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S Idrizbegović

Publications and source records attributed to S Idrizbegović.

5 recordsLinked to original sources

[Frequency of induced abortions in mid-pregnancy at the Gynecology and Obstetrics Clinic in Sarajevo 1993-1994].

During the two war years, higher pregnancies were interrupted by 133 patients either for medical, social or ethical causes. To induce abortions, 15 methyl prostaglandin F2 was used. In advance, portions had been prepared (softened) with cervical application of prepidil gel in dose of 0.5 g. Starting eight to ten hours later Prostin 15 M was applied every 3 hours in dose of 250 mg. An average period from gel application to expulsion of ovulum was 30 hours by nullipara and 21 hours by patients who have delivered a child before. Due to strong uterotonic activity of these medicaments side effects like nausea, vomiting, diarrhoea and prostration occurred several times. Serious complications were registered in 4 patients. Three of them suffered cervix rupture due either to insufficient preparation or external orifitium spasm. The fourth one had profuse bleeding due to secondary atonia. Ruptures were sutured and bleeding stopped with standard uterotonic and blood transfusion.

Abortion, Induced↗

[Preoperative priming with Prepidil gel and laminaria in the first trimester of pregnancy].

To study possibilities of prevention of late sequelae of first trimester dilatation and curettage, such as cervical incompetence, spontaneous abortions and premature deliveries in aftercoming pregnancies, we used cervical preoperative priming with Prepidil gel and laminariae. The study included 60 primigravidas who were 6-10 weeks pregnant. Six hours included preoperatively one subgroup was treated with laminariae intracervically. Success of cervical priming was compared with so called ideal cervical score. In relation to such criteria the success in Prepidil group was 88%, and in laminaria group 82%. This difference was not significant. It could be concluded that preoperatively undertaken cervical priming with prostaglandins and laminariae successfully increased cervical score, cervical resistance being reduced in that way. In this gestational period such priming makes abortion less dangerous procedure and it lessens the possibility of different early and late complications of first trimester dilatation and curettage.

Abortion, Induced↗

[Urinary infections during pregnancy and methods of prevention].

Urinary tract infections in pregnant women develop owing to the short urethra in women, mechanical pressure of the uterus onto atonic urethra during pregnancy, atony of the urinary bladder caused by the level of progesterone, iatrogenic factors (catheterization), some metabolic disorders, anemia, obstipation etc. These are frequent reasons why pregnant women over the pregnancy period develop infections of urinary tract, where a significant number of them have bacteriuria showing no symptoms of acute infection whatsoever. The research covered unselectively 4,850 urine samples of pregnant women. The results obtained by classical methods--taking urinoculture and doing antibiogramme--have shown that in this sample there is a large number of asymptomatic bacteria (13%), which is complicated by an increased incidence of pyelonephritis gestoses in the second half of the pregnancy. In our sample, the commonest cause of urinary infections has been E. Coli, then the second trimester of risk gestation period; the risk group with regard to parity are primiparas, while the risk age is between 20 and 29.

Adult↗