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الحمل خارج الرحم حالة نادرة من الحمل القرني
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خالد مرعشلي( باحث )
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توضح المقالة حالة نادرة من الحمل خارج الرحم: (الحمل القرني) حيث استمر الحمل على غير العادة حتى تمامه. وضِع التشخيص بعـد فـتح الـبطن لإجراء القيصرية التي تمت في ظروف صعبة جداً بسبب غزارة النزف، و لكن فـي النهايـة تكللـت الجهود بالنجاح الباهر، فقد أمكن توليد الجنين و إنقاذ حياة الأم دون الاضطرار لاستئصال الرحم.
Ectopic Pregnancy: Avery rare case of cornual pregnancy The statement dexcribes a very rare case of ectopic pregnancy "Cornual pregnancy" which unusually had continued to full term. The case had been diagnosed after the laparatomy during cesarean section which had been achieved in very difficult circumstances, because the hemorrhage was very heavy. The author could deliver a healthy fetus, save the patient's life, and save her uterus and fertility.
Artificial intelligence review:
Research summary
تتناول هذه الدراسة حالة نادرة جداً من الحمل خارج الرحم، وتحديداً الحمل القرني، والذي استمر بشكل غير معتاد حتى نهاية الحمل. تم تشخيص الحالة بعد إجراء عملية فتح البطن أثناء الولادة القيصرية، والتي كانت صعبة للغاية بسبب النزيف الشديد. نجح الطبيب في توليد جنين سليم وإنقاذ حياة الأم والحفاظ على رحمها وقدرتها على الإنجاب في المستقبل. تركز الدراسة على أهمية التشخيص المبكر والمتابعة الدقيقة للحمل القرني، وتوصي بإحالة الحالات غير الاعتيادية إلى مراكز مجهزة بشكل جيد والتركيز على التثقيف الصحي والجاهزية الدائمة في غرف العمليات.
Critical review
دراسة نقدية: على الرغم من أهمية هذه الدراسة في تسليط الضوء على حالة نادرة من الحمل القرني، إلا أنها تفتقر إلى بعض التفاصيل الهامة مثل البيانات الإحصائية التي تدعم النتائج والتوصيات. كما أن الدراسة تعتمد بشكل كبير على حالة واحدة فقط، مما يجعل من الصعب تعميم النتائج على حالات أخرى. كان من الأفضل تضمين مقارنة مع حالات مشابهة أو مراجعة أدبية أوسع لتعزيز مصداقية النتائج. بالإضافة إلى ذلك، كان من الممكن تقديم مزيد من التفاصيل حول الإجراءات الطبية المتبعة والتحديات التي واجهها الفريق الطبي.
Questions related to the research
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ما هي الحالة النادرة التي تناولتها الدراسة؟
الحالة النادرة هي الحمل القرني، وهو نوع نادر من الحمل خارج الرحم الذي استمر حتى نهاية الحمل.
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ما هي التحديات التي واجهها الفريق الطبي أثناء الولادة القيصرية؟
التحديات تضمنت النزيف الشديد الذي جعل العملية صعبة للغاية.
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ما هي التوصيات التي قدمتها الدراسة؟
التوصيات تشمل إحالة الحالات غير الاعتيادية إلى مراكز مجهزة بشكل جيد، والتركيز على التثقيف الصحي، والحفاظ على الجاهزية الدائمة في غرف العمليات.
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ما هي الإجراءات التي اتخذها الطبيب لإنقاذ حياة الأم والجنين؟
الطبيب نجح في توليد جنين سليم وإنقاذ حياة الأم من خلال إجراء عملية قيصرية معقدة وإدارة النزيف الشديد بفعالية.
References used
Brenner PF et al: Ectopic pregnancey: A study of 300 consecutive surgically treated cases. JAMA 1980;243:673
Cartwright PS, Di Peitro DL: Ectopic pregnancy: Changes in serum human chorionic gonadotropin concentration. Obstet.Gyencol.1984;63:76
Coupet E: Ectopic. pregnancy: The surgical epidemic. J Natl.Med Assoc 1989;81:567
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Introduction: Maternal body mass index (BMI) has an impact on maternal and fetal
pregnancy outcome.
Aim : To investigate the effect of pre-pregnancy BMI on adverse maternal and neonatal
outcomes in a sample of Syrian pregnant women attending Tishreen University Hospital .
Conflicting data exist concerning the implications of isolated oligohydramnios on pregnancy outcome at term. Aim: To assess the association between isolated oligohydramnios at term and pregnancy outcome in low-risk pregnancies. Materials and Methods:
This was a retrospective cohort study of term pregnancies with sonographic finding of isolated Oligohydramnios (amniotic fluid index (AFI) <5 cm) between 2017 and 2019, conducted at Obstetrics and Gynecology Department, Tishreen University Hospital, Lattakia, Syria, during the period between January 2019 – January 2020. Outcome was compared to a control group of pregnancies with normal AFI (5–25 cm). Pregnancies complicated by hypertension, diabetes, deviant fetal growth or chromosomal/ structural abnormalities were excluded. Composite adverse outcome included cesarean section delivery, low Apgar score, neonatal intensive care admission, meconium aspiration syndrome, or intubation. Results: Overall, 190 pregnancies complicated by isolated oligohydramnios were compared to 200 low-risk pregnancies with normal AFI. Isolated oligohydramnios was associated with a higher rate of induction of labor (29.8 % vs. 4 %, p < 0.05), cesarean section delivery (21.6 vs. 13 %, p < 0.05) and composite adverse outcome (13.2 % vs. 7 %, p < 0.05). However, after adjusting for potential confounders as induction of labor and nulliparity using multivariable logistic regression analysis, isolated oligohydramnios was not found to be independently associated with increased risk for composite adverse outcome (OR 1.07, 95 % CI 0.9–1.31, p = 0.87). Conclusion: Isolated oligohydramnios at term by itself is not associated with increased obstetrical morbidity.
Gestational Diabetes Mellitus (GDM) is one of the most common complications
during pregnancy. The prevalence of gestational diabetes (GDM) is increasing all over the
world. Hence, the impact of GDM on maternal and infant health is an important topi
c of
research.
Objective:
The aim of the study was to determine the prevalence of GDM, and to assess the
impact of universal screening to detect Gestational diabetes mellitus.
Subjects and methods:
A representative sample of 760 pregnant women who attended the antenatal
department of Al Assad Hospital in Lattakia were surveyed during the period from June
1st, 2013 to December 1st, 2014. The questionnaire covered variables related maternal age,
gestational age, BMI, and women underwent the diagnostic tests for GDM. 73 pregnant
women had positive results.
The aim of the study was to identify physical, psychological, socioeconomic and
sexual concerns. This study was conducted in the antenatal clinic at children and obstetric
hospital in Lattakia City. A convenient sample of 170 women with unplanned p
regnancy
attending the previously mentioned setting was included in the study. Questionnaire sheet
was developed by researcher and used to collect the necessary data. The results of this
study revealed that 41.18% of women have physical problems due to unplanned
pregnancy, 74% of them have sad feeling and about 24%have depressed feeling. Also
unplanned pregnancy cause social problems in 49% of women, financial problems in 62%
of them. The results of this study also revealed that unplanned pregnancy affect sexual
relationship between women and their partners. So we suggest comprehensive sexual
education, availability of family planning services and increased access to a range of
effective birth control methods. and must evaluate the incidence of unplanned pregnancy in
our society and make proper action to reduce and prevent the occurrence of unplanned
pregnancy.
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