Αιματολογικά νοσήματα και κύηση

Postgraduate Thesis uoadl:1309869 699 Read counter

Unit:
Κατεύθυνση Παθολογία της Κύησης
Library of the School of Health Sciences
Deposit date:
2012-07-09
Year:
2012
Author:
Κρεατσά Μαρία
Supervisors info:
Σαλαμαλέκης Εμμανουήλ (Επιβλέπων), Κασσάνος Δημήτριος, Λόγης Κωνσταντίνος
Original Title:
Αιματολογικά νοσήματα και κύηση
Languages:
Multilingual
Summary:
The aim of this study was to summarize the effect of the most common
hematologic diseases of the mother on the pregnancy, the effect of the
pregnancy on women diagnosed with a hematologic disease and to specify the most
appropriate way to treat and advise those women.
During pregnancy the most common anemias are the iron defeciency, the
megaloblastic, the methemorrhagic, the thalassemia and sickle cell derived
ones.
Iron deficiency anaemia is correlated with increased risk of perinatal
complications. Iron supplementation during pregnancy is thought to prevent
preterm labour and congenital neural tube defects.
During pregnancy, hemolytic anemias may significantly deteriorate, causing
severe perinatal complications. Women with paroxysmal nocturnal hemoglubinuria
are advised to avoid pregnancy.
Women with aplastic anaemia should avoid pregnancy as it is correlated with
poor perinatal outcome.
The homozygous forms of sickle cell anaemia and thalassemias are responsible
for several perinatal complications and require intensive monitoring in
pregnancy.
Thrombocytopenia in pregnancy is mainly due to preeclampsia and is related to
hemorrhages, infections, preterm labor and neonatal thrombocytopenia. Every
patient should be managed individually and the routine use of caesarian section
should be abandoned.
All women with hemophilias should be offered antenatal screenning and
operative vaginal delivery should be avoided
Acute leukemia in pregnancy correlates with increased risk of perinatal
complications. Chemotherapy is not allowed in the first trimester.
Radiotherapy is allowed only for lymphomas diagnosed in the first and second
trimester. Chemotherapy should always take place after organogenesis.
Keywords:
Anemias in pregnancy, Iron defeciency anemia, Hemolytic anemias, Thrombocytopenias in pregnancy, Hematological cancers
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
121
Number of pages:
151
File:
File access is restricted.

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