Publications by authors named "Eirini Boureka"
Article Synopsis
- PPROM is a major cause of health issues for both mothers and newborns during pregnancy, and this review summarizes the latest guidelines for its diagnosis and management from three major medical organizations.
- All guidelines agree that the best way to diagnose PPROM involves a detailed patient history and sterile examination, combined with certain tests, while treatment generally includes swabs, monitoring, and possibly medication or early labor induction if severe complications arise.
- Although there is a consensus on the need for careful monitoring and management of PPROM cases, the guidelines differ on timing for delivery, use of certain medications, and the approach to follow-up for future pregnancies.
Article Synopsis
- Breast cancer is the most common cancer in women globally and a leading cause of death in perimenopausal women, making early detection through screening crucial for reducing mortality.
- A study reviewed 14 different breast cancer screening guidelines from 2014 to 2022, highlighting the consensus that mammography is the gold standard for average-risk women.
- Most guidelines recommend annual or biennial screening starting between ages 40-74, with some discrepancies for high-risk women regarding when to start and the frequency of advanced imaging methods like MRI.
Importance: Antenatal care plays a crucial role in safely monitoring and ensuring the well-being of both the mother and the fetus during pregnancy, ultimately leading to the best possible perinatal outcomes.
Objective: The aim of this study was to review and compare the most recently published guidelines on antenatal care.
Evidence Acquisition: A descriptive review of guidelines from the National Institute for Health and Care Excellence, the Public Health Agency of Canada, the World Health Organization, and the Royal Australian and New Zealand College of Obstetricians and Gynaecologists regarding antenatal care was conducted.
Article Synopsis
- Postnatal care is essential for ensuring the health and well-being of both mothers and infants, helping to identify and manage complications after childbirth.
- A study was conducted to review guidelines from several major health organizations on postnatal practices and highlight their recommendations and differences.
- Key areas of agreement include the importance of services like home visits, telemedicine, and addressing mental health, while differences exist about contact schedules, optimal interpregnancy intervals, and specific guidance on contraception and nutrition.
Importance: Group B (GBS) colonization during pregnancy is associated with significant neonatal morbidity and mortality and represents a major public health concern, often associated with poor screening and management.
Objective: The aim of this study was to review and compare the most recently published influential guidelines on the screening and management of this clinical entity during antenatal and intrapartum periods.
Evidence Acquisition: A descriptive review of guidelines from the American College of Obstetricians and Gynecologists, the Royal College of Obstetricians and Gynecologists, the Royal Australian and New Zealand College of Obstetricians and Gynecologists, and the Society of Obstetricians and Gynecologists of Canada on the prevention of early-onset neonatal group B streptococcal disease was carried out.
Article Synopsis
- Cervical cerclage (CC) is a key procedure to help prevent premature delivery caused by cervical insufficiency, thereby improving infant health outcomes.
- This study reviews guidelines from major medical organizations on when and how to perform CC, highlighting similarities in recommendations.
- All reviewed guidelines suggest CC is appropriate for women with a history of preterm deliveries or miscarriages, but differ on additional indications and management practices following CC.
Article Synopsis
- Sepsis significantly contributes to maternal health issues and is a major public health concern, often due to delayed diagnosis and poor management during different stages of pregnancy.
- This study aims to review various guidelines on preventing, diagnosing, and managing maternal sepsis from several respected organizations, including RCOG, SMFM, WHO, and others.
- The analysis reveals a consensus on the importance of thorough assessment and timely treatment with antibiotics and fluid management, while also highlighting differences in diagnostic criteria and an emphasis on increased fetal surveillance during maternal sepsis.
Article Synopsis
- Menopausal hormone therapy (MHT) may increase the risk of skin cancers, specifically melanoma and keratinocyte cancer (KC), according to a systematic review and meta-analysis of existing studies.
- The analysis included data from 27 studies involving over 2.6 million menopausal women, revealing a significant association between MHT and skin cancer risks, including increased hazard ratios for both melanoma and KC.
- Longer use of MHT, particularly more than five years and current usage, was linked to a heightened risk, with estrogen monotherapy showing a particularly strong association.