Obstetrics & Gynecology International Journal最新文献_第4页

Sextuplets: management of a higher order pregnancy in a medium-resource setting 六胞胎:在中等资源环境下高阶妊娠的管理

Obstetrics & Gynecology International Journal Pub Date : 2021-06-22 DOI: 10.15406/ogij.2021.12.00575

Jonathan Ramsarran, B. Bassaw, J. Chinnia, Falima Ali-Bassaw, D. Singh, S. Harry, Shane Khan

{"title":"Sextuplets: management of a higher order pregnancy in a medium-resource setting","authors":"Jonathan Ramsarran, B. Bassaw, J. Chinnia, Falima Ali-Bassaw, D. Singh, S. Harry, Shane Khan","doi":"10.15406/ogij.2021.12.00575","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00575","url":null,"abstract":"A 28-year-old gravida 1 para 0 was referred to the Mt. Hope Maternity Hospital, a tertiary teaching institution at 8 weeks of gestation with excessive vomiting in pregnancy secondary to a sextuplet pregnancy. She was given empirical clomiphene citrate 100mg for 10 days after having difficulty conceiving with know polycystic ovarian syndrome. She conceived after the first course of clomiphene citrate. After being counseled on the many maternal and fetal complications with higher-order pregnancy and a clear road-map for the management of the pregnancy, which included multifetal pregnancy reduction (MFPR), this was declined due to socio-cultural and ethical grounds. Cervical cerclage was inserted at 12 weeks gestation and thromboprophylaxis commenced. Urgent Caesarean delivery was arranged at 31 weeks of pregnancy secondary to worsening symptoms of overdistension. This study aims to outline management of a higher order pregnancy when the standard approach of MFPR is unacceptable to the patient. Central to this cause was circumventing risks of higher order gestations such as preterm labor, pre-eclampsia, thrombosis and anaemia.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89814025","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

Adult granulosa cell tumor with Mucinous cystadenoma of ovary: a unique case with insight into histogenesis 成人颗粒细胞瘤合并卵巢粘液囊腺瘤:一例独特的组织发生机制

Obstetrics & Gynecology International Journal Pub Date : 2021-06-21 DOI: 10.15406/ogij.2021.12.00574

Ruquiya Afrose, K. Malhotra, S. Agarwal, M. Kotru

引用次数: 0

Leiomyoma of levator ani muscle 提肛肌平滑肌瘤

Obstetrics & Gynecology International Journal Pub Date : 2021-05-27 DOI: 10.15406/ogij.2021.12.00572

Elga López González, Escribano Cobalea María, Peña Salas María Soledad

{"title":"Leiomyoma of levator ani muscle","authors":"Elga López González, Escribano Cobalea María, Peña Salas María Soledad","doi":"10.15406/ogij.2021.12.00572","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00572","url":null,"abstract":"Epithelioid leiomyomas of the vagina are extremely rare benign smooth muscle tumors. Leiomyomas are located in uterus in 70%; however, paravaginal leiomyomas are rare, which frequency is 0.1% in adults women. They can be asymptomatic, but if they are, may cause signs of compression, dyspareunia, urinary disorders,… The diagnosis is made by histologic and immunohistochemical examination, helped by imaging tests such as RMN and ultrasound. The first treatment option is the resection by enucleation. Search of information was carried out in the PubMed/Medline, Cochrane, SciELO databases and references from articles in journals and recent published texts. This is a case report of a 29-years-old female who is derived to Gynecologic Emergencies because of a Bartholinitis refractory to antibiotic treatment. The gynecological exploration reports a vaginal mass which extends to left paravaginal space. The biopsy of this mass suggests the diagnosis of leiomyoma. MRI study reports a 49mm mass in left ischiorectal space which seems to depend on puborectal muscle. The resection is made by enucleation, with a histopathological examination that confirms the diagnostic suspicion.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"1 1","pages":"180-181"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88559665","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

Congenital myopia complicating pregnancy: A rare case and mini-review of the literature 先天性近视合并妊娠:一例罕见病例和文献综述

Obstetrics & Gynecology International Journal Pub Date : 2021-05-18 DOI: 10.15406/OGIJ.2021.12.00569

C. Sofoudis, Papamargaritis Eftimios, Papadaki Maria, Yperifanou Kyriaki

引用次数: 0

Transcervical foley catheter and oxytocin compared with transcervical foley catheter alone for induction of labour 经宫颈叶导管联合催产素与单独经宫颈叶导管引产效果的比较

Obstetrics & Gynecology International Journal Pub Date : 2021-05-17 DOI: 10.15406/OGIJ.2021.12.00568

Anand Neelakandan, K. Guleria, Richa Sharma

{"title":"Transcervical foley catheter and oxytocin compared with transcervical foley catheter alone for induction of labour","authors":"Anand Neelakandan, K. Guleria, Richa Sharma","doi":"10.15406/OGIJ.2021.12.00568","DOIUrl":"https://doi.org/10.15406/OGIJ.2021.12.00568","url":null,"abstract":"Objective: To evaluate whether transcervical Foley catheter with Oxytocin used concurrently for induction of labour (IOL) increases the delivery rate within 24 hours as compared to transcervical Foley catheter alone. Methodology: 220 women with Bishop score ≤6 undergoing IOL were randomized into a concurrent transcervical Foley catheter & Oxytocin group and a transcervical Foley catheter alone group and delivery rate ≤24 hours was assessed as primary outcome. Results: Of the 220 women who completed the trial, there were 110 subjects (52 nulliparae and 58 multiparae) randomized in each group. Delivery rate within 24 hours was > 95% in both groups (96.36% vs 95.45%, p=0.748). Oxytocin use was significantly longer in the concurrent group than in Foley alone group (10.50 vs 7.75 hours). Multiparae fared better than nulliparae in both the groups in terms of parameters like delivery rate within 24 hours (concurrent group: 100 vs 92.30%, p=0.046; & Foley only group: 98.27 vs 94.23%, p=0.342), delivery in 12 hours, caesarean sections, Foley expulsion time, oxytocin required and successful inductions. They also delivered much faster (combined group: 9 vs 12 hours; Foley only group: 9.41 vs 12.5 hours). Conclusion: Both methods- combined and Foley catheter alone is equally good for IOL. Concurrent use of oxytocin at the initiation of IOL exposes to a longer duration of oxytocin without expediting the induction thereby questioning oxytocin’s efficacy on the unprimed cervix. Thus concurrent methods (Foley & Oxytocin)) offers no extra advantage over the conventional methods (Foley alone) for IOL.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"2 1","pages":"145-154"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82556871","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

Adenoid cystic carcinoma, report of a case 腺样囊性癌1例报告

Obstetrics & Gynecology International Journal Pub Date : 2021-05-13 DOI: 10.15406/OGIJ.2021.12.00566

L. García, Cristina López Beltrán, Aránzazu Meca San Martín, P. Martínez

{"title":"Adenoid cystic carcinoma, report of a case","authors":"L. García, Cristina López Beltrán, Aránzazu Meca San Martín, P. Martínez","doi":"10.15406/OGIJ.2021.12.00566","DOIUrl":"https://doi.org/10.15406/OGIJ.2021.12.00566","url":null,"abstract":"Introduction: Adenoid cystic carcinoma (CAQ) is a typical tumor of the salivary glands and infrequent in the breast (less than 0.1%). It stands out for being triple negative with a favorable prognosis. Its infrequency and slow progression mean that today there is no consensus regarding its therapeutic management and follow-up. Objective: To provide a new case to learn more about the nature, management and evolution of this type of neoplasm. Material and methods: We analyzed the data collected in our case and compared it with what was published in the literature. Results: a typical triple negative case is presented, with a large size with respect to the breast (T2), so it was decided to perform a simple mastectomy as initial treatment with immediate reconstruction due to the absence of axillary involvement. Subsequently, it was decided not to apply adjuvant treatment since the tumor was not aggressive, the hormone receptors were negative, and the final lesion was less than 5cm with wide margins and no evidence of lymphovascular invasion. Conclusion: To date, breast CAQ continues to present uncertain management and follow-up given that we do not have enough data in the literature to know its evolution correctly, therefore more studies are needed with the intention of being able to standardize treatment and surveillance of this tumor.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85186110","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

Broader driver of disrespectful maternity care: power dynamics 不尊重产妇护理的更广泛驱动因素:权力动力学

Obstetrics & Gynecology International Journal Pub Date : 2021-05-12 DOI: 10.15406/OGIJ.2021.12.00565

F. C. Diorgu, Awoala George

引用次数: 1

Placenta percreta with bladder invasion: managed successfully 完全性胎盘合并膀胱侵犯1例成功处理

Obstetrics & Gynecology International Journal Pub Date : 2021-05-01 DOI: 10.15406/OGIJ.2021.12.00570

K. Ranjeeta, Prativa Sadangi

引用次数: 0

Comparison of prolactin, follicle-stimulating hormone, luteinizing hormone, estradiol, thyroid-stimulating hormone, free thyroxine and body mass index between infertile and fertile Saudi women 不孕和生育沙特妇女催乳素、促卵泡激素、黄体生成素、雌二醇、促甲状腺激素、游离甲状腺素和体重指数的比较

Obstetrics & Gynecology International Journal Pub Date : 2021-04-27 DOI: 10.15406/OGIJ.2021.12.00563

M. Javed, Alyaa Abdulrahman Asiel Elnour, Murwan Khalid Sabah Elkhier, Ayman Salih Omer Idris, Wala Mohamed Mahmoud Salih, H. Al Sufyan

{"title":"Comparison of prolactin, follicle-stimulating hormone, luteinizing hormone, estradiol, thyroid-stimulating hormone, free thyroxine and body mass index between infertile and fertile Saudi women","authors":"M. Javed, Alyaa Abdulrahman Asiel Elnour, Murwan Khalid Sabah Elkhier, Ayman Salih Omer Idris, Wala Mohamed Mahmoud Salih, H. Al Sufyan","doi":"10.15406/OGIJ.2021.12.00563","DOIUrl":"https://doi.org/10.15406/OGIJ.2021.12.00563","url":null,"abstract":"The objective of this study was to compare the levels of prolactin, FSH, LH, E2, TSH, FT4 and BMI between infertile Saudi women with high prolactin and fertile Saudi women with normal prolactin. The study individuals were divided into two groups; infertile Saudi women with high prolactin (Group 1) and fertile Saudi women with normal prolactin (Group 2). This study used the ARCHITECT i1000SR immunoassay analyzer for the assessment of all serum hormones. The prolactin in Group 1 was higher than in the Group 2. The FSH and LH values were similar in both groups. The TSH in Group 1 was higher than in the Group 2. The FT4 values were similar in both groups. The BMI in both groups was greater than 25 (all patients were in over weight category). In Group 1, 40% women were over weight and in Group 2, 39 % women were over weight. The rate of failed cycles in group 1 was higher than in Group 2, also cases of PCOS in Group 1 were more than in the Group 2. The rate of positive pregnancy in Group 1 is lower than in the Group 2. The results of this study demonstrated that increased levels of prolactin and TSH are among the causes of infertility in Saudi women.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"52 1","pages":"119-122"},"PeriodicalIF":0.0,"publicationDate":"2021-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75274586","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: 1

Transcranial magnetic stimulation in a male brain and his genitals for the influence of his genital system with problems related to his spermatozoa mobility and density 对男性大脑和生殖器进行经颅磁刺激，研究其生殖系统与精子流动性和密度相关问题的影响

Obstetrics & Gynecology International Journal Pub Date : 2021-04-26 DOI: 10.15406/OGIJ.2021.12.00560

P. Anninos, N. Anninou, A. Adamopoulos, Nikolaos Tsagas

引用次数: 0