Gregorova P.,Sexuologicky ustav 1 |
Weiss P.,Sexuologicky ustav 1 |
Unzeitig V.,Gynekologicko porodnicka Klinika LF MU |
Cibula D.,Gynekologicko porodnicka Klinika 1
Ceska Gynekologie | Year: 2010
Objective: Survey of contraceptive behaviour and attitude of Czech women towards different types of contraception. Design: Representative survey. Methods: Anonymous questionnaire survey of the sample of 1011 Czech women aged from 15 to 50. Results: More than half of the women of our sample used some form of contraception during their first sexual intercourse. Most of the women used condom (41 %), only a small part used hormonal contraception or withdrawal. Eighty percent of Czech women use some form of contraception with their stable partner, most often hormonal contraception (51 %). One sixth of Czech women use condom. Using contraception is influenced mostly by age and religious belief: younger respondents show more responsible contraceptive behaviour at their first sexual intercourse, they use hormonal contraception with their stable partner more often. Furthermore, atheists protect themselves by some form of contraception more often than believers. The most used form is hormonal contraception. Conclusion: Czech women show responsible contraceptive behaviour during their heterosexual intercourse. There is a significant increase of using hormonal contraception.
PRES (Posterior reversible encefalopathy syndrome) in a pre-eclamptic woman with twin pregnancy - Case report [PRES (Posterior reversible encefalopathy syndrome) doprovázející preeklampsii u ženy s dvojčetným těhotenstvím - kazuistika]
Jura R.,Neurologicka Klinika FN Brno |
Srotova I.,Neurologicka Klinika FN Brno |
Srotova I.,Masaryk University |
Adamova B.,Neurologicka Klinika FN Brno |
And 5 more authors.
Anesteziologie a Intenzivni Medicina | Year: 2015
Posterior reversible encefalopathy syndrome (PRES) is a serious neurological condition with varied clinical manifestation. It is rare during pregnancy. We present a case of PRES in a 35-year-old female immediately after the delivery of twins by Caesarean section. The patient fully recovered. A 35-year-old primigravida with twin pregnancy underwent a Caesarean section at 35 weeks of gestation because of pregnancy-induced pre-eclampsia (hypertension, proteinuria, bilateral pedal oedema). Approximately 20 hours after the Caesarean section there was a rapid decline of visual acuity. We clinically diagnosed cortical blindness. A computed tomography (CT) scan of the brain showed bilateral occipital hypodensity, CT angiogram showed no pathological findings. The patient was immediately transferred to the neurological Intensive Care Unit (ICU). Magnetic resonance showed hyperintensity (T2W2) in the occipital lobes and the cerebral trunk. After the delivery patient had been normotensive. Subsequently after the development of the neurological symptoms, the patient's blood pressure increased to 200/110 mm Hg. PRES was diagnosed on the basis of the clinical presentation and the radiological reports and the patient was promptly treated with intravenous antihypertensives and magnesium sulphate. The visual impairment subsided within 24 hours without a relapse and the clinical neurological examination was normal. The patient was discharged in one week with normal blood pressure on oral antihypertensive medication. Pre-eclampsia is a predisposing factor for PRES in pregnancy. We report a case of uncommon post-partum PRES presentation and focus on the importance of early diagnosis and optimal critical care management.
Huser M.,Gynekologicko porodnicka Klinika LF MU |
Crha I.,Gynekologicko porodnicka Klinika LF MU |
Zakova J.,Gynekologicko porodnicka Klinika LF MU |
Ventruba P.,Gynekologicko porodnicka Klinika LF MU
Onkologie (Czech Republic) | Year: 2014
Effective treatment of cancer often causes patients irreversible damage of reproductive abilities. Modern markers ovarian reserves are introduced. These clinical examinations can effectively help to evaluate the risk of irreversible damage of gonadal cells done by oncology disease or its curative treatment. The paper describes current oncofertility techiques implemented to clinical practice-embryo and oocyte banking, ovarian tissue cryopreservation including further possibility of its orthotopic autotransplantation and administration of gonadoliberin analogues for ovarian protection. Attention is applied to pro and contras of previously described methods of ovarian protection in the discussion. Brief practical outcomes and recommendations are given for consultation caretakers in adolescent female cancer patients threatened with significant fertility loss.