Journal of women's health and development最新文献

{"title":"Mode of Delivery Among Women with a History of Prior Cesarean Birth at Mizan-Tepi University Teaching Hospital.","authors":"Margo S Harrison, Tewodros Liyew, Ephrem Kirub, Biruk Teshome, Andrea Jimenez-Zambrano, Margaret Muldrow, Teklemariam Yarinbab","doi":"10.26502/fjwhd.2644-28840055","DOIUrl":"10.26502/fjwhd.2644-28840055","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to observe mode of delivery among women with a history of prior cesarean birth.</p><p><strong>Methods: </strong>After collecting data on a convenience sample of 1,000 women giving birth at 28 weeks gestation or greater at Mizan-Tepi University Teaching Hospital, we reduced the sample to only include women with a history of prior cesarean birth. We wanted to observe mode of delivery among this cohort and determine if any characteristics were associated with elective repeat cesarean birth, as compared to vaginal birth after cesarean.</p><p><strong>Results: </strong>Of 1,000 women in our convenience sample, data on history of prior cesarean birth was missing on 2 women (0.2%). Of the remaining women, 49 (4.9%) reported a history of prior cesarean; 44 (89.8%) reported one prior cesarean and 5 (10.2%) women had two prior cesarean births. Repeat cesarean birth occurred in 65.1% (n = 29/44) of women with one prior cesarean and in 80.0% (n = 4/5) of women with two prior surgeries. Among the total cohort of women with a history of prior cesarean birth, of those who experienced repeat cesarean birth (n = 33), 27.3% (n = 9) occurred pre-labor, 69.7% (n = 23) occurred intrapartum after the onset of spontaneous labor, and 3.0% (n = 1) occurred intrapartum during the course of an induced or augmented labor. Labor onset and cervical exam on admission were statistically significantly different in bivariate comparisons of women who successfully achieved vaginal birth after cesarean as compared to those who gave birth by repeat cesarean birth, and postpartum maternal antibiotics were more common after repeat cesarean birth, p < 0.05. In a multivariable model of factors associated with successful vaginal birth after cesarean, the likelihood of successful vaginal birth was increased 15% for each increasing centimeter of dilation on a woman's admission cervical exam (RR 1.15, p= 0.004).</p><p><strong>Conclusion: </strong>Almost one-third of women in our observational cohort attempted trial of labor after cesarean; those that were successful were more likely to have been more cervically dilated on their admission exam. No sociodemographic or obstetrical characteristics were more likely among women who underwent pre-labor repeat cesarean birth as compared to intrapartum cesarean birth.</p>","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"4 1","pages":"001-9"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7899178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25408943","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}

{"title":"Quintuplet Pregnancy Following Transfer of Three Embryos. A Case Report.","authors":"Aya Naim Abusheikha, N. Abusheikha, Aseil Khatib","doi":"10.21203/RS.3.RS-138791/V1","DOIUrl":"https://doi.org/10.21203/RS.3.RS-138791/V1","url":null,"abstract":"\u0000 Background: This is a rare case of a quintuplet pregnancy of two sets of monozygotic twins (MZT) co-existing with a singleton pregnancy resulting from transfer of three cleaved embryos. This has not been reported previously in humans, and should be kept in mind when replacing multiple embryos using in vitro fertilization.Case Presentation: A 27 year old female had a successful twin livebirth after fetal reduction of unexpected quintuplet pregnancy following transfer of three embryos To ameliorate the adverse implications of multiple gestation, fetal reduction to twins by intracardiac puncture and aspiration was carried out at 11 weeks’ gestation. The patient has now delivered two healthy babies (a boy and a girl) at 35 weeks and 6 days by a lower segment caesarean section. Conclusion: Clinicians should keep in mind that patients undergoing assisted conception may develop monozygotic twinning of the embryos, which may negatively impact the pregnancy and raise an ethical and psychological dilemma for the patient.","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82228937","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":"Effectiveness of Prenatal Perineal Massage in Reducing the Risk of Perineal Trauma during Vaginal Delivery in Nulliparous Women: A Meta-Analysis and Evidence Based Review","authors":"N. Hajela, Kari Anne Turner, J. Roos, M. Rivera","doi":"10.26502/fjwhd.2644-28840068","DOIUrl":"https://doi.org/10.26502/fjwhd.2644-28840068","url":null,"abstract":"Background: Perineal injury occurs in 85% of all women who experience a vaginal, delivery. Perineal injury involves an episiotomy and/or a laceration. Urinary incontinence (UI) is the most frequently reported morbidity following a perineal injury. Objectives: To synthesize the existing literature to determine if perineal massage should be performed in pregnant women as preparation for their vaginal delivery to reduce the likelihood and severity of perineal trauma. Study Design: PubMed, PEDro, International Journal of Gynecology & Obstetrics, were searched. Incidence of episiotomy and degree of perineal laceration were measured following vaginal delivery. Methods: This meta-analysis included controlled clinical trials studying 2,877 primipara women with an average age of 28 years old. All women had medically uncomplicated pregnancies and full-term vaginal deliveries. Articles were appraised for quality using the PEDro Scale. Results: Seven controlled trials met the inclusion criteria and were included for analysis. The most important finding of this meta-analysis is that perineal J Women’s Health Dev 2021; 4 (4): 136-150 DOI: 10.26502/fjwhd.2644-28840068 Journal of Women’s Health and Development Volume 4 No 4 – December 2021 137 massage reduced the severity of perineal injury during vaginal delivery. Women who practiced perineal massage in their third trimester were 21% less likely to have third and fourth degree perineal lacerations. In addition, dynamic perineal massage reduces the risk of third and fourth degree tears by 16% and episiotomy by 13%. In terms of frequency of perineal massage i.e. daily versus 3-4 times a week, the results suggest that daily perineal massage have a statistically significant effect in reducing the risk of first degree tear by 416%. Conclusions: Perineal massage reduces the severity of perineal injury. This will allow women to return to their prior level of function at an increased rate and reduce the likelihood of secondary morbidities.","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"96 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75980876","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":"Retained Pessary Erosion into the Bladder and the Importance of a Reliable Patient Tracking Method","authors":"Laena Hines, J. O'brien, D. Ajay","doi":"10.26502/fjwhd.2644-28840071","DOIUrl":"https://doi.org/10.26502/fjwhd.2644-28840071","url":null,"abstract":"Pessary use in the elderly population is a reasonable and well-utilized option for managing symptomatic pelvic organ prolapse and stress urinary incontinence (SUI). However, pessary use has risks to consider in patients that may be lost to follow up. We present the case of an 89-year-old woman with dementia, uterine prolapse managed with Gellhorn pessary, and recurrent UTIs who was found to have an eroded pessary in her bladder. We review pessary use for pelvic organ prolapse and SUI and associated risks, recurrent urinary tract infection guidelines, the continued importance of physical exam, and we propose a database to ensure proper follow up for pessary patients.","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87956855","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":"Impact of Physical Activity and Sport on the Symptoms of Menstrual and Premenstrual Periods","authors":"Talitha Allegretti de Lima Trostdorf","doi":"10.26502/fjwhd.2644-28840067","DOIUrl":"https://doi.org/10.26502/fjwhd.2644-28840067","url":null,"abstract":"Differences in physical and mentalsymptoms of menstrual and premenstrual periods were analyzed in sedentary, active, and athlete women. Thewomen (227: 77 sedentary, 90 active and 60 athletes) answered the online questionnaire about symptoms related to the menstrual and premenstrual periods.In the menstrual period, the most intense symptoms were dysmenorrhea, bad mood, discouragement, and anxiety. In the premenstrual periodthe main symptoms were headache, edema, bad mood and sadness. The athletes showed less symptoms than sedentary and active women in menstrual and premenstrual periods.The menstrual symptomswere worse than in the premenstrual period. Finally, 62.1% of participants used medication to relieve menstrual period symptoms and 23.3% for premenstrual symptoms, the majority of which were self-administered. The active women and the J Women’s Health Dev 2021; 4 (4): 123-135 DOI: 10.26502/fjwhd.2644-28840067 Journal of Women’s Health and Development Volume 4 No 4 – December 2021 124 athletesreduced the intensity of their training in menstrual period. Up to 80.5% of participants reported a preference to discuss menstrual cycle issues with women, and were embarrassed. Then, the symptoms of the menstrual period are greater and worse than those presented in the premenstrual period. Athletes presented fewer physical and mental symptoms. The symptoms presented in the menstrual period should also be evaluated and treated to improve the physical and mental symptoms of women.","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80809289","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":"A Meta-Analysis of Postpartum Copper IUD Continuation Rates in Low- and Middle-Income Countries.","authors":"Angela Marchin,&nbsp;Angela Moss,&nbsp;Margo Harrison","doi":"10.26502/fjwhd.2644-28840059","DOIUrl":"https://doi.org/10.26502/fjwhd.2644-28840059","url":null,"abstract":"<p><strong>Background: </strong>Long-acting reversible contraception (LARC) initiated immediately postpartum can reduce unintended or mistimed pregnancies, and contribute to proper pregnancy spacing. Data on use and continuation of postpartum LARC in low- and middle-income countries (LMIC) is limited.</p><p><strong>Methods: </strong>We searched PubMed, OVID, Embase, Google Scholar, Cochrane, POPLINE, Global Health (CABI), and LILACS databases for relevant terms. Studies of any design, published in English, were screened for relevance based on six-month continuation rates of postpartum LARC, location of study, and LARC insertion within 48 hours after vaginal or cesarean birth. We found no relevant studies of implant or hormonal intrauterine device (IUD). Therefore, analysis was limited to studies of the copper IUD only. Two authors used the Cochrane Public Health Group Data Extraction and Assessment Template to guide data extraction to estimate pooled six-month continuation rates, and the Cochrane Risk of Bias Tool for Randomized Controlled Trials and the National Heart, Lung, and Blood Institute (NHLBI) Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies to rate the quality of the studies. A random-effects meta-analysis of proportions was performed.</p><p><strong>Results: </strong>Immediate-postpartum copper IUDs have a six-month continuation rate of 87% (95% CI 80-92%) in LMIC. The pooled estimated rates of six-month adverse outcomes were 6% (95% CI 5-9%) for expulsion, 5% (95% CI 4-7%) for removal, and 0.2% (95% CI 0.0-0.9%) for infection.</p><p><strong>Conclusions: </strong>High six-month continuation rates and a low rate of adverse outcomes suggest immediate postpartum copper IUD insertion is a feasible and acceptable postpartum contraceptive option for women living in LMIC.</p>","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"4 1","pages":"36-46"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8046022/pdf/nihms-1685307.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38812012","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}

{"title":"Impact of Work from Home on Married Women During COVID-19 Induced Lockdown","authors":"K. Nidhi, D. Nandi, Mehak Segan, Aanchal Anant Awasthi, R. Janardhanan","doi":"10.26502/fjwhd.2644-28840070","DOIUrl":"https://doi.org/10.26502/fjwhd.2644-28840070","url":null,"abstract":"Background: A shift from “work at office” to “work from home” were take place during COVID-19 pandemic. These times are particularly hard specially for the working women who are mothers and wives. The study was conducted to analyze the work challenges along with the mental health challenges faced by working women in context to work from home. Materials and methods: A cross sectional survey using google forms was conducted among 209 married women in India. The link of the questionnaire was sent through e-mails, WhatsApp and other social media for the collection of the data. The four-item Patient Health Questionnaire (PHQ-4) was used to assess the anxiety and depression among the participants. J Women’s Health Dev 2021; 4 (4): 163-172 DOI: 10.26502/fjwhd.2644-28840070 Journal of Women’s Health and Development Volume 4 No 4 – December 2021 164 Result: It was found that more than 8 hours of working in a day was reported in 60.3% women. In addition,64.6% of women work for 2-5 days in a week. 32.1% of women were unsatisfied with working hours arrangement. The arrangement of working hours was strongly associated with general anxiety regarding coronavirus (p-<0.001), having distractions at home(p0.005), maintenance of regular schedule (p-0.022) and being not able to complete work on time (p-<0.001). Conclusion: It was concluded that for married working women, work from home in COVID-19 pandemic can be severely impactful in terms of depression and anxiety. The study showed that majority of married working women were unsatisfied with the work life arrangement amid pandemic which could challenge their physical health, psychological health, and social relationships.","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78385441","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":"Knowledge, Attitude, and Practice of Women towards Cervical Cancer and its Screening Tests in a Teaching Hospital, Khartoum-Sudan","authors":"Ahmed Osman Ahmed Mohamed, Ahmed Ali Eltayeb Elamin, Aram Babikir Hassan Babikir, D. Rayis","doi":"10.26502/fjwhd.2644-28840064","DOIUrl":"https://doi.org/10.26502/fjwhd.2644-28840064","url":null,"abstract":"","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83824471","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":"Identifying Prevalence and Risk Factors for Intimate Partner Violence in Pregnant Women in Rural Guatemala.","authors":"Anna E Lee,&nbsp;Claudia Rivera,&nbsp;Saskia Bunge Montes,&nbsp;Andrea Jimenez-Zambrano,&nbsp;Amy Nacht,&nbsp;Antonio Bolanos,&nbsp;Edwin Asturias,&nbsp;Stephen Berman,&nbsp;Gretchen Heinrichs,&nbsp;Margo S Harrison","doi":"10.26502/fjwhd.2644-28840066","DOIUrl":"https://doi.org/10.26502/fjwhd.2644-28840066","url":null,"abstract":"<p><strong>Background: </strong>Victims of intimate partner violence (IPV) during pregnancy experience significant physical and mental health consequences and adverse birth outcomes. Our objective was to describe the prevalence of IPV, and risk factors associated with IPV in pregnant, rural Guatemalan women.</p><p><strong>Methods: </strong>This retrospective cohort study was completed using quality improvement data gathered during routine prenatal health visits to women of Trifinio, Guatemala, by the Madres Sanas maternal health program from 2018 through 2020. Chi-square and t-tests were used to determine if there were differences in characteristics between women who self-reported experiencing IPV and those who did not. If differences occurred (p < 0.2), those covariates were included in a multivariable logistic regression to determine sociodemographic risk associated with IPV.</p><p><strong>Results: </strong>583 women were enrolled with Madres Sanas between October 10, 2018, and October 1, 2020, and reported on IPV. Nineteen (3.26%) women reported experiencing IPV. The highest prevalence of IPV (7.6%) occurred in the sub-group of women who experienced food insecurity during the past year. The sole covariate of all sociodemographic and health characteristics which differed significantly between women who reported experiencing and not experiencing IPV was food insecurity. A regression model found that those who had worried about ability to buy food in the past year had a 3.19-fold increase in the odds that they experienced IPV (95% CI 1.072, 9.486, p-value 0.037).</p><p><strong>Conclusion: </strong>Among this convenience sample of women, the prevalence of IPV was 3.26%. Food insecurity was associated with increased odds of experiencing IPV, highlighting an opportunity for interventions.</p>","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"4 4","pages":"113-122"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8580368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39613826","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}

{"title":"Characteristics and Outcomes Associated with Cesarean Birth as Compared to Vaginal Birth at Mizan-Tepi University Teaching Hospital, Ethiopia.","authors":"Margo S Harrison,&nbsp;Ephrem Kirub,&nbsp;Tewodros Liyew,&nbsp;Biruk Teshome,&nbsp;Andrea Jimenez-Zambrano,&nbsp;Margaret Muldrow,&nbsp;Teklemariam Yarinbab","doi":"10.26502/fjwhd.2644-28840060","DOIUrl":"https://doi.org/10.26502/fjwhd.2644-28840060","url":null,"abstract":"<p><strong>Introduction: </strong>The objective of this study was to observe characteristics and outcomes associated with cesarean birth as compared to vaginal birth.</p><p><strong>Methods: </strong>This study was a prospective hospital-based cross-sectional analysis of a convenience sample of 1, 000 women. Data was collected on admission, delivery, and discharge by trained physician data collectors on paper forms through chart review and patient interview.</p><p><strong>Results: </strong>Data on mode of delivery was available for 993/1000 women (0.7% missing data), 23.4% of whom underwent cesarean. These women were less likely to have labored (84.5% versus 87.4%), more likely to have been transferred (62.0% versus 45.2%), more likely to have been admitted in early labor (53.0% versus 48.6%), more likely to be in labor for longer than 24 hours (10.7% versus 3.3%) and were less likely to have multiple gestation (7.7% versus 3.9%), p < 0.05. In a Poisson model, history of cesarean (aRR 2.0, p < 0.001), transfer during labor (RR 1.5, p = 0.003), labor longer than 24 hours and larger birthweight (RR 2.7, p 0.001) were associated with an increased risk of cesarean.</p><p><strong>Conclusion: </strong>Our analysis suggests cesarean birth is being used among women with a history of prior cesarean and in cases of labor complications (prolonged labor or transfer), but fresh stillbirth is still common in this setting.</p>","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"4 2","pages":"47-63"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8143043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39021458","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}