1.The Rhythm of the Normal and Abnormal Deliveries of the Mongolian Womens
Enkhtsetseg Jamsran ; Munkhtsetseg Davaatseren ; Lkhagva L ; Jav Baldan
Mongolian Journal of Obstetrics, Gynaecology and Pediatrics 2007;2007(1):28-34
The Rhythm of the Normal and Abnormal Deliveries of the Mongolian Womens
Normal deliveries of mongolian women have orderly rhythmic oscillations which can be characterized by 24 hours, months, seasons and years. In the complicated deliveries the phases of biorhythms have been shifted and resulted in desynchronosis. Climatic and geliogeophizic factors had also effect on the frequency of complicated deliveries. Among common complications of the delivery and childbirth, preeclampsia, prolonged labor or dystocia due to insufficient labor and delivery forces, obstetric hemorrhage show seasonal and multi-year rhythms' characteristic to geographical regions and climatic conditions.
Delivery
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Obstetric
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Uterine Contraction
2.Early Diagnosis of the Trophoblastic Disease
Yanjinsuren Daram ; Jav Baldan ; Avirmed Damdin
Mongolian Journal of Obstetrics, Gynaecology and Pediatrics 2007;2007(1):35-42
Early Diagnosis of the Trophoblastic Disease
The study comprised 40 cases (15.7%) of chorionepithelioma and 214 cases (84.3%) of hydatidiform mole. According to our study (1992-2001), the incidence of trophoblastic disease, including chorionepithelioma, does not appear to reduce.
Clinical characteristics of the trophoblastic disease strongly depend on the type of clinical variant. Chorionepitheliomas were associated with uterine bleeding and rapid spread to lungs, while hydatidiform moles were associated with expulsion of vesicles along with blood from the uterus and disagreement between the uterine size and gestational dates. Women older than 40 years (OR=2.31), and with history of 5 and more pregnancies and deliveries (OR=1.21 and OR=2.38), induced abortions (OR=1.41), and miscarriages (OR=1.03) have a greater chance of presenting with chrioepitheliomas than with hydatidiform moles.
Because uterine bleeding is the main symptom of trophoblastic disease, which therefore can be confused with miscarriage, dysfunctional uterine bleeding, retained placenta and endometritis, evacuation of the uterus and sending the evacuate to pathology for confirmation is an important practice (Р<0.01).
During trophoblastic disease, blood B-hCG levels dramatically increase. Levels of -hCG are higher and take more time decreasing to normal levels in chorionepitheliomas compared with hydatidiform moles, indicating that measuring B-hCG provides many advantage in monitoring the disease and treatment outcomes.
3.Causes and clinical features of vulvovaginitis in prepubertal girls
Baigalma G ; Erdenetungalag R ; Nortmaa A
Mongolian Journal of Obstetrics, Gynaecology and Pediatrics 2007;2007(1):43-46
Causes and Clinical Features of Vulvovaginitis in Prepubertal Girls
Reproductive Tract Infections are serious health problem especially in developing countries with a young population since the undetected and untreated infections are associated serious sequel such as infertility, ectopic pregnancy, cancer, premature labor and delivery and congenital infection.
Today’s girls are the future’s mothers as well as the key persons in their family. In order to fulfill their responsibilities, the girls should be healthy. Moreover, they should be well educated and psychologically prepared on their future lives. One of the main gynecological diseases among children is vulvovaginitis which is estimated at 42-80%. (24, 9) The cases of vulvovaginitis are usually detected during the targeted gynecological examinations with preventive purposes among young and school age children. Particularly, vulvovaginitis is more prevalent among prepubertal girls and young girls aged 8-11 years.
4.The level of reproductive hormone analyis with Cryptorchidism boys
Amarjargal Olzvoi ; Erdenetuya Ganbaatar
Mongolian Journal of Obstetrics, Gynaecology and Pediatrics 2007;2007(1):47-50
The level of reproductive hormone analyis with Cryptorchidism boys
Backgrounds: The prevalence of Cryptorchidism is 1-5% of among pediatric abnormalities. Cryptorchidism is congenital abnormality in which one or two testis can be found in inguinal and abdominal cavities (Undescended testis). According to they last year statistics; 10% of annual visits to surgical cabinet and 22% of impatient in surgical department were children with cryptorchidism.
Study objective: To identify risk factors and level of reproductive hormones.
Materials and method: The case control study which was done. Cases were 81 cases with cryptorchidism aged 4-18 years. Controls 77 healthy children visited to adolescent cabinet.
Results: Median age of children at the time of surgery 92.64 year. The 66.7% children had orchidopexy in between ages of 5-15 years. Hormone profiles had should no significant difference between cases and controls of children aged 11 years. But, there was significant difference were found in FSH and testosterone levels older than 11 years old. It meanest higher FSH-(2.40.14U/l) (p=0.018), and lower testosterone-4.80.22nmol/l (p=0.09) level in children with cryptorchidism. Correliation analysis had should that possible risk factors for cryptorchidism are premature births (23.7%), severe gestose (72.8%), pregnancy associated medical condition(46.9%). There was no significant difference of hormone levels in children with inguinal and abdominal cryptorchidism.
Conclusion: On the basis of above study, it is recommended that early screening and early correction before 2 years will prevent from further atrofic changes of testis. It is also recommended that reproductive hormone level screening more useful for the children older than 11 years old.