ABSTRACT
400 natural menopausal women who attended gynecologic outpatient clinic, Siriraj Hospital between June 1997 to June 1998 were interviewed to identify the symptoms of urinary incontinence using the questionnaire which was already tested. The study revealed 188 women (47%) who had urinary incontinence symptoms. The most common type was stress urinary incontinence (28.50%) and the second was mixed urinary incontinence (10.75%). Nearly all of these incontinent women were classified as mild group and the symptoms last longer than 6 months. Most of the patients managed themselves by changing of their underwears. Only 31.4% of the cases sought physician consultations while the others did not. The most common reason for not seeking medical help is the embarrassing which effected 72.1% of cases. The most common adverse consequence to daily life found in these patients was social embarrassment which effected about 50% of cases.
ABSTRACT
Aortic dissection during pregnancy is rare, but should be kept in mind by every physician in charge of pregnant women. A case of aortic dissection is reported here without any evidence of dissection during the early antenatal period. The patient had sudden chest pain during thirty-fourth week of gestation, medical and surgical management were undertaken. Delivery by emergency Caesarean section was performed, and both the patient and the foetus were saved. The etiology, association with pregnancy, diagnosis and managements of acute dissection of the aorta are discussed.