CCL

Összesen 3 találat.
#/oldal:
Részletezés:
Rendezés:

1.

001-es BibID:BIBFORM034306
Első szerző:Babinszki Ágota
Cím:Perinatal outcome in grand and great-grand multiparity : effects of parity on obstetric risk factors / Babinszki Ágota, Kerenyi Thomas, Török Olga, Grazi Victor, Lapinski Robert H., Berkowitz Richard L.
Dátum:1999
ISSN:0002-9378
Megjegyzések:OBJECTIVE: We sought to compare obstetric and neonatal complications among great-grand multiparous, grand multiparous, and multiparous women. STUDY DESIGN: One hundred thirty-three great-grand multiparas, 314 grand multiparas, and 2195 multiparas who were delivered of their infants between 1988 and 1998 were selected for the study. To facilitate comparison, the patients were all >35 years old and had similar socioeconomic characteristics. RESULTS: The incidence of malpresentation at the time of delivery, maternal obesity, anemia, preterm delivery, and meconium-stained amniotic fluid increased with higher parity, whereas the rate of excessive weight gain and cesarean delivery decreased. Compared with grand multiparas, great-grand multiparas had significantly elevated risks for abnormal amounts of amniotic fluid, abruptio placentae, neonatal tachypnea, and malformations but lower rates of placenta previa (P <.05). The incidence of postpartum hemorrhage, preeclampsia, placenta previa, macrosomia, postdate pregnancy, and low Apgar scores was significantly higher in grand multiparas than in multiparas, whereas the proportion of induction, forceps delivery, and total labor complications was significantly lower than in the multiparous group (P <.05). Similar frequency of maternal diabetes, infection, uterine wall scar rupture, variations in fetal heart rate, fetal death, and neonatal mortality was found in the 3 groups. CONCLUSION: Both high-parity groups have their own risk factors, but the rate of some complications decreases with higher parity. In addition, perinatal mortality remains low in these patients, and therefore, under satisfactory socioeconomic and health care conditions, high parity should not be considered dangerous.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
grand multipara
great-grand multipara
risk factors
Megjelenés:American Journal Of Obstetrics And Gynecology. - 181 : 3 (1999), p. 669-674. -
További szerzők:Kerényi D. Thomas Török Olga (1956-) (szülész-nőgyógyász, humángenetikus) Grazi, Victor Lapinski, Robert H. Berkowitz, Richard L.
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
Borító:

2.

001-es BibID:BIBFORM062314
Első szerző:Selam, Belgin
Cím:Genetic amniocentesis after multifetal pregnancy reduction / Belgin Selam, Olga Torok, Arda Lembet, Joanne Stone, Robert Lapinski, Richard L. Berkowitz
Dátum:1999
ISSN:0002-9378
Megjegyzések:OBJECTIVE: Our purpose was to evaluate the pregnancy loss rate resulting from genetic amniocentesisafter multifetal pregnancy reduction.STUDY DESIGN: A cohort study was performed in pregnancies with maternal age >30 years. Pregnancyloss in a study population of 127 patients who underwent genetic amniocentesis after multifetal pregnancyreduction were compared with a control group of 167 patients who did not have genetic amniocentesis aftermultifetal pregnancy reduction.RESULTS: The pregnancy loss rate in patients who underwent genetic amniocentesis after multifetal pregnancyreduction was 3.1% (4/127 cases) compared with 7.2% (12/167 cases) in the controls (P > .05). In thestudy group evidence of infection was found in only 1 case, in which the pregnancy loss occurred 1 day afterthe amniocentesis. In the other cases the pregnancy losses occurred 5 weeks after genetic amniocentesis,and these losses could not be directly attributed to either genetic amniocentesis or the multifetal reductionprocedure.CONCLUSION: Our data suggest that the performance of genetic amniocentesis after multifetal pregnancyreduction does not increase the risk of pregnancy loss over that observed in association with the reduction itself.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Genetic amniocentesis
multifetal pregnancy reduction
pregnancy loss
Megjelenés:American Journal Of Obstetrics And Gynecology. - 180 : 1 (1999), p. 226-230. -
További szerzők:Török Olga (1956-) (szülész-nőgyógyász, humángenetikus) Lembet, Arda Stone, Joanne L. Lapinski, Robert H. Berkowitz, Richard L.
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

3.

001-es BibID:BIBFORM034307
Első szerző:Török Olga (szülész-nőgyógyász, humángenetikus)
Cím:Multifetal pregnancy reduction is not associated with an increased risk of intrauterine growth restriction, except for very-high-order multiples / Török Olga, Lapinski Robert, Salafia Carolyn M., Bernasko James, Berkowitz Richard L.
Dátum:1998
ISSN:0002-9378
Megjegyzések:OBJECTIVE: Our purpose was to investigate whether multifetal pregnancies reduced to twins have an increased risk of intrauterine growth restriction and discordant birth weight. STUDY DESIGN: This retrospective cohort study investigated the rates of birth weight discordance > 20% and intrauterine growth restriction using both twin and singleton birth weight curves in 441 twin deliveries after multifetal pregnancy reduction (233 reduced from triplets, 156 from quadruplets, and 52 from quintuplets or greater) compared with 136 nonreduced dichorionic twins. RESULTS: No significant difference was found in the frequency of birth weight discordance and in the overall incidence of intrauterine growth restriction by both twin and singleton birth weight curves when pregnancies that underwent multifetal pregnancy reduction were compared with the control group. There was, however, an almost twofold increase in the rate of intrauterine growth restriction in pregnancies with a starting fetal number of 5 or more (23.1%) compared with that in those reduced from triplets or quadruplets (12.1%) when the twin curve standard was used (P = .03). This difference disappeared when these groups were compared with a singleton nomogram. CONCLUSION: This study suggests that multifetal pregnancy reduction is not associated with an increased risk of intrauterine growth restriction unless the starting fetal number is > or = 5. This finding provides a further rationale to avoid transferring excessive numbers of preembryos after in vitro fertilization.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
multifetal pregnancy reduction
intrauterine growth restriction
twins
Megjelenés:American Journal Of Obstetrics And Gynecology. - 179 : 1 (1998), p. 221-225. -
További szerzők:Lapinski, Robert H. Salafia, Carolyn M. Bernasko, James Berkowitz, Richard L.
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
Borító:
Rekordok letöltése1