scholarly journals Mitigation of Risk and Associated Complications of Diagnostic Amniocentesis during Second Trimester of Pregnancy (15-22 Weeks)

2021 ◽  
Vol 16 (1) ◽  
pp. 42-45
Author(s):  
Nargis Nahar ◽  
Liza Chowdhury ◽  
Mst Ralifa Akter
Keyword(s):  
Amniotic Fluid ◽  
Ultrasound Guidance ◽  
Operative Management ◽  
Second Trimester ◽  
Amniotic Cavity ◽  
Previous Pregnancy ◽  
Operative Care ◽  
Study Results ◽  
History Of ◽  
Fetal Trauma

Introduction: Amniocentesis is a procedure in which amniotic fluid is collected from the amniotic cavity for testing or treatment. Amniotic fluid is the fluid that surrounds and protects a baby during pregnancy. Amniotic fluid contains fetal cells and various proteins and provides valuable information about baby's health. Aim: To evaluate the risk and associated complications during diagnostic amniocentesis. Methods: This prospective study was conducted by performing amniocentesis among pregnant ladies of early second trimester at Dhaka CMH, and Aklima General Hospital Limited, Mirpur, Dhaka from July 2016 to June 2019. A total of 50 patients were selected by age of the patient, history of previous pregnancy outcome, parental haemoglobinopathy and few other factors triggered these cases to be put under this study. Results: No major complications have been observed during and after the procedure because of appropriate pre-operative and post-operative management. Conclusion: There are some common and known risks which are associated with amniocentesis like miscarriage, amnionitis, fetal trauma etc. Through skilled execution with the help of real-time ultrasound guidance and proper pre-operative and post-operative care, we can avoid complications and get benefit from amniocentesis. JAFMC Bangladesh. Vol 15, No 1 (June) 2020: 42-45

scholarly journals Prevalence and sociodemographic factors responsible for anaemia in pregnancy: experience in a military hospital in Bangladesh

2020 ◽  
Vol 11 (1) ◽  
pp. 52-56
Author(s):  
Fakhrul Alam ◽  
Shakila Khanum ◽  
Israt Jahan ◽  
Jamal Uddin Ahmed
Keyword(s):  
Pregnant Women ◽  
Family Income ◽  
Demographic Data ◽  
Adverse Outcomes ◽  
World Health ◽  
Military Hospital ◽  
Second Trimester ◽  
Cross Sectional ◽  
Study Results ◽  
History Of

Background: Anemia during pregnancy is associated with adverse outcomes. Prevalence of anemia is thought to be high in developing countries. This study was aimed at determining the prevalence and socio-demographic and reproductive factors associated with anemia among a group of pregnant mother. Methods: This cross-sectional observational study was conducted on pregnant women who visited the antenatal clinic of Combined Military Hospital (CMH), Savar, Dhaka from January 2017 to December 2019. Hemoglobin level was measured in all these women to assess the presence of anemia and was categorized according to the World Health Organization (WHO) criteria. Demographic data and information on maternal age, gestational age, educational and income level, and socioeconomic status were collected from anemic pregnant women and were analyzed. Results: Out of 1500 pregnant women 525 (35%) were found to be anemic (Hemoglobin <11.0 g/dl). Among the 525 anemic women, 347 (66.1%) had mild anemia, 157 (29.9%) had moderate anemia and 21 (4.0%) women had severe anemia. Majority (48%) of the anemic women were less than 25 years old and majority (47%) had body mass index (BMI) <18.5 kg/m2. Most of the women (58%) presented in their second trimester of pregnancy. More than two thirds pregnant women were multigravida. More than 50% women had history of abortion and around one third had 2 or more abortions. Most of the women (56%) reported another pregnancy within 24 months of current pregnancy. Sixty four percent of the patients completed secondary education, 75% were homemaker and 56% lived in rural area. Most of the patients (80%) had a family income per month less than 20000 taka. Majority (58.4%) of the women did not receive any iron supplementation during this pregnancy. Conclusions: This study results show that more than one third of the pregnant women suffer from anemia irrespective of gestational week, but is more common in those presenting in second trimester of pregnancy, those who are younger, lean and thin, having history of previous pregnancy and bad obstetric history. Birdem Med J 2021; 11(1): 52-56

Efficacy of intrauterine administration of autologous peripheral blood mononuclear cells prior to embryo transfer in patients with recurrent implantation failures in assisted reproductive technology programmes

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (2) ◽  
pp. 28-33
Author(s):  
T S Amyan ◽  
S G Perminova ◽  
L V Krechetova ◽  
V V Vtorushina
Keyword(s):  
Embryo Transfer ◽  
Peripheral Blood Mononuclear Cells ◽  
Peripheral Blood ◽  
Mononuclear Cells ◽  
Peripheral Blood Mononuclear ◽  
Study Objective ◽  
Study Results ◽  
Blood Mononuclear Cells ◽  
History Of ◽  
Group 2

Study objective. To evaluate the efficacy of intrauterine administration of autologous peripheral blood mononuclear cells (PBMC) prior to embryo transfer in patients with recurrent implantation failures in IVF program. Materials and methods. The study enrolled 129 patients with recurrent implantation failures in an IVF programme. Group 1 - 42 patients who had intrauterine administration of autologous PBMC activated with hCG (Pregnyl 500 IU). Group 2 - 42 patients who had intrauterine administration of autologous PBMC without hCG activation. Group 3 (placebo) - 45 patients who had intrauterine administration of saline. Study results. In the hCG-activated PBMC group, the rates of positive blood hCG tests, implantation, and clinical pregnancy were significantly higher than the respective rates in the non-activated PBMC group and in the placebo group, both in a stimulated cycle and in an FET cycle (р≤0.05). Conclusion. Intrauterine administration of autologous PBMC prior to embryo transfer in an IVF/ICSI programme increases the efficacy of IVF program in patients with a history of recurrent implantation failures.

scholarly journals Effect of Gestational Diabetes Mellitus History on Future Pregnancy Behaviors: The Mutaba’ah Study

2020 ◽  
Vol 18 (1) ◽  
pp. 58
Author(s):  
Nasloon Ali ◽  
Aysha S. Aldhaheri ◽  
Hessa H. Alneyadi ◽  
Maha H. Alazeezi ◽  
Sara S. Al Dhaheri ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Previous History ◽  
Previous Pregnancy ◽  
Prenatal Health ◽  
Supplement Use ◽  
History Of ◽  
Future Pregnancy

Gestational diabetes mellitus (GDM) increases the risk of adverse pregnancy outcomes in any pregnancy and recurrence rates are high in future pregnancies. This study aims to investigate the effect of self-reported history of previous GDM on behaviors in a future pregnancy. This is an interim cross-sectional analysis of the pregnant women who participated in the Mutaba’ah Study between May 2017 and March 2020 in the United Arab Emirates. Participants completed a baseline self-administered questionnaire on sociodemographic and pregnancy-related information about the current pregnancy and previous pregnancies. Regression models assessed the relationships between self-reported history of GDM and pre-pregnancy and pregnancy behaviors in the current pregnancy. Out of 5738 pregnant parous women included in this analysis, nearly 30% (n = 1684) reported a history of GDM in a previous pregnancy. Women with a history of previous GDM were less likely to plan their current pregnancies (adjusted odds ratio (aOR): 0.84, 95% confidence interval (CI) 0.74–0.96) and more likely to be worried about childbirth (aOR: 1.18, 95% CI 1.03–1.36). They had shorter interpregnancy intervals between their previous child and current pregnancy (aOR: 0.88, 95% CI 0.82–0.94, per SD increase). There were no significant differences between women with and without a history of GDM in supplement use, sedentary behavior, or physical activity before and during this current pregnancy. Nearly a third of parous pregnant women in this population had a history of GDM in a previous pregnancy. Pregnant women with a previous history of GDM were similar to their counterparts with no history of GDM in the adopted pre-pregnancy and prenatal health behaviors. More intensive and long-term lifestyle counseling, possibly supported by e-health and social media materials, might be required to empower pregnant women with a history of GDM. This may assist in adopting and maintaining healthy prenatal behaviors early during the pregnancy or the preconception phase to minimize the risk of GDM recurrence and the consequential adverse maternal and infant health outcomes.

scholarly journals Sociopolitical Approach to the Launch History of the KBO League: Application of Complex System Paradigm

2021 ◽  
Vol 18 (10) ◽  
pp. 5471
Author(s):  
Won-Chul Bing
Keyword(s):  
Complex System ◽  
Bifurcation Point ◽  
Positive Feedback ◽  
Professional Baseball ◽  
Sports Culture ◽  
Edge Of Chaos ◽  
Study Results ◽  
History Of ◽  
System Paradigm ◽  
Chun Doo Hwan

The Korean Baseball Organization (KBO) League is a sports culture that Koreans love and enjoy most. However, the launch of the KBO League is related to political issues in Korea. The purpose of this study is to explain the launch history of the KBO league through a sociopolitical approach. The history of the KBO league was explained by applying a complex paradigm that explains sociocultural phenomena from a new perspective. This study used historical analysis, a qualitative study approach. Literature related to Korean professional baseball, complex system theory, sports, and politics were reviewed. This study introduces the characteristics and theory of the complex system paradigm and analyzes the history of the KBO League based on this theory. The edge of chaos, bifurcation point, positive feedback, emergence of the theory of complex system are used as elements of an overall theoretical framework to analyze the history and development of the KBO league. The study results are explained in four frameworks. First, the KBO was launched on the edge of chaos, or in the midst of social chaos provoked by Chun Doo-Hwan, who seized power through a military coup. Second, the Chun Doo-Hwan regime launched the professional baseball league to divert the public’s attention from politics to sports and provided support to construct baseball fields as venues for the national pastime. The Chun Doo-Hwan regime’s appeasement policy became a bifurcation point, which promoted the launch of the professional baseball league. Third, from the viewpoint of the complex system paradigm, the launch of the Korean baseball league was enabled by the positive feedback of the Korea professional baseball promotion committee, established in 1975 under the initiative of Korean American businessman Hong Yoon-Hee. Fourth, the Korean professional baseball league led to the emergence of the consumption culture of professional sports, and it became a national leisure and a crucial part of Korea’s sports culture. In terms of sociopolitical, the KBO League started in the dark of Korean society, but it is becoming a vitality for Korean sports culture and health.

Second-trimester echogenic bowel and intraamniotic bleeding: Association between fetal bowel echogenicity and amniotic fluid spectrophotometry at 410 nm

1996 ◽  
Vol 174 (3) ◽  
pp. 839-842 ◽  
Author(s):  
Waldo Sepulveda ◽  
Rosemary Reid ◽  
Peter Nicolaidis ◽  
Oonagh Prendiville ◽  
Richard S. Chapman ◽  
...  
Keyword(s):  
Amniotic Fluid ◽  
Second Trimester

Attempted suicide attention at an emergency room: A hospital-based descriptive approach

2016 ◽  
Vol 33 (S1) ◽  
pp. S603-S603
Author(s):  
D. Torres ◽  
G. Martinez-Ales ◽  
M. Quintana ◽  
V. Pastor ◽  
M.F. Bravo
Keyword(s):  
Emergency Room ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Psychiatric Hospitalization ◽  
Study Results ◽  
History Of ◽  
Competing Interest ◽  
Reported Data ◽  
Medium Cost ◽  
Rule Out

IntroductionSuicide causes 1.4% of deaths worldwide. Twenty times more frequent, suicide attempts entail an important source of disability and of psychosocial and medical resources use.ObjectiveTo describe main socio-demographical and psychiatric risk factors of suicide attempters treated in a general hospital's emergency room basis.AimsTo identify individual features potentially useful to improve both emergency treatments and resource investment.MethodsA descriptive study including data from 2894 patients treated in a general hospital's emergency room after a suicidal attempt between years 2006 and 2014.ResultsSixty-nine percent of the population treated after an attempted suicide were women. Mean age was 38 years old. Sixty-six percent had familiar support; 48.5% had previously attempted a suicide (13% did not answer this point); 72.6% showed a personal history of psychiatric illness. Drug use was present in 38.3% of the patients (20.3% did not answer this question); 23.5% were admitted to an inpatient psychiatric unit. Medium cost of a psychiatric hospitalization was found to be 4900 euros.ConclusionThis study results agree with previously reported data. Further observational studies are needed in order to bear out these findings, rule out potential confounders and thus infer and quantify causality related to each risk factor.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Association between Patients with Metabolic Syndrome and Other Various Factors Defining Metabolic Syndrome: A Cross-Sectional Study

2021 ◽  
Vol 8 (4) ◽  
pp. 12-17
Author(s):  
Basavaraj PG ◽  
Ashok P Yenkanchi ◽  
Chidanand Galagali
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Cardiovascular Diseases ◽  
Abdominal Obesity ◽  
Positive History ◽  
The Metabolic Syndrome ◽  
Study Results ◽  
History Of ◽  
The Mean

Background: Risk factors can lead to clinical conditions, like metabolic syndrome, that predisposes the development of cardiovascular diseases. Objective: The goal of this population-based, prospective and non-randomised cohort study was to study the association between patients with metabolic syndrome and other various factors defining metabolic syndrome. Methods: All the patients referred to the department of Medicine, Al-Ameen Medical college hospital and District Hospital, Vijayapur, Karnataka, India over a period of twenty-two months extending from December 2013 to September 2015 were considered in this study. Results: In the current study, out of 100 patients, 62.9% patients had metabolic syndrome with positive family history of hypertension, diabetes mellitus. 70.8% patients had metabolic syndrome with positive history of smoking. 64.3% patients had metabolic syndrome with positive history of alcohol .73.9% patients had metabolic syndrome with positive history of IHD. 87% of the patients with metabolic syndrome had SBP> 130 mmHg, and 78.85% patients had DBP>85 mmHg. And metabolic syndrome was observed in 71.8% patients on anti hypertensive drugs. The mean level of total cholesterol, LDL cholesterol, triglyceride is increased whereas the mean level of anti-atherogenic HDL cholesterol is low in subjects with MS. At least one lipid abnormality was present in > 95 % of cases. Around 81% subjects with BMI <25 (out of 38) had metabolic syndrome and 58% subjects with BMI>25(out of 62) had metabolic syndrome. Conclusion: All the components defining the metabolic syndrome correlated positively with the abdominal obesity. Systolic blood pressure values were significantly higher than diastolic blood pressure in subjects with abdominal obesity. Metabolic syndrome has multiple risk factors determined by various aspects like the race, the life style, geographical factors larger study is needed to understand the correlation between various components defining it. A healthy lifestyle, that includes avoiding tobacco exposure and proper weight control, must be encouraged in this high-risk population. Keywords: Cardiovascular diseases; Overweight; Risk factors; Smoking.

The Natural History of Trisomy 21: Outcome Data from a Large Tertiary Referral Centre

2021 ◽  
pp. 1-7
Author(s):  
Clare O’Connor ◽  
Rebecca Moore ◽  
Peter McParland ◽  
Heather Hughes ◽  
Barbara Cathcart ◽  
...  
Keyword(s):  
Trisomy 21 ◽  
Pregnancy Loss ◽  
Loss Rate ◽  
Outcome Data ◽  
Second Trimester ◽  
Referral Centre ◽  
Tertiary Referral ◽  
Tertiary Referral Centre ◽  
History Of ◽  
Baseline Demographic

<b><i>Objective:</i></b> The aim of the study was to prospectively gather data on pregnancy outcomes of prenatally diagnosed trisomy 21 (T21) in a large tertiary referral centre. <b><i>Methods:</i></b> Data were gathered prospectively in a large tertiary referral centre over 5 years from 2013 to 2017 inclusively. Baseline demographic and pregnancy outcome data were recorded on an anonymized computerized database. <b><i>Results:</i></b> There were 1,836 congenital anomalies diagnosed in the study period including 8.9% (<i>n</i> = 165) cases of T21. 79% (<i>n</i> = 131) were age 35 or older at diagnosis. 79/113 (69.9%) women chose a termination of pregnancy (TOP) following a diagnosis of T21. Amongst pregnancies that continued, there were 4 second-trimester miscarriages (4/34, 11.7%), 9 stillbirths (9/34, 26.4%), and 1 neonatal death, giving an overall pregnancy and neonatal loss rate of 14/34 (41.1%). <b><i>Conclusion:</i></b> The risk of foetal loss in prenatally diagnosed T21 is high at 38% with an overall pregnancy loss rate of 41.1%. This information may be of benefit when counselling couples who are faced with a diagnosis of T21 particularly in the context of limited access to TOP.

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