RESUMEN
Massive fetomaternal hemorrhage is defined as a loss of more than 30-50ml of fetal blood, transferred into maternal circulation. It can lead to severe anemization of the fetus and its consequences such as fetal hydrops or stillbirth. We present a case in which the diagnosis was based on the decresased fetal movement and pathological cardiotocography record. The Kleihauer-Betke test revealed a high percentage of fetal cells and allowed to state a proper diagnosis. An immediate cesarean section was performed and the lab tests confirmed severe anemization of the newborn.
Asunto(s)
Monitoreo Fetal , Movimiento Fetal , Transfusión Fetomaterna/diagnóstico , Adulto , Cesárea , Femenino , Sangre Fetal , Transfusión Fetomaterna/fisiopatología , Frecuencia Cardíaca Fetal , Pruebas de Hemaglutinación , Humanos , Recién Nacido , Embarazo , Resultado del Embarazo , Tercer Trimestre del EmbarazoAsunto(s)
Enfermedades de los Genitales Femeninos/epidemiología , Enfermedades de los Genitales Femeninos/cirugía , Procedimientos Quirúrgicos Ginecológicos , Prótesis e Implantes , Incontinencia Urinaria de Esfuerzo/epidemiología , Incontinencia Urinaria de Esfuerzo/cirugía , Vagina/cirugía , Adulto , Femenino , Procedimientos Quirúrgicos Ginecológicos/métodos , Procedimientos Quirúrgicos Ginecológicos/estadística & datos numéricos , Humanos , Persona de Mediana Edad , Procedimientos Quirúrgicos Mínimamente Invasivos/estadística & datos numéricos , Polonia/epidemiología , Estudios Retrospectivos , Mallas Quirúrgicas , Salud de la MujerRESUMEN
The obesity in Europe is established for 15-20% of population. About 20% of women in reproductive age have accrued body weight. Obesity in this group leads to increased obstetrical risk. Preconceptional normalization of body mass is crucial. Bariatric surgery is one of the most effective methods of obesity treatment with Roux en Y gastric by pass (RYGB) as the one of its kind. In this report we present tree cases of pregnancy and delivery after RYGB.
Asunto(s)
Cirugía Bariátrica , Bienestar Materno , Obesidad Mórbida/cirugía , Complicaciones del Embarazo/prevención & control , Resultado del Embarazo , Adulto , Anastomosis en-Y de Roux , Femenino , Humanos , Recién Nacido , Embarazo , Atención Prenatal/métodosRESUMEN
OBJECTIVES: The goal of our study was to analyse the course of pregnancy and delivery in women with reproductive tract anomalies. MATERIAL AND METHODS: We retrospectively analyzed the pregnancy and delivery course of 16 patients with previously diagnosed reproductive tract anomalies. The control group constisted of 200 healthy pregnant women. All patients were hospitalized in our department between January 1st 2001 and 31st May 2005. RESULTS: In the study group preterm delivery and abnornal fetal lie were more common. The incidence of cesarean sections (81%) was also statistically higher in the study group. CONCLUSIONS: The course of pregnancy and delivery in women with previous diagnosis of specific reproductive tract anomalies is more likely complicated by several obstetrical pathologies. The pregnant women with this a diagnosis should be considered as a group of high risk pregnancy and perinatal intensive care procedures should be carried out.
Asunto(s)
Genitales Femeninos/anomalías , Complicaciones del Embarazo/prevención & control , Embarazo de Alto Riesgo , Atención Prenatal/métodos , Adulto , Femenino , Humanos , Embarazo , Resultado del Embarazo , Salud de la MujerRESUMEN
Authors present a case of a viable cervical pregnancy in a 31 year old woman. Conservative management with intramuscular methotrexate and local injection of KCl was applied. We describe the ultrasound and biochemical findings in this case and discuss those reported in the literature along with the available treatment options.
Asunto(s)
Abortivos no Esteroideos , Aborto Terapéutico/métodos , Metotrexato , Embarazo Ectópico/terapia , Adulto , Femenino , Humanos , Embarazo , Embarazo Ectópico/diagnóstico por imagen , Resultado del Tratamiento , Ultrasonografía PrenatalRESUMEN
THE AIM: The evaluation of pregnancy course and the birth body weight of the infants from the women, which got pregnant as a result of IVF-ET procedures. MATERIALS AND METHODS: 72 female patients admitted to KMMP ICZMP in Lódz between January 1996 and December 2002 were put to the analysis (group I). The control group consisted of 400 random chosen female patients admitted to the Clinic during the examined period (group II). The course of the pregnancy, childbirth and the birth body weight of infants in both groups since 23rd week of the pregnancy were analysed. Mean age of the female patients in group I amounted 32 years (22-42), and in the group II 26 years (17-37). For the purposes of statistic analyse the test chi 2 was used. RESULTS: In group I the patients presented significantly elder population then in the group II. The multiple pregnancies in the group I presented 32% and they occurred significantly more often then in the group II (2%). In the group I significantly statistically more often the cholestase (6.9%), the imminent premature childbirth (36%), the premature amniorrhoea (20.8%), the premature childbirth (22%), the isthmo--cervicalis insufficiency (6.9%) and the inhibition of the intrauterine foetus growth (11%) were affirmed. Statistically significantly more often the childbirth was ended with Caesarean section in the group I (47.2%) then in group II (17.8%). The infants with birth body weight less than 2500 g statistically significantly more often were born from group I (36.4%) then from group II (8.6%). CONCLUSION: 1. The pregnancy and childbirth course after IVF-ET is burden with bigger risk of obstetric pathology occurrence. 2. The pregnant women after IVF-ET are more often giving birth to the infants with low birth body weight.