Journal of midwifery and reproductive health最新文献_第4页

An Increase in Gender-based Violence during COVID-19 2019冠状病毒病期间性别暴力增加

Journal of midwifery and reproductive health Pub Date : 2021-04-01 DOI: 10.22038/JMRH.2021.54257.1662

D. Singh, V. Singh

引用次数: 1

Birth Preparation and Complication Readiness among Antenatal Care Attendants in Bule Hora Governmental Health Facilities in Oromia Region, Ethiopia, in 2019 2019年埃塞俄比亚奥罗米亚地区蓝霍拉政府卫生机构产前护理人员的分娩准备和并发症准备情况

Journal of midwifery and reproductive health Pub Date : 2021-04-01 DOI: 10.22038/JMRH.2020.42288.1483

Z. Wayessa, Kalkidan Bejitual Tegegne

{"title":"Birth Preparation and Complication Readiness among Antenatal Care Attendants in Bule Hora Governmental Health Facilities in Oromia Region, Ethiopia, in 2019","authors":"Z. Wayessa, Kalkidan Bejitual Tegegne","doi":"10.22038/JMRH.2020.42288.1483","DOIUrl":"https://doi.org/10.22038/JMRH.2020.42288.1483","url":null,"abstract":"Background & aim: Childbirth preparation has been globally supported as an important part of safe maternity program. Birth preparedness and complication readiness (BP and CR) aimed to reduce delays in seeking care, arrival, and care during childbirth and immediate postpartum period. The aim of this study was to assess the knowledge and practice of BP and CR, as well as its associated factors, among antenatal care attendants in Bule Hora town in the Oromia region in Ethiopia. Methods: This facility-based cross-sectional study was conducted within February to June 2019. A total of 272 women were selected using systematic sampling and interviewed by previously tested structured questionnaires. Data analyzed using Epi Info (version 6.4) and SPSS software (version 25) with binary logistic regression and multiple logistic regression analyses. Results: Out of 272 mothers, 46.3% practiced four or more BP and CR steps. Attendance in secondary school (OR=2.42; 95% CI: 1.73-5.48) and college or university (OR=4.12; 95% CI: 1.61-7.87), maternal occupation (OR=4.12; 95% CI: 2.64-9.69), having 1-3 (OR=1.49; 95% CI: 1.08-6.96) and higher than or equal to 4 prenatal visits (OR=3.54; 95% CI: 1.72-9.03), knowledge of main warning signs during pregnancy (OR=6.68, 95% CI: 4.80-11.77) and also during labor and childbirth (OR=4.54; 95% CI: 2.20-10.28), were independent predictors associated with BP and CR practice. Conclusion: The level of BP and CR among women in the study area was low. In general, policymakers and planners should improve BP and CR in women and provide pregnant women, their families, and communities with associated information.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"269 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133944718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Knowledge, Attitude, and Practice of Women Regarding Breast Cancer Screening Behaviors in Mashhad, Iran 伊朗马什哈德妇女关于乳腺癌筛查行为的知识、态度和实践

Journal of midwifery and reproductive health Pub Date : 2021-04-01 DOI: 10.22038/JMRH.2020.44788.1539

Morvarid Irani, Seyedeh Fatemeh Nosrati, F. Ghaffari, Maryam Fasanghari, K. Mirzaii

{"title":"Knowledge, Attitude, and Practice of Women Regarding Breast Cancer Screening Behaviors in Mashhad, Iran","authors":"Morvarid Irani, Seyedeh Fatemeh Nosrati, F. Ghaffari, Maryam Fasanghari, K. Mirzaii","doi":"10.22038/JMRH.2020.44788.1539","DOIUrl":"https://doi.org/10.22038/JMRH.2020.44788.1539","url":null,"abstract":"Background & aim: Breast cancer is one of the most common cancers and second leading cause of cancer mortalities among women. The present study aimed to measure the levels of knowledge, attitude, and practice of women regarding breast cancer screening behaviors. Methods: This cross-sectional study was carried out on 406 women who referred to five health centers in Mashhad and were selected using the multistage sampling technique within July 2018 to June 2019. The data were collected through a self-structured questionnaire, including four sections of demographic characteristics, knowledge, attitude, and practice towards breast cancer screening behaviors. The data were analyzed using Chi-square, Pearson's correlation coefficient and linear regression tests. Results: The mean score of women’s age was 33.5±10.3 years. 49.1% and 7.9% of the participants had a low level of knowledge and negative attitudes toward breast cancer screening, respectively, which led to the poor practice of women in this regard (29.1%). According to the Pearson's correlation coefficient, the practice of breast cancer screening behaviors had a significant positive correlation with the scores of knowledge (r=0.20; P=0.04) and attitude (r=0.35; P=0.03). The findings of the linear regression of contextual variables indicated that there was a significant relationship between a family history of breast cancer and positive practice (P=0.001). Conclusion: Inadequate knowledge and moderate attitudes toward breast cancer screening led to moderate to poor practice in the majority of women. It is suggested to perform studies on the necessity of appropriate and effective educational methods on breast cancer screening behaviors.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116920065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

The Relationship between Spiritual Well-Being and Quality of Life among Postmenopausal Women 绝经后妇女精神健康与生活质量的关系

Journal of midwifery and reproductive health Pub Date : 2021-04-01 DOI: 10.22038/JMRH.2021.50953.1631

M. Tarrahi, Hadis Sourinejad, Elham Adibmoghaddam, A. Kazemi, Razieh Rostaminia

{"title":"The Relationship between Spiritual Well-Being and Quality of Life among Postmenopausal Women","authors":"M. Tarrahi, Hadis Sourinejad, Elham Adibmoghaddam, A. Kazemi, Razieh Rostaminia","doi":"10.22038/JMRH.2021.50953.1631","DOIUrl":"https://doi.org/10.22038/JMRH.2021.50953.1631","url":null,"abstract":"Background & aim: Menopause exerts negative impacts on women's quality of life. It seems that drawing on spiritual resources can be effective in improving the quality of life among this population. Therefore, the present study aimed to determine the relationship between spiritual wellbeing and the quality of life of postmenopausal women. Methods: This descriptive correlational study was conducted on postmenopausal women referring to Ibn Sina and Amir Hamzeh health centers in Isfahan, Iran in 2018-2019, among whom 340 cases were selected via the non-probability sampling method. The research instruments included the Spiritual Well-Being Scale (SWBS) developed by Paloutzian and Ellison and the SF-36 Quality of Life Questionnaire. Data were analyzed in SPSS software (version 21) using descriptive statistical tests and Pearson correlation coefficient. Results: The obtained results pointed to the positive and significant correlation of existential and religious dimensions of spiritual wellbeing with the eight dimensions of quality of life (p <0.05). Conclusion: As evidenced by the obtained results, spiritual wellbeing and its components are important variables affecting the quality of life of postmenopausal women. Therefore, it is essential to design interventions aiming at strengthening spiritual/religious values and beliefs to promote the health of postmenopausal women and consequently improvement of their quality of life.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121852454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The Effect of Sexual Assertiveness Training on women’s genital self-image: A Randomized Clinical Trial 性自信训练对女性生殖器自我形象的影响:一项随机临床试验

Journal of midwifery and reproductive health Pub Date : 2021-04-01 DOI: 10.22038/JMRH.2021.43273.1510

Fatemeh Sayyadi, N. Golmakani, Amin Karim Abadi

{"title":"The Effect of Sexual Assertiveness Training on women’s genital self-image: A Randomized Clinical Trial","authors":"Fatemeh Sayyadi, N. Golmakani, Amin Karim Abadi","doi":"10.22038/JMRH.2021.43273.1510","DOIUrl":"https://doi.org/10.22038/JMRH.2021.43273.1510","url":null,"abstract":"Background & aim: The genital self-image refers to women's attitudes, beliefs, and feelings about their genitalia and genital system that are involved in sexual intercourse. Sexual assertiveness is individuals' ability to meet their sexual needs. Considering the dearth of study on women’s genital self-image, this study aimed to evaluate the effectiveness of a sexual assertiveness training program on women’s genital self-image. Methods: This parallel randomized clinical trial was performed on 60 married women referred to Imam Reza Health Center in Mashhad during September and October 2016. A sample size of 30 subjects was assigned to intervention and control groups. The training classes including two 90 minutes sessions were held once a week for 2 consecutive weeks. The tools for data collection consisted of Hulbert sexual assertiveness and women’s genital self-image questionnaires. A pretest was completed in two groups at the beginning of the study and a post-test was done for both groups one week after training the intervention group. To analyze data student t-test, paired t-test, Mann-Whitney, Wilcoxon, Chi-square and one-way analysis of variance were used. Results: The score of genital self-image was the same in two groups before carrying out the intervention (z= -1.762, p= 0.780). However, following the implementation of training program the two groups showed significant differences and the score of genital self-image was higher in intervention group (z = - 4.077, p ˂ 0.001). Conclusion: Sexual assertiveness training can improve women’s genital self-image. So it is recommended to tailor training programs to enhance women's genital self-image, particularly, in women with sexual dysfunction in order to improve their sexual health.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"302 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127561590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Effect of Covid-19 Pandemic on Women's Reproductive Health Components: A Narrative Review Covid-19大流行对妇女生殖健康组成部分的影响:叙述综述

Journal of midwifery and reproductive health Pub Date : 2021-04-01 DOI: 10.22038/JMRH.2021.54713.1668

Tayebeh Shojaaddini Ardakani, Bahare Amiri Tooran Poshti, Banafshe Amiri Tooran Poshti

{"title":"Effect of Covid-19 Pandemic on Women's Reproductive Health Components: A Narrative Review","authors":"Tayebeh Shojaaddini Ardakani, Bahare Amiri Tooran Poshti, Banafshe Amiri Tooran Poshti","doi":"10.22038/JMRH.2021.54713.1668","DOIUrl":"https://doi.org/10.22038/JMRH.2021.54713.1668","url":null,"abstract":"Background & aim: Restrictions such as home quarantine and social restrictions have reduced women's access to the services that is effective on their reproductive health. Reproductive health is one of the most essential steps in achieving sustainable development, which generally changes in crises. In the present study, it was attempted to review the effect of the Covid pandemic on the components of women's reproductive health in a categorized method. \u0000Methods: In this narrative review study, searches were performed in databases such as Pubmed, Google scholar, Science Direct, Cochran library, and Magiran in 2019-2020 using the relevant keywords including covid-19, reproductive health, sexual satisfaction, mental health, domestic violence, childbearing, pregnancy, fertility, partner violence, maternal health, and family planning. \u0000Results: Covid-19 pandemic has different effects on reproductive health components. Studies have shown an increase in the frequency of sexual intercourses due to increased presence of the spouse at home, but also there was decrease in the quality of sexual intercourse due to the stress caused by the Covid pandemic and increase in domestic violence, and regarding the mental health component, an increase was observed in stress, anxiety and depression in women of reproductive age. \u0000Conclusion: In the current high-risk situation, it is necessary for health care teams, by separating the target groups of women, to screen for mental health, investigate domestic violence, and evaluate sexual relations and use contraceptive methods and intending for childbearing. Then, by allocating virtual education groups and use of national media, they should educate the women of reproductive age.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131041267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Falls in Turkish Women During Pregnancy: Prevalence, Affecting Factors and Treatment-seeking Behavior 土耳其妇女怀孕期间跌倒:患病率、影响因素和寻求治疗的行为

Journal of midwifery and reproductive health Pub Date : 2021-04-01 DOI: 10.22038/JMRH.2021.53270.1655

Özlem Serin Aşcı, S. Kocaöz, P. Kara, Ferdane Taş

{"title":"Falls in Turkish Women During Pregnancy: Prevalence, Affecting Factors and Treatment-seeking Behavior","authors":"Özlem Serin Aşcı, S. Kocaöz, P. Kara, Ferdane Taş","doi":"10.22038/JMRH.2021.53270.1655","DOIUrl":"https://doi.org/10.22038/JMRH.2021.53270.1655","url":null,"abstract":"Background & aim: Physiological, anatomical and hormonal changes that occur during pregnancy could increase pregnant women’s risk of falling, which could lead to negative outcomes for both women and fetuses. This study aims was to identify the prevalence and influencing factors of falls in Turkish women during pregnancy as well as these women’s treatment-seeking behavior. Methods: This retrospective and descriptive study was conducted with 622 pregnant women who presented for prenatal follow-up at Nigde Training and Research Hospital in Turkey using the convenience sampling method. The data were collected with the “Structured Questionnaire Form” and “Trait Anxiety Inventory”, and analyzed using SPSS 24.0 software using descriptive statistics, Chi-squared and Student's t-tests and logistic regression analysis. Results: The prevalence of falls in pregnant women at term was found as 17.7%. The falls most commonly occurred at home (62.3%), on stairs (16.8%), and on wet (16.8%) or uneven ground (13.9%). The rates of injury and going to a hospital after such a fall were 63.6% and 14.2%, respectively. Trait anxiety mean scores did not show a significant difference in terms of pregnancy fall history (p>0.05).Regression analysis revealed a significant relationship between a fall history during pregnancy and medication use (OR=1.680; p=0.025) and clothing style (OR=1.836; p=0.025). Conclusion: Approximately two out of ten pregnant women have a history of falling, with the falls usually being associated with preventable causes. It is recommended that pregnant women be informed by midwives and other healthcare professionals about falls, avoiding risk factors and seeking medical treatment.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128234274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The Prevalence and Determinants of Exclusive Breastfeeding during First Three Months of Infant's Life in Bushehr, Iran: A Cross-sectional Community-based Study 在伊朗布什尔，婴儿出生头三个月纯母乳喂养的流行和决定因素:一项基于社区的横断面研究

Journal of midwifery and reproductive health Pub Date : 2021-04-01 DOI: 10.22038/JMRH.2021.55233.1674

Fatemeh Najafi-Sharjabad, Salimeh Mohammadi

{"title":"The Prevalence and Determinants of Exclusive Breastfeeding during First Three Months of Infant's Life in Bushehr, Iran: A Cross-sectional Community-based Study","authors":"Fatemeh Najafi-Sharjabad, Salimeh Mohammadi","doi":"10.22038/JMRH.2021.55233.1674","DOIUrl":"https://doi.org/10.22038/JMRH.2021.55233.1674","url":null,"abstract":"Background & aim: Breastfeeding is one of the most effective strategies to reduce infant and child mortality around the world. Due to the low rate of exclusive breastfeeding in Bushehr, Iran, it seems necessary to examine its related factors. Therefore, this study aimed to investigate the prevalence and factors associated with exclusive breastfeeding in Bushehr, Iran. Methods: This study was conducted based on a cross-sectional descriptive design. The data were collected using an adopted and validated structured questionnaire from 288 mothers who attended 10 public health centers through stratified random sampling in Bushehr, Iran, during 2019. The obtained data were analyzed in SPSS software (version 24) through descriptive statistics, Chi-square test, t-test, and binary logistic regression. Results: The mean age of the respondents was 28.48±5.50 years, and the prevalence of exclusive breastfeeding during the first three months of the infant's life was obtained at 75%. Lower household income was associated with higher exclusive breastfeeding practice (OR: 2.21, 95% CI: 1.01-4.69.95; P= 0.04). The odds of exclusive breastfeeding practice was 2.15 times higher in mothers who were satisfied with their newborn’s sleep habits (OR: 2.15, 95% CI: 1.14-4.04; P =0.01); moreover, the corresponding value was 9.82 times higher in mothers with singleton pregnancy (OR: 9.82, 95% CI: 1.78-24.12; P=0.009). Mothers who had a sick infant were 0.45 times less likely to practice exclusive breastfeeding, compared to those who had a healthy infant (OR: 0.45, 95% CI: 0.212-0.950; P=0.03). Conclusion: Household income, mother's satisfaction with newborns sleep habits, singleton pregnancy and infant disease were associated with exclusive breastfeeding practice. It is recommended to identify mothers who are in high-risk groups and consider their needs to promote exclusive breastfeeding.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"250 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121432594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Risk Factors Associated with Perinatal Mortality at Besat Hospital in Sanandaj in 2013-2015: A Case-control Study 2013-2015年Sanandaj Besat医院围产期死亡率相关危险因素:一项病例对照研究

Journal of midwifery and reproductive health Pub Date : 2021-04-01 DOI: 10.22038/JMRH.2021.50209.1624

L. Hasheminasab, F. Ranaei, J. Majidi, F. Zaheri, R. Karime

{"title":"Risk Factors Associated with Perinatal Mortality at Besat Hospital in Sanandaj in 2013-2015: A Case-control Study","authors":"L. Hasheminasab, F. Ranaei, J. Majidi, F. Zaheri, R. Karime","doi":"10.22038/JMRH.2021.50209.1624","DOIUrl":"https://doi.org/10.22038/JMRH.2021.50209.1624","url":null,"abstract":"Background & aim: Perinatal mortality is used in international scales as a reflection of the quality of maternal and newborn care. Therefore, the current study aimed to determine perinatal mortality and its associated factors at Besat Hospital of Sanandaj within 2013 to 2015. Methods: This retrospective case-control study was conducted using medical records available at Sanandaj Besat Hospital during 2013- 2015. Sampling was conducted through the census method. Firstly, all cases of perinatal mortalities in the delivery and neonatal wards whose medical files were complete (n=466) were selected as the case group, and a file of live birth for each case was randomly chosen on the same day as the control (n=466). Data analysis was performed by SPSS 21 using the Chi-square, independent samples t-test, and logistic regression. Results: The rate of perinatal mortality was reported as 38.3 per 1,000 births. Parental consanguinity, parity, number of abortions, birth weight, gestational age, pregnancy and delivery complications as well as congenital abnormalities were significantly different between the two groups (p <0.05). The most important risk factors associated with perinatal mortality were prematurity (OR=15.6; 95% CI: 8.7-29.3; p <0.001), low birth weight (OR=0.6; 95% CI: 0.5-0.7; p <0.001), congenital abnormalities (OR=6; 95% CI: 2.2-16.4; p <0.001), pregnancy complications (OR=2.2; 95% CI: 1.1-4.6; p <0.03), delivery complications (OR=2; 95% CI: 1.5-4.7; p <0.001), and parental consanguinity (OR=21.7; 95% CI: 1.23-2.41; p <0.001). Conclusion: Parental consanguinity, LBW, preterm birth, hypertension, and premature rupture of membranes were the most important factors increasing the risk of perinatal mortality.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"26 9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131148904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Choriocarcinoma in Cesarean Scar Site: A Case Report 剖宫产瘢痕部位绒毛膜癌1例报告

Journal of midwifery and reproductive health Pub Date : 2021-04-01 DOI: 10.22038/JMRH.2020.43382.1514

H. Azimi, L. Shirinzadeh, A. Jafarian, Behroz Davachi, S. Bolandi, S. Hoseini, Tahereh Zavvari, Z. Yousefi, Fatemeh Shirzadeh

{"title":"Choriocarcinoma in Cesarean Scar Site: A Case Report","authors":"H. Azimi, L. Shirinzadeh, A. Jafarian, Behroz Davachi, S. Bolandi, S. Hoseini, Tahereh Zavvari, Z. Yousefi, Fatemeh Shirzadeh","doi":"10.22038/JMRH.2020.43382.1514","DOIUrl":"https://doi.org/10.22038/JMRH.2020.43382.1514","url":null,"abstract":"Background & aim: Cesarean scar pregnancy is an ectopic pregnancy implanted in the myometrium at the site of a previous cesarean section scar and is the rarest kind of ectopic pregnancy. The present study present a case of choriocarcinoma (CC) in the cesarean scar. The clinical course, findings, and treatment plan are discussed. Case report: A 41-years old multi-gravid woman with a history of one previous cesarean section and three subsequent abortions was admitted to the hospital. She suffered from an unknown abnormal vaginal bleeding for two months. Β-HCG titer was 1,000 IU/L and the report of sonography showed no gestational sac. Accordingly, the patient was diagnosed with ectopic pregnancy in the cesarean scar site and, therefore, weekly usage of methotrexate was prescribed for her. Since she did not respond to the treatment, she was referred to our department in the Faculty of Medicine. The evaluation showed mass invasion through the entire uterine wall. The uterus preservation was not possible, therefore, total hysterectomy was performed. The pathology report confirmed CC in the cesarean scar. Conclusion: Based on previous studies, as the number of cesarean sections increases, the possibility of complications rises, as well. Cesarean scars implantation of CC is one of the rare complications of caesarean section. The probability of a gestational trophoblastic disease should be considered in any woman during her pregnancy. Early detection and proper management of the complications can result in a decrease in morbidity and mortality.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126236649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0