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Article ; Online: Impact of COVID-19 on reproductive health and maternity services in low resource countries.

Abdelbadee, Ahmed Y / Abbas, Ahmed M

The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception

2020 Volume 25, Issue 5, Page(s) 402–404

Abstract: Purpose: Coronavirus Disease-2019 (COVID-19) is a rapidly evolving pandemic. It is well-known that pregnant women are more susceptible to viral infection due to immune and anatomic factors. Therefore, the viral pandemic might affect the reproductive ... ...

Abstract	Purpose: Coronavirus Disease-2019 (COVID-19) is a rapidly evolving pandemic. It is well-known that pregnant women are more susceptible to viral infection due to immune and anatomic factors. Therefore, the viral pandemic might affect the reproductive health and maternity services especially in low-resource countries. Materials and methods: In this article, we tried to highlight the impact of COVID-19 on reproductive health and maternity health services in low resource countries with emphasis on adapting some of the published best practice recommendations to suit a struggling environment. Conclusion: Pregnant women residing in low resource countries represent a uniquely vulnerable group in epidemics due to several factors. Maternity services in low resource countries are adapting to provide antenatal and postnatal care amidst a rapidly shifting health system environment due to the COVID-19 pandemic.
MeSH term(s)	Betacoronavirus ; COVID-19 ; Communicable Disease Control/organization & administration ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Developing Countries ; Egypt/epidemiology ; Female ; Humans ; Maternal Health Services/organization & administration ; Maternal Health Services/standards ; Maternal Health Services/supply & distribution ; Needs Assessment ; Organizational Innovation ; Pandemics/prevention & control ; Perinatal Care/methods ; Perinatal Care/trends ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Postnatal Care/methods ; Postnatal Care/trends ; Pregnancy ; Pregnancy Complications, Infectious/epidemiology ; Pregnancy Complications, Infectious/prevention & control ; Reproductive Health/standards ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-05-21
Publishing country	England
Document type	Journal Article
ZDB-ID	1397560-2
ISSN	1473-0782 ; 1362-5187
ISSN (online)	1473-0782
ISSN	1362-5187
DOI	10.1080/13625187.2020.1768527
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Article ; Online: Impact of COVID-19 on reproductive health and maternity services in low resource countries

Abdelbadee, Ahmed Y. / Abbas, Ahmed M.

The European Journal of Contraception & Reproductive Health Care

2020 Volume 25, Issue 5, Page(s) 402–404

Keywords	Obstetrics and Gynaecology ; Pharmacology (medical) ; Reproductive Medicine ; covid19
Language	English
Publisher	Informa UK Limited
Publishing country	uk
Document type	Article ; Online
ZDB-ID	1397560-2
ISSN	1362-5187
ISSN	1362-5187
DOI	10.1080/13625187.2020.1768527
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Impact of COVID-19 on reproductive health and maternity services in low resource countries

Abdelbadee, Ahmed Y / Abbas, Ahmed M

Eur J Contracept Reprod Health Care

Abstract: PURPOSE: Coronavirus Disease-2019 (COVID-19) is a rapidly evolving pandemic. It is well-known that pregnant women are more susceptible to viral infection due to immune and anatomic factors. Therefore, the viral pandemic might affect the reproductive ... ...

Abstract	PURPOSE: Coronavirus Disease-2019 (COVID-19) is a rapidly evolving pandemic. It is well-known that pregnant women are more susceptible to viral infection due to immune and anatomic factors. Therefore, the viral pandemic might affect the reproductive health and maternity services especially in low-resource countries. MATERIALS AND METHODS: In this article, we tried to highlight the impact of COVID-19 on reproductive health and maternity health services in low resource countries with emphasis on adapting some of the published best practice recommendations to suit a struggling environment. CONCLUSION: Pregnant women residing in low resource countries represent a uniquely vulnerable group in epidemics due to several factors. Maternity services in low resource countries are adapting to provide antenatal and postnatal care amidst a rapidly shifting health system environment due to the COVID-19 pandemic.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #327384
Database	COVID19

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Article: Worry from contracting COVID-19 infection and its stigma among Egyptian health care providers.

Osman, Doaa Mohamed / Khalaf, Fatma R / Ahmed, Gellan K / Abdelbadee, Ahmed Y / Abbas, Ahmed M / Mohammed, Heba M

The Journal of the Egyptian Public Health Association

2022 Volume 97, Issue 1, Page(s) 2

Abstract: Backgrounds: Healthcare providers (HCPs) in COVID-19 epidemic face stressful workload of disease management, shortage of protective equipment and high risk of infection and mortality. These stressors affect greatly their mental health. The aim is to ... ...

Abstract	Backgrounds: Healthcare providers (HCPs) in COVID-19 epidemic face stressful workload of disease management, shortage of protective equipment and high risk of infection and mortality. These stressors affect greatly their mental health. The aim is to identify working conditions among Egyptian HCPs during COVID-19 epidemic as well as stigma and worry perceptions from contracting COVID-19 infection and their predictors. Methods: A cross-sectional study was conducted among 565 HCPs. Data was collected through Google online self-administered questionnaire comprised seven parts: demographics characteristics, knowledge and attitude of COVID-19, working condition, worry of contracting COVID-19 at work, discrimination intention at work for COVID-19 patients, stigma assessment using impact stigma, and internalized shame scales. Results: The vast majority of HCPs (94.7%) were worried from contracting COVID-19 at work. Risk factors for perceiving severe worry from contracting COVID-19 were expecting infection as a severe illness, believing that infection will not be successfully controlled, improbability to continue working during the pandemic even if in a well/fit health, high discrimination intention and impact stigma scales. Significantly high impact stigma scores were detected among those aged < 30 years, females, workers primarily in sites susceptible for contracting COVID-19 infection, those had severe worry from contracting infection at work, and high internalized shame scale. The risk factors for perceiving higher internalized shame scores were not having a previous experience in working during a pandemic, high discrimination intention towards COVID-19 patients and high impact stigma scale. Conclusions: Considerable levels of worry and stigma were detected among Egyptian HCPs during COVID-19 outbreak. The psychological aspect of health care providers should not be overlooked during epidemic; appropriate institutional mental health support should be provided especially for young HCPs, those without previous work experience in epidemic and those who work in high-risk units. Raising the community awareness about contribution of HCPs in fighting the epidemic might decrease stigmatization action toward HCPs.
Language	English
Publishing date	2022-01-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	604779-8
ISSN	2090-262X ; 0013-2446
ISSN (online)	2090-262X
ISSN	0013-2446
DOI	10.1186/s42506-021-00099-6
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Article ; Online: Worry from contracting COVID-19 infection and its stigma among Egyptian health care providers

Doaa Mohamed Osman / Fatma R. Khalaf / Gellan K. Ahmed / Ahmed Y. Abdelbadee / Ahmed M. Abbas / Heba M. Mohammed

Journal of the Egyptian Public Health Association, Vol 97, Iss 1, Pp 1-

2022 Volume 10

Abstract: Abstract Backgrounds Healthcare providers (HCPs) in COVID-19 epidemic face stressful workload of disease management, shortage of protective equipment and high risk of infection and mortality. These stressors affect greatly their mental health. The aim is ...

Abstract	Abstract Backgrounds Healthcare providers (HCPs) in COVID-19 epidemic face stressful workload of disease management, shortage of protective equipment and high risk of infection and mortality. These stressors affect greatly their mental health. The aim is to identify working conditions among Egyptian HCPs during COVID-19 epidemic as well as stigma and worry perceptions from contracting COVID-19 infection and their predictors. Methods A cross-sectional study was conducted among 565 HCPs. Data was collected through Google online self-administered questionnaire comprised seven parts: demographics characteristics, knowledge and attitude of COVID-19, working condition, worry of contracting COVID-19 at work, discrimination intention at work for COVID-19 patients, stigma assessment using impact stigma, and internalized shame scales. Results The vast majority of HCPs (94.7%) were worried from contracting COVID-19 at work. Risk factors for perceiving severe worry from contracting COVID-19 were expecting infection as a severe illness, believing that infection will not be successfully controlled, improbability to continue working during the pandemic even if in a well/fit health, high discrimination intention and impact stigma scales. Significantly high impact stigma scores were detected among those aged < 30 years, females, workers primarily in sites susceptible for contracting COVID-19 infection, those had severe worry from contracting infection at work, and high internalized shame scale. The risk factors for perceiving higher internalized shame scores were not having a previous experience in working during a pandemic, high discrimination intention towards COVID-19 patients and high impact stigma scale. Conclusions Considerable levels of worry and stigma were detected among Egyptian HCPs during COVID-19 outbreak. The psychological aspect of health care providers should not be overlooked during epidemic; appropriate institutional mental health support should be provided especially for young HCPs, those without previous ...
Keywords	Health care providers ; Egypt ; Worry ; Stigma ; COVID-19 ; Arctic medicine. Tropical medicine ; RC955-962 ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	SpringerOpen
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Topical lidocaine-prilocaine cream versus rectal meloxicam suppository for relief of post-episiotomy pain in primigravidae: A randomized clinical trial.

Abbas, Ahmed M / Magdy, Fatma / Salem, Mohammed N / Bahloul, Mustafa / Mitwaly, Abo Bakr A / Ahmed, Abdel Ghaffar M / Abdelbadee, Ahmed Y

Journal of gynecology obstetrics and human reproduction

2020 Volume 49, Issue 5, Page(s) 101722

Abstract: Objectives: To compare the analgesic effect of topical lidocaine-prilocaine (LP) cream and rectal meloxicam suppository on the post-episiotomy pain in primigravidae.: Patients and methods: A randomized open-label clinical trial included primigravidae ...

Abstract	Objectives: To compare the analgesic effect of topical lidocaine-prilocaine (LP) cream and rectal meloxicam suppository on the post-episiotomy pain in primigravidae. Patients and methods: A randomized open-label clinical trial included primigravidae delivered vaginally with episiotomy. Eligible women were recruited and randomized to topical LP cream on the episiotomy line or rectal meloxicam suppository 15 mg. The intensity of the perineal pain was assessed using a visual analog scale (VAS) immediately, at 6, 12 h and after 5 days post-episiotomy. Results: One hundred ninety women were enrolled (n = 95 in each arm). No difference between both groups in the VAS scores immediately (mean ± SD: 8.54 ± 1.35 vs. 8.33 ± 1.50, p = 0.419) and 6 h after episiotomy (p = 0.859). However, women in the LP arm were more likely to report lower VAS scores at 12 h and 5 days post-episiotomy (mean ± SD: 1.20 ± 0.50 vs. 5.65 ± 1.65, p = 0.0001; 1.19 ± 0.49 vs. 2.64 ± 1.73, p < 0.001; respectively). Conclusion: Application of topical LP cream after repair of episiotomy in primigravidae seems to substantially alleviate the induced pain with subsequent less need for additional analgesia and more patients' satisfaction.
MeSH term(s)	Administration, Topical ; Adolescent ; Adult ; Analgesia/methods ; Anesthetics, Local/administration & dosage ; Anti-Inflammatory Agents, Non-Steroidal/administration & dosage ; Episiotomy/adverse effects ; Female ; Gravidity ; Humans ; Lidocaine/administration & dosage ; Meloxicam/administration & dosage ; Pain, Postoperative/therapy ; Pregnancy ; Prilocaine/administration & dosage ; Suppositories ; Young Adult
Chemical Substances	Anesthetics, Local ; Anti-Inflammatory Agents, Non-Steroidal ; Suppositories ; Prilocaine (046O35D44R) ; Lidocaine (98PI200987) ; Meloxicam (VG2QF83CGL)
Language	English
Publishing date	2020-02-26
Publishing country	France
Document type	Comparative Study ; Journal Article ; Randomized Controlled Trial
ISSN	2468-7847
ISSN (online)	2468-7847
DOI	10.1016/j.jogoh.2020.101722
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Article ; Online: Partial tubal devascularisation: a novel procedure for tubal conservation in ectopic pregnancy.

Shazly, Sherif A / Gayar, Ahmed G / Abdelbadee, Ahmed Y / Afifi, Ahmed M / Nassr, Ahmed A

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology

2018 Volume 39, Issue 2, Page(s) 202–205

Abstract: Ectopic pregnancy is a serious condition that complicates 1-2% of pregnancies. Using surgical management is efficient, but may have an impact on future fertility. Although conservative tubal surgery has not been shown to have a significant advantage over ...

Abstract	Ectopic pregnancy is a serious condition that complicates 1-2% of pregnancies. Using surgical management is efficient, but may have an impact on future fertility. Although conservative tubal surgery has not been shown to have a significant advantage over a salpingectomy in terms of the future fertility potential, the conservative surgical techniques remain widely-utilised, particularly in the context of a contralateral diseased or absent tube. We hereby report a case series of a novel procedure to conserve the fallopian tube with the minimal risk of an incisional site bleeding through a partial segmental devascularisation. This technique seems to be an efficient method to minimise the intraoperative bleeding, limit the need for a blood transfusion, and yields a higher success rate of the procedure without jeopardising the blood supply and vitality of the tubes. Impact Statement What is already known on this subject? Conservative surgery has a significant value in women with a contralateral absent or diseased tube. However, a conservative management could be challenging due to the significant bleeding which can be encountered during the surgery. What the results of this study add? The partial devascularisation technique could achieve an adequate haemostasis by blocking the ascending blood supply only to the affected segment of the fallopian tube. What the implications are of these findings for clinical practice and/or further research? A partial devascularisation is a successful conservative surgical treatment option in most patients when the procedure is indicated.
MeSH term(s)	Adult ; Fallopian Tubes/blood supply ; Fallopian Tubes/surgery ; Female ; Humans ; Organ Sparing Treatments ; Pregnancy ; Pregnancy, Tubal/surgery ; Salpingostomy/methods ; Young Adult
Language	English
Publishing date	2018-10-04
Publishing country	England
Document type	Clinical Trial ; Journal Article
ZDB-ID	604639-3
ISSN	1364-6893 ; 0144-3615
ISSN (online)	1364-6893
ISSN	0144-3615
DOI	10.1080/01443615.2018.1476472
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Article ; Online: Prognostic value of systematic lymphadenectomy in patients with ovarian cancer: A systematic review and meta-analysis.

AlMahdy, AlBatool M / Elassall, Gena M / Abdelbadee, Ahmed Y / Abd-Elkariem, Ahmed Y / Atef, Fatma / Ahmed, Islam A / Sayed, Esraa G / Salah, Mohamed Ashraf / Ali, Ahmed K / Ragab, Esraa Y / Abd Elazeem, Hossam Aldein S / Saad, Mahmoud M / Shazly, Sherif A

European journal of obstetrics, gynecology, and reproductive biology

2021 Volume 267, Page(s) 179–185

Abstract: Objective: To appraise clinical outcomes of systematic lymphadenectomy in women with ovarian cancer based on stage, control group and type of chemotherapy.: Study design: A literature search was conducted on SCOPUS, PUBMED, COCHRANE, MEDLINE, and WEB ...

Abstract	Objective: To appraise clinical outcomes of systematic lymphadenectomy in women with ovarian cancer based on stage, control group and type of chemotherapy. Study design: A literature search was conducted on SCOPUS, PUBMED, COCHRANE, MEDLINE, and WEB OF SCIENCE databases. All comparative studies that assess outcomes of systematic lymphadenectomy in patients with ovarian cancer were eligible. Overall survival was analyzed by pooling log hazard ratio (HR) and standard error of multivariable Cox regression models. MOGGE Meta-analysis Matrix is a novel illustration tool that was used to demonstrate multiple subgroup analyses of included studies. Results: Twenty-two studies were eligible. Systematic lymphadenectomy was associated with better overall survival, that was close to significance, compared to control group (HR 0.93, 95 %CI 0.86-1.00). Among women treated with adjuvant chemotherapy, overall survival improved in women with stage IIB-IV who underwent systematic lymphadenectomy (HR 0.91, 95 %CI 0.84-0.99) and was most significant among patients with stage III to IV (HR 0.85, 95 %CI 0.73-0.99). Systematic lymphadenectomy did not improve survival in women who received neoadjuvant chemotherapy (HR 0.97, 95 %CI 0.73-1.29). Systematic lymphadenectomy was associated with improved progress-free survival compared to control group (HR 0.88, 95 %CI 0.79-0.99). Conclusion: Although data from clinical trials do not support role of systematic lymphadenectomy in advanced ovarian cancer, overall data conveys stage-specific survival benefit. Further clinical trials may be warranted to assess substage survival outcomes in women with advanced stages.
MeSH term(s)	Carcinoma, Ovarian Epithelial ; Chemotherapy, Adjuvant ; Female ; Humans ; Lymph Node Excision ; Ovarian Neoplasms/drug therapy ; Ovarian Neoplasms/surgery ; Prognosis
Language	English
Publishing date	2021-03-16
Publishing country	Ireland
Document type	Journal Article ; Meta-Analysis ; Review ; Systematic Review
ZDB-ID	190605-7
ISSN	1872-7654 ; 0301-2115 ; 0028-2243
ISSN (online)	1872-7654
ISSN	0301-2115 ; 0028-2243
DOI	10.1016/j.ejogrb.2021.02.008
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Article ; Online: Oral Diclofenac Potassium Versus Hyoscine-N-Butyl Bromide in Reducing Pain Perception during Office Hysteroscopy: ARandomized Double-blind Placebo-controlled Trial.

Abbas, Ahmed M / Elzargha, Ahmed M / Ahmed, Abdel Ghaffar M / Mohamed, Ibrahim I / Altraigey, Ahmed / Abdelbadee, Ahmed Y

Journal of minimally invasive gynecology

2018 Volume 26, Issue 4, Page(s) 709–716

Abstract: Study objective: To compare the efficacy of oral diclofenac potassium versus hyoscine-N-butyl bromide (HBB) in reducing pain perception in patients undergoing diagnostic office hysteroscopy (OH).: Design: A randomized double-blind placebo-controlled ... ...

Abstract	Study objective: To compare the efficacy of oral diclofenac potassium versus hyoscine-N-butyl bromide (HBB) in reducing pain perception in patients undergoing diagnostic office hysteroscopy (OH). Design: A randomized double-blind placebo-controlled trial (Canadian Task Force classification I). Setting: A university hospital. Interventions: One-hundred twenty-nine patients were divided randomly into 3 groups (n = 43 in each group); group 1 received 50mg diclofenac potassium, group 2 received 20mg HBB, and group 3 received placebo tablets. All tablets were taken orally 1hour before OH. The primary outcome was the participant's self-rated pain perception using the 10-point visual analog scale during the procedure. The secondary outcomes included the visual analog scale score 30 minutes after OH, ease of OH assessment using a 10-cm scale, duration of OH, and adverse effects of the study medications. Measurements and main results: Both the diclofenac and HBB groups showed significant pain score reduction compared with the placebo group (p = .001). The mean pain score in the diclofenac group was significantly lower than the HBB group (2.12 ± 1.03vs 3.02 ± 1.55, respectively; p = .002). The pain scores in the diclofenac and HBB groups immediately after OH were significantly lower than the placebo group (p = .001), and the mean pain score in the diclofenac group was significantly lower than the HBB group (1.23 ± 0.57vs 1.56 ± 0.73, respectively; p = .024). The ease of procedure score was significantly lower in the diclofenac and HBB groups than the placebo group (p = .003 and p = .005, respectively). The mean duration of the procedure was significantly less in the diclofenac group (p = .01). Fourteen women (32.6%) in the HBB group experienced dizziness and 2 women (4.6%) had nausea, whereas only 4 women (9.3%) in the diclofenac group had dizziness and 2 women (4.6%) had vomiting. Conclusion: Oral diclofenac potassium administration 1hour before diagnostic OH reduces the procedure pain with subsequent easier and shorter OH duration. Oral HBB is less effective than diclofenac potassium with more adverse effects.
MeSH term(s)	Administration, Oral ; Adolescent ; Adult ; Butylscopolammonium Bromide/administration & dosage ; Diclofenac/administration & dosage ; Double-Blind Method ; Female ; Humans ; Hysteroscopy/adverse effects ; Hysteroscopy/methods ; Middle Aged ; Pain/etiology ; Pain Management/methods ; Pain Measurement ; Pain Perception/drug effects ; Treatment Outcome ; Young Adult
Chemical Substances	Diclofenac (144O8QL0L1) ; Butylscopolammonium Bromide (2Z3E1OF81V)
Language	English
Publishing date	2018-08-10
Publishing country	United States
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	2186934-0
ISSN	1553-4669 ; 1553-4650
ISSN (online)	1553-4669
ISSN	1553-4650
DOI	10.1016/j.jmig.2018.08.001
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Article: Standardization of Laparoscopic Operative Reporting: Improving Gynaecological Surgeon Communication.

Pope, Rachel J / Abdelbadee, Ahmed Y / Armstrong, Amy J / Ganesh, Prakash R / Bedaiwy, Mohamed A / Zanotti, Kristine M

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

2017 Volume 40, Issue 3, Page(s) 304–309

Abstract: Objective: No standardization of quality of operative reporting currently exists, and this represents a missed opportunity for communication among health care providers. This study proposed a method to improve operative notes by structuring the findings ...

Abstract	Objective: No standardization of quality of operative reporting currently exists, and this represents a missed opportunity for communication among health care providers. This study proposed a method to improve operative notes by structuring the findings by six anatomical zones of the pelvis. Objective I was to validate the method of documenting six zones of the pelvis by using intraoperative photography. Objective II was to compare this method with dictations from operative reports created before introducing this method. Methods: This retrospective cohort study evaluated pre- and post-intervention results of using six zones to guide operative reporting. Reports were collected from participating surgeons and were scored using a validated scoring tool. Each participant was taught to photograph six zones and use the zones in the operative report. Pre- and post-intervention cases were compared using generalized linear mixed models. Results: Scores of study participants using the zones were significantly higher than those without (P <0.0001). Surgeons showed an ability to improve their reporting. The detail illustrated in the cases was qualitatively richer, and the anatomy within the six zones was referenced more frequently. Conclusion: Compared with reports without the technique, incorporating the six zones greatly enhances operative reporting and likely would improve communication among care providers. More reliable communication of intraoperative findings has the potential to enhance the value of laparoscopy greatly as a diagnostic tool across gynaecological subspecialties.
MeSH term(s)	Communication ; Female ; Gynecologic Surgical Procedures/standards ; Humans ; Laparoscopy/standards ; Pelvis/pathology ; Pelvis/surgery ; Research Report/standards ; Retrospective Studies
Language	English
Publishing date	2017-10-12
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2171082-X
ISSN	1701-2163
ISSN	1701-2163
DOI	10.1016/j.jogc.2017.07.023
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