Obstetrics and Gynecology Commons^™

Epidural Anesthesia For Cesarean Section For Parturient With Recently Diagnosed Asymptomatic Chiari Malformation Type I: A Case Report, Ashie Kapoor, Jon Halling

HCA Healthcare Journal of Medicine

Chiari malformations (CMs) are congenital defects of the brain and skull that result in inferior displacement of the cerebellum. There are four types of CMs distinguished by the severity of the anatomic defects and parts of the brain that protrude beyond the foramen magnum. Of these types, CM Type I (CMI) is the least severe. It is characterized by the downward displacement of the cerebellar tonsils beyond the foramen magnum by more than 5 millimeters and goes into the cervical spinal canal. CMI is the most common type with an incidence of 0.1-0.5% in the general population and a predominance …

An Investigation Into The Prevalence Of Use And Availability Of Information On Contraception For Female Third Level Students Aged 18-24, Barbara Dymet, Jane Hyde, Chloe Madden, Ciara Walsh

International Undergraduate Journal of Health Sciences

Introduction:

The purpose of this investigation was to find out the amount of female students in third level institutions who use contraception as well as their attitude towards the availability of information about female birth control options in these institutions.

Materials and methods:

An online survey was created using Google Docs which was then sent out to undergraduate third level female students over the age of 18. All gathered data was analysed using Microsoft Excel.

Results:

The vast majority of the surveyed population was sexually active and used contraception with the most common form being a combination of the contraceptive …

Exploring Occupational Therapy’S Role In Supporting Health And Wellness In The Transition To Motherhood, Katelynn A. Lillibridge, Karen Park, Susan Macdermott

Fall 2021 Virtual OTD Capstone Symposium

The transition to motherhood [matrescence] is a time of major life changes. All aspects of a new mother’s life are impacted during matrescence as she assumes her new role, identity, responsibilities, and learns the occupational skills of mothering. During this time, health, wellness, and occupational balance may all be impacted. This is a sensitive time for mothers with potential implications for both short and long-term health. Using an occupation-based approach can be a way to provide comprehensive support and care to mothers during this period to promote health and wellness, enhance occupational engagement, and support meaningful co-occupations. Currently …

The Fatigue Paradox: Team Perceptions Of Physician Fatigue, Emily Field, Lorelei Lingard, Richard Cherry, Julie Ann Van Koughnett, Sandra Deluca, Taryn Taylor

Obstetrics & Gynaecology Publications

OBJECTIVES: Ongoing calls to implement fatigue risk management in residency education assume a shared understanding of physician fatigue as a workplace hazard, yet we lack empirical evidence that all health care team members maintain this assumption. Thus, this study seeks to explore how health care team members understand the role of physician fatigue in an effort to inform the implementation of fatigue risk management in residency training and medical practice.

METHODS: This study uses constructivist grounded theory to explore perceptions of workplace fatigue and its impact on clinical practice. We conducted individual semi-structured interviews with physicians, nurses and senior residents …

Disparities Among Black Women In Maternal Health, Josefina Teresa Estrada

Nursing | Senior Theses

The literature shows that Black women face many disparities in terms of health care access and the quality of care. These obstacles could negatively affect the health of the mother and their child. This paper includes a literature review and proposed research study. The objective of this research study is to identify the outcomes of Black women compared to White women and other women of color in terms of maternal health. A literature review is provided in order to identify how race affects the following factors: obstacles that limit access to healthcare, rates of obtaining prenatal care, postpartum outcomes and …

Hook Plating Versus Tension Band Wiring In Treatment Of Displaced Lateral End Clavicle Fracture, Alaa Elmohamady, Ehab Elzahed, Ismail Hammouda

Al-Azhar International Medical Journal

Abstract Background: Lateral end clavicular fractures represent about 15% of clavicular fractures. Nonunion rate is about 22 to 44% due to interacting forces between arm weight and trapezius muscle . Objective: To assess the clinical and radiological outcomes of fixation by HP versus TBW and to determine which technique provides enough stability to permit early range of motion. Patients and Methods: A prospective comparative study on 40 patients( 20 patients fixed by HP and others 20 by TBW) was done and followed up at Al-Azhar University Hospitals between December 2019 to April 2021. Results: The mean age of patients is …

The Effects Of Doula Care On Birth Outcomes And Patient Satisfaction In The United States, Lynae Carlson

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The visitor policies related to the COVID-19 pandemic limited doula care and called into question the importance of doulas in the birth process. While the Cochrane Systematic Review presents compelling evidence of the benefits of continuous birth support on outcomes ranging from shorter labors to higher 5-minute Apgar scores, there are gaps in literature that exclusively focus on continuous support from doulas. The literature review aims to determine both qualitative and quantitative outcomes of doula care on the mother and baby during the labor and post-partum periods, focusing on specific aggregates, such as adolescents, women with low incomes, and women …

Atrial Fibrillation Post Coronary Artery Bypass Grafting Surgery Incidence And Risk Factors, Ahmed Hamdy Basiony, Medhat Refaie, Ahmed Sultan

Al-Azhar International Medical Journal

Background: Atrial fibrillation is a common complication following cardiac surgery, especially coronary artery bypass grafting. Although this condition mostly benign but it can increase mortality and morbidity postoperative and leading to longer ICU stay and increase the costs. Aim of the work: to investigate and analyse the atrial fibrillation incidence and risk factors in patient undergoing CABG in addition to its effect on intensive care unit and postoperative hospital stay. Patients and methods: Our study was retrospective non-randomized. Between January 2018 and January 2020, 50 patients were recruited from a total of 225 patients who underwent coronary artery bypass graft …

Study The Efficacy Of Repetitive Transcranial Magnetic Stimulation On A Sample Of Resistant Schizophrenic Patients With Positive And Negative Symptoms, Omar Aglan, Amgad Gabr, Mohamed Helmy

Al-Azhar International Medical Journal

Abstract: Background: Transcranial magnetic stimulation one of the tools that may help schizophrenic patients. Aims: To Examine the validation of rTMS in treatment positive and negative symptoms of refractory schizophrenic patients. Setting: Department of Psychiatry, Faculty of Medicine, Al-Azhar University, Cairo. Patients and methods: The study inclusive 40 resistance schizophrenic patients separated into two groups: Group A: 20 patients received 15 sessions of r-TMS for 3 weeks, With five daily sessions with a two day break, Group B: 20 patients were randomly (one every one patients) chosen for sham stimulation. The Positive and Negative Syndrome Scale was used to examine …

Assessment Of Cardiac Functions In Neonatal Sepsis, Mohamed Hassan, Ahmed Abdel Hakeem, Mahmoud Abdelmotalep, Tarek Eldahshan

Al-Azhar International Medical Journal

Background; One of the major organs influenced in neonatal sepsis is the heart. Echocardiogram gives real-time data on the cardiovascular execution instead of reliance on the clinical signs alone. Aim and objectives; to study the role of transthoracic echocardiogram in the assessment of systolic and diastolic cardiac functions in septic neonates . Subjects and methods; This cross sectional study was carried out on 80 neonate subdivided into 4 groups (septic full-term, septic preterm, non-septic full-term and non-septic preterm) admitted to the tertiary care NICU of Bab Elsheria Hospital, Al-Azhar University . Result; Septic patients gather had essentially higher myocardial execution …

Acute Cholecystitis In Elderly Patients; Management And Outcome, Mahmoud Mohamed, Mohamed Abdel-Maksoud, Mohamed El-Kaseer

Al-Azhar International Medical Journal

Background: The most prevalent consequence of cholelithiasis is acute cholecystitis (AC), which is also one of the most common diseases needing emergency surgery in the elderly. Aim and objectives: The goal of this training was to assess the characteristics, management, results, and danger factors for complications of acute cholecystitis in elderly patients. Furthermore, proof of our current management strategy or recommendations for its modification was sought. Patients and methods: Twenty patients over sixty-five years old with acute cholecystitis were submitted to elective laparoscopic cholecystectomy at Al-Azher University hospitals. Sixteen of them were females (80%) and four were males (20%). Result; …

Action Leveraging Evidence To Reduce Perinatal Mortality And Morbidity (Alert): Study Protocol For A Stepped-Wedge Cluster-Randomised Trial In Benin, Malawi, Tanzania And Uganda, Joseph Akuze, Kristi Sidney Annerstedt, Lenka Benova, Effie Chipeta, Jean-Paul Dossou, Mechthild M. Gross, Hussein Kidanto, Bruno Marchal, Helle Mölsted Alvesson, Andrea B. Pembe

Obstetrics and Gynaecology, East Africa

Background: Insufficient reductions in maternal and neonatal deaths and stillbirths in the past decade are a deterrence to achieving the Sustainable Development Goal 3. The majority of deaths occur during the intrapartum and immediate postnatal period. Overcoming the knowledge-do-gap to ensure implementation of known evidence-based interventions during this period has the potential to avert at least 2.5 million deaths in mothers and their offspring annually. This paper describes a study protocol for implementing and evaluating a multi-faceted health care system intervention to strengthen the implementation of evidence-based interventions and responsive care during this crucial period.

Methods: This is a cluster …

Nursing Perceptions For Utilizing Essential Oil Application In Labor And The Effect Of Targeted Education, Joni R. Beckham

Electronic Theses and Dissertations

This Doctor of Nursing Practice project was implemented to determine how a nurse’s perception of aromatherapy influences their decision to provide aromatherapy for patients during labor and the effect of targeted education on a nurse’s perception. The purpose of this project was to determine how nurses view the use of aromatherapy resources at their disposal and the likelihood that they would offer the intervention to their patients. This project provided education to increase nurses’ confidence in providing optimal care to patients using a traditional and holistic avenue of aromatherapy while determining if education can positively influence nurses to support essential …

Vte And Anticoagulation In Menstruating Women, Ida Micaily, Bethany T. Samuelson Bannow

Department of Medicine Faculty Papers

Women of childbearing potential have a high prevalence of venous thromboembolism (VTE) due to high estrogen states, such as pregnancy and the use of estrogen-containing contraceptives. Abnormal uterine bleeding (AUB) affects up to two-thirds of menstruating women on anticoagulation (AC), and can severely impair a woman's quality of life. Rates of heavy menstrual bleeding (HMB) and other forms of AUB including inter-menstrual and postmenopausal bleeding are consistently underreported in the original clinical trials utilizing AC. VTE can occur at any time in a woman's life, and the aim of this review article is to discuss the current landscape of literature …

Management Of Distal Tibial Fractures By Ilizarov Fixator With Or Without Minimal Internal Fixation, Moaaz Elgammal, Mostafa Elgahel, Ali Elgioshy

Al-Azhar International Medical Journal

Background: Ilizarov fixator has more advantages in some types of distal tibial fractures as open, type C3according to AO classification and give satisfactory results more than plates and screws fixation because it minimizes complications. The aim of the work: To estimate the techniques, results and complications of Ilizarov in management of distal tibial fractures with or without minimal internal fixation . Patient: During the period from August 2020 through June 2021, a prospective study was conducted on fifteen patients with fifteen tibial plafond fractures treated with Ilizarov fixator. The study consisted of 12 men and 3 women, with an average …

Pectoral Etching In Early Grades Gynecomastia, Elsayed Shaaban, Mostafa Mikki, Hazem Dahshan

Al-Azhar International Medical Journal

Background: Nowadays there is a great introduction of 3D,4D and high-definition body contouring. Applicability and evaluation of such techniques in gynecomastia surgery needs more investigation. Objective: The aim of this study was to assess high definition liposculpture to get masculinized appearance of the chest for treatment of early grades gynecomastia. Patients and methods: 30 patients with grade I&II gynecomastia were selected with age group between 18 and 50 years old with mean 24.73 ± 2.62. It was a prospective observational cohort study to assess the applicability of pectoral etching in early grades gynecomastia. The study was conducted at Al-Azhar university …

Neurophysiologic Study In Children With End Stage Renal Disease On Regular Hemodialysis, ‪Mohamed ‬ Hasan, Moftah Rabeea, Hassan Hassan, Ann Abd-Elkader, Eman Elzamarany

Al-Azhar International Medical Journal

Background: Patients undergoing hemodialysis for chronic kidney disease (CKD) commonly have neurological problems. Both the central and peripheral nerve systems may be affected by these problems. Uremic encephalopathy, cognitive impairment, peripheral neuropathies, and uremic myopathy are all common neurological consequences in CKD. Aim of the study: to detect neurophysiologic changes using electroencephalography (EEG), nerve conduction velocity (NCV) and electromyography (EMG) in children with CKD on regular hemodialysis and to correlate these changes with duration of dialysis and duration of disease. Patients and Methods: thirty patients with CKD who are on regular hemodialysis at pediatric nephrology unit at Al-azher university hospital. …

Assessment Of Platelet Rich Plasma (Prp) Therapy In Prevention Of Chronic Wound Complications, Mahmoud Shehata, Amr Rezk

Al-Azhar International Medical Journal

Background: Delayed wound healing is a key factor in the development of chronic wound complications so we can utilize the wound healing promotion properties of platelet rich plasma in decreasing the incidence of these complications. Patients and Methods: A total number of 50 patients with open wounds resulting after surgical debridement of various types of soft tissue infection were included in this study, two groups with 25 patients for each were divided randomly. Group A patients were treated with PRP while group B was the control group treated with ordinary dressing. The two groups were monitored every other day for …

Evaluation Of Adaptive Radiation Therapy In Treatment Of Locally Advanced Head And Neck Cancers, Mostafa Mostafa, Wael Elshishtawy, Ahmed Al-Agamawi

Al-Azhar International Medical Journal

Background: Radiation therapy is the main player in management of locally advanced head and neck squamous cell carcinoma. Intensity-modulated radiation therapy IMRT does not compensate for anatomical changes or tumor shrinkage during the treatment course. Adaptive radiation therapy may be the suggested solution to consider these changes. Aim of the Work: Evaluate dosimetric and clinical effects of adaptive RT. in advanced head and neck squamous cell carcinoma. Patients and Methods: A total number of 49 patients with a provisional diagnosis of locally advanced squamous cell carcinoma of head and neck treated with definitive concurrent chemo-radiotherapy with the original plan optimized …

Panniculectomy During Cesarean Section, Ahmed Elsharkawy, Farid Hassan, Wael Taha, Mohammed Khalifa

Al-Azhar International Medical Journal

ABSTRACT Background: Many women in clinical practice desire a panniculectomy following a cesarean section to remove excess skin and stretch marks that have grown during pregnancy. This study aimed to see how panniculectomy and cesarean section worked together. Subjects and methods: This is a prospective randomized controlled trial that took place in the obstetric department of a hospital. Elmahalla, Elkobra -general hospital. Eligible 66 patients had been randomly collected; the groups were divided into two equal groups using a computer-generated randomization table, with group assignments hidden in sealed opaque envelopes: (n=33) Control Group (C): Patients underwent elective CS alone. Combined …

Provider Perception And Office Practices Of The Initial Prenatal Visit Pre – Coronavirus 2019 Pandemic, Arlin Delgado, Emma Hale, Jay Schulkin, Charles Macri, Kimberly Fryer

Florida Public Health Review

Background Prenatal Care is a critical aspect of women’s health and current literature shows adequate care significantly reduces risk of adverse outcomes. With scientific advancement, the initial prenatal visit is increasingly tasked with more objectives that leave providers with barriers to provide appropriate and adequate care.

Purpose The aim of this survey study was to determine clinical practices of the initial prenatal visit – regarding history taking, counseling, lab work and screening prior to the onset of COVID-19 Pandemic.

Methods A one-time anonymous provider survey was distributed electronically to all obstetrics providers in the Tampa Bay Region in Florida. Descriptive …

Comparison Of Pregnancy Complications In Unintended And Intended Pregnancy: A Prospective Follow-Up Study, Mitra Eftekhariyazdi, Malihe Mehrbakhsh, Mahboubeh Neamatshahi, Manijeh Yousefi Moghadam

BioMedicine

Background and Objectives: Unintended pregnancy, as a pregnancy that is mistimed, unplanned or unwanted at the time of conception, is a common experience worldwide that puts mothers at risk for mental stress and its pregnancy complications. The aim of this study was to compare three common pregnancy complications, including preeclampsia, preterm labor, and low birth weight, between unintended and intended pregnancies in Sabzevar, northeast Iran in 2019.

Materials and Methods: This prospective follow-up study was conducted on 200 pregnant women (100 intended and 100 unintended pregnancies) who were between 18 and 35 years old and were referred for …

Is Living In A Region With High Groundwater Arsenic Contamination Associated With Adverse Reproductive Health Outcomes? An Analysis Using Nationally Representative Data From India, Jessie Pinchoff, Brent Monseur, Sapna Desai, Katelyn Koons, Ruben Alvero, Michelle J Hindin

Department of Medicine Faculty Papers

Background: Exposure to groundwater arsenic via drinking water is common in certain geographies, such as parts of India, and causes a range of negative health effects, potentially including adverse reproductive health outcomes.

Methods: We conducted an ecological analysis of self-reported rates of stillbirth, recurrent pregnancy loss, and infertility in relation to groundwater arsenic levels in India. We used a gridded, modeled dataset of the probability of groundwater arsenic exceeding 10 μg/L (World Health Organization drinking water limit) to calculate mean probabilities at the district level (n = 599 districts). A spatial integration approach was used to merge these estimates with …

Non-Contraceptive Uses And Benefits Of Intrauterine Contraceptive Devices, Frederick Eruo

Conference Presentation Abstracts

No abstract provided.

The Efficacy Of A Personalized Mhealth Coaching Program During Pregnancy On Maternal Diet, Supplement Use, And Physical Activity: Protocol For A Parallel-Group Randomized Controlled Trial, Rozina Nuruddin, Khadija Vadsaria, Nuruddin Badruddin Mohammed, Saleem Sayani

Community Health Sciences

Background: Adequate intake of macro- and micronutrients and adoption of an active lifestyle during pregnancy are essential for optimum maternal and fetal health and offspring development. Dietary counseling and advice regarding adequate physical activity are integral components of antenatal care. Personalized coaching through the use of mobile health (mHealth) that supports behavior modification is an innovative approach that needs exploration.
Objective: Our primary aim is to assess the efficacy of an mHealth program in improving diet, supplement use, and physical activity during pregnancy. Secondary objectives include evaluation of the program's effect on maternal and offspring health outcomes and assessment of …

Black Infertility And Social Media Engagement: A Mixed Methodology Analysis, Melody Rasouli, Benette Krizel Sagun, Kajal Verma, Cindy M. Duke

Obstetrics & Gynecology Faculty Publications

Objective: To study social media engagement on black infertility to better understand why there is lower utilization of in vitro fertilization by black women despite higher infertility rates. Design: The online analytics module BuzzSumo was used to quantify total engagements with the search term “black infertility” across the commonly used social media platforms. The 10 article links with the highest engagement were selected from periods in 2020 and 2021. Sources cited in each article were reviewed to identify those that had citations of scientific peer-reviewed journals or national medical organizations. The contents of each article were reviewed for accuracy by …

Evaluation Of Surgical Versus Vaser Assisted Liposuction In Management Of Submental Adiposity In Moderate To Severe Skin Laxity And Significant Lipodystrophy, Ahmed Borhamy, Ahmed Taha, Abd Elmonem Hota

Al-Azhar International Medical Journal

Background Submental adiposity is one of visible signs of the aging process which affects the aesthetic look of the face and neck , and its management usually is difficult without surgery, nowadays we can achieve a good results in double chin without surgical lifting of neck by new technology (VASER liposuction) in many cases. Aim of the work: To Evaluation of surgical versus VASER assisted liposuction in management of submental adiposity in moderate to severe skin laxity and significant lipodystrophy. Patient and Methods: This study is prospective study was conducted on 30 male and female patients starting from September 2018 …

Infant Outcomes Following Maternal Infection With Severe Acute Respiratory Syndrome Coronavirus 2 (Sars-Cov-2): First Report From The Pregnancy Coronavirus Outcomes Registry (Priority) Study., Valerie J. Flaherman, Yalda Afshar, W. John Boscardin, Roberta L. Keller, Anne H. Mardy, Mary K. Prahl, Carolyn T. Phillips, Ifeyinwa V. Asiodu, Vincenzo Berghella, Brittany D. Chambers, Joia Crear-Perry, Denise J. Jamieson, Vanessa L. Jacoby, Stephanie L. Gaw

Department of Obstetrics and Gynecology Faculty Papers

Infant outcomes after maternal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are not well described. In a prospective US registry of 263 infants, maternal SARS-CoV-2 status was not associated with birth weight, difficulty breathing, apnea, or upper or lower respiratory infection through 8 weeks of age.

Endometriosis And Pelvic Pain In The Adolescent: Delayed Diagnosis Leading To Long-Term Suffering And The Need For Intervention, Latashia-Lika Lelea

OB-GYN

No abstract available.

Fetal Macrosomia; Risk Factors And Validity Of Its Diagnostic Tools, Osama Abdelazem, Ahmed Mohammed

Al-Azhar International Medical Journal

Background& Aim: Macrosomia, defined as a birth weight of 4000 g or above, is one of the most frequent prenatal problems so, the aim of this study was to assess the accuracy of clinical evaluation and 2D ultrasound examination in prediction of fetal macrosomia. Patients and methods: This study was carried out in the Obstetric and Gynecology Department of Al Azhar University Hospital. All pregnant who were admitted to our hospital and were delivered by CS indicated by prenatal diagnosis of fetal macrosomia were included in our study. Results: Fetal macrosomia is a common cause of maternal and newborn morbidity, …