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A Case of Trisomy 10p with Vertebral Anomaly and Hypospadias.

Hyung Sik KIM ; Sung Chul BAEK ; Cheol Hong KIM

Korean Journal of Perinatology.2003;14(4):427-432.

Tisomy 10p syndrome is a rarely reported chromosomal abnormality with distinct craniofacial anomalies, severe growth and psychomotor retardation, osteoarticular anomalies, and organ malformations. Most of reported cases were due to translocation of 10p to the other chromosome. Rare causes are tandem duplication, maternal pericentric inversion, isochromosome formation. We experienced newborn infant with craniofacial anomaly, hypospadias and extra vertebra and rib. The characteristic craniofacial anomalies were frontal bossing, wide opened fontanel and suture line, sparse eyebrow, turtle beak mouth, Cytogenic analysis showed 46, XY, rec(10) dup(10p) inv (10)(p11.2q26.1). Karyotype of the father was normal(46, XY). However, karyotype of the mother showed 46, XX, inv(10)(p11.2q26.1). Therefore, chromosome 10 recombination resulting from a maternal pericentric inversion formed trisomy 10p. We report rare chromosome abnormality syndrome, trisomy 10p, with brief review.
Animals ; Beak ; Chromosome Aberrations ; Chromosomes, Human, Pair 10 ; Eyebrows ; Fathers ; Female ; Humans ; Hypospadias* ; Infant, Newborn ; Isochromosomes ; Karyotype ; Male ; Mothers ; Mouth ; Recombination, Genetic ; Ribs ; Spine ; Sutures ; Trisomy* ; Turtles

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A Case of Sirenomelia Diagnosed at 14 Gestational Weeks.

Eun Ho JEONG ; Du Sik KONG ; In Hyun KIM ; Kyung Sul LEE ; Gun Ho LEE ; Jae Hong KIM ; Su Jin KIM

Korean Journal of Perinatology.2003;14(4):422-426.

Sirenomelia, characterised by a complete or incomplete fusion of the lower extremities, is a severe form of caudal defect affecting 1 in 60,000 births. Most cases of sirenomelia die within 5days after birth and are associated with abnormalities such as renal agenesis, urinary tract agenesis, single umbilical artery, etc. Thirdtrimester ultrasonographic diagnosis is usually impaired by severe oligohydramnios whereas the amount of amniotic fluid may be efficient to allow diagnosis in the late first trimester. We report of a case of sirenomelia at 14 weeks of gestation using prenatal transvaginal and transabdominal ultrasonography.
Amniotic Fluid ; Diagnosis ; Ectromelia* ; Female ; Humans ; Lower Extremity ; Oligohydramnios ; Parturition ; Pregnancy ; Pregnancy Trimester, First ; Single Umbilical Artery ; Ultrasonography ; Urinary Tract

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A Case of Prenatally Diagnosed Klippel-Trenaunay-Weber Syndrome.

So Young KWON ; Yun Ah KIM ; Jong Won LEE ; Su Jin KIM ; Kyoung Jin LEE ; Ji Hyeun PARK ; Chang Jo CHUNG

Korean Journal of Perinatology.2003;14(4):416-421.

Klippel-Trenaunay-Weber syndrome is a rare sporadically occurring congenital soft tissue anomaly characterized by cutaneous hemangiomata, hemihypertrophy and occasionally arteriovenous malformations(AVMs). No definite genetic defect has been identified. The appearance is a soft tissue mass of an extremity, usually affecting the adjacent trunk, hydrops fetalis, ascites, abdominal hemangiomatous masses, and hepatomegaly. When diagnosed prenatally, the disorder may be severe. Thrombocytopenia due to platelet consumption within the hemangioma and high output cardiac failure may complicate the outcome. Termination of pregnancy can be offered in severe forms, otherwise no alteration of management in expected. The management of newborns is primarily nonoperative, but some may benefit from surgical intervention. We report a case of Klippel-Trenaunay-Weber syndrome diagnosed prenatally by ultrasonogram in the second trimester and subsequently was terminated, with a brief review of literature.
Ascites ; Blood Platelets ; Extremities ; Female ; Heart Failure ; Hemangioma ; Hepatomegaly ; Humans ; Hydrops Fetalis ; Infant, Newborn ; Klippel-Trenaunay-Weber Syndrome* ; Pregnancy ; Pregnancy Trimester, Second ; Prenatal Diagnosis ; Thrombocytopenia ; Ultrasonography

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Comparison of Body Temperature Measured by Non-Contact Temporal Artery Thermometer with Those by Other Methods in Neonates.

Soo Hyun KOO ; Myung Sook JEONG ; Kyung Ah KIM ; Sun Young KO ; Yeon Kyung LEE ; Son Moon SHIN

Korean Journal of Perinatology.2003;14(4):409-415.

OBJECTIVE: In this study, we tested the correlation between the body temperature measured by non-contact temporal artery thermometer which has been developed recently and the rectal temperature using conventional glass mercury thermometer, also evaluate the reliability of non-contact temporal artery thermometer by comparing with other methods of temperature measurement. METHODS: One-hundred-and-seventeen newborn infants who were born at Samsung Cheil Hospital were included in this study. Tympanic and forehead temperatures were taken three times each with tympanic thermometer and non-contact infrared temporal artery thermometer respectively on a newborn infant by two authors. we also measured the rectal and axillary temperatures by using a mercury-in-glass thermometer. RESULTS: The normal body temperature measured by non-contact temporal artery thermometer was 36.2 +/- 0.22degrees C, and rectal, axillary and tympanic temperatures were 36.8 +/- 0.30degrees C, 36.7 +/- 0.30 and 36.1 +/- 0.27degrees C, respectively. There was a significant correlation between temperatures measured by non-contact temporal artery thermometer and rectal temperature (p<0.01, r=0.891). The differences between repeated measurements by non-contact temporal artery thermometer were significantly less than those by tympanic thermometer (p<0.01). CONCLUSION: Forehead temperature measured by non-contact temporal artery thermometer is correlated with rectal temperature and has good reproducibility. It can be used to measure body temperature in newborn infants.
Body Temperature* ; Forehead ; Glass ; Humans ; Infant, Newborn* ; Temporal Arteries* ; Thermometers*

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Vaginal Birth after Cesarean Delivery: Predictable Factors for Success.

Seo Yun TONG ; Yeo Hong KIM ; Young Jun CHOI ; So Ra KIM ; Bo Yon LEE ; Seon Kyung LEE ; Chu Yeop HUH ; Seong Bo KIM

Korean Journal of Perinatology.2003;14(4):400-408.

OBJECTIVE: The purpose of this report is to determine the predictable factors for successful vaginal birth after cesarean (VBAC). METHODS: In this study, 382 women who attempted VBAC at Kyung-Hee university hospital were included. The medical records of them were reviewed retrospectively. Informations was collected about demographics, medical history, obstetric history, neonatal birth weight, complications, treatment, and outcome of the index pregnancy. RESULTS: The overall success rate was 76.5% (292 cases). Among variables, neonatal birth weight (odds ratio, 0.2; 95% confidence interval, 0.1-0.4), Bishop score at admission (odds ratio, 1.8; 95% confidence interval, 1.5-2.1 ; p<0.05), and history of vaginal delivery (odds ratio, 3.6 ; 95% confidence interval, 1.1-11.6 ; p<0.05) were significant. The Bishop score showed most significant relationship with successful VBAC. The Bishop score 5 at admission had a sensitivity of 47.4% and a specificity of 87.6% in the prediction of successful VBAC. Malpresentation as indications of previous cesarean delivery showed more tendency to succeed than others. CONCLUSION: Several factors such as birth weight, Bishop score at admission, and history of vaginal delivery may be used to predict the success of VBAC.
Birth Weight ; Demography ; Female ; Humans ; Medical Records ; Pregnancy ; Retrospective Studies ; Sensitivity and Specificity ; Vaginal Birth after Cesarean*

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Management of Hypoxic-Ischemic Encephalopathy: Present and Future.

Woo Taek KIM

Korean Journal of Perinatology.2003;14(4):393-399.

No abstract available.
Hypoxia-Ischemia, Brain*

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Antenatal Corticosteroid Effects on Neonate.

Eun Ae PARK

Korean Journal of Perinatology.2003;14(4):385-392.

No abstract available.
Humans ; Infant, Newborn*

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Role of Obstetrician to reduce Birth Asphyxia.

Jong Chul SHIN

Korean Journal of Perinatology.2003;14(4):379-384.

No abstract available.
Asphyxia* ; Parturition*

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A Case of Fetus in Fetu.

Ji Young KIM ; Seung Ho YANG ; Seong Yeun HONG ; Dae Hyeon CHOO ; Hoon Kyu OH ; Young Chan PARK ; Hai Lee CHUNG ; Woo Taek KIM

Korean Journal of Perinatology.2006;17(2):225-230.

Fetus in fetu is an extremely uncommon cause of abdominal mass in the neonate with an incidence of 1 in 500,000 births. This is thought to occur when a monozygotic, diamniotic twin is incorporated into the body of its sibling early in embryonic development. A case of retroperitoneal fetus in fetu in a 3 day old male infant is reported, the excised round mass contained the vertebral column, 2 feet, 2 arms, small penis and testis. The presence of vertebral axis and organogenesis differentiates it from a teratoma. More than 100 cases of fetus in fetu have been reported, most of which have been in the abdomen. We report a case of a well developed fetus in the retroperitoneal area of a neonate delivered at term.
Abdomen ; Arm ; Axis, Cervical Vertebra ; Embryonic Development ; Female ; Fetus* ; Foot ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male ; Organogenesis ; Parturition ; Penis ; Pregnancy ; Siblings ; Spine ; Teratoma ; Testis

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Appropriate Timing of the Screening Test of Gestational Diabetes.

Hye Jin JEOUN ; Hyun Hee KIM ; So Young KIM ; In Kyung SUNG ; Won Bae LEE ; Chung Sik CHUN ; Gui Sera LEE ; Sa Jin KIM

Korean Journal of Perinatology.2006;17(2):217-224.

OBJECTIVE: Screening tests for Gestational diabetes (GDM) are performed during the 24~28 weeks of pregnancy. Therefore, in many cases, GDM is not detected during the first trimester of pregnancy while most of important organs are developed during this period. In this review, we performed a retrospective study by dividing GDM mothers into 3 groups: diabetic, impaired glucose tolerance (IGT) and normal. The medical records of mothers and neonates from these three groups were compared. METHODS: 136 out of 536 GDM patients in Holy Family Hospital from 1995 to 2005 took a 75 g OGTT 6 weeks after delivery. As a result, 28 were diagnosed as diabetes, 18 had impaired glucose tolerance, and 90 were normal. The antenatal and perinatal history of above groups were retrospetively compared. RESULTS: In the diabetic group, 46.4% of mothers had a positive family history of diabetes, where as 38% of IGT group, 31.8% of normal group had the history. Secondly, the abortion history rate for each group was 21.4%, 16.6%, 13.3%, and each group had an average HbA1C of 7.20, 5.82 and 5.69. Also, the rate of preterm labor for each group was 17.9%, 11.1%, and 4.45%. The Apgar score (1 min/ 5min) was 7.29/8.54, 7.75/8.75 and 7.89/8.97. Lastly the rate of preeclampsia for each group was 14.3%, 11.1% and 6.8%. CONCLUSION: Three groups had distinctive differences in their perinatal morbidity both before and after delivery. Therefore, in order to reduce the perinatal morbidity and mortality rate, the present frequency or timing of GDM screening test, should be reconsidered.
Abortion, Induced ; Apgar Score ; Diabetes Mellitus ; Diabetes, Gestational* ; Female ; Glucose ; Glucose Tolerance Test ; Humans ; Infant, Newborn ; Mass Screening* ; Medical Records ; Mortality ; Mothers ; Obstetric Labor, Premature ; Pre-Eclampsia ; Pregnancy ; Pregnancy Trimester, First ; Retrospective Studies

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