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Related Concept Videos

Teratogenicity01:07

Teratogenicity

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The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
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Cell division is necessary for growth and reproduction in organisms. Mitosis aids cell growth and development by dividing somatic cells. In contrast, meiosis causes the division of germ cells and plays an essential role in sexual reproduction. Due to their unique functional requirements, mitosis and meiosis differ from each other in multiple aspects.
Before the start of mitosis and meiosis I, the cell synthesizes DNA, resulting in two homologous copies of each chromosome. DNA synthesis is...
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Respiratory symptoms, such as congestion and cough, commonly accompany respiratory tract conditions. Various medications, such as antitussives, expectorants, and mucolytics, play crucial roles in providing relief.
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Adverse Drug Reactions (ADRs) are potential complications that arise during pharmacotherapy, influenced by multiple risk factors. Age plays a significant role; both neonates and the elderly are at heightened risk due to their respective immature and diminished metabolic and elimination processes. Gender also impacts ADRs, with females experiencing a 1.5 to 1.7-fold greater risk than males, which may be linked to pharmacokinetic, pharmacodynamic, and hormonal differences. Notably, neonates, the...
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Related Experiment Video

Updated: Mar 8, 2026

Isolation of Leukocytes from the Murine Tissues at the Maternal-Fetal Interface
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Maternal risks of fetal therapy.

Alyaa Al-Refai1, Greg Ryan, Tim Van Mieghem

  • 1Fetal Medicine Unit, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.

Current Opinion in Obstetrics & Gynecology
|February 3, 2017
PubMed
Summary

Prenatal therapy for fetal disorders is increasingly available. While medical treatments have rare severe maternal risks, surgical interventions carry higher risks, necessitating informed patient counseling.

Area of Science:

  • Maternal-Fetal Medicine
  • Fetal Surgery
  • Prenatal Diagnosis and Treatment

Background:

  • Most fetal disorders are managed postnatally.
  • Certain conditions necessitate prenatal intervention due to high fetal/neonatal mortality or significant in-utero progression.
  • The global availability of fetal therapeutic procedures is expanding.

Purpose of the Study:

  • To inform patients and caregivers about the potential maternal risks associated with prenatal therapeutic interventions.
  • To provide a foundation for counseling expectant mothers regarding the risks of fetal therapy.

Main Methods:

  • Review of maternal risks associated with transplacental medical therapy.
  • Assessment of maternal complication rates for minimally invasive fetal procedures.

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  • Evaluation of maternal risks linked to open fetal surgery in current and subsequent pregnancies.
  • Main Results:

    • Transplacental medical therapy (e.g., corticosteroids, antiarrhythmics, immunoglobulins) rarely causes severe maternal adverse events in expert centers.
    • Minimally invasive procedures have approximately 5% maternal complication risk, with 1% severe outcomes (e.g., pulmonary edema, placental abruption).
    • Open fetal surgery presents significant maternal risks, including pulmonary edema, placental abruption, chorioamnionitis, scar dehiscence, and uterine rupture in future pregnancies, though risks are decreasing with advancements.

    Conclusions:

    • Counseling expectant mothers on the risks of fetal therapy is crucial.
    • Understanding maternal risks is essential for informed decision-making regarding prenatal interventions.
    • Ongoing refinement in surgical techniques and team experience is mitigating some risks of open fetal surgery.