scholarly journals Comparative Analysis of Memory and Alertness in the Perioperative Period of Operative Delivery in Pregnant Women With Preeclampsia and Without it With Different Kinds of Anesthesia

2021 ◽  
Vol 10 (2) ◽  
pp. 268-275
Author(s):  
A. V. Shchegolev ◽  
D. M. Shirokov ◽  
O. A. Chernykh ◽  
B. N. Bogomolov ◽  
A. I. Levshankov
Keyword(s):  
Pregnant Women ◽  
Perioperative Period ◽  
Normal Pregnancy ◽  
Reproductive Age ◽  
Test Results ◽  
Self Assessment ◽  
Anesthetic Care ◽  
Before And After ◽  
Combined Anesthesia ◽  
Anesthesia Technique

Relevance. The article investigates the choice of anesthesia technique during a caesarean section, which would minimally affect such components of cognitive functions as memory and alertness.The aim of the study is to increase the safety of anesthetic care in women of reproductive age by choosing the method of anesthesia.Material and methods. Two groups of maternity patients were examined: with a normal pregnancy and preeclampsia. They were tested according to a specially designed examination, which included: MoCA test, Benton’s test, Wechsler’s test, self-assessment questionnaire, hospital scale of anxiety and depression before and after surgical delivery.Results. According to the test results, it was found that memory and alertness in pregnant women were initially reduced (compared to the norm), especially with concomitant preeclampsia. When comparing the test results before and after abdominal delivery, it was found that the deterioration of memory and alertness parameters occurs less after the use of neuraxial methods (spinal and epidural anesthesia) compared to patients who underwent general combined anesthesia. 

scholarly journals Pengaruh Antara Hypnobirthing, Yoga dan Senam Hamil Terhadap Tingkat Kecemasan Ibu Hamil Trimester III Di BPM Griya Bunda Ceria Palembang Tahun 2020

2021 ◽  
Vol 21 (1) ◽  
pp. 305
Author(s):  
Zelpina Herlinda Yanti ◽  
Satra Yunola ◽  
Putu Lusita Nati Indriani
Keyword(s):  
Pregnant Women ◽  
Quantitative Research ◽  
Sampling Technique ◽  
Anxiety Level ◽  
Test Method ◽  
P Value ◽  
Test Results ◽  
Third Trimester ◽  
Before And After ◽  
Post Test

Trimester III is the period of pregnancy which is calculated from the gestational age of the 28th week to the 40th week. Psychological changes in pregnant women are estimated to occur 80%. third trimester. The purpose of this study was to examine the effect of hypnobirthing, yoga and pregnancy exercise on the anxiety level of third trimester pregnant women at BPM Griya Bunda Ceria in 2020. Research method: quantitative research, using the shapiro wilt test method with pre-test and post-test approaches. in this study were all third trimester pregnant women who checked their pregnancy at BPM Griya Bunda Ceria Palembang. Sampling using purposive sampling technique. Data collection was carried out by means of observation using a questionnaire sheet. The results: obtained from a total of 15 respondents. Based on the results of the Shapiro Wilt test, the p-Value is 0.05 where >α = 0.05 means that there is a significant influence between before and after hypnobirthing is done.statistically, the p-Value is 0,000, meaning that there is a significant effect between before and after yoga. Thus the hypothesis which states that there is an effect of yoga on the anxiety level of pregnant women in the third trimester which is statistically proven based on the paired shapiro wilt test, the p-Value is 0.00 in yoga, p-Value is 0.00 in pregnancy exercise, and the statistical test results are said to be related if the value The calculated p-Value <= 0.05 then Ho is rejected, meaning that it is significant, so the conclusion is that the two variables have a relationship, on the contrary, if the calculated p-Value> = 0.05, then Ho is accepted, meaning that the two variables have no significant relationship.

scholarly journals Penurunan Tekanan Darah Wanita Hamil dengan Perendaman Kaki Air Hangat

2020 ◽  
Vol 15 (2) ◽  
pp. 81-89
Author(s):  
Nadia Aryani ◽  
Nofri Zayani
Keyword(s):  
Blood Pressure ◽  
Blood Flow ◽  
Pregnant Women ◽  
Sampling Method ◽  
Warm Water ◽  
Increase Blood Flow ◽  
Test Results ◽  
Paired Sample ◽  
Before And After ◽  
Pharmacological Method

Hydrotherapy non-pharmacological treatment for hypertension during pregnancy needs to be developed because it is safe for mother and fetus. Hydrotherapy soaking feet using warm water can increase vasodilation and increase blood flow, thereby lowering blood pressure. The purpose of this study was to determine the effectiveness of foot soaking with warm water to reduce hypertension in pregnant women. The pre-experimental research design was one group pretest posttest, which measured blood pressure before and after warm water therapy was given to pregnant women with hypertension for three days. The research sample was selected using purposive sampling method and the number was 15 people. Data analysis was performed by using paired sample T-Test. Results: Giving hydrotherapy soaking feet using warm water reduced systolic and diastolic blood pressure in pregnant women (p = 0.000 <0.05). Hydrotherapy is effective in reducing systolic blood pressure by 13-16 mmHg and diastolic by 8-9 mmHg. Conclusion: Hydrotherapy soaking feet using warm water is effective in reducing hypertension of pregnant women who go to dr. Jerry Kp. Kulon waterfall. Suggestion: Apply the foot soaking method with warm water as a non-pharmacological method of hypertension in pregnant women.

scholarly journals Pengaruh Mengkonsumsi Multiple Micro Nutrient (MMN) Terhadap Peningkatan Berat Badan Ibu Hamil

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
RD Rahayu
Keyword(s):  
Weight Gain ◽  
Pregnant Women ◽  
Research Method ◽  
Vulnerable Groups ◽  
Test Results ◽  
Health Ministry ◽  
Average Value ◽  
Increase Weight Gain ◽  
Before And After ◽  
Anemia During Pregnancy

Abstract: MMN, Weight. Pregnant women are one of the vulnerable groups may suffer from anemia because of events that occurred hemodelusi sat pregnancy. MMN is a supplement that contains multivitamins, iron and folate given to pregnant women as one of the Indonesian health ministry programs in an effort to prevent anemia during pregnancy. MMN order to determine the effect on weight gain for pregnant women. The research method to experiment with randomized. The population of 24 male mice. Twenty rats were given MMN. Data analysis using independent t-test. Results: Based on the average value MMN can increase weight gain. There is a difference in weight gain between before and after given MMN.

EFFECT OF INTRAVENOUS OR INTRA-AMNIOTIC INJECTION OF DEHYDROEPIANDROSTERONE SULPHATE ON OESTROGEN LEVELS IN URINE AND SERUM IN LATE PREGNANCY WITH LIVE ANENCEPHALIC FOETUSES

1976 ◽  
Vol 71 (3) ◽  
pp. 305-313 ◽  
Author(s):  
M. MAEYAMA ◽  
S. ICHIMARU ◽  
K. NAKAHARA ◽  
M. NAKAYAMA ◽  
I. MIYAKAWA
Keyword(s):  
Urinary Excretion ◽  
Pregnant Women ◽  
Late Pregnancy ◽  
Normal Pregnancy ◽  
The Other ◽  
Dehydroepiandrosterone Sulphate ◽  
Maximal Level ◽  
Control Value ◽  
Before And After ◽  
Urine And Serum

SUMMARY Dehydroepiandrosterone sulphate (DHAS) was injected intravenously or intra-amniotically into eight volunteers carrying live anencephalic foetuses (including one microcephalic foetus). Urinary and unconjugated serum oestrone, oestradiol and oestriol were measured before and after DHAS administration. In seven pregnant women with live anencephalic foetuses the urinary excretion of oestriol was very low, and the ratio of oestriol to oestrone+ oestradiol was much less than that during normal pregnancy. Increases of urinary oestrone and oestradiol but no significant change in the ratio of oestriol to oestrone + oestradiol were observed 24 h after i.v. administration of DHAS to five patients. In three patients, between 1 and 12 h after i.v. administration of DHAS (100–200 mg), the concentrations of serum oestrone, oestradiol and oestriol increased to 13·5, 6·8 and 3·1 times the control values, respectively. After injection of DHAS (200 mg) intra-amniotically into two patients, the urinary excretion of all three oestrogens increased much more on day 2 than on day 1, and the ratio of urinary oestriol to oestrone + oestradiol rose greatly. On the other hand, the concentrations of unconjugated serum oestrogens in these patients increased progressively between 1 and 12 h or more after DHAS administration, and the maximal level of serum oestriol was 9·8 times the control value while those of oestrone and oestradiol were 4·6 times and 5·0 times the control values, respectively. These results suggest that in late human pregnancy DHAS in the circulation of the mother is converted to oestriol largely via the phenolic pathway (DHAS → oestrone → oestriol), whereas DHAS circulating within the foeto-placental compartment is converted to oestriol via both the phenolic and the neutral intermediates.

scholarly journals Modification of Irisin Level in Overweight/Obese Women during Pregnancy and Its Association with Some Metabolic Risk Factors

2020 ◽  
Vol 17 (3(Suppl.)) ◽  
pp. 1124
Author(s):  
Mohammad Ahmad Hamza ◽  
Yassar Yahya Al Tamer ◽  
Omar Abdulmajeed Al habib
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
First Trimester ◽  
Normal Pregnancy ◽  
Maternity Hospital ◽  
Normal Weight ◽  
Metabolic Risk Factors ◽  
Reproductive Age ◽  
Metabolic Risk ◽  
Obese Women

Irisin is a novel myokine and adipokine, its role during pregnancy and its association with some metabolic risk factors especially pre-pregnancy body mass index (pre-BMI) need more evaluation. The aim of the study is to find whether the pre-BMI could predict irisin levels during normal pregnancy and to clarify associations of irisin with some pathological parameters. Irisin levels were estimated by ELISA in sera of 59 normal pregnant women who enrolled from December 2016 to May 2017 at Maternity Hospital, Zakho city, Kurdistan region (Iraq). Thirty-two normal-weight pregnant (pre-BMI≤24.9 kg/m2, Age=24.03 mean±3.7standard deviation) and 27 overweight/obese-pregnant (pre-BMI>25 kg/m2, Age=27.6 mean±3.9 standard deviation) were accounted for each trimester as10: 8 in first trimester, 10:10 in second trimester and12:9 in third trimester respectively. Twenty-two healthy married non-pregnant women of reproductive age served as controls, accounted as 10 normal-weight women (BMI ≤24.9 kg/m2) and 12 overweight/obese women (BMI>25 kg/m2). In pregnant women as a whole, irisin level significantly increased compared to control (p=0.003), and correlated with the pre-BMI, FBS, TP and HOMA2-IR. Pre-BMI and TP predicted irisin levels in a whole study population (p=0.011 and 0.014 respectively). In Overweight/Obese-pregnant, irisin increased significantly by 55.3% in first trimester compared with Overweight/Obese women control, then decreased progressively toward the end of gestation, correlated with TP, Albumin, FBS, HOMA2-IR and negatively correlated with gestational weight gained. TP and FBS independently predicted irisin level in Overweight/Obese-pregnant group. Conclusion: Circulating irisin levels are influenced by pre-BMI, and both of TP and FBS predict irisin levels in overweight/obese pregnant. Irisin level should be a radical factor in future studies for pathological conditions linked to hypoproteinemias such as edema and hepatic disease.

scholarly journals COVID-19: gender characteristics of the course, perinatal risks and possible ways to prevent complications

2021 ◽  
pp. 14-24
Author(s):  
I.A. Zhabchenko ◽  
I.S. Lishchenko ◽  
N.V. Gerevich
Keyword(s):  
Diabetes Mellitus ◽  
Pregnant Women ◽  
High Body Mass Index ◽  
Risk Groups ◽  
Reproductive Age ◽  
Self Assessment ◽  
Obesity And Diabetes ◽  
Inflammatory Phenotype ◽  
Acquired Immunodeficiency ◽  
The Impact

The article contains modern data of the characteristics, course and impact on pregnant women, postpartum women, fetus and newborn of the SARS-CoV-2. The opinions of experts from different countries of the world on the consequences of coronavirus disease depending on racial, ethnic, age differences and delivery time. Immunological and hormonal protection during pregnancy against viral influences is noted. In the context of a pandemic, the number of premature births (for various reasons) and the birth of children with low birth weight significantly increased, but their relationship with COVID-19 infection has not been proven. Risk factors for the hospitalization of pregnant woman infected with COVID-19 are high body mass index, obesity and concomitant diseases (diabetes mellitus, hypertension. Women in older reproductive age also need hospitalization more often. During pregnancy, innate and adaptive immune responses shift from an inflammatory to an anti-inflammatory phenotype to prevent affection of the fetus and promote passive transmission of maternal antibodies to the fetus. These COVID-19 protection effects are largely mediated by estradiol and progesterone. New data on the impact of COVID-19 on erythropoiesis, hemoglobin and ferritin levels are presented, and risk groups of a more severe course of the disease are identified: elderly adults, patients, patients with arterial hypertension, obesity and diabetes mellitus, pregnant women, patients with primary and acquired immunodeficiency, with oppression of the hematopoiesis, HIV-infected and with cancer. The algorithm of outpatient monitoring of pregnant women during a pandemic (self-assessment of the state, online control, etc.) is given.Some current world protocols for the COVID-19 prevention and treatment have been analyzed and a modification adapted for Ukrainian pregnant women has been proposed. A method is proposed for the prevention miscarriage and nutritional deficits – one of the frequent and dangerous COVID-19 complications in pregnant women.

Determinants of Antenatal Care Utilisation in India: A Count Data Modelling Approach

2021 ◽  
pp. 245513332110303
Author(s):  
Arvind Kumar Yadav ◽  
Susanta Nag ◽  
Pabitra Kumar Jena ◽  
Kirtti Ranjan Paltasingh
Keyword(s):  
Antenatal Care ◽  
Regression Model ◽  
Pregnant Women ◽  
Count Data ◽  
Rural Areas ◽  
Family Health ◽  
Reproductive Age ◽  
Data Regression ◽  
Health Centres ◽  
Before And After

The article explores the micro-level factors (social, economic and demographic) that determine the utilisation of antenatal care (ANC) services in India using the Bayesian count data regression model. The primary purpose is to rectify the methodological loopholes in the existing literature using a count data regression model that overcomes the problems of overdispersion in the data. Using data from ‘National Family Health Survey’ (NFHS) data on women of reproductive age (15–49 years), we find that about 33% of pregnant women have not availed ANC during their pregnancy. The factors such as women’s education and partner/husband’s education, children’s birth order, household income, availability of basic amenities, like clean drinking water, media exposure, holding of bank accounts and use of mobile phones are statistically significant and positively affect ANC utilisation. Therefore, the study calls for prioritisation of and special attention to uneducated or less educated rural pregnant women. They should be incentivised adequately to utilise ANC services, which may drastically reduce inadequacy in ANC utilisation and improve mothers’ health before and after delivery. Awareness camps should be organised in every village in rural areas about pregnancy-related complications and the benefits of ANC check-ups. Massive infrastructure in the form of primary health centres or community health centres is the need of the hour in rural India.

Clinical and microbiological aspects of vaginal microbiota at pregnant with threat of late miscarriages during treatment with vaginal gestagens forms

2017 ◽  
pp. 68-73
Author(s):  
I.P. Polishchuk ◽  
Keyword(s):  
Pregnant Women ◽  
Therapeutic Effect ◽  
Local Treatment ◽  
Vaginal Microbiota ◽  
Control Group ◽  
Before And After ◽  
Low Efficiency ◽  
Late Miscarriage ◽  
Microbiological Aspects ◽  
Micronized Progesterone

The objective: was to examine the effectiveness of treatment of late miscarriage threat by micronized form of progesterone for 100 mg – 3 times a day in the form of gelatin pills and vaginal tablets with lactose. Patients and methods. Under our supervision there were 70 pregnant women with normocenosis of vagina (NCV) without extragenital pathology, which were not performed systemic or local treatment with antibacterial drugs in the last 4 weeks. Among them 25 pregnant women with TLSM treated by gelatin tablets of micronized progesterone (GTP) (group 1); 25 pregnant women with TLSM, treated by vaginal micronized progesterone tablets (VPT) (2nd group) and 20 healthy women with physiological pregnancy – PV (control group). The distribution of women in the group adhered to the principles of randomization. The age of examined women ranged from 19 to 32 years, most pregnant women were aged under 30 years (89.02%). General clinical examination was carried out according to the standard scheme according to the Order MH of Ukraine № 620. Results. During the research we have determined the colpocytologcal dynamics and state of vaginal microbiota in pregnant women with threatened late miscarriage with initial vaginal normocenosis before and after treatment whit vaginal forms of progesterone. Conclusion. The received results showed low efficiency of micronized progesterone gelatin dragee at threat of the late miscarriage that at small therapeutic effect has led to the development of vaginal dysbiosis in all surveyed. In contrast, the use of micronized progesterone vaginal tablets – the maximally rapid therapeutic effect without disturbance of vaginal normocenosis. Key words: the threat of a late miscarriage, vaginal micronized forms of progesterone.

Pathological features of the sequence in pregnant women with delayed fetal growth

2019 ◽  
pp. 50-54
Author(s):  
V.O. Golyanovskiy ◽  
◽  
Ye.O. Didyk ◽  
Keyword(s):  
Pregnant Women ◽  
Intrauterine Growth Restriction ◽  
Normal Development ◽  
Intrauterine Infection ◽  
Normal Pregnancy ◽  
Growth Restriction ◽  
Control Group ◽  
Intrauterine Growth ◽  
Increased Risk ◽  
Infection And Inflammation

Pregnant women with intrauterine growth restriction (IUGR) have an increased risk of adverse perinatal and long-term complications compared with the birth of children with normal body weight. Thus, IUGR is one of the main challenges for the global health system, especially in poor and developing countries. Morpho-functional studies of the placentas help in determining the causes of IUGR, and therefore, timely prevent complications in pregnant women with IUGR. The objective: The purpose of this study is to investigate various morphometric and pathomorphological changes in the placenta, including inflammatory, in cases of IUGR, and to establish a correlation of these results with the etiology and complications for the fetus. Materials and methods. In the current study, 54 placentas of the fetuses with IUGR (the main group) were compared with 50 placentas of the fetuses with normal development (control group). The criteria for the inclusion of IUGR were gestational age more than 30 weeks and all fetuses with a weight less than 10th percentile for this period of pregnancy. The placenta material was studied pathomorphologically with laboratory screening for infection and inflammation. Similarly, the results were determined for placentas of the fetuses with normal development compared to placentas with IUGR. Results. The placenta study showed the presence of calcification in the case of IUGR, as well as in the case of prolonged pregnancy. However, calcification of the placenta in the case of IUGR was more progressive compared with placenta in the normal pregnancy. In addition, the presence of intrauterine infection and inflammation was observed, which could also lead to an adverse outcome for the further progression of pregnancy with IUGR. Conclusion. A comparative macro- and microscopic pathomorphological study of the placentas in the two groups has shown a significant increase in the pathological changes in all the anatomical structures of the fetuses with IUGR. Key words: Intrauterine growth restriction (IUGR), fetal weight, pathomorphological changes of the placenta.

Inadequate Dietary Intakes: Among Pregnant Women

2012 ◽  
Vol 73 (2) ◽  
pp. 72-77 ◽  
Author(s):  
Jennifer K. Fowler ◽  
Susan E. Evers ◽  
M. Karen Campbell
Keyword(s):  
Pregnant Women ◽  
Food Group ◽  
Reproductive Age ◽  
Dietary Intakes ◽  
Food Groups ◽  
Eating Behaviours ◽  
Prenatal Health ◽  
Canadian City ◽  
Minimum Number ◽  
Health Project

Purpose: Eating behaviours were assessed among pregnant women in a mid-sized Canadian city. Methods: As part of the Prenatal Health Project, we interviewed 2313 pregnant women in London, Ontario. Subjects also completed a food frequency questionnaire. Recruitment took place in ultrasound clinics at 10 to 22 weeks of gestation. The main outcome measures were number of daily servings for each food group, measured against the minimum number recommended by the 2007 Eating Well with Canada’s Food Guide (CFG), the proportion of women consuming the recommended number of servings for each and all of the four food groups, and factors associated with adequate consumption. We also determined the number of servings of “other foods.” Analysis included descriptive statistics and logistic regression, all at p<0.05. Results: A total of 3.5% of women consumed the recommended number of servings for all four food groups; 15.3% did not consume the minimum number of servings of foods for any of the four food groups. Women for whom this was their first pregnancy were less likely to consume the recommended number of servings from all four food groups (odds ratio=0.41; confidence interval=0.23, 0.74). Conclusions: Very few pregnant women consumed food group servings consistent with the 2007 recommendations. Strategies to improve dietary behaviours must focus on the establishment of healthy eating behaviours among women of reproductive age.

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