International journal of reproduction, contraception, obstetrics and gynecology最新文献_第4页

The impact of grand multiparity on late pregnancy and early labour, hospital-based study on Garhwal region, Uttarakhand 以北阿坎德邦 Garhwal 地区医院为基础的研究：多胎妊娠对孕晚期和早产的影响

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240781

Samridhi Kumari, Nidhi Chauhan, Ashnoor Bansal

{"title":"The impact of grand multiparity on late pregnancy and early labour, hospital-based study on Garhwal region, Uttarakhand","authors":"Samridhi Kumari, Nidhi Chauhan, Ashnoor Bansal","doi":"10.18203/2320-1770.ijrcog20240781","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240781","url":null,"abstract":"Background: Grand multiparity has been associated with adverse outcome for both fetus and mother such as antepartum hemorrhage, malpresentation, caesarean section rate, postpartum hemorrhage, iron deficiency anemia, and a high perinatal mortality rate. This study aimed to estimate the proportion of the antenatal, intrapartum and perinatal complications outcomes related to grand multiparity.\u0000Methods: This is a prospective observational study conducted during a period of 1 year from 2021 to 2022 in the department of obstetrics and gynaecology, Himalayan hospital, Jollygrant, Dehra Dun, Uttarakhand. 60 grand multiparous patients who delivered during this period was analysed. Mothers with fetus/neonates were assessed for antenatal and obstetrical complications, mode of delivery and post-partum complications.\u0000Results: During the study period, majority of women were in age group 26-30 years (45%), from plain areas (60%), and hilly areas (40%), 85% patients delivered vaginally, while 15 patients delivered by lower segment caesarean section. The main indication of C section was previous 2 LSCS. Maternal complications noted were anemia (30%), preterm labour (23.3%), malpresentation (1.7%) and placenta previa was seen in 3.3% women. Atonic PPH was noted in 10% cases. In present study there was no maternal death reported among grand multipara. 61 babies were born, in which 1.6% neonates were still born. There were no perinatal deaths. 34.45% newborns were born with low birth weight.\u0000Conclusions: Grand-multiparity is an obstetric risk factor. Proper antenatal care, education, properly timed caesarean section in selected cases would reduce the grand-multiparity associated adverse pregnancy outcomes.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"16 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140372232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnostic evaluations and management of surgical scar endometriosis: a case series of 13 cases over 9 years 手术疤痕子宫内膜异位症的诊断评估和治疗：9 年 13 例病例的系列研究

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240807

Jamuna Kanakaraya, S. Kanakaraya, Chandrahasa, Avni Bhardwaj

{"title":"Diagnostic evaluations and management of surgical scar endometriosis: a case series of 13 cases over 9 years","authors":"Jamuna Kanakaraya, S. Kanakaraya, Chandrahasa, Avni Bhardwaj","doi":"10.18203/2320-1770.ijrcog20240807","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240807","url":null,"abstract":"Endometriosis is defined as localization of ectopic functional endometrial gland and stroma. Scar endometriosis is a rare benign gynecological disease affecting women in the reproductive age group. It’s incidence in post-caesarean and post-hysterotomy scar tissue is approximately 0.03-0.4% and 1.08-2% respectively. This case series reviews literature of medical data of 13 patients who presented over 9 years with incisional site endometrioma, diagnostic approaches and treatment is discussed. The patients presented in 2nd to 3rd decade of life with complaints of cyclical pain and mass at previous surgery scar. Ultrasonography (USG) detected hypoechoic mass/granuloma and inconclusive in most cases. Magnetic resonance imaging (MRI) though was suggestive of diagnosis in almost all cases. Definitive diagnosis was histopathological examination. Treatment was achieved with surgical excision in all patients, and 3 are preceded by hormonal treatment. Medical treatment can only yield symptomatic relief in pain till the hormone effect lasts. Treatment of choice is wide excision that is excision of 1 cm tissue around the mass. Endometriosis in operative site scar tissue may present as a discrete mass which may be painful and can be confused clinically with a variety of surgical conditions. It is extremely important to recognize the condition so as to avoid potential clinical pitfalls in the diagnosis of this treatable entity.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"34 45","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140372491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of ulipristal acetate on leomyoma of uterus 醋酸乌利司他对子宫肌瘤的影响

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240773

Roksana Akter, Ferdousi Begum, M. Abdul Alim, Nahid Binte Rahim, Shadia Azmain Rasna, Tasnim Rahman, Khaleda Ferdous, Kamrun Nahar Liza

{"title":"Effect of ulipristal acetate on leomyoma of uterus","authors":"Roksana Akter, Ferdousi Begum, M. Abdul Alim, Nahid Binte Rahim, Shadia Azmain Rasna, Tasnim Rahman, Khaleda Ferdous, Kamrun Nahar Liza","doi":"10.18203/2320-1770.ijrcog20240773","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240773","url":null,"abstract":"Background: The efficacy and side-effect profile of ulipristal acetate (UPA) for the treatment of symptomatic uterine fibroids before surgery are unclear. Main objective of the study to see the effect of UPA on leomyoma.\u0000Methods: An observational clinical trial was conducted at the department of gynaecology and obstetrics, Sir Salimullah medical college and Mitford hospital, Dhaka, from January to June 2015. Thirty women aged 18-48 with symptomatic fibroid uterus were studied. They received Tablet UPA 5 mg/day for 3 months. Evaluation included history taking, physical examination, pelvic ultrasonography, and necessary investigations.\u0000Results: The majority of patients (43.3%) were ≤30 years old. Before intervention, heavy bleeding was observed in all patients until the 8th day of menstruation. During intervention, majority had no bleeding from the 5th to 8th day, with only a few experiencing heavy bleeding on the 7th and 8th day. After intervention, most patients had no bleeding from the 5th to 8th day, with a few reporting spotting on the 5th day. Before treatment, 60% had fibroid size >10 cm2. After treatment, 92.3% had fibroid size <10 cm2, with 7.7% showing no fibroids. Mean uterine size decreased post-treatment. Majority (57.7%) had hemoglobin >11 gm/dl. Side effects included headache (11.5%), hot flashes (15.4%), and nausea/vertigo (19.2%). Treatment success rate was 86.7%.\u0000Conclusions: In a group of selected patients with fibroid uterus and heavy menstrual bleeding, UPA (5 mg/day for 3 months) successfully decreases blood loss and shrinks fibroid and uterine size by 86.7%.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"18 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140373080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the effects of epidural labour analgesia on mode of delivery 评估硬膜外分娩镇痛对分娩方式的影响

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240774

Marufa Khatun, M. A. Rahim, Fatema Rahman

{"title":"Evaluation of the effects of epidural labour analgesia on mode of delivery","authors":"Marufa Khatun, M. A. Rahim, Fatema Rahman","doi":"10.18203/2320-1770.ijrcog20240774","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240774","url":null,"abstract":"Background: Epidural analgesia is the most effective method of pain relief during labour and the only method that provides complete analgesia without maternal or foetal adverse effects. This study aimed to assess the mode of delivery outcomes of labour in women who had received effective epidural analgesia.\u0000Methods: After ethical approval, this quasi-experimental study was carried out in Dhaka medical college hospital for one year, from July 2021 to June 2022. A total of 100 admitted pregnant women (37 weeks to 41 weeks) in the labour ward were included in the study according to the inclusion and exclusion criteria. Among them, 50 women were in group A (with epidural analgesia), and the other 50 were in group B (without epidural analgesia). A detailed history and thorough clinical examination were carried out on each patient. Data were collected in separate case-record forms and analyzed using SPSS 24.\u0000Results: Mean age, gestational age, parity, and body mass index were statistically similar in both group A and B. Normal vaginal delivery rate (86% vs. 90%), instrumental delivery rate (10% vs. 6%), and caesarean section rate (4% vs. 4%) were not significantly different in both groups. Besides, both group A and B had statistically similar APGAR scores at 1st (8.66±0.87 and 8.80±0.83 respectively, p=0.414) and 5th min (9.66±0.68 and 9.74±0.59 respectively, p=0.537).\u0000Conclusions: Epidural labour analgesia can be safely recommended as a method of labour analgesia, provided the prerequisites are fulfilled. It has no significant adverse effect on the mode of delivery.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"120 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140370153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of compression of myometrium and occlusion of uterine artery by COMOC-MG suture in management of atonic postpartum hemorrhage 用 COMOC-MG 缝合线压迫子宫肌层和闭塞子宫动脉治疗失张力性产后出血的效果

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240797

Trupangi J. Chaudhari

{"title":"Effectiveness of compression of myometrium and occlusion of uterine artery by COMOC-MG suture in management of atonic postpartum hemorrhage","authors":"Trupangi J. Chaudhari","doi":"10.18203/2320-1770.ijrcog20240797","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240797","url":null,"abstract":"Background: Postpartum haemorrhage (PPH) remains a significant cause of maternal morbidity and mortality globally, with uterine atony being a primary etiological factor. This prospective interventional study aimed to assess the effectiveness of the compression of myometrium and occlusion of uterine artery by COMOC-MG suture technique in managing atonic PPH.\u0000Methods: A prospective study was conducted at GK general hospital, Bhuj, Gujarat, from December 2020 to July 2022. The study enrolled 100 pregnant women without identified risk factors undergoing complicated caesarean or vaginal deliveries. The COMOC-MG suture technique was employed for the study group, while the control group received standard atonic PPH management. Outcomes included success rates, blood transfusion needs, complications, and mortality.\u0000Results: The study group (n=50) demonstrated comparable demographic characteristics to the control group. Notably, the COMOC-MG group exhibited higher success rates in normal (100%) and cesarean deliveries (95.3%) compared to the control group (72.7% and 60.7%, respectively). Lower blood transfusion needs (34% vs. 48%) and fewer complications were observed in the COMOC-MG group. Hemoglobin (Hb) levels on post-partum day 1 showed no significant difference.\u0000Conclusions: The study suggests that COMOC-MG suture technique is effective in managing atonic PPH, showing superior success rates and potentially reducing blood transfusion needs. While further research, including larger trials, is warranted, these findings underscore promise of COMOC-MG as an innovative intervention in obstetric care, offering potential benefits in maternal outcomes. The observed safety profile supports its consideration in clinical practice.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"71 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140371316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopic shaving for colorectal endometriosis: a literature review 大肠子宫内膜异位症的腹腔镜刮宫术：文献综述

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240821

Mounir Moukit, Mohammed Rahmoune, Ismail Allilou, Moulay Abdellah Babahabib

引用次数: 0

Role of proinflammatory cytokines TNF-α (rs1800629) and IL-6 (rs1800795) in the pathogenesis of polycystic ovarian syndrome in North Indian females 促炎细胞因子 TNF-α (rs1800629) 和 IL-6 (rs1800795) 在北印度女性多囊卵巢综合征发病机制中的作用

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240796

Parneet Kaur, Khushpreet Kaur, Rajinder Kaur

{"title":"Role of proinflammatory cytokines TNF-α (rs1800629) and IL-6 (rs1800795) in the pathogenesis of polycystic ovarian syndrome in North Indian females","authors":"Parneet Kaur, Khushpreet Kaur, Rajinder Kaur","doi":"10.18203/2320-1770.ijrcog20240796","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240796","url":null,"abstract":"Background: This study aimed to determine whether TNF-α and IL-6 gene polymorphism, their epistatic effects and haplotypes confer pathogenesis of PCOS in north Indian females.\u0000Methods: A case-control study comprising DNA samples of 401 females (200 PCOS cases and 201 controls) of reproductive age. All the subjects were genotyped for TNF-α (-308 G/A) and IL-6 (-174 G/C) genes by tetra-primer ARMS PCR.\u0000Results: There were 41.5% PCOS females revealing hirsutism, 45.5% acne and 36% alopecia. High BMI (p=0.008) and W/H ratio (p=0.0001) was observed among PCOS cases. Frequency of minor allele A for -308 G/A TNF-α was significantly higher in PCOS cases than controls indicating 1.4 fold increased risk for PCOS (p=0.05, OR=1.41, 95% CI=1.00-1.99). -174 G/C IL-6 gene was in association with the decreased risk of PCOS. The epistatic effects of all the possible combinations of both the SNPs shows statistically significant differences (Interaction p value=0.014) indicating modulating effects of TNF-α and IL-6 polymorphism in response to PCOS. Haplotype HT3 AG (p=0.003, OR=2.22, 95% CI=1.31-3.78) was associated with increased risk of PCOS.\u0000Conclusions: The present findings suggest that TNF-α and IL-6 might contribute to pathogenesis of PCOS in north Indian females irrespective of a polymorphism of TNF-α (-308 G/A) and IL-6 (-174 G/C) genes.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"52 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140373187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mayer-Rokitansky-Küster-Hauser syndrome type II: a case report and literature review 梅尔-罗基坦斯基-库斯特-豪泽综合征 II 型：病例报告和文献综述

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240818

Nirupam K. Baishya, Kakoli Baishya, Jyotishmita Pathak

引用次数: 0

Evaluation of efficacy of CO2 fractional laser in genitourinary syndrome in menopausal women: a prospective observational study 评估二氧化碳点阵激光对更年期妇女泌尿生殖系统综合征的疗效：一项前瞻性观察研究

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240789

Sangeeta Arya, Nidhi Johri, M. Maroof, Pragya Trivedi

{"title":"Evaluation of efficacy of CO2 fractional laser in genitourinary syndrome in menopausal women: a prospective observational study","authors":"Sangeeta Arya, Nidhi Johri, M. Maroof, Pragya Trivedi","doi":"10.18203/2320-1770.ijrcog20240789","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240789","url":null,"abstract":"Background: Objective were to evaluate the efficacy of fractional CO2 laser in treating genito-urinary syndrome (GSM).\u0000Methods: We did a prospective observational study on 92 post-menopausal women aged 37-84 years during December 2022-December 2023 in a private clinic of district Kanpur. Fractional CO2 laser (Rosch, vaginal 3600 probe) in three sittings were done for women presenting with GSM at the interval of four weeks as a lunch break therapy. The outcome was studied in terms of visual analogue scale (VAS) having 0 to 10 rating at second, third and sixth months. The statistical analysis was performed using MS excel and GraphPad online statistical calculator.\u0000Results: Stress urinary incontinence, early prolapse, urinary incontinence was the commonest presenting complaints among females. Significant improvement was observed in VAS score in each follow up.\u0000Conclusions: The vaginal fractional CO2 laser can be used as an effective and safe treatment method in GSM. It is necessary to conduct studies with long-term follow-up.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"75 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140371443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of menstrual disorders and self-care practices among female undergraduates in a southwestern tertiary institution, Nigeria 尼日利亚西南部一所高等院校女大学生月经失调的患病率和自我护理方法

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240771

L. B. Ayamolowo, S. Ayamolowo, Esther O. Olayinka, A. Olowokere

{"title":"Prevalence of menstrual disorders and self-care practices among female undergraduates in a southwestern tertiary institution, Nigeria","authors":"L. B. Ayamolowo, S. Ayamolowo, Esther O. Olayinka, A. Olowokere","doi":"10.18203/2320-1770.ijrcog20240771","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240771","url":null,"abstract":"Background: Menstrual health, crucial for women's well-being, often remains obscured by misconceptions, stigma, and limited awareness. This study aimed to assess menstrual disorder prevalence and self-care practices among female undergraduates.\u0000Methods: Using a descriptive cross-sectional design, we surveyed 216 female undergraduates through a structured questionnaire, employing multistage sampling. Data underwent Chi-square and logistic regression analysis (5% CI).\u0000Results: Dysmenorrhea (81.9%), amenorrhea (41.7%), menorrhagia (30.6%), and irregular cycles (30.5%) were predominant menstrual disorders. Self-care was practiced by many during menstruation, including pain medication (50%), heat application (38.9%), and exercise (29.2%). Nonetheless, 59.7% lacked awareness about self-care practices. Age (p<0.05, OR=7.07, CI: 0.75–66.90), educational level (p<0.05, OR=2.75, CI: 0.76–10.01), knowledge level (p<0.05, OR=0.67, CI: 0.22–2.02), and education sponsor (p<0.05, OR=3.44, CI: 0.56–21.22) were linked to menstrual disorders, highlighting the need for menstrual hygiene product access.\u0000Conclusions: This study identified high menstrual disorder prevalence and urges awareness and education for proper self-care. Tailored interventions by policymakers, educators and healthcare providers can empower women, enhancing menstrual health outcomes.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"52 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140373194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0