Challenges of morbid obesity in gynecological practice.

Obesity is currently a global pandemic, with increasing trends worldwide. Data from the WHO, US CDC, and the UK show an increasing trend, with 50% and 25% of the US population expected to be obese and morbidly obese by 2030. Obesity affects several aspects of health, with increased risks of cardiovascular disease, diabetes, metabolic syndrome, and several malignancies.

Continence outcomes following partial excision of vaginal mesh exposure after mid-urethral tape insertion.

Objective: To assess the incidence of recurrent stress urinary incontinence (SUI) following vaginal excision of exposed mid-urethral tape (MUT).

Study Design: This was a retrospective observational study in a tertiary urogynaecology unit of an inner city teaching hospital. The population consisted of 41 consecutive women seen with a vaginal mesh exposure following MUT insertion between 2000 and 2009, which failed to resolve with conservative measures.

Achieving continuous improvement in routine questioning about domestic violence with an embedded advocacy service.

Domestic violence (DV) is a common but underreported cause of morbidity in pregnant women. A retrospective review of maternity notes of 103 women who delivered October-November 2007, followed by prospective review of records after feedback intervention of 168 pregnant women who had nuchal a scan in February 2008 was undertaken. The aim was to determine: (1) the proportion of women who were asked abuse questions at any time during pregnancy and postnatally; (2) the prevalence of disclosed domestic violence; (3) the sociodemographic predictors of a pregnant woman being asked about DV; (4) if feedback is associated with improved routine questioning.

Leucocyte phagocytosis and circulating immune complexes in mothers after child birth.

Leucocyte phagocytosis and level of circulating immune complexes (CICs) were measured in pregnant women at the three trimesters of pregnancy and in mothers 24-48 hours after child birth to evaluate the influence of pregnancy on leucocyte functions. The mothers were divided into gestation groups depending on the ages of their pregnancies as 1st trimester, 2nd trimester and 3rd trimester. The result shows that total white blood cell count (WBC), lymphocytes (B- and T-lymphocytes) and circulating immune complexes were high in pregnant women (independent of gestational ages) and mothers 24-48 hrs after child birth compared with non-pregnant controls.