Kratak sadr`aj: Intrauterini zastoj u rastu ploda jedan je od vode}ih uzroka perinatalnog morbiditeta i mortaliteta. Kako kauzal na terapija ne postoji, predikcija intrauterinog zastoja u rastu je jedan od prioritetnih zadataka perinatalne za{tite. Cilj rada je bio da se na osnovu odre|ivanja nivoa serum skog feritina i ele menata crvene krvne loze kod trudnica izme|u 30. i 32. gestacijske nedelje izdvoji grupa trudnica kod kojih je mo gu }e o~ekivati nastanak zastoja u rastu ploda. Istra`ivanje je sprovedeno u vidu prospektivne studije me|u zdravim tru dni cama izme|u 30. i 32. gesta cijske nedelje. Svim trud nicama odre|ivane su vrednosti feritina. Posle poro|aja utvr|en je procenat beba malih za gesta cijsku dob; 8,1% rodilo je novoro|en~ad sa malom telesnom masom za gesta cijsku dob. Anemija nije utvr|ena ni kod jedne pacijen tkinje koja je rodila bebu male poro |ajne mase a bila je prisutna kod 47,44% pacijentkinja koje su rodile bebe normalne poro|ajne mase. Kod majki beba male poro|ajne mase, nivo serumskog feritina bio je u proseku za 6,42 mg/L vi{i nego kod majki koje su rodile bebe normalne poro|ajne mase (p<0,005). Uporednom analizom telesne mase novoro|en~adi i nivoa feritina iz krvi majke na|en je mali koeficijent korelacije, ali je ROC ana liza pokazala da nivo feritina u krvi ima dobru prediktivnu vrednost. Pri vrednostima feritina u krvi trudnice ve}im od 13,6 mg/L sa senzitivno{}u od 64,7% i specifi~no{}u od 91,7% mo`emo tvrditi da }e se razviti intrauterina retar da cija rasta ploda. Izostanak pada vrednosti serumskog feritina, eritrocita, hemoglobina i hematokrita u krvi zdrave trudnice u periodu izne|u 30. i 32. nedelje trudno}e mo`e ukazati sa velikom verovatno}om na razvoj intrauterine retar dacije rasta ploda.
Based on the level of ferritin and other parameters in the period of 30-32 weeks of gestation, we can predict pregnant women in whom we can expect development of intrauterine growth restriction.
Although both tests are good in predicting the fetal lung maturity, the lamellar body count has more advantages, because it is not only more objective, but also inexpensive, easy and fast to do, requires a small sample volume and is universally available.
LBC is a good screening test for predicting fetal lung maturity. The advantages of LBC are speed, objectivity, low price, low sample volume required and universal availability.
Introduction The aim of this prospective study was to investigate whether there was a significant difference in ultrasound detection of pathologic states of endometrium between asymptomatic postmenopausal women and postmenopausal women with uterine bleeding in whom the thickness of endometrium was greater than 3 mm at ultrasound examination. Material and methods The study included 128 postmenopausal women with uterine bleeding and 29 asymptomatic posmenopausal women who underwent gynecological examination, transvaginal ultrasound examination, fractional explorative curettage and histopathological examination of the endometrium. Results The results showed no statistically significant difference between the examined groups of women in relation to the detection of pathologic states of the endometrium (polyps, hyperplasias and carcinomas) as well as between individual pathologic states, although the research showed that the asymptomatic women were more frequently presented with well-differentiated carcinoma versus the medium-differentiated carcinoma in the symptomatic group of women. Conclusion It can be concluded that the transvaginal ultrasound examination in postmenopausal women could be an adequate screening method for detection of endometrial carcinoma in early asymptomatic stage of the disease, whereas in the women with ultrasound finding of the thickened endometrium, the final diagnosis should be established by histopathological examination of the endometrium samples obtained by hysteroscopy, instead of previously used explorative curettage
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