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International Journal of Gynaecology and Obstetrics

Anita Raj
Worldwide, 15 million girls worldwide are married each year aged younger than 18 years, compromising their health and opportunities [1]. The United Nations Sustainable Development Goals (SDGs) include the target of ending child marriage by 2030. Birth registration is a priority to facilitate the identification of minors and achieve this target [2]; however, it is unlikely to help the large number of girls without birth records. Within India, which accounts for one-third of global child marriages [1], This article is protected by copyright...
February 20, 2017: International Journal of Gynaecology and Obstetrics
Nigel Pereira, William C Frankel, Anne P Hutchinson, Hency H Patel, Cheri Mostisser, Rony T Elias
OBJECTIVE: To investigate the temporal trends in minimally invasive myomectomy at one reproductive medicine center before and after the US Food and Drug Administration (FDA) recommendation against electric morcellation. METHODS: A retrospective chart review was undertaken of patients undergoing minimally invasive myomectomy between April 1, 2012, and April 30, 2016, at a center in New York. Temporal trends in laparoscopic myomectomy (LM), robot-assisted laparoscopic myomectomy (RAM), and laparoscopically assisted myomectomy (LAM), and intraoperative and postoperative outcomes before and after the April 2014 recommendation were compared...
February 20, 2017: International Journal of Gynaecology and Obstetrics
Juliana Melo, Mary Tschann, Reni Soon, Melissa Kuwahara, Bliss Kaneshiro
OBJECTIVE: To determine how many intrauterine device (IUD) users are willing and able to palpate their IUD strings. METHODS: A cross-sectional survey was conducted among IUD users presenting for their 6-week follow-up visit after insertion at the University of Hawaii, USA, between January 2011 and January 2012. Participants were asked whether they had previously felt the strings and whether they were willing to do so during the visit. Bivariate analyses and multiple logistic regression were performed...
February 20, 2017: International Journal of Gynaecology and Obstetrics
Dyese Taylor, Adiel Fleischer, Natalie Meirowitz, Lisa Rosen
OBJECTIVE: To determine reference ranges for patient vital signs during the immediate postpartum period. METHODS: A retrospective chart review collected data on the variables of interest for all women with 0-24-hour postpartum data available at two hospitals in New York, NY, USA, between July 1, 2012, and January 31, 2015. Patients were excluded if they had received antihypertensives, uterotonics, or blood products. Regression lines, with 95% prediction intervals, were constructed for shock index, systolic blood pressure, heart rate, pulse pressure, and rate over pressure evaluation (ROPE) values...
February 14, 2017: International Journal of Gynaecology and Obstetrics
Mercy Mvundura, Donald Kokonya, Elizabeth Abu-Haydar, Eunice Okoth, Tara Herrick, James Mukabi, Lucas Carlson, Monica Oguttu, Thomas Burke
OBJECTIVE: To evaluate the cost-effectiveness of condom uterine balloon tamponade (UBT) for control of severe postpartum hemorrhage (PPH) due to uterine atony versus standard PPH care in Kenya. METHODS: A cross-sectional analysis was conducted using cost data collected from 30 facilities in Western Kenya from April 15 to July 16, 2015. Effectiveness data were derived from the published literature. The modeling analysis was performed from the health-system perspective for a cohort of women who gave birth in 2015...
February 11, 2017: International Journal of Gynaecology and Obstetrics
Sun Kuie Tay, Tun-Ying Hsu, Andrei Shcheprov, Anuj Walia, Amit S Kulkarni
OBJECTIVE: To investigate the clinical and economic impacts of school-based administration of the quadrivalent HPV vaccine. METHODS: A retrospective health-economic analysis was conducted using data collected in Singapore between 2004 and 2005. A dynamic transmission model was adapted for universal vaccination that provided 80% coverage among students aged 11-12 years. Strategy 1 involved only girls, with a 5-year catch-up vaccination to provide 50% coverage among those aged 13-17 years...
February 11, 2017: International Journal of Gynaecology and Obstetrics
Yuqian Cui, Mingbao Li, Haipeng Guo, Lijie Wang, Shiqian Zhang
Intravenous leiomyomatosis (IVL) is a rare condition histologically characterized by benign smooth muscle neoplasm that arises from the intrauterine vessels infiltrating systemic veins. Although IVL exhibits benign histology, malignant behavior can occur through the involvement of the pelvic veins, the inferior vena cava (IVC), and the adrenal and renal veins; IVL can even reach as far as the right cardiac chambers and the main pulmonary artery, resulting in cardiac symptoms, including cardiac murmur, fainting, pulmonary embolism, and sudden death [1]...
February 11, 2017: International Journal of Gynaecology and Obstetrics
Lynne Palmer, Kirsten Grabowska, Jason Burrows, Hilary Rowe, Erin Billing, Amy Metcalfe
OBJECTIVE: To compare maternal and neonatal outcomes between in-hospital management and prepartum care at home (PCAH) among women with preterm prelabor rupture of membranes (PPROM) before 34 weeks of pregnancy. METHODS: In a retrospective study, data were analyzed from women who experienced PPROM between 23 and 34 weeks of pregnancy, and received care from two hospitals in British Columbia, Canada, between April 2007 and March 2012. Women were included if they had been stable in hospital for at least 72 hours and met eligibility criteria for PCAH...
February 10, 2017: International Journal of Gynaecology and Obstetrics
Hongxia Yuan, Qichang Zhou, Jing Li, Shi Zeng
The incidence of monochorionic gestation is increased eight-fold following assisted reproductive techniques [1]. Monochorionic triplet pregnancies are rare, occurring in 1 in 45 500 deliveries [2], and are associated with high mortality and morbidity. Both conjoined twins and the twin reversed arterial perfusion (TRAP) sequence are unique complications of monochorionic pregnancy. The present study describes transvaginal ultrasonography findings from a monochorionic diamniotic triplet pregnancy at 10 weeks of gestation following double embryo transfer; a TRAP sequence, with a pair of conjoined twins as a "pump" fetus was identified...
February 10, 2017: International Journal of Gynaecology and Obstetrics
Ying Han, Ning Li, Rong Zhang, Xiaoguang Li, Yangchun Sun, Lingying Wu
OBJECTIVE: To evaluate the prognostic relevance of positive peritoneal cytology in patients with cervical adenocarcinoma. METHODS: The present study included patients diagnosed with FIGO stage IB to IIB cervical adenocarcinoma who underwent surgery at a hospital in Beijing, China, between December 1, 2000, and December 31, 2015. Baseline data were retrieved from patient medical records and follow-up data were collected through telephone interviews. The relationship between positive peritoneal cytology and the patients' clinicopathological features, and their prognosis was analyzed using Kaplan-Meier and Cox proportional hazards modeling...
February 10, 2017: International Journal of Gynaecology and Obstetrics
Yu Tokushige, Shuichiro Iwami, Takafumi Nonogaki, Takahiro Shibayama, Toshihide Shimada, Sachiko Minamiguchi
A pregnant patient with systemic lupus erythematosus experienced hypertension and underwent cesarean delivery. They experienced uterine atony and a very thin myometrium with uterine fibrosis.The present case report describes a pregnant patient with systemic lupus erythematosus (SLE) who presented at the Osaka Redcross Hospital, Osaka, Japan with uterine atony and a very thin myometrium with uterine fibrosis; to the best of our knowledge, this is the first published report of this kind. This article is protected by copyright...
February 8, 2017: International Journal of Gynaecology and Obstetrics
Sarah Carroll, Craig V Towers, Lynlee Wolfe, Lisa Duncan, Beth Weitz, Stephanie Porter
A short freeze-thaw process had little effect on the reliability of a mature lamellar body count test result. When evaluating fetal lung maturity, many laboratories analyze amniotic fluid to test the lamellar body count (LBC). In clinical practice, amniotic fluid is sometimes inadvertently placed on dry ice during transport and the sample can become frozen. To the best of our knowledge, no study has analyzed whether this short freeze-thaw process affects LBC test results. Several studies have evaluated the effect of freezing amniotic fluid on LBC test results; however, the samples have been frozen in a freezer over a long duration that would not occur inadvertently in a clinical setting [1-3]...
February 8, 2017: International Journal of Gynaecology and Obstetrics
Martin Huser, Petr Janku, Robert Hudecek, Zuzana Zbozinkova, Miroslav Bursa, Vit Unzeitig, Pavel Ventruba
OBJECTIVE: To compare the prevalence of pelvic floor dysfunction symptoms, including pelvic organ prolapse (POP), urinary incontinence (UI), and fecal incontinence (FI) among primiparous women after vaginal and cesarean delivery. METHODS: In a prospective cohort study at a university hospital in the Czech Republic, singleton primiparas with cephalic presentation who delivered at term were enrolled between 2002 and 2007. In 2013, 5-10 years after delivery, women who had not delivered again completed an internet-based survey about current symptoms of POP, UI, and FI, which were evaluated using validated questionnaires...
February 7, 2017: International Journal of Gynaecology and Obstetrics
Hersha Patel, Kristine Pčolkina, Kristine Strazdina, Ilza Viberga, Susan M Sherman, Douglas G Tincello, Charles W Redman, Dace Rezeberga, Esther L Moss
OBJECTIVE: To evaluate awareness of HPV and its vaccine among Latvian adolescents. METHODS: A cross-sectional survey was conducted in a 2-week period in September 2015 among 270 adolescents attending a secondary school in Riga, Latvia. All students present during sexual-health classes (grades 10-12 [aged 16-21 years]) were included. A self-administered paper-based survey assessed sociodemographic factors, sexual behaviours, smear history and knowledge of sexually transmitted infections, HPV and HPV vaccine knowledge, and sources of information...
February 7, 2017: International Journal of Gynaecology and Obstetrics
Hadil Y Ali, Åse Vikanes, Marit Anti, Sahar Hassan, Khaled M Ismail, Kaled Zimmo, Mohammed Zimmo, Erik Fosse, Katariina Laine
OBJECTIVE: To explore attitudes to an animation-based bimanual perineum-support technique (bPST) training video, and to investigate factors affecting the acceptability of the animation as a teaching modality. METHODS: A quantitative study conducted between November 1, 2014, and January, 1 2015, included obstetricians and midwives of any age and experience from relevant Norwegian professional organizations, and obstetrics and gynecology experts selected by the authors...
February 7, 2017: International Journal of Gynaecology and Obstetrics
Lu Gan, Hua Duan, Fu-Qing Sun, Qian Xu, Yi-Qun Tang, Sha Wang
OBJECTIVE: To evaluate the efficacy of freeze-dried amnion graft for prevention of intrauterine adhesion (IUA) reformation after hysteroscopic adhesiolysis. METHODS: A prospective randomized controlled trial was conducted among 88 women with severe IUAs who underwent hysteroscopic adhesiolysis at Beijing Obstetrics and Gynecology Hospital between July 15, 2015, and July 1, 2016. All participants had a balloon inserted into the uterine cavity for 1 week. Sterilized freeze-dried amnion graft covered the balloon portion of the Foley catheter among patients allocated to the amnion group (n=44), whereas patients in the control group (n=44) did not receive the graft...
February 7, 2017: International Journal of Gynaecology and Obstetrics
Emily C Von Bargen, Cara L Grimes, Kavita Mishra, Rui Wang, Miriam J Haviland, Michele R Hacker, Joseph A Carnevale, Alyssa J Estes, Eman A Elkadry
OBJECTIVE: To determine the prevalence of occult pre-malignant or malignant uterine pathology at the time of laparoscopic surgery with open power morcellation for benign gynecologic disease. METHOD: The present multicenter, retrospective cohort study included women who underwent open power morcellation for benign indications between January 1, 2007, and February 28, 2014, at three academic medical centers in the USA. The primary outcome was pre-malignant or malignant pathology at the time of open power morcellation, and was determined from the patients' pathology reports...
February 7, 2017: International Journal of Gynaecology and Obstetrics
Ya Li, Shouhua Rong, Yanfang Zhi, Cui Qiu, Tingting Fan, Xiaofu Li
OBJECTIVE: To compare E6/E7 mRNA and HPV DNA assays for evaluating women with atypical cells of undetermined significance (ASCUS). METHODS: The present prospective study enrolled patients with ASCUS undergoing HPV testing at Third Affiliated Hospital of Zhengzhou University, China, between September 1, 2013, and January 31, 2016. Patients with positive HPV DNA test results underwent screening by E6/E7 mRNA assay, and the accuracy of HPV DNA and E6/E7 mRNA testing were compared, with histology used for definitive diagnoses...
February 7, 2017: International Journal of Gynaecology and Obstetrics
R Tyler Hillman, Cheryl C Saenz, Michael T McHale, Steven C Plaxe
OBJECTIVE: To examine the association between living in a county with gynecologic oncologist provision, the performance of fertility sparing surgery, and survival among young women with early epithelial ovarian cancer. METHODS: The present retrospective cohort study was based on the SEER 18 dataset of the US National Cancer Institute. Women younger than 45 years with early stage epithelial ovarian cancer diagnosed between 2000 and 2012 were included. Logistic regression and Cox proportional hazards methods were used to analyze all-cause survival...
February 7, 2017: International Journal of Gynaecology and Obstetrics
Abel Teshome, Malede Birara, Sarah D Rominski
OBJECTIVE: To assess the quality of family planning counseling among women attending a prenatal clinic in Addis Ababa, Ethiopia. METHODS: In a descriptive cross-sectional study conducted between February and April, 2015, at the prenatal care clinic of Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia, pregnant women in their third trimester were interviewed about their experience of family planning counseling. Data were collected via a questionnaire...
February 7, 2017: International Journal of Gynaecology and Obstetrics
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