Ramesh Baradaran Bagheri, Seyedeh Sara Salami, Linda Mohammadzadeh Boukani, A. Khaki
Objectives: This study aimed to investigate the role of Eugenol in regulating the expression of FSH receptor (FSHR), human luteinizing hormone choriogonadotropin receptor (LHCGR), and estrogen receptor (ER) during follicular development in female rat ovarian torsion. Materials and Methods: In this experimental study, 48 female rats were randomly assigned to 4 groups, including G1 (i.e., sham), G2 (i.e., ovarian torsion/detorsion group), G3 (i.e., ovarian torsion/detorsion group treated with 30 mg/kg of eugenol), G4 (i.e., healthy group treated with 30 mg/kg of eugenol). After covering a treatment period of ten days, the ovarian tissue was collected for the histological analysis, the measurement of ER, FSHR, and LHCGR expression, as well as the assessment of testosterone, LH, FSH, and estrogen levels in blood serum. Results: Histological evaluation revealed the damage to ovarian tissue, the reduced oocyte, and the granulosa cell diameter in the torsion/detorsion group. However, the treatment with eugenol mitigated this damage. Eugenol administration increased the levels of estrogen, LH, and FSH, but it decreased the testosterone levels in the treated group. Moreover, the expression of ER, FSHR, and LHCGR was upregulated in the treated groups. Administration of eugenol was associated with an enhanced fertility. Conclusions: It was concluded that eugenol administration may have been effective in protecting the ovarian tissue from the damage caused by torsion/detorsion. Furthermore, eugenol was found to have the potential to modulate hormonal profiles and regulate the expression of ER, FSHR, and LHCGR, thereby contributing to an increased fertility.
{"title":"The Regulatory Effect of Eugenol on FSHR, LHCGR, and ER Expression during Follicular Development in Female Rats With Ovarian Torsion","authors":"Ramesh Baradaran Bagheri, Seyedeh Sara Salami, Linda Mohammadzadeh Boukani, A. Khaki","doi":"10.15296/ijwhr.2023.24","DOIUrl":"https://doi.org/10.15296/ijwhr.2023.24","url":null,"abstract":"Objectives: This study aimed to investigate the role of Eugenol in regulating the expression of FSH receptor (FSHR), human luteinizing hormone choriogonadotropin receptor (LHCGR), and estrogen receptor (ER) during follicular development in female rat ovarian torsion. Materials and Methods: In this experimental study, 48 female rats were randomly assigned to 4 groups, including G1 (i.e., sham), G2 (i.e., ovarian torsion/detorsion group), G3 (i.e., ovarian torsion/detorsion group treated with 30 mg/kg of eugenol), G4 (i.e., healthy group treated with 30 mg/kg of eugenol). After covering a treatment period of ten days, the ovarian tissue was collected for the histological analysis, the measurement of ER, FSHR, and LHCGR expression, as well as the assessment of testosterone, LH, FSH, and estrogen levels in blood serum. Results: Histological evaluation revealed the damage to ovarian tissue, the reduced oocyte, and the granulosa cell diameter in the torsion/detorsion group. However, the treatment with eugenol mitigated this damage. Eugenol administration increased the levels of estrogen, LH, and FSH, but it decreased the testosterone levels in the treated group. Moreover, the expression of ER, FSHR, and LHCGR was upregulated in the treated groups. Administration of eugenol was associated with an enhanced fertility. Conclusions: It was concluded that eugenol administration may have been effective in protecting the ovarian tissue from the damage caused by torsion/detorsion. Furthermore, eugenol was found to have the potential to modulate hormonal profiles and regulate the expression of ER, FSHR, and LHCGR, thereby contributing to an increased fertility.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"59 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80781684","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":"Celebrating the First Impact Factor: A Turning Point for Our Journal","authors":"A. Khaki","doi":"10.15296/ijwhr.2023.17","DOIUrl":"https://doi.org/10.15296/ijwhr.2023.17","url":null,"abstract":"","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"22 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73809925","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}
Objectives: This study aimed to determine placental endocan expression in women with preeclampsia (PE) and its relation to fetal and maternal outcomes. Materials and Methods: This cross-sectional study was carried out at the Obstetrics Department/Al-Yarmouk Teaching Hospital from January 2020 to October 2020. The study included 90 pregnant inpatient women with PE. The participants were divided into 3 groups including 30 patients with severe PE, 30 non-severe PE, and 30 normotensives. After delivery, placental endocan expression was determined immunohistochemically. Results: The study showed that endocan was expressed in 44 patients’ placenta, all of them were hypertensive vs. 46 negatives for endocan (P=0.001), this expression correlated with adverse maternal outcomes including HELLP (haemolysis, elevated liver enzymes, and low platelets count) syndrome (9.1%), Placental abruption (13.6%) and increase rate of CS (63.6%), as well as adverse fetal outcomes (P=0.001). included stillbirth (13.6%), birth weight <2500 g (68.2%), Apgar score in 1 min <7 (63.6%) and in 5 minutes <7 (31.8), admission to neonatal intensive care unit (NICU) (31.8%), and (68.2%) delivered preterm. Conclusions: This study showed a higher expression of endocan in the placenta of women with PE, and it had a positive correlation with adverse maternal and fetal outcomes.
{"title":"Placental Endocan Expression in Woman With Preeclampsia and its Relation With Maternal and Fetal Outcomes: A Cross-section Study","authors":"Fadia J Alizzi, S. Kadhim","doi":"10.15296/ijwhr.2023.19","DOIUrl":"https://doi.org/10.15296/ijwhr.2023.19","url":null,"abstract":"Objectives: This study aimed to determine placental endocan expression in women with preeclampsia (PE) and its relation to fetal and maternal outcomes. Materials and Methods: This cross-sectional study was carried out at the Obstetrics Department/Al-Yarmouk Teaching Hospital from January 2020 to October 2020. The study included 90 pregnant inpatient women with PE. The participants were divided into 3 groups including 30 patients with severe PE, 30 non-severe PE, and 30 normotensives. After delivery, placental endocan expression was determined immunohistochemically. Results: The study showed that endocan was expressed in 44 patients’ placenta, all of them were hypertensive vs. 46 negatives for endocan (P=0.001), this expression correlated with adverse maternal outcomes including HELLP (haemolysis, elevated liver enzymes, and low platelets count) syndrome (9.1%), Placental abruption (13.6%) and increase rate of CS (63.6%), as well as adverse fetal outcomes (P=0.001). included stillbirth (13.6%), birth weight <2500 g (68.2%), Apgar score in 1 min <7 (63.6%) and in 5 minutes <7 (31.8), admission to neonatal intensive care unit (NICU) (31.8%), and (68.2%) delivered preterm. Conclusions: This study showed a higher expression of endocan in the placenta of women with PE, and it had a positive correlation with adverse maternal and fetal outcomes.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"38 4 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79316626","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}
S. Dehghan, Farima Mohammadianamiri, S. Yazdani, H. Musavi, Seyed Zahra Bouzari, Samira Mesbah, M. Bayani, Mohammad Abedi Samakoush, Z. Bouzari, E. Ebrahim
Objectives: The present study aimed to compare the diagnostic values of glycosylated hemoglobin (HbA1c) and fasting blood sugar (FBS) using the glucose challenge test (GCT) in screening for gestational diabetes. Materials and Methods: A total of 618 women at 24-28 weeks of pregnancy were selected, and their FBS and HbA1c were measured using the GCT. The obtained results were compared in terms of sensitivity, specificity, as well as positive and negative predictive values using the ROC curve. Results: At the cut-off point of 1.4, sensitivity was 69.74% and specificity was 69.05 for the FBS test; at the cut-off point of 6.6, sensitivity was 90.79% and specificity was 80.95% for the HbA1c test; the area under the ROC curve was 0.925 with a 95% confidence interval (0.979, 0.872). Conclusion: The diagnostic values of the HbA1c test and GCT were favorable in screening for gestational diabetes; the HbA1c test also showed a high diagnostic value in women with positive OGCT and GCT results.
{"title":"Can Glycosylated Hemoglobin and Fasting Blood Sugar Replace Glucose Challenge Test in Screening for Gestational Diabetes?","authors":"S. Dehghan, Farima Mohammadianamiri, S. Yazdani, H. Musavi, Seyed Zahra Bouzari, Samira Mesbah, M. Bayani, Mohammad Abedi Samakoush, Z. Bouzari, E. Ebrahim","doi":"10.15296/ijwhr.2023.23","DOIUrl":"https://doi.org/10.15296/ijwhr.2023.23","url":null,"abstract":"Objectives: The present study aimed to compare the diagnostic values of glycosylated hemoglobin (HbA1c) and fasting blood sugar (FBS) using the glucose challenge test (GCT) in screening for gestational diabetes. Materials and Methods: A total of 618 women at 24-28 weeks of pregnancy were selected, and their FBS and HbA1c were measured using the GCT. The obtained results were compared in terms of sensitivity, specificity, as well as positive and negative predictive values using the ROC curve. Results: At the cut-off point of 1.4, sensitivity was 69.74% and specificity was 69.05 for the FBS test; at the cut-off point of 6.6, sensitivity was 90.79% and specificity was 80.95% for the HbA1c test; the area under the ROC curve was 0.925 with a 95% confidence interval (0.979, 0.872). Conclusion: The diagnostic values of the HbA1c test and GCT were favorable in screening for gestational diabetes; the HbA1c test also showed a high diagnostic value in women with positive OGCT and GCT results.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"68 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85094707","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}
A. Mourad, Zina Abdulla, Maryam T. Abbas, Hayder Adnan Fawzi
Objectives: The goal of this research was to investigate whether metalloproteinases could be used as predictors of preeclampsia (PE) during pregnancy. Materials and Methods: This case-control study included 100 pregnant women which they further grouped into PE and control group (each composed of 50 women). Both groups were further subdivided according to their gestational age (GA), using the 37th week of gestation as a divider, as preterm and term infants. Results: In both preterm (P=0.001) and term infants (P=0.001), mean metalloproteinase-9 (MMP-9) was considerably lower in PE mothers compared to controls, with the difference being greater in preterm infants. In ROC analysis, MMP-9 showed excellent ability to predict PE in preterm infants (AUC = 0.980, cut-off ≤26.2) and good ability to predict PE in term infants (AUC 0.770, cut-off ≤ 34.4). Conclusions: The matrix MMP-9 is a non-specific predictor of PE for term and preterm pregnant women, with higher accuracy for preterm pregnant women.
{"title":"Role of Matrix Metalloproteinase–9 in the Pathogenesis of Preeclampsia","authors":"A. Mourad, Zina Abdulla, Maryam T. Abbas, Hayder Adnan Fawzi","doi":"10.15296/ijwhr.2023.20","DOIUrl":"https://doi.org/10.15296/ijwhr.2023.20","url":null,"abstract":"Objectives: The goal of this research was to investigate whether metalloproteinases could be used as predictors of preeclampsia (PE) during pregnancy. Materials and Methods: This case-control study included 100 pregnant women which they further grouped into PE and control group (each composed of 50 women). Both groups were further subdivided according to their gestational age (GA), using the 37th week of gestation as a divider, as preterm and term infants. Results: In both preterm (P=0.001) and term infants (P=0.001), mean metalloproteinase-9 (MMP-9) was considerably lower in PE mothers compared to controls, with the difference being greater in preterm infants. In ROC analysis, MMP-9 showed excellent ability to predict PE in preterm infants (AUC = 0.980, cut-off ≤26.2) and good ability to predict PE in term infants (AUC 0.770, cut-off ≤ 34.4). Conclusions: The matrix MMP-9 is a non-specific predictor of PE for term and preterm pregnant women, with higher accuracy for preterm pregnant women.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"109 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85330572","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}
Shobha S Shiragur, Preeti Patil, Praveen Ganganahalli, M. Gudadinni, S. Bidri, Aruna M Biradar, Rajasri G Yaliwal
Objectives: Ectopic pregnancy (EP) is the leading cause of early pregnancy accounting for 10-15% of pregnancy-related deaths. It is life-threatening condition where the majority of them present late. This study aims to evaluate the incidence, risk factors, clinical features, diagnosis, and management of EP in the tertiary care center. Materials and Methods: This study conducted a retrospective analysis of electronic medical records from June 2015 to June 2020, focusing on participants in the age group of 18 to 45 years, to examine the occurrence of EP. The data were analysed with simple descriptive statistics and presented in frequency tables and charts of age group, parity, anemia grades, risk factors and presenting symptoms. Results: The incidence of EP in the current study was 0.38%. In the present study, 73.8% of women were of 20–30-year-old. In this study, 54.1% of women had a history of pelvic inflammatory disease (PID). Prior EP was seen in 19.7 % of cases. 16.4% of participants had a prior history of tubectomy and 19.7% had a previous history of infertility treatment, and 21.3% had a previous history of lower segment caesarean section (LSCS). In the present study, 65.5% of women presented with amenorrhea of 4-8 week, and 95% had abdominal pain. In the present study, common site was the right fallopian tube in 73.9% of cases. In this study, all cases need surgical management most common procedure carried out was salpingectomy. intensive care unit (ICU) admission was needed in 26.2% of cases, and no mortality was seen in our study. Conclusions: EP is a serious and potentially life-threatening condition. Early diagnosis and prompt management are crucial in reducing maternal mortality and morbidity rates.
{"title":"Ruptured Ectopic Pregnancy at Tertiary Care Centre: A Cross-sectional Study","authors":"Shobha S Shiragur, Preeti Patil, Praveen Ganganahalli, M. Gudadinni, S. Bidri, Aruna M Biradar, Rajasri G Yaliwal","doi":"10.15296/ijwhr.2023.22","DOIUrl":"https://doi.org/10.15296/ijwhr.2023.22","url":null,"abstract":"Objectives: Ectopic pregnancy (EP) is the leading cause of early pregnancy accounting for 10-15% of pregnancy-related deaths. It is life-threatening condition where the majority of them present late. This study aims to evaluate the incidence, risk factors, clinical features, diagnosis, and management of EP in the tertiary care center. Materials and Methods: This study conducted a retrospective analysis of electronic medical records from June 2015 to June 2020, focusing on participants in the age group of 18 to 45 years, to examine the occurrence of EP. The data were analysed with simple descriptive statistics and presented in frequency tables and charts of age group, parity, anemia grades, risk factors and presenting symptoms. Results: The incidence of EP in the current study was 0.38%. In the present study, 73.8% of women were of 20–30-year-old. In this study, 54.1% of women had a history of pelvic inflammatory disease (PID). Prior EP was seen in 19.7 % of cases. 16.4% of participants had a prior history of tubectomy and 19.7% had a previous history of infertility treatment, and 21.3% had a previous history of lower segment caesarean section (LSCS). In the present study, 65.5% of women presented with amenorrhea of 4-8 week, and 95% had abdominal pain. In the present study, common site was the right fallopian tube in 73.9% of cases. In this study, all cases need surgical management most common procedure carried out was salpingectomy. intensive care unit (ICU) admission was needed in 26.2% of cases, and no mortality was seen in our study. Conclusions: EP is a serious and potentially life-threatening condition. Early diagnosis and prompt management are crucial in reducing maternal mortality and morbidity rates.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"96 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89001281","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}
M. Alshrouf, Abdulrahman Karam, Muayad I. Azzam, N. Muhaidat
Objectives: This study aimed to evaluate infertile women’s treatment-seeking behavior and to determine the factors that impact the treatment method choices while assessing patients’ views regarding infertility management. Materials and Methods: This cross-sectional survey was distributed anonymously online and targeted infertile females seeking infertility treatment and included participants from all the 12 governorates in Jordan. An electronic questionnaire was designed, which was then distributed on several social media platforms during January 2021. This study included 429 participants seeking in vitro fertilization (IVF), and 52 were seeking intrauterine insemination (IUI) as a treatment modality. The study aimed to examine the aspects that influence infertile women’s treatment-seeking behavior and technique selection. Results: A total of 481 infertile females aged 21-50 years were included in the study. There was a statistically significant relationship between treatment modality and the number of children (P = 0.012), years of trying to conceive (P = 0.006), and causes of infertility (P = 0.017). Participants who wanted to use the IUI method had a significantly higher average number of children (IUI vs. IVF: 0.88 ± 1.11, 0.46 ± 0.96). Calculating the binary logistic regression to predict the selection of a treatment method based on prior trials of IVF and IUI indicated that the IVF prior trial is a significant predictor method of treatment selection (P < 0.001). Conclusions: The decisions regarding infertility treatment should be shared between the patient and the treating physician. Socioeconomic status, past gynecological, and infertility history should be evaluated to better understand the patient’s preference.
{"title":"\u0000 Clinical Integration of Patients’ Preferences in Treatment Decision Making Among Women With Infertility: A Cross-sectional Study","authors":"M. Alshrouf, Abdulrahman Karam, Muayad I. Azzam, N. Muhaidat","doi":"10.15296/ijwhr.2023.21","DOIUrl":"https://doi.org/10.15296/ijwhr.2023.21","url":null,"abstract":"Objectives: This study aimed to evaluate infertile women’s treatment-seeking behavior and to determine the factors that impact the treatment method choices while assessing patients’ views regarding infertility management. Materials and Methods: This cross-sectional survey was distributed anonymously online and targeted infertile females seeking infertility treatment and included participants from all the 12 governorates in Jordan. An electronic questionnaire was designed, which was then distributed on several social media platforms during January 2021. This study included 429 participants seeking in vitro fertilization (IVF), and 52 were seeking intrauterine insemination (IUI) as a treatment modality. The study aimed to examine the aspects that influence infertile women’s treatment-seeking behavior and technique selection. Results: A total of 481 infertile females aged 21-50 years were included in the study. There was a statistically significant relationship between treatment modality and the number of children (P = 0.012), years of trying to conceive (P = 0.006), and causes of infertility (P = 0.017). Participants who wanted to use the IUI method had a significantly higher average number of children (IUI vs. IVF: 0.88 ± 1.11, 0.46 ± 0.96). Calculating the binary logistic regression to predict the selection of a treatment method based on prior trials of IVF and IUI indicated that the IVF prior trial is a significant predictor method of treatment selection (P < 0.001). Conclusions: The decisions regarding infertility treatment should be shared between the patient and the treating physician. Socioeconomic status, past gynecological, and infertility history should be evaluated to better understand the patient’s preference.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"14 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88831157","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}
A. Ghanbarpour, S. Barat, Fatemeh Amirkhanloo, K. Hajian, Z. Bouzari
Objectives: The aim of this study was to investigate the factors affecting postpartum urinary retention (PPUR) following vaginal delivery. Materials and Methods: This cross-sectional analytical study measured the post-void residual (PVR) urine volume by ultrasound, at most, 15 minutes after the first urination after delivery. Women with a PVR >150 mL without urinary symptoms were assigned to the postpartum covert urinary retention group. Data were analyzed with SPSS22. The chi-square and Mann-Whitney tests were used for quantitative and qualitative variables, respectively. Results: In this study, 1120 patients had a normal delivery at Ayatollahs Rouhani hospital from 21 January 2016 to 20 January 2017. Of this number, 306 (29.4%) and 734 (70.6%) cases with and without urinary retention were allocated to the case and control groups, respectively. Women with instrumental delivery had 30.19 times (P=0.003) higher odds of urinary retention. Instrumental delivery is one of the known risk factors of urinary retention. The linear effect of the total length of labor was also measured, and the results revealed that every one-minute increase in the total length of labor increases the odds of covert urinary retention by 1.008 times (P<0.001). Conclusions: The findings of the study showed that various factors are involved in the incidence of urinary retention. More precisely, instrumental delivery, birth weight, gestational age, and other factors can each be a risk factor for urinary retention.
{"title":"Factors Affecting Postpartum Overt and Covert Urinary Retention After Vaginal Delivery","authors":"A. Ghanbarpour, S. Barat, Fatemeh Amirkhanloo, K. Hajian, Z. Bouzari","doi":"10.15296/ijwhr.2023.13","DOIUrl":"https://doi.org/10.15296/ijwhr.2023.13","url":null,"abstract":"Objectives: The aim of this study was to investigate the factors affecting postpartum urinary retention (PPUR) following vaginal delivery. Materials and Methods: This cross-sectional analytical study measured the post-void residual (PVR) urine volume by ultrasound, at most, 15 minutes after the first urination after delivery. Women with a PVR >150 mL without urinary symptoms were assigned to the postpartum covert urinary retention group. Data were analyzed with SPSS22. The chi-square and Mann-Whitney tests were used for quantitative and qualitative variables, respectively. Results: In this study, 1120 patients had a normal delivery at Ayatollahs Rouhani hospital from 21 January 2016 to 20 January 2017. Of this number, 306 (29.4%) and 734 (70.6%) cases with and without urinary retention were allocated to the case and control groups, respectively. Women with instrumental delivery had 30.19 times (P=0.003) higher odds of urinary retention. Instrumental delivery is one of the known risk factors of urinary retention. The linear effect of the total length of labor was also measured, and the results revealed that every one-minute increase in the total length of labor increases the odds of covert urinary retention by 1.008 times (P<0.001). Conclusions: The findings of the study showed that various factors are involved in the incidence of urinary retention. More precisely, instrumental delivery, birth weight, gestational age, and other factors can each be a risk factor for urinary retention.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"26 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75703972","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}
Shahrzad Sanjari, Mohammad Reza Mohammidi Soleimani, Azita Amir Fakhraei
Objectives: Pregnancy pica is harmful to the mother and her baby. This study aimed to update the global prevalence of pica in pregnant women. Methods: Scopus, Science Direct, Wiley online, Google Scholar, and PubMed databases were searched for observational studies until July 2021. This search was done with the keywords "pregnancy pica", "prevalence of pica", "pica frequency". After evaluating the extracted studies based on inclusion and exclusion criteria, 45 final articles were selected. Calculations were performed based on STATA software. Publication bias was also assessed. Results: The global prevalence of pica in pregnancy in the final forty-five articles (Sample size: 21267) was 34%. However, the prevalence has decreased since 2015. In the subgroup analysis, rural women, women with lower education, younger women, unemployed women, and women living in the African geographical area had the highest prevalence of pica. Our results also showed that this rate was higher in women in the first trimester of pregnancy and multiparous women. Conclusions: The global prevalence of pica was 34%. Therefore, it is recommended to implement educational programs, empower women and distribute nutritional supplements during pregnancy.
{"title":"Update on the Global Prevalence of Pica in Pregnant Women: A Meta-analysis","authors":"Shahrzad Sanjari, Mohammad Reza Mohammidi Soleimani, Azita Amir Fakhraei","doi":"10.15296/ijwhr.2023.18","DOIUrl":"https://doi.org/10.15296/ijwhr.2023.18","url":null,"abstract":"Objectives: Pregnancy pica is harmful to the mother and her baby. This study aimed to update the global prevalence of pica in pregnant women. Methods: Scopus, Science Direct, Wiley online, Google Scholar, and PubMed databases were searched for observational studies until July 2021. This search was done with the keywords \"pregnancy pica\", \"prevalence of pica\", \"pica frequency\". After evaluating the extracted studies based on inclusion and exclusion criteria, 45 final articles were selected. Calculations were performed based on STATA software. Publication bias was also assessed. Results: The global prevalence of pica in pregnancy in the final forty-five articles (Sample size: 21267) was 34%. However, the prevalence has decreased since 2015. In the subgroup analysis, rural women, women with lower education, younger women, unemployed women, and women living in the African geographical area had the highest prevalence of pica. Our results also showed that this rate was higher in women in the first trimester of pregnancy and multiparous women. Conclusions: The global prevalence of pica was 34%. Therefore, it is recommended to implement educational programs, empower women and distribute nutritional supplements during pregnancy.","PeriodicalId":14346,"journal":{"name":"International Journal of Women's Health and Reproduction Sciences","volume":"62 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84578231","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}
Neda Shamsalizadeh, Nicole Rouhana, C. Pierce, M. Swain
Objectives: To identify the diverse meanings of menopause in various contextual settings and to be mindful of how these meanings are formed. Methods: An integrative review was performed to analyze the existing literature on the meanings of menopause. Whittemore and Knafl’s five-step process was followed. Literature published between 2005 to 2022 was reviewed. Medline, CINAHL Scopus, Nursing Reference Center Plus, and Google Scholar databases were searched. The PRISMA flow diagram was used to illustrate the review process. For the quality appraisal of the articles, the Critical Appraisals Skills Programme (CASP) checklists were used depending on the study design. Qualitative, quantitative, mixed method, and systematic review articles were included. A data extraction form was designed encompassing author, year, methods, context, setting sample, country, related theme. For each study, findings were coded inductively, and codes were reviewed for their commonalities and differences. Key contributing pieces relating to meanings of menopause were grouped into themes. Results: A total of 65 studies were analyzed for this review. Different menopause meanings and their contributing pieces were identified. The five main categorized themes were bio-physiological, socio-cultural, sexual, psychological, and spiritual meanings and contributing factors. Conclusions: Although meanings of menopause among women can differ, the contributing pieces for meanings of menopause are common across countries. It is significant to consider a holistic care approach to support women achieve their optimal health. This study proposes additional sexual piece for holistic care model as it was identified a major theme and concern among menopausal women.
目的:确定更年期在不同背景下的不同意义，并注意这些意义是如何形成的。方法:对已有的有关绝经意义的文献进行综合分析。Whittemore和Knafl的五步流程被遵循。回顾了2005年至2022年间发表的文献。检索Medline、CINAHL Scopus、Nursing Reference Center Plus和谷歌Scholar数据库。使用PRISMA流程图来说明审查过程。对于文章的质量评估，根据研究设计使用了关键评估技能程序(CASP)检查表。包括定性、定量、混合方法和系统综述文章。设计了包含作者、年份、方法、上下文、设置样本、国家、相关主题的数据提取表。对每项研究的结果进行归纳编码，并对编码的共性和差异进行审查。与更年期意义相关的关键贡献部分被分组为主题。结果:本综述共分析了65项研究。确定了更年期的不同含义及其影响因素。五个主要分类主题是生物生理，社会文化，性，心理和精神意义和促成因素。结论:虽然女性更年期的意义不同，但各国更年期意义的贡献因素是共同的。重要的是要考虑采取整体护理办法，支持妇女实现最佳健康。本研究提出了额外的性片整体护理模式，因为它被确定为一个主要的主题和关注更年期妇女。
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