Crimson Publishers-Investigations in Gynecology Research & Womens Health

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...

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. ...

In any surgical procedure, a suture is considered crucial. In the case of post-operative are the wound closure related to surgical procedure continues to pose a problem. Presently, Oxidized Regenerated Cellulose (ORC) is being commonly used in the absorption of hemostatic materials. But ORC medical suture product is not commercially available. It has been aimed to produce innovative braided suture by TEMPO-mediated Oxidation Regenerated Cellulose (TORC) so as to obtain a suture material having and perfect in mechanical properties. A circular braiding machine has been used to produce sutures from regenerated cellulose strands. The braiding is followed by TEMPO-mediated oxidation treatment as an option. Various investigation techniques that include ATR-FTIR, electrical conductivity, XRD analysis, physical properties and in vitro degradation properties have been used to characterize the sutures under various oxidation time. It has been further shown that the RC sutures have been oxidized ...

Intra Uterine Growth Restriction is a challenge to clinicians all over the world because no definitive treatment is available, and many empirical therapies are tried for treating the same. The present study was a multi-centric hospital based prospective observational study conducted in three tertiary care centers in Northern India on 200 patients with late onset IUGR and oligohydramnios. Sildenafil citrate 25mg 8 hourly was given till delivery. All the outcomes were noted and analyzed. After sildenafil therapy, 87 out 0f 90 patients with only IUGR, 35 out of 40 cases of oligohydramnios only and 64 out of 70 patients with IUGR & oligohydramnios both had marked improvement & 14 cases showed no improvement. From this study we concluded that adding sildenafil citrate in the treatment of IUGR and oligohydramnios can be a beneficial option. Read More About This Article: https://crimsonpublishers.com/igrwh/fulltext/IGRWH.000581.php Read More About Crimson Publishers: https://crimson...

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 ...

Introduction: Urinary incontinence is a common problem with widespread human and social implication causing discomfort, shame and loss of self-confidence. It not only affects the quality of life but also has significant cost complications. Aim of the Study: To find out the effectiveness of kegel exercise, interferential therapy and transverse abdominis strengthening in treating patients having stress urinary incontinence. Methodology: A total of 50 subjects having stress urinary incontinence at least 6-month duration were recruited randomly. Group 1 experimental group was treated with kegel exercise, interferential therapy and transverse abdominis strengthening and Group 2 conventional group was treated with kegel exercise and transverse abdominis strengthening for five days/week for 4 weeks. Outcome Measures: Urinary incontinence questionnaire, modified oxford scale and transverse abdominis strength by modified sphygmomanometer. Measurements were taken before and at the end of...

Abstract Background: Cervical Diseases associated with Papillomavirus infection are one of the most pressing problems modern gynecology due to the high frequency of occurrence (in the structure gynecological morbidity - from 20 to 45%) and the ability to steady progression of the pathological process. A significant place in the structure of CM pathology is occupied by cervical intraepithelial neoplasia (CIN), which are often malignancy. Of particular importance are the issues of oncological transformation of the cervix in patients of reproductive age, taking into account the upcoming implementation of reproductive function. In Russia over the past 15 years, there has been an increase in the proportion of neglected cases of cervical cancer (cervical cancer), which ranks second (after breast cancer) in the structure of malignant tumors in reproductive age in women. Unfortunately, to date, the data of only an anamnesis, general clinical laboratory and instrumental met...

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 ...

Cesarean Section Epidemic in Iranian Midwives by Somayeh M in Womens Health Journal Opinion In the last century, caesarean section (C/S) has played a positive role in settling pregnancy complications and reducing the fetal and maternal mortality, but a worrying issue in modern midwifery is the high rate of C/S. According to the World Health Organization, the C/S rate should not exceed 10-15% of all births in any part of the world, but published statistics in many parts of the world, especially in Iran, differed greatly from this ratio and are very higher. C/S is a major operation that has complications such as maternal death, hemorrhage, infection , need for blood transfusion, dense internal adhesions, thromboembolic, urinary retention, bladder injury, and anesthetic complication. Furthermore, an increase in the rate of C/S in a country may cause a high cost to the health system. In recent decades, it seems that there is a general tendency for C/S among both health care ...

An Assessment of the Effect of Team Building on Team Performance in Gutu District, Masvingo Province, 2010 by Pomerai KW in Womens Health Journal Abstract Introduction: Lack of team work is a major problem in civil service in Zimbabwe. Poor team work leads to reduced performance in a team. Gutu district performed very little for the past three years and a baseline survey showed lack of team work. This study aimed to assess the effectiveness of team building on team performance. Methods: A before and after quasi experimental study was conducted. District managers were study participants. A baseline survey was conducted to determine views on key leadership issues, such as convening meetings, managing conflict, planning and communication. Next, a five-day team building retreat was conducted in a secluded area away from the district. After the team building exercise, participants were observed for three months to assess improvement in planning, convening meeting...

Bilateral Gonadblastoma and Dysgerminoma in an 18-Year-Old Female Patient with 46xy, Sty Gene Mutation by Schmeink CE in Womens Health Journal Background: The need for prophylactic gonadectomy in XY gonadal dysgenesis patients is well known because of the risk of malignancy . However, the timing of surgery is not prescribed and in case of an unexpected finding like a dysgerminoma the need for additional treatment is controversial. Case: A 18-year-old adolescent with a 46XY disorder of sex development (DSD) and a SRY gene mutation underwent a laparoscopic gonadectomy . Pathology showed bilateral gonadoblastoma and dysgerminoma. Additional imaging showed no metastasis. After multidisciplinary consultation, expectant management was advised. In the first years of follow-up, there was no recurrence of disease. https://crimsonpublishers.com/igrwh/fulltext/IGRWH.000541.php For more Open access journals in Crimson publishers please click on the link https://crimsonpublishers.com/ F...