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International Journal of Gynaecology and Obstetrics

Maryam Eftekhar, Elham S Mirhashemi, Nasim Tabibnejad
OBJECTIVE: To explore assisted reproductive outcomes among women with different polycystic ovary syndrome (PCOS) phenotypes. METHODS: A retrospective cohort study included women with PCOS who were treated at Yazd Research and Clinical Center for Infertility, Yazd, Iran, using the GnRH antagonist protocol between April 1, 2015, and August 31, 2017. Clinical pregnancy was the primary outcome, and chemical pregnancy, implantation rate, fertilization rate, and spontaneous abortion rate, were the secondary outcomes that were evaluated among four defined phenotypes of women with PCOS...
November 8, 2018: International Journal of Gynaecology and Obstetrics
Dong-Yun Lee, Hyo-Jeong Kim, Jee-Yeon Lee, DooSeok Choi
OBJECTIVE: To evaluate the results of repeat pelvic ultrasonography before surgery in patients with suspicion of benign ovarian tumor. METHODS: A retrospective study included premenopausal women who were scheduled to undergo surgery for a benign-appearing ovarian mass and who had repeat ultrasonography on the day before surgery at Samsung Medical Center, Seoul, South Korea, between January 1, 2007, and December 31, 2011, to check for any change in the mass. Ultrasonography findings and final histology were evaluated by medical record review...
November 8, 2018: International Journal of Gynaecology and Obstetrics
Naira Kalra, John Ayankola, Stella Babalola
OBJECTIVE: To test the association between healthcare provider communication and adoption of long-acting reversible contraception (LARC) among women in Nigeria. METHODS: The present cross-sectional observational secondary analysis included women aged 18-49 who were interviewed between June 1 and July 31, 2014,at selected family planning sites in Ibadan and Kaduna, Nigeria. A multivariate generalized estimating equation was utilized to assess the predictors of LARC adoption...
November 8, 2018: International Journal of Gynaecology and Obstetrics
Ahmed M Maged, Radwa M Fahmy, Hamsa Rashwan, Maryam Mahmood, Sarah M Hassan, Hala Nabil, Ayman Hany, Rehab Lotfy, Yossra S Lasheen, Sherif Dahab, Mohamed Darwish
OBJECTIVE: To assess the effects of body mass index (BMI) on the outcome of IVF cycles among poor responders. METHODS: A prospective cohort study in Egypt enrolled 185 poor responders who underwent intracytoplasmic sperm injection via an antagonist protocol between 2012 and 2017. Participants were classified into three groups by BMI (calculated as weight in kilograms divided by the square of height in meters): 18.5-24.9 (normal, n=48); 25-29.9 (overweight, n=54); 30 or higher (obese, n=83)...
November 8, 2018: International Journal of Gynaecology and Obstetrics
George U Eleje, Euzebus C Ezugwu, Ifeanyichukwu U Ezebialu, Nnabuike O Ojiegbe, Richard O Egeonu, Chukwudi C Obiora, Chigozie G Okafor, Joseph I Ikechebelu, Ahizechukwu C Eke
OBJECTIVE: To compare AmnioQuick Duo+ versus the placental α-microglobulin-1 (PAMG-1) test for diagnosis of prolonged premature rupture of membranes (PROM). METHODS: A multicenter prospective cohort study included women with suspected PROM at six tertiary institutions in southern Nigeria between January 1 and December 31, 2015. The inclusion criteria were features of PROM lasting at least 24 hours and a pregnancy duration of more than 24 weeks. AmnioQuick Duo+ (Biosynex, Strasbourg, France) and PAMG-1 (AmniSure International, Boston, USA) tests were used to diagnose PROM, which was confirmed after delivery by any two of the following criteria: delivery within 48 hours to 7 days, chorioamnionitis, membranes perceptibly ruptured at delivery, and adverse perinatal outcomes considerably associated with prolonged PROM...
November 2, 2018: International Journal of Gynaecology and Obstetrics
Jessica L Morris, Samia Khatun
OBJECTIVE: To establish whether national guidelines for postpartum hemorrhage (PPH) reflect new scientific evidence on misoprostol, and determine the challenges faced in their implementation. METHODS: A web-based survey was sent by email to 130 national societies of obstetrics and gynecology (FIGO Member Associations) in 2016. The survey, composed of 18 questions, covered national guidelines on PPH with particular reference to misoprostol, the creation of national guidelines, and challenges to implementation...
November 2, 2018: International Journal of Gynaecology and Obstetrics
Zhanhui Ou, Minna Yin, Zhiheng Chen, Ling Sun
BACKGROUND: The outcomes of in vitro fertilization and/or intracytoplasmic sperm injection (IVF/ICSI) are contradictory among individuals with chromosomal polymorphisms. OBJECTIVES: To assess whether chromosomal polymorphisms affect the outcomes of assisted reproductive technologies. SEARCH STRATEGY: Four online databases were searched from inception to September 18, 2017, using terms including "chromosomal polymorphisms" and "In vitro fertilization...
October 30, 2018: International Journal of Gynaecology and Obstetrics
Carolann Risley, Kim R Geisinger, Jennifer C Robinson, Mary W Stewart, Lei Zhang, Rhonda Alexander, Stephen S Raab
OBJECTIVE: To determine the effectiveness of using glacial acetic acid (GAA) to convert unsatisfactory bloody ThinPrep (TP) cervical smear test to satisfactory, and identify associated missed diagnoses and high-risk HPV (hrHPV) genotypes. METHODS: In a retrospective descriptive cross-sectional analysis, all TP tests performed in Mississippi, USA, 2012-2016, were evaluated for unsatisfactory results owing to blood. Tests that were converted to satisfactory by GAA treatment, and corresponding anomalies and HPV genotypes were identified...
October 26, 2018: International Journal of Gynaecology and Obstetrics
Priyanka Gogoi, Pallavi Sinha, Bindiya Gupta, Priyanka Firmal, Shalini Rajaram
OBJECTIVE: To compare the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and platelet indices between women with pre-eclampsia and normotensive pregnant women. METHODS: A cross-sectional study conducted from January to July 2017 at a tertiary care hospital in Delhi, India. The study compared pregnant women aged 18-40 years with pre-eclampsia diagnosed at term with healthy pregnant women matched for gestational age. Venous blood samples were drawn and complete blood count was analyzed...
October 25, 2018: International Journal of Gynaecology and Obstetrics
Werner Stein, Ludwig Spätling
OBJECTIVE: To examine whether "quilting" sutures are safe and effective in preventing hysterectomy among women with postpartum hemorrhage (PPH) and whether early application might reduce the incidence of transfusion. METHODS: Data were reviewed from women treated via quilting sutures after cesarean delivery at a university hospital between 2007 and 2016. Objective and subjective data were collected by analyzing medical records and performing telephone interviews...
October 25, 2018: International Journal of Gynaecology and Obstetrics
Tam M Le, Long H Nguyen, Nam L Phan, Duong D Le, Huy V Q Nguyen, Vinh Q Truong, Thanh N Cao
OBJECTIVES: To determine the relationship between maternal serum uric acid levels and fetal/neonatal complications in women with pre-eclampsia/eclampsia, and to establish a predictive threshold value. METHODS: A diagnostic test and historical cohort study conducted by prospective cross-sectional data collection on pregnant women with pre-eclampsia/eclampsia at Hue University Hospital, Vietnam, between March 2015 and July 2017. Pre-eclampsia was diagnosed based on ACOG criteria...
October 24, 2018: International Journal of Gynaecology and Obstetrics
Soraya Saleh Gargari, Birgitta Essén, Masoumeh Fallahian, Ajlana Mulic-Lutvica, Soheila Mohammadi
OBJECTIVE: To evaluate appropriateness of cesarean delivery and cesarean delivery-related morbidity among maternal near misses (MNMs) using the Robson ten-group classification system. METHODS: In the present audit study, medical records were assessed for women who experienced MNM and underwent cesarean delivery at three university hospitals in Tehran, Iran, between March 1, 2012, and May 1, 2014. Local auditors assessed cesarean delivery indications and morbidity experienced...
October 24, 2018: International Journal of Gynaecology and Obstetrics
Lauren Thaxton, Antonella Lavelanet
BACKGROUND: Extending contraceptive implant duration of use increases accessibility by maximizing the lifetime of devices. OBJECTIVES: To review the contraceptive efficacy during extended use of progestin implants. SEARCH STRATEGY: PubMed and EMBASE were searched for articles in any language, 1996-2017, utilizing terms for devices and contraceptive efficacy. SELECTION CRITERIA: Randomized clinical trials (RCTs), cohort studies, and case-control studies were included; abstracts, posters, and presentations were excluded...
October 21, 2018: International Journal of Gynaecology and Obstetrics
Rumbidzai Majangara, Zvavahera M Chirenje, Muchabaiwa F Gidiri
OBJECTIVE: To evaluate the association between HIV infection and puerperal sepsis among women in Zimbabwe. METHODS: A subanalysis was performed using data from a prospective cohort study conducted between September 2, 2014, and July 1, 2015, at two tertiary hospitals in Zimbabwe. Eligible participants were consecutive women who met the WHO criteria for puerperal sepsis. Variables assessed included HIV-infection status and the use of antiretroviral therapy. Severity of immunosuppression was defined by the number of T cells that expressed cluster of differentiation 4 (CD4)...
October 21, 2018: International Journal of Gynaecology and Obstetrics
Mahmoud F Fathalla
Efforts by the health and scientific community have focused on providing women with the means to control and regulate their fertility. We paid less attention to the reality of women achieving their reproductive revolution while burdened with a reproductive system that evolved to fit the life of our ancestor hunter-gatherers, where women were destined to spend most of their reproductive years pregnant or breastfeeding. This state of evolutionary mismatch impacts on women's health as the reproductive system continues incessantly to work, producing a monthly ovum and exposing the reproductive organs to cyclic hormonal stimulation without the benefit of pregnancy and breastfeeding...
October 20, 2018: International Journal of Gynaecology and Obstetrics
Ciara O'Connell, Christina Zampas
Gender stereotypes surrounding women's reproductive health impede women's access to essential reproductive healthcare and contribute to inequality more generally. Stereotyping in healthcare settings impedes women's access to contraceptive information, services, and induced abortion, and lead to involuntary interventions in the context of sterilization. Decisions by human rights monitoring bodies, such as the Inter-American Court of Human Rights' case, IV v. Bolivia, which was a case concerned with the involuntary sterilization of a woman during childbirth, highlight how stereotypes in the context of providing health care can operate to strip women of their agency and decision-making authority, deny them their right to informed consent, reinforce gender hierarchies and violate their reproductive rights...
October 12, 2018: International Journal of Gynaecology and Obstetrics
Nanna Maaløe, Camilla B Andersen, Natasha Housseine, Tarek Meguid, Ib C Bygbjerg, Jos van Roosmalen
OBJECTIVE: To estimate the effect of locally tailored clinical guidelines on intrapartum care and perinatal outcomes among women with severe hypertensive disorders in pregnancy (sHDP). METHODS: A pre-post study at Zanzibar's low-resource Mnazi Mmoja Hospital was conducted. All labouring women with sHDP were included at baseline (October 2014 to January 2015) and at 9-12 months after implementation of the ongoing intervention (October 2015 to January 2016). Background characteristics, clinical practice, and delivery outcomes were assessed by criterion-based case file reviews...
October 11, 2018: International Journal of Gynaecology and Obstetrics
María L Sánchez-Ferrer, Raquel Jiménez-Velázquez, Jaime Mendiola, María T Prieto-Sánchez, Laura Cánovas-López, Ana Carmona-Barnosi, Shiana Corbalán-Biyang, Ana I Hernández-Peñalver, Evdochia Adoamnei, Aníbal Nieto, Alberto M Torres-Cantero
OBJECTIVE: To assess the predictive ability of a combination of anogenital distance (AGD) and anti-Müllerian hormone (AMH) to diagnosis the presence of endometriosis without surgery. METHODS: The present study included women diagnosed with endometriosis and a control group who attended the "Virgen de la Arrixaca" University Hospital, Murcia, Spain, between September 1, 2014, and May 31, 2015. Serum concentrations of AMH were measured, and two AGD measurements were obtained: from the anterior clitoral surface to the upper verge of the anus (AGDAC ), and from the posterior fourchette to the upper verge of the anus (AGDAF )...
October 9, 2018: International Journal of Gynaecology and Obstetrics
Pierre Marie Tebeu, Mirabel M Vifeme, Emmanuel M Nshom
No abstract text is available yet for this article.
October 5, 2018: International Journal of Gynaecology and Obstetrics
Atsumi Hirose, Fadhlun Alwy, Susan Atuhairwe, Jessica L Morris, Andrea B Pembe, Frank Kaharuza, Gaetano Marrone, Claudia Hanson
OBJECTIVE: To estimate the stillbirth risk associated with intrapartum adverse events, controlling for fetal and maternal factors. METHODS: The present study was an analysis of cross-sectional patient-record and facility-file data from women with viable fetuses who experienced obstetric adverse events at 23 hospitals and 38 health centers in Tanzania (between December 2015 and October 2016), and 22 hospitals, 16 level-4 health centers, and five level-3 health centers in Uganda (between May 2016 and September 2017)...
October 5, 2018: International Journal of Gynaecology and Obstetrics
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