Thai Journal of Obstetrics and Gynaecology最新文献_第5页

Effect of Bupivacaine Local Infiltration Compared with Parecoxib Intravenous Administered in Post Surgical Pain Management Following Total Abdominal Hysterectomy 布比卡因局部浸润与静脉给药帕瑞昔布在腹部全子宫切除术后疼痛治疗中的效果比较

Thai Journal of Obstetrics and Gynaecology Pub Date : 2016-09-30 DOI: 10.14456/TJOG.2016.31

Penpak Jensarasart, N. Ayudhya, V. Arnuntasupakul, Amornrat Tangjitbampenboon

{"title":"Effect of Bupivacaine Local Infiltration Compared with Parecoxib Intravenous Administered in Post Surgical Pain Management Following Total Abdominal Hysterectomy","authors":"Penpak Jensarasart, N. Ayudhya, V. Arnuntasupakul, Amornrat Tangjitbampenboon","doi":"10.14456/TJOG.2016.31","DOIUrl":"https://doi.org/10.14456/TJOG.2016.31","url":null,"abstract":"Objective: To compare effect of bupivacaine local infiltration with parecoxib intravenous administered for post surgical pain relief in woman undergoing abdominal hysterectomy. Materials and Methods: From August 2014 to January 2015, 42 patients scheduled for abdominal hysterectomy under general anesthesia were randomly allocated to 2 groups. Group P (n=21) were received 40 mg intravenous parecoxib and group B (n=21) were received 0.5% bupivacaine 20 mL intraoperative injection to incisional surgical site before the subcutaneous fat and skin were closed. All patients were received morphine patient-controlled analgesia (PCA) at ward. Main outcome measures: Pain scores, morphine consumption, sedation score and nausea or vomiting were assessed at 2, 6, 10, 14 and 26 hours after surgery. Antiemetic requirement, pruritus and satisfaction scores were evaluated at 26 hours after surgery. Results: No significant differences between 2 groups in age, BMI, surgical time and intraoperative dose of fentanyl were found. Pain scores at rest were significantly lower (p=0.045) in the P group at 2, 14 hours after surgery. There were no significant differences in pain scores during movement, morphine consumption, sedation score, nausea or vomiting, antiemetic requirement, pruritus and satisfaction scores between 2 groups. Conclusion: The use of parecoxib with PCA morphine in post operative analgesia reduced pain significantly when compared with bupivacaine at 2 and 14 hours after surgery.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"24 1","pages":"216-223"},"PeriodicalIF":0.0,"publicationDate":"2016-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66679354","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

Anemia and pregnancy outcomes in teenage prenatal care clinic at Siriraj hospital 斯里拉杰医院青少年产前护理诊所的贫血和妊娠结局

Thai Journal of Obstetrics and Gynaecology Pub Date : 2016-09-30 DOI: 10.14456/tjog.2016.26

Supapen Lertvutivivat, Pattarawalai Talungchit

{"title":"Anemia and pregnancy outcomes in teenage prenatal care clinic at Siriraj hospital","authors":"Supapen Lertvutivivat, Pattarawalai Talungchit","doi":"10.14456/tjog.2016.26","DOIUrl":"https://doi.org/10.14456/tjog.2016.26","url":null,"abstract":"Abstract Objectives : To compare the prevalence of anemia and pregnancy outcomes between teenage pregnancies who received teenage prenatal care services and general prenatal care services at Siriraj Hospital. Methods : Medical records of 343 and 347 teenage pregnancies who received antenatal care (ANC) at teenage prenatal care clinic and general ANC clinic for more than 4 times and delivered at Siriraj Hospital were reviewed. Prevalence of anemia at first ANC and before delivery as well as pregnancy outcomes were compared. Various factors associated with anemia were evaluated. Results: Women in teenage prenatal care clinic were younger (16.9 + 1.2 vs. 17.5 + 1.3 years, p 0.05). Improvement and deterioration of anemia status were also comparable between the 2 groups (46.8% vs. 54.4%, and 13.2% vs. 13.6%, respectively, p>0.05). No differences of various pregnancy outcomes were observed between groups, including, preterm birth, low birth weight, primary cesarean delivery rates. Logistic regression analysis demonstrates that anemia at 1 st ANC and maternal age 0.05) เปรยบเทยบภาวะซดทดขนและแยลงระหวางทง 2 กลม (46.8% กบ 54.4% และ 13.2% กบ 13.6% ตามลำดบ, p>0.05) ไมพบความแตกตางของผลของการตงครรภทง 2กลมทงในเรองของการคลอดกอนกำหนด ทารกนำหนกตวนอย หรออตราการผาตดคลอดบตร จากการวเคราะหการถดถอยโลจสตกพบวาภาวะซดทการฝากครรภครงแรกและอายของสตรตงครรภทนอยกวา 17ป จะเพมความเสยงตอการเกดภาวะซดกอนคลอด (adjusted OR 4.7, 95%CI 3.1-7.0, และ 1.8, 95%CI 1.2-2.8 ตามลำดบ) บทสรป : ความชกของภาวะซดและผลของการตงครรภในสตรตงครรภวยรนทไดรบการฝากครรภทคลนกมารดาวยรนและคลนกทวไปไมแตกตางกนอยางมนยสำคญ ภาวะซดทการฝากครรภครงแรกและอายของสตรตงครรภทนอยกวา 17ป เปนปจจยทสมพนธกบการเกดภาวะซดกอนคลอด คำสำคญ : สตรตงครรภวยรน ภาวะซดขณะตงครรภ","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"24 1","pages":"153-160"},"PeriodicalIF":0.0,"publicationDate":"2016-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66679219","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

Comparison of pregnancy rate following IUI between the use of husband’s sperm and donor’s sperm in Siriraj Hospital Siriraj医院使用丈夫精子和供体精子宫内人工授精后妊娠率的比较

Thai Journal of Obstetrics and Gynaecology Pub Date : 2016-09-30 DOI: 10.14456/TJOG.2016.23

Achjima Tankul, Japarath Prechapanich

引用次数: 0

Metformin – a possible way to reduce risk and improve oncological outcome of cervical cancer 二甲双胍-一种可能降低宫颈癌风险和改善肿瘤预后的方法

Thai Journal of Obstetrics and Gynaecology Pub Date : 2016-09-30 DOI: 10.14456/TJOG.2016.24

J. Hanprasertpong

引用次数: 0

Knowledge, Attitudes and Practices Regarding Breastfeeding Support among Village Health Volunteers in Nakhon Nayok, Thailand 泰国那空那育村卫生志愿者关于母乳喂养支持的知识、态度和做法

Thai Journal of Obstetrics and Gynaecology Pub Date : 2016-06-30 DOI: 10.14456/TJOG.2016.11

Pawin Puapornpong

{"title":"Knowledge, Attitudes and Practices Regarding Breastfeeding Support among Village Health Volunteers in Nakhon Nayok, Thailand","authors":"Pawin Puapornpong","doi":"10.14456/TJOG.2016.11","DOIUrl":"https://doi.org/10.14456/TJOG.2016.11","url":null,"abstract":"Background: In Thailand, village health volunteer play an important role for breastfeeding support in the community. Objective: to assess the knowledge, attitudes and breastfeeding support practices provided by village health volunteers. Materials and Methods : The subjects were 72 village health volunteers from three sub-districts; Klong Yai, Buangsan and Chomphol of the Ongkharak district in the Nakhon Nayok province. The study was done during the period from the beginning of March to the end of June, 2014. The questionnaire has been designed to assess the knowledge, attitudes and breastfeeding support practice provided by the village health volunteers. The questionnaires were distributed to the village health volunteers and the data analyzed. The 6-month exclusive breastfeeding rates of each area were determined by home visitation. The data was collected and analyzed by the Chi square and Kruskal-Wallis test. Results: The knowledge score totaled 8 points. The median of the knowledge scores of Klong Yai, Buangsan and Chomphol were 7, 8 and 7 points, respectively. The attitude score totaled 30 points. The median of attitude scores of Klong Yai, Buangsan and Chomphol were 26, 30 and 28 points; percentages of the village health volunteer’s home visits and breastfeeding support were 75.0, 90.5 and 87.5; and the exclusive breastfeeding rates for six months were 33.3%, 39.3% and 37.0%, respectively. Conclusion: The knowledge, attitudes and breastfeeding support practices among village health volunteers in the three sub-districts were high and were consistent with the 6-month, exclusive breastfeeding rates for each area.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"24 1","pages":"89-96"},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66678858","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

Sequential surgical steps for conservative management of Morbidly Adherent Placenta: Case series 保守治疗病态附着性胎盘的顺序手术步骤:病例系列

Thai Journal of Obstetrics and Gynaecology Pub Date : 2016-06-30 DOI: 10.14456/TJOG.2016.20

A. B. A. Mitwaly, A. Abbas

{"title":"Sequential surgical steps for conservative management of Morbidly Adherent Placenta: Case series","authors":"A. B. A. Mitwaly, A. Abbas","doi":"10.14456/TJOG.2016.20","DOIUrl":"https://doi.org/10.14456/TJOG.2016.20","url":null,"abstract":"Objective: Cesarean section rates are increasing with associated increase in placenta previa and accreta. Placenta accreta is a major cause of maternal morbidity and mortality. Our objective was to evaluate of a new method of combined surgical steps in management of morbidly adherent placenta (MAP) to face its burden, psychological and marital disintegration if managed by hysterectomy in our low facilities. Materials and Methods: In this case series, we evaluated the use of sequential surgical steps for conservative management of 20 cases of MAP as regard the intra-operative and post-operative outcomes in Assiut Women Health Hospital, Egypt from June to December 2014. The sequential steps started by perfect dissection of urinary bladder, then delivery of the fetus followed by exteriorization of the uterus and application of 4 ring forceps on both uterine and ovarian vessels. Trial of placenta removal followed by application of two towels in the uterine cavity to achieve hemostasis. Ligation of uterine artery bilaterally at double low level. Finally, plication of the friable lower uterine segment from anterior wall after removal of towels. Results: The mean age of the included women was 29.95±4.8 years. All cases had previous uterine scar and placenta previa. Ten cases (50%) had placenta accreta, 8 cases (40%) had placenta increta and 2 cases had placenta percreta. Our procedure was successive in all 18 cases of placenta accreta and increta but the last 2 cases of placenta percreta required hysterectomy. No post partum hemorrhage in all cases. There were no maternal deaths. Discussion: This new method was favorable in the management of MAP and decreased the incidence of hysterectomy in cases of placenta accreta and increta.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"24 1","pages":"136-140"},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66678675","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: 6

Prevention of Postpartum Hemorrhage with Oxytocin versus Ergometrine Plus Oxytocin in the third stage of labor 催产素与麦角新碱联合催产素在分娩第三期预防产后出血的比较

Thai Journal of Obstetrics and Gynaecology Pub Date : 2016-06-30 DOI: 10.14456/TJOG.2016.12

Thitipun Nuamsiri, Kasemsis Kaewkiattikun

{"title":"Prevention of Postpartum Hemorrhage with Oxytocin versus Ergometrine Plus Oxytocin in the third stage of labor","authors":"Thitipun Nuamsiri, Kasemsis Kaewkiattikun","doi":"10.14456/TJOG.2016.12","DOIUrl":"https://doi.org/10.14456/TJOG.2016.12","url":null,"abstract":"Objective : To evaluate the effect of the addition of intravenous ergometrine to a standard oxytocin infusion on the blood loss during vaginal delivery. Study design : Prospective, double-blinded, randomized controlled trial. Materials and methods : Three hundred and twenty-three women were randomized to receive infusion of either ergometrine 0.2 mg plus oxytocin 20 IU or oxytocin 20 IU, diluted in 1,000 ml of 5%D/N/2, immediately after delivery of the baby. The primary outcome was the estimated blood loss. The secondary outcomes included PPH, changes in hemoglobin level, the use of additional uterotonics, need for blood transfusion and adverse effects. Results : The estimated postpartum blood loss was similar in the oxytocin–ergometrine and oxytocin groups (145 ml versus 150 ml, p=0.979). None of the women in the oxytocin–ergometrine group had PPH while one woman (0.6%) in the oxytocin group encountered this complication (p=0.498). There was no significant difference between both groups in terms of changes in hemoglobin level, use of additional uterotonics and need for blood transfusion. Hypertension was significantly more common in the oxytocin–ergometrine group than in the oxytocin group (6.2% VS 0%, p< 0.001). Conclusions : There was no difference in postpartum blood loss during vaginal delivery between oxytocin–ergometrine and oxytocin groups. Hypertension was frequently found in the oxytocin–ergometrine group. However, other adverse effects were not significantly different between both groups.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"24 1","pages":"97-103"},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66678908","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: 4

The utility of routine endocervical curettage at the time of colposcopy for low-grade cytologic abnormalities to improve diagnosis of high-grade diseases 在阴道镜检查低级别细胞学异常时进行常规宫颈刮除以提高对高级别疾病的诊断

Thai Journal of Obstetrics and Gynaecology Pub Date : 2016-06-30 DOI: 10.14456/tjog.2016.19

C. Suebthawinkul, Thitiwan Chaisuriyapun

{"title":"The utility of routine endocervical curettage at the time of colposcopy for low-grade cytologic abnormalities to improve diagnosis of high-grade diseases","authors":"C. Suebthawinkul, Thitiwan Chaisuriyapun","doi":"10.14456/tjog.2016.19","DOIUrl":"https://doi.org/10.14456/tjog.2016.19","url":null,"abstract":"Objective: To determine the use of endocervical curettage(ECC) at the time of colposcopy for low-grade cytologic abnormalities to improve the diagnosis of high-grade diseases. Materials and methods: A prospective diagnostic study was conducted. We included women with low-grade cytologic abnormalities: low-grade squamous intraepithelial lesion (LSIL) who had undergone colposcopy at Chonburi Hospital between January 2014 to March 2015. Data collected were age, menopausal status, HIV status, parity, contraception, colposcopic findings and pathological report of biopsy and ECC. Main outcome measure: Primary outcome was the increasing rate of ECC in colposcopy for LSIL to detect high-grade lesion. Result: Eighty-seven women met criteria. Nine cases (10.3%) were ECC positive for high-grade lesion. Of these nine cases, seven cases were only ECC positive, resulting in 8.04% increased detection with ECC independently of biopsy, with a sensitivity of 20.0%, specificity of 91.91%, positive predictive value of 22.22% and negative predictive value of 89.74%. Therefore, twelve to thirteen ECCs needed to be performed to detect one case of high-grade diseases. Among post-menopausal women or women older than 40 years old, the sensitivity of ECC improved, with a sensitivity of 100% and 85% respectively. Conclusion: The increased detection rate of ECC to detect high-grade lesions in women who had low-grade cytological abnormalities in our study was 8.04%. Routine ECC at the time of colposcopy for LSIL in young women is debatable. However, the sensitivity of ECC was found to be increased in women aged over 40 and post-menopausal women. Therefore, ECC may be useful in older and post-menopausal women.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"24 1","pages":"128-135"},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66678610","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

Editorial (doi: 10.14456/tjog.2016.18) 社论（doi:10.14456/tjog.2016.18）

Thai Journal of Obstetrics and Gynaecology Pub Date : 2016-06-30 DOI: 10.14456/TJOG.2016.18

Vorapong Phupong

引用次数: 0

Emergency postpartum hysterectomy in Sisaket Hospital: clinical characteristic and risk factors Sisaket医院急诊产后子宫切除术:临床特点及危险因素

Thai Journal of Obstetrics and Gynaecology Pub Date : 2016-06-30 DOI: 10.14456/tjog.2016.10

P. Angkawanich

{"title":"Emergency postpartum hysterectomy in Sisaket Hospital: clinical characteristic and risk factors","authors":"P. Angkawanich","doi":"10.14456/tjog.2016.10","DOIUrl":"https://doi.org/10.14456/tjog.2016.10","url":null,"abstract":"Background: Postpartum hemorrhage remains a leading cause of maternal death. Although there had been the improvement of various treatments, such as prostaglandin and s-Lynch suture, some women did not respond to these treatments and needed Emergency peripartum hysterectomy (EPH) to control intractable bleeding. The aim of this study was to determine clinical characteristics associated with EPH in Sisaket Hospital. Objective: To determine the incidence, indications, clinical characteristics and risk factors influencing EPH. Design: A retrospective hospital-based descriptive and case control study. Setting: Department of Obstetrics and Gynecology, Sisaket Hospital. Methods and Materials: Women who was pregnant 28 weeks gestational age or more and carried out EPH within 24 hours after delivery at Sisaket Hospital from January 2012 to June 2015 (total 26 cases) were identified from labor registration records. Their medical records were reviewed to assess the following outcomes (1) incidence of EPH (2) indications for EPH (3) clinical characteristics and risk factors associated with EPH (4) complications after EPH. Women who gave birth before (2 cases) and after (2 cases) the cases of EPH (total 104 cases ) were the control used to assess the risk factors associated with EPH. Result: During the study period, there were 17,566 deliveries at 28 weeks gestational age or more. Among them, there were 26 cases undergoing EPH. The incidence was 1.48 per 1,000 deliveries. Medical records showed that placenta adherent (65.38%) was the most common indication of EPH followed by uterine atony (26.92%) and uterine rupture (7.69%). The significant risk factors affecting EPH by multivariate logistic regression analysis were maternal age ≥ 35 years, cesarean delivery and delivery at 28-36 weeks gestational age. There were two maternal deaths after EPH. Conclusions: Clinical characteristics and risk factors associated with EPH were age ≥ 35 years, cesarean delivery and delivery at GA28-36weeks.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"24 1","pages":"81-88"},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66678806","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