Gynecology & Reproductive Health最新文献

{"title":"Dichorionic, Diamnionic Twin Pregnancy Discordant for AnencephalyA Case Report and Mini Review of the Literature","authors":"C. Sofoudis, Periklis Theodoropoulos","doi":"10.33425/2639-9342.1183","DOIUrl":"https://doi.org/10.33425/2639-9342.1183","url":null,"abstract":"According to current bibliography, many cases of congenital entities are properly diagnosed and treated due to increased steps of fetal medicine. Ultrasound measuring of NT (Nuchal Translucency) or B level scanning depicts many aspects of fetal lesions. Anencephaly consists one severe and lethal congenital fetal lesion. Ultrasound imaging findings reveal absence of cranial structures, cornerstone of this lesion. The most predisposition factor concerning the diagnosis of such cases represents the level of experience of the fetal medicine specialist. Aim of our study consists presentation of a case of dichorionic, diamnionic twin pregnancy discordant for anencephaly. Ultimate scope of our depiction reflects proper diagnosis and assiduous therapeutic mapping concerning the viability of the other fetus due to lethal conclusion of the pathologic one.","PeriodicalId":147903,"journal":{"name":"Gynecology & Reproductive Health","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115927024","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}

{"title":"Live Delivery Despite Abnormal Serial Rise in Serum Beta Human Chorionic Gonadotropin Levels and Sac Size Crown-Rump Length Discrepancy","authors":"J. Check, A. Diantonio","doi":"10.33425/2639-9342.1180","DOIUrl":"https://doi.org/10.33425/2639-9342.1180","url":null,"abstract":"There are several parameters that when inadequate, e.g., low serum progesterone (P), low serum estradiol (E2), or a sac size crown-rump length discrepancy with a sac size lagging behind by more than one week, are poor prognostic parameters for the delivery of a healthy baby. Perhaps the most important abnormal prognostic parameter is an inappropriate rise in serial beta human chorionic gonadotropin (hCG) levels. A case is described who had abnormalities in all these parameters including, in addition, issues with both increased and decreased fetal heart rates. She did however deliver a healthy baby just three weeks before her due date. Her treatment consisted of aggressive P supplementation, plus estrogen, antibiotics, and dextroamphetamine sulfate. One cannot say for certainty whether any or all of these treatments were responsible for her good outcome. This case may be, based on the lack of rise of beta hCG levels, to be the case with the worst prognosis to deliver a live baby published to date, based on failure to have an appropriate type of rise of serial beta hCG levels.","PeriodicalId":147903,"journal":{"name":"Gynecology & Reproductive Health","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128569917","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}

{"title":"A Case of Mayer-Rokitansky-Kuster-Hauser (MRKH) Syndrome Type B With Vesico-Vaginal Fistula","authors":"Ebenezer E. Dadson, Augustina Badu Peprah, E. Dassah, K. Ankomah, Obed Otoo, K. Twum, Akosua Nsiah Achiaamah, Anna Adjei Yeboah, Esi de-Graft Johnson, A. Amankwa, A. Afreh","doi":"10.33425/2639-9342.1182","DOIUrl":"https://doi.org/10.33425/2639-9342.1182","url":null,"abstract":"2Directorate of Obstetrics and Gynecology, Komfo Anokye Teaching Hospital and School of Public Health, Kwame Nkrumah University of Science and Technology. Dr. Ebenezer E. Dadson1*, Dr. (Mrs.) Augustina Badu Peprah1, Dr. Edward Dassah2, Dr. Kwasi Ankomah1, Dr. Obed Otoo1, Dr. Kwasi Twum1, Dr. Akosua Nsiah Achiaamah1, Dr. Anna Adjei Yeboah1, Dr. Esi de-Graft Johnson1, Dr. Adu Tutu Amankwa1 and Dr. Achiaa Afreh1","PeriodicalId":147903,"journal":{"name":"Gynecology & Reproductive Health","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121554158","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}

{"title":"Comparison of Amniotic Fluid Oxidative Stress Index in IVF/ICSI Pregnancies and Spontaneous Natural Conception","authors":"Murat Önal, M. Ağar","doi":"10.33425/2639-9342.1185","DOIUrl":"https://doi.org/10.33425/2639-9342.1185","url":null,"abstract":"Comparison of Amniotic Fluid Oxidative Stress in IVF/ICSI and ABSTRACT Objective: To compare amniotic fluid total oxidant status (TOS), total antioxidant status (TAS), and oxidative stress index (OSI) values of spontaneous pregnancies and IVF/ICSI pregnancies. Materials and Methods : A total of 50 patients who became pregnant spontaneously or by IVF/ICSI were included in the study. Twenty of the fifty participants consisted of patients who became pregnant by IVF/ICSI (n=20). The remaining 30 patients consisted of patients who became pregnant spontaneously (n= 30). Following the classical lower segment incision during C/S delivery, amniotic fluid sample was taken with a 5 cc syringe before the fetal membranes were cut. TAS and TOS levels were studied in an autoanalyzer by using TAS or TOS kits. OSI value was obtained by dividing TOS by TAS (TOS/TAS=OSI). OSI results are presented as percentages. Results: The amniotic fluid TOS levels of the patients in the ICSI group were found to be significantly higher than the pregnant women in the control group (23.11 ± 4.55 vs. 20.30 ± 6.05, p<0.01). On the other hand, amniotic fluid TAS levels of the pregnant women in the ICSI group were found to be significantly lower than the patients with spontaneous pregnancy (0.84 ± 0.10 vs. 0.96 ± 0.32, p<0.03). The OSI values (TOS/TAS) of the patients who became pregnant with ICSI were found to be significantly higher than the patients with spontaneous pregnancy (27.51 ± 6.33 vs. 21.1 ± 8.20, p<0.02). There was no significant correlation between OSI values and obstetric and neonatal parameters. There was no significant correlation between OSI and age, gravidity, parity, birth weight and gestational age at birth. Conclusions: The amniotic fluid oxidant/antioxidant balance of IVF/ICSI pregnancies was pathologically increased compared to natural conceptions. This increase in oxidative stress may negatively affect the long-term well-being of ICSI babies.","PeriodicalId":147903,"journal":{"name":"Gynecology &amp; Reproductive Health","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132914921","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}

{"title":"Limb-Girdle Muscular Dystrophy Associated with Fatness: A Case Report and Literature Review","authors":"H. S, W. O, I. K, J. M, L. A, B. S","doi":"10.33425/2639-9342.1181","DOIUrl":"https://doi.org/10.33425/2639-9342.1181","url":null,"abstract":"Limb-girdle muscular dystrophy LGMD is a rare genetic disorder characterized by progressive muscle atrophy in the scapular and pelvic regions. Associated with pregnancy, LGMD represents a management challenge, because of preexisting or exaggerated pregnancy complications. In the light of a clinical case and through a review of the literature, we will discuss the different aspects of this pregnancy-related pathology.","PeriodicalId":147903,"journal":{"name":"Gynecology &amp; Reproductive Health","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115289778","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}

{"title":"Generalized Peritonitis Following A Double Uterine and Ileal Perforation after Clandestine Abortion","authors":"L. A, M. M., W. O, Watik F, Benhaddouga K, J. M, B. S","doi":"10.33425/2639-9342.1179","DOIUrl":"https://doi.org/10.33425/2639-9342.1179","url":null,"abstract":"In many underdeveloped countries, illegal abortion can result in maternal death due to infectious complications such as pelviperitonitis, generalized peritonitis, and even septic shock. We report the observation of a 36-year-old patient who presented with peritonitis four days after an illegal abortion. The exploration was in favor of a double uterine and ileal perforation leading to a generalized peritonitis.","PeriodicalId":147903,"journal":{"name":"Gynecology &amp; Reproductive Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115411143","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}

{"title":"Relationship between Menstruation and Fertility: Perception and Knowledge of Nigerian Women","authors":"Gbadegesin Abidoye, Olalere O, Folasade Dolapo Haleemah, Oshodi O, Yusuf Abisowo, O. O, Ayokunle Moses, Kuku- Kuye, T. Olufunmilayo","doi":"10.33425/2639-9342.1177","DOIUrl":"https://doi.org/10.33425/2639-9342.1177","url":null,"abstract":"Background: Cultural and religious bias, myths, taboos and misconceptions about menstruation are rife in many developing countries. Adequate scientific based knowledge about menstruation and its relationship to fertility is crucial in attaining optimal reproductive health. Aim: We evaluated the perception and knowledge of African Nigerian women towards the relationship between menstruation and fertility. Materials and Methods: It was a prospective cross-sectional household survey with multi-staged cluster sampling design in which 230 randomly selected, consenting women in September and October 2012 were assessed about their perception of menopause using a structured questionnaire. Findings: We found that 59% of women thought that if a woman does not menstruate, she definitely cannot have a baby, 24% claimed that women with menstrual pain are likely to have miscarriages, while 21% believed that women with menstrual pain will have delay/difficulty getting pregnant. About 3/4 was of the opinion that it is morally wrong to have sex while menstruating and 76 (33.6%) of the women were of the opinion that women who take medications to stop their period are likely to develop cancer later in life. One-fifth of the women think there is no link between menstruation and family planning. Conclusion: Perceptions and knowledge about menstruation is varied among many Nigerian women, with widespread misconceptions and inadequate knowledge about its relationship with fertility. Universal enlightenment to disabuse the minds of Nigerian women from related myths, taboos and misconceptions is needed to promote reproductive health.","PeriodicalId":147903,"journal":{"name":"Gynecology &amp; Reproductive Health","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129077011","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}

{"title":"Vasa Previa: A Rare Case Report and Review of the Literature","authors":"H. S, W. O, J. M, L. A, F. K, B. S","doi":"10.33425/2639-9342.1175","DOIUrl":"https://doi.org/10.33425/2639-9342.1175","url":null,"abstract":"Vasa previa is a rare complication during pregnancy, involving fetal prognosis by massive fetal hemorrhage. We report a case of Benckiser's hemorrhage that occurred after spontaneous rupture of the membranes. In the light of this work, we will discuss the clinical diagnosis, the possibilities of ultrasound screening and the management modalities.","PeriodicalId":147903,"journal":{"name":"Gynecology &amp; Reproductive Health","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127163147","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}

{"title":"Association of ABO Blood Group, Age, Body Mass Index and Symptomatic COVID-19 Infection with Signal Levels of Antibodies to COVID-19","authors":"T. Maxwell, L. Wendt, Claire Castaneda, K. Marsden, Anna E. Merrill, S. Swartz, H. Steffen, Ava L Johnson, P. Eyck, K. Kenne, Mary B Rysavy, J. Jackson","doi":"10.33425/2639-9342.1174","DOIUrl":"https://doi.org/10.33425/2639-9342.1174","url":null,"abstract":"Objective: To determine if ABO blood group, age, body mass index (BMI), or symptomatic COVID-19 infection are associated with COVID-19 antibody response in unvaccinated COVID-19 antibody positive pregnant women at time of delivery. Methods: At the time of delivery, 2,499 consecutive pregnant women were tested for ABO blood group and antibodies to both the spike protein and nucleocapsid protein of the COVID-19 virus. The DiaSorin assay was used for antibody to spike protein analysis and the Roche assay for antibody to nucleocapsid protein. Gamma regression models with a log link were used to compare antibody signals, with blood group, age, and BMI as the predictors. Results: 260 (10.4%) of 2,499 women who had not been vaccinated for COVID-19, were positive for both spike and nucleocapsid protein antibodies to COVID-19. The mean signal for COVID-19 nucleocapsid antibody was significantly lower for blood group AB (p=0.028) compared with blood group O. A relationship between blood group and presence of symptomatic COVID-19 was detected (p = 0.028), with asymptomatic individuals having blood group B at a higher rate than the symptomatic individuals do. No other significant pairwise differences between blood groups were detected. There was no significant difference in signal level of antibodies to COVID-19 spike protein between any of the blood groups. Mean signals for antibodies to spike and nucleocapsid proteins were significantly higher in older women (p=0.001 for spike protein antibody and p=0.002 for nucleocapsid antibody). Significantly higher signal levels of antibody to spike and nucleocapsid proteins were found in women with class 2/3 obesity (p=0.022 and p=0.003, respectively). Conclusions: Pregnant women of AB blood group had lower antibody signal to nucleocapsid protein compared to the O blood group, and women of older age and greater BMI had higher antibody signal to COVID-19 spike and nucleocapsid proteins. There was a significant association between women with blood group B and asymptomatic infections.","PeriodicalId":147903,"journal":{"name":"Gynecology &amp; Reproductive Health","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116624256","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}

{"title":"Medullary Aplasia and Pregnancy: A Case Report and Review of the Literature","authors":"Gazzaz K, W. O, Gourja Y, J. M, L. A, B. S","doi":"10.33425/2639-9342.1176","DOIUrl":"https://doi.org/10.33425/2639-9342.1176","url":null,"abstract":"Pregnancy-associated bone marrow aplasia is a rare clinical entity. Its management remains a challenge for obstetricians and hematologists. The maternal-fetal morbidity is very high. We report a case of a pauper patient followed for aplasia labelled during pregnancy following a haemorrhagic stroke.","PeriodicalId":147903,"journal":{"name":"Gynecology &amp; Reproductive Health","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123037408","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}