Defining the relationship between obstetricians and maternal-fetal medicine specialists

Article Abstract:

Most obstetricians will refer a pregnant women with a high-risk pregnancy to a maternal-fetal medicine specialist, according to a survey of 106 obstetricians. High-risk conditions included fatty liver, portal hypertension, pulmonary hypertension, transplantations, fetal hydrops, cytogenetic abnormalities, fetal heart diseases, isoimmunization, and twin-twin transfusion syndrome.

Surveys, Medical referral, Obstetricians

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Intrapartum fever at term: serum and histologic markers of inflammation

Article Abstract:

A fever during labor may not necessarily be a sign of an intrauterine infection, according to a study of 94 pregnant women. Only 31% of the women with fever had evidence of an intrauterine infection. However, all of these women had higher blood levels of interleukin-6 than women who did not have fever.

Physiological aspects, Labor (Obstetrics), Fever, Hyperthermia, Interleukin-6, Chorioamnionitis, Labour (Obstetrics)

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An economic evaluation of prenatal strategies for detection of trisomy 18

Article Abstract:

Routine amniocentesis to detect trisomy 18 in pregnant women with abnormal screening tests or choroid plexus cysts cannot be justified in a cost-benefit analysis. Trisomy 18 is a chromosomal defect which causes the death of 95% of affected children before birth or during the first year of life. Researchers compared no diagnostic testing, amniocentesis for every high-risk patient, or genetic ultrasonography plus amniocentesis, when indicated. Universal amniocentesis would cost about $12 million annually, and result in 40 fetal losses from the test procedure. Genetic ultrasonography with targeted amniocentesis would cost $5 million annually and cause 8 fetal losses.

Economic aspects, Diagnosis, Trisomy, Amniocentesis, Prenatal diagnosis, Prenatal ultrasonography, Ultrasonics in obstetrics

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