Hellenic Journal of Obstetrics and Gynecology最新文献_第9页

Natural Methods to Assist Delivery during the Second Stage of Labour: Part I: Positioning and the Role of Intrapartum Ultrasound 辅助第二产程分娩的自然方法:第一部分:产时超声定位和作用

Hellenic Journal of Obstetrics and Gynecology Pub Date : 2020-01-03 DOI: 10.33574/hjog.1928

Maria Papamichail, P. Antsaklis, M. Theodora, M. Syndos, G. Daskalakis, D. Loutradis

{"title":"Natural Methods to Assist Delivery during the Second Stage of Labour: Part I: Positioning and the Role of Intrapartum Ultrasound","authors":"Maria Papamichail, P. Antsaklis, M. Theodora, M. Syndos, G. Daskalakis, D. Loutradis","doi":"10.33574/hjog.1928","DOIUrl":"https://doi.org/10.33574/hjog.1928","url":null,"abstract":"Labour has high importance for every woman’s life but also is the moment when many complications might appear increasing significantly morbidity and mortality. Therefore obstetricians have to help women in labour to give birth to their babies naturally, with the highest satisfaction possible. Western standards suggest that women should experience their partirution in the lithotomy or the supine position. However, upright positions have the potential to reduce second stage of labour and to improve neonatal outcomes. Intrapartum ultrasound using different parameters can predict the remaining time to delivery and therefore to make timely interventions in order to decrease instrumental or caesarean deliveries and postpartum hemorrhage as these are the most important complications met in prolonged second stage of labour. In this review the optimal positioning of the women in labour will be presented. Additionally, the ability of intrapartum to shorting second stage duration and to increase maternal satisfaction concerning childbirth will also mentioned.","PeriodicalId":194739,"journal":{"name":"Hellenic Journal of Obstetrics and Gynecology","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128758611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prenatal diagnosis of a large suprasellar arachnoid cyst 大鞍上蛛网膜囊肿的产前诊断

Hellenic Journal of Obstetrics and Gynecology Pub Date : 2020-01-03 DOI: 10.33574/hjog.1937

G. Asimakopoulos, P. Antsaklis, M. Theodora, M. Sindos, A. Rodolakis, D. Loutradis, G. Daskalakis

引用次数: 0

Natural Methods to Assist Delivery during the Second Stage of Labour: Part II: Timing and Type of Pushing 辅助第二产程分娩的自然方法:第二部分:推的时机和类型

Hellenic Journal of Obstetrics and Gynecology Pub Date : 2020-01-03 DOI: 10.33574/hjog.1925

P. Antsaklis, Maria Papamichail, M. Theodora, M. Syndos, G. Daskalakis, D. Loutradis

引用次数: 1

Myo-inositol supplementation as a preventive consideration for gestational diabetes mellitus 补充肌醇作为预防妊娠糖尿病的考虑

Hellenic Journal of Obstetrics and Gynecology Pub Date : 2020-01-03 DOI: 10.33574/hjog.1935

G. Asimakopoulos, P. Antsaklis, M. Theodora, M. Sindos, A. Rodolakis, D. Loutradis, G. Daskalakis

{"title":"Myo-inositol supplementation as a preventive consideration for gestational diabetes mellitus","authors":"G. Asimakopoulos, P. Antsaklis, M. Theodora, M. Sindos, A. Rodolakis, D. Loutradis, G. Daskalakis","doi":"10.33574/hjog.1935","DOIUrl":"https://doi.org/10.33574/hjog.1935","url":null,"abstract":"Gestational diabetes mellitus (GDM) is defined as impaired glucose tolerance with onset or first recognition during pregnancy, which is characterized by increased insulin resistance. GDM affects about 10% of pregnancies and its prevalence is rising worldwide mainly due to the advancing maternal age and the increased prevalence of obesity. GDM is associated with pregnancy-related maternal and fetal morbidity (both antenatal and perinatal). Traditional treatments for the GDM include diet and, if it is necessary, insulin. However, the percentage of macrosomic newborns does not appear to be significantly reduced. Safe and effective preventive interventions are therefore, needed in an attempt to lower the incidence of gestational diabetes. Myo-inositol has been suggested to improve insulin resistance in women with insulin resistant syndromes such as GDM, polycystic ovarian syndrome, type 2 diabetes and metabolic syndrome. Several studies report a significant decrease in GDM incidence in women at risk for GDM comparing to the placebo group. However, the option of myo-inositol supplementation needs to be further explored as the current evidence is relatively limited.","PeriodicalId":194739,"journal":{"name":"Hellenic Journal of Obstetrics and Gynecology","volume":"231 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132316075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nerve tissue into mastectomy scar. Its trap may lead to chronic pain? 神经组织进入乳房切除瘢痕。它的陷阱可能导致慢性疼痛?

Hellenic Journal of Obstetrics and Gynecology Pub Date : 2020-01-03 DOI: 10.33574/hjog.1942

A. Giannos, S. Stavros, I. Thanopoulos, E. Stamatakis, K. Dimitrakakis, P. Drakakis, D. Loutradis

引用次数: 0

Minimal invasive procedures for the treatment of genitourinary syndrome of menopause (GSM). Un update 微创手术治疗绝经期泌尿生殖系统综合征(GSM)。联合国的更新

Hellenic Journal of Obstetrics and Gynecology Pub Date : 2020-01-03 DOI: 10.33574/hjog.1933

D. Zacharakis, E. Pitsouni, T. Grigoriadis, C. Kalantzis, D. Loutradis, S. Athanasiou

{"title":"Minimal invasive procedures for the treatment of genitourinary syndrome of menopause (GSM). Un update","authors":"D. Zacharakis, E. Pitsouni, T. Grigoriadis, C. Kalantzis, D. Loutradis, S. Athanasiou","doi":"10.33574/hjog.1933","DOIUrl":"https://doi.org/10.33574/hjog.1933","url":null,"abstract":"Genitourinary syndrome of menopause (GSM) is a new term for a condition more renowned as atrophic vaginitis. It is used to describe a variety of menopausal symptoms and signs that are related to the physical changes of the vulva, vagina and lower urinary tract. The etiology of GSM is secondary to decreased levels of endogenous estrogens and represents a common but underreported condition. In this update we present novel minimal invasive procedures that may benefit GSM symptoms making particular focus on platelet-rich plasma (PRP) treatment, hyaluronic acid (HA) treatment and energy-based devices (CO2 laser, YAG laser, radiofrequency device and high intensity focused ultrasounds). Currently, PRP has becoming popular as a non-operative treatment option for GSM symptoms. The principle underlying PRP treatment has to do with its ability to reproduce natural mechanisms of cell regeneration through the sequential secretion of numerous growth factors. Moreover, HA has been widely used as an important ingredient in topical hydrating and lubricating gels or injected for conditions such as dyspareunia. Lately, it has also been used as a new tool to treat age-related fat lysis of the female genitalia and especially the labia majora. Τhe Energy based devices have been recently suggested for the management of GSM. They utilize technologies such as laser, electromagnetic waves and high intensity focused ultrasounds to focus energy in the vaginal wall heating the targeted tissue at various depths without causing any pain or needing a recovery time. These minimal invasive procedures appear to be promising options for the treatment of GSM symptoms. However, further studies are necessary to evaluate more thoroughly the effectiveness and safety of these procedure and assess medium and long term results.","PeriodicalId":194739,"journal":{"name":"Hellenic Journal of Obstetrics and Gynecology","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122827902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Post Partum Hemorrhage – Mini Review 产后出血-迷你回顾

Hellenic Journal of Obstetrics and Gynecology Pub Date : 2019-10-03 DOI: 10.33574/hjog.2039

Charalampos Voros, K. Pappa

引用次数: 0

Intrahepatic cholestasis of pregnancy (ICP) 妊娠肝内胆汁淤积症(ICP)

Hellenic Journal of Obstetrics and Gynecology Pub Date : 2019-10-03 DOI: 10.33574/hjog.1887

P. Antsaklis, Antonios Koutras, N. Thomakos, D. Loutradis

引用次数: 0

Pilot study: Alternative spliced variants of the Follicle-Stimulating Hormone Receptor gene in Greek women undergoing In Vitro Fertilisation (IVF) 初步研究:接受体外受精(IVF)的希腊女性促卵泡激素受体基因的选择性剪接变体

Hellenic Journal of Obstetrics and Gynecology Pub Date : 2019-10-03 DOI: 10.33574/hjog.1879

E. Mamas, D. Mavrogianni, Rami Raouasnte, Spyros Karkatzoulis, Emmanouela Liokari, P. Drakakis, D. Loutradis

{"title":"Pilot study: Alternative spliced variants of the Follicle-Stimulating Hormone Receptor gene in Greek women undergoing In Vitro Fertilisation (IVF)","authors":"E. Mamas, D. Mavrogianni, Rami Raouasnte, Spyros Karkatzoulis, Emmanouela Liokari, P. Drakakis, D. Loutradis","doi":"10.33574/hjog.1879","DOIUrl":"https://doi.org/10.33574/hjog.1879","url":null,"abstract":"Assisted Reproduction Technology (ART) has proven to be a valuable tool for infertile couples. Unfortunately, no perfect ovarian stimulation protocol has been designed and ovarian response shows great variability among women. Pharmacogenomics aims at detecting genetic markers so as to individualize protocols in order to maximize ovarian response to treatment. Follicle Stimulation hormone receptor (FSHR) mutations and single nucleotide polymorphisms have been extensively studied. Splice variants of the FSHR have been detected in women undergoing in vitro fertilisation (IVF). This study aims to determine the presence FSH splice variants in Greek women undergoing IVF. RNA was extracted from cumulus cells from 35 women and analysed by real time PCR. Splice variants were detected by gel electrophoresis. Three cases of deletion of exon 9 and 2 cases of insertion of intron 8 were detected in our study group. No association between the presence of splice variants and response to ovarian stimulation was detected. Two live births were detected one in each variant group. Even though these two types of splice variant detected do not show any clinical correlation it is believed that variants of the FSHR may be associated with poor or high response to exogenous gonadotrophin so further research is necessary.","PeriodicalId":194739,"journal":{"name":"Hellenic Journal of Obstetrics and Gynecology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122920672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Laser treatment of twin-to-twin transfusion syndrome (TTTS): preliminary findings from a tertiary center in Greece 激光治疗双胎输血综合征(TTTS):来自希腊三级中心的初步发现

Hellenic Journal of Obstetrics and Gynecology Pub Date : 2019-10-03 DOI: 10.33574/hjog.1876

G. Papaioannou, N. Evangelinakis, N. Papantoniou

{"title":"Laser treatment of twin-to-twin transfusion syndrome (TTTS): preliminary findings from a tertiary center in Greece","authors":"G. Papaioannou, N. Evangelinakis, N. Papantoniou","doi":"10.33574/hjog.1876","DOIUrl":"https://doi.org/10.33574/hjog.1876","url":null,"abstract":"Background: Twin- to-twin transfusion syndrome (TTTS) affects approximately 15% of monochorionic twin pregnancies with an estimated incidence of 1 in 1,600 pregnancies. The gold standard of care is considered to be Fetoscopic Laser Photocoagulation Therapy (FLPT). Objective: To present our experience with FLPT in a preliminary prospective observational study. Materials and methods: Fourteen patients who underwent FLPT in the Fetal Maternal Medicine Unit of Attikon University Hospital, between January 2017 and August 2018. Fetoscopic laser photocoagulation was offered to all patients with pregnancies complicated by TTTS (Quintero stage >2), before the completion of 26 weeks of gestation. Results: The mean gestational age at diagnosis was 22.2 ± 2.6 weeks, at surgery 23.1±1.9 weeks and at birth 29.8±3.3 weeks. Mean interval from surgery to delivery was 6.6±3.1 weeks and mean neonatal birthweight was 1426±408 grams. Mean recipient’s weight at delivery was 1652±283gr, whereas mean donor’s weight at delivery was 1299 ± 402gr. Concerning fetal viability, ten (71,4%) donor fetuses survived to full term whereas 4 (28,6%) donor fetuses died in utero. The survival rate of recipient fetuses reached 85,7% which is very good according to the literature. In total 22 fetuses (78,6%) were alive at birth and survived the first 6 months of life and in 6 cases an intrauterine demise occurred (21,4%). In 10 pregnancies (71,4%) both fetuses survived, in 2 (14,3%) both died and in 12 pregnancies (85,7%) there was at least one survivor. Conclusion: These preliminary results support the use of FPLT in Greece as the percentage of live neonates that was reached is comparable to those published in larger studies in the international literature. We are confident that with increasing experience and new instrumentation, these results will become even better and this service will accept more cases all over Greece.","PeriodicalId":194739,"journal":{"name":"Hellenic Journal of Obstetrics and Gynecology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130633016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0