Female Diet

Healthy Eating for Women, A balanced diet is a cornerstone of health. Women, like men, should enjoy a variety of healthful foods from all of the foods groups, including whole grains, fruits, vegetables, healthy fats, low-fat or fat-free dairy and lean protein

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Pregnancy

Pregnancy, also known as gestation, is the time during which one or more offspring develops inside a woman. A multiple pregnancy involves more than one offspring, such as with twins. Pregnancy can occur by sexual intercourse or assisted reproductive technology. Childbirth typically occurs around 40 weeks from the last menstrual period (LMP. This is just over nine months, where each month averages 31 days. When measured from fertilization it is about 38 weeks. An embryo is the developing offspring during the first eight weeks following fertilization, after which, the term fetus is used until birth.  Symptoms of early pregnancy may include missed periods, tender breasts, nausea and vomiting, hunger, and frequent urination. Pregnancy may be confirmed with a pregnancy test.

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Menopause

Menopause is signalled by 12 months since last menstruation.Common symptoms include hot flashes and vaginal dryness. There may also be sleep disturbances. The combination of these symptoms can cause anxiety or depression.Menopause is a natural process with treatments that focus on symptomatic relief. Vaginal dryness is treated with topical lubricants or oestrogen. Medications can reduce the severity and frequency of hot flushes. In special circumstances, oral hormone therapy may be used.

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Uterine cancer

Uterine cancer or Endometrial cancer is the most common cancer of the female reproductive system. It is a malignant tumour that starts in the cells of the uterus. Malignant means that it can invade, or grow into, and destroy nearby tissue. It can also spread, or metastasize, to other parts of the body.

The uterus, or womb, is part of a woman’s reproductive system. The uterus is the hollow, muscular, pear-shaped organ where a fetus develops and grows during pregnancy. The lining of the uterus is called the endometrium. It is made up of tissue with many glands. The lower part of the uterus is called the cervix. The cervix leads into the vagina.

Image result for uterine cancer

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Is The Use of Antibiotics Useful in Patients with Term Premature Rupture of Membranes?

Abstract

Term premature rupture of membranes (TPROM) is associated with an increased risk of infection of the mother and newborn. The current treatment of TPROM does not include prophylactic antibiotics, because systematic reviews conclude that its use does not modify maternal or neonatal outcomes. However, in the group of patients with latency at delivery greater than 12 hours, the rates of maternal infection, like chorioamnionitis and endometritis, are significantly lower with the use of antibiotics. One of the studies with latency greater than 12 hours concludes that the determinant risk factor of maternal infection is the presence of cervicovaginal infection (CVI) and / or microbial invasion of the amniotic cavity (MIAC), and not other traditional risk factors. This study reports that MIAC and maternal infection occur only in patients with CVI and that the significant reduction in maternal infection is probably due to the effect of antibiotics on CVI and on amniotic fluid infections. In agreement the known association between chorioamnionitis and perinatal infection/ cerebral palsy in the preterm rupture of membranes (PROM) of pregnancies less than < 34 weeks, it could be possible to affirm a reduction of the perinatal infection and the long-term neurological sequelae with the use of antibiotics in the TPROM. Additional studies are needed to clarify the benefit of antibiotics in patients with TPROM without labor and latency at delivery > 12 h.

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Psychotherapy Services Based on Transactional Analysis Played an Important Role in the Case of Depression

Abstract

Introduction: Depression is a common illness worldwide, with more than 300 million people affected. Depression is different from usual mood fluctuations and short-lived emotional responses to challenges in everyday life. Especially when long-lasting and with moderate or severe intensity, depression may become a serious health condition. It can cause the affected person to suffer greatly and function poorly at work, at school and in the family. At its worst, depression can lead to suicide. Close to 800 000 people die due to suicide every year. Suicide is the second leading cause of death in 15-29-year-olds., (Depression, World health organization, 22 March 2018) [1]. The identification of the nature of an illness and examination of the symptoms’ (Oxford Dictionaries, April 2010) we can find the accurate diagnosis, it has been an important skill within transactional analysis (Clarkson, 1992, p58). Diagnosis is an essential part of treatment planning, but TA goes beyond reliance on standard diagnostic manuals (Stewart, 2000, p14) in its use of observation and intuition to recognize the ego state a client is presenting from and to identify shifts from one ego state into another.
Method: A case analysis of depressive client will be reported based on Transactional Analysis approach. This case history of a depressive client will be discussed who received total 16 therapeutic sessions among them 12 individual sessions (8 sessions for wife, 4 sessions for husband), 4 couple sessions were provided for them over the period 10 months. In dept assessment of client’s childhood through Script analysis and systematic Transactional tools was applied in therapy session for her symptomatic relief. The therapy process was followed based on the four rules of therapy and the concept of CURE. Bipolar mood management technique , action plan and daily mood monitor tools were also applied for client to measure her depressive mood and mood management.
Result: Hear the case study will show the feature of depression of a woman and how she overcome from the depressive mood with the therapeutic support which is based on Transactional Analysis. Permission transaction, Strokes, confrontation of Rackets and Game, restructure her Time structure, ESCAPE Hatches closer, Impasse, re-decision therapy are the most significant techniques was applied for her growth and change. Conclusion : Holistic approach is important for depressive client to be cure. Long term therapeutic support, medical support, also intensive family support required to reach the self autonomy as well Then client can re decide about her future life and make a shift from Not Ok life position to OK life position.

For more info: http://www.sciaeon.org/articles/Psychotherapy-Services-Based-on-Transactional-Analysis-Played-an-Important-Role-in-the-Case-of-Depression.pdf

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Postoperative Advice and Review in Uncomplicated Major Gynaecological Surgeries

Abstract

The post-operative care has generated a lot of discussion and controversy over the years and while certain issues have been resolved, others continue to be sources of debate. Optimisation of the immediate postoperative recovery during hospitalisation including postoperative pain control, time of first feeding, thrombo-prophylaxis and prevention of nausea and vomiting have been resolved. However, opinion is divided on a 6-week recovery period post-hysterectomy, the period of time patients has to refrain from driving, working or sexual activities as well as how, where, when to conduct the review and the usefulness of postoperative review in major gynaecological surgeries. We examine the current status of postoperative review and advice by reviewing the literature in relation to the gynaecological surgery.

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Domestic violence in women of reproductive age group in rural Odisha- a cross sectional study data results

Abstract

Introduction: Domestic violence meaning thereby violence rendered on women at home has come out to be a major suppressive factor affecting the mental health of women across the world. It has greater significance in rural areas of few states in India, where it is compounded with low socio-economic conditions as well as low levels of education and alcoholism.
Methodology: The current cross sectional study is an excerpt of a larger study conducted under the aegis of Department of Health Research (DHR/ICMR-India), wherein women of reproductive age groups i.e., 18-49 years were selected in three categories i.e., pregnant, lactating and nonpregnant and nonlactating (NPNL) and interviewed for sociodemographic , family and individual factors to eventually score their mental health by using a validated scoring questionnaire i.e., General Health Questionnaire 12 (GHQ12). The study is underway and 5 districts across the state have been covered with a total sample of 900.
Results: The prelim results were assessed for prevalence of domestic violence in sample. In all the 3 categories domestic violence was reported in over 10% of the sample, maximum being in the lactating women i.e., 17.9%. It was observed from the results of univariate analysis that the risk of domestic violence among casual employed women is 2.19 (95% CI: 1.12 – 4.29) times higher than the unemployed women. Similarly women belonging to the occasional alcoholic and frequent (twice or thrice a week) alcoholic spouses have 4.17 (95% CI: 2.77 – 6.27) and 6.0 (95% CI: 3.20 – 11.18) times higher risk of domestic violence respectively than those women with non-alcoholic partners. Women education and education of the principal bread earner emerged as protective factors. Multiple logistic regression analysis revealed that alcohol abuse by the spouse and educational status of principal bread earner are the major determinants for domestic violence against women and hence considered as independent factors.
Conclusion: The study strongly brings out that evil of domestic violence exits in the rural areas and lack of education, both among men and women and use of alcohol by spouses were the major perpetrators of the evil. A daunting task lays ahead of us to address this at all possible levels.

For more info: http://www.sciaeon.org/articles/Domestic-violence-in-women-of-reproductive-age-group-in-rural-Odisha-a-cross-sectional-study-data-results.pdf

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A Case Report of Lethal Invasive Group a Streptococcal Infection in the Puerperium

Introduction

Invasive Group A Streptococcus (iGAS) is a well-recognised infection in the peripartum period associated with high morbidity and mortality [1,2]. In the late 1980’s the maternal mortality rate from sepsis in the UK was 0.4/100 000 maternities, whereas in the period from 2006 to 2008 the maternal mortality rate increased to 1.13/100 000 [3].

Infections with virulent strains of iGAS can take an unpredictable course in which fever or mild somatic symptoms might be the only warning signs before progression to toxic shock syndrome (TSS) in 8-14% of cases [4]. We report a case of uterine infarction secondary to pelvic thrombosis associated with iGAS and TSS treated by intensive care and hysterectomy.

For more info about article: http://www.sciaeon.org/articles/A-Case-Report-of-Lethal-Invasive-Group-a-Streptococcal-Infection-in-the-Puerperium.pdf

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