eng
Evidence Based Women’s Health Society
Evidence Based Women's Health Journal
2090-7265
2090-7257
2018-02-01
8
1
138
143
10.21608/ebwhj.2018.5639
5639
Original Article
Domestic violence against infertile women
Reham Elkateeb
ehamelkhateeb78@yahoo.com
1
Department of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Minia Egypt
Objective: To identify the indicators of domestic violence (DV) aiming infertile women.Patients and Methods: Cross sectional analytic study was conducted in infertility clinics of Maternity Hospital Minia University during the period from January 2014 to December 2014.Women asked to answer a validated questioner during the interview. Questions involved aiming to assess frequency, type and indicators of violence against infertile women.Results: 201 women accepted participation in our study, mean age was 23.9 ± 6.2 years. Among women suffered from violence, 65.7%were housewives, 72% secondary education and 37.8% medium socioeconomic standard. Verbal violence was the most common. Violence often occurred. Most common women reaction was no response to violence, a part from ask for family support. Main indicators of violence are educational level of husband, the presence of second marriage and increase duration of infertility. Type of infertility is not a risk factor for violence.Conclusion: Infertile women are susceptible to violence. All women attended infertility clinics must be screened for presence of violence and offered adequate support. Healthcare staff should consider husband attendance and good counseling about the drawback of all types of violence
https://ebwhj.journals.ekb.eg/article_5639_f25d5327590fee2fb429f6030ccc0b43.pdf
eng
Evidence Based Women’s Health Society
Evidence Based Women's Health Journal
2090-7265
2090-7257
2018-02-01
8
1
138
144
10.21608/ebwhj.2018.5641
5641
Original Article
Efficacy of sildenafil citrate in women with unexplained recurrent miscarriage preconceptional and during 1st trimester of pregnancy
Haitham Bahaa
haitham_bahaa@yahoo.com
1
Department of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Minia Egypt
Objective: To evaluate the effect of low dose of sildenafil citrate on females with history of unexplained recurrent miscarriage (RM) before and during 1st trimester of pregnancy.Patients and Methods: 120 women divided into Group I: Includes 60 patients who received aspirin 75 mg/ day + folic acid 5 mg/ day orally; Group II: Includes 60 patients who received aspirin 75 mg/ day+ folic acid 5 mg/ day + sildenafil citrate 20 mg/day, orally. The treatment starts from day 1 and continues till the end of the cycle. If menstruation occurred, the treatment is repeated for another 5 cycles or pregnancy occurs. If pregnancy occurred, the treatment continues till 14 weeks of gestation.Results: Pulsatile index (PI), resistance index (RI) was significantly lower in sildenafil treated women in comparison with sildenafil non treated women. Serum NO level, conception rate and number of cases passed 1st trimester were increased significantly in sildinafil treated group when compared to sildenafil non treated group.Conclusion: Administration of low dose of sildenafil citrate (20mg/day) orally with mild tolerable side effects resulted high possibility of conception and better chance for patients with unexplained RM to maintain their pregnancies in the 1st trimester.
https://ebwhj.journals.ekb.eg/article_5641_b2a54cce1d9a624975dcf401858f8888.pdf
recurrent miscarriage
Sildenafil citrate
1st trimester. Received: 01
eng
Evidence Based Women’s Health Society
Evidence Based Women's Health Journal
2090-7265
2090-7257
2018-02-01
8
1
138
142
10.21608/ebwhj.2018.5642
5642
Laparoscopic ovarian cystecomy for a huge ovarian cystic mass : A case report and review of literature
Fady Moiety
fmoiety@gmail.com
1
Osama El Ashkar
2
Abdel Agameya
3
Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Alexandria, Egypt
Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Introduction: Huge ovarian cystic lesions are rarely encountered in modern practice due to the marked development in health care services and technology on both the diagnostic and therapeutic levels, in addition to the continuous rise of awareness of women's health issues. Laparoscopic management seems to be the ideal line of intervention.Case Report: An 18-year-old, virgin female, was presented with abdominal distension. Physical examination and ultrasonography revealed a huge pelvi-abdominal cystic mass. A laparoscopic ovarian cystectomy was performed. A follow up for 12 months and was unremarkable. The technique of the operation as well as tips in such a heroic surgery were described.Conclusion: Huge ovarian cysts might be successfully and safely treated by laparoscopic excision. There seem to be no size-related limits for laparoscopic intervention for ovarian cysts; however, experience is a crucial factor.
https://ebwhj.journals.ekb.eg/article_5642_eefefc2316813fbdaa6baf782455b613.pdf
Huge
Laparoscopy
ovarian cyst
eng
Evidence Based Women’s Health Society
Evidence Based Women's Health Journal
2090-7265
2090-7257
2018-02-01
8
1
138
143
10.21608/ebwhj.2018.6215
6215
Original Article
Serum progesterone concentrations before and after human chorionic gonadotropin triggering and invitro fertilization : Intracytoplasmic sperm injection cycle outcome in long gonadotrophin releasing hormone agonist protocol
Mona Shaban
drmonashaban@gmail.com
1
Yasmin Bassiouny
2
Mahmoud Alahwany
3
Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt
Department of Andrology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Objective: To assess the impact of serum progesterone concentrations before and after HCG triggering on IVF/ICSIcycle outcomes in long GnRHa protocol.Patients and Methods: This is a single-center prospective observational cohort study, in which 102 IVF/ICSI patients with normal cycle day 2 basal hormones were recruited and underwent ovarian stimulation using the long GnRHa protocol. Serum progesterone on the day of HCG trigger; one day after, progesterone/estradiol was assessed and correlated with pregnancy rates, the total dose of used gonadotropins, serum estradiol level on day of trigger, the number of collected oocytes, the number of metaphase II oocytes and the quality of transferred embryos.Results: 96 women were included in the analysis. In our study, the receiver-operating characteristic (ROC) analysis was used to gain more diagnostic accuracy. Our data according to ROC analysis showed that the P levels on the day of hCG trigger, and its levels one day after and P/E2 on the day of hCG trigger had no role in prediction of clinical pregnancy rates. There was significant correlation between the serum progesterone levels before and after HCG triggering with the total dose of gonadotropins used. They also correlated strongly with serum estradiol level on day of trigger, the number of collected oocytes and the number of metaphase II oocytes.Conclusion: Peri-ovulatory serum progesterone concentrations cannot predict pregnancy rates in IVF/ICSI cycles using long GnRHa protocol.
https://ebwhj.journals.ekb.eg/article_6215_ad13f132de0a92871232e42cc28295fd.pdf
Gonadotrophin releasing hormone agonist
IVF/ICSI
pregnancy rate
periovulatory
serum progesterone concentrations
eng
Evidence Based Women’s Health Society
Evidence Based Women's Health Journal
2090-7265
2090-7257
2018-02-01
8
1
138
143
10.21608/ebwhj.2018.6218
6218
Original Article
Carbetocin versus oxytocin and ergometrine for prevention of postpartum hemorrhage following caesarean section
Eman Zein El Abdeen
dremanfarid71@hotmail.com
1
Nesreen Shehata
2
Department of Obstetrics and Gynecology, Faculty of Medicine, Beni-Suef University, Egypt,
Department of Obstetrics and Gynecology, Faculty of Medicine, Beni-Suef University, Egypt
Objective: To compare the effectiveness of carbetocin versus oxytocin and ergometrine when administered after caesarean section for prevention of postpartum hemorrhage (PPH).Patients and Methods: A prospective randomized observational study in the year 2014 was conducted on 200 women at term undergoing elective cesarean section under regional anesthesia. Women with pre term gestational age, diabetes, hypertension and coronary heart disease were excluded. Women were put into two groups : One group containing 100 women received I.V. carbetocin 100 microgram, while the other group which also contained 100 women received a combination of I.V. oxytocin 5 IU and I.M. Ergometrine 0.2mg after the delivery of the baby. The primary outcome measure: 1-Uterine tone and size were assessed by resting a hand on the fundus of uterus and palpating anterior wall of the uterus one hour after delivery, the presence of boggy uterus with either heavy vaginal bleeding or increasing uterine size is suspicious for uterine atony ; 2- Need of additional oxytocics. Secondary outcome measure: Blood loss and hemoglobin concentration were estimated.Results: There was a significant difference between both groups as regards uterine atony and need for additional oxytocics after delivery. On the other side, there was no significant association between both study groups as regards vaginal bleeding or HB estimation before and after operation or HB difference.Conclusion: Carbetocin is more potent long acting oxytocic with less need for other additional uterotonic drugs and less occurrence of uterine atony.
https://ebwhj.journals.ekb.eg/article_6218_9c0d54bd061b4c2510d5a37a31cc39ab.pdf
Caesarean section
carbetocin
ergometrine
oxytocin
Postpartum Hemorrhage