More care for pregnant women with polycystic ovary syndrome
Polycystic ovary syndrome affects 15% of women
Causes problems for those affected who want to become pregnant
A study says that once pregnant can also lead to complications

Under the long names 'Stein-Leventhal syndrome' or 'polycystic ovary syndrome'(SOP) hides the problem to get pregnant for about 15% of the female population of reproductive age. This is mainly due to a hormonal imbalance that is characterized by irregularities and changes in menstrual cycles, excessive hair, tendency to obesity and the appearance of small cysts on the edges of the ovaries.

Well, in severe cases, women who have PCOS have, and in most cases have no choice but to resort to fertility treatment. However, there are still many unanswered questions: What is the exact origin of this disorder? Are there problems for the mother or fetus during the gestation period?

Indeed, in response to the latter issue, the journal British Medical Journal published inits latest issue, a study by Swedish researchers at the Karolinska Institute and University Hospital of the same name, who have collected national data of those born between 1995 and 2007, separated whose mothers suffered from this syndrome and those without.
The results are quite surprising. According to the authors, those females suffering from Stein-Leventhal syndrome are more likely to have problems during pregnancy,whether they have been subjected to treatments

¿High-risk patients?
After investigating nearly 4,000 women with this syndrome more than a million who did not, the author lists the most common complications in the first group: "We found that these women are more likely to have diabetes caused by pregnancy, preeclampsia -induced hypertension during pregnancy, or premature delivery. "But they are not alone. According to this study, the fetus also has consequences: "Babies born to these mothers are more likely to be larger for gestational age, leading to an increased incidence of caesarean sections," and there is a higher incidence of asphyxia childbirth ".

In light of these data, the experts are torn between whether to treat these women as high-risk pregnant or not. Javier Martinez, chief of Obstetrics and Osbtetricia Severo Ochoa Hospital in Madrid, there are insufficient data to consider these mothers in thiscategory: "Keep in mind that a significant percentage of women with PCOS in this study were patients serious, but in most cases the only difficulties that go with respect to a pregnant woman without this syndrome is only when you want to stay pregnant, "she says. "Once in pregnancy there is usually no problems and less to the fetus," says the specialist.

However, Laura Prieto Sanchez, a gynecologist at the University Hospital Madrid'sLa Paz explains that more comprehensive monitoring of these patients avoid possible problems. "In fact these results are a series of complications chained by the SOP. A woman with this disorder and is resistant to insulin usually have a tendency togain weight and the more obese, the greater the risk to suffer, for example, diabetesor preeclampsia "argues the gynecologist.

"Indeed, a small percentage of women with this syndrome and fewer still get to haveserious problems once they become pregnant because, indeed, the main conflicts are at the time of becoming pregnant," says the specialist. "But that does not mean that these women are more prone to a number of complications during pregnancy and they can get to situations like those observed in this study," says Dr. Prieto.

And how to avoid? For Dr. Prieto, the solution is to better control these pregnant women. "Often these investigations are more a warning to physicians to patients.Just to make more revisions could avoid possible complications, whereas what is usually done is act after something happened," said Laura Prieto.

The drama of selective abortions in Albania

"It's a child again." Roza, mother of three daughters, cries and begs the doctor at a hospital in Tirana to help her have an abortion, fear and anger of her husband. The scene is not uncommon in Albania. Roza is in her fourth month of pregnancy, but says he prefers to risk his life rather than give birth to this baby.

"Last time, my husband was about to kill me. He became very violent when he saw that he would give a child. And my mother also," says this woman of 28, who does not hide his despair. The future father enters the room and knows the news. He does not hide his anger and talk of expelling his wife and daughters home. Many physiciansrecognize Albanians have witnessed such incidents, which reflect traditional patternsstill very rooted in some minds in the country.

The media have often reported that sex-selective abortions are taking place in some countries such as China. However, the practice does not seem to be exclusive toAsia, but also exists in countries of the Caucasus, including Armenia, Georgia,Azerbaijan and Albania.

The popularization of ultrasound, which allow the baby's sex before birth, have increased the phenomenon.

"The Albanian families traditionally prefer men to women for two main reasons: the perpetuation of the family name and the idea that men, as adults, will be the bread winner," he noted in 2005 a report by United Nations Program for Development (UNDP). 

"Sometimes having a child is perceived as a burden," especially in some rural areas, confirms Onuzi Aferdita anthropologist. The Parliamentary Assembly of the Council of Europe and expressed concern last month about the wide gap between the births of males and females in the country.

The usual ratio of births is, on average, 105 boys and 100 girls. But in Albania, currently stands at 112 boys for every 100 girls, according to Swiss Parlament has denounced the Doris Stump in a report published in October. However, these figures contrast with those who have made the Albanian authorities, who talk about a rate of 100 females for every 101 males.

Legal Regulations
Abortion, legalized in Albania on the eve of the communist regime fell at the beginning of the 90 -, is authorized until the twelfth week of pregnancy. Since 2002, legislation specifies that the prenatal selection of sex is prohibited, although there is no provision to sanction those who violate the law.
In hospitals, "everything is strictly controlled," said Albanian Minister of Health, PetritVasili. The maximum health authority also notes that a preference for children isparticularly evident in rural areas, but clarifies that this "does not have any influence on Albanian demography."

"Some abortions are performed in private clinics or even in private homes that do not have any authority to do so," he admits, cone all Rubena Moisiu, director of KocoGlozheni obstetric hospital in Tirana.

The specialist noted that to avoid such situations, it is preferable that the doctor did not disclose to parents the sex of the baby. Following the report of Doris Stump, the Council of Europe issued a call to Albania, Armenia, Azerbaijan and Georgia to provide "reliable information" about the birth and explain "the causes and reasons" for these differences detected. In addition, the four countries sought to initiate a wareness campaigns to the public and the medical sector on the issue of selective abortions.

According to experts, the imbalance between men and women can affect the demography, cause a decline in birth rates, encourage trafficking in women and cause dissatisfaction and violence among men who are not able to find a partner.

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