{"title":"In Order to Find Endometrial Disease in Peri- and Post-menopausal Hemorrhage, Hysteroscopy, Ultrasonography, and Histopathology Were Compared","authors":"Jihad M. Al Hasan, Kawsar Diab, K. Ghazal","doi":"10.26502/ogr0114","DOIUrl":"https://doi.org/10.26502/ogr0114","url":null,"abstract":"","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352044","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 : 2022-03-01Epub Date: 2022-01-03DOI: 10.26502/ogr073
Emily S Himes, Claudia Rivera, Amy S Nacht, Saskia Bunge-Montes, Andrea Jimenez-Zambrano, Gretchen Heinrichs, Antonio Bolanos, Edwin Asturias, Stephen Berman, Margo S Harrison
Background: The intention of our study was to establish the prevalence of low birth weight (LBW) as well as risk factors for LBW in infants born to a convenience sample of women enrolled in a home visitation maternal care program associated with the Center for Human Development in Southwest Trifinio, Guatemala.
Methods: This is an observational study analyzing self-reported data from a quality improvement database. We recorded the distribution of birthweights of infants born to women enrolled in Madres Sanas that delivered between October 2018 and December 2019. We grouped women by LBW (<2500g ) and adequate birthweight (≥2500g) infants, and performed bivariate comparisons using sociodemographic, obstetric, and intrapartum data. Using the independent variables shown to have an association with LBW, we then performed a multivariable analysis.
Results: There were 226 births among our program participants, 218 with recorded birthweights. The median birthweight was 3175g; 13.8% were LBW (<2500g), higher than Guatemala's average of 10.9%. Through our bivariate analysis, we determined women with LBW infants were younger, with a median age of 20.8 (IQR [17.8-23.7]) compared to a median age of 23.2 (IQR [19.8-27.3]) among women with infants ≥2500g (P=0.03). Women with LBW infants were also more likely to have fewer than 4 prenatal visits (33.3% vs 19.3%, P=0.04).
Conclusion: Two significant findings emerged from our analysis: LBW infants were more commonly born to women who were younger in age and who had received fewer than 4 prenatal visits. These findings are consistent with existing literature on LBW in Latin America. Our study helps to strengthen the data around these associations and gives credence to programming and policy efforts in Latin America that support adequate prenatal care for all and youth education about reproductive health and contraceptive access.
{"title":"Prevalence and Predictors of Low Birth Weight in a Rural Guatemalan Community.","authors":"Emily S Himes, Claudia Rivera, Amy S Nacht, Saskia Bunge-Montes, Andrea Jimenez-Zambrano, Gretchen Heinrichs, Antonio Bolanos, Edwin Asturias, Stephen Berman, Margo S Harrison","doi":"10.26502/ogr073","DOIUrl":"10.26502/ogr073","url":null,"abstract":"<p><strong>Background: </strong>The intention of our study was to establish the prevalence of low birth weight (LBW) as well as risk factors for LBW in infants born to a convenience sample of women enrolled in a home visitation maternal care program associated with the Center for Human Development in Southwest Trifinio, Guatemala.</p><p><strong>Methods: </strong>This is an observational study analyzing self-reported data from a quality improvement database. We recorded the distribution of birthweights of infants born to women enrolled in Madres Sanas that delivered between October 2018 and December 2019. We grouped women by LBW (<2500g ) and adequate birthweight (≥2500g) infants, and performed bivariate comparisons using sociodemographic, obstetric, and intrapartum data. Using the independent variables shown to have an association with LBW, we then performed a multivariable analysis.</p><p><strong>Results: </strong>There were 226 births among our program participants, 218 with recorded birthweights. The median birthweight was 3175g; 13.8% were LBW (<2500g), higher than Guatemala's average of 10.9%. Through our bivariate analysis, we determined women with LBW infants were younger, with a median age of 20.8 (IQR [17.8-23.7]) compared to a median age of 23.2 (IQR [19.8-27.3]) among women with infants ≥2500g (<i>P</i>=0.03). Women with LBW infants were also more likely to have fewer than 4 prenatal visits (33.3% vs 19.3%, <i>P</i>=0.04).</p><p><strong>Conclusion: </strong>Two significant findings emerged from our analysis: LBW infants were more commonly born to women who were younger in age and who had received fewer than 4 prenatal visits. These findings are consistent with existing literature on LBW in Latin America. Our study helps to strengthen the data around these associations and gives credence to programming and policy efforts in Latin America that support adequate prenatal care for all and youth education about reproductive health and contraceptive access.</p>","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8813164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39772143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charlotte Nguefack Tchente, Jean Paul Ndamba Engbang, Christian Eyoum, M. Kamdem, Lucie Sorelle Lekuikeu Tchuinte, Albertine Eloundou, H. Essome, M. Ekono, Pierre Marie Tebeu, E. Mboudou
Introduction: Breast cancer is the most common cancer in women worldwide. In Cameroon, several women with breast cancer have gone through mastectomy for treatment. They face some difficulties living in society and within their couple with Obstet Gynecol Res 2022; 5 (1): 020-033 DOI: 10.26502/ogr075 Obstetrics and Gynecology Research Vol. 5 No. 1– March 2022. 21 only one breast. The aim of this study was to describe the quality of life (QOL) of women after mastectomy in two hospitals in Douala. Methods: This was a cross-sectional study carried out in two healthcare facilities over 4 months. Data from 102 consenting patients with unilateral mastectomy was collected. A survey sheet was used to collect patient socio-demographic, clinical, therapeutic data and data on QOL. We evaluated the QOL using questions from the various recognized questionnaires (EORTC QLQ-BR45, WHOQOL-BREF, FACT-MBIS and FACT-B) which we adapted according to our context. Chi-squared and Fisher tests allowed us to assess the association between variables. Statistical significance was set at p <0.05. Results: The mean age at mastectomy was 48.2 ± 10years and 54.4% were married. Clinically, patients with a tumor size more than 5cm and inflammatory tumors were most represented (76.3%); 89.1% had lymph node involvement and 16.1% were metastatic at diagnosis. Other treatments received include chemotherapy (93%), radiotherapy (32.3%) and hormone therapy (22.1%). The overall QOL was impaired. Using a mean score on a scale of 0 to 4, physical (0.3), social (0.5), and sexual (1.2) QOL were less impaired than emotional (1.5), functional (2.7), and psychological (3) QOL. Factors associated with impaired physical QOL included young age (OR:6.11[2-18.58]; p:0.00007), being single (OR:3.1 [1.2-7.7]; p:0.01), tumor size between 2 and 5cm (OR:4.97[2-12.4]; p:0.0002). Those associated with the deterioration in overall QOL included delayed diagnosis and mastectomy (OR:16.60[1.61-170.45]; p:0.008). Conclusion: The overall quality of life was impaired in all patients. Thus, patients undergoing mastectomy should benefit from preand postoperative psychological care.
{"title":"Quality of Life of Women after Mastectomy in Two Training Hospitals in the City of Douala, Cameroon","authors":"Charlotte Nguefack Tchente, Jean Paul Ndamba Engbang, Christian Eyoum, M. Kamdem, Lucie Sorelle Lekuikeu Tchuinte, Albertine Eloundou, H. Essome, M. Ekono, Pierre Marie Tebeu, E. Mboudou","doi":"10.26502/ogr075","DOIUrl":"https://doi.org/10.26502/ogr075","url":null,"abstract":"Introduction: Breast cancer is the most common cancer in women worldwide. In Cameroon, several women with breast cancer have gone through mastectomy for treatment. They face some difficulties living in society and within their couple with Obstet Gynecol Res 2022; 5 (1): 020-033 DOI: 10.26502/ogr075 Obstetrics and Gynecology Research Vol. 5 No. 1– March 2022. 21 only one breast. The aim of this study was to describe the quality of life (QOL) of women after mastectomy in two hospitals in Douala. Methods: This was a cross-sectional study carried out in two healthcare facilities over 4 months. Data from 102 consenting patients with unilateral mastectomy was collected. A survey sheet was used to collect patient socio-demographic, clinical, therapeutic data and data on QOL. We evaluated the QOL using questions from the various recognized questionnaires (EORTC QLQ-BR45, WHOQOL-BREF, FACT-MBIS and FACT-B) which we adapted according to our context. Chi-squared and Fisher tests allowed us to assess the association between variables. Statistical significance was set at p <0.05. Results: The mean age at mastectomy was 48.2 ± 10years and 54.4% were married. Clinically, patients with a tumor size more than 5cm and inflammatory tumors were most represented (76.3%); 89.1% had lymph node involvement and 16.1% were metastatic at diagnosis. Other treatments received include chemotherapy (93%), radiotherapy (32.3%) and hormone therapy (22.1%). The overall QOL was impaired. Using a mean score on a scale of 0 to 4, physical (0.3), social (0.5), and sexual (1.2) QOL were less impaired than emotional (1.5), functional (2.7), and psychological (3) QOL. Factors associated with impaired physical QOL included young age (OR:6.11[2-18.58]; p:0.00007), being single (OR:3.1 [1.2-7.7]; p:0.01), tumor size between 2 and 5cm (OR:4.97[2-12.4]; p:0.0002). Those associated with the deterioration in overall QOL included delayed diagnosis and mastectomy (OR:16.60[1.61-170.45]; p:0.008). Conclusion: The overall quality of life was impaired in all patients. Thus, patients undergoing mastectomy should benefit from preand postoperative psychological care.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352327","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}
Muneera Ahmed Alkhalifa, S. Hsu, Nusiba ElHassan, Basma AlAnsari, Rehab Ismael, Gulmeen Raza, H. Malas, Mahmoud Samy Ismail
Introduction: Induction of labor (IOL) is a commonly performed obstetric procedure that initiates labor prior to its spontaneous onset. It is advised when the benefits of terminating the pregnancy outweigh the risks of ongoing pregnancy. Aim: This is a review article that compares the most recent international guidelines on IOL by organizations including World Health Organization (WHO), the National Institute for Health and Care Excellence (NICE), American College of Obstetricians and Gynecologists (ACOG), the Society of Obstetricians and Gynecologists of Canada (SOGC), the Federation of Obstetric and Gynecological Socie-ties of India (FOGSI) and Queensland Health. We will also compare these recommendations to the current guidelines set in our institute, King Hamad University Hospital (KHUH) in the Kingdom of Bahrain. Conclusion: The most notable differences were observed in the Bishop scoring with minor differences in Obstet Gynecol Res 2022; 5 (1): 081-106 DOI: 10.26502/ogr081 Obstetrics and Gynecology Research Vol. 5 No. 1– March 2022. 82 the methods of induction and management of complications. Improving KHUH guidelines in particular areas would enhance patient care. Regular audits are essential to ensure practice is consistent with the guidelines.
{"title":"Induction of Labor: A Comparison of Guidelines","authors":"Muneera Ahmed Alkhalifa, S. Hsu, Nusiba ElHassan, Basma AlAnsari, Rehab Ismael, Gulmeen Raza, H. Malas, Mahmoud Samy Ismail","doi":"10.26502/ogr081","DOIUrl":"https://doi.org/10.26502/ogr081","url":null,"abstract":"Introduction: Induction of labor (IOL) is a commonly performed obstetric procedure that initiates labor prior to its spontaneous onset. It is advised when the benefits of terminating the pregnancy outweigh the risks of ongoing pregnancy. Aim: This is a review article that compares the most recent international guidelines on IOL by organizations including World Health Organization (WHO), the National Institute for Health and Care Excellence (NICE), American College of Obstetricians and Gynecologists (ACOG), the Society of Obstetricians and Gynecologists of Canada (SOGC), the Federation of Obstetric and Gynecological Socie-ties of India (FOGSI) and Queensland Health. We will also compare these recommendations to the current guidelines set in our institute, King Hamad University Hospital (KHUH) in the Kingdom of Bahrain. Conclusion: The most notable differences were observed in the Bishop scoring with minor differences in Obstet Gynecol Res 2022; 5 (1): 081-106 DOI: 10.26502/ogr081 Obstetrics and Gynecology Research Vol. 5 No. 1– March 2022. 82 the methods of induction and management of complications. Improving KHUH guidelines in particular areas would enhance patient care. Regular audits are essential to ensure practice is consistent with the guidelines.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352411","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}
Lauren Leightell-Brown, Alexander Frost-Younger, S. Rundle, C. Ang
Clostridium tertium (C. tertium) is a Gram-positive, aerotolerant bacillus and a rare human pathogen usually identified in neutropenic patients with hematological malignancy. Limited case reports in non-neutropenic patients suggest the C. tertium is a potential pathogen when associated with risk factors which include intestinal mucosal disruption and beta-lactam antibiotic use. Our case is a 59-year-old woman who developed a post-operative collection containing C.tertium following complete cytore-ductive surgery for high-grade serous cancer of tubo-ovarian origin in the absence of neutropenia. To our knowledge, this is the first documented case of C. tertium infection in a post-operative Gynecological-Oncology patient.
{"title":"A Rare Finding of Clostridium Tertium in an Immunocompetent Patient Following Gynecological Surgery","authors":"Lauren Leightell-Brown, Alexander Frost-Younger, S. Rundle, C. Ang","doi":"10.26502/ogr084","DOIUrl":"https://doi.org/10.26502/ogr084","url":null,"abstract":"Clostridium tertium (C. tertium) is a Gram-positive, aerotolerant bacillus and a rare human pathogen usually identified in neutropenic patients with hematological malignancy. Limited case reports in non-neutropenic patients suggest the C. tertium is a potential pathogen when associated with risk factors which include intestinal mucosal disruption and beta-lactam antibiotic use. Our case is a 59-year-old woman who developed a post-operative collection containing C.tertium following complete cytore-ductive surgery for high-grade serous cancer of tubo-ovarian origin in the absence of neutropenia. To our knowledge, this is the first documented case of C. tertium infection in a post-operative Gynecological-Oncology patient.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352433","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: Single-dose prophylaxis, a type of prophylactic antibiotic, used in a caesarean section usually helps in lessening the growth of microorganism confrontation. Single-dose prophylaxis is a very short course of an antibiotic used just before the surgery begins which helps in the improvement of aseptic and surgical procedures and reduces postoperative wound infections more effectively than multiple doses of it. Methods: This study is a single-blinded single centred randomized control trial which was conducted at the Department of Obstetrics and Gynecology, in Shahed Suhrawardy Medical College Hospital. The study period for this trial was June 13- to November 13. The sample size for this study was 136. Result: In the study group most of the respondents 54(79.4%) were aged between 20-25 years wherein in the control group most of the respondents 54(79.4%) were aged between 20-25 years. In the control group, most of the operations 45(66%) had needed <30 minutes wherein in the control group most of the operations 55(80.9%) had needed <30 minutes. In the caesarean section of the study group, 13(19.1%) were routine patients while 44(64.7%) were emergency. On the other hand, in the caesarean section of the control group 13(19.1%) were routine patients while 55(80.9%) were emergency. The grade O wound infection of the study group was 54(79.4%) whereas the control group was 53(77.9%) and followed by grade I was 11(16.2%) in both groups, grade III in the study group was 3(4.4%), grade IV in the control group was 4(5.9%). Most of the respondents of the study group 48(70.7%) had stayed between 3-5 days after the operation and wherein the control group 55(80.9%) had stayed between 3-5 days after the operation. Conclusion: Single-dose antibiotic prophylaxis is equally effective and less costly than multi-dose in uncomplicated gynecology and obstetrics cases and can be instituted in our setting.
{"title":"Single Versus Multiple Dose of Antibiotic Prophylaxis in Caesarian Section: A Randomized Controlled Trial","authors":"A. K, Partha Majumder S, S. R","doi":"10.26502/ogr089","DOIUrl":"https://doi.org/10.26502/ogr089","url":null,"abstract":"Background: Single-dose prophylaxis, a type of prophylactic antibiotic, used in a caesarean section usually helps in lessening the growth of microorganism confrontation. Single-dose prophylaxis is a very short course of an antibiotic used just before the surgery begins which helps in the improvement of aseptic and surgical procedures and reduces postoperative wound infections more effectively than multiple doses of it. Methods: This study is a single-blinded single centred randomized control trial which was conducted at the Department of Obstetrics and Gynecology, in Shahed Suhrawardy Medical College Hospital. The study period for this trial was June 13- to November 13. The sample size for this study was 136. Result: In the study group most of the respondents 54(79.4%) were aged between 20-25 years wherein in the control group most of the respondents 54(79.4%) were aged between 20-25 years. In the control group, most of the operations 45(66%) had needed <30 minutes wherein in the control group most of the operations 55(80.9%) had needed <30 minutes. In the caesarean section of the study group, 13(19.1%) were routine patients while 44(64.7%) were emergency. On the other hand, in the caesarean section of the control group 13(19.1%) were routine patients while 55(80.9%) were emergency. The grade O wound infection of the study group was 54(79.4%) whereas the control group was 53(77.9%) and followed by grade I was 11(16.2%) in both groups, grade III in the study group was 3(4.4%), grade IV in the control group was 4(5.9%). Most of the respondents of the study group 48(70.7%) had stayed between 3-5 days after the operation and wherein the control group 55(80.9%) had stayed between 3-5 days after the operation. Conclusion: Single-dose antibiotic prophylaxis is equally effective and less costly than multi-dose in uncomplicated gynecology and obstetrics cases and can be instituted in our setting.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352446","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":"Retrospective evaluation of the impact of second-stage labor arrest on stress urine incontinence in postpartum women","authors":"G. Yared, Jihad Al Hassan, C. Hajjar, K. Ghazal","doi":"10.26502/ogr099","DOIUrl":"https://doi.org/10.26502/ogr099","url":null,"abstract":"","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352586","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}
Julieta Aránguiz-Ramírez, P. Olivares-Tirado, Xavier Castells-Oliveres
In women, the anatomical peculiarities of the pelvic floor and the risk factors for its dysfunction predispose women to suffer from Urinary Incontinence (UI), a condition that, although it does not pose a vital risk, negatively affects their quality of life and represents a high risk of the economic cost, still invisible. Objective: To describe the scientific evidence available regarding studies of costs associated with UI in women. Methods: Integrative review of the literature using the PubMed, Embase, ScienceDirect and Scopus databases as data sources, on studies of direct and indirect costs of UI. in women, published between 2009 and 2022. Using the search terms in Spanish and/or English: “Cost of illness”, “direct cost”, “indirect cost”, “urinary incontinence” and “woman”. The monetary values were adjusted from the date of the study to December 31,2021 and local currencies were converted to USD. Results: Of the 302 articles reviewed, 14 met the criteria for analysis. Some studies considered the estimate of the total economic burden including direct and indirect costs. The annual direct cost per capita ranges from US$ 153.71 to US$ 32,709 depending on the country, medication use and age, the indirect cost corresponds to an average 160 hours per year for presenteeism. Conclusion: In high-income countries, the economic burden for urinary incontinence is notorious, in Latin American and Caribbean countries there are no economic evaluations regarding it, to improve the benefits for women's health, it is advisable to update. Affiliation: aDoctoral Program in Biomedical Research Methodology and Public Health at the Department of Pediatrics, Obstetrics and Gynaecology, Preventive Medicine and Public Health at the Autonomous University of Barcelona (UAB), Barcelona, Spain bAssistant teacher. Department of Obstetrics and Neonatology of Diego Portales University, Santiago, Chile cPublic Health Program, School of Public Health, Faculty of Medicine, University of Chile, Santiago, Chile dDepartment of Epidemiology and Evaluation, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain. Autonomous University of Barcelona, Spain *Corresponding author: Julieta Aránguiz-Ramírez, Doctoral Program in Biomedical Research Methodology and Public Health at the Department of Pediatrics, Obstetrics and Gynaecology, Preventive Medicine and Public Health at the Autonomous University of Barcelona (UAB), Barcelona, Spain. Citation: Julieta Aránguiz-Ramírez, Pedro OlivaresTirado, Xavier Castells-Oliveres. Costs associated with Female Urinary Incontinence: an integrative review of the literature. Obstetrics and Gynecology Research 5 (2022): 325-333. Received: December 11, 2022 Accepted: December 27, 2022 Published: December 30, 2022
在女性中，骨盆底的解剖特点及其功能障碍的危险因素使女性易患尿失禁(UI)，这种情况虽然不构成重大风险，但会对她们的生活质量产生负面影响，并带来很高的经济成本风险，但仍然看不见。目的:描述有关女性尿失禁相关费用研究的现有科学证据。方法:以PubMed、Embase、ScienceDirect和Scopus数据库为数据源，对UI的直接和间接成本研究进行文献综述。女性，发表于2009年至2022年之间。用西班牙语和/或英语搜索关键词:“疾病成本”、“直接成本”、“间接成本”、“尿失禁”和“女性”。货币价值从研究日期调整到2021年12月31日，当地货币转换为美元。结果:302篇文献中，14篇符合分析标准。有些研究考虑了包括直接和间接费用在内的总经济负担的估计。根据国家、药物使用和年龄的不同，每年人均直接费用从153.71美元到32,709美元不等，间接费用相当于每年平均160小时的出勤。结论:在高收入国家，尿失禁的经济负担是臭名昭著的，在拉丁美洲和加勒比国家没有关于尿失禁的经济评价，为了提高对妇女健康的益处，建议更新。所属单位:西班牙巴塞罗那自治大学(UAB)儿科、妇产科、预防医学和公共卫生系生物医学研究方法和公共卫生博士课程助理教师。智利圣地亚哥圣地亚哥圣地亚哥大学医学院公共卫生学院公共卫生项目;西班牙巴塞罗那德尔马医院医学研究所流行病学与评价系。通讯作者:Julieta Aránguiz-Ramírez，西班牙巴塞罗那自治大学(UAB)儿科、妇产科、预防医学和公共卫生系生物医学研究方法和公共卫生博士课程。引用:Julieta Aránguiz-Ramírez, Pedro OlivaresTirado, Xavier castels - oliveres。与女性尿失禁相关的费用:文献的综合回顾。妇产科研究5(2022):325-333。收稿日期:2022年12月11日收稿日期:2022年12月27日发表日期:2022年12月30日
{"title":"Costs associated with Female Urinary Incontinence: an integrative review of the literature","authors":"Julieta Aránguiz-Ramírez, P. Olivares-Tirado, Xavier Castells-Oliveres","doi":"10.26502/ogr0107","DOIUrl":"https://doi.org/10.26502/ogr0107","url":null,"abstract":"In women, the anatomical peculiarities of the pelvic floor and the risk factors for its dysfunction predispose women to suffer from Urinary Incontinence (UI), a condition that, although it does not pose a vital risk, negatively affects their quality of life and represents a high risk of the economic cost, still invisible. Objective: To describe the scientific evidence available regarding studies of costs associated with UI in women. Methods: Integrative review of the literature using the PubMed, Embase, ScienceDirect and Scopus databases as data sources, on studies of direct and indirect costs of UI. in women, published between 2009 and 2022. Using the search terms in Spanish and/or English: “Cost of illness”, “direct cost”, “indirect cost”, “urinary incontinence” and “woman”. The monetary values were adjusted from the date of the study to December 31,2021 and local currencies were converted to USD. Results: Of the 302 articles reviewed, 14 met the criteria for analysis. Some studies considered the estimate of the total economic burden including direct and indirect costs. The annual direct cost per capita ranges from US$ 153.71 to US$ 32,709 depending on the country, medication use and age, the indirect cost corresponds to an average 160 hours per year for presenteeism. Conclusion: In high-income countries, the economic burden for urinary incontinence is notorious, in Latin American and Caribbean countries there are no economic evaluations regarding it, to improve the benefits for women's health, it is advisable to update. Affiliation: aDoctoral Program in Biomedical Research Methodology and Public Health at the Department of Pediatrics, Obstetrics and Gynaecology, Preventive Medicine and Public Health at the Autonomous University of Barcelona (UAB), Barcelona, Spain bAssistant teacher. Department of Obstetrics and Neonatology of Diego Portales University, Santiago, Chile cPublic Health Program, School of Public Health, Faculty of Medicine, University of Chile, Santiago, Chile dDepartment of Epidemiology and Evaluation, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain. Autonomous University of Barcelona, Spain *Corresponding author: Julieta Aránguiz-Ramírez, Doctoral Program in Biomedical Research Methodology and Public Health at the Department of Pediatrics, Obstetrics and Gynaecology, Preventive Medicine and Public Health at the Autonomous University of Barcelona (UAB), Barcelona, Spain. Citation: Julieta Aránguiz-Ramírez, Pedro OlivaresTirado, Xavier Castells-Oliveres. Costs associated with Female Urinary Incontinence: an integrative review of the literature. Obstetrics and Gynecology Research 5 (2022): 325-333. Received: December 11, 2022 Accepted: December 27, 2022 Published: December 30, 2022","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69351948","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}
H. Khanom, B. Banu, Mir Rabiul Islam, K. Khanom, Sujana Haque Chowdhury, S. Hossain
Background: Gestational Diabetes Mellitus (GDM) accounts for the majority of cases of diabetes compli-cating pregnancy. This study aimed to delineate the levels of knowledge and practice about GDM management among the nurses of Dhaka, Bangladesh. Method: This cross-sectional study was conducted among 427 nurses of three healthcare centers of Dhaka city. Data were collected by semi-structured questionnaire through face-to-face interview. All data were analyzed through descriptive and inferential statistical techniques. Knowledge and practice scores were categorized as poor (Mean+1SD) by predefined scores. Result: In this present study, mean age of the respon-Obstet dents was found 27.8 ± 5.5, and level of knowledge (both basic and technical knowledge) was found to be average where basic knowledge was 66.3% and technical knowledge was 67%. Female nurses had better basic knowledge and practice regar-ding GDM, compared to their counterparts (p=0.002). There was a significant association with the respon-dent’s gender, level of education and workplace with the basic knowledge regarding GDM management. There was a significant association with the level of education and marital status of respondents with technical knowledge and regarding proper GDM management practice only monthly family income of respondent’s shows significant association. Conclusion: The results revealed that there is a gap of knowledge and practice about the management of GDM among nurses’ capital of Bangladesh. Capacity building training should conduct regularly for young graduate nurses so that they can apply knowledge properly in the practice area.
{"title":"Knowledge and Practice of Gestational Diabetes Mellitus Management Guideline among the Nurses of Tertiary Hospitals in Capital Bangladesh","authors":"H. Khanom, B. Banu, Mir Rabiul Islam, K. Khanom, Sujana Haque Chowdhury, S. Hossain","doi":"10.26502/ogr080","DOIUrl":"https://doi.org/10.26502/ogr080","url":null,"abstract":"Background: Gestational Diabetes Mellitus (GDM) accounts for the majority of cases of diabetes compli-cating pregnancy. This study aimed to delineate the levels of knowledge and practice about GDM management among the nurses of Dhaka, Bangladesh. Method: This cross-sectional study was conducted among 427 nurses of three healthcare centers of Dhaka city. Data were collected by semi-structured questionnaire through face-to-face interview. All data were analyzed through descriptive and inferential statistical techniques. Knowledge and practice scores were categorized as poor (<Mean–1SD), average (Mean±1SD) and good (>Mean+1SD) by predefined scores. Result: In this present study, mean age of the respon-Obstet dents was found 27.8 ± 5.5, and level of knowledge (both basic and technical knowledge) was found to be average where basic knowledge was 66.3% and technical knowledge was 67%. Female nurses had better basic knowledge and practice regar-ding GDM, compared to their counterparts (p=0.002). There was a significant association with the respon-dent’s gender, level of education and workplace with the basic knowledge regarding GDM management. There was a significant association with the level of education and marital status of respondents with technical knowledge and regarding proper GDM management practice only monthly family income of respondent’s shows significant association. Conclusion: The results revealed that there is a gap of knowledge and practice about the management of GDM among nurses’ capital of Bangladesh. Capacity building training should conduct regularly for young graduate nurses so that they can apply knowledge properly in the practice area.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352391","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: This study aims compare the pregnancy and live birth rates between the oocytes retrieved without follicular flushing FF(-) in the oocyte pick-up (OPU) procedure performed in women with diminished ovarian reserve (DOR) and those retrieved by follicular flushing FF(+). Results: The study was conducted among patients diagnosed with DOR according to Bologna criteria and applied to the clinic for IVF between 2017-2020. A total of 358 infertile women with follicles three and below on the hCG day, between the ages of 21 and 42, without severe male factor, without uterine anomaly, without uterine surgery, and who did not undergo PGD were included in the study. Each follicle was aspirated once in the OPU procedure, and if a follicle was retrieved, it was moved to the other follicle. If the follicle could not be retrieved, the oocyte was tried to be retrieved by flushing a maximum of 3 times. The number of oocytes retrieved, clinical pregnancy rate, and live birth rate were compared. Since all the oocytes retrieved in 143 patients were retrieved directly without the need for FF, it was named FF(-) group. Since at least one oocyte of the remaining 215 patients was retrieved by performing FF, it was named FF(+) group. Since some of the oocytes retrieved from 112 patients in the FF(+) group were retrieved with FF and some without FF, they were excluded from the study, and the remaining 103 cases formed the FF(+) group a total of 246 patients were compared. The mean number of MII oocytes ,the pregnancy rates , rates of live births and the abortion rates between two groups did not show any statistical difference. Conclusion: FF applied during oocyte retrieval in DOR did not positively affect the number of retrieved oocytes, clinical pregnancy, and live birth rates even doing this may decrease the pregnancy rate because of the probable low quality egg but we should not forget that if we did not do flushing after once we aspirated the follicle we would not be able to obtain any pregnancy at all in this patients.
{"title":"FLUSHING OF THE FOLLICLES IN OVUM PICK-UP PROCEDURES GIVES A BETTER CHANCE FOR PREGNANCY IN LOW OVARIAN RESERVE PATIENTS","authors":"S. Oral, A. Sismanoglu","doi":"10.26502/ogr0101","DOIUrl":"https://doi.org/10.26502/ogr0101","url":null,"abstract":"Background: This study aims compare the pregnancy and live birth rates between the oocytes retrieved without follicular flushing FF(-) in the oocyte pick-up (OPU) procedure performed in women with diminished ovarian reserve (DOR) and those retrieved by follicular flushing FF(+). Results: The study was conducted among patients diagnosed with DOR according to Bologna criteria and applied to the clinic for IVF between 2017-2020. A total of 358 infertile women with follicles three and below on the hCG day, between the ages of 21 and 42, without severe male factor, without uterine anomaly, without uterine surgery, and who did not undergo PGD were included in the study. Each follicle was aspirated once in the OPU procedure, and if a follicle was retrieved, it was moved to the other follicle. If the follicle could not be retrieved, the oocyte was tried to be retrieved by flushing a maximum of 3 times. The number of oocytes retrieved, clinical pregnancy rate, and live birth rate were compared. Since all the oocytes retrieved in 143 patients were retrieved directly without the need for FF, it was named FF(-) group. Since at least one oocyte of the remaining 215 patients was retrieved by performing FF, it was named FF(+) group. Since some of the oocytes retrieved from 112 patients in the FF(+) group were retrieved with FF and some without FF, they were excluded from the study, and the remaining 103 cases formed the FF(+) group a total of 246 patients were compared. The mean number of MII oocytes ,the pregnancy rates , rates of live births and the abortion rates between two groups did not show any statistical difference. Conclusion: FF applied during oocyte retrieval in DOR did not positively affect the number of retrieved oocytes, clinical pregnancy, and live birth rates even doing this may decrease the pregnancy rate because of the probable low quality egg but we should not forget that if we did not do flushing after once we aspirated the follicle we would not be able to obtain any pregnancy at all in this patients.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69351850","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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