Supplement to International journal of gynecology and obstetrics最新文献

{"title":"Variation Trend of Vitamin D Status in Wintertime Among Infants: A Cross-sectional Study","authors":"Wei Li, Qiong Dai, Y. Qiu, Jianqiong Liu, Yan Guo, Bin Wang","doi":"10.11648/j.jgo.20190705.16","DOIUrl":"https://doi.org/10.11648/j.jgo.20190705.16","url":null,"abstract":"Background The requirement of vitamin D in different stage may be diverse, but research on the variation trend of vitamin D status during infancy is scarce. Objective This study aimed to explore the variation trend of vitamin D status and influencing factors of vitamin D deficiency and insufficiency during wintertime among infants. Methods A cross-sectional study was conducted. A total of 500 infants were included in our study during January to March 2017. The serum 25(OH)D was performed by chemiluminescent assay. Multivariate Logistic regression was conducted to evaluate the influencing factors of vitamin D deficiency and vitamin D insufficiency. Results The older infants had a higher concentration of vitamin D than younger infants (r=0.62, P<0.0001). And the overall prevalence of vitamin D deficiency and insufficiency were 33.80% and 18.00%, respectively. With the increase of month age, the risk of vitamin D deficiency (OR=0.63, 95%CI: 0.57-0.70) and insufficiency (OR=0.69, 95%CI: 0.62-0.77) were both declined. In addition, the infant with low birthweight, breastfed, living in rural area were correlated with a higher risk of vitamin D deficiency and insufficiency (P<0.05). Conclusion Vitamin D deficiency and insufficiency prevalence changed with month age, routine monitoring of vitamin D levels is necessary for infant.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80856241","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":"Laparotomy Myomectomy: Epidemiology, Indications and Prognosis at Loandjili General Hospital (Republic of Congo)","authors":"Eouani Max Lévy Eméry, Mokoko Jules César, Buambo Gauthier Régis Jostin, Potokoue Mpia Sekangue Samantha Nuely, Itoua Clautaire, Iloki Léon Hervé","doi":"10.11648/j.jgo.20190705.15","DOIUrl":"https://doi.org/10.11648/j.jgo.20190705.15","url":null,"abstract":"To describe the epidemiological profile of patients, list myomectomy indications and report their prognosis at Loandjili General Hospital. A descriptive cross-sectional study conducted from 1 January 2016 to 31 December 2018 in the Gynecology Department of Loandjili General Hospital, including exhaustively all patients operated for myomectomy. The variables studied were pre (age, gestity, parity, indication), per (myoma measures, blood loss, intraoperative transfusion, complications and peroperative incidents) and postoperatively (hospital stay). Ninety-two patients had been received for surgical management of uterine fibroids out of a total of 1,455 gynecological procedures or 6.3%. The median age was 36.5 years [range 27 - 44] with a peak in the 36 to 40 age group (37%). The median gestity and parity were respectively 2 [range 0 - 12] and 1 [range 0 - 7]. More than half of the patients were nulliparous (51.1%). In 71.7% of cases (n = 66), myomectomy was performed in a context of desire for maternity. Indications for myomectomy were hemorrhage (46.7%), large uterus above the umbilicus (37%) and pelvic pain (16.3%). The polymyomectomy was performed in 64.1% of the cases (n = 59) with nuclei of size varying between 2 and 20 cm. The morbidity was marked on the one hand by anemia (n = 14 or 14%) secondary to an intraoperative haemorrhage which resulted in two cases in performing a hemostatic hysterectomy and in the other by rupture of the uterine cavity. Postoperative blood loss was estimated at 200 to 1400 ml, resulting in more than half of the patients receiving blood transfusions (58%). Myomectomy by laparotomy is often accompanied by significant blood spoliation thus increasing the postoperative morbidity. Techniques that minimize intraoperative blood loss should be used for laparotomy myomectomy.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90215744","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":"Female Hermaphroditism and Term Pregnancy: About a Case at the National Hospital of Pikine and Review of Literature","authors":"Taliana Stéphie Gondjout, O. Gassama, Soukaina El Alaoui, H. Chami, A. Diouf, A. Diouf","doi":"10.11648/j.jgo.20190705.14","DOIUrl":"https://doi.org/10.11648/j.jgo.20190705.14","url":null,"abstract":"This case report, it’s about a patient I met during prenatal consultation, she was in the 2nd semester of her pregnancy, exactly at 25 weeks. During the physical examination, we found, she had a hypoplasia of minor labia, an incomplete vaginal diaphragm with a vaginal cup, and a hypertrophy of clitoris. We decide to make some biological and instrumental examinations. After getting the result, we concluded she has a pseudo hermaphroditism associated with malformation of 1/3 of vagina. Reason why the way of the delivery choose was a C-section. Female pseudo hermaphroditism is the most frequent (FPH) sexual ambiguity. It is characterized by the extension of abnormality of the sexual differentiation during the fetal life in the female fetus by a maternal or fetal hyper-genesis. The authors propose through a clinical case with a patient 46XX DSD pregnant. The main cause of this pathology is congenital adrenal hyperplasia, which we lead to deficits of 21-hydoxylase, 11-beta-hydroxylase, 3-beta-hydroxysteroid dehydrogenase, but 95% of the congenital adrenal hyperplasia is the deficiency of 21-hydoxylase. The treatment of congenital adrenal hyperplasia depend of the cause, hormone replacement therapy like (dexamethasone, hydrocortisone), most often the treatment for life is needed. From this we propose to make review of literature focusing on it.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87929323","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 Effect of Perinatal Maternal Health Knowledge Explaining Combined Full-time Nursing Staff Accompanying on Maternal Labor and Pregnancy","authors":"Liang Wenfei, Zuo-fa Li, Gao Yu-jing, Hu Xinke","doi":"10.11648/J.JGO.20190705.13","DOIUrl":"https://doi.org/10.11648/J.JGO.20190705.13","url":null,"abstract":"Objective: TO investigate the effect of perinatal maternal health knowledge explaining combined full-time nursing staff accompanying on maternal labor and pregnancy. Methods In our hospital from January 2016 to October 2018, 173 primiparas were randomly divided into control group (87 cases) and nursing group (86 cases). The control group was given perinatal routine care, the observation group was given perinatal maternal health knowledge explaining combined full-time nursing staff accompanying. The maternal psychological state, labor, pregnancy outcome and neonatal Apgar score were compared between the two groups. Results: Before the intervention, the scores of SAS (51.37±5.73) and SDS (63.32±6.17) in the nursing group were not significantly different from those in the control group (SAS 51.74±5.82 and SDS 63.47±6.21) (P>0.05). After the intervention, the SAS (37.51±3.51 points) and SDS (44.58±4.23 points) scores in the observation group were significantly lower than those control group (43.36±4.95 points, 52.46±4.51 points) (P 0.05). However, the second (25.2±4.3min) and third (8.3±2.1min) labor time of nursing group was significantly less than those of the control group (46.8±6.7min, 11.4±2.6min) ((P < 0.05). And, the pregnancy outcomes of the nursing group were significantly better than the control group ((P < 0.05). Furthermore, the Apgar score in the nursing group (9.25±1.03) was significantly higher than that in the control group (8.24±1.35) ((P < 0.05). Conclusion: Perinatal maternal health knowledge and combined with full-time nursing staff can help reduce maternal anxiety and depression, shorten labor time, improve maternal pregnancy outcomes, and improve neonatal Apgar score, which is worthy of clinical application.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82292133","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":"MRI Distinguish the Types of Placental Accrete Ability and Finding: 27 Patients Results","authors":"Tianran Li, Xiaobin Huang, Fayu Chen, Beibei Zhang, Zhijie Yang","doi":"10.11648/J.JGO.20190705.12","DOIUrl":"https://doi.org/10.11648/J.JGO.20190705.12","url":null,"abstract":"The placenta accrete is a kind of emergency and it leads to maternal postpartum hemorrhage, and one of the causes of death. Its aims is to evaluate diagnostic ability and findings of MRI in placental accrete of different types. This study included 27 pregnant women who were all histologically confirmed placental accrete after operation. According to the Maldjia diagnostic MRI criteria. The sensitivity and accuracy of MRI imaging were compared, and the MRI features of placental accrete were also described. The results showed a statistically significant difference among the three radiologists in MRI classification (P 0.05), chi square test (c2) showed no difference between the two types diagnostic capabilities (P>0.05). ADC and high b value DWI both showed slightly high signal of placental accrete. Residual placenta demonstrated \"flower braid\" or \"mushroom\" inhomogeneous enhancement. Comparison of MRI and US, 0 and 1 type are no obviously difference between US and MRI (P>0.05), but there are statistical difference (P<0.05) for distinguishing type 2 and type 3. MRI has a high diagnostic accuracy in placental implantation and the location, extent and depth of its invasion, displaying the condition of blood supply, and the drawing the typing diagnosis based on them. Moreover, MRI was more useful than US in distinguishing type 2 and type 3 of placental accrete.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72530679","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":"Benign Reactive Xanthogranuloma of the Cervix, a Rare Tumor of the Female Genital Tract in a Case Report","authors":"G. Wehbe, Jessie Darido, M. Ramadan, R. Chahine, Ahmad Estaitieh, A. Lakis, O. Sheikh, Khaled Habib, S. E. Daou, N. Haddad","doi":"10.11648/J.JGO.20190705.11","DOIUrl":"https://doi.org/10.11648/J.JGO.20190705.11","url":null,"abstract":"Xanthogranuloma is a benign disorder that is considered to be a very rare event when it happens in the female reproductive organs. It can mimic adnexal tumors clinically and radiologically. The vulva, the vagina, the cervix or the endometrium can be involved. It is a process during which the tissues are infiltrated by lipid-laden histiocytes mixed with lymphocytes, plasma cells and polymorphonuclear leucocytes. In this article, we are reporting a rare case of an adult xanthogranulomatous inflammation of the uterine cervix with a detailed clinical, pathologic, radiologic and follow up data. A 46-year-old lady presented with vaginal bleeding, dysmenorrhea and pelvic heaviness. She underwent a diagnostic dilation and curetting at a peripheral hospital due to increased endometrial thickness on ultrasound. Then, she was misdiagnosed with a diffused large B cell lymphoma (Non-Hodgkin Lymphoma) and was treated with two cycles of chemotherapy. At our department, abdominopelvic ultrasound and CT scan showed a 10 x 9.4 cm round cervical mass associated with hydronephrosis. A cervical biopsy was also taken turned back with a pseudotumoral xanthogranulomatous cervicitis. Consequently, a hysterectomy with bilateral salpingo oophorectomy was decided and performed taking into consideration the possibility of a coexistent associated malignancy of the reproductive organs. In contrast with juvenile xanthogranuloma, we could not have expected from our case of adult xanthogranuloma to regress. Finally, more studies and reported cases are needed in order to assess the adequate management and utility of radiotherapy/chemotherapy in such cases of Xanthogranulomatous inflammation of the female genital tract.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80186210","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":"Influences of Maternal Weight Gain During Pregnancy on Selected Fetal Outcomes","authors":"R. Sivalingarajah, W. Abeykoon","doi":"10.11648/J.JGO.20190704.15","DOIUrl":"https://doi.org/10.11648/J.JGO.20190704.15","url":null,"abstract":"Weight gain in pregnant mothers has several influencing factors. Studies have shown that maternal weight gain influenced both maternal and fetal immediate and future outcomes. However, the recommended amount of weight gain for optimum maternal and fetal outcome is still uncertain. A cross sectional descriptive study was carried out at Teaching Hospital Kandy, for a period of one-year to describe the influence of maternal weight gain during pregnancy in selected fetal outcome such birth weight and APGAR score at birth. 425 participants with normal pre gestational BMI (18.5 kg/m2 - 24.9 kg/m2) were selected by a systematic random sampling technique. Medical disorders complicating pregnancies, twins, previous miscarriages and fetal abnormalities were excluded. Data was extracted from the antenatal record, bed head ticket and by measuring relevant variables (birth weight and APGAR score). Maternal age distributed from 17 to 43 years (Mean=27.97 years: SD=5.72 years). Maternal height distributed from 125cm to 172cm (Mean=154.4cm: SD=5.83cm). Pre pregnancy BMI distributed from 18.5 kg/m2 to 24.9 kg/m2 (Mean=21.67 kg/m2: SD=2.2 kg/m2). Maternal body weight at delivery distributed from 36 kg to 116 kg (Mean=63.8kg: SD= 11.82). Pregnancy weight gain distributed from 3.5kg to 24.5 kg (Mean=9.03kg: SD=3.87). Birth weight distributed from 1.24kg to 4.04 kg (Mean=2.93: SD=0.438). All exposure parameters had a positive linear correlation with birth weight. Almost all the study participants (N=423:99.5%) had achieved an APGAR score of >7 within 10 minutes of birth. In conclusion, maternal weight gain does not affect the birth weight of the newborn and no conclusion is derived on maternal weight gain causing any hypoxic situation at the time of birth. These findings are only applicable to normal pregnancies due to the exclusion criteria. Further studies are recommended with a larger sample size and a prospective cohort design with continuous follow up during the antenatal period.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82534470","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":"Parturient Anemic: Epidemiology and Outcome of Pregnancy in Three Maternities of Brazzaville (Republic of Congo)","authors":"Itoua Clautaire, Ngaliba Olivia Firmine, Buambo Gauthier Régis Jostin, Ngami Ariane Glore, Mokoko Jules César, Ngakengni Nelie Yvette, Eouani Max Lévy Eméry, Iloki Léon Hervé","doi":"10.11648/J.JGO.20190704.14","DOIUrl":"https://doi.org/10.11648/J.JGO.20190704.14","url":null,"abstract":"Objective: Anemia during childbirth remains a concern for reproductive health personnel, both in terms of frequency and the risks involved in all periods of pregnancy and childbirth. This work aims to analyze the epidemiological profile of anemic parturient and the outcome of their pregnancy. Methods: A multicenter case-control study conducted from February 1st to July 31st, 2017, in three Brazzaville maternity clinics, comparing the ratio of one case for two controls, the anemic parturient (n = 67) to those without anemia (n = 134). Any parturient with a hemoglobin level < 11 g / dl was considered anemic. The variables studied were sociodemographic and reproductive, related to anemia, per and postpartum. Results: Sixty-seven anemic parturient were recorded among 10,106 deliveries, a frequency of 0.7%. Anemic female parturient were older (30.1 ± 1.6 years vs 27.5 ± 1.9 years, p < 0.05), out of school (OR = 13.1 [1.5-111], p < 0.05) and unemployed (OR = 3.8 [2.1-7.2], p < 0.05). The mean hemoglobin level was 8.1 ± 0.1g / dl vs 12.1 ± 0.8g / dl. Anemia was microcytic hypochromic (28.4%) and normochromic normocytic (71.6%). Anemia was mild (40.3%), moderate (44.7%) and severe (15%). Delivery was more by caesarean section in cases (97% vs 1.5%, p < 0.05) with a higher recourse to blood transfusion (55.4% vs 3.8%, OR = 29.9 [10.8-82.6], p < 0.05). Maternal lethality was 13-fold higher in case of anemia (OR = 13 [1.5-111], p < 0.05). Neonatal morbidity was represented by poor adaptation to extrauterine life (OR = 40.7 [9.1-180.7), p < 0.05), hypotrophy (OR = 21.9 [7.2-67.1], p < 0.05), prematurity (OR = 6.6 [2.6-16.9], p < 0.05), neonatal resuscitation (OR = 35.4 [10.2-122.5), p < 0.05) and neonatal transfer (OR = 2.8 [2-4], p < 0.05). Neonatal lethality was three times higher in case of anemia (OR = 3.3 [2.6-4.8], p < 0.05). Conclusion: Maternal and neonatal prognosis is poor in anemic female parturient. Reducing the maternal and fetal impact of anemia during childbirth requires early detection and case management during prenatal contact.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81105111","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":"Anaemia Among Refugees Pregnant Women in Gaza Strip: Perceptions, Awareness and Opinions and Attitudes","authors":"Marwan Mosleh, K. Dalal","doi":"10.11648/J.JGO.20190704.13","DOIUrl":"https://doi.org/10.11648/J.JGO.20190704.13","url":null,"abstract":"Anaemia in pregnancy is the most common public health concern in both developed and developing worlds like Palestine. Little is known about this significant health issue. Therefore, the purpose of this study was to investigate the perception, opinions and attitudes of anaemia among refugees pregnant women in Gaza strip. A cross-sectional study was employed among a random sample of 164 women or subjects, with a response rate of 81%. The survey was conducted at UNRWA antenatal health centers at refugee camps in Gaza strip. The study was approved by United Nations Relief and Work Agency (UNRWA) health department. The study elucidated that a higher rate of women were knowledgeable and had ideas on anaemia, however, some women had inadequate knowledge on anaemia during pregnancy. There were a concern and misconception regarding some issues on anaemia such as; lack of knowledge on the effect of drinking tea on iron absorption; and on the side effects of iron pills during pregnancy. Highly positive opinions and attitudes toward anaemia were observed in most women. The study found that a high proportion of women were dissatisfied with the volume of health education sessions on anaemia at UNRWA antenatal health centers and many women had not attended or joined such sessions. In general, the study declined to find a significant differences regarding anaemia between women with and those without health education sessions on anaemia. Finally, the study suggests that, an effective and a clear health education strategy is needed in order to improve women perceptions, awareness, opinions and attitudes regarding anaemia in Palestine. Further researches are important and needed in this scope.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84676928","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":"Insomnia in Perimenopausal Women: A Study at TuDu Hospital, Vietnam","authors":"T. Vo, Thang Huynh","doi":"10.11648/J.JGO.20190704.12","DOIUrl":"https://doi.org/10.11648/J.JGO.20190704.12","url":null,"abstract":"Insomnia with direct or indirect influences on perimenopausal illnesses was recorded in various studies. In order to improve the quality of treatment, a study is needed to define insomnia prevalence and related factors in perimenopausal clients at Tu Du Ob/Gyn Hospital. A cross-sectional study was conducted during October – December 2017 in 45-to-52-years-old clients seeking routine gynecology examination at Tu Du Hospital. Insomnia-disorder scoring from Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was used to screen insomnia. Interviews were made on household, sociology, history of perimenopausal illness, economic conditions, marital status, family and social relationship, which, then, was compared between the two groups with diagnostic screening as having insomnia versus no insomnia. 386 cases were admitted into the study, the prevalence of insomina was 27.72%. Insomnia related to age when comparing age groups of 50-52 against 45-49 (PR = 1.9; 95%CI= 1.1 – 3.5), economic status (PR = 2.99; 95%CI = 1.2 – 7.6), hot flush (PR = 3.65; 95%CI = 2 – 6.6). Those findings indicated that Perimenopausal women should be screened on insomnia for counseling and early treatment.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"141 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77235458","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}