Evaluation of echocardiography in the neonatal unit

Cerini, E

doi:10.3109/14767058.2012.715029

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…97–99 Recently, a combination of vaginal progesterone and a pessary has been reported to be a successful method to reduce the rate of preterm delivery in twin gestations with a cervix of <25mm. 178 …”

Section: Introductionmentioning

confidence: 99%

Vaginal progesterone vs cervical cerclage for the prevention of preterm birth in women with a sonographic short cervix, previous preterm birth, and singleton gestation: a systematic review and indirect comparison metaanalysis

Conde-Agudelo

Romero

Nicolaides

et al. 2013

American Journal of Obstetrics and Gynecology

139

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OBJECTIVE No randomized controlled trial has directly compared vaginal progesterone and cervical cerclage for the prevention of preterm birth in women with a sonographic short cervix in the midtrimester, singleton gestation, and previous spontaneous preterm birth. We performed an indirect comparison of vaginal progesterone versus cerclage, using placebo/no cerclage as the common comparator. STUDY DESIGN Adjusted indirect meta-analysis of randomized controlled trials. RESULTS Four studies evaluating vaginal progesterone versus placebo (158 patients) and five evaluating cerclage versus no cerclage (504 patients) were included. Both interventions were associated with a statistically significant reduction in the risk of preterm birth <32 weeks of gestation and composite perinatal morbidity and mortality compared with placebo/no cerclage. Adjusted indirect meta-analyses did not show statistically significant differences between vaginal progesterone and cerclage in reducing preterm birth or adverse perinatal outcomes. CONCLUSION Based on state-of-the-art methodology for indirect comparisons, either vaginal progesterone or cerclage are equally efficacious in the prevention of preterm birth in women with a sonographic short cervix in the midtrimester, singleton gestation, and previous preterm birth. The selection of the optimal treatment may depend upon adverse events, cost and patient/clinician preferences.

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Section: Introductionmentioning

confidence: 99%

Vaginal progesterone vs cervical cerclage for the prevention of preterm birth in women with a sonographic short cervix, previous preterm birth, and singleton gestation: a systematic review and indirect comparison metaanalysis

Conde-Agudelo

Romero

Nicolaides

et al. 2013

American Journal of Obstetrics and Gynecology

139

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“…Echocardiography is being increasingly considered an integral component of the assessment of the critically ill newborn [26,27]. The increasing availability of ultrasound equipment in neonatal units has rendered these assessments logistically feasible.…”

Section: Echocardiographymentioning

confidence: 99%

Diagnosis and Management of Hypotension in Neonates

2013

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The diagnosis and management of hypotension in neonates is a frequently encountered issue in the intensive care setting. There is an ongoing debate as to the appropriateness of blood pressure monitoring as an indicator of organ perfusion and tissue hypoxia. These ultimately determine morbidity and mortality in the sick newborn. This article explores the methods available for the assessment of organ perfusion and speculates on other means that may become available in the future. Different modalities of treatment currently in use are discussed, with the aim of using information gained from perfusion monitoring techniques to determine the optimal choice of therapy.

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Evaluation of echocardiography in the neonatal unit

Cited by 2 publications

References 2 publications

Vaginal progesterone vs cervical cerclage for the prevention of preterm birth in women with a sonographic short cervix, previous preterm birth, and singleton gestation: a systematic review and indirect comparison metaanalysis

Vaginal progesterone vs cervical cerclage for the prevention of preterm birth in women with a sonographic short cervix, previous preterm birth, and singleton gestation: a systematic review and indirect comparison metaanalysis

Diagnosis and Management of Hypotension in Neonates

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