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Acta Obstetricia et Gynecologica Scandinavica

Yvonne Rosalie Elisabeth Skogsdal, Jan Åke Karlsson, Yang Cao, Helena Elisabeth Fadl, Tanja Adele Tydén
INTRODUCTION: Limited attention has been paid to the use of contraception in relation to women's family planning intentions. The aim of this study was to investigate the use of contraception during the most recent intercourse as well as the reproductive intentions of Swedish speaking women requesting contraceptive counseling. MATERIAL AND METHODS: A cross-sectional baseline survey in a randomized controlled trial regarding reproductive life planning (before randomization)...
July 14, 2018: Acta Obstetricia et Gynecologica Scandinavica
Nina Julie Verket, Till Uhlig, Leiv Sandvik, Marit Helen Andersen, Tom Gunnar Tanbo, Erik Qvigstad
INTRODUCTION: Women with endometriosis have reduced health-related quality of life (HRQoL). However, comparisons to the general population and other patient groups are lacking. MATERIAL AND METHODS: The present cross-sectional questionnaire study included 157 women with endometriosis, 156 women from the general population, and 837 women with rheumatoid arthritis (RA). During a period from 2012 to 2013, women aged 18-45 years were recruited from the Norwegian Endometriosis Association and from a random sample of women residing in Oslo, Norway...
July 14, 2018: Acta Obstetricia et Gynecologica Scandinavica
Patricia G Oppelt, Meike Weber, Andreas Mueller, Alexander Boosz, Inge Hoffmann, Nathalie Raffel, Laura Lotz, Matthias W Beckmann, Ralf Dittrich
INTRODUCTION: Endometriosis is associated with hyperperistalsis and dysperistalsis in the uterus, and it has been shown that progesterone leads to a decrease in uterine contractility. The synthetic gestagen dienogest is often administered in women who are receiving conservative treatment for endometriosis, and it may be the treatment of choice. The present study investigated the effects of dienogest on uterine contractility in comparison with the known inhibitory effect of progesterone...
July 14, 2018: Acta Obstetricia et Gynecologica Scandinavica
Shannon Reid, Mercedes Espada, Chuan Lu, George Condous
INTRODUCTION: The study aim was to evaluate the transvaginal sonography (TVS) "sliding sign" alone, direct visualization of the bowel with TVS, and the combination of both methods (i.e. "sliding sign" and direct visualization of the bowel), to determine the optimal TVS method for the prediction of rectal/rectosigmoid deep endometriosis (DE). MATERIAL AND METHODS: Multicentre prospective observational study (January 2009- February 2017). All women underwent TVS to determine whether the "sliding sign" was positive/negative and whether rectal/rectosigmoid DE was present, followed by laparoscopic surgery...
July 14, 2018: Acta Obstetricia et Gynecologica Scandinavica
Amarnath Bhide, Arianna Laoreti, Andrea Kaelin Agten, Aris Papageorghiou, Asma Khalil, James Uprichard, Basky Thilaganathan, Edwin Chandraharan
INTRODUCTION: Ultrasound signs of abnormal placental invasion are subjective in nature. We tested the hypothesis that placental thickness in the lower uterine segment is increased when there is abnormally invasive placenta (AIP) in women with a low-lying placenta. MATERIAL AND METHODS: Retrospective analysis of data of placental thickness in women with ultrasound evidence of major placenta previa or a low-lying anterior placenta. The diagnosis of AIP was confirmed both intraoperatively and on histopathology for those managed by partial myometrial excision with uterine conservation or by hysterectomy...
July 6, 2018: Acta Obstetricia et Gynecologica Scandinavica
Lena Liljestrom, Anna-Karin Wikstrom, Maria Jonsson
INTRODUCTION: Our aim was to investigate the risk of moderate to severe hypoxic ischemic encephalopathy (HIE) by obstetric emergencies, with focus on the distribution of obstetric emergencies by parity, taking the history of a previous cesarean into account. MATERIAL AND METHODS: Population-based cohort study of 692 428 live births ≥ 36 weeks in Sweden, 2009-2015. Data were retrieved by linking the Swedish Medical Birth Register with the Swedish Neonatal Quality Register...
July 6, 2018: Acta Obstetricia et Gynecologica Scandinavica
Mari Sälevaara, Raija-Leena Punamäki, Leila Unkila-Kallio, Mervi Vänskä, Maija Tulppala, Aila Tiitinen
The aim of this study was to compare the mental health problems between parents after oocyte donation treatment, those after in vitro fertilization/intra-cytoplasmic sperm injection (IVF/ICSI) with own gametes and naturally conceiving (NC) MATERIAL AND METHODS: This is a prospective, longitudinal questionnaire study. The study group consisted of 26 oocyte donation mothers and their matched IVF/ICSI (n = 52) and NC (n = 52) controls. Matching was performed according to mother's age, parity, type of pregnancy and number of returned questionnaires...
July 5, 2018: Acta Obstetricia et Gynecologica Scandinavica
Lennart Blomqvist, Margareta Hellgren, Annika Strandell
INTRODUCTION: Recurrent pregnancy loss occurs in about one percent of fertile couples. Without proper evidence for an effect different treatments have been used when no etiological factor has been detected. The present trial is the first randomized trial to compare 75 mg acetylsalicylic acid with placebo for women with recurrent pregnancy loss. MATERIAL AND METHODS: This randomized, double-blind, placebo-controlled trial was conducted at a single center between 2008 and 2015...
July 4, 2018: Acta Obstetricia et Gynecologica Scandinavica
Katrine Kaare Hedengran, Malene Rohr Andersen, Pal Bela Szecsi, Christian Lindh, Niels Uldbjerg, Steen Stender
INTRODUCTION: Smoking women deliver significantly smaller infants. These infants have reduced levels of the vasodilator, endothelial nitric oxide synthase (eNOS) levels in the umbilical vessels, which may reduce fetal growth. Serum cotinine, the degradation product of nicotine, can determine the level of tobacco exposure. Newborns of environmental smokers are suggested to be smaller/shorter as measured by weight, length, and head circumference. The eNOS levels have not yet been studied in these infants...
July 3, 2018: Acta Obstetricia et Gynecologica Scandinavica
Florent Fuchs, Julie Burlat, Fréderic Grosjean, Romy Rayssiguier, Guillaume Captier, Jean-Michel Faure, Coralie Dumont
INTRODUCTION: When an orofacial cleft lip is discovered, precise characterization of this malformation is necessary and especially the extension of this cleft to the secondary palate. We aimed to develop and evaluate the feasibility/reproducibility of a score-based quality control for the visualization of the fetal hard palate during second trimester scan. MATERIAL AND METHODS: All ultrasound images of fetal hard palate assessed routinely during second trimester scan were retrospectively retrieved for a 6 months period...
July 2, 2018: Acta Obstetricia et Gynecologica Scandinavica
Benita Tujula, Hannu Kokki, Juha Räsänen, Merja Kokki
We are writing in response to the letter from Levin and Rottenstreich commenting on our recent editorial that elucidated the possible role of procalcitonin (PCT) as a biomarker for severe infections in our specialty. We thank the writers for their interest on the subject. The use of PCT has not yet been established. The use of this novel biomarker in severe infections is particularly low in obstetrics and gynecology. This article is protected by copyright. All rights reserved.
July 2, 2018: Acta Obstetricia et Gynecologica Scandinavica
Hemantha Senanayake
Sri Lanka is an example of how low-cost, context-specific interventions could lead to exponential improvements in health indices. The authors cite the availability of skilled attendance at birth as a key factor in this achievement. Non-health interventions such as universal provision of free education and improvement in transport infrastructure are also contributors. Successive Sri Lankan governments have maintained a political will to expand pro-poor interventions and prioritize maternal and child health. This article is protected by copyright...
June 28, 2018: Acta Obstetricia et Gynecologica Scandinavica
Serena Donati, Alice Maraschini, Ilaria Lega, Paola D'Aloja, Marta Buoncristiano, Valerio Manno
INTRODUCTION: Accurate estimates and reliable classification of maternal deaths are imperative steps in the chain of actions targeted at reducing avoidable maternal mortality. The aims of this study were to estimate the maternal mortality ratio (MMR) in 10 Italian regions covering 77% of total national births and to identify the most suitable approach to classify the causes of death. MATERIAL AND METHODS: Deaths during and within one year after pregnancy have been identified through linkage between death registry and hospital discharge database...
June 28, 2018: Acta Obstetricia et Gynecologica Scandinavica
Anton Pottegård, Søren Friis, Freija Verdoodt, Christian Dehlendorff, Jesper Hallas, Susanne Krüger Kjaer
Epithelial ovarian cancer patients often suffer from chronic diseases requiring drug treatment. We assessed temporal patterns of drug use among ovarian cancer patients MATERIAL AND METHODS: We identified all post-menopausal women with epithelial ovarian cancer in Denmark 2005-2012 and a comparison cohort of age-matched women without cancer. We calculated rates of new drug treatment and total drug use and examined use of new and prevalent drugs before and after diagnosis. Analyses were stratified by histological type and stage of epithelial ovarian cancer RESULTS: We identified 2,742 patients...
June 22, 2018: Acta Obstetricia et Gynecologica Scandinavica
Ingard Nilsen, Guillermo Rebolledo, Ganesh Acharya, Gunnar Leivseth
INTRODUCTION: New methods of conservative treatment of female stress urinary continence are needed. We investigated whether superimposed vibration mechanosignals during Kegel exercises could reduce the amount of urinary leakage after four and six weeks of training. MATERIAL AND METHODS: Sixty women with stress urinary continence were included in this prospective cohort study. Vibration mechanosignals were superimposed during Kegel exercises using an intravaginal device...
June 20, 2018: Acta Obstetricia et Gynecologica Scandinavica
Shigeki Matsubara
I read with great interest the articles by McNamara et al. (1) and Cauldwell and Bewley (2). They report that a patient's death, either the fetus or the mother, devastates the attending obstetricians. Self-blame and finger-pointing by others makes them "second victims". However, another factor should also be considered. This article is protected by copyright. All rights reserved.
June 20, 2018: Acta Obstetricia et Gynecologica Scandinavica
Anna Rose, Edwin Amalraj Raja, Sohinee Bhattacharya, Mairead Black
INTRODUCTION: To improve understanding of rising cesarean section (CS) rates in the UK, this study assessed the relation between clinician thresholds for performing CS for delayed labor progress or suspected fetal distress and corresponding CS rates in Aberdeen, UK. MATERIAL AND METHODS: Time-trends analysis of term births from 1988 to 2012 in a population of nulliparous women (N = 53 745) in Aberdeen, UK, using Chi-square test for trend, and binary logistic regression...
June 14, 2018: Acta Obstetricia et Gynecologica Scandinavica
Anna Gunnerbeck, Pauline Raaschou, Sven Cnattingius, Anna-Karin Edstedt Bonamy, Ronny Wickström
INTRODUCTION: Oral moist snuff is widely used in Sweden also in pregnancy. Maternal snuff use has been associated with increased risks of adverse pregnancy outcomes in epidemiological studies. Self-reported maternal snuff use has not been validated previously. The main objective of this study was to validate self-reported snuff use in pregnancy in a prospective cohort study and in the Medical Birth Register. MATERIAL AND METHODS: A prospective Swedish cohort study, 2005-2011, in which 572 women were asked to participate...
June 14, 2018: Acta Obstetricia et Gynecologica Scandinavica
Heidi Lidal Fidjeland, Mette Brekke, Trine Stokstad, Ingvild Vistad
INTRODUCTION: Due to an increasing number of cancer patients, new follow-up models are being debated, among them follow-up by general practitioners. Before changing surveillance, patients' views are important to explore. The purpose of this study was to compare attitudes toward follow-up care among patients treated for gynecological cancer who had not yet started a follow-up regimen to those who had been attending a hospital-based follow-up regimen for >1 year. MATERIAL AND METHODS: We conducted a cross-sectional survey among gynecological cancer patients recruited from three Norwegian hospitals in 2013-2015: Sørlandet Hospital Kristiansand, Sørlandet Hospital Arendal, and St...
June 12, 2018: Acta Obstetricia et Gynecologica Scandinavica
Tom Tanbo, Jan Mellembakken, Sverre Bjercke, Eva Ring, Thomas Åbyholm, Peter Fedorcsak
The objective of this narrative review is to suggest a rational order of treatment choices in anovulatory women with polycystic ovary syndrome (PCOS), for whom a multitude of treatment options exist. In obese/overweight PCOS patients the importance of weight reduction should be stressed. Inositol, a dietary supplement with a documented effect on ovulation and without side effects in the doses recommended, may be suggested. Additional first line medical alternatives include insulin sensitizers, selective estrogen receptor modulators and aromatase inhibitors...
June 11, 2018: Acta Obstetricia et Gynecologica Scandinavica
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