Pub Date : 2018-03-28DOI: 10.4172/2325-9795.1000305
Neelam Saleem Punjani, R. Jan, Y. Mithani, Zaheed Ali Faheem
A call centre is a central place where Customer Care Associates (CCA) handles queries of customers over the telephone. Over the past two decades, the rapid escalation in access to new information technologies, that is, computers and mobile phones in particular, has increased the demand for creative methods to connect these tools to address reproductive health challenges. This chapter will highlight the importance of the role of tele health call centres in providing sexual and reproductive health services to women to improve their reproductive health. It will also cover the significance, purpose, and questions of the present study.
{"title":"A Retrospective Study of Women’s Reproductive Health Calls in Aman Foundation Tele-Health Call Centre in Karachi, Pakistan","authors":"Neelam Saleem Punjani, R. Jan, Y. Mithani, Zaheed Ali Faheem","doi":"10.4172/2325-9795.1000305","DOIUrl":"https://doi.org/10.4172/2325-9795.1000305","url":null,"abstract":"A call centre is a central place where Customer Care Associates (CCA) handles queries of customers over the telephone. Over the past two decades, the rapid escalation in access to new information technologies, that is, computers and mobile phones in particular, has increased the demand for creative methods to connect these tools to address reproductive health challenges. This chapter will highlight the importance of the role of tele health call centres in providing sexual and reproductive health services to women to improve their reproductive health. It will also cover the significance, purpose, and questions of the present study.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132984948","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 : 2018-03-28DOI: 10.4172/2325-9795.1000304
Yi Wang, Q. Deng, X. Peng, Liqin Zeng
Robert’s uterus is unique malformation described as a septate uterus with non-communicating hemicavity; i.e. a blind uterine horn usually with unilateral hematometra, contralateral unicornuate shaped uterine cavity and normal external shape of the uterine fundus. Pelvic pain intensified near the menses in young women is the main symptom and recurrent pregnancy loss and infertility are the main questions when they grow up. In this study, we described two cases of Robert’s uterus: one was Excised of the septum on laparotomy and then successfully became pregnant and gave birth, the other was treated with hysteroscopy and 1 month later, another hysteroscopy showed the uterine cavity shape was closer to the normal. And we also summarized the diagnosis and treatment from the current reports.
{"title":"Successful Treatment of Robert’s Uterus by Two Different Ways: Laparotomy or Hysteroscopy: Case Report and Literature Review","authors":"Yi Wang, Q. Deng, X. Peng, Liqin Zeng","doi":"10.4172/2325-9795.1000304","DOIUrl":"https://doi.org/10.4172/2325-9795.1000304","url":null,"abstract":"Robert’s uterus is unique malformation described as a septate uterus with non-communicating hemicavity; i.e. a blind uterine horn usually with unilateral hematometra, contralateral unicornuate shaped uterine cavity and normal external shape of the uterine fundus. Pelvic pain intensified near the menses in young women is the main symptom and recurrent pregnancy loss and infertility are the main questions when they grow up. In this study, we described two cases of Robert’s uterus: one was Excised of the septum on laparotomy and then successfully became pregnant and gave birth, the other was treated with hysteroscopy and 1 month later, another hysteroscopy showed the uterine cavity shape was closer to the normal. And we also summarized the diagnosis and treatment from the current reports.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114645473","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 : 2018-03-22DOI: 10.4172/2325-9795.1000303
V. Mishra, D. Saranath
Objective: The purpose of the study was to examine the perception of risk of breast cancer in sisters of newly diagnosed breast cancer patients and further examine the association with anxiety and alexithymia, as compared to healthy controls without a family history of breast cancer. Methods: The participants were requested to complete questionnaires including demographic and risk perception of breast cancer. The association of risk perception was evaluated by using the State Trait Anxiety Inventory Scale and Toronto Alexithymia Scale in sisters of breast cancer patients and healthy controls. Results: Sisters of 111 breast cancer patients and 123 healthy controls completed the questionnaire. Sisters with high perceived risk showed high scores on anxity and alexithymia scale as compared to healthy control. Regression analysis showed significant association between perceived risk and anxiety (t=2.023, p<.05) and alexithymia factor difficulty in identifying feelings and total alexithymia score(t=6.787, p<.000 and 3.726, p<.000). Conclusions: Sisters of patients with breast cancers showed significantly higher perceived risk, anxiety and alexithymia than their healthy counter parts. The sister’s perception of breast cancer risk influences the anxiety and emotional experience. Our data emphasizes that medical professional should discuss risk appraisals to anxiety and emotional concerns in both breast cancer patients and their sisters to help them in coping with breast cancer and concerns in the family.
{"title":"Perceived Risk, Anxiety and Alexithymia in Sisters of Breast Cancer Patients","authors":"V. Mishra, D. Saranath","doi":"10.4172/2325-9795.1000303","DOIUrl":"https://doi.org/10.4172/2325-9795.1000303","url":null,"abstract":"Objective: The purpose of the study was to examine the perception of risk of breast cancer in sisters of newly diagnosed breast cancer patients and further examine the association with anxiety and alexithymia, as compared to healthy controls without a family history of breast cancer. Methods: The participants were requested to complete questionnaires including demographic and risk perception of breast cancer. The association of risk perception was evaluated by using the State Trait Anxiety Inventory Scale and Toronto Alexithymia Scale in sisters of breast cancer patients and healthy controls. Results: Sisters of 111 breast cancer patients and 123 healthy controls completed the questionnaire. Sisters with high perceived risk showed high scores on anxity and alexithymia scale as compared to healthy control. Regression analysis showed significant association between perceived risk and anxiety (t=2.023, p<.05) and alexithymia factor difficulty in identifying feelings and total alexithymia score(t=6.787, p<.000 and 3.726, p<.000). Conclusions: Sisters of patients with breast cancers showed significantly higher perceived risk, anxiety and alexithymia than their healthy counter parts. The sister’s perception of breast cancer risk influences the anxiety and emotional experience. Our data emphasizes that medical professional should discuss risk appraisals to anxiety and emotional concerns in both breast cancer patients and their sisters to help them in coping with breast cancer and concerns in the family.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130451705","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 : 2018-03-22DOI: 10.4172/2325-9795.1000302
A. Chamsi, T. Ghamdi, F. Ramadan, S. Shahed
Background: Obese women are at an increased risk of various adverse pregnancy outcomes. The aim of our study was to evaluate the impact of obesity on maternal and neonatal outcomes in Saudi Pregnant Females and to compare obstetric outcomes by the level of maternal obesity. Materials and Methods: A Retrospective cohort study included 2517 women with singleton gestations who gave birth at the Department of Obstetrics and Gynecology, Security Forces Hospital, Riyadh, Sauid Arabia in 2016. Pregnancy complications and neonatal outcomes were identified using the hospital Medical Record Viewer Database. Women were divided into two groups based on their BMI in their first antenatal visit into, non-obese with BMI <30 kg/m2 and obese with BMI ≥ 30 kg/m2. Furthermore obese women were subcategorized into two groups (BMI 30- 34.9 kg/m2, and BMI ≥ 35 kg/ m2, ) and pregnancy outcomes were compared between these and non-obese pregnant women. Results: Obese women were significantly more likely to have gestational hypertension (OR=8.59; 95% CI, 5.23-14.14; P<0.0001), preeclampsia (OR=2.06; 95% CI, 1.14-3.73; P<0.0001), gestational diabetes (OR=5.56; 95% CI, 3.66-8.49; P<0.0001), dystocia (OR=2.14; 95% CI, 1.36-3.38; P<0.0001), induced labor (OR=2.64; 95% CI, 1.83-3.80; P<0.0001), failed induction of labor (OR=18.06; 95% CI, 8.85-36.84; P<0.0001), cesarean delivery (OR=1.76; 95% CI, 1.25-2.49; P=0.001), large-for-gestational-age newborns (OR=3.68; 95% CI, 2.51 5.39; P<0.0001). Significantly increased risk of gestational diabetes, preeclampsia, dystocia and newborns with Apgar score ≤ 7 after 5 min was only observed in women with BMI ≥ 35 kg/m2. Conclusions: Maternal obesity is significantly associated with an increased risk of gestational hypertension, preeclampsia, gestational diabetes, dystocia, labor induction, failed induction of labor, large-for-gestational-age newborns and cesarean delivery.
{"title":"The Effect of Maternal Obesity on Maternal and Neonatal outcome in Pregnant Saudi Females","authors":"A. Chamsi, T. Ghamdi, F. Ramadan, S. Shahed","doi":"10.4172/2325-9795.1000302","DOIUrl":"https://doi.org/10.4172/2325-9795.1000302","url":null,"abstract":"Background: Obese women are at an increased risk of various adverse pregnancy outcomes. The aim of our study was to evaluate the impact of obesity on maternal and neonatal outcomes in Saudi Pregnant Females and to compare obstetric outcomes by the level of maternal obesity. Materials and Methods: A Retrospective cohort study included 2517 women with singleton gestations who gave birth at the Department of Obstetrics and Gynecology, Security Forces Hospital, Riyadh, Sauid Arabia in 2016. Pregnancy complications and neonatal outcomes were identified using the hospital Medical Record Viewer Database. Women were divided into two groups based on their BMI in their first antenatal visit into, non-obese with BMI <30 kg/m2 and obese with BMI ≥ 30 kg/m2. Furthermore obese women were subcategorized into two groups (BMI 30- 34.9 kg/m2, and BMI ≥ 35 kg/ m2, ) and pregnancy outcomes were compared between these and non-obese pregnant women. Results: Obese women were significantly more likely to have gestational hypertension (OR=8.59; 95% CI, 5.23-14.14; P<0.0001), preeclampsia (OR=2.06; 95% CI, 1.14-3.73; P<0.0001), gestational diabetes (OR=5.56; 95% CI, 3.66-8.49; P<0.0001), dystocia (OR=2.14; 95% CI, 1.36-3.38; P<0.0001), induced labor (OR=2.64; 95% CI, 1.83-3.80; P<0.0001), failed induction of labor (OR=18.06; 95% CI, 8.85-36.84; P<0.0001), cesarean delivery (OR=1.76; 95% CI, 1.25-2.49; P=0.001), large-for-gestational-age newborns (OR=3.68; 95% CI, 2.51 5.39; P<0.0001). Significantly increased risk of gestational diabetes, preeclampsia, dystocia and newborns with Apgar score ≤ 7 after 5 min was only observed in women with BMI ≥ 35 kg/m2. Conclusions: Maternal obesity is significantly associated with an increased risk of gestational hypertension, preeclampsia, gestational diabetes, dystocia, labor induction, failed induction of labor, large-for-gestational-age newborns and cesarean delivery.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130891865","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 : 2018-03-07DOI: 10.4172/2325-9795.1000299
Rhiannon Fisher, C. McLellan, W. Sinclair, C. Minahan
Introduction: The prevalence rate of oral contraceptives (OC) use in women varies greatly among women, potentially due to demographics including age, income and education. Little is currently known regarding the influence of physical-activity level on OC use and if the perceived benefits and barriers of OC use is affected by exercise levels. Methods: Participants (n=125) were recruited via email and social media and grouped for weekly physical activity levels. Participants were distributed in to untrained women (UT; n=26), recreationally active (REC; n=44) and trained women (TR; n=55). Online survey software was used to inquiry about the OC practices and physical activity levels of Australian women. The survey included ranked response question regarding the perceived benefits and barriers of OC use, with the option of open ended response to provide explanation. Results: The prevalence rates of OC use were 31%, 39%, and 47% for the UT, REC, and TR groups, respectively. Despite an apparent mean increase in prevalence with physical-activity level, there were no significant differences among the three groups (p>0.05). All women, regardless of physical-activity level reported birth control, cycle regularity and a reduction in menstrual symptoms as perceived benefits of taking OC. The perceived reasons for not taking OC were somewhat more diverse between the groups and included the introduction of exogenous hormones, weight gain, utilising alternative methods of birth control and the commitment habitually to take the medication. Discussion /Conclusion: Results of the present study suggest physical-activity levels do not appear to play a direct role in OC use in the cross-section of female participants and does not influence the prevalence of use.
{"title":"The Perceived Benefits and Barriers for Oral Contraceptive Use in Women Grouped for Physical-Activity","authors":"Rhiannon Fisher, C. McLellan, W. Sinclair, C. Minahan","doi":"10.4172/2325-9795.1000299","DOIUrl":"https://doi.org/10.4172/2325-9795.1000299","url":null,"abstract":"Introduction: The prevalence rate of oral contraceptives (OC) use in women varies greatly among women, potentially due to demographics including age, income and education. Little is currently known regarding the influence of physical-activity level on OC use and if the perceived benefits and barriers of OC use is affected by exercise levels. \u0000 \u0000Methods: Participants (n=125) were recruited via email and social media and grouped for weekly physical activity levels. Participants were distributed in to untrained women (UT; n=26), recreationally active (REC; n=44) and trained women (TR; n=55). Online survey software was used to inquiry about the OC practices and physical activity levels of Australian women. The survey included ranked response question regarding the perceived benefits and barriers of OC use, with the option of open ended response to provide explanation. \u0000 \u0000Results: The prevalence rates of OC use were 31%, 39%, and 47% for the UT, REC, and TR groups, respectively. Despite an apparent mean increase in prevalence with physical-activity level, there were no significant differences among the three groups (p>0.05). All women, regardless of physical-activity level reported birth control, cycle regularity and a reduction in menstrual symptoms as perceived benefits of taking OC. The perceived reasons for not taking OC were somewhat more diverse between the groups and included the introduction of exogenous hormones, weight gain, utilising alternative methods of birth control and the commitment habitually to take the medication. \u0000 \u0000Discussion /Conclusion: Results of the present study suggest physical-activity levels do not appear to play a direct role in OC use in the cross-section of female participants and does not influence the prevalence of use.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116346875","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 : 2018-03-07DOI: 10.4172/2325-9795.1000300
Usha Sagadevan, Jayanthi Ponnusamy
Presence of high colored urine is an indicator of a systemic abnormality, most of genitourinary. The other causes could point out to hepatic abnormalities, resulting in a coagulation dysfunction. However, it is uncommon to find a post partum case of high colored urine in the absence of any local or systemic pathology. This study reports a rare case of orange coloured urine in a 25 year old lady on the first day of Lower Segment Cesarean Section. The primi, reported a history of recurrent urinary tract infections and she was diagnosed with Pregnancy Induced Hypertension during her antenatal period. Following admission at 36 weeks, she delivered through LSCS a normal 2.2 kg weighing baby with a good APGAR. On the first post operative day, she reported orange discoloration of her urine. Routine blood investigations revealed normal renal, hepatic and coagulation profiles. A urine analysis and culture revealed presence of urinary infection with Klebsiella pneumonia. On treatment with sensitive antibiotics, the discoloration disappeared and the urine was free of bacteria. The mechanism of high colored urine was proposed to be due to the presence of indirubin, as a result of breakdown of tryptophan by the bacteria in an alkaline environment. This case report elucidates the need for constant vigil for an early diagnosis in order to prevent complications.
{"title":"Orange Coloured Urine Following a Lower Segment Cesarean Section: A Case Report","authors":"Usha Sagadevan, Jayanthi Ponnusamy","doi":"10.4172/2325-9795.1000300","DOIUrl":"https://doi.org/10.4172/2325-9795.1000300","url":null,"abstract":"Presence of high colored urine is an indicator of a systemic abnormality, most of genitourinary. The other causes could point out to hepatic abnormalities, resulting in a coagulation dysfunction. However, it is uncommon to find a post partum case of high colored urine in the absence of any local or systemic pathology. This study reports a rare case of orange coloured urine in a 25 year old lady on the first day of Lower Segment Cesarean Section. The primi, reported a history of recurrent urinary tract infections and she was diagnosed with Pregnancy Induced Hypertension during her antenatal period. Following admission at 36 weeks, she delivered through LSCS a normal 2.2 kg weighing baby with a good APGAR. On the first post operative day, she reported orange discoloration of her urine. Routine blood investigations revealed normal renal, hepatic and coagulation profiles. A urine analysis and culture revealed presence of urinary infection with Klebsiella pneumonia. On treatment with sensitive antibiotics, the discoloration disappeared and the urine was free of bacteria. The mechanism of high colored urine was proposed to be due to the presence of indirubin, as a result of breakdown of tryptophan by the bacteria in an alkaline environment. This case report elucidates the need for constant vigil for an early diagnosis in order to prevent complications.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"194 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114433089","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 : 2018-03-07DOI: 10.4172/2325-9795.1000295
Samuel Kofi Arhin, Yu Zhao, Xiaosheng Lu, Jie-Qiang Lu
Background: Several studies have suggested that abnormal glucose metabolism, caused by the easy availability of calories and an increasingly sedentary lifestyle, is a cause of infertility. Indeed, specific foods have been shown to affect fertility by influencing related signaling pathways. Excess insulin has been shown to induce hormonal imbalances, which in turn can disrupt ovulation, egg quality, and conception, and women exhibiting insulin resistance often develop polycystic ovarian syndrome (PCOS). Similarly, a majority of diabetic individuals also suffer from infertility. Recently, our understanding of the relationship between glucose metabolism and fertility has greatly improved. Methods: The published literature was systematically reviewed for case-controlled and cohort studies investigating infertility and glucose metabolism. A meta-analysis was then performed on all studies meeting well-defined selection criteria, as determined by two independent reviewers. The studies were critically evaluated using the Newcastle-Ottawa scale for non-randomized studies, before data were pooled and analyzed. Main findings: Twenty-one articles were included in the final analysis, all of which provided the age, BMI, and ovulatory status of the subjects. A significant association between impaired glucose metabolism and infertility was observed. Additionally, impaired glucose metabolism was significantly more likely to occur where subjects were over 30 years of age, had a BMI of over 25 kg/m2, or had metabolic syndrome. Impaired glucose metabolism was also associated with PCOS and infertility in women. Conclusion: We have systematically pooled the available evidence, and we find a convincing causative link between altered glucose metabolism and serious fertility complications.
{"title":"Abnormal Glucose Metabolism and Infertility","authors":"Samuel Kofi Arhin, Yu Zhao, Xiaosheng Lu, Jie-Qiang Lu","doi":"10.4172/2325-9795.1000295","DOIUrl":"https://doi.org/10.4172/2325-9795.1000295","url":null,"abstract":"Background: Several studies have suggested that abnormal glucose metabolism, caused by the easy availability of calories and an increasingly sedentary lifestyle, is a cause of infertility. Indeed, specific foods have been shown to affect fertility by influencing related signaling pathways. Excess insulin has been shown to induce hormonal imbalances, which in turn can disrupt ovulation, egg quality, and conception, and women exhibiting insulin resistance often develop polycystic ovarian syndrome (PCOS). Similarly, a majority of diabetic individuals also suffer from infertility. Recently, our understanding of the relationship between glucose metabolism and fertility has greatly improved. Methods: The published literature was systematically reviewed for case-controlled and cohort studies investigating infertility and glucose metabolism. A meta-analysis was then performed on all studies meeting well-defined selection criteria, as determined by two independent reviewers. The studies were critically evaluated using the Newcastle-Ottawa scale for non-randomized studies, before data were pooled and analyzed. Main findings: Twenty-one articles were included in the final analysis, all of which provided the age, BMI, and ovulatory status of the subjects. A significant association between impaired glucose metabolism and infertility was observed. Additionally, impaired glucose metabolism was significantly more likely to occur where subjects were over 30 years of age, had a BMI of over 25 kg/m2, or had metabolic syndrome. Impaired glucose metabolism was also associated with PCOS and infertility in women. Conclusion: We have systematically pooled the available evidence, and we find a convincing causative link between altered glucose metabolism and serious fertility complications.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"2018 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129470107","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 : 2018-03-07DOI: 10.4172/2325-9795.1000298
Md. Rashedul Alam, Md Nuruzzaman Khan, Md. Mizanur Rahman, T. Roy
Background: Adolescent childbearing is a major public health problem worldwide especially in South Asian Countries. Adolescent pregnancy especially below 17 years of age has been considered to have a higher risk than adult pregnancy, because of biological immaturity of the teenager. In this study it is conduct the systematic review and meta-analysis to summarize the adverse birth and health outcomes associated with adolescent pregnancy. Methods: We adopted the PRISMA consensus statement. PubMed database were searched on February 13, 2016. 24 studies were included, 10 studies go to the quantative synthesis and others go to narrative reviews. Meta –analysis was used to pool the result of the individual studies. Results: Adolescent pregnancy found to be significantly associated with higher risk of low birth weight (LBW), (OR, 1.50; 95% CI 1.27 – 1.78), preterm birth (PTB) (OR, 1.49;95% CI 1.15 – 1.93), small for gestational age (SGA) (OR, 1.33; 95% CI 1.13 – 1.56) and neonatal mortality (OR,1.45; 95% CI 1.20 – 1.76) . Lower risk of cesarean delivery (OR, 0.77; 95% CI 0.60 – 0.98) also reported among the adolescent mothers. Risk of perinatal mortality also found lower (OR, 0.80; 95% CI 0.42 – 1.51) among adolescent mothers, however, the risk was not statistically significant. Conclusion: The findings concluded that adolescence pregnancy increase the risk of LBW, PTB, SGA, neonatal mortality. The risk of cesarean delivery and perinatal mortality found lower among adolescent mothers. Increase awareness about the adverse effect of adolescent pregnancy outcomes may protective rules in adolescent marriage help to reduce such outcomes for the welfare of mother as well as children.
背景:青少年生育是世界范围内的一个主要公共卫生问题，特别是在南亚国家。青少年怀孕，特别是17岁以下的青少年怀孕被认为比成人怀孕的风险更高，因为青少年在生物学上还不成熟。本研究通过系统回顾和荟萃分析来总结与青少年怀孕相关的不良分娩和健康结局。方法:采用PRISMA共识声明。PubMed数据库于2016年2月13日检索。共纳入了24项研究，10项研究进行了定量综合，其他研究进行了叙述性综述。Meta分析用于汇总各个研究的结果。结果:青少年怀孕与低出生体重(LBW)的高风险显著相关，(OR, 1.50;95% CI 1.27 - 1.78)，早产(PTB) (OR, 1.49;95% CI 1.15 - 1.93)，胎龄小(SGA) (OR, 1.33;95% CI 1.13 - 1.56)和新生儿死亡率(OR,1.45;95% ci 1.20 - 1.76)。剖宫产风险较低(OR, 0.77;95%可信区间为0.60 - 0.98)。围产期死亡风险也较低(OR, 0.80;95% CI 0.42 - 1.51)，但风险无统计学意义。结论:青少年妊娠增加了LBW、PTB、SGA和新生儿死亡率的风险。在青少年母亲中，剖宫产和围产期死亡率的风险较低。提高对青少年怀孕结果不利影响的认识，可能有助于青少年婚姻中的保护性规则减少这种结果，为母亲和儿童谋福利。
{"title":"Adolescent Childbearing Age and Risk of Adverse Perinatal and Health Outcomes in South Asian Countries: A Systematic Review and Meta-Analysis","authors":"Md. Rashedul Alam, Md Nuruzzaman Khan, Md. Mizanur Rahman, T. Roy","doi":"10.4172/2325-9795.1000298","DOIUrl":"https://doi.org/10.4172/2325-9795.1000298","url":null,"abstract":"Background: Adolescent childbearing is a major public health problem worldwide especially in South Asian Countries. Adolescent pregnancy especially below 17 years of age has been considered to have a higher risk than adult pregnancy, because of biological immaturity of the teenager. In this study it is conduct the systematic review and meta-analysis to summarize the adverse birth and health outcomes associated with adolescent pregnancy. Methods: We adopted the PRISMA consensus statement. PubMed database were searched on February 13, 2016. 24 studies were included, 10 studies go to the quantative synthesis and others go to narrative reviews. Meta –analysis was used to pool the result of the individual studies. Results: Adolescent pregnancy found to be significantly associated with higher risk of low birth weight (LBW), (OR, 1.50; 95% CI 1.27 – 1.78), preterm birth (PTB) (OR, 1.49;95% CI 1.15 – 1.93), small for gestational age (SGA) (OR, 1.33; 95% CI 1.13 – 1.56) and neonatal mortality (OR,1.45; 95% CI 1.20 – 1.76) . Lower risk of cesarean delivery (OR, 0.77; 95% CI 0.60 – 0.98) also reported among the adolescent mothers. Risk of perinatal mortality also found lower (OR, 0.80; 95% CI 0.42 – 1.51) among adolescent mothers, however, the risk was not statistically significant. Conclusion: The findings concluded that adolescence pregnancy increase the risk of LBW, PTB, SGA, neonatal mortality. The risk of cesarean delivery and perinatal mortality found lower among adolescent mothers. Increase awareness about the adverse effect of adolescent pregnancy outcomes may protective rules in adolescent marriage help to reduce such outcomes for the welfare of mother as well as children.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"400 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124355409","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 : 2018-03-07DOI: 10.4172/2325-9795.1000297
E. Möhler, Andrea Dixius
Several studies have convicingly demonstrated a deleterious effect of prenatal stress on the pregnancy outcome. In line with the “Fetal Programming Hypothesis” studies detected that prenatal stress isprogramming fetal brain functions associated with permanent changes in neuroendocrine regulation and behaviour in the child and adolescent (Literatur, Jahr) . Long-term consequences like ADHS or schizophrenia are associated with those changes Satz unklar! While the consequences and risks of prenatal stress are meanwhile well approved, there is only very rare literature about the character of the relevant pregnancy specific stress-factors. The objectiveaim of this study was to find preventiv or predisposing factors in stress coping. It investigated subjective, objective and hormonal aspects of stress, trying to find the criteria with the highest impact on pregnant women. In each trimester of pregnancy self-report questionnaires and anamnestic data were examined The self-report data included pregnancxy- related anxiety (PRAQ: so wird der international abgekurzt, perceived stress, life events, perceived stress (PSQ), pregnancy-specific stress (PESI), depression (EPDS), partnership (FPD) and social support (F-sozU). 111 women were included into the analysis.The findings show that a good partnerschip and social support seem to be the most important factors preventing pregnant women from emotional and psychological stress, independet from their objective situation. These results highlight the importance of a firm social enviroment and a good partnership as highly underestimated factors to minimize stress-related risks for mother and child.
几项研究令人信服地证明了产前压力对妊娠结局的有害影响。与“胎儿编程假说”一致，研究发现，产前压力正在编程胎儿大脑功能，与儿童和青少年神经内分泌调节和行为的永久性改变有关(文献，Jahr)。像ADHS或精神分裂症这样的长期后果与这些变化有关。虽然产前压力的后果和风险同时得到了很好的认可，但只有非常罕见的文献关于相关怀孕特定压力因素的特征。本研究旨在探讨压力应对的预防或诱发因素。它调查了压力的主观、客观和荷尔蒙方面，试图找到对孕妇影响最大的标准。在每个妊娠期对自我报告问卷和记忆数据进行检查，自我报告数据包括妊娠相关焦虑(PRAQ: so wind der international abgekurzt)、感知压力、生活事件、感知压力(PSQ)、妊娠特异性压力(PESI)、抑郁(EPDS)、伴侣关系(FPD)和社会支持(F-sozU)。111名女性被纳入分析。研究结果表明，良好的伴侣关系和社会支持似乎是预防孕妇情绪和心理压力的最重要因素，与她们的客观情况无关。这些结果强调了坚定的社会环境和良好的伙伴关系的重要性，因为它们被高度低估了，可以最大限度地减少母亲和孩子的压力相关风险。
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Pub Date : 2018-03-07DOI: 10.4172/2325-9795.1000296
K. Verhagen, Z. Khalaf, G. Jassim
Background: There is a recognised need for a mass populationbased breast cancer screening programme in Bahrain. Better understanding of the level of knowledge and the different perceptions regarding breast cancer among women in Bahrain can potentially aid in the development of a culturally appropriate and efficient educational campaign. This study set out to explore the knowledge of women in Bahrain with regards to breast cancer risk factors, screening and treatment options. Methods: This study is a cross-sectional study including 300 participants from breast clinics in the primary health care centres in Bahrain. Questionnaires were completed via face to face interviews. Results: In terms of risk factor knowledge, 51.3% of respondents answered “yes” on whether family history is a risk to developing breast cancer. This was closely followed by 51% of participants answering “yes” with regards to BRCA genetic mutation being a risk factor. Mammogram was exceedingly the method rated as most effective for detecting BC; 13.7% gave it a rank of 1 (best). Physical examination came second in terms the percentage of respondents ranking it as the best. Furthermore, 91.0% of respondents believed that BC screening is safe. In addition, there was a statistically significant negative relationship between age of respondents and how safe screening was perceived. Education was a statistically significant positive predictor with regards to whether screening was thought to improve survival. Surgery was chosen by the majority as the most important treatment for cancer (43.7%). Conclusions: The findings of this study point to improved screening knowledge level but limited knowledge regarding risk factors and treatment. These areas can be targeted in future educational campaigns.
{"title":"Women’s Knowledge of Breast Cancer: A Cross-Sectional Study","authors":"K. Verhagen, Z. Khalaf, G. Jassim","doi":"10.4172/2325-9795.1000296","DOIUrl":"https://doi.org/10.4172/2325-9795.1000296","url":null,"abstract":"Background: There is a recognised need for a mass populationbased breast cancer screening programme in Bahrain. Better understanding of the level of knowledge and the different perceptions regarding breast cancer among women in Bahrain can potentially aid in the development of a culturally appropriate and efficient educational campaign. This study set out to explore the knowledge of women in Bahrain with regards to breast cancer risk factors, screening and treatment options. Methods: This study is a cross-sectional study including 300 participants from breast clinics in the primary health care centres in Bahrain. Questionnaires were completed via face to face interviews. Results: In terms of risk factor knowledge, 51.3% of respondents answered “yes” on whether family history is a risk to developing breast cancer. This was closely followed by 51% of participants answering “yes” with regards to BRCA genetic mutation being a risk factor. Mammogram was exceedingly the method rated as most effective for detecting BC; 13.7% gave it a rank of 1 (best). Physical examination came second in terms the percentage of respondents ranking it as the best. Furthermore, 91.0% of respondents believed that BC screening is safe. In addition, there was a statistically significant negative relationship between age of respondents and how safe screening was perceived. Education was a statistically significant positive predictor with regards to whether screening was thought to improve survival. Surgery was chosen by the majority as the most important treatment for cancer (43.7%). Conclusions: The findings of this study point to improved screening knowledge level but limited knowledge regarding risk factors and treatment. These areas can be targeted in future educational campaigns.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122661372","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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