Day 22 :
- Gynecology & Obstetrics, Midwifery , Maternal Fetal medicine , Urogynecology
Location: Salon I
Chair
Michelle Brown
Curtin University, Australia
Co-Chair
Abdul Aziz Mohd Ali Sujak
Parkway East Hospital, Singapore
Session Introduction
Ibrahim Awad Eljack Ibrahim
Al-Baha University, KSA
Title: Effect of environmental conditions and hygienic practices on children health in displaced communities as an example
Biography:
Ibrahim Awad Eljack Ibrahim has graduated from Khartoum University Faculty of medicine in 2001. He awarded Master of Public health from the Malaya University in 2007. He completed his MD in Community and Family Medicine from Sudan Medical Specialization Board in 2009. He also awarded a Master of Tropical Medicine and Infectious Diseases from the University of Medical Science and Technology in Sudan in 2013. He is an Assistant Professor of Community and Family Medicine at Al-Baha University Faculty of Medicine, Saudi Arabia. He was working in different positions in Primary Health Care General Directorate, Khartoum State Ministry of Health, Sudan, from 2003-2009. Then he worked as an Assistant Professor of Family and Community Medicine in faculty of medicine of different Sudanese universities, which include Khartoum University, Al-Razi University and Shendi University. He published 10 papers in reputable journals. He participated in 4 international conferences and symposiums.
Abstract:
Background: Inadequate environmental sanitation has been recognized as a public health hazard worldwide. Nearly one quarter of all deaths and of the total disease burden and slightly more than one-third for children can be attributed to the changes and degradation of the environment. This study examined the environmental conditions of the internally displaced person (IDP) communities in Khartoum State, Sudan and its effect on children health.
Methods: A community-based descriptive, cross-sectional survey design was used for a population of 726,989 inhabitants of the IDP communities in Khartoum State, Sudan. Multi-stage cluster sampling was used in selecting 662 households in these communities and a structured questionnaire was used for data collection. Data were analyzed using frequencies, percentages, Chi-square test and multiple logistic regressions.
Results: Protected dug wells and tap water were the major sources of water supply in the study area, usually transferred to the house by cart and almost all was not treated. The major source of toilet facilities was traditional pit latrine and more than one-fifth of the populations share common latrines. More than one-third of the families had animals inside their housing. Almost half of the families were disposing their rubbish in collection areas far from housing followed by burning of rubbish, which had been used by more than one-third of them. More than one-fifth of the households’ preschool children (21.3%) had diarrhea. A result of multiple logistic regressions showed that, time of hand washing (when to wash hand) was independently predictive for diarrhea among the households’ preschool children (B=0.005, Wald test=6.758 and p=0.009).
Conclusions: It can therefore, be concluded that the environmental conditions including access to improved sources of water and hygienic latrines in these communities were accepted, although there were still some negative environmental practices, which can affect the safety of water and promote diseases spread. Bad hygienic practices were prevalent and led to high rates of diarrhea among the households’ children. Therefore, to improve the environmental conditions in these communities, authorities should establish and enforce a more healthy environmental conditions approach and health promotion activities to improve the hygienic practice.
Biography:
Mr Ali Ahmad is a consultant urogynecologist, pelvic floor reconstructive surgery, and special interest in minimal access surgery, in the NHS, UK. Was educated and trained in Egypt, Kuwait, United Kingdom, and France; and with over 19 years experience, gained extensive experience in managing patients with pelvic organ prolapse, urinary incontinence, minimal access surgery including advanced laparoscopic and hysteroscopic surgery, and ambulatory hysteroscopy. Have introduced and modified several methods of treatment and surgery in both gynaecology and obstetrics. Member of the Royal College of Obstetricians and Gynaecologists, UK, MD Thesis from Ain Shams University, Egypt, PhD in Advanced Gynaecological Endoscopy. A trustee for SAMEO international NGO working to improve reproductive health in the Middle East and South Asia.
Abstract:
Workshop on Sacrohysteropexy
Mudau Azwinndini Gladys
University of Venda, South Africa
Title: Women’s Attitudes and Beliefs Regarding Cervical Cancer Prevention at Rural Health Care facilities in Limpopo province, South Africa
Biography:
Mudau A.G has completed her Master’s in Public Health from University of Venda. She is a lecturer at University of Venda.
Abstract:
The study assessed the attitudes and beliefs of women attending health care facilities regarding cervical cancer screening. This cross-sectional study involved 500 participants chosen conveniently from a total of 9868 outpatient women aged ≥ 18 years from Tshilidzini Hospital and Tshilidzi Gateway clinic. Self- administered questionnaires were used to collect data which were analysed using descriptive statistics and Pearson’s correlation method. Whilst about 1 in every 3 participants (n=203; 59.0%) disagreed that papnicolaou (pap) is painful, nearly 7 in every 10 participants disagreed that Pap smear is embarrassing and at the same time agreed that there is no need to worry about signs and symptoms of cervical cancer. Furthermore, this study established a positive significant correlation between the belief that cervical cancer can be diagnosed by pap smear and ever heard about pap smear (r=0.405; p<0.01). Health education and promotion is, paramount in the Department of Health education and promotion is, therefore, paramount in the Department of Health’ initiative of raising cervical cancer awareness among South African women.
Keywords: Attitudes, beliefs, Pap smear, Screening, cervical cancer.
Shehnaz Hansoti
King Fahad Medical City, Saudi Arabia
Title: Prevalence of Uterine Abnormalities as detected by 3D Saline Contrast Sono-Hysetrography in Sub-fertile Women Compared with Fertile Women: A cohort Prospective study
Biography:
Shehnaz Hansoti Currently working at Obstetrics and Gynecology Department, Women Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.
Abstract:
Objectives: The purpose of this study is to determine the prevalence of uterine abnormalities in sub fertile women compared with fertile women with abnormal uterine bleeding (AUB) as determined by 3 dimensional trans-vaginal scan (3D TVS) and saline contrast sonohysterography (3D SCSH) in Saudi women.
Design: Prospective cohort study
Setting: The ultrasound department, the Reproductive Endocrinology and Infertility in Medicine Department (REIMD) and AUB clinic of Women's Specialized Hospital (WSH), King Fahad Medical City (KFMC), Riyadh, Kingdom of Saudi Arabia.
Population or Sample: Total of 2,224 women were included in the study from June 2013 to June 2015, of which 1,477 (66.41%) were recruited from REIMD clinic and 747 (33.59%) from AUB clinic.
Out of 1,477 sub fertile women, 159 (10.76%) required 3D SCSH. Whereas out of 747 women from fertile AUB group 110 (14.72%) required 3D SCSH. Total of 256 patients successfully underwent 3D SCSH from both group. No complication or difficulty were encountered
Methods: An initial clinical assessment was made and 3D TVS was performed in the ultrasound unit of WSH. All those women who were found to have uterine abnormalities, either endometrial pathology or congenital mullerian anomaly were further referred for 3D SCSH.
Results: The difference of prevalence of uterine abnormalities diagnosed by trans-vaginal scan in both groups, sub fertility (n=1477) and fertility with AUB (n=745) were found to be highly Significant (P <000).
Bernadette C. Yap
Philippine General Hospital, Phillipines
Title: MUSIC THERAPY WITH THE USE OF GOSPEL SONGS IN REDUCING THE ANXIETY OF PRIMIGRAVID MOTHERS DURING THE THIRD TRIMESTER
Biography:
Mr. Bernard Joseph Z. Villaflores and Ms. Alyssa Rica A. Villanueva are both graduating nursing students from the University of Santo Tomas College of Nursing in the Philippines. The undergraduates were mentored and supervised by their respective research adviser, Assoc. Prof. Maria Corazon S. Olayres, RN, MAN.
Abstract:
Pregnancy can place a woman’s life into various instances that can induce anxiety. This anxiety can then cause serious complications that may occur throughout gestation. Hence, this study introduced music therapy as an intervention and evaluated its effectiveness in reducing anxiety among third trimester primigravid mothers. A pre-test and post-test experimental design was utilized. The participants were chosen using purposive sampling. The study consisted of experimental (n=25) and control (n=25) groups. In the experimental group, music therapy was given. The Beck Anxiety Inventory (BAI), a standardized instrument, was used to assess the pre- and post- anxiety scores of the respondents. Independent t-test, paired t-test, and analysis of covariance were utilized as measures to determine the effectiveness of the therapy.For the pre-test anxiety scores, the control group had a score of 37.64 while the experimental group had 41.32. When post-test scores were collected and interpreted, the control group showed a score of 30.88. Meanwhile, the experimental group acquired 11.44. There was a significant difference after in the post test anxiety scores (p=0.0001).It is concluded in this study that music therapy especially containing gospel songs is an effective way in alleviating the anxiety experienced by primigravid women who are in their third trimester of pregnancy.
Fahad Ali Abdullah Dokhaikh
Al- Baha University, KSA
Title: Rate of different types of abortion in Baljurashi General Hospital, Al-baha Area, Saudi Arabia
Biography:
Fahad Ali Abdullah Dokhaikh , Mohammed Abo-Baker Hasan Bulkheir, Abdulrazaq Oudah Shaker Alzahrani , Osama Hamdan Ahmad Alhebby, Fawaz Ayedh Fawaz Alghamdi, Abdullah Ahmed Abdullah Alzahrani, Adel Saeed Eid Alghamdi
Abstract:
Abortion is defined as is the natural death of an embryo or fetus before it is able to survive independently. Pregnancy may be affected by several factors that may lead to loss of the pregnancy and it may be multifactorial. In this study we are planning to study the effect of few factors on the rate of different types of abortion in Baljurashi General Hospital.
This is a six months prospective study aiming to study the Rate of different types of abortion in Baljurashi General Hospital. This study was ethically approved by Al-baha University and Baljurashi General Hospital Ethical Committees.
Outcomes include age, blood group, occupation, education, history of previous abortion, medications during pregnancy, socioeconomic status and presence of medical diseases.
Biography:
Abstract:
Abstract
Background
A good maternal diet is an important component that influences fetal development. While iron-deficiency anemia is the common type of anemia, its impact is one of the most considerable concerns during pregnancy as it increases the demand for iron supplementation. This study was conducted to assess the perceived importance of nutrition during pregnancy among women attending antenatal care at the primary health care centers in Albaha region, Saudi Arabia.
Methods
A sample of 66 pregnant women attending the antenatal care at four primary health care centers in Albaha during a two-week period in April 2016 was collected using a self-structured questionnaire.
Results
Of the 66 participants, 29 reported having three or less pregnancies, representing 43.9% of the overall sample size, followed by four to six pregnancies (25 women, 37.9%) and more than six pregnancies (12, 18.2%).
As for the participants’ knowledge of the which group with highest risk for iron-deficiency anemia, three women reported having a good knowledge (4.5%), 13 with a fair knowledge (19.7%), and 50 with a poor knowledge (75.8%) (page26). 33% of the participants had a good knowledge about the most important nutrient-rich element with irons, while 45% had a fair knowledge, and 21.2% had a poor knowledge. In addition, 63.6% know the impact of tea-drinking on intestinal iron absorption while 36.4% do not. Furthermore, 69.7% know the impact of vitamin C or lemon juice on intestinal iron absorption while 30.3% do not. A total of 59 pregnant women (89.4%) considered birth-spacing useful to the mother’s health, and seven pregnant women (10.6%) did not (page32). The relationship between level of education and total knowledge of participants is good P Value > 0.05 (P. Value = .000)
Conclusion
Higher level of education and occupation increase the total knowledge of participants.
Biography:
Presenters : Muath Ibrahim Al-Ghamdi, Waleed Mohammed Al-Khuraimi, Amjad Said Alshihri, Mohammed Mahdi Al-Ghamdi, Abdulaziz Ibrahim Al-Ghamdi, Alabbas Saleh Al-Ghamdi, Bader Saeed Al-Asmari, Abdulrahman Ali Al-Zahrani, Fahad Abdullah Al-Zahrani, Nasser Saeed Al-Ghamdi
Abstract:
Background : A good maternal diet is an important component that influences fetal development. While iron-deficiency anemia is the common type of anemia, its impact is one of the most considerable concerns during pregnancy as it increases the demand for iron supplementation. This study was conducted to assess the perceived importance of nutrition during pregnancy among women attending antenatal care at the primary health care centers in Albaha region, Saudi Arabia.
Methods
A sample of 66 pregnant women attending the antenatal care at four primary health care centers in Albaha during a two-week period in April 2016 was collected using a self-structured questionnaire.
Results
Of the 66 participants, 29 reported having three or less pregnancies, representing 43.9% of the overall sample size, followed by four to six pregnancies (25 women, 37.9%) and more than six pregnancies (12, 18.2%).
As for the participants’ knowledge of the which group with highest risk for iron-deficiency anemia, three women reported having a good knowledge (4.5%), 13 with a fair knowledge (19.7%), and 50 with a poor knowledge (75.8%) (page26). 33% of the participants had a good knowledge about the most important nutrient-rich element with irons, while 45% had a fair knowledge, and 21.2% had a poor knowledge. In addition, 63.6% know the impact of tea-drinking on intestinal iron absorption while 36.4% do not. Furthermore, 69.7% know the impact of vitamin C or lemon juice on intestinal iron absorption while 30.3% do not. A total of 59 pregnant women (89.4%) considered birth-spacing useful to the mother’s health, and seven pregnant women (10.6%) did not (page32). The relationship between level of education and total knowledge of participants is good P Value > 0.05 (P. Value = .000)
Conclusion
Higher level of education and occupation increase the total knowledge of participants.
Malwela Thivhulawi
University of Venda, South Africa
Title: Implications for integration of theory with clinical practice: Views of student midwives on clinical practice
Biography:
Mrs Malwela Thivhulawi has completed her Masters at the age of 43 years from the University of Venda and now busy with PhD at the same Univercity. She is a lecturer at the Univercity of Venda, advanced nursing department. She has published 2 papers in reputed journals and presented in 2 international conferences.
Abstract:
Clinical learning is the acquisition of midwifery technical skills through the application of theoretical knowledge to practice in a ward as any other practicum site. It is a multidimensional process of acquiring knowledge through experience or actual practice in the clinical setting. The aim of the study was to determine factors affecting integration of midwifery nursing science theory with clinical practice in Vhembe district, Limpopo province. A qualitative explorative, descriptive and contextual design was used. Convenient sampling method was used to select 18 level IV (Finalists) student midwives from the following hospitals, Donald Fraser, Siloam and Tshidzini hospitals, in Vhembe district. Data were collected through three focus group interviews. Interviews were conducted until data saturation was reached and data obtained were analyzed through open coding method. Results or findings revealed factors perceived as hindering and facilitating integration of theory with clinical practice when allocated for clinical learning experience including amongst others overcrowding in clinical areas that lead to limited opportunity for clinical learning experiences. Other factors were negative attitude towards midwifery by some male students leading to lack of interest to midwifery course; poor interpersonal relationship support and feedback due to lack of accompaniment to clinical areas. Recommendations included; planning by Higher Education Institutions (HEIs) which is the University and nursing colleges in Vhembe District need to meet at the beginning of each academic year to plan the clinical for allocation for placement of students to avoid overcrowding of students at the same hospital. Create career choice opportunities, facilitate the creation of preceptors’ positions for clinical accompaniment, so that student are accompanied every day. The midwifery curriculum need to outline and strengthen orientation program and provide students with objectives to clinical setting.
Keywords: clinical learning, clinical experience Theory practice integration, student midwives, midwifery nursing science, clinical practice.
Biography:
Presenters : Saeed Ahmed Al-Ghamdi, Ahmad Abdulrahman Al-Zahrani, Sami Abdullah Al-Zahrani, Amjad Said Alshihri, Abdulnasser Mohammed Al-Ghamdi, Turki Abdullah Al-Zahrani, Abdulrahman Mohammed Al-Ghamdi, Nawaf Bakhit Al-Ghamdi
Abstract:
Bilateral tubal pregnancy is the rarest form of ectopic pregnancy. The estimated incidence is 1 in 725 to 1 in 1580 of all ectopic pregnancies. Totally, more than 200 cases of bilateral tubal ectopic pregnancy have been reported in the literature to date. We present a case of a P0+1 with previous history of right tubal pregnancy treated conservatively. Patient presented as 7 weeks ectopic pregnancy. Intra-operatively bilateral ectopic pregnancy was diagnosed. Accordingly, left rupture ectopic seen and salpingectomy performed. In the right side, intact small ectopic was diagnosed and salpingestomy was accomplished.
- Gynecological Endocrinology, Gynecological Oncology, Reproductive Medicine, Prenatal Diagnosis
Location: Salon I
Chair
Mohammad Othman
Al-Baha University, KSA
Co-Chair
Ali Hindi
Al-Baha University, KSA
Session Introduction
Safaa Al-Hasani
University of Schleswig-Holstein, Germany
Title: Can the Vitrification procedure the right tool for fertility preservation in women with cancer?
Biography:
Safaa Al-Hasani Currently working at Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Germany.
Abstract:
As the efficacies of anticancer therapies were increase and quite efficient early diagnoses have been taken place in gynecological cancer, increased long-term survival of cancer patients and long-term complications of anticancer treatments are being encountered .
Zeyad Alamari
King Saud Bin Abdulaziz Universty For Health Science,KSA
Title: GENDER EFFECT ON STUDENT' INTEREST AND PERCEPTIONS OF OBSTETRICS AND GYNECOLOGY
Biography:
Zeyad is medcial student at king saud unvirsy for health science
Abstract:
Background
Obstetrics and gynecology (OBGYN) is currently one of the professions females have just dominated in many countries of the world. With fewer males choosing OBGYN there is failure to fill all the residency positions in Saudi Arabia. The objective of the study was to find out the perceptions and interests of final year male medical students in OBGYN.
Methods
This study was survey based cross sectional study on final year male medical students in King Saud bin Abdulaziz University for Health Sciences (KSAUHS), Riyadh Saudi Arabia in February 2016. The questionnaire was validated, and a Cronbach alfa reliability test was 0.778.
Results
A total of 84 questionnaires were returned with 92 % response rate. 18% of all male medical students think OBGYN is a socially accepted specialty, and 32% think it is a boring specialty. Only 4 students (4.8%) were interested in OBGYN. Those interested perceived OBGYN as an advanced specialty (P= 0.036). Half of the students interested were married compared to only 5% marital status in those not interested in OBGYN (P=0.001). 88% of students who haven't in rotated in OBGYN think it is boring, while 52% of students who rotated in OBGYN don't think so (P=0.01).
Conclusion
The number of male medical students interested in OBGYN isn't increasing. In order to increase the number of obstetricians and gynecologists and improve health care, public awareness about the fact OBGYN needs male physicians should be raised.
Biography:
Samina Khalid currently working as Medical Director at Departmnet of Gynecology, Shifa International Hospital , Pakistan
Abstract:
Intrauterine insemination is an affordable and effective first line treatment in patients, who require artificial reproductive techniques. The success rate of IUI worldwide is 15-18%. At Friends IVF, we have tried to improve the percentage of success rate by strictly adhering to the pre-requisites for IUI and careful and intelligent selection of couples. A study was carried out at Friends IVF, that included the patients having Male Infertility mostly. Sperm count in final preparation made for IUI can be increased multifold by certain lab techniques. In few of the samples, the sperms swim up not only in Sperm Wash but also in Normal saline. Using normal saline in such patients can reduce the cost of IUI substantially. In few of the samples, sperms do not swim up, in those cases only Sperm wash or Gradient can be used. Natural Cycle stimulation or Clomiphene Citrate was used in most of the cycles, In few patients pure FSH was given.
Shaheena Salman Alwani
Aga Khan University Hospital , Pakistan
Title: Enhancing Breastfeeding Practices of Newly Mothers through Postnatal Education Programme
Biography:
I Shaheena Salman Alwani got enrolled in BScN in year 2001 and completed it in 2005 from Aga Khan University Hospital Karachi Pakistan. Worked as bed side staff and team leader from 2005-2007 in Obstetrics , Gynaecology and Well- Baby Nursery . On Sep 17th, 2007, I accepted the challenge to groom professionally and selected as Head Nurse of Obstetrics , Gynaecology and Well- Baby Nursery (general, semi-private and Special care Units; 55 bedded unit and 40 babies max. in a shift).
Abstract:
The nursing mothers are the most valuable source in the provision of nourishment to the newborns. Breastfeeding practices are so traditional, yet the knowledge, attitude and practices vary among different cultures. Therefore, nurses’ role in exploring family values and believes in regards with the practices involved in post natal care emerges. A new mother’s apprehension, fear, queries, believes related to the post natal care and overall health is taken care by nurses.
Biography:
Dr. Aimun AE. Ahmed (B. Pharm., M. Pharm., Ph.D.). In July 2001, he obtained his B. Pharm. degree in Pharmacy, Khartoum University. July 2006, he obtained his M. Pharm. degree from University of Khartoum. April, 2012, he gained his PhD. degree in at Szeged University, Hungary. He Headed the Department of Pharmacology, Faculty of Pharmacy, Omdurman Islamic University; (2012- 2015). 2015 joined the Faculty of Medicine, Al Baha University, KSA as assistant professor of Pharmacology.
Dr Haitham M. El Bingawi. Clinical MD, MRCP, MMEd (Dundee), DTM&H, MBBS. Is an associate professor in Internal Medicine and Medical Educationalist at the University of Al-Baha, since 2012. He has experience in Clinical Internal Medicine, Tropical Diseases and Medical Education, including curriculum and course design. He leads a number of courses within the undergraduate medical curriculum at the University of Al Baha. He also, co-leads Internal Medicine teaching and its integration in the curriculum. He has been a winner of a number of awards.
Dr Mahadi Abdellatif Mohammad Bashir (MD Ophthalmology) obtained his M.B.B.S degree, Kordofan University, Sudan. He obtained his Clinical MD degree from SMSB. Sudan 2007. He gained ICO fellowship subspecialty in Pediatric Ophthalmology and Strabismus from GOSH (Great Ormond Street Hospital for children), London, UK in 2013. He was assistant professor of Ophthalmology in Bahr Algazal University, College of Medicine. Sudan and Senior Ophthalmology Consultant, West Darfur State, Sudan. He is an assistant professor of Ophthalmology, Faculty of Medicine, Al Baha University.
Dr Elbadry is assistant professor of pathology department faculty of medicine Albaha university – Albaha, Saudi Arabia since 2013. He Teaches medical students courses in pathology as well as laboratory sciences and improves their academic and practical attainment. He is interested in cancer research specially researches in triple negative breast cancer and tumor suppressor genes.
Dr. Elbadry is a member of international academy of pathology – Arab division and Sudanese association of pathologists.
Abstract:
Workshop objectives:
-To familiarized the participants with a famous citation management program.
-To develop skills necessary for using such software to build own library
-To develop skills necessary for using such software to write scientific reports such as thesis, dissertation, proposal, article … etc.
-To jump over the hardest challenge part in scientific writing (citations).
-To let participant cope with surroundings resources and saving time and efforts.
Haitham M. El Bingawi, Aimun AE. Ahmed
Al- baha University, KSA
Title: Evidence Based Clinical Practice (EBCP) for Health Care Professionals
Biography:
Dr. Aimun AE. Ahmed (B. Pharm., M. Pharm., Ph.D.). In July 2001, he obtained his B. Pharm. degree in Pharmacy, Khartoum University. July 2006, he obtained his M. Pharm. degree from University of Khartoum. April, 2012, he gained his PhD. degree in at Szeged University, Hungary. He Headed the Department of Pharmacology, Faculty of Pharmacy, Omdurman Islamic University; (2012- 2015). 2015 joined the Faculty of Medicine, Al Baha University, KSA as assistant professor of Pharmacology.
Dr Haitham M. El Bingawi. Clinical MD, MRCP, MMEd (Dundee), DTM&H, MBBS. Is an associate professor in Internal Medicine and Medical Educationalist at the University of Al-Baha, since 2012. He has experience in Clinical Internal Medicine, Tropical Diseases and Medical Education, including curriculum and course design. He leads a number of courses within the undergraduate medical curriculum at the University of Al Baha. He also, co-leads Internal Medicine teaching and its integration in the curriculum. He has been a winner of a number of awards
Abstract:
Evidence-based clinical practice (EBCP) is an approach to health-care practice that explicitly acknowledges the evidence that bears on each patient management decision, the strength of that evidence, the benefits and risk of alternative management strategies, and the role of patients' values and preferences in trading off those benefits and risks.
Aim:
1.To help participants advance their skills in critically appraising the literature
2.To help participants advance their skills in incorporating EBM in clinical decision making.
Biography:
Author : M Othman is an assistant Professor of Obstetrics and Gynaecology in University of Al-Baha, College of Medicine, Saudi Arabia. He finished his Bachelor degree in Medicine and Surgery from King Abdulaziz University, Jeddah, Saudi Arabia. He has completed his PhD from University of Liverpool, United Kingdom. He has published three books and more than 42 papers in reputed journals and has been serving as an editor and referee of More than 32 medical publications and databases.
Abstract:
Bowel perforation has been described following caesarean section. Ogilvie’s syndrome and paralytic ileus are the two most common causes of functional bowel obstruction.
We report here a case of ogilivie’s syndrome. Unfortunately, surgical intervention was late and patient died.
Cecal perforation is a rare postoperative complication after a Caesarean section. Early identification is critical for successful treatment of these patients. If a postoperative patient presents with features consistent with a bowel obstruction, prompt imaging should be performed in order to aid early diagnosis and intervention. Abdominal ultrasonography is of limited value in detecting intraluminal colonic neoplasms. Large bowel obstruction should be treated with urgency to avoid cecal perforation.
Biography:
Presenters : Raad Jomaan alghamdi, Omair Mohammed Saad alghamdi, Anas Ali Ahmed Alzahrani, Saeed Ali Saeed Alzahrani, Saleh Othman Saleh Alghamdi, Abdulrahman Hamed Ali Alghamdi, Ahmad Saad Raddah Al-Omari
Abstract:
Intrathoracic goiters are usually located anteriorly, in the superior or anterior mediastinum, and are termed substernal or retrosternal goiters. Posterior mediastinal goiters are rare, about 10% of all intrathoracic goiters. Patients with retrosternal goiter usually have a visible or palpable cervical mass. In addition, tracheal deviation may be present with compression symptoms.
Posterior mediastinal goiter with mediastinal compressive symptoms is an indication of surgery. Lateral thoracotomy is an alternative approach for intrathoracic goiter extending into the posterior mediastinum.
We report a case of 75 years old gentleman, referred with right neck swelling, difficulty in swallowing and breathing and changes of voice. Total thyroidectomy was performed. Histopathology report showed multi nodular goiter with no evidence of malignancy. This patient had both types of extension. Both were delivered successfully through a classic neck incision without sternotomy or combined cervicothoracotomy. It would be reasonable to consider surgical management for such symptomatic goiters if there were no contraindications.
Biography:
Dr Ahmed Alkhalaf is associate fellow of the American psychological association and the British psychological society. He is Assistant Professor of Behavioural Sciences & Clinical Health Psychology at the Faculty of Medicine, Albaha University, Saudi Arabia. In 1996’s he studied psychology at King Saud University. He worked in a community mental health setting in Alamal Complex for Mental Health in Dammam, Saudi Arabia. He completed MSc in abnormal and clinical psychology at Wales University & doctorates in clinical health psychology at the University of Plymouth. Dr Ahmed is a leading expert on Cognitive behavioural therapy (CBT) & Communication skills.
Abstract:
This workshop will help you teach participants how to:
- Identify common communication problems that may be holding them back
- Develop skills to ask questions
- Learn what their non-verbal messages are telling others
- Develop skills in listening actively and empathetically to others
- Enhance their ability to handle difficult situations
- Deal with situations assertively
Session One: Course Overview
Session Two: Creating Positive Relationships
Session Three: Growing Our Self-Awareness
Session Four: Communication Basics
Session Five: Communication Barriers
Session Six: Asking Questions
Session Seven: Listening Skills
- Family Planning | Menopause | Infertility | Health Related Behaviour in Women
Location: Salon I
- Family Planning | Menopause | Infertility | Health Related Behaviour in Women
Location: Salon I
Chair
Fadia Altairy
Henry Ford Health System, USA
Co-Chair
Ahmed AL-Ghamdi
Al-Baha University, KSA
Session Introduction
Ahmed Hassan AL-Ghamdi
Al-Baha University, KSA
Title: Mullerian defect type one; case report
Biography:
Ahmed Hassan Saeed AL-Ghamdi obtained MBBS from King Khalid University, KSA in 2005. He served as a Vice Dean for hospital affairs in 2015, as a Head, Lecturer and demonstrator of pediatric department and Assistant Professor of pediatric endocrinology at Faculty of medicine, Albaha University, KSA. He has obtained Saudi fellowship in pediatric endocrinology and diabetes, KSA in 2014. He has published 4 papers in reputed journals
Abstract:
A Mullerian abnormality encompasses a wide range of systemic abnormalities which throws a real challenge to the gynecologists for chalking out the appropriate strategy for their diagnosis and management. The most basic classification of Mullerian duct defects consists of agenesis and hypoplasia. Mullerian abnormalities are often associated with other systemic abnormalities. In the reported case, we describe a 17 years old Saudi female present with history of primary amenorrhea with normal breast development and normal female external genitalia. Laboratory confirmed normal female sex (46XX) and normal hormonal assay. Radiological studies showed that she had no uterus. Normal ovary with pelvic kidney diagnosis of Mullerian defect type-one was given.
Mitra Tadayon
Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Title: Association Between Perceived Social Support and Depression in Postmenopausal Women
Biography:
Mitra Tadayon is a Master of Midwifery and is graduated from Iran University of Medical Sciences, Tehran. She is a faculty member of Reproductive Health Promotion Research Center and menopause and andropause research center.
Abstract:
Background: The most common symptom in early menopausal women is depression. Depression is a type of chronic disease that impacts on postmenopausal women’s life. Social support plays a protective role for women and enables them to solve their life problems and thus, feel less depressed.
Objectives: We assessed depression as a chronic disease and evaluated the association between perceived social support and depression in postmenopausal women.
Patients & Methods: This correlation-analytic study was conducted on 321 postmenopausal women using 2-stage cluster sampling in Ahvaz in 2014. Data collecting instruments were comprised of a demographic questionnaire, a depression scale (Beck Depression Inventory-II), and a social support questionnaire (PRQ 85-Part 2). Data analysis was done using SPSS, version 20. The Spearman correlation coefficient was used to evaluate the relationship between perceived social support and depression, and the χ2 test was employed to assess
the relationship between perceived social support and demographic characteristics.
Results: The Spearman correlation test revealed a significant reverse relationship between perceived social support and depression (r=-0.468; P=0.001). There were significant relationships between perceived social support and some personal variables such as marital status, education level, and job status (P<0.05). However, there were no significant relationships between perceived social support and some other personal characteristics such as income and ethnicity (P>0.05).
Conclusions: We found a reverse relationship between perceived social support and depression in postmenopausal women.
Lamia M. Aljaiar & Fadwa M. Alahmadi
Madinah Maternity and Children Hospital, KSA
Title: Bakri balloon for the management of placenta previa
Biography:
Dr Fadwa is a Saudi Board legible department of Obstetrics and Gynecology. Currently working in Madinah maternity and children hospital (MMCH). She graduated from faculty of medicine and surgery on 2008.
Dr Lamia is a Consultant Obstetrician and Gynecologist working in Madinah maternity and children hospital. She is the supervisor of Obstetrics and Gynecology departments allover Madinah Area. She is the assistant supervisor of Obstetrics and Gynecology training program. She was graduated with MBBS in 1992, Ireland Diploma in Obstetrics and Gynecology 1996, and Arab Board in Obstetrics and Gynecology (CABOG) in 2000. She is a member of Saudi Committee of Breast cancer and Protection against Domestic Violence Committee.
Abstract:
Introduction; Placenta previa is frequently associated with severe obstetric hemorrhage. Bakri balloon was used for the first time in 1992, and was approved as one of the primary support tools in treating PPH.
Objective; To evaluate the outcomes of uterine tamponade using a Bakri balloon for management of placenta previa during caesarean deliveries.
Methods; This is a retrospective study carried out in Maternity and Children Hospital (MCH), Madinah, Saudi Arabia, from September 2012 to September 2015. Outcomes include demographic characteristics of the participants, need for blood transfusion, failure of the balloon, need for further management, duration the balloon kept in, obstetric complications, neonatal morbidity, hospital course post-operative, follow up and progress afterward.
Results; Total number of placenta previa patients 225, of these 164 were operated, while, 47 were transferred to higher medical centre. Added to that, 14 patients were discharged against medical advice. 13 Bakri balloon were inserted intraoperative.
Conclusion; Bakri balloon was more effective in controlling bleeding and was associated with less maternal morbidity and mortality than not using the balloon.
This is the only study in the Middle East which study Bakri balloon for the management of placenta previa.
Biography:
Aziz Abaid Aziz Al-Sohaimi is an Assistant Professor of dermatology at Al-Baha University KSA. He has Saudi, Arab and Jordanian board of dermatology. He published more than 6 cases in dermatology. He is interesting in dermatopathology as well as dermatological surgery.
Abstract:
Polymorphic eruption of pregnancy is an itchy, bumpy rash that starts in the stretch marks of the abdomen in the last 3 months of pregnancy then clears with delivery. It is also called PUPPP or Pruritic Urticarial Papules and Plaques of Pregnancy. Polymorphic eruption of pregnancy is thought to be related to stretching of the skin on the abdomen. Somehow the rash develops as a sort of "allergy" to the stretch marks and spreads elsewhere on the body. Supporting the stretch mark theory are the following observations: Most cases begin in the last 3 months. Polymorphic eruption of pregnancy is most common in a first pregnancy, when the abdomen is tightest. The rash usually starts around the umbilicus where stretching of the abdomen is greatest. On average, patients with polymorphic eruption of pregnancy have greater weight gain, babies that are heavier than normal and an increased chance of having twins. Small, pink, raised spots (papules) appear in the stretch marks around the umbilicus. There is often a pale halo around the papules. PUPPP is very itchy (pruritic) and patients find it difficult to sleep at night. Treatment of polymorphic eruption of pregnancy: Emollients (moisturizers) applied liberally and frequently as required. Topical steroids applied thinly twice daily to the red itchy patches. Antihistamines - conventional antihistamine tablets appear safe in late pregnancy.
Fahad Ali Abdullah Dokhaikh
Al-baha University, KSA
Title: Rate of pregnancy induced hypertension in Baljurashi General Hospital, Al-baha area, Saudi Arabia
Biography:
Presenter :
Fahad Ali Abdullah Dokhaikh, Al-baha University, KSA
Mohammed Abo-Baker Hasan Bulkheir, Al-baha University, KSA
Abdulrazaq Oudah Shaker Alzahrani, Al-baha University, KSA
Osama Hamdan Ahmad Alhebby, Al-baha University, KSA
Fawaz Ayedh Fawaz Alghamdi, Al-baha University, KSA
Abstract:
Rate of pregnancy induced hypertension in Baljurashi General Hospital, Al-baha area, Saudi Arabia
Poorandokht Afshari
Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Title: The effects of infertility on sexual satisfaction and performance
Biography:
Poorandokht Afshari is the Master of Midwifery, graduated from Shahid Beheshti University of Medical Sciences, Tehran and faculty member of Reproductive Health Promotion Research Center and menopause and andropause research centre. Her research field includes women's reproductive health and sexual health over 19 articles published in international journals.
Abstract:
Introduction: Infertility can be considered as a crisis in a marriage. The stress of infertility can harm marital relations and decrease in marital satisfaction and the quality of life. The aim of this study is to determine the relationship between infertility and was conducted with the consent and sexual function in infertile couples.
Materials & Methods: This study was a historical cohort study. Where 200 couples (400) divided infertile and infertile groups were studied. They had no physical illness or mental health problems. The data collected tools includes, general information form, Female Sexual Function Questionnaire (FSFI), male sexual function questionnaire (IIEF) and Larsson Sexual satisfaction questionnaire.
Results: In fertile couples, the average age of women were 30.18 and 33.56 years for men and in fertile group the average age of women were 30.06 and 36.71 years for men. The two groups were matched in terms of demographic indicators. The cause of infertility in 42.5% is due to male factor. Sexual function in infertile women is better than fertile women and the statistical difference was significant (p=0.001). Male sexual function in infertile men was better than fertile men but it was not statistically significant. Sexual satisfaction was similar in both groups.
Conclusion: It seems that infertility does not affect the sexual satisfaction and function in infertile couples. So do intervention studies and development of various programs of support and counseling for couples is useful.