Current Issue : January - March Volume : 2017 Issue Number : 1 Articles : 7 Articles
Type of delivery is one of the most important determinants of health status of women. Assessment of health status is of utmost importance. Improving postpartum quality of life will lead to improvement of quality of life of mothers, children, individuals and the community. Considering the importance of postnatal quality of life, this study aimed to compare women’s health status after vaginal delivery and cesarean section. This comparative study included a convenient sample of 200 primipara women of Village Payal, district Ludhiana, Punjab (India). The participants’ health status was assessed by using a self structured checklist, consisted 33 statements on health outcomes after delivery (either vaginal or cesarean delivery). Data were analyzed inferential and descriptive statistics. Maximum i.e. 95% of women with caesarean section had moderate health problems whereas it was 43% in case of women with vaginal delivery. There were no severe health problems among women with vaginal delivery while 5% of women with cesarean section had severe health problems. More than half i.e. 57% of women with vaginal delivery had only mild health problem. Considering women’s health status after vaginal delivery, compared to cesarean section, it seems that vaginal delivery is a safe option, which is recommended for all pregnant women....
Background. Antenatal care (ANC) attendance helps pregnant women to benefit from preventive and curative services. Methods.\nDeterminants for ANC attendance were identified through a cross-sectional survey in the Democratic Republic of Congo.\nSociocultural bottlenecks were assessed via focus groups discussion of married men and women. Results. In this survey, 28 of the\n500 interviewed pregnant women (5.6%) did not attend ANC services and 82.4% booked over the first trimester.The first visit is\npositively influenced by the reproductive age (OR: 0.52, 95% CI(0.28ââ?¬â??0.95), ...
Introduction. This study sought to investigate potential determinants of patient delay amongMoroccan women with cervical cancer.\nMethods. A cross-sectional study was conducted from June 2014 to June 2015 at the National Institute of Oncology in Rabat. Data\nwere collected using questionnaire among patients with cervical cancer locally advanced or metastatic (stages IIAââ?¬â??IVB). Medical\nrecords were abstracted to complete clinical information. An interval longer than 90 days between discovery of initial symptoms\nand presentation to a provider was defined as a patient delay. Results. Four hundred and one patients with cervical cancer enrolled\nin this study. The mean age was 52.4 years (SD = 11.5). 53.6% were illiterate. Abnormal vaginal bleeding was identified for 65.8%\nof patients. 60.1% were diagnosed at stages IIA-IIB. 55.4% were found having patient delay. The regression analyses showed the\nassociation between literacy (...
Background: Estimating the true risk of fetal malformations attributable to the use of medications is difficult and\nperception of risk by health professionals will impact their counseling and treatment of patients who need medication\nduring pregnancy. The objective of this study was to assess the perception of the teratogenic risk of 9 commonly and\n3 rarely prescribed drugs among general practitioners and specialists in obstetrics/gynecology.\nMethods: All 811 general practitioners in the Region of Southern Denmark and all 502 specialist obstetricians/\ngynecologists in Denmark as a whole were invited to participate in the study based on an online questionnaire.\nMedians and interpercentile ranges of the perceived background risk and perceived risks for each of the drugs were\nincluded in the questionnaire.\nResults: One hundred forty three (18 %) general practitioners and 138 (27 %) obstetricians/gynecologists\nparticipated. Estimates provided by the participants were generally in accordance with current knowledge\nof drugs with established safety during pregnancy. Perceptions of risks associated with warfarin and retinoid\nexposure were severely underestimated.\nConclusions: Understanding of teratogenic background risk and specific risks associated with in utero exposure to 12\ndifferent drugs generally approached the established knowledge. The risk associated with warfarin and retinoid\nexposure was severely underestimated by both groups of health care professionals, while general practitioners\nspecifically overestimated the risk of sertraline and citalopram to some extent. In Denmark, general practitioners\ncan prescribe antidepressants, and even minor misconceptions of the teratogenic potential of citalopram and\nsertraline may be of clinical relevance. In Denmark, systemic retinoids can only be prescribed by a dermatologist,\nand warfarin treatment is only rarely initiated in women of the fertile age without involvement of specialists in\ninternal medicine. Hence, the active knowledge on the teratogenic potential of these drugs is likely to be less\naccurate among general practitioners and obstetricians/gynecologists; although still of clinical importance since\nthese specialists are largely involved in the counselling of pregnant women....
Objective. To determine plasma markers of oxidative stress during the second and third trimester of pregnancy in patients with\ngestational diabetes mellitus (GDM). Study Design.We conducted a prospective nested case-control study involving 400 pregnant\nwomen, 22 of whom developed GDM. As control group, 30 normal pregnant women were chosen randomly. Plasma samples\nwere analyzed for 8-iso-prostaglandin F2...
Introduction: Breast cancer is the most common cancer and the first cause of cancer-related\ndeaths among women in Cameroon. The aim of the study was to investigate\nits risk factors for breast cancer at two University Teaching Hospitals in\nYaound�©. Methodology: A case-control study was conducted for 5 months, from\nFebruary 25th to July 25th 2015, at the Gynecology unit of the Yaound�© Gyneco-Obstetric\nand Pediatric Hospital (YGOPH) and the Medical Oncology unit of the\nYaound�© General Hospital (YGH). One hundred and five patients with breast cancer\n(cases) were compared to 210 women who did not have breast cancer (controls).\nSPSS Version 18.0.0 software was used to analyze the data with a statistical significance\nconsidered at P-value < 0.05. Results: After univariate analysis, risk factors associated\nwith breast cancer were: patient age > 50 years (P < 0.00; OR = 4.16; CI =\n[2.50 - 7.14]); widowhood (P = 0.001; OR = 3.45; CI = [1.7 - 6.9]), monthly income <\n86 US dollars (P = 0.002; OR = 2.19; CI = [1, 31 - 3.65]), primary level of education\n(P = 0.005; OR = 2.11; CI = [1.25 - 3.56]), consumption of red meat > three times per\nweek (P = 0.002; OR = 2.14; CI = [1.33 - 3.45]), palm oil consumption > two times per\nweek (P = 0.001; OR = 2.38; CI = [1.4 - 4.1]). After multivariate analysis, age > 50\nyears (aOR = 41.48; CI = [2.46 - 69.9]) and consumption of red meat > three times\nper week [aOR = 7.33; (1.49 - 36)] were the risk factors considered significant for\nbreast cancer. Conclusion: Age > 50 years and red meat consumption are independent risk factors for breast cancer at the Yaound�© General Hospital and at the\nYaound�© Gyneco-Obstetric and Pediatric Hospital....
Background: Detection of Ureaplasma, Mycoplasma and Candida spp. in the vagina during pregnancy has previously\nbeen associated with preterm birth (PTB). However, the prevalence of these microorganisms and the associated obstetric\nrisks (likely to be population-specific) have not been determined in Australian women; furthermore, in the case\nof Ureaplasma spp., very few studies have attempted characterisation at the species level and none have examined\ngenotype/serovar status to further refine risk assessment.\nMethods: In order to address these issues we sampled the vaginal fluid of 191 pregnant Australian women at\nthree time points in pregnancy. Culture methods were used for detection of Ureaplasma spp. and Candida spp.,\nand real-time PCR was used for speciation of U. parvum and U. urealyticum, non-albicans Candida spp., Mycoplasma\nhominis and Mycoplasma genitalium. High-resolution melt PCR was used to genotype U. parvum. Data on\nvarious lifestyle factors (including sex during pregnancy and smoking), antimicrobial use and pregnancy outcome were\ncollected on all participants. Chi-square tests were used to assess the association of vaginal microorganisms with PTB.\nResults: Detection of Ureaplasma spp. was higher among spontaneous PTB cases, specifically in the presence of\nU. parvum [77 % preterm (95 % confidence interval (CI) 50ââ?¬â??100 %) vs. 36 % term (CI: 29ââ?¬â??43 %), p = 0.004], but\nnot U. urealyticum. The association with PTB strengthened when U. parvum genotype SV6 was detected (54 %\npreterm (CI: 22ââ?¬â??85 %) vs. 15 % term (CI: 10ââ?¬â??20 %), p = 0.002); this genotype was also present in 80 % (4/5) of\ncases of PTB <34 weeks gestation. When present with Candida albicans in the same sample, the association\nwith PTB remained strong for both U. parvum [46 % preterm (CI: 15ââ?¬â??78 %) vs. 13 % term (CI: 8ââ?¬â??18 %), p = 0.005]\nand U. parvum genotype SV6 [39 % preterm (CI: 8ââ?¬â??69 %) vs. 7 % term (CI: 3ââ?¬â??11 %), p = 0.003]. With the\nexception of Candida glabrata, vaginal colonisation status for all organisms was stable throughout pregnancy.\nSmoking significantly increased the likelihood of detection of all target organisms.\nConclusions: These data suggest that the presence of different species and serovars of Ureaplasma spp. in the\nvagina confers an increased risk of spontaneous PTB, findings which may be useful in risk assessment for identifying\nwomen who would benefit from antimicrobial treatment....
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