International Journal of Obstetrics and Gynecology

International Journal of Obstetrics and Gynecology ISSN 2736-1594, Vol. 13 (4), pp. 001-010, April, 2025. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

A Study of Reproductive health care for women with inflammatory bowel disease

Chisato Kimura1* and Toshihide Ohmori2

1Graduate School of Human Health Sciences, Department of Nursing Sciences, Tokyo Metropolitan University, Tokyo, Japan. 2Ohmori Toshihide Gastrointestinal Clinic, Saitama, Japan.

Received 29 December, 2024; Accepted 10 February, 2025

For women with irritable bowel disease (IBD), leading a healthy life during the perinatal period is important because it may affect their quality of life and motherhood. However, little attention has been paid to their challenges and the methods of coping with them. This study therefore aims to explore the challenges women with IBD face and the methods of coping with them during the perinatal period from their viewpoint. Exploratory, qualitative interview study design was used in this study. In-depth, one-on-one, semi-structured interviews were conducted in 2010 to 2011 among eight women having IBD, who experienced pregnancy, delivery and child rearing. The results of the interviews were analyzed by inductive content analysis. The participants recognized the following as challenges: high-risk management by obstetricians in collaboration with gastroenterologists, high risk to physical, mental and social well-being due to IBD relapse, limitation of information necessary during the perinatal period, issues related to the medical profession, and breastfeeding in their own way. They were coping with these issues by self-care for IBD, and making the most of various social support. Since IBD is often diagnosed during women’s reproductive years, gastroenterology and obstetric specialists should cooperate with each other to routinely provide reproductive counseling to women with IBD. Furthermore, we should establish, as early as possible, health care communities for women with IBD, where they can maintain their quality of life and increase their preparedness for parenthood before pregnancy and during the perinatal period, based on multidisciplinary collaboration.

Key words: Inflammatory bowel disease (IBD), women’s health, nursing, midwifery, multidisciplinary collaboration, reproductive care, pregnancy, child rearing, chronic illness, gastroenterology, qualitative approach.
 

International Journal of Obstetrics and Gynecology ISSN 2736-1594, Vol. 13 (4), pp. 001-007, April, 2025. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

Renal Transplantation and Pregnancy: Managing Risks and Complications

Boubaker Boubaker*, Hedri Hafedh, Abderrahim Ezzedine, Ben Abdallah Taieb and Kheder Adel

Charles Nicole Hospital, Tunisia.

Received 20 Sepetember, 2024; Accepted 14 January, 2025

Fertility is considerably affected in chronic renal insufficiency and periodic hemodialysis, and it is improved by renal transplantation. Transplanted patients recover from their renal failure state, and pregnancy occurred in 2% renal graft recipients who were fit to procreate. The aim of this study was to bring back the cases of pregnancies carried out in our renal patients who had transplantation surgery and to specify the possible complications of the foetus before and after the childbirth. It is a retrospective study with records of 20 years period (1986 to 2006) of 10 pregnancies which occurred in 7 renal transplant recipients in our Charles Nicole hospital department. Mean patient age was 33.8 years (29 to 43 years). Mean time between transplantation and the onset of pregnancy was 6.5 years (1 to 18 years). Before pregnancy, hypertension was observed in 1 case and proteinuria in other case. All our patients had creatininemia <1.50 mg/dl. Immunosuppressive treatment associated steroids and azathioprin in 3 cases, steroids and ciclosporin A in 2 cases and steroids, ciclosporin A and azathioprin in 2 cases. One patient developed diabetes. Maternal complications were rare, essentially hypertension in 2 cases, proteinuria in 1 case, ascension of creatininemia in 2 cases and hepatic cholestase in 2 cases. Prematurity was observed in 2 cases; it was related to premature rupture of membranous in 1 case and uterine contractions in cesarean patient in other case. The mean neonatal weight was 2950 g (2100 to 3500 g) with 4 small gestational age (< 2800 g). It was noted in 1 case of newborn, down's syndrome in a pregnant women who was 37 years. After a mean follow up of 7.4 years follow-up, mean cretininemia was 1.80 mg /dl (0.74-5.53 mg /dl). One patient showed chronic rejection. Immunosuppressive treatment seemed without adverse effects on fetus. The only case of chromosome abnormality appeared in a pregnant women who was more than 35 years old. The course of pregnancy after renal transplantation is generally uncomplicated without increased risk of graft loses. However, a normal arterial pressure, a stable renal function and absence of proteinuria were requested before allowing a pregnancy.

Keywords: Renal transplantation, pregnancy.

International Journal of Obstetrics and Gynecology ISSN 2736-1594, Vol. 13 (3), pp. 001-006, March, 2025. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

Factors Influencing Preference for VBAC or CS among Women with Prior CS: A Comparative Study

Babagana Bako*, Ado Danazumi Geidam, Ibrahim Mohammed Sanusi,

Abdulkarim Garba Mairiga and Bilkisu Isa

Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, P. M. B 1414, Maiduguri, Borno State, Nigeria.

Received 6 June, 2024; Accepted 25 November, 2024

Vaginal birth after caesarean section (VBAC) is an acceptable option for delivery in a woman with one prior lower segment caesarean section (CS) and in the absence of an obvious contraindication to vaginal delivery. This was a cross sectional study that sought to explore the preferred mode of delivery (VBAC or CS) in a cohort of post operative patients that had a primary CS and the reason for such preference using a self administered, structured and pretested questionnaire. The study was conducted between 1st January, 2013 and 30th November, 2013 and consenting women were recruited consecutively. Two hundred and forty five consenting women completed the questionnaires. Majority of the women, 73.5% (180) prefer VBAC in their next pregnancy while 26.5% (65) prefer a repeat CS. The commonest reasons for preference for VBAC were faster recovery, 68.8% (124) and being a natural method of child birth 25.6% (46). The most common reasons for preferring CS were to avoid labour pains, avoid the stress of labour and safety of the baby in 49.5% (32), 24.6% (16) and 15.4% (10), respectively. Maternal age ≥35 years and having attained tertiary level of education maintained statistically significant relationship with preference for CS after controlling for confounding variable. Only 6.1% (15) of the women reported that they will not accept CS under any circumstance and 31% (76) will accept it reluctantly. We advocate the need for counselling of antenatal women as well as public education campaigns so that women can make informed choices.

Key words: Vaginal birth after caesarean section (VBAC), caesarean section (CS), anaesthesia, aversion, labour.

International Journal of Obstetrics and Gynecology ISSN 2736-1594, Vol. 13 (3), pp. 001-007, March, 2025. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

A Study of Midwives' experiences of providing support to women with fear of childbirth

Mårtensson Lena1, Mogren Lisa2, Lindbom Emma3 and Thorstensson Stina1*

1School of Health and Education, University of Skövde, Skövde, Sweden.
2Sahlgrenska University Hospital, Mölndal, Sweden.
3Södra Älvsborg Hospital, Borås, Sweden.

Received 1 August, 2015; Accepted 24 January, 2025

Fear of childbirth is described as a major problem for many women as this has a negative effect for both the women and the babies. Health care professionals need to be able to offer these women adequate support which could be important for primiparous women. The aim of this study was to describe what primiparous women experience as support in coping with their fear of childbirth. A qualitative, inductive approach was used. Data was collected at two hospitals in Southwestern Sweden. Five primiparous women with fear of childbirth were included after a purposive, snowball sampling technique. Data were analyzed with qualitative content analysis. Findings are described through the main theme support adapted to the needs of the individual woman and of three categories: (1) the importance of receiving reassurance; (2) increased knowledge and understanding and; (3) combining all kinds of support. The conclusion of this study is that women’s fear could rapidly shift focus and individualized support sensitive to these shifts was important to increase primiparous women’s coping capacity. Support should include; reassurance, improved knowledge and understanding.

Key words: Women's experiences, primiparous, fear of childbirth, social support, professional support, women’s health, life change events.
 

International Journal of Obstetrics and Gynecology ISSN 2736-1594, Vol. 13 (3), pp. 001-008, March, 2025. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

Improving Maternal Satisfaction with Intrapartum Care: An Intervention Study in Jordanian Hospitals

Khitam Mohammad1*, Insaf Shaban2, Caroline Homer3 and Debra Creedy4

1Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
2Faculty of Nursing, AL al-Bayt University, Jordan.
3Faulty of Nursing, Midwifery and Health, University of Technology, Sydney, Australia.

4Griffith Health Institute, Griffith University, Australia.

Received 17 October, 2024; Accepted 23 January, 2025

Exploring patient satisfaction can contribute to quality maternity care but is not routinely conducted in many Middle Eastern countries. This study investigated the prevalence and factors associated with satisfaction during labor and birth among Jordanian women using a descriptive cross-sectional design. Women (n=298) were recruited from four maternal and child health centers in Al-Mafraq city, Jordan. Participants completed an intrapartum care scale which measured satisfaction with three areas of care: interpersonal, information and involvement in decision making, and physical environment. Overall, only 17.8% of women were satisfied with intrapartum care. Around 13% of women were satisfied with interpersonal care, 20.5% with information and involvement in decision making, and 18.8% with physical birth environment. Regression analyses revealed that low satisfaction was associated with experiencing an episiotomy, poor pain relief during labour, and vaginal birth. Health care professionals, policy-makers as well as hospital administrators need to consider the factors that contribute to low satisfaction with childbirth in any effort to improve care.

Key words: Labour, birth, Jordan, maternity care, midwife, patient satisfaction.
 

International Journal of Obstetrics and Gynecology ISSN 2736-1594, Vol. 13 (3), pp. 001-009, March, 2025. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Review

Quality Issues in Midwifery: A Critical Analysis of Midwifery in Nigeria and the International Confederation of Midwives (ICM) Standards

Modupe O. Oyetunde and Chigozie A. Nkwonta

Department of Nursing, University of Ibadan, Ibadan, Oyo State, Nigeria.

Received 27 October, 2024 ; Accepted 25 February, 2025

Abstract

Advances in health care system are a challenge to the professional midwife in the quality of midwifery workforce. The three pillars of quality midwifery workforce need to meet the changing health needs of both the rural and modern highly industrialized society. Insisting on the traditional ways of doing things in midwifery seems inadequate in meeting these challenges. New and creative approaches are needed if midwifery as a prominent profession in health care delivery will professionally remain competitive and contribute effectively and maximally to the demands of nation’s health care services. Midwife leaders will be taking a step in the right direction in fostering the climate that promotes creativity in midwifery. Midwifery in Nigeria had witnessed many changes, given the challenges of a low/poor resource setting. This paper attempts a discourse on issues affecting midwifery as a profession using the International Confederation of Midwives (ICM) global standards.

Key words: Quality issues, midwifery, International Confederation of Midwives (ICM) global standards.