Background: The aim of the current study was to describe the knowledge, attitudes, beliefs and behavior of pregnant women regarding sexuality during pregnancy. Study was carried out at Women’s Health Hospital, Assiut University, Egypt.Methods: A cross-sectional study included pregnant women at different gestational ages between December 2016 and Jun 2017 recruited consecutively at the antenatal outpatient clinic of women’s Health Hospital at Assiut University. We used the Arabic version of the Female Sexual Function Index (Ar-FSFI) in the interview to evaluate the sexual functions or problems during the last month. The cut-off score used to indicate sexual dysfunction was 28.1. The obtained data were analyzed by means of SPSS software (version 22.0) and p<0.05 was taken as the significant level.Results: The study included 140 pregnant women at different ages and trimesters and also at different socio-economic states. Concerning the level of knowledge, the classification in recorded a mean score =11.91±4.05 which revealed a level of knowledge below average. Regarding the extent of beliefs in relation to sexuality during pregnancy, the mean score=2.72 of the respondents’ beliefs means that the impact of the beliefs regarding sexuality during pregnancy was weak among respondents. On assessing their perceptions about sexual intercourse during pregnancy, majority of them [130 (93.1%)] felt that sex have no negative impacts on pregnancy while 10 (6.9%) opined that sex during pregnancy had negative effects. Perceived negative effects of sex during pregnancy included vaginal bleeding and miscarriage.Conclusions: The low rate of sexual activity in our study, regardless question about the taboo of sexual intercourse during pregnancy, could be related to a cultural background in which women avoid speaking about their desires and sexual needs.
Background: Fecal biomarkers (FCP) may be characterized by a superior diagnostic sensitivity as they are highly organ specific. Fecal calprotectin meets the criteria of a laboratory parameter suitable for the assessment of inflammatory bowel disease. Objective: To evaluate FCP levels in both preterm and full-term infants after start feeding and its relationship with the type of feeding, birth weight, and other clinical and laboratory parameters. Patients and Methods: This study was carried out at the outpatient clinic of the Pediatric Department Zagazig University Hospitals on 88 infants during the period from October 2016 to October 2017. Results: FCP levels increased in 100% of infants involved in the study after feeding. FCP levels have a wide range of variation from 82 to 425 µg/g before feeding and from 174 to 692 µg/g after feeding. A significant negative correlation between FCP levels before and after feeding with birth weight especially in the full-term group. A higher percentage of increase was observed in breastfeeding and ranged from 64.76 to 91.31%, while formula-fed feeding ranged from 39.09 to 84.94%. Conclusion: FCP levels increased in all infants after feeding with a wide range of variations with no differences between infants born vaginally or with C-section. The FCP levels increased significantly with breastfeeding than formula-fed feeding.
Background: Doppler velocimetry is the best method of surveillance for fetal hypoxemia during pregnancy. Cerebroplacental ratio (CPR), has been suggested as a useful clinical simplification. It is believed that the CPR better predicts adverse perinatal outcomes than its individual components and better than conventional anthropometric models. Therefore, the aim of this study is to evaluate the significance of the cerebroplacental 10th centile threshold measured weekly from 36 weeks of gestation till delivery as a screening test for prediction of need for Cesarean section for intrapartum fetal compromise and the adverse neonatal outcome in women with normally grown fetuses and uncomplicated pregnancy. Methods: This study was carried out on 40 pregnant women uncomplicated, singleton pregnancy with appropriately grown fetuses on clinical assessment. The last Doppler indices including cerebroplacental ratio measurement obtained before labor was reported. CPR values below 1.1 were reported as abnormal. Various studies have variably defined the threshold of abnormal CPR ratio as <1.08. Results: There was significant decrease in the Mean of CPR among patients who had anemia compared to those without anemia. In addition, there was no significant association seen between low CPR and having previous history of abortion or IUGR as well as being a smoker. There was no significant difference between cases who had normal and abnormal CPR regarding gestational age at delivery. There was no difference between cases who had normal and abnormal cerebroplacental ratio regarding mode of delivery. there was significant decrease in the prevalence of low birth weight among group who had CPR≥1.08. CPR <1.08 was significantly associated with neonatal complication like NICU admission, and neonatal death. There was no statistically significant relationship between cerebroplacental ratio and neonatal complication like IUFD, and neonatal sepsis. There was no statistically significant association between the mean cerebroplacental ratio and IUFD. There was statistically significant association between the mean cerebroplacental ratio and NICU. There was no statistically significant association between the mean cerebroplacental ratio and neonatal sepsis. The mean cerebroplacental ratio of 0.93± 0.22 has a significant association with neonatal death. Conclusion: A low cerebroplacental ratio reflects redistribution of the cardiac output to the cerebral circulation and has been shown to improve accuracy in predicting adverse outcome compared with Middle cerebral artery (MCA) or Umbilical artery (UA) Doppler alone. Therefore, integrating CPR in clinical management may help to better identify fetuses at risk for adverse perinatal events, since abnormal CPR has been associated with an increased risk of perinatal complications.
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