Pub Date : 2018-01-01DOI: 10.4172/2161-0932.1000473
Marishet Agumasie, Zemenu Yohannes, T. Abegaz
Introduction: Childbirth is one-day event but the experience lasts lifelong and is shared with others. Client dissatisfaction at public health hospitals causes parturient women to do health care shopping to private hospitals and decrease utilization of service at public heath hospitals. The aim of this study was to assess client satisfaction and associated factors at public health hospitals in Hawassa city. Method: A hospital based cross sectional study was conducted from December to January 2015. A systematic sampling technique was applied, and 398 mothers who gave live births were included in the study subjects. Data were entered into EPI info version 7.1 statistical software and exported to SPSS version 20 for analysis. Bivariate and multivariate analysis was applied to check the association of explanatory variables with outcome variable. Result: In public health hospitals, clients’ satisfaction at three dimensions was 87.7%. Non-formal education (AOR=6.8, 95 % CI: 1.2-38.7), had primary education (AOR=4.25, 95 % CI: 1.4-13.2) and getting prompt attention by caregivers within five minutes (AOR= 5, 95 % CI: 2.08-12.03). Being a student (AOR=0.16, 95 % CI: 0.05-0.59) and instrumental delivery (AOR=0.19, 95 % CI: 0.06-0.69). Conclusion: This study showed that client satisfaction is better than other public hospitals on delivery service. There is needed to intervene on predictors of maternal dissatisfaction like being a student, instrumental delivery and waiting time to get obstetric care providers and points to improve and strengthen for better maternal satisfaction.
{"title":"Maternal Satisfaction and Associated Factors on Delivery Care Service in Hawassa City Public Hospitals, South Ethiopia","authors":"Marishet Agumasie, Zemenu Yohannes, T. Abegaz","doi":"10.4172/2161-0932.1000473","DOIUrl":"https://doi.org/10.4172/2161-0932.1000473","url":null,"abstract":"Introduction: Childbirth is one-day event but the experience lasts lifelong and is shared with others. Client dissatisfaction at public health hospitals causes parturient women to do health care shopping to private hospitals and decrease utilization of service at public heath hospitals. The aim of this study was to assess client satisfaction and associated factors at public health hospitals in Hawassa city. Method: A hospital based cross sectional study was conducted from December to January 2015. A systematic sampling technique was applied, and 398 mothers who gave live births were included in the study subjects. Data were entered into EPI info version 7.1 statistical software and exported to SPSS version 20 for analysis. Bivariate and multivariate analysis was applied to check the association of explanatory variables with outcome variable. Result: In public health hospitals, clients’ satisfaction at three dimensions was 87.7%. Non-formal education (AOR=6.8, 95 % CI: 1.2-38.7), had primary education (AOR=4.25, 95 % CI: 1.4-13.2) and getting prompt attention by caregivers within five minutes (AOR= 5, 95 % CI: 2.08-12.03). Being a student (AOR=0.16, 95 % CI: 0.05-0.59) and instrumental delivery (AOR=0.19, 95 % CI: 0.06-0.69). Conclusion: This study showed that client satisfaction is better than other public hospitals on delivery service. There is needed to intervene on predictors of maternal dissatisfaction like being a student, instrumental delivery and waiting time to get obstetric care providers and points to improve and strengthen for better maternal satisfaction.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"72 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81276594","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: 10.4172/2161-0932.1000486
B. Hounkpatin, M. Aboubakar, B. Diassana, Tognifode, Ogoudjobi Om, A. TonatoBagnan, Perrin R-X
{"title":"Unfollowed Pregnancies: Maternal and Perinatal Prognosis in a District Hospital in Cotonou","authors":"B. Hounkpatin, M. Aboubakar, B. Diassana, Tognifode, Ogoudjobi Om, A. TonatoBagnan, Perrin R-X","doi":"10.4172/2161-0932.1000486","DOIUrl":"https://doi.org/10.4172/2161-0932.1000486","url":null,"abstract":"","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72991485","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: 10.4172/2161-0932.1000471
Vodouhe Mv, Adedemy Jd, Agueh Vd, M. lafiaSabiGoni, Ogoudjobi Om, K. Salifou, B. Hounkpatin, R. Perrin
Introduction: Few studies are interested to perinatal health in relation to the nutritional status of pregnant women in Sub-Saharan Africa. The objectives of this study were to determine the factors associated with newborn weight in the city of Parakou in 2017. Methods: This was a descriptive and analytical prospective study conducted on 205 pregnant women and their newborns in the maternity wards of the city of Parakou from 1st July to 30th September, 2016. The authors have determined the Body Mass Index (BMI), the GWG, and the anthropometric profile of newborns. The Chi-square test and the prevalence ratios were used to compare the variables with the 0.05 p-value threshold. Results: The prevalence of obese, overweight and lean pregnant women was respectively 9.8%, 21.5% and 9.3%. The proportions of pregnant women who had normal or high GWG were respectively 48.8% and 41.9%. Almost half the lean pregnant women (47.4%) had not reached a normal GWG. The prevalence of hypotrophic, normotrophic and hypertrophic newborns was respectively 7.8%, 27.8% and 64.4%. Newborn hypotrophy was associated with socio-economic well-being level (OR=21.1; p=0.000), BMI, GWG, and Physical Activity Level of pregnant women (p<0.05). Newborn hypertrophy was associated with obesity, excessive GWG, and low level of physical activity of pregnant women. Conclusion: The nutritional status of the pregnant woman is associated with the weight of the newborn.
{"title":"Nutritional Status of Pregnant Women and Neonatal Health in the Maternity Wards of the City of Parakou in Benin","authors":"Vodouhe Mv, Adedemy Jd, Agueh Vd, M. lafiaSabiGoni, Ogoudjobi Om, K. Salifou, B. Hounkpatin, R. Perrin","doi":"10.4172/2161-0932.1000471","DOIUrl":"https://doi.org/10.4172/2161-0932.1000471","url":null,"abstract":"Introduction: Few studies are interested to perinatal health in relation to the nutritional status of pregnant women in Sub-Saharan Africa. The objectives of this study were to determine the factors associated with newborn weight in the city of Parakou in 2017. Methods: This was a descriptive and analytical prospective study conducted on 205 pregnant women and their newborns in the maternity wards of the city of Parakou from 1st July to 30th September, 2016. The authors have determined the Body Mass Index (BMI), the GWG, and the anthropometric profile of newborns. The Chi-square test and the prevalence ratios were used to compare the variables with the 0.05 p-value threshold. Results: The prevalence of obese, overweight and lean pregnant women was respectively 9.8%, 21.5% and 9.3%. The proportions of pregnant women who had normal or high GWG were respectively 48.8% and 41.9%. Almost half the lean pregnant women (47.4%) had not reached a normal GWG. The prevalence of hypotrophic, normotrophic and hypertrophic newborns was respectively 7.8%, 27.8% and 64.4%. Newborn hypotrophy was associated with socio-economic well-being level (OR=21.1; p=0.000), BMI, GWG, and Physical Activity Level of pregnant women (p<0.05). Newborn hypertrophy was associated with obesity, excessive GWG, and low level of physical activity of pregnant women. Conclusion: The nutritional status of the pregnant woman is associated with the weight of the newborn.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"172 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85632537","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: 10.4172/2161-0932.1000461
Birhanu Jikamo Bago
Introduction: Operative delivery is defined as any procedures carry out to facilitate the delivery of the infant. Globally in, 2010, an estimated 18.5 million Cesarean Section (CS) are carry out each year. In Ethiopia, large proportion of the population be lacking in access to essential obstetric care including CS. Objective: The aim of this study was to determine the prevalence and its associated factors among women undergone operative delivery at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia, 2017. Methods and materials: This study conducted in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia from June to August, 2017. Retrospective record review study was conducted over the past three year’s period from June 2014-June 2016 G.C. Mothers who gave birth over the past three years were the study population. A systematic random sampling technique was used to recruit the study participants. The sample size was determined using a single population proportion formula and a total of 414 study participants were used. Logistic regression was carried out to identify factors associated with women undergone operative delivery. Adjusted odds ratios with their 95% confidence intervals and p<0.05 were considered to have significant association. Results: In the current study overall prevalence of operative delivery was 38.4% [95% CI: 0.34, 0.43]. Among these; 35.4% were cesarean section, vacuum 2.10%, and Forceps 0.9% deliveries respectively. The probability of operative delivery was 67% [AOR=1.67; 95%CI: 1.05, 2.66] and & 5.31 times [AOR=5.31; 95%CI: 1.79, 5.69] more likely to practice operative delivery in the age group of 25-34 year and >=35 years than 15-24 years. Conclusions and recommendations: Significant proportion of women practiced operative delivery. Age of women, gestational age and antepartum hemorrhage were main factors with women undergone operative delivery. Emphasis needs to be given women in the group of 25-34 and >=35 years.
{"title":"Prevalence and Its Associated Factors among Women Undergone Operative Delivery at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia, 2017","authors":"Birhanu Jikamo Bago","doi":"10.4172/2161-0932.1000461","DOIUrl":"https://doi.org/10.4172/2161-0932.1000461","url":null,"abstract":"Introduction: Operative delivery is defined as any procedures carry out to facilitate the delivery of the infant. Globally in, 2010, an estimated 18.5 million Cesarean Section (CS) are carry out each year. In Ethiopia, large proportion of the population be lacking in access to essential obstetric care including CS. Objective: The aim of this study was to determine the prevalence and its associated factors among women undergone operative delivery at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia, 2017. Methods and materials: This study conducted in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia from June to August, 2017. Retrospective record review study was conducted over the past three year’s period from June 2014-June 2016 G.C. Mothers who gave birth over the past three years were the study population. A systematic random sampling technique was used to recruit the study participants. The sample size was determined using a single population proportion formula and a total of 414 study participants were used. Logistic regression was carried out to identify factors associated with women undergone operative delivery. Adjusted odds ratios with their 95% confidence intervals and p<0.05 were considered to have significant association. Results: In the current study overall prevalence of operative delivery was 38.4% [95% CI: 0.34, 0.43]. Among these; 35.4% were cesarean section, vacuum 2.10%, and Forceps 0.9% deliveries respectively. The probability of operative delivery was 67% [AOR=1.67; 95%CI: 1.05, 2.66] and & 5.31 times [AOR=5.31; 95%CI: 1.79, 5.69] more likely to practice operative delivery in the age group of 25-34 year and >=35 years than 15-24 years. Conclusions and recommendations: Significant proportion of women practiced operative delivery. Age of women, gestational age and antepartum hemorrhage were main factors with women undergone operative delivery. Emphasis needs to be given women in the group of 25-34 and >=35 years.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"38 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84747866","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: 10.4172/2161-0932.1000468
M. Niang, B. Diop, Gaye Yfo, A. Diouf, A. Lemine, Y. Wane, Cisse Ct
Objectives: To remind the epidemiology, the diagnosis and the surgical aspects of laparoscopic management of giant ovarian cysts at the Gynecology and Obstetrics Department of Ouakam Military Hospital.Materials and methods: This is a prospective and descriptive study carried out during 2 years, from February 1st 2015 to January 31st 2017 at the Gynecology and Obstetrics Department of Ouakam Military Hospital. It involved all patients who had undergone laparoscopic surgery for an ovarian cyst which measures 15 cm or more. The parameters studied were the patient's socio-demographic characteristics, the clinical symptomatology, ultrasound and/or CT scan results, surgical data, the histological nature of the cyst and the length of hospital stay. Data was captured and analyzed by Excel.Results: Patients' age ranged from 13 to 41 years with an average of 27.1 years. Physical examination had shown an abdominal mass in all patients. Imaging examinations (ultrasound and/or CT scan) found an ovarian cystic mass that varied in size from 15 to 27 cm with an average of 20 cm. Only one patient (9.1%) had a rate of CA 125 above the threshold. Laparoscopy confirmed the diagnosis of all patients. We performed 9 cystectomies (81.8%) and 2 adnexectomies (18.2%). The procedure lasted in average 72 min with extremes of 50 and 90 min. The surgical follow-up was simple and the discharge was authorized 3 days after surgery. The histological examination of the surgical specimens performed in all patients revealed 3 serous cystadenomas (27.3%), 3 dermoid cysts (27.3%), 3 endometriomas (27.3%) and 2 mucinous cystadenomas (18.2%).Conclusion: Laparoscopy should be indicated to treat giant ovarian cysts. Ultrasound and CT scan allow making good selection of cases for this approach.
{"title":"Laparoscopic Management of Giant Ovarian Cysts at the Gynecology and Obstetrics Department of Ouakam Military Hospital (Senegal)","authors":"M. Niang, B. Diop, Gaye Yfo, A. Diouf, A. Lemine, Y. Wane, Cisse Ct","doi":"10.4172/2161-0932.1000468","DOIUrl":"https://doi.org/10.4172/2161-0932.1000468","url":null,"abstract":"Objectives: To remind the epidemiology, the diagnosis and the surgical aspects of laparoscopic management of giant ovarian cysts at the Gynecology and Obstetrics Department of Ouakam Military Hospital.Materials and methods: This is a prospective and descriptive study carried out during 2 years, from February 1st 2015 to January 31st 2017 at the Gynecology and Obstetrics Department of Ouakam Military Hospital. It involved all patients who had undergone laparoscopic surgery for an ovarian cyst which measures 15 cm or more. The parameters studied were the patient's socio-demographic characteristics, the clinical symptomatology, ultrasound and/or CT scan results, surgical data, the histological nature of the cyst and the length of hospital stay. Data was captured and analyzed by Excel.Results: Patients' age ranged from 13 to 41 years with an average of 27.1 years. Physical examination had shown an abdominal mass in all patients. Imaging examinations (ultrasound and/or CT scan) found an ovarian cystic mass that varied in size from 15 to 27 cm with an average of 20 cm. Only one patient (9.1%) had a rate of CA 125 above the threshold. Laparoscopy confirmed the diagnosis of all patients. We performed 9 cystectomies (81.8%) and 2 adnexectomies (18.2%). The procedure lasted in average 72 min with extremes of 50 and 90 min. The surgical follow-up was simple and the discharge was authorized 3 days after surgery. The histological examination of the surgical specimens performed in all patients revealed 3 serous cystadenomas (27.3%), 3 dermoid cysts (27.3%), 3 endometriomas (27.3%) and 2 mucinous cystadenomas (18.2%).Conclusion: Laparoscopy should be indicated to treat giant ovarian cysts. Ultrasound and CT scan allow making good selection of cases for this approach.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"92 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":"80473206","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: 10.4172/2161-0932.1000469
Benish Khanzada, S. Mansoor, T. Rehman, S. Naeem
Objective: To compare effect of Omega 3 fatty acid supplementation versus no supplementation in high risk pregnant females from 20 weeks gestation in terms of frequency of preterm delivery.Methods: We conducted a prospective randomized controlled clinical trial in department of Obstetrics and Gynecology and, Railway Teaching Hospital Islamic International Medical College Trust, from January 2015 to Jan 2017. Women with a history of prior spontaneous singleton preterm birth and a current singleton gestation were divided into two groups A and B by computer generated random numbers. Omega 3 fatty acid supplementation was given to group A patients from 20 weeks to 36 weeks gestation and patients in group B was received no such treatment. Frequency of preterm delivery was compared among patients of both groups.Results: A total of 500 women with singleton pregnancy with history of one or more preterm deliveries were included, and none was lost to follow up. The mean duration of pregnancy at delivery between the omega3 supplemented and control groups [38.2 (SD, 0.6) weeks and 36.6 (SD, 0.9) weeks, P<0.0001 respectively] was statistically different. The data were also analyzed for birth weight and statistically significant difference of the weights were found in the two groups [3.2 (SD, 0.233) and 2.8 (SD, 0.259) controls P<0.0001].Conclusion: In this study we found that gestational age and birth weight, both are significantly improved with oral administered omeg-3 in high risk pregnancy when compared with controls.
{"title":"Effect of Omega 3 Fatty Acids in Reducing Risk of Preterm Labour","authors":"Benish Khanzada, S. Mansoor, T. Rehman, S. Naeem","doi":"10.4172/2161-0932.1000469","DOIUrl":"https://doi.org/10.4172/2161-0932.1000469","url":null,"abstract":"Objective: To compare effect of Omega 3 fatty acid supplementation versus no supplementation in high risk pregnant females from 20 weeks gestation in terms of frequency of preterm delivery.Methods: We conducted a prospective randomized controlled clinical trial in department of Obstetrics and Gynecology and, Railway Teaching Hospital Islamic International Medical College Trust, from January 2015 to Jan 2017. Women with a history of prior spontaneous singleton preterm birth and a current singleton gestation were divided into two groups A and B by computer generated random numbers. Omega 3 fatty acid supplementation was given to group A patients from 20 weeks to 36 weeks gestation and patients in group B was received no such treatment. Frequency of preterm delivery was compared among patients of both groups.Results: A total of 500 women with singleton pregnancy with history of one or more preterm deliveries were included, and none was lost to follow up. The mean duration of pregnancy at delivery between the omega3 supplemented and control groups [38.2 (SD, 0.6) weeks and 36.6 (SD, 0.9) weeks, P<0.0001 respectively] was statistically different. The data were also analyzed for birth weight and statistically significant difference of the weights were found in the two groups [3.2 (SD, 0.233) and 2.8 (SD, 0.259) controls P<0.0001].Conclusion: In this study we found that gestational age and birth weight, both are significantly improved with oral administered omeg-3 in high risk pregnancy when compared with controls.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"41 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89228385","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 : 2017-12-05DOI: 10.4172/2161-0932-C1-020
W. Nowicky
{"title":"The selective effect of NSC-631570 on women reproductive cancers","authors":"W. Nowicky","doi":"10.4172/2161-0932-C1-020","DOIUrl":"https://doi.org/10.4172/2161-0932-C1-020","url":null,"abstract":"","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87755784","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 : 2017-10-14DOI: 10.4172/2161-0932.1000454
J. Mijangos-Méndez, G. Aguirre-Avalos, F. Corona-Jiménez, I. X. Ortiz-Macias, J. López-Pulgarin, Quetzalcóatl Chávez Peña, M. Ibarra-Estrada
Background: Preeclampsia/eclampsia syndrome (Pe/ES) is a frequent complication during pregnancy. Neurologic or visual disturbances associated with Pe/ES are acute and severe. The women with cerebrovascular syndromes (CVS) are at increased risk of cerebrovascular complications that may lead to permanent sequelae and death. Case Reports: We describe the clinical course of three obstetric patients with Pe/ES complicated by CVS and cortical blindness. Posterior reversible encephalopathy syndrome (PRES) was seen in the three patients. One patient had the coexistence of PRES and reversible cerebral vasoconstriction syndrome. Transcranial Doppler (TCD) confirmed cerebral vasospasm in two patients. Follow-up with TCD allowed sequential assessments of the evolution of cerebral vasospasm. Conclusion: The variability of cerebral hemodynamics in Pe/ES could be the cause of diverse clinical and radiological expressions of these CVS. Cortical blindness is a manifestation of CVS associated to Pe/ES. PREScortical blindness associated with preeclampsia without seizures is an entity with severe neurologic dysfunction.
{"title":"Cerebral Vasospasm in Cortical Blindness Associated with Preeclamsia/Eclampsia Syndrome","authors":"J. Mijangos-Méndez, G. Aguirre-Avalos, F. Corona-Jiménez, I. X. Ortiz-Macias, J. López-Pulgarin, Quetzalcóatl Chávez Peña, M. Ibarra-Estrada","doi":"10.4172/2161-0932.1000454","DOIUrl":"https://doi.org/10.4172/2161-0932.1000454","url":null,"abstract":"Background: Preeclampsia/eclampsia syndrome (Pe/ES) is a frequent complication during pregnancy. Neurologic or visual disturbances associated with Pe/ES are acute and severe. The women with cerebrovascular syndromes (CVS) are at increased risk of cerebrovascular complications that may lead to permanent sequelae and death. \u0000Case Reports: We describe the clinical course of three obstetric patients with Pe/ES complicated by CVS and cortical blindness. Posterior reversible encephalopathy syndrome (PRES) was seen in the three patients. One patient had the coexistence of PRES and reversible cerebral vasoconstriction syndrome. Transcranial Doppler (TCD) confirmed cerebral vasospasm in two patients. Follow-up with TCD allowed sequential assessments of the evolution of cerebral vasospasm. \u0000Conclusion: The variability of cerebral hemodynamics in Pe/ES could be the cause of diverse clinical and radiological expressions of these CVS. Cortical blindness is a manifestation of CVS associated to Pe/ES. PREScortical blindness associated with preeclampsia without seizures is an entity with severe neurologic dysfunction.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"44 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2017-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87356729","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 : 2017-09-30DOI: 10.4172/2161-0932.1000E123
J. Turabián
The doctor–patient relationship has been and remains a keystone of care: the medium in which data are gathered, diagnoses and plans are made, compliance is accomplished, and healing, patient activation, and support are provided [1]. The doctor-patient relationship is a topic evaluated from multiple perspectives. The transcendence of the permanent study of this relation is given by the fact as evidenced by its influence on health care outcomes [2]. The doctor-patient relationship is a complex phenomenon comprised of several aspects, among which we can point out physician-patient communication, patient participation in decision-making and patient satisfaction.
{"title":"Physician-Patient Relationship in Obstetrics and Gynecology","authors":"J. Turabián","doi":"10.4172/2161-0932.1000E123","DOIUrl":"https://doi.org/10.4172/2161-0932.1000E123","url":null,"abstract":"The doctor–patient relationship has been and remains a keystone of care: the medium in which data are gathered, diagnoses and plans are made, compliance is accomplished, and healing, patient activation, and support are provided [1]. The doctor-patient relationship is a topic evaluated from multiple perspectives. The transcendence of the permanent study of this relation is given by the fact as evidenced by its influence on health care outcomes [2]. The doctor-patient relationship is a complex phenomenon comprised of several aspects, among which we can point out physician-patient communication, patient participation in decision-making and patient satisfaction.","PeriodicalId":22164,"journal":{"name":"Surgery, gynecology & obstetrics","volume":"26 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84195269","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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