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International Journal of Gynaecology and Obstetrics

Naval Heydari, Maliheh Abootalebi, Neda Jamalimoghadam, Maryam Kasraeian, Masoumeh Emamghoreishi, Marzieh Akbarzaded
OBJECTIVE: To investigate the efficacy of aromatherapy with essential oils of Rosa damascena for the management of premenstrual syndrome (PMS). METHODS: The present triple-blind randomized clinical trial was conducted between March 5, 2016, and February 20, 2017, among female students attending Shiraz University of Medical Sciences, Shiraz, Iran, who experienced PMS, had a menstrual cycle of 24-35 days, were not using vitamin supplements or hormonal drugs, and did not have any underlying diseases...
May 22, 2018: International Journal of Gynaecology and Obstetrics
Susan D Driscoll, Ruth M Tappen, David Newman, Kathi Voege-Harvey
BACKGROUND: Cervical cancer remains the leading cause of cancer and mortality in low-resource areas with healthcare personnel shortages. Visual inspection is a low-resource alternative method of cervical cancer screening in areas with limited access to healthcare. OBJECTIVES: To assess accuracy of visual inspection performed by community health workers (CHWs) and licensed providers, and the effect of provider training on visual inspection accuracy. SEARCH STRATEGY: Five databases and four websites were queried for studies published in English up to December 31, 2015...
May 22, 2018: International Journal of Gynaecology and Obstetrics
Gerhard B Theron
The free-flow pressure controlled uterine balloon (Ellavi UBT; Sinapi biomedical, Stellenbosch, South Africa) allows the expulsion of water from the balloon to reduce volume and pressure control by adjusting the height of the supply bag above the patient. The balloon can be filled to a capacity of 750 mL without requiring expansion pressure. The device is affordable for use in lesser resourced countries with a sales price from the factory of approximately US $6. This article is protected by copyright. All rights reserved...
May 20, 2018: International Journal of Gynaecology and Obstetrics
Liming Wang, Hongxin Zhao, Weiping Cai, Jie Tao, Qingxia Zhao, Lijun Sun, Qingbo Fan, Athena P Kourtis, Colin Shepard, Fujie Zhang
OBJECTIVE: To examine the relationship between combination antiretroviral therapy (cART) and preterm delivery (PTD) or low delivery weight among pregnant Chinese women with HIV. METHODS: The present retrospective cross-sectional medical chart review enrolled pregnant women with HIV who delivered at five tertiary hospitals in China between January 1, 2009, and December 31, 2014. Generalized linear mixed modeling was used to explore PTD (<37 weeks of pregnancy) and low delivery weight (<2500 g) risk factors...
May 17, 2018: International Journal of Gynaecology and Obstetrics
Charlotte Tchente Nguefack, Annabel Ako Mangwi, Anastase Dzudie Tamdja, Théophile Nana Njamen, Paul Nkemtendong Tolefack, Emile Mboudou
OBJECTIVE: To describe and compare materno-fetal predictors and short-term outcomes of early onset pre-eclampsia (EOPE) and late onset pre-eclampsia (LOPE) in Douala, Cameroon. METHODS: The present prospective hospital-based cross-sectional study included women with pre-eclampsia attending obstetric units at four hospitals in Douala between December 1, 2016, and April 30, 2017. To determine maternal predictors, sociodemographic and medical data were recorded using a pretested questionnaire...
May 14, 2018: International Journal of Gynaecology and Obstetrics
Zhong-Cheng Luo, Pierre Julien, Shu-Qin Wei, Francois Audibert, William D Fraser
OBJECTIVE: To determine whether pre-eclampsia is associated with polymorphisms in superoxide dismutase (SOD) genes among mother-father-infant triads. METHODS: We did this follow-up cohort study at 17 urban hospitals in Canada between October 1, 2008, and September 30, 2010. We recruited Canadian participants who had participated in the International Trial of Antioxidant Supplementation for the Prevention of Pre-eclampsia. Saliva specimens were collected for DNA extraction...
May 10, 2018: International Journal of Gynaecology and Obstetrics
Maha H Daghestani
OBJECTIVE: To investigate the potential of selected biochemical, endocrine, and metabolic biomarkers for early diagnosis of polycystic ovary syndrome (PCOS) among non-obese women. METHODS: A prospective observational cross-sectional study was conducted at three medical centers in Makkah, Saudi Arabia, between July 15 and September 20, 2017. Eligible participants were non-obese women diagnosed with PCOS according to the Rotterdam criteria (n=44) and non-obese normo-ovulatory women without signs of PCOS (control group; n=44)...
May 10, 2018: International Journal of Gynaecology and Obstetrics
Melissa Upreti, Jihan Jacob
On February 18, 2018, a new postabortion care policy was issued by the Department of Health in the Philippines, in the form of Administrative Order 2018-0003.1 This policy rescinds Administrative Order 2016-0041, dated November 25, 2016,2 which was developed by the Technical Working Group established by the Department of Health to implement the Philippines' landmark reproductive health law passed in 2012,1 (p.7) Unlike the 2016 policy, the 2018 policy was drafted without broadly soliciting the input of reproductive health advocates whose collective efforts had led to the passage of a more ethical and human rights-based postabortion care policy in 2016, as discussed in depth in an article in the May issue of the International Journal of Obstetrics and Gynecology...
May 10, 2018: International Journal of Gynaecology and Obstetrics
Rachel H Scott, Veronique Filippi, Ann M Moore, Rajib Acharya, Akinrinola Bankole, Clara Calvert, Kathryn Church, Jenny A Cresswell, Katharine Footman, Joanne Gleason, Kazuyo Machiyama, Cicely Marston, Mike Mbizvo, Maurice Musheke, Onikepe Owolabi, Jennifer Palmer, Christopher Smith, Katerini Storeng, Felicia Yeung
Provision of safe abortion is widely recognized as vital to addressing the health and wellbeing of populations. Research on abortion is essential to meet the UN Sustainable Development Goals. Researchers in population health from university, policy, and practitioner contexts working on two multidisciplinary projects on family planning and safe abortion in Africa and Asia were brought together for a workshop to discuss the future research agenda on induced abortion. Research on care-seeking behavior, supply of abortion care services, and the global and national policy context will help improve access to and experiences of safe abortion services...
May 10, 2018: International Journal of Gynaecology and Obstetrics
Viviane Valdes, Philip B Adongo, Adanna U Nwameme, Philip T N Tabong, Michelle Fernandes
OBJECTIVE: To document the prevalence of self-reported postpartum hemorrhage (PPH) in Ga East, Accra, Ghana, and examine the demographic, biological, and social risk factors for PPH. METHODS: The present study was a cross-sectional secondary analysis of data collected during 2010-2012 from the Ghana Essential Health Interventions Program, a quasi-experimental interventional study surveying households in the urban Ga East Municipal District. The analysis included data from randomly selected parous women of childbearing age (15-49 years), excluding those with a history of abortion (spontaneous or induced) or stillbirth...
May 9, 2018: International Journal of Gynaecology and Obstetrics
Nadav Michaan, Limor Gortzak-Uzan, Dan Grisario, Ido Laskov
OBJECTIVE: To describe trends and ethnic differences in incidence of gynecologic cancer in Israel. METHODS: In the present retrospective epidemiologic study, age-standardized rates (ASRs) rates of gynecologic malignancies that occurred between January 1, 1993, and December 31, 2013, were extracted from the Israeli National Cancer Registry. The annual percent change (APC) was calculated separately for Jewish and Arab patients for ovarian, endometrial, and cervical cancers...
May 9, 2018: International Journal of Gynaecology and Obstetrics
Suchada Indhavivadhana, Manee Rattanachaiyanont, Thanyarat Wongwananuruk, Kitirat Techatraisak, Nana Rayasawath, Chongdee Dangrat
OBJECTIVE: To determine the risk of endometrial neoplasia in relation to endometrial thickness and to evaluate factors influencing endometrial thickness in reproductive-aged Thai women with polycystic ovary syndrome (PCOS). METHODS: The present cross-sectional study was done at the Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand, between October 1, 2010, and January 31, 2013. We recruited women (aged ≥18 years) with PCOS diagnosed according to the revised 2003 Rotterdam criteria...
May 9, 2018: International Journal of Gynaecology and Obstetrics
Hugh S Taylor, G David Adamson, Michael P Diamond, Steven R Goldstein, Andrew W Horne, Stacey A Missmer, Michael C Snabes, Eric Surrey, Robert N Taylor
Challenges intrinsic to the accurate diagnosis of endometriosis contribute to an extended delay between the onset of symptoms and clinical confirmation. Intraoperative visualization, preferably with histologic verification, is considered by many professional organizations to be the gold standard by which endometriosis is diagnosed. Clinical diagnosis of symptomatic endometriosis via patient history, physical examination, and noninvasive tests is easy to perform but generally viewed as less accurate than surgical diagnosis...
May 5, 2018: International Journal of Gynaecology and Obstetrics
Yiming Zhang, Manisha Gandhi, Courtney Birchall, Xiaoming Guan
Abdominal cerclage is an alternative to vaginal cerclage in the setting of previous vaginal cerclage failure or in women for whom vaginal cerclage placement was not possible due to an extremely short or scarred cervix.1 Abdominal cerclage is performed using either laparoscopy or via laparotomy during early pregnancy or prior to conception. This article is protected by copyright. All rights reserved.
May 3, 2018: International Journal of Gynaecology and Obstetrics
Stamatios Petousis, Apostolos Athanasiadis
The Robson classification was proposed by WHO in 2011 as the most appropriate system for classification of caesarean sections.1 Although the classification is based on clear and commonly recorded characteristics, misinterpretation might occur in cases with overlap of clinical circumstances. Furthermore, because WHO aims to use the Robson classification worldwide as a routine recording method, the classification process should be independent from the performer's level of clinical comprehensiveness and experience...
May 3, 2018: International Journal of Gynaecology and Obstetrics
Eita Goto
BACKGROUND: Caution is required for women at increased risk of low neonatal delivery weight. OBJECTIVES: To evaluate relationships between maternal placentation biomarkers and the odds of low delivery weight. SEARCH STRATEGY: Databases including PubMed/MEDLINE were searched up to May 2017 using keywords involving biomarker names and "low birthweight." SELECTION CRITERIA: English language studies providing true- and false-positive, and true- and false-negative results of low delivery weight classified by maternal blood levels of placentation biomarkers (in units of multiple of the mean [MoM]) were included...
May 3, 2018: International Journal of Gynaecology and Obstetrics
Sarah D Rominski, Abubakar Manu, Ernest Maya, Emmanuel S K Morhe, Vanessa K Dalton
Rates of contraceptive discontinuation are high worldwide,1 including in Ghana.2 Although long-acting reversible contraceptive (LARC) methods are widely available and safe for most women,3 few Ghanaian women use them.4 We aimed to prospectively assess whether discontinuation rates differed among women who adopted a LARC method versus those who adopted a short-term hormonal method. This article is protected by copyright. All rights reserved.
May 3, 2018: International Journal of Gynaecology and Obstetrics
Oriyomi Akinyotu, Folasade Bello, Rukiyat Abdus-Salam, Ayodele Arowojolu
OBJECTIVE: To compare the effectiveness of mefloquine and sulphadoxine-pyrimethamine as intermittent preventive therapy for malaria among pregnant women with HIV. METHODS: The present randomized, controlled, prospective, open-label study enrolled women with HIV who had reached at least 16 weeks of pregnancy attending prenatal clinics at secondary and tertiary health facilities in South West Nigeria between January 1 and August 31, 2016. Block randomization was used to assign patients to treatment with mefloquine or sulphadoxine-pyrimethamine for malaria prophylaxis...
May 2, 2018: International Journal of Gynaecology and Obstetrics
Charlotte Cassis, Sambit Mukhopadhyay, Medha M Sule, Neeraja Kuruba
OBJECTIVE: To evaluate the safety and efficacy of vaginal hysterectomy for benign conditions (excluding prolapse) using the BiClamp (Erbe Elektromedizin, Tübingen, Germany) bipolar electrocoagulation system. METHODS: The present study was a prospective audit of a consecutive case series of patients who underwent vaginal hysterectomy for benign conditions, performed using the BiClamp between March 1, 2015, and June 30, 2016, at Norfolk and Norwich University Hospital, Norwich, UK...
May 2, 2018: International Journal of Gynaecology and Obstetrics
Denis Mukwege, Lisa Peters, Christine Amisi, Alain Mukwege, Abigail R Smith, Janis M Miller
OBJECTIVE: To derive a comprehensive system that allows a single score to define relative fistula severity. METHODS: The present observational study included women with urogenital fistula treated at the Panzi Hospital, Democratic Republic of Congo, or its outreach clinics across the Democratic Republic of Congo between September 1, 2013, and December 31, 2014. Fistula severity was assessed by Goh and Waaldijk classifications and surgical success was ascertained...
April 28, 2018: International Journal of Gynaecology and Obstetrics
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