Journal of Obstetrics and Gynecology of India最新文献_第5页

Physician Heal Thyself: 'Mental Health is a Universal Human Right'. 医生治愈自己：“心理健康是一项普遍的人权”。

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Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-10-16 DOI: 10.1007/s13224-023-01858-5

Geetha Balsarkar

引用次数: 0

Ultrasonographic Measurement of Fetal Adrenal Gland Size for the Prediction of Success of Induction of Labor Among Primigravida Beyond 40 Weeks Gestation. 超声测量胎儿肾上腺大小预测妊娠40周后初产妇引产成功率。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-09-12 DOI: 10.1007/s13224-023-01774-8

Richa Sharma, Anjali Kumari, Anupama Tandon, Amita Suneja, Kiran Guleria

{"title":"Ultrasonographic Measurement of Fetal Adrenal Gland Size for the Prediction of Success of Induction of Labor Among Primigravida Beyond 40 Weeks Gestation.","authors":"Richa Sharma, Anjali Kumari, Anupama Tandon, Amita Suneja, Kiran Guleria","doi":"10.1007/s13224-023-01774-8","DOIUrl":"10.1007/s13224-023-01774-8","url":null,"abstract":"Introduction: As the pregnancy advances beyond term, the risk of perinatal morbidity and mortality increases. Hence to prevent these complications associated with postterm pregnancy, induction of labor is done, as per our institution protocol between 40 and 41 weeks of gestation. Induction has its own drawback, so it is essential to identify the women with high chances of failure of induction of labor, to prevent the morbidities associated with induction failure.Aim: To study the role of ultrasonographic fetal adrenal gland enlargement for the prediction of success of labor induction among primigravida beyond 40 weeks gestation.Material and methods: Low-risk primigravidas beyond 40 weeks gestation, scheduled for induction of labor, were enrolled for the study. Fetal adrenal gland dimensions were measured by using abdominal probe Philips HD 7XE and general electronics logiq P6 pro or any ultrasound machine equipped with 7.5-10 MHz linear array probe and 3.5-5 MHz curved array probe.Results: The fetal adrenal gland length, width and ratio were statistically significant between the successful versus failed induction groups. The cutoff fetal zone ratio > 0.36 for the prediction of successful induction of labor had 90% sensitivity, 89% specificity, 93% PPV and 75% NPV.Conclusion: Fetal zone enlargement (fetal zone ratio > 0.36) is a strong predictor of successful induction of labor as compared to TVL and Bishop's score. It can be used for screening the women, who are destined for induction failure, so that adverse effects of induction of labor can be avoided.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 5","pages":"406-413"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429026","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

Comparison of Sampling Devices for Endocervical Curetting. 宫颈内固定取样装置的比较。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-05-09 DOI: 10.1007/s13224-023-01758-8

Clement Akinfolarin Adepiti, Kayode Olusegun Ajenifuja

{"title":"Comparison of Sampling Devices for Endocervical Curetting.","authors":"Clement Akinfolarin Adepiti, Kayode Olusegun Ajenifuja","doi":"10.1007/s13224-023-01758-8","DOIUrl":"10.1007/s13224-023-01758-8","url":null,"abstract":"Introduction: Endocervical curetting (ECC) is mandatory when colposcopy is inadequate or when the Pap smear suggests glandular lesion. When the curette is used, ECC is painful; this necessitated the development of the endocervical brush. There is no consensus on which device yields more sample, detects true cervical precancer (CIN2+) better or highlights the effects of age and parity on ECC yield.Objective: To compare ECC yield and the ability to pick up CIN2+ by the different devices and effect of parity and age on yield.Method: Three hundred women referred for colposcopy following positive cervical high-risk HPV DNA test who had inadequate colposcopic examination were randomly allocated to curette, brush and curette and brush groups for ECC. All samples were sent for histology, and the results were compared.Result: Of the 300 women, 103, 100 and 97 had ECC with curette, brush and curette and brush, respectively. Samples were adequate in 92 (89.3%) of the curette, 69 (69.0%) of the brush and 78 (80.4%) of the curette and brush groups. The curette and curette and brush yielded more samples (p = 0.00) and (p = 0.04), respectively, compared with the brush, but there was no difference in yield between curette and curette and brush (p = 0.06). However, there was no difference in the yield of CIN2+ between the sampling devices. Age and parity had no effect on the sample adequacy by the different devices.Conclusion: Curette and the curette and brush yielded more samples compared with the brush alone. However, CIN2+ pick-up was similar across all sampling devices.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 1","pages":"130-134"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429033","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

Ambulatory Hysteroscopy: Evaluating Pain and Determining Factors. 动态宫腔镜检查：疼痛评估和决定因素。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-08-12 DOI: 10.1007/s13224-023-01811-6

Avisha Malu, Meenal Patvekar, Dipak Kolate, Kale Dhana Laxmi

{"title":"Ambulatory Hysteroscopy: Evaluating Pain and Determining Factors.","authors":"Avisha Malu, Meenal Patvekar, Dipak Kolate, Kale Dhana Laxmi","doi":"10.1007/s13224-023-01811-6","DOIUrl":"10.1007/s13224-023-01811-6","url":null,"abstract":"Study objective: To measure pain using a visual analogue scale (VAS) and analyse its relationships with variables such as menopausal status, parity, uterine and cervical pathology, procedure length, and anxiety in patients undergoing ambulatory hysteroscopy (AH).Design: Prospective observational study.Setting: Dr DY Patil Medical Hospital and Research Centre, Dr.D.Y. Patil Vidyapeeth, Pimpri, Pune.Patients: Seventy-five women.Intervention: Ambulatory hysteroscopy(AH).Methodology: AH was performed in seventy-five patients using vaginoscopic approach. At the end of the procedure, the intensity of pain was assessed using the visual analogue scale (VAS), from the score of 0 (no pain) to 10 (intolerable pain). The factors determining pain were assessed.Results: Patients who underwent AH reported mild pain in 66% of cases, moderate pain in 22%, and severe pain in 12% of cases. The most frequent reason for referral was abnormal uterine bleeding (AUB).In the moderate pain group, the bivariate analysis was statistically significant for menopausal status (P values < 0.001), cervical pathology (< 0.001), and duration of procedure (0.001) and in multivariate analysis nulliparity (0.001) and menopausal status (0.001) were the significant determining factors.In severe pain group, the bivariate analysis was statistically significant for cervical pathology (P value = 0.001) and in multivariate analysis cervical pathology (0.003) and uterine pathology (0.002) were the significant determining factors.Conclusion: Hysteroscopy is a safe, painless and a gold standard procedure. Pain experienced during AH was significantly influenced by cervical pathology. Gynaecologists in practise should receive training and start using AH to assess the endometrial cavity.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 5","pages":"434-439"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429003","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

Magnitude and Impact of Workplace Violence Against Obstetric Healthcare Personnel: A Multicentre Cross-Sectional Study. 工作场所暴力侵害产科保健人员的程度和影响：一项多中心横断面研究。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-08-09 DOI: 10.1007/s13224-023-01809-0

Smriti Agrawal, Khushbu Pandey, Vartika Mishra, Pallavi Gupta, Nikhil Srivastava

{"title":"Magnitude and Impact of Workplace Violence Against Obstetric Healthcare Personnel: A Multicentre Cross-Sectional Study.","authors":"Smriti Agrawal, Khushbu Pandey, Vartika Mishra, Pallavi Gupta, Nikhil Srivastava","doi":"10.1007/s13224-023-01809-0","DOIUrl":"10.1007/s13224-023-01809-0","url":null,"abstract":"Background: Workplace violence is defined by the World Health Organization (WHO) as incidents where staff is abused, threatened or assaulted in work settings. In emergency predominated branch like obstetrics, there is a need to study the magnitude and impact of violence against healthcare workers (HCW). Materials and Methodology: This cross-sectional study was conducted in the Department of Obstetrics at 2 centres in Lucknow district, for a period of 6 months. The study population included trainee residents, senior residents, nursing staff and consultants. Standard definitions from the WHO were used to define the types of violence. The validated questionnaire was designed in English with 25 questions to understand the incidence of workplace violence, prevention policy, reporting and follow-ups of incidents and impact of violence.Results: With a response rate of 90%, 274 HCW participated in the study. In total, 172 HCW (62.7%) either faced physical or verbal assault. In 70% of incidents, patient, their relatives or public were perpetrators of violence, and the rest 30% incidents were by colleagues or management. Majority of the incidents were in emergency areas. Only 22% of the abused reported to the concerned authorities. At least 123 (71.5%) HCW were extremely dissatisfied with the action taken. Action was taken against only 9.8% of the perpetrators. None of the respondents received any training to handle workplace violence.Conclusion: There is an alarming high prevalence of workplace violence by patients and colleagues. Adequate training to handle these incidents, improvement of working environment and unconditional support from management will bring a positive work experience.Supplementary information: The online version contains supplementary material available at 10.1007/s13224-023-01809-0.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 1","pages":"69-74"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429040","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

Perinatal Outcome in Congenital Diaphragmatic Hernia (CDH): A Single-Center Experience. 先天性膈疝（CDH）的围产期结局：单中心经验。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-08-24 DOI: 10.1007/s13224-023-01796-2

Anubhuti Rana, K Aparna Sharma, Vivek Kumar, Priyanka Chaudhary, Anu Thukral, Sandeep Agarwala, Vatsla Dadhwal

{"title":"Perinatal Outcome in Congenital Diaphragmatic Hernia (CDH): A Single-Center Experience.","authors":"Anubhuti Rana, K Aparna Sharma, Vivek Kumar, Priyanka Chaudhary, Anu Thukral, Sandeep Agarwala, Vatsla Dadhwal","doi":"10.1007/s13224-023-01796-2","DOIUrl":"10.1007/s13224-023-01796-2","url":null,"abstract":"Objective: To study the perinatal outcome in fetuses diagnosed with congenital diaphragmatic hernia (CDH).Methods: Thirty-two pregnant women with antenatal diagnosis of CDH in fetus, who delivered between 2018 and 2021, were included in the study. Postnatally eventration of diaphragm was diagnosed in 3 neonates and were excluded.Results: The median gestational age at diagnosis was 23 weeks (IQR: 216-261 weeks). The mean O/E LHR was 34.88 ± 9.03%, and the O/E LHR was significantly lower in fetuses who did not survive (40.81 ± 4.25 vs 31.26 ± 9.33; p = 0.0037). On ROC analysis, at a cutoff of ≤ 32.93, O/E LHR had a specificity of 100% with a sensitivity of 72.22% in predicting mortality. Cases with liver herniation were not significantly different between survivors versus non-survivors. The overall survival rate was 37.93%, and the leading cause of death was severe persistent pulmonary hypertension.Conclusion: O/E LHR can predict mortality in neonates with antenatal diagnosis of CDH. The presence of pulmonary hypertension was the leading cause of death in these neonates.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 1","pages":"37-42"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429045","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

Ambient Air Pollution: A New Intrauterine Environmental Toxin for Preterm Birth and Low Birth Weight. 环境空气污染：一种用于早产和低出生体重的新型宫内环境毒素。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-07-19 DOI: 10.1007/s13224-023-01790-8

Neha Bhardwaj, Aruna Nigam, Arpita De, Neha Gupta

{"title":"Ambient Air Pollution: A New Intrauterine Environmental Toxin for Preterm Birth and Low Birth Weight.","authors":"Neha Bhardwaj, Aruna Nigam, Arpita De, Neha Gupta","doi":"10.1007/s13224-023-01790-8","DOIUrl":"10.1007/s13224-023-01790-8","url":null,"abstract":"Background: Urbanization and industrialization in developing and developed countries have led to rise of intrauterine environmental toxins-PM2.5, PM10, NO2 and Ozone.Aim: To determine association of ambient air pollution exposure with prematurity and low birth weight.Materials and methods: It is a retrospective cohort study done from January 2021 till June 2022 in a tertiary care hospital, New Delhi. Purposive sampling was done, and for each patient, criteria pollutants exposure was recorded from the government recording stations nearest to her residence and pregnancy outcome correlated with same.Results: Total 1155 deliveries were recruited. Significant association was found between PM2.5 exposure and preterm birth during first trimester (p < 0.05). Significant association was found between ozone exposure and preterm birth during second trimester (p < 0.05). Significant association was also found between NO2 exposure and preterm birth during first and second trimester (p < 0.05). Maternal PM2.5 exposure during first trimester was significantly associated with low birth weight (p < 0.05). PM10 exposure during first trimester was significantly associated with low birth weight (p < 0.05).Conclusion: Current study reveals direct relationship between ambient air pollution exposure and pregnancy outcomes (preterm birth and low birth weight).","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 1","pages":"25-29"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429028","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

Bioinformatics Analysis Reveals Novel Differentially Expressed Genes Between Ectopic and Eutopic Endometrium in Women with Endometriosis. 生物信息学分析揭示了子宫内膜异位症妇女异位内膜和在位内膜之间新的差异表达基因。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-05-27 DOI: 10.1007/s13224-023-01749-9

Sepideh Abdollahi, Pantea Izadi, Ghasem Azizi-Tabesh

{"title":"Bioinformatics Analysis Reveals Novel Differentially Expressed Genes Between Ectopic and Eutopic Endometrium in Women with Endometriosis.","authors":"Sepideh Abdollahi, Pantea Izadi, Ghasem Azizi-Tabesh","doi":"10.1007/s13224-023-01749-9","DOIUrl":"10.1007/s13224-023-01749-9","url":null,"abstract":"Background: Endometriosis is one of the chronic and prevalent diseases among women. There is limited knowledge about its pathophysiology at the cellular and molecular levels, causing a lack of a definite cure for this disease. In this study, differentially expressed genes (DEGs) between ectopic and paired eutopic endometrium in women with endometriosis were analyzed through bioinformatics analysis for better understanding of the molecular pathogenesis of endometriosis.Methods: Gene expression data of ectopic and paired eutopic endometrium were taken from the Gene Expression Omnibus database. DEGs were screened by the Limma package in R with considering specific criteria. Then, the protein-protein interaction network was reconstructed between DEGs. The fast unfolding clustering algorithm was used to find sub-networks (modules). Finally, the three most relevant modules were selected and the functional and pathway enrichment analyses were performed for the selected modules.Results: A total of 380 DEGs (245 up-regulated and 135 down-regulated) were identified in the ectopic endometrium and compared with paired eutopic endometrium. The DEGs were predominantly enriched in an ensemble of genes encoding the extracellular matrix and associated proteins, metabolic pathways, cell adhesions and the innate immune system. Importantly, DPT, ASPN, CHRDL1, CSTA, HGD, MPZ, PED1A, and CLEC10A were identified as novel DEGs between the human ectopic tissue of endometrium and its paired eutopic endometrium.Conclusion: The results of this study can open up a new window to better understanding of the molecular pathogenesis of endometriosis and can be considered for designing new treatment modalities.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 1","pages":"115-123"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429030","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

Factors Associated with Perinatal Mortality in Adult Pregnant Women with Hypertensive Disorders: A Case-Control Study. 患有高血压疾病的成年孕妇围产期死亡率的相关因素：一项病例对照研究。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-06-30 DOI: 10.1007/s13224-023-01782-8

Blessy John, Gowri Dorairajan, Palanivel Chinnakali, Nivedita Mondal

{"title":"Factors Associated with Perinatal Mortality in Adult Pregnant Women with Hypertensive Disorders: A Case-Control Study.","authors":"Blessy John, Gowri Dorairajan, Palanivel Chinnakali, Nivedita Mondal","doi":"10.1007/s13224-023-01782-8","DOIUrl":"10.1007/s13224-023-01782-8","url":null,"abstract":"Background: Hypertension complicates 5-10% of pregnancies and is a common cause of perinatal death. The perinatal mortality is estimated to be 3 to 5 times higher in hypertensive women compared to those without hypertension.Methods: A hypertensive mother either with a stillbirth or if baby died within 7 days of life was included as a case. Once a case was recognized, the next two consecutive hypertensive mothers who delivered a live baby, who survived up to 7 days of life, were taken as controls. Fetuses with congenital malformations incompatible with life and multiple pregnancies were excluded from the study. One hundred and twelve women in cases and 224 women in controls were studied.Results: Among 112 cases of perinatal death, 70% had died in utero before labor. Among the 33 fetuses alive, 50% were born still after labor and 50% died within 7 days of birth. We found that early onset hypertension (< 34 weeks) (p-< 0.001 (Chi2-23.819)), gestational age at termination of 28-32 weeks (OR 2.76), value of serum creatinine > 1.1 mg/dl (OR 10.1), abruption (OR 6.2) and birth weight < 1.5 kg was significantly associated with perinatal mortality (p-0.007, OR 5.7). Abnormal Doppler findings was a predictor of perinatal deaths.Conclusion: Severely growth retarded fetuses in association with early onset severe preeclampsia are likely to die in utero and need vigilant monitoring antenatally. Abnormal umbilical artery Dopplers predict perinatal mortality. Caesarean section at the gestational age of ≥ 32 weeks and an estimated fetal weight of ≥ 1.2 kg in our hospital resulted in favorable outcome.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 1","pages":"11-18"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429035","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

Knowledge, Attitudes and Behaviors of Clients Regarding Cervical Cancer Screening at Gynecology Consultations of the University Hospital of Cocody. Cocody大学医院妇科咨询中客户对宫颈癌症筛查的知识、态度和行为。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-09-26 DOI: 10.1007/s13224-023-01816-1

Dehi Boston Mian, Sow Victor Koffi, Christiane Jivir Nsahlai, Roland Adjoby, Eleonore Gbary, Koffi N'guessan, Serge Boni

{"title":"Knowledge, Attitudes and Behaviors of Clients Regarding Cervical Cancer Screening at Gynecology Consultations of the University Hospital of Cocody.","authors":"Dehi Boston Mian, Sow Victor Koffi, Christiane Jivir Nsahlai, Roland Adjoby, Eleonore Gbary, Koffi N'guessan, Serge Boni","doi":"10.1007/s13224-023-01816-1","DOIUrl":"10.1007/s13224-023-01816-1","url":null,"abstract":"Background: Cervical cancer (CC) is a public health problem because of its increasing prevalence and mortality in low- and middle-income countries.Objective: To study knowledge, attitudes, and practices about CC and screening among women in a referral hospital in Côte d'Ivoire, a sub-Saharan African country.Materials and methods: A cross-sectional study, from September 1, 2020 to March 1, 2021, in the obstetric gynecology consultation unit of the University Hospital of Cocody. It included patients who gave informed consent. Data were collected using a questionnaire. Data analysis was performed using Epi data 3.1 software (CDC Atlanta-USA).Results: 1200 women were included (47.2%) with a mean age of 32 years. General knowledge ranged from 6.2 to 32.7% and main risk factors were advanced age (75.2%), HIV infection (60.3%), early marriage (38.2%), and multiple sexual partners (25.8%). 975 women were able to provide a response (81.3%). 85.2% of women identified signs and symptoms: vaginal bleeding (83.6%), intermenstrual bleeding (65.1%), and foul-smelling discharge (11.9%). The level of knowledge of screening was 79% for PAP smear, 72.6% for VIA and 14.2% for LBC. A positive attitude was observed since 87.8% declared they wanted to perform screening. A significant practice (60.4%) was demonstrated, and the screening tests used were visual inspection with acetic acid (52.6%), Pap smear (39.8%) and liquid-based cytology (7.6%).Conclusion: We revealed a good knowledge of reality of CC, but effective information, education and communication strategies are needed to improve the level of awareness about risk factors, symptoms and preventive methods.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 1","pages":"166-171"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429039","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