RESUMO
The HELLP syndrome is a variant of severe preeclampsia. Its leading symptoms are: hemolysis, increased liver enzymes and low platelet count. The treatment of the HELLP syndrome remains controversial as there are no standards of proven efficacy. The article presents a case of a 27- year-old patient, G1P0, 30 wk of gestation, reporting no fetus movements for several hours, who was admitted to The Materno-Fetal Medicine Department, Polish Mother's Memorial Hospital in Lódz, with symptoms of the onset of the HELLP syndrome. The authors present the course of the therapy based on steroids administration, with reference to the most up-to-date literature.
Assuntos
Dexametasona/administração & dosagem , Glucocorticoides/administração & dosagem , Síndrome HELLP/tratamento farmacológico , Adulto , Feminino , Humanos , Gravidez , Resultado do TratamentoRESUMO
Massive fetomaternal hemorrhage is defined as a loss of more than 30-50ml of fetal blood, transferred into maternal circulation. It can lead to severe anemization of the fetus and its consequences such as fetal hydrops or stillbirth. We present a case in which the diagnosis was based on the decresased fetal movement and pathological cardiotocography record. The Kleihauer-Betke test revealed a high percentage of fetal cells and allowed to state a proper diagnosis. An immediate cesarean section was performed and the lab tests confirmed severe anemization of the newborn.
Assuntos
Monitorização Fetal , Movimento Fetal , Transfusão Feto-Materna/diagnóstico , Adulto , Cesárea , Feminino , Sangue Fetal , Transfusão Feto-Materna/fisiopatologia , Frequência Cardíaca Fetal , Testes de Hemaglutinação , Humanos , Recém-Nascido , Gravidez , Resultado da Gravidez , Terceiro Trimestre da GravidezRESUMO
Authors present a case of a viable cervical pregnancy in a 31 year old woman. Conservative management with intramuscular methotrexate and local injection of KCl was applied. We describe the ultrasound and biochemical findings in this case and discuss those reported in the literature along with the available treatment options.
Assuntos
Abortivos não Esteroides , Aborto Terapêutico/métodos , Metotrexato , Gravidez Ectópica/terapia , Adulto , Feminino , Humanos , Gravidez , Gravidez Ectópica/diagnóstico por imagem , Resultado do Tratamento , Ultrassonografia Pré-NatalRESUMO
The obesity in Europe is established for 15-20% of population. About 20% of women in reproductive age have accrued body weight. Obesity in this group leads to increased obstetrical risk. Preconceptional normalization of body mass is crucial. Bariatric surgery is one of the most effective methods of obesity treatment with Roux en Y gastric by pass (RYGB) as the one of its kind. In this report we present tree cases of pregnancy and delivery after RYGB.
