Farname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523Efficacy of Prophylactic Intravenous Fibrinogen in Reducing Bleeding in Cesarean Section: A Randomized Controlled Trial19420370424710.30699/jogcr.8.3.194ENShahram SayadiDepartment of Anesthesiology, Anesthesia Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0002-3494-0397Shideh ArianaDepartment of Obstetrics and Gynecology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0002-4385-3586Maral HosseinzadehDepartment of Obstetrics and Gynecology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000000312119167Arezou AshariDepartment of Community Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0002-6106-2243Tannaz YeganegiDepartment of Anesthesiology, Anesthesia Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0001-6361-215XElham MemariDepartment of Anesthesiology, Anesthesia Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0001-8127-2363Ebtehaj HeshmatkhahDepartment of Obstetrics and Gynecology, Imam Hossein Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0003-3010-2801Dariush AbtahiDepartment of Anesthesiology, Clinical Research and Development Unit, Imam Hossein Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0001-8127-2363Journal Article20230111<span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Background & Objective:</span></span></strong><span style="color: black;"> </span></span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">Postpartum hemorrhage is the most common cause of maternal morbidity and mortality, which can occur unexpectedly without warning, and without any underlying causes. We hypothesized that administering fibrinogen concentrate to cesarean section patients before surgery would reduce perioperative blood loss.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">Materials & Methods</span></span></span><span lang="EN-IN"><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">:</span></span></span></span></strong> </span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">In this double-blind randomized controlled parallel group study, a single dosage of fibrinogen concentrate or a placebo was given to 260 cesarean section patients at random (by G*Power software, Heinrich-Heine-Universität Düsseldorf, Germany) in a university-affiliated general hospital between November 11, 2022, to January 8, 2023. Individuals in the fibrinogen group received a dose of one gram of fibrinogen concentrate and those in the placebo group received normal saline solution with the same volume in the placebo group. Total blood loss was the primary outcome of this study.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Results:</span></span></strong> </span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">A total of 280 cases were screened and 260 were randomized. With a P-value of 0.001, the median (IQR) volume of bleeding in the fibrinogen group was 660 (341.25) mL, as opposed to 790 (475.00) mL in the placebo group. Comparatively, only 10 (7.7%) of the fibrinogen group and 26 (20%) of the placebo group required blood transfusions (<em>P</em>=0.006). No adverse event related to fibrinogen was reported.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Conclusion:</span></span> </strong></span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;">Empiric treatment with fibrinogen concentrate results in reduced blood loss.</span></span></span>https://www.jogcr.com/article_704247_cafea145f428c6d3f324907b36eeb885.pdfFarname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523Translation and Customization of the Persian Version of Cancer Survivors Assessment Questionnaire (NCCN2.2020)20420969738610.30699/jogcr.8.3.204ENMaliheh ArabDepartment of Obstetrics and Gynecology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0002-2244-3529Nafiseh PoorzadDepartment of Obstetrics and Gynecology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranGiti NoghabaeiDepartment of Obstetrics and Gynecology, School of Medicine, Imam Hossein hospital, Iran University of Medical Sciences, Tehran, IranGhazaleh FazliDepartment of Biology, Science and Research Unit, University of Tehran, Tehran, IranBehnaz GhavamiDepartment of Biology, Science and Research Unit, University of Tehran, Tehran, IranTayebeh Jahed BozorganDepartment of Obstetrics and Gynecology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0003-0844-6915Journal Article20230104<span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Background & Objective:</span></span></strong><span style="color: black;"> </span></span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">Gynecological cancer survivors have been growing, as a result of advancements in national cancer screening strategies, resulting in early-stage diagnosis, and cancer treatments developments. Lack of a valid documented assessment tool to measure their requirements for supportive care is detected. The aim was to develop a comprehensive scale that comprises all features of gynecologic cancer survivors` requirements in Iranian population.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">Materials & Methods</span></span></span><span lang="EN-IN"><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">:</span></span></span></span></strong> </span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">The Cancer Survivors Assessment Questionnaire NCCN2.2020 (National comprehensive cancer network) was translated including the instructions, and the answer choices by two native translators, including one fluent translator and one linguist. For qualitative face validity of the questionnaire at the disposal of 10 specialists were delegated to make the necessary changes. Content validity and content validity index were evaluated in terms of qualitative face validity and quantitative face validity. Necessary changes were applied.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Results:</span></span></strong> </span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">The original Cancer Survivors Assessment Questionnaire NCCN2.2020 (National comprehensive cancer network) was condensed from 27 to 24 questions during the customization process. Questions related to lymphedema, and immunization were eliminated from the survey, as a result of low content validity index and scores. According to the panel of experts, ten questions including number 3, 5, 6, 9, 10, 13, 17, 18, 19, and 25 of the questionnaires were changed to a more suitable and comprehensible ones in Persian language.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Conclusion:</span></span> </strong></span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;">We suggest that the Persian version of cancer survivors’ assessment questionnaire be applied in populations with Persian language and that its sensitivity to variation be measured.</span></span></span>https://www.jogcr.com/article_697386_41c968d3e8499de63a90d2671a64a185.pdfFarname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523Determining the Effectiveness of Tranexamic Acid on Hemorrhage During Abdominal Hysterectomy21021669738010.30699/jogcr.8.3.210ENFariba AlmassinokianiMinimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, IranMahzad AlimianDepartment of Anesthesiology, Pain Research Center, Iran University of Medical Sciences, Tehran, IranParinaz HamednasimiIran University of Medical Sciences, Tehran, IranJournal Article20230125<span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Background & Objective:</span></span></strong><span style="color: black;"> </span><span style="line-height: 2;"><span style="letter-spacing: -.1pt;">Hysterectomy is the most common gynecological surgery. Every year, numerous women around the world undergo this type of surgery for various reasons. Regardless of the type of surgery, bleeding during surgery and after surgery is the most common consequence? Tranexamic acid is a cheap, available and low-complication drug that has been considered in recent years to control bleeding. The present study investigated the effectiveness of Tranexamic acid on the bleeding during laparotomy hysterectomy in women aged 35 to 55 years.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">Materials & Methods</span></span></span><span lang="EN-IN"><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">:</span></span></span></span></strong> <span style="line-height: 2;"><span style="letter-spacing: -.1pt;">This study was a randomized, double-blind clinical trial performed on 80 patients undergoing laparotomy hysterectomy. Using a random number table, patients were divided into two groups A (receiving Transid) and the other group receiving drug B (not receiving Transid), both of which received 100 ml of normal saline prepared to reduce bias in the prepared syringe.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Results:</span></span></strong> <span style="line-height: 2;"><span style="letter-spacing: -.1pt;">Mean age of the patients was 46.24 ± 5.21 years. Based on the results of mean hemoglobin before surgery, the rate of infection, infusion and induction in the control and intervention groups were not statistically different (<em>P</em> > 0.05). Also, the mean hemoglobin variables before and after hemorrhage were estimated by the surgeon and hemorrhage estimated according to Hernandez formula were not statistically different in the two groups (<em>P</em> > 0.05).</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Conclusion:</span></span> </strong><span style="line-height: 2;">Tranexamic acid administration has no effect on the amount of bleeding during hysterectomy laparotomy.</span></span></span>https://www.jogcr.com/article_697380_0c23dcf6db11103873ae14d175d7fc60.pdfFarname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523Effect of Intravaginal Use of Magnesium Sulfate on the Severity of Pain and Duration of the First and Second Stages of Labor in Nulliparous Women21722269738410.30699/jogcr.8.3.217ENFereshteh FakourDepartment of Obstetrics and Gynecology, Reproductive Health Research Center, Al-Zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranRoya KaboodmehriDepartment of Obstetrics and Gynecology, Reproductive Health Research Center, Al-Zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranAmirhossein Hajizadeh FallahDepartment of Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, IranMaryam DourandeeshDepartment of Eye, Amir-Al-Momenin Hospital, Eye Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, IranFatemeh GholamalipourDepartment of Obstetrics and Gynecology, Reproductive Health Research Center, Al-Zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranSeyedeh Maryam AttariDepartment of Midwifery, Reproductive Health Research Center, Al-Zahra Hospital, Guilan University of Medical Sciences, Rasht, Iran000000025156387XForozan MilaniDepartment of Obstetrics and Gynecology, Reproductive Health Research Center, Al-Zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran0000-0002-0430-6993Zahra PourhabibiDepartment of Epidemiology, Guilan University of Medical Science, Rasht, IranJournal Article20230202<span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Background & Objective:</span></span></strong><span style="color: black;"> </span></span></span><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="line-height: 2;"><span style="letter-spacing: -.1pt;">Most pain relief methods are associated with some side effects and limitations. Magnesium sulfate, due to its osmotic properties and absorption of cervical water (moisture) can shorten labor duration and decrease labor pain via improving effacement and cervical edema. The aim of our study was to evaluate the effect of intravaginal magnesium sulfate on pain severity and duration of the first and second stages of labor.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">Materials & Methods</span></span></span><span lang="EN-IN"><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">:</span></span></span></span></strong> </span></span><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="line-height: 2;"><span style="letter-spacing: -.1pt;">In this double-blind randomized clinical trial study, 70 nulliparous women were allocated into two groups after the beginning of the active phase of labor. In group 1, 10 ccs of magnesium sulfate 50% was poured on the whole cervix during the vaginal examination. In group 2, a placebo (sterile water) in a similar way and amount was used. Then the two groups were compared in variables of demographic, obstetrics, clinical, pain severity, duration of the first and second stages of labor, and maternal and neonatal outcomes.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Results:</span></span></strong> </span></span><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="line-height: 2;"><span style="letter-spacing: -.1pt;">In different dilatations, pain severity in group 1 was significantly lower (<em>P</em>=0.0001). The duration of the first and second stages of labor was shorter in group 1 (<em>P</em> =0.0001). The two groups were similar in neonatal outcomes, drug side effects, and treatment satisfaction (<em>P</em> >0.05).</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Conclusion:</span></span> </strong></span></span><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="line-height: 2;">Intravaginal magnesium sulfate improves the condition of the cervix, reduces the duration and the severity of labor pain, and has no medical or neonatal side effects.</span></span></span>https://www.jogcr.com/article_697384_3555ee05ead1442fa31e2a92f323108d.pdfFarname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523Needs and Concerns of Sexual and Reproductive Health of Pregnant Women in the COVID-19 Pandemic22323269738810.30699/jogcr.8.3.223ENLeila AsadiDepartment of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran0000-0003-4854-7358Zahra Behboodi-MoghadamDepartment of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IranMahboobeh ShiraziMaternal Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, IranFateme MoshireniaResearch Center for Nursing and Midwifery Care, Shahid Sadughi University of Medical Sciences, Yazd, IranBehjat KhorsandiDepartment of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000000192739141Journal Article20230127<span style="font-size: 14px;"><span style="font-family: Arial;"><span style="line-height: 2;"><strong><span style="background: #a20000;"><span style="color: white;">Background & Objective:</span></span></strong><span style="color: black;"> </span><span lang="EN"><span style="letter-spacing: -.1pt;">Understanding the reproductive and sexual needs of pregnant women seems to be crucial in increasing the effectiveness of services and addressing their needs and expectations. Therefore, the aim of this study was to explain the needs and concerns of reproductive and sexual health of pregnant women during the COVID-19 pandemic</span></span><span style="letter-spacing: -.1pt;">.</span><br /><strong><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">Materials & Methods</span></span></span><span lang="EN-IN"><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">:</span></span></span></span></strong> <span lang="EN"><span style="letter-spacing: -.1pt;">This is a qualitative study with a content analysis approach. In this probe, 16 interviews were accomplished with 15 pregnant women who had been referred to pregnancy care centers. Data analysis was performed predicated on the content analysis approach using MAXQDA software version 12</span></span><span style="letter-spacing: -.1pt;">.</span><br /><strong><span style="background: #a20000;"><span style="color: white;">Results:</span></span></strong> <span lang="EN"><span style="letter-spacing: -.1pt;">Based on </span></span><span style="letter-spacing: -.1pt;">17</span><span lang="EN"><span style="letter-spacing: -.1pt;"> interviews conducted with pregnant women during the COVID-19 pandemic, pregnant women were found to be suffering from mental disorders, fears, disrupting prenatal care, and sexual problems</span></span><span style="letter-spacing: -.1pt;">.</span><br /><strong><span style="background: #a20000;"><span style="color: white;">Conclusion:</span></span> </strong><span lang="EN">Reproductive and sexual health of pregnant women in the Covid-19 epidemic should not be neglected and considered in health planning</span>.</span></span></span>https://www.jogcr.com/article_697388_4c271ca9df617c3cee9e938ab7f01fe9.pdfFarname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523Correlation Between Integrin Alpha-v Beta-3 Expression, Endometrial Thickness and Subendometrial Blood Flow Resistance Index in Unexplained Infertility: A Case Control Study23323969740610.30699/jogcr.8.3.233ENDhai Abdulalazize RashidDepartment of Obstetrics and Gynecology, College of Medicine, Al-Anbar University, Ramadi, IraqFadia Jassim AlizziDepartment of Obstetrics and Gynecology, College of Medicine, Al-Mustansiriyah University, Baghdad, IraqJournal Article20221214<span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Background & Objective:</span></span></strong><span style="color: black;"> </span></span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">Infertility that cannot be explained by anovulation, poor sperm quality, tubal disease, or any other recognized cause of infertility is referred to as unexplained infertility. The aim of this study is to assess the correlation between integrin alpha-v beta-3 expression, endometrial thickness and subendometrial blood flow resistance index in unexplained infertility.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">Materials & Methods</span></span></span><span lang="EN-IN"><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">:</span></span></span></span></strong> </span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">The study carried out on Kamal – Al-Samurai fertility center in the period from October 2020 - September 2021. Six days after detecting urinary Luteinizing Hormone (LH) surge, all the women were asked to come to do two-dimensional (2D) transvaginal ultrasound to assess endometrial thickness and subendometrial blood flow color Doppler resistance index and endometrial samples was taken and examined immunohistochemically to detect alpha-v beta-3 integrin. The cut-off value of integrin and subendometrial blood flow resistance index, sensitivity and specificity were calculated by applying Receiver Operative Characteristics (ROC) curve.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Results:</span></span></strong> </span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">The endometrial thickness was lower and resistance index was higher in case group (</span><em><span style="letter-spacing: -.1pt;">P</span></em><span style="letter-spacing: -.1pt;"> < 0.001). The expression of integrin alpha-v beta-3 in infertile group was significantly low (<em>P</em> < 0.001) with significant positive correlation between integrin score and endometrial thickness (r= -0.708 & <em>P </em>< 0.001) and significant negative correlation between integrin score and subendometrial resistance index (r= -0.786 & <em>P </em><0.001).</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Conclusion:</span></span> </strong></span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;">Alpha-v beta-3 integrin expressions and endometrial thickness are reduced significantly in mid-luteal phase while the subendometrial blood flow color Doppler resistant index significantly increased, and using them together can possibly be used as a diagnostic predictor of unexplained infertility.</span></span></span>https://www.jogcr.com/article_697406_c07c192b61edc73c49e7ce4b9d9a2615.pdfFarname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523Factors Affecting Contraceptive Choice and Discontinuation Among Married Women in Iraqi Kurdistan24024869740410.30699/jogcr.8.3.240ENMelad Alias AlsanityDepartment of Gynecology and Obstetrics, College of Medicine, University of Duhok, Kurdistan, IraqChiman Younus HasanDepartment of Nursing, Zakho Technical Institute, Duhok Polytechnic University, Kurdistan, IraqJournal Article20230202<span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Background & Objective:</span></span></strong><span style="color: black;"> </span></span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">Fertility control has been used for thousands of years in a variety of ways. Women need to use contraceptive methods correctly to reduce unintended pregnancies and maternal mortality. The purpose of this research was to determine the factors that have an impact on the use of contraception in our community.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">Materials & Methods</span></span></span><span lang="EN-IN"><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">:</span></span></span></span></strong> </span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">During the time period of December 2021 to April 2022, a descriptive cross-sectional study was conducted in primary healthcare centers in the city of Duhok, which is located in the Kurdistan Region of Iraq. A total of 400 married women between the ages of 18-45 years were studied. Information on sociodemographic characteristics, obstetrical history, contraceptive methods used, deciding factors, and discontinuation were obtained from respondents. The statistical calculations were performed in John's Macintosh Project (JMP project, version 14.3.0, Apple Macintosh. USA).</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Results:</span></span></strong> </span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">Out of 400 women, 269 (67.25%) were aged 18-34, 106 (26.50%) completed primary education, and 204 (51.00%) desired to conceive. The most frequently used method was withdrawal 257 (64.25%), followed by oral contraceptive pills 43 (10.75%), Intrauterine contraceptive devices 39 (9.75%), and male condoms 35 (8.75%). For the purpose of becoming pregnant, 256 (64.00%) women stopped using contraceptives. Most of the failure rates were seen among withdrawal users, which recorded 77 (19.25%), and those who experienced side effects were 42 (10.50%).</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Conclusion:</span></span> </strong></span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;">In every district of Dohuk, there is a need for comprehensive, easily accessible, client-centered, and modern family planning services. Educational program is requested to improve the behavior and attitude toward family control.</span></span></span>https://www.jogcr.com/article_697404_9b2e9947fe46bd94fd51459d959bf75b.pdfFarname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523The Benefits of Manual Rotation in The Treatment of Occiput Posterior Position: A Case Study of Iraq24925470472910.30699/jogcr.8.3.249ENHamza RadhiCollege of MLT, Ahl Al Bayt University, Kerbala, IraqShaymaa Abdulhameed KhudairAdvanced Biomedical Science, Al Nisour University College, Baghdad, IraqMiaad AdnanAnesthesia Techniques Department, Al-Mustaqbal University College, Babylon, IraqMuntaha Kadhem MejbelAl Hadi University College, Baghdad, IraqAhmed S. AbedDepartment of Prosthetic Dental Technology, Hilla University college, Babylon, IraqNizar Awish JassemCollege of Pharmacy, Al-Ayen University, Thi-Qar, IraqJournal Article20221209<span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Background & Objective:</span></span></strong><span style="color: black;"> </span></span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">The fetal head's persistent posterior position, which ranges from 1 to 5% during birth, has long been acknowledged as a significant challenge of intrapartum treatment. 10% to 20% of fetuses are found to be in the occiput posterior (OP) position at the beginning of labor; 90% of them rotate to the occiput anterior. This research aims to analyze the rate of delivery in the OP position (also called sunny-side-up) concerning the outcome of manual rotation carried out contingent upon the OP position remains persistent. Perinatal outcomes were the secondary goals.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">Materials & Methods</span></span></span><span lang="EN-IN"><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">:</span></span></span></span></strong> </span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">This prospective cohort study was carried out in Obstetrics & Gynecology Clinic (OGC) at Faruk Medical City, Iraq. The study included all women who experienced a singleton pregnancy after 36 weeks, had an effort to rotate the fetus manually and had the fetus remain in the persistent OP position. The primary result was the delivery's occiput position. Perineal injuries, labor length, and the method of delivery have been the secondary outcomes. According to the outcome of manual rotation, two groups were contrasted.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Results:</span></span></strong> </span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">The overall number of women participating was 250, and the manual rotation success rate was 59.1%. The success was strongly correlated with a reduction in the OP position during vaginal, cesarean, operative vaginal delivery, episiotomy, and obstetric anal sphincter injury.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Conclusion:</span></span> </strong></span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;">Reduced incidence of OP position at anal sphincter injury during operative vaginal delivery is linked to attempts at manual rotation in the case of persistent OP position.</span></span></span>https://www.jogcr.com/article_704729_3b5e5aa0b6f5b6eba47b917e750bcb22.pdfFarname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523Pattern of Congenital Malformations at Birth and Their Associated Maternal Characteristics25526770185310.30699/jogcr.8.3.255ENSahar HassanDepartment of Community Medicine, Hammurabi College of Medicine, University of Babylon, IraqNassrin Malik AubeadDepartment of Obstetrics and Gynecology, Hammurabi College of Medicine University of Babylon, IraqJournal Article20221125<span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Background & Objective:</span></span></strong><span style="color: black;"> </span></span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">Congenital anomalies are a global issue and the primary reason of death in both developed and advanced countries. Congenital anomalies occur at varying rates in various populations. The purpose of this research was to determine the prevalence and pattern of congenital anomalies in newborns, as well as the associated maternal and environmental factors in newborns, presented at the Babylon teaching hospital for motherhood and pediatrics in AL-Hilla city, between 2017 and 2021.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">Materials & Methods</span></span></span><span lang="EN-IN"><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">:</span></span></span></span></strong> </span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">This study follows a descriptive design, and was based on population data from the statistic registry covering the AL-Hilla city, Iraq, 2017 to 2021. The registry covers live and still births. Also, maternal and neonatal information regarding sex, birth weight, parental consanguinity, and maternal age, were recorded.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Results:</span></span></strong> </span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">There were 214 congenitally deformed newborns among the 46,777 births in AL-Hilla city. There were 109 males (50.69 percent) and 103 females (47.90 percent). The most common congenital malformations discovered were those relating to the neurological system, followed by those relating to the musculoskeletal system.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Conclusion:</span></span> </strong></span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;">Anomalies in the central nervous system were most apparent, however, this research can help to determine the approximate distribution of the prevalence of congenital anomalies in AL-Hilla city in Iraq. Also, by identifying their main types, information can be applied to improve the clinical performance and public policies of Iraq.</span></span></span>https://www.jogcr.com/article_701853_a796d3a375f184fbc838c967ac0ea6c3.pdfFarname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523Maternal, Fetal and Neonatal Outcomes in Hospitalized Pregnant Women with Covid-19 in Northern Iran: A Prospective Study26827670472810.30699/jogcr.8.3.268ENSoudabeh Kazemi AskiDepartment of Obstetrics and Gynecology, Reproductive Health Research Center, Al-zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranSeyedeh Hajar SharamiDepartment of Obstetrics and Gynecology, Reproductive Health Research Center, Al-zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran0000-0001-7815-3769Morvarid Ghasab ShiraziDepartment of Midwifery, Zeynab School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, IranEzat HesniDepartment of Infectious Diseases, Guilan University of Medical Sciences, Rasht, IranSeyedeh Fatemeh Dalil HeiratiDepartment of Midwifery, Reproductive Health Research Center, Al-zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran0000-0003-2177-0832Misa NaghdipourDepartment of Obstetrics and Gynecology, Reproductive Health Research Center, Al-zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran0000-0002-0950-3662Alireza ForozanDepartment of Health, Guilan University of Medical Science, Rasht, Iran0000-0003-2467-9727Maryam GhalandariDepartment of Epidemiology and Statistics, Shahid Sadoughi University of Medical Sciences, Yazd, IranForozan MilaniDepartment of Obstetrics and Gynecology, Reproductive Health Research Center, Al-zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran0000-0002-0430-6993Journal Article20221126<span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Background & Objective:</span></span></strong><span style="color: black;"> </span></span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">The Covid-19 pandemic can cause complications for pregnant women and more serious maternal, fetal and neonatal care related to this disease should be considered in health systems. The aim of the present study was to investigate the maternal, fetal, and neonatal outcomes of pregnant women with COVID-19 disease.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">Materials & Methods</span></span></span><span lang="EN-IN"><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">:</span></span></span></span></strong> </span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">We performed a prospective study with a longitudinal design of all pregnant women hospitalized due to moderate and severe COVID-19 referred to Al-Zahra hospital, Rasht, Iran. After patient discharge, patients were followed until delivery, maternal, fetal, and neonatal outcomes were assessed by a 4-part researcher-made questionnaire.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Results:</span></span></strong> </span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">In total, 166 pregnant women with Covid-19 were included in the study. The median gestational age in patients was 35.5 weeks and the median delivery age was 38 weeks. Delivery in 137 (82.5%) women were cesarean section and 29 (17.5%) had a vaginal delivery. The most common clinical symptoms among patients were fever, cough, and dyspnea with 50.9%, 38.5%, and 31.5% frequency, respectively, 9.6% had poor prenatal outcomes, 15 patients (9%) were admitted to ICU and 4 patients died (2.4%). Poor maternal outcomes were reported in 61.5% of patients with severe clinical symptoms, (p <0.001). There was no significant relationship between the severity of the disease and the type of delivery (p = 0.41).</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Conclusion:</span></span> </strong></span></span><span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;">In our study we observed an increase in poor maternal, fetal and neonatal outcomes particularly in pregnant women with severe symptoms, although careful care is still recommended for affected pregnant women to reduce fetal, neonatal, and maternal complications. Further research will be needed to devise plan for pregnancy care and future health care crises.</span></span></span>https://www.jogcr.com/article_704728_74e5a7f2b4a87d5ffd41eae1381fc5ac.pdfFarname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523The Effect of Intervention Using Stages of Change Method to Improve Pap Smear Screening for Cervical Cancer27728470168410.30699/jogcr.8.3.277ENOmarov NazarbekBakytbekovichNon-profit joint stock company Semey Medical University, Republic of the KazakhstanAhmed Al-HiliMedical Lab, Techniques Department, College of Medical Technology, Al-Farahidi University, Baghdad, IraqDuaa Hamid AliEnglish Language and Literature Department, Al-Mustaqbal University College, Babylon, IraqAisha Kamal MahmoudDepartment of Medical Laboratory Technics, Al-Nisour University College, Baghdad, IraqEntsar Hachim MuhammadDepartment of Medical Laboratory Technics, AlNoor University College, Nineveh, IraqAhmed S. AbedDepartment of Prosthetic Dental Technology, Hilla University College, Babylon, IraqMarwa Jabbar SaiwanCollege of Nursing, National University of Science and Technology, Dhi Qar, IraqHaider Hussain JloodDepartment of Medical Laboratory Technics, Mazaya University College, Nasiriyah, IraqJournal Article20230123<span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Background & Objective:</span></span></strong><span style="color: black;"> </span></span></span><span style="font-size: 14px;"><span style="line-height: 2;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">Cervical cancer screening is crucial for the early detection and prevention of this disease in women. Due to the prevalence of cervical cancer in Iraq, the current study aimed to improve Pap smear screening practices.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">Materials & Methods</span></span></span><span lang="EN-IN"><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">:</span></span></span></span></strong> </span></span><span style="font-size: 14px;"><span style="line-height: 2;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">The present semi-experimental study was conducted in 2019 on 192 Baghdad-based women aged 20 to 60 with active medical records. Two groups of 96 people, intervention and control, were created. The intervention group received training based on the constructs of health belief and stages of change models to enhance Pap smear screening behavior. The control group participated in routine training on Pap smear screening behavior in health centers from health professionals. The participants completed a questionnaire created by the researchers in the pre-test and post-test stages. For data analysis, version 19 of SPSS statistical software and independent t-tests, paired t-tests, chi-square, and Fisher's exact test were utilized.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Results:</span></span></strong> </span></span><span style="font-size: 14px;"><span style="line-height: 2;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">A p-value of less than 0.05 was deemed statistically significant. Before the educational intervention, there was no significant difference between the two groups in the stages of behavior change (P>0.05). However, after the educational intervention, the intervention group significantly differed from the control group in the Pap smear screening change (P<0.01). Also, based on the paired t-test, the mean scores of the intervention group's knowledge, susceptibility, severity, barriers, and self-efficacy were significant before and after the intervention (P<0.05). After the intervention, the intervention group demonstrated significantly higher Pap smear screening behavior than the control group (P<0.01).</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Conclusion:</span></span> </strong></span></span><span style="font-size: 14px;"><span style="line-height: 2;"><span style="font-family: Arial;">The utilization of educational intervention of the stages of change and health beliefs models has proven to be highly effective in bringing individuals to the action stage.</span></span></span>https://www.jogcr.com/article_701684_4f8d1a0357eb1a4b65ab30169b20d125.pdfFarname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523Prevalence and Risk Factors of Postpartum Hemorrhage in Cesarean Section: A Retrospective Cohort Study28529470492810.30699/jogcr.8.3.285ENMaral HosseinzadehDepartment of Obstetrics and Gynecology, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000000312119167Ebtehaj HeshmatkhahDepartment of Obstetrics and Gynecology, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0003-3010-2801Dariush AbtahiDepartment of Anesthesiology, Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0001-8127-2363Journal Article20230330<span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Background & Objective:</span></span></strong><span style="color: black;"> </span></span></span><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="line-height: 2;"><span style="letter-spacing: -.1pt;">Globally, postpartum hemorrhage (PPH) remains a leading cause of maternal deaths. However, in many low and middle-income countries, information on the magnitude of and risk factors for PPH is scarce. Understanding the relative contributions of different risk factors for PPH is important. We assessed the incidence of and risk factors for postpartum hemorrhage among women who had a cesarean section in Iran.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">Materials & Methods</span></span></span><span lang="EN-IN"><span style="background: #a20000;"><span style="color: white;"><span style="letter-spacing: -.2pt;">:</span></span></span></span></strong> </span></span><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="line-height: 2;"><span style="letter-spacing: -.1pt;">Between March 2021 and March 2022, a prospective cohort study was conducted at a university-affiliated general hospital for women who had a cesarean section in Iran. We used Spearman’s correlation for the variables associated with PPH.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Results:</span></span></strong> </span></span><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="line-height: 2;"><span style="letter-spacing: -.1pt;">Among the 300 women, the overall incidence of postpartum hemorrhage was 15.7%. Risk factors for postpartum hemorrhage among deliveries by cesarean section were: body-mass index, previous PPH, preoperative anemia, and preoperative hypofibrinogenemia.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Conclusion:</span></span> </strong></span></span><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="line-height: 2;">The incidence of postpartum hemorrhage in the cesarean section was high. Extra vigilance in all women with cesarean section could address the risk factors identified.</span></span></span>https://www.jogcr.com/article_704928_a0d1bc2ee318aa5b19699c9f224df68e.pdfFarname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523Impact of Serum CA19-9 Level in Clinico- Pathological and Radiologic Feature of Mature Cystic Teratoma: A Case Series29530069736010.30699/jogcr.8.3.295ENSedigheh Ghasemian DizajmehrDepartment of Obstetrics and Gynecology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran0000-0001-8787-6221Mahsa Mohammadi IrvanlouDepartment of Pathology, School of Medicine, Urmia University of Medical Sciences, Urmia, IranAfshin MohammadiDepartment of Radiology, School of Medicine, Urmia University of Medical Sciences, Urmia, IranFarzaneh Rashidi FakariDepartment of Midwifery, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran0000-0003-2843-3150Journal Article20220114<span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Background & Objective:</span></span></strong><span style="color: black;"> </span></span></span><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="line-height: 2;"><span style="letter-spacing: -.1pt;">Ovarian mature cystic teratomas (OMCTS) are one of the most common benign ovarian tumors. Most MCTs can be diagnosed by ultrasonography (us). Due to heterogeneous composition and a variety of appearance, in some non-diagnostic imaging reports it is suggested that we evaluate some tumor markers (CA125 and CA19-9) to complement imaging modalities. According to previous investigation, a single elevated CA 19-9 is in association with specific radio-pathologic features, such as size, torsion, bronchial glands, fat and teeth components. Here we are presenting three different cases of OMCT with different characteristics.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Case Presentation:</span></span></strong> </span></span><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="line-height: 2;"><span style="letter-spacing: -.1pt;">Case 1: asymptomatic, non-diagnostic US, single- elevated CA19-9, smaller than in 10 cm with bronchial glands and fat component. Case 2: symptomatic, non-diagnostic U.S. normal CA19-9, larger than 10 cm with torsion and necrosis. Case 3: symptomatic, diagnostic US, single- elevated CA19-9, smaller than 10 cm, full of hair and sebaceous material. Computer tomography (CT), in all of our cases was diagnostic based on OMCT. Apologia of pathologic pathway of elevated CA19-9 in both cases 1 and 3 were in agreement with the result of previous investigations. In case 2, despite its large size and torsion, CA 19-9 level was low.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Conclusion:</span></span> </strong></span></span><span style="font-size: 14px;"><span style="font-family: Arial;"><span style="line-height: 2;">Single- elevated CA 19-9 level in OMCTs could impact benign characteristics of this kind of tumor.</span></span></span>https://www.jogcr.com/article_697360_c1b8e1b45afdeb6b93404f86b134c0e1.pdfFarname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523A Case of Appendiceal Mucocele Mimicking Adnexal Mass in a Young Woman with Chronic Abdominal Pain30130569736410.30699/jogcr.8.3.301ENGiti NoghabaeiSchool of Medicine, Imam Hossein hospital, Iran University of Medical Sciences, Tehran, IranMaliheh ArabDepartment of Obstetrics and Gynecology, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0002-2244-3529Ghazaleh FazliDepartment of Biology, Science and Research University of Tehran, Tehran, IranGolnaz Fallah-TaloukiDepartment of Obstetrics and Gynecology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IranMasoomeh RaoufiDepartment of Radiology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000000172691822Hamed TahmasebiDepartment of Surgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranBehnaz GhavamiDepartment of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, IranJournal Article20230112<span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Background & Objective:</span></span></strong><span style="color: black;"> </span></span></span><span style="font-size: 14px;"><span style="line-height: 2;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">Low-grade appendiceal mucinous neoplasm (LAMN) is a very rare condition, diagnosed in 0.2-0.7% of appendectomies. The pathophysiology of the neoplasm involves accumulation of large volume of mucin in the appendiceal lumen, resulting in its obstructive dilation. Most epithelial tumors affecting the appendix are of the mucinous type and are manifested by mucin accumulation within an inflamed appendix with fibrotic and hyalinized wall.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Case Presentation:</span></span></strong> </span></span><span style="font-size: 14px;"><span style="line-height: 2;"><span style="font-family: Arial;"><span style="letter-spacing: -.1pt;">A 29-year-old female presented with a history of chronic and intermittent episodes of abdominal pain and a palpable mass in the right lower abdominal quadrant. Sonography showed a 58 mm mass anterior to the uterus and adjacent to the ovary, probably a uterine myoma. Laparotomy revealed normal uterus, and ovaries with a translucent mass originating from the appendix and fixed to the cecum. Pathologic examination of the mass was reported as low grade appendiceal mucinous neoplasm.</span></span></span></span><br /><span style="font-family: Arial;"><span style="font-size: 14px;"><strong><span style="background: #a20000;"><span style="color: white;">Conclusion:</span></span> </strong></span></span><span style="font-size: 14px;"><span style="line-height: 2;"><span style="font-family: Arial;">This is a rare case of appendiceal mucocele in a young female, mimicking a pelvic mass, which was misinterpreted by sonography as a gynecologic solid mass near the uterus. Preoperative diagnosis of appendiceal mucocele is important due to the risk of concurrent GI and ovarian malignancy associated with the condition.</span></span></span>https://www.jogcr.com/article_697364_79d5e34903369e9261c05fc67b34bb2b.pdfFarname Inc.
(Science-Based Research Institute; Professional Publisher of Scientific Journals)Journal of Obstetrics, Gynecology and Cancer Research2645-39918320230523Delivering Bad News to End-Stage Children: Emphasizing the Role of Emotions30630770492910.30699/jogcr.8.3.306ENNematullah ShomoossiDepartment of English, School of Medicine, Sabzevar University of Medical Sciences, IranMostafa RadDepartment of Nursing, Nursing and Midwifery School, Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran0000-0002-8590-5348Journal Article20230327<span style="line-height: 2;"><span style="font-size: 14px;"><span style="font-family: Arial;">This letter comes to you in the hope of stressing the need to understand age differences and relevant requirements in delivering bad news to end-stage children. Among variables affecting the way healthcare providers communicate bad news, the age of the recipient is a critical factor requiring caregivers’ meticulous tactfulness. For practical purposes, various strategies are already suggested in communicating unexpectedly bad news to patients abruptly taken to face their end of life (1). However, patients of different ages may require different strategies. For some healthcare providers and physicians, breaking bad news to an elderly end-stage client may be taken for granted because public mindset is wired to assent to end-of-life deaths. While this tendency appears controversial by itself, communicating bad news to younger patients with life-threatening irremediable diseases appears more perplexing which should be given due attention in practice and special priority in training.<br />Young frivolous patients hope for life rather than death because children conceive of disease as a temporary stage of abnormal functioning of body systems; never do they expect dying if they become ill. The concept gradually transforms; for instance, school-age children may tend to blame themselves by attributing illness to their own actions but as they grow up, illness becomes increasingly attributed to external causes. Therefore, such conceptualizations should guide healthcare providers’ behavior toward their patients.</span></span></span>https://www.jogcr.com/article_704929_75f3eafd2744e3eb60b75e8917063920.pdf