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Routine ultrasound examination at 35–37 weeks' gestation may reveal new fetal abnormalities that could not be diagnosed at earlier examinations.

In 2009, the Hypertension and Preeclampsia Intervention Trial At near Term-I (HYPITAT- I) trial showed that inducing labor in women with gestational hypertension or preeclampsia at the end of pregnancy reduces the number of high risk situations for the mother, without compromising the health of newborns. A new analysis evaluated the impact of the HYPITAT-I findings on timing of labor and subsequent outcomes for mother and child in the Netherlands.

Increased Sylvian fissure angle may potentially be a strong indicator for the subsequent development of cortical malformation, finds a new free-access UOG Journal study by Pooh and colleagues.

UOG retains its position as third out of 83 journals in the field of Obstetrics and Gynecology, with an impressive Impact Factor of 5.6. UOG Editor-in-Chief Prof. Anthony Odibo states: “the continued success of Ultrasound in Obstetrics & Gynecology is attributable to the loyalty of our authors, whose high-quality and clinically relevant material we publish, and to the hard work of our editors and reviewers, who improve the work that is submitted. The UOG team would like to thank wholeheartedly the many contributors who have helped to sustain our impressive ranking.”

Since the introduction of ultrasound in the field of urogynecology, its applications have expanded from being focused on evaluation of the bladder and bladder neck to including assessment of obstetric anal sphincter injuries, pelvic organ prolapse, morphological abnormalities of the levator ani and vaginal wall mesh implants. This new Virtual Issue from Ultrasound in Obstetrics & Gynecology presents a selection of recent papers reporting on these topics, including on the use of 3D and 4D ultrasound and pregnancy-related changes in the pelvic floor musculature. These papers are FREE to read for a limited period.

“Although the main cause of fetal megacystis is LUTO, an enlarged fetal bladder can also be present as a concomitant finding of miscellaneous genetic syndromes, developmental disturbances and chromosomal abnormalities" finds new Original Paper by Fontanella and colleagues in the June issue of the UOG Journal.

The performance of cfDNA testing for trisomy 21 in twin pregnancy is similar to that reported in singleton pregnancy and is superior to that of the first-trimester combined test or second-trimester biochemical testing.

The procedure-related risk of miscarriage following chorionic villus sampling or amniocentesis is lower than currently advocated and negligible when compared with controls of similar risk profile, finds free access UOG Journal updated meta-analysis by Salomon et al.

“There is considerable methodological heterogeneity in studies reporting reference ranges for umbilical and middle cerebral artery Doppler indices and cerebroplacental ratio, and the resulting references have important implications for clinical practice” finds new free-access UOG Journal systematic review by Oros and colleagues.

Persistence of hindbrain herniation on MRI 6 weeks after prenatal myelomeningocele repair independently predicted the need for postnatal hydrocephalus treatment better than any ultrasound‐ or other MRI‐derived measurements of ventricular characteristics, finds new free-access UOG Journal study by Zarutskie and colleagues.

The incidence of twin pregnancy is rising, due mainly to advanced maternal age and resultant widespread use of assisted reproductive techniques. It is associated with a high risk of perinatal mortality and morbidity, particularly in monochorionic pregnancy, with complications such as selective fetal growth restriction and twin–twin transfusion syndrome contributing to this risk. This new Virtual Issue from Ultrasound in Obstetrics & Gynecology presents a selection of recent papers reporting on screening, management and prevention of preterm birth in twin pregnancy. These papers are FREE to read for a limited period.

This score showed good discriminative capacity in predicting LUTO, and better diagnostic accuracy compared with that of the classic ultrasound triad of megacystis, keyhole sign and hydronephrosis.

“Sonographic assessment of fetal head position prior to vacuum extraction did not show any benefit in terms of reduced risk of failed instrumental delivery or maternal and fetal morbidity” shows a prematurely discontinued UOG Journal randomized controlled trial by Ghi and colleagues.

New UOG Journal video clip illustrating a simple sonographic marker ‘sliding sign’ of the uterus in 3rd trimester which might be able to discriminate between high and low risk for intra‐abdominal adhesions in patients with a history of Cesarean delivery.

Read the free-access article now.

Watch this video abstract on an article from Lapa and colleagues describing their clinical experience with percutaneous fetoscopic closure of large open spina bifida defects

New free-access UOG Journal original study by by Prof. Nicolaides’ group.

The September issue of Ultrasound in Obstetrics & Gynecology is out now. This issue of the UOGJournal includes a Physician Alert in which the STRIDER Consortium address the recent suspension of the Dutch sildenafil trial, a Review of microRNA expression patterns in cardiac remodeling and pre-eclampsia, an Original Article on longitudinal growth assessment for prediction of adverse perinatal outcome in suspected small-for gestational-age fetuses, and a Case Series assessing fetal blood-gas values during fetoscopic myelomeningocele repair performed under carbon dioxide insufflation.

New, free-access UOG Journal editorial by ISUOG Ambassador to Egypt and North Africa Prof. Asma Khalil.

Clinicians should stop prescribing sildenafil for fetal growth restriction (FGR): comment from the STRIDER Consortium - read the UOG Physician Alert here.