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Copyright of Ginecologia.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecologia.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecologia.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecologia.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Obstetrică şi Ginecologie is the property of Societatea de Obstetrica si Ginecologie and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Obstetrică şi Ginecologie is the property of Societatea de Obstetrica si Ginecologie and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecologia.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The incidence of adherent placenta has known a continuous ascendant incidence in the last decades. A correct management implies prenatal care and a careful planning of birth. We present the case of a 31-year-old G4P3, 37 weeks and 3 days' gravida which presented herself at the emergency room, accusing unsteady painful low-intensity uterine contractions and asking for a cardiologic consult. The anamnesis revealed that this pregnancy was not properly monitored by a specialist and her medical history included two deliveries by caesarean section, a known untreated familial hypertrophic cardiomyopathy and a 36 weeks ultrasound scan describing a single fetus with a suspected cardiac hypertrophy and a praevia, anterior inserted placenta. In this context, the suspicion of an adherent placenta was confirmed by emergency ultrasound where a mild bladder invasion was observed. Due to the possibilities offered by an emergency medical hospital complete preparation for delivery was possible during one hour. A successful cesarean hysterectomy was performed, with the extraction of the fetus from transverse presentation trough vertical hysterotomy and rapid closing of the uterine incision after cutting the cord. The vezicotomy for uterine catheterization and excision of invaded submucosal area and subsequent hysterectomy were uncomplicated. Both mother and fetus presented a favorable prognosis. We present this case in the context of its complexity and the successful applied approach. [ABSTRACT FROM AUTHOR]

Copyright of Ginecologia.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The incidence of intrahepatic cholestasis of pregnancy is estimated to be 0.5% of all deliveries, with great geographic variations. Clinical onset of this condition is represented by intolerable pruritus dominant on the palms and soles of the feet with the emphasizing of symptoms during the night. Regarding the risks for the fetus, the main complications are prematurity, intrauterine demise, meconium-stained amniotic fluid and a greater incidence of neonatal respiratory distress syndrome. Our retrospective study aimed to analyze the incidence of intrahepatic cholestasis of pregnancy for a period of five years in Bucharest Emergency University Hospital, fluctuations of the incidence depending on maternal age and parity, also, related neonatal risks. Secondly, we present a literature review regarding maternal and fetal follow-up and the possibilities for preventing the potential related complications. During the studied period, the incidence of intrahepatic cholestasis of pregnancy was 0.3%. Fetal status at birth was influenced by this condition, being reflected by an Apgar score lower than 8 in 34% of cases. Also, meconium stained fluid was associated in a higher proportion (14%) comparing to uncomplicated pregnancies in which fetal demise was showed not to be a direct consequence of intrahepatic cholestasis of pregnancy. The major purpose of management of these pregnancies consists in a rigorous fetal surveillance and early delivery guided by the comparison of the risk of fetal death and potential risks of prematurity. There is no ideal method for fetal surveillance in intrahepatic cholestasis of pregnancy yet. [ABSTRACT FROM AUTHOR]

Copyright of Ginecologia.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Borreliosis is one of the most common diseases transmitted by ticks. Clinical diagnosis is difficult due to non-specific symptoms and the fact that usually the patient does not remember when he was bitten by a tick, especially since the skin lesion, erythema migrans, is inconstant. We report the case of a 33-year-old patient, secundigesta, secundiparous, who attended her obstetrician during the 22nd week of pregnancy for fatigue and the appearance of erythematous lesions on the posterior region of her left calf. Following clinical and para-clinical examination she was diagnosed with borreliosis. Rapid antibiotic treatment was indicated. The evolution of pregnancy was normal. No fetal malformations were detected. At 39 weeks of pregnancy she delivered by cesarean section due to uterine rupture imminence a healthy male, weighing 3450 g, IA = 9. The impact of Lyme disease on pregnant women is difficult to assess. Maternal and fetal prognosis seems to be favorable if the diagnosis is established rapidly and an appropriate antibiotic therapy is indicated. [ABSTRACT FROM AUTHOR]

Copyright of Ginecologia.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

With a relatively frequent incidence of 1-2%, fetal heart arrhythmias may represent a sign of compromised fetal status. Most arrhythmias are isolated, but in some cases they are associated with structural or functional cardiac abnormalities. A series of specific investigations, such as the detection of anti-Ro/SSA and La/SSB autoantibodies in lupus patients, may indicate the etiology. Detailed echocardiography, specialized echocardiography and cardiotocographic monitoring can direct the management towards expectative or further fetal cardiology consult. Fetal arrhythmias with irregular rhythm, translating intermittently blocked beats, have good prognosis, are well tolerated and can rarely progress to significant cardiac pathology. Thus, the presence of 3-5 extrasystoles per minute with normal heart rate requires high-level fetal heart echocardiography and weekly monitoring of heart rate. Tachycardia or bradycardia associated with fetal cardiac extrasystoles have indication for specialized fetal cardiac evaluation based on detailed echocardiography and weekly cardiotocographic monitoring, along with rigorous fetal movement monitoring by the mother. Fetal sinus tachycardia can be considered normal if it occurs sporadically during fetal movements. The indication of transplacental treatment occurs in case of fetal hydrops or persistent tachycardia (>220 beats/min), digoxin being the reference drug. Fetal bradycardia frequently associates a background cardiac pathology, heterotaxia or long QT syndrome. The presence of fetal heart arrhythmias is not an absolute indication of birth by caesarean section if there is the possibility of continuous fetal monitoring, otherwise it is the best option. [ABSTRACT FROM AUTHOR]

Copyright of Ginecologia.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Adolescența este o perioadă de tranziție de la copilărie la viața de adult. Începe odată cu instalarea pubertății - proces de dezvoltare fizică, psihică și emoțională cauzat de o serie de modificări, în special endocrine. Numărul sarcinilor în rândul adolescentelor este în continuă creștere, ca urmare a schimbărilor sociale. Din păcate, multe sarcini la vârsta adolescenței sunt de multe ori cauza abuzului și violenței sexuale, riscul fiind mai mare pentru tinerele crescute într-un mediu social vulnerabil. Ratele ridicate ale sarcinii la vârsta adolescenței sunt determinate de gradul scăzut de informare a tinerelor cu privire la sexualitate și planificarea familială și de un nivel redus de implementare a programelor de educație sexuală. Sarcinile la adolescente sunt însoțite de o incidență crescută a preeclampsiei, nașterii premature sau restricției de creștere intrauterină. În acest context, consultația prenatală și dispensarizarea gravidei adolescente reprezintă o provocare pentru obstetricieni. [ABSTRACT FROM AUTHOR]

Leiomiomul uterin este una dintre cele mai frecvente afecţiuni ginecologice, ale cărui diagnostic și opţiuni terapeutice sunt foarte bine documentate. Totuși, leiomiomul vezicii urinare este o tumoră benignă rară (mai puţin de 1% din toate tumorile vezicii urinare). Raportăm cazul unei paciente de 48 de ani, fără antecedente personale patologice semnificative, internată în Secţia de Obstetrică și Ginecologie III a Spitalului Universitar de Urgenţă București pentru dureri pelviene, metroragii și polakiurie. În urma unui bilanţ imagistic minuţios (ecografie transvaginală convenţională, ecografie 3D și CT pelvian), la nivelul uterului au fost detectate multiple mase hipoecogene, bine delimitate, cu vascularizaţie circumferenţială, localizate intramiometrial, cu dimensiuni variabile. O tumoră cu aceleași caracteristici și cu diametrul de 4 cm a fost decelată în peretele posterior al vezicii urinare. Pacienta prezenta anemie ușoară (Hgb 8,8 mg/dl). S-a intervenit chirugical și s-a practicat histerectomie totală, cu anexectomie bilaterală. Tumora vezicală a fost de asemenea extirpată, cu limite de rezecţie oncologică. Tumora din vezica biliară a fost, de asemenea, eliminată. În urma unei analize microscopice riguroase, a fost stabilit diagnosticul de polifibromatoză uterină și leiomiom de vezică urinară. Leiomioamele vezicii urinare sunt foarte rare, cu doar 250 de cazuri raportate în întreaga lume. Rezecţia chirurgicală completă are o rată foarte scăzută a recidivelor, cu un prognostic excelent. [ABSTRACT FROM AUTHOR]

Copyright of Ginecologia.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecologia.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)