ABSTRACT
A case of massive subchorial thrombohaematoma during pregnancy in 22 years old primipara is presented. The idea was to prolonged pregnancy as possible to term of lung maturity. Became described manner of diagnosis, treatments and way of delivery in this rare case of pathology.
Subject(s)
Fetal Growth Retardation/etiology , Hematoma/complications , Hematoma/diagnosis , Placenta Diseases/complications , Placenta Diseases/diagnosis , Thrombosis/complications , Thrombosis/diagnosis , Adult , Cesarean Section , Diagnosis, Differential , Female , Humans , Pregnancy , Pregnancy OutcomeABSTRACT
Diagnostic and therapeutic management in pregnant woman with severe arterial hypertension in course of glomerulonephritis proliferativa chronica at kidney insufficiency stage was presented. Ultrasonic biometry, biophysical fetal profile and Doppler ultrasound velocimetry were performed for antenatal fetal surveillance. Relation between a degree of fetal compromise (abnormal qualitative Doppler velocimetry indices and pre-pathological or even pathological NST) and a long-drawn increase of both diastolic and systolic blood pressure was stated. Doppler ultrasound examination gave possibility of monitoring and evaluation of fetal distress and verification of its treatment efficacy, what would allow to prolong the pregnancy for 12 days and was a definite contribution to its successful outcome.
Subject(s)
Fetal Distress/diagnostic imaging , Glomerulonephritis, Membranoproliferative/complications , Hypertension, Renal/etiology , Pregnancy Complications, Cardiovascular/etiology , Abortion, Induced , Female , Fetal Monitoring/methods , Humans , Kidney Failure, Chronic/etiology , Pregnancy , Pregnancy Outcome , Ultrasonography, PrenatalABSTRACT
The analysis of prenatal care was taken of 67 adolescent's who delivered in Obstetric Clinic IPG PAM in Szczecin, during the period 1990-1992. The quantitative dimension of prenatal care was evaluated by means of Kessner's Index at all, adapted by Buschner at all. The week of gestation that prenatal care began and number of prenatal visits were analysed. It was stated that adequate prenatal care received only 6% pregnant adolescents, inadequate 13.4%, intermediate 64% while 16.4% adolescents received no prenatal care. Earliest delivery and lowest infant birth weight were associated with no prenatal care. The significant correlation relationships between the week of the first visit, numbers of prenatal visits neonatal birth weight were no existed.