Pub Date : 2018-12-01DOI: 10.5005/jp-journals-10032-1152
F. Erfiandi, T. Madjid, M. Ritonga, H. Susanto, B. Handono, H. Susiarno
Background: Improvements in both health and welfare in Indonesia have increased the life expectancy, thus the number of women who experience menopause period would be increasing. Menopause symptoms resulting from estrogen deficiency often cause problems, such as menstrual cycle changes, hot flushes, dyspareunia, urethritis, incontinence, urgency, frequent micturition, insomnia, or sexual dysfunction. This symptoms happened since perimenopause age. Phytoestrogens and their metabolites, equol, binds to estrogen receptors and induce biological effects resembling estrogen. The most important content of phytoestrogens are isoflavones. Isoflavones could be found in foods or drinks that contain soya (soy beans), such as tofu. Equol, a bacterial metabolite and the only hormonally active daidzein metabolite, is a good predictor to determine the degree of menopause symptoms. Method: The study design was an experimental study with pre and post design. The aim of this study was to determine the effect of regular tofu consumption for three months on the symptoms of menopause and excreted human urinary equol level. Subjects were perimenopause women (n = 25) that were interviewed using questionnaire guidance of menopause rating scale (MRS). Urine samples were analyzed using high performance liquid chromatography (HPLC). Results: The result showed that regular tofu consumption significantly reduced menopause symptoms and equol level (p value <0.05). Conclusion: Research concluded there was decrease in the degree of menopause symptoms and increased equol level in perimenopause women after consuming tofu regularly for 3 months. This results can be an alternative choices beside hormonal drugs that we used regularly to decrease menopause symptoms.
{"title":"The Effects of Tofu Consumption on Menopause Symptoms and Equol Level (7-hydroxy-3-(4-hydroxyphenyl) chroman)","authors":"F. Erfiandi, T. Madjid, M. Ritonga, H. Susanto, B. Handono, H. Susiarno","doi":"10.5005/jp-journals-10032-1152","DOIUrl":"https://doi.org/10.5005/jp-journals-10032-1152","url":null,"abstract":"Background: Improvements in both health and welfare in Indonesia have increased the life expectancy, thus the number of women who experience menopause period would be increasing. Menopause symptoms resulting from estrogen deficiency often cause problems, such as menstrual cycle changes, hot flushes, dyspareunia, urethritis, incontinence, urgency, frequent micturition, insomnia, or sexual dysfunction. This symptoms happened since perimenopause age. Phytoestrogens and their metabolites, equol, binds to estrogen receptors and induce biological effects resembling estrogen. The most important content of phytoestrogens are isoflavones. Isoflavones could be found in foods or drinks that contain soya (soy beans), such as tofu. Equol, a bacterial metabolite and the only hormonally active daidzein metabolite, is a good predictor to determine the degree of menopause symptoms. Method: The study design was an experimental study with pre and post design. The aim of this study was to determine the effect of regular tofu consumption for three months on the symptoms of menopause and excreted human urinary equol level. Subjects were perimenopause women (n = 25) that were interviewed using questionnaire guidance of menopause rating scale (MRS). Urine samples were analyzed using high performance liquid chromatography (HPLC). Results: The result showed that regular tofu consumption significantly reduced menopause symptoms and equol level (p value <0.05). Conclusion: Research concluded there was decrease in the degree of menopause symptoms and increased equol level in perimenopause women after consuming tofu regularly for 3 months. This results can be an alternative choices beside hormonal drugs that we used regularly to decrease menopause symptoms.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121117897","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}
J. Alves, C. Vilhena, C. Tomás, I. Antunes, J. Metello, Isabel Natário, Marco Puga, E. Casal
OBJECTIVE: To compare the rate of vaginal birth in women attempting vaginal birth after caesarean delivery (VBAC) through labour induction with dinoprostone versus a trial of spontaneous labour. METHODS: A 10-year retrospective cohort study in a tertiary care hospital of women with one prior caesarean delivery. Women who attempted VBAC with labour induction with dinoprostone were compared with women undergoing spontaneous labour. Logistic regression analyses were performed to assess the relationship between VBAC success and labour induction taking into account confounding variables. Both maternal and neonatal safety were studied to find a difference between the group with spontaneous labour versus the group labour induction. RESULTS: A total of 1076 women in the cohort attempted VBAC (649 with spontaneous labour and 427 with induced labour). Women who were given a trial of spontaneous labour were more likely to have a successful VBAC (70.3% compared with 48.7%, odds ratio (OR) 2.49, 95% confidence interval (CI) 1.93–3.21). If women have had a previous vaginal delivery they were more likely to have a successful VBAC, OR of 2.98, 95% CI 2.08-4.27. The risk of uterine rupture (0.5% for induced labour compared with 0.6% for spontaneous labour) or overall morbidity (2.7% compared with 2.1%) was not significantly increased in the women with labour induction. CONCLUSION: Women with a previous caesarean section have a lower VBAC rate with labour induction versus spontaneous labour. If they have a previous vaginal delivery, the chance of a vaginal delivery increases. Overall, vaginal birth is safe and effective in women with one caesarean section with labour induction with dinoprostone.
{"title":"VBAC In Women Undergoing IOL With Dinoprostone Versus Spontaneous Labor","authors":"J. Alves, C. Vilhena, C. Tomás, I. Antunes, J. Metello, Isabel Natário, Marco Puga, E. Casal","doi":"10.5580/IJGO.28478","DOIUrl":"https://doi.org/10.5580/IJGO.28478","url":null,"abstract":"OBJECTIVE: To compare the rate of vaginal birth in women attempting vaginal birth after caesarean delivery (VBAC) through labour induction with dinoprostone versus a trial of spontaneous labour. METHODS: A 10-year retrospective cohort study in a tertiary care hospital of women with one prior caesarean delivery. Women who attempted VBAC with labour induction with dinoprostone were compared with women undergoing spontaneous labour. Logistic regression analyses were performed to assess the relationship between VBAC success and labour induction taking into account confounding variables. Both maternal and neonatal safety were studied to find a difference between the group with spontaneous labour versus the group labour induction. RESULTS: A total of 1076 women in the cohort attempted VBAC (649 with spontaneous labour and 427 with induced labour). Women who were given a trial of spontaneous labour were more likely to have a successful VBAC (70.3% compared with 48.7%, odds ratio (OR) 2.49, 95% confidence interval (CI) 1.93–3.21). If women have had a previous vaginal delivery they were more likely to have a successful VBAC, OR of 2.98, 95% CI 2.08-4.27. The risk of uterine rupture (0.5% for induced labour compared with 0.6% for spontaneous labour) or overall morbidity (2.7% compared with 2.1%) was not significantly increased in the women with labour induction. CONCLUSION: Women with a previous caesarean section have a lower VBAC rate with labour induction versus spontaneous labour. If they have a previous vaginal delivery, the chance of a vaginal delivery increases. Overall, vaginal birth is safe and effective in women with one caesarean section with labour induction with dinoprostone.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131442733","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}
OBJECTIVE: To determine the awareness and attitude of female Nursing and Midwifery students in Afikpo, Southeastern Nigeria towards female genital mutilation (FGM). METHOD; Information was obtained from 269 students of Schools of Nursing and Midwifery, Afikpo on their on their age, marital status, feelings about their circumcision status, problems associated with circumcision, who carried out the procedure and the accruedbenefitsfrom the procedure and attitude towards female genital mutilaton through a semi-structured questionnaire administered by researchers. RESULT; Out of the 269 respondents whose questionnaires were analyzed. The mean age of the respondents was 25.3 with 87.4% belonging to the 15-29 years range. The prevalence rate of FGM in the study group was 54.3%, while 82.9% of the uncircumcised group were happy about their status, 49.3% of the circumcised group expressed happiness over their status. For the circumcised group, 41.7% expressed feeling of unhappiness and only 5.7% of the uncircumcised group expressed unhappiness. The feeling expressed by the 2 groups is statistically significant (X 2 = 41.98; p< 0.005). Most of the respondents were aware of the complications of FGM with 86.2%, 83.35 and 75.85 identifying bleeding, transmission of HIV and painful coitus as complications respectively. Fifty one point 3 percent (51.3%) were of the view that FM curtails promiscuity, 7.5% of the circumcised group reported sexual difficulty as a complication of circumcision. All the respondents were of the legislation banning FGM and would not want their daughters circumcised. CONCLUSION: There is need to further raise the awareness of FGM and its associated harmful effects among women through health education and women socio-economic empowerment.
{"title":"Female Genital Mutilation: Awareness And Attitude Of Nursing And Midwifery Students In Afikpo, Nigeria.","authors":"E. Dike, E. Ojiyi, A. Chukwulebe, V. Egwuatu","doi":"10.5580/2c1b","DOIUrl":"https://doi.org/10.5580/2c1b","url":null,"abstract":"OBJECTIVE: To determine the awareness and attitude of female Nursing and Midwifery students in Afikpo, Southeastern Nigeria towards female genital mutilation (FGM). METHOD; Information was obtained from 269 students of Schools of Nursing and Midwifery, Afikpo on their on their age, marital status, feelings about their circumcision status, problems associated with circumcision, who carried out the procedure and the accruedbenefitsfrom the procedure and attitude towards female genital mutilaton through a semi-structured questionnaire administered by researchers. RESULT; Out of the 269 respondents whose questionnaires were analyzed. The mean age of the respondents was 25.3 with 87.4% belonging to the 15-29 years range. The prevalence rate of FGM in the study group was 54.3%, while 82.9% of the uncircumcised group were happy about their status, 49.3% of the circumcised group expressed happiness over their status. For the circumcised group, 41.7% expressed feeling of unhappiness and only 5.7% of the uncircumcised group expressed unhappiness. The feeling expressed by the 2 groups is statistically significant (X 2 = 41.98; p< 0.005). Most of the respondents were aware of the complications of FGM with 86.2%, 83.35 and 75.85 identifying bleeding, transmission of HIV and painful coitus as complications respectively. Fifty one point 3 percent (51.3%) were of the view that FM curtails promiscuity, 7.5% of the circumcised group reported sexual difficulty as a complication of circumcision. All the respondents were of the legislation banning FGM and would not want their daughters circumcised. CONCLUSION: There is need to further raise the awareness of FGM and its associated harmful effects among women through health education and women socio-economic empowerment.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133627807","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 human genome, proteome and microbiome have been extensively studied for the last two decades. One area which was less studied and perhaps neglected by scientists has been in an area related to cell secretions. Extracellular vesicles (EV) have now become the next focus of intensive scientific research. They comprise an assortment of extracellular structures, separately or variously known as exosomes, lipid membrane vesicles, microvesicles, microparticles, nanoparticles, ectosomes and apoptotic bodies. This emerging field pertains to nano & microparticles that carry proteins and RNA, both of which serve important cellular functions, and is likely to be an important player in the fast evolving field of nanomedicine. EVs are secreted by many cell types and are present in many bodily fluids (plasma, saliva, urine, tear, milk, semen etc). Their levels and composition are altered in various diseases and hence are potential biomarkers. 1 They are an ideal source for biomarker discovery in plasma. Being encapsulated in lipid vesicles and easily extractable, this reduce the susceptibility of putative biomarkers to degradation during transport and storage, and enable biomarkers to be discovered without the confounding presence of high abundance plasma proteins e.g. albumin andimmunoglobulins. 2 They are intimately involved in cell signalling and therefore are fundamental to our understanding of biology and pathology. They were
{"title":"Extracellular Vesicles – A New Frontier In Medical Research. Researchers Can Tap On This Area For Opportunities To Further Improve Clinical Care","authors":"K. Tan, S. Lim","doi":"10.5580/2bf1","DOIUrl":"https://doi.org/10.5580/2bf1","url":null,"abstract":"The human genome, proteome and microbiome have been extensively studied for the last two decades. One area which was less studied and perhaps neglected by scientists has been in an area related to cell secretions. Extracellular vesicles (EV) have now become the next focus of intensive scientific research. They comprise an assortment of extracellular structures, separately or variously known as exosomes, lipid membrane vesicles, microvesicles, microparticles, nanoparticles, ectosomes and apoptotic bodies. This emerging field pertains to nano & microparticles that carry proteins and RNA, both of which serve important cellular functions, and is likely to be an important player in the fast evolving field of nanomedicine. EVs are secreted by many cell types and are present in many bodily fluids (plasma, saliva, urine, tear, milk, semen etc). Their levels and composition are altered in various diseases and hence are potential biomarkers. 1 They are an ideal source for biomarker discovery in plasma. Being encapsulated in lipid vesicles and easily extractable, this reduce the susceptibility of putative biomarkers to degradation during transport and storage, and enable biomarkers to be discovered without the confounding presence of high abundance plasma proteins e.g. albumin andimmunoglobulins. 2 They are intimately involved in cell signalling and therefore are fundamental to our understanding of biology and pathology. They were","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115237129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Colposacropexy presents the gold standard for the treatment of vaginal prolapse. The incidence for vaginal vault prolapse is about 15% of women who underwent hysterectomy due to uterine prolapse, and in about 1% of women who had any other reasons for hysterectomy.The aim of the study: We describe here our experience with abdominal colposacropexy in the treatment of the vaginal vault prolapse occurring after hysterectomy with and without urinary stress incontinence.Material and methods: From 1999 to 2009 we treated 15 women with vaginal vault prolapse occurring due to hysterectomy. Our procedure included the use of non-absorbable permanent polypropylen mash by abdominal approach. The women treated with colposacropexy using polipropilen mesh by abdominal approach reported satisfactory improvement of quality of life, no recurrent vaginal prolapse, urinary stress incontinence, no dyspareunia, no bowel dysfunction.Results: Follow up was between 9 months and 10 years (3.7 years). All patients reported satisfactory results with significant improvement of quality of life. There was no recurrence of the prolapse, no de nuovo urinary stress incontinence or dyspareunia.Conclusions : Abdominal sacrocolpopexy with permanent mesh is a safe and effective treatment of the vaginal vault prolapse after hysterectomy. INTRODUCTION & OBJECTIVES Vaginal vault prolapse is a rare event after hysterectomy, affecting quality of life by its local physical effects (pressure, bulging, heaviness or discomfort) or its effect on urinary, bowel or sexual function. Urinary symptoms include both symptoms related to incontinence or urinary retention (incomplete emptying), bowel symptoms include constipation or faecal incontinence, and symptoms of sexual dysfunction include dyspareunia (pain during intercourse) or avoiding intercourse due to embarrassment.(1) Vaginal vault prolapse is mostly a preventable complication of hysterectomy. Adequate suspension of the vaginal apex after hysterectomy with use of shortened cardinal and uterosacral ligaments will draw the proximal vagina over the levator plate. This results in support for the distal vagina. The essence of surgical repair of vaginal vault prolapse is to create a new suspension with the same vaginal support. Transvaginal sacrospinous fixation and transabdominal sacrocolpo-suspension accomplish this.(2) The goal of this work is to reveal cure of the vaginal vault prolapse after hysterectomy with polypropylene non – absorbable permanent mesh, Prolene monofilament (totally macroporous). We describe here our experience with abdominal colposacropexy in the treatment of the vaginal vault prolapse occurring after hysterectomy with and without urinary stress incontinence. MATERIAL AND METHODS From 1999 to 2010 fifteen colposacropexy were performed at women with extended vaginal vault prolapse (mean age 58 years). In all of these patients a hysterectomy was performed many years ago. Vaginal vault prolapse outside of the in
{"title":"Abdominal Colposacropexy With Permanent Polypropylen Mesh","authors":"J. Ivović, D. Kljakić, S. Raičević","doi":"10.5580/2c19","DOIUrl":"https://doi.org/10.5580/2c19","url":null,"abstract":"Introduction: Colposacropexy presents the gold standard for the treatment of vaginal prolapse. The incidence for vaginal vault prolapse is about 15% of women who underwent hysterectomy due to uterine prolapse, and in about 1% of women who had any other reasons for hysterectomy.The aim of the study: We describe here our experience with abdominal colposacropexy in the treatment of the vaginal vault prolapse occurring after hysterectomy with and without urinary stress incontinence.Material and methods: From 1999 to 2009 we treated 15 women with vaginal vault prolapse occurring due to hysterectomy. Our procedure included the use of non-absorbable permanent polypropylen mash by abdominal approach. The women treated with colposacropexy using polipropilen mesh by abdominal approach reported satisfactory improvement of quality of life, no recurrent vaginal prolapse, urinary stress incontinence, no dyspareunia, no bowel dysfunction.Results: Follow up was between 9 months and 10 years (3.7 years). All patients reported satisfactory results with significant improvement of quality of life. There was no recurrence of the prolapse, no de nuovo urinary stress incontinence or dyspareunia.Conclusions : Abdominal sacrocolpopexy with permanent mesh is a safe and effective treatment of the vaginal vault prolapse after hysterectomy. INTRODUCTION & OBJECTIVES Vaginal vault prolapse is a rare event after hysterectomy, affecting quality of life by its local physical effects (pressure, bulging, heaviness or discomfort) or its effect on urinary, bowel or sexual function. Urinary symptoms include both symptoms related to incontinence or urinary retention (incomplete emptying), bowel symptoms include constipation or faecal incontinence, and symptoms of sexual dysfunction include dyspareunia (pain during intercourse) or avoiding intercourse due to embarrassment.(1) Vaginal vault prolapse is mostly a preventable complication of hysterectomy. Adequate suspension of the vaginal apex after hysterectomy with use of shortened cardinal and uterosacral ligaments will draw the proximal vagina over the levator plate. This results in support for the distal vagina. The essence of surgical repair of vaginal vault prolapse is to create a new suspension with the same vaginal support. Transvaginal sacrospinous fixation and transabdominal sacrocolpo-suspension accomplish this.(2) The goal of this work is to reveal cure of the vaginal vault prolapse after hysterectomy with polypropylene non – absorbable permanent mesh, Prolene monofilament (totally macroporous). We describe here our experience with abdominal colposacropexy in the treatment of the vaginal vault prolapse occurring after hysterectomy with and without urinary stress incontinence. MATERIAL AND METHODS From 1999 to 2010 fifteen colposacropexy were performed at women with extended vaginal vault prolapse (mean age 58 years). In all of these patients a hysterectomy was performed many years ago. Vaginal vault prolapse outside of the in","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"366 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123192997","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}
Emmanuel Ojiyi Emeka, I. D. Ephraim, Chinwendu Anolue Fredrick, O. Chijioke, A. Okechukwu, Ngadda Hamibu
Aim: To study the association between genital tract symptomatology and human papilloma virus (HPV) of the cervix.Method: The subjects were 450 randomly selected sexually active women attending the antenatal, postnatal, gynaecology and family planning clinics in the Department of Obstetrics and Gynaecology of the University of Maiduguri Teaching Hospital, Nigeria between April 2001 and May 2002. The Pap smear of these patients were examined microscopically for evidence of HPV Infection. Questionnaires assessing various genital tract symptomatology of the patients were administered.Result: Abnormal smears occurred in 245 (54.5%) of the patients screened. Forty eight women (10.7%) had HPV associated changes constituting 19.6% of all abnormal smears. Their ages ranged between 15 and 64 years, with a mean of 26±3 years. There was a statistically significant association between abnormal vaginal discharge, irregular menstruation, postmenopausal and postcoital bleeding and genital HPV infection. Conclusion: Women with abnormal vaginal discharge, irregular menstruation, postmenopausal and postcoital bleeding are at increased risk of acquiring infection of the cervix and should be the target in a sporadic or an organized cervical cancer screening programme without discriminating other sexually active women.
{"title":"The Influence Of Genital Tract Symptomatology On Genital Human Papilloma Virus","authors":"Emmanuel Ojiyi Emeka, I. D. Ephraim, Chinwendu Anolue Fredrick, O. Chijioke, A. Okechukwu, Ngadda Hamibu","doi":"10.5580/2c1c","DOIUrl":"https://doi.org/10.5580/2c1c","url":null,"abstract":"Aim: To study the association between genital tract symptomatology and human papilloma virus (HPV) of the cervix.Method: The subjects were 450 randomly selected sexually active women attending the antenatal, postnatal, gynaecology and family planning clinics in the Department of Obstetrics and Gynaecology of the University of Maiduguri Teaching Hospital, Nigeria between April 2001 and May 2002. The Pap smear of these patients were examined microscopically for evidence of HPV Infection. Questionnaires assessing various genital tract symptomatology of the patients were administered.Result: Abnormal smears occurred in 245 (54.5%) of the patients screened. Forty eight women (10.7%) had HPV associated changes constituting 19.6% of all abnormal smears. Their ages ranged between 15 and 64 years, with a mean of 26±3 years. There was a statistically significant association between abnormal vaginal discharge, irregular menstruation, postmenopausal and postcoital bleeding and genital HPV infection. Conclusion: Women with abnormal vaginal discharge, irregular menstruation, postmenopausal and postcoital bleeding are at increased risk of acquiring infection of the cervix and should be the target in a sporadic or an organized cervical cancer screening programme without discriminating other sexually active women.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128869005","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}
Unsafe abortion represents a preventable yet major cause for maternal mortality in India. A majority of these abortions are performed confidentially. Complications occur in a large portion of these cases and ultimately require tertiary care. Intestinal perforation is a rare complication of induced abortion but it is not rare in our country. It is most commonly seen in countries where abortions are performed by people with sharp pointed instruments, without proper training and knowledge of anatomy. Bowel perforation occurs when the posterior vaginal wall or uterus is violated, allowing the instrument to pierce the underlying structures. Here we discuss case of a woman who sustained injury to small bowel with a long mesenteric tear, rectal transection and tear of the urinary bladder.
{"title":"Severe Intraabdominal Trauma In Illegal Abortion: A Case Report","authors":"Gautam N. Gole, U. Santpur, R. Kaul","doi":"10.5580/2c40","DOIUrl":"https://doi.org/10.5580/2c40","url":null,"abstract":"Unsafe abortion represents a preventable yet major cause for maternal mortality in India. A majority of these abortions are performed confidentially. Complications occur in a large portion of these cases and ultimately require tertiary care. Intestinal perforation is a rare complication of induced abortion but it is not rare in our country. It is most commonly seen in countries where abortions are performed by people with sharp pointed instruments, without proper training and knowledge of anatomy. Bowel perforation occurs when the posterior vaginal wall or uterus is violated, allowing the instrument to pierce the underlying structures. Here we discuss case of a woman who sustained injury to small bowel with a long mesenteric tear, rectal transection and tear of the urinary bladder.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116668633","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 placental site trophoblastic tumour is a rare form of gestational trophoblastic neoplasia with a reported incidence of 1-2 % of all trophoblastic tumours. They have a varied clinical spectrum and usually present with irregular vaginal bleeding or amenorrhoea. They are commonly seen in reproductive age group and can occur after normal pregnancy, abortion or following gestational trophoblastic disease. Surgery is the mainstay of treatment. We present a case which was retrospectively diagnosed as placental site trophoblastic tumour following hysterectomy for abnormal uterine bleeding.
{"title":"Placental Site Trophoblastic Tumor: A Case Report.","authors":"S. Samal, P. Pallavee, P. Sabita","doi":"10.5580/2c84","DOIUrl":"https://doi.org/10.5580/2c84","url":null,"abstract":"A placental site trophoblastic tumour is a rare form of gestational trophoblastic neoplasia with a reported incidence of 1-2 % of all trophoblastic tumours. They have a varied clinical spectrum and usually present with irregular vaginal bleeding or amenorrhoea. They are commonly seen in reproductive age group and can occur after normal pregnancy, abortion or following gestational trophoblastic disease. Surgery is the mainstay of treatment. We present a case which was retrospectively diagnosed as placental site trophoblastic tumour following hysterectomy for abnormal uterine bleeding.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116838501","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}
There were 384 cases of PROM giving incidence of 5.2%. The incidence of PROM was higher in case of rural, young, primigravida patients. PROM more commonly occurred after 37 weeks and majority of patients delivered vaginally. The indications for LSCS were mainly fetal distress and non progressive first stage. Patients were managed aggressively and 355 (92.5%) of them were delivered within 24 hours. Maternal morbidity was 3.12% and maternal mortality was 0.26%. Neonatal morbidity was 3.38% and neonatal mortality was 2.86%. The majority of neonatal deaths occurred in preterm infants and newborns with low birth weight. CONCLUSIONS: PROM was associated with low birth weight and prematurity and thus led to high perinatal mortality. Maternal and neonatal morbidity were also increased. A proposed plan of "Aggressive management" irrespective of term of gestation is final answer to decrease maternal and neonatal morbidity and mortality.
{"title":"Obstetric Outcomes In Premature Rupture Of The Membrane (Prom)","authors":"M. Gandhi, F. H. Shah, Chirag Panchal","doi":"10.5580/2ecb","DOIUrl":"https://doi.org/10.5580/2ecb","url":null,"abstract":"There were 384 cases of PROM giving incidence of 5.2%. The incidence of PROM was higher in case of rural, young, primigravida patients. PROM more commonly occurred after 37 weeks and majority of patients delivered vaginally. The indications for LSCS were mainly fetal distress and non progressive first stage. Patients were managed aggressively and 355 (92.5%) of them were delivered within 24 hours. Maternal morbidity was 3.12% and maternal mortality was 0.26%. Neonatal morbidity was 3.38% and neonatal mortality was 2.86%. The majority of neonatal deaths occurred in preterm infants and newborns with low birth weight. CONCLUSIONS: PROM was associated with low birth weight and prematurity and thus led to high perinatal mortality. Maternal and neonatal morbidity were also increased. A proposed plan of \"Aggressive management\" irrespective of term of gestation is final answer to decrease maternal and neonatal morbidity and mortality.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126249126","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}
E. Ojiyi, C. Okeudo, E. Dike, F. Anolue, U. Onyeka, B. Audu, H. Ngadda
Introduction: The purpose of this study is to determine the prevalence and predictors of HumanPapilloma Virus (HPV) Infection of the cervix.Method: The subjects were 450 randomly selected sexually active women attending the antenatal,postnatal, gynaecology and family planning clinics in the Department of Obstetrics and Gynaecologyof the University of Maiduguri Teaching Hospital, Nigeria between April 2001 to May 2002. The PapSmear of these patients were examined microscopically for evidence of HPV Infection. Aquestionnaire assessing various socio-demographic characteristics of the patients were administered.Result: The prevalence rate of HPV was 10.7%. The peak age-specific prevalence of 11.7%occurred in the 15-19 years age group. There were significant associations between the occurrence ofHPV and multiple sexual partners, coital frequency, multiparity, contraceptive use, and marital status,Low socio-economic status abnormal vaginal discharge, irregular menstruation, postcoital andpostmenopausal bleeding.Conclusion: It is recommended that all sexually active women including teenagers should bescreened for cervical Human Papilloma Virus infection in organized systematic programme equippedwith a good call and recall system. There is therefore a need to move emphasis from the currentpractice of opportunistic screening to a systematic screening of the whole population at risk despitecost implications.
{"title":"The Prevalence And Predictors Of Human Papilloma Virus Infection Of The Cervix At A University Teaching Hospital In Northern Nigeria.","authors":"E. Ojiyi, C. Okeudo, E. Dike, F. Anolue, U. Onyeka, B. Audu, H. Ngadda","doi":"10.5580/2eda","DOIUrl":"https://doi.org/10.5580/2eda","url":null,"abstract":"Introduction: The purpose of this study is to determine the prevalence and predictors of HumanPapilloma Virus (HPV) Infection of the cervix.Method: The subjects were 450 randomly selected sexually active women attending the antenatal,postnatal, gynaecology and family planning clinics in the Department of Obstetrics and Gynaecologyof the University of Maiduguri Teaching Hospital, Nigeria between April 2001 to May 2002. The PapSmear of these patients were examined microscopically for evidence of HPV Infection. Aquestionnaire assessing various socio-demographic characteristics of the patients were administered.Result: The prevalence rate of HPV was 10.7%. The peak age-specific prevalence of 11.7%occurred in the 15-19 years age group. There were significant associations between the occurrence ofHPV and multiple sexual partners, coital frequency, multiparity, contraceptive use, and marital status,Low socio-economic status abnormal vaginal discharge, irregular menstruation, postcoital andpostmenopausal bleeding.Conclusion: It is recommended that all sexually active women including teenagers should bescreened for cervical Human Papilloma Virus infection in organized systematic programme equippedwith a good call and recall system. There is therefore a need to move emphasis from the currentpractice of opportunistic screening to a systematic screening of the whole population at risk despitecost implications.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129374454","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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