Supplement to International journal of gynecology and obstetrics最新文献

{"title":"Important Factors of Successful Pregnancies and Deliveries After Abdominal Radical Trachelectomy for Early-stage Cervical Cancer; Single-institution Experience","authors":"M. Takenaka, T. Furui, N. Suzuki, K. Morishige","doi":"10.11648/j.jgo.20210906.20","DOIUrl":"https://doi.org/10.11648/j.jgo.20210906.20","url":null,"abstract":"We assessed pregnancies and deliveries after abdominal radical trachelectomy (ART) based on reproductive outcomes. We retrospectively analyzed patients undergoing ART in our hospital from 2011 to 2020. Twenty-one patients (median age, 35 [range 27-40] years) with histologically diagnosed cervical cancer (squamous cell carcinoma [n=16], adenocarcinoma [n=4] and adenosquamous carcinoma [n=1]) underwent ART. Clinical stages (FIGO 2018) were IA1 (n=2), IA2 (n=5) and IB1 (n=14). Median follow-up period was 49 (1-108) months with no post-ART recurrence. Among 10 patients with post-ART planned pregnancies, 6 patients had pregnancies. Although all patients in the pregnancy group had pregnancies at the first fertility treatment, none of patients in the non-pregnancy group had pregnancies after several fertility treatment. Age, period after ART and the rate of bilateral uterine arteries preservation showed no significant difference between the pregnancy and non-pregnancy groups. Residual cervical length was about 10 mm in the pre-term delivery group and over 20 mm in the full-term delivery group. Age, fertility treatment and score of normal bacteria flora of the vagina showed no significant difference between pre-term delivery group and full-term delivery group. Bilateral uterine arteries preservation in the ART procedures were not associated with pregnancies after ART. Residual cervical length was associated with gestational age at delivery.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87371197","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":"Comparative Analysis Between Invalidated Biochemical Markers and the Well-established Markers of HELLP Syndrome","authors":"K. Green, C. Amadi","doi":"10.11648/j.jgo.20210906.16","DOIUrl":"https://doi.org/10.11648/j.jgo.20210906.16","url":null,"abstract":"","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85574088","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":"Women and the COVID-19 Pandemic: Consequences of Disrupted Access to Contraception in Nigeria","authors":"Omotade Adebimpe Ijarotimi, Akaninyene Eseme Ubom, Emeka Philip Igbodike, Ernest Okechuwu Orji","doi":"10.11648/j.jgo.20210906.18","DOIUrl":"https://doi.org/10.11648/j.jgo.20210906.18","url":null,"abstract":"","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"1990 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90400046","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":"Cost Analysis of Vaginal Hysterectomy as Compared to Laparoscopic Assisted Vaginal Hysterectomy for Non-prolapse Uterus in a Tertiary Institution in South Africa","authors":"Andreas K. Chrysostomou, I. Maposa","doi":"10.11648/j.jgo.20210906.19","DOIUrl":"https://doi.org/10.11648/j.jgo.20210906.19","url":null,"abstract":"","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84191416","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":"Perception and Level of Knowledge on Preconception Care Uptake Among Women of Child Bearing Age Attending Reproductive Health Clinic at Kenyatta National Hospital","authors":"Edalia Madina Guye, Edalia Bernard Kidinga, Otieno Moses Omondi, M. Michael, Okun Daniel","doi":"10.11648/j.jgo.20210906.14","DOIUrl":"https://doi.org/10.11648/j.jgo.20210906.14","url":null,"abstract":"","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"178 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79961827","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":"Outcome of Pregnancies Among Sickle Cell Patients Admitted to Cotonou University Hospitals (Benin) from 2008 to 2018","authors":"D. Patrice, T. Véronique, Azonbakin Simon, T. Nicole, Aboubakar Moufalilou, O. Mathieu, Lokossou Symphorose, Nzikou Venance, T. Christiane, Hounkpatin Benjamin, Tonato-Bagnan Josiane, D. Lewis","doi":"10.11648/J.JGO.20200806.11","DOIUrl":"https://doi.org/10.11648/J.JGO.20200806.11","url":null,"abstract":"Objective: Study the fetal-maternal and neonantal prognosis of sickle cell pregnancies managed in Cotonou’s hospitals (R. Benin). Material and methods: This is a descriptive study on retrospective data from January 2008 to December 2018. The maternities of the Lagoon Mother and Child Hospital and University (CHU-MEL) center and of the CNHU/HKM gynecology and obstetrics university clinic had served as a framework. Complete patients records were analyzed. Included were pregnant women or delivered at 28 weeks of amenorrhea (AW) or beyond, sickle cell disease SS or SC confirmed by hemoglobin electrophoresis. Sociodemographic, clinical, therapeutic, and fetal-maternal and neonatal prognosis were analyzed. EPI DATA 3.1 and SPSS 2.0 software were used to analyze our data. The difference is significant for a p-value ≤ 5%. Ethical and professional standards and rules were respected. Results: The delivery of a patient suffering from sickle cell disease represented 0.82% of births. The SS phenotype was observed in 27.3% (n=105) versus 72.7% (n=279) of SC (p=0.000). A history of obstetric complications was noted in 56.8% (n=218). The course of the current pregnancy was marked by obstetric complications in 97.4% and the most important were: the threat of premature delivery (28%) and the vaso-occlusive crisis (19.5%). The caesarean was performed in 92% of sickle cell patients. Premature delivery was observed in 60% with 6.3% very premature (28-33AW). It was registered 91% (n=352) live births, 48% (n=169) hypotrophs, 60% premature, 1.1% (n=4) intrapartum deaths and 8% (n=4) intrapartum deaths and 8% (n=31) deaths in utero. Perinatal mortality represented 9%. The after-effects of childbirth were complicated in 12% (n=46). The puerperal infections (32.6%), hypertension (28.2%) and its complications and severe anemia (19.2%) were the most common complications. Five (5) maternal deaths were deplored, ie a mortality rate of 1420 maternal deaths per 100,000 live births. Conclusion: In Benin, pregnancy and delivery of sickle cell disease are at high risk of fetal, maternal and neonatal mortality. Caesarean section was almost routine in this group. The practice of transfusion exchange or bleeding may improve prognosis.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89479192","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":"Media Influence on Sexual Activity and Contraceptive Use Amongst Students of University of Jos, Jos Plateau State Nigeria","authors":"C. Anyaka, C. Egbodo, Makshwar L. Kahansim, A. Ocheke, John Edeoja Edeh","doi":"10.11648/j.jgo.20200805.13","DOIUrl":"https://doi.org/10.11648/j.jgo.20200805.13","url":null,"abstract":"Introduction: The Youth are active consumers of media content where issues pertaining to sexual activity and contraceptives could be seen. Information derivable from the media can reduce the burden of reproductive health. Therefore, examining the influence of media on sexual behaviour and contraceptive use of students may assist policy makers to strategize on providing solutions to these problems. Objective: The general objective of this study was to examine the influence of media on sexual activity and contraceptive use among students at the University of Jos, Plateau State. Methods: A descriptive cross-sectional study where 278 students of general studies were selected using a multistage random sampling technique. Individuals were subsequently chosen at random until a statistically determined sample size was achieved. Statistical Package for Social Sciences (SPSS version 20) software was utilized for data analysis. Results: The mean age of respondents was 22.3 years Students that were ≤ 20yrs constituted the largest group of respondents (49.6%). Most of the students (77%) agreed that media influences sexual behaviour with the Internet/social media (39.3%) having the most influence. Most of the respondents (87.4%) had heard of contraceptives from the media, most from the Internet/social media (42.4%) while the male condom (46.5%) was the most known type of contraceptive. Most of the respondents (77.7%) felt that contraceptive information in the media encouraged engagement in safe sex. There was a significant statistical association between information from media and influence on sexual activity and also influence on use of contraceptives. There was also significant statistical association between information on contraceptives from media and engagement in safe sexual activity. Significant number of the students (42.6%) agreed while 40.0% disagreed that the media should be a platform for sex education to students. Most of the students (87.4%) agreed that contraceptives information in media can lead to reduced incidence of unwanted pregnancies among students. Most of the students (86.7%) agreed that contraceptives information in media can lead to reduced incidence of STIs and HIV/AIDS among students. Conclusion: Media content is seen among the top sexual educators amongst students. Mass media plays an important role in improving contraceptive use among students. This finding provides a window of opportunity for improving contraceptive utilization in the country through an improved and sustained use of the mass media to disseminate family planning information.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73011759","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":"Fetomaternal Outcome in Pregnant Women with Acute Hepatitis E","authors":"S. Asghar, S. Maqbool","doi":"10.11648/J.JGO.20190706.13","DOIUrl":"https://doi.org/10.11648/J.JGO.20190706.13","url":null,"abstract":"Hepatitis E is fairly common among pregnant population and puts a threat to mother and fetal wellbeing. Only limited research is available on association of Hepatitis E infection in pregnancy with feto-maternal outcome. The purpose of the current study was to investigate such patients while carefully eliminating bias by controlling confounders. We aimed to determine the feto-maternal outcome in pregnant women with acute hepatitis E. A descriptive case series was conducted to find feto-maternal outcome in pregnant women with acute hepatitis E. The mean maternal age was 30.05±4.49 years ad mean Gestational age of the patients was 35.73±2.10 months. Most (47%) of the patients were para 3 followed by para 2 (31.8%). 78.8% of the mothers underwent caesarean delivery. Most of the patients had Preterm delivery (69.7%). 16 (24.2%) patients died while majority (75.8%) of the patients survived for more than 30 days after delivery. Most of the mothers (50.0%) died during first 10 days of delivery. 28.8% of patients suffered fetal loss while majority (71.2%) of the neonates survived for more than 7 days. Majority (78.9%) of those who expired died in utero while only a smaller percentage (21.1%) expired in neonatal period. Hepatitis E infection in pregnancy is associated with poor feto-maternal outcome. Careful monitoring and early intervention in the form of caesarean delivery can improve the outcome.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81395580","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":"Five Year Study of a Unique, Eco-friendly, Menstrual Cup, That Enhances the Quality of Women’s Lives During Menstruation","authors":"A. Shihata, S. Brody","doi":"10.11648/J.JGO.20190706.12","DOIUrl":"https://doi.org/10.11648/J.JGO.20190706.12","url":null,"abstract":"Menstrual cups are gaining more popularity among women, [1]. who prefer cups over pads and tampons. The innovative FemmyCycle (Figure 2) has several advantages over traditional menstrual cups, which has led to its increased popularity [2]. The objective of this study is to mitigate and correct the possible or potential side effects caused by traditional menstrual cups (Figure 3). The most common side effect among traditional cups is leakage. \"Despite the fact that 1.9 billion women globally are of menstruating age—spending on average 65 days a year dealing with menstrual blood flow, few good quality studies exist that compare sanitary products\", says senior author Penelope Phillips-Howard, a public health epidemiologist from the Liverpool School of Tropical Medicine in the UK. [3]. We focused our study on all causes of leakage and other side effects caused by traditional menstrual cups. Methods of corrective and preventive actions included; the no-spill design, (Figure 4 & Figure 5), use of a removal ring instead of a rigid stem, the use of a flask shaped body rather than the conical shape of traditional menstrual cups, (Figure 2 & Figure 3), the elimination of suction holes and the need to manually open the cup. We analyzed 834 independent reviews by women who have had prior experience with traditional menstrual cups to obtain objective results. The implementation of these design changes and enhancing the written and video instructions produced measurable, objective, positive results in favor of the FemmyCycle. We analyzed all these reviews for FemmyCycle to measure the effects on leakage and other side effects. We selected the reviewers who volunteered to compare the FemmyCycle with their experience with traditional cone shaped menstrual cups. There were many reasons why women preferred FemmyCycle, but the most common by far was the prevention of leakage followed by the ease of insertion, ease of removal and comfort when inserted. The implementation of the design changes from a conical shaped cup with a removal stem to a flask shape cup with a removal ring, in addition to the added no-spill feature and enhanced instructional material, improved the acceptability of the FemmyCycle.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87822981","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":"Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery","authors":"Xinke Huang, Lijun Zuo, Ruihong Chen, Baohua Qiu, Wenfei Liang","doi":"10.11648/J.JGO.20190706.11","DOIUrl":"https://doi.org/10.11648/J.JGO.20190706.11","url":null,"abstract":"Probing into the Quality Control Circle (QCC) activities in improving the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery. By setting up QCC team, to investigate and diagnose the problems of DCC rate of newborns undergoing vaginal delivery in our hospital in 2017, therefore, to draw up our new target and the responding measurement. After that, we analyze and discuss the data, and finally filter the valid data. Finally, we compare the two sets of situations and data. According to the investigation of DCC rate undergoing vaginal delivery and the relative Maternal-and-Infant outcome in August to November in 2017, after setting up QCC activities, it shows the DCC rate of newborns undergoing vaginal delivery has an significant increased, from 35.1% to 82.3%, duration of the Third Stage of Labor, hospitalization rate of Neonatal intensive Care Nursing (NICU), Apgar score, incidence of postpartum hemorrhage, asphyxia neonatorum and hyperbilirubinemia has no statistical sence (P>0.05). The Quality Control Circle (QCC) activities can effectively improve the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery, without affecting the incidence of undesirable Maternal-and-Infant outcome. And the quality control circle activities can be fed back and improved through the PDCA cycle to make it more scientific and practical.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76413740","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}