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.
New UOG study by Fontanella et al proposing a clinical score that combines five antenatal variables for the prospective diagnosis of congenital fetal lower urinary tract obstruction (LUTO)
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.
Sliding sign in third‐trimester sonographic evaluation of intra‐abdominal adhesions in women undergoing repeat Cesarean section: a novel technique
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.
Inducing labor at 39 weeks may benefit pregnant women and their babies, concludes a new UOG Journal meta-analysis
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.