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Search Results: 1 - 10 of 81 matches for " Miscarriage "
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Mid Trimester Transvaginal Ultrasound Assessment of Cervix for Prediction of Primary Caesarean Section  [PDF]
Mamta Rath Datta, Shikha Parashar, Priyanka Mukherjee, Sarita Kumari, Ankush Nandkishor Raut
Open Journal of Obstetrics and Gynecology (OJOG) , 2015, DOI: 10.4236/ojog.2015.515121
Abstract: Objectives: To assess the role of mid-trimester transvaginal sonographic assessment of cervix in predicting the risk of primary cesarean section. Methods: Hundred pregnant women, who attended out-patient department of Tata Main Hospital for ante natal examination, from 1st December 2011 to 1st December 2012, were taken up for the study. Only those who had confirmed dates were included in the study. Transvaginal sonography was done at 18 - 26 week to measure cervical length. Parameters studied were gestational age at delivery, whether spontaneous or induced, duration of labor, pregnancy outcome and mode of delivery and indication for cesarean section. Results: Majority of LSCS were in the group with cervical length ≥4 cm (57.1%) with “p” value of <0.0001. Only 13.8% women who had vaginal delivery had cervical length ≥4 cm. Out of the 32 women with cervical length ≥4 cm, 26 (81.3%) required induction of labor and 10 (31.3%) delivered after 40 weeks. Mean cervical length for spontaneous onset of labor was 3.11 ± 0.85 cm and for induction of labor was 4.36 ± 1.11 cm (“p” value ≤ 0.001). Multiple logistic regression analysis was performed to study outcome variable of mode of delivery. Cervical length and induction to delivery interval were found to be independent predictor of mode of delivery. In the receiver operating characteristic (ROC) curve analysis, the best cut-off point for prediction of primary cesarean section was 40 mm for cervical length. Sensitivity, specificity, positive predictive value and negative predictive value of cervical length as a predictor of mode of delivery was 54.8%, 91.4%, 82.1% and 73.6% respectively. R2 (coefficient of determination) was 0.271. Conclusion: Transvaginal cervical length measurement at mid trimester can be used as a predictive tool to determine the risk of primary cesarean section as well as the need of induction of labor.
Recurrent Miscarriage: Hysteroscopy-Assisted Management  [PDF]
Fady M. Shawky Moiety, Abdel Fattah Agameya, Hisham Aly Saleh
Open Journal of Obstetrics and Gynecology (OJOG) , 2018, DOI: 10.4236/ojog.2018.85048
Abstract: Objective: To apply office hysteroscopy in assessment/management of patients with recurrent miscarriage, thus to/or not to recommend office hysteroscopy as a routine procedure in such cases. Study design: Retrospective analysis. Setting: University hospital’s outpatient abortion clinic. Subjects & Methodology: Patients’ records during the period between March 2015 and January 2017 for subjects with at least 2 previous miscarriages, who had undergone office hysteroscopy were reviewed. Results: Cases with 2 previous miscarriages (n = 95) were assessed and compared with those with 3 or more miscarriages (n = 105). Abnormal uterine findings were diagnosed in 24.1% of the former, and 43.8% of the latter group. The prevalence of uterine lesions among cases with 2 recurrent miscarriages was 42.1%; meanwhile, for subjects with 3 or more consecutive miscarriages, it was 43.8%. Conclusion:
Effects of cola intake on fertility: a review  [PDF]
Atsushi Imai, Satoshi Ichigo, Hiroshi Takagi, Kazutoshi Matsunami, Noriko Suzuki, Akio Yamamoto
Health (Health) , 2010, DOI: 10.4236/health.2010.29147
Abstract: The consumption of soft drinks has increased considerably during the last decades. Among them, the cola-based preparations are possibly the refreshments with the largest sales worldwide. During the previous years, important concerns have been raised about the effects of colas on human health. In this review, we introduce the cola effects on reproduction including pregnancy miscarriages, ovulatory and menstrual disorders, and reduced semen quality. Although caffeine intoxication may be thought to play the most important role, a component of cola other than caffeine, or in combination with caffeine, may be associated with increased risk of reproductive hazards in heavy cola (> 1 L per day)-consumers. Cola discontinuation usually leads to an uneventful recovery in the most cases suggesting justification of limitations in the maximum recommended daily dose of these soft drinks. Cola is not an essential beverage, and abstaining from drinking more than 1 L per day is a minor intrusion in one’s personal life. Despite these uncertainties, this growing know- ledge may alarm the fertility risk of chronic cola intake in peoples of childbearing age.
Coagulation Factor XII Congenital Deficiency in Women with Recurrent Miscarriage  [PDF]
Martin-Loeches Mariano, Pallas Yadira, Abad Ana, Lloret Manuel, Lopez-Galvez Jose Jesús
International Journal of Clinical Medicine (IJCM) , 2011, DOI: 10.4236/ijcm.2011.24079
Abstract: Factor XII (Hageman factor) is an important protease that plays a major role in the initiation of the intrinsic pathway of blood coagulation and fibrinolysis and kinin formation. It is still unclear whether factor XII deficiency causes any disorders during pregnancy. Because the main clinical feature in patients with factor XII deficiency is thrombosis rather than bleeding, low dose aspirin would be expected to prevent first trimester miscarriage and a decrease in factor XII level itself was found to be an independent risk factor in recurrent miscarriage. The woman in a 31-year-old patient, with personal and family antecedents without interest and preceding obstetrics of two spontaneous abortions in the first quarter of the pregnancy without apparent cause. In the study of infertility practiced emphasizes a partition of not more than one centimetre of length in the uterine found by hysteroscopy exploration and in the study of hipercoagulability a light deficiency of the factor XII. Himself guideline processing with low dose of aspirin (125 mgr/day) and preconception folic acid (5 mgr/day), remains expectant mother and in the week 12 of her third pregnancy itself guideline antitrombotic prophylaxis with heparin of low molecular weight by subcutaneous way. The pregnancy reaches the week 39 without incidents of interest and the expectant mother give birth of spontaneous form to health boy. Repeated abortions may be associated with reduced level of factor XII activity of unknown origin and low-dose aspirin may prevent miscarriage caused for decreased factor XII levels in patients with a history of recurrent first trimester miscarriage.
Miscarriage—Evidence Based Information for the Web and Its Development Procedure  [PDF]
Annsofie Adolfsson, Emelie Arbhede, Elisabeth Marklund, Per-Göran Larsson, Marie Berg
Advances in Sexual Medicine (ASM) , 2015, DOI: 10.4236/asm.2015.54011
Abstract: Objective: The aim of this paper is to describe the process of developing web information on miscarriage based on scientific evidence, for women and couples in Sweden experiencing miscarriage. Method: A participatory design was used which included researchers, professional experts and users. A participatory design was used involving researchers, professional experts and users. The information was developed in six stages: 1) identifying the needs of information; 2) identifying and constructing the main areas of information and its paths; 3) identifying and inviting experts for revision; 4) developing the text; 5) reviewing the text; 6) design and structuring for adaption to website. Results: The text of information developed gradually based on the seven steps. The final text comprised three parts: 1) what is miscarriage; 2) experiences of miscarriage; 3) processing and planning for new pregnancy. Conclusion: Using participatory design was time and resource consuming, however it was functional for producing appropriate information for the target group. The developed evidence based facts text is assumed to be a complement to the information that is provided by the health care system.
A 5-Year Retrospective Study on the Use of Manual Vacuum Aspiration in the Federal Teaching Hospital Abakaliki  [PDF]
Okechukwu B. Anozie, Johnbosco I. Nwafor, Chukwuemeka I. Ukaegbe, Chidi U. Esike, Rita O. Anozie, Lucky O. Lawani, Justus N. Eze
Open Journal of Obstetrics and Gynecology (OJOG) , 2019, DOI: 10.4236/ojog.2019.92015
Abstract: Introduction: Since the inception of our hospital in 2011, manual vacuum aspiration has been in use for the treatment first trimester miscarriages. Hence there is a need for operational review on its use. Aim: The aim of this study is to evaluate the determinants and outcome of Manual Vacuum Aspiration (MVA) use in our hospital. Method: This was a retrospective study on the use of MVA for various indications in our facility over a 5-year period. Results: There were 625 (19.7%) manual vacuum aspirations among 3179 gynaecological patients seen during the period. The age range of the women was from 15 to 48 years and the mean age was 28.5 ± 5.3 years. Incomplete abortion was the commonest indication for the use of MVA and accounted for 89.9% of cases. Other indications for the use of MVA include missed miscarriage (1.8%), and blighted ovum (1.8%). The complications were uterine perforation (0.3%), infection (3.7%) and severe anaemia (10.7%). The mean total hospital stay was 1.6 ± 0.6 days. Overall, 267 (42.7%) patients were managed as a day case. Conclusion: Manual vacuum aspiration is an effective tool in the management of early pregnancy complications. It is a safe, easily performed and possibly cost-effective procedure, with advantages for both the patient and the health care system.
Application of “Swanson’s Middle Range Caring Theory” in Sweden after miscarriage  [PDF]
Caroline Jansson, Annsofie Adolfsson
International Journal of Clinical Medicine (IJCM) , 2011, DOI: 10.4236/ijcm.2011.22021
Abstract: Objective: The aim of this study was to apply Swanson’s Middle Range Caring Theory to the follow-up visit with a midwife for Swedish women who have suffered early miscarriage or received care for late missed miscarriage in preg-nancy week 18-20. Methods: Twenty-five tape recorded interviews with women four weeks after their early miscarriages and thirteen tape recorded semi-structured interviews with midwives and nurses who had the experience of caring for women who have been diagnosed with a missed miscarriage during a routine ultrasound scan. The interviews were transcribed verbatim and interpreted deductively from the text using the theory. Results: Each woman described her personal experience of miscarriage in the relative terms of a human experience. The midwives and nurses described their experiences with women who received care for missed miscarriage. The interviews included information about the treatment provided by the caregivers during the period afterward of the diagnosis. The caregiver attitude was formed from Swanson’s caring categories: “Maintaining belief”, “knowing”, “being with”, “doing for”, “enabling”. Conclusions: Swanson’s Middle Range Caring Theory as applied to the caregiver includes being emotionally present, giving support with respect for the woman’s dignity, being competent, meeting each woman’s own individual needs. Given the proper care after a miscarriage every woman has the power within herself to improve their wellbeing.
Swedish Women’S Emotional Experience of the First Trimester in a New Pregnancy after One or More Miscarriages: A Qualitative Interview Study  [PDF]
Annsofie Adolfsson, Cecilia Johansson, Emma Nilsson
Advances in Sexual Medicine (ASM) , 2012, DOI: 10.4236/asm.2012.23007
Abstract: Objectives: The aim of this study was to evaluate how Swedish women describe their emotional state of being during the eighth week through the eleventh week after they have become pregnant again after suffering a previous miscarriage. Method: A qualitative content analysis with an inductive approach has been used to analyze fourteen interviews that served as the data base for this study. The content analysis resulted in the development of five categories which evolved into one primary theme. Findings: The five categories identified were Worry and preoccupation; Distance; managing their feelings; Mourning what is lost; Guarded happiness and expectations. These categories were compiled into a main theme, “Worry consumes a lot of energy, but on the other side lies happiness”. This theme focused on whether the women could feel any happiness about being pregnant again despite their concerns with the previous miscarriage. Conclusions: The emotional states of the women when they get pregnant again are typically characterized by anxiety, worry and concerns about their current pregnancy. The women have a tendency to distance themselves emotionally from their pregnancy but also strive to find the joy of being pregnant again. During the new pregnancy they find themselves in need of support from their family and friends as well as in need of support from the healthcare system.
Acurácia diagnóstica da histerossalpingografia e da ultra-sonografia para avalia??o de doen?as da cavidade uterina em pacientes com abortamento recorrente
Traina, évelyn;Mattar, Rosiane;Moron, Ant?nio Fernandes;Albuquerque Neto, Luiz Cavalcanti de;Matheus, Elisabeth D'Elia;
Revista Brasileira de Ginecologia e Obstetrícia , 2004, DOI: 10.1590/S0100-72032004000700004
Abstract: purpose: to evaluate the diagnostic accuracy of hysterosalpingography (hsg) and transvaginal sonography (tvs) in terms of detecting uterovaginal anomalies in women with a history of recurrent miscarriage. methods: eighty patients who presented two or more consecutive miscarriages were submitted to hsg, tvs and hysteroscopy (hsc). the following diagnoses were considered separately: uterine malformations, intrauterine adhesions and polypoid lesions. hysteroscopy was the gold standard. the matching among the different methods was evaluated by the kappa coefficient and its significance was tested. the significance level was 0.05 (a=5%). sensitivity, specificity, positive and negative predictive values, with 95% of statistical confidence interval, were calculated. results: uterovaginal anomalies were detected in 29 (36.3%) patients: 11 (13.7%) were uterine malformations, 17 (21.3%) intrauterine adhesions and one (1.3%) a polypoid lesion. the global matching between hsg and hsc was 85.5%, while between tvs and hsc it was only 78.7%. the best accuracy of hsg appeared to be for the diagnosis of uterine malformations and intrauterine adhesions (diagnostic accuracy of 97.5 and 95%, respectively). for the diagnosis of polypoid lesions, hsg had a diagnostic accuracy of only 92.5%, due to the low rate of positive predictive value (14.3%). tvs had a worse accuracy for all diagnoses, 93.7% for the diagnosis of uterine malformations and 85% for intrauterine adhesions, due to low sensitivity. conclusions: histerosalpingography showed a good diagnostic accuracy for the diagnosis of uterine cavity diseases. tvs had good specificity, but with low sensitivity.
Embarazo ectópico esplénico: reporte de caso y revisión de la literatura
Franco,Oscar Andrés; Olaya,Natalia;
Revista Colombiana de Obstetricia y Ginecología , 2009,
Abstract: primary splenic pregnancy is considered to be the rarest form of extrauterine pregnancy, only a few well-documented cases having been reported. we report a case of splenic pregnancy in a 32-year-old woman having poor obstetric history, presenting acute abdomen and haemoperitoneum. splenic pregnancy requires an emergency splenectomy and should be considered in the differential diagnosis of acute abdomen in reproductive-aged women, particularly if they have had recurrent abortions.
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