Supplement to International journal of gynecology and obstetrics最新文献

{"title":"New Hysterectomy Technique with Correction of Stress Urinary Incontinence, and Mixed Urinary Incontinence","authors":"O. Angel","doi":"10.11648/j.jgo.20210903.14","DOIUrl":"https://doi.org/10.11648/j.jgo.20210903.14","url":null,"abstract":"Statistically, 50% or more of the patients who are going to be hysterectomized have stress, urgency and mixed urinary incontinence, a problem that, when presenting significantly high figures in its epidemiology, requires finding a treatment that promises a cure for this pathology, since it represents not only a global public health problem for women, but also a global burden, for example, in the US for the treatment of urinary incontinence there has been an annual expenditure of more than 26 billion dollars. This article provides evidence that allows proposing the Hysterectomy + cysto-urethro-colpus suspension surgical technique - SYCFIM, as a treatment for stress and mixed urinary incontinence. A study was carried out with 6 patients with uterine pathology associated with urinary incontinence. A pre-surgical urodynamics were performed, finding one patient with stress incontinence and five patients with mixed incontinence. At the postoperative control appointments at two weeks and two months, the patients reported the disappearance of incontinence. And at two years and five months, they continued without urinary incontinence in 100% of the cases. The results of the urodynamics performed at two years and five months, demonstrated the disappearance of stress incontinence in 100% and mixed in 100%, thus confirming that the SYCFIM technique works as a treatment for stress and mixed urinary incontinence.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"95 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83327711","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":"Client Satisfaction in the Quality of Post Abortion Care Among Women Attending in Public Health Facility of Gambella, Ethiopia","authors":"Ephrem Teshome, Girmay Adhena","doi":"10.11648/j.jgo.20210903.13","DOIUrl":"https://doi.org/10.11648/j.jgo.20210903.13","url":null,"abstract":"Background: The quality of post-abortion care services is essential to improve the health of women who experience complications from abortion. Abortion and its complication is the most common cause of maternal death in Africa, particularly in Ethiopia. Despite this fact, little attention is given to the quality of post-abortion care. This study was aimed to assess client satisfaction in the quality of post-abortion care among women in the public health facility of Gambella, Ethiopia. Methods: A facility-based crossectional study was done among 194 participants. A consecutive sampling technique was used to select the study participants. A structured, pretested, and interviewer-administered questioner was used to collecting the data. Binary and multivariable logistic regression analysis was done to identify associated factors. An adjusted odds ratio with 95% CI was used to estimate the direction and strength of the association. Variable with a p-value <0.05 was considered as statistically significant. Results: About 169 (87.1%, 95% CI: (82, 91.8)) participants were satisfied in the quality of post abortion care (PAC) services. Unwanted pregnancy [AOR=1.8, 95% CI: (1.17, 10.9)], history of abortion [2.1, 95% CI: (1.6, 13.8)], assisted by physician [AOR=3.9 95% CI: (1.6, 8.6)], treated politely and respectfully [AOR=6.3, 95% CI: (1.82, 22.2)], the provider adress all questions raised by the client [AOR=5.1, 95% CI: (1.9, 14.5)] were significantly associated factors. Conclusion: The majority of the study participants were satisfied with the quality of post-abortion care services. Enhancing patient care in the facility, strengthening awareness of family planning services, and addressing the questions of the clients in a respected manner are important measures that increase client satisfaction.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80938400","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":"Antenatal Screening for Syphilis: Ten Years of Observation Amongst Pregnant Women Receiving Care at the Maternity Units of the Province of Trento in Northern Italy","authors":"S. Piffer, M. Pedron, Anna Lina Lauriola, R. Rizzello","doi":"10.11648/J.JGO.20210903.12","DOIUrl":"https://doi.org/10.11648/J.JGO.20210903.12","url":null,"abstract":"Introduction. Serology screening for syphilis infection in pregnancy is an internationally recommended practice. For some time, in the province of Trento (northern Italy), data regarding antenatal serology screening for syphilis have been acquired through the birth assistance certificate, whose completion by the healthcare professionals providing assistance at birth is mandatory in Italy. This study describes the coverage of serology screening and the seroprevalence of syphilis infection amongst pregnant women receiving care in the maternity facilities of the province of Trento between 2008 and 2017. Materials and methods. The results of serological screening are recorded in the electronic birth assistance certificate as: test not performed; negative test, positive test, or results pending. In cases of a positive test or results pending, the Authors consulted the hospital information system (SIO), an electronic repository containing data regarding all services provided to users of the Provincial Health Service. This operation also made it possible to recover full data regarding the serological profile, any treatments administered and the obstetric/neonatal outcomes. The Authors calculated screening coverage, the seroprevalence of the infection and the occurrence of cases of congenital syphilis, by analysing the neonates’ health status for the first two years of life. Results. Between 01.01.2008 and 31.12.2017, 46,627 pregnant women received care at maternity units of the province of Trento. Screening coverage was found to be higher than 99%. A total of 95 pregnant women were found to be true positives at serology screening for syphilis (15 Italian nationals and 80 foreign women). Seroprevalence for all pregnant women was 2/1000 (0.4/1000 amongst Italian women and 6.8/1000 amongst foreign women). Amongst the latter, the highest value was observed amongst women originating from Eastern European countries (9.3/1000). 62% of positive cases were identified as prior, already treated syphilis and 38% were identified as an early or late latent infection. Antibiotic therapy with penicillin was prescribed in all cases for which it was indicated. No considerable differences were observed with regard to the obstetric/neonatal outcomes between seropositive ad seronegative women. No cases of congenital syphilis were observed. Conclusions. Screening coverage concerned almost all the pregnant women who received care. The seroprevalence calculated in this study was consistent with the available Italian and European data. Our findings confirmed that there is a higher proportion of cases amongst the foreign population, especially amongst women from Eastern European countries, who nevertheless have an antenatal care profile not unlike that of seronegative women.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76566431","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":"Bilateral Ligation of the Anterior Branch of the Hypogastric Artery in Massive Obstetric Hemorrhage Secondary to Septic Abortion (Case Report)","authors":"A. M. Juarez, Carla América Suárez Juárez, Ana Elena Barrios Herandez, Ithamar Milagros Arroyo Martinez, Elizabeth Rendon Mondragon","doi":"10.11648/J.JGO.20210903.11","DOIUrl":"https://doi.org/10.11648/J.JGO.20210903.11","url":null,"abstract":"Hemorrhage is the main cause of Maternal Mortality (MM) (27%) followed by hypertensive disorders and sepsis (12%). Septic abortion is considered an intermediate risk factor for the development of Massive Obstetric Hemorrhage (MOH). The algorithm for the management of postpartum hemorrhage due to uterine atony that includes systematic pelvic devascularization has been described, but this management is really planned for resolution of the pregnancy after the 20th week of gestation, since an HMO due to abortion is un usual. We present the case of a 21-year-old patient who self-medicates a prostaglandin analog at 2 months of pregnancy, achieving only a threat of abortion, goes to the emergency room 3 months later with a diagnosis of septic shock, USG and MRI are performed with altered results, only of hepatomegaly, delayed abortion of 8 weeks of evolution and gestational trophoblastic disease. Emergency MVA was performed due to profuse bleeding, placement of a Bakri balloon and clamping of the uterine arteries without results, for which an emergency exploratory laparotomy (LAPE) was performed with ligation of the anterior trunk of the internal iliac artery, being a successful procedure, without the need for Obstetric Hysterectomy (HO). The patient is managed in intensive care and in the end the diagnosis of TSG is ruled out. Bilateral Hypogastric Artery Ligation (BHAL) in the case of Massive Obstetric Hemorrhage (MOH) secondary to delivery or cesarean section is commonly used, however it is not a technique to report when bleeding is secondary to abortion. In these cases, it is also a viable, successful, fertility-preserving surgical procedure, and an alternative to Obstetric Hysterectomy (OH) when other less invasive methods such as uterine artery clamping or Bakri balloon have failed.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"158 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87670769","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":"Clinical Comparison of Laparoendoscopic Single-site Surgery and Multiport Laparoscopic Surgery for the Removal of Ovarian Endometrioid Cyst","authors":"Hongxia Yu, Z. Dong, Wen-Dan Zhang, Shou-xi Zhang, Jia Lu, Zhenyue Qin, M-W Bao, Huihui Wang, Ying Cao, Yilin Sun, Wenjia Liu, Jiming Chen","doi":"10.11648/J.JGO.20210902.14","DOIUrl":"https://doi.org/10.11648/J.JGO.20210902.14","url":null,"abstract":"Background: Endometriosis is a common, chronic gynecological disease. Laparoscopy is currently the preferred method of ovarian endometriosis. However, the safety and feasibility of laparoendoscopic single-site surgery for ovarian endometrioid cyst removal still need to be discussed. Objective: To explore the safety and feasibility of laparoendoscopic single-site (LESS) surgery versus conventional multiport laparoscopic (CMPL) surgery for the ovarian endometrioid cystectomy. Methods: We retrospectively analyzed the data of 47 patients who had undergone LESS and LESS ovarian cystectomy due to ovarian endometrioid cyst in our hospital from March 2018 to April 2019. The patients were classified into single-port group (14) and multiport group (33) based on surgical paths. The patients’ general characteristics and perioperative outcomes compared. Results: There were no significant statistical differences between the two groups (P>0.05) in the operation time and the maximum body temperature in 24 h after operation. There were significant statistical differences (all P<0.05) in postoperative decrease of Hb, intraoperative bleeding volume, total hospital stay and CS score. Conclusion: LESS for ovarian endometrioid cyst removal is safe and feasible, and it better than CMPL in relieving postoperative pain and inproving cosmetic effects and so on.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"17 Suppl 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87297084","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 the Coronavirus Pandemic on Emergency Department (ED) Visits for Ob/Gyn Care","authors":"S. Mehri, R. Berg, I. Hoskins","doi":"10.11648/J.JGO.20210902.13","DOIUrl":"https://doi.org/10.11648/J.JGO.20210902.13","url":null,"abstract":"The COVID-19 pandemic has disrupted currently held norms and best practices for women who require evaluations and interventions for Obstetrics and gynecology (Ob/Gyn) emergency care. The resulting paradigm shifts have demonstrated a reassessment of how Ob/Gyn emergency care is provided in an acute setting while avoiding potential short and long-term harm. The objective of this study is to retrospectively evaluate if patients self-selected to avoid Emergency Department (ED) visits for perceived minor complaints and if postponing such care increased morbidity. Patients accessing Ob/Gyn ED care during the Covid-19 \"lockdown period\" (group A) in New York State were compared with those during a similar time frame in 2019 (group B). Primary outcomes were the number of ED visits and admission diagnoses. Secondary outcomes were the number of surgeries and clinical acuity on presentation. There was a 72% reduction in the total number of ED visits in group A compared to group B. Although the majority of the visits were for abdominal pain and vaginal bleeding in both groups, among patients who presented with vaginal bleeding in group A, a significantly higher number was due to early pregnancy loss rather than non-pregnancy-related uterine bleeding. The number of visits for non-emergency visits such as vulvovaginitis and contraceptive management was significantly lower and absent respectively. There were 61.5% fewer cases requiring emergency surgery in group A, however, the case acuity remained high with many patients being clinically unstable at presentation. There was a nonsignificant trend of an increased number of surgeries for ectopic pregnancy and pregnancy loss in group A compared to group B. Non-emergency surgeries, and visits for pain control, wound infections or ileus were absent in group A. We conclude that the decline in the ED visits and total number of emergency surgeries during the “lockdown period “were secondary to patients’ choices. This decrease was more pronounced for minor indications; however, many patients with serious conditions had delayed ED visits until they were clinically unstable. Therefore a reassessment of how patients access Ob/Gyn care via ED is indicated, with the goal being to avoid visits for minor indications while preventing potential life-threatening complications.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87592970","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":"Satisfaction with Childbirth Services Among Ultra-Orthodox and Non-religious Mothers in Israeli Hospitals: A Comparative Study","authors":"Iris Gertner Moryossef, Ke Chen","doi":"10.11648/J.JGO.20210902.12","DOIUrl":"https://doi.org/10.11648/J.JGO.20210902.12","url":null,"abstract":"Introduction: A mother's satisfaction with her childbirth experience affects her sense of being a mother in the first few postpartum months. Therefore, the labor services provided by hospitals have an important role and have been the topic of numerous studies. Israel enjoys a particularly high birth rate (twice as high as in other OECD countries), with over 99% of deliveries taking place in public hospitals, making it a good case study for examining satisfaction with childbirth services. In addition, Israel has at least two distinct populations – ultra orthodox and non-religious – allowing us to examine possible differences in how the experience of hospital childbirth is perceived in different communities. The current study examines the differences, if any, between Ultra-Orthodox Jewish Mothers (UOJM) and Non-Religious Jewish Mothers (NRJM) in their satisfaction with hospital childbirth services. Aim: The study focuses on the differences between the factors that influence NRJM's and UOJM’s satisfaction with childbirth services Procedure: This is a comparative study based on a sample of 232 non-religious and 161 ultra-orthodox mothers who have given birth in a public hospital in Israel. Eighteen items defining childbirth satisfaction were rated on a 5-point Likert Scale. The items have been grouped together into three dimensions: The Personal Care dimension includes the interaction of the service provider (midwife or healthcare provider) with the mother, their professionalism, empathy, attitude, responsiveness, etc.; the Surrounding Atmosphere dimension contains items related to the delivery room like its hygiene or aesthetics; and the Technical Methods dimension, which relates to the emergency and alternative care equipment. Results: The study shows that in both sectors, satisfaction was significantly influenced by the dimensions of Personal Care and Technical Methods; however, the Surrounding Atmosphere dimension influenced only ultra-orthodox mothers. Conclusions: The results emphasize the importance of personal interaction with the patient, as well as the presence of appropriate technical methods in the delivery room. When a mother is satisfied with these two dimensions, she is more likely be to be satisfied with her overall birth care. Hospitals should therefore focus on the personal interaction of the staff with the mother, as well as on being service oriented and providing high quality and professional obstetric care. They should also emphasize the cleanliness of the delivery room and its general atmosphere, especially when the patient is from the ultra-orthodox community.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91081966","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":"Clinical Comparison of 5mm Mini-incision Laparoendoscopic Single-Site Hysterectomy and Traditional Laparoendoscopic Single-Site Hysterectomy","authors":"Ying Cao, Yilin Sun, Jiming Chen, Z. Dong, Yafeng Zheng, Yunfen Jiang, Ruxia Shi","doi":"10.11648/J.JGO.20210901.15","DOIUrl":"https://doi.org/10.11648/J.JGO.20210901.15","url":null,"abstract":"Objective: To investigate the feasibility of 5mm mini-•incision Laparoendoscopic Single-Site hysterectomy and Laparoendoscopic Single-Site hysterectomy in terms of safety, postoperative pain and cosmetic effect. Methods: The medical records of 19 patients who underwent hysterectomy with 5mm mini-•incision Laparoendoscopic Single-Site Surgery (LESS) or traditional Laparoendoscopic Single-Site Sugery in the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University from December 2017 to June 2020 were retrospectively analyzed, including 6 cases in the group of 5mm mini-•incision Laparoendoscopic Single-Site hysterectomy through umbilical ordinary incision (5mm) and 13 cases in the group of traditional Laparoendoscopic Single-Site hysterectomy through umbilical ordinary incision (1.5cm-3cm). Collect and compare the intraoperative blood loss, the operative time, the postoperative hemoglobin descender, the postoperative hospital stays, the probability of postoperative wound infection, the total cost, Visual analogue scale (VAS) of 12 hours after surgery, VAS of 24 hours after surgery and postoperative Body Image Questionnaire (BIQ, including Body Image scale, BIS and Cosmetic Score, CS) in the two groups. Results: There was no intraoperative complication happened, and there was no significant difference between the two groups in the forms of the intraoperative blood loss, operative time, postoperative hospital stays, postoperative hemoglobin descender, the probability of postoperative wound infection, the total cost, VAS of 24 hours after surgery and CS (P > 0.05). But the VAS of 12 hours after surgery of the 5mm mini-•incision Laparoendoscopic Single-Site hysterectomy was lower than traditional Laparoendoscopic Single-Site hysterectomy (1.17±0.14 vs. 2.33±0.19), the BIS of the former was higher than the later (19.83±0.15 vs 19.16±0.28), and importantly the difference was statistically significant (P < 0.05). Conclusion: Laparoendoscopic Single-Site through 5mm mini-incision is safe and feasible. Compared with traditional Laparoendoscopic Single-Site Hysterectomy through ordinary incision, it can not only significantly reduce postoperative pain, but also bring more satisfactory postoperative cosmetic effect.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73053431","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":"The Right to Information: An Assessment of Patients’ Perceptions and Satisfaction in a University Clinic of Gynaecology and Obstetrics of Cotonou","authors":"Cedric Egnonwa Bigot, Angèle Azon Kouanou, Narcisse Vigan, Patrice Dangbemey, Kouessi Anthelme Agbodande, Christiane Tshabu Aguemon","doi":"10.11648/j.jgo.20210906.15","DOIUrl":"https://doi.org/10.11648/j.jgo.20210906.15","url":null,"abstract":"","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75887890","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":"Induced Abortion Among Reproductive Age Group Women in Health Facilities of Wolaita Sodo, South Ethiopia","authors":"Tamene Naba","doi":"10.11648/j.jgo.20210906.17","DOIUrl":"https://doi.org/10.11648/j.jgo.20210906.17","url":null,"abstract":"","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87301541","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}