scholarly journals The Impact of Bariatric Surgery on Menstrual Abnormalities—a Cross-Sectional Study

2020 ◽  
Vol 30 (11) ◽  
pp. 4505-4509
Author(s):  
Anna Różańska-Walędziak ◽  
Paweł Bartnik ◽  
Joanna Kacperczyk-Bartnik ◽  
Krzysztof Czajkowski ◽  
Maciej Walędziak
Keyword(s):  
Bariatric Surgery ◽  
Menstrual Cycle ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Obese Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Contraception Use ◽  
Before And After ◽  
The Impact

Abstract Introduction Obesity is associated with hyperestrogenism along with other hormonal abnormalities affecting the menstrual cycle. The most effective and decisive method of obesity treatment is bariatric surgery. The aim of this study was to analyze the impact of bariatric surgery on menstrual cycle, the incidence of menstrual abnormalities, hyperandrogenism manifestation, and contraception use. Materials and Methods It was a cross-sectional study of 515 pre-menopausal women who had undergone bariatric surgery between 1999 and 2017 in a bariatric center. Data was collected via anonymous questionnaire, and the questions covered a 1-year period before the surgery and the last year before questionnaire completion. Results Before the surgery, 38.6% of the patients reported irregular menstruations in comparison with 25.0% after bariatric surgery (RR = 0.65; 95%CI 0.53–0.79). The mean number of menstruations per year did not differ before and after surgery (10.2 ± 3.9 vs 10.4 ± 3.3; p < .45). There were no statistically significant differences in terms of prolonged menstruations, acne, and hirsutism prevalence. A total of 14.4% of patients before surgery reported estrogen-based contraception use in comparison with 15.0% after the surgery (p < .95). There were no significant differences in the frequency of OC use (11.0% before surgery vs 13.6% 12 months after the surgery vs 11.5% at the moment of survey administration; p < 0.46). Conclusion Bariatric surgery improves the regularity of the menstrual cycle in obese women in reproductive age. The lack of any changes in the combined hormonal contraception (CHC) use, especially OC, before and after bariatric surgery may be a result of a possibly low level of contraception counseling.

scholarly journals Associated factors of pregnancy spacing among women of reproductive age Group in South of Iran: cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tania Dehesh ◽  
Elaheh Salarpour ◽  
Neda Malekmohammadi ◽  
Sepideh Arjomand Kermani
Keyword(s):  
Cross Sectional Study ◽  
Reproductive Age ◽  
Recurrent Event ◽  
Age Group ◽  
Sectional Study ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Pregnancy Spacing ◽  
Contraception Use ◽  
Reproductive Age Group

Abstract Background Optimal pregnancy spacing is an important incidence in reproductive women’s health. Short or long pregnancy spacing leads to the greatest health, social and economic problems such as increase in maternal and infant mortality and morbidity, and adverse pregnancy outcomes. The aim of this study is to assess the mean of pregnancy spacing and associated factors of pregnancy spacing among women of reproductive age group with recurrent event analysis. Methods The fertility history of 1350 women aged 15–49 years was collected in this cross-sectional study. The women were selected through multistage random sampling method from a list of clinics in 2018. Some predictors were collected from their records and others were collected by face-to-face interview. The recurrent event survival analysis was used to explore the effect of predictors on pregnancy spacing. The R software program was used for analysis. Results There were nine predictors that had significant effect on pregnancy spacing. These predictors included the age of mother at marriage, mother’s BMI, contraception use, breast feeding duration of the previous child, the education level of husband, the sex preference of the mother, presence of abortion or stillbirth in the preceding pregnancies, income sufficiency, and mother’s awareness of optimum pregnancy interval. The most influential predictors; contraception use (HR = 2.34, 95%CI = 1.23 to 2.76, P < 0.001) and income sufficiency (HR = 2.046, 95%CI = 1.61 to 3.02, P = 0.018) lead to longer and son preference of mother (HR = 2.231, 95%CI = 1.24 to 2.81, P = 0.023) lead to shorter pregnancy spacing. Conclusion The up to date contraception tool should be at hand for couples to manage their pregnancy intervals. The unfavorable economic situation of a family leads to long pregnancy spacing. Despite the relative equality of the status of girls and boys in today’s societies, the desire to have a son child is still an important factor in shorter pregnancy spacing. The benefit of optimal pregnancy spacing should be more announced.

The impact of a guideline to prevent inappropriate albumin administration in a hospital in Iran

2020 ◽  
Vol 26 (10) ◽  
pp. 1-7
Author(s):  
Javad Javan-Noughabi ◽  
Elahe Parnian ◽  
Mohammadreza Hajiesmaeili ◽  
Hamid Salehiniya ◽  
Fatemeh Setoodehzadeh
Keyword(s):  
Hospital Setting ◽  
Clinical Information ◽  
Cross Sectional Study ◽  
Descriptive Statistics ◽  
Sectional Study ◽  
National Guidelines ◽  
Cross Sectional ◽  
Standard Guideline ◽  
Before And After ◽  
The Impact

Background/Aims In Iran, there are no specific national guidelines for the prescription or administration of albumin. Since March 2017, a standard guideline for albumin prescription has been implemented at a hospital in Tehran, Iran. The objective of this study was to compare the use of albumin and its related costs before and after implementation of this guideline. Methods A cross-sectional study was performed at the hospital in 2018. Data regarding albumin prescription were collected using a census method. Collected data included the demographic and clinical information of patients, duration of hospitalisation and the costs of tests and pharmacotherapy consultations before albumin was prescribed. Albumin consumption costs were also collected before and after the implementation of the guideline. Data were analysed using SPSS 21 software and descriptive statistics. Results Albumin consumption was significantly reduced after the guideline was implemented, decreasing from an average of 28 vials (289g) to an average of 6 vials (67g) per patient. The average cost of albumin use also fell from the equivalent of $1218 before the guideline was implemented, to an average of $281 per patient. Conclusions The implementation of a guideline for albumin prescription and administration in a hospital setting resulted in a significant reduction of inappropriate albumin use and the associated costs.

scholarly journals Use of Contraceptive among Postpartum Women of a Municipality: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (239) ◽  
Author(s):  
Mukta Singh Bhandari ◽  
Suresh Kayastha
Keyword(s):  
Confidence Interval ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Point Estimate ◽  
Postpartum Women ◽  
Sectional Study ◽  
Postpartum Contraception ◽  
Cross Sectional ◽  
Contraception Use ◽  
The Future

Introduction: Contraception plays a key role in preventing unwanted births. It also decreases pregnancy and childbirth-related morbidities and mortalities, but many women don't use contraception particularly in the postpartum period. The main objective of this study was to find out the prevalence of contraception use among postpartum women in a municipality. Methods: A descriptive cross-sectional study was conducted among married women of reproductive age in Dhulikhel municipality of Kavrepalanchok from January to September 2019. Ethical approval was obtained from Institutional Review Committee and permission was taken from Dhulikhel Municipality before the study. The sample size was 332. A convenience sampling method was used. A semi-structured questionnaire pre-tested in Panauti municipality was used. Data entry and analysis were done using Statistical Package for Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated for descriptive analysis. Results: Out of total 332 women, 146 (40%) (34.73-45.26 at 95% Confidence Interval) used postpartum contraception. Injectable/Depot was used by 61 (42%) women. Total 97 (52%) of the non-users intended to use contraception in the future. The most common reason for contraception use was women not wanting the next child soon 91 (62%) and reason for non-use was feeling contraception as unnecessary 73 (39%). Conclusions: The use of postpartum contraception was poor, and only half of the non-users intended to use contraception in the future. Thus, contraception use should be encouraged during all possible contact times, and counselling should be made universal to improve postpartum contraception services' uptake.

scholarly journals Female Sexual Function Before and After Bariatric Surgery: a Cross-Sectional Study and Review of Literature

2015 ◽  
Vol 25 (8) ◽  
pp. 1511-1517 ◽  
Author(s):  
Michał Robert Janik ◽  
Ilona Bielecka ◽  
Krzysztof Paśnik ◽  
Andrzej Kwiatkowski ◽  
Ludmiła Podgórska
Keyword(s):  
Bariatric Surgery ◽  
Sexual Function ◽  
Cross Sectional Study ◽  
Female Sexual Function ◽  
Review Of Literature ◽  
Sectional Study ◽  
Cross Sectional ◽  
Before And After

Food Preferences and Their Perceived Changes Before and After Bariatric Surgery: a Cross-sectional Study

2021 ◽  
Author(s):  
Erika Guyot ◽  
Anestis Dougkas ◽  
Maud Robert ◽  
Julie-Anne Nazare ◽  
Sylvain Iceta ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Food Preferences ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Before And After

Regulation of Bone Mineral Density in Morbidly Obese Women: A Cross-sectional Study in Two Cohorts Before and After Bypass Surgery

2008 ◽  
Vol 19 (3) ◽  
pp. 345-350 ◽  
Author(s):  
José Manuel Gómez ◽  
Núria Vilarrasa ◽  
Carles Masdevall ◽  
Jordi Pujol ◽  
Esther Solano ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Bypass Surgery ◽  
Cross Sectional Study ◽  
Morbidly Obese ◽  
Obese Women ◽  
Sectional Study ◽  
Mineral Density ◽  
Cross Sectional ◽  
Before And After

scholarly journals Exposure to Bisphenol A Analogs and the Thyroid Function and Volume in Women of Reproductive Age—Cross-Sectional Study

2021 ◽  
Vol 11 ◽  
Author(s):  
Justyna Milczarek-Banach ◽  
Dominik Rachoń ◽  
Tomasz Bednarczuk ◽  
Katarzyna Myśliwiec-Czajka ◽  
Andrzej Wasik ◽  
...  
Keyword(s):  
Bisphenol A ◽  
Thyroid Function ◽  
Thyroid Disease ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Sectional Study ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
The Impact ◽  
The Relationship

Bisphenols (BPs) are commonly known plastifiers that are widely used in industry. The knowledge about the impact of BPs on thyroid function is scarce. Proper thyroid functioning is especially important for women of reproductive age, as hypothyroidism affects fertility, pregnancy outcomes and the offspring. There are no studies analyzing the influence of BPs on thyroid function and volume in non-pregnant young women. The aim of this cross-sectional study was to evaluate the relationship between bisphenol A and its 10 analogs (BPS, BPC, BPE, BPF, BPG, BPM, BPP, BPZ, BPFL, and BPBP) on thyroid function and volume in women of reproductive age. Inclusion criteria were: female sex, age 18–40 years. Exclusion criteria were history of any thyroid disease, pharmacotherapy influencing thyroid function, pregnancy or puerperium, and diagnosis of autoimmune thyroid disease during this study. Venous blood was drawn for measurement of thyrotropin (TSH), free thyroxine, thyroid peroxidase antibodies, thyroglobulin antibodies, BPs. Urine samples were analyzed for: ioduria and BPs. Ultrasound examination of thyroid gland was performed. One hundred eighty participants were included into the study. A negative correlation was found between urine BPC and the thyroid volume (R = −0.258; p = 0.0005). Patients with detected urine BPC presented smaller thyroid glands than those with not-detected urine BPC (p = 0.0008). A positive correlation was found between TSH and urine BPC (R = 0.228; p = 0.002). Patients with detected urine BPC presented higher concentrations of TSH versus those with not-detected urine BPC (p = 0.003). There were no relationships between any of serum BPs as well as the other urine BPs and thyroid function and its volume. The only BP that demonstrated the relationship between thyroid function and its volume was BPC, probably because of its chemical structure that most resembles thyroxine. Exposure to this BP may result in the development of hypothyroidism that could have a negative impact on pregnancy and the offspring.

scholarly journals Specific Health Knowledge and Health Literacy of Patients before and after Bariatric Surgery: A Cross-Sectional Study

Obesity Facts ◽  
2020 ◽  
Vol 13 (2) ◽  
pp. 166-178 ◽  
Author(s):  
Hinrich Köhler ◽  
Renata Dorozhkina ◽  
Kerstin Gruner-Labitzke ◽  
Martina de Zwaan
Keyword(s):  
Bariatric Surgery ◽  
Health Literacy ◽  
Health Knowledge ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Before And After ◽  
Specific Health

scholarly journals Patterns and problems of menstruation among the adolescent school girls of Delhi: a cross-sectional study

2019 ◽  
Vol 6 (6) ◽  
pp. 2595
Author(s):  
Monika Singh ◽  
Om Prakash Rajoura ◽  
Raghavendra A. Honnakamble
Keyword(s):  
Menstrual Cycle ◽  
Adolescent Girls ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Physical Growth ◽  
Age At Menarche ◽  
Sectional Study ◽  
Menstrual Disorders ◽  
Cross Sectional ◽  
School Girls

Background: Adolescence is the period of rapid physical growth, psychological and social changes. This period is marked by the onset of menarche in the girls. Menstruation is a natural biological process experienced by all adolescent girls and women in reproductive age. The menstrual cycle is characterized by variability in volume, pattern and regularity. Conversely, variability in menstrual cycle characteristics and menstrual disorders are common among adolescent girls. The objectives of the study were to determine patterns of menstruation, prevalence of menstrual disorders and hygienic practices during menstruation in the adolescent school girls.Methods: A cross-sectional study was conducted among 210 adolescent school girls of Delhi.Results: The mean age at menarche in the study subjects was 13.47±0.87 years. Average menstrual interval was days. Dysmenorrhea was reported by 76.1% of the girls, body ache was experienced by 64 (30.4%). Majority of girls 174 (82.8%) used sanitary pads as absorbent during cycle.Conclusions: Menstrual problems are frequent among adolescent girls. Dysmenorrhoea was the commonest problem among the adolescents. Adolescent girls withstand their pain and think it as a normal phenomenon. Educating students about menstrual health by health professionals and teachers can help in reducing their psychological and physical stress.

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