Laudáció a szülésznőknek. Bábák és a gyermekágyi láz = Laudation to the midwives. Midwives and the puerperal fever

Absztrakt: Megjelent a Nőgyógyászati és Szülészeti Továbbképző Szemle 18. évfolyamának (2016) 5. számában, a 209–213. oldalakon. A változatlan formában történő közléshez a Professional Publishing Hungary Kft. hozzájárult. Orv Hetil. 2018; 159(26): 1079–1083. | Abstract: Originally published in the Hungarian Postgraduate Journal of Gynecology and Obstetrics (2016; 18: 209–2013). Reprint with the contribution and permission of the Professional Publishing Hungary Kft., Budapest. Orv Hetil. 2018; 159(26): 1079–1083

Varicella vaccination during early pregnancy: a cause of in utero miliary fetal tissue calcifications and hydrops?

BACKGROUND: It is the purpose of this article to describe a suspected association of inadvertent vaccination with varicella vaccine during early pregnancy with the subsequent development of in utero miliary fetal tissue calcifications and fetal hydrops detected by sonogram at 15 weeks of gestation. CASE: This is a case presentation of a pregnant patient who received varicella vaccination during the same menstrual cycle that she became pregnant, and is supplemented by a literary review. The fetus developed miliary fetal tissue calcifications and fetal hydrops detected by a targeted sonogram at 15 weeks gestation. CONCLUSION: Varicella vaccination during early pregnancy may be a cause of miliary fetal tissue calcifications and fetal hydrops

Is It Time to Rethink Cord Management When Resuscitation Is Needed?

A newborn who receives a placental transfusion at birth, either from cord milking or delayed cord clamping, obtains about 30% more blood volume than the newborn whose cord is cut immediately. Receiving an adequate blood volume from placental transfusion at birth may be protective for the distressed neonate as it prevents hypovolemia and can support optimal perfusion to all organs. New research shows that ventilating before clamping the umbilical cord can reduce large swings in cardiovascular function and help to stabilize the newborn. Hypovolemia, often associated with nuchal cord or shoulder dystocia, may lead to an inflammatory cascade and subsequent ischemic injury. A sudden unexpected neonatal asystole at birth may occur from severe hypovolemia. The restoration of blood volume is an important action to protect the hearts and brains of these neonates. Current protocols for resuscitation imply immediate cord clamping and the care of the newborn away from the mother\u27s bedside. We suggest that an intrapartum care provider can achieve placental transfusion for the distressed neonate by milking the cord several times or resuscitating the neonate at the perineum with an intact cord. Milking the cord can be done quickly within the current Neonatal Resuscitation Program guidelines. Cord blood gases can be collected with delayed cord clamping. Bringing the resuscitation to the mother\u27s bedside is a novel concept and supports an intact cord. Adopting a policy for resuscitation with an intact cord in a hospital setting will take concentrated effort and team work by obstetrics, pediatrics, midwifery, and nursing

Dopamine agonists and ischemic complications in Parkinson’s disease: a nested case–control study

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