Day 3 :
Keynote Forum
Mohammad Othman
Al-Baha University, KSA
Keynote: Is it five years long scar dehiscence or uterine rupture case report and theory of occurrence
Biography:
Dr 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 52 papers in reputed journals and has been serving as an editor and referee of More than 32 medical publications and databases.
Abstract:
Cesarean section uterine scar dehiscence (CSD) is a rare but notable complication of Lower segment cesarean section (LSCS) surgery. Incidence of Uterine scar dehiscence irrespective of cause is around 0.6 % worldwide, but in fact the rate is 0.6% and 3.8%. Ofili-Yebovi et al found 19.4% patients who had undergone cesarean section surgery had a defect in their scars.
Uterine rupture is a rare complication of pregnancy potentially leading to severe maternal and fetal morbidity and mortality. Estimated incidence is 5.3 to 0.6 per 10,000 live births. The classical (vertical) scar at the upper part (body) of the uterus is more vulnerable to ruptures and can cause more serious complications both for the mother and her baby.
Both can present in multiple ways. The presentation may be silent in many, but may cause symptoms like dysmenorrhea, inter menstrual bleeding, irregular genital bleeding, chronic pelvic pain, dyspareunia and secondary infertility. During labor symptoms would include vaginal bleeding, sharp pain between contractions, abdominal pain or tenderness, recession of the fetal head, bulging under the pubic bone and onset of sharp pain at the site of previous scar.
Both can thence occur either immediately after childbirth or some may have presentation after about 2-4 weeks of delivery. Presentation can be with postpartum hemorrhage, endomyometritis and peritonitis. Once peritonitis occurs as a result, sepsis may ensue risking the life of the patient.
Keynote Forum
Mahadi Bashir
Al- Baha University, KSA
Keynote: Ocular trauma as a clue of women abuse in Darfur
Time : 09:25-09:50
Biography:
Mahadi 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.
Abstract:
United Nations defines violence against women as "any act of gender-based violence that results in, or is likely to result in, physical, sexual or mental harm or suffering to women, including threats of such acts, coercion or arbitrary deprivation of liberty, whether occurring in public or in private life. Apart from arguing of abuse out comes we try to put a new indicator for women abuse in war affecting areas, we think ocular traumas can be a good acceptable practical indicator for monitoring the level and type of violence toward women in all communities.
The study took place in west Darfur state, West Sudan, from 2010-2013 at the Eye teaching hospital. Data was collected by direct clinical examination and QR from 50 affected women above 18 years old attended or referred to the hospital, both
admitted and outpatient are included. 50 women participate in the study.
Violence against women in Darfur has a relation with illiteracy and level of education. Addiction and poverty has strong relation with women abuse. More efforts are needed to save women from violence. Social and financial support is mandatory. Social workers should be effectively implemented in clinical centres.
- 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.