Obstetrics and Gynecology International最新文献

{"title":"Preoperative Neutrophil Lymphocyte Ratio in Prediction of Adnexal Mass Torsion.","authors":"Asmita Ghimire,&nbsp;Sailaja Ghimire,&nbsp;Asmita Shrestha,&nbsp;Samriddha Raj Pant,&nbsp;Nilam Subedi,&nbsp;Padam Raj Pant","doi":"10.1155/2023/3585189","DOIUrl":"https://doi.org/10.1155/2023/3585189","url":null,"abstract":"<p><strong>Aims: </strong>Adnexal torsion commonly affects reproductive age group females. Prompt diagnosis and early management help in the preservation of fertility. However, its diagnosis is challenging. Preoperative diagnosis can be suspected in only 23-66% of the cases and half of the patients operated for adnexal torsion have different diagnosis. This article thus aims to identify the diagnostic value of preoperative neutrophil lymphocyte ratio in adnexal torsion in comparison with other untwisted unruptured ovarian cysts.</p><p><strong>Methods: </strong>This was a retrospective study conducted in the duration of five years from 1st January 2016 to 1st January 2020. The data about demographic parameters, hematological parameters, operative approach, operative technique, and histopathological reports were derived from an electronic database and documented on proforma. SPSS was used for statistical analysis. Logistic regression analysis and influence of each factor on preoperative diagnosis of Adnexal torsion was evaluated.</p><p><strong>Results: </strong>A total of 125 patients were included in the article (adnexal torsion group <i>n</i> = 25, untwisted unruptured ovarian cyst group <i>n</i> = 100). There was no statistically significant difference in comparison to age, parity, and abortion between both groups. Most patients had undergone laparoscopic surgery which was based on surgeon's skill and preference. Nineteen (78%) patients in the adnexal torsion group underwent oophorectomy while infarcted ovary was seen in only 4 cases. Among the blood parameters, only neutrophil-lymphocyte ratio (NLR) >3 was found to be statistically significant under logistic regression analysis. Most common adnexal pathology to undergo torsion was serous cyst.</p><p><strong>Conclusion: </strong>Preoperative neutrophil-lymphocyte ratio can be a predictive marker for diagnosis of adnexal torsion and can differentiate it from untwisted unruptured ovarian cysts.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2023 ","pages":"3585189"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9985499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10867092","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}

{"title":"Effect of Dry Heat Application on Perineal Pain and Episiotomy Wound Healing among Primipara Women.","authors":"Naglaa Zaki Hassan Roma,&nbsp;Rasha Mohamed Essa,&nbsp;Zohour Ibrahim Rashwan,&nbsp;Afaf Hassan Ahmed","doi":"10.1155/2023/9572354","DOIUrl":"https://doi.org/10.1155/2023/9572354","url":null,"abstract":"<p><strong>Background: </strong>Women who undergo perineal episiotomy can be affected by several complications such as bleeding, infection, perineal pain, dyspareunia, reduction of sexual desire, as well as urinary and anal incontinence. Perineal pain related to episiotomy has been reported to interfere with women's daily activities postpartum and can prevent proper breastfeeding, proper rooming-in, and maternal-infant bonding. The purpose of this study was to determine the effect of dry heat application on perineal pain and episiotomy wound Healing among primipara women.</p><p><strong>Method: </strong>A quasi-experimental, two-group, pre-post-test research study was conducted at the postnatal inpatient ward and the outpatient clinic of the El-Shatby Maternity University Hospital in Alexandria. A sample of 100 parturient women was divided into the following two groups at random: dry heat and moist (control) heat. Women in the moist heat group were advised to sit in a basin (tub) of warm water for 10 minutes, while those in the dry heat group were instructed to set an infrared light (230 volts) at a distance of 45 cm from the perineum after 12 hours post episiotomy. Both interventions were applied twice a day for ten consecutive days. They evaluated the severity of their perineal pain at baseline and repeated it on the 5^th and 10^th days after obtaining the interventions while the episiotomy wound healing was assessed on the 5^th and 10^th days.</p><p><strong>Results: </strong>It was discovered that the dry heat group had a significantly improved episiotomy wound healing as regards perineal redness, edema of the perineal area, ecchymosis, wound discharge, and approximation of wound edges on the 5th (<i>P</i> < 0.001, <i>P</i> < 0.001, <i>P</i> < 0.007, <i>P</i> < 0.003, and <i>P</i> < 0.001, respectively) and 10th day after intervention (<i>P</i> < 0.001, <i>P</i> < 0.001, <i>P</i> < 0.001, <i>P</i> < 0.005, and <i>P</i> < 0.001, respectively) than the moist heat group. The primipara women had significantly lower perineal pain intensity in the dry heat group on the 5th and 10th days after intervention than in the moist heat group (^MH <i>P</i> < 0.001 for the dry heat group and ^MH <i>P</i> = 0.004 for the moist heat group).</p><p><strong>Conclusion: </strong>The application of dry heat promoted episiotomy wound healing among primipara women and reduced their perineal pain during early postpartum days than moist heat.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2023 ","pages":"9572354"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10539928","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}

{"title":"Survival, Incidence, and Mortality Trends in Female Cancers in the Nordic Countries.","authors":"Filip Tichanek,&nbsp;Asta Försti,&nbsp;Otto Hemminki,&nbsp;Akseli Hemminki,&nbsp;Kari Hemminki","doi":"10.1155/2023/6909414","DOIUrl":"https://doi.org/10.1155/2023/6909414","url":null,"abstract":"<p><strong>Background: </strong>Female cancers cover common breast cancers, relatively common endometrial, ovarian, and cervical cancers and rare vulvar cancer. Survival in these cancers is known to be relatively good compared to all cancers but long-term studies for these cancers are rare, and to fill the gap, here, we generate survival data through 50 years.</p><p><strong>Materials and methods: </strong>We applied generalized additive models to data from the NORDCAN database and analyzed 1- and 5-year relative survival for these cancers in Denmark (DK), Finland (FI), Norway (NO), and Sweden (SE) over half a century (1971-2020). Conditional 5/1-year survival for patients who survived the 1st year after diagnosis and annual survival changes was also estimated.</p><p><strong>Results: </strong>In 2016-20, 5-year survival was best for breast cancer reaching 92.3% (in SE), followed by endometrial cancer at 86.1% (SE) and cervical cancer at 75.6% (NO). Improvement in 5-year survival over the 50 years was the largest for ovarian cancer (20% units), finally reaching 52.9% (SE). For vulvar cancer, the final survival was between 70 and 73%. The best 5-year survival rate in 2016-20 was recorded for SE in breast, endometrial, and ovarian cancers; NO showed the highest rate for cervical and DK for vulvar cancers. DK had the lowest survival for breast and ovarian cancers, and FI, for the other cancers.</p><p><strong>Conclusions: </strong>The overall survival development appeared to consist of continuous improvements, most likely because of novel treatment and imaging techniques as well as overall organization of patient care. The large survival improvement for ovarian cancer was probably achieved by a surgical focus on tumors spread in the peritoneal cavity. For cervical and vulvar cancers, the high early mortality requires attention and could be helped by raising increasing public awareness of early symptoms in these cancers and developing pathways for fast initiation of treatment.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2023 ","pages":"6909414"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10348860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9826937","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}

{"title":"A Systematic Review and Meta-Analysis of the Prevalence of Triplex Infections (Combined Human Immunodeficiency Virus, Hepatitis B Virus, and Hepatitis C Virus) among Pregnant Women in Nigeria.","authors":"George Uchenna Eleje,&nbsp;Olabisi Morebise Loto,&nbsp;Hadiza Abdullahi Usman,&nbsp;Chinyere Ukamaka Onubogu,&nbsp;Preye Owen Fiebai,&nbsp;Godwin Otuodichinma Akaba,&nbsp;Ayyuba Rabiu,&nbsp;Ikechukwu Innocent Mbachu,&nbsp;Moriam Taiwo Chibuzor,&nbsp;Rebecca Chinyelu Chukwuanukwu,&nbsp;Ngozi Nneka Joe-Ikechebelu,&nbsp;Emeka Philip Igbodike,&nbsp;Richard Obinwanne Egeonu,&nbsp;Ijeoma Chioma Oppah,&nbsp;Uchenna Chukwunonso Ogwaluonye,&nbsp;Chike Henry Nwankwo,&nbsp;Stephen Okoroafor Kalu,&nbsp;Chisom God'swill Chigbo,&nbsp;Chukwuanugo Nkemakonam Ogbuagu,&nbsp;Shirley Nneka Chukwurah,&nbsp;Chinwe Elizabeth Uzochukwu,&nbsp;Aishat Ahmed,&nbsp;Chiamaka Henrietta Jibuaku,&nbsp;Samuel Oluwagbenga Inuyomi,&nbsp;Bukola Abimbola Adesoji,&nbsp;Ubong Inyang Anyang,&nbsp;Ekene Agatha Emeka,&nbsp;Odion Emmanuel Igue,&nbsp;Ogbonna Dennis Okoro,&nbsp;Prince Ogbonnia Aja,&nbsp;Chiamaka Perpetua Chidozie,&nbsp;Hadiza Sani Ibrahim,&nbsp;Fatima Ele Aliyu,&nbsp;Harrison Chiro Ugwuoroko,&nbsp;Aisha Ismaila Numan,&nbsp;Solace Amechi Omoruyi,&nbsp;Osita Samuel Umeononihu,&nbsp;Chukwuemeka Chukwubuikem Okoro,&nbsp;Ifeanyi Kingsley Nwaeju,&nbsp;Arinze Anthony Onwuegbuna,&nbsp;Lydia Ijeoma Eleje,&nbsp;David Chibuike Ikwuka,&nbsp;Eric Okechukwu Umeh,&nbsp;Sussan Ifeyinwa Nweje,&nbsp;Ifeoma Clara Ajuba,&nbsp;Angela Ogechukwu Ugwu,&nbsp;Uzoamaka Rufina Ebubedike,&nbsp;Divinefavour Echezona Malachy,&nbsp;Chigozie Geoffrey Okafor,&nbsp;Nnaedozie Paul Obiegbu,&nbsp;Emmanuel Onyebuchi Ugwu,&nbsp;Ibrahim Adamu Yakasai,&nbsp;Oliver Chukwujekwu Ezechi,&nbsp;Joseph Ifeanyichukwu Ikechebelu","doi":"10.1155/2023/3551297","DOIUrl":"https://doi.org/10.1155/2023/3551297","url":null,"abstract":"<p><strong>Objective: </strong>We systematically identified the prevalence of triplex infections (combined human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV)) in pregnancy.</p><p><strong>Methods: </strong>To gather information on the frequency of triplex infections, we searched the databases of PubMed, CINAHL, and Google Scholar. Without regard to language, we utilized search terms that covered HIV, HBV, HCV, and pregnancy. Pregnant women with triplex infections of HIV, HBV, and HCV were included in studies that also examined the prevalence of triplex infections. Review Manager 5.4.1 was employed to conduct the meta-analysis. Critical appraisal and bias tool risk data were provided as percentages with 95% confidence intervals (95% CIs), and <i>I</i>² was used as the statistical measure of heterogeneity. The checklist was created by Hoy and colleagues. The study protocol was registered on PROSPERO, under the registration number CRD42020202583.</p><p><strong>Results: </strong>Eight studies involving 5314 women were included. We identified one ongoing study. Pooled prevalence of triplex infections was 0.03% (95% CI: 0.02-0.04%) according to meta-analysis. Subgroup analysis demonstrated a significantly high prevalence of 0.08% (95% CI: 0.06-0.10%; 3863 women) in HIV-positive population than 0.00% (95% CI:-0.00-0.00; 1451 women; <i>P</i> < 0.001) in general obstetric population. Moreover, there was a significant difference in the pooled prevalence between studies published between 2001 and 2010 and between 2011 and 2021 (0.14% (95% CI: 0.12 to 0.16 versus 0.03% (95% CI: 0.02 to 0.04%; <i>P</i> < 0.001))) and participants recruited in the period between 2001 and 2011 and between 2012 and 2021 (0.13% (95% CI: 0.05 to 0.21; <i>p</i>=0.002 versus 0.00% (95% CI: -0.00 to 0.00%; <i>p</i>=1.00))), respectively.</p><p><strong>Conclusion: </strong>The combined prevalence of prenatal triplex infections was 0.03%, with rates notably higher among the group of pregnant women who were HIV-positive and during the recruitment period that took place before 2012. This prevalence still necessitates screening for these infections as necessary.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2023 ","pages":"3551297"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10365920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10252085","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}

{"title":"Evidence for Correlation between Novel Autoantibody against Phospholipid Named Neoself Anti-<i>β</i>2-GPI/HLA-DR Antibody and Complement Consumption in Infertile Patients.","authors":"Hirotaka Matsumi","doi":"10.1155/2023/1318553","DOIUrl":"https://doi.org/10.1155/2023/1318553","url":null,"abstract":"<p><p>Impaired implantation is one of the causes of infertility. It occurs under vital inflammatory status due to immune hyperactivation. In the innate immune system, the inflammatory response to pathogenic stimuli is initiated by complement activation. Minimal vasculitis associated with complement consumption in infertile patients may be an underlying mechanism for impaired implantation. Antiphospholipid antibodies regulate the inflammatory response. Recently, a novel autoantibody (neoself antibody) against a complex of <i>β</i>2-GPI and HLA class II molecules (<i>β</i>2-GPI/HLA-DR) has been reported to be an independent autoantibody associated with aPLs. This study investigated the relationship between neoself antibodies and complement consumption in infertile patients with impaired implantation. It was found that decreased C4 levels were strongly related to the increased neoself antibody titers in the serum among those patients whose antibody titers were not as high. On the contrary, serum levels of CH50 and CRP are not correlated with them. These results suggest that neoself antibodies might indicate low-grade inflammation, which causes endometrial vasculitis in impaired implantation of infertile patients.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2023 ","pages":"1318553"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10499530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10268110","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}

{"title":"Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia.","authors":"Selamu Abose Nedamo,&nbsp;Amanuel Nuramo Sakelo,&nbsp;Lire Lemma Tirore,&nbsp;Ageze Abose Abate","doi":"10.1155/2023/4214252","DOIUrl":"https://doi.org/10.1155/2023/4214252","url":null,"abstract":"<p><strong>Background: </strong>Operative vaginal delivery refers to vaginal delivery performed with the use of instruments such as forceps or vacuum. Operative vaginal delivery-related maternal complications are still a serious problem, but they are one of the least investigated in Ethiopia, particularly in the study area. Increased difficulties have been attributed to a lack of understanding on how to anticipate the procedure's complications. Identifying typical OVD complications can assist health providers in detecting and intervening early. The goal of this study was to find out which characteristics contributed to maternal problems during surgical vaginal birth.</p><p><strong>Methods: </strong>A health facility-based cross-sectional study design was used. From December 2019 to November 2021, a total of 326 mother's OVD medical records were selected from a total of 1000 OVD medical records using a simple random sampling method. A checklist was used to collect the data. Binary logistic regression was computed and variables with a <i>p</i> value ≤0.2 in the bivariate logistic regression were taken to multivariate logistic regression analysis to examine the real relationship or statistical association with the outcome variable. The <i>p</i> value of <0.05 with a 95% confidence interval was considered a significant variable. The results are presented using tables, figures, and texts.</p><p><strong>Results: </strong>Maternal complications were prevalent in 62 of the cases (19%). The type of operative vaginal delivery instrument used (AOR = 2.248; 95% CI (1.144, 4.416)), the station of the presenting part at which the OVD was performed (AOR = 3.199; 95% CI (1.359, 7.533)), neonatal birth weight (AOR = 3.342; 95% CI (1.435, 7.787)), and duration of the second stage (AOR = 2.556; 95% CI (1.039, 6.284)) were significantly associated with the unfavorable maternal outcomes of operative vaginal delivery.</p><p><strong>Conclusions: </strong>Maternal complications are high in the study area. The type of operative vaginal delivery used, the duration of the second stage, the station of the presenting part at which the OVD was performed, and neonatal birth weights were all significantly related to maternal complications. While using the instrument, mothers with the identified factors should be given special attention.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2023 ","pages":"4214252"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9717703","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}

{"title":"Knowledge, Utilization, and Associated Factors of Nonpneumatic Antishock Garments for Management of Postpartum Hemorrhage among Maternity Ward Health Care Professionals in South Wollo Zone Health Facilities, Ethiopia, 2021: A Cross-Sectional Study Design.","authors":"Wondimnew Gashaw Kettema,&nbsp;Zenebe Tefera Ayele,&nbsp;Mandefro Assefaw Geremew,&nbsp;Kibir Temesgen Assefa,&nbsp;Sindu Ayalew Yimer,&nbsp;Atrsaw Dessie Liyew,&nbsp;Besfat Berihun Erega,&nbsp;Eyaya Habtie Dagnaw","doi":"10.1155/2023/8247603","DOIUrl":"https://doi.org/10.1155/2023/8247603","url":null,"abstract":"<p><strong>Background: </strong>In 2017, approximately, 810 women died every day from preventable causes related to pregnancy and childbirth around the world. Obstetric hemorrhage, specifically postpartum hemorrhage, is the leading cause of preventable maternal mortality in the world. New strategies and technologies are needed to reduce the global public health epidemic of maternal mortality. However, nonpneumatic antishock garments were recently introduced and incorporated into teaching curriculums as a management modality for postpartum hemorrhage in Ethiopia. Therefore, this study assessed the knowledge, utilization and associated factors of nonpneumatic antishock garment among maternity ward healthcare professionals in the selected South Wollo zone health facilities, North West Ethiopia.</p><p><strong>Methods: </strong>An institutional-based cross-sectional study design was conducted from February 1 to April 30, 2021. A consecutive sampling technique was employed to collect the data. A self-administered semistructured English version questionnaire was used to collect the data. EPI-Info and SPSS were used for data entry and analysis, respectively. Bivariable and multivariable logistic regression analyses were used to analyze the association of nonpneumatic antishock garment utilization with independent variables.</p><p><strong>Results: </strong>A total of 244 maternity ward health care professionals participated. One hundred forty-six (59.8%) had a good knowledge of nonpneumatic antishock garments. About 110 (45.1%) of the participants have ever used it for the management of postpartum hemorrhage. Those having one nonpneumatic antishock garment (AOR = 2.7, 95% CI: 1.3, 5.5), two or more nonpneumatic antishock garments (AOR = 14.1, 5.7, 35.0), good knowledge (AOR = 5.2, 2.5, 10.7), and positive attitude (AOR = 2.5, 1.1, 5.7) and those who were receiving training (AOR = 2.2, 1.1, 4.4) at 95% CI were significantly associated with utilization of nonpneumatic antishock garments.</p><p><strong>Conclusion: </strong>The knowledge and utilization of nonpneumatic antishock garments for the management of postpartum hemorrhage were low. Those having more nonpneumatic antishock garments, good knowledge, and a positive attitude and those who received training were found to be significantly associated with nonpneumatic antishock garment utilization. The provision of training and availability of nonpneumatic antishock garments are the key actions to be taken to increase the utilization of nonpneumatic antishock garments.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2023 ","pages":"8247603"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9867589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9166768","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}

{"title":"Comparison of Urine and Genital Samples for Detecting Human Papillomavirus (HPV) in Clinical Patients.","authors":"Hui Yang,&nbsp;Zhao-Yun Luo,&nbsp;Fen Lin,&nbsp;Lie-Jun Li,&nbsp;Min Lu,&nbsp;Long-Xu Xie,&nbsp;Li-Ye Yang","doi":"10.1155/2023/7483783","DOIUrl":"https://doi.org/10.1155/2023/7483783","url":null,"abstract":"<p><strong>Background: </strong>Human papillomavirus (HPV) is the main cause of cervical cancer. The aim of the present study was to investigate HPV DNA detection and genotyping on paired genital and urine samples and to evaluate if urine samples could be used to monitor HPV infection.</p><p><strong>Methods: </strong>Study subjects were recruited from one local hospital in Guangdong of China from September 1, 2011, to June 30, 2012. They were invited to participate if they have taken an HPV genotyping assay for clinical diagnosis of the genital-urinary disease or for a health check-up 3-5 days ago. DNA was extracted from paired genital and urine samples; genotyping was performed with the GenoArray assay.</p><p><strong>Results: </strong>A total of 250 patients were recruited, which included 203 females and 47 males. Our results showed that the overall agreement on HPV status between the paired samples was 77.1% (155/201, 95% CI: 0.713-0.829) for females, with a kappa value of 0.523 (95% CI: 0.469-0.632), while the agreement was extremely low in the paired male samples. As to individual genotyping, the greatest agreement was found for HPV16 type-specific identification in females (96.02%, 0.933-0.987), followed by the other 12 high oncogenic risk (HR-HPV) types, while the agreement for low-risk HPV detection is poor (<i>κ</i> < 0.6). Agreement between paired samples showed that HPV detection had a significantly greater concordance in the samples obtained in females than males (<i>p</i> = 0.002). Moreover, the agreement for low-risk HPV detection was significantly lower as compared to HR-HPV detection (48.1% vs. 62.3%, <i>p</i> = 0.044).</p><p><strong>Conclusion: </strong>Despite reduced sensitivity, HPV detection in urine closely represents the same trend that is seen with genital sampling. Urine appears to be an appropriate surrogate sample for HPV DNA detection in women with very limited access to healthcare, while the utility of urine for HPV DNA detection in males is less certain.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2023 ","pages":"7483783"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10070026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9311402","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}

{"title":"Outcomes and Associated Factors of Induction of Labor in East Gojjam Zone, Northwest Ethiopia: A Multicenter Cross-Sectional Study.","authors":"Moges Agazhe Assemie,&nbsp;Getachew Tilaye Mihiret,&nbsp;Chernet Mekonnen,&nbsp;Pammla Petrucka,&nbsp;Temesgen Getaneh,&nbsp;Wassachew Ashebir","doi":"10.1155/2023/6910063","DOIUrl":"https://doi.org/10.1155/2023/6910063","url":null,"abstract":"<p><strong>Background: </strong>Induction of labor is the initiation of uterine contractions by artificial methods once the fetus has reached viability and prior to spontaneous onset of labor with the aim of achieving vaginal delivery. Although induction of labor is a critical life-saving intervention that potentially reduces adverse pregnancy outcomes, sometimes it has undesirable consequences for the health of the mother and/or the fetus. Hence, this study aimed to evaluate the outcomes and associated factors of labor induction.</p><p><strong>Methods: </strong>An institution-based cross-sectional study was conducted from February 25 to May 25, 2020, among women undergoing induction at East Gojjam zone public hospitals in northwest Ethiopia. A structured interviewer-administered questionnaire was used to collect data from a sample of 411 mothers who were selected using a systematic random sampling technique. Stata/se™ Version 14 statistical software was used to analyze the data. Multivariable binary logistic regression was used to determine the potential factors affecting successful labor induction. Adjusted odds ratios with their 95% CI intervals were used to declare the strength of the association, and a variable with <i>p</i> value <0.05 was considered to have statistical significance.</p><p><strong>Results: </strong>The prevalence of successful induction of labor was 70.3% (65.6, 74.7). The favorable Bishop score ((CI 3.90, 1.63-9.29); <i>p</i> value = 0.002), the intermediate Bishop score ((CI 3.53, 2.15-5.82); <i>p</i> value = 0.001), labor induction using oxytocin with cervical ripening ((CI 2.60, 1.21-5.63); <i>p</i> value = 0.015), and urban residence ((CI 0.48, 0.30-0.78); <i>p</i> value = 0.003) were associated with successful induction of labor.</p><p><strong>Conclusion: </strong>These findings strongly suggest that cervical conditions are important determinants for the success of labor induction. Therefore, healthcare providers should confirm the favorability of the cervical status (using Bishop score) as a strict prerequisite before actual labor induction, and special consideration should be given to those pregnant women who reside in urban areas.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2023 ","pages":"6910063"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9704169","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}

{"title":"Determinants of Dietary Diversity Practice among Pregnant Women in the Gurage Zone, Southern Ethiopia, 2021: Community-Based Cross-Sectional Study","authors":"Tolesa Gemeda Gudeta, Ayana Benti Terefe, Girma Teferi Mengistu, Seboka Abebe Sori","doi":"10.1155/2022/8086793","DOIUrl":"https://doi.org/10.1155/2022/8086793","url":null,"abstract":"Background Dietary diversification is considered the proxy indicator of dietary quality and nutrient adequacy during pregnancy. Pregnant women have been considered susceptible to malnutrition because of their increased nutrient demands and thus consuming a variety of foods in their diet plays a lion's role in ensuring adequate nutrient intake. So understanding bottleneck factors associated with dietary diversity practice is very crucial to encouraging adequate dietary diversity practice. Therefore, this paper aimed to assess determinants of dietary diversity practice among pregnant women in the Gurage zone, Southwest Ethiopia. Methods A community-based cross-sectional analytical study was conducted among 726 pregnant women, 13 key informants, and 27 focus group discussion discussants in the Gurage zone, southwest Ethiopia, from 1 September to 1 November 2021. A face-to-face interviewer-administered questionnaire was used to collect the data. According to the Minimum Dietary Diversity Score for Women (MDD-W) tool, women who consumed more than or equal to 5 of 10 food groups in the previous 24 hours had a diverse diet. Epi data version 3.1 was used for data entry, while SPSSversion 26 was used for analysis. To determine factors associated with dietary diversity, bivariate and multivariable logistic regression models were used to obtain crude odds ratio (COR), adjusted odds ratios (AOR), and 95 percent confidence intervals (CIs). Statistical significance was determined using adjusted odds ratios (AORs) with 95 percent confidence intervals (CIs) and p values less than 0.05. In narrative form, qualitative results were triangulated with quantitative data. Results The overall prevalence of the adequate dietary diversity practice was found to be 42.1% with 95% CI (48.4–46.1%) and the mean dietary diversity score was 5.30 ± 1.49 standard deviation (SD). Multivariable analysis revealed that primary school level [AOR = 6.471 (2.905, 12.415)], secondary school level (9–12) [AOR = 7.169 (4.001, 12.846)], college and above level [AOR = 32.27 (15.044, 69.221)], women with higher empowerment [AOR = 3.497 (2.301, 5.315)], women with a favorable attitude toward dietary diversity [AOR = 1.665 (1.095, 2.529)], women from wealthier households [AOR = 2.025 (1.252, 3.278)], and having well-secured food status [AOR = 3.216 (1.003, 10.308)] were variables that influence dietary diversity practice. Three FGD and 13 key informant interviews were conducted, and the results of qualitative data generated three major themes. Conclusion The overall prevalence of adequate dietary diversity practice was found to be low in this study when compared to studies conducted in Ethiopia. Maternal educations, mothers' attitudes toward dietary diversity, women empowerment, food security status, and wealth index level of the household were determinant factors that influence dietary diversity practice in this study. Therefore, programs aimed to improve pregnant women's dietary diversity prac","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"72 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80549861","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}