Increased Nuchal Translucency: Is Advanced Sequencing the Answer? A Mini Commentary
BJOG. 2021 Sep 24. doi: 10.1111/1471-0528.16942. Online ahead of print.ABSTRACTIncreased nuchal translucency (NT) on first trimester ultrasound poses a diagnostic and prognostic dilemma. Given association with chromosomal changes and other structural anomalies, an isolated increased NT is an indication to pursue genetic diagnosis. Early diagnosis may aid decisions for pregnancy management as a chromosomal abnormality is identified in 30% of cases.PMID:34558159 | DOI:10.1111/1471-0528.16942 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 24, 2021 Category: OBGYN Authors: Asha N Talati Neeta L Vora Source Type: research

Pessary or Surgery for a Symptomatic Pelvic Organ Prolapse, PEOPLE study: A Multicenter Prospective Cohort Study
BJOG. 2021 Sep 24. doi: 10.1111/1471-0528.16950. Online ahead of print.ABSTRACTOBJECTIVE: To compare the 24-months efficacy of pessary or surgery as primary treatment for symptomatic pelvic organ prolapse (POP).DESIGN: Multicenter prospective comparative cohort study.SETTING: Twenty-two Dutch hospitals.STUDY POPULATION: Women referred with symptomatic POP stage ≥ 2 and moderate to severe POP symptoms.METHODS: The primary outcome was subjective improvement at 24-months follow-up according to the Patient Global Impression of Improvement (PGI-I) scale. Secondary outcomes included improvement in prolapse-related symptoms me...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 24, 2021 Category: OBGYN Authors: Lisa R van der Vaart Astrid Vollebregt Alfredo L Milani Antoine L Lagro-Janssen Ruben G Duijnhoven Jan-Paul W R Roovers Huub van der Vaart Source Type: research

What is an appropriate cesarean delivery rate for China: a multi-center survey
CONCLUSIONS: Nearly 39% of births were delivered by cesarean in China but a quarter of reduction may be considered. Repeat CD contributed more than one-third of total CDs. Given the large variation in maternal characteristics, region-specific or even hospital-specific reference CD rates are needed for precision management of CD.PMID:34559941 | DOI:10.1111/1471-0528.16951 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 24, 2021 Category: OBGYN Authors: Yuqing Zhang Ana P Betran Xiaotian Li Dongming Liu Ningxia Yuan Lili Shang Wenxin Lin Suhua Tu Lanlan Wang Xiaolin Wu Tingfen Zhu Yuan Zhang Zongjie Lu Lingzhi Zheng Chunmei Gu Jianhong Fang Zongyin Liu Li Ma Zhenyu Cai Xiaomeng Yang Hongmei Li Hongyu Zha Source Type: research

Risk of cesarean delivery in labor induction: a systematic review and external validation of predictive models
CONCLUSIONS: Predictive capacity and methodological quality were limited; therefore, we cannot currently recommend the use of any of the models for decision-making in clinical practice.PMID:34559942 | DOI:10.1111/1471-0528.16947 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 24, 2021 Category: OBGYN Authors: N L ópez-Jiménez F Garc ía-Sánchez R Hern ández-Pailos V Rodrigo- Álvaro A Pascual-Pedre ño M Moreno-Cid M Delgado-Rodr íguez A Hern ández-Martínez Source Type: research

Genital mycoplasma infection and spontaneous preterm birth outcome: a prospective cohort study
BJOG. 2021 Sep 24. doi: 10.1111/1471-0528.16949. Online ahead of print.ABSTRACTOBJECTIVE: To assess the risk of spontaneous preterm birth (sPTB) associated with genital mycoplasma infection asymptomatic women.DESIGN: Prospective cohort.SETTING: Public and private health services in Ribeirão Preto-SP, Brazil.POPULATION: 1.349 asymptomatic women with a singleton pregnancy at 20 to 25 weeks of gestation (WG).METHODS: Participants answered a sociodemographic and clinical history questionnaire during the prenatal visit and provided cervicovaginal samples to Mycoplasma hominis (Mh), Ureaplasma spp., and bacterial vaginosi...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 24, 2021 Category: OBGYN Authors: Giulia Karnauchovas Porto Cunha Larissa Brito Bastos Stella Felippe de Freitas RicardoCarvalho Cavalli Silvana Maria Quintana Source Type: research

The unexplored role of sedentary time and physical activity in glucose and lipid metabolism related placental mRNAs in obese pregnant women: The DALI Lifestyle Randomized Controlled Trial
BJOG. 2021 Sep 24. doi: 10.1111/1471-0528.16945. Online ahead of print.ABSTRACTOBJECTIVES: To explore i) the association of sedentary time (ST) and physical activity (PA) during pregnancy with placental expression of genes related to glucose and lipid metabolism in obese pregnant women; ii) maternal metabolic factors mediating changes in these placental transcripts; and iii) cord blood markers related to these mRNAs mediating neonatal adiposity.STUDY DESIGN: Multicentre-randomized controlled trial.SETTING: Hospitals; 9-European countries.POPULATION: 112 pregnant women with placental tissue.EXPOSURES/OUTCOMES: ST and modera...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 24, 2021 Category: OBGYN Authors: Pedro Acosta-Manzano Barbara Leopold-Posch David Simmons Roland Devlieger Sander Galjaard Rosa Corcoy Juan M Adelantado Fidelma Dunne J ürgen Harreiter Alexandra Kautzky-Willer Peter Damm Elisabeth R Mathiesen Dorte M Jensen Lise-Lotte Andersen Mette Tan Source Type: research

Covid-19 vaccination during the third trimester of pregnancy: rate of vaccination and the maternal and neonatal outcomes, a multicenter retrospective cohort study
CONCLUSION: In a motivated population covered by a National Health Insurance Plan, we found a 40.2% rate of vaccination for the Covid-19 vaccine during the third trimester of pregnancy which was not associated with adverse maternal outcomes and decreased the risk for neonatal adverse outcomes.PMID:34554630 | DOI:10.1111/1471-0528.16941 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 23, 2021 Category: OBGYN Authors: Misgav Rottenstreich Hen Y Sela Reut Rotem Ela Kadish Yonit Wiener-Well Sorina Grisaru-Granovsky Source Type: research

Proposed cut-off for fetal scalp blood lactate in intrapartum fetal surveillance based on neonatal outcomes: a large prospective observational study
BJOG. 2021 Sep 23. doi: 10.1111/1471-0528.16924. Online ahead of print.ABSTRACTOBJECTIVE: Determination of lactate in fetal scalp blood (FBS) during labour has been recognized since the 1970s. The internationally accepted cut-off of>4.8mmol/L indicating fetal acidosis is exclusive for the point-of-care device (POC) LactateProTM , which is no longer in production. The aim of this study was to establish a new cut-off for scalp lactate based on neonatal outcomes with the use of StatstripLactate®/StatstripXpress® Lactate system, the only POC designed for hospital use.DESIGN: Observational Study SETTING: January 2016...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 23, 2021 Category: OBGYN Authors: L Iorizzo Y Carlsson C Johansson R Berggren A Herbst M Wang M Leiding P-E Isberg K Kristensen E Wiberg-Itzel T McGee N Wiberg Source Type: research

My Baby's Movements: a stepped-wedge cluster-randomised controlled trial of a fetal movement awareness intervention to reduce stillbirths
CONCLUSION: The MBM intervention did not reduce stillbirths beyond the downward trend over time. Due to low uptake, the role of the intervention remains unclear, though the downward trend across time suggests some benefit in lowering the stillbirth rate. In this study setting, awareness of fetal movements may have reached pregnant women and clinicians prior to implementation of the intervention.PMID:34555257 | DOI:10.1111/1471-0528.16944 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 23, 2021 Category: OBGYN Authors: V Flenady G Gardener D Ellwood M Coory M Weller K A Warrilow P F Middleton A M Wojcieszek K M Groom F M Boyle C East Hls Lawford E Callandar J M Said S P Walker K Mahomed C Andrews A Gordon J E Norman C Crowther Source Type: research

Association of hysterectomy and invasive epithelial ovarian and tubal cancer: A cohort study within UKCTOCS
CONCLUSIONS: This large cohort study provides further independent validation that hysterectomy is not associated with alteration of invasive epithelial ovarian and tubal cancer risk. This data is important both for clinical counselling and for refining risk prediction models.PMID:34555263 | DOI:10.1111/1471-0528.16943 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 23, 2021 Category: OBGYN Authors: Julie A Taylor Matthew Burnell Andy Ryan Chloe Karpinskyj Jatinderpal K Kalsi Henry Taylor Sophia Apostolidou Aarti Sharma Ranjit Manchanda Robert Woolas Stuart Campbell Mahesh Parmar Naveena Singh Ian J Jacobs Usha Menon Aleksandra Gentry-Maharaj Source Type: research

Re: Postpartum haemorrhage requiring transfusion and risk of cardiovascular disease later in life: a retrospective cohort study
BJOG. 2021 Sep 21. doi: 10.1111/1471-0528.16909. Online ahead of print.NO ABSTRACTPMID:34549502 | DOI:10.1111/1471-0528.16909 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 22, 2021 Category: OBGYN Authors: Shiho Oide Qianzhi Wang Jun Miyata Takashi Yoshioka Source Type: research

Author's reply: Adopting the O'Driscoll regimen may optimise the caesarean section rate for primiparous woman
BJOG. 2021 Sep 22. doi: 10.1111/1471-0528.16907. Online ahead of print.NO ABSTRACTPMID:34549878 | DOI:10.1111/1471-0528.16907 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 22, 2021 Category: OBGYN Authors: Pfw Chien Source Type: research

Re: Postpartum haemorrhage requiring transfusion and risk of cardiovascular disease later in life: a retrospective cohort study
BJOG. 2021 Sep 21. doi: 10.1111/1471-0528.16909. Online ahead of print.NO ABSTRACTPMID:34549502 | DOI:10.1111/1471-0528.16909 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 22, 2021 Category: OBGYN Authors: Shiho Oide Qianzhi Wang Jun Miyata Takashi Yoshioka Source Type: research

Author's reply: Adopting the O'Driscoll regimen may optimise the caesarean section rate for primiparous woman
BJOG. 2021 Sep 22. doi: 10.1111/1471-0528.16907. Online ahead of print.NO ABSTRACTPMID:34549878 | DOI:10.1111/1471-0528.16907 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 22, 2021 Category: OBGYN Authors: Pfw Chien Source Type: research

Effect of antithrombin Ⅲ among patients with disseminated intravascular coagulation in obstetrics: a nationwide observational study in Japan
CONCLUSIONS: Although the present study did not show mortality-reducing effect of ATIII for patients with DIC in obstetrics, it may have clinical benefit in terms of reducing the number of patients undergoing hysterectomy.PMID:34545675 | DOI:10.1111/1471-0528.16938 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 21, 2021 Category: OBGYN Authors: Yudai Iwasaki Hiroyuki Ohbe Daisuke Shigemi Kiyohide Fushimi Hideo Yasunaga 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: OASI care bundle
BJOG. 2021 Sep 21. doi: 10.1111/1471-0528.16885. Online ahead of print.NO ABSTRACTPMID:34545987 | DOI:10.1111/1471-0528.16885 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 21, 2021 Category: OBGYN Authors: Mandie Scamell Jim Thornton Katherine Hales Mary Renfew Hannah Dahlen Margret Jowit Soo Downe Lindsay Gillman Nicky Grace Octavia Wiseman Jane Forman Nicky Grace Deborah Davis Anna-Marie Madeley Debbie Chippington Lorna Lawther Ethel Burns Source Type: research

Associations between ethnicity and admission to intensive care among women giving birth: a cohort study
CONCLUSIONS: Black women have an increased risk of intensive care admission that cannot be explained by demographic, health, lifestyle, pregnancy and birth factors. Clinical and policy intervention should focus on the early identification and management of severe illness, particularly obstetric haemorrhage, in Black women, in order to reduce inequalities in intensive care admission.TWEETABLE ABSTRACT: Black women are almost twice as likely as White women to be admitted to intensive care during pregnancy and the postpartum period; this risk remains after accounting for demographic, health, lifestyle, pregnancy and birth fac...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 21, 2021 Category: OBGYN Authors: J Jardine I Gurol-Urganci T Harris J Hawdon D Pasupathy J van der Meulen K Walker NMPA project team Source Type: research

Editorial
BJOG. 2021 Oct;128(11):1718-1719. doi: 10.1111/1471-0528.16904.NO ABSTRACTPMID:34547190 | DOI:10.1111/1471-0528.16904 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 21, 2021 Category: OBGYN Authors: Patrick Chien Source Type: research

Effect of antithrombin Ⅲ among patients with disseminated intravascular coagulation in obstetrics: a nationwide observational study in Japan
CONCLUSIONS: Although the present study did not show mortality-reducing effect of ATIII for patients with DIC in obstetrics, it may have clinical benefit in terms of reducing the number of patients undergoing hysterectomy.PMID:34545675 | DOI:10.1111/1471-0528.16938 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 21, 2021 Category: OBGYN Authors: Yudai Iwasaki Hiroyuki Ohbe Daisuke Shigemi Kiyohide Fushimi Hideo Yasunaga 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: OASI care bundle
BJOG. 2021 Sep 21. doi: 10.1111/1471-0528.16885. Online ahead of print.NO ABSTRACTPMID:34545987 | DOI:10.1111/1471-0528.16885 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 21, 2021 Category: OBGYN Authors: Mandie Scamell Jim Thornton Katherine Hales Mary Renfew Hannah Dahlen Margret Jowit Soo Downe Lindsay Gillman Nicky Grace Octavia Wiseman Jane Forman Nicky Grace Deborah Davis Anna-Marie Madeley Debbie Chippington Lorna Lawther Ethel Burns Source Type: research

Associations between ethnicity and admission to intensive care among women giving birth: a cohort study
CONCLUSIONS: Black women have an increased risk of intensive care admission that cannot be explained by demographic, health, lifestyle, pregnancy and birth factors. Clinical and policy intervention should focus on the early identification and management of severe illness, particularly obstetric haemorrhage, in Black women, in order to reduce inequalities in intensive care admission.TWEETABLE ABSTRACT: Black women are almost twice as likely as White women to be admitted to intensive care during pregnancy and the postpartum period; this risk remains after accounting for demographic, health, lifestyle, pregnancy and birth fac...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 21, 2021 Category: OBGYN Authors: J Jardine I Gurol-Urganci T Harris J Hawdon D Pasupathy J van der Meulen K Walker NMPA project team Source Type: research

Editorial
BJOG. 2021 Oct;128(11):1718-1719. doi: 10.1111/1471-0528.16904.NO ABSTRACTPMID:34547190 | DOI:10.1111/1471-0528.16904 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 21, 2021 Category: OBGYN Authors: Patrick Chien Source Type: research

Serious complications and recurrences after pelvic organ prolapse surgery for 2309 women in the VIGI-MESH registry
CONCLUSIONS: Our results suggest that native tissue vaginal repairs have the lowest risk of serious complications but the highest risk of reoperation for recurrence. These results are useful for informing women and for shared decision making.TWEETABLE ABSTRACT: Laparoscopic sacropexy had fewer serious complications than transvaginal mesh and fewer reoperations for recurrence than vaginal repair.PMID:34541781 | DOI:10.1111/1471-0528.16892 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 20, 2021 Category: OBGYN Authors: X Fritel R de Tayrac J de Keizer S Campagne-Loiseau M Cosson P Ferry X Deffieux J-P Lucot L Wagner P Debodinance C Saussine A-C Pizzoferrato C Carlier-Gu érin T Thubert L Panel P-O Bosset E Nkounkou R Ramanah T Boisram é T Charles C Raiffort A Charv ér Source Type: research

Gestational diabetes: False dichotomy and slippery slope
BJOG. 2021 Sep 20. doi: 10.1111/1471-0528.16939. Online ahead of print.ABSTRACTTennant et al used an elegant non-experimental approach to assess the effects of fasting plasma glucose (FPG) and gestational diabetes mellitus (GDM) diagnosis on GDM complications. Their study, based on data from 2 hospitals in the UK, highlights inconsistencies in current GDM diagnosis and management by showing that GDM complications are more common among women with a lower FPG who are not diagnosed with GDM (compared with women with a higher FPG who are diagnosed with GDM).PMID:34543509 | DOI:10.1111/1471-0528.16939 (Source: BJOG : An Interna...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 20, 2021 Category: OBGYN Authors: Sid John K S Joseph Source Type: research

Serious complications and recurrences after pelvic organ prolapse surgery for 2309 women in the VIGI-MESH registry
CONCLUSIONS: Our results suggest that native tissue vaginal repairs have the lowest risk of serious complications but the highest risk of reoperation for recurrence. These results are useful for informing women and for shared decision making.TWEETABLE ABSTRACT: Laparoscopic sacropexy had fewer serious complications than transvaginal mesh and fewer reoperations for recurrence than vaginal repair.PMID:34541781 | DOI:10.1111/1471-0528.16892 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 20, 2021 Category: OBGYN Authors: X Fritel R de Tayrac J de Keizer S Campagne-Loiseau M Cosson P Ferry X Deffieux J-P Lucot L Wagner P Debodinance C Saussine A-C Pizzoferrato C Carlier-Gu érin T Thubert L Panel P-O Bosset E Nkounkou R Ramanah T Boisram é T Charles C Raiffort A Charv ér Source Type: research

Choice of primary and secondary outcomes in randomised controlled trials evaluating treatment for uterine fibroids: a systematic review
CONCLUSION: There is substantial variation in the outcomes reported in fibroid RCTs. There is a need for a core outcome set for fibroid research, to allow improved understanding regarding the effects of different treatments.PMID:34536313 | DOI:10.1111/1471-0528.16933 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 18, 2021 Category: OBGYN Authors: Alison Amoah Selina Chiu Stephen Derek Quinn Source Type: research

Chronic Hypertension, Perinatal Mortality, and the Impact of Preterm Delivery: A Population-Based Study
BJOG. 2021 Sep 18. doi: 10.1111/1471-0528.16932. Online ahead of print.ABSTRACTOBJECTIVES: To estimate the association between chronic hypertension and perinatal mortality and to evaluate the extent to which risks are impacted by preterm delivery.DESIGN: Cross-sectional analysis.SETTING: United States, 2015-2018.POPULATION: Singleton births (20-44 weeks' gestation).EXPOSURE: Chronic hypertension, defined as elevated blood pressure diagnosed prior to pregnancy or recognized at
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 18, 2021 Category: OBGYN Authors: Sonal Grover Justin S Brandt Uma M Reddy Cande V Ananth Source Type: research

Incidence and risk factors of female urinary incontinence: a 4-years longitudinal study among 24985 adult women in China
CONCLUSIONS: The incidence of female UI is 21.2/1000 person-years in China. Delivery (vaginal spontaneous delivery, instrumental delivery), high BMI, cigarette smoking, chronic cough, diabetes, and older age were risk factors.PMID:34536320 | DOI:10.1111/1471-0528.16936 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 18, 2021 Category: OBGYN Authors: Haiyu Pang Jun Lv Tao Xu Zhaoai Li Jian Gong Qing Liu Yuling Wang Juntao Wang Zhijun Xia Zhiyi Li Liming Li Lan Zhu Source Type: research

Pregnancy and the Risk of Severe COVID-19 Infection: Methodologic Challenges and Research Recommendations
BJOG. 2021 Sep 18. doi: 10.1111/1471-0528.16935. Online ahead of print.ABSTRACTOptimal prevention and treatment of infectious diseases requires identifying segments of the population at elevated risk of developing severe disease who would benefit from heightened efforts to prevent exposure or utilize personal protective equipment.PMID:34536322 | DOI:10.1111/1471-0528.16935 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 18, 2021 Category: OBGYN Authors: David A Savitz Angela M Bengtson Erica Hardy Deshayne B Fell Source Type: research

Proposed domains for assessing postpartum recovery: A concept elicitation study
CONCLUSIONS: We propose 13 domains, which comprehensively describe recovery in women delivering in a single centre within the United States. This provides a novel framework to study the postpartum recovery process.PMID:34536324 | DOI:10.1111/1471-0528.16937 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 18, 2021 Category: OBGYN Authors: P Sultan S E Jensen J Taylor Y El-Sayed S Carmichael D Cella M S Angst B Gaudilliere D J Lyell B Carvalho Source Type: research

Predictors for sexual dysfunction in the first year postpartum: a systematic review and meta-analysis
CONCLUSIONS: Perineal trauma, rather than the mode of birth, increases the odds for sexual dysfunction in the first year after childbirth.PMID:34536325 | DOI:10.1111/1471-0528.16934 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 18, 2021 Category: OBGYN Authors: Laura Cattani Liza De Maeyer Jan Y Verbakel Jan Bosteels Jan Deprest Source Type: research

Postpartum haemorrhage trends in Sweden using the Robson 10-group classification system: A population-based cohort study
CONCLUSIONS: PPH rates varied between Robson group. Changes in risk factors could not explain the 37% increase in PPH in women in Robson groups 1-5 in Sweden, 2000-2016.PMID:34536326 | DOI:10.1111/1471-0528.16931 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 18, 2021 Category: OBGYN Authors: Linnea V Ladfors Giulia M Muraca Johan Zetterqvist Alexander Butwick Olof Stephansson Source Type: research

Final Nail in the Coffin
BJOG. 2021 Sep 18. doi: 10.1111/1471-0528.16930. Online ahead of print.ABSTRACTSynthetic midurethral slings (MUS) for the management of stress urinary incontinence (SUI) have come under intense scrutiny of late. The NICE (National Institute of Health and Clinical Excellence) guidelines for the management of urinary incontinence over the past 15 years have continued to be cautious in their recommendations of the obturator MUS whilst being supportive of the retropubic (RP) MUS. In the 2006 NICE clinical guidance (CG 40), the advice was to make women aware of the "lack of long-term data" for obturator MUS. In 2013 (...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 18, 2021 Category: OBGYN Authors: Swati Jha Source Type: research

Association between morbidity among term newborns and low-risk cesarean delivery rates
CONCLUSIONS: Lower county-level NTSV CD rates were associated with a small increase in morbidity among term newborns in the US.PMID:34532943 | DOI:10.1111/1471-0528.16925 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 17, 2021 Category: OBGYN Authors: Mark A Clapp Jamie R Daw Kaitlyn E James Sarah E Little Julian N Robinson Sara V Bates Anjali J Kaimal Source Type: research

Appraisal of national and international uterine fibroid management guidelines: a systematic review
CONCLUSIONS: There is a need for high-quality fibroid guidelines given heterogeneity across individuals and a large range of treatment modalities available. There are also areas of controversy in the management of fibroids (e.g. Ulipristal acetate, power morcellation) which also should be addressed in any guidelines. Future guidelines should be methodologically robust to allow high-quality decision-making regarding fibroid treatments.PMID:34532956 | DOI:10.1111/1471-0528.16928 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 17, 2021 Category: OBGYN Authors: Alison Amoah Nikitha Joseph Sophie Reap Stephen Quinn Source Type: research

Uterine transplantation: Legal and regulatory implications in England
BJOG. 2021 Sep 17. doi: 10.1111/1471-0528.16927. Online ahead of print.ABSTRACTUterus transplantation (UTx) is fast evolving from an experimental to a clinical procedure, combining solid organ transplantation with assisted reproductive technology. The commencement of the first human uterus transplant trial in the United Kingdom leads us to examine and reflect upon the legal and regulatory aspects closely intertwined with UTx from the process of donation to potential implications on fertility treatment and the birth of the resultant child. As the world's first ephemeral transplant, the possibility of organ restitution requi...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 17, 2021 Category: OBGYN Authors: Saaliha Vali Benjamin P Jones Srdjan Saso Michael Fertleman Giuliano Testa Liza Johanesson Amel Alghrani Richard Smith Source Type: research

What women emphasise as important aspects of care in childbirth - an online survey
CONCLUSIONS: Norwegian women across all birth settings emphasise maternity care that authentically focuses both socio-cultural and psychological aspects of care, and physical and clinical factors. If the positive aspects of care identified in this study are adopted at all levels of the maternity care system and from all care providers, there is a high chance that most women will have a safe outcome, and a strong sense of coherence related to a positive birth and motherhood experience.PMID:34532959 | DOI:10.1111/1471-0528.16926 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 17, 2021 Category: OBGYN Authors: Carina Vedeler Anne Britt Vika Nilsen Ellen Blix Soo Downe Tine S Eri Source Type: research

Intra-couple discordance supporting preconception syphilis screening for both spouses: a national and population-based survey in China between 2013-2018
In this study, we investigated syphilis sero-positivity and intra-couple discordance among married couples planning a pregnancy in China to provide essential baseline evidence for preconception syphilis screening.DESIGN: Population-based survey.SETTING: National preconception registered data.POPULATION OR SAMPLE: Married Chinese couples planning conception within 6 months between 2013 and 2018.METHODS: Syphilis was screened using rapid plasma reagin (RPR); infection self-reporting and socio-demographic characteristics were collected through questionnaires and medical records, respectively. R software (v3.2.2) and ArcGIS (v...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 17, 2021 Category: OBGYN Authors: Qiongjie Zhou Ying Yang Long Wang Xinning Chen Qin Xu Qiaomei Wang Haiping Shen Zongyu Xu Yiping Zhang Donghai Yan Zuoqi Peng Yuan He Yuanyuan Wang Xiaotian Li Xu Ma Source Type: research

Induction of labour at 41 weeks of gestation versus expectant management and induction of labour at 42 weeks of gestation: a cost-effectiveness analysis
CONCLUSIONS: IOL at 41 gestational weeks results in a better health outcome and no significant difference in costs. IOL is cost-effective compared to expectant management until 42 gestational weeks using standard threshold values for acceptable cost per life year/QALY.PMID:34534404 | DOI:10.1111/1471-0528.16929 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 17, 2021 Category: OBGYN Authors: M årten Alkmark Ulla-Britt Wennerholm Sissel Saltvedt Christina Bergh Ylva Carlsson Helen Elden Helena Fadl Maria Jonsson Lars Ladfors Verena Sengpiel Jan Wesstr öm Henrik Hagberg Mikael Svensson Source Type: research

The Project Appropriate Birth and Reduction of Cesarean Section Rates: an analysis using the Robson classification system
CONCLUSION: The study results suggest that Project Appropriate Birth had an impact on the reduction of C-section rates, especially in Robson classification groups 1 through 4, which indicates that providing mothers with evidence-based interventions for labor and childbirth assistance contributed to reduce C-section rates.PMID:34529333 | DOI:10.1111/1471-0528.16919 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 16, 2021 Category: OBGYN Authors: Daniela Ferreira D'Agostini Marin Amanda Da Rosa Wernke Daniela Dannehl Dyulie De Araujo Gustavo Felipe Koch Karizy Mar çal Zanoni Katiane Baschirotto Dorigon Coral Nathan Valeriano Guimar ães Otto Feuerschuette Betine Pinto Moehlecke Iser Source Type: research

The Project Appropriate Birth: significance of the Robson classification in confronting the caesarean section "pandemic"
BJOG. 2021 Sep 16. doi: 10.1111/1471-0528.16921. Online ahead of print.ABSTRACTWorldwide caesarean section rates have soared over the last 30 years, and the WHO has recommended the Robson classification system as a global standard for assessment, monitoring, and comparison of caesarean section rates. However, this classification system is not used in daily practice in many countries with extremely high rates of caesarean sections.PMID:34529336 | DOI:10.1111/1471-0528.16921 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 16, 2021 Category: OBGYN Authors: N Vrachnis Source Type: research

Maternal serum fructosamine levels and stillbirth: A case-control study of The Stillbirth Collaborative Research Network
BJOG. 2021 Sep 16. doi: 10.1111/1471-0528.16922. Online ahead of print.ABSTRACTOBJECTIVE: To evaluate the association between maternal fructosamine levels at the time of delivery and stillbirth.DESIGN: Secondary analysis of a case-control study.SETTINGS: Multicenter study of five geographic catchment areas in the United States (U.S).POPULATION OR SAMPLE: All singleton stillbirths with known diabetes status and fructosamine measurement and representative live birth controls.MAIN OUTCOME MEASURES: Fructosamine levels in stillbirths and live births among groups were adjusted for potential confounders including diabetes. Optim...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 16, 2021 Category: OBGYN Authors: Erol Arslan Amanda A Allshouse Jessica M Page Michael W Varner Vanessa Thorsten Corette Parker Donald J Dudley George R Saade Robert L Goldenberg Barbara J Stoll Carol J Hogue Radek Bukowski Deborah Conway Halit Pinar Uma M Reddy Robert M Silver Source Type: research

Authors' reply re: Multidrug-resistant tuberculosis during pregnancy and adverse birth outcomes: a systematic review and meta-analysis: Practice-embedded research to address knowledge gaps in multidrug-resistant tuberculosis in pregnancy
BJOG. 2021 Sep 15. doi: 10.1111/1471-0528.16872. Online ahead of print.NO ABSTRACTPMID:34524715 | DOI:10.1111/1471-0528.16872 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 15, 2021 Category: OBGYN Authors: Kefyalew Addis Alene Alemken Jegnie Akilew Awoke Adane Source Type: research

Authors' response to: Re: 'Prophylactic antibiotics for preventing genital tract infection in women undergoing surgical procedures for incomplete abortion: a systematic review and meta-analysis of randomised controlled trials'
BJOG. 2021 Sep 15. doi: 10.1111/1471-0528.16874. Online ahead of print.NO ABSTRACTPMID:34524724 | DOI:10.1111/1471-0528.16874 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 15, 2021 Category: OBGYN Authors: Nazmul Islam Luis Furuya-Kanamori Sadia Mahmood Lukman Thalib Source Type: research

Impact of a mid-urethral synthetic mesh sling on long-term risk of systemic conditions in women with stress urinary incontinence: a national cohort study
CONCLUSIONS: These findings do not support claims that synthetic mesh slings cause systemic disease.PMID:34524725 | DOI:10.1111/1471-0528.16917 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 15, 2021 Category: OBGYN Authors: Patrick Muller Ipek Gurol-Urganci Ranee Thakar Michael R Ehrenstein Jan Van Der Meulen Swati Jha Source Type: research

Authors' reply re: Multidrug-resistant tuberculosis during pregnancy and adverse birth outcomes: a systematic review and meta-analysis: Practice-embedded research to address knowledge gaps in multidrug-resistant tuberculosis in pregnancy
BJOG. 2021 Sep 15. doi: 10.1111/1471-0528.16872. Online ahead of print.NO ABSTRACTPMID:34524715 | DOI:10.1111/1471-0528.16872 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 15, 2021 Category: OBGYN Authors: Kefyalew Addis Alene Alemken Jegnie Akilew Awoke Adane Source Type: research

Authors' response to: Re: 'Prophylactic antibiotics for preventing genital tract infection in women undergoing surgical procedures for incomplete abortion: a systematic review and meta-analysis of randomised controlled trials'
BJOG. 2021 Sep 15. doi: 10.1111/1471-0528.16874. Online ahead of print.NO ABSTRACTPMID:34524724 | DOI:10.1111/1471-0528.16874 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 15, 2021 Category: OBGYN Authors: Nazmul Islam Luis Furuya-Kanamori Sadia Mahmood Lukman Thalib Source Type: research

Impact of a mid-urethral synthetic mesh sling on long-term risk of systemic conditions in women with stress urinary incontinence: a national cohort study
CONCLUSIONS: These findings do not support claims that synthetic mesh slings cause systemic disease.PMID:34524725 | DOI:10.1111/1471-0528.16917 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 15, 2021 Category: OBGYN Authors: Patrick Muller Ipek Gurol-Urganci Ranee Thakar Michael R Ehrenstein Jan Van Der Meulen Swati Jha Source Type: research

Authors' reply re: Multidrug-resistant tuberculosis during pregnancy and adverse birth outcomes: a systematic review and meta-analysis: Practice-embedded research to address knowledge gaps in multidrug-resistant tuberculosis in pregnancy
BJOG. 2021 Sep 15. doi: 10.1111/1471-0528.16872. Online ahead of print.NO ABSTRACTPMID:34524715 | DOI:10.1111/1471-0528.16872 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 15, 2021 Category: OBGYN Authors: Kefyalew Addis Alene Alemken Jegnie Akilew Awoke Adane Source Type: research

Authors' response to: Re: 'Prophylactic antibiotics for preventing genital tract infection in women undergoing surgical procedures for incomplete abortion: a systematic review and meta-analysis of randomised controlled trials'
BJOG. 2021 Sep 15. doi: 10.1111/1471-0528.16874. Online ahead of print.NO ABSTRACTPMID:34524724 | DOI:10.1111/1471-0528.16874 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 15, 2021 Category: OBGYN Authors: Nazmul Islam Luis Furuya-Kanamori Sadia Mahmood Lukman Thalib Source Type: research