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International Journal of Gynaecology and Obstetrics

Jaime Roura-Monllor, Jose Nieves-Muñoz, Ana P Ortiz, Josefina Romaguera
OBJECTIVE: To assess HPV knowledge as well as knowledge and acceptance of HPV vaccines. METHODS: The present cross-sectional study surveyed women with cervical cytology anomalies referred to colposcopy clinics at the University of Puerto Rico and San Juan City Hospital between November 1, 2013, and November 30, 2015. The data were analyzed using descriptive statistics and multivariate logistic regression models. RESULTS: Of 418 participants, 333 had heard of HPV...
July 10, 2018: International Journal of Gynaecology and Obstetrics
Mahesh C Puri, Cynthia C Harper, Dev Maharjan, Blum Maya, Corinne H Rocca
OBJECTIVE: To examine whether auxiliary nurse-midwife provision of medical abortion in pharmacies is associated with reduced post-abortion contraceptive use in Nepal. METHODS: The present prospective observational study compared contraceptive use among women aged 16-45 years and up to 63 days of pregnancy, who presented at one of six privately-owned pharmacies or six public health facilities in the Chitwan and Jhapa districts of Nepal for medical abortion between October 16, 2014, and September 1, 2015...
July 10, 2018: International Journal of Gynaecology and Obstetrics
Alyson Zureick, Amber Khan, Angeline Chen, Astrid Reyes
El Salvador's criminal abortion law-one of the few in the world that prohibits all abortions and that is actively enforced against women-harms women's health and undermines the ethical duties of Salvadoran physicians and the standing of the medical profession. Under the criminal abortion regime, physicians are incentivized to disclose their patients' confidential medical information, in violation of their ethical duties, and public healthcare facilities have become sites of criminal investigation. These investigations target women not only for illegal abortions, but also for miscarriages and obstetric emergencies...
July 10, 2018: International Journal of Gynaecology and Obstetrics
Ali Acar, Fedi Ercan, Aybike Pekin, Adeviye Elci Atilgan, H Berkan Sayal, Osman Balci, Hüseyin Gorkemli
OBJECTIVE: To assess the efficacy and safety of a new surgical suture technique for uterine preservation among patients with placental invasion anomalies. METHODS: The present prospective case series included women diagnosed with placental invasion anomalies undergoing cesarean deliveries who desired future fertility at the obstetrics department of a Turkish university hospital between January 10, 2013, and April 20, 2017. Patients were diagnosed with ultrasonography and Doppler ultrasonography; the type of placental invasion anomaly (placenta accreta, increta, or percreta) was confirmed intraoperatively...
July 10, 2018: International Journal of Gynaecology and Obstetrics
Shira Yuval Bar-Asher, Alexander Shefer, Ilana Shoham-Vardi, Ruslan Sergienko, Arik Wolak, Eyal Sheiner, Talya Wolak
OBJECTIVE: To examine the association between routine blood tests during pregnancy and future risk of cardiovascular morbidity. METHODS: The present case-control study was conducted among women who delivered at a teaching hospital in Israel between January 1, 2000, and December 31, 2012. The cohort comprised women who were subsequently hospitalized owing to cardiovascular morbidity (case group) and age-matched non-hospitalized women (control group). Blood levels of creatinine, glucose, potassium, urea, and uric acid were measured during pregnancy...
July 6, 2018: International Journal of Gynaecology and Obstetrics
Janine Alessi, Daniela M Wiegand, Vânia N Hirakata, Maria L R Oppermann, Angela J Reichelt
OBJECTIVE: To evaluate pregnancy outcomes among women with pre-gestational diabetes. METHODS: Retrospective analysis of pregnant women with type 1 or type 2 diabetes attending a university hospital in Brazil. Maternal characteristics and pregnancy outcomes were compared among deliveries between May 1, 2005, and December 31, 2010, and between January 1, 2011, and December 31, 2015. Risks were calculated by Poisson regression. RESULTS: In total 220 women were included...
July 6, 2018: International Journal of Gynaecology and Obstetrics
Ulysse Minkobame, Sosthène Mayi-Tsonga, Pamphile A Obiang, Opheelia M Komba, Justine M Ella, Jean F Meye, Anibal Faundes
Maternal mortality has been monitored at the Centre Hospitalier de Libreville (CHL), Gabon, since 2005. A study conducted in 2008 [1] found that abortion-related maternal mortality was responsible for 25% of maternal deaths between 2005 and 2007. Furthermore, substantial delays in provision of care were extremely common among women who died from abortion-related causes, with an average delay of 23.4 hours compared with around 1 hour among women who died from eclampsia or hemorrhage [1]. This article is protected by copyright...
July 3, 2018: International Journal of Gynaecology and Obstetrics
Aiqian Zhang, Xiangyang Zeng, Jeffrey JeChuen Woo, Miriam Morrell, Dabao Xu
Herlyn-Werner-Wunderlich syndrome (HWWS) is a rare variant of Müllerian duct anomalies characterized by the combination of uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis [1]. Our case is unique because while most patients with HWWS have a didelphic uterus with symptoms of dysmenorrhea and irregular vaginal bleeding, our patient had a complete septate uterus with atypical symptoms due to communicating openings in the vaginal septum and between the two cervices. This article is protected by copyright...
June 30, 2018: International Journal of Gynaecology and Obstetrics
María F Escobar, Daniela Nasner, Carlos F Hurtado, Paula A Fernández, Maria P Echavarria
OBJECTIVE: To compare the characterization of an obstetric population diagnosed with sepsis using systemic inflammatory response syndrome (SIRS) criteria and sepsis-related organ failure assessment (SOFA). METHODS: The present retrospective observational descriptive study was conducted at a fourth-level clinic in Colombia among pregnant women who met the inclusion criteria (two SIRS criteria plus infection) between January 1, 2015, and December 31, 2016. Patients with systemic compromise were admitted to the high-complexity obstetric unit (HCOU), whereas those with multiorgan dysfunction were admitted to the intensive care unit (ICU)...
June 30, 2018: International Journal of Gynaecology and Obstetrics
Margarida Cal, Alexandra Meira, Nuno Clode
OBJECTIVE: Recent guidelines from WHO and the International Federation of Gynecology and Obstetrics state that the Robson ten-group classification system (TGCS) should be universally applied to pregnant women. Such information might enable women to make an informed decision about the place and mode of delivery. We assessed whether women could self-classify correctly according to the TGCS. METHODS: A prospective study was conducted in a tertiary level maternity hospital between March 6 and July 31, 2017...
June 29, 2018: International Journal of Gynaecology and Obstetrics
Kadija R Chrisostomo, Thelma L Skare, Jaime Kulak, Almir A Urbanetz, Eduardo R Chrisostomo, Renato Nisihara
OBJECTIVE: To study the prevalence and the clinical and demographic associations of hypovitaminosis D in pregnant women from southern Brazil. METHODS: In this cross-sectional study, pregnant women attending prenatal care at two university clinics in Curitiba, Brazil, were investigated for clinical and demographic data and for serum levels of vitamin D, calcium, and parathyroid hormone. Data were collected during summer (January 26 to March 4, 2016) or winter (July 28 to August 31, 2016)...
June 26, 2018: International Journal of Gynaecology and Obstetrics
Ticiana A A Mira, Mariana M Buen, Murilo G Borges, Daniela A Yela, Cristina L Benetti-Pinto
BACKGROUND: Despite advances in treatments for endometriosis, some symptoms persist owing to the chronic inflammation observed in this disease. OBJECTIVE: To identify resources, methods, and/or complementary treatments to alleviate the pain symptoms of endometriosis, and to identify adverse effects of treatments. SEARCH STRATEGY: Lilacs, Scielo, PEDro, Scopus, Pubmed, CENTRAL Cochrane, Science Direct, and Google Scholar were searched for studies published in Portuguese, English, and Spanish to July 31, 2017, using the terms "physical therapy" OR "complementary treatment" AND "endometriosis"...
June 26, 2018: International Journal of Gynaecology and Obstetrics
Claudia Robles, Carolina Wiesner, Sandra Martinez, Yuly Salgado, Mariluz Hernandez, Eric Lucas, Johana Lineros, Pilar Romero, Rolando Herrero, Maribel Almonte, Raul Murillo
OBJECTIVE: To assess the effect of operational factors on the positivity rates of three HPV assays. METHODS: Within the cross-sectional ESTAMPA study, women aged 30-64 years were recruited in healthcare centers from Soacha, Colombia, during 2012-2015. Cervical samples were collected for cotesting with Hybrid Capture 2 (HC2; Qiagen, Gaithersburg, MD, USA), and either Aptima (Hologic, Marlborough, MA, USA) or Cobas 4800 (Roche Diagnostics, Indianapolis, IN, USA). The effect of operational factors on assay performance was assessed using adjusted positivity rates obtained from logistic regression models...
June 26, 2018: International Journal of Gynaecology and Obstetrics
Bernard M Dickens
Countries worldwide are increasingly expanding male/female binary sex classifications to recognize a third status. Intersex newborns may be included in this third category on birth certification. Parents, families, and communities require counselling and education to accommodate intersex newborns without stigma or discrimination. Whatever its biological or genetic origin, intersex status is a natural if relatively uncommon condition (one in 1500 to 2000 live births) that distinguishes sex from gender. The tendency of societies to recognize only male and female genders at birth has resulted in intersex children being subjected to invasive surgery and related, sometimes lifelong, medication to confirm them as male or female...
June 26, 2018: International Journal of Gynaecology and Obstetrics
Vincent Boama, Valerie T Guinto, Claudio G Sosa, Michael Geary
No abstract text is available yet for this article.
June 26, 2018: International Journal of Gynaecology and Obstetrics
Carlos F Grillo-Ardila, Jairo Amaya-Guio, Ariel I Ruíz-Parra, Juan C Amaya-Restrepo
BACKGROUND: Medical management of retained placenta could be a safe alternative to manual removal. OBJECTIVE: To evaluate the efficacy of prostaglandin analogues for retained placenta. SEARCH STRATEGY: MEDLINE, EMBASE, CENTRAL, ICTRP, LILACS, and OpenSIGLE were searched without language restrictions from inception to January 31, 2017, by combining terms for retained placenta and prostaglandin analogues. SELECTION CRITERIA: Randomized controlled trials comparing prostaglandin analogues with any other intervention...
June 25, 2018: International Journal of Gynaecology and Obstetrics
Maria R M F Mendonça-Louzeiro, Kleber C Andrade, Daniela A Yela, Cristina L Benetti-Pinto
Women with polycystic ovary syndrome (PCOS) often present with thromboembolic risk factors, such as obesity, hyperandrogenism, and insulin resistance [1]. Furthermore, some PCOS-related metabolic abnormalities represent cardiovascular risk factors. We aimed to assess the association between hemostatic parameters and clinical and dual-energy X-ray absorptiometry (DXA) measurements of fat distribution in these women. This article is protected by copyright. All rights reserved.
June 21, 2018: International Journal of Gynaecology and Obstetrics
Marilia Reiter, Ana P Betrán, Fernando K Marques, Maria R Torloni
BACKGROUND: Cesarean delivery rates in Brazil are among the highest in the world. User preference is often mentioned as an important factor driving this. OBJECTIVES: To identify, appraise, and synthesize the results of studies into delivery preferences in Brazil. SEARCH STRATEGY: MEDLINE, LILACS, and PsycINFO databases were searched, without language restrictions, using "delivery" and "preference" from inception to November 4, 2017...
June 19, 2018: International Journal of Gynaecology and Obstetrics
Sasha Hernandez, Esther Han, Juan Manuel Chuc Ajanel, Leah Jones, Jill Edwardson
Mental health is more prevalent among Indigenous populations than in the general population,[1] with Indigenous women at highest risk of disease burden.[2] While gender inequality and biological factors[3] contribute to this disparity between sexes, there is limited understanding of the social and clinical characteristics of Indigenous women in Latin America impacted by mental health disorders. Clearer understanding is imperative in helping to alleviate the global burden of such disorders among these vulnerable populations...
June 19, 2018: International Journal of Gynaecology and Obstetrics
Daniela A Yela, Patricia H Pini, Cristina L Benetti-Pinto
OBJECTIVE: To compare transvaginal ultrasonography and hysteroscopy for the diagnosis of endometrial pathologies. METHODS: In the present retrospective cohort study, data were reviewed from women with ultrasonography findings suggestive of endometrial lesions and/or abnormal uterine bleeding who underwent hysteroscopy at a single center in Campinas, Brazil, between January 2011 and December 2013; data were stratified based on reproductive-aged and postmenopausal groups...
June 15, 2018: International Journal of Gynaecology and Obstetrics
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