This cohort study aimed to assess the effect of the mode of delivery on female sexual function (FSF) after childbirth. Out of 256 primiparous women, 200 subjects that completed the study were divided into two groups; women that delivered vaginally and women that had elective cesarean section (CS). They were subjected to a translated version of female sexual function index (FSFI) questionnaire evaluating desire, lubrication, orgasm, satisfaction, pain both antenatally and 12 weeks postpartum. The mean FSFI total score of the two investigated groups demonstrated nonsignificant difference 12 weeks after delivery compared with these scores antenatally. Women that delivered vaginally demonstrated significant decreases in the scores of desire, arousal and lubrication domains 12 weeks after delivery compared with these scores antenatally where other scores demonstrated nonsignificant differences. Women that delivered by CS demonstrated a significant difference in desire domain 12 weeks after delivery compared with these scores antenatally where other scores demonstrated nonsignificant differences. It is concluded that the mode of delivery has nonsignificant effect on the FSF 12 weeks after childbirth. Specifically, vaginal delivery is associated with significant decrease in the desire, arousal and lubrication domains where elective CS is associated with significant decrease in the desire domain.
The mosquito C. p. pipiens L. never colonize sewerage water covered with duck weed. The Lemna minor vegetations affected the identification of the oviposition site by the females. The amputation of sensilla made the mosquito incapable of choosing the oviposition site. The immature stages of the mosquito are susceptible to the water borne synomones of the duck weed; the first instar larvae are most susceptible and have high mortality. Resume-La moustique C. p. pipiens L. ne colonize jamais dans les eaux d'egouts couvertes par Lemna minor (duck weed). Les eaux salees et leur pH n'ont pas d'effets sur les colonies des moustiques. Seule, la presence des colonizations, et non leur densite, affecte la discrimination des lieux de pondre par les femelles des moustiques, il semble que c'est un effet repugnant. L'amputation des tarses et des antennes fait perdre a la femelle la capacite de trouver les lieux de pondre, ce qui prouve la presence des synomones secretes par L. minor dans I'air et I'eau des marais. II semble aussi que les premieres larves du C. p. pipiens sont plus sensibles, aux synomones de I'eau, ques les dernieres larves.
The aim of this study was to evaluate the value of measurement of serum ferritin level in pregnant women to predict preterm labour. The study included 236 women whose haemoglobin (Hb) levels were ≥10.5 gm/dl and gestational age (GA) was less than 30 weeks. Serum ferritin levels were measured at 30 weeks of gestational age. At the end of the study, 23 women delivered with preterm premature rupture of membrane (PPROM) and 17 women delivered before 37 weeks but without PROM (study group). The rest of the pregnant women (196 women) delivered between 37 and 40 weeks (control group). We found a significant difference between the two groups with respect to serum ferritin level. The cut off value of serum ferritin between the two groups was 31 ng/ml with sensitivity 92.8%, specificity 99.4%, positive predictive value 97.5%, negative predictive value 98.4% and accuracy 98.3%. Impact statement What is already known on this subject: maternal serum ferritin has been found to be elevated in women who delivered preterm. What the results of this study add: In this study, we have shown that serum ferritin 31 ng/ml is the optimal cut-point between preterm and full-term women. What the implications are of these findings for clinical practice and/or further research: Serum ferritin 31 ng/ml could be proposed as a potential helpful marker to predict preterm labour.
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