The dramatic changes in sex hormone levels that occur during the transition to menopause and beyond are responsible for the long-term consequences, which are of primary importance to healthy aging in women. Sex hormones have a vital physiological role in maintaining the health and normal functioning of various organs; like bone, heart and brain. Disease activity is highly dependent on estrogen exposure; cardiovascular and musculoskeletal disorders frequently occur during postmenopause. Even cognitive decline is related to hypoestrogenism during the menopausal transition. Several lines of evidence indicate that the presence, duration and severity of menopausal vasomotor symptoms, especially hot flashes, not only have an impact on quality of life, but are biomarkers of increased risk of chronic conditions, which require prevention strategies, including menopausal hormone therapy. Nutrition, exercise, and other lifestyle measures, use of appropriate hormonal treatments in symptomatic women during the "window" of opportunity (under 60 years or within 10 years after menopause) can significantly counteract the process of aging of the female body. Meanwhile an individualized menopausal hormone therapy helps postmenopausal women overcome the burden of symptoms, including those related to Genitourinary Menopause Syndrome.

One of the leading mechanisms for the development of severe preeclampsia in pregnant women is a decrease in perfusion pressure in the life-supporting organs, followed by the development of multiple organ failure. In recent years, there have been studies indicating the influence of intraperitoneal hypertension on the perfusion pressure of the pelvic and abdominal organs with the subsequent development of obstetric complications [ 4,2] according to the classification of JAN(2006), pregnancy is included in the list of conditions accompanied by an increase in intraperitoneal pressure. Thus, the prevention and treatment of increased intra-abdominal pressure in pathology accompanied by multiple organ dysfunction and insufficiency, which is observed in preeclampsia, is one of the important problems of modern medicine. The purpose of our study was to determine the feasibility of abdominal drainage during operative delivery for severe preeclampsia.

Adolescence is the process that occurs after childhood and before adulthood (15-19) years. Teenage pregnancy is adverse for the mother and her child including low birth weight and high perinatal mortality. Complications between pregnancy and childbirth are the second leading cause of death among girls between the ages of 15 and 19 in the world. Violence against a pregnant woman by her partner is frequent. Adolescent mothers are among the greatest abusers of their children, and abuse can start from fetal life. They are also involved in the death of their newborns. Educational and community empowerment with a family response to educational proposals includes the issue of masculinity and the role of adolescents caring for their children, as well as examining the families pleasure in the prevention and response to pregnancy.

Background: Anemia in pregnancy is a major public health problem especially in Low and Middle-income countries (LMIC) including Ghana and is defined by the World Health Organization (WHO) as being present when the hemoglobin concentration in the peripheral blood is 11g/dl or less. In most African countries anemia in pregnancy occurs if the hemoglobin concentration falls below 10g/dl. Pregnant women are at a higher risk of developing anemia due to several factors such as hemodilution, nutritional factors, multiple gestation, socio-economic status and malaria infestation. Anemia in pregnancy is an important cause of maternal mortality and affects half of pregnant women worldwide; with 56% of West African pregnant women being anemic. The objective of this study is to assess the prevalence and identify the risk factors associated with anemia among pregnant women receiving antenatal care at the West Gonja Hospital (WGH) Methods: A cross-sectional was conducted with 136 pregnant women receiving antenatal care at the WGH between January 2017 to February 2018. Random sampling was used to select participants and data was collected using a structured questionnaire. Data was analyzed using the SPSS Version 24.0. Results: A total 71(52.2%) of the study population were anemic, while 65 (47.8%) were not anemic. 20(74.1%) of the 27 pregnant housewives were anemic, while 11(64.7%) of the pregnant farmers were anemic. 27 (96.4%) of the 28 pregnant women who took their iron/folate supplement only some few days were anemic. 12 (100%) of the 12 participants who took their iron/folate supplement a few times a week were anemic. 4 (80%) of the 5 participants who never took their iron/folate supplement were anemic. 21 (70%) of those who did not sleep under ITN were anemic. 33 (84.6%) of the 39 patients who were diagnosed with malaria were also anemic. 28 (87.5%) of the 32 participants who took only 2 meals a day were anemic. 27 (79.4%) of the 34 patients who took liver, beef, chicken and fish only twice weekly were anemic. 15 (88.2%) of the 17 patients who drank tea some days in a week were anemic. Conclusion: Although most of the pregnant women were adequately educated on the most relevant aspects of anemia in pregnancy, more than half of them were still anemic. Anemia was more prevalent among pregnant uneducated housewives with poor nutritional habits. All the pregnant sickle cell disease patients as well as those diagnosed with malaria were also anemic.

Ovarian fibroma is one of the rarest solid tumor of the ovary. When it is associated to ascites and to a pleural effusion it realized the rare entity known as Demons Meigs’ syndrome. The diagnosis of this type of tumors is often difficult and it is usually diagnosed through histopathological examination. A malignant tumor must be eliminated especially when it’s associated to an elevated CA 125 serum level. It is confirmed by histopathological examination of surgical specimen. Surgery is the unique treatment of this syndrome by removing the ovarian fibroma (cystectomy) in young women or by salpingo oophorectomy in old one. The resolution of peritoneal and pleural effusion after tumors removing without recurrence confirmed the diagnosis of Meigs syndrome. We report a case of Meigs’syndrome in post-menopausal woman revealed by bilateral ovarian fibroma associated to elevated CA125 serum level mimicked an ovarian malignancy process.