Abstract:
UNLABELLED:The purpose of our study was to analyze the efficacy of serum C-reactive protein (CRP), white blood cell count (WBC) and erythrocyte sedimentation rate (ESR) serial evaluations in the prediction of chorioamnionitis in cases of premature rupture of membranes (PROM). MATERIALS AND METHODS:A group of 80 patients with PROM before 35 weeks' gestation were evaluated prospectively and managed expectantly. We applied the expectant management with the permanent use of tocolysis, antibiotics, steroids, amnioinfusions of artificial amniotic fluid and intravaginal chemotherapeutics. Patients were monitored with frequent vital signs, fetal heart rate evaluation and everyday blood tests as follows: CRP, WBC and ESR. All afterbirths were examined to establish the presence of histologic chorioamnionitis (gold standard of intrauterine infection). RESULTS:59 (73.7%) patients had significant chorioamnionitis on histopathology and only 15 of them had clinical chorioamnionitis. Serum CRP serial determinations (definition of abnormal tests: 1) > 1.2 mg/dl; 2) > 2.0 mg/dl; 3) > 1.2 mg/dl and increasing in two consecutive days) were found the most reliable with a sensitivity 1) 91.5%; 2) 85%; 3) 88%, specificity 57%; 76%; 86%, positive predictive value 86%; 90%; 94.5%, negative predictive value 70.5%; 64%; 72% and accuracy 82.5%; 82.5%; 87.5% respectively. The efficacy of WBC (abnormal tests: > 12500/mm3; > 15000/mm3; > 12500/mm3 and increasing in two consecutive days) and ESR (abnormal tests: > 60 mm/h; > 60 mm/h and increasing in two consecutive days) serial evaluations was significantly lower. Moreover, in cases of chorioamnionitis CRP increased above the upper limit of normal 3 days earlier than WBC or ESR. CONCLUSIONS:CRP was found the most reliable indicator of histologic chorioamnionitis and indicated the presence of intrauterine infection earlier than WBC or ESR.
journal_name
Ginekol Poljournal_title
Ginekologia polskaauthors
Nowak M,Oszukowski P,Szpakowski M,Malinowski A,Maciołek-Blewniewska Gsubject
Has Abstractpub_date
1998-08-01 00:00:00pages
615-22issue
8eissn
0017-0011issn
2543-6767journal_volume
69pub_type
杂志文章abstract:OBJECTIVES:The aim of the study was to evaluate the outcome of fetuses with ovarian cysts in relation to fetal echocardiography. MATERIAL AND METHODS:In the Department for Diagnosis and Prophylaxis of Birth Defects at the Polish Mother's Memorial Hospital in Lodz fetal echocardiography was performed in 21 fetuses with...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVES:Histones are involved in process of proliferation and differentiation of the cells. In many lesions the expression of mRNA of histones is a marker of proliferation. The expression of kinin receptors B1 and B2 coexist with inflammatory processes, but in some studies the expression of these receptors was found...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVES:Environmental factors may play equally critical role as genes in facial embryogenesis. It was suggested that cleft palate occurring in association with cleft lip may result from environmental factors that affect development of both the lip and the palate. Cleft lip forms from the third through seventh week o...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2006-04-01 00:00:00
abstract:THE AIM OF STUDY:Estimation of Polish population standards of the concentrations of pregnancy-associated plasma protein--A (PAPP-A) and free beta--human chorionic gonadotropin (beta-HCG) in the maternal blood between 10.0 and 13.6 week of pregnancy and comparison of the biochemistry own normal ranges and literature rep...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2009-11-01 00:00:00
abstract::Polycystic ovary syndrome (PCOS) is the most common endocrinopathy in women of reproductive age. It is manifested by hyperandrogenism, polycystic ovaries on ultrasound, oligomenorrhoea and anovulation. PCOS patients are more vulnerable to metabolic disorders: insulin resistance, obesity endothelium dysfunction, athero...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2015-04-01 00:00:00
abstract::The paper contains a review of the literature on the correlation between Chlamydia trachomatis infection and CIN as well as invasive cervical cancer. This infection is not only responsible for inflammation (very often occult) in the upper genital tract and PID but also is probably one of the causes of cervical hypertr...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2002-05-01 00:00:00
abstract:OBJECTIVES AND DESIGN:The aim of this study was retrospective analysis of ultrasound and echocardiographic examinations in fetuses with diagnosis of posterior urethral valve, at the referral center from the database of our unit in 8 years (1994-2002). RESULTS AND CONCLUSIONS:Among 8525 ultrasound and echocardiography ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2003-10-01 00:00:00
abstract::This case report describes a 40-year-old woman, primigravida. On 13,3 weeks of gestation we diagnosed an abnormal flow pattern in the umbilical artery and abnormal hyperechogenic structure in fetal abdomen. In next sonographic examination on 16 weeks of gestation we diagnosed ventriculomegaly and ahydramnion. We also ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2006-05-01 00:00:00
abstract::The authors studied a sensory intensity response to sodium chloride (NaCl) and a sensory hedonic response to salt in suprathreshold concentrations in 120 healthy primigravidas (age: 20-40) during three trimesters of physiological pregnancy, and in 22 healthy nonpregnant women of the same age examined on the 7th or 8th...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-04-01 00:00:00
abstract::The Impact Factor is a measure of average citation frequency for articles in a specific scientific journal during a specific period of time. IF takes into account the content, sources, layout and frequency and regularity of publishing. In order to get an impact factor, a journal needs to be first put on the Philadelph...
journal_title:Ginekologia polska
pub_type: 社论
doi:
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVES:The objective of this study was to determine the maternal PLAC1 protein levels in early and late onset preec-lampsia. MATERIAL AND METHODS:A total of 135 pregnant women were included in the study, of which 55 were at < 34 weeks of gesta-tion and 80 were at ≥ 34 weeks of gestation, between June and November ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.a2018.0025
更新日期:2018-01-01 00:00:00
abstract::Uterine septum is the major intrauterine disorder associated with infertility and recurrent abortions. The aim of the study was to find out what is the effectiveness of hysteroscopic intrauterine septum resection in terms of reproductive outcome and in comparison with conventional procedure. The mean follow up period ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract::The aim of the work is to present regenerative medicine achievement as an alternative SUI treatment and the variety of injected cells type as well as injection techniques itself with the analysis of their quality and possible the mechanism in which they reduce urinary incontinence symptoms. For over a decade numerous ...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:10.17772/gp/60973
更新日期:2016-01-01 00:00:00
abstract::We present a case report of a 37-year-old woman with accidental finding of two IUDs--one inserted correctly and the other one located in the abdomen. ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:The aim was to present pregnancy complications and outcome in the group of women with subchorionic hematoma (SCH) diagnosed in the first or second trimester of pregnancy METHODS:A retrospective study was performed to compare the perinatal outcome of 41 patients with SCH (study group) with 59 women treated o...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVES:To assess clinical efficacy of Total Prolift System surgery kit in the treatment of post hysterectomy vaginal vault prolapse. MATERIAL AND METHODS:Study group consisted of 27 women (mean age 60.3 +/- 10.3 years) who between February 2006 and September 2007 underwent vaginal cuff prolapse surgery with Total ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2008-12-01 00:00:00
abstract:PURPOSE:This study is aimed to determine the clinical significance of echogenic amniotic fluid. MATERIAL AND METHODS:I surveyed 9 at term pregnancies in which the amniotic fluid was echogenic. Morphologic characteristics of amniotic fluid were assessed from samples taken at amniocentesis or upon delivery within one da...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2002-02-01 00:00:00
abstract::Transvaginal sonography (TVS), computed tomography (CT) and magnetic resonance imaging (MRI) were used for preoperative diagnosis of myometrial and pelvic lymph nodes invasion in patients with endometrial cancer. Results of examinations were compared with histopathological findings. Sensitivity, specificity, efficacy,...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract::The knowledge of ovarian physiopathology and the employing of modern diagnostic methods (ultrasonography, laparoscopy) allow to avoid to operate patients with functional cysts. Girls and young women should be evaluated individually for ovarian surgical procedures. The operative treatment should be so conservative as p...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract::Not all pregnant women with gall bladder stones can be treated conservatively--some of them require surgery. The main indications for cholecystectomy are the following: repeated episodes of biliary colic and acute cholecystitis. There is no data indicating which moment during the pregnancy may be the safest to perform...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVES:To analyze the correlation between ultrasound typing and treatment modality of patients with an intrauterine ectopic pregnancy (cervical and cesarean scar). MATERIAL AND METHODS:We retrospectively enrolled 65 patients diagnosed with cesarean scar pregnancy (CSP) or cervical pregnancy (CP) between February 2...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2020.0026
更新日期:2020-01-01 00:00:00
abstract::Diagnostic microlaparoscopy was performed on 30 patients aged 17-41. Indications++ for these procedures were: sterility (17), tumor of the ovary (5), endometriosis (3), uterine myoma (2), pelvic pain syndrome++ (1), carcinoma of the ovary--second look procedures (1), operative hysteroscopy (1). During these procedures...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1999-08-01 00:00:00
abstract::Seventh caesarean section in the same pregnant woman was described. Pregnancy was terminated in 36 week of gestation cause of preterm uterine activity, after getting pulmonary maturation and estimating ultrasound fetal weight over three kilograms. The caesarean section and postoperative period were uncomplicated. Ther...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to evaluate hormonal contraception use in women with epilepsy and to assess the risk of potential interactions between contraceptives and antiepileptic drugs (AEDs). MATERIAL AND METHODS:Data on hormonal contraception were obtained prospectively in women of childbearing age treated ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2019.0010
更新日期:2019-01-01 00:00:00
abstract::Matrix metalloproteinases are proteolytic enzymes which degrade extracellular matrix proteins. Along with their specific inhibitors--issue inhibitors of metalloproteinases--they play an important role in the spreading of malignant tumours. The research conducted in recent years has shown that metalloproteinases and th...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:HLHS (hypoplastic left heart syndrome) is a serious congenital heart defect. In neonates with congenital heart disease HLHS accounts for nearly 25% of neonatal deaths. The etiology of HLHS is unknown. At present we expect to have those cases diagnosed in the second trimester of pregnancy. AIM:The main aim w...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVES:Comparison of the ability to inhibit alloactivated lymphocytes proliferation of human Wharton Jelly (WJ) and amniotic membrane (AM) mesenchymal stem cells (MSCs) from preterm and term pregnancies. MATERIAL AND METHODS:Term-WJ-MSCs (n = 5) and Preterm-WJ-MSCs (n = 1) were obtained from tissue explants by adh...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.a2017.0037
更新日期:2017-01-01 00:00:00
abstract::In the serum of 21 women with malignant ovarian tumours, 13 with uterine myomas and 16 with cysts the concentrations were determined of alpha 1 inhibitor of proteases and alpha 2 macroglobulin by immunodiffusion, and the functional activity of both inhibitors which made possible calculation of the specific activity (u...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract::The paper presents the course of treatment and results of pathological changes in the uterine cervix in 41 patients who underwent cryotherapy by means of a cryotherapeutic apparatus UK-32, using liquid nitrogen as cryogenic fluid. Complete recovery in the form of typical stratified squamous epithelium was achieved in ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1989-03-01 00:00:00
abstract::Adrenocortical carcinoma is a rare tumour with high malignancy and poor prognosis. This tumour is rarely diagnosed in the reproductive age. Complete surgical resection is the only curative treatment for adrenal cancer in all stages. After surgery adjuvant chemotherapy is required. Mitotane is the most important drug i...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.a2017.0104
更新日期:2017-01-01 00:00:00