Obstetrics & Gynecology International Journal
EISSN : 2377-4304
Current Publisher: MedCrave Group, LLC (10.15406)
Total articles ≅ 495
Latest articles in this journal
Obstetrics & Gynecology International Journal, Volume 12; doi:10.15406/ogij.2021.12.00551
Introduction: Breast cancer is the most common cancer-affecting women worldwide. Western current perspectives are starting to comprehend cancer as a systemic disease from the start. In TCM, the formation of cancer is associated energy deficiencies with Heat retention. Spleen deficiency is one of the major causes of formation of Phlegm leading to the formation of tumors. There are studies associating the five elements in TCM with chakras’ energy centers and measuring the chakra, the author will be measuring the internal massive organs energy. Purpose: To demonstrate that there is chakras’ energy deficiencies chronically present in the body of the patient with breast cancer. Also, to analyze the importance of treating the subject systemically, through the replenishment of chakras’ energy centers. Methods: two cases report, both were female patients (42 and 56years old), with the diagnosis stress and anxiety in the first and the second with diagnosis of sub retinal fluid retention, both patients with past history of breast cancer twenty and six years ago, removed with surgery. Chakras’ energy measurement through radiesthesia procedure was done. Results: all the chakras were in the lowest level of energy, rated in one out of eight. Conclusion: patients with history of breast cancer have chakras’ energy centers deficient in energy and the replenishment of these chakras is the major importance to prevent future formation of metastasis, new cancer in other sites or the formation of any chronic diseases.
Obstetrics & Gynecology International Journal, Volume 12; doi:10.15406/ogij.2021.12.00550
We present the case of a 26-year-old female who experienced secondary postpartum hemorrhage nine days after an uncomplicated elective repeat low transverse cesarean section. She was found to have a uterine pseudoaneurysm and underwent gel foam embolization of the right uterine artery. Subsequently, patient was diagnosed with pulmonary embolism on post-embolization day 3, and was initiated on anti-coagulation regimen.
Obstetrics & Gynecology International Journal, Volume 12; doi:10.15406/ogij.2021.12.00549
Background: Meigs’ syndrome is the triad of ovarian neoplasm, ascites and pleural effusion, while Pseudo-Meigs’ syndrome is the presence of ascites and pleural effusion with other pelvic tumors. Ascites resolves after tumor resection. Our case does not meet classic criteria for either but is likely a variant of Pseudo-Meigs’ syndrome. Case: A 30-year-old female had multiple Emergency Department visits for abdominal pain, distention, and shortness of breath. Imaging showed severe abdominal ascites with a large leiomyomatous uterus but no pleural effusions. Multiple paracenteses revealed benign cytology. After counselling, she underwent an abdominal myomectomy which resolved her recurrent ascites. Conclusion: Variants of Pseudo-Meigs’ syndrome should be considered in the differential of abdominal pain and leiomyomas with ascites, and surgical management should be offered.
Obstetrics & Gynecology International Journal, Volume 12; doi:10.15406/ogij.2021.12.00548
In pregnant women, parasitic diseases constitute an important public health problem due to physiological factors that characterize this stage. That is why it is crucial to review different aspects of the parasite-host interaction as tools for the prevention and control of these pathologies during pregnancy, the objective of this paper. This is a documentary-type investigation. The information obtained was grouped into 6 chapters: resistance or susceptibility of pregnant women to parasitic diseases, anemia and parasitic diseases in pregnant women, relationship between micronutrient deficiency and parasite infection in pregnant women, congenital transmission of parasites, treatment of some parasitosis in pregnant, and conclusions.
Obstetrics & Gynecology International Journal, Volume 12; doi:10.15406/ogij.2021.12.00547
Background: Uterine cancer is one of the common women’s cancers worldwide. There are significant variations in uterine cancer incidence rates globally and the incidence in Egypt is one of the lowest. Several studies have shown that hysterectomy might be a factor in underestimating the observed incidence of uterine cancer. However, no studies have been conducted in Egypt to examine this observation. Methods: Pathologic reports of all 1040 hysterectomy specimens examined in 2013 and 2014 in the Gharbiah province, Egypt were abstracted. Prevalence of hysterectomy was estimated and used for adjusting the incidence rate of uterine cancer in the Gharbiah population-based registry by excluding the hysterectomized women from the population at risk. Pre- and post- adjustment rates were compared and 95% confidence intervals (CIs) were calculated. Results: The prevalence of hysterectomy was estimated as 13.1 per 10,000 women, 95% CI (12.65-13.66). The prevalence of hysterectomy did not have a significant impact on uterine cancer incidence [pre-adjustment (2.78, 95% CI 2.58-3.00) and post-adjustment (2.79, 95% CI 2.58-3.00)]. Observing a significant effect of hysterectomy on underestimating the incidence of uterine cancer in this population required multiplying the observed prevalence by at least 110 times. Discussion: This study confirmed the previously documented low incidence of uterine cancer in this population of Egypt. The lack of evidence about the possible role of hysterectomy in lowering uterine cancer incidence justifies the need for additional research to identify the protective factors for uterine cancer in this population.
Obstetrics & Gynecology International Journal, Volume 12; doi:10.15406/ogij.2021.12.00546
Background: Corona virus disease 2019 (covid 19) is a virus that affect the respiratory tract with a recently identified coronavirus emerged as a zoonotic virus that infect human. Objective: The aim of the study was to assess the level of awareness between pregnant women about the corona virus and how to deal with the coming new born, their children and relatives and their level of knowledge about symptoms and methods of prevention and to counsel them how to prevent the spread of the disease and when to seek a medical advice for better maternal, neonatal and child health. Patients and methods: A prospective descriptive study was made in the period from 25 march to 25 May 2020, 324 multigravida pregnant women who have previous living children were included into this study, every pregnant woman was asked questions in a questionnaire form to assess the women awareness regarding symptoms of covid 19 and how to prevent themselves and their children and relatives from infection with corona virus. Results: The questionnaire that was made to women attending antenatal care clinic revealed a high degree of knowledge about symptoms of covid-19, with the highest level for dyspnea (98.5%) in between tem, wile for cough 97.5% of the women knows that cough is one of its symptoms, Also 95.4% of these ladies are aware that fever is one of the alarming criteria of the disease. Conclusion: Pregnant women included in the present study have a high level of awareness regarding covid-19 symptoms and how to avoid virus transmission. We tried to increase the level of awareness between Pregnant women and their children, so we made a thorough counseling to these pregnant ladies regarding crucial points to follow during the pandemic to prevent their exposure and their children exposure to infection, when to seek medical help and how to follow up their pregnancy during the pandemic.
Obstetrics & Gynecology International Journal, Volume 12; doi:10.15406/ogij.2021.12.00545
We present the case of a 58-year-old gravida 2, para 2 post-menopausal female who presented with a vulvar abscess which later progressed to osteomyelitis of the pubic symphysis. Osteomyelitis of pubic symphysis secondary to vulvar abscess is a rare complication, however, can be associated with significant morbidity. Although rare, most documented cases in obstetrics and gynecology occur after vaginal delivery in the post-partum period. High degree of comorbidities in affected patients, as well as the limited anatomy of the pelvic bones, makes treatment of pubic osteomyelitis challenging. Prompt diagnosis and treatment is recommended to decrease patient morbidity and mortality, and oftentimes requires prolonged periods of treatment by multidisciplinary teams.
Obstetrics & Gynecology International Journal, Volume 12; doi:10.15406/ogij.2021.12.00544
Objetives: Compare the efficacy and post-surgical complications of single-incision sling (SIS) and transobturator band (TO) for the treatment of stress urinary incontinence (SUI) over 7 years’ follow up. Methods: This is a prospective observational study that included 289 women with SUI who went under surgical treatment, either TO (109) or SIS (180). Patients were evaluated pre- and postoperatively through anamnesis, physical examination and ultrasound. Epidemiological information, complications and surgical time were recorded. The primary outcomes were total continence, objective and subjective cure rates at 7-year follow-up. Statistics: T-Student or U-Mann-Whitney for quantitative variables, Chi-Square for qualitative variables. Results: The groups were similar regarding demographic and medical history parameters, except for age and arterial hypertension, which were higher in TO group, and that SIS patients were more physically active tan TO patients. The TO band compared to SIS associated with increased frequency repair of pelvic organ prolapse. Depending on the type of urinary incontinence, pure SUI was more frequent in SIS and mixed in TO. The duration of the surgery was shorter with SIS. During the 7-year follow up there were no differences in the objective cure, subjective cure and complication rates. Conclusion: After 7-years follow-up, no significant differences were found with regard to subjective and objective outcomes, and post-surgery complication rates between the single incisión sling and the transobturator band.
Obstetrics & Gynecology International Journal, Volume 12; doi:10.15406/ogij.2021.12.00543
Background: Multiparous women who have previously delivered vaginally are generally considered to be at low risk for cesarean section. We aimed to determine the incidence rate and indications for primary cesarean section and operative vaginal deliveries among multiparous women with previous vaginal births. Patients and methods: Multiparous women who had delivered their babies in our clinic between January 2004 and December 2019 were enrolled in this retrospective observational study. The inclusion criteria were as follows: delivery at 37 weeks of gestation or more, singleton pregnancy with a live fetus, had one or more past vaginal deliveries including instrumental vaginal birth, and no history of previous cesarean section. Women with placenta previa, abruptio placentae, severe pregnancy-induced hypertension, and uncontrolled medical diseases were referred to tertiary hospitals and excluded from this study. The frequency of occurrence and indications for cesarean section and vacuum extraction, duration of labor, and the effect of induction of labor on the cesarean section rates were analyzed. Results: A total of 3094 multiparous women were enrolled. Primary cesarean section was performed in 30 women (30/3094=0.97%). The indications for cesarean section included the following: breech presentation in 28 women, myomectomy after the first vaginal birth in one (of 29 elective cesarean sections), and failed vacuum extraction after a prolonged second stage in one (one emergency cesarean section). Vacuum extraction was performed in 61 women (61/3094=2.0%), the indications for which were non-reassuring fetal status (n=38), prolonged 2nd stage of labor (n=10), and narrow pelvic outlet (n=10). Vaginal breech delivery occurred in 11 women. Induction of labor (n=402) did not affect the cesarean section rate. Conclusion: In multiparous women, breech presentation was the main indication for primary cesarean sections, and the cesarean section rate was very low in women with cephalic presentation.
Obstetrics & Gynecology International Journal, Volume 12; doi:10.15406/ogij.2021.12.00541
Prudence is very necessary in daily life and it is often necessary to cultivate it. His teaching has been emphasized since the Greek classics. We wonder if enough is taught at home, at school, during the study of medical sciences and we appeal to Haynes, Pellegrino and Maio in search of virtues, acts and clinical habits that link prudence with ethics and humanism. Prudence is all practical knowledge applicable and suitable for the direction of customs. In Greek it is called “fronesis” and in Latin it is called “prudentia”. Reference is made to the man who foresees, who knows in advance, who acts with cautious knowledge, the foresighted, reflective man.1–3 The Royal Spanish Academy defines it in three ways: Temperance, caution, moderation; Sanity, good judgement; and Cardinal Virtue that allows to distinguish good from bad.4