Background: Antenatal care (ANC) is an important health care service which is intended to potentially reduce maternal morbidity and mortality particularly in areas where the general health status of women is presumed poor, choice of facilities is limited and the service delivery compromised by geography (terrain, transport), socio-demographic factors, financial capability and awareness. Though improving the quality of health care is one of the targeted strategies in the Health Sector Development Program IV (HSDP IV) of Ethiopia, little is known about the quality of antenatal care service and client satisfaction at the different hospitals in Addis Ababa, the capital city of Ethiopia. Objective: To determine satisfaction of ANC services among pregnant women at the public teaching and private hospitals in Addis Ababa, Ethiopia. Methods: Health institution-based comparative cross-sectional study was conducted from February to June, 2019 in public and private hospitals, in Addis Ababa, using sample size determination for comparisons of proportion between the two populations. All participants who fulfilled the inclusion criteria were enrolled based on the flow of pregnant women to the ANC clinics at the selected hospitals. Data were entered and cleaned using EPI-info version 3.5.1 and analysis was performed by SPSS version 21. Association of independent variables with the client satisfaction was done using binary and multivariate logistic regression. Significant association of variables with outcome was determined using adjusted odds ratio (AOR) together with 95 % confidence interval. Level of significance was set at P-value of ≤ 0.05. Results: Five hundred seventy one pregnant women attending Antenatal Care at private (281) and public (290) hospitals were included with response rates of 94.1 and 91.2% for public and private hospitals, respectively. The age distribution of the participants was between 17 and 43 years with a mean age of 27.3±5.1 years. Most of the clients, 249 (88.7%) at private and 276 (95.2%) at public hospitals were between the ages of 20 and 34 years. One hundred fourteen (39.3%) of the clients at public and 113 (40.2%) at private hospitals were nulliparous. The clients overall satisfaction with antenatal care was mostly positive both at the private and public hospitals and two hundred twenty eight (81.1%) of the private and 174 (60%) of the public hospitals were satisfied with the services provided. Having ANC follow up at the private hospitals had statistically significant difference in client satisfaction compared to those in public hospitals with P value of 0.019, (AOR 2.97, 95% CI:1.19 -7.74). Clients’ satisfaction with the cleanliness of the environment was 11.1 times more likely to be satisfied with the general ANC service, P<0.05, (AOR 12.18 95% CI: 7.45-19.91). Having more than 4 ANC visits was positively associated with client overall satisfaction, P= 0.021, (AOR 2.41, 95% CI: 1.12-5.24,) while long waiting time is negativ
{"title":"Client Satisfaction on Antenatal Care Service by Pregnant Women in Public and Private\u0000Hospitals in Addis Ababa, Ethiopia: A Cross-sectional Comparative Descriptive Study","authors":"Miressa Bekana, S. Negash, L. Yusuf","doi":"10.33140/jgrm.04.01.06","DOIUrl":"https://doi.org/10.33140/jgrm.04.01.06","url":null,"abstract":"Background: Antenatal care (ANC) is an important health care service which is intended to potentially reduce maternal\u0000morbidity and mortality particularly in areas where the general health status of women is presumed poor, choice of facilities is\u0000limited and the service delivery compromised by geography (terrain, transport), socio-demographic factors, financial capability\u0000and awareness. Though improving the quality of health care is one of the targeted strategies in the Health Sector Development\u0000Program IV (HSDP IV) of Ethiopia, little is known about the quality of antenatal care service and client satisfaction at the\u0000different hospitals in Addis Ababa, the capital city of Ethiopia.\u0000Objective: To determine satisfaction of ANC services among pregnant women at the public teaching and private hospitals in\u0000Addis Ababa, Ethiopia.\u0000Methods: Health institution-based comparative cross-sectional study was conducted from February to June, 2019 in public\u0000and private hospitals, in Addis Ababa, using sample size determination for comparisons of proportion between the two\u0000populations. All participants who fulfilled the inclusion criteria were enrolled based on the flow of pregnant women to the\u0000ANC clinics at the selected hospitals. Data were entered and cleaned using EPI-info version 3.5.1 and analysis was performed\u0000by SPSS version 21. Association of independent variables with the client satisfaction was done using binary and multivariate\u0000logistic regression. Significant association of variables with outcome was determined using adjusted odds ratio (AOR) together\u0000with 95 % confidence interval. Level of significance was set at P-value of ≤ 0.05.\u0000Results: Five hundred seventy one pregnant women attending Antenatal Care at private (281) and public (290) hospitals\u0000were included with response rates of 94.1 and 91.2% for public and private hospitals, respectively. The age distribution of the\u0000participants was between 17 and 43 years with a mean age of 27.3±5.1 years. Most of the clients, 249 (88.7%) at private and 276\u0000(95.2%) at public hospitals were between the ages of 20 and 34 years. One hundred fourteen (39.3%) of the clients at public and\u0000113 (40.2%) at private hospitals were nulliparous. The clients overall satisfaction with antenatal care was mostly positive both at\u0000the private and public hospitals and two hundred twenty eight (81.1%) of the private and 174 (60%) of the public hospitals were\u0000satisfied with the services provided. Having ANC follow up at the private hospitals had statistically significant difference in client\u0000satisfaction compared to those in public hospitals with P value of 0.019, (AOR 2.97, 95% CI:1.19 -7.74). Clients’ satisfaction with\u0000the cleanliness of the environment was 11.1 times more likely to be satisfied with the general ANC service, P<0.05, (AOR 12.18\u000095% CI: 7.45-19.91). Having more than 4 ANC visits was positively associated with client overall satisfaction, P= 0.021, (AOR\u00002.41, 95% CI: 1.12-5.24,) while long waiting time is negativ","PeriodicalId":93778,"journal":{"name":"Journal of gynecology, clinical obstetrics and reproductive medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78019275","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}
Pregnancy is an array of emotions. There are emotions like happiness, anxiety, worry, sadness, a sinking feeling, excitement to name a few. Since these emotions have a major impact on the health of the expecting mother as well as the baby in the womb, the right set of emotions must be trapped. The mental health of the expecting mother is of the utmost importance these days owing to various lifestyle stresses and anxieties surrounding pregnancy. The awareness of changes happening in the body and the mental state should be taken care of. The book Knock Knock Let’s Talk is a book which is a companion throughout the 9 months of pregnancy. It starts with week 5 and is written till week 40 where in tit bits of positive affirmations are written for the expecting mother and virtues are penned down for every week which the mother can read aloud to the baby in the womb. In these womb conversations the mental health of the mother is taken care of by positive affirmations and a bond is created between the expecting mother and the baby. The virtues talked are the ones which can be followed by each one of us in our day to day lives. The beauty of the book is when a mother is sharing these virtues with the unborn, these virtues become a part of her life as well thereby spreading positivity and happiness.
{"title":"Positive Mental Health during Pregnancy Through the Book “Knock Knock Let’s Talk”","authors":"","doi":"10.33140/jgrm.04.01.05","DOIUrl":"https://doi.org/10.33140/jgrm.04.01.05","url":null,"abstract":"Pregnancy is an array of emotions. There are emotions like happiness, anxiety, worry, sadness, a sinking feeling,\u0000excitement to name a few. Since these emotions have a major impact on the health of the expecting mother as well\u0000as the baby in the womb, the right set of emotions must be trapped. The mental health of the expecting mother is\u0000of the utmost importance these days owing to various lifestyle stresses and anxieties surrounding pregnancy. The\u0000awareness of changes happening in the body and the mental state should be taken care of. The book Knock Knock\u0000Let’s Talk is a book which is a companion throughout the 9 months of pregnancy. It starts with week 5 and is written\u0000till week 40 where in tit bits of positive affirmations are written for the expecting mother and virtues are penned down\u0000for every week which the mother can read aloud to the baby in the womb. In these womb conversations the mental\u0000health of the mother is taken care of by positive affirmations and a bond is created between the expecting mother and\u0000the baby. The virtues talked are the ones which can be followed by each one of us in our day to day lives. The beauty\u0000of the book is when a mother is sharing these virtues with the unborn, these virtues become a part of her life as well\u0000thereby spreading positivity and happiness.","PeriodicalId":93778,"journal":{"name":"Journal of gynecology, clinical obstetrics and reproductive medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90615768","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}
Estrogen production is essential for the well-being of women of all ages to sustain general and bone health, skin quality, and brain function. Although there are numerous sources of estrogen in the body (e.g., fat cells), ovaries remain the main organ of their synthesis. Menopause usually occurs between 42 to 60 years of age and is often accompanied by many worrisome symptoms, including but not limited to hot flashes, osteoporosis, decreased libido, depression, and weight gain. In cases of premature menopause (natural or iatrogenic), these symptoms may be more pronounced and appear at a much earlier age.
{"title":"Preservation of Ovarian Function Beyond Menopause","authors":"B. Petrikovsky, B. Petrikovsky","doi":"10.33140/jgrm.04.01.04","DOIUrl":"https://doi.org/10.33140/jgrm.04.01.04","url":null,"abstract":"Estrogen production is essential for the well-being of women of\u0000all ages to sustain general and bone health, skin quality, and brain\u0000function. Although there are numerous sources of estrogen in the\u0000body (e.g., fat cells), ovaries remain the main organ of their synthesis.\u0000Menopause usually occurs between 42 to 60 years of age and is\u0000often accompanied by many worrisome symptoms, including but not\u0000limited to hot flashes, osteoporosis, decreased libido, depression, and\u0000weight gain. In cases of premature menopause (natural or iatrogenic),\u0000these symptoms may be more pronounced and appear at a much\u0000earlier age.","PeriodicalId":93778,"journal":{"name":"Journal of gynecology, clinical obstetrics and reproductive medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90229826","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}
OBJECTIVE: In the present study, we investigate the growth characteristics of very low birth weight premature infants of up to two years corrected age, considering the factors affecting growth and catch-up growth time. STUDY DESIGN: The demographic data, clinical features, and comorbidities of 77 preterm infants with birth weights of less than or equal to 1.500 g were examined, the infants’ growth statuses in the 40th gestational week (gw) and at 6, 12, 18 and 24 months the corrected age, including their weight, height and head circumference, were evaluated. RESULTS: The findings revealed that very low birth weight infants should be closely monitored either during their stay in the Neonatal Intensive Care Unit, or for up to 6 months corrected age, paying particular attention to growth data, and the appropriate supportive treatment should be administered. The applied support process is influential on the future somatic growth of preterm infants. It was noted in the study that bronchopulmonary dysplasia, proven sepsis, respiratory distress syndrome, steroid treatment for more than three days, patent ductus arteriosus, and ibuprofen treatment seemed to affect somatic growth negatively. CONCLUSION: Small for gestational age newborns were found to catch up with appropriate for gestational age newborns at 2 years corrected age in terms of growth, although the percentage of catch-up growth during follow-up at the 40thgw, and at the 6th, 12th and 18th months was lower than that of appropriate for gestational age newborns.
{"title":"The Post-Discharge Growth of Very Low Birth Weight Preterm Infants","authors":"Tuba Ozdemir, A. Akcan, M. Turkmen","doi":"10.21613/gorm.2020.1023","DOIUrl":"https://doi.org/10.21613/gorm.2020.1023","url":null,"abstract":"OBJECTIVE: In the present study, we investigate the growth characteristics of very low birth weight premature infants of up to two years corrected age, considering the factors affecting growth and catch-up growth time. STUDY DESIGN: The demographic data, clinical features, and comorbidities of 77 preterm infants with birth weights of less than or equal to 1.500 g were examined, the infants’ growth statuses in the 40th gestational week (gw) and at 6, 12, 18 and 24 months the corrected age, including their weight, height and head circumference, were evaluated. RESULTS: The findings revealed that very low birth weight infants should be closely monitored either during their stay in the Neonatal Intensive Care Unit, or for up to 6 months corrected age, paying particular attention to growth data, and the appropriate supportive treatment should be administered. The applied support process is influential on the future somatic growth of preterm infants. It was noted in the study that bronchopulmonary dysplasia, proven sepsis, respiratory distress syndrome, steroid treatment for more than three days, patent ductus arteriosus, and ibuprofen treatment seemed to affect somatic growth negatively. CONCLUSION: Small for gestational age newborns were found to catch up with appropriate for gestational age newborns at 2 years corrected age in terms of growth, although the percentage of catch-up growth during follow-up at the 40thgw, and at the 6th, 12th and 18th months was lower than that of appropriate for gestational age newborns.","PeriodicalId":93778,"journal":{"name":"Journal of gynecology, clinical obstetrics and reproductive medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83187429","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}
Female fertility period starts at the menarche which defined as age sexual puberty at which menstrual cycles begin to occur at 11-14 years of female age. Such period continues for about 40 years till reach the menopause occurring at the female age of 45-55 years. At the age of 35 years and before establishment of cessation of menses, there is a gradual decline in the ovarian reserve with subsequent decrease in the female fertility to totally stop at age of menopause. In the last stage of fertility period of females, many women are in need to become pregnant. Therefore, there an increasing necessity for establishment of a diagnostic method to assess the ability of female fertility at such age. A number of women was examined for diagnosis of ability for fertility. This was associated with blood hormonal assay. We observed a new parameter which was never described before. An Ovarian Black Halo, hypoechoic, with avascular appearance which surrounds one or both ovaries, partly or completely. We were surprised to find association between the existence of the halo with decreased AMH and Antral Follicular Count (AFC), while FSH a little higher in women who were consulted for infertility.
{"title":"The Ovarian Halo-A Valid Sign for Infertility Workup?","authors":"","doi":"10.33140/jgrm.04.01.03","DOIUrl":"https://doi.org/10.33140/jgrm.04.01.03","url":null,"abstract":"Female fertility period starts at the menarche which defined as age sexual puberty at which menstrual cycles begin\u0000to occur at 11-14 years of female age. Such period continues for about 40 years till reach the menopause occurring\u0000at the female age of 45-55 years. At the age of 35 years and before establishment of cessation of menses, there is\u0000a gradual decline in the ovarian reserve with subsequent decrease in the female fertility to totally stop at age of\u0000menopause. In the last stage of fertility period of females, many women are in need to become pregnant. Therefore,\u0000there an increasing necessity for establishment of a diagnostic method to assess the ability of female fertility at such\u0000age. A number of women was examined for diagnosis of ability for fertility. This was associated with blood hormonal\u0000assay. We observed a new parameter which was never described before. An Ovarian Black Halo, hypoechoic, with\u0000avascular appearance which surrounds one or both ovaries, partly or completely. We were surprised to find association\u0000between the existence of the halo with decreased AMH and Antral Follicular Count (AFC), while FSH a little higher\u0000in women who were consulted for infertility.","PeriodicalId":93778,"journal":{"name":"Journal of gynecology, clinical obstetrics and reproductive medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75544597","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}
Over 50% of intracytoplasmic sperm injection (ICSI) cycles don’t display implantation. Hence laboratories make their maximum efforts to select the best embryos as far as implantation enhancement is concerned. Further utilization of available technologies like time lapse recording have been made in a large number of artificial reproductive technology (ART) centres. Various studies that utilize embryo kinetics have implicated that time when embryo cleavage may prove to be an important factor that determines the implantation potential of an embryo. With this variety of algorithms mathematic wise have been used to forecast which the best embryos are for transfer. But the efficacy of these might be influenced by multiple confounding factors. Thus work on biomarkers that can forecast good ART warrants newer embryo selection basis. Regarding conventional ICSI, typical standard routine semen analysis involving sperm concentration, motility and morphology does not predict the implantation percentages in an ICSI cycle. Once sperm DNA fragmentation (SDA) methods were inducted they appeared to hold promise in forecasting good ART success. Although certain studies utilizing various techniques like TUNEL. SCSA, SCD proved a relation existed between DNA damage and implantation rates in ICSI but the same was contradicted by others. With this it was thought that bias between evaluation of ejaculate and motile sperm picked up for ICSI, as is known regarding absence of positive association of sperm motility and DNA fragmentation. Thus study by Casanovas et.al., tried to find if there is any correlation of single stranded (ssSDA) and double stranded (dsSDA) sperm DNA damage that might forecast ICSI success and utilizing Neutral Comet Assays along with help of time lapse technology they found that double stranded sperm influenced delay in embryo formation as seen by embryo kinetics and thus interfere with implantation rates. Reproduction of these findings might help in getting a standard for getting best embryos selected in ICSI utilizing SDA and time lapse microscopy.
{"title":"Can Utilization of Sperm DNA Fragmentation (SDA) Tests in Combination with\u0000Time Lapse Microscopy Help in Improving ICSI Implantation Rates in Unexplained Recurrent Implantation Failures Utilizing Double Stranded SDA as the Causative Factor for the same","authors":"","doi":"10.33140/jgrm.04.01.02","DOIUrl":"https://doi.org/10.33140/jgrm.04.01.02","url":null,"abstract":"Over 50% of intracytoplasmic sperm injection (ICSI) cycles don’t display implantation. Hence laboratories make\u0000their maximum efforts to select the best embryos as far as implantation enhancement is concerned. Further utilization\u0000of available technologies like time lapse recording have been made in a large number of artificial reproductive\u0000technology (ART) centres. Various studies that utilize embryo kinetics have implicated that time when embryo\u0000cleavage may prove to be an important factor that determines the implantation potential of an embryo. With this\u0000variety of algorithms mathematic wise have been used to forecast which the best embryos are for transfer. But the\u0000efficacy of these might be influenced by multiple confounding factors. Thus work on biomarkers that can forecast\u0000good ART warrants newer embryo selection basis. Regarding conventional ICSI, typical standard routine semen\u0000analysis involving sperm concentration, motility and morphology does not predict the implantation percentages\u0000in an ICSI cycle. Once sperm DNA fragmentation (SDA) methods were inducted they appeared to hold promise\u0000in forecasting good ART success. Although certain studies utilizing various techniques like TUNEL. SCSA, SCD\u0000proved a relation existed between DNA damage and implantation rates in ICSI but the same was contradicted by\u0000others. With this it was thought that bias between evaluation of ejaculate and motile sperm picked up for ICSI,\u0000as is known regarding absence of positive association of sperm motility and DNA fragmentation. Thus study by\u0000Casanovas et.al., tried to find if there is any correlation of single stranded (ssSDA) and double stranded (dsSDA)\u0000sperm DNA damage that might forecast ICSI success and utilizing Neutral Comet Assays along with help of time\u0000lapse technology they found that double stranded sperm influenced delay in embryo formation as seen by embryo\u0000kinetics and thus interfere with implantation rates. Reproduction of these findings might help in getting a standard\u0000for getting best embryos selected in ICSI utilizing SDA and time lapse microscopy.","PeriodicalId":93778,"journal":{"name":"Journal of gynecology, clinical obstetrics and reproductive medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82904299","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}
Purpose: We investigated clinical and radiological predictors of bladder invasion and need for urological intervention in pregnant women with suspected placenta accreta. Methods: We conducted a retrospective study including pregnant women with ultrasonographic (US) suspicion of placenta accreta. Surgical and clinical data were reviewed, and seven US parameters were used to classify the patients. A single and expert radiologist reviewed Magnetic Resonance Imaging (MRI) and used nine parameters for classification. Chi-square, Fisher´s exact test or Mann-Whitney and logistic regression were used to calculate the risk of bladder invasion and need of cystorrhaphy for continuous variables. Results: Twenty-seven patients fulfilled all the inclusion criteria, and the histological diagnosis of placenta accreta, increta or percreta was performed in 5, 8 and 14 patients respectively. Regarding clinical data, the risk of placenta percreta increases 35.7% for each maternal year and three times for each cesarean section. Bilateral prophylactic double J catheter was attempted in all patients, but successful in 81,48%, mostly in percreta patients. There were signs of bladder invasion in 9 patients, all with placenta percreta. The risk of bladder injury suture increases by 26.41% for each maternal year, in the same way, increase 5.7 times for each cesarean section. Conclusion: Maternal age and number of cesareans are the only direct predictors of the depth of placental invasion and risk of urological intervention. None US or MRI parameters had a predictive role in the depth of invasion or to the risk of cystorrhaphy.
{"title":"Clinical and Radiological Features Associated with Bladder Invasion and Need for Urological Intervention in Suspected Placenta Accreta","authors":"","doi":"10.33140/jgrm.03.06.05","DOIUrl":"https://doi.org/10.33140/jgrm.03.06.05","url":null,"abstract":"Purpose: We investigated clinical and radiological predictors of bladder invasion and need for urological\u0000intervention in pregnant women with suspected placenta accreta.\u0000Methods: We conducted a retrospective study including pregnant women with ultrasonographic (US) suspicion\u0000of placenta accreta. Surgical and clinical data were reviewed, and seven US parameters were used to classify the\u0000patients. A single and expert radiologist reviewed Magnetic Resonance Imaging (MRI) and used nine parameters\u0000for classification. Chi-square, Fisher´s exact test or Mann-Whitney and logistic regression were used to calculate\u0000the risk of bladder invasion and need of cystorrhaphy for continuous variables.\u0000Results: Twenty-seven patients fulfilled all the inclusion criteria, and the histological diagnosis of placenta accreta,\u0000increta or percreta was performed in 5, 8 and 14 patients respectively. Regarding clinical data, the risk of placenta\u0000percreta increases 35.7% for each maternal year and three times for each cesarean section. Bilateral prophylactic\u0000double J catheter was attempted in all patients, but successful in 81,48%, mostly in percreta patients. There were\u0000signs of bladder invasion in 9 patients, all with placenta percreta. The risk of bladder injury suture increases by\u000026.41% for each maternal year, in the same way, increase 5.7 times for each cesarean section.\u0000Conclusion: Maternal age and number of cesareans are the only direct predictors of the depth of placental invasion\u0000and risk of urological intervention. None US or MRI parameters had a predictive role in the depth of invasion or\u0000to the risk of cystorrhaphy.","PeriodicalId":93778,"journal":{"name":"Journal of gynecology, clinical obstetrics and reproductive medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89443730","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}
Objective: Child/adolescent 'marriages' and following pregnancies have adverse effects both on the child and adolescent mother. The aim of this study is to detect whether the adult pregnant women who have previous adolescent pregnancy more susceptible to the depression and anxiety than current adolescent pregnants and the adult pregnant women who have no adolescent pregnancy history. Study Design: This cross sectional study evaluated a total of 163 pregnant women who attended to our antenatal clinic. Subjects aged between 16 and 43 years including both adolescent and adult pregnant women were divided into three groups. These groups are current adolescent pregnant women (Group I), adult pregnant women who have adolescent pregnancy history (Group II), adult pregnant women who have no adolescent pregnancy history (Group III). Three groups were compared in terms of the pregnancy status, socio-demographic variables and depression-anxiety scores. Result: In the current study the highest depression and anxiety scores were observed in Group II [depression scores’ median (IQR) values respectively 5 (8.5) points for Group I, 12.5 (8.5) for Group II, 9 (12) for Group III (p<0.001 between Group I and Group II for BDI comparison). Anxiety scores’ median (IQR) values respectively 19.5 (15.5) for group II, 9 (15.5) for group I, 14 (15.25) for Group III (p=0.005 between Group I and Group II for BAI comparison). Conclusion: Marriage and pregnancy at an early age are considered as risk factors for psychiatric morbidity in the next pregnancy. Therefore, women with a history of teenage pregnancy should be carefully monitored for depression and anxiety symptoms.
{"title":"Adolescent Pregnancy’s Ongoing Effects on the Depression and Anxiety Scores in Subsequent Pregnancy","authors":"E. Turkyilmaz, S. Hesapçıoğlu","doi":"10.21613/GORM.2018.825","DOIUrl":"https://doi.org/10.21613/GORM.2018.825","url":null,"abstract":"Objective: Child/adolescent 'marriages' and following pregnancies have adverse effects both on the child and adolescent mother. The aim of this study is to detect whether the adult pregnant women who have previous adolescent pregnancy more susceptible to the depression and anxiety than current adolescent pregnants and the adult pregnant women who have no adolescent pregnancy history. Study Design: This cross sectional study evaluated a total of 163 pregnant women who attended to our antenatal clinic. Subjects aged between 16 and 43 years including both adolescent and adult pregnant women were divided into three groups. These groups are current adolescent pregnant women (Group I), adult pregnant women who have adolescent pregnancy history (Group II), adult pregnant women who have no adolescent pregnancy history (Group III). Three groups were compared in terms of the pregnancy status, socio-demographic variables and depression-anxiety scores. Result: In the current study the highest depression and anxiety scores were observed in Group II [depression scores’ median (IQR) values respectively 5 (8.5) points for Group I, 12.5 (8.5) for Group II, 9 (12) for Group III (p<0.001 between Group I and Group II for BDI comparison). Anxiety scores’ median (IQR) values respectively 19.5 (15.5) for group II, 9 (15.5) for group I, 14 (15.25) for Group III (p=0.005 between Group I and Group II for BAI comparison). Conclusion: Marriage and pregnancy at an early age are considered as risk factors for psychiatric morbidity in the next pregnancy. Therefore, women with a history of teenage pregnancy should be carefully monitored for depression and anxiety symptoms.","PeriodicalId":93778,"journal":{"name":"Journal of gynecology, clinical obstetrics and reproductive medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89449225","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}
Ozgur Kan, U. Gorkem, A. Alkilic, Deniz Taskiran, Ozgur Kocak, E. Yıldırım, C. Togrul
Objective: Evaluation of ovarian reserve in infertile patients had become an important concept in assisted reproductive techniques (ART) success work-up. Recent studies reported an association between blood type and ovarian reserve. Therefore, the aim of this study was to analyze the relationship between blood type and ovarian reserve in infertile patients. Study Design: In this retrospective, observational and single-center study, a total of 311 women who were applied for fertility seek between January 2018 and November 2018 were included. As a threshold of ovarian reserve, - serum follicle stimulating hormone levels (>10 mLU/mL) and antral follicle counts (≤5) at early follicular phase were taken to reflect diminished ovarian reserve (DOR). The main outcome was the association between blood types and ovarian reserve. Secondary outcomes were biochemical and clinical pregnancy rates. Results: There was no relationship between blood types and follicle stimulating hormone levels (FSH). Elevated FSH levels were associated with only age and antral follicle count. Similar to the results of ovarian reserve, biochemical and clinical pregnancy outcomes are not affected by blood groups and Rhesus factor. Conclusion: Patients' blood type did not have any impact on ovarian reserve. In addition, neither blood type nor rhesus factor have an effect on predicting pregnancy outcomes in ART patients.
{"title":"Is there a relationship between ovarian reserve and blood groups in infertile patients?","authors":"Ozgur Kan, U. Gorkem, A. Alkilic, Deniz Taskiran, Ozgur Kocak, E. Yıldırım, C. Togrul","doi":"10.21613/GORM.2018.869","DOIUrl":"https://doi.org/10.21613/GORM.2018.869","url":null,"abstract":"Objective: Evaluation of ovarian reserve in infertile patients had become an important concept in assisted reproductive techniques (ART) success work-up. Recent studies reported an association between blood type and ovarian reserve. Therefore, the aim of this study was to analyze the relationship between blood type and ovarian reserve in infertile patients. Study Design: In this retrospective, observational and single-center study, a total of 311 women who were applied for fertility seek between January 2018 and November 2018 were included. As a threshold of ovarian reserve, - serum follicle stimulating hormone levels (>10 mLU/mL) and antral follicle counts (≤5) at early follicular phase were taken to reflect diminished ovarian reserve (DOR). The main outcome was the association between blood types and ovarian reserve. Secondary outcomes were biochemical and clinical pregnancy rates. Results: There was no relationship between blood types and follicle stimulating hormone levels (FSH). Elevated FSH levels were associated with only age and antral follicle count. Similar to the results of ovarian reserve, biochemical and clinical pregnancy outcomes are not affected by blood groups and Rhesus factor. Conclusion: Patients' blood type did not have any impact on ovarian reserve. In addition, neither blood type nor rhesus factor have an effect on predicting pregnancy outcomes in ART patients.","PeriodicalId":93778,"journal":{"name":"Journal of gynecology, clinical obstetrics and reproductive medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79236863","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}
Objective: To evaluate the predictability of clinical chorioamnionitis by Doppler changes in fetal middle cerebral and umbilical arteries, at hospitalized patients due to preterm premature rupture of membranes. Study Design: Patients who were admitted and hospitalized due to preterm premature rupture of membranes between 24 weeks and 33 weeks and 6 days pregnancies are included in the study. Demographic data of patients, gestational age at referring to hospitalization, fetal presentation at admission, delivery time, delivery indications and total follow-up time until delivery of each case were recorded. Results: A total of 108 patients were evaluated retrospectively. The rate of clinical chorioamnionitis was 5.55% (6/108). There was no significant difference between pregnancies terminated with the diagnosis of clinical chorioamnionitis and pregnancies terminated with other indications in terms of the maximum systolic velocity at middle cerebral artery and umbilical artery pulsatility indices. Conclusion: Clinical chorioamnionitis is a serious complication and is more common in patients being followed up after preterm premature rupture of membranes. Although it is crucial to be predicted due to neonatal worse prognosis, it cannot be predicted by middle cerebral and umbilical artery Doppler evaluation.
{"title":"Changes in Umbilical and Cerebral Blood Flow in Pregnancies Diagnosed with Clinical Chorioamnionitis. Is Chorioamnionitis Predictable?","authors":"Berfin Okmen Ozkan, E. Ekmekci","doi":"10.21613/GORM.2018.863","DOIUrl":"https://doi.org/10.21613/GORM.2018.863","url":null,"abstract":"Objective: To evaluate the predictability of clinical chorioamnionitis by Doppler changes in fetal middle cerebral and umbilical arteries, at hospitalized patients due to preterm premature rupture of membranes. Study Design: Patients who were admitted and hospitalized due to preterm premature rupture of membranes between 24 weeks and 33 weeks and 6 days pregnancies are included in the study. Demographic data of patients, gestational age at referring to hospitalization, fetal presentation at admission, delivery time, delivery indications and total follow-up time until delivery of each case were recorded. Results: A total of 108 patients were evaluated retrospectively. The rate of clinical chorioamnionitis was 5.55% (6/108). There was no significant difference between pregnancies terminated with the diagnosis of clinical chorioamnionitis and pregnancies terminated with other indications in terms of the maximum systolic velocity at middle cerebral artery and umbilical artery pulsatility indices. Conclusion: Clinical chorioamnionitis is a serious complication and is more common in patients being followed up after preterm premature rupture of membranes. Although it is crucial to be predicted due to neonatal worse prognosis, it cannot be predicted by middle cerebral and umbilical artery Doppler evaluation.","PeriodicalId":93778,"journal":{"name":"Journal of gynecology, clinical obstetrics and reproductive medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90425112","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：