Advanced medical journal最新文献_第3页

Maternal Risk Factors and Perinatal Outcome in Women with Abruptio Placenta 胎盘早剥产妇的风险因素和围产期结果

Advanced medical journal Pub Date : 2023-12-05 DOI: 10.56056/amj.2023.216

Lilan Abdlkhaliq Abas, A. Jawad

{"title":"Maternal Risk Factors and Perinatal Outcome in Women with Abruptio Placenta","authors":"Lilan Abdlkhaliq Abas, A. Jawad","doi":"10.56056/amj.2023.216","DOIUrl":"https://doi.org/10.56056/amj.2023.216","url":null,"abstract":"Background and objective: Abruptio placenta is a significant cause of antepartum hemorrhage associated with fetal and maternal morbidity and mortality. Our objective was to determine the maternal risk factors and subsequent fetal and maternal outcomes in women with abruption placenta. Methods: A cross-sectional study carried out at Maternity Teaching Hospital in Erbil city, Kurdistan Region, Iraq from 1st of August, 2020 until 1st of August, 2021. Sixty Women diagnosed with abruption placenta from 24 weeks of gestation and more were included. Maternal information was collected by a designed questionnaire to determine the risk factors associated with abruptio placentae and the mode of delivery with fetal and maternal outcomes. Results: Sixty pregnant women with abruptio placentae were included in the study. The main risk factors for abruption placenta were previous cesarean section, gestational hypertension, preeclampsia and smoking. The rates of stillbirth and early neonatal death were 15% and 1.7% respectively. Newborns with low birth weight were 30%. Adverse maternal outcome for those delivered by emergency cesarean section was 22.7%, and (hysterectomy or other surgical procedures) was significantly high 22.7% among women aged ? 35 years. Perinatal mortality rate was significantly high when the delivery was with both emergency cs and vaginal delivery. The Fetal mortality was low 4.8% among neonates whose weight was 2.5 Kg and above, and it was high among neonates of less than 1 Kg 83.3%. Conclusion: Abruptio placenta associated with adverse fetal and maternal outcomes. Previous Caesarian section, gestational hypertension, and smoking are the main risk factors.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"115 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599411","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

Prevalence and Risk Factors of Erectile Dysfunction in Patients with Type 2 Diabetes Mellitus in Erbil-Iraq 伊拉克埃尔比勒 2 型糖尿病患者勃起功能障碍的患病率和风险因素

Advanced medical journal Pub Date : 2023-12-05 DOI: 10.56056/amj.2023.226

Yahya Kamal MohammedAli, Yousif Baha'addin Ahmed

{"title":"Prevalence and Risk Factors of Erectile Dysfunction in Patients with Type 2 Diabetes Mellitus in Erbil-Iraq","authors":"Yahya Kamal MohammedAli, Yousif Baha'addin Ahmed","doi":"10.56056/amj.2023.226","DOIUrl":"https://doi.org/10.56056/amj.2023.226","url":null,"abstract":"Background and Objectives: Erectile dysfunction is a highly prevalent disease. It affects multiple aspects of health and can have a serious adverse effect on both the patients and their partners. Diabetes mellitus is a metabolic disorder associated with many chronic complications including erectile dysfunction. The aim of this study was to find out the prevalence and risk factors of erectile dysfunction in patients with type 2 diabetes mellitus. Patients and Methods: A cross-sectional study had been done on 100 adult male patients with type 2 diabetes mellitus, attending endocrinology outpatient at Erbil Teaching Hospital between June and December 2021, and another 50 age-matched non-diabetic controls. Each one of them underwent detailed history taking, clinical examination, and relevant biochemical study. Results: Sixty-three diabetic patients (63%) had erectile dysfunction compared to 6 nondiabetic subjects (12%). Mild, mild-to-moderate, moderate, and severe erectile dysfunction among these patients were 17 (27%), 21 (33.3%), 16 (25.4%), and 9 (14.3%), respectively. Among diabetics, erectile dysfunction was significantly associated with age, obesity, glycated hemoglobin level, duration of diabetes, presence of hypertension, dyslipidemia, and neuropathy (p= 0.001, 0.005, <0.001, 0.038, 0.02, 0.017 and 0.025 respectively) Conclusion: Erectile dysfunction was significantly more prevalent in patients with type 2 diabetes than in non-diabetic patients. Being older than 50 years old, obesity, glycated hemoglobin level higher than 9, diabetes more than 10 years duration, presence of hypertension, dyslipidemia, and neuropathy were significantly in favor of a higher prevalence of erectile dysfunction in this group.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"104 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600029","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

Epidural Spinal Cord Compression by an Abscess from a Dumbbell Extension of a Non-Osseous Soft Tissue Paravertebral Hydatid Cyst in the Dorsal Region 背侧非骨性软组织椎旁包虫病脓肿压迫硬膜外脊髓

Advanced medical journal Pub Date : 2023-12-05 DOI: 10.56056/amj.2023.215

Saleem Khadir Musalah, Muhammad Azeez Sulaiman, Anas Amer Mohammad, Walid Wahab Al-Rawi

{"title":"Epidural Spinal Cord Compression by an Abscess from a Dumbbell Extension of a Non-Osseous Soft Tissue Paravertebral Hydatid Cyst in the Dorsal Region","authors":"Saleem Khadir Musalah, Muhammad Azeez Sulaiman, Anas Amer Mohammad, Walid Wahab Al-Rawi","doi":"10.56056/amj.2023.215","DOIUrl":"https://doi.org/10.56056/amj.2023.215","url":null,"abstract":"Background and objectives: Human being may become infested with Echinococcus granulosus, as an intermediate host, ending with the formation of hydatid cyst. Hydatidosis, affecting various parts of human body and should be considered in the differential diagnosis of any cystic mass lesion. Osseous Hydatid cyst is rare; however, it involves the spinal column in half of the cases. In the current study, the epidural hydatid cyst had presented with spinal cord compression due to the formation of an epidural abscess formation. Methods: A young adult housewife lady who had been affected by the parasite, primary paravertebral hydatid cyst, between the seventh and ninth dorsal vertebral levels, presented with spinal cord compression due to epidural abscess lesion. Ultrasound, the contrast magnetic resonance, and computed tomography imaging are standard tests in the diagnostic work-up of the lesion and follow-up of the patient. Appropriate dorsal laminectomy, removal of the hydatid cyst, and the inflammatory epidural cystic compressing tissues were done. Results: Operative intervention had resulted in a dramatic improvement in the patient's condition and reversal of her neurological deficit back to normal; the paravertebral ectocyst size had eventually shrunken and there was no recurrence. The excised tissues that were compressing the dorsal spinal cord proved, Histopathologically, to be inflammatory in its microscopical appearance. Conclusions: Hydatid cyst epidural dumbbell extension may rupture and lead to the formation of an abscess, giving enhancement on contrast magnetic resonance and computed tomography scan studies. To our knowledge, this is the first case to be reported in the literature specifying spinal cord compression by an epidural abscess formation from a paraspinal dumbbell extension of hydatid cyst.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"87 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600177","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

Thrombotic microangiopathy after kidney transplantion 肾移植后的血栓性微血管病

Advanced medical journal Pub Date : 2023-12-05 DOI: 10.56056/amj.2023.225

Mohammad Sami Tahseen, Safa Ezzeddin Nouruldin

{"title":"Thrombotic microangiopathy after kidney transplantion","authors":"Mohammad Sami Tahseen, Safa Ezzeddin Nouruldin","doi":"10.56056/amj.2023.225","DOIUrl":"https://doi.org/10.56056/amj.2023.225","url":null,"abstract":"Background and objectives: Thrombotic microangiopathy after kidney transplantation is rare but serious complication. The purpose of this study is to describe the cases of thrombotic microangiopathy after kidney transplantation. Patients and Methods: This retrospective study used the reports of all kidney transplant biopsies that were done in Kurdistan region from January 2017 to April 2022. The biopsy reports with diagnosis of Thrombotic microangiopathy were extracted from this total number and the patients, and pathological data included in the reports were recorded. Results: The total number of 1635 graft biopsies, of which 82 (5.01%) were found to have Thrombotic microangiopathy features. The mean age of studied patients with Thrombotic microangiopathy was (38.2 years) and male to female ratio as 2.3:1. We found 67.1% of cases of Thrombotic microangiopathy were associated with calcineurin inhibitor toxicity, 35.4% with rejection, 15.9% were recurrent thrombotic microangiopathy, and 40.2% were associated with other miscellaneous causes. Conclusions: Thrombotic microangiopathy after kidney transplantation is rare but debilitating complication. The cause is multifactorial in most cases in the light of coexistence of multiple risk factors in the kidney transplant recipients. Further studies are required to disentangle these overlapping risk factors. And allow for better prevention and treatment of this condition.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"43 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598410","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

The Use of Renin-Angiotensin System Blockades Among Patients with Chronic Kidney Disease 慢性肾病患者使用肾素-血管紧张素系统阻滞剂的情况

Advanced medical journal Pub Date : 2023-12-05 DOI: 10.56056/amj.2023.219

Majeed Hassan Shekhany

{"title":"The Use of Renin-Angiotensin System Blockades Among Patients with Chronic Kidney Disease","authors":"Majeed Hassan Shekhany","doi":"10.56056/amj.2023.219","DOIUrl":"https://doi.org/10.56056/amj.2023.219","url":null,"abstract":"Background and objectives: Hypertension is common in adult patients with chronic kidney disease with a prevalence that depends on the stage and etiology of chronic kidney disease and has been reported to range from 60-90%. The aim of this study was to evaluate the clinical use of renin angiotensin system blockers in chronic kidney disease patients and to identify their potential indications, contraindications and side effects amongst different clinical specialties in relation to their clinical outcomes. Methods: This study was a descriptive cross sectional based on self-administered online questionnaire, 133 medical doctors from different specialties including nephrologists, internists, urologists, general practitioners responded to the questionnaire and filled it up, which was composed of three main parts including the socio-demographic data of the participants, data about CKD and its stages and finally the RAS blockades. The study extended from June until July 2021. Results: The mean age ± standard deviation of respondents was 44.65 ± 6.89 years. Nearly one third of the respondents were internist, 12.8% nephrologist, 7.5% urologist and 45.9% from other different specialties. The vast majority (98.5%) of the physicians thought that renin angiotensin system inhibitors are effective anti-hypertensive agents even for chronic kidney disease patients. Most of the nephrologists and other specialties would continue the renin angiotensin system inhibitors while most of the internists and urologists would either stop or change the renin angiotensin system inhibitors, this was statistically significant and p–value was 0.010.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598478","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

Causes of upper gastrointestinal bleeding in patients admitted to Erbil hospitals 埃尔比勒医院住院病人上消化道出血的原因

Advanced medical journal Pub Date : 2023-12-05 DOI: 10.56056/amj.2023.213

Halgurd Fathulla Ahmed

{"title":"Causes of upper gastrointestinal bleeding in patients admitted to Erbil hospitals","authors":"Halgurd Fathulla Ahmed","doi":"10.56056/amj.2023.213","DOIUrl":"https://doi.org/10.56056/amj.2023.213","url":null,"abstract":"Background and objectives: This study aimed to Find the causes of upper gastrointestinal bleeding in Erbil hospitals and to study these causes for the purpose of reducing their mortality. Methods: One hundred cases of upper gastrointestinal bleeding have been collected. All the cases have been admitted to Erbil hospitals from March 2019 to March 2021. Demographic data, blood investigation, ultrasound, and endoscopy with rapid urease test for Helicobacter pylori infection have been done for all patients to find the cause of upper gastrointestinal bleeding. Data analysis has been done by using a statistical package for Social Sciences -22. Results: A total number of fifty seven males and fourty three females, with upper gastrointestinal bleeding were included, eighty of them had positive rapid urease test by endoscopy, seventy five patients had duodenal ulcer, six cases had gastroesophageal varices, tumors found in five patients after histopathological investigation of the endoscopic biopsies, gastric erosions found in twelve patients. Ninty five of patients had first time bleeding, low hemoglobin found in fifty nine patients, that thiry of them presented in shock state, from these patients twenty two cases received more than five units of blood. Conclusion: Upper gastrointestinal bleeding mainly has been the cause duodenal ulcer bleeding which itself has been caused by infection with Helicobacter pylori. Secondly, drugs, which had been used, have been regarded as the main causes of bleeding.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"120 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599658","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

Correlation between smoking and brain atrophy detected by cross sectional imaging 横断面成像检测到的吸烟与脑萎缩之间的相关性

Advanced medical journal Pub Date : 2023-12-05 DOI: 10.56056/amj.2023.212

Aryan Wirya Marof, Saeed Nadhim Younus

{"title":"Correlation between smoking and brain atrophy detected by cross sectional imaging","authors":"Aryan Wirya Marof, Saeed Nadhim Younus","doi":"10.56056/amj.2023.212","DOIUrl":"https://doi.org/10.56056/amj.2023.212","url":null,"abstract":"Background and objectives: Smoking have effect on many organs in human body, we are focusing on its relation with brain atrophy. We aimed to determine whether there is an association between smoking and brain atrophy by using certain parameters from CT scan or MRI of brain. Methods: This is a case control study done from December 2019 to May 2021, a total of 100 cases of CT scans and MRI brain which is randomly selected reviewed by taking certain measurements like frontal horn index, Evans ratio, bicaudate index, huckman number, cella media. Results: Brain atrophy group involved 50 cases and control non-atrophy group 50 cases both group with equal number of male and female, there is statistically significant difference between smokers with brain atrophy 30% and smokers with no brain atrophy 6% with p-value 0.027, also the mean duration of smoking among brain atrophy was 17.83 years while among non-atrophic brain was 9.83 years. Number of cigarettes smoked per day showed statistically significant difference as it was 21.07 cigarettes among smokers with brain atrophy versus 13.83 cigarettes in non –brain atrophy smokers. Conclusions: Current brain imaging demonstrate that chronic tobacco smoking is associated with significant increase in prevalence of brain atrophy than non-smokers, smoking can be considered a risk factor for brain atrophy.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"114 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599712","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

Thyroid dysfunction and autoantibodies among patients infected with Covid 19 in Erbil city /IRAQ 埃尔比勒市Covid 19感染者的甲状腺功能障碍和自身抗体 /IRAQ

Advanced medical journal Pub Date : 2023-12-05 DOI: 10.56056/amj.2023.230

Halgurd Fathulla Ahmed, Esra Omar Hameed, Yahya Kamal Mohammed Ali

{"title":"Thyroid dysfunction and autoantibodies among patients infected with Covid 19 in Erbil city /IRAQ","authors":"Halgurd Fathulla Ahmed, Esra Omar Hameed, Yahya Kamal Mohammed Ali","doi":"10.56056/amj.2023.230","DOIUrl":"https://doi.org/10.56056/amj.2023.230","url":null,"abstract":"Background and objectives: Autoimmune thyroid diseases or specifically Anti-thyroid peroxidase antibodies increasing after corona virus infection pandemic. This study investigating Anti-thyroperoxidase, anti-thyroid stimulating receptor antibodies in conjunction with traditional thyroid markers after corona virus infection hoping that this would aid in reduction of enduring morbidity and associated health concerns. Methods: This cross-sectional study was conducted in Rizgary Teaching Hospital and Erbil Teaching Hospital in Erbil, Iraq, within the period of February to September 2022. The study comprised hundred patients; 80 females and 20 males, these patients had clinical symptoms suspecting thyroid abnormalities and were suspected for having a sort of thyroid disease. They had abnormal thyroid function tests, with investigating thyroid autoantibodies and corona virus infection. Investigations include thyroid function test and antithyroid antibodies. Results: The level of Anti-thyroid peroxidase antibodies was positive among 75 hypothyroidism patients than among hyperthyroidism cases 2, p-value 0.012. Positive Anti-thyroperoxidase antibodies and hypothyroidism were significantly more common among corona virus infected cases, p-value 0.012 and 0.0109 respectively. However; anti-thyroid stimulating hormone receptor antibody was positive only among hyperthyroidism group (18%); p-value was significant 0.019. Conclusions: This study confirmed the correlation between thyroid function test, Anti-thyroperoxidase antibodies values and corona virus infection. Autoimmune thyroid diseases are more common among female cases, in addition; antithyroid antibodies especially Anti-thyroperoxidase antibodies were more common among female patients. There was high prevalence of both hypothyroidism and positive anti-TPO Ab in COVID-19 cases.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"58 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600741","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

Cerebral Hydatid Disease Patients Admitted to Duhok City Hospitals: Management and Outcome 杜霍克市医院收治的脑包虫病患者：管理和结果

Advanced medical journal Pub Date : 2023-12-05 DOI: 10.56056/amj.2023.214

Walid Wahaib Al-Rawi, Fatima Walid Al-Rawi

{"title":"Cerebral Hydatid Disease Patients Admitted to Duhok City Hospitals: Management and Outcome","authors":"Walid Wahaib Al-Rawi, Fatima Walid Al-Rawi","doi":"10.56056/amj.2023.214","DOIUrl":"https://doi.org/10.56056/amj.2023.214","url":null,"abstract":"Background and objectives: The human systemic infestation with Echinococcus granulosus affects the brain in 2% of cases, cerebral hydatid cyst, which presents clinically as slowly growing intracranial mass lesion leading to variable symptomatology of raised intracranial pressure, neurological deficit, and epilepsy. The condition, when occurs, needs prompt surgical removal in order to avoid fatal consequences. The aim of this article is to report clinical data and our experience concerning cerebral hydatid cyst presentation, surgical management, complications, and outcome. Methods: A retrospective case-series study encompassing 8 patients, four females and four males, whose ages ranged between 3.5-35 years, harboring cerebral hydatid cysts, including one cerebral hydatid abscess. The current study was conducted at Duhok Teaching Hospitals, during January 2005-May 2021. The diagnosis was established on clinical and radiological, computed tomography and magnetic resonance imaging backgrounds, and confirmed by operative findings, and histopathology (abscess cyst). Via appropriate craniotomies, all cerebral hydatid cysts, and abscess, were successfully removed, except, the recurrent hydatid cysts which needed an additional posterior fossa craniectomy to achieve total removal. There was no need for the use of advanced statistical system. Results: Compared to their original neurological deficit at presentation, seven cases could achieve complete recovery, except, the patient with recurrence, whose recovery was delayed and suboptimal due to repeated surgeries; there was no mortality. Conclusion: The operating surgeon should practice meticulous care avoiding the possible risk of an accidental rupture during cyst delivery. Various opinions address the pre-operative, intra-operative and post-operative use of Albendazloe, however, we are not sure whether the use of this medication could have prevented the recurrence of CHC which followed the accidental rupture.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"130 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599279","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

Perinatal outcome of women presenting with reduced fetal movements 胎动减少妇女的围产期结局

Advanced medical journal Pub Date : 2023-12-05 DOI: 10.56056/amj.2023.217

Ahang Dizhwar Khalid, Srwa Ismael Khalid

{"title":"Perinatal outcome of women presenting with reduced fetal movements","authors":"Ahang Dizhwar Khalid, Srwa Ismael Khalid","doi":"10.56056/amj.2023.217","DOIUrl":"https://doi.org/10.56056/amj.2023.217","url":null,"abstract":"Background and objectives: Reduced fetal movement is a reason for concern in both mothers and clinicians. The objective of this study was to assess the pregnancy characteristics and perinatal outcomes in women with decreased fetal movements. Methods: A case-control study was conducted on 489 pregnant women in Maternity Teaching Hospital, Erbil city from October 2021 to December 2022. They were assigned into two groups, cases consisting of 244 women with a perception of reduced fetal movements and a control group including 245 women with good fetal movements. perinatal outcome was compared between the two groups. Results: The majority (59.5%) of the study participants were term pregnancies (? 37weeks). Among women with RFM, 32.4% were nulliparous and 59% were multiparous comparing to control group (26.9% and 63.7%, respectively). A higher proportion of women with reduced fetal movements had gestational diabetes (34%), and preeclampsia (40.2%), compared to women of Group II with the rate of 15.5% and 21.2% respectively. The rate of cesarean section was significantly higher among cases than controls (45% vs. 24.9%, respectively). The rate of abnormal Doppler among Group I women was higher than in Group II women (26.2% versus 2.9%). Significantly higher rate of neonates in Group I had low APGAR score. Conclusions: Perception of reduced fetal movements is a reason for woman to contact their healthcare providers. The poor perinatal outcome is more evident in women with reduced fetal movements.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"30 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138601014","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