{"title":"Prenatal diagnosis preferences of turkish women and the association of their choices with temperament","authors":"O. B. Tulmac, V. Buturak","doi":"10.2174/1573404817666210122151815","DOIUrl":"https://doi.org/10.2174/1573404817666210122151815","url":null,"abstract":"\u0000\u0000The purpose of this study is to explain which choices Turkish women prefer for\u0000prenatal diagnosis more frequently and to find out if there is any association between\u0000temperament and decisions through the prenatal diagnostic steps or consistency of decision.\u0000\u0000\u0000\u0000This is a cross-sectional study on pregnant women who admitted to\u0000our outpatient clinic based on the responses to a self-administered questionnaire at the time of\u0000combined test or triple test as the first prenatal screening test. 198 pregnant completed selfadministered questionnaires comprising 131 questions including Temperament Evaluation of\u0000Memphis, Pisa, Paris and San Diego questionnaire (TEMPS-A).\u0000\u0000\u0000\u0000Overall, 88.4% of women were willing to learn if there was an anomaly, whereas 4.5%\u0000did not; 7.5% were uncertain. Of the included patients, 87.9% would decide on the screening\u0000tests to be performed, 23.2% had a positive attitude on diagnostic tests, and only 13.1% were\u0000in favour of termination. No association was found between the temperament scores and\u0000positive, negative and indecisive attitudes of the patients. In addition, there was no relation\u0000between being decisive and indecisive, and the temperament scores except for cyclothymic\u0000scores. Indecisive attitude to termination was associated with higher cyclothymic scores (5 (1–\u000013) for decisive patients, 7 (0–17 for indecisive patients, p=0.035).\u0000\u0000\u0000\u0000 We found that affective temperaments measured by the TEMPS-A are not related\u0000with the attitudes about prenatal screening or diagnostic tests or termination. Indecisive attitude\u0000to termination was associated with higher cyclothymic scores.\u0000\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126890323","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}
Atefeh Vafadar, S. Masoumi, F. Shobeiri, Y. Mohammadi
{"title":"The Effect of consulting correct techniques of breastfeeding on treatment of fissure on the nipple in primiparous mothers referred to Hamadan healthcare centers: A randomized controlled trial study","authors":"Atefeh Vafadar, S. Masoumi, F. Shobeiri, Y. Mohammadi","doi":"10.2174/1573404817666210122152447","DOIUrl":"https://doi.org/10.2174/1573404817666210122152447","url":null,"abstract":"\u0000\u0000Nipple fissure are frequent complaints of breastfeeding mothers. And\u0000many treatments have been used to treat this problem. But the use of low-risk\u0000methods is more useful for treatment.\u0000\u0000\u0000\u0000 This study aimed to investigate the Effect of consulting correct\u0000techniques of breastfeeding on treatment of fissure on the nipple in primiparous\u0000mothers referred to Hamadan healthcare centers during 2017.\u0000\u0000\u0000\u0000This is a clinical trial study which was conducted on two groups\u0000comprised of 74 primiparous mothers who were admitted in Hamadan health centers\u0000in 2017. They were randomly assigned to two groups of treatment and control. After\u0000completing the demographic questionnaire, the intervention group received\u0000breastfeeding consultation on days 3-5, 10 and 15 days after birth, and control group\u0000received routine trainings like applying a little expressed milk on nipples. Storr and\u0000Bristol Scales were completed by the researcher in before and one week after the last\u0000consultation session. Data were analyzed using SPSS software version 20 and the\u0000significance level was considered 0.05.\u0000\u0000\u0000\u0000\u0000The results showed that the mean score of the Bristol checklist in the intervention\u0000group after counseling was significantly increased (p<0.05) and there were also more\u0000people in the intervention group with improvement in their nipple fissures (66.7%\u0000vs 37.9% at the score of zero).\u0000\u0000\u0000\u0000Multi-session and face-to-face correct techniques of breastfeeding\u0000counselling can help nipple fissure healing in nursing mothers.\u0000The study was approved by Research Ethics Review Board Hamadan University of\u0000Medical Sciences, School of nursing and midwifery, approved the study procedures \u00003\u0000(UMSHA.REC.1396.314) and was registered at the Iranian Registration Clinical\u0000Trials (201709059014N183).\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124235061","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 Hidden Impact of COVID-19 on Sexual and Reproductive Health and Rights of Women in India","authors":"V. Sharmila, T. Babu","doi":"10.2174/1573404817666210111141839","DOIUrl":"https://doi.org/10.2174/1573404817666210111141839","url":null,"abstract":"\u0000\u0000Coronavirus (COVID-19) outbreak was first reported from China in December 2019, and World Health\u0000Organization declared the outbreak as a pandemic on 11 March 2020. The number of confirmed cases is rising alarmingly\u0000in most countries across all continents over the past few months. The current COVID-19 pandemic has an immense\u0000impact on Sexual and reproductive health and rights (SRHR) with disruptions in regular provision of Sexual and\u0000reproductive health (SRH) services such as maternal care, safe abortion services, contraception, prevention and treatment\u0000of HIV/AIDS and other sexually transmitted diseases. Other aspects that merit attention include probable increase in\u0000domestic violence, sexual abuse, and effects of stigma associated with coronavirus infection on SRH clients and health\u0000care providers. Furthermore, as the coronavirus infection is relatively new, only minimal data is available to understand\u0000the impact of this disease on SRH, including coronavirus infection complicating pregnancies, and in people with\u0000STI/HIV-related immunosuppression. There is a serious necessity for the medical fraternity to generate psycho-social and\u0000clinico-epidemiological correlations between coronavirus disease and SRHR outcomes. The article reviews the hidden\u0000impact of coronavirus pandemic on sexual and reproductive health and rights of women, particularly in India\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130121642","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":"Prediction of Successful Induction of labor Using Ultrasonic Fetal Parameters","authors":"W. Hassan, Fatin Shallal, A. Roomi","doi":"10.2174/1573404817666210105151803","DOIUrl":"https://doi.org/10.2174/1573404817666210105151803","url":null,"abstract":"\u0000\u0000 Induction of labor (IOL) is a common obstetrical procedure. Bishop's score was the single\u0000predictor element used by practitioners to assess the risk of failure, which led to an increase in cesarean sections (CS).\u0000Ultrasound (US) examination was proposed since the variability limitations of Bishop score warranted alternative\u0000assessment tools.\u0000\u0000\u0000\u0000 This study verifies how the US and other maternal parameters are used in the transperineal approach as an\u0000indication and as a predictor of successful induction.\u0000\u0000\u0000\u0000 A prospective clinical study of 100 participants with term singleton pregnancy referred for IOL\u0000and who fit the criteria of this study. Their maternal parameters and fetal head to perineum distance (HPD), measured by\u0000the transperineal US, were calculated before the induction. After the induction, the patients were stratified into two\u0000groups, which are vaginal delivery (68%) and CS (32%). The estimated time interval to delivery was also recorded.\u0000\u0000\u0000\u0000 None of the maternal parameters was significant; the P-values of maternal age, parity, body mass index (BMI),\u0000gestational age, and weight of the fetus is 0.75, 0.75, 0.69, 0.81, and 0.81, respectively. One-way ANOVA test estimated\u0000the most significant factors for inducing labor. Fetal HPD and induction to delivery interval were remarkably significant\u0000in both groups <0.0001.\u0000\u0000\u0000\u0000The shorter the HPD (<47.65±1.66 mm), the higher the possibility of vaginal delivery and a shorter delivery\u0000interval. By contrast, the longer HPD (>52.56±1.93mm), the lower the possibility of vaginal delivery and a longer\u0000delivery interval. These promising results may serve as a valuable tool in predicting a mode of delivery.\u0000\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123143572","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}
Solmaz Ghanbari-Homayi, Sonia Hasani, H. Pourfathi, M. Mirghafourvand
{"title":"Effectiveness of Pharmacological Pain Relief Methods on Birth Experience: A Systematic Review and Meta-Analysis","authors":"Solmaz Ghanbari-Homayi, Sonia Hasani, H. Pourfathi, M. Mirghafourvand","doi":"10.2174/1573404817999201230234158","DOIUrl":"https://doi.org/10.2174/1573404817999201230234158","url":null,"abstract":"\u0000\u0000The use of pharmacological pain relief methods during labour is increasing, however there is no\u0000clear evidence that pharmacological interventions can also improve women’s satisfaction with birth experience.\u0000\u0000\u0000\u0000To assess the effectiveness of pharmacological interventions on women's satisfaction with birth experience\u0000(primary outcome) and satisfaction with the received method (secondary outcome).\u0000\u0000\u0000\u0000We searched databases in English (MEDLINE, Cochrane Library, Embase, ProQuest, Scopus and Web of\u0000Science) and Persian languages (SID and Magiran) from inception until April 30, 2018 for clinical trials that\u0000pharmacological pain relief methods were compared with standard or routine cares, or non-pharmacological methods. The\u0000evaluation of studies in term of risk of bias was conducted using the Cochrane Handbook. Meta-analysis results were\u0000reported as OR and 95% confidence interval. In meta-analysis, subgroup analysis was performed based on the type of\u0000intervention. Due to the heterogeneity of over 30%, random effect was reported instead of the fixed effect. The heterogeneity\u0000was evaluated using I2, T2 and Chi2. The evaluation of the quality of the studies was also examined using the Grading of\u0000Recommendation, Assessment, Development and Evaluation Working Group (GRADE) approach.\u0000\u0000\u0000\u0000The results of 7 studies with low-quality in meta-analysis, showed that pharmacological methods significantly\u0000improved satisfaction with birth experience (OR = 2.99; 95% CI: 1.37 to 6.52; P = 0.006). However, meta-analysis of\u0000subgroups showed that only inhalation of Entonox gas (OR = 6.51; 95% CI: 3.47 to 12.22; P < 0.001), in contrast to epidural\u0000analgesia (OR = 1.19; 95% CI: 0.62 to 2.27; P = 0.60) and Hyoscine injection (OR = 2.58; 95% CI: 0.93 to 7.20; P = 0.07)\u0000significantly improved satisfaction with birth experience.\u0000\u0000\u0000\u0000Pharmacological interventions such as epidural, although introduced as one of the effective methods for pain\u0000relief, may not provide women with satisfaction with birth. However, more studies with precise methodology, high sample\u0000size, and standard tools should be performed to more accurately investigate the effect of pharmacological interventions on\u0000birth experience.\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125677954","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":"Complete Uterine Rupture a Stigma for Modern Obstetrics: An Observational Study","authors":"Naina Kumar, Ashu Yadav","doi":"10.2174/1573404817999201230234732","DOIUrl":"https://doi.org/10.2174/1573404817999201230234732","url":null,"abstract":"\u0000\u0000To know the and maternal and perinatal outcome in women with complete uterine rupture. Background:\u0000Uterine rupture is a catastrophic obstetric event associated with high maternal, perinatal morbidity and mortality. Objectives:\u0000The present study was conducted to know prevalence, risk factors, presentation, maternal, perinatal outcome in women with\u0000complete uterine rupture.\u0000\u0000\u0000\u0000Present retrospective observational study was conducted on 31 women admitted to Obstetrics ward of rural\u0000tertiary center of Northern India with complete uterine rupture between January 2016 and December 2018 after Institutional\u0000ethical committee approval and informed written consent from participants. Data included socio-demographic parameters,\u0000gestation, predisposing factors, clinical features, site of rupture, associated bladder injury, need for hysterectomy, perinatal\u0000and maternal outcome. Statistical analysis was done using Statistical Package for the Social Sciences software version 22.0.\u0000\u0000\u0000\u0000Of total 9,156 deliveries during study period 31 women had uterine rupture, indicating prevalence of 0.34%. Of\u0000all, 21(67.7%) women had unscarred uterine rupture and 10(32.3%) scarred uterine rupture. Majority cases were un-booked\u0000(77.4%), multiparous (90.3%) and term at gestation (66.7%) with an average age of all cases as 26.97±3.73 years. Most\u0000common risk factor was injudicious use of oxytocic (29.0%) and previous cesarean section scar (22.6%). Most common site\u0000of unscarred uterine rupture was lower uterine segment (26.7%) and in scarred uterus, site of previous cesarean section\u0000(26.7%). Eight (25.8%) women had bladder injury. Total 24(77.4%) fetuses were stillborn. Seventeen (54.8%) women\u0000needed hysterectomy as lifesaving procedure and three (9.7%) succumbed to death despite of all resuscitative measures.\u0000\u0000\u0000\u0000Hence, complete uterine rupture is common in rural areas and is serious obstetric emergency with high\u0000perinatal, maternal morbidity and mortality. Other: As most of the cases of complete uterine rupture occur in unbooked\u0000women, hence, motivating all antenatal women for regular antenatal visits can prevent the dreadful condition to a large\u0000extent, thereby saving many maternal and fetal lives.\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116809129","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}
Safinaz Reda Mahmoud Abdelwhab, Ali El-shabrawy Ali, M. Ahmed, B. Hamed
{"title":"Maternal Outcomes in Women with Major Degree Placenta Previa: An Observational Cohort Study","authors":"Safinaz Reda Mahmoud Abdelwhab, Ali El-shabrawy Ali, M. Ahmed, B. Hamed","doi":"10.2174/1573404817999201230234519","DOIUrl":"https://doi.org/10.2174/1573404817999201230234519","url":null,"abstract":"\u0000\u0000We aimed to evaluate the maternal outcomes among pregnant women with major degree placenta\u0000previa.\u0000\u0000\u0000\u0000We conducted an observational cohort study on 80 pregnant women diagnosed with major placenta previa\u0000(grades III and IV where the placenta partially or completely cover the internal cervical os) after 20 weeks of pregnancy,\u0000within the period from January 2019 to June 2019. The diagnosis of placenta previa was made by ultrasound and\u0000confirmed at the time of delivery. The study participants were divided into three groups based on the placental location\u0000(Anterior, Central, and Posterior). All analyses were conducted using IBM SPSS software package version 20.0.\u0000\u0000\u0000\u0000Eighty pregnant women, with a mean age of 32.3 (5.01) years and a mean gestational age of 36.2 (2.03) weeks,\u0000were included in our study. Of them, 56.30% had a previous abortion, and previous Cs delivery was reported in 75%.\u0000Most of the placenta previa cases were central (52.5%), with a completely covered internal cervical os (70%). Thirty-nine\u0000patients (48.8%) had placenta accreta. Blood transfusion, postpartum hemorrhage, and anemia were noted with a\u0000percentage of 75%, 32.5%, and 32.5%, respectively. Around 28.8% of the included patients had a hysterectomy. Before\u0000and after delivery, nine patients (21.4%) and 15 patients (35.7%) of the placenta previa centralis group had anemia,\u0000respectively. Moreover, there was no statistically significant difference between the three studies groups in terms of\u0000anemia before and after delivery (P= 0.41 and P= 0.78. respectively). Placenta previa centralis showed a higher incidence\u0000of CS hysterectomy (45.2%) while wound infection was higher in anterior placenta previa (18.2%).\u0000\u0000\u0000\u0000As a predictor of possible obstetric adverse events, placenta previa should be considered. A combination of\u0000proper clinical assessment and timely delivery to reduce the associated complications should be considered as well as\u0000developing a prenatal screening protocol.\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123447337","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}
K. Oshvandi, S. Masoumi, A. Shayan, Seyed Saleh Oliaei, A. Mohammadi, F. Kazemi
{"title":"Comparison of Postpartum Hemoglobin and Hematocrit Levels in Conventional and Physiological Delivery in Iran: A Quasi-Experimental Study","authors":"K. Oshvandi, S. Masoumi, A. Shayan, Seyed Saleh Oliaei, A. Mohammadi, F. Kazemi","doi":"10.2174/1573404817999201228110246","DOIUrl":"https://doi.org/10.2174/1573404817999201228110246","url":null,"abstract":"\u0000\u0000Despite the great importance of controlling and preventing postpartum hemorrhage, no evidence\u0000has been provided to reduce postpartum hemorrhage physiologically compared to conventional vaginal delivery. While it is\u0000claimed that physiological delivery can be better than conventional delivery, in many ways, there is insufficient available\u0000information about the effect of delivery method on postpartum hemoglobin and hematocrit levels.\u0000\u0000\u0000\u0000The current study aimed to compare postpartum hemoglobin and hematocrit levels in conventional and\u0000physiological delivery methods in Fatemieh Hospital of Hamedan.\u0000\u0000\u0000\u0000This quasi-experimental study was conducted on 400 pregnant women candidates for physiological delivery and\u0000400 pregnant women for conventional vaginal delivery in 2019. Mothers in the physiological delivery group were provided\u0000with necessary training. In the conventional vaginal delivery group, the mother went through the usual procedures upon\u0000hospitalization. All mothers' venous blood samples were analyzed for hemoglobin and hematocrit at the time of\u0000hospitalization and six hours after delivery. The significance level was considered 0.05.\u0000\u0000\u0000\u0000\u0000The outcomes indicated that by controlling the confounding variables, the mean of hemoglobin in the physiologic\u0000delivery group was significantly higher than conventional vaginal delivery, 11.93 (1.20) and 11.64 (1.20) respectively (P\u0000<0.001), but the Cohen's d value of 0.25 indicated a weak relationship between the mean of hemoglobin level six hours after\u0000delivery and the type of delivery. The results also indicated that by controlling the effect of confounding variables, the mean of hematocrit in the physiological group was significantly more than conventional vaginal delivery (36.53 (3.33) and 35.50\u0000(3.33) respectively) (p <0.001) but the Cohen's d value of 0.31 indicates a weak relationship between mean hematocrit 6\u0000hours after delivery and the type of delivery.\u0000\u0000\u0000\u0000 The results indicated that physiologic delivery did not show a valuable/considerable or the expected effect on\u0000improving postpartum maternal hemoglobin and hematocrit levels comparing to conventional delivery.\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129097011","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}
Roghieh Bayrami, Alireza Didarloo, H. Khalkhali, H. Ayatollahi, Bita Ghorbani
{"title":"The Effect of Educational Intervention Based on Health Belief Model on Beliefs towards Human Papillomavirus Vaccination in a Sample of Iranian Female Nursing Students","authors":"Roghieh Bayrami, Alireza Didarloo, H. Khalkhali, H. Ayatollahi, Bita Ghorbani","doi":"10.2174/1573404817999201228105419","DOIUrl":"https://doi.org/10.2174/1573404817999201228105419","url":null,"abstract":"\u0000\u0000According to the previous studies, the overall beliefs of the Iranian university students regarding\u0000HPV and HPV vaccination are low.\u0000\u0000\u0000\u0000The purpose of this study was to investigate the effect of educational program based on Health Belief Model\u0000(HBM) on beliefs of Iranian female nursing students towards HPV vaccination.\u0000\u0000\u0000\u0000The present quasi-experimental study was conducted on 80 female nursing students in West\u0000Azarbayjan province, Iran, in 2019. After conducting convenient sampling, 80 participants were randomly assigned into 2\u0000groups (40 in each group). The experimental group received four HBM training program over 4 weeks included HPV\u0000related diseases and HPV vaccination, whereas the control group received no education. A questionnaire consisting of\u0000HBM constructs was used at pre-intervention, immediately after their intervention, and one month later. Data were\u0000analyzed using SPSS 22 through 'chi-square test, independent t-test, repeated measure ANOVA at a significance level of\u00000.05.\u0000\u0000\u0000\u0000 Immediately after the intervention and 1 month later, the experimental group showed a significant increase in\u0000perceived severity, perceived benefits, and cues to action compared to the control group (P < 0.05). There was a difference\u0000of borderline significance between the experimental and control groups in terms of perceived barrier immediately after the\u0000intervention (P=.061).\u0000\u0000\u0000\u0000According to the results of the present study, educational intervention based on HBM constructs can be used\u0000in changing students’ beliefs toward HPV vaccine and its acceptance.\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129995021","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}
M. Negm, A. Refaie, Magdi Ragab El-Sayed, Hesham R. Abdel Azeez, A. Gad, M. Wasfy, Ahmed Abobakr Nasr
{"title":"Sentinel Lymph Node Mapping in Early Stage Endometrial Cancer Patients in Low-Resource Settings","authors":"M. Negm, A. Refaie, Magdi Ragab El-Sayed, Hesham R. Abdel Azeez, A. Gad, M. Wasfy, Ahmed Abobakr Nasr","doi":"10.2174/1573404817999201228192259","DOIUrl":"https://doi.org/10.2174/1573404817999201228192259","url":null,"abstract":"\u0000\u0000Lymph node status has a prognostic role in endometrial cancer patients and it determines the\u0000adjuvant therapy to be administered postoperatively. Complete lymphadenectomy carries the risk of serious\u0000complications. Sentinel lymph node mapping (SLN) may be a good option to reduce these complications. Cervical\u0000injection of methylene blue may be a suitable technique for SLN mapping, which can be applied in low-resource\u0000institutes.\u0000\u0000\u0000\u0000Assessment of the detection rate, sensitivity and false negative rate of SLN mapping using cervical injection of\u0000methylene blue.\u0000\u0000\u0000\u0000A total of 76 patients with early stage endometrial cancer were included. Methylene blue was injected into the\u0000cervix prior to surgery and open surgical approach was used. SLNs were detected by direct visualization of stained lymph\u0000nodes after opening of pelvic spaces. SLNs were excised and pelvic lymphadenectomy was performed. Para-aortic\u0000lymphadenectomy was performed when indicated and surgically feasible. Specimens were examined by H&E staining.\u0000\u0000\u0000\u0000The SLN detection rate was 47.4% and all detected SLNs were pelvic nodes. All patients with lymph node\u0000metastasis had metastatic disease in their SLNs. The technique had 100% sensitivity, 100% negative predictive value and\u0000a 0% false negative rate. An inverse relationship between SLN detection and BMI was detected.\u0000\u0000\u0000\u0000Cervical injection of methylene blue dye with an open approach to detect SLNs in patients with early stage\u0000endometrial cancer has a low detection rate. The most important factor associated with failed mapping is increased BMI.\u0000Further trials are needed to investigate the usefulness of this technique.\u0000","PeriodicalId":371340,"journal":{"name":"Current Womens Health Reviews","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122256204","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}