Causes and Management of Recurrent Pregnancy Loss, a Review

Recurrent Pregnancy Loss (RPL) is defined as two or more consecutive failed clinical pregnancies verified by ultrasound or histopathology. It is an important reproductive health issue, affecting 2%–5% of women. Up to one half of all cases of RPL have no identifiable cause. Etiology of the RPL is linked to several genetic, environmental, endocrinal, and anatomic factors which all will be discussed in this article. Treatment of RPL depends on the underlying cause behind it, and thus diagnosis and identifying of such factors plays major role into treating it. Lifestyle changes also is encouraged. Stress, smoking, drinking cessation, and weight loss can be all helpful. In this article we’ll be looking at RPL causes, and management.

Experience of Gender-based Violence by Internally Displaced Women in Southern Nigeria: A Cross-sectional Study

Gender-based violence (GBV) is a reproductive health issue prevalent among persons in conflict and post-conflict situations, but is largely under-reported in Nigeria. Although GBV affects both sexes, the prevalence is higher in women as compared to men. The objective of this study was to assess the experiences of female internally displaced persons (IDPs) in Nigeria during conflict and post-conflict situations. The study was conducted among IDPs in Edo State, south-south region of Nigeria. Data were collected with a semi-structured questionnaire administered on 300 female IDPs. Descriptive and inferential analyses were conducted. GBV perpetrated by non-family members during conflict was experienced by 22.2% of the respondents while 13.5% experienced post-conflict violence. Up to 12.2% reported violence by intimate partners. Physical violence was commonly experienced during conflict, while sexual violence was most common post-conflict. Logistic regression analysis showed that the vulnerable categories of women were adolescents, unmarried women, women of Hausa origin, women who never attended school, and those whose displacement took place in the year prior to the study. The IDP camp appeared to offer some protection against GBV as those who had stayed in the camp longer were less likely to experience post-conflict GBV. The lack of implementation of effective laws and regulations that prevent violence against women and punish perpetuators in the country, and the ineffective security systems are some of the factors that sustain GBV. The results of this study have implications for the design of programs for the prevention of GBV during conflict and post-conflict situations.

Hereditary risk factors for uterine leiomyoma: a search for marker SNPs

Uterine leiomyomas are a worrying reproductive health issue that has serious social implications. The aim of this study was to conduct a search for marker single nucleotide polymorphisms (SNPs) associated with uterine leiomyoma. To test the hypothesis about the contribution of genetic predisposition to the pathogenesis of myomas, the initial group of 100 patients with a verified diagnosis of uterine leiomyoma was divided into 2 subgroups: subgroup Ia (women with a family history of the disease) and subgroup 1b (women with no family history of the disease). The control group consisted of 30 postmenopausal patients who did not have a medical history of uterine fibroids and denied uterine fibroids in their close female relatives. DNA sequences were read using Sanger sequencing. Statistically significant differences (p < 0.05) were discovered between the analyzed groups in terms of genotype frequencies for rs12637801 and rs12457644. Also, previously unknown protective SNPs were identified whose rare alleles could predict the reduced risk of uterine leiomyomas.

Review of Policy-Oriented Research on Maternal Mortality

<p>Maternal mortality remains an unresolved critical issue. This condition indicates that women’s reproductive health rights has not yet been fulfilled. Maternal mortality occurs due to medical and non-medical factors. Even though a small amount of those deaths still happens due to unpreventable causes, however, most of those deaths could have been prevented and avoided. Government efforts to address the problem of maternal mortality are carried out through various policies that focus on medical factors and through programs aimed at increasing the coverage and quality of maternal health services. On the other hand, other factors such as social economic and cultural are being neglected. A review of researches on the theme of maternal mortality found various factors that contributed to the causes of maternal mortality such as socio-cultural barriers that limit women’s access to health, ranging from poverty, geography and local culture. Unmet need for contraception in family planning program, adolescence reproductive health issue that still hasn’t been addressed in a serious and comprehensive manner, as well as unsafe abortion are the key underlying causes of maternal mortality.</p>

The prospective study of laparoscopic finding in infertility cases

Background: Infertility is a global reproductive health issue that affects many individuals and family. The aim of the present study was to evaluate the laparoscopic finding in infertility cases.Methods: Present study is a prospective study on laparoscopic evaluation of female infertility at Panna Dhai Mahila Chikitsalaya, Udaipur, Rajasthan, India. This study was done for the duration of one year from January 2017 to December 2017. Present study included total 100 cases randomly selected attending OBG OPD with both primary and secondary infertility.Results: Out of 100 cases infertile women 62 cases (62%) were of primary infertility and 38 cases (38%) were of secondary infertility. The mean duration of infertility was 3.7 years. Laparoscopic finding were as follow 42% had polycystic ovaries, 33% women had tubal pathology diagnosed on laparoscopy in which 22 women had tubal blocks diagnosed on chromopertubation and among them 19 had cornual block and 3 had ampullary block ,11% uterine finding and 7 women had adhesions in the pouch of douglas and one women had obliterated. About 20 women (20%) conceived during the period of study. Seven women had post laparoscopic complication two women complained of shoulder pain and another four of abdominal pain post operatively.Conclusions: Laparoscopy is the gold standard for diagnosing tubal factors, peritoneal factors, endometriosis and adhesions, because no other imaging technique provides the same degree of sensitivity and specificity and it should be considered in infertility workup for early treatment decision.

SUCCESSFUL PREGNANCY OUTPUT IN A CASE OF RECURRENT PREGNANCY LOSS BY AYURVEDIC ANC MANAGEMENT- A CASE STUDY

Recurrent Pregnancy Loss is an important reproductive health issue, “Garbha stravi vandhya” is a term used in ayurvedic Samhita’s for recurrent habitual abortion in first trimester. Recurrent pregnancy loss also defined as recurrent miscarriage is historically defined as sequence of three or more consecutive spontaneous abortions before 20weeks. Some however Consider Two or more as standard. It may be Primary or secondary. (Having previous viable birth) This distressing problem is affecting approximately 1% of all women of reproductive age. The risk is increased with each successive abortion reaching over 30% after 3 consecutive cases. In this case Study, Interpretation of case is done on basics of ayurvedic diagnostics parameters and management is designed according to that. So Pachan and antenatal dilatory regimen with ayurvedic medicine where planned. During antenatal period combination of herb Suvarana kalpa, different types of medicated ghruta, Masanumasik Kashaya where used. There was uneventful antenatal period, Cesarean section was done. female baby with 3.3 kg was born. There was no any Neonatal complication. KEY WORDS: Recurrent pregnancy loss, Habitual abortion, Spontaneous abortion

The Phenomenon of Sexual Intercourse in Women Premenopausal In Makassar City

Sexual dysfunction in women is an important reproductive health issue as it relates to the survival of a woman's reproductive function and has a major impact on the harmony of marital relationships. The purpose of this study was to determine the effectiveness of Belle Vie Transfer Factor on Sexual Dysfunction in Premenopausal Women in Makassar City. The research method is qualitative with phenomenology approach. Based on the research, there were 6 people who consisted of 4 people The results showed that the sexual dysfunction experienced by the informant did not make the mother to stop consuming TF belle vie because according to the informant although in the use of TF belle vie sometimes make the passion decrease did not dampen his desire to use TF belle vie consumption TF belle vie used informant is in accordance with their wishes -something. There are also informants who say that TF belle vie is good for use especially premenopausal women, but basically, all informants using TF belle vie receive well despite complaints such as sexual dysfunction. It is expected that the health officer in charge to improve the performance and attention in giving counseling especially about the use of TF belle vie

Kebijakan pelayanan kesehatan reproduksi bagi perempuan penyandang disabilitas dalam rangka pencegahan kekerasan seksual

The issue of women with disabilities is still rarely studied and published in the community, especially the issues of sexual violences for women with disabilities. This study provides a recommendation for both central and local governments (especially in East Java) to accomodate reproductive health services for women with disabilities. Since The Convention on the rights of persons with disabilities through the Law no.19 in 2011, the government have not taken any significant action. Therefore, it is necessary to establish a more implementative model policy for the community. The purpose of this research acts as a reference to make an effective, efficient, and right-on-target reproductive health policy. The recommendation made in this study is expected to be a reference for various parties, including the government, in order to design a more concrete and proactive steps to overcome reproductive health issue for women with disabilities in Indonesia, and also to build strategies which unite communities with different backgrounds. In order to obtain empirical data and information, this study used descriptive research with qualitative approach. Several steps taken are (1) determining the location of the study purposively in 33 sub-districts of Malang regency: in clinic, health, education, and social department, boarding school, Bhakti Luhur, P2TP2A, and local NGOs. Malang regency is chosen because (a) it is the only city which starts concerning sexuality and reproductive health of women with disabilities issues; (b) The sex ratio in 2010 was around 98,78%, which means that the number of females is significantly larger than males. As seen from the population density of 33 sub-districts of Malang, the majority of women has high density above 2000/km². It implies that poverty is mostly suffered by women; (c) the number of reproductive health issues for women with disabilities is quite a lot, because it is regarded as a taboo. (2) Data Collection: (1) observation and (2) indepth interview, (3) informants, (4) data analysis. The result of this study indicates that there are still a lot of women with disabilities who do not understand about taking care of their reproductive organs, and thus impacting their health. The control over their reproductive organs is still low, which makes many of them suffered from sexual violences that lead to unwanted pregnancies. Some cases found during the study show that women with disabilities who become sexual violence victims did not get proper justice, because their statements are not legally accepted, and it is also reinforced by the communities’ stigma which calls person with mental disabilities as a psycho.