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International Journal of Gynaecology and Obstetrics

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https://www.readbyqxmd.com/read/28941280/optimizing-the-amount-of-simulation-training-used-to-teach-vaginal-delivery-skills-to-medical-students
#1
Joshua F Nitsche, Timberly Butler, Alison Shew, Sha Jin, Brian C Brost
OBJECTIVE: To determine the amount of simulation training required for students to attain minimal competence and mastery of a vaginal delivery. METHODS: An observational study was conducted at a US medical school between May 11, 2015, and May 8, 2016. Using a modified Angoff method, 10 members of the Obstetrics and Gynecology faculty evaluated a vaginal delivery procedural checklist and established cutoff scores for minimal competence and mastery. During a 5-week period, all third-year students received between two and five 45-minute vaginal delivery simulation sessions; performance was assessed at week 6...
September 23, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28940197/prevalence-of-conscientious-objection-to-legal-abortion-among-clinicians-in-northern-ghana
#2
John K Awoonor-Williams, Peter Baffoe, Philip K Ayivor, Chris Fofie, Sheila Desai, Wendy Chavkin
OBJECTIVE: To assess the prevalence of conscientious objection (CO), motivations, knowledge of Ghana's abortion law, attitudes, and behaviors toward abortion provision among medical providers in northern Ghana, and measures to regulate CO. METHODS: Between June and November 2015, the present cross-sectional survey-based descriptive study measured prevalence, knowledge, and attitudes about CO among 213 eligible health practitioners who were trained in abortion provision and working in hospital facilities in northern Ghana...
September 22, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28921513/use-of-a-clinical-laboratory-score-to-guide-treatment-of-gestational-diabetes
#3
Juliana B do Valle, Jean C Silva, Daniela S Oliveira, Lisiane Martins, Amanda Lewandowski, Wagner Horst
OBJECTIVE: To assess the outcomes of implementing a clinical-laboratory score in the treatment of pregnant women with gestational diabetes. METHODS: A retrospective before-and-after implementation analysis was undertaken using data and neonatal outcomes for pregnant women with gestational diabetes treated before (January 2011-December 2012; control group) and after (January 2013-December 2014; score group) introduction of a newly developed score. To evaluate the effects of score adoption, odds ratios with 95% confidence intervals were calculated after adjustment for confounding factors...
September 16, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28921506/neurologic-injury-and-patient-displacement-in-gynecologic-laparoscopic-surgery-using-a-beanbag-and-shoulder-supports
#4
Alejandro D Treszezamsky, Suzanne Fenske, Erin L Moshier, Charles J Ascher-Walsh
OBJECTIVE: To quantify the incidence of peripheral neuropathy in gynecologic laparoscopic surgery using a combination of beanbag, eggcrate foam, and shoulder supports; and to assess patient displacement during surgery in a steep Trendelenburg position and determine variables correlated with displacement. METHODS: A retrospective study included all gynecologic laparoscopic surgeries performed by one high-volume surgeon at a US center between September 15, 2007, and September 15, 2012...
September 16, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28905377/implementation-challenges-and-outcomes-of-a-randomized-controlled-pilot-study-of-a-group-prenatal-care-model-in-malawi-and-tanzania
#5
Crystal L Patil, Carrie S Klima, Alana D Steffen, Sebalda C Leshabari, Heather Pauls, Kathleen F Norr
OBJECTIVE: To identify implementation challenges associated with conducting a randomized controlled trial (RCT) of group prenatal care (PNC) and report outcomes of the pilot. METHODS: A multi-site randomized pilot was conducted in Malawi and Tanzania between July 31, 2014, and June 30, 2015. Women aged at least 16 years with a pregnancy of 20-24 weeks were randomly assigned using sealed envelopes (1:1) to individual or group PNC. Structured interviews were conducted at baseline, in the third trimester and 6-8 weeks after delivery...
September 14, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28887845/contemporary-issues-in-women-s-health
#6
Vincent Boama, Valerie T Guinto, Claudio G Sosa
No abstract text is available yet for this article.
September 9, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28886213/prospective-study-of-the-effect-of-maternal-body-mass-index-on-labor-progress-in-nulliparous-women-in-egypt
#7
Ahmed M Maged, Doaa S Belal, Heba M Marie, Hamsa Rashwan, Suzy Abdelaziz, Amir A Gabr, Ahmed R Elzayat
OBJECTIVE: To evaluate the impact of maternal body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters) on labor progress in nulliparous women. METHODS: The present prospective cohort study enrolled primigravidae admitted to Kasr Al Ainy hospital, Cairo University, Egypt, during active labor between February 1, 2016, and February 28, 2017. Patients were classified into three equal groups using their BMI at admission: underweight (<18...
September 8, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28884821/associations-between-intratumoral-and-peritumoral-m2-macrophage-counts-and-cervical-squamous-cell-carcinoma-invasion-patterns
#8
Yuan Li, Gaosheng Huang, Shaohua Zhang
OBJECTIVE: To study the correlation between M2 tumor-associated macrophages (TAMs) and invasion patterns in cervical squamous cell carcinoma (SCC) tissues. METHODS: In the present observational study, two commercial SCC tissue microarrays were evaluated by immunohistochemical analysis between January 1, 2016, and December 31, 2016. CD163-positive cells in a cervical SCC tissue microarray were identified. Tissue samples were stratified into groups based on a pushing border pattern (PBP), a diffuse infiltration pattern (DIP), or non-tumorous tissues included as a control group; M2 TAM numbers and distributions were compared...
September 8, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28884811/repeated-cervical-length-measurements-for-the-verification-of-short-cervical-length
#9
Frederik J R Hermans, Bouchra Koullali, Melanie A van Os, Jeanine E M van der Ven, Brenda M Kazemier, Mallory D Woiski, Christine Willekes, Petra N Kuiper, Frans J M E Roumen, Christianne M de Groot, Esteriek de Miranda, Corine Verhoeven, Monique C Haak, Eva Pajkrt, Ewoud Schuit, Ben Willem J Mol
OBJECTIVE: To determine if the verification of short cervical length with a repeated measurement improved the identification of patients with short cervical length at increased risk of preterm delivery. METHODS: The present secondary analysis analyzed prospective cohort study data from patients with singleton pregnancies without a history of preterm delivery who presented for obstetric care in the Netherlands and delivered between November 18, 2009, and January 1, 2013...
September 8, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28884810/comparison-between-the-valsalva-maneuver-and-intraoperative-traction-measurements-in-pelvic-organ-prolapse-assessment
#10
Stergios K Doumouchtsis, Nivedita Gauthaman, Azar Khunda, Maya Basu, Kiran Dadhwal, Yasmin V Gayle, Constantin M Durnea
OBJECTIVE: To compare the assessment of pelvic organ prolapse (POP) between the Pelvic Organ Prolapse Quantification (POP-Q) system with Valsalva maneuver and intraoperative measurement with mechanical traction. METHODS: A prospective observational study included 100 women with POP attending a tertiary urogynecology clinic in the UK and undergoing vaginal prolapse surgical procedures between October 2011 and October 2014. The women were examined in the clinic using POP-Q with the Valsalva maneuver and in the operating theater under general anesthesia with mechanical traction...
September 8, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28872664/middle-cerebral-artery-doppler-reference-centile-charts-for-the-prediction-of-fetal-anemia-in-a-population-from-india
#11
Manisha Kumar, Tarul Umrawal, Anuradha Singh
OBJECTIVE: To construct reference charts for the fetal middle cerebral artery (MCA) peak systolic velocity (PSV) and the corresponding cord blood hemoglobin values at 24-40 weeks of pregnancy for the identification of fetal anemia. METHODS: In a cross-sectional study, 300 women with a pregnancy duration of 24-40 weeks planned for delivery within 72 hours underwent a Doppler study of the MCA and cord blood hemoglobin estimation at delivery. Regression analysis was used to construct reference charts...
September 5, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28865163/maternal-health-outcomes-following-the-implementation-of-janani-shishu-suraksha-yojana-jssy-at-a-tertiary-healthcare-center-in-rajasthan
#12
Urmila Mahala, Seema Mehta
OBJECTIVES: To assess the impact of the Janani Shishu Suraksha Yojana (JSSY) initiative on maternal health in terms of the number of prenatal checkup registrations, institutional deliveries, and maternal deaths. The aim of JSSY was to reduce maternal and infant mortality by promoting institutional delivery. METHODOLOGY: The present retrospective descriptive study included data from all institutional deliveries that occurred at the Department of Obstetrics and Gynecology, Mahila Chikitsalaya, SMS Medical College Jaipur, India, both before (between January 1, 2008, and December 31, 2011) and after the implementation of JSSY(between January 1, 2012, and December 31, 2015)...
September 2, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28865142/learning-curve-for-the-single-incision-suburethral-sling-procedure-for-female-stress-urinary-incontinence
#13
Federico Spelzini, Matteo Frigerio, Cristina Regini, Stefania Palmieri, Stefano Manodoro, Rodolfo Milani
OBJECTIVE: To evaluate the learning curve for the single-incision sling (SIS) procedure in a single-surgeon case series. METHODS: Data were retrospectively analyzed from women with non-recurrent symptomatic stress urinary incontinence confirmed by urodynamics and treated at San Gerardo Hospital, Monza, Italy, between October 2008 and November 2015. All women underwent the SIS procedure using a MiniArc sling fitted by the same urogynecologic surgeon. Blood loss, operative time, and complications were recorded...
September 2, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28857180/clinical-characteristics-and-prognostic-inflection-points-among-long-term-survivors-of-advanced-epithelial-ovarian-cancer
#14
Joo-Hyuk Son, Tae-Wook Kong, Jiheum Paek, Kwan-Heup Song, Suk-Joon Chang, Hee-Sug Ryu
OBJECTIVE: To assess clinical characteristics of long-term survivors of advanced epithelial ovarian cancer (EOC) to define a prognostic inflection point for long-term survival. METHODS: A retrospective analysis was undertaken of patients with FIGO stage III or IV EOC treated at one center in South Korea from 2000 to 2012. Patients who survived 5 years or more were identified, and the periods of disease-free survival and overall survival were evaluated for prognostic inflection points to indicate long-term survival...
August 31, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28857159/the-association-between-inadequate-prenatal-care-and-future-healthcare-use-among-offspring-in-the-bedouin-population
#15
Asia Estis-Deaton, Eyal Sheiner, Tamar Wainstock, Daniella Landau, Asnat Walfisch
OBJECTIVE: To evaluate the impact of inadequate prenatal care on long-term morbidity among the offspring of an ethnic minority population. METHODS: A retrospective population-based cohort analysis was performed among all Bedouin women with singleton pregnancies who delivered in a tertiary medical center in Israel between January 1, 1991, and January 1, 2014. Morbidity was defined as pediatric hospitalization across six distinct disease categories before 18 years of age...
August 30, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28842988/ultrasonographic-observations-of-the-fetal-brain-in-the-first-100-pregnant-women-with-zika-virus-infection-in-trinidad-and-tobago
#16
Karen Sohan, Cathy Ann Cyrus
OBJECTIVE: To evaluate the fetal brain in pregnant women infected with Zika virus in a limited-resource setting. METHODS: In an observational study in Trinidad and Tobago, 100 pregnant women infected with Zika virus who were referred for fetal medicine services provided by a single clinician were enrolled from March 31 to September 2, 2016. Two-dimensional ultrasonography was undertaken. RESULTS: The women were aged 17-41 years (mean 27.5 ± 5...
August 26, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28842977/clinical-outcomes-after-external-cephalic-version-with-spinal-anesthesia-after-failure-of-a-first-attempt-without-anesthesia
#17
Manal Massalha, Gali Garmi, Noah Zafran, Julia Carmeli, Genady Gimburg, Raed Salim
OBJECTIVE: To determine whether repeat external cephalic version (ECV) with spinal anesthesia affects clinical outcomes and cesarean delivery rates. METHODS: A retrospective study was conducted using data collected at one hospital in Israel between January 1, 2009, and December 31, 2015. Women with non-vertex singleton pregnancies (≥37 weeks) who had a failed ECV attempt without spinal anesthesia were included in the analysis. All women were offered a repeat ECV with spinal anesthesia...
August 26, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28842976/safety-and-efficacy-of-a-novel-three-dimensional-magnetic-resonance-imaging-model-for-uterine-incision-in-placenta-previa
#18
Yanwen Cao, Yanxing Wei, Yanhong Yu, Zhijian Wang
OBJECTIVE: To assess a novel three-dimensional (3D) magnetic resonance imaging (MRI) model for determining position of uterine incision during cesarean delivery among patients with placenta previa. METHODS: A prospective study was conducted among women with singleton pregnancies complicated by placenta previa who delivered by cesarean at a hospital in China between January 1, 2014, and January 1, 2016. Patients chose whether to undergo 3D MRI modeling to guide uterine incision (study group) or the standard intervention (control group)...
August 26, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28837219/a-systematic-review-and-meta-analysis-of-nonpharmacological-adjuvant-interventions-for-patients-undergoing-assisted-reproductive-technology-treatment
#19
REVIEW
Kun Chu, Qing Zhang, Hedong Han, Chen Xu, Wenjuan Pang, Yan Ma, Ningxia Sun, Wen Li
BACKGROUND: Assisted reproductive technology (ART) is not always successful, yet places a high psychological burden on individuals. OBJECTIVES: To assess whether nonpharmacological adjuvant interventions could improve outcomes among patients receiving ART. SEARCH STRATEGY: Electronic databases were searched from inception to March 2017, using keywords such as "fertility treatment," "emotional distress," and "clinical pregnancy." SELECTION CRITERIA: Reports of randomized controlled trials investigating the impact of nonpharmacological interventions on emotional disorders and the pregnancy rate in patients receiving ART published in any language were included...
August 24, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28833097/retrospective-surveys-of-obstetric-red-cell-transfusion-practice-in-the-uk-and-usa
#20
Matthew Cauldwell, Amir Shamshirsaz, Thai-Ying Wong, Abigail Cohen, Alex C Vidaeff, Shiu-Ki Hui, Joanna Girling, Michael A Belfort, Philip J Steer
OBJECTIVE: To examine whether professional guidance promoting a policy of restrictive blood transfusion is being followed. METHODS: A retrospective analysis of post-delivery transfusion data from 17 maternity units in the UK (1988-2000) was undertaken. Additionally, an audit was performed of women receiving one or two units of red cells 6-24 hours after delivery at three centers in the UK and USA in 2013-2016. RESULTS: Between 1988 and 2000, 4700 women received one or two transfusions: 303 (6...
August 21, 2017: International Journal of Gynaecology and Obstetrics
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