International Conference on Women’s Health, Gynecology and Obstetrics November 19-20 , 2018 Sydney , Australia

John Palacio-Cardona is working as a Professor at the Santiago de Cali University. He currently coordinates the University Health Service from where he designs and implements health promotion strategies focused on young people. He is a Member of the research group Health Care, in the same institution.

Colombia is a country with great natural resources. In recent years, great economic and political eff orts have been made to achieve change and emerge from underdevelopment. In public health, strategies have been designed to reduce teenage pregnancies, given that this phenomenon generates low schooling and an uncertain future. Despite the achievement of results, there is still a long way to go. One of the problems detected in teenage pregnancies is the low adherence to modern contraceptive therapies. As a way to encourage greater adherence to contraception, one of the initiatives of the Program of Health Promotion in Santiago de Cali University, was to highlight the benefi cial eff ect of some hormonal contraceptive therapies on acne. Th e aim of this study was to determine the clinical eff ect of facial acne management with ethinylestradiol 20 μg/dienogest 2 mg in a cohort of Colombian adult women. A cohort of 120 female university students was followed during 12 months. Th ese participants were enrolled in the sexual and reproductive health program of the Santiago de Cali University. Monthly monitoring of facial acne lesion count was performed. Relative changes in facial lesion count were identified. At the end of follow-up, the percentage of reduction of lesions was 94% and 23% of women had a 100% reduction in acne lesions. In conclusion, the continued use of the ethinylestradiol 20 μg/dienogest 2 mg COCPs reduced infl ammatory and non-infl ammatory acne lesions in reproductiveage women between 18 and 30 years of age with no severe acne.

Background & Aim: Inappropriate Gestational Weight Gain (GWG) may reduce the iron content and increase the risk of maternal anemia during pregnancy or postpartum. However, this notion has not been comprehensively studied. Th e study aims to prospectively examine the associations of GWG with maternal anemia during pregnancy and postpartum.

 

Method: A prospective cohort analysis was performed using data from a trial of prenatal supplementation in China during 2006-2009. GWG was maternal weight right before delivery minus that at enrollment and GWG rate is then calculated as GWG divided by gestational weeks between the two measurements. GWG rate was categorized into quintiles (highest, higher, middle (reference), lower and lowest) according to stratifi ed maternal BMI group. Maternal anemia during early (<20 gestational weeks)

or mid-pregnancy (24-28 gestational weeks) were defi ned as Hb <110 g/L and postpartum anemia (4-8 weeks aft er delivery) as Hb <120 g/L.

 

Result: Among the 14110 included women, 750 (5.2%) were anemic during early pregnancy, 842 (6.0%) during mid-pregnancy and 3760 (26.7%) postpartum. Adjusted ORs (95% CI) for anemia during early pregnancy in the fi ve ascending GWG rate categories were 1.02, 0.92, 1.00, 0.96 and 1.31 (1.05-1.64); 1.05, 0.99, 1.00, 1.34 and 1.91 (1.53-2.37) for anemia during midpregnancy and 1.26 (1.12-1.42), 1.22, 1.00, 1.11 and 1.31 (1.16-1.48) for postpartum anemia. Similar results persisted in maternal BMI-stratifi ed analyses, corroborating the reliability of the fi ndings.

 

Conclusion: Excessive GWG increased the risk of anemia occurring both during pregnancy and postpartum, while inadequate

GWG increased postpartum anemia risk.

Introduction: Early marriage (<18 years) is a global public health problem, has been deep-rooted in Nepal for centuries. It has severe consequences on maternal/child health.

Method: A community-based cross-sectional explorative study was carried out in Panauti-Municipality, Kavrepalanchowk-District. Fecund (15-49 years) women (n=430) were confidentially interviewed with informed-consent utilizing subject-specific questionnaires. Data analysis was performed by SPSS, Chi-square and logistic regression. Odds ratio and 95% confi dence

interval was calculated by EPIINFO, considering P<0.05 for statistical signifi cance.

Result: Prevalence of early and very early marriages (<15 years) was detected 48.6% and 12.8%, respectively. Sociodemographics, mass-media exposure and women's autonomy have been revealed as crucial players for early marriage. Women with early marriage were less likely (COR: 22.77, 95% CI: 11.93-43.45) to access complete ANC services compared to women with normal marriage. In comparison to normal marriage, the greater likelihood (COR: 19.04) of home-delivery was revealed in early marriage. More than 6 times higher risks of adverse pregnancy outcomes (abortion, stillbirth and neonatal death) were observed in early marriage. Statistical signifi cant 27.68 and 15.12 times higher risk of neonatal death was observed in very early and early marriage than normal marriage. Early married respondents had >3 times higher risks of post-delivery danger signs in themselves and their babies.

Conclusion: Women who marry early-age are prone to early child-bearing, lower access to maternal-healthcare, experience higher pregnancy morbidities, post-delivery danger signs and poor health bearing excessive fi nancial burden on health expenditure. This study alarms policy-makers to intervene existing system, implement improved eff orts to end early marriage

and its consequences.

Introduction: Early marriage (<18 years) is a global public health problem, has been deep-rooted in Nepal for centuries. It has severe consequences on maternal/child health.

Method: A community-based cross-sectional explorative study was carried out in Panauti-Municipality, Kavrepalanchowk-District. Fecund (15-49 years) women (n=430) were confidentially interviewed with informed-consent utilizing subject-specific questionnaires. Data analysis was performed by SPSS, Chi-square and logistic regression. Odds ratio and 95% confi dence

interval was calculated by EPIINFO, considering P<0.05 for statistical signifi cance.

Result: Prevalence of early and very early marriages (<15 years) was detected 48.6% and 12.8%, respectively. Sociodemographics, mass-media exposure and women's autonomy have been revealed as crucial players for early marriage. Women with early marriage were less likely (COR: 22.77, 95% CI: 11.93-43.45) to access complete ANC services compared to women with normal marriage. In comparison to normal marriage, the greater likelihood (COR: 19.04) of home-delivery was revealed in early marriage. More than 6 times higher risks of adverse pregnancy outcomes (abortion, stillbirth and neonatal death) were observed in early marriage. Statistical signifi cant 27.68 and 15.12 times higher risk of neonatal death was observed in very early and early marriage than normal marriage. Early married respondents had >3 times higher risks of post-delivery danger signs in themselves and their babies.

Conclusion: Women who marry early-age are prone to early child-bearing, lower access to maternal-healthcare, experience higher pregnancy morbidities, post-delivery danger signs and poor health bearing excessive fi nancial burden on health expenditure. This study alarms policy-makers to intervene existing system, implement improved eff orts to end early marriage

and its consequences.

Background & Aim: Inappropriate Gestational Weight Gain (GWG) may reduce the iron content and increase the risk of maternal anemia during pregnancy or postpartum. However, this notion has not been comprehensively studied. Th e study aims to prospectively examine the associations of GWG with maternal anemia during pregnancy and postpartum.

Background & Aim: Inappropriate Gestational Weight Gain (GWG) may reduce the iron content and increase the risk of maternal anemia during pregnancy or postpartum. However, this notion has not been comprehensively studied. Th e study aims to prospectively examine the associations of GWG with maternal anemia during pregnancy and postpartum.