A Study on Risk Factors of Recurrent Pregnancy Loss
Dr. Dorothy Shahnaz Mukul Fatema, Dr. Abdul Khaleque, Dr. Salma Rouf
Page Numbers : 1-5
DOI : 10.36348/sijog.2021.v04i01.001
Recurrent pregnancy loss (RPL) is a condition when a woman has three or more consecutive pregnancy loss. A loss of pregnancy is described as a clinically recognized pregnancy that ends involuntarily before 20 weeks. Most complications in pregnancy arise from chromosomal, or genetic, defects and are spontaneous occurrences. The main aim of this research is to find out the risk factors associated with Recurrent Pregnancy Loss (RPL). Also, the specific objectives of the study are; to recognize the probable remedial targets to detect the origin of the pregnancy losses, and to provide necessary recommendations regarding organized care for couples with RPL. A descriptive study was conducted for 1 year from July 2014 to June 2015, to find out the cause and consequences of recurrent pregnancy loss. Factors, such as age, environmental and occupational exposure, psychological pressure, chronic endometritis, genetic factors, smoking, thrombophilia screening, uterine imperfections, were some of the risks for Recurrent Pregnancy Loss. Multiple miscarriages can create noteworthy negative mental pressure for couples, and that is why numerous studies are being conducted to improve medicines and reduce the time expected to accomplish an effective and full-term pregnancy. Patients with RPL need to consult with fertility specialists about appropriate exams to clarify the risk factors and treatments to improve the outcomes of pregnancy.
Dec. 24, 2020
Puerperal Hematoma, Rare Postpartum Complication: A Case Report
Fatima Zahra Gounain, N. Mamouni, S. Erraghay, C. Bouchikhi, A. Banani
Page Numbers : 262-264
DOI : 10.36348/sijog.2020.v03i12.005
Post-partum hemorrhage is the leading cause of maternal mortality, ranging from 18 to 50% of deaths worldwide. The puerperal hematoma is an unusual cause (also called peri-genital thrombi) with a frequency of 1/1000. They are formed in a paravaginal, paracervical or parametrial connective detachment, after vascular lesions. There are many favorable factors: primiparity, instrumental extraction, macrosomia, multiple pregnancies, vulvovaginalvarices, difficult hemostasis, coagulation anomalies, and prolonged dilation. The “active” treatment of puerperal hematoma is based on surgery and/or arterial embolization.
Original Research Article
Dec. 18, 2020
Breast Cancer and Pregnancy at Sylvanus Olympio Teaching Hospital of Lome -Togo
Introduction: The association of breast cancer and pregnancy is a rare event. The aim of our study is to take stock of this association at the Sylvanus Olympio Teaching Hospital (CHU SO) in Lome, Togo. Methodology: This is a descriptive retrospective study that took place at (CHU SO), Lome, Togo; from January 1, 2014 to December 31, 2018. Results: During our study the frequency of breast cancer and pregnancy was 2.1%. The mean age of the patients was 33.3 years. Multiparas represented 69.2% of cases. Breast cancer was found in the second trimester of pregnancy in 45.4%. The invasive ductal carcinoma was found 38.4%. Patients had received palliative treatment in 53.8% of cases. Fifty-three point eight percent (53.8%) of the patients were lost to follow-up. Conclusion: Breast cancer associated with pregnancy is difficult. The ideal would be a nationwide subsidy for this disease.
Original Research Article
Dec. 10, 2020
The Outcome of Vaginal Birth after One Caesarean Section (VBAC)-A Descriptive Study
Dr. Mst. Jesmin Akter, Dr. Eliza Shirin
Page Numbers : 249-257
DOI : 10.36348/sijog.2020.v03i12.003
Background: Caesarean section has become the most performed major operation in obstetrics. The increasing rate of primary caesareans section becomes high worldwide due to early detection of fetal and maternal complications. Repeated caesarean section is one of the major contributory factors for increasing this rate very significantly. Now a day, vaginal delivery of pregnant mothers with the history of previous one caesarean with non-recurrent cause was established. It has been shown that the outcome of trial of labor in past caesarean delivery is acceptable, effective and safe for both mother and fetus, if the women are properly selected. Objective: The objectives of this study was to determine the outcomes of vaginal birth after caesarean section (VBAC) in case of previous one caesarean section to reduce the subsequence cesarean section with its complication. Materials and Methods: It was a cross sectional study carried out in the Maternity Unite-1, Department of Gynecology & Obstetrics, Sir Salimullah Medical College and Mitford hospital, Dhaka, Bangladesh, held on January 2010 to December 2010. Out of total 380 admitted pregnant women who had previous one caesarean section, 50 pregnant women of 37-42 weeks of gestational age with the history of one caesarean delivery with alive baby were selected as study population following consecutive and purposive sampling method. Patients with spontaneous onset labor but preterm pregnancy with any contraindication or prior caesarean section due to recurrent causes, history of classical caesarean section, more than one caesarean section, multiple pregnancy, pregnancy with medical disorder were excluded in the study. Results: Out of total 50 sampled pregnant women, vaginal delivery were done 16(32%) & emergency cesarean section were done 34(68%). According to the age group both vaginal & cesarean section 20-30 years were predominant, which were 8(50%) and 17(50%) respectively. Regarding antenatal care 13(81.25%) of vaginal delivery cases were regular. On the other hand, only 10(29.41%) of cesarean section were regular in care. Fetal survival outcome in vaginal & caesarean which were 14(87.5%) and 33(97.05%) respectively. Comparing the maternal complication maximum number of vaginal delivery group had no complications. Conclusion: In this study 14.5% pregnant women went spontaneous labor. By permitting a trial of labor in our pregnant mother with a previous caesarean section, we will be able to reduce the caesarean delivery rate. Women for VBAC needs regular antenatal checkup, timely admit in hospital and delivery under close supervision. Therefore, all pregnant women with prior delivery by caesarean section need not necessarily be delivered by caesarean section during the next pregnancy of a pregnant women.
Dec. 5, 2020
Post-Caesarean Section Parietal Endometriosis: About A Case
Wall endometriosis is a rare clinical entity whose pathophysiology remains unclearI to ccurs most frequently after gynecologic or obstetric surgery. We report the case of à patient with cyclic pain at the caesarean section scar. Clinical examination showed à 4cm mass in the right iliac fossa. Tomodensitometry revealed a tissue density mass (45mm onthemajor axis). Hence, the decision to performa wide excision of the lesion. Anatomo-pathological examination confirmed the diagnosis of parietal endometriosis. Postoperative sequelae were simple with a follow-up period of 20months with no recurrence of the mass or of the pain. Our study highlights the characteristics of this disease to allow the health practitioner to understand the importance of diagnosis, of early treatment of this disease as well as of the possibility to prevent it during each gynecologic or obstetric surgery.
Original Research Article
Dec. 5, 2020
Factors Predictive of Uterine Rupture after Operative Hysteroscopy
Objectives: To identify factors predictive of obstetric uterine rupture after operative hysteroscopy. When these factors are present, to know if there are means to prevent subsequent uterine rupture. Finally, to specify the criteria for extracting the fetus before rupture. Patients and methods: Description of a case of uterine rupture in a patient with a history of uterine septum rupture treated by operative hysteroscopy and retrospective analysis of the 12 similar observations reported in the literature. Results: Two types of situations are to be differentiated: uncomplicated hysteroscopic ablation of a polyp or submucosal myoma, which does not seem to modify the obstetrical prognosis; metroplasties for uterine malformation, resections of complex synechia, uterine perforations secondary to resection with the use of a monopole section current, constituting situations at high risk of obstetrical rupture. Conclusion: Uterine ruptures secondary to operative hysteroscopy are rare but serious. They may occur before any labour, and involve the vital prognosis of the mother-foetus. Once the risk factors have been identified, there is no way of preventing the progression to obstetric uterine rupture. The vigilance of the obstetrician in this context must be extreme, trying to authenticate the slightest clinical sign in favour of a pre-rupture of the uterus. However, systematic Caesarean section is not justified.
Original Research Article
Nov. 30, 2020
The Relationship between BMI and Age with Lipid Peroxidation, Antioxidant Enzyme Super Oxide Dismutase Glutathione and Serum Homocysteine Level in Polycystic Ovary Syndrome in Sudanese Patients
Ahmed Nassir Mohamed, Noon Babiker Mohammed, Abdelgadir Eltom, Amin Omer Abbas
Page Numbers : 232-240
DOI : 10.36348/sijog.2020.v03i11.003
Polycystic ovary syndrome, also known as Stein-Leventhal syndrome is a common health problem that affects teenage girls and young women. PCOS is associated with a wide spectrum of complications in various parts of health, including reproductive, metabolic and psychological features. This Analytical case control study was conducted to Assessment of Lipid peroxidation, antioxidant enzyme Super oxide dismutase, Glutathione and Serum Homocysteine level in Patients with Polycystic Ovary Syndrome in Khartoum State in which include 300 participant divided into 200 case and 100 control, the sample used to measure Homocysteine , Glutathione, Lipid peroxidation and superoxide dismutase level in serum of participant of high body mass index in case group and normal body mass index for the control by using spectrophotometer machine . out of 300 sample divided into 200 case and 100 control , the mean and standard deviation of the total glutathione was found mean 801.30 and the reduced glutathione 132.2 while in control 748.6,103.2 respectively, and for Super oxide dismutase mean and standard deviation was found 225.2, ± 57.8 in case while in control found 195.5, ± 25.6 respectively and Homocysteine mean and standard deviation found 14.9, ± 2.1 for case and 12.1 , ± 2.5 for control lastly also the mean and standard deviation investigated while the lipid peroxidation was found 3.4 , ± 1.1 for case and 2.4 , ± 0.7 Respectively. the total glutathione mean and standard deviation in group of <5 years disease duration PCOS found 1559.6 ,± 282.6 and for duration of >5 years of disease the total glutathione mean and standard deviation found 1196.9 , ± 253.9 regarding superoxide dismutase mean and standard deviation in group of <5 years disease duration was found 227.1 , ± 57.4 and for duration of >5 years of disease the superoxide dismutase mean and standard deviation was found 222.4 , ± 58.8.The Homocysteine mean and standard deviation in group of <5 years disease duration was found14.9 , ± 2.2 and for duration of >5 years of PCOS disease found 14.8 , ± 1.9 The age interval have low glutathione mean and standard deviation among age of 15-30 year 60(30%) found 804.5 , ± 118.8Hemoctoseine mean and standard deviation in age 15-30 year found 15.3 , ± 2.5. Polycystic ovarian syndrome could be a dilemma for many women of reproductive ages irrespective of their reproductive disorders; should incorporate assessment of lipid profiles and possibly oxidative stress markers.