http://localhost:8080/xmlui/handle/123456789/1921 Tue, 28 Apr 2026 18:10:22 GMT 2026-04-28T18:10:22Z http://localhost:8080/xmlui/handle/123456789/2063 Title: Histopathological features in advanced abdominal pregnancies co-infected with SARS-CoV-2 and HIV-1 infections: A case evaluation Authors: Ramphal, S.; Govender, N.; Singh, S.; Khaliq, OP; Naicker, T. Abstract: Histopathological features in advanced abdominal pregnancies co-infected with SARS-CoV-2 and HIV-1 infections: A case evaluation S. Ramphal a,*, N. Govender b, S. Singh c, OP Khaliq d, T. Naicker c a Department of Obstetrics and Gynaecology, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa b Department of Basic Medical Sciences, Durban University of Technology, Durban, KwaZulu-Natal, South Africa c Optics and Imaging Centre, Doris Duke Medical Research Institute, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa d Department of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa A R T I C L E I N F O Keywords: Advanced abdominal pregnancy SARS-CoV-2 HIV infection Placenta Urological pathology A B S T R A C T Objectives: This study aims to provide a semi-qualitative histopathological report of the dual SARS-CoV-2 and HIV infected placentae in the third trimester of Advanced Abdominal Pregnancy (AAP). Study design: Four AAP placentae in the third trimester of pregnancy (two positive for HIV-1 and two positives for SARS-CoV-2) were histologically examined. Results: The SARS-CoV-2+ HIV+ placentae were dysmorphic in shape compared to the flattened disc-like shape noted in the SARS-CoV-2+HIV-, SARS-CoV-2-HIV+and SARS-CoV-2-HIV- placentae. Diffused syncytial knots and syncytial degeneration were observed in all placentae. Intermittent cytotrophoblast increase, perivillous and intravillous fibrin deposition, mononuclear inflammatory cells with widespread degeneration/necrosis of the syncytiotrophoblast and microcalcification were pronounced in the SARS-CoV-2+HIV+ compared to the SARSCoV- 2+HIV- placentae. Vascular pathological changes included thrombi, ectasis, mural hypertrophy and atherotic vessels. Conclusion: Elevated syncytial trophoblast injury, villitis, microcalcifications and mineralisation of the syncytial basement membrane in the AAP placentae may be due to SARS-CoV-2 viral transgression instead of HIV infection alone. Vascular malperfusion is suggestive of a hypoxic insult arising from a compensatory response to meet the fetal oxygen and nutrient demands of an AAP. Placentae from HIV infected women on antiretroviral treatment were characterised by vascular malperfusion. Fri, 01 Jul 2022 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/2063 2022-07-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/2062 Title: Antenatal breastfeeding promotion amongst pregnancies at high-risk for newborn admission to the NICU: A cross-sectional study Authors: Pylypjuk, Christy; Bokhanchuk, Anna; Day, Chelsea; ElSalakawy, Yasmine; M. Seshia, Mary Abstract: Antenatal breastfeeding promotion amongst pregnancies at high-risk for newborn admission to the NICU: A cross-sectional study Christy Pylypjuk a,b,*, Anna Bokhanchuk a, Chelsea Day a,b, Yasmine ElSalakawy a, Mary M. Seshia b,c a Department of Obstetrics, Gynecology & Reproductive Sciences, University of Manitoba, Winnipeg, Manitoba, Canada b Children’s Hospital Research Institute of Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada c Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada A R T I C L E I N F O Keywords: Breast milk Neonatal intensive care unit High-risk pregnancy A B S T R A C T Objectives: To determine the prevalence and factors associated with antenatal promotion of breastfeeding in highrisk pregnancies. Study design: This was a cross-sectional study of trends in breastfeeding promotion during antenatal consultation of pregnancies at high-risk for newborn admission to the neonatal intensive care unit (NICU) between January 2017 and December 2020. Eligible high-risk pregnant patients undergoing antenatal consultation in a tertiarylevel fetal assessment unit were identified using an electronic clinic repository. Consult letters and fetal assessment reports were reviewed to determine baseline demographics, pregnancy history, fetal findings, and communication about breastfeeding. Descriptive and inferential statistics were used to present findings and compare outcomes between groups. Results: 316 pregnancies were included for final analysis. The mean maternal age was 28.7 years (SD 6.2) and 65 % were multiparas. Median gestational age at time of antenatal consult was 32 weeks [IQR 29–34]. The main indication for consultation was fetal anomalies (72.8%), namely cardiac defects (21.2 %). There was a significant improvement in prevalence of antenatal discussions about breastfeeding over the study period, from 48.8 % early in the study period compared to 73.7 % in the past year (p = 0.036). However, amongst consults where breastfeeding was discussed, almost one-quarter (23.8 %) of patients indicated that they were not planning on breastfeeding postnatally. Conclusion: There has been a significant improvement in promoting breastfeeding antenatally amongst high-risk pregnancies. However, no follow-up or supports were offered to one-quarter of patients who indicated no intention of breastfeeding or using donor milk postnatally. Ongoing work is required to further advance breastfeeding promotion antenatally, increase parental supports and education, and optimize breastfeeding rates postnatally for improving outcomes of this high-risk group. Fri, 01 Jul 2022 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/2062 2022-07-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/2061 Title: Women acceptance of episiotomy procedure before and after receiving educational materials: Pretest posttest study Authors: K. Haji, Aseel; R. Elzahrany, Suha; I. Kamal, Rozana; E. Sindi, Alanood; K. Khairou, Linah Abstract: Women acceptance of episiotomy procedure before and after receiving educational materials: Pretest posttest study Aseel K. Haji a,*, Suha R. Elzahrany a, Rozana I. Kamal a, Alanood E. Sindi a, Linah K. Khairou a, Rahaf M. Alahmadi a, Albagir M. Hassan b a College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia b Department of Obstetrics and Gynecology, Umm Al-Qura University, Makkah, Saudi Arabia A R T I C L E I N F O Keywords: Acceptance Education Episiotomy Knowledge A B S T R A C T Objectives: Episiotomy is a frequently performed surgical procedure by obstetricians and midwives during vaginal birth. It is defined as a surgical incision in the perineal area through the second stage of delivery. Therefore, this study aimed to evaluate women’s acceptance toward episiotomy before and after providing education. Methods: A Quasi-experiment pretest posttest study was conducted on a total of 234 patients attending antenatal clinics in Maternity and Children hospital and Heraa General hospital in Makkah during June-August 2021. Participants were personally interviewed and provided with evidence-based information about the procedure then re-evaluated by the investigators. The statistical analysis was carried using Two Tailed Tests. Statistical significance was set on a P value of 0.05 or less. Results: Total of 234 participant fulfilling the inclusion criteria were interviewed. Females mean age is 26.2 ± 9.7 years. Exact of 115 (49.1%) women heard about episiotomy. And 79 (33.8%) correctly described it as a surgical incision. Also, 89 (38%) understood that it is not recommended for all, and 109 (46.6%) knew that anesthesia is required. The most reported source of information was internet/ social media (49%; 72), followed by friends/ relatives (35.4%; 52). Before education, 112 (47.9%) would accept episiotomy if required which was significantly improved to be among 173 (73.9%) of them after receiving the educational materials. Conclusion: Due to the controversial opinions and practices of episiotomy, ensuring patients awareness and understanding is crucial. Providing correct information from trusted sources will help minimizing the chances of receiving inaccurate information from unreliable sources. Therefore, making wrong decisions, and refusing needed episiotomy. Health practitioners should be encouraged to discuss patients’ concerns and correct their misconceptions. Fri, 01 Jul 2022 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/2061 2022-07-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/2060 Title: The effectiveness of cognitive-behavioural consultation on sexual function and sexual self-efficacy of women after childbirth Authors: Erfanifar, Elham; behroozi, Nasser; Mahmoud Latifi, Seyed; Abbaspoor, Zahra Abstract: The effectiveness of cognitive-behavioural consultation on sexual function and sexual self-efficacy of women after childbirth Elham Erfanifar a, Nasser behroozi b, Seyed Mahmoud Latifi c, Zahra Abbaspoor a,* a Department of Midwifery, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran b Shahid Chamran University of Ahvaz, Ahvaz, Iran c Diabetes Research Center, Health Research Institute, Department of Epidemiology & Biostatistics, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran A R T I C L E I N F O Keywords: Cognitive-behavioral therapy Sexual self-efficacy Postpartum Sexual dysfunction Counseling A B S T R A C T Objective: The purpose of this study was to investigate the effect of the cognitive-behavioral therapy program (CBT) on the sexual function and sexual self-efficacy of 100 women after childbearing. Methods: In this experimental pretest-posttest and control group design study, women who passed eight weeks of their delivery and were referred to three health centers, in Shadegan, Iran, from January to April 2019 registered using the simple sampling method and randomly allocated into two groups of case and control. For the CBT group eight weeks of counseling (one session/week), and for the control group, routine educations were provided by health care providers. Both groups filled out the female sexual function index and sexual self-efficacy questionnaires before intervention and eight weeks after the last session. Results: There was no significant difference between the CBT and control groups before the intervention in terms of sexual function and sexual self-efficacy, but eight weeks after the intervention, there was a statistically significant difference between the two groups (P = 0.001). Conclusion: Proper implementation of counseling based on the CBT model improved sexual function and selfefficacy of nulliparous women after childbirth. Fri, 01 Jul 2022 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/2060 2022-07-01T00:00:00Z