Tag: pregnancy

Euglycaemic ketoacidosis during pregnancy: More common than you think

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I. Sapantzoglou, A. Psarris, P. Perros, A. Varthaliti, P. Antsaklis, M. Theodora, M. Syndos, G. Daskalakis

Background: Euglycaemic ketoacidosis is a rare type of metabolic acidosis, with increased production of ketonic bodies and normal serum glucose. When it occurs during pregnancy, it might lead to adverse maternal and fetal outcomes. Pregnancy itself is a diabetogenic state that might predispose the patient to develop ketoacidosis following even relatively short periods of starvation and as such …

Posted in 2023 Volume 22 – Issue 1 Tagged , ,

Intrapartum pubic symphysis diastasis in a primigravida woman

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Marinos Nikolaou, Maria Katsafarou, Georgios Papadocostakis, Theodoros Katasos

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 2022 Volume 21 – Issue 1 Tagged , , ,

Two critically ill pregnant patients with SARS-CoV-2: A clinical cases report from the Republic of Cyprus

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Andria Syka, Kyriakos Alexandrou, Lakis Palazis

An interdisciplinary and individualized approach should be implemented with regard to the management of severe COVID-19 in pregnancy. The present study deals with the clinical course of 2 pregnant women who have been diagnosed with this disease and needed admission to an ICU and mechanical respiratory support in Cyprus. The data collection took place in a general ICU of the General Hospital of Nicosia …

Posted in 2021 Volume 20 – Issue 4 Tagged , , , , , ,

Deep vein thrombosis in pregnancy

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Zacharias Fasoulakis, Aikaterini Mpairami, George Asimakopoulos, Konstantinos Tasias, Michael Sindos, George Daskalakis, Alexandros Rodolakis, Marianna Theodora

Venous thrombotic events (VTE) prevalence is estimated to be 1-2 for every 10,000 pregnancies, making it one of main causes of maternal mortality in developed countries. VTE’s leading risk factors are history of the condition and hereditary thrombophilia. D-dimer tests conducted during pregnancies have in many cases led to false positive results while a few false negatives have also been found. For pregnant women …

Posted in 2021 Volume 20 – Issue 3 Tagged , , ,

Fetal maternal immune cross talking and vaccination during pregnancy

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Panagiota Masoura, Georgia Koutsogeorgopoulou, Diamanto Tsianni, Anastasia Kourtesa, Kalliopi Pappa

Maternal adaptations in pregnancy induce complex physiological changes of the immune system which protect mother’s health and ensure the accommodation of the growing embryo. The innate immunity is amplified and the adaptive immunity is partially suppressed, preserving the ability to produce antibodies…

Posted in 2021 Volume 20 – Issue 2 Tagged , , , , ,

Overweight in childhood and early adulthood is associated with parental Body Mass Index and perinatal risk factors

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Konstantinos D. Tambalis, Demosthenes B. Panagiotakos, Labros S. Sidossis

Background: To investigate the associations of pregnancy and pre-pregnancy parental characteristics on child’s weight and progression at the early adulthood. Material and Methods: Α random sample of 5,125 dyads children and their mothers was assessed. Mothers were asked to provide information contained in their medical booklets and pregnancy ultrasound records. With the use of a standardized questionnaire, telephone interviews were carried out for the collection of parental factors and offspring’s BMI…

Posted in 2021 Volume 20 – Issue 2 Tagged , , ,

Physical activity and exercise during pregnancy in Greece: A cross-sectional study

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Ermioni Tsarna, Ioanna Mavrommati, Grigorios Bogdanis, Olga Triantafillidou,  George Paltoglou, Panagiotis Christopoulos

Introduction: Physical activity and exercise during pregnancy is regarded safe and beneficial in absence of pregnancy complications. The aim of this cross-sectional study is to describe physical activity of pregnant women in Greece and explore if it changes during pregnancy compared to the period before pregnancy…

Posted in 2021 Volume 20 – Issue 2 Tagged , ,

Luteal phase pregnancy after mirena coil insertion for intrauterine septum resection

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Natasha Louise Citeroni, Rifat Syed

This report is of an unusual case of an intrauterine singleton pregnancy with a Mirena Coil (IUS) in situ following an elective hysteroscopic intrauterine septum resection for treatment of primary subfertility in a 27-year-old female. The patient elected to continue with the pregnancy and underwent additional monitoring via ultrasound. A caesarean section was undertaken at 39-weeks gestation and a healthy male infant was born …

Posted in 2021 Volume 20 – Issue 1 Tagged , , , , ,

Smoking during pregnancy was negatively associated with physical fitness in childhood

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Konstantinos D. Tambalis, Stamatis Mourtakos, Demosthenes D. Panagiotakos, Labros S. Sidossis

 

 
Background: To explore the potential relationship of several prenatal predictors with physical fitness (PF) components among children. Material and Methods: Α random sample of 5,125 dyads children (8 to 9 years old) and their mothers was evaluated. Mothers were asked to provide information contained in their medical booklets and pregnancy ultrasound records. With the use of a standardized questionnaire, telephone interviews were carried out for the collection of maternal factors in order to assess the potential association between several prenatal factors…
Posted in 2020 Volume 19 – Issue 3 Tagged , , ,

The Effect of music on maternal anxiety and maternal and fetal heart rate during cardiotocography

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Milona Gabriella, Pergialiotis Vasilios, Theodora Marianna, Loutradis Dimitrios, Daskalakis Georgios

 

 

Introduction: It is well known that music acts as an analgesic. Facilitates muscle relaxation, reduction of physical pain and mental tension. Purpose of this original investigation: study the effect of music on maternal anxiety during cardiotocography as well as its effect on embryonic cardiac function in relation to mother’s heart rate. Method and materials: The survey, conducted in external midwifery medical services of Alexandra’s Hospital, involved 80 pregnant women who met the criteria for participation. They were divided in two groups…
Posted in 2020 Volume 19 – Issue 3 Tagged , , , , ,

Prenatal diagnosis of a large suprasellar arachnoid cyst

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George Asimakopoulos, Panagiotis Antsaklis, Mariana Theodora, Michael Sindos, Alexandros Rodolakis, Dimitrios Loutradis, George Daskalakis

 

Arachnoid cysts represent 1% of all intracranial lesions and appear on the arachnoid membrane (subarachnoid space). The etiology and pathogenesis of arachnoid cysts remain unclear and in their majority they are asymptomatic. Due to the developmental origin of arachnoid cysts, these formations can be identified on prenatal fetal imaging. In this report we presented a case of an enlarged suprasellar arachnoid cyst detected incidentally during a routine fetal sonographic examination at 33 weeks of gestation …

Posted in 2020 Volume 19 – Issue 1 Tagged , , , , ,

Intrahepatic cholestasis of pregnancy (ICP)

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Panagiotis Antsaklis, Antonios Koutras, Nikolaos Thomakos, Dimitrios Loutradis

 

 

The first chapter of the article presents the general evidence, the clinical manifestation, the pathogenesis and diagnosis of the intrahepatic cholestasis, together with the risks involved for the mother and the fetus. The second chapter presents the treatment goals and the pharmacologic treatment during pregnancy, the management during and after delivery, as well as the risk of recurrence and future goals …

Posted in 2019 Volume 18 – Issue 4 Tagged , , ,

Pemphigus vulgaris in pregnancy. A rare case report

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Ioannis Kokolakis, Fanis Makrigiannakis, Sabine Kruger, Konstantinos Krasagakis, Antonios Makrigiannakis

 

 

Pemphigus vulgaris (PV) is an autoimmune, bullous, mucocutaneous and potentially life-threatening disease. During pregnancy the occurrence of PV is exceedingly rare and its condition will become more complicated due to different mother’s hormone level and the effect of treatment on both mother and her fetus. PV may be associated with an adverse outcome, such as fetal growth restriction and preterm births. We report a case of a 33-year-old woman who was firstly diagnosed with PV during pregnancy…

Posted in 2019 Volume 18 – Issue 3 Tagged , , ,

Complications and Management of Asymptomatic Patients with Measles Infection During Pregnancy

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Zacharias N Fasoulakis, Georgios Galazios, Vasileios Liberis, Emmanuel N Kontomanolis

 

Measles virus is a member of the family Paramyxoviridae that causes an epidemic disease with worldwide distribution, with the main symptom of this systematic disease being a prodrome of fever and a pathognomonic enanthema (Koplik spots), followed by a maculopapular rash. The rash usually appears about 14 days after the patient’s exposure and even though vaccination has led the virus to be limited to preschool children and young adults, measles infection can cause severe and even fatal complications in adults, pregnant women and immunocomprised patients…

Posted in 2019 Volume 18 – Issue 2 Tagged , , , ,

Adnexal torsion during pregnancy: A rare cause of acute abdomen

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Konstantinos Zacharis, Stavros Kravvaritis, Theodoros Charitos, Eleni Chrysafopoulou, Anastasia Fouka

 

 
Ovarian torsion is caused by rotation of the ovary or adnexa with the vascular pedicle on its axis resulting in arterial and venous obstruction. Here we report a case of a pregnant woman presented to the emergency department in early second trimester with acute abdomen. History revealed the presence of an ovarian mass detected by ultrasonography 6 months before pregnancy. Sonographic examination showed right adnexal mass with abnormal Doppler velocimetry and thus immediate laparotomy was decided. Right salpingo-oophorectomy was performed and post-operative course of the patient was uneventful…

Posted in 2019 Volume 18 – Issue 2 Tagged , , ,