Pub Date : 2021-01-01Epub Date: 2021-10-23DOI: 10.26502/ogr069
Kathryn Feller, Claudia Rivera, Amy S Nacht, Saskia Bunge-Montes, Andrea Jimenez-Zambrano, Molly Lamb, Gretchen Heinrichs, Antonio Bolanos, Edwin Asturias, Sephen Berman, Margo S Harrison
Objective: Our objective was to observe the prevalence of postpartum contraceptive use in a population of rural women in Southwest Guatemala by type, and to determine characteristics associated with long-acting reversible contraceptive (LARC) use and sterilization.
Methods: We conducted a secondary analysis of prospectively collected quality improvement data from a cohort of postpartum women. We compared women intending to use or already using contraception to those not intending to utilize a method; bivariate comparisons were used to determine if there were differences in characteristics between these groups. If differences occurred (p < 0.2), those covariates were included in multivariable regression analyses to determine characteristics associated with use, and then specifically with LARC use and sterilization.
Results: In a cohort of 424 women who were surveyed between 2015-2017, the average age was 23 years old, and the prevalence of use or plan to use postpartum contraception was 87.5%. Women with a parity of 2 - 3 were 10% more likely to use any form of postpartum birth control (RR 1.1, CI [1.01, 1.2]) compared to primiparous women. Women who were married were also more likely to use a postpartum method (RR > 10, CI [>10,>10]). The prevalence of LARC use was low (4.0%), and women were more likely to choose this method if they were employed (RR 3.5 CI [1.1, 11.3]).Regarding sterilization, women with a parity of greater than one compared to primiparous women had an increased likelihood of sterilization (RR 3.6 CI [2.5,4.9]); each year a woman aged was associated with a 10% increased likelihood of postpartum sterilization (RR 1.1 CI [1.01,1.08]). Women were also more likely to choose sterilization if delivered by a skilled birth attendant (RR 1.8 CI [1.1,2.9]) or by cesarean birth (RR 2.1 CI [1.4,3.1]).
Conclusion: In this cohort, married women of higher parity were more likely to use postpartum contraception, with employed women more likely to use a LARC method. Older women of higher parity who were delivered by a skilled attendant by cesarean birth were the most likely to pursue sterilization.
{"title":"Use of Postpartum Birth Control in Rural Women in Southwest Guatemala: Analysis of a Quality-Improvement Database.","authors":"Kathryn Feller, Claudia Rivera, Amy S Nacht, Saskia Bunge-Montes, Andrea Jimenez-Zambrano, Molly Lamb, Gretchen Heinrichs, Antonio Bolanos, Edwin Asturias, Sephen Berman, Margo S Harrison","doi":"10.26502/ogr069","DOIUrl":"https://doi.org/10.26502/ogr069","url":null,"abstract":"<p><strong>Objective: </strong>Our objective was to observe the prevalence of postpartum contraceptive use in a population of rural women in Southwest Guatemala by type, and to determine characteristics associated with long-acting reversible contraceptive (LARC) use and sterilization.</p><p><strong>Methods: </strong>We conducted a secondary analysis of prospectively collected quality improvement data from a cohort of postpartum women. We compared women intending to use or already using contraception to those not intending to utilize a method; bivariate comparisons were used to determine if there were differences in characteristics between these groups. If differences occurred (p < 0.2), those covariates were included in multivariable regression analyses to determine characteristics associated with use, and then specifically with LARC use and sterilization.</p><p><strong>Results: </strong>In a cohort of 424 women who were surveyed between 2015-2017, the average age was 23 years old, and the prevalence of use or plan to use postpartum contraception was 87.5%. Women with a parity of 2 - 3 were 10% more likely to use any form of postpartum birth control (RR 1.1, CI [1.01, 1.2]) compared to primiparous women. Women who were married were also more likely to use a postpartum method (RR > 10, CI [>10,>10]). The prevalence of LARC use was low (4.0%), and women were more likely to choose this method if they were employed (RR 3.5 CI [1.1, 11.3]).Regarding sterilization, women with a parity of greater than one compared to primiparous women had an increased likelihood of sterilization (RR 3.6 CI [2.5,4.9]); each year a woman aged was associated with a 10% increased likelihood of postpartum sterilization (RR 1.1 CI [1.01,1.08]). Women were also more likely to choose sterilization if delivered by a skilled birth attendant (RR 1.8 CI [1.1,2.9]) or by cesarean birth (RR 2.1 CI [1.4,3.1]).</p><p><strong>Conclusion: </strong>In this cohort, married women of higher parity were more likely to use postpartum contraception, with employed women more likely to use a LARC method. Older women of higher parity who were delivered by a skilled attendant by cesarean birth were the most likely to pursue sterilization.</p>","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"4 4","pages":"203-213"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8594879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39887204","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}
Pub Date : 2020-12-23DOI: 10.21203/rs.3.rs-132684/v1
Margo S. Harrison, S. Bunge-Montes, Claudia Rivera, Andrea Jimenez-Zambrano, Gretchen A. Heinrichs, Antonio Bolaños, E. Asturias, Steven Berman, J. Sheeder
Design We executed a cluster-randomized parallel arm pragmatic trial to observe the association of home-based postpartum contraceptive provision, including the contraceptive implant, with three and 12-month contraceptive utilization, satisfaction, and pregnancy rates. Methods Eight clusters were randomized to receive either the home-based contraceptive delivery (condoms, pills, injection, implant) during the routine 40-day postpartum visit in addition to routine care, or routine care alone, which included comprehensive contraceptive counseling throughout antepartum care. Results 208 women were enrolled in the study, 108 in the intervention clusters and 100 in control clusters. 94 (87.0%) women in the intervention group and 91 (91%) of women in control clusters were evaluated 12 months post-enrollment. Likelihood of using contraception at that time was borderline increased in intervention clusters (RR 1.1 [1.0,1.3], p = 0.05) with an increased likelihood of long-acting contraceptive use (the implant; RR 1.6 [1.3,1.9], p < 0.001). Pregnancy rates were also borderline reduced in the intervention clusters (RR 1.0 [1.0,1.1], p = 0.07). There was no difference in satisfaction of women with contraceptive use between arms with about 95% of women very satisfied or a little satisfied in each arm. Continuation rates at twelve months of contraceptives in the intervention group were 0.0% for condom users, 80.0% for contraceptive pill users, 57% for injectable users, and 83% for implant users. Most women who discontinued their initial method chose a more long-term or permanent method. There was a trend toward a significant association with reduced short interval pregnancy. Conclusion Our study had a borderline increase in overall use of contraception by 12 months, did have an increased likelihood of long-acting contraceptive use of the implant by 12 months, and resulted in a trend toward reduced short interval pregnancy in the intervention clusters as compared to control clusters.
{"title":"Twelve-Month outcomes of a Cluster-Randomized Trial of Home-Based Postpartum Contraceptive Delivery in Southwest Trifinio, Guatemala.","authors":"Margo S. Harrison, S. Bunge-Montes, Claudia Rivera, Andrea Jimenez-Zambrano, Gretchen A. Heinrichs, Antonio Bolaños, E. Asturias, Steven Berman, J. Sheeder","doi":"10.21203/rs.3.rs-132684/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-132684/v1","url":null,"abstract":"Design\u0000We executed a cluster-randomized parallel arm pragmatic trial to observe the association of home-based postpartum contraceptive provision, including the contraceptive implant, with three and 12-month contraceptive utilization, satisfaction, and pregnancy rates.\u0000\u0000\u0000Methods\u0000Eight clusters were randomized to receive either the home-based contraceptive delivery (condoms, pills, injection, implant) during the routine 40-day postpartum visit in addition to routine care, or routine care alone, which included comprehensive contraceptive counseling throughout antepartum care.\u0000\u0000\u0000Results\u0000208 women were enrolled in the study, 108 in the intervention clusters and 100 in control clusters. 94 (87.0%) women in the intervention group and 91 (91%) of women in control clusters were evaluated 12 months post-enrollment. Likelihood of using contraception at that time was borderline increased in intervention clusters (RR 1.1 [1.0,1.3], p = 0.05) with an increased likelihood of long-acting contraceptive use (the implant; RR 1.6 [1.3,1.9], p < 0.001). Pregnancy rates were also borderline reduced in the intervention clusters (RR 1.0 [1.0,1.1], p = 0.07). There was no difference in satisfaction of women with contraceptive use between arms with about 95% of women very satisfied or a little satisfied in each arm. Continuation rates at twelve months of contraceptives in the intervention group were 0.0% for condom users, 80.0% for contraceptive pill users, 57% for injectable users, and 83% for implant users. Most women who discontinued their initial method chose a more long-term or permanent method. There was a trend toward a significant association with reduced short interval pregnancy.\u0000\u0000\u0000Conclusion\u0000Our study had a borderline increase in overall use of contraception by 12 months, did have an increased likelihood of long-acting contraceptive use of the implant by 12 months, and resulted in a trend toward reduced short interval pregnancy in the intervention clusters as compared to control clusters.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"4 2 1","pages":"81-89"},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45227964","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}
Nkem Ernest Njukang, Tah Aldof Yoah, M. Sama, T. Egbe, J. Kamgno
Background: Hypertensive disorders in pregnancy (HDP) remain a major public health problem worldwide, and its prevalence varies from country to country and from institution to institutions. Few studies have explored the behavioral risk factors of hypertension (HTN) among pregnant women in Cameroon. Thus, this study aimed at determining the prevalence and socio-demographic predictors of behavioral risk factors of HDP in Mezam division. Methods: A Hospital-based cross-sectional study was conducted in Mezam division. Over 1210 pregnant women were sampled by consecutive sampling. Descriptive statistics, chi-square (χ2) test and multivariate logistic regression were used for analysis. Results: There was poor uptake of behavioural risk factors: alcohol (21.6%), physical inactivity (49.2%), low fruits/vegetables intake (80.7%), high salt intake (12.4%), stress (48.8%) and overweight/obese (65.5%). Sociodemographic predictors: Age was a risk factor for smoking [Adjusted Odd Ratio (AOR), 95%Confidence interval (CI); (25-29 years): 1.6 (1.1-2.4) & (≥35 years): 2.3 (1.4-3.6)], alcohol [(25-29 years): 1.5 (1.1-2.2) & (≥35 years): 2.5 (1.5-4.1)] and over weight/obesity [(25-29 years): 1.6 (1.2-2.2), (30-34 years): 2.6 (1.8-3.9) & (≥35 years): 2.5 (1.5-4.1)]. Education [secondary school: 1.8 (1.3-2.6) & high school: 2.4 (1.6-3.6)] and Occupation [petit traders: 1.8 (1.4-2.8) & business/employed: 1.9 (1.3-2.9)] were predictors of stress. Religion [Pentecostal: 1.8 (1.1-3.1)] was predictor for high salt consumption. Conclusion: There was poor uptake of behavioural risk factors of HDP. Age, education, occupation and Religion were predictors of behavioural factors of HTN. There is need for immediate health promotion interventions such as raising community awareness and appropriate antenatal counseling.
{"title":"Determinants of Behavioral Risk Factors of Hypertensive Disorders in Pregnancy","authors":"Nkem Ernest Njukang, Tah Aldof Yoah, M. Sama, T. Egbe, J. Kamgno","doi":"10.26502/ogr040","DOIUrl":"https://doi.org/10.26502/ogr040","url":null,"abstract":"Background: Hypertensive disorders in pregnancy (HDP) remain a major public health problem worldwide, and its prevalence varies from country to country and from institution to institutions. Few studies have explored the behavioral risk factors of hypertension (HTN) among pregnant women in Cameroon. Thus, this study aimed at determining the prevalence and socio-demographic predictors of behavioral risk factors of HDP in Mezam division. Methods: A Hospital-based cross-sectional study was conducted in Mezam division. Over 1210 pregnant women were sampled by consecutive sampling. Descriptive statistics, chi-square (χ2) test and multivariate logistic regression were used for analysis. Results: There was poor uptake of behavioural risk factors: alcohol (21.6%), physical inactivity (49.2%), low fruits/vegetables intake (80.7%), high salt intake (12.4%), stress (48.8%) and overweight/obese (65.5%). Sociodemographic predictors: Age was a risk factor for smoking [Adjusted Odd Ratio (AOR), 95%Confidence interval (CI); (25-29 years): 1.6 (1.1-2.4) & (≥35 years): 2.3 (1.4-3.6)], alcohol [(25-29 years): 1.5 (1.1-2.2) & (≥35 years): 2.5 (1.5-4.1)] and over weight/obesity [(25-29 years): 1.6 (1.2-2.2), (30-34 years): 2.6 (1.8-3.9) & (≥35 years): 2.5 (1.5-4.1)]. Education [secondary school: 1.8 (1.3-2.6) & high school: 2.4 (1.6-3.6)] and Occupation [petit traders: 1.8 (1.4-2.8) & business/employed: 1.9 (1.3-2.9)] were predictors of stress. Religion [Pentecostal: 1.8 (1.1-3.1)] was predictor for high salt consumption. Conclusion: There was poor uptake of behavioural risk factors of HDP. Age, education, occupation and Religion were predictors of behavioural factors of HTN. There is need for immediate health promotion interventions such as raising community awareness and appropriate antenatal counseling.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352305","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}
W. Ho, Chien-Kuan Lee, Chi-Feng Su, Horng‐Jyh Tsai
{"title":"Double Synchronous Primary Gynecologic Carcinoma of the Endometrium and Both Ovaries: A Rare Encounter","authors":"W. Ho, Chien-Kuan Lee, Chi-Feng Su, Horng‐Jyh Tsai","doi":"10.26502/ogr028","DOIUrl":"https://doi.org/10.26502/ogr028","url":null,"abstract":"","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352273","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}
Rigorous peer-review is the main part in building the corner-stone of high-quality academic publishing. The editorial team greatly appreciates the authors, reviewers who contributed their knowledge and expertise to the journal’s editorial process over the past 12 months. In 2018, a total of 15 articles was published in the journal with a median time to first decision of 10 days and a median time to publication of 15 days. The editorial office would like to express their sincere gratitude to the following authors, reviewers and editors for their cooperation and dedication in 2018:
{"title":"Acknowledgement to Authors, Reviewers and Editors of Obstetrics and Gynecology Research in 2018.","authors":"Editorial Office","doi":"10.26502/ogr016","DOIUrl":"https://doi.org/10.26502/ogr016","url":null,"abstract":"Rigorous peer-review is the main part in building the corner-stone of high-quality academic publishing. The editorial team greatly appreciates the authors, reviewers who contributed their knowledge and expertise to the journal’s editorial process over the past 12 months. In 2018, a total of 15 articles was published in the journal with a median time to first decision of 10 days and a median time to publication of 15 days. The editorial office would like to express their sincere gratitude to the following authors, reviewers and editors for their cooperation and dedication in 2018:","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352621","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 Althouh there is a great advance in antenatal care, gestational hypertension still one of the major reasons of maternal and neonatal morbidity and mortality. For this reason, early screening of gestational hypertension and fetal growth retardation can permit cautious antenatal monitoring and proper timing of delivery to steer clear of serious complications. Patient and Methods This is a prospective study that included 100 singleton pregnant women with gestational hypertension and complicated with IUGR fetuses who were divided into 2 groups (A and B), each group consists of 50 patients: All patients in group A subjected to fetal Doppler flow indices measurement before corticosteroid administration, and repeated within five days after its administration. Its effect on fetal outcome detected after termination of pregnancy. While women in group B included 50 patients who did not receive corticosteroid therapy. Fetal Doppler flow indices was measured, and after termination of pregnancy effect on fetal outcome was detected as well. Results There was statistically significant difference between the study group after corticosteroid administration and the control group regarding the mean Doppler indices in the form of (MCA PI-RI, UMA PI-RI and CPR). MCA shows higher values in study group after corticosteroid administration than the control group (PI 1.52 ± 0.10 and 1.5 ± 0.18 and RI from 0.78 ± 0.12 to 0.76 ± 0.02. While UMA shows lower values in study group after corticosteroid administration than the control group (PI 1.31 ± 0.16 and 1.36 ± 0.08 and RI 0.72 ± 0.01 and 0.73 ± 0.02. CPR also shows higher values in study group after corticosteroid administration than the control group 1.05 ± 0.05 and 1.04 ± 0.05. Conclusion Corticosteroid administration to hypertensive women is associated with improvement of all Doppler indices in the form of elevation of MCA PI & RI and CPR value and decrease of UMA PI & RI values. Although corticosteroid administration was associated with all these Doppler indices enhancement but there was no associated improvement in the number of fetuses born suffering from tachypnea or admitted to NICU when compared to the other group of women who did not receive corticosteroids. Fetuses who was delivered not affected by tachypnea or not admitted to the NICU shows improvement in UMA PI & RI and CPR in comparison to those who were tachypnic and admitted to the NICU. AEDFV and REDFV signs of UMA are critical signs, usually associated with adverse fetal outcome or fetal compromise.
{"title":"The Effect of Third Trimester Corticosteroid Therapy on Fetal Doppler Velocimetry in Gestational Hypertension Complicated By Intrauterine Growth Restriction","authors":"Hany Maged Abd El Aal, D. Hassan","doi":"10.26502/ogr018","DOIUrl":"https://doi.org/10.26502/ogr018","url":null,"abstract":"Background Althouh there is a great advance in antenatal care, gestational hypertension still one of the major reasons of maternal and neonatal morbidity and mortality. For this reason, early screening of gestational hypertension and fetal growth retardation can permit cautious antenatal monitoring and proper timing of delivery to steer clear of serious complications. Patient and Methods This is a prospective study that included 100 singleton pregnant women with gestational hypertension and complicated with IUGR fetuses who were divided into 2 groups (A and B), each group consists of 50 patients: All patients in group A subjected to fetal Doppler flow indices measurement before corticosteroid administration, and repeated within five days after its administration. Its effect on fetal outcome detected after termination of pregnancy. While women in group B included 50 patients who did not receive corticosteroid therapy. Fetal Doppler flow indices was measured, and after termination of pregnancy effect on fetal outcome was detected as well. Results There was statistically significant difference between the study group after corticosteroid administration and the control group regarding the mean Doppler indices in the form of (MCA PI-RI, UMA PI-RI and CPR). MCA shows higher values in study group after corticosteroid administration than the control group (PI 1.52 ± 0.10 and 1.5 ± 0.18 and RI from 0.78 ± 0.12 to 0.76 ± 0.02. While UMA shows lower values in study group after corticosteroid administration than the control group (PI 1.31 ± 0.16 and 1.36 ± 0.08 and RI 0.72 ± 0.01 and 0.73 ± 0.02. CPR also shows higher values in study group after corticosteroid administration than the control group 1.05 ± 0.05 and 1.04 ± 0.05. Conclusion Corticosteroid administration to hypertensive women is associated with improvement of all Doppler indices in the form of elevation of MCA PI & RI and CPR value and decrease of UMA PI & RI values. Although corticosteroid administration was associated with all these Doppler indices enhancement but there was no associated improvement in the number of fetuses born suffering from tachypnea or admitted to NICU when compared to the other group of women who did not receive corticosteroids. Fetuses who was delivered not affected by tachypnea or not admitted to the NICU shows improvement in UMA PI & RI and CPR in comparison to those who were tachypnic and admitted to the NICU. AEDFV and REDFV signs of UMA are critical signs, usually associated with adverse fetal outcome or fetal compromise.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352632","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}
A. Bassowa, Ayoko Ketevi, Palakiyem Panassa, B. Douaguibe, D. Ajavon, K. Fiagnon, S. Aboubakari, K. Akpadza
Objective: To determine the maternal prognosis during macrofen delivery at Sylvanus Olympio CHU. Method and framework: This was a descriptive cross-sectional study that took place in the Obstetrics Gynecology department of the University Hospital Center of Sylvanus Olympio University Hospital in Lome. June 30, 2017 over a period of 5 months. The statistical analysis was done using the software: Microsoft Excel. Results and discussion: Of 3468 deliveries recorded during the study period, 111 resulted in macrosomes, a macrosomia frequency of 3.2%. The highest incidence was observed among parturients in the 26-30 age group at 38.7%. Delivery occurred spontaneously vaginally in 30%, caesarean section in 20%, forceps 1.5%. Maternal complications were: perineal tears (2.2%), delivery hemorrhage (2.2%), cervical tears (0.5%). These complications are more frequent in case of non-prenatal monitoring of pregnant women. Conclusion: Since fetal macrosomia is a real public health problem because of its strong association with infant morbidity and mortality, such a detailed study of children born with excess weight would make it possible to detect the most important factors in order to improve their health. management of this gravido-puerperal pathology in our African environments
{"title":"Maternal Prognosis During Childbirth of 111 Newborns Macrosomes at Chu Sylvanus Olympio","authors":"A. Bassowa, Ayoko Ketevi, Palakiyem Panassa, B. Douaguibe, D. Ajavon, K. Fiagnon, S. Aboubakari, K. Akpadza","doi":"10.26502/ogr019","DOIUrl":"https://doi.org/10.26502/ogr019","url":null,"abstract":"Objective: To determine the maternal prognosis during macrofen delivery at Sylvanus Olympio CHU. Method and framework: This was a descriptive cross-sectional study that took place in the Obstetrics Gynecology department of the University Hospital Center of Sylvanus Olympio University Hospital in Lome. June 30, 2017 over a period of 5 months. The statistical analysis was done using the software: Microsoft Excel. Results and discussion: Of 3468 deliveries recorded during the study period, 111 resulted in macrosomes, a macrosomia frequency of 3.2%. The highest incidence was observed among parturients in the 26-30 age group at 38.7%. Delivery occurred spontaneously vaginally in 30%, caesarean section in 20%, forceps 1.5%. Maternal complications were: perineal tears (2.2%), delivery hemorrhage (2.2%), cervical tears (0.5%). These complications are more frequent in case of non-prenatal monitoring of pregnant women. Conclusion: Since fetal macrosomia is a real public health problem because of its strong association with infant morbidity and mortality, such a detailed study of children born with excess weight would make it possible to detect the most important factors in order to improve their health. management of this gravido-puerperal pathology in our African environments","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352637","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}
Syeda Khadija, S. Gilani, Sabir Butt, M. Yousaf, R. Bacha, Syed Zain ul Hassan Gilani
Objective: To identify the usefulness of Doppler indices in the third trimester for intra-uterine growth- restricted pregnancies. Materials and Methods: It was an observational case-control study of singletons with intra-uterine growth restriction (fetal weight <10th percentile). Intra-uterine growth restricted fetuses (cases) and normal (controls) were examined for the umbilical artery. Time intervals between progressive Doppler abnormalities and configurations of worsening were related to umbilical artery Doppler status and gestational age. This study was conducted from August 2015 to January 2016 at Gilani Ultrasound Center Lahore Pakistan. A total of 60 pregnant females were studied with normal and abnormal umbilical artery Doppler ultrasound. Results: Doppler indices measurements of umbilical artery in intra-uterine growth restriction fetuses in the third trimester showed higher values as compared to normal fetuses. 30 females had normal umbilical artery Doppler indices and waveforms and 30 females showed (either thinning, absent or reversed Diastolic flow Doppler waveform) with higher indices. Conclusion: Fetal umbilical artery Doppler ultrasound is an effective tool in the detection of early intra-uterine growth restriction fetuses.
{"title":"The Efficacy of Doppler Indices in Third Trimester of IUGR Pregnancies","authors":"Syeda Khadija, S. Gilani, Sabir Butt, M. Yousaf, R. Bacha, Syed Zain ul Hassan Gilani","doi":"10.26502/ogr029","DOIUrl":"https://doi.org/10.26502/ogr029","url":null,"abstract":"Objective: To identify the usefulness of Doppler indices in the third trimester for intra-uterine growth- restricted pregnancies. Materials and Methods: It was an observational case-control study of singletons with intra-uterine growth restriction (fetal weight <10th percentile). Intra-uterine growth restricted fetuses (cases) and normal (controls) were examined for the umbilical artery. Time intervals between progressive Doppler abnormalities and configurations of worsening were related to umbilical artery Doppler status and gestational age. This study was conducted from August 2015 to January 2016 at Gilani Ultrasound Center Lahore Pakistan. A total of 60 pregnant females were studied with normal and abnormal umbilical artery Doppler ultrasound. Results: Doppler indices measurements of umbilical artery in intra-uterine growth restriction fetuses in the third trimester showed higher values as compared to normal fetuses. 30 females had normal umbilical artery Doppler indices and waveforms and 30 females showed (either thinning, absent or reversed Diastolic flow Doppler waveform) with higher indices. Conclusion: Fetal umbilical artery Doppler ultrasound is an effective tool in the detection of early intra-uterine growth restriction fetuses.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352304","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":"Adherence of Obstetrician to the Guideline Regarding the Timing of Elective Caesarean Sections and its Effect on the Neonatal Outcome","authors":"Maysara Mohammed Al-Badran, Maha Saleh Falgoos","doi":"10.26502/ogr021","DOIUrl":"https://doi.org/10.26502/ogr021","url":null,"abstract":"","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352674","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}
Aims: We aim to analyze the data from our colposcopy clinic since its transition to the new cervical screening program to determine its effectiveness in clinical practice. Materials and Methods: We extracted data from hospital electronic records, which was analyzed by a bio-statistician. Associations and concordance between referring (Human Papilloma Virus) HPV types, Liquid Based Cytology (LBC), colposcopic impression and cervical biopsy were calculated and analyzed. Results: Data from 262 women who attended our colposcopy clinic from December 2017 to November 2018 was analyzed. Our study showed that the volume of referrals had increased by 6-fold since the implementation of the new cervical screening program in Australia. HPV Other (non 16/18) had the highest prevalence among women referred and accounted for the highest number of high-grade referrals to our unit. Conclusion: 83.3% of referrals with HPV Other (non 16/18) had abnormal cytology. HPV Other appears to be the most pathogenic of all HPV subtypes. The concordance between colposcopic impression and cervical biopsy was 61.9%.
{"title":"Analysis of the Peninsula Health Colposcopy Service Data of One Year Since Transitioning to the New Cervical Screening Program","authors":"Stephanie Sii, A. Trivedi, W. C. Wang","doi":"10.26502/ogr026","DOIUrl":"https://doi.org/10.26502/ogr026","url":null,"abstract":"Aims: We aim to analyze the data from our colposcopy clinic since its transition to the new cervical screening program to determine its effectiveness in clinical practice. Materials and Methods: We extracted data from hospital electronic records, which was analyzed by a bio-statistician. Associations and concordance between referring (Human Papilloma Virus) HPV types, Liquid Based Cytology (LBC), colposcopic impression and cervical biopsy were calculated and analyzed. Results: Data from 262 women who attended our colposcopy clinic from December 2017 to November 2018 was analyzed. Our study showed that the volume of referrals had increased by 6-fold since the implementation of the new cervical screening program in Australia. HPV Other (non 16/18) had the highest prevalence among women referred and accounted for the highest number of high-grade referrals to our unit. Conclusion: 83.3% of referrals with HPV Other (non 16/18) had abnormal cytology. HPV Other appears to be the most pathogenic of all HPV subtypes. The concordance between colposcopic impression and cervical biopsy was 61.9%.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352259","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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