MANEJO OLIGOHIDRAMNIOS PDF

vesical y la presencia de oligoamnios, sin embar- go, la mayoría de estas anomalías son detectadas en el tercer trimestre del embarazo (7). Al momento de la. Oligoamnios ILA 5th Percentile ILA < 50mm. CVM < 20mm - % 1 er Trimestre- Liquido Amniotico isotónico- tasudado de piel fetal y. Looking for online definition of oligoamnios in the Medical Dictionary? oligoamnios en estas pacientes como parte del manejo prenatal integral de alto riesgo.

Author: Tur Dacage
Country: Morocco
Language: English (Spanish)
Genre: Environment
Published (Last): 18 May 2005
Pages: 345
PDF File Size: 7.69 Mb
ePub File Size: 9.11 Mb
ISBN: 625-6-38232-298-7
Downloads: 98040
Price: Free* [*Free Regsitration Required]
Uploader: Faukree

Linfoma No Hodgkin y embarazo. Resultante materno-perinatal del embarazo doble en el hospital gineco-obstetrico “Enrique C. Twin-twin transfusion syndrome is one of the most serious complications of monochorionic multiple gestations.

oligohydramnios

None Received for publication 22 June and accepted for publication on 10 July Antecedentes de oligoamnios severo se realizo cesarea, nacio en adecuadas condiciones. Therefore, we considered necessary to burn this anastomo sis in order to protect the blood flow into the big baby and avoid any risk of mental handicap. Oligohidramnils small baby, oilgohidramnios AC was still under the 5th centile, presented now oligohydramnios with a deepest vertical pool of 1 cm Figure 2.

Estudio comparativo entre las concentraciones de cadmio y de plomo en placentas de embarazos normales y placentas de embarazos con oligoamnios idiopatico.

Its etiology is due to a chronic blood transfusion from de donor twin to the recipient twin through the vascular anastomoses between the placental territories of both fetuses.

Posteriormente, Rodriguez y Palacios, enencontraron caracteristicas similares en la secuencia de deformacion por acinesia fetal y la secuencia de oligoamnioscomo la artrogriposis, el cordon umbilical corto y la hipoplasia pulmonar 4. The patient was discharged the same day of the surgery after checking the cardiac activity in both babies.

Comparative study of oral misoprostol and intravenous oxytocin in induction of labour in prelabour rupture of membranes at term in primigravida. During the fetoscopy, we identified an arterio-venous anastomosis with bidirectional flow, which is atypical in this type of anastomoses unidirectionals and could represent a sign of ominous prognosis for the restricted twin.

We concluded that it was a case of MCDA twin pregnancy with selective IUGR type 2 and we decided to monitor her in one week with the high probability of fetal surgery in case of deterioration of the small baby.

  ALPBACH PISTE MAP PDF

Oligoamnios | definition of oligoamnios by Medical dictionary

Monochorionic diamniotic twin pregnancy with selective IUGR type 2: One week later, she had rupture of membranes and four weeks after the surgery, at 21 weeks of gestation, the restricted fetus died. En el presente estudio los casos 2 y 3 se realizaron ultrasonido prenatal donde se reporto oligoamnios severo acompanado de malformaciones en varios organos y sistemas, lo que permitio hacer el diagnostico antenatal y tomar asi el medico tratante la conducta pertinente.

Rev Cubana Obstet Ginecol [online]. The presence of an insufficient amount of amniotic fluid less than mL at term. Los efectos secundarios asociados a la quimioterapia son principalmente constitucionales maternos, sin embargo existe importante asociacion de esta con restriccion del crecimiento intrauterino, oligoamnios y alteraciones cardiacas por lo cual se requiere seguimiento continuo y periodico principalmente a traves de la ecografia, siendo el ecocardiograma fetal indispensable en estas pacientes como parte del manejo prenatal integral de alto riesgo.

Reporte de tres casos. We report the case of a MCDA twin pregnancy complicated with selective IUGR, managed with fetoscopic surgery, in which we describe ultrasound criteria of severity and a fetoscopic sign of bad prognosis for the small twin: Among these complications we have the twinto-twin transfusion syndrome, the selective fetal growth restriction, the twin anaemia polycythemia sequence, the twin reversed arterial perfusion sequence and the monoamniotic pregnancy 1.

Los Dopplers en el gemelo grande eran normales. The diagnosis was consistent: Dopplers in the big baby were normal.

Once the diagnosis is done, it is important to classify the sIUGR in three different types according to the Doppler in the umbilical artery UA of the small baby. Selective intrauterine growth restriction in monochorionic diamniotic twin pregnancies. During the fetoscopy, we performed a sequen tial laser placental ablation, identifying first the anastomoses and then burning along the placental equator.

The explanation to this finding starts in the bad general condition of the small baby whose low central blood pressure, due to lack of oxygenation, produces a low vascular pressure in the placental branches of its umbilical arteries that is not high enough to overcome the pressure of the umbilical vein branches of the big baby at the level of the A-V anastomosis.

  MALTE BURBA BRASS MASTER CLASS PDF

The big baby remained with normal Dopplers. Selective intrauterine growth restriction in monochorionic twins: The ultrasound findings that worsen the prognosis of a pregnancy complicated with sIUGR are the discrepancy in the EFW between the twins, Doppler of the umbilical artery and ductus venosus of the restricted foetus along with oligohydramnios, gestational age at the moment of the surgery and cervical length 7.

Enrique Gil Guevara gil doctors.

After the counselling, the patient accepted the surgery and signed the consent forms. The anatomy of both twins was normal; the deepest pool of amniotic fluid in the small baby was in the normal inferior limit and in the big baby was normal. Comparacion de dos protocolos de manejo en preeclampsia severa lejos del termino, y resultados maternos y neonatales: The reason was a marked discrepancy in the growth of both twins Oligoihdramnios 1 and abnormal Dopplers in the small twin.

This originates a fluctuant change of colour observed during the fetoscopy between purple and red in the arterial part of the A-V anastomosis that belongs to the small baby. Polyhydramnios related to polyuria resulting from a state of constant hypervolemia is observed in the recipient twin, finally evolving into congestive heart failure.

Oligoamnios by Rolando Hernandez Cordova on Prezi

No obstante, Zanella et al encontro oligoamnios en su caso clinico, aunque las demas observaciones coinciden con la mayoria de los autores. We consider important to communicate this case because, in addition to the ultrasound findings of ominous prognosis, oligohideamnios found also a fetoscopic sign that nanejo the prognosis for the restricted foetus reflecting its critical ill condition: The vascular anastomoses in monochorionic twin pregnancies and their clinical consequences.

The fetoscopic surgery was performed uneventfully, with local anaesthesia and without any maternal complication. The evolution of the normal twin was satisfactory through all the pregnancy.