Particular cases in obstetrics and gynecology

This edition of our journal emphasizes maternal and fetal aspects, beginning with the first paper that brings to the front the pregnancy-associated intracra­nial hypertension syndrome, that can re­sult from various neurological and non-neurological conditions, presenting the case of a 38-year-old woman with an on­go­ing pregnancy at 27-28 weeks of ges­ta­tion, who showed up to the emergency depart­ment with severe headache, vomiting and epileptic seizures.

The next paper presents a spectacular finding during emergency caesarean section in a patient with long-term infertility – a term pregnancy after 15 years of unprotected sexual contact with the same partner.

Cordia® platform is a digital health so­lution designed to provide continu­ous monitoring and personalized care for pregnant women in underserved areas. The following paper focuses on how Cordia® helps with early identification of potential complications, adherence to care plans, and promotes healthy lifestyle choices among participants.

Further, it is brought under atten­ti­on a retrospective study conducted at the County Emergency Clinical Hospital Con­stanţa, Romania, over a period of five years (2019-2023), that included a total of 14,166 births, among which seven cases were associated with velamentous insertion of the umbilical cord. In this retro­spective study, it was included a case study to explore in detail the clinical manifestations and management of a specific case of velamentous insertion of the umbilical cord associated with vasa praevia.

The following article emphasizes the importance of regular screening and preventive measures to reduce the incidence of staphylococcal infections, especially methicillin-resistant Staphylococcus aureus (MRSA), among hospitalized patients, presenting the results of a study carried at the “Prof. Dr. Panait Sîrbu” Clinical Hospital of Obstetrics and Gynecology, Bucharest, from January 1 to October 31, 2024, revealing a 4.69% prevalence of staphylococcal infections, with 0.64% caused by MRSA.

The gynecology section reviews the advancements in laparoscopic techniques, such as sacrocolpopexy and Burch colposuspension, and discusses their application in reconstructive pelvic surgery and continence operations, pelvic organ prolapse and stress urinary incontinence being prevalent conditions among women, significantly impacting the quality of life.

Moving on, pelvic inflammatory disease (PID), often resulting from infections by pathogens like Neisseria gonorrhoeae and Chlamydia trachomatis, involves inflammation in the female reproductive tract. The case report of a 40-year-old woman, with a ten-year copper IUD, referred for left adnexal mass detection, highlights the challenges of managing PID in long-term IUD users, especially with large tubo-ovarian abscesses, that may not fully respond to antibiotics.

Type 2 diabetes mellitus (T2DM) is an expanding global health problem, being considered a chronic metabolic disease. The findings of the study presented in this paper can be used to reduce the HbA1C levels and help the T2DM patients to adjust their dietary patterns and change their personal life, thus increasing the women’s quality of life.

Last but not least, the editorial team would like to wish all the readers happy holidays, Merry Christmas and a Happy New Year!