Crimson Publishers-Investigations in Gynecology Research & Womens Health

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...

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...

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...

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...

One of the serious complications that are being experienced by women over many eras has been the issue of postpartum syndrome and the ways of coping with it. It is clear that many women can lose attention to their lives, their babies and their husbands. Actually, they become less happy and more stressful. Yet, this is not bound to the physicality of their beings, it is because of hormones. As is it is known that after childbirth, a dramatic drop in hormones (estrogen and progesterone) in women’s body may contribute to postpartum depression. Other hormones produced by mothers’ thyroid gland also may drop sharply-which can leave mother feeling tired, sluggish and depressed. Frankly, women need to feel emotionally supported in those hard times. Yet how can it be possible when they are fully confronted with the degenerated body image, inconvenient hormone rates and stressed mind after birth? Possibly they can be backed up by their husbands or other family members and they can get proper mo...

Cervical cancer is the fourth leading cause of cancer and cancer death among women worldwide [1]. According to the International Agency for Research on Cancer (IARC) in 2018, the global incidence is estimated at 570,000 new cases per year, of which more than 80% occur in developing countries [1]. In Morocco, the cervical cancer represents a major public health problem. It ranks second, after breast cancer in Moroccan women [2]. The incidence of cervical cancer remains high among women living with HIV. However, many studies have shown that this population has an increased risk of developing intraepithelial cervical neoplasia [3]. In the fight against cervical cancer, Morocco has a national cancer control programme under the aegis of the LALLA SALMA Foundation since 2006, thus enabling the creation of reference centers for screening and diagnosis of cervical cancer [4]. Women living with HIV often escape this program because of fear of stigmatization and disclosure of their HIV status. I...

Peripheral and central sensitizations are conditions of the nervous system that are characterized by increased tone and responsiveness, a lower threshold for the experience of pain and a tendency for pain to persist long after the original stimulus has ended [1]. The mechanism of the development of chronicity is under intense investigation involving a variety of important biochemical and sensitization processes. From a clinical perspective however, the situation can be summed up that pain per se, if not kept under control, may initiate the processes causing the transition from acute to chronic pain. Basic Investigations Investigations into the origins of central sensitization in particular, have focused on the role of continuous peripheral drive from the nociceptors (defined as neurons that are activated by noxious stimulation). It has been shown these nociceptors can become sensitized after being injured and develop a lower threshold for activation. Further, the persistence of affer...

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 ...

Postmenopausal osteoporosis is a silent disease with not much of symptoms until fractures occur. It is characterized by low bone mineral density (BMD) and changes in bone microarchitecture that reduces bone strength and there is increase in risk of fractures [1]. After menopause, estrogen deficiency is the major contributing factor. Because of this there is an increase in RANK-ligand (RANKL) and a decrease in osteoprotegerin (OPG) secretion from osteoblasts. This imbalance induces fast bone loss, and thus there is increase in risk of fractures. WHO has identified osteoporosis as a major public health concern [2]. Osteoporosis is widely recognized as an important public health problem because of the significant morbidity, mortality and costs associated with its complications-namely fractures of the hip, spine, forearm and other skeletal sites [3]. The incidence of fragility fractures is highest among elderly white women, with one in every two women suffering an osteoporosis related frac...

Brazilian Butt Lifts: An Editorial by Michael Naafs AB in Womens Health_ 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 embolism, se...

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...