Zogopoulos Panagiotis is a Neurosurgeon specialized in Medical Acupuncture. He is currently the Chief of Medical Acupuncture Department at Metropolitan Hospital, Athens, Greece. He has completed his PhD at the University of Athens, School of Medicine and has received Advanced Clinical training (Clinical Research Fellowship) at the Neurosurgery Department of Osaka University Hospital in Japan. He has published a large number of papers in various international scientific journals.
Medical acupuncture can significantly improve in vitro fertilization success rates through various mechanisms and pathways. It can affect Hypothalamus-Pituitary-Adrenal (HPA) axis, increase blood flow to the uterus and ovaries and cause alterations at the levels of cytokines implicated in the successful implantation of the fertilized egg. Acupuncture can also significantly decrease stress, anxiety and depression that are commonly observed in women undergoing IVF. Stress is known to be strongly associated with the diagnosis and treatment of infertility, as well as with the treatment failure of IVF. Acupuncture has been found to alter levels of leptin, interleukins (IL-1, IL-1β and IL-6), Leukemia Inhibitory Factor (LIF), Nitric Oxide (ΝΟ) and Nitric Oxide Synthetase (NOS), all associated with fertility and IVF success. Medical acupuncture treatment before and after embryo transfer has been found to increase pregnancy rates by 10-16%, depending on age group (with the highest increase in older age groups). Therefore, recent clinical and experimental evidence suggest that medical acupuncture should be incorporated in the treatment of infertility and eventually be part of IVF protocols in the future.
Dr. Irum Saadat MBBS, MRCOG, UK has finished post graduate residency program from CPSP Pakistan in 2006 then worked as specialist in many hospitals in Riyadh, KSA. She is a Member of the Royal College of Obstetricians and Gynecologists. She is currently working as senior specialist in Dr. Sulaiman al Habib medical group, and got registration with Medical council of Ireland in 2018.
Objective: To present a case of vasa praevia, a rare clinical condition that may lead to profound fetal distress or fetal death.rnDesign: Case report. Setting: Department of Obstetrics and Gynecology, Maternity Hospital, Dr. Sulaiman Al Habib Medical Group, Olaya, Riyadh, KSA. Patient: 29 year old primigravida presented at term with rupture of membranes, mild vaginal bleeding and fetal distress in Emergency Department of our hospital. Intervention: An emergency caesarian section was conducted due to severe fetal distress in view of suspected antepartum hemorrhage and delivered an alive baby with good Apgar score of 5 and 7. Result: Placental examination showed velamentous insertion of cord with unprotected vessel running to the placenta representing a rare clinical condition of vasa praevia. Both mother and baby were discharged in good condition on 4th postoperative day. Conclusion: Appropriate diagnosis and timely intervention is a key to avoid associated high prevalence of perinatal morbidity and significant mortality in such cases. However prenatal detection of condition may result in substantial improvement in outcome.