Publications by authors named "J Bartha"

Article Synopsis
  • The study aimed to compare three maneuvers (direct, first posterior, and wandering) for inserting Kielland's forceps during simulated rotational operative births.
  • A total of 144 births were simulated, with experienced obstetricians and trainees performing the maneuvers, focusing on factors like blade placement and difficulty.
  • Results showed that while the direct maneuver provided the best blade placement, there were no significant differences in operator difficulty or need for reinsertions among the three methods.
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Background: Immune-mediated inflammatory diseases (IMIDs) typically affect women of childbearing age. One of the challenges in treating these women during pregnancy is to manage the disease while minimizing or avoiding the use of disease-modifying antirheumatic drugs (DMARDs) that may increase the risk to the mother or fetus. Biologic therapy has transformed the management of these patients.

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Background: The increasing incidence of coeliac disease is leading to a growing interest in active search for associated factors, even the intrauterine and early life. The exposome approach to disease encompasses a life course perspective from conception onwards has recently been highlighted. Knowledge of early exposure to gluten immunogenic peptides (GIP) in utero could challenge the chronology of early prenatal tolerance or inflammation, rather than after the infant's solid diet after birth.

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Objective: Obstetric forceps play an important role in safe childbirth, yet there is a lack of distinction between various forceps types in clinical practice. This study aimed to evaluate and compare perineal pressure and forces on the baby during nonrotational forceps-assisted births using Simpson-Braun forceps, Kielland forceps, and Thierry spatulas on a simulation model.

Methods: This experimental study involved six obstetricians conducting 108 forceps-assisted births on a simulation model.

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Article Synopsis
  • The study aimed to explore the relationship between levels of specific biomarkers (sFlt-1 and PlGF) in maternal serum and urine and their relevance in preeclampsia and fetal growth restriction.
  • 49 pregnant women were analyzed, divided into low-risk and preeclampsia groups, with various assessments including ultrasounds and Doppler evaluations performed.
  • Results showed that urinary PlGF was strongly linked to serum levels and had a high predictive ability for preeclampsia, while urinary sFlt-1's predictive ability improved when adjusted for serum creatinine, suggesting urinary PlGF as a less invasive monitoring option for preeclampsia.
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