Modern practice in perinatology involves a significant portion of invasive procedures. Training in fetal diagnostic procedures is generally accomplished using in vitro model. Fetal therapeutic procedures require a more sophisticated skill. Fetoscopic intervention is most commonly performed for laser dichorionization of the placental in twin-twin transfusion syndrome. A co-ordination between ult...

The prolonged retention of fetal bone structure is an uncommon condition after a previous abortion. We describe two cases with fetal bone fragment amongst 3589 hysteroscopies (0.05%), who had no complaint other than secondary infertility. In both patients, hyperechogenic areas were found through transvaginal ultrasound and the bones were removed by hysteroscopy. Despite meticulous evaluation du...

BACKGROUND Use of high-dose inhalational anesthesia during open fetal surgery may induce maternal-fetal hemodynamic instability and fetal myocardial depression. The authors' preliminary human retrospective study demonstrated less fetal bradycardia and left ventricular systolic dysfunction with lower dose desflurane supplemented with propofol and remifentanil IV anesthesia (SIVA). In this animal...

CONTEXT Proposed federal legislation would require physicians to inform women seeking abortions at 20 or more weeks after fertilization that the fetus feels pain and to offer anesthesia administered directly to the fetus. This article examines whether a fetus feels pain and if so, whether safe and effective techniques exist for providing direct fetal anesthesia or analgesia in the context of th...

OBJECTIVE To examine in monochorionic pregnancies the possible value of intertwin discordance in nuchal translucency (NT) thickness in the prediction of early fetal death or severe twin-twin transfusion syndrome (TTTS). METHODS In 512 monochorionic twin pregnancies NT was measured at 11 to 13 + 6 weeks' gestation and regression analysis was used to determine the significance of the associatio...

Assessment of fetal lung maturation from diffusion weighted MRI at 3T Onur Afacan, Ali Gholipour, Robert V. Mulkern, Carol Barnewolt, Sigrid Bairdain, Judy Estroff, Susan Connolly, and Simon K. Warfield Department of Radiology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, United States, Advanced Fetal Care Center, Department of Radiology, Boston Children's Hospi...