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Acta Obstetricia et Gynecologica Scandinavica

Anne Gisselmann Egekvist, Axel Forman, Mads Riiskjaer, Ulrik Schiøler Kesmodel, Mie Mathiasen, Mikkel Seyer-Hansen
INTRODUCTION: The aim of the study was to assess the intra- and interobserver variability of two- and three-dimensional rectosigmoid nodule size measurements by transvaginal ultrasonography in patients with rectosigmoid endometriosis. MATERIAL AND METHODS: Intra- and interobserver variability was assessed in 10 and 30 patients, respectively. Measurements in two dimensions were performed in real-time during the scan, and three-dimensional measurements of volume were done on a computer...
March 12, 2018: Acta Obstetricia et Gynecologica Scandinavica
Liv Knutzen, Christina Aye, Hannah Anderson-Knight, Elena Svirko, Lawrence Impey
INTRODUCTION: The aim of this paper was to determine if arteriovenous differences of pH and PCO2 are useful predictors of adverse neonatal outcome in acidemic neonates. MATERIAL AND METHODS: An established database of 8759 term, singleton, non-anomalous neonates with validated cord gases and outcomes (Encephalopathy (Grade 2/ 3), Apgar <7 at 5 minutes and composite neonatal outcomes of neurological and systemic involvement) was used. Analysis was of the cohort of the 520 acidemic (arterial pH <7...
March 7, 2018: Acta Obstetricia et Gynecologica Scandinavica
Janne Rossen, Kari Klungsøyr, Susanne Albrechtsen, Ellen Løkkegård, Steen Rasmussen, Thomas Bergholt, Finn Egil Skjeldestad
INTRODUCTION: Maternal age is an established risk factor for cesarean section, whereas epidural analgesia and oxytocin augmentation may modify this association. We investigated the effects and interactions of oxytocin augmentation, epidural analgesia and maternal age on the risk of cesarean section. MATERIAL AND METHODS: In all, 416 386 nulliparous women with spontaneous onset of labor, ≥ 37 weeks of gestation, singleton infants with a cephalic presentation during 2000-2011 from Norway and Denmark were included (Ten-Group Classification System (Robson) group 1)...
March 7, 2018: Acta Obstetricia et Gynecologica Scandinavica
Anna Simone Frank, Angela Lupattelli, Hedvig Nordeng
INTRODUCTION: Approximately 3% to 5% of pregnant women have hypothyroidism. Despite the potential impact of untreated hypothyroidism on infant neurodevelopment, few studies have investigated the risk factors associated with discontinuation of thyroid hormone replacement therapy (THRT) in pregnancy. We aimed to identify such factors in a population of women using THRT prior to pregnancy. MATERIAL AND METHODS: Data from the Norwegian Mother and Child Cohort Study were linked to records in the Medical Birth Registry of Norway...
March 7, 2018: Acta Obstetricia et Gynecologica Scandinavica
Camilla Stenfelt, Gabriela Armuand, Kjell Wånggren, Agneta Skoog Svanberg, Gunilla Sydsjö
INTRODUCTION: To investigate attitudes and opinions towards surrogacy among physicians working within obstetrics and reproductive medicine in Sweden. MATERIAL AND METHODS: Physicians working within medically assisted reproduction (MAR), antenatal care and obstetrics were invited to participate in a cross sectional nationwide survey study. The study-specific questionnaire measured attitudes and experiences in three domains: Attitudes towards surrogacy, Assessment of prospective surrogate mothers, and Antenatal and obstetric care for surrogate mothers...
March 7, 2018: Acta Obstetricia et Gynecologica Scandinavica
Andrea Ciardulli, Francesco D'Antonio, Elena Rita Magro-Malosso, Lamberto Manzoli, Paul Anisman, Gabriele Saccone, Vincenzo Berghella
INTRODUCTION: To explore the effect of maternal fluorinated steroid therapy on fetuses affected by second degree immune-mediated atrioventricular block (AVB). MATERIAL AND METHODS: Studies reporting the outcome of fetuses with immune-mediated second degree AVB diagnosed on prenatal ultrasound and treated with fluorinated steroids compared to those not treated were included. The primary outcome was the overall progression of AVB to either continuous or intermittent third degree AVB at birth...
March 7, 2018: Acta Obstetricia et Gynecologica Scandinavica
Corina Christmann-Schmid, Isabell Koerting, Esther Ruess, Ivo Faehnle, Jörg Krebs
To date sacrocolpopexy is regarded as the gold standard treatment for primarily apical compartment prolapse and multi-compartment prolapse. Most bladder and bowel dysfunction improves post-operatively after sacrocolpopexy, however de-novo bowel or de-novo bladder dysfunction can occur. The inferior hypogastric nerve is commonly known amongst pelvic surgeons. However the inferior hypogastric nerve and its fine fibers are difficult to identify, iatrogenic lesion is commonly tolerated although this can lead to bladder, bowel and sexual dysfunction...
March 1, 2018: Acta Obstetricia et Gynecologica Scandinavica
Lise Brogaard, Lone Hvidman, Kim Hinshaw, Ole Kierkegaard, Tanja Manser, Peter Musaeus, Julie Arafeh, Kay I Daniels, Amy E Judy, Niels Uldbjerg
INTRODUCTION: This study aimed to develop a valid and reliable TeamOBS-PPH tool for assessing clinical performance in the management of postpartum hemorrhage (PPH). The tool was evaluated using video-recordings of teams managing PPH in both real-life and simulated settings. MATERIAL AND METHODS: A Delphi panel consisting of 12 obstetricians from the UK, Norway, Sweden, Iceland, and Denmark achieved consensus on a) the elements to include in the assessment tool, b) the weighting of each element, and c) the final tool...
February 27, 2018: Acta Obstetricia et Gynecologica Scandinavica
Benjamin P Jones, Srdjan Saso, Anastasia Mania, J Richard Smith, Paul Serhal, Jara Ben Nagi
Given the age-related decline in ovarian reserve and oocyte quality, it is unsurprising the global trend of deferring motherhood has resulted in increased levels of involuntary childlessness. The development of oocyte vitrification, with pregnancy and livebirth rates now comparable to using fresh oocytes, has provided an opportunity to electively cryopreserve oocytes for future use, empowering women with the capacity to delay their childbearing years. Whilst it enhances reproductive autonomy, age-related obstetric complications, economic implications and the risk of unsuccessful future treatment make it a controversial therapeutic option...
February 26, 2018: Acta Obstetricia et Gynecologica Scandinavica
Fie Pilsgaard, Anna Garcia-Alix Grynnerup, Kristine Loessl, Leif Bungum, Anja Pinborg
Ovarian reserve can be determined by serum anti-Müllerian hormone (AMH) level and/or antral follicle count prior to controlled ovarian stimulation. The aim of controlled ovarian stimulation is to achieve an appropriate number of mature follicles and avoid complications such as ovarian hyperstimulation syndrome. Measurement of the ovarian reserve is very useful for the clinicians as it predicts the ovarian response to controlled ovarian stimulation. Further it assists in giving the patient realistic expectations regarding the treatment...
February 24, 2018: Acta Obstetricia et Gynecologica Scandinavica
Natali Shachter-Safrai, Gilad Karavani, Rani Haj-Yahya, Noa Ofek Shlomai, Shay Porat
INTRODUCTION: Twin vaginal delivery presents a unique clinical challenge for obstetricians. The twin birth study demonstrated the safety of planned vaginal delivery regarding neonatal outcomes. However, that study lacked description of the risk factors associated with and the outcome of unplanned cesarean section. The aim of this study is to identify potential risk factors for cesarean section and delivery related neonatal morbidity and mortality in women with twin pregnancy attempting vaginal delivery...
February 24, 2018: Acta Obstetricia et Gynecologica Scandinavica
Wendy A March, Melissa J Whitrow, Michael J Davies, Renae C Fernandez, Vivienne M Moore
INTRODUCTION: Women with polycystic ovary syndrome are susceptible to depression and anxiety and so may also be at risk for postnatal depression. This study investigates whether women with polycystic ovary syndrome have an elevated risk of postnatal depression. MATERIAL AND METHODS: Cross-sectional data for parous women (n = 566) were available from a birth cohort. Polycystic ovary syndrome was diagnosed using the Rotterdam criteria. Details of reproductive history, pregnancy, birth, and postnatal depression were obtained through structured interview...
February 20, 2018: Acta Obstetricia et Gynecologica Scandinavica
Ulrik Schiøler Kesmodel
Cross-sectional studies serve many purposes, and the cross-sectional design is the most relevant design when assessing the prevalence of disease, attitudes and knowledge among patients and health personnel, in validation studies comparing e.g. different measurement instruments, and in reliability studies. This paper describes the use and provides examples within obstetrics and gynecology. Caveats are also described; for example, when cross-sectional data is used for analytical purposes of associations between an exposure and an outcome, authors and readers should be careful not to make causal inferences, unless the exposure may safely be assumed to be stable over time and not influenced by experiencing the outcome...
February 17, 2018: Acta Obstetricia et Gynecologica Scandinavica
Ulrik Schiøler Kesmodel
Information bias occurs when any information used in a study is either measured or recorded inaccurately. This paper describes some of the most common types of information bias, using examples from obstetrics and gynecology, and describes how information bias may affect results of observational studies. Non-differential misclassification occurs when the degree of misclassification of exposure status among those with and those without the disease is the same, and in cohort studies, this type of bias is most likely and will bias estimates toward no association when exposure is dichotomized...
February 17, 2018: Acta Obstetricia et Gynecologica Scandinavica
Bradley de Vries, Rajit Narayan, Kevin McGeechan, Stanley Santiagu, Ramesh Vairavan, Minke Burke, Hala Phipps, Jon Hyett
INTRODUCTION: Cesarean section rates continue to increase globally. Prediction of intrapartum cesarean section could lead to preventive measures. Our aim was to assess the association between sonographically measured cervical length at 37 weeks of gestation and cesarean section among women planning a vaginal birth. The population was women with a low-risk pregnancy or with gestational diabetes. MATERIAL AND METHODS: This was a prospective cohort study conducted in a tertiary referral hospital in Sydney, Australia...
February 16, 2018: Acta Obstetricia et Gynecologica Scandinavica
Lena Liljestrom, Anna-Karin Wikstrom, Johan Agren, Maria Jonsson
INTRODUCTION: Our aim was to identify antepartum risk factors for neonatal hypoxic ischemic encephalopathy, with a focus on maternal body mass index and height. MATERIAL AND METHODS: National population-based cohort study of 692 428 live-born infants ≥36 gestational weeks in Sweden, 2009-2015. Data from the Swedish Medical Birth Register and the Swedish Neonatal Quality Register were linked. Short maternal stature was defined as ≤155 cm, and overweight as body mass index ≥25 kg/m2 ...
February 16, 2018: Acta Obstetricia et Gynecologica Scandinavica
Julie Anna Slavensky, Ulrik Schiøler Kesmodel
INTRODUCTION: Alcohol binge drinking is common in early pregnancy and is a well-established risk factor for subsequent child health. Yet very few studies have investigated the effect on fetal growth. Furthermore it has also been speculated whether the timing of binge drinking is a determining factor for neonatal growth. The objective of this study was to assess the potential effect of binge drinking and different drinking patterns (timing and number of binge drinking episodes) in early pregnancy on fetal growth estimated by birthweight and birth length...
February 12, 2018: Acta Obstetricia et Gynecologica Scandinavica
Katja Ångerud, Eva-Maria Annerbäck, Tanja Tydén, Santosh Boddeti, Per Kristiansson
INTRODUCTION: Adverse childhood experiences (ACE) result in somatic and mental health disturbances. Its influence on antenatal depression is scarcely studied. This study examined the association between experience of ACE and antenatal depressive symptomatology. MATERIAL AND METHODS: 1257 women from 172 antenatal clinics in Sweden were surveyed during pregnancy and one year after delivery. Demographics, previous medical history and Edinburgh Postpartum Depression Scale (EPDS) were collected in pregnancy and postpartum and ACE one year postpartum...
February 12, 2018: Acta Obstetricia et Gynecologica Scandinavica
Paolo Vercellini, Laura Buggio, Alessandra Borghi, Ermelinda Monti, Umberto Gattei, Maria Pina Frattaruolo
A comprehensive literature review was performed to evaluate the effect of various hormonal therapies, in terms of variations of intestinal and pain complaints and of patient satisfaction with treatment, in women with symptomatic, non-severely sub-occlusive endometriosis infiltrating the proximal rectum and sigmoid colon. A MEDLINE search through PubMed from 2000 to 2018 was conducted to identify all original English language articles published on medical treatment for colorectal endometriosis. Additional reports were identified by systematically reviewing reference lists and using the "similar articles" function in PubMed...
February 12, 2018: Acta Obstetricia et Gynecologica Scandinavica
Mariana Seijo, Nicole Minckas, Gabriela Cormick, Daniel Comandé, Agustín Ciapponi, José M Belizan
INTRODUCTION: The use of self-report as a strategy for collecting data of women's weight and height is broadly spread both in clinical practice and epidemiological studies. This study aimed to compare self-reported and directly measured weight and height among women of reproductive age. MATERIAL AND METHODS: In July 2015 we searched MEDLINE, EMBASE, COCHRANE, CINHAL, LILACS and grey literature. We included women of reproductive age (12 to 49 years old) independently of their weight or height at the time of the study...
February 11, 2018: Acta Obstetricia et Gynecologica Scandinavica
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