Current Issue : July - September Volume : 2019 Issue Number : 3 Articles : 9 Articles
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....
Women’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....
Now a day’s people depending on the fast foods and sedentary life style this makes us in a great risk of developing many diseases. The changing life style habits have a great role in this increase in incidence of poly cystic ovarian disease. Poly cystic ovarian syndrome is a complex disorder characterized by excessive androgen production by the ovaries or adrenal which interfere with growth of the ovarian follicles. So it is important to give awareness about poly cystic ovarian disease to our growing adolescence to decreasing the prevalence rate in future. However to our knowledge only a considerable number is aware about the causes management and preventive measures of PCOD and since it is a preventable one to a great extent, we felt the need to conduct a study on it. Hence the researchers thought of taking the task of assessing the knowledge of adolescent girls to impart knowledge through a structured teaching programme which will facilitate prevention of poly cystic ovarian disease in their future life. The study was conducted among 50 first year BSc nursing students, Holy Cross College of nursing, Kollam. One group pre test post test research design was used and the samples were selected by purposive sampling. The demographic variables were used to assess the sample characteristics and structured knowledge questionnaire to assess the level of knowledge regarding poly cystic ovarian disease. The data was analyzed using descriptive and inferential statistics. The study revealed that the average pretest and postest knowledge score was 11.96% and 16.78 respectively. The teaching programme was found to be effective in improving the knowledge (t = 23.81, p < 0.05) regarding poly cystic ovarian disease. There was significant association between knowledge regarding poly cystic ovarian disease and demographic variables of adolescent girls. Hence the study concluded that the knowledge on poly cystic ovarian disease among adolescent girls could be improved by STP....
Objectives: To study the epidemiological profile and the prognosis of the retro-\nplacental hematoma (HRP) at the maternity ward at Kolda Regional Hospital\nCenter. Materials and methods: This was a retrospective descriptive\ncross-sectional study conducted over a period of 11 years: from January 1st,\n2006 to December 31st, 2016, at Kolda Regional Hospital Center. It included\nall patients admitted for HRP during this period. The studied parameters\nconcerned sociodemographic characteristics, gynecological obstetrical history;\nclinical, therapeutic and prognostic data (non-inclusion or exclusion criteria).\nThe data were collected from medical records, the delivery room and\nthe surgery room registers using a collection sheet developed for this purpose.\nThe statistical analysis of the variables studied was done with the software\nEpi-info 3.5. For the qualitative variables, we calculated the frequencies and\nfor the quantitative variables, we studied the distributions. Results: During\nthe study period, 15,343 were recorded deliveries and we carried out the diagnosis\nof HRP in 301 patients (1.97%). The average age of the patients was\n24 years with an average parity of 4.8 deliveries. Almost all the patients\n(87.5%) were evacuated and half had delivered by caesarean section. Maternal\nand fetal deaths were 7% and 72.1%, respectively. Uterine atony accounted\nfor 21.2% of complications. One third of the cases of uterine atony had resulted\nin a hysterectomy. The average duration of hospitalization was 6 days.\nConclusion: The retro-placental hematoma is a serious medico-obstetric\nemergency. It is burdened with high maternal and fetal morbidity and mortality\nin developing countries....
The objective was to describe the maternofetal outcome of childbirth in\nwomen with excessive weight gain during pregnancy. We conducted a\ncross-sectional analytical study over a period of 03 months in the Obstetrics\nDepartment of Laquintinie Hospital in Douala (HLD). Our study population\nconsisted of any pregnant in labor or waiting for a caesarean section. We\ncompared two groups of pregnant women with excessive weight gain during\npregnancy (exposed) and those without excessive weight gain during pregnancy\n(unexposed). We recorded 240 pregnant women who gave birth at the\nHLD maternity, 59 of whom had excessive weight gain during pregnancy,\nwhich gave us a proportion of 24.6%. The only sociodemographic characteristic\nassociated with excessive weight gain during pregnancy was the married\nmarital status of the pregnant women (OR: 2.0 (1.1 - 3.8) P = 0.023). Pregnant\nwomen with maternal complications associated with excessive weight gain\nhad an average elevated uterine height of 35.4 (P = 0.007). The increase in\ncaesarean section rate (P = 0.094) and the onset of pregnancy-related hypertension\n(HTA) showed differences close to significance (P = 0.063). Mean\nbirth weight was higher (P = 0.023) in pregnant women with excessive weight\ngain during pregnancy. Ultimately, excessive weight gain during pregnancy\nhas deleterious effects on the course of pregnancy and childbirth. It promotes\nthe onset of pregnancy HTA and macrosomia....
Female genital mutilation (FGM) is partial or total excision of female external\ngenitalia or other deliberate injury to the female genital organs for\nnon-therapeutic purpose. It is cultural and traditional practice. Female genital\nmutilation may result in immediate complications such as severe pain and\nbleeding and long-term complications such as: psychological, psychosexual,\ntrauma, infertility, urinary and genital complications....
Medulloblastoma is a rare brain malignant lesion, reported more in children\nwith less prevalence among adults and rarely seen during pregnancy. The diagnosis\nof Medulloblastoma is a challenging clinical situation in pregnancy as\nsurgery; radiotherapy and chemotherapy are the choices of management....
Introduction: Female Genital Mutilation (FGM) is a public health problem.\nThere are 100 to 140 million girls and women who suffer every year in the\nworld [1]. The aim of this study is to improve the medical care and reduce\ncomplications of FGM at the Regionalhospital of Nâ??zérékoré, to determine\ntheir frequency, and to evaluate the maternal-fetalprognosis. Methods: The\nstudy was conducted at the Regional Hospital of Nâ??zérékoré. This was a\ncross-sectional, descriptive and analytic study of 6 months, from 1 September\n2016 to 28 February 2017, including all pregnant women admitted for childbirth\nwho had a complication of female genital mutilation. Results: A total of\n1295 women gave birth in the service, of which 1204 women were women with\nfemale genital mutilation. Given a frequency of 92.97%, of these 1204 mutilated\nwomen, 223 presented obstetrical complications during their delivery, a\nproportion of 17.22%. They were mostly young patients, mostly housewives\nwho were not in school. Type II FGM was the most common (53.06%). Obstetric\ncomplications were dominated by complicated perinatal tears (54.08%),\nand hemorrhages (40.81%). The catch was dominated by perineorrhaphy.\nConclusion: The frequency of FGM was 92.97% and that of their obstetric\ncomplications 17.22%. Most were house-wives, not in school. There was FGM\ntype II. The abandonment of FGM would reduce maternal and perinatal morbidity\nand mortality....
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