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  • ISSN: 2333-6439
    Volume 7, Issue 1
    Research Article
    Vibeke Vestermark* and Gunnar H Laier
    Study design: Retrospectives study including 167 women, who used cannabis during the pregnancy or before and were admitted to the Family Clinic in Region Zealand and delivered singletons in the period from July 2012 to June 2016.
    We divided the pregnant in 3 groups depending on cannabis use in pregnancy: previous cannabis users, users who stopped at the beginning of pregnancy and users who continued smoking cannabis late in pregnancy. We compared the groups and compared the number of placenta abruption with data from The Medical Birth Register.
    Results: The pregnant women were younger, shorter educated, smoked more cigarettes and were more unemployment than other pregnant. However, there are no differences between the three groups on many basic parameters.
    We found significantly greater risk of placental abruption in the group of pregnant women who used cannabis later in pregnancy, OR 21.3. This risk was not found in the other groups.
    Conclusions: Cannabis use in pregnancy may increase the risk of placental abruption, which is a rare and serious obstetric complication with far-reaching consequences for the children.
    Julie Vanalbada, Pascaline Hayois, Julie Bettendorf, Corinne Hubinont, and Pierre Bernard*
    Objective: Evaluate the caesarean section (CS) rate in 12 Belgian maternities in a first phase, conduct an audit of practices to determine ways of reducing the caesarean rate, and re-evaluate the CS rate in a second phase two years later.
    Methods: A total of 1588 CS out of 8271 births during the first phase, and 1741 CS out of 8805 births during the second phase were analyzed. The CS was classified between absolute medical indications and relative indications, for which a vaginal birth could have been performed. We studied the global rate of CS, made a difference between absolute and relative indications and calculated the ratio between the rate of CS for relative indications and that of CS for absolute indications, reflecting the trend to practice it.
    Results: In 2010, the mean CS was 19.2 %, with 26.5 % for relative indications and a trend to use CS ratio of 43.4%. In 2012, after auditing various centers, the mean CS rate was 19.8 %, with 30.3 % for relative indications and a trend to use CS ratio of 49.4%; but these results were not significantly different.
    Conclusion: The CS rate is rising constantly. Breech presentation, previous caesarean sections, and twin pregnancies are the main relative indications that could be avoided for reducing this rate. Auditing may be helpful to improve the practice of the obstetricians, even if it doesn’t change the overall CS rate with a 2 years interval. A 5 years delay should be done in order to see the long term effect of auditing.
    Mini Review
    Takalkar Unmesh Vidyadhara* and Suresh A
    Cervical cancer is one of the most frequent malignancies among women worldwide. It is one of the most common causes of cancer related mortality among women. With advances in diagnostic and the effective therapeutic modalities, the prognosis of cervical cancer has been improved. Selected targeted therapies that target specific molecular pathways involved in carcinogenesis have improved overall survival. Standard conventional treatment in the form of radical surgery, chemotherapy and radiotherapy is administered to the early-stage and locally advanced cervical cancer patients.
    Review Article
    Hisham Ahmed Arab*, Abdulrahim Gari, Abdulkareem Almomen, Faisal A. Kashgari, Mamoun M. Elawad, Maysoon bin Obaid, Muna A. Al Ghamdi, Nabeel Salem Bondagji, Wesam Kurdi, and Yasir Katib
    Micronutrient deficiencies are a major healthcare problem in the Middle East. Iron deficiency (ID) and iron deficiency anemia (IDA) in particular are common in women of reproductive age. Although prevention and treatment of ID and IDA in women of childbearing age is a public health priority, a lack of clear guidance on diagnosis and management hinders patient care in Saudi Arabia. Therefore, ten experts from Saudi Arabia convened to discuss and draft approaches to screening, diagnosing, and treating women of childbearing age, with the aim of standardizing patient management across the country. Given the similarities across the Middle East, Africa, Asia, and Latin America with respect to healthcare infrastructure and the socioeconomic status of most patients, recommendations stated within this paper have wider applicability.
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