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Obstetrics and Gynecology International

Masakazu Sato, Minako Koizumi, Kei Inaba, Yu Takahashi, Natsuki Nagashima, Hiroshi Ki, Nao Itaoka, Chiharu Ueshima, Maki Nakata, Yoko Hasumi
Background: We considered the possibility of underestimation of the amount of bleeding during laparoscopic surgery, and we investigated comparing the amount of bleeding between laparoscopic surgery and open surgery by considering the concentration of hemoglobin before and after surgery as indicators. Methods: The following procedures were included: A, surgery for ovarian tumor; B, myomectomy; and C, hysterectomy either by laparoscopic surgery or open surgery. Patients who underwent the above procedures in between January 1, 2010, and December 31, 2017, were enrolled...
2018: Obstetrics and Gynecology International
Samara Levine, Ozgul Muneyyirci-Delale
While prolactin is most well known for its role in lactation and suppression of reproduction, its physiological functions are quite diverse. There are many etiologies of hyperprolactinemia, including physiologic as well as pathologic causes. Physiologic causes include pregnancy, lactation, sleep-associated, nipple stimulation and sexual orgasm, chest wall stimulation, or trauma. Stress is also an important physiologic cause of hyperprolactinemia, and its clinical significance is still being explored. This review will provide an overview of prolactin physiology, the role of stress in prolactin secretion, as well as the general clinical approach to hyperprolactinemia...
2018: Obstetrics and Gynecology International
Rachel Pope, Prakash Ganesh, Jeffrey Wilkinson
Urethral incontinence is an issue for approximately 10-15% of women with an obstetric fistula. Various surgical interventions to prevent this exist, including the pubococcygeal sling and refixation of the pubocervical fascia. Neither has been evaluated in comparison to one another. Therefore, this retrospective evaluation for superiority was performed. The primary outcome was urinary stress incontinence, and secondary outcomes were operative factors. There were 185 PC slings, but 12 were excluded because of urethral plications...
2018: Obstetrics and Gynecology International
Hadil Y Ali-Masri, Sahar J Hassan, Kaled M Zimmo, Mohammed W Zimmo, Khaled M K Ismail, Erik Fosse, Hasan Alsalman, Åse Vikanes, Katariina Laine
Episiotomy should be cut at certain internationally set criteria to minimize risk of obstetric anal sphincter injuries (OASIS) and anal incontinence. The aim of this study was to assess the accuracy of cutting right mediolateral episiotomy (RMLE). An institution-based prospective cohort study was undertaken in a Palestinian maternity unit from February 1, to December 31, 2016. Women having vaginal birth at gestational weeks ≥24 or birthweight ≥1000 g and with intended RMLE were eligible ( n =240). Transparent plastic films were used to trace sutured episiotomy in relation to the midline within 24-hour postpartum...
2018: Obstetrics and Gynecology International
Shina Oranratanaphan, Sinee Wanishpongpan, Wichai Termrungruanglert, Surang Triratanachat
Objectives: To evaluate the diagnostic performance among CA-125, RMI, HE4, and ROMA for cancer detection in women with nonfunctional ovarian cysts at King Chulalongkorn Memorial Hospital (KCMH). Secondary objective is to reconsider the proper cutoff value of HE4. Methods: This is a prospective analytic study in women with nonfunctional ovarian cysts larger than 3 cm who scheduled for surgery at KCMH during 3rd June 2015 to 31st May 2016. Ultrasonogram and blood sample collection were completed before the operation...
2018: Obstetrics and Gynecology International
Adam A Mohamed, Abiodun O Ilesanmi, M David Dairo
Obstetric fistula is a severe maternal morbidity which can have devastating consequences for a woman's life and is generally associated with poor obstetric services leading to prolonged obstructed labour. The predisposing factors and consequences of obstetric fistula differ from country to country and from community to community. The World Health Organization estimated that more than 2 million women in sub-Saharan Africa, Asia, the Arab region, Latin America, and the Caribbean are living with the fistula, and some 50,000 to 100,000 new cases develop annually with 30,000-90,000 new cases developing each year in Africa alone...
2018: Obstetrics and Gynecology International
Ola Mousa, Amal Ahmed Abdelhafez, Ahmed R Abdelraheim, Ayman M Yousef, Ahmed A Ghaney, Saad El Gelany
Introduction: In low-resource settings (LRSs), pain relief during labor is often neglected. Women and health professionals (HPs) may lack awareness of analgesic options, may not accept these options, or may have concerns regarding their safety. Furthermore, even if women or HPs preferred labor analgesia, options may not be available at the hospital. This study was carried out to explore how HPs perceive and practice pain management during labor in Minia maternity units in Egypt. Methods: A structured, self-administered questionnaire from 306 HPs in Minia maternity units from August 1, 2016, to August 30, 2017, after approval by the organizational Ethical Review Committee...
2018: Obstetrics and Gynecology International
Chijioke Ogomegbulam Ezeigwe, Charles Ikechukwu Okafor, George Uchenna Eleje, Gerald Okanandu Udigwe, Daniel Chukwuemeka Anyiam
Objective: To determine the pattern of pathological changes in placentas of preeclamptic/eclamptic parturients and its correlation with the clinical severity as well as the perinatal outcome. Methods: A cross-sectional analytical study of placental pathologies in preeclamptic/eclamptic patients was performed in a blinded pattern and compared with matched normal controls. Data were analyzed using Epi-Info 2008 version 3.5.1. Results: Placental pathologies were evaluated in 61 preeclamptic/eclamptic patients and in 122 controls...
2018: Obstetrics and Gynecology International
Achamyelesh Gebretsadik
Background: Each year, several millions of women who underwent abortion also bear several consequences, including infection, massive blood loss, chronic pelvic pain, infertility, and death. Poor treatment outcomes also cause disability and death. The aim of this study was to determine factors associated with management outcomes of incomplete abortion in Yirgalem General Hospital. Methods: Health facility-based cross-sectional study design was used. Medical record review of 186 women who received abortion service from July 1st 2015 to June 30 2017 was done...
2018: Obstetrics and Gynecology International
Panida Meelapkij, Prapaporn Suprasert, Orthai Baisai
Objective: To evaluate the outcomes of squamous cell carcinoma (SCCA) of the vulva treated at our tertiary care center. Methods: The medical records of SCCA patients treated between January 2006 and December 2015 were retrospectively reviewed. Results: One hundred forty-five patients met the criteria with the median age of 57 years old, and 58.6% had an underlying disease. The distribution of stages was as follows: IA 6.2%, IB 21.4%, II 26...
2018: 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
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