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JournalISSN: 1015-3837

Fetal Diagnosis and Therapy 

Karger Publishers
About: Fetal Diagnosis and Therapy is an academic journal published by Karger Publishers. The journal publishes majorly in the area(s): Pregnancy & Prenatal diagnosis. It has an ISSN identifier of 1015-3837. Over the lifetime, 3006 publications have been published receiving 56403 citations.


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Journal ArticleDOI
TL;DR: A protocol is proposed that integrates current evidence to classify stages of fetal deterioration and establishes follow-up intervals and optimal delivery timings, which may facilitate decisions and reduce practice variability in this complex clinical condition.
Abstract: Small fetuses are defined as those with an ultrasound estimated weight below a threshold, most commonly the 10th centile The first clinically relevant step is the distinction of ‘true’ fetal growth restriction (FGR), associated with signs of abnormal fetoplacental function and poorer perinatal outcome, from constitutional small-for-gestational age, with a near-normal perinatal outcome Nowadays such a distinction should not be based solely on umbilical artery Doppler, since this index detects only early-onset severe forms FGR should be diagnosed in the presence of any of the factors associated with a poorer perinatal outcome, including Doppler cerebroplacental ratio, uterine artery Doppler, a growth centile below the 3rd centile, and, possibly in the near future, maternal angiogenic factors Once the diagnosis is established, differentiating into early- and late-onset FGR is useful mainly for research purposes, because it distinguishes two clear phenotypes with differences in severity, association with preeclampsia, and the natural history of fetal deterioration As a second clinically relevant step, man

513 citations

Journal ArticleDOI
TL;DR: A new model has been developed for effective first-trimester screening for PE based on maternal characteristics, biophysical and biochemical markers based on a survival time model for the time of delivery in which Bayes’ theorem was used.
Abstract: Objective: To develop models for prediction of preeclampsia (PE) based on maternal characteristics, biophysical and biochemical markers at 11–13 weeks’ gestation

464 citations

Journal ArticleDOI
TL;DR: The decreasing number of prenatal invasive procedures calls for quality assurance and monitoring of operators’ performance, and experienced operators have a higher success rate and a lower complication rate.
Abstract: Introduction: As a consequence of the introduction of effective screening methods, the number of invasive prenatal diagnostic procedures is steadily declining. The aim of this revie

358 citations

Journal ArticleDOI
TL;DR: Low-dose aspirin administrated at or before 16 weeks of gestation reduces the risk of preterm but not term preeclampsia, according to a systematic review and meta-analysis of randomized controlled trials.
Abstract: Objective: To compare the effect of early administration of aspirin on the risk of preterm and term preeclampsia. Method: A systematic review and meta-analysis of randomized controlled trials were performed. Women who were randomized to low-dose aspirin or placebo/no treatment at or before 16 weeks of gestation were included. The outcomes of interest were preterm preeclampsia (delivery Results: The search identified 7,941 citations but only five trials on a combined total of 556 women fulfilled the inclusion criteria. When compared to controls, aspirin initiated ≤16 weeks of gestation was associated with a major reduction of the risk of preterm preeclampsia (RR 0.11, 95% CI 0.04–0.33) but had no significant effect on term preeclampsia (RR 0.98, 95% CI 0.42–2.33). Conclusion: Low-dose aspirin administrated at or before 16 weeks of gestation reduces the risk of preterm but not term preeclampsia.

339 citations

Journal ArticleDOI
TL;DR: CCAM can lead to fetal or neonatal demise from hydrops, lung hypoplasia, prematurity or severe associated malformations, but has a good prognosis in the majority of cases.
Abstract: Congenital cystic adenomatoid malformation of the lung (CCAM) is diagnosed by prenatal ultrasonography with an increasing frequency but controversy persists as to its prognosis and prenatal management

338 citations

Performance
Metrics
No. of papers from the Journal in previous years
YearPapers
202344
202267
202183
2020119
2019112
201833