Pub Date : 2024-02-05DOI: 10.18203/2320-1770.ijrcog20240304
Renu Malik, Susha Mary Roy
Background: Pregnancy is challenging for every woman and if it is complicated with conditions like gestational diabetes mellitus (GDM), it may reduce her quality of life (QoL) significantly which increases the potential risks related to the physical and psychological health aspects related to the mother as well as for the baby thus causing a negative impact on her overall health and wellbeing. Hence, it should be given more importance by healthcare professionals. Methods: The study design adopted to assess the QoL of antenatal women with GDM was a cross-sectional research design.110 antenatal women with GDM attending antenatal OPD at selected hospitals in Bengaluru were chosen using a Non-probability convenient sampling technique. A standardized GDM questionnaire (GDMQ-36) was used to assess QoL and the data analysis was done using descriptive and inferential statistics techniques. The study was conducted from July 2022 to August 2023. Results: The study results were as follows, 74.5% of antenatal women with GDM had a moderate level of QoL, 25.5% had a high level of QoL and no antenatal women was found to have low level of QoL. 60% of antenatal women had high level of QoL in support domain and 25.5% of the antenatal women had low level of QoL in complications of GDM domains. A significant association was found between QoL and selected socio-demographic variables. Conclusions: The present Study concluded that the majority of the antenatal women (74.5%), had moderate levels of QoL and a significant association was found between QoL and socio-demographic variables.
背景： 怀孕对每个妇女来说都是一项挑战，如果妊娠并发妊娠糖尿病（GDM）等疾病，可能会大大降低妇女的生活质量（QoL），增加母亲和胎儿生理和心理健康方面的潜在风险，从而对妇女的整体健康和福祉造成负面影响。因此，医护人员应更加重视这一问题：本研究采用横断面研究设计来评估患有 GDM 的产前妇女的 QoL。采用非概率方便抽样技术，在班加罗尔选定的医院中挑选了 110 名患有 GDM 的产前妇女，她们都在产前门诊就诊。采用标准化的 GDM 问卷（GDMQ-36）评估 QoL，并使用描述性和推论性统计技术进行数据分析。研究时间为 2022 年 7 月至 2023 年 8 月：研究结果如下：74.5% 的 GDM 产前妇女的 QoL 处于中等水平，25.5% 的产前妇女的 QoL 处于较高水平，没有产前妇女的 QoL 处于较低水平。60%的产前妇女在支持领域的质量生活水平较高，25.5%的产前妇女在 GDM 并发症领域的质量生活水平较低。研究发现，QoL 与选定的社会人口学变量之间存在明显关联：本研究得出结论，大多数产前妇女（74.5%）的 QoL 处于中等水平，QoL 与社会人口学变量之间存在显著关联。
{"title":"Assessment of quality of life among antenatal women with gestational diabetes mellitus","authors":"Renu Malik, Susha Mary Roy","doi":"10.18203/2320-1770.ijrcog20240304","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240304","url":null,"abstract":"Background: Pregnancy is challenging for every woman and if it is complicated with conditions like gestational diabetes mellitus (GDM), it may reduce her quality of life (QoL) significantly which increases the potential risks related to the physical and psychological health aspects related to the mother as well as for the baby thus causing a negative impact on her overall health and wellbeing. Hence, it should be given more importance by healthcare professionals.\u0000Methods: The study design adopted to assess the QoL of antenatal women with GDM was a cross-sectional research design.110 antenatal women with GDM attending antenatal OPD at selected hospitals in Bengaluru were chosen using a Non-probability convenient sampling technique. A standardized GDM questionnaire (GDMQ-36) was used to assess QoL and the data analysis was done using descriptive and inferential statistics techniques. The study was conducted from July 2022 to August 2023.\u0000Results: The study results were as follows, 74.5% of antenatal women with GDM had a moderate level of QoL, 25.5% had a high level of QoL and no antenatal women was found to have low level of QoL. 60% of antenatal women had high level of QoL in support domain and 25.5% of the antenatal women had low level of QoL in complications of GDM domains. A significant association was found between QoL and selected socio-demographic variables.\u0000Conclusions: The present Study concluded that the majority of the antenatal women (74.5%), had moderate levels of QoL and a significant association was found between QoL and socio-demographic variables. ","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"54 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139865059","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 : 2024-02-05DOI: 10.18203/2320-1770.ijrcog20240304
Renu Malik, Susha Mary Roy
Background: Pregnancy is challenging for every woman and if it is complicated with conditions like gestational diabetes mellitus (GDM), it may reduce her quality of life (QoL) significantly which increases the potential risks related to the physical and psychological health aspects related to the mother as well as for the baby thus causing a negative impact on her overall health and wellbeing. Hence, it should be given more importance by healthcare professionals. Methods: The study design adopted to assess the QoL of antenatal women with GDM was a cross-sectional research design.110 antenatal women with GDM attending antenatal OPD at selected hospitals in Bengaluru were chosen using a Non-probability convenient sampling technique. A standardized GDM questionnaire (GDMQ-36) was used to assess QoL and the data analysis was done using descriptive and inferential statistics techniques. The study was conducted from July 2022 to August 2023. Results: The study results were as follows, 74.5% of antenatal women with GDM had a moderate level of QoL, 25.5% had a high level of QoL and no antenatal women was found to have low level of QoL. 60% of antenatal women had high level of QoL in support domain and 25.5% of the antenatal women had low level of QoL in complications of GDM domains. A significant association was found between QoL and selected socio-demographic variables. Conclusions: The present Study concluded that the majority of the antenatal women (74.5%), had moderate levels of QoL and a significant association was found between QoL and socio-demographic variables.
背景： 怀孕对每个妇女来说都是一项挑战，如果妊娠并发妊娠糖尿病（GDM）等疾病，可能会大大降低妇女的生活质量（QoL），增加母亲和胎儿生理和心理健康方面的潜在风险，从而对妇女的整体健康和福祉造成负面影响。因此，医护人员应更加重视这一问题：本研究采用横断面研究设计来评估患有 GDM 的产前妇女的 QoL。采用非概率方便抽样技术，在班加罗尔选定的医院中挑选了 110 名患有 GDM 的产前妇女，她们都在产前门诊就诊。采用标准化的 GDM 问卷（GDMQ-36）评估 QoL，并使用描述性和推论性统计技术进行数据分析。研究时间为 2022 年 7 月至 2023 年 8 月：研究结果如下：74.5% 的 GDM 产前妇女的 QoL 处于中等水平，25.5% 的产前妇女的 QoL 处于较高水平，没有产前妇女的 QoL 处于较低水平。60%的产前妇女在支持领域的质量生活水平较高，25.5%的产前妇女在 GDM 并发症领域的质量生活水平较低。研究发现，QoL 与选定的社会人口学变量之间存在明显关联：本研究得出结论，大多数产前妇女（74.5%）的 QoL 处于中等水平，QoL 与社会人口学变量之间存在显著关联。
{"title":"Assessment of quality of life among antenatal women with gestational diabetes mellitus","authors":"Renu Malik, Susha Mary Roy","doi":"10.18203/2320-1770.ijrcog20240304","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240304","url":null,"abstract":"Background: Pregnancy is challenging for every woman and if it is complicated with conditions like gestational diabetes mellitus (GDM), it may reduce her quality of life (QoL) significantly which increases the potential risks related to the physical and psychological health aspects related to the mother as well as for the baby thus causing a negative impact on her overall health and wellbeing. Hence, it should be given more importance by healthcare professionals.\u0000Methods: The study design adopted to assess the QoL of antenatal women with GDM was a cross-sectional research design.110 antenatal women with GDM attending antenatal OPD at selected hospitals in Bengaluru were chosen using a Non-probability convenient sampling technique. A standardized GDM questionnaire (GDMQ-36) was used to assess QoL and the data analysis was done using descriptive and inferential statistics techniques. The study was conducted from July 2022 to August 2023.\u0000Results: The study results were as follows, 74.5% of antenatal women with GDM had a moderate level of QoL, 25.5% had a high level of QoL and no antenatal women was found to have low level of QoL. 60% of antenatal women had high level of QoL in support domain and 25.5% of the antenatal women had low level of QoL in complications of GDM domains. A significant association was found between QoL and selected socio-demographic variables.\u0000Conclusions: The present Study concluded that the majority of the antenatal women (74.5%), had moderate levels of QoL and a significant association was found between QoL and socio-demographic variables. ","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"15 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139805154","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: Eclampsia, a severe complication of preeclampsia, poses significant risks to both the mother and the fetus. Understanding the specific factors influencing these outcomes in the context of Bangladesh is crucial for improving maternal and neonatal healthcare in the region. Methods: A retrospective cohort study was conducted at department of gynaecology and obstetrics, Jashore Medical College Hospital, Jashore, Bangladesh reviewing medical records of 155 patients diagnosed with eclampsia over a January 2020 to December 2020. Data on maternal age, gestational age, clinical presentation, management strategies, and fetal outcomes were collected and analyzed. Results: Preliminary findings suggest that maternal age, gestational age at onset, and timely interventions play crucial roles in determining the fetomaternal outcomes in eclampsia cases. Maternal mortality rates, neonatal morbidity, and mortality rates were assessed in relation to these factors. Additionally, the study investigates the impact of various management approaches, including antihypertensive medications, and magnesium sulfate therapy on these outcomes. Conclusions: Eclampsia continues to pose significant risks to both mothers and infants in Bangladesh. Inadequate antenatal care appears to contribute to the severity of cases. The high rate of emergency cesarean sections underscores the need for vigilant monitoring of high-risk pregnancies. Efforts to improve antenatal care utilization and implement timely interventions are crucial to mitigate the adverse fetomaternal outcomes associated with eclampsia in this setting. Further prospective studies are warranted to explore preventive strategies and optimize management protocols for better outcomes.
{"title":"Fetomaternal outcome in patients with eclampsia: study in a territory care hospital in Bangladesh","authors":"Rebeka Sultana, Elaboti Mondal, Robiul Islam, Palash Kumar Biswash","doi":"10.18203/2320-1770.ijrcog20240131","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240131","url":null,"abstract":"Background: Eclampsia, a severe complication of preeclampsia, poses significant risks to both the mother and the fetus. Understanding the specific factors influencing these outcomes in the context of Bangladesh is crucial for improving maternal and neonatal healthcare in the region.\u0000Methods: A retrospective cohort study was conducted at department of gynaecology and obstetrics, Jashore Medical College Hospital, Jashore, Bangladesh reviewing medical records of 155 patients diagnosed with eclampsia over a January 2020 to December 2020. Data on maternal age, gestational age, clinical presentation, management strategies, and fetal outcomes were collected and analyzed.\u0000Results: Preliminary findings suggest that maternal age, gestational age at onset, and timely interventions play crucial roles in determining the fetomaternal outcomes in eclampsia cases. Maternal mortality rates, neonatal morbidity, and mortality rates were assessed in relation to these factors. Additionally, the study investigates the impact of various management approaches, including antihypertensive medications, and magnesium sulfate therapy on these outcomes.\u0000Conclusions: Eclampsia continues to pose significant risks to both mothers and infants in Bangladesh. Inadequate antenatal care appears to contribute to the severity of cases. The high rate of emergency cesarean sections underscores the need for vigilant monitoring of high-risk pregnancies. Efforts to improve antenatal care utilization and implement timely interventions are crucial to mitigate the adverse fetomaternal outcomes associated with eclampsia in this setting. Further prospective studies are warranted to explore preventive strategies and optimize management protocols for better outcomes.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"19 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140488688","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 : 2024-01-29DOI: 10.18203/2320-1770.ijrcog20240140
Mannar Mannan Govindan, Ayyappan Srinivasan, Ajit Pai
Background: The nodal evaluation of early-stage carcinoma endometrium has evolved rapidly, with various methods and dyes explored for sentinel lymph node biopsy (SLNB). Our study specifically aims to investigate the utilization of 1% methylene blue in SLNB for carcinoma endometrium at our center. Methods: In our prospective study of 105 patients with early-stage CA endometrium in our center between June 2021 and August 2022, we used 1% methyl blue dye for SLNB identification. We followed each patient for a minimum of 6 months. We documented demographic characteristics, SLNB features, and postoperative outcomes. Results: Out of 105 patients,94 patients (93%) of the study population belong to clinical FIGO stage IA disease.82 patients (81%) had biopsy specimens that showed endometrioid variant grade 1, followed by grade 2 in 13 patients (12.9%). 82 patients (81.2%) had unilateral SLNB visualisation 48 patients( 47.5%) had bilateral visualization of nodes. 19 patients (18.8%) of the study population had negative visualization of nodes on both sides. The average number of sentinel nodes retrieved was 2 nodes in 48 patients (45.5%), with a false negative rate of 4%. Conclusion: In our study, using a 1% methylene blue dye for an SLNB in Ca endometrium showed less than 50% success in visualizing both sides. Therefore, we do not recommend using it as a standard method. However, in resource-limited settings where indocyanine green (ICG) and radiocolloid are not available, considering methylene blue as an alternative is a viable option provided the SLNB algorithm is followed.
{"title":"Sentinel lymph node biopsy in early-stage endometrium cancer using methylene blue dye","authors":"Mannar Mannan Govindan, Ayyappan Srinivasan, Ajit Pai","doi":"10.18203/2320-1770.ijrcog20240140","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240140","url":null,"abstract":"Background: The nodal evaluation of early-stage carcinoma endometrium has evolved rapidly, with various methods and dyes explored for sentinel lymph node biopsy (SLNB). Our study specifically aims to investigate the utilization of 1% methylene blue in SLNB for carcinoma endometrium at our center.\u0000Methods: In our prospective study of 105 patients with early-stage CA endometrium in our center between June 2021 and August 2022, we used 1% methyl blue dye for SLNB identification. We followed each patient for a minimum of 6 months. We documented demographic characteristics, SLNB features, and postoperative outcomes.\u0000Results: Out of 105 patients,94 patients (93%) of the study population belong to clinical FIGO stage IA disease.82 patients (81%) had biopsy specimens that showed endometrioid variant grade 1, followed by grade 2 in 13 patients (12.9%). 82 patients (81.2%) had unilateral SLNB visualisation 48 patients( 47.5%) had bilateral visualization of nodes. 19 patients (18.8%) of the study population had negative visualization of nodes on both sides. The average number of sentinel nodes retrieved was 2 nodes in 48 patients (45.5%), with a false negative rate of 4%.\u0000Conclusion: In our study, using a 1% methylene blue dye for an SLNB in Ca endometrium showed less than 50% success in visualizing both sides. Therefore, we do not recommend using it as a standard method. However, in resource-limited settings where indocyanine green (ICG) and radiocolloid are not available, considering methylene blue as an alternative is a viable option provided the SLNB algorithm is followed.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"59 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140486754","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 : 2024-01-29DOI: 10.18203/2320-1770.ijrcog20240111
M. Nyashanu, Katentemuna Cathrine Musosnda, Hope Namputa, M. Ekpenyong, T. Karonga
Background: Use of Bilateral Tubal Ligation (BTL) family planning method has been met with resistance by some women owing to its clash with certain personal values in their lives. In some cases these barriers have led to unintended pregnancies, which in turn cause complications, especially in grand-multiparous women (women with many children). This qualitative study explored the barriers towards the uptake of BTL among grand-multiparous women. Methods: The study used an exploratory qualitative methodology to explore the barriers to uptake of BTL. Semi structured interviews were utilised to collect data. Twenty-five semi-structured interviews were held with grand multiparous women who were attending clinics for family planning services. All interviews were tape-recorded and transcribed verbatim. A thematic approach underpinned by some aspects of the silences framework was utilised for data analysis. Results: The study revealed that barriers to the uptake of BTL included desire to maintain productivity, pressure from spouses, stigmatization of family planning, safety fears and loss of self-esteem. Conclusions: There is need to engage all stakeholders in communities to make sure that fears and doubts on the use of BTL are allayed. Furthermore there is need to roll out more health promotion and raise awareness on the importance of family planning.
{"title":"Barriers to uptake of bilateral tubal ligation family planning method among grand-multiparous women in the Copperbelt province, Zambia","authors":"M. Nyashanu, Katentemuna Cathrine Musosnda, Hope Namputa, M. Ekpenyong, T. Karonga","doi":"10.18203/2320-1770.ijrcog20240111","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240111","url":null,"abstract":"Background: Use of Bilateral Tubal Ligation (BTL) family planning method has been met with resistance by some women owing to its clash with certain personal values in their lives. In some cases these barriers have led to unintended pregnancies, which in turn cause complications, especially in grand-multiparous women (women with many children). This qualitative study explored the barriers towards the uptake of BTL among grand-multiparous women.\u0000Methods: The study used an exploratory qualitative methodology to explore the barriers to uptake of BTL. Semi structured interviews were utilised to collect data. Twenty-five semi-structured interviews were held with grand multiparous women who were attending clinics for family planning services. All interviews were tape-recorded and transcribed verbatim. A thematic approach underpinned by some aspects of the silences framework was utilised for data analysis.\u0000Results: The study revealed that barriers to the uptake of BTL included desire to maintain productivity, pressure from spouses, stigmatization of family planning, safety fears and loss of self-esteem.\u0000Conclusions: There is need to engage all stakeholders in communities to make sure that fears and doubts on the use of BTL are allayed. Furthermore there is need to roll out more health promotion and raise awareness on the importance of family planning.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"98 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140487590","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}
Preterm premature rupture of membranes (PPROM) usually has a multi factorial aetiology that is often unknown, although the most frequently reported cause is infection, others could be cervical insufficiency, over distention of uterine cavity, previous history of preterm labor, systemic inflammatory disease etc. This case report documented a rare incidence of preterm premature rupture of membranes, in a 35-year-old female with past history of 8 spontaneous abortions and 1 ectopic pregnancy. Patient had an IVF conception, amenorrheic for 7 months and 2 weeks, and came with a complaint of white discharge per vaginum. On per speculum examination, cervical os was found dilated. The patient was managed conservatively with protein and progesterone support along with prophylactic tocolytics and antibiotics, till early signs of chorioamnionitis were noticed. The decision of induction of labour and eventually preterm premature rupture of membranes lead to emergency cesarean section. Challenges faced in managing this high risk pregnancy are discussed, emphasizing the need of close monitoring and tailoring management in similar circumstances.
{"title":"Management of preterm premature rupture of membrane in a high-risk pregnancy","authors":"Avni Bhardwaj, Sonam Simpatwar, Munazza Afreen, Beena Kumari","doi":"10.18203/2320-1770.ijrcog20240154","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240154","url":null,"abstract":"Preterm premature rupture of membranes (PPROM) usually has a multi factorial aetiology that is often unknown, although the most frequently reported cause is infection, others could be cervical insufficiency, over distention of uterine cavity, previous history of preterm labor, systemic inflammatory disease etc. This case report documented a rare incidence of preterm premature rupture of membranes, in a 35-year-old female with past history of 8 spontaneous abortions and 1 ectopic pregnancy. Patient had an IVF conception, amenorrheic for 7 months and 2 weeks, and came with a complaint of white discharge per vaginum. On per speculum examination, cervical os was found dilated. The patient was managed conservatively with protein and progesterone support along with prophylactic tocolytics and antibiotics, till early signs of chorioamnionitis were noticed. The decision of induction of labour and eventually preterm premature rupture of membranes lead to emergency cesarean section. Challenges faced in managing this high risk pregnancy are discussed, emphasizing the need of close monitoring and tailoring management in similar circumstances.\u0000 ","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"46 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140487625","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: This study was done to describe the practice of hysteroscopy at the Hospital Centre for Applied Research, Endoscopy, Surgery and Human Reproduction (CRACERH). Methods: It was a descriptive retrospective cross section study between January 2015 to December 2020.All patients who underwent either an operative or diagnostic hysteroscopy during the study period were included. Data was collected from postoperative reports, patients medical files and registered on a pre-established data collection form. The indications for surgery, the operative findings were also noted. Any unexpected incident during the procedure or postoperative was considered a complication. Results: During the study period, 1876 patients underwent a surgical procedure, of which 287 had a hysteroscopy making a percentage of 15.29%. The average age of the 287 patients was 39.38±6.36 years. Majority of the patients were still menstruating with only 3.8% (n=11/287) were menopaused. The most frequent pathology found during diagnostic hysteroscopy was the polyp with a ratio of 65.6%, and uterine myoma with a ratio of 43.7% (87). Conclusions: Our study highlights the fact that hysteroscopy occupies a preponderant role in the diagnosis of intra uterine pathology especially in the context of infertility.
{"title":"Practice of hysteroscopy at the Hospital for Applied Research, Endoscopic Surgery, and Human Reproduction, Yaounde Cameroon","authors":"Claude Cyrille Noa Nduoa, Junie Annick Ntsama Metogo, Xavier Ayissi Ngono, Selma Mbeng","doi":"10.18203/2320-1770.ijrcog20240114","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240114","url":null,"abstract":"Background: This study was done to describe the practice of hysteroscopy at the Hospital Centre for Applied Research, Endoscopy, Surgery and Human Reproduction (CRACERH).\u0000Methods: It was a descriptive retrospective cross section study between January 2015 to December 2020.All patients who underwent either an operative or diagnostic hysteroscopy during the study period were included. Data was collected from postoperative reports, patients medical files and registered on a pre-established data collection form. The indications for surgery, the operative findings were also noted. Any unexpected incident during the procedure or postoperative was considered a complication.\u0000Results: During the study period, 1876 patients underwent a surgical procedure, of which 287 had a hysteroscopy making a percentage of 15.29%. The average age of the 287 patients was 39.38±6.36 years. Majority of the patients were still menstruating with only 3.8% (n=11/287) were menopaused. The most frequent pathology found during diagnostic hysteroscopy was the polyp with a ratio of 65.6%, and uterine myoma with a ratio of 43.7% (87).\u0000Conclusions: Our study highlights the fact that hysteroscopy occupies a preponderant role in the diagnosis of intra uterine pathology especially in the context of infertility.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140486020","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 : 2024-01-29DOI: 10.18203/2320-1770.ijrcog20240158
Sumedha Gupta, D. S. Kalwaniya, S. Shamsunder
Mucinous ovarian cancer (MOC) represents a rare subtype within the spectrum of epithelial ovarian carcinoma (EOC). In contrast to a uniform approach applied to all EOC subtypes, MOC stands out as a distinctive entity. A nuanced understanding of the pathological features and genomic profile of MOC holds the potential for enhancing management strategies and, consequently, prognostic outcomes. The differentiation between primary MOC and metastatic mucinous carcinoma poses a challenge but is imperative for accurate clinical decision-making. Notably, early-stage MOC exhibits a favourable prognosis, while advanced disease is characterized by a less favourable outcome. Surgical intervention assumes a pivotal role both in the early stages and metastatic scenarios. Chemotherapy is typically initiated from stage II MOC onwards, with the conventional gynaecological protocol commonly employed; however, there is also precedent for the application of gastrointestinal (GI) regimens. Given the association of MOC with diverse molecular alterations, the consideration of targeted therapy emerges as a potential therapeutic avenue for this unique disease entity. The main tool used for this literature review was PubMed. MOC stands as a distinct entity within EOC subtypes, distinguished from GI mucinous carcinoma by its unique clinical behavior, pathological features, molecular profile, prognosis, and response to standard treatment. The challenges lie in both the diagnosis and treatment of MOC, emphasizing the complexity and specialized considerations required for managing this particular subtype of OC.
粘液性卵巢癌（MOC）是上皮性卵巢癌（EOC）中的一种罕见亚型。与适用于所有 EOC 亚型的统一方法不同，MOC 是一个与众不同的实体。深入了解 MOC 的病理特征和基因组特征，有可能改进治疗策略，从而改善预后结果。原发性粘液腺癌和转移性粘液腺癌的鉴别是一项挑战，但对于准确的临床决策至关重要。值得注意的是，早期粘液腺癌的预后较好，而晚期粘液腺癌的预后较差。无论是早期还是转移期，手术治疗都起着关键作用。化疗一般从 MOC II 期开始，通常采用传统的妇科方案，但也有应用胃肠道（GI）方案的先例。鉴于 MOC 与多种分子改变有关，考虑采用靶向疗法是治疗这种独特疾病的潜在途径。本次文献综述使用的主要工具是 PubMed。MOC 是 EOC 亚型中的一个独特实体，因其独特的临床表现、病理特征、分子特征、预后和对标准治疗的反应而有别于消化道粘液癌。MOC 的诊断和治疗都面临着挑战，强调了管理这种特殊亚型 OC 所需的复杂性和专门考虑因素。
{"title":"A comprehensive review of mucinous ovarian cancer: insights into epidemiology, risk factors, histological characteristics, and clinical outcomes","authors":"Sumedha Gupta, D. S. Kalwaniya, S. Shamsunder","doi":"10.18203/2320-1770.ijrcog20240158","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240158","url":null,"abstract":"Mucinous ovarian cancer (MOC) represents a rare subtype within the spectrum of epithelial ovarian carcinoma (EOC). In contrast to a uniform approach applied to all EOC subtypes, MOC stands out as a distinctive entity. A nuanced understanding of the pathological features and genomic profile of MOC holds the potential for enhancing management strategies and, consequently, prognostic outcomes. The differentiation between primary MOC and metastatic mucinous carcinoma poses a challenge but is imperative for accurate clinical decision-making. Notably, early-stage MOC exhibits a favourable prognosis, while advanced disease is characterized by a less favourable outcome. Surgical intervention assumes a pivotal role both in the early stages and metastatic scenarios. Chemotherapy is typically initiated from stage II MOC onwards, with the conventional gynaecological protocol commonly employed; however, there is also precedent for the application of gastrointestinal (GI) regimens. Given the association of MOC with diverse molecular alterations, the consideration of targeted therapy emerges as a potential therapeutic avenue for this unique disease entity. The main tool used for this literature review was PubMed. MOC stands as a distinct entity within EOC subtypes, distinguished from GI mucinous carcinoma by its unique clinical behavior, pathological features, molecular profile, prognosis, and response to standard treatment. The challenges lie in both the diagnosis and treatment of MOC, emphasizing the complexity and specialized considerations required for managing this particular subtype of OC.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"47 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140487561","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 : 2024-01-29DOI: 10.18203/2320-1770.ijrcog20240152
P. Lucksom, Latha V. Kharka, Hissay L. Lepcha, Sohan Rao
Endometrioid variant of the adenofibromas accounts for only 1% of epithelial neoplasms of ovary. Though benign, specimen of endometroid adenofibroma of ovary needs to be evaluated by an experienced pathologist to rule out borderline and malignant cases. This prevents unnecessary adjuvant therapy for benign cases. We report a case of a large endometrioid adenofibroma arising at the left ovarian fossa in a post-menopausal woman who had undergone total abdominal hysterectomy with bilateral salpingo-oophorectomy 6 years back. Recurrence of endometroid adenofibroma of ovary is rare, however, long term follow-up is mandatory due to its low malignant potential. Though benign, specimen of endometroid adenofibroma of ovary needs to be evaluated by an experienced pathologist so that borderline and malignancy can be ruled out. Endometroid adenofibroma of ovary though benign needs long term follow up due to its low malignant potential.
{"title":"Endometrioid adenofibroma of ovary-a two faced tumour: case report","authors":"P. Lucksom, Latha V. Kharka, Hissay L. Lepcha, Sohan Rao","doi":"10.18203/2320-1770.ijrcog20240152","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240152","url":null,"abstract":"Endometrioid variant of the adenofibromas accounts for only 1% of epithelial neoplasms of ovary. Though benign, specimen of endometroid adenofibroma of ovary needs to be evaluated by an experienced pathologist to rule out borderline and malignant cases. This prevents unnecessary adjuvant therapy for benign cases. We report a case of a large endometrioid adenofibroma arising at the left ovarian fossa in a post-menopausal woman who had undergone total abdominal hysterectomy with bilateral salpingo-oophorectomy 6 years back. Recurrence of endometroid adenofibroma of ovary is rare, however, long term follow-up is mandatory due to its low malignant potential. Though benign, specimen of endometroid adenofibroma of ovary needs to be evaluated by an experienced pathologist so that borderline and malignancy can be ruled out. Endometroid adenofibroma of ovary though benign needs long term follow up due to its low malignant potential.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"71 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140486170","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 : 2024-01-29DOI: 10.18203/2320-1770.ijrcog20240129
Diksha Shukla, Rajkumar Kalyan, Prashant Gupta, V. Venkatesh, Anjoo Agarwal
Background: The frequency of Chlamydia trachomatis infection in infertile Indian women and potential risk factors associated with the infection is not well understood. To improve the primordial prevention C. trachomatis infection in developing countries, there is an urgent need to understand the prevalence of the infection among women with infertility and establish the common risk factors associated with this. This study was conducted to determine prevalence of Chlamydia trachomatis infection in infertile women attending an infertility clinic in north India and the associated socio-demographic and clinical features associated with it. Methods: Endocervical swabs, collected from 105 infertile women were tested for C. trachomatis by real time-PCR and direct gram’s stain. A detailed clinical history and examination was done on each subject during sample collection. The study group was then divided into two comparison groups and p factor was determined and factors with significant correlation were established. Results: Total 9 out of 105 infertile women visiting infertility clinic were RT-PCR positive for Chlamydia trachomatis. The socio-demographic factors that significantly correlated with Chlamydia trachomatis infection were lower age group, rural locality and illiteracy. The clinical history and examination findings that significantly correlated with the infection were past history of RTI/STI in the subject, history of RTI/STI in husband, cervical/ vaginal discharge, lower abdominal pain, burning micturition, erythema of genitalia, backache, dyspareunia and dysmenorrhea. The gram’s stain finding confirmed the active infection by presence of pus cells. Conclusions: The study concluded that the socio-demographic risk factor for Chlamydia trachomatis infection among infertile women is lower age group, rural locality and illiteracy while several clinical features that are red flags for the presence of such infection are past history of reproductive tract infection along with partner, cervical/vagina discharge, lower abdominal pain, burning micturition, erythema of genitalia, backache, dyspareunia and dysmenorrhea that should never be overseen.
{"title":"The socio-demographic profile and clinical correlation of Chlamydia trachomatis among infertile women at a tertiary care center in North India","authors":"Diksha Shukla, Rajkumar Kalyan, Prashant Gupta, V. Venkatesh, Anjoo Agarwal","doi":"10.18203/2320-1770.ijrcog20240129","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240129","url":null,"abstract":"Background: The frequency of Chlamydia trachomatis infection in infertile Indian women and potential risk factors associated with the infection is not well understood. To improve the primordial prevention C. trachomatis infection in developing countries, there is an urgent need to understand the prevalence of the infection among women with infertility and establish the common risk factors associated with this. This study was conducted to determine prevalence of Chlamydia trachomatis infection in infertile women attending an infertility clinic in north India and the associated socio-demographic and clinical features associated with it.\u0000Methods: Endocervical swabs, collected from 105 infertile women were tested for C. trachomatis by real time-PCR and direct gram’s stain. A detailed clinical history and examination was done on each subject during sample collection. The study group was then divided into two comparison groups and p factor was determined and factors with significant correlation were established.\u0000Results: Total 9 out of 105 infertile women visiting infertility clinic were RT-PCR positive for Chlamydia trachomatis. The socio-demographic factors that significantly correlated with Chlamydia trachomatis infection were lower age group, rural locality and illiteracy. The clinical history and examination findings that significantly correlated with the infection were past history of RTI/STI in the subject, history of RTI/STI in husband, cervical/ vaginal discharge, lower abdominal pain, burning micturition, erythema of genitalia, backache, dyspareunia and dysmenorrhea. The gram’s stain finding confirmed the active infection by presence of pus cells.\u0000Conclusions: The study concluded that the socio-demographic risk factor for Chlamydia trachomatis infection among infertile women is lower age group, rural locality and illiteracy while several clinical features that are red flags for the presence of such infection are past history of reproductive tract infection along with partner, cervical/vagina discharge, lower abdominal pain, burning micturition, erythema of genitalia, backache, dyspareunia and dysmenorrhea that should never be overseen.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"61 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140486583","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：