PSJD - Yadda

1

Spontaneous Gastric Rupture in the Peri-Delivery Period

100%

Strzelczyk S., Sułkowski L., Pęczak M.

Polish Journal of Surgery

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2008

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vol. 80

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issue 12

676-680

EN

The case of young primigravida pregnant women with spontaneous gastic rupture in perinatal period was reported. Rapid obsteric intervention during caesarean section made possible the survival of the neonatant. Prompt surgical laparotomy was performed with excision necrosis part of the stomach wall. The wall was repaired what gave the positive therapeutic effect. Authors indicate on diagnostic troubles, the way of obstetric and surgical treatment and complications in postoperative course.

2

Congenital fetal heart disease - course and outcome of pregnancies

100%

Plešinac S., Plećaš D., Ljubić A., Parezanović V., Terzić M.

Open Medicine

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2007

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vol. 2

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issue 2

203-207

EN

The aim of the study was to analyze the course and outcome of pregnancies with congenital heart disease of the fetus, diagnosed and terminated at the Institute of gynecology and obstetrics Clinical Center of Serbia over four years. The study included 71 patients, divided into 3 groups according to the fetal outcome. Group 1 had consisted of 9 pregnancies terminated artificially, Group 2 of 48 patients who delivered live fetuses, and Group 3 of 14 pregnancies terminated as fetal intrauterine death. The types congenital heart diseases were categorized as follows: 40 had L-R shunting type, 18 R-L shunting type, 8 coartacion of aorta, and 7 valvular diseases. Intrauterine fetal death occurred in 11 pregnancies in Group 3 after 28 weeks of gestation. In 13 cases karyotypisation were done, because of maternal age or intrauterine growth retardation diagnosed with ultrasound, and 9 of them had genetic disorders. Forty-eight fetuses were born alive. Fourteen died in the first 2–7 days and 12 had successful heart surgery. Twenty-two needed no surgical correction. Ultrasound findings were false negative in 3 cases. The diagnosis of fetal heart disease should be done by fetal echocardiogram, which can be preformed early in the beginning of the pregnancy.

3

Polygraph Examination of Pregnant Women: Dilemmas and Recommendations

80%

Gołaszewski M.

European Polygraph

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2014

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vol. 8

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issue 2

69-78

4

Persistence of long-term insulin independence after islet transplantation and two subsequent pregnancies

80%

Gondek S., Ogledzinski M., Lin W., Milejczyk K., Juengel B., Potter L., Bachul P. J., Basto L., Perea L., Wang L.-J., Tibudan M., Witkowska Z., Barth R., Fung J., Witkowski P.

European Journal of Translational and Clinical Medicine

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2023

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vol. 6

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issue 1

9-13

EN

Pregnancy increases metabolic demand for insulin and may lead to the exhaustion of intraportally transplanted islets and post-gestational hyperglycemia. To prevent these complications, we implemented preemptive insulin supplementation during two subsequent pregnancies in an insulin-independent islet transplant recipient. This strategy resulted in optimal blood glucose control during the pregnancies, the preservation of the optimal islet graft function and the postpartum maintenance of long-term insulin independence.

5

Exercise or Relaxation? Which is More Effective in Improving the Emotional State of Pregnant Women?

80%

Guszkowska M., Sempolska K., Zaremba A., Langwald M.

Human Movement

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2013

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vol. 14

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issue 2

168-174

EN

Purpose The aim of this study was to compare the changes in emotional states in pregnant women after completing a relaxation session and a one-off physical exercise class. Methods. The study included 139 pregnant women between the ages of 22 to 34 years (28.59 ± 2.99 years) in their second and third trimesters of pregnancy who were participating in one of three programs: a progressive relaxation course, a physical exercise program, or a traditional childbirth education program (control group). Emotional states were assessed by McNair, Lorr, and Droppleman’s Profile of Mood States immediately before (pre-test) attending their seventh respective class and then immediately after finishing it (post-test) Results. The pre-test emotional state of participants in all three groups was similar. Post-test, both the exercise and relaxation groups featured significantly improved emotional states, with the changes greater than those of women who attended the prenatal class. Pregnant women who participated in physical exercise were less troubled and tense and characterized by a higher level of vigor than the control group. Conclusions. Physical exercise may be especially helpful in coping with fatigue and feeling tired, while relaxation training is more beneficial for women with elevated levels of anxiety and depression.

6

The ins and outs of maternal-fetal fatty acid metabolism

80%

Bobiński R., Mikulska M.

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2015

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vol. 62

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issue 3

499-507

EN

Fatty acids (FAs) are one the most essential substances in intrauterine human growth. They are involved in a number of energetic and metabolic processes, including the growth of cell membranes, the retina and the nervous system. Fatty acid deficiency and disruptions in the maternal-placental fetal metabolism of FAs lead to malnutrition of the fetus, hypotrophy and preterm birth. What is more, metabolic diseases and cardiovascular conditions may appear later in life. Meeting a fetus' need for FAs is dependent on maternal diet and on the efficiency of the placenta in transporting FAs to fetal circulation. "Essential fatty acids" are among the most important FAs during the intrauterine growth period. These are α-linolenic acid, which is a precursor of the n-3 series, linoleic acid, which is a precursor of the n-6 series and their derivatives, represented by docosahexaenoic acid and arachidonic acid. The latest studies have shown that medium-chain fatty acids also play a significant role in maternal-fetal metabolism. These FAs have significant effect on the transformation of the precursors into DHA, which may contribute to a relatively stable supply of DHA - even in pregnant women whose diet is low in FAs. The review discusses the problem of fatty acid metabolism at the intersection between a pregnant woman and her child with reference to physiological pregnancy, giving birth to a healthy child, intrauterine growth restriction, preterm birth and giving birth to a small for gestational age child.

7

Biomechanical changes in pregnant women

80%

Opala-Berdzik A., Bacik B., Kurkowska M.

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2009

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vol. 17

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issue 3

51-55

PL

Celem pracy jest przedstawienie problemów związanych z różnorodnymi biomechanicznymi zmianami w układzie mięśniowo-szkieletowym kobiet w ciąży dotyczącymi postawy ciała także w aspekcie dolegliwości bólowych, zwłaszcza w dolnym odcinku pleców. Poruszane są zagadnienia związane ze zmianą funkcjonalnego zakresu ruchomości tułowia oraz ograniczeniami i trudnościami w wykonywaniu czynności codziennych i zawodowych. W pracy przedstawiono także wpływ ciąży na stabilność posturalną i chód. Wiedza zawarta w artykule powinna być pomocna zarówno osobom prowadzącym zajęcia w szkołach rodzenia, jak też lekarzom i fizjoterapeutom w profilaktyce oraz leczeniu dolegliwości układu mięśniowo-szkieletowego u kobiet w ciąży i po porodzie.

EN

The purpose of the paper is to present the problems related to various biomechanical changes taking place in the musculoskeletal system in pregnant women concerning body posture and pain problems and especially low back pain. The changes of the functional motion range of the trunk as well as the limitations and difficulties in daily life activities and work performance are taken into consideration. The influence of pregnancy on postural stability and gait is also presented in the paper. The knowledge gathered in the article should be helpful to those who provide the child birth classes as well as to physicians and physical therapists in prevention and treatment of musculoskeletal complaints of women during pregnancy and post partum.

8

ASSOCIATIONS BETWEEN HEALTH BEHAVIOR HABITS AND QUALITY OF LIFE OUTCOMES IN PREGNANT WOMEN: A PRELIMINARY INVESTIGATION IN POLISH SAMPLE

80%

Krzepota J., Sadowska D.

Central European Journal of Sport Sciences and Medicine

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2015

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vol. 10

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issue 2

45-53

EN

The aim of our study was to analyze the relationships between health behaviours and quality of life. Research was conducted on a sample of 144 women in the third trimester of pregnancy, participating in antenatal classes. The tools used for investigation of health behaviour was Health Behaviour Inventory and for the quality of life was Quality of Life Questionnaire (WHOQoL-Bref). The analysis of results between women with high, average and low General Index of Intensity of Health Behaviours (GIIHB) showed statistically relevant difference in quality of life only in the Environment domain ( p ≤ 0.05). Depending on GIIHB, there are different correlations between categories of health behaviours and quality of life. The present research confirmed the existence of correlations between health behaviours and perceived quality of life among pregnant women participating in antenatal classes. The observed correlations show a need for further investigation and taking into account also other individual and socio-economic factors.

9

Dealing with hypodysfibrinogenemia during pregnancy with a successful outcome

80%

Faflik Z., Witkowski M., Witkowska M., Smolewski P., Robak T.

OncoReview

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2021

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vol. 11

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issue 4

102-105

EN

Background: Fibrinogen is a protein playing pleiotropic role in human body. It is engaged in maintaining hemostasis. Congenital fibrinogen disorders comprise quantitative and qualitative fibrinogen anomalies. The symptoms range from bleeding, thrombosis to asymptomatic at all what is the most common case. Hypodysfibrinogenemia with lower level of fibrinogen of reduced activity, is the least common of all congenital fibrinogen disorders. Case report: A 31-year-old woman was reported at the 21 weeks of gestation, suffered from genital tract bleeding and there was a history of stillbirth. Clinical examination with no pathology, however laboratory tests revealed coagulation abnormalities due to prolonged thrombin test, decreased protein S and lower fibrinogen level (70 mg/dl). Autoimmune diseases were excluded and the diagnosis was widened with rotational thromboelastometry and genetic test for hypodysfibrinogenemia. The patient was treated with fibrinogen substitution and prophylactic dose of heparin throughout pregnancy and 2 weeks following labour. At 39 week of gestation Caesarean section was done, with no complications. Results: Genetic test revealed heterozygous mutation in fibrinogen gamma gene confirming hypodysfibrinogenemia. Due to bleeding manifestation in this patient of congenital fibrinogen disorders, fibrinogen substitution was implemented with heparin as a paranticoagulant prophylaxis, what turned out to be successful and enabled the patient to maintain the pregnancy. Conclusions: As hypodysfibrinogenemia symptoms are diverse the management is difficult and each patient’s therapy should be planned separately. Pregnancy may be the first time when congenital fibrinogen disorders reveal and it is especially challenging to prevent from obstetrical complications.

10

Oczekiwania kobiet ciężarnych w zakresie wsparcia społecznego i medycznego w okresie okołoporodowym

80%

Pawlicka P., Łockiewicz M., Szulman-Wardal A.

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EN

The aim of our study is to determine the importance of various aspects of delivery and post-natal care for women in the third trimester of pregnancy, and the analysis of relationship of these aspects to selected personal variables also in the context of the relationship with the yet unborn child. In this exploratory study, 94 pregnant respondents participated, including 72% of primiparous and 28% of multiparous women. The participants completed the MFAS questionnaire and a survey in the form of closed questions. The results show that women preparing for childbirth considered as very important medical standards included in the Regulation of the Minister of Health: freedom and the opportunity to decide on issues related to birth and care of a newborn child, as well as care and support from professionals and the loved ones; however, only a third of respondents prepared or are planning to prepare a birth plan. Primiparas, despite a lower sense of preparation for childbirth as compared with multiparas, valued more the availability of natural than pharmacological measures to reduce the pain, and hoped to receive staff’s help at the first stages of child care, which shows the need for post-natal care and support of women, especially those who gave birth to their first child/children. The multiparas found the first breastfeeding immediately after birth as more important than the primiparas. Our results indicate the importance of treating problems with conceiving for the strength of the bond with the unborn child, and show that significant factors for the strength of bond with the unborn child is a longer contact time with the baby immediately after birth and importance attributed to the access to education and counseling.

11

Vaccination against influenza in pregnant women

80%

Brydak L., Nitsch-Osuch A.

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2014

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vol. 61

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issue 3

589-591

EN

Pregnancy places otherwise healthy women at an increased risk of complications arising from an influenza infection. It is suggested that physiological changes such as immunological changes, increased cardiac output and oxygen consumption, as well as lung tidal volume might increase the susceptibility to influenza complications if infection occurs during pregnancy. Immunization of pregnant women against influenza is currently recommended in many countries and has been proven to be safe and effective in reducing rates and severity of the disease in vaccinated mothers and their children. Influenza vaccination is also cost-effective. Nevertheless, influenza vaccine coverage remains low in pregnant women. This might stem from the lack of healthcare workers' education, a feeling among the general public that influenza is not a serious disease and a failure of prenatal care providers to offer the vaccine. In order to protect pregnant women and infants from influenza related morbidity and mortality an educational programme targeting healthcare workers in charge of pregnant women should be implemented.

12

Unusual case of double acute intoxication with tamoxifen complicated by miscarriage

80%

Sein Anand J., Chodorowski Z., Korolkiewicz R., Klimaszyk D., Łukasik-Głębocka M.

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EN

Background: A 24-year-old female had attempted suicide twice, at the age of 20 and 24, using tamoxifen. Case report: Subsequent to the first acute intoxication a development of bilateral ovarian cysts was observed. Cysts regressed spontaneously within 8 weeks. Five weeks after the second suicidal attempt, pregnant patient (15 weeks of gestation) was admitted to the hospital with vaginal bleeding and suspicion of miscarriage. The autopsy of the fetus did not reveal any gross abnormalities, whereas the microscopic examination demonstrated numerous foci of necrosis in the placental decidua. Other fetal membranes as well as the umbilical cord were normal. Conclusions:1.Acute intoxication with tamoxifen may be connected with the formation of follicular ovarian cysts.2.During pregnancy, intoxication with tamoxifen, may result in delayed miscarriage.

71%

Gruszczyńska D., Truszczyńska-Baszak A.

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2018

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vol. 32

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issue 3

27-35

EN

Introduction Diastasis recti abdominis is a pathological condition at the linea alba in which rectus abdominis muscles separate. It occurs mainly in pregnant and postpartum women. Changes in the linea alba area are caused by stress to the tissue and pregnancy induced hormonal changes which lead to the loosening of abdominal connective tissue. This pathological condition is not manifested with any pain symptoms but the effects which may develop as a result of diastasis recti abdominis may cause pain. This literature review study discusses the non-surgical methods of treating diastasis recti abdominis by reducing the distance between the two parts of the rectus abdominis muscle. Material and methods Scientific literature on physiotherapy, surgical treatment and diagnostics of diastasis recti abdominis in pregnant and postpartum women from the last 15 years was analysed. Such databases as Google Scholar, PubMed, ScienceDirect, Ebsco and MedLine were used in the analysis and 11 publications were considered. Results Having analysed the available literature, it was concluded that abdominal exercises can prevent or reduce diastasis recti abdominis. However, the analysis did not reveal which method of treatment was the most effective. Conclusions This review of the literature revealed that there is not currently a gold standard method of treating diastasis recti abdominis. However, abdominal exercises during pregnancy reduce the risk of this condition postpartum. Diastasis recti abdominis may be reduced even a few years after childbirth by implementing appropriate treatment including a special training programme focusing on strengthening anterior abdominal wall and learning to maintain a proper body posture during activities of daily living.

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