International Journal of Women's Health and Reproduction Sciences最新文献

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Assessment of the Relationship of Anthropometric Indices With Vitamin D, Zinc, and Fasting Blood Sugar Levels in Women With and Without Infection Following Abdominal Hysterectomy: A Case-Control Study 评估腹部子宫切除术后有无感染妇女的人体测量指标与维生素D、锌和空腹血糖水平的关系:一项病例对照研究
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2020-01-01 DOI: 10.15296/ijwhr.2021.36
Sanaz Mousavi, Hamid Owaysee Osquee, Seyed Mehdi Haghdoost
{"title":"Assessment of the Relationship of Anthropometric Indices With Vitamin D, Zinc, and Fasting Blood Sugar Levels in Women With and Without Infection Following Abdominal Hysterectomy: A Case-Control Study","authors":"Sanaz Mousavi, Hamid Owaysee Osquee, Seyed Mehdi Haghdoost","doi":"10.15296/ijwhr.2021.36","DOIUrl":"https://doi.org/10.15296/ijwhr.2021.36","url":null,"abstract":"Objectives: It is necessary to prevent postoperative infection following abdominal hysterectomy. The present study aimed to assess the relationship of anthropometric indices with vitamin D, zinc (Zn), and fasting blood sugar (FBS) levels in women with and without infection following abdominal hysterectomy in order to determine the exact effects of these factors on infection. Materials and Methods: This case-control study was conducted in three teaching hospitals affiliated with Tabriz University of Medical Sciences in an 18-month period leading up to 2020. The participants consisted of 90 women who were candidates for abdominal hysterectomy. Anthropometric indices and vitamin D, Zn, and FBS levels were measured before the surgery. These factors were compared in the two groups of women with and without infection using the independent t-test and Pearson correlation coefficient, and P<0.05 was statistically significant. Results: No significant relationship was found between vitamin D, Zn, and FBS levels and anthropometric indices except for body mass index (BMI) that had a significant negative relationship with vitamin D blood levels (r = -0.20 and P = 0.043) while a significant positive relationship with FBS levels (r= +30 and P = 0.036) in infected patients. Therefore, patients with a higher BMI showed lower vitamin D whereas higher FBS levels in the group with infection. Conclusions: In general, vitamin D levels decreased and FBS levels increased by an increase in the BMI. These factors altogether increased the risk of postoperative infection following abdominal hysterectomy.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"30 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85006172","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
Premature Restriction of Foramen Ovale in an Anemic Fetus From a Rhesus-negative Mother: A Case Report 恒河阴性母亲致贫血胎儿卵圆孔过早受限1例
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2019-12-13 DOI: 10.15296/ijwhr.2021.28
H. Vafaei, N. Asadi, Ali Mohammad Shakibafard, M. Kasraeian, Neda Rahimirad, Shaghayegh Moradi Alamdarloo, Shohreh Roozmeh, K. Hessami
{"title":"Premature Restriction of Foramen Ovale in an Anemic Fetus From a Rhesus-negative Mother: A Case Report","authors":"H. Vafaei, N. Asadi, Ali Mohammad Shakibafard, M. Kasraeian, Neda Rahimirad, Shaghayegh Moradi Alamdarloo, Shohreh Roozmeh, K. Hessami","doi":"10.15296/ijwhr.2021.28","DOIUrl":"https://doi.org/10.15296/ijwhr.2021.28","url":null,"abstract":"Rhesus (Rh) negative women who are exposed to Rhpositive red blood cells (RBCs) (e.g., those who deliver a D-positive baby) are at the risk of developing anti-D antibodies against the Rh antigens present on the surface of RBCs. Memory response of maternal immune system in subsequent re-exposures makes Ig G antibody which is transferred across the placenta into the fetal circulation. Rh-positive fetuses from these mothers are at the risk of serious morbidity and mortality, and a group of disorders such as severe hemolytic anemia, hydrops fetalis, and intrauterine fetal demise if not treated. The fetal middle cerebral artery-peak systolic velocity (MCA-PSV) is a noninvasive tool for the diagnosis of fetal anemia. The sensitivity of MCA-PSV> 1.5 MoM (multiples of the median) is 100% for the prediction of moderate or severe anemia in the fetuses never transfused with a false positive rate of 12% (1). During intrauterine life, foramen ovale (FO) is the only pathway for the oxygenated maternal blood to enter from the right atrium of the heart to the left one and then being pumped into the upper part of fetus’s body (2). Premature closure or restriction of the FO is a rare and serious clinical condition that prevents this normal fetal blood circulation. It can be associated with fetal arrhythmia, right -side heart failure, pericardial effusion, tricuspid regurgitation (TR), non-immune hydrops fetalis, and intrauterine fetal death with unknown causes during the pregnancy (3,4). Premature restriction of FO is diagnosed based on the following criteria (5): • An FO diameter <3 mm with a Doppler velocity measured gradient >5 mm Hg or • FO diameter <2 mm with Doppler velocity >120 cm/s In this study, a case of premature restriction of FO was described in a fetus from the RH alloimmunizated mother who had severe intrauterine hemolytic anemia not detected antepartum by routine Doppler ultrasound examination of MCA-PSV-MoM..","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"72 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84043758","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
The Effect of Short-term Foot Reflexology in Improving Constipation Symptoms During Pregnancy: A TwoArmed, Randomized Controlled Trial 短期足部反射疗法改善妊娠期便秘症状的效果:一项两组随机对照试验
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2019-11-06 DOI: 10.15296/IJWHR.2020.49
Fahimeh Sehhatti, C. Hughes, M. Mirghafourvand, Zahra Anjoman Azari
{"title":"The Effect of Short-term Foot Reflexology in Improving Constipation Symptoms During Pregnancy: A TwoArmed, Randomized Controlled Trial","authors":"Fahimeh Sehhatti, C. Hughes, M. Mirghafourvand, Zahra Anjoman Azari","doi":"10.15296/IJWHR.2020.49","DOIUrl":"https://doi.org/10.15296/IJWHR.2020.49","url":null,"abstract":"\u0000 Objectives: Reflexology is a popular type of complementary medicine in medical practices, especially in midwifery fields. Materials and Methods: This randomized controlled trial aimed to determine the effect of foot reflexology on idiopathic constipation symptoms, as well as anxiety and fetal activity during pregnancy. This study was conducted on seventy-four nulliparous women with constipation, referring to private and public health care centers in Tabriz-Iran, between 2017 and 2018. The participants were then randomly assigned to foot reflexology or control groups. The intervention group underwent 12 minutes of weekly foot reflexology treatment for 6 weeks. Constipation symptoms were measured at baseline and 6 times (weekly) after the intervention by the Constipation Assessment Scale (CAS). In addition, the State-Trait Anxiety Inventory (STAI) questionnaire was used to measure the participant’s anxiety at baseline and 6 weeks after the completion of the study. Finally, fetal movements were measured at baseline and 6 times (weekly) after the intervention using a kick chart. Results: Based on the results, 97% of women reported improvement in their CAS measures at the end of six weeks following reflexology. The mean scores of STAI at the end of the intervention were 38.5 and 42.2 (State anxiety), as well as 39.1 and 40.2 (Trait anxiety) in the reflexology and control groups, respectively. Statistically significant differences in fetal movements between the two groups were only observed in the fourth (P=0.001) and fifth weeks (P=0.007) after intervention sessions. The results further indicated that about 67% of mothers were satisfied with reflexology intervention for improvement in their constipation symptoms. Eventually, no harmful side events were reported among women. Conclusions: Short-term foot reflexology in this context may have potential healing benefits in improving constipation and anxiety symptoms during pregnancy. However, further investigation for antenatal reflexology is necessary.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"3 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82426532","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: 8
Can We Use Placental Growth Factor-Based Tests to Assess Women With Suspected Pre-eclampsia? 我们能否使用基于胎盘生长因子的检验来评估疑似子痫前期的妇女?
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2019-10-25 DOI: 10.15296/ijwhr.2019.71
Nevin Sağsöz
{"title":"Can We Use Placental Growth Factor-Based Tests to Assess Women With Suspected Pre-eclampsia?","authors":"Nevin Sağsöz","doi":"10.15296/ijwhr.2019.71","DOIUrl":"https://doi.org/10.15296/ijwhr.2019.71","url":null,"abstract":"<jats:p>\u0000 </jats:p>","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"82 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89925562","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
The Effect of Peer Education on Fear of Childbirth in Pregnant Women: A Randomized Clinical Trial 同伴教育对孕妇分娩恐惧的影响:一项随机临床试验
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2019-10-16 DOI: 10.15296/ijwhr.2020.33
R. Rahmani, Fatemeh Yaghoobi Moghadam, Fatemeh Hadizadeh-Talasaz, M. Rahmani
{"title":"The Effect of Peer Education on Fear of Childbirth in Pregnant Women: A Randomized Clinical Trial","authors":"R. Rahmani, Fatemeh Yaghoobi Moghadam, Fatemeh Hadizadeh-Talasaz, M. Rahmani","doi":"10.15296/ijwhr.2020.33","DOIUrl":"https://doi.org/10.15296/ijwhr.2020.33","url":null,"abstract":"\u0000 Objectives: The fear of childbirth (FOC) is a common problem in women’s lives. Several interventions were carried out to reduce the fear of delivery during pregnancy. Despite these interventions, the increase in cesarean statistics indicates that routine interventions are not effective in controlling the FOC. Accordingly, the present study investigated the effect of peer education on the degree of FOC in pregnant women. Materials and Methods: This clinical trial was performed on 108 low-risk pregnant women aged 18-35 years old referring to community health centers of Gonabad University of Medical Sciences. The participants were randomly assigned to peer education, discussion, and control groups using block randomization (36 in each group). The peer education and discussion groups included four 2-hour sessions for 4 weeks and a training booklet. In peer education and discussion groups, the training was done by trained counterparts and a specialist, respectively. Finally, the data were analyzed using SPSS software through ANOVA and chi-square tests. Results: The results showed a significant difference between mean scores of the FOC in the 3 groups after the intervention (P=0.007). In addition, the Scheffe test showed a significant difference between peer education and the discussion groups (P=0.013). However, after 4 weeks of intervention, no significant difference was observed in the choice of delivery type in the 3 groups (P=0.122). Conclusions: In general, the interventional therapy program of peer education is effective in decreasing the FOC in pregnant women.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"19 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75207984","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: 3
An Investigation Into the Effects of Magnesium Sulfate on the Complications of Succinylcholine Administration in Nulliparous Women Undergoing Elective Cesarean Section: A Double-Blind Clinical Trial 硫酸镁对未产妇女择期剖宫产术后给药琥珀酰胆碱并发症影响的双盲临床研究
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2019-10-12 DOI: 10.15296/ijwhr.2019.86
Davoud Aghamohamadi, M. Khanbabayi Gol
{"title":"An Investigation Into the Effects of Magnesium Sulfate on the Complications of Succinylcholine Administration in Nulliparous Women Undergoing Elective Cesarean Section: A Double-Blind Clinical Trial","authors":"Davoud Aghamohamadi, M. Khanbabayi Gol","doi":"10.15296/ijwhr.2019.86","DOIUrl":"https://doi.org/10.15296/ijwhr.2019.86","url":null,"abstract":"Objectives: Controlling the complications of anesthetics (e.g., succinylcholine) seems necessary since they are greater for nulliparous women who undergo elective cesarean section (C-section). The present study aimed to investigate the effects of magnesium sulfate on the complications of succinylcholine administration in nulliparous women undergoing elective C-section. Materials and Methods: This double-blind clinical trial was conducted on 60 nulliparous women during 2012-2013. The women were randomly assigned to A and B groups. Before inducing the rapid anesthesia with succinylcholine, patients in the intervention group received 30 mg/kg of magnesium sulfate within 10 minutes and then the hemodynamic status and the side effects of succinylcholine were recorded in a special form. Statistical tests were performed using repeated-measures ANOVA, chi-square test, and one-way ANOVA tests and the level of significance was determined to be P<0.05. Results: There was no significant difference between the two groups in terms of demographic data (P>0.059). However, the results indicated that there was a significant difference between the 2 groups regarding the myoglobin level (P=0.010). Contrarily, the results showed that most patients in the intervention (n=23) and control (n=15) groups experienced no or mild and severe fasciculation, respectively (P<0.001). Conclusions: In general, magnesium sulfate can greatly control and reduce the complications of succinylcholine administration, including fasciculation.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"174 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79629110","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: 8
Physiotherapy and Pelvic Floor Muscle Exercises for the Prevention and Treatment of Pregnancy-Related Pelvic Floor Dysfunctions: A Systematic Review and Meta-analysis 物理治疗和盆底肌肉锻炼预防和治疗妊娠相关盆底功能障碍:系统回顾和荟萃分析
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2019-10-07 DOI: 10.15296/ijwhr.2020.20
Fahimeh Khorasani, F. Ghaderi, P. Sarbakhsh, P. Ahadi, E. Khorasani, F. Ansari, Nafiseh Vahed
{"title":"Physiotherapy and Pelvic Floor Muscle Exercises for the Prevention and Treatment of Pregnancy-Related Pelvic Floor Dysfunctions: A Systematic Review and Meta-analysis","authors":"Fahimeh Khorasani, F. Ghaderi, P. Sarbakhsh, P. Ahadi, E. Khorasani, F. Ansari, Nafiseh Vahed","doi":"10.15296/ijwhr.2020.20","DOIUrl":"https://doi.org/10.15296/ijwhr.2020.20","url":null,"abstract":"\u0000 Objectives: The present systematic review focused on the prevention or treatment of three main types of pelvic floor dysfunctions (PFDs) specifically pelvic organ prolapse (POP), urinary incontinence (UI), and fecal incontinence (FI) using physiotherapy and pelvic floor muscle exercises (PFMEs). With regard to the breadth of the problem, there is not much evidence grounded on the best management. The main purpose of this systematic review was to evaluate the effects of physiotherapy and PFMEs on the prevention and treatment of pregnancy-related PFDs; namely, POP, FI, and UI. Therefore, this review incorporated studies comparing the use of physiotherapy and PFMEs with every other existing interventions. Methods: This systematic review and meta-analysis was conducted on randomized-controlled-trial (RCT) articles and quasi-RCT designs through a search in the studies published with no time limits until December 2017 in the databases of PubMed (Medline), Web of Science, Scopus, Embase, Cochrane Library, and ProQuest. The meta-analysis was also applied for data synthesis. Moreover, heterogeneity was assessed using Cochran’s Q test and I2 index. Results: A total number of 26 RCTs were examined in this review in which the outcome variables were related to POP, UI, and FI prevalence; POP, UI, and FI severity, as well as pelvic floor muscle (PFM) strength and endurance. In most articles, UI prevalence or severity in intervention groups had significantly improved compared with those in controls. The number of studies examining POP and FI was also relatively low. In two studies, FI severity or prevalence in intervention groups had significantly enhanced in comparison with those in control groups; however, FI prevalence in two articles had been reported lower in intervention groups than that in control groups although no significant difference had been observed. There was also no significant improvement in intervention groups in two other studies in this respect. Besides, three articles had not reported traces of improvement in POP, as well as a significant difference between intervention and control groups. Nevertheless, two studies had found a significant improvement in POP in this regard. Based on meta-analysis results for the variable of PFM strength, Cochran’s Q test (P<0.001) and I2 index (90.02) indicated heterogeneity between studies; so, a random-effect meta-analysis was applied to estimate overall effect sizes. The overall mean differences following intervention between the study groups were also equal to 6.94, with a 95% CI (1.36 to 12.52). Conclusions: It was concluded that physiotherapy and PFMEs might have effects on pregnancy-related UI, but they had not consistently reduced FI severity or prevalence and failed to constantly improve POP.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"30 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80413908","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: 2
Comparative Examination of the Therapeutic Deficiency of Oral Metronidazole Plus Prangos ferulacea Vaginal Cream Versus Oral Metronidazole Plus Placebo Vaginal Cream in Accelerating Trichomonas Vaginalis Infection Recovery: A Triple-Blind Clinical Trial 三盲临床研究:口服甲硝唑加阿维果阴道乳膏与口服甲硝唑加安慰剂阴道乳膏加速阴道毛滴虫感染恢复疗效不足的比较研究
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2019-10-06 DOI: 10.15296/ijwhr.2020.28
Asieh Azadpour Motlagh, M. Dolatian, F. Mojab, M. Nasiri, Behrouz Ezatpour, N. Sharifi, Narjes Feizollahi, Z. Mahmoodi
{"title":"Comparative Examination of the Therapeutic Deficiency of Oral Metronidazole Plus Prangos ferulacea Vaginal Cream Versus Oral Metronidazole Plus Placebo Vaginal Cream in Accelerating Trichomonas Vaginalis Infection Recovery: A Triple-Blind Clinical Trial","authors":"Asieh Azadpour Motlagh, M. Dolatian, F. Mojab, M. Nasiri, Behrouz Ezatpour, N. Sharifi, Narjes Feizollahi, Z. Mahmoodi","doi":"10.15296/ijwhr.2020.28","DOIUrl":"https://doi.org/10.15296/ijwhr.2020.28","url":null,"abstract":"\u0000 Objectives: Trichomonas infection is prevalent in the United States and a metronidazole oral tablet is the medication of choice for treating this infection. Based on various side-effects of oral or vaginal metronidazole and the increase in microbial resistance against chemical antibiotics, the use of herbal medicine with fewer side-effects seems to be essential. Laboratory experiments indicate the strong anti-microbial effects of Prangos ferulacea (PF) medicinal herb. However, no clinical trial has focused on its anti-microbial effects in humans. Thus, the present study aimed to determine the effects of PF vaginal cream on accelerating Trichomonas vaginalis infection (TVI) recovery. Materials and Methods: The present randomized clinical trial was conducted on 80 non-pregnant women visiting the healthcare centers affiliated with Lorestan University of Medical Sciences, Iran, in 2018. Trichomonas infection was diagnosed based on patient complaints, clinical observations, as well as wet mount and stained microscopic tests. The women were randomly divided into two groups of 40 each. One group received oral metronidazole plus PF vaginal cream while the other received oral metronidazole plus placebo vaginal cream for 7 days. Clinical observations, along with wet mount and stained microscopic tests were performed during 7 days following the treatment. Finally, data were analyzed using independent-samples t test, as well as chi-square, Fisher exact, Mann-Whitney U, and McNemar tests at the significance level of P<0.05. Results: Based on the results, the response to treatment with oral metronidazole plus PF vaginal cream was 92.50 based on patient complaints. More precisely, 86.25% was based on clinical criteria (i.e., strawberry cervix, foamy greenish-yellow vaginal discharge, pH ≥4.5, and positive amine test) and 85% was related to the microscopic criteria of wet mount (x40) and polymorphonuclear leukocytes (x100). In addition, the response to treatment with oral metronidazole and placebo vaginal cream was 91.25%, 83.12%, and 80% based on the patient complaint, clinical criteria, and microscopic criteria, respectively. Eventually, the analysis of the patient complaint, clinical criteria, and microscopic criteria in each group revealed a significant difference before and after the treatment (P<0.001) Conclusions: The results of this study showed that the PF herbal vaginal cream can be used for the treatment of TVI as an effective treatment along with oral metronidazole.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"17 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85871681","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
Agonist Versus Antagonist in Intracytoplasmic Sperm Injection Cycles: Which Is the Best? 细胞质内精子注射周期中的激动剂和拮抗剂:哪个是最好的?
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2019-10-01 DOI: 10.15296/ijwhr.2020.46
Bushra J. Al Mousawi, M. Azzam, B. Zahawi, Hayder Adnan Fawzi
{"title":"Agonist Versus Antagonist in Intracytoplasmic Sperm Injection Cycles: Which Is the Best?","authors":"Bushra J. Al Mousawi, M. Azzam, B. Zahawi, Hayder Adnan Fawzi","doi":"10.15296/ijwhr.2020.46","DOIUrl":"https://doi.org/10.15296/ijwhr.2020.46","url":null,"abstract":"\u0000 Objectives: The comparison of gonadotropin-releasing hormone (GnRH) agonist against GnRH antagonists regarding the pregnancy rate and effect of various predictors on pregnancy outcomes. Materials and Methods: This prospective comparative study involved 189 women who underwent intracytoplasmic sperm injection (ICSI) cycles and were divided into agonist (107 patients) and antagonist arm (82 patients) groups. The chemical and clinical pregnancy rate was the main outcome and the other outcomes included the number and quality of oocyte measurement and pregnancy outcomes. Results: Based on the results, the agonist protocol showed a higher rate of pregnancy (32.7%, 95% CI: 23.9-42.4%) compared to the antagonist protocol (22.0%, 95% confidence interval (CI): 13.6-32.5%) with the odds ratio (OR) of (95% CI) = 1.73 (0.89-3.35). The results further revealed that the count of retrieved oocytes, count of M2 oocytes, count of fertilized oocytes, count of embryos, and the fertilization percent out of total retrieved oocytes were higher in the agonist arm compared to the antagonist arm. In the multivariate analysis after adjusting for the confounders, the agonist protocol had higher odds of a successful pregnancy compared to the antagonist protocol by 57% (partial OR = 1.57, P value = 0.23). Conclusions: In general, the agonist protocol offers a favourable outcome in comparison to the antagonist arm, and there seems to be an intrinsic benefit for the agonist protocol, which is not explained by the higher number of transferred embryos.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"76 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86176984","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
Design and Implementation of a Checklist for Prediction of Anesthesia-Induced Nausea and Vomiting in Candidate Patients for Mastectomy 预测乳房切除术患者麻醉引起的恶心和呕吐的检查表的设计和实施
IF 0.7
International Journal of Women's Health and Reproduction Sciences Pub Date : 2019-09-28 DOI: 10.15296/ijwhr.2020.13
M. Khanbabayi Gol, M. Dadashzadeh, H. Mohammadipour Anvari
{"title":"Design and Implementation of a Checklist for Prediction of Anesthesia-Induced Nausea and Vomiting in Candidate Patients for Mastectomy","authors":"M. Khanbabayi Gol, M. Dadashzadeh, H. Mohammadipour Anvari","doi":"10.15296/ijwhr.2020.13","DOIUrl":"https://doi.org/10.15296/ijwhr.2020.13","url":null,"abstract":"\u0000 Objectives: Prediction of nausea and vomiting can positively contribute to the management of this post-anesthesia adverse effect. Therefore, the present study aimed to design and implement a checklist for predicting anesthesia-induced nausea and vomiting in candidate patients for mastectomy. Materials and Methods: This methodological study was conducted on 300 candidate patients for mastectomy during 2018-2019 at Imam Reza hospital, Tabriz, Iran. The checklist items were designed and developed based on scientific articles, expert opinions, and patient interviews. The Pearson correlation coefficient, Cronbach’s alpha, Spearman-Brown coefficient, factor analysis, the KaiserMeyer-Olsen measure of sampling adequacy, and VARIMAX rotation were used to analyze the data. Eventually, the distribution of data with a normal distribution was compared through the Kolmogorov-Smirnov test. Results: In the first stage, 100 items were collected, which were reduced to 35 cases after modification by a team of experts. Twenty items were ultimately selected after observing the 80/20 response rate. The overall scale reliability was calculated as 0.953 based on Cronbach’s alpha. The correlation coefficient of the first and second implementations was 0.853. Finally, the four extracted factors accounted for 69.51 of the variance of the checklist based on factor analysis. Conclusions: The prediction checklist for post-anesthesia nausea and vomiting in candidate patients for mastectomy comprised adequate psychometric indicators that could be used with high reliability according to the extracted indices.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"13 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90743589","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: 7
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