scholarly journals Tomographic ultrasound imaging of the pelvic floor in nulliparous pregnant women: limits of normality

2012 ◽  
Vol 39 (6) ◽  
pp. 698-703 ◽  
Author(s):  
T. Adisuroso ◽  
K. L. Shek ◽  
H. P. Dietz
Keyword(s):  
Pelvic Floor ◽  
Pregnant Women ◽  
Ultrasound Imaging ◽  
Tomographic Ultrasound Imaging

scholarly journals Biofeedback and the electromyographic activity of pelvic floor muscles in pregnant women

2011 ◽  
Vol 15 (5) ◽  
pp. 386-392 ◽  
Author(s):  
Roberta L. A. Batista ◽  
Maira M. Franco ◽  
Luciane M. V. Naldoni ◽  
Geraldo Duarte ◽  
Anamaria S. Oliveira ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pregnant Women ◽  
Pelvic Floor Muscles ◽  
Electromyographic Activity

scholarly journals Features of the decidualized endometriosis diagnosis and course during pregnancy

2021 ◽  
Author(s):  
AA Gerasimova ◽  
LA Asyrafyan ◽  
IB Manuchin ◽  
MV Shamarakova ◽  
MS Miryasova ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Pregnant Women ◽  
Ultrasound Imaging ◽  
Imaging Data ◽  
Surgical Interventions ◽  
Rational Treatment ◽  
Borderline Tumors ◽  
Results Of Treatment ◽  
Risk Of Malignancy ◽  
Risk Of Malignancy Index

Currently, surgical treatment aimed to exclude the malignant ovarian tumors is performed in almost 90% of patients with decidualized endometrial cysts (DEC). However, unnecessary surgical interventions increase the risk to maternal and fetal health. The study was aimed to perform a differential diagnosis of DEC in pregnant women in order to define the rational treatment. A total of 82 female patients were included in the study: 63 had endometrial cysts (EC), 16 had DEC, 3 had rare forms of endometriosis, and 10 had ovarian serous papillary borderline tumors. When performing the diagnostic ultrasound, our proposed model was used. The ultrasound imaging data obtained were juxtaposed with the concentration of the protein tumor markers (СА-125), the risk of malignancy index (RMI) was calculated, and the morphological assessment of the masses was performed. The ultrasound imaging parameters, being the most valuable for differential diagnosis of EC, DEC, and serous borderline tumors, were as follows: the altered mass wall thickness, the existence and shape of papillary masses, avascular echogenic inclusions with blurry contour, blood circulation and arrangement of blood vessels, ascites. The frequency analysis revealed the differences between groups based on the ultrasound imaging data (in 60–100% of observations). Histological examination revealed the differences between groups in 100% of observations. Our findings have made it impossible to prolong pregnancy in patients with DEC without performing surgery. The results of treatment provided to patients with DEC during pregnancy were worse compared to those in patients with no prominent decidualization in ovarian EC. Today, the diagnosis of DEC and the treatment of patients during pregnancy remain unsophisticated. Further clinical observation and the search for more reliable methods of the diagnosis and rational treatment of pregnant women with DEC are required.

scholarly journals Hormonal and ultrasound features of formation of feto-placental complex in women with beneficial tumours of the uterus

2019 ◽  
pp. 184-190
Author(s):  
E. F. Khamidullina ◽  
L. Yu. Davidyan ◽  
D. R. Kasymova ◽  
A. Yu. Bogdasarov
Keyword(s):  
Pregnant Women ◽  
Ultrasound Imaging ◽  
Comparison Group ◽  
Clinical Manifestations ◽  
Uterine Fibroids ◽  
Genetic Mutation ◽  
Main Group ◽  
Biochemical Tests ◽  
Almost All ◽  
Ultrasound Features

The purpose and objectives of the study is to identify the hormonal, biochemical and ultrasound features of the gestation course in women with beneficial tumours of the uterus. Results. We conducted a complete clinical examination and prospective observation of 182 pregnant women. Of which, 98 puerperas with a verified diagnosis of uterine fibroids and/or endometriosis, which developed before gestation, but did not prevent the onset of pregnancy, were included into the main group. The comparison group included 84 women with physiological pregnancy. The studies showed that 14 pregnant women in the main group had C677T (Ala222Val) T/T mutation, while only 2 women in the comparison group had a decrease in enzyme activity due to genetic mutation. Accordingly, the homocysteine level was almost 3 times lower in the comparison group than in the main group. The women with hyperhomocisteinemia (HHC) and uterine fibroid in the main group showed the lowest estriol level and hCG level, while women without HHC had higher estriol level and hCG levels. It was found that almost all patients with HHC had subclinical hypothyroidism. Ultrasound imaging and biochemical tests at the beginning of the 2nd trimester: no ultrasound markers of fetal anomalies were identified in women from both groups; however, signs of retrochorial hematoma were detected in 57 women from the main group, which was confirmed by clinical manifestations and previous ultrasound imaging in earlier gestation periods. Conclusion. Thus, placenta formation in women with HHC and uterine fibroids is accompanied by relative hormonal insufficiency, which is clinically manifested as a threat of miscarriage in the early stages, but carrying a child is possible due to appropriate management of a patient as part of the preserving therapy. However, the issue of preventing the development of fetoplacental insufficiency is a valid one for further investigation.

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