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Hi there I’m Ben Arogundade This site showcases my work as an award-winning writer and creative My journey began with architecture which I studied for seven years in London Since then I have worked as a journalist graphic designer editorial director advertising copywriter apps designer fashion model voiceover actor and most recently as an author and book publisher My start-up publishing imprint White Labels Books creates print-on-demand direct-to-consumer fiction and non-fiction using more sustainable production methods Learn more about me and White Labels Books here |
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Thanks to our sponsors the Bagri Foundation and the BFI we were able to bring our London and Birmingham festivals together in a new digital initiative LoveLIFFatHome It wasn’t just a digital first for us but one that’s set a new framework for film festivals around the world We also returned to the cinema in September with a slice of LIFF premieres over 4 days at BFI Southbank and Ciné Lumière |
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PAGCOR provide ringing endorsement of ICE London |
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Eccentric millionaire Dennison Carr invents a bizarre game in which he pays a group of handpicked men to seduce women he selects at random from the streets bars and clubs of London The chosen women all appear to share the same desire for the thrill of no-strings sex with a stranger One of the male seducers a down-and-out graphic designer named Erskine is recovering from a recent trauma that has made him averse to relationships Things begin to unravel when he begins to develop feelings for one of the women he is paid to seduce — a commitment-phobic jazz singer called Natascha As they both battle against their aversion to intimacy and their expanding feelings for one another neither is prepared for the shocking conclusion Dennison has planned |
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London bridges blocked by environment protest 70 arrested |
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Is A Business Graduate From Middlesex University London UK Is Acitvely Engaged In Apparel Industry Of The Company He Is Specialized In Sales And Marketing Of New Products And Brands |
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We loved having Danielle at our event Not only was she informative and knowledgeable about the practice but she was also extremely personable making the session fun for everyone that attended We can’t wait to line her up for our next event! collaboration with skincare brand dr roebuckswords from CHARLOTTE MANNING ACCOUNT DIRECTOR AT HUNTER GRACE LONDON |
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לונדון אישי – London Ishi |
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Irish start-up Cerebreon wins place in Accenture’s London FinTech Innovation Lab |
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Runners’ stories: 2020 London Marathon your way |
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Yes you can Provided that your invite is addressed to the Saudi embassy in London something we can check then we can certainly obtain the visa for you If you are not residing in the UK then you can still complete the information and use an international courier service to send it to us in London When complete we will use international courier 1 to 2 days to send it back We receive applications for British and EU passport holders from all over the world including the USA Singapore Middle east countries all EU countries Asia and Africa |
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London Branch |
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I had bought this saree in 2018 while in USA but was not able to wear it for any occasion Moved to London later and still never got an option to wear it I am so glad!! Today I got to wear this saree for Pongal 2020 first pongal with my son! Couldn’t have been better than this! Thank you Pashudh for creating this beautiful saree The colour combination is a delight and the saree is so soft it made me feel very comfortable |
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1st Postdoc 2010-2013: University College London |
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The 64th BFI London Film Festival Announces LFF Expanded A New Strand Of XR And Immersive Art |
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MUUQAAL: Khudbadii Dhoobadaareed ka jeediyey London Khatumo Maakhir iyo Arimo Xasaasi ah Daawo |
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Mayor London Breed and Treasurer José Cisneros Announce Additional Fee Deferrals to Support Businesses During COVID-19 |
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Triple Point Launches Spirit of London Kickstart Fund |
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London Fashion Week gives further details on physical showcase |
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Large sneaker expo Sneakerness is coming to London |
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Buying A Home In London With A Bridging Loan |
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DUNHILL LONDON |
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Long track and field run brings veteran coach to London Western club |
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London’s Fashion District announces the fourteen tech start-ups shortlisted for Retail Futures 2020 |
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Whether you’re looking to start a family a business or get an education there is something for everyone Join the London Economic Development Corporation to hear about living working and learning in London |
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Nengi Laments About Her London Boyfriend Breaking Up With Her Over Her Actions Last Night |
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สายข้อมือหนัง “Shine Your Bright Side” new arrival เอาใจสายหรูหราด้วย “Shine Your Bright Side” กับสาวกบริท Brit “Colorful is calling for London” |
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งาม้อน 24 แถม 10 กระปุก 120 จากประเทศอังกฤษจากงาน “Intenational Invention amp Trade Expo LONDON 2019”ประเภท : : สำนักงานใหญ่ |
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10 anholdt ved corona-demonstration i London |
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Bromley South Central London |
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ROMANCE FOR THE AGES with Susan Mallery Robyn Carr and Julia London |
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Stanley Cup: Londoner Corey Perry’s double-OT goal keeps Dallas alive |
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Working as your translation agency in London |
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World premiere at the BFI London Film Festival |
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High Commission News!! NOTICE FOR THE NEXT EVACUATION FLIGHT Click here for details COURTESY CALL BY HEAD OF SOMALILAND MISSION TO THE UNITED KINGDOM Click here for details COURTESY CALL BY HONOURABLE MINISTER OF INFORMATION CULTURE AND SPORT Click here for details OFFICIAL VISIT BY ISABELLA AGBAJE WINNER OF ROSL ART 2019 Click here for details COURTESY CALL BY FILM STAR RECIPIENTS OF THE 23RD AFRICAN FILM AWARDS LONDON Click here for details COMMONWEALTH TRADE FAIR 2019 Click here for details Public Notice for Visa Applicants: Submission of Visa Application has moved to Fleet Street LondonClick here for details For the Attention of the General PublicClick here for details List of Lost and Found E-Passport as at 14th November 2017Click here for details |
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22675 IT support company – City of London Turnover £1M |
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Iron Claw commissioned Monovich to create some whimsical style frames for Hyundai set in London |
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Statement on London being added to the Government’s coronavirus watchlist |
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3 days ago they arrested Kate Shemirani in London and today 26 Sep 2020 Dr Schoening |
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International conference on the physiology of neonatal transition at birth University of Birmingham 19th April 2013 link to INTRODUCTION VIDEO See Opening presentation by Dr Tonse Raju How can it be safe to suddenly clamp the cord within a few seconds of birth and when it is full of blood and still circulation 40 of the babies combined cardiac output Learn more below Go to Calculators UK Date Version fetal health assessment US Date Version using Hook background risk UK Date Version using Hook background risk French Version using Hook background risk Italian Version using Hook background risk Risk of placental abruption Decision support for chicken pox in pregnancy Risk of malignancy index for ovarian cancer Kaplan Meier survival Odds ratio confidence interval Graphic risk explanator BMJ article about why cord early cord clamping must stop Letter about neonatal resuscitation in Archives of Disease in ChildhoodClamping the umbilical cord at birth is not necessary although it has been convenient so that the baby can be removed from its mother before delivery of the placenta usually 5 to 10 minutes after the birth of the baby We now clearly recognise that taking the baby away from its mother at birth is harmful to both the baby and the mother Some years ago it was thought that early cord clamping was an important element in active management of the third stage of labour to prevent post partum haemorrhage This is now known not to be the case RCOG Greentop guideline 52 page 4 addendum ILCOR also recognise just how important it is for the newborn baby to transiton naturally from placetnal respiration to pulmonary respiration European Resuscitation Guidelines Page 1222Clamping and cutting the cord at birth is an intervention which has no purpose Withdrawal of such an intervention does not require proof of harm There is however plenty of evidence of harm ! The latest in a long line of trials showing harm is in a recent BMJ study from Sweden Why do so many intelligent caring obstetricians and neonatologists not stop routine cord clamping at birth Part of it may be complacency Some are also very concerned like myself Many think the harm that cord clamping may do is very minor and pressure of time prevents them from looking into it more carefully However I will show you that the harm of cord clamping can sometimes be very serious Perth Austrialia professor tells of serious risks of cord clamping RCM to recommend delayed cord clamping International conference on transition and cord clamping at birth April 2013 It is increasingly recognised that the circulatory changes involved in transition at birth cannot occur within a few seconds of birth While the healthy fetal circulation and the healthy neonatal circulation are moderately well understood the underlying triggers the precise sequence and speed of the changes in the circulation are not How can we interefere in something we do not understand Nearly all textbooks and journals which include the physiological transition of the neonate at birth describe a marked change in the peripheral vascular resistance and an increase in the afterload of the heart One notable exception is Gray’s Anatomy Gray’s Anatomy describes inflation of the neonatal lungs as the first change after birth and does not describe any changes in the afterload of the heart Afterload is the force that the myocardium generates during ejection against systemic and pulmonary vascular resistances Reductions in afterload increase stroke volume if other variables remain constant Gray’s Anatomy also describe the release of bradykinins from the pulmonary vascular epithelium which are vasoconstrictors to the umbilcal arteries A high oxygen tension in the blood reaching the umbilcal arteries also has a vasoconstrictor effect on these vessels Those texts that describe the sudden increase in afterload of the heart explain that this is the result of withdrawal or closure of the placental circulation Although Hofmeyer did demonstrate a sudden increase in arterial pressure in the healthy neonate in response to the application of a clamp on the umbilical cord 35 seconds after birth there have been no other investigations of the arterial effects of clamping the umbilical cord On the other hand the effects of the cord clamp on the venous circulation has been investigated in some detail very recently by Farrar et al showing that sometimes as much as 40 of the neonatal blood volume is permanently trapped in the placenta by early cord clampingThere is enough understanding of the fetal and neonatal circulation to build a computer simulation and determine whether or not the marked rise in afterload of the heart is likely to occur during a physiological transition This is what it shows Although the transition of the neonate has not been well investigated it occurs successfully in the vast majority of births and has been observed by thousands of midwives There is no question that a healthy baby will start to breathe soon after birth and the umbilical cord will stop pulsating and become white and empty a few minutes later In animals it is well established that the high vascular resistance of the fetal lung falls quickly after the lungs are inflated with air Thus the cardiac output will be partly redirected into the pulmonary circulation when the baby starts to breath and this has the effect of reducing the placental blood flow see above In reality it is likely that the rate of fall in vascular resistance of the lungs will be closely matched by the rate of rise in vascular resistance of the placental circulation Since the two most clearly understood triggers for closure of the umbilical arteries will not be present in the umbilical arterial blood until the after the lungs start to function There have been no longitudinal studiesto measure the circulation in the fetus and neonate In the fetal circulation the right ventricular output 250mls/min/kg is slighly greater than that of the left 200mls/min/kg After transition and closure of the ductus arteriosus the outputs must equalise How this is achieved by the neonatal heart is not understood and failure to equalise could be a consequence of a sudden increase in afterload at birth Heart loads are also thought to have a considerable influence on the active adaption of the heart after birth18 This model shows no evidence to support the idea that a physiological transition is accompanied by any significant change in the after load of the heart nor any significant change in the systemic vascular resistance as has been described Tit shows that there is no need for any change in the cerebral circulation This is of considerable importance as our investigation indicates that the sudden rise in afterload of the heart is the result of early cord clamping which will result in a marked increase in the cerebral circulation and in the cerebral vascular pressure The neonatal brain cannot be expected to cope with a sudden increase in the cerebral blood flow by a factor of 22 without some risk of injury Studies of the venous effects of early cord clamping show the result is hypovolaemia which can be severe 10 and will lead to a subsequent fall in cardiac output and fall in cerebral circulation This could account for the findings of Meyer and Mildenhall 19 who showed a fall in the superior vena cava blood flow a surrogate measure for cerebral blood flow in preterm babies who had immediate cord clamping from 20 to 12 of the CCO Baenziger et al 20 showed a similar fall in cerebral circulation with early cord clamping Until respiration is well established the pulmonary vascular resistance will remain high leading to a high afterload of the heart In cases 456 and 8 after physiological transition the cerebral blood flow fell from the fetal level by up to 16 This is the result of the pulmonary circulation taking a greater proportion of the cardiac output in the neonatal model than did the placental circulation before transition The vascular resistance of the placenta was adjusted in these cases to provide a placental flow down to 20 Given the importance of maintaining a consistent cerebral circulation this seems an unlikely physiological pattern but could have implications in intra-uterine growth restriction when the placental blood flow is reduced Most investigations measured the normal placental blood flow at 40 of the CCO Simulation might be the only way of demonstrating these marked changes which early cord clamping imposes on the neonatal circulation Clinical studies of the short and long term consequences of cord clamping have shown evidence of harmful effects on the brain particularly in preterm babies21 It would be extremely difficult and may be unethical with the current evidence and guidelines to carry out direct measurements in the newborn baby The model indicates that the description of a marked rise in afterload of the heart does not occur in a physiological transition video News item Liverpool Women’s support BASICS concept Return to calculator LINKS TO ALL MY OTHER CALCULATORS Down Syndrome risk calculator with growth calculator UK dates ie D/M/Y version Down Syndrome risk calculator using gestation specific liklihood ratios for both CRL and BPD measurementsUK dates ie D/M/Y version Down Syndrome risk calculator using gestation specific liklihood ratios for both CRL and BPD measurements and nasal bonesUK dates ie D/M/Y version Down Syndrome risk calculator using gestation specific liklihood ratios for both CRL and BPD measurements US dates ie M/D/Y version Down Syndrome risk calculator with growth calculator FRENCH version translation by Docteur Eric Launay Paris Down Syndrome risk calculator with growth calculator SLOVENIA version translation by Mag Stanko Pušenjak dr med Down Syndrome risk calculator with growth calculator ITALIAN version translation by D Spagnolo-HSRaffaele MilanoDown Syndrome risk calculator with growth calculator ROMANIAN version translation by Razvan Socolov MD PhD Iasi- Romania A customised for fetal sex parity maternal age EDD calculator for the Darlington population – see how to make your own Software to generate your own customised EDD calculator UK date style entry Software to generate your own customised EDD calculator US date style entry Simple fetal weight calculator Chicken pox in pregnancy: – decision assistance Customised ideal fetal weight calculators According to Gardosi J Mongelli M Chang A Risk of malignancy index calculator for ovarian tumours Critical Appraisal Page with off-line calcalator package for single treatment trial Critical Appraisal Page with off-line calcalator package for Diagnostic test Calculator for confidence intervals of relative risk Calculator for confidence intervals of odds ratio A whole range of statistical calculators Generates a table for any ultrasound parameter measurement converted to gestation using any polynomial equation Generates a table for gestation to any ultrasound parameter measurement using any polynomial equation Calculator for risk of Down syndrome using second trimester US markers using work published by Greggory De Vore Risk of Abruptio Placentae as published by Baumann P et al Mathematic modeling to predict abruptio placentae Am J Obstet Gynecol 2000183:815-22 Down sydrome risk calculator providing risk as a RATE Calculator for discordance between twin parameters for NE protocol Explore transitional circulation at birth and the effect of ICC Go to OBGYNnet paper on proposal for valid customised charts generation Back to the future for Hermanni Boerhaave published by OBGYNNET Comments and suggestions are welcome and will be included in the comments section To E-MAIL me CLICK HERE TO SEND COMMENTS AND PLEASE SEND ME YOUR NAME AND E-MAIL IF YOU INTEND TO KEEP AN OFF-LINE COPY at DJRHutchonHotmailcoukThis Web page is at About the author This page’s count says this page has been visited times since 23rd May 1999 All my calculators will work OFF-LINE if you wish Instructions for use OFF-LINE You are welcome to copy them over But check for updates from time to time! LINKS TO BMJ article on publishing raw data and real time statistical analysis on e-journals Demonstation of raw data and real time statistical analysisNorthern Region Fetal/Maternal Medicne Special Interest Group GuidelinesRecent BMJ letter regarding DELAYED CORD CLAMPINGOBGYNNETFetal medicine Unit St Georges London Joseph Woo’s Ultrasound The Fetusnet Correct application of Bayes theorem in estimating sequnetial conditional risk Go to OBGYNnet paper on proposal for valid customised charts generation Back to the future for Hermanni Boerhaave published by OBGYNNETIn the Hermanni Boerhaave story I am trying to point out that using a scan measurement only provides a measure of the age of the fetus Another set of data needs then to be applied to provide an estimate of the date of delivery The true mean or modal interval from LMP to delivery may be closer to 282 days rather than the 280 proposed by Boerhaave By drawing up the charts in the way I have proposed an estimate for the date of delivery is provided directly by the chart using the same type of data which was used to generate the chart and from no other data The precise interval from LMP to delivery becomes irrelevant Not only this but the data on which the chart is based is relatively free of error The date of the scan the scan measurement and the date of delivery are all known There is another advantage in this method Because relatively large numbers of secure data can be obtained we can look for differences that might exist in sub-populations defined by ethnicity parity age fetal sex and maternal size all of which have been shown to affect the size of the newborn This is what I showed at the BMFM society meeting in York Ref1 with a difference of 44 days between the two extreme groups Adding to the database since has made the differences more convincing Although it is possible to draw up a graphic chart using the methodology I have just described I am not sure that this is a good way to use the data For dating there is no need to have the complete range of measurements throughout pregnancy There are well recognised times when dating by ultrasound is the most accurate The data from routine ultrasound services is going to be abundant at these times and therefore most confident at the same gestations as ultrasound should be used to provide an accurate EDD Data for other gestations is unnecessary for datingThere is an important difference in generating an ultrasound EDD using this methodology from the traditional ultrasound charts Taking a BPD of say 40 mm the data shows us that on average the woman will deliver a healthy normal baby after 150 days Based on a very large population which is quite feasible the confidence interval for this could be very narrow With a traditional chart we can see that a baby with a BPD of 40 mm will on average be 130 days gestation There will always be a range of gestations for each measurement The traditional centile lines on these charts emphasises this point This range will be small if the population is large but it is just not feasible to get large numbers of women who are sufficiently secure in their menstrual data Within this population there will remain a small number of women whose gestation does not relate as expected to their menstrual period Finally to provide an estimated date of delivery the interval from LMP still has to be known and this provides room for further error I believe it is this inherent error in traditional ultrasound dating which convinces the majority of obstetricians and midwives that they should favour an integrated use of ultrasound and menstrual dates CESDI also recommends this approach Ref2 Widespread adoption of the Boerhaave method for generating the EDD charts could be expected to speed up the general acceptance of pure ultrasound dating We have recently shown that is really not possible to accurately date or assess growth using a chart and wheel Ref3 and these will always be necessary until we have either universal computerised maternity systems or programmes built into the ultrasound scannersReferences1 Hutchon DJR Customised ultrasound dating charts British Maternal and Fetal Medicine Society fourth Annual Conference University of York Abstartcs – Journal of Obstetrics and Gynaecology 1999 19:suppl 1s572 Hutchon DJR Routine ultrasound is the method of choice for dating pregnancy Br J Obstet Gynaecol 1999:1066163 Hutchon DJ et al Clinical interpretation of ultrasound biometry for dating and for assessment of fetal growth using a wheel and chart: is it sufficiently accurate Ultrasound Obstet Gynecol 1999 Feb132:103-6 Copyright 1999 DJR Hutchon Restricted use is hereby granted personal OK so long as this code is not directly sold and the copyright notice is buried somewhere deep in your HTML document REFERENCES Smith GCS Smith MFS McNay MB and Flemming JEE First-trimester growth and the risk of low birth weight New England Journal of Medicine 1998339:1817-22 Kurmanavicius J Wright EM Royston P Zimmermann R Huch R Huch A Wisser J Fetal ultrasound Biometry: 1 Head reference values British Journal of Obstetrics and Gynaecology 1999 106:126-135 Kurmanavicius J Wright EM Royston P Zimmermann R Huch R Huch A Wisser J Fetal ultrasound Biometry: 2 Abdomen and femur length reference values British Journal of Obstetrics and Gynaecology 1999 106:136-143 Bergsjo P Denman III D W Hoffman H J Meirik O Duration of human singleton pregnancy – a population based study Acta Obstet Gynecol Scand 199069:197-207 Altman D G and Chitty L S New cahrts for ultrasound dating of pregnancy Ultrasound Obstet Gynecol 10 1997 174 – 191 Moore T R and Cayle J E The amniotic fluid index in normal human pregnancy American Journal of Obstetrics and Gynecology 1990162:1168-73 Cuckle H S amp Schmi I Calculating correct Down’s syndrome risks British Journal of Obstetrics and Gynaecology 1999106:371-372 Wald N J Watt H C amp Hackshaw A K Integrated screening for Down’s Syndrome based on tests performed during the first and second trimester The New England Journal of Medicine 19993417:461-467 Pandya P P Johnson S Malligianis P and Nicolaides K H First Trimester fetal nuchal translucency and screening for chromosomal abnormalities Ultrasound and early pregnancy Chapter 7 Cuckle H S Wald N J Thompson S G Estimating a woman’s risk of having a pregnancy associated with Down’s syndrome using her age and serum alpha-fetoprotein level Br J Obstet Gynaecol 1987 94:387-402 Snijders R J M Holzgreve W Cuckle H and Nicolaides K H Maternal age-specific risks for trisomies at 9-14 weeks gestation Prenatal Diagnosis 1994 13:543-552 For the purposes of the calculator I have assumed a uniform loss of pregnancy as a result to miscarriage between 9 and 14 weeks and 15 and 20 weeks Zosmer N Souter V L Chan C S Y Huggon I C and Nicolaides K H Early diagnosis of major cardiac defects in chromosomally normal fetuses with increased nuchal translucency Brtish Journal of Obstetrics and Gynaecology 1999106:829-833 Morrison J J Rennie J M amp Milton P J Neonatal respiratory morbitiy and mode of delivery at term: influence of timing of elective caesarean section British Jouranl of Obstetrics and Gynaecology 1995 102 101-106 Madar J Richmond S amp Hey E surfactant deficient respiratory distress after elective delivery at ‘term’ Northern Region Maternity Survey Meeting 1999 Accepted for publication in Acta Paediatrica Hyett J A Noble P L Snijders R J M Montenegro N amp Nicolaides K H Fetal heart rate in trisomy 21 and other chromosomal abnormalities at 10 – 14 weeks of gestation Ultrasound Obstet Gynecol 7 1996 239-244 I am grateful to Professor Howard Cuckle for information on the Gaussian LR equation for a single variable DOWN SYNDROME AGE RISK CALCULATION This risk assumes no previous affected pregnancy A previous affected pregnancy increases the risk further to about 1 in 200 at age 30 and 1 in 25 at age 45 The maternal age specific incidence of trisomy 21 at birth is 54 lower than at 9-14 weeks of gestation LINKS Return to calculator Go to OBGYNnet for paper on proposal for valid customised charts generation Northern Region OampG Trainees website Go to Fetal weight calculator |
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