scholarly journals Medicamentous and non-medicamentous treatment of hip osteoarthritis in pregnant women

2019 ◽  
Vol 11 (1) ◽  
pp. 13-20
Author(s):  
Evgeniy A. Trofimov ◽  
Vadim I. Mazurov ◽  
Evgeniy C. Melnikov ◽  
Anna C. Trofimova ◽  
Ryzana R. Samigullina ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Pregnant Women ◽  
Body Mass ◽  
Pregnancy Outcomes ◽  
Hip Osteoarthritis ◽  
Pain Syndrome ◽  
The Body ◽  
Hip Joints ◽  
Secondary Osteoarthritis ◽  
Pathological Conditions

The management of pregnant women with severe pain caused by primary or secondary osteoarthritis (OA) of the hip joint (HJ) has not been developed. The aim of the article was to evaluate the influence of NSAIDs, glucocorticoids (GC), analgesics and non-drug treatment methods on pregnancy outcomes in patients with primary and secondary OA HJ. Methods. The study included 99 pregnant women aged 35 to 49 with an intensive pain (≥4.0 points according to visual analog scale (VAS)) due to primary or secondary OA HJ. Depending on the form of OA, the severity of pain and the patient’s opinion, the following therapy was adminestered: ibuprofen up to 800 mg per day orally (n = 31) or paracetamol up to 1000 mg per day orally (n = 20) or methylprednisolone up to 12 mg per day orally (n = 27) or non-medicamentous methods (n = 21), including educational programs, systematic physical therapy, body mass index correction, instep support, orthosis, etc.). The efficacy of the treatment was evaluated within a month from the beginning of the therapy, pregnancy outcomes for the mother and the fetus and pathology of the child after 12 months after the birth. The factors, associated with low efficacy of treatment, were evaluated. Results. In 50 (51%) women primary OA HJ was diagnosed, in 49 (49%) — secondary OA HJ. A decrease of pain in HJ in patients of all treatment groups (p > 0.05 for comparison with baseline) was observed. The patients with secondary OA who receiving Methylprednisolone showed a statistically significant (p < 0.05) pain relief compared to the patients in other clinical groups. A correlation was found between the intensity of pain syndrome (VAS) and BMI. 85 (85%) patients had urgent deliveries, 14 (14%) had premature, natural delivery in 82 (82%) women, and a caesarean section was performed in 29 (29%) cases. The cases of ante- and perinatal fetal death were not recorded. Pathological conditions were absent in 28 (84.85%) of newborns, whose mothers refused medical treatment, in 28 (90.32%) newborns, who received ibuprofen, in 15 (75%) — paracetamol, and in 23 (85.19%), who were on methylprednisolone therapy (differences between the goups are unreliable, p ≥ 0.05). In 12 months after birth in the group of newborns receiving antenatal ibuprofen, pathological conditions were observed in 3 children, paracetamol — in 5, metiprednisolone — in 4 children and in 5 children in the group not receiving medicamentous therapy. Conclusions. 1) The use of non-medicamentous and medicamentous (non-selective NSAIDs or GC in small doses or analgesics) treatment in pregnant women with hip osteoarthritis has equal efficiency and safety for the health of both the mother and the fetus; 2) сhildren born to mothers with primary or secondary hip osteoarthritis treated with NSAIDs or analgesics or GC in age of 12th month do not differ from children born to mothers with osteoarthritis of hip joints receiving non-medicamentous therapy; 3) an increase of the body mass index of a pregnant woman with osteoarthritis of the hip joints is a predictor of refractoriness to any form of drug and non-drug therapy.

scholarly journals Socio-demographic factors and cervical length in pregnancy

2008 ◽  
Vol 61 (9-10) ◽  
pp. 443-451 ◽  
Author(s):  
Djordje Petrovic ◽  
Aleksandra Novakov-Mikic ◽  
Vesna Mandic
Keyword(s):  
Body Mass Index ◽  
Pregnant Women ◽  
Body Mass ◽  
Linear Trend ◽  
Smoking Habit ◽  
First Trimester ◽  
Cervical Length ◽  
Demographic Characteristics ◽  
The Body ◽  
The Moment

The cervical length is an important factor in the risk evaluation of preterm delivery. The aim of this work was to determine the correlation between the cervical length and the demographic characteristics. A transversal type prospective study was done on a sample of 579 pregnant women at various gestational age of low risk mono-fetal pregnancy. The cervical length was measured by trans-vaginal ultrasound procedure within the regular pregnancy monitoring process. The following data were taken into consideration: the woman's age, her body mass at the beginning of the pregnancy and her height in order to calculate the body mass index as well as her smoking habit at the moment of conception. The mean cervical length was 34.3 mm and 35 mm in the group of women aged 30 and less and 31 and over, respectively. The cervix was insignificantly shorter in younger women (being 34.9 mm/35.9 mm in the 1st trimester, 34.5 mm/35.1 mm in the 2nd one and 33.9 mm/34.7 mm in the 3rd trimester). The sample of 579 pregnant women consisted of 448 non-smokers and 131 smokers. The difference in the length of the cervix in smokers and non-smokers was not significant (being 32.2 mm/35.9 mm; 35 mm/34 mm and 34.4 mm/33.5 mm in the 1st, 2nd and 3rd trimester, respectively). The correlation between the body mass index and the cervical length was analyzed by trimesters. In the first trimester the increase in the body mass index was followed by the shortening of the cervix; the cervical length was not affected by the BMI in the second trimester, whereas the higher the body mass index the longer the cervix in the third trimester. Our study has shown that the cervical length is affected neither by the age of the woman nor her smoking habit but it is affected by the body mass index at the moment of conception, that linear trend being negative in the 1st trimester but positive in the 3rd one. Since the cervical length may be affected not only by the socio-demographic characteristics but the gynecologic obstetric history of the woman as well, we strongly suggest further investigations in this field.

scholarly journals Concept and connotation of oxidative stress in preeclampsia

2018 ◽  
Vol 10 (03) ◽  
pp. 276-282 ◽  
Author(s):  
Hayder M. Al-Kuraishy ◽  
Ali I. Al-Gareeb ◽  
Thabat J. Al-Maiahy
Keyword(s):  
Oxidative Stress ◽  
Body Mass Index ◽  
Pregnant Women ◽  
Lipid Profile ◽  
Body Mass ◽  
Smoking Status ◽  
Serum Levels ◽  
Normal Pregnancy ◽  
The Body ◽  
Related Disorder

ABSTRACT BACKGROUND: Preeclampsia (PE) is a systemic pregnancy-related disorder characterized by hypertension, proteinuria, and edema. Free radicals seem to play an important role in the induction of endothelial dysfunction in PE. AIM: The aim of the present study was to investigate serum levels of nitric oxide (NO), peroxynitrite (ONOO−), paraoxonase (PON-1), malondialdehyde (MDA), and lipid profile in preeclamptic patients compared to the women with normal pregnancy. MATERIALS AND METHODS: A total of 68 pregnant women were recruited. They were divided into two groups - Group A, 40 women were a newly diagnosed with PE and Group B, 28 women with normal pregnancy. Anthropometric measurements including body mass index and blood pressure in accordance with biochemical measurements including NO, ONOO−, PON-1, MDA, and lipid profile were done for preeclamptic pregnant women compared to the controls. RESULTS: Pregnant women with pre-eclampsia illustrated insignificant differences in the age (31.22±2.87) compared to the age of control P > 0.05. There were significant changes in the body mass index (BMI) , type of delivery and smoking status of pregnant women with pre-eclampsia compared to the control P < 0.05. Both systolic and diastolic blood pressures were high in pregnant women with pre-eclampsia compared to the control P < 0.01. PON-1 and NO serum levels were significantly decreased (P < 0.01) while ONOO− and MDA serum levels were significantly increased in PE compared to the women with normal pregnancy. Conclusions: This study concluded that PE is associated with the augmentation of oxidative stress and reduction of endogenous antioxidant capacity regarding PON-1.

scholarly journals The Effect of Diet Control on the Leptin Levels in Diabetic Pregnant Women

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Muna KA ◽  
Mokhtar A ◽  
Saad MA ◽  
Ahmed AA ◽  
Akbar JB
Keyword(s):  
Body Mass Index ◽  
Pregnant Women ◽  
Body Mass ◽  
Normal Pregnancy ◽  
The Body ◽  
Medical Complication ◽  
Diabetic Patients ◽  
Standard Normal ◽  
Diet Control ◽  
In Pregnancy

Introduction: Leptin is an adipokine that has strong correlation with the body mass index (BMI). Gestational diabetes mellitus (GDM) is a common medical complication associated with pregnancy. Leptin may lose its correlation with the body mass index (BMI) during diabetes due to hormonal rearrangement. Diet control is the first line management in GDM. Leptin reported to increase in pregnancy and further increases in diabetic patients during GDM screening. There is paucity in the reports concerning Leptin levels in GDM patients on diet control. The present study was aimed to evaluate the changes in maternal leptin in pregnancy complicated by GDM on diet control compared to the normal pregnancy in the 3rd trimesters by comparing the means and to find the correlation of Leptin with the body mass index in both groups. Methods: The study included 2 groups: normal pregnancy (n = 40) and pregnancy with GDM under diet control (n = 60) both groups are at 38-40 weeks of gestation. Leptin concentration in serum was measured in both groups and statistically tested using student t test. The BMI were measured and correlated with the Leptin level in test groups. Results: the results indicated that Leptin will nearly triple in the third trimester (38±30 ng/ml) of pregnancy compared to the standard normal non-pregnant. Leptin level was significantly lower in diabetic women on diet control (28±16 ng/ ml) when compared with the non-diabetics (38±30 ng/ml). The hormone has no correlation with the age of the patients but have a positive correlation with the body mass index before and during pregnancy in both groups. Conclusion: Leptin is increasing in pregnancy as part of the physiological changes. Dieting can decrease Leptin level in diabetics’ pregnant women. Diet can restore the hormonal dysregulation of Leptin. Assessment of Leptin level might be used as an indicator for good diet control during pregnancy.

scholarly journals The relationship between body mass index, body image, and sexual function: A survey on Iranian pregnant women

2019 ◽  
Author(s):  
Mahtab Senobari ◽  
Elham Azmoude ◽  
Marziyeh Mousavi
Keyword(s):  
Body Mass Index ◽  
Body Image ◽  
Sexual Function ◽  
Pregnant Women ◽  
Body Mass ◽  
Normal Weight ◽  
The Body ◽  
Female Sexual Function ◽  
The Impact ◽  
The Relationship

Background: The prevalence of sexual problems is high during pregnancy. Despite this, there are limited data about the impact of physical and psychological factors such as body weight and body image on sexual function in pregnant women. Objective: To investigate the relationship between body mass index, body image, and sexual function among pregnant women. Materials and Methods: In this cross-sectional study, a total of 206 Iranian pregnant women (106 with normal weight and 100 overweight women) in their 2nd and 3rd trimesters of pregnancy were surveyed. Survey instruments included the Female Sexual Function Index and Multidimensional Body-Self Relations Questionnaire. Results: The prevalence of female sexual disorder was 72.3% in this survey. Diminished sexual desire/appetite was the most common problem reported by the participants (37.9%). The mean score of sexual problem and body image were not significantly different among overweight and normal weight women in the 2nd (p = 0.945 and p = 0.800, respectively) and 3rd trimesters of pregnancy (p = 0.310 and p = 0.507, respectively). Further, there were no relationships between the body mass index plus body image and the total female sexual function score (p = 0.44 and p = 0.837, respectively). However, the relationship between the appearance evaluation with lubrication (p = 0.043) and subjective weight with two subscales of sexual satisfaction (p = 0.005) and orgasm (p = 0.019) were significant. Conclusion: The findings from this study revealed that there were no relationships between body mass index plus body image score and the sexual function in pregnancy. Therefore, a further research is recommended to study other potential factors affecting sexual function during pregnancy.

scholarly journals CLINICAL FEATURES AND LABORATORY PARAMETERS IN PREGNANT WOMEN WITH NON-ALCOHOLIC FATTY LIVER DISEASE AND OBESITY

2021 ◽  
pp. 5-13
Author(s):  
L. V. BAHNIY ◽  
S. N. HERYAK ◽  
N. I. BAHNIY
Keyword(s):  
Body Mass Index ◽  
Liver Disease ◽  
Fatty Liver ◽  
Pregnant Women ◽  
Body Mass ◽  
Fatty Liver Disease ◽  
The Body ◽  
Alcoholic Fatty Liver ◽  
Group I ◽  
Alcoholic Fatty Liver Disease

Today, non-alcoholic fatty liver disease (NAFLD) is a common pathology and pressing problem in pregnant women, especially among overweight, as the incidence of obese women of childbearing age is rapidly increasing. Disorders of lipid metabolism, which is an integral part of this disease, lead to pathological changes in the functional state of the liver, which in turn have a negative impact on pregnancy and lead to the formation of obstetric and perinatal complications. THE AIM OF OUR STUDY was to evaluate the clinical and laboratory markers of liver disorders in pregnant women with NAFLD depending on body mass index. MATERIALS AND METHODS. We’ve examined 98 pregnant women with NAFLD at the stage of non-alcoholic steatohepatitis (NASH) in combination with obesity. The age of the examined women ranged from 21 to 35 years (mean age 30.5 ± 1.5 years). The control group consisted of 30 almost healthy pregnant women. Depending on the body mass index (BMI), all surveyed women are divided into three groups: Group I - overweight pregnant women, Group II - pregnant women with grade I obesity, Group III - pregnant women with grade II obesity. We evaluated the incidence of major clinical complaints and changes in blood biochemical parameters in pregnant women depending on the increasing of BMI. RESULTS. When comparing the clinical manifestations of NAFLD on the stage of NASH in pregnant, the highest frequency is observed in the group of examined women with severe obesity compared with the group of patients with moderate obesity and overweight: symptoms of asthenic syndrome (increased fatigue, sleep disturbances, emotional lability, decreased and increased appetite) in 91.6.0%, 79.1% and 61.5% of patients (p<0.05), manifestations of dyspepsia  (constipation, nausea, flatulence) - in 87.5%, 54% and 34.6% patients (p <0.05), feeling of heaviness or moderate pain in the right hypochondrium - in 62.5% 50% and 30.7% of patients, respectively (p <0.05). CONCLUSIONS. It has been established that pregnant women with non-alcoholic fatty liver disease on the stage of nonalcoholic steatohepatitits have pronounced clinical picture of the disease, which depends on the increase in BMI. It was found that in pregnant women with NAFLD liver dysfunction occurs on the background of grade I obesity, which can be considered as an early marker of steatohepatitis and risk of obstetric complications.

scholarly journals Kajian Indeks Massa Tubuh (IMT) Pada Ibu Hamil Preeklamsi Di Desa Pragaan Daya Kec. Pragaan-Sumenep

2019 ◽  
Vol 10 (2) ◽  
pp. 51-55
Author(s):  
Dwi Wahyuning Tyas
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Pregnant Women ◽  
Body Mass ◽  
Clinical Symptoms ◽  
Community Support ◽  
The Body ◽  
Obese People ◽  
Population Total ◽  
The Impact

Preeclampsia is a disease that can arise during pregnancy, labor, childbirth, has clinical symptoms such as high blood pressure (hypertension), and found protein in urine (proteinuria, data in Polindes Pragaan Daya Village, District Pragaan-Sumenep Year 2016 from 36 pregnant women there is 6 people (16.6%) detected preeclampsia. The cause of preeeklamsi is still not known with certainty but there are closely related risk factors such as obesity, women who have a body mass index of 25-27 usually have a risk of three times hypertension including preeclampsia (2). The purpose of this study is to know the description of body mass index (BMI) in pregnant women who have preeclampsia. The descriptive research used cross sectional approach, the population used by pregnant women detected by preeclampsion in Polindes of Pragaan Daya village of Sumenep district in March to May 21 were 21 respondents using population total sampling technique, the data obtained were analyzed using frequency distribution table. Based on the results of research obtained data Nearly half of respondents have a body mass index (BMI) fat (> 25-30) that is as many as 8 respondents (38.1%). The body works harder in pumping blood, the body needs to burn excess calories, burning calories requires an adequate supply of oxygen in the blood, more calories being burned, the more oxygen supply in the blood, the higher blood supply makes the heart work harder, and the impact of blood pressure on obese people is higher (Widharto, 2007). Early detection of pregnant women through blood pressure examination, IMT measurements, and signs of preeclampsia symptoms, making midwives' basis for rapid and appropriate decisionmaking, cross-program, cross-sectoral, family and community support are expected to decrease the incidence of preeclampsia in pregnant women .Keynote: Body Mass Index (IMT), Preeclampsia

scholarly journals Relationship Between Body Mass Index of Pregnant Women and Birth Weight of Babies with the Incidence of BGM in Infants

2020 ◽  
Vol 4 (1) ◽  
pp. 285-289
Author(s):  
Nyna Puspita Ningrum
Keyword(s):  
Body Mass Index ◽  
Birth Weight ◽  
Pregnant Women ◽  
Body Mass ◽  
Health Workers ◽  
Sampling Technique ◽  
The Body ◽  
Test Method ◽  
Chi Square ◽  
Nutritional Conditions

Background: Poor nutritional conditions in infants that occur in a long time can affect the growth process of infants, the risk of immune system disorders, and the risk of infection that can end in death (Hong et al, 2006). BGM conditions that are not handled properly can run the risk of being stunted. Purpose: The purpose of this study was to analyze the relationship between the body mass index of pregnant women and birth weight of babies with the incidence of BGM in infants. Methods: This research method is quantitative analytic research with correlative study design approach. The populations were all infants and mothers of children under five in Siwalankerto village with total of 47 peoples; the sampling technique used was purposive sampling in accordance with the inclusion and exclusion criteria, so as to get 40 people. Data was tested for validity using the product moment validity test method. Results: Based on the results obtained with the chi square reliability test value of x count = 14.89 which is greater than the value of x table = 7.815 (for N = 40 respondents). So it can be concluded that there is a relationship between body mass index of pregnant women and birth weight of babies with the incidence of BGM in infants. Conclusion: Suggestions for health workers is to increase preventive efforts through approaches and counseling to the community in order to minimize the occurrence of malnutrition in pregnant women which can have an impact on children's health in the future.

Investigating the Deformation Parameters of PVC Fitness Balls in Relation to the Height and Body Mass Index of the Users

2017 ◽  
Vol 54 (4) ◽  
pp. 606-609 ◽  
Author(s):  
Flaviu Stelian Dusa ◽  
Adela Badau ◽  
Dana Badau ◽  
Cristian Trambitas ◽  
Klara Brinzaniuc
Keyword(s):  
Body Mass Index ◽  
Body Weight ◽  
Body Mass ◽  
Reference Values ◽  
The Body ◽  
Hip Joints ◽  
Deformation Parameters ◽  
The Creation

The aim of the study was to measure the goniometric differences of the knee and hip joints and the changes regarding the features of fitness balls by taking into consideration its circumference and the vertical and horizontal diameters under the action of the body weight. The outcomes of the study have resulted in the creation of a table with reference values regarding the size of fitness balls in relation to the height and body mass index of the subjects.

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