Obstetrics and Gynecology Commons^™

Management Strategies For Traumatic Injuries In Pregnant Women: A Comprehensive Literature Review, Jaylyn D. Thompson, Jenna Zappetti, Clarence Julian Clark Ii

Rowan-Virtua Research Day

Introduction: Traumatic injuries in pregnant women are the leading cause of non-obstetric death and affect 6% to 8% of all pregnancies. Therefore, it is imperative to maintain updated guidelines to construct a framework for the optimal management strategies for traumatic injuries in pregnant women, considering the perspectives of obstetrics/gynecology, emergency medicine, and orthopedics.

Methods: To conduct this study, research was done via a database search through the Rowan-Virtua School of Osteopathic Medicine’s research library. PubMed was the sole database used to review 8 peer-reviewed sources. Articles that were published within the last 10 years were chosen.

Results: Every woman with …

Comparative Study Between Laparoscopy And Laparotomy In Management Of Ovarian Cancer, Mostafa Hussein Hegab, Maged Mohamed Labib, Mohamed Abdullah Abdalhamid El-Esawy

Al-Azhar International Medical Journal

Background: Cancer ovary is the most fatal malignancy of the female genital tract. Surgery and chemotherapy are the pillars of management. Laparoscopic surgical management of ovarian cancer increased in the last years. Aim of the Work: to compare the safety and morbidity of laparoscopy and conventional laparotomy in management of ovarian cancer. Patients and Methods: This retrospective and prospective study was conducted on ovarian cancer patients in Obstetrics and Gynecology Department in Armed Forces Hospitals (Al Maadi military hospital Gyne-oncology unit) during the period from January 2018 till November 2022. This study included 80 patients with ovarian cancer divided into …

Aggressive Versus Expectant Management Of Preeclampsia With Severe Features Remote From Term (24-34 Weeks), Mohamed Mohamed Gebril, Mohamed Ahmed Abd El-Moaty, Mohamed El-Sayed Ahmed Mohamed

Al-Azhar International Medical Journal

Background; Preeclampsia is a multiorgan, idiopathic illness that only occurs in human pregnancy and the puerperium. after 20 weeks of pregnancy, is indicated by a proteinuria threshold of 300 mg per 24 hours or more, or by a 140/90 mmHg blood pressure cutoff. It accounts for 12%–18% of all maternal deaths linked to pregnancy and is the second most common cause of maternal mortality in the United States.Aim and objectives; to compare the outcomes for mothers and babies in cases of severe preeclampsia far from term between expectant (or conservative) and aggressive (or urgent) care, Subjects and methods; Between January …

Evaluation Of Resistant Associated Variants / Substitutions (Ravs/Rass) Role In Management Of Compensated Naive And Experienced Chronic Hepatitis C Virus Infection, Gamal Mohammad Mohammad Soliman, Ashraf Taha Abd Elmouttaleb, Mostafa Abd Elaziz Ahmed Abd Elrahman, Mohamed Ghareb Mohamed Shikhroho, Amr Mohammed Mohsen Aly Badary

Al-Azhar International Medical Journal

Background: The success of DAA-based combination therapy for the treatment of HCV NS3 resistance-associated substitutions (RAS) is influenced by their occurrence. Objective: The main aim of this study were; 1) identifying the association of HCV relapse (post treatment with ani-NS5A DAAs Simeprevir or Daclatasvir) with occurrence of RAVs/RASs (Resistance associated substitutions) of nucleotide and specific amino acid replacement among Egyptian. Methods: This cross-sectional, case-control study was conducted. Patients were enlisted by Tropical Medicine. Department outpatient clinics at El-Hussein University (Al Azhar University Faculty of Medicine) and EL-Agouza Police hospital. 150 HCV patients in all were involved in the study.These three …

A Literature Review And Best Practice Advice For Second And Third Trimester Risk Stratification, Monitoring, And Management Of Pre-Eclampsia: Compiled By The Pregnancy And Non-Communicable Diseases Committee Of Figo (The International Federation Of Gynecology And Obstetrics)., Liona C. Poon, Laura A. Magee, Stefan Verlohren, Andrew Shennan, Peter Von Dadelszen, Eyal Sheiner, Eran Hadar, Gerard Visser, Fabricio Da Silva Costa, Anil Kapur, Fionnuala Mcauliffe, Amala Nazareth, Muna Tahlak, Anne B. Kihara, Hema Divakar, H. David Mcintyre, Vincenzo Berghella, Huixia Yang, Roberto Romero, Kypros H H. Nicolaides, Nir Melamed, Moshe Hod

Department of Obstetrics and Gynecology Faculty Papers

No abstract provided.

Figo (International Federation Of Gynecology And Obstetrics) Initiative On Fetal Growth: Best Practice Advice For Screening, Diagnosis, And Management Of Fetal Growth Restriction, Nir Melamed, Ahmet Baschat, Yoav Yinon, Apostolos Athanasiadis, Federico Mecacci, Francesc Figueras, Vincenzo Berghella, Amala Nazareth, Muna Tahlak, H David Mcintyre, Fabrício Da Silva Costa, Anne B Kihara, Eran Hadar, Fionnuala Mcauliffe, Mark Hanson, Ronald C Ma, Rachel Gooden, Eyal Sheiner, Anil Kapur, Hema Divakar, Diogo Ayres-De-Campos, Liran Hiersch, Liona C Poon, John Kingdom, Roberto Romero, Moshe Hod

Department of Obstetrics and Gynecology Faculty Papers

No abstract provided.

Maternal Characteristics And Outcomes Affected By Hypothyroidism During Pregnancy (Maternal Hypothyroidism On Pregnancy Outcomes, Mhpo-1), Zareen Kiran, Aisha Sheikh, Sarwar Malik, Areeba Meraj, Maha Masood, Safana Ismail, Owais Rashid, Quratulain Shaikh, Numan Majeed, Lumaan Sheikh, Najmul Islam

Section of Diabetes, Endocrinology and Metabolism

Background: Hypothyroidism in pregnancy is an arena of ongoing research, with international conflicts regarding screening, management, and outcomes. Various studies have described the outcomes depending on geographical and international diagnostic criteria. No study has been conducted in this regard from the region of Pakistan. Therefore, we aim to report the clinical features and maternal outcomes of hypothyroid pregnancies and compare the maternal outcomes between uncontrolled and controlled TSH levels in the preconception as well as the gestational period.
Methods: We conducted a cross-sectional retrospective study on 718 cases in the Aga Khan University Hospital after ethical approval. We collected information …

The Road Into The Future Of Health Care: The Importance Of Addressing Access To Health Facilities In Transportation Infrastructure Investment Decisions, Nicola (Nikki) Van Den Heever

Independent Study Project (ISP) Collection

Background: One school of thought argues that transportation infrastructure is not an ultimate end goal of development and therefore shouldn’t be addressed within development funding decisions while the other argues that transportation infrastructure is the crucial foundation from which all development efforts are based and therefore needs to be addressed within development funding decisions. Within this framework, there is a lack of academic and other research addressing how physical access to health care for pregnant women can better be addressed when making decisions regarding funding of transportation infrastructure projects.

Purpose: To demonstrate the importance of considering access to health care …

Nipt Results Indicative Of Maternal Neoplasms: Genetic Counselors' Preferences And Attitudes, Meagan E. Giles

Dissertations & Theses (Open Access)

Performing non-invasive prenatal testing (NIPT) on a pregnant woman with a chromosomally abnormal neoplasm may incidentally lead to the diagnosis of cancer due to the coexistence of circulating tumor and placental DNA. Published information regarding NIPT’s accuracy for neoplasm screening is limited, and guidance for patient management is currently lacking. This challenges clinicians’ ability to counsel patients regarding the implications of these results, which often is the responsibility of a genetic counselor. Over three hundred board-eligible/certified genetic counselors were surveyed regarding their awareness, preferences, and attitudes towards NIPT’s ability to indicate maternal neoplasms. Despite 95% of this cohort being aware …

Obstetricians And Violence Against Women, Sonya Charles

Philosophy and Religious Studies Department Faculty Publications

I argue that the American Congress of Obstetricians and Gynecologists (ACOG), as an organization and through its individual members, can and should be a far greater ally in the prevention of violence against women. Specifically, I argue that we need to pay attention to obstetrical practices that inadvertently contribute to the problem of violence against women. While intimate partner violence is a complex phenomenon, I focus on the coercive control of women and adherence to oppressive gender norms. Using physician response to alcohol use during pregnancy and court-ordered medical treatment as examples, I show how some obstetrical practices mirror the …

Practices Regarding Diagnosis And Management Of Third And Fourth Degree Perineal Tears, Raheela Mohsin Rizvi, Nasreen Chaudhury

Department of Obstetrics & Gynaecology

Objective: To review our practice of diagnosing and managing third and fourth degree perineal tears.

Method: Retrospective case series conducted by reviewing medical records of all women having singleton, full term vaginal delivery at Aga Khan University Hospital, Karachi from November 1990 to October 2005.

Results: The frequency of obstetric anal sphincter injury (OASI) in our department was 0.5% (135) out of a total of 26,844 vaginal deliveries. Seventy five percent were nulliparous (102). Forceps delivery was performed in 86 patients out of 135 (63.7%). In only 28 patients (20.7%), the diagnostic criterion for classification of third degree tears was …