Evaluation of Preeclampsia Risk in Gestational Weight Gain

Background: The incidence of obesity worldwide has increased over the last 20 years. The increase in obesity in maternal pregnancy is causing a major challenge to obstetrics practices. The aimed study was to evaluate gestational weight gain as a risk for preeclampsia in pregnant women.  Methods: This cross-sectional study was conducted on 2756 pregnant women with gestational age≥37 weeks. The selection of women was categorized into two groups, 1528 normal-weight women with BMI less than 25kg/m2 and 1228 pregnant women with a BMI of 25kg/m2 or more. SPSS software version 26.0 was used to analyze data. Multivariate logistic regression described the relation of weight change to pregnancy course and outcomes. Results: A comparison between study groups shows an increase in antepartum complications in obese women. Besides that, arterial hypertension, pre-eclampsia, and gestational diabetes were more frequent in overweight women compared to normal-weight women. The incidence of cesarean was highest in overweight and obese women with a statistically significant difference from normal weight women (p-value <0.005). In addition, maternal overweight and obese were at twice the risk for delivering infants with macrosomia (OR = 3.1, 95%CI = [1.09-5.8]). The difference in mean birth weight of the babies between normal and overweight women was statistically significant (p<0.05). Conclusion: The results of this study show that obesity during pregnancy is associated with pregnancy complications. To optimize all complications for the mother and fetus, weight gain during the pregnancy must be controlled and appropriate. Furthermore, studies are recommended to explore maternal obesity complications and risk factors for obesity to minimize the adverse effect of this risk.   &nbsp

Evaluation of Preeclampsia Risk in Gestational Weight Gain

Background: The incidence of obesity worldwide has increased over the last 20 years. The increase in obesity in maternal pregnancy is causing a major challenge to obstetrics practices. The aimed study was to evaluate gestational weight gain as a risk for preeclampsia in pregnant women. Methods: This cross-sectional study was conducted on 2756 pregnant women with gestational age≥37 weeks. The selection of women was categorized into two groups, 1528 normal-weight women with BMI less than 25kg/m2 and 1228 pregnant women with BMI over 25kg/m2. SPSS software version 26.0 was used to analyze data. Multivariate logistic regression described the relation of weight change to pregnancy course and outcomes. Results: A comparison between study groups appears an increase in antepartum complications in obese weight women. Besides that, arterial hypertension, pre-eclampsia, and gestational diabetes were more frequent in obese weight women compared to normal-weight women obese women. The incidence of cesarean was highest in obese women statistically significant difference from normal women with a p-value <0.005. In addition, maternal obese pregnancies were at twice the risk for delivery of infants who were macrosomia with higher odds (OR = 3.1, 95%CI = [1.09-5.8]). In perinatal outcomes, the difference in mean birth weight of the babies among normal and obese women was statistically significant (p<0.05). Conclusion: As we saw from the results of this study obesity during pregnancy was associated with pregnancy complications. To optimize all complications to maternal and fetus, weight gains during the pregnancy must be controlled and appropriate. Furthermore, studies are recommended to explore the maternal obesity complication and risk factors that influence obesity to minimize the adverse negative effect of this risk

Evaluation of Preeclampsia Risk in Gestational Weight Gain

Background: The incidence of obesity worldwide has increased over the last 20 years. The increase in obesity in maternal pregnancy is causing a major challenge to obstetrics practices. The aimed study was to evaluate gestational weight gain as a risk for preeclampsia in pregnant women. Methods: This cross-sectional study was conducted on 2756 pregnant women with gestational age≥37 weeks. The selection of women was categorized into two groups, 1528 normal-weight women with BMI less than 25kg/m2 and 1228 pregnant women with BMI over 25kg/m2. SPSS software version 26.0 was used to analyze data. Multivariate logistic regression described the relation of weight change to pregnancy course and outcomes. Results: A comparison between study groups appears an increase in antepartum complications in obese weight women. Besides that, arterial hypertension, pre-eclampsia, and gestational diabetes were more frequent in obese weight women compared to normal-weight women obese women. The incidence of cesarean was highest in obese women statistically significant difference from normal women with a p-value <0.005. In addition, maternal obese pregnancies were at twice the risk for delivery of infants who were macrosomia with higher odds (OR = 3.1, 95%CI = [1.09-5.8]). In perinatal outcomes, the difference in mean birth weight of the babies among normal and obese women was statistically significant (p<0.05). Conclusion: As we saw from the results of this study obesity during pregnancy was associated with pregnancy complications. To optimize all complications to maternal and fetus, weight gains during the pregnancy must be controlled and appropriate. Furthermore, studies are recommended to explore the maternal obesity complication and risk factors that influence obesity to minimize the adverse negative effect of this risk

Medical Causes and Emergency Basic Care in the Place of Accidents in Road Traffic

Road traffic accidents in Kosovo and around the world are taking many lives, causing casualties; injuries, disability, health problem, suffering, economic problems, family problems and death. Medical causes of road traffic accidents are caused; acute illnesses. Chronic, drugs, alcohol and fatigue etc. The Integrated Education Network of the first medical staff education and training is legally obliged to provide medical care at the scene of the accident to ensure and improve the quality of emergency medical care for victims of road traffic accident. The main purpose of this retrospective research is to identify the main causes of health problems that affect road traffic accidents, reducing morbidity, disability and mortality by implementing first aid measures at the scene of the accident. The research material was taken from the medical documentation of injured in road traffic accidents at the UCCK Emergency Clinic for the period January - December 2019. The research samples were the only injured in road traffic accidents. In the research 5254 cases of road traffic accidents were investigated, the research is of retrospective type, where the medical causes in causing traffic accidents were identified. According to the January - December 2019 patient numbers, there were 86,690 cases requiring medical assistance and 5254 of them being injured in road traffic accidents or 6.06. Medical causes of traffic accidents, 904 cases or 17.20% with diabetes, 680 cases or 12.94% with hypertension, 160 cases or 3.04% with visual problems and other cases with numbers the smallest of cases. Outbreaks with a non-health problem were 3152 cases or 59.99%. finally; Medical Problems Drugs, alcohol can have a direct impact on causing road traffic accidents to a large extent, which need to be timely intervened. The US Integrated Education Network training and training of first medical staff are legally obliged to provide medical care at the scene of the accident to provide and improve the quality of emergency medical care to victims in the event of a road traffic accident

Spontaneous pregnancy after fertility‐sparing surgery and adjuvant chemotherapy for advanced pure dysgerminoma: A case report

Key Clinical Message Fertility‐sparing surgery and appropriate adjuvant chemotherapy for advanced malignant ovarian germ cell tumors have excellent survival results and promising reproductive and obstetric outcomes. Abstract This case report aims to demonstrate the potential feasibility and success of fertility‐sparing surgery (FSS) coupled with adjuvant chemotherapy in treating advanced malignant ovarian germ cell tumor (MOGCT), focusing on pure dysgerminoma, fertility, and achieving spontaneous pregnancy. The patient was a 23‐year‐old female who initially presented with complaints of abdominal distension and a palpable mass and was subsequently diagnosed with advanced MOGCT. The patient provided a complete clinical and radiological response to FSS with complete surgical staging and cisplatin‐based chemotherapy (bleomycin, etoposide, and cisplatin). Despite being diagnosed with advanced MOGCT and treated with FSS and adjuvant chemotherapy, she later experienced spontaneous pregnancy, giving birth to a healthy child. This case study demonstrated the potential for successful fertility preservation and pregnancy in advanced‐stage MOGCT patients treated with personalized treatment approaches. Nevertheless, a broader investigation is needed to understand the relevant complex dynamics and to ascertain whether FSS with adjuvant chemotherapy could be a reliable approach in treating advanced MOGCT

Emergency care sick palliative and problems oncology in emergency department during the COVID-19 pandemic

Emergency medical care in palliative patients during the COVID-19 pandemic, it is important to provide a consistent treatment for stable patients that should be consistent with the goals and benefits, the perspective of these patients, but avoiding palliative patients with a poor prognosis that is unlikely to survive. Cancer is the second leading cause of death in the world around 8.8 million deaths a year. Worldwide, about 7-10 million patients are diagnosed with cancer each year, recently there has been a significant increase in the number of cases diagnosed with cancer. About 70% of cancer deaths are in low- and middle-income countries. The goals of emergency medical care based on the criteria of BLS and ACLS, that is should be done “Do not do resuscitation, do not intubate but continue medical treatment excluding endotracheal intubation without prospects for the patient, but offering BLS only treatment concentrated symptomatic. ED is often the only place that can provide the necessary medical interventions (e.g., intravenous fluids or pain management medications. Medications as well as immediate access to advanced diagnostic tests when needed such as CT, RM and other diagnostic and treatment procedures