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Your search keyword '"Grazina Drasutiene"' showing total 4 results
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4 results on '"Grazina Drasutiene"'

1. A Rare Case Report of Thoracic Ectopia Cordis: An Obstetrician’s Point of View in Multidisciplinary Approach

Author

Diana Ramasauskaite, Vilija Snieckuviene, Viktorija Zitkute, Ramune Vankeviciene, Dalia Lauzikiene, and Grazina Drasutiene

Subjects
Pediatrics, RJ1-570
Abstract

Ectopia cordis is a rare congenital anomaly associated with the heart positioned outside of the thoracic cavity either partially or completely. It can be associated with other congenital abnormalities. Overall, the prognosis for infants with ectopia cordis is very poor but depends greatly on the type and severity of ectopia cordis and intracardiac and associated malformations. We present one case of a fetus with prenatally diagnosed thoracic ectopia cordis with intracardiac defects and omphalocele, all the abnormalities seen in pentalogy of Cantrell except a diaphragmatic defect. Considering poor prognosis for fetus, conservative management of prenatal care has been chosen. At the 42nd gestational week, during the active stage of labor, due to fetal distress, cesarean section was performed at a tertiary level hospital. The condition of the infant was impairing rapidly and the newborn succumbed within 24 hours. We discuss the perinatal care concerning this rare anomaly.

Published
2016
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2. Pain experience during saline-contrast sonohysterography differs between premenopausal and postmenopausal women

Author

Diana Ramasauskaite, Daiva Bartkeviciene, Grazina Drasutiene, G. Opolskiene, Jolita Zakareviciene, and Simona Radzvilaite

Subjects
Gynecology, medicine.medical_specialty, Pain experience, 030219 obstetrics & reproductive medicine, Postmenopausal women, business.industry, Visual analogue scale, Obstetrics, medicine.medical_treatment, Endometrial pathology, medicine.disease, 03 medical and health sciences, Stenosis, Sharp Pain, 0302 clinical medicine, medicine, Radiology, Nuclear Medicine and imaging, Statistical analysis, 030212 general & internal medicine, business, Saline
Abstract

Purpose To evaluate whether the pain experienced during and after Saline-contrast sonohysterography (SCSH) differs between premenopausal and postmenopausal women. Methods Sonohysterography was performed on 133 consecutive women because of suspected endometrial pathology. Of these, 34 women were excluded for the following reasons: they had cervical stenosis; they did not complete or return a questionnaire; or tenaculum or cervical dilatators were used during the procedure. All women were asked to fill out a questionnaire to characterize their pain and mark their pain experience on a 100-mm pain visual analog scale. Results Data from the 99 patients included were used for statistical analysis. It showed that sonohysterography was well tolerated overall: 41% of the women did not feel any pain. Postmenopausal women experienced pain during SCSH more often than premenopausal women did: 71% (17/24) compared with 32% (24/75) experienced pain; p

Published
2015

3. Haemorrhoids and anal fissures during pregnancy and after childbirth: a prospective cohort study

Author

Grazina Drasutiene, Tomas Poskus, I Sakalauskaite, A Barisauskiene, Janina Tutkuviene, Audrone Jakaitiene, D Buzinskienė, J Drasutis, Narimantas Evaldas Samalavičius, A Jasulaitis, and A Barkus

Subjects
Adult, medicine.medical_specialty, Time Factors, Constipation, Adolescent, medicine.medical_treatment, Population, Hemorrhoids, Cohort Studies, Young Adult, Pregnancy, Risk Factors, medicine, Birth Weight, Humans, Outpatient clinic, Caesarean section, Prospective Studies, education, Prospective cohort study, Gynecology, education.field_of_study, Anal fissure, Vaginal delivery, business.industry, Obstetrics, Incidence, Infant, Newborn, Obstetrics and Gynecology, Lithuania, Puerperal Disorders, Middle Aged, Delivery, Obstetric, medicine.disease, Pregnancy Complications, Female, Fissure in Ano, medicine.symptom, business
Abstract

Objective To identify the incidence and risk factors of haemorrhoids and fissures during pregnancy and after childbirth. Design Prospective observational cohort study. Setting University hospital and outpatient clinics in Lithuania. Population A total of 280 pregnant women followed up until 1 month after delivery. Methods Women were examined four times through pregnancy and after delivery; those that developed peri-anal diseases were compared with those that did not. Main outcome measures Incidence, time and risk factors of haemorrhoids and fissures. Results In all, 123 (43.9%) women developed peri-anal disease: 1.6% in the first trimester, 61% during the third trimester, 34.1% after delivery and 3.3% 1 month after delivery; 114 (40.7%) women were diagnosed with haemorrhoids, seven (2.5%) with haemorrhoids and anal fissure and two (0.71%) with anal fissure. Ninety-nine (80.5%) women had vaginal delivery and 24 (19.5%) women had undergone caesarean section. Multivariate analysis identified personal history of peri-anal diseases (odds ratio [OR] 11.93; 95% confidence interval [95% CI] 2.18–65.30), constipation (OR 18.98; 95% CI 7.13–50.54), straining during delivery for more than 20 minutes (OR 29.75; 95% CI 4.00–221.23) and birthweight of newborn >3800 g (OR 17.99; 95% CI 3.29–98.49) as significant predictors of haemorrhoids and anal fissures during pregnancy and perinatal period. Conclusions Haemorrhoids and fissures are common during the last trimester of pregnancy and 1 month after delivery, with constipation, personal history of haemorrhoids or fissures, birthweight of newborn >3800 g, straining during delivery for more than 20 minutes being independently associated risk factors.

Published
2014

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