Zeitschrift fur Geburtshilfe und Neonatologie最新文献_第2页

Enukleation eines monströsen Myoms im Rahmen einer Sectio caesarea. 在凯撒利亚Sectio Caesarea的背景下，一个巨大的myoma的去核。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-01 Epub Date: 2025-06-10 DOI: 10.1055/a-2415-6024

Dominika Spitzer, Angela Köninger, Christian Litzka

引用次数: 0

Vom Wert eines guten Rates in der Stunde größter Not. 在最需要的时候提供良好建议的价值。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-01 Epub Date: 2025-06-10 DOI: 10.1055/a-2558-4469

Dominique Singer

引用次数: 0

Mesenchymal dysplasia of the placenta: a rare entity and important differential diagnosis. Presentation of a case with placentomegaly. 胎盘间充质发育不良：一种罕见的实体和重要的鉴别诊断。报告一例胎盘肿大。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-01 Epub Date: 2025-02-18 DOI: 10.1055/a-2519-5898

Henning Feist, Afram Daliapo, Ann-Christin Sönnichsen

{"title":"Mesenchymal dysplasia of the placenta: a rare entity and important differential diagnosis. Presentation of a case with placentomegaly.","authors":"Henning Feist, Afram Daliapo, Ann-Christin Sönnichsen","doi":"10.1055/a-2519-5898","DOIUrl":"10.1055/a-2519-5898","url":null,"abstract":"Placental mesenchymal dysplasia (PMD) is a rare disease with unclear etiology and peculiar placental findings (placentomegaly, abnormal chorionic vessels with thromboses, and grossly enlarged and often cystic-appearing stem villi). Songraphic findings are cystic changes, hypoechoic areas, placental enlargement, and dilated chorionic vessels.PMD can be associated with severe perinatal complications, e.g., intrauterine fetal demise, fetal growth restriction, and preterm delivery. Neonatal complications include Beckwith-Wiedemann Syndrome (BWS), hepatic tumors, and hematologic diseases, i.e., anemia and thrombocytopenia. However, in a minority of cases the mothers and children display no perinatal or postnatal findings. It is important to be aware of the entity because it can be mistaken for molar pregnancy (with a different clinical procedure) on routine ultrasound investigation. Maternal alpha-fetoprotein serum levels are often increased in the case of PMD.We report a case of PMD with typical entity-related findings on ultrasound investigation and striking pathological-anatomic findings such as massive placentomegaly and prominent thromboses of the tortuous chorionic vessels but without perinatal or postnatal complications.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"208-211"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Is the structure of perinatal care in Germany responsible for the less-than-optimal, merely average results in European comparison regarding rates for both infant and maternal mortality as well as rates of premature birth?] [德国的围产期护理结构是否应该为欧洲比较中婴儿和产妇死亡率以及早产率的不理想结果负责？］

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-01 Epub Date: 2025-03-24 DOI: 10.1055/a-2550-6215

Rainer Rossi

{"title":"[Is the structure of perinatal care in Germany responsible for the less-than-optimal, merely average results in European comparison regarding rates for both infant and maternal mortality as well as rates of premature birth?]","authors":"Rainer Rossi","doi":"10.1055/a-2550-6215","DOIUrl":"10.1055/a-2550-6215","url":null,"abstract":"The outcomes of perinatal care in Germany in terms of infant mortality and prematurity rates remain only at the European average. Neither medical factors, such as maternal age, nor socioeconomic data sufficiently explain these differences. Perinatal care in Germany in characterized by a high number of obstetric units with relatively low annual deliveries; almost half of these units are not directly linked to a pediatric department. In contrast, Northern European countries have substantially larger obstectric units in terms of annual deliveries, and these are almost invariably integrated with pediatric departments. This structure of perinatal care is associated with significantly lower prematurity rates - particularly for gestational ages below 28 weeks - as well as reduced infant mortality rates, despite requiring longer travel distances. Consequently, these epidemiological differences should be considered in healthcare planning, and obstetric units should be exclusively organized in conjunction with pediatric departments to optimize outcomes.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"169-172"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A new technique: Acar's atony suture for postpartum uterine hemorrhage. 一项新技术：用于产后子宫出血的 Acar 失弛缓缝合术。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-01 Epub Date: 2024-11-11 DOI: 10.1055/a-2441-6846

Ali Acar, Cemre Alan, Şükran Doğru

{"title":"A new technique: Acar's atony suture for postpartum uterine hemorrhage.","authors":"Ali Acar, Cemre Alan, Şükran Doğru","doi":"10.1055/a-2441-6846","DOIUrl":"10.1055/a-2441-6846","url":null,"abstract":"Objective: This study aims to define a new compression suture technique that is easy to apply and effective in stopping PPH immediately.Study design: This is a retrospective study of 22 women who received Acar's uterine compressive atony sutures at a single tertiary hospital between January 2021 and November 2023. Demographic and obstetric data were collected. Outcomes included units of blood transfused, intraoperative and postoperative adverse events, duration of hospital admission, and hysterectomy rate.Results: The new suture technique was successful in all cases. Acar's atony suture effectively stopped PPH due to uterine atony. None of the patients needed a hysterectomy. Ten (45.5%) patients received blood product transfusions. Only two of the patients (9%), both of whom had given birth in an external center and in whom the suture was applied afterwards, needed a a stay in the postoperative intensive care unit. The mean hospital stay was 4±1 days.Conclusions: Acar's atony suture is a practical, feasible, and uterine-sparing technique for PPH due to uterine atony.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"195-200"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142627943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[TRAP (Twin Reversed Arterial Perfusion) Sequence in the Third Trimester]. [TRAP（双动脉灌注逆转）序列在妊娠晚期]。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-01 Epub Date: 2025-02-14 DOI: 10.1055/a-2525-9498

Andreas Rizos, Froukje Snaaijer-Grotheer, Horst Meyberg, Nikolaus De Gregorio, Julia Jückstock

引用次数: 0

The Effect of Mandala Art Therapy on Anxiety, Mood, and Plasma Glucose Levels in Pregnant Women with Abnormal OGTT Values: A Randomized Controlled Study. 曼荼罗艺术治疗对OGTT异常孕妇焦虑、情绪和血糖水平的影响：一项随机对照研究。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-05-23 DOI: 10.1055/a-2586-3747

Esra Karataş Okyay, Esra Güney, Mevhibe Çoban

{"title":"The Effect of Mandala Art Therapy on Anxiety, Mood, and Plasma Glucose Levels in Pregnant Women with Abnormal OGTT Values: A Randomized Controlled Study.","authors":"Esra Karataş Okyay, Esra Güney, Mevhibe Çoban","doi":"10.1055/a-2586-3747","DOIUrl":"https://doi.org/10.1055/a-2586-3747","url":null,"abstract":"Background and purpose: Mandala is recognized as an art therapy that provides psychological support and healing. This study aimed to determine the effects of mandala art therapy on blood glucose levels, mood, and anxiety in pregnant women with abnormal oral glucose tolerance test (OGTT) values.Materials and methods: This experimental study, designed as a pre-test post-test control group trial, was conducted in a public hospital in eastern Türkiye. The study involved 68 pregnant women (intervention group=34, control group=34). In the intervention group, the pregnant women received mandala art therapy twice: once at 0 hour after fasting plasma glucose (FPG) and once at 1 hour after plasma glucose (PG). Data collection tools included a Personal Information Form, the State-Trait Anxiety Inventory (STAI), and the Brief Mood Introspection Scale (BMIS), while glucose levels were obtained from patient records. Statistical analysis included frequency, percentage, mean, standard deviation,chi-square test, independent samples t-test, paired t-test, and ANCOVA.Results: Following the intervention, pregnant women in the intervention group had significantly lower post-test STAI total and BMIS-negative mood subscale mean scores compared to those in the control group (p<0.05). Additionally, those in the intervention group scored higher on the positive mood and overall mood subscales of BMIS compared to those in the control group (p<0.05). There was no statistically significant difference between the groups' FPG(0-hour), PG(1-hour), and PG(2-hour) measurements (p>0.05).Conclusion: Mandala art therapy was found to reduce anxiety and negative mood while positively affecting positive mood and overall emotional well-being in pregnant women with abnormal OGTT values.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intrauterine Adhesion Band Causing Fetal Leg Compression: A Case Report of a Rare Asherman Syndrome Complication in Pregnancy. 宫内粘连带导致胎儿腿受压：妊娠期罕见的阿什曼综合征并发症1例报告。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-04-30 DOI: 10.1055/a-2580-1098

Sara Gabriela Hangen Rodriguez, Tomáš Kupec, Nele Kristin Freerksen-Kirschner, Julia Wittenborn, Laila Najjari, Elmar Stickeler, Philipp Meyer-Wilmes

{"title":"Intrauterine Adhesion Band Causing Fetal Leg Compression: A Case Report of a Rare Asherman Syndrome Complication in Pregnancy.","authors":"Sara Gabriela Hangen Rodriguez, Tomáš Kupec, Nele Kristin Freerksen-Kirschner, Julia Wittenborn, Laila Najjari, Elmar Stickeler, Philipp Meyer-Wilmes","doi":"10.1055/a-2580-1098","DOIUrl":"https://doi.org/10.1055/a-2580-1098","url":null,"abstract":"Asherman syndrome (AS), characterized by intrauterine adhesions, can lead to various pregnancy complications. We report a case of a 31-year-old woman who was admitted at 29+2 weeks due to preterm premature rupture of membranes at our university hospital. The woman had a history of AS following emergency curettage. Ultrasonography revealed an adhesion band in the lower uterine segment, closely positioned to the fetus's leg. Antibiotic therapy and antenatal corticosteroids were administered to prevent infection and neonatal respiratory distress syndrome. Two weeks later, the woman developed labor contractions and pathological cardiotocography, leading to a secondary cesarean section. During surgery, the fetus was found to be in an incomplete breech position, with one leg trapped beneath the adhesion band. Delivery was achieved by releasing the other leg and cutting the adhesion band. The neonate was born with significant right leg edema, likely due to chronic intrauterine compressionby the adhesion band. Postoperatively, the neonate required intensive care. Regular orthopedic visits confirmed intact circulation, sensory, and motor function of the leg and the edema gradually resolved. This case highlights a rare pregnancy complication due to an intrauterine adhesion band and emphasizes the importance of accurate and early adhesion band detection such as the differential diagnostic exclusion of the more common amniotic band via ultrasound. It is a good example of multidisciplinary care provided by obstetricians, neonatologists and orthopedic surgeons in a perinatal care center.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Academization of the midwifery profession: expanded fields of work and new roles]. [助产士专业的学术化：扩大工作领域和新角色]。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-04-16 DOI: 10.1055/a-2566-0977

Claudia F Plappert, Stephan Zipfel, Harald Abele, Joachim Graf

引用次数: 0

Case Report: An Unexpected Herbaspirillum Huttiense Bacteremia in the Neonatal Intensive Care Unit. 病例报告：在新生儿重症监护病房意外的赫田氏菌血症。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-04-10 DOI: 10.1055/a-2561-0748

Melda Tas, Canan Turkyilmaz, Gulendam Bozdayi, Hasan Tezer, Esin Koc

引用次数: 0