South African Journal of Obstetrics and Gynaecology最新文献_第6页

Late termination of pregnancy for fetal anomalies: Experience at a tertiary-care hospital in South Africa 因胎儿异常而延迟终止妊娠：南非一家三级护理医院的经验

South African Journal of Obstetrics and Gynaecology Pub Date : 2019-10-28 DOI: 10.7196/SAJOG.1402

Fauziasham Shahid, P. Soma-Pillay

{"title":"Late termination of pregnancy for fetal anomalies: Experience at a tertiary-care hospital in South Africa","authors":"Fauziasham Shahid, P. Soma-Pillay","doi":"10.7196/SAJOG.1402","DOIUrl":"https://doi.org/10.7196/SAJOG.1402","url":null,"abstract":"Background. Early diagnosis and appropriate management of congenital anomalies can help prevent neonatal morbidity and mortality. Termination of pregnancy for severe congenital anomalies is permitted under South African law. Objective . To determine factors causing delayed diagnosis of lethal congenital abnormalities requiring late termination of pregnancy at Steve Biko Academic Hospital in Pretoria, South Africa. Methods. Medical records of pregnant women who presented with lethal fetal anomalies over a period of 7.5 years were analysed. Patients’ demographic profile, the interval from referral to feticide, gestational age at first scan and diagnosis, type of anomaly and feticide methods were considered. The cohort was divided in two groups based on timing of termination (i.e. earlier than 28 weeks and later than 28 weeks’ gestation) for statistical comparison. Results. The majority of women ( n =45; 78.9%) were younger than 35 years and had no chronic medical conditions or risk factors ( n =40; 70%). Although 30 women (52.6%) had been booked for antenatal examination early in their pregnancy, only three (5.2%) had a first-trimester scan. Mean time to referral was not significantly different between the women whose pregnancies terminated earlier than 28 weeks and those with a termination after 28 weeks ( p =0.671). Conclusion. A basic ultrasound scan in the second trimester is recommended for all pregnant women. Task shifting can be a viable option to provide this facility at primary and secondary health centres. A national registry should be established to document all late terminations for fetal anomalies.","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7196/SAJOG.1402","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49647455","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

Procalcitonin: Blood tests are useful but must be interpreted with caution – inflammatory markers are no exception 降钙素原：血液测试是有用的，但必须谨慎解读——炎症标志物也不例外

South African Journal of Obstetrics and Gynaecology Pub Date : 2019-08-27 DOI: 10.7196/sajog.1484

W. Edridge

引用次数: 0

Audit of routine tests in the antenatal period in women delivering at National District Hospital, Bloemfontein, South Africa, in 2016 2016年南非布隆方丹国家地区医院分娩妇女产前常规检查审计

South African Journal of Obstetrics and Gynaecology Pub Date : 2019-08-27 DOI: 10.7196/sajog.1438

W. J. Steinberg, G. Joubert, A. Adu-Parko, M. Godloza, N. P. Lehasa, N. Manele, N. Moselakgomo, M. Motsoikha

{"title":"Audit of routine tests in the antenatal period in women delivering at National District Hospital, Bloemfontein, South Africa, in 2016","authors":"W. J. Steinberg, G. Joubert, A. Adu-Parko, M. Godloza, N. P. Lehasa, N. Manele, N. Moselakgomo, M. Motsoikha","doi":"10.7196/sajog.1438","DOIUrl":"https://doi.org/10.7196/sajog.1438","url":null,"abstract":"Background. Infectious diseases are transmissible from mother to unborn child. Appropriate treatment during antenatal care is crucial. Objective. To determine whether routine antenatal tests (syphilis, HIV, Rhesus factor) were performed in women delivering at National District Hospital (NDH), Bloemfontein, South Africa, and whether treatment was initiated for women testing positive for these infections. Methods. This descriptive retrospective study consisted of 2 425 women who delivered between January and December 2016. Antenatal care history was obtained from the delivery register. Results. Nearly all women were tested for syphilis (99.1%), HIV (99.9%) and Rhesus factor (99.9%). A third (33.3%) of the patients who tested positive for syphilis were untreated. Of the 27.0% of patients who tested HIV-positive, 99.7% were recorded to have been on treatment. Just over half (54.3%) of the patients who tested Rhesus-negative received prophylaxis. Conclusion. A record of routine antenatal testing of women delivering at NDH was found. The reaction to positive results could improve.","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7196/sajog.1438","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43356032","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

Adverse pregnancy outcomes associated with maternal prenatal ingestion of traditional medicine 与母体产前摄入传统药物相关的不良妊娠结局

South African Journal of Obstetrics and Gynaecology Pub Date : 2019-08-27 DOI: 10.7196/sajog.1423

N. Ngene, A. Siveregi

引用次数: 4

A case of immune thrombocytopenic purpura complicated by HELLP syndrome 免疫性血小板减少性紫癜并发HELLP综合征1例

South African Journal of Obstetrics and Gynaecology Pub Date : 2019-08-27 DOI: 10.7196/sajog.1353

S. Prithipal

引用次数: 0

Contents 内容

South African Journal of Obstetrics and Gynaecology Pub Date : 2019-08-27 DOI: 10.7196/sajog.1486

Gertrude Fani

引用次数: 0

Successful pregnancy in a patient with Swyer syndrome, or pure 46,XY gonadal dysgenesis Swyer综合征或纯46,xy性腺发育不良患者的成功妊娠

South African Journal of Obstetrics and Gynaecology Pub Date : 2019-08-27 DOI: 10.7196/sajog.1448

A. Chrysostomou, M. Tsuari

引用次数: 2

Evaluation of the effect of 10% lidocaine spray on reducing the pain of intrauterine device insertion: A randomised controlled trial 10%利多卡因喷雾剂减轻宫内节育器插入疼痛的效果评价：一项随机对照试验

South African Journal of Obstetrics and Gynaecology Pub Date : 2019-08-27 DOI: 10.7196/sajog.1383

M. Hajiesmaello, E. Mohammadi, H. Farrokh-Eslamlou

{"title":"Evaluation of the effect of 10% lidocaine spray on reducing the pain of intrauterine device insertion: A randomised controlled trial","authors":"M. Hajiesmaello, E. Mohammadi, H. Farrokh-Eslamlou","doi":"10.7196/sajog.1383","DOIUrl":"https://doi.org/10.7196/sajog.1383","url":null,"abstract":"Background. The intrauterine device (IUD) is among the most efficient contraceptive methods. However, IUD insertion is accompanied by pain and discomfort. Objectives. To evaluate the analgesic effects of 10% lidocaine spray in reducing pain during IUD insertion. Method. In a randomised clinical trial, 80 volunteers attending two clinics for IUD insertion were selected for study, and randomly allocated to two groups. The intervention group received four puffs of 10% lidocaine spray on their cervix prior to IUD insertion. The routine procedure (without an analgesic) was followed in the control group. The intensity of perceived pain in both groups was measured using a visual analogue scale from 0 to 10. Results. The two groups had significant differences in pain intensity at all stages of the procedure ( p <0.001). The most painful stage of the procedure was tenaculum placement (mean (standard deviation) pain intensity 2.2 (1.34) in the intervention group; 4.25 (1.92) in the control group). Conclusion. Based on our findings, 10% lidocaine spray can be applied as a non-invasive, inexpensive, easy-to-use and accessible method to decrease IUD insertion pain.","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7196/sajog.1383","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44685698","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

An audit of the CaesAid vacuum-assisted delivery cup compared with forceps delivery of the fetal head in caesarean section 剖宫产中使用CaesAid真空助产杯与产钳娩出胎儿头的比较分析

South African Journal of Obstetrics and Gynaecology Pub Date : 2019-08-27 DOI: 10.7196/sajog.1377

N. Stolwijk, P. R. Jong

{"title":"An audit of the CaesAid vacuum-assisted delivery cup compared with forceps delivery of the fetal head in caesarean section","authors":"N. Stolwijk, P. R. Jong","doi":"10.7196/sajog.1377","DOIUrl":"https://doi.org/10.7196/sajog.1377","url":null,"abstract":"Background. Vacuum-assisted caesarean delivery may result in a quicker delivery of the fetal head than the use of forceps, and improve maternal and fetal outcomes. The new CaesAid vacuum-assisted delivery (VAD) cup was designed specifically for this use. Objectives. To assess whether the CaesAid VAD cup influences the duration of fetal head delivery at caesarean section when compared with forceps, and whether there are differences in perioperative complications in the mother and fetus. Methods. We carried out a retrospective clinical audit of 132 patients who underwent caesarean delivery at the Netcare Christiaan Barnard Memorial Hospital in Cape Town, South Africa, from April to November 2017, aided by either CaesAid VAD cup (C group, n =67) or forceps (F group, n =65). Results. The uterine incision-to-delivery interval was significantly shorter ( p =0.001) in the C group than the F group (median 38 (interquartile range (IQR) 20) v. 60 (IQR 50) seconds, respectively). The maternal blood loss was lower in the C group than the F group (250 mL v. 288 mL; p =0.025). There was no significant difference in Apgar scores or admissions to the neonatal intensive care unit. Neonatal skin injuries were less common in the C group (no cases v. 8 in the F group; p =0.004). Conclusion. The results of this audit suggest that the CaesAid VAD cup is a safe and efficient alternative to forceps for aiding the delivery of the fetal head at caesarean section. However, the routine use of vacuum cups is debatable. Further research could provide more insight into this procedure as a part of obstetric practice.","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7196/sajog.1377","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43551934","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

Serum procalcitonin in pregnancy-associated sepsis: A case control study 妊娠相关性败血症患者血清降钙素原的病例对照研究

South African Journal of Obstetrics and Gynaecology Pub Date : 2019-08-27 DOI: 10.7196/sajog.1397

R. Agarwal, P. Priyadarshini, M. Mehndiratta

{"title":"Serum procalcitonin in pregnancy-associated sepsis: A case control study","authors":"R. Agarwal, P. Priyadarshini, M. Mehndiratta","doi":"10.7196/sajog.1397","DOIUrl":"https://doi.org/10.7196/sajog.1397","url":null,"abstract":"Background. Procalcitonin (PCT) is an established marker for sepsis, particularly bacterial, but its use in diagnosing pregnancy-associated sepsis (PAS) is relatively unexplored. Objective. To investigate whether PCT could be used for the diagnosis of PAS in our study population, and what the appropriate values might be for the diagnosis. Methods. The study included 40 pregnant, post-abortal and postpartum women with PAS, identified using systemic inflammatory response syndrome criteria. Patients with hypertensive disorders, premature rupture of membranes, severe trauma, liver cirrhosis and lung or thyroid malignancies were excluded. Forty healthy term pregnant women with sterile urine cultures were taken as controls. PCT levels were obtained at admission and statistically compared between the groups. Severity and culture positivity in PAS were also assessed. Results. Severe PAS was present in 30 patients. Overall culture positivity was seen in 55% ( n =22) of subjects. Culture-positive patients had higher PCT levels (3.03 μg/L) compared with the culture-negative (1.77 μ/L), though this did not reach statistical significance ( p =0.235). Mean (standard deviation) PCT in PAS patients was 2.46 (0.56) μ/L, while in healthy controls it was 0.091 (0.019) μg/L. This difference was statistically significant ( p 0.125 μg/L is suggested as the critical level for PAS diagnosis in appropriate clinical settings. Additionally, mean PCT levels differed significantly in severe v. non-severe PAS.","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7196/sajog.1397","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49101915","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: 5