Current Issue : July - September Volume : 2020 Issue Number : 3 Articles : 6 Articles
Amyotrophic lateral sclerosis (ALS) is a degenerative motor neurone disease that is rarely seen in the obstetric population. We\npresent a 32-year-old patient who presented in her fourth pregnancy with a background history of ALS. There was complete\ninvolvement of the upper and lower motor neurone system and bulbar system without involvement of the sensory system. At 34\nweeks of gestation, she had a full course of steroids and an elective caesarian section under general anaesthesia due to extreme\nrestricted mobility and difficulty of breathing. A multidisciplinary team managed the pregnancy, and both maternal and fetal\noutcomes were good....
Objective. The relationship between serum progesterone and the first trimester pregnancy outcome of threatened abortion is still\ncontroversial. Therefore, we aimed to further study the association between these two parameters. Methods. The present study is\nan observational retrospective cohort study. A total of 726 participants who had threatened abortion from a hospital in\nGuangdong, China, were included in this study from 17th August 2011 to 30th October 2018. The exposure variable and the\noutcome variable were serum progesterone measured at baseline and early pregnancy outcome, respectively. Covariates involved\nin this study included patientsâ?? basic demographics, obstetric history, and clinical information. Results. A negative association\nand a saturation effect were detected between serum progesterone and the first trimester pregnancy outcome. When\nprogesterone <90.62 nmol/L, an increase in 1 nmol/L of serum progesterone was associated with 3% decrease of the risk of\nmiscarriage (OR: 0.97, 95% CI: 0.95-0.98). Conclusion. There was a greater risk of abortion when the serum progesterone level\nwas less than 90.62 nmol/L. Our findings can better assist the clinician in understanding patientsâ?? conditions and making\nmedical decisions....
Every woman has the right to receive satisfactory quality prenatal care in reproductive\nhealth. Giving a life while remaining alive and without sequelae\nmust be the slogan of any gynecologist - obstetrician and midwife, as well as\nany health worker. It was a descriptive cross-sectional study dealing with the\nevaluation of the quality of prenatal consultations at the Kadiolo referral\nhealth center (or RHC). Adevis Donabedianâ??s model for assessing the quality\nof care and services served as a benchmark. According to Donabedian quality\nmeans good technical care, with good interpersonal relationships, and adequate\nand comfortable premises. This study took place from April 24 to December\n04, 2017 and aimed to assess the current level of the quality of prenatal\nconsultations at the Kadiolo referral health center, to study the structures\nin place including infrastructure and personnel, to specify the procedures and\nto determine their results. This work has permitted us to classify the RHC of\nKadiolo at level III with 85%, which means that the references evaluated were\nsatisfactory, with the level of 75% to 94%. In terms of structure, a pricing system\nwas deemed affordable by the opinion of pregnant women. The analysis\nof the level of the human dimension revealed that the health center was level\nIII. The pregnant women were satisfied with the reception which was good in\n76% of the cases, as well as with the quality of the respect of the privacy in\n96% and confidentiality in 95%. Despite the satisfaction of pregnant women,\ngaps remain to be filled in concerning the quality of the services received at\nthe Kadiolo referral health center so as to reach level IV....
Introduction: Among the hypertensive pathologies of pregnancy, preeclampsia\nremains the entity responsible for pregnancy complications. Objective:\nThe aim of this work was to determine the frequency of hypertensive pathologies\nin the peripartum, to determine the maternal and neonatal morbidity\nfactors associated with preeclampsia on the one hand, and on the other hand,\nto other forms of hypertension in the peripartal period. Patients and methods:\nThis is a cross-sectional study of hypertensive pathologies in per partum over a\nperiod of 15 months which have been included any pregnant, parturient and\nhypertensive childbirth. The data was analyzed using SPSS software version\n21.0. Data positioning and dispersion parameters were studied. The factor\nanalysis was performed by determining the odds ratio with a 95% confidence\ninterval and a significance level set at..................
Sertoli-Leydig cell tumors (SLCTs) are rare tumors. Mass and pain are the\npresenting feature. The varying histopathology and differentiation of this\ntumor present difficulties with proper diagnosis and development of optimal\ntreatment regimens. The prognosis depends on tumors grading and staging.\nSurgery is main stay management option. Chemotherapy and radiation options\nare still of choice. We aimed to present Sertoli-Leydig cell tumor managed\nsurgical at Latifa Hospital in Dubai, UAE with acceptable outcome and\ngood patient satisfaction....
Background: Hypertensive disorders of pregnancy are a frequent situation\nand involve about 8% - 10% of pregnancies. Extremes maternal ages have\nbeen associated to hypertensive disorders of pregnancy. In Africa, even if\nmotherhood in teens is common, pregnancy at advanced age is getting more\nand more frequent. Objectives: To investigate the relation between maternal\nage and hypertensive disorders of pregnancy. Methods: A retrospective cohort\nstudy over 8 years was conducted in a suburb setting in Dakar, Senegal.\nThe participants were divided into two groups based on the occurrence of\nhypertensive disorders of pregnancy (HDP). Data were extracted from\nE-Perinatal, our electronic medical recording system and analyzed using SPSS\n20.0 and R Studio software version 1.1.383.51. Maternal and perinatal outcomes\nwere assessed over 3 age groups: <19 years, >34 years and 19 - 34 years\nold. Results: The study included 2226 cases of HDP out of 36,499 deliveries\nleading to an incidence of 6.1%. The proportions of nulliparous, multiple\npregnancies and maternal diabetes were higher in women with HDP. The risk\nof high blood pressure among mothers aged 35 years and over was 1.6 times\nas high as the risk among those aged 19 - 34 years at a significant level before\nand after adjusting for third factors i.e. parity, multiple pregnancy and diabetes.\nHowever, adolescents were found to have the same risk compared to\ntheir counterparts aged 19 - 34 years. Risk of eclampsia was 4 times greater\namong adolescent girls. Conclusion: Advanced maternal age greater than or\nequal to 35 years is a risk factor for high blood pressure. There is no extra risk\nin adolescent girls with regard to high blood pressure; however, risk of eclampsia\nwas higher in this group....
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