scholarly journals F.F.Kutlinskiy. To the question of the operation of taking away the dropped handle. (Protocol of the meeting of obstetrician-gynecological society in Kiev. God 5, volume 5, issues 9 and 10)

2020 ◽  
Vol 7 (5) ◽  
pp. 430
Author(s):  
F. Krasnopolskiy
Keyword(s):  
Living Child ◽  
Narrow Pelvis

The author describes a case in which, in his opinion, the removal of the handle was shown and necessary. This case is: a woman with a narrow pelvis, conj. ext. = 15 ctm; diagonalis = 10.5; gives birth to the 3rd connector; the first childbirth ended prematurely with a living child, the second - due to the failure of the fetus.

Evaluation of factors affecting the difficulty of laparoscopic anterior resection for rectal cancer: “narrow pelvis” is not a contraindication

2010 ◽  
Vol 25 (6) ◽  
pp. 1907-1912 ◽  
Author(s):  
Satoshi Ogiso ◽  
Takashi Yamaguchi ◽  
Hiroaki Hata ◽  
Meiki Fukuda ◽  
Iwao Ikai ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Laparoscopic Anterior Resection ◽  
Factors Affecting ◽  
Narrow Pelvis

The Obstetrical Dilemma

2016 ◽  
Vol 2 (4) ◽  
Author(s):  
Chase Nelson
Keyword(s):  
Selective Force ◽  
Human Neonate ◽  
Narrow Pelvis

An evolutionary tradeoff: bipedalism requires a narrow pelvis, but larger brains require wider birth canals. Hence early birth. Chase Nelson analyzes a new theory in the debate over human neonate helplessness. Helplessness itself exerts a selective force; it requires intelligent parents.

scholarly journals 3D pelvimetry and biometric measurements: a surgical perspective for colorectal resections

2020 ◽  
Author(s):  
Laura Lorenzon ◽  
Fabiano Bini ◽  
Federica Landolfi ◽  
Serena Quinzi ◽  
Genoveffa Balducci ◽  
...  
Keyword(s):  
Depth Ratio ◽  
Pelvic Inlet ◽  
Pelvic Shape ◽  
Male Patients ◽  
Biometric Measurements ◽  
Males And Females ◽  
Narrow Pelvis ◽  
Inlet Angle ◽  
3D Software ◽  
Colorectal Resections

Abstract Purpose Male sex, high BMI, narrow pelvis, and bulky mesorectum were acknowledged as clinical variables correlated with a difficult pelvic dissection in colorectal surgery. This paper aimed at comparing pelvic biometric measurements in female and male patients and at providing a perspective on how pelvimetry segmentation may help in visualizing mesorectal distribution. Methods A 3D software was used for segmentation of DICOM data of consecutive patients aged 60 years, who underwent elective abdominal CT scan. The following measurements were estimated: pelvic inlet, outlet, and depth; pubic tubercle height; distances from the promontory to the coccyx and to S3/S4; distance from S3/S4 to coccyx’s tip; ischial spines distance; pelvic tilt; offset angle; pelvic inlet angle; angle between the inlet/sacral promontory/coccyx; angle between the promontory/coccyx/pelvic outlet; S3 angle; and pelvic inlet to pelvic depth ratio. The measurements were compared in males and females using statistical analyses. Results Two-hundred patients (M/F 1:1) were analyzed. Out of 21 pelvimetry measurements, 19 of them documented a significant mean difference between groups. Specifically, female patients had a significantly wider pelvic inlet and outlet but a shorter pelvic depth, and promontory/sacral/coccyx distances, resulting in an augmented inlet/depth ratio when comparing with males (p < 0.0001). The sole exceptions were the straight conjugate (p = 0.06) and S3 angle (p = 0.17). 3D segmentation provided a perspective of the mesorectum distribution according to the pelvic shape. Conclusion Significant differences in the structure of pelvis exist in males and females. Surgeons must be aware of the pelvic shape when approaching the rectum.

Gestational Outcome in Thrombophilic Women with Recurrent Pregnancy Loss Treated by Enoxaparin

2000 ◽  
Vol 83 (05) ◽  
pp. 693-697 ◽  
Author(s):  
R. Hoffman ◽  
Z. Blumenfeld ◽  
Z. Weiner ◽  
J. S. Younis ◽  
B. Brenner
Keyword(s):  
Molecular Weight ◽  
Live Birth ◽  
Antithrombotic Therapy ◽  
Low Molecular Weight Heparin ◽  
Pregnancy Loss ◽  
Recurrent Pregnancy Loss ◽  
Living Child ◽  
Low Molecular Weight ◽  
Single Living ◽  
Acquired Thrombophilia

SummaryInherited and acquired thrombophilia are associated with recurrent pregnancy loss (RPL). We have evaluated the efficacy and safety of the low molecular weight heparin enoxaparin in 50 women, (mean age 26 ± 3 years) with RPL (>3 losses in 1st, >2 losses in 2nd and >1 loss in 3rd trimester) who were found to harbor thrombophilia. Twentyseven had a solitary thrombophilic defect, and twenty-three women had combined thrombophilic defects: 17 – two defects and 6 – three defects. Following diagnosis of thrombophilia, sixty-one subsequent pregnancies were treated with the low molecular weight heparin enoxaparin throughout gestation until 4 weeks after delivery. Dosage was 40 mg/day in women with solitary defect and 80 mg/day in combined defects. Aspirin, 75 mg daily was given in addition to enoxaparin to women with antiphospholipid syndrome. Forty-six out of 61 (75%) gestations treated by enoxaparin resulted in live birth compared to only 38/193 (20%) of the untreated pregnancies in these 50 women prior to diagnosis of thrombophilia (p <0.00001). In 23 women without a single living child following 82 untreated gestations, antithrombotic therapy resulted in 26/31 (84%) successful deliveries (p <0.0001). In 20 women with a prior living child, antithrombotic therapy improved successful delivery from 33/86 (38%) to 20/21 (95%) (p <0.0001). Enoxaparin dose of 40 mg/day resulted in live birth in 24/35 (69%) of gestations, compared to 19/23 (83%) gestations in women treated with 80 mg/day (p = 0.37). Only one thrombotic episode and one mildbleeding episode were noticed during enoxaparin therapy. Enoxaparin is safe and effective in prevention of pregnancy loss in women with inherited and acquired thrombophilia.

scholarly journals Does Having a Living Child Increase Women’s Risk of Intimate Partner Violence? Evidence from 2008- 2013 Nigeria Demographic and Health Surveys

2017 ◽  
Vol 13 (11) ◽  
pp. 201 ◽  
Author(s):  
Bola Lukman Solanke ◽  
Femi Monday Ilevbare
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Health Surveys ◽  
Binary Logistic Regression ◽  
Intimate Partner ◽  
Living Child ◽  
Demographic And Health Surveys ◽  
Increased Risk ◽  
Psychosocial Counselling ◽  
Living Children

This study examined the relationship between number of living children and intimate partner violence. This was with the view to ascertaining whether having living children or not having a living child was associated with increased risk of intimate partner violence among currently married women in Nigeria. The study analyzed data from 2008-2013 Nigeria Demographic and Health Surveys. The binary logistic regression was applied. Results showed that women who had two or more living children were 20.5% more likely to experience intimate partner violence compared with women who had no living child (OR=1.205; CI: 0.993-1.461). The study concluded that having living children increase women’s risk of intimate partner violence in Nigeria. Women experiencing intimate partner violence should seek psychosocial counselling to reduce the incidence of intimate partner violence that may arise from childbearing.

scholarly journals Risk Factors of Sectio Caesarea Delivery at Djafar Harun Hospital

2021 ◽  
Vol 4 (1) ◽  
pp. 72-78
Author(s):  
Samsi Burhan ◽  
Agusrinal ◽  
Ika Sartika ◽  
Asmurti
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Placenta Previa ◽  
Sampling Technique ◽  
Sectio Caesarea ◽  
Ratio Test ◽  
Study Approach ◽  
Strong Risk Factor ◽  
Study Population ◽  
Narrow Pelvis

The number of mothers giving birth with sectio caesarae delivery at BLUD R.S H.M Djafar Harun North Kolaka in 2015 was 254 people, then increased in 2016 to 521 people. The purpose of this study was to analyze the risk factors for the incidence of Sectio Caesarea delivery at H.M Djafar Harun Hospital, North Kolaka. This type of research is an analytic observational study with a case-control study approach. The study population was 68 with a sample of 136 people using the Accidental Sampling Technique. Data analysis using the Odds Ratio test. The results of the risk analysis based on narrow pelvic factors showed the value of OR= 9,681; LL= 2,728; UL= 34,355, and then placenta previa factor showed the value of OR= 6,484; LL= 0,759; UL= 55,385. In conclusion, narrow pelvis is a strong risk factor and placenta previa is not a strong risk factor for Sectio Caesarea delivery. It is hoped that the hospital will seek to identify high-risk pregnancies, complications or pregnancy abnormalities so that they can be detected early so that they are able to more optimally handle complications during childbirth.

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