"Fetal viability" from_date:2012

Between 'fetal viability' and the 'viability of families': Decision-making for extremely premature infants in Spain. Neonatal expertise and technologies have been perfected over the last decades, improving preterm infants' survival rates and allowing a gradual reduction in the gestational age limits of fetal viability. Using the concept of viability as a starting point, we analyze decision-making ' perceived "will to live" ('fetal viability'). The study highlights how viability in this context needs to be understood within the structural socioeconomic constraints and struggles to make and raise families in Spain.

Simple trachelectomy with pelvic lymphadenectomy as a viable treatment option in pregnant patients with stage IB1 (≥2 cm) cervical cancer: Bridging the gap to fetal viability. Cervical cancer is the most common gynecologic cancer in pregnancy. This study aims to evaluate simple trachelectomy and pelvic lymphadenectomy in patients with stage IB1 (≥2 cm) cervical cancer wishing to maintain

Termination of pregnancy for maternal indications at the limits of fetal viability: a retrospective cohort study in the Dutch tertiary care centres. Maternal morbidity, either pregnancy related or pre-existent, can become life threatening and of such severity as to warrant termination of pregnancy (TOP). In this situation, chances of fetal survival are usually poor, either because of low gestational age and/or because of the fetal effects of the maternal condition. Examples include severe growth restriction in pre-eclampsia and intrauterine infection due to the very early preterm prelabour rupture of membranes. There are very few reports on the prevalence of TOP for maternal indication at the limits of fetal viability. We investigated the prevalence of and indications for TOP on maternal

Outcome of severe placental insufficiency with abnormal umbilical artery Doppler prior to fetal viability. To evaluate the outcome of pregnancies complicated by placental insufficiency and abnormal umbilical artery Doppler prior to viability. A retrospective cohort study. Italy. Singleton pregnancies with fetal growth restriction and absence of end-diastolic velocities (AEDVs) in the umbilical . In four women, the Doppler waveforms progressively improved and developed a normal pulsatility. These fetuses had a better outcome than those that had persistent alterations: they were delivered later (34 versus 28 weeks), had a larger birthweight (1598 versus 630 g) and developed fewer complications. Placental insufficiency with AEDV in the umbilical arteries prior to fetal viability is associated

#notice-of-rights). Last updated 14 December 2022Page 30of 80auscultation unless the woman asks to stay on continuous cardiotocography. [2017] 1.4.11 If fetal death is suspected despite the presence of an apparently recorded fetal heart rate, offer real-time ultrasound assessment to check fetal viability. [2017] 1.5 Ongoing assessment 1.5.1 Transfer the woman to obstetric-led care (following the general

minutes, and record it as a single rate on a partogram and in the woman's notes • record accelerations and decelerations, if heard • palpate (and record on the partogram) the maternal pulse hourly, or more often if there are any concerns, to ensure differentiation between the maternal and fetal heartbeats • if no fetal heartbeat is detected, offer urgent real-time ultrasound assessment to check fetal viability. [2017, amended 2022] 1.2.10 Once the woman has signs of, or is in confirmed second stage of labour: • perform intermittent auscultation immediately after a palpated contraction for at least 1 minute, repeated at least once every 5 minutes and record it as a single rate on a partogram and in the woman's notes • palpate the woman's pulse simultaneously to differentiate between the maternal

and erythromycin) are not recommended because they do not treat the fetus or provide reliable maternal efficacy due to macrolide resistance(AII). Jarisch-Herxheimer reaction may occur at anytime during pregnancy, however after fetal viability (e.g., 23+ weeks gestation age) may be associated with fetal distress or premature labour and treatment should be done in a centre with the capacity to support delivery

.doi:10.1038/ejhg.2017.10 OpenUrlCrossRefGoogle Scholar↵ Lerner B , Marshall N , Oishi S , Lanto A , Lee M , Hamilton AB , Yano EM , Scheuner MT . The value of genetic testing: beyond clinical utility. Genet Med 2017;19:71:763–71.doi:10.1038/gim.2016.186 OpenUrlGoogle Scholar↵ Hull D , Davies G , Armour CM . Survey of the definition of fetal viability and the availability, indications, and decision

pregnancy, and animal studies conducted in rats have shown reproductive toxicity (decreased foetal viability and skeletal abnormalities). The manufacturer advises that: * Bempedoic acid should be discontinued before conception or as soon as pregnancy is recognized. * Women of childbearing potential must use effective contraception during treatment with bempedoic acid. * Women should be advised to stop

be required for maternal reasons6.Recommendation 18Management of birth in women with achondroplasia (spontaneous or induced) before fetal viability should be individualized under the care of an experienced obstetrician. Vaginal delivery might be appropriate depending on clinical circumstances6.Recommendation 19Delivery beyond 32 weeks should be by caesarean section due to the shape and size of the pelvis

the utility of induction of fetal asystole before abortion.Inducing fetal asystole is an important consideration with in-creasing gestational duration, particularly after fetal viability. The term fetal viability is used in this document to signify a period in which there is a reasonable expectation of sustained fetal survival outside the uterus. Defining viability is complicated as it represents a physiologic continuum impacted by gestational duration along with multiple other individual clinical factors and circumstance [11]. Periviability is the period when the fetus may survive outside the uterus with life-sustaining interventions with a high risk of death and severe morbidities [12]. After fetal viability, induction of fetal asystole prevents the infrequent but serious occurrence of un

, the federal framework for protecting abortion access incorporated the concept of “fetal viability” as the point before which abortion was a fundamental right.31 Thus, this term has been important in abortion discussions and policy, despite the discordance between legal language and medical reality. The semantics surrounding this complex space of periviability, which rests at the nuanced intersection in medicine. If potential fetal viability must be used as a standard for accessing abortion care, it should not be defined solely by gestational age, but instead considered within the comprehensive maternal and fetal medical circumstances for each pregnancy. We recommend a patient-centered approach to care that incorporates obstetrical, medical, and contextual risk factors and a patient’s desire

, Oishi S, Lanto A, Lee M, Hamilton AB, Yano EM, Scheuner MT. The value of genetic testing: beyond clinical utility. Genet Med 2017;19:71:763–71. 14 Hull D, Davies G, Armour CM. Survey of the definition of fetal viability and the availability, indications, and decision making processes for Post- Viability termination of pregnancy for fetal abnormalities and health conditions in Canada. J Genet Couns

, and the macrolides (e.g., azithromycin and erythromycin) are not recommended because 17 they do not treat the fetus or provide reliable maternal efficacy due to macrolide resistance(AII). Jarisch-Herxheimer reaction may occur at anytime during pregnancy, however after fetal viability (e.g., 23+0 weeks gestation age) may be associated with fetal distress or premature labour and treatment

: a population-based mother–child linked cohortE. Houben, BMJ Open, 2020Termination of pregnancy for maternal indications at the limits of fetal viability: a retrospective cohort study in the Dutch tertiary care centresLeonoor van Eerden, Gerda G. Zeeman, Godelieve C. M. L. Page‐Christiaens, et al., BMJ Open, 2014Women’s experiences with using patient-reported outcome and experience measures in routine