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https://www.readbyqxmd.com/read/29751791/a-cohort-of-women-with-ectopic-pregnancy-challenges-in-diagnosis-and-management-in-a-rural-hospital-in-a-low-income-country
#1
R Mooij, G C Mgalega, I H Mwampagatwa, J van Dillen, J Stekelenburg
BACKGROUND: Ectopic pregnancy (EP) is a serious complication of early pregnancy. In low-income countries diagnosis of EP is difficult and it is a major contributor to maternal mortality. We aimed to assess and improve the diagnostic process of women with EP. METHODS: We conducted a retrospective medical records study of all women with confirmed EP in Ndala Hospital from 2010 to 2012. We used data on demographics, symptoms, diagnostic procedures, surgical findings, treatment and post-operative status...
May 11, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29750388/impact-of-ovarian-transposition-before-pelvic-irradiation-on-ovarian-function-among-long-term-survivors-of-childhood-hodgkin-lymphoma-a-report-from-the-st-jude-lifetime-cohort-study
#2
Israel Fernandez-Pineda, Andrew M Davidoff, Lu Lu, Bhaskar N Rao, Carmen L Wilson, D Kumar Srivastava, James L Klosky, Monica L Metzger, Matthew J Krasin, Kirsten K Ness, Ching-Hon Pui, Leslie L Robison, Melissa M Hudson, Charles A Sklar, Daniel M Green, Wassim Chemaitilly
BACKGROUND: We reviewed the effect of ovarian transposition (OT) on ovarian function among long-term survivors of childhood Hodgkin lymphoma (HL) treated with pelvic radiotherapy. PROCEDURE: Female participants (age 18+ years) with HL in the St. Jude Lifetime Cohort Study (SJLIFE) were clinically evaluated for premature ovarian insufficiency (POI) 10 or more years after pelvic radiotherapy. Reproductive history including age at menopause and pregnancy/live births was available on all patients...
May 11, 2018: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/29731323/on-the-variation-in-maternal-birth-canal-in-vivo-viscoelastic-properties-and-their-effect-on-the-predicted-length-of-active-second-stage-and-levator-ani-tears
#3
Paige V Tracy, Shreya Wadhwani, Jourdan Triebwasser, Alan S Wineman, Francisco J Orejuela, Susan M Ramin, John O DeLancey, James A Ashton-Miller
The pubovisceral muscles (PVM) help form the distal maternal birth canal. It is not known why 13% of vaginal deliveries end in PVM tears, so insights are needed to better prevent them because their sequelae can lead to pelvic organ prolapse later in life. In this paper we provide the first quantification of the variation in in vivo viscoelastic properties of the intact distal birth canal in healthy nulliparous women using Fung's Quasilinear Viscoelastic Theory and a secondary analysis of data from a clinical trial of constant force birth canal dilation to 8 cm diameter in the first stage of labor in 26 nullipara...
April 25, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29723768/physical-activity-in-pregnancy-and-postpartum-depressive-symptoms-in-a-multiethnic-cohort
#4
Nilam Shakeel, Kåre Rønn Richardsen, Egil W Martinsen, Malin Eberhard-Gran, Kari Slinning, Anne Karen Jenum
INTRODUCTION: There is strong evidence that postpartum depression is associated with adverse health effects in the mother and infant. Few studies have explored associations between physical activity in pregnancy and postpartum depression. We aimed to investigate whether physical activity during pregnancy was inversely associated with postpartum depressive symptoms, PPDS in a multiethnic sample. METHOD: Population-based, prospective cohort of 643 pregnant women (58% ethnic minorities) attending primary antenatal care from early pregnancy to postpartum in Oslo between 2008 and 2010...
April 23, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29720385/rates-of-pelvic-inflammatory-disease-and-ectopic-pregnancy-in-australia-2009-2014-ecological-analysis-of-hospital-data
#5
Jane L Goller, Alysha M De Livera, Rebecca J Guy, Nicola Low, Basil Donovan, Matthew Law, John M Kaldor, Christopher K Fairley, Jane S Hocking
OBJECTIVE: To analyse yearly rates of pelvic inflammatory disease (PID) and ectopic pregnancy (EP) diagnosed in hospital settings in Australia from 2009 to 2014. METHODS: We calculated yearly PID and EP diagnosis rates in three states (Victoria, New South Wales, Queensland) for women aged 15-44 years using hospital admissions and emergency department (ED) attendance data, with population and live birth denominators. We stratified PID diagnoses as chlamydial-related or gonorrhoeal-related ( Chlamydia trachomatis (CT)-related or Neisseria gonorrhoeae (NG)-related), acute, unspecified and chronic, and analysed variations by year, age and residential area using Poisson regression models...
May 2, 2018: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/29717503/will-cesarean-section-increase-the-risk-of-interstitial-cystitis-painful-bladder-syndrome
#6
Kun-Min Chang, Ming-Huei Lee, Hsuan-Hung Lin, Shang-Liang Wu, Huei-Ching Wu
AIMS: A high number of patients with interstitial cystitis/painful bladder syndrome (IC/PBS) have a history of pelvic surgeries, and cesarean section is one of the most common pelvic surgeries in women. This study aimed to investigate if cesarean section increases the risk of IC/PBS. METHODS: Women who exclusively gave birth through cesarean section or vaginal delivery were identified from a nationwide database between 2002 and 2013. All were followed up during the study period to detect the event of IC/PBS...
May 1, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29676809/prevalence-of-maternal-birth-trauma-in-nepali-women
#7
Friyan Turel, Delena Caagbay, Hans Peter Dietz
OBJECTIVES: Pelvic organ prolapse is very common among women in Nepal, especially uterine prolapse. This would suggest a high rate of levator trauma, which is a strong predictor of such prolapse in the Western world. Hence, we decided to study the prevalence of maternal birth trauma in Nepali women. METHODS: In November 2016, we offered an interview, clinical examination, and 4-dimensional translabial sonography to women attending a gynecology clinic. Of 129 women seen, 5 were excluded due to previous pelvic surgery...
April 20, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29675869/levator-avulsion-is-associated-with-pelvic-organ-prolapse-23-years-after-the-first-childbirth
#8
Ixora Kamisan Atan, Sylvia Lin, Hans P Dietz, Peter Herbison, Peter D Wilson
OBJECTIVES: This study aimed to ascertain the association between levator avulsion and pelvic organ prolapse (POP). METHODS: This was a cross-sectional study involving 195 women enrolled in a longitudinal cohort study and seen 20 years after an index birth. All had a standardized patient-administered questionnaire, the International Continence Society Pelvic Organ Prolapse Quantification assessment and 4D translabial ultrasound. Main outcome measures were objective POP clinically and on translabial ultrasound...
April 20, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29644086/is-recreational-running-associated-with-earlier-delivery-and-lower-birth-weight-in-women-who-continue-to-run-during-pregnancy-an-international-retrospective-cohort-study-of-running-habits-of-1293-female-runners-during-pregnancy
#9
Katy Kuhrt, Mark Harmon, Natasha L Hezelgrave, Paul T Seed, Andrew H Shennan
Background: Increasingly, women of reproductive age participate in recreational running, but its impact on pregnancy outcome is unknown. We investigated whether running affects gestational age at delivery and birth weight as indicators of cervical integrity and placental function, respectively. Methods: 1293 female participants were recruited from parkrun, which organises weekly runs involving 1.25 million runners across 450 parks worldwide. Those under 16 or unable to provide outcome data were excluded...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29621904/the-birth-canal-correlation-between-the-pubic-arch-angle-the-interspinous-diameter-and-the-obstetrical-conjugate-a-computed-tomography-biometric-study-in-reproductive-age-women
#10
Sharon Perlman, Lisa Raviv-Zilka, Denis Levinsky, Ayelet Gidron, Reuven Achiron, Yinon Gilboa, Zvi Kivilevitch
BACKGROUND: Assessment of pelvic configuration is an important factor in the prediction of a successful vaginal birth. However, manual evaluation of the pelvis is practically a vanishing art, and imaging techniques are not available as a real time bed side tool. Unlike the obstetrical conjugate diameter (OC) and inter spinous diameter (ISD), the pubic arch angle (PAA) can be easily measured by transperineal ultrasound. OBJECTIVES: Three dimensional computed tomography bone reconstructions were used to measure the three main birth canal diameters, evaluate the correlation between them and establish the normal reference range for the inlet, mid- and pelvic outlet...
April 5, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29610337/human-bony-labyrinth-is-an-indicator-of-population-history-and-dispersal-from-africa
#11
Marcia S Ponce de León, Toetik Koesbardiati, John David Weissmann, Marco Milella, Carlos S Reyna-Blanco, Gen Suwa, Osamu Kondo, Anna-Sapfo Malaspinas, Tim D White, Christoph P E Zollikofer
The dispersal of modern humans from Africa is now well documented with genetic data that track population history, as well as gene flow between populations. Phenetic skeletal data, such as cranial and pelvic morphologies, also exhibit a dispersal-from-Africa signal, which, however, tends to be blurred by the effects of local adaptation and in vivo phenotypic plasticity, and that is often deteriorated by postmortem damage to skeletal remains. These complexities raise the question of which skeletal structures most effectively track neutral population history...
April 2, 2018: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/29587664/management-and-obstetric-outcomes-of-17-heterotopic-interstitial-pregnancies
#12
Yuan Jiang, Jie Chen, Huaijun Zhou, Mingming Zheng, Ke Han, Jingxian Ling, Xianghong Zhu, Xiaoqiu Tang, Rong Li, Ying Hong
BACKGROUND: Heterotopic interstitial pregnancy is a rare variant of heterotopic pregnancies, and it poses challenges in treating the heterotopic pregnancy and preserving the intrauterine pregnancy. However, there is no clear consensus regarding the optimal management. The aim of this study was to investigate the pregnancy outcomes of women diagnosed with heterotopic interstitial pregnancy. METHODS: A total of 17 women diagnosed with heterotopic interstitial pregnancy between July 2010 and December 2015 were included...
March 27, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29587219/specific-age-group-sex-estimation-of-infants-through-geometric-morphometrics-analysis-of-pubis-and-ischium
#13
Enrique José Estévez Campo, Sandra López-Lázaro, Claudia López-Morago Rodríguez, Inmaculada Alemán Aguilera, Miguel Cecilio Botella López
Sex determination of unknown individuals is one of the primary goals of Physical and Forensic Anthropology. The adult skeleton can be sexed using both morphological and metric traits on a large number of bones. The human pelvis is often used as an important element of adult sex determination. However, studies carried out about the pelvic bone in subadult individuals present several limitations due the absence of sexually dimorphic characteristics. In this study, we analyse the sexual dimorphism of the immature pubis and ischium bones, attending to their shape (Procrustes residuals) and size (centroid size), using an identified sample of subadult individuals composed of 58 individuals for the pubis and 83 for the ischium, aged between birth and 1year of life, from the Granada osteological collection of identified infants (Granada, Spain)...
March 16, 2018: Forensic Science International
https://www.readbyqxmd.com/read/29570455/computerized-prediction-system-for-the-route-of-delivery-vaginal-birth-versus-cesarean-section
#14
Mehmet Sinan Beksac, Atakan Tanacan, Hikmet Ozge Bacak, Kemal Leblebicioglu
AIM: To develop a supportive computerized prediction system for the route of delivery. MATERIALS AND METHODS: This study consisted of 2127, 3548 and 1723 deliveries for the years 1976, 1986 and 1996, respectively. We have developed a supervised artificial neural network (ANN) for predicting the delivery route. We have used a back-propagation learning algorithm for this purpose. The data used for the computerized system were obtained during the admission of the patients to the delivery room at the beginning of the first stage of labor after pelvic examination and examination/evaluation of the mother and fetus...
March 23, 2018: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/29566564/association-between-preterm-labour-and-pelvic-floor-muscle-function
#15
Turhan Aran, Ipek Pekgöz, Hasan Bozkaya, Mehmet A Osmanagaoglu
We hypothesised that the pressure on the cervix increases with advancing gestation and it may lead to a cervical shortening and cause preterm labour in women with weak pelvic floor muscles. The aim of this prospective study was to measure vaginal resting pressure and pelvic floor muscle strength in the first trimester of pregnancy and to investigate their effects on labour. A study was conducted on the pregnant women with a low risk for preterm birth. The pelvic floor muscle strength and vaginal resting pressure were assessed in 320 pregnant women at their first trimester with a vaginal pressure measurement device...
March 23, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29564511/it-is-the-first-birth-that-does-the-damage-a-cross-sectional-study-20-years-after-delivery
#16
Ixora Kamisan Atan, Sylvia Lin, Hans Peter Dietz, Peter Herbison, Peter Donald Wilson
INTRODUCTION AND HYPOTHESIS: Levator ani muscle (LAM) and anal sphincter tears are common after vaginal birth and are associated with female pelvic organ prolapse and anal incontinence. The impact of subsequent births on LAM and external anal sphincter (EAS) integrity is less well defined. The objective of this study was to determine the prevalence of LAM and EAS trauma in primiparous (VP1) and multiparous (VP2+) women who had delivered vaginally to assess if there were differences between the two groups...
March 21, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29554920/pelvic-incidence-variation-among-individuals-functional-influence-versus-genetic-determinism
#17
REVIEW
Hong-Fang Chen, Chang-Qing Zhao
Pelvic incidence has become one of the most important sagittal parameters in spinal surgery. Despite its great importance, pelvic incidence can vary from 33° to 85° in the normal population. The reasons for this great variability in pelvic incidence remain unexplored. The objective of this article is to present some possible interpretations for the great variability in pelvic incidence under both normal and pathological conditions and to further understand the determinants of pelvic incidence from the perspective of the functional requirements for bipedalism and genetic backgrounds via a literature review...
March 20, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29532123/collagen-xviii-and-loxl-4-polymorphisms-in-women-with-and-without-advanced-pelvic-organ-prolapse
#18
Renata G M Dos Santos, Fernanda C A Pepicelli, Nilce C Batista, Cristina V de Carvalho, Maria A T Bortolini, Rodrigo A Castro
INTRODUCTION AND HYPOTHESIS: We verified the presence of single nucleotide polymorphisms (SNP) rs2236479 of the collagen 18 (COL18A1) and rs2862296 of the lysyl oxidase-like 4 (LOXL-4) genes and the association with pelvic organ prolapse (POP) in Brazilian women and determined risk factors for POP development. METHODS: We assessed 532 postmenopausal women divided into POP (stages III and IV) and control (stages 0 and I) groups by examination and peripheral blood sample collection...
June 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29502244/a-rare-case-of-hydrometrocolpos-from-persistent-urogenital-sinus-in-patient-affected-by-adrenogenital-syndrome
#19
REVIEW
Igino Simonetti, Piero Trovato, Francesco Verde, Luca Tarotto, Roberto Della Casa, Maria Concetta Lonardo, Gianfranco Vallone, Maria Grazia Caprio
Persistent urogenital sinus (PUGS) is a congenital pathological condition characterized by an abnormal communication between the urethra and vagina, which has an estimated incidence of 0.6/10,000 female births. It could be the only known malformation or part of a syndrome. PUGS is commonly shown by a pelvic mass, related to a distended bladder, hydrometrocolpos which is due to an obstruction leading to the dilation of the vagina and uterus (i.e., imperforate hymen, transverse vaginal septum or atresia, and PUGS) or both...
March 3, 2018: Journal of Ultrasound
https://www.readbyqxmd.com/read/29465747/antibiotics-for-treating-gonorrhoea-in-pregnancy
#20
REVIEW
Gabriella Comunián-Carrasco, Guiomar E Peña-Martí, Arturo J Martí-Carvajal
BACKGROUND: Gonorrhoea is a sexually transmitted infection that is caused by Neisseria gonorrhoeae, and is a major public health challenge today. N gonorrhoeae can be transmitted from the mother's genital tract to the newborn during birth, and can cause gonococcal ophthalmia neonatorum as well as systemic neonatal infections. It can also cause endometritis and pelvic sepsis in the mother. This review updates and replaces an earlier Cochrane Review on antibiotics for treating this infectious condition...
February 21, 2018: Cochrane Database of Systematic Reviews
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