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Acta Obstetricia et Gynecologica Scandinavica

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https://www.readbyqxmd.com/read/29165793/risk-of-preterm-birth-in-women-with-cervical-intraepithelial-neoplasia-grade-one-a-population-based-cohort-study
#1
Annu Heinonen, Mika Gissler, Jorma Paavonen, Anna-Maija Tapper, Maija Jakobsson
INTRODUCTION: In this population based register study our objective was to explore the association of cervical intraepithelial neoplasia, grade 1 (CIN1) and loop electrosurcigal excision procedure (LEEP) with preterm birth (PTB). MATERIAL AND METHODS: Our population consisted of 4 759 women diagnosed for CIN1 during 1997-2009 and their 3 021 subsequent deliveries analyzed by LEEP and parity. Hospital Discharge Register was used to identify women diagnosed for CIN1 and this data were linked with the Medical Birth Register data...
November 22, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29164597/maternal-body-mass-index-as-a-predictor-for-delivery-method
#2
Anita Pettersen-Dahl, Gulim Murzakanova, Leiv Sandvik, Katariina Laine
INTRODUCTION: High maternal body mass index (BMI) is associated with complications during pregnancy and delivery, such as gestational diabetes, hypertensive disorders, perineal injuries and macrosomia. The aim of this study was to assess the association between maternal BMI and delivery method in non-breech, singleton deliveries, after 36 weeks of gestation, in women with no more than one previous cesarean section, in Oslo University hospital, Ullevål. MATERIAL AND METHODS: This retrospective register study used data from the hospital obstetrical database in 2011-2012, forming a cohort of 8821 women...
November 22, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29164604/absent-fetal-nasal-bone-in-the-second-trimester-and-risk-of-abnormal-karyotype-in-a-prescreened-population-of-chinese-women
#3
Yan Du, Yunyun Ren, Yingliu Yan, Li Cao
INTRODUCTION: To evaluate the value of absent fetal nasal bone in the prediction of fetal chromosomal abnormalities, according to whether it was associated with other soft markers or structural abnormalities in a prescreened population of Chinese pregnant women. MATERIAL AND METHODS: In this retrospective cohort study, women whose fetuses had absent nasal bone detected during the second trimester ultrasound scan were followed. Fetal karyotyping was performed and pregnancy outcomes were recorded...
November 21, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29164601/clinical-decision-analysis-in-perinatology
#4
Rohan D'Souza, Prakesh S Shah, Beate Sander
Clinical decision-making in perinatology involves tradeoffs between two intricately related individuals - mother and fetus. Decision-making in perinatology is challenging due to competing interests of the mother and the fetus. Although decision analytic methods are increasingly used to develop processes for clinical and cost-effectiveness analyses in perinatology, there are no guidelines on the conduct and reporting of decision analysis studies that takes into account the complexities of the mother-fetus dyad...
November 21, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29156102/decreasing-trends-in-number-of-depot-medroxyprogesterone-acetate-starters-in-norway-a-cross-sectional-study
#5
Ingvild Roksvaag, Finn Egil Skjeldestad
INTRODUCTION: In this study, we examined changes in depot medroxyprogesterone acetate (DMPA) prescriptions over a time-period when new professions started prescribing, and when the method gained some negative media attention. MATERIAL AND METHODS: The Norwegian Prescription Database provided data on hormonal contraception from 2006 through 2012. We estimated annual number of DMPA users by calculating doses sold per day/1000 women and calculated, for each contraceptive method on annual basis, a proportion of defined daily doses of all hormonal contraceptives in 5-year age groups at reproductive age...
November 20, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29156081/cervical-hpv-prevalence-and-genotype-distribution-in-immunosuppressed-danish-women
#6
Mette T Roensbo, Jan Blaakaer, Karin Skov, Anne Hammer
INTRODUCTION: Women receiving immunosuppressive treatment due to organ transplantation are at increased risk of Human papilloma virus (HPV)-related diseases, including cervical neoplasia. This pilot study aimed to describe the cervical HPV prevalence and genotype distribution in immunosuppressed Danish women. MATERIAL AND METHODS: We included women who underwent renal- (RTR) or bone marrow transplantation (BMTR) in 2009-2012 or 2014 at Aarhus University Hospital, Denmark...
November 20, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29143306/long-term-evaluation-of-painful-symptoms-and-fertility-after-surgery-for-large-rectovaginal-endometriosis-nodule-a-retrospective-study
#7
Nicolas Bourdel, Aurélie Comptour, Paméla Bouchet, Anne-Sophie Gremeau, Jean-Luc Pouly, Karem Slim, Bruno Pereira, Michel Canis
Optimal surgical treatment of rectovaginal endometriosis remains a controversial topic. The objective of this study was to evaluate long term postoperative outcomes after rectal shaving or colorectal resection for rectovaginal endometriosis MATERIAL AND METHODS: 195 patients underwent surgery (172 managed by shaving, 23 by colorectal resection) between January 2000 and June 2013 for rectovaginal endometriosis (>2cm) involving at least the serosa of the rectum. Primary outcome measures were pain and fertility...
November 15, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29136274/diagnostic-accuracy-of-magnetic-resonance-imaging-in-detecting-the-severity-of-abnormal-invasive-placenta-a-systematic-review-and-meta-analysis
#8
Alessandra Familiari, Marco Liberati, Philip Lim, Giorgio Pagani, Giuseppe Cali, Danilo Buca, Lamberto Manzoli, Maria Elena Flacco, Giovanni Scambia, Francesco D'Antonio
Accurate prenatal diagnosis of abnormally invasive placenta (AIP) is fundamental because it significantly reduces maternal morbidities MATERIAL AND METHODS: Medline, Embase, CINAHL and The Cochrane databases were searched. The primary aim of the present review was to elucidate the diagnostic accuracy of prenatal magnetic resonance imaging (MRI) in recognizing the severity of AIP, defined as the depth and topography of invasion. The secondary aim was to ascertain the strength of association between each MRI sign and the depth of placental invasion and to test their individual predictive accuracy in detecting such invasion...
November 14, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29125636/very-tight-versus-tight-control-which-should-be-the-criteria-for-pharmacologic-therapy-dose-adjustment-in-diabetes-in-pregnancy-evidence-from-randomized-controlled-trials
#9
Claudia Caissutti, Gabriele Saccone, Andrea Ciardulli, Vincenzo Berghella
INTRODUCTION: There is inconclusive evidence from randomized controlled trials (RCTs) to support any specific criteria for pharmacologic therapy dose adjustment in diabetes in pregnancy. Our objective was to analyze the criteria for dose adjustment of pharmacologic treatment for diabetes mellitus (DM) in pregnancy. MATERIAL AND METHODS: Data sources: MEDLINE, OVID and Cochrane Library were searched from their inception to September 2017. Selection criteria included all trials of DM in pregnancy managed by oral hypoglycemic agents or insulin reporting criteria for pharmacologic therapy dose adjustment...
November 10, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29125627/placental-development-and-function-in-women-with-a-history-of-placenta-related-complications-a-systematic-review
#10
Ignatia F Reijnders, Annemarie G M G J Mulders, Maria P H Koster
INTRODUCTION: Women with a history of placenta-related pregnancy complications, such as preeclampsia, intra-uterine growth restriction or preterm delivery, have an increased risk for recurrence of such complications. This recurrence is likely the result of underlying endothelial dysfunction that leads to abnormal placentation, especially in complications with an early onset. This study provides an overview of biomarkers of placental development and function in pregnancies from women with a history of pregnancy-related complications...
November 10, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29091257/are-women-positive-for-the-one-step-but-negative-for-the-two-step-screening-tests-for-gestational-diabetes-at-higher-risk-for-adverse-outcomes
#11
Claudia Caissutti, Adeeb Khalifeh, Gabriele Saccone, Vincenzo Berghella
INTRODUCTION: To evaluate if women meeting criteria for gestational diabetes mellitus (GDM) by the One Step test as per International Association of the Diabetes and Pregnancy Study Groups (IADPSG) criteria but not by other less strict criteria have adverse pregnancy outcomes compared to GDM negative controls. The primary outcome was the incidence of macrosomia, defined as birth weight >4,000 grams. MATERIAL AND METHODS: Electronic databases were searched from their inception until May 2017...
November 1, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29080367/risk-of-bowel-obstruction-during-ivf-treatment-of-patients-with-deep-infiltrating-endometriosis
#12
Mikkel Seyer-Hansen, Anne Egekvist, Axel Forman, Mads Riiskjaer
INTRODUCTION: Women with endometriosis often experience pain and infertility. Medical treatment interferes with the possibility to attain pregnancy. For infertile women with endometriosis surgery is a possible treatment, but with advanced disease there is an increased risk of serious complications. With only limited pain, the women will often be referred for in vitro fertilization (IVF) treatment instead. The disease is estrogen dependant and during IVF treatment the women could theoretically experience worsening of their symptoms...
October 28, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29077989/gut-microbiome-in-gestational-diabetes-a-cross-sectional-study-of-mothers-and-offspring-5-years-post-partum
#13
Sayyid Hasan, Velma Aho, Pedro Pereira, Lars Paulin, Saila B Koivusalo, Petri Auvinen, Johan G Eriksson
INTRODUCTION: An altered gut microbiome composition is shown to be associated with various diseases and health outcomes. We compare the gut microbiota of women who developed gestational diabetes mellitus (GDM) to those who did not, and the gut microbiota of their offspring, to determine any differences in the composition and diversity of their gut microbiota, which may be correlated with their GDM state. MATERIAL AND METHODS: All women were at high risk for GDM and participated in the Finnish Gestational Diabetes Prevention Study (RADIEL)...
October 27, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29068541/reproducibility-and-acceptability-of-ultrasound-measurements-of-head-perineum-distance
#14
Sigurlaug Benediktsdottir, Kjell Åsmund Salvesen, Hulda Hjartardottir, Torbjørn Moe Eggebø
INTRODUCTION: We aimed to test reproducibility of head-perineum distance (HPD) measurements using two different ultrasound devices and five examiners, to compare ultrasound measurements and clinical assessments and to study if ultrasound examinations were acceptable for women in labor. MATERIAL AND METHODS: A reproducibility study was performed at Lund University Hospital, Sweden and Landspitali University Hospital, Iceland from February 2015 to February 2017. The study population comprised 40 healthy women in labor...
October 25, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29068467/understanding-the-associations-and-significance-of-fetal-movements-in-overweight-or-obese-pregnant-women-a-systematic-review
#15
Billie F Bradford, John M D Thompson, Alexander E P Heazell, Lesley M E McCowan, Chris J D McKinlay
INTRODUCTION: Presentation with decreased fetal movement (DFM) is associated with fetal growth restriction and stillbirth. Some studies report DFM is frequent amongst overweight or obese mothers. We aimed to determine the significance and associations of fetal movements in women of increased body size. MATERIALS AND METHODS: This systematic review was conducted in accordance with the PRISMA statement and the protocol was registered with PROSPERO (CRD42016046352)...
October 25, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29057456/small-fetal-thymus-and-adverse-obstetrical-outcome-a-systematic-review-and-a-meta-analysis
#16
Claudia Caissutti, Alessandra Familiari, Asma Khalil, Maria Elena Flacco, Lamberto Manzoli, Giovanni Scambia, Angelo Cagnacci, Francesco D'Antonio
INTRODUCTION: To explore the association between small fetal thymus on ultrasound and adverse obstetrical outcome. MATERIAL AND METHODS: Medline, Embase, Cochrane and Web of Science databases were searched. Primary outcome was the risk of preterm birth before 37 and 34 weeks in fetuses with compared to those without a small thymus on ultrasound. SECONDARY OUTCOMES: occurrence of chorioamnionitis, intra-uterine growth restriction, neonatal sepsis, gestational age at birth, birthweight, neonatal morbidity and pre-eclampsia...
October 23, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29055052/pregnancy-prior-to-recurrent-pregnancy-loss-more-often-complicated-by-post-term-birth-and-perinatal-death
#17
Marise M Wagner, Jantien Visser, Harjo Verburg, Chantal W P M Hukkelhoven, Jan M M van Lith, Kitty W M Bloemenkamp
INTRODUCTION: The cause of recurrent pregnancy loss remains often unknown. Possibly, pathophysiological pathways are shared with other pregnancy complications. MATERIAL AND METHODS: All women with secondary recurrent pregnancy loss (SRPL) visiting Leiden University Medical Centre (January 2000-2015) were included in this retrospective cohort to assess whether women with SRPL have a more complicated first pregnancy compared to control women. SRPL was defined as ≥ 3 consecutive pregnancy losses before 22 weeks' gestation, with a previous birth...
October 21, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29030982/racial-disparities-in-comorbidity-and-severe-maternal-morbidity-mortality-in-the-united-states-an-analysis-of-temporal-trends
#18
Amy Metcalfe, James Wick, Paul Ronksley
INTRODUCTION: Severe maternal morbidity and mortality have increased in the USA in recent years. This trend has not been consistent across all racial groups. The reasons behind this, and the relationship between pre-existing conditions, pregnancy-associated disease and Severe maternal morbidity/mortality, have not been fully explored. MATERIAL AND METHODS: Annual data on delivery hospitalizations between 1993-2012 were obtained from the Nationwide Inpatient Sample (NIS), representing a 20% sample of hospital discharges from across the USA...
October 14, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29030973/returning-to-work-after-laparoscopic-myomectomy-a-prospective-observational-study
#19
Keren O Huff, Mehrnoosh Aref-Adib, Zwelihle Magama, Evangelia K Vlachodimitropoulou, Reeba Oliver, Funlayo Odejinmi
INTRODUCTION: Laparoscopic myomectomy offers women many benefits over conventional open surgery, including an expedited recovery and return to employment. Our study evaluates the time taken for women to return to work after laparoscopic myomectomy and identifies factors prolonging recovery to over eight weeks. MATERIAL AND METHODS: We prospectively evaluated 94 women undergoing laparoscopic myomectomy by a single surgeon between January 2012 and March 2015. Women had standardised pre-operative counseling and completed a validated return to work questionnaire three months post-operatively via telephone, post or in clinic...
October 14, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29028285/trends-in-the-incidence-rate-type-and-treatment-of-surgically-verified-endometriosis-a-nationwide-cohort-study
#20
Liisu Saavalainen, Tuulia Tikka, Anna But, Mika Gissler, Jari Haukka, Aila Tiitinen, Päivi Härkki, Oskari Heikinheimo
To study the trends in incidence rate, type and surgical treatment, and patient characteristics of surgically verified endometriosis during 1987-2012 MATERIAL AND METHODS: This is a register-based cohort study. We identified women receiving their first diagnosis of endometriosis in surgery from the Finnish Hospital Discharge Register (FHDR). Quality of the FHDR records was assessed bidirectionally. The age-standardized incidence rates of the first surgically verified endometriosis was assessed by calendar year RESULTS: The cohort comprises 49 956 women...
October 13, 2017: Acta Obstetricia et Gynecologica Scandinavica
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