Spontaneous tearing of the membranes surrounding the FETUS any time before the onset of OBSTETRIC LABOR. Preterm PROM is membrane rupture before 37 weeks of GESTATION.
The thin layers of tissue that surround the developing embryo. There are four extra-embryonic membranes commonly found in VERTEBRATES, such as REPTILES; BIRDS; and MAMMALS. They are the YOLK SAC, the ALLANTOIS, the AMNION, and the CHORION. These membranes provide protection and means to transport nutrients and wastes.
The innermost membranous sac that surrounds and protects the developing embryo which is bathed in the AMNIOTIC FLUID. Amnion cells are secretory EPITHELIAL CELLS and contribute to the amniotic fluid.
The outermost extra-embryonic membrane surrounding the developing embryo. In REPTILES and BIRDS, it adheres to the shell and allows exchange of gases between the egg and its environment. In MAMMALS, the chorion evolves into the fetal contribution of the PLACENTA.
Forcible or traumatic tear or break of an organ or other soft part of the body.
Onset of OBSTETRIC LABOR before term (TERM BIRTH) but usually after the FETUS has become viable. In humans, it occurs sometime during the 29th through 38th week of PREGNANCY. TOCOLYSIS inhibits premature labor and can prevent the BIRTH of premature infants (INFANT, PREMATURE).
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
INFLAMMATION of the placental membranes (CHORION; AMNION) and connected tissues such as fetal BLOOD VESSELS and UMBILICAL CORD. It is often associated with intrauterine ascending infections during PREGNANCY.
The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED).
A clear, yellowish liquid that envelopes the FETUS inside the sac of AMNION. In the first trimester, it is likely a transudate of maternal or fetal plasma. In the second trimester, amniotic fluid derives primarily from fetal lung and kidney. Cells or substances in this fluid can be removed for prenatal diagnostic tests (AMNIOCENTESIS).
A condition of abnormally low AMNIOTIC FLUID volume. Principal causes include malformations of fetal URINARY TRACT; FETAL GROWTH RETARDATION; GESTATIONAL HYPERTENSION; nicotine poisoning; and PROLONGED PREGNANCY.
CHILDBIRTH before 37 weeks of PREGNANCY (259 days from the first day of the mother's last menstrual period, or 245 days after FERTILIZATION).
A highly vascularized mammalian fetal-maternal organ and major site of transport of oxygen, nutrients, and fetal waste products. It includes a fetal portion (CHORIONIC VILLI) derived from TROPHOBLASTS and a maternal portion (DECIDUA) derived from the uterine ENDOMETRIUM. The placenta produces an array of steroid, protein and peptide hormones (PLACENTAL HORMONES).
The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated as the time from the last day of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization.
The hormone-responsive glandular layer of ENDOMETRIUM that sloughs off at each menstrual flow (decidua menstrualis) or at the termination of pregnancy. During pregnancy, the thickest part of the decidua forms the maternal portion of the PLACENTA, thus named decidua placentalis. The thin portion of the decidua covering the rest of the embryo is the decidua capsularis.
Endoscopic examination, therapy or surgery of the fetus and amniotic cavity through abdominal or uterine entry.
The beginning of true OBSTETRIC LABOR which is characterized by the cyclic uterine contractions of increasing frequency, duration, and strength causing CERVICAL DILATATION to begin (LABOR STAGE, FIRST ).
Results of conception and ensuing pregnancy, including LIVE BIRTH; STILLBIRTH; SPONTANEOUS ABORTION; INDUCED ABORTION. The outcome may follow natural or artificial insemination or any of the various ASSISTED REPRODUCTIVE TECHNIQUES, such as EMBRYO TRANSFER or FERTILIZATION IN VITRO.
A splenic rupture is a medical condition characterized by the traumatic tearing or disruption of the spleen, leading to potential internal bleeding and, if left untreated, potentially life-threatening complications.
Thin layers of tissue which cover parts of the body, separate adjacent cavities, or connect adjacent structures.
The co-occurrence of pregnancy and an INFECTION. The infection may precede or follow FERTILIZATION.
The middle third of a human PREGNANCY, from the beginning of the 15th through the 28th completed week (99 to 196 days) of gestation.
The tearing or bursting of the wall along any portion of the AORTA, such as thoracic or abdominal. It may result from the rupture of an aneurysm or it may be due to TRAUMA.
An infant during the first month after birth.
Premature separation of the normally implanted PLACENTA from the UTERUS. Signs of varying degree of severity include UTERINE BLEEDING, uterine MUSCLE HYPERTONIA, and FETAL DISTRESS or FETAL DEATH.
A species of gram-negative bacteria found in the human genitourinary tract (UROGENITAL SYSTEM), oropharynx, and anal canal. Serovars 1, 3, 6, and 14 have been reclassed into a separate species UREAPLASMA parvum.
The lipid- and protein-containing, selectively permeable membrane that surrounds the cytoplasm in prokaryotic and eukaryotic cells.
Lipids, predominantly phospholipids, cholesterol and small amounts of glycolipids found in membranes including cellular and intracellular membranes. These lipids may be arranged in bilayers in the membranes with integral proteins between the layers and peripheral proteins attached to the outside. Membrane lipids are required for active transport, several enzymatic activities and membrane formation.
Disease-related laceration or tearing of tissues of the heart, including the free-wall MYOCARDIUM; HEART SEPTUM; PAPILLARY MUSCLES; CHORDAE TENDINEAE; and any of the HEART VALVES. Pathological rupture usually results from myocardial infarction (HEART RUPTURE, POST-INFARCTION).
Thin structures that encapsulate subcellular structures or ORGANELLES in EUKARYOTIC CELLS. They include a variety of membranes associated with the CELL NUCLEUS; the MITOCHONDRIA; the GOLGI APPARATUS; the ENDOPLASMIC RETICULUM; LYSOSOMES; PLASTIDS; and VACUOLES.
A human infant born before 37 weeks of GESTATION.
Conditions or pathological processes associated with pregnancy. They can occur during or after pregnancy, and range from minor discomforts to serious diseases that require medical interventions. They include diseases in pregnant females, and pregnancies in females with diseases.
Percutaneous transabdominal puncture of the uterus during pregnancy to obtain amniotic fluid. It is commonly used for fetal karyotype determination in order to diagnose abnormal fetal conditions.
A complete separation or tear in the wall of the UTERUS with or without expulsion of the FETUS. It may be due to injuries, multiple pregnancies, large fetus, previous scarring, or obstruction.
Extraction of the FETUS by means of abdominal HYSTEROTOMY.
The neck portion of the UTERUS between the lower isthmus and the VAGINA forming the cervical canal.
The voltage differences across a membrane. For cellular membranes they are computed by subtracting the voltage measured outside the membrane from the voltage measured inside the membrane. They result from differences of inside versus outside concentration of potassium, sodium, chloride, and other ions across cells' or ORGANELLES membranes. For excitable cells, the resting membrane potentials range between -30 and -100 millivolts. Physical, chemical, or electrical stimuli can make a membrane potential more negative (hyperpolarization), or less negative (depolarization).
A member of the MATRIX METALLOPROTEINASES that cleaves triple-helical COLLAGEN types I, II, and III.
Artificially produced membranes, such as semipermeable membranes used in artificial kidney dialysis (RENAL DIALYSIS), monomolecular and bimolecular membranes used as models to simulate biological CELL MEMBRANES. These membranes are also used in the process of GUIDED TISSUE REGENERATION.
Selective abortion of one or more embryos or fetuses in a multiple gestation pregnancy. The usual goal is to improve the outcome for the remaining embryos or fetuses.
Laceration or tearing of cardiac tissues appearing after MYOCARDIAL INFARCTION.
The motion of phospholipid molecules within the lipid bilayer, dependent on the classes of phospholipids present, their fatty acid composition and degree of unsaturation of the acyl chains, the cholesterol concentration, and temperature.
The semi-permeable outer structure of a red blood cell. It is known as a red cell 'ghost' after HEMOLYSIS.
The process of giving birth to one or more offspring.
Cells lining the outside of the BLASTOCYST. After binding to the ENDOMETRIUM, trophoblasts develop into two distinct layers, an inner layer of mononuclear cytotrophoblasts and an outer layer of continuous multinuclear cytoplasm, the syncytiotrophoblasts, which form the early fetal-maternal interface (PLACENTA).
The smooth muscle coat of the uterus, which forms the main mass of the organ.
Substances used to cause adherence of tissue to tissue or tissue to non-tissue surfaces, as for prostheses.
'Infant, Premature, Diseases' refers to health conditions or abnormalities that specifically affect babies born before 37 weeks of gestation, often resulting from their immature organ systems and increased vulnerability due to preterm birth.
The visualization of tissues during pregnancy through recording of the echoes of ultrasonic waves directed into the body. The procedure may be applied with reference to the mother or the fetus and with reference to organs or the detection of maternal or fetal disease.
Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions.
The genital canal in the female, extending from the UTERUS to the VULVA. (Stedman, 25th ed)
A quality of cell membranes which permits the passage of solvents and solutes into and out of cells.
Infections with bacteria of the genus UREAPLASMA.
A placenta that fails to be expelled after BIRTH of the FETUS. A PLACENTA is retained when the UTERUS fails to contract after the delivery of its content, or when the placenta is abnormally attached to the MYOMETRIUM.
A darkly stained mat-like EXTRACELLULAR MATRIX (ECM) that separates cell layers, such as EPITHELIUM from ENDOTHELIUM or a layer of CONNECTIVE TISSUE. The ECM layer that supports an overlying EPITHELIUM or ENDOTHELIUM is called basal lamina. Basement membrane (BM) can be formed by the fusion of either two adjacent basal laminae or a basal lamina with an adjacent reticular lamina of connective tissue. BM, composed mainly of TYPE IV COLLAGEN; glycoprotein LAMININ; and PROTEOGLYCAN, provides barriers as well as channels between interacting cell layers.
The flexible rope-like structure that connects a developing FETUS to the PLACENTA in mammals. The cord contains blood vessels which carry oxygen and nutrients from the mother to the fetus and waste products away from the fetus.
CHILDBIRTH at the end of a normal duration of PREGNANCY, between 37 to 40 weeks of gestation or about 280 days from the first day of the mother's last menstrual period.
Artificially induced UTERINE CONTRACTION. Generally, LABOR, OBSTETRIC is induced with the intent to cause delivery of the fetus and termination of pregnancy.
The process of bearing developing young (EMBRYOS or FETUSES) in utero in non-human mammals, beginning from FERTILIZATION to BIRTH.
An infant having a birth weight of 2500 gm. (5.5 lb.) or less but INFANT, VERY LOW BIRTH WEIGHT is available for infants having a birth weight of 1500 grams (3.3 lb.) or less.
An endopeptidase that is structurally similar to MATRIX METALLOPROTEINASE 2. It degrades GELATIN types I and V; COLLAGEN TYPE IV; and COLLAGEN TYPE V.
The last third of a human PREGNANCY, from the beginning of the 29th through the 42nd completed week (197 to 294 days) of gestation.
Ultrasonography applying the Doppler effect, with velocity detection combined with range discrimination. Short bursts of ultrasound are transmitted at regular intervals and the echoes are demodulated as they return.
Methods of maintaining or growing biological materials in controlled laboratory conditions. These include the cultures of CELLS; TISSUES; organs; or embryo in vitro. Both animal and plant tissues may be cultured by a variety of methods. Cultures may derive from normal or abnormal tissues, and consist of a single cell type or mixed cell types.
Microscopy using an electron beam, instead of light, to visualize the sample, thereby allowing much greater magnification. The interactions of ELECTRONS with specimens are used to provide information about the fine structure of that specimen. In TRANSMISSION ELECTRON MICROSCOPY the reactions of the electrons that are transmitted through the specimen are imaged. In SCANNING ELECTRON MICROSCOPY an electron beam falls at a non-normal angle on the specimen and the image is derived from the reactions occurring above the plane of the specimen.
Two individuals derived from two FETUSES that were fertilized at or about the same time, developed in the UTERUS simultaneously, and born to the same mother. Twins are either monozygotic (TWINS, MONOZYGOTIC) or dizygotic (TWINS, DIZYGOTIC).
Cells propagated in vitro in special media conducive to their growth. Cultured cells are used to study developmental, morphologic, metabolic, physiologic, and genetic processes, among others.
A water-soluble polypeptide (molecular weight approximately 8,000) extractable from the corpus luteum of pregnancy. It produces relaxation of the pubic symphysis and dilation of the uterine cervix in certain animal species. Its role in the human pregnant female is uncertain. (Dorland, 28th ed)
A common inhabitant of the vagina and cervix and a potential human pathogen, causing infections of the male and female reproductive tracts. It has also been associated with respiratory disease and pharyngitis. (From Dorland, 28th ed)
The hollow thick-walled muscular organ in the female PELVIS. It consists of the fundus (the body) which is the site of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus, are the FALLOPIAN TUBES.
RNA sequences that serve as templates for protein synthesis. Bacterial mRNAs are generally primary transcripts in that they do not require post-transcriptional processing. Eukaryotic mRNA is synthesized in the nucleus and must be exported to the cytoplasm for translation. Most eukaryotic mRNAs have a sequence of polyadenylic acid at the 3' end, referred to as the poly(A) tail. The function of this tail is not known for certain, but it may play a role in the export of mature mRNA from the nucleus as well as in helping stabilize some mRNA molecules by retarding their degradation in the cytoplasm.
The tearing or bursting of the weakened wall of the aneurysmal sac, usually heralded by sudden worsening pain. The great danger of a ruptured aneurysm is the large amount of blood spilling into the surrounding tissues and cavities, causing HEMORRHAGIC SHOCK.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
A technique for maintaining or growing TISSUE in vitro, usually by DIFFUSION, perifusion, or PERFUSION. The tissue is cultured directly after removal from the host without being dispersed for cell culture.
Membrane proteins whose primary function is to facilitate the transport of molecules across a biological membrane. Included in this broad category are proteins involved in active transport (BIOLOGICAL TRANSPORT, ACTIVE), facilitated transport and ION CHANNELS.
Any type of abortion, induced or spontaneous, that is associated with infection of the UTERUS and its appendages. It is characterized by FEVER, uterine tenderness, and foul discharge.
The age of the mother in PREGNANCY.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
A member of the family of TISSUE INHIBITOR OF METALLOPROTEINASES. It is a N-glycosylated protein, molecular weight 28 kD, produced by a vast range of cell types and found in a variety of tissues and body fluids. It has been shown to suppress metastasis and inhibit tumor invasion in vitro.
Glycoproteins found on the membrane or surface of cells.
Histochemical localization of immunoreactive substances using labeled antibodies as reagents.
A complication of PREGNANCY, characterized by a complex of symptoms including maternal HYPERTENSION and PROTEINURIA with or without pathological EDEMA. Symptoms may range between mild and severe. Pre-eclampsia usually occurs after the 20th week of gestation, but may develop before this time in the presence of trophoblastic disease.
Layers of lipid molecules which are two molecules thick. Bilayer systems are frequently studied as models of biological membranes.
Domesticated bovine animals of the genus Bos, usually kept on a farm or ranch and used for the production of meat or dairy products or for heavy labor.
Pathological processes or abnormal functions of the PLACENTA.
Tissue that supports and binds other tissues. It consists of CONNECTIVE TISSUE CELLS embedded in a large amount of EXTRACELLULAR MATRIX.
Bursting of the STOMACH.
A group of compounds derived from unsaturated 20-carbon fatty acids, primarily arachidonic acid, via the cyclooxygenase pathway. They are extremely potent mediators of a diverse group of physiological processes.
A member of the family of tissue inhibitor of metalloproteinases. Mutations of the gene for TIMP3 PROTEIN causes Sorsby fundus dystrophy.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
The most common and most biologically active of the mammalian prostaglandins. It exhibits most biological activities characteristic of prostaglandins and has been used extensively as an oxytocic agent. The compound also displays a protective effect on the intestinal mucosa.

Prolonged rupture of membranes, pre-eclamptic toxaemia, and respiratory distress syndrome. (1/264)

A retrospective analysis was made of the incidence and severity of the idiopathic respiratory distress syndrome (RDS) in babies of less than 35 weeks' gestation born at this hospital from January 1967-December 1974. There was a lower incidence of RDS in babies born after pregnancies complicated only by prolonged rupture of membranes (PRM) (19%) and in babies born vaginally after pregnancies complicated only by pre-eclamptic toxaemia (PET) (18%) compared with the incidence of RDS after uncomplicated pregnancies (35%). Babies born vaginally who developed RDS after pregnancies complicated by PRM or PET had less severe disease compared with those who developed RDS after uncomplicated pregnancies. Mortality in babies who developed severe RDS was not influenced by the occurrence of PRM or PET. The biological implication of the study is that certain complications of pregnancy may accelerate pulmonary surfactant production in preterm babies.  (+info)

Closure techniques for fetoscopic access sites in the rabbit at mid-gestation. (2/264)

Operative fetoscopy may be limited by its relatively high associated risk of preterm prelabour rupture of membranes. The objective of this study was to study closure techniques of the access site for fetoscopy in the mid-gestational rabbit. A total of 32 does (288 amniotic sacs) at 22 days gestational age (GA; term = 32 days) underwent 14 gauge needle fetoscopy, by puncture through surgically exposed amnion. Entry site was randomly allocated to four closure technique groups: myometrial suture (n = 14), fibrin sealant (n = 15), autologous maternal blood plug (n = 13), collagen plug (n = 14); 16 sacs were left unclosed (positive controls), and the unmanipulated 216 sacs were negative controls. Membrane integrity, presence of amniotic fluid and fetal lung to body weight ratio (FLBWR) were evaluated at 31 days GA. Following fetoscopy without an attempt to close the membranes, amniotic integrity was restored in 41% of cases (amniotic integrity in controls 94%; P = 0.00001). When the access site was surgically closed, the amnion resealed in 20-44% of cases, but none of the tested techniques was significantly better than the others or than positive controls. Permanent amniotic disruption was associated with a significantly lower FLBWR in all groups. In conclusion, the rate of fetoscopy-induced permanent membrane defects in this model did not improve by using any of the closure techniques tested here.  (+info)

Bacterial isolates from patients with preterm labor with and without preterm rupture of the fetal membranes. (3/264)

OBJECTIVE: The aim of this study is to describe the bacterial flora of women in preterm labor with or without premature rupture of membranes. METHODS: Retrospective studies of 239 patients with preterm labor were performed. RESULTS: One hundred and twenty-three of 239 patients with preterm labor (51.5%) had bacterial vaginosis. Seventy of the 239 patients with preterm labor (29.3%) developed premature rupture of the membranes (preterm PROM). Of the 70 patients with preterm PROM, 51 (72.9%) had bacterial vaginosis. Therefore, 51 of the 123 patients with bacterial vaginosis (41.5%) developed preterm PROM. An increased number of organisms detected from the vaginal discharge in patients with preterm labor was associated with preterm PROM by Cochran-Armitage test. An increased number of organisms detected from the vaginal discharge in patients with preterm labor complicated with bacterial vaginosis was significantly associated with preterm PROM by Cochran-Armitage test. CONCLUSIONS: In preterm labor, the number of different species detected in the vagina provide sensitive and specific prediction of preterm PROM in patients with preterm labor.  (+info)

Puerperal and intrapartum group A streptococcal infection. (4/264)

OBJECTIVE: To determine the demographic and clinical variables characteristic of non-epidemic intrapartum or puerperal group A streptococcal (GAS) infection. METHODS: The records of 47 patients diagnosed with intrapartum or puerperal GAS infection over a 6 1/2 year period at Hadassah-University Hospital-Mt. Scopus, Jerusalem were reviewed. Data regarding 25,811 women, the general population of women that delivered during that period, were obtained from their computerized medical records. Frequency distributions, t-test, chi-square, and Spearman's Rank Correlation were used, as appropriate, to analyze and compare demographic and clinical variables associated with development of GAS infection, its clinical course and subsequent development of septic shock. RESULTS: Mean age of mothers with GAS infection was higher than that of our general pregnant population (30.4 versus 27.4 years, P = 0.0019), and a higher proportion of GAS infected patients (30% versus 12%, P < 0.005) experienced PROM. Thirty-one (66%) women had fever as their sole presenting symptom, eight (17%) had fever and abdominal pain, seven (15%) had fever and abnormal vaginal bleeding, and one patient (2%) presented with a rash. Three patients (6%) developed a septic shock. Two of these patients presented with symptoms more than 14 days after delivery. CONCLUSIONS: We describe the characteristics of non-epidemic intrapartum or puerperal GAS infection. Data from our study and review of the literature suggest that some patients who develop septic shock may present later in the puerperium than patients with an uncomplicated GAS infection.  (+info)

Analysis of the 5'-upstream regions of the human relaxin H1 and H2 genes and their chromosomal localization on chromosome 9p24.1 by radiation hybrid and breakpoint mapping. (5/264)

Relaxins are known endocrine and autocrine/paracrine hormones that play a major role in reproduction. In the human there are two relaxin genes, H1 and H2 which share 90% sequence homology within their coding region. The biological and evolutionary significance of two highly homologous and biologically active human relaxins is unknown. In order to achieve a better understanding of the regulatory mechanisms involved in the differential expression of these two genes and to gain insight into their role(s) in the preterm premature rupture of the membranes, we have investigated the properties of their 5'-upstream regions and mapped them both by radiation hybrid and breakpoint mapping into the same chromosome 9p24.1 locus. The 5' ends of these relaxin genes could be divided into a proximal highly homologous segment and a distal non-homologous region. Within the proximal region are contained several putative regulatory elements common to both genes, suggesting a similar regulatory mechanism. The clustering of the relaxin genes within the same chromosomal locus suggests that these genes may be under a common regulation. On the other hand, a distinct gene-specific regulation may also exist for the individual relaxin genes since cis elements specific to each gene were identified at their 5' ends. Moreover, the observed divergence at the distal region of their 5'-upstream sequences may provide the structural features that act as gene-specific transcription regulators. Since the two genes are highly homologous in both their coding and flanking regions, the divergence at the distal region of their 5' ends may be important in the regulation of these genes and in their involvement in the pathology of preterm birth.  (+info)

Third trimester iron status and pregnancy outcome in non-anaemic women; pregnancy unfavourably affected by maternal iron excess. (6/264)

A prospective observational study was performed on 488 women with haemoglobin >/=10 g/dl at booking to examine the relationship between serum ferritin concentration quartiles at 28-30 weeks gestation with maternal characteristics, pregnancy complications and infant outcome. While there was no difference in the maternal characteristics or gestational age, the infant size decreased significantly and progressively from the lowest to the highest quartile. Despite a significant difference in the incidence of multiparous women, there was no difference in the incidence of most complications except for prelabour rupture of the membranes and infant admission to the neonatal unit. Compared with the other three quartiles, the highest quartile was associated with increased risk for preterm delivery and neonatal asphyxia, while the lowest quartile was associated with decreased risk of pre-eclampsia, prelabour rupture of the membranes, and infant admission to the neonatal unit. Overall, ferritin quartiles were correlated with other parameters of iron status and red cell indices, and ferritin concentration was inversely correlated with infant birthweight. Our findings suggested that maternal ferritin concentration is primarily a reflection of maternal iron status, and a high level is associated with unfavourable outcome. The rationale of routine iron supplementation in non-anaemic women needs to be re-examined.  (+info)

Splanchnic haemodynamic disturbances in perinatal sepsis. (7/264)

AIM: To determine the effect of perinatal bacterial infection on the neonatal splanchnic circulation. SUBJECTS/SETTING: 76 premature infants with appropriate birth weight for gestation admitted for neonatal intensive care. METHODS: Doppler ultrasound was used to measure blood flow velocity and pulsatility index in the superior mesenteric artery and coeliac axis during the first 24 hours of life. Babies were classified according to the results of blood and surface cultures, as well as the presence or absence of maternal prolonged membrane rupture. RESULTS: Infection status had a significant effect on pulsatility index in both arteries, with that in the coeliac axis being reduced from 1.27 to 0.80 in babies with infection (p < 0.0001). Coeliac axis blood flow velocity was significantly increased in those with infection (from 34.6 to 46.5 cm/s; p < 0.05). CONCLUSION: As early as the first day of postnatal life, infected neonates show a pattern of splanchnic hyperaemia similar to that found in adult systemic inflammatory response syndrome.  (+info)

Is antenatal group B streptococcal carriage a predictor of adverse obstetric outcome? (8/264)

OBJECTIVES: While early-onset neonatal GBS sepsis is positively associated with premature birth and prolonged rupture of membranes, there is debate in the literature as to whether maternal GBS colonization is a predictor of adverse obstetric outcome. This is a critical issue to resolve for appropriate management (expectant vs. interventional management) of the patient presenting with premature rupture of membranes, who has no overt signs of sepsis, but who is colonized with GBS. METHODS: Since 1981 it has been hospital policy to screen all public patients antenatally for genital carriage of GBS by collection of a low vaginal swab at 28-32 weeks. All patients colonized with GBS antenatally are given penicillin as intrapartum chemoprophylaxis. Review of all GBS-colonized antenatal patients for a 12-month period (580 of 4,495 patients) and a randomized (every fourth consecutive antenatal patient) number of noncolonized patients (958) was made. Lower vaginal GBS colonization and other risk factors for preterm delivery were assessed using univariate and multivariate generalized linear modeling. RESULTS: In the study group, the maternal GBS colonization rate was 12.9%. When cofounding variables were controlled in a multivariate analysis, the association between antepartum GBS colonization and preterm labor and preterm rupture of membranes was not significant. CONCLUSION: Maternal antenatal carriage of GBS does not predict preterm labor. Therefore it is appropriate that expectant management occur for a GBS-colonized woman who ruptures her membranes, is not in labor, and has no evidence of sepsis.  (+info)

Premature rupture of fetal membranes (PROM) is a medical condition that occurs when the amniotic sac, which surrounds and protects the developing fetus, breaks or ruptures prematurely before labor begins. The amniotic sac is made up of two layers of fetal membranes - the inner amnion and the outer chorion.

In a normal pregnancy, the fetal membranes rupture spontaneously during labor as a sign that the delivery process has begun. However, if the membranes rupture before 37 weeks of gestation, it is considered premature rupture of membranes. PROM can lead to complications such as preterm labor, infection, and fetal distress.

PROM can be classified into two types based on the timing of membrane rupture:

1. Preterm Premature Rupture of Membranes (PPROM): When the membranes rupture before 37 weeks of gestation, it is called preterm premature rupture of membranes. PPROM increases the risk of preterm labor and delivery, which can lead to various complications for the newborn, such as respiratory distress syndrome, brain bleeding, and developmental delays.
2. Term Premature Rupture of Membranes (TPROM): When the membranes rupture at or after 37 weeks of gestation, it is called term premature rupture of membranes. TPROM may not necessarily lead to complications if labor begins soon after the membrane rupture and there are no signs of infection. However, if labor does not start within 24 hours of membrane rupture, the risk of infection increases, and the healthcare provider may consider inducing labor or performing a cesarean delivery.

The exact cause of premature rupture of fetal membranes is not always known, but several factors can increase the risk, including previous PROM, bacterial infections, smoking, substance abuse, and trauma to the uterus. Healthcare providers monitor women with PROM closely for signs of infection and preterm labor and may recommend treatments such as antibiotics, corticosteroids, or hospitalization to reduce the risk of complications.

Extraembryonic membranes are specialized structures that form around the developing embryo in utero and provide vital support and protection during fetal development. There are three main extraembryonic membranes: the amnion, the chorion, and the allantois.

The amnion is the innermost membrane that surrounds the embryo itself, forming a fluid-filled sac known as the amniotic cavity. This sac provides a protective cushion for the developing embryo and helps to regulate its temperature and moisture levels.

The chorion is the outermost of the extraembryonic membranes, and it forms the boundary between the developing fetus and the mother's uterine wall. The chorion contains blood vessels that exchange nutrients and waste products with the mother's circulation, allowing for the growth and development of the fetus.

The allantois is a small membranous sac that arises from the developing fetal gut and eventually becomes part of the umbilical cord. It serves as a reservoir for fetal urine and helps to exchange waste products between the fetal and maternal circulations.

Together, these extraembryonic membranes play a critical role in supporting fetal development and ensuring a healthy pregnancy.

The amnion is the innermost fetal membrane in mammals, forming a sac that contains and protects the developing embryo and later the fetus within the uterus. It is one of the extraembryonic membranes that are derived from the outer cell mass of the blastocyst during early embryonic development. The amnion is filled with fluid (amniotic fluid) that allows for the freedom of movement and protection of the developing fetus.

The primary function of the amnion is to provide a protective environment for the growing fetus, allowing for expansion and preventing physical damage from outside forces. Additionally, the amniotic fluid serves as a medium for the exchange of waste products and nutrients between the fetal membranes and the placenta. The amnion also contributes to the formation of the umbilical cord and plays a role in the initiation of labor during childbirth.

The chorion is the outermost fetal membrane that surrounds the developing conceptus (the embryo or fetus and its supporting structures). It forms early in pregnancy as an extraembryonic structure, meaning it arises from cells that will not become part of the actual body of the developing organism. The chorion plays a crucial role in pregnancy by contributing to the formation of the placenta, which provides nutrients and oxygen to the growing embryo/fetus and removes waste products.

One of the most important functions of the chorion is to produce human chorionic gonadotropin (hCG), a hormone that signals the presence of pregnancy and maintains the corpus luteum, a temporary endocrine structure in the ovary that produces progesterone during early pregnancy. Progesterone is essential for preparing the uterus for implantation and maintaining the pregnancy.

The chorion consists of two layers: an inner cytotrophoblast layer and an outer syncytiotrophoblast layer. The cytotrophoblast layer is made up of individual cells, while the syncytiotrophoblast layer is a multinucleated mass of fused cytotrophoblast cells. These layers interact with the maternal endometrium (the lining of the uterus) to form the placenta and facilitate exchange between the mother and the developing fetus.

In summary, the chorion is a vital extraembryonic structure in pregnancy that contributes to the formation of the placenta, produces hCG, and interacts with the maternal endometrium to support fetal development.

A rupture, in medical terms, refers to the breaking or tearing of an organ, tissue, or structure in the body. This can occur due to various reasons such as trauma, injury, increased pressure, or degeneration. A ruptured organ or structure can lead to serious complications, including internal bleeding, infection, and even death, if not treated promptly and appropriately. Examples of ruptures include a ruptured appendix, ruptured eardrum, or a ruptured disc in the spine.

Premature obstetric labor, also known as preterm labor, is defined as regular contractions leading to cervical changes that begin before 37 weeks of gestation. This condition can result in premature birth and potentially complications for the newborn, depending on how early the delivery occurs. It's important to note that premature labor requires medical attention and intervention to try to stop or delay it, if possible, to allow for further fetal development.

Pregnancy is a physiological state or condition where a fertilized egg (zygote) successfully implants and grows in the uterus of a woman, leading to the development of an embryo and finally a fetus. This process typically spans approximately 40 weeks, divided into three trimesters, and culminates in childbirth. Throughout this period, numerous hormonal and physical changes occur to support the growing offspring, including uterine enlargement, breast development, and various maternal adaptations to ensure the fetus's optimal growth and well-being.

Chorioamnionitis is a medical condition that refers to the inflammation of the fetal membranes, specifically the chorion and amnion, which make up the membranous sac surrounding the developing fetus in the uterus. This condition is typically caused by a bacterial infection that ascends from the lower genital tract of the mother and infects the amniotic cavity, leading to an inflammatory response.

The symptoms of chorioamnionitis can vary but often include fever, abdominal pain or tenderness, foul-smelling amniotic fluid, and an elevated white blood cell count in the mother's blood. In some cases, it may also be associated with preterm labor and premature rupture of membranes.

Chorioamnionitis can have serious consequences for both the mother and the baby. It can increase the risk of complications such as sepsis, pneumonia, and endometritis in the mother, and may lead to premature birth, respiratory distress syndrome, and brain injury in the newborn. Treatment typically involves administering antibiotics to the mother to help clear the infection and prevent further complications.

'Labor, Obstetric' refers to the physiological process that occurs during childbirth, leading to the expulsion of the fetus from the uterus. It is divided into three stages:

1. The first stage begins with the onset of regular contractions and cervical dilation and effacement (thinning and shortening) until full dilation is reached (approximately 10 cm). This stage can last from hours to days, particularly in nulliparous women (those who have not given birth before).
2. The second stage starts with complete cervical dilation and ends with the delivery of the baby. During this stage, the mother experiences strong contractions that help push the fetus down the birth canal. This stage typically lasts from 20 minutes to two hours but can take longer in some cases.
3. The third stage involves the delivery of the placenta (afterbirth) and membranes, which usually occurs within 15-30 minutes after the baby's birth. However, it can sometimes take up to an hour for the placenta to be expelled completely.

Obstetric labor is a complex process that requires careful monitoring and management by healthcare professionals to ensure the safety and well-being of both the mother and the baby.

Amniotic fluid is a clear, slightly yellowish liquid that surrounds and protects the developing baby in the uterus. It is enclosed within the amniotic sac, which is a thin-walled sac that forms around the embryo during early pregnancy. The fluid is composed of fetal urine, lung secretions, and fluids that cross over from the mother's bloodstream through the placenta.

Amniotic fluid plays several important roles in pregnancy:

1. It provides a shock-absorbing cushion for the developing baby, protecting it from injury caused by movement or external forces.
2. It helps to maintain a constant temperature around the fetus, keeping it warm and comfortable.
3. It allows the developing baby to move freely within the uterus, promoting normal growth and development of the muscles and bones.
4. It provides a source of nutrients and hydration for the fetus, helping to support its growth and development.
5. It helps to prevent infection by providing a barrier between the fetus and the outside world.

Throughout pregnancy, the volume of amniotic fluid increases as the fetus grows. The amount of fluid typically peaks around 34-36 weeks of gestation, after which it begins to gradually decrease. Abnormalities in the volume of amniotic fluid can indicate problems with the developing baby or the pregnancy itself, and may require medical intervention.

Oligohydramnios is a medical condition that refers to an abnormally low amount of amniotic fluid surrounding the fetus in the uterus during pregnancy. The amniotic fluid is essential for the protection and development of the fetus, including lung maturation and joint mobility. Oligohydramnios is often diagnosed through ultrasound measurements of the pocket depth of the amniotic fluid and is defined as an amniotic fluid index (AFI) of less than 5 cm or a single deepest pocket (SDP) of less than 2 cm after 24 weeks of gestation.

The condition can be caused by various factors, such as fetal growth restriction, maternal high blood pressure, placental insufficiency, rupture of membranes, and genetic disorders. Oligohydramnios may increase the risk of complications during pregnancy and childbirth, including preterm labor, fetal distress, and stillbirth. The management of oligohydramnios depends on the underlying cause and gestational age, and may include close monitoring, delivery, or treatment of the underlying condition.

A premature birth is defined as the delivery of a baby before 37 weeks of gestation. This can occur spontaneously or as a result of medical intervention due to maternal or fetal complications. Premature babies, also known as preemies, may face various health challenges depending on how early they are born and their weight at birth. These challenges can include respiratory distress syndrome, jaundice, anemia, issues with feeding and digestion, developmental delays, and vision problems. With advancements in medical care and neonatal intensive care units (NICUs), many premature babies survive and go on to lead healthy lives.

The placenta is an organ that develops in the uterus during pregnancy and provides oxygen and nutrients to the growing baby through the umbilical cord. It also removes waste products from the baby's blood. The placenta attaches to the wall of the uterus, and the baby's side of the placenta contains many tiny blood vessels that connect to the baby's circulatory system. This allows for the exchange of oxygen, nutrients, and waste between the mother's and baby's blood. After the baby is born, the placenta is usually expelled from the uterus in a process called afterbirth.

Gestational age is the length of time that has passed since the first day of the last menstrual period (LMP) in pregnant women. It is the standard unit used to estimate the age of a pregnancy and is typically expressed in weeks. This measure is used because the exact date of conception is often not known, but the start of the last menstrual period is usually easier to recall.

It's important to note that since ovulation typically occurs around two weeks after the start of the LMP, gestational age is approximately two weeks longer than fetal age, which is the actual time elapsed since conception. Medical professionals use both gestational and fetal age to track the development and growth of the fetus during pregnancy.

The decidua is a specialized type of tissue that lines the uterus during pregnancy. It forms after the implantation of a fertilized egg (embryo) into the uterine lining, and it plays an important role in supporting the growth and development of the embryo and fetus.

The decidua is composed of several layers, including the decidual capsularis, which surrounds the embryo, and the decidual parietalis, which lines the rest of the uterus. The tissue is rich in blood vessels and contains a variety of immune cells that help to protect the developing fetus from infection.

During pregnancy, the decidua produces various hormones and growth factors that support the growth of the placenta, which provides nutrients and oxygen to the fetus. After the birth of the baby, the decidua is shed along with the placenta in a process called childbirth or parturition.

It's worth noting that abnormalities in the decidua can contribute to pregnancy complications such as preeclampsia, preterm labor, and miscarriage.

Fetoscopy is a minimally invasive surgical procedure that allows direct visualization of the fetus and the intrauterine environment through the use of a fiber-optic scope. It is typically performed during the second trimester of pregnancy to diagnose or treat various fetal conditions, such as twin-to-twin transfusion syndrome, congenital diaphragmatic hernia, or spina bifida. The procedure involves inserting a thin tube called a fetoscope through the mother's abdomen and uterus to access the fetus. Fetoscopy can also be used for taking fetal tissue samples for genetic testing.

It is important to note that while fetoscopy can provide valuable information and treatment options, it does carry some risks, including preterm labor, premature rupture of membranes, infection, and bleeding. Therefore, the decision to undergo fetoscopy should be made carefully, in consultation with a medical professional, and based on a thorough evaluation of the potential benefits and risks.

Labor onset, also known as the start of labor, refers to the beginning of regular and coordinated uterine contractions that ultimately result in the delivery of a baby. This is usually marked by the presence of regular contractions that increase in intensity and frequency over time, along with cervical dilation and effacement (thinning and shortening of the cervix).

There are two types of labor onset: spontaneous and induced. Spontaneous labor onset occurs naturally, without any medical intervention, while induced labor onset is initiated by medical professionals using various methods such as medication or mechanical dilation of the cervix.

It's important to note that the onset of labor can be a challenging concept to define precisely, and different healthcare providers may use slightly different criteria to diagnose the start of labor.

Pregnancy outcome refers to the final result or status of a pregnancy, including both the health of the mother and the newborn baby. It can be categorized into various types such as:

1. Live birth: The delivery of one or more babies who show signs of life after separation from their mother.
2. Stillbirth: The delivery of a baby who has died in the womb after 20 weeks of pregnancy.
3. Miscarriage: The spontaneous loss of a pregnancy before the 20th week.
4. Abortion: The intentional termination of a pregnancy before the fetus can survive outside the uterus.
5. Ectopic pregnancy: A pregnancy that develops outside the uterus, usually in the fallopian tube, which is not viable and requires medical attention.
6. Preterm birth: The delivery of a baby before 37 weeks of gestation, which can lead to various health issues for the newborn.
7. Full-term birth: The delivery of a baby between 37 and 42 weeks of gestation.
8. Post-term pregnancy: The delivery of a baby after 42 weeks of gestation, which may increase the risk of complications for both mother and baby.

The pregnancy outcome is influenced by various factors such as maternal age, health status, lifestyle habits, genetic factors, and access to quality prenatal care.

A splenic rupture is a medical condition characterized by a tear or complete breakage in the spleen, leading to the release of blood into the abdominal cavity. The spleen is a soft, fist-shaped organ located in the upper left part of the abdomen, which plays an essential role in filtering the blood and fighting infections.

Splenic rupture can occur as a result of trauma, such as a car accident or a direct blow to the abdomen, or it may develop spontaneously due to underlying medical conditions, such as cancer, infection, or inflammatory diseases. The severity of the rupture can vary from a small tear to a complete shattering of the spleen, leading to significant bleeding and potentially life-threatening complications.

Symptoms of splenic rupture may include sudden, severe pain in the left upper abdomen or shoulder, lightheadedness, dizziness, shortness of breath, rapid heartbeat, and decreased blood pressure. If left untreated, a splenic rupture can lead to shock, organ failure, and even death. Treatment typically involves surgery to remove the spleen (splenectomy) or repair the damage, followed by close monitoring and supportive care to manage any complications.

In medical terms, membranes refer to thin layers of tissue that cover or line various structures in the body. They are composed of connective tissue and epithelial cells, and they can be found lining the outer surface of the body, internal organs, blood vessels, and nerves. There are several types of membranes in the human body, including:

1. Serous Membranes: These membranes line the inside of body cavities and cover the organs contained within them. They produce a lubricating fluid that reduces friction between the organ and the cavity wall. Examples include the pleura (lungs), pericardium (heart), and peritoneum (abdominal cavity).
2. Mucous Membranes: These membranes line the respiratory, gastrointestinal, and genitourinary tracts, as well as the inner surface of the eyelids and the nasal passages. They produce mucus to trap particles, bacteria, and other substances, which helps protect the body from infection.
3. Synovial Membranes: These membranes line the joint cavities and produce synovial fluid, which lubricates the joints and allows for smooth movement.
4. Meninges: These are three layers of membranes that cover and protect the brain and spinal cord. They include the dura mater (outermost layer), arachnoid mater (middle layer), and pia mater (innermost layer).
5. Amniotic Membrane: This is a thin, transparent membrane that surrounds and protects the fetus during pregnancy. It produces amniotic fluid, which provides a cushion for the developing baby and helps regulate its temperature.

Infectious pregnancy complications refer to infections that occur during pregnancy and can affect the mother, fetus, or both. These infections can lead to serious consequences such as preterm labor, low birth weight, birth defects, stillbirth, or even death. Some common infectious agents that can cause pregnancy complications include:

1. Bacteria: Examples include group B streptococcus, Escherichia coli, and Listeria monocytogenes, which can cause sepsis, meningitis, or pneumonia in the mother and lead to preterm labor or stillbirth.
2. Viruses: Examples include cytomegalovirus, rubella, varicella-zoster, and HIV, which can cause congenital anomalies, developmental delays, or transmission of the virus to the fetus.
3. Parasites: Examples include Toxoplasma gondii, which can cause severe neurological damage in the fetus if transmitted during pregnancy.
4. Fungi: Examples include Candida albicans, which can cause fungal infections in the mother and lead to preterm labor or stillbirth.

Preventive measures such as vaccination, good hygiene practices, and avoiding high-risk behaviors can help reduce the risk of infectious pregnancy complications. Prompt diagnosis and treatment of infections during pregnancy are also crucial to prevent adverse outcomes.

The second trimester of pregnancy is the period between the completion of 12 weeks (the end of the first trimester) and 26 weeks (the beginning of the third trimester) of gestational age. It is often considered the most comfortable period for many pregnant women as the risk of miscarriage decreases significantly, and the symptoms experienced during the first trimester, such as nausea and fatigue, typically improve.

During this time, the uterus expands above the pubic bone, allowing more space for the growing fetus. The fetal development in the second trimester includes significant growth in size and weight, formation of all major organs, and the beginning of movement sensations that the mother can feel. Additionally, the fetus starts to hear, swallow and kick, and the skin is covered with a protective coating called vernix.

Prenatal care during this period typically includes regular prenatal appointments to monitor the mother's health and the baby's growth and development. These appointments may include measurements of the uterus, fetal heart rate monitoring, and screening tests for genetic disorders or other potential issues.

Aortic rupture is a medical emergency that refers to the tearing or splitting of the aorta, which is the largest and main artery in the body. The aorta carries oxygenated blood from the heart to the rest of the body. An aortic rupture can lead to life-threatening internal bleeding and requires immediate medical attention.

There are two types of aortic ruptures:

1. Aortic dissection: This occurs when there is a tear in the inner lining of the aorta, allowing blood to flow between the layers of the aortic wall. This can cause the aorta to bulge or split, leading to a rupture.
2. Thoracic aortic aneurysm rupture: An aneurysm is a weakened and bulging area in the aortic wall. When an aneurysm in the thoracic aorta (the part of the aorta that runs through the chest) ruptures, it can cause severe bleeding and other complications.

Risk factors for aortic rupture include high blood pressure, smoking, aging, family history of aortic disease, and certain genetic conditions such as Marfan syndrome or Ehlers-Danlos syndrome. Symptoms of an aortic rupture may include sudden severe chest or back pain, difficulty breathing, weakness, sweating, and loss of consciousness. Treatment typically involves emergency surgery to repair the aorta and control bleeding.

A newborn infant is a baby who is within the first 28 days of life. This period is also referred to as the neonatal period. Newborns require specialized care and attention due to their immature bodily systems and increased vulnerability to various health issues. They are closely monitored for signs of well-being, growth, and development during this critical time.

Abruptio placentae, also known as placental abruption, is a medical condition that occurs when the placenta separates from the uterus before the baby is born. The placenta is an organ that develops in the uterus during pregnancy to provide oxygen and nutrients to the growing fetus.

In abruptio placentae, the separation of the placenta from the uterus can cause bleeding, which can be serious or life-threatening for both the mother and the baby. The severity of the condition depends on how much of the placenta has separated from the uterus and how much bleeding has occurred.

Abruptio placentae can cause a range of symptoms, including vaginal bleeding, abdominal pain, contractions, and fetal distress. In severe cases, it can lead to preterm labor, low birth weight, and even stillbirth. The exact cause of abruptio placentae is not always known, but risk factors include high blood pressure, smoking, cocaine use, trauma to the abdomen, and advanced maternal age. Treatment may involve hospitalization, bed rest, medication to prevent contractions, or delivery of the baby if the pregnancy is at term.

Ureaplasma urealyticum is a type of bacteria that belongs to the genus Ureaplasma and the family Mycoplasmataceae. It is a non-motile, non-spore forming, microaerophilic organism, which means it requires reduced oxygen levels for growth.

Ureaplasma urealyticum is unique because it can hydrolyze urea to produce ammonia and carbon dioxide, which helps create a more favorable environment for its growth. This bacterium is commonly found in the genitourinary tract of humans and other primates. It can be part of the normal flora but may also cause infections under certain circumstances.

Infections caused by Ureaplasma urealyticum are often associated with the respiratory and urogenital tracts, particularly in premature infants, immunocompromised individuals, or those with underlying medical conditions. The bacterium can lead to various clinical manifestations, such as pneumonia, bronchopulmonary dysplasia, sepsis, meningitis, and urethritis. However, it is important to note that asymptomatic carriage of Ureaplasma urealyticum is also common, making the interpretation of its clinical significance challenging at times.

Diagnosis typically involves nucleic acid amplification tests (NAATs), such as polymerase chain reaction (PCR) assays, to detect the bacterium's genetic material in clinical samples. Treatment usually consists of antibiotics that target mycoplasmas, like macrolides or tetracyclines, but the choice and duration of therapy depend on the patient's age, immune status, and underlying medical conditions.

A cell membrane, also known as the plasma membrane, is a thin semi-permeable phospholipid bilayer that surrounds all cells in animals, plants, and microorganisms. It functions as a barrier to control the movement of substances in and out of the cell, allowing necessary molecules such as nutrients, oxygen, and signaling molecules to enter while keeping out harmful substances and waste products. The cell membrane is composed mainly of phospholipids, which have hydrophilic (water-loving) heads and hydrophobic (water-fearing) tails. This unique structure allows the membrane to be flexible and fluid, yet selectively permeable. Additionally, various proteins are embedded in the membrane that serve as channels, pumps, receptors, and enzymes, contributing to the cell's overall functionality and communication with its environment.

Membrane lipids are the main component of biological membranes, forming a lipid bilayer in which various cellular processes take place. These lipids include phospholipids, glycolipids, and cholesterol. Phospholipids are the most abundant type, consisting of a hydrophilic head (containing a phosphate group) and two hydrophobic tails (composed of fatty acid chains). Glycolipids contain a sugar group attached to the lipid molecule. Cholesterol helps regulate membrane fluidity and permeability. Together, these lipids create a selectively permeable barrier that separates cells from their environment and organelles within cells.

A heart rupture, also known as cardiac rupture, is a serious and life-threatening condition that occurs when there is a tear or hole in the muscle wall of the heart. This can happen as a result of a severe injury to the heart, such as from a car accident or a fall, or it can occur as a complication of a heart attack.

During a heart attack, blood flow to a portion of the heart is blocked, causing the heart muscle to become damaged and die. If the damage is extensive, the weakened heart muscle may rupture, leading to bleeding into the pericardial sac (the space surrounding the heart) or into one of the heart chambers.

A heart rupture can cause sudden cardiac arrest and death if not treated immediately. Symptoms of a heart rupture may include chest pain, shortness of breath, rapid heartbeat, and loss of consciousness. Treatment typically involves emergency surgery to repair or replace the damaged portion of the heart.

Intracellular membranes refer to the membrane structures that exist within a eukaryotic cell (excluding bacteria and archaea, which are prokaryotic and do not have intracellular membranes). These membranes compartmentalize the cell, creating distinct organelles or functional regions with specific roles in various cellular processes.

Major types of intracellular membranes include:

1. Nuclear membrane (nuclear envelope): A double-membraned structure that surrounds and protects the genetic material within the nucleus. It consists of an outer and inner membrane, perforated by nuclear pores that regulate the transport of molecules between the nucleus and cytoplasm.
2. Endoplasmic reticulum (ER): An extensive network of interconnected tubules and sacs that serve as a major site for protein folding, modification, and lipid synthesis. The ER has two types: rough ER (with ribosomes on its surface) and smooth ER (without ribosomes).
3. Golgi apparatus/Golgi complex: A series of stacked membrane-bound compartments that process, sort, and modify proteins and lipids before they are transported to their final destinations within the cell or secreted out of the cell.
4. Lysosomes: Membrane-bound organelles containing hydrolytic enzymes for breaking down various biomolecules (proteins, carbohydrates, lipids, and nucleic acids) in the process called autophagy or from outside the cell via endocytosis.
5. Peroxisomes: Single-membrane organelles involved in various metabolic processes, such as fatty acid oxidation and detoxification of harmful substances like hydrogen peroxide.
6. Vacuoles: Membrane-bound compartments that store and transport various molecules, including nutrients, waste products, and enzymes. Plant cells have a large central vacuole for maintaining turgor pressure and storing metabolites.
7. Mitochondria: Double-membraned organelles responsible for generating energy (ATP) through oxidative phosphorylation and other metabolic processes, such as the citric acid cycle and fatty acid synthesis.
8. Chloroplasts: Double-membraned organelles found in plant cells that convert light energy into chemical energy during photosynthesis, producing oxygen and organic compounds (glucose) from carbon dioxide and water.
9. Endoplasmic reticulum (ER): A network of interconnected membrane-bound tubules involved in protein folding, modification, and transport; it is divided into two types: rough ER (with ribosomes on the surface) and smooth ER (without ribosomes).
10. Nucleus: Double-membraned organelle containing genetic material (DNA) and associated proteins involved in replication, transcription, RNA processing, and DNA repair. The nuclear membrane separates the nucleoplasm from the cytoplasm and contains nuclear pores for transporting molecules between the two compartments.

A premature infant is a baby born before 37 weeks of gestation. They may face various health challenges because their organs are not fully developed. The earlier a baby is born, the higher the risk of complications. Prematurity can lead to short-term and long-term health issues, such as respiratory distress syndrome, jaundice, anemia, infections, hearing problems, vision problems, developmental delays, and cerebral palsy. Intensive medical care and support are often necessary for premature infants to ensure their survival and optimal growth and development.

Pregnancy complications refer to any health problems that arise during pregnancy which can put both the mother and the baby at risk. These complications may occur at any point during the pregnancy, from conception until childbirth. Some common pregnancy complications include:

1. Gestational diabetes: a type of diabetes that develops during pregnancy in women who did not have diabetes before becoming pregnant.
2. Preeclampsia: a pregnancy complication characterized by high blood pressure and damage to organs such as the liver or kidneys.
3. Placenta previa: a condition where the placenta covers the cervix, which can cause bleeding and may require delivery via cesarean section.
4. Preterm labor: when labor begins before 37 weeks of gestation, which can lead to premature birth and other complications.
5. Intrauterine growth restriction (IUGR): a condition where the fetus does not grow at a normal rate inside the womb.
6. Multiple pregnancies: carrying more than one baby, such as twins or triplets, which can increase the risk of premature labor and other complications.
7. Rh incompatibility: a condition where the mother's blood type is different from the baby's, which can cause anemia and jaundice in the newborn.
8. Pregnancy loss: including miscarriage, stillbirth, or ectopic pregnancy, which can be emotionally devastating for the parents.

It is important to monitor pregnancy closely and seek medical attention promptly if any concerning symptoms arise. With proper care and management, many pregnancy complications can be treated effectively, reducing the risk of harm to both the mother and the baby.

Amniocentesis is a medical procedure in which a small amount of amniotic fluid, which contains fetal cells, is withdrawn from the uterus through a hollow needle inserted into the abdomen of a pregnant woman. This procedure is typically performed between the 16th and 20th weeks of pregnancy.

The main purpose of amniocentesis is to diagnose genetic disorders and chromosomal abnormalities in the developing fetus, such as Down syndrome, Edwards syndrome, and neural tube defects. The fetal cells obtained from the amniotic fluid can be cultured and analyzed for various genetic characteristics, including chromosomal structure and number, as well as specific gene mutations.

Amniocentesis carries a small risk of complications, such as miscarriage, infection, or injury to the fetus. Therefore, it is generally offered to women who have an increased risk of having a baby with a genetic disorder or chromosomal abnormality, such as those over the age of 35, those with a family history of genetic disorders, or those who have had a previous pregnancy affected by a genetic condition.

It's important to note that while amniocentesis can provide valuable information about the health of the fetus, it does not guarantee a completely normal baby, and there are some risks associated with the procedure. Therefore, the decision to undergo amniocentesis should be made carefully, in consultation with a healthcare provider, taking into account the individual circumstances and preferences of each woman.

Uterine rupture is a serious obstetrical complication characterized by the disruption or tearing of all layers of the uterine wall, including the serosa (outer covering), myometrium (middle layer of muscle), and endometrium (inner lining). This can occur during pregnancy, labor, or delivery. In some cases, it may also involve the rupture of the adjacent structures such as bladder or broad ligament. Uterine rupture is a medical emergency that requires immediate surgical intervention to prevent maternal and fetal mortality or morbidity.

The symptoms of uterine rupture might include severe abdominal pain, vaginal bleeding, loss of fetal heart rate, changes in the mother's vital signs, and shock. The risk factors for uterine rupture include previous cesarean delivery, grand multiparity (having given birth to five or more pregnancies), use of labor-inducing drugs like oxytocin, and instrumental deliveries with vacuum extractors or forceps.

The management of uterine rupture typically involves an emergency laparotomy (open abdominal surgery) to repair the tear and stop any bleeding. In some cases, a hysterectomy (removal of the uterus) may be necessary if the damage is too severe or if there are other complications. The prognosis for both mother and baby depends on various factors like the extent of the injury, timeliness of treatment, and the overall health status of the patient before the event.

A Cesarean section, often referred to as a C-section, is a surgical procedure used to deliver a baby. It involves making an incision through the mother's abdomen and uterus to remove the baby. This procedure may be necessary when a vaginal delivery would put the mother or the baby at risk.

There are several reasons why a C-section might be recommended, including:

* The baby is in a breech position (feet first) or a transverse position (sideways) and cannot be turned to a normal head-down position.
* The baby is too large to safely pass through the mother's birth canal.
* The mother has a medical condition, such as heart disease or high blood pressure, that could make vaginal delivery risky.
* The mother has an infection, such as HIV or herpes, that could be passed to the baby during a vaginal delivery.
* The labor is not progressing and there are concerns about the health of the mother or the baby.

C-sections are generally safe for both the mother and the baby, but like any surgery, they do carry some risks. These can include infection, bleeding, blood clots, and injury to nearby organs. In addition, women who have a C-section are more likely to experience complications in future pregnancies, such as placenta previa or uterine rupture.

If you have questions about whether a C-section is necessary for your delivery, it's important to discuss your options with your healthcare provider.

The cervix uteri, often simply referred to as the cervix, is the lower part of the uterus (womb) that connects to the vagina. It has an opening called the external os through which menstrual blood exits the uterus and sperm enters during sexual intercourse. During childbirth, the cervix dilates or opens to allow for the passage of the baby through the birth canal.

Membrane potential is the electrical potential difference across a cell membrane, typically for excitable cells such as nerve and muscle cells. It is the difference in electric charge between the inside and outside of a cell, created by the selective permeability of the cell membrane to different ions. The resting membrane potential of a typical animal cell is around -70 mV, with the interior being negative relative to the exterior. This potential is generated and maintained by the active transport of ions across the membrane, primarily through the action of the sodium-potassium pump. Membrane potentials play a crucial role in many physiological processes, including the transmission of nerve impulses and the contraction of muscle cells.

Matrix Metalloproteinase 8 (MMP-8), also known as Collagenase-2 or Neutrophil Collagenase, is an enzyme that belongs to the Matrix Metalloproteinases family. MMP-8 is primarily produced by neutrophils and has the ability to degrade various components of the extracellular matrix (ECM), including collagens, gelatin, and elastin. It plays a crucial role in tissue remodeling, wound healing, and inflammatory responses. MMP-8 is also involved in the pathogenesis of several diseases, such as periodontitis, rheumatoid arthritis, and cancer, where it contributes to the breakdown of the ECM and promotes tissue destruction and invasion.

Artificial membranes are synthetic or man-made materials that possess properties similar to natural biological membranes, such as selective permeability and barrier functions. These membranes can be designed to control the movement of molecules, ions, or cells across them, making them useful in various medical and biotechnological applications.

Examples of artificial membranes include:

1. Dialysis membranes: Used in hemodialysis for patients with renal failure, these semi-permeable membranes filter waste products and excess fluids from the blood while retaining essential proteins and cells.
2. Hemofiltration membranes: Utilized in extracorporeal circuits to remove larger molecules, such as cytokines or inflammatory mediators, from the blood during critical illnesses or sepsis.
3. Drug delivery systems: Artificial membranes can be used to encapsulate drugs, allowing for controlled release and targeted drug delivery in specific tissues or cells.
4. Tissue engineering: Synthetic membranes serve as scaffolds for cell growth and tissue regeneration, guiding the formation of new functional tissues.
5. Biosensors: Artificial membranes can be integrated into biosensing devices to selectively detect and quantify biomolecules, such as proteins or nucleic acids, in diagnostic applications.
6. Microfluidics: Artificial membranes are used in microfluidic systems for lab-on-a-chip applications, enabling the manipulation and analysis of small volumes of fluids for various medical and biological purposes.

Pregnancy reduction, multifetal refers to the medical procedure used to decrease the number of fetuses in a multiple pregnancy, such as twins or higher-order multiples (triplets, quadruplets, etc.). This is also known as selective reduction or selective termination. The goal of this procedure is to reduce the risk of complications associated with multifetal pregnancies, including preterm labor, low birth weight, and pregnancy loss.

The procedure typically involves an ultrasound-guided injection of a medication that stops the development of one or more fetuses. This is usually performed during the first trimester of pregnancy. The decision to undergo pregnancy reduction is often based on a variety of factors, including maternal age, medical history, and personal preferences. It's important to note that this procedure carries its own risks, such as infection, bleeding, and loss of the remaining fetuses, so it should be carefully considered and discussed with healthcare providers.

Post-infarction heart rupture is a serious and potentially fatal complication that can occur after a myocardial infarction (heart attack). It is defined as the disruption or tearing of the heart muscle (myocardium) in the area that was damaged by the heart attack. This condition typically occurs within 1 to 7 days following a heart attack, and it's more common in elderly patients and those with large infarctions.

There are three main types of post-infarction heart rupture:

1. Ventricular free wall rupture: This is the most common type, where there is a tear in the left ventricular wall, leading to rapid bleeding into the pericardial sac (the space surrounding the heart). This can cause cardiac tamponade, which is a life-threatening situation characterized by increased pressure in the pericardial sac, compromising cardiac filling and reducing cardiac output.

2. Ventricular septal rupture: In this case, there is a tear in the interventricular septum (the wall separating the left and right ventricles), leading to a communication between the two chambers. This results in a shunt of blood from the high-pressure left ventricle to the low-pressure right ventricle, causing a sudden increase in pulmonary congestion and reduced systemic output.

3. Papillary muscle rupture: The papillary muscles are finger-like projections that attach the heart valves (mitral and tricuspid) to the ventricular walls. Rupture of these muscles can lead to severe mitral or tricuspid regurgitation, causing acute pulmonary edema and reduced cardiac output.

Symptoms of post-infarction heart rupture may include chest pain, shortness of breath, palpitations, hypotension, tachycardia, and signs of cardiogenic shock (such as cold sweats, weak pulse, and altered mental status). Diagnosis is typically made using echocardiography, CT angiography, or MRI. Treatment usually involves emergency surgical intervention to repair the rupture and stabilize the patient's hemodynamic condition.

Membrane fluidity, in the context of cell biology, refers to the ability of the phospholipid bilayer that makes up the cell membrane to change its structure and organization in response to various factors. The membrane is not a static structure but rather a dynamic one, with its lipids constantly moving and changing position.

Membrane fluidity is determined by the fatty acid composition of the phospholipids that make up the bilayer. Lipids with unsaturated fatty acids have kinks in their hydrocarbon chains, which prevent them from packing closely together and increase membrane fluidity. In contrast, lipids with saturated fatty acids can pack closely together, reducing membrane fluidity.

Membrane fluidity is important for various cellular processes, including the movement of proteins within the membrane, the fusion of vesicles with the membrane during exocytosis and endocytosis, and the ability of the membrane to respond to changes in temperature and other environmental factors. Abnormalities in membrane fluidity have been linked to various diseases, including cancer, neurological disorders, and infectious diseases.

An erythrocyte, also known as a red blood cell, is a type of cell that circulates in the blood and is responsible for transporting oxygen throughout the body. The erythrocyte membrane refers to the thin, flexible barrier that surrounds the erythrocyte and helps to maintain its shape and stability.

The erythrocyte membrane is composed of a lipid bilayer, which contains various proteins and carbohydrates. These components help to regulate the movement of molecules into and out of the erythrocyte, as well as provide structural support and protection for the cell.

The main lipids found in the erythrocyte membrane are phospholipids and cholesterol, which are arranged in a bilayer structure with the hydrophilic (water-loving) heads facing outward and the hydrophobic (water-fearing) tails facing inward. This arrangement helps to maintain the integrity of the membrane and prevent the leakage of cellular components.

The proteins found in the erythrocyte membrane include integral proteins, which span the entire width of the membrane, and peripheral proteins, which are attached to the inner or outer surface of the membrane. These proteins play a variety of roles, such as transporting molecules across the membrane, maintaining the shape of the erythrocyte, and interacting with other cells and proteins in the body.

The carbohydrates found in the erythrocyte membrane are attached to the outer surface of the membrane and help to identify the cell as part of the body's own immune system. They also play a role in cell-cell recognition and adhesion.

Overall, the erythrocyte membrane is a complex and dynamic structure that plays a critical role in maintaining the function and integrity of red blood cells.

Parturition is the process of giving birth, or the act of delivering newborn offspring. In medical terms, it refers to the expulsion of the products of conception (such as the fetus, placenta, and membranes) from the uterus of a pregnant woman during childbirth. This process is regulated by hormonal changes and involves complex interactions between the mother's body and the developing fetus. Parturition typically occurs after a full-term pregnancy, which is approximately 40 weeks in humans.

Trophoblasts are specialized cells that make up the outer layer of a blastocyst, which is a hollow ball of cells that forms in the earliest stages of embryonic development. In humans, this process occurs about 5-6 days after fertilization. The blastocyst consists of an inner cell mass (which will eventually become the embryo) and an outer layer of trophoblasts.

Trophoblasts play a crucial role in implantation, which is the process by which the blastocyst attaches to and invades the lining of the uterus. Once implanted, the trophoblasts differentiate into two main layers: the cytotrophoblasts (which are closer to the inner cell mass) and the syncytiotrophoblasts (which form a multinucleated layer that is in direct contact with the maternal tissues).

The cytotrophoblasts proliferate and fuse to form the syncytiotrophoblasts, which have several important functions. They secrete enzymes that help to degrade and remodel the extracellular matrix of the uterine lining, allowing the blastocyst to implant more deeply. They also form a barrier between the maternal and fetal tissues, helping to protect the developing embryo from the mother's immune system.

Additionally, trophoblasts are responsible for the formation of the placenta, which provides nutrients and oxygen to the developing fetus and removes waste products. The syncytiotrophoblasts in particular play a key role in this process by secreting hormones such as human chorionic gonadotropin (hCG), which helps to maintain pregnancy, and by forming blood vessels that allow for the exchange of nutrients and waste between the mother and fetus.

Abnormalities in trophoblast development or function can lead to a variety of pregnancy-related complications, including preeclampsia, intrauterine growth restriction, and gestational trophoblastic diseases such as hydatidiform moles and choriocarcinomas.

The myometrium is the middle and thickest layer of the uterine wall, composed mainly of smooth muscle cells. It is responsible for the strong contractions during labor and can also contribute to bleeding during menstruation or childbirth. The myometrium is able to stretch and expand to accommodate a growing fetus and then contract during labor to help push the baby out. It also plays a role in maintaining the structure and shape of the uterus, and in protecting the internal organs within the pelvic cavity.

Tissue adhesives, also known as surgical glues or tissue sealants, are medical devices used to approximate and hold together tissues or wounds in place of traditional sutures or staples. They work by creating a bond between the tissue surfaces, helping to promote healing and reduce the risk of infection. Tissue adhesives can be synthetic or biologically derived and are often used in various surgical procedures, including ophthalmic, dermatological, and pediatric surgeries. Some common types of tissue adhesives include cyanoacrylate-based glues, fibrin sealants, and collagen-based sealants.

A "premature infant" is a newborn delivered before 37 weeks of gestation. They are at greater risk for various health complications and medical conditions compared to full-term infants, due to their immature organ systems and lower birth weight. Some common diseases and health issues that premature infants may face include:

1. Respiratory Distress Syndrome (RDS): A lung disorder caused by the lack of surfactant, a substance that helps keep the lungs inflated. Premature infants, especially those born before 34 weeks, are at higher risk for RDS.
2. Intraventricular Hemorrhage (IVH): Bleeding in the brain's ventricles, which can lead to developmental delays or neurological issues. The risk of IVH is inversely proportional to gestational age, meaning that the earlier the infant is born, the higher the risk.
3. Necrotizing Enterocolitis (NEC): A gastrointestinal disease where the intestinal tissue becomes inflamed and can die. Premature infants are at greater risk for NEC due to their immature digestive systems.
4. Jaundice: A yellowing of the skin and eyes caused by an accumulation of bilirubin, a waste product from broken-down red blood cells. Premature infants may have higher rates of jaundice due to their liver's immaturity.
5. Infections: Premature infants are more susceptible to infections because of their underdeveloped immune systems. Common sources of infection include the mother's genital tract, bloodstream, or hospital environment.
6. Anemia: A condition characterized by a low red blood cell count or insufficient hemoglobin. Premature infants may develop anemia due to frequent blood sampling, rapid growth, or inadequate erythropoietin production.
7. Retinopathy of Prematurity (ROP): An eye disorder affecting premature infants, where abnormal blood vessel growth occurs in the retina. Severe ROP can lead to vision loss or blindness if not treated promptly.
8. Developmental Delays: Premature infants are at risk for developmental delays due to their immature nervous systems and environmental factors such as sensory deprivation or separation from parents.
9. Patent Ductus Arteriosus (PDA): A congenital heart defect where the ductus arteriosus, a blood vessel that connects two major arteries in the fetal heart, fails to close after birth. Premature infants are at higher risk for PDA due to their immature cardiovascular systems.
10. Hypothermia: Premature infants have difficulty maintaining body temperature and are at risk for hypothermia, which can lead to increased metabolic demands, poor feeding, and infection.

Prenatal ultrasonography, also known as obstetric ultrasound, is a medical diagnostic procedure that uses high-frequency sound waves to create images of the developing fetus, placenta, and amniotic fluid inside the uterus. It is a non-invasive and painless test that is widely used during pregnancy to monitor the growth and development of the fetus, detect any potential abnormalities or complications, and determine the due date.

During the procedure, a transducer (a small handheld device) is placed on the mother's abdomen and moved around to capture images from different angles. The sound waves travel through the mother's body and bounce back off the fetus, producing echoes that are then converted into electrical signals and displayed as images on a screen.

Prenatal ultrasonography can be performed at various stages of pregnancy, including early pregnancy to confirm the pregnancy and detect the number of fetuses, mid-pregnancy to assess the growth and development of the fetus, and late pregnancy to evaluate the position of the fetus and determine if it is head down or breech. It can also be used to guide invasive procedures such as amniocentesis or chorionic villus sampling.

Overall, prenatal ultrasonography is a valuable tool in modern obstetrics that helps ensure the health and well-being of both the mother and the developing fetus.

"Delivery, Obstetric" is a medical term that refers to the process of giving birth to a baby. It involves the passage of the fetus through the mother's vagina or via Caesarean section (C-section), which is a surgical procedure.

The obstetric delivery process typically includes three stages:

1. The first stage begins with the onset of labor and ends when the cervix is fully dilated.
2. The second stage starts with full dilation of the cervix and ends with the birth of the baby.
3. The third stage involves the delivery of the placenta, which is the organ that provides oxygen and nutrients to the developing fetus during pregnancy.

Obstetric delivery requires careful monitoring and management by healthcare professionals to ensure the safety and well-being of both the mother and the baby. Various interventions and techniques may be used during the delivery process to facilitate a safe and successful outcome, including the use of medications, assisted delivery with forceps or vacuum extraction, and C-section.

The vagina is the canal that joins the cervix (the lower part of the uterus) to the outside of the body. It also is known as the birth canal because babies pass through it during childbirth. The vagina is where sexual intercourse occurs and where menstrual blood exits the body. It has a flexible wall that can expand and retract. During sexual arousal, the vaginal walls swell with blood to become more elastic in order to accommodate penetration.

It's important to note that sometimes people use the term "vagina" to refer to the entire female genital area, including the external structures like the labia and clitoris. But technically, these are considered part of the vulva, not the vagina.

Cell membrane permeability refers to the ability of various substances, such as molecules and ions, to pass through the cell membrane. The cell membrane, also known as the plasma membrane, is a thin, flexible barrier that surrounds all cells, controlling what enters and leaves the cell. Its primary function is to protect the cell's internal environment and maintain homeostasis.

The permeability of the cell membrane depends on its structure, which consists of a phospholipid bilayer interspersed with proteins. The hydrophilic (water-loving) heads of the phospholipids face outward, while the hydrophobic (water-fearing) tails face inward, creating a barrier that is generally impermeable to large, polar, or charged molecules.

However, specific proteins within the membrane, called channels and transporters, allow certain substances to cross the membrane. Channels are protein structures that span the membrane and provide a pore for ions or small uncharged molecules to pass through. Transporters, on the other hand, are proteins that bind to specific molecules and facilitate their movement across the membrane, often using energy in the form of ATP.

The permeability of the cell membrane can be influenced by various factors, such as temperature, pH, and the presence of certain chemicals or drugs. Changes in permeability can have significant consequences for the cell's function and survival, as they can disrupt ion balances, nutrient uptake, waste removal, and signal transduction.

Ureaplasma infections refer to conditions caused by the colonization or infection with the bacterial species Ureaplasma urealyticum and Ureaplasma parvum, which are commonly found in the genitourinary tract of humans. These bacteria are part of the normal flora but can cause infections under certain circumstances, such as in immunocompromised individuals or when they ascend to sterile sites like the upper respiratory tract or the amniotic fluid during pregnancy.

Ureaplasma infections can lead to a range of clinical manifestations, including urethritis, cystitis, pelvic inflammatory disease, and respiratory tract infections in newborns. However, it is important to note that the causative role of Ureaplasma spp. in many of these conditions is still a subject of debate, as they can also be found in asymptomatic individuals.

Diagnosis of Ureaplasma infections typically involves nucleic acid amplification tests (NAATs) or culture-based methods to detect the presence of the bacteria in clinical samples. Treatment usually consists of antibiotics that target the bacterial species, such as macrolides or fluoroquinolones, although the development of antimicrobial resistance is a growing concern.

Retained placenta is a medical condition that occurs when all or part of the placenta remains in the uterus after delivery, instead of being expelled naturally. Normally, the placenta separates from the uterine wall and is delivered within 30 minutes of childbirth. However, if the placenta is not completely delivered, it can lead to complications such as infection, heavy bleeding, and in rare cases, infertility or even death.

Retained placenta can be caused by various factors, including a weakened uterine muscle tone, an abnormally attached placenta, or a retained portion of the membranes. Treatment for retained placenta typically involves manual removal of the remaining tissue by a healthcare professional, often under anesthesia. In some cases, medication may be used to help promote contraction of the uterus and expulsion of the placenta.

It is important to seek medical attention promptly if a retained placenta is suspected, as timely treatment can help prevent potentially serious complications.

The basement membrane is a thin, specialized layer of extracellular matrix that provides structural support and separates epithelial cells (which line the outer surfaces of organs and blood vessels) from connective tissue. It is composed of two main layers: the basal lamina, which is produced by the epithelial cells, and the reticular lamina, which is produced by the connective tissue. The basement membrane plays important roles in cell adhesion, migration, differentiation, and survival.

The basal lamina is composed mainly of type IV collagen, laminins, nidogens, and proteoglycans, while the reticular lamina contains type III collagen, fibronectin, and other matrix proteins. The basement membrane also contains a variety of growth factors and cytokines that can influence cell behavior.

Defects in the composition or organization of the basement membrane can lead to various diseases, including kidney disease, eye disease, and skin blistering disorders.

The umbilical cord is a flexible, tube-like structure that connects the developing fetus to the placenta in the uterus during pregnancy. It arises from the abdomen of the fetus and transports essential nutrients, oxygen, and blood from the mother's circulation to the growing baby. Additionally, it carries waste products, such as carbon dioxide, from the fetus back to the placenta for elimination. The umbilical cord is primarily composed of two arteries (the umbilical arteries) and one vein (the umbilical vein), surrounded by a protective gelatinous substance called Wharton's jelly, and enclosed within a fibrous outer covering known as the umbilical cord coating. Following birth, the umbilical cord is clamped and cut, leaving behind the stump that eventually dries up and falls off, resulting in the baby's belly button.

A "term birth" is a medical term that refers to a delivery or pregnancy that has reached 37 weeks or more. It is the normal length of a full-term pregnancy and is considered a healthy and low-risk period for childbirth. Babies born at term have the best chance of being healthy and not experiencing any significant medical issues, compared to those born preterm (before 37 weeks) or postterm (after 42 weeks). The different types of term births are:

* Early Term: Between 37 weeks and 38 weeks, 6 days.
* Full Term: Between 39 weeks and 40 weeks, 6 days.
* Late Term: Between 41 weeks and 41 weeks, 6 days.
* Postterm: 42 weeks or later.

It is important to note that while a term birth is generally considered low-risk, there can still be variations in the health of babies born at different points within this range. For example, research has shown that babies born at 39 weeks have better outcomes than those born at 37 or 38 weeks. Therefore, it is always best to consult with a healthcare provider for individualized guidance and recommendations regarding pregnancy and childbirth.

Induced labor refers to the initiation of labor before it begins spontaneously, which is usually achieved through medical intervention. This process is initiated when there is a medically indicated reason to deliver the baby, such as maternal or fetal compromise, prolonged pregnancy, or reduced fetal movement. The most common methods used to induce labor include membrane stripping, prostaglandin administration, and oxytocin infusion. It's important to note that induced labor carries certain risks, including a higher chance of uterine hyperstimulation, infection, and the need for assisted vaginal delivery or cesarean section. Therefore, it should only be performed under the close supervision of a healthcare provider in a clinical setting.

"Animal pregnancy" is not a term that is typically used in medical definitions. However, in biological terms, animal pregnancy refers to the condition where a fertilized egg (or eggs) implants and develops inside the reproductive tract of a female animal, leading to the birth of offspring (live young).

The specific details of animal pregnancy can vary widely between different species, with some animals exhibiting phenomena such as placental development, gestation periods, and hormonal changes that are similar to human pregnancy, while others may have very different reproductive strategies.

It's worth noting that the study of animal pregnancy and reproduction is an important area of biological research, as it can provide insights into fundamental mechanisms of embryonic development, genetics, and evolution.

Low birth weight is a term used to describe babies who are born weighing less than 5 pounds, 8 ounces (2,500 grams). It's often defined as a birth weight of 2,499 grams or less. This can be further categorized into very low birth weight (less than 1,500 grams) and extremely low birth weight (less than 1,000 grams). Low birth weight is most commonly caused by premature birth, but it can also be caused by growth restriction in the womb. These babies are at risk for numerous health complications, both in the short and long term.

Medical Definition:

Matrix metalloproteinase 9 (MMP-9), also known as gelatinase B or 92 kDa type IV collagenase, is a member of the matrix metalloproteinase family. These enzymes are involved in degrading and remodeling the extracellular matrix (ECM) components, playing crucial roles in various physiological and pathological processes such as wound healing, tissue repair, and tumor metastasis.

MMP-9 is secreted as an inactive zymogen and activated upon removal of its propeptide domain. It can degrade several ECM proteins, including type IV collagen, elastin, fibronectin, and gelatin. MMP-9 has been implicated in numerous diseases, such as cancer, rheumatoid arthritis, neurological disorders, and cardiovascular diseases. Its expression is regulated at the transcriptional, translational, and post-translational levels, and its activity can be controlled by endogenous inhibitors called tissue inhibitors of metalloproteinases (TIMPs).

The third trimester of pregnancy is the final stage of pregnancy that lasts from week 29 until birth, which typically occurs around the 40th week. During this period, the fetus continues to grow and mature, gaining weight rapidly. The mother's body also prepares for childbirth by dilating the cervix and producing milk in preparation for breastfeeding. Regular prenatal care is crucial during this time to monitor the health of both the mother and the developing fetus, as well as to prepare for delivery.

Ultrasonography, Doppler, Pulsed is a type of diagnostic ultrasound technique that uses the Doppler effect to measure blood flow in the body. In this technique, short bursts of ultrasound are emitted and then listened for as they bounce back off moving red blood cells. By analyzing the frequency shift of the returning sound waves, the velocity and direction of blood flow can be determined. This information is particularly useful in evaluating conditions such as deep vein thrombosis, carotid artery stenosis, and fetal heart abnormalities. Pulsed Doppler ultrasonography provides more detailed information about blood flow than traditional color Doppler imaging, making it a valuable tool for diagnosing and monitoring various medical conditions.

Culture techniques are methods used in microbiology to grow and multiply microorganisms, such as bacteria, fungi, or viruses, in a controlled laboratory environment. These techniques allow for the isolation, identification, and study of specific microorganisms, which is essential for diagnostic purposes, research, and development of medical treatments.

The most common culture technique involves inoculating a sterile growth medium with a sample suspected to contain microorganisms. The growth medium can be solid or liquid and contains nutrients that support the growth of the microorganisms. Common solid growth media include agar plates, while liquid growth media are used for broth cultures.

Once inoculated, the growth medium is incubated at a temperature that favors the growth of the microorganisms being studied. During incubation, the microorganisms multiply and form visible colonies on the solid growth medium or turbid growth in the liquid growth medium. The size, shape, color, and other characteristics of the colonies can provide important clues about the identity of the microorganism.

Other culture techniques include selective and differential media, which are designed to inhibit the growth of certain types of microorganisms while promoting the growth of others, allowing for the isolation and identification of specific pathogens. Enrichment cultures involve adding specific nutrients or factors to a sample to promote the growth of a particular type of microorganism.

Overall, culture techniques are essential tools in microbiology and play a critical role in medical diagnostics, research, and public health.

Electron microscopy (EM) is a type of microscopy that uses a beam of electrons to create an image of the sample being examined, resulting in much higher magnification and resolution than light microscopy. There are several types of electron microscopy, including transmission electron microscopy (TEM), scanning electron microscopy (SEM), and reflection electron microscopy (REM).

In TEM, a beam of electrons is transmitted through a thin slice of the sample, and the electrons that pass through the sample are focused to form an image. This technique can provide detailed information about the internal structure of cells, viruses, and other biological specimens, as well as the composition and structure of materials at the atomic level.

In SEM, a beam of electrons is scanned across the surface of the sample, and the electrons that are scattered back from the surface are detected to create an image. This technique can provide information about the topography and composition of surfaces, as well as the structure of materials at the microscopic level.

REM is a variation of SEM in which the beam of electrons is reflected off the surface of the sample, rather than scattered back from it. This technique can provide information about the surface chemistry and composition of materials.

Electron microscopy has a wide range of applications in biology, medicine, and materials science, including the study of cellular structure and function, disease diagnosis, and the development of new materials and technologies.

In the field of medicine, twins are defined as two offspring produced by the same pregnancy. They can be either monozygotic (identical) or dizygotic (fraternal). Monozygotic twins develop from a single fertilized egg that splits into two separate embryos, resulting in individuals who share identical genetic material. Dizygotic twins, on the other hand, result from the fertilization of two separate eggs by two different sperm cells, leading to siblings who share about 50% of their genetic material, similar to non-twin siblings.

"Cells, cultured" is a medical term that refers to cells that have been removed from an organism and grown in controlled laboratory conditions outside of the body. This process is called cell culture and it allows scientists to study cells in a more controlled and accessible environment than they would have inside the body. Cultured cells can be derived from a variety of sources, including tissues, organs, or fluids from humans, animals, or cell lines that have been previously established in the laboratory.

Cell culture involves several steps, including isolation of the cells from the tissue, purification and characterization of the cells, and maintenance of the cells in appropriate growth conditions. The cells are typically grown in specialized media that contain nutrients, growth factors, and other components necessary for their survival and proliferation. Cultured cells can be used for a variety of purposes, including basic research, drug development and testing, and production of biological products such as vaccines and gene therapies.

It is important to note that cultured cells may behave differently than they do in the body, and results obtained from cell culture studies may not always translate directly to human physiology or disease. Therefore, it is essential to validate findings from cell culture experiments using additional models and ultimately in clinical trials involving human subjects.

Relaxin is a hormone produced by the ovaries and, during pregnancy, also by the placenta and the fetal membranes. Its primary function is to relax the uterus and pelvic joints in preparation for childbirth, hence its name. It does this by softening the connective tissues and increasing their elasticity, which allows them to stretch more easily. Relaxin also plays a role in the cardiovascular system during pregnancy, helping to maintain healthy blood pressure levels.

Additionally, relaxin has been shown to have effects on other parts of the body, such as reducing muscle stiffness and joint pain, increasing flexibility, and potentially even playing a role in bone metabolism. However, more research is needed to fully understand all of its functions and potential therapeutic uses.

Mycoplasma hominis is a species of bacteria that lack a cell wall and are among the smallest free-living organisms. They are commonly found as part of the normal flora in the genitourinary tract of humans, particularly in the urethra, cervix, and vagina. However, they can also cause various infections, especially in individuals with compromised immune systems or in the presence of other risk factors.

M. hominis has been associated with several types of infections, including:

1. Genital tract infections: M. hominis can cause pelvic inflammatory disease (PID), cervicitis, urethritis, and endometritis in women. In men, it may lead to urethritis and prostatitis.
2. Postpartum and post-abortion fever: M. hominis can contribute to febrile morbidity following delivery or abortion.
3. Respiratory tract infections: While rare, M. hominis has been implicated in some cases of respiratory tract infections, particularly in immunocompromised individuals.
4. Joint and soft tissue infections: M. hominis can cause septic arthritis, osteomyelitis, and other soft tissue infections, especially in patients with underlying joint diseases or compromised immune systems.
5. Central nervous system (CNS) infections: Although uncommon, M. hominis has been associated with CNS infections such as meningitis and brain abscesses, primarily in immunocompromised individuals.
6. Bloodstream infections: Bacteremia due to M. hominis is rare but can occur in immunocompromised patients or those with indwelling catheters.

Diagnosis of M. hominis infections typically involves the detection of the organism through various laboratory methods, such as culture, polymerase chain reaction (PCR), or serological tests. Treatment usually consists of antibiotics that target mycoplasmas, such as macrolides (e.g., azithromycin) or tetracyclines (e.g., doxycycline). However, resistance to certain antibiotics has been reported in some M. hominis strains.

The uterus, also known as the womb, is a hollow, muscular organ located in the female pelvic cavity, between the bladder and the rectum. It has a thick, middle layer called the myometrium, which is composed of smooth muscle tissue, and an inner lining called the endometrium, which provides a nurturing environment for the fertilized egg to develop into a fetus during pregnancy.

The uterus is where the baby grows and develops until it is ready for birth through the cervix, which is the lower, narrow part of the uterus that opens into the vagina. The uterus plays a critical role in the menstrual cycle as well, by shedding its lining each month if pregnancy does not occur.

Messenger RNA (mRNA) is a type of RNA (ribonucleic acid) that carries genetic information copied from DNA in the form of a series of three-base code "words," each of which specifies a particular amino acid. This information is used by the cell's machinery to construct proteins, a process known as translation. After being transcribed from DNA, mRNA travels out of the nucleus to the ribosomes in the cytoplasm where protein synthesis occurs. Once the protein has been synthesized, the mRNA may be degraded and recycled. Post-transcriptional modifications can also occur to mRNA, such as alternative splicing and addition of a 5' cap and a poly(A) tail, which can affect its stability, localization, and translation efficiency.

A ruptured aneurysm is a serious medical condition that occurs when the wall of an artery or a blood vessel weakens and bulges out, forming an aneurysm, which then bursts, causing bleeding into the surrounding tissue. This can lead to internal hemorrhage, organ damage, and even death, depending on the location and severity of the rupture.

Ruptured aneurysms are often caused by factors such as high blood pressure, smoking, aging, and genetic predisposition. They can occur in any part of the body but are most common in the aorta (the largest artery in the body) and the cerebral arteries (in the brain).

Symptoms of a ruptured aneurysm may include sudden and severe pain, weakness or paralysis, difficulty breathing, confusion, loss of consciousness, and shock. Immediate medical attention is required to prevent further complications and increase the chances of survival. Treatment options for a ruptured aneurysm may include surgery, endovascular repair, or medication to manage symptoms and prevent further bleeding.

Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.

Tissue culture techniques refer to the methods used to maintain and grow cells, tissues or organs from multicellular organisms in an artificial environment outside of the living body, called an in vitro culture. These techniques are widely used in various fields such as biology, medicine, and agriculture for research, diagnostics, and therapeutic purposes.

The basic components of tissue culture include a sterile growth medium that contains nutrients, growth factors, and other essential components to support the growth of cells or tissues. The growth medium is often supplemented with antibiotics to prevent contamination by microorganisms. The cells or tissues are cultured in specialized containers called culture vessels, which can be plates, flasks, or dishes, depending on the type and scale of the culture.

There are several types of tissue culture techniques, including:

1. Monolayer Culture: In this technique, cells are grown as a single layer on a flat surface, allowing for easy observation and manipulation of individual cells.
2. Organoid Culture: This method involves growing three-dimensional structures that resemble the organization and function of an organ in vivo.
3. Co-culture: In co-culture, two or more cell types are grown together to study their interactions and communication.
4. Explant Culture: In this technique, small pieces of tissue are cultured to maintain the original structure and organization of the cells within the tissue.
5. Primary Culture: This refers to the initial culture of cells directly isolated from a living organism. These cells can be further subcultured to generate immortalized cell lines.

Tissue culture techniques have numerous applications, such as studying cell behavior, drug development and testing, gene therapy, tissue engineering, and regenerative medicine.

Membrane transport proteins are specialized biological molecules, specifically integral membrane proteins, that facilitate the movement of various substances across the lipid bilayer of cell membranes. They are responsible for the selective and regulated transport of ions, sugars, amino acids, nucleotides, and other molecules into and out of cells, as well as within different cellular compartments. These proteins can be categorized into two main types: channels and carriers (or pumps). Channels provide a passive transport mechanism, allowing ions or small molecules to move down their electrochemical gradient, while carriers actively transport substances against their concentration gradient, requiring energy usually in the form of ATP. Membrane transport proteins play a crucial role in maintaining cell homeostasis, signaling processes, and many other physiological functions.

Septic abortion is a medical term used to describe a spontaneous abortion or miscarriage that is associated with infection. This occurs when the products of conception, such as the fetal tissue and placenta, are not completely expelled from the uterus, leading to an infection of the uterine lining and potentially the pelvic cavity.

The infection can cause fever, chills, severe abdominal pain, foul-smelling vaginal discharge, and heavy bleeding. If left untreated, septic abortion can lead to serious complications such as sepsis, infertility, and even death. It is important to seek medical attention immediately if you suspect a septic abortion. Treatment typically involves antibiotics to clear the infection and possibly surgical intervention to remove any remaining products of conception.

Maternal age is a term used to describe the age of a woman at the time she becomes pregnant or gives birth. It is often used in medical and epidemiological contexts to discuss the potential risks, complications, and outcomes associated with pregnancy and childbirth at different stages of a woman's reproductive years.

Advanced maternal age typically refers to women who become pregnant or give birth at 35 years of age or older. This group faces an increased risk for certain chromosomal abnormalities, such as Down syndrome, and other pregnancy-related complications, including gestational diabetes, preeclampsia, and cesarean delivery.

On the other end of the spectrum, adolescent pregnancies (those that occur in women under 20 years old) also come with their own set of potential risks and complications, such as preterm birth, low birth weight, and anemia.

It's important to note that while maternal age can influence pregnancy outcomes, many other factors – including genetics, lifestyle choices, and access to quality healthcare – can also play a significant role in determining the health of both mother and baby during pregnancy and childbirth.

Medical Definition:

"Risk factors" are any attribute, characteristic or exposure of an individual that increases the likelihood of developing a disease or injury. They can be divided into modifiable and non-modifiable risk factors. Modifiable risk factors are those that can be changed through lifestyle choices or medical treatment, while non-modifiable risk factors are inherent traits such as age, gender, or genetic predisposition. Examples of modifiable risk factors include smoking, alcohol consumption, physical inactivity, and unhealthy diet, while non-modifiable risk factors include age, sex, and family history. It is important to note that having a risk factor does not guarantee that a person will develop the disease, but rather indicates an increased susceptibility.

Tissue Inhibitor of Metalloproteinase-1 (TIMP-1) is a protein that inhibits the activity of matrix metalloproteinases (MMPs), which are enzymes responsible for breaking down extracellular matrix proteins. TIMP-1 plays a crucial role in regulating the balance between the synthesis and degradation of the extracellular matrix, thereby maintaining tissue homeostasis. It is involved in various biological processes, including cell growth, differentiation, and apoptosis (programmed cell death). An imbalance between MMPs and TIMPs has been implicated in several pathological conditions, such as cancer, fibrosis, and inflammatory diseases.

Membrane glycoproteins are proteins that contain oligosaccharide chains (glycans) covalently attached to their polypeptide backbone. They are integral components of biological membranes, spanning the lipid bilayer and playing crucial roles in various cellular processes.

The glycosylation of these proteins occurs in the endoplasmic reticulum (ER) and Golgi apparatus during protein folding and trafficking. The attached glycans can vary in structure, length, and composition, which contributes to the diversity of membrane glycoproteins.

Membrane glycoproteins can be classified into two main types based on their orientation within the lipid bilayer:

1. Type I (N-linked): These glycoproteins have a single transmembrane domain and an extracellular N-terminus, where the oligosaccharides are predominantly attached via asparagine residues (Asn-X-Ser/Thr sequon).
2. Type II (C-linked): These glycoproteins possess two transmembrane domains and an intracellular C-terminus, with the oligosaccharides linked to tryptophan residues via a mannose moiety.

Membrane glycoproteins are involved in various cellular functions, such as:

* Cell adhesion and recognition
* Receptor-mediated signal transduction
* Enzymatic catalysis
* Transport of molecules across membranes
* Cell-cell communication
* Immunological responses

Some examples of membrane glycoproteins include cell surface receptors (e.g., growth factor receptors, cytokine receptors), adhesion molecules (e.g., integrins, cadherins), and transporters (e.g., ion channels, ABC transporters).

Immunohistochemistry (IHC) is a technique used in pathology and laboratory medicine to identify specific proteins or antigens in tissue sections. It combines the principles of immunology and histology to detect the presence and location of these target molecules within cells and tissues. This technique utilizes antibodies that are specific to the protein or antigen of interest, which are then tagged with a detection system such as a chromogen or fluorophore. The stained tissue sections can be examined under a microscope, allowing for the visualization and analysis of the distribution and expression patterns of the target molecule in the context of the tissue architecture. Immunohistochemistry is widely used in diagnostic pathology to help identify various diseases, including cancer, infectious diseases, and immune-mediated disorders.

Pre-eclampsia is a pregnancy-related disorder, typically characterized by the onset of high blood pressure (hypertension) and damage to organs, such as the kidneys, after the 20th week of pregnancy. It is often accompanied by proteinuria, which is the presence of excess protein in the urine. Pre-eclampsia can lead to serious complications for both the mother and the baby if left untreated or unmanaged.

The exact causes of pre-eclampsia are not fully understood, but it is believed that placental issues, genetic factors, and immune system problems may contribute to its development. Risk factors include first-time pregnancies, history of pre-eclampsia in previous pregnancies, chronic hypertension, obesity, older age (35 or older), and assisted reproductive technology (ART) pregnancies.

Pre-eclampsia can progress to a more severe form called eclampsia, which is characterized by the onset of seizures. HELLP syndrome, another severe complication, involves hemolysis (breaking down of red blood cells), elevated liver enzymes, and low platelet count.

Early detection and management of pre-eclampsia are crucial to prevent severe complications. Regular prenatal care, including frequent blood pressure checks and urine tests, can help identify early signs of the condition. Treatment typically involves close monitoring, medication to lower blood pressure, corticosteroids to promote fetal lung maturity, and, in some cases, delivery of the baby if the mother's or baby's health is at risk.

A lipid bilayer is a thin membrane made up of two layers of lipid molecules, primarily phospholipids. The hydrophilic (water-loving) heads of the lipids face outwards, coming into contact with watery environments on both sides, while the hydrophobic (water-fearing) tails point inward, away from the aqueous surroundings. This unique structure allows lipid bilayers to form a stable barrier that controls the movement of molecules and ions in and out of cells and organelles, thus playing a crucial role in maintaining cellular compartmentalization and homeostasis.

"Cattle" is a term used in the agricultural and veterinary fields to refer to domesticated animals of the genus *Bos*, primarily *Bos taurus* (European cattle) and *Bos indicus* (Zebu). These animals are often raised for meat, milk, leather, and labor. They are also known as bovines or cows (for females), bulls (intact males), and steers/bullocks (castrated males). However, in a strict medical definition, "cattle" does not apply to humans or other animals.

Placental diseases, also known as placental pathologies, refer to a group of conditions that affect the development and function of the placenta during pregnancy. The placenta is an organ that develops in the uterus during pregnancy and provides oxygen and nutrients to the developing fetus while removing waste products.

Placental diseases can have serious consequences for both the mother and the fetus, including preterm labor, growth restriction, stillbirth, and long-term health problems for the child. Some common placental diseases include:

1. Placental abruption: This occurs when the placenta separates from the uterine wall before delivery, causing bleeding and potentially harming the fetus.
2. Placental previa: This is a condition where the placenta implants in the lower part of the uterus, covering the cervix. It can cause bleeding and may require cesarean delivery.
3. Preeclampsia: This is a pregnancy-related disorder characterized by high blood pressure and damage to organs such as the liver and kidneys. Placental dysfunction is thought to play a role in its development.
4. Intrauterine growth restriction (IUGR): This occurs when the fetus does not grow properly due to poor placental function, leading to low birth weight and potential health problems.
5. Chorioamnionitis: This is an infection of the membranes surrounding the fetus, which can lead to preterm labor and other complications.
6. Placental infarction: This occurs when a portion of the placenta dies due to a lack of blood flow, which can lead to growth restriction or stillbirth.

Prompt diagnosis and treatment of placental diseases are essential for ensuring the best possible outcomes for both the mother and the fetus.

Connective tissue is a type of biological tissue that provides support, strength, and protection to various structures in the body. It is composed of cells called fibroblasts, which produce extracellular matrix components such as collagen, elastin, and proteoglycans. These components give connective tissue its unique properties, including tensile strength, elasticity, and resistance to compression.

There are several types of connective tissue in the body, each with its own specific functions and characteristics. Some examples include:

1. Loose or Areolar Connective Tissue: This type of connective tissue is found throughout the body and provides cushioning and support to organs and other structures. It contains a large amount of ground substance, which allows for the movement and gliding of adjacent tissues.
2. Dense Connective Tissue: This type of connective tissue has a higher concentration of collagen fibers than loose connective tissue, making it stronger and less flexible. Dense connective tissue can be further divided into two categories: regular (or parallel) and irregular. Regular dense connective tissue, such as tendons and ligaments, has collagen fibers that run parallel to each other, providing great tensile strength. Irregular dense connective tissue, such as the dermis of the skin, has collagen fibers arranged in a more haphazard pattern, providing support and flexibility.
3. Adipose Tissue: This type of connective tissue is primarily composed of fat cells called adipocytes. Adipose tissue serves as an energy storage reservoir and provides insulation and cushioning to the body.
4. Cartilage: A firm, flexible type of connective tissue that contains chondrocytes within a matrix of collagen and proteoglycans. Cartilage is found in various parts of the body, including the joints, nose, ears, and trachea.
5. Bone: A specialized form of connective tissue that consists of an organic matrix (mainly collagen) and an inorganic mineral component (hydroxyapatite). Bone provides structural support to the body and serves as a reservoir for calcium and phosphate ions.
6. Blood: Although not traditionally considered connective tissue, blood does contain elements of connective tissue, such as plasma proteins and leukocytes (white blood cells). Blood transports nutrients, oxygen, hormones, and waste products throughout the body.

A stomach rupture, also known as gastrointestinal perforation, is a serious and potentially life-threatening condition that occurs when there is a hole or tear in the lining of the stomach. This can allow the contents of the stomach to leak into the abdominal cavity, causing inflammation and infection (peritonitis).

Stomach rupture can be caused by several factors, including trauma, severe gastritis or ulcers, tumors, or certain medical procedures. Symptoms may include sudden and severe abdominal pain, nausea, vomiting, fever, and decreased bowel sounds. If left untreated, stomach rupture can lead to sepsis, organ failure, and even death. Treatment typically involves surgery to repair the perforation and antibiotics to treat any resulting infection.

Prostaglandins are naturally occurring, lipid-derived hormones that play various important roles in the human body. They are produced in nearly every tissue in response to injury or infection, and they have diverse effects depending on the site of release and the type of prostaglandin. Some of their functions include:

1. Regulation of inflammation: Prostaglandins contribute to the inflammatory response by increasing vasodilation, promoting fluid accumulation, and sensitizing pain receptors, which can lead to symptoms such as redness, heat, swelling, and pain.
2. Modulation of gastrointestinal functions: Prostaglandins protect the stomach lining from acid secretion and promote mucus production, maintaining the integrity of the gastric mucosa. They also regulate intestinal motility and secretion.
3. Control of renal function: Prostaglandins help regulate blood flow to the kidneys, maintain sodium balance, and control renin release, which affects blood pressure and fluid balance.
4. Regulation of smooth muscle contraction: Prostaglandins can cause both relaxation and contraction of smooth muscles in various tissues, such as the uterus, bronchioles, and vascular system.
5. Modulation of platelet aggregation: Some prostaglandins inhibit platelet aggregation, preventing blood clots from forming too quickly or becoming too large.
6. Reproductive system regulation: Prostaglandins are involved in the menstrual cycle, ovulation, and labor induction by promoting uterine contractions.
7. Neurotransmission: Prostaglandins can modulate neurotransmitter release and neuronal excitability, affecting pain perception, mood, and cognition.

Prostaglandins exert their effects through specific G protein-coupled receptors (GPCRs) found on the surface of target cells. There are several distinct types of prostaglandins (PGs), including PGD2, PGE2, PGF2α, PGI2 (prostacyclin), and thromboxane A2 (TXA2). Each type has unique functions and acts through specific receptors. Prostaglandins are synthesized from arachidonic acid, a polyunsaturated fatty acid derived from membrane phospholipids, by the action of cyclooxygenase (COX) enzymes. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen, inhibit COX activity, reducing prostaglandin synthesis and providing analgesic, anti-inflammatory, and antipyretic effects.

Tissue Inhibitor of Metalloproteinase-3 (TIMP-3) is a member of the tissue inhibitors of metalloproteinases (TIMPs) family, which are natural inhibitors of matrix metalloproteinases (MMPs), a group of enzymes involved in the degradation and remodeling of extracellular matrix components.

TIMP-3 is unique among TIMPs because it can inhibit all known MMPs and also has the ability to inhibit some members of the ADAM (a disintegrin and metalloproteinase) family, which are involved in protein ectodomain shedding and cell adhesion.

TIMP-3 is a secreted glycoprotein that binds to the extracellular matrix and regulates MMP activity locally. It has been shown to play important roles in various biological processes, including tissue remodeling, angiogenesis, inflammation, and apoptosis. Dysregulation of TIMP-3 expression or function has been implicated in several diseases, such as cancer, fibrosis, and neurodegenerative disorders.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Dinoprostone is a prostaglandin E2 analog used in medical practice for the induction of labor and ripening of the cervix in pregnant women. It is available in various forms, including vaginal suppositories, gel, and tablets. Dinoprostone works by stimulating the contraction of uterine muscles and promoting cervical dilation, which helps in facilitating a successful delivery.

It's important to note that dinoprostone should only be administered under the supervision of a healthcare professional, as its use is associated with certain risks and side effects, including uterine hyperstimulation, fetal distress, and maternal infection. The dosage and duration of treatment are carefully monitored to minimize these risks and ensure the safety of both the mother and the baby.

Premature rupture of the membranes (PROM); this is when the membranes have ruptured, but labor does not start within a specific ... Premature termination of the pregnancy (abortion). Fetal death in utero and previous history of stillbirth. Twin pregnancy ... Mechanical and physical approaches can include artificial rupture of membranes or membrane sweeping. Membrane sweeping may lead ... Allahyar, J. & Galan, H. "Premature Rupture of the Membranes."; also American College of Obstetrics and Gynecologists. ...
Vidaeff AC, Ramin SM (June 2011). "Antenatal corticosteroids after preterm premature rupture of membranes". Clinical Obstetrics ... Steroids do not appear to increase the number of women who develop infection of the fetal membranes (chorioamnionitis) or of ... "The effects of antenatal steroid use in premature rupture of membranes". The Australian & New Zealand Journal of Obstetrics & ... have also been shown to have definite beneficial effect in treating the condition of preterm premature rupture of membranes ( ...
Spong, C. Y. (December 2001). "Preterm premature rupture of the fetal membranes complicated by oligohydramnios". Clinics in ... neural and liver cells have all been engineered through use of fetal stem cells. The first fetal stem cells bank in US is ... A potential benefit of using fetal stem cells over those obtained from embryos is that they side-step ethical concerns among ... Recent studies have discovered that chorionic villi can be a rich source of fetal stem cells, multipotent mesenchymal stem ...
"Identification of biologic markers of the premature rupture of fetal membranes: proteomic approach". Proteomics. 3 (8): 1521-5 ... end-stage renal failure and in the amniotic fluid of pregnant women who have undergone premature rupture of the membrane. ... 2 expression correlates with an initial degradation of the original basement membrane. Reformation of basement membrane in ... "Basement membrane dissolution and reassembly by limbal corneal epithelial cells expanded on amniotic membrane". Invest. ...
The Mercer protocol is a common regimen for antibiotic prophylaxis in the context of preterm premature rupture of membranes ( ... National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network". JAMA: The Journal of the ... "Antibiotic therapy for reduction of infant morbidity after preterm premature rupture of the membranes. A randomized controlled ... PPROM) during pregnancy, when immediate delivery is contraindicated due to known or suspected fetal lung immaturity. It was ...
... preterm premature (prelabor) rupture of membranes List of obstetric topics Fetal fibronectin (fFN) Apgar score Bishop, Edward H ... Fetal Station. The examiner assigns a score to each component of 0 to 2 or 0 to 3. The highest possible score is 13 and the ... the position of the fetal head in relation to the pelvic bones The Bishop score grades patients who would be most likely to ... centimeters Cervical effacement as a percentage Cervical consistency by provider assessment/judgement Cervical position Fetal ...
... premature rupture of membranes, placental abruption and intrauterine fetal demise. The abnormal spiral arteries lead decreased ... The onset of the disease within the first trimester leads to preterm delivery of a premature baby. Preeclampsia is diagnosed in ... Which is considered to be associated with more than half of premature births. Abnormalities present within the spiral arteries ... Ischemic placental disease is linked with approximately more than half of premature births. Furuya M, Ishida J, Aoki I, ...
Preterm birth and early membrane rupture (PPROM) are common risks for fetal therapies. For most cases, fetoscopic surgery, ... In fetal surgery, without inhibition of uterine contractions, uterine irritability and premature labor are complications that ... 2019). "Clinical and Histologic Evaluation of the Hysterotomy Site and Fetal Membranes after Open Fetal Surgery for Fetal Spina ... 2017). "Fetal Myelomeningocele Repair through a Mini-Hysterotomy". Fetal Diagnosis and Therapy. 42 (1): 28-34. doi:10.1159/ ...
... premature rupture of membranes, fetal distress, stillbirth, and placental infections. More than one third of Beck Anxiety ... The absence of approved therapeutics meant that palliative care (supplemental oxygen, ventilators and extracorporeal membrane ...
Once the membranes are ruptured, bacteria may ascend and could lead to amnionitis and fetal infection. A premature rupture of ... PROM: premature rupture of membranes. This term describes a rupture of the membranes that occurs before the onset of labor. ... PPROM: preterm, premature rupture of membranes. This term describes a rupture of the membranes that occurs before 37 weeks ... Rupture of the membranes is known colloquially as "breaking the water" or as one's "water breaking". A premature rupture of ...
"Premature rupture of membranes". MedlinePlus Medical Encyclopedia. Bethesda (MD): U.S. National Library of Medicine. Retrieved ... "Maternal and fetal outcomes of uterine rupture and factors associated with maternal death secondary to uterine rupture". BMC ... Uterine rupture can occur during obstructed labour and endanger foetal and maternal life. Prolapsed cord can only happen after ... "Prelabor Rupture of the Membranes (PROM) - Women's Health Issues". MSD Manual Consumer Version. Retrieved 2022-04-30. "Prostin ...
Factors that place a woman's pregnancy at higher risk include advanced maternal age, Premature Rupture of Membranes (PROM) and ... Abnormal fetal heart tracing suggests that the fetus's heart rate has slowed during labor due to head compression, cord ... If the abnormal fetal heart rate persists, and uterine tachysystole continues, tocolytic remedies, such as terbutaline, may be ... Afterward, if beneficial and uterine tone has returned to baseline and fetal status is stable, oxytocin as a labor augmenting ...
Preterm premature rupture of membranes: This is an active area of research for patients. In review articles, the evidence shows ... Variable decelerations on fetal heart rate monitoring: These kinds of decelerations in fetal heart rate are caused by umbilical ... Amnioinfusion can be complicated by premature rupture of membranes, intrauterine infection, maternal pulmonary embolus, ... "Amnioinfusion for third trimester preterm premature rupture of membranes". The Cochrane Database of Systematic Reviews. 2014 (3 ...
It can also be caused by prelabor rupture of membranes. Environmental risk factors include smoking, lead exposure, and other ... It may be tied to one or more of the following processes: premature fetal endocrine activation, intrauterine inflammation, over ... Mercury is a known toxic heavy metal that can harm fetal growth and health, and there has been evidence showing that exposure ... Exposure of pregnant women to airplane noise was found to be associated with low birth weight via adverse effects on fetal ...
Premature rupture of fetal membranes (or PROM as it is more commonly referred) occurs in roughly 10% of pregnancies and is one ... PAMG-1 is an important biomarker for the detection of premature rupture of fetal membrane (PROM) The high concentration of PAMG ... the majority of which have focused on the antigen's ability to detect premature rupture of the fetal membranes (ROM) in non- ... Philipson, E. H.; Hoffman, D. S.; Hansen, G. O.; Ingardia, C. J. (1994). "Preterm premature rupture of membranes: Experience ...
... in the fetal membrane and inflammation can lead to an increased chance of preterm premature rupture of the fetal membranes ( ... The fetal membranes separate maternal tissue from fetal tissue at a basic mechanical level. The fetal membrane is composed of a ... The fetal membranes surround the developing embryo and form the fetal-maternal interface. The fetal membranes are derived from ... Menon R, Richardson LS (November 2017). "Preterm prelabor rupture of the membranes: A disease of the fetal membranes". Seminars ...
... antepartum 658.1 Premature rupture of membrane, unspec. 658.8 Other problems associated with amniotic cavity and membranes ... and the puerperium 678 Other fetal conditions 678.0 Fetal hematologic conditions 678.1 Fetal conjoined twins 679.02 ... antepartum 656 Other fetal and placental problems affecting management of mother 656.0 Fetal-maternal hemorrhage affecting ... 644 Early or threatened labor 644.0 Threatened premature labor 644.1 Other threatened labor 644.2 Early onset of delivery 645 ...
... fetal membranes, premature rupture MeSH C13.703.420.339.260 - chorioamnionitis MeSH C13.703.420.491 - obstetric labor, ... fetal MeSH C13.703.277.060.480 - hydrops fetalis MeSH C13.703.277.080 - fetal alcohol syndrome MeSH C13.703.277.370 - fetal ... growth retardation MeSH C13.703.277.390 - fetal hypoxia MeSH C13.703.277.570 - fetal macrosomia MeSH C13.703.277.677 - fetal ... premature MeSH C13.703.420.491.500 - premature birth MeSH C13.703.420.643 - placenta accreta MeSH C13.703.420.714 - placenta ...
... disruptions to fetal growth, premature rupture of membranes, placenta previa and retained placenta (which can lead to ... Fetuses developing in bicornuate uteri are more likely to present breech or transverse, with the fetal head in one horn and the ... In some cases, the nonpregnant horn can rupture during labor, necessitating emergency surgery. ...
... twenty-five weeks pregnant in March 2009 when she experienced a premature rupture of membranes and displayed signs of premature ... without providing evidence of fetal viability. Samantha Burton, a mother of two, was ... did not hold that the State could never intervene in a woman's pregnancy it limited such intervention to instances where fetal ...
... since the fetus is unable to sustain necessary nutritional demands for proper fetal development. Premature rupture of membranes ... Premature rupture of membranes (PROM): PROM happens when the protective covering of the amniotic sac ruptures before the onset ... premature childbirth, premature rupture of membranes, perinatal death, and congenital abnormalities. Partial circumvallate ... If PROM occurs within the first 37 weeks of pregnancy, it is termed preterm premature rupture of membranes (PPROM). PROM itself ...
Smoking during pregnancy causes twice the risk of premature rupture of membranes, placental abruption and placenta previa. ... Nair M, Kumar B (7 April 2016). "Embryology for fetal medicine". In Kumar B, Alfirevic Z (eds.). Fetal Medicine. Cambridge ... At the beginning of the fetal stage, the risk of miscarriage decreases sharply. At this stage, a fetus is about 30 mm (1.2 ... "Definition of Premature birth". Medicine.net. Archived from the original on 9 July 2009. Retrieved 16 January 2008. Lama Rimawi ...
... and could help correct a number of defects including diaphragmatic hernia and possibly repair premature membrane rupture during ... The use of foetal cells has been highly controversial because the tissue is usually obtained from the foetus following induced ... In contrast, foetal stem cells in the amniotic fluid can be obtained through routine prenatal testing without the need for ... However, foetal stem cells attained from the amniotic fluid are more stable and more plastic than their adult counterparts ...
Smoking and pregnancy, combined, cause twice the risk of premature rupture of membranes, placental abruption and placenta ... The most severe form of FASD is fetal alcohol syndrome (FAS). This used to be the only diagnosis for fetal disorders due to ... Women who use opioids during pregnancy in a non-medical fashion are at a higher risk for premature birth, lower birth weight, ... Riggin L, Frankel Z, Moretti M, Pupco A, Koren G (April 2013). "The fetal safety of fluoxetine: a systematic review and meta- ...
... undue prominence of fetal parts, premature rupture of membranes, and reduced amount of amniotic fluid.[citation needed] ... Premature prelabor rupture of membranes or prelabor rupture of membranes is ruled out with a nitrizine test, evidence of ... An elevated maternal serum alpha fetal protein (MSAFP) can indicate leaking amniotic fluid due to damage to fetal membranes or ... Bilateral agenesis of the fetal kidneys is the most common cause due to the lack of fetal urine. Fetal intervention Potter's ...
... preterm premature rupture of membranes (PPROM), fetal injuries, Rhesus disease, and amniotic fluid embolism. Oligohydramnios, ... Preterm premature rupture of membranes (PPROM) and subsequent leakage of amniotic fluid are additional possible complications, ... premature rupture of membranes, and cesarean delivery. Physicians have used the process of inserting a needle transabdominally ... "Mid-trimester preterm premature rupture of membranes (PPROM): etiology, diagnosis, classification, international ...
... conditions such as gestational diabetes or chronic kidney disease Preeclampsia or eclampsia Premature rupture of membranes Post ... Risk factors for fetal birth injury include fetal macrosomia (big baby), maternal obesity, the need for instrumental delivery, ... When the amniotic sac has not ruptured during labour or pushing, the infant can be born with the membranes intact. This is ... Another prominent sign of labour is the rupture of membranes, commonly known as "water breaking". During pregnancy, a baby is ...
Pre-eclampsia Chronic hypertension Short umbilical cord Premature rupture of membranes Prolonged rupture of membranes (>24 ... decreased fetal movement decreased fetal heart rate. Vaginal bleeding, if it occurs, may be bright red or dark. A placental ... Along with placenta previa and uterine rupture it is one of the most common causes of vaginal bleeding in the later part of ... Complications for the baby can include fetal distress, low birthweight, preterm delivery, and stillbirth. The cause of ...
... (PROM), previously known as premature rupture of membranes, is breakage of the amniotic sac ... Fibronectin and alpha-fetoprotein blood tests Prelabor rupture of membranes (PROM): when the fetal membranes rupture early, at ... Sealing membranes after rupture: Infection is the major risk associated with PROM and PPROM. By closing the ruptured membranes ... Preterm prelabor rupture of membranes (PPROM): prelabor rupture of membranes that occurs before 37 weeks gestation. ...
"Mid-trimester preterm premature rupture of membranes (PPROM): etiology, diagnosis, classification, international ... Common fetal related factors that can create a high risk pregnancy include: congenital defects multiple gestations fetal growth ... "Neonatal and Childhood Outcomes Following Preterm Premature Rupture of Membranes". Obstetrics and Gynecology Clinics of North ... Timing of pregnancy: Preterm birth (infants born before 37 weeks of pregnancy) PROM (Pre-labor Rupture of Membranes) Post-term ...
Premature birth following premature rupture of fetal membranes. go back to main search page ... Premature rupture of membranes. 0. Premature birth following premature rupture of fetal membranes. 0. ... Premature birth. 0. Premature birth following premature rupture of fetal membranes. 0. ...
Pregnancies with congenital fetal malformations or in labour were excluded. The authors collected data relevant to the mode of ... Borderline oligohydramnios in singleton pregnancies with premature rupture of the amniotic membranes: obstetric management and ... Borderline oligohydramnios in singleton pregnancies with premature rupture of the amniotic membranes: obstetric management and ... Aim To examine the attitude of the obstetricians and the perinatal outcome of pregnancies complicated by premature rupture of ...
Chorioamnionitis following preterm premature rupture of membranes and fetal heart rate variability.. Laurent Vandenbroucke, ... Fetal heart rate variability was assessed using cCTG. Patients were included if they were monitored at least six times in the ... CONCLUSION: These results show differences in fetal heart rate variability, suggesting that cCTG could be used clinically to ... Baseline fetal heart rate was higher in the HC group [median 147.3 bpm IQR (144.2-149.2) vs. 141.3 bpm (137.1-145.4) in no HC ...
... gestation and has presented with rupture of membranes (ROM) prior to the onset of labor. Preterm premature rupture of membranes ... Premature rupture of membranes (PROM) refers to a patient who is beyond 37 weeks ... Premature preterm rupture of membranes (PPROM) prior to fetal viability is a unique and relatively rare problem that is often ... Premature Rupture of Membranes (at Term). Premature rupture of membranes (PROM) at term is rupture of membranes prior to the ...
In most cases, these membranes rupture during labor or within 24 hours before starting labor. Premature rupture ... In most cases, these membranes rupture during labor or within 24 hours before starting labor. Premature rupture ... Creasy and Resniks Maternal-Fetal Medicine: Principles and Practice. 8th ed. Philadelphia, PA: Elsevier; 2019:chap 42. ... these membranes rupture during labor or within 24 hours before starting labor. Premature rupture of the membranes (PROM) is ...
Triplets: Premature Rupture of the Fetal Membrane with Progressive Intrauterine Spread of Infection - Image ... Premature Rupture of the Fetal Membranes with Intrauterine Spread of Infection - Image ... premature, procedure, procedures, prolapse, prolapsed, regular, remain, rupture, ruptured, rupturing, steps, subtitle, ... fetal, fetus, first, fluid, front, head, heads, hypoxia, l-3, l-4, l-5, l3, l4, l5, leaks, loa, lumbar, medical, membranes, ...
Deletion of Data Items from the Birth and Fetal Death National Files ... Premature rupture of the membranes ,=12 hours (Onset of labor**). *Precipitous labor ,3 hours (Onset of labor**) ... Items dropped from the national fetal death file:. *Mother ever married (not standard marital status item or on standard fetal ... The Birth Data Quality Workgroup (BDQWG) was tasked with reviewing items on the 2003 national standard birth and fetal death ...
Premature rupture of the membranes (PROM); this is when the membranes have ruptured, but labor does not start within a specific ... Premature termination of the pregnancy (abortion). Fetal death in utero and previous history of stillbirth. Twin pregnancy ... Mechanical and physical approaches can include artificial rupture of membranes or membrane sweeping. Membrane sweeping may lead ... Allahyar, J. & Galan, H. "Premature Rupture of the Membranes."; also American College of Obstetrics and Gynecologists. ...
Reduced fetal movements. 1 (12.5). Premature rupture of membranes. 1 (12.5). Caesarean delivery, reason. 16 (48.5). ...
Maternal and Fetal Outcome in Preterm Premature Rupture of Membranes - A Study in a Tertiary Care Hospital, Rangpur, Bangladesh ... Aim of the study: The aim of the study was to find out maternal & fetal outcomes in preterm premature rupture of membranes. ... Maksurat F. Maternal and Fetal Outcome in Preterm Premature Rupture of Membranes - A Study in a Tertiary Care Hospital, Rangpur ... One of the common complications that can arise during pregnancy is premature rupture of membranes (PPROM), which occurs when ...
Premature rupture of membranes (more than 12 hours)--Rupture of the membranes at any time during pregnancy and more than 12 ... Fetal distress--Signs indicating fetal hypoxia (deficiency in amount of oxygen reaching fetal tissues). NTNANEMI, NTINJURY, ... with prolapse of membranes through the cervix and ballooning of the membranes into the vagina, followed by rupture of membranes ... Premature rupture of membrane, Abruptio placenta, Placenta previa, Other excessive bleeding, Seizures during labor, Precipitous ...
No significant differences were detected in the rate of maternal, fetal, obstetrical, and neonatal complications between the ... fetal, obstetric, and neonatal complications were collected from the medical records. In the first and third trimester of ... Obstetrical complications: these variables were premature rupture of membrane (defined as rupture of the amniotic membranes ... Women who did not meet the guidelines for gestational weight gain had a high rate of fetal growth disbalance, premature rupture ...
Infants are born preterm at less than 37 weeks gestational age after: (1) spontaneous labour with intact membranes, (2) ... preterm premature rupture of the membranes (PPROM), and (3) labour induction or caesarean delivery for maternal or fetal ... Infants are born preterm at less than 37 weeks gestational age after: (1) spontaneous labour with intact membranes, (2) ... A short cervical length and a raised cervical-vaginal fetal fibronectin concentration are the strongest predictors of ...
High-dose corticosteroids may be associated with premature rupture of amniotic membranes. [67] Methotrexate may be associated ... What are the fetal risks of carbamazepine during pregnancy?. What are the fetal risks of phenytoin or phenobarbital during ... Preterm rupture of the amniotic membranes was the only complication that occurred more frequently in the MG group than in a ... What are the possible fetal risks of antiepileptic drugs during pregnancy?. What are the fetal risks of valproate therapy ...
Premature rupture of membranes: When amniotic fluid leaks before labor states, the failure to administer prompt medical care ... Fetal distress syndrome: Fetal distress syndrome is an umbrella category that covers a variety of labor complications, ... Reducing and preventing maternal and fetal mortality and morbidity is the responsibility of obstetrical and fetal medical care ... Atypical fetal growth. What Is Prenatal Care Malpractice?. Doctors who provide their pregnant patients with prenatal care are ...
... premature rupture of membranes; preterm delivery; fetal distress; chorioamnionitis; or, maternal fever during or after labour. ... fetal growth restriction; or post-partum haemorrhage. Tdap also did not increase secondary outcomes, including gestational ...
Premature rupture of fetal membranes (PROM) occurs in about 10% of pregnancies and poses one of the most important therapeutic ... Maternal/Fetal Testing. AmniSure ROM Test (Rupture of [fetal].... AmniSure ROM Test (Rupture of [fetal] Membranes test). For ... which is present in cervicovaginal discharge after rupture of fetal membranes. PAMG-1 was selected as a marker of fetal ... Fetal membrane rupture is associated with the presence of insulin-like growth factor-binding protein-1 in vaginal secretions. ...
265 1 RUPTURE Premature rupture of membrane (,12 hours) 266 1 ABRUPTIO Abruptio placenta. 267 1 PREPLACE Placenta previa. 268 1 ... Fetal Death Detail Record, 1992. DSN: CC36.FETDTH92. Documentation of the Fetal Death Tape File for 1992 Data. Information on ... The majority of fetal death tables published by NCHS/DVS include only those fetal deaths with stated or presumed gestation of ... Fetal death data are limited to deaths occurring within the United States to U.S. residents and nonresidents. Fetal deaths ...
A fetal fibronectin test detects fFN in vaginal fluid to help predict the risk of premature delivery. ... Fetal fibronectin (fFN) is a protein made by pregnant people. ... Preterm premature rupture of the membranes or PPROM (your water ... Theres fetal fibronectin in your vaginal fluid.. *Youre at risk for premature labor and delivery within the next one to two ... they may use a fetal fibronectin test to check for fetal fibronectin in your vaginal fluid. There shouldnt be any fetal ...
Learn about Premature rupture of membranes or find a doctor at Mount Sinai Health System. ... Creasy and Resniks Maternal-Fetal Medicine: Principles and Practice. 8th ed. Philadelphia, PA: Elsevier; 2019:chap 42. ... these membranes rupture during labor or within 24 hours before starting labor. Premature rupture of the membranes (PROM) is ... Sometimes the membranes break before a woman goes into labor. When the water breaks early, it is called premature rupture of ...
1990) Risk factors for preterm premature rupture of fetal membranes: A multicenter case-control study. American Journal of ... 2005) Mechanisms of abruption-induced premature rupture of the fetal membranes: Thrombin-enhanced interleukin-8 expression in ... 2001) Plasma levels of thrombinantithrombin complexes predict preterm premature rupture of the fetal membranes. Journal of ... 2004) Mechanisms of abruption-induced premature rupture of the fetal membranes: Thrombin enhanced decidual matrix ...
Early breaking of sac around the baby (premature rupture of membranes). *Birth defects in the baby or problems with fetal ... Premature babies are born before their body and organs have fully matured. They are often small, with a low birth weight (less ...
High-dose corticosteroids may be associated with premature rupture of amniotic membranes. [67] Methotrexate may be associated ... What are the fetal risks of carbamazepine during pregnancy?. What are the fetal risks of phenytoin or phenobarbital during ... Preterm rupture of the amniotic membranes was the only complication that occurred more frequently in the MG group than in a ... What are the possible fetal risks of antiepileptic drugs during pregnancy?. What are the fetal risks of valproate therapy ...
Parry, S., & Strauss, J. F. (1998). "Premature rupture of the fetal membranes." NEJM 338(10): 663-670. ... also known as premature rupture of membranes (Adair et al. 2003).. *Infection of the membranes inside the uterus, also known as ... Its possible that garlic insertion in the vagina could have unexpected effects like premature rupture of membranes or increase ... also known as the fetal membranes, or the "bag" or "sac" surrounding the waters. The membranes are an important barrier that ...
Hypertonic uterine dysfunction without fetal distress (2-5%). Gel. *Amnionitis. *Premature rupture of membranes ... Stop drug prior to amniotomy or following rupture of membranes because the higher vaginal pH that occurs with rupture of ... because of risk of uterine rupture and obstetrical complications (e.g., need for hysterectomy and occurrence of fetal or ... Controlled studies in pregnant women show no evidence of fetal risk.. B: May be acceptable. Either animal studies show no risk ...
Premature rupture of fetal membranes. *Concern for fetal well-being. Preventing and Treating Pregnancy Complications. Even if ... It involves placement of a fetal monitor on the mothers abdomen and interpretation of the fetal heart rate in response to ... Fetal tone. 1 or more extensions of arm/leg or trunk with return to flexion; opening and closing of hand. No extension/flexion ... Premature labor is labor that begins before 37 weeks of pregnancy. About 12% of babies born in the U.S. are born early. ...
Practical Aspartate Aminotransferase Test in Vaginal Washing Fluid for the Detection of Preterm Premature Rupture of Membranes ... Fetal Diagn Ther (November,2008). Evaluation of the Thermal Stability of Clinically Relevant Enzymes at 37 °C Enzyme (August, ...

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