Pub Date : 2018-09-28DOI: 10.32474/igwhc.2018.02.000147
Pralhad Adhikari
Women constitute 51.5 percent of Nepal’s population. Their socioeconomic condition is very backward. Because of forced or early marriage, women are compelled to work as breadwinner of family or worker of household. Some women have obligation to work during pregnancy or immediately after delivery. Since many male cohorts have gone abroad, society resorts to women for labor. Occupational hazards of women are different based on geography, rural-urban environment, ethnicity (or caste) and even religion. Commonest of them are lack of safety devices, sexual harassment, domestic/workplace violence, injuries and occupational diseases. Their effects on psychology are lowered dignity (including self-esteem), trauma, melancholy, depression, early aging and other neurotic disorders. Their effects on reproductive health are sexual deprivation, uterine prolapse, molestation at workplace, sexually
{"title":"Effects of Occupational Hazards on Mental and Reproductive Health of Women in Nepal","authors":"Pralhad Adhikari","doi":"10.32474/igwhc.2018.02.000147","DOIUrl":"https://doi.org/10.32474/igwhc.2018.02.000147","url":null,"abstract":"Women constitute 51.5 percent of Nepal’s population. Their socioeconomic condition is very backward. Because of forced or early marriage, women are compelled to work as breadwinner of family or worker of household. Some women have obligation to work during pregnancy or immediately after delivery. Since many male cohorts have gone abroad, society resorts to women for labor. Occupational hazards of women are different based on geography, rural-urban environment, ethnicity (or caste) and even religion. Commonest of them are lack of safety devices, sexual harassment, domestic/workplace violence, injuries and occupational diseases. Their effects on psychology are lowered dignity (including self-esteem), trauma, melancholy, depression, early aging and other neurotic disorders. Their effects on reproductive health are sexual deprivation, uterine prolapse, molestation at workplace, sexually","PeriodicalId":220356,"journal":{"name":"Interventions in Gynaecology and Women’s Healthcare","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128043736","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 : 2018-09-27DOI: 10.32474/IGWHC.2018.02.000146
A. Pellizzon
Cervical cancer (CC) is a neoplasm with great potential for prevention, but it is still a public health problem in most developing countries. There are no significant differences between the use of high dose rate (HDR-BT) and low dose rate (LDR-BT) brachytherapy when considering overall, disease specific and recurrence free survivals. Cervical dilatation is mandatory for the insertion of intrauterine tandems in any of the techniques cited above. Pain and discomfort may eventually be limiting factors of the outpatient procedure and may lead to unsatisfactory results in terms of adequate position of the applicator set. We reviewed the current sedation and anesthetic options for comfort and safety procedures when performing HDR-BT. Int Gyn & Women’s Health Copyrights@ Antonio Cassio Assis Pellizzon. Citation: Antonio C A P. Sedation or Anesthesia Before Cervical Cancer Brachytherapy. Int Gyn & Women’s Health 2(5)2018. IGWHC. MS.ID.000146. DOI: 10.32474/IGWHC.2018.02.000146. 197 are suitable for inpatients. In Brazil and probably worldwide, besides US and Europe, it is underused due to the shortage of anesthesiologists.
宫颈癌是一种具有巨大预防潜力的肿瘤,但在大多数发展中国家仍是一个公共卫生问题。在考虑总体、疾病特异性和无复发生存率时,高剂量率(HDR-BT)和低剂量率(LDR-BT)近距离放疗的使用没有显著差异。在上述任何一种技术中,宫颈扩张都是宫内串联插入的必要条件。疼痛和不适可能最终成为门诊手术的限制因素,并可能导致在适当位置的涂抹器设置方面不满意的结果。我们回顾了当前的镇静和麻醉选择,以确保HDR-BT手术的舒适性和安全性。版权所有@ Antonio Cassio Assis Pellizzon引用本文:Antonio C A P.宫颈癌近距离放疗前的镇静或麻醉。《妇科与妇女健康》2(5)2018。IGWHC。MS.ID.000146。DOI: 10.32474 / IGWHC.2018.02.000146。197个适用于住院病人。除了美国和欧洲,在巴西,也许在世界范围内,由于麻醉师的短缺,它没有得到充分利用。
{"title":"Sedation or Anesthesia Before Cervical Cancer Brachytherapy","authors":"A. Pellizzon","doi":"10.32474/IGWHC.2018.02.000146","DOIUrl":"https://doi.org/10.32474/IGWHC.2018.02.000146","url":null,"abstract":"Cervical cancer (CC) is a neoplasm with great potential for prevention, but it is still a public health problem in most developing countries. There are no significant differences between the use of high dose rate (HDR-BT) and low dose rate (LDR-BT) brachytherapy when considering overall, disease specific and recurrence free survivals. Cervical dilatation is mandatory for the insertion of intrauterine tandems in any of the techniques cited above. Pain and discomfort may eventually be limiting factors of the outpatient procedure and may lead to unsatisfactory results in terms of adequate position of the applicator set. We reviewed the current sedation and anesthetic options for comfort and safety procedures when performing HDR-BT. Int Gyn & Women’s Health Copyrights@ Antonio Cassio Assis Pellizzon. Citation: Antonio C A P. Sedation or Anesthesia Before Cervical Cancer Brachytherapy. Int Gyn & Women’s Health 2(5)2018. IGWHC. MS.ID.000146. DOI: 10.32474/IGWHC.2018.02.000146. 197 are suitable for inpatients. In Brazil and probably worldwide, besides US and Europe, it is underused due to the shortage of anesthesiologists.","PeriodicalId":220356,"journal":{"name":"Interventions in Gynaecology and Women’s Healthcare","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117239392","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: 10.32474/IGWHC.2018.02.000145
P. Cusack
{"title":"A Women’s Place is at the Heart of the Home","authors":"P. Cusack","doi":"10.32474/IGWHC.2018.02.000145","DOIUrl":"https://doi.org/10.32474/IGWHC.2018.02.000145","url":null,"abstract":"","PeriodicalId":220356,"journal":{"name":"Interventions in Gynaecology and Women’s Healthcare","volume":"1 3 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":"122701797","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 : 2018-09-19DOI: 10.32474/IGWHC.2018.02.000144
Murcia Lora José María
{"title":"Biophysical Biomarkers of The Fertile Window in Sub-Fertile Women: Individual Approach","authors":"Murcia Lora José María","doi":"10.32474/IGWHC.2018.02.000144","DOIUrl":"https://doi.org/10.32474/IGWHC.2018.02.000144","url":null,"abstract":"","PeriodicalId":220356,"journal":{"name":"Interventions in Gynaecology and Women’s Healthcare","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130944806","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 : 2018-09-17DOI: 10.32474/IGWHC.2018.02.000143
Akhil Kumar, S. Patra
Aging is an inevitable process and many factors like genes, lifestyles, diet and environment determine longevity. As humans go older, physical conditions decline which leads to many illnesses. Depression constitutes the most common emotional disorder found in older people. Estimates of the prevalence of major depressive disorder of the elderly range from 2% 10% of those 65 and older [1]. Depression can be treated by administrating antidepressants, electroconvulsive therapy, Transcranial magnetic stimulations, cognitive behavioral and interpersonal therapies, lifestyle modifications and alternative therapies [2,3]. The alternative therapies encompass a variety of approaches which includes acupuncture, aroma therapy, laughter therapy, biofeedback, chiropractic treatments, guided imagery, dietary supplements, hypnosis, massage therapy, meditation, relaxation and yoga [4]. There is growing empirical literature on the effectiveness of laughter therapy on depression on elderly [5]. The objectives of the study were to compare the mean pre-test depression score of senior citizens between the experimental and control group. We also intended to compare the mean pre-test depression score of senior citizens in the experimental group. The mean pre-test depression score of senior citizens in the control group was compared. The mean post-test depression score of senior citizens between the experimental and control group was compared and evaluated. We also aimed to find out the association between level of depression and selected socio demographic variables of senior citizens in the experimental and control group UPINE PUBLISHERS Open Access L Interventions in Gynecology and Women’s Healthcare Research Article ISSN: 2637-4544 DOI: 10.32474/IGWHC.2018.02.000143 Int Gyn & Women’s Health Copyrights@ Satyajit P, et al. Citation: Akhil K, Satyajit P. Laughter Therapy Decreases Depression Among in Senior Citizens Residing in Old Age Homes. Int Gyn & Women’s Health 2(4)2018. IGWHC.MS.ID.000143. DOI: 10.32474/IGWHC.2018.02.000143. 188 Figure 1.
衰老是一个不可避免的过程,基因、生活方式、饮食和环境等许多因素决定了寿命。随着人类年龄的增长,身体状况会下降,从而导致许多疾病。抑郁症是老年人中最常见的情绪障碍。据估计,65岁及以上老年人的重度抑郁症患病率在2%至10%之间。抑郁症可以通过服用抗抑郁药、电休克疗法、经颅磁刺激、认知行为和人际治疗、改变生活方式和替代疗法来治疗[2,3]。替代疗法包括多种方法,包括针灸、芳香疗法、笑声疗法、生物反馈、脊椎按摩疗法、引导意象、膳食补充剂、催眠、按摩疗法、冥想、放松和瑜伽。越来越多的实证文献表明笑声疗法对老年人抑郁症的治疗效果。本研究的目的是比较实验组和对照组的老年人抑郁前测平均分。我们还打算比较实验组老年人的平均前测抑郁得分。比较对照组老年人抑郁前测平均分。比较和评价实验组和对照组老年人测试后抑郁的平均得分。我们还旨在找出实验组和对照组老年人抑郁水平与选定的社会人口统计学变量之间的关系。UPINE PUBLISHERS开放获取L干预妇科和妇女保健研究文章ISSN: 2637-4544 DOI: 10.32474/IGWHC.2018.02.000143 Int Gyn & Women 's Health版权@ Satyajit P, et al.。引用本文:Akhil K, Satyajit P.笑声疗法减少老年人的抑郁。《妇科与妇女健康》2(4)2018。IGWHC.MS.ID.000143。DOI: 10.32474 / IGWHC.2018.02.000143。188图1。
{"title":"Laughter Therapy Decreases Depression Among in Senior Citizens Residing in Old Age Homes","authors":"Akhil Kumar, S. Patra","doi":"10.32474/IGWHC.2018.02.000143","DOIUrl":"https://doi.org/10.32474/IGWHC.2018.02.000143","url":null,"abstract":"Aging is an inevitable process and many factors like genes, lifestyles, diet and environment determine longevity. As humans go older, physical conditions decline which leads to many illnesses. Depression constitutes the most common emotional disorder found in older people. Estimates of the prevalence of major depressive disorder of the elderly range from 2% 10% of those 65 and older [1]. Depression can be treated by administrating antidepressants, electroconvulsive therapy, Transcranial magnetic stimulations, cognitive behavioral and interpersonal therapies, lifestyle modifications and alternative therapies [2,3]. The alternative therapies encompass a variety of approaches which includes acupuncture, aroma therapy, laughter therapy, biofeedback, chiropractic treatments, guided imagery, dietary supplements, hypnosis, massage therapy, meditation, relaxation and yoga [4]. There is growing empirical literature on the effectiveness of laughter therapy on depression on elderly [5]. The objectives of the study were to compare the mean pre-test depression score of senior citizens between the experimental and control group. We also intended to compare the mean pre-test depression score of senior citizens in the experimental group. The mean pre-test depression score of senior citizens in the control group was compared. The mean post-test depression score of senior citizens between the experimental and control group was compared and evaluated. We also aimed to find out the association between level of depression and selected socio demographic variables of senior citizens in the experimental and control group UPINE PUBLISHERS Open Access L Interventions in Gynecology and Women’s Healthcare Research Article ISSN: 2637-4544 DOI: 10.32474/IGWHC.2018.02.000143 Int Gyn & Women’s Health Copyrights@ Satyajit P, et al. Citation: Akhil K, Satyajit P. Laughter Therapy Decreases Depression Among in Senior Citizens Residing in Old Age Homes. Int Gyn & Women’s Health 2(4)2018. IGWHC.MS.ID.000143. DOI: 10.32474/IGWHC.2018.02.000143. 188 Figure 1.","PeriodicalId":220356,"journal":{"name":"Interventions in Gynaecology and Women’s Healthcare","volume":"221 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114586735","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 : 2018-08-23DOI: 10.32474/IGWHC.2018.02.000140
A. Elnahas, M. Ahmed
Objectives: To determine success rate of VBAC (Vaginal birth after cesarean section) with reference to prognostic factors to predict successful VBAC in Khartoum Maternity Hospital- Sudan Methodology: It was descriptive, cross sectional and hospital based study conducted in a period of one year, involving 342 pregnant women with one previous C/S who were admitted in the labor room as emergency cases, were evaluated thoroughly, data collected through designed questionnaire include:- Socio-demographic characters, antenatal clinic follow up, previous C/S, variables affect success of VBAC and outcome of current pregnancy. Results: A total of 342 pregnant women involved in this study, the majority of them (78.36%) were counseled for VBAC. Fetal distress was the most common cause for previous C/S (39.77%) and failure to progress account for 24.56%. Factors affecting success of the VBAC in this study were; BMI between 25-30 was 58.77%, previous successful VBAC was 44.15% and birth weight between 3-3.5kg was 47.37%. The outcome of this pregnancy were; 67.3% had successful VBAC, while 23.7% had emergency caesarean section Conclusion: This study reported 67.3% success rate of VBAC and concludes a significant increase in the successful rate of VBAC associated with accurate prior ante natal care, meticulous counseling, prior vaginal delivery, previous success VBAC, BMI between 25-30 and maternal age <35 years.
{"title":"Factors Associated with Success Rate of Vaginal Birth After Single Caesarean Section in Khartoum Maternity Hospital","authors":"A. Elnahas, M. Ahmed","doi":"10.32474/IGWHC.2018.02.000140","DOIUrl":"https://doi.org/10.32474/IGWHC.2018.02.000140","url":null,"abstract":"Objectives: To determine success rate of VBAC (Vaginal birth after cesarean section) with reference to prognostic factors to predict successful VBAC in Khartoum Maternity Hospital- Sudan Methodology: It was descriptive, cross sectional and hospital based study conducted in a period of one year, involving 342 pregnant women with one previous C/S who were admitted in the labor room as emergency cases, were evaluated thoroughly, data collected through designed questionnaire include:- Socio-demographic characters, antenatal clinic follow up, previous C/S, variables affect success of VBAC and outcome of current pregnancy. Results: A total of 342 pregnant women involved in this study, the majority of them (78.36%) were counseled for VBAC. Fetal distress was the most common cause for previous C/S (39.77%) and failure to progress account for 24.56%. Factors affecting success of the VBAC in this study were; BMI between 25-30 was 58.77%, previous successful VBAC was 44.15% and birth weight between 3-3.5kg was 47.37%. The outcome of this pregnancy were; 67.3% had successful VBAC, while 23.7% had emergency caesarean section Conclusion: This study reported 67.3% success rate of VBAC and concludes a significant increase in the successful rate of VBAC associated with accurate prior ante natal care, meticulous counseling, prior vaginal delivery, previous success VBAC, BMI between 25-30 and maternal age <35 years.","PeriodicalId":220356,"journal":{"name":"Interventions in Gynaecology and Women’s Healthcare","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115865279","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 : 2018-08-13DOI: 10.32474/IGWHC.2018.02.000139
M. Allah, F. Basama, A. Elnahas, Ameer Osman Abaker
Background: Most women with Uterine Leiomyomata (UL) attribute various negative experiences in their lifetime to symptoms related to UL such as: abnormal uterine bleeding, various pressure symptoms and pelvic pain. Most of the research on UL examined the efficacy of treatment modalities, but only few researchers have addressed the impact of the disease on the women’s HealthRelated Quality of Life (HRQL). Methods: This is a descriptive, prospective, hospital-based qualitative study. The data was collected by: Focus Group (FG) interviews and by structured questionnaire. 200 women with symptomatic UL were recruited over a period of 6 months. The data was analyzed using the Statistical Package for Social Sciences (SPSS) data analysis tool, Version 20. Results: The majority of women (98%) graded their symptoms as moderate or severe. The mostly affected group are those in the reproductive age (20 to 39 years). 69% of the employed women claimed that the disease has affected their work and 55% of them reported UL as a reason for their absence from work. 27.2% of all women think that the disease has moderately restricted their social and physical activities, whereas 66.4% think the impact on their work is severe. 28.3% of all women think that their sexual life was moderately dysfunctional because of the disease and 52.2% think the effect was severe. 36.8% and 61.6% of all women reported moderate to severe psychological concerns respectively, such as: the sensation of fear, feeling of unfairness, and discouragement. Conclusions: Uterine leiomyomata are a common health concern for women in the child-bearing age. Symptomatic UL has apparently a negative impact on: women HRQL, sexual and social lives and it appears to affect their work performance. There is no significant correlation between the women symptoms and type of employment; however, the study is suggestive of a possible positive correlation between the women severity of symptoms and: social activities, energy, mood, sense of control, and sexual function. UPINE PUBLISHERS Open Access L Interventions in Gynecology and Women’s Healthcare Research Article ISSN: 2637-4544 DOI: 10.32474/IGWHC.2018.02.000139 Int Gyn & Women’s Health Copyrights@ Amir Ehadi Elzein Elnahas, et al. Citation: Marwa M A A, Faisal M S B, Amir E, Ameer O A. Impacts of Uterine Leiomyomata on Women’s Quality of Life. Int Gyn & Women’s Health 2(3)2018. IGWHC.MS.ID.000139. DOI: 10.32474/IGWHC.2018.02.000139. 161 Many women with UL may have symptoms like: a) Heavy and/or prolonged menses
背景:大多数子宫平滑肌瘤(UL)患者将其一生中的各种负面经历归因于与UL相关的症状,如:子宫异常出血、各种压力症状和盆腔疼痛。大多数关于UL的研究都考察了治疗方式的疗效,但很少有研究人员关注该疾病对女性健康相关生活质量(HRQL)的影响。方法:这是一项描述性、前瞻性、基于医院的定性研究。数据收集采用焦点小组(FG)访谈和结构化问卷。在6个月的时间里招募了200名有症状性溃疡的女性。数据分析使用社会科学统计软件包(SPSS)数据分析工具,版本20。结果:大多数女性(98%)将其症状分为中度或重度。受影响最大的群体是处于生育年龄的人(20至39岁)。69%的就业妇女声称这种疾病影响了她们的工作,其中55%的人报告说,UL是她们缺勤的一个原因。27.2%的妇女认为这种疾病对她们的社交和体育活动造成了一定程度的限制,而66.4%的妇女认为这种疾病对她们的工作造成了严重影响。28.3%的女性认为她们的性生活因该疾病而受到中度功能障碍的影响,52.2%的女性认为影响严重。36.8%和61.6%的女性分别报告了中度至重度的心理问题,例如:恐惧感、不公平感和沮丧感。结论:子宫平滑肌瘤是育龄妇女常见的健康问题。症状性UL对女性的HRQL、性生活和社交生活都有明显的负面影响,似乎还会影响她们的工作表现。妇女的症状与就业类型之间没有显著的相关性;然而,该研究表明,女性症状的严重程度与社交活动、精力、情绪、控制感和性功能之间可能存在正相关。UPINE出版社开放获取L妇科和妇女保健研究干预措施文章ISSN: 2637-4544 DOI: 10.32474/IGWHC.2018.02.000139 Int Gyn & Women Health版权所有@ Amir Ehadi Elzein Elnahas, et al.。引用本文:Marwa M A A, Faisal M S B, Amir E, Ameer O A.子宫平滑肌瘤对女性生活质量的影响。《妇科与妇女健康》2(3)2018。IGWHC.MS.ID.000139。DOI: 10.32474 / IGWHC.2018.02.000139。161许多患有UL的女性可能有以下症状:a)月经频繁和/或月经延长
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Pub Date : 2018-08-01DOI: 10.32474/IGWHC.2018.02.000138
M. Yi, Lim Yee Cherng, M. Khaing, Rafiae Amin
Intrauterine contraceptive device (IUCD) is one of the contraceptive methods and its efficacy is as high as 90% [1]. Increasing use of this device has led to an increase in its related complications. These complications include infection (1%), uterine perforation (0.1%), expulsion of device (5%), failure to prevent pregnancy as well as ectopic pregnancy (0.5-1%), menstrual problems like menorrhagia or dysmenorrhea, migration into the pelvis cavity(misplacements) (5%) and the frequent clinical problem is the lost tail or loss of the filament at the external cervical os [2]. There were so many studies about IUCD and its sequelae. The commonest and most attractive area is misplacement or migration and loss of IUCD thread. Clinicians from all over the world proved that hysteroscope is the best option to find the lost device in the uterine cavity. There were studies recommending usage of hysteroscopy for embedded or displaced IUCD. A study by Zuan Chong Feng et al. mentioned that hysteroscopy with an ultrasound B-scan is of great value not only for precise location but also for its removal under direct vision, particularly in the management of patients with broken and/or embedded IUCD pieces [3]. A study by Dwyer and James revealed that the incidence of difficulties associated with IUCD removal may occur in up to 9% of follow-up visits of women who have been fitted with IUCD [4]. According to the evidence, incidence of intrauterine device perforation is 0.87 per 1000 insertions [5]. (Ofer Markovitch et al.) Most perforations occur at the time of insertion and the risk is increased in the 4-8 weeks postpartum. When the string is found to be missing, pregnancy must be excluded, and the endometrial cavity explored. Ultrasonography can often determine if the IUCD is in the uterus; most IUCDs that perforate the uterus are often found in the pelvis [5].
宫内节育器(IUCD)是其中一种避孕方法,其有效性高达90%[1]。越来越多地使用这种装置导致其相关并发症的增加。这些并发症包括感染(1%)、子宫穿孔(0.1%)、器械排出(5%)、未能预防妊娠及异位妊娠(0.5-1%)、月经问题如月经过多或痛经、移入骨盆腔(错位)(5%)以及常见的临床问题是宫颈外腔尾部丢失或纤维丢失[2]。关于宫内节育器及其后遗症的研究很多。最常见和最具吸引力的是宫内节育器螺纹错位或移位和丢失。来自世界各地的临床医生证明宫腔镜是寻找宫腔内丢失装置的最佳选择。有研究建议使用宫腔镜检查嵌入或移位的宫内节育器。Zuan Chong Feng等人的研究指出,宫腔镜b超扫描不仅可以精确定位,而且可以在直视下取出,特别是在处理宫内节育器片破碎和/或嵌埋的患者中具有重要价值[3]。Dwyer和James的一项研究显示,在安装了IUCD的女性中,高达9%的随访患者可能出现与取出IUCD相关的困难[4]。有证据表明,宫内节育器穿孔的发生率为0.87 / 1000次插入[5]。(Ofer Markovitch et al.)大多数穿孔发生在插入时,产后4-8周的风险增加。当发现绳子缺失时,必须排除妊娠,并检查子宫内膜腔。超声检查通常可以确定宫内节育器是否在子宫内;大多数穿孔子宫的宫内节育器常见于骨盆[5]。
{"title":"Intrauterine Contraceptive Device, Simple Yet Still A Dilemma","authors":"M. Yi, Lim Yee Cherng, M. Khaing, Rafiae Amin","doi":"10.32474/IGWHC.2018.02.000138","DOIUrl":"https://doi.org/10.32474/IGWHC.2018.02.000138","url":null,"abstract":"Intrauterine contraceptive device (IUCD) is one of the contraceptive methods and its efficacy is as high as 90% [1]. Increasing use of this device has led to an increase in its related complications. These complications include infection (1%), uterine perforation (0.1%), expulsion of device (5%), failure to prevent pregnancy as well as ectopic pregnancy (0.5-1%), menstrual problems like menorrhagia or dysmenorrhea, migration into the pelvis cavity(misplacements) (5%) and the frequent clinical problem is the lost tail or loss of the filament at the external cervical os [2]. There were so many studies about IUCD and its sequelae. The commonest and most attractive area is misplacement or migration and loss of IUCD thread. Clinicians from all over the world proved that hysteroscope is the best option to find the lost device in the uterine cavity. There were studies recommending usage of hysteroscopy for embedded or displaced IUCD. A study by Zuan Chong Feng et al. mentioned that hysteroscopy with an ultrasound B-scan is of great value not only for precise location but also for its removal under direct vision, particularly in the management of patients with broken and/or embedded IUCD pieces [3]. A study by Dwyer and James revealed that the incidence of difficulties associated with IUCD removal may occur in up to 9% of follow-up visits of women who have been fitted with IUCD [4]. According to the evidence, incidence of intrauterine device perforation is 0.87 per 1000 insertions [5]. (Ofer Markovitch et al.) Most perforations occur at the time of insertion and the risk is increased in the 4-8 weeks postpartum. When the string is found to be missing, pregnancy must be excluded, and the endometrial cavity explored. Ultrasonography can often determine if the IUCD is in the uterus; most IUCDs that perforate the uterus are often found in the pelvis [5].","PeriodicalId":220356,"journal":{"name":"Interventions in Gynaecology and Women’s Healthcare","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131856550","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 : 2018-07-30DOI: 10.32474/IGWHC.2018.02.000137
R. Hajare
A bisexual relationship can break heart. Bisexual women, according to a study, have a higher risk for heart disease. Turns out, for women, being bisexual can be injurious to health. According to a study conducted by the New York University, bisexual women have a higher risk for heart disease compared with heterosexual women across several modifiable risk factors [1-3]. “Our findings highlight the impact of sexual orientation, specifically sexual identity, on the cardiovascular health of women and suggest clinicians and public health practitioners should develop tailored screening and prevention to reduce heart disease risk in bisexual women,” Little is known about the impact of sexual orientation on heart disease risk in women, despite the fact that gay and bisexual women may be at a higher risk based on modifiable factors like tobacco use and poor mental health.
{"title":"Indian Women, Trauma and Bisexual (FSF and FSM) Connections in Higher Risk for Heart Disease","authors":"R. Hajare","doi":"10.32474/IGWHC.2018.02.000137","DOIUrl":"https://doi.org/10.32474/IGWHC.2018.02.000137","url":null,"abstract":"A bisexual relationship can break heart. Bisexual women, according to a study, have a higher risk for heart disease. Turns out, for women, being bisexual can be injurious to health. According to a study conducted by the New York University, bisexual women have a higher risk for heart disease compared with heterosexual women across several modifiable risk factors [1-3]. “Our findings highlight the impact of sexual orientation, specifically sexual identity, on the cardiovascular health of women and suggest clinicians and public health practitioners should develop tailored screening and prevention to reduce heart disease risk in bisexual women,” Little is known about the impact of sexual orientation on heart disease risk in women, despite the fact that gay and bisexual women may be at a higher risk based on modifiable factors like tobacco use and poor mental health.","PeriodicalId":220356,"journal":{"name":"Interventions in Gynaecology and Women’s Healthcare","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121003955","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 : 2018-07-12DOI: 10.32474/IGWHC.2018.02.000136
Murcia Lora José María, Mejía Quiroga Jorge Enrique, M. C. Marian, Alberto Falces deAndrés
{"title":"Fertility Awareness and Biotechnological Application by Innovation Networks","authors":"Murcia Lora José María, Mejía Quiroga Jorge Enrique, M. C. Marian, Alberto Falces deAndrés","doi":"10.32474/IGWHC.2018.02.000136","DOIUrl":"https://doi.org/10.32474/IGWHC.2018.02.000136","url":null,"abstract":"","PeriodicalId":220356,"journal":{"name":"Interventions in Gynaecology and Women’s Healthcare","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134110783","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}