Eman Alshawish

By Eman Alshawish

Hysterectomy is the most common major gynecological operation in worldwide and Arabic countries. However, the psychological, physical and sexual consequences of hysterectomy are conflicting and the findings are mixed. While, some studies report that patients have experience greater improvement in their mental health, sexual desire and overall satisfaction. Others show that patients report various negative outcomes, with detrimental effects on sexual functioning being the main concern. My previous study demonstrated that hysterectomy had significantly negative effects on patients’ body image, self-esteem, and identified common meanings and themes associated with hysterectomy stressors, which includes difficulties or limitations in physical and psychological aspects perceived by patients after hysterectomy. In this chapter, author will expand that discuss in details the different factors that influence the perspective of women about body after hysterectomy. Mainly, author will focus on religious, cultural, and psycho-social aspects. All of these factors are interacting with health status of women and effect the situation and productivity of women in her family and culture. Different strategy need to be adopted in order to overcome this problem using evidence and analysis of our Arabic culture and structure. Recommendation of study to health care profession as physician, nurses, midwives and other health care provider to be aware of these potential problematic issues in order to provide a competent health care for women based of her needs.

Part of the book: Fibroids

By Eman Alshawish

Vaginal birth after cesarean (VBAC) is defined as a vaginal delivery by a woman who has had a previous cesarean delivery. Vaginal birth can lead to quicker post birth recovery, less operative trauma, shorter length of hospital stays, and improved feelings of wellness. It is well-known that C-section now, hysterectomy complications later. This review aims to explore the existing research on VBAC in order to prevent postpartum complication. This review commences with the exploration of women’s attitudes around VBAC, education and decision on their mode of birth. Eight main themes were: Women’s attitudes and views of VBAC; VBAC education and decision-making programs; previous VBAC; maternal morbidity and mortality; short inter-pregnancy interval; induction of labor; neonatal morbidity and mortality; and birth trauma. Evidence shows that midwives have a positive influence on VBAC rates without an increase in maternal or neonatal morbidity. Review revealed the limited comprehension and awareness regarding the factors influencing women’s decision to opt VBAC, and the viewpoints held by midwives. The recommendation is to increase the number of VBAC by emphasizing on midwifery role, continuity of care, education program, and conducting more research.

Part of the book: Hysterectomy Matters