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International Journal of Gynaecology and Obstetrics

Vian H Rasul, Zahra B Moghdam, Muaf A Karim, Mohhammad A Cheraghi
OBJECTIVE: To investigate health-system challenges responsible for the poor performance of a cervical cancer prevention program in the Kurdistan Region of Iraq. METHOD: A qualitative study was conducted among a purposive sample of healthcare providers and female volunteers in Erbil, Kurdistan Region of Iraq, between December 10, 2014, and July 23, 2016. Data were collected from participants using in-depth semi-structured interviews. The interviews were then transcribed and analyzed with an inductive content analysis approach...
September 21, 2018: International Journal of Gynaecology and Obstetrics
Colin Marshall, Bhakti Chavan, Zelalem T Haile
OBJECTIVE: To evaluate associations between insurance status and HPV vaccination. METHODS: The present cross-sectional study analyzed data from women aged 18-26 years who participated in the National Health and Nutritional Examination Surveys 2009-2012 in the USA for associations between insurance status and HPV vaccination. RESULTS: The study included 621 women; 424 (68.3%) had some type of insurance and 198 (30.6%) had received the HPV vaccine...
September 21, 2018: International Journal of Gynaecology and Obstetrics
Yao Wang, Yan-Wen Zhu, Yun Sun, Wen Di, Meiting Qiu, Yanping Kuang, Haoran Shen
OBJECTIVE: To establish an ideal transfer strategy by investigating the relationships among embryo transfer (ET) depth, endometrial thickness, and subsequent in vitro fertilization treatment clinical pregnancy outcomes. METHODS: In the present retrospective analysis, data from in vitro fertilization-ET treatment cycles conducted at a fertility center in Shanghai, China, between October 2014 and March 2015 were analyzed. Women were divided into groups 1-4 according to transfer depth (<10; 10-15, 15-20, and >20 mm, respectively), as measured by air bubbles...
September 20, 2018: International Journal of Gynaecology and Obstetrics
Panagiotis Bakas, Emmalouel Papadakis, Charalampos Karachalios, Anastasia Beta, Aggelos Liapis
OBJECTIVE: To assess the long-term outcomes of tension-free vaginal tape obturator (inside-out) (TVTO) with or without anterior colporrhaphy. METHODS: The present prospective follow-up observational study included patients attending the 2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Greece, between April 3 and December 20, 2017, for follow-up care after treatment for urodynamic stress urinary incontinence (USUI) with or without cystocele...
September 20, 2018: International Journal of Gynaecology and Obstetrics
Dorit Paz-Levy, Adi Y Weintraub, Yonatan Reuven, Zehava Yohay, Inbal Idan, Debi Elharar, David Yohay
OBJECTIVE: To compare prevalence and risk factors for urinary tract infection (UTI) following midurethral sling surgery with either the GYNECARE ABBREVO Continence System (Ethicon, Somerville, NJ, USA) or a standard transobturator. METHODS: A retrospective cohort study was conducted among women who underwent midurethral sling surgery to treat stress urinary incontinence at a single tertiary hospital in Israel between January 1, 2014, and August 11, 2015. Data were retrieved from medical records...
September 19, 2018: International Journal of Gynaecology and Obstetrics
Michael Geary, Vincent Boama, Valerie T Guinto, Claudio G Sosa
No abstract text is available yet for this article.
September 17, 2018: International Journal of Gynaecology and Obstetrics
Holly Anger, Rasha Dabash, Melanie Peña, Dolores Coutiño, Manuel Bousiéguez, Patricio Sanhueza, Beverly Winikoff
OBJECTIVE: To assess the feasibility of using an at-home multilevel pregnancy test (MLPT) and interactive voice response (IVR) call-in system for remote follow-up of medical abortion. METHODS: A prospective pilot study was conducted among women who had a medical abortion at up to 70 days at a clinic in Mexico City, Mexico, between June 1, 2015, and January 30, 2016. Participants took an MLPT at the initial clinic visit and another MLPT at home 2 weeks later. They were requested to report their MLPT results via the IVR system and attend the clinic for follow-up evaluation...
September 16, 2018: International Journal of Gynaecology and Obstetrics
Cintia Spira, Rolina Dhital, Sue Jacob, Ganesh Dangal, Geeta Gurung, Laxman Prasad Shrestha, Krishna Prasad Bista, Kiran Bajracharya, Lata Bajrachayra, Gehanath Baral, Nani Maiya Kaway, Hamid Rushawn, Peter Cooper, Frances Day-Stirk, Mabel Berrueta, Luz Gibbons, Ezequiel García-Elorrio, José M Belizán
OBJECTIVE: To assess whether the implementation of a package of activities through the joint action of three international healthcare professional associations (HCPAs) increased the use of essential interventions (EIs) for delivery and neonatal care. METHODS: A noncontrolled pre-intervention versus post-intervention study was conducted from June 13 to December 13, 2016, among women older than 18 years of age, who had delivered at one of two urban tertiary hospitals in Nepal...
September 15, 2018: International Journal of Gynaecology and Obstetrics
Marcela C Castillo, Bellington Vwalika, Marie C D Stoner, Benjamin H Chi, Jeffrey S A Stringer, Margaret Kasaro, Andrew Kumwenda, Elizabeth M Stringer
OBJECTIVE: Cesarean delivery (CD) may be associated with stillbirth in future pregnancies. We investigated prior CD as a risk factor for stillbirth in Lusaka, Zambia. METHODS: We conducted a retrospective cohort analysis of women with only one prior pregnancy who delivered between February 1, 2006, and May 31, 2013. We analysed data from the Zambia Electronic Perinatal System. Maternal and infant characteristics were analyzed for association with stillbirth using Pearson's χ2 test or the Wilcoxon rank-sum test...
September 12, 2018: International Journal of Gynaecology and Obstetrics
Malcolm G Munro, Hilary O D Critchley, Ian S Fraser
BACKGROUND: The International Federation of Gynecology and Obstetrics (FIGO) systems for nomenclature of symptoms of normal and abnormal uterine bleeding (AUB) in the reproductive years (FIGO AUB System 1) and for classification of causes of AUB (FIGO AUB System 2; PALM-COEIN) were first published together in 2011. The purpose was to harmonize the definitions of normal and abnormal bleeding symptoms and to classify and subclassify underlying potential causes of AUB in the reproductive years to facilitate research, education, and clinical care...
September 10, 2018: International Journal of Gynaecology and Obstetrics
Giorgio Bogani, Umberto Leone Roberti Maggiore, Valentina Chiappa, Antonino Ditto, Fabio Martinelli, Ilaria Sabatucci, Lavinia Mosca, Domenica Lorusso, Francesco Raspagliesi
OBJECTIVE: To evaluate the role of full lymphadenectomy in patients with isolated nodal recurrence of ovarian cancer. METHODS: In a retrospective study, the data of women undergoing secondary cytoreduction at the National Cancer Institute, Milan, Italy, between January 1, 2001, and December 31, 2015, were collected and patients with isolated nodal recurrence were identified. Factors predicting for disease-free interval (DFI) and overall survival were estimated using Kaplan-Meier survival analysis and Cox regression analysis...
September 8, 2018: International Journal of Gynaecology and Obstetrics
Márcia R Strapasson, Charles F Ferreira, José G L Ramos
OBJECTIVE: To identify possible relationships between postpartum depression and hypertensive disorders of pregnancy (HDP), as well as the associated risk factors for developing postpartum depression. METHODS: A The present prospective descriptive cross-sectional study was conducted among postpartum women who attended a public maternity hospital in Brazil between January 15, 2015, and January 15, 2017. The diagnosis and severity of HDP were based on blood pressure measurements (systolic ≥140 mm Hg or diastolic ≥90 mm Hg), proteinuria, clinical findings, and laboratory findings...
September 7, 2018: International Journal of Gynaecology and Obstetrics
Alessandra Peloggia, Moazzam Ali, Kavita Nanda, Luis Bahamondes
Exposure to Zika virus (ZIKV) in pregnancy leads to a spectrum of congenital effects in the newborn. Recent studies have begun to evaluate the impact of ZIKV during pregnancy. Among 39 relevant studies, nine were related specifically to clinical studies of ophthalmologic disorders and one was related to hearing loss impairment; most of these studies were case reports and case series reports. Importantly, congenital toxoplasmosis was ruled out in all studies. The data show that, in addition to microcephaly, ZIKV exposure in pregnancy may result in subtle ocular impairments in the newborn...
September 6, 2018: International Journal of Gynaecology and Obstetrics
Marcos Nakamura-Pereira, Ana Paula Esteves-Pereira, Silvana G N Gama, Maria Leal
OBJECTIVE: To assess the hospital, maternal, and obstetric characteristics associated with elective repeat cesarean delivery (ERCD) among women eligible for trial of labor after cesarean (TOLAC) delivery in Brazil. METHODS: The present data were retrieved from the Birth in Brazil study, a national hospital-based cohort study conducted during 2011-2012. Data were collected from medical records and by interview. Univariate and hierarchical multiple logistic regression analyses were performed to analyze factors associated with ERCD among women with a previous cesarean delivery who were eligible for TOLAC...
September 4, 2018: International Journal of Gynaecology and Obstetrics
Frédéric Blavier, Stefan Cosyns, Noëlie Dony, Gilles Faron, José Parra, Leonardo Gucciardo
OBJECTIVE: To investigate perceptions of early pregnancy assessment units (EPAUs) among perinatal practitioners working in Belgium, France, and Switzerland. METHODS: A prospective multinational survey was conducted between September 1, 2015, and May 21, 2016. Obstetricians, gynecologists, medical doctors, radiologists, and midwives were recruited during meetings, via e-mail invitations, or through the websites of regional obstetrics and gynecology scientific societies...
September 4, 2018: International Journal of Gynaecology and Obstetrics
Vincenzo Zanardo, Lara Giliberti, Elia Giliberti, Francesca Volpe, Gianluca Straface, Pantaleo Greco
OBJECTIVE: To compare levels of anhedonia, anxiety, and depression in women following elective and emergency cesarean delivery. METHODS: An observational study was conducted between January 1, 2015, and May 31, 2017, among Italian women who delivered healthy neonates at term at the Policlinico Abano Terme, Italy, by vaginal, elective cesarean delivery (ElCD) or emergency cesarean (EmCD) delivery. The women completed the Edinburgh Postnatal Depression Scale (EPDS), including specific factors within each category, 2 days post-delivery to measure postpartum depressive symptomatology...
August 29, 2018: International Journal of Gynaecology and Obstetrics
Austin M Oberlin, Lisa Rahangdale, Lameck Chinula, Nurain M Fuseini, Carla J Chibwesha
Cervical cancer is currently the fourth leading cause of cancer death among women worldwide, with most cases occurring in low- and middle-income countries. Safe, highly effective vaccines against HPV have been on the market since 2006, yet only 6% of girls worldwide have received this life-saving cancer prevention intervention. International organizations, including PATH, Gavi, and the pharmaceutical companies Merck and GlaxoSmithKline, have provided support to eligible low- and middle-income countries to implement national HPV vaccination programs...
August 24, 2018: International Journal of Gynaecology and Obstetrics
Ibrahim Yalcin, Mustafa E Sari, Hanifi Sahin, Murat Gultekin, Tayfun Gungor, Mehmet M Meydanli
OBJECTIVE: To compare colposcopic biopsy results among women with normal cervical cytology who had positive test results for either HPV-16 only or HPV-18 only. METHODS: A cross-sectional study was conducted at Zekai Tahir Burak Women's Health Research and Training Hospital, Ankara, Turkey, between July 1, 2015, and October 31, 2017. Colposcopic biopsy results were compared among women in the HPV-16 only (n=185) and HPV-18 only (n=43) groups. RESULTS: Women who had HPV-16 only were more likely to be smokers than women with HPV-18 only (P=0...
August 20, 2018: International Journal of Gynaecology and Obstetrics
Yoo-Young Lee, Jeong-Won Lee, Lin Lu, Wei Xu, Alexandra Kollara, Theodore Brown, Eun-Jin Heo, Taymaa May
OBJECTIVE: To determine the optimal timing of adjuvant chemotherapy after primary cytoreductive surgery for advanced epithelial ovarian cancer. METHODS: In a retrospective cohort analysis, data were assessed from women with advanced epithelial ovarian carcinoma treated at Princess Margaret Cancer Centre, Toronto, Canada between 2002 and 2012, and at Samsung Medical Centre, Seoul, Korea, between 2002 and 2015. The treatment interval was defined as the time period between primary cytoreductive surgery and the first cycle of adjuvant chemotherapy...
August 20, 2018: International Journal of Gynaecology and Obstetrics
Meizhuang Chen, Huihua Cai, Songqiang Chen, Xinyi Wu, Xiao Ma, Mubiao Liu, Le Chen
OBJECTIVE: To compare the efficacy of transcervical resection of the cervix (TCRC) and loop electrosurgical excision procedure (LEEP) in the treatment of high-grade cervical squamous intraepithelial lesions (HSIL). METHODS: A retrospective case record review was conducted of patients with HSIL treated with TCRC or LEEP at Guangdong General Hospital, Guangdong Academy of Medical Sciences and Zhujiang Hospital, Guangzhou, China, from 2009 to 2015. The clinical characteristics, cone margin statuses, clinical outcomes, and adverse events were compared between the two groups...
August 20, 2018: International Journal of Gynaecology and Obstetrics
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