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Journal of Pediatric and Adolescent Gynecology

Gabrielle K Steinl, Corrie M Whisner, Eva K Pressman, Elizabeth M Cooper, Susan W Groth, Kimberly O O'Brien
STUDY OBJECTIVE: Regular physical activity (PA) during pregnancy decreases the risk of gestational hypertension and preeclampsia. Currently, little is known about the PA of pregnant adolescents. Our intent was to characterize the PA behaviors of a group of racially diverse, low-income pregnant teens and to identify potential determinants of PA. DESIGN, SETTING, PARTICIPANTS, AND INTERVENTIONS: A cohort of 157 racially diverse pregnant adolescents (13-18 yrs) completed up to three Previous Day Physical Activity Recalls (PDPAR) as part of a larger prospective longitudinal study analyzing determinants of maternal and fetal bone health...
September 14, 2018: Journal of Pediatric and Adolescent Gynecology
Allison P Schelble, Diane F Merritt
BACKGROUND: Castleman's disease (CD) is a rare lymphoproliferative disorder that may present as an adnexal mass. We report a case of pelvic CD in an adolescent girl who presented with abdominal pain. CASE: A 13-year-old girl presented with severe abdominal pain, nausea, and vomiting, and was found to have a solid adnexal mass. Repeat imaging revealed the mass to be retroperitoneal and in the left pelvic sidewall. She underwent surgical removal via open retroperitoneal approach, and pathology revealed CD, hyaline vascular variant (HVV) subtype...
September 14, 2018: Journal of Pediatric and Adolescent Gynecology
Margarita Pesmatzoglou, Christina Kanaka-Gantenbein, Vasiliki Dermentzoglou, Antonis Voutetakis, Irini Nikaina, Anna-Venetia Skiathitou, Tania Siahanidou
BACKGROUND: 45,X/46,XY mosaicism is a rare disorder of sex development and phenotypically very heterogenous ranging from normal males (or females) to that of genital ambiguity of varying degree. CASE: We report a case of a neonate with 45,X/46,XY mosaicism and hydrocolpos, and we point out the dilemma and the difficulty in the gender assignment. SUMMARY AND CONCLUSION: The gender assignment of cases with frank genital ambiguity is often difficult to be determined, whereas several factors have to be taken into consideration, such as genital appearance, anticipated urological and sexual function, capacity for future fertility, gonadal malignancy risk and psychosocial factors...
September 8, 2018: Journal of Pediatric and Adolescent Gynecology
C Depoers, F A Lebaccon, K Nyangoh Timoh, J Morcet, M Proisy, S Henno, V Lavoue, A P Arnaud
STUDY OBJECTIVE: To develop a predictive score for ovarian malignancy to avoid unnecessary adnexectomy in cases of adnexal mass in pediatric and adolescent girls. DESIGN: A population-based retrospective study on girls who underwent surgery for an ovarian mass with normal levels of human chorionic gonadotrophin (hCG) and alpha fœtoprotein (aFP) between 1996 and 2016. SETTING: Rennes University Hospital, Rennes, France. PARTICIPANTS: Eighty-one patients operated on for ovarian tumor...
September 8, 2018: Journal of Pediatric and Adolescent Gynecology
M E Harrison, N Obeid, K Haslett, N McLean, C Clarkin
PURPOSE: There is a paucity of research examining body image in pregnant and parenting youth (PPY). Study objectives were to examine: 1) profiles of PPY regarding body image, depression, and eating behaviours and any effects of age and pregnancy status on results; and 2) PPY perceptions of body image. METHODS: Demographic data and scores from measures related to self-esteem, body esteem, eating behaviours and depression were collected from 101 PPY from 2 urban centres...
September 4, 2018: Journal of Pediatric and Adolescent Gynecology
T Priyakumari, Rumesh Chandar, K Jayasree, K Ramachandran
Angiosarcoma (AS) is an uncommon high-grade sarcoma in children. Visceral AS involving the ovary isextremely rare. Due to the lack of recurrent cytogenetic alterations, histopathological identification of this uncommon tumor in unusual sites like ovary demands pathological; expertise. Complete surgical resection and radiotherapy are the chief treatment; modalities determining survival, with chemotherapy contributing a minor role. Early realization of such exceptional presentations of these tumors is needed to achieve the best treatment outcome...
September 1, 2018: Journal of Pediatric and Adolescent Gynecology
Abdulrasheed A Nasir, Lukman O Abdur-Rahman, Omotayo O Adesiyun, Kayode T Bamigbola, Majeed B Adegboye, Hadijat O Raji, Olusola A M Adesiyun, James O Adeniran
STUDY OBJECTIVES: To describe the presentation, diagnosis, management and short-term outcome of children with disorder of sexual development (DSD) in the context of multidisciplinary team care. DESIGN: Prospective descriptive study SETTING: Teaching Hospital PARTICIPANTS: All children presenting with genital ambiguity PATIENTS AND METHODS: All patients diagnosed and managed for DSD between January 2011 and December 2016 were reviewed. INTERVENTION: The care pathway included clinical, laboratory, internal genitalia evaluation, and panel (including parents) meeting...
August 24, 2018: Journal of Pediatric and Adolescent Gynecology
Joonghyun Yoo, Bo-Kyung Je, Suk Keu Yeom, Ye Sul Park, Kyung-Jin Min, Joo Han Lee
BACKGROUND: Fibroepithelial stromal polyp (FESP) is a rare benign mass, usually presenting at the vagina. Here we report the first case of contrast-enhanced magnetic resonance imaging (CE-MRI) with diffusion-weighted images (DWI) of a giant vulvar FESP and compare the MRI features with the histopathologic results. CASE: A 14-year-old girl presented with a huge mass as large as 20 cm that originated from the labium majora. Preoperative MRI showed a polypoid mass consisting of a central stalk and surrounding stroma...
August 24, 2018: Journal of Pediatric and Adolescent Gynecology
Artemis Mavridi, Georgia Ntali, Marianna Theodora, Kimon Stamatelopoulos, Lina Michala
BACKGROUND: Turner syndrome is a chromosomal abnormality, due to a total or partial loss of 1 of the X chromosomes and is mostly characterized clinically by short stature and primary ovarian insufficiency. Spontaneous pregnancies are rare (5%) and of relatively high risk. This is 1 of few reported cases of spontaneous conception and favorable prognosis in a patient with Turner syndrome and a 45,X/47,XXX karyotype. CASE: A 21-year-old woman with Turner mosaicism (45,X/47,XXX) who had a full-term, uncomplicated pregnancy after spontaneous conception, gave birth to a healthy female (46,XX) infant...
August 20, 2018: Journal of Pediatric and Adolescent Gynecology
Charrelle Coates, Catherine M Gordon, Tina Simpson
STUDY OBJECTIVE: To understand contraceptive practices of female adolescents in the Deep South and determine barriers to their use of long-acting reversible contraception (LARC). DESIGN: Semistructured interviews were conducted that addressed current contraceptive choice, factors influencing choice, LARC awareness, concerns, and barriers to using LARC. Interviews were audio recorded, transcribed, and analyzed using qualitative content analysis to identify themes...
August 20, 2018: Journal of Pediatric and Adolescent Gynecology
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August 16, 2018: Journal of Pediatric and Adolescent Gynecology
Shan Deng, Yonglan He, Na Chen, Lan Zhu
OBJECTIVE: To analyze the spectrum of Type I and Type II malformations in Chinese patients with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. METHODS: It was a cross-sectional descriptive study that used data from a National Clinical Research Center for Obstetrical and Gynecological Diseases of China, reviewed from January 2009 to July 2017. Patients with MRKH syndrome, both in- and out-patients were reviewed and analyzed. RESULTS: A total of 274 cases were included in the analysis: 197 (71...
August 13, 2018: Journal of Pediatric and Adolescent Gynecology
Pintu Paul
STUDY OBJECTIVE: This study aims to examine the association between maternal age at marriage and selected pregnancy outcomes- stillbirth, miscarriage, and complications during pregnancy, labor, and postpartum period. STUDY DESIGN: Cross-sectional study. SETTING: India. PARTICIPANTS: A total number of 35,253 ever-married women aged 15-49 years from the second round of India Human Development Survey (IHDS-2) were utilized to examine the association between maternal age at marriage and stillbirth and miscarriage...
August 11, 2018: Journal of Pediatric and Adolescent Gynecology
A K Ganti, J Ray, K L Mooney, E Zambrano, P J A Hillard, W Fok
BACKGROUND: The differential diagnosis for pediatric prepubertal vaginal bleeding is wide. Rare etiologies include vascular malformations and tumors, such as infantile hemangiomas (IH), which validate the usefulness of exam under anesthesia, vaginoscopy, and tissue diagnosis. CASE: We report a case of an infantile hemangioma in a 6 year-old girl causing vaginal bleeding requiring transfusion. Vaginoscopy revealed a less than 1 cm cervical IH. Expectant management and oral propranolol were successful management options...
August 11, 2018: Journal of Pediatric and Adolescent Gynecology
Mark McShane, James Perucho, Melissa Olsakowski, John P Gaughan, Robert T Brown, Lori Feldman-Winter
STUDY OBJECTIVE: To determine the rates at which primary care providers elicit menstrual histories from adolescent girls at well visits. DESIGN: Retrospective chart review. SETTING: The departments of Pediatrics, Adolescent Medicine, and Family Medicine of Cooper University Healthcare from January 1, 2010 to June 1, 2016. PARTICIPANTS: Women aged 12-21 years who were seen for a well visit in the described setting. INTERVENTIONS: None...
August 3, 2018: Journal of Pediatric and Adolescent Gynecology
Priyanka Gokhale, Jessica M Madrigal, Juan Aparicio, Jessica Y Shim, Ashlesha Patel
STUDY OBJECTIVE: To examine characteristics of adolescent patients presenting for multiple terminations within one year and evaluate sexually transmitted infection (STI) status at each visit. DESIGN, SETTING, PARTICIPANTS: Cross-sectional retrospective chart review to identify women under age 20 undergoing multiple abortions during one year at John H. Stroger, Jr. Hospital of Cook County. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Rates and results of STI testing at each abortion encounter...
August 3, 2018: Journal of Pediatric and Adolescent Gynecology
Hamada Ashry Abd El Wahed Ali, Ahmed Emadeldin Arafa, Nesreen Abd El Fattah Abd Allah Shehata, Ashraf Samir Fahim
STUDY OBJECTIVE: Female circumcision (FC) is a deeply rooted practice in Egypt with deblitating physical and psychological consequences. During the past 2 decades there have been sincere efforts to reduce this practice. The objective of this study was to investigate the prevalence of circumcision. DESIGN: Cross-sectional study. SETTING: Beni-Suef City, Egypt. PARTICIPANTS: Young women (12-25 years of age). INTERVENTIONS: A survey was given to 3353 young women residing in Beni-Suef City...
July 29, 2018: Journal of Pediatric and Adolescent Gynecology
H M Gunn, M Tsai, A McRae, K S Steinbeck
STUDY OBJECTIVE: Understanding what constitutes a normal menstrual cycle during the first gynaecological year (GY1) is a common concern of adolescents and clinicians. However, limited high-quality evidence exists. We aimed to summarise published literature regarding menstrual and ovulatory patterns in GY1. Design, Setting, Participants and Main Outcome Measures: Electronic databases (MEDLINE, Pre-MEDLINE, Embase, Web of Science, CINAHL, Cochrane Library) were systematically searched from database inception to 2018...
July 28, 2018: Journal of Pediatric and Adolescent Gynecology
Abraham Degarege, Karl Krupp, Kristopher Fennie, Vijaya Srinivas, Tan Li, Dionne P Stephens, Laura A V Marlow, Anjali Arun, Purnima Madhivanan
STUDY OBJECTIVE: The purpose of this study was to examine factors predicting human papillomavirus (HPV) vaccine acceptability among parents of adolescent girls in a rural area in Mysore district, India. DESIGN: Cross-sectional. SETTING: Mysore, India. PARTICIPANTS: Parents of school-going adolescent girls. INTERVENTIONS: Parents completed a validated self-administered questionnaire. MAIN OUTCOME MEASURES: Parental willingness to vaccinate their daughters with HPV vaccine...
July 26, 2018: Journal of Pediatric and Adolescent Gynecology
Christine M Pennesi, Brian Kenney, Rajan Thakkar, Christina Ching, Geri Hewitt, Katherine McCracken
BACKGROUND: Heavy, prolonged menstrual bleeding is common in adolescents and results from a variety of etiologies. CASE: A 13-year-old, virginal girl was referred for prolonged, heavy vaginal bleeding despite combined oral contraceptive use and elected management with a levonorgestrel intrauterine device. A preprocedure exam revealed a plastic foreign body embedded in the posterior vaginal fornix, however, attempted removal in the office was unsuccessful. Subsequent computed tomography imaging of the pelvis revealed a vaginal foreign body, complex adnexal mass, and hydroureter...
July 21, 2018: Journal of Pediatric and Adolescent Gynecology
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