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Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC

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https://www.readbyqxmd.com/read/30414807/recurrent-chronic-intervillositis-the-diagnostic-challenge-a-case-report-and-review-of-the-literature
#1
Patricia Hannaford, Namita Mittal, Farah Sethna, Jane E Dahlstrom
BACKGROUND: Chronic intervillositis (CI) is a rare placental condition involving diffuse infiltration of intervillous spaces by CD68- or CD45-positive maternal mononuclear inflammatory cells. Because no validated clinical or biochemical markers are specific to CI, the diagnosis is purely histopathological and is made postpartum. CASE: This report describes a case of recurrent CI associated with adverse complications in two successive pregnancies. Both pregnancies were complicated by intrauterine growth restriction...
November 7, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30414806/conflict-among-colleagues-health-care-providers-feel-undertrained-and-unprepared-to-manage-inevitable-workplace-conflict
#2
Julia Kfouri, Patricia E Lee
OBJECTIVE: In the health care sector, intercollegial conflict is inevitable. Such conflict may have an adverse effect on employee turnover, workplace morale, and patient safety and care. Conversely, skillful management of conflict may result in beneficial change and improvement. Improved conflict management (CM)/dispute resolution (DR) knowledge for health care professionals (HCPs) has been shown to reduce the negative impacts of conflict. This study aimed to determine whether HCPs feel equipped to manage collegial workplace conflict and whether they feel there is a need for CM training...
November 7, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30414805/a-review-of-the-effects-of-physical-therapy-on-self-esteem-in-postpartum-women-with-lumbopelvic-dysfunction
#3
REVIEW
Katie L Crockett, Angela Bowen, Stéphanie J Madill, Maha Kumaran, Christine Epp, Anne-Marie Graham
This study sought to determine the impact of physical therapy for lumbopelvic dysfunction on self-esteem in postpartum women. Systematic searches were carried out in CINAHL, Embase, PsycINFO, Medline (OVID), Cochrane, and Web of Science by a health sciences librarian using various combinations of subject headings and key words. A dual review process was used first to assess titles and abstracts and then to examine the full text. Conflicts were resolved through discussion or a third reviewer as needed. Dual data extraction was completed using a standardized collection form...
November 7, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30414804/brachial-plexus-birth-injury-in-elective-versus-emergent-caesarean-section-a-cohort-study
#4
Haley F M Augustine, Christopher J Coroneos, Marie K Christakis, Katerina Pizzuto, James R Bain
OBJECTIVE: Although Caesarean section (CS) is protective for brachial plexus birth injury (BPBI), the incidence is not zero. A trial of labour with unfavourable intrauterine positioning is hypothesized to result in excessive force on the brachial plexus. The purpose of this study was to determine the risk of BPBI in emergent CS versus elective CS. METHODS: This was a retrospective cohort study. The authors used a nationwide demographic sample of all infants born in Canada from 2004 to 2012...
November 7, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30414803/a-step-towards-equitable-access-understanding-the-use-of-fertility-services-by-immigrant-women-in-toronto
#5
Pavan Gill, Charlotte Axelrod, Crystal Chan, Heather Shapiro
OBJECTIVE: The authors sought to study whether there is differential access to fertility services for immigrant women in a single-payer system. METHODS: A cross-sectional quantitative survey was administered to 265 patients over 3 months. All participants were female patients in heterosexual relationships at a university-affiliated hospital-based fertility clinic in a large metropolitan city. Data on sociodemographic characteristics, reproductive history, and experience accessing fertility services were collected...
November 7, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30413336/resolution-of-uterine-arteriovenous-malformation-and-maintenance-of-reproduction-in-20-women-treated-with-a-gnrh-agonist-concomitantly-with-an-aromatase-inhibitor-and-tranexamic-acid
#6
Angelos G Vilos, Ayman Oraif, Melissa Machado, Basim Abu-Rafea, George A Vilos
OBJECTIVE: This study investigated the efficacy of GnRH agonists concomitantly with transient aromatase inhibitor and tranexamic acid to treat women with uterine arteriovenous malformations (AVMs) associated with abnormal uterine bleeding (AUB) to preserve fertility and determine reproductive outcome. METHODS: This was a prospective cohort study in a tertiary centre. Doppler ultrasound demonstrated AVM in 19 women with AUB 1-28 weeks following spontaneous or therapeutic abortion and in one woman 4 years after normal pregnancy while taking an oral contraceptive...
November 6, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30409570/alpha-methylacetoacetic-aciduria-in-an-rh-negative-pregnant-omani-woman-with-breech-presentation-delivered-with-favourable-outcome
#7
Shahi Kiran, Fathiya Al Murshedi, Sheikha Al Jabri, Meka Nirmala Devi
BACKGROUND: Alpha-methylacetoacetic aciduria, an autosomal recessive disorder of isoleucine and ketone body metabolism, is caused by a mutation in the acetyl coenzyme A acetyltransferase-1 gene (ACAT1; 607809) on chromosome 11q22. Ketoacidotic episodes in such patients are triggered by stress situations with increased energy demands. Pregnancy, surgical procedures, and prolonged fasting are potential triggers for metabolic crisis in such cases. CASE: A young Rh-negative Omani woman with alpha-methylacetoacetic aciduria is described here during her second pregnancy...
November 5, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30409569/vaccination-against-influenza-in-pregnancy-a-survey-of-canadian-maternity-care-providers
#8
Eve Dubé, Dominique Gagnon, Kyla Kaminsky, Courtney R Green, Manale Ouakki, Julie A Bettinger, Nicholas Brousseau, Eliana Castillo, Natasha S Crowcroft, S Michelle Driedger, Devon Greyson, Deshayne Fell, William Fisher, Arnaud Gagneur, Maryse Guay, Donna Halperin, Scott A Halperin, Shannon MacDonald, Samantha B Meyer, Nancy M Waite, Kumanan Wilson, Holly O Witteman, Mark Yudin, Jocelynn L Cook
OBJECTIVE: Influenza vaccine uptake among Canadian pregnant individuals is suboptimal. Failure to incorporate vaccination into routine prenatal care and a lack of recommendations from healthcare providers are recognized as barriers to vaccination. The aim of this study was to assess Canadian maternity care providers' knowledge, attitudes, and practices regarding influenza vaccination in pregnancy. METHODS: A cross-sectional Web-based questionnaire was sent during July and August 2017 to family physicians, obstetricians-gynaecologists, midwives, pharmacists, and nurses who care for pregnant individuals...
November 5, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30393060/the-accuracy-of-self-screening-of-group-b-streptococcus-in-pregnant-women-a-randomized-crossover-study
#9
Mimi T Y Seto, Jennifer K Y Ko, Ka Wang Cheung, Kelvin K W To, Pui Wah Hui, Terence T Lao, Chin Peng Lee
OBJECTIVE: Universal screening of vaginal and rectal group B streptococcus (GBS) carriage in pregnant women is now recommended in many countries to identify at-risk pregnancies and reduce the risk of early-onset GBS disease in newborn infants. This study compared self-screening by pregnant women with screening by health care workers in a largely Chinese population. METHODS: A randomized crossover study was conducted in Hong Kong. All women attending the GBS screening visit at 35-37 weeks gestation between May and October 2015 were approached for recruitment...
November 1, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30393059/impact-of-gynaecological-tumour-board-rounds-on-patient-care
#10
Darron A Halliday, Khadija Warfa, Jill Nation, Pamela Chu, Gregg Nelson, Sarah Glaze, Jennifer Mateshaytis, Máire A Duggan, Prafull Ghatage
OBJECTIVE: The goal of this study was to determine the impact of tumour board rounds (TBRs) on the additional management of patients with gynaecologic malignancy. METHODS: A retrospective chart review of 1604 patients discussed between January 2011 and December 2013 at gynaecologic TBRs was conducted to determine the frequency and type of diagnostic discrepancies found post-TBRs and their potential impact on additional patient management. A discrepancy was defined as major if it affected patient management by cancelling, initiating, or modifying treatment; otherwise, the discrepancy was minor...
November 1, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30393058/anaplastic-carcinoma-arising-from-ovarian-mucinous-adenocarcinoma-with-massive-cardiopulmonary-metastasis-an-autopsy-case-report
#11
Tomoko Kihara, Masato Komatsu, Toshiko Sakuma, Yoshiki Mikami, Koushou Takasu, Yuki Nakashima, Shinsuke Mochizuki, Motoyoshi Maruo
BACKGROUND: The presence of anaplastic and sarcomatoid components in ovarian mucinous carcinoma is extremely rare. CASE: A 64-year-old woman underwent radical surgery for right ovarian cancer. Pathological examination showed mucinous adenocarcinoma with a focal mural nodule of anaplastic and sarcomatoid carcinoma (FIGO stage IIB). She underwent adjuvant chemotherapy but developed severe respiratory failure and died after 9 months. Autopsy showed that the bilateral pulmonary parenchyma was filled with a multinodular hemorrhagic mass, and the cardiac wall had a massive invasive lesion...
November 1, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30393057/relationship-between-psychosocial-factors-dietary-intake-and-gestational-weight-gain-a-narrative-review
#12
REVIEW
Anne-Sophie Plante, Simone Lemieux, Marjorie Labrecque, Anne-Sophie Morisset
Inadequate gestational weight gain (GWG), which has reached almost two-thirds of Canadian pregnant women, is associated with several adverse effects both in the mother and her child. The aim of this review was to establish how psychosocial factors, diet and GWG are interrelated during pregnancy. More specifically, it aimed to evaluate how psychosocial factors can impact on diet and, thus, influence GWG. Studies published through May 2017 that examined factors related to GWG were included. Of 3268 non-duplicate titles and abstract, 77 articles underwent full-text review...
November 1, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30391279/melanoma-of-the-vulva-and-vagina-surgical-management-and-outcomes-based-on-a-clinicopathologic-reviewof-68-cases
#13
Sarah E Sinasac, Teresa M Petrella, Marjan Rouzbahman, Shachar Sade, Danny Ghazarian, Danielle Vicus
OBJECTIVE: This study sought to evaluate the clinicopathologic features, surgical management, and survival of patients over 12 years at two academic centres. METHODS: Patients diagnosed with vulvar or vaginal melanoma between 2002 and 2014 were identified through pathology databases. Clinical and pathologic data were extracted from the medical records. The Kaplan-Meier method was used to calculate recurrence-free survival and overall survival (OS), and univariate analyses using a Cox proportional hazard model were used to detect covariates related to survival...
October 31, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30385211/effectiveness-of-an-enhanced-recovery-after-surgery-program-in-gynaecology-oncologic-surgery-a-single-centre-prospective-cohort-study
#14
Marie-Claude Renaud, Laurence Bélanger, Philippe Lachapelle, Jean Grégoire, Alexandra Sebastianelli, Marie Plante
OBJECTIVE: This study sought to evaluate whether the partial implementation of an Early Recovery After Surgery (ERAS) program lowers length of hospital stay (LOS) without compromising postoperative outcome. METHODS: A single-centre prospective cohort study was conducted in a tertiary gynaecologic oncology department, by comparing standard perioperative care with a partially implemented ERAS protocol. Data on postoperative evolution were gathered for patients who underwent laparotomy for suspected or confirmed endometrial, adnexal, or cervical neoplasia between July 1, 2015 and June 30, 2017 at the Hôtel-Dieu de Québec...
October 29, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30385210/the-effectiveness-of-tranexamic-acid-at-reducing-blood-loss-and-transfusion-requirement-for-women-undergoing-myomectomy-a-systematic-review-and-meta-analysis
#15
REVIEW
Laura Fusca, Iris Perelman, Dean Fergusson, Mish Boutet, Innie Chen
BACKGROUND: The surgical removal of fibroids can be associated with excessive blood loss requiring transfusion. OBJECTIVE: This review sought to determine the effectiveness of tranexamic acid (TA) in reducing perioperative blood loss in women undergoing myomectomy. METHODS: Electronic bibliographic databases were searched from inception until June 3, 2017. The review included RCTs of women of reproductive age with uterine fibroids who were undergoing myomectomy and who received TA or a comparator...
October 29, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30385209/temporal-variations-in-incidence-and-outcomes-of-critical-illness-among-pregnant-and-postpartum-women-in-canada-a-population-based-observational-study
#16
Kazuyoshi Aoyama, Joel G Ray, Ruxandra Pinto, Andrea Hill, Damon C Scales, Stephen E Lapinsky, Robert A Fowler
OBJECTIVE: Pregnancy-associated morbidity results in hundreds of thousands of deaths annually worldwide. Reducing maternal mortality is a key United Nations Millennium Development Goal. Although maternal mortality has declined in high-income countries, contemporary estimates of maternal morbidity and mortality trends in Canada are lacking. METHODS: This population-based study investigated all antepartum, peripartum, and postpartum women presenting to an acute care hospital in Canada from April 1, 2004 to March 31, 2015...
October 29, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30385208/an-atypical-presentation-of-ectopic-pregnancy-with-unicornuate-uterus-and-undescended-fallopian-tube
#17
Bonnie Woolnough, Charlotte Ballermann
BACKGROUND: Müllerian duct abnormalities are common and may be related to pregnancy complications. Few cases of ectopic pregnancy within an undescended Fallopian tube have been reported, and they present a diagnostic challenge. CASE: A 32-year-old pregnant woman had three presentations to the emergency department for increasing left upper abdominal pain, chest pain, shortness of breath, and eventual hemodynamic instability in the setting of right unicornuate uterus and undiagnosed undescended left adnexa...
October 29, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30366887/morbidity-and-mortality-associated-with-forceps-and-vacuum-delivery-at-outlet-low-and-midpelvic-station
#18
Giulia M Muraca, Yasser Sabr, Sarka Lisonkova, Amanda Skoll, Rollin Brant, Geoffrey W Cundiff, K S Joseph
OBJECTIVE: This study sought to quantify perinatal and maternal morbidity and mortality associated with forceps and vacuum delivery compared with Caesarean delivery in the second stage of labour and to estimate whether these associations differed by pelvic station. METHODS: The investigators conducted a population-based, retrospective cohort study of term singleton deliveries by operative delivery with prolonged second stage of labour in Canada (2003-2013) using national hospitalization data...
October 23, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30366886/second-degree-burn-sustained-after-vaginal-steaming
#19
Magali Robert
BACKGROUND: Vaginal steaming has gained increased popularity as a method to achieve empowerment by providing vaginal tightening and to "freshen" the vagina. CASE: A 62-year-old woman sustained second-degree burns following vaginal steaming in an attempt to reduce vaginal prolapse. CONCLUSION: Clinicians need to be aware of alternative treatments available to women so that counselling may mitigate any potential harm.
October 23, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30366885/use-of-antenatal-corticosteroid-therapy-a-descriptive-study-of-clinical-practice-trends
#20
Alexandre Fillion, Amélie Boutin, Audrée Gareau-Léonard, Laurence Labine, Cédric Gasse, Caroline Gaudreau, Suzanne Demers, Emmanuel Bujold
OBJECTIVES: Antenatal corticosteroids (ACS) received within 7 days of delivery reduce perinatal morbidity and mortality associated with preterm birth. We aimed to describe the trends of ACS administration over the last decade. METHODS: A cohort study of women who received ACS in 2006, 2011, and 2016 at the CHU de Québec-Université Laval was conducted. The indication, GA at ACS, and GA at birth, were collected in 150 women randomly selected in each studied year...
October 23, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
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