Journal of Obstetrics and Gynecology of India最新文献_第3页

Menopause: Why is Everyone Talking About it Now? 更年期：为什么现在每个人都在谈论它？

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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

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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。

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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":"Introduction: 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.Purpose: This study aimed to assess the experiences of women using Antara (DMPA) at a tertiary care hospital of Eastern India.Materials and methods: 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.Results: 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 (p value < 0.001), poorer socio-economic status (p value < 0.001), and interval period starting of Antara (p value < 0.001) were statistically significantly associated with the discontinuation of the contraceptive.Conclusions: 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.","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。

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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

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President's Address. 主席致辞

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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

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Taking It Forward…………. Taking It Forward.............

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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

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Revisiting Imperforate Anus in Delivery Rooms. 重新审视产房中的肛门穿孔。

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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

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Uterine PEcoma: A Case Report with Diagnostic Conundrums. 子宫 PEcoma：诊断难题的病例报告

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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

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Vaginal Dose Reduction by Changing the Ovoid Loading Pattern in Image Guided Intracavitary Brachytherapy of Cervix. 通过改变图像引导下宫颈腔内近距离放射治疗中的卵圆形装载模式减少阴道剂量

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Journal of Obstetrics and Gynecology of India Pub Date : 2023-12-01 Epub Date: 2023-11-21 DOI: 10.1007/s13224-023-01868-3

Ramya Rangarajan

{"title":"Vaginal Dose Reduction by Changing the Ovoid Loading Pattern in Image Guided Intracavitary Brachytherapy of Cervix.","authors":"Ramya Rangarajan","doi":"10.1007/s13224-023-01868-3","DOIUrl":"10.1007/s13224-023-01868-3","url":null,"abstract":"Aim: Locally advanced cervical cancer is frequently treated using a combination of external beam radiotherapy and brachytherapy. Radiotherapy often leads to vaginal morbidity, which poses a significant problem. This study aims to analyze the impact of reducing ovoid loading on dosimetry.Materials and methods: We analyzed forty-five CT-based intracavitary brachytherapy plans from fifteen patients. Three plan sets were created for the 45 applications: a standard loading plan (A), a plan with reduced ovoid loading (B), and a tandem-only loading plan (C). We generated Dose-Volume Histograms and recorded dose volume parameters for the three plan sets.Results: The D90 for the Clinical Target Volume (CTV) did not show significant differences among the three plan sets (p = 0.20). The average D90 values for plans A, B, and C were 8.15 Gy, 8.16 Gy, and 7.4 Gy, respectively. No statistically significant differences were observed in D2cc bladder (p = 0.09) (average values: 6.8 Gy, 6.5 Gy, and 5.9 Gy for plans A, B, and C, respectively) and D2cc sigmoid (p = 0.43) (average values: 2.8 Gy, 2.6 Gy, and 2.4 Gy, respectively) among the three plan sets. However, there was a statistically significant difference in D2cc rectum (p < 0.001) (average values: 4 Gy, 3.3 Gy, and 1.8 Gy, respectively), as well as in vaginal dose points (p < 0.001).Conclusion: Reducing ovoid loading significantly decreased the doses to vaginal dose points and the rectum without compromising the dose to the Clinical Target Volume (CTV). Therefore, in carefully selected cases, the adoption of tandem-only loading or reduced ovoid loading could be considered to minimize vaginal morbidity following high dose rate intracavitary brachytherapy.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 2","pages":"179-184"},"PeriodicalIF":0.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10746660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032879","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

MPNST of Uterine Round Ligament: A Report of a Surgically Challenging Aggressive Rare Case and Literature Review. 子宫圆韧带 MPNST：一例极具手术挑战性的罕见病例报告及文献综述

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Journal of Obstetrics and Gynecology of India Pub Date : 2023-12-01 Epub Date: 2023-11-21 DOI: 10.1007/s13224-023-01874-5

Deepak Bose, P Rema, J Sivaranjith, S Suchetha

{"title":"MPNST of Uterine Round Ligament: A Report of a Surgically Challenging Aggressive Rare Case and Literature Review.","authors":"Deepak Bose, P Rema, J Sivaranjith, S Suchetha","doi":"10.1007/s13224-023-01874-5","DOIUrl":"10.1007/s13224-023-01874-5","url":null,"abstract":"MPNSTs (malignant peripheral nerve sheath tumours) arise rarely from the female genital tract, even more rarely from the uterus. A literature review showed 18 cases affecting the uterine cervix, but only four affecting the uterus per se, making our present case the fifth to be involving the uterus, specifically round ligament. It was the first time a uterine lesion (not uterine cervix) was defined in a neurofibromatosis patient. This was a young patient who initially underwent a uterus-sparing surgery for a round ligament tumour which was finally diagnosed to be MPNST. She received adjuvant chemotherapy but recurred with pelvic vascular involvement. A challenging surgery was performed, and the tumour was resected without morbidity. She was followed up with radiotherapy; however, she quickly developed extensive peritoneal disease and succumbed to the disease. High-grade nature of MPNST along with the background of NF could have made the tumour more aggressive, highlighting the importance of suspecting MPNST in spindle cell tumours of pelvis and performing total resection in the first setting.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 2","pages":"315-318"},"PeriodicalIF":0.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10746592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032863","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

Our Experience of Distal and Total Urethrectomies in Post Irradiated Vulvar Malignancies in Low Resource Settings: A Single Centre Study. 我们在资源匮乏地区对外阴恶性肿瘤辐照后进行远端和全尿道切除术的经验：单中心研究

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Journal of Obstetrics and Gynecology of India Pub Date : 2023-12-01 Epub Date: 2023-11-16 DOI: 10.1007/s13224-023-01854-9

Upasana Baruah, Apoorva Tak, Debabrata Barmon, Dimpy Begum

{"title":"Our Experience of Distal and Total Urethrectomies in Post Irradiated Vulvar Malignancies in Low Resource Settings: A Single Centre Study.","authors":"Upasana Baruah, Apoorva Tak, Debabrata Barmon, Dimpy Begum","doi":"10.1007/s13224-023-01854-9","DOIUrl":"10.1007/s13224-023-01854-9","url":null,"abstract":"Introduction: At diagnosis, women with vulvar cancer often present in locally advanced stage especially in developing countries, owing to the associated ignorance and social stigma. Generally tumour is seen involving adjacent organs, like the vagina, anus, and urethra. Damage to the sphincter system leads to urinary incontinence. Available evidence regarding urethral resections, subsequent lower urinary tract dysfunction and neo-meatus reconstruction in radical vulvar surgeries is scarce and conflicting.Methodology: Considering, the lack of literature on outcomes of partial and total urethrectomies post chemoradiation in advanced vulvar malignancies from India, in the current study, we analysed our experience of such cases that have been operated post chemoradiation over a span of 2 years (from January 2019 to January 2021).Results: DFS ( disease free survival) of more than 6 months was seen in 5 of our patients, however in view of local wound complications after primary closure, we recommend reconstruction with myocutaneous flaps. Also in view of incontinence observed in two of our patients who had undergone more than 1⁄2 of urethral resection, as a result of failed suprapubic catheterisation, further plan of urethral reconstruction should be considered especially in patients who have received prior radiation.Conclusion: Our small group of patients represents a unique cohort of patients in whom surgery was attempted after radiation therapy. We have seen that surgery is a feasible option after radiotherapy in patients with advanced disease.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 2","pages":"173-178"},"PeriodicalIF":0.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10746633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032864","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