scholarly journals EATING DISORDERS AND PREGNANCY: LITERATURE REVIEW

2019 ◽  
Vol 6 (3) ◽  
pp. 116-120
Author(s):  
Evgeniya V. Poznukhova ◽  
A. A Murashko ◽  
A. N Kurinova
Keyword(s):  
Eating Disorders ◽  
Intrauterine Growth Retardation ◽  
Unplanned Pregnancy ◽  
Reproductive Age ◽  
Depression And Anxiety ◽  
Premature Labor ◽  
Women Of Reproductive Age ◽  
Intrauterine Growth ◽  
Fertility Disorders ◽  
Risk Of Relapse

This review highlights the features that affect fertility and pregnancy in women with eating disorders, possible complications and clinical management of such patients by an obstetrician-gynecologist. Such obstetric and gynecological aspects associated with eating disorders as fertility disorders, unplanned pregnancy, intrauterine growth retardation, miscarriage and premature labor, deficit of lactation and others are considered. We also describe the influence of pregnancy on the course of eating disorders: the possibility of remission, followed by a high risk of relapse, postpartum depression and anxiety disorders. Moreover, we talk about the necessity of screening eating disorders among women of reproductive age and the importance of multidisciplinary management of pregnancy in such patients.

scholarly journals Safety of pregnancy in uterine fibroids

2018 ◽  
Vol 7 (8) ◽  
pp. 2985
Author(s):  
Maha Alhainiah ◽  
Elaf Aljifry ◽  
Ayman Alghamdi ◽  
Lujain Alrabghi ◽  
Abdullah Alharbi ◽  
...  
Keyword(s):  
Intrauterine Growth Retardation ◽  
Uterine Fibroids ◽  
Reproductive Age ◽  
Premature Labor ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Abruptio Placentae ◽  
Intrauterine Growth ◽  
Peripartum Hemorrhage ◽  
Highly Correlated

Uterine fibroid is one of the most common intrauterine masses among females at the reproductive age. Pregnancy and uterine fibroids are highly correlated. Pregnancy-related hormones influence the size of uterine fibroids, and fibroids have many impacts on pregnancy. Although most if the uterine fibroids are asymptomatic during pregnancy, serious complications may occur. The main complications include abortion, premature rupture of membranes, premature labor, abruptio placentae, peripartum hemorrhage, fetal malpresentation, fetal intrauterine growth retardation, small for gestational age infants, and fetal anomalies. The main risk factors for complications are related to the fibroid number, size, volume, location, and type. Large, multiple, retroplacental, submucosal, subserosal, pedunculated, or low-lying fibroids carries the highest risk for complications during pregnancy. This review will address the prevalence of uterine fibroids during pregnancy, its effects, and complications.

Facets of the problem of infiltrative endometriosis: from pathogenesis to effective therapy

GYNECOLOGY ◽  
2021 ◽  
Vol 23 (2) ◽  
pp. 117-124
Author(s):  
Viktor E. Radzinskii ◽  
Mekan R. Orazov ◽  
Ljudmila M. Mihaleva ◽  
Madina A. Bekulova
Keyword(s):  
Pelvic Pain ◽  
Economic Burden ◽  
Clinical Manifestations ◽  
Effective Therapy ◽  
Reproductive Age ◽  
Personal Life ◽  
Depression And Anxiety ◽  
Women Of Reproductive Age ◽  
Unresolved Problem ◽  
High Prevalence

Endometriosis remains an unresolved problem in gynecology. The urgency of the fight against this disease is due to its high prevalence among women of reproductive age. Endometriosis, especially its infiltration forms, affects all aspects of the patients life, its clinical manifestations pelvic pain, dyspareunia, dysmenorrhea, dyschezia, lead to social disadaptation, problems in personal life, depression and anxiety. The socio-economic burden of the disease motivates researchers to further study the pathogenesis of endometriosis and search for pathogenetically justified pharmacological solutions.

Ritodrine Hcl for the Prevention of Premature Labor in Twin Pregnancies

1976 ◽  
Vol 25 (1) ◽  
pp. 321-324 ◽  
Author(s):  
C. L. Cetrulo ◽  
R. K. Freeman
Keyword(s):  
Mortality Rate ◽  
Perinatal Mortality ◽  
Growth Retardation ◽  
Intrauterine Growth Retardation ◽  
Double Blind Study ◽  
Premature Labor ◽  
Double Blind ◽  
Intrauterine Growth ◽  
Sympathomimetic Drug ◽  
Perinatal Mortality Rate

The perinatal mortality rate for twin gestation is in the range of 15 %, and this is due predominantly to prematurity, although twins may also be born growth retarded. Ritodrine HCl, a beta sympathomimetic drug, has been shown to be effective, both in stopping premature labor and in preventing intrauterine growth retardation. With this in mind, a double-blind study using ritodrine HCl or placebo was begun in order to study its effect on premature labor, intrauterine growth retardation, and the perinatal mortality rate in twins. Thus far, 30 patients have delivered and have been followed to 6 weeks postpartum. Although the results on individual patients have remained blinded to the investigators, an initial evaluation of the ritodrine and placebo groups have revealed no difference with respect to gestational age, birth weight, or perinatal mortality. These preliminary results are not significant. However, it appears that ritodrine HCl is a safe oral agent for the antepartum gravida and her fetus. The study will be continued until approximately 100 patients have been enrolled.

scholarly journals Women's reproductive health and features of eating behavior

2019 ◽  
Vol 4 (3) ◽  
pp. 48-53
Author(s):  
S. I. Yelgina ◽  
I. S. Zakharov ◽  
E. V. Rudaeva
Keyword(s):  
Breast Cancer ◽  
Eating Disorders ◽  
Food Intake ◽  
Polycystic Ovary ◽  
Uterine Fibroids ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Ovary Syndrome ◽  
External Eating ◽  
Gynecological Diseases

Aim. To study reproductive health of women with and without eating disorders.Materials and Methods. We designed an original questionnaire, surveyed and analyzed the medical records of 200 women of reproductive age.Results. All the study participants suffered from eating disorders. Out of 200 patients, 46 (23%), 120 (63%), and 34 (17%) had emotional, restrictive, and external eating disorders, respectively. Women with normal body mass index (BMI) or overweight were more likely to have an avoidant/restrictive food intake disorder while emotional and external types prevailed among obese patients. Fibrocystic breast changes, uterine fibroids, polycystic ovary syndrome, infertility, and breast cancer were significantly more common in women with obesity (r = 0.74 for gynecological diseases in total). Pelvic inflammatory disease was more frequently diagnosed in women with emotional eating disorders while fibrocystic breast changes, uterine fibroids, and polycystic ovary syndrome were more prevalent in those with restrictive food intake disorder. Breast cancer prevailed in women with external eating disorders.Conclusion. Women of reproductive age are frequently diagnosed with different types of eating disorders. Obese women are more likely to have reproductive system disease. Each of eating disorders correlate with different gynecological diseases. 

The Many Faces of Chronic Urogenital Pain

2020 ◽  
pp. 263-276
Author(s):  
Bernard L. Harlow ◽  
Miriam J. Haviland ◽  
Sophie Bergeron
Keyword(s):  
Inflammatory Response ◽  
Reproductive Age ◽  
Depression And Anxiety ◽  
Response Mechanism ◽  
Women Of Reproductive Age ◽  
Vulvar Pain ◽  
Psychiatric Comorbidities ◽  
Treatment Plans ◽  
Urogenital Pain ◽  
The Many

Chronic vulvar pain, or vulvodynia, is a highly prevalent condition among women of reproductive age. Although the pathogenesis of vulvodynia is unknown, it is generally believed to be the result of an altered immune-inflammatory response mechanism. Psychiatric comorbidities—most significantly depression and anxiety—are highly prevalent among women with vulvodynia, and research has shown that these conditions may cause or mediate vulvodynia. This association necessitates treatment plans that include both medical and psychological components. In this chapter, the authors discuss current research on the biological link between vulvodynia and psychiatric comorbidities and clinical treatment for both conditions.

Mechanisms of fertility disorders in obese women

2020 ◽  
Vol 11 (3) ◽  
pp. 15-19
Author(s):  
N. I. Volkova ◽  
Yu. S. Degtyareva
Keyword(s):  
Ovarian Function ◽  
Reproductive Function ◽  
Reproductive Age ◽  
Obese Women ◽  
Women Of Reproductive Age ◽  
Dietary Restrictions ◽  
Menstrual Irregularities ◽  
Practical Guidelines ◽  
Fertility Disorders ◽  
Functional Hyperandrogenism

Obesity is a common problem among women of reproductive age. Overweight is known to negatively affect a woman’s fertility. So, women of reproductive age who are obese may experience menstrual irregularities, endometrial pathology and, ultimately, infertility. The pathogenetic mechanisms of reproductive dysfunction in obesity remain actively studied issues. It was established that leptin synthesized by adipose tissue inhibits granulosis, cell steroidogenesis and interferes with the ovulation process, which can directly affect reproductive function. Insulin resistance and compensatory hyperinsulinemia, which accompany obesity in women, can contribute to menstrual irregularities, ovulation and, ultimately, fertility. Obesity is also characterized by a state of «relative functional hyperandrogenism», which can affect ovarian function, contributing to the development of infertility. Moreover, obesity is characterized by a state of hyposomatotropinism, which can affect fertility, through changes in ovarian and endometrial function. Weight loss is most likely able to restore fertility in most cases, but there are no practical guidelines that would help the clinician choose the best method to reduce body weight from increased physical activity, dietary restrictions, drug therapy and bariatric surgery.

scholarly journals Factors associated with modern contraceptive use: a comparative analysis between younger and older women in Umlazi Township, KwaZulu-Natal, South Africa

2021 ◽  
Vol 17 ◽  
pp. 174550652110606
Author(s):  
Mbuzeleni Hlongwa ◽  
Chester Kalinda ◽  
Karl Peltzer ◽  
Khumbulani Hlongwana
Keyword(s):  
Older Women ◽  
Contraceptive Use ◽  
Unplanned Pregnancy ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Women Of Reproductive Age ◽  
Level Of Education ◽  
Factors Associated ◽  
Kwazulu Natal ◽  
Modern Contraceptive Use

Introduction: Unplanned pregnancy continues to be a global reproductive and public health concern among women. This study aimed to investigate whether factors associated with modern contraceptive use differ by age-group among young and older women of reproductive age. Methods: This was a cross-sectional study conducted among 433 women of reproductive age, with the median age of 25 years (interquartile range: 21–28), and aged between 18 and 49. Data were collected from 10 public health care clinics in Umlazi Township, KwaZulu-Natal, using a structured questionnaire. Data were coded, entered into Epi Data Manager and exported to Stata for analysis. A Pearson’s chi-square test and logistic regression models were employed to assess the level of the association between the predictor and outcome variables, and the p-value of 0.05 or lower was considered statistically significant. Results: Most women in the sample (n = 351, 81%) had obtained a secondary level of education, while 53% (n = 230) were unemployed and 89% (n = 387) were single. We found that women with secondary level of education (AOR: 2.89, 95% CI: 0.99–5.38) or a tertiary level of education (AOR 3.80, 95% CI: 1.07–3.53) were more likely to use contraceptive methods compared to women with lower education. Women who experienced unplanned pregnancy (AOR 0.51, 95% CI: 0.22–3.79) were more likely to use contraceptives. Women aged 25–49 years who experienced pregnancy, whether planned (AOR 3.87, 95% CI: 1.08–3.89) or unplanned (AOR 3.60, 95% CI: 2.15–4.19), were more likely to use a contraceptive method. Results showed that the level of education (p = 0.942) and whether one experienced unplanned pregnancy (p = 0.913) were not significant predictors of contraceptive use among women aged 18–24 years. Conclusion: Concerted educational efforts to addressing existing barriers deterring women from accessing contraception among young women are necessary. Different groups of women should be targeted with family planning interventions specific to their needs.

33. WHAT WOMEN WANT WHEN FACED WITH AN UNPLANNED PREGNANCY

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 297 ◽  
Author(s):  
J. Michelson
Keyword(s):  
Decision Making ◽  
Health Services ◽  
Emotional Support ◽  
Online Survey ◽  
Unplanned Pregnancy ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Biological Father ◽  
Additional Information ◽  
Email Invitation

Objective: To collect data in regards to: women's experience of/desire for emotional support and information when faced with an unplanned pregnancy; women's desire for counselling to support their decision-making, and the kind of counselling they want. Methodology: 6593 women received an email invitation to complete the online survey. 2003 responded. 1022 had experienced an unplanned pregnancy, therefore qualifying. Participating women were of reproductive age, drawn nationally. Key findings published in November 2006. Summary of results: At any given time amongst a sample of women of reproductive age, just over half (51%) have experienced an unplanned pregnancy. 75% of women did not wish to speak to a counsellor before making a decision on how to proceed with an unplanned pregnancy. Parenting was the most (56%) and adoption the least (2%) popular choice for resolving an unplanned pregnancy. 81% of women said it was important that a pregnancy counsellor refer for all three options - abortion, adoption and parenting. 21% of women sought information to assist their decision-making from their spouses/partners/biological father, while their local GP was the port of call for 17% of women facing an unplanned pregnancy. 13% of women stated that they did not need to seek any additional information to assist with their decision-making. Conclusion: Unplanned pregnancy is a key health issue for Australian women. While pregnancy counselling should be available to women, it would be mistaken to see it as desired or required in all circumstances and it should be regulated. There is a need for increased resources to be directed towards lowering contraceptive failure rates, and greater access to sexual health services.

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