Pub Date : 2023-08-16DOI: 10.2174/1573404820666230816090625
K. Vakilian, Leila Abiri, F. Shabani, M. Zamanian, Z. Sooki
Preconception care consists of biomedical, behavioral, and social services, along with health interventions, for women and couples before conception to improve their health status and reduce individual and environmental high-risk behaviors. This study aimed to assess to preconception counseling according to the theory of planned behavior with the presence of the spouse on preconception care behaviors. This study was an educational trial. The researcher randomly divided women into two intervention and control groups. The control group only received routine preconception care with the presence of the spouse. The intervention group according to the theory of planned behavior received the 60-minute face-to-face and group counseling weekly sessions. Outcomes of behavior were divided into two categories, including screening tests and vaccinations, and individual lifestyle (exercise, nutrition, and smoking). The questions also focused on men’s check-up tests. Data were analyzed using independent t-tests, chi-square, repeated measures test, and SPSS 26 software. The lifestyle behaviors score indicating no significant differences Between two groups (p=0.08). However, the two groups had a significant increase in healthy lifestyles over time, including nutrition and exercise. The results also showed that the mean of test and vaccination indicating no significant differences too. Since the presence of the husband during the training of women's pre-pregnancy care can affect their health behaviors regardless of the type of intervention, men are suggested to attend pre-pregnancy training and consultations for at least one session.
{"title":"The Effect of Preconception Counseling According to the Theory of Planned Behavior with the Presence of the Spouse on Preconception Health Behaviors – A Training Trial Study","authors":"K. Vakilian, Leila Abiri, F. Shabani, M. Zamanian, Z. Sooki","doi":"10.2174/1573404820666230816090625","DOIUrl":"https://doi.org/10.2174/1573404820666230816090625","url":null,"abstract":"\u0000\u0000Preconception care consists of biomedical, behavioral, and social services, along with health interventions, for women and couples before conception to improve their health status and reduce individual and environmental high-risk behaviors. This study aimed to assess to preconception counseling according to the theory of planned behavior with the presence of the spouse on preconception care behaviors.\u0000\u0000\u0000\u0000This study was an educational trial. The researcher randomly divided women into two intervention and control groups. The control group only received routine preconception care with the presence of the spouse. The intervention group according to the theory of planned behavior received the 60-minute face-to-face and group counseling weekly sessions. Outcomes of behavior were divided into two categories, including screening tests and vaccinations, and individual lifestyle (exercise, nutrition, and smoking). The questions also focused on men’s check-up tests. Data were analyzed using independent t-tests, chi-square, repeated measures test, and SPSS 26 software.\u0000\u0000\u0000\u0000The lifestyle behaviors score indicating no significant differences Between two groups (p=0.08). However, the two groups had a significant increase in healthy lifestyles over time, including nutrition and exercise. The results also showed that the mean of test and vaccination indicating no significant differences too.\u0000\u0000\u0000\u0000Since the presence of the husband during the training of women's pre-pregnancy care can affect their health behaviors regardless of the type of intervention, men are suggested to attend pre-pregnancy training and consultations for at least one session.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"81 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73852246","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}
The present study investigated the relationship between spousal support during postpartum period and the sexual function and sexual quality of life among lactating women. A cross-sectional study was carried out from October to March 2021 comprising 301 breastfeeding women referred to comprehensive health centers in Qazvin, Iran. The sampling method was performed in two stages. First, via cluster sampling, ten comprehensive health centers were randomly selected. Then based on the list of lactating mothers in each center, 31 mothers were randomly selected and invited to complete the survey. The survey included three psychometric instruments (i.e., Postpartum Partner Support Scale [PPSS], Female Sexual Function Index [FSFI] and Sexual Quality of Life-Female version [SQOL-F]) as well as a reproductive and demographic information questionnaire. The findings were analyzed using univariable and multivariable regression models at a significance level of p<0.05. 30.33 years and a mean length of marriage of 7.99 years. A total of 219 women were exclusively breastfeeding (72.8%), and 82 used a combination of breastfeeding and formula milk to feed their infants (27.2%). The mean (standard deviation) scores in the postpartum period were 61.34 out of 80 (SD=11.41) on the PPSS, 86.52 out of 108 (SD=19.68) on the SQOL-F, and 22.78 out of 36 (SD=6.20) on the FSFI. Based on adjusted multivariable regression models, spousal support in the postpartum period was a significant predictor of sexual quality of life (β=0.39, p<0.001) but not a significant predictor of sexual function. Sexual quality of life was a significant predictor of sexual function (β=0.44, p<0.001). Given the importance of spousal support during the postpartum period in relation to sexual quality of life and sexual function, designing and implementing counseling programs based on the role of spousal support during postpartum sexual life would be helpful.
{"title":"Spousal postpartum social support and association with sexual function and sexual quality of life among breastfeeding women","authors":"Nasim Bahrami, Sanaz Barghamadi, Somayeh Asgari, Kerrie Lissack, M. Griffiths, Zainab Alimoardi","doi":"10.2174/1573404820666230816145257","DOIUrl":"https://doi.org/10.2174/1573404820666230816145257","url":null,"abstract":"\u0000\u0000The present study investigated the relationship between spousal support during postpartum period and the sexual function and sexual quality of life among lactating women.\u0000\u0000\u0000\u0000A cross-sectional study was carried out from October to March 2021 comprising 301 breastfeeding women referred to comprehensive health centers in Qazvin, Iran. The sampling method was performed in two stages. First, via cluster sampling, ten comprehensive health centers were randomly selected. Then based on the list of lactating mothers in each center, 31 mothers were randomly selected and invited to complete the survey. The survey included three psychometric instruments (i.e., Postpartum Partner Support Scale [PPSS], Female Sexual Function Index [FSFI] and Sexual Quality of Life-Female version [SQOL-F]) as well as a reproductive and demographic information questionnaire. The findings were analyzed using univariable and multivariable regression models at a significance level of p<0.05.\u0000\u0000\u0000\u000030.33 years and a mean length of marriage of 7.99 years. A total of 219 women were exclusively breastfeeding (72.8%), and 82 used a combination of breastfeeding and formula milk to feed their infants (27.2%). The mean (standard deviation) scores in the postpartum period were 61.34 out of 80 (SD=11.41) on the PPSS, 86.52 out of 108 (SD=19.68) on the SQOL-F, and 22.78 out of 36 (SD=6.20) on the FSFI. Based on adjusted multivariable regression models, spousal support in the postpartum period was a significant predictor of sexual quality of life (β=0.39, p<0.001) but not a significant predictor of sexual function. Sexual quality of life was a significant predictor of sexual function (β=0.44, p<0.001).\u0000\u0000\u0000\u0000Given the importance of spousal support during the postpartum period in relation to sexual quality of life and sexual function, designing and implementing counseling programs based on the role of spousal support during postpartum sexual life would be helpful.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"32 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91087630","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 : 2023-08-15DOI: 10.2174/1573404820666230815160847
E. Manouchehri, A. Taghipour, T. Najafi, A. Ebadi, F. H. Shandiz, R. L. Roudsari
Several methods have been designed to assess the risk of breast cancer. But according to studies conducted in Iran, the risk of Iranian women could not be correctly calculated. This study aimed to explore the experts' perspectives on the most important risk factors of breast cancer in Iranian women. In round one, the risk factors identified from an integrative review of literature and specialist interviews (Delphi round one) were used to design a questionnaire survey. In round two, specialists were asked to rate the importance of each risk factor. In round three, respondents were asked to reprioritize moderate important risk factors. The items considered very important in round three were included in the core risk factors set. In the first round, a total of 119 items were obtained from the results of an integrative review of the literature and interview with experts. In round two, 30 specialists (response rate 50%) prioritized 119 risk factors of BC, and 43 low, 51 medium and 25 high-level risk factors were identified by the experts. From those, 43 low-level risk factors were removed, and 51 medium-level risk factors were carried forward to round three for consensus. No consensus was reached on any of the risk factors that went into round three (response rate 86.7%). Therefore, 25 high-level risk factors were recognized as the most important risk factors for BC in Iran. This study highlights the items that specialists feel would be most crucial to include in the clinical assessment of breast cancer risk. This study has the potential to provide an appropriate and usable tool for detecting high-risk women in primary health care in Iran.
{"title":"Exploring the Experts' Perspectives on the Most Important Risk Factors of Breast Cancer in Iranian Women: A Qualitative Delphi Consensus","authors":"E. Manouchehri, A. Taghipour, T. Najafi, A. Ebadi, F. H. Shandiz, R. L. Roudsari","doi":"10.2174/1573404820666230815160847","DOIUrl":"https://doi.org/10.2174/1573404820666230815160847","url":null,"abstract":"\u0000\u0000Several methods have been designed to assess the risk of breast cancer. But according to studies conducted in Iran, the risk of Iranian women could not be correctly calculated.\u0000\u0000\u0000\u0000This study aimed to explore the experts' perspectives on the most important risk factors of breast cancer in Iranian women.\u0000\u0000\u0000\u0000In round one, the risk factors identified from an integrative review of literature and specialist interviews (Delphi round one) were used to design a questionnaire survey. In round two, specialists were asked to rate the importance of each risk factor. In round three, respondents were asked to reprioritize moderate important risk factors. The items considered very important in round three were included in the core risk factors set.\u0000\u0000\u0000\u0000In the first round, a total of 119 items were obtained from the results of an integrative review of the literature and interview with experts. In round two, 30 specialists (response rate 50%) prioritized 119 risk factors of BC, and 43 low, 51 medium and 25 high-level risk factors were identified by the experts. From those, 43 low-level risk factors were removed, and 51 medium-level risk factors were carried forward to round three for consensus. No consensus was reached on any of the risk factors that went into round three (response rate 86.7%). Therefore, 25 high-level risk factors were recognized as the most important risk factors for BC in Iran.\u0000\u0000\u0000\u0000This study highlights the items that specialists feel would be most crucial to include in the clinical assessment of breast cancer risk. This study has the potential to provide an appropriate and usable tool for detecting high-risk women in primary health care in Iran.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"78 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84742173","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 : 2023-08-01DOI: 10.2174/15734048176662110071010
Hamed Talakoob, Negin Shaterian, Fatemeh Abdi
Background: Choriocarcinoma and other placental tumors are rare, and metastasis to the gastrointestinal, especially the small bowel, is extremely rare. Furthermore, about 5% of all metastasis belongs to the GI tract. Case Presentation: We reported an 18 -year-old patient with severe GI bleeding. Serum BHCG level was 57322 mIU/mL. CT angiography and Pelvic MRI suggested a metastatic arteriovenous malformation to the small bowel. In surgery, we detected the AVM from the right side of the uterus to the ileum, and pathological findings confirmed the choriocarcinoma with metastatic AVM to the ileum. Conclusion: Chemotherapy started after surgery, and the patient was asymptomatic on follow-up after 14 months. The results showed that GTN was a differential diagnosis when patients are referred with these signs and symptoms. ConclusioN: Findings from this study suggest a high prevalence of paradoxical VL suppression but not immune CD4 gain in the studied subjects following cART. Larger studies are needed to corroborate these findings.
{"title":"Severe Lower Gastrointestinal Bleeding Due to Choriocarcinoma with AVM to the Ileum: A Case Report","authors":"Hamed Talakoob, Negin Shaterian, Fatemeh Abdi","doi":"10.2174/15734048176662110071010","DOIUrl":"https://doi.org/10.2174/15734048176662110071010","url":null,"abstract":"Background: Choriocarcinoma and other placental tumors are rare, and metastasis to the gastrointestinal, especially the small bowel, is extremely rare. Furthermore, about 5% of all metastasis belongs to the GI tract. Case Presentation: We reported an 18 -year-old patient with severe GI bleeding. Serum BHCG level was 57322 mIU/mL. CT angiography and Pelvic MRI suggested a metastatic arteriovenous malformation to the small bowel. In surgery, we detected the AVM from the right side of the uterus to the ileum, and pathological findings confirmed the choriocarcinoma with metastatic AVM to the ileum. Conclusion: Chemotherapy started after surgery, and the patient was asymptomatic on follow-up after 14 months. The results showed that GTN was a differential diagnosis when patients are referred with these signs and symptoms. ConclusioN: Findings from this study suggest a high prevalence of paradoxical VL suppression but not immune CD4 gain in the studied subjects following cART. Larger studies are needed to corroborate these findings.","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"168 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134951522","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 : 2023-07-31DOI: 10.2174/1573404820666230731164643
Betül Özer, Serap Topatan
Apart from the biological changes women experience throughout pregnancy, their exposure to a gender discrimination stemming from cultural values adopted by the society in which they live can make it difficult for them to adapt to pregnancy and thus lead to negative pregnancy experiences. This research was conducted using a cross-sectional and relation-seeking approach to evaluate the effects of social gender inequality on pregnancy experiences. Data for this cross-sectional and relation-seeking study were gathered between 25 November 2019 and 25 January 2020 using face-to face interviews the researcher conducted with childbearing women who visited the outpatient clinic and non-stress test units of a hospital for the pregnancy follow-up. When using the Pregnancy Experiences Scale to assess childbearing women, higher scores indicated more positive emotions than negative emotions. Independent variables that affect the scores on the Pregnancy Experiences Scale include a willingness to be pregnant, the baby's sex, the woman’s income status, gestational week and the Perception of Gender Scale (p<0.005). A positive but weakly significant relationship was found among the total score on the Perception of Gender Scale, the total score on the Pregnancy Experiences Scale and the average scores of positive emotions intensity and frequency in all sub-dimensions (p<0.005). Based on the data, we conclude that women’s pregnancy experiences are generally positive, and that social gender inequality is a significant determinant affecting pregnancy experiences.
{"title":"The Role of Gender in Turkish Women’s Pregnancy Experiences","authors":"Betül Özer, Serap Topatan","doi":"10.2174/1573404820666230731164643","DOIUrl":"https://doi.org/10.2174/1573404820666230731164643","url":null,"abstract":"\u0000\u0000Apart from the biological changes women experience throughout pregnancy, their exposure to a gender discrimination stemming from cultural values adopted by the society in which they live can make it difficult for them to adapt to pregnancy and thus lead to negative pregnancy experiences.\u0000\u0000\u0000\u0000This research was conducted using a cross-sectional and relation-seeking approach to evaluate the effects of social gender inequality on pregnancy experiences.\u0000\u0000\u0000\u0000Data for this cross-sectional and relation-seeking study were gathered between 25 November 2019 and 25 January 2020 using face-to face interviews the researcher conducted with childbearing women who visited the outpatient clinic and non-stress test units of a hospital for the pregnancy follow-up.\u0000\u0000\u0000\u0000When using the Pregnancy Experiences Scale to assess childbearing women, higher scores indicated more positive emotions than negative emotions. Independent variables that affect the scores on the Pregnancy Experiences Scale include a willingness to be pregnant, the baby's sex, the woman’s income status, gestational week and the Perception of Gender Scale (p<0.005). A positive but weakly significant relationship was found among the total score on the Perception of Gender Scale, the total score on the Pregnancy Experiences Scale and the average scores of positive emotions intensity and frequency in all sub-dimensions (p<0.005).\u0000\u0000\u0000\u0000Based on the data, we conclude that women’s pregnancy experiences are generally positive, and that social gender inequality is a significant determinant affecting pregnancy experiences.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"27 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83696846","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 : 2023-07-31DOI: 10.2174/1573404820666230731125500
M. Refaei, Zahra Cheraghi, Farzaneh Soltani, Batoul Khodakarami
One of the most effective ways to prevent cervical cancer is to identify the risk factors for the disease. The purpose of this research was to determine the risk factors for cervical cancer in women in Iran. This was a matched case-control study. 105 participants (35 patients with cervical cancer and 70 healthy women) were selected from the registered patients and women attending a women’s specialized hospital in Hamadan, Iran. One case was matched to 2 controls by age (±3 years). Demographic and clinical data were collected using a semi-structured questionnaire. Conditional multivariate logistic regression model and STATA 11 software were used for data analysis. The mean age of women in the case and control group were 58.02(12.32) and 58.11(12.25) years (P = 0.486), respectively. Patients had lower education levels (P = 0.037), lower economic status (P˂0.001), and lower spouse education levels (P = 0.009). The results showed OCP users were 8.79 times more likely to develop cervical cancer than women who do not use OCP (P = 0.007), and the probability of cervical cancer in women increased by 8.33 times (<0.001) with decreasing each level of socio-economic status. The results of the present study showed low economic status, and a history of using oral contraceptive pills are risk factors for cervical cancer.
{"title":"Risk Factors Associated with Cervical Cancer: A Matched Case-control Study","authors":"M. Refaei, Zahra Cheraghi, Farzaneh Soltani, Batoul Khodakarami","doi":"10.2174/1573404820666230731125500","DOIUrl":"https://doi.org/10.2174/1573404820666230731125500","url":null,"abstract":"\u0000\u0000One of the most effective ways to prevent cervical cancer is to identify the risk factors for the disease.\u0000\u0000\u0000\u0000The purpose of this research was to determine the risk factors for cervical cancer in women in Iran.\u0000\u0000\u0000\u0000This was a matched case-control study. 105 participants (35 patients with cervical cancer and 70 healthy women) were selected from the registered patients and women attending a women’s specialized hospital in Hamadan, Iran. One case was matched to 2 controls by age (±3 years). Demographic and clinical data were collected using a semi-structured questionnaire. Conditional multivariate logistic regression model and STATA 11 software were used for data analysis.\u0000\u0000\u0000\u0000The mean age of women in the case and control group were 58.02(12.32) and 58.11(12.25) years (P = 0.486), respectively. Patients had lower education levels (P = 0.037), lower economic status (P˂0.001), and lower spouse education levels (P = 0.009). The results showed OCP users were 8.79 times more likely to develop cervical cancer than women who do not use OCP (P = 0.007), and the probability of cervical cancer in women increased by 8.33 times (<0.001) with decreasing each level of socio-economic status.\u0000\u0000\u0000\u0000The results of the present study showed low economic status, and a history of using oral contraceptive pills are risk factors for cervical cancer.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"36 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76470086","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 : 2023-07-31DOI: 10.2174/1573404820666230731100639
Muayad Albadrani, A. Elhusein, Hammad Ali Fadlalmola, Abdalla Mohamed Osman, Hamza Hosean Balola, Elturabi Elsayed Ebrahim, Muhannad saud albadrani, Amira Mohamed Saad Mohammed, Sitelgeel Hamouda Babiker, Elhadi Miskeen, S. Elnour, Mariam Yousif Elhussain
The transcutaneous electrical nerve stimulation TENS was used following several surgical procedures involving gynecological ones and has shown a successful pain reduction rate. TENS was proposed to enhance recovery after cesarean section CS. This systematic review and meta-analysis were conducted to evaluate the clinical effectiveness of Transcutaneous electrical nerve stimulation TENS in enhancing recovery after a cesarean section. We performed the Meta-analyses using RevMan software. Data were pooled as mean difference (MD) if continuous and risk ratio (RR) if dichotomous, and the 95% confidence interval (CI) as calculated. This systematic review included 12 RCTs, with a total of 1,116 women studied. The TENS effectively reduced the intensity of pain just by following its application (SMD=-0.61; 95% CI [-0.82, -0.39], P<0.00001), one day after (SMD=-0.25; 95% CI [-0.47, -0.04], P=0.02), and two days after (SMD=-0.27; 95% CI [-0.50, -0.03], P=0.03). The TENS effectively reduces the pain intensity following its application and after one or two days. TENS has no effect on the cumulative dose of diclofenac. Because of the inadequacy of safety data, we recommend conducting further RCTs.
经皮神经电刺激TENS在包括妇科手术在内的几个外科手术后使用，并显示出成功的疼痛减轻率。建议采用TENS来提高剖宫产术后CS的恢复。本系统综述和荟萃分析旨在评价经皮神经电刺激TENS在促进剖宫产术后恢复中的临床效果。我们使用RevMan软件进行meta分析。将数据汇总为连续组的平均差(MD)和二分组的风险比(RR)，并计算95%置信区间(CI)。该系统综述包括12项随机对照试验，共研究了1116名女性。TENS仅在应用后即可有效降低疼痛强度(SMD=-0.61;95% CI [-0.82， -0.39]， P<0.00001)，术后1天(SMD=-0.25;95% CI [-0.47， -0.04]， P=0.02)和术后2 d (SMD=-0.27;95% ci [-0.50， -0.03]， p =0.03)。TENS有效地减少了其应用后的疼痛强度，并在一到两天后。TENS对双氯芬酸的累积剂量没有影响。由于安全性数据的不足，我们建议进行进一步的随机对照试验。
{"title":"The clinical effectiveness of transcutaneous electrical nerve stimulation on enhancing recovery after cesarean section: A systematic review and meta-analysis","authors":"Muayad Albadrani, A. Elhusein, Hammad Ali Fadlalmola, Abdalla Mohamed Osman, Hamza Hosean Balola, Elturabi Elsayed Ebrahim, Muhannad saud albadrani, Amira Mohamed Saad Mohammed, Sitelgeel Hamouda Babiker, Elhadi Miskeen, S. Elnour, Mariam Yousif Elhussain","doi":"10.2174/1573404820666230731100639","DOIUrl":"https://doi.org/10.2174/1573404820666230731100639","url":null,"abstract":"\u0000\u0000The transcutaneous electrical nerve stimulation TENS was used following several surgical procedures involving gynecological ones and has shown a successful pain reduction rate. TENS was proposed to enhance recovery after cesarean section CS.\u0000\u0000\u0000\u0000This systematic review and meta-analysis were conducted to evaluate the clinical effectiveness of Transcutaneous electrical nerve stimulation TENS in enhancing recovery after a cesarean section.\u0000\u0000\u0000\u0000We performed the Meta-analyses using RevMan software. Data were pooled as mean difference (MD) if continuous and risk ratio (RR) if dichotomous, and the 95% confidence interval (CI) as calculated.\u0000\u0000\u0000\u0000This systematic review included 12 RCTs, with a total of 1,116 women studied. The TENS effectively reduced the intensity of pain just by following its application (SMD=-0.61; 95% CI [-0.82, -0.39], P<0.00001), one day after (SMD=-0.25; 95% CI [-0.47, -0.04], P=0.02), and two days after (SMD=-0.27; 95% CI [-0.50, -0.03], P=0.03).\u0000\u0000\u0000\u0000The TENS effectively reduces the pain intensity following its application and after one or two days. TENS has no effect on the cumulative dose of diclofenac. Because of the inadequacy of safety data, we recommend conducting further RCTs.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"151 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91264502","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 : 2023-07-31DOI: 10.2174/1573404820666230731160422
F. Moegni, D. Nilasari, Suskhan Djusad, S. Hakim, Tyas Priyatini, Alfa Putri Meutia, Budi Iman Santoso, J. Prihartono
To determine SUI prevalence and its association with urethral and bladder neck mobility among late third-trimester primigravid women. Stress urinary incontinence (SUI) is a relatively common urogynecological disorder in pregnant women that significantly disrupts their quality of life. Although its prevalence is increasing along with gestational age, there have been reports of underreporting due to various reasons. Therefore, a diagnostic modality is needed to determine the presence of SUI in such a population. A total of 209 late third-trimester primigravid women included in the study between November 2016 and July 2019 were examined by translabial ultrasound. Bladder neck descent (BND), retrovesical angle (RVA), urethral rotation (RoU) and funneling were observed in each patient. SUI was diagnosed using a cough stress test and Questionnaire for Urinary Incontinence Diagnosis (QUID). Thirty-five subjects from each group were randomly selected for further analysis. Among 209 late third-trimester primigravid women, SUI was observed in 57 patients (prevalence 27.3%). The RVA and funneling of the SUI group were significantly higher than the control group (P < 0.05). The BND and RoU were similar between groups. Identified risk factors of SUI were body mass index >23 kg/m2 and the presence of funneling in the translabial ultrasound. The prevalence of SUI among late third-trimester primigravid was 27.3%. Positive funneling and higher BMI were shown to be the independent risk factors for SUI.
{"title":"Can primigravid stress urinary incontinence be predicted by translabial urethral motion profile ultrasonography?","authors":"F. Moegni, D. Nilasari, Suskhan Djusad, S. Hakim, Tyas Priyatini, Alfa Putri Meutia, Budi Iman Santoso, J. Prihartono","doi":"10.2174/1573404820666230731160422","DOIUrl":"https://doi.org/10.2174/1573404820666230731160422","url":null,"abstract":"\u0000\u0000To determine SUI prevalence and its association with urethral and bladder neck mobility among late third-trimester primigravid women.\u0000\u0000\u0000\u0000Stress urinary incontinence (SUI) is a relatively common urogynecological disorder in pregnant women that significantly disrupts their quality of life. Although its prevalence is increasing along with gestational age, there have been reports of underreporting due to various reasons. Therefore, a diagnostic modality is needed to determine the presence of SUI in such a population.\u0000\u0000\u0000\u0000A total of 209 late third-trimester primigravid women included in the study between November 2016 and July 2019 were examined by translabial ultrasound. Bladder neck descent (BND), retrovesical angle (RVA), urethral rotation (RoU) and funneling were observed in each patient. SUI was diagnosed using a cough stress test and Questionnaire for Urinary Incontinence Diagnosis (QUID). Thirty-five subjects from each group were randomly selected for further analysis.\u0000\u0000\u0000\u0000Among 209 late third-trimester primigravid women, SUI was observed in 57 patients (prevalence 27.3%). The RVA and funneling of the SUI group were significantly higher than the control group (P < 0.05). The BND and RoU were similar between groups. Identified risk factors of SUI were body mass index >23 kg/m2 and the presence of funneling in the translabial ultrasound.\u0000\u0000\u0000\u0000The prevalence of SUI among late third-trimester primigravid was 27.3%. Positive funneling and higher BMI were shown to be the independent risk factors for SUI.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"59 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85129568","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 : 2023-07-31DOI: 10.2174/1573404820666230731153002
Krishnapriya Leela, Chippy Tess Mathew, Umamaheswari G
With increasing uterine cancer in developing nations, there is a need for timely determination of the diagnosis, prognosis, and management options to reduce morbidity and mortality. To analyze the socio-demographic, etio-pathological features and management of uterine cancer and evaluate its correlation with grading/staging in our population. This retrospective descriptive study analyzed data from 97 histologically proven uterine cancer cases. Age, parity, symptoms, co-morbidities, body mass index (BMI), ultrasound features, histopathology type, stage and grade of the tumor, type of hysterectomy done, complications and mortality were analysed. Statistical analysis was done using ANOVA and chi-square test, and a p-value<0.05 indicated statistical significance. The mean age of diagnosis was 57.91 years, and the mean BMI was 29.32 Kg/m2. Majority of the patients were multiparous (42.27%), and only 10% were nulliparous. The disease was detected at an earlier age in nulliparous and obese women. Diabetes and hypertension were found in 75.25%. Most of the patients were detected with stage I cancer (80.6%). Patients diagnosed with uterine cancer on biopsy were treated with total abdominal hysterectomy with bilateral salpingo-oophorectomy andbilateral pelvic lymph node dissection (55.8%). Over 36% of patients received postop radiotherapy and/or chemotherapy. 21% patients were lost to follow-up and 12.37% died. Also, 24 cases had postoperative complications (wound infection). Uterine cancer is common among obese women with diabetes and hypertension. In nulliparous and the obese, the cancer was detected at an earlier age. Most of our patients had stage 1 disease, and 90% was endometroid cancer. The study highlights the importance of endometrial sampling before hysterectomy in perimenopausal women to avoid suboptimal surgery in patients diagnosed with uterine cancer after a simple hysterectomy.
{"title":"Uterine cancer: a nine-year review from a tertiary hospital in Tamil Nadu","authors":"Krishnapriya Leela, Chippy Tess Mathew, Umamaheswari G","doi":"10.2174/1573404820666230731153002","DOIUrl":"https://doi.org/10.2174/1573404820666230731153002","url":null,"abstract":"\u0000\u0000With increasing uterine cancer in developing nations, there is a need for timely determination of the diagnosis, prognosis, and management options to reduce morbidity and mortality.\u0000\u0000\u0000\u0000To analyze the socio-demographic, etio-pathological features and management of uterine cancer and evaluate its correlation with grading/staging in our population.\u0000\u0000\u0000\u0000This retrospective descriptive study analyzed data from 97 histologically proven uterine cancer cases. Age, parity, symptoms, co-morbidities, body mass index (BMI), ultrasound features, histopathology type, stage and grade of the tumor, type of hysterectomy done, complications and mortality were analysed. Statistical analysis was done using ANOVA and chi-square test, and a p-value<0.05 indicated statistical significance.\u0000\u0000\u0000\u0000The mean age of diagnosis was 57.91 years, and the mean BMI was 29.32 Kg/m2. Majority of the patients were multiparous (42.27%), and only 10% were nulliparous. The disease was detected at an earlier age in nulliparous and obese women. Diabetes and hypertension were found in 75.25%. Most of the patients were detected with stage I cancer (80.6%). Patients diagnosed with uterine cancer on biopsy were treated with total abdominal hysterectomy with bilateral salpingo-oophorectomy andbilateral pelvic lymph node dissection (55.8%). Over 36% of patients received postop radiotherapy and/or chemotherapy. 21% patients were lost to follow-up and 12.37% died. Also, 24 cases had postoperative complications (wound infection).\u0000\u0000\u0000\u0000Uterine cancer is common among obese women with diabetes and hypertension. In nulliparous and the obese, the cancer was detected at an earlier age. Most of our patients had stage 1 disease, and 90% was endometroid cancer. The study highlights the importance of endometrial sampling before hysterectomy in perimenopausal women to avoid suboptimal surgery in patients diagnosed with uterine cancer after a simple hysterectomy.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"75 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89493571","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 : 2023-07-18DOI: 10.2174/1573404820666230718105337
K. Vakilian, Nazila Najdi, R. Bekhradi, M. Shokrpoor, F. Mirzaie, Fatemeh Seydi
This study was done to reduce atrophic vaginitis. This study aimed to compare the effects of Vagiheal Gel and Estromarin in reducing atrophic vaginitis. This study was a randomized clinical trial with a parallel design. 70 postmenopausal women who had dyspareunia and were referred to the health clinics of Arak, Iran were included in this study. Patients were assigned to one of the 2 groups of Vagiheal or Estromarin. The patients in the Estromarin group were provided with 0.625 mg/g vaginal cream for intravaginal use 2.5 grams for 21 nights. After one week of medicinal rest, they were prescribed 2.5 grams of intravaginal cream for another 21 nights, and then, one week of medicinal rest was considered. The patients in the Vagiheal group were prescribed 2.5 grams of Vagiheal Gel by inserting the applicator into the vagina when sleeping for 7 consecutive nights, then as a maintenance treatment for 2 times a week for 2 months. The severity of the symptoms was measured by a visual Analog scale(VAS) before, 2 weeks, 1 month, and 2 months after starting the program. The data were analyzed using T-test, Mann-Whitney, Chi-square, and Friedman test. The results of atrophic vaginitis follow-up processes showed that the mean of dryness, itching, and burning of the vagina in both groups significantly decreased after the intervention (p=0.01); however, the decrease of these symptoms in the dyspareunia group was more obvious in Vagiheal gel. It seems that Vagiheal gel is a suitable alternative to atrophic vaginitis treatment
{"title":"Comparing the Effect of Vagiheal Gel and Estromarin Cream on Atrophic Vaginitis in Postmenopausal Women-A Randomized Clinical Trial","authors":"K. Vakilian, Nazila Najdi, R. Bekhradi, M. Shokrpoor, F. Mirzaie, Fatemeh Seydi","doi":"10.2174/1573404820666230718105337","DOIUrl":"https://doi.org/10.2174/1573404820666230718105337","url":null,"abstract":"\u0000\u0000This study was done to reduce atrophic vaginitis.\u0000\u0000\u0000\u0000This study aimed to compare the effects of Vagiheal Gel and Estromarin in reducing atrophic vaginitis.\u0000\u0000\u0000\u0000This study was a randomized clinical trial with a parallel design. 70 postmenopausal women who had dyspareunia and were referred to the health clinics of Arak, Iran were included in this study. Patients were assigned to one of the 2 groups of Vagiheal or Estromarin. The patients in the Estromarin group were provided with 0.625 mg/g vaginal cream for intravaginal use 2.5 grams for 21 nights. After one week of medicinal rest, they were prescribed 2.5 grams of intravaginal cream for another 21 nights, and then, one week of medicinal rest was considered. The patients in the Vagiheal group were prescribed 2.5 grams of Vagiheal Gel by inserting the applicator into the vagina when sleeping for 7 consecutive nights, then as a maintenance treatment for 2 times a week for 2 months. The severity of the symptoms was measured by a visual Analog scale(VAS) before, 2 weeks, 1 month, and 2 months after starting the program. The data were analyzed using T-test, Mann-Whitney, Chi-square, and Friedman test.\u0000\u0000\u0000\u0000The results of atrophic vaginitis follow-up processes showed that the mean of dryness, itching, and burning of the vagina in both groups significantly decreased after the intervention (p=0.01); however, the decrease of these symptoms in the dyspareunia group was more obvious in Vagiheal gel.\u0000\u0000\u0000\u0000It seems that Vagiheal gel is a suitable alternative to atrophic vaginitis treatment\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"46 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81335885","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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