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BJOG: An International Journal of Obstetrics and Gynaecology

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https://www.readbyqxmd.com/read/29350805/is-this-primip-a-nullip-the-daily-abuse-of-language-in-obstetrics
#1
Geoffrey Hughes
A decade ago Opara and Zaidi1 detailed the poor understanding of the word parity in this journal, detailing different definitions, but preferring "the number of pregnancies at or above 24 weeks gestation, regardless of outcome". The reader is therefore left to wonder if an undelivered woman at 30 weeks in her first ever pregnancy (therefore having attained viability) has a parity of zero or one. They also describe the confusion regarding surrounding a twin birth; 79% of the surveyed obstetricians and midwives incorrectly assigned that single parous event to a parity of two...
January 19, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29349859/re-peripartum-hysterectomy-an-economic-analysis-of-direct-healthcare-costs-using-routinely-collected-data-some-concerns-from-obstetricians-viewpoint
#2
LETTER
Shigeki Matsubara, Hironori Takahashi, Daisuke Matsubara, Akihide Ohkuchi
No abstract text is available yet for this article.
January 19, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29336106/best-practice-perioperative-strategies-and-surgical-techniques-for-preventing-caesarean-section-surgical-site-infections-a-systematic-review-of-reviews-and-meta-analyses
#3
Elizabeth K Martin, Michael M Beckmann, Louise N Barnsbee, Kate A Halton, Katharina M D Merollini, Nicholas Graves
BACKGROUND: Surgical site infection (SSI) following caesarean section is a problem for women and health services. Caesarean section is a high volume procedure and the estimated incidence of SSI may be as high as 9%. OBJECTIVES: The objective of this study was to identify a suite of perioperative strategies and surgical techniques that reduce the risk of SSI following caesarean section. SEARCH STRATEGY: Six electronic databases were searched to systematically review literature reviews, systematic reviews and meta-analyses published from 2006 to 2016...
January 16, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29336101/recurrence-of-vulval-intraepithelial-neoplasia-following-treatment-with-cidofovir-or-imiquimod-results-from-a-multi-centre-randomised-phase-ii-trial-rt3vin
#4
Christopher N Hurt, Sadie E F Jones, Tracie-Ann Madden, Alison Fiander, Andrew J Nordin, Raj Naik, Ned Powell, Margherita Carucci, Amanda Tristram
OBJECTIVE: To compare the recurrence rates after complete response to topical treatment with either cidofovir or imiquimod for vulval intraepithelial neoplasia (VIN) 3. DESIGN: A prospective, open, randomised multicentre trial. SETTING: 32 general hospitals located in Wales and England. POPULATION OR SAMPLE: 180 patients were randomised consecutively between Oct 21, 2009, and Jan 11, 2013, 89 to cidofoovir (of whom 41 completely responded to treatment) and 91 to imiquimod (of whom 42 completely responded to treatment)...
January 16, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29328522/cassava-flour-slurry-as-a-low-cost-alternative-to-commercially-available-gel-for-obstetrical-ultrasound-a-blinded-non-inferiority-trial-comparison-of-image-quality
#5
Aleha Aziz, Pe'er Dar, Francine Hughes, Clemencia Solorzano, Mundenga Mutendi Muller, Christian Salmon, Margaret Salmon, Nerys Benfield
OBJECTIVE: To evaluate the quality of ultrasound images obtained with cassava flour slurry (CFS) compared to conventional gel in order to determine objectively whether CFS could be a true low-cost alternative. DESIGN: Blinded non-inferiority trial. SETTING: Obstetrical ultrasound unit in an academic medical center. POPULATION OR SAMPLE: Women with a singleton pregnancy, undergoing anatomy ultrasounds. METHODS: Thirty pregnant women had standard biometry measures obtained with CFS and conventional gel...
January 12, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29325216/obstetrical-providers-preferred-mode-of-delivery-and-attitude-towards-non-medically-indicated-caesarean-sections-a-cross-sectional-study
#6
Julie C Rivo, Melissa Amyx, Verónica Pingray, Roberto A Casale, Angél E Fiorillo, Hugo B Krupitzki, Julio D Malamud, Maria Mendilaharzu, María Lucía Medina, Gerardo Murga Tartalo, Alicia B Del Pino, Lucio Ribola, Javier A Schvartzman, Monica Trasmonte, Silvana Varela, Fernando Althabe, José M Belizán
OBJECTIVE: To describe obstetrical providers' delivery preferences and attitudes toward caesarean section without medical indication, including on maternal request, and to examine the association between provider characteristics and preferences/attitudes. DESIGN: Cross-sectional study. SETTING: Two public and two private hospitals in Argentina. POPULATION: Obstetrician-gynecologists and midwives who provide prenatal care and/or labor/delivery services...
January 11, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29319210/the-safety-of-quinolones-and-fluoroquinolones-in-pregnancy-a-meta-analysis
#7
Enav Yefet, Naama Schwartz, Bibiana Chazan, Raed Salim, Shabtai Romano, Zohar Nachum
BACKGROUND: Quinolones were contraindicated during pregnancy due to concerns regarding fetal malformations and carcinogenesis in animals. The literature is conflicted regarding their safety in humans. OBJECTIVES: To conducted a meta-analysis evaluating the risk for fetal malformations and pregnancy complications following exposure to quinolones during pregnancy. SEARCH STRATEGY: We searched Embase, PubMed, Medline, the Cochrane database, clinicaltrials...
January 10, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29318720/authors-reply-re-advanced-maternal-age-increases-the-risk-of-very-preterm-birth-irrespective-of-parity-a-population-based-register-study
#8
LETTER
Mikael Norman, Sven Cnattingius, Linda Vixner, Ulla Waldenström
No abstract text is available yet for this article.
January 10, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29318714/re-advanced-maternal-age-increases-the-risk-of-very-preterm-birth-irrespective-of-parity-a-population-based-register-study-standardised-categories-of-preterm-births-vital-to-study-risks-for-prematurity
#9
LETTER
Shilpi Chabra
No abstract text is available yet for this article.
January 10, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29316161/tidying-up
#10
William C Dodson
The practice of medicine can be messy: inconsistent diagnostic criteria, imprecise laboratory results, and uncertain exposure effects, all of which convey enormous implications for public health. At times the clinician seems to be directing care based on faith rather than evidence. The natural consequence is polarization into groups of skeptics and devotees instead of consensus. One only has to review the history of gestational diabetes mellitus (GDM) to understand just how untidy medical practice can be. This article is protected by copyright...
January 9, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29316105/antidepressant-use-during-pregnancy-and-adhd-risk-in-children-current-knowledge
#11
Takoua Boukhris
Antidepressants (ADs) are among the most frequently used medications in pregnancy. ADs can cross the placental barrier (Rampono et al. Pharmacopsychiatry 2009;42(3):95-100, Loughhead et al. Biol Psychiatry 2006;59(3):287-90), resulting in a dysfunction of the serotonergic and norepinephrine systems, which could cause inattention or hyperactivity-impulsivity behaviors as exhibited in ADHD. Several epidemiological studies have investigated the potential link between AD exposure during pregnancy and the risk of attention deficit disorder with/without hyperactivity (ADHD) in children...
January 9, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29285881/every-woman-every-child-s-progress-in-partnership-for-stillbirths-a-commentary-by-the-stillbirth-advocacy-working-group
#12
Elena Ateva, Hannah Blencowe, Theresa Castillo, Alka Dev, Mychelle Farmer, Mary Kinney, Surendra Kumar Mishra, Susannah Hopkins Leisher, Shannon Maloney, Victoria Ponce Hardy, Paula Quigley, Jessica Ruidiaz, Dimitrios Siassakos, Julie E Stoner Brock, Claire Storey, Maria Luisa Tejada de Rivero Sawers
Globally, an estimated 2.6 million third trimester stillbirths occurred in 2015 (2, 3) - a number which has not seen meaningful decline over the past decade and which has improved at a considerably slower rate than levels of child and maternal mortality.(1, 4) Half of all stillbirths occur during labour and birth, and almost all take place in low and middle income countries.(4) Until recently, this huge burden remained largely invisible.(2, 5) This article is protected by copyright. All rights reserved.
December 29, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29281184/gestational-age-and-stillbirths-questions-left-unanswered
#13
A M Siega-Riz, D Dudley
In this issue of the journal, Johansson and colleagues provide evidence of the lack of an association between gestational weight gain (GWG) and stillbirths in normal weight women using a large perinatal data set from two specific regions in Sweden. (Johansson K., et al., BJOG, 2018 xx) The advantages of having such data are noteworthy, allowing for the examination of a rare outcome-stillbirths-stratified by maternal body mass index, with the exposure being gestational weight gain early on and through out pregnancy...
December 27, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29281180/obstetric-fistula-a-paradigm-shift-is-needed-in-research-and-prevention-a-commentary
#14
P Letchworth, E MacLaren, S Duffy
The impact of an obstetric fistula on a woman's quality of life is catastrophic. It is a devastating condition that affects the most vulnerable women in society. In 2006 the World Health Organisation (WHO) estimated that two million women throughout the world live with an untreated fistula, with between 50,000 and 100,000 new cases occurring each year. This article is protected by copyright. All rights reserved.
December 27, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29280268/obstetricians-awareness-associated-with-better-outcomes
#15
David A Eschenbach
Doctors are charged to treat disease while causing no harm. An anaphylactic reaction is the furthest from our mind in dispensing medication. However, an anaphylactic reaction to medication can cause serious harm and even death as outlined by McCall et al. (1). This report is a well-conducted and important prospective study. First, their strict definition of anaphylaxis included only patients with a life threatening airway problem, a life threatening breathing problem or a significant circulation problem. Second, they also used a semi-active surveillance system to both identify and report anaphylaxis monthly at individual hospitals...
December 27, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29272055/vitamin-d-a-possible-intervention-for-preventing-gestational-diabetes
#16
Christopher J Robinson
Efforts to improve pregnancy outcomes through nutritional interventions in developed and low-resource settings remain challenging given lack of adequately power trials. Global rates of obesity and diabetes are increasing dramatically with impacts upon maternal-fetal health. Since vitamin D deficiency is common and often profound among women of childbearing age, investigations have focused on improving pregnancy outcome through vitamin D supplementation (Triunfo, S, et.al. J Endocrinol Invest. 2017 Oct;40(10):1049-1059)...
December 22, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29266853/authors-reply-re-effect-of-locally-tailored-labour-management-guidelines-on-intrahospital-stillbirths-and-birth-asphyxia-at-the-referral-hospital-of-zanzibar-a-quasi-experimental-pre-post-study-the-partoma-study
#17
LETTER
Nanna Maaløe, Natasha Housseine, Tarek Meguid, Birgitte Bruun Nielsen, Aksel Karl Georg Jensen, Rashid Saleh Khamis, Ali Gharib Mohamed, Mbweni Makame Ali, Said Mzee Said, Jos van Roosmalen, Ib Christian Bygbjerg
No abstract text is available yet for this article.
December 21, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29266705/re-effect-of-locally-tailored-labour-management-guidelines-on-intrahospital-stillbirths-and-birth-asphyxia-at-the-referral-hospital-of-zanzibar-a-quasi-experimental-pre-post-study-the-partoma-study
#18
LETTER
Saumya Pandey, Kshitiz Murdia
No abstract text is available yet for this article.
December 21, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29266866/pregnancy-leisure-physical-activity-and-children-s-neurodevelopment-a-narrative-review
#19
REVIEW
Celia Álvarez-Bueno, Iván Cavero-Redondo, Mairena Sánchez-López, Miriam Garrido-Miguel, Jose Alberto Martínez-Hortelano, Vicente Martínez-Vizcaíno
In recent years, interest in the relationship between maternal physical activity during pregnancy and children's neurocognitive development has been growing. Several observational studies and clinical trials have analysed this relationship and they differ in the findings, especially for children's language related skills and IQ. Physical activity assessment, amount of physical activity and the test used for measuring children's cognition could affect this relationship, as well as other factors that should be considered...
December 20, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29266732/do-stillbirth-and-abortion-increase-risks-of-attempted-and-completed-suicide-within-a-year-a-population-based-nested-case-control-study
#20
Shu-Chuan Weng, Jung-Chen Chang, Ming-Kung Yeh, Shun-Mu Wang, Chua-Shoun Lee, Yi-Hua Chen
OBJECTIVE: To investigate the risks of attempted and completed suicide in women who experienced a stillbirth or abortion within 1 year postnatally and compared this risks with that in women who experienced a live birth. DESIGN: A nested case-control study. SETTING: Linking three nationwide population-based datasets in Taiwan: National Health Insurance Research Database, National Birth Registry, and National Death Registry. SAMPLE: 485 and 350 cases of attempted and completed, respectively, were identified during 2001-2011; for each case, 10 controls were randomly selected and matched to the cases according to the age and year of delivery...
December 20, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
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