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11. 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

12. 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

16. Prenatal and Postnatal Imaging of Multiple Intracranial Lipomas: Report of a Case

Author

Nanni, Michela, Bellussi, F, Youssef, A, Arcangeli, T, Maroni, E, De Musso, F, Vasapollo, B, Valensise, Herbert, Manganaro, Lucia, Masini, Lucia, Pilu, Gianluigi, Rizzo, Nicola, Ghi, Tullio, Masini, Lucia (ORCID:0000-0002-8230-4985), Nanni, Michela, Bellussi, F, Youssef, A, Arcangeli, T, Maroni, E, De Musso, F, Vasapollo, B, Valensise, Herbert, Manganaro, Lucia, Masini, Lucia, Pilu, Gianluigi, Rizzo, Nicola, Ghi, Tullio, and Masini, Lucia (ORCID:0000-0002-8230-4985)

Abstract

Objectives: To report the antenatal pictures of a fetus with multiple intracranial lipomas. Methods: A 36-year-old primigravida,33 weeks of gestation, was referred to our ultrasound laboratory due to sonographic suspicion of an intracranial hemorrhage. Results: At 2D and 3D ultrasound imaging,three separated round-shaped hyperechoic intracranial masses compatible with multiple lipomas were documented. Absence of corpus callosum was associated. Sonographic findings were confirmed by antenatal and postnatal MRI. Conclusions: Multiple intracranial lipomas in a fetus with absent corpus callosum have been infrequently described.Prognostic implications remain uncertain.

Published
2011

19. 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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23. P16.08: 3D-ultrasound evaluation of changes in the midline angle as an index for fetal head rotation in nulliparous women with and without epidural analgesia

Author

Gabrielli, S., primary, Youssef, A. M., additional, Arcangeli, T., additional, De Musso, F., additional, Nanni, M., additional, Maroni, E., additional, Bellussi, F., additional, Antonio Maria, P., additional, Morandi, R., additional, Pilu, G., additional, Rizzo, N., additional, and Ghi, T., additional

Published
2011
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47. Letters to the Editor.

Author

Ghi, T., Arcangeli, T., Radico, D., Cavallotti, D., Contro, E., Pelusi, G., Moreno, E., Macías, E., Dávila, I., Laffond, E., Asensio, T., Muñoz, F., and Lorente, F.

Subjects
*LETTERS to the editor, *GYNECOLOGY, *ULTRASONIC imaging, *FACIAL abnormalities, *ECZEMA, *GYNECOLOGIC pathology
Abstract

Several letters to the editor are presented which reports medical cases related to gynecology including the three-dimensional sonographic imaging of fetal cleft lip and palate in the first trimester of a 30-year-old Caucasian primigravida, and a 24-year-old woman with recurring eczema during pregnancy and after delivery due to sensitization caused by an ultrasound gel.

Published
2009
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49. 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

50. Communication in the Neonatal Intensive Care Unit: a continuous challenge

Author

Marcello Stella, T. Arcangeli, Erica Neri, F. Fantini, Augusto Biasini, Biasini A., Fantini F., Neri E., Stella M., and Arcangeli T.

Subjects
Medical psychology, Nursing staff, Neonatal intensive care unit, Interprofessional Relations, education, Affect (psychology), Nursing, Professional-Family Relations, Intensive Care Units, Neonatal, Health care, Medicine, Humans, ELBW PRETERMS, Patient Care Team, business.industry, Communication, Infant, Newborn, Obstetrics and Gynecology, FEEDING ELBW, Test (assessment), Pediatrics, Perinatology and Child Health, Practice Guidelines as Topic, Medical team, business, Attitude to Health, Algorithms, Program Evaluation
Abstract

Aim: Communication between the healthcare team and the parents in Neonatal Intensive Care Unit (NICU) is very important, and may affect both trust in medical team and the health of premature babies. The aim of this study is to confirm that a good relationship with families can be obtained if all the healthcare team adopts a good common communication scheme. Methods: We have implemented a communication strategy that works through three stages: (1) Training in Communication: a course about general problems with communication for medical and nursing staff. (2) Communicative Algorithm: various guidelines to follow during the most common scenarios in the NICU. (3) Communicative Case Sheet: a notebook used to record any problem or discomfort that occurs during communication. We applied the strategy for a 12 months trial period. Results: A Systemic Counselling Institute of Medical Psychology tested families' satisfaction at the end of the period. The test showed that in 75% of cases, satisfaction with communication was very good and in the remaining 25%, parents perceived communication as good, but improvable. Conclusion: In NICU, communication between the members of the team and the newborn's parents may be improved by specific tools

Published
2012

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