Journal of Gynecology & Reproductive Medicine最新文献

{"title":"The Role of Drospirenone in The Treatment of Obesity with Hyperandrogenism","authors":"","doi":"10.33140/jgrm.06.01.04","DOIUrl":"https://doi.org/10.33140/jgrm.06.01.04","url":null,"abstract":"The problem of obesity in modern society is becoming truly large-scale - out of 7.5 billion people living on earth, about 1.2 billion suffer from this disease. According to epidemiological forecasts, while maintaining the existing rate of increase in obesity, it is assumed that by 2025 it will suffer from 30% to 50% of the population of economically developed countries.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134377552","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":"Association of pharmacy services with patient satisfaction in public and private tertiary care hospitals of Rawalpindi and Islamabad","authors":"Urma Mahrosh, Ayesha baber kawaish, M. Abbas","doi":"10.21203/rs.3.rs-1176069/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-1176069/v1","url":null,"abstract":"\u0000 Background\u0000\u0000The healthcare system in Pakistan is facing a shortage of human resources and appropriate and sustainable financial measures and therefore fails to provide optimum services to the population of Pakistan. Furthermore, research is limited in the healthcare institutes; therefore, there is a scarcity of information about patient satisfaction with pharmacists and pharmacy services in Pakistan. As evident from the inadequate information in the literature, patients’ opinions about the pharmacy services in Pakistan are important [1]. Therefore, the current study was designed to assess patient satisfaction with the pharmacy performance of the outpatient pharmacy and its variation with socio-demographic characteristics in twin cities of Pakistan (Rawalpindi and Islamabad).\u0000Method\u0000\u0000A cross-sectional study design was used to assess the patient satisfaction through convenience sampling technique. Minimum sample size of 250 respondents who visit pharmacy department of public and private hospital for pharmaceutical care were included in this study. A pre validated tool was used to assess the patient satisfaction. Data was clean coded and import into spss for analysis. Descriptive and inferential statistic was applied to calculate frequency, standard deviation, mean deviation and p value to find the association among different domain of patient satisfaction with different demographic characteristics of respondents.\u0000Result\u0000\u0000Current study shows overall patients were satisfied from pharmacy services provided by government and private hospitals. Furthermore patient satisfaction towards pharmacist medication advice was very good however patient satisfaction towards pharmacist approach was good while patient perception with pharmacy setting, drug availability and cost were underrated. Significance difference (p ≤ 0.05) was observed in pharmacist’s approach with different gender, age groups and qualification. No significant difference (p ≥ 0.05) was observed in pharmacy setting drug availability and cost with different gender, age groups and marital status of respondents. However Significance difference (p ≤ 0.05) was observed in pharmacy setting drug availability and cost with different level of education patients with less education had better satisfaction as compared to highly educated respondents. Furthermore Significance difference (p ≤ 0.05) was observed in pharmacy setting drug availability and cost with occupation. Self-employee and government employee had low satisfaction score while other had better satisfactory score. Significance difference (p ≤ 0.05) was observed in pharmacist’s approach with different gender, age groups and qualification. Females had better satisfactory score as compared to female. Younger age group had better satisfaction as compared to elderly. Patients belong to higher educational groups had better satisfaction toward pharmacist approach as compared to low qualification groups respondents. Furthermore No significant diffe","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133594290","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":"Living with FGM: Improving Knowledge and Skills of Health Care Providers in Iraqi Kurdistan","authors":"O. Mahmoudi","doi":"10.21203/rs.3.rs-1150973/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-1150973/v1","url":null,"abstract":"\u0000 Background: Despite the high prevalence of female genital mutilation in many settings and the health consequences associated with it, many healthcare providers have limited knowledge of female genital mutilation and limited skills for preventing and managing related complications. With Knowledge of this Important matter aim of this study is to determine the effectiveness of TOT workshops on the knowledge and skills of social workers working with girls and women affected by FGM.Methods: To demonstrate the findings, a quasi-experimental study was conducted with a pre and post-assessment. There were 44 participants who worked with FGM victims across Iraqi Kurdistan. Socio-demographic details of the participants who have collected knowledge on psychosexual and physical care, psychosexual skills, and referral programs were assessed using a continuum scale of 0 to 4. Descriptive and inferential statistics were carried out for the analysis.Results: The results showed that participants' knowledge and skills improved in relation to psychosexual and physical care for girls and women living with FGM and referral programs for them. The paired sample t-test carried showed a significant increase in knowledge among participants in psychosexual and physical care for girls and women living with FGM (f=9.25, df=1, P=.001), Psychosexual skills (f=-8.20, df=1, P=.001), and FGM victims referral Programs (t=12.95, df=1, P=.001). Follow-up test also showed that these changes were constant from post-test to follow-up.Conclusions: Preparing the social workers on the integration of physical and psychosocial care for girls and women living with FGM in their existing activities would equip them in providing holistic care for them in addressing the emerging psychosexual problems.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130203875","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 Determinants of Intimate Partner Violence Against Women in Burundi: Evidence From 2016-17 Demographic and Health Survey","authors":"Athanase Nzokirishaka, M. Palamuleni","doi":"10.21203/rs.3.rs-121940/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-121940/v1","url":null,"abstract":"\u0000 BACKGROUNDIntimate Partner Violence against Women (IPVAW) is a human rights and public health problem worldwide and is associated with negative consequences for the mother, family, and community. The study aims to determine the prevalence and determinants of intimate partner violence among married women in Burundi, to inform strategies and programs to reduce domestic violence.METHODSThis study consists of the secondary analysis of the 2016-17 Burundi Demographic and Health Survey. The study population consisted of 6014 married women, interviewed using the domestic violence questionnaire. The research applied Chi-square tests and binary logistic regression to identify the factors influencing IPVAW in Burundi, at a 95% statistical significance. RESULTSThe study established the overall prevalence of IPVAW at 48.4%, whereas physical violence was 37.0%, sexual violence 24.4% and emotional violence 22.9%. Intimate partner violence varies by background characteristics of the women. The multivariate analysis identified as risk factors to IPVAW the age of the woman, the province of residence, the number of children ever born, the discordance within the couple on the number of children desired, the childhood experience of parental violence, the husband's controlling behaviour, the husband drinking alcohol and husband's age. CONCLUSIONIPVAW is high in Burundi. Social, economic and cultural factors are some of the predictors of the high prevalence. These factors should constitute the basis for designing programmes and policies aimed at reducing IPVAW.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131530016","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":"Predisposing factors associated with teenage pregnancy in Lake Victoria Islands and Mountain districts of Uganda","authors":"Richard Tuyiragize, Abel Nzabona, J. Asiimwe, Christian Kakuba, John Mushomi, Fred Maniragaba","doi":"10.21203/rs.2.13369/v1","DOIUrl":"https://doi.org/10.21203/rs.2.13369/v1","url":null,"abstract":"\u0000 Introduction\u0000\u0000There is a high teenage pregnancy rate in Lake Victoria Island and Mountain districts of Uganda. Teenage pregnancy leads to unsafe abortions, infant and maternal mortality, high rate of unemployment, and school drop-outs. This paper aims at establishing the factors influencing teenage pregnancy in Uganda Lake Victoria Island shoreline area and mountain districts.\u0000\u0000Methods\u0000\u0000The analysis focused on 405 girls aged 15–19 years, generated from the 2016 Uganda demographic and Health Survey. The chi-square test statistic was used to establish factors associated with teenage pregnancy. Unadjusted and adjusted binary logistic regression analysis were conducted on explanatory variables to establish the predictors of teenage pregnancy in the Lake Victoria Island districts and the mountain districts. Statistical significance was considered at 5% level.\u0000\u0000Results\u0000\u0000The findings show that teenage pregnancy rate was at 48% in the Lake Victoria Island districts and at 24% in the mountain districts. Predictors of teenage pregnancy include; aged 18 – 19 years (AOR=4.78, p=0.000, 95% CI 2.85 – 8.01), being in a female-headed household (AOR=0.46, p=0.004, 95% CI 0.25 – 0.85), being in a “working” occupation (AOR=2.22, p=0.005, 95% CI 1.28 – 3.85), belonging to the “rich” quintile (AOR=0.54, p=0.03, 95% CI 0.31 – 0.97) and knowledge of any family planning methods (AOR=18.37, p=0.008, 95% CI=2.17 – 155.5).,\u0000\u0000Conclusion\u0000\u0000The factors associated with high teenage pregnancy in the Uganda Lake Victoria Island shoreline area and mountain districts include; age, sex of household head, occupation (not working), socio-economic status and knowledge of family planning methods. There is need for programs that promote contraceptive use among teenagers and household wealth creation projects, with special attention to dwellers in remote and hard-to-reach areas of the country.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114181536","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":"Right to Health - Anemia in Obstetrics","authors":"","doi":"10.33140/jgrm.02.02.05","DOIUrl":"https://doi.org/10.33140/jgrm.02.02.05","url":null,"abstract":"A healthy person is an asset to the society. Health of women is not merely a state of physical well-being but also an expression of many roles they play as wives, mothers, health care providers in the family and in the changed scenario even as wage earners. Health picture of Indian Women is still not satisfactory. In the Indian context the female children before, during and after the birth have suffered a neglect, which is reflected in their higher infant mortalities, low proportion of the total population, female infanticide and even feticides and lower levels of nutrition. Reproductive health of the women means that they have the ability to reproduce and to regulate their fertility and are able to undergo pregnancy and child birth safely. A woman’s reproductive system is a delicate and complex system in the body. Half of the young women in India get married before legal age of 18 years. They are unaware about reproductive health and healthy reproductive practice, which will cause unnecessary illness to them. It is important to take steps to protect it from infections and injury, and prevent problems-including some long-term health problems [1].","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"65 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120910719","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":"Geographical Variability in the Outcome of Donor egg IVF - Analysis of SART Data on 71,182 Donor egg IVF Cycles","authors":"S. Moustafa, L. Skrip, Rana Alkhaldi, L. Mutlu, L. Pal","doi":"10.33140/jgrm/02/01/00008","DOIUrl":"https://doi.org/10.33140/jgrm/02/01/00008","url":null,"abstract":"An earlier analysis of abbreviated SART (Society for Reproductive Technology) data for 2007 (n=443) had identified geographical heterogeneity in live birth (LB) rates in the United States resulting from donor egg IVF (In- Vitro Fertilization), and these observations allowed for positing on ecological underpinnings to IVF success. We herein aimed to determine the validity of geographical differences in LB following donor egg IVF through use of a larger study sample of both fresh and frozen embryo transfer donor egg IVF cycles (n=71, 182), after adjusting for a number of variables that are recognized to impact cycle success. Consistent with the earlier observations, geographical location of the IVF clinic emerged as an independent predictor of LB following donor egg IVF; also, highest LB rates with donor egg IVF following both fresh ET and with FET were noted at clinics located in the W compared to centers located in NE of United States (on analyses adjusting for recipient’s age, body mass index (BMI), race, number of embryos transferred (ET), and use of assisted hatching (AH) the likelihood for donor egg IVF related LB for clinics in W compared to the NE:OR 1.28, 95% CI 1.20-1.37 for fresh ET and OR: 1.18, 95% CI: 1.06 -1.30 for FET). This study reaffirms that success of donor egg IVF is susceptible to ecological influences that merit further investigation.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":" 25","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132012310","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":"Management of Pain after Caesarean Section and the Maternal Implications","authors":"","doi":"10.33140/jgrm/02/01/00010","DOIUrl":"https://doi.org/10.33140/jgrm/02/01/00010","url":null,"abstract":"Objective: Post-cesarean pain management affects both the mother and the newborn. Administration of intravenous acetaminophen is an accepted pain control treatment option. The aim of the study is to examine the effectiveness of IV Acetaminophen every 8 hours for the first 24 hours post-op in post-cesarean patients. Design: A prospective quantitative research study Setting: At the maternity ward Participants:102 women after cesarean section Intervention: All women treated according to a pain protocol of intravenous Acetaminophen. Pain was recorded with the Visual Analog Scale (VAS), and then patients were questioned 48 post-op about the pain experienced and its influence on functioning ability. Findings:The medication reduced pain level by 2-4 points on the VAS. Mean maximum pain reported in the first 24 hours was VAS=5.61, in the next 24 hours 4.54. However, mean maximum pain remembered by the patients was VAS=7.99 in the first 24 hours and 7.07 in the next 24 hours. Most women maintained that the medication helped to reduce their pain but that the pain hindered their ability to perform tasks such as moving and leaving the bed, caring for the newborn and breastfeeding. Key Conclusions: There is disparity between level of pain reported by women in ‘real time’ and that recalled in self-report 48 hours post-op. Despite pain alleviation by medication, functioning was still problematic. In addition to pain evaluation, function analysis is also necessary Implications for Practice: Pain evaluation is insufficient; evaluation and intervention of maternal function is also necessary.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126894720","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 Use of Traditional Birth Attendants and Faith Based Birth Attendants in Cross River State and the Impact on the Global Maternal Mortality Rate","authors":"B. Edu, A. Krepiakevich","doi":"10.33140/jgrm.01.01.11","DOIUrl":"https://doi.org/10.33140/jgrm.01.01.11","url":null,"abstract":"On a global scale, maternal mortality rates fell by nearly 44% over the past 25 years, to an estimated 216 maternal deaths per 100,000 live births in 2015. The approximate global lifetime risk of a maternal death fell from 1 in 73 in 1990 to 1 in 180 in 2015 [1].","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"133 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130959610","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":"Factors Associated with Polycystic Ovary Syndrome at Yaounde Gynecological Obstetrics and Pediatric Hospital (HGOPY)","authors":"N. Esther, Foumane Pascal, E. Félix, Fonkou Madjomo Arielle, Sobngwi Eugène, Mboudou Emile","doi":"10.33140/jgrm.01.01.12","DOIUrl":"https://doi.org/10.33140/jgrm.01.01.12","url":null,"abstract":"Introduction: Polycystic ovary syndrome is a poorly understood condition in our environment. The aim of our study was to identify the factors associated with the polycystic ovary syndrome observed in women of reproductive age at the Gyneco- obstetric and Pediatric Hospital of Yaounde. Method: The aim of our study was to identify the factors associated with Polycystic Ovarian Syndrome (PCOS) observed in women of reproductive age at the Yaoundé Gyneco- Obstetric and Pediatric Hospital (YGOPH). This was a case-control study. We compared on the basis of the Rotterdam criteria (Case), with 184 women PCOS-free (controls). The data was entered and analyzed using SPSS software version 20.0 and Epi Info 3.5.4. The error threshold was set at 5%. Result: The factors associated with polycystic ovary syndrome in univariate analysis were: age under30 (OR: 5.69, CI: 2.71 - 11.94) a family history of polycystic ovary syndrome (OR5.69; CI: 2.71 - 11.94), irregular menstruation (OR 2.60, IC: 1,33 - 5.05), diabetes (OR: 2.69, IC: 1.36-5.29) infertility (OR: 2.68 IC: 1.38 - 5.20); The personal history of peri-pubertal obesity (OR:10.09, IC (4.83 - 21.06)); Have more than three meals per day (OR, 5.37, CI: (1.56 - 18.47)); Frequent consumption of fried foods (OR, 3.24, IC (1.55 - 6.76)); Consume tea regularly (OR: 4.54, IC (1.51-13.68)); And major obesity (OR: 4.20; IC: (2.26 -10.74)). After linear regression, the factors that remained significant were age below 30 years (OR: 5.70, CI: 2.17-15.00); the personal history of peripubertal obesity (OR: 4.68, CI: 1.79-12.20) and consumption of more than three meals per day (OR: 6.06 CI: 1.16 - 31.64). Conclusion: Factors associated with PCOS at HGOPY are age of less than 30 years, history of obesity, and consumption of more than three meals per day.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123462202","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}