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6. Influence of Glycemic Control on Coagulation and Lipid Metabolism in Pregnancies Complicated by Pregestational and Gestational Diabetes Mellitus

Author

Teliga-Czajkowska, Justyna, Sienko, Jacek, Zareba-Szczudlik, Julia, Malinowska-Polubiec, Aneta, Romejko-Wolniewicz, Ewa, Czajkowski, Krzysztof, COHEN, IRUN R., Editorial Board Member, LAJTHA, ABEL, Editorial Board Member, LAMBRIS, JOHN D., Editorial Board Member, PAOLETTI, RODOLFO, Editorial Board Member, REZAEI, NIMA, Editorial Board Member, and Pokorski, Mieczyslaw, editor

Published
2019
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8. Eradication of cervical canal colonization associated with prophylactic cervical cerclage: the look further study.

Author

Sroka-Ostrowska, Natalia, Pietrzak, Radoslaw, Pykalo-Gawinska, Dominika, Zareba-Szczudlik, Julia, Czajkowski, Krzysztof, and Romejko-Wolniewicz, Ewa

Subjects
PERIOPERATIVE care, PREVENTIVE medicine, CERVIX uteri, OBSTETRICS, PREGNANCY
Abstract

Objectives: The perioperative management of the cervical cerclage procedure is not unified. In general population controlling microbiome cervical status does not affect obstetric outcomes, but it might be beneficial in patients with cervical insufficiency. The aim of our study was to present the obstetric, neonatal and pediatric outcomes of patients undergoing the cervical cerclage placement procedure in our obstetric department using a regimen of care that includes control of the microbiological status of the cervix and elimination of the pathogens detected. Material and methods: Thirty-five patients undergoing cervical cerclage in the 2nd Department of Obstetrics and Gynecology, Medical University of Warsaw, were included in the study. The procedure was performed only after receiving a negative culture from the cervical canal. Results: Thirty-one (88.6%) patients delivered after the 34th and twenty-eight (80.0%) after the 37th week of gestation. The colonization of the genital tract was present in 31% of patients prior to the procedure, in 42% of patients — during the subsequent pregnancy course and in 48% of patients — before delivery. A total of 85% of patients who had miscarriage or delivered prematurely had abnormal cervical cultures. In patients with normal cervical cultures, and 91.7% of women delivered at term. No abnormalities in children’s development were found. Conclusions:Controlling microbiological status of the cervical canal results in better or similar outcomes to those reported by other authors in terms of obstetric and neonatal outcomes. Active eradication of the reproductive tract colonization potentially increases the effectiveness of the cervical cerclage placement. [ABSTRACT FROM AUTHOR]

Published
2024
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13. The Impact of Maternal Plant-Based Diet on Obstetric and Neonatal Outcomes—A Cross-Sectional Study.

Author

Przybysz, Paulina, Kruszewski, Adrian, Kacperczyk-Bartnik, Joanna, and Romejko-Wolniewicz, Ewa

Abstract

Background: In the last decades, plant-based diets have gained popularity. Pregnancy is not a contraindication to follow a meat-free diet. This study aimed to compare maternal and neonatal outcomes between women who followed a plant-based diet with those on an omnivore diet. Our second purpose was to investigate the association between physical activity level in combination with diet type and the occurrence of GDM and gestational hypertension. Methods: A questionnaire was distributed electronically via social media. The survey was conducted on a population of Polish women. Results: The final research group included 1015 women. The results showed that a maternal plant-based diet 6 months before pregnancy and during pregnancy does not change the incidence of GDM, anemia, and gestational hypertension. Moreover, no association was found between a diet type before conception and a delivery method or newborn birth weight. Among women who followed an omnivore diet, the risk of GDM was lower in a group with adequate physical activity during 6 months before conception (p = 0.0166). However, the combination of a plant-based diet with adequate activity during the preconception period did not influence GDM incidence. Conclusions: Our study indicates that a plant-based diet during the preconception period is not worse than an omnivore diet. [ABSTRACT FROM AUTHOR]

Published
2023
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16. Risk factors associated with neonatal infectious and respiratory morbidity following preterm premature rupture of membranes

Author

Kacperczyk-Bartnik, Joanna, primary, Bartnik, Pawel, additional, Teliga-Czajkowska, Justyna, additional, Malinowska-Polubiec, Aneta, additional, Dobrowolska-Redo, Agnieszka, additional, Romejko-Wolniewicz, Ewa, additional, Sierdzinski, Janusz, additional, Golawski, Ksawery, additional, and Czajkowski, Krzysztof, additional

Published
2022
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33. The impact of COVID-19 pandemic on reproductive intentions among the Polish population.

Author

Sienicka, Agnieszka, Pisula, Agata, Pawlik, Katarzyna K., Kacperczyk-Bartnik, Joanna, Bartnik, Pawel, Dobrowolska-Redo, Agnieszka, and Romejko-Wolniewicz, Ewa

Subjects
COVID-19 pandemic, POPULATION, PRENATAL care, CONTRACEPTIVES, REPRODUCTIVE health
Abstract

Objectives: The study was conducted in order to determine the impact of the COVID-19 pandemic on the fertility intentions among the Polish population. Material and methods: A cross-sectional, questionnaire-based online study was carried out among Polish adults in order to determine the impact of the COVID-19 pandemic on the reproductive plans of the Polish society. A total of 984 participants correctly completed the survey. Results: The pandemic has affected the reproductive intentions of 22% (n = 216) of the respondents, most of them want to have a child later than they previously planned (74.1%). The relationship between the change in reproductive intentions and the concerns about the pandemic was found. Most of those who changed their plans were afraid that the access to prenatal care and delivery services could be limited (86.6%) or were afraid about giving birth at the hospital (81%). More than half (51.9%) of those who changed reproductive plans were afraid of losing their income and 40.3% had already experienced a decrease in their income. The change in partner's emotional relationships was also observed. More than half of respondents (56.7%) admitted that during the pandemic they had developed a deeper emotional relationship with their partners or felt more emotionally supported (56.6%). Most participants responded that the frequency of their sexual intercourses was not affected (66.7%) and that they had not experienced limited access to contraceptives (95.1%) during the pandemic. Conclusions: The COVID-19 pandemic has affected Polish people's reproductive intentions. Concerns related to healthcare access and the economic difficulties have the most significant impact. [ABSTRACT FROM AUTHOR]

Published
2022
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37. Evaluation of an Integrated Cell Culture-based and PCR Assay for Diagnosis of Genital Herpes in Women

Author

Majewska, Anna, Przybylski, Maciej, Dzieciatkowski, Tomasz, Romejko-Wolniewicz, Ewa, Zareba-Szczudlik, Julia, and Grazyna Mlynarczyk

Subjects
Herpes Genitalis, Predictive Value of Tests, viruses, cell culture, cytopathic effect, diagnosis, genital herpes, HSV, PCR, Herpesvirus 2, Human, DNA, Viral, Cell Culture Techniques, Humans, Female, Herpesvirus 1, Human, Polymerase Chain Reaction
Abstract

Diagnosis of genital herpes requires a combination of clinical presentation and laboratory studies. Laboratory diagnostics allow us to clearly establish the etiology (HSV-1 or HSV-2) in order to determine the course of infection and prognosis. Decisive factors in the selection of the appropriate test are: diagnostic goals, patient population, specimen type, and implementation of conditions for the specific method. In total, 187 samples collected during a routine gynecological examination from 120 women were examined for the presence of HSV-1 and HSV-2 in the genital area. Two methods were used to test swabs: cell culture isolation and PCR. HSV-1 was the dominant type of virus in both study groups. The cytopathic effect was observed in 67 (35.8%) cultures with clinical material. HSV-1 and HSV-2 DNA were detected by PCR in 73 (39.0%) cell cultures infected with clinical samples. We did not observe typical, virus related cytopathic changes in 13.7% DNA HSV positive cell cultures, but on the other hand we did not detect viral DNA in 6% of positive cell cultures. High values of the parameters, defining the usefulness of diagnostic tests (sensitivity, specificity, and predictive values) in both groups, are determined by previous viral replication in cell culture.

Published
2018

43. Cervical cancer in Romania - knowledge, prevention and exposure to risk factors among students

Author

Paul-Mihai Boarescu, Chirilă, Ioana, Bulboacă, Adriana, Kacperczyk, Joanna, Paweł Bartnik, Pisaroni, Arianna, Pircher, Chiara, Kostovski, Marko, Sopa, Gent, Červenka, Adam, Warda, Mahmoud, Richardson, Shanice, Romejko-Wolniewicz, Ewa, Dobrowolska-Redo, Agnieszka, and Bolboacă, Sorana D.

Abstract

Cervical cancer is the fourth most common cancer in women. Decreasing cervical cancer incidence could be done by improving knowledge levels concerning the disease and by facilitating the access to preventive services. The aim of this study was to evaluate the level of awareness and preventive behavior for cervical cancer among undergraduate students in Romania.

Published
2017
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44. Mirror Syndrome with Severe Postpartum Presentation following Stillbirth and Shoulder Dystocia.

Author

Bartnik, Pawel, Kacperczyk-Bartnik, Joanna, Malinowska-Polubiec, Aneta, and Romejko-Wolniewicz, Ewa

Subjects
SHOULDER dystocia, HYDROPS fetalis, STILLBIRTH, ACUTE kidney failure, EBSTEIN'S anomaly, PROTEIN-tyrosine kinases, SYNDROMES
Abstract

Background: Mirror syndrome (MS) is a pregnancy-related condition characterized by fetal, placental and maternal edema. Methods: We report a case of MS with severe postpartum presentation following stillbirth, shoulder dystocia, McRoberts maneuver, anterior shoulder disimpaction and manual posterior shoulder delivery together with serum soluble fms-like tyrosine kinase 1 (sFlt-1)/placental growth factor (PlGF) ratio results. Results: A 33-year-old patient G3P0A2 at 34 weeks gestation was referred with fetal Ebstein anomaly and fetal hydrops. At 36 weeks of gestation, examination revealed fetal demise with placental hydrops. Delivery of a stillborn child was complicated by shoulder dystocia. Twelve hours postpartum patient developed massive edema and acute kidney injury. Five days postpartum serum creatinine level (CrL) peaked and the sFlt-1/PlGF ratio was elevated. Twelve days after delivery CrL normalized and edema resolved. Conclusions: Shoulder dystocia may increase the severity of postpartum MS. The sFlt-1/PlGF ratio may be useful for MS management. [ABSTRACT FROM AUTHOR]

Published
2020
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45. A patient with breast implants - possible complications and oncological vigilance.

Author

Szczęsna, Aleksandra, Kacperczyk-Bartnik, Joanna, Bartnik, Paweł, Dobrowolska-Redo, Agnieszka, and Romejko-Wolniewicz, Ewa

Subjects
BREAST implants, MAGNETIC resonance mammography, SURGICAL complications, OPERATIVE surgery
Abstract

Copyright of Current Gynecologic Oncology is the property of Medical Communications Sp. z o.o. 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.)

Published
2020
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49. Mo1134 Nocturnal GERD in Pregnancy and Its Impact on Sleep Disturbances

Author

Kaminska, Anna O, primary, Kaminski, Michal F., additional, Kraszewska, Ewa, additional, Romejko-Wolniewicz, Ewa, additional, Sotowska, Agnieszka, additional, Lipinski, Tomasz, additional, Wrona, Marcin, additional, Regula, Jaroslaw, additional, Bretthauer, Michael, additional, and Czajkowski, Krzysztof W., additional

Published
2015
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