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

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