scholarly journals THE CASE OF ABORTION AT THE 5TH MONTH WITH A LIVING CHILD

2020 ◽  
Vol 6 (2) ◽  
pp. 150-152
Author(s):  
G. Kudish

On October 3, 1891, at 5 o'clock in the afternoon, a pregnant L.G., 24 years old, was admitted to the maternity hospital at the Hospital of the Society of Kremenchug Physicians, with complaints of pulling pains, as well as minor bloody expirations for 2 weeks. L. G. married 21/2 years, pregnant for the 3rd time: the 1st pregnancy ended in miscarriage in the 3rd month, 2nd urgent delivery 1 year and 3 months ago. The last regulations were in early May; L. G. felt fetal movement 5 days before admission to the clinic. Throughout her last pregnancy, L. G. suffered from time to time puffy pains and leucorrhoea, the latter, however, even before pregnancy. A pregnant woman is of good build, nutrition is not entirely satisfactory, thin, anemic, when listening to the heart, a noise is heard instead of the first tone. The abdomen is soft, the uterus is hard, sensitive to pressure, the bottom of it is 2 transverse fingers below the navel; the neck is soft, passes a finger; a little blood is shown from the genital tract.

2020 ◽  
Vol 7 (1) ◽  
pp. 72-74
Author(s):  
A. Fisher

Ms. Ch., 26 years old; poor health; started to walk at the age of 6; the first menstruation - at the age of 12, got married on the 19th and immediately became pregnant. The first birth, which lasted 46 hours, ended with a craniotomy at the Obstetric Aid in Moscow; the second pregnancy was artificially terminated by the author at the end of the 24th week, - a living child was born, died after 7 weeks from congenital weakness; The author interrupted the third pregnancy at the 36th week, and the labor was completed by the difficult imposition of forceps on the head moving above the entrance to the pelvis, - the girl was born in asphyxiation, revived. The present, fourth, pregnancy proceeded as follows: the last regulations between March 7 and 10, 1891; first fetal movement - July 24; only on 30 November (i.e. at the end of the 38th week) did the pregnant woman turn to the author.


2001 ◽  
Vol 82 (5) ◽  
pp. 380-381
Author(s):  
G. Z. Akhmetzyanova ◽  
A. D. Klimenko ◽  
A. P. Mityushkin ◽  
N. D. Yulamanova

Pregnant woman J., 37 years old, was referred for the second stage of selective ultrasound screening from the maternity hospital with the diagnosis: "Pregnancy 31-32 isd. Intrauterine fetal retardation, gestosis in the second half of pregnancy. Zh. is an employee of a tire plant with 17 years of work experience, has contact with heavy gasoline, ammonia, formalin, kaolin and talc dust, carbon monoxide, and rubber.


2021 ◽  
pp. 20-25
Author(s):  
V.O. Beniuk ◽  
N.M. Hychka ◽  
O.V. Zabudskyi ◽  
T.M. Fursa-Sovhyra ◽  
T.V. Kovaliuk ◽  
...  

Research objective. To evaluate the features of pregnancy and delivery course, fetal and newborn status in women with confirmed COVID-19.Materials and methods. A retrospective clinical and statistical analysis of 106 pregnancy and delivery case histories and medical records of newborn from women with a gestation period of 22–41 weeks with a confirmed diagnosis of COVID-19 was carried out. Women were treated and delivered on the temporarily converted beds for providing obstetric care to pregnant women, women in labor and postpartum women with suspected and infected COVID-19 and gynecological patients of Municipal Non-Profit Enterprise “Kyiv City Maternity Hospital No. 3” from September 2020 to May 2021.Results. Delivery took place in 48 women. Women with A (II) blood group were significantly predominant – 51 (48.1%) and rhesus-positive factor – 85 (80.2%) (p < 0.05). One third of pregnant women sought medical help on their own – 34 (32.1%). 94 (88.7%) women had a positive PCR test, in 6 (11.3%) cases the diagnosis was confirmed by a rapid test in the admission department; in 6 (11.3%) cases the test results were negative. The leading complaints when pregnant women were hospitalized were fever, cough and fatigue in 85 (80.2%), 90 (84.9%) and 73 (68.9%) pregnant women respectively (p < 0.05). Almost every third woman (39, 36.8%) had a subfebrile temperature – 37.0–37.5 oC. In 15 (14.1%) patients the temperature was 38.0–38.5 oC, in 6 (5.7%) patients over 38.5 oC. At the lung ultrasound the signs of bilateral and polysegmental pneumonia were diagnosed in 44 (53.6%) and 36 (43.9%) cases. Lower and upper lobe pneumonia was diagnosed in 20 (24.4%) pregnant women. Severe lung damage was detected in 29 (35.4%) pregnant women in the form of partial “hepatization” of lung tissue, pleural effusion in the form of black areas of various sizes in the pleural cavity.Conclusions. The main typical SARS CoV-2 complaints in hospitalized pregnant women were fever, cough, fatigue and shortness of breath at rest and during exercise. Such neurological manifestations of SARS CoV-2 as headache, anosmia were noted by almost every third pregnant woman, and parosmia and myalgia were noted by every fourth pregnant woman. The average level of C-reactive protein was above normal in 97.2% of women. Lung ultrasound allowed clearly identifying areas of damage and determining the degree of lung tissue damage.


2018 ◽  
Vol 5 (2) ◽  
pp. 1
Author(s):  
Natalija Vedmedovska ◽  
Svetlana Polukarova ◽  
Sarmite Dzelzite

Frequency and preciseness of prenatal detection of foetal tumours increases due to improvement of sophisticated imaging methods. As correct diagnosis impacts the course of care in utero, it is essentially to improve diagnostic workout in a case of detected foetal anomalies. Here we report the case of partly involuting congenital haemangioma of foetus, which antenataly caused foetal secondary cardiomegaly. Pregnant woman was referred to Riga Maternity Hospital with unexplained tumour on the surface of foetal head at 24+2 weeks of gestation. Ultrasound exam revealed tubular structure without solid components between calvarium and skin under the left ear with very rich vascularization. Magnetic Resonance Image demonstrated enhancing multi-cystic lobulated mass. Hypertrophic secondary cardiomegaly was present without any additional structural abnormality. The foetus remained stable until 36+4 weeks of gestation, when the size of tumour succeeded 85 mm × 46 mm. Haemangioma was confirmed after delivery as round raised and infiltrating vascular lesion. After birth MRI demonstrated its connection with a. carotis externa. Propranolol was recommended with continuing follow-up. At 2 years and 3 months of age the lesion decreased by size noticeably, but still persists. Accurate diagnosis lets obstetricians to optimize antenatal care by providing an opportunity for planning deliveries, preparing family and medical staff for appropriate postpartum therapy and management.


Author(s):  
Taissa Braga da Silva ◽  
Antônio José de Miranda Dantas Terceiro ◽  
Amanda Cavalcante Moreira ◽  
Victória De Maria Pereira Rocha Santos ◽  
Jéssica Oliveira de Sousa ◽  
...  

Objective: To analyze the influence of maternal/obstetric and neonatal factors on the results of the Apgar Index evaluation. Method: Documentary, retrospective study with Declarations of Live Births of a hospital and maternity hospital in Sobral/CE in 2015. The variables analyzed were: maternal age, number of prenatal consultations performed by the pregnant woman, type of delivery, gestational age and weight at born. Result: The best indices were related to the maternal age of 21 to 30 (38.42%) years. Cesarean delivery concentrated the highest percentages (46.43%) in the score of 8-10. Observing the prenatal consultations performed, the best index was represented by the pregnant women who performed 7 more consultations (58.03%). The gestations of 37 to 41 weeks' gestation were concentrated at the best indices (68.99%). Children weighing 2,500 g or more presented the best indices (8-10) with 69.8%. Conclusion: The maternal/obstetric factors analyzed are important for a good evaluation of the Apgar Index.


2020 ◽  
Vol 6 (3) ◽  
pp. 305-306
Author(s):  
A. Rutkovskiy

Primiparous, 20 years old. Childbirth lasted three days under the supervision of a simple midwife, and then a city grandmother, and only on the 4th day the woman in labor was in the maternity hospital. 6 weeks before giving birth, the pregnant woman fell on the sacrum and was badly hurt since then she had severe pains in the lower abdomen with severe fever with tremendous chills, which kept her in bed all the time. When examined through the vagina, a tumor is low in the pelvic cavity, round, slightly painful, certainly motionless, dense, filling the entire sacral cavity; the upper border of the tumor is not defined behind the presenting head.


2020 ◽  
Vol 9 (3) ◽  
pp. 282-283
Author(s):  
S. Y. Khazan

The contradictory opinions prevailing in the sciences regarding the use of the so-called objective antiseptics in obstetrics forced W. to discuss the controversial issue of asepticity or non-asepticity of female genital tracts, and he came to some results. The genital tract of an unexamined pregnant woman breaks up in bacteriological relation into two sections: the lower one, rich in microorganisms, and the upper one, completely free of microbes. The border between both sections is located in the middle part of the cervical canal and is caused on the one hand by constantly renewing cervical mucus, which is a poor nutrient medium for microorganisms, and on the other hand, by phagocytosis, which has a place in the lower part of the uterine cervix, due to the property of the vaginal secretion of the vagina. from the surrounding tissues.


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