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Article
Pregnancy with Stroke

Author: Abathar Qahtan
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 4 Pages: 490-495
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Although stroke in pregnancy is uncommon, the risk of stroke is increased during pregnancy and puerperium, and considered a major contributor to the serious morbidity and mortality of pregnancyOBJECTIVE:This study had been designed to find the frequency of stroke in relation to different periods of pregnancy and puerperium, to assess the effect of variable risk factors and their association with stroke and to verify which type of stroke is more frequent among pregnant ladiesMETHODS :This is a cross sectional study that enrolled 30 pregnant patients who had stroke either during pregnancy or puerperium and being admitted to the Neurology words of Al-Yarmouk, Baghdad and Al-kadhemia teaching hospitals during the period from the 1st of January, 2001, to the 31st of December, 2002. All of the patients, who had been included in this study, had been subjected to detailed history, physical and neurological examinations and investigations.RESULTS:19 patients (63.3%) of the sample included in this study acquired stroke during pregnancy while 11 patients (36.3%) had developed stroke during puerperium. 2/3rd of the sample had ischemic stroke. Impaired consciousness was the commonest presenting symptom with a frequency of 50% of the sample, cerebellar signs were the least observed signs, in the other hand; all of the patient included in this study had motor dysfunction during the disease course. 53.3% of the sample was hypertensive 6.7 % was diabetic, while 36.7% of them had no significant past medical history. Oral contraceptive pills had been used by 50% of the sample, 2/3rd of those using oral contraceptive pills had ischemic stroke. 63.3% of the sample had cesarean delivery, 50% of the sample had history of abortion, 60% of whom had positive history of recurrent abortion.CONCLUSION:This study revealed that most of stroke happened during the 3rd trimester and early weeks of puerperium. Being hypertensive, whether pregnant related or not, is the most important risk factor, in addition, other recognized risk factors included diabetes mellitus and use of oral contraceptive pills.

Keywords

stroke --- pregnancy --- puerperium.


Article
Pregnancy with Stroke
السكتة الدماغية والحمل

Authors: Akram M. AL- Mhdawi اكرم المهداوي --- Hussein S.AL-Azzawi حسين صليبي
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2006 Volume: 19 Issue: 4 Pages: 319-325
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

AbstractBackground: Pregnancy related stroke is a vital health problem that needs to be studied thoroughly in order to reach the point of well understand to the puthophysiologie basis and the role of preventive measures in management. Objectives: this study had been designed to find the frequency of stroke in relation to different periods of pregnancy and puerperium, to assess the affect of variable risk factors and their association with stroke is more frequent among pregnant ladies.Methods: this is a cross sectional study that enrolled 30 pregnant patients who had stroke either or puerperium and being admitted to Al- Yarmouk. Baghdad and Al-Kadhemia Teaching Hospitals during the period from the 1 st of January, 2001, to the 31 st of December, 2002. All of the patients, who had been included in this study, had been subjected to detailed history, physical and neurological examinations and investigations. Results: 63.3% of ladies included in this study acquired stroke during pregnancy, 80% of them had stroke during the third trimester and early weeks of puerperium. 2/3 rd of the sample had ischemic stroke. Impaired consciousness was the commonest presenting symptom with a frequency of 50 % of the sample. 53.3% of the sample was hypertensive, while 36.7% of them had no significant past medical history. Oral contraceptive pills had been used by 50% of the sample, 2/3 rd of those using oral contraceptive pills had ischemic stroke. 63.3%of the sample had cesarean delivery. 50%of the sample had history of abortion. 60% of who had positive history of recurrent abortion. Cerebellar signs were the least observed signs on the other hand; all of the patients included in this study had more dysfunction during the disease course. Conclusions: this study revealed that most of stroke happened during the 3 rd trimester and early weeks of puerperium .being hypertensive, whether pregnancy related or not, is the most important risk factor. In addition, other recognized risk factors included diabetes mellitus and use of oral contraceptive pills.

الملخص :الخلفية : السكتة الدماغية وعلاقتها بالحمل من المشاكل الصحية الحيوية والتي تحتاج إلى دراسة مركزة للوصول إلى فهم جيد لخلفية الفسلجة الامراضية ودور الوقائية في التعامل مع هذه الحالات.الهدف : للتعرف على ترداد السكتة الدماغية أثناء مراحل الحمل والنفاس ولتقويم عوامل الخطورة المختلفة وعلاقتها بالسكتة الدماغية ولمعرفة أي أنواع السكتة الدماغية أكثر حدوثا أثناء الحمل .الطريقة : هذه الدراسة مقطعية ضمت 30مريضة أصيبت بالسكتة الدماغية أثناء الحمل أو النفاس أدخلن إلى مستشفى اليرموك التعليمي ومستشفى بغداد التعليمي أو مستشفى الكاظمية التعليمي للفترة من الأول من كانون الثاني ولنهاية كانون الأول عام 2002 ثم اخذ تفاصيل التاريخ المرضي مع إجراء الفحص السريري وفحص الجهاز العصبي مع إجراء الفحوصات اللازمة .النتيجة : 80% من إصابات السكتة الدماغية حدثت أثناء الفصل الثالث للحمل وأثناء الأسابيع الأولى للنفاس .وكان ثلثي الإصابات بسبب السكتة الذاوية . وكان اختلال الوعي أكثر الأعراض تردادا في 50 % من العينة .وكان 53,3% من العينة مصابات بفرط الضغط بينما الباقون ( 36,7% ) لم يكن لديهن ذلك أما فيما يخص استعمال حبوب منع الحمل فقد كان 50% منهن يستعملنها , ووجد إن ثلثي أولئك أصبن بالسكتة الذاوية ووجد إن 63,3% من العينة ولدن بالعملية القصيرية و 50% كان لديهن تاريخ مرضي بالإسقاط وان 60% من أولئك لديهن إسقاط متكرر أما فيما يخص العلاقات فان جميع المريضات كان لديهن خلل وظيفي حركي بينما إصابة المخيخ كانت الأقل من بين العلامات على المرضى .الاستنتاج : أظهرت الدراسة إن أكثر إصابات السكتة الدماغية حدثت في المراحل الثالثة للحمل والأسابيع الأولى وان الانضغاط الشرياني كان أهم عوامل الخطورة سواء الانضغاط الحملي أو غيرة من الأنواع. بالإضافة إلى ذلك فأن داء السكر واستعمال حبوب منع الحمل كان من بين عوامل الخطورة.

Keywords

stroke --- pregnancy --- puerperium --- Iraq


Article
Effect of Prostoglandine PGF2 on Bacterial Elimination during Puerperium in Awassi Ewes
تأثير البروستوكلاندين في إزالة التلوث الجرثومي خلال فترة بعد الولادة في النعاج العواسية

Author: N.W. Zaid نزيه ويس زيد
Journal: ANBAR JOURNAL OF AGRICULTURAL SCIENCES مجلة الأنبار للعلوم الزراعية ISSN: PISSN: 19927479 / EISSN: 26176211 Year: 2007 Volume: 5 Issue: 1 Pages: 211-217
Publisher: University of Anbar جامعة الانبار

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Abstract

16 Awassi ewes have been used related to the animal farm in the Veterinary Medicine College, Baghdad University during 2006. Prostoglandine PGF2 was injected to (8) Awassi ewes on the day 4 post parturition, while (8) others Awassi ewes were left as control group. Vaginal swabs were taken for bacterial isolation on day 4, 16 and 28 post parturition. Isolated bacteria Escherichia coli and Staphylococcus aureus showed a significant (P<0.01) decrease in their count accompanied with progressing time after parturition. The treated ewes also showed early estrus as compared to control group. No pathogenic bacteria were isolated during this study.

إستخدم 16 نعجة عواسية في هذه التجربة تابعة للحقل الحيواني لكلية الطب البيطري، جامعة بغداد سنة 2006 حيث تم حقن البروستوكلاندين في 8 نعاج عواسية عند اليوم الرابع بعد الولادة وتركت 8 نعاج دون علاج كحيوانات سيطرة، حيث تم متابعتها وأخذ مسحات مهبلية منها لغرض العزل الجرثومي عند اليوم 4، 16 و28 بعد الولادة. عزلت البكتريا القولونية والمكورات العنقودية خلال مدة الدراسة. لوحظ تناقص عالي المعنوية (P<0.01) في النسبة المئوية للعزل البكتيري مع تقدم الفترة بعد الولادة والذي كان مصاحباً لبدء دورة شياع مبكرة في المجموعة المعالجة مقارنةً بمجموعة السيطرة. ولم يتم عزل أي نوع أخر مرضي من البكتريا خلال هذه الدراسة.

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