Browsing by Author "Mexican Institute of Sexology"

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    Characteristics and neonatal outcomes of teenage pregnant women diagnosed with syphilis at siriraj hospital
    (2018-07-01) Tachjaree Panchalee; Chenchit Chayachinda; Wanwadee Panyakat; Meng Yu Chen; Vanessa Z. Quinones-Garcia; Pareeda Pernsoongnern; Faculty of Medicine, Siriraj Hospital, Mahidol University; Choaphraya Hospital; Mexican Institute of Sexology; Centers for Disease Control
    © 2018, Siriraj Medical Journal. Objective: To demonstrate the characteristics of teenage pregnant women diagnosed with syphilis during pregnancy and neonatal outcomes. Methods: This is a retrospective study. Medical records of teenage pregnant women who were diagnosed with syphilis during pregnancy and delivered at Siriraj Hospital and their newborn babies from 2011 to 2016 were reviewed. Demographic data and clinical factors were retrieved. Neonatal outcomes including gestational age at birth, birth weight, and diagnosis of congenital syphilis were recorded. STATA version 12.0 was used to analyze the data and p-value less than 0.05 was considered statistically significant. Results: During 2011-2016, there were 28 eligible women. The mean age was 17.6±1.2 years. Seventy-five percent of them were unemployed and one-fourth had been educated less than or up to primary school level. The median number of partners was 4 and their sexual debut started from the age of 15.3±0.9. A quarter also had other sexually transmitted infections (STIs). Congenital syphilis was diagnosed in 12 newborns (12/28, 42.8%). The mothers of the newborns with congenital syphilis were more likely to be unemployed, had first antenatal care (ANC) after 20 weeks of gestation, had < 4 ANC visits, had high initial non-treponemal titer and poor treatment of syphilis before deliveries (p < 0.05 for all). Preterm birth and very low birth weight were significantly more common in newborns with congenital syphilis. Conclusion: Some socio-economic factors are associated with the risk of syphilis infection. Almost half of the teenage pregnant women diagnosed with syphilis delivered babies with congenital syphilis. Inadequate antenatal care and poor treatment of maternal syphilis are the predictive factors of congenital syphilis.
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    Characteristics of patients admitted with tubo-ovarian abscess and surgical treatment in siriraj hospital
    (2018-01-01) Sayan Luangchaichaweng; Chanon Neungton; Chenchit Chayachinda; Dittakarn Boriboonhirunsarn; Vanessa Z. Quinones-Garcia; Mahidol University; Mexican Institute of Sexology; Angthong Hospital
    © 2018, Faculty of Medicine Siriraj Hospital, Mahidol University. Objective: Tubo-ovarian abscess (TOA) is the most severe form of pelvic inflammatory disease (PID). We aimed to demonstrate the characteristics of patients admitted with TOA in Siriraj Hospital and to assess the prevalence of surgical treatment. Methods: The descriptive chart reviews were conducted in all patients admitted with TOA during January 2008 -December 2012. One exclusion criterion was that the diagnosis was changed during the admission. Data were presented in n (%), mean ± S.D. Chi-square and Student t-test were used for the comparison between TOA with and without surgical treatment. A p <0.05 was considered statistically significant. Results: From 122 patients admitted with TOA, 107 cases had the same diagnosis on discharge. Mean age was 33.1+ 11.8 years and mean BMI was 21.9 + 4.9 kg/m2. Around half of them were nulliparous, 55.1% were married and 67.3% were sexually active. About 14% reported multiple partners. Surgical treatment was performed in 42% of the participants. The characteristics associated with surgical treatment included older age (38.6 ± 11.2 vs. 29.1 ± 10.7 years, p<0.001) and abscess size larger than 6 cm (75.6% vs. 22.6%, p<0.001). Conclusion: Older age and abscess size larger than 6 cm are associated with surgical treatment in patients with TOA.