Ginekologia polska最新文献

Fetal cardiac function is altered by circumvallate placenta.

Ginekologia polska Pub Date : 2024-11-29 DOI: 10.5603/gpl.101714

Oskar Sylwestrzak, Katarzyna Zych-Krekora, Lukasz Sokolowski, Maciej Ziebakowski, Michal Krekora

引用次数: 0

Strategies to reduce cesarean deliveries: surveying polish obstetricians on external cephalic version practices.

Ginekologia polska Pub Date : 2024-11-29 DOI: 10.5603/gpl.102550

Maisa Manasar-Dyrbus, Agnieszka Drosdzol-Cop, Szymon Stojko, Rafal Stojko, Jakub Staniczek

{"title":"Strategies to reduce cesarean deliveries: surveying polish obstetricians on external cephalic version practices.","authors":"Maisa Manasar-Dyrbus, Agnieszka Drosdzol-Cop, Szymon Stojko, Rafal Stojko, Jakub Staniczek","doi":"10.5603/gpl.102550","DOIUrl":"https://doi.org/10.5603/gpl.102550","url":null,"abstract":"Objectives: The cross-sectional survey was conducted aiming to evaluate the knowledge and experiences of the Polish obstetricians and gynecologists regarding the External Cephalic Version (ECV) and investigate their practices concerning this procedure.Material and methods: An online survey constituting author-created questionnaire with 22 questions, was distributed among gynecologists and obstetricians. The questionnaire evaluated participants' knowledge about ECV, work experiences, and workplace practices.Results: Out of 461 respondents, 56.20% were specialists in gynecology and obstetrics. Elective cesarean section (CS) was preferred by 78.70% for primiparas and 73.50% for multiparas with non-cephalic presentation, while ECV would be chosen by 21.3% and 23.6%, respectively. While 73.80% knew centers performing ECV, only 16.70% had actively participated in the procedure. Major differences in the experiences and knowledge regarding ECV were observed based on work experience, and workplace reference level. Experienced physicians showed higher concerns about ECV complications and emergency CS risks. The most common concerns regarding the procedure referred to periprocedural pain, perceived low efficacy, and complications, and were more prevalent among respondents with longer experience and from lower-reference centers.Conclusions: The study demonstrated that among Polish obstetricians for term pregnancies with non-cephalic presentation, elective cesarean section is preferred over ECV, especially among experienced practitioners. Knowledge about ECV was relatively low, indicating a need for improved educational efforts. Addressing concerns about ECV's safety and efficacy, particularly through enhanced training and anesthesia options, could promote its adoption and reduce CS rates.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752665","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

Cardiovascular profile score (CVPS) and selected cardiac parameters in fetuses with Vein of Galen Malformation.

Ginekologia polska Pub Date : 2024-11-29 DOI: 10.5603/gpl.102062

Aleksandra Juras, Tomasz Wloch, Wojciech Cnota, Agata Wloch

{"title":"Cardiovascular profile score (CVPS) and selected cardiac parameters in fetuses with Vein of Galen Malformation.","authors":"Aleksandra Juras, Tomasz Wloch, Wojciech Cnota, Agata Wloch","doi":"10.5603/gpl.102062","DOIUrl":"https://doi.org/10.5603/gpl.102062","url":null,"abstract":"Objectives: Vein of Galen Malformation (VGAM) is a rare congenital cerebrovascular anomaly. Early detection and monitoring of concurrent fetal heart failure in VGAM are crucial for improving outcomes. The study aims to evaluate heart anatomy, systolic and diastolic heart function, and indicators of heart failure in fetuses referred to a tertiary center due to VGAM detected in the second or third trimester.Material and methods: This single-center retrospective study of echocardiographic data from five fetuses with VGAM examined between 2008 and 2023. Parameters analyzed included gestational age, reason for referral, cardiovascular profile score (CVPS), systolic and diastolic heart function and selected cardiac parameters RESULTS: Cardiomegaly as a sign of congestive heart failure was the main reason for referral most of the fetuses (4/5 - 80%) diagnosed later as VGAM in our center. Abnormal cerebral vessel flow was visualized in all cases, with normal umbilical arterial flow. Three fetuses were treated prenatally with digoxin due to congestive heart failure. Monophasic tricuspid valve inflow and decreased shortening fraction (SF) were observed in three fetuses (60%) at the time of diagnosis. CVPS scores ranged from 2 to 10, correlating with the severity of cardiac compromise. All five patients demised, three died in utero, and two shortly after birth.Conclusions: This study emphasizes the severe cardiac implications of VGAM detected in utero and the need for early and comprehensive fetal assessment. Despite early diagnosis, outcomes remain poor, necessitating further research into effective prenatal treatments and management protocols to enhance survival for affected fetuses.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752659","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

ADAM 12 as a prognostic factor of pregnancy induced hypertension - preliminary study.

Ginekologia polska Pub Date : 2024-11-29 DOI: 10.5603/gpl.102668

Katarzyna Zych-Krekora, Oskar Sylwestrzak, Milena Skibinska, Maciej Ziebakowski, Michal Krekora

引用次数: 0

FIGO 2023 - too soon or just in time? Evolution or a revolution? Review of the newest endometrial cancer staging classification.

Ginekologia polska Pub Date : 2024-11-29 DOI: 10.5603/gpl.102620

Marcin Misiek, Agnieszka Picheta, Kaja Michalczyk, Tomasz Kluz, Tomasz Kluz, Andrzej Wrobel, Rafal Stojko, Anita Chudecka-Glaz

引用次数: 0

Clinical application of Synthetic Osmotic Cervical Dilator in labor pre-induction: departmental protocol and literature review. 人工合成渗透性宫颈扩张器在引产前的临床应用：部门规程和文献综述。

Ginekologia polska Pub Date : 2024-11-08 DOI: 10.5603/gpl.100984

Maisa Mansar-Dyrbus, Katarzyna Wilk, Maja Zieba-Domalik, Jakub Staniczek, Rafal Stojko

引用次数: 0

Breastfeeding myths - the prevalence among the population of Polish women. 母乳喂养误区--波兰妇女中的普遍现象。

Ginekologia polska Pub Date : 2024-11-08 DOI: 10.5603/gpl.95496

Zuzanna Tomczewska, Aleksandra Jaron, Joanna Kacperczyk-Bartnik, Agnieszka Dobrowolska-Redo, Ewa Romejko-Wolniewicz

{"title":"Breastfeeding myths - the prevalence among the population of Polish women.","authors":"Zuzanna Tomczewska, Aleksandra Jaron, Joanna Kacperczyk-Bartnik, Agnieszka Dobrowolska-Redo, Ewa Romejko-Wolniewicz","doi":"10.5603/gpl.95496","DOIUrl":"https://doi.org/10.5603/gpl.95496","url":null,"abstract":"Objectives: Exclusive breastfeeding is recommended until the child is six months of age. However, there are many myths about breastfeeding. The aim of our study was to assess the knowledge of Polish women about breastfeeding.Material and methods: A cross-sectional survey study was conducted among 1536 Polish women. A self-administered questionnaire was created using Google Forms survey management software and distributed online. The participants were asked about the most common myths in society regarding breastfeeding.Results: The highest number of correct answers in all age groups were given to questions related to the nutritional value of breast milk (80.9-94.9%). The fewest correct answers in each age group were recorded to questions concerning the possibility of getting pregnant during the first 6 months of breastfeeding (16.1-35.3%), the safety of drinking non-alcoholic beer during lactation (24.4-37.1%), the benefits of brushing the breast while breastfeeding (16.0-37.1%), and the effectiveness of compresses made of cabbage leaves or sage infusions in relieving ailments during milk rush (6.8-12.4%). Higher education and being a mother were associated with a higher number of correct answers. Age below 25 years was associated with lower number of correct answers.Conclusions: The results of the survey regarding breastfeeding suggest the existence of various beliefs in the population of Polish women which are not evidence based. This indicates the need for spreading adequate information about breastfeeding, especially among younger women and those who did not obtain higher education.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607679","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

Comparison of the efficacy and safety of dinoprostone and double-balloon catheters in cervical ripening: a propensity score matching retrospective study. 比较地诺前列酮和双气囊导管在宫颈成熟术中的有效性和安全性：倾向评分匹配回顾性研究。

Ginekologia polska Pub Date : 2024-11-08 DOI: 10.5603/gpl.101957

Chun Yang, Liulan Qian, Qiucheng Jia, Hao Mao

{"title":"Comparison of the efficacy and safety of dinoprostone and double-balloon catheters in cervical ripening: a propensity score matching retrospective study.","authors":"Chun Yang, Liulan Qian, Qiucheng Jia, Hao Mao","doi":"10.5603/gpl.101957","DOIUrl":"https://doi.org/10.5603/gpl.101957","url":null,"abstract":"Objectives: The methods of prompting cervical ripening (CR) include mechanical and pharmacological approaches. The former seems safer. However, this superiority may change with the application of a new labor curve. Therefore, we aimed to compare the efficacy and safety of dinoprostone and double-balloon catheters (DBC) in promoting CR in induction of labor (IOL).Material and methods: A total of 877 primipara women with Bishop score ≤ 6 were divided into the dinoprostone group (n = 502) and DBC group (n = 375) according to the IOL way. The women in the dinoprostone group received dinoprostone to perform IOL, while those in the DBC group received DBC to perform IOL. The natural birth rate, time to labor onset and birth, and maternal and neonatal complications were compared between the two groups. A propensity score match (PSM) was used to eliminate the selection bias.Results: A total of 516 cases were left after PSM (1:1) to Bishop score. The dinoprostone was associated with an improved Bishop score. However, there were no significant differences in the vaginal delivery rate, the stage of labor, and the time from ripening to labor onset and delivery between the two groups (p > 0.05). The incidence rates of puerperal infection and blood loss were notably higher in the DBC group than in the dinoprostone group (p < 0.05). However, there was no statistical difference in the incidence of postpartum hemorrhage between the two groups (p > 0.05).Conclusions: Dinoprostone is associated with a lower puerperal infection rate and improved Bishop score in IOL without an increased success rate of vaginal delivery.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607685","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

A case of a patient at reproductive age with BRCA2 and CHEK2 mutations and multiple uterine fibroids. 一例育龄患者，BRCA2 和 CHEK2 基因突变，多发性子宫肌瘤。

Ginekologia polska Pub Date : 2024-11-08 DOI: 10.5603/gpl.95221

Artur Skowyra, Lidia Korczynska, Jakub Kociuba, Sylwia Szczesniewska, Michal Ciebiera

引用次数: 0

Placenta accreta spectrum (PAS) - prenatal diagnosis and management. The Polish Society of Gynecologists and Obstetricians Guidelines. 胎盘早剥谱系（PAS）--产前诊断和管理。波兰妇产科医师协会指南》。

Ginekologia polska Pub Date : 2024-11-08 DOI: 10.5603/gpl.101422

Hubert Huras, Wojciech Cnota, Krzysztof Czajkowski, Mariusz Grzesiak, Andrzej Jaworowski, Piotr Kaczmarek, Sebastian Kwiatkowski, Bozena Leszczynska-Gorzelak, Ewa Wender-Ozegowska, Miroslaw Wielgos, Dariusz Wydra, Mariusz Zimmer, Piotr Sieroszewski

引用次数: 0