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91 cases of pregnancy with IUD Analysis

2.3AntebyE, RevelA, Ben-ChetritA. Intrauterinedevicefailure: relationtoitslocationwithintheuterinecavity [J]. ObstetGynaecol, 1993,81 (1) :112-114 .4 Zhangchuan Rong, Chen Xiaoqin, Peng Hong, et al. IUD on the four common ultrasound abnormalities and clinical analysis of contraceptive failure 【J]. Ultrasound in Clinical Medicine, 2003,5 (3) :153-155.5 Tang lotus, Liu Shuwen. IUD complications and prevention [J]. Chinese Journal of Gynecology and Obstetrics, 2001,17 (9) :523-535.6 teachers show Mawen Xia, Jin Hong. Bureaucratic forms and three different selection of IUD [J]. Medical Research, 1997,6 (1) :62-63. Received 2006-02-14 (Edit thinking days) 3O pregnant women with systemic lupus erythematosus clinical analysis of two-song Lu Yun Wang Yuhuangding Hospital of Yantai, Shandong Province 264000, China Abstract Objective: To evaluate the pregnancy with systemic lupus erythematosus (sLE) and pregnancy The incidence of hypertension and pregnancy outcome. Methods: 1999 ~ 2OO4 30 patients were treated during pregnancy in SLE were retrospectively reviewed the clinical data analysis,[link widoczny dla zalogowanych], SLE activity before and after pregnancy with SLEDM condition assessment method to compare the changes in disease activity before and after pregnancy, gestational hypertension disease rate and pregnancy outcome. Results: SLE patients with systemic lupus erythematosus pregnancy activity index (SLEDAI) increased activity in patients with live birth rate is lower than resting stage, the high incidence of pregnancy induced hypertension in the stationary phase. Conclusion: SLE disease easily increase during pregnancy, but also complicated by gestational hypertension, pregnancy should strengthen monitoring and timely treatment. Keywords pregnancy, pregnancy induced hypertension in systemic lupus erythematosus Key words: R593.241 Document code: B Article ID :1001-7585 (20o6) Cr7-0822-02 pregnant women with SLE although less common, but due to pregnancy and easy To change the condition of SLE and SLE in pregnancy when the application of drug therapy may have adverse effects on the fetus, and many other factors, the disease treatment more difficult. In this paper, 3o gestational pregnancy in patients with SLE disease activity before and after the change, the incidence of hypertensive disorders in pregnancy and pregnancy outcome were analyzed as follows. 1 Materials and Methods The clinical data of 1.1 in January 1999 ~ 2OO4 admitted to our department on November 3o cases of SLE with pregnancy were, all patients are in line with American Rheumatism Association 1992 revised diagnostic criteria for SLE,[link widoczny dla zalogowanych], aged 23-35 years old course of 2 to 15 years. 1.2 Evaluation method 1.2.1SLE disease rate under SLEDM ... 1. One trade-off index for the 8 points of the symptoms: seizures,[link widoczny dla zalogowanych], psychosis, organic encephalopathy syndrome, visual disturbances, cranial nerve disorder, lupus headache, cerebrovascular accident, vasculitis; trade-off index for the 4 symptoms: arthritis , myositis, urinary casts, hematuria, proteinuria, pyuria; balance index for the 2 points of symptoms: a new rash,[link widoczny dla zalogowanych], alopecia, mucosal ulcers, pleurisy, pericarditis, complement reduction,[link widoczny dla zalogowanych], DNA titer; balance index for 1 minute symptoms: fever, platelet reducing dust, leukopenia. SLEDM into quiescent score ≤ 2, ≥ 2 is divided into active. The 30 pregnant women with SLE were divided into the stationary phase according to the above standards and activities of two groups were compared changes in disease activity after pregnancy, pregnancy outcome and the incidence of pregnancy induced hypertension. 1.2.2's condition during pregnancy and monitoring treatment of all patients with obstetric and rheumatologists under treatment. During pregnancy, periodic review of blood, urine, erythrocyte sedimentation rate, ANA, anti-DNA antibodies, anti-SSA antibodies, anticardiolipin antibodies, biochemistry, complement, c4. All patients had been taking prednisone during pregnancy, including use of prednisone at a dose of quiescent 7.5 ~ 15mg / d, active use of prednisone at a dose of 2o ~ 4Omg / a. The day of intravenous methylprednisolone delivery 60mg, reduced post-natal day 1 40mg, the first 2 days restored to pre prednisone dosage. 2 Results 2.1 resting and activities before and after pregnancy in patients with SLEDAI is shown in table 1. 2.230 cases of SLE patients with quiescent and active stage of pregnancy is shown in table 2. Among them, 16 patients with quiescent preterm children and full-term births, 3 cases were live births, live birth rate of 86.36%, 3 patients with active live births, live birth rate of 37.5%. Resting rate of live births