This study investigated the role of oral phytoestrogens in improving pregnancy rate and cycle outcomes with clomiphene citrate. Patients with unexplained infertility and recurrent clomiphene citrate induction failure, were randomly divided into two groups: group I (n = 60) and group II (n = 59). Both groups received clomiphene citrate 150 mg per day (days 3 to 7). Group I received additional oral phytoestrogen (Cimicifuga racemosa) 120 mg/day from days 1 to 12. Human chorionic gonadotrophin (HCG) injection (10,000 IU i.m.) was given and timed intercourse was recommended when a leading follicle reached >17 mm and serum oestradiol exceeded 200 (pg/ml). There was a non-significant shortening of induction cycles in group I. Oestradiol and LH concentrations were higher in group I compared with group II. Endometrial thickness, serum progesterone and clinical pregnancy rate were significantly higher in group I (8.9 +/- 1.4 mm versus 7.5 +/- 1.3 mm, P < 0.001; 13.3 +/- 3.1 ng/ml versus 9.3 +/- 2.0 ng/ml, P < 0.01; 36.7% versus 13.6%, P < 0.01, respectively). It is concluded that adding C. racemosa rhizome dry extract to clomiphene citrate induction can improve the pregnancy rate and cycle outcomes in these couples.
Infection with HBV and/or HCV is highly prevalent among pregnant women in Upper Egypt. The rate of vertical transmission was also high. Administering hepatitis B vaccine and immunoglobulin resulted in a 92% reduction in carrier status among newborns.
Background: Maternal health has therefore become an important aspect of policy and planning for healthcare, as reflected by its inclusion as the fifth Millennium Development Goal (MDG). The objective of the present investigation was to determine the maternal satisfaction towards delivery services at Women's Health Hospital, Assiut University, Upper EgyptMethods: A cross sectional study was performed. The study was conducted during February- April 2016 on a sample of 400 delivering mothers; the data were collected using a semi-structured questionnaire and analyzed by SPSS version21. Statistical tests were used, and significance level was taken at p-value <0.05.Results: A total of 400 delivering mothers were interviewed, of which 67.0 % of the respondents were between the age group of 20-30, 76.75 % were from rural areas, 48.0%were illiterate, 86.75% were house wives and 46.0% belonged to the income group of less than 500 EGP. The findings of the study showed that the overall maternal satisfaction level with the delivery services rendered at the hospital was 78.5%, while 21.5% were dissatisfied. Furthermore, satisfaction with the delivery service was found to have a significant association with the age of the respondents and educational level of the respondents. Moreover, results suggest that women are satisfied with the communication factors, interpersonal behavior, good management, and general satisfaction. Women were least satisfied with privacy sensation during hospital stay and obligatory blood donation.Conclusions: Although most participants were satisfied by the delivery service provided to them during delivery, Dissatisfaction by a minority group resulted in a limited ability of communication with mothers, lack of privacy sensation during hospital stay and obligatory blood donation. Thus, mechanisms should be developed to increase maternal satisfaction in our hospital.
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