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Amniotic Fluid Index as a Predictor of Perinatal Outcome in Patients with Prolonged Pregnancy
السائل الميتوتي كمؤشر لنتيجة المريضات بحمل طويل

Author: Maha M. Al-Bayatti د.مها البياتي
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2008 Volume: 21 Issue: 3 Pages: 216-219
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Objective: To determine whether detection of amniotic fluid index is clinically useful in the prediction of perinatal outcome in prolonged pregnancy.Methods: Fifty pregnant women with prolonged pregnancies were subjected for ultrasonic assessment of amniotic fluid index and evaluation of perinatal outcome. The newborn babies were assessed for Apgar score, birth weight, meconium aspiration, intervention in labour for fetal distress, perinatal death, and admission to the neonatal care unit.Results: Prolonged pregnancy with amniotic fluid index < 5 cm was significantly associated with meconium aspiration and caesarean section for fetal distress in labour with a P value of 0.009 and 0.030 respectively. Conclusion: Amniotic fluid index can be considered as a useful technique for fetal surveillance in prolonged pregnancy. Key words: Prolonged pregnancy, Amniotic fluid index, Perinatal outcome


Article
Significance of Umbilical Cord Nucleated Red Blood Cells Count in Overdue Pregnancy

Authors: Yosve Salih --- Abdulrazak H Alnakash
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 3 Pages: 249-252
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Elevated count of nucleated red blood cells (n-RBCs) in the cord blood of fetuses at birth as well as prolongation of pregnancy, have been suggested as predictor of adverse perinatal outcome.OBJECTIVE:A prospective cohort study to evaluate the association between umbilical cord nucleated RBCs (uc-nRBC) count in uncomplicated overdue pregnancies with their neonatal outcome.PATIENTS & METHODS:One hundred and eighty five ladies with overdue pregnancy (41-42 weeks+3days) were included in the study. Dating was confirmed by their precisely recalled last menstrual periods and early pregnancy sonographies. At their deliveries, umbilical cord nucleated red blood cells were counted and expressed per 100 white blood cells. Mode of delivery, the newborn outcome and the risk factors were all analyzed with the obtained counts of the n-RBCs using descriptive and inferential statistics.RESULT:The number of n-RBCs counted, ranged from 3-43/ 100 WBC and accordingly the cases were categorized into 3 groups. Those with more than 20 n-RBC/100 WBC (high risk group) showed higher incidence of neonatal risk outcomes (49.3% of the calculated total risks) than the group with 3-10 n-RBC (low risk group) which included about half of the participants, it exhibited only 20.5% of the total risks. The risk outcomes include; meconium staining, admission to neonatal intensive care unit, neonatal death and Apgar score at 7 minutes less than 5. Moreover, cesarean section rate in high risk group was almost double its rate in the low risk group (44.7% Vs 22.5%).The association between risk outcome and n-RBC counts is statistically highly significant P value < 0.001.CONCLUSION:In overdue pregnancy, umbilical cord n-RBC count of the new born is significantly associated with risk outcome.


Article
Prediction of Prolonged Pregnancy in Nulliparous Women by Transvaginal Ultrasound Measurement of Cervical Length at 37 Weeks of Pregnancy.
تنبؤ طول فترة الحمل عند النساء الحوامل لاول مرة بأعتماد قياس طول عنق الرحم بواسطة السونار المهبلي في فترة ال 37 اسبوع من الحمل

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Abstract

Abstract:Background: Prolonged pregnancy occurs in approximately 10% of all singleton pregnancies. It is a common cause of increased fetal, maternal and neonatal risks.Objective: To evaluate transvaginal ultrasound measurement of cervical length at 37 weeks gestation as a predictor of prolonged pregnancy in nulliparous women.Patients and methods: This study had been conducted in Al-Kadhymia teaching hospital which enrolled 100 nulliparous women with singleton gestation at 37 weeks. Cervical length was measured by transvaginal ultrasonography at 37 weeks gestation.Results: Cervical length at 37 weeks gestation was longer in women who delivered at > 40 weeks than those delivered at ≤40 weeks and the best cut-off value of cervical length at 37 weeks for the prediction of prolonged pregnancy was 30 mm with a sensitivity of 67% and specificity of 100%. Conclusion: Cervical length at 37 weeks gestation assessed by transvaginal ultrasonography can predict the likelihood of prolonged pregnancy in nulliparous women. Key wards: Prolonged pregnancy, nulliparity, transvaginal ultrasound

الخلاصة:خلفية الدراسة: تاخر موعد الولادة يحدث فيما يقرب من 10% من كل حالات الحمل المفردة .وهي سبب شائع في زيادة المخاطر للجنين والام والطفل حديث الولادة .الهدف من الدراسة : لتقييم قياس طول عنق الرحم بواسطة السونار المهبلي في الاسبوع ال37 من الحمل لتوقع طول مدة الحمل في السيدات اوليات الحمل المرضى وطريقة العمل: تمت الدراسة في مستشفى الكاظمية التعليمي ,و تضمنت الدراسة 100 سيدة اولية الحمل بحمل مفرد في الاسبوع 37 من الحمل . وتم قياس طول عنق الرحم لديهن بواسطة السونار المهبلي في الاسبوع 37 من الحمل.النتائج: كان طول عنق الرحم في الاسبوع 37 من الحمل اطول لمن ولدن في فترة ما بعد 40 اسبوع مقارنة بالنساء اللاتي ولدن قبل الاسبوع 40 وكانت نقطة الحسم لطول عنق الرحم في السبوع 37 للتنبؤ بطول فترة الحمل هي 30 ملم وهي ذات حساسية 67% وبخصوصية 100% الاستنتاج : طول عنق الرحم في الاسبوع 37 من الحمل والمقاس بواسطة السونار المهبلي له قابلية التنبؤ بأحتمالية طول مدة الحمل في السيدات اوليات الحمل الكلمات المفتاحية: الحمل المتأخر ، اولية الحمل ، السونار المهبلي

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