Pub Date : 2019-01-01DOI: 10.35248/2167-0420.19.8.476
J. Weishaupt
Introduction: The voice of an intellectually and physically disabled woman is often forgotten when discussing, investigating and managing endometrial cancer in women with disabilities. This case report explores the need to start strategies for collaborative application of resources to optimize a woman’s experience who is living with disabilities and endometrial cancer. Case Description: A 41-year old premenopausal woman with a severe intellectual disability and physically debilitating osteogenesis imperfecta presented with a 2-year history of abnormal uterine bleeding (AUB) and unsuccessful hormonal treatment. After two failed hysteroscopies due to her severe bony-pelvic abnormality, limiting access vaginally; the decision for a hysterectomy was made without a histological diagnosis. An Australian Guardianship Tribunal granted permission for both diagnostic and treatment of her AUB and suspicion of endometrial cancer. The ESMO-ESGO-ESTRO-2014 Consensus current recommendations and levels of evidence in management of endometrial cancer are evaluated in context of the case. Method: Mandatory workup and pathological assessment for diagnosis of endometrial cancer could not be carried out and imaging including: CT scan, transabdominal ultrasound and MRI were relied upon to primarily assess her suspected disease. An abdominal hysterectomy, bilateral salpingectomy and ovarian conservation were performed. The histopathology post-operatively confirmed stage 1A grade 1 endometrioid adenocarcinoma. The time from initial Gynaecology Oncology referral to final histopathology was 9 months. Discussion: This is the first report to explore the limitations and challenges of the literature and application of various current diagnostic modalities, surgical approach and outcomes of endometrial cancer in an intellectually and physically disabled woman in Australia.
{"title":"andlsquo;Endometrial Cancer: Access Deniedandrsquo; - A Review of the Forgotten Voice of Intellectual and Physical Disability in Gynaecology Oncology in Australia","authors":"J. Weishaupt","doi":"10.35248/2167-0420.19.8.476","DOIUrl":"https://doi.org/10.35248/2167-0420.19.8.476","url":null,"abstract":"Introduction: The voice of an intellectually and physically disabled woman is often forgotten when discussing, investigating and managing endometrial cancer in women with disabilities. This case report explores the need to start strategies for collaborative application of resources to optimize a woman’s experience who is living with disabilities and endometrial cancer. Case Description: A 41-year old premenopausal woman with a severe intellectual disability and physically debilitating osteogenesis imperfecta presented with a 2-year history of abnormal uterine bleeding (AUB) and unsuccessful hormonal treatment. After two failed hysteroscopies due to her severe bony-pelvic abnormality, limiting access vaginally; the decision for a hysterectomy was made without a histological diagnosis. An Australian Guardianship Tribunal granted permission for both diagnostic and treatment of her AUB and suspicion of endometrial cancer. The ESMO-ESGO-ESTRO-2014 Consensus current recommendations and levels of evidence in management of endometrial cancer are evaluated in context of the case. Method: Mandatory workup and pathological assessment for diagnosis of endometrial cancer could not be carried out and imaging including: CT scan, transabdominal ultrasound and MRI were relied upon to primarily assess her suspected disease. An abdominal hysterectomy, bilateral salpingectomy and ovarian conservation were performed. The histopathology post-operatively confirmed stage 1A grade 1 endometrioid adenocarcinoma. The time from initial Gynaecology Oncology referral to final histopathology was 9 months. Discussion: This is the first report to explore the limitations and challenges of the literature and application of various current diagnostic modalities, surgical approach and outcomes of endometrial cancer in an intellectually and physically disabled woman in Australia.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"50 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88476663","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 : 2019-01-01DOI: 10.35248/2167-0420.19.8.461
Tilksew Dagnachew, Mahlet Yigeremu
Background: Practicing in a setting where survival of preterm labor is unknown and at best a guess is usually challenging particularly in counseling patients about the outcome of the preterm neonate. The objective of this study was to determine gestational age specific survival of preterm deliveries and its determinants in three teaching hospitals of Addis Ababa University College of health science. Methods: A prospective cross sectional descriptive study was conducted on newborns delivered from January 1 to June 30, 2017 before gestational age of 37 completed weeks at the three teaching hospitals. Results: Among 9927 neonates delivered during the study period, 415 (4.2%) were preterm. Of the preterm neonates 407 fulfill the inclusion criteria and analyzed. The cumulative survival rate for preterm babies at the three teaching hospitals is 74.4%. The survival rate of preterm neonates is zero %, 9.1%, 31.8%, 55.2%, 57.6%, 77.4%, 90.4%, 98.6% and 98.8% for GA of 28, 29, 30, 31, 32, 33, 34, 35, and 36 weeks respectively. Majority of neonatal deaths occurs with in the first 2 days (52.5%) and two third (67.1%) of the deaths occurs with in the first 3 days. Birth weight of 1500 grams or above (AOR 3.5, 95% CI 1.5-8.1, P <0.01), GA increment by one week (AOR 2.4, 95% CI 1.9-3.2, P<0.001) and married mother (AOR 3.9, 95% CI 1.2- 12 P< 0.05) are associated with a better chance of neonatal survival in this study. Neonates who required resuscitation after delivery have lower probability of survival (AOR 0.3, 95% CI 0.12-0.64, P< 0.01). Significant association were not found between neonatal outcome and sex of the neonate, parity, duration of labor, duration of ROM, preeclampsia, IUGR, administration of dexamethasone and other maternal socio demographic factors when adjusted for other confounding factors. Conclusion: Preterm neonates delivered prior to 31 weeks of GA have very low survival rate. So instead of iatrogenically delivering newborn prior to this GA, especially for fetal indication, efforts to push pregnancy at least till 31 weeks should be encouraged for better neonatal outcome. Critical attention should be paid on resuscitative intervention and the first 3 days of life to mitigate factors contributing to high preterm babies’ loss at this particular time. A study to assess the quality of care and cause of very low survival rate of preterm infants is recommended.
{"title":"Survival of Preterm Neonates and its Determinants in Teaching Hospitals of Addis Ababa University","authors":"Tilksew Dagnachew, Mahlet Yigeremu","doi":"10.35248/2167-0420.19.8.461","DOIUrl":"https://doi.org/10.35248/2167-0420.19.8.461","url":null,"abstract":"Background: Practicing in a setting where survival of preterm labor is unknown and at best a guess is usually challenging particularly in counseling patients about the outcome of the preterm neonate. The objective of this study was to determine gestational age specific survival of preterm deliveries and its determinants in three teaching hospitals of Addis Ababa University College of health science. Methods: A prospective cross sectional descriptive study was conducted on newborns delivered from January 1 to June 30, 2017 before gestational age of 37 completed weeks at the three teaching hospitals. Results: Among 9927 neonates delivered during the study period, 415 (4.2%) were preterm. Of the preterm neonates 407 fulfill the inclusion criteria and analyzed. The cumulative survival rate for preterm babies at the three teaching hospitals is 74.4%. The survival rate of preterm neonates is zero %, 9.1%, 31.8%, 55.2%, 57.6%, 77.4%, 90.4%, 98.6% and 98.8% for GA of 28, 29, 30, 31, 32, 33, 34, 35, and 36 weeks respectively. Majority of neonatal deaths occurs with in the first 2 days (52.5%) and two third (67.1%) of the deaths occurs with in the first 3 days. Birth weight of 1500 grams or above (AOR 3.5, 95% CI 1.5-8.1, P <0.01), GA increment by one week (AOR 2.4, 95% CI 1.9-3.2, P<0.001) and married mother (AOR 3.9, 95% CI 1.2- 12 P< 0.05) are associated with a better chance of neonatal survival in this study. Neonates who required resuscitation after delivery have lower probability of survival (AOR 0.3, 95% CI 0.12-0.64, P< 0.01). Significant association were not found between neonatal outcome and sex of the neonate, parity, duration of labor, duration of ROM, preeclampsia, IUGR, administration of dexamethasone and other maternal socio demographic factors when adjusted for other confounding factors. Conclusion: Preterm neonates delivered prior to 31 weeks of GA have very low survival rate. So instead of iatrogenically delivering newborn prior to this GA, especially for fetal indication, efforts to push pregnancy at least till 31 weeks should be encouraged for better neonatal outcome. Critical attention should be paid on resuscitative intervention and the first 3 days of life to mitigate factors contributing to high preterm babies’ loss at this particular time. A study to assess the quality of care and cause of very low survival rate of preterm infants is recommended.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"13 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88028781","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 : 2019-01-01DOI: 10.4172/2167-0420.1000455
Hlavinka Tc, P. Turcan, A. Bader
Introduction: Pelvic Floor Muscles (PFM) supports the pelvic floor organs, control continence and is crucial for adequate genital arousal and attainment of an orgasm. Due to the aging process, post-delivery condition or menopause, the PFM weaken. Therefore, they do not provide sufficient support to pelvic organs, bladder control, and they may negatively affect intimate satisfaction. Aim: We aimed to investigate the High-Intensity Focused Electromagnetic (HIFEM) technology for strengthening of PFM in women with impeded sexual functioning. Methods: 30 women (average age 36.41 ± 5.62) with limited arousal, ability to achieve orgasm and painful intercourse participated in the study. Patients underwent 6 treatments (28 minutes each) scheduled twice a week. Standardized Female Sexual Function Index (FSFI) questionnaire was used pre-, post-treatment, and at the 3- month follow-up visit. FSFI scores were statistically evaluated through student´s t-test (?=0.05). Subsequently, Pearson correlation coefficient was calculated for sections arousal/lubrication, lubrication/orgasm, orgasm/ satisfaction, and pain/desire. Results: The average total FSFI score significantly (p<0.001) increased from 20.06 ± 6.55 to 30.69 ± 7.55 posttreatment and to 30.29 ± 7.37 during the 3-month follow-up. A significant improvement was observed in all FSFI sections. The most significant change at the 3-month follow-up was observed in desire (76%), satisfaction (76%) and orgasm (60%) items. The overall FSFI score was improved in 93% (n=28) of patients post-treatment. All patients (n=30; 100%) showed improvement during the 3-month follow-up. Conclusion: Our initial experience shows that HIFEM technology is a promising method in addressing women’s decreased sexual satisfaction through the strengthening of PFM.
{"title":"The Use of HIFEM Technology in the Treatment of Pelvic Floor Muscles as a Cause of Female Sexual Dysfunction: A Multi-Center Pilot Study","authors":"Hlavinka Tc, P. Turcan, A. Bader","doi":"10.4172/2167-0420.1000455","DOIUrl":"https://doi.org/10.4172/2167-0420.1000455","url":null,"abstract":"Introduction: Pelvic Floor Muscles (PFM) supports the pelvic floor organs, control continence and is crucial for adequate genital arousal and attainment of an orgasm. Due to the aging process, post-delivery condition or menopause, the PFM weaken. Therefore, they do not provide sufficient support to pelvic organs, bladder control, and they may negatively affect intimate satisfaction. Aim: We aimed to investigate the High-Intensity Focused Electromagnetic (HIFEM) technology for strengthening of PFM in women with impeded sexual functioning. Methods: 30 women (average age 36.41 ± 5.62) with limited arousal, ability to achieve orgasm and painful intercourse participated in the study. Patients underwent 6 treatments (28 minutes each) scheduled twice a week. Standardized Female Sexual Function Index (FSFI) questionnaire was used pre-, post-treatment, and at the 3- month follow-up visit. FSFI scores were statistically evaluated through student´s t-test (?=0.05). Subsequently, Pearson correlation coefficient was calculated for sections arousal/lubrication, lubrication/orgasm, orgasm/ satisfaction, and pain/desire. Results: The average total FSFI score significantly (p<0.001) increased from 20.06 ± 6.55 to 30.69 ± 7.55 posttreatment and to 30.29 ± 7.37 during the 3-month follow-up. A significant improvement was observed in all FSFI sections. The most significant change at the 3-month follow-up was observed in desire (76%), satisfaction (76%) and orgasm (60%) items. The overall FSFI score was improved in 93% (n=28) of patients post-treatment. All patients (n=30; 100%) showed improvement during the 3-month follow-up. Conclusion: Our initial experience shows that HIFEM technology is a promising method in addressing women’s decreased sexual satisfaction through the strengthening of PFM.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88944919","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 : 2019-01-01DOI: 10.4172/2167-0420.1000453
R. Abdo, Hassen Mosa Halil
Background: Obstructed labor is still major cause of maternal morbidity and mortality, and adverse birth out comes in low income countries. The issue of obstructed labor is unsolved problem in Ethiopia so far.Objective: This study aimed to assess magnitude and factors associated with obstruct labor among women delivered at Halaba Kulito Primary Hospital, Halaba Special District, Southern Ethiopia.Methods: A hospital based cross-sectional study was employed from March 1-21, 2015 at Halaba Kulito Primary Hospital. Systematic sampling technique was used to select 344 deliveries from delivery registration book. A pretested checklist was used to retrieve data from delivery card of the women. Data were entered Epi data version-3.1 and analyzed using SPSS version-21 software. To identify independent factors, bivariate and multiple binary logistic regressions were undertaken. A p-value<0.05 was used to determine association between variables was consideredstatistically significant.Results: The magnitude of obstructed labor was 18.6%.The following factors were significantly associated with obstructed labor:o-antenatal care follow up (AOR=3.1, 95% CI:1.5, 6.4), women age less than 20 years (AOR=6.9, 95% CI (2.2, 21.6) and malpresentation (AOR=10, 95% CI: 3.7, 27.5).Conclusion: Obstructed labor was very common in the study area. Antenatal care visit, maternal age and malpresentation were associated factors of obstructed labor. To reverse obstructed labor related problems, overall improvement in antenatal and intrapartum care.
{"title":"Magnitude and Factors Associated With Obstructed Labor among Women Delivered at Halaba Kulito Primary Hospital, Halaba Special District, Southern Ethiopia","authors":"R. Abdo, Hassen Mosa Halil","doi":"10.4172/2167-0420.1000453","DOIUrl":"https://doi.org/10.4172/2167-0420.1000453","url":null,"abstract":"Background: Obstructed labor is still major cause of maternal morbidity and mortality, and adverse birth out comes in low income countries. The issue of obstructed labor is unsolved problem in Ethiopia so far.Objective: This study aimed to assess magnitude and factors associated with obstruct labor among women delivered at Halaba Kulito Primary Hospital, Halaba Special District, Southern Ethiopia.Methods: A hospital based cross-sectional study was employed from March 1-21, 2015 at Halaba Kulito Primary Hospital. Systematic sampling technique was used to select 344 deliveries from delivery registration book. A pretested checklist was used to retrieve data from delivery card of the women. Data were entered Epi data version-3.1 and analyzed using SPSS version-21 software. To identify independent factors, bivariate and multiple binary logistic regressions were undertaken. A p-value<0.05 was used to determine association between variables was consideredstatistically significant.Results: The magnitude of obstructed labor was 18.6%.The following factors were significantly associated with obstructed labor:o-antenatal care follow up (AOR=3.1, 95% CI:1.5, 6.4), women age less than 20 years (AOR=6.9, 95% CI (2.2, 21.6) and malpresentation (AOR=10, 95% CI: 3.7, 27.5).Conclusion: Obstructed labor was very common in the study area. Antenatal care visit, maternal age and malpresentation were associated factors of obstructed labor. To reverse obstructed labor related problems, overall improvement in antenatal and intrapartum care.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83855455","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 : 2019-01-01DOI: 10.35248/2167-0420.19.8.462
Desalegn Tesfa Asnakew, M. Engidaw, Alem Gebremariam
Background: Intended pregnancy/delivery have thoughtful health, financial, and societal consequences for women and their families. In the world mistimed and unwanted delivery is a common problem and little is known in Ethiopia about determinant factors for unintended/intended pregnancy. Objective: The aim of this study was to assess the prevalence of intended delivery and its determinant factors in Fogera. Methods: A community based cross-sectional study was carried out in November 2018 from 810 mothers who delivered in the last six months and a multi-stage sampling was applied. Data were collected by nurses and midwives, and cleaned by EPI INFO software version 7. Data were analyzed using SPSS software version 21. Bivariable and multivariable logistic analyses were deployed to identify the associations. Results: In this study 652 (80.5%) with 95% CI (77.9-83.0) of mothers had intended delivery. Age of the mother AOR=2.48; 95% CI (1.45-4.22), mothers who had self-decision power on her family AOR=2.14; 95% CI (1.46-3.14), women whose couple involved during ANC/any other health intervention AOR=1.51; 95% CI (1.03-2.22) were the independent predictors of intended delivery/pregnancy. Conclusions: Even though there is an increment of intended pregnancy in this study, still there is high unintended pregnancy. Age of the mothers, self-decision power of the women and spousal involvement during the health institution visit were variables which are associated with intended delivery. Strength reproductive health advocacy, involving husbands in reproductive health issue counseling, and individualization of contraceptive choice is important for successful prevention of unintended pregnancy.
{"title":"Intended Delivery among Women with a Recently Birth in Fogera District, North West Ethiopia","authors":"Desalegn Tesfa Asnakew, M. Engidaw, Alem Gebremariam","doi":"10.35248/2167-0420.19.8.462","DOIUrl":"https://doi.org/10.35248/2167-0420.19.8.462","url":null,"abstract":"Background: Intended pregnancy/delivery have thoughtful health, financial, and societal consequences for women and their families. In the world mistimed and unwanted delivery is a common problem and little is known in Ethiopia about determinant factors for unintended/intended pregnancy. Objective: The aim of this study was to assess the prevalence of intended delivery and its determinant factors in Fogera. Methods: A community based cross-sectional study was carried out in November 2018 from 810 mothers who delivered in the last six months and a multi-stage sampling was applied. Data were collected by nurses and midwives, and cleaned by EPI INFO software version 7. Data were analyzed using SPSS software version 21. Bivariable and multivariable logistic analyses were deployed to identify the associations. Results: In this study 652 (80.5%) with 95% CI (77.9-83.0) of mothers had intended delivery. Age of the mother AOR=2.48; 95% CI (1.45-4.22), mothers who had self-decision power on her family AOR=2.14; 95% CI (1.46-3.14), women whose couple involved during ANC/any other health intervention AOR=1.51; 95% CI (1.03-2.22) were the independent predictors of intended delivery/pregnancy. Conclusions: Even though there is an increment of intended pregnancy in this study, still there is high unintended pregnancy. Age of the mothers, self-decision power of the women and spousal involvement during the health institution visit were variables which are associated with intended delivery. Strength reproductive health advocacy, involving husbands in reproductive health issue counseling, and individualization of contraceptive choice is important for successful prevention of unintended pregnancy.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"104 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80467730","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 : 2019-01-01DOI: 10.35248/2167-0420.19.8.472
Y. Komada, Yuko Ikeda, Makoto Sato, Azusa Kami, Chika Masuda, S. Shibata
Objective: Several studies have investigated subjective sleep quality during the menstrual cycle. For example, subjective sleep quality is reportedly worse at the premenstrual phase and during menstruation. However, the influence of sleep quality on menstrual symptoms has not yet been elucidated. The aim of this study was to investigate the association between self-reported sleep quality, psychological distress, and menstrual symptoms. Methods: Participants were female university students (n=150; mean [SD] age 18.8 years). They completed the Pittsburgh Sleep Quality Index (PSQI), the Menstrual Distress Questionnaire (mMDQ), and Kessler’s Psychological Distress Scale (K6). We also collected demographic data. Results: Participants were categorized into good sleepers (PSQI total score <5.5, n=74) or poor sleepers (PSQI total score ≥ 5.5, n=76). Poor sleepers experienced significantly more severe menstrual symptoms (p<0.01) and tended to have a less regular or more variable length of their menstrual cycle (p=0.06) than good sleepers. Multiple regression analysis revealed that subjective sleep disturbance (PSQI ≥ 5.5) and psychological distress (K6 ≥ 9) were significantly positively associated with the mMDQ score. Conclusion: Subjective sleep disturbance and psychological distress in daily life are associated with menstrual problems, including severe menstrual symptoms and menstrual cycle irregularity.
{"title":"Subjective Sleep Disturbance and Psychological Distress are Associated with Menstrual Problems","authors":"Y. Komada, Yuko Ikeda, Makoto Sato, Azusa Kami, Chika Masuda, S. Shibata","doi":"10.35248/2167-0420.19.8.472","DOIUrl":"https://doi.org/10.35248/2167-0420.19.8.472","url":null,"abstract":"Objective: Several studies have investigated subjective sleep quality during the menstrual cycle. For example, subjective sleep quality is reportedly worse at the premenstrual phase and during menstruation. However, the influence of sleep quality on menstrual symptoms has not yet been elucidated. The aim of this study was to investigate the association between self-reported sleep quality, psychological distress, and menstrual symptoms. Methods: Participants were female university students (n=150; mean [SD] age 18.8 years). They completed the Pittsburgh Sleep Quality Index (PSQI), the Menstrual Distress Questionnaire (mMDQ), and Kessler’s Psychological Distress Scale (K6). We also collected demographic data. Results: Participants were categorized into good sleepers (PSQI total score <5.5, n=74) or poor sleepers (PSQI total score ≥ 5.5, n=76). Poor sleepers experienced significantly more severe menstrual symptoms (p<0.01) and tended to have a less regular or more variable length of their menstrual cycle (p=0.06) than good sleepers. Multiple regression analysis revealed that subjective sleep disturbance (PSQI ≥ 5.5) and psychological distress (K6 ≥ 9) were significantly positively associated with the mMDQ score. Conclusion: Subjective sleep disturbance and psychological distress in daily life are associated with menstrual problems, including severe menstrual symptoms and menstrual cycle irregularity.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"36 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88673241","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 : 2019-01-01DOI: 10.35248/2167-0420.19.8.470
J. Bouquet, Andrea Chernau, R. McLaughlin, Qamrul G. Choudhury
Cervical cancer is a leading cause of death in many developing countries. This is attributed to a lack of accessible screening, suboptimal medical equipment, and patient-perceived discomfort. The Bouquet Speculum TM is a novel, 5-petaled vaginal speculum that overcomes the limitations of the existing 2-bladed speculum. The current vaginal speculum, in some cases, does not allow for complete visualization of the cervix because of its design. Even seasoned veterans have difficulty with lateral vaginal wall collapse that may obscure the view of the cervix. Additionally, the radial opening of this new 5-petaled speculum distributes the forces symmetrically as opposed to the vertical forces with the 2-bladed speculum. This results in a more comfortable exam for the patients. In a survey of women who had PAP tests using the Bouquet Speculum TM, they reported, “much quicker exam with less pain.” This novel speculum has been combined into a kit that screens and treats cervical cancer and dysplasia. The Cervical Cancer Cure Kit is inexpensive at $7.50/woman. This is a cost-effective solution to treating cervical cancer in low-to-medium income countries, where the need is the greatest. By partnering with Project C.U.R.E., the kits were distributed internationally, providing screenings to hundreds of women. This novel, 5-petal vaginal speculum and Cervical Cancer Kit may be the solution to obtaining universal cervical cancer screening by providing better visualization of the cervix, ease-of-use for the provider, and greater comfort for the patient.
{"title":"A New Vaginal Speculum and an Inexpensive Kit to Screen and Treat Dysplasia and Cancer of the Cervix","authors":"J. Bouquet, Andrea Chernau, R. McLaughlin, Qamrul G. Choudhury","doi":"10.35248/2167-0420.19.8.470","DOIUrl":"https://doi.org/10.35248/2167-0420.19.8.470","url":null,"abstract":"Cervical cancer is a leading cause of death in many developing countries. This is attributed to a lack of accessible screening, suboptimal medical equipment, and patient-perceived discomfort. The Bouquet Speculum TM is a novel, 5-petaled vaginal speculum that overcomes the limitations of the existing 2-bladed speculum. The current vaginal speculum, in some cases, does not allow for complete visualization of the cervix because of its design. Even seasoned veterans have difficulty with lateral vaginal wall collapse that may obscure the view of the cervix. Additionally, the radial opening of this new 5-petaled speculum distributes the forces symmetrically as opposed to the vertical forces with the 2-bladed speculum. This results in a more comfortable exam for the patients. In a survey of women who had PAP tests using the Bouquet Speculum TM, they reported, “much quicker exam with less pain.” This novel speculum has been combined into a kit that screens and treats cervical cancer and dysplasia. The Cervical Cancer Cure Kit is inexpensive at $7.50/woman. This is a cost-effective solution to treating cervical cancer in low-to-medium income countries, where the need is the greatest. By partnering with Project C.U.R.E., the kits were distributed internationally, providing screenings to hundreds of women. This novel, 5-petal vaginal speculum and Cervical Cancer Kit may be the solution to obtaining universal cervical cancer screening by providing better visualization of the cervix, ease-of-use for the provider, and greater comfort for the patient.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"53 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89164518","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 : 2019-01-01DOI: 10.35248/2167-0420.19.8.473
Wendy Miller Rashidi
Background: Lower extremity peripheral artery disease (PAD) affects at least 8.5 million people nationwide, causing 143,000+ hospitalizations and 40,000 amputations annually. Women with PAD have a higher chance of being asymptomatic or present with atypical symptoms. Fewer than half of affected women know they have PAD, and studies illustrate an expected increase in under-diagnoses in these women. Women with PAD are two to three times more likely to experience stroke or myocardial infarction (MI). This is the first report on the clinical feasibility of using a specialized volume plethysmography system (VPS) as operated by a medical aide in the primary care setting to perform PAD testing on female patients. Methods: In 2018, consecutive female patients in primary care settings were evaluated for the presence or absence and severity of PAD. Beforehand, the patients completed a self-administered questionnaire to identify gender, age, PAD symptoms, and atypical cardiovascular factors. Medical aides performed the test as part of routine clinical practice and presented results to primary care physicians who made the diagnosis based upon test findings. Results: Of the 68,402 patients who met the American Heart Association/American College of Cardiology criteria and were tested in the primary care setting, 26,576 or 38.9% had moderate to severe PAD. These patients were frequently asymptomatic, hypertensive, hyperlipidemic, diabetic, and/or had a history of tobacco smoking. Conclusion: VPS is an accurate, reproducible, cost-effective, and clinically feasible in-office or home visit test allowing for detection of PAD in women earlier in the disease process.
{"title":"Report on a Program to Improve Vascular Care for Women: Experience in 68,402 Patients Seen in Primary Care Clinics","authors":"Wendy Miller Rashidi","doi":"10.35248/2167-0420.19.8.473","DOIUrl":"https://doi.org/10.35248/2167-0420.19.8.473","url":null,"abstract":"Background: Lower extremity peripheral artery disease (PAD) affects at least 8.5 million people nationwide, causing 143,000+ hospitalizations and 40,000 amputations annually. Women with PAD have a higher chance of being asymptomatic or present with atypical symptoms. Fewer than half of affected women know they have PAD, and studies illustrate an expected increase in under-diagnoses in these women. Women with PAD are two to three times more likely to experience stroke or myocardial infarction (MI). This is the first report on the clinical feasibility of using a specialized volume plethysmography system (VPS) as operated by a medical aide in the primary care setting to perform PAD testing on female patients. Methods: In 2018, consecutive female patients in primary care settings were evaluated for the presence or absence and severity of PAD. Beforehand, the patients completed a self-administered questionnaire to identify gender, age, PAD symptoms, and atypical cardiovascular factors. Medical aides performed the test as part of routine clinical practice and presented results to primary care physicians who made the diagnosis based upon test findings. Results: Of the 68,402 patients who met the American Heart Association/American College of Cardiology criteria and were tested in the primary care setting, 26,576 or 38.9% had moderate to severe PAD. These patients were frequently asymptomatic, hypertensive, hyperlipidemic, diabetic, and/or had a history of tobacco smoking. Conclusion: VPS is an accurate, reproducible, cost-effective, and clinically feasible in-office or home visit test allowing for detection of PAD in women earlier in the disease process.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"22 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73022962","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 : 2019-01-01DOI: 10.35248/2167-0420.19.8.467
Bulto Ga, Demmissie Db, Daka Kb
Background: In Ethiopia cervical cancer (CC) is a common and leading cause of death from cancer among women. CC is preventable and curable if identified in its early stage. Studies have shown that HIV positive women are at increased risk of cervical cancer. There is limited available evidence in Ethiopia on knowledge about CC and screening practices among women living with HIV. Objective: To assess the overall knowledge about CC, screening practices and associated factors among women living with HIV in public hospitals of West Shoa zone, Ethiopia, 2016. Methods: A cross-sectional study was conducted from April to June 2016. A simple random sampling technique was utilized to select 423 study subjects. Both bivariate and multivariate logistic regressions were used to identify associated factors. Results: Almost half 210(49.6%) of them had good overall knowledge about CC, only 9(2.1%) of them were ever screened. Those who had heard about CC from mass media (AOR=28.2,CI:14.18-56.1), heard about CC from health workers (AOR=23.3,CI:5.69-96.1), knowing patients with CC (AOR=26.23,CI: 7.53-89.9), being older (AOR=21.2,CI:3.17-141.6), higher income (AOR=6.58,CI:2.39-18.05) and perceiving as at risk of CC (AOR=10.9, CI:4.83 24.6) were factors significantly associated with having good overall knowledge. Conclusion: Overall knowledge of women living with HIV about CC was low and insignificant numbers of women were screened. Therefore establishing screening centers and providing health education on the importance of CC screening and risk perceptions for women living with HIV during their follow-up and through mass media are recommended.
{"title":"Knowledge about Cervical Cancer, Screening Practices and associated factors among Women Living with HIV in Public Hospitals of West Shoa Zone, Central Ethiopia","authors":"Bulto Ga, Demmissie Db, Daka Kb","doi":"10.35248/2167-0420.19.8.467","DOIUrl":"https://doi.org/10.35248/2167-0420.19.8.467","url":null,"abstract":"Background: In Ethiopia cervical cancer (CC) is a common and leading cause of death from cancer among women. CC is preventable and curable if identified in its early stage. Studies have shown that HIV positive women are at increased risk of cervical cancer. There is limited available evidence in Ethiopia on knowledge about CC and screening practices among women living with HIV. Objective: To assess the overall knowledge about CC, screening practices and associated factors among women living with HIV in public hospitals of West Shoa zone, Ethiopia, 2016. Methods: A cross-sectional study was conducted from April to June 2016. A simple random sampling technique was utilized to select 423 study subjects. Both bivariate and multivariate logistic regressions were used to identify associated factors. Results: Almost half 210(49.6%) of them had good overall knowledge about CC, only 9(2.1%) of them were ever screened. Those who had heard about CC from mass media (AOR=28.2,CI:14.18-56.1), heard about CC from health workers (AOR=23.3,CI:5.69-96.1), knowing patients with CC (AOR=26.23,CI: 7.53-89.9), being older (AOR=21.2,CI:3.17-141.6), higher income (AOR=6.58,CI:2.39-18.05) and perceiving as at risk of CC (AOR=10.9, CI:4.83 24.6) were factors significantly associated with having good overall knowledge. Conclusion: Overall knowledge of women living with HIV about CC was low and insignificant numbers of women were screened. Therefore establishing screening centers and providing health education on the importance of CC screening and risk perceptions for women living with HIV during their follow-up and through mass media are recommended.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"1 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79900480","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 : 2019-01-01DOI: 10.35248/2167-0420.19.8.479
A. Titigah, P. Atobrah, C. LeClair, Rafael Van de Bergh, Lauren D’Mello-Guyett, Peter Maes, Claire Braun, J. G. Cuesta, S. Sieber, W. Ofosu, Kofi Issah, Osman Abdullah Musah, Jerry Akuaku
Background: Reliable provision of safe water at healthcare facility level is essential to achieve quality care and minimize the risk of healthcare associated infections. To this end, various standards stipulate that availability of water should be guaranteed in healthcare facilities. However, the adherence to and consequences of non-adherence to these standards in the healthcare sector are rarely evaluated. Objectives: We set out to assess the association between water rationing and early neonatal infections in the Bolgatanga Regional Hospital, which is faced with water rationing three days per week. Setting: Data from the maternity and neonatal care unit of the Bolgatanga Regional hospital were used. Design and participants: A retrospective cohort study using routine hospital data was conducted. Associations were assessed between the source of water (piped or stored/trucked during rationing) in the hospital in the first 48 hours after delivery and the development of early neonatal infection; risk ratios (RR) and their associated 95% confidence intervals (95% CI) were calculated. Results: It was found that the risk of early neonatal infection during periods of stored/trucked water (6.9/1000 live births) was twice that during tap water (3.4/1000 livebirths); (RR 2.0, 95% CI 1.3-3.2, p=0.002). Furthermore, only 30% of the new-borns had uninterrupted access to tap water in the first two days after birth. Conclusion: During water rationing, the significantly higher risks of early neonatal infections should be considered prospectively and alternatives secured to protect such vulnerable groups. More research is recommended to build a specific association between the alternative sources of water during rationing and the risk of neonatal infections in order to identify the best option during such difficult times.
背景:在卫生保健机构一级可靠地提供安全用水对于实现高质量护理和尽量减少卫生保健相关感染的风险至关重要。为此目的，各种标准规定，应保证保健设施的供水。然而，很少对医疗保健部门遵守这些标准的情况和不遵守这些标准的后果进行评估。目标:我们着手评估Bolgatanga地区医院的供水配给与早期新生儿感染之间的关系，该医院面临着每周三天的供水配给。环境:数据来自Bolgatanga地区医院的产妇和新生儿护理部门。设计和参与者:采用常规医院数据进行回顾性队列研究。评估了分娩后最初48小时内医院供水(管道供水或配给期间储存/卡车供水)与新生儿早期感染发展之间的关系;计算风险比(RR)及其相关的95%置信区间(95% CI)。结果:储水/卡车供水期新生儿早期感染风险(6.9/1000活产)是自来水期(3.4/1000活产)的2倍;(RR 2.0, 95% CI 1.3 ~ 3.2, p=0.002)。此外，只有30%的新生儿在出生后的头两天不间断地获得自来水。结论:在水配给期间，应前瞻性地考虑到早期新生儿感染的风险明显较高，并确定替代方案以保护这些弱势群体。建议进行更多的研究，在定量配给期间的替代水源与新生儿感染风险之间建立具体的联系，以便在这种困难时期确定最佳选择。
{"title":"Open the Tap for Maternal and Newborn Care","authors":"A. Titigah, P. Atobrah, C. LeClair, Rafael Van de Bergh, Lauren D’Mello-Guyett, Peter Maes, Claire Braun, J. G. Cuesta, S. Sieber, W. Ofosu, Kofi Issah, Osman Abdullah Musah, Jerry Akuaku","doi":"10.35248/2167-0420.19.8.479","DOIUrl":"https://doi.org/10.35248/2167-0420.19.8.479","url":null,"abstract":"Background: Reliable provision of safe water at healthcare facility level is essential to achieve quality care and minimize the risk of healthcare associated infections. To this end, various standards stipulate that availability of water should be guaranteed in healthcare facilities. However, the adherence to and consequences of non-adherence to these standards in the healthcare sector are rarely evaluated. Objectives: We set out to assess the association between water rationing and early neonatal infections in the Bolgatanga Regional Hospital, which is faced with water rationing three days per week. Setting: Data from the maternity and neonatal care unit of the Bolgatanga Regional hospital were used. Design and participants: A retrospective cohort study using routine hospital data was conducted. Associations were assessed between the source of water (piped or stored/trucked during rationing) in the hospital in the first 48 hours after delivery and the development of early neonatal infection; risk ratios (RR) and their associated 95% confidence intervals (95% CI) were calculated. Results: It was found that the risk of early neonatal infection during periods of stored/trucked water (6.9/1000 live births) was twice that during tap water (3.4/1000 livebirths); (RR 2.0, 95% CI 1.3-3.2, p=0.002). Furthermore, only 30% of the new-borns had uninterrupted access to tap water in the first two days after birth. Conclusion: During water rationing, the significantly higher risks of early neonatal infections should be considered prospectively and alternatives secured to protect such vulnerable groups. More research is recommended to build a specific association between the alternative sources of water during rationing and the risk of neonatal infections in order to identify the best option during such difficult times.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"12 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85527927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：