Pub Date : 2018-02-17DOI: 10.4172/2161-0932.1000463
R. Al-Rifai, F. Aziz
Objectives: To investigate the level of basic knowledge pertaining to cesarean section (CS) delivery and identified factors associated with having an “inadequate basic knowledge” of CS delivery among Egyptian females.Design: Population-based cross-sectional study.Population: Egyptian females aged 15-49 years who responded “yes” to the question “have you ever heard of the practice “caesarean delivery”?”Methods: Five statements of the basic knowledge pertaining to CS delivery that surveyed in the Egyptian Health Issues Survey 2015 (EHIS-2015) were utilized. The basic knowledge pertaining to CS delivery was dichotomized into “inadequate” or “adequate” level.Main outcome measure: Inadequate basic knowledge of CS that defined as scoring a total correct score of ≤ 2 out of a maximum potential score of 5.Results: Of the 9,209 females, 6,063 ever-married females were included with a mean age of 32.95 ± standard deviation (SD) 8.35 years. The mean lifetime parity was 2.85 ± SD 1.69 children. Over a half (53.4%) of females had an inadequate basic knowledge of CS. The inadequate knowledge of CS was concentrated among females who aged ≤ 20 years (56.2%) or >35 years (55.5%), with primary education or below (60.6%), living in rural areas (55.7%), “not at all” were reading newspapers or magazines (54.2%) on a weekly basis, nulliparous females (67.7%), and females with ≥ 3 children (54.4%). After adjusting for potential confounders, females who were “not at all” reading newspapers or magazines on weekly basis, experienced vaginal delivery only (aOR: 2.80, 95% CI, 2.13-3.67), or nulliparous females (aOR: 2.03, 95% CI, 1.79-2.30), were more likely to have the inadequate knowledge of CS.Conclusions: Basic knowledge pertaining to CS delivery among Egyptian females is low. Robust national level programs to promote knowledge on different modes of birth delivery are warranted, particularly in socially deprived populations.
{"title":"An Apparent Lack in Level of Basic Knowledge of Caesarean Section Delivery among Egyptian Females: A Population-Based Cross-Sectional Survey","authors":"R. Al-Rifai, F. Aziz","doi":"10.4172/2161-0932.1000463","DOIUrl":"https://doi.org/10.4172/2161-0932.1000463","url":null,"abstract":"Objectives: To investigate the level of basic knowledge pertaining to cesarean section (CS) delivery and identified factors associated with having an “inadequate basic knowledge” of CS delivery among Egyptian females.Design: Population-based cross-sectional study.Population: Egyptian females aged 15-49 years who responded “yes” to the question “have you ever heard of the practice “caesarean delivery”?”Methods: Five statements of the basic knowledge pertaining to CS delivery that surveyed in the Egyptian Health Issues Survey 2015 (EHIS-2015) were utilized. The basic knowledge pertaining to CS delivery was dichotomized into “inadequate” or “adequate” level.Main outcome measure: Inadequate basic knowledge of CS that defined as scoring a total correct score of ≤ 2 out of a maximum potential score of 5.Results: Of the 9,209 females, 6,063 ever-married females were included with a mean age of 32.95 ± standard deviation (SD) 8.35 years. The mean lifetime parity was 2.85 ± SD 1.69 children. Over a half (53.4%) of females had an inadequate basic knowledge of CS. The inadequate knowledge of CS was concentrated among females who aged ≤ 20 years (56.2%) or >35 years (55.5%), with primary education or below (60.6%), living in rural areas (55.7%), “not at all” were reading newspapers or magazines (54.2%) on a weekly basis, nulliparous females (67.7%), and females with ≥ 3 children (54.4%). After adjusting for potential confounders, females who were “not at all” reading newspapers or magazines on weekly basis, experienced vaginal delivery only (aOR: 2.80, 95% CI, 2.13-3.67), or nulliparous females (aOR: 2.03, 95% CI, 1.79-2.30), were more likely to have the inadequate knowledge of CS.Conclusions: Basic knowledge pertaining to CS delivery among Egyptian females is low. Robust national level programs to promote knowledge on different modes of birth delivery are warranted, particularly in socially deprived populations.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"152 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2018-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78568684","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 : 2018-01-01DOI: 10.4172/2161-0932.1000465
S. B. Kitila, W. Molla, Tilahun Wedaynewu, Tadele Yadessa, M. Gellan
Background: Ethiopia is a country of long-standing history with its own identity. It is also a country with many useful traditional practices. On the other hand, it is a country where harmful traditional practices commonly practiced during pregnancy, labor delivery, post-natal.Objective: The aim of this systematic review was to identify common folk practices during childbirth and reasons for committing this practice in Ethiopia, 2017.Methodology: Systematic review was conducted using a priori protocol prepared specifically for this review. Articles were retrieved through a comprehensive search strategy. Data were extracted using critical appraisal check list.Results: A total of 173 articles were identified, of which 10 were included in the review after full evaluation. The findings were presented under sub headings as folk practice: During pregnancy: priority for first pregnancy, not talking about it at early age, not buying items for baby until delivery, food taboos like: food items that are white in color, vegetables, fruits, meat in some circumstances and sugarcane. During Labor and Delivery: Hanging experienced women near the laboring mother, not allowing men to be involved in the delivery process, sex preference, birth by shock and dancing, applying butter on abdomen, Bush Birthing, opening belts, opening all closed items in the house hold. During postnatal period: funeraling of placenta, “Gubbifachuu”, “Arguugaa eelmachuu” milking the cows for three consecutive days, giving water and/or milk right after delivery, washing newborn, staying with clothes dressed during delivery, not initiating breastfeeding up until the cord cut off, placing the butter on the cord, not tying cord, “Ulumaa taa’uu”, not to touch the new born baby, Mingi, Lanka Mansat.Conclusion: There is strong evidence that Ethiopian women are practicing various cultural practices during child birth process. Therefore, we recommend context specific intervention to avert maternal and newborn complications/deaths related to this folk practices.
{"title":"Folk Practice During Childbirth and Reasons for the Practice in Ethiopia: A Systematic Review","authors":"S. B. Kitila, W. Molla, Tilahun Wedaynewu, Tadele Yadessa, M. Gellan","doi":"10.4172/2161-0932.1000465","DOIUrl":"https://doi.org/10.4172/2161-0932.1000465","url":null,"abstract":"Background: Ethiopia is a country of long-standing history with its own identity. It is also a country with many useful traditional practices. On the other hand, it is a country where harmful traditional practices commonly practiced during pregnancy, labor delivery, post-natal.Objective: The aim of this systematic review was to identify common folk practices during childbirth and reasons for committing this practice in Ethiopia, 2017.Methodology: Systematic review was conducted using a priori protocol prepared specifically for this review. Articles were retrieved through a comprehensive search strategy. Data were extracted using critical appraisal check list.Results: A total of 173 articles were identified, of which 10 were included in the review after full evaluation. The findings were presented under sub headings as folk practice: During pregnancy: priority for first pregnancy, not talking about it at early age, not buying items for baby until delivery, food taboos like: food items that are white in color, vegetables, fruits, meat in some circumstances and sugarcane. During Labor and Delivery: Hanging experienced women near the laboring mother, not allowing men to be involved in the delivery process, sex preference, birth by shock and dancing, applying butter on abdomen, Bush Birthing, opening belts, opening all closed items in the house hold. During postnatal period: funeraling of placenta, “Gubbifachuu”, “Arguugaa eelmachuu” milking the cows for three consecutive days, giving water and/or milk right after delivery, washing newborn, staying with clothes dressed during delivery, not initiating breastfeeding up until the cord cut off, placing the butter on the cord, not tying cord, “Ulumaa taa’uu”, not to touch the new born baby, Mingi, Lanka Mansat.Conclusion: There is strong evidence that Ethiopian women are practicing various cultural practices during child birth process. Therefore, we recommend context specific intervention to avert maternal and newborn complications/deaths related to this folk practices.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"3 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86888356","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 : 2018-01-01DOI: 10.4172/2161-0932.1000489
Akinfolarin C. Adepiti, K. Ajenifuja, O. Sowemimo, O. Dare
{"title":"Gender Preference among Women Attending Antenatal Clinic in a Tertiary Hospital in Southwest Nigeria","authors":"Akinfolarin C. Adepiti, K. Ajenifuja, O. Sowemimo, O. Dare","doi":"10.4172/2161-0932.1000489","DOIUrl":"https://doi.org/10.4172/2161-0932.1000489","url":null,"abstract":"","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83973701","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 : 2018-01-01DOI: 10.4172/2161-0932.1000485
A. Afrah, Y. Tettey, R. Gyasi
{"title":"Cytological Change in Cervical Smears Associated With Contraceptive (Hormonal and IUCDs) Use In Women Visiting Cytology Unit of Korle-Bu Teaching Hospital for Routine Cervical Screening","authors":"A. Afrah, Y. Tettey, R. Gyasi","doi":"10.4172/2161-0932.1000485","DOIUrl":"https://doi.org/10.4172/2161-0932.1000485","url":null,"abstract":"","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"254 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72971076","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 : 2018-01-01DOI: 10.4172/2161-0932.1000493
D. Diallo, O. Thiam, F. Toure, D. Konaté, Cisse Ml
Objectives: To describe the epidemiological and clinical profile of the evacuated patients, to analyze the means of evacuation as well as the cost of the evacuation, and finally, to evaluate the maternal-fetal prognosis of the evacuated patients.Material and methods: We carried out a prospective study going from January to December 2015 covering all obstetric emergencies evacuated at the Ourossogui maternity ward. Study variables: epidemiological; evacuation conditions, diagnostic and therapeutic aspects and prognostic aspects.Results: The frequency of obstetric evacuation was 66.2%. Our patients were primiparous (39.2%), out of school (85.6%), married (97.7%) and low income (94.7%) with an average age of 24.8 years. The average number of CPNs was 2.6. More than one in three women had 4 CPNs or more (33.6%). The distance traveled averaged 45.6 km with extremes of 1 km to 160 km. The ambulance was used in 90% of cases. The reasons for evacuation were dominated by obstructed labor in 29.4%; hemorrhages in 26.5%. Eight home deliveries and four en route were noted. The maternal prognosis was favorable in 98.6%. Seventeen cases of death were recorded, ie 1.4%. The child was alive and well in 83.2% and deaths accounted for 16%. Maternal deaths most often occurred among illiterate, low-income, multi-gesting women with fewer than 4CPNs under 35 years of age who traveled long distances and were evacuated by unskilled staff.Conclusion: Emergency obstetric evacuation represents a major challenge for the health system in the Matam region. Improvements include literacy training for the population, continuous training of health personnel and recruitment of practitioners.
{"title":"The Prognosis of Obstetric Evacuation in Rural Areas in Senegal, Example of Ourossogui Rural Hospital","authors":"D. Diallo, O. Thiam, F. Toure, D. Konaté, Cisse Ml","doi":"10.4172/2161-0932.1000493","DOIUrl":"https://doi.org/10.4172/2161-0932.1000493","url":null,"abstract":"Objectives: To describe the epidemiological and clinical profile of the evacuated patients, to analyze the means of evacuation as well as the cost of the evacuation, and finally, to evaluate the maternal-fetal prognosis of the evacuated patients.Material and methods: We carried out a prospective study going from January to December 2015 covering all obstetric emergencies evacuated at the Ourossogui maternity ward. Study variables: epidemiological; evacuation conditions, diagnostic and therapeutic aspects and prognostic aspects.Results: The frequency of obstetric evacuation was 66.2%. Our patients were primiparous (39.2%), out of school (85.6%), married (97.7%) and low income (94.7%) with an average age of 24.8 years. The average number of CPNs was 2.6. More than one in three women had 4 CPNs or more (33.6%). The distance traveled averaged 45.6 km with extremes of 1 km to 160 km. The ambulance was used in 90% of cases. The reasons for evacuation were dominated by obstructed labor in 29.4%; hemorrhages in 26.5%. Eight home deliveries and four en route were noted. The maternal prognosis was favorable in 98.6%. Seventeen cases of death were recorded, ie 1.4%. The child was alive and well in 83.2% and deaths accounted for 16%. Maternal deaths most often occurred among illiterate, low-income, multi-gesting women with fewer than 4CPNs under 35 years of age who traveled long distances and were evacuated by unskilled staff.Conclusion: Emergency obstetric evacuation represents a major challenge for the health system in the Matam region. Improvements include literacy training for the population, continuous training of health personnel and recruitment of practitioners.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"18 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74221218","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 : 2018-01-01DOI: 10.4172/2161-0932.1000484
Getnet Gedefaw, Eskeziaw Abebe, Rebka Nigatu, B. Mesfin, Amanuel Addisu
{"title":"Institutional Delivery Service Utilization and its Factors Influencing Among Mothers Who Gave Birth in Woldia Town, Ethiopia. A Community- Based Cross-Sectional Study","authors":"Getnet Gedefaw, Eskeziaw Abebe, Rebka Nigatu, B. Mesfin, Amanuel Addisu","doi":"10.4172/2161-0932.1000484","DOIUrl":"https://doi.org/10.4172/2161-0932.1000484","url":null,"abstract":"","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"248 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88700773","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 : 2018-01-01DOI: 10.4172/2161-0932.1000E127
Swasti
Immunohistochemistry of estrogen receptor (ER) and progesterone receptor (PR) is not routinely adopted by clinicians for the management of endometrial cancers. However, they may have significant importance in determining tumor behaviour and selection of an appropriate treatment protocol. An insight into the role of ER and PR in endometrial cancers is needed for optimizing outcome. The mechanism of action of these receptors in endometrial carcinoma needs to be clearly understood.
{"title":"Estrogen and Progesterone Receptors in Endometrial Cancer: Where Are We Today?","authors":"Swasti","doi":"10.4172/2161-0932.1000E127","DOIUrl":"https://doi.org/10.4172/2161-0932.1000E127","url":null,"abstract":"Immunohistochemistry of estrogen receptor (ER) and progesterone receptor (PR) is not routinely adopted by clinicians for the management of endometrial cancers. However, they may have significant importance in determining tumor behaviour and selection of an appropriate treatment protocol. An insight into the role of ER and PR in endometrial cancers is needed for optimizing outcome. The mechanism of action of these receptors in endometrial carcinoma needs to be clearly understood.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"15 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88930244","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 : 2018-01-01DOI: 10.4172/2161-0932.1000470
D. Verma, Jyotsna Vermab
Approximately, 1 in 1,000-2,000 pregnancies today is complicated by cancers such as Breast, Cervical, Lymphoma or Melanoma; whose treatment is centralized to Chemotherapy via certain cytotoxic and other drugs. BUT, IS CHEMOTHERAPY DURING PREGNANCY REALLY A WISE CHOICE? Depending upon the Impact of pregnancy on the outcome of cancer, Gestational age and risk of metastasis to the placenta and fetus, and Safety of treatment; chemotherapy is suggested which ironically, yields an increased risk of birth defects. Certain cancers like Hodgkin Lymphoma and Breast cancer can have their treatment delayed, until delivery by giving steroids and till the completion of first trimester, respectively. But Cervical and Melanoma cancers require an urgent treatment due to their high metastasis property. In cervical cancer, chemotherapy starts only after the termination of pregnancy as the Uterus itself gets affected. While in melanoma, Placenta and Fetus are the targets due to certain hormonal changes. The greatest risk to the fetus occurs during the first trimester as it is the Critical stage of its development, especially when chemotherapy involves anti-metabolite drugs. Such cytotoxic agents interrupt metabolic pathways by destroying macromolecules of tumor as well as of normal tissue, thereby interfering with DNA and RNA synthesis. As a result, it leads to systemic toxicity and teratogenicity. These conditions cause defects like ventriculomegaly, bicuspid aortic valve, high arched palate, limb malformations, necrotizing enterocolitis in the fetus. Moreover, there is also the risk of infection and hemorrhage caused by Myelosuppression chemotherapy that causes lowering in Red Blood Corpuscles, White Blood Corpuscles and Platelet count. Thus, in all such cancers and their therapies, the primary concern remains centralized – Exposure of fetus to the therapy and its wellbeing. There is a need to befit chemotherapy during the course of pregnancy at a place, where it acts as a boon for both the mother as well as the developing fetus.
{"title":"Place Value of Chemotherapy during Pregnancy","authors":"D. Verma, Jyotsna Vermab","doi":"10.4172/2161-0932.1000470","DOIUrl":"https://doi.org/10.4172/2161-0932.1000470","url":null,"abstract":"Approximately, 1 in 1,000-2,000 pregnancies today is complicated by cancers such as Breast, Cervical, Lymphoma or Melanoma; whose treatment is centralized to Chemotherapy via certain cytotoxic and other drugs. BUT, IS CHEMOTHERAPY DURING PREGNANCY REALLY A WISE CHOICE? Depending upon the Impact of pregnancy on the outcome of cancer, Gestational age and risk of metastasis to the placenta and fetus, and Safety of treatment; chemotherapy is suggested which ironically, yields an increased risk of birth defects. Certain cancers like Hodgkin Lymphoma and Breast cancer can have their treatment delayed, until delivery by giving steroids and till the completion of first trimester, respectively. But Cervical and Melanoma cancers require an urgent treatment due to their high metastasis property. In cervical cancer, chemotherapy starts only after the termination of pregnancy as the Uterus itself gets affected. While in melanoma, Placenta and Fetus are the targets due to certain hormonal changes. The greatest risk to the fetus occurs during the first trimester as it is the Critical stage of its development, especially when chemotherapy involves anti-metabolite drugs. Such cytotoxic agents interrupt metabolic pathways by destroying macromolecules of tumor as well as of normal tissue, thereby interfering with DNA and RNA synthesis. As a result, it leads to systemic toxicity and teratogenicity. These conditions cause defects like ventriculomegaly, bicuspid aortic valve, high arched palate, limb malformations, necrotizing enterocolitis in the fetus. Moreover, there is also the risk of infection and hemorrhage caused by Myelosuppression chemotherapy that causes lowering in Red Blood Corpuscles, White Blood Corpuscles and Platelet count. Thus, in all such cancers and their therapies, the primary concern remains centralized – Exposure of fetus to the therapy and its wellbeing. There is a need to befit chemotherapy during the course of pregnancy at a place, where it acts as a boon for both the mother as well as the developing fetus.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"23 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90507423","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 : 2018-01-01DOI: 10.4172/2161-0932.1000490
M. Valère, Belinga Etienne, Engbang Ndamba Jean Paul, Kasia Jean Marie
Macrosomia is defined as a newborn weighing 4000 g and above. Its incidence varies between 2% to 15% in recent publications. The morbidity and mortality are still high in Sub Saharan Africa. The mode of delivery of the macrosomic fetus remains a challenging moment in obstetrics even today. The objective of this study was to assess the relation between macrosomic newborn anthropometrics parameters and the mode of delivery. It was a descriptive cross-sectional study, conducted from November 4th, 2013 to June 4th, 2014. All macrosomic newborn defined as birth weight ≥ 4000 g taken at the moment of delivery were included. Those born through an elective caesarian section or dead before maternal admission were excluded, so were mothers with a true conjugate <10.5 cm. Newborn anthropometric data were assessed according to the mode of delivery and maternofetal outcome. We used X2 for statistical analysis. The incidence was high, 7.68% (77/1002). Many macrosomia contributing factors like maternal age, parity, obesity, previous delivery of the macrosomic baby and male newborn were frequent in the study population. Maternal and fetal complications were rare. The frequency of vaginal delivery was 71.4% and the mode of delivery was not related to newborn weight, but rather to a new parameter, the newborn length, and the cut-off point was a newborn length of 53 cm. Macrosomic baby measuring 53 cm and above were more likely to be born vaginally whereas a length less than 53 increased the frequency of delivery by caesarian section (P=0.0001).
{"title":"Macrosomic Newborn Anthropometric Parameters and the Mode of Delivery","authors":"M. Valère, Belinga Etienne, Engbang Ndamba Jean Paul, Kasia Jean Marie","doi":"10.4172/2161-0932.1000490","DOIUrl":"https://doi.org/10.4172/2161-0932.1000490","url":null,"abstract":"Macrosomia is defined as a newborn weighing 4000 g and above. Its incidence varies between 2% to 15% in recent publications. The morbidity and mortality are still high in Sub Saharan Africa. The mode of delivery of the macrosomic fetus remains a challenging moment in obstetrics even today. The objective of this study was to assess the relation between macrosomic newborn anthropometrics parameters and the mode of delivery. It was a descriptive cross-sectional study, conducted from November 4th, 2013 to June 4th, 2014. All macrosomic newborn defined as birth weight ≥ 4000 g taken at the moment of delivery were included. Those born through an elective caesarian section or dead before maternal admission were excluded, so were mothers with a true conjugate <10.5 cm. Newborn anthropometric data were assessed according to the mode of delivery and maternofetal outcome. We used X2 for statistical analysis. The incidence was high, 7.68% (77/1002). Many macrosomia contributing factors like maternal age, parity, obesity, previous delivery of the macrosomic baby and male newborn were frequent in the study population. Maternal and fetal complications were rare. The frequency of vaginal delivery was 71.4% and the mode of delivery was not related to newborn weight, but rather to a new parameter, the newborn length, and the cut-off point was a newborn length of 53 cm. Macrosomic baby measuring 53 cm and above were more likely to be born vaginally whereas a length less than 53 increased the frequency of delivery by caesarian section (P=0.0001).","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"26 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87678730","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 : 2018-01-01DOI: 10.4172/2161-0932.1000482
Ibrahim Sa, Farag Am, Badr Ms
Aim: To evaluate the effect of the type and site of placenta previa on pregnancy outcomes. Methods: We studied retrospectively 324 women with singleton pregnancies presented with placenta previa. After diagnosis by trans abdominal U/S, the cases were grouped into complete and incomplete placenta previa, and then each were categorized to posterior and anterior groups. We compared maternal criteria and outcomes of neonates in complete and incomplete placentae previa, and the differences between the two groups were evaluated. Results: Women with complete placenta previa were more prevalent than those with incomplete placenta previa (59.2% versus 17.5%), with the higher incidence of preterm labor in women with complete than in those with incomplete placenta previa ( 45.2% versus 8.7%); Incidence of APH in complete placenta previa did not significantly differ between the posterior and the anterior groups. The anterior group was with higher incidence of preterm labor than the posterior group (76.3% versus 31.9%; p=0.002). Gestational age at labor with incomplete placenta previa didn't significantly differ between the posterior and anterior groups. Conclusion: Awareness should be taken towards the risk of increased maternal and fetal morbidity, especially with anterior placenta previa.
{"title":"Evaluation of Pregnancy Outcomes in Relation to Placenta Previa Location","authors":"Ibrahim Sa, Farag Am, Badr Ms","doi":"10.4172/2161-0932.1000482","DOIUrl":"https://doi.org/10.4172/2161-0932.1000482","url":null,"abstract":"Aim: To evaluate the effect of the type and site of placenta previa on pregnancy outcomes. Methods: We studied retrospectively 324 women with singleton pregnancies presented with placenta previa. After diagnosis by trans abdominal U/S, the cases were grouped into complete and incomplete placenta previa, and then each were categorized to posterior and anterior groups. We compared maternal criteria and outcomes of neonates in complete and incomplete placentae previa, and the differences between the two groups were evaluated. Results: Women with complete placenta previa were more prevalent than those with incomplete placenta previa (59.2% versus 17.5%), with the higher incidence of preterm labor in women with complete than in those with incomplete placenta previa ( 45.2% versus 8.7%); Incidence of APH in complete placenta previa did not significantly differ between the posterior and the anterior groups. The anterior group was with higher incidence of preterm labor than the posterior group (76.3% versus 31.9%; p=0.002). Gestational age at labor with incomplete placenta previa didn't significantly differ between the posterior and anterior groups. Conclusion: Awareness should be taken towards the risk of increased maternal and fetal morbidity, especially with anterior placenta previa.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80365602","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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