Browsing by Author "Petronijevic, M. (21739995200)"

Endometriosis is the presence of ectopic endometrial tissue outside the uterine cavity. It is a well-known cause of chronic pelvic pain and infertility in women. Endometriosis of the appendix is rare and may present with acute or chronic abdominal pain. Preoperative diagnosis is difficult. The definitive diagnosis is usually established following histopathological examination of the appendix. The authors report a case of ileus at the ground of adhesions formed due to appendiceal endometriosis clinically presented with recurrent attacks of abdominal pain in the eight month of pregnancy after laparoscopic removal of the ovarian endometriosis. © 2019 S.O.G. CANADA Inc.. All rights reserved.

Purpose: The objectives of this study were as follows: to present the course and outcome of pregnancies complicated with fetal ventriculomegaly, determine the association between prenatal ultrasound diagnoses and definitive postnatal diagnosis or diagnoses after autopsy and additional analysis, and to monitor the psychomotor development of children bom with ventriculomegaly. Materials and Methods: The survey was designed as retrospective study and included 62 pregnant women who were attending a regular ultrasound examinations at the Department of Gynecology and Obstetrics, Clinical Center of Serbia, or patients who were referred from other institutions in Serbia. Results: Ventriculomegalies were divided into three groups: mild, moderate, and severe or hydrocephalus. The most common were severe ventriculomegalies, with 34 cases (55%). Of all pregnancies complicated with ventriculomegalies, 61% were terminated. Among those continued, 88% had normal psychomotor development. In 97% ultrasonographic diagnosis was confirmed. Conclusion: Majority of pregnancies complicated with ventriculomegaly were continued and most of the children bom with anomalies had normal psychomotor development.

Maternal mortality related to obstetric events is still high today. The main components of reproductive health are evaluated. Early diagnosis of the obstetric risks can significantly reduce maternal mortality.

Purpose: The purpose of this investigation was to analyze maternal mortality in Republic of Serbia. Materials and Methods: Maternal mortality in Republic of Serbia was analysed in two periods, 2007-2011 and 2012-2016. Sources of data for this analysis were: Population statistics notices of Statistical Office of Serbia and Health Statistical Yearbooks of Republic of Serbia Institute of Public Health of Serbia “Dr. Milan Jovanovic Batut”. Results: Maternal mortality ratio in Serbia, although relatively high, in the last six years shows a declining trend (from 14.9 in 2012 to 10.8 per 100,000 live births in 2016). Conclusion: To promote and preserve the health of women of childbearing age, it is necessary to insure greater social and economic security of all women, especially in the period of maternity, pro-natal policy of the state, and the protection of the family. A significant reduction in maternal mortality can be achieved by early diagnosis, prompt treatment, and rehabilitation after certain illnesses. © 2019 S.O.G. CANADA Inc.. All rights reserved.

Leiomyomas of the vagina are very rare tumors of the female genital tract with only 300 cases reported so far. A case of removal of the vaginal leiomyoma presenting as tumor previa in advanced pregnancy is described. Removal of the tumor allowed vaginal birth three weeks after surgery.

Purpose: The objectives of this study were as follows: to present the course and outcome of pregnancies complicated with neural tube defects, determine the association between prenatal ultrasound diagnoses, and definitive diagnoses after autopsy. Matherial and Methods: The survey was designed as a retrospective study and included 24 pregnant women who were attending a regular ultrasound examinations at the Department of Gynecology and Obstetrics, Clinical Center of Serbia, or patients who were referred from other institutions in Serbia. Results: Neural tube defects are divided into five subgroups: spina bifida, meningocele, myelomeningocele, acranius, and anencephaly. The most frequent in the present study was spina bifida with 67%. All pregnancies complicated with neural tube defects were terminated. Conclusion: Their clinical severity and uncertain cause make them priorities for further research, whether to better target primary preventive measures, to improve in-utero surgery for prenatal repair, or to identify the causative genes to provide an objective basis for individual genetic counselling.