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Article
Reduced fetal movement as a predictor of perinatal outcome

Author: Ban Hadi Hameed
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2013 Volume: 12 Issue: 1 Pages: 29-34
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Maternal perception of fetal movement is one of the first signs of fetal life and is regarded as a manifestation of fetal wellbeing. Aims: To evaluate reduced fetal movement as an effective predictor for the assessment of fetal condition and to improve fetal outcome by early detection of fetal hypoxia. Study Design and setting: A Co relational study carried out for a period of two years from Dec. 2010 - Dec. 2012 at Obstetrics and Gynecology Department of Al Yarmouk teaching hospital Baghdad Iraq. Patients and Methods: 200 patients with history of sluggish fetal movements from 32-41weeks gestation were admitted to the Obstetric ward during the study time for clinical evaluation and their biophysical profile score was recorded and were followed till delivery, the mode of delivery and neonatal outcome were recorded including APGAR score of newborn which was noted at one and five minutes and those having poor APGAR score were resuscitated and admitted to neonatal care unit. Results: During this study 200 patients were evaluated, 58 patients were primigravidas and 142 were multigravidas. Among 200 patients non reactive fetal heart was found in 64 cases. 120 patients had a biophysical profile score of 10/10, 44 patients had a score of 8/10 and 32 patients had a score of 6/10. In 4 patients with 4/10 score emergency caesarean section led to the delivery of neonates with low APGAR score. Majority of patients with normal biophysical profile score of 8-10/10 had good APGAR score. The rate of caesarean section was 34%. Concerning fetal outcome 70% of cases with good outcome, low APGAR score at five minutes (<610) in 14% of cases, meconium staining in 9% of cases, birth asphyxia in 6% and endotracheal intubation in 1% of cases. Conclusions: reduced fetal movement appears to be a serious complaint that should be further evaluated and is associated with a significant fetal compromise.


Article
The effect of pre-operative intravenous Cyklokapron on the amount of blood loss during and after caesarean section for anemic patients At Al Yarmouk teaching hospital in Baghdad.

Authors: Hind Abdul Khaliq --- Ban Hadi Hameed
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2016 Volume: 15 Issue: 3 Pages: 23-27
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Back ground: caesarean section carries significant morbidity and mortality over vaginal delivery. Anemia with hemorrhagic complications add significantly for this morbidity and mortality. Aim of the study: to assess the effectiveness of Cyklokapron in reducing the intra-operative blood loss at time of caesarean section and postpartum hemorrhage in anemic patients and to evaluate its safety when used prophylactically. Patients and method: A hundred pregnant women aged 19 - 41 years with term gestation were recruited in this randomized, case control, prospective therapeutic trial, which was conducted for a period of one year at Al Yarmouk teaching hospital Baghdad Iraq, the participants were admitted for caesarean section. They were divided randomly into two groups; the study group 50 patients received intravenous Cyklokapron pre-operatively and a control group matched for the indication of caesarean section, the intra-operative, post-operative blood loss and hematocrit were evaluated and compared for both groups. Results: The intra-operative blood loss was measured in both groups, the total loss was significantly lower in the study group (170.12 ± 68.4 ml) compared to the control group (420.39 ± 130.6 ml) as P value was 0.0001 Concerning the post-operative blood loss, it was comparable in both groups and blood transfusion was required for two patients in the control group because of severe anemia (hemoglobin less than 8 gmdl) with no transfusion in the study group and this difference was not significant statistically. The mean reduction in hematocrit was significantly lower in the study group compared to control group (1.52 ± 0.81%) versus (2.58±0.85%) respectively and P value was less than 0.05 Conclusion and recommendations: The current study revealed that Cyklokapron is significantly effective in reducing blood loss at time of caesarean section. We recommend further studies with higher doses and more patients to evaluate its effect in reducing the intra-operative loss and preventing postpartum hemorrhage.


Article
Assessment of oral health status, leptin, and inflammatory markers in serum and saliva of patients with polycystic ovarian syndrome in reference to metabolic syndrome

Authors: Zeena Raad Helmi --- Reem Adnan Sabri --- Ban Hadi Hameed
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2016 Volume: 15 Issue: 1 Pages: 11-19
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Article
The association of serum Cancer antigen 125 and C-reactive protein level with the severity of preeclampsia

Authors: Warqaa Mahdi Kamel --- Ban Hadi Hameed --- Dr.Miami Abdul Hassan Ali
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2012 Volume: 5 no 1 Issue: 11 Pages: 1322-1327
Publisher: Kerbala University جامعة كربلاء

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Abstract

Back ground: It has been assumed that the failure in trophoblastic invasion and the induction of an inflammatory process within placenta in patients with preeclampsia may trigger the expression of Cancer antigen 125. C-reactive protein is a marker of tissue damage and inflammation, increased C-reactive protein may reflect endothelial cell dysfunction in preeclampsia and may be a potential marker of preeclampsia. Objectives: To evaluate the association of serum Cancer antigen 125 and C-reactive protein level with the severity of preeclampsia. .Patients & methods: A case control study was carried out in the department of gynecology and obstetrics at Al-Yarmouk teaching hospital (BaghdadIraq) for one year from April 2010 to March 2011. Hundred singleton pregnant women were divided into fifty patients with preeclampsia and fifty healthy pregnant women as control group. Blood samples were taken for measurement of serum cancer antigen-125 and C-reactive protein for both groups.Results :The mean level of cancer antigen-125 in mild, severe preeclampsia and eclampsia groups was 32.57±8.08(IU/ml), 38.04±9.44(IU/ml) and 47.60±12.09(IU/ml) respectively which was significantly higher in comparison to the control group (sampled at the same time) which was 13.70±8.44(IU/ml) the P value was (0.0001). The mean level of c-reactive protein in mild, severe preeclampsia & eclampsia was 15.80±6.69(mg/L), 30.64±15.66(mg/L) and 42.60±13.70(mg/L) which was significantly higher in comparison to the control group which was 7.92±4.05(mg/L) the P value was( 0.0001).Conclusion:Serum cancer antigen 125 and c-reactive protein were significantly higher in preeclampsia groups in comparison to the control group and the increment was directly correlated with the severity of preeclampsia


Article
The Prevalence of Clinical, Subclinical Hypothyroidism and Autoimmune Thyroiditis in patients with Polycystic Ovarian Syndrome

Author: Miami Abdul Hassan Ali, Ban Hadi Hameed , Abdilkarim Y.Al Samarrai, Rafraf Jaafer Hamad
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2015 Volume: 14 Issue: 2 Pages: 22-27
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Article
The impact of Helicobacter pylori infection on iron deficiency anemia in pregnancy

Authors: Miami Abdul Hassan Ali --- Eaman Marouf Muhammad --- Ban Hadi Hameed --- Hala Hashim Hasoobe
Journal: Iraq Joural of Hematology المجلة العراقية لامراض الدم ISSN: 20728069/25432702 Year: 2017 Volume: 6 Issue: 2 Pages: 60-64
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

BACKGROUND: Anemia in pregnancy has different adverse effects on pregnancy outcome, andiron deficiency anemia (IDA) is the most common cause of anemia during pregnancy. Recent studieshave suggested an association between Helicobacter pylori and IDA during pregnancy.OBJECTIVE: The aim of this study was to evaluate the impact of H. pylori infection on IDA in pregnancy.PATIENTS AND METHODS: This was a case–control study carried out at Al‑Yarmouk TeachingHospital between January 1 and August 1, 2016. The study included 100 pregnant women dividedinto two groups: control group with normal hemoglobin (Hb) and a study group with IDA. Both groupswere subjected to H. Pylori test.RESULTS: The mean Hb level of the patients was 9.4 ± 0.8 g/dl. Fifty cases had an Hblevel <11 g/dl and fifty cases with Hb ≥11 gm/dl. Thirty‑two percentage of the study group wereseropositive for anti‑H. pylori IgA compared to 4% of the control group, and this difference wasstatistically significant at P < 0.001.CONCLUSION: There was a positive correlation between IDA during pregnancy and H. pylori‑positivecases.

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