Articles de revues : « Gynecology – Egypt »

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Gharib, Mahmoud Ahmed, Mahmoud Hussein El-Shoeiby, Nagy Mohammed Metwally et Yostina Maher Rashid. « Epidemiology of ovarian cancer in Assiut Governorate, Egypt ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, n^o 11 (25 octobre 2018) : 4575. http://dx.doi.org/10.18203/2320-1770.ijrcog20184510.

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Background: The aim of this study is to assess ovarian cancer epidemiology and detect its prognostic factors in Assuit, Egypt.Methods: This retrospective study was performed between January 2010 and December 2015, on all cases attending to Obstetrics and Gynecology Outpatient Clinic in all central hospitals in Assiut. 378 females (≥40 years old) came to Obstetrics and Gynecology Outpatient Clinic from January 2010 to December 2015. Inclusion criteria: All females (≥40 years old), history of current acute or chronic pelvic pain, mass; fixed, hard consistency, history of previous similar condition.Results: Mean age for whole ovarian cancer cases in this study was 56.44±10.08 (range, 40-85). Nulliparity was found in one case (0.3%), while multiparity was found in 252 cases (66.7%). Grand multiparity was found in 113 cases (29.9%). Twelve cases (3.2%) were virgin. Vaginal ultrasound can find all ovarian cancer cases. Regarding the serum levels of the tumor biomarker, CA-125, the average level of CA-125 is 300-1000 U/ml with 34.9% of cases had readings below to 300-1000 U/ml and 6.1% of cases had readings above to this average level. Regarding treatment, treatment combining surgery with chemotherapy was the main line of management in present study (46.3%). About 33.3% of cases underwent surgery, while only 18.3% took the chance of chemotherapy. Eight cases (2.1%) had no treatment.Conclusions: Epithelial ovarian cancer is a lethal disease. The age incidence of ovarian cancer in present patients is ten years younger than what is re¬ported in US SEER data and other Western countries. CA-125 level and ultrasonography are increasing the rate of suspicious for diagnosis of malignant tumors.

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Saleh, S., W. F. Saleh, H. I. Abdelmoty, A. N. Raslan, U. M. Fouda, M. N. Mohesen et M. A. Youssef. « Reproductive Health and HIV Awareness among Newly Married Egyptian Couples Without Formal Education ». Klinička psihologija 9, n^o 1 (13 juin 2016) : 102. http://dx.doi.org/10.21465/2016-kp-op-0070.

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Objective: To assess awareness of several reproductive health and HIV issues and to determine the sources of reproductive health knowledge. Design and Method: A cross-sectional survey of 150 randomly recruited, newly married couples without formal education attending gynecology or andrology outpatient clinics in Cairo, Egypt, was conducted from January 2012 to January 2013. Participants were interviewed separately and asked to respond to a semistructured questionnaire on reproductive health and HIV awareness. Results: Most participants had not received premarital counseling or undergone premarital testing. Awareness about HIV was relatively high: 117 (78.0%) women and 128 (85.3%) men had heard of HIV and had some awareness of the modes of HIV transmission. Only 24 (16.0%) women had ever used a condom compared with 36 (24.0%) men. Only two men out of the 150 couples questioned were aware of the free HIV hotline. Television and friends were the main sources of reproductive health knowledge. Conclusions: Routine premarital counseling and testing by reproductive health, gynecology, and andrology specialists need to be enforced. Mass media is an essential source of knowledge about HIV and reproductive health. Premarital, reproductive health, and HIV education programs need to be improved.

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Shabana, Ayman, Hesham Salah, Mohamed Kandil, Emad Soliman et Dalia Morsi. « Termination of mid-trimester pregnancies : misoprostol versus concurrent weighted Foley catheter and misoprostol ». F1000Research 1 (28 novembre 2012) : 36. http://dx.doi.org/10.12688/f1000research.1-36.v2.

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Objective: To investigate whether the use of a weighted trans-cervical fluid-filled Foley’s catheter would improve the effectiveness of 400µg vaginal misoprostol regimen in terminating mid-trimester pregnancies.Methods: This study was conducted at the department of Obstetrics and Gynecology, Menofyia University Hospital in Egypt. Fifty eligible primigravidae were allocated into 2 groups. Termination was carried out in group I using vaginal misoprostol while in group II, a weighted fluid-filled intra-uterine Foley’s catheter was inserted and a similar misoprostol regimen was followed as in group I.Results:The combined group showed shorter induction to termination interval (15.6 ± 4.9 versus 21.9 ± 5.4 hours; P<0.05). There was no significant difference in the occurrence of side effects between the groups.Conclusion: A combination of a weighted Foley’s catheter and 400µg of vaginal misoprostol every 4 hours is more effective than misoprostol alone in terminating mid-trimester gestations.

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Amin Hassan Fahmy Elsaba, Howaida, et Amal Samir Ahmed Abd El-Maksoud. « Relationship of fear and fatalism with breast cancer screening among women using health belief model ». International Journal of Advanced Nursing Studies 9, n^o 2 (20 septembre 2020) : 52. http://dx.doi.org/10.14419/ijans.v9i2.30970.

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Despite the potential benefits of screening in discovering breast cancer, many women still do not follow recommended screening regimens. Fear of cancer detection and fatalistic beliefs were identified by previous studies as the main reasons given by women for noncompliance with breast cancer screening. The aim of this descriptive study is to explore relationship of fear and fatalism with breast cancer screening among a convenience sample of 136 women recruited during their visit to the Gynecology Clinic at the Maternity University Hospital in Alexandria, Egypt. The study tool consists of four parts: (1) Bio-sociodemographic information; (2) Champion Breast Cancer Fear Scale (CBCFS); (3) Powe Fatalism Inventory (PFI); (4) abridged version of the Champion Health Belief Model Scale (CHBMS). The findings revealed that only 3.7% and 14.7% of women practiced regular breast self-examination and had previously had mammography, respectively. Negative correlations were found between fatalism and health beliefs; and between fear and health belief. A positive correlation was found between fatalism and fear. The findings of this study add some experimental support for the relationships between fear, fatalism, and breast cancer screening behavior.

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Abdulla, Mostafa, et Elsayed Mahmoud. « PREVALENCE OF SUBCLINICAL AND UNDIAGNOSED OVERT HYPOTHYROIDISMIN HABITUAL ABORTION ». International Journal of Advanced Research 9, n^o 08 (31 août 2021) : 150–56. http://dx.doi.org/10.21474/ijar01/13242.

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Background:Hypothyroidism is the second most common endocrine disorder in women of childbearing age with an increased risk of pregnancy loss.Pregnancy loss associated with subclinical hypothyroidism (SCH), defined as elevatedthyroid-stimulating-hormone level, with normal free thyroxine. In overt hypothyroidism (OH), the free thyroxine is low. Materials and methods:Cases recruited from those attending high risk pregnancy unit of obstetrics and gynecology department of Benha university hospital Egypt from 2019 till 2020. We examined theprevalence of subclinical and undiagnosed overt hypothyroidism in women with recurrent miscarriage, late miscarriageand stillbirth.Cases with sporadic miscarriages, autoimmune disorders, thrombophilias and known hypothyroidism were excluded. Sample size: Two-hundredwomen were included. Median maternal age was 35 years (range 18-47). Subclinical andundiagnosed overt hypothyroidism was found in 24 cases (12%) of women. Sixteen women (8%) had subclinical hypothyroidism,eight (4%) had undiagnosed overt hypothyroidism. Results were compared to women with ongoing pregnancies. Results: The prevalence of subclinical and undiagnosed overt hypothyroidism in the pregnancy loss population was 12% (24 /200), where 8 %( 16/200) were subclinical, and 4% (8/200) were undiagnosed overt. In the control population, prevalence of hypothyroidism was 1.5% (3/200).

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El-Feky, Elham AM, Doa’a A. Saleh, Jehan El-Kholy, Ahmed Mahmoud Sayed, Yasmeen Mansi et Mohamed Hashem. « Use of personal digital assistants to detect healthcare-associated infections in a neonatal intensive care unit in Egypt ». Journal of Infection in Developing Countries 10, n^o 11 (24 novembre 2016) : 1250–57. http://dx.doi.org/10.3855/jidc.7789.

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Introduction: Personal digital assistants (PDAs) used in electronic laboratory-based surveillance are a promising alternative to conventional surveillance to detect healthcare-associated infections (HAIs). The aim of the study was to monitor, detect, and analyze HAIs using PDAs in a neonatal intensive care unit (NICU). Methodology: In this descriptive study, 1,053 neonates admitted to the NICU in the obstetrics and gynecology ward at the Cairo University hospital were included and evaluated for HAIs by collecting data using PDAs programmed by Naval Medical Research Unit 3, Cairo, with the definitions for HAIs provided by the National Healthcare Safety Network of the Centers for Disease Control and Prevention. Case records were reviewed three times a week over 19 months, from March 2012 to September 2013. Results: Of 124 suspected episodes of infection recorded in PDAs, 89 confirmed episodes of infection were identified. HAI and NICU infection rates were 7.4 and 2.72/1,000 patient-days, respectively. Primary bloodstream infection was detected in 81 episodes and pneumonia in 8 episodes. The majority of infections (62%) were acquired in the ward before NICU admission. Klebsiella spp. was isolated most frequently (42%), followed by coagulase-negative Staphylococci (31%). Conclusions: This study is the first to report the use of PDAs in surveillance to detect HAIs in the NICU in our hospital. The majority of infections were acquired at the obstetric care department, indicating the importance of implementing rigorous prevention and control programs and a more detailed surveillance to identify other risk factors for infections.

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G. Mostafa, Rasha, Reem Μ. Elkholy, Amany T. Elfakhrany, Safa H. Elkhalsh et Amira H. Elkhyat. « Study of Virulence and Antibiotic Resistance of the Most Common Bacterial Species Causing Aerobic Vaginitis ». Egyptian Journal of Medical Microbiology EJMM29, n^o 4 (1 octobre 2020) : 101–8. http://dx.doi.org/10.51429/ejmm29413.

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Background: Vaginitis is one of the most common causes of women's visits to a family physician and gynecologist. If untreated it may lead to serious complications. Objectives: To detect the prevalence of aerobic vaginitis among women of reproductive age attending at Family Medicine and Gynecology Clinics in Menoufia University Hospital, Egypt and determine the most common bacterial isolate and its virulence profile in both pregnant and non- pregnant women. Methodology: High vaginal swabs were obtained from 350 women (200 pregnant and 150 non pregnant) who visited Family Medicine and Gynecology Clinics in Menoufia University Hospital during the study period and suspected of having vaginitis. Identification of isolated micro-organisms was done by standard microbiological methods. Identification and antimicrobial susceptibility testing of the most common aerobic bacterial species isolated from vaginal samples were performed. Also, 15 fecal E. coli strains were isolated from healthy women. The prevalence of Virulence genes fim H, iucC, hly F, papC, afa, ibe A and cnf among Escherichia coli (E. coli) isolates was examined by multiplex PCR. Results: The prevalence of aerobic vaginitis was 43% in pregnant women and 26% in non-pregnant women. E. coli was the most common isolated aerobic bacterial spp. Antibiotic resistance of E. coli isolated from non-pregnant women was higher than those isolated from pregnant women with a highly statistically significant difference. Higher rate of virulence genes was detected among E.coli isolated from pregnant women when compared with those isolated from non-pregnant women with a highly statistically significant difference (P<0.001). Comparing virulence factors of total vaginal E. coli isolates (50) with fecal E. coli isolates (15), the vaginal E. coli strains harbored higher percentage of virulence genes than did fecal E. coli strains with a highly statistically significant difference (P<0.001). Conclusions: Escherichia coli from pregnant women with aerobic vaginitis is more virulent than those from non-pregnant women, thereby increasing possible maternal and neonatal complications.

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Mitwaly, Abo Bakr A., Ahmed M. Abbas, Amal Fathy Mohammed, Alaa M. Ismail, Ayman H. Shaamash et Alaa El Din A. Youssef. « Knowledge, attitude and practice of long acting reversible hormonal contraception (LARHC) among women in urban upper Egypt ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, n^o 4 (26 mars 2019) : 1373. http://dx.doi.org/10.18203/2320-1770.ijrcog20191184.

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Background: The current study aims to assess the knowledge, attitude and practice of long acting reversible hormonal contraception (LARHC) among women in urban upper Egypt.Methods: A cross sectional study which included 902 married women, in the reproductive age, attending the outpatient clinics (Gynecology and family planning) of: 1-Assiut University Maternity Hospital, 2- Sohag University Hospital, and 3-Gehina General Hospital (MOH hospital) with current or previous use of any method of LARHC methods. A Questionnaire file was designed to assay knowledge attitude and practice of clients towards contraceptive methods. All data collected from clients reviewed separately to assess knowledge, attitude and practice of women towards contraceptive methods.Results: The most popular contraceptive method is COCs followed by IUD then DMPA. 99% of studied sample heard with good description about different types of LARHC. 54.9% of studied sample most popular/famous LARHC DMPA, most sources of information on LARHC were, Hospital, Relative/friends and health workers. 94.24% of the studied sample were in favor to use of LARHC, 94.2% of them agree to take a space between births, about 55.4% of them were health child and 61% comfortable lifestyle benefit from birth spacing, 33% of studied sample were maternal health, 68% of them were think/prefer to use implants, 64.5% of them didn’t pregnant while breastfeeding. 11% of sample women never used any contraception before and most reasons for not using contraception are fear of side effects, desire for more children, irregular sexual relationship, and husband opposition. Only 16.6 % of studied sample used LARHC before and most of them used DMPA, however 3 women who used DMPA get pregnant while using it.Conclusions: There is a good level of knowledge between upper Egypt women about LARHC methods.

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Sweed, Mohamed S., Hassan A. Mostafa, Hazem M. Sammour, Hisham A. Ashour, Mahmoud A. Nadim et Osama I. Ibrahim. « Modified technique for sacrospinous-sacrotuberous ligament complex colpopexy in apical prolapse : preliminary results of a pilot randomized study ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, n^o 12 (26 novembre 2020) : 4785. http://dx.doi.org/10.18203/2320-1770.ijrcog20204995.

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Background: Apical prolapse is frequently encountered following vaginal hysterectomy either or as a primary finding in patients with pelvic organ prolapse. This pilot comparative study introduces a modified sacrospinous sacrotuberous ligament fixation with biologic mesh augmentation which necessitates no special kits to be performed.Methods: This study was conducted at Department of Obstetrics and gynecology, Ain Shams University, Cairo, Egypt, and Department of Women Health of Bethanien Hospital, Iserlöhn, Germany from March 2018 to May 2020. 40 women with either utero-vaginal or vaginal vault prolapse were randomized to either; group (A): 20 women scheduled for modified sacrospinous-sacrotuberous fixation procedure, or group (B): 20 women scheduled for conventional sacrospinous-sacrotuberous fixation procedure.Results: Improvement of the Pelvic organ prolapse quantification system (POP-Q) stage from the base line pre-operative stage was 1 stage higher in the modified SS/ST-F group compared to the conventional SSF group (3 stage improvement from baseline in SS/ST-F group versus 2 stage improvement only in conventional SSF group).Conclusions: This pilot study provides a modified sacrospinous sacrotuberous ligament colpopexy technique which is easier to be performed and mastered, does not need the use of special devices, provides better improvement of grade of prolapse and less complications compared to the conventional technique.

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Sallam, Hany F., et Nahla W. Shady. « Adjunctive sublingual misoprostol for secondary prevention of post-partum hemorrhage during cesarean delivery : double blind placebo randomized controlled trial ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, n^o 2 (23 janvier 2018) : 495. http://dx.doi.org/10.18203/2320-1770.ijrcog20180161.

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Background: Cesarean delivery is the most frequently performed major operative procedure worldwide. Objective of present study was to evaluate randomized evidence regarding efficacy and safety of sublingual misoprostol for secondary prevention of post-partum hemorrhage during and after cesarean delivery in women receiving prophylactic oxytocin as primary preventive tools and bleed around 500ml by visual analogue estimation.Methods: A prospective, randomized, double-blind, placebo-controlled trial was performed at an obstetrics and gynecology department Aswan university hospital, Egypt, between October 2015 and September 2017. Women were eligible if they were undergoing elective cesarean under spinal anesthesia and were bleed around 500ml by visual analogue estimation. All participants received 10 IU oxytocin after delivery of the newborn. Participants were randomly assigned (1:1) to receive 400 μg misoprostol or matched placebo sublingually using a computer-generated random number sequence. Participants and providers were masked to assignment. The primary outcomes were intraoperative and postoperative blood loss.Results: There was high significant reduction in intraoperative blood loss in misoprostol group (711.0±188.41) compared with placebo group (915.33±293.72) (P=0.0001). The all estimated blood loss during CS and 24 hours postoperative was significant lower in misoprostol group (890.39±194.49) than that in placebo group (1096.9±300.05) (p=0.0001).Conclusions: Misoprostol as an adjunct to oxytocin as secondary prevention of pot partum hemorrhage seemed to be more effectively reduce blood loss than did placebo with oxytocin alone.

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Saleh, Hend S., Nadia M. Madkour, Ahmed Mahmoud Abdou, Entesar R. Mahdy, Hala E. Sherif, Ekramy A. Mohamed, Safaa A. Ibrahim et Mohamed I. Amin. « Role of Multidetector Computed Tomography (CT) Virtual Hysteroscopy in the Evaluation of Abnormal Uterine Bleeding in Reproductive Age ». BioMed Research International 2019 (21 janvier 2019) : 1–6. http://dx.doi.org/10.1155/2019/8910374.

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Background. Abnormal uterine bleeding (AUB) may be acute or chronic and is defined as bleeding from the uterine corpus that is abnormal in regularity, volume, frequency, or duration and occurs in the absence of pregnancy. It is a widespread complaint in the primary care units. The prevalence of abnormal bleeding is up to 30% among women of reproductive age. Objective. To assess the role of CT virtual hysteroscopy in the evaluation of the uterine cavity in cases with abnormal uterine bleeding in reproductive age. Methods. Cross sectional study was performed at Obstetrics and Gynecology Department and Radiology Department, Zagazig University hospitals, Egypt, on 124 women with abnormal uterine bleeding in reproductive age, and their uterine cavity was evaluated by both row multidetector computed tomography (MDCT) scanner and Office hysteroscopy. Results. Mean age of studied group was 28.54 ± 5.99 years, and virtual hysteroscopy showed sensitivity 91.1% and specificity 85.3% in detection of abnormalities within uterine cavity. It showed sensitivity 91.1% and specificity 85.3% in cases of endometrial polyps. It yielded 88.5 % sensitivity and 100 % specificity in cases with submucous fibroids, while it yielded only 57.9 % sensitivity and 82.9% specificity in cases of thick endometrium. Conclusion. Virtual CT hysteroscopy is a good negative test in cases of abnormal uterine bleeding but has some limitations that decrease its sensitivity.

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Abd El-Gaber, Abd El-Naser, Hazem H. Ahmed, Mustafa M. Khodry et Ahmed M. Abbas. « Effect of tranexamic acid in prevention of postpartum hemorrhage in elective caesarean delivery : a randomized controlled study ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, n^o 1 (26 décembre 2018) : 1. http://dx.doi.org/10.18203/2320-1770.ijrcog20185401.

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Background: Postpartum hemorrhage is the ugly ghost that most obstetricians believe because many cases unpredicted and may be associated with rapid patient deterioration that may lead mortality or developing serious long-term morbidities. The objective of this study is to assess the efficacy of slowly intravenous administration of tranexamic acid in prevention and decline the severity of postpartum hemorrhage immediately prior to elective caesarean section.Methods: A double blinded, randomized, case control trial carried out at Obstetrics and Gynecology Department, Faculty of Medicine, South Valley University, Egypt from May 2017 to April 2018. This study was conducted on 500 full term pregnant women underwent elective caesarean section. The patients were divided randomly into: Group A (study group) included 250 patients received tranexamic acid 1gm slowly iv over 2 minutes at least 10 minutes before operation started and Group B (control group) included 250 patients that received placebo (normal saline NaCl 0.9%).Results: Incidence of PPH in group A and group B were (4.4% and 6.8) respectively, 1.2% in group A and 2.8% in group B had severe degree of PPH. Amount of blood loss immediately after placental delivery up to first 6 hours postoperative was statistically significant increase in placebo group than tranexamic acid group with p value <0.001.Conclusions: Tranexamic acid administration few minutes prior to elective cesarean section was effective in reducing the incidence and severity of PPH and decreased the use of additional uterotonic drugs and additional surgical interventions.

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Marzouk, Tyseer, Hanan Abd-Elmohdy Emarah et Mai Mostafa Zaitoun. « Effect of preoperative vaginal cleansing using chlorhexidine antiseptic on post cesarean section infectious morbidity ». Clinical Nursing Studies 7, n^o 1 (5 mars 2019) : 107. http://dx.doi.org/10.5430/cns.v7n1p107.

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Objective: This study aims to assess effect of preoperative vaginal cleansing using chlorhexidine antiseptic on post cesarean section infectious morbidity.Methods: A randomized controlled trial was conducted on a random sample of 178 singleton term pregnant woman assigned for elective cesarean section. A simple random sample was recruited from the operating room of Obstetrics and Gynecology department, Zagazig University Hospitals-Egypt. Participants were randomly assigned either to conventional care group or study group. The conventional care group was exposed to the usual abdominal scrub with Povidone-iodine solution; while the study group subjected to vaginal cleansing using chlorhexidine antiseptic solution in addition to conventional preoperative care. Data were collected using an assessment sheet for demographic and clinical data and checklist for study outcomes.Results: Post intervention, assessment of the incisional wound revealed lower overall post cesarean section infectious morbidity rate among study group compared to those received conventional care (9.0% vs. 20.2% respectively; χ2 = 4.50, p = .034). Endometritis rate was significantly lower among the study group subjects equated to those of the conventional care group (2.2% vs. 10.1% respectively; χ2 = 4.75, p = .029), meanwhile febrile morbidity and surgical site infection rates showed non-significant reduction in favor to the study group subjects (p = .469 and 0.700 respectively).Conclusions: Preoperative vaginal cleansing using chlorhexidine was an effective practice for reducing post cesarean infection; where overall post cesarean infectious morbidity rate was lower among postpartum mothers subjected to vaginal cleansing compared to those exposed to conventional care alone; supporting the study hypothesis.

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Ahmed, Sabah R. H., et Hala A. Ali. « Role of Perineal Length Estimation in The Prediction of Maternal and Fetal Outcomes ». Evidence-Based Nursing Research 2, n^o 1 (11 janvier 2020) : 11. http://dx.doi.org/10.47104/ebnrojs3.v2i1.92.

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Context: Female perineum is a significant part of females because perineal tears and episiotomy habitually happen in childbirth with first-time deliveries. Aim: This study aimed to explore the role of perineal length (PL) estimation in the prediction of maternal and fetal outcomes. Methods: A prospective cohort observational design used to collect data from the Department of Obstetrics and Gynecology, Laboring room, Kafrelsheikh General Hospital, Kafrelsheikh City, Egypt. A purposive sample of 139 parturient women recruited during the period from the first of December 2018 to the end of August 2019. Six tools used to conduct this study. Maternal and newborn characteristics questionnaire, disposable standardized paper tape for measuring PL in centimeters, a standardized scale for measuring maternal height by meters, and body weight in kilograms to calculate Body Mass Index (BMI) (k/m2), REEDA scale, partograph for labor process and Apgar score. Results: There were statistically significant differences regarding the mean age, previous episiotomy and cesarean section of both studied groups (PL less than or equal to 4 cm and more than 4 cm) at p-value <0.001. Out of 139 parturient women, the two groups of PL less than or more than 4 cm had 16.7% versus 56.9%, respectively had normal vaginal delivery, with a statistically significant difference between both groups, while 46.7% versus 6.3% respectively had an episiotomy. However, the mean duration of the second stage of labor had statistically significant differences between both studied groups, with 116.7 ± 44.3 versus 85.1 ± 42.0, respectively. Additionally; Mean birth weight/grams, cephalohematoma, caput succedaneum, and mean APGAR score after 5 minutes had a statistically significant difference between the two groups. Conclusions: Short perineum accompanied by increased duration of the second stage of labor. Cesarean section delivery and perineal trauma are associated with primigravida with short perineum. Regarding the mean APGAR score after 5 minutes, there were statistically significant differences between both studied groups. Maternity and newborn health nursing need to improve the illustration of the risk factors that can lead to undesirable consequences

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Ali, Hala A., et Amany M. Ahmed. « Effect of Tailored Patient Education Program on the Outcomes of Pregnant Women with Hyperemesis Gravidarum ». Evidence-Based Nursing Research 2, n^o 1 (12 juillet 2020) : 9. http://dx.doi.org/10.47104/ebnrojs3.v2i1.142.

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Context: Hyperemesis gravidarum (HG) is a harmful condition associated with serious physical and psychological complications that affect pregnant women's health. The etiology of hyperemesis gravidarum is not well understood and mainly unknown but is probably unmodified multi-factorial risk factors. Aim: This research aimed to examine the effect of a tailored patient education program on pregnant women's outcomes with hyperemesis gravidarum. Methods: A quasi-experimental (study/control group) design was adopted in this study to achieve the stated aim. A convenience sample of 50 pregnant women diagnosed with hyperemesis gravidarum was recruited. The research was conducted at the inpatient obstetrics and gynecology department, Kafrelsheikh General Hospital, Kafrelsheikh Governorate, Egypt. Data collected using three tools: Structured interviewing questionnaire; Modified 24-hour Pregnancy-Unique Quantification of Emesis/Nausea (PUQE) index; and health status assessment record. Results: The research findings revealed that 56.00% of the study group at baseline assessment have severe nausea and vomiting compared to 52.00% of the control group, with no statistically significant difference between both groups (P = 0.776). While at three-weeks post-program, no one of the study group women has severe nausea and vomiting compared to 16.00% of the control group with a statistically significant difference between both groups (P = 0.044). Concerning signs and symptoms of dehydration, there was no statistically significant difference between the study and control group regarding any signs and symptoms of dehydration at the three times of assessment. A statistically significant difference was revealed between the study and control group about the length of hospital stay (P = 0.041) and hospital readmission (P = 0.029). Conclusions: Although there is no statistically significant difference between the study and control group regarding signs and symptoms of dehydration, the decreased severity of nausea and vomiting, length of hospital stay, and hospital readmission rate are valued outcomes. The study recommended that a pregnant woman be equipped with adequate health information related to HG by conducting such a health education program that should be tailored according to women's needs.

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Saleh, Hend S., Hala E. Mowafy, Azza A. Abd El Hameid, Hala E. Sherif et Eman M. Mahfouz. « Does Uterine Fibroid Adversely Affect Obstetric Outcome of Pregnancy ? » BioMed Research International 2018 (2018) : 1–5. http://dx.doi.org/10.1155/2018/8367068.

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Background. Fibroid is the most common benign tumor of the uterus and if associated with pregnancy may adversely affect the outcome of pregnancy. Objective of the present study was to assess the obstetric outcome (maternal and fetal) in pregnancy with fibroid. Methods. A prospective observational study was performed over a period from May 2015 to August 2017 at Obstetrics and Gynecology Department in Zagazig University Hospitals, Egypt. 64 pregnant patients with >2 cm fibroid were taken in the study. Routine fundamental investigations were done for all. They were followed during antenatal period clinically and scanned by ultrasonogram which was done at booking visit and during subsequent visits to assess the change in the size of the fibroid and other obstetric complications. Maternal age, parity, size of fibroid, complications during pregnancy, and mode of delivery were noted. Results. 64 pregnant patients with uterine fibroids were recruited; 47 of them completed the study to the end. The average age was 31.80±3.27 years, body mass index (BMI) [calculated as weight in kilograms divided by the square of height in meters] was 24.67±2.46, primigravida was 23.4%, multigravida was 76.6%, duration of menstrual cycle/day was 29.68±3.10, and duration of menstrual period/day was 6.46±1.12. The percentage of spontaneous conception was 59.57% and 40.43% for using assisted reproductive technology. The results of obstetric outcome were spontaneous abortion in 2%, premature delivery in 27.7%, and delivery at 37–41 weeks of pregnancy in 70.2%. The mode of delivery was vaginal delivery in 15% and cesarean sections in 85%. Also, 34% had threatened miscarriage, 21% had preterm labor, 2% had antepartum bleeding in the form of placenta previa, 4% had abdominal pain needing admission, one of them underwent laparotomy and was diagnosed as red degeneration, 2 (4%) had postpartum hemorrhage, and only one needed blood transfusion. Cesarean sections were done in 85%. Neonatal outcome was acceptable with no perinatal mortality. There were no significant differences between patients with single or multiple fibroids as regards the obstetric outcome or type of fibroid either intramural or subserosal. The obstetric outcomes were not significantly affected by the number, size, or type of fibroids. Conclusions. Even most of fibroids in pregnancy are asymptomatic but may be associated with some complications affecting the course of pregnancy and labor. So, pregnancy has to be cautiously screened in the antenatal period, through regular follow-up, to detect any adverse obstetric complications and so improve the outcome.

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Abdelbadee, A., H. Abou-Taleb, A. Abbas, S. Ali, N. Fakie, T. Adams, L. Gwyther et R. Krause. « Road Map to Setting Up a Palliative Care Service in a Tertiary Center Gynecologic Oncology Unit in Egypt ». Journal of Global Oncology 4, Supplement 2 (1 octobre 2018) : 176s. http://dx.doi.org/10.1200/jgo.18.77000.

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Background and context: Developing countries struggle with high cancer mortality and low resources. Cancer patients experience pain and physical symptoms in addition to psychological, social and spiritual worries that increase as the patients' conditions progress. Palliative care (PC) primary goal is to help people live as well as they can for the duration of their illness, with the finest physical and emotional well-being possible despite complex problems. However, there are considerable barriers to PC service implementation in developing countries. Aim: Our goal is to set up a PC service and integrate it as a standard of care for gynecologic cancer patients managed at Assiut University Hospitals, Egypt. The objective of this study is to investigate the tools needed to integrate a PC service in any oncology service in developing countries. Strategy/Tactics: A capacity building and local provision PC development framework was laid. Strategies included expanding the gynecologic oncology unit, assessment of PC knowledge among health providers and medical students, assembling a multidisciplinary PC team, overseas PC training, establishing international links, providing essential medicine and addressing PC education. Program/Policy process: The gynecologic oncology unit capacity was expanded to accommodate long term admissions. PC knowledge among physicians, clinical nurse practitioners (CNPs) and medical students in Assiut University Hospitals was assessed using the modified Palliative Care Knowledge Test (PCKT). A multidisciplinary team that will deliver the PC service to our gynecologic cancer patients was assembled based on motivation and individual expertise in the aspects of PC from relevant departments as clinical oncology, surgery, pain and anesthesiology, psychiatry, physical therapy and rehabilitation and nutrition. The hospital leadership worked with the pharmacists to increase opioids quota and facilitate dispensing measures. The PC team leader engaged in a certified online PC course and arranged overseas training with the reputable Palliative Medicine Division at University of Cape Town well known for its legacy in delivering PC education. Outcomes: Ninety two physicians, 14 CNPs and 116 medical students completed the PCKT. The PCKT was composed of 20 questions and each correct answer was given 1 point. The overall total correct score was 7.41 ± 2.48 (Fig 1). Poor knowledge about PC was a strong indicator to acknowledge the gap in PC postgraduate training and undergraduate education. What was learned: Integration of a PC service for cancer patients in Egypt is feasible in spite of local resources constraints. A PC multidisciplinary team can be assembled from skilled specialists. Modifications of undergraduate and postgraduate curricula to include PC is crucial. Our model can be transferred to other low resource settings. [Figure: see text]

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Sharif, Khaldoun, Masoud Afnan, Wil Lenton, Dimitrios Bilalis, Manjeet Hunjan et Yacoub Khalaf. « Transmyometrial embryo transfer after difficult immediate mock transcervical transfer**Presented at the First International Meeting of the Egyptian Fertility and Sterility Society, Cairo, Egypt, September 28 to 29, 1995 and at the Meeting of the International Society of Ultrasound in Obstetrics and Gynecology in Clermont-Ferrand, France, October 10 to 12, 1995, where it was awarded a Prize. » Fertility and Sterility 65, n^o 5 (mai 1996) : 1071–74. http://dx.doi.org/10.1016/s0015-0282(16)58292-2.

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Sheha, Eman Ali Abd Elmoaty, Hanan Elzeblawy Hassan, Eman Mohammed Mohammed Elsherbeny et Ahmed Abd-Elhakim Elgendy. « Integrated Intervention Program for Pregnant Women Toward ZIKΑ Virus Infection in Upper Egypt ». International Journal of Studies in Nursing 6, n^o 1 (15 mars 2021) : 36. http://dx.doi.org/10.20849/ijsn.v6i1.870.

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Background: ZIKА infection may have long-term effects on reproductive health in addition to the neurological consequence in newborns. So, Awareness regarding ZIKА virus among pregnant women is important to take preventive measures. Aim: Evaluate the effect of integrated intervention guidelines on knowledge, self-reported practice of pregnant women toward ZIKА virus infection. Design: А quantitative quasi-experimental (pretest-posttest). Settings: The study was conducted at Obstetrics and gynecologic outpatient clinics at Fayoum University Hospital. Subjects: А convenient conducted among 240 pregnant women, assigned to 120 women in the control group, and 120 women in the study group. Two tools were used for data collection after reviewing relevant data; Tool I was а self-administered questionnaire to assess personal and obstetric characteristics of pregnant women, and their knowledge related ZIKА virus. Tool II was а self-reported practice questionnaire concerning self-protective measures regarding the prevention of ZIKА virus. Results: The results of this study showed that the majority of pregnant women wаs poor score level of knowledge and practice pre-intervention in both control and study group, however, there was an improvement of score level of knowledge and practice in the study group than control group post-intervention. Highly statistical significance was founded between control and study groups related to knowledge and practice. Positive significance correlation between pregnant women knowledge and practice score level post intervention in study group. Conclusion: The integrated intervention guideline improved pregnant women knowledge and practices. Recommendations: Continued efforts to close knowledge gaps, raise awareness and promote favorable attitudes toward ZIKА virus. Awareness about ZIKА virus infection should be ensured and maintained among all members of community, increased the prevention campaigns to improve community awareness of the seriousness of the disease, especially in rural areas.

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Sallam, Hany F., Nahla W. Shady, Huda F. Aly, Ghada M. Abo Elfadl et Ahmed M. Abbas. « Low pressure pneumoperitoneum and intraperitoneal infusion of normal saline for reducing shoulder tip pain after gynecologic laparoscopy : randomized controlled trial ». International Surgery Journal 5, n^o 3 (26 février 2018) : 959. http://dx.doi.org/10.18203/2349-2902.isj20180811.

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Background: To estimate the effectiveness of combined low-pressure pneumoperitoneum (8mmHg) and intraperitoneal normal saline infusion on reducing the incidence and severity of postoperative shoulder tip and upper abdominal pain.Methods: A prospective randomized controlled study was carried out in Aswan University Hospital, Aswan, Egypt. Author included patients undergoing laparoscopic surgery in the laparoscopy unit either diagnostic or operative. They were randomized into two groups: (intervention group) which compromised of 47 patients who underwent low pressure pneumoperitoneum plus intraperitoneal saline infusion and (control group) which included 47 patients underwent standard pressure pneumoperitoneum. The primary outcome of the study is the difference in the mean shoulder tip and upper abdominal pain score postoperatively between the two groups.Results: There was significant reduction in the shoulder tip pain and upper abdominal pain 1, 4, 8, 12 and 24 hours post-operatively shown by visual analogue scale pain scores in the intervention group compared to control (p=0.000). Additionally, there was a significant reduction in the incidence of nausea and vomiting in the intervention group than control group (p=0.000 and p=0.007 respectively). There was no significant difference regards abdominal distention, time of resumption of intestinal peristalsis, operation duration and post-operative hospital stay between the two groups.Conclusions: This study clearly depicts that combined low pressure pneumoperitoneum and intraperitoneal saline infusion is an easy, safe and inexpensive method that significantly reduces the post laparoscopic shoulder tip pain and upper abdominal pain.

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Sayed, Rasha Ibrahim El, et Maha Ramadan Ali. « Achievement motivation and its relation to nurses’ decision making believes, ability, and job burnout at obstetric and gynecological departments ». Clinical Nursing Studies 5, n^o 4 (13 août 2017) : 42. http://dx.doi.org/10.5430/cns.v5n4p42.

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Objective: Challenges in todays’ work environment require professional competent nurses not only educated well but being creative, have a desire to achieve success, able to work under pressure, and accomplish the organizational and personal goals. Aim of the study: The study was aimed at assessing nurses’ achievement motivation and its relation to their decision making believes, ability, and job burnout at obstetrics and gynecological departments.Methods: Setting: This study was conducted in Port Said governorate, Egypt. Design: A descriptive co-relational research design was used. Subjects: Consisted of all staff nurses working in all obstetric and gynecologic departments affiliated to ministry of health, with a total number of 75 nurse. Tools: Achievement Motivation Scale (AMS), decision making believes, decision making ability questionnaire, and job burnout scale.Results: The study revealed that nurses’ age ranged between 22 and 60 years. The majority of nurses were holding a nursing diploma. More than three quarters of nurses have achievement motivation and having well believes about decision making. The total mean score for decision making ability was 74.2 ± 7.3. Nearly half of nurses evaluated in this study have burnout.Conclusions: A significant correlation between achievement motivation and decision making ability while no statistically significant correlation was detected between achievement motivation and both of decision making believes and total score of job burnout.Recommendations: Strategies for the preservation and promotion of achievement motivation is very important. In addition, this study recommended in the different nursing departments to identify and influence achievement motivation among nursing staff.

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Refaat, Sherin, Ashraf Ali Mawgood, Mohamed Al Sonbaty, Maged Gamal et Abdelrazik Ahmed. « Multi-Modal Analgesic Technique for Pain Control in Patients Undergoing Diagnostic Gynecological Laparoscopy : Randomized Controlled Clinical Trial ». Open Access Macedonian Journal of Medical Sciences 7, n^o 8 (30 avril 2019) : 1324–29. http://dx.doi.org/10.3889/oamjms.2019.184.

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BACKGROUND: Advancement in minimally invasive laparoscopic surgeries make it one of the best choices for both the surgeon and the patient. The anesthesiologist had to improve the techniques used to control post-operative pain. AIM: In this study, we hyposethized that multi-modal analgesic technique which is a combination of two simple techniques (intraperitoneal lidocaine and pulmonary recruitment) allow better result than using only one of them. PATIENTS AND METHOD: This randomised controlled, double-blind study was conducted in Kasr-Alainy hospital, faculty of medicine, Cairo University, Egypt from September 2017 till February 2018. Fifty female patients, scheduled for diagnostic gynecologic laparoscopy were included in the study. Patients were randomly allocated using random computer allocation with numbered closed opaque envelopes into four study group. GM (n = 12): Patients received pulmonary recruitment maneuver and intra-peritoneal Lidocaine, GL (n = 13): Patients received intra-peritoneal Lidocaine, GP (n = 13): Patients received Pulmonary Recruitment Maneuver, GC (n = 12): Patients received passive exsufflation through the port site. In the ward, patients were asked to fulfil a questionnaire about pain severity using (VAS) at 1, 3, 6-hour post-operative both the patients and the anesthesiologist that assess the (VAS) were blind of the patient group RESULTS: Regarding pain score between groups VAS 1 (the primary outcome) was lowest in GM {4.5 (3-5)} in comparison with other groups (P value = 0.015). While VAS 3 & VAS 6 wasn’t statistically significant between groups. Regarding Time of first rescue analgesia; GM {3 (1.75-4)} showed the longest time in between groups (P-value = 0.042). As regard nausea and vomiting; there was no statistically significant difference in in-between groups. CONCLUSION: Application of Multi-modal analgesic technique allows better analgesia for a longer duration than the use of the sole technique for control of abdominal pain in patients undergoing diagnostic gynaecological laparoscopy.

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Ahmed, BM, AT Amin, MK Khallaf, A. Ahmed Refaat et SA Sileem. « Interval Debulking Surgery After Neodjuvant Chemotherapy Vs Primary Debulking Surgery For Stage Iii Epithelial Ovarian Carcinoma ». Tumori Journal 106, n^o 1_suppl (avril 2020) : 15. http://dx.doi.org/10.1177/0300891620914135.

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Introduction: Ovarian cancer is the most lethal gynecologic malignancy and is the fifth most common cause of cancer-related death among women. Approach to FIGO stage III epithelial ovarian cancer remains challengeable. This study aims to evaluate the outcome of interval debulking surgery (IDS) vs. primary debulking surgery (PDS) for FIGO stage III epithelial ovarian cancer. Materials and Methods: During a period of six years (January 2014 to December 2019), we analyzed the patients for eligibility criteria, which were: (1) FIGO stage III epithelial ovarian cancer. (2) The age of 18 years or more (3) Patients underwent either PDS or IDS and received chemotherapy at South Egypt Cancer Institute. We divided them into two groups: (1) Those received three cycles of neoadjuvant chemotherapy and then underwent IDS plus three additional cycles of adjuvant chemotherapy and (2) Those who have PDS followed by six cycles of chemotherapy. Results: This study includes 380 eligible patients. The first group included 226 patients (59.47%) underwent PDS then 6 cycles of chemotherapy, while the group of IDS included 154 patients (40.53%). The treatment modality was not significant for overall survival (OS); however disease-free survival (DFS) was significantly reduced after IDS when compared to PDS (median DFS: 33 months; 95% CI 30.23-35.77 vs. 45 months; 95% CI 41.25-48.75 respectively; p= .000). Moreover, in subgroup analysis, OS and DFS were significantly dropped after IDS in elderly patients, patients with bad performance status, sub-optimal cytoreduction as well as high grade and undifferentiated tumors when compared to those who underwent PDS. Conclusion: Although treatment modality may not impact overall survival (OS), however, PDS results in a better disease-free survival than IDS. Moreover, IDS results in a significant drop in OS and DFS in special patients subgroups when compared to PDS. Therefore patients selection should be considered.

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Müller, Aixa, et Andrés Soyano. « Medicine in Ancient Egypt ». Gaceta Médica de Caracas 129, n^o 3 (1 septembre 2021). http://dx.doi.org/10.47307/gmc.2021.129.3.21.

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Knowledge of the medicine practiced in Ancient Egypt is found mainly in the so-called medical papyri, of which the oldest is the Lahun papyrus (c. 1800 b.C) which mainly reveals knowledge of gynecology and obstetrics, including methods of contraception. Surgical cases, most of them related to trauma, are dealt with in the Edwin Smith papyrus. Specific medical and anatomical terms, such as brain, fracture, and seizure, appear for the first time in this treatise.

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« VETERINARY SURGERY AND GYNECOLOGY IN THE ANCIENT EGYPT ». Assiut Veterinary Medical Journal 65, n^o 162 (30 juillet 2019) : 129–34. http://dx.doi.org/10.21608/avmj.2019.168980.

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Tharwat, Omima, Eman H. Bakr, Hanan M. Ghoneim et Omima Tharwat. « The Relationship between Serum Levels of Anti-Mullerian Hormone and Body Mass Index in Adolescents with Polycystic Ovary Syndrome ». Case Reports in Obstetrics Gynecology and Reproductive, 31 janvier 2020, 1–4. http://dx.doi.org/10.31487/j.crogr.2019.01.02.

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Introduction: Polycystic ovary syndrome is widely prevalent among adolescents and early diagnosis is crucial. While accurate diagnosis is not straightforward, anti-Mullerian hormone was found to be a reliable marker among young patients with polycystic ovary syndrome. However, its serum level was found to be affected by many other variables. This study assessed the relation between serum levels of anti-Mullerian hormone and body mass index in adolescents with polycystic ovary syndrome. Methods: This was a cross sectional analytical study, conducted at the Gynecology and Obstetrics outpatient clinics at Suez Canal University hospitals in Ismailia. It included 100 adolescents with PCOS who fulfilled the revised Rotterdam diagnostic criteria for PCOS, attending secondary stage or higher levels of education in Ismailia, Egypt. The recruited patients were divided into two groups. Group one reported to have BMI ≥ 30 and group two included those who have BMI < 30. Complete history taking, clinical examination (BMI) and biochemical markers including assessment of serum LH and AMH level, and ultrasound assessment to detect ovarian volume, antral follicular count, and presence of ovarian cysts. Results: AMH levels were not affected by BMI in adolescent patients with PCOS (r 0.19, p value 0.185). There were significant correlations between serum AMH and LH level, & between AMH and ovarian morphology among the studied population. The AMH was higher among those with menstrual irregularity and those with hyper-androginism. Accordingly, AMH level is not affected by patients' weight. Conclusion: The AMH was correlated to clinical and biochemical findings of PCOS.

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« حماية غرف إقامة المرضى من الضوضاء الخارجية دراسة حالة مستشفى جامعة عيـن شمس للنساء والولادة التعليمي القاهرة- مصر PROTECTING HOSPITAL PATIENT ROOMS FROM THE EXTERNAL NOISE "A STUDY ON THE SITUATION IN EIN SHAMS UNIVERSITY HOSPITAL FOR GYNECOLOGY AND OBSTETRICS : CAIRO, EGYPT ». Assiut University Bulletin for Environmental Researches 19.2, n^o 19.2 (1 octobre 2016) : 1–16. http://dx.doi.org/10.21608/auber.2016.146097.

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Abdelbadee, Ahmed, et Hisham Abou-Taleb. « The journey to setting up a comprehensive gynecologic cancer service in Upper Egypt ». International Journal of Gynecologic Cancer, 28 octobre 2020, ijgc—2020–002144. http://dx.doi.org/10.1136/ijgc-2020-002144.

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