جستجوی مقالات مرتبط با کلیدواژه « Threatened abortion » در نشریات گروه « پزشکی »
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Background
A significant number of pregnancies are at risk of threatened abortion (TA). Different types of progesterone are used to treat TA.
ObjectivesIn this study, the effects of 2 forms of progesterone on the continuation of pregnancy and TA-caused pregnancy outcomes were compared.
MethodsA total of 190 women with a gestational age of 6 - 13 weeks presenting with uterine bleeding, closed cervix, and absence of fetal heart rate diagnosed by vaginal examination and ultrasound were allocated into 2 groups and treated with either (D) dydrogesterone (10 mg twice a day) or (M) micronized progesterone (200 mg, twice a day) for beyond 2 weeks after the cessation of uterine bleeding to ensure that bleeding would not recur. The participants were followed up and received prenatal care until the end of pregnancy. The outcomes of pregnancy were recorded and compared between the 2 groups.
ResultsThe incidence of preeclampsia, gestational diabetes, cesarean section, intrauterine fetal death (IUFD), placenta previa, and abortion was not significantly different between the 2 groups. However, the prevalence of preterm labor and low birth weight (LBW) was significantly lower in M-treated women (P < 0.001 and P = 0.007, respectively). The baby’s weight and gestational age at delivery were significantly higher in the M group than in the D group (P < 0.001). No serious drug side effects were observed in the 2 groups throughout the study.
ConclusionsThe results of this study showed that the incidence of preterm labor and LBW was significantly lower in the patients treated with micronized progesterone than in patients treated with dydrogesterone; however, the prevalence of preeclampsia, gestational diabetes, cesarean section, IUFD, and abortion was not significantly different between the 2 groups.
Keywords: Threatened Abortion, Pregnancy Outcome, Progesterone, Dydrogesterone} -
Background
A significant number of pregnancies are at risk of threatened abortion (TA). Different types of progesterone are used to treat TA.
ObjectivesIn this study, the effects of 2 forms of progesterone on the continuation of pregnancy and TA-caused pregnancy outcomes were compared.
MethodsA total of 190 women with a gestational age of 6 - 13 weeks presenting with uterine bleeding, closed cervix, and absence of fetal heart rate diagnosed by vaginal examination and ultrasound were allocated into 2 groups and treated with either (D) dydrogesterone (10 mg twice a day) or (M) micronized progesterone (200 mg, twice a day) for beyond 2 weeks after the cessation of uterine bleeding to ensure that bleeding would not recur. The participants were followed up and received prenatal care until the end of pregnancy. The outcomes of pregnancy were recorded and compared between the 2 groups.
ResultsThe incidence of preeclampsia, gestational diabetes, cesarean section, intrauterine fetal death (IUFD), placenta previa, and abortion was not significantly different between the 2 groups. However, the prevalence of preterm labor and low birth weight (LBW) was significantly lower in M-treated women (P < 0.001 and P = 0.007, respectively). The baby’s weight and gestational age at delivery were significantly higher in the M group than in the D group (P < 0.001). No serious drug side effects were observed in the 2 groups throughout the study.
ConclusionsThe results of this study showed that the incidence of preterm labor and LBW was significantly lower in the patients treated with micronized progesterone than in patients treated with dydrogesterone; however, the prevalence of preeclampsia, gestational diabetes, cesarean section, IUFD, and abortion was not significantly different between the 2 groups.
Keywords: Threatened Abortion, Pregnancy Outcome, Progesterone, Dydrogesterone} -
International Journal of Women’s Health and Reproduction Sciences, Volume:10 Issue: 3, Jul 2022, PP 141 -147Objectives
Threatened miscarriage is a common disorder in early pregnancy and is seen in 20% of pregnant women. Currently, there is no effective therapeutic solution for this condition. This study aimed to determine the effects of a special food (fried egg with grape molasses) on threatened miscarriage in combination with conventional therapies.
Materials and MethodsThis randomized controlled clinical trial was conducted on 93 pregnant women with mild or moderate vaginal bleeding up to 16 weeks of gestation in two groups. The control group (n = 47) used progesterone 400 mg suppository daily with abstinence from sexual intercourse and physical activity. The intervention group (n = 46) consumed fried eggs with grape molasses and the routine treatment like the control group. The treatment was considered successful if the pregnancy continued up to 20 weeks. Finally, the risk of abortion (miscarriage rate) and the duration of vaginal bleeding were compared between two groups.
ResultsThe risk of abortion in the control group was about 26% (12 of 45 pregnancies), while in the intervention group, it was 15% (7 of 45 pregnancies). This result was not statistically significant between the two groups (Risk ratio: 0.69, 95% CI: 0.37-1.30, P= 0.197). Additionally, no significant difference was detected regarding the duration of vaginal bleeding between the intervention and control groups (P= 0.699).
ConclusionsThere is no significant statistical relationship between the consumption of “fried eggs with grape molasses” and reduction of abortion risk.
Keywords: Threatened abortion, Eggs, Vitis, Functional food, Persian Medicine} -
مقدمه
علی رغم شواهد مثبت مبنی بر تاثیر پروژسترون بر تداوم بارداری در موارد تهدید به سقط، نتایج مطالعات انجام شده در رابطه با فرم دارویی آن با اختلاف نظر همراه بوده است. مطالعه حاضر با هدف مقایسه اثر دیدروژسترون و پروژسترون واژینال بر پیامد نهایی بارداری در موارد تهدید به سقط انجام شد.
روش کاردر این مطالعه کارآزمایی بالینی تصادفی شده یک سوکور، 160 زن باردار دچار تهدید به سقط مراجعه کننده به بیمارستان کوثر قزوین در سال 1397 به صورت تصادفی ساده تحت درمان با دیدروژسترون (دوفاستون) 10 میلی گرم 2 بار در روز یا پروژسترون واژینال (سیکلوژست) روزانه 400 میلی گرم قرار گرفتند. در نهایت پیامدهای بارداری در میان دو گروه مقایسه شد. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 18) و آزمون های کای اسکویر، تی مستقل و من ویتنی انجام شد. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافته هافراوانی زایمان سزارین در گروه دیدروژسترون، 27 نفر (7/33%) و در گروه پروژسترون واژینال، 25 نفر (2/31%) بود که تفاوت معنی داری میان دو گروه وجود نداشت (736/0=p). به طور کلی فراوانی وقوع زایمان زودرس 97 نفر (6/60%) بود و تفاوت معنی داری میان دو گروه مشاهده نشد (05/0<p). به علاوه وقوع پره اکلامپسی، دیابت بارداری، جفت سرراهی و IUFD و همچنین وزن نوزاد در میان دو گروه اختلاف معنی داری نداشت (05/0<p). در نهایت از نظر عوارض مادری و نوزادی نیز تفاوت آماری معنی داری میان دو گروه وجود نداشت (675/0=p).
نتیجه گیریپیامدهای نهایی بارداری به دنبال تجویز دیدروژسترون تفاوتی در مقایسه با پروژسترون واژینال در درمان تهدید به سقط ندارد.
کلید واژگان: پروژسترون, پیامدهای بارداری, تهدید به سقط, دیدروژسترون}IntroductionDespite the positive evidence on the effect of progesterone on protection of pregnancy in patients with threatened abortion, the results of studies regarding its drug type have been controversial. This study was performed with aim to compare the effect of vaginal progesterone and dydrogesterone on pregnancy outcome in cases with threatened abortion.
MethodsIn this single-blind randomized clinical trial, 160 pregnant women with threatened abortion who referred to Qazvin Kowsar Hospital in 2018 were randomly assigned to receive dydrogesterone (Duphaston) 10 mg twice daily or vaginal progesterone (Cyclogest) 400 mg daily. Finally, pregnancy outcomes were compared between the two groups. Data were analyzed by SPSS software (version 18) and Chi-square, independent t-test and Mann-Whitney tests. P<0.05 was considered statistically significant.
ResultsFrequency of cesarean section was 27 (33.7%) in the dydrogesterone group and 25 (31.2%) in the vaginal progesterone group (P = 0.736). In general, the incidence of preterm labor was 97 (60.6%) and there was no significant difference between the two groups (P >0.05). In addition, incidence of preeclampsia, gestational diabetes mellitus, placenta previa and intrauterine fetal death as well as neonatal weight were not significantly different between the two groups (P >0.05). Finally, maternal and neonatal complications showed no significant difference between the two groups (P = 0.675).
ConclusionPregnancy outcomes after administration of dydrogesterone are not different with vaginal progesterone in the treatment of threatened abortion.
Keywords: Dydrogesterone, Pregnancy outcomes, Progesterone, Threatened abortion} -
مقدمه
سقط خود به خود، شایع ترین عارضه حاملگی است. شناخت عوامل مرتبط با آن می تواند نقش مهمی در پیشگیری از آن و بهبود پیامدهای بارداری ایفا کند. برخی مطالعات ارتباط بین کمبود ویتامین D در بارداری و سقط را مطرح کرده اند، لذا مطالعه حاضر با هدف مقایسه سطح سرمی ویتامین D در بیماران تهدید به سقط و زنان با حاملگی نرمال انجام شد.
روش کاراین مطالعه مورد شاهدی در سال 1397 بر روی 46 نفر از زنان باردار مراجعه کننده به بیمارستان های لقمان حکیم و مهدیه شهر تهران در دو گروه تهدید به سقط و بارداری نرمال کمتر از 20 هفته انجام شد. نمونه خون افراد مورد مطالعه از نظر سطح ویتامین D ارزیابی شد. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 16) و آزمون های تی مستقل، من ویتنی و کای دو انجام شد. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.
یافته هامیانگین غلظتD (OH)25 در گروه مورد 22/9±49/22 و در گروه شاهد 03/10±36/30 نانوگرم بر میلی لیتر بود که اختلاف آماری معنی داری بین دو گروه وجود داشت (008/0=p).
نتیجه گیریسطح سرمیD (OH)25 در زنان باردار تهدید به سقط پایین تر از زنان با بارداری نرمال است و سطح سرمی پایین ویتامین D می تواند به عنوان یک عامل خطر برای تهدید به سقط محسوب شود.
کلید واژگان: بارداری, تهدید به سقط, زنان, سقط, ویتامین D}Comparison of serum vitamin D levels in threatened abortion patients and women with normal pregnancyIntroductionSpontaneous abortion is the most common complication of pregnancy. Identifying the associated factors can play an important role in preventing it and improving pregnancy outcomes. Some studies have suggested an association between vitamin D deficiency in pregnancy and abortion. Therefore, this study was performed with aim to compare serum levels of vitamin D in threatened-abortion patients and women with normal pregnancy.
MethodsThis case-control study was performed in 2016 on 46 pregnant women referred to Loghman Hakim and Mahdieh hospitals in Tehran in two groups of threatened-abortion and normal pregnancy less than 20 weeks. Blood samples of the subjects were assessed for vitamin D serum level. Data were analyzed using SPSS software (version 16) and independent t-test, Mann-Whitney, and chi-square tests. P<0.05 was considered statistically significant.
ResultsThe mean of 25(OH)D concentration was 22.49 ±9.22 ng/ml in case group and 30.36 ±10.03 ng/ml in control group and there was a significant difference between the two groups (p = 0.008).
ConclusionSerum 25(OH)D levels in threatened-abortion pregnant women are lower than in women with normal pregnancy. Low serum levels of vitamin D can be considered as a risk factor for threatened-abortion.
Keywords: Abortion, pregnancy, Threatened-abortion, Vitamin D, Women} -
هدفوجود سطوح کافی پروژسترون و وجود سیستم گردش خون رحمی جفتی کارآمد، دو فاکتور مهم در تداوم حاملگی طبیعی محسوب می شوند. افزایش مقاومت عروقی در شریان رحمی با ایجاد اختلال در خون رسانی به رویان می تواند با عوارض ناگواری از جمله تهدید به سقط همراه باشد. مطالعه حاضر با هدف بررسی تاثیر تجویز شیاف پروژسترون واژینال بر مقاومت شریان رحمی در زنان باردار مبتلا به تهدید به سقط انجام شد.مواد و روش هااین مطالعه مداخله ای نیمه تجربی در سال1396-1395 در مرکز آموزشی و درمانی کوثر قزوین انجام شد. 51 زن باردار مبتلا به خونریزی واژینال، با سن حاملگی 12-7 هفته که جنین زنده تک قلو و سرویکس بسته داشتند، وارد مطالعه شدند. در ابتدا با انجام سونوگرافی کالر داپلر، میانگینPulsatility Index (PI) وResistance Index (RI) در شریان های رحمی دو طرف تعیین شد. سپس 400 میلی گرم شیاف پروژسترون واژینال به مدت 14روز تجویز گردید. با انجام سونوگرافی داپلر، میانگین PI و RI شریان های رحمی مجددا ثبت و متوسط PI و RI قبل و پس از مصرف شیاف پروژسترون واژینال مقایسه شد.یافته هامیانگین RI در شریان های رحمی دو طرف قبل از درمان 07/0±68/0 بود که پس از درمان به 08/0±55/0 کاهش یافت (001/0P<). هم چنین میانه PI شریان های رحمی دو طرف قبل از مداخله (48/1 و 05/1) 17/1 بود که پس از دوره درمانی به (14/1 و 77/0) 95/0 تقلیل یافت (001/0P<).نتیجه گیریتجویز شیاف پروژسترون واژینال با بهبود شاخص های RI و PI سبب کاهش مقاومت شریان رحمی در زنان مبتلا به تهدید به سقط شد.کلید واژگان: پروژسترون, شریان رحمی, سقط خودبخودی, خطر سقط}Koomesh, Volume:21 Issue: 3, 2019, PP 444 -448IntroductionAdequate levels of progesterone and efficient uteroplacental circulatory system are considered as two important factors in maintaining normal pregnancy. Conspicuously, increased vascular resistance in the uterine artery can lead to severe complications including threatened abortion by an impairment to the embryo’s blood supply. This study was conducted to determine whether vaginal progesterone suppository administration effect on uterine artery resistance in women with threatened abortion.Materials and MethodsThis interventional pre-experimental study was done in Kosar hospital of Qazvin (Iran) within 2016-2017. 51 pregnant women with vaginal bleeding were entered in the study who had alive singleton fetus with 7 to 12 gestational age and closed cervix. Initially mean pulsatility index (PI) and resistance index (RI) were determined in uterine arteries on both sides by color Doppler sonography. Then, 400 mg vaginal progesterone suppository was administered for 14 days. Using color Doppler sonography, the mean PI and RI of uterine arteries were recorded again and the mean of PI and RI were evaluated before and after using vaginal progesterone suppository.ResultsThe mean of RI in uterine arteries on both sides was 0.68±0.07 before treatment and decreased to 0.55±0.08 after treatment (P<0.001). Also before intervention, the median of PI in uterine arteries on both sides was 1.17 (1.05 and 1.48) which decreased to 0.95 (0.77 and 1.14) after treatment (P <0.001).ConclusionVaginal progesterone suppository administration reduced uterine artery resistance by improving RI and PI index in women with threatened abortion.Keywords: Progesterone, Uterine Artery, Spontaneous Abortion, Threatened Abortion}
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Background
Determination of the best diagnostic methods for ectopic preg-nancy (EP) and threatened abortion is important specially to improve the final prognosis. The aim was to determine the CA-125 level in cases of EP and threatened abortion in comparison with control subjects.
Materials and MethodsIn this descriptive cross-sectional study, 90 consec-utive women attending to Shohada-e-Tajrish and Mahdieh Hospitals in Teh-ran including those with EP and threatened abortion and control subjects were enrolled where CA-125 level was determined and compared across the three groups.
ResultsCA-125 level was significantly different across the groups (P<0.005) and in paired comparisons it was higher in threatened abortion cases versus control subjects (P<0.003). However, it was not significantly different between the other groups (P > 0.05).
ConclusionOverall, it was found that the serum CA-125 level was higher in threatened abortion cases but not significantly in EP cases. Hence, use of this marker may be helpful in diagnosis of threatened abortion.
Keywords: Ectopic pregnancy, Threatened abortion, CA-125 Antigen} -
This study is about a patient with a history of infertility and polycystic ovarian disease who was admitted with spotting and severe abdominal pain, There was one misdiagnosis about this patient and progesterone was prescribed for treating of threatened abortion, following transvaginal ultrasound, one heterogeneous echogenic mass with dimensions of 5.8 × 18 in the vicinity of the left ovary was reported in favor of ectopic pregnancy. The patient was hospitalized and treated with methotrexate with diagnosis of an ovarian ectopic pregnancy. Pregnant women with complaints of bleeding and spotting in early pregnancy should be evaluated in terms of ectopic pregnancy in addition of abortion and molar pregnancy. The aim of this study was to introduce a new case of misdiagnosed ovarian pregnancy instead of threatened abortion.Keywords: Misdiagnosed, Ovarian Pregnancy, Threatened Abortion}
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Comparison of Risk of Preterm Labor between Vaginal Progesterone and17-Alpha-Hydroxy-Progesterone Caproate in Women with Threatened Abortion: A Randomized Clinical TrialBackgroundThreatened miscarriage is a common complication in pregnancy that leads to adverse pregnancy outcomes such as preterm labor. This study aimed to compare the vaginal progesterone (Cyclogest) versus 17-alpha-hydroxyprogesterone caproate (Proluton) on preventing preterm labor in pregnant women with threatened abortion at less than 34 weeks gestational age.Materials And MethodsThis balanced randomized, double-blind, single-center controlled clinical trial included 190 women with threatened abortion. They were then randomly allocated into Cyclogest (n=95) and 17-alpha-hydroxyprogesterone caproate (Proluton, n=95) groups. Interested outcome was preterm labor less than 34 weeks. The Pearson chi-square and Students t test were used to compare two groups. The data were analyzed by Stata software version 13.ResultsThe risks of preterm labor less than 34 weeks in Proluton and Cyclogest groups were 8.6 and 6.52%, respectively. There was no significant difference for risk of preterm labor less than 34 weeks [relative ratio (RR): 1.31, 95% confidence interval (CI): 0.47- 3.66, P=0.59] between two groups.ConclusionRisk of preterm labor in the vaginal progesterone group and 17-alpha hydroxyprogesterone caproate group in pregnant women with threatened abortion is the same (Registration Number: IRCT2014123120504N1).Keywords: Progesterone, 17, Alpha, Hydroxyprogesterone Caproate, Premature Labor, Threatened Abortion}
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مقدمهبیش از 25% از زنان باردار در سه ماهه اول و اوایل سه ماهه دوم بارداری دچار خونریزی می شوند که در نیمی از این بیماران سقط اتفاق می افتد. علل و روش های مختلفی برای تشخیص و درمان خونریزی های دوران بارداری وجود دارند. با توجه به شیوع نسبتا بالای خونریزی های سه ماهه اول بارداری و روش های تشخیصی و درمانی توصیه شده، مطالعه حاضر با هدف بررسی علل، شیوه های تشخیصی و درمانی و عواقب حاملگی این بیماران در بخش زنان بیمارستان امیرالمومنین سمنان انجام شد.روش کاراین مطالعه مقطعی و آینده نگر در سال 93-1392 بر روی 200 بیمار بستری در بخش زنان بیمارستان امیرالمومنین (ع) سمنان با خونریزی های سه ماهه اول بارداری انجام شد. اطلاعات مربوط به بیماران با حاملگی اثبات شده شامل علل خونریزی، روش های تشخیصی و درمانی، عواقب و پیامدهای آن ها بررسی و اطلاعات در پرسشنامه های محقق ساخته ثبت شد. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 16) و روش های آمار توصیفی انجام شد. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.یافته هاعلل خونریزی های غیر طبیعی در بیماران در 2 مورد (1%) وجود تخمک خالی، در 52 مورد (26%) سقط ناقص، در 62 مورد (31%) سقط فراموش شده، در 24 مورد (12%) سقط کامل، در 54 مورد ( 27%) تهدید به سقط، در 2 مورد (1%) حاملگی خارج رحمی، در 1 مورد (5/0%) حاملگی مولار، در 2 مورد (1%) حاملگی شیمیایی یا سقط زودرس و در 1 مورد (5/0%) پولیپ سرویکس بود. سقط درمانی در 56 نفر (27/48%) از بیماران به روش مدیکال و جراحی، در 40 نفر (48/34%) فقط با درمان دارویی و در 20 مورد (24/17%) فقط با درمان جراحی به تنهایی انجام شد. از 54 مورد تهدید به سقط، 20 مورد (05/37%) منجر به سقط، 10 مورد (5/18%) منجر به زایمان زودرس و 22 مورد (4/47%) منجر به زایمان ترم شد. سن بارداری در تمامبیمارانزیر 9 هفته بود و در 70% موارد با سابقه سقط، مجددا سقط اتفاق افتاد.نتیجه گیریعلل خونریزی های غیر طبیعی منجر به بستری در سه ماهه اول بارداری به ترتیب شامل سقط اجتناب ناپذیر، تهدید به سقط، حاملگی خارج رحمی، حاملگی مولار و پولیپ سرویکس بود. شایع ترین علل منجر به بستری سقط اجتناب ناپذیر و شایع ترین روش درمانی دارویی+ جراحی بود. در این مطالعه نیمی از موارد تهدید به سقط با زایمان ترم، 37% با سقط و 18% با زایمان زودرس همراه، حاملگی زیر 9 هفته و سابقه سقط با خطر خونریزی بیشتر و سقط همراه بودکلید واژگان: تهدید به سقط, خونریزی های سه ماهه اول بارداری, سقط اجتناب ناپذیر, کورتاژ تخلیه ای, میزوپروستول}IntroductionMore than 25% of pregnant women have bleeding at first trimester and first of second trimester that half of them will experience miscarriage. There are different causes and methods for diagnosis and treatment of bleeding during pregnancy. Regarding to relatively high prevalence of first trimester bleeding and recommended diagnostic and treatment methods, this study was performed with aim to evaluate the causes, diagnostic and treatment methods and pregnancy outcomes in patients admitted in the department of obstetrics, Semnan Amiralmomenin hospital.MethodsThis cross-sectional and prospective study was performed on 200 patients with first trimester bleeding admitted in the department of obstetrics, Semnan Amiralmomenin hospital during 2013-2014. Information of patients with approved pregnancy including the causes of bleeding, diagnostic and treatment methods and pregnancy outcome were studied and recorded in researcher-made questionnaire. Data was analyzed by SPSS software (version 16) and descriptive statistical methods. PResultsCauses of abnormal bleeding were blighted ovum in 2 cases (1%), incomplete abortion in 52 (26%), missed abortion in 62 (31%), complete abortion in 24 (12%), threatened abortion in 54 (27%), ectopic pregnancy in 2 (1%), molar pregnancy in 1 (0.5%) and cervical polyps in 1 (0.5%). Treatment method was medical and surgery in 56 cases (48.27%), medical in 40 (34.48%) and surgical in 20 (17.24%). Among 54 (31%) of threatened abortion, 20 (37.05%) had abortion, 10 (18.5%) preterm delivery, and 22 (47.4%) term delivery. All cases had gestational ageConclusionThe causes of abnormal uterine bleeding which led to admission at first trimester of pregnancy were inevitable abortion, threatened abortion, ectopic pregnancy, molar pregnancy and cervical polyp, respectively. The most common causes of admission were inevitable abortion and the most common treatment methods were medical surgery. About half of the threatened abortion cases resulted in term delivery, 37 % abortion and 18% preterm delivery. Gestational ageKeywords: Evacuation curettage, First trimester bleeding, Inevitable abortion, Misoprostol, Threatened abortion}
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BackgroundThreatened abortion is a common complication of pregnancy. In order to prevent miscarriage in the cases with threatened abortion, this study was conducted to determine whether progesterone suppository is effective in allowing pregnancy to proceed beyond week 20 in women with threatened abortion.MethodsThis single-blind clinical trial study was done on 60 pregnant women with threatened abortion. Pregnant women, who had vaginal bleeding until 20 weeks of their pregnancy, were assessed for inclusion. Participants were divided into two groups by random allocation; the control group, which did not undergo any treatment and the case group. The case group was given 400 mg of vaginal progesterone suppository (Cyclogest) each day until their bleeding stopped in less than one week. Participants were followed up until the end of their pregnancy. The treatment was considered successful if pregnancy continued beyond 20 weeks of gestation. Qualitative and quantitative variables were analyzed statistically by Chi Square and T- test respectively. The p-values of less than 0.05 were considered significant.ResultsThere was no statistically significant difference between the case and the control groups in terms of background variables. The number of abortions in the case group (6 cases, 20%) was lower than the control group which had 10 abortions (33.3%).ConclusionThe study demonstrated that the rate of abortion was reduced in women treated with progesterone suppositories. However, the difference was not statistically significant.Keywords: Progesterone suppository, Threatened abortion}
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مقدمهسونوگرافی واژینال و اندازه گیری سریال HCGβ، یکی از شایع ترین روش های تشخیصی برای حاملگی خارج رحمی هستند. هرچند در 50% موارد با اشتباه تشخیصی مواجه هستیم. در حاملگی خارج رحمی تخم لقاح یافته در نزدیک لایه عضلانی لوله رحم قرار می گیرد و بدلیل تهاجم ایجاد شده در عضله سبب افزایش کراتین فسفوکیناز خون می شود.هدفهدف از این مطالعه ارزیابی CPK و ایزوآنزیم CPK-MB به عنوان مارکر تشخیصی برای حاملگی خارج رحمی بود.مواد و روش هادر این مطالعه case-control، 111 زن بین 40-16 سال در سه ماهه اول حاملگی که در بخش اورژانس بیمارستان الزهرا رشت با دل درد یا خونریزی واژینال بستری شده بودند، وارد مطالعه و بر اساس سونوگرافی، میزان β-HCG به سه گروه (37=n) شامل: (1) حاملگی لوله ای، (2) تهدید سقط و (3) حاملگی طبیعی تقسیم شدند. نمونه های خون برای اندازه گیری میزان CPK توتال و CPK-MB قبل از هر گونه دستکاری تهاجمی از بیماران گرفته شد.نتایجمیانگین سطح CPK توتال u/lit 9/63±27/96 در گروه 1، u/lit 14/1±55/37 در گروه 2 و u/lit 19/2±48/94 در گروه 3 بود. میانگین سطح CPK-MB در 3 گروه به ترتیب 2/5±15/62، 6/9±17/32 و 4/7±15/1 واحد در لیتر بودکه تفاوت معنی داری وجود نداشت.نتیجه گیریتعیین CPK توتال می تواند با افزایش ارزش تشخیصی در حاملگی خارج رحمی همراه باشد.
کلید واژگان: کراتین فسفوکیناز, حاملگی خارج رحمی, تهدید به سقط, حاملگی داخل رحمی}BackgroundVaginal sonograghy and serial? -hCG are the most common diagnostic methods for ectopic pregnancy but about 50% of cases are initially misdiagnosed. In tubal pregnancy the zygote lies next to the muscular layer, and this invasion causes an increase in creatine phosphokinase (CPK) in blood.Objectiveassessment of CPK and its isoenzyme CPK-MB as a diagnostic marker for tubal pregnancy.Materials And MethodsIn this case-control study, 111 women between 16-40 years in first-trimester pregnancy admitted to emergency ward of Rasht Alzahra hospital with abdominal pain or vaginal bleeding were included and according to sonography and? hCG divided into 3 groups (N=37): tubal pregnancy (1), threatened abortion (2) and normal pregnancy (3). Blood samples were taken for totalCPK and CPK-MB before any invasive procedure.ResultsMean total CPK level were 96.27±63.9 u/lit (group 1), 55.37±14.1 u/lit (group 2) and 48.94±19.2 u/lit (group 3) and was significantly higher in tubal pregnancy compared to other groups. Mean CPK-MB levels in 3 groups were 15.62±5.2 u/lit, 17.32±6.9 u/lit, and 15.1±4.7 u/lit, respectively which was not significant.ConclusionIt seems that determination of total CPK can enhance the diagnostic value of tubal pregnancy.Keywords: Creatine phosphokinase, Tubal ectopic pregnancy, Threatened abortion, Intrautine pregnancy} -
Background
CA-125 is a glycoprotein and its origin is uncertain during pregnancy. It arises during the first trimester and return to a non-pregnancy range in late pregnancy.
ObjectiveThe aim of this study was to compare CA-125 level in threatened abortion and normal pregnancy less than 20 weeks of pregnancy.
Materials And MethodsThis was a prospective case study carried out on 50 healthy pregnant (group 1) and 50 threatened abortion women (group 2). We compared the levels of CA-125 in these groups and followed them to be informed of the outcome of pregnancy.
ResultsFifty percent of women were in 20-24 years old group, primigravida and in the first trimester of pregnancy. The mean level of CA-125 in group 1 was 26.2 ± 3.25 IU/ml and in group 2 was 37.44 ± 2.72 IU/ml. The mean level of CA-125 in finally aborted patients was 58.17±7.25 IU/ml and in normal pregnant women, who continue to term, was 26.61±1.76 IU/ml. The CA-125 level in threatened women,whose pregnancy continued and did not abort, was 30.89 IU/ml. There was statistically significant difference between mean serum CA-125 levels of two groups (p < 0.05), while there was no statistically significant difference between these levels in the patients of both groups who continued pregnancies (p > 0.1). In group 2, there was a statistically significant difference in the level of CA-125 between those who developed abortion and those whose pregnancy continued but not aborted (p < 0.05).
ConclusionMeasurement of serum CA-125 may be an inexpensive, easily available, sensitive and specific predictor of outcome in threatened abortion, which results the loss of pregnancy.
Keywords: : CA-125, Pregnancy, Abortion, Threatened abortion}
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