Transcervical Foley Catheter With and Without Oxytocin for Cervical Ripening: A Randomized Controlled Trial

Femur-sparing pattern of fetal growth after maternal Zika virus infection

“…Femur-sparing pattern of fetal growth after maternal Zika virus infection TO THE EDITORS: We read the publication on "Femursparing pattern of abnormal fetal growth in pregnant women from New York City after maternal Zika virus infection" with a great interest. 1 Walker et al concluded that "An unusual femur-sparing pattern of fetal growth restriction was detected in the majority of fetuses with congenital ZIKV exposure. Fetal body ratios may represent a more sensitive ultrasound biomarker to detect viral injury in nonmicrocephalic fetuses that could impart long-term risk for complications of congenital ZIKV infection."…”

“…Fetal body ratios may represent a more sensitive ultrasound biomarker to detect viral injury in nonmicrocephalic fetuses that could impart long-term risk for complications of congenital ZIKV infection." 1 We would like to share ideas on this finding based on the experience from the endemic area of Zika virus infection in tropical Asia. In our area, the Zika virus is often asymptomatic, and there is usually no clinical finding in the infected fetus.…”

Geburtseinleitung

“…Deshalb sind Ballonkatheter bei Status nach Sectio und unreifer Zervix das Mittel der Wahl und sind auch sonst eine gute Alternative zu Prostaglandinen [41]. Eine gleichzeitige Kombination mit Oxytocin ist möglich, scheint den Einleitungserfolg aber nicht zu beschleunigen [42]. Nebenwirkungen, welche eine Entfernung des Katheters nötig machen, sind durch den Druck ausgelöste Schmerzen.…”

Reply

“…We thank Drs. Yasri and Wiwanitkit for their interest in our article 1 and raising two important questions. First, they suggested that Zika virus infection is generally associated with no clinical findings in Asian pregnant women.…”