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Article
Uterine involution after term childbirth

Author: Anwar N. Al- Bassam * CABOG
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2009 Volume: 51 Issue: 1 Pages: 8-11
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: uterine involution is the process by which the postpartum uterus returning to itsprepregnant state by the process of autolysis. The aim of the study is to fallow the uterine involutionsonographicly during the first two weeks of puerperium and clinical correlation of several puerperalconditions was sought.Patients and methods: One hundred full term women were delivered in one of Baghdad hospitalduring a six month period were followed by serial sonogram during the first two weeks of thepuerperal period to show the normal process of uterine regression in relation to several condition .Therate of uterine involution were shown as percentage drop in uterine volume at day (7) and day (14)compared to day (1).Results: 59 patient included in this project were delivered vaginally, and 41 patient delivered byemergency C/S.The mean percentage drop in uterine volume in vaginal delivery was 39.9% at 7 days postpartum &62.7%at 14days postpartum and in those delivered by C/S was 27.9%at 7 days and 55.2 %at 14 dayspostpartum.24 patients had an abnormal offensive lochia and high vaginal swab was positive for the presence ofpathogenic organisms is 46% and negative in 54%inthe 7th postpartum day.The mean percentage drop in uterine size was faster in women delivered infant less than 4kg.(37%drop) compared to those delivered infant more than 4 kg.(26% drop) in the 1st 7 dayspostpartum regardless to the mode of delivery but the body weight loses its effect in the 14thIntroduction:daypostpartum.Conclusion:The uterine involution is faster in women delivered vaginally compared to thosedelivered by emergency C/S regardless to the weight of the newborn.The uterine involution isdelayed in women delivered newborns weighing more than 4 kg. , also the uterine involution isdelayed in women who are their high vaginal swab show presence of pathogenic organism. Nocorrelation was found between breast feeding &rate of uterine involution.Key word: puerperal uterus, ultrasound, mode of delivery, lochia, foetal weight, type of infantfeedin


Article
PREVALENCE OF HYALINE MEMBRANE DISEASE IN CESAREAN SECTION IN AL-KADHIMIYA TEACHING HOSPITAL
متلازمة عسر التنفس وعلاقتها بالعمليات القيصرية التي تجرى في مستشفى الكاظمية التعليمي

Author: Areeg Abdul- Abass Al-Omrani أريج عبد العباس العمران
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2009 Volume: 7 Issue: 3 Pages: 82-87
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background: Hyaline membrane disease ,one of the commonest cause of sever respiratory distress early in life ,which is caused by surfactant deficiency is described not only in preterm infant but also in near term babies after cesarean section . Objective: The study aimed to identify the occurrence of hyaline membrane disease following cesarean section (cs) in AL-Kadhimiya Teaching Hospital. Patient and methods: The study was conducted during the period between 1st January-30 April 2009, on 372 neonate born in AL-Kadhimiya Teaching Hospital .All patients were singletons, their gestational age between 37-40 weeks, and their body weight >2.5 kg. They were grouped into 3 groups according to the mode of delivery, normal vaginal delivery (NVD), emergency or elective CS.Result: Males were affected more than females (14.1%&9.2% respectively), occurrence of hyaline membrane disease was much higher after delivery by CS(18.5%)., than after NVD (4.76 %).There was little difference in the occurrence of hyaline membrane disease between emergency and elective CS and the lower the body weight of the neonate the more the occurrence of hyaline membrane disease was noted.Conclusion: Normal vaginal delivery has a possible protective effect against hyaline membrane disease as the frequencies of it’s occurrence was noticed to be less in normal vaginal deliveries than in cesarean section deliveries. Key words: Hyaline membrane disease, normal vaginal delivery, cesarean section ,elective ,emergency .

خلفية الدراسة : تعتبر متلازمة عسر التنفس واحدة من أهم أسباب دخول الأطفال ألحديثي الولادة إلى وحدة الخدج وحديثي الولادة والتي تحدث بسبب نقص مادة السيرفكتنت التي يؤدي نقصها إلى قله التبادل الغازي داخل الحويصلات الرئوية ,وهي تحدث نتيجة أسباب عديدة منها الولادة المبكرة ,مرض السكري عند الأم الحامل والعمليات القيصريةهدف الدراسة :لمعرفة العلاقة بين حدوث متلازمة عسر التنفس و العمليات القيصرية التي تجرى في مستشفى الكاظمية التعليميطريقة الدراسة :تضمنت هذه الدراسة التي أجريت في مستشفى الكاظمية التعليمي للفترة من اليوم الأول لشهر كانون الثاني لسنة 2009 إلى الثلاثون من شهر نيسان من نفي السنة ,372طفل حديث الولادة مصاب بمتلازمة عسر التنفس والذين تتراوح مدة الحمل بهم من 37 إلى 40 أسبوع وكانت أوزانهم أكثر من 2,5 كغم حيث تم تقسيمهم إلى مجاميع حسب نوع الولادة وهي ولادة طبيعية أو قيصريهالنتائج : أظهرت الدراسة إن نسبة الإصابة عند الذكور (14,1 % )أعلى من نسبة الإصابة عند الإناث(9,2 % ), وأظهرت الدراسة كذلك إن الإصابة بمتلازمة عسر التنفس عند الأطفال الذين يولدون بواسطة العمليات القيصرية (18,5 %) أكثر بكثير من الأطفال الذين يولدون بواسطة الولادة الطبيعية وهناك أيضا زيادة نسبة الإصابة عند الأطفال ألحديثي الولادة والذين تقل أوزانهم عن 3 كغم الاستنتاج :الولادة الطبيعية هي واحدة من أهم العوامل التي تقلل نسبة الإصابة بمتلازمة عسر التنفس وكذلك فا ن نقص وزن الطفل يشكل احد العوامل المؤدية للإصابة بها مفتاح الكلمات :الولادة الطبيعية ,العملية القيصرية ,متلازمة عسر التنفس

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