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Biomedical subjects

R H Aubry

Publications and source records attributed to R H Aubry.

At least 19 recordsLinked to original sources

Umbilical cord cyst presenting as an omphalocele at 15 weeks' gestation. A case report.

A small, cystic structure was identified on a routine ultrasound scan performed for dating at 15 weeks' gestation. Originally it was thought to be an omphalocele, but further examination confirmed its origin in the cord several centimeters distal to the fetus. Close scrutiny of ultrasonograms is important since technical capabilities permit high-resolution scans during early gestation.

Diagnosis, Differential

Isolation of cytomegalovirus from the amniotic fluid during the third trimester.

A case is presented in which cytomegalovirus was isolated from the amniotic fluid at 36 weeks' gestation in a pregnancy complicated by cytomegalovirus hepatitis at 10 weeks of gestation. Abnormalities noted in the newborn infant included an undescended testis, right equinovarus, and hypotonia. All cultures revealed cytomegalovirus. Subsequent immunoglobulin studies, chest x-ray film, and bone films were all normal.

Adolescent

Congenital, complete heart block in the infant of a woman with collagen vascular disease. A case report.

Persistent fetal bradycardia may have multiple etiologies. The following represents a case of persistent fetal bradycardia due to congenital heart block in the infant of a woman with suspected collagen vascular disease. A review of the literature and a discussion of the association of maternal collagen vascular disease and congenital heart block is presented. The prognosis of infants with congenital heart block is reviewed and the possible association with growth retardation discussed.

Adult

The lecithin/sphingomyelin ratio in a high-risk obstetric population.

An experience with the lecithin/sphingomyelin (L/S) ratio in a population of high-risk obstetric patients is presented. A wide range of values in ralation to gestational age was found. A delayed rise in L/S ratio was found in Class A diabetes and Rh sensitization but was most striking in Class B through F diabetes. Chronic hypertension alone or in combination with diabetes is associated with an earlier rise in L/S ratio. A poor correlation of L/S ratio and neonatal pulmonary outcome with birthweight and gestational age was found. However, a good correlation between L/S ratio and neonatal pulmonary outcome was apparent. An L/S ratio of over 2 was universally associated with absence of serious RDS, but a low L/S ratio was less precisely predictive.

Amniotic Fluid

The assessment of maternal nutrition.

The assessment of maternal nutrition is a very important task that should become a more integral part of clinical obstetrical care. It is not simple but neither is it overly complex for the practical office or clinic setting or personnel. This is especially critical for the groups at nutritional risk. Normal pregnancy physiology complicates the interpretation of traditional physical and laboratory techniques and, therefore, must be thoroughly understood. The dietician and/or nutritionist should be involved where available. The physician and nursing component of maternity care must, however, be increasingly aware of and involved with assessment techniques if maternity patients are to achieve adequate nutrition in practical clinical terms.

Diet