Universal Journal of Obstetrics and Gynecology https://www.scipublications.com/journal/index.php/ujog <p>Universal Journal of Obstetrics and Gynecology (UJOG) is an international journal dedicated to the latest advancements in obstetrics and gynecology. The goal of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of obstetrics and gynecology.</p> en-US Universal Journal of Obstetrics and Gynecology Complicated Monochorionic-Monoamniotic Twin Pregnancy Associated with COVID-19: A Case Report https://www.scipublications.com/journal/index.php/ujog/article/view/460 <p>Coronavirus infection (COVID-19) has quickly emerged as a global pandemic leading to critical health complications. The possibility and risk of vertical transmission of this virus is still unclear, particularly as it relates to pregnant women and their fetuses. Regarding scientific data, there is insufficient research focused on COVID-19 infection complicated with hydrops fetalis and intrauterine fetal demise. In this study, we report an intra uterus fetal death due to hydrops fetalis and twin-to-twin transfusion syndrome (TTTS) in monochorionic–monoamniotic (MCMA) twin pregnancy associated with mild COVID-19 infection in a 33-week-pregnant woman.</p> Negar Behtash Azam Soleymaninia Shaghayegh Moradian Mahtab Shariati Copyright (c) 2022 Universal Journal of Obstetrics and Gynecology 2022-09-30 2022-09-30 18 21 Implementation of One Key Question® at an Urban Teaching Hospital: Challenges and Lessons Learned https://www.scipublications.com/journal/index.php/ujog/article/view/222 <p><strong>Introduction:</strong> One Key Question® is a patient-centered tool that seeks to understand patient pregnancy intention and counseling. This pilot study aimed to assess implementation of OKQ at an urban healthcare facility and improve understanding of short interpregnancy intervals (IPI). <strong>Methods:</strong> We describe the implementation of OKQ in our setting using the Diffusion of Innovation Theory as a framework. We broke this up into two phases – the first to assess provider acceptance of the OKQ integration into the clinic workflow and the second to assess how well documentation of OKQ answers occurred in our EMR. <strong>Results:</strong> Most providers in the first phase reported awareness of the inclusion of OKQ in the EHR, yet most physician providers reported only using OKQ at “some visits” (n=5) compared to the MAs, who reported using OKQ at “every visit” (n=8). Most providers felt that OKQ was an effective method of providing preconception and contraception care for women of reproductive age (n=10). Sixty-four patients completed a survey on OKQ after their visit who identified as young (mean age 28.7), either Black (46.9%) or Hispanic (51.6%) and pregnant (61%). Of those, 83% reported that they were not asked OKQ and 42% reported receiving counseling on optimal IPI. In those patients, 78% had documentation of usage of OKQ in the medical record. Discussion: The implementation of OKQ provided an opportunity to provide standardized preconception and contraception care to our patient population and improve information regarding short IPI. However, challenges existed in implementation which much be overcome to benefit from OKQ. <strong>Significance:</strong> OKQ has been used successfully in primary care and other settings to assess pregnancy intentions. This article adds to the literature by investigating the implementation of OKQ in a low-resource setting during prenatal and gynecology care. It shares struggles of implementing OKQ in an electronic medical record and how to roll out this program in a setting where pregnancy intention already is including in various forms by our providers.</p> Alejandrina Canelo Villafana Ashley Leto Katherine Chung Jeanette Rios Theodore Barrett Uchenna Nwobu Kristyn Brandi Copyright (c) 2022 Universal Journal of Obstetrics and Gynecology 2022-02-23 2022-02-23 Factors Associated with Post-caesarean Complications in Emergency of Gynecology-Obstetrics Service of Saint Joseph Hospital in Kinshasa, Democratic Republic of the Congo https://www.scipublications.com/journal/index.php/ujog/article/view/306 <p>Caesarean section is the most common surgical procedure in obstetrics, but also in pregnant women with dystocia. The purpose of this study is to identify factors that contribute to post-caesarean complications in emergency of gynecology-obstetrics service of Saint Joseph Hospital in Kinshasa. This is a descriptive cross-sectional study and was conducted at Saint Joseph Hospital in Kinshasa city for a month (1<sup>st</sup> and 30<sup>th</sup> July 2021). A questionnaire was used to collect different data namely socio-demographic characteristics and different variables important for the study. Independent variables were factors related to the parturient and the current pregnancy, the surgical procedure and the operational room. While the dependent variable was post-caesarean complications in gynecology-obstetrics service. Descriptive statistical analyses namely frequency and percentage were done to describe the sample profile. To measure the strength of association between different variables were estimated using Pearson's Chi-Square (X<sup>2</sup>) test and the p-value was 0.05. Data analysis was performed using SPSS version 20 software. The majority of participants are over 33 years of age, have secondary school skills, married and have 3 to 4 children. It was observed that 88.2% of participants have acute respiratory distress prior to caesarean section, 76.6% have a personal history of thromboembolic disease prior to caesarean section. All the participants who underwent caesarean section were victims of external ventilation through the windows of the operating room, which remained open before, during and after the surgery and benefited from antibiotic treatment without any para-clinical analysis before the caesarean section. Furthermore, 82.4% of participants had benefited from the caesarean section with sterilized care materials 48 hours before and after the intervention. While 47.1% of participants had caesarean sections with defective equipment for the operation (use of dry heat sterilization etc.). A better identification of these risk factors can reduce significantly rate of complications and can consequently improve the maternal-infantile prognosis. The obstacles to effective management are related to the provision of quality services.</p> Chandelier L. Shungu Nsutier K. Oscar Désiré L. Nsobani Déborah T. Mujinga Fulgence S. Munoy Ruth Tshiama Gédéon Ngiala Bongo Copyright (c) 2022 Universal Journal of Obstetrics and Gynecology 2022-06-13 2022-06-13 10 17