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

journal
https://www.readbyqxmd.com/read/30220519/evaluation-of-obstetrics-gynecology-ultrasound-curriculum-and-self-reported-competency-of-final-year-canadian-residents
#1
Mathew Leonardi, Lea Luketic, Mara L Sobel, Kabir Toor, Rohan D'Souza, Ally Murji
OBJECTIVE: Ultrasonography in obstetrics and gynaecology (OB/GYN) is a vital component of patient assessment, diagnosis, and management. Standards for Canadian obstetrician-gynecologists' ultrasound skills are limited and vague. The primary objective was to audit the current curriculum administered to Canadian OB/GYN residents. The secondary objective was to understand self-perceived competency of final-year residents in performing OB/GYN ultrasound. We also sought to identify perceived barriers to incorporation of ultrasound into practice...
September 13, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30030060/hyperechogenic-fetal-bowel-in-the-era-of-modern-ultrasound-equipment-it-is-not-only-a-matter-of-gain
#2
Majed S Faden, Richard N Brown
No abstract text is available yet for this article.
July 18, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30030059/deep-endometriosis-a-diagnostic-dilemma-with-significant-surgical-consequences
#3
Mathew Leonardi, Sukhbir S Singh, Ally Murji, Abheha Satkunaratnam, Mostafa Atri, Shannon Reid, George Condous
No abstract text is available yet for this article.
July 18, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30030058/development-of-a-high-fidelity-simulator-for-teaching-chorionic-villus-sampling
#4
Darine El-Chaar, Jennifer Manley, Francis LeBouthillier, Greg Ryan, Rory Windrim
OBJECTIVE: The objective of this study was to develop a synthetic high-fidelity simulator for teaching chorionic villus sampling. METHODS: Working with a medical sculptor, the authors developed a simulator, constructed from various synthetic rubber materials, of a gravid female pelvis, including the vulva, vagina, cervix, and a 13-week-sized uterus with a gestational sac. RESULTS: This simulator is high fidelity and durable, and it does not require any organic materials...
July 18, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30030057/listeriosis-in-pregnancy-practitioners-food-safety-counselling-practices-to-pregnant-women
#5
Jocelynn L Cook, Lisa Graves, Colleen Kirkham
OBJECTIVE: The relative risk of invasive listeriosis in pregnant women is approximately 20 times greater than the general population, and listeriosis during pregnancy can have negative consequences for pregnant women, their fetuses, and their newborns. Health care providers are valuable sources of information, but published data suggest that most providers are unaware of the risk factors for listeriosis or its propensity for pregnant women, and they do not counsel their pregnant patients about risks...
July 18, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30025870/survey-of-canadian-pgy-4-and-pgy-5-obstetrics-and-gynaecology-residents-on-knowledge-of-and-exposure-to-premature-ovarian-insufficiency
#6
Radomir Jarcevic, Marie K Christakis, Wendy Wolfman, Xiang Y Ye, Lindsay Shirreff
OBJECTIVES: (1) To determine exposure to and general knowledge on premature ovarian insufficiency (POI) among Canadian senior obstetrics and gynaecology residents. (2) To identify opportunity to improve trainee exposure to POI. METHODS: Canadian PGY-4 and PGY-5 obstetrics and gynaecology residents were approached to complete an electronic survey. The questions in the survey included the basic POI knowledge, previous exposure to POI, and comfort level in managing POI patients...
July 16, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30025869/understanding-and-practising-safe-electrosurgery-in-the-operating-room
#7
George A Vilos
No abstract text is available yet for this article.
July 16, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30025868/impact-of-resident-overnight-duty-hour-changes-on-obstetrical-outcomes-a-population-based-cohort-study
#8
Brian J Liu, Michael Ordon, Janet Bodley, Grace Liu, Jamie Kroft
OBJECTIVE: To determine whether obstetrical patient outcomes have changed following the introduction of restricted resident work hours. METHODS: A population-based retrospective cohort study of the effects of restricted duty hours for residents in July 2013 at three academic hospitals in Toronto, ON using linked health care databases. The study included 6763 deliveries in the 2 years pre-exposure and 5548 deliveries in the 2 years post-exposure. RESULTS: The primary outcome, planned prior to data collection, was a composite index of 29 maternal/fetal outcomes including maternal transfusion/postpartum hemorrhage, maternal infection, fetal mortality, NICU admissions, and surgical/obstetrical complications...
July 16, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30025867/enhanced-first-trimester-aneuploidy-screening-with-placental-growth-factor-and-alpha-feto-protein-detection-of-trisomies-18-and-13
#9
Tianhua Huang, Wendy S Meschino, Shamim Rashid, Alan Dennis, Ellen Mak-Tam, Howard Cuckle
OBJECTIVES: To assess the performance of first trimester combined screening (FTS) when enhanced with placental growth factor and alpha feto-protein in the detection of trisomies 18 and 13. METHODS: A retrospective case-control study. Marker parameters were derived using frozen serum samples. Multivariate Gaussian modelling predicted the detection rate (DR) and false-positive rate (FPR) for trisomies 18 and 13 with FTS and enhanced first trimester screening (eFTS) using the risk of trisomy 21 alone and an additional risk cut-off for trisomy 18, or trisomies 18 or 13...
July 16, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30007802/influence-of-resident-involvement-in-obstetrics-and-gynaecology-surgery-on-surgical-outcomes-systematic-review-and-meta-analysis
#10
Olga Bougie, Scott L Zuckerman, Noah Switzer, Jeffrey How, Michael Sey
OBJECTIVE: The effect of resident involvement during obstetrics and gynaecology (OB/GYN) surgery on surgical outcomes is unclear. This study sought to review the evidence systematically for the influence of resident participation in OB/GYN surgery on (1) operative time, (2) estimated blood loss, and (3) perioperative complications. METHOD: Published studies were identified via searches of PubMed, Embase, Cochrane Central Register, Web of Science, and ClinicalTrials...
July 11, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30007801/a-case-of-epidural-lipomatosis-in-pregnancy-management-during-labour-and-caesarean-section
#11
Martha K Smith, Rachel Martin, Jennifer Robblee, Eliane M Shore
BACKGROUND: Spinal epidural lipomatosis (SEL) is a rare condition of adipose tissue accumulation in the epidural space. As a result of excess adipose tissue, neuraxial anaesthesia has been reported to behave unpredictably in patients with this condition. CASE: A 36-year-old woman had worsening postural headaches during pregnancy. MRI revealed SEL involving the thecal sac between L3/L4 and L5/S1. She had induction of labour but ultimately required a CS for delivery...
July 11, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30007800/the-third-stage-of-labour-in-the-extremely-obese-parturient
#12
Kelly F Cummings, Melissa S Helmich, Songthip T Ounpraseuth, Nafisa K Dajani, Everett F Magann
BACKGROUND: Maternal obesity has been associated with an increased risk for an abnormal progression of labour; however, less is known about the length of the third stage of labour and its relation to maternal obesity. OBJECTIVE: To determine if the length of the third stage of labour is increased in extremely obese women and its possible correlation with an increased risk for postpartum hemorrhage. STUDY DESIGN: This was a retrospective cohort study of deliveries from January 2008 to December 2015 at our university hospital...
July 11, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30007799/early-discharge-after-laparoscopic-hysterectomy-a-prospective-study
#13
Jenna Gale, Calvin Thompson, Karine J Lortie, Olga Bougie, Sukhbir S Singh
OBJECTIVE: To evaluate the feasibility of same-day discharge after laparoscopic hysterectomy without excluding patients with complex surgical pathology and medical comorbidities. These factors are often considered potential barriers to early discharge, and the literature is lacking prospective trials addressing the feasibility of same-day discharge after laparoscopic hysterectomy in this patient population. METHODS: All women undergoing laparoscopic hysterectomy by a member of the minimally invasive gynaecology team at The Ottawa Hospital, a tertiary academic referral centre, from May 2013 to February 2015 were eligible to participate regardless of patient comorbidities or surgical complexity...
July 11, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30007798/arteriovenous-malformation-following-conservative-management-of-cervical-pregnancy
#14
Jennifer Tang, Mara L Sobel, Ally Murji
BACKGROUND: Medical management using potassium chloride feticide and methotrexate is often the first-line approach to cervical pregnancies. CASE: A 25-year-old woman presenting with a cervical ectopic pregnancy was unsuccessfully managed with conservative therapy, resulting in an arteriovenous malformation requiring a laparoscopic hysterectomy. CONCLUSION: Conservative management of ectopic pregnancies is the treatment of choice for young women looking to preserve fertility...
July 11, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30005898/video-media-in-clinic-waiting-areas-increases-interest-in-most-effective-contraceptive-methods
#15
Brigid Dineley, Tejal Patel, Morgan Black, Rob Koziarski, Larkin Lamarche, Dustin Costescu
OBJECTIVE: To examine the utility of a patient-level information video as part of the contraception consultation visit. Specifically, to assess the impact of the video on women's contraception choice, and, further, to assess patient and provider acceptability of incorporating the video into the patient visit. METHODS: A pre-post study design was used to assess the impact on patients' contraceptive choices and knowledge. Participants (n = 49) answered questions regarding contraceptive preferences and knowledge of long-acting reversible contraception (LARC), then watched a 12-minute patient-level counselling video that presented evidence-based information about contraception in descending order of effectiveness...
July 11, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30103894/n-o-285-toxoplasmose-pendant-la-grossesse-pr%C3%A3-vention-d%C3%A3-pistage-et-traitement
#16
Caroline Paquet, Mark H Yudin
No abstract text is available yet for this article.
August 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30103893/no-285-toxoplasmosis-in-pregnancy-prevention-screening-and-treatment
#17
Caroline Paquet, Mark H Yudin
BACKGROUND: One of the major consequences of pregnant women becoming infected by Toxoplasma gondii is vertical transmission to the fetus. Although rare, congenital toxoplasmosis can cause severe neurological or ocular disease (leading to blindness), as well as cardiac and cerebral anomalies. Prenatal care must include education about prevention of toxoplasmosis. The low prevalence of the disease in the Canadian population and limitations in diagnosis and therapy limit the effectiveness of screening strategies...
August 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30103892/n-o-298-pr%C3%A3-vention-de-l-infection-n%C3%A3-onatale-%C3%A3-streptocoques-du-groupe-b-d-apparition-pr%C3%A3-coce
#18
Deborah Money, Victoria M Allen
No abstract text is available yet for this article.
August 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30103891/no-298-the-prevention-of-early-onset-neonatal-group-b-streptococcal-disease
#19
Deborah Money, Victoria M Allen
OBJECTIVE: To review the evidence in the literature and to provide recommendations on the management of pregnant women in labour for the prevention of early-onset neonatal group B streptococcal disease. The key revisions in this updated guideline include changed recommendations for regimens for antibiotic prophylaxis, susceptibility testing, and management of women with pre-labour rupture of membranes. OUTCOMES: Maternal outcomes evaluated included exposure to antibiotics in pregnancy and labour and complications related to antibiotic use...
August 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30103890/n-o-274-prise-en-charge-de-l-infection-%C3%A3-la-varicelle-pendant-la-grossesse
#20
Alon Shrim, Gideon Koren, Mark H Yudin, Dan Farine
No abstract text is available yet for this article.
August 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
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