Crimson Publishers-Investigations in Gynecology Research & Womens Health

A 24-year-old woman at 41 weak gestational age underwent epidural anesthesia and normal vaginal delivery. After 7 days of delivery, patient referred to our hospital with severe headache, left paresthesia, and tonic-clonic seizure. During this period, the patient suffered a headache that was attributed to the epidural anesthetic. Radiologic assessments showed thrombosis at superior sagittal sinus. Cerebral Sinus Venous Thrombosis (CSVT) is a rare disease. The annual incidence is estimated to be about 5 per million, which is affected by age, sex, and areas. Pregnancy, postpartum, use of oral contraceptive and abortions are major risk factors. It is difficult to diagnose the disease from eclampsia during pregnancy and puerperium. Due to the high mortality rate of this disease, timely diagnosis and treatment should be considered. Treatment with anticoagulants should be done immediately. Read More About This Article: https://crimsonpublishers.com/igrwh/fulltext/IGRWH.00058...

Highlights   a) Bladder and cervical rupture should be considered, after precipitated vaginal delivery. b) When there is gross hematuria, a urinary catheter should be inserted to monitor the hematuria and urine output. c) If the hematuria persists and other associated symptoms appear, cystography is a useful tool for determining the severity of the bladder injury and determining the cause. Abstract   Cases of bladder rupture have been rarely reported following vaginal childbirth. To the best of our knowledge, however, no cases of combined cervical laceration and bladder rupture have been reported to date. We present the first case of a 31-year-old woman with gestational diabetes who suffered a combined cervical laceration and bladder rupture after childbirth. Precipitated labor caused by oxytocin induction resulted in vaginal and cervical lacerations. The bladder rupture was confirmed by cystography. A team of obstetricians and urologists performed the laparotomy. The patien...

Introduction: The estimation of fetal weight is of paramount importance in the management of labor and delivery. The study was conducted to find usefulness of clinical estimation of fetal weight as it is useful for developing countries where ultrasonography facilities are unavailable in many areas. Aim: The study aimed at determining accuracy of fetal weight estimation clinically by Johnson’s formula and ultrasonographical by Hadlock’s method. Material & Methods: A descriptive study in the department of obstetrics and gynecology at a tertiary care hospital in western India was conducted between July 2017-June 2018 on pregnant patients with 37 to 40 weeks gestation after applying inclusion and exclusion criteria. Results: The study group consists of 260 subjects from urban, rural settings and different socio-economic classes. There was positive correlation between actual birth weight and Johnson’s formula weight (R=0.533, P= 0.000) as well as between actual birth weight and esti...

The coronavirus COVID-19 pandemic is having potentially disastrous consequences for women’s and girls’ health around the world. Global health officials are struggling to keep the COVID-19 pandemic from wreaking havoc on women’s health. With domestic violence and maternal mortality expected to rise as women lose access to critical health treatments and social support. With children out of school, growing care needs for older people, and overburdened health services, unpaid care work has increased. Women make about 70% of the global health workforce and are more likely to work in front-line positions like nurses, midwives, and community health workers, in particular workers in the medical field. They also make up the majority of health-care workers, such as nurses and therapists. As such, they provide cleaning, laundry, and catering services are more likely to come into contact with the virus. All public health preparedness and response strategies for COVID-19 must account for both direc...

Hospital acquired infection or “nosocomial infection” adversely affects both patients and hospitals. Impact of nosocomial infections ranges from increased length of hospital stay, emotional stress, disability, death of the patients as well as increased hospital cost for the patients and providers. Studies in India have reported nosocomial infection rates from 8% to 58 %. To combat these infections, hospital needs effective methods of disinfection and sterilization which has nowadays been centralized into a single department called Central Sterile Supply Department. In our study Outcome was measures by two parameters: a) User Satisfaction b) Microbial count It was found that in user satisfaction 70% of user end staff are satisfied with the services provided to them. In microbial count of different items sterilized showed that 89 % samples are sterile whereas 11% samples show growth of three different organisms e.g. Coagulase-negative staphylococci, Klebsilla and Act. Baumannii. ...

Herpes Simplex Encephalitis (HSE) is life-threatening viral encephalitis in pregnancy that significantly associated with poor outcomes in mother and infant. A 22-year-old 25 weeks pregnant woman presented with fever and seizure that was suspected to HSE. At first, MRI and Lumbar Puncture (LP) helped in the diagnosis, and however the PCR test confirmed HSE. What is interesting about this case is that the patient had no positive history of HSV before her pregnancy. From her hospital stay to confirming the lab test, she developed progressively worsening despite treating with early administration of acyclovir. Finally, she was successfully treated. No physical or psychological consequences remained. Later, she delivered via cesarean section and gave birth to a healthy infant. As soon as the HSE is suspected in pregnancy, the onset of early antiviral therapy reduces physical and psychosocial consequences. Read More About This Article: https://crimsonpublishers.com/igrwh/fulltext/IGRWH.000...

Sociology appraising various dimensions of human life, will have a close look at the dependency of women on gynecology at current times. Many factors such as longer life expectancy, late marriage, urbanization, industrialization, curiosity for further rejuvenation and many more, have contributed to further tendency toward gynecology by women in modern time. Previously, and when science of gynecology had not advanced, women would easily die in young age. Women are exposed to more illnesses and health disorders as compared to men. Women at any age are anxious to keep on their beauty and body shape. Such a value highly attaches them to gynecologists. Modern gynecology originating in Western countries, gradually entered the developing countries with special reference to the richer ones. In modern time, gynecology has become a sort of tourism (Medical Tourism), in that, the well to do women go to other countries for special treatments. Sometimes and in many areas, specialties of gynecology ...

Introduction: South Africa has one of the highest rates of sexual violence against females in the world [1,2]. Residual outcomes among rape survivors in South Africa are complex, and include symptoms of depression, and post-traumatic stress (PTSS) [3,4] as well as physical and gynecological problems [5,6]. While South African rape survivors report physical and mental health symptoms [7]. We know little about the internal (i.e. self-management) and external (i.e. support from others) coping strategies that they use over time.   Objectives: This study conducted secondary analyses of South African female rape survivors who reported experiences of rape within six months of being interviewed and compared their physical and mental health, coping strategies, rape myths and social undermining of friends and families one year later. The goal is to foster a discussion of post-rape outcomes that may be utilized to develop recovery interventions for South African women rape survivors who may...

The SARS-CoV 2 pandemic is now responsible for over 48 million infections and one million deaths worldwide. Pandemics impact population growth not only by excessive mortality, but also by preventing births. In previous pandemics occurring in the 20 th and 21 st centuries, a trend towards birth rate reduction was observed 9 months later (Figure 1). After the 1918-20 HIN1 influenza pandemic, birth rates dropped by 5 to 15% in comparison to average rates before the pandemic [1]. This drop was related to higher death rates in pregnant patients (case fatality rate of 27%), as well as miscarriages and stillbirths (increased by 0.4% and 2.2% respectively as compared to prior average rates) [1,2]. A rebound in birth rates, however, occurred 1-2 years after this decline [3]. Moreover, several studies have shown that children born in 1919, and thus exposed to the H1N1 virus in utero, experienced worse health and socioeconomic outcomes in older ages than surrounding birth cohorts [4]. SARS-CoV ...

Appropriate antenatal care is proven to play a crucial role in ensuring good outcome of the mother and the baby. Good antenatal care ensures periodic assessment of growth and development of the baby, and supplementation of additional nutrition required for the mother. It also provides prompt recognition of any complication that befall pregnancy, one such dreaded complication being gestational diabetes mellitus. Gestational diabetes mellitus (GDM) is defined as the carbohydrate intolerance of varying severity with onset or first recognition in pregnancy. The prevalence of GDM in India is around 3.8-21%, and it is seen more in urban women. Physical environment, ethnicity, genetics, dietary patterns, lifestyle, obesity, family history of diabetes mellitus, and history of GDM in the previous pregnancy are independent risk factors for the development of GDM. Carbohydrate metabolism in pregnant women differs from the non-pregnant state, where there is an increased demand for metabolic fuel...

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Urgent Care of Fetal Heart Rate Bradycardia by Kazuo Maeda in Womens Health_Gynecology Open Access Journal Abstract As fetal bradycardia is the sign of fetal hypoxia, emergency early caesarean section is usually indicated in fetal heartrate (FHR) in the labor, while in some cases simple lateral posture is recommended. Infantile cerebral palsy is prevented, if novel hypoxia index is 24 or less. Hypoxia index, FHR score and FHR curve frequency spectrum are update progress in automated computerized FHR diagnosis. Keywords: FHR monitoring; Fetal bradycardia; Hypoxia index; FHR score; FHR frequency spectrum; Computer diagnosis Introduction As fetal heart rate decreases if fetal vagal nerve center is excited by the stimulation of low PaO2 lower than 50mmHg in fetal hypoxia, sudden transient or continuous fetal bradycardia, fetal hypoxic damage, particularly fetal brain damage followed by hypoxic ischemic encephalopathy (HIE) and infantile cerebral palsy in severe hypoxia, in ...

Brazilian Butt Lifts: An Editorial by Michael Naafs AB in Womens Health Journals_ Gynecology Open Access Journal Abstract In this editorial risks and benefits of buttock enhancement are discussed with a special emphasis on Brazilian butt lift procedures. Hopefully, brain enhancement is winning from buttock enhancement. Introduction It is rather strange to read at International Women’s Day the first report of a buttock implant leading to fatal lymphoma, a complication that we know until now only of breast implants [1,2] Buttock enhancement is mostly performed with autologous fat injection rather than with silicone implants. However, these Brazilian butt lift procedures are the deadliest in aesthetic surgery. One in every 3000 patients dies of a fat embolism. Injecting fat into the buttocks can easily lead to serious problems if done incorrectly [3]. Most of the 33 deaths have been attributed to unqualified doctors, but underreporting is very likely. Besides fatal fat embol...