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American Journal of Obstetrics and Gynecology

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https://www.readbyqxmd.com/read/30241897/september-2016-vol-215-no-3-errors-on-page-316-e4
#1
(no author information available yet)
No abstract text is available yet for this article.
September 18, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30240659/guild-interests-an-insidious-threat-to-professionalism-in-obstetrics-and-gynecology
#2
Frank A Chervenak, Laurence B McCullough, Ralph W Hale
Powerful incentives now exist that could subordinate professionalism to guild self-interest. How obstetrician-gynecologists respond to these insidious incentives will determine whether guild self-interests will define our specialty. We provide ethically justified, practical guidance to obstetrician-gynecologists to prevent this ethically unacceptable outcome. We describe and illustrate two major incentives to subordinating professionalism to guild self-interest: demands for productivity; and compliance and regulatory pressures...
September 18, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30240658/preventing-incremental-drift-away-from-professionalism-in-graduate-medical-education
#3
Frank A Chervenak, Laurence B McCullough, Amos Grünebaum
Professionalism is a core competency of graduate medical education programs, stipulated by Accreditation Council for Graduate Medical Education (ACGME). We identify an underappreciated challenge to professionalism in residency training, the risk of incremental drift from professionalism, and a preventive ethics response, which can occur in residency programs in countries with oversight similar to that of ACGME. Two major, welcome changes in graduate medical education - required duty hours and increased attending supervision - create incentives for drift from professionalism...
September 18, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30240657/guidelines-for-antenatal-and-pre-operative-care-in-cesarean-delivery-enhanced-recovery-after-surgery-eras%C3%A2-society-recommendations-part-1
#4
R Douglas Wilson, Aaron B Caughey, Stephen L Wood, George A Macones, Ian J Wrench, Jeffrey Huang, Mikael Norman, Karin Pettersson, William J Fawcett, Medhat M Shalabi, Amy Metcalfe, Leah Gramlich, Gregg Nelson
OBJECTIVE: This ERAS Guideline for perioperative care in Cesarean Delivery (CD) will provide best practice, evidenced-based, recommendations for pre-operative, intra-operative, and post-operative phases with primarily, a maternal focus. The 'focused' pathway process for scheduled and unscheduled CD, for this ERAS CD guideline will consider, from 'decision to operate (starting with the 30 - 60 minutes prior to skin incision) to hospital discharge'. METHODS: The literature search (1966-2017) used Embase and PubMed to search medical subject headings including "Cesarean Section", "Cesarean Section", "Cesarean Section Delivery" and all pre- and intra-operative ERAS® items...
September 18, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30240656/female-pelvic-medicine-and-reconstructive-surgery-fellows-exposure-to-transgender-healthcare
#5
LETTER
Olivia H Chang, Miriam J Haviland, Emily Von Bargen, Yvonne Gomez-Carrion, Michele R Hacker, Janet Li
No abstract text is available yet for this article.
September 18, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30240655/a-preoperative-risk-score-to-predict-red-blood-cell-transfusion-in-patients-undergoing-hysterectomy-for-ovarian-cancer
#6
Sarah A Ackroyd, Jennifer Brown, Karen Houck, Christina Chu, Gina Mantia-Smaldone, Stephen Rubin, Enrique Hernandez
BACKGROUND: Patients with ovarian cancer experience a high rate of anemia throughout their treatment course, with rates ranging from 19% to 95%. Blood transfusions offer symptom relief but may be costly, are limited in supply, and have been associated with worse 30-day surgical morbidity and mortality. OBJECTIVE: To identify risk factors for blood transfusion with packed red blood cell (pRBC) and develop a transfusion risk score to identify patients undergoing surgery for ovarian cancer who are at lowest risk for a blood transfusion...
September 18, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30240654/medical-education-research-in-obstetrics-and-gynecology
#7
LETTER
Martin G Tolsgaard
No abstract text is available yet for this article.
September 18, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30240653/prediction-of-spontaneous-preterm-delivery-in-women-presenting-with-premature-labor-a-comparison-of-placenta-alpha-microglobulin-1-phosphorylated-insulin-like-growth-factor-binding-protein-1-and-cervical-length
#8
Tanja Nikolova, Jukka Uotila, Natasha Nikolova, Vyacheslav M Bolotskikh, Vera Y Borisova, Gian Carlo di Renzo
BACKGROUND: Placental alpha microglobulin-1 (PAMG-1) and phosphorylated insulin-like growth factor-binding protein-1 (phIGFBP-1) have been studied in patients at risk for preterm birth with signs and symptoms of preterm labor. However, a direct comparison between these two biomarkers, alone or in combination with cervical length measurement with an adequate sample size, has been lacking to date. OBJECTIVE: To compare PAMG-1 test and the phIGFBP-1-1 test alone and in combination with cervical length measurement for the prediction of imminent spontaneous preterm birth of testing in pregnant women with symptoms of preterm labor in a tertiary care setting...
September 18, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30240652/reply-to-l18-083ar1
#9
LETTER
Eliane M Shore, Helena Frecker, Evan R Tannenbaum
No abstract text is available yet for this article.
September 18, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30240651/intrapartum-magnesium-sulphate-is-associated-with-neuroprotection-in-growth-restricted-fetuses
#10
Elizabeth L Stockley, Joseph Y Ting, John Kingdom, Sarah D McDonald, Jon Barrett, Anne Synnes, Luis Monterrosa, Prakesh S Shah
BACKGROUND: Intrapartum magnesium sulphate administration is recommended for fetal neuroprotection in women with imminent very preterm birth. However, previous studies have not included or separately analyzed the outcomes of pregnancies with fetal growth restriction that were treated with intrapartum magnesium sulphate. OBJECTIVES: To evaluate the neonatal and neurodevelopmental outcomes of growth restricted fetuses born before 29 weeks' gestation and exposed to maternal intrapartum magnesium sulphate...
September 18, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30240650/cesarean-scar-defect-a-prospective-study-on-risk-factors
#11
Riitta M Antila-Långsjö, Johanna U Mäenpää, Heini S Huhtala, Eija I Tomás, Synnöve M Staff
BACKGROUND: Cesarean scar defect (isthmocele) is a known complication after cesarean delivery. It has become more common due to a rising cesarean delivery rate. Isthmocele has been associated with various gynecological and obstetric problems such as uterine rupture, cesarean scar pregnancy and bleeding disorders. OBJECTIVE: To prospectively investigate factors associated with the risk for isthmocele assessed by sonohysterography. STUDY DESIGN: A prospective observational cohort study was conducted in 401 non-pregnant women who were recruited within three days of cesarean delivery...
September 18, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30222939/the-impact-of-surgeon-volume-on-perioperative-adverse-events-in-women-undergoing-minimally-invasive-hysterectomy-for-the-large-uterus
#12
C Emi Bretschneider, Pamela Frazzini Padilla, Deepanjana Das, J Eric Jelovsek, Cecile A Unger
BACKGROUND: There are currently sparse data on the relationship between surgeon- and patient-related factors and perioperative morbidity in the setting of elective hysterectomy for the larger uterus. OBJECTIVES: To evaluate the impact of surgeon case volume on perioperative adverse events in women undergoing minimally invasive hysterectomy (MIH) for uteri >250 grams. STUDY DESIGN: This is a retrospective cohort study of all women who underwent vaginal (VH), laparoscopic (TLH), laparoscopic-assisted vaginal (LAVH), or robotic-assisted laparoscopic hysterectomy (R-TLH) between 1/2014 and 7/2016...
September 14, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30217580/long-term-outcome-of-mr-guided-focused-ultrasound-treatment-and-laparoscopic-myomectomy-for-symptomatic-uterine-fibroids
#13
Aya Mohr-Sasson, Ronit Machtinger, Roy Mashiach, Omer Nir, Yael Inbar, Nirit Maliyanker, Motti Goldenberg, Jaron Rabinovici
AIM: To compare the long-term outcome of laparoscopic myomectomy with MR-guided Focused Ultrasound (MRgFUS) for symptomatic uterine fibroids. METHODS: A cohort study was conducted on all patients with symptomatic uterine fibroids admitted to a single tertiary care center and treated operatively with laparoscopic myomectomy or treated conservatively with MR-guided Focused Ultrasound, from January 2012 until January 2017. Assessment for further interventions and sustained fibroid-associated symptoms was performed, using the Uterine Fibroid Symptom and Quality of Life symptom severity score (UFS-QOL-SSS)...
September 11, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30217579/screening-extremely-obese-pregnant-women-for-obstructive-sleep-apnea
#14
Jennifer E Dominguez, Chad A Grotegut, Mary Cooter, Andrew D Krystal, Ashraf S Habib
BACKGROUND: Obesity is prevalent among pregnant women in the United States; obstructive sleep apnea (OSA) is highly comorbid with obesity and is associated with adverse pregnancy outcomes. Screening for obstructive sleep apnea in pregnant women has remained a challenge due to a lack of validated screening tools. OBJECTIVES: The purpose of this study was to evaluate established OSA screening tools, a sleepiness scale, and their individual component items in a cohort of pregnant women with extreme obesity in mid-pregnancy using objective testing to determine OSA status, and to describe the prevalence of OSA among women with extreme obesity...
September 11, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30194051/historical-retrospective-cohort-studies-and-other-epidemiologic-study-designs-in-perinatal-research
#15
Mark A Klebanoff, Jonathan M Snowden
When investigators describe the study design they employed, the term "Retrospective Cohort" is commonly selected, and commonly used incorrectly. In a prospective cohort, investigators enroll exposed and unexposed individuals, all of whom are at risk of experiencing the study outcome, and follow them forward in time to observe incident outcomes. In a retrospective (historical) cohort, investigators utilize pre-existing data to identify exposed and unexposed individuals in the past, without regard to outcome status, and then trace these individuals forward, up to and possibly including the present, to determine incident outcomes...
September 4, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30194050/abruptio-placentae-risk-and-genetic-variations-in-mitochondrial-biogenesis-and-oxidative-phosphorylation-replication-of-a-candidate-gene-association-study
#16
Tsegaselassie Workalemahu, Daniel A Enquobahrie, Bizu Gelaye, Timothy A Thornton, Fasil Tekola-Ayele, Sixto E Sanchez, Pedro J Garcia, Henry G Palomino, Anjum Hajat, Roberto Romero, Cande V Ananth, Michelle A Williams
BACKGROUND: Abruptio placentae is a complex multifactorial disease associated with maternal and neonatal mortality and morbidity. Abruptio placentae's high recurrence rate, high prevalence of heritable trompbophilia among women with abruptio placentae, and aggregation of cases in families of women with the disease, support the possibility of a genetic predisposition. Previous genome-wide and candidate gene association studies have identified single nucleotide polymorphisms (SNPs) in mitochondrial biogenesis and oxidative phosphorylation genes that are potentially associated with abruptio placentae risk...
September 4, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30194049/medicaid-savings-from-the-contraceptive-choice-project-a-cost-savings-analysis
#17
Tessa Madden, Abigail R Barker, Kelsey Huntzberry, Gina M Secura, Jeffrey F Peipert, Timothy D Mcbride
BACKGROUND: Forty-five percent of U.S. births are unintended, and the costs of unintended pregnancy and birth are substantial. Clinical and policy interventions that increase access to the most effective reversible contraceptive methods, intrauterine devices and contraceptive implants, have potential to generate significant cost savings. Evidence of cost savings for these interventions is needed. OBJECTIVE: To conduct a cost savings analysis of the Contraceptive CHOICE Project, which provided counseling and no-cost conception, to demonstrate the value of investment in enhanced contraceptive care to the Missouri Medicaid program...
September 4, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30194048/sildenafil-crosses-the-placenta-at-therapeutic-levels-in-a-dually-perfused-human-cotyledon-model
#18
Francesca M Russo, Sigrid Conings, Karel Allegaert, Tim van Mieghem, Jaan Toelen, Kristel van Calsteren, Pieter Annaert, Jan Deprest
BACKGROUND: Sildenafil is already administered during gestation in patients with pulmonary hypertension and is under evaluation as a treatment for several pregnancy complications, such as pre-eclampsia and intrauterine growth restriction. Animal studies have shown a potential therapeutic effect of the drug in fetuses with congenital diaphragmatic hernia, rescuing peripheral pulmonary vasculature and airway phenotype. When considering this drug for evaluation in a clinical trial, data on effective human placental drug passage are required...
September 4, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30171846/inpatient-opioid-use-after-vaginal-delivery
#19
Nevert Badreldin, William A Grobman, Lynn M Yee
BACKGROUND: More than half of patients hospitalized annually receive an opioid during their inpatient hospitalization, which may serve as a first opioid exposure. Although recent research addresses outpatient opioid prescribing following delivery, little is known regarding the extent to which opioids are used during the postpartum hospitalization following vaginal delivery. OBJECTIVE: Our objectives were a) to describe the use of opioids during the last 24 hours of postpartum hospitalization in women following vaginal delivery and b) to identify patient and provider characteristics associated with use of opioids during this time period...
August 29, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30171845/complete-spontaneous-abortion-with-expulsion-of-an-intact-six-week-embryo
#20
Giovanni Delli Carpini, Andrea Ciavattini
No abstract text is available yet for this article.
August 29, 2018: American Journal of Obstetrics and Gynecology
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