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Biomedical subjects

R Talmon

Publications and source records attributed to R Talmon.

6 recordsLinked to original sources

The outcome of abdominally delivered triplets and twins: a matched case-control study.

OBJECTIVE: To compare the outcome of matched triplets and twins delivered by cesarean section by order of delivery. STUDY DESIGN: 39 sets of triplets delivered abdominally were matched to 39 sets of twins also delivered by cesarean section in the same gestational age. The newborns outcome according to their birth order was analyzed. RESULTS: The mortality rate of triplets was twice than that of matched twins. While first born triplets had mortality rates similar to the first and second twins, there was a threefold increase in mortality rates of the second and third triplets as compared to the first triplet or twin. CONCLUSIONS: Triplets have a poorer outcome than twins even when they are delivered abdominally at the same gestational age. These differences are particularly noted in the second and third newborns.

Case-Control Studies↗

Effect of vibroacoustic stimulation on fetal meconium passage in labor.

It has been suggested that vibroacoustic stimulation might be stressful to the fetus. The present study was designed to evaluate whether the stimulus induces passage of meconium in labor. Patients in labor at term with healthy fetuses and intact membranes were randomized to a vibroacoustic stimulation or sham test. The incidence of meconium was the same in both groups. Pregnancy outcome variables were also similar in both groups. In conclusion, vibroacoustic stimulation does not increase the incidence of meconium passage of labor of healthy fetuses.

Acoustic Stimulation↗

Successful treatment of cornual pregnancy with 1-day high-dose methotrexate regimen and folinic acid rescue.

This report describes a woman with a cornual pregnancy, documented by laparoscopy and ultrasonography, who was successfully treated with a 1-day high-dose methotrexate regimen and folinic acid rescue. The serum beta-hCG level was 2,260 and increased to 3,060 IU/l on the 5th day after treatment before it fell precipitously to below 250 IU/l 15 days after methotrexate treatment. No side effects were experienced by the patient.

Adult↗

Cavernous hemangioma of the uterus in a pregnant woman.

BACKGROUND: Cavernous hemangioma of the uterus is a rare but serious condition, especially during pregnancy. Most reported cases ended with hysterectomy in an attempt to control profuse bleeding, and only one of four resulted in a live birth. We describe the sonographic differential diagnosis of this condition and propose management of these patients. CASE: Cavernous hemangioma of the uterus was diagnosed sonographically at 33 weeks' gestation. Conservative management resulted in a favorable outcome for both mother and child. CONCLUSION: Ultrasound is helpful in the prenatal diagnosis of cavernous hemangioma of the uterus; however, other uterine or placental abnormalities with similar sonographic appearances should be considered in the differential diagnosis.

Adult↗

White noise does not induce fetal sleep.

White noise has been shown to induce sleep in newborns. We sought to examine whether this type of sound will also induce a quiet state in the fetus. Twenty-two fetuses at 36-41 weeks of gestation were exposed to white noise during an active state. The sound was delivered for 5 min at an intensity of 100 dB. No significant change in fetal activity was noted following the sound.

Female↗