Incidence and risk factors for surgical site infections following cesarean section in a tertiary care university hospital versus a rural hospital: a prospective, two-armed parallel cohort study
Conclusion: The study documented a difference in SSI between a university hospital equipped with a special infection control unit maintaining high standards based on CDC guidelines and a teaching hospital that lacked these standards. (Source: Journal of Evidence-Based Women’s Health Journal Society)
Source: Journal of Evidence-Based Women’s Health Journal Society - May 1, 2016 Category: OBGYN Tags: Original articles Source Type: research
Microalbuminuria during midpregnancy in the prediction of preeclampsia
Objective: The aim of this study was to evaluate microalbuminuria during midpregnancy as a predictor of preeclampsia.
Setting: The study was conducted in Kasr El Aini Hospital.
Design: This was a cohort study.
Participants and methods: A total of 216 women were recruited, of whom 50 pregnant woman were found to have microalbuminuria. All women were followed up until delivery. The primary outcome measure was development of preeclampsia during the antenatal period and/or at the time of delivery. The secondary outcome measure was preterm births.
Results: The proportion of women with microalbuminuria who developed preeclam...
Source: Journal of Evidence-Based Women’s Health Journal Society - May 1, 2016 Category: OBGYN Tags: Original articles Source Type: research
Uterine fluid lactate dehydrogenase isoenzyme activity profile: can it be considered a diagnostic marker for endometrial cancer?
Conclusion: LD isoenzyme profile of uterine fluid could be added as a diagnostic tool for endometrial carcinoma of postmenopausal women. It is a reliable and easy, and is highly tolerable for the patients. At the same time, it can be applied as an office technique. LD isoenzyme profile of uterine fluid could be used as a second step after TVS at a cutoff point of 5 mm, which has proved to be highly reliable. The use of these two methods can reduce the need for curettage and hysteroscopy. (Source: Journal of Evidence-Based Women’s Health Journal Society)
Source: Journal of Evidence-Based Women’s Health Journal Society - May 1, 2016 Category: OBGYN Tags: Original articles Source Type: research
Prophylactic B-Lynch suture (modified technique) versus prophylactic carbetocin and prophylactic oxytocin during cesarean section in women at high risk for atonic postpartum hemorrhage
Conclusion: B-Lynch suture seems to be more effective in maintaining adequate uterine tone and preventing excessive blood loss in patients with a high risk of developing PPH following cesarean section. (Source: Journal of Evidence-Based Women’s Health Journal Society)
Source: Journal of Evidence-Based Women’s Health Journal Society - May 1, 2016 Category: OBGYN Tags: Original articles Source Type: research
Efficacy and safety of chlorhexidine versus povidone-iodine skin antisepsis in reducing surgical site infection in cesarean sections: a randomized, controlled clinical trial
Conclusion: Chlorhexidine-based antisepsis used as preoperative skin preparation for patients undergoing cesarean deliveries is more effective in reducing the incidence of SSI in comparison with povidone-iodine with comparable safety. (Source: Journal of Evidence-Based Women’s Health Journal Society)
Source: Journal of Evidence-Based Women’s Health Journal Society - February 1, 2016 Category: OBGYN Tags: Original articles Source Type: research
Evaluation of the role of soluble receptors for advanced glycosylated end-products in polycystic ovarian syndrome
Conclusion: There was an increase in serum SRAGE levels in PCOS patients compared with controls but this increase did not reach statistical significance. (Source: Journal of Evidence-Based Women’s Health Journal Society)
Source: Journal of Evidence-Based Women’s Health Journal Society - February 1, 2016 Category: OBGYN Tags: Original articles Source Type: research
Induction of labor in patients with previous cesarean section using two different forms of vaginal dinoprostone
Conclusion: The two forms of dinoprostone vaginal tablets had comparable efficacy and safety profile when used for IOL in women who had undergone a previous CS. A larger, multicenter, randomized, controlled study is recommended. (Source: Journal of Evidence-Based Women’s Health Journal Society)
Source: Journal of Evidence-Based Women’s Health Journal Society - February 1, 2016 Category: OBGYN Tags: Original articles Source Type: research
Will intracytoplasmic morphologically selected sperm injection replace intracytoplasmic sperm injection in cases of severe oligo-astheno-teratozoospermia?: a prospective study
Objective: The aim of the study was to compare between intracytoplasmic morphologically selected sperm injection (IMSI) and conventional intracytoplasmic sperm injection (ICSI) as regards laboratory and clinical outcomes in couples with severe oligo-astheno-teratozoospermia (OAT).
Design: This was a prospective, nonrandomized, controlled clinical trial.
Setting: The study was conducted in the Agial ICSI/IVF Center.
Materials and methods: A total of 1729 couples with severe OAT were enrolled: 1356 couples were submitted to routine ICSI (group I) and 373 couples were submitted to IMSI (group II) after they had been counse...
Source: Journal of Evidence-Based Women’s Health Journal Society - February 1, 2016 Category: OBGYN Tags: Original articles Source Type: research
The combination of histidine-rich glycoprotein and uterine artery Doppler velocimetry in the prediction of pre-eclampsia
Conclusion: This combination test may be a useful early second trimester screening test for the prediction of pre-eclampsia. (Source: Journal of Evidence-Based Women’s Health Journal Society)
Source: Journal of Evidence-Based Women’s Health Journal Society - February 1, 2016 Category: OBGYN Tags: Original articles Source Type: research
Additive value of three-dimensional power Doppler in differentiation between uterine myomas and localized adenomyomas
This study was conducted on 60 patients between 20 and 60 years of age, who were previously diagnosed on 2D ultrasonography as having adenomyosis and/or leiomyoma. 3D power Doppler ultrasound was performed before surgery (myomectomy or hysterectomy). The examination evaluated vascular location (location), vascular index, flow index, and vascular-flow index. Postoperative histopathological examination was carried out to confirm the diagnosis.
Results: Patients with uterine leiomyoma had significantly higher vascular index (P=0.005), flow index (P (Source: Journal of Evidence-Based Women’s Health Journal Society)
Source: Journal of Evidence-Based Women’s Health Journal Society - February 1, 2016 Category: OBGYN Tags: Original articles Source Type: research
Postoperative analgesia needed after cesarean section delivery with and without local anesthetic wound infiltration
Conclusion: This study concluded that infiltration of the surgical wound of a cesarean section with 0.5% bupivacaine after general anesthesia provided a significant degree of analgesia as shown by the smaller amount of pethidine or NSAID (diclofenac Na) consumption and earlier onset of lactation. (Source: Journal of Evidence-Based Women’s Health Journal Society)
Source: Journal of Evidence-Based Women’s Health Journal Society - February 1, 2016 Category: OBGYN Tags: Original articles Source Type: research
Tamoxifen versus letrozole in combination with clomiphene citrate to stimulate ovulation in clomiphene-resistant PCOS women
Conclusion: Letrozole successfully induced dose-dependent ovulation and pregnancy rate per cycle and per patient. Tamoxifen also successfully induced ovulation and pregnancy rates with a frequency significantly higher than that of letrozole at 5 mg/day and nonsignificantly lower than that of letrozole at 7.5 mg/day. Combination of CC with either tamoxifen or letrozole at a dose of 7.5 mg/day is equally effective and could be prescribed according to the patient’s condition and physician’s preference. (Source: Journal of Evidence-Based Women’s Health Journal Society)
Source: Journal of Evidence-Based Women’s Health Journal Society - November 1, 2015 Category: OBGYN Tags: Original articles Source Type: research
Sentinel lymph node detection in clinical stage I endometrial cancer by cervical and subserosal myometrial blue dye labeling
In this study 45 women diagnosed with stage I endometrial carcinoma were categorized into three groups: group I, group II, and group III. In group I, 15 patients were injected with 1% methylene blue into the subserosal myometrium at eight injection sites: the most superior portion of the anterior midline and posterior midline of the fundus, the anterior and posterior midpart of the uterus, the anterior and posterior lower part of the uterus, and lastly at both corneal ends. In group II, 15 patients were injected with 1% methylene blue into the cervicosubserosal myometrium at four injection sites: in 12, 3, 6, and 9 o’clo...
Source: Journal of Evidence-Based Women’s Health Journal Society - November 1, 2015 Category: OBGYN Tags: Original articles Source Type: research
Intravenous iron therapy for fast and efficient preoperative preparation for uterine myomectomy
Conclusion: Intravenous iron sucrose therapy allowed rapid and efficient alleviation of anemia and spares the need and cost of erythropoietin therapy. Combination of oral iron and erythropoietin allowed resistant cases to approach the surgical target concentration. (Source: Journal of Evidence-Based Women’s Health Journal Society)
Source: Journal of Evidence-Based Women’s Health Journal Society - November 1, 2015 Category: OBGYN Tags: Original articles Source Type: research
The effect of intraperitoneal instillation of lidocaine versus intraperitoneal drain on postoperative pain relief in gynecological laparoscopic procedures
Conclusion: Intraperitoneal instillation of local anesthetic lidocaine was found to be superior to gas drain in reducing postoperative pain in gynecological laparoscopy. (Source: Journal of Evidence-Based Women’s Health Journal Society)
Source: Journal of Evidence-Based Women’s Health Journal Society - November 1, 2015 Category: OBGYN Tags: Original articles Source Type: research
