Volume 1 Issue 2

2018-11-09 Research Article

Value of ambulatory blood pressure measure in pregnancy hypertension

Abstract

It is still not well known the prognostic cardiovascular value of 24h ambulatory blood pressure monitoring in the pregnant woman with hypertension.

Objectives: Assess to the prognostic value of ABPM parameters in predicting maternofetal event.

Methods: Retrospective and observational study which included 166 pregnant women.

Results: The authors found that the night time DBP was the best predictor of adverse events. Non-dipper profile had worse survival at follow up until delivery compared to those with a dipper profile.

Conclusions: ABPM is a tool for pregnant with HT because this is the unique method available that analyses the night blood pressure.

Abstract Read Full Article HTML DOI: 10.29328/journal.cjog.1001012 Cite this Article

2018-10-29 Review Article

Current anesthesıa for Cesarean Sectıon

Abstract

The choice of anesthesia for cesarean section should depend on the urgency of the procedure, in addition to the condition of the mother and fetus. It is widely accepted that regional anesthesia for cesarean section is preferable to general anesthesia. Regional techniques have several advantages. They lessen the risk of gastric aspiration, avoid the use of depressant anesthetic drugs and allow the mother to remain awake during delivery. The most common type of regional anesthesia for cesarean section is spinal anesthesia because of its simplicity, cost-effectiveness and speed of onset. It is suitable for cases of an emergent cesarean delivery. Hypotension during spinal anesthesia is a common that is associated with morbidity for both mother and fetus. Epidural anesthesia is preferred when physicians want to minimize the maternal hypotension or when intense motor blockage of the thoracoabdominal segments is not desired. General anesthesia still leads to a higher maternal mortality and should be reserved for absolute emergencies and cases where neuroaxial blockade is contraindicated.

Abstract Read Full Article HTML DOI: 10.29328/journal.cjog.1001011 Cite this Article

2018-10-23 Case Report

Septic arthritis of left shoulder in pregnancy following minor hand injury

Septic arthritis of the shoulder joint is rare and might affect around 3% of the general population [1]. A delay in diagnosis may increase morbidity and lead to bone and cartilage destruction [2]. Septic arthritis is an unusual complication of pregnancy and can progress to permanent arthropathy and disability [3].

Septic arthropathy in pregnancy requires multidisciplinary team involvement for prompt recognition and treatment to improve both maternal and fetal outcomes. High index of suspicion is vital when clinical and laboratory findings suggest septic arthritis. There are multiple predisposing factors reported previously for septic arthritis of the shoulder in pregnancy such as medical conditions, pyelonephritis and trauma. We report a 37 year old lady who presented at 26 weeks gestation with acute left shoulder pain and high temperature following minor left palm trauma. She also had left mastectomy with axillary clearance ten years earlier. She underwent arthroscopic wash out of her left shoulder joint and was covered with antibiotics with rapid improvement and recovery. We reinforce the importance of early multidisciplinary involvement when septic arthritis of the shoulder in pregnancy is suspected especially in women who have had previous mastectomy and axillary clearance which could be a predisposing factor for such a rare and serious joint condition in pregnancy.

Abstract Read Full Article HTML DOI: 10.29328/journal.cjog.1001010 Cite this Article

2018-10-15 Opinion

Effectiveness of the lifestyle modifications in prevention and control of sexually transmitted diseases (STDs): Focus on Islamic lifestyle

Text

The advancement of human researches and scientific activities in the field of diseases prevention and treatment, has not diminished the importance of sexually transmitted diseases (STDs). Despite the continuous efforts for prevention and control of them, many peoples suffers from STD with very considered wasted expenses for anybody and for community [1,2].

Abstract Read Full Article HTML DOI: 10.29328/journal.cjog.1001009 Cite this Article

2018-06-09 Case Report

A Rare case of synchronous primary malignancies of gall bladder and ovary

Introduction

A malignant tumor has the capacity to grow rapidly and to metastasize to the other parts of the body. Ovary has been a common organ for secondaries caused by hematological spread of the tumor and exhibits the same histopathology as that of the primary tumor.

Abstract Read Full Article HTML DOI: 10.29328/journal.cjog.1001008 Cite this Article

2018-07-31 Research Article

Perinatal Morbidity and Mortality following repeat Cesarean section due to five or more previous Cesarean Section done in Tertiary centre in KSA

Abstract

Objectives: To highlight and determine the maternal and neonatal outcome and associated risks for patients who have undergone their 6th and more caesarean sections. 

Design: Case control study.

Setting: Tertiary Centre (Security Forces Hospital – Riyadh – Saudi Arabia).

Patients: 80 patients selected to study group who have undergone their sixth and more caesarean sections in Security Forces Hospital. Between June 2006 and May 2010. This group was compared to 80 patients who have undergone their third to fifth caesarean sections during the same time period and immediately following the studied case.

Main outcome measured: Age and parity of women in study and the control group were correlated with the number of previous caesarean sections. Intra operative and post-operative maternal complications including presence and grade of adhesions, intra partum and postpartum hemorrhage, use of measurement and methods (both medical and surgical) to control bleeding such as Bakry balloon, Internal iliac artery ligation, etc., were highlighted. Bowel injury, blood transfusion, admission to surgical intensive care, incidence of placenta previa and accreta, post-operative complications like paralytic ileus, wound infection were also noted. Further, neonatal outcome including birth weight, Apgar score, and need for neonatal intensive care unit admission were reviewed.

Results: Patients in the study group had higher incidence of extensive adhesions (41.25%) compared to (12.25%) in the control group. Bowel injury was (2.5%) in study group with none in the control group. The incidence of placenta previa was (8.75%) in the study group as compared to (2.5%) in the control group, with placenta accreta complicating (28.57%) of placenta previa seen only in the study group. Blood transfusion was higher in the study group (20%) as compared to (5%) in the control group.

Neonatal admission to NICU was higher in the study group (27.5%) in comparison to the control group (12.5%). Also birth weight was lower in the study group.

Conclusion: The more the number of caesarean sections, the more the maternal and neonatal morbidity.

Patients should have proper counselling during antenatal follow up about the risks of repeated caesarean sections, and offered bilateral tubal ligation after the third or fourth caesarean sections.

Abstract Read Full Article HTML DOI: 10.29328/journal.cjog.1001007 Cite this Article

2018-03-07 Case Report

Small cell carcinoma of the ovary with hypercalcemia: Case report and review of the literature

Abstract

We describe here the case of a 23-year old woman with small cell carcinoma of the ovary of the hypercalcemic type (SCCOHT) with SMARC-A4 mutation who benefited from surgery in two steps leading to a total hysterectomy with bilateral salpingo-oophorectomy, omentectomy, pelvic and lombo-aortic lymph nodes dissection. She also received 6 courses of poly-chemotherapy after the surgery. A close follow-up was then performed by clinical examination every three months with determination of serum calcium and CA125 level as well as imaging with thoraco-abdominal CT scan. To date, the patient has a disease-free survival of more than 9 years. We also reviewed the literature on this topic and discuted the new diagnostic and prognostic genetic tool SMARC-A4 mutation.

Abstract Read Full Article HTML DOI: 10.29328/journal.cjog.1001006 Cite this Article

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Pneumocephalus following labour epidural analgesia, a rare case report

Shagufta Rafiq*, Ibrahim Abbasher and Branko Denona

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2021-04-28 Research Article

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Sayed Mohamed Sayed, Ahmed Khedr Khalifa, Nesreen Abd El Fattah Abd Allah Shehata*, Mohamed AM Eweis and Sherwet M Shawky

Abstract Read Full Article HTML DOI: 10.29328/journal.cjog.1001087 Citation

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Sena-Martins M*, Tadini V, Bolsonaro-Guilherme B, Mariani-Neto C, Pires ABN, Lucato LL, Soares AN, Xavier JC, Teixeira BACB, Faro SL and Silva TB

Abstract Read Full Article HTML DOI: 10.29328/journal.cjog.1001086 Citation

2021-03-31 Research Article

Which women uses social Internet networks during pregnancy?

Sylvie Viaux-Savelon*, Catherine Fouillet, Nicolas Bodeau and Jacky Nizard

Abstract Read Full Article HTML DOI: 10.29328/journal.cjog.1001082 Citation