Hassan Abduljabbar
KING ABDULAZIZ UNIVERSITY, JEDDAH, KSA., OBGYN, Faculty Member
Complications of pregnancy are health issues that are caused by pregnancy itself. These can happen during or after delivery (obstetric labor complications or puerperal disorders). Complications can be classified as mild, severe,... more
Complications of pregnancy are health issues that are caused by pregnancy itself. These can happen during or after delivery (obstetric labor complications or puerperal disorders). Complications can be classified as mild, severe, immediate, or long-term health problems. Complications of pregnancy can cause maternal morbidity and mortality. The most common causes of maternal mortality are maternal bleeding, maternal sepsis, hypertensive diseases, obstructed labor, and pregnancy with the consequence of abortion, which includes miscarriage, ectopic pregnancy, and medical abortion.Heath problems can develop during pregnancy, which may be directly related to the pregnancy itself or nonobstetric disorders, such as pregnancy complicated by medical diseases. One of the main complications is obstetric abnormalities that increase the risk of morbidity or mortality for the pregnant woman and her fetus. High-risk pregnancy is an indicator of a maternal complication during pregnancy
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Local data regarding Manchester repair are not available in the current literature. We report a retrospective case series of 7 women who presented with uterine prolapse, and underwent Manchester repair from January 1997 to May 2008 at... more
Local data regarding Manchester repair are not available in the current literature. We report a retrospective case series of 7 women who presented with uterine prolapse, and underwent Manchester repair from January 1997 to May 2008 at King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. All of these women were multiparous (para 31) and wanted to avoid hysterectomy, and become pregnant. The duration of the procedure was 119 16 minutes. No operative complications were observed. The mean duration of follow up was 52 years. All of the women were satisfied with the procedure. Two (28.6%) patients subsequently became pregnant and had a successful vaginal delivery. Manchester repair is a valid alternative to hysterectomy for women with a second degree uterine prolapse who want to preserve their fertility.
Research Interests: Treatment Outcome, Risk assessment, Medicine, Humans, Female, and 12 moreFollow-up studies, Patient Satisfaction, Hysterectomy, Recurrence, Adult, Retrospective Studies, Risk Assessment, University Hospitals, Uterine Prolapse, Severity of Illness Index, Suture techniques, and Medical and Health Sciences
A Asem A. Ali Aniekan Abasiattai Ahmed Abbas Khadijeh Abdali Mahmoud AbdelAleem Ahmad Abdelwahed Hassan Abduljabbar Elizabeth AbuHaydar Adel Abuheija Timothy Abuya Gökhan Açmaz Gamal Adam Ishag Adam Yasmin Adam Kavita Agarwal Polycarp Agu... more
A Asem A. Ali Aniekan Abasiattai Ahmed Abbas Khadijeh Abdali Mahmoud AbdelAleem Ahmad Abdelwahed Hassan Abduljabbar Elizabeth AbuHaydar Adel Abuheija Timothy Abuya Gökhan Açmaz Gamal Adam Ishag Adam Yasmin Adam Kavita Agarwal Polycarp Agu Magdy Ahmed Thomas Aigmueller Godwin Akaba Halida Akhter Akinyemi Akintayo Manas Akmatov Ibrahim Alanbay AbdelAziem Ali Ahmed AlNiaimi Zouhair Amarin Carmen AmezcuaPrieto Jean Amoura Fernando Anschau Birgit Arabin Fabian ArechavaletaVelasco Parul Arora Nalini Arora Macit Arvas Gloria Asare Osman Asicioglu David Atallah Saadiya Aziz Karim
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To identify men's knowledge and attitude towards early detection of breast cancer. This cross-sectional study was conducted at the outpatient clinics of King Abdulaziz University Hospital, Jeddah,... more
To identify men's knowledge and attitude towards early detection of breast cancer. This cross-sectional study was conducted at the outpatient clinics of King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia. Five hundred and fifty participants were selected by systemic randomization. The distributed questionnaire included: demographics, knowledge and its source on breast cancer, beliefs and practice regarding breast self-examination (BSE), mammography, and difficulties that may prevent women from seeking medical help. The questionnaire was filled anonymously and in private. The response rate was 90.9%, and most were employees (63.2%). Physicians represented 43.4% of the source of knowledge, followed by the internet (40.4%), and last, the media (30.4%). Breast mass was the most common symptom (36.6%), followed by change of breast size (26%) and pain (20.2%), while 24% did not know the symptoms of breast cancer. Approximately 13% believed that all cases of breast cancer ended with mastectomy. Only 57.6% were aware of the importance of BSE in early detection of breast cancer, and approximately 90% did not know the importance of mammography. Awareness campaigns aimed at husbands and men in general are to be strongly considered. They should encourage their wives and families to enroll in awareness and screening campaigns.
Research Interests: Health Promotion, Saudi Arabia, Developing Countries, Risk assessment, Humans, and 15 moreNeeds Assessment, Female, Male, Mammography, Aged, Middle Aged, Questionnaires, Adult, Breast Self Examination, Risk Assessment, Cross Sectional Studies, attitude to health, cultural characteristics, Breast Neoplasms, and Medical and Health Sciences
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OBJECTIVES: To determine the attitudes of obstetric and gynecological patients towards medical students' participation in clinical care. METHODS: Patients in an obstetric and gynecological practice in Kingdom of Saudi Arabia,... more
OBJECTIVES: To determine the attitudes of obstetric and gynecological patients towards medical students' participation in clinical care. METHODS: Patients in an obstetric and gynecological practice in Kingdom of Saudi Arabia, completed a structured self-administered online questionnaire to assess demographic, reproductive and lifestyle variables that affected their attitude towards the acceptance of medical students' participation in outpatient clinical care. RESULTS: Out of the 595 women surveyed, 64.7% received perinatal care, while 35.3% received gynecologic care. Women mostly held positive attitudes towards medical students' participation. Women expressed more comfort with medical students' involvement during limited clinical care roles such as obtaining patient's history and physical examinations without a pelvic examination. Women reported higher comfort levels in the presence of female medical students, especially during pelvic examinations. The presence of male medical students caused a significant reduction in patient's comfort. CONCLUSION: Our results suggest that women seeking obstetrics and gynecology medical services are accepting students' involvement during the healthcare encounter. Most patients are more comfortable if direct contact with students is minimized and students' participation in medical care is restricted to more limited roles. In addition, the student's gender is a significant determinant of patient's acceptance and comfort during the clinical encounter.
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Introduction: Fecal incontinence (FI) and urinary incontinence (UI) are major problems faced by women worldwide, with pregnancy and delivery representing two major risk factors for these conditions. The prevalence of FI and UI varies... more
Introduction: Fecal incontinence (FI) and urinary incontinence (UI) are major problems faced by women worldwide, with pregnancy and delivery representing two major risk factors for these conditions. The prevalence of FI and UI varies across studies. In our region, only a few publications have addressed this topic. Aim: The aim of this study was to determine the prevalence of FI and UI in Saudi pregnant women, their characteristics, and a specific clinical pattern that could identify patients that are at a risk for incontinence. Materials and Methods: This was a questionnaire-based cross-sectional study conducted over a 3 months period in 2017, among pregnant women attending King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Results: Our study included 393 pregnant women. FI was reported by 24 patients (6.1%), and fecal urgency was reported by 30.5%. UI was reported by 84 patients (21.4 %). When patients with no UI were compared with patients with UI, the only statistically significant factor was BMI (p = 0.043). There were no statistically significant differences when comparing patients with FI versus no-FI, and fecal urgency versus no-fecal urgency. However, laceration (OR: 1.696, p = 0.036), episiotomy (OR: 1.413, p = 0.029), constipation (OR: 1.944, p < 0.001), hypertension (OR: 1.993, p = 0.022), and Bristol stool scale score (p = 0.002) were statistically significant factors for determining fecal control. Conclusion: FI and UI are frequently associated with pregnancy and delivery, but their prevalence is underestimated. The role of the practitioner is crucial in preventing and treating these conditions, and in impeding their harmful effects on the post-pregnancy quality of life of Saudi women.
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The clinical burden of obstetric venous thromboembolism (VTE) risk is inadequately established. This study assessed the prevalence and management of VTE risk during pregnancy and postpartum outside the Western world. This international,... more
The clinical burden of obstetric venous thromboembolism (VTE) risk is inadequately established. This study assessed the prevalence and management of VTE risk during pregnancy and postpartum outside the Western world. This international, noninterventional study enrolled adult women with objectively confirmed pregnancy attending prenatal care/obstetric centers across 18 countries in Africa, Eurasia, Middle-East, and South Asia. Evaluations included proportions of at-risk women, prophylaxis as per international guidelines, prophylaxis type, factors determining prophylaxis, and physicians' awareness about VTE risk management guidelines and its impact on treatment decision. Data were analyzed globally and regionally. Physicians (N = 181) screened 4,978 women, and 4,010 were eligible. Of these, 51.4% were at risk (Eurasia, 90%; South Asia, 19.9%), mostly mild in intensity; >90% received prophylaxis as per the guidelines (except South Asia, 77%). Women in Eurasia and South Asia rece...
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Female genital mutilation/cutting (FGM/C) is a cultural practice that involves several types of removal or other injury to the external female genitalia for nonmedical reasons. Although much international research has focused on the... more
Female genital mutilation/cutting (FGM/C) is a cultural practice that involves several types of removal or other injury to the external female genitalia for nonmedical reasons. Although much international research has focused on the health consequences of the practice, little is known about sexual functioning among women with various types of FGM/C. To assess the impact of FGM/C on the sexual functioning of Sudanese women. This is a cross-sectional study conducted at Doctor Erfan and Bagedo Hospital, Jeddah, Saudi Arabia. Eligible women completed a survey and a clinical examination, which documented and verified women's type of FGM/C. The main outcome measure was female sexual function, as assessed by the Arabic Female Sexual Function Index. A total of 107 eligible women completed the survey and the gynecological examination, which revealed that 39% of the women had FGM/C Type I, 25% had Type II, and 36% had Type III. Reliability of self-report of the type of FGM/C was low, with...
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To review cases of ovarian cysts managed at a University Hospital, and to identify the factors necessitating the use of laparotomy over laparoscopy. We carried out a retrospective chart review of all cases of ovarian cysts diagnosed and... more
To review cases of ovarian cysts managed at a University Hospital, and to identify the factors necessitating the use of laparotomy over laparoscopy. We carried out a retrospective chart review of all cases of ovarian cysts diagnosed and managed at the Department of Obstetrics and Gynecology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia between January 2010 and August 2014. All data collected from medical record charts, patents details, clinical presentations, ovarian cysts description, and pathology type were recorded, and management by laparoscopy or laparotomy was identified. Ethical approval was obtained from ethical hospital committee. There were 244 cases of ovarian cysts during the study period. The age ranged from 3 months to 77 years of age. The parity from 0-6. The height range from 37-180 cm. The weight range from 3-161 kg, and calculated body mass index ranged from 12-47. Out of 244 patients diagnosed, 165 were married (67.4%). Of those, only 16 patients were ...
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Foreign objects in the female genital tract neglected for a long period of time may lead to many clinical problems including recurrent vaginal discharge and infertility. We present a case of 3-year long infertility, and 11-year long... more
Foreign objects in the female genital tract neglected for a long period of time may lead to many clinical problems including recurrent vaginal discharge and infertility. We present a case of 3-year long infertility, and 11-year long recurrent vaginal discharge in a 24-year-old female. She was treated empirically with several courses of antibiotics, which did not resolve her symptoms. Before her marriage, the family declined initial attempts to perform a physical examination due to fear of tearing the hymen, which has many social implications in the Kingdom of Saudi Arabia. After her marriage, she suffered from infertility and continued to have the vaginal discharge. On vaginal examination, she was found to have a foreign body in the uterine cervix. It was inserted 13 years ago, and lead to chronic vaginal discharge and infertility.
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This paper aims at presenting details of the application of assisted reproductive technology and the impact of the Islamic law (Sharia) on its practice in the Kingdom of Saudi Arabia (KSA). Analysis of the data sourced from manual... more
This paper aims at presenting details of the application of assisted reproductive technology and the impact of the Islamic law (Sharia) on its practice in the Kingdom of Saudi Arabia (KSA). Analysis of the data sourced from manual searches of bibliographies from key articles showed that this technology in KSA is practiced in a strictly religious manner and certain aspects of the technology are completely forbidden. It further showed that lack of an official government in-vitro fertilization (IVF) registry to gather information on the activities of IVF clinics has limited the data available for international comparisons. Sharing information internationally could allow religiously concerned infertile couples to have access to the reproductive services in the Kingdom. It would further improve the quality of care, enhance certain techniques like in-vitro maturation and experimentation on embryos, by providing resources that are currently unavailable, keeping in view the religious belief...
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Pena-Shokeir phenotype is a unique pattern of lethal multiple congenital anomalies with variable expression. The history of a family in which two sibs conform to Pena-Shokeir phenotype is detailed and substantiates the criteria for... more
Pena-Shokeir phenotype is a unique pattern of lethal multiple congenital anomalies with variable expression. The history of a family in which two sibs conform to Pena-Shokeir phenotype is detailed and substantiates the criteria for definition of the phenotype. The addition of a peculiar ultrasound presentation in the antenatal period may indicate the condition.
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To compare abdominal myomectomy with abdominal hysterectomy in women with big and symptomatic uterine fibroids. The hospital records at King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia were reviewed to identify women... more
To compare abdominal myomectomy with abdominal hysterectomy in women with big and symptomatic uterine fibroids. The hospital records at King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia were reviewed to identify women who underwent abdominal myomectomy or abdominal hysterectomy between 1989 and 1999. Inclusion criteria were the presence of symptoms and size of the uterus equaling that of 12 weeks gestation or more. Women who underwent myomectomy as a treatment of infertility were excluded. During the study period, 111 women met the inclusion criteria. Thirty-eight women underwent abdominal myomectomy and 73 women underwent abdominal hysterectomy. Forty women were excluded because of myomectomy for infertility. Abdominal myomectomy was successfully performed in all women for whom it was scheduled. Hysterectomy, internal iliac ligation, or other procedures were not necessary to control the bleeding. The primary indication for myomectomy was abnormal vaginal bleeding in 23 women and pelviabdominal mass in 15 women compared to 6 women and 67 women in the hysterectomy group. There were statistically significant differences in the mean age and parity (p value 0.01 and <0.001) between women who underwent abdominal myomectomy and abdominal hysterectomy. The uterine size clinically (mean +/- standard deviation), size of largest myoma by ultrasonography, and from histopathology reports were 15.4 +/- 3.8, 11.8 +/- 2.8, and 13.6 +/- 3.2 compared to 17.9 +/- 4.4, 16.9 +/- 4.2, and 13.8 +/- 3.7 (p values not statistically significant). Similarly, there were no statistically significant differences in the pre- and postoperative hemoglobin, estimated blood loss, rate of blood transfusion, operative time, and numbers of days in hospital. Abdominal myomectomy for big and symptomatic uterine fibroids carries similar risks to abdominal hysterectomy.
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Research Interests: Medical Microbiology, Disease susceptibility, India, Decision Trees, Humans, and 15 moreHospitalization, Female, Anemia, Data Collection, Nutritional Status, Clinical Sciences, Adult, Antimicrobial agents, Age Factors, Gestational Age, Gestation, Acute Disease, cystitis, Medical and Health Sciences, and Paediatrics and reproductive medicine
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To investigate the knowledge, attitude, and practice of health care professionals on the early detection of breast cancer. A cross-sectional study was conducted in Jeddah and Abha regions of Saudi Arabia from May to November 2009. A... more
To investigate the knowledge, attitude, and practice of health care professionals on the early detection of breast cancer. A cross-sectional study was conducted in Jeddah and Abha regions of Saudi Arabia from May to November 2009. A detailed questionnaire was distributed to 500 doctors from different hospitals. The questionnaire contained items on the practice of clinical breast examination and mammogram examination, and the doctor's perception of their roles in education. The results of 337 questionnaires analyzed indicated that most health care professionals do not practice clinical breast examination and mammography, and the perception of their roles in education is not as expected. Health care providers are one of the main barriers in improving early detection of breast cancer in Saudi Arabia. There is a need to increase awareness among health care providers of their role in the fight against breast cancer through focused education and training programs.
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Research Interests: Pharmacology, Bioinformatics, Evolutionary Biology, Pathology, Oncology, and 21 moreRadiology, Pharmacy, Informatics, Genomics, Phylogenetics, Computational Biology, Biotechnology, Cancer, Biomarkers, Biology, Proteomics, Biomedical informatics, Medicine, Bioscience, Phylogeny, Scientific, Microarray, Clinical Medicine, Biological, Genetic modification, and Evidence Based
Female genital mutilation (FGM) ranges in severity from a nick of the clitoris to partial or total removal of the external genitalia. Sexual complications after FGM include sexual dysfunction, difficult intercourse, and dyspareunia. We... more
Female genital mutilation (FGM) ranges in severity from a nick of the clitoris to partial or total removal of the external genitalia. Sexual complications after FGM include sexual dysfunction, difficult intercourse, and dyspareunia. We report a case of Type I FGM presenting as complete vaginal closure and urinary retention. A 16-year-old adolescent was referred for obliterated vagina and urinary retention. She had recurrent urinary tract infections, difficulty in voiding, and cyclic hematuria. At the age of 1 year she had been taken by her mother to a pediatric surgeon to have a Type I FGM procedure. On examination, the urethral meatus and vaginal orifices were completely closed by the FGM scar. She underwent uneventful surgical opening of the vagina. A normal vaginal orifice was created and normal flow of urine and menses occurred. Type I FGM can present as complete vaginal closure and urinary retention. Proper diagnosis and treatment are of paramount importance.
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To evaluate the retraction technique for urinary catheterization of women with Type III female genital mutilation (FGM). The hospital records of all women from Sudan, Somalia, Ethiopia, Egypt, Eritrea, and Chad who were admitted to King... more
To evaluate the retraction technique for urinary catheterization of women with Type III female genital mutilation (FGM). The hospital records of all women from Sudan, Somalia, Ethiopia, Egypt, Eritrea, and Chad who were admitted to King Abdulaziz University Hospital, Jeddah, Saudi Arabia from January 1, 2011 to January 1, 2012 were reviewed. Women with Type III FGM who had urinary catheterization were identified and their records were examined. During the study period, 162 women with Type III FGM had urinary catheterization by residents in our hospital. One hundred and twelve (69.1%) women had urinary catheterization by the standard procedure and 50 (30.9%) by the retraction technique because of failure of the standard procedure. No attempts to use the technique were unsuccessful; that is, no procedures were converted to emergency defibulation. No complications occurred during insertion or while the catheter was in place (37.5±5.6h). The retraction technique provides a safe and effective option for urinary catheterization of women with Type III FGM.