Acute Heart Failure Associated with Carbon Monoxide Intoxication during Pregnancy: Two Case Reports
Meryem Essafti, Nadir Inajjarne, Siham Elarras, Houssam Rebahi, Ahmed Rhassane El Adib
Page Numbers : 243-246
DOI : 10.36348/sijog.2022.v05i05.004
Carbon monoxide poisoning is a leading cause of mortality among accidental intoxications, it is responsible for severe tissular hypoxia leading to life-threatening complications. Pregnant women are more at risk to develop severe forms of intoxication due to their physiological changes and their higher oxygen requirements as well as for possible adverse fetal outcomes. We present two cases of monoxide intoxication in two pregnant women with acute heart failure and variant complications with different fetal outcomes.
Original Research Article
May 15, 2022
Study of the Determinants of the Nycthemera of Childbirth at the Reference Health Center of Kalaban-Coro, Kati, Mali
M Haïdara, S Mariko, B Diarra, A Samaké, SZ Dao, O Traoré, M Coulibaly, BS Koné, I Guindo, MB Coulibaly, SO Traoré, B Bamba, S Diallo, M Diassana, MK Kaba, A Sidibé, I Coulibaly, M Maïga, O Sanogo, C Théra, N Doumbia, P Coulibaly, B Traoré, D Coulibaly, B Maïga, AA Iknane
Page Numbers : 227-242
DOI : 10.36348/sijog.2022.v05i05.003
Summary: Introduction: Knowledge of the birth cycle is important in the organization of reproductive health services in a facility. The main objective was to study the determinants of the birth cycle at the Kalaban-Coro health center. However, it seems that there are other determinants of the birth cycle, hence the relevance of this study. Material and methods: This was a cross-sectional analytical study from October 1 to December 31, 2020. Results: The study included 977 parturients who gave birth in the department. It recorded more night deliveries (59.1%) than day deliveries (40.9%). The average age of the women was 25 years. Non-educated births were the most represented with 39% of cases. Nocturnal admissions were predominant (58.8%); 59% of parturients had a history of nocturnal delivery and 40% preferred to give birth at night, while 30% had no preference. At admission, 57.91% of parturients were in the active phase during the night, compared to 42.59% during the day; 52.6% of parturients had a nocturnal onset of labor, compared to 47.4% during the day. Conclusion: The study showed that childbirth is more frequent at night than during the day. It highlighted the admission nycthemer, the previous nycthemer of deliveries and the preference of the parturient as other determinants of the nycthemer of the delivery.
Original Research Article
May 10, 2022
Perceptions and Expectations of Providers on Maternity Rights of Parturients
Introduction: This study aimed to understand the perception of providers of the Mama Mosalisi health and maternity center perceive the rights of parturients and to explore their expectations. Method: We conducted a descriptive qualitative exploratory phenomenological study, the data collection was done through individual face-to-face interviews with 10 providers of the Maman Mosalisi Health Center (nurses, laboratory technicians, doctors, midwives), worker in the maternity ward. Results: Providers generally have a positive perception, characterized by the recognition of the rights of parturients. They affirm that it is important to respect the rights of the parturients because this respect makes it possible to avoid the bad course of the childbirth; to gain the confidence of parturients; to increase the clientele and the receipts in the structure; leads to conscientious work; and contributes to the reduction of mortality. In their experiences, service providers encounter several difficulties in the exercise of their profession; but they also recognize their failure to respect the rights of parturients, they feel this in the form of guilt. Finally, they expect managers to improve working conditions in their structure, provide for self-assessment sessions, that the State take charge of them in everything, that the organizations involved strengthen their capacities through continuous training, that researchers sensitize the public in general and parturients in particular on their rights which they are unaware of, in order to be able to claim them and reframe the practices of providers. Conclusion: These results plead in favor of concerted interventions between political and health decision-makers, the partners involved and the providers for the promotion of respectful maternity care in order to contribute to the reduction of maternal and infant mortality.
Original Research Article
May 9, 2022
Efficacy of Ferrous Fumarate in Comparison to Carbonyl Iron in the Treatment of Iron Deficiency Anaemia during Pregnancy in Rajshahi, Bangladesh
Dr. Nahid Yusuf, Dr. Mst. Manjila Khatun, Dr. Nazmun Nahar, Dr. Rowshon Akhter, Dr. Md. Zillur Rahman, Dr. Md. Nasim Parvej, Dr. Anika Ahmed
Page Numbers : 216-222
DOI : 10.36348/sijog.2022.v05i05.001
Introduction: Iron deficiency represents a spectrum ranging from iron depletion to iron deficiency anaemia. In iron depletion, the amount of stored iron is reduced but the amount of transport and functional iron may not be affected. Iron deficiency is a major problem worldwide especially in women of reproductive age. Objectives: This study was designed to compare efficacy of two commonly used oral iron preparations among anemic pregnant women in private chamber of gynecologists and outdoor of Rajshahi Medical college hospital, Rajshahi, Bangladesh. Methods: We conducted analysis of data collected from Pregnant women between 18 to 40 years of age, >8 weeks of gestation, having iron deficiency anaemia (serum hemoglobin levels <10 gm/dl or serum ferritin <30μg/l). The patients were divided into 2 groups (n=30) each and treated with Ferrous fumarate and carbonyl iron respectively. Hemoglobin gm/dl and serum Ferritin ng/dl were recorded after the interval of 3 months from baseline. Data was analyzed using SPSS 16. Efficacy variables between groups calculated using Chi square and T- test. Results: We observed that patients treated with Ferrous Fumarate (FF) showed significant rise in Hb 0.69(±0.83) which was greater than that of Carbonyl iron (CI) group 0.07(±1.11) g/dl. Mean (± SD) rise of serum ferritin was significantly higher in FF group (55.45 ±34.66) as compared to CI group (19.88 ±15.33) (t=5.14, df =58, P<0.001). Conclusion: It can be concluded that, ferrous fumarate still can be considered better effective medication than Carbonyl iron for the treatment of Iron deficiency anemia in pregnancy.
Original Research Article
April 30, 2022
Aassessment of Knowledge, Attitude and Acceptance of COVID-19 Vaccine among Pregnant & Lactating Females
Dr. Puja Singh, Dr. Rehana Najam
Page Numbers : 205-209
DOI : 10.36348/sijog.2022.v05i04.013
Background: The COVID 19 Virus globally has caused tremendous morbidity and mortality among the general population around the world. To assess knowledge, there has been limited number of studies done to know the prevalence of COVID-19 vaccine acceptance among pregnant and lactating women. Aims: To assess knowledge, attitude and acceptance of Covid-19 vaccine among pregnant & lactating females in rural area of western U.P. Methodology: This was a cross-sectional study conducted on pregnant & breast- feeding women attending the antenatal & postnatal OPDs in the department of Obstetrics and gynecology & department of Pediatrics at Teer thanker Mahaveer Medical college & Research center. A total 1560 patient responses were taken from age group 18 to 42 years. All were provided with a pre-validated questionnaire consists of multiple choice. These questions evaluate knowledge of COVID-19 vaccine authorization and published materials. The universal acceptance of the COVID-19 vaccine. Three- and five-point Likert scales were used to rate the responses. Results: knowledge regarding COVID-19 vaccination among participants was obtained from government agencies was insignificant given by 16%, somewhat significant by 40% and significant by 44%, from news channel and radio was 20%, 42%and 38%, from social media in 25%, 48% and 27%, from friends and family in 18%, 50% and 32% and through healthcare provider in 14%, 36% and 50% respectively. In response Strongly disagree, disagree, neither agree nor disagree, agree, and strongly agree were seen as responses to desire to take the COVID-19 vaccine seen in 3%, 4%, 12%, 26% and 55%, through obtaining natural immunity COVID-19 vaccine was seen in 18%, 25%, 22%, 18% and 17%, desire to spend money for the COVID-19 vaccine was seen in 4%, 12%, 14%, 35% and 35% and there was tendency to recommend vaccines to people who were already familiar with them 3%, 8%, 12%, 34% and 43% respectively. Conclusion: Corona Virus immunization is reliable and accessible method of controlling the pandemic and as a result reduces it reduces the morbidity and mortality. Pregnant and lactating women need additional knowledge and attitude regarding COVID- 19 vaccination.
Case Report
April 29, 2022
Phyllodes Carcinoma of the Breast: An Uncommon Case Report
Cystosarcoma phyllodes of the breast are rare, and it accounts for less than 1% of the malignant tumors of the breast. Its clinical and radiological characteristics are those of benign tumors, and only a fast tumoral growth can evoke diagnosis. The diagnosis is confirmed by anathomopathology and immunohistochemistry. Surgical extended resection is the treatment of choice. Adjuvant radiotherapy may be administered in patients with high-grade tumors, positive surgical margins, or postoperative recurrence. Here we present a case of a woman affected by a sarcoma phyllodes tumor, an uncommon oncologic disease.
Original Research Article
April 29, 2022
Knowledge of Breastfeeding among Health Workers in the University of Port Harcourt Teaching Hospital
Kinikanwo Innocent Green, Atochi Prince Woruka, Emmanuel Okwudiri Oranu
Page Numbers : 210-215
DOI : 10.36348/sijog.2022.v05i04.014
All health workers who care for women and children during the postnatal period and beyond are key players in protecting, promoting, and supporting breastfeeding. However, most health workers do not have the necessary knowledge and skills to effectively play their roles. This study aims to assess the knowledge about breastfeeding among health workers. This was a cross-sectional study among 220 health workers at the University of Port Harcourt Teaching Hospital. A 32-point questionnaire based on the World Health Organisation (WHO) and the United Nations Children’s Fund (UNICEF) manual on the Baby-Friendly Hospital Initiative Training Course for Maternity Staff was used to assess the knowledge of the health workers. Scores of >50% were classified as good knowledge and <50% as poor knowledge. The overall good knowledge about breastfeeding was 51.8%. The majority (80.0%), had good knowledge about the benefits of breastfeeding and 169 (76.8%) of health workers had good knowledge about exclusive breastfeeding and the timing of breastfeeding. Good knowledge about the importance of colostrum was 27.7%, 91 (41.4%) health workers had good knowledge of birth practices that affect breastfeeding, and only 72 (32%) health workers had good knowledge about the problems of breastfeeding. In conclusion, the overall knowledge about breastfeeding among health workers in this study was not satisfactory. To breach this gap, hospitals should ensure that their staff has sufficient knowledge, competence and skill to support breastfeeding.
