Ginekologia polska最新文献_第10页

Efficacy of postsurgical medical therapy for infertile patients with deep endometriosis. 对患有深部子宫内膜异位症的不孕患者进行术后药物治疗的疗效。

Ginekologia polska Pub Date : 2024-08-14 DOI: 10.5603/gpl.99414

David Skhirtladze, Jenara Kristesashvili, Ramaz Charekishvili

{"title":"Efficacy of postsurgical medical therapy for infertile patients with deep endometriosis.","authors":"David Skhirtladze, Jenara Kristesashvili, Ramaz Charekishvili","doi":"10.5603/gpl.99414","DOIUrl":"https://doi.org/10.5603/gpl.99414","url":null,"abstract":"Objectives: Though laparoscopic surgery is effective for the treatment of deep endometriosis (DE), postoperative management remains controversial. Dienogest therapy after surgery may improve spontaneous pregnancy rates and decrease the severity of dysmenorrhea in infertile patients with DE. To determine the efficacy of postsurgical therapy with dienogest for improving fertility and reducing the intensity of dysmenorrhea in infertile patients with DE.Material and methods: This open label, randomized controlled trial was conducted involving 88 women aged 21-38 years with infertility who underwent surgery for DE. Three patients were lost to follow-up. After surgery, eligible patients were randomly divided into two groups. Forty-four patients who received dienogest for three months following surgery were enrolled in group 1. The remaining 41 patients comprised group 2 and did not receive any postsurgical treatment over the same period. The primary outcome measure was the pregnancy rate calculated nine months after surgery, while the mean intensity of dysmenorrhea was measured before and nine months after surgery.Results: The pregnancy rate in group 1 was significantly higher than in group 2 (47.7% vs 22%, p = 0.013) nine months following surgical intervention. Patients in group 1 exhibited a more statistically significant reduction in the mean score of dysmenorrhea intensity compared to group 2, from 8.7 to 2.8 vs 8.76 to 5.63, respectively (p < 0.001).Conclusions: The use of dienogest as an add-on therapy for treating DE may show significantly higher effectiveness compared to surgical intervention alone for improving fertility and reducing the severity of dysmenorrhea.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977484","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 scimitar syndrome. 弯刀综合征的产前诊断。

Ginekologia polska Pub Date : 2024-08-14 DOI: 10.5603/gpl.99477

Aleksandra Sliwka, Marcelina Sztyler-Krakowska, Karol Bielasik, Przemyslaw Kosinski

引用次数: 0

Group B Streptococcus colonization status and antibiotic use during labour - a single-centre observational study. B 组链球菌定植状态与分娩过程中抗生素的使用--一项单中心观察研究。

Ginekologia polska Pub Date : 2024-04-17 DOI: 10.5603/gpl.95616

I. Jańczewska, J. Jassem-Bobowicz, K. Hinca, Katarzyna Stefanska, Iwona Domżalska-Popadiuk

{"title":"Group B Streptococcus colonization status and antibiotic use during labour - a single-centre observational study.","authors":"I. Jańczewska, J. Jassem-Bobowicz, K. Hinca, Katarzyna Stefanska, Iwona Domżalska-Popadiuk","doi":"10.5603/gpl.95616","DOIUrl":"https://doi.org/10.5603/gpl.95616","url":null,"abstract":"OBJECTIVES\u0000Group B streptococcus (GBS) colonization among pregnant women is the leading cause of neonatal infection. Intrapartum antibiotic prophylaxis (IAP) is the most effective method to reduce the incidents of neonatal sepsis. We describe compliance with GBS management and the implementation of IAP in the context of the long-term effect of antibiotics.\u0000\u0000\u0000MATERIAL AND METHODS\u0000The study was conducted among 249 childbearing women hospitalized between January 2022 and February 2022 at University Clinical Center in Gdansk, Poland. The data were obtained from the questionnaire and medical records. We analyzed maternal colonization with GBS, compliance with GBS screening and treatment guidelines, risk factors contributing to GBS colonization, IAP administration, and neonatal congenital infection occurrence.\u0000\u0000\u0000RESULTS\u0000Of all patients, 240 (96.4%) were screened for GBS, 215 (89.6%) between 35-37 weeks of gestation. Fifty (20%) were GBS-positive, 184 (74%) negative, 15 (6%) had unknown GBS status. There were no significant differences between the GBS-positive and GBS-negative groups in maternal age, mode of delivery, gestational age at birth, maternal comorbidities, parity, GBS status in previous pregnancies, and the development of infection among infants of both groups, regardless of IAP administration. Of all the studied women, 158 (63.5%) received antibiotics, 91 (36.5%) did not. The study showed the low positive and the high negative predictive value of the antenatal GBS screening test.\u0000\u0000\u0000CONCLUSIONS\u0000We found that compliance with the universal GBS screening is widespread. The management of women with absent or only partial screening test requires assessing the risk factors before administering IAP.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":"227 S718","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140693050","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 impact of preoperative anxiety on pain and analgesia consumption in women undergoing vaginal hysterectomy with general anesthesia and spinal anesthesia. 采用全身麻醉和脊髓麻醉进行阴道子宫切除术的妇女术前焦虑对疼痛和镇痛消耗量的影响。

Ginekologia polska Pub Date : 2024-04-15 DOI: 10.5603/gpl.94702

Hasan Berkan Sayal, H. Inal, Z. Ozturk Inal

引用次数: 0

Characteristics of physical violence against pregnant women - analysis of medico-legal data and literature review. 针对孕妇的身体暴力的特征--医学法律数据分析和文献综述。

Ginekologia polska Pub Date : 2024-04-12 DOI: 10.5603/gpl.95904

Szymon Rzepczyk, Klaudia Dolińska-Kaczmarek, Bartosz Burchardt, Zuzanna Aurast, Dagmara Skowrońska, Przemysław Hałasiński, Aleksandra Bielecka, C. Żaba, Rafał Moszyński

{"title":"Characteristics of physical violence against pregnant women - analysis of medico-legal data and literature review.","authors":"Szymon Rzepczyk, Klaudia Dolińska-Kaczmarek, Bartosz Burchardt, Zuzanna Aurast, Dagmara Skowrońska, Przemysław Hałasiński, Aleksandra Bielecka, C. Żaba, Rafał Moszyński","doi":"10.5603/gpl.95904","DOIUrl":"https://doi.org/10.5603/gpl.95904","url":null,"abstract":"Pregnancy is a period which is especially sensitive to physical violence and its aftermath. Subjecting a pregnant woman to violence can have negative effects on both the mother as well as the child. In Poland, there are programs, such as the Blue Card, aimed at protection against violence, however the phenomenon is underestimated. Documentation covering forensic examinations carried out at the request of the police or privately at the Department of Forensic Medicine in Poznan in the years 2015-2020 was analyzed. Out of 7,689 cases, 22 were concluded to meet the criteria of violence against pregnant women. The cases were then further analyzed, consideration of the victim's age, professional status, relations with the perpetrator, form of physical violence, and medical assistance. The average age of the women at the time of the incident was 31.1 years. In 90.1% of the cases, the perpetrator was a known man, usually a current or former partner. The most common injuries were abrasions and bruises, while the most common locations of injuries were the head, neck, and arms. The most common forms of violence were grappling, kicking, and hitting with an open hand. Over 72% of the women sought medical attention after the incident. There is a need for educational programs concerning the effects of violence during pregnancy and ways to help. Gynecologists and midwives play an especially important role, by having direct contact with the patient, thus being able to quickly identify victims of violence and take actions to secure safe environment for the woman and the child.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":"49 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140709726","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

Primary vulvar lymphangioma and VAIN in patient with systematic lupus erythematosus. 系统性红斑狼疮患者的原发性外阴淋巴管瘤和VAIN。

Ginekologia polska Pub Date : 2024-04-12 DOI: 10.5603/gpl.95199

M. Bałajewicz-Nowak, Bartłomiej Galarowicz

引用次数: 0

Fetal therapy guidelines of the Polish Society of Gynecologists and Obstetricians - Fetal Therapy Section. 波兰妇产科医师协会胎儿治疗分会的胎儿治疗指南。

Ginekologia polska Pub Date : 2024-04-11 DOI: 10.5603/gpl.100108

P. Kosiński, D. Borowski, R. Brawura-Biskupski-Samaha, W. Cnota, Marzena Debska, Krzysztof Drews, M. Grzesiak, R. Jaczyńska, K. Janiak, P. Kaczmarek, Michal Lipa, M. Litwinska, K. Luterek, Anita Olejek, E. Połczyńska-Kaniak, Krzysztof Preis, Krzysztof Szaflik, J. Szymkiewicz-Dangel, M. Świątkowska-Freund, Piotr Węgrzyn, Miroslaw Wielgos, A. Włoch, J. Zamłyński, Mateusz Zamłyński, P. Sieroszewski

引用次数: 0

Breastfeeding and fatty liver - is there any association? 母乳喂养与脂肪肝--有关联吗？

Ginekologia polska Pub Date : 2024-03-20 DOI: 10.5603/gpl.97556

Weronika Powroslo, Magdalena Wymyslo-Filipecka, Agnieszka Drosdzol-Cop, Brygida Adamek

{"title":"Breastfeeding and fatty liver - is there any association?","authors":"Weronika Powroslo, Magdalena Wymyslo-Filipecka, Agnieszka Drosdzol-Cop, Brygida Adamek","doi":"10.5603/gpl.97556","DOIUrl":"https://doi.org/10.5603/gpl.97556","url":null,"abstract":"The campaign to promote the natural feeding of infants, at least for the first six months of life, conducted over recent years has deep justification from a medical point of view. Numerous gynecological and pediatric societies around the world recommend breastfeeding as the most appropriate way of feeding infants. It has been proven that the benefits of this type of nutrition go beyond nutritional aspects, proper growth and development. The list of long-term metabolic benefits, which include reducing the incidence of obesity, allergies, infections and diabetes, is constantly growing. It has been shown that the method of feeding infants using various mechanisms may influence the tendency of the liver to accumulate fatty compounds and develop fatty liver disease with its metabolic consequences leading to liver failure, cirrhosis and hepatocellular carcinoma. This is an important discovery due to the growing obesity epidemic in adults and children. Metabolic dysfunction - associated fatty liver disease (MAFLD) has become the most common cause of chronic liver disease, affecting 25% of the global population. The results of studies conducted in recent years have shown the protective effect of breastfeeding on the risk of developing MAFLD later in life in both children and breastfeeding women. New scientific reports provide the basis for qualifying breastfeeding as a modifiable risk factor for MAFLD.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178346","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

Guidelines of the Polish Society of Gynecologists and Obstetricians on the diagnosis and management of pregnancies complicated by prelabor rupture of the membranes. 波兰妇产科医师协会关于产前胎膜破裂并发妊娠的诊断和管理指南。

Ginekologia polska Pub Date : 2024-03-20 DOI: 10.5603/gpl.98339

Piotr Sieroszewski, Dorota Bomba-Opon, Krzysztof Czajkowski, Krzysztof Drews, Mariusz Grzesiak, Bozena Leszczynska-Gorzelak, Anna Scholz, Jaroslaw Kalinka, Katarzyna Kosinka-Kaczynska, Sebastian Kwiatkowski, Radzislaw Mierzynski, Krzysztof Preis, Mariola Ropacka-Lesiak, Malgorzata Swiatkowska-Freund, Miroslaw Wielgos, Mariusz Zimmer, Hubert Huras

引用次数: 0

Congenital malformations of the female genital organs. 女性生殖器官先天畸形。

Ginekologia polska Pub Date : 2024-02-09 DOI: 10.5603/gpl.97034

Wiktoria Klimanek, Agnieszka Drosdzol-Cop

引用次数: 0