Minerva ginecologica
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Hypertension is the most common medical disorder during pregnancy. Chronic hypertension is a serious medical complication in pregnancy with increased maternal and perinatal morbidity and mortality. ⋯ Fetal complications include prematurity, low birth weight, and perinatal death. Careful antepartum, intrapartum and postpartum management of women with high-risk chronic hypertension in pregnancies may reduce morbidity and mortality.
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Minerva ginecologica · Apr 2002
Review Comparative StudyPolycystic ovary syndrome. Long term sequelae and management.
Polycystic ovary syndrome (PCOS) is one of the most common endocrinopathies in women and is defined by hyperandrogenic chronic anovulation with the exclusion of secondary causes, such as congenital adrenal hyperplasia or an androgen secreting tumor. PCOS women are uniquely insulin resistant. It is estimated that 5% of the female population is affected. ⋯ Recently treatments resulting in improved insulin sensitivity, either through weight loss/exercise programs or pharmaceutical, have been shown to improve both the endocrine and metabolic abnormalities in the syndrome. Anti-diabetic agents in PCOS have been examined in a number of randomized studies which have shown a treatment benefit. Further indications for these agents such as the prevention of pregnancy loss or the conversion to type 2 diabetes still need to be investigated in properly designed studies.
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Minerva ginecologica · Dec 2001
Review Comparative Study[Evaluation and treatment of hyperemesis gravidarum].
Early pregnancy is characterized by nausea and vomiting which are the most frequent symptoms and the main reason for consulting the physician. This pathological aspect of pregnancy is not yet completely understood. ⋯ The question as to how and when to treat the symptom is still open. The purpose of this study is to examine, through a literature review, the problems and the appropriate medical approach regarding the severe cases or hyperemesis.
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Minerva ginecologica · Dec 2001
Comparative Study[Low concentration Ropivacaine in labor epidural analgesia. A prospective study on obstetric and neonatal outcome].
Epidural analgesia effectively alleviates labor pain. However controversy exists about the effect of epidural analgesia on labor outcome. The aim of this study is to assess the effect of a low concentration local anesthetic (ropivacaine 0.08%) in labor epidural analgesia (LEA) on labor pain relief, on the incidence of cesarean sections and instrumental vaginal deliveries, and on neonatal outcome. ⋯ The conclusion is drawn that a lower concentration of ropivacaine (0.08%) in LEA produces good labor pain relief with no detectable adverse effects on mother and neonate, and without significantly increasing cesarean section rate.