Pub Date : 2020-04-29DOI: 10.4172/2325-9795.1000350
Sonika
Female safety and their reproductive health at workplace has been a great challenge for organizations all over the world. Addressing pregnancy-related health issues in the workplace is important in order to formulate appropriate strategies to promote and protect maternal and infant health. As there has been a lot of study and surveys about occupational reproductive hazards but a large number of possible risks still require further analysis and some need modifications. This review will mainly focus on the ill effects of various factors on the pregnant women at workplace.
{"title":"Women Reproductive Health and Occupational Safety: A Literature Review","authors":"Sonika","doi":"10.4172/2325-9795.1000350","DOIUrl":"https://doi.org/10.4172/2325-9795.1000350","url":null,"abstract":"Female safety and their reproductive health at workplace has been a great challenge for organizations all over the world. Addressing pregnancy-related health issues in the workplace is important in order to formulate appropriate strategies to promote and protect maternal and infant health. As there has been a lot of study and surveys about occupational reproductive hazards but a large number of possible risks still require further analysis and some need modifications. This review will mainly focus on the ill effects of various factors on the pregnant women at workplace.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122620992","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 : 2020-04-29DOI: 10.4172/2325-9795.1000349
Sayako Tada, Yumi Ito, N. Nagai, K. Nakamura, Kiriko Nohara, T. Sagawa
Study Background: Recently, studies have indicated that HPV self-sampling is an effective tool, though they do not state the reasons why young women do not take the test. Our study is to determine the awareness of young women who want or do not want to use HPV self-sampling and discuss the issues for increasing the use of the test. Methods: We conducted two mailing surveys between July 1, 2018, and September 30, 2018, in city A. City A conducted the self-sampling trial with us. Our research target group had 101 women who returned filled questionnaires out of 837 aged 25 to 29 who had not undergone cervical cancer screening the previous year. In Questionnaire 1, there were questions regarding whether or not women wanted the self-sampling and the reasons why. In Questionnaire 2 was for women’s willingness to use the kits. Results: Only 9.8% of young women wanted to use self-sampling. In Questionnaire 1 stated “free self-sampling supported from the city”, “I can do it in my own time”, and “I have never received HPV vaccine” as the characteristic reasons for wanted; “I have no symptom”, and “I am anxious about doing the test by myself” for not wanted. In Questionnaire 2, many women who performed selfsampling felt positive. Awareness of self-sampling was low overall. Conclusion: We clarified that young women who did not want to use self-sampling tended to have anxiety toward the diagnosis accuracy of self-sampling. Some reasons for determining this were the lack of general knowledge on cervical cancer screening and low awareness of self-sampling. Therefore, we propose that national and local governments should aid in introducing a peer support program or free self-sampling systems, to encourage more young women to take cervical cancer screening or self-sampling tests without any hesitation.
{"title":"Awareness of Young Women on HPV Self-Sampling Trial using Opt-in Method","authors":"Sayako Tada, Yumi Ito, N. Nagai, K. Nakamura, Kiriko Nohara, T. Sagawa","doi":"10.4172/2325-9795.1000349","DOIUrl":"https://doi.org/10.4172/2325-9795.1000349","url":null,"abstract":"Study Background: Recently, studies have indicated that HPV self-sampling is an effective tool, though they do not state the reasons why young women do not take the test. Our study is to determine the awareness of young women who want or do not want to use HPV self-sampling and discuss the issues for increasing the use of the test. \u0000 \u0000Methods: We conducted two mailing surveys between July 1, 2018, and September 30, 2018, in city A. City A conducted the self-sampling trial with us. Our research target group had 101 women who returned filled questionnaires out of 837 aged 25 to 29 who had not undergone cervical cancer screening the previous year. In Questionnaire 1, there were questions regarding whether or not women wanted the self-sampling and the reasons why. In Questionnaire 2 was for women’s willingness to use the kits. \u0000 \u0000Results: Only 9.8% of young women wanted to use self-sampling. In Questionnaire 1 stated “free self-sampling supported from the city”, “I can do it in my own time”, and “I have never received HPV vaccine” as the characteristic reasons for wanted; “I have no symptom”, and “I am anxious about doing the test by myself” for not wanted. In Questionnaire 2, many women who performed selfsampling felt positive. Awareness of self-sampling was low overall. \u0000 \u0000Conclusion: We clarified that young women who did not want to use self-sampling tended to have anxiety toward the diagnosis accuracy of self-sampling. Some reasons for determining this were the lack of general knowledge on cervical cancer screening and low awareness of self-sampling. Therefore, we propose that national and local governments should aid in introducing a peer support program or free self-sampling systems, to encourage more young women to take cervical cancer screening or self-sampling tests without any hesitation.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132129832","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}
Aim: For Japanese women, weight is an important issue since obesity and anorexia are increasing. Therefore, for establishing a dietary education program, we need to grasp the current situation to analyze dietary intake, body mass index, and complaints among young females. Methods: The survey included 439 female university students in Tokyo, Japan, who provided informed consent. The population included 423 students (mean age: 19.6 ± 1.4); 16 students did not complete a survey. The subjects were asked to complete a dietary intake questionnaire (i.e., food frequency questionnaire with 82-food items) and self-completed lifestyle questionnaires. The Sagami Women’s University Ethics Committee approved this study. Results: A total of 423 women were recruited with an average body mass index ± standard deviation of 20.7 ± 2.4. The distributions of the body mass index <18.5, 18.5 ≤ body mass index ≧ 19.9, and body mass index ≥ 25.0 were 15.6%, 26.6%, and 5.0%, respectively. The average number of complaints was 2.8 per subject. In the mentally alert group, consumption of calcium, potassium, magnesium, and dietary fiber at breakfast (p<0.01), energy intake at breakfast, iron intake at dinner, as well as consumption of potassium, calcium, and magnesium during the day (p<0.05) were significant. Conclusion: This cross-sectional study highlighted a population at risk of health impairment due to deficiencies in the body mass index, energy intake, and nutrient intake. The results also indicated the association between breakfast intake and complaints.
{"title":"Association between Lower Food Consumption and Body Mass Index in Young Japanese Women","authors":"Arashi Masako, Yokotsuka Masako, Iwai Satoru, Watanabe Mariko","doi":"10.4172/2325-9795.1000346","DOIUrl":"https://doi.org/10.4172/2325-9795.1000346","url":null,"abstract":"Aim: For Japanese women, weight is an important issue since obesity and anorexia are increasing. Therefore, for establishing a dietary education program, we need to grasp the current situation to analyze dietary intake, body mass index, and complaints among young females. \u0000 \u0000Methods: The survey included 439 female university students in Tokyo, Japan, who provided informed consent. The population included 423 students (mean age: 19.6 ± 1.4); 16 students did not complete a survey. The subjects were asked to complete a dietary intake questionnaire (i.e., food frequency questionnaire with 82-food items) and self-completed lifestyle questionnaires. The Sagami Women’s University Ethics Committee approved this study. \u0000 \u0000Results: A total of 423 women were recruited with an average body mass index ± standard deviation of 20.7 ± 2.4. The distributions of the body mass index <18.5, 18.5 ≤ body mass index ≧ 19.9, and body mass index ≥ 25.0 were 15.6%, 26.6%, and 5.0%, respectively. The average number of complaints was 2.8 per subject. In the mentally alert group, consumption of calcium, potassium, magnesium, and dietary fiber at breakfast (p<0.01), energy intake at breakfast, iron intake at dinner, as well as consumption of potassium, calcium, and magnesium during the day (p<0.05) were significant. \u0000 \u0000Conclusion: This cross-sectional study highlighted a population at risk of health impairment due to deficiencies in the body mass index, energy intake, and nutrient intake. The results also indicated the association between breakfast intake and complaints.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"211 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123580529","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}
Lihua Zhang, T. Zhen, Qinyou Meng, Shimin Yang, Jiaxue Pan, Guoqun Wang, Zhongliang Li
Background: Although a large number of studies have shown that maternal mortality in rural areas is higher than that in urban areas, few reports discussed about the detailed situation and the behind causes. Here, we summarized the maternal mortality from 1995 to 2018 in Jinan and the reason behind it was deeply discussed. It is expected to reveal the difference and its behind reasons, thus providing a basis for policy makers to develop interventions. Methods: Data about maternal mortality in the selected city from 1995 to 2018 were collected through the local maternal and child health care network. Maternal death age, maternal death delivery location, maternal death location, number of pregnancies, number of deliveries and maternal death causes were analyzed. The composition ratio of above factors were compared in order to indicate the differences between rural areas and urban areas.Results: The study showed that 75.34% of maternal deaths in urban areas occurred in tertiary hospitals, which were 2.13 times higher than that in rural areas(P<0.05). 16.67% of maternal deaths in rural areas delivered in primary hospitals, which were 12.17 times higher than that in urban areas (P<0.05) . The main cause of death in rural areas were attributed to direct obstetrics reasons, which were indirect obstetric reasons for urban areas (P<0.05). There was no difference of maternal deaths in the death age, number of births, and number of pregnancies between rural areas and urban areas.(P>0.05)Conclusion: Policy makers should focus on the construction of medical institutions in rural areas, the improvement of rescue capabilities in rural areas and the convenience of transport in rural areas in order to narrow the gap between rural and urban areas.Key words: Maternal Mortality; Differences between urban and rural areas; China
{"title":"Differences in maternal mortality between urban and rural areas: Analysis of Maternal Mortality based in Jinan, China in 1995- 2018","authors":"Lihua Zhang, T. Zhen, Qinyou Meng, Shimin Yang, Jiaxue Pan, Guoqun Wang, Zhongliang Li","doi":"10.21203/rs.2.17817/v1","DOIUrl":"https://doi.org/10.21203/rs.2.17817/v1","url":null,"abstract":"\u0000 Background: Although a large number of studies have shown that maternal mortality in rural areas is higher than that in urban areas, few reports discussed about the detailed situation and the behind causes. Here, we summarized the maternal mortality from 1995 to 2018 in Jinan and the reason behind it was deeply discussed. It is expected to reveal the difference and its behind reasons, thus providing a basis for policy makers to develop interventions.\u0000 Methods: Data about maternal mortality in the selected city from 1995 to 2018 were collected through the local maternal and child health care network. Maternal death age, maternal death delivery location, maternal death location, number of pregnancies, number of deliveries and maternal death causes were analyzed. The composition ratio of above factors were compared in order to indicate the differences between rural areas and urban areas.\u0000Results: The study showed that 75.34% of maternal deaths in urban areas occurred in tertiary hospitals, which were 2.13 times higher than that in rural areas(P<0.05). 16.67% of maternal deaths in rural areas delivered in primary hospitals, which were 12.17 times higher than that in urban areas (P<0.05) . The main cause of death in rural areas were attributed to direct obstetrics reasons, which were indirect obstetric reasons for urban areas (P<0.05). There was no difference of maternal deaths in the death age, number of births, and number of pregnancies between rural areas and urban areas.(P>0.05)\u0000Conclusion: Policy makers should focus on the construction of medical institutions in rural areas, the improvement of rescue capabilities in rural areas and the convenience of transport in rural areas in order to narrow the gap between rural and urban areas.\u0000Key words: Maternal Mortality; Differences between urban and rural areas; China","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128137332","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 : 2019-09-13DOI: 10.4172/2325-9795.1000328
T. Tamire, W. Ashebir
1. Abstract 1.1. Introduction Globally, more than half million women die every year as a result of complications of pregnancy and childbirth. Providing compassionate and respectful maternity care services to laboring mothers is one of the most important interventions to ensure survival of women. However, compassionate and respectful maternity care has received less attention both in practice and research. Therefore, the main objective of this study was to assess prevalence of disrespect or abuse during facility based maternity care and associated factors among women who give birth in the last 12 month in Fagetalekoma woreda, 2018. 1.2. Method A community based cross-sectional study was conducted to collect data from 374 women who give birth in the last 12 month from February 1, 2018 to 30 March 2018 in Fageta lekoma woreda in each cluster households. Simple random sampling method was used to recruit study participants. Data were collected by face-to-face interview using semi structured questionnaire. The data was entered, cleaned and edited using EPI data and exported to SPSS version for analysis. Both bivariate and multiple logistic regression were fitted and odds ratio and 95% CI were computed to identify associated factors and p-value of <0.05 was considered as statistical significant. 1.3. Result Overall prevalence of disrespect or abuse was 84.4%. The level of some specific types of disrespected and abused were non-consented care 266 (72.9%), non-confidential care 240(65.8%) and followed by physical abuse 230(63%). Age of women (AOR=2.23, (1.07, 4.66), sex of maternal care giver (AOR=2.08, (1.06, 4.08), and women know profession of care giver during antenatal care (AOR=0.50, (0.25, 0.10) were significantly associated factors. 1.4. Conclusion The prevalence of disrespected or abused during maternal care service in health institution is very high which needs urgent intervention. Fageta lekoma woreda and Awi zone health department even regional health bureau dealing with maternal health service during labour and delivery better to take immediately action on programs to lower the unacceptably high prevalence of disrespect or abuse during maternity care.
{"title":"Disrespect or Abuse During Facility Based Maternity Care and Associated Factors among Women who Give Birth for the Last 12 Months in Fagetalekoma Woreda, North Western Ethiopia,2018","authors":"T. Tamire, W. Ashebir","doi":"10.4172/2325-9795.1000328","DOIUrl":"https://doi.org/10.4172/2325-9795.1000328","url":null,"abstract":"1. Abstract 1.1. Introduction Globally, more than half million women die every year as a result of complications of pregnancy and childbirth. Providing compassionate and respectful maternity care services to laboring mothers is one of the most important interventions to ensure survival of women. However, compassionate and respectful maternity care has received less attention both in practice and research. Therefore, the main objective of this study was to assess prevalence of disrespect or abuse during facility based maternity care and associated factors among women who give birth in the last 12 month in Fagetalekoma woreda, 2018. 1.2. Method A community based cross-sectional study was conducted to collect data from 374 women who give birth in the last 12 month from February 1, 2018 to 30 March 2018 in Fageta lekoma woreda in each cluster households. Simple random sampling method was used to recruit study participants. Data were collected by face-to-face interview using semi structured questionnaire. The data was entered, cleaned and edited using EPI data and exported to SPSS version for analysis. Both bivariate and multiple logistic regression were fitted and odds ratio and 95% CI were computed to identify associated factors and p-value of <0.05 was considered as statistical significant. 1.3. Result Overall prevalence of disrespect or abuse was 84.4%. The level of some specific types of disrespected and abused were non-consented care 266 (72.9%), non-confidential care 240(65.8%) and followed by physical abuse 230(63%). Age of women (AOR=2.23, (1.07, 4.66), sex of maternal care giver (AOR=2.08, (1.06, 4.08), and women know profession of care giver during antenatal care (AOR=0.50, (0.25, 0.10) were significantly associated factors. 1.4. Conclusion The prevalence of disrespected or abused during maternal care service in health institution is very high which needs urgent intervention. Fageta lekoma woreda and Awi zone health department even regional health bureau dealing with maternal health service during labour and delivery better to take immediately action on programs to lower the unacceptably high prevalence of disrespect or abuse during maternity care.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"42 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125115143","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 : 2019-05-28DOI: 10.4172/2325-9795.1000327
Prema Ns, Pushpalatha Mp
Diabetes is the common chronic disease and a major health challenge in all population. Gestational diabetes mellitus (GDM) is a type of diabetes developed in women at the time of pregnancy. We present a Data mining (DM) approach to identify the risk factors of Gestational diabetes mellitus (GDM) using different data mining techniques. Dataset used for analysis contains the details of the pregnant women admitted the local hospital of Mysuru, India. The data mining techniques used are k-means clustering, J48 Decision Tree, Random-Forest and Naive-Bayes classifier. Classification accuracy is enhanced by using feature subset selection wrapper approach. Data imbalanced problem is handled by using Synthetic Minority Over-sampling Technique (SMOTE). The performances of the algorithms have been measured and compared in terms of Accuracy.
{"title":"Analysis of Risk Factors of Gestational Diabetes Mellitus (GDM) Using Data Mining","authors":"Prema Ns, Pushpalatha Mp","doi":"10.4172/2325-9795.1000327","DOIUrl":"https://doi.org/10.4172/2325-9795.1000327","url":null,"abstract":"Diabetes is the common chronic disease and a major health challenge in all population. Gestational diabetes mellitus (GDM) is a type of diabetes developed in women at the time of pregnancy. We present a Data mining (DM) approach to identify the risk factors of Gestational diabetes mellitus (GDM) using different data mining techniques. Dataset used for analysis contains the details of the pregnant women admitted the local hospital of Mysuru, India. The data mining techniques used are k-means clustering, J48 Decision Tree, Random-Forest and Naive-Bayes classifier. Classification accuracy is enhanced by using feature subset selection wrapper approach. Data imbalanced problem is handled by using Synthetic Minority Over-sampling Technique (SMOTE). The performances of the algorithms have been measured and compared in terms of Accuracy.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121655294","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 : 2018-12-26DOI: 10.4172/2325-9795.1000312
N. Tehranian, Matin Sadat Esmaeilzadeh, Shiva Pourali Roudbaneh, Ashraf Saber Mashhad Toroqhi, Saeideh Sadat Hajimirzaeii, Z. Mousavi, A. K. Nezhad
Abstract Objective: According to previous research, delivery is known as an inflammatory process. Recently discovered Adipokine has been proved with an anti-inflammatory and anti-apoptotic role. Hence, this study aimed to investigate changes of maternal Nesfatin-1 concentrations before and after delivery. Materials and methods: In this nested case control, 166 pregnant women, aged 18-40 and meeting the inclusion criteria, were followed up during 28-32 weeks of gestational age and until after delivery. First mother’s blood serum sample was taken in the third trimester to measure nesfatin-1. Twentythree of these subjects underwent elective CS and were considered as the case group. Then, from the women with vaginal delivery, twenty-two were made homogenous concerning demographic characteristics with case group and selected as the control group. Finally, the second blood sample was taken to measure mother’s serum nesfatin-1 twenty-four hours after delivery. The blood samples were measured by ELISA kit. The data were analyzed by means of SPSS. Results: The results showed that the concentrations of Nesfatin-1 in the third trimester of pregnancy and in the first 24 hours after delivery in the C/S group were [1360.6 ± 2153.4 (Ng/L)], and [1296.8 ± 1925.5 (Ng/L)] and in the NVD group [1483.3 ± 1980.4 (Ng/L)], and [1853.8 ± 2285.7 (Ng/L)] respectively. There was an evident relationship between Nesfatin-1 concentrations before and after delivery in the NVD group (P=0.028). Also, Nesfatin-1 difference before and after delivery in the C/S group had a significant relationship with its difference in the NVD group. (P=0.025). Conclusion: It has been found that the concentrations of serum Nesfatin-1 in the NVD group significantly increased; furthermore, this hormone concentration before and after delivery in NVD were more than C/S group.
摘要目的:根据以往的研究，分娩是一个炎症过程。最近发现的脂肪因子已被证明具有抗炎和抗细胞凋亡的作用。因此，本研究旨在探讨产妇分娩前后Nesfatin-1浓度的变化。材料与方法:在巢式病例对照中，对166例符合纳入标准的18-40岁孕妇进行随访，随访时间为28-32周至分娩后。第一名母亲在妊娠晚期抽取血清样本测定巢脂素-1。其中23名受试者接受了选择性CS，并被视为病例组。然后，从阴道分娩的妇女中选取22名与病例组人口统计学特征相同的妇女作为对照组。最后，在分娩24小时后第二次采血测定母亲血清内脂素-1。采用ELISA试剂盒检测血样。数据采用SPSS统计软件进行分析。结果:C/S组妊娠晚期及产后24 h Nesfatin-1浓度分别为[1360.6±2153.4 (Ng/L)]、[1296.8±1925.5 (Ng/L)]， NVD组分别为[1483.3±1980.4 (Ng/L)]、[1853.8±2285.7 (Ng/L)]。NVD组分娩前后Nesfatin-1浓度有明显相关性(P=0.028)。C/S组分娩前后Nesfatin-1差异与NVD组差异有显著相关。(P = 0.025)。结论:研究发现NVD组血清Nesfatin-1浓度显著升高;NVD组分娩前后该激素浓度均高于C/S组。
{"title":"Nesfatin-1 Differences in Cesarean Section Compared to Natural Vaginal Delivery","authors":"N. Tehranian, Matin Sadat Esmaeilzadeh, Shiva Pourali Roudbaneh, Ashraf Saber Mashhad Toroqhi, Saeideh Sadat Hajimirzaeii, Z. Mousavi, A. K. Nezhad","doi":"10.4172/2325-9795.1000312","DOIUrl":"https://doi.org/10.4172/2325-9795.1000312","url":null,"abstract":"Abstract Objective: According to previous research, delivery is known as an inflammatory process. Recently discovered Adipokine has been proved with an anti-inflammatory and anti-apoptotic role. Hence, this study aimed to investigate changes of maternal Nesfatin-1 concentrations before and after delivery. Materials and methods: In this nested case control, 166 pregnant women, aged 18-40 and meeting the inclusion criteria, were followed up during 28-32 weeks of gestational age and until after delivery. First mother’s blood serum sample was taken in the third trimester to measure nesfatin-1. Twentythree of these subjects underwent elective CS and were considered as the case group. Then, from the women with vaginal delivery, twenty-two were made homogenous concerning demographic characteristics with case group and selected as the control group. Finally, the second blood sample was taken to measure mother’s serum nesfatin-1 twenty-four hours after delivery. The blood samples were measured by ELISA kit. The data were analyzed by means of SPSS. Results: The results showed that the concentrations of Nesfatin-1 in the third trimester of pregnancy and in the first 24 hours after delivery in the C/S group were [1360.6 ± 2153.4 (Ng/L)], and [1296.8 ± 1925.5 (Ng/L)] and in the NVD group [1483.3 ± 1980.4 (Ng/L)], and [1853.8 ± 2285.7 (Ng/L)] respectively. There was an evident relationship between Nesfatin-1 concentrations before and after delivery in the NVD group (P=0.028). Also, Nesfatin-1 difference before and after delivery in the C/S group had a significant relationship with its difference in the NVD group. (P=0.025). Conclusion: It has been found that the concentrations of serum Nesfatin-1 in the NVD group significantly increased; furthermore, this hormone concentration before and after delivery in NVD were more than C/S group.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124363836","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 : 2018-11-14DOI: 10.4172/2325-9795.1000318
N. Atenchong, F. Omisakin
Abstract Background: African traditional healthcare is grounded in thousands of years of knowledge and has sustained life, on its own or in concert with Western medicine. Objectives: 1) To Identify factors influencing patronage of Traditional Birth Attendants 2) Describe the Perception of Traditional Birth Attendants among women of childbearing age. Methods: A descriptive cross-sectional survey was used to investigate factors influencing patronage TBAs using 250 randomly selected women of childbearing age. Results: Several factors affected the patronage of TBA services. These factors included Distance of the health center, time to go to the health center, cost/flexibility of payments and trust. Respondents associated TBAs with Spiritism, offerings of Parental and Family planning services. Some negativity associated with TBA include; not being able to recognize complications early, the risk of birth injuries. General level of perception was high, 67.00%. There is no significant difference between educational level and perception of TBA. Conclusions: TBAs are very much trusted in the Peretou-Gbene Community. A comprehensive strategy to increase the availability, accessibility, and affordability of delivery care services should be considered in the Peretou-Gbene Community. Health education strategies are required to increase community awareness about the importance of health services along with the existing financing mechanisms for the poor communities. Keywords Women of childbearing age; Traditional birth attendants; Health centre; Factors; Patronage
{"title":"Factors Influencing Patronage of Traditional Birth Attendants by Women of Childbearing Age: A Study of Peretou-Gbene Community of Bayelsa State","authors":"N. Atenchong, F. Omisakin","doi":"10.4172/2325-9795.1000318","DOIUrl":"https://doi.org/10.4172/2325-9795.1000318","url":null,"abstract":"Abstract Background: African traditional healthcare is grounded in thousands of years of knowledge and has sustained life, on its own or in concert with Western medicine. Objectives: 1) To Identify factors influencing patronage of Traditional Birth Attendants 2) Describe the Perception of Traditional Birth Attendants among women of childbearing age. Methods: A descriptive cross-sectional survey was used to investigate factors influencing patronage TBAs using 250 randomly selected women of childbearing age. Results: Several factors affected the patronage of TBA services. These factors included Distance of the health center, time to go to the health center, cost/flexibility of payments and trust. Respondents associated TBAs with Spiritism, offerings of Parental and Family planning services. Some negativity associated with TBA include; not being able to recognize complications early, the risk of birth injuries. General level of perception was high, 67.00%. There is no significant difference between educational level and perception of TBA. Conclusions: TBAs are very much trusted in the Peretou-Gbene Community. A comprehensive strategy to increase the availability, accessibility, and affordability of delivery care services should be considered in the Peretou-Gbene Community. Health education strategies are required to increase community awareness about the importance of health services along with the existing financing mechanisms for the poor communities. Keywords Women of childbearing age; Traditional birth attendants; Health centre; Factors; Patronage","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132437166","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 : 2018-11-14DOI: 10.4172/2325-9795.1000315
R. Briki, Ons Cherif, S. Chachia, Sassi Boughizhane
Abstract The enclavement of the ovary in the ovarian fossa is a complication of adnexal disease that has virtually never been reported before. Herein, we present a video and a report on a unique case of a 26-year-old patient admitted to the Department of Gynecology and Obstetrics at the University Hospital Farhat Hached, Sousse, Tunisia with acute abdominal pain suggestive of adnexal torsion. To the best of our knowledge, this is the only case reported in the literature so far. Laparosopy confirmed the diagnosis and surgical exploration revealed an ovary landlocked in its ovarian fossa. A significant positive change from pre- to post-treatment has been noticed. This observation has the merried of demonstrating that ovary enclavement, which has been until now ignored, present’s positive and differential diagnosis problems.
{"title":"Ovary Enclavement in the Ovarian Fossa: Another Unknown Complication","authors":"R. Briki, Ons Cherif, S. Chachia, Sassi Boughizhane","doi":"10.4172/2325-9795.1000315","DOIUrl":"https://doi.org/10.4172/2325-9795.1000315","url":null,"abstract":"Abstract The enclavement of the ovary in the ovarian fossa is a complication of adnexal disease that has virtually never been reported before. Herein, we present a video and a report on a unique case of a 26-year-old patient admitted to the Department of Gynecology and Obstetrics at the University Hospital Farhat Hached, Sousse, Tunisia with acute abdominal pain suggestive of adnexal torsion. To the best of our knowledge, this is the only case reported in the literature so far. Laparosopy confirmed the diagnosis and surgical exploration revealed an ovary landlocked in its ovarian fossa. A significant positive change from pre- to post-treatment has been noticed. This observation has the merried of demonstrating that ovary enclavement, which has been until now ignored, present’s positive and differential diagnosis problems.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"200 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123019068","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 : 2018-11-14DOI: 10.4172/2325-9795.1000314
S. Boughizane, Ons Cherif, S. Chachia, S. Hidar, M. Bibi, R. Briki
Abstract Objective: To evaluate the technique of laparoscopic lateral colpo-uterine suspension using a mesh for uterovaginal prolapse; to specify its indications, advantages and complications and to assess its success rate. Patients and methods: This retrospective cohort study included all women treated by uterus preserving laparoscopic lateral suspension with mesh for symptomatic uterovaginal prolapse between January 2008 and June 2016 in tertiary referral hospital Farhat Hached Sousse (Tunisia). The data collected were: preoperatively and postoperatively functional symptoms and prolapse grade (POP-Q) grading system, the degree of preoperative discomfort and postoperative satisfaction, complications rate classified according to the Clavien grading system for surgical morbidity. Results: One hundred and twelve patients were included. Twenty nine women were lost to follow up and were, therefore, excluded from the study. The mean age of the patients was 49.02 ± 6.92 years (29-69). After a mean follow-up of 21 months, the success rate of anatomical reduction with this technique was about 94.8% and 4 cases of recurrent vaginal prolapse was noted, 2 were partially improved. A grade 0 was found in 58.4% and 70.1% of cases respectively at the anterior and middle floor. The rate of success for the anterior and middle floor was respectively 94.8% and 97.4%. Seventy patients (84.3%) were satisfied by the functional outcome and the degree of postoperative satisfaction was 8.1 ± 1.38 (4-10) out of 10. No laparoconversion was necessary. One bladder perforation occurred during dissection requiring preoperative sutures. Three delayed complications were observed (3.6%): two cases of parietal mesh erosions, one case of bladder granulomas. There were no cases of vaginal mesh erosions. Conclusions: The results of this study demonstrate that laparoscopic lateral colpo-uterine suspension in the treatment of genital prolapse has good anatomical and functional results, and is simple, reproducible and safe. But, we need level 1 data comparing this technique to other established surgical procedures for uterovaginal prolapse.
{"title":"Uterine Preserving Laparoscopic Lateral Mesh Suspension for Uterovaginal Prolapse","authors":"S. Boughizane, Ons Cherif, S. Chachia, S. Hidar, M. Bibi, R. Briki","doi":"10.4172/2325-9795.1000314","DOIUrl":"https://doi.org/10.4172/2325-9795.1000314","url":null,"abstract":"Abstract Objective: To evaluate the technique of laparoscopic lateral colpo-uterine suspension using a mesh for uterovaginal prolapse; to specify its indications, advantages and complications and to assess its success rate. Patients and methods: This retrospective cohort study included all women treated by uterus preserving laparoscopic lateral suspension with mesh for symptomatic uterovaginal prolapse between January 2008 and June 2016 in tertiary referral hospital Farhat Hached Sousse (Tunisia). The data collected were: preoperatively and postoperatively functional symptoms and prolapse grade (POP-Q) grading system, the degree of preoperative discomfort and postoperative satisfaction, complications rate classified according to the Clavien grading system for surgical morbidity. Results: One hundred and twelve patients were included. Twenty nine women were lost to follow up and were, therefore, excluded from the study. The mean age of the patients was 49.02 ± 6.92 years (29-69). After a mean follow-up of 21 months, the success rate of anatomical reduction with this technique was about 94.8% and 4 cases of recurrent vaginal prolapse was noted, 2 were partially improved. A grade 0 was found in 58.4% and 70.1% of cases respectively at the anterior and middle floor. The rate of success for the anterior and middle floor was respectively 94.8% and 97.4%. Seventy patients (84.3%) were satisfied by the functional outcome and the degree of postoperative satisfaction was 8.1 ± 1.38 (4-10) out of 10. No laparoconversion was necessary. One bladder perforation occurred during dissection requiring preoperative sutures. Three delayed complications were observed (3.6%): two cases of parietal mesh erosions, one case of bladder granulomas. There were no cases of vaginal mesh erosions. Conclusions: The results of this study demonstrate that laparoscopic lateral colpo-uterine suspension in the treatment of genital prolapse has good anatomical and functional results, and is simple, reproducible and safe. But, we need level 1 data comparing this technique to other established surgical procedures for uterovaginal prolapse.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129794357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：