International Journal of Obstetrics and Gynecology

International Journal of Obstetrics and Gynecology ISSN 2736-1594, Vol. 13 (3), pp. 001-002, March, 2025. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Case Report

Case Report: Pregnancy After Endometrial Ablation Leading to Subtotal Hysterectomy Under Spinal Anesthesia

Menelik Lee* and Nicholas Kenney

Obstetrics and Gynaecology, St Mary’s Hospital, Isle of Wight, UK.

Accepted 19 January, 2025

Abstract

A 44-year-old woman presented in her second pregnancy following a cavaterm balloon endometrial ablation three years earlier. Antenatal scans showed a fibroid measuring 11 × 7.5 × 8.2 cm in the lower segment. The placenta was fundal positioned and the baby’s growth was normal. At 32 weeks, a magnetic resonance imaging (MRI) scan excluded placenta percreta but was unable to exclude placenta accreta. At 37 weeks, she was in labour with a transverse presentation. The baby was born with good apgars and weighed 2970 g. The fibroid was removed. She recovered well and histology described a leiomyoma and myometrial hyperplasia. There was no evidence of placenta accreta.

Key words: Pregnancy, endometrial ablation, antenatal scans, fibroid.
 

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

Understanding the Lactational Amenorrhea Method: Awareness, Knowledge, and Practices Among Breastfeeding Mothers with Unintended Pregnancies

Chris E. Ekpenyong¹*, Nyebuk E. Daniel¹, Anthony Fidelis Uwah², Ette Okon Ettebong³ and John O. Ibu⁴

¹Department of Physiology, College of Health Science, University of Uyo, AkwaIbom State, Nigeria.
²Department of Biochemistry, Faculty of Basic Medical Sciences, University of Uyo, Uyo, AkwaIbom State, Nigeria.
³Department of Pharmacology and Toxicology, University of Uyo, AkwaIbom State, Nigeria.
⁴Department of Physiology, College of Health Sciences, Benue State University, Benue State, Nigeria.

Accepted 19 December, 2024

Abstract

This study assessed the awareness, knowledge and practice of lactational amenorrhoea method (LAM) of post partum contraception among breast feeding mothers of 18 to 40 years of age with unintended pregnancies. It was a cross-sectional, multicenter survey of seventy one breast feeding mothers with unintended pregnancies who visited these health centers for antenatal care within the study period. These women had been on LAM as the only post partum contraception before onset of pregnancy. A two section, semi-structured, self administered questionnaires were used to survey the participants. The incidence of unintended pregnancy was 14.3% among LAM users. There was a high level of awareness, but poor knowledge and practice among users. Lactating pregnant women who properly implemented only one component had more than 4 times odds for unintended pregnancy (odd ratio (OR)=4.12, confidence interval (CI)=3.21 to 4.72, P=0.04), those who implemented two components had about 3 times odds for unintended pregnancy (OR=2.82, 95%CI=2.54 to 2.94, P=0.01), while those who did not implement any of the three components had more than 7 times odds for unintended pregnancy (OR=7.52, 95%CI=7.23 to 7.94, P=0.001). High incidence of unintended pregnancy observed in this study was associated with poor knowledge and aberrant-practice of LAM by breast feeding mothers. Therefore, improving women knowledge (especially breast feeding mothers) on the proper guidelines of LAM could be of a great help in reducing high incidence of unintended pregnancy among LAM users.

Key words: Knowledge, practice, lactational amenorrhoea method (LAM), unintended pregnancy.
 

International Journal of Obstetrics and Gynecology ISSN 2736-1594, Vol. 13 (2), pp. 001-004, February, 2025. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

The Effect of Omega-3 Supplements on Preventing Preeclampsia Among High-Risk Women: An Evaluation Study

Fatemeh Lalooha¹, Talaat Dabbaghi Ghaleh¹, Hamideh Pakniiat¹, Fatemeh Ranjkesh², Toba gholshahi² and Omid Mashrabi³*

¹Faculty of Medicine, Ghazvin University of Medical Sciences, Ghazvin, Iran.

²Faculty of Nursing and Midwifery, Ghazvin University of Medical Sciences, Ghazvin, Iran.

³Women's Reproductive Health Research Center, Department of Obstetrics and Gynecology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Accepted 10 August, 2024

Abstract

Identification of proactive preeclamptic factors in pregnant women, as one of the three maternal and neonatal mortality factors, is of special importance. Omega-3 is a polyunsaturated fatty acid that may reduce blood pressure and brain and heart attacks affecting the production of prostaglandins and reducing unwanted fat, vasodilatation and platelet adhesion. This study was designed and implemented to clinically evaluate the effect of omega-3 supplements in preventing preeclampsia among high risk women of Qazvin city. In a double-blinded clinical trial, 100 high risk preeclamptic women were selected by target-based sampling from among pregnant women referred to health centers in Qazvin city, and voluntarily enrolled into the study. Then, samples were randomly divided into two treatment groups with omega-3 supplementation and placebo, respectively. The population was monitored until termination of pregnancy and childbirth, and post-delivery information was collected and statistically analyzed. Incidence and severity of preeclampsia among the mothers receiving omega-3 supplement 1 g daily during pregnancy was significantly less than that in the control group (p = 0.015). The outcome of pregnancy, including birth time zone and minute 5 Apgar score of neonates in omega-3 group were significantly greater than in the control group. Mean systolic and diastolic blood pressure in omega-3 group was significantly less than that in the control group. Using Omega-3 supplement is effective in reducing incidence of preeclampsia and its severity. It is also effective on improving pregnancy outcome, including birth weight and neonatal minute 5 Apgar score. Therefore, development of nutritional education programs for pregnant women seems to be necessary.

Key words: High-risk pregnancy, preeclampsia, omega-3.
 

International Journal of Obstetrics and Gynecology ISSN 2736-1594, Vol. 13 (2), pp. 001-008, February, 2025. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

Exploring the Mother-Infant Connection: Evaluating Feelings Through Interviews with First-Time Mothers Three Days After Birth

Thorstensson, Stina^1,2, Hertfelt Wahn, Elisabeth¹, Ekström, Anette¹, and Langius-Eklöf, Ann ^2,3

¹School of Life Sciences, University of Skövde, Skövde, Sweden.
²School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
³Department of Neurology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.

Accepted 5 December, 2024

Abstract

Mothers’ perception of their relationship with their baby might affect sensitive parenting. This study aimed to explore first time mothers’ feelings for and their relation to the baby associated with how they responded to the “mother to infant relation and feelings (MIRF) scale” as a step in the validation process of the scale. Interviews with ten first-time mothers, three days after birth, were performed, using open questions followed by questions directly from the MIRF scale items. An inductive and deductive approach inspired by the “Think aloud” method guided the study. Results describe main category; New mothers bewilderment and anticipation which contained four categories; Natural and great but mixed, Maternal instinct and kinship, Ability and expectations and Not yet for real. When mothers responded to MIRF scale items they describe talking to their baby which they did not in their open answers. Answering the MIRF scale helped mothers in differentiating between their own mixed feelings of becoming mothers and their relation to and feelings for the baby. The MIRF scale appears valid in reflecting important aspects of mothers’ feelings for and relation to their baby. The MIRF scale could be used in research and when evaluating care routines as well as in dialogue with new mothers to support mother-to-infant interactions.

Key words: Maternal feeling assessment, becoming a mother, motherhood, childbirth, professional support, validity.
 

International Journal of Obstetrics and Gynecology ISSN 2736-1594, Vol. 13 (2), pp. 001-006, February, 2025. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

Post-Childbirth Attitudes of Women Regarding Delivery Methods

Asli Karakuẟ¹ and Nevin Hotun Sahin²*

¹The Vehbi Koc Foundation American Hospital, Istanbul, Turkey.
²Department of Obstetrics and Gynecologic Nursing, Florence Nightingale School of Nursing, Istanbul University, Sisli 34387, Istanbul, Turkey.

Accepted 13 August, 2024

Abstract

The aim of this study was to determine the attitudes of the women toward mode of delivery during postpartum period. The descriptive study was conducted in 600 puerpera women at a private hospital in Istanbul, Turkey. We collected data with “attitudes toward mode of delivery” (ATMOD) form during face to face interview. The researchers prepared the ATMOD form according to the literature. The ATMOD was 14 attitude statements. Participants answered statements as agree (1), or disagree (2). We evaluated data using the SPSS program. Average age was higher in cesarean deliveries (CD) than vaginal deliveries (VD). 28.1% of women had an elective CD; 71.8% stated that they would advise other potential mothers to opt for a CD; and 82.3% would choose CD in case of another delivery. In the study, women’s overwhelmingly favored VD and regarded CD as an appropriate procedure for abnormal pregnancies. Nevertheless, it was found that participants opted for CD as they think it is easier and less painful. The prenatal training programs aim at assisting couples in choosing VD by attracting their attention on delivery and correct breathing and relaxation techniques and by helping them in feeling less pain.

Key words: Attitudes, childbirth methods, cesarean delivery, prenatal training program, postpartum vaginal delivery, women.

International Journal of Obstetrics and Gynecology ISSN 2736-1594, Vol. 13 (1), pp. 001-011, January, 2025. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

Comparative Analysis of Birth Outcomes and Experiences Among Low-Risk Women in Varying Sized Midwifery Practices in The Netherlands

Yvonne Fontein

Midwifery, School of Health Studies, Glasgow Caledonian University, Govan Mbeki, room A306 Cowcaddens Road, Glasgow G4 0BA, Scotland, United Kingdom. E-mail: [email protected]. Tel: +44 (0)141 331 8376.

Accepted 23 September, 2024

Abstract

To examine maternal birth outcomes and birth experiences of low-risk women in the Netherlands in different sized midwifery practices. Descriptive study was using postal questionnaires six weeks after the estimated due date. Women were recruited from urban, semi-rural and rural areas from small-sized practices (1-2 midwives), medium-sized practices (3-4 midwives) or large-sized practices (5 or more). 718 Dutch speaking women with uncomplicated pregnancies, a representative sample of women in 143 midwifery practices in the Netherlands who had given birth in the period between 20 April and 20 May 2007. Distribution of place of birth categories and intervention categories, birth experience, woman-midwife relationship and presence of own midwife after referral. Data were analyzed with Statistical Package for Social Sciences (SPSS). Women in practices with a maximum of two midwives were significantly more likely to experience lower rates of referral, interventions in general and specifically pain relief by means of pethidine, CTG registration and unplanned caesarean sections. Women with a maximum of two midwives were significantly more likely to know their midwife or midwives and were more frequently supported by their own midwife after referral in comparison to women in practices with more than two midwives. The presence of the woman’s own midwife added value to the birth experience. Women with a maximum of two midwives had higher levels of a positive birth experience than women in practices with more than two midwives. Midwifery practices with a maximum of two midwives contribute to non-interventionist birth and a positive birth experience. Awareness of the study results and further study is recommended to discuss re-organisation of care in order to achieve significant reductions on referral and interventions during childbirth and positive maternal birth experiences.

Key words: Midwifery, birth interventions, referral, practice size.