Efficacy of Elevit® Vitamin-Mineral Complex Pronatal from early pregnancy for improvement of obstetric and perinatal outcomes

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (4) ◽  
pp. 19-25
Author(s):  
N A Kurmacheva ◽  
I E Rogozhina ◽  
Yu V Chernenkov ◽  
O S Panina
Keyword(s):  
Comparative Analysis ◽  
Health Status ◽  
Breast Milk ◽  
Pregnant Women ◽  
High Frequency ◽  
Perinatal Outcomes ◽  
Micronutrient Deficiency ◽  
Mineral Complex ◽  
Pathological Conditions ◽  
Mother And Child

The goal is to justify the principles of prevention and correction of micronutrient deficiency in mother and child on the basis of a comparative analysis of the health status of pregnant women and newborns in different conditions of provision with vitamins and minerals. Materials and methods. A comparative analysis of the clinical and biochemical results of a survey of 376 mothers and their children in the period of newborns. The study of the content of the main micronutrients in the blood and breast milk, ioduria in mothers, comparison obstetric and perinatal outcomes depending on the availability of women with vitamins and microelements during pregnancy. Results. Data on high frequency of polyhypovitaminosis (72.6%), hypo-microelementosis (19.4-45.2%), iodine deficiency in pregnant women, low concentration vitamins A, B1, B2, C, b-carotenoids, iodine, iron, zinc, selenium in breast milk in lactating, not receiving vitamin-mineral preparations. It is proved that the intake of women from the early stages of pregnancy is a balanced vitamin-mineral complex Elevat® Pronatal and potassium iodide at a dose of 250 mcg/day normalizes their micronutrient supply and significantly reduces the incidence of complications pregnancy, delivery in mothers, diseases and pathological conditions in newborns (in 1.3-3 times, p

scholarly journals Use of prostaglandin synthetic analogue E1 for uterus cervix preparation and labor induction

2003 ◽  
Vol 2 (3) ◽  
pp. 75-80
Author(s):  
I. D. Yevtushenko ◽  
A. Sh. Makhmutkhodzhayev ◽  
T. V. Ivanova ◽  
O. V. Parshina ◽  
I. A. Ryzhova ◽  
...  
Keyword(s):  
Single Dose ◽  
Comparative Analysis ◽  
Pregnant Women ◽  
Perinatal Outcomes ◽  
Labor Induction ◽  
Prostaglandin E ◽  
Synthetic Analogue ◽  
Symptom Development ◽  
Labor Duration ◽  
The One

A clinical prospective examination of 90 women with complete pregnancy and indications for labor induction because of unsatisfactory maturity of uterus cervix has been made. The aim was to create a comparative analysis of efficiency of intravaginal introduction of prostaglandin synthetic analogue E1 misoprostol («Sytotec») and intracervical introduction of prostaglandin E2 dinoprostone («Prepidil» gel) for uterus cervix preparation and labor induction at complete pregnancy. Misoprostol in a dose of 25 mkg has been introduced to pregnant women of the 1 group (n=44), every 4 hours not more than 3 times. In case of discharge of waters or labor activity the second introduction has not been done. Dinoprostone has been introduced intracervically in a single dose to pregnant women of the 2 group (n=46). The use of misoprostol has been accompanied by spontaneous beginning of labor activity by 2 times more often than the use of dinoprostone. The quantity of vaginal births within 12 and 24 hours of observation has been surely greater and the duration of time between the beginning of introduction and labor has been surely smaller in the group of women received misoprostol as compared to the one received dinoprostone. It has not been revealed any differences between examined groups by the frequency of uterus hyperstimulation symptom development, labor duration, frequency of abdominal and vaginal labor, as well as perinatal outcomes.

The course of pregnancy, labors and perinatal outcomes at the patients, the children who have travailed the normotrofycal at monochorial two at birth

2017 ◽  
pp. 94-97
Author(s):  
O.V. Melnik ◽  
Keyword(s):  
Body Weight ◽  
Clinical Research ◽  
Growth Inhibition ◽  
Pregnant Women ◽  
High Frequency ◽  
Multiple Pregnancy ◽  
Body Height ◽  
Perinatal Outcomes ◽  
Premature Births ◽  
Normal Body Weight

The objective: an assessment of a course of pregnancy, labors and perinatal outcomes of a delivery at multiple monochorial pregnancy at the birth of children with normal body weight. Patients and methods. Clinical research of a course of pregnancy, labors and perinatal outcomes at 45 patients at whom multiple, monochorial pregnancy came spontaneously was conducted and came to the end with the birth the normotrofycal of children. For comparison similar indicators at 45 with a byhorial two at birth were used. The complex of the conducted researches included clinical, ehografical, dopplerometrical, morphological and statistical methods. Results. The course of pregnancy at monochorial two at birth is characterized by the high frequency of development of a growth inhibition of fetus/fetuses (51.1%), preeclampsia (33.3%), abortion threats (64.1%) and premature births (66.7%) even for lack of specific complications of monochorial type of placentation that justifies high rates of an operational delivery (46.7%). Body height of fetuses at monochorial type of placentation is characterized authentically by lower fetometrical indicators in comparison with one-fetal pregnancy, since the second half of pregnancy. The growth inhibition of fetus/fetuses at monochorial two at birth is formed by 28-32 week of gestation, and at 20.6% of pregnant women the growth inhibition of both fetuses, at 30.4% – one develops. Conclusion. The received results needs to be considered when developing algorithm of diagnostic and treatment and prophylactic actions at multiple pregnancy. Key words: multiple pregnancy, labors, perinatal outcomes.

scholarly journals Pengaruh Konsumsi Kurma (Phoenix Dactylifera) Terhadap Kenaikan Kadar Hemoglobin Pada Ibu Hamil Trimester Ii Di Wilayah Puskesmas Kediri

1970 ◽  
Vol 5 (1) ◽  
pp. 96 ◽  
Author(s):  
Eny Sendra ◽  
Susanti Pratamaningtyas ◽  
Ardi Panggayuh
Keyword(s):  
Breast Milk ◽  
Pregnant Women ◽  
Sampling Technique ◽  
Phoenix Dactylifera ◽  
Control Group ◽  
P Value ◽  
Second Trimester ◽  
Mother And Child ◽  
Equivalent Control ◽  
Iron And Calcium

Anemia in pregnancy is a national problem because it reflects the value of socio-economic welfare of society, and a very large influence on the quality of human resources. Pregnant anemia called "potential danger to mother and child", because that anemia require serious attention from all parties involved in health care at the forefront.  Iron requirements of pregnant women increased so that it takes an additional 700-800 mg, among others, to improve haematopoesis 500 mg, 300 mg for the fetus needs to process haematopoesis during gestation, 200 mg for backup lost due to bleeding postpartum. It takes iron supplements around 30-60 mg per day. Dates contain real sugar in the form of glucose and fructose, rich in protein, fiber, minerals, such as iron, calcium, sodium, and potassium. Dates contained  in hormone (potuchsin) are efficacious shrink the blood vessels in the uterus so that helps shrink the uterus and prevent postpartum uterine bleeding . Maturity dates are rich in calcium and iron, important in the formation of breast milk, as well as palm able to increase the quantity of breast milk and breastfeeding infants will have a sharp mind and good character. Levels of iron and calcium can replace the depleted force mother during childbirth or breastfeeding. Iron and calcium are two elective elements that are essential for the formation of blood and bone marrow).       This study aimed to influence the consumption of date palm (Phoenix dactylifera) against the increase in hemoglobin levels in the second trimester pregnant women. The study design used quasy Experimental Design Non-Equivalent Control Group. The study population of pregnant women in the second trimester Puskesmas Ngadiluwih some 39 people. Samples were taken with quota sampling technique, and as many as 20 second-trimester pregnant women, aged 20-30 years, Hb lightweight category (9-10 g%), keep taking the tablets Fe for the respondents in this study, pregnant women not suffering from the disease / complications due to the disease. Exclusion criteria: the mother is not in place when the research berlangsung.Dari t test results obtained p value 0.245 is greater than alpha (0.05) which means there is no difference between the group dates with the control group. Key words: consumption of dates, levels of hemoglobin, the second trimester pregnant women

Clinical course, maternal and neonatal outcomes of COVID-19 infection in pregnancy: an epidemiological study in Siberia and the Far East

GYNECOLOGY ◽  
2021 ◽  
Vol 23 (1) ◽  
pp. 43-47
Author(s):  
Tatiana E. Belokrinitskaya ◽  
Natalya V. Artymuk ◽  
Oleg S. Filippov ◽  
Nataly I. Frolova
Keyword(s):  
Mortality Rate ◽  
Pregnant Women ◽  
Clinical Course ◽  
Invasive Mechanical Ventilation ◽  
Far East ◽  
Perinatal Outcomes ◽  
Entire Population ◽  
Vacuum Extraction ◽  
The Far East ◽  
Mother And Child

Aim. To assess the incidence, clinical course, outcomes of a novel coronavirus infection (NKI) COVID-19 for mother and child in the population of pregnant women in the Far Eastern (FEFD) and Siberian Federal Districts (SFD). Materials and methods. The study design: a population-based epidemiological prospective study. We analyzed operative information on NKI COVID-19 incidence and features of clinical course in pregnant women, women in labor and parturient women as well as maternal and perinatal outcomes for March 11 to December 25, 2020 which were provided by the FEFD and SFD chief obstetricians-gynecologists. Mathematical analysis included methods of descriptive statistics, analysis of contingency table, where the value of 2, the achieved level of significance (p) was estimated. Results. In the FEFD and SFD, over the COVID-19 2020 epidemic, the SARS-CoV-2 virus was revealed in 8485 pregnant women, women in labor and postpartum women (5.9% of pregnant women subjected to regular medical check-up; 1.71% of the sick entire population). The incidence rate in pregnant women was 3.0 times higher than in the entire population: 5933,2 vs 1960,8 per 100 thousand (p0.001). Among SARS-CoV-2 infected patients, 27.4% (2324) were asymptomatic, 52.7% (4471) have mild, 16.6% (1388) moderate, 2.5% (210) severe 0,5% (39) extremely severe clinical course. In the intensive care and anesthesiology departments, 3.57% of pregnant women and 2.24% of the entire population (p0.001) have been treated. Rate of using invasive artificial lung ventilation in pregnant women was lower than in the population: 0.48% vs 1.05% (p0.001). 27.97% (2373) of women with confirmed NKI COVID-19 completed pregnancy. 81,7% of mothers delivered on time, 18.3% prematurely. Cesarean delivery was performed in 42,0% of women, operative vaginal delivery (vacuum extraction, obstetric forceps) was registered in 0.2% of cases. 12 (0.14%) mothers died. The maternal mortality rate was 505.69 per 100 thousand live births (0.51% of patients with COVID-19 who gave birth). Mortality rates and the proportion of deaths in the entire population were statistically significantly higher: 1948.93 per 100 thousand sick population and 1.95% (p0.001), respectively. 37 (1.56%) cases of perinatal losses were registered, of which 31 (1.30%) stillbirths, 6 (0.26%) early neonatal mortality. The SARS-CoV-2 virus was revealed in 148 (6.2%) newborns with the observance of anti-epidemic measures and separation of the mother and child immediately after delivery. Conclusion. The rate of revealing SARS-CoV-2 virus in pregnant women, women in labor and parturient women in Siberia and the Far East was 3.0 times higher than in the entire population, while clinical course of infectious process was less severe (less need for invasive mechanical ventilation, lower mortality rate). In mothers with COVID-19, preterm birth rate was 3.0 times higher, caesarean delivery rate 1.4 times higher compared with the average population indicators. Reveling SARS-CoV-2 virus RNA in 6.2% of newborns suggests the possibility of vertical transmission of the infection.

Optimization of diagnostics and tactics of maintaining pregnant women with benign tumors and tumorous formations of ovaries

2017 ◽  
pp. 63-65
Author(s):  
V.I. Boyko ◽  
◽  
N.P. Sukhostavets ◽  
Keyword(s):  
High Risk ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Key Words ◽  
High Frequency ◽  
Clinical Course ◽  
Perinatal Outcomes ◽  
Benign Tumors ◽  
Placental Dysfunction

The objective: optimization of diagnostics and tactics of conducting pregnancy at women with benign tumors and tumorous formations of ovaries by improvement of diagnostic and treatment-and-prophylactic actions. Patients and methods. 129 patients in various durations of gestation from which 104 were with benign tumors and tumorous formations of ovaries were surveyed. Results. The clinical course of pregnancy at course of pregnancy at women with benign tumors and tumorous formations of ovaries is characterized by the high frequency of threat of discontinuing in І (49.7%) that ІІ trimesters (50.8%). Level of other complications depends on maintaining tactics, and it considerably vichy at refusal of women of expeditious treatment and their conservative maintaining: placental dysfunction – 44.0% and 16.2%; fetus distress – 30.0% and 6.7%; delivery by operation of cesarean section – 33.3% and 10.8%; disturbances of post-natal adaptation of newborns – 9.5% and 6.8% respectively. Conclusion. The improved and introduced algorithm of maintaining women with benign tumors and tumorous formations of ovaries allows to improve obstetric and perinatal outcomes of delivery of women of group of high risk. Key words: benign tumors and tumorous formations of ovaries, pregnancy, maintaining tactics.

Comparison of Perinatal Outcomes of Pregnant Women with SARS, MERS and COVID-19: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Pengming Sun ◽  
Hangjing Gao ◽  
Xiqi Huang ◽  
Huanrui Zheng ◽  
Hongning Cai ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pregnant Women ◽  
Meta Analysis ◽  
Perinatal Outcomes

HPV Prevalence and its Association with Perinatal Outcomes among Singleton Mothers: Analysis of Pregnancy Risk Assessment and Monitoring System (PRAMS) Data, 2004-2011

2019 ◽  
Vol 15 (2) ◽  
pp. 143-149 ◽  
Author(s):  
Harpriya Kaur ◽  
Delf Schmidt-Grimminger ◽  
Baojiang Chen ◽  
K.M. Monirul Islam ◽  
Steven W. Remmenga ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Monitoring System ◽  
Large Population ◽  
Perinatal Outcomes ◽  
Hpv Infection ◽  
Adverse Outcomes ◽  
P Value ◽  
Pregnancy Risk

Background: Pregnancy may increase the risk of Human Papillomavirus (HPV) infection because of pregnancy induced immune suppression. The objective of this study was to use a large population-based dataset to estimate the prevalence of HPV infection and its association with adverse outcomes among pregnant women. Methods: We analyzed Pregnancy Risk Monitoring System data from 2004-2011 (N=26,085) to estimate the self-reported HPV infection. Survey logistic procedures were used to examine the relationship between HPV infection and adverse perinatal outcomes. Results: Approximately 1.4% of women were estimated to have HPV infection during their pregnancy. The prevalence of adverse outcomes in this sample was preterm birth (8.4%), preeclampsia (7.5%), low birth weight (6.3%) and premature rupture of membranes (2.8%). Compared to women without HPV infection, HPV infection positive women were much more likely to have had other infections such as chlamydia (9.23% vs. 2.12%, p-value <.0001), Group B Strep (21.7% vs. 10.04%, p-value <.0001), and herpes (7.17% vs. 1.07%, p-value <.0001). After adjusting for other risk factors including other infections, HPV infection was significantly associated with low birth weight (OR: 1.94, 95% CI: 1.14-3.30). Conclusion: The study indicated a potential association between HPV infection and low birth weight. Because pregnant women with HPV infection are at higher risk of other infections, future research may focus on the roles of co-infection in the development of adverse perinatal effects.

scholarly journals Overt and subclinical hypothyroidism among Bangladeshi pregnant women and its effect on fetomaternal outcome

2015 ◽  
Vol 40 (2) ◽  
pp. 52-57 ◽  
Author(s):  
M Sharmeen ◽  
PA Shamsunnahar ◽  
TR Laita ◽  
SB Chowdhury
Keyword(s):  
Adverse Effects ◽  
Pregnant Women ◽  
Subclinical Hypothyroidism ◽  
Thyroid Dysfunction ◽  
Perinatal Outcomes ◽  
Fetal Outcome ◽  
Thyroid Stimulating Hormone ◽  
Overt Hypothyroidism ◽  
Adequate Treatment ◽  
In Pregnancy

Objectives: Thyroid disorders are among the common endocrine problems in pregnant women. It is now well established that not only overt but subclinical thyroid dysfunction also has adverse effects on maternal and fetal outcome. There are few data from Bangladesh about the prevalence of thyroid dysfunction in pregnancy. With this background, this study aims to find out thyroid dysfunction (both overt and subclinical hypothyroidism) in pregnancy and its impact on obstetrical outcome.Methods: We studied the evaluation of 50 admitted pregnancies corresponding to 29 women with subclinical hypothyroidism and rest 21 was overt hypothyroidism. Detailed history and examination were performed. Apart from routine obstetrical investigations, Thyroid Stimulating Hormone (TSH) estimation was done. Their obstetrical and perinatal outcomes were noted.Results: Overt hypothyroidism was significantly (p<0.05) higher in 25 to 44 years age group. However two and three abortions were significantly (p<0.05) higher in overt hypothyroidism patients. In sub clinical hypothyroidism 86.2% conceived firstly within 2 years and 66.7% in overt hypothyroidism patients conceived firstly in between 3 to 5 years after marriage. Overt hypothyroids were prone to have pregnancy-induced hypertension 42.9%, intrauterine growth restriction (P=0.001) and gestational diabetes (38.1%) as compared to subclinical cases. Neonatal complications were significantly more in overt hypothyroidism group. Mean TSH level was significantly (p<0.05) higher in overt hypothyroidism patients but mean FT4 level was almost similar in both groups. Majority of the patient underwent caesarean section in both groups due to associated medical and obstetrical complications. None of the babies showed hypothyroidism by cord blood tests. In this analysis our results showed that overt hypothyroidism among Bangladeshi pregnant women are associated with more maternal complication & adverse parental outcome than subclinical hypothyroidism. The adequate treatment of hypothyroidism during gestation minimizes risks and generally, makes it possible for pregnancies to be carried to term without complications. Significant adverse effects on maternal and fetal outcome were seen emphasizing the importance of routine antenatal thyroid screening.Bangladesh Med Res Counc Bull 2014; 40 (2): 52-57

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