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Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology

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https://www.readbyqxmd.com/read/28793840/inadequate-visits-to-the-emergency-department-by-pregnant-women
#1
Elena Ferriols Pérez, Nadwa Kanjou Augé, Jordi Genovés González, Andrea Burón Prust, Antonio Payà Panadés, Ramón Carreras Collado
Inadequate emergency visits, which could be resolved in primary care, are an unnecessary expense for the healthcare service. We did a review of all gynaecology and obstetrics emergency visits by pregnant or postpartum women during 2010 and 2011 in order to describe the adequacy of the visits by pregnant women to the emergency service. We defined three levels of adequacy: adequate, moderately adequate, and inadequate. One thousand seven hundred and forty-three visits to the emergency room of gynaecology and obstetrics were studied...
August 9, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28784054/induction-of-labour-in-term-premature-rupture-of-membranes-oxytocin-versus-sublingual-misoprostol-a-randomised-clinical-trial
#2
Leila Pouralil, Nafiseh Saghafi, Saeed Eslami Hasan Abadi, Fatemeh Tara, Atieh Mohamadzadeh Vatanchi, Elham Motamedi
Premature rupture of the membranes (PROM) occurs in about 8-10% of pregnancies and its most important complication is chorioamnionitis, so labour induction has an important role in this situation. This study was performed to compare oxytocin and sublingual Misoprostol for labour induction in PROM cases with term pregnancy. A total of 270 pregnant women who had spontaneous rupture of membrane and unripe cervix were enrolled. The first group underwent Oxytocin infusion according to low-dose standard protocol and the second group received 25 μg sublingual Misoprostol every 4 h...
August 8, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28784004/predictors-of-postoperative-hospitalisation-in-women-who-underwent-the-triple-p-procedure-for-abnormal-invasion-of-the-placenta
#3
Manar El Tahan, Ana Piñas Carrillo, Jessica Moore, Edwin Chandraharan
The 'Triple-P Procedure' is a conservative surgical alternative to peri-partum hysterectomy; it involves Peri-operative placental localisation and delivery of the foetus above the placenta, Pelvic devascularisation, and Placental non-separation with myometrial excision and uterine wall reconstruction. Our aim was to determine the factors influencing the duration of post-operative hospitalisation in women undergoing the procedure. A retrospective analysis of 24 patients was performed. The results were; 4 had additional measures (compression sutures and intrauterine balloon tamponade), 2 had co-morbidities, 3 undergoing intra and post-operative complications...
August 8, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28784001/effect-of-maintenance-tocolysis-with-nifedipine-in-established-preterm-labour-on-pregnancy-prolongation-and-neonatal-outcome
#4
Ajay Aggarwal, Rashmi Bagga, Bhavana Girish, Jaswinder Kalra, Praveen Kumar
Fifty women with singleton pregnancies between 26(+0/7) and 33(+6/7 )weeks of gestation and arrested preterm labour (PTL) after acute tocolysis were randomised by a computer generated randomisation table into an intervention group (n = 25) who received maintenance tocolysis with tablet nifedipine for 12 days or up to 34 weeks of gestation, whichever was later and a control group (n = 25). The primary outcome was achievement of term gestation and the secondary outcomes were the number of days gained till delivery and neonatal mortality and morbidity...
August 8, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28784000/vulvar-acrochordons-arranged-in-a-linear-pattern
#5
Sanjay Singh, Alok Kumar Sahoo, Neetu Bhari, Savita Yadav
No abstract text is available yet for this article.
August 8, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28783993/meta-analysis-of-the-association-between-the-trp64arg-polymorphism-of-the-beta-3-adrenergic-receptor-and-susceptibility-to-gestational-diabetes-mellitus
#6
Lianyue Guan, Xiaofeng Cui, Hui Zhou
The study aimed to explore the associations between Trp64Arg polymorphism of Beta-3 Adrenergic receptor (ADRB3) and susceptibility to gestational diabetes mellitus (GDM). Relevant studies till December 2013 were identified through searching electronic databases. A meta-analysis was conducted on associations between Trp64Arg polymorphism in ADRB3 and susceptibility to GDM. We found no association between Trp64Arg polymorphism in ADRB3 and susceptibility to GDM in overall population (Arg vs. Trp: OR = 1.20, 95%CI = 0...
August 8, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28783988/a-retroperitoneal-schwannoma-mimicking-gynaecological-pathology-a-case-report
#7
Nandita Deo, Sam Rayner, Madhavi Kalidindi
No abstract text is available yet for this article.
August 8, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28780898/fertility-sparing-surgery-in-advanced-and-recurrent-granulosa-cell-tumours-of-the-ovary
#8
Natasha Rinne, Alan Farthing, Jane Borley
No abstract text is available yet for this article.
August 7, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28780897/skin-diseases-of-the-vulva-eczematous-diseases-and-contact-urticaria
#9
Freja Lærke Sand, Simon Francis Thomsen
Skin diseases in the vulvar area include a variety of disorders many of which have a chronic course with significant morbidity. It is important to be aware of the symptoms, signs and diagnostic tools in order to optimise treatment. Herein, the most common eczematous diseases of the vulvar area, i.e. lichen simplex chronicus, seborrhoeic dermatitis, atopic dermatitis, irritant contact dermatitis, and non-systemic and systemic allergic contact dermatitis are reviewed. Allergic contact urticaria is also described...
August 7, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28780884/3d-power-doppler-in-uterine-fibroids-influence-of-gain-cardiac-cycle-and-off-line-measurement-techniques
#10
L L Nieuwenhuis, W J K Hehenkamp, H A M Brölmann, J A F Huirne
This study answers the question of whether ultrasound machine settings and the cardiac cycle can influence 3D power Doppler (3D PD) indices in the evaluation of uterine fibroid vascularisation. These parameters were reported to affect the vascular indices and cause undesired variation. 3D PD ultrasound was performed using three different gain settings: a fixed predetermined gain (50 dB), a higher gain (65 dB) and an individualised subjectively most optimal gain. Two consecutive 3D PD sweeps were taken to evaluate the effect of the cardiac cycle...
August 7, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28782423/maternal-anaemia-after-delivery-prevalence-and-risk-factors
#11
Carola Medina Garrido, Jaime León, Adriana Romaní Vidal
The purpose of this study was to assess the prevalence of postpartum anaemia and determine the clinical risk factors for this condition to provide a viable alternative to postpartum haemoglobin measurement. In total, 1415 patients at Hospital Universitario del Tajo, Madrid, who underwent postpartum haemoglobin testing were included, and risk factors for having an Hb level <10 g/dl were determined. We found that 29% of the mothers were anaemic, and birth canal lacerations, caesarean delivery, episiotomy and South American origin were identified as the main risk factors for this condition...
August 6, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28782412/gestational-weight-gain-in-obese-pregnancy-impact-on-maternal-and-foetal-metabolic-parameters-and-birthweight
#12
Karen L Lindsay, Lorraine Brennan, Ann Rath, Orla C Maguire, Thomas Smith, Fionnuala M McAuliffe
The aim of this prospective, observational study was to investigate the impact of gestational weight gain (GWG) among euglycaemic obese pregnant women on maternal and foetal metabolic parameters and neonatal outcome. Total GWG was recorded for 101 obese, non-diabetic women with a singleton pregnancy. At 28 weeks of gestation, fasting maternal blood samples were analysed for glucose, insulin, c-peptide and lipids. Cord bloods were collected at delivery for analysis of glucose, c-peptide and lipids. GWG (mean ± SD =10...
August 6, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28782402/early-catheter-removal-following-laparoscopic-radical-hysterectomy-for-cervical-cancer-assessment-of-a-new-bladder-care-protocol
#13
Patrick Campbell, Maire Casement, Susan Addley, Stephen Dobbs, Ian Harley, Hans Nagar
Evidence to support prolonged catheterisation after radical hysterectomy is lacking. We sought to assess feasibility of a new protocol of early post-operative catheter removal following laparoscopic radical hysterectomy for cervical cancer. A retrospective review of post-operative bladder care in patients who underwent laparoscopic radical hysterectomy for cervical cancer was carried out. The post-operative bladder care protocol recommended catheter removal after 24-72 hours. Three consecutive post-void residual scans of less than 150 millilitres (ml) were considered evidence of normal voiding function...
August 6, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28782399/use-of-bakri-balloon-tamponade-bbt-for-conservative-management-of-postpartum-haemorrhage-a-tertiary-referral-centre-case-series
#14
Manisha Mathur, Qiu Ju Ng, Shephali Tagore
The aim of this study was to investigate the efficacy of the Bakri balloon in the management of PPH. This was a retrospective review of 49 patients, who had Bakri balloon inserted for PPH in KK Hospital between April 2013 and December 2015. The main outcome measure was achievement of haemostasis by Bakri balloon tamponade (BBT). Our success rate was 81.6%. Out of the nine failures (18.0%), five (55.6%) had subtotal hysterectomies and four (44.4%) had total hysterectomies. The causes of PPH in these nine women were unsuspected or foci of placenta accreta (55...
August 6, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28766365/concomitant-use-of-transvaginal-sonography-and-doppler-indices-improve-diagnosis-of-adenomyosis
#15
Duygu Kara Bozkurt, Murat Bozkurt, Ahmet Said Cil, Mert Ulaş Barut, Aynur Adeviye Ersahin, Eray Çalıskan
This study was planned to investigate whether measuring of Doppler indices with TV-DUS improved the diagnosis of adenomyosis. Preoperative Doppler indices of subjects with a preliminary diagnosis of adenomyosis were compared with the histopathological results of excised specimens. Sensitivity, specificity and positive/negative predictive values (PPV, NPV) of the measured indices were also calculated. Sensitivity, specificity, PPV and NPV and positive and negative likelihood ratios (LR+) and (LR-) of TV-US in the diagnosis of adenomyosis were found to be 70...
August 2, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28764605/impact-of-oestrogen-and-progesterone-receptor-expression-in-the-cancer-cells-and-myometrium-on-survival-of-patients-with-endometrial-cancer
#16
Darko Tomica, Snježana Ramić, Damir Danolić, Lucija Šušnjar, Melita Perić-Balja, Mario Puljiz
Loss of oestrogen receptor (ER) and progesterone receptor (PR) expression in endometrial cancer cells indicates poor prognosis. The aim of this study was to determine the correlation of ER and PR expression in cancer cells and the surrounding myometrium with the disease progression. Immunohistochemical expression of ER and PR was detected in cancer and myometrial cells of patients with EC. ER was detected in 65.2% of cancer cells and in 88.4% of myometrial cells. PR was detected in 59.4% of cancer cells and in 84...
August 1, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28764595/a-case-of-gestational-central-diabetes-insipidus-with-oligohydramnios
#17
Jeong Woo Park, Hye Yeon Park, Yoon Joon Hwang, Sang Youb Han
No abstract text is available yet for this article.
August 1, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28764594/intraoperative-endoscopic-ultrasound-guidance-for-laparoscopic-excision-of-invisible-symptomatic-deep-intramural-myomas
#18
Bulent Urman, Aysen Boza, Baris Ata, Sertan Aksu, Tonguc Arslan, Cagatay Taskiran
The aim of this study was to evaluate the feasibility of intraoperative endoscopic ultrasound guidance for excision of symptomatic deep intramural myomas that are not otherwise visible at laparoscopy. Seventeen patients with symptomatic deep intramural myomas who underwent laparoscopic myomectomy with intraoperative endoscopic ultrasound guidance were followed up and reported. All myomas were removed successfully. The endometrium was breached in one patient. All patients were relieved of their symptoms and three patients presenting with infertility conceived...
August 1, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28764586/retrospective-analysis-of-4761-cases-who-underwent-amniocentesis-in-southeast-china
#19
Hehua Tao, Jianping Xiao, Canfeng Yang, Jun Wang, Ye Tang, Caiqin Guo, Junfeng Wang
The aim of this study was to examine the clinical and cytogenetic results of 4761 amniocentesis (AS) cases retrospectively in our clinic in southeast China. The prenatal diagnosis indications, detected chromosomal anomalies and the detection rate of chromosomal abnormalities were studied in 4761 patients who underwent AS between June 2014 and July 2016 retrospectively. Chromosomal abnormality was detected in 137 (2.88%) of the 4761 samples (89.1% numerical, 10.9% structural). The most frequent numerical chromosomal abnormality was trisomy 21 (59...
August 1, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28764584/sonographic-correlation-of-foetal-neck-circumference-and-area-with-gestational-age-among-pregnant-women-in-port-harcourt-nigeria
#20
Obinna Everistus Abonyi, Charles Ugwoke Eze, Sobechukwu W I Onwuzu
The purpose of this study was to create a reference range nomogram of foetal neck circumference (FNC) and foetal neck area (FNA) in a Nigerian population using polynomial regression models. This cross-sectional study involved 723 pregnant women between 14 and 40 weeks of gestation. Axial measurements of the FNC and FNA were obtained in three measurements and the mean taken as the final value and the 5th, 50th and 95th percentiles for each foetal gestational age (FGA) were calculated. FNC and FNA correlated strongly with FGA, biparietal diameter, abdominal circumference, head circumference, and femoral length...
August 1, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
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