共查询到20条相似文献,搜索用时 15 毫秒
1.
Teresa Gastañaga Holguera Francisco Javier García SantosMiguel Ángel Herráiz José Antonio Vidart Aragón 《Progresos de Obstetricia y Ginecología》2008
Chagas’ disease can be transmitted through vertical transmission and breast feeding in non-endemic areas. Migration is spreading new diseases in these areas, which may have diagnostic and therapeutic implications in pregnancy. The main effects in newborns reported in the literature are prematurity, low birth weight, and low Apgar score. Placental involvement does not imply fetal disease in all cases. Treatment must be postponed until the end of pregnancy due to the possibility of teratogenic effects. 相似文献
2.
E. Ferreiro-García M.I. Pardo-PumarE. Leal-Gómez M. Vázquez-RodríguezM.J. Alonso-Vaquero E. Moral-Santamarina 《Clínica e investigación en ginecología y obstetricia》2011,38(6):246
IgA glomerulonephritis or Berger's disease is a kidney disease characterized by immunoglobulin A deposition in the mesangium of renal glomeruli. During pregnancy, key prognostic factors, such as blood pressure and renal function, should be monitored closely to avoid complications, both maternal and fetal. If these factors are regulated, pregnancy is entirely feasible. 相似文献
3.
Heriberto Rodríguez Hilario Lucía B. Díaz Meca Isabel Ñíguez Sevilla 《Progresos de Obstetricia y Ginecología》2009
We describe the case of a 29 weeks pregnant woman admitted after suffering her first generalised tonic-clonic seizure. Eclampsia was first ruled out by means of clinical history and analytical findings. The neurology department, after an exhaustive study, diagnosed the patient with cerebral neurocysticercosis. She received aetiological treatment which enabled her to have a normal pregnancy and delivery, thus avoiding a pre-term delivery, which is associated with high foetal morbidity and mortality. We also show the need to rule out non-endemic parasitic infection in our immigrant population. 相似文献
4.
Alejandra Martínez Rodríguez-Marín María Pilar Cano FacendaJuana Gallo del Valle Marta Sancha NaranjoFernando Magdalena Dans Antonio González González 《Progresos de Obstetricia y Ginecología》2009
Hypertension during pregnancy is one of the most important causes of maternal and fetal morbimortality. Secondary hypertension can have a renovascular origin, which is mainly due to fibromuscular dysplasia. 相似文献
5.
R. Crespo C. LaprestaS. Castán J.M. CampillosB. Rodríguez-Solanilla J.J. Tobajas 《Clínica e investigación en ginecología y obstetricia》2011,38(4):133
Objective
To evaluate the mode of delivery and maternal morbidity associated with pregnancies ending at 41 weeks.Material and methods
We designed a retrospective cohort study. The mode of delivery and maternal complications of 230 pregnancies ending at 41 weeks were compared with those in 234 pregnancies ending between 37 and 40 weeks at the Miguel Servet University Hospital in 2005.Results
Women delivering at 41 weeks had an increased risk of membrane sweep, unfavorable Bishop score at admission, induction and longer duration of labor. These increases were also seen in the rates of operative vaginal delivery (25.6 vs 17.6%, p < 0.001) and cesarean section (21.7 vs 8.5%, p < 0.001).Conclusions
The rates of maternal peripartum complications increase as pregnancy reaches 41 weeks. Accurate investigation of these rates is important to determine the gestational age at which the risk of continuing the pregnancy outweighs the risk of labor induction. 相似文献6.
V.M. Elizalde M.M. García-Fabila M.E. Campuzano P. Bustamante Montes 《Clínica e investigación en ginecología y obstetricia》2012
Phthalic acid esters, commonly known as phthalates, are ubiquitous pollutants in foods, air, ground, sediments, beauty products and construction materials to which pregnant women are exposed. 相似文献
7.
Carmen Avilés Salas Elena María Losa PajaresAntonio Amezcua Recover Ana María RubioJavier Portela Gaspar González de Merlo 《Progresos de Obstetricia y Ginecología》2008
The incidence of malignant melanoma during pregnancy has been estimated to be 0.1 to 2.8 per 1,000 pregnancies. In women with a history of melanoma, pregnancy does not seem to increase the risk of recurrence or to negatively influence survival. However, survival is approximately 6 months shorter in women with recurrent disease and those requiring treatment during pregnancy. Malignant melanoma is the most common type of cancer to metastasize to the placenta and fetus. We report the case of a pregnant woman with a history of melanoma who showed cerebral recurrence and died 21 days post-partum, without placental or fetal metastases. 相似文献
8.
Ana Belén Cuesta Cuesta Antonio García BurguilloAntonio Gosálvez Vega Alexandra Rodríguez IzquierdoIsabel Camaño Gutiérrez 《Progresos de Obstetricia y Ginecología》2009
We report the case of a 31-year-old primigravida who had sustained irreversible urethral damage in a traffic accident 11 years previously. The lesion required the application of Mitrofanoff's technique, consisting of the creation of a catheterizable urinary conduit from the urinary bladder to the abdominal wall (the cecal appendix is generally used). In addition to routine prenatal care, monthly urine cultures were performed, revealing recurrent urinary tract infections, which were resolved with oral antibiotics. 相似文献
9.
B. Paredes Ros F. Magdaleno DansM. Sancha Naranjo M.M. González ArlanzónA. González González 《Progresos de Obstetricia y Ginecología》2011,54(3):136-139
Monochorial monoamniotic twins are at high risk of fetal death due to the general complications seen in multiple gestations, as well as those specific to this type of pregnancy. The most severe complication in these pregnancies is fetal death due to cord entanglement, which occurs in almost all cases.Early ultrasonographic diagnosis and intensive prenatal surveillance are essential for the early detection of cord entanglement and the prevention of fetal death.The need for in-hospital management and the exact gestational age for delivery continue to generate controversy in the literature. 相似文献
10.
Anna Goncé Antoni Borrell Elena Casals Florencia Steinvarcel Agustí Serés Vicenç Cararach Eduard Gratacós 《Progresos de Obstetricia y Ginecología》2008
Objective
To evaluate the effectiveness of the Combined Test for trisomy 21 screening in twin pregnancies. To assess the performance of biochemical markers and nuchal translucency (NT) measurement in pregnancies with euploid fetuses and in twin pregnancies with one or two affected fetuses. To compare the value of markers according to chorionicity and the mode of conception.Material and methods
Retrospective study including 161 twin pregnancies. Maternal serum fß-hCG and PAPP-A were determined at 8 to 12 weeks and fetal NT was measured at 11 to 14 weeks. The individual risk of trisomy 21 was calculated in each fetus using the Combined Test. In monochorionic pregnancies, the single risk for the pregnancy was obtained with the largest NT. An invasive diagnostic procedure was offered when the risk was 1:250 or more in one or both of the fetuses.Results
All trisomy 21 pregnancies were identified (three pregnancies and four fetuses) by the combined testfor a false-positive rate of 6.4% of pregnancies and 3.5% of fetuses. The median fß-hCG level, expressed in MoM, was 1.72 and the median PAPP-A level was 2.01. The median NT was 1.05 MoM. Both fß-hCG and PAPP-A levels were significantly decreased in monochorionic pregnancies and PAPP-A was significantly decreased in pregnancies resulting from assisted reproduction. No significant differences were observed in NT measurement between monochorionic and dichorionic fetuses or between those conceived naturally or by assisted reproduction.Conclusions
The combined test shows high sensitivity and specificity in screening for trisomy 21 in twin pregnancies. The differences obtained in the biochemical markers according to chorionicity or the mode of conception require confirmation in further studies with a larger number or cases. 相似文献11.
Antonio Peinado Ródenas Carmen Avilés SalasAntonio Amezcua Recover 《Progresos de Obstetricia y Ginecología》2008
The present study describes three cases of intestinal obstruction in chronological order treated in our service in the last year. Although the reported symptoms were highly similar in all three patients, outcomes were very different. The interest of these cases lies in the low incidence of this complication during pregnancy and its high morbidity and mortality. Early diagnosis is essential to improve survival. 相似文献
12.
Carola Medina Garrido Nuria Garrido SánchezDaniel Martínez Campo Cristina Canseco Martínez 《Progresos de Obstetricia y Ginecología》2011,54(9):466-468
Background
Coexistence of pregnancy and metastasic cervical cancer in an exceptional situation that will mark, in the presented case, the evolution of the pregnancy.Case
A 34-year-old woman, gravida 2 para 1, at 13 weeks’ gestation was taken to our emergency service with menorragia, and was admitted under the suspicion of invasive cervical cancer. Patient?s evolution was complicated by the detection of supraclavicular metastasis and massive pulmonary tromboembolism. The patient decides voluntary interruption of pregnancy in the 17th week.Conclusions
This is a very unusual case, not as much the presence of an early stage cervical cancer in a pregnant woman. It reminds us of the need to carry out the mandatory gynecological exploration and smear in the first visit of prenatal care, often omitted in our dayly practice. 相似文献13.
Belén Aldecoa Álvarez Florentina García HeviaRafael Canal Díaz Ángeles Cabeza Embil 《Progresos de Obstetricia y Ginecología》2009
Primary psoas abscess is a rare infection that can be a diagnostic challenge, particularly when the patient is pregnant. We describe a case of primary psoas abscess during pregnancy and its clinical manifestations, diagnosis and treatment. 相似文献
14.
Isabel Santillán Palencia Letizia Benassi StradaLaura Blasco Gastón Inma Rincón RicoteRomán Curiel Rodado Antonio González González 《Progresos de Obstetricia y Ginecología》2008
Objectives
To evaluate maternal and fetal outcomes of multiple pregnancy according to route of delivery.Material and methods
We performed a retrospective study of all twin deliveries in the previous 5 years and evaluated the route of delivery, especially in the final year. The information was recorded with Microsoft EXCEL and was analyzed with the statistical program SPSS 12.0 for Windows.Results
The mean gestational age was 35.3 weeks. Route of delivery was through cesarean section in 59.8%. The mean interval between twins was 7.82 minutes when the first twin was delivered vaginally. Neonatal morbidity was found in 49%, and was higher in the second twin and in preterm deliveries.Conclusions
Multiple pregnancies are associated with a large number of maternal and perinatal complications, as well as with a greater number of cesarean sections. Consequently, correct intrapartum management is required to reduce neonatal morbility as far as possible. 相似文献15.
Background
Misoprostol is a prostaglandin analogue, authorised use for the treatment of stomach or duedenal ulcers. In Spain, this drug is no authorised use for obstetrics and gynecology.Pacientes y métodos
Gravida 5, para 3, 1 ectopic, at 32 week? gestation. Presents disorientation, confusion, intense abdominal pain, hyperthermia 41 °C, 83/46 mmHg and 100 bpm. Fetal monitoring reveals foetal tachycardia of 170 bpm with good variability and irregular contractions. The woman admitted self-medication intravaginal 4.000 μg misoprostol.The treatment was: rehydration, antipyretic medication, fetal monitoring and treatment of suspected chorioamnionitis and prematurity. Five days after, normal delivery.Conclusion
Overdose and toxicity of misoprostol in pregnant women during the third trimester presents with hyperthermia, altered consciousness, hypotension, uterine hypertonia and or polisistolia, even fetal death. There is no antidote, so the treatment is symptomatic. 相似文献16.
S. García Lavandeira S. Blanco PérezC. Varillas del Río 《Clínica e investigación en ginecología y obstetricia》2013
Q fever is a zoonosis with worldwide distribution caused by Coxiella burnetii. There are two phases of the disease: an acute phase after the initial exposure and another chronic phase, months or years after the primary infection. The prevalence is unknown, since the signs are often subclinical, leading to underestimation of the number of cases in pregnant women. Q fever during pregnancy increases fetal morbidity and mortality and can cause spontaneous abortions, intrauterine growth restriction, oligohydramnios, intrauterine fetal death and threatened preterm birth. Obstetric complications are more frequent and severe if the disease is contracted during the first trimester of gestation. Pregnancy could be a risk factor for chronic Q fever, with maternal endocarditis being the most common diagnosis. Long-term cotrimoxazole therapy avoids placental infection and possible fetal effects, and protects the pregnant patient from chronic Q fever. 相似文献
17.
Alberto Vázquez Rodríguez Rosa Tur PadróFrancisca Martínez San Andrés Laura Mateo LópezBuenaventura Coroleu Lletget Carmina Comas GabrielPedro Nolasco Barri Ragué 《Progresos de Obstetricia y Ginecología》2010
Objective
To evaluate the influence of age ≥ 40 years and ART in our obstetric and perinatal outcomes.Material and methods
Retrospective study of 14805 singleton pregnancies in our Institute from January 1, 2000 to December 31, 2006. We compared obstetric and perinatal outcome between: Age group: women ≥ 40 years (N = 557) vs. group of women < 40 years (N = 14248); ART group < 40 years: ART pregnancies (N = 1150) vs. spontaneous pregnancies (N = 13098); ART group ≥ 40 years: ART pregnancies (N = 126) vs. spontaneous pregnancies (N = 431).Results: Age ≥ 40 years is significantly associated with preterm birth under 34 weeks (odds ratio [OR] = 2.148 [1.237-3.730]), gestational diabetes (OR = 2.25 [1.799-2.815]), placenta previa (OR = 3.346 [1.516-7.386]), caesarean delivery (OR = 1.831 [1.539-2.177]), and peripartum hysterectomy (OR = 6.414 [1.359-2.177]). In the ART group < 40 years assisted conception (ART) is significantly associated with preterm birth under 37 (OR = 1.67 [1.337-2.088]) and 34 weeks (OR = 1.8 [1.162-2.822]), with gestational diabetes (OR = 1.5 [1.273-1.844]), pre-eclampsia (OR = 2.1 [1.456-3.164]), placenta previa (OR = 5.29 [2.973-9.437]), choriamniotic infection (OR = 3.8 [1.029-14.072]), caesarean delivery (OR = 1.5 [1.346-1.737]) and low birth weight ≤ 2500 g. (OR = 1.67 [1.329-2.114]) and ≤ 1500 g. (OR = 2.44 [1.442-4.135]). In the ART group ≥ 40 years we only find a significantly increased rate of caesarean delivery (OR = 1.76 [1.183-2.635]) in ART group vs. spontaneous pregnancy group.Conclusions
Age ≥ 40 years increases the risk of adverse obstetric outcome. ART increase the risk of adverse obstetric and perinatal outcome in the group < 40 years, but not in the group of women aged 40 years and older, probably due to the small size of the sample. 相似文献18.
María Dolores Rodríguez Garnica Laura Fernández MuñozSoledad Oñate Tejada Virginia García PinedaCristóbal de Valle Corredor Álvaro Zapico Goñi 《Progresos de Obstetricia y Ginecología》2014
Unicornuate uterus with rudimentary horn is a rare Müllerian anomaly with a high incidence of obstetric complications, affecting 4.5% of women. Pregnancy located in the rudimentary horn occurs in 1 in 76,000 pregnancies with a risk of uterine rupture of 50-80%. Rupture usually occurs at the end of the second trimester of pregnancy. Early diagnosis reduces morbidity and mortality, but ultrasound diagnosis has a sensitivity of only 30%, due to the low prevalence of this entity. 相似文献
19.
Laia Martí Malgosa Belén Cochs CosmeJordi Costa Pueyo Sandra Medina ArgemíÀgueda Rodríguez Vicente Yolanda Canet Estévez 《Progresos de Obstetricia y Ginecología》2011,54(6):300-305
Objective
To compare the mean induction-expulsion times in two regimens of vaginal misoprostol for second-trimester pregnancy termination.Material and methods
We performed a retrospective study of 281 pregnancies between January 2000 and December 2005 (regimen A: 800 μg /24 h) and between June 2007 and December 2008 (regimen B: 400 μg /4 h). Induction-expulsion time was taken as the main outcome.Results
The mean expulsion time was similar in both regimens (19.7 h for A and 17.7 h for B). No significant differences were found in the expulsion rate at 12, 24 and 48 h. The most commonly observed adverse effect was fever, which was more frequent in regimen B. No major adverse effects such as uterine rupture or severe hemorrhage were observed.Conclusions
No significant differences were found between regimens A and B in the mean fetal expulsion time, although fever was more common in regimen B. 相似文献20.
María Arántzazu García Rico Alfonso Javier Martínez Rodríguez Sara María Ulla Díez María Consuelo Martínez Real 《Progresos de Obstetricia y Ginecología》2010