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Significance of observing no fluid at amniotomy

Article Abstract:

During labor the membranes surrounding the fetus can be artificially ruptured to help with the progression of labor. The amount and character of the amniotic fluid released during artificial rupture of membranes (AROM) can provide information regarding the well-being of the fetus. Fluid that is stained with meconium, the first fetal stool, or lack of amniotic fluid is associated with a poor fetal outcome. The pregnancy outcome of absent amniotic fluid after AROM was studied among 30 patients with known intact membranes at the time of membrane rupture. Half of the patients having no amniotic fluid when the membranes were ruptured were found to have meconium-stained amniotic fluid. Abnormal fetal heart rate patterns occurred in 21 patients. A total of 10 patients underwent a cesarean delivery because of fetal distress. Although meconium may not be noted initially, it can often be detected after delivery. Close monitoring of the fetus during and immediately after labor is essential so that admission to neonatal intensive care is prompt and airway suctioning can be initiated quickly. (Consumer Summary produced by Reliance Medical Information, Inc.)

Fetal distress, Amniotic fluid, Meconium, Meconium aspiration syndrome

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Placental pathology in systemic lupus erythematosus: a prospective study

Article Abstract:

Damage to the placenta may cause many of the problems experienced by pregnant women with systemic lupus erythematosus. Researchers examined placentas from 33 women with lupus after childbirth. Excessive blood clots and damage from lack of blood and oxygen were seen in many samples. This was especially true in women who tested positive for antiphospholipid antibody syndrome, which is a complication of lupus. These women were more likely to have a history of miscarriage, premature birth and fetal death compared to women who did not have antiphospholipid antibody syndrome.

Abnormalities, Complications and side effects, Systemic lupus erythematosus, Placenta, Antiphospholipid antibodies

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Ultrasonographic ear length measurement in normal second- and third-trimester fetuses

Article Abstract:

Researchers developed a chart of normal ear length between 15 and 40 weeks' gestation in 2,583 fetuses. The size and shape of the ear can be used in the prenatal diagnosis of chromosomal abnormalities.

Fetus, Chromosome abnormalities, Ear

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