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Acta Obstetricia et Gynecologica Scandinavica

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https://www.readbyqxmd.com/read/28107774/risk-factors-for-trachelectomy-following-supracervical-hysterectomy
#1
Ziv Tsafrir, Joelle Aoun, Eleni Papalekas, Andrew Taylor, Lauren Schiff, Evan Theoharis, David Eisenstein
We identified risk factors for trachelectomy after supracervical hysterectomy (SCH) due to persistence of symptoms MATERIAL AND METHODS: A retrospective case-control study in a university affiliated hospital. Seventeen patients who underwent a trachelectomy following SCH for nonmalignant indications between June 2002 and October 2014 were compared 68 randomly selected patients (controls) who underwent a SCH within the same time period. Demographics and clinical characteristics were compared between the study and control groups...
January 20, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28107771/a-prospective-study-of-maternal-fetal-and-neonatal-outcomes-in-the-setting-of-cesarean-section-in-low-and-middle-income-countries
#2
Margo S Harrison, Omrana Pasha, Sarah Saleem, Sumera Ali, Elwyn Chomba, Waldemar A Carlo, Ana L Garces, Nancy F Krebs, K Michael Hambidge, Shivaprasad S Goudar, Bhala Kodkany, Sangappa Dhaded, Richard J Derman, Archana Patel, Patricia L Hibberd, Fabian Esamai, Edward A Liechty, Janet L Moore, Dennis Wallace, Elizabeth M McClure, Menachem Miodovnik, Marion Koso-Thomas, Jose Belizan, Robert L Goldenberg
Cesarean section (CS) rates are increasing globally with an unclear effect on pregnancy outcomes. The study objective was to quantify maternal and perinatal morbidity and mortality in low- and middle-income countries associated with CS compared to vaginal delivery (VD) both within and across sites MATERIAL AND METHODS: A prospective population-based study including home and facility births in 337,153 women with a VD and 47,308 women with a CS from 2010 to 2015 was performed in Guatemala, India, Kenya, Pakistan, Zambia, and Democratic Republic of Congo...
January 20, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28100003/neonatal-morbidity-after-spontaneous-labor-onset-prior-to-intended-cesarean-delivery-at-term-a-cohort-study
#3
Julie Glavind, Ioanna Milidou, Niels Uldbjerg, Rikke Maimburg, Tine Brink Henriksen
INTRODUCTION: We aimed to investigate if labor onset before planned cesarean delivery (CD) affects the risk of neonatal admission, respiratory distress, or neonatal infectious morbidity. MATERIAL AND METHODS: Our cohort included singleton term pregnant women with intended CD who delivered at Aarhus University Hospital from 1990 to 2012. Two groups of women were identified: Women with intended CD performed prior to labor (non-labor CD) and women with intended CD performed after spontaneous labor onset (labor onset CD); in both groups there was no other maternal or fetal medical indication for an immediate CD or for early term CD scheduling...
January 18, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28094842/impact-of-microbial-invasion-of-amniotic-cavity-and-the-type-of-microorganisms-on-short-term-neonatal-outcome-in-women-with-preterm-labor-and-intact-membranes
#4
Teresa Cobo, Irene Vives, Adriano Rodríguez-Trujillo, Clara Murillo, Martina A Ángeles, Jordi Bosch, Andrea Vergara, Eduard Gratacós, Montse Palacio
INTRODUCTION: The objective was to evaluate the impact of microbial invasion of the amniotic cavity (MIAC) and the type of microorganisms on pregnancy and short-term neonatal outcomes in women with preterm labor (PTL). MATERIAL AND METHODS: Prospective observational cohort study including women with PTL from 22.0-36.0 weeks. MIAC was defined based on amniotic fluid aerobic/anaerobic/mycoplasmas cultures and intra-amniotic inflammation (IAI) based on amniotic fluid Interleukin-6 levels...
January 17, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28094840/hypertensive-disorders-in-pregnancy-and-later-dementia-a-swedish-national-register-study
#5
Ellika G Andolf, Gunilla C M Sydsjö, Marie K Bladh, Goran Berg, Surendra Sharma
INTRODUCTION: Our aim was to investigate the rate of vascular dementia and dementia in women with previous hypertensive disorders in pregnancy since white matter lesions of the brain and cardiovascular disease are linked both to dementia and hypertensive disorders in pregnancy. MATERIAL AND METHODS: Prospective population based registry study on all women giving birth in Sweden between 1973- 1975 (284 598). Women with and without hypertensive disorders in pregnancy were identified by means of the Swedish Medical Birth Register and linked to the National Patient Register where data on somatic disease later in life were obtained...
January 17, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28084035/conservative-approach-to-rectosigmoid-endometriosis-a-cohort-study
#6
Anne Gisselmann Egekvist, Edvard Marinovskij, Axel Forman, Ulrik Schiøler Kesmodel, Mads Riiskjaer, Mikkel Seyer-Hansen
INTRODUCTION: The aim of the study was to assess the risk of surgery after initial conservative treatment of rectosigmoid endometriosis in relation to demographic data. MATERIAL AND METHODS: The study was conducted on the tertiary endometriosis referral unit, Aarhus University Hospital. Medical records, from patients seen from January 2009 onwards with a diagnosis of rectosigmoid endometriosis and more than six months' follow-up were audited. Demographic data, results of magnetic resonance imaging and time to secondary surgery for rectosigmoid endometriosis were registered...
January 13, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28052320/reliability-in-cardiotocography-interpretation-impact-of-extended-on-site-education-in-addition-to-web-based-learning-an-observational-study
#7
Erika Gyllencreutz, Ingela Hulthén Varli, Pelle G Lindqvist, Malin Holzmann
INTRODUCTION: Previous studies have shown poor reproducibility in cardiotocography (CTG) interpretation. Studies evaluating the Swedish web-based CTG-education program have not proven to increase accurate CTG assessments. The aim of this study was to evaluate whether an extended education can improve inter- and intra-observer reliability in CTG interpretation. MATERIAL AND METHODS: Six obstetricians from two different departments interpreted 106 CTG tracings at two occasions...
January 4, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28052318/severe-fear-of-childbirth-indicates-high-perinatal-costs-for-swedish-women-giving-birth-to-their-first-child
#8
Katri Nieminen, Klaas Wijma, Sanna Johansson, Emelie Kneckt Kinberger, Elsa-Lena Ryding, Gerhard Andersson, Lars Bernfort, Barbro Wijma
INTRODUCTION: The objective of this study was to calculate costs associated with severe FOC during pregnancy and peripartum by comparing two groups of women expecting their first child and attending an ordinary antenatal program; one with low fear of childbirth (FOC) and one with severe FOC. MATERIAL AND METHODS: In a prospective case control cohort study one group with low FOC (Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) sum score ≤60, n=107) and one with severe FOC (W-DEQ ≥85, n=43) were followed up till three months postpartum and included in the analysis...
January 4, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28052317/prenatal-prediction-of-significant-intertwin-birth-weight-discordance-using-standard-second-and-third-trimester-sonographic-parameters
#9
Mark P Hehir, Fionnuala M Breathnach, Jennifer L Hogan, Fionnuala M McAuliffe, Michael P Geary, Sean Daly, John Higgins, Alyson Hunter, John J Morrison, Gerard Burke, Rhona Mahony, Patrick Dicker, Elizabeth Tully, Fergal D Malone
INTRODUCTION: To evaluate standard ultrasound-derived fetal biometric parameters in the prediction of clinically significant intertwin birthweight discordance defined as ≥18%. MATERIAL AND METHODS: This was a secondary analysis of a prospective cohort study of 1,028 unselected twin pairs recruited over a two year period. Dichorionic twins underwent two-weekly ultrasonographic surveillance from 24 weeks' gestation, with surveillance of monochorionic twins two-weekly from 16 weeks...
January 4, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28052314/elevated-nitric-oxide-in-recurrent-vulvovaginal-candidiasis-association-to-clinical-findings
#10
Cathrin Alvendal, Sophia Ehrström, Annelie Brauner, Jon O Lundberg, Nina Bohm-Starke
INTRODUCTION: Recurrent vulvovaginal candidiasis (RVVC) is defined as 3-4 episodes per year and causes substantial suffering. Little is known about the mechanisms leading to relapses in otherwise healthy women. Nitric oxide (NO) is part of the non-specific host defense and is increased during inflammation. NO levels were measured and the expression of inducible nitric oxide synthase (iNOS) was analyzed in the vagina during an acute episode of RVVC and after treatment with fluconazole...
January 4, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28039853/the-presence-of-vaginal-lactobacillus-species-does-not-contribute-to-a-measureable-difference-in-amniotic-fluid-lactate-levels-collected-from-the-vaginal-tract-of-laboring-women
#11
Beverley Hall, Diana Wong, Clare Healy, Mark B Tracy, Sally K Tracy, William D Rawlinson
Amniotic fluid lactate research is based on the hypothesis that a relationship exists between fatigued uterine muscles and raised concentrations of the metabolite lactate, which is excreted into the amniotic fluid during labor. To assess potentially confounding effects of lactate producing organisms on amniotic fluid lactate measurements, we aimed to determine if the presence of vaginal Lactobacillus species was associated with elevated levels of amniotic fluid lactate, measured from the vaginal tract of women in labor MATERIAL AND METHODS: Results from this study contribute to a large prospective longitudinal study of amniotic fluid lactate at a teaching hospital in Sydney, Australia...
December 31, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28029180/long-term-childhood-outcomes-of-breech-presentation-by-intended-mode-of-delivery-a-population-record-linkage-study
#12
Yu Sun Bin, Jane B Ford, Michael C Nicholl, Christine L Roberts
INTRODUCTION: There is a lack of information on long-term outcomes by mode of delivery for term breech presentation. We aimed to compare childhood mortality, cerebral palsy, hospitalizations, developmental, and educational outcomes associated with intended vaginal breech birth (VBB) compared to planned cesarean section . MATERIAL AND METHODS: Population birth and hospital records from New South Wales, Australia, were used to identify women with non-anomalous pregnancies eligible for VBB during 2001 to 2012...
December 28, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28029179/prenatal-diagnosis-of-congenital-heart-diseases-by-fetal-echocardiography-in-second-trimester-a-chinese-multicenter-study
#13
Chen Chu, Yingliu Yan, Yunyun Ren, Xiaotian Li, Yonghao Gui
INTRODUCTION: The objective of our study was to evaluate the performance of detailed fetal echocardiography by skilled obstetric physician sonologists in the diagnosis of congenital heart disease (CHD) in a Chinese population. MATERIAL AND METHODS: This investigation included a multicenter prospective cohort of 10,259 pregnant women attending ten regional tertiary hospitals in China. The inclusion criteria were singleton pregnancy and gestational age 18 ~ ≤28 weeks...
December 28, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28029178/exercise-during-pregnancy-and-risk-of-preterm-birth-in-overweight-and-obese-women-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#14
Elena Rita Magro-Malosso, Gabriele Saccone, Daniele Di Mascio, Mariarosaria Di Tommaso, Vincenzo Berghella
INTRODUCTION: The incidence of overweight and obesity in pregnancy has risen significantly in the last decades. Overweight and obesity have been shown to increase the risk for some adverse obstetric outcome. Lifestyle interventions, such as diet, physical activity and behavior changes, may reduce these risks promoting weight loss and/or preventing excessive weight gain. The possible impact of exercise on the risk of preterm birth (PTB) in overweight or obese women is controversial. Therefore, the aim of our study was to evaluate the effect of exercise on the risk of PTB in overweight or obese pregnant women...
December 28, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28029176/robot-assisted-surgery-in-gynecological-oncology-current-status-and-controversies-on-patient-benefits-cost-and-surgeon-conditions-a-systematic-review
#15
Steffen E Kristensen, Berit J Mosgaard, Mikkel Rosendahl, Tórur Dalsgaard, Signe F Bjørn, Ligita P Frøding, Henrik Kehlet, Claus K Høgdall, Henrik Lajer
INTRODUCTION: Robot-assisted surgery has become more widespread in gynecologic oncology. The purpose of this systematic review is to present current knowledge on robot-assisted surgery, and to clarify and discuss controversies that have arisen alongside the development and deployment. MATERIAL AND METHODS: A database search in PubMed and EMBASE was performed up until March 4th 2016. The search strategy was developed in collaboration with an information specialist, and by application of the PRISMA guidelines...
December 28, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28029175/contraceptive-non-use-and-emergency-contraceptive-use-at-first-sexual-intercourse-among-nearly-12-000-scandinavian-women
#16
Sonia Guleria, Kirsten E Juul, Christian Munk, Bo T Hansen, Lisen Arnheim-Dahlström, Kai-Li Liaw, Mari Nygård, Susanne K Kjaer
INTRODUCTION: To describe recent patterns of contraceptive use at first sexual intercourse (FSI) and to examine whether selected factors are associated with non-use and emergency contraceptive pill (ECP) use at FSI, among 18-26-year-old women from Denmark, Norway and Sweden. MATERIAL AND METHODS: This was a population-based, questionnaire study of randomly chosen 18-26-year-old Scandinavian women. The prevalence of contraception methods used at FSI was calculated...
December 28, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28027410/diagnosing-gestational-diabetes-mellitus-in-the-danish-national-birth-cohort
#17
Sjurdur F Olsen, Azedeh Houshmand-Oeregaard, Charlotta Granström, Jens Langhoff-Roos, Peter Damm, Bodil H Bech, Allan A Vaag, Cuilin Zhang
INTRODUCTION: The Danish National Birth Cohort (DNBC) contains comprehensive information on diet, lifestyle, constitutional and other major characteristics of women during pregnancy. It provides a unique source for studies on health consequences of gestational diabetes mellitus (GDM). Our aim was to identify and validate the GDM cases in the cohort. MATERIAL AND METHODS: We extracted clinical information from hospital records for 1609 pregnancies included in the DNBC with a diagnosis of diabetes during or before pregnancy registered in the Danish National Patient Register and/or from a DNBC interview during pregnancy...
December 27, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28008598/endometriosis-an-old-problem-without-a-current-solution
#18
Lone Hummelshoj
The painful symptoms of endometriosis were described as early as 1690 (1), yet more than 300 years later there is still no definitive treatment or prevention for a disease, which affects an estimated 6-10% of reproductive-aged women (2). This equates to 176 million women worldwide (3), whose lives are burdened daily by pain and/or subfertility. This article is protected by copyright. All rights reserved.
December 23, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27998009/endometriosis-associated-infertility-aspects-of-pathophysiological-mechanisms-and-treatment-options
#19
Tom Tanbo, Peter Fedorcsak
Endometriosis is a common condition in women of reproductive age. In addition to pain, endometriosis may also reduce fertility. The causes of infertility in women with endometriosis may range from anatomical distortions due to adhesions and fibrosis to endocrine abnormalities and immunological disturbances. In some cases, the various pathophysiological derangements seem to interact by mechanisms so far not fully understood. Whether surgery should be offered as a treatment option in endometriosis-associated infertility has become controversial, partly due to its modest or undocumented effect...
December 20, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27990627/the-fertility-assessment-and-counselling-clinic-does-the-concept-work-a-prospective-two-year-follow-up-study-of-519-women
#20
Kathrine Birch Petersen, Thomas Maltesen, Julie L Forman, Randi Sylvest, Anja Pinborg, Elisabeth C Larsen, Kirsten T Macklon, Henriette S Nielsen, Helene W Hvidman, Anders Nyboe Andersen
INTRODUCTION: The Fertility Assessment and Counselling (FAC) Clinic was initiated to provide women information about their current fertility status to prevent infertility and smaller families than desired. The aim was to study the predictive value of a risk assessment score based on known fertility risk factors in terms of time to pregnancy. MATERIAL AND METHODS: Prospective cohort study of the first 570 women attending the FAC Clinic from 2011 to 2013 at Rigshospitalet, Denmark...
December 19, 2016: Acta Obstetricia et Gynecologica Scandinavica
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