Abstract: The discovery of precancerous breast lesions has increased considerably with the generalization of screening. There are several classifications, the most used is that of Tavassoli and Al (adopted by WHO) which classifies intra-lobular breast neoplasia into three grades: LIN1, LIN2, LIN3. Lobular neoplasias are considered indicators of risk of invasive cancer. Progress in immunohistochemistry, cytogenetics and molecular biology, made it possible to better understand these lesions separating lesions that can be considered as simple breast cancer risk markers (LIN 1, LIN 2, LIN 3 type I) from those that correspond to true precursors of breast cancer (LIN 3 types II and III ). The management varies according to the histological type. The early diagnosis of these lesions thanks to the screening as well as a good management could help reduce the incidence of breast cancer.
REVIEW ARTICLE | July 30, 2018
Pregnancy and Obesity: Facts and Complications
Jawad Kamoune, Mehdi Bouchareb, Amina Daoudi, M. Tazi, A. Filali, R. Bezad, MH Alami
Abstract: The obesity, factor of morbidity and mortality, is considered as a real health public problem. In gynecology, its consequences on the fertility and the contraception are severing and the obesity is at the origin of important obstetric complications that must make consider these pregnancies as at risk. Our practices have to take into account these complications by assuring an adapted and premature care to improve the maternal and neonatal outcomes.
REVIEW ARTICLE | July 30, 2018
The Success Story of Reducing Maternal Mortality in Saudi Arabia
Abstract: The Kingdom Saudi Arabia (KSA) is the second largest Arab country, with a population estimated at 32.9 million, growing at 2%, in 2015.The maternal mortality in the Kingdom of Saudi Arabia has been substantially reduced within a reasonably short period. The maternal mortality rate in the year 1990 was 40 per 100,000 live births but it was drastically reduced to 12 in the year 2015. This is an example to many countries with unacceptably high maternal deaths. Poor antenatal care, hypertensive disorders of pregnancy and obstetric haemorrhage are the leading causes of maternal deaths. In KSA, rapidly changing attitude of women towards childbirth is occurring through progressively increasing female education and community health programmes in the region. Further reduction of maternal mortality rates in the community is envisaged through greater patient acceptance of medical advice, family spacing and proficient obstetric services. The quantitative and qualitative development of health services has led to improvement of maternal healthcare indicators. The MMR in Saudi Arabia will very soon match the developed countries with advanced health facilities. This article reveals the improvements in general improvement in socio-economic condition, increase in the female literacy rate, shifting from home delivery to hospital delivery, skilled care during pregnancy, labour and puerperium and contraceptive practice and reduction in fertility rate are the key factors contributed in improving the maternal health care in Saudi Arabia.
Scholars Middle East Publishers
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.