As previously mention, hysterectomy is the most frequent non pregnancies related surgeries performed on women in the United States (Qi et al., 2013). Hysterectomies are the 2nd most commonly performed procedures among women of childbearing age (Everyday Health, 2015). The majority of women that undergo hysterectomy are usually between the ages of 35 and 54; within that group women between the ages of 35 and 44 have the highest risk of undergo the procedure (Right Diagnosis, 2015). 90% of the women are not really medically in need of the procedure, because they are not life threatening conditions such as uterine fibroid, endometriosis and uterine prolapse (Everyday Health, 2015). According to National Women's Health Information Center (NWHIC), in the United States, approximately one-third of all hysterectomies are performed for uterine fibroid (Right Diagnosis, 2015). The 2nd most frequent condition that leads to hysterectomies is endometriosis …show more content…
Some of the risk factors associated with uterine fibroids are African American women, obesity, and socioeconomic status (SES) and health access (National Institute Health, 2015). African American Women African American women compared to Caucasian women are more probable to have hysterectomy surgery (Bower, et al., 2009). The reason for that is African American women are 2-3 times more likely to be diagnosed with uterine fibroid, which is the primary sign of hysterectomy surgery (Weiss et al., 2009). The fibroid in African American women tend to have more profuse amount of tumor, they can be massively large, and are prone to more serve symptoms (White, 2015). They are also more probable to develop uterine fibroid at a younger age (White, 2015). There have been reports of younger African American women that have not started their period, that have sign of small fibroid tumor (White,
Nancy McMenamy and Dr. Judy Johnson-Russell, Texas Woman’s University - Dallas, TX Reviewed by Nancy McMenamy, Texas Woman’s University - Dallas, TX, 2008 and Wendy Jo Wilkinson, METI - Sarasota, FL, 2009
I predict that African American women will be more of a higher risk than in Caucasian
I predict that African American women will be more of a higher risk than in Caucasian
But there are a substantial number of factors that also go along with the increased risk for DM and CVD among AAW. For instance, one subject not yet touched on but has to be noted, are genetic variations that have been found in AAs that are not prevalent in any other race/ ethnicity. These genetic findings may also be a part of the reason as to why AAW seem to have a much higher risk in for DM and CVD in comparison to other women in other ethnicities or races
Fibroids are becoming more and more common in women in the United States. It is estimated that 171 million women in the U.S. were affected by this condition in 2013(6). About 20% to 80% of women develop fibroids by age 50 (6). As many as three out of four women may have uterine fibroids in her lifetime (4). Fibroids, also known as uterine leiomyoma, are benign tumors that can be found in women of childbearing age due to its dependence on estrogen and progesterone (7). They are made of muscle cells and other tissues that can grow around or in the uterus or womb. With fibroids, a single cell divides repeatedly, eventually creating a firm, rubbery mass distinct from nearby tissue (2). Some fibroids even go through growth spurts where they grow and shrink on their by itself. There are women with fibroids who have no symptoms at all. If they do, it may consist of heavy or painful periods, frequent
Uterine leiomyoma also known as uterine fibroids are non-cancerous tumors in women during childbearing age. The tumors come from smooth muscle cells of the myometrium within the uterus that changes in size and cellular properties during the reproductive years of a woman. The change in size and cellular property with hypertrophy of the smooth muscle cells normally happen during pregnancy and also occur with uterine fibroids. The development of the tumors is dependent upon estrogen and progesterone and interaction with growth factors, cytokines and extracellular matrix components (Taylor, Holthouser,
A cesarean hysterectomy is performed to prevent blood loss that can become life-threatening if any of the placenta remains attached after delivery. Women can suffer severe complications caused by heavy vaginal bleeding after delivery due to disseminated intravascular coagulopathy, which stops blood from clotting properly. Lung Failure and kidney failure are also known complications from the surgery.
Following this further, African American women die from cervical cancer more frequently than Caucasian women. The most common
During my rotation in the operating room at Community medical center, I observed the preoperative, intraoperative, and postoperative care for a patient who underwent a laparoscopic hysterectomy. I believe that an appropriate preoperative plan of care for this patient would have included a full physical exam and an interview for patient history, a pelvic exam to look over and understand the nature of the patient’s complications, blood testing including a CBC and WBC to note any signs of infection or contraindications for the procedure, and a urine test to rule out any urinary tract infections or pregnancy. It would be important to interview the patient and ask questions to determine how the patient is feeling about their procedure and to better assist with any anxiety or pain they may be dealing with preoperatively. It is important to consult with the patient well before the procedure to ensure that she knows to refrain from smoking for at least 8 weeks before the procedure because this reduces the risks of complications such as infections, issues with blood pressure, heart rate, blood flow, and respirations when under anesthesia, and promoting overall health and risks associated with smoking after the procedure. (ASAHQ) It is also important to educate the patient to consume no food or drinks after midnight the night before the scheduled procedure. (Health Communities) During my rotation I observed that the patient did indeed have labs drawn and a urine test run. Her lab
We observed 25 complications in women, with 10 (2.5%) in Group 1 and 15 (2.3%) in Group 2 (Table 5). There was no statistically significant difference for any individual complication type or for overall complication rates. Likewise, there was no significant
There are many different risk factors for endometriosis. Never giving birth, having relatives diagnosed with endometriosis, medical conditions that prevents the flow of normal menstruation, any history of pelvic infection, or uterine abnormalities are all examples of possible risk factors for endometriosis (Mayo Clinic, 2013). Having endometriosis increases a woman’s chances of infertility as well as possibly developing ovarian cancer.
The fact that approximately 20% to 50% of women suffer from the symptoms generated by fibroid tumors at some stage of their lives suggests that they are quite common growths in the reproductive system of a woman. Age is a factor. Fibroids are more common in women who are 35 years of age or older. Women under the age of 20 rarely have fibroids. These tumors of the uterus tend to shrink after menopause. Studies indicate that black women are nine times more susceptible to fibroids than white women. Furthermore, women who are overweight are more likely to have fibroids because of higher levels of estrogen. No one knows exactly what causes uterine fibroids. But the hormones that regulate your periods, particularly estrogen, are known to play a part. Fibroids
Uterine fibroids affect 3 out of 4 women (Mayo Clinic, 2014). They are non-cancerous but they can cause pain and discomfort. This paper will discuss who can be effected by Uterine fibroids and its effects on the female reproductive system. This paper will show the three types of fibroids that develop in or near the uterus. It will discuss the symptoms and when a diagnosis is needed. This paper will also look into the various forms of treatment including medications and surgery.
future career, that is to be an obstetrician, also known as an OB/GYN. Some of the topics that will be discussed in my paper are those pertaining to exactly what an obstetrician is and the requirements that are needed in order to become an obstetrition. These requirements will include the pyhsical and phsyschological personality traits of a potential obstetrician. The type of schooling that is nessecary, including the preperation that is available at Middlesex County College, and the average number of years that it takes in order to become an obstetrician. The demand for obstetricians will also be researched, along with the different promotional ranks that
There are two forms of the Gestational Trophoblastic Disease, Hydatidiform mole is a non-cancerous form, where a fetus may or may-not develop. Out of all the types of uterine cancers presently known, Hydatidiform Mole¬¬--commonly known as a “molar pregnancy”--affects one out of every 1,000 pregnancies (Hydatidiform Mole, 2012). Choriocarcinoma is the cancerous form and is even less common by affecting roughly two to seven pregnancies out of 100,000 in the United States. In addition, choriocarcinoma molar pregnancies are more common in Mexico, Southeast Asia, the Philippines, and African countries. Furthermore, Caucasian women in the Unites States are at higher risk than African American Women. Consequently, women over the age of 40 or women who have had prior molar pregnancies or miscarriages