American Journal of Obstetrics and Gynecology This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Feasibility and impact of a postoperative pelvic floor physical therapy telehealth appointment: a pilot study
Laparoscopic surgery is a common intervention for chronic pelvic pain (CPP) as it is currently the only way to definitively diagnosis endometriosis. Pelvic floor physical therapy (PFPT) has recently been introduced as an option for the management of CPP with the aim of relaxing pelvic muscles in order to reduce spasm and associated pain. With an increased focus on multimodal care for CPP, more patients are being referred to PFPT preoperatively. While patients may experience improvement in their pain syndrome prior to surgery, patients may suffer a setback in PFPT progression postoperatively from limitations in movement and...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: UOPS Medicine, N Donnellan, N Goodman Source Type: research

The economic and carbon footprint impact of virtual preoperative visits implementation
Telemedicine has existed since the 1950s but had relatively low utilization prior the emergence of the COVID-19 pandemic. The need for social distancing facilitated rapid expansion of telemedicine in gynecology. Currently, data are scarce regarding the effect of preoperative virtual visits on outcomes. Moreover, there are no data regarding the sustainability impact of preoperative visit practice changes in gynecology. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: R Meyer, K Hamilton, R Schneyer, C Niino, M Truong, M Siedhoff, K Wright Source Type: research

Does active management of or scheduling impact or utilization?
Elective surgery is essential to maintain the financial solvency of most health systems, contributing as much as 60% of hospital revenue. Scheduling of surgical cases to optimally utilize operating room (OR) resources requires thoughtful planning and communication within the complex healthcare team. Under-estimating surgical time, late cancellations, and prolonged delays between cases undermines the effort to care for as many patients as possible and can dramatically affect the financial balance of the hospital. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: K Mamelson, E Weber-Lebrun Source Type: research

An independent, linear relationship between operative time and post-operative complications in benign minimally invasive hysterectomy
There is increasing evidence in other surgical disciplines that there is an independent, linear relationship between operative time and post-operative complications. Prior analysis of data examining this relationship for hysterectomies have not separated out types of hysterectomy or tested for linear correlation. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Lalla, L King, M Ajao, E Kim Source Type: research

Prolapsed fibroid in pregnancy- case repost
Fibroids are benign smooth muscle tumors of the uterus. Depending upon the size , the incidence of uterine fibroids in pregnancy varies between 1.6 and 10.7%, while cervical fibroids are less than 1%. The morbidity of pregnancy with fibroid is related to their number, location and size. In majority cases, fibroids don ’t cause symptoms during pregnancy, however, in 10-30% of the pregnancies, they may lead to complications in pregnancy and even in post natal period, causing a management dilemma. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: S Rauf, M Batool, A Ahmed, S Sharafat, S Rasheed Source Type: research

MorpheusV radiofrequency microneedling of the vaginal canal for genitourinary syndrome of menopause
Genitourinary syndrome of menopause (GSM) is a symptom-complex that a large percentage of women develop after menopause. Common symptoms include vaginal dryness, dyspareunia and irritative bladder symptoms. While vaginal estrogen therapy is an effective treatment there are patients who have either an absolute or relative contraindication to estrogen or simply prefer not to take it. Thus, there is a significant need to have a non-hormonal alternative for this common and distressing disorder. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: R Rothenberger, M Karram Source Type: research

Twin pregnancy with one alive and co-existing complete mole
Twin pregnancy with one complete mole and other fetus is rare with incidence of 1 in 20,000 – 1 in 100,000. Decision to continue with pregnancy should be patient’s decision after having understanding of all complications. We are reporting the case of twin pregnancy of complete hydatiform mole with fetus resulting in live birth and neonatal survival. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: S Rauf, M Batool, S Sharafat, J Mumtaz, SB Mazhar Source Type: research

Trends of fistula management during COVID 19 pandemic in a tertiary care hospital
Fistula is a frequent presentation in the Obstetrics and Gynecology departments of the developing countries. The involuntary leakage of urine or stool per vaginam (vaginal fistula) remains a serious public health issue in the developing regions of Africa and South Asia. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: S Luqman, S Rauf, M Zafar, S Mutahir, I Akram Source Type: research

Update - ethical issues in gynecologic surgery
Discussion and review of these topics is typically of interest at national meetings yet there is rarely a dedicated session to discuss. Some salient topics for discussion include but are not limited to: disparate billing for gynecologic surgery, disparities (racial and other) in access to advanced gynecologic surgery, volume as a cut off for privileging, exams under anesthesia, sexual misconduct in gynecology, surgical care for trans and intersex patients. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: L King Source Type: research

Prevalence of endometriosis and pelvic pain in patients with hereditary connective tissue disorders
Chronic pelvic pain is one of the most common reasons for referral to a gynecologic provider, accounting for up to 20% of outpatient visits in the specialty. The true prevalence of chronic pelvic pain is difficult to assess, with rates of 4-25% reported in the literature. Endometriosis is similar, but has an accepted prevalence of around 10% for reproductive women. Chronic pain is a hallmark of many hereditary connective tissue disorders (HCTDS) with over 92% of female patients with EDS reporting pain. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: N Jesse, A Yunker Source Type: research

Postoperative urinary retention and glycopyrrolate use during urogynecologic surgery
Overall, urinary retention occurs following 2.5-43% of pelvic reconstructive surgeries. Many studies have evaluated surgical factors that increase the risk of postoperative urinary retention (POUR), including BMI, baseline bladder dysfunction, prior incontinence surgery, intraoperative fluids, and opioids. Few studies have assessed anesthetic factors that may contribute to POUR. While glycopyrrolate, an antimuscarinic medication, is most commonly used to counteract bradycardia when reversing a neuromuscular blockade with neostigmine, this medication may have other unanticipated effects. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Bruscke, M Hacker, Z Glicksman, W Winkelman Source Type: research

Lower urinary tract symptoms in transmasculine individuals: prevalence and association with anxiety and depression
In the United States alone, 1.6 million people identify as transgender and gender diverse. While there is a large spectrum of possible gender identities, there is limited evidence from focus groups that transgender men and transmasculine (TGM/TM) individuals assigned female at birth report a variety of lower urinary tract symptoms (LUTS) which adversely affects patients ’ mental health. LUTS research, however, is limited by inequities. While there is considerable research on the impact of LUTS on mental health in cisgender women, little is known about LUTS experienced by TGM/TM individuals. (Source: American Journal of O...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: F Kreines, C Cox, H Harvie, L Arya, U Andy Source Type: research

Diaphragmatic endometriosis excisions and associated pathology in VATS procedures
It is estimated that in approximately 12% of endometriosis cases, lesions are found outside of the pelvis. The most common site of extra-pelvic disease is the diaphragm. (Andres et al. 2020). Despite the estimated low incidence of concomitant diaphragmatic and pleural cavity disease, patients with diaphragmatic disease opt to undergo a Video-Assisted Thoracic Surgery (VATS) procedure to further evaluate for thoracic endometriosis. Data are limited showing the proportion of diaphragmatic endometriosis patients who also have pleural cavity involvement. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: T Gallant, M Luna-Russo, C King Source Type: research

Evaluating the impact of video-based surgical coaching on obstetrics and gynecology residents ’ laparoscopic suturing skills
A 2019 study revealed significant surgical case volume variability between residency programs with approximately half of graduating residents unable to meet minimum case requirements for laparoscopic hysterectomy (Hall, 2019). As such, there is a critical need for innovation in the ways we design Ob/Gyn residency surgical training. Surgical coaching involves the development of a partnership between two surgeons in which one surgeon (coach) guides the other (coachee) in identifying goals, providing feedback, and facilitating action planning. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: T Gallant, C King, M Luna Russo, A Carey-Love Source Type: research

Reported maternal satisfaction following an obstetric anal sphincter injury a decade after delivery
Currently, the long-term psychological consequences of sustaining an obstetric anal sphincter injury (OASI) are unknown. Furthermore, parsing out the unique effect of an OASI on the maternal childbirth experience is challenging because these injuries often occur within the broader physical trauma of a vaginal birth, an operative vaginal delivery (OVD), or an episiotomy. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: B Ha, K Voegtline, S Olson, V Handa Source Type: research