The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated as the time from the last day of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization.
An infant having a birth weight lower than expected for its gestational age.
An infant during the first month after birth.
A human infant born before 37 weeks of GESTATION.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
The mass or quantity of heaviness of an individual at BIRTH. It is expressed by units of pounds or kilograms.
The visualization of tissues during pregnancy through recording of the echoes of ultrasonic waves directed into the body. The procedure may be applied with reference to the mother or the fetus and with reference to organs or the detection of maternal or fetal disease.
CHILDBIRTH before 37 weeks of PREGNANCY (259 days from the first day of the mother's last menstrual period, or 245 days after FERTILIZATION).
Results of conception and ensuing pregnancy, including LIVE BIRTH; STILLBIRTH; SPONTANEOUS ABORTION; INDUCED ABORTION. The outcome may follow natural or artificial insemination or any of the various ASSISTED REPRODUCTIVE TECHNIQUES, such as EMBRYO TRANSFER or FERTILIZATION IN VITRO.
The failure of a FETUS to attain its expected FETAL GROWTH at any GESTATIONAL AGE.
'Infant, Premature, Diseases' refers to health conditions or abnormalities that specifically affect babies born before 37 weeks of gestation, often resulting from their immature organ systems and increased vulnerability due to preterm birth.
An infant having a birth weight of 2500 gm. (5.5 lb.) or less but INFANT, VERY LOW BIRTH WEIGHT is available for infants having a birth weight of 1500 grams (3.3 lb.) or less.
The middle third of a human PREGNANCY, from the beginning of the 15th through the 28th completed week (99 to 196 days) of gestation.
The unborn young of a viviparous mammal, in the postembryonic period, after the major structures have been outlined. In humans, the unborn young from the end of the eighth week after CONCEPTION until BIRTH, as distinguished from the earlier EMBRYO, MAMMALIAN.
The last third of a human PREGNANCY, from the beginning of the 29th through the 42nd completed week (197 to 294 days) of gestation.
Morphological and physiological development of FETUSES.
An infant whose weight at birth is less than 1500 grams (3.3 lbs), regardless of gestational age.
Onset of OBSTETRIC LABOR before term (TERM BIRTH) but usually after the FETUS has become viable. In humans, it occurs sometime during the 29th through 38th week of PREGNANCY. TOCOLYSIS inhibits premature labor and can prevent the BIRTH of premature infants (INFANT, PREMATURE).
Conditions or pathological processes associated with pregnancy. They can occur during or after pregnancy, and range from minor discomforts to serious diseases that require medical interventions. They include diseases in pregnant females, and pregnancies in females with diseases.
In utero measurement corresponding to the sitting height (crown to rump) of the fetus. Length is considered a more accurate criterion of the age of the fetus than is the weight. The average crown-rump length of the fetus at term is 36 cm. (From Williams Obstetrics, 18th ed, p91)
The beginning third of a human PREGNANCY, from the first day of the last normal menstrual period (MENSTRUATION) through the completion of 14 weeks (98 days) of gestation.
A clear, yellowish liquid that envelopes the FETUS inside the sac of AMNION. In the first trimester, it is likely a transudate of maternal or fetal plasma. In the second trimester, amniotic fluid derives primarily from fetal lung and kidney. Cells or substances in this fluid can be removed for prenatal diagnostic tests (AMNIOCENTESIS).
Hospital units providing continuing surveillance and care to acutely ill newborn infants.
CHILDBIRTH at the end of a normal duration of PREGNANCY, between 37 to 40 weeks of gestation or about 280 days from the first day of the mother's last menstrual period.
The heart of the fetus of any viviparous animal. It refers to the heart in the postembryonic period and is differentiated from the embryonic heart (HEART/embryology) only on the basis of time.
Pathophysiological conditions of the FETUS in the UTERUS. Some fetal diseases may be treated with FETAL THERAPIES.
The age of the mother in PREGNANCY.
A method, developed by Dr. Virginia Apgar, to evaluate a newborn's adjustment to extrauterine life. Five items - heart rate, respiratory effort, muscle tone, reflex irritability, and color - are evaluated 60 seconds after birth and again five minutes later on a scale from 0-2, 0 being the lowest, 2 being normal. The five numbers are added for the Apgar score. A score of 0-3 represents severe distress, 4-7 indicates moderate distress, and a score of 7-10 predicts an absence of difficulty in adjusting to extrauterine life.
A bilateral retinopathy occurring in premature infants treated with excessively high concentrations of oxygen, characterized by vascular dilatation, proliferation, and tortuosity, edema, and retinal detachment, with ultimate conversion of the retina into a fibrous mass that can be seen as a dense retrolental membrane. Usually growth of the eye is arrested and may result in microophthalmia, and blindness may occur. (Dorland, 27th ed)
Two individuals derived from two FETUSES that were fertilized at or about the same time, developed in the UTERUS simultaneously, and born to the same mother. Twins are either monozygotic (TWINS, MONOZYGOTIC) or dizygotic (TWINS, DIZYGOTIC).
A condition of the newborn marked by DYSPNEA with CYANOSIS, heralded by such prodromal signs as dilatation of the alae nasi, expiratory grunt, and retraction of the suprasternal notch or costal margins, mostly frequently occurring in premature infants, children of diabetic mothers, and infants delivered by cesarean section, and sometimes with no apparent predisposing cause.
Postnatal deaths from BIRTH to 365 days after birth in a given population. Postneonatal mortality represents deaths between 28 days and 365 days after birth (as defined by National Center for Health Statistics). Neonatal mortality represents deaths from birth to 27 days after birth.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
A complication of PREGNANCY, characterized by a complex of symptoms including maternal HYPERTENSION and PROTEINURIA with or without pathological EDEMA. Symptoms may range between mild and severe. Pre-eclampsia usually occurs after the 20th week of gestation, but may develop before this time in the presence of trophoblastic disease.
Specialized arterial vessels in the umbilical cord. They carry waste and deoxygenated blood from the FETUS to the mother via the PLACENTA. In humans, there are usually two umbilical arteries but sometimes one.
A highly vascularized mammalian fetal-maternal organ and major site of transport of oxygen, nutrients, and fetal waste products. It includes a fetal portion (CHORIONIC VILLI) derived from TROPHOBLASTS and a maternal portion (DECIDUA) derived from the uterine ENDOMETRIUM. The placenta produces an array of steroid, protein and peptide hormones (PLACENTAL HORMONES).
Death of the developing young in utero. BIRTH of a dead FETUS is STILLBIRTH.
The continuous sequential physiological and psychological maturing of an individual from birth up to but not including ADOLESCENCE.
A chronic lung disease developed after OXYGEN INHALATION THERAPY or mechanical ventilation (VENTILATION, MECHANICAL) usually occurring in certain premature infants (INFANT, PREMATURE) or newborn infants with respiratory distress syndrome (RESPIRATORY DISTRESS SYNDROME, NEWBORN). Histologically, it is characterized by the unusual abnormalities of the bronchioles, such as METAPLASIA, decrease in alveolar number, and formation of CYSTS.
Continuous care and monitoring of newborn infants with life-threatening conditions, in any setting.
Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions.
The event that a FETUS is born dead or stillborn.
Determination of the nature of a pathological condition or disease in the postimplantation EMBRYO; FETUS; or pregnant female before birth.
The range or frequency distribution of a measurement in a population (of organisms, organs or things) that has not been selected for the presence of disease or abnormality.
Diseases of newborn infants present at birth (congenital) or developing within the first month of birth. It does not include hereditary diseases not manifesting at birth or within the first 30 days of life nor does it include inborn errors of metabolism. Both HEREDITARY DISEASES and METABOLISM, INBORN ERRORS are available as general concepts.
An infant whose weight at birth is less than 1000 grams (2.2 lbs), regardless of GESTATIONAL AGE.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
The weight of the FETUS in utero. It is usually estimated by various formulas based on measurements made during PRENATAL ULTRASONOGRAPHY.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
A human infant born before 28 weeks of GESTATION.
Blood of the fetus. Exchange of nutrients and waste between the fetal and maternal blood occurs via the PLACENTA. The cord blood is blood contained in the umbilical vessels (UMBILICAL CORD) at the time of delivery.
Morphological and physiological development of EMBRYOS or FETUSES.
A condition of fetal overgrowth leading to a large-for-gestational-age FETUS. It is defined as BIRTH WEIGHT greater than 4,000 grams or above the 90th percentile for population and sex-specific growth curves. It is commonly seen in GESTATIONAL DIABETES; PROLONGED PREGNANCY; and pregnancies complicated by pre-existing diabetes mellitus.
Functional competence of specific organs or body systems of the FETUS in utero.
INFLAMMATION of the placental membranes (CHORION; AMNION) and connected tissues such as fetal BLOOD VESSELS and UMBILICAL CORD. It is often associated with intrauterine ascending infections during PREGNANCY.
Extraction of the FETUS by means of abdominal HYSTEROTOMY.
Spontaneous tearing of the membranes surrounding the FETUS any time before the onset of OBSTETRIC LABOR. Preterm PROM is membrane rupture before 37 weeks of GESTATION.
Disorders in which there is a delay in development based on that expected for a given age level or stage of development. These impairments or disabilities originate before age 18, may be expected to continue indefinitely, and constitute a substantial impairment. Biological and nonbiological factors are involved in these disorders. (From American Psychiatric Glossary, 6th ed)
Care provided the pregnant woman in order to prevent complications, and decrease the incidence of maternal and prenatal mortality.
Official certifications by a physician recording the individual's birth date, place of birth, parentage and other required identifying data which are filed with the local registrar of vital statistics.
Number of fetal deaths with stated or presumed gestation of 20 weeks or more in a given population. Late fetal mortality is death after of 28 weeks or more.
The distance from the sole to the crown of the head with body standing on a flat surface and fully extended.
The flexible rope-like structure that connects a developing FETUS to the PLACENTA in mammals. The cord contains blood vessels which carry oxygen and nutrients from the mother to the fetus and waste products away from the fetus.
The heart rate of the FETUS. The normal range at term is between 120 and 160 beats per minute.
The upper part of the human body, or the front or upper part of the body of an animal, typically separated from the rest of the body by a neck, and containing the brain, mouth, and sense organs.
The number of offspring a female has borne. It is contrasted with GRAVIDITY, which refers to the number of pregnancies, regardless of outcome.
Physiologic or biochemical monitoring of the fetus. It is usually done during LABOR, OBSTETRIC and may be performed in conjunction with the monitoring of uterine activity. It may also be performed prenatally as when the mother is undergoing surgery.
Use of reflected ultrasound in the diagnosis of intracranial pathologic processes.
The three approximately equal periods of a normal human PREGNANCY. Each trimester is about three months or 13 to 14 weeks in duration depending on the designation of the first day of gestation.
Three individuals derived from three FETUSES that were fertilized at or about the same time, developed in the UTERUS simultaneously, and born to the same mother.
Malformations of organs or body parts during development in utero.
The condition of carrying TWINS simultaneously.
The condition of carrying two or more FETUSES simultaneously.
Exposure of the female parent, human or animal, to potentially harmful chemical, physical, or biological agents in the environment or to environmental factors that may include ionizing radiation, pathogenic organisms, or toxic chemicals that may affect offspring. It includes pre-conception maternal exposure.
Exchange of substances between the maternal blood and the fetal blood at the PLACENTA via PLACENTAL CIRCULATION. The placental barrier excludes microbial or viral transmission.
The identification of selected parameters in newborn infants by various tests, examinations, or other procedures. Screening may be performed by clinical or laboratory measures. A screening test is designed to sort out healthy neonates (INFANT, NEWBORN) from those not well, but the screening test is not intended as a diagnostic device, rather instead as epidemiologic.
A slightly movable cartilaginous joint which occurs between the pubic bones.
The consequences of exposing the FETUS in utero to certain factors, such as NUTRITION PHYSIOLOGICAL PHENOMENA; PHYSIOLOGICAL STRESS; DRUGS; RADIATION; and other physical or chemical factors. These consequences are observed later in the offspring after BIRTH.
Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.
Deaths occurring from the 28th week of GESTATION to the 28th day after birth in a given population.
The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED).
The state of PREGNANCY in women with DIABETES MELLITUS. This does not include either symptomatic diabetes or GLUCOSE INTOLERANCE induced by pregnancy (DIABETES, GESTATIONAL) which resolves at the end of pregnancy.
A condition in pregnant women with elevated systolic (>140 mm Hg) and diastolic (>90 mm Hg) blood pressure on at least two occasions 6 h apart. HYPERTENSION complicates 8-10% of all pregnancies, generally after 20 weeks of gestation. Gestational hypertension can be divided into several broad categories according to the complexity and associated symptoms, such as EDEMA; PROTEINURIA; SEIZURES; abnormalities in BLOOD COAGULATION and liver functions.
The co-occurrence of pregnancy and a cardiovascular disease. The disease may precede or follow FERTILIZATION and it may or may not have a deleterious effect on the pregnant woman or FETUS.
Expulsion of the product of FERTILIZATION before completing the term of GESTATION and without deliberate interference.
The technique that deals with the measurement of the size, weight, and proportions of the human or other primate body.
Ultrasonography applying the Doppler effect, with frequency-shifted ultrasound reflections produced by moving targets (usually red blood cells) in the bloodstream along the ultrasound axis in direct proportion to the velocity of movement of the targets, to determine both direction and velocity of blood flow. (Stedman, 25th ed)
ENTEROCOLITIS with extensive ulceration (ULCER) and NECROSIS. It is observed primarily in LOW BIRTH WEIGHT INFANT.
Protrusion of abdominal structures into the THORAX as a result of congenital or traumatic defects in the respiratory DIAPHRAGM.
Percutaneous transabdominal puncture of the uterus during pregnancy to obtain amniotic fluid. It is commonly used for fetal karyotype determination in order to diagnose abnormal fetal conditions.
An infant born at or after 42 weeks of gestation.
The FERTILIZATION of an OVUM that takes place when a FETUS is already present in the UTERUS. Superfetation results in an unusual PREGNANCY with fetuses of different ages and sizes developing in utero simultaneously.
Pregnancy in which the mother and/or FETUS are at greater than normal risk of MORBIDITY or MORTALITY. Causes include inadequate PRENATAL CARE, previous obstetrical history (ABORTION, SPONTANEOUS), pre-existing maternal disease, pregnancy-induced disease (GESTATIONAL HYPERTENSION), and MULTIPLE PREGNANCY, as well as advanced maternal age above 35.
Artificially induced UTERINE CONTRACTION. Generally, LABOR, OBSTETRIC is induced with the intent to cause delivery of the fetus and termination of pregnancy.
Abnormal accumulation of serous fluid in two or more fetal compartments, such as SKIN; PLEURA; PERICARDIUM; PLACENTA; PERITONEUM; AMNIOTIC FLUID. General fetal EDEMA may be of non-immunologic origin, or of immunologic origin as in the case of ERYTHROBLASTOSIS FETALIS.
Any observable response or action of a neonate or infant up through the age of 23 months.
A subspecialty of Pediatrics concerned with the newborn infant.
The sequence in which children are born into the family.
A heterogeneous group of nonprogressive motor disorders caused by chronic brain injuries that originate in the prenatal period, perinatal period, or first few years of life. The four major subtypes are spastic, athetoid, ataxic, and mixed cerebral palsy, with spastic forms being the most common. The motor disorder may range from difficulties with fine motor control to severe spasticity (see MUSCLE SPASTICITY) in all limbs. Spastic diplegia (Little disease) is the most common subtype, and is characterized by spasticity that is more prominent in the legs than in the arms. Pathologically, this condition may be associated with LEUKOMALACIA, PERIVENTRICULAR. (From Dev Med Child Neurol 1998 Aug;40(8):520-7)
Diabetes mellitus induced by PREGNANCY but resolved at the end of pregnancy. It does not include previously diagnosed diabetics who become pregnant (PREGNANCY IN DIABETICS). Gestational diabetes usually develops in late pregnancy when insulin antagonistic hormones peaks leading to INSULIN RESISTANCE; GLUCOSE INTOLERANCE; and HYPERGLYCEMIA.
Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.
Female parents, human or animal.
Degeneration of white matter adjacent to the CEREBRAL VENTRICLES following cerebral hypoxia or BRAIN ISCHEMIA in neonates. The condition primarily affects white matter in the perfusion zone between superficial and deep branches of the MIDDLE CEREBRAL ARTERY. Clinical manifestations include VISION DISORDERS; CEREBRAL PALSY; PARAPLEGIA; SEIZURES; and cognitive disorders. (From Adams et al., Principles of Neurology, 6th ed, p1021; Joynt, Clinical Neurology, 1997, Ch4, pp30-1)
The outermost extra-embryonic membrane surrounding the developing embryo. In REPTILES and BIRDS, it adheres to the shell and allows exchange of gases between the egg and its environment. In MAMMALS, the chorion evolves into the fetal contribution of the PLACENTA.
Intentional removal of a fetus from the uterus by any of a number of techniques. (POPLINE, 1978)
The care of women and a fetus or newborn given before, during, and after delivery from the 28th week of gestation through the 7th day after delivery.
The circulation of BLOOD, of both the mother and the FETUS, through the PLACENTA.
A condition of abnormally low AMNIOTIC FLUID volume. Principal causes include malformations of fetal URINARY TRACT; FETAL GROWTH RETARDATION; GESTATIONAL HYPERTENSION; nicotine poisoning; and PROLONGED PREGNANCY.
Statistical models in which the value of a parameter for a given value of a factor is assumed to be equal to a + bx, where a and b are constants. The models predict a linear regression.
Passage of blood from one fetus to another via an arteriovenous communication or other shunt, in a monozygotic twin pregnancy. It results in anemia in one twin and polycythemia in the other. (Lee et al., Wintrobe's Clinical Hematology, 9th ed, p737-8)
The surgical closure of the incompetent cervix uteri with suture material.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
A condition of abnormally high AMNIOTIC FLUID volume, such as greater than 2,000 ml in the LAST TRIMESTER and usually diagnosed by ultrasonographic criteria (AMNIOTIC FLUID INDEX). It is associated with maternal DIABETES MELLITUS; MULTIPLE PREGNANCY; CHROMOSOMAL DISORDERS; and congenital abnormalities.
The measurement of the dimensions of the HEAD.
A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.
A glucocorticoid given orally, parenterally, by local injection, by inhalation, or applied topically in the management of various disorders in which corticosteroids are indicated. Its lack of mineralocorticoid properties makes betamethasone particularly suitable for treating cerebral edema and congenital adrenal hyperplasia. (From Martindale, The Extra Pharmacopoeia, 30th ed, p724)
Endoscopic examination, therapy or surgery of the fetus and amniotic cavity through abdominal or uterine entry.
Care of infants in the home or institution.
Pathological processes or abnormal functions of the PLACENTA.
Monitoring of FETAL HEART frequency before birth in order to assess impending prematurity in relation to the pattern or intensity of antepartum UTERINE CONTRACTION.
Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)
Accumulation of BILIRUBIN, a breakdown product of HEME PROTEINS, in the BLOOD during the first weeks of life. This may lead to NEONATAL JAUNDICE. The excess bilirubin may exist in the unconjugated (indirect) or the conjugated (direct) form. The condition may be self-limiting (PHYSIOLOGICAL NEONATAL JAUNDICE) or pathological with toxic levels of bilirubin.
The co-occurrence of pregnancy and an INFECTION. The infection may precede or follow FERTILIZATION.
A congenital heart defect characterized by the persistent opening of fetal DUCTUS ARTERIOSUS that connects the PULMONARY ARTERY to the descending aorta (AORTA, DESCENDING) allowing unoxygenated blood to bypass the lung and flow to the PLACENTA. Normally, the ductus is closed shortly after birth.
A term used to describe pregnancies that exceed the upper limit of a normal gestational period. In humans, a prolonged pregnancy is defined as one that extends beyond 42 weeks (294 days) after the first day of the last menstrual period (MENSTRUATION), or birth with gestational age of 41 weeks or more.
A nonreassuring fetal status (NRFS) indicating that the FETUS is compromised (American College of Obstetricians and Gynecologists 1988). It can be identified by sub-optimal values in FETAL HEART RATE; oxygenation of FETAL BLOOD; and other parameters.
Respiratory failure in the newborn. (Dorland, 27th ed)
Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.
A chromosome disorder associated either with an extra chromosome 21 or an effective trisomy for chromosome 21. Clinical manifestations include hypotonia, short stature, brachycephaly, upslanting palpebral fissures, epicanthus, Brushfield spots on the iris, protruding tongue, small ears, short, broad hands, fifth finger clinodactyly, Simian crease, and moderate to severe INTELLECTUAL DISABILITY. Cardiac and gastrointestinal malformations, a marked increase in the incidence of LEUKEMIA, and the early onset of ALZHEIMER DISEASE are also associated with this condition. Pathologic features include the development of NEUROFIBRILLARY TANGLES in neurons and the deposition of AMYLOID BETA-PROTEIN, similar to the pathology of ALZHEIMER DISEASE. (Menkes, Textbook of Child Neurology, 5th ed, p213)
The event that a FETUS is born alive with heartbeats or RESPIRATION regardless of GESTATIONAL AGE. Such liveborn is called a newborn infant (INFANT, NEWBORN).
Premature separation of the normally implanted PLACENTA from the UTERUS. Signs of varying degree of severity include UTERINE BLEEDING, uterine MUSCLE HYPERTONIA, and FETAL DISTRESS or FETAL DEATH.
Physical activity of the FETUS in utero. Gross or fine fetal body movement can be monitored by the mother, PALPATION, or ULTRASONOGRAPHY.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
The use of statistical and mathematical methods to analyze biological observations and phenomena.
Incompetent UTERINE CERVIX is usually diagnosed in the second trimester of PREGNANCY. It is characterized by passive painless cervical dilation in the absence of UTERINE CONTRACTION; BLEEDING; INFECTION; and sometimes with the amniotic sac (AMNIOTIC MEMBRANE) bulging through the partially dilated cervix. Left untreated, this condition may lead to premature pregnancy loss, such as HABITUAL ABORTION.
A respiratory distress syndrome in newborn infants, usually premature infants with insufficient PULMONARY SURFACTANTS. The disease is characterized by the formation of a HYALINE-like membrane lining the terminal respiratory airspaces (PULMONARY ALVEOLI) and subsequent collapse of the lung (PULMONARY ATELECTASIS).
The collecting of fetal blood samples typically via ENDOSCOPIC ULTRASOUND GUIDED FINE NEEDLE ASPIRATION from the umbilical vein.
A fetal blood vessel connecting the pulmonary artery with the descending aorta.
Deficient oxygenation of FETAL BLOOD.
The number of pregnancies, complete or incomplete, experienced by a female. It is different from PARITY, which is the number of offspring borne. (From Stedman, 26th ed)
One of a pair of irregularly shaped quadrilateral bones situated between the FRONTAL BONE and OCCIPITAL BONE, which together form the sides of the CRANIUM.
The potential of the FETUS to survive outside the UTERUS after birth, natural or induced. Fetal viability depends largely on the FETAL ORGAN MATURITY, and environmental conditions.
Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life.
Organized efforts by communities or organizations to improve the health and well-being of infants.
Ultrasonography applying the Doppler effect, with velocity detection combined with range discrimination. Short bursts of ultrasound are transmitted at regular intervals and the echoes are demodulated as they return.
Increase in BODY WEIGHT over existing weight.
Selective abortion of one or more embryos or fetuses in a multiple gestation pregnancy. The usual goal is to improve the outcome for the remaining embryos or fetuses.
Any of the ruminant mammals with curved horns in the genus Ovis, family Bovidae. They possess lachrymal grooves and interdigital glands, which are absent in GOATS.
Rhythmic, intermittent propagation of a fluid through a BLOOD VESSEL or piping system, in contrast to constant, smooth propagation, which produces laminar flow.
The beginning of true OBSTETRIC LABOR which is characterized by the cyclic uterine contractions of increasing frequency, duration, and strength causing CERVICAL DILATATION to begin (LABOR STAGE, FIRST ).
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
Medical problems associated with OBSTETRIC LABOR, such as BREECH PRESENTATION; PREMATURE OBSTETRIC LABOR; HEMORRHAGE; or others. These complications can affect the well-being of the mother, the FETUS, or both.
A class of statistical methods applicable to a large set of probability distributions used to test for correlation, location, independence, etc. In most nonparametric statistical tests, the original scores or observations are replaced by another variable containing less information. An important class of nonparametric tests employs the ordinal properties of the data. Another class of tests uses information about whether an observation is above or below some fixed value such as the median, and a third class is based on the frequency of the occurrence of runs in the data. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed, p1284; Corsini, Concise Encyclopedia of Psychology, 1987, p764-5)
A transient absence of spontaneous respiration.
The neck portion of the UTERUS between the lower isthmus and the VAGINA forming the cervical canal.
The thick green-to-black mucilaginous material found in the intestines of a full-term fetus. It consists of secretions of the INTESTINAL GLANDS; BILE PIGMENTS; FATTY ACIDS; AMNIOTIC FLUID; and intrauterine debris. It constitutes the first stools passed by a newborn.
The innermost membranous sac that surrounds and protects the developing embryo which is bathed in the AMNIOTIC FLUID. Amnion cells are secretory EPITHELIAL CELLS and contribute to the amniotic fluid.
The periodic shedding of the ENDOMETRIUM and associated menstrual bleeding in the MENSTRUAL CYCLE of humans and primates. Menstruation is due to the decline in circulating PROGESTERONE, and occurs at the late LUTEAL PHASE when LUTEOLYSIS of the CORPUS LUTEUM takes place.
The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz.
The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.
The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.
Drugs that prevent preterm labor and immature birth by suppressing uterine contractions (TOCOLYSIS). Agents used to delay premature uterine activity include magnesium sulfate, beta-mimetics, oxytocin antagonists, calcium channel inhibitors, and adrenergic beta-receptor agonists. The use of intravenous alcohol as a tocolytic is now obsolete.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
In utero transfusion of BLOOD into the FETUS for the treatment of FETAL DISEASES, such as fetal erythroblastosis (ERYTHROBLASTOSIS, FETAL).
Elements of limited time intervals, contributing to particular results or situations.
Abortion induced to save the life or health of a pregnant woman. (From Dorland, 28th ed)
The ability to learn and to deal with new situations and to deal effectively with tasks involving abstractions.
Four CSF-filled (see CEREBROSPINAL FLUID) cavities within the cerebral hemispheres (LATERAL VENTRICLES), in the midline (THIRD VENTRICLE) and within the PONS and MEDULLA OBLONGATA (FOURTH VENTRICLE).
Termination of pregnancy under conditions allowed under local laws. (POPLINE Thesaurus, 1991)
The mass or quantity of heaviness of an individual. It is expressed by units of pounds or kilograms.
The branch of medicine dealing with the fetus and infant during the perinatal period. The perinatal period begins with the twenty-eighth week of gestation and ends twenty-eight days after birth. (From Dorland, 27th ed)
The hollow thick-walled muscular organ in the female PELVIS. It consists of the fundus (the body) which is the site of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus, are the FALLOPIAN TUBES.
A prenatal ultrasonography measurement of the soft tissue behind the fetal neck. Either the translucent area below the skin in the back of the fetal neck (nuchal translucency) or the distance between occipital bone to the outer skin line (nuchal fold) is measured.
Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2).
The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.
The process of generating three-dimensional images by electronic, photographic, or other methods. For example, three-dimensional images can be generated by assembling multiple tomographic images with the aid of a computer, while photographic 3-D images (HOLOGRAPHY) can be made by exposing film to the interference pattern created when two laser light sources shine on an object.
A parameter usually used in PRENATAL ULTRASONOGRAPHY to measure the length of the uterine neck (CERVIX UTERI). Cervical length or its shortening is used to identify and prevent early cervical opening and PRETERM BIRTH.
Ultrasonography applying the Doppler effect, with the superposition of flow information as colors on a gray scale in a real-time image. This type of ultrasonography is well-suited to identifying the location of high-velocity flow (such as in a stenosis) or of mapping the extent of flow in a certain region.
Any drug treatment modality designed to inhibit UTERINE CONTRACTION. It is used in pregnant women to arrest PREMATURE LABOR.
Yellow discoloration of the SKIN; MUCOUS MEMBRANE; and SCLERA in the NEWBORN. It is a sign of NEONATAL HYPERBILIRUBINEMIA. Most cases are transient self-limiting (PHYSIOLOGICAL NEONATAL JAUNDICE) occurring in the first week of life, but some can be a sign of pathological disorders, particularly LIVER DISEASES.
A syndrome of HEMOLYSIS, elevated liver ENZYMES, and low blood platelets count (THROMBOCYTOPENIA). HELLP syndrome is observed in pregnant women with PRE-ECLAMPSIA or ECLAMPSIA who also exhibit LIVER damage and abnormalities in BLOOD COAGULATION.
Liquid formulations for the nutrition of infants that can substitute for BREAST MILK.
The offspring in multiple pregnancies (PREGNANCY, MULTIPLE): TWINS; TRIPLETS; QUADRUPLETS; QUINTUPLETS; etc.
Studies in which variables relating to an individual or group of individuals are assessed over a period of time.
The process of giving birth to one or more offspring.
A congenital defect with major fissure in the ABDOMINAL WALL lateral to, but not at, the UMBILICUS. This results in the extrusion of VISCERA. Unlike OMPHALOCELE, herniated structures in gastroschisis are not covered by a sac or PERITONEUM.
Steroidal compounds with abortifacient activity.
Failure of the PLACENTA to deliver an adequate supply of nutrients and OXYGEN to the FETUS.
I'm sorry for any confusion, but "Sweden" is not a medical term and does not have a medical definition. It is a country located in Northern Europe. If you have any questions related to medical topics or definitions, I would be happy to try to help answer them!
Nutritional physiology of children from birth to 2 years of age.
I'm sorry for any confusion, but "Denmark" is not a medical term and does not have a medical definition. It is a country located in northern Europe. If you have any questions related to medicine or health, I would be happy to try to help answer them.
Bleeding from blood vessels in the UTERUS, sometimes manifested as vaginal bleeding.
Gradual increase in the number, the size, and the complexity of cells of an individual. Growth generally results in increase in ORGAN WEIGHT; BODY WEIGHT; and BODY HEIGHT.
Cells lining the outside of the BLASTOCYST. After binding to the ENDOMETRIUM, trophoblasts develop into two distinct layers, an inner layer of mononuclear cytotrophoblasts and an outer layer of continuous multinuclear cytoplasm, the syncytiotrophoblasts, which form the early fetal-maternal interface (PLACENTA).
Dynamic three-dimensional echocardiography using the added dimension of time to impart the cinematic perception of motion. (Mayo Clin Proc 1993;68:221-40)
Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.
The nursing of an infant at the breast.
A branch arising from the internal iliac artery in females, that supplies blood to the uterus.
Non-steroidal chemical compounds with abortifacient activity.
A hydroxylated metabolite of ESTRADIOL or ESTRONE that has a hydroxyl group at C3, 16-alpha, and 17-beta position. Estriol is a major urinary estrogen. During PREGNANCY, a large amount of estriol is produced by the PLACENTA. Isomers with inversion of the hydroxyl group or groups are called epiestriol.

Production of prostaglandin f2alpha and its metabolite by endometrium and yolk sac placenta in late gestation in the tammar wallaby, Macropus Eugenii. (1/9568)

In this study, we investigated production of prostaglandin (PG) F2alpha and its metabolite, PGFM, by uterine tissues from tammar wallabies in late pregnancy. Endometrial explants were prepared from gravid and nongravid uteri of tammars between Day 18 of gestation (primitive streak) and Day 26.5 (term) and were incubated in Ham's F-10 medium supplemented with glutamine and antibiotics for 20 h. PGF2alpha and PGFM in the medium were assayed by specific, validated RIAs. Control tissues (leg muscle) did not produce detectable amounts of either PG. Both gravid and nongravid endometria secreted PGF2alpha, and production increased significantly in both gravid and nongravid uteri towards term. PGFM was produced in small amounts by both gravid and nongravid uteri, and the rate of production did not increase. Neither oxytocin nor dexamethasone stimulated PG production in vitro in any tissue at any stage. Thus, the surge in peripheral plasma PGFM levels seen at parturition may arise from increased uterine PG production, but further study is needed to define what triggers this release.  (+info)

Expression of trophinin, tastin, and bystin by trophoblast and endometrial cells in human placenta. (2/9568)

Trophinin, tastin, and bystin comprise a complex mediating a unique homophilic cell adhesion between trophoblast and endometrial epithelial cells at their respective apical cell surfaces. In this study, we prepared mouse monoclonal antibodies specific to each of these molecules. The expression of these molecules in the human placenta was examined immunohistochemically using the antibodies. In placenta from the 6th week of pregnancy, trophinin and bystin were found in the cytoplasm of the syncytiotrophoblast in the chorionic villi, and in endometrial decidual cells at the utero placental interface. Tastin was exclusively present on the apical side of the syncytiotrophoblast. Tissue sections were also examined by in situ hybridization using RNA probes specific to each of these molecules. This analysis showed that trophoblast and endometrial epithelial cells at the utero placental interface express trophinin, tastin, and bystin. In wk 10 placenta, trophinin and bystin were found in the intravillous cytotrophoblast, while tastin was not found in the villi. After wk 10, levels of all three proteins decreased and then disappeared from placental villi.  (+info)

Delay of preterm delivery in sheep by omega-3 long-chain polyunsaturates. (3/9568)

A positive correlation has been shown between dietary intake of long-chain omega-3 fatty acids in late pregnancy and gestation length in pregnant women and experimental animals. To determine whether omega-3 fatty acids have an effect on preterm labor in sheep, a fish oil concentrate emulsion was continuously infused to six pregnant ewes from 124 days gestational age. At 125 days, betamethasone was administered to the fetus to produce preterm labor. Both the onset of labor and the time of delivery were delayed by the fish oil emulsion. Two of the omega-3-infused ewes reverted from contractions to nonlabor, an effect never previously observed for experimental glucocorticoid-induced preterm labor in sheep. Maternal plasma estradiol and maternal and fetal prostaglandin E2 rose in control ewes but not in those infused with omega-3 fatty acid. The ability of omega-3 fatty acids to delay premature delivery in sheep indicates their possible use as tocolytics in humans. Premature labor is the major cause of neonatal death and long-term disability, and these studies present information that may lead to a novel therapeutic regimen for the prevention of preterm delivery in human pregnancy.  (+info)

Luteinizing hormone inhibits conversion of pregnenolone to progesterone in luteal cells from rats on day 19 of pregnancy. (4/9568)

We have previously reported that intrabursal ovarian administration of LH at the end of pregnancy in rats induces a decrease in luteal progesterone (P4) synthesis and an increase in P4 metabolism. However, whether this local luteolytic effect of LH is exerted directly on luteal cells or on other structures, such as follicular or stromal cells, to modify luteal function is unknown. The aim of the present study was to determine the effect of LH on isolated luteal cells obtained on Day 19 of pregnancy. Incubation of luteal cells with 1, 10, 100, or 1000 ng/ml of ovine LH (oLH) for 6 h did not modify basal P4 production. The addition to the culture medium of 22(R)-hydroxycholesterol (22R-HC, 10 microgram/ml), a membrane-permeable P4 precursor, or pregnenolone (10(-2) microM) induced a significant increase in P4 accumulation in the medium in relation to the control value. When luteal cells were preincubated for 2 h with oLH, a significant (p < 0.01) reduction in the 22R-HC- or pregnenolone-stimulated P4 accumulation was observed. Incubation of luteal cells with dibutyryl cAMP (1 mM, a cAMP analogue) plus isobutylmethylxanthine (1 mM, a phosphodiesterase inhibitor) also inhibited pregnenolone-stimulated P4 accumulation. Incubation with an inositol triphosphate synthesis inhibitor, neomycin (1 mM), or an inhibitor of intracellular Ca2+ mobilization, (8,9-N, N-diethylamino)octyl-3,4,5-trimethoxybenzoate (1 mM), did not prevent the decrease in pregnenolone-stimulated P4 secretion induced by oLH. It was concluded that the luteolytic action of LH in late pregnancy is due, at least in part, to a direct action on the luteal cells and that an increase in intracellular cAMP level might mediate this effect.  (+info)

Outcome of pregnancy in women with congenital shunt lesions. (5/9568)

OBJECTIVE: To evaluate the outcome of pregnancy in women with congenital shunt lesions. SETTING: Retrospective study in a tertiary care centre. METHODS: Pregnancy history was obtained by a standardised questionnaire and medical records were reviewed. PATIENTS: 175 women were identified, at a mean (SD) age of 42 (14) years. Pregnancies occurred in 126 women: 50 with an atrial septal defect, 22 with a ventricular septal defect, 22 with an atrioventricular septal defect, 19 with tetralogy of Fallot, and 13 with other complex shunt lesions. RESULTS: 309 pregnancies were reported by 126 woman (2.5 (1.6) pregnancies per woman). The shortening fraction of the systemic ventricle was 40 (8)%, and 98% were in New York Heart Association class I-II at last follow up. Spontaneous abortions occurred in 17% of pregnancies (abortion rate, 0.4 (0.9) per woman). Gestational age of the 241 newborn infants was 8.8 (0.8) months. There were no maternal deaths related to pregnancy. Pre-eclampsia and embolic events were observed in 1.3% and 0.6%, respectively of all pregnancies. Women with complex shunt lesions more often underwent caesarean section (70% v 15-30%, p = 0.005) and gave birth to smaller babies for equivalent gestation (2577 (671) g v 3016 (572) to 3207 (610) g, p < 0.05). The recurrence risk of congenital heart disease was 2.5%. CONCLUSIONS: The outcome of pregnancy is favourable in women with congenital shunt lesions if their functional class and their systolic ventricular function are good. Such patients can be reassured.  (+info)

Expression of neurotrophins and their receptors in human bone marrow. (6/9568)

The expression of neurotrophins and their receptors, the low-affinity nerve growth factor receptor (p75LNGFR) and the Trk receptors (TrkA, TrkB, and TrkC), was investigated in human bone marrow from 16 weeks fetal age to adulthood. Using reverse transcription-polymerase chain reaction, all transcripts encoding for catalytic and truncated human TrkB or TrkC receptors were detected together with trkAI transcripts, whereas trkAII transcripts were found only in control nerve tissues. Transcripts for the homologue of the rat truncated TrkC(ic113) receptor were identified for the first time in human tissue. Stromal adventitial reticular cells were found immunoreactive for all neutrophin receptors. In contrast, hematopoietic cell types were not immunoreactive for p75LNGFR but showed immunoreactivity for one or several Trk receptors. TrkA immunoreactivity was found in immature erythroblasts. Catalytic TrkB immunoreactivity was observed in eosinophilic metamyelocytes and polymorphonuclear cells. Truncated TrkB immunoreactivity was found in erythroblasts and megacaryocytes. Immunoreactivity for both catalytic and truncated TrkC receptor was observed in promyelocytes, myelocytes, some polymorphonuclear cells and megacaryocytes. Neutrophin transcript levels appeared higher at fetal than at adult stages, no variation in Trk family transcript levels was observed. The local expression of neurotrophin genes suggests a wide range of paracrine and/or autocrine mode of action through their corresponding receptors within the bone marrow.  (+info)

Maternal adrenocortical hormones maintain the early development of pancreatic B cells in the fetal rat. (7/9568)

To investigate the effect of maternal adrenocortical hormones on the development of fetal pancreatic islet cells, pregnant rats were adrenalectomised on d 6 of gestation. On d 12-16 the growth patterns of fetal insulin-producing B cells, glucagon-producing A cells, and somatostatin-producing D cells were observed histometrically. Maternal adrenalectomy resulted in growth retardation of fetal B cells on d 12-15. Maternal corticosterone therapy prevented this retardation. Maternal adrenalectomy, however, did not affect the developmental patterns of A and D cells. By Western blotting and immunohistochemistry, glucocorticoid receptors were demonstrated to be present in the islet cells from d 12 to d 15. These results suggest that maternal adrenocortical hormones, glucocorticoids in particular, maintain the early development of fetal pancreatic B cells through their specific intracellular glucocorticoid receptor.  (+info)

Developmental changes in mucosubstances revealed by immunostaining with antimucus monoclonal antibodies and lectin staining in the epithelium lining the segment from gizzard to duodenum of the chick embryo. (8/9568)

The mucosubstances in the epithelium lining the segment from gizzard to duodenum during development of the chick embryo was studied histochemically using monoclonal antibodies against gizzard mucus and lectins, with attention to the regional differentiation of the epithelium in this segment. The anterior limit of epithelial CdxA mRNA expression detected by in situ hybridisation, which served as the position of the gizzard-duodenal boundary, was clearly found from d 3. Granules positive for some antibodies or lectins were found in the region ranging from the posterior part of the gizzard to the duodenum at d 3, which was followed by an increase in the number of granules and a gradual enlargement of the granule-positive area to the anterior part of the gizzard over 4-6 d. From d 4, the epithelia of the gizzard body and of the pyloric or duodenal region came to be differently stained with some antibodies or lectins. From d 10, each region showed a specific pattern of staining. The epithelia of the gizzard body and pyloric region contained abundant mucus granules with a different staining pattern. In the duodenum the number of stained granules was low except in occasional goblet cells. Thus the epithelia of the gizzard body, pyloric region and duodenum may produce different mucosubstances and the regional differentiation in these epithelia may start at rather early stages soon after the formation of digestive tube.  (+info)

Gestational age is the length of time that has passed since the first day of the last menstrual period (LMP) in pregnant women. It is the standard unit used to estimate the age of a pregnancy and is typically expressed in weeks. This measure is used because the exact date of conception is often not known, but the start of the last menstrual period is usually easier to recall.

It's important to note that since ovulation typically occurs around two weeks after the start of the LMP, gestational age is approximately two weeks longer than fetal age, which is the actual time elapsed since conception. Medical professionals use both gestational and fetal age to track the development and growth of the fetus during pregnancy.

Small for Gestational Age (SGA) is a term used in pediatrics to describe newborn infants who are smaller in size than expected for the number of weeks they have been in the womb. It is typically defined as a baby whose weight is below the 10th percentile for its gestational age. SGA can be further classified into two categories: constitutionally small (also known as physiologically small) and pathologically small. Constitutionally small infants are those who are genetically predisposed to being smaller, while pathologically small infants have a growth restriction due to factors such as placental insufficiency, maternal hypertension, or chromosomal abnormalities.

It is important to note that SGA is not the same as premature birth. Premature babies are those born before 37 weeks of gestation, regardless of their size. However, a baby can be both premature and SGA.

A newborn infant is a baby who is within the first 28 days of life. This period is also referred to as the neonatal period. Newborns require specialized care and attention due to their immature bodily systems and increased vulnerability to various health issues. They are closely monitored for signs of well-being, growth, and development during this critical time.

A premature infant is a baby born before 37 weeks of gestation. They may face various health challenges because their organs are not fully developed. The earlier a baby is born, the higher the risk of complications. Prematurity can lead to short-term and long-term health issues, such as respiratory distress syndrome, jaundice, anemia, infections, hearing problems, vision problems, developmental delays, and cerebral palsy. Intensive medical care and support are often necessary for premature infants to ensure their survival and optimal growth and development.

Pregnancy is a physiological state or condition where a fertilized egg (zygote) successfully implants and grows in the uterus of a woman, leading to the development of an embryo and finally a fetus. This process typically spans approximately 40 weeks, divided into three trimesters, and culminates in childbirth. Throughout this period, numerous hormonal and physical changes occur to support the growing offspring, including uterine enlargement, breast development, and various maternal adaptations to ensure the fetus's optimal growth and well-being.

Birth weight refers to the first weight of a newborn infant, usually taken immediately after birth. It is a critical vital sign that indicates the baby's health status and is used as a predictor for various short-term and long-term health outcomes.

Typically, a full-term newborn's weight ranges from 5.5 to 8.8 pounds (2.5 to 4 kg), although normal birth weights can vary significantly based on factors such as gestational age, genetics, maternal health, and nutrition. Low birth weight is defined as less than 5.5 pounds (2.5 kg), while high birth weight is greater than 8.8 pounds (4 kg).

Low birth weight babies are at a higher risk for various medical complications, including respiratory distress syndrome, jaundice, infections, and developmental delays. High birth weight babies may face challenges with delivery, increased risk of obesity, and potential metabolic issues later in life. Regular prenatal care is essential to monitor fetal growth and ensure a healthy pregnancy and optimal birth weight for the baby.

Prenatal ultrasonography, also known as obstetric ultrasound, is a medical diagnostic procedure that uses high-frequency sound waves to create images of the developing fetus, placenta, and amniotic fluid inside the uterus. It is a non-invasive and painless test that is widely used during pregnancy to monitor the growth and development of the fetus, detect any potential abnormalities or complications, and determine the due date.

During the procedure, a transducer (a small handheld device) is placed on the mother's abdomen and moved around to capture images from different angles. The sound waves travel through the mother's body and bounce back off the fetus, producing echoes that are then converted into electrical signals and displayed as images on a screen.

Prenatal ultrasonography can be performed at various stages of pregnancy, including early pregnancy to confirm the pregnancy and detect the number of fetuses, mid-pregnancy to assess the growth and development of the fetus, and late pregnancy to evaluate the position of the fetus and determine if it is head down or breech. It can also be used to guide invasive procedures such as amniocentesis or chorionic villus sampling.

Overall, prenatal ultrasonography is a valuable tool in modern obstetrics that helps ensure the health and well-being of both the mother and the developing fetus.

A premature birth is defined as the delivery of a baby before 37 weeks of gestation. This can occur spontaneously or as a result of medical intervention due to maternal or fetal complications. Premature babies, also known as preemies, may face various health challenges depending on how early they are born and their weight at birth. These challenges can include respiratory distress syndrome, jaundice, anemia, issues with feeding and digestion, developmental delays, and vision problems. With advancements in medical care and neonatal intensive care units (NICUs), many premature babies survive and go on to lead healthy lives.

Pregnancy outcome refers to the final result or status of a pregnancy, including both the health of the mother and the newborn baby. It can be categorized into various types such as:

1. Live birth: The delivery of one or more babies who show signs of life after separation from their mother.
2. Stillbirth: The delivery of a baby who has died in the womb after 20 weeks of pregnancy.
3. Miscarriage: The spontaneous loss of a pregnancy before the 20th week.
4. Abortion: The intentional termination of a pregnancy before the fetus can survive outside the uterus.
5. Ectopic pregnancy: A pregnancy that develops outside the uterus, usually in the fallopian tube, which is not viable and requires medical attention.
6. Preterm birth: The delivery of a baby before 37 weeks of gestation, which can lead to various health issues for the newborn.
7. Full-term birth: The delivery of a baby between 37 and 42 weeks of gestation.
8. Post-term pregnancy: The delivery of a baby after 42 weeks of gestation, which may increase the risk of complications for both mother and baby.

The pregnancy outcome is influenced by various factors such as maternal age, health status, lifestyle habits, genetic factors, and access to quality prenatal care.

Fetal growth retardation, also known as intrauterine growth restriction (IUGR), is a condition in which a fetus fails to grow at the expected rate during pregnancy. This can be caused by various factors such as maternal health problems, placental insufficiency, chromosomal abnormalities, and genetic disorders. The fetus may be smaller than expected for its gestational age, have reduced movement, and may be at risk for complications during labor and delivery. It is important to monitor fetal growth and development closely throughout pregnancy to detect any potential issues early on and provide appropriate medical interventions.

A "premature infant" is a newborn delivered before 37 weeks of gestation. They are at greater risk for various health complications and medical conditions compared to full-term infants, due to their immature organ systems and lower birth weight. Some common diseases and health issues that premature infants may face include:

1. Respiratory Distress Syndrome (RDS): A lung disorder caused by the lack of surfactant, a substance that helps keep the lungs inflated. Premature infants, especially those born before 34 weeks, are at higher risk for RDS.
2. Intraventricular Hemorrhage (IVH): Bleeding in the brain's ventricles, which can lead to developmental delays or neurological issues. The risk of IVH is inversely proportional to gestational age, meaning that the earlier the infant is born, the higher the risk.
3. Necrotizing Enterocolitis (NEC): A gastrointestinal disease where the intestinal tissue becomes inflamed and can die. Premature infants are at greater risk for NEC due to their immature digestive systems.
4. Jaundice: A yellowing of the skin and eyes caused by an accumulation of bilirubin, a waste product from broken-down red blood cells. Premature infants may have higher rates of jaundice due to their liver's immaturity.
5. Infections: Premature infants are more susceptible to infections because of their underdeveloped immune systems. Common sources of infection include the mother's genital tract, bloodstream, or hospital environment.
6. Anemia: A condition characterized by a low red blood cell count or insufficient hemoglobin. Premature infants may develop anemia due to frequent blood sampling, rapid growth, or inadequate erythropoietin production.
7. Retinopathy of Prematurity (ROP): An eye disorder affecting premature infants, where abnormal blood vessel growth occurs in the retina. Severe ROP can lead to vision loss or blindness if not treated promptly.
8. Developmental Delays: Premature infants are at risk for developmental delays due to their immature nervous systems and environmental factors such as sensory deprivation or separation from parents.
9. Patent Ductus Arteriosus (PDA): A congenital heart defect where the ductus arteriosus, a blood vessel that connects two major arteries in the fetal heart, fails to close after birth. Premature infants are at higher risk for PDA due to their immature cardiovascular systems.
10. Hypothermia: Premature infants have difficulty maintaining body temperature and are at risk for hypothermia, which can lead to increased metabolic demands, poor feeding, and infection.

Low birth weight is a term used to describe babies who are born weighing less than 5 pounds, 8 ounces (2,500 grams). It's often defined as a birth weight of 2,499 grams or less. This can be further categorized into very low birth weight (less than 1,500 grams) and extremely low birth weight (less than 1,000 grams). Low birth weight is most commonly caused by premature birth, but it can also be caused by growth restriction in the womb. These babies are at risk for numerous health complications, both in the short and long term.

The second trimester of pregnancy is the period between the completion of 12 weeks (the end of the first trimester) and 26 weeks (the beginning of the third trimester) of gestational age. It is often considered the most comfortable period for many pregnant women as the risk of miscarriage decreases significantly, and the symptoms experienced during the first trimester, such as nausea and fatigue, typically improve.

During this time, the uterus expands above the pubic bone, allowing more space for the growing fetus. The fetal development in the second trimester includes significant growth in size and weight, formation of all major organs, and the beginning of movement sensations that the mother can feel. Additionally, the fetus starts to hear, swallow and kick, and the skin is covered with a protective coating called vernix.

Prenatal care during this period typically includes regular prenatal appointments to monitor the mother's health and the baby's growth and development. These appointments may include measurements of the uterus, fetal heart rate monitoring, and screening tests for genetic disorders or other potential issues.

A fetus is the developing offspring in a mammal, from the end of the embryonic period (approximately 8 weeks after fertilization in humans) until birth. In humans, the fetal stage of development starts from the eleventh week of pregnancy and continues until childbirth, which is termed as full-term pregnancy at around 37 to 40 weeks of gestation. During this time, the organ systems become fully developed and the body grows in size. The fetus is surrounded by the amniotic fluid within the amniotic sac and is connected to the placenta via the umbilical cord, through which it receives nutrients and oxygen from the mother. Regular prenatal care is essential during this period to monitor the growth and development of the fetus and ensure a healthy pregnancy and delivery.

The third trimester of pregnancy is the final stage of pregnancy that lasts from week 29 until birth, which typically occurs around the 40th week. During this period, the fetus continues to grow and mature, gaining weight rapidly. The mother's body also prepares for childbirth by dilating the cervix and producing milk in preparation for breastfeeding. Regular prenatal care is crucial during this time to monitor the health of both the mother and the developing fetus, as well as to prepare for delivery.

Fetal development is the process in which a fertilized egg grows and develops into a fetus, which is a developing human being from the end of the eighth week after conception until birth. This complex process involves many different stages, including:

1. Fertilization: The union of a sperm and an egg to form a zygote.
2. Implantation: The movement of the zygote into the lining of the uterus, where it will begin to grow and develop.
3. Formation of the embryo: The development of the basic structures of the body, including the neural tube (which becomes the brain and spinal cord), heart, gastrointestinal tract, and sensory organs.
4. Differentiation of tissues and organs: The process by which different cells and tissues become specialized to perform specific functions.
5. Growth and maturation: The continued growth and development of the fetus, including the formation of bones, muscles, and other tissues.

Fetal development is a complex and highly regulated process that involves the interaction of genetic and environmental factors. Proper nutrition, prenatal care, and avoidance of harmful substances such as tobacco, alcohol, and drugs are important for ensuring healthy fetal development.

A very low birth weight (VLBW) infant is a baby born weighing less than 1500 grams (3 pounds, 5 ounces). This category includes babies who are extremely preterm (born at or before 28 weeks of gestation) and/or have intrauterine growth restriction. VLBW infants often face significant health challenges, including respiratory distress syndrome, brain bleeds, infections, and feeding difficulties. They may require extended hospital stays in the neonatal intensive care unit (NICU) and have a higher risk of long-term neurodevelopmental impairments compared to infants with normal birth weights.

Premature obstetric labor, also known as preterm labor, is defined as regular contractions leading to cervical changes that begin before 37 weeks of gestation. This condition can result in premature birth and potentially complications for the newborn, depending on how early the delivery occurs. It's important to note that premature labor requires medical attention and intervention to try to stop or delay it, if possible, to allow for further fetal development.

Pregnancy complications refer to any health problems that arise during pregnancy which can put both the mother and the baby at risk. These complications may occur at any point during the pregnancy, from conception until childbirth. Some common pregnancy complications include:

1. Gestational diabetes: a type of diabetes that develops during pregnancy in women who did not have diabetes before becoming pregnant.
2. Preeclampsia: a pregnancy complication characterized by high blood pressure and damage to organs such as the liver or kidneys.
3. Placenta previa: a condition where the placenta covers the cervix, which can cause bleeding and may require delivery via cesarean section.
4. Preterm labor: when labor begins before 37 weeks of gestation, which can lead to premature birth and other complications.
5. Intrauterine growth restriction (IUGR): a condition where the fetus does not grow at a normal rate inside the womb.
6. Multiple pregnancies: carrying more than one baby, such as twins or triplets, which can increase the risk of premature labor and other complications.
7. Rh incompatibility: a condition where the mother's blood type is different from the baby's, which can cause anemia and jaundice in the newborn.
8. Pregnancy loss: including miscarriage, stillbirth, or ectopic pregnancy, which can be emotionally devastating for the parents.

It is important to monitor pregnancy closely and seek medical attention promptly if any concerning symptoms arise. With proper care and management, many pregnancy complications can be treated effectively, reducing the risk of harm to both the mother and the baby.

Crown-rump length (CRL) is a medical measurement used in obstetrics to estimate the age of a developing fetus. It refers to the length from the top of the head (crown) to the bottom of the buttocks (rump). This measurement is typically taken during an ultrasound examination in the first trimester of pregnancy, between 8 and 13 weeks of gestation.

The CRL is used to calculate the estimated due date and to monitor fetal growth and development. It can also help identify potential issues or abnormalities in fetal development. As the pregnancy progresses, other measurements such as head circumference, abdominal circumference, and femur length are used to assess fetal growth and development.

The first trimester of pregnancy is defined as the period of gestational development that extends from conception (fertilization of the egg by sperm) to the end of the 13th week. This critical phase marks significant transformations in both the mother's body and the growing embryo/fetus.

During the first trimester, the fertilized egg implants into the uterine lining (implantation), initiating a series of complex interactions leading to the formation of the placenta - an organ essential for providing nutrients and oxygen to the developing fetus while removing waste products. Simultaneously, the embryo undergoes rapid cell division and differentiation, giving rise to various organs and systems. By the end of the first trimester, most major structures are present, although they continue to mature and grow throughout pregnancy.

The mother may experience several physiological changes during this time, including:
- Morning sickness (nausea and vomiting)
- Fatigue
- Breast tenderness
- Frequent urination
- Food aversions or cravings
- Mood swings

Additionally, hormonal shifts can cause various symptoms and prepare the body for potential changes in lactation, posture, and pelvic alignment as pregnancy progresses. Regular prenatal care is crucial during this period to monitor both maternal and fetal wellbeing, identify any potential complications early on, and provide appropriate guidance and support throughout the pregnancy.

Amniotic fluid is a clear, slightly yellowish liquid that surrounds and protects the developing baby in the uterus. It is enclosed within the amniotic sac, which is a thin-walled sac that forms around the embryo during early pregnancy. The fluid is composed of fetal urine, lung secretions, and fluids that cross over from the mother's bloodstream through the placenta.

Amniotic fluid plays several important roles in pregnancy:

1. It provides a shock-absorbing cushion for the developing baby, protecting it from injury caused by movement or external forces.
2. It helps to maintain a constant temperature around the fetus, keeping it warm and comfortable.
3. It allows the developing baby to move freely within the uterus, promoting normal growth and development of the muscles and bones.
4. It provides a source of nutrients and hydration for the fetus, helping to support its growth and development.
5. It helps to prevent infection by providing a barrier between the fetus and the outside world.

Throughout pregnancy, the volume of amniotic fluid increases as the fetus grows. The amount of fluid typically peaks around 34-36 weeks of gestation, after which it begins to gradually decrease. Abnormalities in the volume of amniotic fluid can indicate problems with the developing baby or the pregnancy itself, and may require medical intervention.

A Neonatal Intensive Care Unit (NICU) is a specialized hospital unit that provides advanced, intensive care for newborn babies who are born prematurely, critically ill, or have complex medical conditions. The NICU staff includes neonatologists, neonatal nurses, respiratory therapists, and other healthcare professionals trained to provide specialized care for these vulnerable infants.

The NICU is equipped with advanced technology and monitoring systems to support the babies' breathing, heart function, temperature regulation, and nutrition. The unit may include incubators or radiant warmers to maintain the baby's body temperature, ventilators to assist with breathing, and intravenous lines to provide fluids and medications.

NICUs are typically classified into levels based on the complexity of care provided, ranging from Level I (basic care for healthy newborns) to Level IV (the highest level of care for critically ill newborns). The specific services and level of care provided in a NICU may vary depending on the hospital and geographic location.

A "term birth" is a medical term that refers to a delivery or pregnancy that has reached 37 weeks or more. It is the normal length of a full-term pregnancy and is considered a healthy and low-risk period for childbirth. Babies born at term have the best chance of being healthy and not experiencing any significant medical issues, compared to those born preterm (before 37 weeks) or postterm (after 42 weeks). The different types of term births are:

* Early Term: Between 37 weeks and 38 weeks, 6 days.
* Full Term: Between 39 weeks and 40 weeks, 6 days.
* Late Term: Between 41 weeks and 41 weeks, 6 days.
* Postterm: 42 weeks or later.

It is important to note that while a term birth is generally considered low-risk, there can still be variations in the health of babies born at different points within this range. For example, research has shown that babies born at 39 weeks have better outcomes than those born at 37 or 38 weeks. Therefore, it is always best to consult with a healthcare provider for individualized guidance and recommendations regarding pregnancy and childbirth.

The fetal heart is the cardiovascular organ that develops in the growing fetus during pregnancy. It starts to form around 22 days after conception and continues to develop throughout the first trimester. By the end of the eighth week of gestation, the fetal heart has developed enough to pump blood throughout the body.

The fetal heart is similar in structure to the adult heart but has some differences. It is smaller and more compact, with a four-chambered structure that includes two atria and two ventricles. The fetal heart also has unique features such as the foramen ovale, which is a hole between the right and left atria that allows blood to bypass the lungs, and the ductus arteriosus, a blood vessel that connects the pulmonary artery to the aorta and diverts blood away from the lungs.

The fetal heart is responsible for pumping oxygenated blood from the placenta to the rest of the body and returning deoxygenated blood back to the placenta for re-oxygenation. The rate of the fetal heartbeat is faster than that of an adult, typically ranging from 120 to 160 beats per minute. Fetal heart rate monitoring is a common method used during pregnancy and childbirth to assess the health and well-being of the developing fetus.

Fetal diseases are medical conditions or abnormalities that affect a fetus during pregnancy. These diseases can be caused by genetic factors, environmental influences, or a combination of both. They can range from mild to severe and may impact various organ systems in the developing fetus. Examples of fetal diseases include congenital heart defects, neural tube defects, chromosomal abnormalities such as Down syndrome, and infectious diseases such as toxoplasmosis or rubella. Fetal diseases can be diagnosed through prenatal testing, including ultrasound, amniocentesis, and chorionic villus sampling. Treatment options may include medication, surgery, or delivery of the fetus, depending on the nature and severity of the disease.

Maternal age is a term used to describe the age of a woman at the time she becomes pregnant or gives birth. It is often used in medical and epidemiological contexts to discuss the potential risks, complications, and outcomes associated with pregnancy and childbirth at different stages of a woman's reproductive years.

Advanced maternal age typically refers to women who become pregnant or give birth at 35 years of age or older. This group faces an increased risk for certain chromosomal abnormalities, such as Down syndrome, and other pregnancy-related complications, including gestational diabetes, preeclampsia, and cesarean delivery.

On the other end of the spectrum, adolescent pregnancies (those that occur in women under 20 years old) also come with their own set of potential risks and complications, such as preterm birth, low birth weight, and anemia.

It's important to note that while maternal age can influence pregnancy outcomes, many other factors – including genetics, lifestyle choices, and access to quality healthcare – can also play a significant role in determining the health of both mother and baby during pregnancy and childbirth.

The Apgar score is a quick assessment of the physical condition of a newborn infant, assessed by measuring heart rate, respiratory effort, muscle tone, reflex irritability, and skin color. It is named after Virginia Apgar, an American anesthesiologist who developed it in 1952. The score is usually given at one minute and five minutes after birth, with a possible range of 0 to 10. Scores of 7 and above are considered normal, while scores of 4-6 indicate moderate distress, and scores below 4 indicate severe distress. The Apgar score can provide important information for making decisions about the need for resuscitation or other medical interventions after birth.

Retinopathy of Prematurity (ROP) is a potentially sight-threatening proliferative retinal vascular disorder that primarily affects prematurely born infants, particularly those with low birth weight and/or young gestational age. It is characterized by the abnormal growth and development of retinal blood vessels due to disturbances in the oxygen supply and metabolic demands during critical phases of fetal development.

The condition can be classified into various stages (1-5) based on its severity, with stages 4 and 5 being more severe forms that may lead to retinal detachment and blindness if left untreated. The pathogenesis of ROP involves an initial phase of vessel loss and regression in the central retina, followed by a secondary phase of abnormal neovascularization, which can cause fibrosis, traction, and ultimately, retinal detachment.

ROP is typically managed with a multidisciplinary approach involving ophthalmologists, neonatologists, and pediatricians. Treatment options include laser photocoagulation, cryotherapy, intravitreal anti-VEGF injections, or even surgical interventions to prevent retinal detachment and preserve vision. Regular screening examinations are crucial for early detection and timely management of ROP in at-risk infants.

In the field of medicine, twins are defined as two offspring produced by the same pregnancy. They can be either monozygotic (identical) or dizygotic (fraternal). Monozygotic twins develop from a single fertilized egg that splits into two separate embryos, resulting in individuals who share identical genetic material. Dizygotic twins, on the other hand, result from the fertilization of two separate eggs by two different sperm cells, leading to siblings who share about 50% of their genetic material, similar to non-twin siblings.

Respiratory Distress Syndrome (RDS), Newborn is a common lung disorder in premature infants. It occurs when the lungs lack a substance called surfactant, which helps keep the tiny air sacs in the lungs open. This results in difficulty breathing and oxygenation, causing symptoms such as rapid, shallow breathing, grunting noises, flaring of the nostrils, and retractions (the skin between the ribs pulls in with each breath). RDS is more common in infants born before 34 weeks of gestation and is treated with surfactant replacement therapy, oxygen support, and mechanical ventilation if necessary. In severe cases, it can lead to complications such as bronchopulmonary dysplasia or even death.

Infant Mortality is the death of a baby before their first birthday. The infant mortality rate is typically expressed as the number of deaths per 1,000 live births. This is a key indicator of the overall health of a population and is often used to measure the well-being of children in a society.

Infant mortality can be further categorized into neonatal mortality (death within the first 28 days of life) and postneonatal mortality (death after 28 days of life but before one year). The main causes of infant mortality vary by country and region, but generally include premature birth, low birth weight, congenital anomalies, sudden infant death syndrome (SIDS), and infectious diseases.

Reducing infant mortality is a major public health goal for many countries, and efforts to improve maternal and child health, access to quality healthcare, and socioeconomic conditions are crucial in achieving this goal.

Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.

Pre-eclampsia is a pregnancy-related disorder, typically characterized by the onset of high blood pressure (hypertension) and damage to organs, such as the kidneys, after the 20th week of pregnancy. It is often accompanied by proteinuria, which is the presence of excess protein in the urine. Pre-eclampsia can lead to serious complications for both the mother and the baby if left untreated or unmanaged.

The exact causes of pre-eclampsia are not fully understood, but it is believed that placental issues, genetic factors, and immune system problems may contribute to its development. Risk factors include first-time pregnancies, history of pre-eclampsia in previous pregnancies, chronic hypertension, obesity, older age (35 or older), and assisted reproductive technology (ART) pregnancies.

Pre-eclampsia can progress to a more severe form called eclampsia, which is characterized by the onset of seizures. HELLP syndrome, another severe complication, involves hemolysis (breaking down of red blood cells), elevated liver enzymes, and low platelet count.

Early detection and management of pre-eclampsia are crucial to prevent severe complications. Regular prenatal care, including frequent blood pressure checks and urine tests, can help identify early signs of the condition. Treatment typically involves close monitoring, medication to lower blood pressure, corticosteroids to promote fetal lung maturity, and, in some cases, delivery of the baby if the mother's or baby's health is at risk.

The umbilical arteries are a pair of vessels that develop within the umbilical cord during fetal development. They carry oxygenated and nutrient-rich blood from the mother to the developing fetus through the placenta. These arteries arise from the internal iliac arteries in the fetus and pass through the umbilical cord to connect with the two umbilical veins within the placenta. After birth, the umbilical arteries become ligaments (the medial umbilical ligaments) that run along the inner abdominal wall.

The placenta is an organ that develops in the uterus during pregnancy and provides oxygen and nutrients to the growing baby through the umbilical cord. It also removes waste products from the baby's blood. The placenta attaches to the wall of the uterus, and the baby's side of the placenta contains many tiny blood vessels that connect to the baby's circulatory system. This allows for the exchange of oxygen, nutrients, and waste between the mother's and baby's blood. After the baby is born, the placenta is usually expelled from the uterus in a process called afterbirth.

Fetal death, also known as stillbirth or intrauterine fetal demise, is defined as the death of a fetus at 20 weeks of gestation or later. The criteria for defining fetal death may vary slightly by country and jurisdiction, but in general, it refers to the loss of a pregnancy after the point at which the fetus is considered viable outside the womb.

Fetal death can occur for a variety of reasons, including chromosomal abnormalities, placental problems, maternal health conditions, infections, and umbilical cord accidents. In some cases, the cause of fetal death may remain unknown.

The diagnosis of fetal death is typically made through ultrasound or other imaging tests, which can confirm the absence of a heartbeat or movement in the fetus. Once fetal death has been diagnosed, medical professionals will work with the parents to determine the best course of action for managing the pregnancy and delivering the fetus. This may involve waiting for labor to begin naturally, inducing labor, or performing a cesarean delivery.

Experiencing a fetal death can be a very difficult and emotional experience for parents, and it is important for them to receive supportive care from their healthcare providers, family members, and friends. Grief counseling and support groups may also be helpful in coping with the loss.

Child development is a multidisciplinary field that examines the biological, psychological, emotional, and social growth and changes that occur in human beings between birth and the onset of adulthood. It involves a complex interaction of genetics, environment, culture, and experiences that shape a child's growth and development over time.

Child development is typically divided into several domains, including:

1. Physical Development: This refers to the growth and changes in a child's body, including their motor skills, sensory abilities, and overall health.
2. Cognitive Development: This involves the development of a child's thinking, learning, problem-solving, memory, language, and other mental processes.
3. Emotional Development: This refers to the development of a child's emotional awareness, expression, understanding, and regulation.
4. Social Development: This involves the development of a child's ability to interact with others, form relationships, communicate effectively, and understand social norms and expectations.

Child development is an ongoing process that occurs at different rates and in different ways for each child. Understanding typical patterns of child development can help parents, educators, and healthcare providers support children's growth and identify any potential delays or concerns.

Bronchopulmonary dysplasia (BPD) is a chronic lung disease that primarily affects premature infants. It is defined as the need for supplemental oxygen at 28 days of life or beyond, due to abnormal development and injury to the lungs.

The condition was first described in the 1960s, following the introduction of mechanical ventilation and high concentrations of oxygen therapy for premature infants with respiratory distress syndrome (RDS). These treatments, while lifesaving, can also cause damage to the delicate lung tissue, leading to BPD.

The pathogenesis of BPD is complex and involves an interplay between genetic factors, prenatal exposures, and postnatal injury from mechanical ventilation and oxygen toxicity. Inflammation, oxidative stress, and impaired lung development contribute to the development of BPD.

Infants with BPD typically have abnormalities in their airways, alveoli (air sacs), and blood vessels in the lungs. These changes can lead to symptoms such as difficulty breathing, wheezing, coughing, and poor growth. Treatment may include oxygen therapy, bronchodilators, corticosteroids, diuretics, and other medications to support lung function and minimize complications.

The prognosis for infants with BPD varies depending on the severity of the disease and associated medical conditions. While some infants recover completely, others may have long-term respiratory problems that require ongoing management.

Neonatal Intensive Care (NIC) is a specialized medical care for newborn babies who are born prematurely, have low birth weight, or have medical conditions that require advanced medical intervention. This can include monitoring and support for breathing, heart function, temperature regulation, and nutrition. NICUs are staffed with healthcare professionals trained in neonatology, nursing, respiratory therapy, and other specialized areas to provide the highest level of care for these vulnerable infants.

The goal of NICU is to stabilize the newborn's condition, treat medical problems, promote growth and development, and support the family throughout the hospitalization and transition to home. The level of care provided in a NICU can vary depending on the severity of the infant's condition, ranging from basic monitoring and support to complex treatments such as mechanical ventilation, surgery, and medication therapy.

In general, NICUs are classified into different levels based on the complexity of care they can provide. Level I NICUs provide basic care for infants born at or near term who require minimal medical intervention. Level II NICUs provide more advanced care for premature or sick newborns who require specialized monitoring and treatment but do not need surgery or complex therapies. Level III NICUs provide the highest level of care, including advanced respiratory support, surgical services, and critical care for critically ill infants with complex medical conditions.

"Delivery, Obstetric" is a medical term that refers to the process of giving birth to a baby. It involves the passage of the fetus through the mother's vagina or via Caesarean section (C-section), which is a surgical procedure.

The obstetric delivery process typically includes three stages:

1. The first stage begins with the onset of labor and ends when the cervix is fully dilated.
2. The second stage starts with full dilation of the cervix and ends with the birth of the baby.
3. The third stage involves the delivery of the placenta, which is the organ that provides oxygen and nutrients to the developing fetus during pregnancy.

Obstetric delivery requires careful monitoring and management by healthcare professionals to ensure the safety and well-being of both the mother and the baby. Various interventions and techniques may be used during the delivery process to facilitate a safe and successful outcome, including the use of medications, assisted delivery with forceps or vacuum extraction, and C-section.

A stillbirth is defined as the delivery of a baby who has died in the womb after 20 weeks of pregnancy. The baby may die at any time during the pregnancy, but death must occur after 20 weeks to be classified as a stillbirth. Stillbirths can have many different causes, including problems with the placenta or umbilical cord, chromosomal abnormalities, infections, and birth defects. In some cases, the cause of a stillbirth may not be able to be determined.

Stillbirth is a tragic event that can have significant emotional and psychological impacts on the parents and other family members. It is important for healthcare providers to offer support and resources to help families cope with their loss. This may include counseling, support groups, and information about memorializing their baby.

Prenatal diagnosis is the medical testing of fetuses, embryos, or pregnant women to detect the presence or absence of certain genetic disorders or birth defects. These tests can be performed through various methods such as chorionic villus sampling (CVS), amniocentesis, or ultrasound. The goal of prenatal diagnosis is to provide early information about the health of the fetus so that parents and healthcare providers can make informed decisions about pregnancy management and newborn care. It allows for early intervention, treatment, or planning for the child's needs after birth.

Reference values, also known as reference ranges or reference intervals, are the set of values that are considered normal or typical for a particular population or group of people. These values are often used in laboratory tests to help interpret test results and determine whether a patient's value falls within the expected range.

The process of establishing reference values typically involves measuring a particular biomarker or parameter in a large, healthy population and then calculating the mean and standard deviation of the measurements. Based on these statistics, a range is established that includes a certain percentage of the population (often 95%) and excludes extreme outliers.

It's important to note that reference values can vary depending on factors such as age, sex, race, and other demographic characteristics. Therefore, it's essential to use reference values that are specific to the relevant population when interpreting laboratory test results. Additionally, reference values may change over time due to advances in measurement technology or changes in the population being studied.

A "newborn infant" refers to a baby in the first 28 days of life outside of the womb. This period is crucial for growth and development, but also poses unique challenges as the infant's immune system is not fully developed, making them more susceptible to various diseases.

"Newborn diseases" are health conditions that specifically affect newborn infants. These can be categorized into three main types:

1. Congenital disorders: These are conditions that are present at birth and may be inherited or caused by factors such as infection, exposure to harmful substances during pregnancy, or chromosomal abnormalities. Examples include Down syndrome, congenital heart defects, and spina bifida.

2. Infectious diseases: Newborn infants are particularly vulnerable to infections due to their immature immune systems. Common infectious diseases in newborns include sepsis (bloodstream infection), pneumonia, and meningitis. These can be acquired from the mother during pregnancy or childbirth, or from the environment after birth.

3. Developmental disorders: These are conditions that affect the normal growth and development of the newborn infant. Examples include cerebral palsy, intellectual disabilities, and vision or hearing impairments.

It is important to note that many newborn diseases can be prevented or treated with appropriate medical care, including prenatal care, proper hygiene practices, and timely vaccinations. Regular check-ups and monitoring of the newborn's health by a healthcare provider are essential for early detection and management of any potential health issues.

An "Extremely Low Birth Weight" (ELBW) infant is a newborn with a birth weight below 1000 grams (2 pounds, 3 ounces), according to the World Health Organization (WHO). This classification is part of the broader category of low birth weight infants, which includes those born weighing less than 2500 grams (about 5.5 pounds). ELBW infants often face significant health challenges due to their prematurity and small size, which can include issues with breathing, feeding, temperature regulation, and potential long-term neurodevelopmental impairments. It is crucial for these infants to receive specialized care in a neonatal intensive care unit (NICU) to optimize their chances of survival and promote healthy development.

A cohort study is a type of observational study in which a group of individuals who share a common characteristic or exposure are followed up over time to determine the incidence of a specific outcome or outcomes. The cohort, or group, is defined based on the exposure status (e.g., exposed vs. unexposed) and then monitored prospectively to assess for the development of new health events or conditions.

Cohort studies can be either prospective or retrospective in design. In a prospective cohort study, participants are enrolled and followed forward in time from the beginning of the study. In contrast, in a retrospective cohort study, researchers identify a cohort that has already been assembled through medical records, insurance claims, or other sources and then look back in time to assess exposure status and health outcomes.

Cohort studies are useful for establishing causality between an exposure and an outcome because they allow researchers to observe the temporal relationship between the two. They can also provide information on the incidence of a disease or condition in different populations, which can be used to inform public health policy and interventions. However, cohort studies can be expensive and time-consuming to conduct, and they may be subject to bias if participants are not representative of the population or if there is loss to follow-up.

Fetal weight is the calculated weight of a fetus during pregnancy, typically estimated through ultrasound measurements. It is a crucial indicator of fetal growth and development throughout pregnancy. The weight is determined by measuring various parameters such as the head circumference, abdominal circumference, and femur length, which are then used in conjunction with specific formulas to estimate the fetal weight. Regular monitoring of fetal weight helps healthcare providers assess fetal health, identify potential growth restrictions or abnormalities, and determine appropriate delivery timing. Low fetal weight can indicate intrauterine growth restriction (IUGR), while high fetal weight might suggest macrosomia, both of which may require specialized care and management.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Medical Definition:

"Risk factors" are any attribute, characteristic or exposure of an individual that increases the likelihood of developing a disease or injury. They can be divided into modifiable and non-modifiable risk factors. Modifiable risk factors are those that can be changed through lifestyle choices or medical treatment, while non-modifiable risk factors are inherent traits such as age, gender, or genetic predisposition. Examples of modifiable risk factors include smoking, alcohol consumption, physical inactivity, and unhealthy diet, while non-modifiable risk factors include age, sex, and family history. It is important to note that having a risk factor does not guarantee that a person will develop the disease, but rather indicates an increased susceptibility.

An extremely premature infant is a baby born alive before 28 weeks of gestation. This group of infants is at the highest risk for morbidity and mortality among preterm infants. They often require extensive medical support in the neonatal intensive care unit, including mechanical ventilation, surfactant replacement therapy, and total parenteral nutrition. Extremely premature infants are also at increased risk for long-term neurodevelopmental impairments, such as cerebral palsy, intellectual disability, and vision and hearing problems. The survival rate for extremely premature infants has improved in recent decades due to advances in medical technology and care, but these infants remain a vulnerable population that requires close monitoring and specialized treatment.

Fetal blood refers to the blood circulating in a fetus during pregnancy. It is essential for the growth and development of the fetus, as it carries oxygen and nutrients from the placenta to the developing tissues and organs. Fetal blood also removes waste products, such as carbon dioxide, from the fetal tissues and transports them to the placenta for elimination.

Fetal blood has several unique characteristics that distinguish it from adult blood. For example, fetal hemoglobin (HbF) is the primary type of hemoglobin found in fetal blood, whereas adults primarily have adult hemoglobin (HbA). Fetal hemoglobin has a higher affinity for oxygen than adult hemoglobin, which allows it to more efficiently extract oxygen from the maternal blood in the placenta.

Additionally, fetal blood contains a higher proportion of reticulocytes (immature red blood cells) and nucleated red blood cells compared to adult blood. These differences reflect the high turnover rate of red blood cells in the developing fetus and the need for rapid growth and development.

Examination of fetal blood can provide important information about the health and well-being of the fetus during pregnancy. For example, fetal blood sampling (also known as cordocentesis or percutaneous umbilical blood sampling) can be used to diagnose genetic disorders, infections, and other conditions that may affect fetal development. However, this procedure carries risks, including preterm labor, infection, and fetal loss, and is typically only performed when there is a significant risk of fetal compromise or when other diagnostic tests have been inconclusive.

Embryonic and fetal development is the process of growth and development that occurs from fertilization of the egg (conception) to birth. The terms "embryo" and "fetus" are used to describe different stages of this development:

* Embryonic development: This stage begins at fertilization and continues until the end of the 8th week of pregnancy. During this time, the fertilized egg (zygote) divides and forms a blastocyst, which implants in the uterus and begins to develop into a complex structure called an embryo. The embryo consists of three layers of cells that will eventually form all of the organs and tissues of the body. During this stage, the basic structures of the body, including the nervous system, heart, and gastrointestinal tract, begin to form.
* Fetal development: This stage begins at the end of the 8th week of pregnancy and continues until birth. During this time, the embryo is called a fetus, and it grows and develops rapidly. The organs and tissues that were formed during the embryonic stage continue to mature and become more complex. The fetus also begins to move and kick, and it can hear and respond to sounds from outside the womb.

Overall, embryonic and fetal development is a complex and highly regulated process that involves the coordinated growth and differentiation of cells and tissues. It is a critical period of development that lays the foundation for the health and well-being of the individual throughout their life.

Fetal macrosomia is a medical condition where the fetus in the womb is significantly larger than normal. While there is no consensus on an exact weight that defines macrosomia, it is generally defined as a fetus with an estimated weight of 4,000 grams (8 pounds 13 ounces) or more at birth.

Fetal macrosomia can be caused by several factors, including maternal diabetes, post-term pregnancy, excessive weight gain during pregnancy, and prior history of macrosomic infants. Macrosomic infants are at an increased risk for complications during labor and delivery, such as shoulder dystocia, birth injuries, and hypoglycemia.

It is important for healthcare providers to monitor fetal growth carefully during pregnancy, particularly in women who have risk factors for macrosomia. Regular prenatal care, including ultrasound measurements of the fetus, can help identify cases of fetal macrosomia and allow for appropriate management and delivery planning.

"Fetal organ maturity" refers to the stage of development and functional competency of the various organs in a fetus. It is the point at which an organ has developed enough to be able to perform its intended physiological functions effectively and sustainably. This maturity is determined by a combination of factors including structural development, cellular differentiation, and biochemical functionality.

Fetal organ maturity is a critical aspect of fetal development, as it directly impacts the newborn's ability to survive and thrive outside the womb. The level of maturity varies among different organs, with some becoming mature earlier in gestation while others continue to develop and mature until birth or even after.

Assessment of fetal organ maturity is often used in clinical settings to determine the optimal time for delivery, particularly in cases where there are risks associated with premature birth. This assessment typically involves a combination of imaging studies, such as ultrasound and MRI, as well as laboratory tests and physical examinations.

Chorioamnionitis is a medical condition that refers to the inflammation of the fetal membranes, specifically the chorion and amnion, which make up the membranous sac surrounding the developing fetus in the uterus. This condition is typically caused by a bacterial infection that ascends from the lower genital tract of the mother and infects the amniotic cavity, leading to an inflammatory response.

The symptoms of chorioamnionitis can vary but often include fever, abdominal pain or tenderness, foul-smelling amniotic fluid, and an elevated white blood cell count in the mother's blood. In some cases, it may also be associated with preterm labor and premature rupture of membranes.

Chorioamnionitis can have serious consequences for both the mother and the baby. It can increase the risk of complications such as sepsis, pneumonia, and endometritis in the mother, and may lead to premature birth, respiratory distress syndrome, and brain injury in the newborn. Treatment typically involves administering antibiotics to the mother to help clear the infection and prevent further complications.

A Cesarean section, often referred to as a C-section, is a surgical procedure used to deliver a baby. It involves making an incision through the mother's abdomen and uterus to remove the baby. This procedure may be necessary when a vaginal delivery would put the mother or the baby at risk.

There are several reasons why a C-section might be recommended, including:

* The baby is in a breech position (feet first) or a transverse position (sideways) and cannot be turned to a normal head-down position.
* The baby is too large to safely pass through the mother's birth canal.
* The mother has a medical condition, such as heart disease or high blood pressure, that could make vaginal delivery risky.
* The mother has an infection, such as HIV or herpes, that could be passed to the baby during a vaginal delivery.
* The labor is not progressing and there are concerns about the health of the mother or the baby.

C-sections are generally safe for both the mother and the baby, but like any surgery, they do carry some risks. These can include infection, bleeding, blood clots, and injury to nearby organs. In addition, women who have a C-section are more likely to experience complications in future pregnancies, such as placenta previa or uterine rupture.

If you have questions about whether a C-section is necessary for your delivery, it's important to discuss your options with your healthcare provider.

Premature rupture of fetal membranes (PROM) is a medical condition that occurs when the amniotic sac, which surrounds and protects the developing fetus, breaks or ruptures prematurely before labor begins. The amniotic sac is made up of two layers of fetal membranes - the inner amnion and the outer chorion.

In a normal pregnancy, the fetal membranes rupture spontaneously during labor as a sign that the delivery process has begun. However, if the membranes rupture before 37 weeks of gestation, it is considered premature rupture of membranes. PROM can lead to complications such as preterm labor, infection, and fetal distress.

PROM can be classified into two types based on the timing of membrane rupture:

1. Preterm Premature Rupture of Membranes (PPROM): When the membranes rupture before 37 weeks of gestation, it is called preterm premature rupture of membranes. PPROM increases the risk of preterm labor and delivery, which can lead to various complications for the newborn, such as respiratory distress syndrome, brain bleeding, and developmental delays.
2. Term Premature Rupture of Membranes (TPROM): When the membranes rupture at or after 37 weeks of gestation, it is called term premature rupture of membranes. TPROM may not necessarily lead to complications if labor begins soon after the membrane rupture and there are no signs of infection. However, if labor does not start within 24 hours of membrane rupture, the risk of infection increases, and the healthcare provider may consider inducing labor or performing a cesarean delivery.

The exact cause of premature rupture of fetal membranes is not always known, but several factors can increase the risk, including previous PROM, bacterial infections, smoking, substance abuse, and trauma to the uterus. Healthcare providers monitor women with PROM closely for signs of infection and preterm labor and may recommend treatments such as antibiotics, corticosteroids, or hospitalization to reduce the risk of complications.

Developmental disabilities are a group of conditions that arise in childhood and are characterized by significant impairments in cognitive functioning, physical development, or both. These disabilities can affect various areas of an individual's life, including their ability to learn, communicate, socialize, and take care of themselves.

Examples of developmental disabilities include intellectual disabilities, cerebral palsy, autism spectrum disorder, Down syndrome, and fetal alcohol spectrum disorders. These conditions are typically diagnosed in childhood and can persist throughout an individual's life.

The causes of developmental disabilities are varied and can include genetic factors, environmental influences, and complications during pregnancy or childbirth. In some cases, the exact cause may be unknown.

It is important to note that individuals with developmental disabilities have unique strengths and abilities, as well as challenges. With appropriate support and services, they can lead fulfilling lives and participate actively in their communities.

Prenatal care is a type of preventive healthcare that focuses on providing regular check-ups and medical care to pregnant women, with the aim of ensuring the best possible health outcomes for both the mother and the developing fetus. It involves routine prenatal screenings and tests, such as blood pressure monitoring, urine analysis, weight checks, and ultrasounds, to assess the progress of the pregnancy and identify any potential health issues or complications early on.

Prenatal care also includes education and counseling on topics such as nutrition, exercise, and lifestyle choices that can affect pregnancy outcomes. It may involve referrals to specialists, such as obstetricians, perinatologists, or maternal-fetal medicine specialists, for high-risk pregnancies.

Overall, prenatal care is an essential component of ensuring a healthy pregnancy and reducing the risk of complications during childbirth and beyond.

A birth certificate is an official document that serves as legal proof of a person's birth and provides important information about the individual, including their full name, date and place of birth, sex, parents' names, and other identifying details. In medical terms, a birth certificate may be used to establish a patient's identity, age, and other relevant demographic information.

Birth certificates are typically issued by the government agency responsible for vital records in the jurisdiction where the individual was born, such as a state or county health department. They are considered legal documents and are often required for various purposes, such as enrolling in school, applying for a passport, or obtaining government benefits.

It is important to note that birth certificates may be amended or corrected if there are errors or discrepancies in the information they contain. In some cases, individuals may also need to obtain certified copies of their birth certificate from the appropriate government agency in order to provide proof of their identity or other personal information.

Fetal mortality refers to the death of a fetus after reaching viability, typically defined as 20 weeks of gestation or greater. The term "stillbirth" is often used interchangeably with fetal mortality and is generally defined as the birth of a baby who has died in the womb after 20 weeks of pregnancy.

Fetal mortality can be caused by a variety of factors, including chromosomal abnormalities, maternal health conditions, placental problems, infections, and complications during labor and delivery. In some cases, the cause of fetal mortality may remain unknown.

The rate of fetal mortality is an important public health indicator and is closely monitored by healthcare providers and researchers. Reducing fetal mortality requires a multifaceted approach that includes prenatal care, identification and management of risk factors, and access to high-quality obstetric care.

"Body height" is a measure of the vertical length of a person's body from the top of their head to the bottom of their feet. It is typically measured in units such as centimeters (cm) or inches (in). In medical settings, body height is often used as a basic anthropometric measurement to assess overall health status, growth and development, nutritional status, and aging-related changes.

There are different methods for measuring body height, but the most common one involves having the person stand upright against a vertical surface (such as a wall or a stadiometer) with their heels, buttocks, shoulders, and head touching the surface. The measurement is taken at the point where the top of the person's head meets the surface.

Body height can be influenced by various factors, including genetics, nutrition, health status, and environmental conditions. Changes in body height over time can provide important insights into a person's health trajectory and potential health risks. For example, a significant decrease in body height may indicate bone loss or spinal compression, while a rapid increase in height during childhood or adolescence may suggest optimal growth and development.

The umbilical cord is a flexible, tube-like structure that connects the developing fetus to the placenta in the uterus during pregnancy. It arises from the abdomen of the fetus and transports essential nutrients, oxygen, and blood from the mother's circulation to the growing baby. Additionally, it carries waste products, such as carbon dioxide, from the fetus back to the placenta for elimination. The umbilical cord is primarily composed of two arteries (the umbilical arteries) and one vein (the umbilical vein), surrounded by a protective gelatinous substance called Wharton's jelly, and enclosed within a fibrous outer covering known as the umbilical cord coating. Following birth, the umbilical cord is clamped and cut, leaving behind the stump that eventually dries up and falls off, resulting in the baby's belly button.

Fetal heart rate (FHR) is the number of times a fetus's heart beats in one minute. It is measured through the use of a fetoscope, Doppler ultrasound device, or cardiotocograph (CTG). A normal FHR ranges from 120 to 160 beats per minute (bpm), although it can vary throughout pregnancy and is usually faster than an adult's heart rate. Changes in the FHR pattern may indicate fetal distress, hypoxia, or other conditions that require medical attention. Regular monitoring of FHR during pregnancy, labor, and delivery helps healthcare providers assess fetal well-being and ensure a safe outcome for both the mother and the baby.

In medical terms, the "head" is the uppermost part of the human body that contains the brain, skull, face, eyes, nose, mouth, and ears. It is connected to the rest of the body by the neck and is responsible for many vital functions such as sight, hearing, smell, taste, touch, and thought processing. The head also plays a crucial role in maintaining balance, speech, and eating.

In medical terms, parity refers to the number of times a woman has given birth to a viable fetus, usually defined as a pregnancy that reaches at least 20 weeks' gestation. It is often used in obstetrics and gynecology to describe a woman's childbearing history and to assess potential risks associated with childbirth.

Parity is typically categorized as follows:

* Nulliparous: A woman who has never given birth to a viable fetus.
* Primiparous: A woman who has given birth to one viable fetus.
* Multiparous: A woman who has given birth to more than one viable fetus.

In some cases, parity may also consider the number of pregnancies that resulted in stillbirths or miscarriages, although this is not always the case. It's important to note that parity does not necessarily reflect the total number of pregnancies a woman has had, only those that resulted in viable births.

Fetal monitoring is a procedure used during labor and delivery to assess the well-being of the fetus. It involves the use of electronic devices to measure and record the fetal heart rate and uterine contractions. The information obtained from fetal monitoring can help healthcare providers identify any signs of fetal distress, such as a decreased fetal heart rate, which may indicate the need for interventions or an emergency cesarean delivery.

There are two main types of fetal monitoring: external and internal. External fetal monitoring involves placing sensors on the mother's abdomen to detect the fetal heart rate and uterine contractions. Internal fetal monitoring, which is typically used during high-risk deliveries, involves inserting an electrode into the fetus' scalp to measure the fetal heart rate more accurately.

Fetal monitoring can provide valuable information about the fetus's well-being during labor and delivery, but it is important to note that it has limitations and may not always detect fetal distress in a timely manner. Therefore, healthcare providers must use their clinical judgment and other assessment tools, such as fetal movement counting and visual examination of the fetus, to ensure the safe delivery of the baby.

Echoencephalography (EEG) is a type of neurosonology technique that uses ultrasound to assess the structures of the brain and detect any abnormalities. It is also known as brain ultrasound or transcranial Doppler ultrasound. This non-invasive procedure involves placing a small ultrasound probe on the skull, which emits sound waves that travel through the skull and bounce back (echo) when they reach the brain tissue. The resulting echoes are then analyzed to create images of the brain's structures, including the ventricles, cerebral arteries, and other blood vessels.

EEG is often used in infants and young children, as their skulls are still thin enough to allow for clear ultrasound imaging. It can help diagnose conditions such as hydrocephalus (fluid buildup in the brain), intracranial hemorrhage (bleeding in the brain), stroke, and other neurological disorders. EEG is a safe and painless procedure that does not require any radiation or contrast agents, making it an attractive alternative to other imaging techniques such as CT or MRI scans. However, its use is limited in older children and adults due to the thickening of the skull bones, which can make it difficult to obtain clear images.

Pregnancy trimesters are a way to divide the duration of pregnancy into three 3-month (or approximately 13-week) segments. This division can help healthcare providers monitor and discuss specific developmental stages, symptoms, and care needs during each phase of the pregnancy. Here's a brief overview of what typically occurs in each trimester:

1. First Trimester (Week 1 - Week 12): During this period, major organs and structures begin to form in the developing fetus. Common symptoms experienced by the pregnant individual may include morning sickness, fatigue, breast tenderness, and frequent urination. Regular prenatal care should start during these early weeks to monitor both the mother's and baby's health.

2. Second Trimester (Week 13 - Week 26): This phase is often considered more comfortable for many pregnant individuals as some symptoms from the first trimester improve. The fetus continues to grow, and movement can be felt. Organs and systems continue to develop, and the fetus becomes more active. Common symptoms during this time include back pain, stretch marks, and swelling of the ankles and feet.

3. Third Trimester (Week 27 - Birth): The final trimester is marked by significant growth and weight gain for both the mother and baby. The fetus will turn into a head-down position in preparation for birth. Common symptoms during this time include shortness of breath, heartburn, difficulty sleeping, and contractions (which can indicate early labor). Regular prenatal care remains crucial to monitor the health of both the mother and baby as delivery approaches.

In medical terms, triplets are a type of multiple pregnancy, where three offsprings (fetuses) develop simultaneously in the uterus of a single pregnant woman. This occurs when a woman releases more than one egg during ovulation, and all three eggs get fertilized by separate sperm cells. Triplets can also occur through the use of assisted reproductive technologies such as in vitro fertilization (IVF) where multiple embryos are transferred into the uterus.

Triplet pregnancies carry a higher risk of complications for both the mother and the offsprings compared to singleton or twin pregnancies, including preterm labor, low birth weight, and developmental issues. As such, they often require close monitoring and specialized care throughout the pregnancy.

Congenital abnormalities, also known as birth defects, are structural or functional anomalies that are present at birth. These abnormalities can develop at any point during fetal development, and they can affect any part of the body. They can be caused by genetic factors, environmental influences, or a combination of both.

Congenital abnormalities can range from mild to severe and may include structural defects such as heart defects, neural tube defects, and cleft lip and palate, as well as functional defects such as intellectual disabilities and sensory impairments. Some congenital abnormalities may be visible at birth, while others may not become apparent until later in life.

In some cases, congenital abnormalities may be detected through prenatal testing, such as ultrasound or amniocentesis. In other cases, they may not be diagnosed until after the baby is born. Treatment for congenital abnormalities varies depending on the type and severity of the defect, and may include surgery, therapy, medication, or a combination of these approaches.

Twin pregnancy refers to a type of multiple pregnancy where a woman is carrying two fetuses simultaneously. There are two types of twin pregnancies: monozygotic (identical) and dizygotic (fraternal). Monoygotic twins occur when a single fertilized egg (zygote) splits and develops into two separate embryos, resulting in identical twins who share the same genetic material. Dizygotic twins, on the other hand, result from the fertilization of two separate eggs by two different sperm cells, leading to non-identical twins who have their own unique genetic material.

Twin pregnancies are associated with higher risks of complications compared to singleton pregnancies, including preterm labor, low birth weight, gestational diabetes, and preeclampsia. Close monitoring by healthcare providers is essential to ensure the best possible outcomes for both the mother and the twins.

Multiple pregnancy is a type of gestation where more than one fetus is carried simultaneously in the uterus. The most common forms of multiple pregnancies are twins (two fetuses), triplets (three fetuses), and quadruplets (four fetuses). Multiple pregnancies can occur when a single fertilized egg splits into two or more embryos (monozygotic) or when more than one egg is released and gets fertilized during ovulation (dizygotic). The risk of multiple pregnancies increases with the use of assisted reproductive technologies, such as in vitro fertilization. Multiple pregnancies are associated with higher risks for both the mother and the fetuses, including preterm labor, low birth weight, and other complications.

"Maternal exposure" is a medical term that refers to the contact or interaction of a pregnant woman with various environmental factors, such as chemicals, radiation, infectious agents, or physical environments, which could potentially have an impact on the developing fetus. This exposure can occur through different routes, including inhalation, ingestion, dermal contact, or even transplacentally. The effects of maternal exposure on the fetus can vary widely depending on the type, duration, and intensity of the exposure, as well as the stage of pregnancy at which it occurs. It is important to monitor and minimize maternal exposure to potentially harmful substances or environments during pregnancy to ensure the best possible outcomes for both the mother and developing fetus.

Maternal-fetal exchange, also known as maternal-fetal transport or placental transfer, refers to the physiological process by which various substances are exchanged between the mother and fetus through the placenta. This exchange includes the transfer of oxygen and nutrients from the mother's bloodstream to the fetal bloodstream, as well as the removal of waste products and carbon dioxide from the fetal bloodstream to the mother's bloodstream.

The process occurs via passive diffusion, facilitated diffusion, and active transport mechanisms across the placental barrier, which is composed of fetal capillary endothelial cells, the extracellular matrix, and the syncytiotrophoblast layer of the placenta. The maternal-fetal exchange is crucial for the growth, development, and survival of the fetus throughout pregnancy.

Neonatal screening is a medical procedure in which specific tests are performed on newborn babies within the first few days of life to detect certain congenital or inherited disorders that are not otherwise clinically apparent at birth. These conditions, if left untreated, can lead to serious health problems, developmental delays, or even death.

The primary goal of neonatal screening is to identify affected infants early so that appropriate treatment and management can be initiated as soon as possible, thereby improving their overall prognosis and quality of life. Commonly screened conditions include phenylketonuria (PKU), congenital hypothyroidism, galactosemia, maple syrup urine disease, sickle cell disease, cystic fibrosis, and hearing loss, among others.

Neonatal screening typically involves collecting a small blood sample from the infant's heel (heel stick) or through a dried blood spot card, which is then analyzed using various biochemical, enzymatic, or genetic tests. In some cases, additional tests such as hearing screenings and pulse oximetry for critical congenital heart disease may also be performed.

It's important to note that neonatal screening is not a diagnostic tool but rather an initial step in identifying infants who may be at risk of certain conditions. Positive screening results should always be confirmed with additional diagnostic tests before any treatment decisions are made.

The pubic symphysis is the joint in the front of the pelvis that connects the two halves of the pelvic girdle, specifically the pubic bones. It's located at the lower part of the anterior (front) pelvic region. Unlike most joints, which are movable and contain synovial fluid, the pubic symphysis is a cartilaginous joint, also known as an amphiarthrosis.

The joint consists of fibrocartilaginous discs, ligaments, and the articular surfaces of the adjacent pubic bones. The fibrocartilaginous disc helps to absorb shock and reduce friction between the two bones. The main function of the pubic symphysis is to provide stability for the pelvis and transfer weight and forces from the upper body to the lower limbs during activities like walking, running, or jumping.

The pubic symphysis has a limited range of motion, allowing only slight movement in response to pressure or tension. During pregnancy and childbirth, the hormone relaxin is released, which increases the laxity of the pelvic joints, including the pubic symphysis, to accommodate the growing fetus and facilitate delivery. This increased mobility can sometimes lead to discomfort or pain in the area, known as symphysis pubis dysfunction (SPD) or pelvic girdle pain.

"Prenatal exposure delayed effects" refer to the adverse health outcomes or symptoms that become apparent in an individual during their development or later in life, which are caused by exposure to certain environmental factors or substances while they were still in the womb. These effects may not be immediately observable at birth and can take weeks, months, years, or even decades to manifest. They can result from maternal exposure to various agents such as infectious diseases, medications, illicit drugs, tobacco smoke, alcohol, or environmental pollutants during pregnancy. The delayed effects can impact multiple organ systems and may include physical, cognitive, behavioral, and developmental abnormalities. It is important to note that the risk and severity of these effects can depend on several factors, including the timing, duration, and intensity of the exposure, as well as the individual's genetic susceptibility.

Regression analysis is a statistical technique used in medicine, as well as in other fields, to examine the relationship between one or more independent variables (predictors) and a dependent variable (outcome). It allows for the estimation of the average change in the outcome variable associated with a one-unit change in an independent variable, while controlling for the effects of other independent variables. This technique is often used to identify risk factors for diseases or to evaluate the effectiveness of medical interventions. In medical research, regression analysis can be used to adjust for potential confounding variables and to quantify the relationship between exposures and health outcomes. It can also be used in predictive modeling to estimate the probability of a particular outcome based on multiple predictors.

Perinatal mortality is the death of a baby around the time of birth. It specifically refers to stillbirths (fetal deaths at 28 weeks of gestation or more) and deaths in the first week of life (early neonatal deaths). The perinatal period is defined as beginning at 22 weeks (154 days) of gestation and ending 7 completed days after birth. Perinatal mortality rate is the number of perinatal deaths during this period, expressed per 1000 total births (live births + stillbirths). High perinatal mortality rates can indicate poor quality of care during pregnancy and childbirth.

'Labor, Obstetric' refers to the physiological process that occurs during childbirth, leading to the expulsion of the fetus from the uterus. It is divided into three stages:

1. The first stage begins with the onset of regular contractions and cervical dilation and effacement (thinning and shortening) until full dilation is reached (approximately 10 cm). This stage can last from hours to days, particularly in nulliparous women (those who have not given birth before).
2. The second stage starts with complete cervical dilation and ends with the delivery of the baby. During this stage, the mother experiences strong contractions that help push the fetus down the birth canal. This stage typically lasts from 20 minutes to two hours but can take longer in some cases.
3. The third stage involves the delivery of the placenta (afterbirth) and membranes, which usually occurs within 15-30 minutes after the baby's birth. However, it can sometimes take up to an hour for the placenta to be expelled completely.

Obstetric labor is a complex process that requires careful monitoring and management by healthcare professionals to ensure the safety and well-being of both the mother and the baby.

'Pregnancy in Diabetics' refers to the condition where an individual with pre-existing diabetes mellitus becomes pregnant. This can be further categorized into two types:

1. Pre-gestational diabetes: This is when a woman is diagnosed with diabetes before she becomes pregnant. It includes both Type 1 and Type 2 diabetes. Proper control of blood sugar levels prior to conception and during pregnancy is crucial to reduce the risk of complications for both the mother and the baby.

2. Gestational diabetes: This is when a woman develops high blood sugar levels during pregnancy, typically in the second or third trimester. While it usually resolves after delivery, women with gestational diabetes have a higher risk of developing Type 2 diabetes later in life. Proper management of gestational diabetes is essential to ensure a healthy pregnancy and reduce the risk of complications for both the mother and the baby.

Pregnancy-induced hypertension (PIH), also known as gestational hypertension, is a condition characterized by the new onset of high blood pressure (≥140 mm Hg systolic or ≥90 mm Hg diastolic) after 20 weeks of pregnancy in a woman who was normotensive before. It can sometimes progress to more severe conditions like preeclampsia and eclampsia, which are associated with damage to other organ systems such as the liver and kidneys.

PIH is typically classified into two types:

1. Gestational hypertension: This is when a woman develops high blood pressure after 20 weeks of pregnancy without any protein in the urine or evidence of damage to other organ systems. Women with gestational hypertension are at increased risk for preeclampsia and may require closer monitoring.

2. Preeclampsia: This is a more severe form of PIH, characterized by high blood pressure and proteinuria (≥0.3 g in a 24-hour urine collection) after 20 weeks of pregnancy. Preeclampsia can also involve damage to other organ systems, such as the liver, kidneys, or brain, and may progress to eclampsia, a life-threatening condition characterized by seizures.

The exact causes of PIH are not fully understood, but it is thought to be related to problems with the development and function of the blood vessels that supply the placenta. Risk factors for developing PIH include first-time pregnancies, obesity, older age, a history of chronic hypertension or kidney disease, and carrying multiples (twins, triplets, etc.).

Treatment for PIH depends on the severity of the condition and the gestational age of the pregnancy. In mild cases, close monitoring of blood pressure, urine protein levels, and fetal growth may be sufficient. More severe cases may require medication to lower blood pressure, corticosteroids to promote fetal lung maturity, or early delivery of the baby to prevent further complications.

Cardiovascular complications in pregnancy refer to conditions that affect the heart and blood vessels, which can arise during pregnancy, childbirth, or after delivery. These complications can be pre-existing or new-onset and can range from mild to severe, potentially threatening the life of both the mother and the fetus. Some examples of cardiovascular complications in pregnancy include:

1. Hypertension disorders: This includes chronic hypertension (high blood pressure before pregnancy), gestational hypertension (high blood pressure that develops after 20 weeks of pregnancy), and preeclampsia/eclampsia (a pregnancy-specific disorder characterized by high blood pressure, proteinuria, and potential organ damage).

2. Cardiomyopathy: A condition in which the heart muscle becomes weakened, leading to an enlarged heart and reduced pumping efficiency. Peripartum cardiomyopathy is a specific type that occurs during pregnancy or in the months following delivery.

3. Arrhythmias: Irregularities in the heart's rhythm, such as tachycardia (rapid heartbeat) or bradycardia (slow heartbeat), can occur during pregnancy and may require medical intervention.

4. Valvular heart disease: Pre-existing valve disorders, like mitral stenosis or aortic insufficiency, can worsen during pregnancy due to increased blood volume and cardiac output. Additionally, new valve issues might develop during pregnancy.

5. Venous thromboembolism (VTE): Pregnancy increases the risk of developing blood clots in the veins, particularly deep vein thrombosis (DVT) or pulmonary embolism (PE).

6. Ischemic heart disease: Although rare, coronary artery disease and acute coronary syndrome can occur during pregnancy, especially in women with risk factors such as obesity, diabetes, or smoking history.

7. Heart failure: Severe cardiac dysfunction leading to fluid accumulation, shortness of breath, and reduced exercise tolerance may develop due to any of the above conditions or other underlying heart diseases.

Early recognition, monitoring, and appropriate management of these cardiovascular complications in pregnancy are crucial for maternal and fetal well-being.

Spontaneous abortion, also known as miscarriage, is the unintentional expulsion of a nonviable fetus from the uterus before the 20th week of gestation. It is a common complication of early pregnancy, with most miscarriages occurring during the first trimester. Spontaneous abortion can have various causes, including chromosomal abnormalities, maternal health conditions, infections, hormonal imbalances, and structural issues of the uterus or cervix. In many cases, the exact cause may remain unknown.

The symptoms of spontaneous abortion can vary but often include vaginal bleeding, which may range from light spotting to heavy bleeding; abdominal pain or cramping; and the passing of tissue or clots from the vagina. While some miscarriages occur suddenly and are immediately noticeable, others may progress slowly over several days or even weeks.

In medical practice, healthcare providers often use specific terminology to describe different stages and types of spontaneous abortion. For example:

* Threatened abortion: Vaginal bleeding during early pregnancy, but the cervix remains closed, and there is no evidence of fetal demise or passing of tissue.
* Inevitable abortion: Vaginal bleeding with an open cervix, indicating that a miscarriage is imminent or already in progress.
* Incomplete abortion: The expulsion of some but not all products of conception from the uterus, requiring medical intervention to remove any remaining tissue.
* Complete abortion: The successful passage of all products of conception from the uterus, often confirmed through an ultrasound or pelvic examination.
* Missed abortion: The death of a fetus in the uterus without any expulsion of the products of conception, which may be discovered during routine prenatal care.
* Septic abortion: A rare and life-threatening complication of spontaneous abortion characterized by infection of the products of conception and the surrounding tissues, requiring prompt medical attention and antibiotic treatment.

Healthcare providers typically monitor patients who experience a spontaneous abortion to ensure that all products of conception have been expelled and that there are no complications, such as infection or excessive bleeding. In some cases, medication or surgical intervention may be necessary to remove any remaining tissue or address other issues related to the miscarriage. Counseling and support services are often available for individuals and couples who experience a spontaneous abortion, as they may face emotional challenges and concerns about future pregnancies.

Anthropometry is the scientific study of measurements and proportions of the human body. It involves the systematic measurement and analysis of various physical characteristics, such as height, weight, blood pressure, waist circumference, and other body measurements. These measurements are used in a variety of fields, including medicine, ergonomics, forensics, and fashion design, to assess health status, fitness level, or to design products and environments that fit the human body. In a medical context, anthropometry is often used to assess growth and development, health status, and disease risk factors in individuals and populations.

Ultrasonography, Doppler refers to a non-invasive diagnostic medical procedure that uses high-frequency sound waves to create real-time images of the movement of blood flow through vessels, tissues, or heart valves. The Doppler effect is used to measure the frequency shift of the ultrasound waves as they bounce off moving red blood cells, which allows for the calculation of the speed and direction of blood flow. This technique is commonly used to diagnose and monitor various conditions such as deep vein thrombosis, carotid artery stenosis, heart valve abnormalities, and fetal heart development during pregnancy. It does not use radiation or contrast agents and is considered safe with minimal risks.

Necrotizing enterocolitis (NEC) is a serious gastrointestinal condition that primarily affects premature infants. It is characterized by the inflammation and death of intestinal tissue, which can lead to perforations (holes) in the bowel wall. Here's a brief medical definition:

Necrotizing enterocolitis (NEK-roh-tiz-ing en-ter-koh-li-TIE-tis): A gastrointestinal emergency in which the inner lining of the intestinal wall undergoes necrosis (tissue death) due to inflammation, often affecting premature infants. The condition may result in bowel perforations, sepsis, and other systemic complications, requiring surgical intervention and intensive care management.

The exact cause of NEC is not fully understood, but it's thought to be associated with factors such as prematurity, formula feeding, intestinal immaturity or injury, and disturbed blood flow in the intestines. Symptoms may include abdominal distention, bloody stools, feeding intolerance, lethargy, and temperature instability. Early recognition and prompt treatment are crucial for improving outcomes in affected infants.

A diaphragmatic hernia is a type of hernia that occurs when the abdominal organs (such as the stomach, intestines, or liver) protrude through an opening in the diaphragm, the thin muscle that separates the chest and abdominal cavities. This condition can be present at birth (congenital) or acquired due to injury or surgery.

There are two main types of diaphragmatic hernias:

1. Bochdalek hernia: This is a congenital defect that occurs when the posterior portion of the diaphragm fails to close properly during fetal development, creating an opening through which abdominal organs can move into the chest cavity. It is more common on the left side and can lead to pulmonary hypoplasia (underdevelopment of the lungs) and other complications if not detected and treated early.
2. Morgagni hernia: This is a less common type of congenital diaphragmatic hernia that occurs when there is an opening in the anterior portion of the diaphragm, allowing abdominal organs to move into the chest cavity near the sternum. It tends to be asymptomatic and may not be discovered until adulthood.

Acquired diaphragmatic hernias can result from trauma, such as a car accident or penetrating injury, which causes a tear in the diaphragm. In some cases, surgical procedures involving the abdomen or chest can also lead to a diaphragmatic hernia.

Symptoms of a diaphragmatic hernia may include difficulty breathing, chest pain, vomiting, and bowel obstruction. Treatment typically involves surgery to repair the defect in the diaphragm and return the abdominal organs to their proper position.

Amniocentesis is a medical procedure in which a small amount of amniotic fluid, which contains fetal cells, is withdrawn from the uterus through a hollow needle inserted into the abdomen of a pregnant woman. This procedure is typically performed between the 16th and 20th weeks of pregnancy.

The main purpose of amniocentesis is to diagnose genetic disorders and chromosomal abnormalities in the developing fetus, such as Down syndrome, Edwards syndrome, and neural tube defects. The fetal cells obtained from the amniotic fluid can be cultured and analyzed for various genetic characteristics, including chromosomal structure and number, as well as specific gene mutations.

Amniocentesis carries a small risk of complications, such as miscarriage, infection, or injury to the fetus. Therefore, it is generally offered to women who have an increased risk of having a baby with a genetic disorder or chromosomal abnormality, such as those over the age of 35, those with a family history of genetic disorders, or those who have had a previous pregnancy affected by a genetic condition.

It's important to note that while amniocentesis can provide valuable information about the health of the fetus, it does not guarantee a completely normal baby, and there are some risks associated with the procedure. Therefore, the decision to undergo amniocentesis should be made carefully, in consultation with a healthcare provider, taking into account the individual circumstances and preferences of each woman.

A postmature infant is a newborn who is delivered at or after 42 weeks (294 days) of gestation. These infants are also known as "post-term" or "post-dates." At this stage, the placenta may not function optimally, leading to potential issues such as decreased fetal movement, meconium staining of amniotic fluid, and low birth weight. Postmature infants may require close monitoring and evaluation after delivery to ensure their well-being.

Superfetation is an extremely rare medical condition where a second pregnancy occurs during an existing pregnancy. In this unusual case, a fertilized egg implants itself into the uterus while another embryo or fetus is already present in the womb, resulting in two separate gestational sacs. This phenomenon is not to be confused with superfecundation, which refers to the fertilization of two or more eggs from one menstrual cycle by different sexual partners. Superfetation is very unusual because it typically requires a woman to ovulate twice within a single menstrual cycle, and both eggs must then be fertilized and implanted at distinct times. This condition is not generally associated with human pregnancies due to the complex hormonal changes that occur during pregnancy, which usually prevent further ovulation. However, superfetation has been reported in some animal species, such as cats, dogs, and marsupials.

High-risk pregnancy is a term used to describe a situation where the mother or the fetus has an increased risk of developing complications during pregnancy, labor, delivery, or in the postpartum period. These risks may be due to pre-existing medical conditions in the mother, such as diabetes, hypertension, heart disease, kidney disease, autoimmune disorders, or infectious diseases like HIV/AIDS. Other factors that can contribute to a high-risk pregnancy include advanced maternal age (35 years and older), obesity, multiple gestations (twins, triplets, etc.), fetal growth restriction, placental issues, and a history of previous pregnancy complications or preterm labor.

High-risk pregnancies require specialized care and monitoring by healthcare professionals, often involving maternal-fetal medicine specialists, obstetricians, perinatologists, and neonatologists. Regular prenatal care, frequent checkups, ultrasound monitoring, and sometimes additional testing and interventions may be necessary to ensure the best possible outcomes for both the mother and the baby.

Induced labor refers to the initiation of labor before it begins spontaneously, which is usually achieved through medical intervention. This process is initiated when there is a medically indicated reason to deliver the baby, such as maternal or fetal compromise, prolonged pregnancy, or reduced fetal movement. The most common methods used to induce labor include membrane stripping, prostaglandin administration, and oxytocin infusion. It's important to note that induced labor carries certain risks, including a higher chance of uterine hyperstimulation, infection, and the need for assisted vaginal delivery or cesarean section. Therefore, it should only be performed under the close supervision of a healthcare provider in a clinical setting.

Hydrops Fetalis is a serious condition characterized by the accumulation of excessive fluid in two or more fetal compartments, including the abdomen (ascites), around the heart (pericardial effusion), and/or within the lungs (pleural effusion). This accumulation can also affect the skin, causing it to become edematous. Hydrops Fetalis is often associated with various underlying causes, such as chromosomal abnormalities, congenital infections, genetic disorders, and structural defects that impair the fetus's ability to maintain fluid balance. In some cases, the cause may remain unknown. The prognosis for Hydrops Fetalis is generally poor, with a high mortality rate, although early detection and appropriate management can improve outcomes in certain situations.

'Infant behavior' is not a medical term per se, but it does fall under the purview of child development and pediatrics. It generally refers to the actions or reactions of an infant (a child between birth and 12 months) in response to internal states (e.g., hunger, discomfort, fatigue) and external stimuli (e.g., people, objects, events).

Infant behavior can encompass a wide range of aspects including:

1. Reflexes: Automatic responses to certain stimuli, such as the rooting reflex (turning head towards touch on cheek) or startle reflex (abrupt muscle contraction).
2. Motor skills: Control and coordination of movements, from simple ones like lifting the head to complex ones like crawling.
3. Social-emotional development: Responses to social interactions, forming attachments, expressing emotions.
4. Communication: Using cries, coos, gestures, and later, words to communicate needs and feelings.
5. Cognitive development: Problem-solving skills, memory, attention, and perception.

Understanding typical infant behavior is crucial for parental education, childcare, early intervention when there are concerns, and overall child development research.

Neonatology is a subspecialty of pediatrics that focuses on the medical care of newborn infants, particularly those who are born prematurely or with critical illnesses. Neonatologists are physicians who have additional training and expertise in managing complex neonatal conditions such as respiratory distress syndrome, birth defects, infection, and other issues that can affect newborns. They typically work in neonatal intensive care units (NICUs) and collaborate with a multidisciplinary team of healthcare professionals to provide comprehensive care for these vulnerable patients.

Birth order is a term that refers to the sequence in which a person is born in their family, specifically in relation to their siblings. It is used in psychology and sociology to describe the various personality traits, behaviors, and developmental milestones that have been associated with being the firstborn, middle child, youngest child, or an only child.

For example, some studies suggest that firstborn children tend to be more responsible, achievement-oriented, and socially dominant than their younger siblings, while later-born children may be more easygoing, adventurous, and rebellious. However, it's important to note that these patterns are not universal and can be influenced by a variety of factors, including family size, spacing between siblings, gender, parenting style, and individual temperament.

Overall, birth order is just one factor among many that contribute to a person's development and identity, and should not be used as a definitive predictor of their traits or behaviors.

Cerebral palsy (CP) is a group of disorders that affect a person's ability to move and maintain balance and posture. According to the Mayo Clinic, CP is caused by abnormal brain development or damage to the developing brain that affects a child's ability to control movement.

The symptoms of cerebral palsy can vary in severity and may include:

* Spasticity (stiff or tight muscles)
* Rigidity (resistance to passive movement)
* Poor coordination and balance
* Weakness or paralysis
* Tremors or involuntary movements
* Abnormal gait or difficulty walking
* Difficulty with fine motor skills, such as writing or using utensils
* Speech and language difficulties
* Vision, hearing, or swallowing problems

It's important to note that cerebral palsy is not a progressive condition, meaning that it does not worsen over time. However, the symptoms may change over time, and some individuals with CP may experience additional medical conditions as they age.

Cerebral palsy is usually caused by brain damage that occurs before or during birth, but it can also be caused by brain injuries that occur in the first few years of life. Some possible causes of cerebral palsy include:

* Infections during pregnancy
* Lack of oxygen to the brain during delivery
* Traumatic head injury during birth
* Brain bleeding or stroke in the newborn period
* Genetic disorders
* Maternal illness or infection during pregnancy

There is no cure for cerebral palsy, but early intervention and treatment can help improve outcomes and quality of life. Treatment may include physical therapy, occupational therapy, speech therapy, medications to manage symptoms, surgery, and assistive devices such as braces or wheelchairs.

Gestational diabetes is a type of diabetes that occurs during pregnancy. It is characterized by an increase in blood sugar levels that begins or is first recognized during pregnancy. The condition usually develops around the 24th week of gestation and is caused by the body's inability to produce enough insulin to meet the increased demands of pregnancy.

Gestational diabetes typically resolves after delivery, but women who have had gestational diabetes are at an increased risk of developing type 2 diabetes later in life. It is important for women with gestational diabetes to manage their blood sugar levels during pregnancy to reduce the risk of complications for both the mother and the baby.

Management of gestational diabetes may include lifestyle modifications such as dietary changes and exercise, as well as monitoring blood sugar levels and potentially using insulin or other medications to control blood sugar levels. Regular prenatal care is essential for women with gestational diabetes to ensure that their blood sugar levels are properly managed and to monitor the growth and development of the fetus.

A case-control study is an observational research design used to identify risk factors or causes of a disease or health outcome. In this type of study, individuals with the disease or condition (cases) are compared with similar individuals who do not have the disease or condition (controls). The exposure history or other characteristics of interest are then compared between the two groups to determine if there is an association between the exposure and the disease.

Case-control studies are often used when it is not feasible or ethical to conduct a randomized controlled trial, as they can provide valuable insights into potential causes of diseases or health outcomes in a relatively short period of time and at a lower cost than other study designs. However, because case-control studies rely on retrospective data collection, they are subject to biases such as recall bias and selection bias, which can affect the validity of the results. Therefore, it is important to carefully design and conduct case-control studies to minimize these potential sources of bias.

I believe there may be a misunderstanding in your question. "Mothers" is a term that refers to individuals who have given birth to and raised children. It is not a medical term with a specific definition. If you are referring to a different word or term, please clarify so I can provide a more accurate response.

Periventricular leukomalacia (PVL) is a medical condition that refers to the damage and softening (leukomalacia) of white matter in the brain around the ventricles, which are fluid-filled spaces near the center of the brain. This damage primarily affects the preterm infants, particularly those born before 32 weeks of gestation and weighing less than 1500 grams.

PVL is caused by a decrease in blood flow and oxygen to the periventricular area of the brain, leading to the death of brain cells (infarction) and subsequent scarring (gliosis). The damage to the white matter can result in various neurological problems such as cerebral palsy, developmental delays, visual impairments, and hearing difficulties.

The severity of PVL can vary from mild to severe, with more severe cases resulting in significant neurological deficits. The diagnosis is typically made through imaging techniques like ultrasound, CT, or MRI scans. Currently, there is no specific treatment for PVL, and management focuses on addressing the symptoms and preventing further complications.

The chorion is the outermost fetal membrane that surrounds the developing conceptus (the embryo or fetus and its supporting structures). It forms early in pregnancy as an extraembryonic structure, meaning it arises from cells that will not become part of the actual body of the developing organism. The chorion plays a crucial role in pregnancy by contributing to the formation of the placenta, which provides nutrients and oxygen to the growing embryo/fetus and removes waste products.

One of the most important functions of the chorion is to produce human chorionic gonadotropin (hCG), a hormone that signals the presence of pregnancy and maintains the corpus luteum, a temporary endocrine structure in the ovary that produces progesterone during early pregnancy. Progesterone is essential for preparing the uterus for implantation and maintaining the pregnancy.

The chorion consists of two layers: an inner cytotrophoblast layer and an outer syncytiotrophoblast layer. The cytotrophoblast layer is made up of individual cells, while the syncytiotrophoblast layer is a multinucleated mass of fused cytotrophoblast cells. These layers interact with the maternal endometrium (the lining of the uterus) to form the placenta and facilitate exchange between the mother and the developing fetus.

In summary, the chorion is a vital extraembryonic structure in pregnancy that contributes to the formation of the placenta, produces hCG, and interacts with the maternal endometrium to support fetal development.

Induced abortion is a medical procedure that intentionally terminates a pregnancy before the fetus can survive outside the womb. It can be performed either surgically or medically through the use of medications. The timing of an induced abortion is typically based on the gestational age of the pregnancy, with different methods used at different stages.

The most common surgical procedure for induced abortion is vacuum aspiration, which is usually performed during the first trimester (up to 12-13 weeks of gestation). This procedure involves dilating the cervix and using a vacuum device to remove the pregnancy tissue from the uterus. Other surgical procedures, such as dilation and evacuation (D&E), may be used in later stages of pregnancy.

Medical abortion involves the use of medications to induce the termination of a pregnancy. The most common regimen involves the use of two drugs: mifepristone and misoprostol. Mifepristone works by blocking the action of progesterone, a hormone necessary for maintaining pregnancy. Misoprostol causes the uterus to contract and expel the pregnancy tissue. This method is typically used during the first 10 weeks of gestation.

Induced abortion is a safe and common medical procedure, with low rates of complications when performed by trained healthcare providers in appropriate settings. Access to induced abortion varies widely around the world, with some countries restricting or prohibiting the practice entirely.

Perinatal care refers to the health care provided to pregnant individuals, fetuses, and newborn infants during the time immediately before and after birth. This period is defined as beginning at approximately 20 weeks of gestation and ending 4 weeks after birth. Perinatal care includes preventative measures, medical and supportive services, and treatment for complications during pregnancy, childbirth, and in the newborn period. It encompasses a wide range of services including prenatal care, labor and delivery management, postpartum care, and neonatal care. The goal of perinatal care is to ensure the best possible outcomes for both the mother and the baby by preventing, diagnosing, and treating any potential health issues that may arise during this critical period.

Placental circulation refers to the specialized circulatory system that develops during pregnancy to allow for the exchange of nutrients, oxygen, and waste products between the mother's blood and the fetal blood in the placenta. The placenta is a highly vascular organ that grows within the uterus and is connected to the developing fetus via the umbilical cord.

In the maternal side of the placenta, the spiral arteries branch into smaller vessels called the intervillous spaces, where they come in close contact with the fetal blood vessels within the villi (finger-like projections) of the placenta. The intervillous spaces are filled with maternal blood that flows around the villi, allowing for the exchange of gases and nutrients between the two circulations.

On the fetal side, the umbilical cord contains two umbilical arteries that carry oxygen-depleted blood from the fetus to the placenta, and one umbilical vein that returns oxygenated blood back to the fetus. The umbilical arteries branch into smaller vessels within the villi, where they exchange gases and nutrients with the maternal blood in the intervillous spaces.

Overall, the placental circulation is a crucial component of fetal development, allowing for the growing fetus to receive the necessary oxygen and nutrients to support its growth and development.

Oligohydramnios is a medical condition that refers to an abnormally low amount of amniotic fluid surrounding the fetus in the uterus during pregnancy. The amniotic fluid is essential for the protection and development of the fetus, including lung maturation and joint mobility. Oligohydramnios is often diagnosed through ultrasound measurements of the pocket depth of the amniotic fluid and is defined as an amniotic fluid index (AFI) of less than 5 cm or a single deepest pocket (SDP) of less than 2 cm after 24 weeks of gestation.

The condition can be caused by various factors, such as fetal growth restriction, maternal high blood pressure, placental insufficiency, rupture of membranes, and genetic disorders. Oligohydramnios may increase the risk of complications during pregnancy and childbirth, including preterm labor, fetal distress, and stillbirth. The management of oligohydramnios depends on the underlying cause and gestational age, and may include close monitoring, delivery, or treatment of the underlying condition.

I'm sorry for any confusion, but "Linear Models" is actually a term from the field of statistics and machine learning, rather than medicine. A linear model is a type of statistical model that is used to analyze the relationship between two or more variables. In a linear model, the relationship between the dependent variable (the outcome or result) and the independent variable(s) (the factors being studied) is assumed to be linear, meaning that it can be described by a straight line on a graph.

The equation for a simple linear model with one independent variable (x) and one dependent variable (y) looks like this:

y = β0 + β1*x + ε

In this equation, β0 is the y-intercept or the value of y when x equals zero, β1 is the slope or the change in y for each unit increase in x, and ε is the error term or the difference between the actual values of y and the predicted values of y based on the linear model.

Linear models are widely used in medical research to study the relationship between various factors (such as exposure to a risk factor or treatment) and health outcomes (such as disease incidence or mortality). They can also be used to adjust for confounding variables, which are factors that may influence both the independent variable and the dependent variable, and thus affect the observed relationship between them.

Fetofetal transfusion is a medical condition that can occur in pregnancies with multiple fetuses, such as twins or higher-order multiples. It refers to the transfer of blood from one fetus (donor) to another (recipient) through anastomotic connections in their shared placenta.

In some cases, these anastomoses can result in an imbalance in blood flow between the fetuses, leading to a net transfer of blood from one fetus to the other. This situation is more likely to occur when there is a significant weight or size difference between the fetuses, known as twin-to-twin transfusion syndrome (TTTS).

In TTTS, the recipient fetus receives an excess of blood, which can lead to high-output cardiac failure, hydrops, and potential intrauterine demise. Meanwhile, the donor fetus may become anemic, growth-restricted, and at risk for hypovolemia and intrauterine demise as well. Fetofetal transfusion can be diagnosed through ultrasound evaluation and managed with various interventions, including laser ablation of anastomotic vessels or fetoscopic surgery, depending on the severity and gestational age at diagnosis.

Cerclage, cervical is a surgical procedure in which a band or suture is placed around the cervix to provide support and prevent dilation (opening) during pregnancy. This procedure is typically performed in women who have a history of cervical insufficiency or premature dilation of the cervix, which can lead to preterm labor and delivery. The cerclage is usually placed between the 12th and 14th weeks of gestation and removed near the end of the second trimester or when the woman goes into labor.

Logistic models, specifically logistic regression models, are a type of statistical analysis used in medical and epidemiological research to identify the relationship between the risk of a certain health outcome or disease (dependent variable) and one or more independent variables, such as demographic factors, exposure variables, or other clinical measurements.

In contrast to linear regression models, logistic regression models are used when the dependent variable is binary or dichotomous in nature, meaning it can only take on two values, such as "disease present" or "disease absent." The model uses a logistic function to estimate the probability of the outcome based on the independent variables.

Logistic regression models are useful for identifying risk factors and estimating the strength of associations between exposures and health outcomes, adjusting for potential confounders, and predicting the probability of an outcome given certain values of the independent variables. They can also be used to develop clinical prediction rules or scores that can aid in decision-making and patient care.

Polyhydramnios is a medical condition characterized by an excessive accumulation of amniotic fluid in the sac surrounding the fetus during pregnancy, typically defined as an amniotic fluid index (AFI) greater than 24 cm or a single deepest pocket (SDP) measurement of more than 8 cm. It occurs in approximately 1-2% of pregnancies and can be associated with various maternal, fetal, and genetic conditions. If left untreated, polyhydramnios may increase the risk of premature labor, premature rupture of membranes, and other pregnancy complications. Proper diagnosis and management are essential to ensure a healthy pregnancy outcome.

Cephalometry is a medical term that refers to the measurement and analysis of the skull, particularly the head face relations. It is commonly used in orthodontics and maxillofacial surgery to assess and plan treatment for abnormalities related to the teeth, jaws, and facial structures. The process typically involves taking X-ray images called cephalograms, which provide a lateral view of the head, and then using various landmarks and reference lines to make measurements and evaluate skeletal and dental relationships. This information can help clinicians diagnose problems, plan treatment, and assess treatment outcomes.

Blood flow velocity is the speed at which blood travels through a specific part of the vascular system. It is typically measured in units of distance per time, such as centimeters per second (cm/s) or meters per second (m/s). Blood flow velocity can be affected by various factors, including cardiac output, vessel diameter, and viscosity of the blood. Measuring blood flow velocity is important in diagnosing and monitoring various medical conditions, such as heart disease, stroke, and peripheral vascular disease.

Betamethasone is a type of corticosteroid medication that is used to treat various medical conditions. It works by reducing inflammation and suppressing the activity of the immune system. Betamethasone is available in several forms, including creams, ointments, lotions, gels, solutions, tablets, and injectable preparations.

The medical definition of betamethasone is:

A synthetic corticosteroid with anti-inflammatory, immunosuppressive, and vasoconstrictive properties. It is used to treat a variety of conditions such as skin disorders, allergies, asthma, arthritis, and autoimmune diseases. Betamethasone is available in various formulations including topical (creams, ointments, lotions, gels), oral (tablets), and injectable preparations. It acts by binding to specific receptors in cells, which leads to the inhibition of the production of inflammatory mediators and the suppression of immune responses.

It is important to note that betamethasone should be used under the guidance of a healthcare professional, as it can have significant side effects if not used properly.

Fetoscopy is a minimally invasive surgical procedure that allows direct visualization of the fetus and the intrauterine environment through the use of a fiber-optic scope. It is typically performed during the second trimester of pregnancy to diagnose or treat various fetal conditions, such as twin-to-twin transfusion syndrome, congenital diaphragmatic hernia, or spina bifida. The procedure involves inserting a thin tube called a fetoscope through the mother's abdomen and uterus to access the fetus. Fetoscopy can also be used for taking fetal tissue samples for genetic testing.

It is important to note that while fetoscopy can provide valuable information and treatment options, it does carry some risks, including preterm labor, premature rupture of membranes, infection, and bleeding. Therefore, the decision to undergo fetoscopy should be made carefully, in consultation with a medical professional, and based on a thorough evaluation of the potential benefits and risks.

'Infant care' is not a medical term per se, but it generally refers to the provision of nurturing and developmentally appropriate support, supervision, and healthcare for newborns and young children, typically up to 12 months of age. This can include:

1. Meeting basic needs: Providing food (through breastfeeding or formula), changing diapers, ensuring a safe sleep environment, and maintaining hygiene.
2. Monitoring growth and development: Tracking weight gain, height, head circumference, and motor skills to ensure normal developmental progression.
3. Preventive care: Administering vaccinations according to the recommended immunization schedule, performing routine health screenings, and providing guidance on safety practices (e.g., car seat usage, safe sleep).
4. Early detection and management of medical issues: Identifying and addressing common infant health problems such as colic, reflux, or ear infections, and seeking prompt medical attention for more serious conditions.
5. Emotional bonding and attachment: Promoting parent-infant bonding through skin-to-skin contact, responsive feeding, and consistent caregiving.
6. Supporting cognitive and social development: Engaging in age-appropriate play and interaction to foster language development, problem-solving skills, and emotional regulation.
7. Providing education and guidance: Offering evidence-based information on various aspects of infant care, such as feeding, sleep, and soothing techniques, to support parents in their caregiving role.

Placental diseases, also known as placental pathologies, refer to a group of conditions that affect the development and function of the placenta during pregnancy. The placenta is an organ that develops in the uterus during pregnancy and provides oxygen and nutrients to the developing fetus while removing waste products.

Placental diseases can have serious consequences for both the mother and the fetus, including preterm labor, growth restriction, stillbirth, and long-term health problems for the child. Some common placental diseases include:

1. Placental abruption: This occurs when the placenta separates from the uterine wall before delivery, causing bleeding and potentially harming the fetus.
2. Placental previa: This is a condition where the placenta implants in the lower part of the uterus, covering the cervix. It can cause bleeding and may require cesarean delivery.
3. Preeclampsia: This is a pregnancy-related disorder characterized by high blood pressure and damage to organs such as the liver and kidneys. Placental dysfunction is thought to play a role in its development.
4. Intrauterine growth restriction (IUGR): This occurs when the fetus does not grow properly due to poor placental function, leading to low birth weight and potential health problems.
5. Chorioamnionitis: This is an infection of the membranes surrounding the fetus, which can lead to preterm labor and other complications.
6. Placental infarction: This occurs when a portion of the placenta dies due to a lack of blood flow, which can lead to growth restriction or stillbirth.

Prompt diagnosis and treatment of placental diseases are essential for ensuring the best possible outcomes for both the mother and the fetus.

Cardiotocography (CTG) is a technical means of monitoring the fetal heart rate and uterine contractions during pregnancy, particularly during labor. It provides visual information about the fetal heart rate pattern and the frequency and intensity of uterine contractions. This helps healthcare providers assess the well-being of the fetus and the progression of labor.

The cardiotocograph records two main traces:

1. Fetal heart rate (FHR): It is recorded using an ultrasound transducer placed on the mother's abdomen. The normal fetal heart rate ranges from 120 to 160 beats per minute. Changes in the FHR pattern may indicate fetal distress, hypoxia, or other complications.

2. Uterine contractions: They are recorded using a pressure sensor (toco) placed on the mother's abdomen. The intensity and frequency of uterine contractions can be assessed to evaluate the progression of labor and the effect of contractions on fetal oxygenation.

Cardiotocography is widely used in obstetrics as a non-invasive method for monitoring fetal well-being during pregnancy and labor. However, it should always be interpreted cautiously by healthcare professionals, considering other factors like maternal and fetal conditions, medical history, and clinical presentation. Overinterpretation or misinterpretation of CTG traces can lead to unnecessary interventions or delays in recognizing actual fetal distress.

Sensitivity and specificity are statistical measures used to describe the performance of a diagnostic test or screening tool in identifying true positive and true negative results.

* Sensitivity refers to the proportion of people who have a particular condition (true positives) who are correctly identified by the test. It is also known as the "true positive rate" or "recall." A highly sensitive test will identify most or all of the people with the condition, but may also produce more false positives.
* Specificity refers to the proportion of people who do not have a particular condition (true negatives) who are correctly identified by the test. It is also known as the "true negative rate." A highly specific test will identify most or all of the people without the condition, but may also produce more false negatives.

In medical testing, both sensitivity and specificity are important considerations when evaluating a diagnostic test. High sensitivity is desirable for screening tests that aim to identify as many cases of a condition as possible, while high specificity is desirable for confirmatory tests that aim to rule out the condition in people who do not have it.

It's worth noting that sensitivity and specificity are often influenced by factors such as the prevalence of the condition in the population being tested, the threshold used to define a positive result, and the reliability and validity of the test itself. Therefore, it's important to consider these factors when interpreting the results of a diagnostic test.

Neonatal hyperbilirubinemia is a condition characterized by an excessively high level of bilirubin in the blood of newborn infants. Bilirubin is a yellowish pigment produced by the normal breakdown of red blood cells. Normally, bilirubin is processed by the liver and excreted through the bile into the digestive system. However, in neonatal hyperbilirubinemia, the liver may be unable to process bilirubin quickly enough, leading to its accumulation in the bloodstream. This can cause the skin and eyes of the newborn to appear yellow, a condition known as jaundice.

Neonatal hyperbilirubinemia is relatively common and usually resolves on its own within a few days or weeks. However, if bilirubin levels become too high, they can cause brain damage (kernicterus) in severe cases. Treatment may include phototherapy to help break down bilirubin, exchange transfusions, or other interventions to support liver function and reduce bilirubin levels.

Infectious pregnancy complications refer to infections that occur during pregnancy and can affect the mother, fetus, or both. These infections can lead to serious consequences such as preterm labor, low birth weight, birth defects, stillbirth, or even death. Some common infectious agents that can cause pregnancy complications include:

1. Bacteria: Examples include group B streptococcus, Escherichia coli, and Listeria monocytogenes, which can cause sepsis, meningitis, or pneumonia in the mother and lead to preterm labor or stillbirth.
2. Viruses: Examples include cytomegalovirus, rubella, varicella-zoster, and HIV, which can cause congenital anomalies, developmental delays, or transmission of the virus to the fetus.
3. Parasites: Examples include Toxoplasma gondii, which can cause severe neurological damage in the fetus if transmitted during pregnancy.
4. Fungi: Examples include Candida albicans, which can cause fungal infections in the mother and lead to preterm labor or stillbirth.

Preventive measures such as vaccination, good hygiene practices, and avoiding high-risk behaviors can help reduce the risk of infectious pregnancy complications. Prompt diagnosis and treatment of infections during pregnancy are also crucial to prevent adverse outcomes.

Patent Ductus Arteriosus (PDA) is a congenital heart defect in which the ductus arteriosus, a normal fetal blood vessel that connects the pulmonary artery and the aorta, fails to close after birth. The ductus arteriosus allows blood to bypass the lungs while the fetus is still in the womb, but it should close shortly after birth as the newborn begins to breathe and oxygenate their own blood.

If the ductus arteriosus remains open or "patent," it can result in abnormal blood flow between the pulmonary artery and aorta. This can lead to various cardiovascular complications, such as:

1. Pulmonary hypertension (high blood pressure in the lungs)
2. Congestive heart failure
3. Increased risk of respiratory infections

The severity of the symptoms and the need for treatment depend on the size of the PDA and the amount of blood flow that is shunted from the aorta to the pulmonary artery. Small PDAs may close on their own over time, while larger PDAs typically require medical intervention, such as medication or surgical closure.

Prolonged pregnancy, also known as post-term pregnancy, is a medical condition defined as a pregnancy that continues beyond 42 weeks (294 days) of gestation from the first day of the last menstrual period. It is important to note that this definition is based on the estimated date of delivery and not the actual conception date. Prolonged pregnancies are associated with increased risks for both the mother and the fetus, including stillbirth, meconium aspiration, fetal distress, and difficulty during labor and delivery. Therefore, healthcare providers closely monitor pregnant women who reach 41 weeks of gestation to ensure timely delivery if necessary.

Fetal distress is a term used to describe situations where a fetus is experiencing problems during labor or delivery that are causing significant physiological changes. These changes may include an abnormal heart rate, decreased oxygen levels, or the presence of meconium (the baby's first stool) in the amniotic fluid. Fetal distress can be caused by a variety of factors, such as problems with the umbilical cord, placental abruption, maternal high blood pressure, or prolonged labor. It is important to monitor fetal well-being during labor and delivery to detect and address any signs of fetal distress promptly. Treatment may include changing the mother's position, administering oxygen, giving intravenous fluids, or performing an emergency cesarean section.

Asphyxia neonatorum is a medical condition that refers to a newborn baby's lack of oxygen or difficulty breathing, which can lead to suffocation and serious complications. It is often caused by problems during the birthing process, such as umbilical cord compression or prolapse, placental abruption, or prolonged labor.

Symptoms of asphyxia neonatorum may include bluish skin color (cyanosis), weak or absent breathing, poor muscle tone, meconium-stained amniotic fluid, and a slow heart rate. In severe cases, it can lead to organ damage, developmental delays, or even death.

Prompt medical attention is necessary to diagnose and treat asphyxia neonatorum. Treatment may include oxygen therapy, mechanical ventilation, and medications to support the baby's heart function and blood pressure. In some cases, therapeutic hypothermia (cooling the body) may be used to reduce the risk of brain damage. Preventive measures such as proper prenatal care, timely delivery, and careful monitoring during labor and delivery can also help reduce the risk of asphyxia neonatorum.

A cross-sectional study is a type of observational research design that examines the relationship between variables at one point in time. It provides a snapshot or a "cross-section" of the population at a particular moment, allowing researchers to estimate the prevalence of a disease or condition and identify potential risk factors or associations.

In a cross-sectional study, data is collected from a sample of participants at a single time point, and the variables of interest are measured simultaneously. This design can be used to investigate the association between exposure and outcome, but it cannot establish causality because it does not follow changes over time.

Cross-sectional studies can be conducted using various data collection methods, such as surveys, interviews, or medical examinations. They are often used in epidemiology to estimate the prevalence of a disease or condition in a population and to identify potential risk factors that may contribute to its development. However, because cross-sectional studies only provide a snapshot of the population at one point in time, they cannot account for changes over time or determine whether exposure preceded the outcome.

Therefore, while cross-sectional studies can be useful for generating hypotheses and identifying potential associations between variables, further research using other study designs, such as cohort or case-control studies, is necessary to establish causality and confirm any findings.

Down syndrome is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. It is characterized by intellectual and developmental disabilities, distinctive facial features, and sometimes physical growth delays and health problems. The condition affects approximately one in every 700 babies born in the United States.

Individuals with Down syndrome have varying degrees of cognitive impairment, ranging from mild to moderate or severe. They may also have delayed development, including late walking and talking, and may require additional support and education services throughout their lives.

People with Down syndrome are at increased risk for certain health conditions, such as congenital heart defects, respiratory infections, hearing loss, vision problems, gastrointestinal issues, and thyroid disorders. However, many individuals with Down syndrome live healthy and fulfilling lives with appropriate medical care and support.

The condition is named after John Langdon Down, an English physician who first described the syndrome in 1866.

A live birth is the complete expulsion or extraction from its mother of a product of human conception, irrespective of the duration of the pregnancy, that, after such separation, breathes or shows any other evidence of life - such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles - whether or not the umbilical cord has been cut or the placenta is attached.

This definition is used by the World Health Organization (WHO) and most national statistical agencies to distinguish live births from stillbirths. It's important to note that in some medical contexts, a different definition of live birth may be used.

Abruptio placentae, also known as placental abruption, is a medical condition that occurs when the placenta separates from the uterus before the baby is born. The placenta is an organ that develops in the uterus during pregnancy to provide oxygen and nutrients to the growing fetus.

In abruptio placentae, the separation of the placenta from the uterus can cause bleeding, which can be serious or life-threatening for both the mother and the baby. The severity of the condition depends on how much of the placenta has separated from the uterus and how much bleeding has occurred.

Abruptio placentae can cause a range of symptoms, including vaginal bleeding, abdominal pain, contractions, and fetal distress. In severe cases, it can lead to preterm labor, low birth weight, and even stillbirth. The exact cause of abruptio placentae is not always known, but risk factors include high blood pressure, smoking, cocaine use, trauma to the abdomen, and advanced maternal age. Treatment may involve hospitalization, bed rest, medication to prevent contractions, or delivery of the baby if the pregnancy is at term.

Fetal movement, also known as quickening, refers to the first perceived movements of the fetus in the uterus during pregnancy. These movements are often described as a fluttering sensation in the lower abdomen and are usually felt by pregnant individuals between 18 and 25 weeks of gestation, although they may occur earlier or later depending on various factors such as the position of the placenta and whether it is a first-time pregnancy.

Fetal movements are an important sign of fetal well-being, and pregnant individuals are typically advised to monitor them regularly starting from around 28 weeks of gestation. A decrease in fetal movement or the absence of fetal movement for an extended period may indicate a problem and should be reported to a healthcare provider immediately.

Fetal movements can be described as kicks, rolls, jabs, or turns, and they become stronger and more frequent as the pregnancy progresses. By 32 weeks of gestation, most fetuses move around 10 times per hour, and by 37 weeks, they typically move around 30 times per day. However, it is important to note that every fetus has its own pattern of movements, and what is normal for one may not be normal for another.

Follow-up studies are a type of longitudinal research that involve repeated observations or measurements of the same variables over a period of time, in order to understand their long-term effects or outcomes. In medical context, follow-up studies are often used to evaluate the safety and efficacy of medical treatments, interventions, or procedures.

In a typical follow-up study, a group of individuals (called a cohort) who have received a particular treatment or intervention are identified and then followed over time through periodic assessments or data collection. The data collected may include information on clinical outcomes, adverse events, changes in symptoms or functional status, and other relevant measures.

The results of follow-up studies can provide important insights into the long-term benefits and risks of medical interventions, as well as help to identify factors that may influence treatment effectiveness or patient outcomes. However, it is important to note that follow-up studies can be subject to various biases and limitations, such as loss to follow-up, recall bias, and changes in clinical practice over time, which must be carefully considered when interpreting the results.

Biometry, also known as biometrics, is the scientific study of measurements and statistical analysis of living organisms. In a medical context, biometry is often used to refer to the measurement and analysis of physical characteristics or features of the human body, such as height, weight, blood pressure, heart rate, and other physiological variables. These measurements can be used for a variety of purposes, including diagnosis, treatment planning, monitoring disease progression, and research.

In addition to physical measurements, biometry may also refer to the use of statistical methods to analyze biological data, such as genetic information or medical images. This type of analysis can help researchers and clinicians identify patterns and trends in large datasets, and make predictions about health outcomes or treatment responses.

Overall, biometry is an important tool in modern medicine, as it allows healthcare professionals to make more informed decisions based on data and evidence.

Uterine cervical incompetence, also known as cervical insufficiency, is a medical condition where the cervix begins to shorten and dilate (open) without any signs of labor or contractions, usually during the second trimester of pregnancy. This can lead to premature delivery or miscarriage. It is often caused by structural abnormalities or damage to the cervix, such as from a previous surgical procedure, trauma, or congenital defects. In some cases, the cause may be unknown. It's important to note that this condition is different from preterm labor, which involves both contractions and cervical changes.

Hyaline Membrane Disease (HMD) is a medical condition primarily seen in newborns, also known as Infant Respiratory Distress Syndrome (IRDS). It's characterized by the presence of hyaline membranes, which are made up of proteins and cellular debris, on the inside surfaces of the alveoli (air sacs) in the lungs.

These membranes can interfere with the normal gas exchange process, making it difficult for the newborn to breathe effectively. The condition is often associated with premature birth, as the surfactant that coats the inside of the lungs and keeps them inflated isn't fully produced until around the 35th week of gestation.

The lack of sufficient surfactant can lead to collapse of the alveoli (atelectasis), inflammation, and the formation of hyaline membranes. HMD is a significant cause of morbidity and mortality in premature infants, but with early detection and proper medical care, including the use of artificial surfactant, oxygen therapy, and mechanical ventilation, many babies can recover.

Cordocentesis, also known as percutaneous umbilical blood sampling (PUBS), is a medical procedure in which a small amount of fetal blood is withdrawn from the umbilical cord for diagnostic testing. It is typically performed when there is a concern for fetal anemia, chromosomal abnormalities, or other genetic disorders. The procedure involves inserting a thin needle through the mother's abdomen and uterus to reach the umbilical cord, usually during the second trimester of pregnancy. Cordocentesis carries a small risk of complications, including fetal injury, infection, and premature labor.

The Ductus Arteriosus is a fetal blood vessel that connects the pulmonary trunk (the artery that carries blood from the heart to the lungs) and the aorta (the largest artery in the body, which carries oxygenated blood from the heart to the rest of the body). This vessel allows most of the blood from the right ventricle of the fetal heart to bypass the lungs, as the fetus receives oxygen through the placenta rather than breathing air.

After birth, with the first breaths, the blood oxygen level increases and the pressure in the lungs rises. As a result, the circulation in the newborn's body changes, and the Ductus Arteriosus is no longer needed. Within the first few days or weeks of life, this vessel usually closes spontaneously, turning into a fibrous cord called the Ligamentum Arteriosum.

Persistent Patency of the Ductus Arteriosus (PDA) occurs when the Ductus Arteriosus does not close after birth, which can lead to various complications such as heart failure and pulmonary hypertension. This condition is often seen in premature infants and may require medical intervention or surgical closure of the vessel.

Fetal hypoxia is a medical condition that refers to a reduced level of oxygen supply to the fetus. This can occur due to various reasons, such as maternal health problems, complications during pregnancy or delivery, or issues with the placenta. Prolonged fetal hypoxia can lead to serious complications, including brain damage and even fetal death. It is important for healthcare providers to closely monitor fetal oxygen levels during pregnancy and delivery to ensure the well-being of the fetus.

Gravidity is a medical term that refers to the number of times a woman has been pregnant, regardless of the outcome of the pregnancies. It's a way to quantify a woman's childbearing experience and is often used in obstetrics and gynecology to assess potential risks and complications during pregnancy and childbirth.

For example, a woman who has been pregnant once before would have a gravidity of 1, while a woman who has been pregnant twice would have a gravidity of 2. This term is distinct from parity, which refers to the number of pregnancies that have reached a viable gestational age and resulted in a live birth.

The parietal bone is one of the four flat bones that form the skull's cranial vault, which protects the brain. There are two parietal bones in the skull, one on each side, located posterior to the frontal bone and temporal bone, and anterior to the occipital bone. Each parietal bone has a squamous part, which forms the roof and sides of the skull, and a smaller, wing-like portion called the mastoid process. The parietal bones contribute to the formation of the coronal and lambdoid sutures, which are fibrous joints that connect the bones in the skull.

Fetal viability is the point in pregnancy at which a fetus is considered capable of surviving outside the uterus, given appropriate medical support. Although there is no precise gestational age that defines fetal viability, it is generally considered to occur between 24 and 28 weeks of gestation. At this stage, the fetus has developed sufficient lung maturity and body weight, and the risk of neonatal mortality and morbidity significantly decreases. However, the exact definition of fetal viability may vary depending on regional standards, medical facilities, and individual clinical assessments.

Congenital heart defects (CHDs) are structural abnormalities in the heart that are present at birth. They can affect any part of the heart's structure, including the walls of the heart, the valves inside the heart, and the major blood vessels that lead to and from the heart.

Congenital heart defects can range from mild to severe and can cause various symptoms depending on the type and severity of the defect. Some common symptoms of CHDs include cyanosis (a bluish tint to the skin, lips, and fingernails), shortness of breath, fatigue, poor feeding, and slow growth in infants and children.

There are many different types of congenital heart defects, including:

1. Septal defects: These are holes in the walls that separate the four chambers of the heart. The two most common septal defects are atrial septal defect (ASD) and ventricular septal defect (VSD).
2. Valve abnormalities: These include narrowed or leaky valves, which can affect blood flow through the heart.
3. Obstruction defects: These occur when blood flow is blocked or restricted due to narrowing or absence of a part of the heart's structure. Examples include pulmonary stenosis and coarctation of the aorta.
4. Cyanotic heart defects: These cause a lack of oxygen in the blood, leading to cyanosis. Examples include tetralogy of Fallot and transposition of the great arteries.

The causes of congenital heart defects are not fully understood, but genetic factors and environmental influences during pregnancy may play a role. Some CHDs can be detected before birth through prenatal testing, while others may not be diagnosed until after birth or later in childhood. Treatment for CHDs may include medication, surgery, or other interventions to improve blood flow and oxygenation of the body's tissues.

'Infant welfare' is not a medical term per se, but it is a term used to describe the overall health and well-being of infants. It encompasses various aspects of infant care, including physical, mental, emotional, and social development. Infant welfare aims to promote healthy growth and development, prevent illness and injury, and provide early intervention and treatment for any health issues that may arise.

Infant welfare programs often include services such as well-child visits, immunizations, developmental screenings, nutrition counseling, and parent education on topics such as safe sleep practices, feeding, and child safety. These programs are typically provided through healthcare systems, public health departments, and community organizations. The ultimate goal of infant welfare is to ensure that infants have the best possible start in life and are equipped with the necessary foundation for a healthy and successful future.

Ultrasonography, Doppler, Pulsed is a type of diagnostic ultrasound technique that uses the Doppler effect to measure blood flow in the body. In this technique, short bursts of ultrasound are emitted and then listened for as they bounce back off moving red blood cells. By analyzing the frequency shift of the returning sound waves, the velocity and direction of blood flow can be determined. This information is particularly useful in evaluating conditions such as deep vein thrombosis, carotid artery stenosis, and fetal heart abnormalities. Pulsed Doppler ultrasonography provides more detailed information about blood flow than traditional color Doppler imaging, making it a valuable tool for diagnosing and monitoring various medical conditions.

Weight gain is defined as an increase in body weight over time, which can be attributed to various factors such as an increase in muscle mass, fat mass, or total body water. It is typically measured in terms of pounds or kilograms and can be intentional or unintentional. Unintentional weight gain may be a cause for concern if it's significant or accompanied by other symptoms, as it could indicate an underlying medical condition such as hypothyroidism, diabetes, or heart disease.

It is important to note that while body mass index (BMI) can be used as a general guideline for weight status, it does not differentiate between muscle mass and fat mass. Therefore, an increase in muscle mass through activities like strength training could result in a higher BMI, but this may not necessarily be indicative of increased health risks associated with excess body fat.

Pregnancy reduction, multifetal refers to the medical procedure used to decrease the number of fetuses in a multiple pregnancy, such as twins or higher-order multiples (triplets, quadruplets, etc.). This is also known as selective reduction or selective termination. The goal of this procedure is to reduce the risk of complications associated with multifetal pregnancies, including preterm labor, low birth weight, and pregnancy loss.

The procedure typically involves an ultrasound-guided injection of a medication that stops the development of one or more fetuses. This is usually performed during the first trimester of pregnancy. The decision to undergo pregnancy reduction is often based on a variety of factors, including maternal age, medical history, and personal preferences. It's important to note that this procedure carries its own risks, such as infection, bleeding, and loss of the remaining fetuses, so it should be carefully considered and discussed with healthcare providers.

I apologize, but "sheep" is not a term that has a medical definition. It is a common animal with the scientific name Ovis aries. If you have any medical or health-related questions, I would be happy to try and help answer those for you.

Pulsatile flow is a type of fluid flow that occurs in a rhythmic, wave-like pattern, typically seen in the cardiovascular system. It refers to the periodic variation in the volume or velocity of a fluid (such as blood) that is caused by the regular beating of the heart. In pulsatile flow, there are periods of high flow followed by periods of low or no flow, which creates a distinct pattern on a graph or tracing. This type of flow is important for maintaining proper function and health in organs and tissues throughout the body.

Labor onset, also known as the start of labor, refers to the beginning of regular and coordinated uterine contractions that ultimately result in the delivery of a baby. This is usually marked by the presence of regular contractions that increase in intensity and frequency over time, along with cervical dilation and effacement (thinning and shortening of the cervix).

There are two types of labor onset: spontaneous and induced. Spontaneous labor onset occurs naturally, without any medical intervention, while induced labor onset is initiated by medical professionals using various methods such as medication or mechanical dilation of the cervix.

It's important to note that the onset of labor can be a challenging concept to define precisely, and different healthcare providers may use slightly different criteria to diagnose the start of labor.

The Predictive Value of Tests, specifically the Positive Predictive Value (PPV) and Negative Predictive Value (NPV), are measures used in diagnostic tests to determine the probability that a positive or negative test result is correct.

Positive Predictive Value (PPV) is the proportion of patients with a positive test result who actually have the disease. It is calculated as the number of true positives divided by the total number of positive results (true positives + false positives). A higher PPV indicates that a positive test result is more likely to be a true positive, and therefore the disease is more likely to be present.

Negative Predictive Value (NPV) is the proportion of patients with a negative test result who do not have the disease. It is calculated as the number of true negatives divided by the total number of negative results (true negatives + false negatives). A higher NPV indicates that a negative test result is more likely to be a true negative, and therefore the disease is less likely to be present.

The predictive value of tests depends on the prevalence of the disease in the population being tested, as well as the sensitivity and specificity of the test. A test with high sensitivity and specificity will generally have higher predictive values than a test with low sensitivity and specificity. However, even a highly sensitive and specific test can have low predictive values if the prevalence of the disease is low in the population being tested.

Obstetric labor complications refer to any physical or physiological difficulties that arise during the process of childbirth (labor) and can pose risks to the health of the mother, baby, or both. These complications may result from various factors such as pre-existing medical conditions, fetal distress, prolonged labor, abnormal positioning of the fetus, or issues related to the size or weight of the baby.

Some examples of obstetric labor complications include:

1. Fetal distress: This occurs when the fetus is not receiving adequate oxygen supply or is in danger during labor. It can be caused by various factors such as umbilical cord compression, placental abruption, or maternal anemia.
2. Prolonged labor: When labor lasts for more than 20 hours in first-time mothers or more than 14 hours in subsequent pregnancies, it is considered prolonged labor. This can lead to fatigue, infection, and other complications for both the mother and baby.
3. Abnormal positioning of the fetus: Normally, the fetus should be positioned head-down (vertex) before delivery. However, if the fetus is in a breech or transverse position, it can lead to difficult labor and increased risk of complications during delivery.
4. Shoulder dystocia: This occurs when the baby's shoulders get stuck behind the mother's pubic bone during delivery, making it challenging to deliver the baby. It can cause injuries to both the mother and the baby.
5. Placental abruption: This is a serious complication where the placenta separates from the uterus before delivery, leading to bleeding and potential oxygen deprivation for the fetus.
6. Uterine rupture: A rare but life-threatening complication where the uterus tears during labor, causing severe bleeding and potentially endangering both the mother and baby's lives.
7. Preeclampsia/eclampsia: This is a pregnancy-related hypertensive disorder that can lead to complications such as seizures, organ failure, or even maternal death if left untreated.
8. Postpartum hemorrhage: Excessive bleeding after delivery can be life-threatening and requires immediate medical attention.
9. Infections: Maternal infections during pregnancy or childbirth can lead to complications for both the mother and baby, including preterm labor, low birth weight, and even fetal death.
10. Anesthesia complications: Adverse reactions to anesthesia during delivery can cause respiratory depression, allergic reactions, or other complications that may endanger the mother's life.

Nonparametric statistics is a branch of statistics that does not rely on assumptions about the distribution of variables in the population from which the sample is drawn. In contrast to parametric methods, nonparametric techniques make fewer assumptions about the data and are therefore more flexible in their application. Nonparametric tests are often used when the data do not meet the assumptions required for parametric tests, such as normality or equal variances.

Nonparametric statistical methods include tests such as the Wilcoxon rank-sum test (also known as the Mann-Whitney U test) for comparing two independent groups, the Wilcoxon signed-rank test for comparing two related groups, and the Kruskal-Wallis test for comparing more than two independent groups. These tests use the ranks of the data rather than the actual values to make comparisons, which allows them to be used with ordinal or continuous data that do not meet the assumptions of parametric tests.

Overall, nonparametric statistics provide a useful set of tools for analyzing data in situations where the assumptions of parametric methods are not met, and can help researchers draw valid conclusions from their data even when the data are not normally distributed or have other characteristics that violate the assumptions of parametric tests.

Apnea is a medical condition defined as the cessation of breathing for 10 seconds or more. It can occur during sleep (sleep apnea) or while awake (wakeful apnea). There are different types of sleep apnea, including obstructive sleep apnea, central sleep apnea, and complex sleep apnea syndrome. Obstructive sleep apnea occurs when the airway becomes blocked during sleep, while central sleep apnea occurs when the brain fails to signal the muscles to breathe. Complex sleep apnea syndrome, also known as treatment-emergent central sleep apnea, is a combination of obstructive and central sleep apneas. Sleep apnea can lead to various complications, such as fatigue, difficulty concentrating, high blood pressure, heart disease, and stroke.

The cervix uteri, often simply referred to as the cervix, is the lower part of the uterus (womb) that connects to the vagina. It has an opening called the external os through which menstrual blood exits the uterus and sperm enters during sexual intercourse. During childbirth, the cervix dilates or opens to allow for the passage of the baby through the birth canal.

Meconium is the first stool passed by a newborn infant, typically within the first 48 hours of life. It is composed of materials ingested during fetal development, including intestinal epithelial cells, lanugo (fine hair), amniotic fluid, mucus, bile, and water. The color of meconium is usually greenish-black, and its consistency can range from a thick paste to a liquid. Meconium staining of the amniotic fluid can occur when the fetus has passed meconium while still in the uterus, which may indicate fetal distress and requires careful medical attention during delivery.

The amnion is the innermost fetal membrane in mammals, forming a sac that contains and protects the developing embryo and later the fetus within the uterus. It is one of the extraembryonic membranes that are derived from the outer cell mass of the blastocyst during early embryonic development. The amnion is filled with fluid (amniotic fluid) that allows for the freedom of movement and protection of the developing fetus.

The primary function of the amnion is to provide a protective environment for the growing fetus, allowing for expansion and preventing physical damage from outside forces. Additionally, the amniotic fluid serves as a medium for the exchange of waste products and nutrients between the fetal membranes and the placenta. The amnion also contributes to the formation of the umbilical cord and plays a role in the initiation of labor during childbirth.

Menstruation is the regular, cyclical shedding of the uterine lining (endometrium) in women and female individuals of reproductive age, accompanied by the discharge of blood and other materials from the vagina. It typically occurs every 21 to 35 days and lasts for approximately 2-7 days. This process is a part of the menstrual cycle, which is under the control of hormonal fluctuations involving follicle-stimulating hormone (FSH), luteinizing hormone (LH), estrogen, and progesterone.

The menstrual cycle can be divided into three main phases:

1. Menstruation phase: The beginning of the cycle is marked by the start of menstrual bleeding, which signals the breakdown and shedding of the endometrium due to the absence of pregnancy and low levels of estrogen and progesterone. This phase typically lasts for 2-7 days.

2. Proliferative phase: After menstruation, under the influence of rising estrogen levels, the endometrium starts to thicken and regenerate. The uterine lining becomes rich in blood vessels and glands, preparing for a potential pregnancy. This phase lasts from day 5 until around day 14 of an average 28-day cycle.

3. Secretory phase: Following ovulation (release of an egg from the ovaries), which usually occurs around day 14, increased levels of progesterone cause further thickening and maturation of the endometrium. The glands in the lining produce nutrients to support a fertilized egg. If pregnancy does not occur, both estrogen and progesterone levels will drop, leading to menstruation and the start of a new cycle.

Understanding menstruation is essential for monitoring reproductive health, identifying potential issues such as irregular periods or menstrual disorders, and planning family planning strategies.

Ultrasonography, also known as sonography, is a diagnostic medical procedure that uses high-frequency sound waves (ultrasound) to produce dynamic images of organs, tissues, or blood flow inside the body. These images are captured in real-time and can be used to assess the size, shape, and structure of various internal structures, as well as detect any abnormalities such as tumors, cysts, or inflammation.

During an ultrasonography procedure, a small handheld device called a transducer is placed on the patient's skin, which emits and receives sound waves. The transducer sends high-frequency sound waves into the body, and these waves bounce back off internal structures and are recorded by the transducer. The recorded data is then processed and transformed into visual images that can be interpreted by a medical professional.

Ultrasonography is a non-invasive, painless, and safe procedure that does not use radiation like other imaging techniques such as CT scans or X-rays. It is commonly used to diagnose and monitor conditions in various parts of the body, including the abdomen, pelvis, heart, blood vessels, and musculoskeletal system.

In epidemiology, the incidence of a disease is defined as the number of new cases of that disease within a specific population over a certain period of time. It is typically expressed as a rate, with the number of new cases in the numerator and the size of the population at risk in the denominator. Incidence provides information about the risk of developing a disease during a given time period and can be used to compare disease rates between different populations or to monitor trends in disease occurrence over time.

A registry in the context of medicine is a collection or database of standardized information about individuals who share a certain condition or attribute, such as a disease, treatment, exposure, or demographic group. These registries are used for various purposes, including:

* Monitoring and tracking the natural history of diseases and conditions
* Evaluating the safety and effectiveness of medical treatments and interventions
* Conducting research and generating hypotheses for further study
* Providing information to patients, clinicians, and researchers
* Informing public health policy and decision-making

Registries can be established for a wide range of purposes, including disease-specific registries (such as cancer or diabetes registries), procedure-specific registries (such as joint replacement or cardiac surgery registries), and population-based registries (such as birth defects or cancer registries). Data collected in registries may include demographic information, clinical data, laboratory results, treatment details, and outcomes.

Registries can be maintained by a variety of organizations, including hospitals, clinics, academic medical centers, professional societies, government agencies, and industry. Participation in registries is often voluntary, although some registries may require informed consent from participants. Data collected in registries are typically de-identified to protect the privacy of individuals.

Tocolytic agents are a type of medication used in obstetrics to suppress premature labor. They work by relaxing the smooth muscle of the uterus, thereby reducing contractions and delaying delivery. Commonly used tocolytic agents include beta-adrenergic agonists (such as terbutaline), calcium channel blockers (such as nifedipine), and prostaglandin synthesis inhibitors (such as indomethacin). It's important to note that the use of tocolytic agents is typically reserved for specific clinical situations, and their benefits must be weighed against potential risks to both the mother and fetus.

Reproducibility of results in a medical context refers to the ability to obtain consistent and comparable findings when a particular experiment or study is repeated, either by the same researcher or by different researchers, following the same experimental protocol. It is an essential principle in scientific research that helps to ensure the validity and reliability of research findings.

In medical research, reproducibility of results is crucial for establishing the effectiveness and safety of new treatments, interventions, or diagnostic tools. It involves conducting well-designed studies with adequate sample sizes, appropriate statistical analyses, and transparent reporting of methods and findings to allow other researchers to replicate the study and confirm or refute the results.

The lack of reproducibility in medical research has become a significant concern in recent years, as several high-profile studies have failed to produce consistent findings when replicated by other researchers. This has led to increased scrutiny of research practices and a call for greater transparency, rigor, and standardization in the conduct and reporting of medical research.

Risk assessment in the medical context refers to the process of identifying, evaluating, and prioritizing risks to patients, healthcare workers, or the community related to healthcare delivery. It involves determining the likelihood and potential impact of adverse events or hazards, such as infectious diseases, medication errors, or medical devices failures, and implementing measures to mitigate or manage those risks. The goal of risk assessment is to promote safe and high-quality care by identifying areas for improvement and taking action to minimize harm.

Intrauterine blood transfusion (IUT) is a medical procedure in which blood is transfused into the fetal circulation through the umbilical vein while the fetus is still in the uterus. This procedure is typically performed to treat severe anemia in the fetus, most commonly caused by hemolytic disease of the newborn due to Rh incompatibility or ABO incompatibility between the mother and fetus.

During the procedure, ultrasound guidance is used to insert a thin needle through the mother's abdomen and uterus and into the umbilical vein of the fetus. The blood is then transfused slowly, allowing the fetal body to adjust to the increased volume. The procedure may need to be repeated every 2-4 weeks until the baby is mature enough for delivery.

IUT is a highly specialized procedure that requires significant expertise and experience in maternal-fetal medicine and interventional radiology. It carries risks such as preterm labor, infection, fetal bradycardia (abnormally slow heart rate), and fetal loss, but it can be life-saving for the fetus when performed appropriately.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

A therapeutic abortion is the deliberate termination of a pregnancy before viability (the ability of the fetus to survive outside the womb), which is generally considered to be around 24 weeks of gestation. The term "therapeutic" is used to describe abortions that are performed for medical reasons, such as to protect the life or health of the pregnant individual, or in cases where the fetus has a severe abnormality and cannot survive outside the womb.

Therapeutic abortions may be recommended in situations where continuing the pregnancy poses a significant risk to the health or life of the pregnant individual. For example, if a pregnant person has a serious medical condition such as heart disease, cancer, or severe pre-eclampsia, continuing the pregnancy could worsen their condition and put them at risk of serious complications or even death. In these cases, a therapeutic abortion may be necessary to protect the health or life of the pregnant individual.

Therapeutic abortions may also be recommended in cases where the fetus has a severe abnormality that is not compatible with life outside the womb. For example, if the fetus has a condition such as anencephaly (a neural tube defect where the brain and skull do not form properly), or a chromosomal abnormality such as Trisomy 13 or 18, continuing the pregnancy may result in a stillbirth or a short, painful life for the infant after birth. In these cases, a therapeutic abortion may be considered a compassionate option to prevent unnecessary suffering.

It's important to note that the decision to undergo a therapeutic abortion is a deeply personal one, and should be made in consultation with medical professionals and trusted family members or support networks. Ultimately, the decision should be based on what is best for the physical and emotional health of the pregnant individual, taking into account their values, beliefs, and circumstances.

I must clarify that I cannot provide a "medical definition" of intelligence, as intelligence is not a concept that is typically defined within the field of medicine. Intelligence is a term used to describe the ability to learn, understand, and make judgments or decisions based on reason, experience, and information. It is often measured through various cognitive abilities such as problem-solving, critical thinking, creativity, and knowledge acquisition.

The concept of intelligence is studied in many fields, including psychology, neuroscience, and education. In medicine, healthcare professionals may assess a person's cognitive abilities to better understand their health status or develop treatment plans. However, there is no specific "medical definition" for intelligence. Instead, it is a multifaceted concept that can be influenced by various genetic, environmental, and experiential factors.

The cerebral ventricles are a system of interconnected fluid-filled cavities within the brain. They are located in the center of the brain and are filled with cerebrospinal fluid (CSF), which provides protection to the brain by cushioning it from impacts and helping to maintain its stability within the skull.

There are four ventricles in total: two lateral ventricles, one third ventricle, and one fourth ventricle. The lateral ventricles are located in each cerebral hemisphere, while the third ventricle is located between the thalami of the two hemispheres. The fourth ventricle is located at the base of the brain, above the spinal cord.

CSF flows from the lateral ventricles into the third ventricle through narrow passageways called the interventricular foramen. From there, it flows into the fourth ventricle through another narrow passageway called the cerebral aqueduct. CSF then leaves the fourth ventricle and enters the subarachnoid space surrounding the brain and spinal cord, where it can be absorbed into the bloodstream.

Abnormalities in the size or shape of the cerebral ventricles can indicate underlying neurological conditions, such as hydrocephalus (excessive accumulation of CSF) or atrophy (shrinkage) of brain tissue. Imaging techniques, such as computed tomography (CT) or magnetic resonance imaging (MRI), are often used to assess the size and shape of the cerebral ventricles in clinical settings.

A legal abortion is the deliberate termination of a pregnancy through medical or surgical means, carried out in accordance with the laws and regulations of a particular jurisdiction. In countries where abortion is legal, it is typically restricted to certain circumstances, such as:

* To protect the life or health of the pregnant person
* In cases of fetal anomalies that are incompatible with life outside the womb
* When the pregnancy is the result of rape or incest
* When the continuation of the pregnancy would pose a significant risk to the physical or mental health of the pregnant person

The specific circumstances under which abortion is legal, as well as the procedures and regulations that govern it, vary widely from one country to another. In some places, such as the United States, abortion is protected as a fundamental right under certain conditions; while in other countries, such as those with highly restrictive abortion laws, it may only be allowed in very limited circumstances or not at all.

Body weight is the measure of the force exerted on a scale or balance by an object's mass, most commonly expressed in units such as pounds (lb) or kilograms (kg). In the context of medical definitions, body weight typically refers to an individual's total weight, which includes their skeletal muscle, fat, organs, and bodily fluids.

Healthcare professionals often use body weight as a basic indicator of overall health status, as it can provide insights into various aspects of a person's health, such as nutritional status, metabolic function, and risk factors for certain diseases. For example, being significantly underweight or overweight can increase the risk of developing conditions like malnutrition, diabetes, heart disease, and certain types of cancer.

It is important to note that body weight alone may not provide a complete picture of an individual's health, as it does not account for factors such as muscle mass, bone density, or body composition. Therefore, healthcare professionals often use additional measures, such as body mass index (BMI), waist circumference, and blood tests, to assess overall health status more comprehensively.

Perinatology is a subspecialty of maternal-fetal medicine in obstetrics that focuses on the care of pregnant women and their unborn babies who are at high risk for complications due to various factors such as prematurity, fetal growth restriction, multiple gestations, congenital anomalies, and other medical conditions.

Perinatologists are trained to provide specialized care for these high-risk pregnancies, which may include advanced diagnostic testing, fetal monitoring, and interventions such as c-sections or medication management. They work closely with obstetricians, pediatricians, and other healthcare providers to ensure the best possible outcomes for both the mother and the baby.

Perinatology is also sometimes referred to as "maternal-fetal medicine" or "high-risk obstetrics."

The uterus, also known as the womb, is a hollow, muscular organ located in the female pelvic cavity, between the bladder and the rectum. It has a thick, middle layer called the myometrium, which is composed of smooth muscle tissue, and an inner lining called the endometrium, which provides a nurturing environment for the fertilized egg to develop into a fetus during pregnancy.

The uterus is where the baby grows and develops until it is ready for birth through the cervix, which is the lower, narrow part of the uterus that opens into the vagina. The uterus plays a critical role in the menstrual cycle as well, by shedding its lining each month if pregnancy does not occur.

Nuchal translucency measurement (NT) is a prenatal ultrasound assessment used to screen for chromosomal abnormalities, particularly Down syndrome (Trisomy 21), and other fetal abnormalities. The nuchal translucency refers to the sonolucent space or fluid-filled area at the back of the neck of a developing fetus. During the first trimester of pregnancy, an increased nuchal translucency measurement may indicate an increased risk for certain genetic disorders and structural defects.

The procedure involves measuring the thickness of this fluid-filled space using ultrasound imaging, typically between 11 and 14 weeks of gestation. A larger nuchal translucency measurement (usually greater than 3 mm) may suggest an increased risk for chromosomal abnormalities or structural issues in the fetus. The NT measurement is often combined with maternal age, biochemical markers (such as PAPP-A and free beta-hCG), and sometimes first-trimester fetal heart rate assessment to calculate the overall risk of chromosomal abnormalities in the fetus.

It's important to note that while an increased nuchal translucency measurement can indicate a higher risk for genetic disorders, it does not confirm their presence. Further diagnostic testing, such as chorionic villus sampling (CVS) or amniocentesis, may be recommended to obtain a definitive diagnosis.

Artificial respiration is an emergency procedure that can be used to provide oxygen to a person who is not breathing or is breathing inadequately. It involves manually forcing air into the lungs, either by compressing the chest or using a device to deliver breaths. The goal of artificial respiration is to maintain adequate oxygenation of the body's tissues and organs until the person can breathe on their own or until advanced medical care arrives. Artificial respiration may be used in conjunction with cardiopulmonary resuscitation (CPR) in cases of cardiac arrest.

The odds ratio (OR) is a statistical measure used in epidemiology and research to estimate the association between an exposure and an outcome. It represents the odds that an event will occur in one group versus the odds that it will occur in another group, assuming that all other factors are held constant.

In medical research, the odds ratio is often used to quantify the strength of the relationship between a risk factor (exposure) and a disease outcome. An OR of 1 indicates no association between the exposure and the outcome, while an OR greater than 1 suggests that there is a positive association between the two. Conversely, an OR less than 1 implies a negative association.

It's important to note that the odds ratio is not the same as the relative risk (RR), which compares the incidence rates of an outcome in two groups. While the OR can approximate the RR when the outcome is rare, they are not interchangeable and can lead to different conclusions about the association between an exposure and an outcome.

Three-dimensional (3D) imaging in medicine refers to the use of technologies and techniques that generate a 3D representation of internal body structures, organs, or tissues. This is achieved by acquiring and processing data from various imaging modalities such as X-ray computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, or confocal microscopy. The resulting 3D images offer a more detailed visualization of the anatomy and pathology compared to traditional 2D imaging techniques, allowing for improved diagnostic accuracy, surgical planning, and minimally invasive interventions.

In 3D imaging, specialized software is used to reconstruct the acquired data into a volumetric model, which can be manipulated and viewed from different angles and perspectives. This enables healthcare professionals to better understand complex anatomical relationships, detect abnormalities, assess disease progression, and monitor treatment response. Common applications of 3D imaging include neuroimaging, orthopedic surgery planning, cancer staging, dental and maxillofacial reconstruction, and interventional radiology procedures.

Cervical length measurement is a medical procedure that involves measuring the length of the cervix, which is the lower part of the uterus that opens into the vagina. This measurement is usually taken using transvaginal ultrasound, where a small probe is inserted into the vagina to obtain images of the cervix.

The cervical length measurement is often used in obstetrics to assess the risk of preterm labor and delivery. A shorter cervical length may indicate an increased risk of preterm birth, particularly in women with a history of preterm delivery or other risk factors. Regular cervical length measurements may be recommended for women who are at high risk of preterm labor to monitor changes in the cervix and allow for early intervention if necessary.

It is important to note that while cervical length measurement can provide useful information about preterm labor risk, it is not a definitive test and other factors should also be considered when assessing pregnancy risks. Additionally, cervical length measurement may not be recommended for all women and should only be performed by a qualified healthcare professional.

Ultrasonography, Doppler, color is a type of diagnostic ultrasound technique that uses the Doppler effect to produce visual images of blood flow in vessels and the heart. The Doppler effect is the change in frequency or wavelength of a wave in relation to an observer who is moving relative to the source of the wave. In this context, it refers to the change in frequency of the ultrasound waves as they reflect off moving red blood cells.

In color Doppler ultrasonography, different colors are used to represent the direction and speed of blood flow. Red typically represents blood flowing toward the transducer (the device that sends and receives sound waves), while blue represents blood flowing away from the transducer. The intensity or brightness of the color is proportional to the velocity of blood flow.

Color Doppler ultrasonography is often used in conjunction with grayscale ultrasound imaging, which provides information about the structure and composition of tissues. Together, these techniques can help diagnose a wide range of conditions, including heart disease, blood clots, and abnormalities in blood flow.

Tocolysis is a medical intervention used to suppress preterm labor. It involves the use of medications that aim to relax the uterus and stop contractions, thereby delaying or preventing preterm delivery. The goal of tocolysis is to give time for corticosteroid administration to promote fetal lung maturity and allow for the transfer of the mother to a facility with a higher level of neonatal care, if necessary. Commonly used tocolytic agents include calcium channel blockers, beta-adrenergic agonists, and nitric oxide donors. It's important to note that tocolysis is not always successful in preventing preterm birth, and its use should be carefully considered based on the individual circumstances and gestational age of the pregnancy.

Neonatal jaundice is a medical condition characterized by the yellowing of a newborn baby's skin and eyes due to an excess of bilirubin in the blood. Bilirubin is a yellowish substance produced by the normal breakdown of red blood cells, which are then processed by the liver and excreted through the bile. In neonatal jaundice, the liver is not yet fully developed and cannot process bilirubin quickly enough, leading to its accumulation in the body.

Neonatal jaundice typically appears within the first 2-4 days of life and can range from mild to severe. Mild cases may resolve on their own without treatment, while more severe cases may require medical intervention such as phototherapy or a blood transfusion. Risk factors for neonatal jaundice include prematurity, bruising during birth, blood type incompatibility between mother and baby, and certain genetic disorders.

It is important to monitor newborns closely for signs of jaundice and seek medical attention if concerned, as untreated neonatal jaundice can lead to serious complications such as brain damage or hearing loss.

HELLP syndrome is a serious complication in pregnancy, characterized by Hemolysis (the breakdown of red blood cells), Elevated Liver enzymes, and Low Platelet count. It is often considered a variant of severe preeclampsia or eclampsia, although it can also occur without these conditions.

The symptoms of HELLP syndrome include headache, nausea and vomiting, upper right abdominal pain, and visual disturbances. It can lead to serious complications for both the mother and the baby, such as liver failure, placental abruption, disseminated intravascular coagulation (DIC), and even death if not promptly diagnosed and treated.

The exact cause of HELLP syndrome is not known, but it is thought to be related to problems with the blood vessels that supply the placenta. Treatment typically involves delivering the baby as soon as possible, even if the baby is premature. Women who have had HELLP syndrome are at increased risk for complications in future pregnancies.

Infant formula is a manufactured food designed and marketed for feeding to babies and infants under 12 months of age, but may also be used as a supplementary feedings for older children. It is usually derived from cow's milk, but can also be made from soy or other proteins. Infant formulas are designed to provide a well-balanced diet with appropriate amounts of protein, fat, carbohydrate, vitamins, and minerals to support growth and development in infants who are not breastfed. They come in various forms such as powder, concentrate, or ready-to-feed liquid and must meet strict nutritional and safety standards set by regulatory agencies like the U.S. Food and Drug Administration (FDA) and the European Commission (EC).

Medical definitions of "Multiple Birth Offspring" refer to two or more children born to the same mother during one single pregnancy and childbirth. The most common forms of multiple birth offspring are twins (two babies), triplets (three babies), quadruplets (four babies), and so on.

The occurrence of multiple birth offspring is influenced by several factors, including genetics, maternal age, the use of fertility treatments, and other medical conditions. Multiple birth offspring may be identical (monozygotic) or fraternal (dizygotic), depending on whether they developed from a single fertilized egg or from separate eggs.

Multiple birth offspring often face unique health challenges, such as preterm birth, low birth weight, and developmental delays, due to the limited space and resources available in the womb. As a result, they may require specialized medical care and attention both during and after pregnancy.

Longitudinal studies are a type of research design where data is collected from the same subjects repeatedly over a period of time, often years or even decades. These studies are used to establish patterns of changes and events over time, and can help researchers identify causal relationships between variables. They are particularly useful in fields such as epidemiology, psychology, and sociology, where the focus is on understanding developmental trends and the long-term effects of various factors on health and behavior.

In medical research, longitudinal studies can be used to track the progression of diseases over time, identify risk factors for certain conditions, and evaluate the effectiveness of treatments or interventions. For example, a longitudinal study might follow a group of individuals over several decades to assess their exposure to certain environmental factors and their subsequent development of chronic diseases such as cancer or heart disease. By comparing data collected at multiple time points, researchers can identify trends and correlations that may not be apparent in shorter-term studies.

Longitudinal studies have several advantages over other research designs, including their ability to establish temporal relationships between variables, track changes over time, and reduce the impact of confounding factors. However, they also have some limitations, such as the potential for attrition (loss of participants over time), which can introduce bias and affect the validity of the results. Additionally, longitudinal studies can be expensive and time-consuming to conduct, requiring significant resources and a long-term commitment from both researchers and study participants.

Parturition is the process of giving birth, or the act of delivering newborn offspring. In medical terms, it refers to the expulsion of the products of conception (such as the fetus, placenta, and membranes) from the uterus of a pregnant woman during childbirth. This process is regulated by hormonal changes and involves complex interactions between the mother's body and the developing fetus. Parturition typically occurs after a full-term pregnancy, which is approximately 40 weeks in humans.

Gastroschisis is a congenital abdominal wall defect, characterized by an opening, usually to the right of the umbilical cord, through which the abdominal organs such as the intestines protrude. It's typically not covered by a sac or membrane. The exact cause of gastroschisis is unknown, but it's thought to be related to disrupted blood flow in the area where the abdominal wall develops during pregnancy. This condition is usually detected prenatally through ultrasound and requires surgical repair shortly after birth.

Abortifacient agents, steroidal, refer to a type of medication or substance that is capable of inducing abortion or causing the termination of pregnancy by interfering with the implantation and maintenance of the fertilized ovum (embryo) or the development of the placenta. Steroidal abortifacient agents are synthetic derivatives of steroids, which have a similar structure to naturally occurring hormones in the human body.

The most commonly used steroidal abortifacient agent is mifepristone, also known as RU-486. Mifepristone works by blocking the action of progesterone, a hormone that is essential for maintaining pregnancy. By blocking the action of progesterone, mifepristone causes the shedding of the uterine lining and the expulsion of the embryo or fetus from the uterus.

Steroidal abortifacient agents are typically used in the early stages of pregnancy, up to 10 weeks after the last menstrual period. They may be used alone or in combination with other medications, such as misoprostol, which helps to stimulate uterine contractions and expel the embryo or fetus from the uterus.

It is important to note that steroidal abortifacient agents are not the same as emergency contraceptives, which are used to prevent pregnancy after unprotected sexual intercourse. Steroidal abortifacient agents are intended for use in cases where pregnancy has already occurred and is unwanted or poses a risk to the health of the mother or fetus.

Placental insufficiency is a condition in which the placenta does not provide adequate nutrients and oxygen to the developing fetus. This can occur due to various reasons, such as poor placental development, damage to the placenta, or problems with the blood flow to the placenta. As a result, the fetus may receive less oxygen and nutrients than it needs for proper growth and development, which can lead to a range of complications, including low birth weight, preterm birth, and developmental delays.

The medical definition of placental insufficiency is: "a condition in which the placenta fails to provide adequate support to the developing fetus, resulting in impaired fetal growth and development." This condition can be diagnosed through various tests, such as ultrasound, fetal monitoring, and blood tests, and may require close monitoring and management throughout pregnancy to ensure the best possible outcomes for both the mother and the baby.

I'm sorry for any confusion, but "Sweden" is not a medical term. It is a country located in northern Europe. If you have any questions about medical terminology or concepts, I would be happy to help answer those!

I'm sorry for any confusion, but "Infant Nutritional Physiological Phenomena" is not a standard or widely recognized medical term. It seems to be a very specific phrase that may relate to various physiological processes and phenomena related to infant nutrition.

To try and provide some clarity, I can offer a brief explanation of the individual terms:

1. Infant: A young child, typically under one year of age.
2. Nutritional: Relating to food or nourishment, particularly in relation to energy and the balance of essential nutrients required for growth, repair, and maintenance of bodily functions.
3. Physiological: Describing processes and functions that occur within a living organism as part of normal bodily function, including biochemical reactions, organ function, and responses to environmental stimuli.
4. Phenomena: Observable events or occurrences.

So, "Infant Nutritional Physiological Phenomena" could refer to observable events or processes related to an infant's nutrition and physiology. However, without further context, it is difficult to provide a more precise definition. Examples of such phenomena might include the development of feeding skills, growth patterns, or changes in metabolism related to dietary intake.

I'm not sure I understand your question. "Denmark" is a country located in Northern Europe, and it is not a medical term or concept. It is the southernmost of the Nordic countries, and it consists of the Jutland peninsula and several islands in the Baltic Sea. The capital city of Denmark is Copenhagen.

If you are looking for information about a medical condition that may be associated with Denmark, could you please provide more context or clarify your question? I would be happy to help you with more specific information if I can.

Uterine hemorrhage, also known as uterine bleeding or gynecological bleeding, is an abnormal loss of blood from the uterus. It can occur in various clinical settings such as menstruation (known as menorrhagia), postpartum period (postpartum hemorrhage), or in non-pregnant women (dysfunctional uterine bleeding). The bleeding may be light to heavy, intermittent or continuous, and can be accompanied by symptoms such as pain, dizziness, or fainting. Uterine hemorrhage is a common gynecological problem that can have various underlying causes, including hormonal imbalances, structural abnormalities, coagulopathies, and malignancies. It is important to seek medical attention if experiencing heavy or prolonged uterine bleeding to determine the cause and receive appropriate treatment.

In the context of medicine, growth generally refers to the increase in size or mass of an organism or a specific part of the body over time. This can be quantified through various methods such as measuring height, weight, or the dimensions of particular organs or tissues. In children, normal growth is typically assessed using growth charts that plot measurements like height and weight against age to determine whether a child's growth is following a typical pattern.

Growth can be influenced by a variety of factors, including genetics, nutrition, hormonal regulation, and overall health status. Abnormalities in growth patterns may indicate underlying medical conditions or developmental disorders that require further evaluation and treatment.

Trophoblasts are specialized cells that make up the outer layer of a blastocyst, which is a hollow ball of cells that forms in the earliest stages of embryonic development. In humans, this process occurs about 5-6 days after fertilization. The blastocyst consists of an inner cell mass (which will eventually become the embryo) and an outer layer of trophoblasts.

Trophoblasts play a crucial role in implantation, which is the process by which the blastocyst attaches to and invades the lining of the uterus. Once implanted, the trophoblasts differentiate into two main layers: the cytotrophoblasts (which are closer to the inner cell mass) and the syncytiotrophoblasts (which form a multinucleated layer that is in direct contact with the maternal tissues).

The cytotrophoblasts proliferate and fuse to form the syncytiotrophoblasts, which have several important functions. They secrete enzymes that help to degrade and remodel the extracellular matrix of the uterine lining, allowing the blastocyst to implant more deeply. They also form a barrier between the maternal and fetal tissues, helping to protect the developing embryo from the mother's immune system.

Additionally, trophoblasts are responsible for the formation of the placenta, which provides nutrients and oxygen to the developing fetus and removes waste products. The syncytiotrophoblasts in particular play a key role in this process by secreting hormones such as human chorionic gonadotropin (hCG), which helps to maintain pregnancy, and by forming blood vessels that allow for the exchange of nutrients and waste between the mother and fetus.

Abnormalities in trophoblast development or function can lead to a variety of pregnancy-related complications, including preeclampsia, intrauterine growth restriction, and gestational trophoblastic diseases such as hydatidiform moles and choriocarcinomas.

Four-dimensional echocardiography (4D echo) is a type of ultrasound imaging that captures the movement and function of the heart in three dimensions over time. It uses advanced software to create a real-time 3D image of the heart, allowing cardiologists to visualize and analyze its structure and motion from various angles. This technique provides detailed information about the size, shape, and function of the heart chambers, valves, and surrounding structures, which can help in the diagnosis and management of various heart conditions.

In 4D echo, the fourth dimension refers to time, as it allows for the analysis of motion and change over time. This technique provides more comprehensive information compared to traditional two-dimensional (2D) echocardiography, which only captures a single plane of the heart at a time. Four-dimensional echocardiography is a valuable tool in the field of cardiology, as it can help clinicians make more informed decisions about patient care and treatment planning.

"Sex factors" is a term used in medicine and epidemiology to refer to the differences in disease incidence, prevalence, or response to treatment that are observed between males and females. These differences can be attributed to biological differences such as genetics, hormones, and anatomy, as well as social and cultural factors related to gender.

For example, some conditions such as autoimmune diseases, depression, and osteoporosis are more common in women, while others such as cardiovascular disease and certain types of cancer are more prevalent in men. Additionally, sex differences have been observed in the effectiveness and side effects of various medications and treatments.

It is important to consider sex factors in medical research and clinical practice to ensure that patients receive appropriate and effective care.

Breastfeeding is the process of providing nutrition to an infant or young child by feeding them breast milk directly from the mother's breast. It is also known as nursing. Breast milk is the natural food for newborns and infants, and it provides all the nutrients they need to grow and develop during the first six months of life.

Breastfeeding has many benefits for both the mother and the baby. For the baby, breast milk contains antibodies that help protect against infections and diseases, and it can also reduce the risk of sudden infant death syndrome (SIDS), allergies, and obesity. For the mother, breastfeeding can help her lose weight after pregnancy, reduce the risk of certain types of cancer, and promote bonding with her baby.

Breastfeeding is recommended exclusively for the first six months of an infant's life, and then continued along with appropriate complementary foods until the child is at least two years old or beyond. However, it is important to note that every mother and baby pair is unique, and what works best for one may not work as well for another. It is recommended that mothers consult with their healthcare provider to determine the best feeding plan for themselves and their baby.

The uterine artery is a paired branch of the internal iliac (hip) artery that supplies blood to the uterus and vagina. It anastomoses (joins) with the ovarian artery to form a rich vascular network that nourishes the female reproductive organs. The right and left uterine arteries run along the sides of the uterus, where they divide into several branches to supply oxygenated blood and nutrients to the myometrium (uterine muscle), endometrium (lining), and cervix. These arteries undergo significant changes in size and structure during pregnancy to accommodate the growing fetus and placenta, making them crucial for maintaining a healthy pregnancy.

Non-steroidal abortifacient agents are medications or substances that can cause abortion by interfering with the normal functioning of the hormones in the reproductive system. These agents do not contain steroids and work primarily by preventing the implantation of a fertilized egg in the uterus or by causing the shedding of the uterine lining, leading to the termination of an early pregnancy.

Examples of non-steroidal abortifacient agents include:

1. Mifepristone (RU-486): This medication works by blocking the action of progesterone, a hormone necessary for maintaining pregnancy. When used in combination with another medication called misoprostol, it can cause an abortion during the early stages of pregnancy.
2. Misoprostol: This medication is primarily used to prevent and treat stomach ulcers but can also be used as an abortifacient agent. It causes uterine contractions and cervical dilation, leading to the expulsion of the contents of the uterus.
3. High-dose estrogen and progestin: These hormones can interfere with the normal functioning of the reproductive system and cause an early abortion when taken in high doses.
4. Herbal remedies: Certain herbs, such as pennyroyal, tansy, and savin, have been used traditionally as abortifacient agents. However, their effectiveness and safety are not well-established, and they can cause serious side effects or even death when taken in large quantities.

It is important to note that the use of non-steroidal abortifacient agents for the purpose of inducing an abortion should only be done under the supervision of a licensed healthcare provider, as there are potential risks and complications associated with their use. Additionally, some of these agents may be restricted or illegal in certain jurisdictions, so it is essential to comply with local laws and regulations regarding their use.

Estriol is a type of estrogen, which is a female sex hormone. It is produced in the placenta during pregnancy and is used as a marker for fetal growth and development. Estriol levels can be measured in the mother's urine or blood to assess fetal well-being during pregnancy. Additionally, synthetic forms of estriol are sometimes used in hormone replacement therapy to treat symptoms of menopause.

'Diseases in Twins' is a field of study that focuses on the similarities and differences in the occurrence, development, and outcomes of diseases among twins. This research can provide valuable insights into the genetic and environmental factors that contribute to various medical conditions.

Twins can be classified into two types: monozygotic (identical) and dizygotic (fraternal). Monozygotic twins share 100% of their genes, while dizygotic twins share about 50%, similar to non-twin siblings. By comparing the concordance rates (the likelihood of both twins having the same disease) between monozygotic and dizygotic twins, researchers can estimate the heritability of a particular disease.

Studying diseases in twins also helps understand the role of environmental factors. When both twins develop the same disease, but they are discordant for certain risk factors (e.g., one twin smokes and the other does not), it suggests that the disease may have a stronger genetic component. On the other hand, when both twins share similar risk factors and develop the disease, it implies that environmental factors play a significant role.

Diseases in Twins research has contributed to our understanding of various medical conditions, including infectious diseases, cancer, mental health disorders, and developmental disorders. This knowledge can lead to better prevention strategies, early detection methods, and more targeted treatments for these diseases.

Enteral nutrition refers to the delivery of nutrients to a person through a tube that is placed into the gastrointestinal tract, specifically into the stomach or small intestine. This type of nutrition is used when a person is unable to consume food or liquids by mouth due to various medical conditions such as swallowing difficulties, malabsorption, or gastrointestinal disorders.

Enteral nutrition can be provided through different types of feeding tubes, including nasogastric tubes, which are inserted through the nose and down into the stomach, and gastrostomy or jejunostomy tubes, which are placed directly into the stomach or small intestine through a surgical incision.

The nutrients provided through enteral nutrition may include commercially prepared formulas that contain a balance of carbohydrates, proteins, fats, vitamins, and minerals, or blenderized whole foods that are pureed and delivered through the feeding tube. The choice of formula or type of feed depends on the individual's nutritional needs, gastrointestinal function, and medical condition.

Enteral nutrition is a safe and effective way to provide nutrition support to people who are unable to meet their nutritional needs through oral intake alone. It can help prevent malnutrition, promote wound healing, improve immune function, and enhance overall health and quality of life.

The femur is the medical term for the thigh bone, which is the longest and strongest bone in the human body. It connects the hip bone to the knee joint and plays a crucial role in supporting the weight of the body and allowing movement during activities such as walking, running, and jumping. The femur is composed of a rounded head, a long shaft, and two condyles at the lower end that articulate with the tibia and patella to form the knee joint.

Multivariate analysis is a statistical method used to examine the relationship between multiple independent variables and a dependent variable. It allows for the simultaneous examination of the effects of two or more independent variables on an outcome, while controlling for the effects of other variables in the model. This technique can be used to identify patterns, associations, and interactions among multiple variables, and is commonly used in medical research to understand complex health outcomes and disease processes. Examples of multivariate analysis methods include multiple regression, factor analysis, cluster analysis, and discriminant analysis.

Body Mass Index (BMI) is a measure used to assess whether a person has a healthy weight for their height. It's calculated by dividing a person's weight in kilograms by the square of their height in meters. Here is the medical definition:

Body Mass Index (BMI) = weight(kg) / [height(m)]^2

According to the World Health Organization, BMI categories are defined as follows:

* Less than 18.5: Underweight
* 18.5-24.9: Normal or healthy weight
* 25.0-29.9: Overweight
* 30.0 and above: Obese

It is important to note that while BMI can be a useful tool for identifying weight issues in populations, it does have limitations when applied to individuals. For example, it may not accurately reflect body fat distribution or muscle mass, which can affect health risks associated with excess weight. Therefore, BMI should be used as one of several factors when evaluating an individual's health status and risk for chronic diseases.

"Animal pregnancy" is not a term that is typically used in medical definitions. However, in biological terms, animal pregnancy refers to the condition where a fertilized egg (or eggs) implants and develops inside the reproductive tract of a female animal, leading to the birth of offspring (live young).

The specific details of animal pregnancy can vary widely between different species, with some animals exhibiting phenomena such as placental development, gestation periods, and hormonal changes that are similar to human pregnancy, while others may have very different reproductive strategies.

It's worth noting that the study of animal pregnancy and reproduction is an important area of biological research, as it can provide insights into fundamental mechanisms of embryonic development, genetics, and evolution.

Human milk, also known as breast milk, is the nutrient-rich fluid produced by the human female mammary glands to feed and nourish their infants. It is the natural and species-specific first food for human babies, providing all the necessary nutrients in a form that is easily digestible and absorbed. Human milk contains a balance of proteins, carbohydrates, fats, vitamins, minerals, and other bioactive components that support the growth, development, and immunity of newborns and young infants. Its composition changes over time, adapting to meet the changing needs of the growing infant.

Psychomotor disorders are conditions that involve abnormalities in cognition, emotion, and behavior associated with impaired voluntary motor or movement functions. These disorders can be characterized by hypoactivity (decreased motor activity) or hyperactivity (increased motor activity). Examples of psychomotor disorders include Parkinson's disease, Huntington's disease, Tourette syndrome, and catatonia. Psychomotor agitation, retardation, and stereotypies are also considered psychomotor disorders. These conditions can significantly impact a person's daily functioning and quality of life.

Growth disorders are medical conditions that affect a person's growth and development, leading to shorter or taller stature than expected for their age, sex, and ethnic group. These disorders can be caused by various factors, including genetic abnormalities, hormonal imbalances, chronic illnesses, malnutrition, and psychosocial issues.

There are two main types of growth disorders:

1. Short stature: This refers to a height that is significantly below average for a person's age, sex, and ethnic group. Short stature can be caused by various factors, including genetic conditions such as Turner syndrome or dwarfism, hormonal deficiencies, chronic illnesses, malnutrition, and psychosocial issues.
2. Tall stature: This refers to a height that is significantly above average for a person's age, sex, and ethnic group. Tall stature can be caused by various factors, including genetic conditions such as Marfan syndrome or Klinefelter syndrome, hormonal imbalances, and certain medical conditions like acromegaly.

Growth disorders can have significant impacts on a person's physical, emotional, and social well-being. Therefore, it is essential to diagnose and manage these conditions early to optimize growth and development and improve overall quality of life. Treatment options for growth disorders may include medication, nutrition therapy, surgery, or a combination of these approaches.

Observer variation, also known as inter-observer variability or measurement agreement, refers to the difference in observations or measurements made by different observers or raters when evaluating the same subject or phenomenon. It is a common issue in various fields such as medicine, research, and quality control, where subjective assessments are involved.

In medical terms, observer variation can occur in various contexts, including:

1. Diagnostic tests: Different radiologists may interpret the same X-ray or MRI scan differently, leading to variations in diagnosis.
2. Clinical trials: Different researchers may have different interpretations of clinical outcomes or adverse events, affecting the consistency and reliability of trial results.
3. Medical records: Different healthcare providers may document medical histories, physical examinations, or treatment plans differently, leading to inconsistencies in patient care.
4. Pathology: Different pathologists may have varying interpretations of tissue samples or laboratory tests, affecting diagnostic accuracy.

Observer variation can be minimized through various methods, such as standardized assessment tools, training and calibration of observers, and statistical analysis of inter-rater reliability.

Maternal nutritional physiological phenomena refer to the various changes and processes that occur in a woman's body during pregnancy, lactation, and postpartum periods to meet the increased nutritional demands and support the growth and development of the fetus or infant. These phenomena involve complex interactions between maternal nutrition, hormonal regulation, metabolism, and physiological functions to ensure optimal pregnancy outcomes and offspring health.

Examples of maternal nutritional physiological phenomena include:

1. Adaptations in maternal nutrient metabolism: During pregnancy, the mother's body undergoes various adaptations to increase the availability of essential nutrients for fetal growth and development. For instance, there are increased absorption and utilization of glucose, amino acids, and fatty acids, as well as enhanced storage of glycogen and lipids in maternal tissues.
2. Placental transfer of nutrients: The placenta plays a crucial role in facilitating the exchange of nutrients between the mother and fetus. It selectively transports essential nutrients such as glucose, amino acids, fatty acids, vitamins, and minerals from the maternal circulation to the fetal compartment while removing waste products.
3. Maternal weight gain: Pregnant women typically experience an increase in body weight due to the growth of the fetus, placenta, amniotic fluid, and maternal tissues such as the uterus and breasts. Adequate gestational weight gain is essential for ensuring optimal pregnancy outcomes and reducing the risk of adverse perinatal complications.
4. Changes in maternal hormonal regulation: Pregnancy is associated with significant changes in hormonal profiles, including increased levels of estrogen, progesterone, human chorionic gonadotropin (hCG), and other hormones that regulate various physiological functions such as glucose metabolism, appetite regulation, and maternal-fetal immune tolerance.
5. Lactation: Following childbirth, the mother's body undergoes further adaptations to support lactation and breastfeeding. This involves the production and secretion of milk, which contains essential nutrients and bioactive components that promote infant growth, development, and immunity.
6. Nutrient requirements: Pregnancy and lactation increase women's nutritional demands for various micronutrients such as iron, calcium, folate, vitamin D, and omega-3 fatty acids. Meeting these increased nutritional needs is crucial for ensuring optimal pregnancy outcomes and supporting maternal health during the postpartum period.

Understanding these physiological adaptations and their implications for maternal and fetal health is essential for developing evidence-based interventions to promote positive pregnancy outcomes, reduce the risk of adverse perinatal complications, and support women's health throughout the reproductive lifespan.

Hematologic pregnancy complications refer to disorders related to the blood and blood-forming tissues that occur during pregnancy. These complications can have serious consequences for both the mother and the fetus if not properly managed. Some common hematologic pregnancy complications include:

1. Anemia: A condition characterized by a decrease in the number of red blood cells or hemoglobin in the blood, which can lead to fatigue, weakness, and shortness of breath. Iron-deficiency anemia is the most common type of anemia during pregnancy.
2. Thrombocytopenia: A condition characterized by a decrease in the number of platelets (cells that help blood clot) in the blood. Mild thrombocytopenia is relatively common during pregnancy, but severe thrombocytopenia can increase the risk of bleeding during delivery.
3. Gestational thrombotic thrombocytopenic purpura (GTTP): A rare but serious disorder that can cause blood clots to form in small blood vessels throughout the body, leading to a decrease in the number of platelets and red blood cells. GTTP can cause serious complications such as stroke, kidney failure, and even death if not promptly diagnosed and treated.
4. Disseminated intravascular coagulation (DIC): A condition characterized by abnormal clotting and bleeding throughout the body. DIC can be triggered by various conditions such as severe infections, pregnancy complications, or cancer.
5. Hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome: A serious complication of pregnancy that can cause damage to the liver and lead to bleeding. HELLP syndrome is often associated with preeclampsia, a condition characterized by high blood pressure and damage to organs such as the liver and kidneys.

It's important for pregnant women to receive regular prenatal care to monitor for these and other potential complications, and to seek prompt medical attention if any concerning symptoms arise.

Parenteral nutrition (PN) is a medical term used to describe the delivery of nutrients directly into a patient's bloodstream through a vein, bypassing the gastrointestinal tract. It is a specialized medical treatment that is typically used when a patient cannot receive adequate nutrition through enteral feeding, which involves the ingestion and digestion of food through the mouth or a feeding tube.

PN can be used to provide essential nutrients such as carbohydrates, proteins, fats, vitamins, minerals, and electrolytes to patients who have conditions that prevent them from absorbing nutrients through their gut, such as severe gastrointestinal tract disorders, malabsorption syndromes, or short bowel syndrome.

PN is administered through a catheter that is inserted into a vein, typically in the chest or arm. The nutrient solution is prepared under sterile conditions and delivered through an infusion pump to ensure accurate and controlled delivery of the solution.

While PN can be a life-saving intervention for some patients, it also carries risks such as infection, inflammation, and organ damage. Therefore, it should only be prescribed and administered by healthcare professionals with specialized training in this area.

Extraembryonic membranes are specialized structures that form around the developing embryo in utero and provide vital support and protection during fetal development. There are three main extraembryonic membranes: the amnion, the chorion, and the allantois.

The amnion is the innermost membrane that surrounds the embryo itself, forming a fluid-filled sac known as the amniotic cavity. This sac provides a protective cushion for the developing embryo and helps to regulate its temperature and moisture levels.

The chorion is the outermost of the extraembryonic membranes, and it forms the boundary between the developing fetus and the mother's uterine wall. The chorion contains blood vessels that exchange nutrients and waste products with the mother's circulation, allowing for the growth and development of the fetus.

The allantois is a small membranous sac that arises from the developing fetal gut and eventually becomes part of the umbilical cord. It serves as a reservoir for fetal urine and helps to exchange waste products between the fetal and maternal circulations.

Together, these extraembryonic membranes play a critical role in supporting fetal development and ensuring a healthy pregnancy.

Monozygotic twins, also known as identical twins, are derived from a single fertilized egg (ovum) that splits and develops into two separate embryos. This results in the formation of genetically identical individuals who share the same genetic material, with the exception of potential mutations that may occur after the split. Monozygotic twins have the same sex, blood type, and other genetic traits. They are a unique pair of siblings, sharing an extraordinary degree of resemblance in physical characteristics, abilities, and behaviors.

Hydrocortisone is a synthetic glucocorticoid, which is a class of steroid hormones. It is identical to the naturally occurring cortisol, a hormone produced by the adrenal gland that helps regulate metabolism and helps your body respond to stress. Hydrocortisone has anti-inflammatory effects and is used to treat various inflammatory conditions such as allergies, skin disorders, and autoimmune diseases. It works by suppressing the immune system's response to reduce swelling, redness, itching, and other symptoms caused by inflammation.

Hydrocortisone is available in different forms, including oral tablets, topical creams, lotions, gels, and ointments, as well as injectable solutions. The specific use and dosage depend on the condition being treated and the individual patient's medical history and current health status.

As with any medication, hydrocortisone can have side effects, especially when used in high doses or for extended periods. Common side effects include increased appetite, weight gain, mood changes, insomnia, and skin thinning. Long-term use of hydrocortisone may also increase the risk of developing osteoporosis, diabetes, cataracts, and other health problems. Therefore, it is essential to follow your healthcare provider's instructions carefully when using this medication.

A biological marker, often referred to as a biomarker, is a measurable indicator that reflects the presence or severity of a disease state, or a response to a therapeutic intervention. Biomarkers can be found in various materials such as blood, tissues, or bodily fluids, and they can take many forms, including molecular, histologic, radiographic, or physiological measurements.

In the context of medical research and clinical practice, biomarkers are used for a variety of purposes, such as:

1. Diagnosis: Biomarkers can help diagnose a disease by indicating the presence or absence of a particular condition. For example, prostate-specific antigen (PSA) is a biomarker used to detect prostate cancer.
2. Monitoring: Biomarkers can be used to monitor the progression or regression of a disease over time. For instance, hemoglobin A1c (HbA1c) levels are monitored in diabetes patients to assess long-term blood glucose control.
3. Predicting: Biomarkers can help predict the likelihood of developing a particular disease or the risk of a negative outcome. For example, the presence of certain genetic mutations can indicate an increased risk for breast cancer.
4. Response to treatment: Biomarkers can be used to evaluate the effectiveness of a specific treatment by measuring changes in the biomarker levels before and after the intervention. This is particularly useful in personalized medicine, where treatments are tailored to individual patients based on their unique biomarker profiles.

It's important to note that for a biomarker to be considered clinically valid and useful, it must undergo rigorous validation through well-designed studies, including demonstrating sensitivity, specificity, reproducibility, and clinical relevance.

Bilirubin is a yellowish pigment that is produced by the liver when it breaks down old red blood cells. It is a normal byproduct of hemoglobin metabolism and is usually conjugated (made water-soluble) in the liver before being excreted through the bile into the digestive system. Elevated levels of bilirubin can cause jaundice, a yellowing of the skin and eyes. Increased bilirubin levels may indicate liver disease or other medical conditions such as gallstones or hemolysis. It is also measured to assess liver function and to help diagnose various liver disorders.

Chorionic Gonadotropin, beta Subunit, Human (β-hCG) is a protein that is produced by the placenta during pregnancy. It is a component of human chorionic gonadotropin (hCG), which is a hormone that is composed of two subunits: alpha and beta. The β-hCG subunit is specific to hCG and is not found in other hormones, making it a useful marker for pregnancy and certain medical conditions.

During early pregnancy, the levels of β-hCG increase rapidly and can be detected in the blood and urine. This has led to the development of pregnancy tests that detect the presence of β-hCG to confirm pregnancy. In addition to its role in pregnancy, β-hCG is also used as a tumor marker for certain types of cancer, such as germ cell tumors and choriocarcinoma.

Elevated levels of β-hCG may indicate the presence of a molar pregnancy, a condition in which a fertilized egg implants in the uterus but does not develop properly. In some cases, a molar pregnancy can become cancerous and require treatment. Therefore, monitoring β-hCG levels during pregnancy is important for detecting any potential complications.

A forehead, in medical terms, refers to the portion of the human skull that lies immediately above the eyes and serves as an attachment site for the frontal bone. It is a common area for the examination of various clinical signs, such as assessing the level of consciousness (by checking if the patient's eyebrows or eyelids twitch in response to a light touch) or looking for signs of increased intracranial pressure (such as bulging fontanelles in infants). Additionally, the forehead is often used as a site for non-invasive procedures like Botox injections.

A cerebral hemorrhage, also known as an intracranial hemorrhage or intracerebral hemorrhage, is a type of stroke that results from bleeding within the brain tissue. It occurs when a weakened blood vessel bursts and causes localized bleeding in the brain. This bleeding can increase pressure in the skull, damage nearby brain cells, and release toxic substances that further harm brain tissues.

Cerebral hemorrhages are often caused by chronic conditions like hypertension (high blood pressure) or cerebral amyloid angiopathy, which weakens the walls of blood vessels over time. Other potential causes include trauma, aneurysms, arteriovenous malformations, illicit drug use, and brain tumors. Symptoms may include sudden headache, weakness, numbness, difficulty speaking or understanding speech, vision problems, loss of balance, and altered level of consciousness. Immediate medical attention is required to diagnose and manage cerebral hemorrhage through imaging techniques, supportive care, and possible surgical interventions.

Analysis of Variance (ANOVA) is a statistical technique used to compare the means of two or more groups and determine whether there are any significant differences between them. It is a way to analyze the variance in a dataset to determine whether the variability between groups is greater than the variability within groups, which can indicate that the groups are significantly different from one another.

ANOVA is based on the concept of partitioning the total variance in a dataset into two components: variance due to differences between group means (also known as "between-group variance") and variance due to differences within each group (also known as "within-group variance"). By comparing these two sources of variance, ANOVA can help researchers determine whether any observed differences between groups are statistically significant, or whether they could have occurred by chance.

ANOVA is a widely used technique in many areas of research, including biology, psychology, engineering, and business. It is often used to compare the means of two or more experimental groups, such as a treatment group and a control group, to determine whether the treatment had a significant effect. ANOVA can also be used to compare the means of different populations or subgroups within a population, to identify any differences that may exist between them.

Pregnancy-associated plasma protein-A (PAPP-A) is a protease that is often used as a biomarker in early pregnancy. It is a protein that is produced by the placenta and can be detected in the mother's bloodstream during pregnancy.

In early pregnancy, low levels of PAPP-A may indicate an increased risk for certain complications, such as preeclampsia or fetal growth restriction. High levels of PAPP-A, on the other hand, may be associated with an increased risk of chromosomal abnormalities, such as Down syndrome.

It is important to note that while PAPP-A levels can provide valuable information about the health of a pregnancy, they are just one piece of the puzzle and should be considered in conjunction with other factors, such as maternal age, medical history, and ultrasound results. Your healthcare provider will use this information along with other tests to assess your risk for certain complications and develop an appropriate plan of care.

I'm sorry for any confusion, but "Norway" is not a medical term or concept. It is a country in Northern Europe, known officially as the Kingdom of Norway. If you have any questions about medical topics or definitions, I would be happy to help!

Socioeconomic factors are a range of interconnected conditions and influences that affect the opportunities and resources a person or group has to maintain and improve their health and well-being. These factors include:

1. Economic stability: This includes employment status, job security, income level, and poverty status. Lower income and lack of employment are associated with poorer health outcomes.
2. Education: Higher levels of education are generally associated with better health outcomes. Education can affect a person's ability to access and understand health information, as well as their ability to navigate the healthcare system.
3. Social and community context: This includes factors such as social support networks, discrimination, and community safety. Strong social supports and positive community connections are associated with better health outcomes, while discrimination and lack of safety can negatively impact health.
4. Healthcare access and quality: Access to affordable, high-quality healthcare is an important socioeconomic factor that can significantly impact a person's health. Factors such as insurance status, availability of providers, and cultural competency of healthcare systems can all affect healthcare access and quality.
5. Neighborhood and built environment: The physical conditions in which people live, work, and play can also impact their health. Factors such as housing quality, transportation options, availability of healthy foods, and exposure to environmental hazards can all influence health outcomes.

Socioeconomic factors are often interrelated and can have a cumulative effect on health outcomes. For example, someone who lives in a low-income neighborhood with limited access to healthy foods and safe parks may also face challenges related to employment, education, and healthcare access that further impact their health. Addressing socioeconomic factors is an important part of promoting health equity and reducing health disparities.

In the context of medicine and healthcare, 'probability' does not have a specific medical definition. However, in general terms, probability is a branch of mathematics that deals with the study of numerical quantities called probabilities, which are assigned to events or sets of events. Probability is a measure of the likelihood that an event will occur. It is usually expressed as a number between 0 and 1, where 0 indicates that the event is impossible and 1 indicates that the event is certain to occur.

In medical research and statistics, probability is often used to quantify the uncertainty associated with statistical estimates or hypotheses. For example, a p-value is a probability that measures the strength of evidence against a hypothesis. A small p-value (typically less than 0.05) suggests that the observed data are unlikely under the assumption of the null hypothesis, and therefore provides evidence in favor of an alternative hypothesis.

Probability theory is also used to model complex systems and processes in medicine, such as disease transmission dynamics or the effectiveness of medical interventions. By quantifying the uncertainty associated with these models, researchers can make more informed decisions about healthcare policies and practices.

Phototherapy is a medical treatment that involves the use of light to manage or improve certain conditions. It can be delivered in various forms, such as natural light exposure or artificial light sources, including lasers, light-emitting diodes (LEDs), or fluorescent lamps. The wavelength and intensity of light are carefully controlled to achieve specific therapeutic effects.

Phototherapy is most commonly used for newborns with jaundice to help break down bilirubin in the skin, reducing its levels in the bloodstream. This type of phototherapy is called bilirubin lights or bili lights.

In dermatology, phototherapy can be applied to treat various skin conditions like psoriasis, eczema, vitiligo, and acne. Narrowband ultraviolet B (UVB) therapy, PUVA (psoralen plus UVA), and blue or red light therapies are some examples of dermatological phototherapies.

Phototherapy can also be used to alleviate symptoms of seasonal affective disorder (SAD) and other mood disorders by exposing patients to bright artificial light, which helps regulate their circadian rhythms and improve their mood. This form of phototherapy is called light therapy or bright light therapy.

It's essential to consult a healthcare professional before starting any phototherapy treatment, as inappropriate use can lead to adverse effects.

Maternal welfare is not a term that has a specific medical definition. However, in a general sense, it refers to the physical, mental, and social well-being of a woman during pregnancy, childbirth, and the postpartum period. It encompasses various factors such as access to quality healthcare services, nutrition, emotional support, and a safe and healthy environment.

Maternal welfare is an essential component of maternal health, which aims to ensure that women have a positive and safe pregnancy and childbirth experience, free from complications and harm. It involves addressing issues related to maternal mortality and morbidity, prenatal care, family planning, and reproductive rights.

Promoting maternal welfare requires a multidisciplinary approach that includes healthcare providers, policymakers, community leaders, and families working together to ensure that women have access to the resources and support they need to maintain their health and well-being during pregnancy and beyond.

A nomogram is a graphical representation of a mathematical formula or equation that allows the user to quickly solve a problem by simply drawing a line between different values on the chart. In the field of medicine, nomograms are often used as a tool for predicting patient outcomes, assessing risk, or making diagnostic decisions based on specific clinical data.

For example, a nomogram may be used to estimate the probability of survival in patients with a particular type of cancer, based on factors such as age, tumor size, and stage of disease. The user would locate the appropriate values for each factor on the nomogram, draw a line connecting them, and read off the estimated probability at the intersection point.

Nomograms can be a useful and intuitive way to communicate complex medical information and help clinicians make informed decisions in a timely manner. However, it is important to note that nomograms are only as accurate as the data they are based on, and should always be used in conjunction with clinical judgment and other relevant factors.

I apologize, but "Brazil" is not a medical term or condition. It is the largest country in both South America and Latin America by land area and population. If you have any questions related to medical terminology or health concerns, please provide more information and I will do my best to help.

A neurological examination is a series of tests used to evaluate the functioning of the nervous system, including both the central nervous system (the brain and spinal cord) and peripheral nervous system (the nerves that extend from the brain and spinal cord to the rest of the body). It is typically performed by a healthcare professional such as a neurologist or a primary care physician with specialized training in neurology.

During a neurological examination, the healthcare provider will assess various aspects of neurological function, including:

1. Mental status: This involves evaluating a person's level of consciousness, orientation, memory, and cognitive abilities.
2. Cranial nerves: There are 12 cranial nerves that control functions such as vision, hearing, smell, taste, and movement of the face and neck. The healthcare provider will test each of these nerves to ensure they are functioning properly.
3. Motor function: This involves assessing muscle strength, tone, coordination, and reflexes. The healthcare provider may ask the person to perform certain movements or tasks to evaluate these functions.
4. Sensory function: The healthcare provider will test a person's ability to feel different types of sensations, such as touch, pain, temperature, vibration, and proprioception (the sense of where your body is in space).
5. Coordination and balance: The healthcare provider may assess a person's ability to perform coordinated movements, such as touching their finger to their nose or walking heel-to-toe.
6. Reflexes: The healthcare provider will test various reflexes throughout the body using a reflex hammer.

The results of a neurological examination can help healthcare providers diagnose and monitor conditions that affect the nervous system, such as stroke, multiple sclerosis, Parkinson's disease, or peripheral neuropathy.

Bottle feeding is a method of providing nutrition to infants and young children using a bottle and an artificial nipple. The bottle is filled with milk or formula, and the child sucks on the nipple to draw the liquid out. This can be done with expressed breast milk or commercial infant formula. Bottle feeding can be a convenient alternative to breastfeeding, but it is important to follow proper techniques to ensure that the baby is receiving adequate nutrition and to prevent dental problems and ear infections. It's also important to clean the bottles and nipples properly to avoid contamination and growth of bacteria.

"Sucking behavior" is not a term typically used in medical terminology. However, in the context of early childhood development and behavior, "non-nutritive sucking" is a term that may be used to describe an infant or young child's habitual sucking on their thumb, fingers, or pacifiers, beyond what is necessary for feeding. This type of sucking behavior can provide a sense of security, comfort, or help to self-soothe and manage stress or anxiety.

It's important to note that while non-nutritive sucking is generally considered a normal part of early childhood development, persistent sucking habits beyond the age of 2-4 years may lead to dental or orthodontic problems such as an overbite or open bite. Therefore, it's recommended to monitor and address these behaviors if they persist beyond this age range.

Magnetocardiography (MCG) is a non-invasive diagnostic technique that measures the magnetic fields produced by the electrical activity of the heart. It uses highly sensitive devices called magnetometers to detect and record these magnetic signals, which are then processed and analyzed to provide information about the heart's electrical function and structure.

MCG can be used to detect and monitor various cardiac conditions, including arrhythmias, ischemia (reduced blood flow to the heart), and myocardial infarction (heart attack). It can also help in identifying abnormalities in the heart's conduction system and assessing the effectiveness of treatments such as pacemakers.

One advantage of MCG over other diagnostic techniques like electrocardiography (ECG) is that it is not affected by the conductive properties of body tissues, which can distort ECG signals. This makes MCG a more accurate tool for measuring the heart's magnetic fields and can provide additional information about the underlying electrical activity. However, MCG requires specialized equipment and shielding to reduce interference from external magnetic sources, making it less widely available than ECG.

Neoplastic pregnancy complications refer to the abnormal growth of cells (neoplasia) that can occur during pregnancy. These growths can be benign or malignant and can arise from any type of tissue in the body. However, when they occur in pregnant women, they can pose unique challenges due to the potential effects on the developing fetus and the changes in the mother's body.

Some common neoplastic pregnancy complications include:

1. Gestational trophoblastic disease (GTD): This is a group of rare tumors that occur in the uterus during pregnancy. GTD can range from benign conditions like hydatidiform mole to malignant forms like choriocarcinoma.
2. Breast cancer: Pregnancy-associated breast cancer (PABC) is a type of breast cancer that occurs during pregnancy or within one year after delivery. It can be aggressive and challenging to diagnose due to the changes in the breast tissue during pregnancy.
3. Cervical cancer: Cervical cancer can occur during pregnancy, and its management depends on the stage of the disease and the gestational age. In some cases, treatment may need to be delayed until after delivery.
4. Lung cancer: Pregnancy does not increase the risk of lung cancer, but it can make diagnosis and treatment more challenging.
5. Melanoma: Melanoma is the most common malignant skin cancer during pregnancy. It can spread quickly and requires prompt treatment.

The management of neoplastic pregnancy complications depends on several factors, including the type and stage of the tumor, gestational age, and the patient's wishes. In some cases, surgery, chemotherapy, or radiation therapy may be necessary. However, these treatments can have potential risks to the developing fetus, so a multidisciplinary team of healthcare providers is often involved in the care of pregnant women with neoplastic complications.

Pulmonary surfactants are a complex mixture of lipids and proteins that are produced by the alveolar type II cells in the lungs. They play a crucial role in reducing the surface tension at the air-liquid interface within the alveoli, which helps to prevent collapse of the lungs during expiration. Surfactants also have important immunological functions, such as inhibiting the growth of certain bacteria and modulating the immune response. Deficiency or dysfunction of pulmonary surfactants can lead to respiratory distress syndrome (RDS) in premature infants and other lung diseases.

Ectopic pregnancy is a type of abnormal pregnancy that occurs outside the uterine cavity. The most common site for an ectopic pregnancy is the fallopian tube, accounting for about 95% of cases. This condition is also known as tubal pregnancy. Other less common sites include the ovary, cervix, and abdominal cavity.

In a normal pregnancy, the fertilized egg travels down the fallopian tube and implants itself in the lining of the uterus. However, in an ectopic pregnancy, the fertilized egg implants and starts to develop somewhere other than the uterus. The growing embryo cannot survive outside the uterus, and if left untreated, an ectopic pregnancy can cause life-threatening bleeding due to the rupture of the fallopian tube or other organs.

Symptoms of ectopic pregnancy may include abdominal pain, vaginal bleeding, shoulder pain, lightheadedness, fainting, and in severe cases, shock. Diagnosis is usually made through a combination of medical history, physical examination, ultrasound, and blood tests to measure the levels of human chorionic gonadotropin (hCG), a hormone produced during pregnancy.

Treatment for ectopic pregnancy depends on several factors, including the location, size, and growth rate of the ectopic mass, as well as the patient's overall health and desire for future pregnancies. Treatment options may include medication to stop the growth of the embryo or surgery to remove the ectopic tissue. In some cases, both methods may be used together. Early diagnosis and treatment can help prevent serious complications and improve the chances of preserving fertility in future pregnancies.

A lung is a pair of spongy, elastic organs in the chest that work together to enable breathing. They are responsible for taking in oxygen and expelling carbon dioxide through the process of respiration. The left lung has two lobes, while the right lung has three lobes. The lungs are protected by the ribcage and are covered by a double-layered membrane called the pleura. The trachea divides into two bronchi, which further divide into smaller bronchioles, leading to millions of tiny air sacs called alveoli, where the exchange of gases occurs.

The abdomen refers to the portion of the body that lies between the thorax (chest) and the pelvis. It is a musculo-fascial cavity containing the digestive, urinary, and reproductive organs. The abdominal cavity is divided into several regions and quadrants for medical description and examination purposes. These include the upper and lower abdomen, as well as nine quadrants formed by the intersection of the midline and a horizontal line drawn at the level of the umbilicus (navel).

The major organs located within the abdominal cavity include:

1. Stomach - muscular organ responsible for initial digestion of food
2. Small intestine - long, coiled tube where most nutrient absorption occurs
3. Large intestine - consists of the colon and rectum; absorbs water and stores waste products
4. Liver - largest internal organ, involved in protein synthesis, detoxification, and metabolism
5. Pancreas - secretes digestive enzymes and hormones such as insulin
6. Spleen - filters blood and removes old red blood cells
7. Kidneys - pair of organs responsible for filtering waste products from the blood and producing urine
8. Adrenal glands - sit atop each kidney, produce hormones that regulate metabolism, immune response, and stress response

The abdomen is an essential part of the human body, playing a crucial role in digestion, absorption, and elimination of food and waste materials, as well as various metabolic processes.

Neonatal anemia is a condition characterized by a lower-than-normal number of red blood cells or lower-than-normal levels of hemoglobin in the blood of a newborn infant. Hemoglobin is the protein in red blood cells that carries oxygen to the body's tissues.

There are several types and causes of neonatal anemia, including:

1. Anemia of prematurity: This is the most common type of anemia in newborns, especially those born before 34 weeks of gestation. It occurs due to a decrease in red blood cell production and a shorter lifespan of red blood cells in premature infants.
2. Hemolytic anemia: This type of anemia is caused by the destruction of red blood cells at a faster rate than they can be produced. It can result from various factors, such as incompatibility between the mother's and baby's blood types, genetic disorders like G6PD deficiency, or infections.
3. Fetomaternal hemorrhage: This condition occurs when there is a significant transfer of fetal blood into the maternal circulation during pregnancy or childbirth, leading to anemia in the newborn.
4. Iron-deficiency anemia: Although rare in newborns, iron-deficiency anemia can occur if the mother has low iron levels during pregnancy, and the infant does not receive adequate iron supplementation after birth.
5. Anemia due to nutritional deficiencies: Rarely, neonatal anemia may result from a lack of essential vitamins or minerals like folate, vitamin B12, or copper in the newborn's diet.

Symptoms of neonatal anemia can vary but may include pallor, lethargy, poor feeding, rapid heartbeat, and difficulty breathing. Diagnosis typically involves a complete blood count (CBC) to measure red blood cell count, hemoglobin levels, and other parameters. Treatment depends on the underlying cause of anemia and may include iron supplementation, transfusions, or management of any underlying conditions.

Organ size refers to the volume or physical measurement of an organ in the body of an individual. It can be described in terms of length, width, and height or by using specialized techniques such as imaging studies (like CT scans or MRIs) to determine the volume. The size of an organ can vary depending on factors such as age, sex, body size, and overall health status. Changes in organ size may indicate various medical conditions, including growths, inflammation, or atrophy.

Smoking is not a medical condition, but it's a significant health risk behavior. Here is the definition from a public health perspective:

Smoking is the act of inhaling and exhaling the smoke of burning tobacco that is commonly consumed through cigarettes, pipes, and cigars. The smoke contains over 7,000 chemicals, including nicotine, tar, carbon monoxide, and numerous toxic and carcinogenic substances. These toxins contribute to a wide range of diseases and health conditions, such as lung cancer, heart disease, stroke, chronic obstructive pulmonary disease (COPD), and various other cancers, as well as adverse reproductive outcomes and negative impacts on the developing fetus during pregnancy. Smoking is highly addictive due to the nicotine content, which makes quitting smoking a significant challenge for many individuals.

"Maternal-Fetal Relations" is not a standard medical term. However, I believe you may be asking for a definition of "Maternal-Fetal Medicine," which is a subspecialty of obstetrics that focuses on the care of pregnant women with high-risk pregnancies and their unborn babies. Maternal-Fetal Medicine specialists provide comprehensive care to these patients, including consultation, diagnosis, treatment, and management of medical complications during pregnancy that may affect the mother, fetus, or both. They work closely with obstetricians, perinatologists, geneticists, and other healthcare professionals to optimize outcomes for both the mother and the baby.

'Pregnant women' refers to female individuals who have conceived and are in the process of carrying a developing fetus inside their womb (uterus) until childbirth. This state is typically marked by various physiological changes, including hormonal fluctuations, weight gain, and growth of the uterus and breasts, among others. Pregnancy usually lasts for about 40 weeks, starting from the first day of the woman's last menstrual period (LMP) and is divided into three trimesters. Each trimester is characterized by different developmental milestones in the fetus. Regular prenatal care is essential to monitor the health and wellbeing of both the mother and the developing fetus, and to address any potential complications that may arise during pregnancy.

Prevalence, in medical terms, refers to the total number of people in a given population who have a particular disease or condition at a specific point in time, or over a specified period. It is typically expressed as a percentage or a ratio of the number of cases to the size of the population. Prevalence differs from incidence, which measures the number of new cases that develop during a certain period.

"Age factors" refer to the effects, changes, or differences that age can have on various aspects of health, disease, and medical care. These factors can encompass a wide range of issues, including:

1. Physiological changes: As people age, their bodies undergo numerous physical changes that can affect how they respond to medications, illnesses, and medical procedures. For example, older adults may be more sensitive to certain drugs or have weaker immune systems, making them more susceptible to infections.
2. Chronic conditions: Age is a significant risk factor for many chronic diseases, such as heart disease, diabetes, cancer, and arthritis. As a result, age-related medical issues are common and can impact treatment decisions and outcomes.
3. Cognitive decline: Aging can also lead to cognitive changes, including memory loss and decreased decision-making abilities. These changes can affect a person's ability to understand and comply with medical instructions, leading to potential complications in their care.
4. Functional limitations: Older adults may experience physical limitations that impact their mobility, strength, and balance, increasing the risk of falls and other injuries. These limitations can also make it more challenging for them to perform daily activities, such as bathing, dressing, or cooking.
5. Social determinants: Age-related factors, such as social isolation, poverty, and lack of access to transportation, can impact a person's ability to obtain necessary medical care and affect their overall health outcomes.

Understanding age factors is critical for healthcare providers to deliver high-quality, patient-centered care that addresses the unique needs and challenges of older adults. By taking these factors into account, healthcare providers can develop personalized treatment plans that consider a person's age, physical condition, cognitive abilities, and social circumstances.

I'm sorry for any confusion, but "South Carolina" is a geographical location and not a medical term or condition. It is a state located in the southeastern region of the United States. If you have any questions about medical conditions or terminology, I would be happy to help clarify those for you.

Erythroblastosis, fetal is a medical condition that occurs in the fetus or newborn when there is an incompatibility between the fetal and maternal blood types, specifically related to the Rh factor or ABO blood group system. This incompatibility leads to the destruction of the fetal red blood cells by the mother's immune system, resulting in the release of bilirubin, which can cause jaundice, anemia, and other complications.

In cases where the mother is Rh negative and the fetus is Rh positive, the mother may develop antibodies against the Rh factor during pregnancy or after delivery, leading to hemolysis (breakdown) of the fetal red blood cells in subsequent pregnancies if preventive measures are not taken. This is known as hemolytic disease of the newborn (HDN).

Similarly, incompatibility between the ABO blood groups can also lead to HDN, although it is generally less severe than Rh incompatibility. In this case, the mother's immune system produces antibodies against the fetal red blood cells, leading to their destruction and subsequent complications.

Fetal erythroblastosis is a serious condition that can lead to significant morbidity and mortality if left untreated. Treatment options include intrauterine transfusions, phototherapy, and exchange transfusions in severe cases. Preventive measures such as Rh immune globulin (RhIG) injections can help prevent the development of antibodies in Rh-negative mothers, reducing the risk of HDN in subsequent pregnancies.

Cervical ripening is a medical term that refers to the process of softening, thinning, and dilating (opening) the cervix, which is the lower part of the uterus that opens into the vagina. This process typically occurs naturally in preparation for childbirth, as the body prepares for labor.

Cervical ripening can also be induced medically, using various methods such as prostaglandin gels or medications, or mechanical means such as a Foley catheter or dilators. These interventions are used to help prepare the cervix for delivery in cases where labor is not progressing on its own or when there is a medical indication to induce labor.

It's important to note that cervical ripening is different from labor induction, which involves stimulating uterine contractions to begin or strengthen labor. Cervical ripening may be a necessary step before labor induction can occur.

Trihalomethanes (THMs) are a group of chemical compounds that are formed as byproducts when chlorine or other disinfectants are used to treat water, including drinking water, swimming pools, and spas. They consist of four halogens - three of which are halogen atoms (chlorine, bromine, or iodine) and one hydrogen atom. The most common THMs formed during water treatment include chloroform, bromodichloromethane, dibromochloromethane, and bromoform.

Exposure to high levels of trihalomethanes has been linked to a variety of health problems, including an increased risk of cancer, reproductive issues, and developmental effects. As a result, regulatory agencies such as the Environmental Protection Agency (EPA) in the United States have set limits on the amount of THMs that can be present in drinking water. Regular monitoring and treatment are necessary to ensure that these limits are not exceeded and that the public is protected from potential health hazards associated with exposure to trihalomethanes.

Chorionic villi sampling (CVS) is a prenatal testing procedure that involves taking a small sample of the chorionic villi, which are finger-like projections of the placenta that contain fetal cells. The sample is then tested for genetic disorders and chromosomal abnormalities, such as Down syndrome.

CVS is typically performed between the 10th and 12th weeks of pregnancy and carries a small risk of miscarriage (about 1 in 100 to 1 in 200 procedures). The results of CVS can provide important information about the health of the fetus, allowing parents to make informed decisions about their pregnancy. However, it is important to note that CVS does not detect all genetic disorders and may produce false positive or false negative results in some cases. Therefore, follow-up testing may be necessary.

A confidence interval (CI) is a range of values that is likely to contain the true value of a population parameter with a certain level of confidence. It is commonly used in statistical analysis to express the uncertainty associated with estimates derived from sample data.

For example, if we calculate a 95% confidence interval for the mean height of a population based on a sample of individuals, we can say that we are 95% confident that the true population mean height falls within the calculated range. The width of the confidence interval gives us an idea of how precise our estimate is - narrower intervals indicate more precise estimates, while wider intervals suggest greater uncertainty.

Confidence intervals are typically calculated using statistical formulas that take into account the sample size, standard deviation, and level of confidence desired. They can be used to compare different groups or to evaluate the effectiveness of interventions in medical research.

Parasitic pregnancy complications refer to a rare condition where a parasitic twin takes over the development of the dominant twin's reproductive system and becomes pregnant. This condition is also known as fetus in fetu or vanishing twin syndrome with a parasitic twin. The parasitic twin may have some organs developed, but it is not fully formed and relies on the dominant twin for survival. The pregnancy can pose risks to the dominant twin, such as abnormal growth patterns, organ damage, and complications during childbirth. This condition is usually detected during prenatal ultrasound examinations.

The nasal bones are a pair of small, thin bones located in the upper part of the face, specifically in the middle of the nose. They articulate with each other at the nasal bridge and with the frontal bone above, the maxillae (upper jaw bones) on either side, and the septal cartilage inside the nose. The main function of the nasal bones is to form the bridge of the nose and protect the nasal cavity. Any damage to these bones can result in a fracture or broken nose.

I apologize for any confusion, but "Chile" is not a medical term or concept. It is a country located in South America, known for its long and narrow geography, diverse landscapes, and rich cultural heritage. If you have any questions related to medicine or health, I would be happy to try and help answer those for you.

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In obstetrics, gestational age refers to the time since the onset of the last menses, which on average is fertilization age ... Birth normally occurs at a gestational age of about 40 weeks, though it is common for births to occur from 37 to 42 weeks. ... "Gestational age: MedlinePlus Medical Encyclopedia". medlineplus.gov. Retrieved 2021-09-13. Coley SL, Aronson RE (September 2013 ... and posture to help determine the gestational age. Various factors can influence the duration of gestation, including diseases ...
A baby born "at term" is between the gestational age of 37 weeks to 41 weeks. A preterm baby is born before the gestational age ... Measured in weeks, gestational age is a term used to describe how far along a pregnancy is starting from the first day of the ... Gestational age is the main determinant of whether a baby will be able to live and survive outside of the uterus. While ... "Gestational age: MedlinePlus Medical Encyclopedia". medlineplus.gov. Retrieved 2022-06-23. "When Pregnancy Goes Past Your Due ...
"Mississippi Gestational Age Act (HB 1510)". Rewire.News. Retrieved March 28, 2018. Bologna, Giacomo; Ramseth, Luke (June 28, ... In 2018, Representative Currie sponsored the Mississippi Gestational Age Act (HB 1510), prohibiting abortions after 15 weeks ...
The rate of mortality and morbidity increases with the gestational age of the fetus, so patients who have decided to have an ... United States: In 2003, from data collected in those areas that sufficiently reported gestational age, it was found that 6.2% ... Survival odds increase with increasing gestational age. If medical staff observe signs of life, they may be required to provide ... Although it is very uncommon, women undergoing surgical abortion after this gestational age sometimes give birth to a fetus ...
Adding the estimated gestational age at childbirth to the above time point. Childbirth on average occurs at a gestational age ... and using the mean gestational age of other embryos or fetuses of the same size. If the gestational age as calculated from an ... "Gestational age in pregnancies conceived after in vitro fertilization: A comparison between age assessed from oocyte retrieval ... Naegele's rule is a standard way of calculating the due date for a pregnancy when assuming a gestational age of 280 days at ...
Low IQ in adulthood may occur in up to one third of infants born small for gestational age due to IUGR. Infants who fail to ... Small for gestational age (SGA) at MedlinePlus. Update Date: 8/4/2009. Updated by: Linda J. Vorvick. Also reviewed by David ... Intrauterine growth restriction can result in a baby being small for gestational age (SGA), which is most commonly defined as a ... This type of IUGR is most commonly caused by extrinsic factors that affect the fetus at later gestational ages. Specific causes ...
Hill L (2008). "Prevalence of Breech Presentation by Gestational Age". American Journal of Perinatology. 7 (1): 92-93. doi: ... During the first period, which lasts until the 24th gestational week, the incidence of a longitudinal lie increases, with equal ... In the third period, from the 36th gestational week onward, the incidence of cephalic and breech presentations remain stable, i ... During the second period, lasting from the 25th to the 35th gestational week, the incidence of cephalic presentation increases ...
Gestational age, newborn birth weight, and danger presenting risks are all taken into account on whether or not a classic ... Osmundson SS, Garabedian MJ, Lyell DJ (October 2013). "Risk factors for classical hysterotomy by gestational age". Obstetrics ...
The newborn is often small for gestational age. A petechial rash on the skin may be present, with small reddish or purplish ... which starts at gestational ages between 22 and 28 weeks (with regional variations in the definition) and ending seven ...
The exact number can vary by gestational age. The fifth percentile for gestational age is sometimes used as a cutoff value. An ...
41 weeks corrected gestational age. Erythromycin is an alternative as second choice treatment for pharyngitis in children (EMLc ... A separate list for children up to 12 years of age, known as the WHO Model List of Essential Medicines for Children (EMLc), was ...
41 weeks corrected gestational age. Erythromycin may be an alternative. Imipenem/cilastatin is an alternative for complicated ... contains the medications considered to be most effective and safe in children up to twelve years of age to meet the most ...
Viable gestational age varies from region to region. A nulliparous (/nʌlˈɪpərəs/) female (a nullipara or para 0) has never ... A multiple pregnancy (e.g., twins, triplets, etc.) carried to viable gestational age is still counted as 1. Abortus is the ... depending upon age of viability). If a female carries the fetus to viable age, even if ultimately the fetus is born deceased, ... and carried the pregnancies to a viable gestational age (parity). These two terms are usually coupled, sometimes with ...
Decision-making is individualized based on prognosis, gestational age, and the pregnant woman's life and values. A variety of ... Addressing the gestational age also affects decision making. Although, it's important to understand there is also very little ... age, political view, religion, lifestyle, etc.) and how that affects a person's decision-making. In terms of maternal-fetal ...
The earliest gestational age at which the infant has at least a 50% chance of survival is referred to as the limit of viability ... Preterm birth, also known as premature birth, is the birth of a baby at fewer than 37 weeks gestational age, as opposed to full ... A short cervix preterm is undesirable: A cervical length of less than 25 mm (0.98 in) at or before 24 weeks of gestational age ... Gestational age was positively correlated with volumes of the temporal and fusiform gyri and sensorimotor cortex bilaterally, ...
Preterm birth is the birth of an infant at fewer than 37 weeks gestational age. Globally, about 15 million infants were born ... "Recent Declines in Induction of Labor by Gestational Age". Centers for Disease Control and Prevention. Archived from the ... Abuse during childbirth Advanced maternal age, when a woman is of an older age at reproduction Antinatalism Asynclitic birth, ... but in these instances gestational age confirmation must be done, and the maturity of the fetal lung must be confirmed by ...
"Induction of labor and caesarean delivery by gestational age". Am Journal of Obstetrics and Gynecology. 195 (3): 700-705. doi: ...
Small for gestational age is defined as below the 10th percentile for gestational age and sex. Low birth weight can also be ... low gestational age at birth) or the infant being small for gestational age (slow prenatal growth rate), or a combination of ... A baby born small or large for gestational age (either of the two extremes) was previously thought to have an increased risk of ... A very large birth weight is usually caused by the infant having been large for gestational age. Large birth weight can be ...
Reorganization in congenital hemiparesis acquired at different gestational ages. Ann. Neurol. 56, 854-863. PMID 15562409 Lotze ... Aging 28, 404-413. PMID 16530885 Heun, R., Jessen, F., Klose, U., Erb, M., Granath, D.-O., and Grodd, W. (2004). Response- ...
... normally regresses by 28 to 30 weeks gestational age. It includes the vaso hyaloidea proprea, the tunica vasculosa lentis, and ...
Sheth RD, Hobbs GR, Mullett M (January 1999). "Neonatal seizures: incidence, onset, and etiology by gestational age". Journal ... A neonatal seizure is a seizure in a baby younger than age 4-weeks that is identifiable by an electrical recording of the brain ... In contrast to seizures that occur in other age groups, seizures that occur during the neonatal period are most often caused by ... Seizures in the neonatal population often present differently than in other age groups due to brain immaturity. Electroclinical ...
At later gestational ages, osmotic dilators, including laminaria, may be used to assist in dilating the cervix. Most abortion ... This may be affected by the gestational age of the pregnancy and history of prior vaginal deliveries. More dilators are ... generally used with advancing gestational age. Laminaria tents are usually left in place overnight. Laminaria function by ...
... is called the fertilization age and is thus 2 weeks shorter than the gestational age. Thus a 6-week gestational age would be a ... Crown rump length before a gestational age of 9 weeks is extrapolated by assuming a crown rump length of 0 at a gestational age ... "Estimation of gestational age in early pregnancy from crown-rump length when gestational age range is truncated: the case study ... Gestational age is not the same as fertilization age. It takes about 14 days from the first day of the last menstrual period ...
Contents in the cavity of the uterus seen at approximately 5 weeks of gestational age Artificially colored, showing gestational ... gestational age) Fetus at 17 weeks Fetus at 20 weeks A gestational sac can be reliably seen on transvaginal ultrasound by 5 ... gestational age (approximately 3 weeks after ovulation). The embryo should be seen by the time the gestational sac measures 25 ... if a later scan gives a different estimate of gestational age, the estimated age is not normally changed but rather it is ...
MRI is especially beneficial in gestational age and obese people. MRI is also beneficial at preventing the exposure of ionizing ... People who are of pre- and postmenopausal age with breast cancer and are being treated with tamoxifen are at increased risk for ... The evaluation includes a collection of the person's age, family history, and previous histories of ovarian or breast cancers. ... Aghajanian P, Rimel BJ (2019). "Gestational Trophoblastic Diseases". In DeCherney AH, Nathan L, Laufer N, Roman AS (eds.). ...
... and using the mean gestational age of other embryos or fetuses of the same size. If the gestational age as calculated from an ... indicating that the gestational age estimated by ultrasonography should be used as the official gestational age. Once the ... potentially giving an estimated gestational age that is too low. Gestational age is used for example for:[citation needed] The ... sometimes incorporating weight as well as gestational age. The gestational age for statistical recording of fetal deaths ranges ...
If the babys gestational age findings after birth match the calendar age, the baby is said to be appropriate for gestational ... Gestational age is the common term used during pregnancy to describe how far along the pregnancy is. It is measured in weeks, ... Gestational age can be determined before or after birth.. *Before birth, your health care provider will use ultrasound to ... After birth, gestational age can be measured by looking at the babys weight, length, head circumference, vital signs, reflexes ...
This racial/ethnic disparity was observed across gestational age groups. In general, across gestational age groups, infants of ... Gestational age terms are those commonly used by various medical, research, and public health organizations. However, because ... Gestational age was ascertained from the birth certificates obstetric estimate of completed weeks of gestation and categorized ... Infants delivered to black and American Indian/Alaska Native mothers are more likely to be born at earlier gestational ages (1 ...
An earlier gestational age is linked to higher ADHD symptoms later in childhood. ... A new study finds a connection between gestational age and ADHD in children with Down syndrome. ... A new study finds a connection between gestational age and ADHD in children with Down syndrome. An earlier gestational age is ... It found that earlier gestational age was linked to increased ADHD symptoms later in childhood. Gestational age is the length ...
... gestational age - Featured Topics from the National Center for Health Statistics ... Measuring Gestational Age in Vital Statistics Data: Transitioning to the Obstetric Estimate. Beginning with the 2014 data year ... NCHS is transitioning to a new standard for estimating the gestational age of a newborn. The new measure, the obstetric ...
... is fetal weight that is below the 10th percentile for gestational age. ... Gestational age can be calculated by using the first day of your last menstrual period (LMP) and also by early ultrasound ... If gestational age is less than 34 weeks, health care providers will continue monitoring until 34 weeks or beyond. Fetal well- ... If gestational age is 34 weeks or greater, health care providers may recommend being induced for early delivery. ...
Gestational age is the age of a fetus or baby that starts on the first day ... Large for gestational age means that a fetus or infant is larger or more developed than normal for the babys gestational age. ... Large for gestational age means that a fetus or infant is larger or more developed than normal for the babys gestational age. ... Large for gestational age (LGA) refers to a fetus or infant who is larger than expected for their age and gender. It can also ...
Chronic hypertension is an independent risk factor for birth of small for gestational age offspring. Pre-eclampsia is a strong ... Small for gestational age was defined as birth weight less than -2SD adjusted for gestational age and sex. ... Chronic hypertension as a risk factor for offspring to be born small for gestational age Acta Obstet Gynecol Scand. 2006;85(9): ... Results: Chronic hypertensive women have an independent risk for small for gestational age (OR 3.1; 95% CI 2.7-3.7) when ...
Communities>Pregnancy: Ages 25-34>9.0 weeks past lmp. Ultrasound showed gestational sac - no embryo ... I am 41 yrs old, and fear my age is the issue. I hope with testing, we can find what the issue is and possibly try agaiin soon ... Normally a gestational sac with a yolk sac appears at about 5 weeks (calculated from your last missed period date) of pregnancy ... This am, the dr said she saw a large gestational sac, but no fetal pole. She sent me for a 2nd ultrasound over at the hospital ...
Gestational age should be documented by the clinician as a numeric value between 1-50. Gestational age (written with both weeks ... The phrase "estimated gestational age" is an acceptable descriptor for gestational age. ... Gestational age should be rounded off to the nearest completed week, not the following week. For example, an infant born on the ... If the gestational age in the delivery or operating room record is missing, obviously incorrect (in error, e.g. 3.6), or there ...
Preterm birth data helps connect the story between gestational age and birth outcomes. ...
... evident as inhibited foetal growth and being born small for gestational age - and health far into middle age. So does this mean ... But some of us were perhaps too small as newborns? A child that is born "small for gestational age" means that they have not ... From these studies a connection can be seen between being small for gestational age due to inhibited growth during pregnancy ... Even a "sprat" can thrive - on being born small for gestational age ...
... determining gestational age can sometimes be difficult. Doctors can use ultrasounds to estimate gestational age. ... Heres a look at how gestational age is determined and how states use that metric to restrict abortion:. WHAT IS GESTATIONAL ... HOW DOES GESTATIONAL AGE APPLY TO ABORTION BANS?. Republican-led states have attempted to chip away at abortion access for ... GESTATIONAL AGE ISNT A FACTOR IN SOME STATES. Currently, 13 states have enacted so-called trigger laws that immediately banned ...
We hypothesize that BM antioxidants are adapted to gestational age and are negatively influenced by maternal age. Fifty ... Mixed random-effects linear regression models were used to study the influence of maternal and gestational ages on BM ... and a negative association between gestational age and BM total antioxidant capacity (β = −0.008 ± 0.003; p-value = 0.006), SOD ... BM antioxidants are adapted to gestational age providing higher levels to infants with lower degree of maturation; maternal ...
An Evaluation of Neurotoxicity Following Fluoride Exposure from Gestational Through Adult Ages in Long-Evans Hooded Rats.. ... Levels increase with age and in adults, levels for plasma were 0.036 or 0.025 ug/ml; for the brain 0.266 or 0.850 ug/g; and for ... Methods MoCA-B and AD-8 were used to measure the cognitive functions of 272 and 172 subjects over the age of 60 came from the ... Dose dependence of prenatal fluoride exposure associations with cognitive performance at school age in three prospective ...
Effects of myo-inositol on type 1 retinopathy of prematurity among preterm infants <28 weeks gestational age a randomized ... Effects of myo-inositol on type 1 retinopathy of prematurity among preterm infants <28 weeks gestational age a randomized ... Results: Among 638 infants (mean, 26 weeks gestational age; 50% male), 632 (99%) received the trial drug or placebo and 589 ( ... Conclusions and Relevance: Among premature infants younger than 28 weeks gestational age, treatment with myo-inositol for up ...
19 small for gestational age (SGA) infants with gestational ages less than or equal to 32 weeks were matched with 19 ... Gestational age of both groups was 30 (+/- 1.8) weeks, and birthweights were 919 (+/- 202) g (SGA group) and 1268 (+/- 212) g ( ... Gestational age, 1- and 5-minute Apgar scores, type of delivery, survival rate, use of corticosteroids before delivery, sex, ... Hyaline membrane disease and intraventricular haemorrhage in small for gestational age infants. ...
This study investigated the effect of paternal and maternal silent coeliac disease on birthweight and gestational age in ... premature small gestational age and term small gestational age infants (p , 0.05), but statistically significant in mothers (p ... The Evaluation of the Effects of Paternal and Maternal Silent Coeliac Disease on Birthweight and Gestational Age in Newborns ... The parents of premature and/or small for gestational age babies born with coeliac disease-specific antigens were investigated. ...
... small for gestational age (SGA) or large for gestational age (LGA) using Index of Multiple Deprivation quintiles as a proxy for ... Social gradient of birthweight in England assessed using the INTERGROWTH-21st gestational age-specific standard ... Social gradient of birthweight in England assessed using the INTERGROWTH-21st gestational age-specific standard ...
... or small-for-gestational-age (SGA) has decreased. The aims of this study are: 1. to investigate secular changes in mean birth ... they gained a healthier weight for their gestational age. ... A gestational age of ,37 weeks was considered a preterm birth. ... gestational age was determined from an ultrasound dating scan. The gestational age, together with other details regarding ... the most recent universal Dutch standard for birth weight by gestational age (gestational ages ≥25 and ≤42 weeks, sex and ...
Participants were divided according to gestational age in three groups: extremely preterm-EP (up to 28 weeks gestational age), ... The choice for the minimum age was due to there being no longer need to use the corrected age for premature infants from age ... Functional performance according to gestational age and birth weight of preschool children born premature or with low weight ... Some authors report that the occurrence of morbidity, either immediate2,25 or late10,2, is higher the lower the gestational age ...
The average gestational age of a newborn is 37 weeks. Related concepts *Size for Gestational Age ... Gestational age is approximated from the age of a newborn infant from the first day of the womans last menstrual period to ... Linking Socioeconomic Adversity and Biological Vulnerability at Birth to Childrens Outcomes at Age 5. Winnipeg, MB: Manitoba ...
Assessing pain in neonates is challenging because full-term and preterm neonates of different gestational ages (GAs) have ... Table 1 Demographic and medical characteristics of the total sample and the four gestational age groups. Full size table. ... The influence of gestational age in the psychometric testing of the Bernese Pain Scale for Neonates. *Karin Schenk. ORCID: ... Schenk, K., Stoffel, L., Bürgin, R. et al. The influence of gestational age in the psychometric testing of the Bernese Pain ...
Kirby, R S "A warning on gestational age at delivery." 110, no. 6 (1995). Kirby, R S "A warning on gestational age at delivery ... Title : A warning on gestational age at delivery. Personal Author(s) : Kirby, R S Published Date : 1995 Nov-Dec Source : Public ... Kirby, R S (1995). A warning on gestational age at delivery.. 110(6). ...
Gestational diabetes mellitus (GDM) is defined as glucose intolerance of variable degree with onset or first recognition during ... 34] The chance that a newborn would be small for gestational age (SGA) was greater among women with gestational diabetes whose ... However, the link between gestational diabetes mellitus and cancer weakened with age, so that after age 2 years, there was no ... 53] Gestational diabetes mellitus was diagnosed in 6.7% of the women overall, in 8.5% of the women aged 30 years or older, in ...
Gestational diabetes mellitus (GDM) is defined as glucose intolerance of variable degree with onset or first recognition during ... 34] The chance that a newborn would be small for gestational age (SGA) was greater among women with gestational diabetes whose ... However, the link between gestational diabetes mellitus and cancer weakened with age, so that after age 2 years, there was no ... 53] Gestational diabetes mellitus was diagnosed in 6.7% of the women overall, in 8.5% of the women aged 30 years or older, in ...
In the study, 115 women had DNA blood samples taken at 6, 7, and 8-10 weeks gestational age independently at 12 clinics in the ... Genomics launches the only research-backed DNA test that provides fetal sex to pregnant mothers at 6 weeks gestational age ...
Postmenstrual age (weeks) - gestational age plus chronological age.. *Corrected age (weeks or months) - chronological age ... Gestational Age (GA), or menstrual age, is a clinical term usually given in weeks and days to describe human development timed ... Embryology Gestational Age. Retrieved from https://embryology.med.unsw.edu.au/embryology/index.php/Gestational_Age ... gestational age is calculated by adding 2 weeks to the conceptional age. ...
Gestational Age - Explore from the MSD Manuals - Medical Professional Version. ... of gestational age have been found to overestimate gestational age in preterm infants and underestimate gestational age in ... Gestational age is the primary determinant of organ maturity. Gestational age is usually defined as the number... read more ). ... Gestational age is the primary determinant of organ maturity. Gestational age is usually defined as the number... read more ) ...
  • In 2005, the mean gestational age for singletons was 38.7 weeks, compared with 35.2 weeks for twins, 31.9 weeks for triplets, 29.8 weeks for quadruplets, and 27.4 weeks for quintuplets and higher. (cdc.gov)
  • In Burkina Faso, Mozambique and Kenya at recruitment, the mean age (standard deviation) was 27.1 (6.6), 24.2 (6.2) and 25.7 (6.5) years, and the mean gestational age was 24.0 (6.2), 21.2 (5.7) and 17.9 (10.2) weeks, respectively. (biomedcentral.com)
  • Without consideration of genotype, benzene exposure was associated with a decrease in mean gestational age of 0.29 (standard error (SE), 0.12) week. (cdc.gov)
  • If the baby's gestational age findings after birth match the calendar age, the baby is said to be appropriate for gestational age (AGA). (medlineplus.gov)
  • Large for gestational age means that a fetus or infant is larger or more developed than normal for the baby's gestational age. (medlineplus.gov)
  • A baby's gestational age often can be closely estimated using this examination. (chop.edu)
  • Your baby's gestational age is determined by the date of your LMP. (bambinomio.com)
  • In obstetrics, gestational age is a measure of the age of a pregnancy taken from the beginning of the woman's last menstrual period (LMP), or the corresponding age of the gestation as estimated by a more accurate method, if available. (wikipedia.org)
  • The definition of pregnancy and the calculation of gestational age are also relevant in the context of the abortion debate and the beginning of human personhood. (wikipedia.org)
  • If the gestational age as calculated from an early ultrasound is contradictory to the one calculated directly from the last menstrual period, it is still the one from the early ultrasound that is used for the rest of the pregnancy. (wikipedia.org)
  • Once the estimated due date (EDD) is established, it should rarely be changed, as the determination of gestational age is most accurate earlier in the pregnancy. (wikipedia.org)
  • The actual variability between gestational age as estimated from the beginning of the last menstrual period (without the use of any additional method mentioned in previous section) is substantially larger because of uncertainty which menstrual cycle gave rise to the pregnancy. (wikipedia.org)
  • For example, the menstruation may be scarce enough to give the false appearance that an earlier menstruation gave rise to the pregnancy, potentially giving an estimated gestational age that is approximately one month too large. (wikipedia.org)
  • Gestational age is the common term used during pregnancy to describe how far along the pregnancy is. (medlineplus.gov)
  • Gestational age is the length of time a fetus has developed since the beginning, or gestation, of a pregnancy. (sciencedaily.com)
  • Chronic hypertension during pregnancy is associated with an increased risk for birth of small for gestational age offspring. (nih.gov)
  • Normally a gestational sac with a yolk sac appears at about 5 weeks (calculated from your last missed period date) of pregnancy and can be well visualized by 6 weeks on a transvaginal (through a vagina) ultrasound (so it can be missed at 5 weeks), when you can see a fetal pole too. (medhelp.org)
  • This means determining how far along someone is in pregnancy - gestational age - has become more important, because there is a smaller window of time to secure the procedure in about half of the states in the U.S. (local10.com)
  • Gestational diabetes mellitus (GDM) is defined as glucose intolerance of variable degree with onset or first recognition during pregnancy. (medscape.com)
  • Gestational diabetes mellitus accounts for 90% of cases of diabetes mellitus in pregnancy, while preexisting type 2 diabetes accounts for 8% of such cases. (medscape.com)
  • The US Preventive Services Task Force (USPSTF) recommends screening for gestational diabetes mellitus after 24 weeks of pregnancy. (medscape.com)
  • Women with prediabetes identified before pregnancy should be considered at extremely high risk for developing gestational diabetes mellitus during pregnancy. (medscape.com)
  • For gestational age in assisted reproductive technology pregnancy 2 weeks are added to the fertilisation date. (edu.au)
  • If pregnancy was achieved using assisted reproductive technology, gestational age is calculated by adding 2 weeks to the conceptional age. (edu.au)
  • If your hCG levels are in the normal range and the test confirms that they're rising steadily, you won't have your blood tested for hCG again unless you or your doctor suspects an ectopic pregnancy, a miscarriage or gestational trophoblastic disease (a severe and extremely rare condition involving tumours in the uterus that can occur during pregnancy or after a miscarriage , an abortion or a pregnancy). (todaysparent.com)
  • High hCG levels could be a sign of gestational trophoblastic disease (GTD) or a molar pregnancy . (todaysparent.com)
  • The Australasian Diabetes in Pregnancy Society guidelines recommend the 75g oral glucose tolerance test (OGTT) for all pregnant women at 24-28 weeks' gestation and re-testing with the 75g OGTT at 6-12 weeks post-partum for women diagnosed with gestational diabetes. (aihw.gov.au)
  • A diagnosis for gestational diabetes (using the International Association of Diabetes and Pregnancy Study Groups criteria) is made based on the 75g OGTT with one or more of the following values (Nankervis et al. (aihw.gov.au)
  • The gestational age of the pregnancy will influence the method of abortion and whether the abortion can take place at home or should take place in a facility. (ipas.org)
  • The use of LMP, alone or in combination with a validated tool such as a pregnancy dating wheel or checklist, enables individuals to self-assess gestational age (World Health Organization [WHO], 2022). (ipas.org)
  • Data were analysed from prospective studies of pregnant women enrolled in Mozambique, Burkina Faso and Kenya designed to determine the association between anti-malarial drug exposure in the first trimester and pregnancy outcomes, including low birth weight (LBW) and small for gestational age (SGA). (biomedcentral.com)
  • Experimental work with animal models shows that restricting prenatal nutrition, or imposing acute stress during pregnancy, replicates many of these long-term outcomes in offspring, showing that gestational conditions can have lasting effects on health in the next generation [ 7 , 8 ]. (biomedcentral.com)
  • How to Calculate the Age of My Pregnancy Based on Menstrual Cycle and Positive Test Result? (babyisloading.com)
  • Fish Intake in Pregnancy and Offspring Metabolic Parameters at Age 9-16-Does Gestational Diabetes Modify the Risk? (opinvisindi.is)
  • We aimed to examine the association of fish intake in pregnancy with offspring metabolic health who were either exposed or unexposed to gestational diabetes mellitus (GDM). (opinvisindi.is)
  • An earlier gestational age is linked to higher ADHD symptoms later in childhood. (sciencedaily.com)
  • It found that earlier gestational age was linked to increased ADHD symptoms later in childhood. (sciencedaily.com)
  • They found that an earlier gestational age was associated with more symptoms of ADHD, even after adjusting for the child's age and cognitive abilities. (sciencedaily.com)
  • Using a suite of 15 epigenetic clocks, we only found one significant relationship: advanced age on the epigenetic clock trained on leptin predicted a significantly earlier gestational age at delivery ( β = − 0.15, p = 0.009). (biomedcentral.com)
  • The EHR takes precedence over a hand written entry if different gestational ages are documented in equivalent data sources, e.g., delivery record and delivery summary. (jointcommission.org)
  • Assessing pain in neonates is challenging because full-term and preterm neonates of different gestational ages (GAs) have widely varied reactions to pain. (biomedcentral.com)
  • Studies span different gestational ages, analyze single or pooled samples and use a variety of techniques to determine macronutrient content. (nature.com)
  • National estimates of newborn feeding practices by gestational age have not been available previously. (cdc.gov)
  • Beginning with the 2014 data year, NCHS is transitioning to a new standard for estimating the gestational age of a newborn. (cdc.gov)
  • Gestational age documented closest to or at the time of the delivery (not including the newborn exam) should be abstracted. (jointcommission.org)
  • Gestational age is approximated from the age of a newborn infant from the first day of the woman's last menstrual period to birth and is often reported in weeks of gestation. (umanitoba.ca)
  • The average gestational age of a newborn is 37 weeks. (umanitoba.ca)
  • 19 small for gestational age (SGA) infants with gestational ages less than or equal to 32 weeks were matched with 19 appropriate for gestational age (AGA) preterm neonates with similar risk factors for intraventricular haemorrhage and hyaline membrane disease. (bmj.com)
  • Growth Parameters in Neonates Growth parameters and gestational age help identify the risk of neonatal pathology. (msdmanuals.com)
  • First-trimester prediction of small-for-gestational age neonates incorporating fetal Doppler parameters and maternal characteristics. (medstarauthors.org)
  • As a prerequisite to determine whether neonates fall into reference ranges, all infants are classified based on gestational age (GA) and birth weight (BW). (medscape.com)
  • Low birth weight (LBW) neonates weigh less than 2500 g, either because of prematurity, because they are small for their gestational age, or both. (medscape.com)
  • Small for gestational age (SGA) neonates are those who have a birth weight that is less than the 10th percentile for their gestational age. (medscape.com)
  • these neonates may be small for gestational age. (medscape.com)
  • A warning on gestational age at delivery. (cdc.gov)
  • Kirby, R S "A warning on gestational age at delivery. (cdc.gov)
  • The most common definition of Intrauterine Growth Restrictio n (IUGR) is a fetal weight that is below the 10th percentile for gestational age as determined through an ultrasound . (americanpregnancy.org)
  • 10th percentile for gestational age) in these populations are not expressions of fetal growth restriction, but are rather physiological or constitutional in origin [ 6 - 8 ]. (biomedcentral.com)
  • The SGA is the weight below the 10th percentile of weight for the gestational age. (biomedcentral.com)
  • Large for gestational age (LGA) infants are those whose weight is greater than 90th percentile for their gestational age. (medscape.com)
  • Testing for gestational diabetes is recommended for all pregnant women at 24-28 weeks' gestation with re-testing at 6-12 weeks' post-partum recommended for women diagnosed with gestational diabetes. (aihw.gov.au)
  • How common is gestational diabetes in Australia? (aihw.gov.au)
  • More than 1 in 6 women (17.9%) who gave birth in 2020-21 was diagnosed with gestational diabetes (53,900 women). (aihw.gov.au)
  • In 2021-22, more than 1 in 6 women (17.9%) aged 15-49 who gave birth in an Australian hospital were diagnosed with gestational diabetes (53,900 females), based on the National Hospital Morbidity Database. (aihw.gov.au)
  • In 2021-22, the incidence of gestational diabetes increased with increasing maternal age, ranging from 8.4% to 31.7% in the 15-19 and 45-49 age groups, respectively. (aihw.gov.au)
  • To evaluate whether treatment of mild gestational diabetes mellitus (GDM) confers sustained offspring health benefits, including a lower frequency of obesity. (diabetesjournals.org)
  • Characterizing Gestational Weight Gain According to Institute of Medicine Guidelines in Women with Type 1 Diabetes Mellitus: Association with Maternal and Perinatal Outcome. (medstarauthors.org)
  • Considerable evidence has shown that intrauterine growth restriction and smallness for gestational age can increase the risk of non-insulin-dependent diabetes mellitus (NIDDM), coronary heart disease, hypertension, and stroke. (medscape.com)
  • Infants of mothers with diabetes are often large for gestational age. (medscape.com)
  • Infants weighing less are considered small for gestational age (SGA) . (medlineplus.gov)
  • Intrauterine Growth Restriction is also known as Small-for-Gestational-Age (SGA) or fetal growth restriction. (americanpregnancy.org)
  • Small for gestational age was defined as birth weight less than -2SD adjusted for gestational age and sex. (nih.gov)
  • Chronic hypertension is an independent risk factor for birth of small for gestational age offspring. (nih.gov)
  • Hyaline membrane disease and intraventricular haemorrhage in small for gestational age infants. (bmj.com)
  • The parents of premature and/or small for gestational age babies born with coeliac disease-specific antigens were investigated. (uwi.edu)
  • Silent coeliac disease may occur in parents, especially in mothers of preterm and small for gestational age infants, even in the absence of apparent clinical indications. (uwi.edu)
  • While the mean birth weight of Caucasian babies in the Netherlands has increased the past decades, it is unknown if the mean birth weight of South Asian babies born in the Netherlands has increased or if the prevalence of low birth weight (LBW) or small-for-gestational-age (SGA) has decreased. (biomedcentral.com)
  • Objectives Preterm birth (PTB) and small for gestational age (SGA) are major causes of perinatal mortality and morbidity. (springer.com)
  • A number of risk factors have been identified for small for gestational age and preterm birth. (springer.com)
  • Differences in risk factors for incident and recurrent small-for-gestational-age birthweight: a hospital-based cohort study. (medstarauthors.org)
  • Analysis was restricted to infants with gestational ages ≥20 weeks who were not transferred to another facility within 24 hours of delivery and who were living at the time of birth certificate completion. (cdc.gov)
  • Following are diagrams for estimating gestational age from obstetric ultrasound, by various target parameters: By gestational sac diameter By crown-rump length (CRL) By biparietal diameter (BPD) The fertilization or conceptional age (also called embryonic age and later fetal age) is the time from the fertilization. (wikipedia.org)
  • Gestational age can be calculated by using the first day of your last menstrual period (LMP) and also by early ultrasound calculations. (americanpregnancy.org)
  • This is confirmed if an ultrasound through vagina reveals a sac with gestational sac diameter greater than 13 mm and no yolk sac, or diameter more than 18 mm with no embryo. (medhelp.org)
  • As soon as data from the last menstrual period, the first accurate ultrasound examination, or both are obtained, the gestational age and the estimated due date should be determined, discussed with the patient, and documented clearly in the medical record. (edu.au)
  • ultrasound may be useful when gestational age is unclear or there is a discrepancy between the two estimates. (ipas.org)
  • Routine use of ultrasound for gestational age determination is not necessary. (ipas.org)
  • There are multiple ways to assess gestational age, including LMP, clinical examination of uterine size, and ultrasound. (ipas.org)
  • Several studies report the accuracy of LMP alone to determine gestational age compared to ultrasound prior to medical abortion (Blanchard et al. (ipas.org)
  • both found that 12% of women eligible for medical abortion based on their LMP were beyond gestational age limits as determined by ultrasound dating (Blanchard et al. (ipas.org)
  • A study of 660 women seeking medical abortion in Nepal compared gestational age determined by LMP to LMP plus bimanual examination without comparison to ultrasound (Averbach et al. (ipas.org)
  • Your healthcare provider may use ultrasound measurements or other indicators to estimate your gestational age. (babyisloading.com)
  • Is it normal for the ultrasound to show a different gestational age and fetal weight compared to the last menstrual period (LMP) calculation? (babyisloading.com)
  • The World Health Organization recommends at least one ultrasound scan before 24 weeks of gestation for pregnant women to evaluate gestational age with greater confidence than a traditional last menstrual period estimate [2]. (philips.com)
  • Rate of detection of LGA (estimated fetal weight on ultrasound scan above the 90th centile after 34+0 weeks of gestation , defined by either population or customised growth charts ), maternal and perinatal outcomes (e.g. mode of birth , postpartum haemorrhage, severe perineal tears , birthweight and gestational age , neonatal unit admission, perinatal mortality , and neonatal morbidity and mortality ). (bvsalud.org)
  • The recent increase in preterm births in Canada is largely attributable to changes in the frequency of multiple births, obstetrical intervention, and the use of ultrasound-based estimates of gestational age. (nih.gov)
  • Large for gestational age (LGA) refers to a fetus or infant who is larger than expected for their age and gender. (medlineplus.gov)
  • The LGA measurement is based on the estimated gestational age of the fetus or infant. (medlineplus.gov)
  • Their actual measurements are compared with normal height, weight, head size, and development of a fetus or infant of the same age and sex. (medlineplus.gov)
  • For example, an infant born on the 5th day of the 36th week (35 weeks and 5/7 days) is at a gestational age of 35 weeks, not 36 weeks. (jointcommission.org)
  • LBW is defined as a birth weight of live-born infant of less than 2500 g regardless of gestational age [ 3 ]. (biomedcentral.com)
  • Epigenetic clocks, which have emerged as powerful tools for quantifying biological aging and various dimensions of physiological dysregulation, hold promise for clarifying relationships between maternal biology and infant health, including the maternal factors or states that predict birth outcomes. (biomedcentral.com)
  • Information on the impact of maternal, gestational or neonatal characteristics on milk macronutrient composition could help identify mother-infant pairs at higher risk of extrauterine growth restriction and move towards a more individualized nutritional support [ 24 ]. (nature.com)
  • The clinician, not the abstractor, should perform the calculation to determine gestational age. (jointcommission.org)
  • Two prospective cohort studies reporting on the effectiveness of telemedicine for the provision of medical abortion during the COVID-19 pandemic utilized reported LMP alone to determine gestational age and medical abortion eligibility (Aiken et al. (ipas.org)
  • This study investigated the effect of paternal and maternal silent coeliac disease on birthweight and gestational age in newborns. (uwi.edu)
  • Annual live births in England and Wales by sex, birthweight, gestational age, ethnicity and month, maternities by place of birth and with multiple births, and stillbirths by age of parents and calendar quarter. (ons.gov.uk)
  • This bulletin provides information on different birth and parental characteristics, such as age of parents, birthweight, ethnic group and place of birth. (ons.gov.uk)
  • Patterns of gestational weight gain and birthweight outcomes in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Fetal Growth Studies-Singletons: a prospective study. (medstarauthors.org)
  • Gestational age was ascertained from the birth certificate's obstetric estimate of completed weeks of gestation and categorized as extremely preterm (20-27 weeks), early preterm (28-33 weeks), late preterm (34-36 weeks), and term (≥37 weeks) † ( 4 ). (cdc.gov)
  • If gestational age is 34 weeks or greater, health care providers may recommend being induced for early delivery. (americanpregnancy.org)
  • If gestational age is less than 34 weeks, health care providers will continue monitoring until 34 weeks or beyond. (americanpregnancy.org)
  • After receiving a 2nd round of labs, we found my HCG dropped from 26,000 to 20,000, and with an embryo at 6 weeks w/ no heartbeat, but the gestational sac measuring 9 weeks, my dr felt confident that the embryo stopped growing and diagnose this as a missed miscarriage. (medhelp.org)
  • Gestational age is defined as the best obstetrical estimate (OE) of the newborn's gestation in completed weeks based on the birth attendant's final estimate of gestation , irrespective of whether the gestation results in a live birth or a fetal death. (jointcommission.org)
  • Gestational age (written with both weeks and days, eg. (jointcommission.org)
  • Meanwhile, states such as Florida and Arizona ban abortion at 15 weeks gestational age, though Arizona Attorney General Mark Brnovich has since declared that a 1901 law that bans all abortions may now be enforceable. (local10.com)
  • For example, states such as Indiana, Iowa and Georgia specifically ban abortion at 20 weeks probable postfertilization - which is 22 weeks gestational age. (local10.com)
  • Objective: To test the adverse events and efficacy of myo-inositol to reduce type 1 ROP among infants younger than 28 weeks' gestational age. (rti.org)
  • Conclusions and Relevance: Among premature infants younger than 28 weeks' gestational age, treatment with myo-inositol for up to 10 weeks did not reduce the risk of type 1 ROP or death vs placebo. (rti.org)
  • Gestational age of both groups was 30 (+/- 1.8) weeks, and birthweights were 919 (+/- 202) g (SGA group) and 1268 (+/- 212) g (AGA group). (bmj.com)
  • 25 found that morbidity and neonatal complications were significantly higher in the group of children born weighing less than 1000g and gestational age less than 33 weeks. (bvsalud.org)
  • Gestational Age ( GA ), or menstrual age, is a clinical term usually given in weeks and days to describe human development timed from the first day of the last menstrual period (LMP). (edu.au)
  • This clinical age therefore differs by approximately two weeks from the research materials timed from fertilization ( fertilization age or conceptional age ). (edu.au)
  • Gestational age (completed weeks) - time elapsed between the first day of the last menstrual period and the day of delivery. (edu.au)
  • Postmenstrual age (weeks) - gestational age plus chronological age. (edu.au)
  • Gestational age is usually defined as the number of weeks between the first day of the mother's last normal menstrual period and the date of delivery. (msdmanuals.com)
  • Embryologic age is the time elapsed from the date of conception to the date of delivery and is 2 weeks less than the gestational age. (msdmanuals.com)
  • Conversely, if someone tells you that they are at "32 weeks," that typically refers to 32 whole completed gestational periods from when they had their last period. (dane101.com)
  • Embryonic ages are typically calculated from the date of conception or fertilization whereas gestational ages count weeks using dating to LMP as described earlier (which will essentially be 2 weeks ahead). (dane101.com)
  • Selection criteria: Studies included had to be randomised or quasi-randomised controlled trials of early developmental intervention programmes that began within the first 12 months of life for infants born before 37 weeks' gestational age. (mendeley.com)
  • Gestational age is noted in completed weeks after the onset of the last menstrual period (LMP). (medscape.com)
  • Maternal seafood and marine n-3 LCPUFA consumption was quantified by a food frequency questionnaire (gestational week 25) and a sub-sample with interview data (weeks 12 and 30). (opinvisindi.is)
  • Even though the foetal age (4) of the baby is two weeks, you're four weeks pregnant by gestational age. (bambinomio.com)
  • The gestational age of your baby is always around two weeks more than their foetal age, as they've only existed since a day or so after ovulation. (bambinomio.com)
  • Doctors can use ultrasounds to estimate gestational age. (local10.com)
  • When determined from the methods outlined in this document for estimating the due date, gestational age at delivery represents the best obstetric estimate for the purpose of clinical care and should be recorded on the birth certificate. (edu.au)
  • For the purposes of research and surveillance, the best obstetric estimate, rather than estimates based on the last menstrual period alone, should be used as the measure for gestational age. (edu.au)
  • Ultrasonographic measurements of the fetus in the first trimester give the most accurate estimate of gestational age when other information is lacking or unreliable. (msdmanuals.com)
  • A better estimate of gestational age can reduce the number of induced labors and, as a result, help improve the birthing experience for a large number of women. (philips.com)
  • Multiple linear regression models were used to estimate the associations of benzene exposure and genetic susceptibility with gestational age, adjusting for maternal age, education, parity, stress, passive smoking, prepregnancy weight and height, and infant's sex. (cdc.gov)
  • Kaplan-Meier curves demonstrating the effect of gestational age at the time of severe acute respiratory syndrome coronavirus 2 infection on secondary obstetric outcomes. (cdc.gov)
  • Santos R, Brownell M, Ekuma O, Mayer T, Soodeen R-A. The Early Development Instrument (EDI) in Manitoba: Linking Socioeconomic Adversity and Biological Vulnerability at Birth to Children's Outcomes at Age 5 . (umanitoba.ca)
  • Increasingly, however, research has shown that neonatal outcomes, especially respiratory morbidity, vary depending on the timing of delivery within this 5-week gestational age range. (edu.au)
  • Adverse birth outcomes, such as early gestational age and low birth weight, can have lasting effects on morbidity and mortality, with impacts that persist into adulthood. (biomedcentral.com)
  • Nevertheless, studies exploring the relationship between maternal epigenetic age and birth outcomes remain few. (biomedcentral.com)
  • Birth outcomes like birth weight, length, and gestational age predict both short- and long-term health. (biomedcentral.com)
  • Effects of gestational age, birth weight and brain injury (periventricular leukomalacia (PVL)/intraventricular haemorrhage (IVH)) on cognitive and motor outcomes when early intervention is compared with standard follow-up. (mendeley.com)
  • Heterogeneity between studies for cognitive outcomes at infancy and at school age was significant. (mendeley.com)
  • To determine whether the Growth Assessment Protocol (GAP) affects the antenatal detection of large for gestational age (LGA) or maternal and perinatal outcomes amongst LGA babies. (bvsalud.org)
  • We hypothesize that BM antioxidants are adapted to gestational age and are negatively influenced by maternal age. (mdpi.com)
  • Birth defects were more common with older maternal age, grand multiparity, male babies, low-birth-weight babies and premature babies. (who.int)
  • Bimanual examination is a routine step before intrauterine procedures and must be performed before all vacuum aspiration procedures, even when not indicated for gestational dating. (ipas.org)
  • The initial step in nutritional support is to determine an infant's fluid requirement, which depends on gestational age, postnatal age, and any underlying disease. (medscape.com)
  • In their analysis, the researchers considered many factors such as the participants' age, sex, cognitive level, family income, and their mother's education and age at birth. (sciencedaily.com)
  • Gestational age is the age of a fetus or baby that starts on the first day of the mother's last menstrual period. (medlineplus.gov)
  • Data are available by a variety of demographic characteristics, such as state and county of residence, mother's race, and mother's age, and health and medical items. (cdc.gov)
  • Gestational age can be determined before or after birth. (medlineplus.gov)
  • A population-based cohort study based on the Swedish Medical Birth Register 1992-98 and comprising 560 188 women aged 15-44 years with singleton pregnancies including 2,754 women with chronic hypertension. (nih.gov)
  • Gestational age, 1- and 5-minute Apgar scores, type of delivery, survival rate, use of corticosteroids before delivery, sex, twinning, presence of premature rupture of membranes, and birth date were comparable in the two groups. (bmj.com)
  • Since 1974, although the mean birth weight of Surinamese South Asian babies remained unchanged, they gained a healthier weight for their gestational age. (biomedcentral.com)
  • Premature and low birth weight children demonstrated high rates of delay in functional performance at preschool age that did not vary in magnitude among different degrees of prematurity and low birth weight, suggesting that exist others factors contributing to the development outcome at this age. (bvsalud.org)
  • Some authors report that the occurrence of morbidity, either immediate 2,25 or late 10,2 , is higher the lower the gestational age and/or birth weight. (bvsalud.org)
  • In 2021, the average age of mothers who gave birth in England and Wales increased to 30.9 years, while the average age of fathers remained at 33.7 years. (ons.gov.uk)
  • In 2021, the standardised mean age of mothers who gave birth increased to 30.9 years, in line with the overall trend of parenthood being delayed until older ages. (ons.gov.uk)
  • New pregnancies were identified prospectively, dried blood spot samples were collected during the third trimester, and information was obtained on gestational age at delivery and offspring weight after birth. (biomedcentral.com)
  • Of the other 29 relationships tested predicting gestational age and offspring birth weight, none were statistically significant. (biomedcentral.com)
  • For example, early gestational age at birth predicts the two largest causes of death in premature infants: underdevelopment of mature organs and bronchopulmonary dysplasia, a chronic lung disease that damages alveolar tissue [ 1 , 2 ]. (biomedcentral.com)
  • Combined Influence of Gestational Weight Gain and Estimated Fetal Weight on Risk Assessment for Small- or Large-for-Gestational-Age Birth Weight: A Prospective Cohort Study. (medstarauthors.org)
  • Subgroup analyses focused on gestational age, birth weight, brain injury, commencement of the intervention, focus of the intervention and study quality. (mendeley.com)
  • Expect preterm infants to lose 5%-15% of their body weight during transition, and they may not regain their birth weight until they are aged 10-15 days. (medscape.com)
  • We used data from the Statistics Canada live-birth and stillbirth data bases to determine the effects of changes in the frequency of multiple births, registration of births occurring very early in gestation, patterns of obstetrical intervention, and use of ultrasonographic dating of gestational age on the rates of preterm birth in Canada from 1981 through 1983 and from 1992 through 1994. (nih.gov)
  • The authors compare the evolution from 1989-1992 to 2008-2010 of preterm birth rates and births with a low weight for gestational age in Quebec for the entire population as well as by mother tongue. (concordia.ca)
  • Their main finding is that the differences in perinatal health favoring Anglophones observed in the past are not observed in 2008-2010: the preterm birth and birth rates with a low weight for gestational age are comparable between Anglophones, Francophones and Allophones for this period. (concordia.ca)
  • Calculate birth rates (normalized to the total population) and fertility rates (normalized to females age 15 - 44 years old), as well as other measures . (cdc.gov)
  • Assessment of Gestational. (msdmanuals.com)
  • What is a gestational assessment? (chop.edu)
  • The physical assessment part of the Dubowitz/Ballard Examination examines physical characteristics that look different at various stages of a baby's gestational maturity. (chop.edu)
  • When the physical assessment score and the neuromuscular score are added together, the gestational age can be estimated. (chop.edu)
  • Antenatal detection of large-for-gestational-age fetuses following implementation of the Growth Assessment Protocol: secondary analysis of a randomised control trial. (bvsalud.org)
  • If prenatal care has been lacking, physical assessment remains the primary clinical determinant of gestational age. (medscape.com)
  • 2018). Investigators found high agreement (99%) between the two gestational age measurements. (ipas.org)
  • Disparities in receipt of breast milk by several sociodemographic factors, including maternal race/ethnicity, were noted across gestational age groups. (cdc.gov)
  • The highest stillbirth rate in 2021 remained in women aged 40 years and over at 5.9 stillbirths per 1,000 births, followed by women aged under 20 years at 5.0 stillbirths per 1,000 births. (ons.gov.uk)
  • Also, vaginal bleeding occurs during 15-25% of first trimester pregnancies, and may be mistaken as menstruation, potentially giving an estimated gestational age that is too low. (wikipedia.org)
  • The majority of the sample was in the second gestational trimester and BMI was considered adequate (45 and 38%, respectively). (portalnepas.org.br)
  • No differences were found for scores of EMIC between groups by nutritional status and by gestational age (first, second or third trimester). (portalnepas.org.br)
  • For those who have irregular menstrual periods or can't remember, determining gestational age can sometimes be difficult. (local10.com)
  • Gestational age is the primary determinant of organ maturity. (msdmanuals.com)
  • The did both the stomach and transvaginal type, and they saw a gestational sac measuring 8.2 days, and embryo measuring 6.3, but no heartbeat. (medhelp.org)
  • They are concerned that the gestational sac is much larger then the embryo development, and with no heartbeat, it doesn't look promising. (medhelp.org)
  • When referring strictly towards an embryo/fetus's progression in development, embryonic age is utilized. (dane101.com)
  • The study included 80 low-income with 35 or more years old (late-age pregnant women). (bvsalud.org)
  • Objective: To evaluate the body satisfaction of pregnant women, to associate this to gestational age and body mass index (BMI), and to compare groups by gestational age and nutritional status regarding body satisfaction. (portalnepas.org.br)
  • The pregnant women were compared by nutritional status and gestational age in relation to body satisfaction. (portalnepas.org.br)
  • AGA babies have lower rates of problems and death than babies that are small or large for their gestational age. (medlineplus.gov)
  • Despite growing evidence that gestational age predicts later symptoms of ADHD in the general population, this hasn't been studied in children with Down syndrome," said Laura del Hoyo Soriano, neuropsychologist and postdoctoral scholar in the Department of Psychiatry and Behavioral Sciences and lead author on the study. (sciencedaily.com)
  • Revised age-specific fertility rates (ASFRs) for 2021 were also lower for all age groups of mothers compared with our previously published figures. (ons.gov.uk)
  • Descriptive and correlational cross-sectional study whose objectives were to delineate sociodemographic and gestational profile, to assess the subjective well-being (SWB) and to relate the indicators of SWB with the variables age, education and income. (bvsalud.org)
  • General references Gestational age and growth parameters help identify the risk of neonatal pathology. (msdmanuals.com)
  • Republican-led states have attempted to chip away at abortion access for decades, but a renewed push to ban abortion at various gestational ages began to take hold in 2019. (local10.com)
  • More accurately, the gestational age is the difference between 14 days before the date of conception and the day of delivery. (msdmanuals.com)
  • The "health" exception encompasses "all factors-physical, emotional, psychological, familial, and the woman's age-relevant to the well-being of the patient. (heritage.org)