(1) Background: Despite the high number of cases of COVID-19 during pregnancy, SARS-CoV-2 congenital infection is rare. The role of the placenta as a barrier preventing the transmission of SARS-CoV-2 from the mother to the fetus is still being studied. This study aimed to evaluate the impact of SARS-CoV-2 infection on placental tissue. (2) Methods: This was a transversal monocentric observational study. In the study, we included pregnant women with COVID-19 who delivered at “Sfântul Pantelimon” Clinical Emergency Hospital between 1 April 2020 and 30 March 2022. Histological analyses, both macroscopic and microscopic, were performed for placentas that came from these cases. (3) Results: To date, a characteristic placental lesion has not been clearly demonstrated, but most findings include features of maternal and fetal vascular malperfusion, which probably reflect the reduction in placental blood flow due to low oxygen level from the hypoxic respiratory disease and underlying hypercoagulable state induced by the COVID-19 infection. (4) Conclusions: The histopathological aspects found in placentas that came from COVID-19-positive pregnant women are common for many other diseases, but when they are found together, they are highly suggestive for viral infectious involvement of the placenta.
Introduction. The aim of this study was to identify the incidence of the nuchal cord at birth in our clinic, it's impact on the fetal and neonatal evolution in correlation with the adopted way of delivery and to debate the medico-legal associated issues related to this condition. Material and methods. The study included the evaluation of 1996 women that delivered in Clinical Emergency Hospital "Saint John", "Bucur" Maternity from January 1 st , 2015 to December 31 st , 2015. We studied the presence and type of the nuchal cord at delivery, the APGAR score, the correlation between APGAR score and nuchal cord identification and the antepartum ultrasound diagnosis of the nuchal cord. Results. Our retrospective study included 819 patients. The delivery mode was: vaginal in 67.28% and by Caesarean section in 32.72% cases. The APGAR score less than 7 represented 0.5%. It was identified that cord pathology did not correlate well with the APGAR score. The children with APGAR score less than 7 were delivered in most of cases by Caesarian section (64.3%), but only 15.3% of the indication were for fetal distress. Ultrasound prenatal scan identified multiple nuchal cord loop in 34.7% cases and was confirmed in 93% cases after delivery. Conclusion. Nuchal cord at birth is a frequent finding and the study shows that, in most case there is no association between its presence and poor neonatal outcome. The presence of nuchal cord at ultrasound scan in the third trimester or in the labour ward does not impose Caesarian section delivery.
Mesenteric fibromatosis or intra-abdominal desmoids tumor is a rare clinical entity. It is a locally aggressive tumor but not metastasizing proliferation. We report a case of a 27-year-old woman with no significant medical and a previous cesarean section, admitted for abdominal pain. Postoperatively, patient was well and 6 month follow-up showed good recovery.Moreover the next month she became pregnant and the pregnancy and birth were uneventful.Acne conglobata is a rare, severe form of acne vulgaris characterized by the presence of comedones, papules, pustules, nodules and sometimes hematic or meliceric crusts, located on the face, trunk, neck, arms and buttocks. Case ReportWe report the case of a 16 year old Caucasian female patient from the urban area who addressed our Anca Ricu et al. 55
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