Akusherstvo i ginekologii͡a
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This review summarizes the knowledge of the scientific community for Zika-virus infection. It became popular because of severe congenital damage causes of CNS in newborns whose mothers are infected during pregnancy, as well as the risk of pandemic distribution. Discusses the peculiarities of the biology and ecology of vectors--blood-sucking mosquitoes Aedes; stages in the spread of infection and practical problems which caused during pregnancy. Attention is paid to the recommendations that allow leading national and international medical organizations to deal with the threat Zika-virus infection.
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Akush Ginekol (Sofiia) · Jan 2013
Review[Hypotension and hydration during spinal anesthesia for caesarean section].
Spinal anesthesia is the technique of choice for elective cesarean section. It is easily achievable, fast and reliable technique. Maternal hypotension is a complication of spinal anesthesia, which is associated with adverse effects on both the mother and the fetus. ⋯ In current practice the application of vasopressors to maintain arteriolar tone is the most widely used strategy for the prevention of hypotension induced by spinal anesthesia. Other methods such as left tilt of the operating table, decreasing aortocaval compression and hydration are also routinely applied. Possible four different methods of intravascular hydration: (1) crystalloid preloading, (2) colloid preloading, (3) crystalloid co loading, and (4) colloid co loading.
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Akush Ginekol (Sofiia) · Jan 2013
Review Case Reports[Cesarean scar ectopic pregnancy: diagnosis with 2D, three-dimensional (3D) ultrasound and 3D power doppler of a case and review of the literature].
Cesarean scar pregnancy is rare type of ectopic pregnancy. It is associated with severe complication if it is not diagnosed early in pregnancy. We present a case of difficult first-trimester diagnosis of Cesarean scar pregnancy. In this paper we discuss the incidence of this condition, the antenatal diagnosis, the prognosis and management and the importance of 2D and 3D ultrasound technique as a diagnostic tool.
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Akush Ginekol (Sofiia) · Jan 2011
Review[Epidural analgesia for vaginal delivery. Influence over the delivery, fetal presentation, the method of delivery and lactation].
Epidural anaesthesia is the most efficient and widespread in developed countries method of pain reduction. The effects of epidural analgesia over uterine activity, duration of first, second and third period of labor, frequency of operative delivery--vaginal and abdominal, as like as its effects of breastfeeding are established in this review.
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Akush Ginekol (Sofiia) · Jan 2008
Review[Application of activated recombinant factor VII (rFVIIa, NovoSeven) in neonatology].
Recombinant activated factor VII is vitamin K dependent glycoprotein, similar as the same in the human blood plasma. First has been described in application for hemophilia, where are presented inhibitors of factors VIII and IX, later was proved that it has effectiveness in hemorrhage with different etiology. ⋯ The data shows that there is low risk of side effects of the recombinant activated factor VII in neonatal period. But still has been described as a experimental treatment.