Background: There is limited data on the use of herbal medicine by pregnant women in Nigeria. This study was aimed at determining the prevalence of use, socio-demographic pattern, knowledge and attitude of pregnant women to the use of herbal medicine among those attending the antenatal clinic of the Aminu Kano Teaching Hospital, Kano, a tertiary hospital in Northern Nigeria.Methods: A prepiloted structured questionnaire was administered on 500 pregnant women attending the clinic to collect data on demographic s, obstetric factors, knowledge and use of herbal medicine during pregnancy. Results: 31.4% of pregnant women used herbal medicines in the subsisting pregnancy. Over 40% of respondents had at least primary education while nearly 30% had an income of less than 20,000 naira(130 USD) monthly. Statistically Significant associations were found between herbal medicine use and no formal education(p<.05), low economic status (p<5) and self medication with orthodox drugs(p<.05). Ginger (zingiber officinale) and Garlic (allium sativa) were the most commonly used herbal medicines recalled by respondents. There was a significant association between education of respondents and their knowledge on safety of herbal medicines while a disparity was found between their views and practice.Conclusion: Use of herbal medicine among pregnant women in this environment was high. Clinicians and caregivers should have knowledge of the herbs commonly used by pregnant women and the potentials for toxicity. Attention should be given to enlightenment of pregnant women and the community on the dangers of herbal drug use during pregnancy.
{"title":"Use Of Herbal Medicine Among Pregnant Women Attending A Tertiary Hospital In Northern Nigeria","authors":"I. Tamuno, A. Omole-Ohonsi, J. Fadare","doi":"10.5580/2932","DOIUrl":"https://doi.org/10.5580/2932","url":null,"abstract":"Background: There is limited data on the use of herbal medicine by pregnant women in Nigeria. This study was aimed at determining the prevalence of use, socio-demographic pattern, knowledge and attitude of pregnant women to the use of herbal medicine among those attending the antenatal clinic of the Aminu Kano Teaching Hospital, Kano, a tertiary hospital in Northern Nigeria.Methods: A prepiloted structured questionnaire was administered on 500 pregnant women attending the clinic to collect data on demographic s, obstetric factors, knowledge and use of herbal medicine during pregnancy. Results: 31.4% of pregnant women used herbal medicines in the subsisting pregnancy. Over 40% of respondents had at least primary education while nearly 30% had an income of less than 20,000 naira(130 USD) monthly. Statistically Significant associations were found between herbal medicine use and no formal education(p<.05), low economic status (p<5) and self medication with orthodox drugs(p<.05). Ginger (zingiber officinale) and Garlic (allium sativa) were the most commonly used herbal medicines recalled by respondents. There was a significant association between education of respondents and their knowledge on safety of herbal medicines while a disparity was found between their views and practice.Conclusion: Use of herbal medicine among pregnant women in this environment was high. Clinicians and caregivers should have knowledge of the herbs commonly used by pregnant women and the potentials for toxicity. Attention should be given to enlightenment of pregnant women and the community on the dangers of herbal drug use during pregnancy.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129847205","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}
K. Manikandan, P. Pallavi, S. Soundararaghavan, M. Satyaprakash, Ashok Sanker Badhe
The ex-utero intrapartum therapy (EXIT) is a procedure that provides valuable time for securing a compromised or a threatened airway in the fetus-neonate. Critical to this procedure is the maintenance of the uteroplacental circulation. Achieving complete uterine relaxation, maintaining the uterine volume and the maternal mean arterial pressure are essential to maintain the fetus on the placental circulation. We present a case of EXIT done for a fetus with a prenatal diagnosis of congenital goiter and describe a novel method of minimizing maternal blood loss during the procedure.
{"title":"Decidual Exclusion Myometrial Reefing in EXIT","authors":"K. Manikandan, P. Pallavi, S. Soundararaghavan, M. Satyaprakash, Ashok Sanker Badhe","doi":"10.5580/1242","DOIUrl":"https://doi.org/10.5580/1242","url":null,"abstract":"The ex-utero intrapartum therapy (EXIT) is a procedure that provides valuable time for securing a compromised or a threatened airway in the fetus-neonate. Critical to this procedure is the maintenance of the uteroplacental circulation. Achieving complete uterine relaxation, maintaining the uterine volume and the maternal mean arterial pressure are essential to maintain the fetus on the placental circulation. We present a case of EXIT done for a fetus with a prenatal diagnosis of congenital goiter and describe a novel method of minimizing maternal blood loss during the procedure.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114285148","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. G. Wijesiri, O. Orimogunje, V. Bamigboye, Manish Kausha
According to Cancer Research UK, anal cancer is a rare cancer; around 930 people are diagnosed in the United Kingdom each year. It is slightly more common in women than men, with rates increasing in women over the past 10 years. Around 8 out of 10 (80%) people diagnosed with anal cancer have evidence of Human Papillomavirus (HPV) infection in the anal area. Of the different types of HPV, type 16 is the most common in anal cancer. Invasive anal cancer is thought to develop from the growth of abnormal cells (squamous intraepithelial lesions) caused by HPV infection (1). Eighty-five percent of the anal cancers occur in the anal canal and 15% in the anal margin. There have been reported increased incidences of infection with HPV associated with female gender, with identified risk factors such as lifetime number of sexual partners, genital warts, receptive anal intercourse, and infection with human immunodeficiency virus (HIV) (2).
{"title":"Anal Cancer In Pregnancy","authors":"S. G. Wijesiri, O. Orimogunje, V. Bamigboye, Manish Kausha","doi":"10.5580/19d7","DOIUrl":"https://doi.org/10.5580/19d7","url":null,"abstract":"According to Cancer Research UK, anal cancer is a rare cancer; around 930 people are diagnosed in the United Kingdom each year. It is slightly more common in women than men, with rates increasing in women over the past 10 years. Around 8 out of 10 (80%) people diagnosed with anal cancer have evidence of Human Papillomavirus (HPV) infection in the anal area. Of the different types of HPV, type 16 is the most common in anal cancer. Invasive anal cancer is thought to develop from the growth of abnormal cells (squamous intraepithelial lesions) caused by HPV infection (1). Eighty-five percent of the anal cancers occur in the anal canal and 15% in the anal margin. There have been reported increased incidences of infection with HPV associated with female gender, with identified risk factors such as lifetime number of sexual partners, genital warts, receptive anal intercourse, and infection with human immunodeficiency virus (HIV) (2).","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"184 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134109011","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}
Quantification of subjective sleep quality in healthy nulliparous pregnant, post partum and post menopausal women in Shiraz, using the Pittsburg Sleep Quality Index Aim: To quantify and compare various sleep quality indices and corresponding variates amongst nulliparous pregnant, post partum and post menopausal women referring to outpatient obstetrics and gynecology facilities at Shiraz university affiliated hospitals ( July-December ,2010), in Shiraz, central southern Iran.Materials and Methods: In this cross sectional survey, 200 women of which 120 were pregnant[40 first trimester(PrT1), 40 second trimester(PrT2) and 40 third trimester(PrT3)],40 post partum(PP) and 40 post menopausal(PM) were asked to complete the self rated Pittsburg Sleep Quality Index(PSQI)questionnaire. Participants were matched on variables that could affect their sleep including age (PrT1, PrT2, PrT3 and PP), BMI, collar size, gestational age (for each trimester subjects separately) and, weeks post partum (PP). Exclusion criteria were known medical or psychiatric conditions. PP cases were specifically assessed for post partum depression(PPD) using the post partum depression screening scale(PDSS). Obtained data were compared across groups using independent sample t-test and one way ANOVA through SPSS 17.0 analyzer.Results: Global sleep quality score was most favorable in PrT2 subjects and showed to be poorest among PP cases (4.25±0.22 and 12.52±0.49, respectively). PM,PrT3 and PrT1 subjects in turn had poorer to more favorable total sleep quality. Concerning the PSQI components, worst sleep duration (PSQIDURAT),subjective sleep latency( PSQILATEN), sleep disturbance (PSQIDISTB) , self rated overall quality(PSQIQUAL),medication use(PSQIMEDS) and dysfunctional days (PSQIDAYDYS)belonged to PP(5.1±0.16) ,PM(48.35±6.42) ,PP(2.55±0.07) ,PrT2(1.00±0.05),PP(1.87±0.16),PP(2.2±0.16) groups, respectively. PP cases who suffered PPD had less effective sleep and reported more frequent wakes after sleep onset compared to those without PPD(p<.05).Conclusion: Post partum women with or without PPD suffer significantly a poorer sleep than other groups studied. Post menopausal and third trimester pregnant women were shown to have poorer sleep indices to lesser extent. Sleep quality in PrT1 and PrT2 does deteriorate however not to the level affecting patients activities of daily living.
{"title":"Quantification Of Subjective Sleep Quality In Healthy Nulliparous Pregnant, Post Partum And Post Menopausal Women In Shiraz, Using The Pittsburg Sleep Quality Index","authors":"M. Nami, A. Saremi, G. Madadi","doi":"10.5580/2401","DOIUrl":"https://doi.org/10.5580/2401","url":null,"abstract":"Quantification of subjective sleep quality in healthy nulliparous pregnant, post partum and post menopausal women in Shiraz, using the Pittsburg Sleep Quality Index Aim: To quantify and compare various sleep quality indices and corresponding variates amongst nulliparous pregnant, post partum and post menopausal women referring to outpatient obstetrics and gynecology facilities at Shiraz university affiliated hospitals ( July-December ,2010), in Shiraz, central southern Iran.Materials and Methods: In this cross sectional survey, 200 women of which 120 were pregnant[40 first trimester(PrT1), 40 second trimester(PrT2) and 40 third trimester(PrT3)],40 post partum(PP) and 40 post menopausal(PM) were asked to complete the self rated Pittsburg Sleep Quality Index(PSQI)questionnaire. Participants were matched on variables that could affect their sleep including age (PrT1, PrT2, PrT3 and PP), BMI, collar size, gestational age (for each trimester subjects separately) and, weeks post partum (PP). Exclusion criteria were known medical or psychiatric conditions. PP cases were specifically assessed for post partum depression(PPD) using the post partum depression screening scale(PDSS). Obtained data were compared across groups using independent sample t-test and one way ANOVA through SPSS 17.0 analyzer.Results: Global sleep quality score was most favorable in PrT2 subjects and showed to be poorest among PP cases (4.25±0.22 and 12.52±0.49, respectively). PM,PrT3 and PrT1 subjects in turn had poorer to more favorable total sleep quality. Concerning the PSQI components, worst sleep duration (PSQIDURAT),subjective sleep latency( PSQILATEN), sleep disturbance (PSQIDISTB) , self rated overall quality(PSQIQUAL),medication use(PSQIMEDS) and dysfunctional days (PSQIDAYDYS)belonged to PP(5.1±0.16) ,PM(48.35±6.42) ,PP(2.55±0.07) ,PrT2(1.00±0.05),PP(1.87±0.16),PP(2.2±0.16) groups, respectively. PP cases who suffered PPD had less effective sleep and reported more frequent wakes after sleep onset compared to those without PPD(p<.05).Conclusion: Post partum women with or without PPD suffer significantly a poorer sleep than other groups studied. Post menopausal and third trimester pregnant women were shown to have poorer sleep indices to lesser extent. Sleep quality in PrT1 and PrT2 does deteriorate however not to the level affecting patients activities of daily living.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129890373","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}
Doppa Geeta, Ramachandra, G. Ravikanth, Rao Tanushree
Most normal couples achieve a pregnancy within 12 months of trying to get pregnant. Failure to do so after one year may be defined arbitrarily as subfertility, which affects 10 – 15% of cohabiting couples.
{"title":"Retained Fetal Bone as a Cause of Post-Abortal Failure to Conceive","authors":"Doppa Geeta, Ramachandra, G. Ravikanth, Rao Tanushree","doi":"10.5580/2581","DOIUrl":"https://doi.org/10.5580/2581","url":null,"abstract":"Most normal couples achieve a pregnancy within 12 months of trying to get pregnant. Failure to do so after one year may be defined arbitrarily as subfertility, which affects 10 – 15% of cohabiting couples.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114566083","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}
Purpose: Diagnosis of premature rupture of membrane (PROM) is difficult in equivocal cases. The concentration of β-HCG, urea and creatinine are high in amniotic fluid. The purpose of this study is to compare the value of vaginal fluid β-HCG, Urea and creatinine level for better diagnosis of PROM. Methods: This study was performed between November 2007 and November 2008, in the Zeinabieh hospital of Shiraz university medical sciences, Iran. A total of 153 pregnant women were recruited in 3 groups. Group I: patients with diagnosis of PROM confirmed by amniotic fluid pooling and ferning test, Group II: patients in whom diagnosis of PROM was suspected but unconfirmed by amniotic fluid pooling or ferning test and Group III: pregnant women without any complaint. All the patients underwent speculum examination for amniotic fluid pooling, ferning test and vaginal washing fluid for β-HCG, urea and creatinin sampling. Results: All the three markers were significantly highest in the experimental group. The sensitivity, specificity, positive predictive value and negative predictive value for β-HCG were 84.3%, 94.1%, 92% and 90% respectively. creatinine values were 90.2%, 91.2%, 83.6% and 90% respectively and the values for Urea they were 100%, 76.5%, 70.6% and 96% respectively. Conclusion: The urea has the most sensitivity among the three markers but βHCG and Creatinin are more specific for diagnosis of PROM.
{"title":"The Evaluation Of Diagnostic Role Of Vaginal Fluid Urea, Creatinine And Β-HCGLevel For Detection Of Premature Rupture Of Membrane.","authors":"Z. Tavana, B. Hamedi, J. Zolghadri, G. Madadi","doi":"10.5580/120","DOIUrl":"https://doi.org/10.5580/120","url":null,"abstract":"Purpose: Diagnosis of premature rupture of membrane (PROM) is difficult in equivocal cases. The concentration of β-HCG, urea and creatinine are high in amniotic fluid. The purpose of this study is to compare the value of vaginal fluid β-HCG, Urea and creatinine level for better diagnosis of PROM. Methods: This study was performed between November 2007 and November 2008, in the Zeinabieh hospital of Shiraz university medical sciences, Iran. A total of 153 pregnant women were recruited in 3 groups. Group I: patients with diagnosis of PROM confirmed by amniotic fluid pooling and ferning test, Group II: patients in whom diagnosis of PROM was suspected but unconfirmed by amniotic fluid pooling or ferning test and Group III: pregnant women without any complaint. All the patients underwent speculum examination for amniotic fluid pooling, ferning test and vaginal washing fluid for β-HCG, urea and creatinin sampling. Results: All the three markers were significantly highest in the experimental group. The sensitivity, specificity, positive predictive value and negative predictive value for β-HCG were 84.3%, 94.1%, 92% and 90% respectively. creatinine values were 90.2%, 91.2%, 83.6% and 90% respectively and the values for Urea they were 100%, 76.5%, 70.6% and 96% respectively. Conclusion: The urea has the most sensitivity among the three markers but βHCG and Creatinin are more specific for diagnosis of PROM.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"526 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115975216","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}
B. Mohamed, A. Radhouane, B. Amir, Benyettou Samia, M. Lotfi, C. Mounir, R. Radouane
ObjectiveTo determine the frequency of post operative complications after tension-free vaginal tape (TVT) compared with the transobturator tape (TOT) procedure in women with stress urinary incontinence (SUI).Study designProspective study of all consecutive women with urodynamically confirmed SUI undergoing anti-incontinence surgery between January 2000 and January 2010. All procedures were performed by experienced urogynaecologists well trained in TVT and TOT surgery. Assessments were carried out at 1, 6, 12 and, 36 months after surgery.ResultsThe study population included 366 women (mean age 59.5 years), 243 in the TVT group and 123 in the TOT group. The groups were similar in terms of demographics, preoperative data, and cure rates. De novo urgency occurred in 13.4% of patients at 6 months after surgery, in 19.3% at 12 months, and in 22.1% at 36 months. De novo urgency was significantly more frequent in the TVT group than in the TOT group at 12 (22.2% vs 11.2%, P = 0.025), 24 (24.8% vs 12.3%, P = 0.033), and 36 (0% vs 24.7%, P = 0.034) months. Cure rates were similar in both groups. The final adjusted cure rate was 87.3% (319/366).ConclusionTreatment of SUI using the TOT procedure was associated with a lower rate of de novo urgency.
目的比较无张力阴道带(TVT)与经通气带(TOT)治疗压力性尿失禁(SUI)的术后并发症发生率。研究设计前瞻性研究在2000年1月至2010年1月期间，所有连续接受尿动力学证实的SUI患者接受了抗失禁手术。所有手术均由经验丰富的泌尿妇科医生进行，他们在TVT和TOT手术方面受过良好的培训。分别于术后1、6、12、36个月进行评估。结果共纳入366例女性，平均年龄59.5岁，其中TVT组243例，TOT组123例。两组在人口统计学、术前数据和治愈率方面相似。术后6个月有13.4%的患者出现新发急症，12个月为19.3%，36个月为22.1%。TVT组在12个月(22.2% vs 11.2%， P = 0.025)、24个月(24.8% vs 12.3%， P = 0.033)和36个月(0% vs 24.7%， P = 0.034)时的新生急症发生率明显高于TOT组。两组的治愈率相似。最终调整治愈率为87.3%(319/366)。结论采用TOT手术治疗SUI可降低新发急症的发生率。
{"title":"Postoperative Complications After Tension-Free Vaginal Tape Versus Transobturator Tape Procedure For Stress Urinary Incontinence","authors":"B. Mohamed, A. Radhouane, B. Amir, Benyettou Samia, M. Lotfi, C. Mounir, R. Radouane","doi":"10.5580/1dcd","DOIUrl":"https://doi.org/10.5580/1dcd","url":null,"abstract":"ObjectiveTo determine the frequency of post operative complications after tension-free vaginal tape (TVT) compared with the transobturator tape (TOT) procedure in women with stress urinary incontinence (SUI).Study designProspective study of all consecutive women with urodynamically confirmed SUI undergoing anti-incontinence surgery between January 2000 and January 2010. All procedures were performed by experienced urogynaecologists well trained in TVT and TOT surgery. Assessments were carried out at 1, 6, 12 and, 36 months after surgery.ResultsThe study population included 366 women (mean age 59.5 years), 243 in the TVT group and 123 in the TOT group. The groups were similar in terms of demographics, preoperative data, and cure rates. De novo urgency occurred in 13.4% of patients at 6 months after surgery, in 19.3% at 12 months, and in 22.1% at 36 months. De novo urgency was significantly more frequent in the TVT group than in the TOT group at 12 (22.2% vs 11.2%, P = 0.025), 24 (24.8% vs 12.3%, P = 0.033), and 36 (0% vs 24.7%, P = 0.034) months. Cure rates were similar in both groups. The final adjusted cure rate was 87.3% (319/366).ConclusionTreatment of SUI using the TOT procedure was associated with a lower rate of de novo urgency.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132312173","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}
Hysterectomy, abdominal or vaginal, total or subtotal laparoscopic assisted vaginal hysterectomy is by far the most frequently performed elective major operation in Gynaecology. It is said that the two are not competitive procedures but each has its own place in the operative armamentarium of the gynaecologist. This study was done with the Objective to study the comparative risks of complications of abdominal and vaginal hysterectomies during intra-operative and post-operative period thereby improve the proportion of hysterectomies done vaginally. Method: A total of 50 patients in the study were divided into two groups. 25 cases in each group each designated as group-A and group-B underwent abdominal hysterectomy and vaginal hysterectomy respectively for non-prolapsed cases with good uterine mobility and uterine size less than16 week. Results: Intra-operative blood loss, mean operating time was more in group A than in group B (500±250,316±238) and (101±27.1 min, 65±26.2) respectively. Only one case of bladder injury was observed in group A, (which was a case of previous caesarean section) and none in vaginal route. Only one patient underwent re-laparotomy for internal bleeding via abdominal route. Postoperative fever (28% & 16%),UTI(20% & 15%)and abdominal wound infection(8%,0%) was more common in Group A as compared to Group B. Vaginal cellulitis (44% & 24%) and vault granuloma (20% & 0%) was found frequently in vaginal than in abdominal route. Conclusion: From the study results it can be concluded that patients requiring hysterectomy for benign non prolapse cases be offered the option of vaginal route which is less invasive, minimal or no complications, more economical and effective. In our centre, it is likely to replace abdominal hysterectomy as the operation of choice.
{"title":"Comparative Study Of Abdominal Versus Vaginal Hysterectomy In Non- Descent Cases","authors":"Sunanda Bharatnur","doi":"10.5580/293f","DOIUrl":"https://doi.org/10.5580/293f","url":null,"abstract":"Hysterectomy, abdominal or vaginal, total or subtotal laparoscopic assisted vaginal hysterectomy is by far the most frequently performed elective major operation in Gynaecology. It is said that the two are not competitive procedures but each has its own place in the operative armamentarium of the gynaecologist. This study was done with the Objective to study the comparative risks of complications of abdominal and vaginal hysterectomies during intra-operative and post-operative period thereby improve the proportion of hysterectomies done vaginally. Method: A total of 50 patients in the study were divided into two groups. 25 cases in each group each designated as group-A and group-B underwent abdominal hysterectomy and vaginal hysterectomy respectively for non-prolapsed cases with good uterine mobility and uterine size less than16 week. Results: Intra-operative blood loss, mean operating time was more in group A than in group B (500±250,316±238) and (101±27.1 min, 65±26.2) respectively. Only one case of bladder injury was observed in group A, (which was a case of previous caesarean section) and none in vaginal route. Only one patient underwent re-laparotomy for internal bleeding via abdominal route. Postoperative fever (28% & 16%),UTI(20% & 15%)and abdominal wound infection(8%,0%) was more common in Group A as compared to Group B. Vaginal cellulitis (44% & 24%) and vault granuloma (20% & 0%) was found frequently in vaginal than in abdominal route. Conclusion: From the study results it can be concluded that patients requiring hysterectomy for benign non prolapse cases be offered the option of vaginal route which is less invasive, minimal or no complications, more economical and effective. In our centre, it is likely to replace abdominal hysterectomy as the operation of choice.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121819837","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: Spontaneous reduction resulting from missed abortion of one or more of the foetuses before the 12 week of pregnancy could affect obstetrics outcome. This study sought to analyse pregnancy and foetal outcome following vanishing foetal event in multifoetal pregnancies conceived through assisted and non-assisted technology fertility treatment.Methods: A 5 year prospective observational study conducted In Ahmadu Bello University Teaching Hospital Zaria, 345 Aero medical Hospital Kaduna and Alba Clinics and Medical Centre Kaduna. Patients either conceived with clomiphene citrate enhanced fertility treatment or through assisted reproductive technology (ART) treatment. Results: Fifteen cases were managed, of which 9 (60%) were non-ART conceptions and 6 (40%) ART conceptions. The 9 non – ART pregnancies were all twins spontaneously reduced to singletons, while the 6 ART pregnancies comprised of 4 (66.7%) twins reduced to singleton. 1 (16.7%) triplet reduced to twin and 1 quintuplet (16.7%) reduced to quadruplet. Outcome of 13 pregnancies reduced to singleton was favourable with 1 (7.7%) infant death due to complications of congenital heart disease. Triplet pregnancy reduced to twin was complicated with severe hypertension in pregnancy and spontaneous abortion at 19 weeks while the patient with quintuplet pregnancy reduced to quadruplet delivered at 7 months preceded by preterm premature rupture of membrane; 3 neonatal deaths was recorded. Conclusion: Outcome of vanishing foetus syndrome in higher order multiple pregnancy was associated with poor foetal outcome, however this may be unrelated to spontaneous foetal reduction event but to effect of multiple foetuses on pregnancy and inadequacies of intensive care units in the developing world.
{"title":"Spontaneous Foetal Reduction In Multiple Pregnancies Complicating Fertility Treatment: Descriptive Study Of Pregnancy And Fetal Outcomes In A Low Resourse Setting","authors":"A. Adesiyun, N. Ameh, S. Avidime","doi":"10.5580/85f","DOIUrl":"https://doi.org/10.5580/85f","url":null,"abstract":"Objective: Spontaneous reduction resulting from missed abortion of one or more of the foetuses before the 12 week of pregnancy could affect obstetrics outcome. This study sought to analyse pregnancy and foetal outcome following vanishing foetal event in multifoetal pregnancies conceived through assisted and non-assisted technology fertility treatment.Methods: A 5 year prospective observational study conducted In Ahmadu Bello University Teaching Hospital Zaria, 345 Aero medical Hospital Kaduna and Alba Clinics and Medical Centre Kaduna. Patients either conceived with clomiphene citrate enhanced fertility treatment or through assisted reproductive technology (ART) treatment. Results: Fifteen cases were managed, of which 9 (60%) were non-ART conceptions and 6 (40%) ART conceptions. The 9 non – ART pregnancies were all twins spontaneously reduced to singletons, while the 6 ART pregnancies comprised of 4 (66.7%) twins reduced to singleton. 1 (16.7%) triplet reduced to twin and 1 quintuplet (16.7%) reduced to quadruplet. Outcome of 13 pregnancies reduced to singleton was favourable with 1 (7.7%) infant death due to complications of congenital heart disease. Triplet pregnancy reduced to twin was complicated with severe hypertension in pregnancy and spontaneous abortion at 19 weeks while the patient with quintuplet pregnancy reduced to quadruplet delivered at 7 months preceded by preterm premature rupture of membrane; 3 neonatal deaths was recorded. Conclusion: Outcome of vanishing foetus syndrome in higher order multiple pregnancy was associated with poor foetal outcome, however this may be unrelated to spontaneous foetal reduction event but to effect of multiple foetuses on pregnancy and inadequacies of intensive care units in the developing world.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128790329","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}
Inadequate sleep resulting from difficulty in falling asleep, waking up frequently during the night, difficulty returning to sleep and un-refreshing sleep is one of the major complaints of women in the pregnancy state. Insomnia may present as difficulty in initiating or maintaining sleep, resulting in non-restorative sleep and impairment of day time functioning. This study was designed to determine the effect of aerobic exercises on level of insomnia and fatigue in pregnant women.Thirty pregnant women participated in an aerobic exercise programme for a period of 6 weeks. They were divided randomly into two groups. Group A participants received sleeping education and aerobic exercises, while Group B participants received only sleeping education. Levels of insomnia and fatigue were assessed pre-and post-intervention using Insomnia Severity Index questionnaire (ISI) and Quality of Life Fatigue Score respectively. Independent t-test was used to compare the levels of Insomnia and fatigue in the two groups. Level of significance was set at P<0.05 There was no significant difference in the level of insomnia and fatigue pre-exercise in the two groups (P>0.05). Post intervention, participants in group A demonstrated significantly lower levels of insomnia than the participants in group B (P<0.05). A significant difference in the level of fatigue post intervention was only observed in participants in group A (P< 0.5). The outcome of this study showed that the levels of insomnia and fatigue in pregnant women can be reduced with aerobic exercises.
{"title":"Effects Of Aerobic Exercises On The Level Of Insomnia And Fatigue In Pregnant Women","authors":"Tella Ba, Sokunbi Og, Akinlami Of, B. Afolabi","doi":"10.5580/549","DOIUrl":"https://doi.org/10.5580/549","url":null,"abstract":"Inadequate sleep resulting from difficulty in falling asleep, waking up frequently during the night, difficulty returning to sleep and un-refreshing sleep is one of the major complaints of women in the pregnancy state. Insomnia may present as difficulty in initiating or maintaining sleep, resulting in non-restorative sleep and impairment of day time functioning. This study was designed to determine the effect of aerobic exercises on level of insomnia and fatigue in pregnant women.Thirty pregnant women participated in an aerobic exercise programme for a period of 6 weeks. They were divided randomly into two groups. Group A participants received sleeping education and aerobic exercises, while Group B participants received only sleeping education. Levels of insomnia and fatigue were assessed pre-and post-intervention using Insomnia Severity Index questionnaire (ISI) and Quality of Life Fatigue Score respectively. Independent t-test was used to compare the levels of Insomnia and fatigue in the two groups. Level of significance was set at P<0.05 There was no significant difference in the level of insomnia and fatigue pre-exercise in the two groups (P>0.05). Post intervention, participants in group A demonstrated significantly lower levels of insomnia than the participants in group B (P<0.05). A significant difference in the level of fatigue post intervention was only observed in participants in group A (P< 0.5). The outcome of this study showed that the levels of insomnia and fatigue in pregnant women can be reduced with aerobic exercises.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131999743","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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