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Hymenal Findings in Women referred to Fars Legal Medicine Center Examination Unit, Southwest of Iran
Arya Hedjazi,
Mohammad Zarenezhad,
Sharareh Roshanzamir,
Saeed Gholamzadeh,
Maryam Valee,
Alireza Shaghaghian,
Amin Hosseinzadeh,
Fattah Jafarizadeh,
Mahmoud Montazeri,
Masoud Ghadipasha
Issue:
Volume 2, Issue 2, March 2014
Pages:
12-15
Received:
30 November 2013
Published:
20 March 2014
Abstract: Background: Normal hymenal appearance in adolescents is still not well-documented. Aim: In the present paper, we describe the hymenal findings in a population of Persian women. Materials and methods: This descriptive study was performed in Legal Medicine Center of Fars Province during 2008-2011. The questionnaire was used for collecting data according to the patients' interviews and hymenal physical examinations. SPSS 16 software was used for analyzing the data. P-values less than 0.05 were considered significant. Results: A total of 1'323 women were included. The average age of our study samples was 21.78 ± 2.98 years. Most of the hymens were non elastic (53.58%), followed closely by elastic hymens (46.17%). A 86.99% of the hymens were annular with smooth and continuous rim. The majority of our study's population (80.23%) was referred to us beyond three weeks of their suspected hymenal injury. Regarding hymen's health condition, 57.71% were intact, while 42.25% were injured. There was significant association between the patients' age and duration between hymenal injury and examination (P-Value = 0.023) and hymen's health condition (P-Value = 0.001). Conclusion: The results highlighted the importance of training experienced physicians and midwives from both medical and legal aspects.
Abstract: Background: Normal hymenal appearance in adolescents is still not well-documented. Aim: In the present paper, we describe the hymenal findings in a population of Persian women. Materials and methods: This descriptive study was performed in Legal Medicine Center of Fars Province during 2008-2011. The questionnaire was used for collecting data accord...
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Grand-Multiparity in Saudi Arabia—Examining the Obstetric Risk
Issue:
Volume 2, Issue 2, March 2014
Pages:
16-19
Received:
24 February 2014
Published:
20 March 2014
Abstract: Objectives: Grand multiparity (GMP) is a term used for women who have delivered previously five or more times. Despite availability of modern obstetrical care it still remains an obstetrical risk and obstetricians consider it as a high risk pregnancy. Occurrence of GMP in developed countries has been decreasing, with the exception in some communities like Saudi Arabia. We tried to explore the relationship between obstetrical complications and grand multiparity and find out why the problem still persists despite availability of contraceptive measures. Place and duration of study: Mother and Child Hospital, Buraidah, Al-Qassim, Saudi Arabia from Jan-June 2012. Methods and Material: It was a prospective study conducted in Mother and Child hospital. Data was collected by filling a structured Proforma. GMP and women of low parity were compared by using Student t test. GMP group was asked to explain reasons for non-practicing birth spacing. SPSS-version 19 and Microsoft office 2007 for Windows 7 was used. Independent sample t test was applied to compare the means and p-value below 0.05 was considered significant. Results: The average age of the GMP subjects of the study was 38.5 years, whilst the average age of the low parity women was 27.75 years. The highest occurrence of negative health outcome observed in the GMP group was anemia 51 (24.3%) followed by preterm labor (22.3%). Regarding the data collected on failure to use contraceptives although a number of reasons served as motivation. In order of cited prevalence, Husbands will (22.4%) and fear of family (15.9%) planning methods dominated. Conclusion and recommendations: There is a significant trend that points to GMP as an obstetric risk. The most cited reason for not using contraceptives in spite of their ready availability in Saudi Arabia was the husband’s lack of co-operation and fear of contraceptive measures. These responses provide valuable insight into the reasons for such a high number of GMP women in Saudi Arabia and serve as the basis for important dialogue and future study.
Abstract: Objectives: Grand multiparity (GMP) is a term used for women who have delivered previously five or more times. Despite availability of modern obstetrical care it still remains an obstetrical risk and obstetricians consider it as a high risk pregnancy. Occurrence of GMP in developed countries has been decreasing, with the exception in some communiti...
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A Framework of Fetal Age and Weight Estimation
Phuoc-Loc Nguyen,
Thu-Hang Ho-Thi
Issue:
Volume 2, Issue 2, March 2014
Pages:
20-25
Received:
26 December 2013
Published:
30 March 2014
Abstract: Fetal age and weight estimation plays the important role in pregnant treatments. There are many estimate formulas created by the combination of statistics and obstetrics. However, such formulas give optimal estimation if and only if they are applied into specified community or ethnic group with characteristics of such ethnic group. This paper proposes a framework that supports scientists to discover and create new formulas more appropriate to community or region where scientists do their research. The discovery algorithm used inside the framework is the core of the architecture of framework. This algorithm is based on heuristic assumptions, which aims to produce good estimate formula as fast as possible. Moreover, the framework gives facilities to scientists for exploiting useful information under pregnant statistical data
Abstract: Fetal age and weight estimation plays the important role in pregnant treatments. There are many estimate formulas created by the combination of statistics and obstetrics. However, such formulas give optimal estimation if and only if they are applied into specified community or ethnic group with characteristics of such ethnic group. This paper propo...
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Prediction of Fetal Growth by Measuring the Placental Thickness Using Ultrasonography
Elsafi Ahmed Abdalla Balla,
Magdolein Siddig Ahmed,
Caroline Edward Ayad,
Abdelmoneim Saeed Ahmed
Issue:
Volume 2, Issue 2, March 2014
Pages:
26-31
Received:
5 February 2014
Accepted:
8 April 2014
Published:
10 April 2014
Abstract: Ultrasound growth parameters including Femur Length (FL), and Biparietal Diameter (BPD) are widely used in Sudan for determining the fetal age. The Abdomen Circumference (AC) is also used along with BPD in determining fetal weight. Measuring placental thickness along with these parameters could be of great value. The main objective of this study was to determine the normal thickness of placenta during second and third trimesters in Sudanese pregnant ladies in order to predict the growth of the fetus, and to understand the relation between the placental thickness and growth parameters (BPD and FL). Fifty three pregnant Sudanese ladies were included in this study. All were normal cases of ages between 20 and 43 years old, in the second and third trimesters checking for antenatal routine ultrasound examinations at Military and Omdurman Maternal hospitals. Patients with history of Diabetes, Hydrops, Hypertension or liability to fetal anomalies were excluded from the study. The BPD, and FL, were measured and then correlated with Gestational Age (GA) for each lady; the placental thickness was measured in the longitudinal section at the insertion of umbilical cord using ultrasonography. The placental thickness was found in the normal mean range of values (20.7±2.1 and 36.2±4.7), in second and third trimester respectively. Normal values of placental thickness in normal Sudanese pregnant ladies with singleton fetuses are in the range of 25 to 45mm in the 3rd trimester, and between 18 to 24mm in the second trimester. A linear relationship between placental thickness and BPD, FL and gestational ages acquired by them in both 2nd and 3rd trimesters. No significant differences were found between ages derived from FL and BPD and PT, and a linear relationship was noted with the maternal age. An equation for gestational age prediction using PT was established. Placenta Thickness had a great value in prediction of fetal health and growth parameters sonographically.
Abstract: Ultrasound growth parameters including Femur Length (FL), and Biparietal Diameter (BPD) are widely used in Sudan for determining the fetal age. The Abdomen Circumference (AC) is also used along with BPD in determining fetal weight. Measuring placental thickness along with these parameters could be of great value. The main objective of this study wa...
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