Critical care, maternal and neonatal outcomes of pregnant women with COVID ‐19 admitted to eight intensive care units during the wildtype, alpha and delta waves of the pandemic across the North West of England—a retrospective review
ConclusionsOf the women admitted to ICU antepartum, 40% were discharged while remaining pregnant and 60% had expedited delivery. Antepartum women who were discharged from ICU without giving birth may receive lower rates of mechanical ventilation than those who delivered in ICU or admitted postpartum; however, further studies are needed to confirm or refute this association. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - September 21, 2023 Category: OBGYN Authors: Kailash Bhatia, Malachy Columb, Bhaskar Narayan, Anthony Wilson, Group of Obstetric Anesthetists of Lancashire; Greater Manchester and Mersey (GOAL ‐GM) Study Collaborators, A. Babits, R. Downes, J. Lie, S. Leach, O. Froud, A Sawyerr, J Desai Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Small ‐for‐gestational‐age fetus diagnosed in the second trimester: Possible etiologies and short‐term neonatal outcomes
ConclusionsWe report that fetal growth<10th percentile diagnosed before 26  weeks is not isolated before birth in 27% of cases. Malformations and chromosomal abnormalities are common etiologies; therefore, detailed anomaly scans and invasive testing should be offered. In addition, there is a residual risk of neonatal death and postnatal diagnosis of a genetic syndrome or neurodevelopmental impairment despite normal prenatal tests. These results expand the small amount of information on the outcome of cases with very early diagnosis of impaired fetal growth currently available and highlight the importance of detailed c...
Source: Acta Obstetricia et Gynecologica Scandinavica - September 19, 2023 Category: OBGYN Authors: Lucia Pasquini, Giulia Masini, Greta Cagninelli, Teresa Polimeno, Nicola Fratelli, Anna Fichera, Federico Prefumo Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Imaging features, clinical characteristics and neonatal outcomes of pregnancy luteoma: A case series and literature review
ConclusionsPregnancy luteomas mainly manifest as well-defined, hypoechoic and hypervascular solid masses. MRI and CT are superior to ultrasonography in displaying the imaging features of multiple nodules. Maternal masculinization and solid masses with multiple nodules on imaging may help diagnose this rare disease. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - September 15, 2023 Category: OBGYN Authors: Jian ‐Hong Shang, Cai‐Xin Huang, Qiao Zheng, Jie‐Ling Feng, Ke He, Hong‐Ning Xie Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Reproductive outcomes after laparoscopic resection of symptomatic niches in uterine cesarean scars: Long ‐term follow‐up on the prospective LAPNICHE study
ConclusionsThe reproductive outcomes in women with and without previous fertility problems undergoing resection of a large niche are very promising and quite comparable in both groups. These results suggest, but do not prove, a beneficial effect of this therapy for these indications. The results support the design of future randomized controlled trials to evaluate the effect of niche resection vs expectant management to assess its additional value in women with or without fertility problems who desire pregnancy. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - September 13, 2023 Category: OBGYN Authors: Jolijn Vissers, Wouter J. K. Hehenkamp, Hans A. M. Br ölmann, Cornelis B. Lambalk, Judith A. F. Huirne Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Symptoms of complex pelvic pain: A survey in three cohorts of women
ConclusionMany women in our study reported complex pelvic pain, and overlap with other pain-related conditions, low mental health and past sexual assault was associated with high symptom burden. Those findings support taking a biopsychosocial approach to treating women who present with such complaints. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - September 12, 2023 Category: OBGYN Authors: Cecilie Therese Hagemann, Siri Spetalen, Susan Saga, Ingvild Bratlie, Vilde Dons, Signe Nilssen Stafne Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Prevention of fetal brain injury in category II tracings
ConclusionsFetal BDecf reached 12  mEq/L within 1 h of recurrent fetal heart rate decelerations in the rapid progression group and within 3 h in the slow progression group. These findings suggest that cases with category II tracings marked by recurrent decelerations (i.e., slow progression) may benefit from operative intervent ion if persisting for longer than 2 h. In contrast, cases with sudden bradycardia (i.e., rapid progression) represent a challenge to prevent severe acidosis and hypoxic brain injury due to the limited time opportunity for emergent delivery. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - September 12, 2023 Category: OBGYN Authors: Masahiro Nakao, Michael G. Ross, Shoichi Magawa, Satoshi Toyokawa, Kiyotake Ichizuka, Naohiro Kanayama, Shoji Satoh, Nanako Tamiya, Akihito Nakai, Keiya Fujimori, Tsugio Maeda, Akira Oka, Hideaki Suzuki, Mitsutoshi Iwashita, Tomoaki Ikeda Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Risk factors for the increasing incidence of pregnancy ‐associated cancer in Sweden – a population‐based study
ConclusionsHigh maternal age is the strongest risk factor for PAC. We show for the first time that smoking, nulliparity and non-immigrant background are also contributing risk factors for PAC. However, only high maternal age contributed significantly to the increasing incidence. Further studies on other potential risk factors for PAC are warranted, since our results indicate that age on its own does not fully explain the increase. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - September 11, 2023 Category: OBGYN Authors: Frida E. Lundberg, Hanne Stensheim, Gustav J. Ullenhag, Hanna  Milerad Sahlgren, Kristina Lindemann, Irma Fredriksson, Anna L. V. Johansson Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Pain, gastrointestinal function and fertility outcomes of modified nerve ‐vessel sparing segmental and full thickness discoid resection for deep colorectal endometriosis – A prospective cohort study
ConclusionsNVSSR and FTDR for symptomatic colorectal DE confer a significant amelioration of GI function reflected by decreased LARS symptoms and increased GIQLI scores with no differences in postsurgical function in between the two techniques. Both techniques confer similar complication rates and effects on pain reduction and health profiles. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - September 11, 2023 Category: OBGYN Authors: Gernot Hudelist, Daria Pashkunova, Ezgi Darici, Anna Rath, Johanna Mitrowitz, Bernhard Dauser, Birgit Senft, Attila Bokor Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Incidence of and survival after surgical intervention for bowel obstruction in women with advanced ovarian cancer
ConclusionsWomen with advanced ovarian cancer undergoing intervention for bowel obstruction have a dismal prognosis, regardless of which line of oncologic treatment the intervention was performed. In the majority of women an intervention for bowel obstruction was performed in a relapse situation with an even worse survival. Our findings emphasize the importance of a holistic approach in the decision-making before an intervention for bowel obstruction in women with advanced ovarian cancer. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - September 9, 2023 Category: OBGYN Authors: Kolbr ún Pálsdóttir, Sahar Salehi, Hemming Johansson, Nina Groes‐Kofoed, Henrik Falconer, Ulrika Joneborg Tags: ORIGINAL RESEARCH ARTICLE Source Type: research