Pub Date : 2023-09-01DOI: 10.2174/1573404820666230901123419
N. A. Aypar Akbag, Yasemin Şanlı, Gamze Göke Arslan
Minimizing the stress levels of pregnant women is important to giving healthy birth and raising healthy generations. Therefore, there is a need for effective methods to diagnose stress early in pregnancy. The purpose of this research was to examine the psychometric features of the Antenatal Psychosocial Stress Scale (APSS) in pregnant Turkish women. This methodological study was conducted on 290 pregnant women. The Turkish version of the APSS based on Exploratory Factor Analysis was found to have 70.215 percent of the total variance. It had a Cronbach's alpha coefficient of 0.78. After the confirmatory factor analysis, the following were determined: χ2/df: 1.663, CFI: 0.978, RMSEA: 0.048, GFI: 0. 972. The Turkish sample found the APSS to be a valid and trustworthy assessment instrument for pregnant women.
{"title":"Psychometric Properties of the Antenatal Psychosocial Stress Scale in Turkish Pregnant Women","authors":"N. A. Aypar Akbag, Yasemin Şanlı, Gamze Göke Arslan","doi":"10.2174/1573404820666230901123419","DOIUrl":"https://doi.org/10.2174/1573404820666230901123419","url":null,"abstract":"\u0000\u0000Minimizing the stress levels of pregnant women is important to giving healthy birth and raising healthy generations. Therefore, there is a need for effective methods to diagnose stress early in pregnancy.\u0000\u0000\u0000\u0000The purpose of this research was to examine the psychometric features of the Antenatal Psychosocial Stress Scale (APSS) in pregnant Turkish women.\u0000\u0000\u0000\u0000This methodological study was conducted on 290 pregnant women.\u0000\u0000\u0000\u0000The Turkish version of the APSS based on Exploratory Factor Analysis was found to have 70.215 percent of the total variance. It had a Cronbach's alpha coefficient of 0.78. After the confirmatory factor analysis, the following were determined: χ2/df: 1.663, CFI: 0.978, RMSEA: 0.048, GFI: 0. 972.\u0000\u0000\u0000\u0000The Turkish sample found the APSS to be a valid and trustworthy assessment instrument for pregnant women.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"5 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76086960","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}
Pub Date : 2023-08-25DOI: 10.2174/1573404820666230825105243
H. Salehiniya, Z. Momenimovahed, L. Allahqoli
During the COVID-19 pandemic, various groups, including women with cancer, were affected as a high-risk group in terms of disease diagnosis and treatment. Despite the importance of therapeutic changes in cancers, such as breast and gynecological cancer, there is no comprehensive study in this regard that also refers to the coronavirus. The need for a deep understanding of the impact of coronavirus on the treatment plan of this group of patients caused the researcher to design and implement this study that aims to investigate the treatment challenge among cancer patients during the COVID-19 pandemic. To answer the study question, a comprehensive search was carried out in databases, such as PubMed, Web of Science Core Collection, and Scopus, using keywords, including cancer, gynecologic cancer, breast cancer, treatment, delay, and modification. Full-texted, English language and original articles were included in this study. In total, 27 articles were selected for the study. The findings of this study revealed that COVID-19 greatly affects the treatment of gynecology and breast cancer. These patients experience delay or modification of cancer treatment. Increased time between diagnosis and treatment, delay, change or cancellation of surgery and change in treatment plan are the most important changes in cancer treatment during the COVID-19 pandemic. The COVID-19 pandemic has had a significant impact on various aspects of gynecology and breast cancer care worldwide. In the current pandemic, there has been a significant delay in the diagnosis and treatment of gynecological and breast cancer, which, due to its higher morbidity and mortality, has made the condition more difficult for cancer patients and treatment teams.
在2019冠状病毒病大流行期间，包括癌症妇女在内的各个群体在疾病诊断和治疗方面都受到了高风险群体的影响。尽管乳腺癌和妇科癌症等癌症的治疗改变很重要，但在这方面还没有全面的研究也涉及冠状病毒。为了深入了解冠状病毒对这组患者治疗计划的影响，研究者设计并实施了这项研究，旨在调查COVID-19大流行期间癌症患者的治疗挑战。为了回答研究问题，我们在PubMed、Web of Science Core Collection、Scopus等数据库中进行了全面的检索，关键词包括癌症、妇科癌症、乳腺癌、治疗、延迟和修改。本研究包括全文、英文和原创文章。本研究共选取了27篇文章。研究结果表明，新冠病毒对妇科和乳腺癌的治疗有很大影响。这些患者经历了癌症治疗的延迟或修改。在新冠肺炎大流行期间，癌症治疗最重要的变化是诊断和治疗之间的时间延长、延迟、改变或取消手术以及改变治疗计划。COVID-19大流行对全球妇科和乳腺癌护理的各个方面产生了重大影响。在目前的大流行病中，对妇科和乳腺癌的诊断和治疗严重延误，由于发病率和死亡率较高，使癌症患者和治疗小组的病情更加困难。
{"title":"The Effect of Coronavirus Pandemic on the Treatment of Gynecological and Breast Cancers","authors":"H. Salehiniya, Z. Momenimovahed, L. Allahqoli","doi":"10.2174/1573404820666230825105243","DOIUrl":"https://doi.org/10.2174/1573404820666230825105243","url":null,"abstract":"\u0000\u0000During the COVID-19 pandemic, various groups, including women with cancer, were affected as a high-risk group in terms of disease diagnosis and treatment. Despite the importance of therapeutic changes in cancers, such as breast and gynecological cancer, there is no comprehensive study in this regard that also refers to the coronavirus. The need for a deep understanding of the impact of coronavirus on the treatment plan of this group of patients caused the researcher to design and implement this study that aims to investigate the treatment challenge among cancer patients during the COVID-19 pandemic.\u0000\u0000\u0000\u0000To answer the study question, a comprehensive search was carried out in databases, such as PubMed, Web of Science Core Collection, and Scopus, using keywords, including cancer, gynecologic cancer, breast cancer, treatment, delay, and modification. Full-texted, English language and original articles were included in this study.\u0000\u0000\u0000\u0000In total, 27 articles were selected for the study. The findings of this study revealed that COVID-19 greatly affects the treatment of gynecology and breast cancer. These patients experience delay or modification of cancer treatment. Increased time between diagnosis and treatment, delay, change or cancellation of surgery and change in treatment plan are the most important changes in cancer treatment during the COVID-19 pandemic.\u0000\u0000\u0000\u0000The COVID-19 pandemic has had a significant impact on various aspects of gynecology and breast cancer care worldwide. In the current pandemic, there has been a significant delay in the diagnosis and treatment of gynecological and breast cancer, which, due to its higher morbidity and mortality, has made the condition more difficult for cancer patients and treatment teams.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"423 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78120698","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}
Pub Date : 2023-08-23DOI: 10.2174/1573404820666230823153426
K. Shojaei, Shima Elahian, N. Saadati, R. Jafari, M. M. Gharibvand, M. Seyedtabib, Shooka Mohammadi
Preeclampsia (PE) is gestational hypertension and one of the most serious disorders in pregnant women. This study aimed to compare second-trimester uterine artery Doppler pulsatility index (UA-PI) in singleton pregnant women with and without risk of PE. A case-control study was carried out among 200 singleton pregnant women in the second trimester of pregnancy, who were referred to Imam Hospital in Ahvaz (Iran). The data were recorded on their demographic, obstetric, clinical characteristics, and Doppler indices. The average UA-PI value was considered as the mean PI between the right and left arteries. Women who were categorized into Groups 1 and 2 had a moderate-high and low risk of PE, respectively. The mean UA-PI, right UA-PI, left UA-PI, systolic and diastolic blood pressures (BP), age, body mass index (BMI), and abdominal circumference (AC) of women in Group 1 were significantly higher than those in Group 2 (p<0.05). Furthermore, Group 1 had a higher frequency of abortions, comorbidities, abnormal UA Doppler results, and nulliparous women than Group 2 (p<0.05). Based on maternal age (<35, ≥35), BMI (<25, ≥25), comorbidities (yes, no), and nulliparity (yes, no) categories, those who were in Group 1 had a significantly higher mean systolic and diastolic BP, UA-PI, right UA-PI, and left UA-PI than their counterparts in Group 2 (P<0.001). This study declared the second-trimester UA-PI had good potential for timely prediction of PE risk in pregnant women.
{"title":"Second-trimester Uterine Artery Doppler Pulsatility Index in Singleton Pregnant Women with and without Risk of Pre-eclampsia","authors":"K. Shojaei, Shima Elahian, N. Saadati, R. Jafari, M. M. Gharibvand, M. Seyedtabib, Shooka Mohammadi","doi":"10.2174/1573404820666230823153426","DOIUrl":"https://doi.org/10.2174/1573404820666230823153426","url":null,"abstract":"\u0000\u0000Preeclampsia (PE) is gestational hypertension and one of the most serious disorders in pregnant women.\u0000\u0000\u0000\u0000This study aimed to compare second-trimester uterine artery Doppler pulsatility index (UA-PI) in singleton pregnant women with and without risk of PE.\u0000\u0000\u0000\u0000A case-control study was carried out among 200 singleton pregnant women in the second trimester of pregnancy, who were referred to Imam Hospital in Ahvaz (Iran). The data were recorded on their demographic, obstetric, clinical characteristics, and Doppler indices. The average UA-PI value was considered as the mean PI between the right and left arteries. Women who were categorized into Groups 1 and 2 had a moderate-high and low risk of PE, respectively.\u0000\u0000\u0000\u0000The mean UA-PI, right UA-PI, left UA-PI, systolic and diastolic blood pressures (BP), age, body mass index (BMI), and abdominal circumference (AC) of women in Group 1 were significantly higher than those in Group 2 \u0000(p<0.05). Furthermore, Group 1 had a higher frequency of abortions, comorbidities, abnormal UA Doppler results, and nulliparous \u0000women than Group 2 (p<0.05). Based on maternal age (<35, ≥35), BMI (<25, ≥25), comorbidities (yes, no), and nulliparity (yes, no) \u0000categories, those who were in Group 1 had a significantly higher mean systolic and diastolic BP, UA-PI, right UA-PI, and left UA-PI than \u0000their counterparts in Group 2 (P<0.001).\u0000\u0000\u0000\u0000This study declared the second-trimester UA-PI had good potential for timely prediction of PE risk in pregnant women.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"40 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79579986","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}
Pub Date : 2023-08-23DOI: 10.2174/1573404820666230823123717
S. Ghaffari, Monirolsadate Hosseini-Tabaghdehi, Roya Nikbakht, S. Jahanfar, Z. Shahhosseini
Fertility, the most important factor in population growth, is affected by various factors, including pandemics. COVID-19 (CV) was a global challenge that spread rapidly around the world. This study aimed to investigate predictors of fertility desire during the covid virus pandemic. In this cross-sectional study, 315 women who visited health centers in northern Iran for vaccination against covid virus were recruited using convenient sampling. The participants completed the sociodemographic information, Fertility Desire Scale, and Fear of covid virus scale. Logistic regression analysis was employed to assess the predictive factors of fertility desire. The participants' mean age and marriage duration were 34.4 ± 6.7, and 7.3±11.5 years, respectively. It showed fertility desire among household women was about twofold more compared to employed ones [Odds Ratio (OR) = 1.96, p = 0.009)]. The fertility desire was decreased among more educated women (OR = 0.43, p= 0.035), women with one child (OR = 0.44, p= 0.030), and women with no infant gender preferences (OR = 0.53, p= 0.032). Fear of covid virus and any history of covid virus infection in the participants or their close relatives did not change fertility desire (P > 0.05). In conclusion, health policymakers should pay more attention to the potential effects of women's employment, their educational status, and their attitude toward infant gender preferences on fertility desire during the development of programs. Further research is needed to examine this empirical association on a global scale and its effect on trying to conceive.
{"title":"Predictors of Fertility Desire During COVID-19 Pandemic: A Cross-Sectional Study","authors":"S. Ghaffari, Monirolsadate Hosseini-Tabaghdehi, Roya Nikbakht, S. Jahanfar, Z. Shahhosseini","doi":"10.2174/1573404820666230823123717","DOIUrl":"https://doi.org/10.2174/1573404820666230823123717","url":null,"abstract":"\u0000\u0000Fertility, the most important factor in population growth, is affected by various factors, including pandemics. COVID-19 (CV) was a global challenge that spread rapidly around the world.\u0000\u0000\u0000\u0000This study aimed to investigate predictors of fertility desire during the covid virus pandemic.\u0000\u0000\u0000\u0000In this cross-sectional study, 315 women who visited health centers in northern Iran for vaccination against covid virus were recruited using convenient sampling. The participants completed the sociodemographic information, Fertility Desire Scale, and Fear of covid virus scale. Logistic regression analysis was employed to assess the predictive factors of fertility desire.\u0000\u0000\u0000\u0000The participants' mean age and marriage duration were 34.4 ± 6.7, and 7.3±11.5 years, respectively. It showed fertility desire among household women was about twofold more compared to employed ones [Odds Ratio (OR) = 1.96, p = 0.009)]. The fertility desire was decreased among more educated women (OR = 0.43, p= 0.035), women with one child (OR = 0.44, p= 0.030), and women with no infant gender preferences (OR = 0.53, p= 0.032). Fear of covid virus and any history of covid virus infection in the participants or their close relatives did not change fertility desire (P > 0.05).\u0000\u0000\u0000\u0000In conclusion, health policymakers should pay more attention to the potential effects of women's employment, their educational status, and their attitude toward infant gender preferences on fertility desire during the development of programs. Further research is needed to examine this empirical association on a global scale and its effect on trying to conceive.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"22 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85677397","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}
Pub Date : 2023-08-22DOI: 10.2174/1573404820666230822145758
Azadeh Jafari Ashtiani, F. Farzaneh, Mehrdad Bohlooli, M. Hosseini
During the last few years, Cytoreductive Surgery plus Hyperthermic Intraperitoneal Chemotherapy (HIPEC) has entered the national comprehensive cancer network guidelines as a new protocol for improving patients’ outcomes. However, there is no consensus on its long-term efficiency, and it still is under debate. This study aims to evaluate the effectiveness of Cytoreductive Surgery Plus hyperthermic intraperitoneal chemotherapy in patients with advanced ovarian cancer in Iran. Thirty patients with Stage IIIc and IV advanced ovarian cancer underwent cytoreductive surgery plus hyperthermic intraperitoneal chemotherapy at Jam Hospital with a fixed surgical team in Tehran, Iran, from 2019 to 2021. Fourteen patients were new cases, and sixteen of them were recurrent cases. At the end of cytoreductive surgery, by using a hyperthermic intraperitoneal chemotherapy device, Cisplatin was circulated in the peritoneal cavity for 90 minutes at a dose of 80-100 mg/ m2 at 43 ° C. Among 30 patients with 54.97±10.74 years of mean age, the mean overall survival was 564.967 days, and 2-year survival rates were 66.7%. According to Fisher's exact test, there was a statistically significant relationship between disease-free after surgery and mortality rate (p=0.00). However, there was no statistically significant relationship between recurrence after surgery and mortality rate (p=0.093). Based on these findings, cytoreductive surgery plus hyperthermic intraperitoneal chemotherapy had a survival rate of 66.7% within two years in advanced ovarian cancer patients. However, to achieve better results, careful selection of patients and complete cytoreductive surgery should be performed.
{"title":"Cytoreductive Surgery plus Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in patients with Advanced Ovarian Cancer: A 2-year survival analysis study","authors":"Azadeh Jafari Ashtiani, F. Farzaneh, Mehrdad Bohlooli, M. Hosseini","doi":"10.2174/1573404820666230822145758","DOIUrl":"https://doi.org/10.2174/1573404820666230822145758","url":null,"abstract":"\u0000\u0000During the last few years, Cytoreductive Surgery plus Hyperthermic Intraperitoneal Chemotherapy (HIPEC) has entered the national comprehensive cancer network guidelines as a new protocol for improving patients’ outcomes. However, there is no consensus on its long-term efficiency, and it still is under debate.\u0000\u0000\u0000\u0000This study aims to evaluate the effectiveness of Cytoreductive Surgery Plus hyperthermic intraperitoneal chemotherapy in patients with advanced ovarian cancer in Iran.\u0000\u0000\u0000\u0000Thirty patients with Stage IIIc and IV advanced ovarian cancer underwent cytoreductive surgery plus hyperthermic intraperitoneal chemotherapy at Jam Hospital with a fixed surgical team in Tehran, Iran, from 2019 to 2021. Fourteen patients were new cases, and sixteen of them were recurrent cases. At the end of cytoreductive surgery, by using a hyperthermic intraperitoneal chemotherapy device, Cisplatin was circulated in the peritoneal cavity for 90 minutes at a dose of 80-100 mg/ m2 at 43 ° C.\u0000\u0000\u0000\u0000Among 30 patients with 54.97±10.74 years of mean age, the mean overall survival was 564.967 days, and 2-year survival rates were 66.7%. According to Fisher's exact test, there was a statistically significant relationship between disease-free after surgery and mortality rate (p=0.00). However, there was no statistically significant relationship between recurrence after surgery and mortality rate (p=0.093).\u0000\u0000\u0000\u0000Based on these findings, cytoreductive surgery plus hyperthermic intraperitoneal chemotherapy had a survival rate of 66.7% within two years in advanced ovarian cancer patients. However, to achieve better results, careful selection of patients and complete cytoreductive surgery should be performed.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"242 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78972825","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}
Pub Date : 2023-08-22DOI: 10.2174/1573404820666230822111839
E. Mehrabi, Saba Baharvand, M. Asghari-Jafarabadi, Roghaiyeh Nourizadeh, Niloufar Sattarzadeh Jahdi, Shiva Shamsdanesh
Women often face decisional challenges and hesitation while choosing the appropriate method to follow up on their abnormal results of cervix cytology. The present study aimed to determine the effect of shared decision-making (SDM) on decision self-efficacy (DSE) and decisional conflict (DC) about follow-up methods among women with abnormal cervix cytology results. This interventional study was performed on 54 women referred to the subspecialty clinic of gynecologic oncology. The women were assigned into intervention and control groups using a randomized block design with block sizes of 4 and 6 and an allocation ratio of 1:1. The intervention group received counseling based on the SDM and a decision aid (DA) booklet. The data collection tools included the questionnaires of the demographic and obstetrics characteristics, DC, DSE, and Decision Regret. The collected data were analyzed using SPSS24 software, and independent t-tests and ANCOVA were used. After the intervention, the total mean score of the DC in the intervention group was significantly lower than that in the control group [MD: -22.84 with 95% CI: -23.52 to -21.95, (P <0.001)]. The mean score of DSE in the intervention group was significantly higher than that in the control group [MD: 14.56 with 95% CI: 21.47 to 7.65, (P <0.001)]. The present study results indicated that counseling based on the SDM effectively promotes DSE and reduces DC among women with minor abnormal cervical cytology. Therefore, it is recommended that healthcare providers use SDM for women with abnormal cervical cancer screening results.
宫颈细胞学检查结果异常后，妇女在选择合适的随访方法时往往面临决策挑战和犹豫。本研究旨在探讨共同决策(SDM)对宫颈细胞学检查结果异常女性随访方法决策自我效能感(DSE)和决策冲突(DC)的影响。本介入性研究对54名转介至妇科肿瘤亚专科诊所的妇女进行。采用随机分组设计，分组大小分别为4和6，分配比例为1:1，将妇女分为干预组和对照组。干预组接受基于SDM和决策辅助(DA)小册子的咨询。数据收集工具包括人口统计学和产科特征问卷、DC问卷、DSE问卷和决策后悔问卷。收集的资料采用SPSS24软件进行分析，采用独立t检验和方差分析。干预后，干预组DC总平均评分显著低于对照组[MD: -22.84, 95% CI: -23.52 ~ -21.95, P <0.001]。干预组DSE平均评分显著高于对照组[MD: 14.56, 95% CI: 21.47 ~ 7.65, P <0.001]。本研究结果表明，基于SDM的咨询可有效促进宫颈细胞学轻微异常妇女的DSE，降低DC。因此，建议医疗保健提供者对宫颈癌筛查结果异常的妇女使用SDM。
{"title":"The Effect of Shared Decision-making on Decision Self-efficacy and Decisional Conflict of Women with Low-grade Squamous Intraepithelial Lesion in Cervical Cytology: An Experimental Study","authors":"E. Mehrabi, Saba Baharvand, M. Asghari-Jafarabadi, Roghaiyeh Nourizadeh, Niloufar Sattarzadeh Jahdi, Shiva Shamsdanesh","doi":"10.2174/1573404820666230822111839","DOIUrl":"https://doi.org/10.2174/1573404820666230822111839","url":null,"abstract":"\u0000\u0000Women often face decisional challenges and hesitation while choosing the appropriate method to follow up on their abnormal results of cervix cytology.\u0000\u0000\u0000\u0000The present study aimed to determine the effect of shared decision-making (SDM) on decision self-efficacy (DSE) and decisional conflict (DC) about follow-up methods among women with abnormal cervix cytology results.\u0000\u0000\u0000\u0000This interventional study was performed on 54 women referred to the subspecialty clinic of gynecologic oncology. The women were assigned into intervention and control groups using a randomized block design with block sizes of 4 and 6 and an allocation ratio of 1:1. The intervention group received counseling based on the SDM and a decision aid (DA) booklet. The data collection tools included the questionnaires of the demographic and obstetrics characteristics, DC, DSE, and Decision Regret. The collected data were analyzed using SPSS24 software, and independent t-tests and ANCOVA were used.\u0000\u0000\u0000\u0000After the intervention, the total mean score of the DC in the intervention group was significantly lower than that in the control group [MD: -22.84 with 95% CI: -23.52 to \u0000-21.95, (P <0.001)]. The mean score of DSE in the intervention group was significantly higher than that in the control group \u0000[MD: 14.56 with 95% CI: 21.47 to 7.65, (P <0.001)].\u0000\u0000\u0000\u0000The present study results indicated that counseling based on the SDM effectively promotes DSE and reduces DC among women with \u0000minor abnormal cervical cytology. Therefore, it is recommended that healthcare providers use SDM for women with abnormal cervical cancer \u0000screening results.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"304 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79607025","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}
Pub Date : 2023-08-21DOI: 10.2174/1573404820666230821101739
I. L. Lumbanraja, D. Aldiansyah, B. Halim, M. P. Lubis, Y. B. Kaban, R. Rivany
Niche or cesarean scar defect is a complication of a cesarean section that has long-term implications for both obstetrics and gynecology. The rate of niche is believed to be increasing with the high number of cesarean sections. This study assesses the risk factors for niche development after cesarean section. A prospective cohort study was conducted on women who underwent cesarean section at the Haji Adam Malik General Hospital Medan between August 2020 and August 2022. Niche was assessed six weeks after cesarean section using transvaginal ultrasonography. The primary outcome was the presence of a niche. The antepartum, intrapartum and postpartum risk factors were analyzed for niche development. A logistic regression model was used to assess independent risk factors from the bivariate analysis. There were 280 patients enrolled in this study. The prevalence of niche was 44.3% by using transvaginal ultrasound. There was no significant relationship between maternal age, gestational age, parity, nutritional status based on upper arm circumference, hypertension in pregnancy, anemia status, surgical indications, duration of surgery, volume blood loss, and puerperal infection to niche development (P > 0.05). The independent risk factors for niche development were Cervical dilatation > 4 cm (P = 0.035; RR = 1.75), locking suture technique (P = 0.015; RR = 13.81), non-closure vesicouterine folds (P = 0.04; RR = 0.14) and a retroflexed uterus (P = 0.001; RR = 0.039). Cervical dilatation > 4 cm, locking suture technique, non-closure vesicouterine folds, and a retroflexed uterus are risk factors for niche development after CS.
{"title":"Cesarean Scar Defect (Niche) Risk Factors: A Prospective Study on Indonesian Women","authors":"I. L. Lumbanraja, D. Aldiansyah, B. Halim, M. P. Lubis, Y. B. Kaban, R. Rivany","doi":"10.2174/1573404820666230821101739","DOIUrl":"https://doi.org/10.2174/1573404820666230821101739","url":null,"abstract":"\u0000\u0000Niche or cesarean scar defect is a complication of a cesarean section that has\u0000long-term implications for both obstetrics and gynecology. The rate of niche is believed to be increasing\u0000with the high number of cesarean sections. This study assesses the risk factors for niche development\u0000after cesarean section.\u0000\u0000\u0000\u0000A prospective cohort study was conducted on women who underwent cesarean section at\u0000the Haji Adam Malik General Hospital Medan between August 2020 and August 2022. Niche was assessed\u0000six weeks after cesarean section using transvaginal ultrasonography. The primary outcome was\u0000the presence of a niche. The antepartum, intrapartum and postpartum risk factors were analyzed for\u0000niche development. A logistic regression model was used to assess independent risk factors from the\u0000bivariate analysis.\u0000\u0000\u0000\u0000There were 280 patients enrolled in this study. The prevalence of niche was 44.3% by using\u0000transvaginal ultrasound. There was no significant relationship between maternal age, gestational age,\u0000parity, nutritional status based on upper arm circumference, hypertension in pregnancy, anemia status,\u0000surgical indications, duration of surgery, volume blood loss, and puerperal infection to niche development\u0000(P > 0.05). The independent risk factors for niche development were Cervical dilatation > 4\u0000cm (P = 0.035; RR = 1.75), locking suture technique (P = 0.015; RR = 13.81), non-closure vesicouterine\u0000folds (P = 0.04; RR = 0.14) and a retroflexed uterus (P = 0.001; RR = 0.039).\u0000\u0000\u0000\u0000Cervical dilatation > 4 cm, locking suture technique, non-closure vesicouterine folds, and\u0000a retroflexed uterus are risk factors for niche development after CS.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"76 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76897120","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}
Introduction: Vitamin D Deficiency (VDD) is a global problem among pregnant women in many populations. There is an association between VDD and some pregnancy outcomes, as well as gestational diabetes mellitus (GDM) and pre-eclampsia. We aimed to evaluate the effect of vitamin D supplementation on metabolic status (Fasting Blood Sugar (FBS), insulin, Homeostasis model of assessment-insulin resistance (HOMA-IR) and lipid profile) and blood pressure (BP) among pregnant women with VDD. Methods: A clinical trial was carried out on 30 pregnant women with VDD referring to the Gynecology & Obstetrics Clinic of Baqiyatallah Hospital, Tehran, Iran. The present study had two phases of vitamin D3 supplementation (50000 IU / week for 12 weeks and then 50000 IU / month for three months). Serum total cholesterol, triglyceride, Low Density Lipoprotein (LDL), High Density Lipoprotein (HDL), 25-hydroxyvitamin D (25(OH) D) level, insulin, Fasting Blood Sugar (FBS) and both systolic and diastolic blood pressure were measured. Homeostasis model of assessment-insulin resistance (HOMA-IR) was also determined. Results: The results showed that mean levels of Insulin (F=6, p=0.010), HOMA-IR (F=4.6, p=0.020), 25-hydroxyvitamin D level (F=179, p=0.001), cholesterol (F=69.7, p=0.001), triglyceride (F=69.9, p=0.001) and LDL (F=29.9, p=0.001) significantly increases during study period. However, Diastolic and systolic blood pressure, FBS, and HDL levels did not change significantly over time. Conclusion: The results of this investigation showed that weekly and monthly vitamin D3 supplementation in pregnant women with VDD had beneficial effects on glycemic status, lipid profile and blood pressure. Trial registration: The protocol of the present study has been registered in IRCT (Registration number: IRCT2014091619162N5, Registration date: 2015-03-26, https://en.irct.ir/trial/17219).
{"title":"The Effects of Vitamin D Supplementation on glycemic indices, lipid profile and blood pressure of pregnant women with Vitamin D deficiency: A Single arm Clinical Trial","authors":"Seyedeh Razieh Hashemi, Arezoo Esmailzadeh, Mahboobeh Sadat Hosseini, Sepideh Abbaszadeh, Maryam Taghdir, Simindokht Esmailzadeh, Tahereh Babashamsi, Saeideh Nahani","doi":"10.2174/1573404820666230818092734","DOIUrl":"https://doi.org/10.2174/1573404820666230818092734","url":null,"abstract":"Introduction: Vitamin D Deficiency (VDD) is a global problem among pregnant women in many populations. There is an association between VDD and some pregnancy outcomes, as well as gestational diabetes mellitus (GDM) and pre-eclampsia. We aimed to evaluate the effect of vitamin D supplementation on metabolic status (Fasting Blood Sugar (FBS), insulin, Homeostasis model of assessment-insulin resistance (HOMA-IR) and lipid profile) and blood pressure (BP) among pregnant women with VDD. Methods: A clinical trial was carried out on 30 pregnant women with VDD referring to the Gynecology & Obstetrics Clinic of Baqiyatallah Hospital, Tehran, Iran. The present study had two phases of vitamin D3 supplementation (50000 IU / week for 12 weeks and then 50000 IU / month for three months). Serum total cholesterol, triglyceride, Low Density Lipoprotein (LDL), High Density Lipoprotein (HDL), 25-hydroxyvitamin D (25(OH) D) level, insulin, Fasting Blood Sugar (FBS) and both systolic and diastolic blood pressure were measured. Homeostasis model of assessment-insulin resistance (HOMA-IR) was also determined. Results: The results showed that mean levels of Insulin (F=6, p=0.010), HOMA-IR (F=4.6, p=0.020), 25-hydroxyvitamin D level (F=179, p=0.001), cholesterol (F=69.7, p=0.001), triglyceride (F=69.9, p=0.001) and LDL (F=29.9, p=0.001) significantly increases during study period. However, Diastolic and systolic blood pressure, FBS, and HDL levels did not change significantly over time. Conclusion: The results of this investigation showed that weekly and monthly vitamin D3 supplementation in pregnant women with VDD had beneficial effects on glycemic status, lipid profile and blood pressure. Trial registration: The protocol of the present study has been registered in IRCT (Registration number: IRCT2014091619162N5, Registration date: 2015-03-26, https://en.irct.ir/trial/17219).","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"288 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136020695","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}
Caesarean Section (CS) is the most commonly performed major obstetrical procedure, accounting for 15% of all deliveries globally. Surgical Site Infection (SSI) is one of the most prevalent infectious complications following CS. This state of health increases maternal morbidity and mortality, as well as hospitalization length and hospital expenses. The goal of this study was to ascertain the prevalence of SSI and the factors that contribute in mothers who had CS at Asella Teaching and Referral Hospital (ATRH). From December 2020 to January 2021, an institution-based retrospective cross-sectional study (CSS) was carried out at ATRH. The data were collected from the case records of the mothers who underwent CS by systematic random sampling technique. The collected data was exported to Epi-info version 7 for cleaning and exported to SPSS for further data analysis process. Descriptive and inferential statistics were applied. To identify factors associated with SSI, logistic regression was used to fit data with a P-value of < 0.05 was considered statistically significant in all cases. The prevalence of SSI was 9.9%. About 28(12%) of SSI were developed during emergency procedures, and 3(3.8%) of them were developed during elective procedures done in the hospital. In this study, SSI was significantly associated with; (pain/tenderness at operation site [AOR=310.04 95%CI (9.58 -10037.68)], arrest of labor [AOR=0.03 95%CI (0-0.49)], skin closure [AOR=46.548 95%CI (1.74-1240.25)], parity [AOR=0.08 95%CI (0.01-0.73)], duration of operation [AOR=0.31 95%CI (0.10 -0.86)] and gestational age [AOR=0.08 95%CI (0.01-0.55)]. Post-cesarean SSI was found to be high; and pain/tenderness at the operation site, arrest of labor, skin closure, parity, duration of operation and gestational age were significantly associated with SSI and this can be averted by appropriate preoperative, intraoperative and post-operative management. Surgical site infection, caesarean section, associated factors, Ethiopia
{"title":"Surgical Site Infection (SSI) Predominance and Causative Factors Association after Caesarean Section at Asella Teaching and Referral Hospital, Ethiopia","authors":"Usha Rani Kandula, Anwar Abdulwahed, Ketema Diriba, Techane Sisay Tuji, Abebu Tilahun, Tadese T Aregay, Tsegaye Tesfaye, Yetnayet Zeleke","doi":"10.2174/1573404820666230816141136","DOIUrl":"https://doi.org/10.2174/1573404820666230816141136","url":null,"abstract":"\u0000\u0000Caesarean Section (CS) is the most commonly performed major obstetrical procedure, accounting for 15% of all deliveries globally. Surgical Site Infection (SSI) is one of the most prevalent infectious complications following CS. This state of health increases maternal morbidity and mortality, as well as hospitalization length and hospital expenses. The goal of this study was to ascertain the prevalence of SSI and the factors that contribute in mothers who had CS at Asella Teaching and Referral Hospital (ATRH).\u0000\u0000\u0000\u0000From December 2020 to January 2021, an institution-based retrospective cross-sectional study (CSS) was carried out at ATRH. The data were collected from the case records of the mothers who underwent CS by systematic random sampling technique. The collected data was exported to Epi-info version 7 for cleaning and exported to SPSS for further data analysis process. Descriptive and inferential statistics were applied. To identify factors associated with SSI, logistic regression was used to fit data with a P-value of < 0.05 was considered statistically significant in all cases.\u0000\u0000\u0000\u0000The prevalence of SSI was 9.9%. About 28(12%) of SSI were developed during emergency procedures, and 3(3.8%) of them were developed during elective procedures done in the hospital. In this study, SSI was significantly associated with; (pain/tenderness at operation site [AOR=310.04 95%CI (9.58 -10037.68)], arrest of labor [AOR=0.03 95%CI (0-0.49)], skin closure [AOR=46.548 95%CI (1.74-1240.25)], parity [AOR=0.08 95%CI (0.01-0.73)], duration of operation [AOR=0.31 95%CI (0.10 -0.86)] and gestational age [AOR=0.08 95%CI (0.01-0.55)].\u0000\u0000\u0000\u0000Post-cesarean SSI was found to be high; and pain/tenderness at the operation site, arrest of labor, skin closure, parity, duration of operation and gestational age were significantly associated with SSI and this can be averted by appropriate preoperative, intraoperative and post-operative management.\u0000\u0000\u0000\u0000Surgical site infection, caesarean section, associated factors, Ethiopia\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72564717","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}
Pub Date : 2023-08-16DOI: 10.2174/1573404820666230816141144
Shirin Hasanpour, M. Ranjbar, M. Mirghafurvand, V. Rahmani, Soheila Bani
Hysterectomy is one of the factors that may affect women's body image and self-esteem and lead to serious psychological complications. Hysterectomy is one of the factors that may affect women's body image and self-esteem and lead to serious psychological complications. The study aimed to compare self-esteem, body image, and depression in hysterectomized and non-hysterectomized Iranian women. In this cross-sectional comparative study, 140 women of the reproductive age, who have undergone hysterectomy with benign causes, were compared in terms of self-esteem, body image, and depression with 140 women receiving medical treatment due to abnormal bleeding in educational and medical centers in Tabriz, Iran. Sampling was conducted by convenience method. Self-esteem was assessed with the Rosenberg self-esteem questionnaire, body image was assessed with the multi-dimensional body-self relations questionnaire, and depression was assessed with the Beck II depression inventory. Data were analyzed by Pearson correlation test, independent t-test, chi-square test, and general linear model. The mean (standard deviation) of the body image in hysterectomized and non-hysterectomized women was 235.3 (28.5) and 250.1 (23.4) out of an achievable score of 69-395, respectively. The mean (standard deviation) self-esteem score for hysterectomized women was 20.4 (4.8) and it was 24.2 (3.4) in non-hysterectomized women (out of an achievable score of 0-30). The mean (standard deviation) depression score was 18.1 (9.7) and 5.5 (4.6) out of 0-63 in hysterectomized and non-hysterectomized women, respectively. The differences in self-esteem, body image, and depression variables were statistically significant in hysterectomized and non-hysterectomized women, respectively (P<0.001). According to the results of the present study, the body image and self-esteem in hysterectomized women were low compared to non-hysterectomized women, while the level of depression was high, and this difference was statistically significant. Due to the lower self-esteem and body image, and higher depression rates in hysterectomized women, designing intervention programs by healthcare providers to promote the mental health of this group of women in the society seems necessary. --
{"title":"A Comparison of Self-esteem, Body Image, and Depression in Hysterectomized and Non-hysterectomized Iranian Women: A Comparative Cross-sectional Study","authors":"Shirin Hasanpour, M. Ranjbar, M. Mirghafurvand, V. Rahmani, Soheila Bani","doi":"10.2174/1573404820666230816141144","DOIUrl":"https://doi.org/10.2174/1573404820666230816141144","url":null,"abstract":"\u0000\u0000Hysterectomy is one of the factors that may affect women's body image and self-esteem and lead to serious psychological complications.\u0000\u0000\u0000\u0000Hysterectomy is one of the factors that may affect women's body image and self-esteem and lead to serious psychological complications.\u0000\u0000\u0000\u0000The study aimed to compare self-esteem, body image, and depression in hysterectomized and non-hysterectomized Iranian women.\u0000\u0000\u0000\u0000In this cross-sectional comparative study, 140 women of the reproductive age, who have undergone hysterectomy with benign causes, were compared in terms of self-esteem, body image, and depression with 140 women receiving medical treatment due to abnormal bleeding in educational and medical centers in Tabriz, Iran. Sampling was conducted by convenience method. Self-esteem was assessed with the Rosenberg self-esteem questionnaire, body image was assessed with the multi-dimensional body-self relations questionnaire, and depression was assessed with the Beck II depression inventory. Data were analyzed by Pearson correlation test, independent t-test, chi-square test, and general linear model.\u0000\u0000\u0000\u0000The mean (standard deviation) of the body image in hysterectomized and non-hysterectomized women was 235.3 (28.5) and 250.1 (23.4) out of an achievable score of 69-395, respectively. The mean (standard deviation) self-esteem score for hysterectomized women was 20.4 (4.8) and it was 24.2 (3.4) in non-hysterectomized women (out of an achievable score of 0-30). The mean (standard deviation) depression score was 18.1 (9.7) and 5.5 (4.6) out of 0-63 in hysterectomized and non-hysterectomized women, respectively. The differences in self-esteem, body image, and depression variables were statistically significant in hysterectomized and non-hysterectomized women, respectively (P<0.001).\u0000\u0000\u0000\u0000According to the results of the present study, the body image and self-esteem in hysterectomized women were low compared to non-hysterectomized women, while the level of depression was high, and this difference was statistically significant.\u0000\u0000\u0000\u0000Due to the lower self-esteem and body image, and higher depression rates in hysterectomized women, designing intervention programs by healthcare providers to promote the mental health of this group of women in the society seems necessary.\u0000\u0000\u0000\u0000--\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"50 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89890763","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}
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