scholarly journals TACTICS OF THE MANAGEMENT OF PREMATURE DELIVERIES: TO WHAT PATIENTS TOCOLYSIS IS INDICATED AND SHOULD HELP

2018 ◽  
Vol 5 (1) ◽  
pp. 49-54
Author(s):  
Irina V. Ignatko ◽  
E. A Shvyreva ◽  
V. A Lebedev ◽  
A. A Churganova ◽  
N. A Bogacheva ◽  
...  
Keyword(s):  
Premature Birth ◽  
Pain Syndrome ◽  
Hearing Disorders ◽  
Competitive Antagonist ◽  
Neurologic Diseases ◽  
Early Neonatal Mortality ◽  
Early Neonatal Mortality Rate ◽  
Rational Management ◽  
Drug Leads ◽  
The City

The urgency of the problem of premature birth (PB) is caused due to a high early neonatal mortality rate among preterm infants (60-70%), the prevalence rate of neurologic diseases (up to 50%), including infantile cerebral palsy, visual, hearing disorders and other chronic diseases. The frequency of PB in the population varies between 7 and 15%, however, despite the great possibilities of modern midwifery, there is a pronounced tendency to increase this index. The analysis of the lethality of prematurity in perinatal centers of the Department of Healthcare of the city of Moscow in 2016, obviously shows the main part of it to be presented by with extremely low body weight infants. Thus, preventing the premature birth, especially at the term of 24-27 weeks, is an important task for medicine all over the world. Atosiban (tractocile) - a competitive antagonist of human oxytocin at the level of receptors, the first drug designed to inhibit labor. For the purpose of tocolysis 54 women at the 26-34 weeks of the gestation period got the treatment with tractocile. Tocolysis with atosiban was effective in 90.7% of cases with a slight shortening of the cervix (no more than 5 mm) regardless of the gestational age. The introduction of the drug leads to a decrease in the intensity and jugulating pain syndrome in the first 6 hours following the administration, which confirms its effectiveness and allows increase chances of a favorable outcome of pregnancy. The absence of the infection of the kidneys and urinary tracts during pregnancy and genital tract, the onset of tocolysis up to the 31st week of the gestation and the absence of ischemic-cervical insufficiency, which indicates the need for quality and rational management of pregnancy at the outpatient stage are most important factors for the success of tocolysis and prolongation of pregnancy for more than 48 hours.

Reducing pain in certain forms of obstetric pathology: nonsteroidal anti-inflammatory drugs (Сlinical lecture)

2017 ◽  
pp. 9-14
Author(s):  
L. Nazarenko ◽  
Keyword(s):  
Preterm Birth ◽  
Side Effects ◽  
Key Words ◽  
Clinical Efficacy ◽  
Premature Birth ◽  
Pain Syndrome ◽  
Inflammatory Drug ◽  
Threatened Abortion ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

The article discusses the pathogenetic basis for the use of non-steroidal anti-inflammatory drugs (NSPVP) in obstetric practice for the treatment of pain syndrome in women with threatened abortion and pathological preliminary period. Provided with modern views on the mechanisms of analgesic clinical efficacy, side effects NSPVP. Provides information about the place of NSPVP during pregnancy, the risks to the fetus, the positive aspects in the conduct of women at risk of preterm birth, the pathological preliminary period. Key words: nonsteroidal anti-inflammatory drug, pain, premature birth, preliminary period.

scholarly journals Early neonatal mortality rate and the risk factors in Wangaya hospital

2016 ◽  
Vol 48 (5) ◽  
pp. 306
Author(s):  
Made Lndah Nastiti Utami Budha ◽  
Wayan Retayasa ◽  
Made Kardana
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Mortality Rate ◽  
Neonatal Mortality ◽  
Gestational Age ◽  
Neonatal Death ◽  
Early Neonatal Death ◽  
Neonatal Mortality Rate ◽  
Early Neonatal Mortality ◽  
Early Neonatal Mortality Rate

Background The first week of life of a neonate is a critical period.In Asia, early neonatal mortality rate remains high.Objective To investigate early neonatal mortality rate and the riskfactors in Wangaya Hospital.Methods A cross sectional study was carried out retrospectivelyon neonates registered at Perinatology Unit, Wangaya HospitalDenpasar, Bali since January 2006. The study was done fromOctober to November 2007. Data was obtained from medicalrecord, analyzed as univariate using chi-square test or Fisher'sexact test and multivariate logistic regression analysis model.Results Early neonatal mortality rate in Wangaya Hospital was 38.7per 1000 livebirths. Univariate analyses showed that there werefive significant risk factors of early neonatal death, i.e., respiratorydistress, asphyxia, birth weight less than 2500 grams, sepsis, andgestational age less than 3 7 weeks. Multivariate analysis showedthat those five variables were significant as risk factors of earlyneonatal death i.e., OR (95% confidence interval) for respiratorydistress: 16.8 (3.7 to 76.6)], asphyxia: 13.5 (6.1 to 29.9)], birthweight <2500 grams: 8.1 (3.3 to 19.9)], sepsis: 7.3 (3.1 to 17.1),and gestational age <37 weeks: 3.5 (1.6 to 7.8)].Conclusions Early neonatal mortality rate in Wangaya Hospitalremains high. Respiratory distress, asphyxia, birth weight <2500gram, sepsis, and gestational age <37 weeks were independent riskfactors of early neonatal death.

scholarly journals Evaluation of vaginal birth safety in twin pregnancies with the first twin in cephalic presentation

2021 ◽  
Vol 3 (3) ◽  
pp. 59-63
Author(s):  
Bekir Kahveci ◽  
Mehmet Sukru Budak ◽  
Ihsan Baglı ◽  
Sedat Akgol
Keyword(s):  
Neonatal Mortality ◽  
Vaginal Birth ◽  
Neonatal Outcomes ◽  
Cesarean Birth ◽  
Early Neonatal Mortality ◽  
Mode Of Birth ◽  
Adverse Neonatal Outcomes ◽  
Early Neonatal Mortality Rate ◽  
Vertex Presentation ◽  
Twin Pregnancies

Objective: To evaluate vaginal birth safety by comparing the results of cesarean birth in twin pregnancies with the first twin in vertex presentation. Material and methods: A retrospective cohort study of vertex-presenting twin pregnancies between 32 weeks 0 days and 38 weeks 6 days of gestation was conducted at our hospital from January 2013 to December 2014. The study population was divided according to the mode of birth. The primary outcome was early neonatal mortality, and secondary outcomes related to maternal and perinatal clinical characteristics were analysed between the groups. Results: Of 45,166 births, 1.92% (n = 869) were twin pregnancies. Of the 295 pregnancies meeting the study criteria, 30.16% (n = 89) were in the vaginal birth group, while the remaining 69.84% (n = 206) were in the cesarean birth group. In the vaginal birth group, all the first twins were delivered via vaginal birth, while among the second twins, 82.03% (n = 73) were delivered via vaginal birth, and the remaining 17.97% (n = 16) were delivered via cesarean birth. In the vaginal birth group, the early neonatal mortality rate was 22.4‰ (n = 2), and it was 9.7‰ (n = 2) in the cesarean birth group. All of the deaths occurred in pregnancies under 37 weeks of gestation. Conclusion: The neonatal outcomes between the vaginal birth and cesarean birth groups were similar in term pregnancies with the first in twin vertex presentation, whereas adverse neonatal outcomes were increased in the vaginal birth group in preterm second twin pregnancies.

scholarly journals Multiple Pregnancy as a High-Risk Pregnancy. Medical statistical data from the German Democratic Republic

1972 ◽  
Vol 22 (S1) ◽  
pp. 3-6 ◽  
Author(s):  
I. Leetz
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Multiple Pregnancy ◽  
Bed Rest ◽  
Multiple Birth ◽  
Neonatal Deaths ◽  
Early Neonatal Mortality ◽  
Risk Pregnancy ◽  
Early Neonatal Mortality Rate ◽  
Early Neonatal Deaths

In 1969 children of a multiple birth in the GDR made up 1.9% of livebirths and 15.3% of early neonatal deaths. The early neonatal mortality rate of children from a multiple birth was 95.7‰, that of all live-births 12.4‰. The cause was the low birth weight of children from a multiple birth (56.2% vs. 5.8% of all livebirths). Their low birth weight is the result of a hypotrophic development caused by malnutrition. The loss of children from a multiple birth (stillbirths, early neonatal and postneonatal deaths) was 143‰. International experience has shown that such heavy losses can be largely prevented by bed rest of the woman with a multiple pregnancy. We therefore strongly recommend early diagnosis and early in-patient care of women with multiple pregnancy.

scholarly journals ENVIRONMENTAL CITIZENSHIP FOR THE RATIONAL MANAGEMENT OF HOUSEHOLD AND SIMILAR WASTE IN THE CITY OF BEJAIA, ALGÉRIA (REPORT AND LIMITS)

2021 ◽  
Vol 31 (2) ◽  
pp. 164-177
Author(s):  
Aid ABDELHALIM ◽  
◽  
Bouadam ROUKIA ◽  
Keyword(s):  
Living Environment ◽  
Household Waste ◽  
Negative Behavior ◽  
Great Contribution ◽  
Environmental Citizenship ◽  
Shared Management ◽  
Rational Management ◽  
The City ◽  
Collection Phase

The problematic of rational management of household and similar wasteis a responsibility shared between all the actors of the city. The citizen or user has a great contribution in the success of this management. This by contribution to the realization of their duty and right in the collection of household and similar waste (HSW). The objective of this study is to examine the degree of enrollment of environmental citizenship in relation to the management of (HSW) in the collection and pre-collection phase in the city of Bejaia. The amount of waste generated in this city continues to increase (0.84 Kg/d /Inhabitant), with a daily tonnage which reaches 191 tonnes. These quantities of household waste produced and thrown away daily appear dispersed and scattered randomly in the sectors of the city. This observation reflects the negative behavior of the inhabitants, and has caused several consequences on the living environment, and on the tourist vocation of the city in general. This does not allow the city to play its functionality and represents a discomfort in front of all users, and particularly a failure in front of the actors of this city. Resorting to the implementation of shared management will allow the city of Bejaia to strengthen the level of environmental citizenship. Thus, correct the level of offset in the collection phase.

Influence of the wars in Croatia and Bosnia and Herzegovina on the incidence and outcome of singleton premature births in the Split University Hospital

Open Medicine ◽  
2008 ◽  
Vol 3 (2) ◽  
pp. 187-193 ◽  
Author(s):  
Ivana Pavlinac ◽  
Ana Marin ◽  
Maja Valić ◽  
Jelena Marušić ◽  
Damir Roje ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Preterm Delivery ◽  
Bosnia And Herzegovina ◽  
University Hospital ◽  
Hospital Data ◽  
Neonatal Mortality Rate ◽  
Early Neonatal Mortality ◽  
Gynecology And Obstetrics ◽  
Early Neonatal Mortality Rate

AbstractTo investigate the influence of the wars in Croatia and Bosnia and Herzegovina on incidence and perinatal outcome of singleton preterm births at the Department of Gynecology and Obstetrics in the Split University Hospital. Data were collected by reviewing patients’ files at the Department of Gynecology and Obstetrics from three periods: the three years before the war (1988–1990), during the war (1992–1994), and after the war (1996–1998). A total of 2,358 patients’ files of singleton preterm delivery were analyzed. Singleton preterm delivery rate decreased during the war (5.02%) and post-war period (4.74%) compared to the pre-war period (6.19%). Stillbirth and early neonatal mortality rates of singleton premature babies significantly increased during the war to 226%, compared to 193% before the war and 134% after the war. Early neonatal mortality rate was 215% during the war, 209% in the pre-war period, and 156% after the war. Despite the continuous decrease in singleton preterm birth rate throughout the observed periods, the increase in stillbirth rate and early neonatal mortality rate during the war might have been caused by the war. This may be due to primary gynecological care being inadequate for many pregnant women.

scholarly journals Birth Defects in Singleton versus Multiple ART Births in Japan (2004–2008)

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Syuichi Ooki
Keyword(s):  
Neonatal Mortality ◽  
Birth Defects ◽  
Reference Group ◽  
Reproductive Technology ◽  
Neonatal Mortality Rate ◽  
Early Neonatal Mortality ◽  
Number Of Children ◽  
Early Neonatal Mortality Rate ◽  
The Mean ◽  
The Impact

The purpose of the present study was to evaluate the relative risk (RR) of multiple births for birth defects after assisted reproductive technology (ART) using Japanese nationwide data from 2004 to 2008 with singletons as the reference group. In multiples compared to singletons, the percentage of birth defects per pregnancy were significantly higher (RR = 1.88, 95% confidence interval (CI) 1.60–2.13), the percentage of birth defects per live birth was not significantly higher (RR = 0.90, 95% CI 0.78–1.05 or RR = 0.94, 95% CI 0.81–1.10), and the early neonatal mortality rate was significantly higher (RR = 2.68, 95% CI 1.52–4.70 or RR = 2.80, 95% CI 1.60–4.92). The early neonatal mortality per 10,000 live births was slightly higher in ART (5.09) than in the general population (3.86). We concluded that the impact of birth defects after ART would be larger in families with multiples compared to families with singletons, since the mean number of children would be larger in the former.

scholarly journals Eye Refraction in Doubly Exchanged Monozygotic Twins

2019 ◽  
Vol 22 (03) ◽  
pp. 177-182
Author(s):  
Nancy L. Segal ◽  
Yesika S. Montoya ◽  
Fernando Y. Peña ◽  
Stephany Burgos ◽  
Ximena Katz
Keyword(s):  
Premature Birth ◽  
Reading Time ◽  
Experimental Approach ◽  
Monozygotic Twins ◽  
Normal Vision ◽  
Corrected Visual Acuity ◽  
Refractive Status ◽  
The City ◽  
Male Twin

AbstractThis case study examined the hypothesis that longer outdoor time results in normal vision and refractive status, using unique genetically informative kinships. The participants were the members of 29-year-old doubly exchanged monozygotic male twin pairs from Bogotá, Colombia, in South America. Comprehensive ophthalmological examinations, including uncorrected and corrected visual acuity, refraction and keratometry, and visual life history interviews were undertaken; all examinations were conducted by two ophthalmologists blind to the hypothesis, relatedness, and rearing status of the four participants. Normal uncorrected vision and refractive status were present in the two rural-raised, unrelated brothers, relative to their urban-raised counterparts. Uncorrected visual acuities were 20/160 and 20/200 for the city-raised twins and 20/20 and 20/30 for the country-raised twins. Premature birth, low birth weight, computer use, and reading time could not explain these differences. It was concluded that time spent outdoors appears to be a significant factor in the development of myopia, reinforcing extant findings via a novel experimental approach.

scholarly journals Innovative Tools for Improvement of Construction Organization Processes in the Conditions of Dense Urban Development

2021 ◽  
pp. 43-50
Author(s):  
Y. E Arutiunian
Keyword(s):  
Urban Development ◽  
Building Materials ◽  
Systematic Analysis ◽  
Technological Processes ◽  
New Construction ◽  
Rational Management ◽  
Construction Organization ◽  
The Cost ◽  
The City ◽  
Cost Of Construction

Purpose. The article is aimed to create scientific tools based on the analysis of modern innovative approaches and tools to improve the processes of construction organization in the conditions of dense urban development using logistics, which has modern concepts of improving the corresponding processes. Methodology. A systematic analysis of scientific works in terms of problems of organization of construction processes taking into account the conditions of dense development, which serves as a platform for the introduction of innovative tools based on the field of logistics knowledge. Findings. The expediency of using logistical approaches and concepts is substantiated, taking into account external factors and limitations that are caused by the environment and configuration of the site, causing difficulties for the internal organization of construction. Logistics tools (approach) allow more efficient use of scientific and practical potential in the further development of methods for improving organizational and technological solutions of construction production under conditions of the functional and planning infrastructure of cities. Principles of logistics will allow to balance construction production in the conditions of dense building; to use flexible tools as an opportunity to make changes in the schedule of material purchase, changes in terms of delivery of building materials, designs, details; minimize stocks of building materials. Originality. Based on scientific research, a model of optimization of organizational construction processes is presented, taking into account the conditions of dense urban development and functional and planning infrastructure of cities. A qualitatively new specialized scientific and practical sub-branch of knowledge, construction logistics, was created for complex conditions of urban development to perform organizational and technological processes of new construction. Practical value. The use of logistics approaches will improve and optimize the processes of construction organization, taking into account the essential factors of functional and planning infrastructure of the city, in which it is necessary to make rational management decisions. Flexibility, alternativeness of production and economic situations and transport networks during the complex organizational and technological processes of construction make it possible to reduce the cost of construction and installation works and help reduce the duration of construction.

scholarly journals FEATURES OF CLINICAL MANIFESTATIONS OF GONARTHRITIS IN WOMEN WITH HYPERTENSION AND OVERWEIGHT

2021 ◽  
Vol 48 (1) ◽  
Author(s):  
I. M. Fushtey ◽  
A. M. Pidlubna
Keyword(s):  
Informed Consent ◽  
Musculoskeletal System ◽  
Social Problem ◽  
Clinical Symptoms ◽  
Clinical Manifestations ◽  
Pain Syndrome ◽  
The Body ◽  
City Hospital ◽  
The City ◽  
Passive Movements

Abstract One of the diseases that is quite common in modern rheumatology and leads to dysfunction of the musculoskeletal system and creates a major medical and social problem, is gonarthrosis. The incidence of degenerative-dystrophic diseases in HA in women is two to four times higher than in men. In order to establish the patterns of clinical manifestations of GA in women with hypertension (GC) and overweight (HB) of the body, on the basis of the rheumatology department of the city KNP «City Hospital №10» ZMR (Zaporozhye), with informed consent, was prospectively examined 198 women for the period 2018–2020. According to the results of the study, a significant (p <0.05) deterioration of clinical symptoms in women with a combined course of HA with GC and HB, relative to the isolated course of HA, on the indicators: pain during active and passive movements and palpation, stiffness, crepitation and swelling of the joints. The correlations between clinical manifestations of HA, arthrosonographic data and BMI have been established. The characteristics of the pain syndrome associated with exercise, impaired mobility and functionality of the joints significantly increased with increasing stage of GA, joining comorbid pathology and increased BMI.  Keywords: gonarthrosціis, comorbidity, hypertension, overweight.

Sign in / Sign up

Export Citation Format

Share Document