المؤلفون: Ünal, Canan, Tanaçan, Atakan, Fadiloğlu, Erdem, Çağan, Murat, Yücesoy, Halise Meltem, Beksaç, Mehmet Sinan

المصدر: Journal of the Turkish-German Gynecological Association; Dec2023, Vol. 24 Issue 4, p241-245, 5p

مصطلحات موضوعية: OBSTRUCTIVE lung disease diagnosis, ECHOCARDIOGRAPHY, CHILDBIRTH, STATURE, LENGTH of stay in hospitals, PNEUMONIA, ACADEMIC medical centers, BODY weight, PERICARDIAL effusion, PREGNANT women, RETROSPECTIVE studies, MANN Whitney U Test, GESTATIONAL age, PREGNANCY outcomes, VITAL capacity (Respiration), PREECLAMPSIA, RISK assessment, SCOLIOSIS, SYMPTOMS, PULMONARY function tests, DESCRIPTIVE statistics, CHI-squared test, BIRTH weight, FORCED expiratory volume, HOSPITAL care, PUERPERIUM, DATA analysis software, CESAREAN section, LONGITUDINAL method, PREMATURE labor

مصطلحات جغرافية: TURKEY

مستخلص: Objective: To demonstrate the impact of scoliosis on pregnancy and gestational outcome. Material and Methods: We retrospectively evaluated gestational outcomes of pregnant women with scoliosis at Hacettepe University Hospital between 2008 and 2018. Cases were grouped according to the presence of previous scoliosis surgery and compared in terms of gestational week at birth, birthweight, rate of neonatal intensive care unit admission, hospitalization during pregnancy, route of delivery, type of anesthesia at labor and postpartum intensive care unit admission rate. Ejection fraction (EF), functional vital capacity (FVC), forced expiratory volume (FEV1) and FEV1/FVC ratio values were also recorded. Results: A total of 23 women were included, of whom 12 (52.2%) had a prior scoliosis surgery. One of the 23 (4.3%) cases was terminated due to respiratory problems, while the remaining 22 cases resulted in deliveries. The median gestational week at birth was 38.2 and the median birth weight was 3150 g. Median (range) maternal height was 143 (80-160) cm while median (range) maternal weight was 51 (35-86) kg. Three (13.6%) were diagnosed with restrictive lung disease. No significant difference was found between operated and non-operated groups in terms of respiratory function test results, cardiac EF and other related demographic and clinical features. Overall cesarean delivery rate was 63.6% (14/22) and cesarean section rate was significantly higher in the operated group (83.3% versus 40%) (p=0.04). Conclusion: Cesarean section rate was increased in this cohort of pregnancies in women with scoliosis and who had previous scoliosis surgery. [ABSTRACT FROM AUTHOR]

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العنوان البديل: Olumsuz gebelik sonuçları için yeni ortaya çıkan potansiyel bir risk faktörü olarak periodontal hastalıklar: kavramların gözden geçirilmesi.

المؤلفون: Bansal, Jyoti¹ drjyo17@yahoo.co.in, Bansal, Abhishek¹, Kukreja, Navneet¹, Kukreja, Urvashi¹

المصدر: Journal of the Turkish-German Gynecological Association. Sep2011, Vol. 12 Issue 3, p176-180. 5p. 2 Diagrams.

مصطلحات موضوعية: *RISK factors in premature labor, *PERIODONTAL disease diagnosis, *PERIODONTAL disease treatment, *BIRTH weight, *CHILDBIRTH, *PERIODONTAL disease, *PREGNANCY

الملخص (بالإنجليزية): Preterm birth is the leading perinatal problem with subsequent morbidity and mortality in developed as well as developing nations. Among the various possible environmental, genetic, demographic, psychosocial and obstetric risk factors responsible for premature labor, poor oral health with periodontal infection has also emerged as a potential and modifiable risk factor for preterm low birth weight babies. The infected periodontium is regarded as a reservoir for periodontopathic bacteria, mainly gram negative anaerobes that serve as a source of endotoxins and lipopolysaccharides, proinflammatory cytokines and prostaglandins that enhance uterine muscle contraction leading to preterm low birth weight. Also, the progression of periodontal disease during pregnancy appears to increase the fetal growth restriction, irrespective of baseline periodontal disease status. Thus, identification and treatment of periodontal disease should be considered an important intervention strategy as a part of prenatal care to reduce adverse pregnancy outcomes. [ABSTRACT FROM AUTHOR]

Abstract (Turkish): Hem gelişmiş hem de gelişmekte olan ülkelerde, preterm doğum ile bunu izleyen morbidite ve mortalite önde gelen perinatal problemdir. Prematür doğumdan sorumlu çeşitli olası çevresel, genetik, demografik, psikososyal ve obstetrik risk faktörleri arasında, periodontal enfeksiyonla birlikte olan kötü ağız savlığı da preterm düşük doğum ağırlıklı bebekler için potansiyel ve değiştirilebilir bir risk faktörü olarak ortaya çıkmıştır. Enfekte olmuş periodontium, preterm düşük doğum ağırlığına yol açan uterus kas kasılmalarını artıran endotoksinler, lipopolisakkaridler, proinflamatuvar sitokinler ve prostaglandinler için bir kaynak görevi gören başlıca gram negatif anaeroplar olmak üzere periodontopatik bakteriler için bir rezervuar olarak görülmektedir. Aynı zamanda, gebelik sırasında periodontal hastalığın ilerlemesi başlangıçtaki periodontal hastalık durumuna bakmaksızın fötal büyüme sınırlamasını artırıyor görünmektedir. Sonuç olarak, adverse gebelik sonuçlarını azaltmak için prenatal bakımın bir parçası olarak periodontal hastalığın tanımlanması ve tedavi edilmesi önemli bir müdahale stratejisi olarak göz önünde bulundurulmalıdır. [ABSTRACT FROM AUTHOR]