ABSTRACT
Background: Endometriosis is considered the most common cause of pelvic adhesions in women. Endometriosis- associated adhesions could result in the formation of fibrous bands, which contain endometriotic glands, stroma and scarring. The aim of this study was to identify the impact of endometriosis-related adhesions on quality of life among infertile women
Materials and Methods: This descriptive study was conducted at Endoscopic Unit, in Zagazig University Hospitals, Egypt. Oral consent for participation in this study was taken from 109 women who were candidates for laparoscopy as infertile cases and were diagnosed with endometriosis. They were classified into two groups namely, group I [n=41] who had endometriosis with adhesions and group II [n=68] who had endometriosis without adhesions. A structured interviewing form, adhesion scoring method of the American Fertility Society, and Global Quality of Life Scale were used to collect required information
Results: The prevalence of adhesions resulted from endometriosis was 37.6%. Demographic characteristics of the women with endometriosis-related adhesions were not significantly different from those of women without endome- triosis-related adhesions. The most common location for endometriotic adhesions was adnexal adhesion [51.2%] fol- lowed by adhesion of anterior abdominal wall [24.4%]. Quality of life was significantly impacted by endometriosis- related adhesions [P=0.002]
Conclusion: A high percentage of studied patients had a moderate degree of adhesions. Adhesions caused by endo- metriosis had an impact on quality of life of the studied women
ABSTRACT
Hyperbilirubinemia is one of the most common problems in the neonatal period. Bilirubin encephalopathy continues to be an important cause of morbidity and mortality in newborn. The aim of this study was to determine the factors contributing to the readmission of the newborns with hyperbilirubinemia. The total sample included 150 newborns and their mothers. They were selected from the newborn department and high-risk units of Tanta and Zagazig hospitals. The study tools included a questionnaire sheet consisting of mothers and newborn characteristic, laboratory investigations and treatment done on readmission and discharge. Maternal Confidence skills scale was used. An observation sheet was adopted by using Brazelton neonate's behavior assessment scale [BNBAS]. Significant difference was found between the mean score of serum bilirubin level, behavioral state change and maternal confidence skills on readmission and discharge. Significant relation was found between the different characteristic of the newborns as gestational age, birth weight, age on readmission, behavioral state, as well as maternal confidence and serum bilirubin level on admission and discharge
Conclusion: the investigators could conclude that the common factors affecting serum bilirubin level in newborns include: first live birth, gestational age, birth weight, age on readmission, number of deliveries done in hospitals, behavioral state and maternal confidence. The risks for severe jaundice still represent an unresolved issue, which requires early follow up to prevent serious morbidity
ABSTRACT
Maternal infant Attachment is a cognitive and social process that develops through positive feedback and satisfying experiences. Bonding is a complex processes that develops gradually and is influenced by numerous factors, only one of which is the type of initial contact between the newborn and parent. This study was conducted to determine the relation between social support, maternal stress and maternal infant attachment Sixty five infants and their mothers were selected from the postpartum unit during the first day after delivery at Tanta and Zagazig University Hospitals with the following criteria: normal delively, normal births weights and without physical or genetic anomaly. The sample was selected from women admitted to the delivery unit. The study tools included a questionnaire sheet for the instrument Expressive Social Support Scale and Anxiety scales, as well as Anderson observation checklist for State Scale for Maternal infant Attachment. No significant difference was found between the mean score of anxiety level on admission and discharge. The relation between social support and Maternal Infant Attachment was statistically significant in all items except helding and reason for separation. Regarding the relation between maternal stress and Maternal Infant Attachment on admission, it was statistically significant in all items except held by mother, nurse, skin to skin and another; while on discharge, the relation was statistically significant in all items except sleep and reason for separation
Conclusion: There is a need for a health education program for the mothers to reduce maternal stress and improving Maternal Infant Attachment