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PubMed1993

Sonography of the gravid uterus and placenta: current concepts.

Examination of the placenta and gravid uterus is an integral part of any obstetric sonographic study. Fetal well-being and growth depend on an intact uteroplacental vascular supply, and sonography can show most of the macroscopic abnormalities that may adversely affect the placenta or the gravid uterus, and thus compromise the fetus or affect the mode of delivery. The first part of this review will highlight sonography of normal uterine anatomy and pitfalls and review sonographic findings in cases of incompetent cervix, premature labor, and uterine synechiae. The second part will describe some recent advances in sonography of normal placental development and appearance, sonographic and anatomic variations, placental lesions, and implantation abnormalities.

Female↗
PubMed2005

A case of unilateral gravid macromastia in 23-year-old Japanese woman associated with elevated serum CA19-9.

We report a rare case of gravid macromastia (GM) treated after delivery. A 23-year-old woman with left breast enlargement was referred to our hospital. Laboratory investigations revealed an elevated serum CA19-9 level of 200.3 U/ml. Gravid macromastia was diagnosed by clinical examination (US, MRI) and 11G mammotome biopsy. Tumorectomy of the left breast and mammoplasty were performed. The mass had proliferated to the exclusion of normal gland. Histological examination revealed abundant proliferation of stromal loose connective tissue and interposed fat cells surrounding normal and lactating lobules. The epithelial cells were positive for CA19-9 on immunohistochemical staining. Serum CA19-9 decreased to normal levels 3 months after operation. GM is exceedingly rare and occurs in less than 0.001-0.003% of all pregnant women. Once established, the condition is likely to continue to successive pregnancies. This benign tumor is sometimes difficult to distinguish from malignant tumors since it shows few histological characteristics and grows rapidly. Attention is necessary to diagnose tumors of the breast during pregnancy.

Adult↗
PubMed1991

Maternal and fetal influences on uterine and conceptus development in the cow: I. Growth of tissues of the gravid uterus.

Objectives of this study were to evaluate maternal and fetal influences on development of gravid uterine tissues of cows. Brahman cows with Brahman or Charolais fetuses and Charolais cows with Brahman or Charolais fetuses were used. Cows were killed 232 +/- .5 or 271 +/- .7 d after mating. The gravid uterus of each cow was weighed and dissected into its component parts. Weights of the fetus, fetal membranes, cotyledons, caruncles, and uterus were recorded as were weights of the fetal liver, heart, kidneys, spleen, lungs, stomach complex, intestines, and semitendinosus muscle. Ribonucleic acid, DNA, and protein concentrations in caruncles, cotyledons, liver, heart, kidney, and semitendinosus muscle were determined. Data were analyzed by analysis of variance; breed of cow (C), breed of fetus (F), day of gestation (D), and all interactions were included in the model as fixed effects. Fetal weights were influenced (P less than .003) by C, F, D, and C x D and tended (P = .07) to be influenced by C X F X D. Weight, RNA, DNA, and protein contents of selected fetal tissues followed similar patterns of significance. Thus, both maternal and fetal genotype influenced fetal growth. Greater influences of the maternal system and interrelationships between maternal and fetal systems were observed at the latter stage of gestation. Placentomal (caruncle + cotyledon) weights were greater for Charolais than for Brahman cows (P less than .02) or fetuses (P less than .001) and were greater (P less than .01) at 271 than at 232 d. Caruncular weights followed similar patterns; however, fetal genotype was the only significant source of variation in cotyledonary weight, RNA, DNA, or protein content.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1992

Uterine and umbilical blood flows and net nutrient uptake by fetuses and uteroplacental tissues of cows gravid with either single or twin fetuses.

To evaluate the influence of cow breed and number of fetuses on uterine and umbilical blood flows and nutrient fluxes or uterine tissues from gravid cows, surgery was performed on Charolais or Hereford cows with single or twin fetuses at 177 +/- .2 d (mean +/- SEM) after mating. Indwelling catheters were placed in a fetal femoral artery and vein, in an umbilical vein of each fetus, and in a uterine artery and vein of each gravid horn. Deuterium oxide (D2O) was infused into a fetal femoral vein at 183 +/- .3 and 190 +/- .5 d after mating to estimate uterine and umbilical blood flows (liters/minute). Blood oxygen and plasma glucose and lactate concentrations were determined and uterine arterio-venous (A-V) and umbilical venous-fetal arterial (v-a) differences and net uterine and fetal uptakes were calculated. Net utilization by the uteroplacenta was calculated as the difference between uterine and fetal net uptakes. Uterine blood flows were lower (P less than .01) in Hereford (4.80 +/- .28) than in Charolais (7.07 +/- .33) and lower (P less than .01) per fetus in cows with twin fetuses (5.22 +/- .34) than in cows with a single (6.65 +/- .28) fetus. Umbilical blood flows were greater for single than for twin fetuses. Fetal oxygen and glucose net uptakes averaged 57 and 12%, respectively, of net uteroplacental utilization. Lactate was released from uteroplacental tissues to fetal (42%) and maternal circulations (58%). Fetal oxygen uptakes tended to be less for twin fetuses (P = .08) than for a single fetus.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1997

Protein requirements of sheep in late pregnancy: partitioning of nitrogen between gravid uterus and maternal tissues.

The objective of this study was to quantify effects of maternal protein nutrition on N accretion or loss in conceptus and maternal tissues of ewes during late pregnancy. Ewes, pregnant with twins, were fed low (LP, 79 g CP/kg DM), medium (MP, 116 g CP/kg DM), or high (HP, 157 g CP/kg DM) protein diets, each with an estimated ME concentration of 2.7 Mcal/kg DM, between d 111 and 140 of pregnancy; all ewes had been fed the same diet (2.7 Mcal ME, 120 g CP/kg DM) for the previous 30 d (d 80 to 110). Dry matter intakes were varied (LP = 1.0, MP = 1.2, and HP = 1.4 kg/d) according to predicted energy costs of protein deposition for each diet. Nitrogen accretion was estimated by comparative slaughter (d 140 minus d 110) and by collection of excreta between d 120 and 130. Fresh weights of maternal and gravid uterine tissues were measured at slaughter, before proximate analysis of these components. Whole-body N retention was directly and linearly related to N intake, but efficiency of deposition of apparently absorbed N decreased linearly with increasing N intake (LP, .79; MP, .70; HP, .62). Nitrogen accretion in the gravid uterus, maternal viscera, and mammary gland was significantly less in LP than in MP or HP ewes. Nitrogen balance in maternal carcass tissues was linearly related to N intake, ranging from a negative value in LP ewes to a positive value in HP ewes (LP, -63 g; MP -39 g; HP, 55 g). These data provide the basis for estimating N requirements for protein accretion in the conceptus and in maternal tissues during late pregnancy. They also highlight the capacity of maternal carcass tissues to mobilize or deposit amino acids in response to variations in dietary protein supply.

Animals↗
PubMed1985

Effects of dietary alfalfa:orchardgrass hay and lasalocid on nutrient utilization by gravid sows.

Twenty-four third- and fourth-parity crossbred gravid sows were housed in metabolism stalls and randomly allotted to four dietary treatments: corn-alfalfa:orchardgrass hay (46%; CH), CH plus lasalocid (CHL), corn-soybean meal (CS) or CS plus lasalocid (CSL). Daily feed intake was 2.36 kg for CH- and CHL-fed sows and 1.66 kg for CS- and CSL-fed sows. Lasalocid intake was 110 mg X sow-1 X d-1. Total feces and urine were collected during two 5-d collection periods, 40 and 80 d postcoitum. Digestible energy (DE), metabolizable energy (ME), nitrogen (N) retention, dry matter (DM), neutral detergent fiber (NDF) and acid detergent fiber (ADF) digestibilities, and retention of calcium (Ca), total phosphorus (P), magnesium (Mg), sodium (Na) and potassium (K) were determined. Percentage DE and ME were greater (P less than .0001) for CS- and CSL-fed sows (88.3 and 83.4%) than for CH- and CHL-fed sows (65.2 and 61.3%). Lasalocid did not influence (P greater than .05) DE and ME values but decreased (P less than .01) the ME:DE ratio. Percentage N digestibility was greater (P less than .0001) for CS- and CSL-fed sows (85.7%) than for CH- and CHL-fed sows (60.8%), but there was no significant difference in N retention, expressed as a percentage of N intake. Lasalocid increased (P less than .03) percentage N digestibility; however, the diet X additive interaction decreased (P less than .005) grams N retained X sow-1 X d-1 for CSL-fed sows. The CH- and CHL-fed sows digested more grams of DM, NDF and ADF but had lower percentage digestibilities of DM and fiber fractions than did CS- and CSL-fed sows. The diet X additive interaction decreased (P less than .05) percentages of Ca, P and K digested and decreased (P less than .05) grams mineral retained (Ca, P, Mg and K) and mineral retained expressed as a percentage of intake for CSL-fed sows. Results indicate that alfalfa:orchardgrass hay and lasalocid influenced energy, fiber, nitrogen and mineral utilization by gravid sows.

Animals↗
PubMed2005

Oviposition preferences of Culex restuans and Culex pipiens (Diptera: Culicidae) for selected infusions in oviposition traps and gravid traps.

Field studies were conducted in southwestern Virginia to determine the ovipositional preferences of Culex restuans and Culex pipiens by using ovitraps and gravid traps baited with selected infusions. For the ovitrap collections, 4 different infusions (manure, hay, grass, and rabbit chow) were used. Significant differences among infusions were detected on most sample dates for both species. For 3 of the first 4 wk of collections, the manure infusion collected significantly more Cx. restuans than all the other infusions. The hay and grass infusions collected the majority of the egg rafts during weeks 5-9. Cx. pipiens egg rafts were absent from the first 3 wk of collections. Of the remaining 6 wk, 4 showed significant differences in attractiveness of infusions, with the hay and grass infusions preferred by Cx. pipiens. Two infusions, manure and hay, were used for the gravid trap experiment and both Cx. restuans and Cx. pipiens data were combined for analysis. Only the first 2 wk showed significance, with manure being preferred over hay in both weeks. In later collections, the relative attractiveness of the hay infusion increased. A seasonal shift in infusion preference may be related to incubation temperature during preparation of the infusions. New infusions were prepared each week and incubation was done outside. Increased attractiveness of the hay infusion coincided with higher average temperatures in July and August. Hay infusion was very effective for trapping both Cx. pipiens and Cx. restuans in southwestern Virginia and is more convenient to use than manure. However, cool outside temperatures in the early season may interfere with the fermentation process and thus incubation should be done for a longer time or brought indoors.

Animals↗
PubMed1995

Growth and accretion of energy and protein in the gravid uterus during late pregnancy in Holstein cows.

Multiparous Holstein cows (n = 18) were bred artificially to the same bull and then slaughtered at times ranging from 190 to 270 d postconception to assess accretion of energy, protein, fat, and ash by the conceptus. Wet weights, dry weights, and concentrations of energy, CP, crude fat, and ash were obtained for the following: fetus, combined amniotic and allantoic fluids, fetal membranes, cotyledons, caruncles, and uterine tissues. Rates of accumulation of these components in the gravid uterus (sum of all uterine contents) and fetus were described by linear or quadratic equations. Estimated rates of accretion of energy in the gravid uterus (i.e., conceptus) increased from 567 kcal/d at 190 d of gestation to 821 kcal/d at 270 d of gestation; corresponding rates of accretion of CP were 62 and 117 g/d. These daily rates represent net energy and protein requirements for conceptus growth during late pregnancy in mature Holstein cows. Conversion of predicted net energy to metabolizable energy requirements for conceptus growth, using the accepted efficiency factor of .14, yielded estimates that were consistent with current NRC recommendations. Factorial estimation of absorbed protein requirements is hampered by lack of precise information on the efficiency with which absorbed AA are deposited in conceptus tissues.

Animal Nutritional Physiological Phenomena↗
PubMed1999

Oviposition responses of gravid Culex quinquefasciatus and Culex tarsalis to bulrush (Schoenoplectus acutus) infusions.

Laboratory bioassays demonstrated that fermented infusions of dried bulrushes (Schoenoplectus acutus) strongly attracted and stimulated oviposition by gravid female Culex quinquefasciatus and Culex tarsalis. The responses of the 2 species varied with the concentration and method of preparation of the infusions, with responses generally increasing with increasing concentration. No major differences were found in the responses of either species to infusions prepared with bulrushes alone, or with bulrushes plus lactalbumin hydrolysate and brewer's yeast. Infusions remained more attractive than distilled water controls to both species for up to 8 wk. Field tests corroborated the results from the laboratory bioassays. Culex quinquefasciatus, Cx. tarsalis, and Cx. stigmatosoma egg rafts were collected from water pan traps baited with bulrush infusions. A few Culiseta incidens eggs also were collected. In multiple-choice tests using gravid female or egg traps, Cx. quinquefasciatus preferred the most concentrated bulrush infusions, whereas Cx. tarsalis preferred intermediate concentrations. Female Cx. stigmatosoma and Culiseta incidens also were attracted. Overall, these results may provide new leads towards developing synthetic chemical baits to attract bloodfed mosquitoes.

Animals↗
PubMed2002

[Acute gravidic steatosis: review and management].

The acute gravidic steatosis is a specific hepatopaty of pregnancy that has a low frequency witch often very serious. On the light of a gravidic steatosis case histological proved progenitors analyse the clinical criteria of positive diagnosis. The coexistence of an hepatic anomaly that is of an hyperuricemia with a normotensive woman is too suggestive of the diagnosis. The maternal mortality exceeded 92% before 1970, now it has reached 10%. his amelioration is mainly due the obstetric attitude of evacuation and the progress of reanimation.

Fatty Liver↗
PubMed2002

[Study on number and mature rate of eggs in gravid proglottids of Taenia solium].

OBJECTIVE: To investigate the number and mature rate of eggs in gravid proglottids of Taenia solium. METHODS: Ten worms of Taenia solium, expelled from patients, were detected. Eggs were collected from the last 10 gravid proglottids of each worm. RESULTS & CONCLUSION: The egg number in each mature proglottids varied from 3,900 to 126,520, and the mean number was 28,332. The mature rate of eggs was from 7.00% to 36.00% with an average of 29.12%, which was lower than that in proglottids naturally excreted with feces. With suitable temperature and humidity, the proglottids developed continually after excreted out of host body. Two to three days later, the mature rate of their eggs increased to 85%-90%.

Animals↗
PubMed2005

The presence of Plasmodium falciparum gametocytes in human blood increases the gravidity of Anopheles gambiae mosquitoes.

We conducted a field study in an area of endemic malaria transmission in western Kenya to determine whether mosquitoes that feed on gametocyte-infected blood but do not become infected have reduced or enhanced fecundity in comparison to mosquitoes fed on uninfected blood. Fifteen paired membrane-feeding experiments were conducted in which two strains of Anopheles gambiae mosquitoes were simultaneously fed on either Plasmodium falciparum-infected blood from children or uninfected control blood from adults. The presence of noninfecting gametocytes in blood increased the probability that An. gambiae would produce eggs after one blood meal by sixfold (odds ratio for control relative to infected blood group 0.16; 95% CI 0.10-0.23). This result could not be explained by variation in blood meal size or hemoglobin content between hosts. When children cleared their infections, the difference in gravidity between mosquitoes fed on their blood and uninfected adults disappeared, suggesting this phenomenon is due to the presence of Plasmodium gametocytes in blood and not to host-specific factors such as age. This result was observed in two mosquito strains that differ in their innate fecundity, suggesting it may apply generally. To our knowledge, this is the first time that Plasmodium has been implicated as enhancing vector gravidity.

Adult↗
PubMed2005

The ultrastructure of the gravid uterus of Brugia pahangi, another rich source of antigen of the filarial parasite.

The gravid uterus with zygotes and microfilariae in utero of Brugia pahangi, a rich source of antigen as revealed by a recent immunofluorescent technique, were studied ultrastructurally. The epithelial cells of uterus show ultrastructural features of synthetically active cells. Their secretions may provide nutrients for the egg in utero. On the basal side, the uterine epithelial cells may also secrete substances to form the basal lamina of the uterus which is rather thick and irregularly fused with the basal lamina lining the body wall where the pseudocoelomic cavity is obliterated. For the most part, the uterine basal lamina contains uniform granular material of moderate electron density. There are also elongated visceral muscle cells embeded in it, and which surround the uterus, with adjacent cells overlapping. The gravid uterus contains several stages of developing microfilariae within its lumen, the cleaving zygotes are also present at another level. The morula of zygotes are composed of several closely packed cells surrounded loosely by their own egg shell membranes. The egg shell becomes more convoluted as development proceeds. The egg shell surrounding the developing microfilariae in utero is secreted by the uterine epithelium. This structure later becomes the sheath of circulating microfilariae, and is highly antigenic as indicated by intense labeling with fluorescent antibodies.

Animals↗
PubMed2006

A case of herniated gravid uterus through a laparotomy scar.

A 36-year-old manual worker presented in her second pregnancy at 34 weeks of gestation with an unusual bulge of her abdomen. The lower abdominal bulge turned out to be her gravid uterus herniated through an anterior abdominal wall incisional hernia which is a rare but serious obstetric situation with complications such as premature labour, intrauterine growth retardation, strangulation, intrauterine death and rupture of the lower uterine segment been reported. We had a successful outcome by conservative treatment till 38 weeks of gestation followed by an elective lower segment Caesarean section with hernia repair. Incisional hernia is a frequent complication of abdominal wall closure and the management of pregnancy with a large incisional hernia with gravid uterus in its sac is challenging.

Adult↗
PubMed2006

[Primary aldosteronism in gravidity].

Endocrinology and obstetrics have one thing in common--diagnosis and treatment endocrine diseases in gravidity. These are modified by physiological changes in gravidity, often missing data and tests in normal condition and the influence of diagnosis and treatment on the pregnant female and fetus have also to be taken into consideration. If diagnosis of primary aldosteronism is suspected, suprimed plasmatic renin activity is determinant indicator (disregarding arterial hypertension, hypokaliaemia, hyperkaliuresis and proteinuria) as well as ultrasound diagnostics or adrenal gland diagnostics means magnetic resonance imaging. Aldosteron produced adenomas may by treated by adrenalectomy in the second trimester, late diagnosed adenoma and hyperplastic forms are treated by the administration of the respective medicaments.

Female↗
PubMed1990

Does indomethacin alter the hemodynamic response to magnesium sulfate infusion and hemorrhage in gravid ewes?

The purpose of this study was to determine whether indomethacin alters the maternal and fetal hemodynamic response to magnesium sulfate (MgSO4) infusion and hemorrhage in gravid ewes. We studied seven chronically instrumented animals between 0.8 and 0.9 of timed gestation. The experimental sequence included: 1) at time 0, indomethacin, 2 mg/kg, or vehicle only intravenously (IV) over 5 minutes; 2) at 60 minutes, MgSO4 4 g IV over 5 minutes; 3) at 65 minutes, MgSO4 infusion at 4 g/hour; 4) at 150 minutes, maternal hemorrhage, 20 mL/kg, over 60 minutes; and 5) at 215 minutes, reinfusion of maternal blood over 60 minutes. Each animal was studied with and without indomethacin. Indomethacin, but not vehicle only, transiently increased maternal and fetal mean arterial pressure (MAP), decreased maternal and fetal heart rate, and decreased maternal cardiac output. Magnesium sulfate significantly decreased uterine vascular resistance and increased uterine blood flow both with and without indomethacin. Hemorrhage significantly decreased maternal MAP, heart rate, cardiac output, and uterine blood flow in both groups. The magnitude of each change was similar between the groups. For example, at the end of hemorrhage, maternal MAP was 36 +/- 7% below baseline (P = .0001) with indomethacin and 41 +/- 2% below baseline (P = .0001) in the vehicle-only group (P = not significant between groups). Hemorrhage significantly decreased fetal heart rate, pH, and PO2, and increased fetal MAP and PCO2 in both groups. We conclude that indomethacin did not alter the maternal or fetal hemodynamic response to MgSO4 infusion and hemorrhage in gravid ewes.

Acid-Base Equilibrium↗
PubMed1989

Trace mineral metabolism in non-gravid, gestating and lactating gilts fed two dietary levels of manganese.

Six pairs of littermate Landrace gilts weighing 100-110 kg were randomly assigned to one of the experimental diets; 1) Low Mn: basal corn-soya diet (10 mg/kg) or 2) High Mn: basal+supplement (84 mg/kg), and maintained in individual stainless steel metabolic cages. Consumption of the semipurified diet was restricted to 2.5 kg/d with water available at all times ad libitum. Retention of Mn, Cu, Zn, and Fe were determined using the balance technique in the non-gravid state and at 30, 60 and 100 days of gestation. Blood samples were collected at the initiation of each balance period, the day before farrowing and at the end of lactation. Colostrum and milk were collected at birth and one week after farrowing, respectively. Piglets were bled at birth and weaning. Significant differences in mineral retention were not detected between the two dietary treatments. Retention of Mn was not influenced by pregnancy and averaged 1.37 +/- 0.92 mg/d and 0.97 +/- 0.92 mg/d for the supplemented and basal treatments, respectively. Fecal Zn excretion declined (P less than 0.01) at 100 days of gestation in both treatment groups and thus tended to improve Zn retention. Plasma Mn did not reflect Mn intake, but was significantly reduced at 100 days of gestation from the non-gravid state. Colostrum and milk from supplemented dams tended to contain higher concentrations of Mn. Total litter weight at birth was significantly greater for supplemented gilts.

Animals↗
PubMed1989

Progesterone interacts with P-glycoprotein in multidrug-resistant cells and in the endometrium of gravid uterus.

P-Glycoprotein (P-GP) plays a pivotal role in maintaining the multidrug-resistant (MDR) phenotype. This membrane glycoprotein is overproduced in MDR cells and the endometrium of the mouse gravid uterus (Arceci, R.J., Croop, J.M., Horwitz, S.B., and Housman, D. (1988) Proc. Natl. Acad. Sci. U.S.A. 85, 4350-4354). This latter observation and an interest in endogenous substrates for P-GP led to a study of the interaction of steroids with P-GP found in the endometrium of the mouse gravid uterus and in MDR cells derived from the murine macrophage-like cell J774.2. [3H]Azidopine labeling of P-GP from these two sources was inhibited by various steroids, particularly progesterone. Progesterone also markedly inhibited [3H]vinblastine binding to membrane vesicles prepared from MDR cells, enhanced vinblastine accumulation in MDR cells, and increased the sensitivity of MDR cells to vinblastine. In addition, we have demonstrated that the hydrophobicity of a steroid is important in determining its effect on inhibition of drug binding to P-GP. It is concluded that progesterone, a relatively nontoxic endogenous steroid, interacts with P-GP and is capable of reversing drug resistance in MDR cells.

ATP Binding Cassette Transporter, Subfamily B, Mem↗