- Pregnancy and preeclampsia studies
- Prenatal Screening and Diagnostics
- Maternal and fetal healthcare
- Blood Coagulation and Thrombosis Mechanisms
- Maternal and Perinatal Health Interventions
- Preterm Birth and Chorioamnionitis
- Parvovirus B19 Infection Studies
- Congenital Anomalies and Fetal Surgery
- Pregnancy-related medical research
- Birth, Development, and Health
- Trauma and Emergency Care Studies
- Congenital Diaphragmatic Hernia Studies
- Tracheal and airway disorders
- Assisted Reproductive Technology and Twin Pregnancy
- Gestational Diabetes Research and Management
- Global Maternal and Child Health
- Complement system in diseases
- Reproductive System and Pregnancy
- Venous Thromboembolism Diagnosis and Management
- Cardiovascular Issues in Pregnancy
- Renal and Vascular Pathologies
- Healthcare Systems and Public Health
- Renal cell carcinoma treatment
- Neonatal Respiratory Health Research
- Fetal and Pediatric Neurological Disorders
Federación de Aseguradores Colombianos
2018-2024
Clínica CES
2021-2024
Universidad CES
2023
Municipality of Medellín
2023
Fundación Universitaria Sanitas
2018-2022
Hospital Pablo Tobon Uribe
2016-2021
Fetal Medicine Foundation
2020
Chelsea and Westminster Hospital NHS Foundation Trust
2018
West Middlesex University Hospital
2018
Amsterdam UMC Location University of Amsterdam
2018
To examine operative and perinatal aspects of fetal endoscopic tracheal occlusion (FETO) in congenital diaphragmatic hernia (CDH).This was a multicenter study singleton pregnancies with CDH treated by FETO. The entry criteria for FETO were severe on the basis sonographic evidence intrathoracic herniation liver low lung area to head circumference ratio (LHR) defined as observed expected normal mean gestation (o/e LHR) equivalent an LHR 1 or less.FETO carried out 210 cases, including 175 cases...
Abstract Objectives To examine the relationship between low maternal serum pregnancy‐associated plasma protein‐A (PAPP‐A) and uterine artery pulsatility index (UtA‐PI) at 11 + 0 to 13 6 weeks with subsequent development of pre‐eclampsia (PE). Methods UtA‐PI PAPP‐A were measured in women attending for routine care gestation. In population, 156 (1.9%) developed PE, including 32 (0.4%) whom delivery was before 34 (early PE) 124 (1.5%) or more (late PE); 7895 (98.1%) had no PE. Regression...
A beneficial consequence of screening for trisomy 21 is the early diagnosis trisomies 18 and 13. Our objective was to examine performance first-trimester 21, 13 by maternal age, fetal nuchal translucency (NT) thickness, heart rate (FHR) serum-free beta-hCG pregnancy-associated plasma protein-A (PAPP-A).Prospective NT, free PAPP-A at 11(+0)-13(+6) weeks in singleton pregnancies, including 56 376 normal cases, 395 with 122 61 Risk algorithms were developed calculation patient-specific risks...
Abstract Objectives To investigate the performance of first‐trimester screening for aneuploidies by including assessment ductus venosus flow in combined test maternal age, fetal nuchal translucency thickness, heart rate, and serum free β‐human chorionic gonadotropin pregnancy‐associated plasma protein‐A. Methods Screening was performed singleton pregnancies, 19 614 with euploid fetuses, 122 trisomy 21, 36 18, 20 13 eight Turner syndrome. In all cases a‐wave assessed. We examined two...
Abstract Objective To investigate the performance of first‐trimester screening for aneuploidies by including assessment tricuspid blood flow in combined test maternal age, fetal nuchal translucency (NT) thickness, heart rate (FHR) and serum free β‐human chorionic gonadotropin (β‐hCG) pregnancy‐associated plasma protein A (PAPP‐A). Method Screening was performed singleton pregnancies, 19 614 with chromosomally normal fetuses or delivery a phenotypically baby (euploid group), 122 trisomy 21,...
Abstract Preterm birth remains the leading cause of mortality among under‐5's and is a major contributor to reduction in quality‐of‐life adjusted years human capital. Globally, there are many interventions care bundles that aim reduce impact preterm once labor has ensued into neonatal period; not all these applicable settings. Here, we introduce FIGO PremPrep‐5 initiative, which aims disseminate key information on most simple effective with increasing implementation globally. Before...
This study aimed to determine the performance of screening for preeclampsia (PE) by maternal medical history and mean arterial pressure (MAP) at 11 +0 13 +6 weeks. In 5590 women with singleton pregnancies attending routine care week’s gestation we recorded variables measured MAP. We excluded 397 because they had missing outcome data or resulted in miscarriage termination. 104 patients there was subsequent development PE, 97 developed gestational hypertension, 574 delivered...
To investigate neonatal morbidity in fetuses with severe congenital diaphragmatic hernia (CDH) treated fetoscopic endoluminal tracheal occlusion (FETO) and compare it historical controls less forms of CDH that were managed expectantly.This was a prospective, multicenter study on outcomes prenatal predictors 90 FETO survivors (78 left-sided, 12 right) 41 from the antenatal registry either or moderate hypoplasia who expectantly. We also investigated early indicators, including need for patch...
Objectives. To examine the performance of screening for hypertensive disorders in pregnancy and to compare systolic blood pressure (BP), diastolic BP, mean arterial (MAP) measured by validated automated devices a large population pregnant women at 11–13 weeks. Methods. We recorded maternal variables BP 9149 with singleton pregnancies. The preeclampsia (PE) gestational hypertension (GH) combinations disease-specific factor-derived priori risk MAP was determined. Results. There were 8061 cases...
In Brief OBJECTIVE: To estimate the independent contribution of abnormal flow in ductus venosus at 11 to 13+6 weeks gestation prediction major fetal abnormalities and death. METHODS: This was a prospective assessment singleton pregnancies by maternal history, serum free β-hCG, pregnancy-associated plasma protein A (PAPP-A), nuchal translucency thickness, Doppler. The patients were subdivided into five groups: normal outcome (n=10,120), miscarriage or death (n=185), karyotype (n=95), cardiac...
To evaluate whether C5b-9 concentrations in blood and urine are increased preeclampsia with severe features.The Complement Preeclampsia the Americas study is a prospective, multicenter case-control performed at six centers Colombia from November 2015 to July 2016. The case group included women features, control who were healthy or had chronic hypertension, gestational without features. We enrolled two for every woman group. Soluble measured by enzyme-linked immunosorbent assays urine....
Abstract Objective To investigate tracheal dimensional differences seen at birth following fetal endoscopic occlusion (FETO) in cases of severe congenital diaphragmatic hernia (CDH) and to report on their clinical follow‐up. Patients Methods In chest X‐rays, taken within 48 h after birth, we measured the diameter level entry into chest, 1 cm above carina middistance between these sites 37 fetuses with CDH treated by FETO. These measurements were compared those 74 preterm term neonates no...
We report the results of pathologic examinations 2 fetuses from women in Colombia with Zika virus infection during pregnancy that revealed severe central nervous system defects and potential associated abnormalities eye, spleen, placenta. Amniotic fluid tissues multiple fetal organs tested positive for virus.
Introducción. Entre el 80 y 95 % de los pacientes infectados por virus inmunodeficiencia humana (HIV) desarrollan manifestaciones en la piel que sirven como marcadores su estado inmunológico.Objetivos. Describir las dermatológicas factores clínicos sociodemográficos hospitalizados con diagnóstico HIV correlación recuento linfocitos T CD4.Materiales métodos. Se hizo un estudio observacional corte transversal retrospectivo a partir del registro historias clínicas 227 mayores edad HIV,...
Objetivos: capacitar a los profesionales de la salud involucrados en atención mujer gestante con Rh-D (-), el fin estandarizar manejo prevención isoinmunización Rh, diagnóstico antenatal oportuno enfermedad evaluación del estado feto y tratamiento buscando prevenir desenlaces perinatales adversos. Materiales métodos: grupo 23 expertos panelistas que participaron desarrollo consenso tres rondas para contestar un cuestionario 8 dominios 22 preguntas. Se utilizó método Delphi modificado, hasta...