The aim of the study was to determine the possibility and feasibility of using Traumel With no antibiotic prophylaxis to improve wound healing processes on the uterus after cesarean section. 46 maternity hospitals were examined. In 26 patients, Traumel was used in the postoperative period, and in 20 only antibiotic prophylaxis was used. The postoperative period in all women proceeded without complications. But the indices of the involution of the seam area (IIPSH) and neutrophil-lymphocytic index (NLI) indicated more optimal wound healing on the uterus in women who used only Traumel C.
{"title":"Traumel C In Optimizing Wound Healing in The Area of The Incision of The Uterus After a Planned Cesarean Section","authors":"Kramarsky V.A.","doi":"10.31579/2834-8427/007","DOIUrl":"https://doi.org/10.31579/2834-8427/007","url":null,"abstract":"The aim of the study was to determine the possibility and feasibility of using Traumel With no antibiotic prophylaxis to improve wound healing processes on the uterus after cesarean section. 46 maternity hospitals were examined. In 26 patients, Traumel was used in the postoperative period, and in 20 only antibiotic prophylaxis was used. The postoperative period in all women proceeded without complications. But the indices of the involution of the seam area (IIPSH) and neutrophil-lymphocytic index (NLI) indicated more optimal wound healing on the uterus in women who used only Traumel C.","PeriodicalId":438992,"journal":{"name":"Clinical Gynaecology and Breast","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114205122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Early sexual initiation is often considered risky sexual behavior because of its adverse effects like sexually transmitted infection or unintended pregnancy. Thus, in this study, we aimed to assess spatial patterns, and determinants of early age sexual initiation among reproductive women to provide information for the policymakers. Methods: We used cross-sectional data from the 2005-2016 EDHS. We considered all nine regions and two city administrations. We applied multi-level logistic regression for determinants and spatial analysis for their distribution. We used a p-value of less than0.25 to include variables before modeling and a p-value less than0.05 with 95 Percentage CI to declare association. Results: The trend prevalence of early sexual initiation was decreased from 72.90 Percentage to 66.95 Percentage from 2005 to 2016 over the three surveys. Amhara, Afar, Tigray, Benshangul, and Gambella region were hotspots in all 2005, 2011, and 2016 surveys. Eastern Oromia,and Somali had hotspot in 2016 survey. Age, marital status, education, ever had chewed khat, region, and residence were significantly associated with early sexual initiation among reproductive age women. Conclusion: Although we saw decreased early sexual initiation over the three surveys, the problem remained profound in the country and factors like age, marital status, education, ever chewed khat, region, and residence were associated. Enlightening access to education, promotion, and behavioral change among substance users and early marriage were forwarded for improvement by the team to the region holding the problem like in Amhara, Tigray, Afar, and Beneshangul regions.
{"title":"Spatial pattern and determinants of early sexual initiation among women of reproductive age in Ethiopia","authors":"Samuel Hailegebrea","doi":"10.31579/2834-8427/006","DOIUrl":"https://doi.org/10.31579/2834-8427/006","url":null,"abstract":"Background: Early sexual initiation is often considered risky sexual behavior because of its adverse effects like sexually transmitted infection or unintended pregnancy. Thus, in this study, we aimed to assess spatial patterns, and determinants of early age sexual initiation among reproductive women to provide information for the policymakers. Methods: We used cross-sectional data from the 2005-2016 EDHS. We considered all nine regions and two city administrations. We applied multi-level logistic regression for determinants and spatial analysis for their distribution. We used a p-value of less than0.25 to include variables before modeling and a p-value less than0.05 with 95 Percentage CI to declare association. Results: The trend prevalence of early sexual initiation was decreased from 72.90 Percentage to 66.95 Percentage from 2005 to 2016 over the three surveys. Amhara, Afar, Tigray, Benshangul, and Gambella region were hotspots in all 2005, 2011, and 2016 surveys. Eastern Oromia,and Somali had hotspot in 2016 survey. Age, marital status, education, ever had chewed khat, region, and residence were significantly associated with early sexual initiation among reproductive age women. Conclusion: Although we saw decreased early sexual initiation over the three surveys, the problem remained profound in the country and factors like age, marital status, education, ever chewed khat, region, and residence were associated. Enlightening access to education, promotion, and behavioral change among substance users and early marriage were forwarded for improvement by the team to the region holding the problem like in Amhara, Tigray, Afar, and Beneshangul regions.","PeriodicalId":438992,"journal":{"name":"Clinical Gynaecology and Breast","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125534111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Various micronutrients are needed in pregnancy for growth of baby, preventionof disorders which affect mother and baby. Thiamineis one such micronutrient. Pregnantwomen have greaterrisk of deficiency. Research continues. Objectives: Study was conducted to know effects of high dose Thiamine ‘Megathiamine’ for prevention of pregnancy specific disorders, better maternal neonatal outcome so as to be able to use knowledge for maternal - neonatal health promotion even with limited resources as Thiamine does not cost much. Material Methods Study subjects were women with 14±2 weeks pregnancy who presented for prenatal care, had no medical, obstetric disorder at inclusion in study, no contraindication to Thiamine. End point was one week beyond birth. Study subjects,1200 women were divided into two Groups A, B. Each arm with 600 women was given Megathiamine or Placebo in triple blinded way. Women who received Megathiamine or Placebo (known only to pharmacologist not part of care providers ) were followed, up to one week post birth till there were 500 births in each arm . Results After completion of study and analysis of results, decoding revealed that anaemia was almost in double numbers in women who received Megathiamine than those who received Placebo(10 vs 5), Oligohydramnios, Fetal Growth Restriction(FGR) and Hypertensive Diseasesof Pregnancy (HDsP) were not different in both groups.In Megathaimine grouppreterm births and LBW were more than placebo 55 (38.4Percentage) vs 44 (33.88Percentage), respectively in Megathaimine, placebo groups. Admissions to Neonatal Intensive Care Unit (NICU) were more is Megathaimine group comparedto Placebo (45 (0.9Percentage) vs 23 (4.6Percentage). Conclusion Present study revealedthat Megathiamine had no benefitto mother or baby. Excessof Thiamine lead to ill effects in mothers, babies
{"title":"Attempts at Improving Maternal, Neonatal Outcome with Megathaimine","authors":"S. Chhabra","doi":"10.31579/2834-8427/003","DOIUrl":"https://doi.org/10.31579/2834-8427/003","url":null,"abstract":"Background Various micronutrients are needed in pregnancy for growth of baby, preventionof disorders which affect mother and baby. Thiamineis one such micronutrient. Pregnantwomen have greaterrisk of deficiency. Research continues. Objectives: Study was conducted to know effects of high dose Thiamine ‘Megathiamine’ for prevention of pregnancy specific disorders, better maternal neonatal outcome so as to be able to use knowledge for maternal - neonatal health promotion even with limited resources as Thiamine does not cost much. Material Methods Study subjects were women with 14±2 weeks pregnancy who presented for prenatal care, had no medical, obstetric disorder at inclusion in study, no contraindication to Thiamine. End point was one week beyond birth. Study subjects,1200 women were divided into two Groups A, B. Each arm with 600 women was given Megathiamine or Placebo in triple blinded way. Women who received Megathiamine or Placebo (known only to pharmacologist not part of care providers ) were followed, up to one week post birth till there were 500 births in each arm . Results After completion of study and analysis of results, decoding revealed that anaemia was almost in double numbers in women who received Megathiamine than those who received Placebo(10 vs 5), Oligohydramnios, Fetal Growth Restriction(FGR) and Hypertensive Diseasesof Pregnancy (HDsP) were not different in both groups.In Megathaimine grouppreterm births and LBW were more than placebo 55 (38.4Percentage) vs 44 (33.88Percentage), respectively in Megathaimine, placebo groups. Admissions to Neonatal Intensive Care Unit (NICU) were more is Megathaimine group comparedto Placebo (45 (0.9Percentage) vs 23 (4.6Percentage). Conclusion Present study revealedthat Megathiamine had no benefitto mother or baby. Excessof Thiamine lead to ill effects in mothers, babies","PeriodicalId":438992,"journal":{"name":"Clinical Gynaecology and Breast","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115571715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oral cancer is one of the most common malignancies in the head and neck area, which can also be seen during pregnancy. This study was conducted with the aim of following the report of a case of tongue cancer diagnosed during pregnancy. In this study, a 34-year-old woman who was in the 18th week of her first pregnancy noticed an aphthous lesion on her tongue and then developed pain and swelling in her neck and mouth. After biopsy of the lesion, squamous cell carcinoma of the tongue was diagnosed. For this patient, it was decided to undergo chemotherapy and radiotherapy after cesarean section in the 33rd week of pregnancy. The treatment for the patient resulted in iodine and the malignant tumor was reduced. 3 years after the completion of the treatment and with follow-up at regular intervals, there is still no sign of disease recurrence in the individual. Therefore, in addition to more investigations in this field and obtaining more results, it seems that follow-up at regular intervals can be a suitable solution to prevent the recurrence of the disease.
{"title":"Follow-Up of Tongue Cancer Diagnosed During Pregnancy: A Case Report","authors":"K. Abadian","doi":"10.31579/2834-8427/001","DOIUrl":"https://doi.org/10.31579/2834-8427/001","url":null,"abstract":"Oral cancer is one of the most common malignancies in the head and neck area, which can also be seen during pregnancy. This study was conducted with the aim of following the report of a case of tongue cancer diagnosed during pregnancy. In this study, a 34-year-old woman who was in the 18th week of her first pregnancy noticed an aphthous lesion on her tongue and then developed pain and swelling in her neck and mouth. After biopsy of the lesion, squamous cell carcinoma of the tongue was diagnosed. For this patient, it was decided to undergo chemotherapy and radiotherapy after cesarean section in the 33rd week of pregnancy. The treatment for the patient resulted in iodine and the malignant tumor was reduced. 3 years after the completion of the treatment and with follow-up at regular intervals, there is still no sign of disease recurrence in the individual. Therefore, in addition to more investigations in this field and obtaining more results, it seems that follow-up at regular intervals can be a suitable solution to prevent the recurrence of the disease.","PeriodicalId":438992,"journal":{"name":"Clinical Gynaecology and Breast","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128971000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Women empowerment means empowering women to make independent decisions about the basic life issues. Reproductive health services as a key component of sustainable development make couples to voluntarily and on the basis of awareness and thought make proper and responsible decisions about childbirth given their economic, physical and mental abilities. It can lead to a balance between sustainable development and population growth. The purpose of this study was to explain factors affecting women's ability to use reproductive health services. Methods: A review of studies published from 2000 to 2018 in the databases of PubMed, Google scholar, Magiran, Web of Science was conducted using the keywords of empowering women, empowerment, decision-making power, women. It led to retrieving 99 articles in Farsi and English languages, of which 72 unrelated articles and 8 low quality articles were deleted. Lastly, 19 articles on the empowerment of women to use reproductive health services were selected. Findings: It was found that there was a positive relationship between women's empowerment, and decision-making power, education level, financial independence, employment and freedom of action, the use of reproductive health services in women. Higher women's authority, independence and empowerment, the higher the use of reproductive health services in women. Conclusion: Given the effectiveness of empowering women to a better use of reproductive health services, implementing women's empowerment policies is a good strategy for promoting reproductive health in women.
背景:妇女赋权是指赋予妇女对基本生活问题作出独立决定的权利。生殖健康服务作为可持续发展的一个关键组成部分，使夫妇根据其经济、身体和精神能力，自愿并在认识和思考的基础上对生育作出适当和负责任的决定。它可以在可持续发展和人口增长之间取得平衡。这项研究的目的是解释影响妇女利用生殖健康服务能力的因素。方法:以赋权女性、赋权、决策权、女性为关键词，对PubMed、Google scholar、Magiran、Web of Science等数据库2000 - 2018年发表的相关研究进行回顾性分析。检索了99篇波斯语和英语的文章，其中72篇不相关的文章和8篇低质量的文章被删除。最后，选择了19条关于增强妇女利用生殖健康服务能力的文章。研究发现:妇女赋权与妇女的决策权、教育水平、经济独立、就业和行动自由、妇女使用生殖健康服务之间存在正相关关系。妇女的权威、独立和赋权程度越高，妇女利用生殖健康服务的程度就越高。结论:鉴于增强妇女权能以更好地利用生殖健康服务的有效性，实施增强妇女权能政策是促进妇女生殖健康的良好战略。
{"title":"Empowering Women and Use of Reproductive Health Services: Review Article","authors":"K. Abadian","doi":"10.31579/2834-8427/002","DOIUrl":"https://doi.org/10.31579/2834-8427/002","url":null,"abstract":"Background: Women empowerment means empowering women to make independent decisions about the basic life issues. Reproductive health services as a key component of sustainable development make couples to voluntarily and on the basis of awareness and thought make proper and responsible decisions about childbirth given their economic, physical and mental abilities. It can lead to a balance between sustainable development and population growth. The purpose of this study was to explain factors affecting women's ability to use reproductive health services. Methods: A review of studies published from 2000 to 2018 in the databases of PubMed, Google scholar, Magiran, Web of Science was conducted using the keywords of empowering women, empowerment, decision-making power, women. It led to retrieving 99 articles in Farsi and English languages, of which 72 unrelated articles and 8 low quality articles were deleted. Lastly, 19 articles on the empowerment of women to use reproductive health services were selected. Findings: It was found that there was a positive relationship between women's empowerment, and decision-making power, education level, financial independence, employment and freedom of action, the use of reproductive health services in women. Higher women's authority, independence and empowerment, the higher the use of reproductive health services in women. Conclusion: Given the effectiveness of empowering women to a better use of reproductive health services, implementing women's empowerment policies is a good strategy for promoting reproductive health in women.","PeriodicalId":438992,"journal":{"name":"Clinical Gynaecology and Breast","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125463607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Women awareness and full knowledge about using contraception methods and their side effects given by health care providers are important for satisfaction and compliance. Dissatisfaction with contraceptive methods may lead to unplanned pregnancies. Objectives: To evaluate using contraception, and methods, satisfaction about current used contraceptive methods, women satisfaction with their knowledge about contraception's and feedback of women regarding suggestions to improve health care education for women using contraception. Design: Cross sectional population-based survey study. Results: 2179 women completed the survey. A 1740 women reported using contraception (79.85 Percentage of sample), while 438 women are not using any contraception (20.14 Percentage). In total of 24.42 Percentage of contraception's are not prescribed by health care provider. Most of the user satisfied with combined oral contraception then cupper intra uterine device. 54.48 Percentage of surveyed women asked for enough time to discuss with physician about contraception. Conclusions: The women are Saudi Arabia needs more contraception counseling and education. It should include the husband during counseling and education regarding contraception. The health care provider needs to be well informed about updates in the medical practice and inform their patients accordingly. We suggest national program for women health care and family planning education.
{"title":"Women Satisfaction with Contraception Methods in Saudi Arabia: Cross Sectional Population Based Survey Study","authors":"Hanifah Bukhari","doi":"10.31579/2834-8427/005","DOIUrl":"https://doi.org/10.31579/2834-8427/005","url":null,"abstract":"Background: Women awareness and full knowledge about using contraception methods and their side effects given by health care providers are important for satisfaction and compliance. Dissatisfaction with contraceptive methods may lead to unplanned pregnancies. Objectives: To evaluate using contraception, and methods, satisfaction about current used contraceptive methods, women satisfaction with their knowledge about contraception's and feedback of women regarding suggestions to improve health care education for women using contraception. Design: Cross sectional population-based survey study. Results: 2179 women completed the survey. A 1740 women reported using contraception (79.85 Percentage of sample), while 438 women are not using any contraception (20.14 Percentage). In total of 24.42 Percentage of contraception's are not prescribed by health care provider. Most of the user satisfied with combined oral contraception then cupper intra uterine device. 54.48 Percentage of surveyed women asked for enough time to discuss with physician about contraception. Conclusions: The women are Saudi Arabia needs more contraception counseling and education. It should include the husband during counseling and education regarding contraception. The health care provider needs to be well informed about updates in the medical practice and inform their patients accordingly. We suggest national program for women health care and family planning education.","PeriodicalId":438992,"journal":{"name":"Clinical Gynaecology and Breast","volume":"06 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130580415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sepsis occurs when the body's response to the infection causes damage to its own tissues and organs and can cause the significant deterioration of the patient's condition and even his death. It is estimated to affect more than 30 million people each year and can kill 6 million people. This problem is quite typical for low- and middle-income countries. According to the WHO, sepsis occurs annually in 3 million newborns and 1.2 million of children.
{"title":"Sepsis: The New Approach to The Successful Solving of The Problem","authors":"L. Ostapiuk","doi":"10.31579/2834-8427/004","DOIUrl":"https://doi.org/10.31579/2834-8427/004","url":null,"abstract":"Sepsis occurs when the body's response to the infection causes damage to its own tissues and organs and can cause the significant deterioration of the patient's condition and even his death. It is estimated to affect more than 30 million people each year and can kill 6 million people. This problem is quite typical for low- and middle-income countries. According to the WHO, sepsis occurs annually in 3 million newborns and 1.2 million of children.","PeriodicalId":438992,"journal":{"name":"Clinical Gynaecology and Breast","volume":"360 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115907378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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