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BJOG: An International Journal of Obstetrics and Gynaecology

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https://www.readbyqxmd.com/read/28211610/fibroid-vascularisation-assessed-with-three-dimensional-power-doppler-ultrasound-is-a-predictor-for-uterine-fibroid-growth-a-prospective-cohort-study
#1
L L Nieuwenhuis, A L Keizer, B Stoelinga, J W R Twisk, W J K Hehenkamp, H A M Brölmann, J A F Huirne
OBJECTIVE: To analyse fibroid vascularisation measured with 3D Power Doppler in relation to absolute fibroid volume change during 12 months follow up and in relation to fibroid growth rate per year DESIGN: A prospective cohort study was performed between March 2012 and March 2014. SETTING: Outpatient clinic of the VU medical centre, Amsterdam. POPULATION OR SAMPLE: All premenopausal women diagnosed with a maximum of 2 fibroids with expectative management were consecutively included...
February 17, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28206709/women-who-choose-cfdna-testing-should-not-be-denied-1-st-trimester-anatomy-scan
#2
Zarko Alfirevic, Catia M Bilardo, Laurent J Salomon, Ann Tabor
It is important to acknowledge that modern antenatal care includes a variety of screening programmes. Each of them should be evaluated in their own right and, when clinical effectiveness is proven, integrated in the antenatal care in the most cost-effective fashion. Screening for common aneuploidies and fetal anomalies are two such programmes which are routinely offered world-wide. Both screening programmes include components that interact with each other which leads to a considerable confusion in the debate about their evaluation and implementation...
February 16, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28194916/menstrual-cycle-characteristics-are-associated-with-fecundability
#3
A Z Steiner
No abstract text is available yet for this article.
February 14, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28194870/participation-in-clinical-trials-improves-outcomes-in-women-s-health-a-systematic-review-and-meta-analysis
#4
REVIEW
S K Nijjar, M I D'Amico, N A Wimalaweera, Nam Cooper, J Zamora, K S Khan
BACKGROUND: Previous reviews examining the effect of participation in trials on outcomes have not consistently shown benefit. Obstetrics and gynaecology is a unique disease area posing challenges for both researchers and patients. OBJECTIVES: To determine whether participation in randomised controlled trials (RCTs), compared with non-participation, has a beneficial effect on women's health. SEARCH STRATEGY: Medline, Embase, the Cochrane Library, and PsycInfo were searched up to December 2015...
February 14, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28194864/anticoagulant-options-in-pregnancy-for-women-with-mechanical-valves
#5
C McLintock
No abstract text is available yet for this article.
February 14, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28190300/factors-affecting-uptake-of-postmortem-examination-in-the-prenatal-perinatal-and-paediatric-setting-a-systematic-review
#6
Celine Lewis, Melissa Hill, Owen J Arthurs, Ciaran Hutchinson, Lyn S Chitty, Neil Sebire
BACKGROUND: Postmortem examination is the single most useful investigation in providing information to parents about why their baby or child died. Despite this, uptake remains well below the recommended 75%. OBJECTIVE: To address the question 'what are the barriers and motivators to perinatal, prenatal and paediatric PM examination?' SEARCH STRATEGY: Key databases including Pubmed and CINAHL; Cochrane library, websites of relevant patient organisations, hand search of key journals, first and last authors and references...
February 11, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28190290/who-recommendations-on-antenatal-care-for-a-positive-pregnancy-experience-going-beyond-survival
#7
Ӧzge Tunçalp, Juan Pablo Pena-Rosas, Theresa Lawrie, Maurice Bucagu, Olufemi T Oladapo, Anayda Portela, A Metin Gülmezoglu
In 2015, an estimated 303 000 women died from pregnancy-related causes and 2.6 million babies were stillborn, half of which occurred during the third trimester (1, 2) Many of these adverse outcomes can be prevented by quality health care during pregnancy and childbirth. Within the continuum of care, antenatal care (ANC) provides a platform for critical health-care functions including health promotion, prevention, screening and diagnosis of diseases. Implementing timely and appropriate evidence-based practices during ANC can improve maternal and fetal health...
February 11, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28190289/efficacy-of-salpingectomy-at-hysterectomy-to-reduce-the-risk-of-epithelial-ovarian-cancer-a-systematic-review
#8
A Darelius, M Lycke, J M Kindblom, B Kristjansdottir, K Sundfeldt, A Strandell
BACKGROUND: It has been argued that salpingectomy would reduce the risk of epithelial ovarian cancer (EOC), based on the theory of the tube being the site of origin. OBJECTIVES: To conduct a systematic review of 'salpingectomy' associated with ovarian cancer risk and 'salpingectomy with concomitant hysterectomy' on outcomes of complications including endocrine function. SEARCH STRATEGY: A comprehensive search was conducted in PubMed, Embase and the Cochrane library...
February 11, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28186383/cranberry-capsules-to-prevent-nosocomial-urinary-tract-bacteriuria-after-pelvic-surgery-a-randomised-controlled-trial
#9
V Letouzey, D Ulrich, C Demattei, S Alonso, S Huberlant, J-P Lavigne, R de Tayrac
OBJECTIVE: To evaluate whether cranberries are able to prevent postoperative urinary bacteriuria in patients undergoing pelvic surgery and receiving transurethral catheterisation. DESIGN: Randomised, double-blind, placebo-controlled trial. SETTINGS: French tertiary Care centre, University Hospital. POPULATION: A total of 272 women undergoing pelvic surgery aged 18 or older. METHODS: Participants undergoing pelvic surgery were randomised to 36 mg cranberry (proanthocyanidins, PAC) or placebo once daily for 10 days...
February 10, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28178769/improving-post-caesarean-analgesia-where-to-next
#10
Alexander Butwick
The provision of effective pain relief to mothers after caesarean section (CS) is a priority for both obstetric and anaesthesia providers. To meet this goal, multimodal analgesic regimens have been endorsed to manage pain and reduce opioid requirements after CS. Post-CS, typical oral analgesic regimens may comprise paracetamol, non-steroidal anti-inflammatory drugs (NSAIDs), and an oral opioid. The inclusion of paracetamol and NSAIDs is important as each drug has an opioid sparing effect, thereby reducing the incidence of opioid related side-effects...
February 8, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28178764/borderline-ovarian-tumours-balancing-risks-of-recurrence-over-decades
#11
Joanne Morrison
Borderline ovarian tumours account for 10-15% of epithelial tumours. Women are on average 10 years younger than those invasive ovarian epithelial tumours (Morice et al. Lancet Oncol 2012; 13: 103-115) and many will have fertility as a major concern. Many women are unexpectedly diagnosed after conservative surgery, following either cystectomy or unilateral oophorectomy. Frozen section can be useful for informing intra-operative management (Ratnavelu et al. Cochrane Database of Syst Rev 2016; (3): CD010360), informing a conservative surgical approach of a suspicious mass...
February 8, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28178762/pet-trumps-surgical-staging-in-locally-advanced-cervical-cancer
#12
Leigh A Cantrell, Linda R Duska
Locally advanced cervical cancer (LACC) is a significant problem. The status of the para-aortic lymph nodes (PALN) in women with LACC is critical, as positive PALN dictate extended radiation fields and portend a dismal prognosis. Since 10-25% of women with LACC will have PALN metastases (S Gout, et al. Lancet Oncol 13(5) 2012), the ideal method to identify and treat them is paramount. This article is protected by copyright. All rights reserved.
February 8, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28178757/locally-advanced-cervix-cancer-staging-by-scan-or-by-surgery
#13
Jeroen H Becker, Rene H M Verheijen
In this study the authors try to elucidate the existing uncertainties on imaging versus surgically staging of para-aortic lymph node involvement in locally advanced cervical cancer. In previous studies, as summarized in this new study, it remained undecided whether imaging would suffice to detect lymph node metastases in order to determine the extent of the radiation field, specifically to the para-aortic area. This article is protected by copyright. All rights reserved.
February 8, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28176485/preterm-birth-prevention-in-twin-pregnancies-with-progesterone-pessary-or-cerclage-a-systematic-review-and-meta-analysis
#14
REVIEW
A Jarde, O Lutsiv, C K Park, J Barrett, J Beyene, S Saito, J M Dodd, P S Shah, J L Cook, A B Biringer, L Giglia, Z Han, K Staub, W Mundle, C Vera, L Sabatino, S K Liyanage, S D McDonald
BACKGROUND: About half of twin pregnancies deliver preterm, and it is unclear whether any intervention reduces this risk. OBJECTIVES: To assess the evidence for the effectiveness of progesterone, cerclage, and pessary in twin pregnancies. SEARCH STRATEGY: We searched Medline, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, and ISI Web of Science, without language restrictions, up to 25 January 2016. SELECTION CRITERIA: Randomised controlled trials of progesterone, cerclage, or pessary for preventing preterm birth in women with twin pregnancies, without symptoms of threatened preterm labour...
February 8, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28176445/the-screening-emperor-has-no-clothes-on-primary-prevention-will-always-trump-testing-for-preterm-birth
#15
Khalid Khan, Donald Dudley
When a woman planning a pregnancy seeks advice, say regarding neural tube defects, we do not tell her, "we have a great screening test that we will use to see if your baby has risk of a serious defects of the brain, spine, or spinal cord and as soon as we know that the test is positive we will try to do something about it." In fact we say, "her are some vitamin pills called folate that you should start taking right now so that we can reduce the risk of these defects developing in the first place". This is a primary prevention strategy that we know that works well, and we determined this by performing trials of sufficient sample size with the right design to address this question...
February 8, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28176441/the-impact-of-subcutaneous-tissue-suturing-at-cesarean-section-on-wound-complications-a-meta-analysis
#16
Vasilios Pergialiotis, Anastasia Prodromidou, Despina N Perrea, Stergios K Doumouchtsis
BACKGROUND: Cesarean wound complications are frequently observed in everyday practice. OBJECTIVES: To study whether subcutaneous tissue closure following cesarean section results in decreased wound complications. SEARCH STRATEGY: We systematically searched Medline (1966-2016), Scopus (2004-2016), ClinicalTrials. gov (2008-2016) and Cochrane Central Register of Controlled Trials CENTRAL (1999-2016) databases together with reference lists from included studies...
February 8, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28176494/ultrasound-bladder-wall-thickness-and-detrusor-overactivity-a-multicentre-test-accuracy-study
#17
P Latthe, L Middleton, S Rachaneni, S McCooty, J Daniels, A Coomarasamy, M Balogun, J Duckett, R Thakar, I Goranitis, T Roberts, J Deeks
OBJECTIVE: Women with overactive bladder (OAB) often undergo urodynamics before invasive treatments are considered. Ultrasound measurement of bladder wall thickness (BWT) is a less invasive, less expensive and widely available test. It has the potential to diagnose the presence of detrusor overactivity (DO). We aimed to evaluate the accuracy of BWT in the diagnosis of DO. DESIGN: Prospective cohort study. SETTING: Twenty-two UK clinics (university and district general hospitals)...
February 7, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28168838/importance-of-including-stillbirth-in-measures-of-preterm-birth
#18
Robert L Goldenberg, Elizabeth M McClure
Stillbirth, one of the most common adverse pregnancy outcomes world-wide, occurs far more commonly in low-income countries (LIC) than elsewhere with rates 10 to 20 fold greater than rates in high-income countries (HIC). Preterm birth (PTB) substantially increases risk of neonatal mortality and long-term developmental handicap. PTB and stillbirth rates, if reported at all for LIC, are rarely considered together (Aminu et al; BJOG 2014:121:141-53). This article is protected by copyright. All rights reserved.
February 6, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28165208/offspring-birthweight-by-gestational-age-and-parental-cardiovascular-mortality-a-population-based-cohort-study
#19
N-H Morken, F Halland, L A DeRoo, A J Wilcox, R Skjaerven
OBJECTIVE: To estimate risk of parental cardiovascular disease mortality by offspring birthweight. DESIGN: Population-based cohort study. SETTING AND POPULATION: Norwegian mothers and fathers with singleton births during 1967-2002 were followed until 2009 by linkage to the Norwegian cause of death registry. METHODS: Hazard ratios by offspring absolute birthweight in grams and birthweight adjusted for gestational age (z-score) were calculated using Cox regression and adjusted for parental age at delivery and year of first birth...
February 6, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28165183/assisted-reproductive-technologies-an-additional-risk-factor-for-severe-postpartum-haemorrhage
#20
A Mehrabadi
No abstract text is available yet for this article.
February 6, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
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