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International Journal of Gynaecology and Obstetrics

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https://www.readbyqxmd.com/read/29341106/the-effect-of-surgery-on-subsequent-pregnancy-outcomes-among-patients-with-cesarean-scar-diverticulum
#1
Xian-Ying Cheng, Li Cheng, Wen-Juan Li, Ling-Hua Qian, Yong-Qin Zhang
OBJECTIVE: To determine whether surgical treatment of cesarean scar diverticulum (CSD) reduced adverse outcomes during the subsequent pregnancy. METHODS: A retrospective observational study was conducted using the medical records of pregnant women with CSD who attended a single hospital in Hangzhou, China, between January 1, 2014, and December 31, 2016. Baseline characteristics and pregnancy outcomes were compared between the surgery group and the no surgery group...
January 17, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29333601/risk-factors-for-stress-urinary-incontinence-after-native-tissue-vaginal-repair-of-pelvic-organ-prolapse
#2
Matteo Frigerio, Stefano Manodoro, Stefania Palmieri, Federico Spelzini, Rodolfo Milani
OBJECTIVE: To identify risk factors for postoperative stress urinary incontinence (POSUI) after native-tissue prolapse repair without a concomitant anti-incontinence procedure. METHODS: The present single-center retrospective study included women with genital prolapse who underwent high uterosacral ligament suspension without a concomitant anti-incontinence procedure during 2008-2013. Univariate and multivariate analyses were performed to identify risk factors for POSUI (identified through clinical interview and International Consultation on Incontinence Modular Questionnaire-Short Form [ICIQ-SF] self-administration) at 6 months...
January 14, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29330842/self-perceived-long-term-transfer-of-learning-after-postpartum-hemorrhage-simulation-training
#3
Brena C P Melo, Ana R Falbo, Jette Led Sorensen, Jeroen J G van Merriënboer, Cees van der Vleuten
OBJECTIVE: To explore long-term transfer (application of acquired knowledge and skills on the job) after postpartum hemorrhage simulation training based on either instructional design (ID) principles or conventional best practice. METHODS: In this qualitative study, semi-structured interviews with obstetrics and gynecology healthcare practitioners were conducted between August 7 and September 26, 2015, in Recife, Brazil. The participants were randomly selected from each of two postpartum hemorrhage simulations attended 2 years earlier (one ID and one conventional best practice)...
January 13, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29328511/stigma-and-unmet-sexual-and-reproductive-health-needs-among-international-migrant-sex-workers-at-the-mexico-guatemala-border
#4
Teresita Rocha-Jiménez, Sonia Morales-Miranda, Carmen Fernández-Casanueva, Kimberly Brouwer, Shira M Goldenberg
OBJECTIVE: To explore international migrant sex workers' experiences and narratives pertaining to the unmet need for and access to sexual and reproductive health (SRH) at the Mexico-Guatemala border. METHODS: An inductive qualitative analysis was conducted based on ethnographic fieldwork (2012-2015) including participant observation and audio-recorded in-depth interviews. The participants were female sex workers aged 18 years or older and international migrants working at the Mexico-Guatemala border...
January 12, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29318613/a-facility-based-study-of-factors-associated-with-perinatal-mortality-in-tigray-northern-ethiopia
#5
Gelila K Goba, Hailesilassie Tsegay, Gebremedhin Berhe, Mengistu Mitiku, Kimberly A Kim, Mussie Alemayehu
OBJECTIVE: To identify perinatal mortality risk factors in the Southern Zone of Tigray, northern Ethiopia. METHODS: The present unmatched case-control study included data from 20 health facilities; stillbirths and neonatal deaths were included as a case group and patients with neonates who survived until discharge or day 7 postpartum were included as a control group. Perinatal mortality risk factors were investigated using bivariate and multivariate logistic regression analyses...
January 9, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29318602/effect-of-family-planning-interventions-on-couple-years-of-protection-in-malawi
#6
Clara Lemani, Nenani Kamtuwanje, Billy Phiri, Ilene S Speizer, Kavita Singh, Olive Mtema, Ndidza Chisanu, Jennifer H Tang
OBJECTIVE: The primary objective was to assess the effect of family planning interventions at two health facilities in Malawi on couple years of protection (CYP). METHODS: A prospective quasi-experimental design was used to compare CYP and uptake of long-acting reversible contraception (LARC) between two intervention facilities (Area 25 Health Center and Kasungu District Hospital) and two nonintervention facilities (Mkanda Health Center and Dowa District Hospital)...
January 9, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29318600/modern-contraceptive-use-among-women-living-with-hiv-aids-at-the-korle-bu-teaching-hospital-in-ghana
#7
Ali Samba, Kareem Mumuni, Joseph A Adu, Promise E Sefogah, William Kudzi, Edmund T Nartey
OBJECTIVE: To examine factors influencing contraceptive use among women living with HIV/AIDS. METHODS: The present cross-sectional study included a randomly selected sample of sexually active females aged 15-60 years who were living with HIV/AIDS and receiving care at the HIV Clinic, Korle Bu Teaching Hospital, Accra, Ghana, between September 1 and November 31, 2016. Data were collected via a structured interviewer-administered questionnaire. RESULTS: Among 202 women who completed the survey, 50 (24...
January 9, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29315557/community-member-and-policy-maker-priorities-in-improving-maternal-health-in-rural-tanzania
#8
Gail Webber, Bwire Chirangi, Nyamusi Magatti
OBJECTIVE: To determine community member and policy maker priorities in improving maternal health in rural Tanzania. METHODS: The present participatory action research project was conducted in Rorya District, Mara Region, Tanzania, between November 20 and 25, 2015. A convenience sample of four community and one policy maker discussion groups were held to identify factors impacting on maternal health. The inclusion criterion for community members was a recent personal or partner experience with childbirth, or experience as a village leader...
January 8, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29315536/a-decision-analytic-model-for-prevention-of-hepatitis-b-virus-infection-in-sub-saharan-africa-using-birth-dose-vaccination
#9
Sarah Anderson, Lorie M Harper, Jodie Dionne-Odom, Gregory Halle-Ekane, Alan T N Tita
OBJECTIVE: To compare prenatal maternal hepatitis B virus (HBV) screening and infant vaccination strategies to inform policy on HBV prevention in Sub-Saharan Africa. METHODS: A decision analytic model was created using previously published data to assess the ability of three intervention strategies to prevent HBV infection by age 10 years. Strategy 1 comprised of universal vaccination with a pentavalent vaccine (HBV, diphtheria, tetanus, pertussis, and Haemophilus influenzae) at age 6 weeks...
January 8, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29266256/quality-of-life-1-year-after-a-maternal-near-miss-event
#10
Priya Soma-Pillay, Jennifer D Makin, Robert C Pattinson
OBJECTIVES: To evaluate quality of life (QoL) parameters among women categorized with a maternal near-miss during pregnancy. METHODS: The present prospective cohort study was conducted at a tertiary referral hospital in South Africa between April 1, 2013, and March 31, 2016. Patients who experienced maternal near-miss events were included and patients with uncomplicated low-risk pregnancies were enrolled as a control group. Various parameters were assessed using a WHO QoL questionnaire...
December 20, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29250782/fresh-stillborn-and-severely-asphyxiated-neonates-share-a-common-hypoxic-ischemic-pathway
#11
Hege L Ersdal, Joar Eilevstjønn, Jørgen E Linde, Anita Yeconia, Estomih R Mduma, Hussein Kidanto, Jeffrey Perlman
OBJECTIVE: To characterize, among non-breathing flaccid neonates at delivery, immediate heartrate and responses to ventilation in relation to the clinical diagnosis of fresh stillbirth (FSB) or early neonatal death (END) within 24 hours. METHODS: The present cross-sectional study included all deliveries at Haydom Hospital in rural Tanzania between July 1, 2013, and July 31, 2016. Ventilation parameters and heartrate were recorded by monitors with ventilation and dry-electrocardiography sensors...
December 17, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29250779/risk-factors-for-hpv-persistence-and-cytology-anomalies-at-follow-up-after-treatment-for-cervical-dysplasia
#12
Ivana Rizzuto, Mythili Nalam, Jason Jiang, Anders Linder, Barnaby Rufford
OBJECTIVE: To evaluate predictor factors of persistent cytologic dysplasia and/or high-risk human papillomavirus (hrHPV) infection at the 6-month follow-up and at 3-5 years during routine cervical smear testing. METHODS: The present retrospective study included data from women treated for cervical dysplasia by large loop excision of the transformation zone (LLETZ) at Ipswich Hospital, UK, between January 1 and December 31, 2012. Age, parity, smoking, status of resection margins, and previous LLETZ treatment were evaluated by multivariate analyses...
December 17, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29247456/audit-of-operative-hysteroscopies-among-infertile-women-in-a-resource-poor-setting
#13
Joseph O Ugboaja, Charlotte B Oguejiofor, Onyecherelam M Ogelle
OBJECTIVE: To evaluate the operative hysteroscopy procedures performed among infertile women at two hospitals in Nigeria. METHODS: A prospective case series was undertaken among all patients with infertility who underwent operative hysteroscopy between November 2015 and April 2017. The outcome measures included the frequency and type of operative hysteroscopy and the reproductive outcome. RESULTS: The series included 159 women, 70.4% (n=112) of whom had abnormal findings at hysteroscopy...
December 16, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29243253/healthcare-provider-attitudes-regarding-the-provision-of-assisted-reproductive-services-for-hiv-affected-couples-in-addis-ababa-ethiopia
#14
Alana N Pinsky, Kylie Steenbergh, Heather M Boyd, Belen Michael, Delayehu Bekele, Emily Kobernik, Lia Tadesse Gebremedhin, Okeoma Mmeje
OBJECTIVE: To evaluate the acceptability and feasibility of providing assisted reproductive services as part of routine HIV care and treatment in Ethiopia. METHODS: The present cross-sectional study using semistructured in-depth interviews was conducted at St. Paul Hospital Millennium Medical College (SPHMMC), Addis Ababa, Ethiopia, during July 2014 and July 2015. The interviews assessed the perspectives of healthcare providers (HCPs) regarding the reproductive desires of HIV-affected couples, on assisting them in achieving pregnancy, and on the facilitators and barriers to offering such services as part of routine HIV care...
December 15, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29243249/retrospective-observational-study-of-interventions-to-improve-acceptance-of-long-acting-reversible-contraception-following-abortion-at-lusaka-teaching-hospital-zambia
#15
Swebby Macha, Mutinta Muyuni, Scholastica Nkonde, Karla S Pádua, Anibal Faundes
OBJECTIVE: To evaluate long-acting reversible contraceptive (LARC) uptake immediately after abortion at Lusaka University Teaching Hospital, Zambia in the period following an intervention to increase the acceptance of LARC. METHODS: The present retrospective, observational study reviewed the clinical records of all patients admitted to the Lusaka University Teaching Hospital for an incomplete abortion or for a legal induced abortion between January 1 and December 31, 2016...
December 15, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29243247/randomized-cross-over-trial-comparing-the-diagnosis-of-gestational-diabetes-by-oral-glucose-tolerance-test-and-a-designed-breakfast-glucose-profile
#16
Colin Marais, David R Hall, Lourentia van Wyk, Magda Conradie
OBJECTIVE: To compare a glucose test based on a standardized, designed breakfast to the 75-g oral glucose tolerance test (OGTT), comparing venous and capillary glucose values for the diagnosis of gestational diabetes mellitus (GDM). METHODS: The present prospective, randomized, cross-over trial enrolled patients at high risk of developing GDM who were attending the High-Risk Antenatal Clinic of Tygerberg Hospital, Cape Town, South Africa, between March 1, 2015, and December 31, 2015...
December 15, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29230800/negotiating-quality-standards-for-effective-delivery-of-labor-and-childbirth-care-in-nigeria-and-uganda
#17
Olufemi T Oladapo, Meghan A Bohren, Bukola Fawole, Kidza Mugerwa, Olubunmi A Ojelade, Musibau A Titiloye, Francis E Alu, Musana O Mambya, Lawal Oyeneyin, Salim Bataale, Adesina Akintan, Olubunmi Alabi, Amos Adebayo, Ola Okike, Hadiza A Idris, Sanni Wilfred, Halima Bello, David Kyaddondo, Akinpelu O Olutayo, Josaphat Byamugisha, Joao Paulo Souza, A Metin Gülmezoglu
OBJECTIVE: "Negotiated standards" describe a level of quality of care that is acceptable and achievable within a specific health system, based on consensus between key stakeholders. This paper presents the development of negotiated standards for effective labor and childbirth care in selected hospitals and communities in Nigeria and Uganda. METHODS: A four-step development process involving different methodologies. The process included: (1) review and synthesis of internationally recognized intrapartum clinical principles and practices; (2) primary qualitative research to assess values and preferences of women and healthcare providers, and practices that align with these preferences; (3) draft contextualization of effective and ineffective behaviors to reflect values and preferences; and (4) WHO-mediated negotiations between relevant stakeholders, including community members, providers, and administrators...
December 12, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29226329/expectations-and-needs-of-ugandan-women-for-improved-quality-of-childbirth-care-in-health-facilities-a-qualitative-study
#18
David Kyaddondo, Kidza Mugerwa, Josaphat Byamugisha, Olufemi T Oladapo, Meghan A Bohren
OBJECTIVE: To describe the experiences, expectations, and needs of urban Ugandan women in relation to good-quality facility childbirth. METHODS: Women who had given birth in the 12 months prior to the study were purposively sampled and interviewed, or included in focus groups. Thematic analysis was used, and the data were interpreted within the context of an existing quality of care framework. RESULTS: Forty-five in-depth interviews and six focus group discussions were conducted...
December 10, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29224196/diagnostic-accuracy-of-posterior-cervical-angle-and-cervical-length-in-the-prediction-of-successful-induction-of-labor
#19
Akram M Al-Adwy, Sherin M Sobh, Doaa S Belal, Eman F Omran, Amr Hassan, Ahmed H Saad, Mai M Afifi, Adel M Nada
OBJECTIVE: To determine the accuracy of the posterior cervical angle (PCA) compared with the cervical length and the Bishop score in predicting the outcome of induction of labor (IOL). METHODS: The present prospective observational study included IOL candidates who had their PCA and cervical length assessed by transvaginal ultrasonography and the Bishop score at the Obstetrics and Gynecology Department, Kasr El-Aini Hospital, Cairo University, Cairo, Egypt, between April 1 and July 31, 2017...
December 10, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29222938/role-of-angiogenic-factors-in-the-pathogenesis-and-management-of-pre-eclampsia
#20
REVIEW
Nnabuike C Ngene, Jagidesa Moodley
The cause of pre-eclampsia is unknown. Different postulates have been developed to explain its pathogenesis. The two-stage theory and angiogenic imbalance are two notable postulates of the disease. Together, they propose that there is a lack of cytotrophoblastic invasion of the uterine spiral arteries in pre-eclampsia. The lumen of these arteries remains narrow instead of converting to the wide channels seen in normal pregnancy, and result in poor placental perfusion. Coupled with maternal susceptibility, this process leads to the release of mediators, including an excess of anti-angiogenic factors that result in the clinical manifestations of the disease...
December 9, 2017: International Journal of Gynaecology and Obstetrics
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