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Obstetrics and Gynecology International

Wen Sze Choe, Beng Kwang Ng, Ixora Kamisan Atan, Pei Shan Lim
Background: Urinary retention and voiding dysfunction is a distressing event and relatively common in immediate postpartum period. This study aims at investigating the range of postvoid residual urine volume after vaginal delivery and its association with various obstetric parameters. Methods: This was a prospective observational study of women who delivered vaginally in Universiti Kebangsaan Malaysia Medical Centre from March 2017 to September 2017. Those who were able to void within 6 hours after delivery, the voided volume measurements were taken at their second void followed by measurement of residual urine using a transabdominal ultrasound scan...
2018: Obstetrics and Gynecology International
Keddy Wanjiru Muchene, Irene Gacheri Mageto, Joyce Jebet Cheptum
Background: Female genital mutilation (FGM) is one of the most harmful traditions still practiced in many parts of the developing world, including Kenya. The practice leads to permanent and irreversible health damages; however, knowledge and attitude of women towards its obstetric effects is scarce. Aim: The objective of this study was to determine knowledge and attitude of women towards obstetric effects of FGM among Maasai women. Methods: A hospital-based cross-sectional study was conducted at Loitokitok Sub-County Hospital among 64 Maasai women who had undergone FGM...
2018: Obstetrics and Gynecology International
Abhilasha Agarwal, Jyothi Shetty, Deeksha Pandey, Gazal Jain
Introduction: Minilaparotomy hysterectomy (MLH) relies on the simplicity of the traditional open technique of abdominal hysterectomy, imparts cosmesis and faster recovery of laparoscopic hysterectomy yet avoids the long learning curve and cost of expensive setup and instrumentation associated with the minimally invasive approaches, namely, laparoscopy and robotics. In the present study, we tried to ascertain whether the results obtained with MLH can be compared to LAVH in terms of its feasibility, intraoperative variables, and complications...
2018: Obstetrics and Gynecology International
Gennaro Scutiero, Giulia Bernardi, Piergiorgio Iannone, Luigi Nappi, Danila Morano, Pantaleo Greco
[This corrects the article DOI: 10.1155/2018/2610980.].
2018: Obstetrics and Gynecology International
Jones Asafo Akowuah, Peter Agyei-Baffour, Benedict Osei Asibey
Maternal health care has become a major concern on international fora in the 21st century. Even though major interventions have been taken to scale up maternal health care locally, nationally, and globally, adequate utilisation has not been achieved due to system-induced setbacks, especially in sub-Saharan Africa. The study explored the facilitators and barriers to antenatal care use in periurban Ghana. Seventeen (17) respondents consisting of four mothers receiving ANC services, four mothers receiving postnatal care with their ANC experience, four midwives, and four nurses with the District Public Health Nurse were involved in the study...
2018: Obstetrics and Gynecology International
Ângela R L Nader, Paulo Zielinsky, Alexandre Antonio Naujorks, Luiz Henrique S Nicoloso, Antonio Luiz Piccoli Junior, Natássia Miranda Sulis, Luiza Ferreira van der Sand, Victoria de Bittencourt Antunes, Gabriela Dos Santos Marinho, Fernanda Greinert Dos Santos, Natan Pereira Gosmann, Eduardo Becker Júnior, Renato Frajndlich, Tamara Beherens, Marcelo Brandão da Silva, Carolina Barbisan, Stefano Busato, Mauro Lopes, Caroline Klein
[This corrects the article DOI: 10.1155/2018/1496903.].
2018: Obstetrics and Gynecology International
Abu Ishak Nurkhairulnisa, Kah Teik Chew, Ani Amelia Zainudin, Pei Shan Lim, Mohamad Nasir Shafiee, Nirmala Kampan, Wan Salwina Wan Ismail, Sonia Grover, Abdul Ghani Nur Azurah
Objective: This study aims to describe the menstrual pattern and menstrual care of girls with intellectual disabilities and to evaluate the impact of menstruation and awareness of parents/guardians on girls with intellectual disabilities. Methodology: Parents/guardians of girls aged 9-17 years with known intellectual disabilities who attended a scheduled public forum and Paediatrics and Adolescent Gynaecology Clinic (PAC) were recruited in a questionnaire-based study...
2018: Obstetrics and Gynecology International
Anastasiia Razdaibiedina, Mykhaylo Khobzey, Victoria Tkachenko, Iryna Vorobiova
Spontaneous abortion is a complex, multifactorial pathology, where various genetic, neural, endocrine, and immunological factors are involved. Cytokines, Toll-like receptors, and progesterone receptors play critical roles in embryonic implantation and development. A delicate, stage-specific equilibrium of these proteins is required for successful pregnancy outcome. However, genetic variation from one individual to another results in variation in levels of Th1/Th2 cytokines, strength of identification of infectious agents by Toll-like receptors, and quality of progesterone recognition...
2018: Obstetrics and Gynecology International
Elliot Klein, Elizabeth Helzner, Michelle Shayowitz, Stephan Kohlhoff, Tamar A Smith-Norowitz
Female genital mutilation (FGM) is a procedure performed on women in developing countries and is underreported; it involves cutting or altering the female genitalia. The health consequences of FGM include bacterial and viral infections, obstetrical complications, and psychological problems. In this study, we report FGM societal importance, ramifications, classifications, cultural significance, prevalence, complications, implications, and treatment. Although efforts have been made to eradicate FGM, the dynamics that perpetuate the practice have societal roots...
2018: Obstetrics and Gynecology International
Jan Norum, Tove Elisabeth Svee
Objective: Caesarean section (CS) rates vary significantly worldwide. The World Health Organization (WHO) has recommended a maximum CS rate of 15%. Norwegian hospitals are paid per CS (activity-based funding), employing the diagnosis-related group (DRG) system. We aimed to document how financial incentives can be affected by reduced CS rates, according to the WHO's recommendation. Methods: We employed a model-based analysis and included the 2016 data from the Norwegian Patient Registry (NPR) and the Medical Birth Registry of Norway (MBRN)...
2018: Obstetrics and Gynecology International
Asha Panth, Praveena Kafle
Background: Maternal satisfaction is one of the most frequently reported outcome measures for quality of care, and it needs to be addressed to improve the quality and efficiency of health care during pregnancy, childbirth, and puerperium to provide quality maternal-friendly services. Objective: To find out the maternal satisfaction on delivery service among postnatal mothers in a government hospital, Mid-Western Nepal. Method: A descriptive, cross-sectional study was conducted in maternity ward of Bheri Zonal Hospital, Nepal...
2018: Obstetrics and Gynecology International
Saad Alshahrani, Amr S Soliman, Ahmed Hablas, Mohamed Ramadan, Jane L Meza, Steven Remmenga, Ibrahim A Seifeldein, Robert M Chamberlain
Background: Uterine cancer is one of the top-ranking cancers in women with wide international variations in incidence rates. Developed countries have higher incidence rates than the developing countries. Egypt has significantly lower incidence of uterine cancer than other countries in the Middle East. This study aimed at verifying the incidence rate of uterine cancer and characterizing the demographic and clinical profiles of patients residing in the Gharbiah province in the Nile delta region of Egypt...
2018: Obstetrics and Gynecology International
Joseph I Ikechebelu, George U Eleje, Prashant Bhamare, Ngozi N Joe-Ikechebelu, Chidimma D Okafor, Abdulhakeem O Akintobi
Objectives: To determine fertility outcomes following laparoscopy-guided hysteroscopic tubal cannulation for cornual obstruction. Study Design: A prospective cohort study in Life Institute for Endoscopy at Life Specialist Hospital Nnewi, Southeast Nigeria. Patients with unilateral or bilateral cornual tubal obstruction as the only cause of infertility were included. Outcome measures included successful tubal recanalization, procedural complications, conception rates (first spontaneous conception after the procedure), and live birth rates...
2018: Obstetrics and Gynecology International
Yeh Chen Lee, Nazlin Jivraj, Catherine O'Brien, Tanya Chawla, Eran Shlomovitz, Sarah Buchanan, Jenny Lau, Jennifer Croke, Johane P Allard, Preeti Dhar, Stephane Laframboise, Sarah E Ferguson, Neesha Dhani, Marcus Butler, Pamela Ng, Terri Stuart-McEwan, Pamela Savage, Lisa Tinker, Amit M Oza, Stephanie Lheureux
Malignant bowel obstruction (MBO) is a major complication in women with advanced gynecologic cancers which imposes a significant burden on patients, caregivers, and healthcare systems. Symptoms of MBO are challenging to palliate and result in progressive decompensation of already vulnerable patients with limited therapeutic options and a short prognosis. However, there is a paucity of guidelines or innovative approaches to improve the care of women who develop MBO. MBO is a complex clinical situation that requires a multidisciplinary approach to ensure the appropriate treatment modality and interprofessional care to optimally manage these patients...
2018: Obstetrics and Gynecology International
Kemal Beksac, Atakan Tanacan, Nejat Ozgul, Mehmet Sinan Beksac
Aim: To assess the results of the treatment of rectovaginal fistulas with incontinence and impaired anal tonus. Materials and Methods: This study comprised three rectovaginal fistula groups that were treated using sphincteroplasty and fistulectomy: group 1: eight women with simple rectovaginal fistula due to birth trauma; group 2: six rectovaginal fistula cases that were associated with chronic inflammatory diseases; and group 3: five cases with at least one failed repair attempt...
2018: Obstetrics and Gynecology International
Olivier Mulisya, Drucilla J Roberts, Elizabeth S Sengupta, Elly Agaba, Damaris Laffita, Tusabe Tobias, Derrick Paul Mpiima, Lugobe Henry, Ssemujju Augustine, Masinda Abraham, Twizerimana Hillary, Julius Mugisha
Objective: We sought to determine the prevalence of and factors associated with hydatidiform molar gestations amongst patients undergoing uterine evacuation at Mbarara Regional Referral Hospital (MRRH), Mbarara, Uganda. Methods: This was a cross-sectional study carried out from November 2016 to February 2017. All patients admitted for uterine evacuation for nonviable pregnancy were included. The study registered 181 patients. Data were collected on sociodemographics, medical conditions, obstetrics, and gynecological factors...
2018: Obstetrics and Gynecology International
Akihiko Yoshimura, Kenjiro Sawada, Tomoyuki Sasano, Hiromasa Kuroda, Katsumi Kozasa, Erika Nakatsuka, Koji Nakamura, Kae Hashimoto, Seiji Mabuchi, Tadashi Kimura
Loss of ovarian function by the treatment for gynecological malignancy results in a drastic decrease of estrogen causing physical and mental symptoms. The purpose of this study is to evaluate the effect of Japanese Kampo Kamikihito (KKT) and Kamishoyosan (KSS) on menopausal symptoms in gynecological cancer patients. Patients who had menopausal symptoms after gynecologic malignancy treatment were enrolled and randomly divided into a KKT or a KSS group. Kupperman Menopausal Index (KI) questionnaires were obtained before tumor treatment, at baseline, and at 4 and 8 weeks...
2018: Obstetrics and Gynecology International
Rattapon Amampai, Prapaporn Suprasert
Objective: To determine the percentage of rising serum cancer antigen (CA-125) in singleton pregnant women whose ultrasonographical findings were normal. Methods: Singleton pregnant women who received antenatal care at our institute with a normal ultrasonographical examination in their first and/or second trimester were invited to participate in blood testing for CA-125. The conditions that might affect the CA-125 level were excluded. The normal level of CA-125 was defined as ≤35 U/ml...
2018: Obstetrics and Gynecology International
Haruhiko Kanasaki, Aki Oride, Tomomi Hara, Satoru Kyo
Aim: We compared the short-term effectiveness of tension-free vaginal mesh (TVM) surgery using the Capio SLIM suture capturing device and conventional TVM surgery for treatment of pelvic organ prolapse. Methods: We retrospectively compared postoperative pain, urinary function, and length of hospital stay between 7 patients who underwent TVM surgery using the Capio device and 9 patients who underwent conventional TVM surgery. Results: There was no significant between-group difference in mean age between the Capio TVM group and the conventional TVM group (76...
2018: Obstetrics and Gynecology International
Gennaro Scutiero, Bernardi Giulia, Piergiorgio Iannone, Luigi Nappi, Danila Morano, Pantaleo Greco
Objectives: To deepen the knowledge in obstetrics on a very rare pregnancy complication: umbilical cord hematoma. Methods: A review of the case reports described in the last ten years in the literature was conducted in order to evaluate epidemiology, predisposing factors, potential outcomes, prenatal diagnosis, and clinical management. Results: Spontaneous umbilical cord hematoma is a rare complication of pregnancy which represents a serious cause of fetal morbidity and mortality...
2018: Obstetrics and Gynecology International
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