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1.
Neuro Endocrinol Lett ; 31(6): 842-7, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-21196907

RESUMO

OBJECTIVE: The aim of this study was to determine the characteristic features of the umbilical cord morphology in selected cases of intrauterine growth restriction (IUGR): tobacco smoking, pregnancy-induced hypertension and idiopathic IUGR. MATERIALS AND METHODS: 136 pregnant women were included in the study - 86 patients with IUGR (IUGR group) and 50 women with uncomplicated course of pregnancy (control group). In the IUGR group 31 women were smokers, 27 suffered from pregnancy-induced hypertension, and 28 had an unknown reason for IUGR. Each of them underwent ultrasound examination to measure fetal growth and to assess morphological parameters of the umbilical cord. RESULTS: Significant differences between the control group and the whole IUGR group in terms of the diameter of the umbilical cord and diameter of the umbilical vein - smaller diameters in the IUGR group than in the control group. Significant differences among IUGR subgroups in terms of area of Wharton's jelly and diameters of the umbilical cord, vein and artery. Significant difference in the length of the uncoiled section among the IUGR subgroups. CONCLUSIONS: 1. The umbilical cord in IUGR and concomitant tobacco smoking is hyper-coiled with coiling index independent of fetal weight and high content of Wharton's jelly. 2. The umbilical cord in IUGR and concomitant pregnancy-induced hypertension is thinnest with thinnest vessels and the smallest content of Wharton's jelly. 3. The assessment of umbilical cord morphology should become an integral part of ultrasound exam in pregnancies complicated by IUGR.


Assuntos
Desenvolvimento Fetal , Retardo do Crescimento Fetal/etiologia , Hipertensão Induzida pela Gravidez/patologia , Fumar/efeitos adversos , Cordão Umbilical/patologia , Adulto , Comorbidade , Diagnóstico Diferencial , Feminino , Retardo do Crescimento Fetal/diagnóstico por imagem , Retardo do Crescimento Fetal/epidemiologia , Retardo do Crescimento Fetal/patologia , Feto , Humanos , Hipertensão Induzida pela Gravidez/diagnóstico por imagem , Hipertensão Induzida pela Gravidez/epidemiologia , Gravidez , Fumar/epidemiologia , Ultrassonografia Pré-Natal , Artérias Umbilicais/patologia , Cordão Umbilical/diagnóstico por imagem , Veias Umbilicais/patologia
2.
Neuro Endocrinol Lett ; 29(3): 292-4, 2008 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18580844

RESUMO

We present a case of a pregnancy in a 24 year old woman who was born with ectopia vesicae, split pelvis and hypoplasia of ischial bones. From childhood to adulthood she had undergone reconstructive surgeries of the abdomen and perineum, as well as urine diversion surgery. During pregnancy she experienced recurrent urinary tract infections which were treated with antibiotics. In spite of tocolysis, she delivered by cesarean section a premature baby boy at 35th week of gestation due to premature uterine contractions. The postoperative period was uneventful and they were discharged from the hospital in a good general condition.


Assuntos
Anormalidades Múltiplas/cirurgia , Ísquio/anormalidades , Pelve/anormalidades , Gravidez/fisiologia , Bexiga Urinária/anormalidades , Adulto , Amoxicilina/uso terapêutico , Antibacterianos/uso terapêutico , Cesárea , Feminino , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Ísquio/cirurgia , Testes de Função Renal , Laparotomia , Masculino , Pelve/cirurgia , Complicações na Gravidez/tratamento farmacológico , Complicações na Gravidez/microbiologia , Bexiga Urinária/cirurgia , Sistema Urinário/cirurgia , Infecções Urinárias/complicações , Infecções Urinárias/tratamento farmacológico , Infecções Urinárias/microbiologia , Vagina/anormalidades , Vagina/cirurgia
3.
Ginekol Pol ; 77(8): 618-23, 2006 Aug.
Artigo em Polonês | MEDLINE | ID: mdl-17076193

RESUMO

OBJECTIVES: A pregnant woman's weight is an extremely important factor in the course of pregnancy and delivery. Not only obesity but also being underweight may lead to complications in pregnancy such as: preterm delivery and low neonatal birth weight. DESIGN: The aim of this study was to analyze the relationship between a low BMI and outcome of pregnancy, birth weight and general well being of the neonates. MATERIAL AND METHODS: 415 patients who were hospitalized in the Department of Obstetrics and Reproduction Wroclaw Medical University between 1996-2005 was done. The patients were divided into 3 groups I--Underweight (BMI <19,8), II--Appropriate weight (BMI 19,8-26,0) and III--Overweight (BMI>26,0). RESULTS: The frequency of preterm deliveries as well as low neonatal birth weight <2500g, in underweight mothers was higher than in other groups. CONCLUSIONS: Low pre-pregnancy BMI is an important factor risk factor in preterm deliveries. There was no correlation between BMI and the general well being of the neonates.


Assuntos
Índice de Massa Corporal , Trabalho de Parto Prematuro/epidemiologia , Complicações na Gravidez/epidemiologia , Magreza/epidemiologia , Adulto , Feminino , Humanos , Recém-Nascido , Recém-Nascido de muito Baixo Peso , Bem-Estar Materno , Trabalho de Parto Prematuro/prevenção & controle , Polônia/epidemiologia , Gravidez , Complicações na Gravidez/prevenção & controle , Resultado da Gravidez/epidemiologia , Cuidado Pré-Natal/métodos , Fatores de Risco , Magreza/prevenção & controle
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