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  1. Article: Pregnancy Rate after Myomectomy and Associated Factors among Reproductive Age Women Who Had Myomectomy at Saint Paul's Hospital Millennium Medical College, Addis Ababa: Retrospective Cross-Sectional Study.

    Jeldu, Meseret / Asres, Tadios / Arusi, Temesgen / Gutulo, Muluken Gunta

    International journal of reproductive medicine

    2021  Volume 2021, Page(s) 6680112

    Abstract: Introduction: Uterine myoma occurs in 20-50% of reproductive age women. Uterine myomas may be associated with 5-10% of cases of infertility, but it is the sole cause or factor in only 2-3% of all infertility cases. Myomectomy is surgery done to remove ... ...

    Abstract Introduction: Uterine myoma occurs in 20-50% of reproductive age women. Uterine myomas may be associated with 5-10% of cases of infertility, but it is the sole cause or factor in only 2-3% of all infertility cases. Myomectomy is surgery done to remove myoma regardless of the methods.
    Objective: To assess impact of myomectomy on pregnancy rate and associated factors among reproductive age women who had myomectomy at St. Paul's Hospital Millennium Medical College, in Addis Ababa.
    Result: Among 180 females participated in this study, 52.2% got pregnant after myomectomy. The result showed that females with age > 35 years were 0.31 times less likely to get pregnant after surgery than those ages 20-25 years [AOR = 0.31 (95% CI: 0.29-0.54)]. People with no infertility before surgery were 1.19 times more likely to be pregnant after surgery than those with unexplained infertility before the surgery [AOR = 1.19 (95% CI: 1.06-1.57)]. People with two uterine incisions were 0.06 times less likely [AOR = 0.06 (95% CI: 0.043-0.51)] while those with three or more than three incisions were 0.02 times less likely [AOR = 0.02 (95% CI: 0.002-0.22)] to get pregnant compared with those with one incision on uterine wall.
    Conclusion: Age, number of incision, and infertility before surgery were significantly associated with rate of pregnancy after myomectomy.
    Language English
    Publishing date 2021-11-28
    Publishing country Egypt
    Document type Journal Article
    ISSN 2356-7104
    ISSN 2356-7104
    DOI 10.1155/2021/6680112
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Improving access to safe, quality surgical care for gynecologic cancers through capacity-building interventions in low- and middle-income countries: A scoping review.

    Hill, Sarah K / Bempong-Ahun, Nefti / Okolo, Isioma Dianne / Lalla, Amber Trujillo / Worku, Dawit / Asres, Tadios / Philpotts, Lisa / Fallah, Parisa N / Varallo, John / Corlew, Scott / Kamfwa, Paul / Parham, Groesbeck P / Hicks, Michael L / Ibbotson, Geoffrey / Randall, Thomas

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2023  Volume 165, Issue 2, Page(s) 552–561

    Abstract: Background: Following the launch of the World Health Organization's Strategy to accelerate the elimination of cervical cancer, diagnosis is expected to increase, especially in low- and middle-income countries (LMICs). A well-integrated surgical system ... ...

    Abstract Background: Following the launch of the World Health Organization's Strategy to accelerate the elimination of cervical cancer, diagnosis is expected to increase, especially in low- and middle-income countries (LMICs). A well-integrated surgical system is critical to treat cervical cancer. Two major approaches have been employed to build human capacity: task-sharing and training of gynecologic oncologists (GynOncs).
    Objectives: This review aimed to explore existing literature on capacity-building for surgical management of early-stage gynecologic cancers.
    Search strategy: The search strategy was registered on Open Science Framework (doi 10.17605/OSF.IO/GTRCB) and conducted on OVID Medline, Embase, Global Index Medicus, and Web of Science. Search results were exported and screened in COVIDENCE.
    Selection criteria: Studies published in English, Spanish, French, and/or Portuguese conducted in LMIC settings evaluating capacity building, task-sharing, or outcomes following operation by subspecialists compared to specialists were included.
    Data collection and analysis: Results were synthesized using narrative synthesis approach with emergence of key themes by frequency.
    Main results: The scoping review identified 18 studies spanning our themes of interest: capacity building, subspecialized versus non-subspecialized care, and task-shifting/-sharing.
    Conclusions: A multilayered approach is critical to achieve the WHO Strategy to Eliminate Cervical Cancer. Capacity-building and task-sharing programs demonstrate encouraging results to meet this need; nevertheless, a standardized methodology is needed to evaluate these programs, their outcomes, and cost-effectiveness.
    MeSH term(s) Female ; Humans ; Developing Countries ; Uterine Cervical Neoplasms/surgery ; Capacity Building ; Quality of Health Care
    Language English
    Publishing date 2023-11-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.15156
    Database MEDical Literature Analysis and Retrieval System OnLINE

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