Lymphoma is the fourth most frequent malignancy diagnosed during pregnancy,occurring in approximately 1:6000 deliveries. In managing pregnant patients with Hodgkin's lymphoma, there are dilemmas to timely diagnosis and treatment, considering many of the diagnostic procedures and treatment options for the mother's condition may be harmful to the developing fetus. A 27-year-old G3P1 (1011) pregnant patient with a four-month history of anterior mediastinal mass, non-productive cough and low-grade afternoon fever, was initially treated as a case of community-acquired pneumonia. The patient was later admitted at our institution due to the persistence of symptoms, accompanied by dyspnea and chest pain. Biopsy done at 29 4/7 weeks age of gestational showed Hodgkins disease, lymphocyte depleted type (responsive to chemotherapy). At 31-32 weeks age of gestation, the patient started to experience dyspnea with intermittent low-grade fever. Chemotherapy consisting of doxorubicin 25mg/m2, bleomycin 10u/m2, vinblastine 6mg/m2 and dacarbazine 375mg/m2 was started. Radiotheraphy was deferred until after delivery. She underwent spontaneous vaginal delivery and delivered a live baby girl small for gestational age, with no congenital malformations. It is imperative that in pregnant patients presenting with anterior mediastinal masses, accompanied by systematic symptoms, timely histopathologic diagnosis through incision or excision biopsies should be obtained. Treatment options for these patients would differ based on the histology and stage of the disease and also the age of gestation of the pregnancy.

?

?

?

Human ; Female ; Adult ; Hodgkin Disease ; Vinblastine ; Dacarbazine ; Cough ; Lymphoma ; Bleomycin ; Biopsy ; Doxorubicin ; Chest Pain ; Dyspnea ; Pneumonia ; Lymphocytes ; Fetus

BACKGROUND: HIV counseling and testing (HCT) should be routinely offered to all pregnant patients since HCT is considered as a gateway to the access of treatment and prevention of spread to non-infected individuals.

OBJECTIVE: This study aims to determine the association of HIV knowledge, testing attitudes and risk assessment for HIV with the acceptance of HIV counseling and testing among pregnant patients seen at the antenatal clinic of a tertiary government hospital.

METHODS: A total of 293 respondents were included and asked to answer an investigator-guided self-administered questionnaire on HIV knowledge, testing attitudes, assessment of risk for HIV and acceptance of HIV counseling and testing. Results were analyzed using descriptive statistics and multiple logistic regression-analysis.

RESULTS: The respondents of this study were on average 28 years old, with a range of 15 to 44 years old, mostly Catholic and single, high school graduates who are currently unemployed. The respondents generally have low level of HIV knowledge, positive testing attitudes and assessed to be at low risk factors for HIV. The findings showed level of knowledge and condom use was not associated with acceptance of HIV counseling and testing.

CONCLUSION: Acceptance of HIV counseling and testing was significantly associated with positive testing attitudes, and low prevalence of risk factors such as, no history of multiple sex partners, no history of IV drug use, no history of imprisonment and no history of having sex in exchange for money or drugs.

Human ; Female ; Adult ; Young Adult ; HIV

OBJECTIVES: Describe health beliefs of pregnant women with diabetes using tweets. Describe how information on diabetes in pregnancy is shared on Twitter.

METHODS: Tweets by women with diabetes were identified from Symplur Signals. "Status" tweets were mapped to the Health Belief Model. Tweets by women with preexisting diabetes and gestational diabetes (GD) were analyzed separately. Links within tweets were surveyed for the Health on the Net (HON) Foundation seal.

RESULTS: Women with GD tweeted about cravings and the connection of high carbohydrate meals with big babies. Perceived barriers included food restriction, hunger, lab tests, clinic consults and blood glucose monitoring. Perceived benefits of blood glucose testing and a healthy diet were linked to healthy babies. Blood glucose monitoring, weight gain, and age of gestation were cues to action. Perceived barriers of women with preexisting diabetes were feelings of helplessness, loss of control, and anger. Nine domains (9.7%) had the HON Code seal. Women with preexisting diabetes shared blog posts. Women with GD shared links from organizations.

CONCLUSION: Women with GD and preexisting diabetes had differing perceptions of susceptibility, severity, barriers, benefits, cues to action, and self-efficacy; and shared links to information differently on Twitter.

Human ; Female ; Pregnancy ; Diabetes, Gestational ; Weight Gain ; Craving ; Blood Glucose ; Self Efficacy ; Hunger ; Cues ; Healthy Diet ; Emotions ; Anger ; Perception

Introduction: Unsafe abortion is one of the major medical and public health problems in developing countries. However, there is a lack of up‑to‑date and reliable information on induced abortion distribution and its determinant factors in the country Objectives: This study determined the sociodemographic and clinical profile of women admitted for abortion at a tertiary government hospital in Cebu city from 2013‑2017 Methods: This study reviewed the charts in medical records of women diagnosed with abortion admitted at a government tertiary hospital from January 2013 to December 2017 with key words “abortion” in the final diagnosis Results: The results of this study showed that 86% of patients who had induced abortion discharged improved from this institution, 2 patients died due to medical complications and 12% were discharged against medical advice. Majority of abortions were within early ages of gestation. Primigravidas and primiparas had the highest incidence of induced abortion 20.44% and 27.73%respectively. Of the treatments employed, the major method of abortion employed was mechanical. Majority of induced abortions did not develop septic complications Conclusion The trend in admission of induced abortions from 2013 to 2017 showed a downward trend. This decrease in incidence may be attributed to improved access to family planning methods since the Reproductive Health Law was implemented in 2014 and the introduction of the Maternal Perinatal Statistics quarterly conferences headed by Department of Health (DOH) Region 7 and the different DOH‑retained hospitals as well as BEMONC/SEMONC facilities in Cebu Province. 17. These statistical events focuses the spotlight on the importance of health education and further improvement in the provision of health care in the local setting. Moreover, further improvement in post abortive care and adequate coverage should be provided to patients with abortion to reduce the incidence of complications and potential mortality
Contraception ; Abortion, Induced