Relationship between Human Seminal Prostaglandins on Intrauterine Insemination Pregnancy Outcomes

Background: This retrospective cohort study analyzed seminal fluid prostaglandin content and intrauterine insemination (IUI) pregnancy outcomes.

Pulmonary Cystic Adenomatoid Malformation, Prenatal Diagnosis and Case Management

The Cystic Adenomatous Malformation (CAM) is a rare fetal lung lesion. Its frequency is about 1 in 4000 births and is characterized by an overgrowth of terminal respiratory bronchioles that forms cysts of various sizes. It can be associated with polyhydramnios and pulmonary hypoplasia. We describe here a case of Adenoid Cystic Pulmonary Malformation type II with prenatal diagnosis at 20 weeks of gestational age, as well as its subsequent management. Morphological ultrasound describes multiple small cysts associated with a slight mediastinal deviation. The prognosis depends mainly on the associated injuries. Prenatal ultrasound allows early diagnosis and follow-up of CCAM to monitor the appearance of possible pathophysiological complications that may worsen its prognosis.

A Comparative Study of the Frequency of Post-Traumatic Stress Disorder in Women Undergoing Normal Vaginal Delivery and Cesarean Section

Introduction and Objective: Childbirth may be a stressful event for some women and trauma that some of them experienced during childbirth can cause Post-Traumatic Stress Disorder (PTSD). The aim of this study was to compare the frequency of PTSD among women with Normal Vaginal Delivery (NVD) and cesarean section (C-Section).

Current Prevalence of Hyperinsulinemia and Impaired Glucose Tolerance among PCOS Women of Telangana Region-South India

Introduction: Polycystic ovary syndrome is the most usual endocrine disorder characterized by chronic anovulation and androgen excess. Insulin resistance, hyperinsulinemia, impaired glucose tolerance are often accompanied by PCOS and therefore must be studied to find out their prevalence and association in this condition.

The Demand for Maternal and Child Health Care Services in Sub-Saharan Africa: A Review of Latest Available Data for Selected Countries

It is evident that maternal and under-five child deaths have gradually reduced in Sub-Saharan Africa (SSA) in the last three decades. In a bid to improve access and utilization of maternal and child health care services in the region, actors in public, private and civil society arenas at all levels have engaged in familiar circles towards service provisioning. Nevertheless, evidence from several SSA countries shows less utilization of some maternal and child health care services. The demand remains low for some services such as attendance of four antenatal visits as recommended by World Health Organization, delivery skilled birth attendants, postnatal care especially for newborns, child immunization, and use of modern contraceptives. The concern remains whether the less demand is influenced by supply-side or demand-side factors. The personal, socio-cultural, economic, health systems related factors may condition a person’s demand choices regardless of the need for a particular health service. Improved access may not necessarily translate into utilization because of these interrelated determinants of demand. Therefore, policy-makers might need to turn to Sen’s capability approach viewpoint to gaze at how expanding people’s choices-especially poor women might help to improve the demand for maternal and child health services in SSA. Policy interventions may include pro-poor healthcare service provisioning through public financing, improving women’s education, improving women’s access to information, etc. However, a multi-sectoral approach is necessary for addressing all demand determinants at all levels and the interventions should be context-specific.

Labour Analgesia for Obstetricians: Epidurals and Beyond

Epidurals remain the gold standard for labour analgesia, especially during the current COVID-19 pandemic. They provide superior analgesia and lower the physiological and chemical responses to labour stress. However, they are associated with higher rates of instrumental delivery, maternal pyrexia and hypotension. Less invasive substitutes include nitrous oxide and parenteral opioids such as patient-controlled analgesia (PCA) with remifentanil. Non-pharmacological methods include hypobirthing and relaxation techniques, giving the mother a less medicalised labour experience. Newer regional techniques such as erector spinae and quadratus lumborum blocks are promising alternatives in those who cannot have or do not want an epidural. This review will outline the indications and contraindications to labour epidural use, and potential alternatives to an epidural.

Journey of Women: Puberty to Post-menopause

Women are facing several health hazards that have an adverse effect on them and their offspring. In this article, the potential health risk factors and repercussions in women are evaluated so that sustenance of well-being is maintained and appropriate strategic interventions are made at critical stages such as at childhood, adolescence and pregnancy. Weakened and restricted access to public health system for low socio-economic status women and unregulated growth of the private sector in healthcare is leading to a near-total eclipse of availability and accessibility of universal and comprehensive healthcare.

The Impact of Obesity on Operative Time and Blood Loss during Cesarean Delivery

Objective: To test the hypothesis that increased maternal body mass index (BMI) is associated with longer operative and anesthesia times, increasing blood loss, and lower APGAR scores.