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انتشار فايروس الورم اللحيمي 16 او 18 مع الحمل العنقودي == Prevalence of Human papilloma Virus 16 & 18 and H.mole

Author name: نجاح نوري عبد الرحيم
Supervisor name: الاء محمد صادق | سبا العادلي
General topic: Medicine
Specific topic: Obstetrics and Gynecology
Degree: Higher Diploma
University: University of Kufa - Faculty Of Medicine - Department Of Obstetrics And Gynecology
Language: English
University location: Najaf
First pages:

دراسة لمقارنة عشوائية لتاثير دواء ميزوبرستول (بروستوكلاندين E1) في انهاء الحمل المنسي من الفتره 12 اسبوع الى 24 اسبوع عن طريق المهبل بمضاعفة جرعة الدواء (الميسوتاك) في المجموعة == Randomized clinical trial comparing efficacy of a vaginal misoprostol loading versus nonloading dose regimen for second trimester missed pregnancy termination

Author name: سولاف سالم كاظم
Supervisor name: ازهار موسى الطريحي
General topic: Medicine
Specific topic: Obstetrics and Gynecology
Degree: Higher Diploma
University: University of Kufa - Faculty Of Medicine - Department Of Obstetrics And Gynecology
Language: English
University location: Najaf
First pages:

اكتفين ا كعلامة بيولوجية للحمل خارج الرحم والاجهاض المنسي == Activin A As A Biomarker For Ectopic Pregnancy And Missed Abortion

Author name: مي حامد حسن
Supervisor name: نورهان شاكر
General topic: Medicine
Specific topic: Obstetrics and Gynecology
Degree: Higher Diploma
University: University of Kufa - Faculty Of Medicine - Department Of Obstetrics And Gynecology
Language: English
University location: Najaf
First pages:
Abstract: Background : Activin A is a member of transforming growth factor B family that is secreted from ovary and placenta, however, in pregnancy the main source is the trophoblast.Aim of study : Activin A measurement to differentiate between intrauterine pregnancy and failed (missed abortion and ectopic) pregnancies.Study design : a Case control study.Setting : Department of Obstetrics and Gynecology in the College of Medicine Kufa University in Al Zahraa Teaching Hospital.Material and Methods : This study is a case control study consisting of 90 patients on three groups : Group 1 ectopic pregnancies (EP) (n=30) , Group 2 missed abortions (MA) (n=30) and Group 3 healthy viable intrauterine pregnancies (IUP) (n=30) were came to hospital with lower abdominal pain and\or vaginal bleeding or both between 6 - 8 weeks of gestation. Serum samples were sent at initial visit before treatment for measurement of activin A using ELISA test.Results : Activin A concentrations were significantly lower in women with EP (n = 30, mean value of 89.9 pg/mL) and women with MA (n = 30, mean value of 164.9 pg/mL) compared to IUP (n = 30, mean value of 334.5pg/mL); P < 0.001. Activin A can discriminate an ectopic pregnancy from viable pregnancies also, it was able to discriminate a MA from an EP.Conclusion : In this study activin A could be considered a promising biomarker for the discrimination between an IUP and a failed pregnancy (MA or EP).

مستوى مصل الدم للهرمون مضاد مولر AMH كاداة تشخيصية للاستجابة لتحريض الاباضة في مرضى متلازمة المبيض المتعدد الكيسات PCOS == Serum Level Of AMH As A Prognostic Tool For Response To Ovulation Induction In Pcos Patients

Author name: فرح حسام الدين سعران
Supervisor name: صالحة علي حسين | بتول عبد الواحد
General topic: Medicine
Specific topic: Obstetrics and Gynecology
Degree: Higher Diploma
University: University of Kufa - Faculty Of Medicine - Department Of Obstetrics And Gynecology
Language: English
University location: Najaf
First pages:
Abstract: متلازمة المبيض المتعدد الكيسات (PCOS) هواضطراب شائع جدا التي تحدث في 4? الى 7? من النساء في سن الانجاب. من المعروف انPCOSغالبا ما يترافق مع الاصابة بالامراض التناسلية وزيادة خطرالاصابة بسرطان بطانة الرحم،والتشخيص له اهمية خاصة لانه يعتقد الان بانPCOS له ا | From the observation that some PCOS patients were known to have high serum level AMH and it has been shown to be useful in its diagnosis, however; the clinical significance of high serum AMH level in prediction of ovarian response to medical therapy was under studied we are doing this study aiming to test the value of serum AMH level as a marker of sever disease and may be subsequent resistance to medical therapy. (AMH) has glycoprotein dimmer structure.AMH is produced by the granulose cells. AMH level in the plasma of PCOS patient are two or three times higher than average and begin to decline five years later than healthy womenObjectivesThe main objective of the study is to estimate the AMH level as a prognostic factor in PCOS infertile women on ovulation induction, also to describe some risk factors of infertility and their association with the AMH level.MethodologyA cross sectional study has been carried out in the outpatient clinic at Al Sadr infertility center under supervision of specialist gynecologist on 60 patients. The data has been collected by a questionnaire which contains demographic characteristics, gynecological history, physical examination and some laboratory investigations. The data collected by simple random to select the case from the outpatient clinics in the fact of 4 - 5 infertile women one day/week, then a period of time required for following up them after the ovulation induction The data have been collected during the period from the 1st of February till the 30 of September 2015.ResultsThere was a high statistically significant difference (P 0.000) in mean AMH among the cases with negative PT from those with positive PT, also the higher level of AMH strongly linked (P 0.023) with the presence of acne as a symptom of PCOS. There was no correlation of AMH with the age, LH, FSH, prolactin, TSH, size of dominant follicle and infertility duration. While it was positively correlated (P 0.000) with the age of menarche, BMI (P 0.000), Serum testosterone (P 0.002) andendometrial thickness (P 0.000).Conclusions & RecommendationsAMH is a useful test to study folliculogenesis and ovarian potential in various situations of infertility and for identification of PCOS. High levels of AMH are commonly associated with pregnancy failure.So, a recommendation of AMH level measuring for all PCOS patients should be done in order to know the prognosis during the ovulation induction.

العلاقة بين البروتين التفاعلي عالي الدقة في حالات سمدمية الحمل مع او بدون تخلف نمو الجنين == Associationbetween Highly Sensitive C - Reactive Protein Level In Cases Of Preeclampsia With Or Without Intrauterine - Growth Restriction

Author name: روسم جاسم محمد
Supervisor name: الاء محمد صادق
General topic: Medicine
Specific topic: Obstetrics and Gynecology
Degree: Higher Diploma
University: University of Kufa - Faculty Of Medicine - Department Of Obstetrics And Gynecology
Language: English
University location: Najaf
Key words:
  • العلاقة بين البروتين التفاعلي عالي الدقة في حالات سمدمية الحمل مع او بدون تخلف نمو الجنين
First pages:
Abstract: سمدم?ةالحملھوخلل?ص?بتقر?با 4% منالنساءاثناءالحملوتترتبعل?ھمخاطركث?رةبالنسبةل?موالطفل. نعرفتسممالحملعللىانھا?صابةالحد?ثةغ?رالمسبوقةبارتفاعضغطالدماثناءالحملبعدا?سبوع 20 منالحملوالمصحوبةبوجودبروت?نفيالبول.البروت?نالتفاعليعاليالدقةھومؤشرك?م?ائيبامكانناق?اسھف | Preeclampsia is a hypertensive disorder that affects 4% of pregnant women , in which the exact cause cannot identified it is one of the major causes of maternal and fetal morbidity and mortality as it causes death of more than 6300 women annually , also it puts a burden on perinatal outcome as prematurity and Intrauterine growth restriction.Continuous search for predictive markers of severe PE is important and can be used to target high risk women for effective preventive treatment.Aim of study : to evaluate that Highly Sensitive C - Reactive Protein can be used as maker for severity of PE and whether it can be used to predict development of Intrauterine growth restrictionPatients and methods : this is convenient a cross - sectional study includes 80 pregnant women with their age 18 - 35 years , their gestational age 32 - 40 weeks , admitted to AL - Zahraa teaching hospital , whose diagnosed as PE based on BP and proteinurea. Full history and clinical examination were performed, venous blood aspirated for each women for biochemical analysis, Liver functions tests, Renal function tests Highly Sensitive C - Reactive Protein, and Doppler ultrasound.Results : The patients divided into those with mild PE and severe PE, with or without IUGR. No significant difference between the level of hsCRP and the severity of PE as p value was(0.779), but there is significant difference between the presence of IUGR and the level of hsCRP when it is 2mg/L as the p value was(0.020).Conclusion : We conclude that s.hsCRP is not sign

دراسة علاقة طول عنق الرحم المقاس بالسونار الداخلي مزامنة مع كمية السائل الامنيوسي في توقع وقت حدوث الولادة المبكرة خلال سبعة ايام من تمزق غشاء السائل الامنيوسي المبكر == Transvaginal Cervical Length & Amniotic Fluid Index : Can They Predict Delivery Latency Following Preterm Premature Rupture Of Membrane

Author name: وسن غائب حسون غائب
Supervisor name: امال منير مبارك
General topic: Medicine
Specific topic: Obstetrics and Gynecology
Degree: Higher Diploma
University: University of Kufa - Faculty Of Medicine - Department Of Obstetrics And Gynecology
Language: English
University location: Najaf
Key words:
  • علاقه طول عنق الرحم المقاس بالسونار الداخلي مزامنة مع كمية السائل الامنيوسي في توقع حدوث الولادة المبكرة خلال سبعة ايام من تمزق غشاء السائل الامنيوسي المبكر
First pages:
Abstract: توقع حدوث الولادة عند الحوامل المصابات بتمزق غشاء السائل الامنيوسي المبكريساعد الحامل على تهيئه نفسها لدخول المستشفى لاجراء اللازم لها واعطاءالجرعةالمنشطةلرئة الطفل وادخاله الى وحده العناية المركزة لحديثي الولادة.هدف الدراسة : تهدف الدراسة الى قياس طول عن | Patients with PPROM are often hospitalized for a prolonged period of time and deliver premature infants who frequently require neonatal intensive care. These women and their infants contribute significantly to obstetric &neonatal health care costs. The prediction of delivery latency could help direct the need for specific interventions such as hospitalization, intensive monitoring, timing of antenatal steroids.Objective : To determine whether transvaginal CL, AFI,or a combination of both can predict delivery latency within 7 days in women presenting with PPROM.Methods and Study Design : This was a prospective observational study of TVCL measurements in 80 singleton pregnancies with PPROM between 24 - 34 weeks. Transvaginal ultrasonography was performed with TOSHIBA SSA - 340A(Tokyo - Japan) apparatus 7.5MHz transvaginal probe, to measure the CL&AFI. Delivery latency was defined as the period from the initial TVCL after PPROM to delivery of the baby with our primary outcome being delivery within 7 days of TVCL. The independent predictability of significant characteristics for delivery within 7 days was determined using multiple logistic regression.Sensitivity, specificity, and predictive values were used to determin, whether the presence of a short TVCL, AFI or a combination of both affected the risk of delivery within 7 days.Result : Our study in women with PPROM show the validity of CL in predicting labor when the cut off value2cm the sensitivity=52.6%, specificity=69%, PPV=60.6%, NPV =61.7% and Accuracy=61.25%.The validity of AFI when the cut off value 5cm the sensitivity=71.1%, specificity=50%, PPV=56.3%, NPV=65.6% and Accuracy=60%.With combination of CL&AFI in predicting time of labor after PPROM the sensitivity=50%, specificity=92.8%, PPV=86.4%, NPV=67.2% and Accuracy 72.5%.In women with PPROM the rate of gestational age ? 30 weeks that labored within 7 days 44.7% and those labored more than 7 days 55.3%.Also the rate of gestational age >30 weeks that delivered within and after 7 days are 50%.According to the parity we found the mean value of those delivered within 7 days are 1.24 and those after 7 days are 1.28.Conclusion : Our study shows there is increase in positive predictive value when combination of AFI and CL in prediction of time of labour so women with AFI?5 and CL?2 had 86.4% risk of delivery within 7 days after PPROM. Also the study found there was no significant association between gestational age, or parity with the prediction time of labor.

نسبة حدوث النزف بعد الولادة في حالات الولادات الطبيعية, الاصطناعية, القيصرية الطارئة والغير طارئة في مستشفى الزهراء التعليمي لسنه 2015 == The Incidence Of Postpartum Hemorrhage After Spontaneous And Induced Vaginal Delivery Versus Elective And Emergency Caesarian Section At Al - Zahraa Teaching Hospital In 2015

Author name: اسراء علي عباس
Supervisor name: ازهار موسى الطريحي
General topic: Medicine
Specific topic: Obstetrics and Gynecology
Degree: Higher Diploma
University: University of Kufa - Faculty Of Medicine - Department Of Obstetrics And Gynecology
Language: English
University location: Najaf
Key words:
  • حدوث النزف بعد الولاده في حالات الولادات الطبيعيه
  • الاصطناعيه
  • القيصريهالطارئه والغير طارئه في مستشفى الزهراء التعليمي لسنه
First pages:
Abstract: خلال هذا البحث تم رصد حدوث النزف المهبلي بعد الولاده ومقارنته بين اربع مجاميع من المريضات اللاتي دخلن الى مستشفى الزهراء التعليمي من فتره الثاني من اذار الى الثاني من اب وكان عدد المريضات 9674 مريضه وكان عدد الولادات الطبيعيه 6137 منها 1352 كان عن طريق تح | The labour records of the patients admitted to the labour word and obstetrics word and theater in Al Zahra teaching hospital (9674 patients) during period of 5 months from 2nd of March to the 2nd of August, consequence study to compare the incidence of postpartum haemorrhage after : 1 - Spontaneous labour2 - Induced labour 3 - Elective caesarian section4 - Emergency caesarian sectionObjective : To compare the incidence of haemorrhage and risk factors among certain group of patients and to discover which group is more liable to develop PPH.Study design : Cross sectional studyMethodology : Estimating the blood loss for assessment of PPH by gravimetric method and collection of soaked packs method, evaluate the severity of bleeding and put the women in the proper PPH category to do the proper management plans.Finding and conclusion : The finding of our research is the incidence of PPH is 1.64% among all types of labour (159 patients had PPH during this period) and the main risk factor for PPH in study is the primigravidas in induced or augmented labour.Practical implication : These finding indicate that PPH is another complication of induction that needed to be taken into account when induction in being considered

لتقييم العلاقه بين الوزن الامومي وخطر العمليه القيصريه ,مده الولاده ومعدل توسيع عنق الرحم اثناء عمليه تحفيز الولاده == The Association Of Maternal Weight With Caesarean Risk, Labor Duration, And Cervical Dilation Rate During Labor Induction

Author name: رهام عبد الامير جاسم
General topic: Medicine
Specific topic: Obstetrics and Gynecology
Degree: Higher Diploma
University: University of Kufa - Faculty Of Medicine - Department Of Obstetrics And Gynecology
Language: English
University location: Najaf
First pages:

Predicting Uterine Rupture By Uterine Thickness Via Sonogram

Author name: ايمان مصطفى حسون
General topic: Medicine
Specific topic: Obstetrics and Gynecology
Degree: Higher Diploma
University: University of Kufa - Faculty Of Medicine - Department Of Obstetrics And Gynecology
Language: English
University location: Najaf
First pages:

The Out Come Of ICSI & IVF In The Fertility Center Of Al - Najaf City

Author name: سوسن طاهر وشيز
General topic: Medicine
Specific topic: Obstetrics and Gynecology
Degree: Higher Diploma
University: University of Kufa - Faculty Of Medicine - Department Of Obstetrics And Gynecology
Language: English
University location: Najaf
First pages:

مستوى الاصابة بالكلاميديا في النساء ذوات الحمل خارج الرحم == A Study Of Risk Factors And Manegmant Of Women With Ectopic Gestation

Author name: سهير عبد الامير كتاب
Supervisor name: ثرى جعفر كاظم الموسوي | بتول عبد الواحد هاشم
General topic: Medicine
Specific topic: Obstetrics and Gynecology
Degree: Higher Diploma
University: University of Kufa - Faculty Of Medicine - Department Of Obstetrics And Gynecology
Language: English
University location: Najaf
First pages:

Human Chorionic Ganadotrophin Level As A Predictor Of Preeclampsia In Al - Zahra Maternity And Pediatrics Teaching Hospital

Author name: انتصار عبد الرسول
General topic: Medicine
Specific topic: Obstetrics and Gynecology
Degree: Higher Diploma
University: University of Kufa - Faculty Of Medicine - Department Of Obstetrics And Gynecology
Language: English
University location: Najaf
First pages: