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1.
Psicol. ciênc. prof ; 43: e244244, 2023.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1448957

ABSTRACT

Com os avanços tecnológicos e o aprimoramento da prática médica via ultrassonografia, já é possível detectar possíveis problemas no feto desde a gestação. O objetivo deste estudo foi analisar a prática do psicólogo no contexto de gestações que envolvem riscos fetais. Trata-se de um estudo qualitativo sob formato de relato de experiência como psicólogo residente no Serviço de Medicina Fetal da Maternidade Escola da Universidade Federal do Rio de Janeiro (UFRJ). Os registros, feitos por observação participante e diário de campo, foram analisados em dois eixos temáticos: 1) intervenções psicológicas no trabalho em equipe em consulta de pré-natal, exame de ultrassonografia e procedimento de amniocentese; e 2) intervenções psicológicas em casos de bebês incompatíveis com a vida. Os resultados indicaram que o psicólogo nesse serviço é essencial para atuar de forma multiprofissional na assistência pré-natal para gravidezes de alto risco fetal. Ademais, a preceptoria do residente é relevante para sua formação e treinamento para atuação profissional no campo da psicologia perinatal.(AU)


Face to the technological advances and the improvement of medical practice via ultrasound, it is already possible to detect possible problems in the fetus since pregnancy. The objective of this study was to analyze the psychologist's practice in the context of pregnancies which involve fetal risks. It is a qualitative study based on an experience report as a psychologist trainee at the Fetal Medicine Service of the Maternity School of UFRJ. The records, based on the participant observation and field diary, were analyzed in two thematic axes: 1) psychological interventions in the teamwork in the prenatal attendance, ultrasound examination and amniocentesis procedure; and 2) psychological interventions in cases of babies incompatible to the life. The results indicated that the psychologist in this service is essential to work in a multidisciplinary way at the prenatal care for high fetal risk pregnancies. Furthermore, the resident's preceptorship is relevant to their education and training for professional performance in the field of Perinatal Psychology.(AU)


Con los avances tecnológicos y la mejora de la práctica médica a través de la ecografía, ya se puede detectar posibles problemas en el feto desde el embarazo. El objetivo de este estudio fue analizar la práctica del psicólogo en el contexto de embarazos de riesgos fetal. Es un estudio cualitativo basado en un relato de experiencia como residente de psicología en el Servicio de Medicina Fetal de la Escuela de Maternidad de la Universidade Federal do Rio de Janeiro (UFRJ). Los registros, realizados en la observación participante y el diario de campo, se analizaron en dos ejes temáticos: 1) intervenciones psicológicas en el trabajo en equipo, en la consulta prenatal, ecografía y los procedimientos de amniocentesis; y 2) intervenciones psicológicas en casos de bebés incompatibles con la vida. Los resultados señalaron como fundamental la presencia del psicólogo en este servicio trabajando de forma multidisciplinar en la atención prenatal en el contexto de embarazos de alto riesgo fetal. Además, la tutela del residente es relevante para su educación y formación para el desempeño profesional en el campo de la Psicología Perinatal.(AU)


Subject(s)
Humans , Female , Pregnancy , Prenatal Care , Pregnancy, High-Risk , Psychosocial Intervention , Heart Defects, Congenital , Anxiety , Orientation , Pain , Parent-Child Relations , Parents , Paternity , Patient Care Team , Patients , Pediatrics , Placenta , Placentation , Pregnancy Complications , Pregnancy Maintenance , Prognosis , Psychoanalytic Theory , Psychology , Puerperal Disorders , Quality of Life , Radiation , Religion , Reproduction , Reproductive and Urinary Physiological Phenomena , General Surgery , Syndrome , Congenital Abnormalities , Temperance , Therapeutics , Urogenital System , Bioethics , Physicians' Offices , Infant, Premature , Labor, Obstetric , Pregnancy , Pregnancy, Animal , Pregnancy Outcome , Adaptation, Psychological , Pharmaceutical Preparations , Echocardiography , Magnetic Resonance Spectroscopy , Family , Abortion, Spontaneous , Child Rearing , Child Welfare , Mental Health , Family Health , Survival Rate , Life Expectancy , Cause of Death , Ultrasonography, Prenatal , Chromosome Mapping , Parental Leave , Mental Competency , Polycystic Kidney, Autosomal Recessive , Down Syndrome , Perinatal Care , Comprehensive Health Care , Chemical Compounds , Depression, Postpartum , Neurobehavioral Manifestations , Disabled Children , Diagnostic Techniques and Procedures , Gravidity , Crisis Intervention , Affect , Cytogenetic Analysis , Spirituality , Complicity , Value of Life , Humanizing Delivery , Death , Decision Making , Defense Mechanisms , Abortion, Threatened , Delivery of Health Care , Dementia , Uncertainty , Organogenesis , Qualitative Research , Pregnant Women , Early Diagnosis , Premature Birth , Nuchal Translucency Measurement , Child Mortality , Depression , Depressive Disorder , Postpartum Period , Diagnosis , Diagnostic Techniques, Obstetrical and Gynecological , Ethanol , Ego , Emotions , Empathy , Environment , Humanization of Assistance , User Embracement , Ethics, Professional , Cell Nucleus Shape , Prenatal Nutrition , Cervical Length Measurement , Family Conflict , Family Therapy , Resilience, Psychological , Reproductive Physiological Phenomena , Female Urogenital Diseases and Pregnancy Complications , Gestational Sac , Brief, Resolved, Unexplained Event , Fetal Death , Embryonic and Fetal Development , Multimodal Imaging , Mortality, Premature , Clinical Decision-Making , Pediatric Emergency Medicine , Child, Foster , Freedom , Burnout, Psychological , Birth Setting , Frustration , Sadness , Respect , Psychological Distress , Genetics , Psychological Well-Being , Obstetricians , Guilt , Happiness , Health Occupations , Hospitalization , Hospitals, Maternity , Hospitals, University , Human Development , Human Rights , Imagination , Infections , Infertility , Anencephaly , Jurisprudence , Obstetric Labor Complications , Licensure , Life Change Events , Life Support Care , Loneliness , Love , Medical Staff, Hospital , Intellectual Disability , Morals , Mothers , Narcissism , Congenital, Hereditary, and Neonatal Diseases and Abnormalities , Neonatology , Nervous System Malformations , Object Attachment
2.
Psicol. ciênc. prof ; 43: e252071, 2023. tab
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1440790

ABSTRACT

Este artigo analisou a percepção e os sentimentos de casais sobre o atendimento recebido nos serviços de saúde acessados em função de perda gestacional (óbito fetal ante e intraparto). O convite para a pesquisa foi divulgado em mídias sociais (Instagram e Facebook). Dos 66 casais que contataram a equipe, 12 participaram do estudo, cuja coleta de dados ocorreu em 2018. Os casais responderam conjuntamente a uma ficha de dados sociodemográficos e uma entrevista semiestruturada, realizada presencialmente (n=4) ou por videochamada (n=8). Os dados foram gravados em áudio e posteriormente transcritos. A Análise Temática indutiva das entrevistas identificou cinco temas: sentimento de impotência, iatrogenia vivida nos serviços, falta de cuidado em saúde mental, não reconhecimento da perda como evento com consequências emocionais negativas, e características do bom atendimento. Os achados demonstraram situações de violência, comunicação deficitária, desvalorização das perdas precoces, falta de suporte para contato com o bebê falecido e rotinas pouco humanizadas, especialmente durante a internação após a perda. Para aprimorar a assistência às famílias enlutadas, sugere-se qualificação profissional, ampliação da visibilidade do tema entre diferentes atores e reorganização dos serviços, considerando uma diretriz clínica para atenção ao luto perinatal, com destaque para o fortalecimento da inserção de equipes de saúde mental no contexto hospitalar.(AU)


This study analyzed couples' perceptions and feelings about pregnancy loss care (ante and intrapartum fetal death). A research invitation was published on social media (Instagram and Facebook) and data collection took place in 2018. Of the 66 couples who contacted the research team, 12 participated in the study by filling a sociodemographic questionnaire and answering a semi-structured interview in person (n=04) or by video call (n=08). All interviews were audio recorded, transcribed, and examined by Inductive Thematic Analysis, which identified five themes: feelings of impotence, iatrogenic experiences in health services, lack of mental health care, not recognizing pregnancy loss as an emotionally overwhelming event, and aspects of good healthcare. Analysis showed experiences of violence, poor communication, devaluation of early losses, lack of support for contact with the deceased baby, and dehumanizing routines, especially during hospitalization after loss. Professional qualification, extended pregnancy loss visibility among different stakeholders, and reorganization of health services are needed to improve the care offered to grieving families, considering a clinical guideline for perinatal grief care with emphasis on strengthening the insertion of mental health teams in the hospital context.(AU)


Este estudio analizó las percepciones y sentimientos de parejas sobre la atención recibida en los servicios de salud a los que accedieron debido a la pérdida del embarazo (muerte fetal ante e intraparto). La invitación al estudio se publicó en las redes sociales (Instagram y Facebook). De las 66 parejas que se contactaron con el equipo, 12 participaron en el estudio, cuya recolección de datos se realizó en 2018. Las parejas respondieron un formulario de datos sociodemográficos y realizaron una entrevista semiestructurada presencialmente (n=4) o por videollamada (n=08). Los datos se grabaron en audio para su posterior transcripción. El análisis temático inductivo identificó cinco temas: Sentimiento de impotencia, experiencias iatrogénicas en los servicios, falta de atención a la salud mental, falta de reconocimiento de la pérdida como un evento con consecuencias emocionales negativas y características de buena atención. Los hallazgos evidenciaron situaciones de violencia, comunicación deficiente, desvalorización de las pérdidas tempranas, falta de apoyo para el contacto con el bebé fallecido y rutinas poco humanizadas, especialmente durante la hospitalización tras la pérdida. Para mejorar la atención a las familias en duelo, se sugiere capacitación profesional, ampliación de la visibilidad del tema entre los diferentes actores y reorganización de los servicios, teniendo en cuenta una guía clínica para la atención del duelo perinatal, enfocada en fortalecer la inserción de los equipos de salud mental en el contexto hospitalario.(AU)


Subject(s)
Humans , Male , Female , Pregnancy , Adult , Middle Aged , Child Health Services , Mental Health , Humanization of Assistance , Fetal Death , Pain , Parents , Pediatrics , Perinatology , Placenta Diseases , Prejudice , Prenatal Care , Psychology , Psychology, Medical , Public Policy , Quality of Health Care , Reproduction , Syndrome , Congenital Abnormalities , Torture , Uterine Contraction , Birth Injuries , Maternity Allocation , Labor, Obstetric , Trial of Labor , Adaptation, Psychological , Abortion, Spontaneous , Child Care , Maternal-Child Nursing , Refusal to Treat , Women's Health , Patient Satisfaction , Parenting , Parental Leave , Health Care Quality, Access, and Evaluation , Privacy , Depression, Postpartum , Credentialing , Affect , Crying , Curettage , Reproductive Techniques, Assisted , Access to Information , Ethics, Clinical , Humanizing Delivery , Abortion, Threatened , Denial, Psychological , Prenatal Nutritional Physiological Phenomena , Parturition , Labor Pain , Premature Birth , Prenatal Injuries , Fetal Mortality , Abruptio Placentae , Violence Against Women , Abortion , User Embracement , Ethics, Professional , Stillbirth , Evaluation Studies as Topic , Nuchal Cord , Resilience, Psychological , Reproductive Physiological Phenomena , Fear , Female Urogenital Diseases and Pregnancy Complications , Fertility , Fetal Diseases , Prescription Drug Misuse , Hope , Prenatal Education , Courage , Psychological Trauma , Professionalism , Psychosocial Support Systems , Frustration , Sadness , Respect , Psychological Distress , Obstetric Violence , Family Support , Obstetricians , Guilt , Health Services Accessibility , Hospitals, Maternity , Obstetric Labor Complications , Labor, Induced , Anger , Loneliness , Love , Midwifery , Mothers , Nursing Care
3.
Enferm. Investig ; 4(1): 55-65, 2019-03-30. ilus, tab
Article in Spanish | LILACS, BDENF | ID: biblio-999147

ABSTRACT

El objetivo de esta revisión integrativa fue identificar la utilidad de la cateterización urinaria intermitente o permanente en mujeres en labor de parto con parto vaginal y las posibles consecuencias en el postparto inmediato para mejorar la práctica clínica obstétrica. En la metodología se consideró las recomendaciones del Joanna Briggs Institute, partiendo de una pesquiza general para luego redactar una pregunta utilizando el formato PCC (Población, concepto y contexto); luego se estableció una estrategia de búsqueda de información en bases de datos, se llevó a cabo la selección y análisis crítico e interpretración de la evidencia encontrada. Identificados un total de 322 artículos, siendo removidos cinco por duplicación y excluídos 305 por título y resumen, quedando seleccionados 6. Como resultado se destacan cuatro temas los cuales fueron discutidos según la evidencia: 1. Cateterismo vesical en labor de parto; 2. Retención urinaria; 3. Distención vesical y labor de parto; 4. Infección urinaria y cateterismo vesical. Se concluye que enfermería obstétrica debe fomentar el vaciamiento vesical mínimo cada dos horas y estar haciendo valoraciones continuas e integrales durante todo el proceso de parto y postparto para detectar con prontitud cualquier desviación en la función correcta de la vejiga


The objective of this integrative review was to identify the usefulness of intermittent or permanent urinary catheterization in women in labor with vaginal delivery and the possible consequences in the immediate postpartum period to improve obstetric clinical practice. In the methodology the recommendations of the Joanna Briggs Institute were considered, starting from a general survey and then writing a question using the PCC format (Population, concept and context). Then a search strategy for information was established in databases, the selection and critical analysis and interpretation of the evidence found was carried out. Identified a total of 322 articles, being removed five by duplication and excluded 305 by title and summary, being selected 6. As a result four issues stand out which were discussed according to the evidence: 1. Bladder catheterization in labor; 2. Urinary retention; 3. Bladder distention and labor; 4. Urinary infection and bladder catheterization. It is concluded that obstetric nursing should encourage minimal bladder emptying every two hours and be making continuous and comprehensive assessments throughout the birth and postpartum process to detect any deviation in correct bladder function promptly


Subject(s)
Humans , Female , Pregnancy , Urinary Tract , Female Urogenital Diseases and Pregnancy Complications , Natural Childbirth , Urinary Catheterization , Postpartum Period , Genitalia, Female
4.
Biociencias ; 14(1): 185-203, 2019. fig
Article in Spanish | LILACS, COLNAL | ID: biblio-1006954

ABSTRACT

La infección en la mujer gestante ha demostrado ser una situación de alto riesgo, para el desarrollo y correcto desenlace de la gestación. La proliferación de los diferentes patógenos que se asientan o llegan a colonizar el tracto urinario, sea que se conviertan en una entidad clínica sintomática o no, pueden terminar en complicaciones evitables para el binomio madre-hijo. Con la siguiente revisión se pretende considerar la evidencia disponible acerca de las características y participación de la infección urinaria en la génesis de complicaciones perinatales y puerperales.


Infection in pregnant women has proven to be a high risk for the development and proper outcome of pregnancy. The proliferation of different pathogens that settle or colonize the urinary tract, whether they become or not into clinical symptomatic entity, may terminate in avoidable complications for the mother-child binomial. The following review aims to considerate the available evidence about the characteristics and participation ofurinary tract infection in the genesis of perinatal and puerperal complications.


Subject(s)
Humans , Environmental Chemistry , Women , Female Urogenital Diseases and Pregnancy Complications , Araucaria
5.
NOVA publ. cient ; 16(30): 65-74, jul.-dic. 2018. graf
Article in Spanish | LILACS, COLNAL, MTYCI | ID: biblio-976289

ABSTRACT

Resumen En la actualidad, Chlamydia trachomatis (CT) es una de las causas más frecuentes de infecciones de transmisión sexual (ITS) y morbilidad reproductiva en el mundo, Incluye tanto países desarrollados como en vía de desarrollo, con un reporte alrededor de 92 millones de casos anuales. CT es una bacteria intracelular obligada cuyo inicio de la infección es asintomático, causa infección crónica, puede generar infección persistente y complicaciones como cáncer de ovario. Las infecciones por CT son asintomáticas en el 70% de las mujeres y el 40% de los hombres, lo que dificulta el diagnóstico en las fases tempranas de la infección y el tratamiento oportuno, lo que conlleva a un aumento en los contagios en la población. De acuerdo con la Organización Mundial de la Salud (OMS), el tratamiento para CT incluye la utilización de antibióticos tipo tetraciclinas, macrólidos y fluoroquinolonas. Sin embargo, a pesar de su alta tasa de eficacia, cada vez son más recurrentes las infecciones. Reportes recientes han demostrado resistencia por parte de los cuerpos elementales y se ha podido determinar que los antibióticos disminuyen la población de lactobacillus vaginales beneficiosos, causando mayores complicaciones en los pacientes. Basados en estos hallazgos, las investigaciones actuales se han centrado en terapias alternativas que reduzcan la actividad antichlamydial y que sean de libre acceso, generando el menor daño posible en los pacientes.


Abstract Currently, Chlamydia trachomatis (CT) is one of the most frequent causes of sexually transmitted infections (STIs) and reproductive morbidity in the world, including both developed and developing countries, with a report of around 92 million annual cases. CT is an obligate intracellular bacterium whose onset's infection is asymptomatic, causes chronic infection, can generate persistent infection and complications such as ovarian cancer. CT infections are asymptomatic in 70% of women and 40% of men, which makes diagnosis difficult in the early stages of infection and timely treatment, which leads to an increase in infections in the population. According to the World Health Organization (WHO), treatment for TC includes the use of antibiotics such as tetracyclines, macrolides and fluoroquinolones. However, despite their high efficacy rate, infections are becoming more frequent. Recent reports have shown resistance on the part of elementary bodies and it has been determined that antibiotics decrease the beneficial vaginal lactobacillus population, causing greater complications in patients. Based on these findings, current research has focused on alternative therapies that reduce antichlamydial activity and that are freely accessible, generating the least possible harm to patients.


Subject(s)
Humans , Chlamydia Infections , Sexually Transmitted Diseases , Female Urogenital Diseases and Pregnancy Complications , Monosexuality
6.
Rev. inf. cient ; 97(2): i:369-f:376, 2018. ilus
Article in Spanish | LILACS, CUMED | ID: biblio-998585

ABSTRACT

Se presentó un caso tratado en la Unidad Básica de Salud del poblado Pedras municipio Matoes Do Norte estado Maranhao Brasil, de una gestante de 32.4 semanas con lesión necrótica en la cara interna del muslo derecho provocado por la picadura de una araña marrón. Con el propósito de informar un caso de lesión producida por la picadura de este insecto y revisar la literatura médica se presentó este reporte sobre una gestante de 19 años donde el diagnóstico se estableció mediante estudio epidemiológico y características de la lesión siendo diagnosticada finalmente de loxoscelismo cutáneo, lesión producida por la picadura de araña marrón(AU)


It was presented a case in the Basic Health Unit of Pedras municipality Matoes Do Norte Maranhao Brazil, from a pregnant woman of 32.4 weeks with a necrotic lesion on the inner side of her right thigh caused by the bite of a brown spider. In order to report a case of injury caused by the brown spider bite and review the medical literature, this report is presented on a pregnant woman of 19 years where the diagnosis was established by epidemiological study and characteristics of the lesion being the final diagnosis of Loxoscelism cutaneous lesion produced by the brown spider bite(AU)


Subject(s)
Humans , Female , Spider Bites/diagnosis , Spider Bites/epidemiology , Female Urogenital Diseases and Pregnancy Complications , Brown Recluse Spider
7.
Bahrain Medical Bulletin. 2017; 39 (1): 38-42
in English | IMEMR | ID: emr-185651

ABSTRACT

Background: Urinary Tract Infections [UTI] are a common cause of emergency room [ER] visits and antibiotic misuse


Objective: To evaluate the characteristics of UTI attending ER and to assess antibiotic prescription and inappropriate treatment implications


Design: A Prospective Study


Setting: Salmaniya Medical Complex, Bahrain


Method: Patients aged more than 14 years who presented to the ER with UTI from 1 July 2014 to 31 July 2014 were reviewed. Data was obtained from patients' emergency records and classified according to the type of UTI as complicated, uncomplicated or UTI in pregnancy. Antibiotic treatment was considered appropriate if it followed the Local or International Guidelines


Result: A total of 239 patients were included in the study; 83 [34.7%] were males, 75 [31.4%] were pregnant females and 81 [33.9%] were non-pregnant females, the mean age was 37.56 years. One hundred forty-five [60.7%] patients had complicated UTI. The most prescribed antibiotics were cefuroxime and ciprofloxacin. Seventy-two [30.1%] of inappropriate antibiotics prescription were mostly due to improper duration. Inappropriate antibiotic treatment was significantly more common among males, 43 [17.9%] P-value <0.001; complicated UTI were 63 [26.4%], P-value <0.001. One hundred thirty-three [55.6%] prescriptions were written by emergency doctors, P- value <0.001. There was no significance among the different age groups


Conclusion: High rate of inappropriate antibiotics use in UTI patients mostly in complicated UTI and in patients treated by emergency doctors physicians


Subject(s)
Adult , Female , Humans , Male , Young Adult , Anti-Bacterial Agents , Bahrain , Emergency Service, Hospital , Female Urogenital Diseases and Pregnancy Complications , Prospective Studies
8.
Buenos Aires; GCBA. Gerencia Operativa de Epidemiología; 2 dic. 2016. a) f: 33 l:43 p. graf, tab, mapas.(Boletín Epidemiológico Semanal: Ciudad Autónoma de Buenos Aires, 1, 15).
Monography in Spanish | UNISALUD, BINACIS, InstitutionalDB, LILACS | ID: biblio-1116012

ABSTRACT

Se analizan los casos de sífilis acumulados hasta la Semana Epidemiológica 46 de 2016, provenientes de la notificación al Sistema Nacional de Vigilancia de la Salud de Argentina, tanto de los Módulos de Vigilancia Clínica (SNVS-C2) como por laboratorio (SNVS-SIVILA). Todos los casos fueron cotejados uno a uno para evitar duplicados e integrar la información en una misma base. Para la construcción de las tasas de Sífilis en Embarazadas, se utilizaron las proyecciones de la población de mujeres entre 14 y 45 años de edad del Censo 2010. El análisis de Sífilis Congénita fue realizado en base a los nacidos vivos 2015. La información demográfica fue obtenida de la Dirección General de Estadísticas y Censos (DGEyC) de la Ciudad Autónoma de Buenos Aires. Solo las notificaciones que presentan datos de residencia de la Ciudad de Buenos Aires fueron tenidas en cuenta para la realización de este informe, con el objetivo de reflejar la situación de los residentes de CABA. Por lo tanto, aquellos casos que figuraban con dirección en otras provincias-residencia desconocida, fueron excluidos de los resultados. (AU)


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Infant , Adolescent , Adult , Syphilis, Congenital/diagnosis , Syphilis, Congenital/prevention & control , Syphilis, Congenital/epidemiology , Pregnancy/statistics & numerical data , Syphilis/diagnosis , Syphilis/prevention & control , Syphilis/epidemiology , Catchment Area, Health/statistics & numerical data , Disease Notification , Female Urogenital Diseases and Pregnancy Complications , Epidemiological Monitoring
9.
Philippine Journal of Obstetrics and Gynecology ; : 39-46, 2015.
Article in English | WPRIM | ID: wpr-632671

ABSTRACT

Congenital absence of the uterine cervix and vagina in the presence of a functional endometrium is an extremely rare congenital anomaly. Women born with this anomaly present with collection of blood in the uterine cavity or hematometra, disabling pelvic pain and progressively worsening endometriosis. Presented is a case of a 16 year-old girl with severe pelvic endometriosis and hematometra complicated by cervicovaginal agenesis. She was managed by total abdominal hysterectomy with bilateral salpingectomy, left oophorocystectomyandadhesiolysis. Surgical management of congenital cervicovaginal agenesis remains controversial. The decision to do a conservative surgical procedure or a hysterectomy depends on the clinical profile of the patient, the expertise of the surgeon, the extent of the malformation and its association with other mullerian anomalies.


Subject(s)
Humans , Female , Adolescent , Congenital Abnormalities , Endometriosis , Female Urogenital Diseases and Pregnancy Complications , Hematometra
10.
Acta Medica Philippina ; : 58-62, 2011.
Article in English | WPRIM | ID: wpr-631850

ABSTRACT

Introduction. Recurrent pregnancy loss is a devastating reproductive problem that affects 5% of couples trying to conceive. Majority of the cases are due to cytogenetic errors. This study determines the prevalence of chromosomal structural abnormalities in Filipino couples who presented with 2 or more pregnancy losses. Methods. Results from chromosomal analysis of couples referred for 2 or more miscarriages done at the Institute of Human Genetics-National Institutes of Health-University of the Philippines, Manila on peripheral blood samples from 1991 to 2010 were restrospectively reviewed. Results. There were 356 couples with a history of 2 or more miscarriages sent for chromosomal analysis from 1991-2010 included in this study. Among these 356 couples, 17 couples (4.8%) were found to be carriers of different chromosomal abnormalies. From a total of 18 cases, there were 13(3.6%) translocations, 1(0.3%) insertion, 2(0.6%) with marker chromosomes, 1(0.3%) pericentric inversion and 1(0.3%) deletion. Conclusion. The overall frequency of chromosomal structural abnormalities among patients with RPL in this study is 4.8% with translocations being the most common type detected. The results of this study are similar to that of previous large-scale studies which have demostrated that parental chromosomal abnormalities are associated with RPL.


Subject(s)
Male , Female , Pregnancy , Recurrence , Chromosome Aberrations , Abortion, Spontaneous , Female Urogenital Diseases and Pregnancy Complications , Pregnancy Complications
11.
EMHJ-Eastern Mediterranean Health Journal. 2009; 15 (1): 104-110
in English | IMEMR | ID: emr-157303

ABSTRACT

A case-control study determined the association of urinary tract infection [UTI] with genital hygiene practices and sexual activity in pregnant women attending prenatal clinics in Babol, Islamic Republic of Iran. A sample of 100 pregnant women with positive urine cultures [cases] were compared with 150 healthy pregnant women matched for age, social, economic and education status and parity [controls]. Escherichia coli was the infecting organism in 83% of cases. Factors associated with UTI included sexual intercourse > /= 3 times per week [OR = 5.62], recent UTI [OR = 3.27], not washing genitals precoitus [OR = 2.16], not washing genitals postcoitus [OR = 2.89], not voiding urine postcoitus [OR = 8.62] and washing genitals from back to front [OR = 2.96]


Subject(s)
Female , Humans , Urinary Tract Infections/microbiology , Hygiene , Female Urogenital Diseases and Pregnancy Complications , Sexual Behavior , Case-Control Studies , Risk Factors
12.
Urology Journal. 2005; 2 (2): 97-101
in English | IMEMR | ID: emr-75466

ABSTRACT

Unilateral or bilateral dilation of the ureters occurs commonly during pregnancy. Ultrasonography is a suitable diagnostic method in hydronephrosis; however, it cannot differentiate obstructive from nonobstructive hydronephrosis. Our aim was to evaluate measurable changes in hydronephrosis induced by a mother's positional changes using ultrasonography to differentiate hydronephrosis during pregnancy from pathologic etiologies. Pregnant women presenting for routine ultrasonography were enrolled in this study. History taking, and physical examination were done. Ultrasonography was performed to determine gestational age, parity, fetal presentation, presence or absence of hydramnios, and hydronephrosis and its severity. Thirty minutes after changing position [flank position or on all fours], patients were reevaluated by ultrasonography to determine the severity of hydronephrosis. Of 59 pregnant women with an average age of 25.4 years, 33 [55.9%] had no urinary complaint during pregnancy. Forty-one women [69.5%] had hydronephrosis, 24 [58.5%] of whom only in right kidney. The severity of hydronephrosis in one kidney was related with the severity of hydronephrosis in the other kidney [P=0.007]. Fetal presentation and gestational age were not associated with hydronephrosis. Risk of hydronephrosis was higher in the first pregnancy [likelihood ratio=6.8, P=0.009]. Thirty minutes after changing positions, the anteroposterior pelvis diameter significantly decreased in the right and left kidneys [P=0.004, P=0.001]. Ultraonography in two steps with positional change [dynamic ultrasonography] may be used to differentiate hydronephrosis of pregnancy from other pathologies


Subject(s)
Humans , Female , Adult , Adolescent , Female Urogenital Diseases and Pregnancy Complications , Hydronephrosis/diagnosis , Cross-Sectional Studies
13.
Journal of Practical Medicine ; : 32-34, 2002.
Article in Vietnamese | WPRIM | ID: wpr-1593

ABSTRACT

2534 women with ages of 18- 45 in 6 different areas were examined and tested. The results have shown that the rate of genital tract infection was different from one to another: urban of Ha Noi: 41,48%, suburb of Ha Noi: 59,35%, Thai Binh: 56,98, Ha Nam 58,39%, suburb of Hai duong: 52%, mountaine of Nghe an: 64,07%. The most common etiology was candida (14,7 - 42,8%) and G. vaginalis (8,7- 28,74%). The others were staphylococus aureus, E.coli, stretococcus group D and Enterobacilli.


Subject(s)
Female Urogenital Diseases and Pregnancy Complications , Women , Reproduction
14.
Thesis in French | AIM | ID: biblio-1276886

ABSTRACT

La recherche systematique d'une proteinurie au cours du bilan prenatal; permet de detecter precocement les anomalies de la fonction renale. Dans le but de souligner l'importance de cet examen nous avons realise une etude prospective transversale sur une periode de 6 mois; (1er Fevrier au 31 juillet 2000) dans 6 maternites peripheriques d'Abidjan. L'objectif de ce travail etait de determiner la prevalence de la proteinurie chez les femmes gestantes afin d'evaluer le risque de developpement d'une nephropathie dans cette population. Dans notre etude nous avons trouver une prevalence de 6;15 pour cent; soit 544 cas de proteinurie sur 8836 gestantes recues en consultation prenatales. Nous avons etudie les caracteres epidemiologiques cliniques; biologiques et les antecedents pathologiques des gestantes proteinuriques. Nos resultats etaient les suivants : les gestantes proteinuriques etaient pour la plupart des paucipares (75;73 pour cent) avec un niveau socio economique bas (54;77 pour cent sans emploi) ; 55;88 pour cent des gestantes avaient un age inferieur ou egal a 25 ans ; la majorite des proteinuries a ete detectee au 2e trimestre (50 pour cent) et au 3e trimestre (36;06 pour cent) de la grossesse ; 8 1;80 pour cent des gestantes etaient supposees sans antecedent ; 57;37 pour cent des gestantes ne presentaient aucun signe clinique (HTA-OMI). La fonction renale a ete appreciee par le dosage de la creatinine. Sur 119 dosages demandes; seulement 24 dosages ont ete effectues. Les taux etaient eleves chez 3 gestante. (?14 mg par l). Devant ces resultats; il apparait essentiel de : souligner le caractere pronostic de la proteinurie d'autant plus qu'elle est retrouve a une frequence elevee dans les syndromes vasculo-renaux de la grossesse ; souligner son importance chez toute femme gestante meme apparemment saines ; l'explorer correctement afin de reduire le risque renal a court et a long terme dans cette population de femmes gestantes


Subject(s)
Female Urogenital Diseases and Pregnancy Complications , Kidney , Pregnancy , Proteinuria/epidemiology
15.
Journal of Preventive Medicine ; : 86-89, 2001.
Article in Vietnamese | WPRIM | ID: wpr-1592

ABSTRACT

An examination of 106 women with genital infection at the Khanh Son district, Khanh Hoa province was carried out, the results showed that: 39,6% were infected by Candida albicans and 15,1% of Trichomonas vaginalis.


Subject(s)
Female Urogenital Diseases and Pregnancy Complications , Women , Infections
17.
Claxton Bay; Royards Publishing Company; 1995. viii,324 p. ilus.
Monography in English | LILACS | ID: lil-386360

ABSTRACT

The aim of this manual is to provide medical students and junior doctors with a means by which they can confidently approach the management of commonly encountered clinical problems in gynaecology. The format is intended to allow rapid and easy access to information because of the alphabetical listing; the wide margins are meant to highlight important differential diagnosis, to suggest helpful hints as well as to provide prescription information. Ample space has been left for personalised notes. As teachers at the University of the West Indies, we have been able to identify that these are the aspects of knowledge which trainees and students seek in order to complement information obtained from the traditional textbooks. It is our hope that readers find that their reference to these pages provides them with information which will impact favourably upon the efficient management of their patients


Subject(s)
Adult , Female , Humans , Clinical Clerkship , Clinical Medicine , Female Urogenital Diseases and Pregnancy Complications , Gynecology , Patient Care Management
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