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  • 1
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 86 (1979), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: In the course of routine screening for neural tube defects, maternal plasma alpha-fetoprotein (AFP) was measured between 15 and 23 weeks of gestation in 64 twin pregnancies. Women with AFP levels more than twice the median for singleton pregnancies gave birth to infants with significantly decreased birth weights. Women with AFP less than the median also tended to produce twins with decreased birth weights. The distribution of gestations at delivery suggested that in twin pregnancies low AFP values gave an early warning of growth retardation while high values signal possible premature delivery.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 85 (1978), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Maternal plasma alpha-fetoprotein (AFP) screening for fetal neural tube defects (NTD) was used as a part of routine antenatal care in three hospitals over a 26 month period. Blood samples were obtained for plasma AFP measurement at 15 to 20 weeks gestation from 6377 women, representing 79 per cent of antenatal bookings. The outcome of pregnancy was ascertained in 96 per cent of patients: 13 cases of anencephaly and 7 of open spina bifida were detected by plasma screening and a further 3 cases of open NTD through the mother's previous medical history and amniotic fluid determination. Four fetuses with open NTDs and four with closed NTDs were not detected by plasma AFP measurement and the detection efficiency for open NTDs was thus 83 per cent. Integration of screening into the existing pattern of antenatal care required only minor alterations in clinic schedules. Some extra time was needed for explanation of the objectives of the study, for ultrasound examination and for amniocentesis. Eight patients declined the offer of a plasma test, while only one refused an amniocentesis.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 81 (1974), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The results are presented of measurements of optical density at 450nm (ΔOD450), 5-hydroxyindole acetic acid (5-HIAA), α-fetoprotein (AFP) and amino acids in amniotic fluid at various stages of gestation in over 60 pregnancies in which the fetus had a neural tube defect namely anencephaly and/or spina bifida. Before 20 weeks' gestation neither ΔOD450 nor 5-HIAA levels were abnormal. AFP levels were more reliable than amino acid concentrations for the antenatal diagnosis of neural tube defects, particularly in early pregnancy. Various interpretations for these findings are discussed including the possibility that ΔOD450 and AFP levels in amniotic fluid might reflect altered maternal metabolism.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 79 (1972), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: An enquiry has been made into the origins of a group of amniotic fluid enzymes which have complex specific activity patterns during gestation. Between 13 and 18 weeks of gestation, the specific activities of hexosaminidase, α-l, 4-glucosidase, and the placental and heat-labile alkaline phosphatases in amniotic fluid were in excess of those expected on the hypothesis of a serum origin. In contrast, a significant fraction of the acid phosphatase activity during this period could be attributed to its influx from maternal serum. In amniotic fluid at term, hexosaminidase, heat-labile alkaline phosphatase and acid phosphatase appeared to originate from the surrounding tissues, although fetal urine was found to be an additional source of acid phosphatase. The placental alkaline phosphatase in amniotic fluid at term had a mean specific activity which was the closest to that expected on the hypothesis of a serum origin. It is probable that tissue protein is released into the amniotic fluid at term, and possibly also between 13 and 18 weeks of gestation. The methods used to draw these conclusions may be of general use for examining the origins of individual proteins in amniotic fluid.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary. Maternal plasma α-fetoprotein (AFP) was measured serially between 15 weeks gestation and term in 520 patients. Thirty-seven of these women were delivered of normal singleton infants with birthweights 〈2·5 kg. The median plasma AFP values in this group of women were highest between 15 and 20 weeks gestation and then declined steadily towards term. It is concluded that the use of maternal plasma or serum AFP in the early detection of low birthweight babies is optimal in the period most suitable for screening for fetal neural tube defects.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Maternal plasma alpha-fetoprotein (AFP) was measured at mid-trimester in 113 women who subsequently were delivered of a singleton liveborn infant weighing less than 2·5 kg and in 113 matched controls whose infants weighed more than 2·5 kg. Plasma AFP levels were significantly higher in the subjects than in the controls, while 10 of the subjects and only 3 of the controls had values above 2·0 times the median. The higher AFP concentrations were seen both in pregnancies in which the outcome was a small premature infant and in those in which it was a small-for-dates baby.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 83 (1976), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: A case-control study involving 63 pregnancies showed that women who had previously had an infant with anencephaly or spina bifida did not have raised serum alpha-fetoprotein (AFP) levels in subsequent unaffected pregnancies. The value of a serum AFP determination in such women is discussed. If the serum AFP level is normal and if ultrasonography excludes anencephaly the risk of spina bifida might be low enough (about 1 per cent) to make diagnostic amniocentesis difficult to justify. Conversely, a high serum AFP value in such women should not be acted on without confirmation of an abnormality by ultrasonography and, if that is negative, by diagnostic amniocentesis.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 84 (1977), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The relationship between spontaneous abortion and maternal serum alpha-fetoprotein (AFP) levels was investigated between 9 and 25 weeks of pregnancy. Seven out of 126 (5·6 per cent) women who had spontaneous abortions had raised maternal serum AFP levels at their antenatal booking visit compared to 4 out of 247 (1·6 per cent) control patients who were delivered of single liveborn infants, a statistically significant difference. The raised AFP concentrations were, however, associated with spontaneous abortion only if the serum samples had been taken immediately before, or at sometime after the abortion was first clinically suspected. This suggests that high levels do not predict the development of abortion in women who have not already threatened to abort. It is therefore unlikely that women who who have not already threatened to abort. Therefore, when maternal serum AFP levels are used to screen for fetal neural tube defects, women referred for a diagnostic amniocentesis on account of a high level are unlikely to have been selected on the basis of a tendency to abort.
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 81 (1974), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Albumin, group-specific component (Gc), α-fetoprotein (AFP) and total soluble protein have been measured in amniotic fluids from 32 pregnancies complicated by an anencephalic fetus and in 32 matched controls. The concentrations of total protein and the three individual proteins were significantly increased in the abnormal pregnancies, though only AFP was sufficiently elevated to have diagnostic potential.
    Type of Medium: Electronic Resource
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