Editorial

Dimitris Loutradis

Pregnancy is a crucial period for parents that is, in most cases, accompanied by positive feelings in awaiting childbirth. However, in certain cases complications may occur that pose significant risks to both the mother and the developing fetus …

The association of sexual dysfunction and male infertility: a literature review

Faidra Kakadiari, Anastasios Potiris, Eirini Drakaki, Despoina Mavrogianni, Theodoros Karampitsakos, Spyridon Topis, Ekaterini Domali, Peter Drakakis, Sofoklis Stavros

Introduction: Sexual dysfunction and male infertility are important issues concerning men’s health and reproductive potential. The relationship between these two conditions is complex and needs careful consideration. In this paper, we will look at how sexual dysfunction affects male fertility, looking at risk factors, why it happens, and ways to deal with it. This topic is important …

The third trimester growth scan and the legal upgrade of its importance

Nikolaos Dagklis, Apostolos Mamopoulos

The aim of the third trimester ultrasound, likewise other prenatal screening tests, has evolved due to technological advances and accumulating experience. Its original purpose was to examine fetal growth and diagnose deviations in estimated fetal weight, associated with possible pathological conditions of the mother and/or the fetus. The intention, following the recognition …

Mode of delivery in pregnant women with cardiac disease: A retrospective study in Northern Greece

Stavroula Papadea, Kyriaki Mitta, Ioannis Tsakiridis, Apostolos Mamopoulos, Ioannis Kalogiannidis, Themistoklis Dagklis, Apostolos Athanasiadis

Introduction: The management of women with cardiac disease may be a dilemma for the obstetricians, especially regarding the mode of delivery. The aim of this study was to present the clinical practice regarding the mode of delivery among women with cardiac disease in Northern Greece …

A prospective cross-sectional study for prediction of fetal macrosomia using sonographic measurement of placental thickness and umbilical cord cross-section area

Hatem Elgendy, Ahmed Tarek, Moahmed Shahat

Background: Macrosomia is an obstetric problem with maternal and neonatal adverse outcomes that are associated with a high rate of perinatal morbidity and mortality. The aim is to assess the accuracy of predicting fetal macrosomia by measuring the cross-sectional area of the umbilical cord …

Assessment of Sensitivity and Specificity of Ultrasound Examination in Correlation to Intraoperative and Pathological Finding in Diagnosis of Morbidly Adherent Placenta

Amr Helmy Yehia, Safaa Elhoussiny Mahmoud Mansour, Nashwa Elsaeed Hassan, Nermeen Ahmed Mostafa El Ghareeb

Background: The term morbidly adherent placenta denotes an abnormal implantation of the placenta within the uterine wall and has been implemented to describe placenta accreta, increta, and percreta. Aim of the Work: To evaluate the accuracy of ultrasound imaging in the prenatal diagnosis of placenta accreta …

Glibenclamide versus insulin in treatment of gestational diabetes mellitus – a randomised controlled trial

Ahmed Selim, Mohamed Elsayed, Ramy Gamea, Mohammed Kalboush

Background: One of the most serious consequences of pregnancy is Gestational diabetes mellitus (GDM). It has a negative impact on the mother and the newborn. Maintaining normal blood glucose levels in GDM lowers morbidity for both mother and infant. The first therapy for GDM consists of diet and exercise. If these approaches fail to reach glycemic objectives, medical management …

First live birth in Greece after blastocyst trophectoderm biopsy and preimplantation genetic testing for Holt-Oram Syndrome

Konstantinos A. Economou, Chrysanthi Bili, Lina Florentin, Fotios Thymis, Dimitrios Papanicolaou

Preimplantation genetic testing for monogenic/single-gene defects (PGT-M) is a well established tool in assisted reproduction. A couple, where the male was a carrier of the c.709C>T (p.Arg237Trp) pathogenic variant (autosomal dominant) of the exon 7 of TBX5 gene causing Holt-Oram syndrome (HOS) attended our clinic for PGT-M. The father and their first baby boy …

Intramyometrial ectopic pregnancy following in-vitro fertilization- a case report and review of literature

Chidinma Magnus Nwogu, Ayodeji Kayode Adefemi, Aloy Okechukwu Ugwu

Intramyometrial ectopic pregnancy is a very rare subset of ectopic pregnancy. It occurs when a pregnancy implants within the myometrium. The risk factors for this type of extrauterine pregnancy include previous history of uterine trauma such as myomectomy, caesarean section and dilatation and curettage. It can present with catastrophic outcome due to uterine rupture if undetected …

Editorial

Dimitris Loutradis

Obstetrics is a field fraught with high stakes, both medically and legally. The dual pressures of ensuring the health of both mother and offspring, combined with the emotional and unpredictable nature of childbirth, make obstetrics a frequent focal point for medicolegal concerns. Maternal mortality and morbidity remain significant concerns, particularly in regions with limited access to quality healthcare …

Posted in 2024 Volume 23 – Issue 4

The four-chamber view during fetal heart assessment

Chatziioannou M, Fasoulakis Z, Pegkou A, Tasias K, Asimakopoulos G, Rouvali A, Theodora M, Daskalakis G, Antsaklis P

Objective: To provide a comprehensive review of the four-chamber view (4CV) during fetal heart assessment, highlighting its significance, technical principles, scanning techniques, and its role in diagnosing congenital heart defects (CHD). Background: Congenital heart defects are the most common malformations, occurring in 6-8 per 1000 live births. Accurate prenatal diagnosis is essential for effective perinatal management….

Criminal liability in negligent prenatal care

Nikolaos Dagklis, Apostolos Mamopoulos

The recent guideline of the Hellenic Society of Obstetrics and Gynecology (HSOG) (Guideline 60, July 2021 – Prenatal care: monitoring of an uncomplicated pregnancy) (1), describes the proposed integrated clinical and laboratory prenatal investigations on the Greek population for the prevention and early diagnosis of pathological conditions both for the mother and the fetus. It states that the main goal of the prenatal care is to help ensure the delivery of a healthy neonate …

Posted in 2024 Volume 23 – Issue 4 Tagged , , , ,

Mode of birth and clinical factors associated with exclusive breastfeeding at hospital discharge: a retrospective cross-sectional study of women and full-term infants in Greece

Paraskevi Giaxi, Viktoria Vivilaki, Maria Iliadou, Aikaterini Lykeridou, Antonis Galanos, Kleanthi Gourounti

World Health Organization recommends exclusive breastfeeding for six months. Despite its well- documented benefits, breastfeeding rates worldwide do not meet the recommended goals. The aim of this study was to identify factors that could influence exclusive breastfeeding at hospital discharge. All live, singleton, term births in a private hospital of Athens …

Posted in 2024 Volume 23 – Issue 4 Tagged , , , ,

Obstetric psychoprophylaxis and duration of the active phase dilation period: A relational study

Israel Roberth Pariajulca Fernández, David Julio Jiménez Heredia, Paola Noemi Anco Huaynates, Kissuary Fritzya Barraza Carrillo

Objective: To identify the correlation between obstetric psychoprophylaxis and the duration of the active phase dilation period in pregnant women at the Centro Materno Infantil Daniel Alcides Carrión, Lima – 2019. Materials and methods: Non-experimental cross-sectional study. a documentary review was carried out and was complemented with the application of two data collection forms as an instrument, considering as variables the clinical history …

Posted in 2024 Volume 23 – Issue 4 Tagged , , ,

Lamellar Body Count (LBC) in amniotic fluid for prediction of fetal lung maturity

Ahmed Mohamed Fahmy Selim, Sherif Fathi El Mekkawi, Ghada Mahmoud Mansour, Sherif Hanafi Hussain

Pubic symphysis diastasis in pregnancy is a rare obstetric complication. A case of a 35 year old primigravid woman with severe pubic symphysis diastasis and sacroiliac joint relaxation during non-operative vaginal delivery is reported and the literature reviewed. The patient was successfully treated by open reduction and internal fixation with plate and screws …

Posted in 2024 Volume 23 – Issue 4 Tagged ,