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International Journal of Gynaecology and Obstetrics

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https://www.readbyqxmd.com/read/28732125/birth-preparedness-and-complication-readiness-among-prenatal-attendees-in-a-teaching-hospital-in-south-west-nigeria
#1
Olusola P Aduloju, Akinyemi A Akintayo, Tolulope Aduloju, Oladunni O Akin-Akintayo
OBJECTIVE: To assess birth preparedness and complication readiness (BPCR) as well as knowledge of danger signs during pregnancy, labor/delivery, and the postpartum period. METHODS: A cross-sectional study was undertaken of pregnant women attending the prenatal clinic at a tertiary hospital in Nigeria between October and December 2016. A pretested and structured questionnaire was used to collect data on BPCR, and logistic regression was performed to determine factors affecting BPCR...
July 21, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28727891/prenatal-diagnosis-of-sotos-syndrome-characterized-by-fetal-growth-restriction
#2
Yi Zhang, Shaobing Lin, Qun Fang
Sotos syndrome (OMIM#117550) is a overgrowth syndrome caused by mutations of the NSD1 gene.(1) The clinical manifestations include macrocephaly, tall stature, cardiac anomalies, and behavioral problems.(2,3) Affected individuals also have an increased risk of neoplasms. This article is protected by copyright. All rights reserved.
July 20, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28727889/clinical-assessment-of-uterine-contractions
#3
REVIEW
Wayne R Cohen
The assessment of uterine contractions is important in clinical decision-making, but the precise role for appraising contractions remains controversial. Four clinical approaches to assessing contractions are available: manual palpation; intrauterine pressure determination; external tocodynamometry; and electrohysterography. Palpation is inexpensive and harmless but requires the constant bedside presence of a trained observer. Intrauterine pressure measurement is considered the most sensitive and specific technique, and has become the standard by which other methods are judged; however, its quantitative measurements are not always precise or reproducible...
July 20, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28718906/a-retrospective-analysis-of-the-effectiveness-of-anterior-pelvic-organ-prolapse-repair-with-prolift-versus-elevate-vaginal-mesh
#4
Isabel Barros-Pereira, Alexandre Valentim-Lourenço, Andreia Fonseca, Bruna Melo, Alexandra Henriques, Ana Ribeirinho
OBJECTIVE: To compare the effectiveness of anterior pelvic organ prolapse (POP) repair using Prolift (Ethicon, Somerville, NJ, USA) or Elevate (American Medical Systems, Minnetonka, MN, USA) vaginal mesh at 12 months of follow-up. METHODS: A retrospective study was undertaken using the records for the first 50 Prolift procedures in 2007-2009 and the first 50 Elevate procedures in 2013-2015 performed at a tertiary urogynecology unit in Lisbon, Portugal. Postoperative follow-up occurred at 3, 6, and 12 months...
July 18, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28718893/association-between-maternal-vascular-murmur-and-the-small-for-gestational-age-fetus-with-abnormal-umbilical-artery-doppler-flow
#5
Diana Riknagel, Richard Farlie, Morten Hedegaard, Peter Humaidan, Johannes J Struijk
OBJECTIVE: To investigate the association between maternal vascular murmurs (MVMs) and fetal growth restriction (defined as small-for-gestational-age [SGA] fetus) and abnormal Doppler pulsatility index (PI) of the uterine and/or umbilical arteries. METHODS: A cross-sectional study of women aged 18 years or older with a singleton pregnancy at 28-34 weeks was conducted at Regional Hospital Viborg, Denmark, between May 1 and August 1, 2013. Ultrasound fetal biometry was performed and the Doppler PI of the umbilical and uterine arteries was determined...
July 18, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28715088/clinical-limitations-of-the-international-federation-of-gynecology-and-obstetrics-figo-staging-of-uterine-fibroids
#6
Shannon K Laughlin-Tommaso, Gina K Hesley, Matthew R Hopkins, Kathleen R Brandt, Yunxiao Zhu, Elizabeth A Stewart
OBJECTIVE: To determine the reproducibility of classifying uterine fibroid using the 2011 International Federation of Gynecology and Obstetrics (FIGO) staging system. METHODS: The present retrospective cohort study included patients presenting for the treatment of symptomatic uterine fibroids at the Gynecology Fibroid Clinic at Mayo Clinic, Rochester, USA, between April 1, 2013 and April 1, 2014. Magnetic resonance imaging of fibroid uteri was performed and the images were independently reviewed by two academic gynecologists and two radiologists specializing in fibroid care...
July 17, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28710813/case-report-of-a-paraovarian-cyst-in-a-15-year-old-adolescent-girl-with-premature-ovarian-failure
#7
Zhiyi Zhao, Ting Zhou, Shan Zhao, Wei Zhang, Fengnian Rong
An adolescent patient with premature ovarian failure presented with a large paraovarian cyst. Preserve the adnexa is critical when excising the cyst in such patients. This article is protected by copyright. All rights reserved.
July 15, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28710772/outcomes-of-conception-subsequent-to-methotrexate-treatment-for-an-unruptured-ectopic-pregnancy
#8
Ran Svirsky, Ido Ben-Ami, Matitiahu Berkovitch, Reuvit Halperin, Uri Rozovski
OBJECTIVE: To assess the risk of adverse pregnancy outcomes in subsequent pregnancies among women treated with methotrexate for ectopic pregnancy. METHODS: In a retrospective single-center study, data were assessed for women treated with methotrexate for ectopic pregnancy at Asaf Harofe Medical Center, Zerifin, Israel, between May 2004 and May 2014. RESULTS: Overall, 226 women were treated with methotrexate for ectopic pregnancy and subsequently conceived...
July 15, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28704595/results-of-implementation-of-a-hospital-based-strategy-to-reduce-cesarean-delivery-among-low-risk-women-in-canada
#9
Esther S Shoemaker, Ivy L Bourgeault, Carol Cameron, Ian D Graham, Eileen K Hutton
OBJECTIVE: To assess the cesarean delivery (CD) rate among low-risk pregnancies before and after implementation of a hospital-based program in Canada. METHODS: A prospective before-and-after study was conducted to assess the effects of the CARE (CAesarean REduction) strategy, which was developed and implemented at Markham Stouffville Hospital, Toronto, ON, Canada, in 2010 to reduce CD among low-risk women. Hospital records were reviewed to identify changes in the proportions of CD performed during 12 months (April 2009-March 2010) before implementation of the CARE strategy versus 12 months after implementation (April 2012-March 2013) at Markham Stouffville Hospital and 36 hospitals of the same level in the same province...
July 13, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28704570/signs-of-eclampsia-during-singleton-deliveries-and-early-neonatal-mortality-in-low-and-middle-income-countries-from-three-who-regions
#10
Saverio Bellizzi, Howard L Sobel, Mohamed M Ali
OBJECTIVE: To determine the prevalence of eclampsia symptoms and to explore associations between eclampsia and early neonatal mortality. METHODS: The present secondary analysis included Demographic and Health Surveys data from 2005 to 2012; details of signs related to severe obstetric adverse events of singleton deliveries during interviewees' most recent delivery in the preceding 5 years were included. Data and delivery history were merged for pooled analyses. Convulsions-used as an indicator for having experienced eclampsia-and early neonatal mortality rates were compared, and a generalized random effect model, adjusted for heterogeneity between and within countries, was used to investigate the impact of presumed eclampsia on early neonatal mortality...
July 13, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28700088/standardizing-bimanual-vaginal-examination-using-cognitive-task-analysis
#11
Isabella Plumptre, Omar Mulki, Alejandro Granados, Claudine Gayle, Shahla Ahmed, Naomi Low-Beer, Jenny Higham, Fernando Bello
OBJECTIVE: To create a standardized universal list of procedural steps for bimanual vaginal examination (BVE) for teaching, assessment, and simulator development. METHODS: This observational study, conducted from June-July 2012 and July-December 2014, collected video data of 10 expert clinicians performing BVE in a nonclinical environment. Video data were analyzed to produce a cognitive task analysis (CTA) of the examination steps performed. The CTA was further refined through structured interviews to make it suitable for teaching or assessment...
July 12, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28696532/unmet-contraceptive-needs-in-rural-communities-in-the-dominican-republic-during-an-international-zika-virus-outbreak
#12
Rebecca Shaw, Michaela Simmons, Corrine Nelson, Brooke Bachelor, Shant Adamian, Ana Frausto
Zika virus infection during pregnancy is linked with adverse pregnancy and birth outcomes.(1,2) Therefore, women and their partners need education about the complications of Zika virus and reliable contraception in the context of this global health concern. This article is protected by copyright. All rights reserved.
July 11, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28696501/long-term-incidence-of-hysterectomy-following-endometrial-resection-or-endometrial-ablation-for-heavy-menstrual-bleeding
#13
Emmanouil Kalampokas, Sarah McRobbie, Fiona Payne, David E Parkin
OBJECTIVE: To estimate the incidence of hysterectomy following endometrial resection or endometrial ablation (ERA). METHODS: The present retrospective study enrolled women who underwent ERA for benign heavy menstrual bleeding (HMB) at Aberdeen Royal Infirmary, UK, between February 1, 1990, and December 31, 1997; follow-up data to the end of 2015 were included from the pathology laboratory report system from the single pathology laboratory in the region. Data were compared between patients who did or did not require a hysterectomy after ERA...
July 11, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28688109/root-causes-and-social-consequences-of-birth-injuries-in-western-uganda
#14
Jennifer N Angell, Priscilla Busingye, Gabriel Y-K Ganyaglo, Cheryl A Moyer
Incontinence-inducing delivery injuries, such as obstetric fistula and anal-sphincter tears, are devastating sequelae of prolonged and obstructed labor, and can only be repaired through surgery. Such injuries are most prevalent in settings where delays and limitations in accessing emergency obstetric services are common [1, 2]. The 2011 Demographic and Health Survey of Uganda [3] estimated that 2% of Ugandan women have experienced obstetric fistula and resulting trans-vaginal urine or fecal incontinence. This article is protected by copyright...
July 8, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28685817/the-impact-of-an-increased-progesterone-to-follicle-number-ratio-on-live-delivery-rates-in-women-with-normal-ovarian-reserve
#15
Ya Chen, Ling Ma, Suqing Wang
OBJECTIVE: To explore the relationship between progesterone-follicle number (P/F) ratio and live delivery rate in patients with normal ovarian reserve undergoing cleavage-stage embryo transfer with a long gonadotropin-releasing hormone agonist cycle. METHODS: The present retrospective study included data from patients younger than 38 years with normal ovarian reserve who were undergoing in vitro fertilization/intracytoplasmic sperm injection and embryo transfer at Zhongnan Hospital, Wuhan University, China, between January 1, 2009 and December 31, 2015...
July 6, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28677204/the-effect-of-prophylactic-antibiotic-treatment-for-manual-removal-of-the-placenta-on-frequency-of-postpartum-endometritis
#16
Myriam Safrai, Doron Kabiri, Rani Haj-Yahya, Adi Reuveni-Salzman, Michal Lipschuetz, Yossef Ezra
OBJECTIVE: To determine whether prophylactic antibiotics reduce the frequency of postpartum endometritis after manual removal of the placenta. METHODS: A retrospective cohort study was conducted using data for all women who underwent manual removal of the placenta after vaginal delivery at a tertiary medical center in Jerusalem, Israel, between January 1, 2010, and December 31, 2015. The study group comprised women who had not received prophylactic antibiotic treatment, whereas the control group comprised women who had received prophylactic antibiotic treatment...
July 5, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28677142/assessment-of-sexually-related-personal-distress-accompanying-premenopausal-sexual-dysfunction-with-an-arabic-version-of-the-female-sexual-distress-scale
#17
Magdy R Ahmed, Mohamed M Shaaban, Heba K Meky
OBJECTIVE: To assess sexually related personal distress among premenopausal women with female sexual dysfunction (FSD) via a validated Arabic version of the Female Sexual Distress Scale (FSDS). METHODS: A cross-sectional study was conducted among women attending Suez Canal University Hospital, Egypt, between May 2015 and July 2016. In a pilot study to evaluate test-retest reliability and internal consistency, 42 sexually active premenopausal women (aged ≥20 years) completed the Arabic FSDS at recruitment and 2 weeks later...
July 5, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28675429/evaluation-of-a-multifaceted-postpartum-hemorrhage-management-intervention-in-community-hospitals-in-southern-thailand
#18
Tippawan Liabsuetrakul, Kanokporn Palanukunwong, Anan Chinduereh, Nurlisa Oomudee
OBJECTIVE: To assess a multifaceted postpartum hemorrhage (PPH)-management intervention in community hospitals in Southern Thailand. METHODS: The present prospective study was conducted from November 1, 2012 to April 30, 2015. The medical records of women with PPH were collected before (January 1, 2011, and October 31, 2012) and after (March 1, 2013, and December 31, 2014) the implementation of a multifaceted PPH-management intervention at three community hospitals in Southern Thailand; these patients were compared with patients diagnosed with PPH at three control hospitals in the same provinces during the same time periods...
July 4, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28675426/stage-of-labor-at-admission-among-ugandan-women-with-a-prior-cesarean-and-its-impact-on-management-and-delivery-outcomes
#19
Adeline A Boatin, Elly Agaba, Baltazar Nyongozi, Blair J Wylie
OBJECTIVE: To describe stage of labor at admission among women with a prior cesarean, and examine its impact on intrapartum management and delivery mode. METHODS: In a prospective cohort study, women admitted to Mbarara Regional Referral Hospital, Uganda, for delivery were enrolled between March and June 2015. Rates of vaginal delivery (VBAC) and in-hospital trial of labor (TOL) were compared between early (<4 cm dilation) and late (≥4 cm) presenters. Women were interviewed after delivery about decision making and labor preferences...
July 4, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28675419/shock-progression-and-survival-after-use-of-a-condom-uterine-balloon-tamponade-package-in-women-with-uncontrolled-postpartum-hemorrhage
#20
Thomas F Burke, Sandra Danso-Bamfo, Moytrayee Guha, Monica Oguttu, Vincent Tarimo, Brett D Nelson
OBJECTIVE: To examine the outcomes of women in advanced shock from uncontrolled postpartum hemorrhage (PPH) who underwent placement of an Every Second Matters for Mothers and Babies Uterine Balloon Tamponade (ESM-UBT) device. METHODS: In a prospective case series, data were collected for women who received an ESM-UBT device at healthcare facilities in Kenya, Senegal, Sierra Leone, and Tanzania between September 1, 2012, and September 30, 2016. Shock class was assigned on the basis of recorded blood pressures and mental status at the time of UBT placement...
July 4, 2017: International Journal of Gynaecology and Obstetrics
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