Open Journal of Gynaecology and Obstetrics Research最新文献

{"title":"A rare case of ovarian Actinomycosis in an 8-year-old girl. A case reports","authors":"Dibor NIANG, Diouf A, Seck D3, Nibogora J, Ndichout A, Mbodj M","doi":"10.36811/ojgor.2022.110020","DOIUrl":"https://doi.org/10.36811/ojgor.2022.110020","url":null,"abstract":"Anaerobic, nonsporulating, Gram-positive bacteria groups called actinomyces organisms are responsible for the so called actinomycosis. This chronic disease is rare in children and has tendency to mimic many other diseases. It also has wide variety of manifestations and non-specific symptoms. As a result, it is difficult to diagnose before the biopsy and microscopic examination. Although infection may involve any organ in the body, the significant sites of actinomyces infection include cervicofacial, abdominal, pelvic and pulmonary tissues. Case report: Here, we describe one case of unusual presentation; an 8-year-old girl with an ovarian mass which was finally diagnosed actinomycosis based on the pathological findings. Conclusions: Actinomycosis may rarely present with ovarian mass in young girls. Keywords: Actinomyces, Ovarian actinomycosis, Child, Microscopic Examination.","PeriodicalId":321045,"journal":{"name":"Open Journal of Gynaecology and Obstetrics Research","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122235407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Study of High Dose Calcium to Prevent Pregnancy Specific Hypertensive Disorders, Their Severity, Still A Research Agenda!","authors":"Shakuntala Chhabra, akanksha Suman","doi":"10.36811/ojgor.2022.110019","DOIUrl":"https://doi.org/10.36811/ojgor.2022.110019","url":null,"abstract":"Background: Worldwide hypertensive disorders of pregnancy (HDsP) continue to be leading causes of maternal, perinatal severe morbidity mortality, long term disabilities. Prevention of HDsP, their severity through high dose calcium supplementation is being suggested. However, whether calcium really helps is still not established. So, research continues.\u0000\u0000Objectives: Present study was carried out to know the efficacy of high dose daily calcium from midpregnancy on reduction in occurrence of HDsP, their severity and perinatal outcome.\u0000\u0000Material Methodology: Study was done with 1200 women, (600 cases, 600 controls) of 18-39 years with, 20 + 2 weeks pregnancy, no obvious medical disorders in mothers, no ultra sonographically diagnosed anomaly in fetus at entry to study. Study cases (S) received 2 gms oral calcium daily, similar controls (C) were not given calcium. Research assistant was not part of the care providers, but kept track of everything. Women got antenatal care, clinicians not knowing which women got extra calcium. Desired information, pregnancy outcome, complications during pregnancy, birth weight, neonatal outcome, admission of baby to neonatal intensive care unit and compliance to calcium tablets in study subjects was collected by research assistant using pretested tool.\u0000\u0000Results: HDsP occurred in 7.5% S cases, 7.33% C group. Amongst group S9.43% Primigravida, 4.3% Multigravida developed HDsP (gestational hypertension 6%, preeclampsia 1.16%, eclampsia 0.33%). In group C 8.04% primigravida, 3.08% multigravida developed HDsP, (6%GH, 1% preeclampsia, 0.33% eclampsia), Total 8.8% perinatal deaths occurred in S cases who had HDsP, 2.27% in C, with HDsP and no maternal death.\u0000\u0000Conclusion: No benefit was found with high dose calcium. On the contrary, perinatal outcome was poorer. More research is needed about high dose calcium for HDsP, their severity, perinatal outcome.\u0000\u0000Keywords: Hypertensive Disorders of Pregnancy; Occurrence; Severity; Perinantal outcome","PeriodicalId":321045,"journal":{"name":"Open Journal of Gynaecology and Obstetrics Research","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133722178","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":"Biological and Biochemical factors Predictive of Oocyte survival, Fertilization, Pregnancy in oocyte thawing cycles","authors":"Enrica Capitanio, A. Galimberti, L. Zanga, Federica Paternostro, S. Melis, A. Pasqua, I. Candeloro, F. Fusi","doi":"10.36811/ojgor.2021.110018","DOIUrl":"https://doi.org/10.36811/ojgor.2021.110018","url":null,"abstract":"Optimization and monitoring of IVF treatments requires good data on the effect and magnitude of clinical factors affecting treatment outcome. Many factors have been known to affect IVF outcomes. Currently there are still no data to predict whether a patient who undergoes In Vitro Fertilization (IVF) cycles can be considered a good candidate for oocyte freezing. The aim of this study was therefore to evaluate which biological and biochemical factors can be predictive of oocyte survival and fertilization, as well as of clinical pregnancy in oocyte thawing cycles. This study showed that none of the factors available on the day of the pick-up is able to predict (in case of oocyte cryopreservation) the success of a subsequent oocyte thawing cycle. Only the transfer of at least one Grade 1 embryo after oocyte thawing cycle has a statistically significant impact on pregnancy. Unfortunately, this cannot be considered an elective factor to guide the clinician and/or the embryologist in choosing patient's treatment as it is not available on the day of the oocyte pick up but it is a result of oocyte thawing.\u0000\u0000Keywords: Oocyte thawing; Biological and biochemical markers; Fertilization rate; Ongoing pregnancy rate","PeriodicalId":321045,"journal":{"name":"Open Journal of Gynaecology and Obstetrics Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126567344","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":"Will there still be a need for preparation in Gynecology and Obstetrics for the general surgeons and vice-versa?","authors":"","doi":"10.36811/ojgor.2020.110017","DOIUrl":"https://doi.org/10.36811/ojgor.2020.110017","url":null,"abstract":"The development of the various surgical specialties and their respective training programs, together with some shortening in the duration of the residencies, has led to their separation from what we might call the mother speciality, General Surgery. In some cases, like Gynecology and Obstetrics, at least in my country, this has become total, with reflexes in the hospital clinical practice.\u0000\u0000Similarly, the training in General Surgery has been emptied from surgical exposure to other organs, systems and anatomical areas, with an increasing focus on digestive tract pathology and emphasis on laparoscopic approaches, which may make the general surgeon himself feel less prepared for acute gynecological or obstetric pathology.\u0000\u0000Although, in elective surgical practice, there tends to be an approach between the General Surgery and Gynecology teams, with the establishment of close collaborations, especially in the treatment of peritoneal dissemination of ovarian neoplasias, it is in the context of urgency that there is more to be done.\u0000\u0000In my case, during a clinical practice of more than 30 years as a general and emergency surgeon, it was not unusual to be called to operating rooms, sometimes peripheral, in the context of cesarean sections, to help solve complex situations, almost always of hemorrhagic nature. Among these, the lesions of the uterine arteries, during the incision of the uterus, and those of the inferior epigastric vessels, artery and veins, because of the retractors, especially in transversal incisions of the abdominal wall, these with the particularity of not being easily identifiable, because they produce essentially retroperitoneal bleeding, with a somewhat late clinical expression. Due, mainly, to the associated coagulopathy, it was necessary, many times, a strategy of damage control [2], with initial abbreviated surgical intervention.\u0000\u0000They are - without forgetting many others, like those of the digestive tract or ureters - situations of enormous gravity and in young women that should lead to a greater reflection from both sides; either on the part of obstetricians, in terms of reintroducing General Surgery training in their respective formative programs, or, vice versa, on the part of general surgeons linked to the emergency, not always familiar with them.\u0000\u0000[2] This strategy consists of an initial abbreviated surgical intervention, with the sole purpose of resolving hemorrhage and contamination; having started in abdominal trauma, it quickly spread out of the abdomen and the context of traumatic pathology.","PeriodicalId":321045,"journal":{"name":"Open Journal of Gynaecology and Obstetrics Research","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134499089","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":"Persisting teen age births, a global challenge","authors":"S. Chhabra","doi":"10.36811/ojgor.2019.110008","DOIUrl":"https://doi.org/10.36811/ojgor.2019.110008","url":null,"abstract":"Introduction: Teen age births, though have reduced, are still common, with a lot of impact on mothers’, babies’, families’, communities’, nations’ health, world at large. Impact can echo throughout girl’s life, carry over to next generations. It has been revealed that globally unmarried adolescents have less access to family planning than general population and sex during adolescence is common with lack of awareness of sequlae in girls, specially in South East Asia.\u0000\u0000Objectives: To know about teen age births, effects, global challenges in prevention of teen age births, their sequlae.\u0000\u0000Methodology: Simple review about various studies, health providers views was done by different search engines like Uptodate, Pubmed, Ermed Consortium, Cochrane Library, Delnet, MedIND and self experiences were added.\u0000\u0000Results: Racial/ethnic geographic disparities in teen births persist, both within, across Countries, States, Districts, Communities, some with low rates and others with high. United States of America (USA) reported much higher teen age births compared to other developed countries though declined after 1991 dramatically between 2007 and 2016 as per published research using National Survey of Family Growth (NSFG) and Youth Risk Behaviour Survey in USA. Change was influenced primarily by increase in contraceptive use, to lesser degree declines in sexual activity. It was also revealed that in all countries, unmarried adolescents appeared to have less access to family planning than general population of. USA Teenage pregnancy has been reported to be associated with number of adverse health outcomes for mother, baby as well as social economic disadvantages for individuals, their future families even next generations. Existing literature suggested that the persistence of teen age births and many other aspects of girls lives reflected range of cultural, socio-economic factors.\u0000\u0000Conclusion: There is need of Improving adolescents awareness about sexuality, reproduction, sequlae. Access to contraceptives as per need, including emergency conception are essential. Public youth policies must consider the differences in stories of adolescents. Policies programs’ must go around their lives.","PeriodicalId":321045,"journal":{"name":"Open Journal of Gynaecology and Obstetrics Research","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133806939","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":"Twin pregnancy with complete hydatiform mole and coexisting live fetus: A rare case report","authors":"S. Agrawal, K. Aggarwal, Anjali Singh, K. Saha, A. Mishra, Kanika Chopra","doi":"10.36811/OJGOR.2019.110006","DOIUrl":"https://doi.org/10.36811/OJGOR.2019.110006","url":null,"abstract":"Twin pregnancy with one live fetus and one complete mole, also known as CMCF i.e. complete molar pregnancy with coexisting live fetus is a rare entity in obstetrics. This combination is associated with increased incidences of spontaneous abortions, vaginal bleeding, prematurity, intrauterine demise, pre-eclampsia, uterine ruptures, theca lutein cysts, persistent gestational trophoblastic disease. We report a rare case of a 24-year-old patient with CMCF at 14 weeks of gestation. After confirming the diagnosis, ruling out malignancy and proper counselling, decision was taken to continue her pregnancy. However, the patient had spontaneous abortion at 15 weeks of gestation. Her serum beta Hcg has shown a decreasing trend in her follow up visits with no signs suggestive of persistent gestational trophoblastic disease.","PeriodicalId":321045,"journal":{"name":"Open Journal of Gynaecology and Obstetrics Research","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127451270","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":"Alternative combined surgical treatment of severe pelvic organ prolapsed","authors":"Seikina Va, N. Zharkin, Burova Na, Prohvatilov Sa","doi":"10.36811/ojgor.2019.110005","DOIUrl":"https://doi.org/10.36811/ojgor.2019.110005","url":null,"abstract":"Objective: This study aimed to evaluate the rate of satisfactory outcomes of surgery on women with severe genital prolapse using fast-track surgery including an improved method of combined surgical treatment.\u0000\u0000Materials and methods: The study included 60 women with severe forms of pelvic organ prolapse. The average age of patients with POP-Q II was 56.4 (20 women from 52 to 63), those with POP-Q III-59.4 (40 patients from 54 to 68).\u0000\u0000Results: A new method of combination surgery for severe forms of pelvic organ prolapse using abdominal mesh and native tissues was developed. The following parameters were evaluated as objective criteria for effectiveness of treatment: duration of surgery, amount of blood loss, postoperative complications, time until and forms of pelvic organ prolapse recurrence: their number, variety, relapse stage, time of relapse. The average duration of surgery was 120 min. The average blood loss was 200 ml. There were 6 cases of early postoperative complications. The rate of relapses was 2%. An analysis of outcomes indicates high effectiveness of treatment and recovery of pelvic organ function. Thus, this method can be recommended for surgical treatment of combined forms of severe genital prolapse.","PeriodicalId":321045,"journal":{"name":"Open Journal of Gynaecology and Obstetrics Research","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133433751","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":"Niche After Cesarean Section","authors":"M. El-Gharib","doi":"10.36811/OJGOR.2019.110004","DOIUrl":"https://doi.org/10.36811/OJGOR.2019.110004","url":null,"abstract":"A uterine niche, also calld cesarean scar defect, or cesarean scar dehiscence, uterine diverticulum, uterine sacculation or isthmocele. It is a man made pouchlike defect of the anterior uterine isthmus occurs at the site of a prior cesarean section. Its occurrence has been increased in the last years secondary to the increased incidence of cesarean section. Many patients with isthmocele are asymptomatic. The most frequent complaint relates to intermittent postmenstrual bleeding as the isthmocele functions as a reservoir collecting blood during menstruation, with irregular menses that can run for 2 to 12 days. Various sources have described isthmocele as a case of infertility, pain and dysmenorrhea. An isthmocele is typically diagnosed on transvaginal sonography, hysterosalpinography and hysteroscopy. Magnetic resonance tomography is useful to measure the thickness of the lower uterine segment, the profundity of the isthmocele. The treatment of isthmocele includes laparotomy, laparoscopy, hysteroscopy, vaginal repair, and several combined techniques with no statistically superior outcome noted in the literature. In that respect is no gold standard treatment for isthmocele.","PeriodicalId":321045,"journal":{"name":"Open Journal of Gynaecology and Obstetrics Research","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127346017","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 under appreciated need for maternal and newborn immunization: call to action","authors":"L. Frenkel","doi":"10.36811/OJGOR.2019.110003","DOIUrl":"https://doi.org/10.36811/OJGOR.2019.110003","url":null,"abstract":"In spite of clear evidence regarding the safety and efficacy of maternal and neonatal immunization, the accetance of maternal influenza and pertussis immunization and neonatal Hepatitis B vaccination has been disappointingly slow to reach optimal levels in the United States. Maternal influenza disease is associated with increased birth defects, premature delivery, and the delivery of small for gestational age infants. Influenza immunization has been recommended for all women who are or will be pregnant, regardless of trimester, during influenza season (October through May), but only about half receive them. Concerns about influenza immunization clearly overlook the solid data regarding the overall association between influenza immunization and decreased mortality and morbidity for both mothers and infants. Pertissis disease in infants under 2 months of age is associated with significantly increased morbidity and mortality. Pertussis incidence in the US has seen a significant increase in the past two decades in most age groups including that of parents and siblings. Recommended attempts to decrease infant pertussis infection include both maternal immunization and immunization of individuals who are expected to come in contact with these newborn infants (cocooning). Transmission of maternal Hepatitis B infection to their infants is associated with a significant incidence of chronic disease with subsequent cirrhosis and death. The administration of both Hepatitis B immune globulin and a “birth dose” of Hepatitis B vaccine have been demonstrated to be very safe and effective in preventing infant acquisition of Hepatitis B infection from infected mothers. A birth dose of Hepatitis B vaccine should be administered to every newborn.","PeriodicalId":321045,"journal":{"name":"Open Journal of Gynaecology and Obstetrics Research","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122661869","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":"Demons meigs’ syndrome secondary to begnin brenner tumor with high ca125 plasmatic level: first case described in kara teaching hospital","authors":"Aboubakari As, Dossouvi T, Logbo-Akey Ke, A. Dr, Dagbé M, Darré T, Akpadza K","doi":"10.36811/OJGOR.2019.110002","DOIUrl":"https://doi.org/10.36811/OJGOR.2019.110002","url":null,"abstract":"To report the first case of Demons-Meigs’ syndrome secondary to benign Brenner tumor with high CA125 plasmatic level managed in kara teaching hospital. A 40-year-old female patient was admitted with a 6-month history of abdominal distension. Clinical examination found abdomino-pelvic mass and declive dullness. Abdominal ultrasound found heterogeneous abdomino-pelvic mass of 180 mm in length and a large free ascites. Pelvic computorized tomography scan found heterogeneous extra-uterine mass of 180 mm in length, large ascites without pelvic or lombo-aortic lymphadenopathy or tumoral extension. Front thorax X-ray found bilateral pleural effusion; CA125 plasmatic level was 1138 IU/ml. Median laparotomy allow to aspire 2 liters of ascitic fluid and to perform left adnexectomy. Histological examination of surgery sample diagnosed begnin ovary Brenner tumor. Outcome after surgery was without complications with disappearance of ascites and pleural effusion, and CA125 plasmatic level back to normal value. Demons-Meigs’ syndrome is a rare benign ovarian tumor whose symptoms looks like ovarian cancer. Its fundamental characteristic is the disappearance of symptoms after ovarian tumor removal.","PeriodicalId":321045,"journal":{"name":"Open Journal of Gynaecology and Obstetrics Research","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124069067","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}