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Thai Journal of Obstetrics and Gynaecology
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 0857-6084
Published by Royal Thai College of Obstetricians and Gynaecologists Homepage  [1 journal]
  • Editorial

    • Authors: Vorapong Phupong
      Pages: 69 - 69
      Abstract: This third issue of Thai Journal of Obstetrics and Gynaecology (TJOG) contains many interesting articles. The special article in this issue is “Management of borderline ovarian tumors”. This third issue of Thai Journal of Obstetrics and Gynaecology (TJOG) contains many interesting articles. The special article in this issue is “Management of borderline ovarian tumors”.  RTCOG Annual Meeting 2018 will be held during 23-26 October 2018 at Dusit Thani Pattaya Hotel, Pattaya Beach Road, Pattaya City, Chonburi, Thailand. The theme of this meeting is “CHAT before CARE @SEA”. All RTCOG members are cordially invited to participate this scientific meeting.  Residents who would like to publish their researches in TJOG should submit their works before September 30, 2018. Our editorial team and constructive reviewers will let them know the results before December 28, 2018.Editor in Chief and managing will attended the Thai Journal Citation Index meeting: “Powering your journal into the Web of Science Core Collection” on July 13, 2018 at 10th Floor, The Knowledge Exchange: KX Building, Krung Thon Buri Rd, Khwaeng Bang Lamphu Lang, Thon Buri, Bangkok, Thailand.   Editorial Board of TJOG prepare journal for submission to be index in Scopus index this year.  Thus, there are many changes of the journal during this time. 
      Wish to see you at RTCOG Annual Meeting 2018 at Dusit Thani Pattaya Hotel, Pattaya Beach Road, Pattaya City, Chonburi, Thailand.
      PubDate: 2018-06-26
  • Management of Borderline Ovarian Tumors

    • Authors: Chuenkamon Charakorn
      Pages: 70 - 74
      Abstract: Borderline ovarian tumors are similar to the other adnexal masses in terms of clinical presentation. Surgery is the main treatment. Because of the young age of the patients and early stage of diseases at the time of diagnosis, fertility-sparing surgery is favorable. If the intraoperative frozen section reports a borderline tumor, surgical staging should be performed. The surgical staging includes cytologic washing or ascites fluid collection, omentectomy and peritoneal biopsies. The routine lymphadenectomy is not recommended. In terms of fertility-sparing surgery, the unilateral salpingo-oophorectomy is preferred if the other site of ovary is not affected. However, if there are bilateral ovarian involvements, unilateral salpingo-oophorectomy with ovarian cystectomy or bilateral ovarian cystectomy can be considered. The prognostic factors include the stage of disease, the presence of micropapillary in serous tumor, the presence of microinvasion, and the presence of peritoneal implants. Post-operative chemotherapy should be discussed and administrated, similar to the treatment of low grade serous epithelial ovarian cancer if the invasive implantation is detected.
      PubDate: 2018-06-27
  • Effect of Ethyl Chloride Spray for Pain Reduction during Amniocentesis: A
           non – blinded randomized controlled trial

    • Authors: Kritakarn Telapol, Sommart Bumrungphuet, Nathpong Israngura Na Ayudhya
      Pages: 75 - 82
      Abstract: Objectives: To evaluate the cryo-analgesic effect of ethyl chloride spray on reducing pain during second-trimester amniocentesis.
      Materials and Methods: A non-blinded randomized controlled trial was performed to compare the post-procedural pain scores during second-trimester amniocentesis between pregnant women who received and did not receive ethyl chloride spray immediately before amniocentesis needle penetration. Outcome was mean of post-procedural pain score measured by using visual analogue scale (VAS).
      Results: The study was performed between May and November 2016. One hundred and forty-eight participants were randomly divided into two groups received cryo-analgesia using ethyl chloride spray and did not receive. There were no differences between demographic data and pre-procedural pain scores (anticipated pain) (p = 0.6). Mean post-procedural pain score in the cryo-analgesia group was significantly lower than the control group (p = 0.01). Six participants in cryo-analgesia group had frostbite skin rash (8%) which was self-limiting condition and persists for about one month with no scar. Most participants (98%) willingly accepted to undergo the procedure again if indicated.
      Conclusion: Ethyl chloride spray may be an alternative method for amniocentesis procedural pain management. Women should be informed about the potential risk of complications. Keywords: Amniocentesis, pain, ethyl chloride spray, visual analogue scale.
      PubDate: 2018-06-30
  • Knowledge, Attitudes and Practices of Ramadan Fasting in Pregnant
           Thai-Muslim Women

    • Authors: Saowanee Saro, Somchai Tanawattanacharoen
      Pages: 83 - 95
      Abstract: Objectives: To assess the basic religious knowledge regarding the Islamic law, attitudes and practices of Ramadan fasting during pregnancy in Thai-Muslim women.
      Materials and Methods: Multicenter, cross-sectional descriptive study was conducted between July 2016 and January 2017 on 619 pregnant Muslim women at antenatal care clinic from six hospitals in the three southernmost provinces of Thailand. Non-probability convenient sampling technique and a questionnaire were used to collect data from pregnant women who had experienced pregnancy during Ramadan at least once in their lives.
      Results: Most participants (85.5%) reported to have knowledge regarding the Islamic law clear exemption from fasting for pregnant women, and the missed fasts must be completed later. Majority of pregnant women believed the fasting during pregnancy did no harm to maternal health. Overall, 87.1% observed fasting during pregnancy. Mean fasting days was 24.56 ± 5.66 days and 63.0% observed fasting between 21-30 days. Logistic regression analysis demonstrated that their age ≥ 35 years and Islamic education increased the fasting during pregnancy (Adjusted OR 2.478, 95%CI 1.174–5.230, p = 0.017 and 2.244, 95%CI 1.236–3.988, p = 0.006, respectively). The main adversities from Ramadan fasting during pregnancy were weakness and fatigue.
      Conclusion: Most pregnant women knew Islamic law clear exemption from fasting during pregnancy, however many of pregnant women preferred fasting during Ramadan and they believed the fasting during pregnancy did no harm to maternal health. Healthcare providers are required to understand the religious beliefs of Muslim pregnant women, and design the standard guideline about managing lifestyle changes of Ramadan fasting during pregnancy. Keywords: Knowledge, attitudes, practices, Ramadan, Fasting, pregnant Thai-Muslim women.
      PubDate: 2018-06-30
  • Outcome of Nipple Puller Use during Antenatal Care in Short Nipple
           Pregnant Women: A randomized controlled trial

    • Authors: Nongyao Baiya, Sukwadee Ketsuwan, Suchasinee Thana, Pawin Puapornpong
      Pages: 96 - 102
      Abstract: Objectives: The aim of this study was to compare the nipple length of the short nipple pregnant women who used nipple puller or not during antenatal care.
      Materials and Methods: A randomized controlled trial was conducted. The pregnant women who were classified as low risk pregnancy and the nipple length less than 7 millimeters at the first antenatal visit were randomized into two groups; 125 cases of nipple puller use group and 125 cases of routine follow-up group. The first group, the mothers were taught by nurse and practiced nipple puller use twice a day until delivery. The second group or comparison group, the mothers had routine follow-up during antenatal care. When the mothers delivered, the nipple length was measured again at the first day postpartum and compared with the previous measurement. The demographic data and nipple length between both groups were compared using chi-square test and student t-test.
      Results: The mean nipple length of the nipple puller use and routine follow-up group was not significantly different at first antenatal visit. In routine follow-up group, the mean right nipple length was 5.3 ± 1.4 millimeters at antenatal care clinic and 5.6 ± 1.4 millimeters at postpartum. The mean left nipple length was 5.0 ± 1.2 millimeters at antenatal care clinic and 5.4 ± 1.2 millimeters at postpartum. In nipple puller use group, the mean right nipple length was 4.7 ± 1.5 millimeters at antenatal care clinic and 9.5 ± 1.7 millimeters at postpartum. The mean left nipple length was 5.1 ± 1.6 millimeters at antenatal care clinic and 9.4 ± 1.7 millimeters at postpartum. The nipple length differences between routine follow-up and nipple puller use groups were statistically significant at postpartum (p<0.001).
      Conclusion: The nipple puller use during antenatal period could increase nipple length. Keywords: nipple puller, nipple length, short nipple, antenatal care.
      PubDate: 2018-06-30
  • Rate and Predictors of Infant Abandonment among Unmarried Mothers at a
           Public Hospital in Kedah, Malaysia: A retrospective study

    • Authors: Mohd Azri Mohd Suan, Shahrul Aiman Soelar, Huan Keat Chan
      Pages: 103 - 113
      Abstract: Objectives: This study aimed to determine the rate of unmarried mothers who decided to abandon their infants at the Hospital Sultan Abdul Halim, Kedah, Malaysia and the predictors that influenced such decisions.    Materials and Methods: A retrospective study was conducted on unmarried mothers who gave birth at the hospital between January 2011 and December 2013. Information about their sociodemographic and clinical characteristics and their decisions on whether to abandon their infants was obtained from medical records. Furthermore, the predictors of infant abandonment were identified through binary logistic regression analysis.  Results: Of the 266 unmarried mothers included in this study, nearly half were aged less than 20. Most of them were Malay, unemployed and first-time mothers with a generally low educational level and income. Fifty (18.8%) of them decided to abandon their children, and the predictors of making such decisions included being aged 30 or above (adjusted odds ratio [aOR] 3.33 [95% confidence interval {CI} 1.21–9.15]), having rape-related pregnancy (aOR 5.89 [95% CI 2.10–16.53]) and having unemployed male partners (aOR 3.10 [95% CI 1.50–6.39]).  Conclusion: This study revealed that infant abandonment was common in the studied area, particularly among unmarried mothers with complex social factors. The factors that can be used to predict decisions on infant abandonment included the mother’s age, rape-related pregnancy and employment status of the male partner.   Keywords: abandonment, infant, Malaysia, unmarried mother.
      PubDate: 2018-06-30
  • Accuracy of Preoperative Sonographic Adnexal Fixation for Prediction of
           Pelvic Adhesion in Gynecologic Surgery

    • Authors: Nuntorn Chukasemrat, Pornpun Phasipol, Maethaphan Kitporntheranunt, Somphoch Pumipichet, Kittipong Kongsomboon
      Pages: 114 - 121
      Abstract: Objectives: To assess the accuracy of preoperative sonographic adnexal fixation for prediction of pelvic adhesion in gynecologic surgery.
      Materials and Methods: This was a descriptive study of 106 gynecologic patients who were scheduled for elective abdominal surgery. Preoperative sonographic adnexal fixation was done. The accuracy of transvaginal ultrasonographic findings suspecting pelvic adhesion, including at least one side of adnexal fixation, in predicting intraoperative adnexal adhesion was calculated. Pelvic adhesion risk factors were also collected.
      Results: Sonographic adnexal fixation was found in 81 adnexa. Ipsilateral adnexal adhesion was found intraoperatively in 78 adnexa of this study. Overall, pelvic adhesion prediction based on ultrasonographic finding had an accuracy, sensitivity, specificity, positive and negative predictive values of 74.4, 69.2, 77.7, 66.7 and 79.7 percent respectively. History of pelvic infection and dysmenorrhea were positively correlated with pelvic adhesion (Adjusted OR, 3.50; 95%CI, 1.26-9.75; p = 0.016 and adjusted OR, 2.47; 95%CI, 1.37-4.46; p = 0.003 respectively). However, combined a history of pelvic infection and dysmenorrhea with an ultrasonographic finding showed the most correlation with pelvic adhesion.
      Conclusion: Preoperative adnexal fixation on transvaginal ultrasonography accurately identified patients with pelvic adhesions. Furthermore, history of pelvic infection and dysmenorrhea could increase the ability to predict pelvic adhesion. Keywords: pelvic adhesion, transvaginal ultrasound, prediction, accuracy.
      PubDate: 2018-06-30
  • Application of a Rod USB Digital Microscope for Pelvic Examination
           Demonstration for Fourth Year Medical Students: An assessor-blinded
           randomized trial

    • Authors: Patsira Warinsiriruk, Yada Tingthanatikul, Anusorn Adirekkittikun, Jittima Manonai Bartlett
      Pages: 122 - 131
      Abstract: Objective:      To evaluate the students’ satisfaction of the fourth year medical students learning the pelvic examination and the benefits of the rod USB digital microscope compared with the traditional method. Materials and Methods:       The fourth year medical students were recruited after commencing gynecologic rotation and were randomly assigned to receive the traditional method and the rod USB digital microscope assisted method on pelvic examination demonstration. There was only one trainer performing all demonstration session and all participants were not informed to which group they were assigned. The validated 5-question students’ satisfaction questionnaire was used to evaluate the participants’ satisfaction by assessor-blinded, randomized trial and the validated 5-question rod USB digital microscope questionnaire was used to evaluate its benefits.  The primary outcome was students’ satisfaction of pelvic examination learning with the rod USB digital microscope. Results:          There were 35 students in the study group (21 female, 14 male, aged 22.14 ± 0.36 years) and 35 students in the control group (25 female, 10 male, aged 22.12 ± 0.33 years). The overall satisfaction score of the study group was significantly higher than that of the control group (4.88 + 0.12 vs 3.69 + 0.69) (p < 0.001). Regarding the benefits of the instrument, the overall mean score was 4.75 + 0.24, and the highest score was the use for medical student teaching (mean score 4.97 + 0.17). Conclusion:       The rod USB digital microscope could be applied to pelvic examination demonstration with high satisfaction of the fourth year medical students.   Keywords:     Rod USB digital microscope, pelvic examination demonstration, medical students
      PubDate: 2018-06-30
  • Factors Associated with Long-Acting Reversible Contraception (LARC) use in
           Postpartum Women at Srinagarind Hospital

    • Authors: Srimeunwai Akesittipaisarn, Yuthapong Werawatakul, Saksin Simsin
      Pages: 132 - 139
      Abstract: Objectives: To determine the associated factors those predict the use of long-acting reversible contraception (LARC) among postpartum women at Srinagarind Hospital.
      Materials and Methods: A cohort study of postpartum women was conducted at Srinagarind Hospital from May to October 2016. LARC methods were defined as progestogen-only injectable contraceptives, intrauterine devices, and contraceptive implants. The participants were interviewed during admission to the postpartum ward in order to ascertain baseline information, as well as information regarding their intention to use or not to use LARC. The participants were interviewed again after their six week postpartum visit about the contraceptive method they actually used. Data of participants who did not appear for their six-week postpartum visit were obtained by telephone interview within 6-12 weeks after delivery. Logistic regression analysis was applied to determine the factors associated with LARC use.
      Results: The mean age of the participants was 28.4 ± 5.7 years. One hundred twenty-six out of a total of 312 participants (40.4%) reported using LARC. The methods of LARC used were depot medroxyprogesterone acetate (DMPA) (82.5%) and contraceptive implants (17.5%). Participants who were more likely to use LARC included those who had expressed their intention to use LARC during the first interview, current students, and women whose medical expenses were covered by universal coverage scheme.
      Conclusion: Rate of LARC use in this study was approximately 40%. The most common method of LARC used was DMPA. Significant independent factors affecting the use of LARC were participants’ intentions, occupation, and type of health care coverage. Keywords: contraceptive use, long-acting reversible contraception, postpartum women
      PubDate: 2018-06-30
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