Objective. - The aim of this study is to give the results of our experience about pregnancies among the renal transplantation patients and to assess the impact of the pregnancy on renal graft function. Patients and me...Objective. - The aim of this study is to give the results of our experience about pregnancies among the renal transplantation patients and to assess the impact of the pregnancy on renal graft function. Patients and methods. - Twenty pregnancies from 17 renal transplant recipients were analysed and long- term outcome of the renal graft was studied. We analysed the outcomes from clinical and biological data before, during and after pregnancy. Results. - Mean patient age was 30.3 ± 3.5 years and mean time between transplantation and the onset of pregnancy was 62.4 ± 34.5 months. There was no significant difference between the biological data before and after pregnancy. We did not observe any acute rejection. The mean maternal complications were preeclampsia in 35% , low birth weight in 39% , prematurity in 45% and cesarean sections in 55% . There is no impact of the pregnancy on the renal graft during the follow- up (3 years). The follow- up revealed 2 cases of chronic rejection. Discussion and conclusion. - A multi-disciplinary approach of pregnancy in renal recipients and an interval of 2 years after kidney transplantation are necessary. There are more complications during pregnancy without increased risks of graft lose.展开更多
Objective:To determine the etiologic factors,circumstances of diagnosis,obstetrical management and complications of face presentation and to value the maternal and foetal prognosis of this presentation. Patients and m...Objective:To determine the etiologic factors,circumstances of diagnosis,obstetrical management and complications of face presentation and to value the maternal and foetal prognosis of this presentation. Patients and methods:Thirty-two cases of face presentation have been observed in the maternity wards of Reims and Troyes over the last 12 years. Results:The incidence of face presentation was 0.7 per 1000 deliveries. Spontaneous vaginal delivery occurredwith mento-anterior presentation 73%of the time and caesarean section was performed in 100%of mento-posterior presentation. There was no increasing rate of foetal or maternal mortality and morbidity with vaginal delivery. Discussion and conclusion:Face presentation is an unusual complication of pregnancy with obstetric factors that predispose the foetus to face presentation. The low foetal and maternal mortality and morbidity substantiate the effectiveness of conservative management in face presentation.展开更多
Abnormalities of the reproductive tract interest a little more than 1%of the women. The symptoms are not specific:abdominal pain seems like appendicitis,invalidating dysmenorrheas in the girl,urinary manifestations. T...Abnormalities of the reproductive tract interest a little more than 1%of the women. The symptoms are not specific:abdominal pain seems like appendicitis,invalidating dysmenorrheas in the girl,urinary manifestations. They should be discovered and treated because they could bring about obstetric complications later. We present three observations,illustrated with a recent review of the literature,and describe the diagnostic difficulties and their surgical treatments.展开更多
文摘Objective. - The aim of this study is to give the results of our experience about pregnancies among the renal transplantation patients and to assess the impact of the pregnancy on renal graft function. Patients and methods. - Twenty pregnancies from 17 renal transplant recipients were analysed and long- term outcome of the renal graft was studied. We analysed the outcomes from clinical and biological data before, during and after pregnancy. Results. - Mean patient age was 30.3 ± 3.5 years and mean time between transplantation and the onset of pregnancy was 62.4 ± 34.5 months. There was no significant difference between the biological data before and after pregnancy. We did not observe any acute rejection. The mean maternal complications were preeclampsia in 35% , low birth weight in 39% , prematurity in 45% and cesarean sections in 55% . There is no impact of the pregnancy on the renal graft during the follow- up (3 years). The follow- up revealed 2 cases of chronic rejection. Discussion and conclusion. - A multi-disciplinary approach of pregnancy in renal recipients and an interval of 2 years after kidney transplantation are necessary. There are more complications during pregnancy without increased risks of graft lose.
文摘Objective:To determine the etiologic factors,circumstances of diagnosis,obstetrical management and complications of face presentation and to value the maternal and foetal prognosis of this presentation. Patients and methods:Thirty-two cases of face presentation have been observed in the maternity wards of Reims and Troyes over the last 12 years. Results:The incidence of face presentation was 0.7 per 1000 deliveries. Spontaneous vaginal delivery occurredwith mento-anterior presentation 73%of the time and caesarean section was performed in 100%of mento-posterior presentation. There was no increasing rate of foetal or maternal mortality and morbidity with vaginal delivery. Discussion and conclusion:Face presentation is an unusual complication of pregnancy with obstetric factors that predispose the foetus to face presentation. The low foetal and maternal mortality and morbidity substantiate the effectiveness of conservative management in face presentation.
文摘Abnormalities of the reproductive tract interest a little more than 1%of the women. The symptoms are not specific:abdominal pain seems like appendicitis,invalidating dysmenorrheas in the girl,urinary manifestations. They should be discovered and treated because they could bring about obstetric complications later. We present three observations,illustrated with a recent review of the literature,and describe the diagnostic difficulties and their surgical treatments.
