Management of prenatally diagnosed fetal abnormality.
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Congenital Abnormalities↗
Biomedical subjects
L de Crespigny
Publications and source records attributed to L de Crespigny.
Severe rhesus isoimmunization detected by cardiotocography performed for diminished fetal movements.
Two cases of rhesus isoimmunization are presented in which the fetus was much more severely affected than anticipated and where a sinusoidal pattern found on cardiotocography, performed because of absent fetal movements, resulted in appropriate and successful management.
Adult↗
Pain with amniocentesis and transabdominal CVS.
Fifty consecutive patients undergoing transabdominal chorionic villus sampling (CVS) and 52 undergoing amniocentesis completed a questionnaire following the procedure to determine the amount of pain they experienced. Mild pain, discomfort only or no pain was reported by 96% undergoing amniocentesis and 90% with CVS. Moderate or severe pain was reported after completion of the CVS by 8% and following amniocentesis by 2%. Both procedures were well tolerated.
Amniocentesis↗
Cranial ultrasound screening of preterm and term neonates.
A cranial ultrasound examination was performed between 48 and 96 h of age on 580 neonates of 25-42 weeks gestation. The incidence of cerebroventricular haemorrhage (CVH) in infants less than 32 weeks gestation was 37%, compared with an incidence of 2.7% in infants of 32 weeks or more. The incidence of CVH unselected healthy term infants (between 37 and 42 weeks) was only 1.1%. Of the 13 infants of 32 weeks or more who were found to have a haemorrhage, nine had a small (Grade I) haemorrhage (69%) and none of these infants had abnormal neurological signs in the neonatal period. The remaining four infants with Grade II, III or IV haemorrhage developed either seizures or episodes of apnoea. Two of the 13 infants of 32 weeks or more with a haemorrhage died, one during the newborn period and the other at 5.5 months of age. CVH in asymptomatic infants of 32 weeks or more gestation is uncommon and does not justify routine cranial ultrasound scanning.
Cerebral Hemorrhage↗