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New Paradigms in Cervical Cancer Prevention. 宫颈癌预防新范例。
IF 0.7
Journal of Obstetrics and Gynecology of India Pub Date : 2024-08-01 Epub Date: 2024-08-29 DOI: 10.1007/s13224-024-02050-z
Usha B Saraiya
{"title":"New Paradigms in Cervical Cancer Prevention.","authors":"Usha B Saraiya","doi":"10.1007/s13224-024-02050-z","DOIUrl":"https://doi.org/10.1007/s13224-024-02050-z","url":null,"abstract":"<p><p>Cervical Cancer prevention is a relatively new concept in Medicine. Since mid-twentieth century, diagnosis of Precancerous phase became possible thus outcome of invasive cervical cancer could be avoided. The dawn of this new era began with the research on HPV infection, being the causative factor. Clinical use of vaccines made it possible to start primary prevention by the year 2006. There has been a paradigm shift in this field and some of the important shifts will be discussed. The 1st paradigm is to better understand \"Cancer Prevention\". Cytology or the \"Pap Smear\" as it is commonly known is a simple low cost, low technology test. Combining it with biomarker test gives it more validity. Angiogenesis of cervical neoplasia was based on colposcopy. Angiogenesis inhibitor was discovered on this concept which improved treatment results. Incidence and mortality of cervical cancer shows a global disparity. For this, we have to study the social determinants. Some of the causes leading to high mortality are delay in diagnosis and reaching healthcare facility. UN's SD goal has suggested 30% reduction to be achieved. HPV is the cause of many other cancers apart from cervical cancer which may lead to suffering and mortality. The most deadly genotypes of HPV are 9 which form the NONAVALENT Vaccine. Introduction of vaccine made in India may be a game changer. A new \"Ray of Hope\" was the introduction of therapeutic vaccines in 2020. It will reduce human suffering and prolong life. As research advances, many more new Paradigms will evolve.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"74 4","pages":"295-302"},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11399363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cervical Cancer Elimination. 90:70:90. Together We Can. 消除宫颈癌。90:70:90.我们能做到
IF 0.7
Journal of Obstetrics and Gynecology of India Pub Date : 2024-08-01 Epub Date: 2024-08-31 DOI: 10.1007/s13224-024-02052-x
C N Purandare
{"title":"Cervical Cancer Elimination. 90:70:90. Together We Can.","authors":"C N Purandare","doi":"10.1007/s13224-024-02052-x","DOIUrl":"https://doi.org/10.1007/s13224-024-02052-x","url":null,"abstract":"<p><p>Cervical cancer elimination is a global health priority with the ambitious 90:70:90 target set by the WHO. This initiative aims for 90% of girls to be vaccinated against HPV, 70% of women to be screened with a high-performance test, and 90% of those who test positive to receive appropriate treatment by 2030. This editorial reflects on the journey from the initial declaration in 2018 to the present, highlighting the progress, challenges, and future directions in the fight against cervical cancer. With significant contributions from organizations like FIGO and FOGSI, the introduction of cost-effective vaccines and advanced screening methods, we are on a path towards achieving our targets. However, persistent efforts and global collaboration are essential to overcome the remaining hurdles.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"74 4","pages":"292-294"},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11399510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postpartum Hemorrhage: Enhancing Outcomes for Mothers by Effective Management. 产后出血：产后出血：通过有效管理提高母亲的预后。
IF 0.7
Journal of Obstetrics and Gynecology of India Pub Date : 2024-06-01 Epub Date: 2024-06-27 DOI: 10.1007/s13224-024-02022-3
Madhuri Patel
{"title":"Postpartum Hemorrhage: Enhancing Outcomes for Mothers by Effective Management.","authors":"Madhuri Patel","doi":"10.1007/s13224-024-02022-3","DOIUrl":"10.1007/s13224-024-02022-3","url":null,"abstract":"<p><p>Postpartum hemorrhage (PPH) remains a significant contributor to maternal morbidity and mortality worldwide. In India, PPH affects approximately 12% of women. The prevention and management of PPH are the significant challenges in obstetrics, with accurate assessment of blood loss and timely intervention being critical. Active Management of the Third Stage of Labor is a gold standard strategy for prevention. Recent advancements in PPH management include the use of recombinant activated factor VIIa, which has shown promise in decreasing the need for invasive procedures and second-line therapies. Additionally, surgical and radiological interventions have been effective in cases of refractory PPH. Overall, ongoing research and advancements in PPH management continue to enhance the quality of care and maternal outcomes experiencing this potentially life-threatening complication of childbirth. This editorial explores prevention and management of Atonic PPH with encompassing medical and surgical strategies, to enhance understanding and optimize clinical care for mothers at risk of this obstetric emergency.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"74 3","pages":"191-195"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11224172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Menopause: Why is Everyone Talking About it Now? 更年期：为什么现在每个人都在谈论它？
IF 0.7
Journal of Obstetrics and Gynecology of India Pub Date : 2024-06-01 Epub Date: 2024-06-27 DOI: 10.1007/s13224-024-02033-0
Sujata A Dalvi
{"title":"Menopause: Why is Everyone Talking About it Now?","authors":"Sujata A Dalvi","doi":"10.1007/s13224-024-02033-0","DOIUrl":"10.1007/s13224-024-02033-0","url":null,"abstract":"<p><p>There is an interest in menopause that demands answers and solutions. Menopause affects each women differently and hence it is unique and needs to be talked about. This focus has led to improvement in women's health bringing about better outcome in physical and mental health. Increase in life expectancy has led to menopausal health care, an important issue. Menopause is not disease but causes symptoms that can differ individually. Occasionally, surgery, radiation, and medications can cause menopause. Menopause hormone therapy (MHT), nonhormonal therapy, and lifestyle modifications under supervision can improve menopausal outcome. It also gives window of opportunity to evaluate and reduce risk of cardiovascular, bone, and urogenital health. Menopausal women should be provided with all options that are suitable and feasible for improvement in their life.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"74 3","pages":"196-200"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11224163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experiences of "Antara": The Injectable Contraceptive in Rural Indian Women Presenting to a Tertiary Care Hospital of Eastern India. 安塔拉"：在印度东部一家三级医院就诊的印度农村妇女使用注射避孕药的经历。
IF 0.7
Journal of Obstetrics and Gynecology of India Pub Date : 2024-06-01 Epub Date: 2024-02-01 DOI: 10.1007/s13224-023-01863-8
Sabyasachi Ray, Kinkar Sing, Titol Biswas, Siva Tejaswi Manepalli, Akanksha Chaturvedi
{"title":"Experiences of \"Antara\": The Injectable Contraceptive in Rural Indian Women Presenting to a Tertiary Care Hospital of Eastern India.","authors":"Sabyasachi Ray, Kinkar Sing, Titol Biswas, Siva Tejaswi Manepalli, Akanksha Chaturvedi","doi":"10.1007/s13224-023-01863-8","DOIUrl":"10.1007/s13224-023-01863-8","url":null,"abstract":"<p><strong>Introduction: </strong>Depot medroxy progesterone acetate (DMPA) is an injectable contraceptive with well-proven effectiveness and excellent safety profile. It is marketed as Antara in India as a part of the government's family planning programme.</p><p><strong>Purpose: </strong>This study aimed to assess the experiences of women using Antara (DMPA) at a tertiary care hospital of Eastern India.</p><p><strong>Materials and methods: </strong>An institution-based retrospective cross-sectional study was carried out in the family planning unit of the study institution from April 2021 to October 2022 among 200 women of reproductive age. Each of the mothers was administered a researcher-administered questionnaire containing questions pertaining to their sociodemographic characteristics and Antara use experience.</p><p><strong>Results: </strong>The mean age of the study participants was 26.4 ± 5.9 years. Most of the participants were Hindus (55.0%), homemakers by their occupation (86.0%), and from lower socio-economic status. A significant proportion of the women had no formal education (14.0%) or had below primary education (14.5%). The most common reason provided by the participants for the discontinuation of Antara was the incidence of various side effects such as irregular menstruation, amenorrhea and apprehension. Lower educational status (<i>p</i> value < 0.001), poorer socio-economic status (<i>p</i> value < 0.001), and interval period starting of Antara (<i>p</i> value < 0.001) were statistically significantly associated with the discontinuation of the contraceptive.</p><p><strong>Conclusions: </strong>Most women who started taking DMPA (Antara) discontinued due to the fear of side effects. Therefore, the focus should be to educate women regarding the benefits and side effects of DMPA through proper counselling.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"74 3","pages":"243-249"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11224178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women's Health: Coming of Age on 2024. 女性健康：在 2024 年到来之际。
IF 0.7
Journal of Obstetrics and Gynecology of India Pub Date : 2024-04-01 Epub Date: 2024-04-20 DOI: 10.1007/s13224-024-01990-w
Madhuri Patel
{"title":"Women's Health: Coming of Age on 2024.","authors":"Madhuri Patel","doi":"10.1007/s13224-024-01990-w","DOIUrl":"https://doi.org/10.1007/s13224-024-01990-w","url":null,"abstract":"<p><p>The focus of the life and work of an obstetrics and gynaecological specialist is improving women's health, hence it is imperative that this issue be addressed in the Journal of Obstetrics and Gynaecology of India while we are still fresh with our memories of the \"International women's day\" celebration. The multidimensional impact of health and well-being of women has now been realised not only in the medical field but also in the realms of socioeconomic development. Governments all over the world are now paying special attention towards improving infrastructure, policymaking and implementation strategies to uplift the quality of healthcare for women and children, which  are now also important components of the Sustainable Development Goals. It is heartening to see worldwide interdisciplinary collaboration and coordination to achieve this vital goal and include every aspect of women's healthcare through the \"lifecycle\" approach and \"holistic care\" protocols.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"74 2","pages":"99-103"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11065823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
President's Address. 主席致辞
IF 0.7
Journal of Obstetrics and Gynecology of India Pub Date : 2024-02-01 Epub Date: 2024-02-23 DOI: 10.1007/s13224-024-01971-z
Jaydeep Tank
{"title":"President's Address.","authors":"Jaydeep Tank","doi":"10.1007/s13224-024-01971-z","DOIUrl":"https://doi.org/10.1007/s13224-024-01971-z","url":null,"abstract":"","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"74 1","pages":"3-11"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Taking It Forward…………. Taking It Forward.............
IF 0.7
Journal of Obstetrics and Gynecology of India Pub Date : 2024-02-01 Epub Date: 2024-02-23 DOI: 10.1007/s13224-024-01962-0
Madhuri Patel
{"title":"Taking It Forward………….","authors":"Madhuri Patel","doi":"10.1007/s13224-024-01962-0","DOIUrl":"https://doi.org/10.1007/s13224-024-01962-0","url":null,"abstract":"","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"74 1","pages":"1-2"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Revisiting Imperforate Anus in Delivery Rooms. 重新审视产房中的肛门穿孔。
IF 0.7
Journal of Obstetrics and Gynecology of India Pub Date : 2023-12-01 Epub Date: 2023-11-18 DOI: 10.1007/s13224-023-01865-6
Chetan Khare
{"title":"Revisiting Imperforate Anus in Delivery Rooms.","authors":"Chetan Khare","doi":"10.1007/s13224-023-01865-6","DOIUrl":"https://doi.org/10.1007/s13224-023-01865-6","url":null,"abstract":"","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 2","pages":"290-291"},"PeriodicalIF":0.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10746625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Uterine PEcoma: A Case Report with Diagnostic Conundrums. 子宫 PEcoma：诊断难题的病例报告
IF 0.7
Journal of Obstetrics and Gynecology of India Pub Date : 2023-12-01 Epub Date: 2023-11-21 DOI: 10.1007/s13224-023-01864-7
Paramita Paul, Kirti Rajput
{"title":"Uterine PEcoma: A Case Report with Diagnostic Conundrums.","authors":"Paramita Paul, Kirti Rajput","doi":"10.1007/s13224-023-01864-7","DOIUrl":"https://doi.org/10.1007/s13224-023-01864-7","url":null,"abstract":"","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 2","pages":"311-314"},"PeriodicalIF":0.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10746629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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