{"title":"Evaluation of Quality of Life in Infertile Couples","authors":"B. Kaberi, S. Bhavana, Gautam Sonum","doi":"10.33425/2639-9342.1069","DOIUrl":"https://doi.org/10.33425/2639-9342.1069","url":null,"abstract":"","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81965454","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 major question at the center of this study is the model for reading maternal and neonatal health problems in developing countries. On the subject, the demographic, epidemiological and statistical literature has accustomed us to a reading model based on observation and analysis at the micro-individual scale. The unit of analysis is the individual. This classic model of analysis, based on sociodemographic variables, has some effectiveness / relevance, but is still limited. It appears partial and static. In contrast to this individualistic and fixed approach, we propose a dynamic and community-based observation scale that induces the concept of "reproductive transition". The reproductive transition is defined as the transition from a high-risk situation in a community to a lower-risk situation over a sustainable period in reproductive health. Indeed, the operational approach leads us to four types of expected results that are four possible trends of sociological evolution of this reproductive health. These expected results are: The transition started; the problems are decreasing. The stationary situation; there is neither growth nor decay. The transition is mixed; some problems are growing, others are decreasing. The alarming situation; all problems have an ascending pace. "Reproductive transition" thus appears as an innovative model for reading reproductive health problems. Its scale of observation is the community and not the individual. It thus constitutes a relevant health surveillance support for communities where maternal, neonatal and infant morbidity and mortality appear to be endemic.
{"title":"The \"Reproductive Transition\": A Community-based Reproductive Health Surveillance Paradigm in Developing Countries","authors":"Abe N'Doumy Noël","doi":"10.33425/2639-9342.1060","DOIUrl":"https://doi.org/10.33425/2639-9342.1060","url":null,"abstract":"The major question at the center of this study is the model for reading maternal and neonatal health problems in developing countries. On the subject, the demographic, epidemiological and statistical literature has accustomed us to a reading model based on observation and analysis at the micro-individual scale. The unit of analysis is the individual. This classic model of analysis, based on sociodemographic variables, has some effectiveness / relevance, but is still limited. It appears partial and static. In contrast to this individualistic and fixed approach, we propose a dynamic and community-based observation scale that induces the concept of \"reproductive transition\". The reproductive transition is defined as the transition from a high-risk situation in a community to a lower-risk situation over a sustainable period in reproductive health. Indeed, the operational approach leads us to four types of expected results that are four possible trends of sociological evolution of this reproductive health. These expected results are: The transition started; the problems are decreasing. The stationary situation; there is neither growth nor decay. The transition is mixed; some problems are growing, others are decreasing. The alarming situation; all problems have an ascending pace. \"Reproductive transition\" thus appears as an innovative model for reading reproductive health problems. Its scale of observation is the community and not the individual. It thus constitutes a relevant health surveillance support for communities where maternal, neonatal and infant morbidity and mortality appear to be endemic.","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85322164","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}
Background: Cesarean section (CS) rates and their indications vary all over the World. Audit of indications and factors affecting infant and maternal outcome remain an important activity in rationalizing the use of this major procedure in obstetrics practice. Cesarean section (CS) carries a higher maternal morbidity and mortality compared to vaginal delivery. No researches have been done on this area. Objective: To determine the leading indications for ECS and their associated maternal and neonatal outcomes in St. Paul’s Hospital Millennium Medical College (SPHMMC). Methodology: Retrospective facility-based study was used and data was collected by reviewing the log book of patients who underwent CS operations at St. Paul’s Hospital Millennium Medical College (SPHMMC) gynecology obstetric department from 1st February to 30th May 2017. The leading indications for Emergency Cesarean Section (ECS) were determined in terms of frequency and percentage. Clinical outcomes of the mothers and the delivered newborns were gauged by morbidity, mortality and survival rates (i.e. within the hospital confinement). Results: A total of 2345, deliveries were conducted, of which 582 deliveries were by cesarean section procedures making the institutional cesarean section rate of 24.8%. Records of patients who underwent Emergency Cesarean section (ECS) were retrieved and comprised the study population (N=522). Perinatal Asphyxia (PNA) was the most common cause of the neonatal death 6 (42.9%). Dystocia (26.4%) emerged as the leading indication for ECS followed by Non reassurance fetal heart rate pattern (NRFHRP) (18.8%). an association between indications of EC/S, Appearance, Pulse, Grimace, Activity, Respiration (APGAR) scores at 5th minute and fetal outcome with p value of <0.05 was observed. Conclusions: The institutional cesarean section rate is 25%, Maternal outcome was favorable with 94.8% of smooth post operation course and Surgical site wound infection was 63.0% among post operation complications that mothers developed. Dystocia (26.4%) emerged for ECS followed by Non reassurance fetal heart rate pattern (NRFHRP) (18.8%), Meconium stained Amniotic fluid (10.7%) and failed induction (5.4%). Neonatal outcome with survival rate of 94.1%. There was an association between indications of Emergency Cesarean Section (ECS), Appearance, Pulse, Grimace, Activity, Respiration (APGAR) scores at 5th minute and fetal outcome with p value of <0.05. [Ayano B, Guto A. Assessment of indications for emergency cesarean section and its outcomes at St. Paul’s Hospital Medical College, Addis Ababa, Ethiopia 2017: (afour month retrospective cohort study)].
{"title":"Indications and Outcomes of Emergency Caesarean Section at St Paul's Hospital Medical College, Addis Ababa, Ethiopia 2017: (Afoul Month Retrospective Cohort Study)","authors":"Bizuneh Ayano, Ayana Guto","doi":"10.33425/2639-9342.1053","DOIUrl":"https://doi.org/10.33425/2639-9342.1053","url":null,"abstract":"Background: Cesarean section (CS) rates and their indications vary all over the World. Audit of indications and factors affecting infant and maternal outcome remain an important activity in rationalizing the use of this major procedure in obstetrics practice. Cesarean section (CS) carries a higher maternal morbidity and mortality compared to vaginal delivery. No researches have been done on this area. Objective: To determine the leading indications for ECS and their associated maternal and neonatal outcomes in St. Paul’s Hospital Millennium Medical College (SPHMMC). Methodology: Retrospective facility-based study was used and data was collected by reviewing the log book of patients who underwent CS operations at St. Paul’s Hospital Millennium Medical College (SPHMMC) gynecology obstetric department from 1st February to 30th May 2017. The leading indications for Emergency Cesarean Section (ECS) were determined in terms of frequency and percentage. Clinical outcomes of the mothers and the delivered newborns were gauged by morbidity, mortality and survival rates (i.e. within the hospital confinement). Results: A total of 2345, deliveries were conducted, of which 582 deliveries were by cesarean section procedures making the institutional cesarean section rate of 24.8%. Records of patients who underwent Emergency Cesarean section (ECS) were retrieved and comprised the study population (N=522). Perinatal Asphyxia (PNA) was the most common cause of the neonatal death 6 (42.9%). Dystocia (26.4%) emerged as the leading indication for ECS followed by Non reassurance fetal heart rate pattern (NRFHRP) (18.8%). an association between indications of EC/S, Appearance, Pulse, Grimace, Activity, Respiration (APGAR) scores at 5th minute and fetal outcome with p value of <0.05 was observed. Conclusions: The institutional cesarean section rate is 25%, Maternal outcome was favorable with 94.8% of smooth post operation course and Surgical site wound infection was 63.0% among post operation complications that mothers developed. Dystocia (26.4%) emerged for ECS followed by Non reassurance fetal heart rate pattern (NRFHRP) (18.8%), Meconium stained Amniotic fluid (10.7%) and failed induction (5.4%). Neonatal outcome with survival rate of 94.1%. There was an association between indications of Emergency Cesarean Section (ECS), Appearance, Pulse, Grimace, Activity, Respiration (APGAR) scores at 5th minute and fetal outcome with p value of <0.05. [Ayano B, Guto A. Assessment of indications for emergency cesarean section and its outcomes at St. Paul’s Hospital Medical College, Addis Ababa, Ethiopia 2017: (afour month retrospective cohort study)].","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79791358","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}
Maternal and youngster wellbeing stays a current test in Côte d'Ivoire as a result of high maternal and kid death rates in that nation. This disappointment raises the restrictions of the biomedical sciences in conceptive wellbeing. In this field of wellbeing, thereis certainly a real existence quality issue. This worry is shared by socio-humanities. Actually, how might we clarify and comprehend the advancement of conceptive medical issues in moms and youngsters? All the work did rotates around the issue of "obstetric culture and conceptive wellbeing". As it were, how might we clarify and comprehend obstetric culture as a significant determinant in the improvement of regenerative wellbeing in Côte d'Ivoire? In this unique situation, reflections arranged through socio- anthropological exploration are continually upheld by the equivalent exact postulation: "Considering socio- social determinants explicit to the networks being referred to, blocking the strength of the mother-youngster couple, could add to opening the networks concentrated to a more secure parenthood." Starting from this basic point, systems for lessening dramatizations by considering the social markers of networks can be recognized just as activities for conduct change can be arranged. This direction appears to us a theory of conceivable answer for dodge the epidemiological imposing business model fundamental the methodology in general wellbeing. results and patients' pride during the birthing procedure. Care pilots are explicitly picked and prepared to pick up the trust and regard of patients, conventional maternity specialists, and biomedical suppliers. We depict a progressing obstetric consideration guide test case program utilizing fast cycle quality improvement techniques to rapidly distinguish usage triumphs and disappointments. This methodology enables cutting edge wellbeing laborers to issue tackle continuously and guarantees the program is exceptionally versatile to nearbyneeds. Conclusion : Care is a promising technique to defeat the "humanistic boundary" to emergency clinic conveyance by alleviating ill bred and harsh consideration. It offers an interest side way to deal with undignified obstetric consideration that enables the networks generally affected by the issue to lead the reaction. Results from a continuous experimental run program of obstetric consideration route will give important criticism from patients on the effect of this methodology and usage exercises to encourage replication in different settings.
{"title":"Obstetric Culture in the Development of Reproductive Health","authors":"Anoua Adou Serge Judicaël","doi":"10.33425/2639-9342.1059","DOIUrl":"https://doi.org/10.33425/2639-9342.1059","url":null,"abstract":"Maternal and youngster wellbeing stays a current test in Côte d'Ivoire as a result of high maternal and kid death rates in that nation. This disappointment raises the restrictions of the biomedical sciences in conceptive wellbeing. In this field of wellbeing, thereis certainly a real existence quality issue. This worry is shared by socio-humanities. Actually, how might we clarify and comprehend the advancement of conceptive medical issues in moms and youngsters? All the work did rotates around the issue of \"obstetric culture and conceptive wellbeing\". As it were, how might we clarify and comprehend obstetric culture as a significant determinant in the improvement of regenerative wellbeing in Côte d'Ivoire? In this unique situation, reflections arranged through socio- anthropological exploration are continually upheld by the equivalent exact postulation: \"Considering socio- social determinants explicit to the networks being referred to, blocking the strength of the mother-youngster couple, could add to opening the networks concentrated to a more secure parenthood.\" Starting from this basic point, systems for lessening dramatizations by considering the social markers of networks can be recognized just as activities for conduct change can be arranged. This direction appears to us a theory of conceivable answer for dodge the epidemiological imposing business model fundamental the methodology in general wellbeing. results and patients' pride during the birthing procedure. Care pilots are explicitly picked and prepared to pick up the trust and regard of patients, conventional maternity specialists, and biomedical suppliers. We depict a progressing obstetric consideration guide test case program utilizing fast cycle quality improvement techniques to rapidly distinguish usage triumphs and disappointments. This methodology enables cutting edge wellbeing laborers to issue tackle continuously and guarantees the program is exceptionally versatile to nearbyneeds. Conclusion : Care is a promising technique to defeat the \"humanistic boundary\" to emergency clinic conveyance by alleviating ill bred and harsh consideration. It offers an interest side way to deal with undignified obstetric consideration that enables the networks generally affected by the issue to lead the reaction. Results from a continuous experimental run program of obstetric consideration route will give important criticism from patients on the effect of this methodology and usage exercises to encourage replication in different settings.","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75186764","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}
Background: Exercise in pregnancy is known to be beneficial to both the mother and the fetus during the course of pregnancy, labour/delivery and in postpartum recovery. There are few instances when exercise is contraindicated but even in most cases, the benefits outweigh the risks. It is important to study the level of awareness, perception and the practice of exercise in pregnancy which will form the reference point for policy formulation to address the identifiable areas of need. Aims and Objectives: To determine the perception and practice of exercise in pregnancy by women during an antenatal care outreach programme in Anambra state south-east Nigeria. Methodology: A cross-sectional, questionnaire-based study of 115 pregnant women who attended antenatal care outreach programme in two locations in Anambra state, south-east Nigeria. The data obtained was analysed using SPSS version 20.0. Results: A little fewer than half of the respondents 52 (45.2%) were of age 26-30 years, while the predominant 79 (58.7%) gestational age group was ˂ 28 weeks and most parity79 (68.7%) was 1-4. Over half of the respondents 68 (59.1%) belonged to the social class 3 and nearly half of the respondents were traders 56 (48.7%). As high as 100 (87%) had heard about exercise in pregnancy while 80 (69.6%) had engaged in exercise while pregnant. Majority of the respondents 73 (63.5%) had engaged in walking as a form of exercise, while 21 (18.3%), 7 (6.1%), 4 (3.5%), 1 (0.9%), 1 (0.9%) had engaged in dancing, jogging, skipping, swimming and jumping respectively. Forty-two (36.5%) had engaged in exercise before 28 weeks of gestation while 18 (15.7%) and 2 (1.7%) did so at 28-36 weeks and 37-42 weeks respectively. The commonest exercise amongst the various social classes was walking, followed at a distance by dancing, jogging, skipping, jumping and swimming respectively. The most perceived benefits of exercise in pregnancy by the participants are as a necessity to life 105 (91.3%) and enhancement of labour/delivery 92 (80%) while 10 (8.7%) had the misconception that pregnant women should not engage in exercise. Conclusion: Although majority of the antenatal women in the population studied engage in exercise, this is oftentimes restricted to “walking”. In addition, a number of the respondents had negative perception as to the value of exercise in pregnancy. There is an urgent need to educate the women during the pre-conception and early pregnancy periods to initiate, sustain, modify and expand the range of exercises undertaken while pregnant. This will go a long way to avail the women and their unborn babies the potential benefits associated with attaining the recommended level of exercise in pregnancy.
{"title":"Perception and Practice of Exercise during Pregnancy by Antenatal Women in Southeastern Nigeria","authors":"Adinma J.I.B, Adinma E.D, Umeononihu O.S, Oguaka, Oyedum S.O","doi":"10.33425/2639-9342.1057","DOIUrl":"https://doi.org/10.33425/2639-9342.1057","url":null,"abstract":"Background: Exercise in pregnancy is known to be beneficial to both the mother and the fetus during the course of pregnancy, labour/delivery and in postpartum recovery. There are few instances when exercise is contraindicated but even in most cases, the benefits outweigh the risks. It is important to study the level of awareness, perception and the practice of exercise in pregnancy which will form the reference point for policy formulation to address the identifiable areas of need. Aims and Objectives: To determine the perception and practice of exercise in pregnancy by women during an antenatal care outreach programme in Anambra state south-east Nigeria. Methodology: A cross-sectional, questionnaire-based study of 115 pregnant women who attended antenatal care outreach programme in two locations in Anambra state, south-east Nigeria. The data obtained was analysed using SPSS version 20.0. Results: A little fewer than half of the respondents 52 (45.2%) were of age 26-30 years, while the predominant 79 (58.7%) gestational age group was ˂ 28 weeks and most parity79 (68.7%) was 1-4. Over half of the respondents 68 (59.1%) belonged to the social class 3 and nearly half of the respondents were traders 56 (48.7%). As high as 100 (87%) had heard about exercise in pregnancy while 80 (69.6%) had engaged in exercise while pregnant. Majority of the respondents 73 (63.5%) had engaged in walking as a form of exercise, while 21 (18.3%), 7 (6.1%), 4 (3.5%), 1 (0.9%), 1 (0.9%) had engaged in dancing, jogging, skipping, swimming and jumping respectively. Forty-two (36.5%) had engaged in exercise before 28 weeks of gestation while 18 (15.7%) and 2 (1.7%) did so at 28-36 weeks and 37-42 weeks respectively. The commonest exercise amongst the various social classes was walking, followed at a distance by dancing, jogging, skipping, jumping and swimming respectively. The most perceived benefits of exercise in pregnancy by the participants are as a necessity to life 105 (91.3%) and enhancement of labour/delivery 92 (80%) while 10 (8.7%) had the misconception that pregnant women should not engage in exercise. Conclusion: Although majority of the antenatal women in the population studied engage in exercise, this is oftentimes restricted to “walking”. In addition, a number of the respondents had negative perception as to the value of exercise in pregnancy. There is an urgent need to educate the women during the pre-conception and early pregnancy periods to initiate, sustain, modify and expand the range of exercises undertaken while pregnant. This will go a long way to avail the women and their unborn babies the potential benefits associated with attaining the recommended level of exercise in pregnancy.","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80545989","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}
With the present editorial containing more recent information we wish to alert the reader to genital schistosomiasis as a potential risk for genital cancer. Since 1899 that the female genital schistosomiasis (FGS) has received the attention of the scientific community. Effectively, the oldest published FGS case was reported in the Lancet in 1899 [10]. More recently (during the past five years), the authors [11] have investigated "the impact of schistosomiasis by S. haematobium on the high-risk human papillomavirus (HPV) and development of atypical cells in a group of rural Zimbabwean women with confirmed high-risk HPV". Their results have showed that between thirty seven women re-examined, genital S. haematobium of a duration of a minimum of five years, was associated with development of high-grade squamous intraepithelial neoplasia, but not with persistent highrisk HPV.
{"title":"Genital Schistosomiasis as A Risk for Genital Cancer","authors":"Grácio Maria A","doi":"10.33425/2639-9342.1058","DOIUrl":"https://doi.org/10.33425/2639-9342.1058","url":null,"abstract":"With the present editorial containing more recent information we wish to alert the reader to genital schistosomiasis as a potential risk for genital cancer. Since 1899 that the female genital schistosomiasis (FGS) has received the attention of the scientific community. Effectively, the oldest published FGS case was reported in the Lancet in 1899 [10]. More recently (during the past five years), the authors [11] have investigated \"the impact of schistosomiasis by S. haematobium on the high-risk human papillomavirus (HPV) and development of atypical cells in a group of rural Zimbabwean women with confirmed high-risk HPV\". Their results have showed that between thirty seven women re-examined, genital S. haematobium of a duration of a minimum of five years, was associated with development of high-grade squamous intraepithelial neoplasia, but not with persistent highrisk HPV.","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73659099","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":"Would Human Preimplantation Gene Therapy Based on CRISPR-Cas9 Genome Editing Increase Cancer Risk in the Offspring?","authors":"J. Tesarik, Raquel Mendoza‐Tesarik, C. Mendoza","doi":"10.33425/2639-9342.1056","DOIUrl":"https://doi.org/10.33425/2639-9342.1056","url":null,"abstract":"","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89475092","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}
Carbonaro A, Distefano R, S. M., G. F, C. L., Palumbo M
Although the exact incidence of adnexal masses in pregnancy is not clear, its occurrence is considered very common. The majority of them are functional cysts (follicular, corpus luteum and theca lutein cysts), dermoid cysts and cystadenomas, and they resolve spontaneously, but a considerable percentage can be malignant. The use of ultrasounds in conjunction with IOTA's guidelines is crucial in order to stratify the risk and help the physician to determine the management. The very recent ADNEX model, developed by IOTA's group, opens up some interesting possibilities in this scenario. Management can be conservative, surgical and chemotherapeutic depending on the size, malignancy risk and gestational age. In this study we reviewed the epidemiology of adnexal masses during pregnancy and their potential complications, the available diagnostic procedures and the possible management options.
{"title":"Management of Adnexal Masses During Pregnancy: A Literature Review","authors":"Carbonaro A, Distefano R, S. M., G. F, C. L., Palumbo M","doi":"10.33425/2639-9342.1055","DOIUrl":"https://doi.org/10.33425/2639-9342.1055","url":null,"abstract":"Although the exact incidence of adnexal masses in pregnancy is not clear, its occurrence is considered very common. The majority of them are functional cysts (follicular, corpus luteum and theca lutein cysts), dermoid cysts and cystadenomas, and they resolve spontaneously, but a considerable percentage can be malignant. The use of ultrasounds in conjunction with IOTA's guidelines is crucial in order to stratify the risk and help the physician to determine the management. The very recent ADNEX model, developed by IOTA's group, opens up some interesting possibilities in this scenario. Management can be conservative, surgical and chemotherapeutic depending on the size, malignancy risk and gestational age.\u2028 In this study we reviewed the epidemiology of adnexal masses during pregnancy and their potential complications, the available diagnostic procedures and the possible management options.","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82964661","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":"Onchocerciasis and its Impact on the Female Reproductive System: A Neglected Situation?","authors":"A. GrácioMaria, Grácio António Js","doi":"10.33425/2639-9342.1048","DOIUrl":"https://doi.org/10.33425/2639-9342.1048","url":null,"abstract":"","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82673745","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}
N. Newman, Nualla Rogowski R.N, Daniel Newman, Dodanim Talavera-Adame
Background: Lichen Sclerosus (LS) is a debilitating disease that causes chronic inflammation most commonly noted in the anogenital region. Many patients with genital Lichen Sclerosus report unsuccessful results with standard treatment options including steroids, calcineurin inhibitors, and/or hormone therapy. These patients presented to our clinic seeking autologous adipose-derived stem cell treatment (AASCT). Methods: Data was collected through questionnaires regarding disease symptoms on a daily basis and quality of life indicators. Questionnaires were completed by patients before and three months post AASCT. One hundred and eleven consecutive women who presented to our clinic from 2011 to 2015 with symptomatic, clinically apparent or biopsy proven genital Lichen Sclerosus were given the questionnaires and 100 of these patients completed both questionnaires. Results: The questionnaires were statistically analyzed to compare improvement in symptoms before and three months after AASCT. The improvement in every symptom was statistically significant (P<0.001). These symptoms included: itching, burning, pain, discomfort, blisters, ulcers, fusing, tearing, and fissures. Improvement in ability to carry out daily activities (such as voiding, bowel movements, exercising, intercourse, and wearing pants/ underwear) also showed substantial improvement that was statistically significant (P<0.001). Conclusion: Given the results, we can confidently say that AASCT is a promising new alternative treatment for patients suffering from Lichen Sclerosus. Additional AASCT may provide patients with further improvement in their symptoms. At present, long term follow-up is being conducted by our clinic to evaluate the course of the disease and the duration of improvements achieved from this treatment.
{"title":"Autologous Adipose-Derived Stem Cell Treatment for Women with Genital Lichen Sclerosus","authors":"N. Newman, Nualla Rogowski R.N, Daniel Newman, Dodanim Talavera-Adame","doi":"10.33425/2639-9342.1052","DOIUrl":"https://doi.org/10.33425/2639-9342.1052","url":null,"abstract":"Background: Lichen Sclerosus (LS) is a debilitating disease that causes chronic inflammation most commonly noted in the anogenital region. Many patients with genital Lichen Sclerosus report unsuccessful results with standard treatment options including steroids, calcineurin inhibitors, and/or hormone therapy. These patients presented to our clinic seeking autologous adipose-derived stem cell treatment (AASCT). Methods: Data was collected through questionnaires regarding disease symptoms on a daily basis and quality of life indicators. Questionnaires were completed by patients before and three months post AASCT. One hundred and eleven consecutive women who presented to our clinic from 2011 to 2015 with symptomatic, clinically apparent or biopsy proven genital Lichen Sclerosus were given the questionnaires and 100 of these patients completed both questionnaires. Results: The questionnaires were statistically analyzed to compare improvement in symptoms before and three months after AASCT. The improvement in every symptom was statistically significant (P<0.001). These symptoms included: itching, burning, pain, discomfort, blisters, ulcers, fusing, tearing, and fissures. Improvement in ability to carry out daily activities (such as voiding, bowel movements, exercising, intercourse, and wearing pants/ underwear) also showed substantial improvement that was statistically significant (P<0.001). Conclusion: Given the results, we can confidently say that AASCT is a promising new alternative treatment for patients suffering from Lichen Sclerosus. Additional AASCT may provide patients with further improvement in their symptoms. At present, long term follow-up is being conducted by our clinic to evaluate the course of the disease and the duration of improvements achieved from this treatment.","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75611510","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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