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Platelet-Rich Plasma (PRP) Treatment in Vaginal Penetration Disorders
El Haddad Cynthia,
Darido Jessie,
Gharjestani Shamsia,
Diari Jed
Issue:
Volume 8, Issue 4, July 2020
Pages:
71-80
Received:
9 May 2020
Accepted:
25 May 2020
Published:
4 June 2020
Abstract: Vaginal Penetration Disorders (VPD) consist a major sexual disorder that has a significant impression on young ladies and couple’s relationships and also consist of a predisposing factor for anxiety disorders. All existing treatments of vaginismus are still a big challenge and often without success. Before performing PRP patients were referred to the gynaecologist, urologist or psychologist. Almost in every case after several attempts to be treated, they were disappointed with the results. Often, they have admitted to accept their problem and keep suffering because no physician could offer any effective help with significant results. We are reporting in this article a serie of ten cases where the Platelet Rich Plasma (PRP) treatment was tried based on their voluntary participation due to particular and relative sexual problems. Based on the results that are exposed here, we can say that PRP clearly has a positive effect not only on rejuvenation of the female genital structurebut also on improving VPD symptoms. It reduces pain, reduces mucosal dryness and chronic fissuration. The duration of the effect on the vaginal structure as well as clinical improvements requires more case studying and research. These patients will be evaluated for the coming 2 years to acquire more data to be analyzed in order to complete our observational study. It is nothing but the beginning of a new era in the sexual dysfunction therapy.
Abstract: Vaginal Penetration Disorders (VPD) consist a major sexual disorder that has a significant impression on young ladies and couple’s relationships and also consist of a predisposing factor for anxiety disorders. All existing treatments of vaginismus are still a big challenge and often without success. Before performing PRP patients were referred to t...
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Abdominal Pregnancy with Live Fetus: A Case Report at Dassa-Glazoue Regional Hospital, Benin 2019
Fanny Hounkponou,
Kabibou Salifou,
Jacques Aubin Kotchofa,
Max Eouani,
Hubert Laourou,
Aurelle Ahouingnan,
Chabi Olaniran Alphonse Biaou,
Clautaire Itoua,
René Xavier Pérrin,
Léon Hervé Iloki
Issue:
Volume 8, Issue 4, July 2020
Pages:
81-84
Received:
2 April 2020
Accepted:
25 May 2020
Published:
28 June 2020
Abstract: We present a case of viable abdominal pregnancy in a 34-year-old gravida 8 para 3 (2 alive) jobless woman living in Glazoué. She had no medicosurgical history and had not been using any contraceptive method. She was referred to Dassa-Glazoué regional Hospital after an obstetrical ultrasound performed four weeks prior to her admission at Abbraccio Sokponta Hospital revealed viable abdominal pregnancy at an estimated gestational age of 31 weeks and 1 day. She had ultrasound scan upon admission to Dassa-Glazoué regional Hospital confirming viable abdominal pregnancy at an estimated gestational age of 34 weeks and 3 days. Exploratory laparotomy was done with delivery of a live female baby via the podalic pole. The neonate was immersed in a clear amniotic fluid, weighting 2,600 g, head circumference 33 cm, chest circumference 31 cm, height 48 cm and Apgar score of 8-9-10. The placenta was extensively attached to the omentum, the bowel and the left uterine appendage. It was fully expelled after ligature of omental and placental feeding vessels, following adhesiolysis. Post-operative evolution was satisfactory, and the patient discharged on the 6th post-operation day with her newborn baby in apparent good health.
Abstract: We present a case of viable abdominal pregnancy in a 34-year-old gravida 8 para 3 (2 alive) jobless woman living in Glazoué. She had no medicosurgical history and had not been using any contraceptive method. She was referred to Dassa-Glazoué regional Hospital after an obstetrical ultrasound performed four weeks prior to her admission at Abbraccio S...
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Cervical Ectopic Pregnancy, a Case Report and Literature Review
Daisy Massoud,
Rawad Halimeh Rawad Halimeh,
Rita Sleiman,
Amine Geahchan,
Ali Abdallah,
Joe Feghali,
Bahige Arida
Issue:
Volume 8, Issue 4, July 2020
Pages:
85-90
Received:
28 May 2020
Accepted:
15 June 2020
Published:
28 June 2020
Abstract: Cervical ectopic pregnancies (CEP) are rare, comprising less than 1% of ectopic pregnancies with an incidence of one in 2500 to one in 18000, and 1 to 2.0% of all pregnancies. Due to the rich cervical vascularity and the incompatibility of the cervix to hold an advancing pregnancy, there is a marked increase in the potential of hemorrhage leading to mortality, morbidity, and infertility experienced by the implicated women. There is a divergence of preferences among health care providers for CEP management which ranges from non-surgical methods to hysterectomy. However, a timely diagnosis increases the likelihood of implementing more conservative methods and retaining patients’ fertility. New improvements in high-resolution ultrasonography made earlier diagnosis possible, which lead to the development of many conservative treatment approaches that avoid the need for a hysterectomy and preserve fertility. A high index of suspicion, combined with a detailed review of clinical and radiological findings, is essential to make an accurate diagnosis of cervical pregnancy. Our case presents early diagnosis made of a cervical ectopic pregnancy treated medically with the avoidance of surgical intervention and its associated risks. Early diagnosis is essential as it decreases the risks of future infertility and decreases the risk of fatal complications associated with such pregnancies.
Abstract: Cervical ectopic pregnancies (CEP) are rare, comprising less than 1% of ectopic pregnancies with an incidence of one in 2500 to one in 18000, and 1 to 2.0% of all pregnancies. Due to the rich cervical vascularity and the incompatibility of the cervix to hold an advancing pregnancy, there is a marked increase in the potential of hemorrhage leading t...
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Antenatal Care Service Utilization and Associated Factors in Fogera District, Northwest Ethiopia- a Community-based Cross-sectional Study
Issue:
Volume 8, Issue 4, July 2020
Pages:
91-97
Received:
4 June 2020
Accepted:
17 June 2020
Published:
4 July 2020
Abstract: Background: Antenatal care (ANC) is the care that a pregnant woman receives while she is pregnant through a series of consultations with a trained health care provider. Adverse pregnancy outcomes can be minimized or avoided if antenatal care is received early in the pregnancy and continued through delivery. Despite it is a serious public health problem in Ethiopia, formation on the proportion and determinant factors of antenatal care service utilization is not well documented, particularly in the study area. This study aimed to identify determinant factors and the proportion of antenatal care service utilization in Fogera district, North West Ethiopia, 2019. Objectives: To assess antenatal care service utilization and its associated factors in the Fogera district, Northwest Ethiopia, 2019. Methods: Community- based cross-sectional study was conducted from December-01- to December-30- 2019 among mothers who gave live birth in the past one year before the study. Data were collected from 409 mothers using an interviewer-administered structured questionnaire. The data were analyzed manually and the chi-square test was used to describe relevant variables. Results: Antenatal care service utilization was 61.8% in the Fogera district. Variables such as age, Parity, Previous ANC visit, planned recent pregnancy, History of abortion were found to be associated with antenatal care service utilization with (df=2, x2=17.035 and p<0.001), (df=2, x2=10.50 and p<0.01), (df=1, x2=39.7 and p<0.001), (df=1, x2=31.91 and p<0.001) and (df=1, x2=6.39 and p<0.02) respectively. Conclusion: In this study, the proportion of antenatal care service utilization among mothers who gave live birth in the past one year, in Fogera district was found to be 61.8% and age, parity, history of abortion, planned recent pregnancy, previous ANC visit was found to be significantly associated with antenatal care service utilization. Recommendation; Based on this research every pregnant mother should receive the recommended antenatal care visits as it is important in identifying risk factors for adverse pregnancy outcomes, both for the mother and newborn and in providing preventive and promotive health services.
Abstract: Background: Antenatal care (ANC) is the care that a pregnant woman receives while she is pregnant through a series of consultations with a trained health care provider. Adverse pregnancy outcomes can be minimized or avoided if antenatal care is received early in the pregnancy and continued through delivery. Despite it is a serious public health pro...
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Prevalence of Placenta Previa in Developing Countries and Its Association with Scarred and Unscarred Uterus
Sadia Asghar,
Samra Asghar Cheema,
Najaf Asghar Cheema
Issue:
Volume 8, Issue 4, July 2020
Pages:
98-101
Received:
9 June 2020
Accepted:
28 June 2020
Published:
17 July 2020
Abstract: Placenta previa is an obstetric complication that occurs in the second and third trimester of pregnancy. It may cause severe feto-maternal morbidities and mortalities to mother and fetus. The risk of placenta previa increases with the history of cesarean section. In the presence of these two risk factors (placenta previa and previous cesarean section) incidence of placenta accrete spectrum is also increased. The value of making the diagnosis of placenta previa before delivery is important to involve for multidisciplinary planning in an attempt to minimize potential maternal or neonatal morbidity and mortality so the feto-maternal outcome can be optimized. The aim of the study is to determine the prevalence of placenta previa in developing countries like Pakistan and find out its association with scarred and unscarred uterus. It is a descriptive cross sectional study. 207 cases of placenta previa were found in six month of period, among them 138 patients were having previously scared uterus, and 69 were having previously unscarred uterus. Most patients 35.74% were between 36-40 years age group, and presented with gestational age between 32-35 weeks were 53.62%. Mostly found between G5-G7 i.e. 52.65%. While frequency of placenta previa in scarred uterus was 66.66% and in unscarred uterus was 32.45%. Association of placenta previa with previous four LSCS was found 33.33%. Occurrence of major degree placenta previa was found 18.84% and minor was 81.15%. Prevalence of placenta previa was found 5.78%. Strong association was found between placenta previa and scared uterus which is highest with previous four. Our objective is to determine the frequency of placenta previa in scared and un-scared uterus. To minimize the rate of cesarean section we can reduce the feto-maternal morbidity and mortality, rising trend of cesarean section in turn increases the rate of placenta previa.
Abstract: Placenta previa is an obstetric complication that occurs in the second and third trimester of pregnancy. It may cause severe feto-maternal morbidities and mortalities to mother and fetus. The risk of placenta previa increases with the history of cesarean section. In the presence of these two risk factors (placenta previa and previous cesarean secti...
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Prevalence of Oncogenic Human Papillomavirus Genotypes Among Sexually Active Women in Parakou (Benin, West Africa)
Christianne Gandekon,
Rachidi Sidi Imorou,
Théodora Zohoncon,
Moutawakilou Gomina,
Alice Ouedraogo,
Ina Traore,
Essolokina Dolou,
Prosper Bado,
Esther Traore,
Charlemagne Ouedraogo,
Jacques Simpore,
Simon Akpona
Issue:
Volume 8, Issue 4, July 2020
Pages:
102-107
Received:
25 June 2020
Accepted:
13 July 2020
Published:
28 July 2020
Abstract: Background: The genital infection due to Human papillomavirus (HPV) is considered as the most common sexually transmitted infection across the world, including high-risk oncogenic HPV (HR/HPV). Objective: This study aimed to determine the prevalence of HR/HPV genotypes among sexually active women in Parakou (Benin) in 2017. Methods: This research work was a cross-sectional descriptive study carried out in the city of Parakou (Benin), from January 15 to April 15, 2017. Sample consisted of 247 sexually active women selected through a systematic random sampling. Cervical specimens collected with swab were subject to multiplex PCR to characterize 14 HR/HPV genotypes. Results: The prevalence of HR/HPV infection was rated 32.8% [95% CI: 27.1-39.3]. All the fourteen HR/HPV genotypes investigated were detected using PCR among our study population. The most common types of HR/HPV were, in descending order, HPV45 (25.9%), HPV35 (18.5%), HPV52 (17.3%), HPV51 (16.0%) and HPV58 (14.8%). HPV16 and 18 were found out at respective proportions of 2.5% and 7.4%. Age group 20 years or less had the highest prevalence of HR/HPV infection (55.7%) followed by age group from 21 to 30 years (38.3%). Conclusion: The prevalence of HR/HPV infection is high among sexually active women in Parakou in 2017 and the most frequent HR/HPV are not those found commonly in precancerous and cancerous cervical lesions.
Abstract: Background: The genital infection due to Human papillomavirus (HPV) is considered as the most common sexually transmitted infection across the world, including high-risk oncogenic HPV (HR/HPV). Objective: This study aimed to determine the prevalence of HR/HPV genotypes among sexually active women in Parakou (Benin) in 2017. Methods: This research w...
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Meckel-Gruber Syndrome: A Case Report at RHUH
Darido Jessie,
Khazaal Janoub,
El Hachem Larissa,
Luk Melodie,
Chahine Rabih
Issue:
Volume 8, Issue 4, July 2020
Pages:
108-112
Received:
1 July 2020
Accepted:
13 July 2020
Published:
10 August 2020
Abstract: A rare lethal autosomal recessive condition called Meckel-Gruber Syndrome (MGS) has a clinical and genetical heterogenicity. A 15-year-old primigravid presented at the 16th gestational week of her pregnancy at the Rafic Hariri University Hospital (RHUH) for antenatal ultrasonography. She had a third degree consanguineous marriage with no previous uterine scars, no previous invasive testing, no previous fetal anomaly, no comorbidities and no family history of congenital anomalies. On the other hand, her current pregnancy was not the result of an Artificial Reproductive technique (ART) and her medication at home was only based on vitamins and calcium. The antenatal ultrasonography showed the following features: (1) occipital encephalocele (2) diffuse subcutaneous edema (3) bilateral dysplastic kidneys and the bladder was not visualized. These features were suggestive of Meckel Gruber Syndrome (MGS). We concluded that ultrasound in the context of genetic diseases, especially our MGS case, is considered as a secondary prevention tool.
Abstract: A rare lethal autosomal recessive condition called Meckel-Gruber Syndrome (MGS) has a clinical and genetical heterogenicity. A 15-year-old primigravid presented at the 16th gestational week of her pregnancy at the Rafic Hariri University Hospital (RHUH) for antenatal ultrasonography. She had a third degree consanguineous marriage with no previous u...
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Conservative Management of Single-twin Death at 22 Weeks’ Gestation at A Tertiary Hospital in North-central Nigeria: A Case Report and Review of Literature
Eka Po,
Swende Tz,
Ojabo Oa,
Hembah-Hilekaan Sk,
Ornguze Aa,
Dabit Oj,
Maanongun Mt,
Okoh Ea,
Adia Jt
Issue:
Volume 8, Issue 4, July 2020
Pages:
113-116
Received:
18 July 2020
Accepted:
29 July 2020
Published:
20 August 2020
Abstract: Background: Single-twin intrauterine death in the second and third trimesters poses a great concern and psychological stress to both the parents and the obstetrician. A multidisciplinary approach to conservative management is associated with improved perinatal outcome for the surviving twin. Case: We present a 30-year-old gravida 2 para 1 (1 alive). She had an emergency caesarean section during her first delivery. Having been referred from a military hospital, she presented at 22 weeks with single-twin intrauterine death. She was admitted and discharged after one week. Subsequently, she was managed conservatively and had weekly antenatal follow-up visits. She kept a daily fetal kick chart, had fortnightly ultrasound scans for fetal growth and wellbeing and weekly maternal clotting profile. At 37 weeks of gestation, she had a successful repeat caesarean delivery of a live, male neonate with a birth weight of 3.9kg and Apgar scores of 9 at one minute and 10 at five minutes. The remains of the dead co-twin (fetus papyraceus) were seen attached to the placenta. Follow-up by the neonatologist showed that his developmental milestones were normal and comparable to those of his singleton peers. Conclusion: The management of single-twin intrauterine death after the second trimester is psychologically tasking, requiring adequate counselling for the couple. The multidisciplinary approach, adopted in this study, improved perinatal outcome for the surviving co-twin after 15 weeks of conservative management. Prolonged paediatric follow-up of the survivor was imperative.
Abstract: Background: Single-twin intrauterine death in the second and third trimesters poses a great concern and psychological stress to both the parents and the obstetrician. A multidisciplinary approach to conservative management is associated with improved perinatal outcome for the surviving twin. Case: We present a 30-year-old gravida 2 para 1 (1 alive)...
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Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire
Eleonore Gbary-Lagaud,
Denis Effoh,
Assemien Ehui,
Soh Koffi,
Carine Houphouet-Mwandji,
Roland Adjoby
Issue:
Volume 8, Issue 4, July 2020
Pages:
117-121
Received:
23 July 2020
Accepted:
5 August 2020
Published:
20 August 2020
Abstract: As part of the optimization of care, ultrasound scans are routine during pregnancy. The result is the more frequent finding of a benign-looking tumor associated with pregnancy. These are most often mature teratomas of the ovary also called dermoid cyst. We report a case of mature ovarian teratoma larger than 60 mm, diagnosed in early pregnancy. The objective of this clinical case is to discuss the pathophysiological mechanisms, prognosis and management in countries under medical care. This case occurred in a primigest, nulliparous 28-year-old woman who did not have a specific medical history. The pregnancy was brought to term without major complications. The mode of delivery was a cesarean section, which gave us the opportunity to perform the cystectomy. In view of this case, we propose that, in the absence of a laparoscopy or a laparotomy for an ovarian cyst associated with pregnancy and when the maternal-fetal condition allows it, therapeutic abstention may be considered. In this case, special prenatal monitoring must be carried out by a multidisciplinary team of obstetrician, sonographer, intensive care anesthesiologist and neonatologist. Apart from complications directly related to the cyst during pregnancy, we recommend a full term caesarean section. This represents an opportunity to perform the cystectomy at the same time of operation.
Abstract: As part of the optimization of care, ultrasound scans are routine during pregnancy. The result is the more frequent finding of a benign-looking tumor associated with pregnancy. These are most often mature teratomas of the ovary also called dermoid cyst. We report a case of mature ovarian teratoma larger than 60 mm, diagnosed in early pregnancy. The...
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