Pub Date : 2020-08-12DOI: 10.15406/ogij.2020.11.00521
E. Henri, E. Charlotte, Kedy Koum DC, E. O. Thomas, H. Gregory, Nana Njamen Theophile, B. Merlin, Tocki Toutou Grâce, Penda Ida Calixte, Foumane Pascal
Introduction: According to the World Health Organization (WHO), adolescence is the period of growth between 10 and 19years of age. Complications from pregnancy are the second leading cause of death for adolescent girls aged 15 to 19 worldwide. Objective: Our objective was to study the sexual practices of adolescent girls in secondary schools in the Douala 3rd district as well as their contraceptive attitudes towards precocious pregnancies. Methodology: We conducted a case-control analytical study from November 8th, 2018 to June 26th, 2019 in ten secondary schools in the Douala 3rd district. We matched, around the obstetric variable, a case group with this history to a control group who declared not to have had one and studied the different strategies used to avoid the occurrence of pregnancy. Data analysis was done using SPSS 20.0 software. The significance threshold was set at p<0.05. Results: A total of 445 consenting adolescent girls were selected, including 89 cases and 356 controls. The multivariate analysis of the results showed that the factors associated with the occurrence of teenage pregnancies were: an age greater than 17years (aOR=1.91; CI=1.64-2.33), being single with a boyfriend (aOR=6.48; CI=3.33-12.60), the use of the male condom and the after pill (aOR=6.73; CI=3.53-12.83, aOR=4, 34; CI=1.86-10.11), find out about sexuality from your sexual partner or on social networks (aOR=2.24; IC=1.11-4.54, aOR=1.78; IC=1.01-3.13), do not ask your parents (aOR 2.20; IC=1.31-3.70), alcohol consumption (aOR=2.01; IC=1, 23-3.29), multi sexual partnership (aOR=2.89; CI=1.24-6.69), an age difference of more than 5years with partner (aOR=2.24; CI=1.16-4.35). Conclusion: The teenager of the 3rd district of Douala is subject to early and unsafe sexuality and underuses family planning services which lead to precocious pregnancy.
{"title":"Adolescent sexuality: practices and contraceptive problems in Douala (Cameroon)","authors":"E. Henri, E. Charlotte, Kedy Koum DC, E. O. Thomas, H. Gregory, Nana Njamen Theophile, B. Merlin, Tocki Toutou Grâce, Penda Ida Calixte, Foumane Pascal","doi":"10.15406/ogij.2020.11.00521","DOIUrl":"https://doi.org/10.15406/ogij.2020.11.00521","url":null,"abstract":"Introduction: According to the World Health Organization (WHO), adolescence is the period of growth between 10 and 19years of age. Complications from pregnancy are the second leading cause of death for adolescent girls aged 15 to 19 worldwide. Objective: Our objective was to study the sexual practices of adolescent girls in secondary schools in the Douala 3rd district as well as their contraceptive attitudes towards precocious pregnancies. Methodology: We conducted a case-control analytical study from November 8th, 2018 to June 26th, 2019 in ten secondary schools in the Douala 3rd district. We matched, around the obstetric variable, a case group with this history to a control group who declared not to have had one and studied the different strategies used to avoid the occurrence of pregnancy. Data analysis was done using SPSS 20.0 software. The significance threshold was set at p<0.05. Results: A total of 445 consenting adolescent girls were selected, including 89 cases and 356 controls. The multivariate analysis of the results showed that the factors associated with the occurrence of teenage pregnancies were: an age greater than 17years (aOR=1.91; CI=1.64-2.33), being single with a boyfriend (aOR=6.48; CI=3.33-12.60), the use of the male condom and the after pill (aOR=6.73; CI=3.53-12.83, aOR=4, 34; CI=1.86-10.11), find out about sexuality from your sexual partner or on social networks (aOR=2.24; IC=1.11-4.54, aOR=1.78; IC=1.01-3.13), do not ask your parents (aOR 2.20; IC=1.31-3.70), alcohol consumption (aOR=2.01; IC=1, 23-3.29), multi sexual partnership (aOR=2.89; CI=1.24-6.69), an age difference of more than 5years with partner (aOR=2.24; CI=1.16-4.35). Conclusion: The teenager of the 3rd district of Douala is subject to early and unsafe sexuality and underuses family planning services which lead to precocious pregnancy.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91189510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-11DOI: 10.15406/ogij.2020.11.00520
Manoel Alfredo Curvelo Sarno, Luciana Carla Belém dos Santos, Priscila Pinheiro Ribeiro Lyra, C. Mendes, P. R. Oliveira, Ana Cecília Travassos Santiago
Introduction: The association between the increased incidence of microcephaly and the epidemic outbreak of Zika virus infection (ZIKV) in Brazil between 2015 and 2016 was observed by many authors. World Health Organization declared it as a public health emergency of international concern. Maternal infection with the Zika virus can be transmitted vertically and lead to Congenital Zika Syndrome (CZS) in infants. So that it is important to investigate the clinical-epidemiological profile of the mothers and their newborns. Aims: To characterize the clinical- epidemiological profile of pregnant women associated with presumed ZIKV in pregnancy and their newborns diagnosed with microcephaly at birth and associated with CZS. Methods: A sectional study, using medical record data, between September 2015 and June 2016. Results: 82 cases of microcephaly were reported in maternity during this period. Of these, 32 cases were excluded because they did not fit the new microcephaly criteria according to the World Health Organization (WHO) and the Ministry of Health of Brazil. The mean maternal age was 25 years, varying from 13 and 43 years old; exanthema was the only symptom related to Zika virus infection and it was observed in 60% (27/45) of the pregnancies, which occurred predominantly during the first or the second trimester of pregnancy. Other mothers were asymptomatic. Related to the newborns, 62% (31/50) were female; 32% (16/50) were low weight; 2% (1/50) were premature. Neonatal brain ultrasound showed 70,4% (31/44) of the neonates with abnormal findings, mainly calcifications that occurred in 87% (27/31). 29 newborns were submitted to fundoscopy examinations and 38% (11/29) were abnormal. Conclusion: Despite the majority of pregnant women did not have classic symptoms of arboviruses and because of this the suspicion and confirmation of Zika viruses infection through serologies are difficult in clinical practice, it is important to understand clinical and epidemiological characteristics related to Zika viruses infection and the CZS to allow mapping where preventive measures should be directed and better investigated as well as to offer an adequate follow-up to the infected neonates according to their outcomes.
{"title":"Clinical and epidemiological profile of the mother–neonate binomy with microcefalia and suspected infection by zika viruses in the gestation: a sectional study","authors":"Manoel Alfredo Curvelo Sarno, Luciana Carla Belém dos Santos, Priscila Pinheiro Ribeiro Lyra, C. Mendes, P. R. Oliveira, Ana Cecília Travassos Santiago","doi":"10.15406/ogij.2020.11.00520","DOIUrl":"https://doi.org/10.15406/ogij.2020.11.00520","url":null,"abstract":"Introduction: The association between the increased incidence of microcephaly and the epidemic outbreak of Zika virus infection (ZIKV) in Brazil between 2015 and 2016 was observed by many authors. World Health Organization declared it as a public health emergency of international concern. Maternal infection with the Zika virus can be transmitted vertically and lead to Congenital Zika Syndrome (CZS) in infants. So that it is important to investigate the clinical-epidemiological profile of the mothers and their newborns. Aims: To characterize the clinical- epidemiological profile of pregnant women associated with presumed ZIKV in pregnancy and their newborns diagnosed with microcephaly at birth and associated with CZS. Methods: A sectional study, using medical record data, between September 2015 and June 2016. Results: 82 cases of microcephaly were reported in maternity during this period. Of these, 32 cases were excluded because they did not fit the new microcephaly criteria according to the World Health Organization (WHO) and the Ministry of Health of Brazil. The mean maternal age was 25 years, varying from 13 and 43 years old; exanthema was the only symptom related to Zika virus infection and it was observed in 60% (27/45) of the pregnancies, which occurred predominantly during the first or the second trimester of pregnancy. Other mothers were asymptomatic. Related to the newborns, 62% (31/50) were female; 32% (16/50) were low weight; 2% (1/50) were premature. Neonatal brain ultrasound showed 70,4% (31/44) of the neonates with abnormal findings, mainly calcifications that occurred in 87% (27/31). 29 newborns were submitted to fundoscopy examinations and 38% (11/29) were abnormal. Conclusion: Despite the majority of pregnant women did not have classic symptoms of arboviruses and because of this the suspicion and confirmation of Zika viruses infection through serologies are difficult in clinical practice, it is important to understand clinical and epidemiological characteristics related to Zika viruses infection and the CZS to allow mapping where preventive measures should be directed and better investigated as well as to offer an adequate follow-up to the infected neonates according to their outcomes.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81941946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-29DOI: 10.15406/ogij.2020.11.00519
Djabbarova Yulduz Kasimovna, Gafurov Jm, Ruzieva NKh
Stress urinary incontinence (SUI) occurs in 38-45% of women and with increasing age reaches 60%. In recent years, synthetic materials have been used for surgical correction. Purpose: Is to conduct a comparative evaluation of the effectiveness of urethropexy with prolene tape with anterior and posterior colpoperineolevatoroplasty in the correction of stress urinary incontinence. Materials and methods: The results of plastic surgery with a free synthetic loop made of Prolene - TVT-O for stress urinary incontinence in 54 patients are presented. The comparison group consisted of 30 patients who underwent typical front and rear colpoperineorrhaphy. Results: Normal urination function was restored 1 day after surgery. Blood loss, the course of the postoperative period, and the length of hospital stay were almost identical in both groups. There were no complications for 5 years (100%) in the main group. Сonclusion: Sling surgical correction is an effective and reliable method of treating stress incontinence in women.
{"title":"Our experience of sling operative correction of stress incontinent in women of Uzbekistan","authors":"Djabbarova Yulduz Kasimovna, Gafurov Jm, Ruzieva NKh","doi":"10.15406/ogij.2020.11.00519","DOIUrl":"https://doi.org/10.15406/ogij.2020.11.00519","url":null,"abstract":"Stress urinary incontinence (SUI) occurs in 38-45% of women and with increasing age reaches 60%. In recent years, synthetic materials have been used for surgical correction. Purpose: Is to conduct a comparative evaluation of the effectiveness of urethropexy with prolene tape with anterior and posterior colpoperineolevatoroplasty in the correction of stress urinary incontinence. Materials and methods: The results of plastic surgery with a free synthetic loop made of Prolene - TVT-O for stress urinary incontinence in 54 patients are presented. The comparison group consisted of 30 patients who underwent typical front and rear colpoperineorrhaphy. Results: Normal urination function was restored 1 day after surgery. Blood loss, the course of the postoperative period, and the length of hospital stay were almost identical in both groups. There were no complications for 5 years (100%) in the main group. Сonclusion: Sling surgical correction is an effective and reliable method of treating stress incontinence in women.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79144762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-27DOI: 10.15406/ogij.2020.11.00517
S. Manso, García García E, Gobernado Tejedor J, Viruega Cuaresma D, Badillo Bercebal CE, González Martín JI
Introduction and hypothesis: Stress urinary incontinence (SUI) affects 5-35% of women, especially at menopause. In severe cases or when conservative treatment fails, a tensión-free suburethral band is indicated. Similar short-medium term cure rates have been reported with mini-sling (SIS) compared to retropubic and transobturator band. But the long-term information is scarce and it seems that the risk of recurrence is not negligible (4-37%). There is little literatura that studies the posible predisposing factors for the recurrence of SUI after SIS. The objective is to identify factors associated with the risk of relapse of SUI at 5 years, after SIS. Methods: A prospective five-years follow-up observational study (2015-2019) was performed in women who underwent SUI using SIS. The sample was 115 patients with relapse of SUI. Statistics: T-Student or U-Mann and ROC for quantitative variables, Chi-Squared and OR for qualitative variables. Results: L25 patients (21.74%) had recurrence during the study period. Of all the variables analyzed, they only showed a significant association with the recurrence of SUI: height, weigth and BMI, a history of fetal macrosomia and the number of compresses used. The patients who presented recurrence of SUI had a lower heigth, greater weight, and therefore a higher BMI. The obstetrics history of a vaginal delivery with a fetus >4 kg, was associated with a higher risk of recurrence (OR: 4.05, IC 95%=1.09-15.03), and the use of a greater number of compresses was also associated with an increased risk of relapse, obtaining an area under the curve of 0.659. Conclusion: The 5-year recurrence rateo f SUI after mini-sling in our setting was 21.74%. A lower height, a greater weight and BMI, macrosomic delivery and greater number of purses have shown a significant association with the risk of relapse of SUI after mini-sling at 5 years. Therefore, it is essential to adecuately advise patients according to their personal factors of the potencial risk of recurrence after SIS.
简介和假设:压力性尿失禁(SUI)影响5-35%的女性，尤其是绝经期女性。在严重的情况下或保守治疗失败时，需要tensión-free肱下束带。据报道，与耻骨后和经闭锁带相比，迷你吊带(SIS)的中短期治愈率相似。但长期资料缺乏，似乎复发的风险不容忽视(4-37%)。关于SIS术后SUI复发的可能易感因素的研究文献很少。目的是确定与SIS术后5年SUI复发风险相关的因素。方法:对使用SIS治疗SUI的女性进行了一项为期5年的前瞻性随访观察性研究(2015-2019)。样本为115例SUI复发患者。统计学:定量变量为T-Student或U-Mann和ROC，定性变量为Chi-Squared和or。结果:25例(21.74%)患者在研究期间复发。在分析的所有变量中，只有身高、体重和BMI、胎儿巨大症史和使用的按压次数与SUI复发有显著关联。出现SUI复发的患者身高较低，体重较大，因此BMI较高。产科学史阴道分娩的胎儿bbb4kg与较高的复发风险相关(OR: 4.05, IC 95%=1.09-15.03)，使用较多的按压次数也与复发风险增加相关，曲线下面积为0.659。结论:微创吊索术后SUI 5年复发率为21.74%。较低的身高，较大的体重和BMI，巨大的分娩和较多的钱包数量与迷你吊带术后5年SUI复发的风险有显著的关联。因此，有必要根据患者的个人因素，对SIS术后复发的潜在风险进行充分的提示。
{"title":"Risk factors of recurrence of stress urinary incontinence after single-incision sling at 5 years","authors":"S. Manso, García García E, Gobernado Tejedor J, Viruega Cuaresma D, Badillo Bercebal CE, González Martín JI","doi":"10.15406/ogij.2020.11.00517","DOIUrl":"https://doi.org/10.15406/ogij.2020.11.00517","url":null,"abstract":"Introduction and hypothesis: Stress urinary incontinence (SUI) affects 5-35% of women, especially at menopause. In severe cases or when conservative treatment fails, a tensión-free suburethral band is indicated. Similar short-medium term cure rates have been reported with mini-sling (SIS) compared to retropubic and transobturator band. But the long-term information is scarce and it seems that the risk of recurrence is not negligible (4-37%). There is little literatura that studies the posible predisposing factors for the recurrence of SUI after SIS. The objective is to identify factors associated with the risk of relapse of SUI at 5 years, after SIS. Methods: A prospective five-years follow-up observational study (2015-2019) was performed in women who underwent SUI using SIS. The sample was 115 patients with relapse of SUI. Statistics: T-Student or U-Mann and ROC for quantitative variables, Chi-Squared and OR for qualitative variables. Results: L25 patients (21.74%) had recurrence during the study period. Of all the variables analyzed, they only showed a significant association with the recurrence of SUI: height, weigth and BMI, a history of fetal macrosomia and the number of compresses used. The patients who presented recurrence of SUI had a lower heigth, greater weight, and therefore a higher BMI. The obstetrics history of a vaginal delivery with a fetus >4 kg, was associated with a higher risk of recurrence (OR: 4.05, IC 95%=1.09-15.03), and the use of a greater number of compresses was also associated with an increased risk of relapse, obtaining an area under the curve of 0.659. Conclusion: The 5-year recurrence rateo f SUI after mini-sling in our setting was 21.74%. A lower height, a greater weight and BMI, macrosomic delivery and greater number of purses have shown a significant association with the risk of relapse of SUI after mini-sling at 5 years. Therefore, it is essential to adecuately advise patients according to their personal factors of the potencial risk of recurrence after SIS.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81248622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-27DOI: 10.15406/ogij.2020.11.00518
A. Rashwan
Background: The (HELLP) syndrome is a severe health hazard in pregnancy described by elevated liver enzymes, low platelet count and hemolysis. It happens in 0.4 to 0.7% of all gestations and in 10-12% of cases with severe preeclampsia. Patients and methods: The present study was a prospective observational study that was made at Department of Obstetrics and Gynecology, Kasr Al-Ainy University Hospital, Cairo University, from September 2018 – March 2019. It included One Hundred and Thirty pregnant women diagnosed with hypertension in the current pregnancy complicated with severe preeclampsia, or HELLP Syndrome associated with abdominal ascites, recruited from the attendees of the Obstetric Emergency Department. The study was approved by the local institutional review board of the Faculty of Medicine, Cairo University. All ladies signed an informed consent. Results: There were statistically significant differences between the HELLP group and the severe preeclamptic group regarding maternal ICU admission and the need of multiple drugs to control the blood pressure being less in severe preeclampsia group. The need for ICU admission was much higher in the HELLP group (43.1%) compared to the severe preeclampsia group (9.2%) showing statistical significance (P<0.001). Conclusion: Maternal and neonatal sicknesses are elevated between cases with HELLP syndrome. So, early diagnosis and definitive treatment can be made to enhance maternal and neonatal results.
{"title":"Maternal and neonatal consequences in women with severe preeclampsia and patients with HELLP syndrome: a comparative study","authors":"A. Rashwan","doi":"10.15406/ogij.2020.11.00518","DOIUrl":"https://doi.org/10.15406/ogij.2020.11.00518","url":null,"abstract":"Background: The (HELLP) syndrome is a severe health hazard in pregnancy described by elevated liver enzymes, low platelet count and hemolysis. It happens in 0.4 to 0.7% of all gestations and in 10-12% of cases with severe preeclampsia. Patients and methods: The present study was a prospective observational study that was made at Department of Obstetrics and Gynecology, Kasr Al-Ainy University Hospital, Cairo University, from September 2018 – March 2019. It included One Hundred and Thirty pregnant women diagnosed with hypertension in the current pregnancy complicated with severe preeclampsia, or HELLP Syndrome associated with abdominal ascites, recruited from the attendees of the Obstetric Emergency Department. The study was approved by the local institutional review board of the Faculty of Medicine, Cairo University. All ladies signed an informed consent. Results: There were statistically significant differences between the HELLP group and the severe preeclamptic group regarding maternal ICU admission and the need of multiple drugs to control the blood pressure being less in severe preeclampsia group. The need for ICU admission was much higher in the HELLP group (43.1%) compared to the severe preeclampsia group (9.2%) showing statistical significance (P<0.001). Conclusion: Maternal and neonatal sicknesses are elevated between cases with HELLP syndrome. So, early diagnosis and definitive treatment can be made to enhance maternal and neonatal results.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74315205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-22DOI: 10.15406/ogij.2020.11.00516
C. Mbadugha, Adaobi Obiekwu, C. J. Okafor, N. Omotola, Nonye Ann Chukwujama
Home birth when unplanned and in the absence of a skilled attendant has been associated with adverse infant and maternal outcome. Sometimes, women give birth in a familiar place with family members or other trusted companions who may not have the necessary skill to conduct deliveries. In developing countries like Nigeria, conditions are not safe enough to encourage women especially those living in rural and remote areas to deliver at home. The purpose of the study was to assess mother’s attitude, perceived reasons and consequences of home births in Ugwuogo Nike, Enugu state. This community based study adopted a cross-sectional descriptive survey design. Purposive sampling technique was used to draw 208 respondents from a population of women of reproductive age (15 -49) in Ugwuogo Nike. Data were collected using a structured questionnaire developed by the researchers. Data generated were statistically analyzed using descriptive statistics. The study findings revealed home birth prevalence of 25.5% with one-third (73.5%) being unplanned. Majority of the mothers had negative attitude (2.42) towards home birth. The major reasons women deliver at home were precipitate labor (3.34), familiar environment (3.08) and previous successful home births (3.04). The most common consequences of home births reported by respondents were uncontrollable bleeding-85.2% (for the mother) and delayed response after birth–86.5% (for the baby). In conclusion, attitude towards home birth in the community was largely negative although the incidence was high. Precipitate labour, familiar environment and previous home births were the major identifiable reasons for home births. It is thus recommended that mothers be educated on early signs of labor; need to report immediately to the health facility, risks associated with home births and, importance of a skilled birth attendant. This will help reduce the incidence and fatalities associated with home births.
{"title":"A community based survey on home birth: mothers’ attitude, reasons and perceived consequences","authors":"C. Mbadugha, Adaobi Obiekwu, C. J. Okafor, N. Omotola, Nonye Ann Chukwujama","doi":"10.15406/ogij.2020.11.00516","DOIUrl":"https://doi.org/10.15406/ogij.2020.11.00516","url":null,"abstract":"Home birth when unplanned and in the absence of a skilled attendant has been associated with adverse infant and maternal outcome. Sometimes, women give birth in a familiar place with family members or other trusted companions who may not have the necessary skill to conduct deliveries. In developing countries like Nigeria, conditions are not safe enough to encourage women especially those living in rural and remote areas to deliver at home. The purpose of the study was to assess mother’s attitude, perceived reasons and consequences of home births in Ugwuogo Nike, Enugu state. This community based study adopted a cross-sectional descriptive survey design. Purposive sampling technique was used to draw 208 respondents from a population of women of reproductive age (15 -49) in Ugwuogo Nike. Data were collected using a structured questionnaire developed by the researchers. Data generated were statistically analyzed using descriptive statistics. The study findings revealed home birth prevalence of 25.5% with one-third (73.5%) being unplanned. Majority of the mothers had negative attitude (2.42) towards home birth. The major reasons women deliver at home were precipitate labor (3.34), familiar environment (3.08) and previous successful home births (3.04). The most common consequences of home births reported by respondents were uncontrollable bleeding-85.2% (for the mother) and delayed response after birth–86.5% (for the baby). In conclusion, attitude towards home birth in the community was largely negative although the incidence was high. Precipitate labour, familiar environment and previous home births were the major identifiable reasons for home births. It is thus recommended that mothers be educated on early signs of labor; need to report immediately to the health facility, risks associated with home births and, importance of a skilled birth attendant. This will help reduce the incidence and fatalities associated with home births.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83998164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-22DOI: 10.15406/ogij.2020.11.00515
Javier de la Torre Fernández de Vega, J. Sánchez-Iglesias, Assumpt Perez-Benavente, A. Gil-Moreno, Rasheda Begum Dina, M. Uddin, U. Fatema
Epithelial ovarian cancer presents different histological subtypes, mainly serous, mucinous, endometriod, clear cell, mixed and undifferentiated cell. Molecular genetic studies have led to a new paradigm based on a dualistic model of ovarian carcinogenesis. There is a causal association between endometriosis and specific types of ovarian carcinomas, but the magnitude of the risk is low and endometriosis is not considered a premalignant lesion. Among the endometriosis-associated ovarian tumors adenocarcinoma is the most common (Endometrioid and clear cell) (70%), sarcoma is the second most common malignancy (12%) and rare cell types 6%. The gynecologist should pay special attention to identify patients with endometriosis who may be at an increased risk for ovarian cancer.
{"title":"Endometriosis and ovarian cancer risk","authors":"Javier de la Torre Fernández de Vega, J. Sánchez-Iglesias, Assumpt Perez-Benavente, A. Gil-Moreno, Rasheda Begum Dina, M. Uddin, U. Fatema","doi":"10.15406/ogij.2020.11.00515","DOIUrl":"https://doi.org/10.15406/ogij.2020.11.00515","url":null,"abstract":"Epithelial ovarian cancer presents different histological subtypes, mainly serous, mucinous, endometriod, clear cell, mixed and undifferentiated cell. Molecular genetic studies have led to a new paradigm based on a dualistic model of ovarian carcinogenesis. There is a causal association between endometriosis and specific types of ovarian carcinomas, but the magnitude of the risk is low and endometriosis is not considered a premalignant lesion. Among the endometriosis-associated ovarian tumors adenocarcinoma is the most common (Endometrioid and clear cell) (70%), sarcoma is the second most common malignancy (12%) and rare cell types 6%. The gynecologist should pay special attention to identify patients with endometriosis who may be at an increased risk for ovarian cancer.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"111 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80578537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-20DOI: 10.15406/OGIJ.2020.11.00513
A. E. Atılgan, Şükriye Leyla Altuntaş
Objective: Restorative procedures are essential for sexually active vaginal vault prolapse (VVP) cases. There are concerns about the long learning curve and major complications of sacrocolpopexy. Laparoscopic lateral suspension has a relatively short learning curve and no reported major complications. However, there are concerns about the use of mesh in prolapse surgeries and limited data is available about mesh complications with laparoscopic lateral suspension. This study aimed to establish the mesh-related complications after laparoscopic lateral suspension. Study Design: We carried out a retrospective analysis of patients who underwent laparoscopic lateral suspension for symptomatic VVP at three tertiary hospitals. Cases were identified from theatre records with coding data and the universities database. Demographic features, concomitant procedures, duration of surgery, intra-operative complications, hospital stay, change in pelvic organ prolapse quantification point C, Patient Global Impression of Improvement scale records, mesh-related complications and their management are presented. Results: A total of 120 patients underwent laparoscopic lateral suspension for symptomatic vault prolapse between 2014-2019. In total, mesh complications developed in 3 women (2.5%). While two vaginal mesh exposures were successfully managed with topical estrogen, one required surgical excision. One lateral mesh arm was loosened from the skin causing pain and itching. From 110 Patient Global Impression of Improvement scores, 106 women (96%) described their prolapse as ‘very much’ or ‘much’ better, 4 patients (3.6 %) reported ‘no change’ and no one reported worsening of symptoms. Conclusions: This series suggests that laparoscopic lateral suspension has low risk of mesh-related complications. It is a safe and effective procedure for symptomatic vault prolapse with high rates of patient satisfaction.
{"title":"Mesh-related complications of laparoscopic lateral suspension","authors":"A. E. Atılgan, Şükriye Leyla Altuntaş","doi":"10.15406/OGIJ.2020.11.00513","DOIUrl":"https://doi.org/10.15406/OGIJ.2020.11.00513","url":null,"abstract":"Objective: Restorative procedures are essential for sexually active vaginal vault prolapse (VVP) cases. There are concerns about the long learning curve and major complications of sacrocolpopexy. Laparoscopic lateral suspension has a relatively short learning curve and no reported major complications. However, there are concerns about the use of mesh in prolapse surgeries and limited data is available about mesh complications with laparoscopic lateral suspension. This study aimed to establish the mesh-related complications after laparoscopic lateral suspension. Study Design: We carried out a retrospective analysis of patients who underwent laparoscopic lateral suspension for symptomatic VVP at three tertiary hospitals. Cases were identified from theatre records with coding data and the universities database. Demographic features, concomitant procedures, duration of surgery, intra-operative complications, hospital stay, change in pelvic organ prolapse quantification point C, Patient Global Impression of Improvement scale records, mesh-related complications and their management are presented. Results: A total of 120 patients underwent laparoscopic lateral suspension for symptomatic vault prolapse between 2014-2019. In total, mesh complications developed in 3 women (2.5%). While two vaginal mesh exposures were successfully managed with topical estrogen, one required surgical excision. One lateral mesh arm was loosened from the skin causing pain and itching. From 110 Patient Global Impression of Improvement scores, 106 women (96%) described their prolapse as ‘very much’ or ‘much’ better, 4 patients (3.6 %) reported ‘no change’ and no one reported worsening of symptoms. Conclusions: This series suggests that laparoscopic lateral suspension has low risk of mesh-related complications. It is a safe and effective procedure for symptomatic vault prolapse with high rates of patient satisfaction.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84687322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-20DOI: 10.15406/OGIJ.2020.11.00514
Jorge Duro Gómez, Marta Porras Lucena, Vendrell Aranda Celia María
Objectives: To compare the effectiveness (hours until delivery) and safety (rate of vaginal deliveries and caesarean sections, use of oxytocin and perinatal outcomes) of dinoprostone and Cook's balloon as a method of labor induction in pregnant women with fetuses with an estimated weight below the 10th percentile and normal Doppler. Methods: retrospective cohort review of pregnant women with small for gestational age fetuses and induced with both methods in Reina Sofía Hospital, Cordoba, Spain from 2014 to 2018. The main outcome was time until delivery. Descriptive characteristics, obstetric and perinatal outcomes were analyzed. 322 pregnant women were induced: 204 women were induced with Cook's balloon (CB) and 118 with dinoprostone (DIN). RESULTS: Dinoprostone decreases the time until delivery (28.86 vs. 24.32 hours with CB and DIN, respectively, p<0.0001) and the use of oxytocin (79.7% vs 54.2% in CB and DIN group; p<0,01), as compared to Cook's balloon. No differences were observed in the rate of caesarean sections and vaginal deliveries, as well as in perinatal results. Conclusion: DIN reduces the time to delivery compared to CB with a lower need for oxytocin. Moreover, without worse perinatal outcomes.
{"title":"Effectiveness and safety of dinoprostona and cook’s balloon for labour induction in pregnants with small for gestational age fetuses","authors":"Jorge Duro Gómez, Marta Porras Lucena, Vendrell Aranda Celia María","doi":"10.15406/OGIJ.2020.11.00514","DOIUrl":"https://doi.org/10.15406/OGIJ.2020.11.00514","url":null,"abstract":"Objectives: To compare the effectiveness (hours until delivery) and safety (rate of vaginal deliveries and caesarean sections, use of oxytocin and perinatal outcomes) of dinoprostone and Cook's balloon as a method of labor induction in pregnant women with fetuses with an estimated weight below the 10th percentile and normal Doppler. Methods: retrospective cohort review of pregnant women with small for gestational age fetuses and induced with both methods in Reina Sofía Hospital, Cordoba, Spain from 2014 to 2018. The main outcome was time until delivery. Descriptive characteristics, obstetric and perinatal outcomes were analyzed. 322 pregnant women were induced: 204 women were induced with Cook's balloon (CB) and 118 with dinoprostone (DIN). RESULTS: Dinoprostone decreases the time until delivery (28.86 vs. 24.32 hours with CB and DIN, respectively, p<0.0001) and the use of oxytocin (79.7% vs 54.2% in CB and DIN group; p<0,01), as compared to Cook's balloon. No differences were observed in the rate of caesarean sections and vaginal deliveries, as well as in perinatal results. Conclusion: DIN reduces the time to delivery compared to CB with a lower need for oxytocin. Moreover, without worse perinatal outcomes.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79066005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-20DOI: 10.15406/OGIJ.2020.11.00512
Yanet fermin Aldama, C. Rodriguez, F. González
Ectopic pregnancy represents around 1% of all pregnancies, it is considered an entity of difficult conservative management, in patients who wish to preserve fertility, in the context of hospitals, which cannot offer approaches with minimal invasion such as hysteroscopy, without However, conservative treatment with cervical balloon placement, clamping of the uterine arteries with the ZEA technique, and doses of methotrotexate have been documented. Cases with meted handling.
{"title":"Cervical ectopic pregnancy, conservative management, report of two cases and review of the bibliography","authors":"Yanet fermin Aldama, C. Rodriguez, F. González","doi":"10.15406/OGIJ.2020.11.00512","DOIUrl":"https://doi.org/10.15406/OGIJ.2020.11.00512","url":null,"abstract":"Ectopic pregnancy represents around 1% of all pregnancies, it is considered an entity of difficult conservative management, in patients who wish to preserve fertility, in the context of hospitals, which cannot offer approaches with minimal invasion such as hysteroscopy, without However, conservative treatment with cervical balloon placement, clamping of the uterine arteries with the ZEA technique, and doses of methotrotexate have been documented. Cases with meted handling.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77959323","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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