Background Heterotopic pregnancy （HP） is defined as a pregnancy in which one or more embryos is viably implanted in the uterus while the other is implanted elsewhere as an ectopic pregnancy. The occurrence of HP ris...Background Heterotopic pregnancy （HP） is defined as a pregnancy in which one or more embryos is viably implanted in the uterus while the other is implanted elsewhere as an ectopic pregnancy. The occurrence of HP rises dramatically with the increased use of assisted reproductive technology. HP of interstitial pregnancy is one special situation which needs more concern. Here we evaluate the efficacy of local aspiration and instillation of hyperosmolar glucose in the treatment of live interstitial pregnancy complicated with live intrauterine pregnancy after in vitro fertilization and embryo transfer. Methods Five female patients were diagnosed with live interstitial pregnancies complicated with intrauterine pregnancies. They were treated with transvaginal ultrasound-guided aspiration of interstitial pregnancy and instillation of hyperosmolar glucose at the Center for Reproductive Medicine of Peking University Third Hospital from January 1st, 2008 to May 30th, 2011. Results Gemmule embryos in all 5 cases were aspirated successfully and there was no abdominal hemorrhage, threatened abortion or infection in any of the cases. The sac of interstitial pregnancy continued to progress after aspiration and stopped growing between 11 to 20 weeks. By the 30th week of pregnancy, 80% of the interstitial masses had disappeared. Four cases have delivered and one is still in on-going pregnancy. All of the four cases underwent cesarean section and there were nothing special detected in the corner of the uterus. Conclusion Local aspiration and instillation of hyperosmolar glucose may be an effective way to treat live interstitial pregnancy when coexisting with a live intrauterine pregnancy.展开更多
Gender based violence(GBV)is a preventable and serious human rights violation whereby an individual is harmed based on their gender.1 The violence can be perpetrated physically,sexually,mentally or financially.This in...Gender based violence(GBV)is a preventable and serious human rights violation whereby an individual is harmed based on their gender.1 The violence can be perpetrated physically,sexually,mentally or financially.This includes domestic violence,rape,feticide/infanticide and female genital mutilation.As is to be expected,victims of GBV often suffer from life-long consequences and at times even death.The equation of GBV is significantly skewed against women and girls.Due to the sensitive and taboo nature of the topic,exact prevalence numbers of GBV remain difficult to ascertain with a global paucity of data on the matter.2 The World Health Organisation(WHO)estimates that 1 in 3 women will experience sexual or physical violence in their lifetime.1 This article will highlight 2 major forms of GBV in sexual violence and female feticide.展开更多
文摘Background Heterotopic pregnancy （HP） is defined as a pregnancy in which one or more embryos is viably implanted in the uterus while the other is implanted elsewhere as an ectopic pregnancy. The occurrence of HP rises dramatically with the increased use of assisted reproductive technology. HP of interstitial pregnancy is one special situation which needs more concern. Here we evaluate the efficacy of local aspiration and instillation of hyperosmolar glucose in the treatment of live interstitial pregnancy complicated with live intrauterine pregnancy after in vitro fertilization and embryo transfer. Methods Five female patients were diagnosed with live interstitial pregnancies complicated with intrauterine pregnancies. They were treated with transvaginal ultrasound-guided aspiration of interstitial pregnancy and instillation of hyperosmolar glucose at the Center for Reproductive Medicine of Peking University Third Hospital from January 1st, 2008 to May 30th, 2011. Results Gemmule embryos in all 5 cases were aspirated successfully and there was no abdominal hemorrhage, threatened abortion or infection in any of the cases. The sac of interstitial pregnancy continued to progress after aspiration and stopped growing between 11 to 20 weeks. By the 30th week of pregnancy, 80% of the interstitial masses had disappeared. Four cases have delivered and one is still in on-going pregnancy. All of the four cases underwent cesarean section and there were nothing special detected in the corner of the uterus. Conclusion Local aspiration and instillation of hyperosmolar glucose may be an effective way to treat live interstitial pregnancy when coexisting with a live intrauterine pregnancy.
文摘Gender based violence(GBV)is a preventable and serious human rights violation whereby an individual is harmed based on their gender.1 The violence can be perpetrated physically,sexually,mentally or financially.This includes domestic violence,rape,feticide/infanticide and female genital mutilation.As is to be expected,victims of GBV often suffer from life-long consequences and at times even death.The equation of GBV is significantly skewed against women and girls.Due to the sensitive and taboo nature of the topic,exact prevalence numbers of GBV remain difficult to ascertain with a global paucity of data on the matter.2 The World Health Organisation(WHO)estimates that 1 in 3 women will experience sexual or physical violence in their lifetime.1 This article will highlight 2 major forms of GBV in sexual violence and female feticide.
