RESUMEN
The insulin-like growth factor IGFBP-1 is a binding protein (IBP-1), also known as placental protein (PP12), is encoded in people as IGFBP-1 gene. The IGFBP-1 is an especially vital hormone in the female reproductive physiology. The presence of it in large quantities in the amniotic fluid can be used as a biochemical marker for preterm birth and premature rupture of membranes. Fetal fibronectin is a high-molecular glycoprotein, that is produced during pregnancy and has a role as biological glue, binding the foetus membranes to the endometrium. fFN can be found in the cervicovaginal secretions until 22nd gestational week and later on during the last trimester (1 to 3 weeks before birth). fFN is usually absent between 24th and 34th gestational week. Thirty sixth (30%) of all the 120 females tested had positive fFN test results and were, therefore, at high risk for preterm delivery. Despite the implemented tocolytic therapy, 15 (12.5%) of them delivered before the 37th gestational week. The results from the investigation for the presence of pLGFBP-1 in 120 pregnant women show that 35.8% (43 women) were positive and 15(12,5%) of them delivered before the 37th gestational week despite the implemented tocolytic therapy In both tests, the average gestational age of the premature fetus was 32.5 ÷ 2.8 gestational weeks.
Asunto(s)
Fibronectinas/análisis , Proteína 1 de Unión a Factor de Crecimiento Similar a la Insulina/análisis , Trabajo de Parto Prematuro/diagnóstico , Bulgaria/epidemiología , Femenino , Humanos , Recién Nacido , Trabajo de Parto Prematuro/epidemiología , Trabajo de Parto Prematuro/terapia , Embarazo , Estudios Prospectivos , TocólisisRESUMEN
The authors describe a rare case of bilateral tubal pregnancy after IVF. The patient is with secondary infertility. The preceding diagnostic laparoscopy excluded the presence of tubal factor. The results of the spermogram show average to severe form of Oligoasthenozoospermia. Short protocol with GnRH-antagonist was performed and two embryos were transferred on the third day. On the 36th day after the embryo transfer the patient was hospitalized with abdominal pain in the right hypogastric region, clinical and ultrasound indications for hemoperitoneum. Urgent laparotomy was performed followed by salpingectomy dextra due to hemoperitoneum caused by tubal abortion. The examination of the left adnexa reveals uruptured tubal pregnancy in the isthmic part of the tube and the decision for salpingectomy sinistra was taken. Histological examinations confirmed the diagnosis of ectopic pregnancy in both tubes. The frequency of some rare forms and localizations of ectopic as well as heterotopic pregnancies increase after ART.
Asunto(s)
Trompas Uterinas/cirugía , Fertilización In Vitro/efectos adversos , Embarazo Heterotópico/etiología , Embarazo Heterotópico/cirugía , Embarazo Tubario/etiología , Embarazo Tubario/cirugía , Adulto , Transferencia de Embrión/efectos adversos , Trompas Uterinas/patología , Femenino , Humanos , Laparotomía , Embarazo , Embarazo Heterotópico/diagnóstico , Embarazo Heterotópico/patología , Embarazo Tubario/diagnóstico , Embarazo Tubario/patología , SalpingectomíaRESUMEN
During a two years' period (2008-2009), 834 patients underwent IVF in the Centre. Long protocol was used where normal response was expected; for high risk patients was used protocol with antagonist and induction of ovulation with agonist or 5 000 IU HCG; and when poor response was expected, flare up protocol was applied. 363 clinical pregnancies were registered--50% for transfer and 43.4% for cycle. Experience shows that antagonist - agonist protocol reduces significantly but not completely the risk of OHSS. On poor responders, the standard short protocol shows better results than any of the recently suggested protocols. In future, the so called "controlled ovarian hyperstimulation" will be performed only in its soft version and when certain indications exist.
Asunto(s)
Fármacos para la Fertilidad Femenina/uso terapéutico , Inducción de la Ovulación/métodos , Gonadotropina Coriónica/uso terapéutico , Femenino , Humanos , EmbarazoRESUMEN
The authors quote and discuss the postulates of the Orthodox, Jewish, Catholic and Islamic religions towards ART as well as worldwide legislations and standards and the attitude of female students of medicine in Varna. Indications of oocyte and embryo donation and surrogacy are proposed but all kinds or surrogacy should be permitted. The ART legislation and standards in Bulgaria should be thoroughly revised.
Asunto(s)
Fertilización In Vitro/legislación & jurisprudencia , Donación de Oocito/legislación & jurisprudencia , Madres Sustitutas/legislación & jurisprudencia , Bulgaria , Transferencia de Embrión/economía , Transferencia de Embrión/ética , Transferencia de Embrión/normas , Femenino , Fertilización In Vitro/economía , Fertilización In Vitro/ética , Fertilización In Vitro/normas , Humanos , Donación de Oocito/economía , Donación de Oocito/ética , Donación de Oocito/normas , Embarazo , ReligiónRESUMEN
The authors discuss 10 cases--seven after vaginal and cervical rupture, 2 after Caesarean section and 1 after hysterectomy. Six of them died--5 after rupture of the vagina and cervix and one after Caesarean section. The lethal issue was avoidable in all cases because it was a result of untimely done or not done at all hysterectomy and other interventions, e.g., ligation of the hypogastric arteries, as well as of faulty surgical performance. Basic principles of surgical behavior in such cases are postulated.
Asunto(s)
Cesárea/efectos adversos , Hemorragia/etiología , Histerectomía/efectos adversos , Rotura Uterina/fisiopatología , Vagina/lesiones , Adolescente , Adulto , Femenino , Humanos , Embarazo , Rotura Uterina/patología , Adulto JovenRESUMEN
In high risk IVF patients the ovulation triggering was done with agonist (0.2 mg), 1.gr., Pregnyl 5000 IE, 2. and 4.gr., Ovitrelle 0.250 mg, 3.gr., and Pregnyl 10000 IE in the fifth--non-risk group. The protocol of the first and fourth group included antagonist, the second and third group was with short and the fifth group with long agonist protocol. There was no grave OHSS in the first group, one case in each second, third and fourth group and 4 cases in the fifth group, as a whole 7 patients (3.3%). In all of them an abdominal drainage lasting 4 to 30 days was performed and all pregnancies were preserved. The average success rate was 50%, 71.4% in the fourth and 43.1% in the fifth group. A protocol with antagonist and ovulation triggering with agonist or reduced dose ChG in order to diminish OHSS in high risk IVF patients is recommended.
Asunto(s)
Gonadotropina Coriónica , Fertilización In Vitro/métodos , Hormona Liberadora de Gonadotropina/agonistas , Inducción de la Ovulación/métodos , Adulto , Gonadotropina Coriónica/administración & dosificación , Gonadotropina Coriónica/uso terapéutico , Gonadotropina Coriónica/orina , Esquema de Medicación , Quimioterapia Combinada , Femenino , Hormonas Glicoproteicas de Subunidad alfa/administración & dosificación , Hormonas Glicoproteicas de Subunidad alfa/uso terapéutico , Hormonas Glicoproteicas de Subunidad alfa/orina , Hormona Liberadora de Gonadotropina/administración & dosificación , Hormona Liberadora de Gonadotropina/análogos & derivados , Hormona Liberadora de Gonadotropina/antagonistas & inhibidores , Hormona Liberadora de Gonadotropina/uso terapéutico , Humanos , Síndrome de Hiperestimulación Ovárica/prevención & control , Proteínas Recombinantes/administración & dosificación , Proteínas Recombinantes/uso terapéutico , Proteínas Recombinantes/orina , Resultado del TratamientoRESUMEN
A case of choriocarcinoma in 33-year old woman after ectopic pregnancy has been reported. CT-scan established an invasion of the vagina, posterior wall of the bladder and rectum. The patient's leading symptoms were: severe genital bleeding,haematuria, acute postbleeding anaemia, haemorrhagical shock. After treatment with Metothrexate and symptomatic therapy the patient achieved complete clinical remission and she is free of disease 18 months after the onset of the therapy.
Asunto(s)
Antimetabolitos Antineoplásicos/uso terapéutico , Coriocarcinoma/tratamiento farmacológico , Metotrexato/uso terapéutico , Embarazo Ectópico , Neoplasias Uterinas/tratamiento farmacológico , Adulto , Antimetabolitos Antineoplásicos/administración & dosificación , Coriocarcinoma/etiología , Coriocarcinoma/patología , Supervivencia sin Enfermedad , Femenino , Humanos , Metotrexato/administración & dosificación , Invasividad Neoplásica , Embarazo , Embarazo Ectópico/tratamiento farmacológico , Resultado del Tratamiento , Neoplasias Uterinas/etiología , Neoplasias Uterinas/patologíaRESUMEN
The authors formulate the main principles of IVF-ET, based on personal experience i.e. hormonal ovarian stimulation, ovarian puncture, fertilization and ET, prophylaxis and therapy of early complications. Clinical pregnancy was achieved in 287 of 612 patients (43.9% per cycle and 46.9% per transfer). The cancellation rate is 9.6% (42 patients), the miscarriage rate is 14.2% (41 patients). In three cases the pregnancy was ectopic. The multiple pregnancy rate is 32.7% (94 cases): 84 bigemini, 9 trigemini and 1 quadrigemini. In 2006 the multiple pregnancy rate was reduced to 28%. The mean number of transferred embryos was 3.2 and in 2006--2.8; 80.5% of the pregnant women were under 35 years of age. Severe complications occurred in 16 cases--2.6%: OHSS in 15 cases and one with massive intraabdominal hemorrhage from ruptured ovaries. In conclusion the authors stressed the necessity of undelayed resort to ART treatment. Hydrosalpinxes have to be removed preliminarily and partial resection of the ovaries should be done only in rare cases. In Bulgaria at least 6000 fully reimbursed IVF-ICSI procedures yearly ought to be done because of the considerable rate of the inflammatory female and male infertility.
Asunto(s)
Transferencia de Embrión/métodos , Fertilización In Vitro/métodos , Infertilidad Femenina/terapia , Infertilidad Masculina/terapia , Centros Médicos Académicos , Bulgaria , Transferencia de Embrión/efectos adversos , Femenino , Fertilización In Vitro/efectos adversos , Humanos , Masculino , Edad Materna , Embarazo , Inyecciones de Esperma Intracitoplasmáticas/efectos adversos , Inyecciones de Esperma Intracitoplasmáticas/métodosRESUMEN
OBJECTIVE: To explore the ICAM-1 and E-selectin in patients with OHSS and clarifying its role in pathogenesis of the syndrome. MATERIALS AND METHODS: 20 patients were included in the research and 20 control patients with stimulating ovarian cycle for the purposes of ART, during the period from 01.01.2004 till 01.01.2005 years in the center of ART-MU-Varna and Department of Obstetrics and Gynecology-IVF-ward-MU-Ben-Gurion, Israel. The patients were divided into 3 subgroups according to the degree of OHSS by the classification of Golan- mild, moderate, severe. The method of ELISA was used to record the values of the factors under research. RESULTS: Six patients with severe OHSS, showed increase in the value of the ICAM-1 and somebody of them, showed low level of E-selectin testing in serum and ascitic fluid in comparison with the control group and the rest of the patient with OHSS. CONCLUSION: OHSS is a life-threatening complication in which the main pathophysiology factor is the increased of capillary permeability. ICAM-1 are expressed on human granulosa cells and by the vascular endothelium after the stimulation by inflammatory cytokines and acts as a mediator of the cohesion with the lymphoid cells. E-selectin is produced by the endothelium after cytokine activation. The soluble forms of these molecules are found in serum, follicular fluid during the COH, as well as in ascitic fluid in severe OHSS. In our research adhesion molecules- ICAM-1 are correlated to the OHSS, especially in the severe forms of the syndrome.
Asunto(s)
Selectina E/metabolismo , Molécula 1 de Adhesión Intercelular/metabolismo , Síndrome de Hiperestimulación Ovárica/etiología , Adulto , Ascitis/metabolismo , Líquido Ascítico/metabolismo , Permeabilidad Capilar , Selectina E/sangre , Ensayo de Inmunoadsorción Enzimática , Femenino , Humanos , Molécula 1 de Adhesión Intercelular/sangre , Síndrome de Hiperestimulación Ovárica/metabolismo , Síndrome de Hiperestimulación Ovárica/fisiopatología , Embarazo , Índice de Severidad de la EnfermedadRESUMEN
A recurrent postpartal haemorrhage in Kasabach-Merritt sd. which continued in spite of hysterectomy is described. The bleeding was controlled only after ligation of the hypogastric arteries.
Asunto(s)
Coagulación Intravascular Diseminada/complicaciones , Hemorragia Posparto/etiología , Hemorragia Posparto/cirugía , Complicaciones Hematológicas del Embarazo , Adulto , Arterias/cirugía , Femenino , Humanos , Histerectomía , Ligadura , Embarazo , Estómago/irrigación sanguínea , Síndrome , Resultado del TratamientoRESUMEN
Premature Ovarian Failure is a heterogeneous disorder with numerous causes. The exact prevalence of POF is unknown. In this study, we want to make Differentiate diagnosis of hypergonadotropic amenorrhea and to determine the difference between them. Retrospective, we follow up 475 women at which we perform ovarian stimulation and we observe that 6 (1.3%) have Gonadotropin resistant ovary syndrome in IVF-centre--MU--Varna.
Asunto(s)
Insuficiencia Ovárica Primaria/diagnóstico , Adulto , Amenorrea/sangre , Autoanticuerpos/análisis , Diagnóstico Diferencial , Femenino , Hormona Folículo Estimulante/sangre , Disgenesia Gonadal/sangre , Gonadotropinas/sangre , Humanos , Infertilidad Femenina/tratamiento farmacológico , Infertilidad Femenina/etiología , Poliendocrinopatías Autoinmunes/sangre , Prednisolona/uso terapéutico , Insuficiencia Ovárica Primaria/sangre , Insuficiencia Ovárica Primaria/complicaciones , Insuficiencia Ovárica Primaria/genética , Receptores de HFE/genética , Aberraciones Cromosómicas SexualesRESUMEN
Ovarian hyperstimulationsyndrome (OHSS) is a serious and potentially life-threatening complication of ovarian stimulation. The clinical picture of severe OHSS, includes ovarian enlargement, ascites, pleural effusion, hypercoagulation and electrolyte disorders. In this study we describe some factors which are linked with pathogenesis of OHSS. We had a case of moderate OHSS with a twin pregnancy after IVF-ET. In this case, because of abdominal pain and discomfort from the ascites, we perform abdominal paracentesis without termination of pregnancy.
Asunto(s)
Fertilización In Vitro , Síndrome de Hiperestimulación Ovárica , Inducción de la Ovulación/efectos adversos , Ascitis/etiología , Ascitis/terapia , Femenino , Hospitalización , Humanos , Síndrome de Hiperestimulación Ovárica/etiología , Síndrome de Hiperestimulación Ovárica/terapia , Embarazo , Resultado del Embarazo , Factores de RiesgoRESUMEN
A case of severe HELLP sd. Was associated with cerebral oedema, anuria, retinal ablation, ascites and hydrothorax. The mother survived after intensive care and therapy, including 10 times haemodialysis. The acute fatty liver of pregnancy (M. Sheehan II) with a much poorer prognosis should be excluded. A diagnostical corticosteroids and prompt delivery is pointed out.
Asunto(s)
Síndrome HELLP/diagnóstico , Corticoesteroides/uso terapéutico , Adulto , Diagnóstico Diferencial , Hígado Graso/diagnóstico , Femenino , Síndrome HELLP/terapia , Humanos , Embarazo , Diálisis Renal , Resultado del TratamientoRESUMEN
In this article the authors discuss some problems in ART:COH, stimulation protocols, culture media, transfer of embryos, luteal phase support, ethical, financial, religious and legal problems etc. Tha main complications are discussed, toosyndrom and pseudosyndrom of the empty follicle, OHSS, multiple pregnancy. In these cases the prophylactic and therapeutical measures are pointed out. Finally the main perspectives and developments of ART in the new millennium are outlined.
Asunto(s)
Técnicas Reproductivas/tendencias , Ética Médica , Femenino , Humanos , Masculino , Técnicas Reproductivas/efectos adversosRESUMEN
The authors present the results of 31 consecutive cycles of ICSI. Fertilization occurred in 251 /88%/ of 279 oocytes which resulted in 8 clinical pregnancies /27% per transfer/--3 singleton, 2 multiple uterine pregnancies, 2 abortions and 1 ectopic pregnancy.
Asunto(s)
Inyecciones de Esperma Intracitoplasmáticas/estadística & datos numéricos , Bulgaria , Femenino , Humanos , Masculino , Embarazo , Resultado del EmbarazoRESUMEN
The author discusses the problem Caesarean section in present day obstetrics and points out that the percentage of Caesarean births has been unnecessarily increased. This justifies the term "Caesarean epidemy". In spite of discussions and recommendations it turns out impossible to cope with this problem, i.e. reducing the rate to 15% in these countries where it is higher. Methods of infections morbidity prophylaxis are discussed too, especially the peri- and intraoperative antibiotic application (PAP, IAL) as well as the inaugurated by the author in 1987 postoperative intermittent intrauterine antibiotic lavage (PIAL). PIAL should be applied in very high risk cases, e.g. severe chorionamnionitis or vulvovaginitis combined with PAP and IAL. The use of these methods renders hysterectomy as ultra ratio prophylactic measure unnecessary. It is explicitly stressed that there is no prophylactic method to compensate defective surgical skills or flaws in aseptics and antiseptics.
Asunto(s)
Profilaxis Antibiótica/métodos , Cesárea/efectos adversos , Complicaciones Intraoperatorias/prevención & control , Complicaciones Posoperatorias/prevención & control , Infección Puerperal/prevención & control , Sepsis/prevención & control , Vulvovaginitis/prevención & control , Bulgaria , Cesárea/estadística & datos numéricos , Femenino , Humanos , Embarazo , Factores de Riesgo , Sepsis/etiología , Irrigación Terapéutica , Vulvovaginitis/etiologíaRESUMEN
UNLABELLED: The aim of the present multicentre study was to examine the therapeutic possibilities of the wide-spectrum medicament MACMIROR & MACMIROR COMPLEX for the treatment of the vaginal infections. MATERIALS AND METHODS: The study included 159 nonpregnant women among 15 and 54 years (middle age 35.6) with different by kind and intensity colpitis complaints. The following microbiological characteristic was established: in 26 cases Gardnerella vaginalis, in 46 Candida spp., and in the rest 87-mixed aerobic bacterial flora, with a combination of Gardnerella, yeast and Trichomonas. The treatment of the patients was done in combined scheme: peroral and vaginal administration, simultaneously with local treatment of the partner. The control examination was performed bistagely: on 7-10 day and on 30-40 day. RESULTS: The good clinical and microbiological influence of the treated patients was established, for the first control examination the effect was found in 88.1% and 86.8% and for the second--respectively in 81.1% and 82.4%. CONCLUSIONS: The received results give us a cause to approve, that the combination "Nifuratel and Nystatin" (Macmiror & Macmimor complex) has the good possibilities to influence the mixed forms of vaginal infection.