International Journal of Pregnancy & Child Birth最新文献

{"title":"A descriptive study of HIV positive pregnant mothers on antiretroviral drugs (ARVS) in the Gambian tertiary hospital","authors":"Matthew Anyanwu, S. Anya, R. Offiong, B. Ekele","doi":"10.15406/IPCB.2020.06.00204","DOIUrl":"https://doi.org/10.15406/IPCB.2020.06.00204","url":null,"abstract":"Background:/Aims: The use of antiretroviral drugs (ARVs) in pregnancy has shown remarkable improvement in immune status and have revolutionized the approach of care to people living with HIV (PLHIV). Some adverse pregnancy conditions have been reported which may depend on type of regimen, time and duration of use. The use of ARVs in pregnancy have been dynamic and transition from one regimen to the other have setting and country based variations. Therefore, knowing the impact of ARVs in pregnancy among PLHIV in our settings deserve evidence based information. Methods: Pregnant women attending antenatal clinic at the hospital were prospectively recruited and followed up. HIV positive mothers were recruited irrespective of gestation age. At the time of delivery, obstetric and neonatal characteristics were entered into computer database. Mothers and their children were followed until 6 weeks postpartum. The data was analyzed with Epi-info version 7.1.5. Chi square at significant level of 0.05 and confidence level of 95% was used to determine significance. Results: A total of 55 HIV positive mothers were in the study. The age range was between 18 to 45 years and parity was 0 to 8. The mean birth weight and gestation age at delivery was 2.92kg (SD 0.556) and 36 weeks (SD 2.8 weeks) respectively. The absolute CD4 count of 500cells/mm3 and above (43.3%) was associated with no low birth weight. The mean glycaemic results were within normal range, 4.02-4.75 and 5.00-6.79 Mmol/l pre and post prandial respectively. Conclusion: Low birth weight was not associated with HAART in pregnancy and good immune condition was not associated with low birth weight. There was no association of protease inhibitors and gestational diabetes mellitus.","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133987064","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}

{"title":"Video thoracoscopic treatment of pectus excavatum with the minimally invasive technique nuss","authors":"S. Polliotto","doi":"10.15406/IPCB.2020.06.00194","DOIUrl":"https://doi.org/10.15406/IPCB.2020.06.00194","url":null,"abstract":"Introduction: The pectus excavatum is a mmon malformation of the anterior wall of the thorax, characterized by a depression of the sternum and impaired sternal condro joints. In most cases, congenital in origin and evolution. Reaches its greatest deformity in adolescence. For many surgical treatment techniques involving extensive resections of costal cartilages and mobilization of the sternum were used. In 1998 Donald Nuss describes a technique where video thoracoscopic introduces a sternal retro metal bar, which is inserted through a small incision on each side of the chest wall, malformation running without resection of costal cartilages or section and / or and/or sternal mobilization. Goals: To report our experience in two surgical centers, for pectus excavatum the treatment with the technique of video thoracoscopic Nuss. Work retrospective, descriptive. Materials and methods: Work retrospective, descriptive. From December 2015 to December 2019 surgically treat pectus excavatum 72 patients using the technique video thoracoscopic Nuss. Results: 63 males and 9 females. The age range at the time of surgery was 7 to 18 years (mean 15.7). Six patients older than 18 years were excluded from the sample. The average rate for Haller in this population was 4.1. All patients got a metal bar sternal retro video thoracoscopic under control, side stabilizers were placed in all patients (65 bilateral and 7 unilateral). Epidural catheter was placed for postoperative analgesic analgesia management in 100% of cases. The average operating time was 94 min. (70-110 min). Intra-operative difficulties: one bar too high had to reposition itself in the same surgical procedure, the mean average hospitalization was 9.7 days (5 -27 days). Post operative complications: The most common early complication was pneumothorax self-limiting in patients 11 (15.2%). The most severe complication was purulent pneumonia with effusion and pleural drainage needed toilette video thoracoscopy 1 (1.3%). Three patients (4.1%) had granulomas wound. Late migration of the bar that was surgically corrected with good outcome. In 65 (90%) patients, the results were very good and good; 5 (6.9%) regular and 2 (2.7%) bad due to the presence of asymmetry chest. Conclusions: Thoracoscopic technique video Nuss is safe, effective and reproducible for the treatment of patients with pectus excavatum. Parietal approach a minimum and low morbidity. The aesthetic results are very satisfactory.","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124166197","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}

{"title":"An uncommon presentation of double H type of tracheoesophageal fistula","authors":"E. Dias, Shobitha Rao","doi":"10.15406/ipcb.2020.06.00193","DOIUrl":"https://doi.org/10.15406/ipcb.2020.06.00193","url":null,"abstract":"Tracheoesophageal fistula (TEF) is an abnormal connection between the trachea and the oesophagus.1 Most TEF abnormalities are diagnosed at birth since 98% of them are associated with esophageal atresia.2 The incidence is approximately 1 in 4000 live births and in some cases, it may associate with VACTERL (Vertebral, Anal, Cardiovascular, Renal and limb) anomalies.3 H type of tracheoesophageal fistula is rare and comprises only 4% of the cases of TEF.4 In the H type, the fistula runs from the posterior wall of trachea downwards to the anterior wall of esophagus.4 Double H type of fistula is even less common with only few cases reported.5 There is no associated esophageal atresia. These cases are difficult to diagnose early because of nonspecific symptoms.6 If untreated it leads to multiple complications such as recurrent pneumonia, lung abscess, ARDS, acute lung injury, poor nutrition, bronchiectasis from recurrent aspiration, respiratory failure and death.1 Here we present a case of an eight-year-old who presented with recurrent lower respiratory tract infection mimicking asthma and was found to have double H type of TEF.","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116866616","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}

{"title":"A case report of spontaneous rupture in unscarred uterus","authors":"L. Vizcaino, Danelys Cuellar Herrera","doi":"10.15406/ipcb.2020.06.00192","DOIUrl":"https://doi.org/10.15406/ipcb.2020.06.00192","url":null,"abstract":"Background: Uterine rupture is a life-threatening obstetrical complication whose \u0000 incidence has been increasing. \u0000Case presentation: A 27-year-old patient, gravida two, para one, at 39 weeks 3 \u0000 days referred from a District Hospital severely ill, Glasgow Coma Scale 10/15, BP: \u0000 70/42, Pulse: 134, Sat: 85% on room air and HB: 3,2 g/dl. Sonar DID: Free fluid in \u0000 abdominal cavity, uterine rupture, fetus out of the uterine cavity, no fetal heart \u0000 activity seen. The patient was transferred to the theatre, delivered stillborn male \u0000 baby, weight: 3221 g. There is a fundal uterine rupture that was extended until \u0000 both uterine horns, Total Abdominal Hysterectomy by Richardson Technique was \u0000 performed and was discharged seven days later. \u0000Conclusion: Spontaneous uterine rupture is rare in the unscarred uterus. However, \u0000 can happen any time and in any trimester.","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"61 43","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134411310","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}

{"title":"Case of HIV infection acquired by pre-mastication: first reported pediatric case in Chile","authors":"Elba Wu Hupat, Yenis Labraña Cornejo, A. Álvarez, J. Villarroel","doi":"10.15406/ipcb.2020.06.00191","DOIUrl":"https://doi.org/10.15406/ipcb.2020.06.00191","url":null,"abstract":"In Chile, the incorporation of the protocol for the prevention of vertical transmission (VTPP) of human immunodeficiency virus (HIV) in pregnant women, has reduced HIV transmission in children to less than 2%. Thus, currently the detection of HIV-infected children is uncommon. So, in front a case, compliance with the VTPP must be audited. If it was fully complied, other possible mechanism of HIV transmission should be reviewed. A case is presented in which, having discarded the common causes of contagion, HIV may have been transmitted through the consumption of pre-masked food by an HIV infected person, in this case the mother.","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131038346","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}

{"title":"A case of dubin johnson syndrome in twin pregnancy","authors":"Sepúlveda-Rivera Cintia María, Ibargüengoitia-Ochoa Francisco","doi":"10.15406/ipcb.2020.06.00189","DOIUrl":"https://doi.org/10.15406/ipcb.2020.06.00189","url":null,"abstract":"Background : Dubin Johnson syndrome is a variety of inherited hyperbilirubinemia and is recognized by a low elevation of conjugated bilirubin without other signs of liver damage. Objective: To present perinatal results of a patient diagnosed with Dubin Johnson syndrome. Methods : The clinical file of a patient diagnosed with Dubin Johnson syndrome during pregnancy, treated at the Instituto Nacional de Perinatología was reviewed. Results : 34-year-old patient with no history of fever, pruritus, malaise or abdominal pain; Due to the macroscopic characteristics of the liver during a laparoscopic cholecystectomy at 23 years of age, a biopsy was taken which confirmed the diagnosis of Dubin-Johnson syndrome. She began prenatal control at 17 weeks gestation. Serial bilirubin determinations ranged between 3.4 and 4.5 mg / dl. Intrauterine growth restriction was presented in one of the fetuses. Conclusion : Dubin Johnson syndrome is a benign condition, the disease must be differentiated from other conditions that present hyperbilirubinemia specifically in pregnancy in order to stratify management.","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"467 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125853745","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}

{"title":"Gestation age at the diagnosis of threatened preterm labour and the success of atosiban","authors":"Mohamed A Khalil, Abdullah Awad A Al, Ibrahim, R. Saad, M. Gawish, A. M, Ramadan, A. Elmatary, M. Soliman, W. Alsheikh","doi":"10.15406/ipcb.2020.06.0190","DOIUrl":"https://doi.org/10.15406/ipcb.2020.06.0190","url":null,"abstract":"An estimated 15 million babies are born too early every year. That is more than 1 in 10 babies. Approximately 1 million children die each year due to complications of preterm birth.1 Preterm infants are particularly vulnerable to complications due to impaired respiration, difficulty in feeding, poor body temperature regulation and high risk of infection.2 The upper limit for preterm labor is universally defined all over the world as childbirth at less than 37 weeks of pregnancy, but the lower limit is set at different gestational ages in different countries. Many developed countries and regions have set 20 or 24 weeks of pregnancy as the lower limit.1 As for our hospital; we adapt 24 weeks as the cut off for viability. Preterm delivery (birth before 37 weeks’ gestation) is further delineated into very early preterm (before 32 weeks), early preterm (32 0/7 to 33 6/7weeks), and late preterm (34 0/7 to 36 6/7 weeks).1–4","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125493202","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}

{"title":"Prevalence of cesarean section and associated factor among women who give birth in the last one year at Butajira General Hospital, Gurage Zone, SNNPR, Ethiopia, 2019","authors":"Solomon Shit, Asefa Shifera","doi":"10.15406/ipcb.2020.06.00188","DOIUrl":"https://doi.org/10.15406/ipcb.2020.06.00188","url":null,"abstract":"Abbreviations: ANC, antenatal care; APH, ant partum hemorrhage; CPD, cephalic pelvic disproportion; CS, cesarean section; EDHS, Ethiopia demographic health; MMR, maternal mortality rate; NMR, neonatal mortality rate; OL, obstruct labor; PROM, pre rupture of membrane; SDG, sustainable development goal; SNNP, South Nation nationality people; USA, United State of America; WHO, world health organization","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134453809","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}

{"title":"Undifferentiated small cell hepatoblastoma with rhabdoid morphology diagnosed prenatally: case report","authors":"","doi":"10.15406/ipcb.2019.05.00177","DOIUrl":"https://doi.org/10.15406/ipcb.2019.05.00177","url":null,"abstract":"","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126284452","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}

{"title":"Puerperal sepsis and its associated factors among mothers in University of Gondar referral hospital, Ethiopia, 2017","authors":"D. Atlaw, Kenbon Seyoum","doi":"10.15406/ipcb.2019.05.00175","DOIUrl":"https://doi.org/10.15406/ipcb.2019.05.00175","url":null,"abstract":"","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123883963","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}