135 pregnant women without nuchal cord. RESULTS: Mean breadth and depth of the notch cord were 23.1 ± 5.9 mm and 8.3 mm of ± 2.9 SD), respectively. Measuring the perpendicular distance from the ...

OBJECTIVE: To demonstrate that antepartum transabdominal ultrasound measurement of the depth and breadth of the cutout lace and the perpendicular distance from the midpoint of the notch to the fetal shell can predict the presence of nuchal cord asphyxia by neck in single fetuses term with vertex presentation. MATERIALS AND METHODS: In the Specialized Maternal Perinatal Institute between December 2002 and February 2003, an observational study of case-control in pregnant women with live term fetuses in vertex presentation without birth defects was performed. 120 pregnant women compared with suspected prenatal ultrasound fetal nuchal cord neck, confirmed the birth within 48 hours of the test, with 135 pregnant women without nuchal cord. RESULTS: Mean breadth and depth of the notch cord were 23.1 ± 5.9 mm and 8.3 mm of ± 2.9 SD), respectively. Measuring the perpendicular distance from the ...

Objectives: To determine cervical length measured by transvaginal ultrasound between 22 and 24 weeks’ gestation in the prediction of spontaneous preterm birth. Design: Observational analytic cohort type study. Setting: Fetal Medicine Unit, Instituto Nacional Materno Perinatal, Lima, Peru. Participants: Pregnant women with single gestation. Interventions: Cervical length was measured by transvaginal ultrasound in 1 218 pregnant women during routine prenatal care, between 22 to 24 weeks of gestation, in a tertiary hospital center. Main outcome measures: Cervical length measured at 22-24 weeks of gestation and its correlation with spontaneous preterm delivery. Results: The incidence of spontaneous preterm delivery was 11,8%. Cervical  length was normally distributed. Mean (+/- SD) cervical length was 35,1 +/- 8,5 mm (range, 11-72 mm).  Cervical length, history of preterm delivery, multi...

Objectives: To determine cervical length measured by transvaginal ultrasound between 22 and 24 weeks’ gestation in the prediction of spontaneous preterm birth. Design: Observational analytic cohort type study. Setting: Fetal Medicine Unit, Instituto Nacional Materno Perinatal, Lima, Peru. Participants: Pregnant women with single gestation. Interventions: Cervical length was measured by transvaginal ultrasound in 1 218 pregnant women during routine prenatal care, between 22 to 24 weeks of gestation, in a tertiary hospital center. Main outcome measures: Cervical length measured at 22-24 weeks of gestation and its correlation with spontaneous preterm delivery. Results: The incidence of spontaneous preterm delivery was 11,8%. Cervical  length was normally distributed. Mean (+/- SD) cervical length was 35,1 +/- 8,5 mm (range, 11-72 mm).  Cervical length, history of preterm delivery, multi...

Placental mesenchymal dysplasia is a rare condition of placentomegaly and abnormal chorionic villous, often clinically confused as partial hydatidiform mole. However, it is different clinically and pathologically, with high incidence of intrauterine growth restriction and stillbirth. We present the clinical course of a pregnant woman carrying placental mesenchymal dysplasia, the first case diagnosed at the Maternal Perinatal National Institute, how to suspect diagnosis and gestational care. There was need for caesarean section at 27 weeks gestation, obtaining a 1 048 g newborn girl, with Apgar 8 at the first minute and 9 at the fifth minute, bloody amniotic fluid in regular quantity and placentomegaly. Patient evolved satisfactorily and was discharged on the third hospitalization day. An abdominal liver tumor was confirmed in the newborn and surgical pathology report was liver mesenchyma...