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International Journal of Gynaecology and Obstetrics

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https://www.readbyqxmd.com/read/28632951/improving-the-quality-of-maternity-services-in-uganda-through-accelerated-implementation-of-essential-interventions-by-healthcare-professional-associations
#1
Cintia Spira, Amata Kwizera, Sue Jacob, Dinah Amogin, Joseph Ngonzi, Charles P Namisi, Romano Byaruhanga, Hamid Rushwan, Peter Cooper, Frances Day-Stirk, Mabel Berrueta, Ezequiel García-Elorrio, José M Belizán
OBJECTIVE: To assess whether the implementation of a package of activities through the joint action of the three international healthcare professionals associations (HCPAs) increased the use of intrapartum and postnatal essential interventions (EIs) in two hospitals in Uganda. METHODS: A non-controlled before-and-after study was undertaken to evaluate the effect of a package of activities designed to change practice relating to nine EIs among providers. Coverage of the EIs was measured in a 3-month pre-implementation period and a 3-month post-implementation period in 2014...
June 20, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28632949/potential-impact-of-nonavalent-hpv-vaccine-in-the-prevention-of-high-grade-cervical-lesions-and-cervical-cancer-in-portugal
#2
Angela Pista, Carlos Freire de Oliveira, Carlos Lopes, Maria J Cunha
OBJECTIVE: To estimate the potential impact of the nonavalent HPV vaccine for high-grade cervical lesions and invasive cervical cancer (ICC) in Portugal. METHODS: The present secondary analysis used data collected in the CLEOPATRE II study on the prevalence of HPV 6/11/16/18/31/33/45/52/58 among female patients aged 20-88 years. The prevalence of HPV types in patients with cervical intraepithelial neoplasia (CIN) grades 2/3 and ICC was examined. RESULTS: Data were included from 582 patients...
June 20, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28632916/diastasis-of-the-pubic-symphysis-following-vaginal-delivery
#3
Bhumireddy Sujana, Anish Keepanasseril, Dilip K Maurya
Diastasis of the pubic symphysis following vaginal delivery has been reported to occur during 1 in 300-30 000 deliveries [1, 2]. The present study describes two patients who presented at the Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India, between July 2014 and December 2015 immediately postpartum after instrumental vaginal delivery. The patients provided written informed consent for the publication of the present study. This article is protected by copyright. All rights reserved...
June 20, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28631406/a-cross-sectional-analysis-of-kenyan-postabortion-care-services-using-a-nationally-representative-sample
#4
Michael M Mutua, Thomas N O Achia, Beatrice W Maina, Chimaraoke O Izugbara
OBJECTIVE: To assess quality of postabortion care (PAC) offered by Kenyan healthcare facilities. METHODS: A cross-sectional survey was conducted using data from the Incidence and Magnitude of Unsafe Abortions study, conducted among 326 PAC-providing healthcare facilities throughout Kenya from March 13 to June 30, 2012. Descriptive results with weighted proportions and an ordered probit model were used. RESULTS: Overall, 408 (41.8%) first-trimester PAC cases were treated using appropriate technology versus 826 (82...
June 20, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28631355/quantitative-risk-assessment-to-guide-the-treatment-of-cesarean-scar-pregnancy
#5
Qingxian Fang, Li Sun, Yunhui Tang, Cuifeng Qian, Xiaoying Yao
OBJECTIVE: To develop a risk-factor scoring system for the prediction of bleeding during ultrasound-guided dilation and curettage (D&C) for cesarean scar pregnancy (CSP). METHODS: The retrospective study included patients with a CSP of 31-67 days who underwent transabdominal ultrasound-guided D&C in 2010-2014. Binary logistic regression analysis was used to identify risk factors for the need of Foley catheter hemostasis. The predictive accuracy of a risk-scoring system based on significant factors was evaluated by receiver operating curve analysis...
June 20, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28608970/effect-of-extended-oral-contraception-use-on-the-prevalence-of-fetal-trisomy-21-in-women-aged-at-least-35-years
#6
Dániel Horányi, Lilla Éva Babay, János Rigó, Balázs Győrffy, Gyula R Nagy
OBJECTIVE: To study factors influencing the number of ovulations in reproductive life as risk factors for common trisomies. METHODS: The present observational study examined data from genetic counseling sessions performed at the 1st Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary, between September 1, 2013, and September 1, 2015, and retrieved data on patients of advanced maternal age (≥35 years) who had fetal trisomy 21, 18, or 13 confirmed...
June 13, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28602050/effect-of-hiv-infection-on-outcomes-after-surgical-repair-of-genital-fistula
#7
Steven N Shephard, Sunday J Lengmang, Stephen A Anzaku, Oluwatobi V Mamven, Carolyn V Kirschner
OBJECTIVE: To compare outcomes following surgical repair of genital fistula among Nigerian women with or without HIV. METHODS: A retrospective review was conducted of all genital fistula repair surgeries performed at Evangel Vesicovaginal Fistula Center in Jos, Nigeria, between January 1, 2004, and April 30, 2014. Patient characteristics, HIV status, genital fistula characteristics, and postoperative outcomes were assessed for between-group variance. The odds ratio (OR) and 95% confidence intervals (CIs) were the primary measures used for determining the association between HIV status and surgical outcomes...
June 11, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28602043/efficacy-of-first-trimester-ultrasound-parameters-for-prediction-of-early-spontaneous-abortion
#8
Mamta Rath Datta, Ankush Raut
OBJECTIVE: To assess first-trimester ultrasound measurements for the prediction of early spontaneous abortion. METHODS: In a prospective observational study in Jamshedpur, India, women with a singleton pregnancy of 42-76 days were enrolled between November 2014 and April 2016. Inclusion criteria were spontaneous conception, embryonic cardiac activity, and regular menstrual cycle. Fetal crown-to-rump length (CRL), gestational sac diameter (GSD), yolk sac diameter (YSD), and fetal heart rate (FHR) were measured by transvaginal ultrasonography...
June 11, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28602042/clinical-indications-for-cesarean-delivery-among-women-living-with-female-genital-mutilation
#9
Maria I Rodriguez, Lale Say, Jasmine Abdulcadir, Michelle J Hindin
OBJECTIVE: To compare primary indications for cesarean delivery among patients with different female genital mutilation (FGM) status. METHODS: The present secondary analysis included data from women who underwent trial of labor resulting in cesarean delivery at 28 obstetric centers in six African countries between November 1, 2001, and March 31, 2003. Associations between cesarean delivery indications and FGM status were assessed using descriptive statistics and multivariable multinomial logistic regression...
June 11, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28602038/a-meta-analysis-of-pelvic-floor-muscle-training-for-the-treatment-of-urinary-incontinence
#10
REVIEW
Xiao-Fei Nie, Yan-Qiong Ouyang, Lan Wang, Sharon R Redding
BACKGROUND: Symptoms associated with urinary incontinence (UI) frequently affect quality of life. OBJECTIVES: To assess the effects of pelvic floor muscle training (PFMT) among women with UI. SEARCH STRATEGY: The Cochrane Library, PubMed, and Web of Science databases were searched using relevant terms for all English-language studies published up to August 15, 2016. SELECTION CRITERIA: Studies that evaluated the effects of PFMT on UI symptoms, PFM function, and quality of life were included...
June 11, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28602037/determining-the-accuracy-of-pregnancy-length-dating-among-women-presenting-for-induced-abortions-in-ghana
#11
Kristen M Shellenberg, Samuel Antobam, Risa Griffin, Alison Edelman, Gertude Voetagbe
OBJECTIVE: To determine the proportion of women presenting for an induced abortion in Ghana who could use a gestational wheel to determine if they had reached at least 13 weeks or fewer than 13 weeks of pregnancy accurately. METHODS: The present cross-sectional study was conducted at four facilities in Ghana between February 1, and July 31, 2014. Women aged at least 18 years seeking induced abortions who had not previously been informed of the length of their pregnancy by a clinician were enrolled...
June 11, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28602034/blood-pressure-in-adolescent-patients-with-pre-eclampsia-and-eclampsia
#12
Sandra X Olaya-Garay, Paula A Velásquez-Trujillo, Paulino Vigil-De Gracia
OBJECTIVE: To compare variables among adolescent and adult patients diagnosed with severe pre-eclampsia or eclampsia. METHODS: The present cross-sectional study enrolled patients with severe pre-eclampsia or eclampsia treated at an intensive care unit in Neiva, Colombia, between January 1 and November 30, 2014. Patients were stratified using age (younger than 20 years [adolescents] and aged at least 20 years [adults]) and patient variables were compared between groups...
June 11, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28602033/a-cross-sectional-study-exploring-the-incidence-of-and-indications-for-second-stage-cesarean-delivery-over-three-decades
#13
Greg A Pearson, Ian Z Mackenzie
OBJECTIVE: To observe the incidence of, indications for, and complications associated with second-stage cesarean delivery in 10-year intervals over 30 years. METHODS: The present analysis of prospectively collected data compared cesarean deliveries during 1976, 1986, 1996, and 2006 at John Radcliffe Hospital in Oxford, UK (n=3222). Pregnancy, delivery, and neonatal details were reviewed. RESULTS: The proportion of deliveries by cesarean in the second stage of labor increased from 0...
June 11, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28599056/retrospective-study-of-the-prognostic-significance-of-neutrophil-to-lymphocyte-ratio-for-postsurgical-outcomes-of-patients-with-endometrial-carcinoma
#14
Ling Ding, Yi Ding, Xiao-Hua Mao, Jian-Fei Zhao, Huai-Jun Zhou
OBJECTIVE: To evaluate the significance of postoperative inflammatory system response markers in predicting the prognosis of patients with endometrial cancer undergoing surgery. METHODS: The present retrospective study included patients who underwent surgical treatment for pathology-confirmed endometrial cancer between January 1, 2007, and June 30, 2013, at the Affiliated Drum Tower Hospital, Nanjing University Medical School, Nanjing, China. Potential prognostic factors were investigated by Cox proportional hazards analysis and survival rates were compared using Kaplan-Meier analyses...
June 9, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28589548/a-pilot-study-of-community-based-self-sampling-for-hpv-testing-among-non-attenders-of-cervical-cancer-screening-programs-in-el-salvador
#15
Bari Laskow, Ruben Figueroa, Karla M Alfaro, Isabel C Scarinci, Elizabeth Conlisk, Mauricio Maza, Judy C Chang, Miriam Cremer
OBJECTIVE: To establish the feasibility and acceptability of home-based HPV self-sampling among women who did not attend screening appointments in rural El Salvador. METHODS: In a cross-sectional study, data were collected from May 2015 to January 2016 among 60 women aged 30-59 years who were not pregnant, provided informed consent, had not been screened in 2 years, had no history of pre-cancer treatment, and did not attend a scheduled HPV screening. Participants completed questionnaires and received educational information before being given an opportunity to self-sample with the Hybrid Capture 2 High Risk HPV DNA Test...
June 7, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28585710/comparison-of-complications-associated-with-induction-by-misoprostol-versus-dilation-and-evacuation-for-second-trimester-abortion
#16
Sarita Sonalkar, Shannon N Ogden, Linda Tran, Angela Y Chen
OBJECTIVE: To compare the frequency of complications between medical induction with misoprostol and dilation and evacuation (D&E) for second-trimester uterine evacuation. METHODS: In a retrospective cohort study, records were reviewed from all women who underwent second-trimester uterine evacuation between 14 and 24 weeks of pregnancy at an academic hospital in the USA from January 2007 to December 2008. Total complications and serious complications were compared between medical induction and D&E, and clinical covariates associated with complications were assessed...
June 6, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28581683/the-effect-of-early-pregnancy-on-the-formation-of-obstetric-fistula
#17
Andrew Browning, Frederick Mbise, Phil Foden
OBJECTIVE: To assess the effect of early pregnancy on obstetric fistula. METHODS: A prospective observational study was conducted among patients with obstetric fistula caused by a long obstructed labor who presented at Selian Lutheran Hospital, Tanzania, or Kitovu Hospital, Uganda, between January 1, 2015, and January 31, 2016. Demographic and clinical variables were evaluated. RESULTS: Among 270 patients, 162 (60.0%) experienced their first pregnancy up to 2 years after menarche (early group) and 108 (40...
June 5, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28574159/bladder-spasm-following-urogenital-fistula-repair
#18
Kenneth C Ekwedigwe, Maradona E Isikhuemen, Ileogben Sunday-Adeoye, Emmanuel N Yakubu, Monday O Eliboh
OBJECTIVE: To examine the occurrence of bladder spasms following surgical repair of urogenital fistula. METHODS: The present retrospective study included data from patients who underwent surgical repair of urogenital fistula at the National Obstetric Fistula Centre, Abakaliki, Nigeria, between June 1, 2015, and May 31, 2016. Patients who underwent rectovaginal fistula repair and those who experienced persistent postoperative pain requiring high doses of analgesia were excluded...
June 2, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28556929/obstetric-outcomes-following-fertility-preserving-management-of-gynecologic-malignancies
#19
Bindhu P Narigapalli, Sirisha R Gundabattula, Manjula Pochiraju, Lakshmi R Marakani, Shashikala Dasari, Kameswari Surampudi
Fertility-preserving management of gynecologic malignancies was associated with good obstetric outcomes; multicenter studies are needed to investigate further. This article is protected by copyright. All rights reserved.
May 30, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28556194/assessment-of-serum-%C3%AE-hcg-and-lipid-profile-in-early-second-trimester-as-predictors-of-hypertensive-disorders-of-pregnancy
#20
Vijaya M Revankar, Lavu Narmada
OBJECTIVE: To assess and compare the ability of serum β-human chorionic gonadotropin (β-hCG) and serum lipid profile in early second trimester as predictors of hypertensive disorders of pregnancy. METHODS: The present hospital-based prospective study was conducted between November 24, 2012, and April 30, 2014, at a tertiary hospital in Mangalore, India. Women of any parity with a pregnancy of 14-20 weeks were included. Venous blood (3 mL) was collected, and serum β-hCG and lipid profile were estimated by enzyme-linked immunosorbent assay and an enzymatic colorimetric test with lipid clearing factor, respectively...
May 28, 2017: International Journal of Gynaecology and Obstetrics
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