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40
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1067/mob.2000.105405" target="_blank" rel="noreferrer noopener">http://doi.org/10.1067/mob.2000.105405</a>
Pages
1089–1092
Issue
5
Volume
182
Dublin Core
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Title
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The prevalence of thromboembolic events among women with extended bed rest prescribed as part of the treatment for premature labor or preterm premature rupture of membranes.
Publisher
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American journal of obstetrics and gynecology
Date
A point or period of time associated with an event in the lifecycle of the resource
2000
2000-05
Subject
The topic of the resource
*Bed Rest; Cardiovascular/*epidemiology; Female; Fetal Membranes; Humans; Obstetric Labor; Pregnancy; Pregnancy Complications; Premature Rupture/*therapy; Premature/*therapy; Puerperal Disorders/epidemiology; Pulmonary Embolism/epidemiology; Retrospective Studies; Risk Factors; Venous Thrombosis/*epidemiology
Creator
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Kovacevich G J; Gaich S A; Lavin J P; Hopkins M P; Crane S S; Stewart J; Nelson D; Lavin L M
Description
An account of the resource
OBJECTIVE: This study was undertaken to determine the prevalence of thromboembolic events among women with extended bed rest prescribed as part of the treatment of premature labor or preterm premature rupture of membranes. STUDY DESIGN: A retrospective chart review was undertaken of all women who had bed rest of \textgreater/=3 days' duration prescribed as part of the treatment of premature labor or preterm premature rupture of membranes in the Akron General Medical Center Perinatal Unit during the period January 1, 1997-December 31, 1998. The prevalence of thromboembolic events in this population was determined. The charts of all additional gravid women with antepartum or postpartum deep vein thrombosis or pulmonary embolism diagnosed during the study period were also reviewed. The prevalence of these disorders among the pregnant population for whom extended bed rest was not prescribed as part of the treatment of premature labor or preterm premature rupture of membranes was also calculated. Statistical comparison of the prevalences in the 2 populations was undertaken by means of the chi(2) analysis with the Fisher exact test. RESULTS: There were 192 patients admitted during the study period who had extended bed rest prescribed as part of the treatment of premature labor or preterm premature rupture of membranes. Three of these women had thromboembolic events, for a prevalence of 15.6 cases per 1000 women. Five additional gravid women were admitted for the treatment of deep vein thrombosis or pulmonary embolism. There were 6164 deliveries among women not treated with extended bed rest for premature labor or preterm premature rupture of membranes during this period. Thus the prevalence of these phenomena among the remaining pregnant women was 0.8 cases per 1000 women. The prevalences of these disorders in the 2 populations were highly significantly different. CONCLUSION: The prevalence of thromboembolic events among women for whom extended bed rest is prescribed as part of the treatment of premature labor or preterm premature rupture of membranes is significantly increased with respect to that among gravid women who do not receive this therapy and is substantially higher than previously reported. If this finding is confirmed in other populations, it may be prudent to undertake further studies to determine whether this prevalence can be reduced.
Identifier
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<a href="http://doi.org/10.1067/mob.2000.105405" target="_blank" rel="noreferrer noopener">10.1067/mob.2000.105405</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Bed Rest
2000
American journal of obstetrics and gynecology
Cardiovascular/*epidemiology
Crane S S
Female
Fetal Membranes
Gaich S A
Hopkins M P
Humans
Kovacevich G J
Lavin J P
Lavin L M
Nelson D
Obstetric Labor
Pregnancy
Pregnancy Complications
Premature Rupture/*therapy
Premature/*therapy
Puerperal Disorders/epidemiology
Pulmonary Embolism/epidemiology
Retrospective Studies
Risk Factors
Stewart J
Venous Thrombosis/*epidemiology
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.7863/jum.2005.24.9.1191" target="_blank" rel="noreferrer noopener">http://doi.org/10.7863/jum.2005.24.9.1191</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
1191-1198
Issue
9
Volume
24
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Totally anomalous pulmonary venous connection and complex congenital heart disease - Prenatal echocardiographic diagnosis and prognosis
Publisher
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Journal of Ultrasound in Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
2005-09
Subject
The topic of the resource
Acoustics; anomalous pulmonary venous connections; blood-flow; congenital heart diseases; fetal echocardiography; fetus; heterotaxy syndrome; Nuclear Medicine & Medical Imaging; pregnancy; prenatal diagnosis; Radiology; right isomerism; totally
Creator
An entity primarily responsible for making the resource
Patel C R; Lane J R; Spector M L; Smith P C; Crane S S
Description
An account of the resource
Objective. The purpose of this study was to determine the accuracy of prenatal cardiac diagnosis, prognosis, and outcome of totally anomalous pulmonary venous connection (TAPVC) and to determine echocardiographic clues in the prenatal diagnosis of isolated TAPVC or TAPVC in association with other complex congenital heart disease (CHD). Methods. We reviewed our 13-year experience of prenatal diagnosis of TAPVC. Thirteen fetuses were identified with the diagnoses of TAPVC. We systematically analyzed the individual pulmonary veins by color and pulsed Doppler imaging, the presence of a pulmonary venous confluence, the pulsed and color Doppler evaluation of the vertical vein, and sites of connections. Prenatal diagnosis was confirmed by postnatal echocardiography, cardiac catheterization, surgery, or autopsy. Results. The mean gestational age at diagnosis of TAPVC was 26.3 weeks (range, 20-33 weeks). There were 8 fetuses with TAPVC and right isomerism, 3 fetuses with other associated CHD, and 2 with isolated TAPVC. There were 7 fetuses with supracardiac TAPVC, 4 with infracardiac TAPVC, and 2 with mixed TAPVC. Pulmonary vein color and pulsed Doppler data were available in 10 of 13 fetuses. The pulmonary venous confluence was visualized in all fetuses except 1. The vertical vein was visualized in all fetuses. Five fetuses had suspected signs of obstruction. The diagnosis was confirmed postnatally or at autopsy in 12 cases. Eight patients underwent surgery; 6 died, and 2 were alive. Two patients had compassionate care and died; 3 pregnancies were terminated. Conclusions. It is possible to diagnose accurately complex CHD, including the pulmonary venous connections. When diagnosed prenatally, TAPVC carries a poor prognosis.
Identifier
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<a href="http://doi.org/10.7863/jum.2005.24.9.1191" target="_blank" rel="noreferrer noopener">10.7863/jum.2005.24.9.1191</a>
Format
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Journal Article
2005
Acoustics
anomalous pulmonary venous connections
blood-flow
congenital heart diseases
Crane S S
fetal echocardiography
Fetus
heterotaxy syndrome
Journal Article
Journal of Ultrasound in Medicine
Lane J R
Nuclear Medicine & Medical Imaging
Patel C R
Pregnancy
Prenatal Diagnosis
Radiology
right isomerism
Smith P C
Spector M L
totally