Frequency: Quarterly E- ISSN: 2347-2480 P- ISSN: Awaited Abstracted/ Indexed in: CNKI Scholar (China National Knowledge Infrastructure), Ulrichâ??s International Periodical Directory, Google Scholar, SCIRUS
Quarterly published in print and online â??Inventi Rapid/Impact: Obstetrics and Gynaecology (Formerly Inventi Rapid/Impact: Sex & Reproduction)â?? publishes high quality unpublished as well as high impact pre-published research and reviews catering to the needs of researchers and professionals. The audience of this journal includes midwives, maternity care and neonatal nurses, obstetricians, neonatologists, pediatricians and policy makers in sexual and reproductive health. The journal welcomes papers in all the areas of sex and reproduction including family planning, pregnancy, labour and delivery, breast feeding and post-natal care, contraception, abortion, sexually transmitted diseases and HIV, menopause, etc.
Introduction: Since the inception of our hospital in 2011, manual vacuum\naspiration has been in use for the treatment first trimester miscarriages.\nHence there is a need for operational review on its use. Aim: The aim of this\nstudy is to evaluate the determinants and outcome of Manual Vacuum Aspiration\n(MVA) use in our hospital. Method: This was a retrospective study on\nthe use of MVA for various indications in our facility over a 5-year period.\nResults: There were 625 (19.7%) manual vacuum aspirations among 3179\ngynaecological patients seen during the period. The age range of the women\nwas from 15 to 48 years and the mean age was.................
Thomsen disease is a rare genetic disorder which affects the cell membrane of\nskeletal muscles causing hyper excitability and periods of prolonged muscle\ncontraction. This prolonged muscle contractions can be aggravated during\npregnancy and can interfere with normal labour and delivery. In this case report,\nwe describe the case of a gravid patient in her first pregnancy with\nThomsen disease and how to minimise the risk. Also, we illustrate the importance\nof involving multidisciplinary team in the management of such case\nto achieve the best fetomaternal outcome....
Background: Pregnant women in the Democratic Republic of Congo (DRC) are at\nincreased risk for developing obstetric fistulas (OFs) as a result of obstructed labor,\nin conditions similar to many other African countries. No case-control study of biological\nand social risk factors for OF has been reported from the DRC. This study\naimed to identify factors that would aid in prevention and early identification of\nwomen who are at risk of developing OF. Methods: Participants were enrolled in a\ncase-control study at four obstetric clinics in the central DRC. Cases of OF were evaluated\nas they presented, then a control participant was enrolled among women presenting\nsubsequently to the same clinic, seeking to match parity at the time of the\nfistula and tribe of the case. A questionnaire was administered to elicit physical, obstetric,\ndemographic, socioeconomic, religion, geographic, and delivery attributes of\nthe participants. Case-control comparisons sought to identify independent risk factors\nfor OF in the total case-control pairs and in subgroups of the participants. Logistic regression\nwas utilized to identify independent risk factors for OF in the total case-control\nstudy group and in selected subgroups of the participants, and linear regression\nwas utilized to estimate the variation explained between case and control outcomes\nfrom the variables independently significant in the logistic regression models. Results:\nA total of 177 case-control pairs were enrolled. Among all pairs, shorter height of the\ncase (odds ratio = 1.06, 95% Confidence Limits 1.02 - 1.12); more kilometers travelled\nto the delivery site (1.02, 1.01 - 1.02); her village, not town, residence (OR = 5.52, 2.72 -\n11.2), and her lower professional status (2.95, 1.53 - 5.72) were statistically independent\nfactors associated with OF development. When applied in linear regression\ncomparison of the pairs, these variables yielded an r2 = 0.48, imputing 48% of the dif-ference in delivery outcome between the pairs was explained by these variables. Among\nthe 38 pairs who were primigravida, the independent variables were more kilometers\ntravelled to the delivery site (1.02, 1.00 - 1.05), village, not town, residence (50.0, 10.2 -\n248.7), and facility intended for lower patient acuity (3.7 s, 1.01 - 13.6, r2 = 0.66) patients\nwho were matched on parity and tribe, the significant risk factors were professional\nstatus (OR = 0.29), greater distance travelled to the clinic (OR = 1.02, 1.01 -\n1.02), village, not town, residence (5.52, 2.72 - 11.2), and mother�s lower professional\nstatus (2.95, 1.53 - 5.72) when the OF occurred. Conclusions: Our study showed biological\nand social factors associated with the development of OF. Shorter height was the\nonly biological risk factor found to be statistically significant in the study population.\nOther factors were related to limited resources and limited access to medical care....
Introduction. Violence against women has serious consequences for their reproductive and sexual health including birth outcomes.\nIn Ethiopia, though the average parity of pregnant women is much higher than in other African countries, the link between intimate\npartner violence with low birthweight is unknown. Objective.The aim of this study was to examine the association between intimate\npartner violence and low birth weight among pregnant women. Method. Hospital based case-control study was conducted among\n387 mothers (129 cases and 258 controls). Anthropometric measurements were taken both from mothers and their live births.\nThe association between intimate partner violence and birth weight was computed through bivariable and multivariable logistic\nregression analyses and statistical significance was declared at ...
Background: 70% of all gynecological consultations are for abnormal uterine\nbleeding. Any approach to optimal management begins with an appropriate\ndiagnosis. 40% of premenopausal women with abnormal uterine bleeding\nwere found to have some intrauterine pathology. This study aims to compare\nthe diagnostic value of transvaginal ultrasonography in comparison to hysteroscopy\nin detecting uterine abnormalities in patients with abnormal uterine\nbleeding. Methods: Retrospective observational cross sectional study of 250\nwomen presented with abnormal uterine bleeding. The patients who fulfilled\nthe selection criteria and have been sequentially investigated by transvaginal\nultrasound (TVS) and hysteroscopy were included. Results: 90% of patients\nwere from 35 - 49 yrs. 81.2% of patients have body mass index above 25 kg/m2.\nTransvaginal ultrasound (TVS) compared well with high sensitivity as regards\nnormal endometrium. (TVS) missed 4 patients of endometrial polyps and one\npatient of sub mucous fibroid. Three patients of adenomyosis were only diagnosed\nby (TVS); they were reported as being normal by hysteroscopy. Conclusion:\n(TVS) is considered as an excellent approach to the initial evaluation\nof uterine pathologies in patients with abnormal uterine bleeding....
Objective.Women with infertility and recurrent miscarriages may have an overlapping etiology.The aim of this study was to compare\nthe pregnancy loss in pregnancies after IVF treatment with spontaneous pregnancies in women with recurrent miscarriages and to\nassess differences related to cause of infertility. Methods.The outcome from 1220 IVF pregnancies (Group I) was compared with 611\nspontaneous pregnancies (Group II) in women with recurrent miscarriages. Subgroup analysis was performed in Group I based\non cause of infertility: tubal factor (392 pregnancies); male factor (610 pregnancies); and unexplained infertility (218 pregnancies).\nResults.The clinical pregnancy loss rate in Group I (14.3%) was significantly lower than that of Group II (25.8%, ...
Womenâ??s health is considered to be the backbone of society. It is an important health factor among all women in India. Due to inadequate health practices, a chance of acquiring a wide range of gynaecological conditions such as leucorrhoea is of prevalence. With young women occupying a great portion of the population, an incentive to provide knowledge regarding leucorrhoea is imperative. Thus the researcher thought of assessing the knowledge and hygienic practices on Leucorrhea among general nursing students (GNM) which will facilitate the effective management of leucorrhea among GNM students. The study was conducted with 120 female students which were obtained from Lourdes School of Nursing in Kollam District using purposive sampling method; design used was correlational non-experimental design. The data was analyzed by using descriptive and inferential statistics. The study shows that 5% (6) students have good knowledge, 80.3% (97) have average knowledge and 14.16% (17) have poor knowledge regarding leucorrhoea. The practice score was assessed using attitude scale 54.3% agreed to the statements and 45.7% disagreed. The correlation coefficient or r value is 0.943 which indicates there is positive correlation between knowledge and hygienic practices. In relation to knowledge of leucorrhoea among GNM students, The obtained chi-square value was less than the table value for the socio demographic variables like age, type of family, education of parents, occupation of parents and previous knowledge regarding leucorrhoea. Hence it was concluded that there was no association between knowledge scores with selected socio-demographic variables....
Investigator understood primi caesarean mothers (PCM) inadequate knowledge of breastfeeding techniques (BFT)\nand breast engorgement (BE) and unsatisfied practice of BFT causes BE. Good positioning promotes latch, reducing nipple\ntraction and help nipple, areola in infantâ��s mouth to draw milk, emptying breast. PCM need more support, in positioning babies\nfor breastfeeding (BF). A PCM may BF soon after repair and in recovery. Nurse must primarily give practical BF information,\nminimizing BF interference thus preventing BE. Therefore, the study aims assessing knowledge and practice of BFT and BEs.\nSettings for study were made in Father Muller Medical College Hospital and Government Lady Goshen Hospital, Mangalore,\nintended to find correlation between BFT and BE. This study helps us understanding problems and factors responsible for BE.\nDescriptive co-relational approach describes relationship between BFT and BE. Data was collected using selected baseline\nvariable, structured interview on knowledge of BFT and BE, observation checklist for practice of BFT and BE occurrence. Data\nfrom 100 PCM was tabulated, analysed and interpreted considering objectives and hypothesis of the study, using descriptive and\ninferential statistics found that 6% PCM had excellent, 34% good, 54% average and 6% very poor knowledge on BFT and BE.\n11% of the PCM follow excellent, 25% good, 25% average 30% poor and 9% very poor practice of BFT. Above half of samples\n(53%) had BE. 25% had mild, 22% moderate and 6% had severe BE. Negative correlation between practices of BFT and BE\n(�¡=-0.571, p<0.05) showed that wrong practice increased BE. Positive correlation (r=0.701, p<0.05) between mothers\nknowledge on BFT, BE and practice of BFT showed that knowledgeable mothers practice better BFT. Investigator found\ninadequate knowledge of PCM, unsatisfactory BFT which increased BE. Health professionals can use the study in planning\nefficient services for PCM regarding BFT and BE knowledge, developing good practices, reducing complications, having a\nhealthy mother and baby....
Vaginal tumors, whether benign or malignant, are rare. They include fibroepithelial\npolyps (FEPs), which are benign lesions originating in mesenchymal\ncells, comprised of a core of connective tissue covered by squamous epithelium.\nThey are usually small and asymptomatic. When symptomatic or very\nlarge, they may cause bleeding, genital discomfort or the presence of a bulge\nin the vagina. In the last case, they may be mistaken for a genital prolapse.\nAlthough their physiopathology is still not clearly understood, the presence of\nhormonal receptors and the occurrence of FEPs during the use of hormone\ntherapy or pregnancy suggest that changes in the stroma of these lesions may\nbe induced by hormones. We report on the case of a patient who presented\nwith a vaginal bulge and was referred to the urogynecology outpatient ward\nwith a diagnosis of genital prolapse, which had actually a large fibroepithelial\npolyp on the posterior vaginal wall....
Objective: We introduced two novel hemostatic techniques to achieve hemostasis\nfor postpartum hemorrhage (PPH). The first one (A: Uterus Isthmic\nPlication) was a new uterine compression suture, which compresses the hysterotomy\nsite. In a severe case, we further added vessel ligation suture after\nperforming A-suture (B-combination suture: B-suture: A + Wide Lateral Uterine\nVascular Ligation). Methods: Of 140 PPH cases, 90 were with mild PPH\nand 40 were with severe PPH. Our policy was: perform A-suture to mild PPH\nand perform B (combination) to severe PPH. Study was performed during\n2018-2019. The primary endpoint to evaluate the efficacy of the procedures\nwas preserving the uterus (no hysterectomy). Results: A-procedure, performed\nto 90 patients with mild PPH, was effective to all 90 patients, with all preserving\nthe uterus. B-procedure, performed 38 patients with severe PPH (excluding\ntwo patients with uterine rupture), was effective in 37 patients, with\none having undergone hysterectomy due to coagulopathy. Conclusion: Uterus\nIsthmic Plication (A-procedure) and addition of Wide Lateral Uterine\nVascular Ligation to procedure-A (B-procedure) achieved hemostasis in patients\nwith PPH. Prospective study is necessary to confirm the present data....
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