Studying the role of cervical injuries in the incidence of preterm rupture of membranes

Introduction : Premature rupture of membranes (PROM) occurs in 10% of pregnancies , while 3-5% of pregnancies are complicated with Preterm rupture of membranes (PPROM) . Aim : To study the role of uterine cervix injuries in PROM . Materials and Methods :This is a case-control retrospective study conducted at Obstetrics and Gynecology Department at Al-Assad and Tishreen University Hospitals , Lattakia , Syria , during the period between January 2015 – July 2017 . The case group consisted of 90 PROM patients with a history or a physical examination suggesting a cervical traumatic injury after exclusion the traditional risk factors of premature rupture of membranes, The control group consisted of 50 healthy pregnant women who successfully completed the pregnancy without PROM.

Healing the Abuse of Language in Judith Alexa Jackson‖s WOMBmanWARs and Robbie McCauley‖s Sally‖s Rape

This article explores contemporary plays by African American women and addresses their readings of physical and linguistic abuse in the discourse of racial and cultural diversity. The focal plays are Robbie McCauley‖s Sally‖s Rape (1989) and Judith Alexa Jackson‖s WOMBmanWARs (1992).

Application of Mie theory based electromagnetic scattering for differentiation between normal and cancerous cervical cells

This paper presents the application of electromagnetic wave scattering in human cervical cells. Particularly, studying the effect of morphological and physiological alterations on the properties of light scattering. Tissue alterations are caused by multi-grade dysplastic cervical cells and its internal structures.

Determinants of up taking the papsmear among women visiting outpatient clinic in hospital tishreen university

Cancer is generally causing a second death after heart and blood vessels in the developed countries diseases is cervical cancer, the second most common cancer among women in developed and developing countries and is considered the early detection of cervical cancer is a very important factor in the increase cure rate and the rate of survival, and the most important ways screening Pap smear to detect abnormal changes in cervical tissue and recommended to initiate it every three years for women in the age of sexual activity and is an easy and inexpensive and painless, and high sensitivity and contributes to reducing the burden treatment and reduce the deaths and morbidity rate., according to several studies there are many obstacles that prevent it, including the lack of information,, difficulty of access to hospitals, pain, cost, side effects, feeling of shame and embarrassment of procedure, lack of encouragement by the health team, or the husband, not feeling any symptoms paid to conduct the examination, and the fear of discovery of the cancer . the importance of this study was to find out the obstacles that limit the conduct smear screening in the Syrian society and propose appropriate solutions in addition to that not conducted any study in this area in Syria this research was conducted on a sample of 100 married woman of tishreen University Hospital in Latakia in manner convenient sampling. The results showed that the majority of respondents (80%) did not undergo the smear examination, and that the majority of the respondents (93.75%) who did not undergo the smear examination was due to the lack of women's problem to have, and it was the reason (75%) of cases they fear the cancer is detected and 85% of them feel ashamed and embarrassed of the vote and (12.5%) do not have the time to conduct and (62.5 %) they believe that the procedure is painless and (90%) was the lack of encouragement from the doctors and nurses and the proportion (87.5%) was the lack of information about the procedure, Therefore proposed design and implementation of educational programs about the importance , benefits and methode of screening.

Intraoperative and Postoperative Complications of Dilation and Curettage

Uterine curettage is considered the fundamental procedure in the treatment of abortions especially in complete and missed abortions in many counties despite the availability of many alternative methods to treat these cases. It is also widely used as a diagnostic means to diagnoses the endometrial abnormalities which cause abnormal uterine bleeding. This research aims to figure out complications rate which occur during uterine curettage and the subsequent complications rate and to identify the most important causes of them for the purpose of knowing the efficiency and the safety of the diagnostic and therapeutic uterine curettage.

Causal study of the postpartum hemorrhage after vaginal delivery

This research was conducted to study all the causes leading to postpartum hemorrhage in order to implement all the appropriate treatments, according to all reason and thus avoiding the complications of postpartum hemorrhage and death, and study of the risk of bleeding factors in order to reach the best method of prevention of bleeding . This research included on 77 patient acceptable in Al Assad University Hospital in Lattakia, with primary postpartum hemorrhage occurred after vaginal delivery, including (12) patient after vaginal birth outside the hospital, during the extended study period: from 1/1/2014 until 1/1 / 2016, and excluded all patients who were born cesarean delivery. We determine the percentage of postpartum hemorrhage occurring between vaginal deliveries in the hospital, and the ratio was (3.52%), and we could not determine this percentage outside the hospital.

The Relationship between early marriage (early onset of sexual activity) and cervical diseases

The research was conducted in the department of obstetrics and gynecology at Al-Assad university hospital in Lattakia in the period between (1/1/2014) – (30/6/2015). The study included (100) patient, who submitted to colposcopy and Papanicolaou smear to detect the effect of early marriage (early onset of sexual activity) on colposcopic and cellular finding in cervix . The results in (early married women) group (50) patient were compared to control group from patients who (not early married women)group (50) patient. We found that there was important difference in the rate of abnormal colposcopic findings : This rate in early married women was (26%) and in the second was (12%). We also found that there was important difference in the rate of abnormal cellular findings: This rate in early married women was (18%) and in the second was (8%). This assure the effect of early onset of sexual activity (early marriage) on colposcopical and cellular finding in cervix with assuring on the importance of frequent colposcopy and Papanicolaou smear test.

Study the impact of body mass index of colposcopic and cellular findings of the cervix uteri

As the prevalence of obesity has been increasing rapidly worldwide in recent times where became of the most important diseases of age and the most influential public health, where a second reason stainless prevention after smoking and leading to deadly diseases, where it proved its relationship with many cancers, especially cancers women such as cancer of the endometrine of the uterus and breast cancer, where one study showed that obesity increases the progression of a range of cancers also increase the proportion of morbidity and mortality resulting scientifically it is useful to highlight the impact of obesity on the cellular changes and cervical colposcopy. Research aim and justifications:To draw attention to the importance of obesity as a potential factor to cause cellular alterations in the cervix due to it being a factor can be prevented and thus emphasize the need to include obese within the league scanning programs. The absence of a similar earlier study in Assad University Hospital. Research methods and materials:Study 100 included sick of reviews the department of obstetrics and gynecology at the Assad University Hospital in Lattakia during the period between 01/01/2012 and 01/01/2014, where they were questioning the patients and record information on Bmhar body mass (weight, height) and did not study included patients smokers or users of oral contraceptives or devices within the uterus (IUDs) or pregnant women or women with frequent infections. Results : - The existence of consensus between the results of endoscopic magnifier of the cervix and cytological tests observed any that theory has not ignored any abnormal condition, with some cases of false positive and this goes back to that colposcopy is a diagnostic test depends on the evaluation of endoscopy specialist and his expertise in the interpretation of laparoscopic assets. - Also found consensus among the results of smear and cellular screening with the presence also some cases of false positive and this is due to not taking the biopsy directed properly, as is the smear relatively test depends on the estimation of anatomy specialist patients and the presence of abnormalities cell or to the extent this anomaly or for the possibility of error contained in the way sampling or sample installed. Conclusion:It turns out the study and depending on the value of the P value of a relationship between obesity and assets laparoscopic and cellular cervix and thus conclude that all of Stain and theorizing magnifier of the cervix and Sillete survey competently and are necessary can rely on them in the initial survey for cancerous lesions and pre-cancer of the cervix in women obese.

studying complications of the different routes of hysterectomy

Objectives: This was a prospective study, conducted to analyze the intraoperative and postoperative complications between abdominal and vaginal hysterectomy. METHODS: This study was carried out on 120 patients (85 cases abdominal and 35 cases vaginal hysterectomy),in the department of gynecology at Al-Assad university hospital in Lattakia in the period between 1/7/2013-1/7/2014. Results: the mean duration of surgery of abdominal hysterectomy was 103 min and that of vaginal was 91 min (p=0.0192). Wound infection was the main cause for febrile morbidity in abdominal hysterectomy group where as urinary tract infection was the main cause for febrile morbidity in vaginal hysterectomy. There was 3)3,5%(case of bladder injury and 2(2,8%) case of ureteric injury in abdominal hysterectomy group while none in vaginal hysterectomy group Postoperatively there was 3 (3,5%) cases of secondary haemorrage in TAH group while 1(2,8%) case in vaginal hysterectomy .there were 8 (9,4%) cases of paralytic ileus in abdominal hysterectomy while none in vaginal hysterectomy . Overall 45 (52.9%) cases of abdominal hysterectomy and 12 (34.2%) case of vaginal hysterectomy had complications (p=0.029). Conclusions: This study showed that vaginal hysterectomy was associated with less intraoperative complications and postoperative complications as compared to abdominal hysterectomy.

Prediction of preterm birth by estimating ultrasonographic cervical changes

The study is carried on 65 pregnant patients attending the outpatient clinics and inpatient department of Obstetrics and Gynecology of Al Assad University Hospital from February- 2013 until February- 2014. They were divided to three groups. The first is preterm labor with intact membranes (25 patients). The second is PROM (20 patients). The third one is control group (20 patients). All of them were submitted to ultrasonography to find cervical changes (cervical canal length and diameter of internal os in order to predict preterm delivery. Cervical canal length has a sensitivity of 91.43%, a specificity of 100%, a positive predictive value of 100%, a negative predictive value of 76.92%, and a relative risk (95% CI) of 4.33 (1.61-11.69) among patients with short cervical canal length and those with normal cervix. Diameter of internal os as a predictor of preterm delivery has a sensitivity of 60%, a specificity of 60%, a positive predictive value of 84%, a negative predictive value of 30%, and a relative risk (95% CI) of 1.2 (0.86–1.68).