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https://www.readbyqxmd.com/read/29768579/-cost-effectiveness-analysis-of-spontaneous-vaginal-delivery-and-elective-cesarean-for-normal-risk-pregnant-women-in-the-brazilian-unified-national-health-system
#1
Aline Piovezan Entringer, Márcia Pinto, Marcos Augusto Bastos Dias, Maria Auxiliadora de Souza Mendes Gomes
The purpose of this study was to conduct a cost-effectiveness analysis of spontaneous vaginal delivery and elective cesarean (with no clinical indication) for normal risk pregnant women, from the perspective of the Brazilian Unified National Health System. An analytical decision model was developed and included the choice of delivery mode and clinical consequences for mothers and newborns, from admission for delivery to hospital discharge. The reference population consisted of normal risk pregnant women with singleton, at-term gestations in cephalic position, subdivided into primiparas and multiparas with prior uterine scar...
May 10, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29758363/different-surgical-approaches-to-313-cesarean-scar-pregnancies
#2
Aiwen Le, Mengxi Li, YaHong Xu, Zhonghai Wang, Xiao Yun Dai, Tian Hui Xiao, Rong Zhuo, Rui Yuan, Togas Tulandi
STUDY OBJECTIVE: To evaluate the efficacy of different surgical treatments for cesarean scar pregnancy (CSP). DESIGN: Retrospective study (Canadian Task Force classification II-3). SETTING: Affiliated university hospitals. PATIENTS: 313 patients with CSP. INTERVENTIONS: Dilation and curettage under ultrasound guidance (DCUS, n = 124), dilation and curettage with hysteroscopic guidance (DCH, n = 103), vaginal excision (n = 55), laparotomy (n = 12), and laparoscopy (n = 19)...
May 11, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29754409/comparison-of-transvaginal-ultrasound-and-saline-contrast-sonohysterography-in-evaluation-of-cesarean-scar-defect-a-prospective-cohort-study
#3
Riitta Antila-Långsjö, Johanna U Mäenpää, Heini Huhtala, Eija Tomás, Synnöve Staff
INTRODUCTION: The aim of this study was to investigate the prevalence of post-cesarean isthmocele and to measure agreement between transvaginal ultrasonography and saline contrast sonohysterography in assessment of isthmocele. MATERIAL AND METHODS: Prospective observational cohort study was carried out at Tampere University Hospital, Finland. Non-pregnant women delivered by cesarean section (n=371) were examined with transvaginal ultrasonography (TVUS) and sonohysterography (SHG) six months after cesarean section...
May 12, 2018: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29741973/uterine-scar-healing-after-cesarean-section-managing-an-old-surgery-in-an-evidence-based-environment
#4
Antonio Simone Laganà, Antonella Cromi, Roberto Tozzi, Massimo Franchi, David Lukanović, Fabio Ghezzi
No abstract text is available yet for this article.
May 9, 2018: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/29739243/patient-satisfaction-and-cosmetic-outcome-in-a-randomized-study-of-cesarean-skin-closure
#5
Jonah Fleisher, Adeeb Khalifeh, Christian Pettker, Vincenzo Berghella, Nooreen Dabbish, A Dhanya Mackeen
OBJECTIVE: To evaluate patient satisfaction and patient and physician assessment of scar appearance after cesarean skin closure with suture versus staples. METHODS: Women undergoing cesarean delivery at ≥ 23 weeks' gestation via low-transverse skin incisions at three hospitals in the CROSS Consortium were randomized to receive skin closure using subcuticular absorbable suture or nonabsorbable metal staples. The primary outcome of this substudy, patient satisfaction, was assessed by surveys at the postpartum visit using a 10-point Likert scale...
May 8, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29729520/ultrasound-elastography-of-the-lower-uterine-segment-in-women-with-a-previous-cesarean-section-comparison-of-in-ex-vivo-elastography-versus-tensile-stress-strain-rupture-analysis
#6
Gregor Seliger, Katharina Chaoui, Christine Lautenschläger, Klaus-Vitold Jenderka, Christian Kunze, Grit Gesine Ruth Hiller, Michael Tchirikov
OBJECTIVES: The purpose of this study was to assess, if the biomechanical properties of the lower uterine segment (LUS) in women with a previous cesarean section (CS) can be determined by ultrasound (US) elastography. The first aim was to establish an ex-vivo LUS tensile-stress-strain-rupture(break point) analysis with the possibility of simultaneously using US elastography. The second aim was to investigate the relationship between measurement results of LUS stiffness using US elastography in-/ex-vivo with results of tensile-stress-strain-rupture analysis, and to compare different US elastography LUS-stiffness-measurement methods ex-vivo...
April 20, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29723645/a-novel-treatment-for-cervical-and-cesarean-section-scar-pregnancies-by-transvaginal-injection-of-absolute-ethanol-to-trophoblasts-its-efficacy-in-19-cases
#7
Hisao Osada, Shokichi Teramoto, Hirotsune Kaijima, Tomoya Segawa, Osamu Miyauchi, Masaji Nagaishi, Makio Shozu, Keiichi Kato, Victor Gomel
STUDY OBJECTIVE: To evaluate the efficacy of a non-surgical treatment for cervical pregnancies (CP) and cesarean section scar pregnancies (CSP) DESIGN: Canadian Task Force Classification III SETTING: Private assisted reproductive technology practice PATIENTS: Nineteen women with CP (16 cases) or CSP (3 cases), including 6 patients with positive fetal heartbeat INTERVENTION: Transvaginal local injection of absolute ethanol (AE) into the hyperechoic ring (lacunar space) around the gestational sac under ultrasound guidance MEASUREMENTS AND MAIN RESULTS: Serum beta-human chorionic gonadotropin (β-hCG) was measured at frequent intervals, and ultrasound and/or magnetic resonance imaging was used to observe the gestational sac...
April 30, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29718837/therapeutic-approach-for-the-cesarean-scar-pregnancy
#8
Li-Ping Fu
The aim of this study was to explore the pros and cons of different treatments of cesarean scar pregnancy (CSP).We retrospectively studied 205 cases of CSP that were treated in our hospital from June 2013 to June 2014, 189 of which had surgical operation.The average age of the patients was (32.98 ± 4.56) years. Data from those 189 cases were analyzed.Two hundred five patients from Beijing Obstetrics and Gynecology Hospital.One hundred eighty-nine cases who had operative treatment, 111 of which received curettage under hysteroscopy, 70 of which received curettage under ultrasonography, 8 of which received laparoscopic Cesarean scar resection...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29713741/magnetic-resonance-imaging-of-common-uncommon-and-rare-implantation-sites-in-ectopic-pregnancy
#9
REVIEW
Subramaniyan Ramanathan, Vineetha Raghu, Sushila B Ladumor, Anita N Nagadi, Yegu Palaniappan, Vikram Dogra, Nicola Schieda
OBJECTIVE: To review the MRI appearances of tubal and non-tubal implantation sites in ectopic pregnancy. CONCLUSION: Transvaginal ultrasound is the primary imaging modality in ectopic pregnancy and MRI is used as a problem-solving tool in selected indications as detailed in the article. MRI features of tubal, interstitial, cervical, cesarean scar, cornual, ovarian, abdominal, and heterotopic pregnancies are provided to familiarize the radiologists with their appearances thereby assisting them in making early and accurate diagnosis...
April 30, 2018: Abdominal Radiology
https://www.readbyqxmd.com/read/29709694/dehiscence-of-a-low-transverse-cesarean-scar-by-a-submucous-fibroid-in-a-non-gravid-uterus
#10
Jeffrey J Woo, Paulami Guha, Anita H Chen
No abstract text is available yet for this article.
April 27, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29704677/laparoscopic-resection-of-post-cesarean-section-scar-uterine-cyst
#11
Haider Jan, Vishalli Ghai
No abstract text is available yet for this article.
April 25, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29697667/-features-of-the-pathogenesis-of-the-placenta-growing-in-the-scar-after-cesarean-section
#12
I V Barinova, N I Kondrikov, I N Voloshchuk, M A Chechneva, N A Shchukina, V A Petrukhin
OBJECTIVE: to investigate the structural and pathogenetic features of pathological placental attachment in the scar after cesarean section. MATERIAL AND METHODS: The investigators explored 12 uteri; 11 of which were removed with placentas at 9 to 38 weeks' gestation (one in the first trimester, three at 18-22 weeks, two at 32-35 weeks, and five at 37-38 weeks); one uterus was removed after an artificial abortion at 12 weeks' gestation in the scar, as well as the scars excised in the first trimester in non-developing (n=4) and progressive (n=2) pregnancies...
2018: Arkhiv Patologii
https://www.readbyqxmd.com/read/29693012/management-of-cesarean-scar-pregnancy-a-single-institution-retrospective-review
#13
P Giampaolino, N De Rosa, I Morra, A Bertrando, A Di Spiezio Sardo, B Zizolfi, C Ferrara, L Della Corte, G Bifulco
Objective: Cesarean scar pregnancy (CSP) is a rare condition that occurs when the pregnancy implants in a cesarean scar. An early diagnosis and a proper management are fundamental to prevent maternal complications. We review and discuss the different treatment employed in our unit to reduce morbidity, preserve fertility, and predict possible complications. Methods: The reported treatment has been expectant management, operative hysteroscopy approach, and intramuscular injection of 50 mg methotrexate (MTX), followed by cervical dilation and manual vacuum aspiration (D&S) with a Karman cannula under ultrasound guidance, uterine artery embolization (UAE), and manual vacuum aspiration under ultrasound guidance and uterine artery embolization before surgical laparotomic resection...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29690964/ultrasound-predictability-of-lower-uterine-segment-cesarean-section-scar-thickness
#14
Shazia Tazion, Maimoona Hafeez, Rukhsana Manzoor, Tashhir Rana
OBJECTIVE: The objective of this study is to find out association between scar thickness, assessed sonographically, and intraoperative findings (IOF). STUDY DESIGN: Descriptive study. PLACE AND DURATION OF STUDY: Department of Gynecology and Obstetrics, Sharif Medical and Dental College, Lahore, from June 2016 to April 2017. METHODOLOGY: A total of 70 pregnant patients were included in this study. Transabdominal ultrasound was done for scarred uteri...
May 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29673669/rupture-of-the-scarred-and-unscarred-gravid-uterus-outcomes-and-risk-factors-analysis
#15
Shu-Han You, Yao-Lung Chang, Chih-Feng Yen
OBJECTIVE: To study the maternal and fetal outcomes and assess the risk factors in patients with rupture at the lower-segment or non-lower-segment scarred, or unscarred gravid uterus. MATERIALS AND METHODS: Gravid patients with uterine rupture were retrospectively collected in Chang-Gung Memorial Hospital from November 2004 to July 2017. The rupture timing and location in association with maternal and fetal outcomes were collected as well as the possible risk factors including surgical history and interval prior to conception were analyzed...
April 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29667541/does-suture-material-affect-uterine-scar-healing-after-cesarean-section-results-from-a-randomized-controlled-trial
#16
Alper Başbuğ, Ozan Doğan, Aşkı Ellibeş Kaya, Çiğdem Pulatoğlu, Mete Çağlar
BACKGROUND: Impaired healing of the uterine scar after cesarean has been associated with adverse gynecological and obstetric outcomes. Although a large number of studies have been conducted on the events leading to this, information obtained from prospective randomized studies examining the role of suture material in the formation of cesarean scar defect (CSD) is lacking. OBJECTIVE: To evaluate the effects of synthetic suture materials on CSD formation. STUDY DESIGN: We performed a two-arm 1:1 randomized study in women with singleton pregnancies undergoing elective primary cesarean delivery after the 38th week of gestation...
April 18, 2018: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/29665357/second-trimester-surgical-abortion-practices-in-the-united-states
#17
Katharine O White, Heidi E Jones, Jade Shorter, Wendy V Norman, Edith Guilbert, E Steve Lichtenberg, Maureen Paul
OBJECTIVE: To assess whether second-trimester surgical abortion practices of U.S. providers agree with evidence-based policy guidelines. STUDY DESIGN: We conducted a cross-sectional survey of abortion facilities in the U.S. identified via publicly available resources and professional networks from June through December 2013. RESULTS: Of 703 identified facilities, 383 (54%) participated including 172 clinicians providing second-trimester surgical abortions (D&Es)...
April 14, 2018: Contraception
https://www.readbyqxmd.com/read/29662714/post-cesarean-scar-endometriosis
#18
Doğan Yıldırım, Cihad Tatar, Ozan Doğan, Adnan Hut, Turgut Dönmez, Muzaffer Akıncı, Mehmet Toptaş, Rahime Nida Bayık
Objective: Endometriosis is seen in women during their reproductive period, where stromal tissue and functional endometrial glands of the uterus are observed outside the uterine cavity. In this study, we aimed to identify the clinical characteristics of our patients who underwent surgery with scar endometriosis and to discuss the surgical results in light of the literature. Materials and Methods: A total of 24 patients who underwent surgery and diagnosed as having endometriosis as the result of a pathologic examination were retrospectively evaluated...
March 2018: Turkish Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29662713/are-the-skin-scar-characteristics-and-closure-of-the-parietal-peritoneum-associated-with-pelvic-adhesions
#19
Numan Çim, Erkan Elçi, Gülhan Güneş Elçi, Necat Almalı, Recep Yıldızhan
Objective: To assess whether the abdominal scar characteristics and closure of the peritoneum were associated with pelvic adhesions. Materials and Methods: Patients who had undergone cesarean section between December 2015 and February 2016 were assessed prospectively in terms of age, gravida, body mass index, number of living children, number of cesarean sections, time passed since the last cesarean section, closure status of the peritoneum in the last cesarean section, presence of other diseases, smoking status, location of incision in the abdomen (medial, pfannenstiel) scar dimensions (length, width), scar status with respect to skin (hypertrophic, flat, depressive), scar color [color change/no color change (hyperpigmented/hypopigmented)], adhesion of bowel-omentum-uterus, omentum-anterior abdominal wall, uterus-anterior abdominal wall, uterus-bladder, bladder-anterior abdominal wall, fixed uterus, and uterus-omentum-anterior abdominal wall in abdominal exploration...
March 2018: Turkish Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29662708/emergency-peripartum-hysterectomy-in-the-dubai-health-system-a-fifteen-year-experience
#20
Muna Abdulrazzaq Tahlak, Mahera Abdulrahman, Nawal Mahmood Hubaishi, Mushtaq Omar, Fatima Cherifi, Shazia Magray, Frederick Robert Carrick
Objective: To determine the incidence, demographic data, risk factors, indications, outcome and complications of emergency peripartum hysterectomy (EPH) performed in two major tertiary care hospitals in Dubai, and to compare the results with the literature. Materials and Methods: The records of all women who underwent EPH from January 2000 to December 2015 in two major tertiary care hospitals in Dubai were accessed and reviewed. Maternal characteristics, hysterectomy indications, outcomes, and postoperative complications were recorded using descriptive statistics to describe the cohort...
March 2018: Turkish Journal of Obstetrics and Gynecology
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