Pub Date : 2023-08-22DOI: 10.11648/j.jgo.20231104.15
Leno Daniel William Athanas, Baldé Ousmane, Soumah Aboubacar Fode Momo, S. Ibrahima, Conté Ibrahima, Bah Elhadj Mamoudou, Diallo Mamadou Hady, Moussa Kantara Camara, S. Telly
{"title":"Postpartum Subcutaneous Implant: Use and Follow-Up of Users at the Coronthie Communal Medical Center in Conakry, Guinea in 2022","authors":"Leno Daniel William Athanas, Baldé Ousmane, Soumah Aboubacar Fode Momo, S. Ibrahima, Conté Ibrahima, Bah Elhadj Mamoudou, Diallo Mamadou Hady, Moussa Kantara Camara, S. Telly","doi":"10.11648/j.jgo.20231104.15","DOIUrl":"https://doi.org/10.11648/j.jgo.20231104.15","url":null,"abstract":"","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77466105","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}
: This is a case report of 28-year-old primigravida woman with complaints of mild headache, edema of both legs and history of amenorrhea of eight + months who presented to the maternity hospital. After assessment she was admitted for mild pre-eclampsia management. Two days after admission, her membranes ruptured spontaneously, clear liquor drained and had no signs of true labor on assessment. Four hours later strong uterine contractions started with increased frequency and labor progressed well giving birth spontaneously. Third stage of labor completed with minimum bleeding. Her blood pressure was monitored every 6 hours and in the first 3 days of postpartum period B/P measurement showed slight improvement (160/90, 150/85 and 140/90). She was on Valium 20 mg twice per day. Edema of the extermities and facial puffiness decreased. Uterine involution was within normal limits. Her breasts were full and normal. Eighty hours after delivery while being assessed for postpartum follow up client developed seizures suddenly which lasted for 25 seconds. Management & Treatment : Supportive care, Valium 20 mg IV and Pethedine 100 mg IM were given stat and then an in-dwelling catheter was inserted. Lytic cocktail Solution I (Pethedine 50 mg, promethazine (Phenergan) 50 mg and chlorpromazine (largactile 50 mg) in 250 ml of 10% Dextrose was administered intravenously over 30 minutes. Since convulsions was not controlled, Solution II Lytic cocktail (chlorpromazine 100 mg and Pethedine 50 mg) in 250 ml of 10% Dextrose in water was prepared and given intravenously at 40 drops/min. While taking the Solution II Lytic cocktail she had one convulsion that lasted for 7 seconds. The same Solution II was prepared and continued intravenously at a slower rate. Convulsion was controlled. Later, she developed fever, tachycardia, crepitation of the lungs and urine output decreased. She was treated with anti-biotics, diuretics and digoxin with good outcome. The patient was followed as an outpatient weekly, biweekly and monthly after discharge. Conclusion: A pregnant or postpartum mother with blood pressure of 170/100 and history of convulsion require continued follow up by a skilled attendant in a health facility. Early hospital discharge for such cases should not be practiced under any circumstances. The need for trained, committed maternal health care providers, equipped health facility including availability of medication like magnesium sulfate to control convulsion. Up dated eclampsia management procedures (guidelines/ protocols) must be available and health care providers should be well oriented on how and when to use them properly.
{"title":"Postpartum Eclampsia Management with Lytic Cocktail Solutions in Rural and Semirural Health Care (with Limited Resources) Services in Eritrea","authors":"Abrehet Gebrekidan, Elias Teages Adgoy, Laban Lebahati Simel, Feven Beletse Negash","doi":"10.11648/j.jgo.20231104.13","DOIUrl":"https://doi.org/10.11648/j.jgo.20231104.13","url":null,"abstract":": This is a case report of 28-year-old primigravida woman with complaints of mild headache, edema of both legs and history of amenorrhea of eight + months who presented to the maternity hospital. After assessment she was admitted for mild pre-eclampsia management. Two days after admission, her membranes ruptured spontaneously, clear liquor drained and had no signs of true labor on assessment. Four hours later strong uterine contractions started with increased frequency and labor progressed well giving birth spontaneously. Third stage of labor completed with minimum bleeding. Her blood pressure was monitored every 6 hours and in the first 3 days of postpartum period B/P measurement showed slight improvement (160/90, 150/85 and 140/90). She was on Valium 20 mg twice per day. Edema of the extermities and facial puffiness decreased. Uterine involution was within normal limits. Her breasts were full and normal. Eighty hours after delivery while being assessed for postpartum follow up client developed seizures suddenly which lasted for 25 seconds. Management & Treatment : Supportive care, Valium 20 mg IV and Pethedine 100 mg IM were given stat and then an in-dwelling catheter was inserted. Lytic cocktail Solution I (Pethedine 50 mg, promethazine (Phenergan) 50 mg and chlorpromazine (largactile 50 mg) in 250 ml of 10% Dextrose was administered intravenously over 30 minutes. Since convulsions was not controlled, Solution II Lytic cocktail (chlorpromazine 100 mg and Pethedine 50 mg) in 250 ml of 10% Dextrose in water was prepared and given intravenously at 40 drops/min. While taking the Solution II Lytic cocktail she had one convulsion that lasted for 7 seconds. The same Solution II was prepared and continued intravenously at a slower rate. Convulsion was controlled. Later, she developed fever, tachycardia, crepitation of the lungs and urine output decreased. She was treated with anti-biotics, diuretics and digoxin with good outcome. The patient was followed as an outpatient weekly, biweekly and monthly after discharge. Conclusion: A pregnant or postpartum mother with blood pressure of 170/100 and history of convulsion require continued follow up by a skilled attendant in a health facility. Early hospital discharge for such cases should not be practiced under any circumstances. The need for trained, committed maternal health care providers, equipped health facility including availability of medication like magnesium sulfate to control convulsion. Up dated eclampsia management procedures (guidelines/ protocols) must be available and health care providers should be well oriented on how and when to use them properly.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78391685","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 : 2023-07-20DOI: 10.11648/j.jgo.20231104.12
Conté Ibrahima, Soumah Aboubacar Fode Momo, Diallo Abdourahamane, S. Ousmane, Cissoko Mamadou, S. Telly, K. Namory
{"title":"Screening for Precancerous Lesions of the Cervix by IVA/IVL Visual Tests at the Training Center for the Prevention of Gynecological Cancer in Conakry (Guinea)","authors":"Conté Ibrahima, Soumah Aboubacar Fode Momo, Diallo Abdourahamane, S. Ousmane, Cissoko Mamadou, S. Telly, K. Namory","doi":"10.11648/j.jgo.20231104.12","DOIUrl":"https://doi.org/10.11648/j.jgo.20231104.12","url":null,"abstract":"","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84532699","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":"Assessment of Quality of Comprehensive Abortion Care in Selected Health Institution of Addis Ababa, Ethiopia","authors":"Tatek Tesfaye, Ephrem Mamo, T. Tadesse, Yared Tesfaye, Gelane Lelise, Ayele Teshome, Selahadin Seid, Jemal Mohammed, Tamerat Assefa","doi":"10.11648/j.jgo.20231104.11","DOIUrl":"https://doi.org/10.11648/j.jgo.20231104.11","url":null,"abstract":"","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"95 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83931228","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 : 2023-07-11DOI: 10.11648/j.jgo.20231103.13
Salma Abdi Mahmoud, Ali Makame Ussi, Rashid Saleh Khamis, Said Ali Said, Chukwuma J. Okafor, Mansab Ramadhan Mansab, Muhiddin Abdi Mahmoud, Mwanaisha Juma Fakih, Shuwena Abdalla Hamad, Rahma Mussa Ali, Ali Said Yussuf, Sabra Salim Masoud, Kamilya Ali Omar, Ummulkulthum Omar Hamad, Hassanat Mohammed Abdallah, Zeyana Abdulaziz Ibrahim, Amina Idrissa Ahmada, Alawiya Abubakar Ahmed, Fatma Mrisho Haji, Aziza Ali Haji, Ibrahim Shaaban Salum, Asya Mohammed Ali, Ali Juma Hassan, Aysha Mwalim Omar, Chausiku Jumbe Darwesh, Sabrina Bashir Mohamed
{"title":"Stepping Towards Improved Audit Quality: The Outcome of Caesarean Section Using the Robson Ten Group Classification System at Mnazi Mmoja Hospital, Zanzibar","authors":"Salma Abdi Mahmoud, Ali Makame Ussi, Rashid Saleh Khamis, Said Ali Said, Chukwuma J. Okafor, Mansab Ramadhan Mansab, Muhiddin Abdi Mahmoud, Mwanaisha Juma Fakih, Shuwena Abdalla Hamad, Rahma Mussa Ali, Ali Said Yussuf, Sabra Salim Masoud, Kamilya Ali Omar, Ummulkulthum Omar Hamad, Hassanat Mohammed Abdallah, Zeyana Abdulaziz Ibrahim, Amina Idrissa Ahmada, Alawiya Abubakar Ahmed, Fatma Mrisho Haji, Aziza Ali Haji, Ibrahim Shaaban Salum, Asya Mohammed Ali, Ali Juma Hassan, Aysha Mwalim Omar, Chausiku Jumbe Darwesh, Sabrina Bashir Mohamed","doi":"10.11648/j.jgo.20231103.13","DOIUrl":"https://doi.org/10.11648/j.jgo.20231103.13","url":null,"abstract":"","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78159135","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 : 2023-07-08DOI: 10.11648/j.jgo.20231103.12
Vesna Harni, D. Babić, Suzana Ljubojevic-Hadzavdic, D. Barišić
{"title":"Acetic Acid Test Performed by Vulvoscopy Had Revealed an \"O Sign\" in the Inner Vulvar Ring of Patients with Vulvodynia","authors":"Vesna Harni, D. Babić, Suzana Ljubojevic-Hadzavdic, D. Barišić","doi":"10.11648/j.jgo.20231103.12","DOIUrl":"https://doi.org/10.11648/j.jgo.20231103.12","url":null,"abstract":"","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"128 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88025513","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 : 2023-05-31DOI: 10.11648/j.jgo.20231103.11
Martin Mumuni Danaah Malick, Nidhi Rathod Balvant, Radiyatu Nagumsi Fuseini, Peter Paul Bamaalabong, Cynthia Akumanue
: Young women in the universities have an independence streak and have no restraints from parents, or school authorities regarding their sex lives, and can have as much sex as desired. If they have little knowledge on how to prevent unwanted pregnancies, they can pick seed and conceive. Lack of support from partners and/or family and limited monetary support lead them to make wrong choices regarding the termination of an unwanted pregnancy. The aim of this study was to assess the knowledge and factors hindering access to safe abortion services among female students at the U.D.S. This was a descriptive cross-sectional study conducted at the U.D.S. 100 female students between the ages of 15 and 45 years were conveniently selected from a database of 187 female students. A questionnaire containing the relevant research questions related to the topic was designed using google forms, pre-tested on randomly selected 20 participants out of the total study population and subsequently self-administered to 100 female students through a web-based electronic platform. Data were analyzed using SPSS version 20.0. Age distribution of study participants: 15-20 Years, 18 (18%), 21-25 Years, 67 (67%), 26-30 years, 15 (15%). Knowledge of abortion laws in Ghana: 71 (71%) Yes, 29 (29%) No. Revision of the current abortion law in Ghana: 72 (72%) Yes, 28 (28%) No. Reasons for change in abortion Laws: Infringes on basic human rights of women 89 (89%), Contents are obsolete 11 (11%). Knowledge of safe abortion methods: 95 (95%) Yes, 5 (5%) No. Knowledge of safe abortion centers: 69 (69%) Yes, 31 (31%) No. Knowledge of qualified safe abortion service providers: Gynecologists 50 (50%), Midwives 28 (28%), Pharmacists 15 (15%), General Nurses 7 (7%). Factors hindering access to safe abortion services: Religious beliefs 50 (50%), Cost of services 30 (30%), Fear of stigmatization 22 (22%), Lack of knowledge about services 8 (8%). Most student participants were between the ages of 21 and 25 years. Majority of the students have knowledge about abortion laws in Ghana, the different methods of safe abortion, and the availability of safe abortion service centers and providers. Half of the students think religious beliefs interfere with their willingness to access safe abortion services and that the Gynecologist is usually the most qualified specialist to provide safe abortion services.
{"title":"Knowledge of Ghana Abortion Laws and Factors Hindering Access to Safe Abortion Services by Female Students at the University for Development Studies (UDS)","authors":"Martin Mumuni Danaah Malick, Nidhi Rathod Balvant, Radiyatu Nagumsi Fuseini, Peter Paul Bamaalabong, Cynthia Akumanue","doi":"10.11648/j.jgo.20231103.11","DOIUrl":"https://doi.org/10.11648/j.jgo.20231103.11","url":null,"abstract":": Young women in the universities have an independence streak and have no restraints from parents, or school authorities regarding their sex lives, and can have as much sex as desired. If they have little knowledge on how to prevent unwanted pregnancies, they can pick seed and conceive. Lack of support from partners and/or family and limited monetary support lead them to make wrong choices regarding the termination of an unwanted pregnancy. The aim of this study was to assess the knowledge and factors hindering access to safe abortion services among female students at the U.D.S. This was a descriptive cross-sectional study conducted at the U.D.S. 100 female students between the ages of 15 and 45 years were conveniently selected from a database of 187 female students. A questionnaire containing the relevant research questions related to the topic was designed using google forms, pre-tested on randomly selected 20 participants out of the total study population and subsequently self-administered to 100 female students through a web-based electronic platform. Data were analyzed using SPSS version 20.0. Age distribution of study participants: 15-20 Years, 18 (18%), 21-25 Years, 67 (67%), 26-30 years, 15 (15%). Knowledge of abortion laws in Ghana: 71 (71%) Yes, 29 (29%) No. Revision of the current abortion law in Ghana: 72 (72%) Yes, 28 (28%) No. Reasons for change in abortion Laws: Infringes on basic human rights of women 89 (89%), Contents are obsolete 11 (11%). Knowledge of safe abortion methods: 95 (95%) Yes, 5 (5%) No. Knowledge of safe abortion centers: 69 (69%) Yes, 31 (31%) No. Knowledge of qualified safe abortion service providers: Gynecologists 50 (50%), Midwives 28 (28%), Pharmacists 15 (15%), General Nurses 7 (7%). Factors hindering access to safe abortion services: Religious beliefs 50 (50%), Cost of services 30 (30%), Fear of stigmatization 22 (22%), Lack of knowledge about services 8 (8%). Most student participants were between the ages of 21 and 25 years. Majority of the students have knowledge about abortion laws in Ghana, the different methods of safe abortion, and the availability of safe abortion service centers and providers. Half of the students think religious beliefs interfere with their willingness to access safe abortion services and that the Gynecologist is usually the most qualified specialist to provide safe abortion services.","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"119 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77889129","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 : 2023-04-27DOI: 10.11648/j.jgo.20231102.14
Yun Yang, H. Tang, Yao Chen, Wulin Shan, Meng Zhao, Mengyue Chen, B. Tang, Hong Zheng, B. Xia, Jiming Chen
{"title":"Transumbilical Single-Port Laparoscopic Cystectomy of Giant Ovarian Teratoma","authors":"Yun Yang, H. Tang, Yao Chen, Wulin Shan, Meng Zhao, Mengyue Chen, B. Tang, Hong Zheng, B. Xia, Jiming Chen","doi":"10.11648/j.jgo.20231102.14","DOIUrl":"https://doi.org/10.11648/j.jgo.20231102.14","url":null,"abstract":"","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"74 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72385903","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 : 2023-04-27DOI: 10.11648/j.jgo.20231102.15
Wenpeng Xue, B. Tang, Yang Li, Hong-Lin Zheng, Ya He, Wei-ming Wei, Ruxia Shi, Jiming Chen
{"title":"Diffuse Uterine Leiomyomatosis: A Case Report and Review of the Literature","authors":"Wenpeng Xue, B. Tang, Yang Li, Hong-Lin Zheng, Ya He, Wei-ming Wei, Ruxia Shi, Jiming Chen","doi":"10.11648/j.jgo.20231102.15","DOIUrl":"https://doi.org/10.11648/j.jgo.20231102.15","url":null,"abstract":"","PeriodicalId":77904,"journal":{"name":"Supplement to International journal of gynecology and obstetrics","volume":"22 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89343844","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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