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Psycho-Emotional Disorders in Postpartum Women after Stillbirth
Gustavo Romero-Gutiérrez,
Nadia Berenice Bracamontes-Bayardo,
Armando Ruiz-Treviño
Issue:
Volume 2, Issue 3, May 2014
Pages:
32-36
Received:
30 April 2014
Accepted:
8 May 2014
Published:
20 May 2014
Abstract: Objective: To identify psycho-emotional disorders diagnosed in women after stillbirth. Design: Cross-sectional study a face-to-face questionnaire. Setting: Postpartum area at a tertiary care referral hospital in León, Guanajuato, México. Participants: 210 women at immediate postpartum, divided into 105 women with stillbirth and 105 with healthy live newborn (controls). Data collection: Women answered face-to-face the questionnaire Minnesota Multiphase Personality Inventory-2. Findings: In 34.2% of women who had stillbirth, were diagnosed psycho-emotional disorders, compared with controls who were found in 19.0%, p = 0.019. In the logistic regression analysis the only significant risk factor associated to psycho-emotional disorder was the presence of fetal death, p = 0.002. The psycho-emotional disorders found in women with stillbirth were: depression (p = 0.026), hysteria (p = 0.012), psychotic deviation (p = 0.007), paranoia (p = 0.013), psychasthenia (p = 0.034), schizophrenia (p = 0.017), low self-esteem (p = 0.044) and anxiety (p = 0.049). Key conclusions: There is higher frequency of psycho-emotional disorders in women who suffer fetal death. Implications for practice: It is recommended to provide early care and psychological support to women who deliver a stillbirth.
Abstract: Objective: To identify psycho-emotional disorders diagnosed in women after stillbirth. Design: Cross-sectional study a face-to-face questionnaire. Setting: Postpartum area at a tertiary care referral hospital in León, Guanajuato, México. Participants: 210 women at immediate postpartum, divided into 105 women with stillbirth and 105 with healthy liv...
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Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia
Hordofa Gutema,
Ashenafi Shimye
Issue:
Volume 2, Issue 3, May 2014
Pages:
37-41
Received:
24 April 2014
Accepted:
4 May 2014
Published:
20 May 2014
Abstract: Background: It is estimated that about 20 million cesarean section (CS) deliveries occur each year in the world. But, in least developed countries the rate of deliveries by CS is very few. Objectives: The objective of this study is to assess Factors associated with Caesarean section at Mizan Aman General Hospital Southwest Ethiopia. Method: A cross sectional study was conducted by reviewing medical record of mothers. The sample size was determined using single population proportion and total sample size was 354. The checklist was used for data collection by adopting from other articles. The data was entered into EPI info 7.1.0 and exported to SPSS version 17 then analyzed. Binary logistic regression was done. Odd ratio was used for interpretation of strength of prediction of the independent variable to the outcome cesarean section. For all statistical significance tests, the cut- off value set was p<0.05 with CI of 95%. Result: A total of 342 mother medical record was reviewed. Majority (39.2%) of them found between 20-24 with mean age of 23.1(+4.38). Majority (78.9%) of mother delivered through vagina while the remaining (21.1%) of them delivered by CS. Less number (32.3%) of them had ANC follow up for their current pregnancy, Maternal age, gestational age and the outcome of the new born have significant association with cesarean section. Conclusion and Recommendation: The rate of the cesarean section is high. Maternal age, gestational age and the outcome of the new born have significant association with cesarean section at the hospital. The rate of cesarean section at the hospital should be reduced.
Abstract: Background: It is estimated that about 20 million cesarean section (CS) deliveries occur each year in the world. But, in least developed countries the rate of deliveries by CS is very few. Objectives: The objective of this study is to assess Factors associated with Caesarean section at Mizan Aman General Hospital Southwest Ethiopia. Method: A cross...
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Bicornuate Uterus and Pregnancy a Propos One Case and Review of the Litterature
S. Mezane,
M. Achenani,
Y. Benabdejalil,
M. Ziyadi,
R. Hafidi,
I. Hakimi,
A. Babahabib,
M. Hassani,
J. Kaouach,
D. Moussaoui,
M. Dehayni
Issue:
Volume 2, Issue 3, May 2014
Pages:
42-45
Received:
17 March 2014
Accepted:
10 May 2014
Published:
10 June 2014
Abstract: Frequency of uterine malformations having an impact on reproduction is difficult to assess. Their detection requires specific exams (hysterosalpingography, hysteroscopy, laparoscopy). Spontaneous fertility can be altered depending on the type of uterine anomaly. All these anomalies can affect the evolution of the pregnancy: early fetal loss and late fetal loss, ectopic pregnancy, premature delivry, premature birth,vascular pathologies in pregnancy and fetal growth restriction. Ovarian function is not changed. Bicornuate uterus is the most common uterine malformations representing about half of the anomalies of the uterus. Surgery, including endoscopic allows precise diagnosis, assessment of prognosis and treatment improving the chances of conception and evolution of pregnancies. The occurrence of such a pregnancy is a dangerous situation that can lead to maternal death, but early diagnosis and good following can carry pregnancies to term. Ultrasound screening should allowed the identification of such cases in order to take preventive measures. We report a case of a bicornualunicervical uterus in a pregnancy at 38 weeks of gestation diagnosed during ultrasound first trimester of pregnancy.
Abstract: Frequency of uterine malformations having an impact on reproduction is difficult to assess. Their detection requires specific exams (hysterosalpingography, hysteroscopy, laparoscopy). Spontaneous fertility can be altered depending on the type of uterine anomaly. All these anomalies can affect the evolution of the pregnancy: early fetal loss and lat...
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Focal Placenta Accreta
Fariba Minaee,
Manoochehr Salimian,
Monireh Dehghani Arani
Issue:
Volume 2, Issue 3, May 2014
Pages:
46-48
Received:
14 May 2014
Accepted:
10 June 2014
Published:
20 June 2014
Abstract: Most of the time in order to control post partum hemorrhage due to abnormal placental connection, hysterectomy is necessary. In this case report, Baker Report balloon was used to save the patient. Mother morbidity and mortality can be prevented with this way. Abnormal placental connection incidence containing. Accrete, increta and percreta is 1/7000. Severe placenta percreta causes high mortality and morbidity. Placenta percreta is accompanying with praevia in 75% of cases. (1 ,2)
Abstract: Most of the time in order to control post partum hemorrhage due to abnormal placental connection, hysterectomy is necessary. In this case report, Baker Report balloon was used to save the patient. Mother morbidity and mortality can be prevented with this way. Abnormal placental connection incidence containing. Accrete, increta and percreta is 1/700...
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