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Search Results: 1 - 10 of 5926 matches for " pregnancy "
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L.V. Vasilenko,S.A. Stepanov,T.L. Vasilenko
Saratov Journal of Medical Scientific Research , 2007,
Abstract: Retrospectively studied following and outcome of pregnancy, women with non carrying of pregnancy, women that give birth to children with development delay (1 group) and women that give birth in proper time (2 group). Premature birth arranged 4,4% of 2962 delivery. Fetus development delay was established by 38,1% of premature babies and by 10,5% of borne in proper time. Non carrying of pregnancy stipulated by mother s urogenital infection, high expressed gestosis and others obsterical and extra genital complications. Each third of women that give birth to premature babies with development delay, have inflammatory overpatching in placenta, each fifth have morphological proved FPI. Realized researches allowed to conclude, that for decreasing frequencies of premature births and fetus development delay is necessary doing opportunely urogenital tract sonation, pre-clinical diagnostics of gestosis Noncarryng of pregnancy and treat this disease preventive.
L.V. Vasilenko,I.A. Uts,S.A. Stepanov,T.L. Vasilenko
Saratov Journal of Medical Scientific Research , 2007,
Abstract: Pregnancy and delivery of 27 women with prenatal infection of the fetus, neonatal period of the babies with prenatal pneumonia, health status of up to 2 children were researched in retrospect. Women with inflammation of the genitals (78,6%) and extragenital pathology of the inflammatory genesis (36,3%) had prenatal infection of the fetus. In the early neonatal period every baby had cerebral ischemia, every third child had haemorrhages in different cerebral structures. All babies have been transferred to children's hospital for treatment where the rehabilitation was carried out during 1-2,5 months. Infantile cerebral paralysis, hydrocephaly, epilepsy, epileptoid attacks were detected in 8 babies on the first year of life (29,6%). 5 babies (18,5%) had atrophy of discs of optic nerves, retinal angiopathy. All babies with local pathology of the central nervous system were premature born on the 26-32 week. Majority has herniae of different localization (55,5%), congenital dysplasia of the hip joint (74%), 26 babies (96,2%) were on the books because of anaemiae, pneumoniae, bronchites, pyelonephrites, septicaemiae. Using the received data we can draw a conclusion: in order to reduce perinatal complications in the maternal organism, in the organism of newborn baby and baby on the first year of life it is necessary to sanify the birth canal, to do preclinical diagnostics and preventive therapy of the prematurely born, gestosis, fetoplacental insufficiency.
A case of tubal hydatidiform mole  [PDF]
Ouafae Slimani, Fz Fdili Alaoui, Sofia Jayi, Hekmat Chaara, Hakima Bouguern, M. A. Malhouf, Nawal Hamas, Amal Bennani, Afaf Amarti
Open Journal of Obstetrics and Gynecology (OJOG) , 2013, DOI: 10.4236/ojog.2013.38112

Tubal hydatidiform mole is an uncommon condition with about 40 confirmed cases in the accessible literature. The patient usually presents with symptoms and signs of a classical ectopic pregnancy, and it is only after histological examination and DNA ploidy analysis of the conceptus that a hydatidiform mole is diagnosed. We present an unusual case of primi gravida at 6 weeks gestation that was diagnosed as having ectopic pregnancy.

Tubal pregnancy with molar degeneration in concurrent eutopic pregnancy. A case report  [PDF]
Jesus Joaquin Hijona Elosegui, Antonio Carballo Garcia, Francisco Javier Frutos Arenas, Juan Manuel Torres Marti
Open Journal of Obstetrics and Gynecology (OJOG) , 2011, DOI: 10.4236/ojog.2011.12011
Abstract: This research paper presents the infrequent case of a heterotopic pregnancy based on a tubal ectopic pregnancy with molar degeneration in concurrent eutopic pregnancy. Treatment with evacuation/suction curettage and perlaparoscopic salpingectomy was required. This case report confirms what is biologically valid in the statistically unlikely.
Pica Practices among Pregnant Women Are Associated with Lower Hemoglobin Levels and Pregnancy Outcome  [PDF]
Fahimeh Khoushabi, Parvin Ahmadi, Mohammad Reza Shadan, Azadeh Heydari, Ali Miri, Maryam Jamnejad
Open Journal of Obstetrics and Gynecology (OJOG) , 2014, DOI: 10.4236/ojog.2014.411090

Pica is an eating disorder in which non-nutritional objects are frequently eaten, and may have serious side effects for both the mother and neonate. The aim of this study was to determine the pica and its association with biochemical profiles of pregnant women and its relation to pregnancy outcome. A prospective cohort study was conducted in five health care centers in Zahedan City, Iran, in 2011-2012. Samples of pregnant women (n = 200) in the age groups 18 - 40 years were selected for this study and interviewed using a questionnaire. Maternal biochemical profiles (hemoglobin and ferritin) during pregnancy, mean gestational age and pregnancy outcome namely height, weight, and head circumferences of neonates were compared to pregnant women who reported pica (pica group) and women who did not (without pica group). The results showed pica prevalence categorized by substance as follows: clay (23.3%), ice (53.7%), ice and freezer frost (11.5%) and other substances (11.5%). Women in pica group had lower hemoglobin levels during the three trimesters of pregnancy than without pica group. Head circumferences of neonates in pica groups were significantly lower than those of without pica groups (31.0 ± 0.6 vs. 34.0 ± 0.2 respectively). There were no differences in mean birth weight, length, gestational age of infants born to pregnant women from the pica group and without pica group. The findings suggest that the pica practices during pregnancy are associated with lower maternal hemoglobin during the pregnancy periods, and also significantly lower head circumferences of neonates. Dietitians should ask pregnant women with anemia about pica and should counsel pregnant women who report pica.

Heterotopic Pregnancy: Challenges in Diagnosis and Management  [PDF]
V. Sunita, M. Ramya, T. Shruthi, G. Sangeetha
Open Journal of Obstetrics and Gynecology (OJOG) , 2016, DOI: 10.4236/ojog.2016.68059
Abstract: Objectives: 1) To study the obstetric outcome in two women with heterotopic pregnancy, 2) To report the challenges faced during management of these pregnancies. Design: Case study of two heterotopic pregnancies managed by us. Setting: RL Jalappa Hospital and Research Hospital. Patients: Two women with heterotopic pregnancy. Interventions: Laparotomy and management of ectopic component. Main Outcome Measures: Pregnancy outcomes following surgery. Results: Both pregnancies continued with one live birth at 36 weeks and one preterm delivery at 29 weeks with neonatal death subsequently. Conclusion: Pregnancy outcome after surgery for heterotopic pregnancy is guarded and is at high risk for preterm birth. Salpingostomy is a good option when faced with dilemma of whether it is hematosalpinx or ectopic pregnancy instead of salpingectomy.
Molar Ectopic Pregnancy: A Case Study from the Maternity Unit of the Bobo-Dioulasso Teaching Hospital  [PDF]
Bambara Moussa, Diallo Abdoul Azize, Lompo Olga Goumbri
Open Journal of Obstetrics and Gynecology (OJOG) , 2016, DOI: 10.4236/ojog.2016.613102
Abstract: The authors reported a case of molar ectopic pregnancy seen and managed at the maternity unit of the Bobo-Dioulasso Teaching Hospital. The frequency of the molar ectopic pregnancy is difficult to assess. Besides, the histopathological examination of surgical specimen of the salpingectomy is not usual in our setting. For the management, we realized a total left salpingectomy with a histopathological examination of surgical specimens in association with serum b HCG follow up. During post operations period, the patient was put on estro-progestin contraception for a year, a regular checkup of the biological marker of the molar pregnancy till negativation, a clinical, ultrasound and radiological checkup. No anomaly was noticed at the end of the follow up.
Risk of high gestational weight gain on adverse pregnancy outcomes  [PDF]
Rajin Arora, Darin Arora, Jayanton Patumanond
Open Journal of Obstetrics and Gynecology (OJOG) , 2013, DOI: 10.4236/ojog.2013.31A027

Background/Aims: Excessive gestational weight gain was known to be associated with adverse pregnancy outcomes. It increased the complications during pregnancy, delivery and postpartum period. Nevertheless, there are studies reporting the incompliance of pregnant women with recommendations of weight gain. The objectives of this study were to estimate the prevalence of high gestational weight gain and to identify the increased adverse pregnancy outcomes in these women. Methods: This was a cross sectional study. Data were collected retrospectively from hospital electronic database of Lampang Regional Hospital (LPH) along with manual retrieval from medical charts and labor records. Data of all pregnant women who delivered at labor room of LPH were collected from 1st February 2011 to 31st August 2012. After preterm and multifetal pregnancies were excluded, 4747 cases were brought to the study. This study used the new weight gain recommendation from the Institute of Medicine and National Research Council to classify pregnant women by pre-pregnancy body mass index. Data were analyzed by univariate and multivariate analysis. Results: The proportions of pregnant women with different level of weight gain were 28.4%, 38.5% and 33.1% for low, normal and high weight gain. After multivariate analysis was done to control the confounders, women with high weight gain were significantly correlated with having preeclampsia, higher birth weight group, cesarean section and long neonatal length with relative risk (RR) and 95% confidence interval (95% CI) of 4.84 (2.31 - 10.16), 3.94 (3.24 - 4.79), 2.12 (1.82 - 2.47) and 2.33 (1.90 - 2.86). Conclusions: There were more than half of pregnant women that were prone to have inappropriate weight gain. Many complications from high weight gain that have been reported from aboard also occurred in Thai pregnant women. This should alert corresponding health institute to establish a new guideline to avoid high gestational weight gain.

Discordance for fetal anencephaly in a dichorionic twin pregnancy: A case report  [PDF]
Joana Batista, Laura Raposo, Ana Sousa, Isabel Cerveira
Open Journal of Obstetrics and Gynecology (OJOG) , 2013, DOI: 10.4236/ojog.2013.37097

Anencephaly is a frequent and easily diagnosed condition affecting twin pregnancies with higher incidence than singletons. Discordance for anencephaly in twins raises management dilemmas about the best approach to the situation. The authors report a successful case of a 33 years old woman who had a dichorionic twin pregnancy resulting from ICSI, with discordance for anencephaly. Diagnosis was performed at 13 weeks during first trimester ultrasound screening. A selective feticide with intrathoracic injection of KCl at 13 + 2 weeks was performed with no complications. The normal fetus proceeded with an uneventful pregnancy with spontaneous vaginal delivery at 40 weeks, weighting 3110 g. Management of twin pregnancies discordant for fetal anencephaly is far from being consensual. Two options are considered: selective feticide or expectant management, with serial ultrasound surveillance. In the latter option, amniodrainage or selective feticide may become options if polyhydramnios develops later in pregnancy. Therapeutic strategy requires an individual approach considering chorionicity, gestational age and all the risks of miscarriage, preterm labor and fetal demise to which these pregnancies are particularly exposed.

Pregnancy Outcomes in Smokeless Tobacco Users Cohort Study in a Tertiary Care Hospital  [PDF]
Ayalur Gopalakrishnan Radhika, Jagdish Kaur, Tusha Sharma, Basu Dev Banerjee, Gita Radhakrishnan, Neelam Bala Vaid
Open Journal of Obstetrics and Gynecology (OJOG) , 2014, DOI: 10.4236/ojog.2014.47055

There is a dearth of literature regarding the pregnancy outcomes in antenatal women using smokeless tobacco products (STP). Objective: To compare maternal and neonatal pregnancy outcomes in antenatal women using smokeless tobacco products with those not using tobacco products. Method: Pregnant women attending antenatal clinic at Guru Teg Bahadur hospital, Delhi received brief information about smokeless tobacco products. Antenatal women using STP and matched controls, 92 in each group (total 184) were recruited for the study. After obtaining consent, the urinary cotinine level was measured in both groups at first contact. Antenatal, labour and postpartum events were recorded in both groups. Urinary cotinine levels were again measured at 6 months in the user group. Results: Average age of antenatal women under study was 24.8 yrs and 25.21 yrs in user and non-user groups respectively. More women in the user group were illiterate (P < 0.05). Mean urinary cotinine in user and non-users was 44.21 +/? 20.39 μg/ml and 24.37 +/? 20.14 μg/ml respectively (p < 0.0001). Women using STPs for more than 5 yrs recorded higher urinary cotinine levels. There was no significant difference in urinary cotinine levels with the type of tobacco product consumed. Pregnancy outcomes of 39 women are known. There was no significant difference in antenatal, intra-natal and postpartum complications in the two groups. Neonatal weight difference was 20 gms.Conclusion: Smokeless tobacco products are the most

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