Pub Date : 2020-08-12DOI: 10.29328/journal.cjog.1001057
V. Vargas-Hernández, José Raúl Rodríguez Rodríguez, Víctor Manuel Vargas-Aguilar
{"title":"Endometriosis as a risk factor for colorectal cancer","authors":"V. Vargas-Hernández, José Raúl Rodríguez Rodríguez, Víctor Manuel Vargas-Aguilar","doi":"10.29328/journal.cjog.1001057","DOIUrl":"https://doi.org/10.29328/journal.cjog.1001057","url":null,"abstract":"","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":"95 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74871433","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 : 2020-05-29DOI: 10.29328/journal.cjog.1001049
Donát Josef
The Czech model for reducing maternal and neonatal mortality for countries in sub-Saharan East Africa was created on the basis of the Archdiocesan Charity Prague project for a specifi c region-subcounty Buikwe, Diocese of Lugazi, Mukono Region in Uganda, a region with about 30,000 inhabitants. The aim of the fi rst phase of the project was to build a new hospital, equip it completely for obstetric and surgical operations from the Czech Republic, ensure its activities with Czech and Slovak doctors experts, junior Ugandan doctors and Ugandan medical staff , provide obstetric training for villagers, ensure connections with villages and possibility of fast transport and urgent solution of all acute pathologies in the hospital, capable of 24-hour surgical readiness. In the second phase of the project, a school for midwifery was to be established. This second part of the project has not yet been implemented. The project could serve as an example and guide for similar humanitarian activities in other regions of Uganda and other countries in equatorial Africa.
{"title":"Maternal, neonatal and children´s health in Sub-Saharan East Africa","authors":"Donát Josef","doi":"10.29328/journal.cjog.1001049","DOIUrl":"https://doi.org/10.29328/journal.cjog.1001049","url":null,"abstract":"The Czech model for reducing maternal and neonatal mortality for countries in sub-Saharan East Africa was created on the basis of the Archdiocesan Charity Prague project for a specifi c region-subcounty Buikwe, Diocese of Lugazi, Mukono Region in Uganda, a region with about 30,000 inhabitants. The aim of the fi rst phase of the project was to build a new hospital, equip it completely for obstetric and surgical operations from the Czech Republic, ensure its activities with Czech and Slovak doctors experts, junior Ugandan doctors and Ugandan medical staff , provide obstetric training for villagers, ensure connections with villages and possibility of fast transport and urgent solution of all acute pathologies in the hospital, capable of 24-hour surgical readiness. In the second phase of the project, a school for midwifery was to be established. This second part of the project has not yet been implemented. The project could serve as an example and guide for similar humanitarian activities in other regions of Uganda and other countries in equatorial Africa.","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":"18660 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78035849","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 : 2020-02-13DOI: 10.29328/journal.cjog.1001041
Ribeiro Marcio Erik Franco, Barbosa Lyliana Coutinho Resende, Schnaider Taylor Brandão
1Mestre em Ciências Aplicadas à Saúde da Universidade do Vale do Sapucaí, Pouso Alegre, MG, Brazil 2Pró-Reitora Adjunta da Universidade do Vale do Sapucaí, Pouso Alegre – MG, Profa. Permanente do Mestrado Profi ssional em Ciências Aplicadas à Saúde da Universidade do Vale do Sapucaí, Pouso Alegre, Bazil 3Professor Titular do Departamento de Cirurgia da Faculdade de Medicina da Universidade do Vale do Sapucaí, Pouso Alegre, MG, Prof. Permanente do Mestrado Profi ssional em Ciências Aplicadas à Saúde da Universidade do Vale do Sapucaí, Pouso Alegre, MG, Brazil More Information
1 Vale do sapucai大学健康应用科学硕士,Pouso Alegre, MG,巴西2 Vale do sapucai大学副校长,Pouso Alegre - MG,教授永久的硕士专业在大学的应用科学健康的里斯,巴西,一直三系的教授手术的山谷大学医学院reis巴西永久毫克,教授的硕士专业在大学的应用科学健康的里斯,巴西,MG,现在需要更多的信息
{"title":"Anal cytology in immunocompetent patients with high-grade intraepithelial neoplasia (CIN II and CIN III)","authors":"Ribeiro Marcio Erik Franco, Barbosa Lyliana Coutinho Resende, Schnaider Taylor Brandão","doi":"10.29328/journal.cjog.1001041","DOIUrl":"https://doi.org/10.29328/journal.cjog.1001041","url":null,"abstract":"1Mestre em Ciências Aplicadas à Saúde da Universidade do Vale do Sapucaí, Pouso Alegre, MG, Brazil 2Pró-Reitora Adjunta da Universidade do Vale do Sapucaí, Pouso Alegre – MG, Profa. Permanente do Mestrado Profi ssional em Ciências Aplicadas à Saúde da Universidade do Vale do Sapucaí, Pouso Alegre, Bazil 3Professor Titular do Departamento de Cirurgia da Faculdade de Medicina da Universidade do Vale do Sapucaí, Pouso Alegre, MG, Prof. Permanente do Mestrado Profi ssional em Ciências Aplicadas à Saúde da Universidade do Vale do Sapucaí, Pouso Alegre, MG, Brazil More Information","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":"187 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88104704","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}
T. Takmaz, H. R. Dural, Irana Gorchiyeva, G. Kilic, Halime Çali Öztürk, Rabia Zehra Bakar, M. S. Kutuk
146 In recent decades, cesarean section (CS) rates have increased in both developed and developing countries. The World Health Organization (WHO) recommends 10-15% as suitable CS rates; however, the rate in Turkey is 52%.1,2 This rise may be attributed to the several changes in the practice environment, including the decreased proportion of operative vaginal deliveries and increased use of electronic fetal monitoring. Likewise, malpractice fears, patient preferences, and demographic factors have influenced this increase in CS rates.3 Furthermore, the belief that “once cesarean, always a cesarean” is related to high rates of planned repeat CS.4 This misconception can cause adverse maternal outcomes and complications in future pregnancies, such as hemorrhages, infections, visceral organ injuries, transfusions, and need for hysterectomies because of abnormal placentation.5
{"title":"The Obstetrics Outcomes of Vaginal Birth After Cesarean Section in a Cohort with High Induction of Labor Rate","authors":"T. Takmaz, H. R. Dural, Irana Gorchiyeva, G. Kilic, Halime Çali Öztürk, Rabia Zehra Bakar, M. S. Kutuk","doi":"10.5336/jcog.2020-79203","DOIUrl":"https://doi.org/10.5336/jcog.2020-79203","url":null,"abstract":"146 In recent decades, cesarean section (CS) rates have increased in both developed and developing countries. The World Health Organization (WHO) recommends 10-15% as suitable CS rates; however, the rate in Turkey is 52%.1,2 This rise may be attributed to the several changes in the practice environment, including the decreased proportion of operative vaginal deliveries and increased use of electronic fetal monitoring. Likewise, malpractice fears, patient preferences, and demographic factors have influenced this increase in CS rates.3 Furthermore, the belief that “once cesarean, always a cesarean” is related to high rates of planned repeat CS.4 This misconception can cause adverse maternal outcomes and complications in future pregnancies, such as hemorrhages, infections, visceral organ injuries, transfusions, and need for hysterectomies because of abnormal placentation.5","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":"1 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70761851","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}
E. Teixeira, D. Pereira, C. Gonçalves, C. Montenegro, Carlos Firmino, L. Ramalho
ABS TRACT Pseudoangiomatous stromal hyperplasia is a rare benign breast neoplasm. The exact prevalence of this condition is unknown. According to the literature, it is an extremely uncommon disease in adolescent patients, especially when presenting with a giant mass causing significant breast enlargement. The clinical management of pseudoangiomatous stromal hyperplasia continues to be a controversial issue, however, surgical treatment remains the most accepted when there is an important mass-effect. We report the case of a 12-year-old premenarchal female, referred to our hospital with complaints of a rapidly enlarging left breast mass, of 12cm in diameter, causing a significant breast asym- metry. The ultrasonographic findings were unspecific. The core needle biopsy of the mass was consistent with pseudoangiomatous stromal hyperplasia, consequently, successful surgical excision was performed. This case illustrates a particularly unusual presentation of pseudoan- giomatous stromal hyperplasia in a premenarchal adolescent patient, that should be taken into consideration in the differential diagnosis of abrupt breast enlargement.
{"title":"Pseudoangiomatous Stromal Hyperplasia-Case Report of a Rare Breast Tumor in a Premenarchal Girl","authors":"E. Teixeira, D. Pereira, C. Gonçalves, C. Montenegro, Carlos Firmino, L. Ramalho","doi":"10.5336/jcog.2020-79475","DOIUrl":"https://doi.org/10.5336/jcog.2020-79475","url":null,"abstract":"ABS TRACT Pseudoangiomatous stromal hyperplasia is a rare benign breast neoplasm. The exact prevalence of this condition is unknown. According to the literature, it is an extremely uncommon disease in adolescent patients, especially when presenting with a giant mass causing significant breast enlargement. The clinical management of pseudoangiomatous stromal hyperplasia continues to be a controversial issue, however, surgical treatment remains the most accepted when there is an important mass-effect. We report the case of a 12-year-old premenarchal female, referred to our hospital with complaints of a rapidly enlarging left breast mass, of 12cm in diameter, causing a significant breast asym- metry. The ultrasonographic findings were unspecific. The core needle biopsy of the mass was consistent with pseudoangiomatous stromal hyperplasia, consequently, successful surgical excision was performed. This case illustrates a particularly unusual presentation of pseudoan- giomatous stromal hyperplasia in a premenarchal adolescent patient, that should be taken into consideration in the differential diagnosis of abrupt breast enlargement.","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":"1 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70761489","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}
is under different pressures, either culturally or religiously according to the other regions of Turkey. Material and Methods: Three hundred pregnant women completed a 25-question survey about their sexual life. The questions were pre- pared based on the Female Sexual Function Index (FSFI) and the Body Exposure during Sexual Activities Questionnaire (BESAQ) tests. Results: Sexual desire decreased in 65.2% of women (n=163) and increased in 8.4% (n=21). The rate of orgasms was 55.6% (n=139), and higher during anal intercourse (p=0.038). The orgasm rate before and during pregnancy was similar (p=0.72). The orgasm/satisfaction was higher during anal intercourse compared to that during vaginal intercourse (p=0.038). Sixty five percent of the women were worried about coitus dur- ing pregnancy (n=176). However, 85.7% of the pregnant women (n=257) had regular sexual intercourse to maintain a healthy partnership (40%) or for desire (23%). There was no significant relationship between intercourse frequency and education level (p=0.81), abortion history (p=0.63), age (p=0.21), and gestational week (p=0.81). Sexual desire remained mostly unchanged in women following their first, second, and third births (61.1%, 61.7%, and 69.8%, respectively). Conclusion: Our results suggest that despite the geographical, cultural and social dif- ferences between the southeast region and other regions, the fact that sexual life during pregnancy has similar characteristics for every women shows that sexual physiology is independent from external factors.
{"title":"A Prospective Analysis of Sexual Behaviors of Pregnant Women in Southeast Turkey","authors":"Özge Kömürcü Karuserci, S. Sucu","doi":"10.5336/jcog.2020-76300","DOIUrl":"https://doi.org/10.5336/jcog.2020-76300","url":null,"abstract":"is under different pressures, either culturally or religiously according to the other regions of Turkey. Material and Methods: Three hundred pregnant women completed a 25-question survey about their sexual life. The questions were pre- pared based on the Female Sexual Function Index (FSFI) and the Body Exposure during Sexual Activities Questionnaire (BESAQ) tests. Results: Sexual desire decreased in 65.2% of women (n=163) and increased in 8.4% (n=21). The rate of orgasms was 55.6% (n=139), and higher during anal intercourse (p=0.038). The orgasm rate before and during pregnancy was similar (p=0.72). The orgasm/satisfaction was higher during anal intercourse compared to that during vaginal intercourse (p=0.038). Sixty five percent of the women were worried about coitus dur- ing pregnancy (n=176). However, 85.7% of the pregnant women (n=257) had regular sexual intercourse to maintain a healthy partnership (40%) or for desire (23%). There was no significant relationship between intercourse frequency and education level (p=0.81), abortion history (p=0.63), age (p=0.21), and gestational week (p=0.81). Sexual desire remained mostly unchanged in women following their first, second, and third births (61.1%, 61.7%, and 69.8%, respectively). Conclusion: Our results suggest that despite the geographical, cultural and social dif- ferences between the southeast region and other regions, the fact that sexual life during pregnancy has similar characteristics for every women shows that sexual physiology is independent from external factors.","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":"1 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70761208","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}
ABS TRACT Neurofibromatosis (NF) is an autosomal dominant genetic syndrome which can be seen in 1: 3000- 1:5000 women. Women with NF without infertility problem may have one or more pregnancies during reproductive years. Pregnancies of patients with neurofibromatosis are known to be complicated by intrauterine growth retardation, preterm birth, gestational hypertension and preeclampsia, but history of abruption is very rare in few cases. Physicians should be aware of the complications of this unique pregnancy and manage it multidisciplinary. The purpose of this case report is to share the experience of the pregnancy with neurofibromatosis, having epilepsy and unexplained em- bolism history, which is complicated with intrauterine growth retardation and placental abruption
{"title":"Neurofibromatosis and Pregnancy","authors":"R. A. Bilir, İlayda Loçlar Karaalp, A. Karateke","doi":"10.5336/jcog.2020-78717","DOIUrl":"https://doi.org/10.5336/jcog.2020-78717","url":null,"abstract":"ABS TRACT Neurofibromatosis (NF) is an autosomal dominant genetic syndrome which can be seen in 1: 3000- 1:5000 women. Women with NF without infertility problem may have one or more pregnancies during reproductive years. Pregnancies of patients with neurofibromatosis are known to be complicated by intrauterine growth retardation, preterm birth, gestational hypertension and preeclampsia, but history of abruption is very rare in few cases. Physicians should be aware of the complications of this unique pregnancy and manage it multidisciplinary. The purpose of this case report is to share the experience of the pregnancy with neurofibromatosis, having epilepsy and unexplained em- bolism history, which is complicated with intrauterine growth retardation and placental abruption","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":"1 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70761887","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}
M. H. Bademkıran, Cihan Bademkiran, Serhat Ege, Nurullah Peker, Süleyman Cemil Oğlak
136 Adverse perinatal outcomes increase gradually from the 40th week of pregnancy, and this increase is evident significantly from the 42nd week of pregnancy.1 With the prolongation of pregnancy, the risk of stillbirth increases, and 14% of stillbirth occur in prolonged pregnancies worldwide.2 The World Health Organization recommends inducing labor at week 41, and many countries induce labor from 41 to 42 weeks to prevent prolonged pregnancies.3,4 There are randomized controlled studies in the literature comparing the induction of labor with the expectant control group in the post-term pregnancies. In most of them, conflicting results were found in terms of perinatal morbidity and mortality. The Cochrane review in 2018 showed that the rate of cesarean delivery and perinatal mortality was lower, and the ratio of assisted vaginal delivery was higher in the induction group compared to the control group.5
{"title":"Factors Affecting Successful Vaginal Birth Following Dinoprostone Administration in Post-term Pregnancies","authors":"M. H. Bademkıran, Cihan Bademkiran, Serhat Ege, Nurullah Peker, Süleyman Cemil Oğlak","doi":"10.5336/jcog.2020-77451","DOIUrl":"https://doi.org/10.5336/jcog.2020-77451","url":null,"abstract":"136 Adverse perinatal outcomes increase gradually from the 40th week of pregnancy, and this increase is evident significantly from the 42nd week of pregnancy.1 With the prolongation of pregnancy, the risk of stillbirth increases, and 14% of stillbirth occur in prolonged pregnancies worldwide.2 The World Health Organization recommends inducing labor at week 41, and many countries induce labor from 41 to 42 weeks to prevent prolonged pregnancies.3,4 There are randomized controlled studies in the literature comparing the induction of labor with the expectant control group in the post-term pregnancies. In most of them, conflicting results were found in terms of perinatal morbidity and mortality. The Cochrane review in 2018 showed that the rate of cesarean delivery and perinatal mortality was lower, and the ratio of assisted vaginal delivery was higher in the induction group compared to the control group.5","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":"1 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70761336","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 : 2019-12-06DOI: 10.29328/journal.cjog.1001035
Ž. Žegarac, Ž. Duić, K. Bojanić
Meckel-Gruber syndrome (MGS) is an autosomal recessive disorder characterized by at least two of the following three manifestations; renal cystic dysplasia (95%-100%), occipital encephalocele (60%-80%) and postaxial polydactyly (55%-75%) [1]. Other anomalies of MGS include a variety of CNS malformations such as microcephaly, anencephaly, holoprosencephaly, hydrocephaly, Arnold-Chiari or Dandy Walker malformation, agenesis of the corpus callosum, absence of olfactory tract or lobe and cardiac anomalies atrial septal defect, ventricular septal defect [2]. The excessively large, cystic kidneys cause marked abdominal distension. Facial anomalies such as cleft lip, high arched palate and hypertelorism are also observed in many cases [2].
{"title":"Meckel Gruber Syndrome: A rare and lethal anomaly","authors":"Ž. Žegarac, Ž. Duić, K. Bojanić","doi":"10.29328/journal.cjog.1001035","DOIUrl":"https://doi.org/10.29328/journal.cjog.1001035","url":null,"abstract":"Meckel-Gruber syndrome (MGS) is an autosomal recessive disorder characterized by at least two of the following three manifestations; renal cystic dysplasia (95%-100%), occipital encephalocele (60%-80%) and postaxial polydactyly (55%-75%) [1]. Other anomalies of MGS include a variety of CNS malformations such as microcephaly, anencephaly, holoprosencephaly, hydrocephaly, Arnold-Chiari or Dandy Walker malformation, agenesis of the corpus callosum, absence of olfactory tract or lobe and cardiac anomalies atrial septal defect, ventricular septal defect [2]. The excessively large, cystic kidneys cause marked abdominal distension. Facial anomalies such as cleft lip, high arched palate and hypertelorism are also observed in many cases [2].","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":"29 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89417933","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 : 2019-12-03DOI: 10.29328/journal.cjog.1001034
Wen-Chin Yang, You Nie, Shujuan Wang, Hongwei Wang, Enfeng Zhao, Na Dou
The incidence of recurrent vulvovaginal candidiasis (RVVC) is extremely high. RVVC is likely to have a greater impact on patients. The aim of the study was to explore the risk factors of recurrent vulvovaginal candidiasis (RVVC) in the tropical coastal area. In this case-control study, a questionnaire survey was conducted in patients with VVC in the Sanya area from July 2014 to December 2016. The data included demographic characteristics, host factors, and behavioural characteristics. According to the maximum number of symptomatic episodes per year, the participants were classifi ed into a non-recurrent VVC (NRVVC; < 4 episodes/year, including the current one) group or a RVVC group (≥ 4 episodes/year, including the current one). Crude odds ratios were calculated for potential risk factors and were adjusted using logistic regression. All vaginal secretions of patients with RVVC were cultured. Of the 728 cases of VVC, 69.0% (502/728) were NRVVC, and 31.0% (226/728) were RVVC. Previous antibiotic treatment (adjusted OR: 4.41, p < 0.01), repeat abortion (p < 0.05), and vaginal lavage (adjusted OR: 1.62, p < 0.05) were signifi cantly associated with RVVC. A total of 230 yeasts isolates were obtained from 226 patients. C. albicans were the predominant Candida species (194 strains) in all patients of VVC. Our results demonstrate that in the tropical coastal area, a signifi cant association was found between previous antibiotic treatment and incident RVVC. Host factors may be the most important factors in the occurrence of RVVC.
复发性外阴阴道念珠菌病(RVVC)的发病率非常高。RVVC可能对患者产生更大的影响。本研究旨在探讨热带沿海地区外阴阴道念珠菌病复发的危险因素。本病例对照研究于2014年7月至2016年12月对三亚地区VVC患者进行问卷调查。数据包括人口统计学特征、宿主因素和行为特征。根据每年症状发作的最大次数,将参与者分为非复发性VVC (NRVVC;< 4次/年,包括当前1次)组或RVVC组(≥4次/年,包括当前1次)。计算潜在危险因素的粗优势比,并使用逻辑回归进行调整。所有RVVC患者的阴道分泌物均进行培养。728例VVC中,NRVVC占69.0% (502/728),RVVC占31.0%(226/728)。既往抗生素治疗(调整OR: 4.41, p < 0.01)、重复流产(p < 0.05)、阴道灌洗(调整OR: 1.62, p < 0.05)与RVVC显著相关。从226例患者中共分离出230株酵母菌。所有VVC患者念珠菌以白色念珠菌为主(194株)。我们的研究结果表明,在热带沿海地区,以前的抗生素治疗与RVVC事件之间存在显着关联。宿主因素可能是RVVC发生的最重要因素。
{"title":"Previous antibiotic treatment as a risk factor for recurrent vulvovaginal candidiasis","authors":"Wen-Chin Yang, You Nie, Shujuan Wang, Hongwei Wang, Enfeng Zhao, Na Dou","doi":"10.29328/journal.cjog.1001034","DOIUrl":"https://doi.org/10.29328/journal.cjog.1001034","url":null,"abstract":"The incidence of recurrent vulvovaginal candidiasis (RVVC) is extremely high. RVVC is likely to have a greater impact on patients. The aim of the study was to explore the risk factors of recurrent vulvovaginal candidiasis (RVVC) in the tropical coastal area. In this case-control study, a questionnaire survey was conducted in patients with VVC in the Sanya area from July 2014 to December 2016. The data included demographic characteristics, host factors, and behavioural characteristics. According to the maximum number of symptomatic episodes per year, the participants were classifi ed into a non-recurrent VVC (NRVVC; < 4 episodes/year, including the current one) group or a RVVC group (≥ 4 episodes/year, including the current one). Crude odds ratios were calculated for potential risk factors and were adjusted using logistic regression. All vaginal secretions of patients with RVVC were cultured. Of the 728 cases of VVC, 69.0% (502/728) were NRVVC, and 31.0% (226/728) were RVVC. Previous antibiotic treatment (adjusted OR: 4.41, p < 0.01), repeat abortion (p < 0.05), and vaginal lavage (adjusted OR: 1.62, p < 0.05) were signifi cantly associated with RVVC. A total of 230 yeasts isolates were obtained from 226 patients. C. albicans were the predominant Candida species (194 strains) in all patients of VVC. Our results demonstrate that in the tropical coastal area, a signifi cant association was found between previous antibiotic treatment and incident RVVC. Host factors may be the most important factors in the occurrence of RVVC.","PeriodicalId":36268,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology","volume":"326 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2019-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84252743","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}