Surgery, gynecology & obstetrics最新文献

{"title":"Pre-Mature Raise of Progesterone and its Effect on Clinical Pregnancy Rate and Live Birth Rate in Intra-Cytoplasmic Sperm Injection (ICSI) Cycles","authors":"Hanan Eljabu, I. Elfortia, A. Andisha, Sabah Suliman, Amna Alrayes, Eman Elmahjoub Hussam Habbalreeh","doi":"10.35248/2161-10932.20.10.516","DOIUrl":"https://doi.org/10.35248/2161-10932.20.10.516","url":null,"abstract":"Background: During controlled ovarian hyper-stimulation COH, level of Progesterone on a day of human chorionic gonadotrophin (hCG) trigger for a final ovum maturation has a precious role for implantation of the embryos. Aims: This study aims to investigate the incidence and the effect of Premature Progesteron Rise (PPR) on pregnancy rates PR as well as live birth rate LBR in ICSI cycle. Material and Methods: A total of 710 patients undergoing ICSI cycles with fresh embryo transfer at Misurata National Infertility Centre were retrospectively involved. Patients included in the study who are <40 years with good ovarian response and had long agonist/antagonist ICSI protocols with fresh embryo transfer. Results: The average age of patients was (32.26 years ± 4.924). The cut-off value found in this study to define PPR is (1.064 ng/ml). The overall incidence of serum PPR on hCG administration was 31.32%. The average serum PPR on a day of hCG administration was (1.1 ±1.8) ng/ml. PPR had a negative significant effect on PR (P-value 0.03). Conclusion: In order to improve ICSI outcome, the PR is significantly negatively correlated with PPR. So, when serum P4 level is approaching the cutoff value (1.064 ng/ml) during COH, modification of the clinical treatment might be considered to improve the ICSI outcomes.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"5 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81151836","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":"Alcohol Consumption and the Development of High Grade Cervical Dysplasia","authors":"A. Abdalla, T. Truong, Jennifer E. Gallagher, John W Schmitt","doi":"10.35248/2161-10932.20.10.519","DOIUrl":"https://doi.org/10.35248/2161-10932.20.10.519","url":null,"abstract":"Title: Alcohol Consumption and the Development of High Grade Cervical Dysplasia. Objective: To investigate the association between alcohol consumption and prevalence of high grade cervical intraepithelial neoplasia in Duke University cervix clinic patients. Methods: Patients presenting to Duke University Cervix Clinic between the ages of 21 and 65 meeting inclusion criteria were identified and approached to participate in the study.  Once consented, patients completed the Alcohol Use Disorders Identification Test (AUDIT) validated survey. The primary outcome was defined based on colposcopically directed biopsy results. Patients with no Cervical Dysplasia or low grade dysplasia (CIN 1) were placed in one group and those with high grade dysplasia (CIN 2-3) were placed in the other. Demographic information including age, ethnicity, BMI, smoking history, and number of sexual partners was collected. Demographics and patients with harmful alcohol use (AUDIT score of 8 or higher) were compared between the two groups. Results:  Forty-four patients met eligibility criteria and completed the electronic AUDIT survey. Due to a programming error in the RedCap AUDIT questionnaire, 9 surveys were excluded from further analysis. Among 35 patients included in the analysis, 20 patients (57.1%) patients had low grade or no cervical dysplasia and 15 (42.9%) had high grade dysplasia. The proportion of patients with hazardous and harmful alcohol use among those with mild or no cervical dysplasia was 5% (n=1) compared to 6.7% (n=1) among those with high grade cervical dysplasia. There was no significant association between alcohol use and Cervical Dysplasia (p=1.00). There was a significant association between race and high grade cervical dysplasia (p=0.001). Conclusion: In this small pilot study, no statistically significant association was noted between alcohol use per patient’s AUDIT scores and cervical dysplasia. Larger studies are needed to look at this modifiable behavior in decreasing the prevalence of high grade cervical dysplasia and cervical cancer.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"AES-9 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84512037","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":"The Relationship Between Self-fulfilling Prophecies and Social Reintegration Among Obstetric Fistula Patients in Different Repair Categories at St. Joseph Kitovu Hospital, Uganda","authors":"Shallon Atuhaire, J. Mugisha, A. Odukogbe, O. Ojengbede","doi":"10.35248/2161-0932.2020.10.517","DOIUrl":"https://doi.org/10.35248/2161-0932.2020.10.517","url":null,"abstract":"Background: Obstetric fistula is a debilitating childbirth injury. Patients live in despair and self-stigmatize. Studies highlight beliefs and perceptions about the cause of the disease and how it can be cured. Experiences among both treated and untreated patients are also discussed vastly but there is limited information on negative perceptions and beliefs among obstetric fistula patients towards their spouses, families, and communities and how these affect social reintegration. This study determined the relationship between self-fulfilling prophecies and social reintegration among obstetric fistula patients in different repair categories. Methods: A cross-sectional mixed-methods survey was done among the obstetric fistula patients (n=398) at St. Joseph Kitovu Hospital in Uganda. Also, 12 key informants participated. A semi-structured questionnaire and an in-depth interview were used to get data from the patients. The interviews covered patients’ expectations and beliefs on reacceptance, interaction, self-satisfaction and comfort with others. The hypothesis: “there was a significant relationship between self-fulfilling prophecies and social reintegration among obstetric fistula patients in different repair categories” was tested by Pearson chi-square at a 95% confidence interval. Results: Accordingly, 51.5%, 14.4% and 9.0% of the 398 participants felt that their spouses, communities, and parents respectively would not reaccept them. Again, 33.6% were not satisfied with their lives and 47.7% felt uncomfortable around others. A major difference was observed in the relationship between their self-perceived stigma, sense of loss, self-worth, achievement, the expectation of reacceptance, perception of others’ attitudes towards them, labeling, moods, self-satisfaction, comfort with others and social reintegration. A relationship with the patients’ repair category was noted across all variables: P-values less than 0.001 at a 95% confidence interval.  Conclusion: A relationship was found between the patient’s negative beliefs, perceptions, and social reintegration. Negative beliefs and expectations could be transformed into positive ones through the promotion of personal hygiene and comprehensive counseling.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"117 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82245372","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":"Clinical Study of Tranexamic Acid in Treatment of Cervical Ectopy-AnInstitutional Experience","authors":"N. Garg","doi":"10.35248/2161-10932.20.10.525","DOIUrl":"https://doi.org/10.35248/2161-10932.20.10.525","url":null,"abstract":"Background: Cervical ectopy is a common entity among women attending gynaecological OPD for various complaints which itself could be the cause or present otherwise. The treatment modalities currently available are electrocoagulation, cry cauterization, laser cauterization, and drug treatment. Most of these procedures require a high learning curve, associated with side-effects, and are costly. Furthermore, routine treatment for ectopy has long been debated and there are no current guidelines for the same. Tranexamic acid, with its easy applicability, availability, and minimal costs could be an effective alternative. Objective: To evaluate the therapeutic effectiveness and safety of topical tranexamic acid for the treatment of cervix erosion. Methodology: A total of 75 cases of cervical erosion were taken who satisfied the inclusion and exclusion criteria of the study. Patients were randomized into two groups. Local application of tranexamic acid (Group A, n=38) or povidone-iodine solution (Group B, n=37) for 5 minutes were applied with the patient position kept constant for 15 minutes and daily dosage were given for 10 days. All the patients were followed up at the end of 2nd and 4th week and after 3 months for complete healing, relief of symptoms like chronic pelvic pain, recurrent vaginitis, contact bleeding, and vaginal discharge, and possible side effects. Results: In group A, all 7 and 20 patients complaining of chronic pelvic pain and contact bleeding respectively were cured of it (100% cure). For the other symptoms such as recurrent vaginitis and vaginal discharge, cure rates were 81.25% and 87.5% respectively. In group B, the cure was seen only in vaginal discharge with 12 patients getting cured out of 33 (36.36%) and no response in other symptoms. Side effect in the form of vaginal irritation was found only in group B in 17 patients (45.94%) whereas none were observed in group A who received the tranexamic acid application. We observed a positive correlation between cervical erosion and tranexamic acid application in terms of healing and side effects. Conclusion: Tranexamic acid application is a promising new treatment modality of cervical erosion in symptomatic women.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"41 19 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88755949","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":"Heat Application on Lumbar and Suprapubic Pain During the Onset of Labour Using a New Abdominal Two-Pocket Belt: A Randomised and Controlled Trial","authors":"L. Tarrats, I. Páez, Isabel Navarri, R. Cabrera, M. Puig, S. Alonso","doi":"10.24015/2161-0932/9.511","DOIUrl":"https://doi.org/10.24015/2161-0932/9.511","url":null,"abstract":"Background: Midwives from the Obstetrics and Gynaecology Unit at University Hospital Germans Trias i Pujol, Badalona, have developed a device for the application of thermal therapy on lumbar and suprapubical areas when labour pain appears. \u0000Objective: To assess the beneficial effects of heat application on lumbo-suprapubical pain during initial stages of labour. \u0000Study design: Randomized, parallel, open, non-blind clinical trial. \u0000Methods: Participants were pregnant women in the prodromal, early and active labour (up to 4-5 cm of dilation), with lumbo-suprapubic pain. The study was conducted in the delivery ward of Hospital Universitari Germans Trias I Pujol, in Badalona (Catalonia, Spain) during 2017-2018. One hundred and thirty-four childbearing women giving birth between September 2017 and March 2018 participated. The intervention group (n=67) received local heat at a temperature between 38-39°C on the lumbo-suprapubic areas for 30 minutes using an elastic pelvic belt as a pain relief device and was compared to a control group in which no heat was used. Primary outcomes were: pain level perception measured with a Visual Analogic Scale and a satisfaction index regarding the utilization of the belt device in the intervention group by using a specific ad-hoc non-validated questionnaire designed for the study. \u0000Results: Among the 134 participants: 41% (55) were in prodromal labour, 53.7% (72) in early labour and 5.2% (7) in active labour (up to ≤ 4-5 cm); groups were not balanced for the phases of labour. The pre-intervention pain level in the intervention group was 0.71 points higher (6.28 ± 1.59) than in the control group (5.57 ± 1.87) p=0.02. At 30 minutes of heat application, pain level in the study group decreased 0.65 points (5.88 ± 1.82) while it increased in the control group (6.53 ± 1.85) p=0.046. The difference between basal pain level and post-intervention, was 0.39 ± 1.35 in the intervention group while in the control group it was 0.95 ± 1.11 (p=0.000) in the Visual Analogic Scale. The global satisfaction index for the pelvic elastic belt was 15.38 ± 2.15 (range 5-19) which corresponds to 80.94% over 100% of the maximal punctuation. \u0000Conclusion: Heat application on both lumbar and suprapubic areas in case of labour pain is effective in relieving pain. The heat pads subjection device, a new abdominal two-pocket belt, obtained positive feedback from women in the study group who used it and answered the satisfaction questionnaire.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"5 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78112777","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":"Pregnancy outcome in fresh and frozen embryo transfer in women with high estradiol levels","authors":"S. Archana","doi":"10.31080/aspe.2020.03.pregnancy-outcome-in-fresh-and-frozen-embryo-transfer-in-women-with-high-estra","DOIUrl":"https://doi.org/10.31080/aspe.2020.03.pregnancy-outcome-in-fresh-and-frozen-embryo-transfer-in-women-with-high-estra","url":null,"abstract":"","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75302805","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":"Mucoadhesive Properties of a New Intimate Hygiene Cleanser againstVulvovaginal Candidiasis","authors":"C. Benvenuti, F. Gasparri, A. Zanardi","doi":"10.24015/2161-0932/513","DOIUrl":"https://doi.org/10.24015/2161-0932/513","url":null,"abstract":"Objective: Performance of feminine cleansers can be improved by increasing antimicrobial potency and favouring the prolonged contact on vulvo-vaginal mucosa of active ingredients, that permits the increase of the persistence of their activity, and consequently of their efficacy. The presence of specific polymers in topical formulations allows the cleansing solution to adhere to mucosal substrates. The associations of xanthan gum with lambda carrageenan from Chondrus crispus has a high mucoadhesive potential. The aim of our study was to evaluate the mucoadhesive potential and the safety of an innovative cleanser for feminine hygiene (SA3) compared with a reference cleanser (SA) in a double-blind design. Material and Methods: The cleansers were provided at dilutions: the reference product containing thymol from Thymus vulgaris extract at pH 3.5 (SA), and the test one with Zinc Coco Sulfate for its antimicrobial action, and Xanthan gum and Chondrus crispus extract as mucoadhesive agents (SA3) added to SA. The pro-sensitizing test was performed on cultures of human monocytes THP-1. The expression of two membrane markers, CD86 and CD54, was evaluated and compared with the sensitizing 2,4-dinit rochlorobenzene as a positive control, and with untreated cells as a negative control. Light scattering images were used to analyze the morphology of THP-1 cells. The mucoadhesivity was assessed as percentage of inhibition of the lectin-binding glycoprotein. Results: No changes in CD86 and CD54 expression were evidenced in the cells exposed to the test product, compared to the untreated cells. Furthermore, no significant alteration of the cell morphology was observed for SA3. Mucoadhesion% values showed a statistically significant difference in favor of SA3 even at 1:2 and 1:5 dilutions. At the higher dilution, SA3 lost only 23.2% of mucoadhesion versus the lower one, compared to the 45% lost between the two SA dilutions. Conclusion: No pro-sensitizing potential and no significant alteration of the cell morphology were observed for SA3 compared to the untreated cells. SA3 is safe, with high mucoadhesion to the vulvo-vaginal mucosa, significant even at higher dilution.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"115 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84866081","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":"Prenatal Diagnosis, Management and Outcomes of Skeletal Dysplasia","authors":"S. Alouini, J. Martin, P. Mégier, O. Esper, ieu","doi":"10.4172/2161-0932.1000503","DOIUrl":"https://doi.org/10.4172/2161-0932.1000503","url":null,"abstract":"Objective: To evaluate prenatal ultrasound findings of Skeletal Dysplasia (SD) and examine the contribution of radiological, histological and genetic exams. Methods: Retrospective study including all cases of SD managed in a tertiary maternity center between 1996 and 2010. Results: Eight cases of SD were diagnosed (1.4/10,000 births) by ultrasonography (USE). Three (38%) cases of SD were discovered in the first trimester, and five in the second trimester. We found short femurs in all cases. Anomalies consisted of the thickness of the femoral diaphysis, broad epiphysis, short and squat long bones, costal fractures, thinned coasts, anomalies of the profile and vertebrae, and a short and narrow thorax. Associated anomalies consisted of ventriculomegaly, hygroma, hydramnios, and thick nuchal fold. We found mutations of the FGFR3 gene in achondroplasia, of the Delta 8/7 sterol isomerase in a case of chondrodysplasia punctata and deletion of the DTSDT gene in a case of IB achondrogenesis. USE diagnosed the type of SD in 6 cases. Five patients underwent termination, and 3 were delivered by cesarean section. Skeletal radiography or fetal autopsy confirmed the bone anomalies and the type of SD. Final diagnoses included 4 cases of osteogenesis imperfecta, 2 cases of achondroplasia,1 case of IB achondrogenesis and 1 case of punctata chondrodysplasia. Conclusion: USE allowed the prenatal diagnosis of SD since the first trimester and, in most cases, identified the type of SD. Skeletal radiography, genetic testing, or fetal autopsy in cases of termination confirmed the diagnosis and type of SD. USE diagnosed the type of SD in 6 cases. Five patients underwent termination, and 3 were delivered by cesarean section. Skeletal radiography or fetal autopsy confirmed the bone anomalies and the type of SD. Final diagnoses included 4 cases of osteogenesis imperfecta, 2 cases of achondroplasia, 1 case of IB achondrogenesis and 1 case of punctata chondrodysplasia.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"4 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85407163","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":"Prevalence and Associated Factors with Maternal Delays in Seeking Emergency Obstetric Care in Arsi Zone, Oromiya, Ethiopia Cross-sectional Study Design","authors":"Yirga Wondu, B. Dibaba, Roza Amdemichael","doi":"10.4172/2161-0932.1000496","DOIUrl":"https://doi.org/10.4172/2161-0932.1000496","url":null,"abstract":"Objective: To determine the prevalence and associated factors with the maternal delay in seeking emergency obstetrics services among pregnant women, Arsi Zone, Oromiya, Ethiopia, 2016.Methods: A Facility based Cross-sectional study design using a quantitative method was conducted at public health facilities of Arsi Zone. Sample size, 847 was determined using a single population proportion formula. A total of 10 health centers which provide obstetric care selected randomly and sample size proportionally allocated to each facility. Data entered in Epi Info version 3.3.2 software and exported to SPSS version 20 for statistical analysis. p<0.05 considered to declare a statistically significant variable with a 95% confidence interval.Result: From the total 775 participants, 203 (27.2%) of the respondents reported that they faced problem in making a decision to seek emergency obstetric care. The mean time for delay was 90 minutes with a range of 30 minutes to 18 hours. Maternal age, educational level, monthly income, and ANC follow up status were significant predictors of maternal delay in seeking emergency obstetric care.Conclusion: Husbands took the lines to share in making the decision to seek obstetric care. This implies independent decision-making power of women on their own health is low. In order to address maternal delay one health extension workers along with health centers staffs, district officers and programmers should give emphasis for awareness creation, income generating mechanism and capacitating decision making the power of mothers need to be strengthened and expanded in the community.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88433685","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":"An Elastic Two-Pocket Pelvic Belt for the Application of Local Lumbo-Pelvic Heat in Labour","authors":"Laura Tarrats Velasco, Rafael Jaime, C. R. Liria, N. M. Ras, M. Puig-Domingo","doi":"10.24015/2161-0932/515","DOIUrl":"https://doi.org/10.24015/2161-0932/515","url":null,"abstract":"Background: When labor pain appears, pharmacological and non-pharmacological techniques can be offered as pain relief methods. Midwives may offer local heat application as a pain relief method. This paper presents the design, implementation and evaluation of the prototypes of a non-pharmacological method consisting of a thermal belt designed by midwives, which provides comfort and pain relief through the application of thermotherapy on both lumbar and suprapubic areas during labour. Method: Prototypes of a thermal belt were designed, tested and protected as a business model. A randomized, parallel, open, non-blind clinical trial was conducted at the University Hospital Germans Trias i Pujol, from Badalona (Barcelona) to assess the beneficial effects of heat application on lumbo-suprapubic pain during initial stages of labour. Participants were pregnant women in the prodromal, early and active labour (up to 4-5 cm of dilation), with lumbo-suprapubic pain. The intervention group received local heat at a temperature between 38-39°C on the lumbo-suprapubic areas for 30 minutes using an elastic pelvic belt as a pain relief device and was compared to a control group in which no heat was used. Results: show that the application of local heat on lumbo-suprapubic areas during labour is effective since, after the intervention, pain level in the study group decreased significantly in the Visual Analogic Scale; and the thermal belt obtained a positive response amongst pregnant women who used it: tested with a global satisfaction index mean score of 80,94% over 100%. Conclusion: Heat application on both lumbar and suprapubic areas in case of labor pain is effective in relieving pain. The heat pads subjection device, a new abdominal two-pocket belt, obtained positive feedback from women in the study group who used it and answered the satisfaction questionnaire.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"15 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82020352","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}