Obster

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OBJECTIVE: To examine the incidence, risk factors, and complications associated with Obstetrical Hysterectomy at a single University Hospital. STUDY DESIGN: This was a retrospective study of all cases of Obstetrical Hysterectomy performed between January 1993 and December 2005 at Temple University Hospital, Philadelphia, Pennsylvania. The current procedural terminology (CPT) codes were used to identify patients, and chart review was used to collect demographics and indications...

Family history as a screening technique has received little attention from epidemiologists as a means of early detection of disorders. In this paper, we present several every-day family cases that will prepare the family physician to make use, at will, of this special investigative tool. We deal primarily with Down's syndrome, defects of the central nervous system, infertility, metabolic disorders and, finally, marriage of close relations. For each case, the role to be played by the physician dealing with a positive family history involving a problem is detailed in terms of risks of occurrence and recurrence of the condition; particular aspects of the counselling process are presented, especially the logistic, psychological, ethical and social aspects...

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To develop guidelines regarding prevention and treatment of pelvic organ prolapse and stress urinary incontinence in patients qualified to hysterectomy. The Polish Gynecological Society formed a work group to develop guidelines. The work group formulated the following guidelines: 1. Since the hysterectomy per se is a risk factor for pelvic organ prolapse, more conservative procedures to hysterectomy should be considered and applied, whenever it is possible. 2. Pelvic organ prolapse is not the indication for hysterectomy...

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Paradigm shift is moulded by the rapid advances in scientific knowledge, the results of evidence-based medicine and the guidelines and recommendations resulting therefrom as well as the continuous changes in medicine's social-cultural ambient. Features of a complex medical and social development are the declining number of births, a significant increase in the frequency of caesarean sections and an almost two-fold elevation of the number of induced births. This is especially valid for an overproportional rise in elective induction of labour which, today, represents the most frequently indicated intervention in obstetrics...

INTRODUCTION: Postpartum hysterectomy means hysterectomy at least 6 weeks after delivery or cesarean section. It is usually performed in life-threatening situations. Incidence of postpartum hysterectomy varies from 0.02% to 0.3% of total number of deliveries. OBJECTIVE: The aim of this study was to show and compare the incidence of postpartum hysterectomy after the cesarean section at the Institute of Gynecology and Obstetrics, Clinical Center of Serbia. We compared two five-year periods: the first period 1987-1982 and the second 2000-2004...

BACKGROUND: Craniospinal malformations represent a heterogeneous group of congenital malformations by their morphology and etiology alike. Certain craniospinal malformations could be diagnosed as early as the dawn of ultrasonography and this group of malformations has been the focus of attention ever since. AIMS: : The aim of the authors was to review the main characteristics of craniospinal malformations, as well as to evaluate the efficiency of ultrasonography based on autopsy examinations during twelve years...

INTRODUCTION: The forceps are the oldest obstetrics instrument using to quickly finishing delivery in situation of imminent fetal death. Forceps delivery increase the risk of new-born and women complications AIM OF STUDY: The aim of the study was retrospective analysis of 215 forceps deliveries in Institute of Obstetrics and Gynecology, Medical University of Gdańsk between years 1991 and 2004. MATERIAL AND METHODS: 26653 deliveries took place in Institute of Obstetrics and Gynecology, Medical University of Gdańsk between years 1991 and 2004 and in 215 cases deliveries finished by forceps operations...

OBJECTIVES: Congenital cystic adenomatoid malformation (CCAM) is a rare congenital malformation of the respiratory tract which could be diagnosed and treated prenatally. DESIGN: The aim of the retrospective assessment was to determine the efficiency of the treatment in four patients' with CCAM type I treated both prenatally and after birth in Polish Mother's Memorial Hosiptal Research Institute in years 1991-2004. MATERIALS AND METHODS: We assessed clinical course in 4 children with CCAM type I...

This review contains material sourced from Med-Line and Pub-Med, search year 2002-2004. Material selected was pertaining to common cardiac ailments in pregnancy. Congenital cardiac problems i.e. Tetralogy of Fallot (TOF), Atrial Septal Defect (ASD), Ventricular Septal Defect (VSD), Eisenmengers syndrome, valvular heart disease, i.e. mitral stenosis, mitral regurgitation, aortic stensois and aortic regurgitation are discussed. Other cardiac conditions associated with pregnancy are pulmonary hypertension and peri-partum cardiomyopathy...

OBJECTIVE: To explore the characteristics of closed abdominal injury in pregnancy women and its treatment. METHODS: The clinical data of 37 pregnancy patients with closed abdominal injury treated in our hospital from June 1993 to June 2003 were collected and analyzed. RESULTS: All the 37 patients were treated with operation. Among them 2 early pregnancy patients with intestinal rupture and 1 patient with retroperitoneal hematoma were treated under laparoscope; in other 34 pregnancy patients laparotomy was performed...

OBJECTIVE: To examine the endometrial expression pattern of messenger RNA (mRNA) for selected matrix metalloproteinases (MMP) and tissue inhibitor of metalloproteinases-1 (TIMP-1). DESIGN: Experimental study. SETTING: Department of Obstetrics and gynecology of the Palacky University Medical School and University Hospital, Olomouc, Czech Republic, Department of Obsterics and Gynecology, University Hospital, Luna, Sweden. METHODS: We studied MMP-1, -3, -7, -10, -11, -12, -13, -14, -16, -26 and TIMP-1 mRNA in 39 normal endometrial samples obtained across the menstrual cycle...

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