Background: The treatment of an ovarian cyst relies on its nature, the discrimination of benign and malignant cysts is, therefore of crucial importance, and in spite of the continuous improvement of diagnostic means, it remains sometimes impossible to differentiate functional from organic (malignant or not) ovarian cysts. The therapeutic decision will search for the main midway between cancer’s negligence and the fear of performing an unnecessary surgical operation for an ovarian cyst.Objective: To review of 116 cases of ovarian cystic diseases aiming in identify proper management and reducing unnecessary surgical intervention.Methods: A retrospective study was conducted at Al-Elwiya maternity teaching hospital/ Baghdad/ Iraq. One hundred sixteen women underwent surgery for ovarian cystic diseases between January 2010 and December 2011. Age, menopausal status, referral history, clinical features, diagnostic methods, treatments and histopathological results were recorded and the collected data was arranged in tables for analysis.Results: From One hundred sixteen women, One hundred five (90.5%) were premenopausal and eleven (9.5%) were postmenopausal. Thirty two women (27.6%) underwent laparoscopic evaluation for Ovarian cystic diseases, while eighty four (72.4%) were candidates for laparotomy. Benign pathological conditions were found in thirty six (31%) pre-menopausal women and three (2.6%) post-menopause. The functional cysts presented in sixty of the cases (51.7%), Fifty five (47.4%) were premenopausal and five (4.3%) postmenopausal.Conclusion: There is difficulty in accurate discrimination between types of ovarian cysts In Iraq and we recommend to use risk of malignancy index (RMI) as a simple diagnostic tool that provide to discriminate between malignant and benign ovarian cysts.Keywords: Ovarian cystic diseases, risk of malignancy index (RMI)
Objectives: To report the Cesarean section rate in Al-
Batool Maternity Teaching Hospital and to identify
how many of them were done for maternal and fetal
condition.
Design: A statistical cross sectional study.
Setting: The study was conducted at Al-Batool
Maternity Teaching Hospital (13000 deliveries per
year).
Participants: The patients group consists of 4556
patients admitted for delivery (vaginal and abdominal)
during a period of four months commencing from
January 2003.
Main outcome measures: calculation of all live
births, calculation of cesarean section rate, percentage
of the primary cesarean sections and the repeat
cesarean sections and listing the indications of the
operation acc
Anemia in pregnancy can considerably elevate the maternal mortality risk and can negatively distress the development of fetus.
To assess the association between neonatal outcomes and maternal anemia (MA) among pregnant women (PW).
The present work is a clinical prospective one performed at Al-Elwiya Maternity
Background: Hodgkin’s Diseases is a group of cancers characterized by Reed- Sternberg cells, aneuoploid cells that usually express CD15 and CD30. Several epidemiological and serological studies support the role of Epstein –Barr virus in the pathogenesis of Hodgkin’s Diseases
Patients and Method: A retrospective study was done where by twenty cases were collected from the Pediatric Oncology Clinic in AL-Kadhyimia Teaching Hospital over a period of five years from the first of January 2002 – end of December 2006.Information was taken from the patient’s records in the Pediatric Oncology Clinic including age at presentation, sex, physical finding, histopathological subtypes, staging , treat
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Abstract Objectives: to determine efficiency and safety of three misoprostol regimens for 2nd trimester pregnancy termination in individuals with two or more cesarean section scars. Methods: a cross-sectional study included 100 pregnant ladies at 13th-26th weeks gestation with previous two cesarean sections (CSs) who were scheduled for pregnancy termination using misoprostol. Patients were conveniently assigned to 100µg/3h, 200µg/3h or 400 µg/3h regimens. Primary outcome was time to abortion, secondary outcomes were side effect and complications. Results: a significant association was found between number previous CSs and longer time to abortion (p=0.01). A highly significant association was identified between earlier gestatio
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Background: A core set of checks have been incorporated into World Health Organization (WHO) WHO surgical safety checklist. Lack of access to basic surgical care remains a major concern in low-income settings.
Objective: We use a WHO surgical safety checklist items to improve team communication and cooperation to help in reduction of morbidity and mortality of surgical procedures.
Methods: This is a prospective study involving 300 patients after applying the 19 items of the surgical safety checklist with different types of operations had been operated in the surgical theater at Al-Kindy Teaching Hospital during the period 1st of September 2016
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Background: Necrotizing fascitis is a progressive, rapidly spreading inflammatory infection located in the deep fascia, with secondary neerosis of the subcutaneous tissues polymicrobial infection is the most common finding in necrotizing fascitis rather than a single caustive organism.
Background: Vitamin D deficiency/ insufficiency is common in different age groups in both genders especially among pregnant women and neonates where it is associated with several adverse outcomes including preeclampsia and preterm delivery.
Objectives: To assess the extent of vitamin D deficiency/ insufficiency among mothers and their neonates and some factors related to it and identify some adverse outcomes of the deficiency/ insufficiency on neonates (preterm birth and low birth weight).
Subject and Methods: A cross-sectional study was conducted on 88 Iraqi pregnant women and neonates admitted to “Al-Elwiya teaching hospital for maternity” in Baghdad- Al
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In their cross-sectional study, Al-Rubaye et al studied the extent of vitamin D (VD) deficiency/ insufficiency, factors affecting its degree, and the adverse outcomes of the altered VD status among a group of mothers and their neonates from Baghdad, Iraq. They found that 96.6% of the mothers had VD deficiency/ insufficiency compared to 86.4% in their neonates. Maternal VD levels and neonatal weights were significantly correlated with neonatal VD levels. We believe that the study results need to be revised. This is based two points listed in this letter to editor