International Journal of Obstetrics and Gynecology

International Journal of Obstetrics and Gynecology ISSN: 2736-1594 Vol. 9 (2), pp. 001-003, February, 2021. © International Scholars Journals

Case Report

Is Mullerian Agenesis a common association with Mosaic Turner Syndrome, a case report

Abeer Aly El Shabacy, MOHAMED A. EL-NAGGAR, Sahar H. Quashwa and Eman R. Amer

M.D. Obstetrics and gynecology, Benha Teaching Hospital, Egypt.

M.D. Obstetrics and gynecology, Benha Teaching Hospital, Egypt.

M.D Clinical pathology, Benha Teaching Hospital, Egypt.

Ph.D Clinical pathology Benha Teaching Hospital, Egypt.

Accepted 06 October, 2020

Abstract

We report a young girl who presented with delayed menarche and uterine absence as detected by ultrasonography and Magnetic Resonant Imaging. Evaluation of the case revealed Mosaic Turner Syndrome (45X/46XX). Early loss of gonadal function is the usual presentation of Turner Syndrome and will be thought-about in any case of delayed puberty. Follow-up imaging for apparently absent uterus particularly once begin of sex hormone replacement medical aid to verify a traditional uterus. It is traumatic for both the patient and her family to be informed by the absence of her uterus which has vital implications for long-run fertility.

Keyword: Mosaic Turner Syndrome, absent uterus, primary amenorrhea.

International Journal of Obstetrics and Gynecology ISSN: 2736-1594 Vol. 9 (1), pp. 001-007, January, 2021. © International Scholars Journals

Full Length Research Paper

Effectiveness of Diabetes in Pregnancy Study Group of India (DIPSI) criteria in detecting Gestational Diabetes among women attending a Tertiary Care Hospital in Sri Lanka

Jayawardena G.R.M.U.G.P^1,2, Guruparan K^1,2, Sumathipala W.L.D.S³, Ratnasiri U.D.P² and Senanayake H.M⁴

¹Post Graduate Institute of medicine, University of Colombo, Sri Lanka.

²Desoysa Hospital for Women, Colombo, Sri Lanka.

³Facultyof Medicine, University of Colombo, Sri Lanka.

⁴Department of Obstetrics and Gynecology, Faculty of Medicine, University of Colombo, Sri Lanka.

Abstract

Accepted 16 December, 2020

Abstract 

The aim of this prospective descriptive cross sectional study was to investigate the utility of a single value non fasting glucose tolerance test as described by the Diabetes in Pregnancy Study Group of India (DIPSI) in detecting GDM. Sample of 165 pregnant women between 24-28 weeks of gestation was recruited from a tertiary care maternity hospital in Sri Lanka. All women had the DIPSI and standard OGTT tests performed within a one week and results compared using standard non parametric tests. According to the IADPSG criteria 20% (33/165) had GDM, compared to 22.4% (37/165) detected by DIPSI. Sensitivity of DIPSI criteria was 64% while specificity was 88%. The area under receiver operator curve was 0.8. The mean satisfaction for DIPSI was of 8.9 ± 0.4, compared to 4.7 ± 1.3 for OGTT (p<0.001). Analysis of false positives showed that it was mainly due to elevated fasting values in the IADPSG criteria. Although DIPSI has a low sensitivity compared to the IADPSG criteria, area under the ROC curve is 0.80 indicating its utility for diagnosing GDM. It has additional advantages of allowing a diagnosis of GDM in a single visit and high acceptability among women.

Key words: Gestational Diabetes Mellitus, Diabetes in Pregnancy Study Group India, Oral Glucose Tolerance Test.

International Journal of Obstetrics and Gynecology ISSN: 2736-1594Vol. 9 (1), pp. 001-005, January, 2021. © International Scholars Journals

Full Length Research Paper

Couvelaire uterus: literature review and description of technique for conservative management

Marina Bartolomeu de Carvalho¹, Rachel Freitas Lopes Nunes¹, Felipe José de Paiva Rocha², Raíza de Almeida Aguiar³, Daniela Guimarães Discacciati⁴, Álvaro Luiz Lage Alves⁵ and Mário Dias Correa Junior⁶

¹Resident in Gynecology and Obstetrics, Clinical Hospital, Federal University of Minas Gerais.

²Resident of Gynecology and Obstetrics, Sofia Feldman Hospital.

³Gynecology and Obstetrics at the Sofia Feldman Hospital.

⁴Gynecology and Obstetrics, Clinical Hospital, Federal University of Minas Gerais.

⁵Adjunct Professor of Gynecology and Obstetrics, Medical Sciences School of Minas Gerais. Obstetrician at Sofia Feldman Hospital and Clinical Hospital of the Federal University of Minas Gerais. PhD in Gynecology and Obstetrics, Federal University of Minas Gerais.

⁶Associate Professor of Gynecology and Obstetrics, Federal University of Minas Gerais. PhD in Gynecology and Obstetrics, Federal University of Minas Gerais.

Abstract

Accepted 11 November, 2019

Abstract 

Couvelaire uterus is a severe complication of placental abruption. For decades, the standard treatment for Couvelaire's uterus was hysterectomy. However, the traditional concept that myometrial bleeding interferes with uterine contractility resulting in atony is no longer justified and hysterectomy may not always be necessary. The objective of the present work is to describe a technique used for uterine conservation in two cases of uteroplacental apoplexy.

Keywords: Postpartum haemorrhage; uterine artery; maternal mortality; fertility preservation.

International Journal of Obstetrics and Gynecology ISSN 2736-1594 Vol. 9 (1), pp. 001-005, January, 2021. © International Scholars Journals

Full Length Research Paper

Use of injectable progestogen-only contraceptives at the family planning clinic of the Nnamdi Azikiwe University Teaching Hospital Nnewi, Nigeria

Igwegbe AO and Ugboaja JO

Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, P.M.B. 5025, Nnewi, Anambra State, Nigeria

Accepted 02 November, 2020

Abstract

This retrospective study investigates the use of, complications and discontinuation of injectable progestogen-only contraceptives at the family planning clinic of the Nnamdi Azikiwe University Teaching Hospital Nnewi, Nigeria. 392 (29.1%) of the 1345 new clients chose injectable progestogen-only contraceptives. Among them, 51.5% were spacers while 48.5% were limiters. Also 94.9% of the clients used depot medroxyprogesterone acetate (DMPA) while 5.1% used norethisterone enanthate (NET-EN). Majority of the acceptors belonged to the 30-34 years age bracket (35.7%), were grandmultiparous (63.8%), and had achieved secondary education and above (74.5%). Ninety (23.0%) clients experienced various forms of side effects, of which menstrual irregularity was the commonest (5.6%). The overall discontinuation rate was 6.1%, and the main reason for discontinuation was desirefor pregnancy (4.1%). There was no pregnancy reported during the study period. The likelihood of reporting complications was significantly associated with age (x²= 34.06; p=0.00), and level of education (x²=10.18; p=0.00). The injectable progestogen-only contraceptives are not widely accepted in our centre, and are associated with a low discontinuation rate. There is need to scale up their use in the family planning program in the area.

Key words: Injectables, progestogen-only contraceptives, Nnewi, Nigeria.

International Journal of Obstetrics and Gynecology ISSN 2736-1594 Vol. 9 (1), pp. 001-005, January, 2021.  © International Scholars Journals

Full Length Research Paper

Prevalence of Escherichia coli in vagina of female patients with symptoms of urinary tract infection

Adegoke, Anthony A.* and Okoh, Anthony I.

Applied and Environment Microbiology Research Group (AEMREG), Department of Biochemistry and Microbiology, University of Fort Hare, Alice, South Africa.

Accepted 18 November, 2020

Abstract

We examined the prevalence, antibiotic susceptibility profile and extended spectrum β- lactamase (ESBL) production by transitory Escherichia coli among other bacteria in vagina of female patients with symptoms of urinary tract infection, using standard microbiological methods. One hundred and forty-four patients’ samples were collected, of which 123 isolates were recovered. The age of the patients ranged from 8 to 62 years, while the mean was 28.5. Twenty-nine isolates of E. coli (that is, 22.9% prevalence) was recovered, while other bacterial species and their frequencies of occurrence include Bacillus spp. (6.3%), Micrococcus spp. (2.1%), Staphylococcus aureus (12.5%), Streptococcus spp. (2.1%), Gardnerella spp. (20.8%), Lactobacillus spp. (62.5%), Escherichia vulneris (2.1%), Enterococcus spp. (4.2%), Arachnia spp (2.1%) and they exhibited resistance to various antibiotics. E. coli exhibited 22 to 78% resistance to ampicillin, cotrimoxazole, gentamycin, nitrofurantoin, colistin, tetracycline, nalidixic, ciprofloxacin, ofloxacin. Twenty E. coli isolates showed ESBL production by phenotypic confirmatory test and were resistant to third generation oral and parenteral cephalosporins as treatment options. High concomitant recovery of E. coli along with Gardnerella spp. (and Streptococcus spp.) among the divorcees and single parents showed that it might be sexually transmitted. The results also reiterate the relevance of nitrofurantoin in treatment of the genital bacterial infection. Therefore, it is imperative to screen and confirm ESBL production by any organism that showed resistance to the second and third generation Cephalosporins in a routine diagnostic laboratory work, though sanitary prophylaxis is preferentially recommended to prevent the entrance of difficult to-treat ESBL producers.

Key words:  Vagina, prevalence,  antibiotic,  resistance,  extended  spectrum β-lactamase, Escherichia coli.

International Journal of Obstetrics and Gynecology ISSN 2736-1594 Vol. 8 (12), pp. 001-006, December, 2020. © International Scholars Journals