research centers


Search results: Found 7

Listing 1 - 7 of 7
Sort by

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

Loading...
Loading...
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 Evaluation of Placental Vascular Generation and Placental Apoptosis in Preterm and Post-date Placentae in Relation to Apgar Score at Birth

Authors: Zainab Hassan Hashim --- Huda Rasheed Kareem --- Haider Abdulrasool Jaafar
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 1 Pages: 79-84
Publisher: Babylon University جامعة بابل

Loading...
Loading...
Abstract

The placenta is a fetal organ with different functional values as a metabolic, excretory, and respiratory in addition to endocrine functions.To evaluate the vasculature and apoptosis of human placenta atdifferent ages (preterm and post-date) in relation to APGAR score of the newborn infants at birth. A total of 50 normal human placentae,delivered by elective cesarean section,were used.These placentae were divided into 3 groups according to the gestational ageinto:(15) Preterm placentae, (20) Term placentae(as control) and (15) Post-date placentae.Regional placental vascular study was achieved by using latexcasting technique, while the detection of the apoptotic cells in the placental tissues was done via the insitu direct DNA fragmentation Assay.The terminal villi of the preterm placentae group showed asignificant reduction in theirnumbersand lengthsP value(0.0035), (0.045), respectively, and no significant difference in their diametersin comparison to the control group. While the terminal villi of the post-date placentae revealeda significant increase in their numbers (P value <0.001) with no significant difference in their lengths and diameters.The terminal villi of preterm and post-dateplacentae revealed a significant reduction in the numbers of the apoptotic cells (P value (0.0053) and (0.0004) respectively.The APGAR score of preterm and postdate placentae reported significant decreasein their values (P value < 0.001 for both). As well as, there were significant changes in the numbers of apoptotic cells among these three groups related to theirApgar scores.Conclusions: it was revealed that the vascular pattern of placenta by latex casting technique and apoptotic cells numbers by tunel test were reflectedfor both the maturity of placenta and physiological status of baby which was assessed by Apgar score.


Article
Effect of General Anesthesia On Apgar Score In Relation To Induction-Delivery and Uterine-Delivery Interval

Author: Saad Ismaiel Mohammad
Journal: Tikret Journal of Pharmaceutical Sciences مجلة تكريت للعلوم الصيدلانية ISSN: 18172716 Year: 2013 Volume: 9 Issue: 1 Pages: 134-138
Publisher: Tikrit University جامعة تكريت

Loading...
Loading...
Abstract

The anaesthetic drugs technique used in caesarean section should prevent fetal depressant resulting from passing of drugs through the maternal-placental barrier which can lead to adverse effects such as decreasing in Apgar score and respiratory depression in new born neonates. Apgar score is the first test given to newborn after delivery by caesarian section or normal vaginal delivery to evaluate a newborn physical condition after delivery and to determine any immediate need for extra medical or emergency care. To determine the effect of general anaesthetic drugs on the Apgar score of new-borns in relation to the induction-delivery interval and uterine delivery interval. One hundred healthy full term pregnant women underwent elective C/S, on left lateral position the pre induction with 100% oxygen by face mask, then start induction with minimum dose of Thiopentone (3mg/kg ) with ketamine (1mg/kg), followed by non-depolarization muscle relaxant atracurium(0. 5 mg/kg ). Endotracheal intubation was done and maintenance of anaesthesia with oxygen, 0.5% Halothane and atracurium (0. 1 mg/kg) till the end of surgery. Neostigmine (2.5 mg) and atropine (1.2mg) was given as antidote. During operation the heart rates, blood pressures and oxygen saturation (pulse oxymeter) were monitored. Oxytocin (20 units) or ergometrine (0.8 mg) is injected intravenously after clamping the cord, then (tramadol 75 mg + midazolam 5mg) was given. Induction- delivery interval and uterine-delivery interval was noted using a stopwatch. After delivery the baby’s Apgar score was noted at 1, 5 and 10 min. and proper resuscitation was done. Low Apgar score and low to moderate score at one minute was found when induction –delivery interval up to five minutes and more than 10 minutes also low and low to moderate score of infants when uterine – delivery interval more than 120 seconds. One minute Apgar score of infants were affected by induction-delivery time (≤ 5 min and > 10 min) and uterine –delivery interval (>120 sec).

اجريت هذه الدراسة لمعرفة تأثير أدوية التخدير في العمليات القيصرية على نتيجة حساب الابكار من خلال حساب الوقت من اعطاء التخدير لحين ولادة الطفل وحساب الوقت من الشق الرحمي الى فترة تسليم المولود . تم اعطاء التخدير العام لمئة من النساء الخاضعات للعمليات القيصرية ثم تم حساب الوقتين المذكورين مع حساب نتيجة الابكار خلال دقيقة ، خمس دقائق وعشر دقائق. اظهرت نتيجة الدراسة ان نتيجة الابكار قلت عندما كان الوقت من اعطاء التخدير لولادة الطفل اكثر او يساوي خمس دقائق او اكثر من عشر دقائق كذلك كانت نتيجة الابكار ايضا قليلة عندما كان الوقت المحسوب من الشق الرحمي لحين تسليم المولود اكثر من مائة وعشرون ثانية.


Article
Comparison of the Effects of Spinal Anaesthesia Vs General Anaesthesia on Apgar Score in Neonates Born after Elective Caesarean Section

Authors: Hassan Sarhan Haider, --- Faez Ahmed Mahdi --- Mohammed Abbas Kadhim
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: 4 Pages: 482-487
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND: Delivery of baby by caesarean section has become increasingly common, Caesarean section can be performed under general or regional anaesthesia like spinal or epidural technique, and both have advantages and disadvantages. It is important to clarify what type of anaesthesia is safest for the mother and baby. OBJECTIVE: To compare the effect of spinal anaesthesia versus general anaesthesia on Apgar score of neonates born by elective caesarean section in Baghdad teaching hospital. MATERIAL AND METHODS: The study was carried out in Baghdad teaching hospital from February 2011 to July 2011 .this study was performed on 60 women presenting for Elective lower segment caesarean section .thirty mothers were given general anaesthesia and other 30 mothers received spinal anaesthesia. The Apgar score was recorded at1 minute and 5 minute interval after each delivery.RESULTS: Out of 30 mothers, who received general anaesthesia, 25 patients (83.3%) give birth to neonates having Apgar score ≤ 6 at one minute after birth and the remaining 5 neonates (16.7%) had Apgar score of ≥7.On the other hand out of 30 mothers who received spinal anaesthesia only 10 mothers give birth to neonate having Apgar score ≤ 6 at one minute after birth, who improved at 5 minutes interval, and their Apgar score were ≥7.It had been found that those neonates who were born under G.A were ten folds more likely to have Apgar score less than or equal to 6 at first minute compared to those with spinal anaesthesia, the odds ratio=10 and 95%confidence interval of the odds ratio (2.94-34) and p=0.00024 which is highly significant, G.A had greater risk on infant at the first minute. CONCLUSION: There is a significant difference between the effects of general anaesthesia and spinal anaesthesia on Apgar score of neonate one minute after delivery of full term neonate by elective caesarean section, but there is no significant difference between the effect of general anaesthesia and spinal anaesthesia on Apgar score 5minutes after birth.


Article
Intra-Operative Analgesia during Cesarean section: A Double Blind Clinical Trial Comparing the Effect of Tramadol versus Fentanyl on Both the Mother and the Neonate
معالجة الالام خلال عملية الولادة القيصرية دراسة سريرية مقارنة مابين الترامادول و البثدين و تاثيرهما على كل من الام و الطفل حديث الولادة

Author: Ahmed Haki Ismael Al Rawee د. احمد حقي اسماعيل
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2011 Volume: 24 Issue: 3 Pages: 211-214
Publisher: Al-Mustansyriah University الجامعة المستنصرية

Loading...
Loading...
Abstract

Background: Tramadol had been recommended as an analgesic agent during vaginal delivery. Analgesia during cesarean section stills a matter of controversy with the effect on the fetus and maternal awareness and recall.Purpose: At this study, tramadol had been tested versus fentanyl as an adjuvant to general anesthesia for patients undergoing caesarian section. The effect on both, the mother (recall or awareness during surgery and post operative nausea and vomiting, and the neonate as the effect on Apgar score and the umbilical cord venous blood gases.Method: Forty pregnant ladies assigned to have elective cesarean section, had been divided blindly in tramadol group (n=20) and fentanyl group (n=20). Tramadol group had received 100 mg IV. And the fentanyl group had received 100 µg IV. Anesthesia induced by thiopentone sodium in a dose of 3 mg/kg B. wt, suxamethonium chloride 1.5 mg/ kg. B. wt, anesthesia was maintained by 100% oxygen and analgesia by tramadol or fentanyl with incremental on and off 0.5% halothane.Results: The Apgar score on both groups at 1 and 5 minutes shows no difference, the umbilical vein PO2 of the fentanyl group is higher than tramadol group; the PCO2 of the umbilical vein in tramadol group is higher than fentanyl group. Post operatively, 2 patients in tramadol group shows recall of the child crying during surgery, and four patients from tramadol group suffer from nausea and/ or vomiting.Conclusion: Tramadol is associated with high incidence of maternal recall and awareness, with significant reduction in umbilical vein PO2 in spite of no effect on Apgar scoreKey words: Intra-operative analgesia, umbilical vein gases, Apgar score, postoperative nausea and vomiting (PONV)

هدف الدراسة: يستعمل الترامادول كعقار مسكن لالام الولادة الطبيعية. في هذه الدراسة تمت المقارنة مابين الترامادول و الفنتانيل كدوائين مصاحبين للتخدير العام في العملية القيصرية من ناحية التاثير على الام و الطفل.المرضى و طريقة الدراسة: اربعين امراة حامل خاضعة لعملية قيصرية غير طارئة (اختيارية) تم توزريعهن بصورة عشوائية الى مجموعتين. المجموعة الاولى تم اعطائها الترامادول و المجموعة الثانية اعطيت الفنتانيل كدوائين مصاحبين للبنج العام لاجراء عملية الولادة القيصرية. تم تسجيل و مراقبة الم من ناحية عمق التخدير و الاحساس خلال العملية و كذلك تم تسجيل و مقارنة معامل ابكار و التركيز الغازي في الدم الوريدي للحبل السري للطفل.النتائج: تم تسجيل الاحساس و سماع صوت الطفل اثناء العملية من قبل الام في مجموعة الترامادول. لا توجد اختلافات في معامل ابكار ما بين الدوائين. تم تسجيل انخفلض في تركيز الاوكسجين في الدم الوريدي للحبل السري في مجموعة الترامادول.الخلاصة: الفنتانيل افضل من ناحية البنج العام و لم تسجل اي حالة استذكار خلال العملية من قبل الام. لا يوجد فرق في معامل ابكار لدى الطفل بالرغم من تسجيل انخفاض في تركيز الاوكسجين في الدم الوريدي للحبل السروي في مجموعة الترامادول.


Article
Some Anatomical Changes in Placenta In Relation To Newborn`s Apgar score

Authors: Mohammed I. Ghanem --- Samia A. Eleiwe
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2014 Volume: 13 Issue: 1 Pages: 49-53
Publisher: Al-Mustansyriah University الجامعة المستنصرية

Loading...
Loading...
Abstract

Background: Sick newborns from apparently normal mothers, typically, have low Apgar scores and at such situation; there are great probabilities, for these newborns to develop several diseases, with poor outcomes. Also, there may be a chance for any prospect baby, to get same health state. Objective: This study was designed to correlate some of the placental topographic anatomical data with the newborn wellbeing, and to lay highlighting, on the presence of any placental abnormality, which could be caused by neither maternal nor fetal factors. Materials and methods: the study included 60 full term placentae of apparently normal mothers, who were admitted to Labor Room at al-Yarmook Teaching Hospital, al-Elwia Maternity Teaching Hospital and al- Khadhra`a Private Hospital, in Baghdad, for a normal vaginal delivery, or even for a caesarian section. The research was done over the period of 1stof February 2013 till end of 15thof April 2013. The newborns were scored high and low in Apgar score. The following anatomical data were selected in this study: the placental weight /newborn weight ratio, the mode of the umbilical cord insertion and the placental thickness, in each of the low and high Apgar score groups of fetuses, as indicators for the functional status of the placenta in these two groups. Results: The placental/newborn weight ratio in low Apgar score group of fetuses, was significantly lower than that in the high Apgar score ones. As regarding the umbilical cord mode of insertion; the eccentric type of insertion was more in both of fetal groups, nevertheless it was relatively higher in the high Apgar score group of fetuses, while the central type was more in the low Apgar score group of fetuses. The marginal type was only seen at the low Apgar score group of fetuses. The mean of thickness of placentae of low Apgar score group, was found to be less than that of the high Apgar score group, Conclusions: There was a strong and significant correlation between the fetal well being and data obtained from these topographic anatomical placental records.


Article
Impact of Maternal Body Mass Index on Umbilical Artery Indices and Neonatal Outcome

Authors: Fadia J Alizzi --- Ban Ahmad
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2018 Volume: 17 Issue: 2 Pages: 93-97
Publisher: Al-Mustansyriah University الجامعة المستنصرية

Loading...
Loading...
Abstract

Objectives: This study was designed to clarify the relationship between maternal body mass index (BMI) and umbilical artery (U.A) indices andto evaluate the effect of maternal BMI on the neonatal outcome. Study Design: This was a prospective cohort study. Patients and Methods: Thisstudy included 121 pregnant women with uncomplicated, singleton pregnancy between 18 and 35 years, at 32 weeks of gestation, seen inAl‑Yarmouk Teaching Hospital antenatal care. Women were divided according to the BMI into underweight (BMI <18.5), normal weight(BMI 18.5–24.9), overweight (BMI 25.0–29.9), and obese women (BMI ≥30). U.A velocity was recorded by Doppler ultrasound, and the women were followed till the time of delivery, mode of delivery, 5 min Apgar score, and birth weight were also recorded. Results: Obese women had significantly higher pulsatility index, resistance index, and systolic‑diastolic ratio compared to overweight and normal weightgroups (P < 0.001), cesarean section (C/S) rate was significantly higher (P < 0.001), and 5 min Apgar score was significantly lower (P < 0.001).Conclusion: The current study showed the negative impact of increasing BMI on fetoplacental circulation and increased risk of C/S. Neonatesof obese mothers had low 5 min Apgar score.

Listing 1 - 7 of 7
Sort by
Narrow your search

Resource type

article (7)


Language

English (6)


Year
From To Submit

2018 (1)

2016 (1)

2014 (1)

2013 (3)

2011 (1)