Heterotopna trudnoća kod prirodnog začeća – naše prvo iskustvo: prikaz slučaja

Heterotopic pregnancy refers to the presence of simultaneous pregnancies at two different implantation sites. Heterotopic pregnancy is rare, estimated to occur in 1 per 30,000 pregnancies. We report a case of a 27-year-old woman presented to the emergency department with the diagnosis of ruptured ectopic pregnancy. Careful ultrasound assessment indicated the diagnosis of heterotopic pregnancy. Right salpingectomy with removal of the hemoperitoneum and suction curettage were performed. Our operative diagnosis of heterotopic pregnancy was confirmed by histopathology. Heterotopic pregnancy can occur in the absence of any predisposing risk factors, and the detection of intrauterine pregnancy does not exclude the possibility of the simultaneous existence of ectopic pregnancy. Transvaginal ultrasound and assessment of the whole pelvis, even in the presence of intrauterine pregnancy, can be an important aid in the diagnosis of heterotopic pregnancy.Heterotopna trudnoća odnosi se na istodobnu prisutnost intrauterine i izvanmaterične trudnoće. Učestalost heterotopne trudnoće je 1 na 30.000 trudnoća. Prikazuje se slučaj 27-godišnje pacijentice koja se javila na hitni odjel s dijagnozom rupturirane ektopične trudnoće. Poslije pažljivog ultrazvučnog pregleda postavljena je dijagnoza heterotopne trudnoće. Napravljena je desna salpingektomija, uklanjanje hematoperitoneuma i vakuumska aspiracija intrauterine trudnoće. Naša operativna dijagnoza heterotopne trudnoće potvrđena je histopatološkim nalazom. Heterotopna trudnoća može se pojaviti u odsutnosti bilo kakvih predisponirajućih čimbenika rizika pa otkrivanje intrauterine trudnoće ne isključuje mogućnost istodobnog postojanja ektopične trudnoće. Transvaginalni ultrazvuk i pregled cijele zdjelice, čak i u prisutnosti intrauterine trudnoće, mogu znatno pomoći u dijagnostici heterotopne trudnoće

KORIŠTENJE KONTRACEPCIJE I SPOLNO PONAŠANJE STUDENATA U BOSNI I HERCEGOVINI

The aim of the study was to establish the parameters of sexual behavior and contraception use among full time male students in Bosnia and Herzegovina. In a prospective study that included 2128 male students aged 19-24, an anonymous survey was conducted on sexual behavior and contraception use in four university cities in Bosnia and Herzegovina during the 2007-2009 period. Out of the total number of surveyed students (N=2118), 74.6% (n=1581) were sexually active and the largest number of students (16.7%, n=614) had sexual relations with one partner. In the group of subjects with one sex partner, there was a signifi cant difference according to universities (Cilj rada je defi nirati parametre spolnog ponašanja i upotrebu metoda kontracepcije kod redovnih studenata u BiH. Ispitanici i metode: U prospektivnoj studiji na 2.128 redovnih studenata, u dobi od 19 do 24. godine života provedena je anonimna anketa o spolnom ponašanju i korištenju kontracepcije u 4 univerzitetska grada u BiH u razdoblju od 2007. do 2009. god. Rezultati: Od ukupnog broja anketiranih studenata (N=2.118) spolno aktivnih je bilo 74,6 % (N=1.581), a najveći broj studenata - 16,7 % (N=614) imao je spolne odnose s jednim partnerom. U proporciji ispitanika s jednim spolnim partnerom postoji značajna razlika po univerzitetima za muške ispitanike (x2=13,62; p=0,009). Ne postoji značajna razlika u broju spolnih partnera studenata prema studijskim skupinama, prema proporciji ispitanika s jednim i dva partnera (x2=1,41; p=0,492), ali postoji značajna razlika po godinama studija studenata muškaraca (x2=10,13; p=0,038). Srednja dob seksarhe je 17,35±1,71 godina, te postoji statistički značajna razlika srednjih vrijednosti seksarhe (F(4,1576)=9,273; p<0,001). Kontracepciju je koristilo 74,3 % spolno aktivnih studenata. Kondom kao metodu kontracepcije koristili su u 79% (N=1249) slučajeva, a druge metode u 21 % (N=332) slučajeva. Zaključak: Porast spolne aktivnosti među studentima muškog spola registriran je uz visoku stopu korištenja kontracepcije tijekom spolnog odnosa

KORIŠTENJE KONTRACEPCIJE I SPOLNO PONAŠANJE STUDENATA U BOSNI I HERCEGOVINI

The aim of the study was to establish the parameters of sexual behavior and contraception use among full time male students in Bosnia and Herzegovina. In a prospective study that included 2128 male students aged 19-24, an anonymous survey was conducted on sexual behavior and contraception use in four university cities in Bosnia and Herzegovina during the 2007-2009 period. Out of the total number of surveyed students (N=2118), 74.6% (n=1581) were sexually active and the largest number of students (16.7%, n=614) had sexual relations with one partner. In the group of subjects with one sex partner, there was a signifi cant difference according to universities (Cilj rada je defi nirati parametre spolnog ponašanja i upotrebu metoda kontracepcije kod redovnih studenata u BiH. Ispitanici i metode: U prospektivnoj studiji na 2.128 redovnih studenata, u dobi od 19 do 24. godine života provedena je anonimna anketa o spolnom ponašanju i korištenju kontracepcije u 4 univerzitetska grada u BiH u razdoblju od 2007. do 2009. god. Rezultati: Od ukupnog broja anketiranih studenata (N=2.118) spolno aktivnih je bilo 74,6 % (N=1.581), a najveći broj studenata - 16,7 % (N=614) imao je spolne odnose s jednim partnerom. U proporciji ispitanika s jednim spolnim partnerom postoji značajna razlika po univerzitetima za muške ispitanike (x2=13,62; p=0,009). Ne postoji značajna razlika u broju spolnih partnera studenata prema studijskim skupinama, prema proporciji ispitanika s jednim i dva partnera (x2=1,41; p=0,492), ali postoji značajna razlika po godinama studija studenata muškaraca (x2=10,13; p=0,038). Srednja dob seksarhe je 17,35±1,71 godina, te postoji statistički značajna razlika srednjih vrijednosti seksarhe (F(4,1576)=9,273; p<0,001). Kontracepciju je koristilo 74,3 % spolno aktivnih studenata. Kondom kao metodu kontracepcije koristili su u 79% (N=1249) slučajeva, a druge metode u 21 % (N=332) slučajeva. Zaključak: Porast spolne aktivnosti među studentima muškog spola registriran je uz visoku stopu korištenja kontracepcije tijekom spolnog odnosa

SEXUAL BEHAVIOUR OF ADOLESCENTS AT TUZLA CANTON

Cilj rada. Ispitati spolno ponašanje adolescenata. Ispitanici i metode. Tijekom 2003. godine anketirano je spolno ponašanje 2.995 srednjoškolaca adolescenata Tuzlanskog kantona dobi 14–19 godina (seksarha, učestalost spolnih odnosa i broj spolnih partnera). Rezultati. Spolno aktivnih adolescenata je bilo 395 (13,18%), odnosno 306 (10,22%) dječaka i 89 (2,9%) djevojaka. Prosječna dob seksarhe kod djevojaka je 16,50±0,97 godina, a dječaka 15,7±1,2 godine. Seksarha je kod djevojaka najranija u općini Sapna (15,25±0,5 godina), a kod dječaka u općini Teočak (15±1,1 godina). U nerazvijenim općinama spolna aktivnost adolescenata je značajno veća nego u razvijenim (x2=2,24; p<0,5). Trajanje spolne aktivnosti manje od tri godine je kod 76,8% dječaka i 96,55% djevojaka, ali je razlika značajno veća u korist dječaka (x2=16,9%; p<0,0001). Spolni odnosi su ipak sporadičnog karaktera (dječaci 59%, a djevojke 35,5%). Zaključak. Spolna aktivnost adolescenata u Tuzlanskom kantonu nije masovna pojava mada je ona u nerazvijenim općinama ipak značajnija.Objective. To examine basic parameters of sexual activity of adolescents: first sexual intercourse (sexarche), frequency of sexual intercourses and number of sexual partners in Tuzla Canton. Material and methods. In June and ¬September 2003 a survey was conducted among 2.995 middle school students at Tuzla Canton between age of 14 and 19. The survey was about the basic parameters that define sexual activity: sexarche, frequency of sexual intercourses and number of sexual partners. Results. There were 395 sexually active adolescents (13,18%), 206 (10,22%) boys and 89 (2,9%) girls (2=317; p<0,0001). Average age of first sexual intercourse for girls is 16,50±0,97 years and for boys is 15,7±1,2 years. First sexual intercourse for girls appears the earliest in the municipality of Sapna (15,25±0,5 years) and for boys in the municipality of Teočak (15±1,1 years). In undeveloped municipalities sexual activity of adolescents of both sexes is significantly higher then in developed ones (x2=2,24; p<0,5). Length of sexual activity less then three years appears with 76,8 % of boys and 96,55 % of girls, but the difference is significantly higher in boys (x2=16,9; p<0,0001). Frequency of sexual intercourses is mainly sporadic (boys 59% and girls 35,5%). Regarding the number of sexual partners, the most participants of the survey said that they had one or two partners and only 36,3% of boys and 9% of girls said that they had more than three partners. Conclusion. Sexual activity of adolescents of Tuzla Canton is not a mass phenomenon, especially for girls. However, the fact that this problem is more frequent in undeveloped municipalities is significant. That shows that work on education of youth in undeveloped municipalities is insufficient and that we need to dedicate a special attention to this issue now when we still have time

SEXUAL BEHAVIOUR OF ADOLESCENTS AT TUZLA CANTON

Cilj rada. Ispitati spolno ponašanje adolescenata. Ispitanici i metode. Tijekom 2003. godine anketirano je spolno ponašanje 2.995 srednjoškolaca adolescenata Tuzlanskog kantona dobi 14–19 godina (seksarha, učestalost spolnih odnosa i broj spolnih partnera). Rezultati. Spolno aktivnih adolescenata je bilo 395 (13,18%), odnosno 306 (10,22%) dječaka i 89 (2,9%) djevojaka. Prosječna dob seksarhe kod djevojaka je 16,50±0,97 godina, a dječaka 15,7±1,2 godine. Seksarha je kod djevojaka najranija u općini Sapna (15,25±0,5 godina), a kod dječaka u općini Teočak (15±1,1 godina). U nerazvijenim općinama spolna aktivnost adolescenata je značajno veća nego u razvijenim (x2=2,24; p<0,5). Trajanje spolne aktivnosti manje od tri godine je kod 76,8% dječaka i 96,55% djevojaka, ali je razlika značajno veća u korist dječaka (x2=16,9%; p<0,0001). Spolni odnosi su ipak sporadičnog karaktera (dječaci 59%, a djevojke 35,5%). Zaključak. Spolna aktivnost adolescenata u Tuzlanskom kantonu nije masovna pojava mada je ona u nerazvijenim općinama ipak značajnija.Objective. To examine basic parameters of sexual activity of adolescents: first sexual intercourse (sexarche), frequency of sexual intercourses and number of sexual partners in Tuzla Canton. Material and methods. In June and ¬September 2003 a survey was conducted among 2.995 middle school students at Tuzla Canton between age of 14 and 19. The survey was about the basic parameters that define sexual activity: sexarche, frequency of sexual intercourses and number of sexual partners. Results. There were 395 sexually active adolescents (13,18%), 206 (10,22%) boys and 89 (2,9%) girls (2=317; p<0,0001). Average age of first sexual intercourse for girls is 16,50±0,97 years and for boys is 15,7±1,2 years. First sexual intercourse for girls appears the earliest in the municipality of Sapna (15,25±0,5 years) and for boys in the municipality of Teočak (15±1,1 years). In undeveloped municipalities sexual activity of adolescents of both sexes is significantly higher then in developed ones (x2=2,24; p<0,5). Length of sexual activity less then three years appears with 76,8 % of boys and 96,55 % of girls, but the difference is significantly higher in boys (x2=16,9; p<0,0001). Frequency of sexual intercourses is mainly sporadic (boys 59% and girls 35,5%). Regarding the number of sexual partners, the most participants of the survey said that they had one or two partners and only 36,3% of boys and 9% of girls said that they had more than three partners. Conclusion. Sexual activity of adolescents of Tuzla Canton is not a mass phenomenon, especially for girls. However, the fact that this problem is more frequent in undeveloped municipalities is significant. That shows that work on education of youth in undeveloped municipalities is insufficient and that we need to dedicate a special attention to this issue now when we still have time

Clinical Manifestation and Obstetric Outcomes in Pregnant Women with SARS-CoV-2 Infection at Delivery: A Retrospective Cohort Analysis

This retrospective cohort study aimed to analyze the clinical manifestations, complications, and maternal-fetal outcomes in patients affected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection during delivery. The cohort included 61 pregnant women positive for SARS-CoV-2 infection at the time of delivery. Patients were divided into two groups: symptomatic and asymptomatic. We found a significantly higher rate of leukocytosis (p &lt; 0.00078) and lymphopenia (p &lt; 0.0024) in symptomatic women compared with asymptomatic ones. Other laboratory parameters, such as CRP (p = 0.002), AST (p = 0.007), LDH (p = 0.0142), ferritin (p = 0.0036), and D-dimer (p = 0.00124), were also significantly more often increased in the group of symptomatic pregnant women. Overall, symptomatic pregnant women with SARS-CoV-2 infection at the delivery show more often altered laboratory parameters compared with asymptomatic ones; nevertheless, they have a slightly higher but non-significant rate of preterm delivery, cesarean section, as well as lower neonatal birth weight and Apgar score, compared with asymptomatic women