Journal of Family and Reproductive Health最新文献

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Breastfeeding and Contraceptive Methods in Women With Severe Acute Respiratory Syndrome Coronavirus- 2 (SARS-COV-2) Infection in Peripartum Period. 围生期严重急性呼吸综合征冠状病毒-2 (SARS-COV-2)感染妇女的母乳喂养和避孕方法
Journal of Family and Reproductive Health Pub Date : 2022-03-01 DOI: 10.18502/jfrh.v16i1.8595
Reena Rani, Mrinalini Dhakate, Deepti Goswami, Sangeeta Gupta, Sangeeta Bhasin, Asmita Muthal Rathore, Anjali Tempe
{"title":"Breastfeeding and Contraceptive Methods in Women With Severe Acute Respiratory Syndrome Coronavirus- 2 (SARS-COV-2) Infection in Peripartum Period.","authors":"Reena Rani,&nbsp;Mrinalini Dhakate,&nbsp;Deepti Goswami,&nbsp;Sangeeta Gupta,&nbsp;Sangeeta Bhasin,&nbsp;Asmita Muthal Rathore,&nbsp;Anjali Tempe","doi":"10.18502/jfrh.v16i1.8595","DOIUrl":"https://doi.org/10.18502/jfrh.v16i1.8595","url":null,"abstract":"<p><p><b>Objective:</b> This study aimed to assess the exclusive breastfeeding and contraceptive methods among women delivering within 1-week of a positive test for severe acute respiratory syndrome coronavirus- 2 (SARS-CoV-2) infection. <b>Materials and methods:</b> In this study, 106 women with SARS-CoV-2 infection who were either asymptomatic or had mild disease were included. They were admitted for maternity care at a tertiary center between May to September 2020. The data was collected during their hospital stay and subsequently by telephonic or in-person interviews at 4-6 weeks and 8-10 weeks postpartum for contraceptive use, breastfeeding and use of facemask and hand-hygiene. <b>Results:</b> Sixty-three (59.4%) women had vaginal delivery and 43 (40.6%) required cesarean-section. Only one of the 98 newborns who were tested for SARS-CoV-2 turned out positive. Initiation of breastfeeding was delayed by an average of three days due to preparing the Reverse transcription polymerase chain reaction (RT-PCR) report. Exclusive breastfeeding was practiced by 69% and mixed feeding by 26%.Pre breastfeeding hand hygiene and facemask use declined after discharge (100% to 53.75% at 8-10 weeks postpartum). Out of 106, 86 (81%) women used no contraception at 8-10 weeks postpartum, continued with post-placental-IUD in 8/106 (7.5%) and tubal-sterilization during cesarean in 8/106 (7.5%) cases. Only 4/106 (4%) adopted alternative methods like barrier contraception. <b>Conclusion:</b> The practice of exclusive breastfeeding remains unchanged among women who suffered from SARS-CoV-2 infection in the peripartum period while uptake of postpartum contraception was minimal except for the women who opted for long term contraceptive methods in the immediate postpartum period.</p>","PeriodicalId":15845,"journal":{"name":"Journal of Family and Reproductive Health","volume":"16 1","pages":"61-66"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/c7/JFRH-16-61.PMC9287116.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40556600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Assessing the Stress Echocardiography in Women With Breast Arterial Calcification. 评价女性乳腺动脉钙化的应激超声心动图。
Journal of Family and Reproductive Health Pub Date : 2021-09-01 DOI: 10.18502/jfrh.v15i3.7138
Elham Shobeiri, Alireza Rai, Mohammad Rouzbahani, Reza Heidari Moghadam, Javad Azimivghar, Faranak Pourmirza, Hooman Tadbiri, Nahid Salehi
{"title":"Assessing the Stress Echocardiography in Women With Breast Arterial Calcification.","authors":"Elham Shobeiri,&nbsp;Alireza Rai,&nbsp;Mohammad Rouzbahani,&nbsp;Reza Heidari Moghadam,&nbsp;Javad Azimivghar,&nbsp;Faranak Pourmirza,&nbsp;Hooman Tadbiri,&nbsp;Nahid Salehi","doi":"10.18502/jfrh.v15i3.7138","DOIUrl":"https://doi.org/10.18502/jfrh.v15i3.7138","url":null,"abstract":"<p><p><b>Objective:</b> breast arterial calcification (BAC) is one of the most prevalent mammographic findings and has been debated as a marker of cardiovascular disease (CVDs). The present study aimed to assess the findings of stress echo in women with BAC. <b>Materials and methods:</b> This cross-sectional study was conducted on women who undergo mammography for routine breast cancer screening at Imam Reza hospital, western Iran from March 2018 to July 2018. The patients underwent stress echocardiography to evaluate the probability of myocardial ischemia (MI). Chi-square and independent t-tests were used to assess the differences between subgroups. <b>Results:</b> BAC was present in 61 (15.2%) women. The mean age of the patients with BAC was significantly higher than the patients without BAC (58.59± 7.82 vs. 55.32±6.57, p =0.003). Prevalence rates of the menopause (88.5% vs. 71.1%, p=0.009), hypertension (29.5% vs. 17.7%, p=0.032), and hypercholesterolemia (24.6% vs. 13.0, p=0.018) were significantly higher in the patients with BAC compared to the patients without BAC. The prevalence rate of MI symptoms in the patients with BAC was equal to 24.6%. Significantly, more women with BAC were positive for myocardial ischemia compared to the women without BAC (24.6% vs. 8.5%, p<0.001). The prevalence rates of the diabetes mellitus, hypertension, hypercholesterolemia, and history of CVDs were significantly higher in the patients who were positive for MI. <b>Conclusion:</b> It was found that BACs are correlated with an increased occurrence rate of CVDs. Our results illustrated that the patients who were positive for MI were more plausible to be diabetic, hyperlipidemic, hypertensive, and having a history of CVDs.</p>","PeriodicalId":15845,"journal":{"name":"Journal of Family and Reproductive Health","volume":"15 3","pages":"196-201"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2a/7f/JFRH-15-196.PMC8536829.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39846249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Clinical, Radiographic and Histological Assessments of a Rare Case of Intraosseous Arteriovenous Malformation in Maxilla Occurred During Pregnancy: A Case Report. 妊娠期间发生上颌骨骨内动静脉畸形1例的临床、影像学及组织学分析。
Journal of Family and Reproductive Health Pub Date : 2021-09-01 DOI: 10.18502/jfrh.v15i3.7141
Mitra Ghazizadeh Ahsaie, Reza Tabrizi, Mohamadamir Alizadehtabrizi, Sanaz Gholami Toghchi
{"title":"Clinical, Radiographic and Histological Assessments of a Rare Case of Intraosseous Arteriovenous Malformation in Maxilla Occurred During Pregnancy: A Case Report.","authors":"Mitra Ghazizadeh Ahsaie,&nbsp;Reza Tabrizi,&nbsp;Mohamadamir Alizadehtabrizi,&nbsp;Sanaz Gholami Toghchi","doi":"10.18502/jfrh.v15i3.7141","DOIUrl":"https://doi.org/10.18502/jfrh.v15i3.7141","url":null,"abstract":"<p><p><b>Objective:</b> Intraosseous Arteriovenous malformation (AVM) is a vascular hamartoma with almost 50% of cases occurring in the head and neck. These lesions are of great importance as they may cause massive bleeding during tooth extraction and surgeries. <b>Case report</b> <b>:</b> A 33 year old female complained of swelling and gingival bleeding on the right side of the maxilla and hard palate. The swelling was noticed during pregnancy and the patient underwent a surgical excision 6 months after labor. The specimen was submitted for histological examination. An intraosseous AVM presenting in maxilla was diagnosed. <b>Conclusion:</b> Although rare, intraosseous AVM may occur. The role of pregnancy and hormonal changes is still controversial. Clinical, radiographic and histological characteristics of AVM should be thoroughly assessed before surgical excision.</p>","PeriodicalId":15845,"journal":{"name":"Journal of Family and Reproductive Health","volume":"15 3","pages":"215-219"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b4/45/JFRH-15-215.PMC8536828.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39846252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estradiol and COVID-19: Does 17-Estradiol Have an Immune-Protective Function in Women Against Coronavirus? 雌二醇与COVID-19: 17-雌二醇对女性抗冠状病毒有免疫保护作用吗?
Journal of Family and Reproductive Health Pub Date : 2021-09-01 DOI: 10.18502/jfrh.v15i3.7132
Farideh Zafari Zangeneh, Maryam Sarmast Shoushtari
{"title":"Estradiol and COVID-19: Does 17-Estradiol Have an Immune-Protective Function in Women Against Coronavirus?","authors":"Farideh Zafari Zangeneh,&nbsp;Maryam Sarmast Shoushtari","doi":"10.18502/jfrh.v15i3.7132","DOIUrl":"https://doi.org/10.18502/jfrh.v15i3.7132","url":null,"abstract":"<p><p><b>Objective:</b> Female sex hormones have a pro-inflammatory effect, which may help to minimize inflammation. Estrogen's immunoregulatory properties play a significant role in the bi-directional neuroendocrine-immune activity in females. As a result, sex hormones can play a role in men's high mortality rate from coronavirus-2019 (COVID-19). It is aimed to clarify the role of 17-estradiol (E2) in the battle against COVID-19. <b>Materials and methods:</b> Until April 2021, a study on PubMed was performed. COVID-19, 17-estradiol (E2), immunoregulatory properties, pregnancy, menopausal symptoms, hormonal therapy, ER/ expression on immune cells, and mortality were some of the concepts used in the search. <b>Results:</b> Regulation of pro-inflammatory immune processes against COVID-19 appears to be associated with increased immune function (pro-inflammatory), anti-inflammatory regulation, and antiviral defense. Women with a severe coronavirus infection had higher serum IgG antibody levels than men, and their IgG production was faster in the early stages of infection. 17-estradiol (E2) levels of blood will increase by 100-fold during pregnancy. COVID-19 in pregnant women had a 15-fold lower mortality rate than other women. While menopause replacement therapy (MRT) for pre/post-menopausal women and its effectiveness in reducing COVID-19 infection is debatable. <b>Conclusion:</b> MRT may be considered as a viable treatment option for pre/post-menopause women with coronavirus, referring to the fact that sex hormones reduce inflammatory responses and modulate ACE2 expression. The task's difficulty and achieving the desired outcome seem to be challenging.</p>","PeriodicalId":15845,"journal":{"name":"Journal of Family and Reproductive Health","volume":"15 3","pages":"150-159"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/50/97/JFRH-15-150.PMC8536825.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39832636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Affecting Factors of Parturient Women's Privacy Preservation in The Maternity Ward: A Qualitative Study. 产科病房产妇隐私保护的影响因素:一项定性研究。
Journal of Family and Reproductive Health Pub Date : 2021-09-01 DOI: 10.18502/jfrh.v15i3.7137
Farzaneh Valizadeh, Farahnaz Heshmat, Solmaz Mohammadi, Zahra Motaghi
{"title":"Affecting Factors of Parturient Women's Privacy Preservation in The Maternity Ward: A Qualitative Study.","authors":"Farzaneh Valizadeh,&nbsp;Farahnaz Heshmat,&nbsp;Solmaz Mohammadi,&nbsp;Zahra Motaghi","doi":"10.18502/jfrh.v15i3.7137","DOIUrl":"https://doi.org/10.18502/jfrh.v15i3.7137","url":null,"abstract":"<p><p><b>Objective:</b> Different factors have an important role in the positive and negative childbirth experiences of the mothers. The parturient mother's privacy preservation is one of the factors for increasing the mothers' satisfaction consistent with natural childbirth. Hence, this study aimed to investigate the factors affecting the parturient mother's privacy preservation. <b>Materials and methods:</b> Content analysis was used in this qualitative study that is based on the semi structured individual interviews with women who had experienced natural vaginal delivery, midwives, and the specialist in a maternity ward from 2018 to 2021 in Shahroud, Iran. The collected data were analyzed simultaneously with the sampling procedure using a five-step qualitative content analysis method. To ensure the robustness of the data, Lincoln and Guba's four criteria (credibility, dependability, confirmability, and transferability) were used. <b>Results:</b> The findings of the study with 40 participants resulted in the extraction of 28 codes, 9 subcategories, and 2 main categories entitled extra-and intra personal factors affecting the mother's privacy. <b>Conclusion:</b> To foster the mother's awareness of her rights and privacy during pregnancy and delivery, continuous education, monitoring, and evaluating both the students and the staff to respect preserving the mother's privacy is necessary to develop an instrument to measure the preservation of the mother's privacy in the maternity ward.</p>","PeriodicalId":15845,"journal":{"name":"Journal of Family and Reproductive Health","volume":"15 3","pages":"186-195"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/b0/JFRH-15-186.PMC8536821.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39846248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The Relationship Between Folate, Vitamin B12 and Gestational Diabetes Mellitus With Proposed Mechanisms and Foetal Implications. 叶酸、维生素B12与妊娠期糖尿病的关系及其机制和对胎儿的影响。
Journal of Family and Reproductive Health Pub Date : 2021-09-01 DOI: 10.18502/jfrh.v15i3.7131
Angeline Maher, Agata Sobczyńska-Malefora
{"title":"The Relationship Between Folate, Vitamin B12 and Gestational Diabetes Mellitus With Proposed Mechanisms and Foetal Implications.","authors":"Angeline Maher,&nbsp;Agata Sobczyńska-Malefora","doi":"10.18502/jfrh.v15i3.7131","DOIUrl":"https://doi.org/10.18502/jfrh.v15i3.7131","url":null,"abstract":"<p><p>The incidence of gestational diabetes mellitus (GDM) is rising, which warrants attention due to the associated complications during pregnancy and in the long term for both mother and offspring. Studies have suggested a relationship between maternal folate (vitamin B9) and vitamin B12 status and GDM risk. Seemingly the most problematic scenario occurs when there is B-vitamin imbalance, with high folate and low vitamin B12. This nutritional state can occur in vitamin B12 deficient women who exceed the recommended folic acid supplementation. However, the pathological mechanisms behind this relationship are currently unclear and are explored in this review article. A high folate/low B12 can lead to a functional folate deficiency through the methyl-trap phenomenon, impairing re-methylation of homocysteine and regeneration of folates for DNA synthesis and repair. Consequently elevated homocysteine concentration leads to endothelial dysfunction and oxidative stress. Vitamin B12 deficiency also leads to an impairment of the conversion of methylmalonyl-CoA to succinyl-CoA, which has been associated with insulin resistance. Insulin resistance is thought to contribute to the etiology of GDM. More studies are needed to confirm the impact of these and other mechanisms on disease development. However, it highlights a potential avenue for GDM risk modification through a vitamin B12 supplement and improvement of maternal metabolic health.</p>","PeriodicalId":15845,"journal":{"name":"Journal of Family and Reproductive Health","volume":"15 3","pages":"141-149"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/97/JFRH-15-141.PMC8536822.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39832635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Estimation Methods for Infertility Treatment Success: Comparison of Four Methods. 不孕不育治疗成功的评估方法:四种方法的比较。
Journal of Family and Reproductive Health Pub Date : 2021-09-01 DOI: 10.18502/jfrh.v15i3.7136
Alireza Zarinara, Koorosh Kamali, Mohammad Mahdi Akhondi
{"title":"Estimation Methods for Infertility Treatment Success: Comparison of Four Methods.","authors":"Alireza Zarinara,&nbsp;Koorosh Kamali,&nbsp;Mohammad Mahdi Akhondi","doi":"10.18502/jfrh.v15i3.7136","DOIUrl":"https://doi.org/10.18502/jfrh.v15i3.7136","url":null,"abstract":"<p><p><b>Objective:</b> To analyze and compare four methods for estimating the chance of treatment success in infertile couples. <b>Materials and methods:</b> In a retrospective cohort study, information on demographic and clinical features, including age, body mass index (BMI), duration of infertility, semen analysis, previous history of treatment and clinical examination of infertile couples were analyzed. Treatment success (childbearing) was calculated with four methods as live birth ratio, conditional probability and survival analysis (life table and Kaplan-Meyer method) and results are compared. <b>Results:</b> The fertility ratio for the first treatment cycle was 29.72% which decreased to 23.13% by total treatment cycles. The success rate was 75.4%. With conditional probability calculation at the end of the five treatment cycles. With the life table method in a five-year period, the probability for live birth was 78% and by Kaplan-Meyer method 73.1% and the median of treatment time was 562 days. <b>Conclusion:</b> Calculation of infertility treatment success rate by only simple live birth ratio of childbearing couples is associated with underestimation. Using the conditional probability method reduces that underestimation, but it is not considered the censored cases in the treatments. It seems life table (as a proxy of survival analysis) presents the closest estimation to clinical facts with considering the repetition of the treatment cycle and the duration of treatment.</p>","PeriodicalId":15845,"journal":{"name":"Journal of Family and Reproductive Health","volume":"15 3","pages":"179-185"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b9/5b/JFRH-15-179.PMC8536827.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39846247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Effect of Exercise on Inter-Recti Distance and Associated Low Back Pain Among Post-Partum Females: A Randomized Controlled Trial. 运动对产后女性直肌间距离和相关腰痛的影响:一项随机对照试验。
Journal of Family and Reproductive Health Pub Date : 2021-09-01 DOI: 10.18502/jfrh.v15i3.7139
Zulekha Saleem, Amna Aamir Khan, Sumaira Imran Farooqui, Rehana Yasmeen, Jaza Rizvi
{"title":"Effect of Exercise on Inter-Recti Distance and Associated Low Back Pain Among Post-Partum Females: A Randomized Controlled Trial.","authors":"Zulekha Saleem,&nbsp;Amna Aamir Khan,&nbsp;Sumaira Imran Farooqui,&nbsp;Rehana Yasmeen,&nbsp;Jaza Rizvi","doi":"10.18502/jfrh.v15i3.7139","DOIUrl":"https://doi.org/10.18502/jfrh.v15i3.7139","url":null,"abstract":"<p><p><b>Objective:</b> This study aimed to emphasize facilitation training and strengthening of abdominal and core muscles in improving the inter-recti distance (IRD) and associated low back pain (LBP) among young postpartum females. <b>Materials and methods:</b> A single-blinded randomized controlled trial, among forty young postpartum females, was conducted at a community health center. The females were divided into two equal groups through the envelope method where Group A received abdominal crunch training protocol whereas group B received double straight leg raise (DSLR) exercise protocol for 6 weeks and pre and post IRD and Oswestry disability index (ODI) scores were recorded. <b>Results:</b> Group A showed improvement in IRD with a mean difference of 1.95±0.4 whereas in group B it was found to be 2.85±0.35 when assessed through finger palpation method. The mean difference of IRD, when measured through digital nylon caliper method in abdominal crunch and DSLR exercise group was 4.06±0.74 and 1.2±0.49 respectively. Moreover, ODI scores of group A were 2.70±1.05 whereas, group B scores were found to be 1.1±0.06 showing that LBP reduced in participants who performed abdominal crunch exercise. <b>Conclusion:</b> This study reveals that 6 weeks of exercise protocol was observed to be effective in the management of DRA. Thus, abdominal crunch exercise seemed to produce promising results in a reduction of IRD and associated LBP.</p>","PeriodicalId":15845,"journal":{"name":"Journal of Family and Reproductive Health","volume":"15 3","pages":"202-209"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/42/46/JFRH-15-202.PMC8536823.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39846250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Arteriovenous Malformation Complicating Cesarean Scar Pregnancy: A Rare Case of Vaginal Bleeding Managed Successfully by Uterine Artery Embolization. 剖宫产瘢痕妊娠合并动静脉畸形:子宫动脉栓塞治疗阴道出血的罕见病例。
Journal of Family and Reproductive Health Pub Date : 2021-09-01 DOI: 10.18502/jfrh.v15i3.7140
Sangam Jha, Akanksha Singh
{"title":"Arteriovenous Malformation Complicating Cesarean Scar Pregnancy: A Rare Case of Vaginal Bleeding Managed Successfully by Uterine Artery Embolization.","authors":"Sangam Jha,&nbsp;Akanksha Singh","doi":"10.18502/jfrh.v15i3.7140","DOIUrl":"https://doi.org/10.18502/jfrh.v15i3.7140","url":null,"abstract":"<p><p><b>Objective:</b> Arteriovenous malformation (AVM) can occur in cesarean scar ectopic pregnancy. The presence of retained product of conception can pose a diagnostic dilemma and clinical presentation could be similar. <b>Case report</b> <b>:</b> A 27 year old female presented with continuous vaginal bleeding for two and half months following dilatation and evacuation (D&E) done for cesarean scar pregnancy (CSP) of 10 weeks 4days period of gestation. Sonography with color Doppler revealed dilated tortuous vessels around the mass in lower uterine segment suggesting CSP with AVM. Digital subtraction angiography confirmed the diagnosis. Bilateral uterine artery embolization achieved complete devascularisation as confirmed on post intervention angiogram. Patient became symptom free since then. <b>Conclusion:</b> Uterine artery embolization is an effective mode of treatment of AVM complicating CSP if future fertility is desired.</p>","PeriodicalId":15845,"journal":{"name":"Journal of Family and Reproductive Health","volume":"15 3","pages":"210-214"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/bb/JFRH-15-210.PMC8536824.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39846251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Serum Vitamin D Deficiency in NICU Hospitalized Neonates and Its Association With Neonatal Outcomes. 新生儿重症监护病房住院新生儿血清维生素D缺乏及其与新生儿结局的关系
Journal of Family and Reproductive Health Pub Date : 2021-06-01 DOI: 10.18502/jfrh.v15i2.6450
Ziba Mosayebi, Setareh Sagheb, Mahsa Mirzendedel, Amir Hossein Movahedian
{"title":"Serum Vitamin D Deficiency in NICU Hospitalized Neonates and Its Association With Neonatal Outcomes.","authors":"Ziba Mosayebi,&nbsp;Setareh Sagheb,&nbsp;Mahsa Mirzendedel,&nbsp;Amir Hossein Movahedian","doi":"10.18502/jfrh.v15i2.6450","DOIUrl":"https://doi.org/10.18502/jfrh.v15i2.6450","url":null,"abstract":"<p><p><b>Objective:</b> Vitamin D deficiency is a major health problem in all age groups. In the present study, we aimed to determine the prevalence of vitamin D deficiency in neonates hospitalized in an intensive care unit (NICU) and its association with clinical neonatal outcomes. <b>Materials and methods:</b> A prospective cross-sectional study was carried out on all neonates hospitalized in the NICU of Children's Medical Center over a period of one year (January-December 2018). Immediately on admission, a serum sample for vitamin D measurement was obtained with another routine blood sampling. Demographic and clinical data including sex, gestational age, the season of birth, serum levels of vitamin D and calcium, the causes of hospitalization, age at admission and neonatal outcomes including length of hospital stay and mortality during hospitalization were assessed. <b>Results:</b> One hundred neonates entered the study. Vitamin D deficiency and insufficiency were present in 95% of neonates. There was a significant association between vitamin D status and birth during winter (p=0.014); hypocalcemia (p=0.025) and older age at NICU admission (p<0.001). The mean value of vitamin D in term neonates was significantly lower than in preterm neonates (p=0.031). There were no correlations between length of hospital stay and neonatal mortality rate with vitamin D status (p=0.876). <b>Conclusion:</b> Vitamin D deficiency and insufficiency were highly prevalent among NICU patients. Maternal vitamin D supplementation during pregnancy may prevent or reduce the risk of low levels of vitamin D in neonates.</p>","PeriodicalId":15845,"journal":{"name":"Journal of Family and Reproductive Health","volume":"15 2","pages":"99-105"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/65/49/JFRH-15-99.PMC8520660.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39579766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
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