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Journal of Obstetrics and Gynaecology Research

Seishi Furukawa, Midori Fujisaki, Yohei Maki, Masanao Oohashi, Koutarou Doi, Hiroshi Sameshima
AIM: Our aim is to provide expected outcomes for undergoing manual removal of placenta (MROP) following vaginal delivery in women having an unpredictable adherent placenta (AP). METHODS: The data were obtained from four hospitals in Miyazaki Prefecture, Japan. We used propensity score-matched (1:1) analysis to match women who underwent MROP with women who did not undergo MROP (control). Total blood loss and hemorrhagic rate used as a ratio of women who reached a certain amount of blood loss were compared...
September 19, 2018: Journal of Obstetrics and Gynaecology Research
Alvaro Sepúlveda-Martínez, Gustavo Rencoret, María C Silva, Paz Ahumada, Daniel Pedraza, Hernán Muñoz, Enrique Valdés, Mauro Parra-Cordero
AIM: To develop a combined predictive model for preterm and term pre-eclampsia (PE) during the first trimester of pregnancy. METHODS: This investigation was a nested case-control study in singleton pregnancies at the Maternal-Fetal Medicine Unit, University of Chile Hospital. A priori risks for preterm and term PE were calculated by multivariate logistic regression analyses. Biophysical markers were log10 -transformed and expressed as multiples of the median. A multivariate logistic regression analysis was used to estimate a combined predictive model of preterm and term PE...
September 19, 2018: Journal of Obstetrics and Gynaecology Research
Tony Y T Tan
These are consensus statements on screening for hyperglycemia in pregnancy derived from AOFOG MFM Committee's Hyperglycemia in Pregnancy Consensus Working Group during a workshop in Singapore on 13 January 2018.
September 19, 2018: Journal of Obstetrics and Gynaecology Research
Hwan Tae Lee, Suk Young Kim, Pil-Whan Park, Jeong-Yeal Ahn, Kyung-Hee Kim, Ja Young Seo, Ji-Hun Jeong, Woo-Jae Kwoun, Yiel-Hea Seo
AIM: Group B streptococcus (GBS) is a leading cause of life-threatening bacterial infections among newborns, and neonates born to heavily colonized women may be subject to vertical transmission. We sought to determine an appropriate detection method for genital GBS in pregnant women by comparing culture-based methods and real-time polymerase chain reaction (PCR). In addition, we performed molecular serotyping and multilocus sequence typing (MLST) on isolates. METHODS: A total of 150 pregnant women were enrolled and underwent vaginal-rectal swabbing at 16-40 weeks of gestation...
September 19, 2018: Journal of Obstetrics and Gynaecology Research
Jo Kitawaki, Kiyoko Kato
Since 2010, the Women's Health Care Committee has addressed important issues linked to women's quality of life. The five agendas this committee has engaged this academic year are: (i) clinical study of urinary complications in perinatal and postpartum women's health care; (ii) education on infectious diseases prophylaxis in obstetrics and gynecology in Japan; (iii) educational activities regarding management guidelines for a female athlete's health care; (iv) training program for women's healthcare advisers; and (v) pregnancy- and lactation-associated osteoporosis (PLOP)...
September 11, 2018: Journal of Obstetrics and Gynaecology Research
Titta Joutsiniemi, Ulla Ekblad, Karl G Rosén, Susanna Timonen
AIM: Intrahepatic cholestasis of pregnancy (ICP) is reported to be associated with an increased risk of sudden fetal death. The possible mechanism is thought to be cardiac arrhythmia. Prolonged QT interval of the electrocardiogram (ECG) is associated with arrhytmogenic events. The aim of the study was to compare the fetal ECG QT interval during labor in pregnancies complicated with ICP to healthy controls. METHODS: The fetal ECG and QT interval was reviewed retrospectively...
September 11, 2018: Journal of Obstetrics and Gynaecology Research
Amy Richards, Jennifer L Phy, Jaou-Chen Huang
Arrested caudal extension of the fused Müllerian ducts, either complete or segmental, causes obstruction of the outflow tract. We describe a case of agenesis of the uterine isthmus and the procedure to establish the continuity of the outflow tract. A 15-year-old girl with cyclic pelvic pain and amenorrhea was found to have a 3-cm gap between the uterine body and the cervix. After cervico-uterine anastomosis via laparotomy she menstruated normally and was pain-free. Selected cases of arrested Müllerian duct extension can be corrected by primary anastomosis, which establishes anatomical continuity and restores menstruation and, possibly, future fertility...
September 9, 2018: Journal of Obstetrics and Gynaecology Research
Fangda Leng, Lu Jiang, Lin Nong, Xiying Ren, Tong Xie, Ying Dong, Xia Tao
AIM: To investigate the features of skip lesions and evaluate value of top-hat procedure in management of squamous intraepithelial lesion. METHODS: We reviewed the records of patients who underwent loop electrosurgical excision procedure (LEEP) in Peking University First Hospital between 2011 and 2016. Patients were confirmed to have CIN1-3. The term 'skip lesion' refers to lesion lying deep in cervical canal discontiguous with other lesions in transformation zone and was confirmed by top-hat...
September 6, 2018: Journal of Obstetrics and Gynaecology Research
Katsufumi Otsuki, Satoshi Ando, Takeshi Nishi, Masatoshi Jimbo
Transvaginal cervicoisthmic cerclage was carried out in 12 such patients who were at high-risk of premature delivery. Patients who underwent transvaginal cervicoisthmic cerclage had undergone conization, cervical radical hysterectomy or another form of extensive cervical resection, or had a history of third-trimester miscarriage or premature delivery despite having previously undergone cervical cerclage several times for cervical incompetence. There were seven cases of pregnancy after extensive conization, and four had a history of failed cervical cerclage...
September 6, 2018: Journal of Obstetrics and Gynaecology Research
Yuichiro Takahashi, Haruhiko Sago, Keisuke Ishii, Takeshi Murakoshi, Jun Murotsuki, Masahiko Nakata
AIM: Since fetal therapy has been newly developed, objective evaluation of adverse events (AE), all harmful events that are not always related to the procedures, has not yet been adequately reported. We established new terminology and tried to re-evaluate it based on the Japanese prospective thoraco-amniotic shunting (TAS) study. METHODS: From the literature, all complications that occurred with all fetal therapies were identified as a basis for developing the terminology...
September 6, 2018: Journal of Obstetrics and Gynaecology Research
Shelley Macaulay, Eckhart J Buchmann, David B Dunger, Shane A Norris
AIM: Gestational age estimation by ultrasonography is the gold standard for dating pregnancies. However, the availability of prenatal ultrasonography in low-to-middle-income countries is limited. This study aimed to assess the reliability and validity of last menstrual period (LMP) as a gestational age dating method among women in Johannesburg, South Africa. METHODS: A total of 741 pregnant women were enrolled into a longitudinal study (June 2013 to July 2016). Gestational age was determined by LMP and ultrasonography...
September 6, 2018: Journal of Obstetrics and Gynaecology Research
Rut M Raventós-Tato, Javier de la Torre-Fernández de Vega, José L Sánchez-Iglesias, Berta Díaz-Feijoó, Jordi Sabadell, María A Pérez-Benavente, Antonio Gil-Moreno
AIM: Endometrial cancer is often associated with obesity. We want to compare the outcomes of surgical staging according to the surgical approach in patients with a body mass index ≥35 kg/m2 . METHODS: A retrospective cohort study with 138 patients with endometrial cancer and body mass index ≥35 kg/m2 with different surgical staging routes: laparotomy (LPT; n = 94) and minimally invasive surgery (MIS): laparoscopy (LPC; n = 18) + robotic assisted laparoscopy (n = 26)...
September 6, 2018: Journal of Obstetrics and Gynaecology Research
Luigi Della Corte, Pierluigi Giampaolino, Annamaria Fabozzi, Attilio Di Spiezio Sardo, Giuseppe Bifulco
Inversion of the uterus is quite a rare obstetric (puerperal) or gynecological (non-puerperal) condition. Non-puerperal type may be benign or malign mass induced or idiopathic. To the best of our knowledge, this is the first case with a large review of literature of uterine inversion in a patient without sexual experience. We report the case of a 52-year-old, unmarried virgo woman, affected by schizophrenia, was referred to our emergency room for evidence of a mass outside of the vaginal introitus, combined with vaginal bleeding and abdominal pain...
September 5, 2018: Journal of Obstetrics and Gynaecology Research
Ahmed Altraigey, Mohamed Ellaithy, Hytham Atia, Ibrahim Ali, Mohamed Kolkailah, Ahmed Abbas
AIM: Of the different described methods of placental delivery during cesarean section (CS), manual removal and cord traction are the most commonly used techniques. The ideal method of placental delivery during CS is still a conflicting issue as the data derived from the previous studies are widely heterogeneous and inconsistent. This study has investigated the effect of two different methods of placental delivery, controlled cord traction and manual removal, on perioperative blood loss...
September 3, 2018: Journal of Obstetrics and Gynaecology Research
Takashi Kuno, Masahito Tachibana, Soshi Muramatsu, Yoshinobu Eishi, Ayako Fujimine, Hideki Tokunaga, Nobuo Yaegashi
Sarcoidosis is a systemic granulomatous disease that is most commonly manifested in the pulmonary system. Though the entire etiology of sarcoidosis remains unknown, it has been reported that Propionibacterium acnes (P. acnes) has been isolated from sarcoid lesions. Herein, we report a case of salpingitis arising from sarcoidosis. A female patient aged 37 years, gravida 2 para 0, who had been diagnosed with sarcoidosis at the age of 36 years, underwent laparoscopic right salpingectomy due to obvious right hydrosalpinx with recurrent refractory right lower abdominal pain...
September 3, 2018: Journal of Obstetrics and Gynaecology Research
Tahereh Madani, Firoozeh Ahmadi, Nadia Jahangiri, Akram Bahmanabadi, Narges Bagheri Lankarani
AIM: To evaluate the effect of adjuvant low-dose aspirin therapy on clinical pregnancy rate and uterine perfusion in women undergoing frozen-thawed embryo transfer (FET) cycles. METHODS: This study was performed as a pilot randomized, double-blind placebo-controlled trial, from May 2012 to February 2015. Overall, 60 available eligible women who were candidates for FET were randomly assigned to two groups receiving either 100 mg oral aspirin (n =30) or placebo (n =30)...
September 3, 2018: Journal of Obstetrics and Gynaecology Research
Min Yang, Zhi-Wei Guo, Cai-Juan Deng, Xiong Liang, Gong-Jun Tan, Jie Jiang, Zhi-Xuan Zhong
AIM: This study aims to establish a convenient and practical predelivery scoring system for trial of labor after cesarean section (TOLAC). METHODS: The data of 498 patients undergoing TOLAC were retrospectively studied. Indices with statistically significant differences, including cervical score, fetal weight, fetal pelvic index, body mass index and age, were selected. Combined with the presence of vaginal delivery history and indications of the previous cesarean section in these patients, three prenatal forecast scales for vaginal birth after cesarean (VBAC) were established...
September 2, 2018: Journal of Obstetrics and Gynaecology Research
Marcelo B Cavalcante, Manoel Sarno, Alberto B Peixoto, Edward Araujo Júnior, Ricardo Barini
The aim of this study is to perform a systematic review and meta-analysis on the relationship between excess weight and risk of recurrent pregnancy loss (RPL) and to highlight the common immunological mechanisms of these two conditions. The PubMed and MEDLINE databases were searched for publications in English available as of November 2017. The search terms used were 'recurrent pregnancy loss', 'body mass index' (BMI), 'overweight' and 'obesity'. For calculation of the odds ratio (OR) and 95% confidence intervals (CI) for miscarriage in different BMI groups, RevMan software was used (Review Manager, Version 5...
August 28, 2018: Journal of Obstetrics and Gynaecology Research
Shigetaka Matsunaga, Yasushi Takai, Hiroyuki Seki
AIM: In cases of critical obstetric hemorrhage leading to extreme hypofibrinogenemia, fibrinogen is the marker that indicates the critical severity, and early fibrinogen supplementation centering on hemostatic resuscitation is a vital treatment to stabilize a catastrophic condition. In this review, we investigated the effect of fibrinogen level on hemostasis and what we can do to treat hypofibrinogenemia efficiently and improve patients' outcome. METHODS: We reviewed numerous articles related to hypofibrinogenemia in critical obstetric hemorrhage...
August 28, 2018: Journal of Obstetrics and Gynaecology Research
Betul Basaran, Hulya Gundogdu, Sami Tutar, Cavidan Gulerman
AIM: Controlled ovarian hyperstimulation results in elevated levels of estrogen during in vitro fertilization (IVF). Although serum ovarian steroid hormones were found to influence central nervous system and anesthetic requirements, the relationship between propofol requirements and serum estrogen concentration in women undergoing oocyte retrieval has not been studied. The aim of this study was to determine the relationship between serum estrogen and progesterone concentrations and the required propofol dose for loss of consciousness (LOC)...
August 28, 2018: Journal of Obstetrics and Gynaecology Research
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