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Acta Obstetricia et Gynecologica Scandinavica

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https://www.readbyqxmd.com/read/28524258/cardiotocography-interpretation-skills-and-the-association-with-size-of-maternity-unit-years-of-obstetric-work-experience-and-healthcare-professional-background-a-national-cross-sectional-study
#1
Line Thellesen, Jette Led Sorensen, Morten Hedegaard, Susanne Rosthoej, Nina Palmgren Colov, Kristine Sylvan Andersen, Thomas Bergholt
INTRODUCTION: We aimed to examine whether cardiotocography (CTG) knowledge, interpretation skills and decision-making measured by a written assessment were associated with size of maternity unit, years of obstetric work experience and healthcare professional background. MATERIAL AND METHODS: A national cross-sectional study in the setting of a CTG teaching intervention involving all 24 maternity units in Denmark. Participants were midwives (n=1260) and specialists (n=269) and residents (n=142) in obstetrics and gynecology who attended a one-day CTG course and answered a 30-item multiple-choice question test...
May 19, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28504863/diagnostic-accuracy-of-polymerase-chain-reaction-for-intrapartum-detection-of-group-b-streptococcus-colonization
#2
Rikke Bek Helmig, Jan Berg Gertsen
Many pregnant women are treated with antibiotics during labor to prevent transmission of group B Streptococcus (GBS, Streptococcus agalactiae) to their baby during the passage of the birth canal, and thus reducing the risk of serious infection of the newborn. Methods for intrapartum testing for GBS has been introduced to select women for whom intrapartum antibiotic prophylaxis should be offered. For such an intrapartum test to be useful in clinical practice, it has to be specific as well as sensitive. The aim of the present study is to evaluate the accuracy of the polymerase chain reaction (PCR) assay compared to an optimized culture method for GBS MATERIAL AND METHODS: In the period from 12...
May 15, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28498626/risk-of-labor-dystocia-increases-with-maternal-age-irrespective-of-parity-a-population-based-register-study
#3
Ulla Waldenström, Cecilia Ekéus
Advanced maternal age is associated with labor dystocia (LD) in nulliparous women. This study investigates the age-related risk of LD in first, second and third births MATERIAL AND METHODS: All live singleton cephalic births at term (≥37 gestational weeks) recorded in the Swedish Medical Birth Register from1999 to 2011, except elective cesarean sections and fourth births and more, in total 998 675 pregnancies, were included in the study. LD was defined by ICD10 codes (O620, O621, O622, O629, O630, O631, and O639)...
May 12, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28498482/effects-of-an-antenatal-lifestyle-intervention-on-offspring-obesity-a-five-year-follow-up-of-a-randomised-controlled-trial
#4
Ann-Kristin Ronnberg, Ulf Hanson, Kerstin Nilsson
Strategies to limit excessive maternal gestational weight gain could also have positive health effects for the offspring. This study informs us on the effect of an antenatal lifestyle intervention on offspring body mass index (BMI) trajectory until age five MATERIAL AND METHODS: A secondary analysis of a randomized controlled trial aimed at reducing gestational weight gain, set in Ørebro, Sweden.Offspring were followed with standardised measures of weight and height until age five. Mean BMI z-score and proportion (%) of over- and undernutrition (BMI z-score >+2 standard deviation) was compared between groups...
May 12, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28493300/timing-of-surgery-for-placenta-previa-with-suspected-abnormally-invasive-placentation-a-test-of-team-competency
#5
Shigeki Matsubara, Hironori Takahashi, Daisuke Matsubara, Akihide Ohkuchi
For patients with placenta previa (PP) with a suspected abnormally invasive placenta (AIP), "the higher the 'concern' for preterm delivery and severity of AIP, the earlier the surgery date" may be better. Perlman et al. (1) showed that "scheduled surgery" at ≥36 weeks was possible for many patients. The incidence of massive bleeding did not differ among 34, 35 vs. ≥36 weeks. They concluded "patients with 'no concern' for percreta/increta or no prior cesarean section (and no preterm-delivery risk) may be candidates for later delivery"...
May 10, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28481411/placenta-cord-and-membranes-a-dual-center-validation-study-of-midwives-classifications-and-notifications-to-the-medical-birth-registry-of-norway
#6
Ingvild Dahl Sunde, Christina Vekseth, Svein Rasmussen, Elham Mahjoob, Karin Collett, Cathrine Ebbing
A validation of data regarding the placenta, cord and membranes in Medical Birth Registry of Norway (MBRN) is lacking. Here we investigate the inter- and intra-observer agreement of observations regarding the placenta, cord and membranes to the MBRN in two institutions MATERIAL AND METHODS: We conducted a dual center validation study of data regarding placenta, cord and membranes. In the inter-observer study, 196 placentas in two institutions were examined by the attending midwife and a blinded colleague, whereas in the intra-observer study registrations by the attending midwife on 195 placentas were compared with her own registrations the MBRN...
May 8, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28467617/mode-of-first-delivery-and-severe-maternal-complications-in-the-subsequent-pregnancy
#7
Lotte B Colmorn, Lone Krebs, Kari Klungsøyr, Maija Jakobsson, Anna-Maija Tapper, Mika Gissler, Pelle G Lindqvist, Karin Källen, Karin Gottvall, Per E Bordahl, Ragnheiður I Bjarnadóttir, Jens Langhoff-Roos
INTRODUCTION: Severe obstetric complications increase by the number of previous cesarean deliveries. In the Nordic countries most women have two children. We present the risk of severe obstetric complications at the delivery following a first elective or emergency cesarean and the risk by intended mode of second delivery. MATERIAL AND METHOD: A two-year population-based data-collection of severe maternal complications in women with two deliveries in the Nordic countries (n=213 518)...
May 3, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28449356/fetal-head-circumference-and-subpubic-angle-are-independent-risk-factors-for-unplanned-cesarean-and-operative-delivery
#8
Giuseppe Rizzo, Elisa Aiello, Costanza Bosi, Francesco D' Antonio, Domenico Arduini
INTRODUCTION: To ascertain whether combined ultrasound assessment of fetal head circumference (HC) and maternal subpubic angle (SPA) prior to the onset of labour may predict the likelihood of an unplanned operative delivery (UOD) in nulliparous women at term. MATERIAL AND METHODS: Prospective cohort study of singleton pregnancies in cephalic presentation. Pregnancies experiencing UOD secondary to fetal distress were excluded. HC was assessed transabdominally while SPA values were obtained from a reconstructed coronal plane on three-dimensional(3D) ultrasound performed trans-labially at 36-38 weeks of gestation...
April 27, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28449286/full-dilatation-cesarean-section-a-risk-factor-for-recurrent-second-trimester-loss-and-preterm-birth
#9
Helena A Watson, Jenny Carter, Anna L David, Paul T Seed, Andrew H Shennan
INTRODUCTION: A previous cesarean section at full dilatation (FDCS) is a risk factor for preterm birth. To provide insight on the risk to subsequent pregnancies, this cohort study compares the outcomes of pregnant women with a previous preterm birth associated either with a prior FDCS or a prior term vaginal delivery. MATERIAL AND METHODS: We identified women attending two inner-city preterm surveillance clinics (Guy's and St Thomas Hospital and University College London Hospital, London, UK) who had a spontaneous late miscarriage (14(+0) -23(+6) weeks) or sPTB (<37weeks) following a term pregnancy, and then a further pregnancy for analysis...
April 27, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28449212/predictors-of-success-of-external-cephalic-version-and-cephalic-presentation-at-birth-among-1-253-women-with-non-cephalic-presentation-using-logistic-regression-and-classification-tree-analyses
#10
Eileen K Hutton, Julia C Simioni, Lehana Thabane
INTRODUCTION: Among women with a fetus in non-cephalic presentation, external cephalic version (ECV) has been shown to reduce the rate of breech presentation at birth and cesarean birth. Compared to ECV at term, beginning ECV prior to 37 weeks gestation decreases the number of infants in a non-cephalic presentation at birth. The purpose of this secondary analysis was to investigate factors associated with a successful ECV procedure and to present this in a clinically useful format. MATERIAL AND METHODS: Data were collected as part of the Early ECV Pilot and Early ECV2 Trials, which randomised 1,776 women with a fetus in breech presentation to either early ECV (34 to 36 weeks gestation) or delayed ECV (at or after 37 weeks)...
April 27, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28437003/high-intensity-focused-ultrasound-for-the-treatment-of-adenomyosis-selection-criteria-efficacy-safety-and-fertility
#11
Lian Zhang, Fangwen Rao, Raymond Setzen
Adenomyosis is a disorder of uterus in which endometrial glands and stroma are present within the uterine musculature. The main clinical manifestations are dysmenorrhea and menorrhagia. Adenomyosis has a great impact on both the quality of life and fertility of women. The treatment of adenomyosis remains an immense challenge MATERIAL AND METHODS: Relevant articles were searched through MEDLINE, Pubmed between 2000 and March 2017. The search terms of adenomyosis, magnetic resonance imaging (MRI) features of adenomyosis, high intensity focused ultrasound (HIFU), Ultrasound-guided HIFU and MRgFUS were used...
April 24, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28432827/parenting-stress-and-its-association-with-perceived-agreement-about-the-disclosure-decision-in-parents-following-donor-conception
#12
Anja J Gebhardt, Gunilla Sydsjö, Agneta Skoog Svanberg, Astrid Indekeu, Claudia Lampic
For many donor-conceiving heterosexual parents, the process of deciding whether and what to tell children about their genetic origin is challenging. We hypothesized that incomplete couple agreement about disclosure could be associated with parenting stress. The aim of the study was to investigate (1) parenting stress levels among heterosexual parents of young children following gamete donation and (2) whether parenting stress is related to perceived agreement about disclosure of the donor conception to the children MATERIAL AND METHODS: This study is part of the longitudinal multicenter Swedish Study on Gamete Donation and included a total of 213 heterosexual parents with children age 1-4 years following oocyte donation (n = 103) and sperm donation (n = 110)...
April 22, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28423456/progesterone-resistance-in-endometriosis-origins-consequences-and-interventions
#13
Bansari G Patel, Martin Rudnicki, Jie Yu, Yimin Shu, Robert N Taylor
Endometriosis is a common cause of pelvic pain and affects up to 10% of women of reproductive age. Aberrant progesterone signaling in the endometrium plays a significant role in impaired decidualization and establishment of ectopic endometrial implants. Eutopic endometrial cells from women with endometriosis fail to downregulate genes needed for decidualization, such as those involved in cell cycle regulation, leading to unbridled proliferation. Several causes of progesterone resistance in the endometrium have been postulated, including congenital "preconditioning", whereby the in utero environment renders infants susceptible to neonatal uterine bleeding and endometriosis...
April 19, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28421599/surgery-versus-conservative-management-of-endometriomas-in-subfertile-women-a-systematic-review
#14
Jacob Brink Laursen, Jeppe Bennekou Schroll, Kirsten T Macklon, Martin Rudnicki
INTRODUCTION: Endometriomas are present in up to 44% of all women with endometriosis and have a detrimental effect on fertility. However, it is controversial whether endometriomas should be surgically removed before assisted reproduction technology (ART). Our purpose was to evaluate whether surgical stripping of endometriomas in subfertile women improves the chance of a live birth. Secondary outcomes were impact on ovarian reserve and pain. Material and methods We conducted a systematic review and metaanalysis with results reported in accordance to the PRISMA guidelines...
April 19, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28419418/does-surgery-for-deep-infiltrating-bowel-endometriosis-improve-fertility-a-review
#15
Maja Lundegaard Iversen, Mikkel Seyer-Hansen, Axel Forman
INTRODUCTION: Reduced fertility is a major concern in women with endometriosis. The influence of surgery of deep infiltrating endometriosis (DIE) affecting the bowel wall on fertility is controversial and the literature on this field is heterogenous. In this review we addressed if surgery for bowel DIE improves spontaneous pregnancy rate and results of in vitro fertilization (IVF), and the potential risk of such surgery. MATERIAL AND METHODS: We conducted a literature search including the terms "deep", "deep infiltrating", "bowel", rectovaginal", "endometriosis", "fertility", "infertility" and "IVF" in Pubmed...
April 17, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28414857/association-of-external-cephalic-version-before-term-with-late-preterm-birth
#16
Kristie L Poole, Sarah D McDonald, Lauren E Griffith, Eileen K Hutton
While evidence suggests that beginning an external cephalic version (ECV) before term (34(0/7) to 36(6/7) ) compared to after term may be associated with an increase in late preterm birth (34(0/7) to 36(6/7) weeks), it remains unknown what might account for this risk. The objective of the present study is to further investigate the association between ECV before term and late preterm birth MATERIAL AND METHODS: Secondary analysis of data collected from the international, multicenter Early ECV trials. We evaluated the relation between ECV exposure and late preterm birth (34(0/7) to 36(6/7) weeks), as well as if additional risk factors for preterm birth (e...
April 17, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28401541/prevalence-of-urinary-incontinence-among-women-and-analysis-of-potential-risk-factors-in-germany-and-denmark
#17
Louise Schreiber Pedersen, Gunnar Lose, Mette Terp Høybye, Susanne Elsner, Annika Waldmann, Martin Rudnicki
Urinary incontinence (UI) is a prevalent condition that interferes with women's health-related quality of life. Prevalence rates from earlier studies are wide-ranging, due to heterogeneity in methodology, definition of UI and the populations included. We aimed to determine the prevalence of UI and associated risk factors in Germany and Denmark by using the same methodology, definition and population MATERIAL AND METHODS: Postal survey conducted in two regions Germany and Denmark, including 8000 women aged 18+ years...
April 12, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28401538/women-s-attitude-towards-routine-hpa-screening-in-pregnancy
#18
Dian Winkelhorst, Rosanne M Loeff, Elske van den Akker-van Marle, Masja de Haas, Dick Oepkes
Fetal and neonatal alloimmune thrombocytopenia (FNAIT) is a potentially life-threatening disease with excellent preventative treatment available for subsequent pregnancies. In order to prevent index cases, the effectiveness of a population-based screening program has been suggested repeatedly. Therefore, we aimed to evaluate women's attitude towards possible future human platelet antigen (HPA)-screening in pregnancy MATERIAL AND METHODS: We performed a cross-sectional questionnaire study amongst healthy pregnant women receiving prenatal care in one of seven participating midwifery practices...
April 12, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28401531/exercise-during-pregnancy-and-risk-of-gestational-hypertensive-disorders-a-systematic-review-and-meta-analysis
#19
Elena Rita Magro-Malosso, Gabriele Saccone, Mariarosaria Di Tommaso, Amanda Roman, Vincenzo Berghella
Gestational hypertensive disorders, including gestational hypertension and preeclampsia, are one of the leading causes of maternal morbidity and mortality. The aim of our study was to evaluate the effect of exercise during pregnancy on the risk of gestational hypertensive disorders MATERIAL AND METHODS: Electronic databases were searched from their inception to February 2017. Selection criteria included only randomized controlled trials of uncomplicated pregnant women assigned before 23 weeks to an aerobic exercise regimen or not...
April 12, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28386985/endometriosis-an-everlasting-challenge
#20
Mette Haase Moen
Endometriosis is one of the most common benign gynecological diseases affecting 5-10% of women of fertile age, and the condition has received much attention. In spite of this, there are still challenges concerning diagnosing and treatment. The diagnostic delay can be more than ten years, and is especially long concerning teenagers. The symptoms can start already in adolescence, but this knowledge has not fully reached out to the medical profession, for example to general practitioners and pediatricians. As no hormonal treatment has proved to be superior, the least complicated drugs such as combined oral contraceptives or progestins should be the first choice for control of pain...
April 7, 2017: Acta Obstetricia et Gynecologica Scandinavica
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