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Cesarean Delivery
Published in Vincenzo Berghella, Obstetric Evidence Based Guidelines, 2022
A. Dhanya Mackeen, Meike Schuster
Based on a meta-analysis of 1343 patients, shaving was associated with twice the number of SSIs when compared to clipping. Hair removal is not necessary or beneficial at CD. In summary, if opting to remove pubic hair, an electric clipper applied the morning of the surgery is preferred to shaving [94, 95]. (See Chap. 7.)
Infestations, insect bites, and stings
Published in Rashmi Sarkar, Anupam Das, Sumit Sethi, Concise Dermatology, 2021
A pediculicide (see Table 4.3) should be used, with repeat treatment after 1 month. Ivermectin is the first-line therapy for phthiriasis palpebrarum. Shaving of pubic hair is sometimes advised but is not necessary. All sexual contacts should be treated.
Caesarean section (LSCS)
Published in Alison Edwards, Labour Midwifery Skills, 2020
Removing the top inch of pubic hair is no longer recommended as this increases the infection risk; however, it can make removing any dressings more comfortable. Ideally, if a woman prefers to shave, this should be done 24 hours prior to the procedure to enable the skin surface to heal over.
To Shave or Not to Shave: Exploring Pubic Hair Removal among College Students
Published in American Journal of Sexuality Education, 2022
At the same time there has been a rise in pubic hair removal, there has been an increase in discussion of negative consequences, as seen by several studies published on the potential risks associated with pubic hair removal in the form of irritation, inflammation, and infections (Trager, 2006). Schild-Suhren et al. (2017) speculate that pubic hair may have a biological function to serve as a safety net to protect the vulva from such things as bacterial infections, so its removal increases risk. While genital injury is still small, it is noteworthy. For example, as pubic hair removal has increased, visits to the emergency room for genital injuries due to pubic hair removal was found to increase five-fold from 2002 to 2010, making up 3% of all genital injuries in the ER (Glass et al., 2012).
18-Year-old patient with Klinefelter syndrome (47, XXY) and complete androgen insensitivity syndrome (CAIS) – case report
Published in Gynecological Endocrinology, 2021
Karolina Skalska, Maciej Ziółkowski, Adrian Skoczylas, Marta Teleon, Monika Grymowicz, Agnieszka Pollak, Roman Smolarczyk, Rafał Płoski, Błażej Męczekalski
Regarding the patient’s appearance, there are no visible features of Klinefelter syndrome, except for a higher than average height [14]. Other clinical manifestations such as scanty armpit and pubic hair are related to androgen insensitivity. Despite an excess of testosterone coming from the testicles, hair does not develop in CAIS cases in the same manner as in women with a normal karyotype [14]. In turn, the structure of the breast depends not only on the sex hormones from the gonads but also on those coming from the adrenal glands and the peripheral production of estrogens. Therefore, despite the deficiency of ovarian estrogens, these structures develop normally [15,16]. In the discussed disease, the vagina may be short or, as for the patient, of the correct length, but it is always blind.
A survey of care pathway and health-related quality of life impact for children with central precocious puberty
Published in Current Medical Research and Opinion, 2020
Karen O. Klein, Ahmed M. Soliman, ElizaBeth Grubb, Paul Nisbet
The mean age (range) when a child first reported symptoms of CPP was 5.5 (0.1–10.5) years. In 11 children (7%, 4 boys ages 9–9.3 years, 7 girls 8–10.5 years) symptom onset was reported at >8 years old for girls or >9 years old for boys. In 89/142 (63%) of cases, the responder took their child to the physician because of symptoms they had noticed; in 23/142 (16%) cases, an HCP noted symptoms before the parent, and in 11/142 (8%) cases the child brought the symptoms to their attention. On average, medical help was sought 7.5 months after the child experienced symptoms. The most common symptoms were development of pubic hair (91/142, 64%) or adult body odor (68/142, 48%). In girls, the predominant symptom was development of breast buds (77%) and in boys it was development of pubic hair (81%) (Table 2).