{"title":"Contents","authors":"Gertrude Fani","doi":"10.7196/sajog.1526","DOIUrl":"https://doi.org/10.7196/sajog.1526","url":null,"abstract":"","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44516147","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}
{"title":"Cover","authors":"Gertrude Fani","doi":"10.7196/sajog.1525","DOIUrl":"https://doi.org/10.7196/sajog.1525","url":null,"abstract":"","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43996408","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}
{"title":"The caesarean section rate: Much ado about nothing?","authors":"S. Adam","doi":"10.7196/sajog.1524","DOIUrl":"https://doi.org/10.7196/sajog.1524","url":null,"abstract":"","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41976792","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}
{"title":"Contents","authors":"Gertrude Fani","doi":"10.7196/sajog.1522","DOIUrl":"https://doi.org/10.7196/sajog.1522","url":null,"abstract":"","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44166091","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}
Background. Delay to timely healthcare contributes to high maternal mortality and morbidity in developing countries. The so-called ‘Three delays’ model has been used extensively to investigate factors relating to maternal mortality. Objective. To investigate factors associated with delayed emergency obstetric care in Arsi Zone, Ethiopia. Methods. A cross-sectional study was conducted across 10 public health facilities in Arsi Zone, Ethiopia. The required sample size was calculated as 847, with the number of participants required at each facility determined proportionally. Results. Data from 775 respondents were used in the analysis. Approximately a quarter of respondents ( n =203; 26.2%) reported a delayed decision to seek emergency obstetric care. The mean time for delay was 90 minutes (range 30 minutes - 18 hours). Maternal age, educational level, monthly household income and antenatal visits were significant predictors of this first maternal delay. Close to a third of the respondents ( n =234; 30.2%) reported a transport-related delay in reaching a healthcare facility; some respondents walked at least 30 minutes to reach the facility. Approximately a quarter of respondents ( n =198; 25.5%) reported that they did not receive timely care after arriving at the healthcare facility. The mean delay was 42.3 minutes. Conclusion. The most common delay was related to difficulty in reaching the healthcare facility. In approximately half of the cases, the woman’s husband took the decision to access medical care. This suggests limited independent decision-making power of women in this context. Such factors should be considered in efforts to reduce maternal morbidity and mortality.
{"title":"Factors associated with maternal delays in utilising emergency obstetric care in Arsi Zone, Ethiopia","authors":"Y. Amare, B. Dibaba, M. Bayu, M. Hussien","doi":"10.7196/SAJOG.1437","DOIUrl":"https://doi.org/10.7196/SAJOG.1437","url":null,"abstract":"Background. Delay to timely healthcare contributes to high maternal mortality and morbidity in developing countries. The so-called ‘Three delays’ model has been used extensively to investigate factors relating to maternal mortality. Objective. To investigate factors associated with delayed emergency obstetric care in Arsi Zone, Ethiopia. Methods. A cross-sectional study was conducted across 10 public health facilities in Arsi Zone, Ethiopia. The required sample size was calculated as 847, with the number of participants required at each facility determined proportionally. Results. Data from 775 respondents were used in the analysis. Approximately a quarter of respondents ( n =203; 26.2%) reported a delayed decision to seek emergency obstetric care. The mean time for delay was 90 minutes (range 30 minutes - 18 hours). Maternal age, educational level, monthly household income and antenatal visits were significant predictors of this first maternal delay. Close to a third of the respondents ( n =234; 30.2%) reported a transport-related delay in reaching a healthcare facility; some respondents walked at least 30 minutes to reach the facility. Approximately a quarter of respondents ( n =198; 25.5%) reported that they did not receive timely care after arriving at the healthcare facility. The mean delay was 42.3 minutes. Conclusion. The most common delay was related to difficulty in reaching the healthcare facility. In approximately half of the cases, the woman’s husband took the decision to access medical care. This suggests limited independent decision-making power of women in this context. Such factors should be considered in efforts to reduce maternal morbidity and mortality.","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7196/SAJOG.1437","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45771153","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. R. Khatuja, P. Renjhen, S. Prasad, M. Kadiyan, L. Attuluri
Background. Awareness of the natural course of cervical cancer, screening and timely intervention can help to reduce morbidity and mortality associated with this disease. Objective. To assess the awareness about cervical cancer and the uptake of screening among adult women in northern Delhi, India. Methods. A cross-sectional observational study ( N =401) was conducted at a tertiary-care teaching hospital over a period of 3 months. A questionnaire was used to collect sociodemographic data and probe participants’ awareness of cervical cancer, preventive measures and sources of information. Data were analysed using an independent t -test, with a significance level of p <0.05. Results. The majority of participants (45%) were between 18 and 25 years old. Approximately a third (34%) were illiterate and 39.4% were educated only up to Grade 10. Almost all participants (99%) were married and 85.3% were unemployed. Only 31.9% of participants knew about cervical cancer, and of these only 26 (20.3%) were aware that cervical cancer is a preventable disease. Only 8.5% of the participants knew about Pap smears and only 1.6% had heard about the human papillomavirus vaccine. Participants indicated that health professionals were the main source of information. Only 2.2% of the entire sample reported having had a Pap smear before. Conclusion. Low awareness of cervical cancer and its prevention was found among the study population. A national education and communication strategy is recommended to improve awareness.
{"title":"Awareness of cervical cancer and its prevention among women attending a tertiary-care hospital in northern Delhi, India","authors":"M. R. Khatuja, P. Renjhen, S. Prasad, M. Kadiyan, L. Attuluri","doi":"10.7196/SAJOG.1415","DOIUrl":"https://doi.org/10.7196/SAJOG.1415","url":null,"abstract":"Background. Awareness of the natural course of cervical cancer, screening and timely intervention can help to reduce morbidity and mortality associated with this disease. Objective. To assess the awareness about cervical cancer and the uptake of screening among adult women in northern Delhi, India. Methods. A cross-sectional observational study ( N =401) was conducted at a tertiary-care teaching hospital over a period of 3 months. A questionnaire was used to collect sociodemographic data and probe participants’ awareness of cervical cancer, preventive measures and sources of information. Data were analysed using an independent t -test, with a significance level of p <0.05. Results. The majority of participants (45%) were between 18 and 25 years old. Approximately a third (34%) were illiterate and 39.4% were educated only up to Grade 10. Almost all participants (99%) were married and 85.3% were unemployed. Only 31.9% of participants knew about cervical cancer, and of these only 26 (20.3%) were aware that cervical cancer is a preventable disease. Only 8.5% of the participants knew about Pap smears and only 1.6% had heard about the human papillomavirus vaccine. Participants indicated that health professionals were the main source of information. Only 2.2% of the entire sample reported having had a Pap smear before. Conclusion. Low awareness of cervical cancer and its prevention was found among the study population. A national education and communication strategy is recommended to improve awareness.","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7196/SAJOG.1415","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41514097","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}
Background. Seroprevalence of cytomegalovirus (CMV) is high in developing countries. However, a pregnant woman’s immunity does not necessarily protect her baby against congenital CMV infection. Objectives. To determine the seroprevalence of CMV among pregnant women attending a public antenatal clinic (Windhoek Central Hospital, Namibia) and subsequently determine the risk of vertical transmission and congenital CMV infection. Methods. Blood samples and demographic information were collected from 344 pregnant women (age range 15 - 48 years). Serum was tested for anti-CMV IgG and IgM using an automated chemiluminescence assay, and an ELISA was used to assess specific IgG avidity. Fisher’s exact test was used to determine associations among variables. Results. Seroprevalence of anti-CMV IgG was found to be 100% across the study population, with positive or grey-zone anti-CMV IgM results found in 11 women (3.2%). Specific IgG avidity was high in all cases. Neither maternal nor gestational age was positively associated with a positive or grey-zone IgM result. Parity was significantly associated with CMV IgM seroprevalence, with the highest level observed in women who had had one previous pregnancy. Conclusion. This was the first study to investigate seroprevalence of CMV in Namibia. Despite the high seroprevalence among pregnant women, the burden of congenital CMV infection may b e carried by infants in the Namibian population. This may contribute to long-term disabilities, especially sensorineural hearing loss. Further studies are needed to determine the prevalence of congenital CMV in Namibia.
{"title":"Seroprevalence of cytomegalovirus among pregnant women in Windhoek, Namibia, 2016","authors":"B. E. van der Colf, G. V. van Zyl, S. Mackenzie","doi":"10.7196/SAJOG.1441","DOIUrl":"https://doi.org/10.7196/SAJOG.1441","url":null,"abstract":"Background. Seroprevalence of cytomegalovirus (CMV) is high in developing countries. However, a pregnant woman’s immunity does not necessarily protect her baby against congenital CMV infection. Objectives. To determine the seroprevalence of CMV among pregnant women attending a public antenatal clinic (Windhoek Central Hospital, Namibia) and subsequently determine the risk of vertical transmission and congenital CMV infection. Methods. Blood samples and demographic information were collected from 344 pregnant women (age range 15 - 48 years). Serum was tested for anti-CMV IgG and IgM using an automated chemiluminescence assay, and an ELISA was used to assess specific IgG avidity. Fisher’s exact test was used to determine associations among variables. Results. Seroprevalence of anti-CMV IgG was found to be 100% across the study population, with positive or grey-zone anti-CMV IgM results found in 11 women (3.2%). Specific IgG avidity was high in all cases. Neither maternal nor gestational age was positively associated with a positive or grey-zone IgM result. Parity was significantly associated with CMV IgM seroprevalence, with the highest level observed in women who had had one previous pregnancy. Conclusion. This was the first study to investigate seroprevalence of CMV in Namibia. Despite the high seroprevalence among pregnant women, the burden of congenital CMV infection may b e carried by infants in the Namibian population. This may contribute to long-term disabilities, especially sensorineural hearing loss. Further studies are needed to determine the prevalence of congenital CMV in Namibia.","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7196/SAJOG.1441","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42871873","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}
J. Hanekom, R. Hattingh, W. Nel, K. Thirion, C. Willemse, G. Joubert, C. Boltman, J. Botes
Background. Informing patients about available anaesthesia options allows patients to share in decision-making. Objectives. To determine the preference for general or regional anaesthesia among patients admitted for elective caesarean delivery at a district hospital in Bloemfontein, South Africa, and whether the patients were informed about their anaesthesia options by their doctor. Methods. Consecutive sampling was used. Patients ≥18 years old and who had had a caesarean delivery under general or regional anaesthesia participated in the study. Data were collected using a questionnaire, which was completed during formal interviews with patients. Results. Of the 50 patients interviewed, 30 (60.0%) preferred regional anaesthesia. With regard to the current surgery, 58.0% stated that they were informed of the available anaesthesia options. Conclusion. The majority of the patients in our study preferred regional anaesthesia. Although only 58.0% reported that they received information, many of those valued the doctor’s opinion in their choice of anaesthesia.
{"title":"Patients’ preference for general or regional anaesthesia for caesarean deliveries at a district hospital, Free State, South Africa","authors":"J. Hanekom, R. Hattingh, W. Nel, K. Thirion, C. Willemse, G. Joubert, C. Boltman, J. Botes","doi":"10.7196/SAJOG.1444","DOIUrl":"https://doi.org/10.7196/SAJOG.1444","url":null,"abstract":"Background. Informing patients about available anaesthesia options allows patients to share in decision-making. Objectives. To determine the preference for general or regional anaesthesia among patients admitted for elective caesarean delivery at a district hospital in Bloemfontein, South Africa, and whether the patients were informed about their anaesthesia options by their doctor. Methods. Consecutive sampling was used. Patients ≥18 years old and who had had a caesarean delivery under general or regional anaesthesia participated in the study. Data were collected using a questionnaire, which was completed during formal interviews with patients. Results. Of the 50 patients interviewed, 30 (60.0%) preferred regional anaesthesia. With regard to the current surgery, 58.0% stated that they were informed of the available anaesthesia options. Conclusion. The majority of the patients in our study preferred regional anaesthesia. Although only 58.0% reported that they received information, many of those valued the doctor’s opinion in their choice of anaesthesia.","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7196/SAJOG.1444","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47541449","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. Handayani, D. Edianto, M. Sahil, L. Tobing, M. R. Yaznil
Background . Glutathione peroxidase (GPx) is one of the antioxidant enzymes that maintain the balance of reactive oxygen species. GPx has a notable role in the progression of cancer, including ovarian cancer. Synthesis of this enzyme may be down-regulated in cases of ovarian cancer. As far as we are aware, this has not been studied in an Indonesian population. Objective. To identify the difference in serum GPx levels between ovarian cancer patients and healthy controls. Methods . This was an observational analytical study with a case–control design. The study was conducted in the Department of Obstetrics and Gynaecology at the Haji Adam Malik Hospital in Medan, Indonesia. Serum GPx levels were measured in 20 ovarian cancer patients and 20 control subjects. Results . The types of ovarian cancer identified by histopathology in this study included serous adenocarcinoma ( n =10; 50%) and various non-serous adenocarcinomas (50%). The mean (SD) serum GPx level was significantly lower in the cancer group (295.235 (244.479) mU/mL) than in the control group (743.546 (131.949) mU/mL) ( p 0.226). Conclusion . Serum GPx levels were found to be significantly lower in patients with ovarian cancer than in healthy controls. Further studies are needed to determine an appropriate cut-off level for serum GPx in ovarian cancer in this population.
背景谷胱甘肽过氧化物酶（GPx）是维持活性氧平衡的抗氧化酶之一。GPx在包括癌症在内的癌症的进展中具有显著作用。这种酶的合成可能在卵巢癌症的情况下被下调。据我们所知，这还没有在印度尼西亚人口中进行研究。目标。确定卵巢癌症患者和健康对照者血清GPx水平的差异。方法。这是一项采用病例对照设计的观察性分析研究。这项研究是在印度尼西亚棉兰Haji Adam Malik医院的妇产科进行的。对20例卵巢癌症患者和20例对照受试者的血清GPx水平进行了测定。结果。在本研究中，组织病理学鉴定的卵巢癌症类型包括浆液性腺癌（n=10；50%）和各种非癌性腺癌（50%）。癌症组血清GPx平均水平（295.235（244.479）mU/mL）显著低于对照组（743.546（131.949）mU/mL）（p 0.226）。发现卵巢癌症患者的血清GPx水平显著低于健康对照组。需要进一步的研究来确定该人群中卵巢癌症患者血清GPx的适当截止水平。
{"title":"Glutathione peroxidase in ovarian cancer patients in Indonesia","authors":"E. Handayani, D. Edianto, M. Sahil, L. Tobing, M. R. Yaznil","doi":"10.7196/SAJOG.1393","DOIUrl":"https://doi.org/10.7196/SAJOG.1393","url":null,"abstract":"Background . Glutathione peroxidase (GPx) is one of the antioxidant enzymes that maintain the balance of reactive oxygen species. GPx has a notable role in the progression of cancer, including ovarian cancer. Synthesis of this enzyme may be down-regulated in cases of ovarian cancer. As far as we are aware, this has not been studied in an Indonesian population. Objective. To identify the difference in serum GPx levels between ovarian cancer patients and healthy controls. Methods . This was an observational analytical study with a case–control design. The study was conducted in the Department of Obstetrics and Gynaecology at the Haji Adam Malik Hospital in Medan, Indonesia. Serum GPx levels were measured in 20 ovarian cancer patients and 20 control subjects. Results . The types of ovarian cancer identified by histopathology in this study included serous adenocarcinoma ( n =10; 50%) and various non-serous adenocarcinomas (50%). The mean (SD) serum GPx level was significantly lower in the cancer group (295.235 (244.479) mU/mL) than in the control group (743.546 (131.949) mU/mL) ( p 0.226). Conclusion . Serum GPx levels were found to be significantly lower in patients with ovarian cancer than in healthy controls. Further studies are needed to determine an appropriate cut-off level for serum GPx in ovarian cancer in this population.","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7196/SAJOG.1393","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42234036","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}
Background. Ectopic pregnancy (EP) is a gynaecological emergency with implications for maternal morbidity worldwide. Laparoscopic surgery is the preferred method of surgical management in most cases, as it has been shown to improve patient outcomes and overall care and to be cost effective and efficient. Objectives. To investigate the feasibility of laparoscopic surgery for EP management at a secondary hospital, based on incidence rates and comparing surgery-associated variables and outcomes with those in laparotomy. Methods. A retrospective study design was used. All patients who were treated surgically for EP at the Worcester Provincial Hospital were included. The required sample size was 81. Data were collected from patient files and theatre reports. Cases were assigned to one of two cohorts based on the method of surgical management. Results. A total of 84 cases were identified, of which 48 (57.1%) were managed laparoscopically and 36 (42.9%) with laparotomy. The average surgical time was 34.6 minutes and 44.9 minutes for a laparotomy and a laparoscopy, respectively. Patients who were treated laparoscopically required significantly less postoperative pain relief and had shorter hospital stays. Conclusion. This study shows not only that laparoscopy treatment is a feasible option for EP in a secondary-hospital setting in South Africa, but also that the intervention is associated with significantly better patient outcomes than laparotomy. The demonstrated benefits make laparoscopy the preferred treatment modality for EP when surgical intervention is required.
{"title":"The feasibility and advantages of laparoscopic surgery for ectopic pregnancy at a secondary hospital in South Africa","authors":"D. Armatas, G. Theron, R. Aronis","doi":"10.7196/SAJOG.1445","DOIUrl":"https://doi.org/10.7196/SAJOG.1445","url":null,"abstract":"Background. Ectopic pregnancy (EP) is a gynaecological emergency with implications for maternal morbidity worldwide. Laparoscopic surgery is the preferred method of surgical management in most cases, as it has been shown to improve patient outcomes and overall care and to be cost effective and efficient. Objectives. To investigate the feasibility of laparoscopic surgery for EP management at a secondary hospital, based on incidence rates and comparing surgery-associated variables and outcomes with those in laparotomy. Methods. A retrospective study design was used. All patients who were treated surgically for EP at the Worcester Provincial Hospital were included. The required sample size was 81. Data were collected from patient files and theatre reports. Cases were assigned to one of two cohorts based on the method of surgical management. Results. A total of 84 cases were identified, of which 48 (57.1%) were managed laparoscopically and 36 (42.9%) with laparotomy. The average surgical time was 34.6 minutes and 44.9 minutes for a laparotomy and a laparoscopy, respectively. Patients who were treated laparoscopically required significantly less postoperative pain relief and had shorter hospital stays. Conclusion. This study shows not only that laparoscopy treatment is a feasible option for EP in a secondary-hospital setting in South Africa, but also that the intervention is associated with significantly better patient outcomes than laparotomy. The demonstrated benefits make laparoscopy the preferred treatment modality for EP when surgical intervention is required.","PeriodicalId":49579,"journal":{"name":"South African Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7196/SAJOG.1445","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46059969","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：