The August issue of Ultrasound in Obstetrics & Gynecology contains an Editorial on fetal anemia, a Systematic Review on customized vs population-based growth charts to identify neonates at risk of adverse outcome, the latest study in the series of articles on imaging in gynecological disease and the study protocol for the ‘Screening programme for pre-eclampsia’ (SPREE) study.

Please see below a selection of articles from the August issue of the Journal chosen specially by the UOG team. To view all UOG content  become an ISUOG Journal member.

Fetal anemia

Fetal anemia is a serious, but relatively rare, condition that develops mainly from immune-related causes, including maternal alloimmunization to fetal red blood cell antigens. Techniques for its diagnosis and treatment are fairly advanced, with approximately 90% survival following intrauterine transfusion with good long-term outcomes. In this Editorial, Abbasi et al. describe the most common etiologies of fetal anemia, current screening and diagnostic tools, management, including fetal blood sampling and intrauterine transfusion, and their associated risks and benefits, and short- and long-term outcomes following fetal therapy. View the full article.

This article is only available to subscribers of UOG; remember to login to the ISUOG website to access this article, or become an ISUOG Journal member for full access to UOG.

 

Also in this issue of UOG is a retrospective study of 1678 intrauterine intravascular blood transfusions for red blood cell alloimmunization. The authors, Zwiers et al., evaluate the rates of procedure-related complications and perinatal loss following the transfusion, and assess their change over time in order to identify factors leading to improved outcome. View the full article.

Customized vs population-based growth charts to identify neonate at risk of adverse outcome

Abnormal fetal growth is associated with adverse pregnancy outcome, and infants born small- or large-for-gestational age may be at increased risk of health problems. Traditionally, fetal growth has been evaluated against population-based norms derived from selected patient cohorts which do not account for individual variability. These norms are unable to differentiate between abnormal fetal growth and constitutionally small or large healthy fetuses, which can therefore result in misclassification of birth weight. To avoid this, customized norms have been developed, which model optimal fetal growth by accounting for individual variables known to affect growth. In a new systematic review and meta-analysis of 20 studies, Chiossi et al. compare customized and population-based growth charts to determine which classification has the strongest association with adverse outcomes when birth weight is outside the norm.

View the full article and accompanying Journal Club slides compiled by Dr Yael Raz.

Imaging in gynecological disease: clinical and ultrasound features of mucinous ovarian tumors

In the 11th article in the series on ‘imaging in gynecological disease’, the sonographic and clinical characteristics of mucinous ovarian tumors are described in detail, using the terms and definitions of the International Ovarian Tumor Analysis group.

View the full article, and look out for the Virtual Issue which brings together all articles in this series, going live in September.

This article is only available to subscribers of UOG; remember to login to the ISUOG website to access this article, or become an ISUOG member for full access to UOG.

Combination of ultrasound, magnetic resonance imaging and virtual reality technologies to generate immersive three-dimensional fetal images

Prenatal imaging modalities have advanced rapidly in recent years, with ultrasound and magnetic resonance imaging (MRI) being used widely to obtain images within the uterus during pregnancy. Virtual reality, however, is becoming increasingly popular among clinicians as it can provide an immersive environment, with highly similar appearance to the true anatomy, in which they are able to interact and move around. In a new article, Werner et al. describe their experience of combining three-dimensional ultrasound and MRI with virtual reality technology to provide a realistic model of the intrauterine environment during pregnancy. View the full article.

This article is only available to subscribers of UOG; remember to login to the ISUOG website to access this article, or become an ISUOG member for full access to UOG.

Coming up in the next issue of UOG…

  • A new study on the QUIPP App (a freely downloadable app that incorporates a predictive model combining history of spontaneous preterm birth, gestational age and quantitative fetal fibronectin), showing it to be a safe alternative to a treat-all strategy for threatened preterm labor. Preview the accepted article here. This article has been chosen for Journal Club, so look out for the accompanying downloadable slides next month.
     
  • An updated systematic review and meta-analysis on cell-free fetal DNA screening for aneuploidy by Gil et al. Preview the accepted article here.
     
  • An opinion article and systematic review and meta-analysis on placental histological findings associated with pre-eclampsia. Preview the opinion article and systematic review

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