• A rapidly enlarging cutaneous hemangioma in pregnancy.

      Ma'ayeh, Marwan; Purandare, Nikhil; Harrison, Michelle; Geary, Michael P; Rotunda Hospital , Dublin 1, Ireland. (2014-06-18)
      This is a case of a rapidly enlarging cutaneous pedunculated tumor on a patient's thumb during her pregnancy. This was excised and identified as a hemangioma. A literature search identified a possible hormonal factor in causing an accelerated growth of this tumor.
    • Reach out and Read (ROR) : paediatricians promoting early childhood literacy

      Brennan, L; Barron, M; Mulvany, S; Kyne, L; Masuya, Y; Clarke, T (IPA, 2009)
    • Recent advances in fetal medicine

      Malone, F D; Rotunda Hospital (2009-04)
    • Reduced fetal movements

      Unterschneider, J; Horgan, R; O Donoghue, K; Greene, R (2009)
    • Referrals to POPD infants: a guidance for primary care

      Gorman, Kathleen; McEvoy, Michelle May; Foran, Adrienne; Clarke, Tom (2013-02-21)
    • Relation between birth weight and weight and height at the age of 2 in children born preterm.

      Olson, Gayle; Weiner, Steven J; Rouse, Dwight J; Reddy, Uma M; Mercer, Brian M; Varner, Michael W; Leveno, Kenneth J; Iams, Jay D; Wapner, Ronald J; Ramin, Susan M; et al. (2015-05)
      The aim of the study was to evaluate associations between fetal growth and weight at 2 years in infants born preterm using a customized approach for birth weight.
    • Relationship between 1-hour glucose challenge test results and perinatal outcomes.

      Figueroa, Dana; Landon, Mark B; Mele, Lisa; Spong, Catherine Y; Ramin, Susan M; Casey, Brian; Wapner, Ronald J; Varner, Michael W; Thorp, John M; Sciscione, Anthony; et al. (2013-06)
      To estimate the relationship between 1-hour 50 g glucose challenge test values and perinatal outcomes.
    • The relationship between maternal insulin-like growth factors 1 and 2 (IGF-1, IGF-2) and IGFBP-3 to gestational age and preterm delivery.

      Cooley, Sharon M; Donnelly, Jennifer C; Collins, Claire; Geary, Michael P; Rodeck, Charles H; Hindmarsh, Peter C; Rotunda Hospital, Parnell Street, Dublin 1, Ireland. smcooley@hotmail.com (2012-02-01)
      AIMS: To investigate the relationship between levels of insulin-like growth factors 1 and 2 (IGF-1, IGF-2), and insulin-like growth factor binding protein 3 (IGFBP-3) in antenatal maternal serum and gestational age at delivery. METHODS: Prospective cohort study of 1650 low-risk Caucasian women in a London University teaching hospital. Maternal IGF-1, IGF-2 and IGFBP-3 were measured in maternal blood at booking and analyzed with respect to gestational age at delivery. RESULTS: There was no significant association between maternal IGF-1 or IGF-2 and preterm birth (PTB). A significant reduction in mean IGFBP-3 levels was noted with delivery <32 completed weeks (P=0.02). CONCLUSION: Maternal mean IGFBP-3 levels are significantly reduced in cases complicated by delivery <32 completed weeks.
    • The relationship between maternal insulin-like growth factors 1 and 2 (IGF-1, IGF-2) and IGFBP-3 to gestational age and preterm delivery.

      Cooley, Sharon M; Donnelly, Jennifer C; Collins, Claire; Geary, Michael P; Rodeck, Charles H; Hindmarsh, Peter C; Rotunda Hospital, Parnell Street, Dublin 1, Ireland. smcooley@hotmail.com (2010-05)
      To investigate the relationship between levels of insulin-like growth factors 1 and 2 (IGF-1, IGF-2), and insulin-like growth factor binding protein 3 (IGFBP-3) in antenatal maternal serum and gestational age at delivery.
    • Reversal of prolonged rocuronium neuromuscular blockade with sugammadex in an obstetric patient with transverse myelitis.

      Weekes, G; Hayes, N; Bowen, M; Department of Anaesthesiology, Rotunda Hospital, Dublin, Ireland. gavin.weekes@gmail.com (2010-07)
      A 38-year-old wheelchair-bound primigravida with transverse myelitis presented at 38 weeks of gestation for elective caesarean section. Transverse myelitis, which is characterised by bilateral inflammation of the spinal cord and myelin destruction, is associated with myopathy, autonomic dysreflexia and pulmonary aspiration. Regional anaesthesia was contraindicated in this case as the patient had undergone two previous lumbar spinal fusion procedures. Rocuronium 1.2 mg/kg was used to facilitate rapid intubating conditions. The caesarean section proceeded uneventfully, but even after administration of neostigmine the patient exhibited prolonged neuromuscular blockade. After 3 h and 15 min sugammadex was obtained to reverse neuromuscular blockade; the drug was not stocked in our hospital. Sugammadex 4 mg/kg resulted in complete reversal of blockade after 2 min. We believe that myopathy associated with transverse myelitis led to the prolonged duration of action of rocuronium. Sugammadex is a relatively new drug with few reported side effects. In this case it was used to reverse neuromuscular blockade and prevented prolonged postoperative ventilatory support.
    • Reversal of prolonged rocuronium neuromuscular blockade with sugammadex in an obstetric patient with transverse myelitis.

      Weekes, G; Hayes, N; Bowen, M; Department of Anaesthesiology, Rotunda Hospital, Dublin, Ireland., gavin.weekes@gmail.com (2012-02-01)
      A 38-year-old wheelchair-bound primigravida with transverse myelitis presented at 38 weeks of gestation for elective caesarean section. Transverse myelitis, which is characterised by bilateral inflammation of the spinal cord and myelin destruction, is associated with myopathy, autonomic dysreflexia and pulmonary aspiration. Regional anaesthesia was contraindicated in this case as the patient had undergone two previous lumbar spinal fusion procedures. Rocuronium 1.2 mg/kg was used to facilitate rapid intubating conditions. The caesarean section proceeded uneventfully, but even after administration of neostigmine the patient exhibited prolonged neuromuscular blockade. After 3 h and 15 min sugammadex was obtained to reverse neuromuscular blockade; the drug was not stocked in our hospital. Sugammadex 4 mg/kg resulted in complete reversal of blockade after 2 min. We believe that myopathy associated with transverse myelitis led to the prolonged duration of action of rocuronium. Sugammadex is a relatively new drug with few reported side effects. In this case it was used to reverse neuromuscular blockade and prevented prolonged postoperative ventilatory support.
    • A review of a CMS co ordinate dedicated ID Clinic at a busy inner city maternity hospital

      Coulter-Smith, S; Dr, Brennan, M; Eogan, M; Jackson, V; Lambert, J; Gleeson, J; Ciprike, V; Devitt, S; Cafferkey, M; Grundy, KB; et al. (2009)
    • A review of a CMS co ordinate dedicated ID clinic at a busy inner city maternity hospital

      Coulter –Smith, S; Lambert, JS; Eogan, M; Jackson, M; Ciprike, V; Gleeson, J; Grundy KB; Butler, K; Brennan, M; Cafferkey, M (IPA, 2009-10-15)
    • A review of midwifery skill mix within the Rotunda hospital Dublin.

      McKenna, H P; Hasson, F; University of Ulster, Centre for Nursing Research (University of Ulster, 2000-01)
    • A Review of the Parenteral Nutrition Supply Service in an Irish Neonatal Unit

      Smith, A; Glynn, AC; Shankar, A; McDermott, C; McCallion, N (Irish Medical Journal, 2018-06)
      Neonatal Intensive Care (NICU) patients have individual nutritional requirements often requiring Patient Specific Parenteral Nutrition (PSPN). From October 2015, the national PSPN compounding service availability changed from 7 days per week service to 5 days per week (i.e. no weekend and limited bank holiday ordering available). The aim of this study was to examine the introduction of a 5 day only PSPN supply on neonatal patient parenteral nutrition availability in a tertiary NICU.
    • [Rhabdomyolysis in acute cocaine poisoning. Presentation of 2 cases].

      Bernad, M; Ibáñez, C; Medraño, J C; Peña, J M; Martínez, M A; Juarez, S; Servicio de Reumatología, Hospital La Paz, Universidad Autónoma de Madrid. (1990-12)
      Because the important increase of cocaine abuse and the frequent pathology associated, we present two cases of males who had a multiorganic failure cause by severe rabdomyolysis, renal failure with myoglobinuria and disseminated intravascular coagulation, after the cocaine consumption. In one case a pancreatitis associated was observed, this not being described before. Both cases are recovered.
    • Rising rates of caesarean deliveries at full cervical dilatation: a concerning trend.

      Unterscheider, J; McMenamin, M; Cullinane, F; Department of Obstetrics and Gynaecology, University Hospital Galway, Newcastle Road, Galway, Ireland. juliaunterscheider@rcsi.ie (2011-08)
      To audit caesarean sections performed at full cervical dilatation over a three year period in a tertiary referral centre in Ireland. To evaluate (i) the rate of caesarean deliveries in the second stage of labour, (ii) the indication for delivery and (iii) the associated fetal and maternal morbidity in this cohort of women.
    • Rising rates of Caesarean Section at full dilation; a concerning trend

      Unterschneider, J; McMenamin, I; Abdelrahim, I; Cullinane, F; Rotunda Hospital (Junior Obstetrics and Gynecology Society, 2009-11-27)
    • The role of brain sparing in the prediction of adverse outcomes in intrauterine growth restriction: results of the multicenter PORTO Study.

      Flood, Karen; Unterscheider, Julia; Daly, Sean; Geary, Michael P; Kennelly, Mairead M; McAuliffe, Fionnuala M; O'Donoghue, Keelin; Hunter, Alyson; Morrison, John J; Burke, Gerard; et al. (2014-05-06)
      The aim of the Prospective Observational Trial to Optimize Pediatric Health in IUGR (PORTO) Study was to evaluate the optimal management of fetuses with estimated fetal weight (EFW) <10(th) centile. The objective of this secondary analysis was to describe the role of the cerebroplacental ratio (CPR) in the prediction of adverse perinatal outcome.