Nitrate levels in drinking water and their impact on the risk of developing gynecological diseases and adverse pregnancy outcomes

Vasilios Pergialiotis, Dimitrios Loutradis



Nitrate is a nitrogen oxoanion formed by loss of a proton from nitric acid. It is an important source of nitrogen which is essential for protein formation. Regular levels of nitrate in the environment do not exceed 2-5 mg/L. Fertilizers, herbicides and pesticides increase, however, the amount of nitrate in drinking water. In 2011 the World Health Organization (WHO) has issued a revised document on nitrate and nitrite levels in drinking water to help establish a common guideline that will help countries …

Research Article

Laser treatment of twin-to-twin transfusion syndrome (TTTS): preliminary findings from a tertiary center in Greece

Georgios Papaioannou, Nikolaos Evangelinakis, Nikolaos Papantoniou



Background: Twin- to-twin transfusion syndrome (TTTS) affects approximately 15% of monochorionic twin pregnancies with an estimated incidence of 1 in 1,600 pregnancies. The gold standard of care is considered to be Fetoscopic Laser Photocoagulation Therapy (FLPT).  Objective: To present our experience with FLPT in a preliminary prospective observational study. Materials and methods: Fourteen patients who underwent FLPT in the Fetal Maternal Medicine Unit of Attikon University Hospital, between January 2017 and August 2018 …

Research Article

Assessment of gynaecological and general history parameters inpregnant women in long term refugee camps in Greece: results from a pilot program

Vasilios Pergialiotis, Chryssoula Botsi, Ioanna Papari, Stavroula Gkritziou, Kassiani Mellou, S. Pappas, Agis Terzidis, Theofilos Rosenberg



Objective:The purpose of the present article is to present preliminary data related to the gynecological history and current health status of pregnant refugees that reside in long-term refugee camps in Greece. Materials and Methods: The study was funded by the European program “PHILOS – Emergency health response to refugee crisis” of the Greek Ministry of Health, implemented by the Hellenic Center for Disease Control and Prevention (HCDCP), funded by the Asylum…


Vaginal birth after cesarean section in Greece and the contribution of the midwives

Nousia Konstantina, Michalopoulos George, Grigoriadis Charalampos, Stournaras Stamatis, Brezeanou Christina, Vrachnis Nikolaos, Farmakides George

Introduction: The aim of this study was to examine the success rate and safety of vaginal delivery after cesarean section, as well as the value of midwives’ contribution in these cases. Material and Methods: This was a retrospective clinical study, including women diagnosed with singleton uncomplicated pregnancies and history of one or more previous cesarean sections, who underwent trial of labor, supported by midwives …

Letter to the Editor

Greece’s economic recession hits her youngest citizens: Children abandoned in hospitals

Iliodromiti Zoe, Vlachadis Nikolaos, Vlachadi Maria, Kalantaridou Sofia, Vrachnis Nikolaos

In the end of 2008, Greece entered the country’s deepest recession in peacetime history, with the unemployment rate increasing from 7.9% to 26.0% from the fourth trimester of 2008 to the fourth trimester of 2012. By 2012, Greece had the highest atrisk – of – poverty rate (23.1%) among the 28 countries of the European Union …