Are anthropometric data a tool for determining the severity of OHSS? Yes, it could be!

Background: All management guidelines of ovarian hyperstimulation syndrome (OHSS) recommend daily monitoring of women's body weight, waist circumference and note that as indicators increase, the severity OHSS also increases. However, the dynamics of abdominal size and its relationship with markers of OHSS severity have not been highlighted. The purpose of this study is to assess the usefulness of various anthropometric indicators for determining the degree of OHSS severity as well as paracentesis indications.

Physiology of intra-abdominal volume during pregnancy.

A total of 580 pregnant and 50 puerperal women were included in this cross-sectional study to assess the physiological changes that allow women to adapt to a chronic increase in intra-abdominal pressure during pregnancy. The volume of the uterus, intra-abdominal volume (IAV), visceral and subcutaneous fat was calculated. During pregnancy, the IAV increases up to 1.

Assessing the Usefulness of Severity Markers in Women with Ovarian Hyperstimulation Syndrome.

The present study aims to assess the usefulness of severity markers in women with ovarian hyperstimulation syndrome (OHSS). An observational study was designed including 76 women with varying degrees of severity of OHSS. Clinical history, physical examination, laboratory tests, and ultrasound measurement of the ovarian size and ascites index were carried out in all patients.

Promoting Earth-Based Radar Astronomical Observations of the Moon.

Earth-based radar astronomical observations provide information on surface characteristics, orbits, and rotations for a wide variety of solar system objects. Based on compound radio telescopes, both the Chinese VLBI (Very Long Baseline Interferometry) network (CVN) and the Russian VLBI network (Quasar), in cooperation with the Chinese radar transmitters, we present the current ground radar astronomical observations of the moon. The spectrum of the reflected radio signals was obtained and the Doppler frequency shift in bi-static radar mode was measured.

Alternative strategies for the management of ovarian hyperstimulation syndrome, the role of intra-abdominal hypertension control.

The aim of this study is to analyze the methods for reducing intra-abdominal pressure (IAP) in the management of the moderate and severe forms of ovarian hyperstimulation syndrome (OHSS). We carried out a systematic review of the literature. An evaluation of clinical trials, meta-analysis, case-reports, and reviews assessing the management of conditions associated with OHSS and intra-abdominal hypertension (IAH)/abdominal compartment syndrome (ACS) was made using the following data sources: MEDLINE Pubmed (from 1966 to July 2019) and the Cochrane Controlled Clinical Trials Register, Embase (up to July 2019).

Ovarian hyperstimulation syndrome. A new look at an old problem.

To analyze the management of severe ovarian hyperstimulation syndrome based on aspects of its etiology and pathogenesis a systematic review of the literature was done. An evaluation of clinical trials, meta-analysis, case-reports and reviews assessing the management of different conditions related to ovarian hyperstimulation syndrome was made using the following data sources: MEDLINE Pubmed (from 1966 to July 2018) and the Cochrane Controlled Clinical Trials Register, Embase (up to July 2018). The role of intra-abdominal hypertension in the development of the severe forms of ovarian hyperstimulation syndrome and its complicated outcomes was assessed.

[OBESITY AS A RISK FACTOR FOR MASSIVE POSTPARTUM HEMORRHAGE.].

Introduction: No mat analysis devoted to the study of obstetric hemorrhage due to obesity has not yet been carried out. Publications of the results of major studies on the subject have appeared recently. Only the multivariate analysis will make a reasonable conclusion about the causes that affect the outcome and assess the extent of the simultaneous influence on him of often interrelated reasons.

[CONTROVERSIAL ISSUES OF THE ANESTHESIOLOGICAL MAINTENANCE OF DELIVERY IN OBESE PATIENTS].

The review represents debatable issues of the anesthesia management of the surgical delivery and postoperative period in patients with obese: the choice of anesthesia methods, anesthesia as a risk factor of maternal and perinatal morbidity and mortality and methods of intraoperative pain management. Authors made an attempt to reveal preventable risk factors of complications in obese patients: professional skills, technical equipment, standards compliance, period of time from the decision till delivery itself selection of an adequate dose of local anesthetic during spinal anesthesia, necessity of monitoring and correction of intra-abdominal hypertension. The article discusses the variety of problems, and in case offurther researches they will help to decrease frequency of the anesthetic complications, that determine obstetric and perinatal outcomes in obese patients.

[Correction of local anesthetic dosage in spinal anesthesia in pregnant women with obesity].

Introduction: Intra-abdomninal pressure (IAP) is one of the reasons for reducing the volume of the subarachnoid space, the cerebrospinal fluid of pregnant iwomnen with obesity and as a result, a high spinal block in spinal anesthesia (SA), clinical manifestation of which is marked arterial hypotension.

Objective: To decrease the frequency and severity of arterial hypotension related to the conduct of SA due to the correction dose of local anesthetic with the level of intra-abdomninal pressure and timing of operative delivery

Material And Methods: The study involved 252 women. To determine the physiological level of IAP at different stages of gestation used to study the level of IAP in 118 pregnant women with normal body weight.

[Role of intra-abdominal hypertension in the development and outcome of ovarian hyperstimulation syndrome].

Objective: To evaluate the role of intraabdominal hypertension in the development and outcome of ovarian hyperstimulation syndrome.

Material And Methods: 60 patients with varying degrees of ovarian hyperstimulation syndrome (OHSS) due to ongoing pregnancy were involved in the study. Intraabdominal pressure (IAP) was measured in the bladder.

[Concept, definition and classification of intra-abdominal hypertension in pregnancy].

The article stresses methodological aspects of intaabdominal hypertension at pregnancy. Formal-logical analysis of conceptual framework and available classifications of intaabdominal hypertension was carried out. The article presents new definition and classification of intaabdominal hypertension.

[Anaesthesia peculiarities during delivery in morbid obese women].

This review presents principals of complications prevention, anaesthesia methods choose, preoperative preparation, anaesthesia management and postoperative care in morbid obese patients.

[Relationship between uteroplacental blood flow and of intra-abdominal hypertension in pregnant women].

Unlabelled: RESEARCH AND OBJECTIVE: Identification of relationship between intra-abdominal pressure and uteroplacental blood flow

Materials And Methods: 90 second trimester women (20-24 weeks) were examined. An assessment of intra-abdominal pressure (IAP) was carried out by "Unometerabdopressure" system through a bladder. Doppler imaging with resistance index in uterine arteries (RIUA) and umbilical cord arteries (UCA) assessment was carried out to evaluate uteroplacental blood flow.

[Anesthetic aspects of the problem of morbid obesity in pregnancy].

The prevalence of morbid obesity has been grown at a very heart rate in developed countries during the last decades. Over-weight pregnant women make up a group of risk of such serious complications as gestational hypertension, preeclampsia, gestational diabetes, increased frequency of Cesarean sections, and uterine inertia. Morbid obesity creates problems in anesthetic support.

[Prognosis and intensive care for massive obstetric blood loss].

The study covered 235 obstetric patients having varying blood loss (1.8 to 55.7%) at labor.