scholarly journals Méhen belül felszívódó magzati mellékvesevérzés ultrahang-diagnózisa

2019 ◽  
Vol 160 (52) ◽  
pp. 2073-2078
Author(s):  
Gábor Szabó ◽  
András Szarka ◽  
Gábor Rudas ◽  
János Rigó Jr.
Keyword(s):  
Adrenal Gland ◽  
Good Condition ◽  
Elective Cesarean Section ◽  
Ultrasound Diagnostics ◽  
Short Period ◽  
Elective Cesarean ◽  
Gestational Week ◽  
New Onset

Abstract: The confirmed incidence of new-onset adrenal gland hemorrhage has increased with the development of ultrasound diagnostics in recent years. Intrauterine developed cases are rarely recognized. Differential diagnosis of cystic lesions of the adrenal gland is often only possible after birth. In our case study, we report the ultrasonographic diagnosis and follow-up of a cystic lesion measuring 4 × 3 cm in the left fetal epigastrium in the 33rd gestational week. During pregnancy, multimodal imaging methods (both ultrasound and magnetic resonance) have confirmed the diagnosis of hemorrhage in the left adrenal gland. In the 37th gestational week, the hematoma completely resolved. At term, a 4150 gram neonate was delivered in good condition by an elective cesarean section. Postnatal endocrinological and follow-up ultrasound examinations did not find any disorder. This study is the first published case report in the literature that proves that fetal adrenal hemorrhage can intrauterin spontaneously absorb within a short period of time. Our case draws attention to the fact that adrenal bleeding may occur in the newborn regardless of birth trauma. It can also be assumed that the incidence of adrenal bleeding during pregnancy is higher than that reported in neonatal cases. Orv Hetil. 2019; 160(52): 2073–2078.

scholarly journals Giant uterine leiomyoma in a pregnant woman – case study and review of literature

2020 ◽  
Vol 66 (1) ◽  
Author(s):  
Kinga Kadelska ◽  
Małgorzata Sokołowska ◽  
Sebastian Kwiatkowski ◽  
Joanna Lebdowicz-Knul ◽  
Wioletta Mikołajek-Bedner ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Uterine Leiomyoma ◽  
Good Condition ◽  
Breech Presentation ◽  
Elective Cesarean Section ◽  
Review Of Literature ◽  
Foetal Development ◽  
Trimester Pregnancy ◽  
Elective Cesarean

The case of successful pregnancy outcome in a 39-year-old nulligravida with an enormous leiomyoma is presented. At 16th week of gestation patient began to complain of dyspnoea and abdominal pain. Due to rapid growth, high vascularization, worsening pain, respiratory symptoms and limited conditions for foetal development, surgery was taken. Repeat sonography was performed at the 20th week and normal fetal development consistent with a 2nd trimester pregnancy was observed. Singular fibroids 1–5 cm in diameter were visualized and no tumor growth was noted when compared with subsequent ultrasound studies. At the 39th week, the patient was referred to the hospital for preparations towards elective cesarean section due to a breech presentation. During the planned cesarean section, numerous subscapular fibroids were observed which were left without intervention. The patient delivered a live female neonate, in a good condition, weighting 3280 g. There were no complications during the surgery and the postpartum period.

Gitelman Syndrome in Pregnancy: A Clinical Challenge

2021 ◽  
Author(s):  
Seval Yilmaz Ergani ◽  
Gokcen Orgul ◽  
Harun Egemen Tolunay ◽  
Mustafa Arici ◽  
Aykan Yucel ◽  
...  
Keyword(s):  
Potassium Citrate ◽  
Gitelman Syndrome ◽  
Third Trimester ◽  
Case Presentation ◽  
Early Admission ◽  
Uterine Surgery ◽  
Elective Cesarean ◽  
Gestational Week ◽  
Routine Antenatal Care

Abstract Purpose Disease progress may be affected by pregnancy-related changes, and underlying conditions may also affekt pregnancy outcomes in women with Gitelman syndrome (GS). Case presentation A 35-year-old woman with GS (gravida 2 para 1) was referred to our hospital to start routine antenatal care follow-up at 6 weeks of gestation. At the age of 31, she had been diagnosed with GS after her first uneventful pregnancy. Upon early admission, her serum Mg+level was 0.51 mmol/L and her serum K+level 2.7 mmol/L with normal kidney function tests. She was already taking oral combined potassium citrate and potassium bicarbonate supplementation once a day before pregnancy. At the eighth gestational week, the medication was changed to an oral potassium color sachet of 1.5 gram per day until labor because of the insufficient dosage to maintain optimum potassium levels. She was also taking 365 milligrams of oral magnesium oxide twice a day before and during pregnancy. In the third trimester of the pregnancy, her serum Mg+level was 0.48 mmol/L and serum K+level 2.8 mmol/L. Because of the previous uterine surgery history, she underwent an elective cesarean operation at 39 weeks’ gestation under spinal anesthesia and delivered a healthy 3090-gram female infant. Conclusion Increased need for potassium and magnesium supplementation should be the critical considerations when managing pregnant patients with GS.

Mixed brain abscess due to Streptococcus and Tuberculosis in a pregnant woman with favorable evolution. A case report

2020 ◽  
pp. 1-3
Keyword(s):  
Brain Abscess ◽  
Public Health Problem ◽  
Elective Cesarean Section ◽  
Histopathological Study ◽  
Global Public Health ◽  
Mother And Child ◽  
Elective Cesarean ◽  
Causes Of Mortality ◽  
Abscess Wall

Tuberculosis is a global public health problem and is among the top ten causes of mortality in the world. We present the unusual case of a 37-year-old woman, referred for fever, progressive headache, nausea, vomiting and change in mental status. Brain imaging studies. showed a left frontal brain abscess with subfalcin herniation. As an urgent procedure, surgical drainage of the brain abscess was performed, and in the culture of pus there was growth of an anaerobic Streptococcus. The histopathological study of the abscess wall showed data on tuberculosis. The patient was pregnant at surgery, for about five weeks and received anti-tuberculous medications with close maternal fetal follow-up. Pregnancy came to term and was resolved by an elective cesarean section, both mother and child had a favorable evolution.

scholarly journals Death of a neonate with suspected coronavirus disease 2019 born to a mother with coronavirus disease 2019 in Iran: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Tayebeh Rashidian ◽  
Nasibeh Sharifi ◽  
Azita Fathnezhad-Kazemi ◽  
Fatemeh Mirzamrajani ◽  
Sajad Nourollahi ◽  
...  
Keyword(s):  
Vertical Transmission ◽  
Stress Test ◽  
Fetal Distress ◽  
Elective Cesarean Section ◽  
Elective Cesarean ◽  
Life Threatening ◽  
Chest X Ray ◽  
Novel Coronavirus ◽  
Present Case Study

Abstract Introduction A novel coronavirus named severe acute respiratory syndrome coronavirus 2, was first reported in Wuhan, China, in December 2019. The virus, known as COVID-19, is recognized as a potentially life-threatening disease by causing severe respiratory disease. Since this virus has not previously been detected in humans, there is a paucity of information regarding its effects on humans. In addition, only limited or no information exists about its impact during pregnancy. Case presentation In the present case study, we report the death of a neonate born to a 32-year-old mother with coronavirus disease 2019 in Ilam, Iran, with Kurdish ethnicity. We report the infection and death of a neonate in Iran with a chest X-ray (CXR) marked abnormality 2 hours after birth demonstrating coronavirus disease 2019 disease. The neonate was born by elective cesarean section, the fetal health was assessed using fetal heart rate and a non-stress test before the birth, and there was no evidence of fetal distress. All the above-mentioned facts and radiographic abnormalities suggested that coronavirus disease 2019 is involved. Conclusions In this case study, we report the death of a neonate born to a mother with coronavirus disease 2019, 11 hours after birth. There is a paucity of data on the vertical transmission and the adverse maternal-fetal consequences of this disease, so vertical transmission from mother to child remains to be confirmed.

Follow-Up of Growth-Retarded Children Born by Elective Cesarean Section before 33 Weeks

1985 ◽  
Vol 19 (4) ◽  
pp. 169-173 ◽  
Author(s):  
H.J. Huisjes ◽  
R. Baarsma ◽  
M. Hadders-Algra ◽  
B.C.L. Touwen
Keyword(s):  
Cesarean Section ◽  
Elective Cesarean Section ◽  
Elective Cesarean

scholarly journals Tantangan Pemerintah Daerah dalam Penyusunan Peraturan Daerah Desa Adat: Upaya dalam Penetapan Desa Adat di Indragiri Hulu, Riau

2020 ◽  
Vol 2 (1) ◽  
pp. 45-58
Author(s):  
Adli Hirzan ◽  
Mimi Hanida Abdul Mutalib
Keyword(s):  
Thematic Analysis ◽  
Local Governments ◽  
Qualitative Approach ◽  
Case Study Design ◽  
Short Period ◽  
District Government ◽  
The Village

The objective of this article is to explain the challenges that occur in establishing customary villages. This research uses a qualitative approach with a case study design. This study uses thematic analysis, which aims to identify patterns and determine themes. Data collected using interviews and documentation. The results of the study found that there were four challenges in making regional regulations for the establishment of customary villages: first, the drafting period for the determination of customary villages was carried out in a short period. Second, not prioritizing socialization. Third, local wisdom is considered less critical for the sub-district government. Fourth, there is no follow-up from the local government to establish local regulations. The results of this study have implications for the miscommunication of local governments in understanding the village law no. 6/2014. As a result, local governments have not fully rearticulated the village law regarding the establishment of customary villages.

scholarly journals Term Pregnancy in a Woman with Incomplete Transverse Vaginal Septum- An Interesting Case

2020 ◽  
pp. 1-3
Author(s):  
sathiya priya subburaj ◽  
sathiya priya subburaj ◽  
Jyotsna sharma ◽  
HARITHA SAGILI
Keyword(s):  
Cesarean Section ◽  
Interesting Case ◽  
Elective Cesarean Section ◽  
Term Pregnancy ◽  
Obstructed Labor ◽  
Vaginal Septum ◽  
Transverse Vaginal Septum ◽  
Elective Cesarean ◽  
First Time

Transverse vaginal septum is a rare Mullerian duct anomaly presenting for the first time in pregnancy and labor. A 24-year-old primigravida presented at 39 weeks gestation. Speculum examination revealed a thick transverse vaginal septum with a pinpoint opening in the upper aspect. Elective cesarean section was done followed by digital perforation and dilatation of the septum. The postoperative period was uneventful. At six week follow up there was no restenosis or scarring of the vagina. To avoid complications like obstructed labor and laceration of vagina prophylactic cesarean section is advocated when the thickness of the septum cannot be ascertained on clinical examination.

scholarly journals Single vs Multiple Dose of Cefazolin Prophylaxis in Elective Cesarean Section

2017 ◽  
pp. 60
Author(s):  
Sigit Purbadi ◽  
Muhamad Fadli
Keyword(s):  
Single Dose ◽  
Multiple Dose ◽  
Obstet Gynecol ◽  
Prophylactic Antibiotic ◽  
Clinical Findings ◽  
Elective Cesarean Section ◽  
Maternal Infection ◽  
Elective Cesarean ◽  
Single Blind

Introduction: Caesarean section (CS) is one of port d’ entrée from infection in women and it is related to maternal morbidity during puerpureal period. Until now, there is still lack of consensus regarding prophylactic antibiotic protocol before CS procedure. This study aims to determine the comparative efficacy between single dose and multiple doses of cefazolin prior incision toward the incidence of maternal infection. Methods: This was a single-blind, randomized, clinical trial study with two methods of intervention including 2-gram single dose cefazolin at 30 minutes’ prior incision and 2-gram single dose cefazolin at 30 minutes’ prior incision continued 1-gram cefazolin after 8 hours of procedure. We recruited women undergone elective CS at Fatmawati and Anna Hospital, Jakarta from January to March 2016. The primary outcomes were surgical site infection, urinary tract infection, and endometritis based on clinical findings during 30 days of follow-up period. Results: A total of 46 subjects were recruited which 23 of them were in single dose cefazolin group and the other 23 subjects were in multiple dose of cefazolin group. There were 9 subjects having infection (19.6%). There was no statistical difference in the incidence of infection between two groups (p=1.00; relative risk 0.80, 95% CI 0.25-2.61). Conclusion: Single dose of cefazolin shows similar rates of infection incidence to multiple dose. Therefore, single dose of cefazolin can be a protocol in CS based on its efficacy and efficiency. [Indones J Obstet Gynecol 2017; 5-1: 60-65] Keywords: cefazolin, maternal infection, multipe dose, single dose

scholarly journals Intra-Abdominal Umbilical Vein Varix – A Case Report

2015 ◽  
Vol 01 (01) ◽  
pp. 012-014
Author(s):  
Sachin Agrawal ◽  
Shraddha Singhania ◽  
Pooja Singhania ◽  
Kumar Vaibhav
Keyword(s):  
Case Report ◽  
Umbilical Vein ◽  
Preterm Births ◽  
Elective Cesarean Section ◽  
Fetal Hydrops ◽  
Venous Flow ◽  
Color Flow ◽  
Elective Cesarean ◽  
Umbilical Vein Varix

AbstractThe incidence of the fetal intra-abdominal umbilical vein varix condition is very rare and has been associated with fetal hydrops, IUGR and still birth A 26-year-old primigravida was referred for routine antenatal scan. The scan at 30 weeks showed an intra-abdominal ovoid structure superior to the fetal bladder. Color flow Doppler revealed venous flow in continuity with the umbilical vein. A diagnosis of umbilical varix was made. The venous flow was present throughout the lesion, suggesting the absence of thrombi. There was no evidence of fetal hydrops. Subsequent scans at regular intervals showed no increase in size of the umbilical varix. The patient had an uneventful elective cesarean section at 39 weeks. Postnatal assessment and a follow-up neonatal cardiac echo scan were normal. Our case supports the new emerging evidence that pregnancy outcome in cases of isolated fetal umbilical vein varix is generally good. Caution must be exercised against unnecessary early induction and costly preterm births

scholarly journals Association between secondhand smoke exposure and new-onset hypertension in self-reported never smokers verified by cotinine

2021 ◽  
Vol 36 (6) ◽  
pp. 1377-1388
Author(s):  
Byung Jin Kim ◽  
Jeong-Gyu Kang ◽  
Bum Soo Kim
Keyword(s):  
Secondhand Smoke ◽  
Incidence Rates ◽  
Health Study ◽  
Exposure Group ◽  
Baseline Visit ◽  
Short Period ◽  
Shs Exposure ◽  
Never Smokers ◽  
New Onset

Background/Aims: There is no study assessing the effect of changes of secondhand smoke (SHS) exposure and new-onset hypertension. We investigated the effect of a change of SHS exposure status on new-onset hypertension in self-reported and cotinine-verified never smokers.Methods: Out of individuals enrolled in the Kangbuk Samsung Health Study between 2011 and 2016, 87,486 self-reported and cotinine-verified never smokers without hypertension at baseline visit were included with a median follow-up of 36 months. Individuals were divided into four groups on the basis of their SHS exposure status at baseline and at follow-up: no, new, former, and sustained SHS exposure groups.Results: The incidence rates per 10,000 person-year of new-onset hypertension in no, new, former, and sustained SHS exposure groups were 84.7, 113.3, 102.0, and 123.7, respectively (p < 0.001). A multivariable Cox-hazard analyses showed that new and sustained SHS exposure groups increased their hazard ratio (HR) for new-onset hypertension compared to no SHS exposure group (HR, 1.31; 95% confidence interval [CI], 1.08 to 1.60 for new SHS exposure group; and HR, 1.24; 95% CI, 1.06 to 1.45 for sustained SHS exposure group). However, being part of the former SHS exposure group did not increase the risk of new-onset hypertension (HR, 0.91; 95% CI, 0.81 to 1.03).Conclusions: This study showed that either new, or sustained SHS exposure, but not former SHS exposure, increased the risk for new-onset hypertension in self-reported never smokers verified as nonsmokers by urinary cotinine. These findings show the possibility that changing exposure to SHS even for a relatively short period can modify the risk of new-onset hypertension in self-reported and cotinine-verified never smokers.

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