56 Acta Obstet Ginecol Port 2021;15(1):56-60 (NICU). The risk of spontaneous preterm delivery (SP... more 56 Acta Obstet Ginecol Port 2021;15(1):56-60 (NICU). The risk of spontaneous preterm delivery (SPD) <32 weeks may be predicted by sonographic screening of cervical length. Once cervical shortening is diagnosed, the main challenge is to decide the best clinical approach since no intervention has been shown to improve the outcomes in this population. The authors describe a case of a triplet gestation with pronounced mid-trimester cervical shortening. The pregnant underwent an ultrasound-indicated cervical cerclage and delivered three newborns at the 28th gestational week. The selected approach and the controversies around it will be briefly discussed. Informed consent was obtained from the patient.
Gestational Diabetes Mellitus (GDM) is defined as a carbohydrate intolerance that results in hype... more Gestational Diabetes Mellitus (GDM) is defined as a carbohydrate intolerance that results in hyperglycemia of varying severity with onset or first recognition during pregnancy. It is known that this intolerance, which can appear from the early stage to the end of pregnancy, can cause several maternal-fetal complications during pregnancy, delivery and postpartum. Our objective was to compare maternal-fetal outcomes according to whether the diagnosis of gestational diabetes mellitus was made in the first or second trimester of pregnancy. For this purpose, a retrospective study was conducted with a consecutive sample of 194 pregnant women followed in the gestational diabetes mellitus appointment at Hospital da Senhora da Oliveira -Guimaraes. This analysis showed that there are statistically significant associations between gestational diabetes mellitus diagnosis trimester and the variables obesity and maternal comorbidities. On the other hand, no differences with statistical meaning we...
The combined first trimester screen reported a low risk for major chromosomal aneuploidies (triso... more The combined first trimester screen reported a low risk for major chromosomal aneuploidies (trisomies 21, 18, and 13). The second trimester scan showed a female fetus, apparently without any anatomical abnormality. The placenta was anterior, the umbilical cord had three vessels and the amniotic fluid volume was normal. At 28 weeks of pregnancy, an ultrasound showed a hypoechogenic and circular image located on the anterior and medial left orbital surface, without blood flow in or around it, with approximately 8 mm × 7 mm [Figure 1]. A complementary magnetic resonance study was requested, which identified a small cystic aspect formation with hyposignal on T1 and hypersignal on T2 [Figure 2].
Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics, 2020
Objective The present study aims to analyze adverse fetal or neonatal outcomes in women with gest... more Objective The present study aims to analyze adverse fetal or neonatal outcomes in women with gestational diabetes, including fetal death, preterm deliveries, birthweight, neonatal morbidity and mortality, as well as the synergic effect of concomitant pregnancy risk factors and poor obstetric outcomes, as advanced maternal age, maternal obesity and pre-eclampsia in their worsening. Methods The present cohort retrospective study included all pregnant women with gestational diabetes, with surveillance and childbirth at the Hospital da Senhora da Oliveira during the years of 2017 and 2018. The data were collected from the medical electronic records registered in health informatic programs Sclinico and Obscare, and statistical simple and multivariate analysis was done using IBM SPSS Statistics. Results The study participants included 301 pregnant women that contributed to 7.36% of the total institution childbirths of the same years, in a total of 300 live births. It was analyzed the infl...
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology, Jan 13, 2017
Lateral or transverse facial clefts are the most frequent of the atypical facial clefts, classifi... more Lateral or transverse facial clefts are the most frequent of the atypical facial clefts, classified by Tessier as no. 7 clefts. Most of the cases are diagnosed at birth, while few cases are diagnosed prenatally. We report a case of prenatal ultrasound detection and three-dimensional characterisation of a lateral facial cleft at 21 weeks of gestation, which was terminated at 22 weeks. It was a transverse cleft, running through the left cheek towards the ear, along with micrognathia and mild polyhydramnios. We also present a review on classification, anatomical features and prenatal diagnosis of Tessier no. 7 cleft.
56 Acta Obstet Ginecol Port 2021;15(1):56-60 (NICU). The risk of spontaneous preterm delivery (SP... more 56 Acta Obstet Ginecol Port 2021;15(1):56-60 (NICU). The risk of spontaneous preterm delivery (SPD) <32 weeks may be predicted by sonographic screening of cervical length. Once cervical shortening is diagnosed, the main challenge is to decide the best clinical approach since no intervention has been shown to improve the outcomes in this population. The authors describe a case of a triplet gestation with pronounced mid-trimester cervical shortening. The pregnant underwent an ultrasound-indicated cervical cerclage and delivered three newborns at the 28th gestational week. The selected approach and the controversies around it will be briefly discussed. Informed consent was obtained from the patient.
Gestational Diabetes Mellitus (GDM) is defined as a carbohydrate intolerance that results in hype... more Gestational Diabetes Mellitus (GDM) is defined as a carbohydrate intolerance that results in hyperglycemia of varying severity with onset or first recognition during pregnancy. It is known that this intolerance, which can appear from the early stage to the end of pregnancy, can cause several maternal-fetal complications during pregnancy, delivery and postpartum. Our objective was to compare maternal-fetal outcomes according to whether the diagnosis of gestational diabetes mellitus was made in the first or second trimester of pregnancy. For this purpose, a retrospective study was conducted with a consecutive sample of 194 pregnant women followed in the gestational diabetes mellitus appointment at Hospital da Senhora da Oliveira -Guimaraes. This analysis showed that there are statistically significant associations between gestational diabetes mellitus diagnosis trimester and the variables obesity and maternal comorbidities. On the other hand, no differences with statistical meaning we...
The combined first trimester screen reported a low risk for major chromosomal aneuploidies (triso... more The combined first trimester screen reported a low risk for major chromosomal aneuploidies (trisomies 21, 18, and 13). The second trimester scan showed a female fetus, apparently without any anatomical abnormality. The placenta was anterior, the umbilical cord had three vessels and the amniotic fluid volume was normal. At 28 weeks of pregnancy, an ultrasound showed a hypoechogenic and circular image located on the anterior and medial left orbital surface, without blood flow in or around it, with approximately 8 mm × 7 mm [Figure 1]. A complementary magnetic resonance study was requested, which identified a small cystic aspect formation with hyposignal on T1 and hypersignal on T2 [Figure 2].
Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics, 2020
Objective The present study aims to analyze adverse fetal or neonatal outcomes in women with gest... more Objective The present study aims to analyze adverse fetal or neonatal outcomes in women with gestational diabetes, including fetal death, preterm deliveries, birthweight, neonatal morbidity and mortality, as well as the synergic effect of concomitant pregnancy risk factors and poor obstetric outcomes, as advanced maternal age, maternal obesity and pre-eclampsia in their worsening. Methods The present cohort retrospective study included all pregnant women with gestational diabetes, with surveillance and childbirth at the Hospital da Senhora da Oliveira during the years of 2017 and 2018. The data were collected from the medical electronic records registered in health informatic programs Sclinico and Obscare, and statistical simple and multivariate analysis was done using IBM SPSS Statistics. Results The study participants included 301 pregnant women that contributed to 7.36% of the total institution childbirths of the same years, in a total of 300 live births. It was analyzed the infl...
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology, Jan 13, 2017
Lateral or transverse facial clefts are the most frequent of the atypical facial clefts, classifi... more Lateral or transverse facial clefts are the most frequent of the atypical facial clefts, classified by Tessier as no. 7 clefts. Most of the cases are diagnosed at birth, while few cases are diagnosed prenatally. We report a case of prenatal ultrasound detection and three-dimensional characterisation of a lateral facial cleft at 21 weeks of gestation, which was terminated at 22 weeks. It was a transverse cleft, running through the left cheek towards the ear, along with micrognathia and mild polyhydramnios. We also present a review on classification, anatomical features and prenatal diagnosis of Tessier no. 7 cleft.
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Papers by Carla Duarte