MEDICAL AND SOCIAL CHARACTERISTICS OF WOMEN OF YOUNG REPRODUCTIVE AGE AFTER HYSTERECTOMY

Background. In many countries, hysterectomy is one of the most frequently performed surgical procedures.The objective of our analysis was to assess the social and medical characteristics of young reproductive-age patients who underwent hysterectomy.Materials and methods. A retrospective study involved 140 women aged 18–35 years (median age 29.4 ± 4.7 years) who underwent emergency or elective hysterectomy in the hospitals of Zabaykalsky Krai for a period of 5 years (January 1, 2013, to December 31, 2017).Results. 51.4 % of patients were housewives; 52.9 % were single; 55.7 % had bad habits (smoking, alcohol consumption). These women had a high incidence of socially significant infections: HIV – 3.6 %, active forms of tuberculosis – 1.5 %. 89.3 % of hysterectomies were emergent and 10.7 % were elective (p = 0.0001; OR = 69.4; 95% CI 32.6–148.1). The indications for the emergency hysterectomy were uterine myoma (80 %) and cervical or ovarian cancer (20 %). The obstetrical complications were the main indications for the emergency surgery: placenta abruption – 24.0 %; placenta previa – 20.8 % (placenta increta and/or percreta – 16.8 %; massive antenatal bleeding – 4.0 %); postpartum hemorrhage after vaginal delivery and caesarean section 19.2 %; septic and/or hemorrhagic shock in early miscarriages (from 8 to 19 weeks of gestation) 15.2 %. Mortality was registered in case of emergency hysterectomy only (4.3 %). Half of the deaths (50 %) occurred in cases of complicated miscarriages.Conclusion. To preserve the reproductive potential of young women of reproductive age, it is necessary to increase their social and cultural level, and responsibility for their own health and gender behavior.

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THE SOCIAL AND CLINICAL CHARACTERISTIC OF PATIENTS WITH THE ISOLATED GENITAL TUBERCULOSIS ASSOCIATED WITH INFERTILITY, THE ACTIVE AND CLINICALLY CURED TUBERCULOSIS OF RESPIRATORY ORGANS IN COMBINATION WITH PREGNANCY

Bulletin of Siberian Medicine ◽

10.20538/1682-0363-2015-6-48-53 ◽

2015 ◽

Vol 14 (6) ◽

pp. 48-53

Author(s):

A. V. Mordyk ◽

G. A. Valeyeva ◽

A. A. Yakovleva ◽

L. V. Puzyreva

Keyword(s):

Hiv Infection ◽

Pregnant Women ◽

Active Tuberculosis ◽

Reproductive Age ◽

Women Of Reproductive Age ◽

Venereal Diseases ◽

Genital Tuberculosis ◽

The Social ◽

High Incidence ◽

Clinical Characteristic

Due to the high incidence of tuberculosis of women of reproductive age research at 270 patients was conducted. The group of research included women with infertility and genital tuberculosis, pregnant women with active tuberculosis of lungs, pregnant women with clinically cured tuberculosis of respiratory organs. Pregnant women with tuberculosis of lungs were more often from sociopathic families, had venereal diseases, HIV infection, hepatitises.

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WOMEN'S OF REPRODUCTIVE AGE HEALTH

SOCIETY AND SECURITY INSIGHTS ◽

10.14258/ssi(2020)3-12 ◽

2020 ◽

Vol 3 (3) ◽

pp. 167-181

Author(s):

Leyla N. Natsun

Keyword(s):

Healthy Lifestyle ◽

Age Groups ◽

Reproductive Potential ◽

Reproductive Age ◽

Federal State ◽

Sociological Research ◽

Observation Data ◽

Behavioral Factors ◽

Women Of Reproductive Age ◽

Mortality And Morbidity

The health of women of reproductive age is the basis for forming the health of new generations of the population. Reducing preventable mortality and morbidity of women with diseases that reduce their reproductive potential, as well as motivating them to lead a healthy lifestyle are urgent tasks in the field of strengthening the demographic potential of the country. The purpose of this work is to analyze themain indicators that characterize the health of women of reproductive age in Russia, as well as the characteristics of behavioral factors that affect the health of this category of population. The information base of the study was made up of the works of domestic and foreign authors, statistical data, and materials of selective observation of behavioral factors affecting the health of the population (for 2018), conducted by the Federal state statistics service. It is shown that, despite the improvement of individual indicators of health of women of reproductive age, an actual threat to it is an increase in the incidence of neoplasms and infertility. Analysis of sample observation data allowed to expand the number of problems identified in the statistics. It was found that different age groups of women of reproductive age have different combinations of behavioral factors that affect health. In the future, it is planned to expand the results obtained by adding an analysis of regional sociological research data.

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The core vital values and requirements defining quality of life of country people are more senior than working-age of the Kaliningrad region

10.37690/1811-0185-2020-8-41-48 ◽

2020 ◽

pp. 41-48

Author(s):

Yu.V. Mikhaylova ◽

◽

I. B. Shikina ◽

T. A. Siburina ◽

I.Yu. Chukhrienko ◽

...

Keyword(s):

Quality Of Life ◽

Social Research ◽

Social Characteristics ◽

The Core ◽

The Social ◽

Working Age ◽

Kaliningrad Region ◽

And Gender ◽

Country People

Article is devoted to studying specific needs of persons also their interests affecting quality of their life are more senior than working-age. The purpose of work is to reveal the core vital values and requirements defining quality of life of country people is more senior than working-age of the Kaliningrad region. Within the project of Partnership “Northern measurement” in the field of health care and social wellbeing in 2019 the social research among 211 villagers aged from 60 up to 88 years is conducted. Methods of carrying out work: sociological, analytical, mathematical statistics. Distribution of age and gender structure of the interviewed population reflects universal trends. Social and demographic and medico-social characteristics of country people are studied. Results of a research showed that the quality of life of persons is more senior than working-age most is defined by priority vital values and requirements: state of health and level of material welfare; loneliness; difficulties in use of digital technologies; the disrespect shown from youth i.e. quite objective reasons which solution generally depends on the state measures for support of the senior generation. Significant first 10 vital values at elderly people during the different periods of time are tracked.

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Fertility, Migration and Acculturation (FEMINA): a research protocol for studying intersectional sexual and reproductive health inequalities

Reproductive Health ◽

10.1186/s12978-019-0795-5 ◽

2019 ◽

Vol 16 (1) ◽

Author(s):

Violeta Alarcão ◽

Miodraga Stefanovska-Petkovska ◽

Ana Virgolino ◽

Osvaldo Santos ◽

Sofia Ribeiro ◽

...

Keyword(s):

Reproductive Health ◽

Sexual And Reproductive Health ◽

Service Providers ◽

Reproductive Age ◽

Cape Verdean ◽

Women Of Reproductive Age ◽

Cross Sectional ◽

Men And Women ◽

Native Women ◽

And Gender

Abstract Background The existing knowledge on the interplay between reproductive and sexual health, migration and acculturation is recent and inconsistent, particularly on the sociocultural motives and constraints regarding fertility. Therefore, sexual and reproductive health (SRH) surveys are needed to provide accurate and comparable indicators to identify and address SRH inequalities, with specific focus on under researched aspects, such as the interrelation between migration and gender. FEMINA (FErtility, MIgratioN and Acculturation) aims to investigate intersectional SRH inequalities among Cape Verdean immigrant and Portuguese native families and how they impact on fertility in Portugal. This study will use a comprehensive approach exploring simultaneously the components of SRH, namely regarding identities, perceptions and practices of both women and men among lay people and relevant experts and stakeholders. The project has three main goals: 1) to identify social determinants of SRH among Cape Verdean immigrant and Portuguese native men and women of reproductive age; 2) to gain understanding of the diversity of the sexual and reproductive experiences and expectations of Cape Verdean immigrant and Portuguese native men and women of reproductive age, considering the singularities of their migratory, social and family dynamics; and 3) to produce recommendations for policy makers, employers and service providers on how to better address the SRH needs of Portuguese-born and immigrant populations. Methods The study will address these goals using a mixed methods approach, including: a cross-sectional telephone survey with a probabilistic sample of 600 Cape Verdean immigrant and 600 Portuguese native women and men (women aged 18 to 49 and men aged 18 to 54), residents of the Greater Lisbon Area; a qualitative research through in-depth interviews with a subsample of 30 Cape Verdean immigrants and 30 Portuguese native men and women; and a Delphi technique for finding consensus on good practices in SRH for the entire population with a special emphasis on immigrants, namely extra-EU migrants. Discussion Data will be used to produce a comprehensive set of indicators to monitor SRH in Portugal, to foster a greater understanding of its specificities and challenges to policy and decision makers, and to provide targeted recommendations to promote inclusive and migrant sensitive SRH services.

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Social capital and related socio-demographic variation in women of reproductive age: A population-based study

International Social Work ◽

10.1177/0020872815620260 ◽

2016 ◽

Vol 61 (2) ◽

pp. 247-259 ◽

Cited By ~ 2

Author(s):

Azam Baheiraei ◽

Fatemeh Bakouei ◽

Eesa Mohammadi ◽

Reza Majdzadeh ◽

Seyed Mostafa Hosseni

Keyword(s):

Social Capital ◽

Low Income ◽

Family Income ◽

Population Based ◽

Cross Sectional Study ◽

Reproductive Age ◽

Women Of Reproductive Age ◽

Cross Sectional ◽

The Social ◽

Low Income Families

In this population-based cross-sectional study of women of reproductive age in Tehran, Iran, the social capital integrated questionnaire and socio-demographic questionnaire were used. The highest mean scores were related to social cohesion and inclusion dimension (55.72 ± 11.94) and the lowest mean scores to groups and networks dimension (31.78 ± 19.43). Stepwise multiple linear regressions showed the significant association between dimensions of social capital and certain socio-demographic variables, particularly family income. Policy makers should help low-income families by designing effective interventions for improving the status of social capital in this group, because it is considered one of the social determinants of health.

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Negative Attitude towards Motherhood in Modern Women: Settings and Conditions

Cultural-Historical Psychology ◽

10.17759/chp.2015110106 ◽

2015 ◽

Vol 11 (1) ◽

pp. 44-49 ◽

Cited By ~ 2

Author(s):

E.I. Zakharova

Keyword(s):

Social Role ◽

Negative Attitude ◽

Reproductive Age ◽

General Idea ◽

Women Of Reproductive Age ◽

Conscious Decision ◽

The Social ◽

Women's Lives ◽

Childfree Women

The author addresses the issue of attitudes towards motherhood in modern women of reproductive age. The paper focuses on the phenomena that give evidence of unfavorable social tendencies referring to partial or com¬plete withdrawal of women from fulfilling the social role of mother. A study that involved 40 mothers of infants enabled the author to outline significant differences in the subjects' performances of their roles as mothers. For instance, some of the women tended to minimize their participation in caring for the child. The analysis of the reasons for such behavior suggests that they are rooted not so much in the social conditions of the women's lives, but rather in the personalities of the latter. In accordance with the general idea of the research, the author proceeds with a group of childfree women who made a conscious decision not to have children. The study involved 43 women of reproductive age. This time the exploration of reasons behind such refusal revealed a spe¬cific value orientation of the respondents. The author concludes that the development of certain features of personality contributing to an individual's negative attitude towards motherhood may be determined by a number of characteristics typical of the modern sociocultural space.

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A New Political Generation: Millennials and the Post-2008 Wave of Protest

American Sociological Review ◽

10.1177/0003122416681031 ◽

2017 ◽

Vol 82 (1) ◽

pp. 1-31 ◽

Cited By ~ 77

Author(s):

Ruth Milkman

Keyword(s):

First Generation ◽

Gender Disparities ◽

Social Characteristics ◽

Occupy Wall Street ◽

Class Inequality ◽

Wall Street ◽

Historical Experience ◽

The Social ◽

And Gender ◽

College Educated

Building on Karl Mannheim’s theory of generations, this address argues that U.S. Millennials comprise a new political generation with lived experiences and worldviews that set them apart from their elders. Not only are they the first generation of “digital natives,” but, although they are more educated than any previous U.S. generation, they face a labor market in which precarity is increasingly the norm. And despite proclamations to the contrary, they confront persistent racial and gender disparities, discrimination against sexual minorities, and widening class inequality—all of which they understand in the framework of “intersectionality.” This address analyzes the four largest social movements spearheaded by college-educated Millennials: the young undocumented immigrant “Dreamers,” the 2011 Occupy Wall Street uprising, the campus movement protesting sexual assault, and the Black Lives Matter movement. All four reflect the distinctive historical experience of the Millennial generation, but they vary along two cross-cutting dimensions: (1) the social characteristics of activists and leaders, and (2) the dominant modes of organization and strategic repertoires.

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Evaluation of the effectiveness of adjuvant anti-progestogen therapy after conservative myomectomy in women of reproductive age

GYNECOLOGY ◽

10.26442/20795696.2019.4.190564 ◽

2019 ◽

Vol 21 (4) ◽

pp. 19-23

Author(s):

Yanina A Lebedeva ◽

Inna I Kovalenko ◽

Oleg L Molchanov ◽

Dmitrii V Baibuz ◽

Natalia V Kulikova

Keyword(s):

Reproductive Potential ◽

Clinical Manifestations ◽

Uterine Fibroids ◽

Pain Syndrome ◽

Reproductive Age ◽

Women Of Reproductive Age ◽

Results Of Treatment ◽

High Prevalence ◽

Group 2 ◽

Group 1

Relevance. Due to the high prevalence of uterine fibroids in young women and the possible effect on reproductive potential, the development, implementation and application of the most benign treatment methods are a priority. Aim. To evaluate the effectiveness of adjuvant anti-progestogen therapy after conservative myomectomy in women of reproductive age. Materials and methods. A comparative analysis of the results of treatment of patients of reproductive age with uterine myoma has been carried out. Group 1 (n=38) included patients who underwent conservative myomectomy and/or hysteroresectoscopy without subsequent anti-relapse drug therapy. The average age is 31.5 years (4.6). Group 2 (n=43) included patients after conservative myomectomy who received mifepristone as anti-relapse therapy after surgery. The average age is 31.9 years (4.5). Results. Mifepristone therapy, as an adjuvant treatment after conservative myomectomy, can significantly reduce the risk of recurrence, stabilize the size of the uterus, reduce the severity of clinical manifestations in the form of pain syndrome and heavy menstruation associated with relapse, thereby improving the reproductive health of women. Conclusions. The use of adjuvant anti-progestogen therapy after conservative myomectomy in women of reproductive age is a very effective method for treating uterine fibroids and can be considered as a therapy of choice in such patients.

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Potential Effects of Melatonin on the Development of Uterine Fibroids in Women of Reproductive Age (Review of Literature)

Ukraïnsʹkij žurnal medicini bìologìï ta sportu ◽

10.26693/jmbs06.05.045 ◽

2021 ◽

Vol 6 (5) ◽

pp. 45-50

Author(s):

B. V. Sokolov ◽

◽

O. M. Yuzko

Keyword(s):

Uterine Leiomyoma ◽

Reproductive Potential ◽

Uterine Fibroids ◽

Current Data ◽

Reproductive Age ◽

Women Of Reproductive Age ◽

Foreign Literature ◽

New Approaches ◽

Long Time ◽

The Impact

For a long time, Ukraine has been showing negative dynamics between birth and death rates. The demographic situation in any country is an important indicator. Therefore, the issue of women's health and ability to reproduce is significant and urgent. The purpose of the study was to analyze current data from domestic and foreign literature on provoking factors, etiology and pathogenesis of uterine fibroids, new approaches to treatment and the impact of this pathology on a woman's reproductive potential. Hyperplastic processes of the uterus in women of reproductive age are among the most common gynecological diseases. Uterine leiomyoma is the most common benign proliferative pathology. The presence of uterine leiomyoma leads to disorders of women's reproductive health, is one of the causes of infertility, in addition, significantly affects the quality of life of the patient due to constant pain, excessive uterine bleeding, dysfunction of adjacent organs. Many studies confirm the unfavorable course of pregnancy and the postpartum period in women with fibroids, namely: complicated pregnancy, reproductive losses, birth defects and postpartum complications. Despite the intensive work of scientists, the implementation of a large number of studies, the pathogenesis to this day remains multifaceted and poorly understood. Results and discussion. After analyzing current data from domestic and foreign literature on provoking factors, etiology and pathogenesis of uterine fibroids, the review article presents data on current opportunities, new approaches to treatment and the impact of this pathology on a woman's reproductive potential. For a long time, the pineal gland with the hormone melatonin has not been studied. During the scientific research, the review of the current domestic and foreign literature on the potential inhibitory effect of melatonin on uterine fibroid cells, and the direct and indirect effect on fertility was reviewed and analyzed. As a result of analysis of experimental and clinical data presented in the literature, it can be argued that melatonin has the ability not only to regulate biological rhythms, but also that it is promising to study metabolic and immunomodulatory effects, as well as antitumor effects, which gives us a chance to reduce surgery of this group of patients. Conclusion. The information presented in the review suggests that melatonin has the potential as a therapeutic agent for clinical trials against uterine leiomyoma in women of reproductive age. Therefore, there is a need to study deeply the etiopathogenesis of uterine leiomyoma and in particular the effect of melatonin on growth, reduction of surgical interventions, the impact on the pre- and postoperative period, and to determine melatonin as a therapeutic drug

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Clinical and social characteristics of first detected respiratory tuberculosis in women

MedAlliance ◽

10.36422/23076348-2021-9-1-29-34 ◽

2021 ◽

Vol 9 (1) ◽

pp. 29-34

Keyword(s):

Healthy Lifestyle ◽

Age Groups ◽

Reproductive Age ◽

Social Characteristics ◽

Side Reactions ◽

Women Of Reproductive Age ◽

Treat Ment ◽

Working Age ◽

Tuberculosis Therapy ◽

Drug Resistant Strains

The article presents the results of a study of the socio- demographic and clinical features of the development of newly diagnosed respiratory tuberculosis in women, the frequency of tuberculosis-associated diseases in dif- ferent age groups, the effectiveness of anti-tuberculosis therapy and adverse side reactions. The results of the study showed a high incidence of respiratory tuberculo- sis among women of reproductive age, especially among the socially vulnerable group, in whom the tuberculosis process is accompanied by destructive changes in the lungs, massive bacterial shedding and drug resistance to anti-tuberculosis drugs. Severe comorbidities have been revealed, especially HIV infection, that lead adverse side reactions during treatment. In young women in 37.5% of cases and in 41.6% in the older age group, tuberculosis was accompanied by several diseases, which made it dif- ficult to conduct anti-tuberculosis therapy and reduced its qua lity. Women of reproductive age up to 35 years old made up 30.5% of all patients, 44.8% of them had chil- dren. The majority of women (64.6%) of working age do not have a permanent job, and 12.7% do not work at all. For socially vulnerable women, low adherence to treat- ment is characteristic, which forms the preconditions for the chronicity of the tuberculosis process and unfavora- ble prognosis in the course of respiratory tuberculosis and affects the epidemiological situation, especially in relation to families and children in contact with a patient who sheds mycobacterium tuberculosis, all the more so drug resistant strains. The problem of respiratory tuber- culosis in wo men is important in modern socio-economic conditions, healthy lifestyle is to be actively promoted in secondary schools.

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