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Obstetrics and Gynecology International

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https://www.readbyqxmd.com/read/28239396/the-prognostic-value-of-baseline-lymphocyte-neutrophil-and-monocyte-counts-in-locally-advanced-cervical-carcinoma-treated-with-radiation
#1
Sareena Singh, Justin Himler, Christa I Nagel, Kimberly Resnick
Background. To determine the prognostic significance of pretreatment levels of circulating lymphocyte (CLC), neutrophil (CNC), and monocyte (CMC) counts in patients with locally advanced cervical carcinoma (CC) treated with definitive radiation. Methods. A retrospective, dual-institution review of patients with Stage IB2-IVA CC from 2005 to 2015. Progression-free (PFS) and Overall Survival (OS) were determined for high and low CLC, CNC, and CMC groups. Multivariate analysis was used to confirm prognostic value of baseline leukocyte counts...
2017: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/28203253/the-use-of-laparoscopy-simulation-to-explore-gender-differences-in-resident-surgical-confidence
#2
Rebecca L Flyckt, Eliza E White, Linnea R Goodman, Catherine Mohr, Sanjeev Dutta, Kristine M Zanotti
Background. The objective of this study was to determine whether female surgical residents underestimate their surgical abilities relative to males on a standardized test of laparoscopic skill. Methods. Twenty-six male and female general surgery residents and 25 female obstetrics and gynecology residents at two academic centers were asked to predict their score prior to undergoing the Fundamentals of Laparoscopic Surgery standardized skills exam. Actual and predicted score as well as delta values (predicted score minus actual score) were compared between residents...
2017: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/28167965/the-ten-group-robson-classification-a-single-centre-approach-identifying-strategies-to-optimise-caesarean-section-rates
#3
Keisuke Tanaka, Kassam Mahomed
Caesarean section (CS) rates have been increasing worldwide and have caused concerns. For meaningful comparisons to be made World Health Organization recommends the use of the Ten-Group Robson classification as the global standard for assessing CS rates. 2625 women who birthed over a 12-month period were analysed using this classification. Women with previous CS (group 5) comprised 10.9% of the overall 23.5% CS rate. Women with one previous CS who did not attempt VBAC contributed 5.3% of the overall 23.5% CS rate...
2017: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/28167964/safety-and-cost-considerations-during-the-introduction-period-of-laparoscopic-radical-hysterectomy
#4
A Anagnostopoulos, S Mitra, B Decruze, R Macdonald, J Kirwan
Objective. To compare the safety, efficacy, and direct cost during the introduction of laparoscopic radical hysterectomy within an enhanced recovery pathway. Methods. A 1 : 1 single centre retrospective case control study of 36 propensity matched pairs of patients receiving open or laparoscopic surgery for early cervical cancer. Results. There were no significant differences in the baseline characteristics of the two cohorts. Open surgery cohort had significantly higher intraoperative blood loss (189 versus 934 mL) and longer postoperative hospital stay (2...
2017: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/28149307/a-novel-atraumatic-tourniquet-technique-for-excessive-bleeding-during-cesarean-sections
#5
Baris Buke, Emre Canverenler, Hatice Akkaya, Fuat Akercan
Objective. Controlling excessive bleeding in cesarean sections which may cause a life-threatening event even under well-prepared conditions. We used a novel atraumatic tourniquet technique to temporary arrest blood flow through the uterine and ovarian vessels and compare with other techniques. Toothless vascular clamps were used as clamp. Methods. Tourniquet technique performed postpartum hemorrhage (PPH) cases (19 out of 37) were compared with 18 other cases with PPH. Results. The difference between preoperative and postoperative hemoglobin values was significantly lower in the study group as well as the number of blood products needed during and after surgery...
2017: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/28163718/comparison-of-long-term-fertility-and-bleeding-outcomes-after-robotic-assisted-laparoscopic-and-abdominal-myomectomy
#6
Rebecca Flyckt, Enrique Soto, Benjamin Nutter, Tommaso Falcone
Background/Aims. To compare long-term fertility and bleeding outcomes of women who underwent robotic-assisted, laparoscopic, and abdominal myomectomy at our institution over a 15-year period. Methods. This was a retrospective cohort study of myomectomy patients 18-39 years old that had surgery between January 1995 and December 2009 at our institution. Long-term follow-up on fertility and bleeding outcomes was collected from the patient directly. The uterine fibroid symptom and quality of life survey was also administered to assess current bleeding patterns...
2016: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/28101107/comparison-of-human-papillomavirus-detection-in-urine-and-cervical-samples-using-high-risk-hpv-dna-testing-in-northern-thailand
#7
Surapan Khunamornpong, Jongkolnee Settakorn, Kornkanok Sukpan, Suree Lekawanvijit, Narisara Katruang, Sumalee Siriaunkgul
Objective. To evaluate the performance of high-risk human papillomavirus (HPV) DNA testing in urine samples compared to that of cervical sample testing in Northern Thailand. Methods. Paired urine and cervical samples were collected during the follow-up of women with a previous positive HPV test. HPV testing was performed using the Cobas 4800 HPV Test. Linear Array assay was used for genotyping in selected cases. Results. Paired urine and cervical samples were obtained from 168 women. Of 123 paired samples with valid results, agreement in the detection of high-risk HPV DNA was present in 106 cases (86...
2016: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/28044081/common-adverse-effects-of-anti-tnf-agents-on-gestation
#8
REVIEW
Zacharias Fasoulakis, Panagiotis Antsaklis, Nikolaos Galanopoulos, Emmanuel Kontomanolis
Autoimmune disease has affected up to 50 million Americans, according to the American Autoimmune Related Diseases Association (AARDA) and 75 percent of those affected are women. These inflammatory diseases have variable activity and a lot of women will have to undergo major therapies during and after pregnancy. Many of the women suffering from these disease will improve during gestation. However a lot of women will require continuation of disease-modifying therapies (i.e., biological therapies) throughout pregnancy and post-partum involving many risks...
2016: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/28003825/endometrial-volume-measured-by-vocal-compared-to-office-hysteroscopy-for-diagnosis-of-endometrial-polyps-in-premenopausal-women-with-abnormal-uterine-bleeding
#9
Mohamed Laban, Sherif H Hussain, Alaa S Hassanin, Waleed M Khalaf, Mohamed K Etman, Mohammed S E Elsafty, Ahmed M Bahaa Eldin, Ahmad S Hasanien, Noha A Sakna, Mohammed Taema, Mohammed H Mostafa, Marwa M Eisa
The aim is to compare hysteroscopy, two-dimensional transvaginal ultrasound (2D TVUS), and three-dimensional (3D) Virtual Organ Computer-aided AnaLysis™ (VOCAL) to detect endometrial polyps (EPs) in premenopausal women with abnormal uterine bleeding (AUB). This prospective study was done at Ain Shams Maternity Hospital, Egypt, from March 5, 2015, to December 30, 2015, enrolling 118 premenopausal women with AUB. 2D TVUS, 3D VOCAL, and hysteroscopy were done. 109 patients reached final analysis. 36 women (33%) were diagnosed with EP by 2D TVUS...
2016: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/27990163/the-effect-of-epidural-analgesia-on-the-delivery-outcome-of-induced-labour-a-retrospective-case-series
#10
Angeliki Antonakou, Dimitrios Papoutsis
Objective. To investigate whether the use of epidural analgesia during induced labour was a risk factor for instrumental vaginal delivery and caesarean section (CS) delivery. Study Design. This was a retrospective case series of primigravidae women being induced at term for all indications with a normal body mass index (BMI) at booking and under the age of 40 years. Results. We identified 1,046 women who fulfilled the inclusion criteria of which 31.2% had an epidural analgesia. Those with an epidural analgesia had significantly greater maternal age, higher BMI, greater percentage of oxytocin usage, and a longer first and second stage of labour...
2016: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/27980537/obstetricians-gynecologists-problems-in-sickness-certification-consultations-two-nationwide-surveys
#11
Catharina Gustavsson, Elin Hinas, Therese Ljungquist, Kristina Alexanderson
Objective. To explore experiences by physicians working in obstetrics, gynecology, or maternal healthcare (O/Gs) of problems in sickness certification consultations and differences between two years. Material and Methods. Answers by O/Gs to two Swedish nationwide surveys, in 2008 (n = 1037) and 2012 (n = 992), were analyzed for frequencies and severity of problems and organizational support in sickness certification consultations. Results. One-third of O/Gs found sickness certifications problematic every week...
2016: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/27895667/attitude-to-the-menopause-and-sex-amongst-middle-aged-women-in-a-family-medicine-clinic-in-ibadan-nigeria
#12
Folasade Adenike Bello, Olufunmilola Olutosin Daramola
Background. Menopause is the expected end of reproductive life. Having a positive attitude towards it has been shown to result in a positive experience, while a negative attitude is associated with negative experiences and symptoms. Traditionally, women often abstain from sex after menopause. The study aimed to determine the level of awareness and perceptions about the menopause and sex in perimenopausal women attending a general outpatient clinic. Methods. Women over 40 years were recruited from the Family Medicine Department of University College Hospital, excluding those who were menopausal...
2016: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/27891148/can-we-accurately-time-the-administration-of-antenatal-corticosteroids-for-preterm-labor
#13
Paola Aghajanian, Quy T Nguyen, Naomi H Greene, Kimberly D Gregory
Background. Accurate timing of antenatal corticosteroids (ACS) has resulted in improved neonatal outcomes. Objectives. Our primary objective was to determine predictors for optimal timing of ACS in women presenting with spontaneous preterm labor. Study Design. A retrospective cohort study of women receiving ACS for spontaneous preterm birth was conducted. Women were included if they presented with preterm labor or preterm premature rupture of membranes. Accurate timing of ACS was defined as administration within 7 days of delivery...
2016: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/27882055/determinants-of-patient-delay-in-seeking-diagnosis-and-treatment-among-moroccan-women-with-cervical-cancer
#14
Fatima Ouasmani, Zaki Hanchi, Bouchra Haddou Rahou, Rachid Bekkali, Samir Ahid, Abdelhalem Mesfioui
Introduction. This study sought to investigate potential determinants of patient delay among Moroccan women with cervical cancer. Methods. A cross-sectional study was conducted from June 2014 to June 2015 at the National Institute of Oncology in Rabat. Data were collected using questionnaire among patients with cervical cancer locally advanced or metastatic (stages IIA-IVB). Medical records were abstracted to complete clinical information. An interval longer than 90 days between discovery of initial symptoms and presentation to a provider was defined as a patient delay...
2016: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/27867397/knowledge-and-awareness-of-cervical-cancer-among-hiv-infected-women-in-ethiopia
#15
Netsanet Shiferaw, Mohamad I Brooks, Graciela Salvador-Davila, Shumet Lonsako, Konjit Kassahun, Jodi Ansel, Chidude Osakwe, Teklu Weldegebreal, Ismael Ahmed, Mengistu Asnake, Paul D Blumenthal
Introduction. Cervical cancer is one of the leading causes of cancer death among Ethiopian women. Low awareness of cervical cancer, in combination with low health care seeking behavior, is a key challenge for cervical cancer prevention. This study assessed the knowledge of cervical cancer among HIV-infected women in Ethiopia. Methods. A facility-based cross-sectional survey was conducted from August to September 2012 among HIV-infected women between 21 and 49 years of age. Basic descriptive statistics were performed using SPSS...
2016: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/27840641/retrospective-case-reports-of-anemic-pregnant-women-receiving-intravenous-ferric-carboxymaltose-experience-from-a-tertiary-hospital-in-spain
#16
Rafael Aporta Rodriguez, Mariola García Montero, Jose Pablo Lorente Aporta, Carolina Gallego Luque, Alfonso Chacón Mayor, Jose Aragón Ruiz, Virginia Torres Degayón, Claudia García Jimenez, Guadalupe Sanchez Sanchez
Iron deficiency and iron deficiency anemia during pregnancy call for safe treatment options that raise maternal hemoglobin levels and counterbalance iron demand and blood volume expansion while minimizing risks for the growing fetus. This retrospective study describes experience with intravenous ferric carboxymaltose given to pregnant women in a tertiary hospital in Spain. In a 5-year period, 95 pregnant women who had pretreatment hemoglobin <10 g/dL and at least one time of ferric carboxymaltose administration during pregnancy were included...
2016: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/27803713/plasma-markers-of-oxidative-stress-in-patients-with-gestational-diabetes-mellitus-in-the-second-and-third-trimester
#17
Hongwei Li, Qian Yin, Ning Li, Zhenbo Ouyang, Mei Zhong
Objective. To determine plasma markers of oxidative stress during the second and third trimester of pregnancy in patients with gestational diabetes mellitus (GDM). Study Design. We conducted a prospective nested case-control study involving 400 pregnant women, 22 of whom developed GDM. As control group, 30 normal pregnant women were chosen randomly. Plasma samples were analyzed for 8-iso-prostaglandin F2α (8-iso-PGF2α), advanced oxidative protein products (AOPPs), protein carbonyl (PCO), glutathione peroxidase-3 (GPX-3), and paraoxonase-1 (PON1) at 16-20 weeks, 24-28 weeks, and 32-36 weeks of gestation...
2016: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/27703482/determinants-of-antenatal-care-attendance-among-pregnant-women-living-in-endemic-malaria-settings-experience-from-the-democratic-republic-of-congo
#18
Célestin Ndosimao Nsibu, Célestin Manianga, Serge Kapanga, Esther Mona, Philippe Pululu, Michel Ntetani Aloni
Background. Antenatal care (ANC) attendance helps pregnant women to benefit from preventive and curative services. Methods. Determinants for ANC attendance were identified through a cross-sectional survey in the Democratic Republic of Congo. Sociocultural bottlenecks were assessed via focus groups discussion of married men and women. Results. In this survey, 28 of the 500 interviewed pregnant women (5.6%) did not attend ANC services and 82.4% booked over the first trimester. The first visit is positively influenced by the reproductive age (OR: 0...
2016: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/27688772/herbal-medicines-and-ovarian-hyperstimulation-syndrome-a-retrospective-cohort-study
#19
Athar Rasekhjahromi, Masoumeh Hosseinpoor, Farzaneh Alipour, Mehrnoosh Maalhagh, Saeed Sobhanian
Background. The aim of this study was to assess the association between herbal medication and OHSS. Methods. This retrospective cohort study was conducted with 101 polycystic ovary syndrome patients. 66 patients took conventional pharmacological medications and 35 took herbal medications. Data were analyzed by statistical test including Fisher's Exact and binominal logistic regression. P < 0.05 was considered significant. Results. Of the 101 females, 53 were married and 48 were single. There was no significant association between the groups in marriage...
2016: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/27656213/unintended-pregnancy-in-ethiopia-community-based-cross-sectional-study
#20
Kidest Getu Melese, Mignote Hailu Gebrie, Martha Berta Badi, Wubalem Fekadu Mersha
Introduction. Unintended pregnancy is defined as a pregnancy which is a sum of mistimed pregnancy (pregnancy wanted at a later time) and unwanted pregnancy (pregnancy which is not wanted at all). Unintended pregnancy is a global public health problem and its sequels are major causes for maternal and neonatal morbidity and mortality with its effect to maternal metal illness as well. Objective. To determine the prevalence and associated factors of unintended pregnancy in Debre Birhan town, northeast of Ethiopia, in 2014...
2016: Obstetrics and Gynecology International
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