International Journal of Pregnancy & Child Birth最新文献

{"title":"A case of sickle cell disease during pregnancy: by the eyes of an internist","authors":"Helio da Silva Martinsns, David Paiva, A. Gonçalves, Laura Castro, J. Cotter","doi":"10.15406/ipcb.2019.05.00173","DOIUrl":"https://doi.org/10.15406/ipcb.2019.05.00173","url":null,"abstract":"Sickle cell disease (SCD) is the most common inherited hemoglobinopathy, counting almost 300.000 neonates each year, predominantly from Nigeria, India and Democratic Republic of Congo.1 With the present immigration flow, it stared to be seen worldwide with increased prevalence. The term sickle cell disease includes different genotypes of homozygous Hemoglobin S sickle cell anemia (SCA) and a variety of double heterozygote states of sickle hemoglobin disease. SCA is cause by homozygous mutation and presents as chronic anemia with painful episodes throughout life due to impaired microcirculation by sickling of erythrocytes. Despite the better recognition and diagnosis, pregnancy in SCD is associated with higher clinical and obstetric complications compared to healthy individuals.2,3","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"131 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121077041","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 impact of pregnancy in an autoimmune disease","authors":"M. Formigo, C. Silva, Olinda Miranda, A. Gonçalves","doi":"10.15406/ipcb.2019.05.00172","DOIUrl":"https://doi.org/10.15406/ipcb.2019.05.00172","url":null,"abstract":"Psoriatic arthritis is a chronic inflammatory musculoskeletal disease associated with psoriasis, usually exhibiting peripheral arthritis, dactylitis, enthesitis, and spondylitis.1,2 Nail lesions (pitting and onycholysis) are present in 80– 90% of patients with PsA. The incidence of PsA is 6 per 100,000 per year and the prevalence is 1–2 per 1,000 in the general population.1 The annual incidence of PsA among patients with psoriasis is 2.7%, and the prevalence of PsA in patients with psoriasis varies between 6% and 41%.1 In the majority of patients, psoriasis frequently precedes the development of arthritis.1,2 PsA diagnosis is established based on clinical history, physical examination and joints imaging, there are no specific tests or biomarkers.1,2 Radiographs usually reveal evidence of asymmetric sacroiliitis, spinal or peripheral joints diseases, as well as erosions, new bone formation and ankylosis.2 The Classification of Psoriatic Arthritis (CASPAR) criteria3 may help establishing the correct diagnosis.1 Arthritis greatly affects the quality of life of patients with psoriasis, therefore treatment should be initiated as soon as possible in order to delay or stop joint damage.4","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134530429","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":"Early second trimester incomplete abortion with undiagnosed placenta accreta encountered as an acute gynecological emergency: a case report","authors":"A. Manonmani, Gaither Kecia, Jones Chandra, Sabre Alexand Alexander, Rashid Waqarun","doi":"10.15406/ipcb.2019.05.00171","DOIUrl":"https://doi.org/10.15406/ipcb.2019.05.00171","url":null,"abstract":"PAS are a range of abnormal placentation with disruption of the decidual basalis enabling invasion of chorionic villi into or past the myometrium; leading to incomplete placental separation and hemorrhage. Planned cesarean section with hysterectomy is mainstay of management when encountered in term patients of which diagnosis is elicited. The correct diagnosis of accreta spectrum by ultrasound and MRI remain speculative but has shown greater accuracy in later 2nd trimester imaging between 18-24 weeks with close to 90% accuracy based on population-based studies.1 Clinical guideline management of this condition are limited to term or near term deliveries; with no clearly defined process for PAS if encountered in spontaneous abortion or early term loss. For these atypical patients who present with risk factors and signs of PAS; high suspicion and prompt response by the obstetric and gynecological team is key to prevent morbidity and mortality of parturiency.","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124634772","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":"Colonization by Streptococcus agalactiae in a cohort of unselected 1003 pregnant women in Porto Alegre, Brazil","authors":"","doi":"10.15406/ipcb.2019.05.00170","DOIUrl":"https://doi.org/10.15406/ipcb.2019.05.00170","url":null,"abstract":"","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124896425","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 hodgkin lymphoma diagnosed in the first trimester","authors":"Silvaine Marie Dalli, A. Fenech, E. Abela, I. Saliba, D. Camilleri","doi":"10.15406/ipcb.2019.05.00169","DOIUrl":"https://doi.org/10.15406/ipcb.2019.05.00169","url":null,"abstract":"Hodgkin lymphoma is a tumour of the lymphatic system which impairs the body’s ability to fight infections. It usually presents with lethargy, night sweats, unexplained weight loss, painless enlarged lymph nodes and loss of appetite. It can be subdivided into two: the classical type which is characterised by Reed-Sternberg cells and the lymphocyte predominant form which is characterised by large popcorn cells. It is commonest between the ages of 15 and 30 and is associated with an infection by Epstein Barr virus and a compromised immune system.1","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115265210","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":"Lived Experiences Of Pregnancy Among Women With Sickle Cell Disease Receiving Care At Mulago Hospital: A Qualitative Study","authors":"Kenneth Tumwesige, Namagembe Imelda, K. Herbert, Munube Deogratias, R. Joseph","doi":"10.21203/rs.2.13857/v1","DOIUrl":"https://doi.org/10.21203/rs.2.13857/v1","url":null,"abstract":"\u0000 Background Women with sickle cell disease in Mulago National Referral Hospital face challenges when they become pregnant and they receive the same care as all other high risk pregnant women who come to the hospital. This study explored the lived experiences of pregnancy among women with sickle cell disease receiving care at Mulago National Referral Hospital.Methods This was a qualitative phenomenological study conducted on 15 participants who were women with sickle cell disease with the experience of pregnancy. In-depth audio recorded interviews were conducted to collect data from women who were pregnant at time of study or had ever been pregnant aged 16 to 38 years of age with sickle cell disease. Recorded data was transcribed and analyzed using content thematic approach.Results This study revealed that pregnant women with sickle cell disease faced both negative and positive health care experiences and individual lived experiences of pregnancy. The few positive individual lived experiences were joy of motherhood and giving birth to child free of sickle cell disease whereas the negative individual lived experiences reported were recurrent painful crises, pregnancy loss, premature delivery, stigma and discouragement, relationship discord and desertion by spouse. There were few positive healthcare experiences reported in this study which included: dedicated care and support from health workers, referral to specialist services, support from their male partners and the negative healthcare experiences reported were delay to get medical assistance, informal hospital charges, unsatisfactory care, and advocacy for caesarian section Vs normal delivery.Conclusion Pregnant women with sickle cell disease lived with great expectation and in fear of being further weakened by the disease. Their experiences were in general negative at both individual, social and health system levels.","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114703763","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":"Mothers experiences with still birth: a dead fetus as a’tax’ given to allah: qualitative phenomenological study","authors":"Dawit Tiruneh, Agezegn Asegid","doi":"10.15406/ipcb.2019.05.00168","DOIUrl":"https://doi.org/10.15406/ipcb.2019.05.00168","url":null,"abstract":"Introduction: The months of excitement and expectation and planning magnifying the devastating incomprehension of giving birth to a baby bearing no signs of life. Stillbirth has been recognized as one of the most neglected areas of public health while millions of women are suffering from aftermath of its occurrence. Exploring root causes of malpractice, myth, attitude and misperception helps to focus on meaningful, contextual and evidenced based interventions. However there is no any documented research specifically addressing experience of mother with still birth in the study area. Objective: The aim of this study is to explore mothers’ lived experiences related to still birth Method and materials: Qualitative study design with hermeneutic phenomenological approach was conducted in Eastern Ethiopia, January 2019. The snow ball sampling technique was used to pick and interview four mothers who had delivered still birth in the last 12 months using local language. Nvivo version 11 software and steps of Colaizzi’s were used for data analysis after members were checked the congruence of given report and thematized results. Findings: the data were saturated at four in-depth interview and emerged themes were:: ‘Shanfa’: a fetus as a tax given to God, ‘Allatti’: a shadow of a bird as cause for fetal death, ‘Mijawiru’: getting offensive nick name, Feeling accused to happiness, ‘Mana Kitaaba’ as a prevention or treatment, powerlessness on self-determination, Challenge in getting facilities, being fatigue and ignorance, Oxygen Hunger in ambulance, and Partner support. Conclusion and recommendations: There are lots of unspeakable myth and challenges that a specific mother are experiencing due to still birth. Some are helpful for better coping and some are hiding issue from getting proper attention and management. As part of global and national response to perinatal mortality, mothers experience need to be explored with multi-site, high tech investigation to identify problem and make proper planning to solve the challenges.","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"333 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133712621","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":"Public knowledge on some factors that influence male and female infertility in Nigeria: social media users’ perspective","authors":"B. Afolabi, A. Ajayi","doi":"10.15406/ipcb.2019.05.00166","DOIUrl":"https://doi.org/10.15406/ipcb.2019.05.00166","url":null,"abstract":"Most people entertain the anticipation of establishing their own family at one point or another during their lifetime. However, certain factors, be it personal, environmental, genetic or hereditary, influence their inability to realize this goal. According to WHO, infertility and subfertility affect a significant proportion of humanity, defining infertility as a “disease of the reproductive system” which results in disability.1 Among the general public, there seems to be wide gaps in the knowledge of human reproduction. What people believe about their fertility and the actual biology is very wide as demonstrated in a survey which polled the beliefs of 1,000 adults between the ages of 18–40 and demonstrated that 57% of respondents reported that they believed a woman’s “biological clock” stopped ticking at age 44.2 A study in Pakistan reported that only 25% participants correctly identified when infertility is pathological and that oly 46% knew about the fertile period in women’s cycle.3 Another study states that only a third of respondents correctly identified the middle week between periods as the time in the menstrual cycle that a woman is most likely to conceive while 29% said the week just after her period, 18% responded that it is the week just before the next period, 7% almost any day except during her period, 2% during her period and 12% said they did not know.4 In the same study, the most common source of information on infertility was general internet search for 58% of the respondents. Abolfotouh et al.,5 reported a generally poor level of knowledge (59%) and a neutral attitude (76%) toward infertility among Saudi couples. The study also identified that, among IVF patients and fertile outpatients, there was a significant disparity in knowledge regarding factors that may affect fertility, with a significantly higher level found among IVF patients (45.91% versus 41.68%; t=2.14; P=0.035). In a study in Benin City, Nigeria, majority of the respondents said that infertility is a female problem.6 Though infertility is a serious global issue, somehow the public often pay less attention to it or actually assume it is not a big issue and not a life-threatening disease such as cardio-vascular accident in heart attack, metabolic disease such as diabetes or frightening illness such as neoplasm. The Bertarelli Foundation Scientific Board noted that infertility awareness was still low in a few countries in Europe, such as Belgium, Italy, France, Germany, Sweden and United Kingdom.7 Still knowledge of, attitude to and health-seeking behavior for infertility are essential since these assist couples to gain more depth and understanding as well as decide when, where, how and who could provide appropriate and adequate","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130932577","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":"Accurate fetal sex determination from maternal blood at 8 weeks gestation","authors":"J. Casanova, Chris Jacob, Haley Milot, Sarah Cacia","doi":"10.15406/IPCB.2019.05.00164","DOIUrl":"https://doi.org/10.15406/IPCB.2019.05.00164","url":null,"abstract":"There are several methods for determining fetal sex during pregnancy. Sonography is still one of the most common methods used for determining fetal sex. In general, anatomy scans are not performed weeks gestation. Traditional non-invasive prenatal testing (NIPT) can demonstrated that the SneakPeek® Early Gender Test can determine sought to determine the accuracy of SneakPeek® Early Gender Test when performed as early as 8 weeks gestation. Methods","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124700092","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":"Nutrition and pregnancy: an update","authors":"S. Petousis, Anastasia Tzelali, C. M. Siarkou, Georgia Margioula Siarkou, K. Dinas, G. Mavromatidis","doi":"10.15406/ipcb.2019.05.00160","DOIUrl":"https://doi.org/10.15406/ipcb.2019.05.00160","url":null,"abstract":"Proteins are the most known macromolecules. They consist of amino acids, which are connected to each other with peptide bonds, forming chains. The human body uses twenty amino acids to form the proteins but it cannot form eight amino acids, thus, they have to be taken through food. These amino acids are called essential amino acids. Proteins are necessary for the formation and the regeneration of the tissue, synthesis of hormones, enzyme, antibodies, and many other functions. The maternal needs in protein increase, especially during the third trimester, nevertheless, they are necessary throughout the whole duration of the pregnancy.2","PeriodicalId":300833,"journal":{"name":"International Journal of Pregnancy & Child Birth","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128904218","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}