Diabetic ketoacidosis in pregnancy

Christos Kalantzis, Kalliopi Pappa



Diabetic ketoacidosis in pregnancy is a rare but potential life-threatening condition for the mother and the fetus. Although predictably DKP is more common in patients with type 1 diabetes, it has been reported too in those with type 2 diabetes as well as gestational diabetes. Diabetic ketoacidosis usually occurs in the second and third trimesters because of insulin resistance. Prompt recognition and aggressive treatment …

Case Report

Successful outcome birth in full term pregnancy velamentous insertion of the umbilical cord – vasa previa

Thanasas K. I , Papavasileiou S

Disclosure of incident on our successful outcome childbirth in term pregnancy velamentous insertion of the umbilical cord – vasa previa. Pregnant firstborn with free individuals and obstetrical history covering the 39th week of pregnancy is introduced in Maternity Clinic of our with symptomatology of automatic start birth. Sudden and to thoroughly grade vaginal hemorrhage found immediately after technical rupture of fetal membranes …

Case Report

Ovarian cysts in pregnancy. When surgical treatment required and when monitoring preferred?

Kalmantis K, Petsa A, Alexopoulos E, Daskalakis G, Rodolakis A

Introduction: Ovarian cysts occur in 3% of pregnancies. Usually, they do not have clinical symptoms and are found accidentally during the ultrasound screening performed in the 1st trimester of pregnancy. Materials and Methods: Articles were identified through electronic databases; no date or language restrictions were placed; relevant citations were hand searched. The search was conducted using the following terms …

Case Report

Recurrent ectopic pregnancies: A management dilemma

Ajayi Sunday, Chetan Uma

Recurrent ectopic pregnancies can be managed conservatively, medically or surgically and present as a management dilemma for the clinician, in particular if the patient is keen to retain fertility. We report the case of a 25 year old nulliparous woman with a history of 3 previous ectopic pregnancies. The patient was diagnosed with a left ectopic pregnancy, had a successful medical management …


Gestational diabetes: Its classification and optimal management

Vitoratos Nikolaos, Vrachnis Nikolaos, Vlahos Nikolaos, Peristeris Kostantinos, Iliodromiti Zoe, Creatsas George

The classification of diabetes mellitus includes diabetes mellitus type I, diabetes mellitus type II, gestational diabetes and other specific types. Unfortunately, the incidence diabetes mellitus in pregnancy, or gestational diabetes, today ranging between 4 and 7%, has been globally on the rise in recent years, particularly among women over 32 years old. According to the International Association …

Case Report

Uterine prolapse complicating pregnancy: A case report

Ammari Alexandros, Tsikouras Panagiotis, Dimitraki Marina, Liberis Anastasios, Kontomanolis Emmanuel, Galazios Georgios, Liberis Vasileios

Uterine prolapse concurrent with pregnancy is a rare event. Complications resulting from the prolapse of the uterus in pregnancy vary from minor cervical infection to spontaneous abortion, preterm labor and maternal and fetal death. We report a case of stage 3 uterine prolapse during pregnancy presented at our antenatal clinic. The patient had pre-existing uterine prolapse, was treated …


A practical guide for managing young women with primary ovarian insufficiency

Drakakis Peter, Tzouma Christina, Dalkalitsis Alexander, Calis Karim, Kalantaridou Sophia

Primary ovarian insufficiency (POI) is a condition characterized by sex-steroid deficiency, amenorrhea, infertility, and elevated gonadotropins in women younger than 40 years of age. Most affected women produce estrogen intermittently and may ovulate despite the presence of high gonadotropin concentrations. POI is a heterogeneous disorder and may occur as a result …