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Background: Endometriosis is considered the most common cause of pelvic adhesions in women. Endometriosisassociated adhesions could result in the formation of fibrous bands, which contain endometriotic glands, stroma and scarring. The aim of this study was to identify the impact of endometriosis-related adhesions on quality of life among infertile women. Materials and Methods: This descriptive study was conducted at Endoscopic Unit, in Zagazig University Hospitals, Egypt. Oral consent for participation in this study was taken from 109 women who were candidates for laparoscopy as infertile cases and were diagnosed with endometriosis. They were classified into two groups namely, group I (n=41) who had endometriosis with adhesions and group II (n=68) who had endometriosis without adhesions. A structured interviewing form, adhesion scoring method of the American Fertility Society, and Global Quality of Life Scale were used to collect required information. Results: The prevalence of adhesions resulted from endometriosis was 37.6%. Demographic characteristics of the women with endometriosis-related adhesions were not significantly different from those of women without endometriosis- related adhesions. The most common location for endometriotic adhesions was adnexal adhesion (51.2%) followed by adhesion of anterior abdominal wall (24.4%). Quality of life was significantly impacted by endometriosisrelated adhesions (P=0.002). Conclusion: A high percentage of studied patients had a moderate degree of adhesions. Adhesions caused by endometriosis had an impact on quality of life of the studied women. [ABSTRACT FROM AUTHOR]

Background : The age for maternal reproductiion has been bestimated to be between 15-49 years, but the ages between 20-35 years has been considered as the safest age group for bearing a child. This implies that pregnancy or childbirth below or above this age range can have unpleasant influences on either the mother, the pregnancy, delivery or the child. So, the goal of the present study was to assess pregnancy outcomes of nulliparous at different age groups, and to set guidelines for the nurses for the care of the nulliparous women in the different age groups. A descriptive research design was used, and the study was conducted at the labor ward of labor and childbearing hospital at zagazig university hospitals. The current work registered 195 women to compare the obstetric outcomes of mothers aged less than 20 years (teenage pregnancy, 65); mothers aged 35 years and more (older mothers, 65) with the mothers aged from 20 to 34 (adult group, 65). Personal demographic data summery of pregnancy and labor, and neonatal assessment sheet were used as the tools of this study. The results indicated that adolescent mothers have more threatened abortion, increased gestational age, and post term prolonged labor. And, gestational diabetes mellitus, pregnancy prompted hypertension, and caesarean section have had greater frequency among the older mothers. The total percentage of perineal tears in the third group was of the second degree type compared to 27.8% of the perineal tears in the first group and none in the second group. Post-partum hemorrhage insignificantly occurred with small percentages in the third and second groups compared to none in the first group (4.62%, 3.08% & 0.0% respectively). Lower APGAR score of the total study subjects in the 1st and 5th minutes was found in the first group. Also, neonatal death was found in the first group only, fetal anomalies were found in the third group more than the others. In conclusion, nulliparous advanced maternal age had more complications on the pregnancy outcomes than adolescents and adults. Antenatal counseling for avoiding pregnancy of labor complications especially for this extreme ages(overage-adolescent), has been recommended. [ABSTRACT FROM AUTHOR]

Background: Endometriosis is considered the most common cause of pelvic adhesions in women. Endometriosisassociated adhesions could result in the formation of fibrous bands, which contain endometriotic glands, stroma and scarring. The aim of this study was to identify the impact of endometriosis-related adhesions on quality of life among infertile women., Materials and Methods: This descriptive study was conducted at Endoscopic Unit, in Zagazig University Hospitals, Egypt. Oral consent for participation in this study was taken from 109 women who were candidates for laparoscopy as infertile cases and were diagnosed with endometriosis. They were classified into two groups namely, group I (n=41) who had endometriosis with adhesions and group II (n=68) who had endometriosis without adhesions. A structured interviewing form, adhesion scoring method of the American Fertility Society, and Global Quality of Life Scale were used to collect required information., Results: The prevalence of adhesions resulted from endometriosis was 37.6%. Demographic characteristics of the women with endometriosis-related adhesions were not significantly different from those of women without endometriosis- related adhesions. The most common location for endometriotic adhesions was adnexal adhesion (51.2%) followed by adhesion of anterior abdominal wall (24.4%). Quality of life was significantly impacted by endometriosisrelated adhesions (P=0.002)., Conclusion: A high percentage of studied patients had a moderate degree of adhesions. Adhesions caused by endometriosis had an impact on quality of life of the studied women., Competing Interests: The authors declare no conflicts of interest., (Copyright© by Royan Institute. All rights reserved.)