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Dysmenorrhea and its Effects among Female Students at Health Colleges in Najran University, Saudi Arabia: A Cross-sectional Study 沙特阿拉伯纳季兰大学卫生学院女生痛经及其影响:一项横断面研究
Pub Date : 2020-01-01 DOI: 10.35248/2167-0420.20.9.484
M. Alshahrani
Introduction: Dysmenorrhea is referred as to pain during menstruation and is the most common menstrual disorder among women who present to clinicians. Objectives: The aim of this study was to assess the prevalence of dysmenorrhea and its effects on the quality of life of female students at health colleges in Najran University, Najran, Saudi Arabia. Methods: This descriptive, cross-sectional study was conducted at Najran University. The participants were students at health colleges in Najran, Saudi Arabia. Data were collect using a self-administered questionnaire designed for this study. Data were analysed using the Statistical Package for Social Sciences version 23. Result: A total of 194 students responded. The prevalence of dysmenorrhea was 93.3%, with 136 students (70.1%) reporting regular cycles and 158 (81.4%) reporting a moderate level of menstruation. The most common symptoms of moderate and severe dysmenorrhea were abdominal pain (67/194, 34.5% and 62/194, 32%, respectively) followed by fatigue (64/194, 33% and 60/194, 30.9%, respectively). The condition significantly affected college attendance, and was associated with loss of concentration, low mood and mood change, anger, nausea and loss of appetite (P=0.0001). Conclusion: Our study showed a high prevalence of dysmenorrhea among students in in health colleges. The most common menstrual symptoms associated with severe dysmenorrhea were abdominal pain, fatigue, mood change, reduced college attendance and crying. Thus, clinics to diagnose and manage dysmenorrhea among female student are urgently required.
简介:痛经是指月经期间的疼痛,是最常见的月经紊乱的妇女谁呈现给临床医生。目的:本研究的目的是评估沙特阿拉伯纳季兰大学卫生学院女生痛经的患病率及其对生活质量的影响。方法:本描述性横断面研究在Najran大学进行。参与者是沙特阿拉伯纳吉兰卫生学院的学生。数据收集使用为本研究设计的自我管理问卷。使用社会科学统计软件包第23版对数据进行分析。结果:共有194名学生回复。痛经的患病率为93.3%,其中136名学生(70.1%)报告月经周期正常,158名学生(81.4%)报告月经中度。中重度痛经最常见的症状是腹痛(67/194,34.5%;62/194,32%),其次是乏力(64/194,33%;60/194,30.9%)。这种情况显著影响大学出勤率,并与注意力不集中、情绪低落和情绪变化、愤怒、恶心和食欲不振有关(P=0.0001)。结论:卫生院校学生痛经发生率较高。与严重痛经相关的最常见月经症状是腹痛、疲劳、情绪变化、大学出勤率下降和哭泣。因此,迫切需要对女学生痛经进行诊断和治疗。
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引用次数: 2
Evaluation of the INTERGROWTH-21st Fetal Growth Standards in the United Arab Emirates: A Pilot Study. intergrowth -21胎儿生长标准在阿联酋的评价:一项试点研究。
Pub Date : 2020-01-01 DOI: 10.35248/2167-0420.20.9.495
Biruk Hassib Narchi, Lolowa A. Almekhaini, Muna N. Alshekaili, Fatema Alshibli, S. Hamad, Ruwaya Aldhaheri, A. Souid
Objectives: To evaluate the use of recently published INTERGROWTH-21st (IG-21) fetal growth standards in United Arab Emirates native population. Method: This prospective cohort study analyzed fetal ultrasound measurements of head circumference, abdominal circumference and femur length. Z-scores and percentiles of fetal and neonatal growth measurements were calculated using IG-21 and compared with a standard reference. Results: Measurements were performed in 120 pregnancies at a median gestational age of 25.8 weeks (range, 16 to 35). Thirteen out of 15 mean IG-21 Z-scores for all measurements remained between −0.5 and +0.5 at all gestational-ages. Actual standard deviations (SD) using IG-21 charts gave an acceptable SD (0.8 to 1.2) for 13 out of 15 measurements. The proportions of most antenatal measurements 90th and >97th percentiles were identical between standard and IG-21st charts. The median gestational age was 39 weeks (range, 29 to 41) and 14 (13%) were delivered by cesarean section. The mean z-scores of all biometric measurements were close to zero while the mean percentiles were close to the 50th percentile, thus, describing appropriately the neonatal growth parameters in our population. Conclusions: Fetal size in our population was comparable to the IG-21 standards. The IG-21 neonatal growth standards were more similar to that of the anticipated population distribution than to the standard charts. These preliminary results, if confirmed in a larger study in the UAE, would support use of IG-21 standards in UAE instead of the currently used standard charts.
目的:评价最近发布的intergrowth -21 (IG-21)胎儿生长标准在阿联酋本地人群中的使用情况。方法:本前瞻性队列研究分析胎儿超声测量的头围、腹围和股骨长度。使用IG-21计算胎儿和新生儿生长测量的z分数和百分位数,并与标准参考进行比较。结果:对120例中位胎龄为25.8周(16 ~ 35周)的孕妇进行了测量。在所有孕龄的15例中,13例的所有测量结果的平均IG-21 z分数保持在- 0.5和+0.5之间。使用IG-21图表的实际标准偏差(SD)给出了15个测量中的13个可接受的SD(0.8到1.2)。大多数产前测量的第90百分位和>97百分位的比例在标准图和ig -21图之间相同。中位胎龄为39周(范围29 ~ 41周),14例(13%)为剖宫产。所有生物特征测量的平均z分数接近于零,而平均百分位数接近于第50百分位数,因此,适当地描述了我们人群中的新生儿生长参数。结论:我们人群的胎儿大小与IG-21标准相当。IG-21新生儿生长标准更接近于预期的人口分布,而不是标准图表。这些初步结果,如果在阿联酋进行的更大规模研究中得到证实,将支持在阿联酋使用IG-21标准,而不是目前使用的标准图表。
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引用次数: 0
The Impact of Menstrual Periods on Performance of Female Workers 月经周期对女工绩效的影响
Pub Date : 2020-01-01 DOI: 10.35248/2167-0420.20.9.483
Asma Al-Harbi, M. Alrahili, Shaima S. Al-harbi
In line with legislative future vision, number of female employees has been increasing in Saudi Arabia. Female workers experience challenges that male counterparts may not face such as monthly physiological and hormonal changes. Consequentially, raising the question; would this affect female work performance? Hence, this study aimed to survey menstrual cycle effects on performance, physical condition and habits of workers for Princess Nourah bint Abdulrahman University (PNU). Target subjects included variable departments and different ages to ensure representatives sample as much possible. Next, data was collected using self-reported surveys approaching convince sampling method. Then, data were coded to SPSS and analysed in forms of descriptive frequencies and percentages with P value less than 0.05 deemed to be significant. 395 useful questioners were analysed. 95% of workers thought that their physical activity decreases during period. 67% of them usually suffer from back pain and 33% reported abdominal pain. Almost halve (47%) feel depressed through their period. More than halve (60%) believed their focus and concentration level is not decreased during menstruation and 73% have never needed to request vacation due to menstrual pain neither permission to leave work 36%. Also, (73%) do not require assistance from colleagues to perform office duties. 50% will take Panadol as analgesic for period pain. As well, 10% will use water bags in workplace to relive menstruation pain, while (66%) will use herbs to manage period pain. Finally, the study concluded that menstruation do affect PNU workers Physical condition and habits. Yet, they believe their cognitive and focus level is not affected.
根据立法机构的未来愿景,沙特阿拉伯女性雇员的数量一直在增加。女性员工会遇到男性同事可能不会遇到的挑战,比如每月的生理和荷尔蒙变化。因此,提出了这个问题;这会影响女性的工作表现吗?因此,本研究旨在调查月经周期对诺拉公主宾特阿卜杜勒拉赫曼大学(PNU)工人工作表现、身体状况和生活习惯的影响。目标对象包括不同的部门和不同的年龄,以确保尽可能多的代表性样本。其次,数据收集采用自我报告的调查接近说服抽样方法。然后,将数据编码到SPSS中,以描述频率和百分比的形式进行分析,P值小于0.05被认为是显著的。分析了395个有用的提问者。95%的员工认为他们的体力活动在经期会减少。67%的人经常背痛,33%的人报告腹痛。近一半(47%)的女性在经期感到抑郁。超过一半(60%)的人认为他们的注意力和集中程度在月经期间没有下降,73%的人从未因为月经疼痛而要求休假,36%的人也没有请假。此外,(73%)在履行办公室职责时不需要同事的协助。50%的人会服用止痛剂来缓解经期疼痛。此外,10%的人会在工作场所使用水袋来缓解月经疼痛,而(66%)的人会使用草药来缓解月经疼痛。最后,研究得出结论,月经确实会影响PNU员工的身体状况和习惯。然而,他们认为他们的认知和注意力水平没有受到影响。
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引用次数: 1
Postpartum Family Planning Utilization and Associated Factors Among Women Who Gave Birth in the Last 12 Months Prior to the Study in Lode Hetosa District, South East Ethiopia 埃塞俄比亚东南部Lode Hetosa地区研究前12个月内分娩妇女的产后计划生育利用及相关因素
Pub Date : 2020-01-01 DOI: 10.35248/21670420.20.9.488
G. H. Jima, Wagari Bekeshie Garbaba
Background: Postpartum family planning helps women to achieve the recommended birth interval before next pregnancy. In Ethiopia contraception use in postpartum period is only 8% while unmet need is 81% resulted in short birth interval, abortion, unplanned birth and miscarriage. Objectives: To assess magnitude of postpartum family planning utilization and its associated factors among postpartum women who gave birth within one year prior to the study. Methods: Community based cross-sectional study was conducted in Lode Hetosa district from July 20, 2018 to August 20, 2018. A random sample of 1162 postpartum women who gave birth within 12 months prior to study was recruited for the study. Structured and pretested questionnaire were utilized to collect the data. After entered to Epi info version 7, a cleaned data was analysed using SPSS version 21. Multivariate logistic regressions were fit to determine association between postpartum family planning utilization and independent variables. Results: Magnitude of postpartum family planning utilization in the study area was 15%. The most frequently used family planning method within 6 weeks after delivery was implants (35%). The odds of using contraception were 2.9(95%CI: 1.41, 5.97) times higher among women whose partners completed secondary education when compared to those with no formal education. Odds of utilizing contraception were 8.27 (95%CI: 4.14, 16.52)times more likely among mothers who got FP counselling during ANC visit when compared with who didn’t get counselling during this time. Likewise, who didn’t get counselling at PNC services were 0.41(95%CI: 0.2, 0.86) times less likely used PPFP relative to who were counselled. Conclusions: Postpartum family planning utilization was low in the district. Partner’s educational status, knowledge of mother, family planning counselling during ANC and PNC and sexual resumption were factors significantly associated with postpartum family planning utilization.
背景:产后计划生育有助于妇女在下次怀孕前达到推荐的生育间隔。在埃塞俄比亚,产后避孕药具使用率仅为8%,而未满足需求的比例为81%,导致生育间隔短、流产、计划外分娩和流产。目的:评估研究前一年内分娩的产后妇女的产后计划生育利用率及其相关因素。方法:于2018年7月20日至2018年8月20日在Lode Hetosa区进行基于社区的横断面研究。随机抽取了1162名在研究前12个月内分娩的产后妇女作为研究对象。采用结构化问卷和预测问卷进行数据收集。进入Epi info version 7后,使用SPSS version 21对清理后的数据进行分析。采用多变量logistic回归分析产后计划生育利用与自变量的关系。结果:研究区产后计划生育使用率为15%。产后6周内最常用的计划生育方法是种植(35%)。与没有受过正规教育的女性相比,伴侣受过中等教育的女性使用避孕措施的几率高2.9倍(95%CI: 1.41, 5.97)。在ANC访问期间接受计划生育咨询的母亲使用避孕措施的几率是未接受咨询的母亲的8.27倍(95%CI: 4.14, 16.52)。同样,没有在PNC服务中接受咨询的人使用PPFP的可能性比接受咨询的人低0.41倍(95%CI: 0.2, 0.86)。结论:该区产后计划生育利用率较低。伴侣的受教育程度、母亲知识、产前和产后计划生育咨询、性行为恢复是影响产后计划生育利用的显著因素。
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引用次数: 6
Prevalence and Associated Factors of Pre-eclampsia among Pregnant Women at Antenatal Booking in the Halaba Kullito General Hospital, Southern Ethiopia. 埃塞俄比亚南部Halaba Kullito总医院产前预约孕妇先兆子痫的患病率及相关因素
Pub Date : 2020-01-01 DOI: 10.35248/2167-0420.20.9.496
Rediet Belay Andarge, Abebe Alemu Anshebo, Hassen Mosa Halil, B. Kebede, R. Abdo
Background: Pre-eclampsia is a multi-system hypertensive disorder specific to pregnancy. It is one of the leading causes of maternal, foetal and neonatal morbidity and mortality worldwide particularly, in developing countries. However, in Ethiopia there is a paucity of information on the prevalence and determinants of pre-eclampsia. Hence, this study aimed to assess the prevalence and associated factors of pre-eclampsia among pregnant women at antenatal booking in the Halaba Kullito General Hospital,Southern Ethiopia. Method: This a hospital-based cross-sectional was conducted on 242 women using systematic sampling technique during February 1-28, 2019. Data were collected using a pre-tested, structured interviewer-administered questionnaire and chart review, which was performed to obtain women’s medical information and laboratory test results that could not be acquired by the interview. Data were entered into EpiData (version 3.1) and analyzed using SPSS (version 24). Both bivariate and multiple variable logistic regression analysis were computed. Odds ratio with their 95% confidence intervals (CI) were calculated to measure the strength of the association between the outcome and the independent variables. P-value <0.05 was considered as a statistically significant. Results: In the study setting, the prevalence of pre-eclampsia was observed to be 9.9%. Previous history of pre-eclampsia [AOR=8.9, 95% CI (1.03, 16.61], gestational diabetes mellitus [AOR=5.8, (1.38, 17.54)] and twin pregnancy [AOR=1.72, 95% CI (1.05, 3.71)] were associated factors of pre-eclampsia. Conclusions: A considerable proportion of pregnant women were experienced pre-eclampsia. Previous history of pre-eclampsia, gestational diabetes mellitus and multiple gestations were associated factors of pre-eclampsia. Therefore, the finding suggests that health care providers and other stakeholders should use these risk factors as a screening mechanism for the timely identification and management of pre-eclampsia by regular antenatal monitoring and careful follow-up.
背景:先兆子痫是一种妊娠特有的多系统高血压疾病。它是全世界特别是发展中国家孕产妇、胎儿和新生儿发病率和死亡率的主要原因之一。然而,在埃塞俄比亚,关于先兆子痫的患病率和决定因素的信息缺乏。因此,本研究旨在评估埃塞俄比亚南部Halaba Kullito总医院产前预约孕妇中先兆子痫的患病率及其相关因素。方法:采用系统抽样方法,于2019年2月1日至28日对242名妇女进行医院横断面调查。数据收集使用预先测试的、结构化的访谈者管理的问卷和图表审查,以获得妇女的医疗信息和无法通过访谈获得的实验室测试结果。数据录入EpiData(3.1版),使用SPSS(24版)进行分析。进行双变量和多变量logistic回归分析。计算比值比及其95%置信区间(CI)来衡量结果与自变量之间的关联强度。p值<0.05为差异有统计学意义。结果:本研究中,先兆子痫的患病率为9.9%。既往子痫前期病史[AOR=8.9, 95% CI(1.03, 16.61)]、妊娠期糖尿病[AOR=5.8,(1.38, 17.54)]和双胎妊娠[AOR=1.72, 95% CI(1.05, 3.71)]是子痫前期的相关因素。结论:相当比例的孕妇经历先兆子痫。子痫前期病史、妊娠期糖尿病和多胎妊娠是子痫前期的相关因素。因此,研究结果表明,卫生保健提供者和其他利益相关者应将这些危险因素作为筛查机制,通过定期产前监测和仔细随访,及时识别和管理先兆子痫。
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引用次数: 6
Sex and Gender Bio-psychosocial Differences in Coronavirus Disease 2019 (Covid-19): Men have more Biological Problems, but Women Suffer more Long Term Serious Psychosocial Consequences and with more Implications for Population 2019冠状病毒病(Covid-19)的性别和性别生物社会心理差异:男性有更多的生物学问题,但女性有更多的长期严重社会心理后果,对人口的影响更大
Pub Date : 2020-01-01 DOI: 10.35248/2167-0420.20.9.487
R. Aburabia, T. Hener, A. Biton, Y. Abukrat, T. Hendel
Background: Induced abortion or Termination of Pregnancy (TOP) is still a controversial issue in all societies because of moral, ethical, legal, emotional and religious questions. The decision to abort is made primarily by mother, couple and family. Studies indicate that abortion can create physical, social and psychological problems both for women and for medical staff. Decisions are influenced by the women's personal values and religious factors thus potentially making it more complicated emotionally, physically and socially. Aim of the study: To assess attitudes and differences between ultra-orthodox and secular women determining TOP, depending on the cause of the abortion. Methods and procedure: One hundred ninety-six Jewish women participated in a cross-section study, conducted in 2018. They were evaluated by a questionnaire comprised of two parts. a) Socio-demographic characteristics, b) Attitudes regarding TOP. Data was collected via Google Forms. Data were analyzed by using SPSS, version 25. Results: Orthodox women were found less liberal about abortion than secular women were. Secular women agreed to perform abortions in cases of fetal malformation, albinism, economic distress, unplanned pregnancy, and pregnancy interrupted career goals. There were no differences between the two groups to abort the pregnancy because of fetal gender. Conclusions: Judaism opposes abortion for both religious and moral reasons. Many religious leaders (rabbis) prohibit abortion in almost every situation. However, there are cases in which they will give permission to perform, mostly if the pregnancy poses a danger to the woman's life. In contrast to this approach, there are various feminist and human rights organizations in Israel, which support the choice of women regarding their bodies.
背景:人工流产或终止妊娠(TOP)在所有社会中仍然是一个有争议的问题,因为道德,伦理,法律,情感和宗教问题。堕胎的决定主要是由母亲、夫妇和家庭做出的。研究表明,堕胎会给妇女和医务人员造成身体、社会和心理问题。妇女的决定受到个人价值观和宗教因素的影响,因此可能使其在情感、身体和社会上更加复杂。研究的目的:评估极端正统和世俗妇女在决定TOP时的态度和差异,这取决于堕胎的原因。方法和程序:196名犹太妇女参加了2018年进行的一项横断面研究。他们通过一份由两部分组成的问卷进行评估。a)社会人口特征;b)对TOP的态度。数据是通过谷歌表格收集的。数据分析采用SPSS,版本25。结果:东正教妇女对堕胎的态度比世俗妇女更不自由。世俗女性同意在胎儿畸形、白化病、经济困难、意外怀孕和怀孕中断职业目标的情况下进行堕胎。两组因胎儿性别而流产的情况无差异。结论:犹太教出于宗教和道德原因反对堕胎。许多宗教领袖(拉比)几乎在任何情况下都禁止堕胎。然而,在某些情况下,他们会允许进行手术,主要是在怀孕对妇女的生命构成危险的情况下。与这种做法相反,以色列有各种女权主义和人权组织,它们支持妇女对自己身体的选择。
{"title":"Sex and Gender Bio-psychosocial Differences in Coronavirus Disease 2019 (Covid-19): Men have more Biological Problems, but Women Suffer more Long Term Serious Psychosocial Consequences and with more Implications for Population","authors":"R. Aburabia, T. Hener, A. Biton, Y. Abukrat, T. Hendel","doi":"10.35248/2167-0420.20.9.487","DOIUrl":"https://doi.org/10.35248/2167-0420.20.9.487","url":null,"abstract":"Background: Induced abortion or Termination of Pregnancy (TOP) is still a controversial issue in all societies because of moral, ethical, legal, emotional and religious questions. The decision to abort is made primarily by mother, couple and family. Studies indicate that abortion can create physical, social and psychological problems both for women and for medical staff. Decisions are influenced by the women's personal values and religious factors thus potentially making it more complicated emotionally, physically and socially. Aim of the study: To assess attitudes and differences between ultra-orthodox and secular women determining TOP, depending on the cause of the abortion. Methods and procedure: One hundred ninety-six Jewish women participated in a cross-section study, conducted in 2018. They were evaluated by a questionnaire comprised of two parts. a) Socio-demographic characteristics, b) Attitudes regarding TOP. Data was collected via Google Forms. Data were analyzed by using SPSS, version 25. Results: Orthodox women were found less liberal about abortion than secular women were. Secular women agreed to perform abortions in cases of fetal malformation, albinism, economic distress, unplanned pregnancy, and pregnancy interrupted career goals. There were no differences between the two groups to abort the pregnancy because of fetal gender. Conclusions: Judaism opposes abortion for both religious and moral reasons. Many religious leaders (rabbis) prohibit abortion in almost every situation. However, there are cases in which they will give permission to perform, mostly if the pregnancy poses a danger to the woman's life. In contrast to this approach, there are various feminist and human rights organizations in Israel, which support the choice of women regarding their bodies.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"9 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73860791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Intimate face of Midwifery 接生的亲密面孔
Pub Date : 2020-01-01 DOI: 10.35248/2167-0420.20.9.493
Effat Jalilian
Many efforts based on the science of midwifery have been done and physical and psychological aspects are considered to encourage mothers and midwives to choose the physiologic childbirth rules. This method supposed to be continued and upgraded to maintain the level of maternal and infant health. I bring up a simple question for a better discussion and consensus. Do all mothers equally benefit required supportive care such as verbal and non-verbal communication based on physiological childbirth training? in self-control Physical body strength, their relationships with colleagues or mothers and their type of reactions in specific situations. Regardless the proficiency, any health worker is a human being who has one a of personality types based on the classification of psychology. Of course, people who are a common normally are more similar in personalities.
许多基于助产科学的努力已经完成,从生理和心理方面考虑鼓励母亲和助产士选择生理性分娩规则。这种方法应该继续下去并加以改进,以维持母婴健康水平。我提出一个简单的问题,希望大家更好地讨论和达成共识。是否所有母亲都同样受益于所需的支持性护理,如基于生理分娩训练的语言和非语言交流?身体力量,他们与同事或母亲的关系以及他们在特定情况下的反应类型。无论熟练程度如何,根据心理学分类,任何卫生工作者都是具有一种人格类型的人。当然,长相普通的人在性格上更相似。
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引用次数: 0
New Delivery Chair for Vaginal Delivery 新型阴道分娩椅
Pub Date : 2019-12-23 DOI: 10.35248/2167-0420.19.8.480
V. Stefanovic, V. Ulander, Mervi Väisänen-Tommiska, S. Suomalainen-König, E. Kortelainen, Christina Salmen, M. Tikkanen, J. Paavonen
Objectives: Compared to different upright positions, delivery in recumbent position in bed may increase the likelihood of operative delivery and other delivery complications, and also decrease levels of maternal self-control. A new delivery chair has been developed to facilitate a variety of upright positions during labour. A randomized controlled trial was conducted to evaluate the impact of the delivery chair use on selected obstetrical and neonatal outcomes, compared to traditional recumbent position. Methods: A total of 1477 women with uncomplicated singleton pregnancy ≥ 34 gestational weeks with fetus in vertex presentation were enrolled in the study: 776 in the delivery chair group, and 701 in the control group. Results: An intention-to-treat analysis showed no differences between the groups in any of the outcomes used. Of the women in the delivery chair group, 251 used the chair throughout the second stage. An as-treated analysis was performed between these 251 women and their counterparts in the control group. Women using the delivery chair had a shorter second stage of delivery, fewer episiotomies, and less need for vacuum extraction, with no difference in blood loss or neonatal outcome. However, women using the delivery chair had more third-degree tears (11 cases, or 4.4%, vs. 9 cases, or 1.8%). Conclusion: The novel delivery chair can be safely used for vaginal delivery. More attention should be given to perineal support to prevent perineal tears. There is a need for multicentre trials of the delivery chair using standardized measurements of outcomes, including maternal pain, maternal self-control, and overall satisfaction.
目的:与不同的直立体位相比,卧位分娩可能增加手术分娩和其他分娩并发症的可能性,并降低产妇的自我控制水平。一种新的分娩椅已经被开发出来,以方便分娩过程中的各种直立姿势。进行了一项随机对照试验,以评估与传统的卧位相比,使用接生椅对选定的产科和新生儿结局的影响。方法:共纳入1477例≥34孕周且胎儿处于顶点位的无并发症单胎妊娠妇女,其中坐椅组776例,对照组701例。结果:意向治疗分析显示两组之间使用的任何结果均无差异。在分娩椅组中,251名妇女在第二阶段使用了这把椅子。在这251名女性和对照组的同行之间进行了治疗后的分析。使用分娩椅的妇女第二阶段分娩时间较短,外阴切开术较少,吸尘需要较少,出血量和新生儿结局没有差异。然而,使用分娩椅的妇女有更多的三度撕裂(11例,或4.4%,对9例,或1.8%)。结论:新型分娩椅可安全用于阴道分娩。要注意对会阴的支持,防止会阴撕裂。有必要对分娩椅进行多中心试验,使用标准化的测量结果,包括产妇疼痛、产妇自我控制和总体满意度。
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引用次数: 0
Violence and its related factors in infertile women 不孕妇女中的暴力及其相关因素
Pub Date : 2019-09-23 DOI: 10.22038/JMRH.2021.58462.1708
S. Pakseresht, Khadijeh Omidi, M. Niknami
Violence against women is a widespread problem and has serious implications on women’s health. Infertility, in many ways, is a very stressful condition that affect social and marital life of a couple; moreover, compared to fertile women, infertile women are twice as vulnerable against violence. Our objective was to determine the prevalence of violence and define the effect of infertility on violence on women receiving infertility treatment. Infertility, as a crisis in marital life, has multiple psychological and social consequences for couples, especially women. Infertile women are more vulnerable to violence than fertile women.Having a child is a very important goal for most couples. Therefore, a diagnosis of infertility often causes a state of crisis because it negatively affects a couple’s relationship.The worldwide infertility rate is 8–12%, while this rate is 10–20% in Turkey. Infertility shows itself as a sudden and unexpected life crisis, and a prolonged diagnostic and treatment process, and the limitations in the adaptation process lead to serious stress. The purpose of this study was to determine the degree of violence and its related factors in infertile women referring to Infertility centers of Rasht in Iran.Between November 1, 2015 and August 1, 2016, the study was conducted on 301 infertile women at the infertility department of the Tepecik Training and Research Hospital, which is the only in vitro fertilization center in the Aegean region affiliated with the Ministry of Health. The number of infertile women who were treated in the hospital in 2014 was 865. By calculating 95% confidence interval using a population-based formula, it was determined that 267 women should be included in the sample. The sample selection criteria were as follows: (1) women who were diagnosed with primary infertility, (2) attended the selected hospital for treatment, (3) were 18 years and older, (4) could speak the Turkish language, and (5) agreed to participate in the study. A written consent was obtained from all the women after explaining the purpose and method of the study, and guarantee was given for privacy of answers. After a questionnaire on sociodemographic characteristics was filled by the researcher using a face-to-face interview, it was expected that the questions on violence would be answered by the women themselves. The Ethics Committee of the Ege University of Nursing Faculty approved the study protocol.This cross-sectional, descriptive-analytic study was conducted on 245 women with primary infertility who referred to infertility centers in Rasht. Sampling was selected sequential. The data collection tool were; a researcher-made questionnaire to examine the personal, social, economic and infertility characteristics of couples and Onat's violence standard questionnaire for assessing the exposure of infertile women. The data were analyzed by descriptive and analytic statistical methods (Spearman, Mann Whitney and Kruskal Wallis correlation coef
对妇女的暴力行为是一个普遍存在的问题,对妇女的健康有严重影响。不孕不育,在很多方面,是一种非常有压力的状况,影响了一对夫妇的社会和婚姻生活;此外,与育龄妇女相比,不育妇女遭受暴力侵害的可能性是育龄妇女的两倍。我们的目标是确定暴力的普遍程度,并确定不孕症对接受不孕症治疗的妇女的暴力的影响。不孕症作为婚姻生活中的一种危机,对夫妻,特别是妇女,具有多重心理和社会后果。不孕妇女比有生育能力的妇女更容易受到暴力侵害。对大多数夫妇来说,生孩子是一个非常重要的目标。因此,不孕症的诊断通常会导致一种危机状态,因为它会对夫妻关系产生负面影响。全世界的不孕症率为8-12%,而土耳其的不孕症率为10-20%。不孕症表现为突如其来的生命危机,是一个漫长的诊断和治疗过程,适应过程中的局限性导致严重的压力。本研究的目的是确定在伊朗拉什特不孕不育中心就诊的不孕妇女的暴力程度及其相关因素。2015年11月1日至2016年8月1日,该研究在Tepecik培训和研究医院不孕症科的301名不孕妇女中进行,Tepecik培训和研究医院是爱琴海地区唯一一家隶属于卫生部的体外受精中心。2014年在该医院接受治疗的不孕妇女人数为865人。通过使用基于人口的公式计算95%置信区间,确定样本中应包括267名妇女。样本选择标准如下:(1)诊断为原发性不孕症的妇女,(2)在选定的医院接受治疗,(3)年满18岁,(4)会说土耳其语,(5)同意参加研究。在解释研究的目的和方法后,获得所有女性的书面同意,并保证答案的隐私。研究人员通过面对面访谈的方式填写了一份关于社会人口特征的问卷后,预计有关暴力的问题将由妇女自己回答。埃格大学护理学院伦理委员会批准了研究方案。本横断面,描述性分析研究进行了245名妇女原发不孕症谁提到不孕不育中心在拉什特。抽样采用顺序抽样。数据收集工具有;一份研究人员制作的调查问卷,用于检查夫妇的个人、社会、经济和不孕症特征,以及用于评估不育妇女暴露程度的Onat暴力标准调查问卷。采用描述性和分析性统计方法(Spearman、Mann Whitney和Kruskal Wallis相关系数)对数据进行分析,并公布结果。结果显示,患者的暴力行为平均总分为50.93±18.79分。2015年11月至2016年8月,在伊兹密尔一家州立医院对301名不孕妇女进行了描述性和横断面研究。数据收集为“社会人口特征表”和“不育妇女暴力暴露判定量表”。暴力总分与婚姻持续时间、对不孕症的认识和治疗持续时间、夫妻年龄、夫妻职业/受教育程度、与配偶关系、无意结婚、不孕症治疗次数有显著相关(p<0.05)。这项研究的结果表明,不孕症不仅是一种生物医学疾病,而且可能导致对妇女的暴力行为,因此建议在治疗评估中考虑其社会层面。我们可以得出结论,不孕不育是一个世界性的问题,影响着所有社区的人们,尽管原因和程度可能因地理位置和社会经济地位而异。大约8- 10%的育龄夫妇前来接受医疗评估,通常是在两年的生育努力失败之后。有证据表明,不孕不育正在成为印度的一个公共卫生问题。据估计,全球每年有6000万至8000万对夫妇患有不孕症,其中仅在印度就可能有1500万至2000万对夫妇(25%)。全球研究表明,至少有三分之一的妇女和/或女孩在其一生中遭受过殴打或性虐待。全国家庭健康调查3 (NFHS-3)显示,接受采访的妇女中约有21%在过去12个月内遭受过身体暴力或性暴力。现在越来越明显的是,不孕症和基于性别的暴力(GBV)是印度新出现的健康问题。 本分析的目的是研究不孕与GBV的关系。NFHS-3通过家庭调查从23,722名育龄妇女中收集的数据显示,2,023名(8.5%)妇女不育,21,699名(91.5%)妇女至少有一个孩子。在2,023名不孕妇女中,1,574名(77.8%)在过去12个月内遭受过身体和/或性暴力。在至少有一个孩子的21,699名妇女中,只有1,332名(6.1%)在过去一年中遭受过身体和/或性暴力。这表明不孕不育与GBV之间存在显著相关性(p<0.001)。根据研究结果,建议如下:(i)不孕症治疗应与性别暴力咨询相结合;任命不孕不育管理小组专业顾问;(iii)不孕不育管理专家应对性别暴力敏感
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引用次数: 0
Laparoscopic Versus Conventional Open Method for the Surgical Staging of Endometrial Carcinoma: A Comparative Study 腹腔镜与传统开放方法对子宫内膜癌手术分期的比较研究
Pub Date : 2019-09-05 DOI: 10.35248/2167-0420.19.8.469
M. Ramadan, Eman A. Eltokhy, A. Yehia, R. Mahmoud, O. Harb
Introduction: Before the advancement and improvement of techniques of using laparoscopy in total hysterectomy, it was considered as a procedure that carried a high risk of injury to the ureters but now with improvement of the experience, training and novel equipment, there is increase in the use of such procedure with lower incidence of ureteric injury. Recently, in surgical staging of endometrial carcinoma (EC); the laparoscopy role has been considered more beneficial. Many previous reports proved fewer complications, lower morbidity, shorter duration of postoperative hospitalization, and rabid recovery. But, the therapeutic benefits and drawbacks of using laparoscopy are not confirmed yet. Aim: The aim of current study was to assess the benefits and drawbacks of using laparoscopy in surgical staging of EC and comparing them with open surgical staging (laparotomy). Materials and Methods: the current study included 50 patients diagnosed with EC were included and were divided in to two groups the first group included 20 patients and was managed by laparoscopic staging, while the second group included 30 patients and was managed by laparotomy. We compared between using laparoscopy in surgical staging of EC with open surgical staging (laparotomy) regarding operative and postoperative outcomes. Results: laparoscopic method of staging had a significantly longer time of the operation than laparotomy (p=0.04), but it had lesser amount of blood loss intra-operatively (p<0.002). There were fewer number of resected lymph nodes (p=0.004) in the laparoscopic technique in contrast to laparotomy. Patients who underwent laparoscopy has a shorter time of postoperative staying in hospital in comparison to those who underwent laparotomy (p=0.012). More number of patients in the open group than the laparoscopy group underwent para-aortic lymphadenectomy (p<0.001). Conclusion: we have proved the benefits, disadvantages and the essential role of laparoscopy in treatment and surgical staging of EC. Laparoscopy is proved to be safe and effective technique with lower rates of blood loss and less rates of intra-and post-operative morbidity. Experienced surgeon could perform hysterectomy and lymphadenectomy with perfect cancer excision and staging as equally good to laparotomy.
导读:在腹腔镜全子宫切除术技术的进步和完善之前,腹腔镜全子宫切除术被认为是输尿管损伤风险较高的一种手术方式,但随着经验的提高、培训的完善和设备的创新,腹腔镜全子宫切除术输尿管损伤发生率较低,其应用越来越多。最近,在子宫内膜癌(EC)的手术分期;腹腔镜的作用被认为更有益。许多先前的报告证明,并发症少,发病率低,术后住院时间短,恢复迅速。但是,使用腹腔镜的治疗益处和缺点尚未得到证实。目的:本研究的目的是评估腹腔镜在EC手术分期中的利弊,并将其与开放手术分期(剖腹手术)进行比较。材料与方法:本研究纳入50例诊断为EC的患者,分为两组,第一组20例,采用腹腔镜分期处理,第二组30例,采用剖腹手术处理。我们比较了腹腔镜手术分期和开腹手术分期对手术和术后结果的影响。结果:腹腔镜分期法手术时间明显长于开腹手术(p=0.04),术中出血量明显少于开腹手术(p<0.002)。与剖腹手术相比,腹腔镜手术切除的淋巴结数量较少(p=0.004)。腹腔镜手术患者术后住院时间较开腹手术患者短(p=0.012)。开腹组患者行腹主动脉旁淋巴结切除术的人数多于腹腔镜组(p<0.001)。结论:我们证明了腹腔镜手术在治疗和手术分期中的优势、劣势和重要作用。腹腔镜手术被证明是一种安全有效的技术,出血率低,术中及术后发病率低。经验丰富的外科医生可以进行子宫切除术和淋巴结切除术,肿瘤切除和分期与剖腹手术一样好。
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引用次数: 0
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Journal of women's health care and management
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