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Biomedical subjects

V Porozhanova

Publications and source records attributed to V Porozhanova.

At least 37 records · Page 2Linked to original sources
PubMed1996

[The perinatal outcome in adolescents with eclampsia and the HELLP syndrome].

Nineteen adolescent patients with eclampsia were studied in the course of 6 years. In 68% of the cases eclampsia (E) occurred antepartum, in 5% intrapartum. Maternal mortality was 52.65% (one patient with HELLP syndrome). Serious maternal morbidity included disseminated intravascular coagulations (10.52%), abruptio placentae (15.8%), pulmonary edema (5.26%) and acute renal failure (5.26%). Abruptio placentae was strongly correlated with the development of disseminated intravascular coagulation (p 0.0001), acute renal failure (p 0.001) and pulmonary edema (p 0.001). Eclampsia and HELLP syndrome were the most dangerous complications in adolescent pregnancies. They are associated with a serious maternal morbidity, especially when it arises in the postpartum period.

Adolescent↗
PubMed1996

[Pregnancy and labor in congenital and acquired pelvic injuries].

The authors have studied the evolution of the pregnancy and delivery in 48 women with deformations of the pelvis, who have given birth at the Medical University, Pleven, for a period of 5 years. Luxatio coxae congenita (L. C. C.) has been found in 38 pregnant women, fractured pelvis in 7 cases, secondarily deformed in 2 cases and obliquely contracted in 1 case. The presents of such a limitation has been found in 7 cases (14.58%). Data for fetal hypoxia by cardiotocography have been observed in 2 cases (4.17%), which has served as an additional indication for caesarean section (s. c.). Those having luxation pelvis have had a vaginal delivery in 23 (60.53%), and in 15 (39.47%) cases by c. s. 6 out 7 women with fractured pelvis delivered by c. s. The higher rate of c. s. is more evident in fractured and deformed pelves, while in luxation and especially in the bilateral L. C. C. only 13 have operated.

Adolescent↗
PubMed1995

[Ultrasonic screening of pregnant teenagers].

Ultrasonography was applied to investigate 218 pregnant girls aged 11 to 16 for a period of 6 years, 70 of whom were examined in the first trimester and 148--in the second and third trimester. The girls presented the following disturbances: bleeding, expected premature birth, complications of pregnancy such as preeclampsia-eclampsia, suspected pelvio-fetal disproportions. Standard biometry was applied using automatic recording of body weigh by the formula of Campel. Missed abortion was diagnosed in 10 patients in the first trimester and 12 were found with blighted ovum. Ultrasound screening and cardiotocography are the most reliable to examine the status of the fetus.

Adolescent↗
PubMed1995

[The large fetus--its obstetrical management and the results].

To find the maternal-fetal outcome 98 pregnancies with fetal weight over 4000 g have been observed. For the period 1993-1994 the rate of large fetus was 2.76%, 0.84% of which were over 4500 g. The second period of delivery was prolonged in 9.7% of all primigravidas. The registered shoulder dystocia and perineal lacerations of the mother were related to increasing birthweight. Difficult deliveries resulting in clavicle fracture or brachial plexus injuries and facial trauma. Fetal distress was observed in 7.14%. Congenital anomalies were not increased in the group of the large fetus. No maternal death was registered. The strict observation of the pregnant for latent diabetes mellitus and anticipation of the potential complications associated with delivery of a large infant may reduce maternal and neonatal morbidity rates and maintain low mortality rates.

Adult↗
PubMed1995

[Prostaglandin E2--an effective alternative for the induction of labor].

The authors aimed at studying the local application of PgE2 as a method of labor induction. 50 pregnant women divided into 3 groups were studied: I with Prostin E2 - vaginal tablets of 3 mg. Dinoprostone. II with Prepidil gel - 0.5 mg. Dinfprostone, applied intracervically and III with additional stimulation with Oxytocin - 5 E as an i.v. infusion. The criteria used were: parity, gestational age, Bishop score indications for induction. Success is considered as normal delivery by the 24th hour. Indications for PgE2 application are prematurity praeeclampsia, fetal malformations, fetal death, grave obstetrics history, RH incompatibility. It was discovered that with Prostin E2, the active phase of labor is reduced thus leading to reduction of labor. The frequency of operative deliveries also reduced and there were better fetal outcome. Two important advantages were discovered--simple application and physiologic advantages--the woman in labor is mobile and thus not traumatised. The authors stress that PgE2 application can be considered an effective method for labor induction.

Administration, Intravaginal↗
PubMed1995

[Social psychological studies of pregnant adolescents].

Extramarital pregnancies among adolescent girl is not only an obstetrical, but also a socio-psychological problem. By use of special methods (questionnaires, a scala for gravity of psycho-social stress. Eysenck's [correction of Isenk's] test and self score diagnostic test), 63 adolescent pregnant girls were studied aged 13-16, of which 33 delivered and 30 terminated their pregnancies at will. Almost half of the girls were gypsies with little or no education and relatively healthy live style. In 70% of the cases family climate was saturated with conflicts. 48% of the pregnant girls accepted their pregnancy calmly, in 79% of the cases it was decided, 87% of the girls expected to marry the father of their children, and in 30% the children were left for adoption. 33% of the patient were victims of rape and had negative relationship towards their pregnancy. In 41% the pregnant women exhibited introversion and in 38%--extroversion and in those who delivered the ratio was almost the same In this same group moderate to intense stress was almost the rule, while among those who terminate their pregnancies light stress was observed. Neurotic tendencies among those who delivered was also observed, likely due to the reaction towards the process of difficult adaptation to the fact of the extramarital delivery. In the studied group we didn't observe extreme cases of social disadaptation reached crises of the pregnancy, abortion or delivery

Abortion, Legal↗
PubMed1995

[The perinatal results in underage mothers].

The perinatal problems in 625 newborn babies from adolescent mothers (13-16) have been observed and compared with those of a control group of 350 children. The average age in the studied group is 15.7 years. The average birthweight in 2940 g. 20% of whom were born before 37 weeks The perinatal death rate in adolescent mothers is 1.9 times higher than that of the control group and 3 times bigger than the general population. Stillbirth is 11.2%. The reasons for the perinatal deaths were interpreted through alternative analysis. The basic reason has been found to be prematurity. The perinatal death rate in associated primarily with prematurity and chronic fetal distress and in the control group we have to consider the malformations and ablatio placentae. The unfavorable perinatal outcome are more frequent in the group of the low social status mothers and those with inadequate antenatal cares.

Adolescent↗
PubMed1995

[Rupture of follicular and corpus luteum ovarian cysts--the cause of acute gynecological abdomen].

The symptomatology of the ruptured follicular and corpus luteum cysts varies from clinical occult status to haemorrhagic shock according to clinical studies for a ten years period. The syndrome frequency is higher in women over 30 years of age at rate 1:2 of the follicular to luteum cysts affecting mainly the right ovary. Twenty percent of the patients have been treated conservatively. Preoperative and intraoperative diagnosis coincides in 92% of the cases.

Abdomen, Acute↗
PubMed1994

[Abortions on demand in adolescents].

The pregnancy is an integral part in the life of teenagers. When the conception was appeared the adolescents have to choose between interruption of delivery. Psychological status, contraceptive use and sexual behavior, motivation for abortion, operative methods and complications were observed in 463 teenagers, aged 13-17 years, who had an abortion voluntary in the last 6 years (1988-1993). We were found an abortion rate to 2.33% in our Dept. Obstet. Gynaecol. and a trend to increase the number of delivery in teenagers. The medical complications of abortions were: perforatio uteri complicata (0.65%) and endometritis acuta (9.29%), in cases with pregnancies over 16-20 g.a. This investigation was characterized from the teenagers as an stress and will be able to be complicate with a psychological disorders.

Abortion, Legal↗
PubMed1994

[Adolescent pregnancy and the development of pre-eclampsia--eclampsia].

The authors aim to investigate the incidence and severity of pre-eclampsia--eclampsia in adolescent pregnancies (age under 17 years) and to evaluate the outcome of pregnancy and birth in this patients. With this purpose we compare obstetric and neonatal results in 528 adolescents aged between 13 and 17 years with the results of a control group of mothers aged between 20 and 24 years. We used clinical observation, laboratory findings, instrumental diagnostics and scoring systems. Data were computer-processed. Pre-eclampsia and eclampsia was diagnosed in 17 cases (3.22%), with mild forms prevailing (2.46%). Eclampsia developed in 4 pregnant (0.76%)-an incidence differing from that cited in the literature. We are impressed by the outmost severity of eclampsia in the adolescents, with 1 case of fatal outcome. Seven of the newborns were retarded. The most frequent indications to caesarean section were placental ablation and foetal distress syndrome. Operative delivery was performed in 41.18%. One case of foetal antenatal death and one death in the early neonatal period were observed, both in mothers with eclampsia. The authors conclude that the incidence of pre-eclampsia and eclampsia in adolescents is lower than in general obstetric population, but if eclampsia develops, it is fulminant and in some cases is fatal for the mother or the foetus. This grave prognosis may be related to inappropriate antenatal care in this patient group.

Adolescent↗
PubMed1994

[Contraception among adolescents].

Adolescence is a period of which the contraception is difficult, because of lower compliance of the teenagers to this methods. The authors were observed the contraceptive uses in 792 pregnant adolescent girls, 264 of which with abortions (group A) and 528 teen-age mothers (group B). Only 12.88% of all patients have used birth control methods, usually with low and middle effects. We founded only 15 patients (1.89%) practiced hormonal contraception and 1 case (0.13%) with Intrauterine devise. The condoms for men was the most popular and useful in teenagers (4.23%), and Natural family planning methods were practiced from 52 (6.57%) patients. There was the statistically differences between adolescent girls included in group A and B about their contraceptive behaviors and live standards (p < 0.01). By the kind of contraceptive methods, there was a high differences in the teenagers with a hormonal uses (p < 0.05).

Adolescent↗
PubMed1994

[Pregnancy and labor in young girls].

The premature sexual contacts in adolescence are the most important factor for the high rate of teenage pregnancies. The authors were observed 528 pregnancies in adolescent girls (aged 13-17 years) and 100 mothers at their 20-24 years, as a control group. There were significant differences between the education level, ethnic origin and professional status in our populations. We founded in adolescent group anaemia in 13.64%, an overweight in 6.44% and preeclampsia-eclampsia in 3.22%. The rate of premature delivery was higher (17.99%), caesarean section were performed in 5.44% and instrumental extraction was practiced in 1.70% of adolescent girls. Despite an pregnancy and delivery with a normal evolution, the mother-fetal prognoses were complicated from the hard psychoemotional, social and economical problems about these young mothers.

Adolescent↗
PubMed1990

[Premature sexual activity among girls and an attempt at sex education].

In connection with early sexual activity among juveniles the authors interview 292 girls at the age of 15-18 years in three towns (Sofia, Pleven, Cherven Bryag). Sexual activity is studied in girls as well as their initial information level in taking decision for sexual participation. 38 (13.01) of the girls were sexually experienced as 12 (13.57%) of them had sexual activity more than 2 years. Girls, aged 16 and 17 years, had the highest sexual activity (44.75%). 10 (26.31%) of the sexually active girls had more than 2 partners. 11 (28.95%) of the girls were informed very well, but 4 (10.53%) of them had almost no information. 4 (10.53%) of sexually experienced girls used contraceptives and those were mainly condoms and pills. The necessity of timely sexual education is stressed, taking into consideration that pregnancy is a consequence of early sexual activity at adolescent age.

Adolescent↗
PubMed1989

[The development of pregnancy and labor in adolescents].

271 girls under the age of 16 years and 21-under the age of 14 years delivered at the obstetric clinic during the last three years (1985-1987). Compared with the total number of deliveries the frequency of deliveries in teenagers represented 2.7%. 1191 (11.7%) teenagers delivered at the adolescent age (up to 18 years) during the same period of time and 1781 (17.7%) teenagers performed induced interruption of pregnancy. The authors think that this frequency gives sufficient foundation to study obstetric problems in teenagers. The following parameters were examined: age, social status, menarche, pathology and duration of pregnancy, attendance to antenatal clinic, parity, way of delivery, complications of the mother and fetus during delivery. Besides some reservations a general inference is made that advancement and delivery in teenagers according to the material analysed from an obstetric point of view did not present more elements of pathology, encountered after that age. The authors widen their study and outline problems from psychosocial aspect, taking into consideration some medicobiological peculiarities in the course of pregnancy and delivery in this rather young group of teenagers.

Abortion, Spontaneous↗