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Non-puerperal Uterine Inversion: A Tertiary Category Hospital Case
Momo Romaric Joel Tetsiguia,
Medjom Doris,
Tsafack Marcellin,
Temkou Serge
Issue:
Volume 8, Issue 1, January 2020
Pages:
1-3
Received:
6 October 2019
Accepted:
13 November 2019
Published:
6 January 2020
Abstract: Introduction: Uterine inversion though rare is mainly seen in post-partum period. This paper documents a case of non-puerperal uterine inversion due to leiomyoma. Case presentation: We here in presents an unusual case of non-puerperal uterine inversion due to leiomyoma. A 62-year-old woman, G4P4004, with past history of a polymyomatous uterus presented polymorphous large mass bleeding at contact and coming out of the cervix. Management was surgical. The technique used consisted of an incision on the stricture but we could also proceed by a section of the exterior part and remove the rest by the abdominal approach. The post operatory period was normal. Conclusion: Uterine inversion is a rare pathology but can frequently be a consequence of gynaecological problem like intracavity leimyoma. The diagnosis is clinic and the treatment is surgical.
Abstract: Introduction: Uterine inversion though rare is mainly seen in post-partum period. This paper documents a case of non-puerperal uterine inversion due to leiomyoma. Case presentation: We here in presents an unusual case of non-puerperal uterine inversion due to leiomyoma. A 62-year-old woman, G4P4004, with past history of a polymyomatous uterus prese...
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Use of Intermittent Preventive Therapy for Malaria During Pregnancy and Development of Febrile Illness Among Infants in Nigeria
Ngozi Anayochukwu-Ugwu,
Innocent Anayochukwu Ugwu
Issue:
Volume 8, Issue 1, January 2020
Pages:
4-11
Received:
19 November 2019
Accepted:
17 December 2019
Published:
6 January 2020
Abstract: In most African countries, a good number of pregnant women make multiple antenatal visits providing a major opportunity for the prevention of malaria (associated with febrile illness) in infants through the use of intermittent preventive treatment in pregnancy (IPTp). This study assessed the association between maternal use of IPTp with sulphadoxine and pyrimethamine (SP) and the development of febrile illness in infants. This was a secondary data analysis of the 2013 Nigeria Demographic Health Survey (NDHS) data. Mother-child pairs where the mother was aged 15-49 years and the child was less than one year at the time of the survey were included. Variables such as the use of IPTp-SP and development of febrile illness as well as the socio-demographic and other control variable were analyzed. Chi-square testing and logistic regression were used to determine the association between the use of IPTp-SP and the development of febrile illness. Statistical analysis was done using SPSS version 21 and Statistical significance was set at P<0.05. A total of 6,212 mother-child pairs were analyzed. Chi-square test showed that there was a significant association between the use of IPTp-SP and report of fever in infants. A higher proportion of mothers that used IPTp-SP (15.8%) reported fever in their infants compared with those whose mother did not receive IPTp-SP (11.6%) (P<0.001). Logistic regression showed that mothers that used IPTp-SP were about one and half times more likely to report fever in their infants, before adjustment for confounding variables (OR = 1.46, 95% CI: 1.24 – 1.71, p<0.001). Following adjustment, there was a weaker (though still significant) association between IPTp-SP use and fever in the infants (OR = 1.26, 95% CI: 1.04 – 1.52, p = 0.019). This study found a significant association between the use of IPTp-SP and mothers' report of febrile illness among infants in the two weeks before the survey. This requires further evidence to confirm but highlights the complex relationship between maternal drug exposure and long term susceptibility to illness in offspring.
Abstract: In most African countries, a good number of pregnant women make multiple antenatal visits providing a major opportunity for the prevention of malaria (associated with febrile illness) in infants through the use of intermittent preventive treatment in pregnancy (IPTp). This study assessed the association between maternal use of IPTp with sulphadoxin...
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Diagnostic Accuracy of Doppler Ultrasound for Antenatal Detection of Placenta Accreta Spectrum (PAS) Disorders
Sadia Asghar,
Nafeesa Naz
Issue:
Volume 8, Issue 1, January 2020
Pages:
12-15
Received:
19 November 2019
Accepted:
19 December 2019
Published:
8 January 2020
Abstract: Morbidly adherent placenta a spectrum of condition characterized by invasion of placenta to implantation site. Antenatal diagnosis of placenta accrete spectrum (PAS) is highly desirable because fetomaternal out comes can be optimized. Diagnosis of PAS are accomplished with Doppler ultrasound. It has shown to reduce the burden of fetomaternal morbidity and mortality. The purpose of current study was to check the diagnostic accuracy of Doppler ultrasound in detection of PAS while carefully eliminating bias by controlling confounders we aimed to check the accuracy of Doppler ultrasound in detection of PAS. A cross sectional validation survey was done to find out the diagnostic accuracy of Doppler ultrasound in detection of PAS. The mean maternal age was 28.23±4.31 years. And Mean gestational age was found to be 34.3±1.82 weeks. The mean married age was 3.52±2.39 years. Parity of patients were found to be between 1-15 years with mean parity of 1.6±0.92. Out of 145 patients 3D Doppler ultrasound showed 94 positive cases while per operative findings (Gold standard) showed 90 positive cases. Sensitivity rate was found to be 86.5%, specificity was 90.24%, positive predictive value (PPV) 95.7% and negative predictive value (NPV) 72.5% and diagnostic accuracy of 87.6%.
Abstract: Morbidly adherent placenta a spectrum of condition characterized by invasion of placenta to implantation site. Antenatal diagnosis of placenta accrete spectrum (PAS) is highly desirable because fetomaternal out comes can be optimized. Diagnosis of PAS are accomplished with Doppler ultrasound. It has shown to reduce the burden of fetomaternal morbid...
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The Effect of the Full-time Nursing Staff Accompanying to Elderly Parturients Combined with Percutaneous Electrical Stimulation
Chen Ruihong,
Zuo Li,
Liang Jinjuan
Issue:
Volume 8, Issue 1, January 2020
Pages:
16-19
Received:
19 December 2019
Accepted:
30 December 2019
Published:
21 January 2020
Abstract: This study is to investigate the effect of the full-time nursing staff accompanying to elderly parturients combined with percutaneous electrical stimulation. In our hospital from January 2017 to December 2017, 95 elderly primiparas were randomly divided into control group (48 cases) and nursing group (47 cases). The control group was given perinatal routine care, the observation group was given full-time nursing staff accompanying combined percutaneous electrical stimulation. The delivery pain score, labor process, postpartum bleeding volume, postpartum urinary retention and neonatal Apgar score were compared between the two groups. When the mother's cervical opening is 3cm, the VAS score of nursing group patients was 8.34±1.28, but the VAS score in control group was 5.16±1.87. However, when the mother's cervical is fully opened, The VAS between the two groups is not statistically different. As can be seen from Table 3, in the nursing group of the whole-process companion nursing combined with the percutaneous electrical stimulation treatment, the time of the labor process is two hours lower than the control group. Postpartum bleeding in nursing group was 159.25±40.23 ml, but postpartum bleeding in nursing group was 210.22±40.46 ml. Therefore, the postpartum hemorrhage in nursing group is obviously reduced. In the nursing group, the number of patients with postpartum urine storage was 2, but in the control group, it rose to 11. These results including the time of labor process, postpartum bleeding and the cases of postpartum retention of urine were statistically different between two groups (P<0.05). Apgar score for neonates after birth at 1 minute, 5 minutes or 10 minutes was similar between two groups (P>0.05). The whole course accompanying nursing combined with percutaneous electrical stimulation therapy is used in the natural delivery of elderly parturients to reduce the pain of delivery, shorten the labor process, improve the postpartum hemorrhage and reduce the incidence of postpartum urinary retention. But it had no obvious effect on neonatal Apgar score. In conclusion, the full-time nursing staff accompanying with percutaneous electrical stimulation therapy is safe and reliable.
Abstract: This study is to investigate the effect of the full-time nursing staff accompanying to elderly parturients combined with percutaneous electrical stimulation. In our hospital from January 2017 to December 2017, 95 elderly primiparas were randomly divided into control group (48 cases) and nursing group (47 cases). The control group was given perinata...
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Acceptance and Decline of Pap Smear in a Tertiary Care Setup
Shazia Tazion,
Maimoona Hafeez,
Nishat Akram,
Rukhsana Manzoor,
Nazia Badar
Issue:
Volume 8, Issue 1, January 2020
Pages:
20-23
Received:
2 December 2019
Accepted:
15 January 2020
Published:
4 February 2020
Abstract: Cervical carcinoma is the second most common malignancy of genital tract. Risk factors include early age at first intercourse, smoking and multiple sexual partners. Cervical cancer can be prevented by Pap smear screening test. Pap smear is still an underutilized diagnostic modality in under developed countries. Provision and appropriate treatment should be offered in female. Objective of this study was to address the mindset of our females about pap smear screening and spreading awareness. This descriptive study was done in Obstetrics and Gynecology department of Sharif Medical City Hospital Lahore from January 2017 to January 2018 on 180 patients. Age, parity and duration of marriage were expressed as mean and frequency with percentages. Reasons of acceptance and decline were also expressed as frequency with percentage. The age range of the patient in present study was between 18-62±8.565 years. Regarding marital status, all the recruited females were married. Parity range was from 0-9±2.101 with a mean parity of 3.03. There were 129 females who accepted Pap smear. The most frequent reason for acceptance was recommendation by doctor in 93 (72%) patients. Out of 180 patients, 51 patients were those who decline Pap smear. The reason of decline was fear of pain in 17 (33.3%) patients, fear of a positive result and lack of knowledge. Cervical cancer is a deadly disease which affects the females in their early reproductive year. Screening should be offered in all reproductive females and it should be promoted through media campaigns. It is the responsibility of doctors as well to offer this screening test to all the female coming with or without gynecological complaints.
Abstract: Cervical carcinoma is the second most common malignancy of genital tract. Risk factors include early age at first intercourse, smoking and multiple sexual partners. Cervical cancer can be prevented by Pap smear screening test. Pap smear is still an underutilized diagnostic modality in under developed countries. Provision and appropriate treatment s...
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Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo)
Buambo Gauthier Régis Jostin,
Eouani Max Lévy Eméry,
Mouamba Fabien Gaël,
Ali-Zaoro Fayçal Khalil,
Mokoko Jules César,
Itoua Clautaire,
Pecko Jean Félix,
Iloki Léon Hervé
Issue:
Volume 8, Issue 1, January 2020
Pages:
24-27
Received:
17 January 2020
Accepted:
7 February 2020
Published:
14 February 2020
Abstract: Introduction: Defined as the implantation of endometrial tissue within parietal abdominal structures more superficial than the peritoneum, parietal endometriosis is an exceptional localization of extragenital endometriosis, most often secondary to gynecological obstetric surgery. Clinical observation: We report the case of a 32-year-old patient presenting with an abdominal parietal pain syndrome in comparison with a post-caesarean cutaneous cicatrix, cyclic and rhythmic by menstruation. Ultrasonography of the soft tissues revealed two anterior, heterogeneous hypoechoic nodules with posterior reinforcement. A wide surgery with 1cm of healthy margin allowed the excision of the nodule interesting the subcutaneous tissue and the aponeurosis of the rectus abdominis muscle. The histology was in favour of a focal endometriosis of the abdominal wall extended to the fascia of the rectus muscle. Microscopic examination revealed endometrial glands of variable size, sometimes dilated, bordered by regular cylindrical epithelium, associated with a cytogenic chorion and lymphocytic inflammation, sometimes with blood. Immediate postoperative outcomes were simple. An LHRH analogue protocol (Leuprolide acetate 3.75 mg in one intramuscular injection every 28 days for 6 months) was instituted. Conclusion: Although exceptional, it is appropriate to think of an endometriosis before an abdominal pain syndrome abdominal wall of the woman during periods of genital activity.
Abstract: Introduction: Defined as the implantation of endometrial tissue within parietal abdominal structures more superficial than the peritoneum, parietal endometriosis is an exceptional localization of extragenital endometriosis, most often secondary to gynecological obstetric surgery. Clinical observation: We report the case of a 32-year-old patient pre...
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Effects of Treatment Environment and Intensive Nursing Intervention on Gynecological Oncology Patients
Qiufang Zhang,
Xinke Huang,
Xuefeng Jiang,
Manli Huang
Issue:
Volume 8, Issue 1, January 2020
Pages:
28-31
Received:
14 January 2020
Accepted:
29 January 2020
Published:
21 February 2020
Abstract: Objective: To assess effects of treatment environment and intensive nursing intervention on gynecological oncology patients. Methods: 108 patients diagnosed as gynecological oncology from July 2015 to July 2018. They were randomly assigned to control group and intervention group, the participant had the different nursing measure and new treatment environment in two groups. We collected the result that included quality of life, pain level, immune function and participants characteristics by completing questionnaires, collecting medical records and flow cytometer. In addition, the participants were asked to complete the questionnaires, such as Short Form-36 (SF-36) and Self-report questionnaires. We use flow cytometer (FCM) to assess immunity function of patient. Result: The participants of intervention group had higher increasing in CD8+ (19.88±2.40 vs 17.32±2.88). Additionally, most participants had mild pain in treatment process [30 (50.66%) & 42 (73.24%)] and few participants had severe pain. In addition, few participants had severe pain, very few participants had very pain experience and painless experience in treatment process. In four domains of quality of life, all participants were improved in all domains. Conclusion: Treatment environment and intensive nursing intervention improve the outcome of gynecologic cancer treatment. But the improvement was not significant in the treatment process.
Abstract: Objective: To assess effects of treatment environment and intensive nursing intervention on gynecological oncology patients. Methods: 108 patients diagnosed as gynecological oncology from July 2015 to July 2018. They were randomly assigned to control group and intervention group, the participant had the different nursing measure and new treatment e...
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Assessing Care Nursing Measure for Patients of Induced Abortion
Jiaona Tang,
Xinke Huang,
Hong Zhou,
Xiaojuan Liao
Issue:
Volume 8, Issue 1, January 2020
Pages:
32-34
Received:
14 February 2020
Accepted:
24 February 2020
Published:
3 March 2020
Abstract: Objective: to evaluate influence of care nursing measure on induced abortion patients. Methods: we screened 100 suitable patients to join our study, who were undergoing induced abortion, their information was collected from March 2016 to October 2019. The patients who their age was between 20 and 45 years were randomly assigned to intervention group and a control group. For the two groups, we use the different nursing measure for the patients of different group. In nursing process, we collected their data of anxiety and depression by Self-Rating Anxiety Scale (SAS) and Self-rating depression scale (SDS). In addition, we use interview to collect the status of contraception awareness and contraceptive use. Result: the patients of intervention group had better mental health than patients of control group, that the intervention group had bigger change (48.75±9.17 vs 40.13±7.87, 49.82±9.62 vs 38.74±7.14). For contraception awareness, the result of intervention group is obviously better than that of control group (94.23±3.68 vs 81.93±5.13). The patients still had repeated abortion during follow-up, but patients of intervention group had less repeated abortion status than the control group [5 (10%) vs 1 (2%)]. However, the intervention group had higher contraceptive use rate from our research [28 (56%) vs 46 (92%)]. Conclusion: the care nursing measure had better influence in mental health of induced abortion patient and wonderful effect at precaution consciousness of repeated induced abortion.
Abstract: Objective: to evaluate influence of care nursing measure on induced abortion patients. Methods: we screened 100 suitable patients to join our study, who were undergoing induced abortion, their information was collected from March 2016 to October 2019. The patients who their age was between 20 and 45 years were randomly assigned to intervention grou...
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