effect of maternal iron deficiency anemia on pregnancy outcome

To evaluate the effects of iron deficiency anemia on pregnancy outcome and possible relation between placental weight and fetal weight. The subjects of this study were eighty pregnant ladies. Forty of them were iron deficiency anemic pregnant ladies while the remaining forty were normal pregnant ladies as the control group. For all blood samples were obtained and subjected for complete blood count, indices, serum iron, total iron binding capacity [TIBC], transferrin saturation, serum ferritin, placental weight, fetal weight and Apgar score estimation. In the iron deficiency anemic group there were a significant decease in all parameters except RBCs count, fetal weight and Apgar score whose values were statistically non significant. Serum ferritin and mean corpuscular volume [MCV] showed a deficit compared with the control group. Serum ferritin, serum iron, TIBC determinations were the best measurements to diagnose iron deficiency anemia during pregnancy. There was an increase in placental weight and placental weight/fetal weight ratio. Regarding neonatal condition at birth [Apgar score] there was non significant difference between both groups

effect of placental laterality on development of pregnancy-induced hypertension and intrauterine growth retardation

To evaluate the effect of lateral placenta on development of pregnancy induced hypertension [PIH] and intrauterine growth retardation [IUGR]. The subjects of this study were eighty pregnant women; 50 normal pregnant ladies and 30 with P.I.H and/or intrauterine growth retardation. A thorough history was taken and physical examination as well as real time ultrasonography were performed for all cases. Identification of placental location in the upper or lower segment, central or lateral was carried out. In patients with lateral placentae, the incidence of PIH and IUGR was 3-folds and 2.7-folds respectively greater than in patients with central placentae. There was no significant correlation between proximity of the placenta to the fundus and the development of PIH or IUGR. Unilateral placental location may predispose to the development of pregnancy-induced hypertension and intrauterine growth retardation of the fetus. Further studies are needed to evaluate the sensitivity of placental location as a screening tool for patients at risk to develop PIH or IUGR

Efficacy of alpha sympathomimitic ephderine Hcl in the treatment of classic nocturnal enuresis in girls

Voiding problems and in particular nocturnal enuresis can usually be evaluated and managed without resorting to cornilex procedures or invasive tests. A good history with attention to toilet habits can help distinguish patient who may have significant organic pathologic conditions which require further investigations. The cause of classic nocturnal enuresis is unknown, spontaneous resolution rate without any therapy makes it difficult to evaluate any one treatment. Completely different approaches have nearly equivalent success rates in nocturnal enuretics. The concept that enuresis results from failure to gain a high alpha sympathetic tone stimulated us to test the efficacy of giving Ephedilne HCI[an alpha sympathomimitic drug] to treat primary nocturnal enuresis in girls. The study included 154 girls, of ages 6 to 18 years, suffering primary nocturnal enuresis, not responding to conventional therapies. After having a consent to share in the study, all patients were subjected to history-taking, physical examination, routine investigations and urodynamic studies, before and 2 mo after giving Ephedrine UCI tablets, half a tablet for those under 10 years and one tablet for girls over 10 years, twice daily, after lunch an half an hour before bed time. The cure rate accounted for 92%, relapses occurred in 3% and 4.5% of girls, after 3 and 6 mo, respectively, with complete cure after consuming the drug for 1-2 mo more. Side effects were transient and tolerable. Cytometrogram and leak oint pressures displayed non-significant change, after 2 mo treatment, while, out of urethral pressure profilmetry, MUP, MUCP and total closing area displayed significant differences. It is concluded that treatment of primary nocturnal enuresis, in girls, using Ephedrine HCI is both effective and safe

Intra amniotic as an indicator of preterm labor with intact memranes

The role of Chiamydia trachomatis as an etiological agent in chronic non bacterial prostatitis is assessed in 70 patients attending the out patient clinic of Dermatology and Venereal Diseases in Zagazig University. Patients were chosen according to past history of chronic prostatitis or symptoms suggestive of prostatitis. Two samples were taken from each patient; the first is uretheral swab which was examined with ELISA to exclude chiamydial uretheritis, and the second is expressed prostatic secretion [ESP], which was subjected to microscopical examination of a wet film, Gram stained smears to exclude any bacteria or parasites, detection of Chiamydia trachomatis using Enzyme Linked Immunosorbent Assay test [ELISA]; "Clamydiazyme diagnostic kit", Polymerase Chain Reaction test; PCR AMPLICOR C. trachomatis system, as well as staining of expressed prostatic secretion [EPS] with Giemsa stain. ELISA test has shown that 6 patients out of the 70 patients suffering from non bacterial prostatitis were positive for Chiamydia trachomatis [8.6%]. All positive patients had more than 25 pus cells/HPF. PCR test has confirmed the 6 patients positive by ELISA besides extra 4 patients, totally 10 positive cases, [14%]. Giemsa stain could not detect intracytoplasmic inclusion bodies in EPS obtained from the 70 chronic prostatitis patients. Compared to PCR AMPLICOR C. trachomatis system, ELISA has shown high sensitivity [100%], good specificity [94%] and a good positive predictive value. We may recommend the use of ELISA test as a screening test for chronic prostatitis to diagnose cases of non bacterial prostatitis caused by C. trachomatis since it is a simple, relatively rapid technique, and less expensive

Evaluation of transcervical resection of the endometrium [TCRE] as a treatment option for repractory dysefunctional uterine bleeding

Evaluation of transcervical resection of the endometrium [TCRE] by electrosurgical means as a treatment option for cases of refractory recurrent dysfunctional uterine bleeding [DUB]. 30 cases of refractory recurrent DUB underwent TCRE. Their ages ranged between 37 and 45 years. Dilatation and curettage was performed for all cases one week before TCRE to make the endonietriurn thin facilitating its resection. Transvaginal sonography [TVS] was performed pre and postoperatively to measure the dimensions of the uterus and endometrial thickness. The menstrual pattern has been improved in 86.2% of cases of DUB. There was a significant reduction in endometrial thickness as well anteroposterior and transverse diameters of the uterus in the improved cases [amenorrhea, hypomenorrhea or average menstrual flow]. There was a non significant reduction of endometrial thickness and uterine dimensions in non improved cases [unchanged menstrual pattern]. Hysteroscopic TCRE is an effective and valuable procedure for treatment of refractory DUB