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http://dx.doi.org/10.1038/s41390-024-03454-3 | DOI Listing |
Prenat Diagn
September 2025
Department of Cardiology, Boston Children's Hospital and Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA.
Objective: To evaluate a structured communication training for providers performing prenatal counseling for patients presenting to a multidisciplinary maternal fetal care center.
Method: Providers who care for pregnant patients with high-risk fetal conditions participated in two half-day virtual training sessions using the VitalTalk methodology. In each session, providers learned the methodology and then participated in role-play with standardized actors.
Front Med (Lausanne)
August 2025
Department of Neonatology and NICU, Wenling Maternal and Child Health Care Hospital, Wenling, Zhejiang, China.
Umbilical artery thrombosis (UAT) is an extremely rare but severe obstetric complication associated with adverse perinatal outcomes, including fetal growth restriction (FGR), fetal distress, and intrauterine fetal demise. This case report highlights the diagnostic challenges of UAT and its potential misdiagnosis as a single umbilical artery (SUA). A 32-year-old woman with a history of uncomplicated vaginal delivery was initially misdiagnosed with SUA at 29 3/7 weeks of gestation.
View Article and Find Full Text PDFClin Anat
September 2025
Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Bibinagar, Telangana, India.
Hyrtl's anastomosis, a transverse inter-arterial connection between the two umbilical arteries near their placental insertion, plays a vital role in maintaining hemodynamic stability in fetal circulation. Despite being a consistent finding in most term placentas, its functional role and clinical significance are underappreciated in perinatal medicine. This review explores the anatomy, physiological function, diagnostic assessment, and clinical implications of Hyrtl's anastomosis, with emphasis on its protective role in ensuring balanced placental perfusion and mitigating hemodynamic stress in compromised pregnancies.
View Article and Find Full Text PDFJ Affect Disord
September 2025
Department of Psychology, University of Calgary, Calgary, AB, Canada; Alberta Children's Hospital Research Institute (ACHRI), Calgary, AB, Canada; Department of Educational and Counselling Psychology, and Special Education (ECPS), University of British Columbia, BC, Canada.
Background: Perinatal depression has been linked to higher negative affectivity (NA) in children, though the strength of this association is variable. Infant sleep, a known protective factor, may moderate this relationship though this has not been tested.
Objective: To examine whether within-person changes in depressive symptoms across pregnancy and postpartum were linked to child NA, and whether infant sleep duration moderated these effects.
Cannabis use among pregnant individuals presents ongoing challenges and opportunities for nursing professionals. This practice article examines current trends, motivations, and implications of cannabis consumption during pregnancy and the postpartum period. Nurses play an instrumental role in patient education, screening, and intervention strategies.
View Article and Find Full Text PDF