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5. The effect of fetal sex on customized fetal growth charts

Author

Rizzo, Giuseppe, Prefumo, Federico, Ferrazzi, Enrico, Zanardini, Cristina, Di Martino, Daniela, Boito, Simona, Aiello, Elisa, Ghi, Tullio, Altobelli, G., Arduini, M., Canzone, G., Capece, A., Carboni, E., Cariello, L., Cariati, E., Cetin, I., Chianchiano, N., Clerici, G., D’Addario, V., Di Martino, D., Cosmi, E., Giacchello, R., Giancotti, A., Giorgina, M., Maiandi, A., Mandia, L., Maruotti, G., Mazzocco, A., Nicoletti, L., Periti, E., Persico, N., Rossi, A., Stampalija, T., Tenore, A., Todros, T., Visentin, S., Verrotti, C., Viora, E., Volpe, P., Rizzo, Giuseppe, Prefumo, Federico, Ferrazzi, Enrico, Zanardini, Cristina, Di Martino, Daniela, Boito, Simona, Aiello, Elisa, Ghi, Tullio, Altobelli, G., Arduini, LAURA MARIA ANGELA, Canzone, G., Capece, A., Carboni, E., Cariello, L., Cariati, E., Cetin, I., Chianchiano, N., Clerici, Giuditta, D’Addario, V., Di Martino, D., Cosmi, E., Giacchello, R., Giancotti, A., Giorgina, M., Maiandi, A., Mandia, L., Maruotti, G., Mazzocco, A., Nicoletti, L., Periti, E., Persico, N., Rossi, A., Stampalija, T., Tenore, A., Todros, T., Visentin, S., Verrotti, C., Viora, E., and Volpe, P.

Subjects
Male, Percentile, quantile regression, Cross-sectional study, customised growth chart, fetal biometry, Sex Factor, Pediatrics, Fetal Development, 0302 clinical medicine, Pregnancy, Reference Values, Prenatal, Reference Value, 030212 general & internal medicine, Growth Charts, Ultrasonography, Pediatric, 030219 obstetrics & reproductive medicine, Singleton, Obstetrics, Obstetrics and Gynecology, Gestational age, Perinatology and Child Health, Italy, Customized growth chart, gender difference, Pediatrics, Perinatology and Child Health, embryonic structures, Regression Analysis, Gestation, Female, Human, medicine.medical_specialty, Biometry, Gestational Age, Regression Analysi, Ultrasonography, Prenatal, Cross-Sectional Studies, Humans, Sex Factors, 03 medical and health sciences, medicine, Cross-Sectional Studie, Fetus, business.industry, medicine.disease, Growth Chart, Surgery, Settore MED/40 - Ginecologia e Ostetricia, Parity (mathematics), business
Abstract

OBJECTIVE: To evaluate the effect of fetal sex on singleton pregnancy growth charts customized for parental characteristics, race, and parity Methods: In a multicentric cross-sectional study, 8070 ultrasonographic examinations from low-risk singleton pregnancies between 16 and 40 weeks of gestation were considered. The fetal measurements obtained were biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), and femur length (FL). Quantile regression was used to examine the impact of fetal sex across the biometric percentiles of the fetal measurements considered together with parents' height, weight, parity, and race. RESULTS: Fetal gender resulted to be a significant covariate for BDP, HC, and AC with higher values for male fetuses (p ≤ 0.0009). Minimal differences were found among sexes for FL. Parity, maternal race, paternal height and maternal height, and weight resulted significantly related to the fetal biometric parameters considered independently from fetal gender. CONCLUSION: In this study, we constructed customized biometric growth charts for fetal sex, parental, and obstetrical characteristics using quantile regression. The use of gender-specific charts offers the advantage to define individualized normal ranges of fetal biometric parameters at each specific centile. This approach may improve the antenatal identification of abnormal fetal growth.

Published
2016

15. 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

16. 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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17. Intrapartum three-dimensional ultrasonographic imaging of face presentations: Report of two cases

Author

Ghi, T, Maroni, E., Youssef, A., Cariello, L., Salsi, G., Arcangeli, T., Frascá, C., RIZZO, NICOLA, PILU, GIANLUIGI, Ghi, T, Maroni, E., Youssef, A., Cariello, L., Salsi, G., Arcangeli, T., Frascá, C., Rizzo, N., and Pilu, G.

Subjects
Adult, Radiology, Nuclear Medicine and Imaging, Radiological and Ultrasound Technology, Medicine (all), Infant, Newborn, Obstetrics and Gynecology, Delivery, Obstetric, Image Enhancement, Ultrasonography, Prenatal, Labor Presentation, Imaging, Three-Dimensional, Reproductive Medicine, Pregnancy, Face, Female, Human
Published
2012

18. 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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32. A Combined Method to Detect Retinal Fundus Features

Author

Mastronardi, Giuseppe, Bevilacqua, Vitoantonio, Cambò, S, and Cariello, L.

Subjects
image filtering, Retinal vessels analysis, Retinal vessels analysis, image filtering, clinical diagnoses, bifurcation and crossover points detection, personal identification, bifurcation and crossover points detection, personal identification, clinical diagnoses
Published
2005

36. P01.08: Risk factors associated to fetal loss after chorionic villus sampling

Author

Ghi, T., primary, Bellussi, F., additional, Piastra, A., additional, Pini, R., additional, Contro, E., additional, Cariello, L., additional, Pacella, G., additional, Montaguti, E., additional, Salsi, G., additional, Di Giovanni, M., additional, Cataneo, I., additional, Gabrielli, S., additional, Rizzo, N., additional, and Pilu, G., additional

Published
2014
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39. Effectiveness of topical bonellin and sunlight for treatment of experimental rabbit mycoses

Author

CALABRO', GABRIELLA CARMELA, SCALVENZI, MASSIMILIANO, MONFRECOLA, GIUSEPPE, La Forza, Mt, Cariello, L, CRINGOLI, GIUSEPPE, Calabro', GABRIELLA CARMELA, La Forza, Mt, Scalvenzi, Massimiliano, Cariello, L, Cringoli, Giuseppe, and Monfrecola, Giuseppe

Abstract

The photodynamic activity of bonellin has been investigated on rabbit superficial mycoses. The animals, experimentally infected with Trichophyton mentagrophytes, receveid topical applications of bonellin solution (100, 150 200 mg/ml) on the mycotic patches before the irradiation with a solar simulator (90J(cm2). Both bonellin application and irradiation were carried out once for each rabbit. The results for rabbits receveing 150 and 200 mg/ml of bonellin show that: 1)the microscopic and coltural examination, from samples collected 72 hours from the treatment, were negative and 2) after 9 days the animals appeared clinically and microbiologically recovered. The possible action mechanism is discussed.

Published
1991

40. photomediated inhibiting effect of bonellin on strains of six species of dermatophytes

Author

CALABRO', GABRIELLA CARMELA, SCALVENZI, MASSIMILIANO, MONFRECOLA, GIUSEPPE, La Forza, Mt, Cariello, L, Calabro', GABRIELLA CARMELA, Scalvenzi, Massimiliano, La Forza, Mt, Cariello, L, and Monfrecola, Giuseppe

Abstract

Study of the possible phototoxic action of bonellin, an usual chlorin extracted from the sea worm Bonellia viridis, on strains of six species of both human and animal dermatophytes, showed that this substances has an inhibitory effect on fungal reproduction. Using a solar simulator for irradiations this inhibitory effect was found to be photomediated.

Published
1990

41. Sonographic assessment of fetal occiput position during the second stage of labor: how reliable is the transperineal approach?

Author

Ghi, T., Bellussi, F., Eggebø, T., Tondi, F., Pacella, G., Salsi, G., Cariello, L., Piastra, A., Youssef, A., Pilu, G., and Rizzo, N.

Subjects
ABDOMEN, CLINICAL trials, COMPARATIVE studies, FETAL presentation, FETAL ultrasonic imaging, HEAD, LABOR (Obstetrics), LONGITUDINAL method, RESEARCH methodology, MEDICAL cooperation, PERINEUM, RESEARCH, EVALUATION research
Abstract

Objective: To compare the accuracy of transperineal (TP) ultrasound with transabdominal (TA) approach in the sonographic assessment of fetal occiput position during the second stage of labour.Methods: A series of low-risk women at term attending the labour ward of three university hospitals were prospectively recruited for the purpose of this study. During the second stage of labor patients were evaluated first by TP and than by TA ultrasound to determine the fetal position. The occiput position was labelled as DOA (direct occiput anterior), ROA (right occiput anterior), LOA (left occiput anterior), DOP (direct occiput posterior), ROP (right occiput posterior), LOP (left occiput posterior), ROT (right occuput transverse) and LOT (left occiput transverse). The agreement between the two techniques was assessed.Results: Overall 80 patients were recruited in the study group. Ultrasound examination was performed at 21(± 8) minutes from the beginning of the active pushing. The ultrasound findings of the fetal occiput position were recorded. In all cases TA ultrasound confirmed the fetal occiput position as determined at TP approach except in one case of ROA that had been recorded as ROT using TP ultrasound.Conclusions: Ultrasound TP examination is accurate in the diagnosis of fetal occiput position during the second stage of labor. [ABSTRACT FROM AUTHOR]

Published
2015
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44. OP18.04: 3D ultrasound evaluation of progression angle, progression distance and midline angle changes in nulliparous women according to second stage length

Author

Maroni, E., primary, De Musso, F., additional, Nanni, M., additional, Giorgetta, F., additional, Youssef, A., additional, Bellussi, F., additional, Salsi, G., additional, Cariello, L., additional, Arcangeli, T., additional, Rizzo, N., additional, Pilu, G., additional, and Ghi, T., additional

Published
2012
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