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Archives of Gynecology and Obstetrics

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https://www.readbyqxmd.com/read/28918461/ethnic-differences-in-maternal-near-miss
#1
Karayna Gil Fernandes, Renato Teixeira Souza, Maria Carmo Leal, Erly C Moura, Leonor M Santos, Jose Guilherme Cecatti
PURPOSE: To evaluate the association between ethnic differences and the occurrence of maternal near miss (MNM) in the Amazon and Northeast regions of Brazil. METHODS: This is a secondary analysis of a national cross-sectional study focused on the assessment of care to pregnancy, childbirth, and infants under 1 year of age. Ethnicity was classified as white, black or indigenous. Ethnic distribution by state and region, the proportion of severe maternal complications and related procedures, and the prevalence of MNM and its criteria were calculated for the ethnic groups...
September 16, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28918453/furan-induced-ovarian-damage-in-non-diabetic-and-diabetic-rats-and-cellular-protective-role-of-lycopene
#2
Semra Uçar, Dilek Pandir
PURPOSE: In our work, furan, lycopene, and furan + lycopene treatments were applied to non-diabetic and diabetic female rats via gavage. METHODS: Ovarian tissue alterations with histopathology, immunohistochemistry, malondialdehyde levels, oxidative stress parameters such as superoxide dismutase, catalase, glutathione peroxidase, glutathione-S-transferase and harmful effect on ovarian tissue DNA were evaluated in all groups for 28 days. RESULTS: Furan caused the changes histological, ovarian cell's DNA structure, malondialdehyde levels, antioxidant enzymes activities as in a statistically significant manner in each group...
September 16, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28905115/clinical-application-of-snp-array-analysis-in-fetuses-with-ventricular-septal-defects-and-normal-karyotypes
#3
Fang Fu, Qiong Deng, Ting-Ying Lei, Ru Li, Xiang-Yi Jing, Xin Yang, Can Liao
PURPOSE: The present study aims to evaluate the utility of high-resolution single-nucleotide polymorphism (SNP) arrays in fetuses with ventricular septal defects (VSDs) with or without other structural anomalies but with normal karyotypes and to investigate the outcomes of cases of prenatal VSDs via clinical follow-up. METHODS: We analyzed 144 fetuses with VSDs and normal karyotypes using Affymetrix CytoScan HD arrays and the analyses were carried out a year after birth...
September 13, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28900707/reply-on-letter-to-the-editor-uterine-wall-resection-strategy-for-abnormally-invasive-placenta-extirpative-approach-for-control-patients-justifiable
#4
LETTER
Zhijian Wang, Yanxing Wei
No abstract text is available yet for this article.
September 12, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28900705/clinical-relevance-of-neurological-evaluation-in-patients-suffering-urinary-retention-in-the-absence-of-subvesical-obstruction
#5
N Schwertner-Tiepelmann, A Hagedorn-Wiesner, C Erschig, K Beilecke, F Schwab, R Tunn
PURPOSE: Clinical relevance of neurological evaluation in patients suffered urinary retention in the absence of subvesical obstruction. Determining whether (1) women complaining residual bladder volume without prolapse and obstruction always suffer pudendal nerve damage; (2) neurogenic damage can be linked to patients history/clinical examination; (3) therapy alters regarding to neurological findings; and (4) electromyography (EMG) of musculus sphincter ani externus (MSAE) can be omitted with electronically stimulated pudendal nerve latency (ESPL) as the standard investigation...
September 12, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28900704/uterine-wall-resection-strategy-for-abnormally-invasive-placenta-extirpative-approach-for-control-patients-justifiable
#6
LETTER
Shigeki Matsubara, Hironori Takahashi
No abstract text is available yet for this article.
September 12, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28900659/delayed-presentation-of-uterine-rupture-in-a-didelphys-uterus-misdiagnosed-as-appendicitis-a-case-report-and-review-of-the-literature
#7
Linsen Shi, Xiaoman Lin, Suoyou Sha, Libin Yao, Xiaocheng Zhu, Yong Shao
INTRODUCTION: Uterine rupture during pregnancy caused by uterine dysplasia, such as the double uterus, is very rare and easily overlooked by the surgeon. CASE: A 25-year-old woman, at 17 weeks of gestation presented to our emergency center with acute right lower abdominal pain for more than 10 h. The initial diagnosis is acute appendicitis, but during the exploration, we found about 2500 mL of intraperitoneal hemorrhage, appendix was normal, pregnancy in one of the double uterine and ruptured at the right bottom...
September 12, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28889237/analysis-of-clinical-factors-correlated-with-the-accuracy-of-colposcopically-directed-biopsy
#8
Aiping Fan, Liqin Zhang, Chen Wang, Yingmei Wang, Cha Han, Fengxia Xue
PURPOSE: Many factors affect the accuracy of colposcopically directed biopsy (CDB). This study aimed to compare the histological results of CDB with those of cone specimens and to determine clinical factors associated with the accuracy of CDB in defining the extent and severity of cervical intraepithelial neoplasia. METHODS: We studied 513 patients diagnosed with cervical intraepithelial neoplasia by CDB who underwent conization between September 2012 and December 2016...
September 9, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28887622/non-invasive-prenatal-testing-nipt-europe-s-first-multicenter-post-market-clinical-follow-up-study-validating-the-quality-in-clinical-routine
#9
Anne Flöck, Ngoc-Chi Tu, Anna Rüland, Wolfgang Holzgreve, Ulrich Gembruch, Annegret Geipel
PURPOSE: Non-invasive prenatal tests (NIPT) for the determination of fetal aneuploidies from maternal blood are firmly established in clinical routine. For the first time, the accuracy of an NIPT for the determination of trisomies 21, 18 and 13 in singleton pregnancies was assessed by means of a prospective German-wide multicenter post-market clinical follow-up study, to reliably evaluate the quality in clinical routine. METHODS: The study covered the indications for testing, the test results, the rate of invasive diagnostics and the pregnancy outcome...
September 8, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28884414/effect-of-programmed-intermittent-epidural-boluses-and-continuous-epidural-infusion-on-labor-analgesia-and-obstetric-outcomes-a-randomized-controlled-trial
#10
Leopoldo E Ferrer, David J Romero, Oscar I Vásquez, Ednna C Matute, Marc Van de Velde
PURPOSE: Continuous epidural infusion and programmed intermittent epidural boluses are analgesic techniques routinely used for pain relief in laboring women. We aimed to assess both techniques and compare them with respect to labor analgesia and obstetric outcomes. METHODS: After Institutional Review Board approval, 132 laboring women aged between 18 and 45 years were randomized to epidural analgesia of 10 mL of a mixture of 0.1% bupivacaine plus 2 µg/mL of fentanyl either by programmed intermittent boluses or continuous infusion (66 per group)...
September 7, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28884382/therapy-free-interval-has-prognostic-value-in-patients-with-recurrent-cervical-cancer-treated-with-chemotherapy-following-definitive-concurrent-chemoradiotherapy
#11
Mitsuru Kozaki, Saki Sakuma, Wataru Kudaka, Yoshino Kinjyo, Yusuke Taira, Yoshihisa Arakaki, Yuko Shimoji, Tadaharu Nakasone, Tomoko Nakamoto, Akihiko Wakayama, Takuma Ooyama, Yoichi Aoki
PURPOSE: Patients with cervical cancer recurrence after concurrent chemoradiotherapy (CCRT) who are not candidates for surgical resection or salvage radiotherapy have a dismal prognosis. The predictive factors for the effects of chemotherapy and prognostic factors in these patients were analyzed. METHODS: We collected data for patients with recurrent cervical cancer who were primarily treated with CCRT between 2000 and 2013. Among them, 57 patients treated with only systemic chemotherapy were analyzed for the overall survival (OS), the overall response rate (ORR), and prognostic factors...
September 7, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28879481/association-between-the-number-of-oocytes-retrieved-and-cumulative-live-birth-rate-in-women-aged-35-40%C3%A2-years-undergoing-long-gnrh-agonist-ivf-icsi-cycles
#12
Jianjun Zhou, Bin Wang, Yali Hu, Haixiang Sun
PURPOSE: To study the association between the numbers of oocytes retrieved and the cumulative live birth rates (LBR) in women aged 35-40 years undergoing long GnRH agonist IVF/ICSI cycles. METHODS: A total of 931 women aged 35-40 years who underwent their first cycle of IVF/ICSI treatment between January 2010 and December 2013 at Nanjing Drum Tower Hospital were identified and reviewed. The main endpoint of this study was the cumulative LBR after one complete oocyte retrieval, which included fresh and all subsequent frozen-thaw embryo transfer cycles...
September 6, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28879450/estimation-of-neonatal-outcome-artery-ph-value-according-to-ctg-interpretation-of-the-last-60%C3%A2-min-before-delivery-a-retrospective-study-can-the-outcome-ph-value-be-predicted
#13
S Kundu, E Kuehnle, C Schippert, J von Ehr, P Hillemanns, Ismini Staboulidou
PURPOSE: The aim of this study was to analyze whether the umbilical artery pH value can be estimated throughout CTG assessment 60 min prior to delivery and if the estimated umbilical artery pH value correlates with the actual one. This includes analysis of correlation between CTG trace classification and actual umbilical artery pH value. Intra-and interobserver agreement and the impact of professional experience on visual analysis of fetal heart rate tracing were evaluated. METHODS: This was a retrospective study...
September 6, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28879437/major-underestimation-and-overestimation-of-visual-blood-loss-during-cesarean-deliveries-can-they-be-predicted
#14
Ohad Gluck, Yossi Mizrachi, Michal Kovo, Michael Divon, Jacob Bar, Eran Weiner
PURPOSE: The surgeons' visual estimation is the most widely used method for estimating blood loss (BL) while performing cesarean deliveries (CDs). Major BL underestimation may adversely influence obstetric decision making, and result in delaying interventions. Major BL overestimation may result in unnecessary costly interventions. Therefore, we aimed to identify independent predictors for major BL underestimation and overestimation during CDs. METHODS: All CDs performed between 11/2008 and 6/2016, in a university-affiliated hospital, were reviewed for demographic and surgical data, including the surgeons' reported estimated BL (EBL)...
September 6, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28875376/handling-aberrant-vessels-located-in-the-posterior-bladder-wall-in-surgery-for-abnormally-invasive-placenta-a-non-less-touch-technique
#15
Shigeki Matsubara, Hironori Takahashi, Yosuke Baba
BACKGROUND: At cesarean hysterectomy for abnormally invasive placenta, rupture of aberrant vessels around the uterus causes massive bleeding. PURPOSE: This study aimed at describing a technique to reduce bleeding from aberrant vessels at the posterior bladder wall in this surgery. METHODS: The bladder is filled with 200-300 mL of water during handling the posterior bladder wall. RESULTS: This technique facilitates understanding that some aberrant vessels do not have communications with the cervix-uterus...
September 5, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28875365/the-preoperative-albumin-level-is-an-independent-prognostic-factor-for-optimally-debulked-epithelial-ovarian-cancer
#16
Ali Ayhan, Emre Günakan, İrem Alyazıcı, Nihan Haberal, Özden Altundağ, Polat Dursun
PURPOSE: A low albumin level has been reported to be a prognostic factor for various cancers. The aim of this study was to determine the association between preoperative serum albumin level and survival in patients with epithelial ovarian cancer (EOC). METHODS: Records of 337 patients with EOC that underwent optimal cytoreductive surgery were retrospectively reviewed. Threshold albumin level was planned as 32.5 g L(-1) due to the statistical analyses. RESULTS: Mean overall survival was 51...
September 5, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28875319/kisspeptin-expression-features-in-the-arcuate-and-anteroventral-periventricular-nuclei-of-hypothalamus-of-letrozole-induced-polycystic-ovarian-syndrome-in-rats
#17
Elham Aliabadi, Mohammad Reza Namavar, Keywan Mortezaee, Heidar Toolee, Sara Keshtgar, Hossein Mirkhani, Mohammad Akbari, Tayebeh Rastegar, Somayeh Solhjoo
PURPOSE: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder of the reproductive system characterized by polycystic ovaries and androgen excess. Letrozole is a nonsteroidal aromatase inhibitor that is used in experimental research to induce PCOS. Kisspeptin is an essential protein in regulation of cyclicity. Kisspeptin receptor is expressed in the hypothalamus and pituitary glands, and kisspeptin containing neurons are affected from sex steroid hormones. We aimed to investigate the number of kisspeptin-positive cells in the arcuate (Arc) and anteroventral periventricular nuclei (AVPV) of hypothalamus in the letrozole-induced PCOS...
September 5, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28875276/epigenetic-and-genetic-landscape-of-uterine-leiomyomas-a-current-view-over-a-common-gynecological-disease
#18
Antonio Simone Laganà, Daniele Vergara, Alessandro Favilli, Valentina Lucia La Rosa, Andrea Tinelli, Sandro Gerli, Marco Noventa, Amerigo Vitagliano, Onofrio Triolo, Agnese Maria Chiara Rapisarda, Salvatore Giovanni Vitale
PURPOSE: Despite the numerous studies on the factors involved in the genesis and growth of uterine leiomyomas, the pathogenesis of these tumors remains unknown. Intrinsic abnormalities of the myometrium, abnormal myometrial receptors for estrogen, and hormonal changes or altered responses to ischemic damage during the menstrual period may be responsible for the initiation of (epi)genetic changes found in these tumors. Considering these elements, we aimed to offer an overview about epigenetic and genetic landscape of uterine leiomyomas...
September 5, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28875234/in-obesity-even-young-women-suffer-from-urogynecological-symptoms
#19
Janina Brucker, Ina Wagner, Gottfried Rudofsky, Geraldine Rauch, Christof Sohn, Kerstin A Brocker
PURPOSE: To evaluate the occurrence of urogynecological symptoms in obese women treated in a university outpatient clinic for obesity, setting a focus on younger women. METHODS: In this explorative, prospective, cross-sectional, single-center, multidisciplinary clinical trial, all consecutively recruited women received the Prolapse Quality of Life questionnaire (P-QOL) for data acquisition. The total study population (TSP) and a subgroup (SG) aged 18-49 years were evaluated descriptively regarding symptom demonstration...
September 5, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28871471/impact-of-maternal-nutrition-in-hepatitis-e-infection-in-pregnancy
#20
Ashok Kumar, Sheetal Sharma, Premashish Kar, Sarita Agarwal, Siddhartha Ramji, Syed Akhtar Husain, Sudha Prasad, Shashi Sharma
BACKGROUND AND AIM: The basis of host response in hepatitis E virus (HEV)-related liver disease during pregnancy-is still unclear. The study aims to evaluate anthropometric parameters and biochemical nutritional parameters in hepatitis E infection during pregnancy and correlate it with severity of the disease. METHODS: A total of consecutive 267 pregnant women with jaundice were recruited. The jaundiced patients were classified as acute viral hepatitis (AVH) or acute liver failure (ALF)...
September 4, 2017: Archives of Gynecology and Obstetrics
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