Press

Study of Psychiatric Disorders Among Postnatal Women Attending Tertiary Care Referral Centre

M Vijayasree

    Introduction: Postpartum is a period of great vulnerability in a women’s life for developing mental health problems. Postpartum mental health disorders are often underdiagnosed and undermanaged. These Psychiatric illness has great adverse outcome on maternal, neonatal and child health. It is a huge burden on the family and society hence, demanding screening, early diagnosis and treatment.


Quality of Caesarean Delivery and its Determinants in Lubumbashi, Democratic Republic of Congo

Serge KimbeshaKasongo; Olivier Mukuku*; Xavier Kinenkinda; Jean-Baptiste Kakoma

    Cesarean Section (CS) is a major obstetric surgery, widely recognized as an effective means that contributes to the reduction of maternal and perinatal mortality, when its indication is appropriate. CS has been the subject of numerous publications regarding its rate but very little regarding its quality.


Microbe Contamination During Embryo Cultures in an In Vitro Fertilization-Embryo Transfer System

Fengjiao Du; Hongjiao Luo; Ruiqi Li; Yuqin Zhu; Jun Zhao; Ping Yuan; Qingxue Zhang; Wenjun Wang*

    Microbe contamination during embryos culture occasionally occurs in an IVF-ET system. To understand the microbe contamination in embryo cultures in the IVF laboratory, themicrobe contamination rate, the sources of microbes, the early development of embryos and the clinical outcomes of the contaminated IVF cycles were examined.


Gold Deposits within Lysosomes of Placental Cells: Ultrastructural and Quantitative Study

Badri Nedra*; Mhamdi Maroua; Florea Adrian; Matei Horea; Maghraoui Samira; Tekaya Leila

    The placenta is a temporary organ, which has a dual transport function in that it facilitates the passage of some bio-substances to the fetus while acting as a barrier to other materials including metals which may interfere with placental function at many levels. Therefore, any deviation from normal placental development may constitute a potential threat to fetus growth.


Blood, Sweat & Tears - Internal Artery Ligation – Life Saving Procedure

S Fayyaz; Brinderjeet Kaur*

   Hemorrhage in any surgical case can play havoc and can be life threatening. Especially in women, surgical procedures in pelvic area involve close proximity to various major vessels. Pelvic hemorrhage is potentially lethal complication in either obstetrics or gynecological surgeries. Obstetric hemorrhage remains the leading cause of maternal mortality worldwide with an estimated global maternal mortality ratio of 211 deaths per 100,000 live births.


Microcystic Stromal Tumor of the Ovary

Paulette Mhawech-Fauceglia; Jordy Mehawej*; Nicole El Helou; Yan Wang; Tanja Pejovic

   Microcystic Stromal Tumor (MCST) is an ovarian sex cord stromal tumor that has been recently introduced as a new histologic entity, and thus far is considered benign. Herein, we discussed a case of a 53-year-old woman who visited her Obstetrics and Gynecologist for a pelvic pain and post-menopausal bleeding. A total laparoscopic hysterectomy with bilateral salpingectomy was performed.


Female Pelvis Case Report: How a Traditional Anatomy Class can help Medical Students?

Danilo Euclides Fernandes*; Deize Grazielle Conceicao Ferreira Feliciano; Alexandre Augusto Pinto Cardoso

    Background: During anatomy (topographic) chair, we prepared an anatomic piece of an older female pelvis (unknown causa mortis). Here, we present an anatomic piece prepared by medical students that helped us to better understand hypertrophic bladder pathophysiology.
Methods: A traditional corpse dissection guided by an assistant professor.


Intraurethral Laser Therapy: A Solution for SUI III Patient with Extreme Shortly Urethra

Andrzej Kuszka*

    We report the case of a 33 year old patient which SUI grade III after spontaneous delivery. During examination we found out that urethra length was only 15 mm. As normal we see a urethra length of 30-50 mm. Due to this extreme short urethra and increased possibility of unwanted outcome we rejected operation with mesh or string. Therefore patient had local estrogen and Yentreve medication.


Does Laser Make a Difference in SUI-Treatment? 2 Years Study and Longterm Experience Show Promising Results

Andrzej Kuszka*

    Laser for treatment of female SUI symptoms is still part of a controversial discussion. Due to lack of longtime experiences this is reasonable. On the other side we can see a big potential in this therapy: With proper settings laser in SUI treatment is genuinely non-invasive and does not inhibit other therapies. With proper assessment of the patients (SUI I) laser can achieve very convincing and long lasting results.


Prevalence of Pregnancy among Adolescent Living with HIV in Muhoroni Sub County Kisumu County, Kenya

Silas Onyango Awuor*

    Background: HIV-infected pregnant and breastfeeding adolescents are a particularly vulnerable group that require special attention and enhanced support to achieve optimal maternal and infant outcomes. The main aim of the study was to find out the prevalence of pregnancy in adolescent living with HIV, review evidence about Antenatal Care (ANC) service delivery and outcomes for HIV-infected pregnant adolescents in Muhoroni Sub County.


Cervical Pregnancy Combined with Placenta Accrete Spectrum (PAS): A Case Report

YF Chen; HW Su; MM Chou; WC Chen; JJ Tseng; MJ Chen*

    Objective: Cervical pregnancy combined with Placenta Accreta Spectrum (PAS) disorders is challenging both in diagnosis and management. Here, we present a case of cervical pregnancy complicated with placenta increta, and the following treatment and plan.
Case report: A 33-year-old woman, gravida 2, para 1, was diagnosed with cervical pregnancy at an estimated gestational age of 6+6/7 weeks.


Pheochromocytoma During Pregnancy: Two Cases and Management Review

Rachel Bond; Thi Hoang Lan Nguyen; Florence Weber; Michèle Mahone; Isabelle Bourdeau; Ariane Godbout*

    Background: Unrecognized pheochromocytoma during pregnancy is associated with a high rate of maternal and fetal mortality.
Objective: To report 2 cases of pheochromocytoma managed during pregnancy and provide recommendations for clinicians based on the literature.


Complications in Pregnancy in COVID-19 Positive Women

Linn Stenberg*; Micaela Veneziano; Donatella Mascheroni; Matteo Bonatti; Federica Verdi; Monica Braghetto; Jana Žodžika; Martin Steinkasserer

    Introduction: As observed in two Coronavirus epidemics in the past, pregnant women seem to be particularly vulnerable for virus infections and severe clinical outcomes. We retrospectively analysed all complications and their outcome in pregnant women with laboratory confirmed COVID-19 infection admitted to the Provincial Hospital of Bolzano in northern Italy during Corona emergency between 27th February and 27th April 2020.


A Case Report of Premature Ovarian Failure by Asynchronous Bilateral Ovarian Torsion with Dermoid Cyst

Stefania Malmusi*; Mirvana Airoud; Rosamaria Pellegrini; Maria Cristina Galassi

    Adnexal torsion is a serious condition and delay in surgical intervention may result in loss of ovary. Adolescents who have suffered from adnexal torsion may be at risk for asynchronous torsion of the controlateral adnexa. We report the case of asynchronous bilateral ovarian torsion in a 36-year-old woman who at the age 18 year had undergone a left adnexectomy by ovarian torsion. Due to delay of diagnosis, during the urgent surgery, the detorsion involved the spontaneous amputation of the adnexa...


How COVID-19 Affects Expecting Women?

Purshottam Das Gupta*; K Pushkala

    Corona virus is added to the family of pathogenic viruses in 2019. Nearly 18/20 months passed since this virus started infecting human beings and soon it became pandemic. Its behavioural pattern is not well defined towards special conditions/phases of humans. Logically speaking expecting women are immune-compromised and therefore they are vulnerable to this corona (SARS-CoV2) strain...


Deep Infiltrating Ileocecal Endometriosis: Surgical Outcome and Review of the Literature

Elena Suarez-Salvador*; Sadikah Behbehani; Chen Longwen; Matthew Buras; Christine Menias; Paul Magtibay; Tatnai Burnett; Javier Magrina; Johnny Yi

    Objective: To assess clinical features and surgical outcome of patients with deep infiltrating ileocecal endometriosis undergoing ileal or ileocecal resection, through minimally invasive technique (n = 16; laparoscopic 11, robotic 5) or laparotomy (n=5).
Methods: All consecutive patients with histologically proven deep infiltrating ileocecal endometriosis (infiltration into the muscularis propria or deeper) undergoing surgical treatment at Mayo Clinic Rochester and Arizona, between January 2006 and September 2018 were included.


Placental Teratoma, An Unexpected Diagnosis

Zakaria Merad

    The placental teratoma is a rare and benign lesion, with the first case published by MORVILLE in 1925. It is composed of various mature tissues and usually located at the surface of the parietal membranes between the amnion and chorion. Its histogenesis is still debated. This lesion is most often discovered incidentally since it does not imply complications during pregnancy. The acardiac fetus and the stuck twin fetus are two major differential diagnoses...


Neonatal Outcome of Life-Threatening Acute Maternal Illness. Severe Antepartum Hemorrhages and Eclampsia in Tertiary Hospital

Nawal Alsaeed; Husam Salama*; Sawsan Al-Obaidly; Mai Al Qubasi; Shafeeque Kunhi

    Objective: Maternal and neonatal outcomes of two serious obstetrical complications required intensive care admission.
Methods: This is a retrospective hospital-based study. Data for this study was derived from the Qatar Pearl-Peristat Neonatal and Maternal Registry. We targeted pregnant women who developed eclampsia or APH >1.0 L who required intensive care admission.


Maternal and Neonatal Outcomes with Sickle Cell Disease (SCD) in a Tertiary Health Care Hospital in a South Indian Population

Christy Vijay; Nathaniel Fernandes; Jayashree V Kanavi*; Teena TM

    Introduction: Sickle Cell Disease (SCD) is a major risk factor contributing to obstetric complications and perinatal mortality in addition to sickle cell related complication. The management of SCD requires a multidisciplinary approach by teams of obstetricians, anesthesiologists, hematologists, neonatologist and intensive care setups who are capable of managing SCD...


Lessons from Twins-Vascular Anastomosis between Dicorionic-Diamniotic Placentas?

Luis Melo & Isabel Santos Silva

    The image shows 2 placentas from a dicorionic diamniotic pregnancy apparently with an anastomose from twin B umbilical cord to the placenta of the co-twin.
A 37 years -old, G5P3 woman diagnosed with a spontaneous dicorionic diamniotic pregnancy in the first trimester. Twin A had a growth restriction persisting throughout pregnancy.


Potential of Adipose Tissue Derived Stem Cells in Scaffold Assisted Breast Reconstruction

Andi Muh Maulana; Jeanne Adiwinata Pawitan*

    Objective: To provide a simple explanation regarding the utilization of ADSCs in tissue engineering and their use for breast reconstruction.
Methods: Literature searches were performed on April 6 and April 10, 2021 on Google Scholar, using keywords: ‘breast cancer’ and ‘adipose stem cells’. Data were analyzed and presented descriptively in the form of text and figures.


High-Level Human and Animal Experimental Evidence Validates the Importance of Classifying Fetal Heart Rate Decelerations into Early (Non-Hypoxemic) and Late (Hypoxemic) Types

Shashikant L Sholapurkar

    The pathophysiology of fetal cardiovascular and metabolic response to hypoxemia induced by uterine contractions is complex and important. However, in practice, the clinicians have to depend on cardiotocography fetal heart rate patterns in the context of clinical setting. Acute fetal hypoxemia characteristically triggers chemoreflex-mediated decelerations, centre-stage in cardiotocography interpretation...


Association of Postpartum Hemorrhage Complications with its Risk Factors and Surgical Treatment

Samera Albasri*; Orjwan Saud Khayat; Naif Ahmad AlAnsari; Ettidal Atiyah AlJahdali

    Objective: Post Partum Hemorrhage (PPH) is defined as the cumulative blood loss of ≥1,000 ml or bleeding with signs or symptoms of hypovolemia, regardless of the delivery route. Numerous factors directly increase the risk of PPH. Complications may occur because of PPH itself or because of its treatment. We assessed the correlation of PPH complications with its risk factors and surgical interventions...


Spontaneous Splenic Laceration - A Rare and Unusual Complication of A Tubo - Ovarian Abscess

Hazarathamma Makam*; Ami Shukla; Anil Darbar

    A Tubo-Ovarian Abscess (TOA) is a complex potentially life-threatening condition associated with an inflammatory mass involving the fallopian tube and ovary as a sequel of Pelvic inflammatory disease (PID), especially in women of the reproductive age. TOA may be associated with sepsis due to a ruptured abscess causing end organ damage and thus requiring aggressive medical intervention...


Neuromuscular Electrical Stimulation for Perineal Muscle Repair Following Episiotomy: The First Preliminary Study

Ettedal AlJahdali*; Samera AlBasri

    Introduction: The aim of this study was to present our experience in utilizing Neuromuscular Electrical Stimulation (NMES) during primary repair of perineal muscles following episiotomy and, and to assess its benefits and outcomes.
Methodology: This first preliminary study involved18patientswho were indicated for episiotomy during spontaneous vaginal delivery at King Abdulaziz University Hospital, Jeddah, Saudi Arabia between January 2020and June 2021...


Quadruplet Pregnancy Following Single Blastocyst Transfer

Olga Pavlidi; Julia K Bosdou; Polixeni Kyrou; Alexandra Tokmakidou; Angeliki Gerede; Apostolos Athanasiadis; Efstratios M Kolibianakis*

    Purpose: To report a monochorionic monoamniotic quadruplet pregnancy after frozen, single blastocyst transfer and Intracytoplasmic Sperm Injection (ICSI).
Methods: Case report of a 36-year-old woman with her husband aged 39 presented at the out-patient infertility clinic with a history of 4 years infertility, due to tubal factor and oligoasthenospermia...


Placenta Increta: A Diagnostic Challenge for Clinicians and Crucial Role of a Pathologist

Akhil Nadesan; Namita Bhutani*; Kamlesh Pal; AK Sen

    Introduction: Placenta increta is a rare maldevelopment of the placenta that leads to fatal pregnancy-related complications. They are classified into three forms depending on the degree of the spectrum of abnormal placentation. The estimated incidence of placenta increta is 1 in 2500-7000, characterised by the absence of the entire or partial deciduas basalis and incomplete development of the nitabuch layer.


Second Trimester Broad Ligament Ectopic Pregnancy

Tilksew Dagnachew

    Background: Pregnancy in the broad ligament is a rare type of abdominal ectopic pregnancy, in which, the gestational tissue implant between the layers of the broad ligament. The reported incidence of all abdominal pregnancies is 1.4% of ectopic pregnancies. Due to its rarity and great variations of clinical presentation, diagnosis is seldom established before surgery. There is no adequate data beyond few case reports.


Bioengineering Using Scaffolds Restores Endometrium Function in Infertility: A Review

Febriyeni; Andon Hestiantoro*; Asmarinah; Togas Tulandi

    In women of reproductive age, there is often an injury to the endometrium such as endometrial damage or Asherman’s Syndrome (AS), Intrauterine Adhesions (IAU), or endometrial scar formation such as cesarean section, myomectomy, curettage which can cause infertility. To overcome these problems, a uterine tissue engineering strategy emerged using scaffold biomaterials. In this journal, natural and synthetic scaffold materials and cell sheets are used, mostly natural materials, the target species are humans, rattus norvegicus, and rabbit, while the largest target tissue is the endometrium.


Oteseconazole - An advance in the treatment of Recurrent Vulvovaginal Candidiasis?

JD Sobel

    Recurrent vulvovaginal candidiasis (RVVC), a major therapeutic problem worldwide, defies ready cure and serves as a major ongoing challenge with high rates of symptomatic recurrence. Past treatment has been limited to maintenance prophylactic fluconazole regimens which frequently fail to meet the needs of patients and is further challenged by increased rates of fluconazole resistance in C. albicans and non-albicans Candida species isolates.


Oral Health Implications: Maternal and Fetal Outcomes

Stacey McKinney*; Kelli Whittington; Jennifer McKinnies; Titas Roy

    According to the National Vital Statistics Report published by the Center for Disease Control (CDC) in 2023, the number of births recorded in the United States in 2021 was 3,664,292 which was up by 1% from 2020. The general fertility rate also rose amongst all ethnic groups, which was the first time it happened since 2014.


Severe Recurrent Vulvovaginal Candidiasis in a Postmenopausal Diabetic Patient on Empagliflozin, An SGLT2 Inhibitor

Yogitha Sai Vempati; Jack D Sobel*

    Vulvovaginal Candidiasis (VVC) is less common in postmenopausal women because of fungal estrogen dependence. Post-menopausal women with underlying risk factors for VVC, such as hormone replacement therapy, uncontrolled diabetes mellitus, and immunosuppression caused by medication or disease, are at risk for chronic or recurrent VVC. The Sodium-Glucose Cotransporter-2 (SGLT2) inhibitor class has been associated with an increased risk of Genital Mycotic Infections (GMI) and urinary tract infections, likely the consequence of drug-induced glycosuria.


Hysterectomy-Induced Vesicovaginal Fistula Repair Using Platelet Rich Plasma: A Case Report and Narrative Review

Anarys Bonilla; Inevy Seguinot; Denisse Soto; Josefina Romaguera; Fidel Santos*

    A vesicovaginal fistula (VVF) occurs when a connection develops between the bladder and the vagina, and the gold standard treatment is surgical closure. Published data have demonstrated that most of the cases of VVF in developed countries had a surgical etiology, most commonly a hysterectomy. The most common symptom associated with VVF is continuous leakage of urine through the vagina.


The Pregnancy Outcomes of Patients with Antinuclear Antibodies or Antiphospholipid Antibodies Positive Undergo In Vitro Fertilization

Yuke Hou; Ziyi Song; Yuchao Zhong; Zhe Peng; Xi Cai; Yu Xie; Qun Lu*; Xuewu Zhang*; Chun Li*

    Objectives: To explore the prevalence of Antinuclear Antibodies (ANA) and antiphospholipid antibodies (aPLs) in infertile women who experienced In Vitro Fertilization (IVF) failure and to investigate the impact of ANA and aPLs on the pregnancy outcomes of IVF in these patients.


The Effects of Ovarian Hyper Stimulation on Mouse Uterine Dendritic Cells at Early Pregnancy

Maryam Eskandarian; Mojdeh Salehnia; Seyed Mohammad Moazzeni*

    Ovarian induction is widely used in IVF clinics. Following hyper-stimulation, the increase in secretion of estradiol and progesterone by the ovary, can affect the frequency and functions of endometrial immune cells, particularly dendritic ...


Scope and Significance of the Midwifery Profession in Pakistan

Bakhtawar M Hanif Khowaja*; Quratulain M Hanif Khowaja; Faiza Sattar; Musarrat Rani; Mehmooda Afroz Ali Khowaja

    Based on the evidence of a positive association between community midwives and a decrease in maternal mortality rates, the CMWs program was established in Pakistan in 2006 to institute home-based clinics for rural community women, however, the scope and significance of midwives are still questionable. We, therefore, present the findings on the scope and the significance of community midwives that were collected and analyzed as part of a qualitative study on factors influencing community midwives' services in Pakistan. ...


Level of Maternal Satisfaction with Post-operative Pain Management After Caesarian Section Delivery at Debre Markos Comprehensive Specialized Hospital, Debre Markos, Ethiopia, 2022. A Cross Sectional Study

Yitayal Guadie*; Getamesay Demelash

    Background: Patient satisfaction is the individual's positive evaluation of distinct dimensions of health care. The rate of cesarean sections is on the rise and being performed more frequently in recent times. Assessment of maternal satisfaction with postoperative pain management is a vital tool for measuring the quality of care in the health center. ...


"Ferric Carboxymaltose and Iron Sucrose for Treatment of Iron Deficiency Anemia in Pregnancy"

Dimple Rawat; Kantesh M Katti; Deepali Garg; Arun Kumar Yadav; Pushpakala Maharajan; Richa Vatsa; Juhi Bharti; Rinchen Zangmo*

   "Anemia is a condition in which the number of red blood cells or the haemoglobin concentration is lower than normal". Anaemia among different age group is a strong indicator of overall health. Affects infants and young children, pregnant and postpartum women, and menstruating adolescent girls and women. ...


Twin Anemia Polycythemia Sequence in a Monochorionic Twin Gestation: A Case Report

Mira Ibrahim; Rebecca Reyes*

    Twin-twin transfusion syndrome is a rare condition impacting monochorionic pregnancies, in which the placenta is shared by two fetuses. An even more rare condition, as a subtype of twin-twin transfusion syndrome, is twin anemia polycythemia sequence. ...


The "Trisomy 18" in Isolated Fetal Bowel Obstruction

Sau-lan MOK*; Tsz-kin LO; Yuet-yee; Rosanna Ming-sum Wong; Yuk-him TAM; Ivan Fai-man; Wai-fu Ng

    Background: Duodenal atresia is one of the intestinal obstructions that can be diagnosed by prenatal ultrasound. It is commonly associated with Down's syndrome and other congenital anomalies. Case Presentation: We report a case of antenatal diagnosis of duodenal atresia with polyhydramnios in late third trimester. Chromosome microarray (CMA) test of amniotic fluid was normal. ...


Non-Communicating Rudimentary Horn Pregnancy Presenting as a Second Trimester Missed Abortion: A Case Report

Hanna Teklu; Abraham Fessehaye Sium*; Yohannes Godie

    A 23-year-old primigravida woman presented for safe termination of pregnancy after referred as a missed abortion from another center at gestational of 14 weeks. After ultrasound was repeated in our clinic which revealed intrauterine pregnancy with CRL 14 weeks and negative fetal heartbeat, she was provide mifepristone 200mg oral and admitted for medication abortion on the following day of her presentation with the same diagnosis. ...


Low Birth Weight Newborns: Epidemiological Aspects and Neonatal Prognosis within Yalgado Ouédraogo Teaching Hospital, Burkina Faso

Dantola Paul Kain*; Hyacinthe Zamané; Yobi Alexis Sawadogo; Sibraogo Kiemtoré; Ali Ouédraogo; Blandine Thiéba/Bonané

    Introduction: In Burkina Faso, frequency of low birth weight has remained significant hence the interest of our study in order to assess the epidemiological aspects and neonatal prognosis of low birth weight to better target health actions. ...


Contraceptive Conundrum: Unraveling the IUD's Role in Ectopic Pregnancies - Risk Factors, Causes, and Effective Management

Haya Mohammed Abujledan; Asim Mehmood*; Shaharyar Mughal; Alaa Saed Mallah; Faizan Akram

    An ectopic pregnancy occurs outside the uterine cavity and represents a life-threatening health problem for mothers, constituting 1.2-1.4% of all reported pregnancies and causing an increasing proportion of maternal deaths and miscarriage rates. The purpose of this article is to focus on an Ectopic pregnancy; causes, risks, the relationship between IUD; intrauterine devices, and Ectopic pregnancy, and we highlight the treatment of ectopic pregnancy in the end. ...


Rapid Diagnostic of Malaria in Pregnant Women at their First Antenatal Care Contact within Nanoro Health District, Burkina Faso

Dantola Paul Kain*; Hyacinthe Zamané; Issa Ouédraogo; Médina Boumignina Lougue; Sibraogo Kiemtoré; Ali Ouédraogo; Blandine Thiéba/Bonané

    Introduction: Pregnancy raises specific challenges for malaria diagnosis because of the parasite sequestration in the placenta, resulting into low parasitaemia in peripheral blood. This study aimed at assessing the performance of the ultrasensitive rapid diagnostic test (US-RDT) Alere™ Malaria Ag Pf for the detection of Plasmodium falciparum in pregnant women. ...


The Benefits and Challenges of Breastfeeding

Stacey McKinney*

    As stated by the Natural Resources Defense Council, the United States has one of the lowest rates of breastfeeding in the industrialized world, and one of the highest rates of infant mortality. Healthy People 2030 has a target goal projected for 42.4% of infants to exclusively breastfeed through six months and 54.1% of infants to breastfeed through twelve months of age. ...


Assessment of Maternal Satisfaction and its Associated Factor After Spinal Anesthesia for Cesarean Section in Debere Markose Comprehensive Specialized Hospital, East Gojjam Zone, An Amhara Region, Ethiopia, from January to June 2023 G.C

Yitayal Guadie Ashebir*; Yohannes Godie Ashebir; Dires Birhanu

    Spinal anesthesia for cesarean section is an old and well-established method. It was first used in obstetrics in 1901 for pain relief during vaginal delivery and also became popular for cesarean delivery because of its rapid onset and a high frequency of successful blockade. ...


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