scholarly journals Clinical Case of Arteriovenous Malformation in a Pregnant Woman

2020 ◽  
Vol 5 (6) ◽  
pp. 88-94
Author(s):  
N. A. Abdullaeva ◽  
◽  
V. I Cherepova ◽  
O. L. Tovazhnyanska ◽  
V. V. Lazurenko
Keyword(s):  
Pregnant Woman ◽  
Arteriovenous Malformation ◽  
Pregnant Women ◽  
Clinical Case ◽  
Cerebrovascular Disorders ◽  
Cerebral Vessels ◽  
Second Trimester ◽  
Physiological Time ◽  
Neurosurgical Treatment ◽  
Effective Result

Extragenital pathology during pregnancy and childbirth occupies a leading place in maternal mortality and perinatal pathology. One of the main ways to maintain the health of mother and child is to identify somatic diseases in pregnant women and timely treat them. Nervous system diseases that occur in pregnant women are mainly epilepsy, multiple sclerosis, brain tumors, cerebrovascular disorders, although remain poorly understood, but require immediate decisions to prolong pregnancy, obstetric tactics during childbirth, conservative or conservative surgery. The pathology of cerebral vessels (arterial aneurysms and arteriovenous malformations) also remains an urgent problem, despite many years of experience in their diagnosis and treatment. The sudden development of symptoms, severity of clinical manifestations and high mortality in rupture of an aneurysm or arteriovenous malformation of cerebral vessels determine the urgency of this problem and increased interest in its study, especially in pregnant women. Material and methods. The paper presents a clinical case of arteriovenous malformation in a 25-year-old pregnant woman, her treatment and delivery. Results and discussion. Arteriovenous malformation is considered a congenital cerebrovascular pathology, which is accompanied by a sudden rupture of abnormal vessels with the development of hemorrhagic stroke, without specific clinical symptoms and precursors, which complicates lifelong diagnosis. Endovascular embolization during pregnancy saved the lives of women and children. An effective result was obtained after neurosurgical treatment of arteriovenous malformation in a pregnant woman in the second trimester of pregnancy (17 weeks), which allowed to bring the pregnancy to the physiological time of delivery. Taking into account the complex neurological pathology, neurosurgery, which requires the exclusion of a powerful period of childbirth, a pregnant woman gave birth by cesarean section at 38 weeks of pregnancy. Conclusion. An effective result was obtained after neurosurgical treatment of arteriovenous malformation in a pregnant woman in the second trimester of pregnancy, which allowed to bring the pregnancy to the physiological time of delivery. The obtained results indicated the possibility of full-term pregnancy, reduction of maternal and perinatal morbidity and mortality in pregnant women with arteriovenous malformation with timely preventive and curative measures with timely referral of pregnant women to the perinatal center on the basis of a multidisciplinary clinical institution to prevent complications

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.

Does Active Smoking Influence the Second Trimester Biochemical Markers Concentrations?

2017 ◽  
Vol 68 (10) ◽  
pp. 2234-2236
Author(s):  
Dan Navolan ◽  
Florin Birsasteanu ◽  
Adrian Carabineanu ◽  
Octavian Cretu ◽  
Diana Liana Badiu ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Cigarette Smoke ◽  
Chorionic Gonadotropin ◽  
Reference Values ◽  
Biochemical Markers ◽  
Smoking Status ◽  
Active Smoking ◽  
Second Trimester ◽  
Harmful Effects

Cigarette smoke contains over 7000 different substances some of them exerting harmful effects on embryo and pregnant woman. Nowadays 15 % of adult people and around 10-15% of pregnant women smoke. Previous studies showed that cigarette smoke compounds could exert pharmacodinamic effects and influence some of the second trimester biochemical markers concentration. Therefore there is a need to adjust the reference values of second trimester markers depending of the smoker status. The aim of our study was to analyse which of the markers are influenced by smoking and whether the software used to calculate the risk for aneuploidies is able to counterbalance this influence. Alpha-fetoprotein (AFP), chorionic gonadotropin hormone (hCG) and free estriol (uE3) values were measured in second trimester sera of 1242 pregnant women: 1089 non-smokers and 153 smokers. Only hCG second trimester values were influenced by smoking whereas AFP and uE3 values were not. The correction of medians according to the smoking status was able to counterbalance this effect.

scholarly journals Pyelonephritis of Pregnant Women: Clinical Case

2020 ◽  
Vol 8 (1) ◽  
pp. 55-58 ◽  
Author(s):  
S. V. Shkodkin ◽  
Yu. B. Idashkin
Keyword(s):  
Clinical Practice ◽  
Pregnant Woman ◽  
Urinary Tract ◽  
Pregnant Women ◽  
Clinical Case ◽  
Upper Urinary Tract ◽  
Negative Side ◽  
Urinary Drainage ◽  
Clinical Observations ◽  
Inflammatory Changes

Pyelonephritis during pregnancy is a threat to the fetus and the pregnant woman. There are no studies showing the benefits of drainage management for pregnant women with pyelonephritis. Despite this, the drainage of the upper urinary tract is a tradition of a fairly large number of clinics. Guidelines for the duration of drainage in this category of patients are also not defined. Frequently, drainage is removed after delivery. And this is the «standard» in clinical practice. The negative side of this approach is persistent drainage infection, obstruction, and the need for frequent drainage changes. The article presents the clinical observations of patients with early removal of urinary drainage, which made it possible to stop bacteriuria and inflammatory changes in the urine.

Mucocele of the appendix during pregnancy: What to do?

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Eva Martínez Franco ◽  
Helena Vallverdú Cartié ◽  
Montserrat Margarit Verano ◽  
José Ramón Méndez Paredes ◽  
Pere Gris Garriga ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Low Grade ◽  
Second Trimester ◽  
Macroscopic Description ◽  
Surgical Method ◽  
Mucinous Neoplasm ◽  
Mucocele Of The Appendix ◽  
Surgical Treatments ◽  
Selection Of

Abstract The term mucocele is simply defined as the macroscopic description of an appendix that is grossly distended by intraluminal accumulation of mucoid material. Its incidence ranges from 0.2% to 0.7% of all appendectomies and during pregnancy it is even less frequent. After a mucocele diagnosis, the selection of an adequate surgical method is, in general, very important. But during pregnancy it is an even more complicated decision because of the lack of experience and evidence on elective surgical treatments in pregnant women. We present a commentary based on a case of a low-grade appendiceal mucinous neoplasm of the appendix, found on an appendectomy specimen because of a mucocele in a second trimester pregnant woman.

scholarly journals Acute Ultrastructural Changes in the Middle Cerebral Artery Due to the Injury and Ischemia of Surgical Clamping

1976 ◽  
Vol 3 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Ronald F. Dodson ◽  
Yukio Tagashira ◽  
Lena W-F. Chu
Keyword(s):  
Smooth Muscle ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Arterial Wall ◽  
Cerebrovascular Disorders ◽  
Cerebral Vessels ◽  
Ultrastructural Changes ◽  
Surgical Clip ◽  
Nerve Bundles ◽  
Neurosurgical Treatment

SUMMARY:Ultrastructural changes in the zone of clamping of the middle cerebral artery of the squirrel monkey are described after application of a surgical clip. The experimental model utilized has been widely applied to the study of cerebral ischemia and possibly has relevance to clamps applied to the cerebral vessels during neurosurgical treatment of patients with cerebrovascular disorders.The earliest changes within the arterial wall were found in the smooth muscle (media) and accompanying fasciculi of nerves. Changes within the nerve bundles were sufficiently advanced following 4 hours of vascular clipping to suggest temporary or permanent impairment of neurogenic innervation of the cerebral vessels distal to the trunk of the vessel clipped.

scholarly journals CLINICAL CASE OF LEFT LUNG UPPER LOBE ARTERIOVENOUS MALFORMATION IN A PREGNANT WOMAN

2019 ◽  
Vol 12 (2) ◽  
pp. 81-84
Author(s):  
BAYAN A. AINABEKOVA ◽  
◽  
STANISLAV I. GUDYM ◽  
SAULE S. IMANGAZINOVA ◽  
KARASHASH M. ASKAROVA ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Arteriovenous Malformation ◽  
Clinical Case ◽  
Left Lung

scholarly journals Arteriovenous Malformation of the Vein of Galen: A Case Report

2021 ◽  
Vol 11 (1) ◽  
pp. 58-60
Author(s):  
Vyacheslav Kutashov ◽  
Olga Ulyanova ◽  
Igor Protasov ◽  
Oleg Zolotaryov ◽  
Elena Ananyeva ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Case Report ◽  
Arteriovenous Malformation ◽  
Newborn Infant ◽  
Clinical Case ◽  
Practical Interest ◽  
Cerebral Vessels ◽  
Vein Of Galen ◽  
Rare Congenital Anomaly ◽  
New Approaches

The article presents literature data and the authors’ observations of the course of the vein of Galen aneurysmal malformation in a one-day-old newborn infant. This clinical case is of practical interest since the vein of Galen aneurysmal malformation is a rare congenital anomaly of cerebral vessels. The results of arteriovenous malformation treatment in recent years have improved considerably, but many diagnostic and curative aspects in children require the development of new approaches to addressing this problem.

scholarly journals Status Karies Gigi, Status Kebersihan Gigi dan Mulut dan Status Gingivitis Ibu Hamil Trimester I dan II

2019 ◽  
Vol 1 (1) ◽  
pp. 28-38
Author(s):  
Paulena Fao Lei ◽  
Emma Krisyudhanti ◽  
Christina Ngadilah ◽  
Applonia Leo Obi
Keyword(s):  
Pregnant Woman ◽  
Dental Caries ◽  
Pregnant Women ◽  
Health Center ◽  
Oral Hygiene ◽  
Cold Water ◽  
First Trimester ◽  
Second Trimester ◽  
The Status ◽  
Carious Teeth

Abstract: Dental Caries Status, Status of Dental and Oral Hygiene and Gingivitis Status of Pregnant Women Trimester I and II. Pregnancy is an event that is often encountered in a woman's life because pregnant women are one group that is vulnerable to dental and oral diseases. The purpose of this study: to determine the status of dental caries, the status of dental and oral hygiene, and the status of gingivitis for first and second-trimester pregnant women in Tarus Health Center, Kupang Regency. The research method used is descriptive. sampling with an accidental sampling technique totaling 73 pregnant women who came to the health center Tarus. The results of the study in the first trimester - the average pregnant woman experienced 4 carious teeth included in the medium category, and the second trimester the average pregnant woman had 4 carious teeth including the moderate category. The level of dental and oral hygiene of trimester I and II pregnant women includes moderate criteria with an average of 2.2, the status of gingivitis for first-trimester pregnant women (38.7%) who have moderate gingivitis, and trimester II has mild gingivitis (45, 2%). the frequency of brushing teeth twice a day but the time used is still not right and the average pregnant woman never uses dental floss. While gargling habits use more cold water, and for a balanced diet consume more acidic foods and pregnant women trimester I and II control the health of their teeth and mouth only when sick. It was concluded that the dental caries status of pregnant women trimester I and II included in the moderate category, the status of dental and oral hygiene criteria of moderate and gingivitis status of pregnant women for trimester I including moderate inflammation and trimester II mild inflammation, and maintenance of dental and oral health of pregnant women was not optimal because there are still many pregnant women who ignore oral and dental hygiene. Abstrak: Status Karies Gigi, Status Kebersihan Gigi dan Mulut dan Status Gingivitis Ibu Hamil Trimester I dan II. Kehamilan merupakan suatu peristiwa yang sering di jumpai dalam kehidupan seorang wanita, sebab wanita hamil merupakan salah satu kelompok yang rentan terhadap penyakit gigi dan mulut. Tujuan penelitian : untuk mengetahui status karies gigi, status kebersihan gigi dan mulut  dan status gingivitis ibu hamil trimester I dan II di Puskesmas Tarus Kabupaten Kupang. Metode penelitian yang digunakan adalah deskriptif. pengambilan sampel dengan teknik accidental sampling berjumlah 73 ibu hamil yang datang di Puskesmas Tarus. Hasil penelitian pada trimester I rata – rata ibu hamil mengalami 4 gigi berkaries termasuk kategori sedang, dan trimester II rata – rata ibu hamil mengalami 4 gigi berkaries termasuk kategori sedang. Tingkat kebersihan gigi dan mulut ibu hamil trimester I dan II termasuk kriteria sedang dengan rata – rata 2,2, status gingivitis ibu hamil trimester I sebanyak (38,7%) yang mengalami gingivitis sedang, dan trimester II mengalami gingivitis ringan sebanyak (45,2%). frekuensi menyikat gigi 2 kali sehari tetapi waktu yang digunakan masih belum tepat dan rata – rata ibu hamil tidak pernah menggunakan benang gigi. Sedangkan kebiasaan berkumur lebih banyak menggunakan air dingin, dan untuk diet seimbang lebih banyak mengkonsumsi makanan yang bersifat asam dan ibu hamil trimester I dan II mengontrol kesehatan gigi dan mulutnya hanya ketika sakit. Disimpulkan bahwa status karies gigi ibu hamil trimester I dan II termasuk kategori sedang, status kebersihan gigi dan mulut kriteria sedang dan status gingivitis ibu hamil untuk trimester I termasuk inflamasi sedang dan trimester II inflamasi ringan, serta pemeliharaan kesehatan gigi dan mulut ibu hamil belum maksimal karena masih banyak ibu hamil yang mengabaikan kebersihan gigi dan mulut.

Etiopathogenetic aspects of somatic dysfunction formation during pregnancy

2020 ◽  
pp. 41-53
Author(s):  
E. N. Nenashkina ◽  
Yu. P. Potekhina ◽  
E. S. Tregubova ◽  
V. O. Belash
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Occurrence Frequency ◽  
Second Trimester ◽  
Third Trimester ◽  
Functional Changes ◽  
Pelvic Region ◽  
The Third ◽  
Somatic Dysfunction ◽  
Duration Of Pregnancy

Introduction. Changes occuring in a woman′s organism during pregnancy are genetically programmed and have a physiological adaptive character. The range of these changes affect all organism systems and is caused by the need to sustain the mother and the fetus; and the changes severity is causedby gestational age, number of fetuses and individual reserve possibilities of the motherorganism. The development of pregnancy is accompanied by a number of regular structural and functional changes in the woman′s organism, which in turn can serve as a background or cause for the formation of somatic dysfunctions, the level of manifestation and severity of which depend on the compensatory capabilities of the female organism.The goal of research was to study the occurrence frequency of somatic dysfunction in pregnant women at different stages of pregnancy and to compare it with anatomical and physiological changes in the woman′s organism.Materials and methods. It was examined 162 healthy pregnant women aged 25 to 45 years, with a gestation period of 7 to 37 weeks. The average age was 33±2,1 year, the proportion of the first-time mothers was 62 %. The distribution of women by trimester of pregnancy was as follows: I trimester — 42 people, II trimester — 60 people, III trimester — 60 people. There were no statistically significant differences in the age of the subjects in these three groups (p>0,05). The study lasted from February 2019 to March 2020. Each patient was examined by an osteopath during the initial treatment.Results. A statistically significant increase in the incidence of somatic dysfunctions (SD) of the thoracic region (p<0,05) and the pelvic region (p<0,001) was found from the first to the third trimester of pregnancy. SD of the lumbar region appeared only in the second trimester, and in the third trimester the occurrence frequency of these SD has not changed. It is these three regions that experience the most pronounced structural and functional changes, which are increasing with the pregnancy development. The most significant changes occur in the pelvic region, both in its structural component (bones, joints, muscles, ligaments) and in the visceral component (growing uterus). In addition, the most significant changes in blood and lymph circulation occur in the pelvic region. According to our observations, somatic dysfunctions of the pelvic region occurred in 7,1 % of the examined patients in the first trimester, in 25 % — in the second trimester, and in 63,3 % — in the third trimester. Among local SD, there is a statistically significant increase in the occurrence frequency of SD of the thoracic diaphragm, the pubic joint and impaired mobility of the uterus (p<0,01) with an increase in the duration of pregnancy, which is natural. As the size of the uterus increases, there is a decrease in the mobility of the thoracic diaphragm, which is most pronounced in the 3rd trimester. The pubic joint undergoes increasing stress and structural and functional restructuring as pregnancy progresses. There was a statistically significant difference (p<0,01) in the representation of dominant somatic dysfunctions depending on the duration of pregnancy, the predominance in the 3rd trimester of pregnancy in most women (63,3 %) of the dominant SD of the pelvic region.Conclusion. The functional changes occurring in the body of a pregnant woman have not only specific characteristics associated with the period of pregnancy, but also serve as a background condition that predisposes to the formation of specific somatic dysfunctions. As pregnancy progresses, the somatic dysfunctions of the pelvic and thoracic regions come to the fore; these SD are most likely associated with changes in the postural balance of a pregnant woman, due to changes in anatomically-topographic relationships due to the growth of the pregnant uterus. 

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