Along with sleep and meal, sexual function is one of the main human motivations and its impairment can drastically reduce the quality of life in women. This condition is often overlooked and untreated. The prevalence of sexual dysfunction in the female population of different countries ranges from 25 to 63%, being particularly high in Siberia (55.9-69.4%) and southern Russia (45.5%). The most significant risk factors of sexual dysfunction in Russian women are age, stress and menopause. Current data on the impact of the COVID-19 on women's sexual function are limited and contradictory. Here we discuss how COVID-19 pandemic, associated with significant changes in the lifestyle, self-isolation and reduction of income, affected reproductive and sexual health of women in various countries. Generally, sexual activity of women reduced by around 40%, and most studies showed a decrease in libido and sexual arousal. COVID-associated sexual dysfunction also had its features across different populations and social groups. However, none investigated the impact of the COVID-19 pandemic on the sexual health of the female population in the Russian Federation.
Aim. Sexual function plays an important role in normal human life, along with sleep and food. As it is behind the main human motivations and can manifest itself in any phase of sexual activity or at any time of sexual life, the sexual function is considered as an important factor in determining the quality of life in adults. Here we aimed to estimate the influence of novel coronavirus disease (COVID-19) on the sexual function of women.Materials and Methods. Our study enrolled 364 women (17-59 years of age) who admitted to the gynecological units of Kemerovo (Russia). A Female Sexual Function Index (FSFI) questionnaire was used to assess the clinical manifestations of sexual dysfunctions. The key FSFI indicators include desire, arousal, lubrication, orgasm, and satisfaction before and during the COVID-19 pandemic, the number of sexual contacts, the age of the partner, the duration of the relationship and cohabitation, and the assumption to have sexual dysfunction.Results. The sample was divided into 6 age groups: < 17 years (n = 2), 18-29 years (n = 121), 30-39 years (n = 136), 40-49 years (n = 80), 50- 59 years (n = 25), and ≥ 60 years of age (n = 0). All examined parameters of sexual dysfunction have been impacted by the pandemic. In particular, we documented the reduced sexual arousal, lubrication, and satisfaction as well as increased pain during the sexual intercourse. Risk factors for the development of female sexual dysfunction were age of the sexual partner, the duration of the relationship, the frequency of sexual intercourse, and baseline psychological state.Conclusion. COVID-19 pandemic has been associated with the considerable impairment of the female sexual function.
Obstetric haemorrhage remains a main cause of maternal morbidity and mortality. A hospital-based, individually randomized controlled study was proposed. 1095 women delivering vaginally in Kemerovo Perinatal Center were examined. Absence of controlled cord tractions hasn’t significant effect on amount of blood loss in the III stage, and frequency of PPH, in usage of additional uterotonics, postpartum hemoglobin levels, frequency of manual removal of placenta.
Aim. To study the course of pregnancy, childbirth and the postpartum period in pregnant women with placental microbial colonization; to investigate placental morphology during the microbial colonization.Materials and Methods. We retrospectively investigated 128 case histories of the pregnant women with or without (n = 64) placental microbial colonization.Results. Enterobacteriaceae spp., Enterococcaceae spp. and Staphylococcaceae spp. were respectively isolated from placentas of 24 (37.5%), 19 (29.7%), and 19 (29.7%) women with placental microbial colonization. Candida albicans was isolated in 2 (3.1%) cases. All placentas excised from women without placental microbial colonization were sterile. Vaginal delivery occurred in 61 (95.3%) women with placental microbial colonization but only in 24 (37.5%) women without (p = 0.001). Subinvolution was revealed in 10 (15.6%) and 4 (6.3%) (р = 0.09), lochiometra was found in 4 (6.3%) and 2 (3.1%) (р = 0.409), and wound infections were observed in 5 (7.8%) and 1 (1.6%) (p = 0.095) women with or without placental microbial colonization, respectively. Therefore, prevalence of postpartum complications did not differ significantly between the groups. Placental inflammation was detected in 27(42.2%) and 14 (21.9%) (p = 0.014) patients with or without placental microbial colonization, respectively.Conclusions. Placental inflammation is associated with microbial colonization which is more common in women who undergo vaginal delivery.
Научное познание здоровья и болезни-непрерывный процесс эволюции человечества как цивилизации. Шаг за шагом изучая неизвестное, все вы, наши авторы-ученые, вносите неоценимый вклад в науку, связываете воедино факты и данные, приближающие медицину к новому уровню развития. Вместе с вами мы стараемся совершенствовать наш журнал, публикуя на его страницах доказательные исследования, гипотезы. Главный редактор доктор медицинских наук, профессор Е.Б. Брусина В преддверии Нового 2017 года коллектив журнала «Фундаментальная и клиническая медицина» желает вам здоровья, новых научных идей, творческих успехов, вдохновения! В новый год мы вступаем с новыми планами и надеждами, с уверенностью в своих силах и желанием сделать этот мир лучше!
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