scholarly journals Course and outcome of adolescent deliveries: A comparative analysis for 1992 and 2002

2005 ◽  
Vol 58 (1-2) ◽  
pp. 47-51
Author(s):  
Gordana Radeka ◽  
Aleksandra Kapamadzija ◽  
Artur Bjelica ◽  
Nenad Cetkovic ◽  
Dragan Stajic

Introduction. Adolescent pregnancy is considered to be risky, with potential psychosocial and health risks. From a medical point of view, adolescent pregnancy and delivery are risky and mortality of mothers and newborns is higher than in women aged 20-30. Material and methods. The analysis included all adolescent deliveries at the Department of Gynecology and Obstetrics in Novi Sad in 1992 and 2002. These data were compared with those observed in women aged 19 and older, for the same years. Results In respect to the number of adolescent deliveries, a decreasing tendency is observed. Also, there is an increasing trend in the number of cesarean sections in adolescents, which follows the trend of higher rates of cesarean deliveries in general. Episiotomy is more often performed in adolescents than in older women, but a decreasing trend is also observed in this population, which was also the case in women over 19. Vacuum extraction is less frequent in cases of adolescent deliveries. A very small percentage of malformed and stillborn newborns is registered in adolescents, whereas the percentage of premature births is similar in both groups. Conclusion. Although adolescent pregnancy and, delivery are risky, good obstetrical care and efficient control during delivery provide optimal conditions for successful deliveries among adolescents. .

2019 ◽  
Vol 72 (7-8) ◽  
pp. 251-256
Author(s):  
Dusanka Dobanovacki ◽  
Nada Vuckovic ◽  
Radmila Gudovic ◽  
Vladimir Sakac ◽  
Milanka Tatic ◽  
...  

At the end of the Second World War, the General State Hospital had seven departments, the same facilities, and the same bed capacity as in the pre-war period. In the newly formed state of Yugoslavia, intensive growth and modernization of the hospital began, despite the great financial difficulties. The hospital became the Main Provincial Hospital and new departments and services were established. Mainly during the 1960s and 1970s, ten new surgery departments were established, which later became independent clinics. The surgery departments occupied pavilions 1, 2, 3 and 4. Complex and contemporary abdominal and thoracic surgeries were performed. The Department of Internal Diseases became the Clinic of Internal Diseases and in 1964 it was moved to a newly equipped four-story building. The Clinic of Gynecology and Obstetrics was founded and it was moved into a modern, purpose-built facility with a 230 bed capacity for adult patients and 105 for newborns. Rapid progress has also been made in the development of the Clinic of Infectious Diseases, Clinic of Eye Diseases, Clinic of Ear, Nose and Throat Diseases, Neurology and Psychiatry Clinics, Clinic of Dermatovenereology Diseases, Medical Rehabilitation Clinic - as well as a modern laboratory, X-ray, blood transfusion, and polyclinic services. After the establishment of the Faculty of Medicine and the Clinical Center of Vojvodina, this large tertiary medical institution is the source of pride for Novi Sad. Founded 110 years ago, the hospital is still dedicated to providing better healthcare for patients.


2011 ◽  
Vol 64 (11-12) ◽  
pp. 565-569
Author(s):  
Vesna Kopitovic ◽  
Stevan Milatovic ◽  
Aleksandra Trninic-Pjevic ◽  
Artur Bjelica ◽  
Irena Bujas ◽  
...  

Introduction. Infertility affects 15-17% of reproductive age couples in our country, and 10-15% of couples worldwide. The aim of this paper was to present results and experience gained after the first 1000 cycles of the national In Vitro Fertilization (IVF) program, to offer professional standard of work in our country and to compare it with results obtained in Europe and worldwide. Material and methods. The study prospectively included 1000 women who had undergone national In Vitro Fertilization program from October 2006 until November 2009 at the Department of Gynecology and Obstetrics, Clinical Center of Vojvodina, Novi Sad. Results. The analysis included 1000 in vitro fertilization cycles. Male factor infertility was the leading cause (56.9%) followed by tubal factor (45.9%). The classic method of in vitro fertilization constituted 72.3% of all cycles, while intracytoplasmic sperm injection (ICSI) method was used in 27.7% of all cycles. The average number of embryos transferred was 2.67. The cycle cancellation rate was 14.10% and the aspiration rate was 94.40%. The clinical pregnancy and live birth rate were 33.41% and 26.78% per embryo transfer, respectively. Discussion and conclusion. The results in our study showed that in our setting there are far less intracytoplasmic sperm injection cycles compared with the European average of 66.5% of all fresh cycles, and that we transferred more embryos on average. Our success rates are comparable with those in other European countries where the clinical pregnancy rates per aspiration and per transfer for in vitro fertilization were 29 and 32.4%, respectively in the period of observation. For intracytoplasmic sperm injection, the corresponding rates were 29.9 and 33%.


2018 ◽  
Vol 16 (3) ◽  
pp. 257-265
Author(s):  
Branka Radulovic ◽  
Marina Dorocki

Numerous researchers emphasized the connection between mathematics and physics, as well as the pupil's lack of linking knowledge gained within these subjects. In this paper, examples of the connection between mathematics and physics will be examined by the scientific reasoning test and the initial test created for this research. In the research related to the initial knowledge and scientific research, 235 students of the first and second grade of gymnasiums in Novi Sad and Backa Palanka participated. The results of the research have shown that most of the students did not correctly answer questions related to reasoning based on proportions. The obtained result points to the pupil's misunderstanding of the notion of the smallest interval of an instrument, that is, the value of an instrumental error, which is the basis of the correct reading of the experimental results in the teaching of physics. From the point of view of physics, it is important for pupils to point out the mistakes they have made in concluding, in order to correct their claims and the exact information associated with existing ones in longterm memory.


2012 ◽  
Vol 140 (11-12) ◽  
pp. 728-731 ◽  
Author(s):  
Vesna Kopitovic ◽  
Dragan Budakov ◽  
Aleksandra Trninic-Pjevic ◽  
Sonja Pop-Trajkovic ◽  
Srdjan Djurdjevic ◽  
...  

Introduction. Hysteroscopy is one of the oldest endoscopic procedures which uses the cervix for introducing a telescope to place a camera into the uterine cavity. Objective The aim of the study was to present our experiences with this procedure during the long-term work starting from the time when hysteroscopic method of treatment was first introduced at this Clinic until today. Methods. This prospective study involved 2000 female patients referred to the Clinic for Gynecology and Obstetrics in Novi Sad from January 2005 till January 2011 for diagnostic and operative hysteroscopy. The following parameters were analyzed: the presence of minor and major pathology of the endometrium, type of anesthesia, technique of operative work, instruments and energy used during hysteroscopy and complications. Results. Seventy-eight percent of all procedures were done under intravenous anesthesia. The most common operative procedure was polypectomy and the most complicated one was myomectomy. By histopathological examination of hysteroscopic biopsy specimens four endometrial carcinomas were revealed. The combination of mechanical instrument and bipolar energy were used in most of the cases, while the percentage of complications was extremely low. Conclusion. Hysteroscopy is a safe, highly sensitive, precise diagnostic and operative endoscopic procedure. Our experiences and dilemmas open a field for discussion and offer salutations to everyday problems. The introduction of this procedure into out-patients conditions has contributed to the efficiency of the treatment of vaginal pathological processes, thus enabling that the method has become available to all gynecologists. This fact requires further study and new results.


2006 ◽  
Vol 59 (9-10) ◽  
pp. 463-467
Author(s):  
Srdjan Djurdjevic

Surgical approach to the treatment of female stress urinary incontinence has changed significantly since 1995, when Ulmsten first described the procedure providing tension-free support in the middle part of urethra. Although retropubic placement of TVT tapes seemed to meet all the standards of minimally invasive surgical procedures, the occurrence of complications (bleeding, hematomas, and bladder, urethral of intestinal injuries) necessitated a new obturator approach. This study presents a transobturator approach to TVT tapes placement (Gynecare, Johnson-Johnson Company) with "inside-out" technique, first shown by De Leval in 2003. During 2005, 6 TVT tapes for stress urinary incontinence treatment were placed at the Clinic of Gynecology and Obstetrics in Novi Sad without any intra or post-operative complications. .


2018 ◽  
Vol 5 (3) ◽  
pp. 56-59
Author(s):  
Leonardo de Oliveira Machado ◽  
Mamud Said Neto

RESUMO Introdução A família Chamberlen inventou o fórceps obstétrico nos anos 1600 e, desde então, tem havido várias centenas de versões. Atualmente, os dois tipos mais usados no Reino Unido são Neville Barnes '(NBF) e o fórceps de Wrigley (WF). Metodologia Foi realizada uma pesquisa nas bases Science Direct, Pub Med e Google Scholar para publicações recentes sobre o uso do fórceps utilizando a palavra chave: forceps use. A seleção de estudos potenciais a serem incluídos foi feita revisando os títulos, resumos e data de publicação, sendo selecionados apenas artigos em inglês. Finalmente, foram incluídos para a revisão 21 artigos. Não houve seleção com base na metodologia do estudo, de modo que foram incluídos vários tipos de artigos. Resultados A taxa de partos instrumentais está diminuindo, particularmente o uso de fórceps, que está mais ou menos fora de prática em alguns países europeus como a Romênia. As taxas de parto vaginal instrumental variam amplamente, de 0,5% na Romênia a 16,4% na Irlanda, com um valor mediano de 7,5% na Europa. Conclusão Há mais partos a vácuo sendo realizadas na Europa e em outros países pelos obstetras. No entanto, muitos obstetras preferem usar dispositivos de extração a vácuo do que fórceps, ou realizar cesarianas em vez de partos vaginais operatórios em geral, com medo de litígio, e a crença de que essas são opções mais seguras.   Palavras-chave: fórceps obstétrico, partos instrumentais, uso de fórceps. ABSTRACT Introduction The Chamberlen family invented obstetric forceps in the 1600s, and since then there have been several hundred versions. Currently, the two most commonly used types in the UK are Neville Barnes' (NBF) and Wrigley Forceps (WF). Methodology A search was made at the bases Science Direct, Pub Med and Google Scholar for recent publications on the use of forceps using the keyword: forceps use. The selection of potential studies to be included was done by reviewing the titles, abstracts and date of publication, selecting only articles in English. Finally, 21 articles were included for the review. There was no selection based on the study methodology, so several types of articles were included. Results The rate of instrumental deliveries is declining, particularly the use of forceps, which is more or less out of practice in some European countries such as Romania. Rates of instrumental vaginal delivery vary widely, from 0.5% in Romania to 16.4% in Ireland, with a median value of 7.5% in Europe. Conclusion There are more vacuum deliveries being performed in Europe and in other countries by obstetricians. However, many obstetricians prefer to use vacuum extraction devices than forceps, or perform cesarean deliveries instead of operative vaginal delivery in general, with fear of litigation, and the belief that these are safer options. Keywords: obstetric forceps, instrumental deliveries, forceps use.


Slavic Review ◽  
1983 ◽  
Vol 42 (1) ◽  
pp. 1-13 ◽  
Author(s):  
Jean Ispa

In 1951, and again in 1955, Dr. Fernand Lamaze, a French obstetrician, traveled to the Soviet Union to study “psychoprophylaxis,” a method designed by Soviet psychologists, obstetricians, and neurologists to help women overcome pain and fear during childbirth. The method, which was rooted in the medical use of hypnosis and suggestion to alleviate pain, involved training women to take their minds off uterine contractions by concentrating instead on other bodily functions, such as breathing. Lamaze refined the method and brought it to the West.Lamaze's account of his indebtedness to Soviet scientists suggests that it may be useful to learn more about Soviet women's experiences during pregnancy and childbirth. Perusal of the literature, however, indicates that, while general descriptions in English of Soviet obstetrical care are available, very little is known about Soviet women's perceptions of and attitudes toward pregnancy and delivery.


1970 ◽  
Vol 30 (3) ◽  
pp. 147-153 ◽  
Author(s):  
MM Rahman ◽  
M Hasan ◽  
S Akhtar ◽  
P Sultana

Introduction: Pregnancy among adolescents is a health risk for the individual as well as the fetus. The main aim of this study is to examine the pregnancy complications and its outcome among adolescent women in Northern region (Rajshahi) of Bangladesh. Methods: The analysis is based on a part of faculty research; University of Rajshahi funded study on adolescent motherhood and pregnancy complications in the region, which involved a micro level survey of 400 adolescent conception aged 10-19 and in-depth interviews with 37 adolescents who had experienced pregnancy wastage. The indicator of poor pregnancy outcomes analysed includes pregnancy or delivery complications and pregnancy wastage. Results: A striking finding is the higher proportions suffer pregnancy problems, especially in cases of early conception. In particular, younger adolescent aged under 20 years has been observed to have the highest proportions of delivery complications and pregnancy wastage due to insufficient intake foods and possible biological immaturity. Conclusion: Early teenage pregnancy and its effects pose very severe different pregnancy and delivery complications consequently wastage. Key words: Adolescent; Pregnancy; Wastage; Odds ratio DOI: 10.3126/jnps.v30i3.3917J Nep Paedtr Soc 2010;30(3):147-153


2021 ◽  
Vol 38 (5) ◽  
pp. 61-69
Author(s):  
I. V. Fomina ◽  
M. S. Boichenko ◽  
A. S. Zhilina ◽  
M. V. Martynenko

Objective. To study the features of the course of pregnancy and childbirth in women after ART programs. Medical care for families with infertility, in particular through assisted reproductive technologies (ART) programs, is an important area of comprehensive government policy to promote fertility. Materials and methods. The retrospective study was carried out on the basis of GBUZ TO Perinatal Center, Tyumen. We analyzed 237 birth histories of women whose pregnancies occurred with the use of ART and 237 birth histories of patients whose pregnancies occurred on their own. The material for the study was the birth histories of patients. Results. The results showed a higher incidence of pregnancy complications in women after ART programs. Thus, a higher number of premature births, placental disorders, isthmic-cervical insufficiency (ICI) were noted, as well as a significantly higher percentage of operative delivery by cesarean section. Conclusions. The presence of an initially large "baggage" of concomitant and gynecological diseases in infertile patients, whose pregnancies occurred with the use of ART programs, leads to a higher percentage of pregnancy complications and a high number of surgical deliveries.


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