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Journal of Pediatric and Adolescent Gynecology

K V Greco, L G Jones, I Obiri-Yeboa, T Ansari
STUDY OBJECTIVE: our aim was to use porcine vagina to create a vaginal matrix and test its cellular biocompatibility. DESIGN: vagina was harvested from pigs and de-cellularised (DC) using a combination of detergents (Triton x-100 and sodium deoxycholate) and enzymes (DNAse/RNAse). INTERVENTIONS: the presence of cellular material, collagen structural integrity and basement membrane proteins were assessed histologically. To address cytocompatibility, porcine adipose derived-mesenchymal stem cells (AD-MSC) were harvested from abdominal fat together with vaginal epithelial cells (VEC) and seeded onto the mucosal aspect of the vaginal scaffold...
May 21, 2018: Journal of Pediatric and Adolescent Gynecology
Frank M Biro, Ashley Pajak, Mary S Wolff, Susan M Pinney, Gayle C Windham, Maida P Galvez, Louise C Greenspan, Larry H Kushi, Susan L Teitelbaum
STUDY OBJECTIVES: Menarche is a critical milestone in a woman's life, and historically has been determined through several approaches. The goals of this study were to: 1) determine age at menarche from multiple reports of parents and adolescent participants in a prospective study; 2) examine factors impacting age at menarche; and 3) determine correlates of menarche and pubertal tempo. DESIGN: Longitudinal observational study. SETTING: Three sites of the Breast Cancer and the Environment Research Program...
May 11, 2018: Journal of Pediatric and Adolescent Gynecology
Ayamo G Oben, Oliver Batiste, Kunuwo Fokong, Sasha Davidson, Ometeotl M Acosta
STUDY OBJECTIVE: To identify risk factors for primary non-elective cesarean delivery, in a predominantly Hispanic teen population of an urban tertiary care center DESIGN: Retrospective descriptive study SETTING: A tertiary academic center with ∼3000 deliveries per year PARTICIPANTS: Our study population comprised of all women (ages 13-19 at time of delivery) who gave birth at our tertiary university hospital between July 2011 and July 2016. INTERVENTIONS: None MAIN OUTCOME MEASURE(S): Our main outcome of interest was primary non-elective cesarean delivery RESULTS AND CONCLUSIONS: Of the 958 included deliveries, 9...
May 10, 2018: Journal of Pediatric and Adolescent Gynecology
Golfo Tzilos Wernette, Erin E Bonar, Frederic C Blow, Maureen A Walton
STUDY OBJECTIVE: Pregnant and non-pregnant populations in the US report marijuana as the most commonly used illicit drug. Patterns of marijuana use and psychosocial correlates are unclear among non-treatment seeking teenage girls. DESIGN, SETTING AND PARTICIPANTS: The objective of this study was to use cross-sectional data to examine the psychosocial correlates of recent marijuana use among a sample of 646 pregnant and non-pregnant adolescent girls presenting to urban primary care clinics (mean age = 15...
May 8, 2018: Journal of Pediatric and Adolescent Gynecology
Roman Chmel, Marta Novackova, Zlatko Pastor, Jiri Fronek
STUDY OBJECTIVE: The goal of this study was to assess a group of Mayer-Rokitansky-Küster-Hauser syndrome (MRKH) women with surgically created neovaginas in the interest of uterus transplantation (UTx) and to recruit the first group of applicants for a uterus transplant trial. DESIGN: and Setting: This is an original prospective study using semistructured interviews. PARTICIPANTS: A study group of 50 MRKH syndrome women with Vecchietti neovaginas was recruited by letter of invitation...
May 8, 2018: Journal of Pediatric and Adolescent Gynecology
Tong Wooi Ch'ng, Vatcharapan Umpaichitra
BACKGROUND: Mild degree of clitoromegaly can be associated with patient with polycystic ovarian syndrome (PCOS). We describe an unusually significant clitoromegaly in a patient with PCOS. CLINICAL CASE: An 18-year old non-obese female referred for clitoromegaly. Her genitalia exam showed significant clitoral enlargement with a well-formed glans, clitoris measured at 35 mm for length and 10 mm for width. Pelvic ultrasound showed left ovarian cyst. Testosterone level ranged from 28...
May 3, 2018: Journal of Pediatric and Adolescent Gynecology
Marta Gatti, Gianluca Tolva, Silvia Bergamaschi, Claudia Giavoli, Susanna Esposito, Paola Marchisio, Donatella Milani
BACKGROUND: Mayer-Rokitansky-Kuster-Hauser syndrome (OMIM #277000) is a rare disorder of the female reproductive tract. Its etiology is still unknown for the majority of patients, even if the genetic background of this condition has been intensively studied. Chromosome 16p11.2 deletion syndrome (OMIM # 611913) is a well-known recurrent deletion syndrome that can present with various clinical phenotypes, including developmental delay, intellectual disability, autism spectrum disorder, obesity, and an increased frequency of congenital defects...
May 3, 2018: Journal of Pediatric and Adolescent Gynecology
Rachel Edwards, Jillian McCagg, Peter Chirico, Jennie Yoost
Gastroschisis is an abdominal wall defect through which the bowel herniates into the amniotic cavity. Surgical correction of gastroschisis is performed during infancy. Gynecologic concerns have not been described in this population as either an associated anomaly or complication of surgical repair. A 15 year old nulliparous female presented with abdominal pain with a history of gastrochisis requiring four surgeries in infancy. CT scan showed an ovary located in the RUQ which was concerning for torsion. She failed conservative management and was taken for a laparotomy with right oophorectomy...
May 3, 2018: Journal of Pediatric and Adolescent Gynecology
Jane E Girling, Samuel Cj Hawthorne, Jennifer L Marino, Abdul G Nur Azurah, Sonia R Grover, Yasmin L Jayasinghe
STUDY OBJECTIVE: No studies have specifically considered paternal understanding of menstruation. This study aimed to establish the degree of understanding of fathers of adolescent girls with menstrual symptoms relative to mothers. DESIGN AND SETTING: This is a cross-sectional survey-based study. Adolescent patients attending an outpatient gynaecology clinic for dysmenorrhoea and/or heavy menstrual bleeding (HMB) and their parents were invited to complete surveys...
April 12, 2018: Journal of Pediatric and Adolescent Gynecology
Oluyemisi Adeyemi-Fowode, Kate A McCracken, Nicole J Todd
No abstract text is available yet for this article.
April 10, 2018: Journal of Pediatric and Adolescent Gynecology
Abraham Degarege, Karl Krupp, Kristopher Fennie, Tan Li, Dionne P Stephens, Laura A V Marlow, Vijaya Srinivas, Anjali Arun, Purnima Madhivanan
OBJECTIVE: The aim of this study was to compare the parental attitudes and beliefs about HPV, cervical cancer and HPV vaccine between urban and rural areas, India. DESIGN: Cross sectional SETTING: Mysore, India PARTICIPANTS: Parents of school going adolescent girls INTERVENTION: Parents completed a self-administered questionnaire MAIN OUTCOME MEASURES: : Attitudes and beliefs about HPV, cervical cancer and HPV vaccine RESULTS: A total of 1609 parents from urban (n=778) and rural (n=831) areas participated in this study...
March 26, 2018: Journal of Pediatric and Adolescent Gynecology
Gylynthia E Trotman, Eleanor Mackey, Eshetu Tefera, Veronica Gomez-Lobo
STUDY OBJECTIVES: To explore parental and adolescent views on the confidential interview in the gynecologic setting and compare adolescent reported risk-taking behaviors with parental perception. DESIGN: Anonymous surveys were administered separately to parents/guardians and adolescents between the ages of 11-17. Information pertaining to the patient's Tanner stage and reason for visit was obtained from the provider. This first phase served as the usual care group...
March 23, 2018: Journal of Pediatric and Adolescent Gynecology
Charee Thompson, Jane Broecker, Maggie Dade, Kelly Nottingham
STUDY OBJECTIVE: According to the American Academy of Pediatrics (AAP), pediatricians are to counsel and provide LARCs as first-line-of-defense contraceptives because they are the most effective. We wanted to explore positive influences on LARC placement for pediatricians, particularly when compared to providers in other specialties who care for women. DESIGN: Survey methods with data analyzed using analyses of variance and general linear models in statistical software SPSS 24...
March 23, 2018: Journal of Pediatric and Adolescent Gynecology
Leila Barbosa, Danielle Kühni, Daniele Vasconcelos, Erika Sales, Gislaine Lima, Marcela Santos, Andrea Lemos
STUDY OBJECTIVE: To evaluate the factors associated with urinary incontinence (UI) in pregnant adolescents. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: A case-control study was conducted in 3 Brazilian public hospitals. Adolescents between the ages of 10 and 19 years with gestational age of 27 weeks or more were included. The sample size was calculated using the Open-epi ( 3.01 program considering gestational obesity as an associated factor...
March 16, 2018: Journal of Pediatric and Adolescent Gynecology
Jenny Sadler Gallagher, Stacey A Missmer, Mark D Hornstein, Marc R Laufer, Catherine M Gordon, Amy D DiVasta
STUDY OBJECTIVE: To explore the potential occurrence of long-term side effects and tolerability of gonadotropin-releasing hormone agonist (GnRHa) plus 2 different add-back regimens in adolescent patients with endometriosis. DESIGN: Follow-up questionnaire sent in 2016 to patients who participated in a drug trial between 2008 and 2012. SETTING: Tertiary care center in Boston, Massachusetts. PARTICIPANTS: Female adolescents with surgically confirmed endometriosis (n = 51) who enrolled in a GnRHa plus add-back trial as adolescents...
March 15, 2018: Journal of Pediatric and Adolescent Gynecology
Sadia Haider, Cynthia Stoffel, Annie Dude
STUDY OBJECTIVE: To describe contraceptive method use by adolescent women in the 6 months after any pregnancy. DESIGN: We conducted a secondary analysis of the 2011-2013 and 2013-2015 cycles of the National Survey of Family Growth. SETTING: This survey is a nationally-representative population-based survey of reproductive aged women in the United States. PARTICIPANTS: The sample included respondents who had at least 1 pregnancy that ended within the contraceptive calendar period as well as before the month of the respondent's 20th birthday...
March 15, 2018: Journal of Pediatric and Adolescent Gynecology
Gül Yücel, Mustafa Kendirci, Ülkü Gül
STUDY OBJECTIVE: To determine the cross-sectional characteristics of menstruating girls, dysmenorrhea, and the frequencies of related problems. DESIGN: Descriptive, cross-sectional study. SETTING: Randomly selected primary, junior, and high schools in the city center of Kayseri. PARTICIPANTS: Two thousand female adolescents of ages between 9 and 18 years. MAIN OUTCOME MEASURES: We used a questionnaire addressing the epidemiological characteristics of menstruation, such as age at menarche, duration of menstrual intervals, average days of bleeding, and any menstrual problems and their frequencies...
March 14, 2018: Journal of Pediatric and Adolescent Gynecology
Francesca Rizzello, Maria Elisabetta Coccia
No abstract text is available yet for this article.
March 13, 2018: Journal of Pediatric and Adolescent Gynecology
Dana L Rofey, Nermeen E El Nokali, Lovie J Jackson Foster, Emily Seiler, Heather L McCauley, Elizabeth Miller
STUDY OBJECTIVE: To examine the effect of childhood trauma and family history of psychiatric illness on weight loss trajectories of obese, female adolescents with polycystic ovary syndrome (PCOS). DESIGN: Prospective study. SETTING: PCOS and adolescent medicine outpatient clinics. PARTICIPANTS: Participants were, on average, 15.8 years of age, 80% Caucasian (39/49 participants), and had a body mass index of 36.8 ± 8...
March 8, 2018: Journal of Pediatric and Adolescent Gynecology
Kristl Tomlin, Lucia Mirea, Amy Williamson
STUDY OBJECTIVE: The American Academy of Pediatrics and American College of Obstetricians and Gynecologists have identified the menstrual cycle as essential in assessing overall health of adolescent girls. Menses should be considered a "vital sign" and documentation of last menstrual period (LMP) is recommended at every patient encounter. The aim of this study was to estimate and compare LMP documentation among adolescent and pediatric health care providers. DESIGN, SETTING, AND PARTICIPANTS: A retrospective cohort study identified a random sample of 50 female patients seen in the general pediatrics (PEDS), adolescent medicine (AM), and pediatric and adolescent gynecology (PAG) ambulatory clinics at Phoenix Children's Hospital between January 1, 2016 and March 31, 2016...
March 8, 2018: Journal of Pediatric and Adolescent Gynecology
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