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001-es BibID:	BIBFORM078760
Első szerző:	Póka Róbert (szülész-nőgyógyász, klinikai onkológus)
Cím:	Large fetal weight alone in Robson-1 parturients doesn't translate into a risk of Caesarean delivery higher then that of a vaginal birth / Robert Póka, Levente Barna, Péter Damjanovich, Zsolt Farkas, Szabolcs Molnár, Mónika Orosz, Lilla Ördög, Attila Sipos, Gábor Juhász, Olga Török
Dátum:	2019
Megjegyzések:	The authors analysed the Caesarean section rate as a function of birth weight among Robson-1 parturients and compared with that among the unselected obstetric population. Study design A retrospective analysis of birth weight, maternal height and the route of delivery was carried out in an unselected obstetric population of 26012 parturients. The authors compared birth weight centile distributions of vaginally, and that of abdominally delivered fetuses between Robson-1 parturients as well as those of the total obstetric population. Results The 90th birth weight centile of fetuses delivered at 37, 38, 39, 40, 41, and 42 weeks gestation were 3960 g, 3960 g, 4000 g, 3950 g, 4000 g and 3820 g, respectively. Among Robson-1 parturients, 677 fetuses weighed >4000 g, and 448 patients (66%) were delivered vaginally. Maternal height did not influence either the birth-weight-percentiles or the Caesareanrates substantially. Above the birth weight of 4000 g, the Caesarean-rate among Robson-1 parturient rose similarly to that of the total obstetric population. In the knowledge of the most accurately estimated fetal weight, the odds of a Caesarean delivery among Robson-1 parturients was not different from that of the total obstetric population. Among pregnancies with fetuses weighing less than 5000 g, the Caesarean-rate was below 50% in both Robson-1 parturients and the total obstetric population of 10 years. Conclusion Even the best possible estimation of fetal weight cannot give a valid reason to downplay the intent of vaginal birth based on the fetal size above 3900g that would be associated with increased odds of Caesarean delivery.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban birthweight Caesarean section large fetus Robson-1
Megjelenés:	Journal of Obstetrics and Gynecology and Reproductive Biology. - 239 (2019), p. 7-10. -
További szerzők:	Barna Levente Damjanovich Péter Gábor (1985-) (szülész-nőgyógyász) Farkas Zsolt (1987-) (szülész-nőgyógyász) Molnár Szabolcs (1987-) (szülész-nőgyógyász szakorvos) Orosz Mónika (1991-) (Szülész-nőgyógyász) Ördög Lilla Sipos Attila Gergely (1990-) (szülész-nőgyógyász) Juhász Alpár Gábor (1973-) (szülész-nőgyógyász, gyermeknőgyógyász) Török Olga (1956-) (szülész-nőgyógyász, humángenetikus)
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM124422
035-os BibID:	(scopus)85204968356 (WoS)001329092500001
Első szerző:	Rátonyi Dávid (Szülész-nőgyógyász)
Cím:	The impact of short-term pelvic floor muscle training on the biomechanical parameters of the pelvic floor among patients with stress urinary incontinence : a pilot study / Rátonyi Dávid, Koroknai Erzsébet, Pákozdy Krisztina, Sipos Attila G., Takacs Peter, Krasznai Zoárd Tibor, Kozma Bence
Dátum:	2024
ISSN:	0301-2115
Megjegyzések:	Objective: Our study aimed to improve the understanding of the biomechanical changes occurring in the pelvic floor due to pelvic floor muscle training (PFMT), which is responsible for improving stress urinary incontinence (SUI) symptoms. Study design: In this prospective cohort study, we examined the impact of a six-week PFMT program in women with stress or stress-predominant urinary incontinence on the biomechanical parameters of the pelvic floor. Fifty-two biomechanical parameters were measured by Vaginal Tactile Imager (VTI) at baseline and at a six-week follow-up. In addition, we have assessed the Urinary Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7), and Patient's Global Impression of Severity (PGI-S) scores at enrolment and at six-week follow-up. We have divided our cohort into two groups, Improved Group (IG) and Not-improved Group (NIG), based on the change in UDI-6 score after six weeks and compared the biomechanical changes within and between the two groups. Results: The overall cohort included twenty women with stress or stress-predominant SUI based on MESA questionnaire [MESA SUI index (mean ? SD) 63.3 % ? 24.0 %, MESA UUI index (mean ? SD) 13.3 % ? 15.3 %, p < 0.01]. Nine of the 52 VTI parameters have changed significantly after six weeks of PFMT in the entire cohort. Eleven women (IG) achieved the minimum 11-point change in the UDI-6 scaled score. In IG, we found that three VTI parameters differed significantly: Parameter 1: the maximum value of force measured during the VTI probe insertion [(N, mean ? SD) 0.55 ? 0.18 vs. 0.78 ? 0.31, p < 0.049], parameter 18: the maximum gradient at the upper third of the vagina (posterior) [(kPa/mm, mean ? SD) 0.16 ? 0.05 vs. 0.36 ? 0.28, p < 0.048], and parameter 47: integral force change in the anterior compartment at reflex pelvic muscle contraction (cough) [(N, mean ? SD) 1.61 ? 0.85 vs. 1.97 ? 0.71, p < 0.045]. Conclusion: Our study revealed a significant association between the improvement of strength in targeted muscle groups and a reduction in urinary incontinence symptoms. Identifying specific muscles changing PFMT provides valuable insights for specific interventions. Our findings may help to create personalized and targeted interventions to improve the quality of life of women affected by SUI.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Stress urinary incontinence Pelvic floor muscle training Vaginal Tactile Imager
Megjelenés:	European Journal Of Obstetrics Gynecology And Reproductive Biology. - 302 (2024), p. 283-287. -
További szerzők:	Koroknai Erzsébet (1987-) (szülész-nőgyógyász) Pákozdy Krisztina (1991-) (szülész-nőgyógyász) Sipos Attila Gergely (1990-) (szülész-nőgyógyász) Takács Péter (1968-) (szülész-nőgyógyász) Krasznai Zoárd Tibor (1973-) (szülész-nőgyógyász, gyermeknőgyógyász) Kozma Bence (1982-) (szülész-nőgyógyász)
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001-es BibID:	BIBFORM084241
Első szerző:	Takács Péter (szülész-nőgyógyász)
Cím:	The effect of oral zinc supplementation on cervicovaginal lavage fluid zinc level / Takacs Peter, Damjanovich Peter, Sipos Attila Gergely, Kozma Bence
Dátum:	2020
ISSN:	0301-2115
Megjegyzések:	Objectives: To investigate the effect of oral zinc supplementation on cervicovaginal lavage fluid (CVL) zinc level in pre and postmenopausal women. Study design: A prospective interventional cohort study was carried out by the enrollment of twelve premenopausal and ten postmenopausal women without significant gynecological conditions. Women received daily oral supplementation with 30?mg of zinc for two weeks. Clinical and demographic variables were stored in a dedicated database. Vaginal Health Index was calculated, and vaginal cytology was obtained. CVL and serum samples were collected in a standardized fashion before and after completion of the oral supplementation. Zinc and copper levels were measured by inductively coupled plasma optical emission spectrometry. Paired t-test was used to compare the before and after treatment results. Results: Serum zinc levels increased significantly both in the pre and postmenopausal women (0.88???0.17 vs. 1.06???0.23, p?<?0.01 and 0.83???0.24 vs. 0.96???0.33, p?<?0.01) after two weeks of daily oral zinc supplementation. CVL zinc level was significantly higher in the premenopausal group compared to the postmenopausal group before and after supplementation (0.13???0.05 vs. 0.06???0.04, p?<?0.01 and 0.10???0.03 vs. 0.05???0.01, p?<?0.01). Zinc supplementation had no significant impact on the CVL zinc level in either group. Neither serum nor CVL copper levels were affected by the zinc supplementation. There was no significant correlation between serum and CVL zinc or copper levels. Conclusion: Daily oral supplementation with 30?mg of zinc had no significant impact on CVL zinc level despite a significant rise in serum zinc level.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Zinc Cooper Cervicovaginal lavage Vaginal Health Index Maturation value
Megjelenés:	European Journal Of Obstetrics Gynecology And Reproductive Biology. - 248 (2020), p. 106-109. -
További szerzők:	Damjanovich Péter Gábor (1985-) (szülész-nőgyógyász) Sipos Attila Gergely (1990-) (szülész-nőgyógyász) Kozma Bence (1982-) (szülész-nőgyógyász)
Pályázati támogatás:	GINOP-2.1.1-15-2016-00783 GINOP
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