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International Journal of Women's Health

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https://www.readbyqxmd.com/read/29785142/misoprostol-for-the-prevention-of-postpartum-hemorrhage-during-home-births-in-rural-lao-pdr-establishing-a-pilot-program-for-community-distribution
#1
Jo Durham, Alongkone Phengsavanh, Vanphanom Sychareun, Isaac Hose, Viengnakhone Vongxay, Douangphachanh Xaysomphou, Keith Rickart
Purpose: The purpose of this study was to gather the necessary data to support the design and implementation of a pilot program for women who are unable to deliver in a healthcare facility in the Lao People's Democratic Republic (PDR), by using community distribution of misoprostol to prevent postpartum hemorrhage (PPH). The study builds on an earlier research that demonstrated both support and need for community-based distribution of misoprostol in Lao PDR. Methods: This qualitative study identified acceptability of misoprostol and healthcare system needs at varying levels to effectively distribute misoprostol to women with limited access to facility-based birthing...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29765254/stump-a-surprise-finding-in-a-large-fibroid-uterus-in-a-20-year-old-woman
#2
Lara Hughes, Alphonse Roex, Anupam Parange
We report on a case of a 20-year-old nulliparous woman with menorrhagia associated with a smooth muscle tumor of uncertain malignant potential (STUMP) that was responsive to Goserelin. This case details the investigation and management of a young woman who desires ongoing fertility preservation. STUMP is a rare uterine tumor with a paucity of literature available regarding management and subsequent malignant potential, particularly in the case of a patient who desires fertility preservation.
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29750056/is-age-at-menarche-associated-with-total-mortality-the-troms%C3%A3-study
#3
Marie Wasmuth Lundblad, Bjarne K Jacobsen
Purpose: Early age at menarche (AAM) has been associated with increased mortality and morbidity, including premature death from all causes, breast cancer and cardiovascular diseases. The aim of this study was to examine the association between AAM and all-cause mortality. Subjects and methods: A total of 12,409 women aged 25-94 years who took part in the fourth Tromsø Study in Norway during 1994-1995 were included in this prospective population-based study with a mean 18...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29713205/pessary-use-in-stress-urinary-incontinence-a-review-of-advantages-complications-patient-satisfaction-and-quality-of-life
#4
REVIEW
Ghadeer Al-Shaikh, Sadiqa Syed, Somaia Osman, Abdulrahman Bogis, Ahmed Al-Badr
Stress urinary incontinnce (SUI) is a common condition among women. The usual approach to treatment of SUI is a stepwise plan from conservative to surgical procedures. A vaginal pessary is one of the commonly used conservative treatments that offer symptomatic improvement for women with incontinence. This review provides a critical analysis of the benefits and shortcomings offered by vaginal pessaries to patients affected by SUI, with a particular focus on indications, advantages, quality of life, patient satisfaction, and potential complications...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29713204/efficacy-and-patient-satisfaction-after-novasure-and-minerva-endometrial-ablation-for-treating-abnormal-uterine-bleeding-a-retrospective-comparative-study
#5
Constantine Scordalakes, Robert delRosario, Andrew Shimer, Russell Stankiewicz
Objective: Compare amenorrhea rate, menstrual symptoms, patient satisfaction, and adverse events in women who underwent endometrial ablation with the NovaSure versus the Minerva radiofrequency ablation systems. Methods: We surveyed 189 premenopausal women (mean 40.8±6.2 years old) who underwent endometrial ablation for abnormal uterine bleeding using the NovaSure (n=97) or Minerva (n=92) systems, at four private US gynecology clinics, and whose procedure date was after July 2015 with follow-up ≥3 months...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29692637/self-versus-physician-collected-samples-for-the-follow-up-of-human-papillomavirus-positive-women-in-sub-saharan-africa
#6
Manuela Viviano, Phuong Lien Tran, Bruno Kenfack, Rosa Catarino, Mohamed Akaaboune, Liliane Temogne, Eveline Tincho Foguem, Pierre Vassilakos, Patrick Petignat
Introduction: Human papillomavirus (HPV) testing is a suitable tool for primary cervical cancer (CC) screening and follow-up in low-resource settings. Vaginal samples taken by women themselves (Self-HPV) are an interesting alternative to physician-performed sampling (Dr-HPV). Our aim was to assess the performance of Self-HPV and Dr-HPV at 6 and 12 months following a CC screening campaign. Methods: This study was carried out at the Dschang District Hospital, Cameroon...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29692636/improving-menstrual-hygiene-management-in-emergency-contexts-literature-review-of-current-perspectives
#7
REVIEW
Crystal VanLeeuwen, Belen Torondel
Management of menstruation in contexts of humanitarian emergencies can be challenging. A lack of empirical research about effective interventions which improve menstrual hygiene management (MHM) among female populations in humanitarian emergencies and a lack of clarity about which sectors within a humanitarian response should deliver MHM interventions can both be attributable to the lack of clear guidance on design and delivery of culturally appropriate MHM intervention in settings of humanitarian emergencies...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29692635/dimensional-analysis-of-the-endometrial-cavity-how-many-dimensions-should-the-ideal-intrauterine-device-or-system-have
#8
Norman D Goldstuck
Background: The geometrical shape of the human uterus most closely approximates that of a prolate ellipsoid. The endometrial cavity itself is more likely to also have the shape of a prolate ellipsoid especially when the extension of the cervix is omitted. Using this information and known endometrial cavity volumes and lateral and vertical dimensions, it is possible to calculate the anteroposterior (AP) dimensions and get a complete evaluation of all possible dimensions of the endometrial cavity...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29692634/chronic-pain-during-pregnancy-a-review-of-the-literature
#9
REVIEW
Shona L Ray-Griffith, Michael P Wendel, Zachary N Stowe, Everett F Magann
Background and purpose: The majority of the reviews and studies on chronic pain in pregnancy have primarily focused on the pharmacological and non-pharmacological treatment options. The purpose of our review was to identify evidence-based clinical research for the evaluation and management of preexisting chronic pain in pregnancy, chronic pain associated with pregnancy, and chronic pain in relation to mode of delivery. Methods: A literature search was undertaken using the search engines PubMed, CINAHL, EBSCOhost, and Web of Science...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29670406/effect-of-clomiphene-citrate-on-uterine-hemodynamics-in-women-with-unexplained-infertility
#10
Eman Omran, Mohamed El-Sharkawy, Akmal El-Mazny, Mohamed Hammam, Wafaa Ramadan, Dina Latif, Dalia Samir, Sherine Sobh
Purpose: The aim of the study was to evaluate the effect of clomiphene citrate on uterine artery blood flow using pulsed Doppler and endometrial and subendometrial micro vascularization using 3D power Doppler in unexplained infertility. Patients and methods: In a prospective observational study at a university teaching hospital, the mid-luteal (peri-implantation) endometrial thickness and volume, uterine artery pulsatility index (PI) and resistance index (RI), endometrial and subendometrial vascularization index (VI), flow index (FI), and vascularization flow index (VFI), and serum estradiol and progesterone levels were compared between natural and clomiphene citrate stimulated cycles in the same group of 50 patients with unexplained infertility...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29606892/management-of-abnormal-uterine-bleeding-focus-on-ambulatory-hysteroscopy
#11
REVIEW
Shilpa Kolhe
The rapid evolution in ambulatory hysteroscopy (AH) has transformed the approach to diagnose and manage abnormal uterine bleeding (AUB). The medical management in primary care remains the mainstay for initial treatment of this common presentation; however, many women are referred to secondary care for further evaluation. To confirm the diagnosis of suspected intrauterine pathology, the traditional diagnostic tool of day case hysteroscopy and dilatation and curettage in a hospital setting under general anesthesia is now no longer required...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29535558/aplastic-anemia-during-pregnancy-a-review-of-obstetric-and-anesthetic-considerations
#12
REVIEW
Efrain Riveros-Perez, Amy C Hermesch, Linda A Barbour, Joy L Hawkins
Aplastic anemia is a hematologic condition occasionally presenting during pregnancy. This pathological process is associated with significant maternal and neonatal morbidity and mortality. Obstetric and anesthetic management is challenging, and treatment requires a coordinated effort by an interdisciplinary team, in order to provide safe care to these patients. In this review, we describe the current state of the literature as it applies to the complexity of aplastic anemia in pregnancy, focusing on pathophysiologic aspects of the disease in pregnancy, as well as relevant obstetric and anesthetic considerations necessary to treat this challenging problem...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29520163/pustular-psoriasis-of-pregnancy-current-perspectives
#13
REVIEW
Megha K Trivedi, Alexandra R Vaughn, Jenny E Murase
Pustular psoriasis of pregnancy (PPP) is a life-threatening condition for both the pregnant mother and fetus, and must be efficiently and accurately diagnosed and treated. This condition has historically been classified as a unique, separate dermatosis of pregnancy. However, current opinion and data suggest that it may be a variant of generalized pustular psoriasis. PPP typically occurs in the third trimester and is characterized by widespread coalescent pustules, desquamation, and systemic symptoms. Clinical features and histopathologic evaluation aid in diagnosis...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29503587/anxiety-and-depression-during-pregnancy-in-women-attending-clinics-in-a-university-hospital-in-eastern-province-of-saudi-arabia-prevalence-and-associated-factors
#14
Abdullah H Alqahtani, Kholoud Al Khedair, Reem Al-Jeheiman, Haifa A Al-Turki, Nourah H Al Qahtani
Background: Anxiety and depression during the antenatal period is a growing problem with major effects on the mother, the developing fetus, and the neonate. Objectives: To assess the prevalence of anxiety and depression during pregnancy in women attending the hospital for antenatal care and assess the associated factors. Methods: This is a prospective cohort study conducted in the University Hospital of Imam Abdulrahman Bin Faisal University...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29503586/spotlight-on-the-utility-of-the-oncotype-dx-%C3%A2-breast-cancer-assay
#15
REVIEW
Zhen Rong Siow, Richard H De Boer, Geoffrey J Lindeman, G Bruce Mann
The Oncotype DX® assay was developed to address the need for optimizing the selection of adjuvant systemic therapy for patients with estrogen receptor (ER)-positive, lymph node-negative breast cancer. It has ushered in the era of genomic-based personalized cancer care for ER-positive primary breast cancer and is now widely utilized in various parts of the world. Together with several other genomic assays, Oncotype DX has been incorporated into clinical practice guidelines on biomarker use to guide treatment decisions...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29497336/increased-proportions-of-hiv-infected-women-met-cervical-cancer-screening-guideline-in-2016
#16
Debbie Y Mohammed, Prerak Shukla, Yuriy Babayants, Raymund Sison, Jihad Slim
Background: HIV-infected women are five times more likely to develop invasive cervical cancer. Routine screening can detect early signs of cancer and provide an opportunity for treatment. However, suboptimal screening rates are reported in this population. This retrospective study examined the rates of cervical cancer screening in HIV-positive women, conducted according to the current guidelines, from 2014 to 2016 in an inner-city clinic. Materials and methods: We implemented focused scheduling for eligible women by a designated medical assistant...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29483785/the-effect-of-endometrial-thickness-on-pregnancy-outcome-in-patients-with-asherman-s-syndrome-post-hysteroscopic-adhesiolysis
#17
Saeed Baradwan, Dina Shafi, Amira Baradwan, Muhammad Salman Bashir, Dania Al-Jaroudi
Background: Hysteroscopic adhesiolysis anatomically restores the uterine cavity in cases of Asherman's syndrome (AS); however, the extent of endometrial fibrosis could determine the pregnancy outcome. Objectives: To determine whether endometrial thickness could influence pregnancy outcome of hysteroscopic adhesiolysis in women with a history of AS. Subjects and methods: This was a retrospective cohort study that included 41 women who attended Women's Specialized Hospital, King Fahad Medical City from December 2008 to December 2015, presented with a history of infertility or recurrent pregnancy loss, and were diagnosed with intrauterine adhesions and treated by hysteroscopic adhesiolysis...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29440934/prevalence-and-risk-factors-for-maternal-mortality-in-referral-hospitals-in-nigeria-a-multicenter-study
#18
Lorretta F Ntoimo, Friday E Okonofua, Rosemary N Ogu, Hadiza S Galadanci, Mohammed Gana, Ola N Okike, Kingsley N Agholor, Rukiyat A Abdus-Salam, Adetoye Durodola, Eghe Abe, Abdullahi J Randawa
Introduction: While reports from individual hospitals have helped to provide insights into the causes of maternal mortality in low-income countries, they are often limited for policymaking at national and subnational levels. This multisite study was designed to determine maternal mortality ratios (MMRs) and identify the risk factors for maternal deaths in referral health facilities in Nigeria. Methods: A pretested study protocol was used over a 6-month period (January 1-June 30, 2014) to obtain clinical data on pregnancies, births, and maternal deaths in eight referral hospitals across eight states and four geopolitical zones of Nigeria...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29416379/outcome-of-pregnancy-after-renal-transplantation
#19
Sarah Mohamed Hassan, Radwa Fahmy, Eman Fawzy Omran, Eman Aly Hussein, Wafaa Ramadan, Dalia Farouk Abdelazim
Aim: The aim of our study was to compare the outcome of pregnancy in patients who became pregnant within 24 months of renal transplantation and patients who became pregnant more than 24 months after renal transplantation. Materials and methods: The sample population of our prospective cohort study comprised of 44 patients who became pregnant following renal transplantation. In all cases, living donors were used for renal transplantation. The patients were allocated into either group A, which included 24 patients who became pregnant more than 24 months after renal transplantation, or group B, which included 20 patients who inadvertently became pregnant within 24 months of renal transplantation...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29403317/gender-differences-in-dispensed-analgesics-in-sweden-during-2006-2015-an-observational-nationwide-whole-population-study
#20
Emmanuel Bäckryd
Introduction: A potentially illuminating way of looking at gender differences in health and disease is to study differences in drug utilization. The aim of this study was to describe gender differences in dispensed analgesics (including nonsteroidal anti-inflammatory drugs [NSAIDs]) in Sweden during 2006-2015. Materials and Methods: The Swedish Board of Health and Welfare holds an open, Anatomical Therapeutic Chemical (ATC)-based statistical database containing aggregated data on all dispensed prescription drugs in Swedish pharmacies since 2006...
2018: International Journal of Women's Health
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