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329 results on '"Bellussi, F."'

24. P20.10: Risk of fetal loss in pregnancies undergoing mid-trimester amniocentesis after inconclusive chorionic villus sampling

Author

Salsi, G., primary, Grati, F., additional, Bellussi, F., additional, Pompilii, E., additional, Maggi, F., additional, Simoni, G., additional, D'Ambrosi, F., additional, Orsi, M., additional, Fanelli, T., additional, Rembouskos, G., additional, Volpe, P., additional, Gentile, M., additional, Persico, N., additional, and Pilu, G., additional

Published
2018
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26. Sonographic diagnosis of lateral asynclitism: a new subtype of fetal head malposition as a main determinant of early labor arrest

Author

Ghi, T, Bellussi, F., PILU, GIANLUIGI, Ghi, T, Bellussi, F., and Pilu, G.

Subjects
Radiology, Nuclear Medicine and Imaging, Intrapartum ultrasound, Obstructed labor, Radiological and Ultrasound Technology, Medicine (all), Obstetrics and Gynecology, Dystocia, Ultrasonography, Prenatal, Labor Presentation, Obstetric Labor Complications, Reproductive Medicine, Pregnancy, Humans, Female, Fetal malposition, Head, Obstetric Labor Complication, Human
Abstract

We report on the sonographic appearance of a new type of fetal head malposition in labor that has not been previously described systematically. In some circumstances, the fetal lie is characterized by a lateral orientation of the head with respect to the trunk and, on suprapubic ultrasound, a transverse section of the fetal chest together with the facial profile can be seen on the same image. These sonographic findings were documented in five cases of first-stage labor arrest. This report illustrates how, in these circumstances, ultrasound might be helpful in clarifying the precise cause of obstructed labor.

Published
2014

34. Horizontal stomach: a new sonographic clue to the antenatal diagnosis of right-sided congenital diaphragmatic hernia

Author

Conturso R, Giorgetta F, Bellussi F, YOUSSEF, ALY MOHAMED ALAAELDIN KAMALELDIN ALY, Tenore A, PILU, GIANLUIGI, RIZZO, NICOLA, GHI, TULLIO, Conturso R, Giorgetta F, Bellussi F, Youssef A, Tenore A, Pilu G, Rizzo N, and Ghi T

Subjects
PRENATAL DIAGNOSIS
Abstract

We report on two cases of isolated right-sided congenital diaphragmatic hernia (CDH) in which the condition was first suspected due to ultrasound visualization of a horizontal orientation of the fetal stomach in the abdomen. In the first case, a 38-year-old woman, gravida 2 para 1, attended the ultrasound department of Valduce Hospital, Como at 13 weeks’ gestation for a first-trimester scan. Fetal nuchal translucency thickness and anatomy appeared normal; however, an abnormal horizontal orientation of the fetal stomach was noted (Figure 1). At 20 weeks’ gestation, a massive protrusion of the liver into the fetal chest was documented, leading to the diagnosis of isolated right-sided CDH. Moderate lung hypoplasia was demonstrated (observed to expected lungto- head ratio was 41%, according to the longest diameter method)1. Antenatal findings were confirmed after birth and neonatal death occurred soon after delivery.

Published
2013

35. Intrapartum transperineal ultrasound assessment of fetal head progression in active second stage of labor and mode of delivery

Author

Ghi T., Youssef A., Maroni E., Arcangeli T., De Musso F., Bellussi F., Nanni M., Giorgetta F., Morselli Labate A.M., Iammarino M.T., Paccapelo A., Cariello L., RIZZO, NICOLA, PILU, GIANLUIGI, Ghi T., Youssef A., Maroni E., Arcangeli T., De Musso F., Bellussi F., Nanni M., Giorgetta F., Morselli-Labate AM., Iammarino MT., Paccapelo A., Cariello L., Rizzo N., and Pilu G.

Subjects
Adult, Imaging, Three-Dimensional, Time Factors, SECOND STAGE OF LABOR, Labor Stage, Second, Pregnancy, Humans, Female, LABOR, Delivery, Obstetric, Sensitivity and Specificity, ULTRASOUND, Ultrasonography, Prenatal
Abstract

OBJECTIVE: To compare longitudinal changes in angle of progression (AoP) and midline angle (MLA) during the active second stage of labor according to the mode of delivery. METHODS: A three-dimensional transperineal ultrasound volume was acquired in a series of nulliparous women at the beginning of the active second stage (T1) and every 20 min thereafter (T2, T3, T4, T5 and T6). Following delivery, all ultrasound volumes were analyzed and AoP and MLA were measured. RESULTS: Among 71 women included in the study, 58 underwent spontaneous vaginal delivery (group A) and 13 underwent operative delivery (group B) (eight by vacuum extraction and five by Cesarean section). When compared with Group B, Group A had a wider AoP only at T1 (140.0 +/- 20.2 degrees vs. 122.9 +/- 16.7 degrees ; P = 0.010) and T2 (149.7 +/- 20.7 degrees vs. 126.9 +/- 17.5 degrees ; P = 0.006). MLA was narrower in group A only at T3 (21.2 +/- 11.7 degrees vs. 40.8 +/- 27.9 degrees ; P = 0.043), T4 (18.2 +/- 15.0 degrees vs. 47.4 +/- 29.6 degrees ; P = 0.020) and T5 (18.3 +/- 6.0 degrees vs. 34.7 +/- 4.2 degrees ; P = 0.034). On stepwise forward multiple logistic regression analysis, both AoP and MLA were independently associated with operative delivery (OR = 0.955 and OR = 1.018, respectively). CONCLUSION: Ultrasonographic assessment of fetal head descent in the second stage of labor may play a role in the prediction of the mode of delivery.

Published
2012

36. Fundal pressure in second stage of labor (Kristeller maneuver) is associated with increased risk of levator ani muscle avulsion.

Author

Youssef, A., Salsi, G., Cataneo, I., Pacella, G., Azzarone, C., Paganotto, M. C., Krsmanovic, J., Montaguti, E., Cariello, L., Bellussi, F., Rizzo, N., and Pilu, G.

Subjects
ANUS, DELIVERY (Obstetrics), LABOR (Obstetrics), LABOR complications (Obstetrics), LONGITUDINAL method, EVALUATION of medical care, MUSCLES, PELVIC floor, PREGNANCY, PRESSURE, CASE-control method, WOUNDS & injuries
Abstract

Objective: To investigate the association between application of fundal pressure during the second stage of labor (Kristeller maneuver) and the risk of levator ani muscle (LAM) injury.Methods: This was a prospective case-control study of women recruited immediately after their first vaginal delivery in our university hospital between March 2014 and September 2016. Women who underwent the Kristeller maneuver were recruited as cases. For each case, a control (no Kristeller) was recruited matched for body mass index, use of epidural analgesia, duration of second stage of labor and birth weight. All women were invited to undergo four-dimensional (4D) transperineal ultrasound (TPU) 3-6 months postpartum. The main outcome measure was the presence of LAM avulsion on 4D-TPU. TPU results were compared between cases and controls. Multivariate logistic regression analysis was performed to identify independent risk factors for LAM avulsion.Results: During the study period, 134 women in the Kristeller maneuver group and 128 women in the control group underwent TPU assessment. Women who underwent the Kristeller maneuver had a higher prevalence of LAM avulsion than did controls (38/134 (28.4%) vs 18/128 (14.1%); P = 0.005). In addition, women in the Kristeller-maneuver group had a larger hiatal area on maximum Valsalva maneuver and a greater increase in hiatal area from rest to maximum Valsalva. On multivariate logistic regression analysis, use of the Kristeller maneuver was the only independent factor associated with LAM avulsion (odds ratio, 2.5 (95% CI, 1.29-4.51)).Conclusion: The Kristeller maneuver is associated with an increased risk of LAM avulsion when applied in women during their first vaginal delivery. This should be taken into account when deciding to use fundal pressure to accelerate the second stage of labor and when counseling women following childbirth. Copyright © 2018 ISUOG. Published by John Wiley & Sons Ltd. [ABSTRACT FROM AUTHOR]

Published
2019
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37. Three-dimensional ultrasound is an accurate and reproducible technique for fetal crown-rump length measurement

Author

Youssef A., Salsi G., Bellussi F., Contro E., Maroni E., Ghi T., ARCANGELI, TIZIANA, FARINA, ANTONIO, PILU, GIANLUIGI, RIZZO, NICOLA, Youssef A., Salsi G., Bellussi F., Arcangeli T., Farina A., Contro E., Maroni E., Pilu G., Rizzo N., and Ghi T.

Subjects
Adult, OBSTETRICS, Reproducibility of Results, Gestational Age, Sensitivity and Specificity, Crown-Rump Length, Ultrasonography, Prenatal, PRENATAL DIAGNOSIS, Fetus, Imaging, Three-Dimensional, Fetal Weight, Pregnancy, CROWN-RUMP LENGTH MEASUREMENT, Humans, Female, ULTRASOUND
Abstract

Objective The aim of the study was to evaluate the accuracy and reproducibility of fetal crown-rump length (CRL) measurement using three-dimensional ultrasound (3DUS). Methods We included a series of women with singleton pregnancy at 6–13 + 6 weeks. Following CRL measurement by the two-dimensional ultrasound (2DUS), a 3DUS volume was acquired. On the reconstructed midsagittal plane, CRL was measured twice by an operator and once by another. The correlation between CRL measured by 3DUS and 2DUS, as well as the intraobserver and interobserver agreement, was then calculated. Furthermore, the agreement between2DUS and 3DUS CRL measurements together with intraobserver and interobserver agreement was calculated separately for the groups with a midsagittal acquisition plane (MSAP) and non-midsagittal acquisition plane (NMSAP). Results Overall, 137 pregnancies were included in the analysis. CRL measurements performed using 3DUS showed excellent correlation with 2DUS [intraclass correlation coefficient (ICC) = 0.992]. In addition, the 3DUS showed a high intraobserver and interobserver agreement (ICC = 0.999 and 0.993, respectively). Finally, when we divided the acquired volumes according to the plane of acquisition, excellent 2DUS–3DUS, as well as intraobserver and interobserver agreement, was maintained for both MSAP and NMSAP. Conclusion 3DUS is a highly accurate and reproducible tool for fetal CRL measurement regardless of the fetal position at the time of 3D volume acquisition.

Published
2012

40. OC04.01: Does fundal pressure in the second stage (Kristeller manoeuvre) increase the risk of pelvic floor damage? A prospective case–control study

Author

Youssef, A., primary, Salsi, G., additional, Paganotto, M., additional, Bellussi, F., additional, Cataneo, I., additional, Pacella, G., additional, Azzarone, C., additional, Morganelli, G., additional, Krsmanovic, J., additional, Cariello, L., additional, Montaguti, E., additional, Rizzo, N., additional, and Pilu, G., additional

Published
2016
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