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Register a new userImpact of pre-pregnancy maternal Body Mass Index on pregnancy outcomes
تأثير مشعر كتلة الجسم الوالدي قبل الحمل على نتائج الحمل
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Tishreen University ورقة بحثية
Publication date
2018
fields
Medicine
and research's language is
العربية
Authors
لؤي حسن( باحث )
Created by
Shamra Editor
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مقدمة: يؤثر مشعر كتلة الجسم (Body Mass index) (BMI) عند الحامل بشكلٍ كبيرٍ على محصول الحمل الوالدي و الوليدي . هدف البحث : دراسة تأثير BMI الوالدي ما قبل الحملي على النتائج السيئة للحمل ( للأم و الوليد) لدى عينة من السيدات الحوامل السوريات .
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 .
Artificial intelligence review:
Research summary
تتناول هذه الدراسة تأثير مشعر كتلة الجسم (BMI) الوالدي قبل الحمل على نتائج الحمل لدى عينة من السيدات الحوامل السوريات. شملت الدراسة 200 حامل في مشفى تشرين الجامعي في اللاذقية، وتمت متابعتهن حتى نهاية الحمل لتحديد النتائج الوالدية والوليدية. تم تصنيف المشاركات إلى أربع فئات حسب BMI: ناقص الوزن، طبيعي الوزن، زائد الوزن، وبدين. أظهرت النتائج أن الحوامل زائدات الوزن والبدينات يواجهن مخاطر أعلى لحدوث اختلاطات حملية مثل ما قبل الإرجاج، السكري الحملي، انبثاق الأغشية الباكر، الولادة القيصرية، والنزف بعد الولادة. كما أن الحوامل ناقصات الوزن يواجهن مخاطر أعلى لحدوث انفكاك المشيمة الباكر والولادة الباكرة. خلصت الدراسة إلى أن زيادة BMI الوالدي ترتبط بالعديد من نتائج الحمل السيئة، وأن نقص الوزن الوالدي يزيد من خطر حدوث نتائج سلبية مثل ولادة طفل صغير بالنسبة لعمر الحمل وانفكاك المشيمة الباكر.
Critical review
دراسة نقدية: تعتبر هذه الدراسة مهمة لأنها تسلط الضوء على تأثير مشعر كتلة الجسم الوالدي على نتائج الحمل، وهو موضوع ذو أهمية كبيرة في الصحة العامة. ومع ذلك، هناك بعض النقاط التي يمكن تحسينها. أولاً، حجم العينة صغير نسبياً مما قد يؤثر على دقة النتائج. ثانياً، لم يتم تناول العوامل الاجتماعية والاقتصادية التي قد تؤثر على نتائج الحمل. ثالثاً، كان من الأفضل تضمين مجموعة مقارنة من النساء غير السوريات لتحديد ما إذا كانت النتائج تختلف بناءً على الخلفية الثقافية والجغرافية. وأخيراً، كان من الممكن أن تكون الدراسة أكثر شمولية إذا تناولت أيضاً تأثيرات الوزن الزائد والنقص على الصحة النفسية للأمهات.
Questions related to the research
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ما هو الهدف الرئيسي من هذه الدراسة؟
الهدف الرئيسي هو دراسة تأثير مشعر كتلة الجسم الوالدي قبل الحمل على النتائج السيئة للحمل (للأم والوليد) لدى عينة من السيدات الحوامل السوريات.
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ما هي الفئات التي تم تصنيف المشاركات فيها حسب BMI؟
تم تصنيف المشاركات إلى أربع فئات: ناقص الوزن (BMI < 18.5 كغ/م²)، طبيعي الوزن (BMI 18.5-24.9 كغ/م²)، زائد الوزن (BMI 25-29.9 كغ/م²)، وبدين (BMI ≥ 30 كغ/م²).
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ما هي الاختلاطات الحملية الأكثر شيوعاً لدى الحوامل زائدات الوزن والبدينات؟
الاختلاطات الحملية الأكثر شيوعاً هي ما قبل الإرجاج، السكري الحملي، انبثاق الأغشية الباكر، الولادة القيصرية، والنزف بعد الولادة.
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ما هي النتائج السلبية الأكثر شيوعاً لدى الحوامل ناقصات الوزن؟
النتائج السلبية الأكثر شيوعاً لدى الحوامل ناقصات الوزن هي انفكاك المشيمة الباكر والولادة الباكرة.
References used
World Health Organization. Obesity and overweight fact sheet (number 311). Accessed October 10, 2015. Available at: http://www.who.int/mediacentre/factsheets/fs311/en/. Published January, 2015
Dodd JM, Grivell RM, Nguyen AM, et al. Maternal and perinatalhealth outcomes by body mass index category. Aust N Z J Obstet Gynaecol 2011;51(2):136–140
Bhattacharya S, Campbell DM, Liston WA, Bhattacharya S. Effect of body mass index on pregnancy outcomes in nulliparous women delivering singleton babies. BMC Public Health 2007; 7: 186-91
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As the prevalence of obesity has been increasing rapidly worldwide in recent times where
became of the most important diseases of age and the most influential public health, where a
second reason stainless prevention after smoking and leading to de
adly diseases, where it proved its
relationship with many cancers, especially cancers women such as cancer of the endometrine of the
uterus and breast cancer, where one study showed that obesity increases the progression of a range
of cancers also increase the proportion of morbidity and mortality resulting scientifically it is useful
to highlight the impact of obesity on the cellular changes and cervical colposcopy.
Research aim and justifications:To draw attention to the importance of obesity as a potential
factor to cause cellular alterations in the cervix due to it being a factor can be prevented and thus
emphasize the need to include obese within the league scanning programs.
The absence of a similar earlier study in Assad University Hospital.
Research methods and materials:Study 100 included sick of reviews the department of obstetrics
and gynecology at the Assad University Hospital in Lattakia during the period between 01/01/2012
and 01/01/2014, where they were questioning the patients and record information on Bmhar body
mass (weight, height) and did not study included patients smokers or users of oral contraceptives or
devices within the uterus (IUDs) or pregnant women or women with frequent infections.
Results :
- The existence of consensus between the results of endoscopic magnifier of the cervix and
cytological tests observed any that theory has not ignored any abnormal condition, with some cases
of false positive and this goes back to that colposcopy is a diagnostic test depends on the evaluation
of endoscopy specialist and his expertise in the interpretation of laparoscopic assets.
- Also found consensus among the results of smear and cellular screening with the presence
also some cases of false positive and this is due to not taking the biopsy directed properly, as is the
smear relatively test depends on the estimation of anatomy specialist patients and the presence of
abnormalities cell or to the extent this anomaly or for the possibility of error contained in the way
sampling or sample installed.
Conclusion:It turns out the study and depending on the value of the P value of a relationship
between obesity and assets laparoscopic and cellular cervix and thus conclude that all of Stain and
theorizing magnifier of the cervix and Sillete survey competently and are necessary can rely on
them in the initial survey for cancerous lesions and pre-cancer of the cervix in women obese.
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.
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.
This study describes our proposed model design for SMM4H 2021 shared tasks. We fine-tune the language model of RoBERTa transformers and their connecting classifier to complete the classification tasks of tweets for adverse pregnancy outcomes (Task 4)
and potential COVID-19 cases (Task 5). The evaluation metric is F1-score of the positive class for both tasks. For Task 4, our best score of 0.93 exceeded the mean score of 0.925. For Task 5, our best of 0.75 exceeded the mean score of 0.745.
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.
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