ABSTRACT
To evaluate ultrasound guided cyst aspiration in the management of painful simple ovarian cysts, and also to evaluate the risk and complications associated with this procedure. This is a prospective study of 45 single women attending gynecological outpatients' clinic with painful simple ovarian cysts during a period of two years between 2009 and 2011 at Prince Rashid Bin-Al-Hassan Military hospital, Jordan. Cytologic examination was performed in all cases. The outcome was resolution or persistence of cysts. Follow up was performed after 1 and 3 months. Out of 45 patients who successfully underwent aspiration, all experienced relief from symptoms immediately after aspiration. At follow up, overall cyst resolution was observed in 39 out of the 45 patients [86.7%] and symptoms persisted in 6 [13.3%]. The cyst size was statistically significant factor in the persistence of the cyst [P < 0.05]. No evidence of malignancy was reported in the cytologic examination in any of the patients. No major complications were observed in our study. Ultrasound-guided cyst aspiration is a very simple, quick, and safe procedure, which can achieve complete ovarian cyst resolution and is an alternative to surgery
ABSTRACT
To study the value of a history of previous urinary tract infection, and presena of asymptomatic bacteriuria in antenatal prediction of urinary tract infection in pregnancy. A total number of 1420 pregnant women were included in our study, at King Hussein Medical Centre Between 1997-2000. The records of all patients were reviewed, and results for significant bacteriuria were noted together with any previous history of urinary tract infection. The prevalence of urinary tract infection was detected clinically and bacteriologically according to the presence or absence of asymptomatic bacteriuria and previous history of urinary tract infection. A total number of 1420 pregnant woman were involved in this study; All were screened for the presence of bacteriuria and a previous urinary tract infection. About 9% had significant bacteriuria, and 17% had a previous history of urinary tract infection. Around 22.5% of bacteriuric-positive women had a previous history, compared to about 16% of a bacteriuric-negative group. Twelve present of the women with a previous history of urinary tract infection had asymptomatic bacteriuria, compared with 8.5% in those without a prviouse history. The overall incidence of urinary tract infection in pregnancy was about 3%. Urinary tract infection occurred in 12.4% of bacteriuric-positive women, compared with about 2% in bacteriuric-negative group. A bout 63% of women with urinary tract infection were not predicted by the bacteriuric screening. Urinary tract infection in pregnancy developed in about 8% of women with a previous history, compared with about 2% in those without a previous history. Fifty seven percent of women with urinary tract infection were not predicted by a previous history screening method. The use of both screening methods would predict only 7 of the 44 [15.9%] women with urinary tract infection. Prediction of urinary tract infection by bacteriuria testing is unsatisfactory. A combination of both asymptomatic bacteruria and a previous history of urinary tract infection signify a considerable risk
Subject(s)
Humans , Female , Urinary Tract Infections , PregnancyABSTRACT
To compare the effect and side-effects of intramuscular syntometrine and syntocinon in the management of the third stage of labor. Five hundred eighty-three women with a singleton pregnancy and normal vaginal delivery were randomly allocated to receive syntometrine [n=293] or oxytocin [n=290] at Queen Alia Military Hospital between 1° February 30th April 1997. The rate of postpartum hemorrhage and side effects of syntometrine and oxytocin in the two groups were statistically compared using chi-square test. No statistical significant difference was found between both groups, for postpartum hemorrhage at the end of 2nd and 3rd stage of labour. However, there were significant statistical differences in the incidence of side effects [Nausea, vomiting, hypertension] at the end of 2nd and 3rd stage of labor between both groups. Intramuscular Oxytocin is equally effective to intramuscular syntometrine in prevention of post-partum hemorrhage, but carried less side effects and complication in comparison to intramuscular syntometrine