MyMedR

Since the outbreak of COVID-19, there have already been over 26 million people being infected and it is expected that the pandemic will not end in near future. Not only the daily activities and lifestyles of individuals have been affected, the medical practice has also been modified to cope with this emergency catastrophe. In particular, the cancer services have faced an unprecedented challenge. While the services may have been cut by the national authorities or hospitals due to shortage of manpower and resources, the medical need of cancer patients has increased. Cancer patients who are receiving active treatment may develop various kinds of complications especially immunosuppression from chemotherapy, and they and their carers will need additional protection against COVID-19. Besides, there is also evidence that cancer patients are more prone to deteriorate from COVID-19 if they contract the viral infection. Therefore, it is crucial to establish guidelines so that healthcare providers can triage their resources to take care of the most needed patients, reduce less important hospitalization and visit, and to avoid potential complications from treatment. The Asia and Oceania Federation of Obstetrics and Gynecology (AOFOG) hereby issued this opinion statement on the management of gynecological cancer patients during the COVID-19.

Matched MeSH terms: Gynecology*

Improving undergraduate obstetrics and gynaecology education through the use of WhatsApp™

Soe MZ, Pang NTP, Loo JL

Eur J Obstet Gynecol Reprod Biol, 2020 Apr;247:269.

PMID: 32145995 DOI: 10.1016/j.ejogrb.2020.02.036

Matched MeSH terms: Gynecology/education*

TRENDS IN UNDERGRADUATE AND GRADUATE MEDICAL EDUCATION

MCKELVEY JL

Med J Malaysia, 1963 Jun;17:237-43.

PMID: 14060500

Matched MeSH terms: Gynecology*

Fulltext Abstracts of the RCOG (Royal College of Obstetricians and Gynaecologists) 10th International Scientific Congress. June 5-8, 2012. Kuching, Sarawak, Malaysia

BJOG, 2012 Jun;119 Suppl 1:2-250.

PMID: 22672235 DOI: 10.1111/j.1471-0528.2012.03375.x

Matched MeSH terms: Gynecology*

Expert consensus on improving iron deficiency anemia management in obstetrics and gynecology in Asia

Leung TW, Damodaran P, Torres R, Chuncharunee S, Chu MY, Gamilla Z, et al.

Int J Gynaecol Obstet, 2023 Nov;163(2):495-509.

PMID: 37096333 DOI: 10.1002/ijgo.14804

Iron deficiency anemia (IDA) is a major health burden among women in Asia. Key issues in IDA management in Asia are under-diagnosis and under-treatment. The lack of Asia-specific guidelines, and suboptimal utilization of treatment compounds the management of IDA. To address these gaps, a panel of 12 experts in obstetrics, gynecology, and hematology from six regions in Asia convened to review current practices and clinical evidence and provide practical guidance on IDA diagnosis and management in Asian women. The Delphi approach was used to obtain objective opinions and attain consensus on statements pertaining to awareness, diagnosis, and management of IDA. In total, 79 statements attained consensus and are summarized to provide guidance on raising awareness of IDA and approaches for improved diagnosis and treatment of IDA among women in various settings: pregnancy, postpartum, heavy menstrual bleeding, gynecologic cancers, and perioperative care. This clinician-led consensus integrates appropriate recommendations based on clinical evidence and best practices and is intended to guide decision making in the management of iron deficiency/IDA in women. The expert panel raises a call for timely diagnosis and utilization of appropriate treatment, including use of high-dose intravenous iron, stringent blood management, and interdisciplinary collaboration, for optimization of IDA management among women in Asia.

Matched MeSH terms: Gynecology*

Presidential address. Midwifery and gynaecology in Singapore

English JS

Journal of the Malaya Branch of the British Medical Association, 1939;3:1-7.

Matched MeSH terms: Gynecology

SOME USES OF HYPNOSIS IN GYNECOLOGY

MUN CT

Med J Malaysia, 1964 Jun;18:223-5.

PMID: 14199437

Matched MeSH terms: Gynecology*

TRENDS IN EDUCATION IN OBSTETRICS AND GYNAECOLOGY: A FORUM

MACAFEE CH, MCKELVEY JL, CHESTERMAN JN, MEARES SD, BROWNE AD

Med J Malaysia, 1963 Jun;17:244-52.

PMID: 14060501

Matched MeSH terms: Gynecology*

Ethical issues in laparoscopic hysterectomy

Hebbar S, Nayak S

Indian J Med Ethics, 2006 Jan-Mar;3(1):19-20.

PMID: 16832925

Hysterectomy is performed for a wide range of benign and malignant conditions, such as fibroids, menorrhagia and pelvic pain, and gynaecological malignancies. One in four women has a chance of undergoing hysterectomy in her lifetime. Conventionally abdominal hysterectomy is done through the open approach. However, many patients assume that the modern laparoscopic hysterectomy is superior to the standard approach. Laparoscopic surgical centres are mushrooming in major cities. This article presents ethical considerations involved in the decision-making process of choosing from the surgical options available.

Matched MeSH terms: Gynecology/education

Fulltext Occupational Burnout Among Obstetrics And Gynaecology Healthcare Professionals In A Public Hospital In Islamabad, Pakistan

Kashif S, Foong CC

J Pak Med Assoc, 2023 Sep;73(9):1837-1842.

PMID: 37817694 DOI: 10.47391/JPMA.7857

OBJECTIVE: To assess burnout by the extent of exhaustion and disengagement, and to compare the two elements among obstetrics and gynaecology healthcare professionals.

METHODS: The cross-sectionalstudy was conducted at the Federal Government Polyclinic Hospital, Islamabad, Pakistan, in July and August, 2020 during the coronavirus disease-2019 pandemic, and comprised healthcare professionals from the obstetrics and gynaecology department. Data was collected online using the 25-item Oldenburg Burnout Inventory. Data was analysed using SPSS 26.

RESULTS: Ofthe 142 individuals approached, 102(71.83%)responded; 55(53.92%) doctors, 43(42.15%) nurses and 4(3.92%) operation theatre technicians. Overall, there were 98(96.1%) females, and 67(65.7%) married subjects. Mean exhaustion scorewas 2.53±0.54 anddisengagementscorewas 2.14±0.57. Burnoutwasfoundin40(39.2%)participants, 83 (81.4%)were exhausted, 44(43.1%)weredisengaged, and4(3.1%)weredisengagedbutnot exhausted. Participants aged>50 yearswere significantly more exhausted and disengaged than the younger ones(p<0.05). Those with work hours >60 per week were significantly more exhausted and disengaged than the rest (p<0.05).

CONCLUSION: Health care professionals inobstetrics and gynaecology teams showed considerably highburnout levels during the coronavirus disease-2019 pandemic in Pakistan.

Matched MeSH terms: Gynecology*

Fulltext A case of gastrointestinal stromal tumour mimicking uterine fibroid

Nurhayati, A., Aida Hani, M.K., Nik Muhd Aslan, A., Reena Rahayu, M.Z., Ani Amelia, Z.

Journal of Surgical Academia, 2017;7(1):69-71.

MyJurnal

Gastrointestinal stromal tumour (GIST) is extremely rare with reported incidence of 20 per million per year. It is the most common mesenchymal tumour of the gastrointestinal tract. When it occurs at the pelvis in a female patient, it can be misleading to a gynaecological diagnosis. Non gynaecological diagnosis such as GIST must be considered in patients with pelvic mass presenting with atypical symptoms.

Matched MeSH terms: Gynecology

Fulltext Prenatal heating effects of ultrasound: a review

Nadzirah Mohamad Radzi, Farah Wahida Ahmad Zaiki

Malaysian Journal of Medicine and Health Sciences, 2018;14(3):39-45.

MyJurnal

The application of ultrasound technology has been widely accepted in clinical settings, particularly in Obstetrics and Gynaecology. This is in light of its ability to detect early foetal malformations apart from enabling foetal monitoring throughout gestation. While ultrasonography is an imaging method that is regularly used in Obstetrics, it is questionable as to whether it is safe for foetuses. The purpose of this paper was to review the evidence regarding the thermal effects of ultrasound exposure on foetal development, particularly. It is hoped that the importance of prudent usage of prenatal ultrasonography will be impressed on clinicians and the public in order to avoid the unnecessary usage of ultrasonography when it is not medically indicated. This is so that the welfare of pregnant women will be looked after, besides contributing to the better health of the next generation by ensuring that the benefits outweigh the known risks or potential harms.

Matched MeSH terms: Gynecology

Fulltext Incidence of phlebitis among adult patients with peripheral intravenous catheter in an east coast hospital Malaysia

Azlina Daud, Fatimah Mohamad, Siti Noorkhairina Sowtali

International Journal of Care Scholars, 2018;1(2):5-8.

MyJurnal

Objective: This study aims to determine the incidence rate of phlebitis among patients with peripheral intravenous catheter. Methods: An observational study was conducted in one of the hospitals in East Coast Malaysia. There were 321 data collected among patients who had peripheral intravenous catheter in medical, gynecology and orthopedic wards. The incidence of phlebitis was evaluated using modified Visual Infusion Phlebitis score checklist. Results: The incidence of phlebitis, was found out to be 36.1% (n=116/321). Most patients who developed phlebitis had visual infusion phlebitis, with a score of two (34.9%) and the rest developed phlebitis with a score of three (1.2%). Conclusion: This high incidence of phlebitis indicated a worrying outcome. Therefore, the study findings suggested that a specific guideline on post insertion management of peripheral intravenous catheter should be revised which may help in reducing more incidence of phlebitis, subsequently reduce infection in ward, and provide more safety environment in hospital and reducing cost in managing infection control.

Matched MeSH terms: Gynecology

Fulltext Practice patterns of some gynaecologists in Malaysia with regards to prophylactic oophorectomy and hormone replacement therapy

Ravindran J, Leow CH

Med J Malaysia, 1996 Dec;51(4):409-14.

PMID: 10968026

This study aimed to look at the prevailing practice patterns of gynaecologists with regards to prophylactic oophorectomy and usage of hormone replacement therapy. Questionnaires were sent to the first 200 gynaecologists listed in the membership list of the Obstetrical and Gynaecological Society of Malaysia. The response rate was 30%. The results showed that most gynaecologists would perform prophylactic oophorectomy after the age of 49 years. The result was equivocal for the ages between 45 to 49 years. Of those who retained the ovaries at the age of 45 to the menopause, 55% did so because the ovaries were still functional. Almost all gynaecologists would prescribe hormone replacement therapy (HRT) after oophorectomy and the most commonly prescribed form was the oral type. Thirty-five per cent of gynaecologists claimed that more than 80% of their patients were compliant to HRT. The reasons perceived for the poor compliance were mainly poor knowledge and misconception.

Matched MeSH terms: Gynecology*

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