PubMed Health⌕ Search

Biomedical subjects

A Kustermann

Publications and source records attributed to A Kustermann.

26 records · Page 2Linked to original sources
PubMedDate not supplied

[Procedural directions for a perinatal necropsy protocol usable for data bank purposes].

The authors expose the problems to be solved preliminarily in order to obtain a perfect standardization of autoptic protocols concerning perinatal subjects. Therefore the propose a draft of detailed anamnestic clinical card that follows the woman and the conception product during and after the pregnancy, and suggest the ways for an adequate perinatal diagnostic autoptic protocol. They deem advisable to insert the anamnestic clinical summary, codified with the SNO-MED, in an autoptic data bank, an irreplaceable instrument of interdisciplinary study.

Autopsy↗
PubMedDate not supplied

Serial amniocenteses in the management of twin-twin transfusion syndrome: when is it valuable?

Serial decompressive amniocenteses were performed at 18-23 weeks of gestation in 23 pregnancies referred due to echographic signs typical of twin-twin transfusion syndrome. The procedures were repeated until delivery or permanent normalization of the amniotic fluid volume both in the donor and the recipient twin sac. The overall survival rate was 57%, but in only 39% of the pregnancies did both twins survive without handicaps. The absence of end diastolic flow in the umbilical artery of the donor twin was associated with poor chances of survival for both fetuses; in contrast, the presence of hydrops or ascites in the recipient twin did not worsen the prognosis. A policy of aggressive amniotic fluid decompression may achieve permanent resolution of the fluid in over 50% of the pregnancies complicated by twin-twin transfusion syndrome.

Amniocentesis↗