Obstetrics and Gynecology
Shahrzad Agha Amu; Fateme Silakhory; Setare Nassiri; Elham Saffarieh
Volume 5, Issue 1 , August 2020, , Pages 24-26
Abstract
Background & Objective: Spontaneous vulvar edema is not usual during pregnancy and can cause discomfort and anxiety for the patient. This is a serious situation that might be caused by some dangerous condition such as preeclampsia, diabetes vulvovaginitis, severe anemia, and neoplasms. The aim of ...
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Background & Objective: Spontaneous vulvar edema is not usual during pregnancy and can cause discomfort and anxiety for the patient. This is a serious situation that might be caused by some dangerous condition such as preeclampsia, diabetes vulvovaginitis, severe anemia, and neoplasms. The aim of this study was to evaluate and manage the vulvar edema.Case Report: In this case report we introduce a 22-year-old woman which is primigravia and have massive vulvar edema after Bronchitis and influenza at 17 weeks’ gestation. After using oseltamivir, the patient showed progressive edema during 4 hours. Her symptoms were including edema and pain in labia, then she was treated with Dexamethazone and the edema disappeared after 5 days. Conclusion: Vulvar edema is a critical situation during pregnancy that needs attention and should be treated carefully since it can cause pain and discomfort for the pregnant woman. Our experience in this case was treatment by corticosteroid that had good response.
Shapoor Shoja; Seyedeh Reyhaneh Yousefi Sharami; Shole Shahgheibi; Farnaz Zand-Vakili; Shamsi Zare; Daem Roshani; Nasrin Sofizadeh
Volume 4, Issue 3 , September and October 2019, , Pages 105-110
Abstract
Background & Objective: The induction of labor is needed to terminate pregnancy in pregnant women lacking labor pain. Common indications of labor induction include rapture of membranes without labor pain, hypertension, fetus’ unreassuring conditions and post-term pregnancies. The purpose of ...
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Background & Objective: The induction of labor is needed to terminate pregnancy in pregnant women lacking labor pain. Common indications of labor induction include rapture of membranes without labor pain, hypertension, fetus’ unreassuring conditions and post-term pregnancies. The purpose of this study is to compare and contrast vaginal misoprostol with Foley catheter in cervical ripening and the induction of labor.
Materials & Methods: This study was done on pregnant women who showed pregnancy termination indication for any cause, using randomized clinical trial method. Inclusion criteria in this study included gestational age equal to or greater than 37 weeks and ultrasonography of the first trimester, unfit cervix Bishop Score 1 equal to or less than 4, single-shot pregnancies, vertex display, intact membrane and the subject’s consent to participate in the research. Patients were divided into two equal groups of 60. Oxytocin was used for the induction of labor if the patient did not enter the active phase.
Results: In this study, the average age of women in Foley catheter group and misoprostol group were 27.03±4.04 and 26.85±3.49 respectively in which there was no meaningful difference statistically. However, the average age of women with cesarean delivery was statistically more than the average age of women with NVD. Bishop score 2 has demonstrated more increase in comparison to Bishop score 1 among Foley catheter group rather than misoprostol group. The average of labor speed, the number of women with NVD and the failure of induction in Foley catheter group exceeded those in misoprostol group.
Conclusion: According to the results gained in this study, Foley catheter application for induction of labor had better outcomes in comparison to vaginal misoprostol. It can even be a better alternative for vaginal misoprostol; hereby the side effects of misoprostol such as possible tachysystol and fetus distress can be prevented.