Interventions in Gynaecology and Women's Healthcare

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

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

Kamalanathan P* and Monisha R

DOI : 10.32474/IGWHC.2018.02.000149

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To report a clinical case of Cadaveric renal transplant recipient 30 year old male reported to SRM hysiotherapy Department presented with complaints of difficulty in breathing, sitting, standing and independently walking. As clinical manifestations of post transplantation are wide, it leads to multidisciplinary approaches. Physiotherapy treatment protocol is important for early diagnosis of co morbidity and to provide initiation to renal rehabilitation program...... ReadMore

Rahul Hajare*

DOI : 10.32474/IGWHC.2018.02.000148

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It has super important sperm and quality of sperm has critical windows into overall health and production of generation. Researcher wants to express this research to the people living with a healthy sperm counts life. Healthy sperm healthy generation. Number of male infertility treatments has available. It has many perceptions for infertility in men, women. In India 15 percent of couples are infertile. It had unconditional hormonal secretion has not capable to conceive a child even though they have had frequent, unprotected sexual intercourse for a year or longer. In up to half of these couples, male infertility plays a role. Overexposure to certain environmental elements such as heat, toxins and dried chemicals can reduce sperm production or sperm function. Industrial chemicals and sperm count hav..... ReadMore

Pralhad Adhikari*

DOI : 10.32474/IGWHC.2018.02.000147

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Women constitute 51.5 percent of Nepal’s population. Their socioeconomic condition is very backward. Because of forced or early marriage, women are compelled to work as breadwinner of family or worker of household. Some women have obligation to work during pregnancy or immediately after delivery. Since many male cohorts have gone abroad, society resorts to women for labor. Occupational hazards of women are different based on geography, rural-urban environment, ethnicity (or caste) and even religion. Commonest of them are lack of safety devices, sexual harassment, domestic/workplace violence, injuries and occupational diseases. Their effects on psychology are lowered dignity (including self-esteem), trauma, melancholy, depression, early aging and other neurotic disorders. Their effects on reproductive ..... ReadMore

Antonio Cassio Assis Pellizzon*

DOI : 10.32474/IGWHC.2018.02.000146

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Cervical cancer (CC) is a neoplasm with great potential for prevention, but it is still a public health problem in most developing countries. There are no significant differences between the use of high dose rate (HDR-BT) and low dose rate (LDR-BT) brachytherapy when considering overall, disease specific and recurrence free survivals. Cervical dilatation is mandatory for the insertion of intra-uterine tandems in any of the techniques cited above. Pain and discomfort may eventually be limiting factors of the outpatient procedure and may lead to unsatisfactory results in terms of adequate position of the applicator set. We reviewed the current sedation and anesthetic options for comfort and safety procedures when performing HDR-BT...... ReadMore

Paul T E Cusack*

DOI : 10.32474/IGWHC.2018.02.000145

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One of the most dangerous things happening right now is the breakup of the family. This affects women and children most, and men as well. Ever since the advent of Women’s Suffrage in the early 20th Century, followed by the world wars which brought women into the workforce in large numbers in jobs besides teaching and nursing, and final the advent of the Birth Control Pill, Western civilization has seen the decline of the nuclear family...... ReadMore

Murcia Lora JM*

DOI : 10.32474/IGWHC.2018.02.000144

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Introduction: Signs of fertile windows can improve the prediction, detection and diagnosis of the fertile phase in subfertile women. The effectiveness of the use of such signs in subfertile women can help to get pregnant. This article includes subfertile women who incorporated biomarkers of cervical secretion fertility, in the range of left kurtosis of the curve of the fertile phase. Material and Method: This report includes 30 sub-fertile women with an average age of 34.3 years (sem 0.96); range: (26-46 years). An individual approach was adopted through the evolution of biophysical parameters of viscoelasticity and transparency of cervical secretion. The progression of the biomarkers was located in the fertile window, with the purpose of improving the perception in the recognition of the maximum fertility relation with the changing biop..... ReadMore

Akhil Kumar and Satyajit Patra*

DOI : 10.32474/IGWHC.2018.02.000143

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Aging is an inevitable process and many factors like genes, lifestyles, diet and environment determine longevity. As humans go older, physical conditions decline which leads to many illnesses. Depression constitutes the most common emotional disorder found in older people. Estimates of the prevalence of major depressive disorder of the elderly range from 2% - 10% of those 65 and older [1]. Depression can be treated by administrating antidepressants, electroconvulsive therapy, Transcranial magnetic stimulations, cognitive behavioral and interpersonal therapies, lifestyle modifications and alternative therapies [2,3]. The alternative therapies encompass a variety of approaches which includes acupuncture, aroma therapy, laughter therapy, biofeedback, chiropractic treatments, guided imagery, dietary supplements, hyp..... ReadMore

Baquedano L*, Lanzón A, Bolea R, José Y and Ruiz-Conde MA

DOI : 10.32474/IGWHC.2018.02.000142

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Pseudomyxoma peritonei is only rarely seen in conjunction with primary ovarian tumors. We describe a case of a late recurrence of a mucinous intestinal-type borderline ovarian tumor with disseminated peritoneal adenomucinosis...... ReadMore

Mohamed Ibrahim Taema* and Rania Ali Ammar Abd El Hakim

DOI : 10.32474/IGWHC.2018.02.000141

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Aim: To evaluate and assess the value of measuring calponin 1 serum level in maternal circulation as a predictability tool for preterm labor within 1 week in cases affected with threatened preterm delivery. Methodology: cases clinically presenting at 24-34 gestational weeks with threatened preterm labor undergone sample collection for measuring calponin 1 serum level simultaneously with cervical length assessment. With follow up performed in a prospective manner till time of birth assessment and perinatal clinical outcomes of recruited subjects have been collected and tabulated for analysis. Results: One hundred forty-seven patients affected by threatened preterm labor symptoms, between 24‏ and 33‏+ 6gestational weeks have been enrolled in the research study. 71cases (48.3%) delivered within 1 week from admission (group-A) and the ..... ReadMore

Amir Elnahas* and Maysoun Izzeldien Ahmed

DOI : 10.32474/IGWHC.2018.02.000140

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Objectives: To determine success rate of VBAC (Vaginal birth after cesarean section) with reference to prognostic factors to predict successful VBAC in Khartoum Maternity Hospital- Sudan Methodology: It was descriptive, cross sectional and hospital based study conducted in a period of one year, involving 342 pregnant women with one previous C/S who were admitted in the labor room as emergency cases, were evaluated thoroughly, data collected through designed questionnaire include:- Socio-demographic characters, antenatal clinic follow up, previous C/S, variables affect success of VBAC and outcome of current pregnancy. Results: A total of 342 pregnant women involved in this study, the majority of them (78.36%) were counseled for VBAC. Fetal distress was the most ..... ReadMore

Marwa Mohamed Awad Allah, Faisal Mohammed Salih Basama, Amir Ehadi Elzein Elnahas* and Ameer Osman Abaker

DOI : 10.32474/IGWHC.2018.02.000139

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Background: Most women with Uterine Leiomyomata (UL) attribute various negative experiences in their lifetime to symptoms related to UL such as: abnormal uterine bleeding, various pressure symptoms and pelvic pain. Most of the research on UL examined the efficacy of treatment modalities, but only few researchers have addressed the impact of the disease on the women’s Health-Related Quality of Life (HRQL). Methods: This is a descriptive, prospective, hospital-based qualitative study. The data was collected by: Focus Group (FG) interviews and by structured questionnaire. 200 women with symptomatic UL were recruited over a period of 6 months. The data was analyzed using the Statistical Package for Social Sciences (SPSS) data analysis tool, Version 20. Results: The majority of women (98%) graded their symptoms as moder..... ReadMore

Myat San Yi*, Lim Yee Cherng, Mi Mi Khaing and Rafiae Amin

DOI : 10.32474/IGWHC.2018.02.000138

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Intrauterine contraceptive device (IUCD) is one of the contraceptive methods and its efficacy is as high as 90% [1]. Increasing use of this device has led to an increase in its related complications. These complications include infection (1%), uterine perforation (0.1%), expulsion of device (5%), failure to prevent pregnancy as well as ectopic pregnancy (0.5-1%), menstrual problems like menorrhagia or dysmenorrhea, migration into the pelvis cavity(misplacements) (5%) and the frequent clinical problem is the lost tail or loss of the filament at the external cervical os [2]...... ReadMore

Rahul Hajare*

DOI : 10.32474/IGWHC.2018.02.000137

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A bisexual relationship can break heart. Bisexual women, according to a study, have a higher risk for heart disease. Turns out, for women, being bisexual can be injurious to health. According to a study conducted by the New York University, bisexual women have a higher risk for heart disease compared with heterosexual women across several modifiable risk factors [1-3]. “Our findings highlight the impact of sexual orientation, specifically sexual identity, on the cardiovascular health of women and suggest clinicians and public health practitioners should develop tailored screening and prevention to reduce heart disease risk in bisexual women,” Little is known about the impact of sexual orientation on heart disease risk in women, despite the fact that gay and bisexual women may be at a higher risk based on modifiable factors like tobacc..... ReadMore

Murcia Lora José María*, Mejía Quiroga Jorge Enrique and Martínez Calvo Marian

DOI : 10.32474/IGWHC.2018.02.000136

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The novelty and interest in the recognition of fertility related to the biophysical properties of cervical secretion is evaluated. Some basic physiological concepts and renowned schools that have contributed to these advances are cited. As a novelty, some of the referring devices related to the technological advancements in this field are related. Through a network study of patent citations and applying a network analysis algorithm, the clinical and biotechnological interest of studying the behavior of the biophysical properties of cervical secretion is checked...... ReadMore

Murcia Lora José María*

DOI : 10.32474/IGWHC.2018.02.000135

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The works destined to the recognition of the fertility in the fertile window have been carried out by means of different clinical studies, and medical devices that have been object of interest and of investigation at international level, in the last years. In this context, this article aims to expose some of the biophysical characteristics of cervical secretion that has influenced advances in biotechnology applied to the recognition of fertility. Cervical secretion is mainly reviewed as a biomarker applied to the recognition of fertility in the fertile window in this context...... ReadMore