Journal of Clinical Obstetrics and Gynecology最新文献

{"title":"Gynaecological malignancies after breast cancer diagnosis: A population-based study","authors":"M. Barretina-Ginesta, J. Galceran, H. Pla, C. Meléndez, A. C. Bagué, A. Ameijide, M. Carulla, J. Barretina, A. Izquierdo, R. Marcos-Gragera","doi":"10.29328/journal.cjog.1001031","DOIUrl":"https://doi.org/10.29328/journal.cjog.1001031","url":null,"abstract":"Background: Breast cancer (BC) is one of the most prevalent malignancies. BC survivors have higher risk of second primary cancers than the general population. There is an increased interest in BC survivor management, including the prevention of these second cancers. The aim of this study was to assess the risk of gynaecological malignancy (GM) as second neoplasm among BC patients in our population. Methods: Patients with invasive BC diagnosed from 1980 to 2014 included in the Girona Cancer Registry were included. The incidence of second GM in these patients was compared to those in the general population. Second primary cancer was stated as a tumour diagnosed after 2 months from the BC diagnosis. Standardized incidence ratios (SIR) and absolute excess of risk (AER) were calculated. Results: 9,717 patients were diagnosed with invasive BC during this period, with a median age at diagnosis of 61 years, and a median follow-up of 7.9 years. 117 of them developed a second GM. By tumour type, the only statistically signifi cant higher SIR was observed for corpus uteri cancer (SIR:2.28 95% CI 1.82-2.83; AER:6.43 95% CI 4.13-9.14). After reviewing the histology of the corpus uteri cancer cases, we found that 71.4% were type I (endometrioid adenocarcinoma), 15.5% type II (serous adenocarcinomas and clear cell carcinomas), 10.7% carcinosarcomas, 2.4% sarcomas and there were no unspecifi ed malignant neoplasms. Conclusion: BC survivors have an increased risk of corpus uteri cancer, with an increase in unfavourable histologies compared to the general population. Lifelong primary and secondary prevention interventions should be recommended for these patients.","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72539440","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":"Effect of laparoscopic salpingectomy on subsequent ovarian response after controlled ovarian hyperstimulation","authors":"C. Yazbeck, A. Boukadida, C. Chauvin, A. Margulies, S. Falcone","doi":"10.29328/journal.cjog.1001030","DOIUrl":"https://doi.org/10.29328/journal.cjog.1001030","url":null,"abstract":"1Department of Obstetrics, Gynecology and Reproductive Medicine, CMC Hartmann Cherest Clinics, 26 Bd Victor Hugo 92200 Neuilly Sur Seine, France 2Department of Obstetrics, Gynecology and Reproductive Medicine, Foch University Hospital, 40 rue Worth, 92150 Suresnes, France 3Department of Obstetrics, Gynecology and Reproductive Medicine, Bichat Claude Bernard University Hospital, APHP, 75018 Paris, France More Information","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75609511","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":"Low back pain induces disability of women in primary uncomplicated pregnancy","authors":"P. Korovessis, Rania Antonaki, Spyridon Zacharatos, V. Syrimpeis","doi":"10.29328/journal.cjog.1001029","DOIUrl":"https://doi.org/10.29328/journal.cjog.1001029","url":null,"abstract":"Study design: A consecutive case series study. Purpose: To investigate whether Low Back Pain (LBP) in women with primary singleton pregnancy induces disability. Background: LBP is reported to be increased in pregnants than in non-pregnant women. Different outcome measures have been used to search for correlations between pain and disability. Method: 167 pregnant women aged 30 ± 3.5 years participated. Two equal categorial age groups were constructed: Group A included women aged 23-29 years, and Group B women aged 30-39 years. Their weight was 76 ± 13 kg prepartum and the Body Mass index (BMI was 28 ± 4 prepartum. Visual Analogue Scale (VAS) was used for LBP pain intensity and Oswestry Disability Scale (ODI) for disability estimation in the last three months prepartum and in the first three months postpartum. Results: The women weight was 67 ± 13 kg postpartum. The BMI was 24 ± 4 postpartum. There was no difference in VAS and ODI scores versus BMI, weight and height between the two age groups in both periods of observation: prepartum and postpartum. Prepartum, 81.4% of women claimed LBP that dropped to 55.5% postpartum. ODI score dropped from 19.5 ± 13.6% prepartum to 11 ± 12% postpartum. The ODI subscales that showed significant reduction postpartum were: Pain intensity (P=0.002); working (P=0.009); sitting (P=0.004); standing (P=0.003); sleeping (P=0.008); and traveling (P=0.006). VAS prepartum was increasing as the weight was increasing in both periods of observation (P=0.015 and P=0.051) respectively. VAS prepartum was significantly correlated with BMI prepartum (P=0.019) and postpartum (P=0.028). Discussion: Physical disability in pregnant women was low and reduced following delivery. Disability was linked with LBP intensity, weight, BMI and height, but not with age or educational level.","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84164470","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 validity of progesterone level on hCG injection day in the prediction of IVF/ICSI cycles’ outcome","authors":"M. Abolfotouh, H. Al-Anazi, Samar N. Hassan","doi":"10.29328/journal.cjog.1001028","DOIUrl":"https://doi.org/10.29328/journal.cjog.1001028","url":null,"abstract":"","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85616366","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":"Methotrexate in management of Morbidly Adherent Placenta at Latifa Hospital, DHA, Dubai, UAE.: Case report","authors":"A. B. Fazari, Maria Eugenia Ramirez Aristondo, F. Azim, Basma Almaamari, Rasha Eltayeb","doi":"10.29328/JOURNAL.CJOG.1001027","DOIUrl":"https://doi.org/10.29328/JOURNAL.CJOG.1001027","url":null,"abstract":"Myometrial tissue trauma and scarring are the main predisposing factors resulting in both placenta previa and morbidly adherent placenta. This can be caused by multiple Caesarean sections; this risk rises as the number of prior Caesarean sections increases. Placenta accreta spectrum is not exclusively a consequence of Caesarean delivery. Other surgical trauma to the integrity of the uterine endometrium and/or super icial myometrium, such as dilatation and curettage and other surgical injuries to the myometrium: manual removal of the placenta, postpartum endometritis or myomectomy, has been associated with accreta placentation in subsequent pregnancies, as well as, assisted reproductive technology and maternal smoking.","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87758220","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":"Focused Antenatal Care in urban Ghana: A qualitative study into physical accessibility of maternal health services in Kwabre East Municipality","authors":"J. Akowuah, B. Owusu","doi":"10.29328/JOURNAL.CJOG.1001023","DOIUrl":"https://doi.org/10.29328/JOURNAL.CJOG.1001023","url":null,"abstract":"","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82030620","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":"Mesenteric cysts: A rare case","authors":"M. Asgharnia, T. Rahbar, S. F. D. Heirati","doi":"10.29328/JOURNAL.CJOG.1001024","DOIUrl":"https://doi.org/10.29328/JOURNAL.CJOG.1001024","url":null,"abstract":"Mesenteric cysts are rare benign intra-abdominal tumors with an incidence of 1 case per 250,000 hospital admission. This lesion occurs most frequently in women in the reproductive period.The etiology of such cysts remains unknown but several theories regarding their development exist. Most of these lesions present with vague abdominal pain and nausea. Less commonly they will present with bowel obstruction due to external compression. The diagnosis of these tumors is by abdominal ultrasound or computed tomography. We report a case of Mesenteric cyst in 51-year-old female patient. Case Report Mesenteric cysts: A rare case Maryam Asgharnia1*, Tayebeh Rahbar2 and Seyedeh Fatemeh Dalil Heirati3 1Professor of Obstetric & Gynecology, Reproductive Health Research Center, Department of Obstetrics & Gynecology, Al-zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran 2Departments of Midwifery, Islamic Azad University, Rasht Branch, Rasht, Iran 3MSc of Midwifery, candidate , Reproductive Health Research Center, Department of Obstetrics & Gynecology, Al-zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran *Address for Correspondence: Maryam Asgharnia, Reproductive Health Research Center, Department of Obstetrics & Gynecology, Al-Zahra Hospital, Medical School, Guilan University of Medical Sciences, Rasht, Iran, Tel: +981333369224; +989111310019; Email: h_fertility@gums.ac.ir; maryamasgharnia@yahoo.com Submitted: 15 June 2019 Approved: 01 July 2019 Published: 02 July 2019 Copyright: © 2019 Asgharnia M, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89579826","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":"Gestational hypercholesterolemia helps detect familial hypercholesterolemia and prevent late pregnancy complications","authors":"J. Hyánek, F. Pehal, Kseniya Dryahina, L. Dubská, B. Míková, L. Gombíková, M. Prucha, S. Kubů, P. Haláčková, Jaroslav Feyreisll","doi":"10.29328/JOURNAL.CJOG.1001026","DOIUrl":"https://doi.org/10.29328/JOURNAL.CJOG.1001026","url":null,"abstract":"Introduction: In this retrospective study, we comment on the cause and diagnostic potential of the elevated serum total cholesterol and some non-cholesterol sterols in a population of healthy pregnant women from Prague, Czech Republic. Methods: Based on a total of 21,000 clinical biochemistry tests of healthy pregnant women with hypercholesterolemia observed during pregnancy, a testing group of 84 women with a total cholesterol (TC) above 7.0 mmol/l was established to analyze their non-cholesterol sterols (NCS) by Gas Chromatography–Mass Spectrometry. Lathosterol (Lat) and desmosterol (Des) were evaluated as markers of endogenous cholesterol synthesis, whereas campesterol (Cam) and sitosterol (Sit) were analysed as markers of intestinal absorption. Results: In the basic population, the frequency of gestational hypercholesterolemia with the serum TC levels > 7.0mmol/l was 1 to 136.The mean values were: TC 6.8 mmol/l, LDL-C 4.6 mmol/l, and HDL-C 2.2 mmol/l. In the selected testing group of 84, the mean values were: Lat 7.8+/-1.7 μmol/l, Des 4.7+/-0.9 μmol/l, Cam 9.8+/-2.6 μmol/l, and Sit 9.6+/-3.8 μmol/l. Lat correlated with TC (r = 0.53), LDL-C (r = 0.36), and non-HDL-C (r = 0.35). No such correlations were observed for Cam or Sit. Conclusion: Our fi ndings prove that gestational hypercholesterolemia is caused by increased endogenous cholesterol synthesis via lathosterol. Subsequently, we demonstrate how a single cholesterol test taken in the fi fth to sixth month gestation can effi ciently help detect familial hypercholesterolemia, and prevent related late pregnancy circulatory complications. Research Article Gestational hypercholesterolemia helps detect familial hypercholesterolemia and prevent late pregnancy complications Josef Hyánek1* František Pehal1, Kseniya Dryahina2, Ladislava Dubská1, Blanka Míková1, Lada Gombíková1, Miroslav Průcha1, Stanislav Kubů3, Petra Haláčková3 and Jaroslav Feyreisl3 1Department of Clinical Biochemistry, Hematology and Immunology, Na Homolce Hospital, Prague, Czech Republic 2Department of Chemistry of Ions in Gaseous Phase, J. Heyrovský Institute of Physical Chemistry, Academy of Sciences of the Czech Republic, Prague, Czech Republic 3Department of Clinical Biochemistry, Central Laboratories, The Institute for the Care of Mother and Child, Prague, Czech Republic *Address for Correspondence: Josef Hyánek, Metabolická ambulance OKBHI Nemocnice Na Homolce, Roentgenova 2, 150 30 Praha 5, Czech Republic, Tel: +420 603 440 013; Email: josef.hyanek@homolka.cz Submitted: 25 June 2019 Approved: 01 July 2019 Published: 02 July 2019 Copyright: © 2019 Hyánek J, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81916136","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":"Determinants of women’s perceived satisfaction on Antenatal care in urban Ghana: A cross-sectional study","authors":"J. Akowuah, Baffour Danquah","doi":"10.29328/JOURNAL.CJOG.1001022","DOIUrl":"https://doi.org/10.29328/JOURNAL.CJOG.1001022","url":null,"abstract":"Despite evidence on major interventions on the uptake and scale up of interventions meant to promote maternal health care services, little is known about adequate use of such program in urban Ghana among reproductive aged women. This study examined the determinants of women’s Satisfaction on antenatal care use in selected health facilities in the Kwabre East Municipality of Ghana. Using facility-based cross-sectional survey design, a three-stage sampling technique was conducted to sample 220 women attending postnatal care at selected public health facilities. Open-ended questionnaires were used to obtain data from respondents. Descriptive statistics and inferential statistics including binary logit regression model were used to analyze the data with the help of SPSS and STATA software. Logit analytical framework was computed to determine equations of variance. The association between antenatal care use and women’s satisfaction was determined and assessed using Pearson’s χ2 (2) test indicating 1% was run. Most women (92.7%) had at least four ANC visits during their entire pregnancy. The results indicate standard deviation of 7 with 81% regular ANC visits and 19% irregular. Most women (55%) received care by one caregiver, followed by women (35%) who received care by two caregivers and women (10%) who were cared for by three caregivers. The regression results showed varying utilization levels of 10%, 5% & 1% ANC satisfaction. System induced factors aimed at promoting maternal care use satisfaction are suggested. Research Article Determinants of women’s perceived satisfaction on Antenatal care in urban Ghana: A cross-sectional study Akowuah Jones Asafo1* and Danquah Benedicta Adoma2 1Department of Agricultural Economics, Agribusiness and Extension, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana 2Department of Accounting, School of Business, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana *Address for Correspondence: Akowuah Jones Asafo, Department of Agricultural Economics, Agribusiness and Extension, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Email: asafojones60@gmail.com Submitted: 20 June 2019 Approved: 01 July 2019 Published: 02 July 2019 Copyright: © 2019 Akowuah JA and Danquah BA. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83114175","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":"Maternal mortality and factors affecting it, among pregnant women in Abeokuta South, Nigeria","authors":"Tumilara Busayo Amoo, O. S. Ajayi","doi":"10.29328/JOURNAL.CJOG.1001025","DOIUrl":"https://doi.org/10.29328/JOURNAL.CJOG.1001025","url":null,"abstract":"","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76492604","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}