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Acta Obstetricia et Gynecologica Scandinavica

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https://www.readbyqxmd.com/read/28295149/enlarged-posterior-fossa-on-prenatal-imaging-differential-diagnosis-associated-anomalies-and-post-natal-outcome
#1
Anja Wüest, Daniel Surbek, Roland Wiest, Christian Weisstanner, Harald Bonel, Maja Steinlin, Luigi Raio, Boris Tutschek
INTRODUCTION: The primary aim of this study was to ascertain the prevalence the individual conditions and of associated anomalies in fetuses with the prenatal diagnosis of enlarged posterior fossa and to explore the diagnostic accuracy of ultrasound in these anomalies. The secondary aim was to evaluate the post-natal outcome of children affected by posterior fossa anomalies. MATERIAL AND METHODS: All fetuses with enlarged posterior fossa detected by prenatal sonography at a referral center from 2001-2015 were analyzed retrospectively...
March 14, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28295157/hysterectomy-for-cesarean-scar-pregnancy-no-or-minimal-bladder-separation-technique
#2
Shigeki Matsubara, Shiho Nagayama, Risa Narumi, Rie Usui, Tatsuya Suzuki
For cesarean scar pregnancy (CSP), various uterus-preserving treatments have been proposed (1, 2); however, hysterectomy is eventually required in some cases (1, 2). Hysterectomy-related adverse events should be avoided, especially in CSP-hysterectomy, considering that patients are usually exhausted or compromised both mentally and physically after failed uterus-preserving therapy. This article is protected by copyright. All rights reserved.
March 12, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28295156/identification-of-first-stage-labor-arrest-by-electromyography-in-term-nulliparous-women-after-induction-of-labor
#3
Blanka Vasak, Elisabeth M Graatsma, Elske Hekman-Drost, Marinus J Eijkemans, Jules H Schagen Van Leeuwen, Gerard H A Visser, Benoit C Jacod
Worldwide induction and cesarean delivery rates have increased rapidly, with consequences for subsequent pregnancies. The majority of intra-partum cesarean deliveries are performed for failure to progress, typically in nulliparous women at term. Current uterine registration techniques fail to identify inefficient contractions leading to first stage labor arrest. An alternative technique, uterine electromyography has been shown to identify inefficient contractions leading to first stage arrest of labor in nulliparous women with spontaneous onset of labor at term...
March 12, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28295155/antecedents-and-neuroimaging-patterns-in-cerebral-palsy-with-epilepsy-and-cognitive-impairment-a-population-based-study-in-children-born-at-term
#4
Kristina Ahlin, Bo Jacobsson, Staffan Nilsson, Kate Himmelmann
INTRODUCTION: Antecedents of accompanying impairments in cerebral palsy (CP) and their relation to neuroimaging patterns need to be explored. MATERIAL AND METHODS: A population-based study of 309 children with CP born at term in 1983-1994. Pre-, intra- and postpartum variables previously studied as antecedents of CP type and motor severity were analysed in children with CP and cognitive impairment and/or epilepsy, and in children with CP without these accompanying impairments...
March 12, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28295136/impact-of-uterine-balloon-tamponade-on-the-use-of-invasive-procedures-in-severe-postpartum-hemorrhage
#5
Emilie Gauchotte, Manuela De La Torre, Estelle Perdriolle-Galet, Catherine Lamy, Guillaume Gauchotte, Olivier Morel
INTRODUCTION: The aim of this study was to assess the impact of tamponade, when uterotonic agents fail, on the need for surgery or interventional radiology. MATERIAL AND METHODS: All women who received sulprostone for postpartum hemorrhage were retrospectively compared over two periods: December 2008 to December 2010 without use of tamponade (period 1) and June 2011 to June 2013 with use of tamponade (period 2), in the case of sulprostone failure (STROBE compliant retrospective cohort study)...
March 12, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28295150/cause-of-and-factors-associated-with-stillbirth-a-systematic-review-of-classification-systems
#6
Mamuda Aminu, Sarah Bar-Zeev, Nynke van den Broek
INTRODUCTION: An estimated 2.6 million stillbirths occur worldwide each year. A standardised classification system setting out possible cause of death and contributing factors is useful to help obtain comparative data across different settings. We undertook a systematic review of stillbirth classification systems to highlight their strengths and weaknesses for practitioners and policymakers MATERIAL AND METHODS: We conducted a systematic search and review of the literature undertaken to identify classification systems used to aggregate information for stillbirth and perinatal deaths...
March 10, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28276579/glucose-homeostasis-beta-cell-function-and-insulin-resistance-in-relation-to-vitamin-d-status-after-gestational-diabetes-mellitus
#7
Nael Shaat, Claes Ignell, Anastasia Katsarou, Kerstin Berntorp
INTRODUCTION: We wanted to determine vitamin D status after gestational diabetes mellitus (GDM) and to evaluate whether levels of 25-hydroxyvitamin D3 (25OHD3 ) are associated with beta cell function, insulin resistance, or a diagnosis of diabetes after GDM. MATERIAL AND METHODS: Glucose homeostasis was assessed during a 75-g oral glucose tolerance test 1-2 years after delivery in 376 women with previous GDM (287 European and 78 non-European, including 33 Arab and 35 Asian women)...
March 9, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28247485/is-the-first-urinary-albumin-creatinine-ratio-acr-in-women-with-suspected-pre-eclampsia-a-prognostic-factor-for-maternal-and-neonatal-adverse-outcome-a-retrospective-cohort-study
#8
Eleni G Elia, Amy O Robb, Karla Hemming, Malcolm J Price, Richard D Riley, Anna French-Constant, Fiona C Denison, Mark D Kilby, Rachel K Morris, Sarah J Stock
INTRODUCTION: The aim of this study was to determine the prognostic value of the first urinary albumin/creatinine ratio (ACR) for adverse maternal and neonatal outcomes and how it relates to other prognostic factors. MATERIAL AND METHODS: We performed a retrospective cohort study from December 2009 to February 2012 with analysis of demographic, clinical and biochemical data from two obstetric day assessment units in hospitals in Southeast Scotland. We included 717 pregnant women, with singleton pregnancies after 20 weeks gestation, referred for evaluation of suspected pre-eclampsia and having their first ACR performed...
March 1, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28240343/term-twin-birth-impact-of-mode-of-delivery-on-outcome
#9
Elina Ylilehto, Outi Palomäki, Heini Huhtala, Jukka Uotila
The main aims of this study were to compare maternal and neonatal outcomes in term twin birth according to the planned mode of delivery and to study the effects of chorionicity and inter-twin delivery time on neonatal outcome MATERIAL AND METHODS: A single-center cohort study of 495 women with twin deliveries at ≥ 37+0 weeks of gestation. Term twin deliveries were divided into a trial of labor group (TOL, 69.3%) and a planned cesarean section (CS) group (30.7%). The primary outcomes were maternal and neonatal morbidity RESULTS: 80...
February 27, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28236651/intravenous-fluid-rate-for-reduction-of-cesarean-delivery-rate-in-nulliparous-women-a-systematic-review-and-meta-analysis
#10
Robert M Ehsanipoor, Gabriele Saccone, Neil S Seligman, Rebecca Pierce-Williams, Andrea Ciardulli, Vincenzo Berghella
The National Institute of Child Health and Human Development, American College of Obstetricians and Gynecologists, and Society for Maternal-Fetal Medicine have emphasized the need to promote vaginal delivery and have offered recommendations to safely prevent primary cesarean delivery. However, there has been limited discussion regarding management of intravenous fluids and other aspects of labor management that may influence labor. Therefore the aim of our study was to determine if an intravenous fluid rate of 250 vs 125 mL/hour is associated with a difference in cesarean delivery rate MATERIAL AND METHODS: Searches were performed in Medline, OVID, Scopus, ClinicalTrials...
February 25, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28236297/use-of-hormone-replacement-therapy-after-risk-reducing-salpingo-oophorectomy
#11
Nora Johansen, Astrid H Liavaag, Ole-Erik Iversen, Anne Dørum, Tonje Braaten, Trond M Michelsen
After premenopausal risk-reducing salpingo-oophorectomy (RRSO) to prevent ovarian cancer, the non-cancer related morbidity and mortality may be increased if sex hormones are not replaced. Several guidelines recommend systemic hormone replacement therapy (HRT) to these women until the expected age of menopause. We aimed to study the use of HRT after RRSO MATERIAL AND METHODS: Participants were 324 women after RRSO and 11 160 postmenopausal controls. A subsample of 950 controls had undergone bilateral salpingo-oophorectomy (BSO)...
February 25, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28233896/relevant-human-tissue-resources-and-laboratory-models-for-use-in-endometriosis-research
#12
Erin Greaves, Hilary O D Critchley, Andrew W Horne, Philippa T K Saunders
Endometriosis is characterised by the growth of endometrial-like tissue outside the uterus, most commonly on the pelvic peritoneum and ovaries. Whilst it may be asymptomatic in some women in others it can cause debilitating pain, infertility or other symptoms including fatigue. Current research is directed both at understanding the complex aetiology and pathophysiology of the disorder and the development of new non-surgical approaches to therapy which lack the unwanted side effects of current medical management...
February 24, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28222238/thrombolysis-with-intravenous-recombinant-tissue-plasminogen-activator-during-early-postpartum-period-a-review-of-the-literature
#13
Munetoshi Akazawa, Makoto Nishida
Thromboembolic events are one of the leading causes of maternal death during the postpartum period. Postpartum thrombolytic therapy with recombinant tissue plasminogen activator (rt-PA) is controversial because the treatment may lead to massive bleeding. Data centralization may be beneficial for analyzing the safety and effectiveness of systemic thrombolysis during the early postpartum period. We performed a computerized MEDLINE and EMBASE search. We collected data for 13 cases of systemic thrombolytic therapy during the early postpartum period, when limiting the early postpartum period to 48 hours after delivery...
February 21, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28222233/case-mix-adjusted-variation-in-cesarean-section-rate-in-sweden
#14
Johan Mesterton, Lars Ladfors, Anna Ekenberg Abreu, Peter Lindgren, Sissel Saltvedt, Marianne Weichselbraun, Isis Amer-Wåhlin
INTRODUCTION: Cesarean section (CS) rate is a well-established indicator of performance in maternity care and is also related to resource use. Case mix adjustment of CS rates when performing comparisons between hospitals is important. The objective of this study was to estimate case mix adjusted variation in CS rate between hospitals in Sweden. MATERIAL AND METHODS: In total, 139756 deliveries in 2011 and 2012 were identified in administrative systems in 7 regions covering 67% of all deliveries in Sweden...
February 21, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28196281/validation-of-data-in-the-medical-birth-registry-of-norway-on-delivery-after-a-previous-cesarean-section
#15
Sjur Lehmann, Elham Baghestan, Per Børdahl, Marta Ebbing, Lorentz Irgens, Svein Rasmussen
INTRODUCTION: Trial of labor (TOL) is an option in most deliveries after a previous cesarean section (CS). The Medical Birth Registry of Norway (MBRN) has received compulsory notification of all deliveries in the country since 1967, including data that could identify TOL in epidemiologic research. The objective of this study was to validate MBRN-data for identification of TOL deliveries after a previous cesarean section (CS). MATERIAL AND METHODS: The MBRN provided a random national sample of 500 birth order two deliveries during 1989 to 2012 in women with a registered birth order one CS delivery...
February 14, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28186620/an-update-on-the-diagnosis-surgical-management-and-fertility-outcomes-for-women-with-endometrioma
#16
REVIEW
Ryan Cranney, George Condous, Shannon Reid
Endometriosis is estimated to affect up to 50% of infertile women, and severity of endometriosis stage appears to correlate with reduced fertility. Ovarian endometriomas are found in up to 44% of women with endometriosis, and are significantly associated with the presence of pelvic deep infiltrating endometriosis, ovarian adhesions, and pouch of Douglas obliteration. Through the use of MEDLINE and PubMed databases, we conducted a literature review of all available research related to the diagnosis, surgical management and fertility outcomes for women with endometrioma...
February 10, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28186616/introduction-of-robot-assisted-radical-hysterectomy-for-early-stage-cervical-cancer-impact-on-complications-costs-and-oncologic-outcome
#17
Emelie Wallin, Angelique Flöter Rådestad, Henrik Falconer
INTRODUCTION: The objective was to assess the impact of robot-assisted radical hysterectomy (RRH) on surgical and oncologic outcome and costs compared to open radical hysterectomy (ORH) at a tertiary referral center in Sweden. MATERIAL AND METHODS: In this retrospective analysis all patients treated with radical hysterectomy and pelvic lymphadenectomy for early stage uterine cervical cancer during 2006 -2015 were included (n=304). The patients were divided into two groups, ORH (n=155) and RRH (n=149)...
February 10, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28186614/decline-in-stillbirths-and-perinatal-mortality-after-implementation-of-a-more-aggressive-induction-policy-in-post-date-pregnancies-a-nationwide-register-study
#18
Anne R Zizzo, Ida Kirkegaard, Anja Pinborg, Niels Ulbjerg
INTRODUCTION: In 2011 the Danish national guidelines were changed towards a more aggressive induction and fetal surveillance policy from 1) induction of labor at gestational age (GA) of 42(+0) weeks and 2) no fetal surveillance after 40(+0) to 1) induction of labor between 41(+2) -41(+6) , 2) earlier induction at 41(+0) weeks in case of maternal age > 40 years or body mass index (BMI) > 35 kg/m(2) and 3) fetal surveillance at GA 41(+0) . MATERIAL AND METHODS: This national cohort study included all pregnancies that reached 41(+0) weeks of gestation from 2008 to 2014 (N=102 167)...
February 10, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28181672/endometriosis-increases-the-risk-of-obstetrical-and-neonatal-complications
#19
Janne Foss Berlac, Dorthe Hartwell, Charlotte Wessel Skovlund, Jens Langhoff-Roos, Øjvind Lidegaard
INTRODUCTION: The objective was to assess obstetrical complications and neonatal outcomes in women with endometriosis as compared to women without endometriosis. MATERIAL AND METHODS: National cohort including all delivering women and their newborns in Denmark 1997-2014. Data were extracted from the Danish Health Register and the Medical Birth Register. Logistic regression analysis provided odds ratios (OR) with 95% confidence intervals (CI). Sub-analyses were made for primiparous women with a singleton pregnancy and for women with endometriosis who underwent gynecological surgery before pregnancy...
February 9, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28181670/risk-of-persistent-or-recurrent-neoplasia-in-conservatively-treated-women-with-cervical-adenocarcinoma-in-situ-with-negative-histological-margins
#20
Aime Munro, Jim Codde, Katrina Spilsbury, Colin J R Stewart, Nerida Steel, Yee Leung, Jason Tan, Stuart G Salfinger, Ganendra R Mohan, James B Semmens, Paul A Cohen
INTRODUCTION: Conservative treatments including cold knife cone biopsy (CKC) or loop electrosurgical excision procedure (LEEP) are fertility-preserving alternatives to hysterectomy. The risks of persistent cervical neoplasia in women with negative surgical margins following conservative treatment of adenocarcinoma-in-situ (AIS) are uncertain. This study aims to investigate the risk of persistent or recurrent cervical neoplasia (AIS, adenocarcinoma and/or high-grade cervical squamous intraepithelial neoplasia (CIN)) and compliance with follow-up recommendations in conservatively treated women with AIS and negative histopathological margins...
February 9, 2017: Acta Obstetricia et Gynecologica Scandinavica
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