Krantarat Peeyananjarassri

• Prince of Songkla University

Objective This study aimed to compare the predictive performance of three cardiovascular risk assessment models—modified WHO (mWHO) classification, Cardiac Disease in Pregnancy II (CARPREG II), and Zwangerschap bij Aangeboren Hartafwijking (Pregnancy in Women with Congenital Heart Disease; ZAHARA)—in predicting cardiac events among pregnant women w...

To assess the causes and clinical outcomes of maternal near-misses and mortality associated with hematologic diseases. We retrospectively reviewed the medical records from women who experienced maternal near-misses or mortality attributed to hematological diseases during pregnancy or within 42 days of pregnancy termination, following the World Heal...

To identify the causes and clinical characteristics of women with primary amenorrhoea and hypothalamic or pituitary gland disorders. This retrospective study was conducted at a quaternary hospital in southern Thailand. The medical records of women diagnosed with primary amenorrhea and hypothalamic or pituitary gland disorders (hypogonadotropic hypo...

Aim To evaluate the causes and clinical characteristics of primary amenorrhea and ovarian or gonadal disorders in women. Methods The medical records of all women evaluated for primary amenorrhea between January 2002 and December 2023 were retrospectively reviewed. Women with missing data were excluded from the study. Disorders of the ovary or gona...

Purpose To identify predictors and develop a scoring model to predict maternal near-miss (MNM) and maternal mortality. Methods A case–control study of 1,420 women delivered between 2014 and 2020 was conducted. Cases were women with MNM or maternal death, controls were women who had uneventful deliveries directly after women in the cases group. Ant...

Objective: This study aimed to describe the clinical features, associated extragenital anomalies, and management of Mayer- Rokitansky-Küster-Hauser (MRKH) syndrome in a Thai population. Methods: This retrospective study analyzed the medical records of 96 patients with MRKH syndrome diagnosed and treated at a university hospital and tertiary refe...

ผู้ป่วยมะเร็งนรีเวชหลังจากการรักษาทั้งจากการผ่าตัด การให้ยาเคมีบำบัดและการฉายแสง ผู้ป่วยบางกลุ่มจะมีผลกระทบจากการรักษาโดยเฉพาะในผู้ป่วยก่อนหมดประจำเดือน จะมีอาการของภาวะการขาดฮอร์โมนเอสโตรเจน เช่น อาการร้อนวูบวาบ และอาการเกี่ยวกับช่องคลอดและระบบทางเดินปัสสาวะ ที่เร็วและรุนแรงกว่าผู้ป่วยที่หมดประจำเดือน การให้ฮอร์โมนทดแทนในผู้ป่วยกลุ่มนี้ นอกจากความ...

Objectives To determine the 2-year recurrence rate of endometriosis after conservative surgery and the risk factors for recurrence. Methods This study retrospectively analyzed women with endometriosis who underwent conservative surgery and had at least a 2-year follow-up at a quaternary care hospital in southern Thailand from January 2000 to Decem...

ภาวะตรวจไม่พบตัวอสุจิ พบได้ร้อยละ 10-15 ของภาวะมีบุตรยากในเพศชาย แบ่งสาเหตุได้เป็น การสร้างตัวอสุจิ ที่อัณฑะผิดปกติ การทำงานของสมองส่วนไฮโปทาลามัสและต่อมใต้สมองผิดปกติ และการเคลื่อนที่ของอสุจิผิดปกติ สาเหตุ ทางพันธุกรรมโดยเฉพาะอย่างยิ่งกลุ่มอาการไคลน์เฟลเตอร์ เป็นสาเหตุส่วนใหญ่ของการสร้างตัวอสุจิของอัณฑะผิดปกติ กลุ่ม อาการคาลแมนน์เป็นสาเหตุหนึ่งของ...

Objective To perform an in‐depth analysis and evaluate the causes of maternal deaths in a university hospital in Southern Thailand. Methods A retrospective descriptive study was conducted. Medical records of all women who died during pregnancy or within 42 days of termination of pregnancy at Songklanagarind Hospital from January 2006 to December 2...

Steroid cell tumors not otherwise specified are rare sex cord-stromal tumors of the ovary that may produce various steroids and are associated with hirsutism and virilization. We report a rare case of ovarian steroid cell tumor with subsequent spontaneous pregnancy after tumor removal. A 31-year-old woman presented with secondary amenorrhea, hirsut...

Objective To evaluate the survival outcomes of appendectomy for a grossly normal appendix in patients with mucinous ovarian carcinomas. Methods Retrospective cohort study. Patients with mucinous ovarian carcinomas with grossly normal appendices who underwent primary surgery between 2002 and 2022 were enrolled. The overall survival (OS) and progres...

Objective: To evaluate the prevalence of appendiceal tumors in patients diagnosed with mucinous ovarian tumors and to determine factors associated with coexisting appendiceal tumors. Materials and methods: Retrospective review of all patients who were diagnosed with mucinous ovarian tumors and underwent an appendectomy during surgery between Jan...

Objective: To identify the rates and indications of cesarean section (CS) using the Robson classification during 2014- 2016 in a university hospital in southern Thailand. Material and Methods: A cross-sectional study of women who delivered between January 1, 2014 and December 31, 2016 was conducted. The data were analyzed using the Robson classifi...

Background: Vacuum and forceps assisted vaginal deliveries are reported to increase the incidence of postpartum infections and maternal readmission to hospital compared to spontaneous vaginal delivery. Prophylactic antibiotics may be prescribed to prevent these infections. However, the benefit of antibiotic prophylaxis for operative vaginal delive...

Background: Women who have undergone surgical treatment for epithelial ovarian cancer (EOC) may develop menopausal symptoms due to immediate loss of ovarian function following surgery and chemotherapy. Women may experience vasomotor symptoms, sleep disturbance, difficulty concentrating, sexual dysfunction, vaginal symptoms and accelerated osteopor...

6572 Background: Cervical cancer is one of the most preventable cancers, not only presence of effective HPV vaccination but also simple and robust screening methods such as Pap test. Nevertheless, there were some women at risk whom were unable to access screening cause of incarceration. Hence, in 2018, together with Songkhla Woman Correctional Inst...

Objective: To assess the prevalence and management of preterm birth and low birth weight (LBW) infants, including the exploration of known risk factors for preterm birth and LBW, recorded in field testing of a web-based surveillance system of maternal-newborn health in southern Thailand. Material and Methods: The data of 2,459 women who delivered i...

Background: During elective (planned) caesarean sections, some obstetricians routinely dilate the cervix intraoperatively, using sponge forceps, a finger, or other instruments, because the cervix of women not in labour may not be dilated, and this may cause obstruction of blood or lochia drainage. However, mechanical cervical dilatation during cae...

Background: Previous research has shown that the prophylactic use of uterotonic agents in the third stage of labour reduces postpartum blood loss and moderate to severe postpartum haemorrhage (PPH). PPH is defined as a blood loss of 500 mL or more within 24 hours after birth. This is one of a series of systematic reviews assessing the effects of p...

Background: Vacuum and forceps assisted vaginal deliveries are reported to increase the incidence of postpartum infections and maternal readmission to hospital compared to spontaneous vaginal delivery. Prophylactic antibiotics may be prescribed to prevent these infections. However, the benefit of antibiotic prophylaxis for operative vaginal delive...

Background: Menopausal symptoms can affect the quality of life (QoL) of women. Objectives: To determine menopause-related symptoms and QoL in peri-and postmenopausal women in Thailand undergoing various treatment. Methods: A prospective cohort study was conducted at 9 menopause clinics in 4 regions of Thailand. Peri-and postmenopausal women newly r...

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To assess the effectiveness and safety of hormone replacement therapy (HRT) in women treated surgically for epithelial ovarian cancer. © 2017 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

Background: Endometrial hyperplasia has long been considered a precursor of endometrial cancer but there is no consensus regarding its management. Objective: To identify management practices and evaluate outcomes of treatments for women diagnosed with endometrial hyperplasia (EH). Material and method: The medical records of endometrial hyperpl...

Background: During non-labour caesarean, some obstetricians routinely dilate the cervix from above--using finger, sponge forceps or other instruments because they believe that the cervix of women without labour pain is undilated and may cause obstruction of blood or lochia drainage. However, mechanical cervical dilatation using sponge forceps or a...

Objective: To examine the incidence, clinical presentation and characteristics of ovarian tumors in children and adolescents Materials and Methods: We retrospectively collected cases of ovarian tumors in patients < 19 years of age at Songklanagarind Hospital occuring between April 1989 and March 2001. Results: There were 54 cases, or 4.7% of all ov...

To determine the optimal interval of injections of intramuscular depot medroxyprogesterone acetate 150 mg in the long-term treatment of endometriosis-associated pain. 112 patients with symptomatic endometriosis were randomized to receive either injections every month for 6 months, then every 3 months for a total of 15 months or injections every 3 m...

To study sexual functioning and attitudes towards sexuality in postmenopausal women. A cross-sectional study was conducted among 219 healthy postmenopausal women with a uterus, aged 45-55 years, and not taking hormone therapy, who attended the gynecological and menopause clinic, Songklanagarind Hospital. The Female Sexual Function Index (FSFI) ques...

To assess the effect of an audit and feedback intervention on the accuracy of the diagnosis summary in the medical records of gynecologic patients in Songklanagarind Hospital. An audit was conducted on the medical records of 468 gynecologic patients that visited between January 2006 and March 2007. They were divided into non-malignant and malignant...

To assess the accessibility, utilization and quality of emergency obstetric care in the five southernmost provinces of Thailand. A descriptive study was conducted in the five southernmost provinces of Thailand including fifty-six government hospitals and the admitted obstetric women. The accessibility of hospitals that provided emergency obstetric...

The third stage of labour is the period from birth of the baby to the expulsion of the placenta and membranes. As the placenta separates, there is inevitably some blood loss from the placental site until the muscles of the uterus clamp the blood vessels. Fit, healthy women cope with this normal blood loss without problems, but where poor nutrition,...

Two strains of Lactobacillus crispatus (15L08 and 21L07) and one strain of Lactobacillus jensenii (5L08) were selected from amongst 100 isolates from the vaginas of healthy premenopausal women for properties relevant to mucosal colonization and the production of H2O2 and/or bacteriocin-like compound. All three strains self-aggregated and adhered to...

To evaluate menopausal symptoms and quality of life in middle-aged women. Hospital-based, cross-sectional study. A survey was conducted among 270 women aged 45-65 years who attended the gynecological and menopause clinic, Songklanagarind Hospital. We used the MENQOL questionnaire as the instrument. The average age at menopause of the postmenopausal...

First, to determine the extent of the effects of low-dose hormone therapy (HT) on menopausal symptoms, bone mineral density, endometrium, and the cardiovascular system, and, second, to determine the adverse effects of low-dose HT. A literature review of electronic databases was conducted to identify all prospective, randomized trials comparing the...

To determine the positive predictive value of the combined symptoms of severe dysmenorrhea with the sign of tenderness and/or nodularity of the cul-de-sac and/or uterosacral ligament(s) in diagnosing endometriosis clinically. In this prospective study, 116 patients with severe dysmenorrhea, after excluding urinary and gastrointestinal disease, unde...

To determine the cutoff score for identifying hirsute, Thai women, by using modified Ferriman-Gallwey-Lorenzo (mF-G-L) method. Hirsutism was defined as an amount of terminal hair in the androgen-sensitive skin areas that the women themselves would consider obviously abnormal, and their mF-G-L score was above 97.5 percentile of general population. T...

Background: Vacuum and forceps assisted vaginal deliveries are reported to increase the incidence of postpartum infections and maternal readmission to hospital compared to spontaneous vaginal delivery. Prophylactic antibiotics may be prescribed to prevent these infections. However, the benefit of antibiotic prophylaxis for operative vaginal delive...