scholarly journals FEATURES OF PREGNANCY AND DELIVERY IN ADOLESCENT WOMEN

2021 ◽  
Vol 21 (3) ◽  
pp. 117-122
Author(s):  
O.S. Shkolnyk ◽  
O.K. Yefimenko ◽  
O.M. Malanchuk ◽  
L.M. Melenchuk ◽  
Ye.B. Sharhorodska
Keyword(s):  
At Risk ◽  
Young Women ◽  
Neonatal Period ◽  
Significant Proportion ◽  
Control Group ◽  
Young Mothers ◽  
Perinatal Complications ◽  
Adolescent Women ◽  
Early Neonatal Period ◽  
Complicated Pregnancy

Aim: to assess the risk of adverse consequences of adolescent pregnancy for mother and foetus in women from Lviv region. Material and methods. Complications of pregnancy and childbirth in adolescent women were studied retrospectively at the Lviv Regional Clinical Hospital. Results and discussion. 134 cases of adolescent childbirths for 2013 to 2017 were analyzed. The analysis of data on the course of pregnancy in adolescent women showed that the vast majority of them had complicated pregnancy and were at risk of preterm childbirth. A significant proportion of young women, 78 (58.2%), significantly more often required the therapy during pregnancy. Assessment of the health status of newborns showed that ¼ (24.6%) of young women gave birth to premature babies, and almost 1/3 of children, 51 (38.0%), from young mothers had a complicated early neonatal period. Within the spectrum of complications, the commonest diagnosis was "prematurity" in 33 (24.6%) children from young mothers. The pathological course of the early neonatal period in 51 (38.0%) children of the main group required transfer to other departments for further treatment. 82 (61.2%) children from this group were discharged home, while in the control group all 100 (100.0%) children were discharged from maternity home. Conclusions. The study has demonstrated that the risk factors for perinatal pathology in newborns from adolescent women included probably complicated pregnancy, risk of spontaneous abortion (17.9%), preterm birth (24.6%), and the childbirth of premature infants with impaired condition at birth, who needed treatment in other medical institutions (38.0%). Adolescent pregnant women are at risk for obstetric and perinatal complications.

scholarly journals Perinatal outcomes of newborns born from young mothers with epidural analgesia

2021 ◽  
Vol 66 (3) ◽  
pp. 118-124
Author(s):  
R. T. Shakirov ◽  
S. V. Kinzhalova ◽  
R. A. Makarov ◽  
S. V. Bychkova ◽  
N. V. Putilova ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Cord Blood ◽  
Young Women ◽  
Neonatal Period ◽  
Young Mothers ◽  
Acid Base ◽  
Term Infants ◽  
Early Neonatal Period ◽  
Arterial Blood

Objective. To evaluate the features of the course of the early neonatal period of newborns born from young women under conditions of epidural analgesia.Material and methods. The authors conducted a prospective, comparative, randomized, longitudinal, monocenter study. Patients of Group 1 (n=25) were anesthetized with a narcotic analgesic (2% Тrimeperedine 1,0 ml intramuscularly). Patients of Group 2 (n=30) received long-term epidural analgesia (EA) with 0,2% Ropivacaine (10,0 ml/hour). All patients delivered full-term infants. The course of labor, clinical and laboratory characteristics of newborns in the early neonatal period were evaluated.Results. There were no significant differences in the duration of labor, volume of blood loss, and other characteristics between the groups. There were no clinical differences between the groups of newborns. We did not find a negative effect of epidural analgesia on the Apgar score at the 1st (p=0,166) and 5th (p=0,217) minutes of life and the neuropsychiatric status of the newborn (p=0,322). At the same time, in the group of long-term epidural analgesia, there was a tendency to a higher incidence of moderate and mild asphyxia (19,2% versus 9,5%; p=0,436). When comparing the acid-base state of umbilical cord arterial blood, significant differences were found in the following indicators: lower pH (p=0,042) and pO2 level (p=0,007) and higher pCO2 level (p=0,031) in arterial cord blood.Conclusion. Epidural analgesia during labor in young women is accompanied by a lower level of pH and pO2 and a higher level of pCO2 in the arterial cord blood as compared to a Group of Тrimeperedine, which indicates a more pronounced shift in the acid-base state of the fetal blood. When analyzing neurological outcomes in newborns, there were no statistically significant differences. However, further follow-up is required for children born from young mothers who have received long-term epidural analgesia in labor.

scholarly journals MATERNAL RISK FACTORS OF PERINATAL WOMEN COMPLICATIONS WITH THE URINARY SYSTEM DISEASES

10.23856/4335 ◽  
2021 ◽  
Vol 43 (6) ◽  
pp. 269-278
Author(s):  
Lidiіа Melenchuk ◽  
Yevheniya Sharhorodska
Keyword(s):  
Urinary Tract ◽  
Significant Proportion ◽  
Main Group ◽  
Control Group ◽  
Premature Births ◽  
Urinary System ◽  
Perinatal Complications ◽  
Maternal Risk ◽  
System A ◽  
Group I

The aim of the study was to determine the maternal factors of perinatal complications in women with diseases of the urinary system. A group of women with pathology of the urinary system were studied during the course and completion of pregnancy. The complications in childbirth condition of newborns in comparison with similar indicators in healthy women were also assessed. It was found that most women with urinary tract pathology that were pregnant again, had complications of somatic (most often a combination of urinary tract pathology and chronic infectious diseases) and reproductive history (most often – miscarriages). Women with complications during pregnancy, pyelonephritis, anemia, and the threat of abortion were significantly more often registered in the main group (p<0.05). Women in the main group were significantly more likely to have premature births: 15.4% of women with acute pyelonephritis and 46.2% of women with chronic pyelonephritis, while all women in the control group gave birth on time (P<0.05). Significantly more women in the main group had complications in childbirth: most often – weakness of labor – I group 8 (6.2%), II – 9 (6.9%). Termination of pregnancy in the vast majority of women in the main group was physiological, cesarean delivery was completed in 3 (2.3%) women in group I and 10 (7.7%) women in group II. All women in the control group had timely, physiological births. The condition of newborns of mothers with pathology of the urinary system was often disturbed. A significant proportion of children from the main group (I – 5.4%, II – 10.0%) required immediate resuscitation measures at birth and their transfer to specialized departments for further treatment.

scholarly journals Intestinal Microbiocenosis in Premature Infants in the Early Neonatal Period

2020 ◽  
Vol 6 (5) ◽  
pp. 113-119
Author(s):  
G. Maimerova ◽  
N. Vychigzhanina ◽  
E. Kondratieva
Keyword(s):  
Preterm Infants ◽  
Premature Infants ◽  
Intestinal Microflora ◽  
Neonatal Period ◽  
Control Group ◽  
Study Group ◽  
Premature Newborn ◽  
Early Neonatal Period ◽  
Pathological Conditions ◽  
Intestinal Microbiocenosis

The article presents the results of 92 preterm infants with various pathological conditions (study group) and 28 “conditionally healthy” preterm infants (control group). Bacteriological inoculation in premature infants was performed on the 1-7th day of life. To establish the features of the formation of intestinal microflora of a premature newborn in various pathological conditions in the early neonatal period.

FETUS STATE ASSESSMENT AND PECULIARITIES OF NEONATAL PERIOD COURSE IN CHILDREN BORN TO WOMEN OF LATE REPRODUCTIVE AGE IN THE CHECHEN REPUBLIC

2021 ◽  
Vol 100 (1) ◽  
pp. 59-66
Author(s):  
Kh.M. Omarova ◽  
◽  
E.S.-A. Ibragimova ◽  
T.Kh.-M. Khashayeva ◽  
I.Kh. Magomedova ◽  
...  
Keyword(s):  
Blood Flow ◽  
Pregnant Women ◽  
Neurological Disorders ◽  
Neonatal Period ◽  
Reproductive Technologies ◽  
The State ◽  
Control Group ◽  
Fetal Blood ◽  
Early Neonatal Period ◽  
Brain Artery

Objective of the research: conduct a Doppler ultrasound (DUS) assessment of utero-placentalfetal blood flow and the condition of newborns in the early neonatal period from women of the late reproductive period (LRP), depending on the parity of delivery, using the example of women in the Chechen Republic. Material and methods: retrospective multicenter study. DUS assessment of the state of utero-placental-fetal blood flow and the state of newborns in the early neonatal period was performed in 95 pregnant women, including: group 1–35 primiparous of LRP and their 35 newborns, group 2 – 35 multi-pregnant (MP) of LRP and their 35 newborns. The 3 control group included 25 healthy pregnant women aged 18 to 25 years and their 25 newborns. DUS was performed on Aloka SD SSD 3500 device (Japan), and a transvaginal sensor was used if necessary. Newborns were assessed on the APGAR score at 1 and 5 minutes after birth. Of the instrumental methods for examining newborns, brain ultrasound examination (neurosonography) was used. Results: analyzing the DUS results of LRP pregnant, depending on the labor parity, it was found that in the 1st group there was an increase in resistance in both uterine arteries (61%), an increase in the resistance index and pulsation index, a decrease in diastolic blood flow, characteristic of arteries with high resistance. Hemodynamic parameters in the mid-brain artery (MBA) of the fetus remained normal in all pregnant women. LRP women often born children in a state of asphyxia, with neurological disorders, and these children often has more complex postnatal adaptation and concomitant pathology. Among LRP women, primiparous has significantly more severe disorders. Conclusion: the data of uteroplacental fetal blood flow of the 1st group correspond to blood flow disorders of the IA degree, which indirectly indicates a compensatory reaction of the vascular system of uteroplacental fetal blood flow, as well as the absence of a tendency to an increase in the severity of fetoplacental insufficiency. It is possible that high incidence of neurological disorders in children born to LRP women is associated with age-related changes in their germ cells, use of assisted reproductive technologies, intake of hormonal drugs at an early stage of pregnancy and environmental factors associated with iodine deficiency in the region which includes the North Caucasus.

scholarly journals Features of flow of pregnancy and labor in young women

2016 ◽  
Vol 24 (4) ◽  
pp. 88-95
Author(s):  
A A Lorey ◽  
I M Mirov ◽  
I N Devyatova
Keyword(s):  
At Risk ◽  
Pregnant Women ◽  
Young Women ◽  
Teenage Pregnancy ◽  
Young Mothers ◽  
Pregnancy And Childbirth ◽  
Significant Difference ◽  
Pregnancy And Delivery ◽  
Perinatal Center ◽  
Abdominal Delivery

The article presents the results of studying the peculiarities of pregnancy and delivery in young mothers who had given birth in the Ryazan oblast clinical perinatal center in 2012-2015. Identified complication of gestation, occurring significantly more often in females of adolescent age. Statistically significant difference was detected in such pathologies as anemia, placental disorders. A teenage pregnancy leads to the development of such terrible complications as preeclampsia. Young pregnant women are at risk for miscarriage. Presents an analysis of the frequency of abdominal delivery in a group of teenagers. The obtained data are the basis for the development and implementation of measures for the prevention of complications of pregnancy and childbirth in young mothers.

scholarly journals Some opportunistic infections in the structure of premature birth causes

2021 ◽  
pp. 87-95
Author(s):  
O. V. Ostrovskaya ◽  
E. B. Nagovitsina ◽  
M. A. Vlasova ◽  
S. V. Suprun
Keyword(s):  
Preterm Birth ◽  
Premature Infants ◽  
Opportunistic Infections ◽  
Neonatal Period ◽  
Human Herpesvirus ◽  
Control Group ◽  
Infectious Agents ◽  
Early Neonatal Period ◽  
Herpesvirus 4 ◽  
Human Herpesvirus 4

Aim. To determine the structure and detection rate of some opportunistic infections in premature birth.Materials and methods. The study was carried out at the premises of the Research Institute of Maternity and Childhood Protection and the Pathology Department of the Khabarovsk Perinatal Center. We studied 62 placentas from women whose pregnancy ended prematurely and placentas and organ samples (heart, lungs, liver, and kidneys) from 14 premature infants who died in the early neonatal period. Thirty placentas of women who delivered full-term live babies were classified as a control group. Genomes of Chlamydia trachomatis, Mycoplasma hominis, Mycoplasma genitalium, Ureaplasma species (Ureaplasma urealyticum + Ureaplasma parvum), Cytomegalovirus, Herpes simplex virus, Human herpesvirus 4 type, Human herpesvirus 6 type, Parvovirus B19, Listeria monocytogenes, Streptococcus agalactiae, Streptococcus species, Streptococcus pyogenes, Haemophilus influenza, Klebsiella pneumoniae, Candida albicans were detected by polymerase chain reaction (PCR) in samples of placental tissue and samples of internal organs of deceased newborns. Results. The rate of opportunistic agent detection in the placentas from women with preterm birth made 59.6% and in the sectional material from premature newborns who died in the early neonatal period (78.6%), which figures exceeded the same indicator in the control group (30.0%) respectively, by 2.0 (p=0.007) and 2.6 (p=0.002), respectively. In 47.9±7.2% of cases of all positive results, the material from women with preterm birth presented with various combinations of two, three, and four infectious agents, having common pathogenic links, which contributes to the aggravation of pathogenic processes, comorbidity or multimorbidity. According to the detection rates, in terms of total monoinfections and mixed infection components, pathogens detected during preterm birth were distributed as follows: U. urealyticum ‒ 34,2±5,4%; S. agalactiae ‒ 17,1±4,3%; M. hominis ‒ 15,8±4,1%; S. species (S. sanguis, S. salivarius, S. mitis, S. mutans) ‒ 13,1±3,8%; Cytomegalovirus ‒ 11,8±3,7%; Human herpesvirus 4 type – 9,2±3,3%; M. genitalium ‒ 2,6±1,8%. Conclusion. PCR testing showed that placentas from women whose pregnancy ended prematurely and samples of placenta and organs of premature infants who died in the early neonatal period presented with opportunistic agents colonizing female genital tract (streptococci, mycoplasmas) or ubiquitous herpesviruses persistent and reproduced in human lymphocytes (Cytomegalovirus, Human herpesvirus 4 type). Associations of microorganisms that cause comorbidity or multimorbidity account for a significant portion of the infectious agents detected. The context for a microbiota-integrated opportunistic agent to transform into a pathogenic strain, identification of transformation predictors, and possible tools to correct the disorders – all these require further research.

From being ‘at risk’ to being ‘a risk’: journeys into parenthood among young women experiencing adversity

2021 ◽  
Author(s):  
Megan Blaxland ◽  
Jennifer Skattebol ◽  
Myra Hamilton ◽  
Georgia van Toorn ◽  
Catherine Thomson ◽  
...  
Keyword(s):  
At Risk ◽  
Transition To Adulthood ◽  
Young Women ◽  
Child Protection ◽  
Protection System ◽  
Young Mothers ◽  
Narrative Interviews ◽  
New Mothers ◽  
Care Leavers

When young women who have grown up in contact with child protection become mothers, they shift from being regarded as a child ‘at risk’ by the child protection system, to posing ‘a risk’ to their baby. In contrast to their peers, young care leavers transition to adulthood with very few resources and little support; they typically continue to experience the economic and related adversities of their childhoods. This article draws on biographical narrative interviews with young Australian mothers to understand how they navigate child protection as new mothers. We argue that, while inequalities endure, new understandings of the system can be acquired and dispositions can adapt to function more effectively in the field of child protection. We draw on Bourdieu’s notions of capital, habitus and field to analyse young mothers' adaptations, with additional insights from Hester’s analogy of separate planets to explore their experiences of the field of child protection.

Information-Seeking on the Internet

Crisis ◽  
2015 ◽  
Vol 36 (3) ◽  
pp. 211-219 ◽  
Author(s):  
Vinod Singaravelu ◽  
Anne Stewart ◽  
Joanna Adams ◽  
Sue Simkin ◽  
Keith Hawton
Keyword(s):  
At Risk ◽  
Young People ◽  
Information Seeking ◽  
Significant Proportion ◽  
The Internet ◽  
Search Terms ◽  
Specific Advice ◽  
Restriction Sites ◽  
Self Harm ◽  
Negative Tone

Abstract. Background: The Internet is used by young people at risk of self-harm to communicate, find information, and obtain support. Aims: We aimed to identify and analyze websites potentially accessed by these young people. Method: Six search terms, relating to self-harm/suicide and depression, were input into four search engines. Websites were analyzed for access, content/purpose, and tone. Results: In all, 314 websites were included in the analysis. Most could be accessed without restriction. Sites accessed by self-harm/suicide search terms were mostly positive or preventive in tone, whereas sites accessed by the term ways to kill yourself tended to have a negative tone. Information about self-harm methods was common with specific advice on how to self-harm in 15.8% of sites, encouragement of self-harm in 7.0%, and evocative images of self-harm/suicide in 20.7%. Advice on how to get help was given in 56.1% of sites. Conclusion: Websites relating to suicide or self-harm are easily accessed. Many sites are potentially helpful. However, a significant proportion of sites are potentially harmful through normalizing or encouraging self-harm. Enquiry regarding Internet use should be routinely included while assessing young people at risk.

A Case of Congenital Glucose Galactose Malabsorption with a New Mutation in the SLC5A1 Gene

2020 ◽  
Author(s):  
Hasan Akduman ◽  
Dilek Dilli ◽  
Serdar Ceylaner
Keyword(s):  
Mutation Analysis ◽  
Autosomal Recessive ◽  
Glucose Transporter ◽  
Neonatal Period ◽  
Autosomal Recessive Disorder ◽  
Homozygous Mutation ◽  
New Mutation ◽  
Early Neonatal Period ◽  
Sodium Dependent ◽  
Hypernatremic Dehydration

AbstractCongenital glucose-galactose malabsorption (CGGM) is an autosomal recessive disorder originating from an abnormal transporter mechanism in the intestines. It was sourced from a mutation in the SLC5A1 gene, which encodes a sodium-dependent glucose transporter. Here we report a 2-day-old girl with CGGM who presented with severe hypernatremic dehydration due to diarrhea beginning in the first hours of life. Mutation analysis revealed a novel homozygous mutation NM_000343.3 c.127G > A (p.Gly43Arg) in the SLC5A1 gene. Since CGGM can cause fatal diarrhea in the early neonatal period, timely diagnosis of the disease seems to be essential.

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