首页 > 最新文献

Thai Journal of Obstetrics and Gynaecology最新文献

英文 中文
Incidence and Risk Factors of Surgical Site Infections after Abdominal Hysterectomy for Benign Diseases 良性疾病腹式子宫切除术后手术部位感染的发生率及危险因素
Q4 Medicine Pub Date : 2020-10-01 DOI: 10.14456/TJOG.2020.28
Punnada Atibovonsuk
{"title":"Incidence and Risk Factors of Surgical Site Infections after Abdominal Hysterectomy for Benign Diseases","authors":"Punnada Atibovonsuk","doi":"10.14456/TJOG.2020.28","DOIUrl":"https://doi.org/10.14456/TJOG.2020.28","url":null,"abstract":"","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"28 1","pages":"217-223"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45340291","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}
引用次数: 0
Cannabis (Gan-ja): Relevant Issues in Obstetrics and Gynecology 大麻(Gan-ja):产科和妇科的相关问题
Q4 Medicine Pub Date : 2018-12-01 DOI: 10.14456/TJOG.2018.25
S. Manusirivithaya, Vichai Manusirivithaya
Medical benefits of cannabis have become widely accepted. In Obstetrics and Gynecology, it was reported to be useful to alleviate nausea and vomiting from morning sickness in pregnant women and in gynecologic cancer patients who received chemotherapy. It has also been used as a pain killer during labor and menstruation. Some also claimed that the cannabis may also prolong life of cancer patients or even cure cancer. Owing to the illegalization of the cannabis in many countries for a long time, there has been no evidence-based data from clinical study to support the use of cannabis for those aforementioned conditions except for chemotherapy induced nausea/vomiting. Systematics reviews confirmed that cannabis was significantly more effective than placebo and at least as effective as various conventional antiemetics. However, due to the availability of many potent new standard antiemetics (5-HT3 receptor antagonists, and neurokinin-1-receptor-antagonists) without psychotropic effects, cannabis is not recommended as a first-line antiemetic agent. The exception is when the new standard antiemetics cannot adequately control nausea and vomiting from chemotherapy. The cannabis is contraindicated in pregnant women or lactating mother because of the possibility of adverse fetal and neonatal outcomes. Once cannabis is legalized for medical use in more countries, its efficacy in those aforementioned conditions can be tested and confirmed in randomized controlled trials.
大麻的医疗效益已被广泛接受。在妇产科,据报道,它有助于减轻孕妇和接受化疗的妇科癌症患者的恶心和呕吐。它也被用作分娩和月经期间的止痛药。一些人还声称大麻还可以延长癌症患者的寿命,甚至可以治愈癌症。由于大麻在许多国家长期非法化,除了化疗引起的恶心/呕吐外,没有临床研究的循证数据支持在上述情况下使用大麻。系统评价证实,大麻明显比安慰剂更有效,至少与各种传统止吐药一样有效。然而,由于许多有效的新标准止吐药(5-HT3受体拮抗剂和神经激肽-1受体拮抗剂)没有精神作用,大麻不被推荐作为一线止吐药。唯一的例外是当新的标准止吐药不能充分控制化疗引起的恶心和呕吐。由于可能对胎儿和新生儿产生不良后果,孕妇或哺乳期母亲禁用大麻。一旦大麻在更多国家的医疗用途合法化,就可以在随机对照试验中对其在上述情况下的功效进行测试和确认。
{"title":"Cannabis (Gan-ja): Relevant Issues in Obstetrics and Gynecology","authors":"S. Manusirivithaya, Vichai Manusirivithaya","doi":"10.14456/TJOG.2018.25","DOIUrl":"https://doi.org/10.14456/TJOG.2018.25","url":null,"abstract":"Medical benefits of cannabis have become widely accepted. In Obstetrics and Gynecology, it was reported to be useful to alleviate nausea and vomiting from morning sickness in pregnant women and in gynecologic cancer patients who received chemotherapy. It has also been used as a pain killer during labor and menstruation. Some also claimed that the cannabis may also prolong life of cancer patients or even cure cancer. Owing to the illegalization of the cannabis in many countries for a long time, there has been no evidence-based data from clinical study to support the use of cannabis for those aforementioned conditions except for chemotherapy induced nausea/vomiting. Systematics reviews confirmed that cannabis was significantly more effective than placebo and at least as effective as various conventional antiemetics. However, due to the availability of many potent new standard antiemetics (5-HT3 receptor antagonists, and neurokinin-1-receptor-antagonists) without psychotropic effects, cannabis is not recommended as a first-line antiemetic agent. The exception is when the new standard antiemetics cannot adequately control nausea and vomiting from chemotherapy. The cannabis is contraindicated in pregnant women or lactating mother because of the possibility of adverse fetal and neonatal outcomes. Once cannabis is legalized for medical use in more countries, its efficacy in those aforementioned conditions can be tested and confirmed in randomized controlled trials.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"26 1","pages":"206-216"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48617609","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}
引用次数: 0
Efficacy of Music Therapy on Immediate Postpartum Episiotomy Pain: A randomized controlled trial 音乐治疗产后会阴切开术疼痛的疗效:一项随机对照试验
Q4 Medicine Pub Date : 2018-09-30 DOI: 10.14456/TJOG.2018.19
Ravita Chaichanalap, Wipada Laosooksathit, K. Kongsomboon, T. Hanprasertpong
Objectives: To evaluate the effectiveness of music therapy in alleviating immediate postpartum episiotomy wound pain.  Material and Methods:  A randomized controlled trial was conducted to evaluate the efficacy of music therapy in alleviating immediate pain from an episiotomy wound. Uncomplicated singleton vaginal delivery women with the second degree or less episiotomy wound at Delivery and Postpartum Inpatient Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Srinakharinwirot University, Thailand were enrolled into the study. Visual analog scale (VAS) scoring was used for comparing pain levels. Results: One hundred postpartum women were enrolled in our study. Baseline characteristics such as age, degree of episiotomy wound tear were similar between both groups. The median pain VAS score was statistically significantly lower in the music group than in the control group at the end of the 2nd hour after finish of episiotomy wound repairing process [24.0 millimeters (8.3-41.5) and 36.5 millimeters (20.0-53.3), p < 0.001]. The median pain VAS score was statistically significantly lower in the music group than in the control group at the end of 6th hour after finish of episiotomy wound repairing process [12.0 millimeters (3.0-21.0) and 22.0 millimeters (15.0-38.0), p < 0.001] Conclusion: Music therapy is effective for reducing the perceived immediate postpartum pain of an episiotomy wound. Keywords: episiotomy pain, music therapy, singleton pregnancy
目的:评价音乐疗法对减轻产后会阴切开术创面疼痛的效果。材料与方法:采用随机对照试验,评价音乐治疗对减轻会阴切口创面即刻疼痛的疗效。研究对象为泰国斯利那卡林沃大学医学院产、产科分娩及产后住院病房有二度及以下会阴切开伤口的单胎阴道分娩女性。采用视觉模拟评分法(VAS)比较疼痛程度。结果:100名产后妇女参与了我们的研究。两组的年龄、会阴切口撕裂程度等基线特征相似。音乐组在会阴切口修复过程结束后第2小时疼痛VAS评分中位数低于对照组[24.0 mm(8.3 ~ 41.5)和36.5 mm (20.0 ~ 53.3), p < 0.001]。音乐组在会阴切口修复过程结束后第6小时疼痛VAS评分中位数低于对照组[12.0 mm(3.0 ~ 21.0)和22.0 mm (15.0 ~ 38.0), p < 0.001]。结论:音乐治疗可有效减轻会阴切口术后即刻疼痛感。关键词:会阴切开疼痛,音乐治疗,单胎妊娠
{"title":"Efficacy of Music Therapy on Immediate Postpartum Episiotomy Pain: A randomized controlled trial","authors":"Ravita Chaichanalap, Wipada Laosooksathit, K. Kongsomboon, T. Hanprasertpong","doi":"10.14456/TJOG.2018.19","DOIUrl":"https://doi.org/10.14456/TJOG.2018.19","url":null,"abstract":"Objectives: To evaluate the effectiveness of music therapy in alleviating immediate postpartum episiotomy wound pain.  \u0000Material and Methods:  A randomized controlled trial was conducted to evaluate the efficacy of music therapy in alleviating immediate pain from an episiotomy wound. Uncomplicated singleton vaginal delivery women with the second degree or less episiotomy wound at Delivery and Postpartum Inpatient Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Srinakharinwirot University, Thailand were enrolled into the study. Visual analog scale (VAS) scoring was used for comparing pain levels. \u0000Results: One hundred postpartum women were enrolled in our study. Baseline characteristics such as age, degree of episiotomy wound tear were similar between both groups. The median pain VAS score was statistically significantly lower in the music group than in the control group at the end of the 2nd hour after finish of episiotomy wound repairing process [24.0 millimeters (8.3-41.5) and 36.5 millimeters (20.0-53.3), p < 0.001]. The median pain VAS score was statistically significantly lower in the music group than in the control group at the end of 6th hour after finish of episiotomy wound repairing process [12.0 millimeters (3.0-21.0) and 22.0 millimeters (15.0-38.0), p < 0.001] \u0000Conclusion: Music therapy is effective for reducing the perceived immediate postpartum pain of an episiotomy wound. \u0000Keywords: episiotomy pain, music therapy, singleton pregnancy","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"1 1","pages":"158-165"},"PeriodicalIF":0.0,"publicationDate":"2018-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43296961","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}
引用次数: 4
Spot Urine Albumin to Creatinine Ratio versus Urine Protein to Creatinine Ratio for the Diagnosis of Proteinuria in Pregnancy 斑点尿白蛋白与肌酐比值与尿蛋白与肌酐比值诊断妊娠蛋白尿
Q4 Medicine Pub Date : 2017-12-30 DOI: 10.14456/TJOG.2017.33
Paroon Sanoonrat, N. Srisantiroj, M. Yanaranop
Objective: To evaluate the correlation of the spot urine albumin to creatinine ratio (UACR) and the urine protein to creatinine ratio (UPCR) with 24-hour urine protein (UP-24) collection and to explore the diagnostic performances of these parameters for detecting significant proteinuria in pregnancy Materials and methods: This cross-sectional study was conducted on pregnant women at gestational ages 20-41 weeks who had clinically suspected proteinuria and were prospectively enrolled from November 2015 and April 2016. Random urine samples for UACR, UPCR and 24-hour urine collection for protein and creatinine were examined. Results: A total of 115 pregnant women were evaluated. Using UP-24 as the reference standard, significant proteinuria was identified in 39 cases (33.9%). UACR had a higher level of correlation than UPCR with UP-24 ( r = 0.884 and 0.834, respectively). The areas under the receiver characteristics curves (ROC-AUC) of UACR and UPCR were 96.6% (95%CI; 93.8-99.9) and 94.5% (95%CI; 90.4-98.6), respectively. The diagnostic threshold of UACR for significant proteinuria was 42 mg/g. (94.9% sensitivity and 86.8% specificity), whereas the UPCR cutoff value was 0.26, (87.2% sensitivity and 90.8% specificity). Predicted UP-24 using spot UACR adjusted by maternal age had the highest ROC-AUC of 97.4% (95%CI; 95.1-99.6), with a sensitivity of 94.9% and a specificity of 90.8%. Conclusion: Spot UACR showed better correlation with UP-24 than UPCR. Spot UACR adjusted for maternal age was used to predict UP-24, yielding a good diagnostic performance that was not associated with the time of clinical assessment and urine collection or with underlying diseases.
目的:评价尿白蛋白/肌酐比(UACR)和尿蛋白/肌酐比(UPCR)与24小时尿蛋白(UP-24)采集的相关性,探讨这些参数对妊娠期显著性蛋白尿的诊断价值。本横断面研究于2015年11月至2016年4月期间对20-41周的临床怀疑有蛋白尿的孕妇进行前瞻性研究。随机取尿样检测UACR、UPCR, 24小时取尿样检测蛋白和肌酐。结果:共对115例孕妇进行了评估。以UP-24为参比标准,39例(33.9%)出现明显蛋白尿。UACR与UP-24的相关性高于UPCR (r分别为0.884和0.834)。UACR和UPCR的受试者特征曲线下面积(ROC-AUC)为96.6% (95%CI;93.8-99.9)和94.5% (95%CI;分别为90.4 - -98.6)。UACR对显著蛋白尿的诊断阈值为42 mg/g。(敏感性94.9%,特异性86.8%),而UPCR截止值为0.26(敏感性87.2%,特异性90.8%)。根据产妇年龄调整的现场UACR预测UP-24的ROC-AUC最高,为97.4% (95%CI;95.1-99.6),敏感性为94.9%,特异性为90.8%。结论:斑点UACR与UP-24的相关性优于UPCR。根据产妇年龄调整的Spot UACR用于预测UP-24,产生了良好的诊断性能,与临床评估和尿液收集时间或潜在疾病无关。
{"title":"Spot Urine Albumin to Creatinine Ratio versus Urine Protein to Creatinine Ratio for the Diagnosis of Proteinuria in Pregnancy","authors":"Paroon Sanoonrat, N. Srisantiroj, M. Yanaranop","doi":"10.14456/TJOG.2017.33","DOIUrl":"https://doi.org/10.14456/TJOG.2017.33","url":null,"abstract":"Objective: To evaluate the correlation of the spot urine albumin to creatinine ratio (UACR) and the urine protein to creatinine ratio (UPCR) with 24-hour urine protein (UP-24) collection and to explore the diagnostic performances of these parameters for detecting significant proteinuria in pregnancy Materials and methods: This cross-sectional study was conducted on pregnant women at gestational ages 20-41 weeks who had clinically suspected proteinuria and were prospectively enrolled from November 2015 and April 2016. Random urine samples for UACR, UPCR and 24-hour urine collection for protein and creatinine were examined. Results: A total of 115 pregnant women were evaluated. Using UP-24 as the reference standard, significant proteinuria was identified in 39 cases (33.9%). UACR had a higher level of correlation than UPCR with UP-24 ( r = 0.884 and 0.834, respectively). The areas under the receiver characteristics curves (ROC-AUC) of UACR and UPCR were 96.6% (95%CI; 93.8-99.9) and 94.5% (95%CI; 90.4-98.6), respectively. The diagnostic threshold of UACR for significant proteinuria was 42 mg/g. (94.9% sensitivity and 86.8% specificity), whereas the UPCR cutoff value was 0.26, (87.2% sensitivity and 90.8% specificity). Predicted UP-24 using spot UACR adjusted by maternal age had the highest ROC-AUC of 97.4% (95%CI; 95.1-99.6), with a sensitivity of 94.9% and a specificity of 90.8%. Conclusion: Spot UACR showed better correlation with UP-24 than UPCR. Spot UACR adjusted for maternal age was used to predict UP-24, yielding a good diagnostic performance that was not associated with the time of clinical assessment and urine collection or with underlying diseases.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"26 1","pages":"249-258"},"PeriodicalIF":0.0,"publicationDate":"2017-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42629501","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}
引用次数: 0
Prevalence of Hypothyroidism in Peri-/Post-Menopausal Thai Women 泰国妇女更年期前后甲状腺功能减退症的患病率
Q4 Medicine Pub Date : 2017-12-29 DOI: 10.14456/TJOG.2017.36
Kanokphon Butmarasri, S. Soontrapa, S. Kaewrudee, C. Somboonporn, W. Somboonporn
Objectives: This study aimed to determine the prevalence of hypothyroidism and its association with menopausal symptoms and evaluated the diagnostic performance of Zulewski’s clinical score for predicting hypothyroidism in peri-/post-menopausal Thai women. Materials and Methods: This hospital-based cross-sectional study was conducted between June 2015 and April 2016 in Srinagarind Hospital, Khon Kaen, Thailand. We enrolled 305 peri-/postmenopausal women 45-65 years of age without previous history of thyroid diseases, radiation exposure at the neck, or concurrent use of lithium. The participants were interviewed by two research assistants’ vis-à-vis symptoms of menopause and hypothyroidism, current medications and menstrual characteristics. Blood samples were taken for TSH and FT4 levels. Main outcomes were prevalence of hypothyroidism, the Menopause-Specific Quality of Life (MENQOL) score, and diagnostic performance of Zulewski’s clinical score . results: Mean age was 56 ± 4.7 years. The prevalence of hypothyroidism was 6.2% (95%CI 3.5% to 8.9%). The sensitivity of Zulewski’s clinical score at the cutoff point ≥ 3 was 70%. Neither the MENQOL domain score nor the composite score was associated with hypothyroidism. Conclusion: The prevalence of hypothyroidism in peri-/post-menopausal Thai women is low. There is no association between MENQOL score and hypothyroidism. Zulewski’s clinical score is not a good screening test for hypothyroidism in this group.
目的:本研究旨在确定甲状腺功能减退症的患病率及其与更年期症状的关系,并评估Zulewski临床评分在预测围绝经期/绝经后泰国妇女甲状腺功能减退中的诊断性能。材料和方法:这项基于医院的横断面研究于2015年6月至2016年4月在泰国孔敬的斯利那加医院进行。我们招募了305名45-65岁的围绝经期/绝经后妇女,她们以前没有甲状腺疾病、颈部辐射暴露或同时使用锂的病史。两名研究助理就更年期和甲状腺功能减退的症状、目前的药物和月经特征对参与者进行了访谈。采集血样以测定TSH和FT4水平。主要结果是甲状腺功能减退症的患病率、更年期特定生活质量(MENQOL)评分和Zulewski临床评分的诊断性能。结果:平均年龄56±4.7岁。甲状腺功能减退症的患病率为6.2%(95%CI为3.5%至8.9%)。Zulewski临床评分在临界点≥3时的敏感性为70%。MENQOL领域评分和综合评分均与甲状腺功能减退无关。结论:泰国围绝经期/绝经后妇女甲状腺功能减退的患病率较低。MENQOL评分与甲状腺功能减退之间没有关联。Zulewski的临床评分不是这一组甲状腺功能减退症的良好筛查测试。
{"title":"Prevalence of Hypothyroidism in Peri-/Post-Menopausal Thai Women","authors":"Kanokphon Butmarasri, S. Soontrapa, S. Kaewrudee, C. Somboonporn, W. Somboonporn","doi":"10.14456/TJOG.2017.36","DOIUrl":"https://doi.org/10.14456/TJOG.2017.36","url":null,"abstract":"Objectives: This study aimed to determine the prevalence of hypothyroidism and its association with menopausal symptoms and evaluated the diagnostic performance of Zulewski’s clinical score for predicting hypothyroidism in peri-/post-menopausal Thai women. Materials and Methods: This hospital-based cross-sectional study was conducted between June 2015 and April 2016 in Srinagarind Hospital, Khon Kaen, Thailand. We enrolled 305 peri-/postmenopausal women 45-65 years of age without previous history of thyroid diseases, radiation exposure at the neck, or concurrent use of lithium. The participants were interviewed by two research assistants’ vis-à-vis symptoms of menopause and hypothyroidism, current medications and menstrual characteristics. Blood samples were taken for TSH and FT4 levels. Main outcomes were prevalence of hypothyroidism, the Menopause-Specific Quality of Life (MENQOL) score, and diagnostic performance of Zulewski’s clinical score . results: Mean age was 56 ± 4.7 years. The prevalence of hypothyroidism was 6.2% (95%CI 3.5% to 8.9%). The sensitivity of Zulewski’s clinical score at the cutoff point ≥ 3 was 70%. Neither the MENQOL domain score nor the composite score was associated with hypothyroidism. Conclusion: The prevalence of hypothyroidism in peri-/post-menopausal Thai women is low. There is no association between MENQOL score and hypothyroidism. Zulewski’s clinical score is not a good screening test for hypothyroidism in this group.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"1 1","pages":"275-283"},"PeriodicalIF":0.0,"publicationDate":"2017-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41732427","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}
引用次数: 0
Contraceptive Knowledge, Attitude and Behavior of Contraception in Teenage Pregnancy at Buddhachinaraj Phitsanulok Hospital Buddhachinaraj Phitsanulok医院青少年怀孕期间的避孕知识、态度和行为
Q4 Medicine Pub Date : 2017-12-29 DOI: 10.14456/tjog.2017.31
Monwanee Muangchang, P. Pongsuthirak
Objectives: To assess characteristics, knowledge, attitude and behavior in contraception among pregnant teenagers. Materials and Methods: The cross-sectional descriptive study was conducted from September 2015 to February 2016 in pregnant teenagers (under 20-year-old) attending ANC or admitted at Buddhachinaraj Phitsanulok Hospital. The questionnaires consisted of general characteristics, contraceptive behavior, contraceptive knowledge, and contraceptive attitude. The data was analyzed using descriptive statistics, Chi square test and Spearman’s rank-order correlation. results: Three hundred and fifty pregnant teenagers were divided into two groups by using contraceptive knowledge mean scores (14.68). The above mean group (group A) composed of 192 teenagers (54.86%) and the below mean group (group B) had 158 teenagers (45.14%). There were significant differences in educational level (p = 0.033), gravidity (p = 0.006) and contraceptive attitude (p < 0.05) between groups. The two most common contraceptive methods were oral contraceptive pills (OCP) (66.86%) and condoms (30.29%) but the future choices will be depot medroxyprogesterone acetate (DMPA) (51.71%) and OCP (28.57%). The main sources of contraceptive knowledge were internet and school. If they had any problems, they asked their friends (47.14%) and used the internet (45.14%). Conclusion: About a half of pregnant teenagers had contraceptive knowledge scores above mean. There was a significant difference in level of education, gravidity, and attitude between the two groups. The most common contraceptive method previously used was OCP but future contraceptive choice will be DMPA.
目的:评估青少年怀孕期间避孕的特点、知识、态度和行为。材料和方法:2015年9月至2016年2月,对在ANC就诊或入住Buddhachinaraj Phitsanulok医院的怀孕青少年(20岁以下)进行横断面描述性研究。问卷包括一般特征、避孕行为、避孕知识和避孕态度。数据采用描述性统计、卡方检验和Spearman秩序相关分析。结果:采用避孕知识平均分(14.68)将350名怀孕青少年分为两组,其中A组192名(54.86%),B组158名(45.14%),妊娠率(p=0.006)和避孕态度(p<0.05)。最常见的两种避孕方法是口服避孕药(66.86%)和避孕套(30.29%),但未来的选择将是长效醋酸甲羟孕酮(51.71%)和口服避孕药(28.57%)。避孕知识的主要来源是互联网和学校。如果有任何问题,他们会询问朋友(47.14%)并上网(45.14%)。结论:大约一半的怀孕青少年的避孕知识得分高于平均水平。两组受教育程度、妊娠率和态度存在显著差异。以前使用的最常见的避孕方法是OCP,但未来的避孕选择将是DMPA。
{"title":"Contraceptive Knowledge, Attitude and Behavior of Contraception in Teenage Pregnancy at Buddhachinaraj Phitsanulok Hospital","authors":"Monwanee Muangchang, P. Pongsuthirak","doi":"10.14456/tjog.2017.31","DOIUrl":"https://doi.org/10.14456/tjog.2017.31","url":null,"abstract":"Objectives: To assess characteristics, knowledge, attitude and behavior in contraception among pregnant teenagers. Materials and Methods: The cross-sectional descriptive study was conducted from September 2015 to February 2016 in pregnant teenagers (under 20-year-old) attending ANC or admitted at Buddhachinaraj Phitsanulok Hospital. The questionnaires consisted of general characteristics, contraceptive behavior, contraceptive knowledge, and contraceptive attitude. The data was analyzed using descriptive statistics, Chi square test and Spearman’s rank-order correlation. results: Three hundred and fifty pregnant teenagers were divided into two groups by using contraceptive knowledge mean scores (14.68). The above mean group (group A) composed of 192 teenagers (54.86%) and the below mean group (group B) had 158 teenagers (45.14%). There were significant differences in educational level (p = 0.033), gravidity (p = 0.006) and contraceptive attitude (p < 0.05) between groups. The two most common contraceptive methods were oral contraceptive pills (OCP) (66.86%) and condoms (30.29%) but the future choices will be depot medroxyprogesterone acetate (DMPA) (51.71%) and OCP (28.57%). The main sources of contraceptive knowledge were internet and school. If they had any problems, they asked their friends (47.14%) and used the internet (45.14%). Conclusion: About a half of pregnant teenagers had contraceptive knowledge scores above mean. There was a significant difference in level of education, gravidity, and attitude between the two groups. The most common contraceptive method previously used was OCP but future contraceptive choice will be DMPA.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"1 1","pages":"232-241"},"PeriodicalIF":0.0,"publicationDate":"2017-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43801337","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}
引用次数: 1
Risk Factors for Cesarean Hysterectomy at Maharat Nakhon Ratchasima Hospital Maharat Nakhon Ratchasima医院剖宫产子宫切除术的危险因素
Q4 Medicine Pub Date : 2017-09-30 DOI: 10.14456/TJOG.2017.27
Krittiya Dankhonsakul, Oraphan Aswakul
Objectives: To evaluate incidence, risk factors and complications of cesarean hysterectomy. Materials and Methods: This was a retrospective case-control study. The study cases included 80 pregnant women with cesarean hysterectomy at Maharat Nakhon Ratchasima Hospital from January 1st, 2010 to December 31st, 2015. The controls referred to 320 pregnant women who underwent cesarean section at the closest time before and after the study cases. The medical records were collected and analysed. Multivariate logistic regression analysis was performed to identify risk factors. Results: During the study period, there were 50,729 deliveries and 80 pregnant women with cesarean hysterectomy (1.58:1,000). The statistically significant risk factors for cesarean hysterectomy were placenta adherent (adjusted odds ratios (AOR) 120.91, 95% confidence interval (95% CI) 22.05-1653.22), uterine atony (AOR 26.77, 95% CI 5.64-127.07), placenta previa (AOR 19.15, 95% CI 5.74-63.92), the tearing of lower uterine segment (AOR 14.92, 95% CI 4.92-45.29), multigravida (AOR 4.84, 95% CI 1.65-14.20) and emergency cesarean section (AOR 3.98, 95% CI 1.26-12.58). Hypovolemia, disseminated intravascular coagulation, postoperative fever and bladder injury were significant common complications. Conclusion: Placenta adherent, uterine atony, placenta previa, the tearing of lower uterine segment, multigravida and emergency cesarean section were identified as significant risk factors for cesarean hysterectomy.
目的:探讨剖宫产子宫切除术的发生率、危险因素及并发症。材料与方法:本研究为回顾性病例对照研究。本研究病例包括2010年1月1日至2015年12月31日在Maharat Nakhon Ratchasima医院行剖宫产子宫切除术的孕妇80例。对照组是在研究病例前后最近时间接受剖宫产手术的320名孕妇。收集并分析了医疗记录。多因素logistic回归分析确定危险因素。结果:研究期间共分娩50,729例,剖宫产子宫切除术孕妇80例(1.58:1,000)。剖宫产子宫切除术的危险因素有胎盘贴附(调整优势比(AOR) 120.91, 95%可信区间(95% CI) 22.05 ~ 1653.22)、子宫张力(AOR 26.77, 95% CI 5.64 ~ 127.07)、前置胎盘(AOR 19.15, 95% CI 5.74 ~ 63.92)、子宫下段撕裂(AOR 14.92, 95% CI 4.92 ~ 45.29)、多胎(AOR 4.84, 95% CI 1.65 ~ 14.20)和紧急剖宫产(AOR 3.98, 95% CI 1.26 ~ 12.58)。低血容量、弥散性血管内凝血、术后发热和膀胱损伤是常见的并发症。结论:胎盘粘附、子宫张力、前置胎盘、子宫下段撕裂、多胎和急诊剖宫产是剖宫产子宫切除术的重要危险因素。
{"title":"Risk Factors for Cesarean Hysterectomy at Maharat Nakhon Ratchasima Hospital","authors":"Krittiya Dankhonsakul, Oraphan Aswakul","doi":"10.14456/TJOG.2017.27","DOIUrl":"https://doi.org/10.14456/TJOG.2017.27","url":null,"abstract":"Objectives: To evaluate incidence, risk factors and complications of cesarean hysterectomy. Materials and Methods: This was a retrospective case-control study. The study cases included 80 pregnant women with cesarean hysterectomy at Maharat Nakhon Ratchasima Hospital from January 1st, 2010 to December 31st, 2015. The controls referred to 320 pregnant women who underwent cesarean section at the closest time before and after the study cases. The medical records were collected and analysed. Multivariate logistic regression analysis was performed to identify risk factors. Results: During the study period, there were 50,729 deliveries and 80 pregnant women with cesarean hysterectomy (1.58:1,000). The statistically significant risk factors for cesarean hysterectomy were placenta adherent (adjusted odds ratios (AOR) 120.91, 95% confidence interval (95% CI) 22.05-1653.22), uterine atony (AOR 26.77, 95% CI 5.64-127.07), placenta previa (AOR 19.15, 95% CI 5.74-63.92), the tearing of lower uterine segment (AOR 14.92, 95% CI 4.92-45.29), multigravida (AOR 4.84, 95% CI 1.65-14.20) and emergency cesarean section (AOR 3.98, 95% CI 1.26-12.58). Hypovolemia, disseminated intravascular coagulation, postoperative fever and bladder injury were significant common complications. Conclusion: Placenta adherent, uterine atony, placenta previa, the tearing of lower uterine segment, multigravida and emergency cesarean section were identified as significant risk factors for cesarean hysterectomy.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"25 1","pages":"191-198"},"PeriodicalIF":0.0,"publicationDate":"2017-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47220721","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}
引用次数: 0
Acceptance of Influenza Vaccination among Pregnant Women attending the Antenatal Care Clinic, King Chulalongkorn Memorial Hospital 在朱拉隆功国王纪念医院产前保健诊所接受流感疫苗接种的孕妇
Q4 Medicine Pub Date : 2017-06-30 DOI: 10.14456/TJOG.2017.12
Teeranuch Leewongtrakul, Y. Kunpalin, T. Ingviya, S. Chaithongwongwatthana
Objectives: To determine the acceptance rate and associated factors of influenza vaccination among Thai pregnant women. Materials and Methods: A cross-sectional descriptive study was conducted at King Chulalongkorn Memorial Hospital from November 2014 to March 2015. Pregnant women were asked to complete self-administered questionnaires that collected data on acceptance of vaccination, knowledge, attitude and practice regarding to influenza vaccination during pregnancy. The associated factors were determined by logistic regression analysis. Results: A total of 412 women completed the questionnaires. Acceptance rate of influenza vaccination among the participants was 40.5% (95% CI 35.9-45.3). Most participants (320 women, 77.7%) had good knowledge about influenza and the vaccine. Factors positively associated with the acceptance were ‘advice from physicians’ (adjusted OR 2.61, 95% CI 1.55-4.39), ‘notification about vaccination in current pregnancy’ (adjusted OR 1.84, 95% CI 1.17-2.89), ‘protection of newborn’ (adjusted OR 2.83, 95% CI 1.74-4.62) and ‘cost of vaccination’ (adjusted OR 2.36, 95% CI 1.46-3.82). Negatively associated factors included ‘experience of side effects following past vaccination’ (adjusted OR 0.19, 95% CI 0.05-0.74), ‘belief that vaccination is unnecessary’ (adjusted OR 0.42, 95% CI 0.21-0.86), and ‘unsafe during the first trimester’ (adjusted OR 0.55, 95% CI 0.34-0.90). Conclusion: Acceptance rate of influenza vaccination during pregnancy among women in King Chulalongkorn Memorial Hospital was 40.5%. To increase vaccination rate, health care providers should advise or mention on influenza vaccination and provide information to support that the immunization can protect their newborns and is safe at any trimester.
目的:了解泰国孕妇流感疫苗接种率及相关因素。材料与方法:2014年11月至2015年3月在朱拉隆功国王纪念医院进行横断面描述性研究。孕妇被要求完成自我填写的问卷,收集关于接受疫苗接种、怀孕期间流感疫苗接种的知识、态度和做法的数据。通过logistic回归分析确定相关因素。结果:共有412名女性完成了问卷调查。流感疫苗接种率为40.5% (95% CI 35.9-45.3)。大多数参与者(320名妇女,77.7%)对流感和疫苗有良好的了解。与接受度呈正相关的因素是“医生建议”(调整后的OR为2.61,95% CI为1.55-4.39)、“妊娠期疫苗接种通知”(调整后的OR为1.84,95% CI为1.17-2.89)、“新生儿保护”(调整后的OR为2.83,95% CI为1.74-4.62)和“疫苗接种成本”(调整后的OR为2.36,95% CI为1.46-3.82)。负相关因素包括“过去接种疫苗后的副作用经历”(调整后的OR为0.19,95% CI为0.05-0.74)、“认为没有必要接种疫苗”(调整后的OR为0.42,95% CI为0.21-0.86)和“妊娠早期不安全”(调整后的OR为0.55,95% CI为0.34-0.90)。结论:朱拉隆功国王纪念医院孕妇流感疫苗接种率为40.5%。为了提高疫苗接种率,卫生保健提供者应建议或提及流感疫苗接种,并提供信息支持免疫接种可以保护新生儿,并且在任何妊娠期都是安全的。
{"title":"Acceptance of Influenza Vaccination among Pregnant Women attending the Antenatal Care Clinic, King Chulalongkorn Memorial Hospital","authors":"Teeranuch Leewongtrakul, Y. Kunpalin, T. Ingviya, S. Chaithongwongwatthana","doi":"10.14456/TJOG.2017.12","DOIUrl":"https://doi.org/10.14456/TJOG.2017.12","url":null,"abstract":"Objectives: To determine the acceptance rate and associated factors of influenza vaccination among Thai pregnant women. Materials and Methods: A cross-sectional descriptive study was conducted at King Chulalongkorn Memorial Hospital from November 2014 to March 2015. Pregnant women were asked to complete self-administered questionnaires that collected data on acceptance of vaccination, knowledge, attitude and practice regarding to influenza vaccination during pregnancy. The associated factors were determined by logistic regression analysis. Results: A total of 412 women completed the questionnaires. Acceptance rate of influenza vaccination among the participants was 40.5% (95% CI 35.9-45.3). Most participants (320 women, 77.7%) had good knowledge about influenza and the vaccine. Factors positively associated with the acceptance were ‘advice from physicians’ (adjusted OR 2.61, 95% CI 1.55-4.39), ‘notification about vaccination in current pregnancy’ (adjusted OR 1.84, 95% CI 1.17-2.89), ‘protection of newborn’ (adjusted OR 2.83, 95% CI 1.74-4.62) and ‘cost of vaccination’ (adjusted OR 2.36, 95% CI 1.46-3.82). Negatively associated factors included ‘experience of side effects following past vaccination’ (adjusted OR 0.19, 95% CI 0.05-0.74), ‘belief that vaccination is unnecessary’ (adjusted OR 0.42, 95% CI 0.21-0.86), and ‘unsafe during the first trimester’ (adjusted OR 0.55, 95% CI 0.34-0.90). Conclusion: Acceptance rate of influenza vaccination during pregnancy among women in King Chulalongkorn Memorial Hospital was 40.5%. To increase vaccination rate, health care providers should advise or mention on influenza vaccination and provide information to support that the immunization can protect their newborns and is safe at any trimester.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"25 1","pages":"75-82"},"PeriodicalIF":0.0,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48268923","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}
引用次数: 2
The prevalence of bacterial vaginosis in pregnant women during early third trimester and the pregnancy complications 妊娠早期细菌性阴道病的患病率及妊娠并发症
Q4 Medicine Pub Date : 2017-06-30 DOI: 10.14456/TJOG.2017.15
S. Tachawatcharapunya, Chenchit Chayachinda, Nichamon Parkpinyo
Objectives: To investigate the prevalence of bacterial vaginosis (BV) in asymptomatic pregnant women during early-third trimester and to compare the pregnancy complications between pregnant women with and without BV. Materials and Methods: A total of 270 asymptomatic pregnant women at GA 28-32 weeks without history of preterm birth (PB) or cervical surgery were screened for BV, along with other vaginal infections, using gram stain. Nugent criteria was used to categorize vaginal smears into no BV (score 0-3), intermediate flora (IF, score 4-6) and BV (score 7-10). Fifteen weeks later, their medical records were reviewed. Outcomes of interest were premature rupture of membranes (PROM), preterm birth <37 weeks (PB) and birth weight <2,500 grams (LBW). Results: From 270 participants, 233 who delivered at Siriraj hospital were eligible for the study. The prevalence of BV, vaginal candidiasis (VC) and IF were 19.3%, 21% and 36.5%, respectively. None had trichomoniasis or gonococcal infection. One of BV cases had chorioamnionitis and none of all participants had post-partum infection. Multivariate analysis showed the increasing trend of pregnancy complications: PROM (IF 1.6, 95% CI 0.6-4.5; BV 2.2, 95% CI 0.8-6.2, p= 0.339), PB (IF 1.3, 95% CI 0.3-5.1; BV 2.3, 95% CI 0.6-9.4, p= 0.489) and LBW (IF 1.4, 95% CI 0.5-4.1; BV 1.5, 95% CI 0.5-4.9, p= 0.761). Conclusion: BV during GA28-32 weeks in asymptomatic Thai pregnant women was prevalent at 19.3% and tended to increase in pregnancy complications, including premature rupture of membranes, preterm birth and low birth weight.
目的:了解无症状孕妇中晚期细菌性阴道病(BV)的患病率,并比较有BV和无BV孕妇的妊娠并发症。材料和方法:对270名GA 28-32周无早产或宫颈手术史的无症状孕妇进行BV筛查,以及其他阴道感染,使用革兰氏染色。Nugent标准用于将阴道涂片分为无BV(评分0-3)、中等菌群(IF,评分4-6)和BV(评分7-10)。15周后,对他们的医疗记录进行了审查。感兴趣的结果是胎膜早破(PROM)、早产<37周(PB)和出生体重<2500克(LBW)。结果:在270名参与者中,在Siriraj医院分娩的233人符合研究条件。BV、阴道念珠菌感染(VC)和IF的患病率分别为19.3%、21%和36.5%。无滴虫病或淋球菌感染。BV病例中有一例有绒毛膜羊膜炎,所有参与者均无产后感染。多因素分析显示妊娠并发症呈增加趋势:胎膜早破(IF 1.6,95%CI 0.6-4.5;BV 2.2,95%CI 0.8-6.2,p=0.339),PB(IF 1.3,95%CI 0.3-5.1;BV 2.3,95%CI 0.6-9.4,p=0.489)和LBW(IF 1.4,95%CI 0.5-4.1;BV 1.5,95%CI 0.5-4.9,p=0.761)。
{"title":"The prevalence of bacterial vaginosis in pregnant women during early third trimester and the pregnancy complications","authors":"S. Tachawatcharapunya, Chenchit Chayachinda, Nichamon Parkpinyo","doi":"10.14456/TJOG.2017.15","DOIUrl":"https://doi.org/10.14456/TJOG.2017.15","url":null,"abstract":"Objectives: To investigate the prevalence of bacterial vaginosis (BV) in asymptomatic pregnant women during early-third trimester and to compare the pregnancy complications between pregnant women with and without BV. Materials and Methods: A total of 270 asymptomatic pregnant women at GA 28-32 weeks without history of preterm birth (PB) or cervical surgery were screened for BV, along with other vaginal infections, using gram stain. Nugent criteria was used to categorize vaginal smears into no BV (score 0-3), intermediate flora (IF, score 4-6) and BV (score 7-10). Fifteen weeks later, their medical records were reviewed. Outcomes of interest were premature rupture of membranes (PROM), preterm birth <37 weeks (PB) and birth weight <2,500 grams (LBW). Results: From 270 participants, 233 who delivered at Siriraj hospital were eligible for the study. The prevalence of BV, vaginal candidiasis (VC) and IF were 19.3%, 21% and 36.5%, respectively. None had trichomoniasis or gonococcal infection. One of BV cases had chorioamnionitis and none of all participants had post-partum infection. Multivariate analysis showed the increasing trend of pregnancy complications: PROM (IF 1.6, 95% CI 0.6-4.5; BV 2.2, 95% CI 0.8-6.2, p= 0.339), PB (IF 1.3, 95% CI 0.3-5.1; BV 2.3, 95% CI 0.6-9.4, p= 0.489) and LBW (IF 1.4, 95% CI 0.5-4.1; BV 1.5, 95% CI 0.5-4.9, p= 0.761). Conclusion: BV during GA28-32 weeks in asymptomatic Thai pregnant women was prevalent at 19.3% and tended to increase in pregnancy complications, including premature rupture of membranes, preterm birth and low birth weight.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"25 1","pages":"95-102"},"PeriodicalIF":0.0,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45137583","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}
引用次数: 1
The Correlation between Serum Estradiol Level and Body Mass Index in Postmenopausal Women: A cross-sectional study at the Menopause Clinic, Siriraj Hospital 绝经后妇女血清雌二醇水平与体重指数的相关性:诗丽拉医院更年期门诊的横断面研究
Q4 Medicine Pub Date : 2017-06-30 DOI: 10.14456/TJOG.2017.17
K. Techatraisak
Objectives: To examine correlation between serum level of estradiol (E2) and body mass index (BMI) in postmenopausal women at a menopause clinic of a tertiary care university hospital. Materials and Methods: A retrospective cross-sectional study was performed at the Menopause Clinic, Faculty of Medicine Siriraj Hospital, Mahidol University. One hundred and twenty five consecutive medical records of menopausal women attending the menopause clinic, including both natural and surgical menopause were reviewed. All of them never received hormonal treatment or did not receive any hormonal treatment at least one year at the time of this study. All were confirmed to have serum FSH level ≥ 40 IU/L. Baseline characteristic, data on serum level of E2, BMI, type of menopause and duration of menopause were extracted. Correlation between serum level of E2 and BMI was evaluated by the Statistics Package for the Social Sciences Program (SPSS 18.0 statistical package). Pearson correlation analysis was used to demonstrate the correlation between serum E2 level and BMI, with a p value less than 0.05 considered as statistically significant. Results: Of all 125 patients, the majority were natural menopausal cases (81.6%). Mean E2 level and BMI were 20.38±16.61 pg/ml and 22.96±3.65 kg/m2 respectively. No significant correlation between serum E2 level and BMI was demonstrated (r = - 0.101, p = 0.265). Also no correlation was observed in different type of menopause, different duration of menopause and different BMI classification. Conclusion: There was no significant correlation between serum level of E2 and BMI in postmenopausal women of this study population.
目的:在一所三级护理大学医院的更年期诊所检查绝经后妇女血清雌二醇(E2)水平与体重指数(BMI)之间的相关性。材料和方法:在Mahidol大学Siriraj医院医学院更年期诊所进行了一项回顾性横断面研究。回顾了参加更年期诊所的更年期妇女的125份连续医疗记录,包括自然绝经和手术绝经。在本研究时,所有人都从未接受过激素治疗,或者至少一年没有接受过任何激素治疗。血清FSH≥40IU/L。提取基线特征、血清E2水平、BMI、更年期类型和更年期持续时间数据。社会科学项目统计软件包(SPSS 18.0统计软件包)评估血清E2水平与BMI之间的相关性。Pearson相关分析用于证明血清E2水平与BMI之间的相关性,p值小于0.05被认为具有统计学意义。结果:125例患者中,绝大多数为自然绝经患者(81.6%),平均E2水平和BMI分别为20.38±16.61 pg/ml和22.96±3.65 kg/m2。血清E2水平与BMI之间无显著相关性(r=-0.101,p=0.265),不同绝经类型、不同绝经时间和不同BMI分类也无相关性。结论:本研究人群中绝经后妇女血清E2水平和BMI之间无显著相关性。
{"title":"The Correlation between Serum Estradiol Level and Body Mass Index in Postmenopausal Women: A cross-sectional study at the Menopause Clinic, Siriraj Hospital","authors":"K. Techatraisak","doi":"10.14456/TJOG.2017.17","DOIUrl":"https://doi.org/10.14456/TJOG.2017.17","url":null,"abstract":"Objectives: To examine correlation between serum level of estradiol (E2) and body mass index (BMI) in postmenopausal women at a menopause clinic of a tertiary care university hospital. Materials and Methods: A retrospective cross-sectional study was performed at the Menopause Clinic, Faculty of Medicine Siriraj Hospital, Mahidol University. One hundred and twenty five consecutive medical records of menopausal women attending the menopause clinic, including both natural and surgical menopause were reviewed. All of them never received hormonal treatment or did not receive any hormonal treatment at least one year at the time of this study. All were confirmed to have serum FSH level ≥ 40 IU/L. Baseline characteristic, data on serum level of E2, BMI, type of menopause and duration of menopause were extracted. Correlation between serum level of E2 and BMI was evaluated by the Statistics Package for the Social Sciences Program (SPSS 18.0 statistical package). Pearson correlation analysis was used to demonstrate the correlation between serum E2 level and BMI, with a p value less than 0.05 considered as statistically significant. Results: Of all 125 patients, the majority were natural menopausal cases (81.6%). Mean E2 level and BMI were 20.38±16.61 pg/ml and 22.96±3.65 kg/m2 respectively. No significant correlation between serum E2 level and BMI was demonstrated (r = - 0.101, p = 0.265). Also no correlation was observed in different type of menopause, different duration of menopause and different BMI classification. Conclusion: There was no significant correlation between serum level of E2 and BMI in postmenopausal women of this study population.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"25 1","pages":"111-118"},"PeriodicalIF":0.0,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49098078","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}
引用次数: 0
期刊
Thai Journal of Obstetrics and Gynaecology
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1