Measles infection in pregnancy – prevention, complications and post-exposure prophylaxis

Abstract: Measles is a viral infection which is nowadays neither gone nor forgotten. It is transmitted by respiratory route after direct contact with airborne spread or infectious droplets and is one of the most contagious infectious diseases. Before live attenuated vaccine development, which is nowadays the best prevention, measles had its great influence on human morbidity and mortality, especially among children. Nevertheless, due to insufficient vaccine coverage, resurgence of measles has been reported in recent years. Read full text »

Pregnancy in HCV positive patients

Abstract: The HCV prevalence in the European Union and Economic Area countries is approximately 1.1% in total, which accounts for 5.6 million anti-HCV positive and 3.9 chronically infected individuals. According to the Polish regulations, every pregnant woman should be screened for HCV until the 10th gestational week. Read full text »

Pregnancy in HIV positive women in Poland. Review of epidemiological situation and patients’ management

Abstract: During pregnancy, various infections may be transmitted from the mother to the foetus, both through the placenta, during delivery and breastfeeding. In prevention of vertical transmission of infections, appropriate prophylaxis is important. HIV is a significant threat to both the mother and the foetus. It involves the risk of vertical transmission of the virus and the development of AIDS in both the mother and the child. Read full text »

Review of acne treatment options in pregnancy

Abstract: Acne is a chronic disease in which a dysfunction of the pilosebaceous apparatus of the skin is accompanied by excess sebum production. It may be clinically classified as mild, moderate and severe. Although many effective treatments against acne exist, their known and unknown effects on embryogenesis prevent doctors from prescription to pregnant women. Another factor hindering efficient treatment would be the uncertainty regarding acne course in a gravid. The following review summarizes topical and oral therapies, as well as procedure-based therapies, considering the severity of acne in patients. Read full text »

Gynaecological management of sexual assault victims

Abstract: Sexual assault is a crime which extremely violates victim’s integrity, often leading to strong psychological trauma. Appropriate management of sexual assault victims, both from the medical and the medico-legal side, requires cooperation of the physician examining the victim with law enforcement agencies. Proper collection and preservation of evidence is essential. Physicians should be equipped with a special kit for examination of sexual abuse victims, including a form with specific questions and a diagram for graphic illustration of the injuries. Both physical and gynaecological examination should be performed very gently. Read full text »

Sleep disorders associated with pregnancy – a literature review

Abstract: Pregnancy is a condition during which both physiological and pathological changes can disrupt sleep, cause development of maternal sleep disorders or exacerbate pre-existing conditions. Pregnancy-related sleep disorders are common and are associated with significant potential risk to the mother and the foetus. Based on many recent articles we have described most common and important conditions which may disrupt sleep during pregnancy, like sleep-disordered breathing, insomnia, restless leg syndrome, sleep-related leg cramps and gastroesophageal reflux disease. Read full text »

The relationship between fertility disorders and depression in women – review

Abstract: Depression is defined by the WHO as persistent sadness and loss of interest in taking actions that usually brought joy accompanied by the inability to undertake basic activities during the day for at least two weeks. Infertility is defined by the WHO as the inability to get pregnant despite regular sexual intercourse (3-4 times a week), maintained > 12 months, without the use of any contraceptive methods. Read full text »

Foetal abdominal tumour – multidisciplinary challenge beginning from the perinatal period

Abstract: With the development of ultrasound techniques and introduction of routine antenatal examinations, detectability of foetal abdominal masses has increased. It occurs during routine anatomical examination at 18-20 weeks of gestation. A 29-year- old patient at 37th gestational week was admitted to the tertiary referral hospital due to weaker foetal movements. She had an eventful perinatal history – her first pregnancy was lost at 35th gestational week because of true umbilical cord knot. During current pregnancy, a foetal abdominal mass was detected in the ultrasound examination. MRI confirmed its cystic nature. The condition of the foetus was monitored with CTG non-stress test. Foetal movements were normal, with no uterine contractile activity. Read full text »

Pregnancy after cervical conization – a literature review

Abstract: Cervical intraepithelial neoplasia (CIN) is a precancerous stage of cervical cancer, one of the most easily preventable cancers in women. It is treated with conization, a procedure that can be performed using various methods. Because CIN is often diagnosed in women of reproductive age, there is a strong need to study the consequences of conization for patients planning future pregnancies. According to different studies, this procedure may result in adverse pregnancy outcomes such as preterm delivery, low birth weight and increased perinatal mortality. Read full text »

Orthopaedic conditions with an impact on the delivery method – review

Abstract: Almost in every country, the Caesarean section (CS) delivery ratio has been gradually increasing. Among the orthopaedic conditions, only a few are absolute indications for CS, such as pelvic deformations, which is mechanical obstacle in delivery. In addition, we can also name conditions such as pelvic injury or history of pelvic treatments (e.g. acetabular osteotomy) which may affect the way of childbirth. A full-text scientific publication search in PubMed and review of the latest guidelines was conducted. Following phrases were applied in the search strategy: ‘Caesarean section’, ‘complications’, ‘labour’, ‘orthopaedic indications’, and ‘pregnancy’. Orthopaedic indications are usually elective, so every case should be thoroughly considered before the time of delivery. Read full text »