Impact of parity and intrauterine fetal condition during vacuum extraction.

PURPOSE: The main goal of this study was to investigate the impact of parity and intrauterine fetal condition on vacuum extraction. MATERIAL AND METHODS: This study included 10742 newborns who were delivered during 2008 in obstetrics/gynecology clinics in Kosovo, Yugoslavia. One hundred fifty-eight of these were vacuum deliveries. Data were collected for indicators such as parity, maternal age, gestation duration, newborn vitality, and birth weight. RESULTS: Vacuum extraction was used in 158 cases (1.47 %), of whom 116 (73%) were nulliparous and 42 (27%) were multiparous. In 121 cases (76.5%), vacuum extraction was performed in women with no history of abortion, and 101 (64%) of the women were aged 21-30 years. The main reason for vacuum extraction in 115 women (72%) was arrest (stasis) in the second stage of labor. Vacuum extraction was carried out at a gestational age of 34-40 weeks in 94 cases (59.5%). Amniotic fluid was clear in 125 cases (80%), and meconial amniotic fluid was seen in three cases (1.8%). Birth weight was > 3.5 kg in 77 infants (48.5%) and < 2.5 kg in seven (4.5%). Apgar score (AS) was 0-3 in 19 (12%), 4-7 in 129 (81.6%), and 8-10 in eight (6.4%) infants. In 91 cases (57.6%), newborn resuscitation was necessary and neonatal complications occurred in 11 cases (6.96%). CONCLUSIONS: We conclude that vacuum extraction was performed mostly in nulliparous women aged 21-30 years. Most newborn infants had a birth weight of > 3.5 kg, the most frequent AS was 4-7, and newborn resuscitation was needed in most cases.

Factors associated with pathologic colposcopic and cytologic changes in 500 clinically asymptomatic women.

OBJECTIVE: To determine the role of cytologic and colposcopic diagnosis in the early detection of pathologic cervical changes and the effect of the number of births, a history of abortion, the number of sexual partners, and contraceptive use on pathologic colposcopic and cytologic changes. METHOD: The 500 study participants were seen at the Obstetric-Gynecologic Clinic of Prishtina, Kosovo, in 2006 and 2007. They were assigned to 5 groups of 100 according to number of births, a history of abortion (whether spontaneous or induced), and total number of sexual partners, but the use of contraceptives was also analyzed. All participants underwent cytologic and colposcopic evaluations. RESULTS: Colposcopic atypia was observed in 70 participants (14%) and 77 (15.4%) had other findings. The degree of colposcopic atypia increased with the number of sexual partners, as did the frequency of infections. Most (91.2%) of the women with positive cytologic results were from groups 1 and 2, and the remaining 8.8% of these women were from groups 3, 4, and 5. From 44 patients with positive pathology results, 29 (65.9%) had chronic cervicitis, 13 (29. 5%) had hyperplasia, and 2 (4.5%) had carcinoma in situ. CONCLUSION: Number of births, a history of abortion, number of sexual partners, and contraceptive use directly affected pathologic colposcopic and cytologic changes.

Colposcopic changes based on number of sexual partners, births, and contraceptives use.

OBJECTIVE: The aim of this study was to determine the role of colposcopy and cytodiagnosis in the early detection of pathological changes in the uterine cervix and the association between the number of birth, sexual partners and colposcopic changes and cytological atypia. MATERIAL AND METHODS: Colposcopic changes in the cervix in relationship to number of births, abortions, and number of sexual partners were determined based on data from examinations performed at the Obstetric-Gynecologic Clinic in Prishtina, Kosovo during 2006 and 2007. The 500 examined patients were categorised in several groups. RESULTS: All study patients underwent colposcopy. Colposcopic atypia was observed in 70 patients (14%), and 77 (15.4%) had other abnormal findings. The amount of colposcopic atypia increased with an increasing number of sexual partners. In the group with three or more sexual partners (n=43) the rate was 62.8%. Infections were also more frequent in this group; of the 43 patients examined, 51.3% (22 patients) had infections, whereas in the group of 76 patients with only one sexual partner, 18.3% had infections and only 20.6% used contraceptives. CONCLUSION: Number of births, abortions, number of sexual partners, and contraceptive use directly affect colposcopic changes and cytological atypia.