http://repository.usmf.md:80/handle/20.500.12710/831 Mon, 06 Jul 2026 14:25:45 GMT 2026-07-06T14:25:45Z http://repository.usmf.md:80/handle/20.500.12710/33428 Title: Modificările oculare în timpul sarcinii: aspecte fiziologice și patologice : Recomandare metodică Authors: Sagaidac, Irina; Ceban, Cornelia Thu, 01 Jan 2026 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/33428 2026-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/33421 Title: Late fetal growth restriction: diagnostic challenges and contemporary induction strategies Authors: Caproș, Hristiana; Surguci, Mihai; Burac, Mihaela; Bologan, Ion Abstract: Fetal growth restriction (FGR) remains one of the major challenges of modern obstetrics. Late-onset FGR, diagnosed after 32 weeks of gestation, is the most frequent clinical form and is characterized by subtle Doppler abnormalities and preserved fetal compensatory mechanisms, making obstetrical management particularly complex. Objective. To analyze current diagnostic criteria for late fetal growth restriction and to evaluate recent evidence regarding induction of labour methods in pregnancies complicated by this pathology. Material and methods. A narrative review of recent literature was performed, focusing on modern diagnostic standards established after the Delphi consensus and comparative clinical studies evaluating mechanical and pharmacological induction methods in late FGR pregnancies. Results. The Delphi consensus improved diagnostic standardization by integrating biometric and Doppler criteria. Recent studies demonstrate that mechanical induction methods, particularly Foley balloon and extra-amniotic balloon, are associated with lower rates of uterine tachysystole, cesarean delivery for fetal distress, and neonatal intensive care admission compared with dinoprostone. Conclusions. Late fetal growth restriction requires precise prenatal diagnosis and individualized obstetrical management. Mechanical cervical ripening methods currently appear to offer better maternal and fetal tolerance in many clinical situations. Thu, 01 Jan 2026 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/33421 2026-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/33406 Title: Pneumonia in pregnancy: clinical features, diagnosis and management Authors: Scutaru, Eugenia Abstract: Pneumonia remains one of the most significant non-obstetric infections during pregnancy and is associated with increased maternal and fetal morbidity and mortality. Physiological and immunological changes during pregnancy may contribute to a more severe disease course. This review summarizes the etiology, clinical presentation, diagnosis, and management of pneumonia during pregnancy. The review also highlights hepatic involvement, an aspect less frequently discussed in current literature, which may complicate the clinical picture and require careful differentiation from pregnancy-specific liver disorders.; Пневмония остаётся одной из наиболее значимых внеакушерских инфекций во время беременности и ассоциируется с повышенным риском материнской и перинатальной заболеваемости и смертности. Физиологические и иммунологические изменения, происходящие во время беременности, могут способствовать более тяжёлому течению заболевания. В данном обзоре обобщены данные об этиологии, клинических проявлениях, диагностике и лечении пневмонии у беременных. Также рассматривается поражение печени, которое реже обсуждается в современной литературе и может усложнять клиническую картину, требуя дифференциальной диагностики с заболеваниями печени, специфичными для беременности. Thu, 01 Jan 2026 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/33406 2026-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/33363 Title: Sarcina stagnată în structura pierderilor reproductive în contextul scăderii natalității și creșterii infertilității Authors: Mihalcean, Luminița Abstract: Sarcina stagnată (neviabilă, oprită în evoluție) reprezintă una dintre principalele componente ale pierderilor reproductive precoce, având un impact semnificativ atât asupra sănătății reproductive individuale, cât și asupra indicatorilor demografici la nivel populațional. În contextul Republicii Moldova, caracterizat prin scăderea continuă a natalității și creșterea prevalenței infertilității, analiza acestei patologii capătă o importanță strategică. Prezentul reviu de literatură sintetizează datele actuale privind epidemiologia, mecanismele etiopatogenetice, markerii biologici, metodele de diagnostic și opțiunile terapeutice ale sarcinii stagnate, precum și implicațiile sale asupra potențialului reproductiv ulterior. Analiza se bazează pe literatura științifică recentă și pe documente metodologice relevante, cu accent pe relevanța clinică și de sănătate publică pentru Republica Moldova.; Missed abortion (non-viable pregnancy, early pregnancy arrest) represents one of the major components of early reproductive loss, exerting a substantial impact on both individual reproductive health and population-level demographic indicators. In the context of the Republic of Moldova – characterised by a continuous decline in birth rates and an increasing prevalence of infertility – the analysis of this condition acquires strategic importance. This narrative literature review synthesises current evidence on the epidemiology, etiopathogenetic mechanisms, biological markers, diagnostic approaches, and therapeutic options for missed pregnancy, as well as its implications for subsequent reproductive potential. The analysis is based on recent scientific literature and relevant methodological documents, with particular emphasis on clinical applicability and public health relevance for the Republic of Moldova.; Неразвивающаяся беременность (нежизнеспособная беременность, остановка развития беременности) является одной из основных составляющих ранних репродуктивных потерь и оказывает значительное влияние как на индивидуальное репродуктивное здоровье, так и на демографические показатели на популяционном уровне. В условиях Республики Молдова, характеризующихся устойчивым снижением рождаемости и ростом распространённости бесплодия, анализ данной патологии приобретает стратегическое значение. Oбзор литературы обобщает современные данные об эпидемиологии, этиопатогенетических механизмах, биологических маркерах, методах диагностики и терапевтических подходах при неразвивающейся беременности, а также о её влиянии на последующий репродуктивный потенциал. Анализ основан на современной научной литературе и релевантных методических документах с акцентом на клиническую и общественноздоровьесберегающую значимость для Республики Молдова. Thu, 01 Jan 2026 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/33363 2026-01-01T00:00:00Z