Brinderjeet Kaur

DOI : 10.32474/IGWHC.2019.04.000177

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Cesarean section is the most common surgical procedure in the world. Cesarean Section on Maternal Request (CSMR) is one that is performed on pregnant woman without any medical or obstetrics indications and without contraindication to vaginal delivery. CSMR should never be performed before <39 weeks. There is increased incidence of CSMR worldwide, not only for perceived medical benefits but due to social, cultural and lifestyle changes. The validity of consent for CSMR is invalid and the ethical principles surrounding the use are complicated. It is of utmost importance that it does not dent resources of country and deprive care to woman requiring medically individualized care. It is necessary for obstetrician dealing with request for CSMR that they establish reasons for request provide clear unbiased opinions and seek second opinion from a..... ReadMore

Ahmed Hagras and Maha M Hagras

DOI : 10.32474/IGWHC.2019.04.000176

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Abstract: Background: Preeclampsia a chief clinical scenario in obstetric medicine, having highly morbid and grave sequalae particularly if rapidly progressive and left unmanaged. The complexity of immune system components involvement is integrated in the preeclampsia pathology as immune based pathology is one of the cornerstone theories for preeclampsia development that have raised the issue that immune dysfunction affection is an issue that could be investigated in recent research efforts to reveal any immunological biomarker that could be implemented as a predictability tool for preeclampsia development and severity. Aim: To investigate the possible usage of immune biomarkers in prediction of preeclampsia. Methodology: The current study was conducted at Departments of Obstetrics & Gynecology and Clinical Pathology, Tanta Universit..... ReadMore

Ayman El-Dorf and Maha M Hagras

DOI : 10.32474/IGWHC.2019.03.000175

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Abstract: Background: Preeclampsia at molecular and cellular levels was observed as a disease of placentation that is affected by interaction of various factors that could trigger the disease pathological course and behavior. Prenatal environmental metals exposure is considered a cornerstone factor that could trigger the clinical presentation of preeclampsia due to toxic effects of some trace metals, besides the deficiency of some trace elements is considered a crucial issue in cell apoptosis and remodeling is one of the characteristic features of trophoblastic invasion. Aim: To investigate the predictability value of trace metal screening in predictability of preeclampsia clinical development. Methodology: The current research clinical trial is prospective in manner that recruited 420 research study subjects from January 2017 till Ap..... ReadMore

Naglaa Hussien* and Mohamed Hashem El Refaey

DOI : 10.32474/IGWHC.2019.03.000173

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Background: Preterm premature rupture of membranes is a chief clinical scenario in obstetrics causing morbidity and mortality issues at maternal and fetal levels. Aim: To investigate the correlation and linkage between fetal urinary production rate measured by sonography, and adverse neonatal clinical outcomes in cases with preterm premature rupture of membranes. Methodology: A prospective observational clinical research trial of cases that are singleton gestations diagnosed having PPROM from 24+0 to 34+6 gestational weeks, from January 2016 and March 2019. Gestational age determination was made using the last menstrual period and verified by first trimester sonography. exclusive research criteria were as follows cases that had spontaneous delivery within 48 hours of PPROM, other gestational medical complications (e.g. DM, hypertension..... ReadMore

Waleed Tawfik* and Marwa Elsayed Ahmed

DOI : 10.32474/IGWHC.2019.03.000172

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Background: Preterm premature rupture of membranes is a challenging obstetric clinical scenario, since management requires a careful balance between maternal wellbeing and tolerance for continuation of pregnancy and fetal wellbeing and maturity issues. Aim: The influence and effect of non-β-lactam antibiotic administration on the expectant management course of PPROM as regards the neonatal morbidity, mortality issues and maternal Additionally, infectious clinical outcomes. Methodology: Research study subjects inclusive research criteria singleton, with no congenital fetal anomalies’ gestations affected by Preterm premature rupture of membranes at or beyond 240/7 gestational weeks of gestation and delivery at less than 350/7 gestational weeks. 350 research study subjects were recruited for the research study categorized into two rese..... ReadMore

Waleed Tawfik* and Marwa Elsayed Ahmed

DOI : 10.32474/IGWHC.2019.03.000171

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Background: Preterm premature rupture of membranes is a frequent every day obstetric clinical scenario the proper line of management is considered lifesaving in some situations. The main aim of most investigators and practitioners all over the globe is to explore the safest management line according to the pros and cons of each decision. Aim: To compare the neonatal clinical outcomes of cases women having PPROM before 34 gestational weeks, in accordance to the management protocol (inpatient versus outpatient care). Methodology: A prospective clinical research trial that recruited 300 research study subjects Inclusive research criteria were admitted with a clinical diagnosis of PPROM between 24+0 and 33+6 gestational weeks and didn’t deliver within the 48 hours after PPROM. Exclusive research criteria have been twin gestations, fetal a..... ReadMore

Mohamed Anwar Elnory and Mahmoud Abosrea*

DOI : 10.32474/IGWHC.2019.03.000170

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Background: The submucous and intramural categories of uterine fibroids are considered by most reproductive practitioners are factors that could hinder embryonic implantation. Aim: Elucidation and investigation of factors correlated to reproductive outcomes in infertility cases having myomectomy procedure for Intramural situated fibroids. Methodology: A clinical research trial in which 150 cases having unexplained infertility in the presence of intramural fibroid category were recruited for the research study data was gathered in a retrospective fashion to elucidate the full clinical data and operative details. Results: There was statistical significance as regards Age > 40 yrs. and Cavity entry (p values=0.0007,0.0017 consecutively), whereas there was no statistical significance for Fibroid measure on imaging and diameter of largest ..... ReadMore

AK Mohiuddin*

DOI : 10.32474/IGWHC.2019.03.000168

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According to the American Academy of Family Physicians, up to 20% of women suffer from menstrual cramping severe enough to interfere with daily activities. If prostaglandins levels are higher, more pain is often associated with the cramps. Cycle length, blood loss, period-related symptoms, fluid color, and consistency are all highly variable, even for just one person. However, severe menstrual pain is likely to be caused by a health issue such as PMS, fibroids, or endometriosis and requires medical support. When researchers analyzed frequency and duration of exercise and compared it to reports of period pain, they found exercise did little to reduce discomfort, and in fact this persisted even when a range of other factors-including weight, ethnicity, smoking and use of the birth control pill-were taken into consideration. Some women may a..... ReadMore

Mohamed El Sayed Rafeek*

DOI : 10.32474/IGWHC.2019.03.000161

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Preterm labor is classically defined as presence of regular, painful uterine contractions before 37 complete gestational weeks. Preterm labor a growing issue all over the globe due to raised ART pregnancies that increases the clinical risks of maternal and fetal morbidities and mortalities [1]. Understanding the complex physiological and pathological mechanisms that increases the risk for developing preterm labor could aid in reducing the clinical scenarios that are presented in everyday practice that cause preterm labor [2]. Tocolytic agents although considered one of the cornerstone agents implemented in management of those cases it is not the only preventive or therapeutic mode. Hydration at proper levels was revealed and displayed at molecular and hormonal levels to re..... ReadMore

Khaled Fathy Helal* and Samia Hussein

DOI : 10.32474/IGWHC.2019.03.000160

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Ovarian cysts are a frequent form of ovarian lesions that could carry concerns to gynecologists according to their sonographic and histopathological characteristics [1,2].One of the cornerstone issues and chief factors particularly in child bearing age is the impact of ovarian cystectomy on ovarian reserve function. The hemostatic methods that are implemented during the surgical procedure could influence the functional performance of the ovary at physiological, cellular and molecular levels due to the healing process that follows performance of the hemostatic method [3,4].Electrocoagulation during performing laparoscopic ovarian cystectomy as a method used for hemostasis is one of the most commonly and preferred methods due to simplicity and speedy appl..... ReadMore

Walid Mohamed Elnagar* and Ibrahem Ismail Samaha

DOI : 10.32474/IGWHC.2019.03.000159

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Pelvic organ prolapse is a distortion in normal anatomical cor-relations and integrity resulting in chronic distressing symptoms that could be severe to affect the quality of life particularly in ad-vanced stages. Irritative or storage voiding symptoms or urinary incontinence could result from this anatomically altered clinical scenario fre-quently presented in every day gynecological practice particularly among post-menopausal women. Sometimes urinary incontinence is masked due to change within the urethral angle resulting from obstructive impact of pelvic organs prolapsed...... ReadMore

Osama Ismail Kamel* and Karima Fahmy Sidhom

DOI : 10.32474/IGWHC.2019.03.000158

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Adenomyosis is a frequent gynecological disease of unknown etiology causing menstrual pain disorders and pelvic congestion ,being heterogeneous in nature from being focal or simple to severe or diffuse affecting the whole myometrial tissue mass .Sonographic features revealed by 2D and 3D sonography are considered elucidating tools aiding in the diagnosis of the clinical condition however research interests are rising to correlate the sonographic criteria to histopathological and clinical criteria of adenomyosis [1,2]. Junctional zone representing an interface between the endometrial lining and myometrium is considered a cornerstone sonographic tool when properly applied in 3D and 2D sonography technologies to elucidate the severity and distribution patterns of aden..... ReadMore

Nancy Mohamed Ali Rund* and Samy Saad Mohamed Ali

DOI : 10.32474/IGWHC.2019.03.000157

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The requirement of abdominal surgery during pregnancy is a common concern and issue that integrates the efforts of various subspecialties to perform a multidisciplinary management for those cases scenarios in favor of the maternal and fetal wellbeing. The rates and incidences of abdominal surgery requirement varies widely according to various prior research studies however the cornerstone issue of concern is safety and capability to perform laparoscopic procedures with the great challenge of anatomical and physiological changes that normally exist during pregnancy, that requires laparoscopic surgeon that have the experience and skill to conduct the surgery taking into account the anatomical changes that vary greatly according to the gestational trimester. Research efforts in this aspect are still inadequate and scarce and requires various..... ReadMore

Nooshin Amjadi, Maryamsadat Hosseini, Soha Mirreza* and Forough Mortazavi

DOI : 10.32474/IGWHC.2019.03.000156

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Eisenmenger’s syndrome is a very rare condition in pregnant women. The incidence of ES is about 3% of the pregnant patients with congenital heart defects; however, it can be accompanied with high incidence of maternal and neonatal morbidity and mortality. Therefore, these patients should have efficient contraception or termination of pregnancy in the first trimester. We present two poorly-controlled consecutive pregnancies with good outcomes in a woman with ES to clarify the appropriate function of teamwork in the management of emergency situations in similar cases. Alongside teamwork, good prenatal care is also important because it can result in elective termination in higher gestational age of pregnancy.A 21-year old woman, Repeat II cesarean belonging to a very low socioeconomic class, with ES was admitted to the emergency ward of Im..... ReadMore

Gülcan Çiftçioğlu* and Belkıs Karataş

DOI : 10.32474/IGWHC.2019.03.000155

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Purpose: In this study, we aimed to evaluate the attitudes of married women with advanced maternal age and their spouses towards family planning and to assess the effects of training related to this issue. Design: The sample group of the study was composed of 170 women and their spouses who were registered to the three health clinics located in Kiziltepe district of Mardin province. Participants were selected according to the family planning attitude scale results. Results: When we evaluate the mean attitude scale scores of both women and their spouses before and after the trainings, it can be concluded that trainings positively affected the attitudes of them towards the family planning. Implications: Trainings are effective in changing attitudes and behaviors of individuals who are strongly are engaged in traditional cultural characteris..... ReadMore

Brent Allan, Jessica Whitbread and Mary Ann Torres*

DOI : 10.32474/IGWHC.2019.03.000154

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The notion that Undetectable = Untransmissible (U=U) is revolutionizing the way people living with HIV are seen and treated around the world. No longer the harbingers of disease and death, those living with HIV who take HIV anti-retroviral therapy (ART) daily as prescribed and achieve and maintain an undetectable viral load (< 50 copies/ml) have effectively no risk of sexually transmitting the virus to an HIV-negative partner [1]. The global U=U campaign has been credited with beginning to change public perception of HIV transmissibility [2]. However, sexual transmission of HIV is only one way in which HIV is transmitted and it is women living with HIV who have to shoulder the additional burden of the risk of possibly transmitting HIV to their child either pre or post nattily. And even though the basis of the rationale behind U=U was prov..... ReadMore

Raafat TA* and Mostafa M Serry

DOI : 10.32474/IGWHC.2019.03.000153

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Post-operative pain management in cases undergoing total abdominal hysterectomy is considered a major challenge for both gynecologists and anesthesiologists aiming for enhancing patient satisfaction and level of health care service requiring multidisciplinary management and planning regarding the pathway of pain management of pain [1,2]. Despite the fact that epidural form of analgesia is an efficient mode of managing post-operative pain in abdominal surgeries however less invasive forms are considered more practical and applicable for many health care systems [3,4]. Local analgesia infiltration is considered a simple and efficient mode of pain management that has reduced costs in comparison to epidural analgesia. Advancing the pain management protocols co..... ReadMore

Baquedano Mainar L*, Alvarez Sarrado L, Rodriguez Solanilla B, Sanz Arenal A and Cebolla Gil

DOI : 10.32474/IGWHC.2018.03.000152

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Objective: to study associated factors with sexual assaults suffered by patients attended in the Gynaecology Emergency Department in Miguel Servet University Maternity Hospital. Methods: descriptive cross-sectional study of sexual assaults from October 2016 to April 2018 in Miguel Servet University Maternity Hospital. Results: 52 cases of sexual assault were attended from 50 different women. The patient profile was: young woman, with an average age of 28 years old (24% were minors), attacked by penetration (57.7%), by a single assailant (80.8%), with no objective lesions in genitals (86.5%) nor other parts of the body (65.4%). 50% of the assaults took place during the week-end and 63.5% of the victims came to the Gynaecology Emergency Department in less than 24 hours from the incident. 75% of women repor..... ReadMore

Satyajit Patra* and Shakti Sagar

DOI : 10.32474/IGWHC.2018.03.000151

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Diet and health are both related directly to the reproductive functions of a female in that nutrient intake effects exactly what hormones are produced and at what amounts. According literature women of Western societies produce more progesterone and estradiol from their ovaries leading to high rates of breast cancer in the West [1]. Another facet to the Western diet is foods that are rich in sugar thus contributing to the blood sugar level and ultimately affecting resistance to insulin...... ReadMore

Ravi Kant Upadhyay*

DOI : 10.32474/IGWHC.2018.02.000150

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Present article sketches out major issues related to health, social, cultural, and economic wellbeing of the women. Most prevailing problems are related to malnutrition, sociality, sanitation, shelter, education, and livelihood, cultural and economic development in modern human ecological system. In poor countries women are living at socio-demographic risk of reproductive health, sociality, and healthcare. Condition is worst as large percentage of women belong to poorest strata of demography with highest fertility rates, having no means to meet out their daily needs. Starting from child birth to motherhood they are living under huge plethora of problems and a miserable cursed life. There is no real time data available on reproductive health, sociality, and healthcare of pregnant mothe..... ReadMore