scholarly journals Features of the pregnancy and delivery course, fetal and newborn status in women with COVID-19

2021 ◽  
pp. 20-25
Author(s):  
V.O. Beniuk ◽  
N.M. Hychka ◽  
O.V. Zabudskyi ◽  
T.M. Fursa-Sovhyra ◽  
T.V. Kovaliuk ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Lung Tissue ◽  
Lung Ultrasound ◽  
Rapid Test ◽  
Obstetric Care ◽  
Maternity Hospital ◽  
Lung Damage ◽  
Non Profit ◽  
Pregnancy And Delivery

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.

scholarly journals HUBUNGAN MALARIA DENGAN TNF-α DAN KADAR HEMOGLOBIN PADA IBU HAMIL DI KABUPATEN BOLAANG MONGONDOW UTARA

2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Vincente L. Pranata ◽  
Joice N. A. Engka ◽  
Nelly Mayulu
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Transmitted Disease ◽  
Rapid Test ◽  
Hemoglobin Level ◽  
Chi Square ◽  
Purposive Sampling ◽  
Tnf Α ◽  
The World ◽  
Α Level

Abstract: As an infectious transmitted disease, malaria has been a tremendous health problem around the world. Indonesia is determined as one of the 104 malaria-endemic countries in the world. Pregnant women are easier infected by malaria compared with the general population. People suffered from malaria may have low haemoglobin and high TNF-α levels. The increased TNF α level may cause bad complication or mortality in malaria patient. This study aimed to determine the levels of hemoglobin and TNF-α among pregnant woman with malaria in Kabupaten Bolaang Mongondow Utara. This was a cross-sectional study. Samples were obtained by using purposive sampling method. Besides using questionnaire, there were three laboratory tests conducted in this study: peripheral blood smear with Giemsa staining for detection of plasmodia; hemoglobin level with rapid test hemoglobin; and TNF-α level with ELISA. The bivariate analysis showed that of 72 pregnant women there was only one (1.4%) with positive malaria and increased TNF-α level. There was no pregnant woman with malaria had low hemoglobin level. The chi square test showed a P value 1,00 (α = 0,05). Conclusion: There was no relation between plasmodium infection and the levels of TNF α and hemoglobin among pregnant women in Kabupaten Bolaang Mongondow Utara.Keywords: hemoglobin, TNF-α, malaria, pregnant womanAbstrak: Malaria merupakan penyakit menular yang menjadi masalah kesehatan masyarakat di dunia. Indonesia merupakan salah satu dari 104 negara yang termasuk negara endemis malaria. Wanita hamil lebih mudah terinfeksi malaria dibandingkan populasi umumnya. Malaria dapat menyebabkan penurunan kadar hemoglobin dan peningkatan kadar TNF-α. Peningkatan kadar TNF-α dapat mengakibatkan komplikasi berat bahkan kematian pada penderita malaria. Penelitian ini bertujuan untuk mengetahui kadar TNF-α dan hemoglobin pada ibu hamil dengan malaria di Kabupaten Bolaang Mongondow Utara. Penelitian ini menggunakan desain potong lintang. Sampel diperoleh dengan metode purposive sampling. Selain kuesioner juga digunakan pemeriksaan laboratorium yaitu hapusan darah tepi dengan pengecatan Giemsa untuk deteksi plasmodium, kadar hemoglobin dengan rapid test hemoglobin, dan kadar TNF-α dengan teknik ELISA. Hasil analisis bivariat menunjukkan dari 72 ibu hamil hanya 1 orang (1,4%) yang positif malaria dengan kadar TNF-α tinggi sedangkan kadar TNF-α yang normal dan positif malaria tidak ada (0,00%). Analisis bivariat memperlihatkan dari 72 sampel ibu hamil ditemukan 1 sampel dengan kadar TNF-α meningkat dan positif malaria. Tidak ditemukan ibu hamil yang terinfeksi malaria dengan kadar hemoglobin rendah. Hasil uji chi square (α = 0,05) menunjukkan nilai P = 1,00. Simpulan: Tidak terdapat hubungan infeksi parasit plasmodium dengan kadar TNF-α dan hemoglobin pada ibu hamil di Kabupaten Bolaang Mongondow Utara.Kata kunci: hemoglobin, TNF-α, malaria, ibu hamil

scholarly journals Childbirth care after the implementation of the Carioca Stork Program: the perspective of nursing

Rev Rene ◽  
2015 ◽  
Vol 16 (5) ◽  
pp. 631
Author(s):  
Ana Elisa Fernandes Lima ◽  
Leila Justino da Silva ◽  
Marianne De Lira Maia ◽  
Adriana Lenho de Figueiredo Pereira ◽  
Marcele Zveiter ◽  
...  
Keyword(s):  
Content Analysis ◽  
Pregnant Women ◽  
Obstetric Care ◽  
Descriptive Study ◽  
Maternity Hospital ◽  
Qualitative Approach ◽  
Thematic Content Analysis ◽  
Obstetric Nurses ◽  
Municipal Health ◽  
Childbirth Care

Objective: to describe the actions recommended by the Carioca Stork Program for assistance to pregnant women and identifywhether the implementation of this program had repercussions on the assistance from the perspective of the nursingteam. Methods: descriptive study with a qualitative approach, conducted in a public maternity hospital. Semi-structuredinterviews were conducted with four obstetric nurses and seven nursing auxiliaries who work at the obstetric center of thismaternity hospital. We used the technique of thematic content analysis. Results: the study categories were: Qualification ofthe hospital obstetric care, care and professional repercussions from the Carioca Stork Program. Conclusion: the nursingstaff considered that the implementation of the program brought improvements in childbirth care, favored women’s rightsand the performance of obstetric nursing in the municipal health network. 

scholarly journals The evaluation of completeness of examination of eye-ground in ambulatory conditions in pregnant women on the basis of results of their interviewing

2019 ◽  
Vol 61 (2) ◽  
pp. 64-69
Author(s):  
Yu. G. Isaeva ◽  
Tamara P. Sabgayda
Keyword(s):  
Retinal Detachment ◽  
Medical Care ◽  
Pregnant Women ◽  
Rapid Development ◽  
Maternity Hospital ◽  
Eye Diseases ◽  
Care Level ◽  
Comprehensive Examination ◽  
Pregnancy And Delivery ◽  
Rest Condition

The pregnancy and delivery can provoke development of retinal detachment in women in the presence of pathological alterations of eye-ground. The rapid development of ophthalmology and amelioration of material and technical resources of medical organizations processing out-patient reception permit hoping for comprehensive examination of eye-ground of all pregnant women. The study was carried out with purpose to evaluate completeness of examination of eye-ground of pregnant women in out-patient conditions. The methods. The questionnaire survey was organized concerning women at the last month of pregnancy being for treatment in department ofpregnancy pathology in a certain maternity hospital under large multifield hospital of Moscow in 2014-2015. The analysis was applied to answers of 481 women concerning completeness of their examination by ophthalmologist at out-patient stage of observation. The analysis of grounds for alertness of ophthalmologists concerning risk of retinal detachment was implemented on the basis of data from state statistical reporting form № 12 about morbidity of Russian population (including girls aged from 15 to 17 years) with eye diseases and its adnexa (2005-2015), myopia (2005-2014), degenerative myopia and retinal detachment with rupture (2014-2015). Conclusions. The study established that every ninth women (11.2%) miss visiting to ophthalmologist during pregnancy; in all the rest, condition of periphery of eye-ground was not examined properly i. e. examination of eye-ground under mydriasis is implemented in 41.2% of cases and in case of one-time visit (54.2%) only in 33.7% of cases. The absence of mandatory examination of eye-ground at wide pupil of pregnant women by ophthalmologists of primary medical care level deprive of any sense recommendation about twice visit to oculist during pregnancy period. The observed deterioration of ophthalmic health ofpopulation provoke no interest in oculists ofprimary medical care level to increasing of alertness related to risk of retinal detachment during natural delivery. There are grounds to expect further increasing of development of retinal detachment in women during natural delivery.

scholarly journals Risk Assessment for Preterm Delivery using the Fetal Fibronectin Test Associated with the Measurement of Uterine Cervix Length in Symptomatic Pregnant Women

2018 ◽  
Vol 40 (09) ◽  
pp. 507-512
Author(s):  
Tadeu Pinheiro Filho ◽  
Vanessa Pessoa ◽  
Thaisa Lima ◽  
Marcela Castro ◽  
José Linhares
Keyword(s):  
Pregnant Women ◽  
Preterm Delivery ◽  
Uterine Cervix ◽  
Rapid Test ◽  
Maternity Hospital ◽  
Fetal Fibronectin ◽  
Delivery Date ◽  
The Mean ◽  
Mean Time ◽  
Larger Sample

Objective To analyze the use of the measurement of uterine cervix length (MUCL) and the fetal fibronectin (fFN) rapid test as predictors of preterm delivery (PTD) in symptomatic pregnant women assisted at the Santa Casa de Misericórdia de Sobral Maternity Hospital. Methods This was a prospective and analytic study involving 53 parturients assisted between September of 2015 and July of 2016; the participants were between 24 and 34 weeks of gestational age (GA) and presented complaints related to preterm labor (PTL) prodromes. Vaginal secretion was collected for fFN testing, and the MUCL was obtained via transvaginal ultrasonography. Results A total of 58.49% of the subjects showed MUCL < 25 mm, and 41.51% were positive in the fFN rapid test. A total of 48 patients were followed-up until their delivery date, and 54.17% resulted in PTL. The relative risk (RR) for PTD in patients with MUCL < 25 mm was 1.83 (p = 0.09, 0.99–3.36, 95% confidence interval [CI]), with a mean time before delivery of 2.98 weeks. Based on fFN positive results, the RR was 3.50 (p = 0.002, 1.39–8.79, 95%CI) and the mean time until delivery was 1.94 weeks. The RR was 2.70 (p = 0.002, 1.08–6.72, 95%CI) when both tests were used. The RR of PTD within 48 hours, and 7 and 14 days were, respectively, 1.30 (p = 0.11, 95% CI 1.02–1.67), 1.43 (p = 0.12, 95% CI % 0.99–2.06), and 2.03 (p = 0.008, 95% CI 1.26–3.27), when based on the MUCL, and 1.75 (p = 0.0006, 95% CI 1.20–2.53), 2.88 (p = 0.0001, 95% CI, 1.57–5.31), and 3.57 (p = 0.0002, 95% CI 1.63–7.81) when based on positive fFN results. The RR at 48 hours and 7 and 14 days considering both tests was 1.74 (p = 0.0001, 95% CI 1.14–2.64), 2.22 (p = 0.0001, 95% CI 1.22–4.04), and 2.76 (p = 0.0002, 95% CI 1.27–5.96), respectively. Conclusion In symptomatic pregnant women, we concluded that the MUCL < 25 mm associated with positive fFN rapid test indicate increased the risk for PTD. Further studies with larger sample sizes could contribute in supporting the results presented in the current study.

scholarly journals The influence of physical activity, specialized exercises and diet on pregnancy and delivery according to pregnant women attending a childbirth school

2021 ◽  
Vol 11 (12) ◽  
pp. 89-138
Author(s):  
Julita Spychalska
Keyword(s):  
Physical Activity ◽  
Pregnant Woman ◽  
Pregnant Women ◽  
Research Methodology ◽  
Eating Habits ◽  
Research Area ◽  
Survey Method ◽  
Physically Active ◽  
Pregnancy And Delivery ◽  
Satisfactory Answer

The aim of the study was to show whether pregnant women are physically active and what their eating habits look like during pregnancy. To obtain a satisfactory answer, the questions were asked, the diagnostic survey method was used, and the technique was a questionnaire consisting of 18 questions. The first theoretical part shows the issues related to physical activity and the diet of a pregnant woman. The second-research part presents the entire research methodology - techniques, methods, hypotheses, theses, research tools and research area. In the final part, the results of the research, summary and conclusions are presented.

scholarly journals Urinary tract infection among pregnant women in Al-Mukalla district, Yemen

2005 ◽  
Vol 11 (3) ◽  
pp. 505-510
Author(s):  
A. M. Al Haddad
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract Infection ◽  
Pregnant Woman ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
Maternity Hospital ◽  
Age Group ◽  
Sensitivity Tests ◽  
Culture And Sensitivity

Urinary tract infection [UTI] is a common problem in pregnant woman. This study examined the frequency of UTI in 137 pregnant women attending Al Mukalla maternity hospital from January to June 2002. Urine samples were examined for UTI microscopically and by culture, and sensitivity tests were done for the organisms isolated using a range of antibiotics. Information on age, trimester, parity and number of pregnancies were also collected for each woman. This study showed that 30% of the women suffered from UTI; Escherichia coli was the most frequently isolated organism [41.5%], and it was highly susceptible to chloramphenicol, ciprofloxacin, ceftizoxime and amikacin. Of the variables examined, 53.7% of the infected women were in the age group 15-24 years, 48.8% were in their 3rd trimester and 75.6% had 1-3 children

Clinical case of periostitis in pregnant women complicated by sepsis

2020 ◽  
pp. 61-63
Author(s):  
S. Sh. Kakvaeva ◽  
M. A. Magomedova ◽  
A. N. Dzhalilova
Keyword(s):  
Pregnant Woman ◽  
Multiple Organ Failure ◽  
Pregnant Women ◽  
Organ Failure ◽  
Clinical Case ◽  
Clinical Observation ◽  
Infectious Agent ◽  
Modern Medicine ◽  
Multiple Organ ◽  
Number Of Patients

One of the most serious problems of modern medicine is sepsis. The number of patients undergoing this complication is 20–30 million (WHO) annually and has no tendency to decrease. Sepsis is characterized by severe multiple organ failure due to a violation of the response of the macroorganism to an infectious agent. Moreover, it is dangerous with high mortality. Sepsis often develops in patients with immunodeficiency conditions, which primarily include pregnant women. The article presents a clinical observation of a case of periostitis in a pregnant woman complicated by a septic state.

Evaluation of the results of planned open surgical interventions in primary chronic vein disease in pregnant women

2020 ◽  
pp. 51-56
Author(s):  
V.М. Аntonyuk-Kysil ◽  
◽  
І.Y. Dziubanovskyi ◽  
V.М. Yenikeeva ◽  
S.І. Lichner ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Postoperative Period ◽  
Postpartum Period ◽  
Clinical Manifestations ◽  
Lower Extremities ◽  
Vascular Surgeon ◽  
Surgical Interventions ◽  
Perinatal Center ◽  
Vein Disease

The objective: to evaluate the results of planned open surgical interventions (POSI) in pregnant women with primary symptomatic chronic vein disease (PSCVD). Materials and methods. The study included 457 pregnant women operated on a routine basis with PSCVD. The patients underwent ultrasound duplex angioscanning (USDA) of the veins of the lower extremities, inguinal canals, and iliac veins. The severity of the clinical manifestations of PSCVD was evaluated on a VCSS scale. With the help of the circadian visual-analog scale, the dynamics after the operative pain were studied. The effect of POSI on uterine tone and cardiac function of the fetus was investigated using cardiotocography. When forming the results for POSI, data from USDA, the severity of clinical and cosmetic manifestations of PCVD, the need for active prevention of thrombophlebetic, thromboembolic and hemorrhagic complications, minimization of surgical childbirth were taken into account. The results of treatment were studied in 2 groups of patients. Patients of the first group were treated with conservative therapy, the second group – POSI. Parametric indicators, which were presented as mean and standard error M(SD), were used for statistical data processing of the study, and their reliability was estimated using Student’s t-test. The species was determined to be significant at p<0.05. Results. 495 POSI were performed at 28-38 weeks gestation in an obstetric hospital (perinatal center), by a vascular surgeon from the staff of the center, who was familiarized with the peculiarities of working with this contingent of patients. Surgery was performed under local anesthesia in 346 (75.49%) pregnant women at one extremity, in 111 (24.51%) – at two in one session. According to the results of the study, it was noted that in the first group 33.7% of patients had a positive clinical result due to the reduction of pain syndrome, while 67.5% of patients had an increase and spread of varicose transformation in the area of saphenous and/or non-saphenous veins with spread of pathological venous reflux in the distal direction. 78% of patients had the need to administer prophylactic doses of low molecular weight heparins, both during pregnancy and in postpartum period. Out of 126 pregnant women with pronounced varicose veins of the external genital organs and perineum in 36 (28.6%) deliveries were performed by caesarean section. In 9 (3%) patients there was an acute thrombophlebitis of the subcutaneous veins of the lower extremities, which required 5 pregnant women to undergo urgent surgery when the inflammatory process had spread to the middle and above along the femoral vein of the large subcutaneous vein. Pregnant women of the second group with PSCVD on the basis of obstetric hospital (perinatal center) POSI were performed in the organization, which laid the ideology of the FTS program, strictly individual indications for intervention in the optimal terms of pregnancy, multidisciplinary management of patients, due to this in 93% of operated patients regression of clinical manifestations of the disease was noted, whch contributed to the correct and safe delivery of pregnancy with 100% absence of preterm birth, abnormalities in fetal development, pregnancy course, negative impact on obstetric and somatic condition of the pregnant woman. No hemorrhagic, thrombophlebic, thromboembolic complications were noted. Patients in the postoperative period did not require medical support, as during the period of pregnancy, during delivery and in the postpartum period. There were no indications for surgical delivery. 2.4% of patients experienced complications of post-operative wounds in the form of cheese, which had no effect on pregnancy and was eliminated before delivery. In the postoperative period, if necessary, it was recommended to use elastic compression class garments 1–2. Conclusion. POSI made at PSCVD in optimal terms of pregnancy in a specialized obstetric hospital by a vascular surgeon in strictly individual indications is safe, both for the fetus and the pregnant woman. It is promising to further study the results of POSI in pregnant women with PSCVD to introduce it into the arsenal of treatment of this pathology. Key words: FTS ideology, planned open surgical interventions in pregnant women.

Linkage between H. pylori Infection and TNF-α polymorphism in The Pregnant Women

2018 ◽  
Vol 9 (SPL1) ◽  
Author(s):  
Ghaidaa Raheem Lateef ◽  
Azhar Omaran Al-Thahab
Keyword(s):  
Pregnant Women ◽  
Serum Antibody ◽  
Rapid Test ◽  
Negative Group ◽  
Positive Group ◽  
Gynecology And Obstetrics ◽  
Tnf Α ◽  
Significant Difference ◽  
Pcr Products ◽  
H Pylori

A study was performed on 100 pregnant women in the outpatient department of gynecology and obstetrics of Maternity and Children Hospital in Al-Diwaniya City during the period between (March to September 2016). One hundred blood samples (50 for patients and 50 for control) were collected under the supervision of the treating gynecologist. The detection of Helicobacter. pylori was done by the use of the serum antibody Rapid test. The results showed that 50 (100%) were positive and 50 (100%) were negative for H. pylori in above method.All blood of patients and control samples were used for the extraction of genomic DNA,where the 107 bp PCR product size. Genotyping of the TNF-α-308 SNP (G/A)was performed by restriction fragment length polymorphism PCR (RFLP-PCR). PCR products were digested with restr NcoI iction enzyme. Individuals with the TNF-α-308(GG) homozygote produced digested DNA bands at 80,and 20 bp bp. A heterozygous genotype ofTNF-α-308 (GA)produced 107 bp,80 bp,and 20 bp bands. Individuals with the TNF-α-308 (AA) homozygote genotype had no amplicon digested and generated only one band of 107 bp. There was a significant difference in the frequency of the TNF-α-308(GG)genotype between H. pylori positive group and H. pylori negative group(72%,78% respectively). Also for GA genotype,there was a significant difference between H. pylori positive group and H. pylori negative group(24%,18% respectively). Concerning the frequency of the TNF-α-308 (AA)genotype between H. pylori positive group and H. pylori negative group,there was no significant difference between the two groups.

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