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International Journal of Women's Health

Nana Nimo Appiah-Agyekum
Purpose: In Ghana, unsafe abortion is a major cause of maternal mortality. Even though pharmaceutical drugs seem to be a key means of unsafe abortion, a paucity of evidence exists on the issue among adolescents, students, and other groups at risk. This study therefore explores the abortion experiences of Ghanaian university students with particular reference to pharmaceutical drugs to fill the knowledge gap and enrich the evidence base for reproductive health education, policies, and interventions on abortions among students...
2018: International Journal of Women's Health
Heba Elhusseini, Hoda Elkafas, Mohamed Abdelaziz, Sunil Halder, Ihor Atabiekov, Noura Eziba, Nahed Ismail, Abdeljabar El Andaloussi, Ayman Al-Hendy
Background: Previously, we reported a significantly higher prevalence of uterine fibroids (UFs) in African American women. This minority group also commonly suffers from vitamin D deficiency. We have demonstrated that 1,25(OH)2 D3 attains a fibroid growth inhibitory impact through its ability to block the G1/S (gap 1/synthesis) phase of the cell cycle. Vitamin D is involved in DNA damage as well as in immune response regulation, anti-inflammation, autoimmunity and cancer. Since most of the prior data on vitamin D and UF were generated in vitro via established cell lines, it was necessary to verify and validate this observation in vivo using a diet-induced vitamin D-deficient mouse model...
2018: International Journal of Women's Health
Kristiina Rönö, Beata Stach-Lempinen, Johan Gunnar Eriksson, Maritta Pöyhönen-Alho, Miira Marjuska Klemetti, Risto Paavo Roine, Emilia Huvinen, Sture Andersson, Hannele Laivuori, Anita Valkama, Jelena Meinilä, Hannu Kautiainen, Aila Tiitinen, Saila Birgitta Koivusalo
Purpose: Lifestyle intervention studies performed during pregnancy have shown inconsistent results in relation to prevention of gestational diabetes mellitus (GDM). Therefore, the aim of this study was to assess the effect of an intervention initiated already before pregnancy in prevention of GDM in high-risk women. Patients and methods: A randomized controlled trial was conducted in four Finnish maternity hospitals between the years 2008 and 2014. Altogether 228 high-risk women planning pregnancy were randomized to an intervention (n=116) or a control group (n=112)...
2018: International Journal of Women's Health
Srisuda Songthamwat, Metha Songthamwat
Objective: The aim of this study was to report our clinical experience of applying a uterine flexion suture, which was modified from the B-Lynch uterine compression suture, for treating uterine atony during cesarean section. Materials and methods: This is a retrospective descriptive study describing the use of a new technique, uterine flexion suture, for treating uterine atony during cesarean section. The study period was from January 2009 to December 2017 at Udonthani Hospital, Udonthani, Thailand...
2018: International Journal of Women's Health
Lea Tami Suzuki Zuchelo, Edige Felipe de Sousa Santos, Francisco Winter Dos Santos Figueiredo, Fernando Adami, Italla Maria Pinheiro Bezerra, Rodrigo Daminello Raimundo, Isabel Cristina Esposito Sorpreso, Luiz Carlos de Abreu
Purpose: To analyze the postpartum pelvic floor disorders (PFD) and mode of delivery among adolescents, late adolescents, and young women from Western Amazon. Patients and methods: Cross-sectional study was carried out in the urban area of Western Amazon in the city of Rio Branco, Acre, Brazil, from October 2016 to February 2017. This is a convenience sample of women up to 30 years who completed six months postpartum, separated in three groups according to maternal age: adolescents (age ≤19 years), late adolescents (20-24 years), and young women (25-30 years)...
2018: International Journal of Women's Health
Mohamed A Hendaus, Ahmed H Alhammadi, Shabina Khan, Samar Osman, Adiba Hamad
Objective: The aim of the study was to outline breastfeeding barriers faced by women residing in the State of Qatar. Methods: A cross-sectional study through a telephone interview was conducted at Hamad Medical Corporation, the only tertiary care and accredited academic institution in the State of Qatar. Mothers of children born between the period of January 1, 2012 and December 31, 2012 in the State of Qatar were contacted. Results: Of the total 840 mothers who were contacted for the telephone survey, 453 mothers agreed to be interviewed (response rate 53...
2018: International Journal of Women's Health
Waleed Ali Sayed Ahmed, Mostafa Ahmed Hamdy
Umbilical cord prolapse (UCP) is an uncommon obstetric emergency that can have significant neonatal morbidity and/or mortality. It is diagnosed by seeing/palpating the prolapsed cord outside or within the vagina in addition to abnormal fetal heart rate patterns. Women at higher risk of UCP include multiparas with malpresentation. Other risk factors include polyhydramnios and multiple pregnancies. Iatrogenic UCP (up to 50% of cases) can occur in procedures such as amniotomy, fetal blood sampling, and insertion of a cervical ripening balloon...
2018: International Journal of Women's Health
Apiwat Aue-Aungkul, Pilaiwan Kleebkaow, Chumnan Kietpeerakool
Objective: To assess the incidence of and factors that predict insufficient tissue after endometrial sampling. Methods: This study reviewed the records of women undergoing endometrial sampling at Khon Kaen University's Srinagarind Hospital between June 2014 and June 2015. It excluded cases in which the device could not be inserted into the uterine cavity due to pain intolerance or equipment failure. The criterion for diagnosing insufficient endometrial tissue was a lack of any intact tissue fragments containing both glands and stroma...
2018: International Journal of Women's Health
Nino Lomia, Nino Berdzuli, Lela Sturua, Maia Kereselidze, Marina Topuridze, Ekaterine Pestvenidze, Babill Stray-Pedersen
Purpose: An understanding of women's health problems during the reproductive years, based on reliable cause-of-death data, is of critical importance to avoid premature female mortality. This study aimed to investigate mortality levels, cause-specific patterns, and trends in women of reproductive age in Georgia. Materials and methods: The National Reproductive Age Mortality Survey (2014) was conducted to identify all causes of death for women aged 15-49 years in 2012...
2018: International Journal of Women's Health
Dania Al-Jaroudi, Abeer Abdullah Aldughayyim, Wadha Suliman Alshamry, Ahlam Saud Alrashidi, Ahmed A Bahnassy
Purpose: The objectives of our study included comparing reproductive histories and causes of infertility between patients with and without a hysterosalpingogram (HSG) investigation, and summarizing the prevalence and extent of tubal abnormalities among patients who underwent HSG. Outcomes following assisted reproductive technology (ART) were compared between HSG and non-HSG groups. Materials and methods: A cross-sectional study was conducted to review the medical records of 200 Saudi women with subfertility...
2018: International Journal of Women's Health
Kavita Shah Arora, Neko Castleberry, Jay Schulkin
Introduction: Obstetrician-gynecologists (ob-gyns) play a prominent role in counseling patients regarding sterilization, offering alternative contraception, fulfilling sterilization requests, and referring patients if unable to provide the service due to a personal moral belief. Therefore, we sought to better characterize the counseling practices of ob-gyns with respect to postpartum sterilization. Materials and methods: This is a prospective, electronic survey-based study of 1,000 ob-gyn members of the American College of Obstetricians and Gynecologists, half of whom are members of the Collaborative Ambulatory Research Network...
2018: International Journal of Women's Health
Lea Tami Suzuki Zuchelo, Italla Maria Pinheiro Bezerra, Adna Thaysa Marcial Da Silva, Jéssica Menezes Gomes, José Maria Soares Júnior, Edmund Chada Baracat, Luiz Carlos de Abreu, Isabel Cristina Esposito Sorpreso
Background: Pelvic floor dysfunctions (PFDs) affect the female population, and the postpartum period can be related to the onset or aggravation of the disease. Early identification of the symptoms and the impact on quality of life can be achieved through assessment instruments. Objective: The purpose of this systematic review is to evaluate questionnaires used to assess PFD in the postpartum period. Methods: A systematic review study was conducted, following Preferred Reporting Items for the Systematic Reviews and Meta-Analyses (PRISMA) criteria, using the databases: PubMed, Biblioteca Virtual de Saúde (BVS), Web of Science, and Scopus, and the keywords PFD or pelvic floor disorders, postpartum or puerperium, and questionnaire...
2018: International Journal of Women's Health
Zahra Behboodi Moghadam, Bita Fereidooni, Mohsen Saffari, Ali Montazeri
Introduction: Polycystic ovary syndrome (PCOS) is associated with biochemical and hormonal disturbance and adverse cosmetic, reproductive, metabolic, and psychological consequences, resulting in reduced health-related quality of life (HRQoL). Various generic and specific questionnaires have been used for assessing different dimensions of HRQoL in PCOS women. The purpose of this systematic review was to identify those general and specific instruments and to determine the factors that affect HRQoL in PCOS women...
2018: International Journal of Women's Health
Iuliia Naumova, Camil Castelo-Branco
Vulvovaginal atrophy (VVA) is a silent epidemic that affects up to 50%-60% of postmenopausal women who are suffering in silence from this condition. Hormonal changes, especially hypoestrogenism inherent in menopause, are characterized by a variety of symptoms. More than half of menopausal women are concerned about the symptoms of VVA, such as dryness, burning, itching, vaginal discomfort, pain and burning when urinating, dyspareunia, and spotting during intercourse. All these manifestations significantly reduce the quality of life and cause discomfort in the sexual sphere...
2018: International Journal of Women's Health
Lauren E Friedman, Ana Karen Manriquez Prado, Gabriel Fidel Santos Malavé, Juan Carlos Vélez, Rodrigo Winston Gillibrand Esquinazi, Sixto E Sanchez, Qiu-Yue Zhong, Bizu Gelaye, Michelle A Williams
Background: The Social Support Questionnaire - Short Form (SSQ-6) is a widely used instrument that assesses availability and satisfaction of a person's social support. The present study aimed to evaluate the construct validity and factor structure of the Spanish language version of the SSQ-6 during early pregnancy. Participants and methods: A total of 4,236 pregnant Peruvian women were interviewed at 10.3 ± 3.8 weeks of gestation. In-person interviewers were used to collect lifestyle, demographic, and social support characteristics...
2018: International Journal of Women's Health
Kiattisak Kongwattanakul, Piyamas Saksiriwuttho, Sukanya Chaiyarach, Kaewjai Thepsuthammarat
Objective: To determine the incidence of preeclampsia with severe features among pregnant women and evaluate the characteristics, maternal complications, and perinatal outcomes between nonsevere preeclampsia versus preeclampsia with severe features and hemolysis, elevated liver enzyme levels, and low platelet levels (HELLP) syndrome. Materials and methods: A retrospective descriptive study was conducted at Khon Kaen University's Srinagarind Hospital, a tertiary care facility in northeast Thailand...
2018: International Journal of Women's Health
Ralf Bends, David B Toub, Thomas Römer
Transcervical radiofrequency ablation of uterine fibroids was performed on a patient in Germany, who subsequently conceived. This is the first report of a normal spontaneous vaginal delivery after fibroid ablation with the Sonata® System.
2018: International Journal of Women's Health
Ayodeji Oginni, Sikiratu Kailani Ahmadu, Nkiruka Okwesa, Isaac Adejo, Hauwa Shekerau
Objective: This study aimed to measure individual-level abortion stigma (ILAS) and determine its correlates among women receiving safe elective abortion services. Patients and methods: Data were collected from a cross-section of women who received safe elective abortion services in select intervention health facilities. Respondents were recruited through a self-selection sampling. ILAS was assessed using a 16-item scale (Cronbach's alpha =0.9122). Respondents were categorized as high (summed score >40) or low ILAS (summed score ≤40) on a spectrum of a summed minimum score of 16 to a maximum score of 64...
2018: International Journal of Women's Health
Crystal VanLeeuwen, Belen Torondel
Purpose: Menstruation is a biological process that approximately half of the world's population experiences over a significant period of their lifetime. As a displaced female, managing menstruation can be challenging as limited resources and changes in context confront the cultural norms of communities. This study explores the hypothetical acceptability and potential utility of a reusable menstrual underwear product through examining the beliefs, behaviors, and practices toward menstrual hygiene in a Middle Eastern population living in a refugee setting...
2018: International Journal of Women's Health
Benjamin A Kamala, Hussen L Kidanto, Peter J Wangwe, Ingvild Dalen, Estomih R Mduma, Jeffrey M Perlman, Hege L Ersdal
Background: Fetal stethoscopes are mainly used for intermittent monitoring of fetal heart rate (FHR) during labor in low-income countries, where perinatal mortality is still high. Handheld Dopplers are rarely available and are dependent on batteries or electricity. The objective was to compare the Pinard stethoscope versus a new wind-up handheld Doppler in the detection of abnormal FHR. Materials and methods: We conducted a randomized controlled study at Muhimbili National Hospital, Tanzania, from April 2013 to September 2015...
2018: International Journal of Women's Health
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