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No transabdominal scan until 18 weeks in obese women.(Fetal Heart Assessment)
MONTREAL -- Physicians should not attempt transabdominal ultrasonographic visualization of the fetal heart before 18 weeks in obese women but should consider an earlier transvaginal scan, Dr. Israel Hendler recommended.
"Patients usually get a scan between 16 and 18 weeks, but in obese patients you cannot see the fetal cardiac anatomy well at this time," he said, explaining that the fetal heart is too small and the maternal fat layer is too thick for good sonographic evaluation.
The ability to visualize the fetal heart is particularly important in obese patients, because studies have suggested that maternal obesity carries an odds ratio of between 2.0 and 6.5 for fetal cardiac anomalies, compared with the risk in normal-weight women, he said at a meeting sponsored by the World Federation for Ultrasound in Medicine and Biology
When maternal body mass index (BMI) goes above the 90th percentile, there is a 14.5% reduction in the quality of fetal visualization, according to one ...
- Repeat Elective Cesarean Favored Over VBAC for Obese Patients.
- Magazine article from: OB GYN News DEMOTT, KATHRYN March 1, 2001 700+ words
...success with a trial of labor among obese patients, then they may not be ideal...patients to persistent nonreassuring fetal heart rate tracings in 38% and failed...Nonetheless, given that morbidly obese patients have been repeatedly shown to...
- Vancomycin Loading Doses in Morbidly Obese Patients.
- Newspaper article from: Neurology Alert September 1, 2009 700+ words
...Vancomycin Loading Doses in Morbidly Obese Patients Abstract & Commentary Jessica...Clcr) does not apply to morbidly obese patients, given the lack of validation of such...of vancomycin observed in morbidly obese patients and to provide recommendations on loading...
- Obese Patients Have Worse Survival Partly Due To Less Aggressive...
- Newspaper article from: Medical Devices & Surgical Technology Week April 8, 2001 700+ words
...coronary artery disease, morbidly obese patients undergoing cardiac catheterization...data also suggest that more morbidly obese patients with coronary artery disease should...The 10-year survival of morbidly obese patients undergoing catheterization is identical...
- Obese Patients Have Worse Survival Partly Due To Less Aggressive Treatment.(of...
- Newspaper article from: Obesity, Fitness & Wellness Week April 7, 2001 700+ words
...coronary artery disease, morbidly obese patients undergoing cardiac catheterization...data also suggest that more morbidly obese patients with coronary artery disease should...The 10-year survival of morbidly obese patients undergoing catheterization is identical...
- Obese patients are at increased risk for trauma complications.(Across...
- Magazine article from: Clinical Psychiatry News Zoler, Mitchel L. March 1, 2007 700+ words
PALM BEACH, FLA. -- Obese patients with critical injuries from blunt...for death after blunt trauma in obese patients, Dr. Michael F. Rotondo said...includes the highest percentage of obese patients, said Dr. Rotondo, chairman...
- Hon fetal heart rate pattern flags brain damage.(News)
- Magazine article from: OB GYN News Bates, Betsy May 15, 2005 700+ words
...UNIVERSAL CITY, CALIF. -- Intrapartum fetal heart rate patterns can reveal urgent information...period and can be detected by a Hon fetal heart rate pattern. (See box on page 5...without warning. Dr. Phelan reviewed the fetal heart rate strips of 455 brain-damaged infants...
- Assessing the preference of women for different methods of monitoring the fetal...
- Magazine article from: South African Journal of Obstetrics and Gynaecology Mangesi, L. Hofmeyr, G.J. Woods, D.L. August 1, 2009 700+ words
Monitoring the fetal heart rate in labour is an important way...fetal distress. Assessment of the fetal heart is mainly by intermittent auscultation...An alternative method is to use a fetal heart rate monitor with a Doppler ultrasound...
- Do you have strategies to care for obese patients?(Report)
- Magazine article from: ED Nursing January 1, 2004 700+ words
Do you have strategies to care for obese patients? EDs report numbers are increasing...part series on improving care of obese patients in the ED. This months story addresses...definitely have seen a rise in the number of obese patients in our ED, reports Stephanie J. Baker...
