Journal of Women Health Care and Gynaecology最新文献

{"title":"Aplasia Cutis Congenita Mimicking as Scalp Birth Injury in a Neonate: Case Report","authors":"Vidhu Yadav, Sunil Gothwal, Ramesh Choudhary","doi":"10.59657/2993-0871.brs.23.010","DOIUrl":"https://doi.org/10.59657/2993-0871.brs.23.010","url":null,"abstract":"Aplasia cutis congenita (ACC) is a rare congenital skin defect. Exact aetiology of ACC is not well understood. Here, we report a case of aplaia cutis congenita mimicking as scalp injury at birth.","PeriodicalId":236149,"journal":{"name":"Journal of Women Health Care and Gynaecology","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122513359","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":"Acute Abdomen in Second Trimester Due to Ruptured Bicornuate Uterus","authors":"Sanjaya Walawe Nayaka","doi":"10.59657/2993-0871.brs.23.012","DOIUrl":"https://doi.org/10.59657/2993-0871.brs.23.012","url":null,"abstract":"Acute abdomen in pregnancy is a challenging condition to the physicians due to difficulty in diagnosing and management. Bicornuate uterus (BU) is rare congenital anomalies which can gives arise to various obstetrics complications including uterine rupture even in unscarred uterus, present as acute abdomen. This is a case of acute abdomen in second trimester due to ruptured BU.","PeriodicalId":236149,"journal":{"name":"Journal of Women Health Care and Gynaecology","volume":"861 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128249265","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":"Ruptured Ectopic Pregnancy: Epidemiological Profiles and Prognostic in a Reference Hospital in Antananarivo Madagascar","authors":"Bienvenue Solange Rasoanandriana, Ratsaraniana Marina, Rakotozanany Besaina, Joseph Anderson Randriambelomanana Ja, A. H. Rakotovao","doi":"10.59657/2993-0871.brs.23.011","DOIUrl":"https://doi.org/10.59657/2993-0871.brs.23.011","url":null,"abstract":"Introduction: Ectopic pregnancy (EP) is a serious condition and the leading cause of maternal death in the first trimester of pregnancy. The objectives of this study were to identify the epidemiological profiles, clinicals ectopic pregnancy ruptured to prevent complications and ensure early and appropriate treatment. Methods: We performed a prospective descriptive study over a period of two years from first January 2018 to December 2019. Results: Among the 14968 deliveries during the study period, 269 cases of ruptured EP were compiled, giving a frequency of 2.80%. The average age of onset was 28 years. The risk factors the most identified was the pelvic infection. The spontaneous abortion was predominant. Most of the EP was in ampullary position in 72.49 %. Radical treatment dominated the management in 79.55 % of cases. The totality of the patients was a satisfiable issue. Conclusion: The precocious detection of EP in all women who bleed in the first trimester of pregnancy is primordial. The decrease in frequency requires the sensibilization of the population on their health to avoid the many risk factors of ruptured EP and their complications.","PeriodicalId":236149,"journal":{"name":"Journal of Women Health Care and Gynaecology","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114663814","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":"Late Postpartum Pyrexia and Ascites Due to Peritoneal Tuberculosis","authors":"Sanjaya Walawe Nayaka","doi":"10.59657/2993-0871.brs.23.009","DOIUrl":"https://doi.org/10.59657/2993-0871.brs.23.009","url":null,"abstract":"Postpartum pyrexia is a serious condition which associates with increased maternal morbidity and mortality. Even though it is mostly associated with genital tract infections, tuberculosis has to be considered in prolonged pyrexia without any diagnosis due to its increased prevalence and atypical ways of presentation. This is a case of peritoneal tuberculosis presented with post-partum ascites and fever.","PeriodicalId":236149,"journal":{"name":"Journal of Women Health Care and Gynaecology","volume":"194 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115808054","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":"Repeated Induced Abortion and Trends of Contraceptive Utilization","authors":"Semahegn Tilahun Wassie","doi":"10.59657/2993-0871.brs.23.008","DOIUrl":"https://doi.org/10.59657/2993-0871.brs.23.008","url":null,"abstract":"Worldwide more than 227 million women become pregnant each year, and roughly two-thirds of them deliver live infants. The remaining one-third of pregnancies end in miscarriage, stillbirth, or induced abortion. Following this fact, abortion is a sensitive and public health concern with religious, moral, cultural, and political dimensions. According to the World Health Organization (WHO) Newsroom report, from 2015 to 2019, an average of 73.3 million induced (safe and unsafe) abortions occurred worldwide each year and approximately 45% of all abortions worldwide were unsafe. There were 39 induced abortions per 1000 women aged between 15–49 years. Risk is greater for women in areas of high fertility because they are pregnant more often and therefore face the risks of pregnancy more often than women in areas of low fertility. Of all the regions in the world, Africa has the highest number of abortion-related deaths, estimated at more than 15,000 in 2017, accounting for 7% of pregnancy-related deaths.","PeriodicalId":236149,"journal":{"name":"Journal of Women Health Care and Gynaecology","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115164715","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":"Sexual and Reproductive Health Service Utilization and Associated Factors among Adolescent and Youth in Dire Dawa City, Eastern Ethiopia","authors":"Legesse Abera, A. Guta, Dilnessa Fentie","doi":"10.59657/2993-0871.brs.23.007","DOIUrl":"https://doi.org/10.59657/2993-0871.brs.23.007","url":null,"abstract":"Background: adolescents and youth characterized by significant physiological, psychological, and social changes; these were put them at high risk for several sexual and reproductive health problems. Insufficient studies have addressed the burden and risk factors of young people’s sexual and reproductive health services utilization in Ethiopia. Objective: This study aimed to investigate the adolescents and youth sexual and reproductive health service utilization and associated factors in Dire Dawa City Administration, Eastern Ethiopia. Methods: For the quantitative data, community-based cross-sectional study was carried out using multistage sampling technique. Data was collected using pretested interview-administered questionnaires and analyzed using SPSS version 24.0. Binary and multiple logistic regression analysis were done to determine the association between the dependent and independent variables. For the qualitative data, phenomenological study was conducted and thematic analysis was employed. Results: This study revealed that the overall sexual and reproductive health service utilization was found to be 39.5%. Youths’ preference regarding the services majority preferred special service hours designated for adolescents (55.6%), (46.9) preferred a discounted price (43.2%) preferred free service, (37% %) preferred young health providers of the same sex. Having discussion on sexual and reproductive health issues with family, living with partner/friend, convenient service hour, short distance from health facility, having sexual activity within the last 12 months were among the factors associated with sexual and reproductive health services utilization. Conclusion and recommendation: This study revealed that the overall sexual and reproductive health service utilization was found to be low. Considering the physical and psychological changes of adolescents’ the discussion on sexual and reproductive health matters is highly important and expected from every family.","PeriodicalId":236149,"journal":{"name":"Journal of Women Health Care and Gynaecology","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126633136","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":"Breast Self-Examination Practice and Its Determinants Among Reproductive Age Women in The Pastoral Community of Southern Ethiopia: A Community Based Cross-Sectional Study","authors":"Alo Edin, Abdisa Haro, Mohammed Aliyi, Yimar Hotessa, Angefa Ayele","doi":"10.59657/2993-0871.brs.23.006","DOIUrl":"https://doi.org/10.59657/2993-0871.brs.23.006","url":null,"abstract":"Background: Breast self-examination is a simple and direct, non-invasive, and low-cost screening approach for breast cancer identification. Unlike in the Western world, women in Ethiopia frequently appear late for breast cancer screening and are expected to have a very short life expectancy. In Ethiopia, the majority of studies on breast self-examination practice were limited to university students and health care workers. As a result, there was a scarcity of evidence on the practice of breast self-examination, particularly at the community level. Thus, the current study was aimed to assess the magnitude of breast self-Examination practice and associated factors among reproductive age women in West Guji zone, Southern Ethiopia. Methods: A Community based Cross-sectional study was conducted from March 1 to April 30, 2021 among 424 randomly selected Women of reproductive age in the West Guji zone. The study participants were selected using multi-stage sampling. Data were collected using pre-tested and structured Questionnaires through face-to-face interviews. A bivariable and multivariable logistic regression model was used to identify the association between dependent and independent variables. P-Value <0.25 was used to select candidate variables for Multivariable logistic regression. A p-value <0.05 and an adjusted odds ratio with 95% CI were used to identify the independent predictors of Breast Self-Examination practice. Result: Overall breast self-examination practice was 14.6 % (95% CI, 11.4-18.4). Age [AOR=1.98; 95%CI (1.06-3.70)], monthly income [AOR=2.28; 95% CI (1.09-4.78)], and having a good knowledge of breast self-examination [AOR=2.15; 95%CI (1.14-4.05)] were statistically significant predictors and positively associated with Breast self-examination practice. Conclusion: This study revealed a substantial proportion of breast self-examination practice. As a result, stakeholders in various positions should make much more effort to promote women's education, as well as encourage and advocate breast self-examination practice.","PeriodicalId":236149,"journal":{"name":"Journal of Women Health Care and Gynaecology","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124910601","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":"Breast Tumors in Young Women in Cotonou: Diagnosis, Treatment and Prognosis","authors":"J. Denakpo","doi":"10.59657/2993-0871.brs.23.003","DOIUrl":"https://doi.org/10.59657/2993-0871.brs.23.003","url":null,"abstract":"Introduction: The high frequency of benign breast tumors in young women and the rarity of cancers but poor prognosis in a context of diagnostic and therapeutic difficulties deserve special attention. Objective: To study the clinical, therapeutic and prognostic aspects of breast tumors treated in Cotonou between 2015 and 2019. Method: This is a cross-sectional study with retrospective data collection on breast tumors treated between 2015 and 2019 in two reference hospitals in Cotonou. All patients aged under 40 treated for breast tumors were studied. The clinical, therapeutic and evolutionary characteristics of breast tumors were analyzed. Results: Breast cancer rate was 5.2% (n=12) versus 94.8% (n=219) for benign tumors. Self-examination was the circumstance of discovery in 81% (n=187) and average medical examination time was 6.4 months. The clinical characteristics in favor of malignancy were: hard consistency in 4.7% (n=16) of cases, irregularity in 25.6% (n=88) of cases, adhesion in 11.3% (n=39) and axillary adenopathy in 10.4% (n=36) of cases. The probability of confirmation of the nature of suspicious tumor on the clinico-radiological level was 3/10. Therapeutic decisions were mostly taken on clinical and radiological arguments. Histology was not systematic. The prognosis was good for benign tumors and bad for breast cancer with a cure rate of 25%. Conclusion: Diagnosis of breast tumors in young women is much more clinical. The absence of a radiotherapy department limits treatment and worsens the prognosis.","PeriodicalId":236149,"journal":{"name":"Journal of Women Health Care and Gynaecology","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127149485","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":"Determination of Platelet Count and platelet Indices in Women after Normal Delivery in Shendi Town, Sudan","authors":"Areej Hussein Fudul Almoula, Tibyan Omer Alseer, Hamza Ahmed Hassan, TibyanAbd Almajed, G. M. Mahjaf, M. Hamad","doi":"10.59657/2993-0871.brs.23.004","DOIUrl":"https://doi.org/10.59657/2993-0871.brs.23.004","url":null,"abstract":"Background: Delivery is the process of birth. As the uterus contracts, the lower part stretches and thins, the cervix expands, the birth canal is formed, and the baby sinks through the pelvis, Platelet counts of less than 150,000 per cubic millimeter during uncomplicated pregnancies are described as gestational thrombocytopenia if no alternative cause is identified. Platelet counts may be even lower in women with pregnancy-related complications. Objective: The purpose of this study was to measure the platelet count and platelet index in women after normal delivery. Methods: This descriptive study was conducted in the city of Shendi during the period from March (2021) to January (2022) and measured the platelet count and platelet index in women after normal delivery. P.value of the test at the 95-confidence level was 0.000, less than 0.05, indicating significant variation between the case and control groups in platelet counts. Hundreds of venous blood samples were collected for use in this study, 50 of which were collected from the test group and 50 from the control group. Platelet counts and platelet indices (including platelet critical value (PCT), platelet distribution width (PDW), and mean platelet volume (MPV) were determined for all samples and performed in an automated manner using a hematology analyzer. Results: The study showed that the mean platelet count in the delivery group was 147.84 compared to 263.14 in the control group. The P. value was significant (P. value 0.000). The most affected age for platelet count in the study group was 30 years and older, with a platelet count percentage of 84%. The most effective number of workers for platelet counts in postpartum women was 2 or more workers. The platelet count percentage was 84%. The study showed that the mean platelet volume (MPV) for the delivery group was 8.696 compared to 8.616 for the control group. The value of the test was not significant (0.620). The mean platelet distribution width (PDW) was 15.750 for the treatment group and 15.828 for the control group. The P. value was not significant (0.418).","PeriodicalId":236149,"journal":{"name":"Journal of Women Health Care and Gynaecology","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130309903","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":"Setting Up a Cytology Laboratory for Cervical Cancer Screening in a Developing Country: A One Year’s Early Experience at a Private Facility","authors":"Mwesigwa Boaz, Ngoma Febian, Abila Derrick Bary, Othieno Emmanuel, Zahra Award Warsame","doi":"10.59657/2993-0871.brs.23.005","DOIUrl":"https://doi.org/10.59657/2993-0871.brs.23.005","url":null,"abstract":"Introduction: Widespread cytology-based method of screening such as Pap smear test has significantly led to a reduction in the incidence and mortality associated with cervical cancer in many developed countries. In these countries, facilities needed for early detection of cervical cancer such as cytology laboratories are existent and generally available to their population. In a developing country like Somalia, access to cytology services for cervical cancer screening remains limited and as result majority of patients present with advanced stage disease (stage III &amp; IV) that is too difficult to treat. Intervention: To address this challenge, the management of AL-Zahra Specialty Hospital contracted a cytologist based in Uganda to guide in setting-up of cytology laboratory in the heart of Mogadishu, Somalia so as to provide cervical cancer screening and diagnostics services to the population. Other interventions made by the visiting cytologist involved guiding the procurement officer in the purchase of basic equipment, reagents, consumables and training of health care staff. This resulted into conducting 1020 cervical cytological tests over a period of 12months (1st September, 2018 to 30th September 2019). Lesions learnt: In order to increase access to cytology services, we learnt that the federal government of Somalia should consider making cervical cytology (pap smear test) as part of routine screening policy for all sexually active women as part of health care package. An increase in sample volume may be improved through awareness campaigns and conducting community screening activities. Conclusion: Somalia, a developing country has made great strides towards addressing the limited facilities for cervical cancer screening by using very limited funding. We hope that our experiences shall provide technical guidance &amp; direction to physicians, laboratory managers and investors who wish to establish similar cervical cytology laboratories in an economically constrained low-resource setting.","PeriodicalId":236149,"journal":{"name":"Journal of Women Health Care and Gynaecology","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136131605","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}