Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

University of Iowa

Discipline
Keyword
Publication Year
Publication
Publication Type
File Type

Articles 1 - 30 of 1965

Full-Text Articles in Medicine and Health Sciences

Covid-19 Related Complete Blood Count Changes Among Asymptomatic Pregnant Women, Waleed F. Gharib, Hesham Nasser, Ahmed Ma Sobh, Rasha E. Khamees Apr 2021

Covid-19 Related Complete Blood Count Changes Among Asymptomatic Pregnant Women, Waleed F. Gharib, Hesham Nasser, Ahmed Ma Sobh, Rasha E. Khamees

POG In Press

Objective: To evaluate complete blood count (CBC) changes that suggest coronavirus disease-2019 (COVID-19) among asymptomatic pregnant women attending routine antenatal care

Methods: A cross-sectional study included 187 healthy pregnant women who were attending the antenatal care clinic of a tertiary University hospital between March and June 2020. After a thorough history and examinations, a venous blood sample was taken from each participant for complete and differential blood counts. Those who showed CBC findings suggestive of COVID-19 were further scheduled for a nasopharyngeal swab for detection of SARS- CoV-2 specific antigens through polymerase chain reaction (PCR).

Results: We found 5.3 ...


Efficacy And Safety Of Elagolix In The Treatment Of Endometriosis Associated Pain: A Systematic Review And Network Meta-Analysis, Omar M. Mattar, Lubaba O. Namous, Mohamed Ros, Mohamed Fathi, Fares A. Elgendy, Shrouk M. Elghazaly, Ahmed H. Ibrahim, Ahmed Gadallah, Esraa Abdelmon'em M. Faraag, Omnia Sayed, Ahmed Samy, Ahmed M. Abbas Apr 2021

Efficacy And Safety Of Elagolix In The Treatment Of Endometriosis Associated Pain: A Systematic Review And Network Meta-Analysis, Omar M. Mattar, Lubaba O. Namous, Mohamed Ros, Mohamed Fathi, Fares A. Elgendy, Shrouk M. Elghazaly, Ahmed H. Ibrahim, Ahmed Gadallah, Esraa Abdelmon'em M. Faraag, Omnia Sayed, Ahmed Samy, Ahmed M. Abbas

POG In Press

Background: Endometriosis commonly presents with dysmenorrhea, non-menstrual pelvic pain, and infertility. Elagolix is an oral, short-acting, gonadotropin-releasing hormone antagonist acting through complete estrogen suppression.

Objective: To evaluate the evidence from published randomized controlled trials (RCTs) about the efficacy and safety of Elagolix in the treatment of endometriosis associated pain.

Search strategy: Electronic databases containing articles published between January 2000 and February 2020 were searched using the MeSH terms (Elagolix OR gonadotropin-releasing hormone antagonist OR GnRH antagonist OR antigonadotropin) AND (endometriosis) AND (pelvic pain).

Selection criteria: All RCTs assessing the efficacy of Elagolix in the treatment of pain associated with endometriosis ...


The Impact Of Adding Fetal Mri To Sonographically Diagnosed Intrauterine Ventriculomegaly: A Prospective Cohort Study, Mostafa Mahmod, Sara M. Ragaee, Soha T. Hamed, Ahmed M. Abbas, Mohamed A.F. Mourad Dec 2020

The Impact Of Adding Fetal Mri To Sonographically Diagnosed Intrauterine Ventriculomegaly: A Prospective Cohort Study, Mostafa Mahmod, Sara M. Ragaee, Soha T. Hamed, Ahmed M. Abbas, Mohamed A.F. Mourad

POG In Press

Objective: Intrauterine fetal ventriculomegaly (IVM) is one of the most commonly detected fetal anomalies. Prenatal diagnosis in IVM is considered a challenge with a significant impact on management. The current study aims to evaluate the added value of performing fetal MRI to sonographically diagnosed IVM.

Methods: A prospective cohort study was conducted at a tertiary University Hospital in the period between January 2017 and March 2019. We included pregnant women with a single fetus sonographically diagnosed IVM (symmetrical or asymmetrical). First, a basic obstetric sonographic examination was done, followed by a detailed (2D/3D) fetal CNS anomaly scan for the ...


Planned Use Of Long Acting Reversible Postpartum Contraception In Low-Risk Women In Centeringpregnancy® Group Versus Individual Physician Prenatal Care, Sarah Bakir, Tara Hoff, Petra Hahn, Colleen K. Stockdale, Abbey Hardy-Fairbanks Nov 2020

Planned Use Of Long Acting Reversible Postpartum Contraception In Low-Risk Women In Centeringpregnancy® Group Versus Individual Physician Prenatal Care, Sarah Bakir, Tara Hoff, Petra Hahn, Colleen K. Stockdale, Abbey Hardy-Fairbanks

Proceedings in Obstetrics and Gynecology

Introduction: Education on effective contraceptive methods is necessary during the prenatal period to help women achieve optimal birth spacing. This study identified rates of long-acting reversible contraception (LARC) uptake in women who attended CenteringPregnancy® (CP) group prenatal care versus individual physician care (IP).

Methods: Charts for low-risk women who participated in group CP or IP prenatal care between March 2012 and May 2016 were reviewed. Charts of IP subjects were randomly selected in each year to achieve a CP:IP ratio of at least 1:3. The primary outcome was rate of LARC use at discharge and within 8 weeks ...


Mesenteric Lymphatic Malformation Mimicking An Adnexal Source In A Teenager, Victoria L. Troesch, Erica M. Carlisle, Sarah A. Shaffer Nov 2020

Mesenteric Lymphatic Malformation Mimicking An Adnexal Source In A Teenager, Victoria L. Troesch, Erica M. Carlisle, Sarah A. Shaffer

Proceedings in Obstetrics and Gynecology

Mesenteric lymphatic malformations are rare benign tumors that are usually found in children and very rarely are they found in the abdomen. We present a rare case in which a mesenteric lymphatic malformation mimics an adnexal source. This is an important contribution to obstetrics and gynecology literature to show the importance of keeping this rare diagnosis on the differential, as well as the value of multi-disciplinary care.


Rachel A. Maassen, Md, Mba Nov 2020

Rachel A. Maassen, Md, Mba

Proceedings in Obstetrics and Gynecology

Rachel A. Maassen, MD, MBA

Clinical Associate Professor of Obstetrics and Gynecology - General Obstetrics and Gynecology.

Medical Director for Clinical Risk Management for Carver College of Medicine, the University of Iowa Physicians Group, and University of Iowa Hospitals and Clinics Director, Division of General Obstetrics and Gynecology.




Undiagnosed Endometrial Abnormalities In Women With Normal Hysterosalpingography Scheduled For Ivf: Prospective Evaluation Of Three-Dimensional Transvaginal Ultrasound Versus Office Hysteroscopy, Ahmed M. Abdelmagied, Momen A. Kamel, Ahmed Abuelhasan, Ahmed Nassr, Sherif Shazly, Dina M. Habib, Esraa Badran, Mohammed K. Ali, Abbas M. Abbas Nov 2020

Undiagnosed Endometrial Abnormalities In Women With Normal Hysterosalpingography Scheduled For Ivf: Prospective Evaluation Of Three-Dimensional Transvaginal Ultrasound Versus Office Hysteroscopy, Ahmed M. Abdelmagied, Momen A. Kamel, Ahmed Abuelhasan, Ahmed Nassr, Sherif Shazly, Dina M. Habib, Esraa Badran, Mohammed K. Ali, Abbas M. Abbas

Proceedings in Obstetrics and Gynecology

Objectives: To compare the diagnostic accuracy of three-dimensional transvaginal ultrasound (3D-US) to office hysteroscopy (OH) in the screening of uterine cavity with normal hysterosalpingography (HSG) findings for subtle endometrial abnormalities before in vitro-fertilization (IVF).

Methods: A prospective cohort cost-modeling study was carried out in a University hospital. We included 120 infertile women with a normal uterine cavity on HSG scheduled for IVF. All cases were evaluated by 3D-US, and the results were compared with OH findings.

Results: OH revealed cavitary endometrial lesions (CLs) in thirty-four women (28.3%). Endometrial polyps were the most common detected lesions (16, 47.1%). 3D-US ...


Programmed Death Ligand-1 (Pd-L1) Expression Is Up-Regulated And Related To The Pattern Of Invasion In Figo Stage I Vulvar Squamous Cell Carcinomas, Hermann Brustmann Nov 2020

Programmed Death Ligand-1 (Pd-L1) Expression Is Up-Regulated And Related To The Pattern Of Invasion In Figo Stage I Vulvar Squamous Cell Carcinomas, Hermann Brustmann

Proceedings in Obstetrics and Gynecology

The immune checkpoint protein programmed death ligand-1 (PD-L1) is expressed in different types of cancer and is a potential prognostic factor as well as therapeutic target.

This study evaluated PD-L1 expression in the neoplastic progression of vulvar epithelia with respect to the pattern of infiltration in FIGO stages I keratinizing squamous cell carcinomas (SCC). Normal squamous vulvar epithelia (n=20), usual type vulvar intraepithelial neoplasia (uVIN, n=23), differentiated VIN (dVIN, n=21) and FIGO stage I SCC (n=35) were immunostained for PD-L1. In SCC a cohesive growth with well-delineated borders was considered as pushing, dissociative growth in small ...


The Effect Of Music On Pain Perception In Women Scheduled For Elective Cesarean Section: A Systematic Review And Meta-Analysis, Ahmed Taher Masoud, Ahmed Samy, Ahmed M. Elshrery, Esraa Taher, Kerollos H. Shaker, Ahmed M. Abbas Nov 2020

The Effect Of Music On Pain Perception In Women Scheduled For Elective Cesarean Section: A Systematic Review And Meta-Analysis, Ahmed Taher Masoud, Ahmed Samy, Ahmed M. Elshrery, Esraa Taher, Kerollos H. Shaker, Ahmed M. Abbas

Proceedings in Obstetrics and Gynecology

Objective: To study the effect of music on pain perception in women scheduled for elective cesarean section (CS)

Search Strategy: We used the following keywords (“music” or “music therapy” and any of the following: cesarean section OR cesarean delivery OR CS OR cesarean OR Caesarean OR "post-op*)

Selection Criteria: We included all studies satisfying the following criteria: (1) Population: pregnant women scheduled for cesarean section. (2) Intervention: the addition of any type of music to routine care compared with routine care alone. (3) Study design: randomized controlled trials (RCTs). We excluded the following: (1) non-randomized trials, (2) in vitro and ...


Efficacy And Safety Of Misoprostol For Intrauterine Device Insertion In Women With No Previous Vaginal Delivery: A Systematic Review And Meta-Analysis Of Randomized Controlled Trials, Ahmad Taher Masoud, Ahmed Samy, Hend G. Abdelmageed, Mai Ibrahim Sokkar, Ahmed H. Ibrahim, Ahmed M. Abbas, Ahmed M. Afifi Nov 2020

Efficacy And Safety Of Misoprostol For Intrauterine Device Insertion In Women With No Previous Vaginal Delivery: A Systematic Review And Meta-Analysis Of Randomized Controlled Trials, Ahmad Taher Masoud, Ahmed Samy, Hend G. Abdelmageed, Mai Ibrahim Sokkar, Ahmed H. Ibrahim, Ahmed M. Abbas, Ahmed M. Afifi

Proceedings in Obstetrics and Gynecology

Introduction: The efficacy of misoprostol use for cervical priming before intrauterine device insertion (IUD) is controversial. This review aims to evaluate the evidence from published randomized controlled trials about the efficacy and safety of misoprostol before IUD insertion for pain relief in women with no previous vaginal delivery.

Materials and methods: We searched the following electronic databases: Web of Science, Cochrane CENTRAL, SCOPUS, and PubMed for relevant studies using the following Mesh terms: (misoprostol) AND (intrauterine device OR IUD). The primary outcome was the mean pain score during insertion. Secondary outcomes included the ease of insertion score, the rate of ...


Maternal Inflammatory Bowel Disease, Racial Diversity And Adverse Birth Outcomes, Zubair Saeed, Hany Aly, Charles Macri, Dinan Abdelatif, Mohamed A. Mohamed Nov 2020

Maternal Inflammatory Bowel Disease, Racial Diversity And Adverse Birth Outcomes, Zubair Saeed, Hany Aly, Charles Macri, Dinan Abdelatif, Mohamed A. Mohamed

Proceedings in Obstetrics and Gynecology

Background: Inflammatory bowel disease (IBD) is a term used to describe two conditions, Crohn’s disease and ulcerative colitis (UC), that currently have no definite cure. The incidence of IBD worldwide has increased, frequently affecting women during their reproductive years.

Objectives: This study examines the association of Crohn's disease and ulcerative colitis (UC) with adverse pregnancy outcomes and looks at the interactions of race/ethnicity on these associations.

Study Design: We examined hospital birth records in the National Inpatient Sample (NIS) data sets in 2011 and 2012. We identified maternal demographics and clinical characteristics using international classification of disease-9 ...


Ultrasonographic Evaluation Of Fetal Lung Histogram Versus Lamellar Body Count In The Prediction Of Fetal Lung Maturity, Waleed F. Gharib, Tamer Y. Mohamed, Mariam Lotfy, Mohamed S. El-Tanab, Ahmed M. Abbas, Zakia M. Ibrahim Nov 2020

Ultrasonographic Evaluation Of Fetal Lung Histogram Versus Lamellar Body Count In The Prediction Of Fetal Lung Maturity, Waleed F. Gharib, Tamer Y. Mohamed, Mariam Lotfy, Mohamed S. El-Tanab, Ahmed M. Abbas, Zakia M. Ibrahim

Proceedings in Obstetrics and Gynecology

Objective: The current study aims to compare the ultrasonographic evaluation of fetal lung Gray-level histogram width (GLHW) ratio with an amniotic fluid lamellar body count (LBC) in the prediction of fetal lung maturity.

Methods: A prospective cohort study was conducted at a tertiary University Hospital in the period between May 1, 2017 and March 31, 2018. The study included pregnant women with a single fetus at ≥37 weeks of gestation scheduled for delivery by elective cesarean section (CS). Ultrasound evaluation was performed for assessment of the fetal lung to liver GLHW ratio to predict lung maturity. Lamellar body count was ...


Can Bandl’S Ring Be Recurrent?, Elizabeth M. Shirazi, Rachel A. Maassen Nov 2020

Can Bandl’S Ring Be Recurrent?, Elizabeth M. Shirazi, Rachel A. Maassen

Proceedings in Obstetrics and Gynecology

Background: Bandl’s ring is a pathologic contraction ring of the uterus that is associated with obstructed labor.

Case: A 35-year-old with an uncomplicated past medical history was found to have a Bandl’s ring in her first pregnancy during a cesarean section for failure to progress. During her subsequent pregnancy, what appeared to be a Bandl’s ring was again found during repeat cesarean section after spontaneous labor.


Persistent Vaginal Granulation Tissue Of A Large Size On The Episiotomy Scar, Eftekhar Hassan Al-Ojaimi Nov 2020

Persistent Vaginal Granulation Tissue Of A Large Size On The Episiotomy Scar, Eftekhar Hassan Al-Ojaimi

Proceedings in Obstetrics and Gynecology

Although persistent granulation tissue continues to be a well-recognized complication of wound healing, the incidence of episiotomy scar granulation tissue is unknown, and reports are rare. Herein, we present a case of multiple hypertrophied and polypoidal granulation tissue of a large size at the site of episiotomy scar treated with surgical excision and the recovery was uneventful with excellent results.


Diagnosis Of Uterine Torsion During Cesarean Section: A Case Series, Sarah J. Gross, Colette M. Gnade, Lauren Coyne Nov 2020

Diagnosis Of Uterine Torsion During Cesarean Section: A Case Series, Sarah J. Gross, Colette M. Gnade, Lauren Coyne

Proceedings in Obstetrics and Gynecology

Partial rotation of the uterus up to 45 degrees is a common physiological finding during pregnancy whereas uterine torsion is pathologic and defined as rotation greater than 45 degrees. Torsion of up to 720 degrees has been reported; with most cases occurring between 90 degrees and 180 degrees. While uterine torsion in pregnancy requires emergent intervention, the incidence is unknown. Most cases of uterine torsion are diagnosed intra-operatively at emergent cesarean section following non-specific clinical presentation, such as fetal heart rate decelerations or bradycardia, severe abdominal pain, hypotension, or vaginal bleeding. In this case series, we report on two cases ...


Effects After Use Of Laser Therapy For Vulvovaginal Atrophy In A Patient With Lichen Sclerosus: A Case Report, Sarah Bakir, Heather Winn, Diane Elas, Colleen K. Stockdale Nov 2020

Effects After Use Of Laser Therapy For Vulvovaginal Atrophy In A Patient With Lichen Sclerosus: A Case Report, Sarah Bakir, Heather Winn, Diane Elas, Colleen K. Stockdale

Proceedings in Obstetrics and Gynecology

Objective: Use of laser therapy has most recently been introduced as a non-invasive option for the treatment of genitourinary syndrome of menopause (GSM). Recent literature has shown promise in providing benefit for patients with symptoms of vulvovaginal atrophy (VVA) and stress urinary incontinence with minimal adverse effects. Despite this, the United States Food and Drug Administration has not cleared laser therapy for these specific indications given the lack of sufficient evidence to support safety and efficacy.

A case is presented of a patient with GSM in the setting of lichen sclerosus who was referred to a tertiary vulvovaginal disease clinic ...


Successful Non-Surgical Management Of Acute, Uncomplicated Appendicitis In Pregnancy: A Case Report, Avanthi Ajjarapu, Nina N. Moreira May 2020

Successful Non-Surgical Management Of Acute, Uncomplicated Appendicitis In Pregnancy: A Case Report, Avanthi Ajjarapu, Nina N. Moreira

Proceedings in Obstetrics and Gynecology

Acute appendicitis during pregnancy is one of the most common non-obstetric indications for surgery during pregnancy. Prompt surgical intervention for appendicitis is considered the standard of care. However, data on the utility of surgical management of uncomplicated cases of appendicitis is inconclusive and effectiveness of non-surgical management is currently understudied. We present a case that provides evidence for successful, antibiotic management of uncomplicated appendicitis as a means to reduce the burden of surgical complications on the pregnant population. This article also offers a critical analysis of current standard of care and assesses feasibility of nonsurgical management of acute, uncomplicated appendicitis ...


Obstetric Care Among Refugee Populations: Reinforcing Cultural Humility In Residency Training—Preliminary Report, Avanthi Ajjarapu, Michael L. Haugsdal, William T. Story May 2020

Obstetric Care Among Refugee Populations: Reinforcing Cultural Humility In Residency Training—Preliminary Report, Avanthi Ajjarapu, Michael L. Haugsdal, William T. Story

Proceedings in Obstetrics and Gynecology

The burden of increasing obstetric morbidity and mortality in the United States disproportionately impacts certain populations more than others, one such group being refugees. Poor obstetric outcomes among refugee communities historically have been attributed to delayed initiation of prenatal care, failure to detect co-morbidities, as well as higher rates of Cesarean sections (C-sections), stillbirths, pre-term births, and low birth weight infants in comparison to host-country mothers. Therefore, understanding the contextual nuances that play a role in these poor outcomes among refugee populations is very important.


Primary Radiation As Initial Management In Endometrial Cancer: Investigating Ebrt, Imrt And Hdr Brachytherapy, Vincent M. Wagner, Erin A. Salinas, Sarah L. Mott, Wenqing Sun, Michael J. Goodheart May 2020

Primary Radiation As Initial Management In Endometrial Cancer: Investigating Ebrt, Imrt And Hdr Brachytherapy, Vincent M. Wagner, Erin A. Salinas, Sarah L. Mott, Wenqing Sun, Michael J. Goodheart

Proceedings in Obstetrics and Gynecology

For patients with endometrial cancer at increased risk of perioperative morbidity, primary radiation therapy is an effective alternative treatment option. However, there has been no consensus on radiation technique and little data on outcomes. Our aim was to identify factors which determine patient selection for primary radiation, investigate treatment efficacy of radiation compared to surgical management of endometrial cancer and to evaluate different radiation modalities including external beam radiation therapy alone or with a boost of either high dose rate brachytherapy or intensity-modulated radiation therapy for differences in toxicities, recurrence-free interval, cancer-specific survival and overall survival.


Multimodal Perioperative Pain Protocol For Gynecologic Oncology Laparotomy Is Associated With Reduced Hospital Length Of Stay And Improved Patient Pain Scores, Jordan Mattson, Mackenzie Mackenzie, Sarah L. Mott, Yasmin A. Lyons, Abbey J. Hardy-Fairbanks, Emily K. Hill May 2020

Multimodal Perioperative Pain Protocol For Gynecologic Oncology Laparotomy Is Associated With Reduced Hospital Length Of Stay And Improved Patient Pain Scores, Jordan Mattson, Mackenzie Mackenzie, Sarah L. Mott, Yasmin A. Lyons, Abbey J. Hardy-Fairbanks, Emily K. Hill

Proceedings in Obstetrics and Gynecology

The primary objective was to evaluate the impact of a multimodal perioperative pain regimen on length of hospital stay for patients undergoing laparotomy with a gynecologic oncologist.


Scurvy Presenting As Vulvar Folliculitis, A Case Report And Review Of The Literature, Emily A. Weig, Diane Elas, Colleen K. Stockdale May 2020

Scurvy Presenting As Vulvar Folliculitis, A Case Report And Review Of The Literature, Emily A. Weig, Diane Elas, Colleen K. Stockdale

Proceedings in Obstetrics and Gynecology

This case examines clinical features and care of a patient with scurvy presenting with vulvar folliculitis.


Investigation Of The Relationship Between Gestational Week And Sexuality, Yusuf Seyhan, Özer Birge, Aliye Nigar Serin, İlkan Kayar May 2020

Investigation Of The Relationship Between Gestational Week And Sexuality, Yusuf Seyhan, Özer Birge, Aliye Nigar Serin, İlkan Kayar

Proceedings in Obstetrics and Gynecology

Background: The aim of the study was to twofold: to provide sociological data comparing sexuality both before and during pregnancy for women in developing countries as well as to look for differences in correlation between elements of sexuality and gestational age. Its intention is to help improve communication between physicians and patients in and from countries where social mores and traditions make such conversations difficult and uncommon.

Methods: Participants in the study included 1026 pregnant women at different gestational ages that presented to an Antenatal Outpatient Clinic in Istanbul, Turkey between April 2017 and November 2017. The participants were given ...


Placental Pouch Closure: A Novel, Safe And Effective Surgical Procedure For Conservative Management Of Placenta Accreta, Kamal M. Zahran, Mostafa M. Elsonbaty, Ahmed M. Abbas, Abdel Ghaffar M. Ahmed, Mohamed F. Mostafa, Mansour A. Khalifa, Ahmed Nasr, Ahmed F. Abdel-Kawi, Alaa Eldin A. Youssef May 2020

Placental Pouch Closure: A Novel, Safe And Effective Surgical Procedure For Conservative Management Of Placenta Accreta, Kamal M. Zahran, Mostafa M. Elsonbaty, Ahmed M. Abbas, Abdel Ghaffar M. Ahmed, Mohamed F. Mostafa, Mansour A. Khalifa, Ahmed Nasr, Ahmed F. Abdel-Kawi, Alaa Eldin A. Youssef

Proceedings in Obstetrics and Gynecology

Background: Placenta accreta spectrum (PAS) has become a global problem secondary to the high rate of cesarean delivery (CD). The current study presents an effective surgical procedure (placental pouch closure) for uterine preservation in patients with PAS.

Methods: We applied this procedure in sixty cases at a tertiary university hospital between September 2017 and January 2019. We included women who were diagnosed as PAS based on preoperative ultrasound and Doppler evaluation, and who had the desire for uterine preservation.

Results: The procedure was successful in almost all cases; the uterus was conserved 98.33 % of participants, with no associated severe ...


Health Care Disparities: Moving The Needle, Marygrace Elson May 2020

Health Care Disparities: Moving The Needle, Marygrace Elson

Proceedings in Obstetrics and Gynecology

As an obstetrician, I am acutely aware of the United States maternal mortality rate, which is frighteningly worse than any other developed country. Even more alarming is the fact that the rate for black and native women in the USA is 3-4 times higher, regardless of socioeconomic status and education level. In Iowa, our maternal mortality figures are no better than the rest of the nation overall and may be slightly worse for black and native women. How can this be, when Iowa enjoys a reputation for quality health care?


Unique Health Needs And Characteristics Of Homeless Women In Iowa City, Iowa, Marielle E. Meurice, Christine Todd, Patrick B. Barlow, Anne H. Gaglioti, Lindsay Goad, Abbey Hardy-Fairbanks, Colleen K. Stockdale May 2020

Unique Health Needs And Characteristics Of Homeless Women In Iowa City, Iowa, Marielle E. Meurice, Christine Todd, Patrick B. Barlow, Anne H. Gaglioti, Lindsay Goad, Abbey Hardy-Fairbanks, Colleen K. Stockdale

Proceedings in Obstetrics and Gynecology

Context: Homeless individuals have comparatively poorer health, however few gender specific assessments exist.

Purpose: This cross-sectional survey of homeless individuals assesses gender-specific health needs.

Procedure: 68 Homeless adults were surveyed at a shelter from March to April, 2015 in Iowa City, IA. Descriptive statistics were computed to compare gender-subgroup responses.

Main Findings: The study population was predominately male (45, 67.2%), white (37, 54.4%), and averaged 42.35 years old (range 21-74). Males were more likely to be veterans (13, 28.9% vs. 1, 4.5%, p=0.025). Women were more likely to have dependents (9, 47.4 ...


The Effect Of Gonadotropin-Releasing Hormone Analogues On The Preservation Of Ovarian Function Against Cyclophosphamide-Induced Damage In Adult Mice, Eman Kishk, Wael Hassan, Mohammed Shaaban, Ahmed Mohamed Abbas May 2020

The Effect Of Gonadotropin-Releasing Hormone Analogues On The Preservation Of Ovarian Function Against Cyclophosphamide-Induced Damage In Adult Mice, Eman Kishk, Wael Hassan, Mohammed Shaaban, Ahmed Mohamed Abbas

Proceedings in Obstetrics and Gynecology

Objective:

To assess the effect of gonadotropin-releasing hormone analogue (GnRHa) on the preservation of ovarian function against cyclophosphamide-induced gonadal toxicity.

Materials and Methods:

In a controlled, experimental study, 64 female mice were divided into four groups: control (C), triptorelin acetate (T), cyclophosphamide (CY), and triptorelin plus cyclophosphamide (T+CY) groups. Mice in the group (T) were subcutaneously injected with GnRHa (triptorelin acetate) in a dose of 0.5 mg/kg daily for 21 days. In contrast, mice in the (CY) group and (T+CY) group were injected intraperitoneally with 75 mg/kg of CY on day 15. After 21 days ...


Efficacy Of Oral Celecoxib And Hyoscine Butyl-Bromide Versus Placebo During Copper Intrauterine Device Placement In Women Delivered Only By Elective Cesarean Section: A Randomized Controlled Study, Fatma F. Darweesh, Ahmed Samy, Ahmed M. Abbas, Mohamed Hamza, Ahmed Said Ali, Mohamed Hussein May 2020

Efficacy Of Oral Celecoxib And Hyoscine Butyl-Bromide Versus Placebo During Copper Intrauterine Device Placement In Women Delivered Only By Elective Cesarean Section: A Randomized Controlled Study, Fatma F. Darweesh, Ahmed Samy, Ahmed M. Abbas, Mohamed Hamza, Ahmed Said Ali, Mohamed Hussein

Proceedings in Obstetrics and Gynecology

Objective: To compare the efficacy and tolerability of celecoxib to hyoscine butyl bromide (HBB) and placebo in reducing pain scores during placement of copper intrauterine devices (IUD) in parous women who have undergone elective cesarean section and who have had no previous vaginal deliveries.

Methods: We conducted a randomized, double-blind, placebo-controlled trial at a tertiary University hospital from April 2018 to September 2018. The study included women who had never delivered vaginally and who desired copper IUD insertion. We randomized the study participants in a 1:1:1 ratio to celecoxib, HBB or placebo groups. They took the tablets orally ...


A Case Of Rheumatic Heart Disease Diagnosed In The Third Trimester, Amanda Manorot, Nina N. Moreira May 2020

A Case Of Rheumatic Heart Disease Diagnosed In The Third Trimester, Amanda Manorot, Nina N. Moreira

Proceedings in Obstetrics and Gynecology

Migration from areas with a high incidence of rheumatic heart disease has led to an increase in pregnancy complicated by rheumatic heart disease in high-income countries. We present a case of rheumatic heart disease diagnosed in a 33-year-old G2P0010 French-speaking Congolese woman at 32 weeks gestation. She was initially hospitalized with respiratory syncytial virus (RSV) bronchiolitis at 24 weeks gestation and established care in our clinic. Mitral valve stenosis was identified at 32 weeks gestation after she presented with severe edema and was hospitalized for acute on chronic heart failure complicated by urosepsis and cellulitis. She was managed in the ...


Disparities In Healthcare: A Focus On Native American Women’S Health And The System That Is Failing Them, Keely K. Ulmer May 2020

Disparities In Healthcare: A Focus On Native American Women’S Health And The System That Is Failing Them, Keely K. Ulmer

Proceedings in Obstetrics and Gynecology

Women’s health care has always been a hotbed for public attention. The upcoming presidential election and new state-level laws targeting reproductive rights have only brought these issues into greater prominence. While reproductive rights are an important topic on their own, we also need to talk about a subset of the greater issue that is often swept under the rug, to talk about women’s healthcare disparities on Native American reservations. Unless you live close to a reservation, you may have never thought to consider that a disparity even exists. Yet, as a female tribal member who has lived on ...


Dual Trigger Protocol Is An Effective Ivf Strategy In Both Normal And High Responders Without Compromising Pregnancy Outcomes, Rebecca K. Chung, Abigail Mancuso, Karen Summers, Amy E.T. Sparks, E. Hakan Duran, Rachel A. Mejia May 2020

Dual Trigger Protocol Is An Effective Ivf Strategy In Both Normal And High Responders Without Compromising Pregnancy Outcomes, Rebecca K. Chung, Abigail Mancuso, Karen Summers, Amy E.T. Sparks, E. Hakan Duran, Rachel A. Mejia

Proceedings in Obstetrics and Gynecology

To compare pregnancy outcomes between normal versus high responders after dual trigger of final oocyte maturation with gonadotropin-releasing hormone (GnRH) agonist and human chorionic gonadotropin (hCG) in fresh in-vitro fertilization (IVF) cycles, where ovarian stimulation was achieved by a flexible GnRH antagonist protocol.