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Archives of Gynecology and Obstetrics

Maria Elisabetta Coccia, Francesca Rizzello
No abstract text is available yet for this article.
October 15, 2016: Archives of Gynecology and Obstetrics
Zoran Meštrović, Damir Roje, Marko Vulić, Mirela Zec
BACKGROUND: Optimal gestational weight gain has not yet been clearly defined and remains one of the most controversial issues in modern perinatology. The role of optimal weight gain during pregnancy is critical, as it has a strong effect on perinatal outcomes. PURPOSE: In this study, gestational body mass index (BMI) change, accounting for maternal height, was investigated as a new criterion for gestational weight gain determination, in the context of fetal growth assessment...
October 14, 2016: Archives of Gynecology and Obstetrics
Sebastian Berlit, Amadeus Hornemann, Marc Sütterlin, Christel Weiss, Benjamin Tuschy
PURPOSE: To evaluate the influence of three-dimensional (3D) high-definition (HD) visualisation in laparoscopic hysterectomy in normal weight, overweight and obese women. METHODS: A retrospective analysis of 180 patients undergoing total laparoscopic hysterectomy (TLH: n = 90) or laparoscopic supracervical hysterectomy (LASH: n = 90) was performed. The study collective consisted of 90 women (TLH: n = 45, LASH: n = 45), who underwent laparoscopic hysterectomy with a 3D HD laparoscopic system...
October 13, 2016: Archives of Gynecology and Obstetrics
Marion W C Vlemminx, Hinke de Lau, S Guid Oei
PURPOSE: Timely diagnosing a uterine rupture is challenging. Based on the pathophysiology of complete uterine wall separation, changes in uterine activity are expected. The primary objective is to identify tocogram characteristics associated with uterine rupture during trial of labor after cesarean section. The secondary objective is to compare the external tocodynamometer with intrauterine pressure catheters. METHODS: MEDLINE, EMBASE, and the Cochrane library were systematically searched for eligible records...
October 8, 2016: Archives of Gynecology and Obstetrics
Joseph Menczer
PURPOSE: Platelets have multiple functions and they also play an important role in malignancies. Elevated platelet count and thrombocytosis at the time of diagnosis in patients with many solid tumors correlates with prognosis and is associated with poor survival. The aim of the following report is to review the literature concerning elevated platelet count and thrombocytosis in gynecologic malignancies. METHOD: A PubMed search of all English literature peer-reviewed publications was performed containing the terms elevated platelet count or thrombocytosis and vulvar cancer, cervical cancer, endometrial cancer, and ovarian cancer...
October 6, 2016: Archives of Gynecology and Obstetrics
Liran Hiersch, Riki Bergel-Bson, Dorit Asher, Amir Aviram, Rinat Gabby-Benziv, Yariv Yogev, Eran Ashwal
OBJECTIVE: To identify risk factors for post-partum hemorrhage (PPH) following vacuum assisted vaginal delivery (VAVD). STUDY DESIGN: A retrospective study of all women with singleton pregnancies who underwent VAVD in a tertiary hospital (2012-2014). PPH was defined as any of the following: ≥500 ml estimated blood loss, hemoglobin drop ≥3 g/dl (difference between pre- and post-VAVD hemoglobin levels) or the need for blood products transfusion. Characteristics of women with PPH following VAVD were compared to those of women with no PPH following VAVD...
September 29, 2016: Archives of Gynecology and Obstetrics
Alessandro Ghidini, Daniel Stewart, John C Pezzullo, Anna Locatelli
PURPOSE: To explore whether the characteristics of vacuum delivery are associated with the occurrence of head injury and neonatal complications. METHODS: Retrospectively cohort study of vacuum-assisted attempted vaginal deliveries of singletons. We studied the association of total duration of vacuum application and number of pulls and cup dislodgement with (1) primary outcome: the occurrence of major (subgaleal hemorrhage, skull fracture, and intracranial hemorrhage) or minor (cephalohematoma, scalp laceration more extensive than simple abrasions) neonatal head injuries and (2) secondary outcome: the occurrence of neonatal complications, including 5-min Apgar score <7, umbilical artery pH < 7...
September 28, 2016: Archives of Gynecology and Obstetrics
Dimitrios Papoutsis, Angeliki Antonakou, Adam Gornall, Chara Tzavara, Michelle Mohajer
PURPOSE: To develop a risk-assessment model for the prediction of emergency cesarean section (CS) in women having induction of labor (IOL). METHODS: This was an observational cohort study of women with IOL for any indication between 2007 and 2013. Women induced for stillbirths and with multiple pregnancies were excluded. The primary objective was to identify risk factors associated with CS delivery and to construct a risk-prediction tool. RESULTS: 6169 women were identified with mean age of 28...
September 27, 2016: Archives of Gynecology and Obstetrics
Ritu Khatuja, Sumita Mehta, Sneha Shree, Nidhi Arora
No abstract text is available yet for this article.
September 26, 2016: Archives of Gynecology and Obstetrics
Chunqin Chen, Feikai Lin, Xiaoyun Wang, Yaping Jiang, Sufang Wu
PURPOSE: This study was aimed to evaluate the safety and efficacy of the second-trimester medical abortions using mifepristone and ethacridine lactate in women with placenta previa and/or prior cesarean deliveries. METHODS: The patients who underwent a second-trimester pregnancy termination from January 2009 to December 2015 were retrospectively analyzed. The eligible patients were assigned to four groups based on placentation and cesarean history. The abortion interval (AI), blood loss, hospital stays, incidence of curettage, and transfusion were reviewed...
September 22, 2016: Archives of Gynecology and Obstetrics
George Α Sigalos, Olga Triantafyllidou, Nikos F Vlahos
PURPOSE: The final success of an IVF attempt depends on several steps and decisions taken during the ovarian stimulation, the oocyte retrieval, the embryo culture and the embryo transfer. The final selection of the embryos most likely to implant is the final step in this process and the responsibility of the lab. Apart from strict morphologic criteria that historically have been used in embryo selection, additional information on genetic, metabolomic and morphokinetic characteristics of the embryo is recently combined to morphology to select the embryo most likely to produce a pregnancy...
September 15, 2016: Archives of Gynecology and Obstetrics
Sara R C Driessen, Markus Wallwiener, Florin-Andrei Taran, Sarah L Cohen, Bernhard Kraemer, Christian W Wallwiener, Erik W van Zwet, Sara Y Brucker, Frank Willem Jansen
PURPOSE: To compare hospital versus individual surgeon's perioperative outcomes for laparoscopic hysterectomy (LH), and to assess the relationship between surgeon experience and perioperative outcomes. METHODS: A retrospective analysis of all prospective collected LHs performed from 2003 to 2010 at one medical center was performed. Perioperative outcomes (operative time, blood loss, complication rate) were assessed on both a hospital level and surgeon level using Cumulative Observed minus Expected performance graphs...
September 15, 2016: Archives of Gynecology and Obstetrics
Dan Song, Wei-Min Kong, Tong-Qing Zhang, Si-Meng Jiao, Jiao Chen, Chao Han, Ting-Ting Liu
PURPOSE: To determine the negative conversion regularity of high-risk human papillomavirus (HR-HPV) and to evaluate the prognostic implications of HR-HPV testing in patients with cervical cancer after treatment. METHODS: A retrospective post-treatment analysis of 173 patients with cervical cancer was performed from January 2011 to December 2012. Patients who had HR-HPV infection before treatment were included. Clinical and pathological characteristics, as well as follow-up information, were reviewed...
September 13, 2016: Archives of Gynecology and Obstetrics
Hui-Lian Wang, Xi Lu, Xudong Yang, Nan Xu
PURPOSE: High-risk human papillomavirus (HR-HPV) infection is the main known cause of cervical cancer. Mannose-binding lectin (MBL) is a recognition molecule that mediates phagocytosis and activates complement. METHODS: We performed a meta-analysis to investigate the association of MBL-2 functional polymorphisms with HPV infection and cervical cancer (CC). RESULTS: The meta-analyses indicated an association between the MBL2 exon 1 polymorphisms and susceptibility to HPV infection in the recessive model (OO vs...
September 13, 2016: Archives of Gynecology and Obstetrics
Stefan B Albrich, K Welker, B Wolpert, J Steetskamp, S Porta, A Hasenburg, C Skala
INTRODUCTION: Pelvic floor ultrasound plays a major role in urogynecologic diagnostics. Using 3D ultrasound we can identify integrity of levator ani and measure hiatal area in the axial plane. The main goal of our study was to measure hiatal area on Valsalva in a cohort of urogynecological patients. Furthermore, we aimed to correlate hiatal area with urogynecological symptoms, levator integrity and evaluate cut-off values for pelvic organ prolapse. MATERIALS AND METHODS: In a retrospective analysis, we included 246 patients seen for urogynecological problems in our tertiary urogynecological unit...
September 12, 2016: Archives of Gynecology and Obstetrics
Roy Kessous, Asnat Walfisch, Mihai Meirovitz, Ehud Davidson, Ruslan Sergienko, Eyal Sheiner
PURPOSE: To investigate whether an association exists between preterm delivery and a future risk for female malignancies. METHODS: A population-based study compared the incidence of long-term female malignancies in a cohort of women with and without a history of PTD. Deliveries occurred between the years 1988-2013, with a mean follow-up duration of 12 years. We excluded women with known genetic predisposition or malignancies prior to the index pregnancy. Malignancies investigated included ovarian, uterine, breast and cervix...
September 10, 2016: Archives of Gynecology and Obstetrics
Tamara K Parissenti, Gundula Hebisch, Wieland Sell, Patricia E Staedele, Volker Viereck, Mathias K Fehr
PURPOSE: To identify risk factors for emergency caesarean section in women attempting a vaginal breech delivery at term. METHODS: Data from 1092 breech deliveries performed between 1998 and 2013 at a Swiss cantonal hospital were extracted from an electronic database. Of the 866 women with a singleton, full term pregnancy, 464 planned a vaginal breech delivery. Fifty-seven percent (265/464) were successful in delivering vaginally. Multivariate regression analyses of risk factors were performed, and neonatal and maternal complications were compared...
September 8, 2016: Archives of Gynecology and Obstetrics
Priya Bhide, Åse Vårtun, Berit Aune, Kari Flo, Purusotam Basnet, Ganesh Acharya
PURPOSE: Severe pre-eclampsia affects maternal health with long-term consequences. It is postulated that during the process of implantation and cell differentiation, embryos resulting from the fertilization of ageing oocytes produce malfunctioning trophoectoderm leading to placental dysfunction. Therefore, severe pre-eclampsia may be associated with a decreased ovarian reserve. The objective of this study was to compare serum markers of ovarian reserve and function between women who had severe pre-eclampsia and those who had normal pregnancies...
September 7, 2016: Archives of Gynecology and Obstetrics
Priscilla de Nazaré Silva Dos Santos, Aglécio Luiz de Souza, Gisele Almeida Batista, Vaneska Melhado-Kimura, Gabriel Araújo de Lima, Luis Bahamondes, Arlete Fernandes
PURPOSE: Weight gain has been cited by women as one of the main reasons for discontinuation of the contraceptive depot medroxyprogesterone acetate (DMPA). This study aimed to evaluate binge eating and the biochemical markers of appetite in new DMPA users. METHODS: In this prospective non randomized study with adult healthy women, twenty-eight users of DMPA and twenty-five users of a copper intrauterine device (IUD) were paired for age (±1 year) and body mass index (BMI) (±1 kg/m(2))...
September 7, 2016: Archives of Gynecology and Obstetrics
Hakan Erenel, Begum Aydogan Mathyk, Veysel Sal, Isil Ayhan, Suat Karatas, Arzu Koc Bebek
PURPOSE: We aimed to compare the clinical characteristics and pregnancy outcomes in women who are Syrian refugees and Turkish women who are non-refugees at a maternity center in Istanbul, Turkey. METHODS: A total of 600 singleton pregnancies who delivered at Sisli Hamidiye Etfal Training and Research Hospital were included in the study. Demographic data, obstetrical history, clinical findings, obstetrical and neonatal outcomes were compared between 300 Syrian refugees and 300 control patients...
September 2, 2016: Archives of Gynecology and Obstetrics
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