Editorial.
PMID: 33570791 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 12, 2021 Category: OBGYN Authors: Papageorghiou AT Tags: BJOG Source Type: research

Corrigendum.
Authors: PMID: 33570793 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 12, 2021 Category: OBGYN Tags: BJOG Source Type: research

Re: BJOG Debate. Induction of labour should be offered to all women at term. FOR: Induction of labour should be offered at term.
PMID: 33569905 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 10, 2021 Category: OBGYN Authors: Coates R, Cupples G, Scamell A, McCourt C Tags: BJOG Source Type: research

Authors' reply re: Hysteropexy in the treatment of uterine prolapse stage 2 or higher: laparoscopic sacrohysteropexy versus sacrospinous hysteropexy-a multicentre randomised controlled trial (LAVA trial).
ource: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 7, 2021 Category: OBGYN Authors: Authors' reply re: Hysteropexy in the treatment of uterine prolapse stage 2 or higher: laparoscopic sacrohysteropexy versus sacrospinous hysteropexy-a multicentre randomised controlled trial (LAVA trial). Tags: BJOG Source Type: research

Authors' reply re: Maternity services in the UK during the coronavirus disease 2019 pandemic: a national survey of modifications to standard care.
(Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 7, 2021 Category: OBGYN Authors: Authors' reply re: Maternity services in the UK during the coronavirus disease 2019 pandemic: a national survey of modifications to standard care. Tags: BJOG Source Type: research

The FAST-M complex intervention for the detection and management of maternal sepsis in low-resource settings: a multi-site evaluation.
Abstract OBJECTIVE: To evaluate whether the implementation of the FAST-M complex intervention was feasible and improved the recognition and management of maternal sepsis in a low-resource setting. DESIGN: A before and after design. SETTING: Fifteen government healthcare facilities in Malawi. POPULATION: Women suspected of having maternal sepsis. METHODS: The FAST-M complex intervention consisted of the following components: i) the FAST-M maternal sepsis treatment bundle and ii) the FAST-M implementation programme. Performance of selected process outcomes were compared between a two month baseli...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 4, 2021 Category: OBGYN Authors: Cheshire J, Jones L, Munthali L, Kamphinga C, Liyaya H, Phiri T, Parry-Smith W, Dunlop C, Makwenda C, Devall AJ, Tobias A, Nambiar B, Merriel A, Williams HM, Gallos I, Wilson A, Coomarasamy A, Lissauer D Tags: BJOG Source Type: research

"Obstetric anal sphincter injury after episiotomy in vacuum extraction: an epidemiological study using an emulated randomized trial approach".
CONCLUSIONS: Lateral or mediolateral episiotomy reduced the prevalence of OASIS in nulliparous women delivered with vacuum extraction, compared to women with no episiotomy. PMID: 33539612 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 4, 2021 Category: OBGYN Authors: Ankarcrona V, Zhao H, Jacobsson B, Brismar Wendel S Tags: BJOG Source Type: research

Dysfunction of complement receptors CR3 (CD11b/18) and CR4 (CD11c/18) in preeclampsia: a genetic and functional study.
CONCLUSIONS: Results suggest that changes in complement-facilitated phagocytosis are associated with preeclampsia. Further studies are needed to ascertain, whether aberrant CR3 and CR4 activity leads to altered pro- and anti-inflammatory cytokine responses in individuals carrying the associating variants and the role of these receptors in preeclampsia pathogenesis. PMID: 33539617 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 4, 2021 Category: OBGYN Authors: Lokki AI, Teirilä L, Triebwasser M, Daly E, Bhattacharjee A, Uotila L, Llort Asens M, Kurki MI, Perola M, Auro K, Salmon JE, Daly M, Atkinson JP, Laivuori H, Fagerholm S, Meri S, Finnpec Tags: BJOG Source Type: research

Stillbirth: are we making more progress than we think? A retrospective cohort study.
Abstract OBJECTIVE: To quantify how the changing stillbirth risk profile of women is affecting the interpretation of the stillbirth rate. DESIGN: A retrospective, population-based cohort study from 1983 to 2018 POPULATION: 2,419,923 births ≥28 weeks' gestation SETTING: Victoria, Australia METHODS: Changes in maternal characteristics over time were assessed. A multivariable logistic regression model was developed for stillbirth based on maternal characteristics in 1983-87 and used to calculate individual predictive probabilities of stillbirth from the regression equation. The number of expected stillbirths ...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 4, 2021 Category: OBGYN Authors: Selvaratnam RJ, Rolnik DL, Davey MA, Wallace EM Tags: BJOG Source Type: research

Clinical validation of a new molecular test (Seegene ® AllplexTM Vaginitis) for the diagnosis of vaginitis: a cross sectional study.
CONCLUSIONS: The Seegene® AllplexTM Vaginitis assay has an excellent performance in the diagnosis of the BV and presence of Candida; while the results were good for trichomoniasis, the study was underpowered for this outcome. PMID: 33540484 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 4, 2021 Category: OBGYN Authors: Vieira-Baptista P, Silva AR, Costa M, Aguiar T, Saldanha C, Sousa C Tags: BJOG Source Type: research

Nitrous Oxide vs Lidocaine vs No-analgesic for In-office Hysteroscopy: A Randomised Clinical Trial.
CONCLUSION: INO was as effective as lidocaine-1% in pain control for in-office hysteroscopy and better tolerated. The no-analgesic group presented the poorer results, thus the least recommended clinical option. PMID: 33528862 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 2, 2021 Category: OBGYN Authors: Solano JA, Del Valle C, Rodríguez-Miguel A, de Abajo FJ, Delgado JJ, González J, Fernández Muñoz L, Zapico Á Tags: BJOG Source Type: research

Heeding early warnings: improving care for puerperal sepsis in Malawi.
Abstract In this issue, Cheshire et al. (BJOG 2020 xxxx) report feasibility of an implementation programme to improve prompt recognition and treatment of puerperal sepsis, the third leading cause of maternal mortality worldwide (Say et al, Lancet Glob Health, 2014, volume 2(6):e323-33), at 15 government health facilities in Malawi. Sepsis bundles have become a lifesaving cornerstone of care but were neither designed for obstetric populations nor with low-resource settings in mind. In particular, the ability to translate specific components of these bundles, such as monitoring of lactate, blood cultures, or safe ad...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 2, 2021 Category: OBGYN Authors: Wylie BJ, Zera CA Tags: BJOG Source Type: research

Re: Maternity services in the UK during the coronavirus disease 2019 pandemic: a national survey of modifications to standard care.
PMID: 33524219 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 1, 2021 Category: OBGYN Authors: Yoong W, Patra-Das S, Gunasekera A Tags: BJOG Source Type: research

Re: Next steps to prevent stillbirth associated with growth restriction: Continuous-wave Doppler, fetal growth restriction and small-for-gestational-age babies.
PMID: 33524242 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 1, 2021 Category: OBGYN Authors: Dornan JC, Feucht U, Dornan SS, Mulol H, Vannevel V, Hlongwane T, Pattinson R Tags: BJOG Source Type: research

Inch by inch; Row by row.
PMID: 33426796 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 12, 2021 Category: OBGYN Authors: Thorp JM Tags: BJOG Source Type: research

Impact of a quality improvement project to reduce the rate of obstetric anal sphincter injury: a multicentre study with a stepped-wedge design.
CONCLUSIONS: The implementation of this care bundle reduced OASI rates without affecting caesarean section rates or episiotomy use. These findings demonstrate its potential for reducing perineal trauma during childbirth. TWEETABLE ABSTRACT: OASI Care Bundle reduced severe perineal tear rates without affecting caesarean section rates or episiotomy use. PMID: 33426798 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 12, 2021 Category: OBGYN Authors: Gurol-Urganci I, Bidwell P, Sevdalis N, Silverton L, Novis V, Freeman R, Hellyer A, van der Meulen J, Thakar R Tags: BJOG Source Type: research

Re: Vesicular mole in a twin pregnancy.
PMID: 33405261 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 6, 2021 Category: OBGYN Authors: Lo TK Tags: BJOG Source Type: research

Author's reply re: Vesicular mole in a twin pregnancy.
PMID: 33399264 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 5, 2021 Category: OBGYN Authors: Bhide A Tags: BJOG Source Type: research

Something Old, Something New & Something Borrowed.
Something Old, Something New & Something Borrowed. BJOG. 2021 Jan 04;: Authors: Fox K, Collins S Abstract Surgical management of Placenta Accreta Spectrum (PAS) is, if anything, wrought with complexity. Placental invasion can be confined and relatively easy to manage or as surgically challenging as a Stage IV ovarian tumor. In the most extensive cases, the placenta is equally capable of encasing not only the ureter, but also the femoral vessels and obturator nerve, but instead of solid tumor, the surgeon is faced with a mixed solid-cystic structure that behaves like a large arteriovenous fistula u...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 4, 2021 Category: OBGYN Authors: Fox K, Collins S Tags: BJOG Source Type: research

Clinical Profiles of Placenta Accreta Spectrum: the PACCRETA Population-Based Study.
x C, Sentilhes L Abstract OBJECTIVE: To describe and compare the characteristics of women with placenta accreta spectrum (PAS) and their pregnancy outcomes according to the presence of placenta praevia and a prior caesarean. DESIGN: Prospective population-based study. SETTING: All 176 maternity hospitals of 8 French regions. POPULATION: 249 women with PAS, from a source population of 520 114 deliveries. METHODS: Women with PAS were classified into two risk-profile groups, with or without the high-risk combination of placenta praevia (or an anterior low-lying placenta) and at least one prio...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 3, 2021 Category: OBGYN Authors: Kayem G, Seco A, Beucher G, Dupont C, Branger B, Crenn Hebert C, Huissoud C, Fresson J, Winer N, Langer B, Rozenberg P, Morel O, Bonnet MP, Perrotin F, Azria E, Carbillon L, Chiesa C, Raynal P, Rudigoz RC, Dreyfus M, Vendittelli F, Patrier S, Deneux-Thara Tags: BJOG Source Type: research

Oxytocin: still the optimal prophylactic despite soaring rates of haemorrhage at birth.
Abstract The results of the IMox study, although not surprising, are very much to be welcomed. This high quality, double-blind study provides conclusive evidence that there is essentially no difference in effectiveness between prophylactic intramuscular (i.m.) oxytocin, carbetocin, and oxytocin+ergometrine (Syntometrine®); (van der Nelson et al. BJOG 2020). Blood loss at 500mls, 1000mls and need for blood transfusion were the same in all 3 groups. PMID: 33386665 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2021 Category: OBGYN Authors: Weeks A Tags: BJOG Source Type: research

Insights from outside BJOG.
PMID: 33305894 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - December 13, 2020 Category: OBGYN Authors: Kent A, Kirtley S Tags: BJOG Source Type: research

New hopes and systematic reviews.
PMID: 33305895 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - December 13, 2020 Category: OBGYN Authors: Chien P, Witkin S Tags: BJOG Source Type: research

Retraction: Nifedipine alone or combined with sildenafil citrate for management of threatened preterm labour: a randomised trial.
Authors: PMID: 33305896 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - December 13, 2020 Category: OBGYN Tags: BJOG Source Type: research

Corrigendum.
Authors: PMID: 33305897 [PubMed] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - December 13, 2020 Category: OBGYN Tags: BJOG Source Type: research

Authors' reply re: How often do we identify fetal abnormalities during routine third-trimester ultrasound? A systematic review and meta-analysis: Detecting fetal anomalies during late pregnancy ultrasound: incidental finding or targeted screening?
Source: BJOG : An International Journal of Obstetrics and Gynaecology - December 11, 2020 Category: OBGYN Authors: Authors' reply re: How often do we identify fetal abnormalities during routine third-trimester ultrasound? A systematic review and meta-analysis: Detecting fetal anomalies during late pregnancy ultrasound: incidental finding or targeted screening? Tags: BJOG Source Type: research

Intramuscular oxytocin versus Syntometrine versus carbetocin for prevention of primary postpartum haemorrhage after vaginal birth: a randomised double-blinded clinical trial of effectiveness, side effects and quality of life.
CONCLUSIONS: Non inferiority of carbetocin to Syntometrine was not shown. Carbetocin is not significantly different to oxytocin for use of additional uterotonics. Use of Syntometrine reduced use of additional uterotonics and need for non-drug PPH treatments compared with oxytocin. Increased maternal side effects are a disadvantage of Syntometrine. PMID: 33300296 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - December 10, 2020 Category: OBGYN Authors: van der Nelson H, O'Brien S, Burnard S, Mayer M, Alvarez M, Knowlden J, Winter C, Dailami N, Marques E, Burden C, Siassakos D, Draycott T Tags: BJOG Source Type: research

Re: How often do we identify fetal abnormalities during routine third-trimester ultrasound? A systematic review and meta-analysis.
PMID: 33295666 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - December 9, 2020 Category: OBGYN Authors: Massarotti C, Gaggero CR, Molinari C, Marcolin D, De Biasio P Tags: BJOG Source Type: research

Impact of socioeconomic deprivation on endometrial cancer survival in the North West of England: a prospective database analysis.
Abstract OBJECTIVE: To assess the impact of socioeconomic deprivation on endometrial cancer survival. DESIGN: Single centre prospective database study. SETTING: North West England. POPULATION OR SAMPLE: Women with endometrial cancer treated between 2010 and 2015 METHODS: Areal-level socioeconomic status, using English Indices of Multiple Deprivation from residential postcodes, was analysed in relation to survival using Kaplan-Meier estimation and multivariable Cox-regression. MAIN OUTCOME MEASURES: Overall survival, cancer-specific survival, patterns and rates of recurrence. RESULTS: 539 w...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - December 8, 2020 Category: OBGYN Authors: Njoku K, Barr CE, Hotchkies L, Quille N, Louise Wan Y, Crosbie EJ Tags: BJOG Source Type: research

Aetiologic testing compared with syndromic management for sexually transmitted infections in HIV-infected pregnant women in South Africa: a non-randomised prospective cohort study.
CONCLUSIONS: Aetiologic testing provides an effective intervention to reduce the high burden of STIs in pregnant women in South Africa, however, the optimal implementation strategy remains to be determined. PMID: 33277768 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - December 4, 2020 Category: OBGYN Authors: Peters RPH, Klausner JD, de Vos L, Feucht UD, Medina-Marino AA Tags: BJOG Source Type: research

Interpregnancy interval and occurrent versus recurrent preterm birth.
Abstract Pregnancies conceived soon after the birth of a child are considered at increased risk for adverse outcomes, including preterm birth (Conde-Agudelo, et al. JAMA 2006;295:1809-23, Klebanoff. Obstet Gynecol 2017;129:405-407). However, the past few years have seen a flurry of research challenging this. Most of this research has employed a "sibship" design, in which pregnancy outcomes within a woman are compared to each other, using each woman as her own control. In general, sibship studies have indicated that the increased risk of preterm birth following short intervals is less than previously assu...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - December 4, 2020 Category: OBGYN Authors: Klebanoff MA Tags: BJOG Source Type: research

The problem of uncertain adherence to study interventions: what can we conclude?
Abstract Intrahepatic cholestasis of pregnancy (ICP), the most common liver disease in pregnancy, is characterised by elevated bile acid concentrations and maternal pruritus, and has been associated with increased rates of stillbirth, preterm birth, and neonatal unit admission. Fetal complications have been associated with rising serum bile acids (Glantz et al, Hepatology 2004;40:467- 474) and, according to a recent individual patient data meta-analysis (Ovadia et al, The Lancet 2019;393:899-909), the risk of stillbirth increased in women with serum bile acid concentrations of 100 μmol/l or more. PMID: 332...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - December 4, 2020 Category: OBGYN Authors: Haslinger C Tags: BJOG Source Type: research

Cervical preparation prior to outpatient hysteroscopy: Friend or foe?
Abstract The advent of outpatient hysteroscopy has revolutionised the diagnosis and management of uterine pathology by circumventing the need for general anaesthesia and its associated complications, reducing post-operative recovery time and decreasing the financial burden on the health service. PMID: 33270334 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - December 3, 2020 Category: OBGYN Authors: Foo X, Latif S, Khanjani S Tags: BJOG Source Type: research

A year in pandemic mode.
PMID: 33166043 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 12, 2020 Category: OBGYN Authors: Papageorghiou AT Tags: BJOG Source Type: research

Spontaneous preterm birth following second stage caesarean.
Abstract Worldwide, preterm birth occurs in 11% of pregnancies and is the leading cause of childhood mortality (Int J Gynaecol Obstet 2020; 150:31-3). Complications from preterm birth are the most common cause of neonatal death in the United Kingdom, yet the incidence of preterm birth is not falling. PMID: 33155381 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 6, 2020 Category: OBGYN Authors: de Vries B Tags: BJOG Source Type: research

Authors' reply Re: Implications for the future of Obstetrics and Gynaecology following the COVID-19 pandemic: a commentary.
18 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 5, 2020 Category: OBGYN Authors: Authors' reply Re: Implications for the future of Obstetrics and Gynaecology following the COVID-19 pandemic: a commentary. Tags: BJOG Source Type: research

Re: Vitamin D and stress urinary incontinence in pregnancy: a cross-sectional study.
PMID: 33151619 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 5, 2020 Category: OBGYN Authors: Currie J, Kindinger LM, David AL Tags: BJOG Source Type: research

Systematic classification of maternal and fetal intervention related complications following open fetal myelomeningocele repair - results from a large prospective cohort.
CONCLUSION: This study alerts consciousness regarding complications following open fMMC repair, as 6% of mothers and 2% of fetuses experienced a severe complication (grade 4) and 2% perinatal demises were observed (grade 5). These data are useful for prenatal counseling, they help improving the system of fetal surgical care, and they allow benchmarking with other centers as well as comparison with fetoscopic approaches. PMID: 33152167 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 5, 2020 Category: OBGYN Authors: Vonzun L, Kahr MK, Noll F, Mazzone L, Moehrlen U, Meuli M, Hüsler M, Krähenmann F, Zimmermann R, Ochsenbein-Kölble N Tags: BJOG Source Type: research

Re: Implications for the future of Obstetrics and Gynaecology following the COVID-19 pandemic: a commentary.
PMID: 33145885 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 4, 2020 Category: OBGYN Authors: Herron J, Herron RL Tags: BJOG Source Type: research

Poor sleep is associated with higher blood pressure and uterine artery pulsatility index in pregnancy: a prospective cohort study.
Abstract OBJECTIVE: To elucidate the association between sleep disturbances and blood pressure as well as uterine artery Doppler during pregnancy in women with no pre-existing hypertension. DESIGN: Prospective cohort study. SETTING: Outpatient specialist clinics at KK Women's and Children's Hospital, Singapore. POPULATION: Women with viable singleton pregnancies confirmed by ultrasonography at less than 14 weeks of amenorrhea at first visit. METHODS: 926 subjects were recruited for this study in the outpatient specialist clinics at KK Women's and Children's Hospital, Singapore, between Septembe...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 3, 2020 Category: OBGYN Authors: Tang Y, Zhang J, Dai F, Razali NS, Tagore S, Chern BS, Tan KH Tags: BJOG Source Type: research

Increasing the science: Laser does not change vaginal skin in menopause.
Abstract The breadth of the warning noted the risk of serious adverse events to the patient and that the efficacy and safety of treatments had not been established. It is likely that the impact of other devices, such as mesh procedures for vaginal prolapse that had substantive impact on women's health, were contributory to the statement. Despite this warning, there has been rapid uptake in vaginal laser and energy treatments globally with relatively little scientific evidence. PMID: 33145919 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 3, 2020 Category: OBGYN Authors: Abbott J Tags: BJOG Source Type: research

Early and late pregnancy loss in women with polycystic ovary syndrome undergoing IVF/ICSI treatment: a retrospective cohort analysis of 21,820 pregnancies.
Abstract OBJECTIVE: To examine early and late pregnancy loss in women with and without polycystic ovary syndrome (PCOS) undergoing IVF/ICSI transfers. DESIGN: Retrospective cohort study. SETTING: Reproductive medicine center at a tertiary hospital. POPULATION: We studied women with a positive β-hCG after IVF/ICSI treatment from May 2014 to April 2019. METHODS: Odds ratios (ORs) for early (13 ≤ weeks) and late (>13 weeks) pregnancy loss were calculated among women with and without PCOS for plurality of the pregnancy with adjustment for confounding factors. MAIN OUTCOMES MEASURES:...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 3, 2020 Category: OBGYN Authors: Cai H, Mol BW, Gordts S, Wang H, Wang T, Li N, Shi J Tags: BJOG Source Type: research

Comparison of perinatal outcomes for all modes of second stage delivery in obstetric theatres: a retrospective observational study.
CONCLUSIONS: Attempting instrumental delivery in delivery suite theatre, as an alternative to primary emergency full dilatation Caesarean section, is both reasonable and safe. In this study Ventouse delivery performed poorly in comparison with other modes of instrumental delivery. Further research in the form of randomised controlled trials to identify the optimal mode of second stage delivery is paramount. PMID: 33142034 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 3, 2020 Category: OBGYN Authors: Gurney L, Al Wattar BH, Sher A, Echevarria C, Simpson H Tags: BJOG Source Type: research

Pregnancy and childbirth outcomes as signposts to the future.
PMID: 33034952 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 11, 2020 Category: OBGYN Authors: Thorp JM Tags: BJOG Source Type: research

Screening for infectious disease in pregnancy.
PMID: 33034938 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 9, 2020 Category: OBGYN Authors: Paul C Tags: BJOG Source Type: research

Intra-partum care of the perineum matters: new knowledge and remaining gaps.
Abstract The prevalence of obstetric anal sphincter injuries (OASIS) varies between hospitals and countries from rates below 1% to over 5%. In Europe there is a North - South gradient (Blondel et al, Acta Obstet Gynecol Scand. 2016; 95:746-54). Variations of prevalence are reported to be related to three factors: (i) insufficient diagnosis in very low prevalence settings; (ii) geographical variations in elasticity of the perineum such as, though there is some controversy, greater fragility in women from Asia; and (iii) management of the perineum at birth. For this determinant, two components have been challenged: ...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 9, 2020 Category: OBGYN Authors: Alexander S, Langhoff-Roos J Tags: BJOG Source Type: research

Pregnancy, puerperium and perinatal constipation - an observational hybrid survey on pregnant and postpartum women and their age-matched non-pregnant controls.
i M Abstract OBJECTIVE: To evaluate the prevalence of constipation during pregnancy and early puerperium. DESIGN: Observational survey. SETTING: Secondary and tertiary hospital in Finland. POPULATION: Pregnant (N=474) and postpartum (N=403) women and a control group of 200 non-pregnant women who did not give birth within a past year. METHODS: Women reported bowel function and other gastrointestinal symptoms with a structured questionnaire using 11-point numerical rating scale (0=no symptom, 10=most severe symptom) and binominal yes/no questions during the second and third trimesters and few day...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 8, 2020 Category: OBGYN Authors: Kuronen M, Hantunen S, Alanne L, Kokki H, Saukko C, Sjövall S, Vesterinen K, Kokki M Tags: BJOG Source Type: research

What is the rate of caesarean section on maternal request, and how does it differ between countries?
PMID: 33026705 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 7, 2020 Category: OBGYN Authors: Jardine JE Tags: BJOG Source Type: research

Re: Virtual reality for acute pain in outpatient hysteroscopy: a randomised controlled trial.
PMID: 33027546 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 7, 2020 Category: OBGYN Authors: Mirza E, Hanif M, Khan MA, Jaleel S Tags: BJOG Source Type: research

During the second wave of COVID-19, don't forget about influenza: a call to action.
Abstract Having lived through the havoc of COVID-19 in a hospital situated in one of the hardest hit zip codes in the United States, the thought that another wave could loom in the fall is bracing. Further, we are acutely aware of the herculean effort it took to reorganize the service to accommodate the needs of women infected with this new pathogen. PMID: 33025694 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 6, 2020 Category: OBGYN Authors: Atallah F, Minkoff H Tags: BJOG Source Type: research