Socio-Demographic Characteristics and Hysteroscopic Findings among Women with Unsafe Abortion in South-South Nigeria

Author(s):  
Ekpo Effiong Edet ◽  
Efiok Eyo Efiok ◽  
Amarachukwu Nnaemezie Njoku ◽  
Sylvester Etenikang Abeshi ◽  
Ezukwa Omoronyia Ezukwa ◽  
...  

Background: Abortion is unsafe when it is carried out either by a person lacking the necessary skills or in an environment that does not conform to minimal standard, or both. It is complicated by intrauterine adhesions and secondary infertility. Objectives: To determine the socio-demographic features and hysteroscopic findings of women that had unsafe abortion in Calabar, Nigeria. Methodology: It was a cross-sectional study of 66 women in reproductive age, presenting in gynaecological clinic who consented to hysteroscopy between August 2019 to September 2020. A structured questionnaire was used to obtain sociodemographic data and hysteroscopy was done. Results: There was no significant difference in socio-demographic characteristics between women that have undergone unsafe abortion and those that have not. Cervical stenosis (76.9%) (p = 0.005) and intrauterine adhesions (68.3%) (p = 0.005) were significantly higher in women who had unsafe abortion. The odd ratios of cervical stenosis and intrauterine adhesions for 1 and ≥2 unsafe abortions were not significant. Conclusion: Cervical stenosis and intrauterine adhesions were significant complications of unsafe abortion in our environment. Multiple unsafe abortions do not confer significant higher risk of cervical stenosis or intrauterine adhesions.

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 94
Author(s):  
Andon Hestiantoro ◽  
Putri Deva Karimah ◽  
Amalia Shadrina ◽  
Budi Wiweko ◽  
R. Muharam ◽  
...  

Background: Polycystic Ovarian Syndrome (PCOS) is the most common endocrinopathy in women of reproductive age, affecting 5-20% of women worldwide. Hyperandrogenism, as the primary characteristic of PCOS, is not always present in every patient. The hyperandrogenic phenotype of PCOS patients is influenced by both hormonal and metabolic dysfunctions. Therefore, this study aims to determine the correlation between hormone profile, lipid profile, and clinical profile with free testosterone index in subjects with PCOS. Methods: This prospective cross-sectional study was conducted in the Dr. Cipto Mangunkusumo General Hospital between July 2014 and December 2016. The study involved 76 women with PCOS, who were classified into 2 subgroups: 39 subjects in the hyperandrogenism group and 37 subjects in the non-hyperandrogenism group. Each subject underwent physical examination, blood sample collection, and USG examination. Bivariate analysis was done using independent t-tests and Mann Whitney U-tests, while multivariate analysis was done using logistic regression. Results: Triglyceride and testosterone level showed weak (r = 0.232, p = 0.044) and moderate (r = 0.460, p ¡ 0.001) positive correlation with FTI, while SHBG level showed moderate negative correlation (r = -0.483, p ¡ 0.001). Triglyceride was also found to be determinant of hyperandrogenism condition in PCOS patient (OR 0.02, 95% CI 0.00–0.04, p = 0.013). However, there was no significant difference observed between FGS and hyperandrogenism (p = 0.43). Conclusions: Triglycerides, testosterone, and SHBG were associated with hyperandrogenism in PCOS patients, while FGS showed no such association.


2019 ◽  
Vol 35 (2) ◽  
Author(s):  
Havva Yeşildere Sağlam ◽  
Fatma Basar

Objective: Premenstrual Syndrome (PMS) is a significant disorder affecting the daily life of women of reproductive age. The aims of this study was to determine the PMS prevalence and the examination of the relationship between PMS and anger. Methods: This was a cross sectional study. The study was carried out with 720 women between the ages of 15-49 living in the province of Kutahya, Turkey. A Personal Information Form, the Premenstrual Syndrome Scale (PMSS) and the State-Trait Anger Scale (STAS) were used to collect data. Results: The PMS prevalence was 48.75%. There was a statistically significant difference between the groups in terms of constant anger, anger-in, anger-out and anger control subscales (p <0.001). The average scores of women with PMS for constant anger anger-in and anger-out was significantly higher. The anger control scores were at a significantly lower level. Conclusion: Women with PMS had higher anger and lower anger control levels. It should be advisable to recommend anger control management and provide social support so these women can cope with the symptoms. The result of our study emphasizes the importance of careful assessment of anger in women with premenstrual symptoms. How to cite this:Saglam HY, Basar F. The relationship between premenstrual syndrome and anger. Pak J Med Sci. 2019;35(2):---------.  doi: https://doi.org/10.12669/pjms.35.2.232 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2017 ◽  
Vol 30 (suppl 1) ◽  
pp. 121-129
Author(s):  
Natalia Trindade de Souza ◽  
Paula Silva de Carvalho Chagas ◽  
Gabriela Gomes de Campos ◽  
Elisa de Jesus Valenzuela ◽  
Jaqueline da Silva Frônio ◽  
...  

Abstract Introduction: Preterm birth is one of several risk factors that can compromise child growth and development. Objective: Evaluate the functionality of 5 to 7-year-old schoolchildren born prematurely and compare them to children born full-term. Methods: This was a cross-sectional study with 110 children divided into 2 groups (55 in the preterm group - PTG; 55 in the full-term group - FTG). Sociodemographic data were collected of the families and children and the families were economically classified according to the Brazilian Economic Classification Criteria - CCEB (Brazilian Association of Market Research Companies - ABEP) Functionality was assessed using the Pediatric Evaluation of Disability Inventory (PEDI). Results: With respect to the descriptive variables, significant differences were observed for gestational age (p < 0.001), birth weight (p < 0.001), complications during the perinatal period (p < 0.001), current diseases (p = 0.010) and schooling level of the child (p = 0.023). In regard to functionality, on the Caregiver Assistance scale, a significant difference was recorded for mobility (p = 0.009). Conclusion: The results of this study demonstrate that 5 to 7-year-old schoolchildren born prematurely showed no differences in functional skills when compared to full-term children. However, the caregivers of preterm children provide greater mobility assistance compared to those caring for full-term children.


2017 ◽  
Vol 8 (2) ◽  
pp. 18-23
Author(s):  
Sheikh Salahuddin ◽  
Md Humayun Kabir Talukder

This descriptive cross sectional study was conducted to explore the influence of socio-demographic characteristics on academic performance of medical students. The study period was from July 2015 to June 2016. Total 627 final year MBBS students of 11 (6 government and 5 non-government) medical colleges were selected through convenient sampling technique. A self-administered semi structured questionnaire and an interview schedule were used. Study revealed that family income did not have any influence on the academic performance of medical students. Location of parental stay did not show any influence on students' academic performance. Respondents' previous medium of study had little influence on their academic performance. Students who were regular in passing formative assessment also had better performance in professional examinations. Students who failed in professional examinations mostly failed in oral portions (more than 80%). Father's educational qualification did not have any influence on the performance of students but mother's educational qualification had positive relation on it. Performance of those students who were willing to study MBBS were better than unwilling ones. Respondents who were satisfied with the money provided by the parents/guardians were more regular in passing professional examinations. Many of the findings of this study are aligned with findings of the study conducted by Ali S, Haider Z et al.1Bangladesh Journal of Medical Education Vol.8(2) 2017: 18-23


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Steib Céline ◽  
Ingegerd Johansson ◽  
Mohammed Hefni ◽  
Cornelia Witthöft

AbstractDespite the growing evidence supporting legume consumption as part of healthy and sustainable diet, little information is known on legume intake in the Swedish population. The aim of the present study was to describe legume consumers in Sweden, their nutrient intake and study the association with biomarkers of nutritional status using food consumption and biomonitoring data from Swedish adults in the 2010–11 National Riksmaten survey. Total legume intake - including pulses, fresh legumes, soy products, peanuts, sprouts and mixed meals with legumes - was estimated using a web-based 4-d food records in adults 18–80 years (n = 1772). A range of biomarkers including non-fasted plasma ferritin and folate, as well as erythrocyte folate, were measured for a subsample of the population (n = 282). Legumes were consumed by 44% of the population, median intake was 36 g/d (Q1 = 16; Q3 = 71; n = 777). Legumes provided on average 3.3% of individual's total energy intake (%E) with no significant difference between sexes. Pulses were consumed by 33% of consumers contributing to 3.2 ± 2.8 %E intake whereas soy products were consumed by 8.6% of legume consumers but contributing to 6 ± 7.5 %E. Legume intake among self-reported vegetarians (n = 55) was significantly higher (p < 0.000) than for non-vegetarians, with mean daily intakes of 92 ± 99 g/d and 21 ± 42 g/d, respectively. Age (p 0.0066) was significantly higher in Q4 of legume intake and alcohol consumption was significantly lower (p 0.0008); BMI, gender, smoking habits, education and total energy intake did not differ. 23% of legume consumers have a fiber intake of 25–35 g/d whereas only 11% of non-consumers reach recommended intake (p 0.0001). Iron, folate and dietary fiber intakes were significantly higher (p < 0.000) in Q4 of legume intake. 32% of legume consumers meet recommended intakes of folate (RI 300 μg/d) versus 18% for non-consumers (p 0.000). Notably, 5.76% of women of reproductive age (18–44 y.o.) eating legumes reach 400 μg/d versus 0.79% for non-consumers (p 0.002). Plasma ferritin and erythrocyte folate levels did not differ between legume consumers and non-consumers. However, for women in reproductive age (n = 31), plasma folate levels were significantly higher in consumers than non-consumers (p 0.0102). Legume consumers have higher fiber intake and more frequently meet recommended folate intakes while maintaining adequate iron intake. In conclusion, legume consumers in Sweden are characterized by a defined diet pattern that generally is associated with better health.


2015 ◽  
Vol 19 (5) ◽  
pp. 788-795 ◽  
Author(s):  
Kym C Perkins ◽  
Robert Ware ◽  
Lemalu Felise Tautalasoo ◽  
Ranandy Stanley ◽  
Lote Scanlan-Savelio ◽  
...  

AbstractObjectiveTo describe key characteristics of the dietary habits of Samoans residing in Logan, Queensland and to compare these characteristics with comparable populations.DesignDietary intake was measured using a self-administered structured questionnaire between December 2012 and March 2013. Demographic characteristics included age and sex. Questionnaire results were compared with data from samples of Brisbane residents of similar social and economic characteristics and Pacific Islanders in New Zealand. The association between demographic characteristics and diet was investigated.SettingLogan, Queensland, Australia.SubjectsSamoans aged 16 years and older.ResultsA total of 207 Samoans participated, ninety-six (46 %) of whom were male. Of the participants, seventy-nine (38 %) were aged 16–29 years, sixty-three (30 %) were aged 30–49 years and sixty-five (31 %) were aged ≥50 years. Younger adults were significantly more likely to eat hamburgers, pizza, cakes, savoury pastries, potato crisps, sweets and soft drinks (all variablesP<0·001). Among Samoans, 44·7 % consumed two or more pieces of fruit daily, compared with 43·8 % of comparable Brisbane residents (relative risk=1·0; 95 % CI 0·8, 1·2). Three or more servings of vegetables each day were consumed by 9·2 % of Samoans compared with 36·6 % of comparable Brisbane residents (relative risk=3·8; 95 % CI 2·5, 6·0).ConclusionsSamoans are consuming significantly fewer vegetables and more discretionary foods than other populations. Socio-economic factors, length of stay in Australia and cultural practices may impact upon Samoans’ diets. Further comprehensive studies on Samoans’ dietary habits in Australia are recommended.


2015 ◽  
Vol 5 (1) ◽  
pp. 313-315
Author(s):  
Nishat Farhana Khan ◽  
Nazrul Islam ◽  
Farhana Masum Chowdhury ◽  
Ishtiaq Asadullah

Objective : To assess pattern and proportion of physical abuse during pregnancy in relation to socio demographic characteristics of abused women.Material & Methods : A descriptive type of cross sectional study was conducted in RADDA-MCH-FP Center, Mirpur-10, Dhaka during January to July 2011. A total of 139 pregnant women of reproductive age group (15-45) year’s who visited for antenatal check up were selected purposely. Data were collected through face to face interview using pretested structured questionnaire.Results : Socio demographic characteristics of respondents revealed that mean age 22.20 ± 39 years and husbands mean age 28.57 ± 5.39 years. Highest number of respondents education upto SSC level (49.6%). 74.8% were housewife; socio economic status was lower middle class, 18.7% had history of dowry. The proportion of physical abuse during pregnancy was 31.6%. Among them 15.83% had mixed type of abuse. Highly significant association was found with dowry (p 0.00) and planed pregnancy (p 0.006). A statistically significant association was found between respondent’s education level and physical abused (p<0.05) indicating respondents had low level of education increase physical abuse. A statistically significant association also found with residence (urban/slum) (p<0.05) and who had history of dowry (p<0.05).Conclusion : Physical abuse during pregnancy was mostly seen in the respondent who belongs to slum area and had low educational level. Therefore necessary step should be taken by health system as well as government to prevent physical abuse during pregnancy.Northern International Medical College Journal Vol.5(1) 2013: 313-315


2020 ◽  
Vol 27 (10) ◽  
pp. 2235-2240
Author(s):  
Saadia Ayub ◽  
Rafia Hussain ◽  
Seema Daud

Introduction: Chikungunya, a dengue-like disease, is characterised by fever and severe joint pains and though it is caused by alpha toga virus, chikungunya shares the same vector as dengue that is aedes aegypti mosquito. Studies carried out in tropical regions showed that there is co-existence of dengue and chikungunya therefore it is essential to correctly identify chikungunya from dengue. Objective: The objective of this study was to assess the knowledge of doctors regarding chikungunya fever and their practices. Setting: Medicine OPDs of Ghurki Trust Teaching Hospital, Sheikh Zayed Hospital, and Sir Ganga Ram Hospital from January to March 2018 Methodology: Cross-sectional study with a sample of 121 carried out using a structured questionnaire. Sampling population were doctors working in medicine departments of the three hospitals. Questionnaire assessed knowledge of doctors and were scored accordingly and grouped into good, adequate and poor knowledge. Scores of doctors were then analyzed with different variables. Results: Mean score was 9.4 ± 3.5 with 45.5% having poor knowledge, 37.2% with adequate knowledge and only 17.4% with good knowledge. Applying test of significance showed the variables with significant difference in scoring were age of doctors, designation of doctors and whether a doctor was confident enough to treat a chikungunya patient. Conclusion: Knowledge regarding chikungunya was adequate however a significant number of doctors pointed out that their knowledge was insufficient and they felt under-confident treating a patient. Therefore, more education and awareness in the form of workshops, seminars and conferences are required on chikungunya.    


Author(s):  
Mostafa A. Sleem ◽  
Ibrahim I. Mohamed ◽  
Mahmoud S. Zakherah ◽  
Ahmed M. Abbas ◽  
Momen A. Kamel

Background: Polycystic ovary disease (PCOD) is the most common endocrine disorder in women of reproductive age, with a prevalence of approximately 5-10%. This study aims to assess the rate of spontaneous ovulation and pregnancy in patients. The present study was a cross sectional study conducted at Woman's Health Hospital, Assiut University, Assiut, Egypt.Methods: The current study was a cross sectional study carried out in Assiut Women's Health Hospital between the 1st October 2016 and 31st July 2017. The patients were selected as infertile patients with PCOD. The patient ages range between 20 and 35 years. The BMI is between 18 and 30 Kg/m2. The main outcome measure was the rate of spontaneous ovulation and spontaneous pregnancy in the 3 cycles.Results: The mean age of the study participants was 26.64±4.59 years and the mean BMI was 24.46±2.62Kg/m2. The sonographic ovarian volume was 12.47±0.69 mm3 for the right ovary and 12.74±0.73 mm3 for the left ovary. No difference in the serum FSH, LH, FSH/LH ratio and prolactin over the 3 consecutive cycles. The rate of spontaneous ovulation in the 3 cycles was 6 women (8.6%) and 2 cases (2.8%) became pregnant spontaneously during the study period. There is no statistical significant difference between ovulating and non-ovulating women according to the BMI and ovarian volume.Conclusions: The present study concluded that the rate of spontaneous ovulation was 8.6% in women with PCOD within 3 cycles with no adverse effects of drugs or surgical interference.


2020 ◽  
Vol 4 ◽  
pp. 8-12
Author(s):  
Ekpereonne Babatunde Esu ◽  
Enobong Ime Okpon

Objectives: Ectopic pregnancy is a leading cause of maternal death during the first trimester of pregnancy, accounting for approximately one in ten pregnancy-related deaths. Knowledge of potential risk factors can improve early detection and avoid morbidity and complications. This cross-sectional study determined the knowledge level and prevalence of risk factors of ectopic pregnancy among female undergraduates. Material and Methods: Three hundred and ninety female students were randomly selected from the various hostels through multistage sampling. Results: The study found that 234 (60%) respondents were aware of ectopic pregnancy. The majority of the respondents (72.1%) had moderate to a good knowledge level of ectopic pregnancy and the risk factors. There was no significant difference in knowledge level based on marital status of the respondents (P = 0.642). Predominant risk factors for ectopic pregnancy identified among respondents were use of oral contraceptives – 151 (38.8%), frequent alcohol intake – 105 (26.9%), prior pelvic inflammatory disease 94 (24.1%), and induced abortion 52 (13.3%). Initiation of oral contraceptive use was between age 13 and 20 years for about 118 (77.7%) respondents. Conclusion: Health education interventions on the knowledge of symptoms and risk factors of ectopic pregnancy need to be targeted at women of reproductive age to reduce the associated morbidity and mortality.


Sign in / Sign up

Export Citation Format

Share Document