Pub Date : 2018-11-14DOI: 10.4172/2325-9795.1000319
J. Mishra, M. Puri, P. SachdevaM, L. Kaur, K. Saraswathy
Abstract Aim: To understand the role of hyperhomocysteinemia in association with nutritional (folate and vitamin B12) factors involved in one carbon metabolic pathway in the causation of preterm premature rupture of membranes (PPROM). Methods: The case group (women presenting with PPROM) is compared with gestation matched pregnant women without PPROM or any bad obstetric history. Data on demographic, clinical and reproductive profile was obtained from all the women. Fasting blood sample (~5ml) was drawn followed by serum folate, vitamin B12 and plasma homocysteine level estimations. Results: Hyperhomocysteinemia and folate deficiency were found to be posing 8.46 and 2.9 fold increased risk for PPROM cases as compared to the gestation matched controls respectively. The differences were found to be statistically significant for both risk of hyperhomocysteinemia (p<0.0001) and folate deficiency (p=0.002) for preterm premature rupture of membranes. Conclusion: Hyperhomocysteinemia and folate deficiency are associated with PPROM. Keywords Hyperhomocysteinemia; folate deficiency; vitamin B12; preterm complications; rupture of membranes
{"title":"Hyperhomocysteinemia and Folate Deficiency in Preterm Premature Rupture of Membranes: A Hospital Based Case Control Study (India)","authors":"J. Mishra, M. Puri, P. SachdevaM, L. Kaur, K. Saraswathy","doi":"10.4172/2325-9795.1000319","DOIUrl":"https://doi.org/10.4172/2325-9795.1000319","url":null,"abstract":"Abstract Aim: To understand the role of hyperhomocysteinemia in association with nutritional (folate and vitamin B12) factors involved in one carbon metabolic pathway in the causation of preterm premature rupture of membranes (PPROM). Methods: The case group (women presenting with PPROM) is compared with gestation matched pregnant women without PPROM or any bad obstetric history. Data on demographic, clinical and reproductive profile was obtained from all the women. Fasting blood sample (~5ml) was drawn followed by serum folate, vitamin B12 and plasma homocysteine level estimations. Results: Hyperhomocysteinemia and folate deficiency were found to be posing 8.46 and 2.9 fold increased risk for PPROM cases as compared to the gestation matched controls respectively. The differences were found to be statistically significant for both risk of hyperhomocysteinemia (p<0.0001) and folate deficiency (p=0.002) for preterm premature rupture of membranes. Conclusion: Hyperhomocysteinemia and folate deficiency are associated with PPROM. Keywords Hyperhomocysteinemia; folate deficiency; vitamin B12; preterm complications; rupture of membranes","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"2012 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":"128730381","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: 10.4172/2325-9795.1000317
C. Goepel, M. Szakacs, N. Farkas, B. Farkas
niques are aimed to stabilize the lost integrity at DeLancey Level II, none of them seemed to be optimal. Despite vaginal surgical approaches utilizing synthetic meshes has been well established, and widely debated, our aim was to establish an optimal surgical procedure to decrease the size of the implanted vaginal grafts. Methods: In a prospective preliminary study, 43 patients with lateral cystoceles were enrolled, and have been implanted a partially absorbable polypropylene/polyglycholic acid vaginal tape. The two endpoints of the tapes were administered above the ATFP, providing lateral support. In 53% of the cases (23/43) the patients also received a TVT, due to co-existing SUI. Follow up examination were carried out six month after the operation. Results: We observed significant shift in the Aa points (-0.86 cm ± 0.56 SD to -2.95 cm ± 0.30 SD) and in the Ba points (-0.42 cm ± 0.59 SD to -2.65 cm ± 1.04 SD) pre and postoperatively. Those patients who had dual tape implanted 95% (22/23) were found to continent. During the six month follow up period no mesh extrusion, no dyspareunia and no recurrence were noted. Conclusions: The implantation of a vaginal tape is a relatively easily and quickly executed surgical technique, which is able to bypass laparoscopic approaches. The method can be combined with simultaneous TVT implantation in SUI patients. Although further studies with more participants, are required to assess the effectiveness of the approach.
{"title":"Single Incision Vaginal Tape for Lateral Detachment Repair: A Pilot Study and Description of the Method","authors":"C. Goepel, M. Szakacs, N. Farkas, B. Farkas","doi":"10.4172/2325-9795.1000317","DOIUrl":"https://doi.org/10.4172/2325-9795.1000317","url":null,"abstract":"niques are aimed to stabilize the lost integrity at DeLancey Level II, none of them seemed to be optimal. Despite vaginal surgical approaches utilizing synthetic meshes has been well established, and widely debated, our aim was to establish an optimal surgical procedure to decrease the size of the implanted vaginal grafts. Methods: In a prospective preliminary study, 43 patients with lateral cystoceles were enrolled, and have been implanted a partially absorbable polypropylene/polyglycholic acid vaginal tape. The two endpoints of the tapes were administered above the ATFP, providing lateral support. In 53% of the cases (23/43) the patients also received a TVT, due to co-existing SUI. Follow up examination were carried out six month after the operation. Results: We observed significant shift in the Aa points (-0.86 cm ± 0.56 SD to -2.95 cm ± 0.30 SD) and in the Ba points (-0.42 cm ± 0.59 SD to -2.65 cm ± 1.04 SD) pre and postoperatively. Those patients who had dual tape implanted 95% (22/23) were found to continent. During the six month follow up period no mesh extrusion, no dyspareunia and no recurrence were noted. Conclusions: The implantation of a vaginal tape is a relatively easily and quickly executed surgical technique, which is able to bypass laparoscopic approaches. The method can be combined with simultaneous TVT implantation in SUI patients. Although further studies with more participants, are required to assess the effectiveness of the approach.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"35 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":"131962017","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 : 2018-09-26DOI: 10.4172/2325-9795.1000309
P. Giovanni, G. Martino, Tonia Garzarella, Ferdin, O. Romano, T. Staniscia
Abstract Objective: The aim of this study was the evaluation of maternal outcomes and of the associated risk factors occurred in Abruzzo region, Italy, from 2009 to 2013. Methods: The study considered all the deliveries performed from 2009 to 2013 in Abruzzo region, Italy. Data were collected from all hospital discharge records. Univariate logistic regression analyses were performed to calculate crude odds ratios for each comorbidity. Stepwise multiple logistic regression models with backward selection were performed to identify predictors of the most frequent outcomes. Results: 57, 260 deliveries were analyzed. Severe complication occurred in 0.9% of all deliveries. The most frequent complications were “Severe Hemorrhage”, “Hysterectomy”, “Uterine rupture” and “Severe pre-eclampsia/eclampsia”. Malignant cancer (OR=55.76), coagulation disorders (OR=37.21), acute pulmonary disease (OR=29.75), placenta previa (OR=26.51), caesarean section (OR=3.24) and age (OR=1.08) were associated with a higher risk of hysterectomy. Anemia (OR=14.64), coagulation disorders (OR=10.31), cardiac disease (OR=12.74), pregnancy hypertension (OR=2.66), major pre-eclampsia/eclampsia (OR=2.78), placenta previa (OR=9.42) and multiple pregnancy (OR=3.69) were associated to severe hemorrhage. Thrombocytopenia (OR=26.04) and diabetes (OR=5.05) were associated to uterine rupture. Overweight or obesity (OR=25.88) and pregnancy cardiovascular disease (OR=25.85) were associated to pre-eclampsia. Conclusions: Maternal comorbidities are associated with increased risk of complications and may result in substantial costs to the health care system.
{"title":"Comorbidities and Risk-Adjusted Maternal Outcomes: A Retrospective Study on Administrative Data","authors":"P. Giovanni, G. Martino, Tonia Garzarella, Ferdin, O. Romano, T. Staniscia","doi":"10.4172/2325-9795.1000309","DOIUrl":"https://doi.org/10.4172/2325-9795.1000309","url":null,"abstract":"Abstract Objective: The aim of this study was the evaluation of maternal outcomes and of the associated risk factors occurred in Abruzzo region, Italy, from 2009 to 2013. Methods: The study considered all the deliveries performed from 2009 to 2013 in Abruzzo region, Italy. Data were collected from all hospital discharge records. Univariate logistic regression analyses were performed to calculate crude odds ratios for each comorbidity. Stepwise multiple logistic regression models with backward selection were performed to identify predictors of the most frequent outcomes. Results: 57, 260 deliveries were analyzed. Severe complication occurred in 0.9% of all deliveries. The most frequent complications were “Severe Hemorrhage”, “Hysterectomy”, “Uterine rupture” and “Severe pre-eclampsia/eclampsia”. Malignant cancer (OR=55.76), coagulation disorders (OR=37.21), acute pulmonary disease (OR=29.75), placenta previa (OR=26.51), caesarean section (OR=3.24) and age (OR=1.08) were associated with a higher risk of hysterectomy. Anemia (OR=14.64), coagulation disorders (OR=10.31), cardiac disease (OR=12.74), pregnancy hypertension (OR=2.66), major pre-eclampsia/eclampsia (OR=2.78), placenta previa (OR=9.42) and multiple pregnancy (OR=3.69) were associated to severe hemorrhage. Thrombocytopenia (OR=26.04) and diabetes (OR=5.05) were associated to uterine rupture. Overweight or obesity (OR=25.88) and pregnancy cardiovascular disease (OR=25.85) were associated to pre-eclampsia. Conclusions: Maternal comorbidities are associated with increased risk of complications and may result in substantial costs to the health care system.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131317905","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 : 2018-09-26DOI: 10.4172/2325-9795.1000311
Sonia Sultan, Mahvish Mansoor Ali, Sana Sadruddin Bardai, M. A. Kanpurwala, Farahnaz Shoukat Ali Punjwani
Abstract Objective: The objective of this study was to assess the knowledge, attitude, and practice of family planning methods among the married men and women in Pakistan. Methodology: A quantitative study using a descriptive crosssectional design was conducted in a community located in one of the urban areas of Karachi, Pakistan from October 2014 to December 2014. Two hundred participants were recruited, including 72 men and 128 women who were interviewed regarding their knowledge, attitude, and practices of family planning methods through a predesigned questionnaire. A two-stage sampling technique was used including systematic and convenient sampling to collect the data. Women with infertility, non-reproductive age (49 and above), widows, and widowers, separated and divorced individuals were excluded from this study. Results: Mean age of the participants was 30 ± 3 years. Results of the study showed that majority of the participants had knowledge of few contraceptive methods, but they lack awareness about all the family planning methods. Among men (100%) and women (97.7%), the most common method known was a male condom. Private hospitals and internet appear to be the key sources of information related to family planning. Regarding the practice of family planning methods, 54% of men and women were using few contraceptive methods. 74% men and 71.3% women had positive attitudes regarding family planning methods. The most common reasons for not using family planning methods among men and women were fear of side effects and desire of a male child. Conclusion: The study concludes that most of the men and women have the comprehensive knowledge and assertive attitudes regarding the use of contraceptive methods, however, the practice of family planning methods is still low.
{"title":"Knowledge, Attitude, and Practice of Family Planning Methods among Married Men and Women","authors":"Sonia Sultan, Mahvish Mansoor Ali, Sana Sadruddin Bardai, M. A. Kanpurwala, Farahnaz Shoukat Ali Punjwani","doi":"10.4172/2325-9795.1000311","DOIUrl":"https://doi.org/10.4172/2325-9795.1000311","url":null,"abstract":"Abstract Objective: The objective of this study was to assess the knowledge, attitude, and practice of family planning methods among the married men and women in Pakistan. Methodology: A quantitative study using a descriptive crosssectional design was conducted in a community located in one of the urban areas of Karachi, Pakistan from October 2014 to December 2014. Two hundred participants were recruited, including 72 men and 128 women who were interviewed regarding their knowledge, attitude, and practices of family planning methods through a predesigned questionnaire. A two-stage sampling technique was used including systematic and convenient sampling to collect the data. Women with infertility, non-reproductive age (49 and above), widows, and widowers, separated and divorced individuals were excluded from this study. Results: Mean age of the participants was 30 ± 3 years. Results of the study showed that majority of the participants had knowledge of few contraceptive methods, but they lack awareness about all the family planning methods. Among men (100%) and women (97.7%), the most common method known was a male condom. Private hospitals and internet appear to be the key sources of information related to family planning. Regarding the practice of family planning methods, 54% of men and women were using few contraceptive methods. 74% men and 71.3% women had positive attitudes regarding family planning methods. The most common reasons for not using family planning methods among men and women were fear of side effects and desire of a male child. Conclusion: The study concludes that most of the men and women have the comprehensive knowledge and assertive attitudes regarding the use of contraceptive methods, however, the practice of family planning methods is still low.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134177346","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 : 2018-09-26DOI: 10.4172/2325-9795.1000308
N. Tehranian, Shiva Pouraliroudbaneh, Matin Sadat Esmaeilzadeh, A. Saber, A. Kazemnejad, S. Hajimirzaie, Z. Mousavi, Zeinab Samkan
Abstract Objective: Delivery is an inflammatory process and Apelin, has a vital role in pro-inflammatory process and uterine contractility. Therefore, this article studied maternal serum apelin-36 before and after cesarean (C/S) and natural vaginal delivery (NVD). Material and Methods: In this study, 166 pregnant, 18-40 years old, were studied during weeks 28-32 of pregnancy until after delivery. They all meet inclusion criteria. To do so, the first blood sample was taken from the participants within third trimester. Twenty-three of these women had to upped elective cesarean and considered as the case group. Then, from the participants who had vaginal delivery, twenty-two were made homogenous concerning demographic characteristics with case group and selected as the control group and the second blood sample in the first 24 h after delivery. Blood samples were measured by means of ELIZA. Data were analyzed by SPSS16. Results: Maternal Apelin-36 concentration in the third trimester of the pregnancy and the first 24 h after delivery were [82.16 ± 99.40 (NM/L)], and [86.49 ± 23.769 (NM/L)] in the C/S group and [101.5 ± 105.65 (NM/L)] and [84.9 ± 63.64 (NM/L)] in the NVD group. A significant difference was seen in NVD group before delivery, compared to after delivery (P=0.029). Furthermore, a statically significant difference was seen in Apelin-36 difference before and after delivery in the NVD group, compared to its difference in the C/S group (P=0,005). A positive relationship was seen between Apelin- 36 concentrations after delivery and during labor (P<0.05). Conclusion: The results indicated that this hormone difference level was more in the NVD group, compared to the C/S group. Furthermore, a positive relation was seen during labor.
{"title":"Apelin and Difference in Cesarean Section and Normal Vaginal Delivery","authors":"N. Tehranian, Shiva Pouraliroudbaneh, Matin Sadat Esmaeilzadeh, A. Saber, A. Kazemnejad, S. Hajimirzaie, Z. Mousavi, Zeinab Samkan","doi":"10.4172/2325-9795.1000308","DOIUrl":"https://doi.org/10.4172/2325-9795.1000308","url":null,"abstract":"Abstract Objective: Delivery is an inflammatory process and Apelin, has a vital role in pro-inflammatory process and uterine contractility. Therefore, this article studied maternal serum apelin-36 before and after cesarean (C/S) and natural vaginal delivery (NVD). Material and Methods: In this study, 166 pregnant, 18-40 years old, were studied during weeks 28-32 of pregnancy until after delivery. They all meet inclusion criteria. To do so, the first blood sample was taken from the participants within third trimester. Twenty-three of these women had to upped elective cesarean and considered as the case group. Then, from the participants who had vaginal delivery, twenty-two were made homogenous concerning demographic characteristics with case group and selected as the control group and the second blood sample in the first 24 h after delivery. Blood samples were measured by means of ELIZA. Data were analyzed by SPSS16. Results: Maternal Apelin-36 concentration in the third trimester of the pregnancy and the first 24 h after delivery were [82.16 ± 99.40 (NM/L)], and [86.49 ± 23.769 (NM/L)] in the C/S group and [101.5 ± 105.65 (NM/L)] and [84.9 ± 63.64 (NM/L)] in the NVD group. A significant difference was seen in NVD group before delivery, compared to after delivery (P=0.029). Furthermore, a statically significant difference was seen in Apelin-36 difference before and after delivery in the NVD group, compared to its difference in the C/S group (P=0,005). A positive relationship was seen between Apelin- 36 concentrations after delivery and during labor (P<0.05). Conclusion: The results indicated that this hormone difference level was more in the NVD group, compared to the C/S group. Furthermore, a positive relation was seen during labor.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134621515","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 : 2018-09-25DOI: 10.4172/2325-9795.1000313
Liz Juarez, S. Chaney
We report the case of a 37 year-old uninsured African American female who came to the office complaining of a breast mass for about a month. The patient was examined during the initial office visit and proper imaging was ordered based on current guidelines for this type of complaint. Literature shows that female patients who present to primary care providers with breast symptoms, approximately 42 percent of them report a breast mass. Even though most masses are benign, they are the most common presenting symptom in patients diagnosed with breast cancer. A palpable mass in a woman’s breast requires a prompt evaluation. Correct diagnosis of a breast mass is essential for optimal treatment planning, with the primary aim being to confirm or exclude cancer. Breast cancer is the most common cancer among women of all races, and it is the leading cause of cancer death among Hispanic women and second among white, black, Asian/Pacific Islander, and American Indian/Alaska Native women. The triple test (TT) advices the evaluation of palpable breast masses by physical examination, mammography, and fine-needle aspiration (FNAC), and it has proven to be a reliable and accurate tool due to its technical simplicity and reduced expense and morbidity compared with open surgical biopsy. Low-income African-American women often report lower receipt of medical risk information, and due to lack of insurance they do not have a regular source of care, which in turn leads to decreased utilization of medical health services. This case highlights the importance of the utilization of the triple test when evaluating young females complaining of breast masses, but it also emphasizes the important role that providers play when working with underserved populations.
{"title":"Evaluation of a Palpable Breast Mass in a Young Female: Implications when Working with Underserved Populations","authors":"Liz Juarez, S. Chaney","doi":"10.4172/2325-9795.1000313","DOIUrl":"https://doi.org/10.4172/2325-9795.1000313","url":null,"abstract":"We report the case of a 37 year-old uninsured African American female who came to the office complaining of a breast mass for about a month. The patient was examined during the initial office visit and proper imaging was ordered based on current guidelines for this type of complaint. Literature shows that female patients who present to primary care providers with breast symptoms, approximately 42 percent of them report a breast mass. Even though most masses are benign, they are the most common presenting symptom in patients diagnosed with breast cancer. A palpable mass in a woman’s breast requires a prompt evaluation. Correct diagnosis of a breast mass is essential for optimal treatment planning, with the primary aim being to confirm or exclude cancer. Breast cancer is the most common cancer among women of all races, and it is the leading cause of cancer death among Hispanic women and second among white, black, Asian/Pacific Islander, and American Indian/Alaska Native women. The triple test (TT) advices the evaluation of palpable breast masses by physical examination, mammography, and fine-needle aspiration (FNAC), and it has proven to be a reliable and accurate tool due to its technical simplicity and reduced expense and morbidity compared with open surgical biopsy. Low-income African-American women often report lower receipt of medical risk information, and due to lack of insurance they do not have a regular source of care, which in turn leads to decreased utilization of medical health services. This case highlights the importance of the utilization of the triple test when evaluating young females complaining of breast masses, but it also emphasizes the important role that providers play when working with underserved populations.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117203255","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 : 2018-09-25DOI: 10.4172/2325-9795.1000310
A. Korbi, I. Korbi, F. Ennaceur, F. Jebali, W. Małek, F. Boughamni, A. Hajji, R. Faleh
Cornual pregnancy is a rare form of ectopic pregnancy, accounting for 2–4% of all ectopic pregnancies. The terms interstitial and cornual pregnancy are often used synonymously. Cornual gestation is considered as one of the rarest types of ectopic gestation since it is associated with high maternal risks, including mortality which is doubled compared to classic tubal extra uterine pregnancy. The diagnosis is made by ultrasound and positive human chorionic gonadotropin. The diagnosis and treatment are challenging and constitute a medical emergency. A recent literature review has revealed that no gold-standard is defined in this pathology concerning the diagnosis, the treatment and prognosis. We present a case of a 38-year-old pregnant woman who was admitted at 23 weeks of pregnancy after being diagnosed with an appendicular abscess. An emergency laparotomy was performed with an operative diagnosis of a pre ruptured cornual pregnancy.
{"title":"Management of Cornual Pregnancy about a Case","authors":"A. Korbi, I. Korbi, F. Ennaceur, F. Jebali, W. Małek, F. Boughamni, A. Hajji, R. Faleh","doi":"10.4172/2325-9795.1000310","DOIUrl":"https://doi.org/10.4172/2325-9795.1000310","url":null,"abstract":"Cornual pregnancy is a rare form of ectopic pregnancy, accounting for 2–4% of all ectopic pregnancies. The terms interstitial and cornual pregnancy are often used synonymously. Cornual gestation is considered as one of the rarest types of ectopic gestation since it is associated with high maternal risks, including mortality which is doubled compared to classic tubal extra uterine pregnancy. The diagnosis is made by ultrasound and positive human chorionic gonadotropin. The diagnosis and treatment are challenging and constitute a medical emergency. A recent literature review has revealed that no gold-standard is defined in this pathology concerning the diagnosis, the treatment and prognosis. We present a case of a 38-year-old pregnant woman who was admitted at 23 weeks of pregnancy after being diagnosed with an appendicular abscess. An emergency laparotomy was performed with an operative diagnosis of a pre ruptured cornual pregnancy.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126872260","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 : 2018-08-06DOI: 10.4172/2325-9795.1000316
Johnson Lin
Single-payer health insurance, also referred to as Medicare For All in the United States of America, has entails medical care that is financed by a government agency and delivered by private healthcare practitioners. The concept of single-payer health care has gradually gained support among leading progressives throughout the nation, and legislation has been proposed in both chambers of Congress to implement Medicare For All. However, one version of single-payer previously proposed in the House may have unintended consequences for reproductive healthcare. Due to the Hyde Amendment, passing single-payer legislation could ultimately ensure that insurance coverage of abortions becomes unavailable for American women. One piece of legislation proposed in the Senate has corrected this error with wording that addresses other laws restricting Medicare funding for reproductive health services, such as the Hyde Amendment. Further revisions of current drafts may be necessary before implementation to determine and change other potential impacts of single-payer legislation.
{"title":"The Risks of American Single-Payer for Women’s Health","authors":"Johnson Lin","doi":"10.4172/2325-9795.1000316","DOIUrl":"https://doi.org/10.4172/2325-9795.1000316","url":null,"abstract":"Single-payer health insurance, also referred to as Medicare For All in the United States of America, has entails medical care that is financed by a government agency and delivered by private healthcare practitioners. The concept of single-payer health care has gradually gained support among leading progressives throughout the nation, and legislation has been proposed in both chambers of Congress to implement Medicare For All. However, one version of single-payer previously proposed in the House may have unintended consequences for reproductive healthcare. Due to the Hyde Amendment, passing single-payer legislation could ultimately ensure that insurance coverage of abortions becomes unavailable for American women. One piece of legislation proposed in the Senate has corrected this error with wording that addresses other laws restricting Medicare funding for reproductive health services, such as the Hyde Amendment. Further revisions of current drafts may be necessary before implementation to determine and change other potential impacts of single-payer legislation.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123472264","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}
Background: Most women are at greater risk for Gender based violence and its complications of reproductive health including sexually transmitted infections and HIV/AIDs, bleeding, uterine infection, obstetric fistula and birth complication. Objective: The objective of this study was to assess the effects of violence against women on reproductive Health of women in Ataye Woreda Northern shoa, Ethiopia. Method: Facility based cross sectional study was under taken among women in reproductive age group who came to Ataye health center from December 10 to December 31, 2016. The study includes 388 participants with Quantitative methods were employed using structured questionnaires. Result: The finding indicates women face different types of violence even they die in that locality due to social norms and traditional beliefs. They didn’t exposed what happened to them and most of them are violate by their intimate partner and the main cause of their violation is economic dependence on their husbands and being uneducated. Major types of violence committed in the study area are rape and abduction due to this women suffered from different types reproductive health problems. This study shows in the past 12 months there were 52 (13.4%) violation of women, from 388 participants of the study. From all the participants 44 (84.6%) had been affected with different types of reproductive health outcomes, such as 15 (34%) had bleeding related to abortion, and rape, 9 (20.5%) HIV/AIDS, 9 (20.5%) STI, 6 (13.6%) Vaginal infection, and about 5 (11.4%) had still birth. Conclusion: The magnitude of violence against women in the past 12 months in the study area is 13.4%. From the total 388 participants 11.3% of women suffered from reproductive health problems related to violence against women.
{"title":"Assessment of Sexual Violence and its Effect on Reproductive Health among Women in Ataye Northern Shoa, Amhara Regional State, Ehtiopia","authors":"Girum Sebsibie Teshome, Fikirte Woldesilassie Woldeyohans, Hirut Gemeda","doi":"10.4172/2325-9795.1000307","DOIUrl":"https://doi.org/10.4172/2325-9795.1000307","url":null,"abstract":"Background: Most women are at greater risk for Gender based violence and its complications of reproductive health including sexually transmitted infections and HIV/AIDs, bleeding, uterine infection, obstetric fistula and birth complication. Objective: The objective of this study was to assess the effects of violence against women on reproductive Health of women in Ataye Woreda Northern shoa, Ethiopia. Method: Facility based cross sectional study was under taken among women in reproductive age group who came to Ataye health center from December 10 to December 31, 2016. The study includes 388 participants with Quantitative methods were employed using structured questionnaires. Result: The finding indicates women face different types of violence even they die in that locality due to social norms and traditional beliefs. They didn’t exposed what happened to them and most of them are violate by their intimate partner and the main cause of their violation is economic dependence on their husbands and being uneducated. Major types of violence committed in the study area are rape and abduction due to this women suffered from different types reproductive health problems. This study shows in the past 12 months there were 52 (13.4%) violation of women, from 388 participants of the study. From all the participants 44 (84.6%) had been affected with different types of reproductive health outcomes, such as 15 (34%) had bleeding related to abortion, and rape, 9 (20.5%) HIV/AIDS, 9 (20.5%) STI, 6 (13.6%) Vaginal infection, and about 5 (11.4%) had still birth. Conclusion: The magnitude of violence against women in the past 12 months in the study area is 13.4%. From the total 388 participants 11.3% of women suffered from reproductive health problems related to violence against women.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131568502","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 : 2018-05-17DOI: 10.4172/2325-9795.1000306
Neelam Saleem Punjani
The recent data in the Pakistan Demographic and Health Survey 2012-2013 shows a high unmet need for contraceptives, although family planning programs have been in place in Pakistan since the late 1950s. The phenomenon presents a complex picture, as the contraceptive prevalence rate has remained almost unchanged over the last 10 years. To analyze this situation, a novel technique or a new lens is required. A number of determinants are responsible for the unmet need for family planning in Pakistan; making it as a burning public health issue of the country. This paper will attempt to address them one by one. The paper will also endeavour to provide some strategies and recommendations to reduce its impact on the community.
{"title":"Determinants Associated With Unmet Need for Family Planning in Pakistan","authors":"Neelam Saleem Punjani","doi":"10.4172/2325-9795.1000306","DOIUrl":"https://doi.org/10.4172/2325-9795.1000306","url":null,"abstract":"The recent data in the Pakistan Demographic and Health Survey 2012-2013 shows a high unmet need for contraceptives, although family planning programs have been in place in Pakistan since the late 1950s. The phenomenon presents a complex picture, as the contraceptive prevalence rate has remained almost unchanged over the last 10 years. To analyze this situation, a novel technique or a new lens is required. A number of determinants are responsible for the unmet need for family planning in Pakistan; making it as a burning public health issue of the country. This paper will attempt to address them one by one. The paper will also endeavour to provide some strategies and recommendations to reduce its impact on the community.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"2018 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129790771","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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