Pub Date : 2024-07-04DOI: 10.29011/2577-2236.100205
Maryam Mefarreh, Yousef Mohammad, Tarek Nabil, Mahmoud Ahmed Shokeir
Cerebro-Oculo-Facio-Skeletal (COFS) syndrome is a rare genetic disorder affecting 1 in 1,000,000 born fetuses. Its mode of inheritance is autosomal recessive (AR). COFS syndrome affects various systems within the body, and the life span of children born with the disease is between 3-5 years. Respiratory infections and feeding difficulties are the main causes of the increased morbidity and mortality in these patients. It is important to highlight this syndrome as it may present similarly to infectious fetopathies (cytomegalovirus, rubella, and toxoplasmosis), trisomy 13 and 18
{"title":"COFS Syndrome in a Non-Consanguineous Marriage","authors":"Maryam Mefarreh, Yousef Mohammad, Tarek Nabil, Mahmoud Ahmed Shokeir","doi":"10.29011/2577-2236.100205","DOIUrl":"https://doi.org/10.29011/2577-2236.100205","url":null,"abstract":"Cerebro-Oculo-Facio-Skeletal (COFS) syndrome is a rare genetic disorder affecting 1 in 1,000,000 born fetuses. Its mode of inheritance is autosomal recessive (AR). COFS syndrome affects various systems within the body, and the life span of children born with the disease is between 3-5 years. Respiratory infections and feeding difficulties are the main causes of the increased morbidity and mortality in these patients. It is important to highlight this syndrome as it may present similarly to infectious fetopathies (cytomegalovirus, rubella, and toxoplasmosis), trisomy 13 and 18","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141678872","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 : 2024-07-02DOI: 10.29011/2577-2236.100203
{"title":"Conservative Management of Incarcerated Gravid Uterus","authors":"","doi":"10.29011/2577-2236.100203","DOIUrl":"https://doi.org/10.29011/2577-2236.100203","url":null,"abstract":"","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141687773","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 : 2024-07-02DOI: 10.29011/2577-2236.100204
Y. Mohammad, Maryam Mohammad. Gynecol, Obstet Open
A bicornuate uterus has a fundus that is indented >1 cm with normal vagina and cervix. Bicornuate uterus accounts for around 25% of overall Mullerian anomalies. In this case report, we report a case of a 30-year-old female P1+1+0+2 14+2 weeks of gestation previous one cesarean section case of bicornuate uterus presented to the emergency department with lower abdominal pain and bleeding per vagina. She was admitted for observation as a case of threatened miscarriage. Ultrasound done showing bicornuate uterus with single living fetus matching date in the right cornu and a sub chorionic hematoma (SCH) in the left cornu. Patient was kept in the hospital under observation then she was discharged on progesterone tablets and suppositories. She underwent elective cesarean section at 38 weeks of gestation with good outcome
{"title":"Threatened Miscarriage in a Bicornuate Uterus: With the Baby in the Right Cornua and Subchorionic Hematoma in The Left Cornua","authors":"Y. Mohammad, Maryam Mohammad. Gynecol, Obstet Open","doi":"10.29011/2577-2236.100204","DOIUrl":"https://doi.org/10.29011/2577-2236.100204","url":null,"abstract":"A bicornuate uterus has a fundus that is indented >1 cm with normal vagina and cervix. Bicornuate uterus accounts for around 25% of overall Mullerian anomalies. In this case report, we report a case of a 30-year-old female P1+1+0+2 14+2 weeks of gestation previous one cesarean section case of bicornuate uterus presented to the emergency department with lower abdominal pain and bleeding per vagina. She was admitted for observation as a case of threatened miscarriage. Ultrasound done showing bicornuate uterus with single living fetus matching date in the right cornu and a sub chorionic hematoma (SCH) in the left cornu. Patient was kept in the hospital under observation then she was discharged on progesterone tablets and suppositories. She underwent elective cesarean section at 38 weeks of gestation with good outcome","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141687503","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 : 2024-03-22DOI: 10.29011/2577-2236.100185
F. M. Comoglio, F. Osella, A. Pagano, E. Pilloni, I. Vanacore, M. Verra, C. Filippini, C. Desanctis, A. Revelli
Objective: The study focuses on the pharmacological induction of labor and aims at comparing oral misoprostol (Cytotec ® ) with vaginal dinoprostone (slow-release vaginal insert Propess ® and vaginal gel Prepidil ® ). Methods: A retrospective observational study was conducted. Through medical records review, we collected data on women at term with a singleton pregnancy who underwent labor induction at our tertiary care center, Sant’Anna Hospital of Turin, from January 2018 to January 2023. A total of 1230 were included: 446 received oral misoprostol
{"title":"Efficacy of Oral Misoprostol Compared with Vaginal Dinoprostone for Cervical Ripening and Labor Induction","authors":"F. M. Comoglio, F. Osella, A. Pagano, E. Pilloni, I. Vanacore, M. Verra, C. Filippini, C. Desanctis, A. Revelli","doi":"10.29011/2577-2236.100185","DOIUrl":"https://doi.org/10.29011/2577-2236.100185","url":null,"abstract":"Objective: The study focuses on the pharmacological induction of labor and aims at comparing oral misoprostol (Cytotec ® ) with vaginal dinoprostone (slow-release vaginal insert Propess ® and vaginal gel Prepidil ® ). Methods: A retrospective observational study was conducted. Through medical records review, we collected data on women at term with a singleton pregnancy who underwent labor induction at our tertiary care center, Sant’Anna Hospital of Turin, from January 2018 to January 2023. A total of 1230 were included: 446 received oral misoprostol","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387048","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 : 2024-03-21DOI: 10.29011/2577-2236.100192
R. K. Kumar, Ruth Patterson, Vidya Kumar
Background : The delivery of high-quality maternal and neonatal care is challenging in low-and middle-income countries. This study assesses a program aimed at offering evidence-informed care and enhancing service utilization. Methods : Data on the number of births, neonatal mortality, infant survival, maternal mortality, postpartum infection, pelvic floor damage, and breastfeeding were collected and analyzed retrospectively from the Cloudnine Hospital Network (CHN; encompassing 29 hospitals) from January 2007 to January 2023. The CHN’s comprehensive maternity program covers pre-delivery, delivery, and post-delivery stages with mandated antenatal classes led by a multidisciplinary team to educate couples about pregnancy. Post-delivery support includes consultations with physiotherapists, lactation consultants, and nutritionists. Results : The CHN's program has resulted in negligible maternal and neonatal mortality rates (2 per 100,000 deliveries and 2 per 1,000 live births, respectively), and a 99.8% infant survival rate for those born after 28 weeks of gestation. Post-partum infection rates were only 0.6% and significantly lower than in national average. Pelvic floor damages were rare, and 95% of mothers were breastfeeding at discharge. Conclusion : The CHN’s comprehensive care program effectively reduces maternal and neonatal mortality rates. This article highlights the critical aspects of optimal maternal and neonatal care based on the experiences of the CHN.
{"title":"Innovations in Recovery Programs in Maternal and Neonatal Health: Experiences from a Hospital Network","authors":"R. K. Kumar, Ruth Patterson, Vidya Kumar","doi":"10.29011/2577-2236.100192","DOIUrl":"https://doi.org/10.29011/2577-2236.100192","url":null,"abstract":"Background : The delivery of high-quality maternal and neonatal care is challenging in low-and middle-income countries. This study assesses a program aimed at offering evidence-informed care and enhancing service utilization. Methods : Data on the number of births, neonatal mortality, infant survival, maternal mortality, postpartum infection, pelvic floor damage, and breastfeeding were collected and analyzed retrospectively from the Cloudnine Hospital Network (CHN; encompassing 29 hospitals) from January 2007 to January 2023. The CHN’s comprehensive maternity program covers pre-delivery, delivery, and post-delivery stages with mandated antenatal classes led by a multidisciplinary team to educate couples about pregnancy. Post-delivery support includes consultations with physiotherapists, lactation consultants, and nutritionists. Results : The CHN's program has resulted in negligible maternal and neonatal mortality rates (2 per 100,000 deliveries and 2 per 1,000 live births, respectively), and a 99.8% infant survival rate for those born after 28 weeks of gestation. Post-partum infection rates were only 0.6% and significantly lower than in national average. Pelvic floor damages were rare, and 95% of mothers were breastfeeding at discharge. Conclusion : The CHN’s comprehensive care program effectively reduces maternal and neonatal mortality rates. This article highlights the critical aspects of optimal maternal and neonatal care based on the experiences of the CHN.","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387909","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 : 2024-03-06DOI: 10.29011/2577-2236.100189
{"title":"Serum Proteomic Profile of Women Undergoing Assisted Reproduction Technology and its Relation to the Outcome","authors":"","doi":"10.29011/2577-2236.100189","DOIUrl":"https://doi.org/10.29011/2577-2236.100189","url":null,"abstract":"","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140397291","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 : 2024-03-01DOI: 10.29011/2577-2236.100187
{"title":"You’re Just Fat”: Diagnostic Overshadowing in Gynecology due to Obesity: A Case Report of 36 cm Ovarian Cyst Causing Torsion","authors":"","doi":"10.29011/2577-2236.100187","DOIUrl":"https://doi.org/10.29011/2577-2236.100187","url":null,"abstract":"","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140086206","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 : 2024-02-22DOI: 10.29011/2577-2236.100184
{"title":"Reproductive Options in Ovarian Tumours","authors":"","doi":"10.29011/2577-2236.100184","DOIUrl":"https://doi.org/10.29011/2577-2236.100184","url":null,"abstract":"","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440710","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 : 2024-02-16DOI: 10.29011/2577-2236.100183
{"title":"A Cervico-Isthmic Pregnancy – A Categorically Catastrophic Ectopic Gestation","authors":"","doi":"10.29011/2577-2236.100183","DOIUrl":"https://doi.org/10.29011/2577-2236.100183","url":null,"abstract":"","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140454799","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 : 2024-02-16DOI: 10.29011/2577-2236.100180
{"title":"Risk-Reducing Salpingo-Oophorectomy in Patients at High Risk of Epithelial Ovarian and Fallopian Tube Cancer: A Review Article","authors":"","doi":"10.29011/2577-2236.100180","DOIUrl":"https://doi.org/10.29011/2577-2236.100180","url":null,"abstract":"","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455163","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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