Preoperative clinical characteristics between uterine sarcoma and leiomyoma in patients with uterine mass, a case-control study
Among gynecologic malignancies, the incidence of uterine sarcoma is 1 percent. It is accounted for approximately 3 -7% of uterine cancers. [1] The prevalence is 0.64 per 100,000 women. [2] Since carcinosarcoma has been reclassified as high-grade endometrial cancer, leiomyosarcoma has become the most common histology of uterine sarcoma, accounting for about 63%. The next two common histology subtypes were endometrial stromal sarcoma and undifferentiated uterine sarcoma with the incidence of 21% and 6%, respectively. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 17, 2022 Category: OBGYN Authors: Panlada Chantasartrassamee, Chompunoot Kongsawatvorakul, Naparat Rermluk, Chuenkamon Charakorn, Rujira Wattanayingcharoencha, Arb-aroon Lertkhachonsuk Source Type: research

Clinicopathological characteristics and survival outcomes of patients with large cell neuroendocrine carcinoma of the uterine cervix: a systematic review and meta-analysis
Neuroendocrine tumours (NET) of the gynaecological tract are rare tumour entities, which comprise only 2% of all gynaecological malignancies and approximately 1.2 - 2.4% of all neuroendocrine tumours (1). Within the gynaecological tract, NETs most commonly arise in the cervix followed by the ovaries, vulva, endometrium and vagina (2). Approximately 0.9% - 1.5% of cervical carcinomas have a neuroendocrine origin (3). Classification of cervical NETs is based on tumour grade and their terminology is identical to that of gastroenteropancreatic NET. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 17, 2022 Category: OBGYN Authors: Anastasia Prodromidou, David L. Phelps, Vasileios Pergialiotis, Paula Cunnea, Nikolaos Thomakos, Alexandros Rodolakis, Christina Fotopoulou, Dimitrios Haidopoulos Source Type: research

Fixation of uterosacral ligaments to anterior vaginal wall during modified McCall culdoplasty after vaginal hysterectomy
McCall culdoplasty is a commonly performed procedure for pelvic organ prolapse surgical repair; despite its good efficacy, however, anterior prolapse recurrence frequently occurs. The aim of our study was to verify whether fixation of utero-sacral ligaments (USLs) to anterior vaginal wall during a modified McCall culdoplasty (MMC) could reduce the rate of anterior recurrence of prolapse. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 14, 2022 Category: OBGYN Authors: Matteo Mancarella, Francesco Testa, Francesca Chiad ò Piat, Lorenzo Novara, Nicoletta Biglia, Luca Giuseppe Sgro Source Type: research

Association Between Hospitals' Cesarean Delivery Rates For Breech Presentation And Their Success Rates For External Cephalic Version
Breech presentations occur in 3% to 4% of term pregnancies (1 –3). Although vaginal delivery is a reasonable option in many breech cases, the cesarean delivery rate for them is higher than for cephalic presentations (4). Because external cephalic version (ECV) increases cephalic presentation rates and thereby reduces cesarean rates (5), most international gu idelines recommend this procedure (6–9). (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 12, 2022 Category: OBGYN Authors: Yoann Athiel, Aude Girault, Camille Le Ray, Fran çois Goffinet Source Type: research

Pregnancy and delivery after pelvic fracture in fertile-aged women: A nationwide population-based cohort study in Finland
Only a few small studies have assessed the effects of pelvic fractures on pregnancies, deliveries, and rates of cesarean sections. We aimed to evaluate the effect of pelvic fractures on subsequent pregnancy and delivery in Finland. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 12, 2022 Category: OBGYN Authors: Matias Vaajala, Ilari Kuitunen, Lauri Nyrhi, Ville Ponkilainen, Maiju Kekki, Ville M. Mattila Source Type: research

Risk factors for obstetric anal sphincter injury among adolescents
Data regarding the risk factors for obstetrical anal sphincter injury (OASI) among nulliparous adolescent women are scarce. We aimed to evaluate these risk factors.Study design: A retrospective case-control study of nulliparous women aged ≤21 who delivered vaginally between 3/2011 and 6/2021. Maternal and intrapartum characteristics were compared between OASI and no-OASI groups. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 12, 2022 Category: OBGYN Authors: Raanan Meyer, Gabriel Levin Source Type: research

The role of serum netrin-1 level in the detection of early-onset preeclampsia
To investigate whether serum netrin-1 levels measured in hypertensive pregnant women could predict the development of early-onset preeclampsia (EOP). (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 12, 2022 Category: OBGYN Authors: Zekiye Soykan Sert Source Type: research

Combined perineal massage and warm compress compared to massage alone during active second stage of labour in nulliparas: A randomised trial
Vaginal births are often associated with perineal trauma. Several factors increase the risk of perineal trauma including instrumental delivery, longer duration of second stage, nulliparity, large for gestational age and malposition[1]. Nulliparity increases the risk for perineal laceration at vaginal birth[2] with a rate of 91.4% as compared to 68.8% in multipara[3]. Episiotomy was performed three times more often among nulliparous than parous women[4]. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 12, 2022 Category: OBGYN Authors: Jesrine Gek Shan Hong, Nadiah Abdullah, Rajeev Kumar Rajaratnam, Suriyanti Ahmad Shukri, Sze Ping Tan, Mukhri Hamdan, Boon Kiong Lim Source Type: research

Comparison of intracervical and intravaginal prostaglandin E2 for induction of labor in term pregnancies with unfavorable cervix: randomized controlled trial
Induction of labor is defined as artificial initiation of labor before its spontaneous onset and is performed in circumstances when the risk of continuation of the pregnancy is considered to be greater than the risk of labor induction [1]. Its incidence is up to one in four deliveries in developed countries and rising [2,3] and is not presumed to decrease in the upcoming future [4].Table 1.Table 2.Table 1.Table 2. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 10, 2022 Category: OBGYN Authors: Katja Vince, Ratko Matijevi ć Source Type: research

Efficacy of Laparoscopic and Trans-Abdominal Cerclage (TAC) in patients with Cervical Insufficiency: A Systematic Review and Meta-Analysis
Cervical insufficiency (CI) may result in preterm delivery. We sought out to perform this review and analysis to compare the efficacy of laparoscopic and open transabdominal cerclage (TAC) in patients suffering with CI. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 9, 2022 Category: OBGYN Authors: Greg Marchand, Ahmed Taher Masoud, Ali Azadi, Malini Govindan, Kelly Ware, Alexa King, Stacy Ruther, Giovanna Brazil, Hollie Ulibarri, Julia Parise, Amanda Arroyo, Catherine Coriell, Sydnee Goetz, Chelsea Cook, Katelyn Sainz Tags: Review article Source Type: research

Two-year anatomical and functional outcomes of laparoscopic sacrocolpopexy using light-weight Y shaped mesh for post hysterectomy vaginal prolapse
The aim of this study is to evaluate the efficacy, safety, anatomical and functional outcomes of patients undergoing laparoscopic sacrocolpopexy (LSC) using light-weight Y mesh for post hysterectomy vaginal prolapse.Study designA retrospective observational study of women who underwent LSC for post hysterectomy vaginal vault prolapse between January 2010 and January 2019. Y shaped mesh was used for the LSC after dissection of the rectum and the bladder. Pre-operative evaluation included symptoms ’ assessment using the Prolpase Quality of Life Questionnaire (P-QOL) and objective assessment using the POP-Q scores. (Sou...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 9, 2022 Category: OBGYN Authors: Abdalla Fayyad, Rhonda Harris, Shaymma Ibrahim Source Type: research

Do obstetric units adhere to the evidence-based national guideline? A Germany-wide survey on the current practice of initial tocolysis
Preterm birth (PTB) affecting approximately 5-18 % of all pregnancies worldwide is still the major cause of neonatal mortality and morbidity (1, 2). The prevention of PTB remains a great challenge for obstetricians since no causal therapy has yet been established due to its multifactorial etiology (2). The leading symptom of PTB are spontaneous premature uterine contractions, which can effectively be inhibited by tocolytic agents, thus increasing gestational age at delivery (3). However, there is insufficient evidence, that tocolytics significantly reduce neonatal mortality and morbidity (4-11). (Source: European Journal o...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 9, 2022 Category: OBGYN Authors: Patrick Stelzl, Sven Kehl, Peter Oppelt, Holger Maul, Sabine Enengl, Ioannis Kyvernitakis, Werner Rath Source Type: research

Single-incision mini-sling and trans-obturator sling for stress urinary incontinence: a 5-year comparison
The aim of our study was to compare objective and subjective outcomes in women with stress urinary incontinence (SUI) submitted to either trans-obturator sling (TVT-ABBREVO ®) or single incision mini-sling (SIMS-ALTIS®) at 5-year follow up.Study design: A monocentric, retrospective study including women with isolated SUI and with concomitant proved urodynamic stress incontinence (USI), treated with an TVT-ABBREVO® or SIMS-ALTIS®. At 60-month follow up each woman wa s assessed subjectively, with two validated questionnaires (UDI-6 and ICQI-SF), and objectively with a cough stress test. (Source: European Jour...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 7, 2022 Category: OBGYN Authors: Alessandro F. Ruffolo, Giulia Bonavina, Maurizio Serati, Arianna Casiraghi, Rebecca Degliuomini, Marta Parma, Irene Porcari, Massimo Candiani, Stefano Salvatore Tags: Full length article Source Type: research

Plasma and amniotic fluid concentrations of nitric oxide: effects on uterine artery and placental vasculature in women who underwent voluntary pregnancy termination and in women with missed and threatened abortion. A pilot study
In Italy, in 2020, were registered about 68,00 voluntary terminations of pregnancy (VTP) and about 49,000 spontaneous abortions. In Italy, since 1978 (Law 194/78), the woman can request voluntary termination of pregnancy (VTP) within the first 90 days of gestation for health, economic, social or family reasons. Spontaneous abortion is the most common complication of pregnancy occurring with a frequency of 10-15%. It is defined as a clinically recognized pregnancy loss before 20 weeks ’ gestation (1). (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 5, 2022 Category: OBGYN Authors: Cesare Battaglia, Elena Morotti, Elisa Montaguti, Giacomo Mariacci, Fabio Facchinetti, Gianluigi Pilu Source Type: research

Mini-resectoscope vs morcellator for in-office hysteroscopic myomectomy: evaluation of results and patient satisfaction
The development of hysteroscopic techniques has led to an advance in submucous myoma treatment, offering a safe and effective minimally invasive alternative. Our objective was to compare the results of hysteroscopic myomectomy when using whether the mini-resectoscope or the MyoSure morcellator, as well as patient satisfaction after the procedure. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 4, 2022 Category: OBGYN Authors: Valero Irene, Garc ía-Jiménez Rocio, Florez Natalia, Weber-Fernandez Ana Maria, Oña López Maria Rosa, Lara Maria Dolores Source Type: research

PCOS patients differ in meal timings rather than total caloric or macronutrient intake in comparison to weight matched controls
There is paucity of data related to dietary patterns in women with PCOS with heterogenous phenotypes compared to weight matched healthy women. In the present study, we studied the influence of diet and dietary patterns in relation to BMI and phenotype of PCOS women. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 3, 2022 Category: OBGYN Authors: Bindu Kulshreshtha, Neera Sharma, Shubhi Pant, Lokesh Sharma, Bhawna Pahuja, Priyanka Singh Source Type: research

Risk of pregnancy complications in living kidney donors: a systematic review and meta-analysis
Kidney donation represents the gold standard for the management of end-stage kidney disease (ESKD), as it provides increased dialysis-free survival by enabling preemptive transplantation and the avoidance of long waiting times for transplantation[1]. Despite living kidney donation offers important benefits to the recipient, it remains a complicated medical, ethical and psychosocial issue for the donor[2]. Perioperative mortality rates are low, affecting 3.1 per 10,000 donors[3], although concerns are raised about potential mid- and long-term consequences. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 2, 2022 Category: OBGYN Authors: Ioannis Bellos, Vasilios Pergialiotis Source Type: research

Retraction notice to “Reducing blood loss at abdominal myomectomy with preoperative use of dinoprostone intravaginal suppository: A randomized placebo-controlled pilot study” [Eur. J. Obst. Gynecol. Reprod. Biol. 166/1 (2012) 61–64]
Available online (https://www.elsevier.com/about/our-business/policies/article-withdrawal). (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 1, 2022 Category: OBGYN Authors: Tarek Shokeir, Hend Shalaby, Hanan Nabil, Rafik Barakat Source Type: research

Risk of Deep Vein Thrombosis and Pulmonary Embolism after Gynecological Day Surgery
To investigate the risk of venous thromboembolism (VTE) in Danish women operated within a day surgery setting and to evaluate whether the current use of thromboprophylaxis without using graduated elastic compression stockings (GCS) is an appropriate treatment to prevent VTE. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 30, 2021 Category: OBGYN Authors: Line Birch Jensen, Ulla Jeppesen, Pinar Bor Source Type: research

Neurodevelopmental Outcomes of Preterm Infants Born to Preeclamptic Mothers – A Case-Control Study
Preeclampsia during pregnancy is associated with an increased risk for various neonatal morbidities.We aimed to investigate the association between prematurity due to maternal preeclampsia and developmental outcomes. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 30, 2021 Category: OBGYN Authors: Zipora Manovitch, Iris Morag, Michal J. Simchen Tags: Full length article Source Type: research

Obstetric outcomes after conservative management of ovarian borderline tumors in women of reproductive age: A single center experience
The main goal of fertility-sparing treatment is pregnancy followed by live birth (i.e., successful pregnancy). The principal objective of our study was to evaluate the successful pregnancy rate in patients with borderline ovarian tumors (BOTs) after conservative treatment. The second goal was to evaluate the safety of the conservative approach.Study design: 110 patients with BOT were retrospectively evaluated. All patients underwent surgical treatment, sparing the uterus and part of at least one ovary. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 29, 2021 Category: OBGYN Authors: Sobiczewski Piotr, Pi ątek Szymon, Michalski Wojciech, Kupryjańczyk Jolanta, Maciejewski Tomasz, Mariusz Ołtarzewski, Bidzinski Mariusz Tags: Full length article Source Type: research

A Vaginal Birth After Cesarean Predictive Model for Latin American Countries Included in the World Health Organization Global Survey of Maternal and Perinatal Health
Dear Editor, (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 29, 2021 Category: OBGYN Authors: Margo S Harrison, Matthew Bolt, Mary D. Sammel Source Type: research

Trimester-specific gestational weight gain in women with and without previous bariatric surgeries
The study aimed 1) to compare trimester-specific and total gestational weight gain (GWG) between mothers who had undergone biliopancreatic diversion with duodenal switch (BPD) and two control groups of unoperated women and 2) to examine the associations between GWG and intrauterine fetal growth as well as neonatal birthweight (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 29, 2021 Category: OBGYN Authors: Genevi ève Gagnon, Anne-Marie Carreau, Charlie Cloutier-Langevin, Anne-Sophie Plante, S. John Weisnagel, Simon Marceau, Laurent Biertho, Frédéric Simon Hould, Félix Camirand-Lemyre, André Tchernof, Anne-Sophie Morisset Tags: Correspondence Source Type: research

Preplacental abruption following laser photocoagulation in monochorionic twin gestations complicated by twin-twin transfusion syndrome
Fetoscopic laser photocoagulation (FLPC) is a well-established method to treat twin-twin transfusion syndrome (TTTS).1 Placental abruption is one complication associated with the treatment with a reported prevalence of 8.4%.2 (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 29, 2021 Category: OBGYN Authors: Eyal Krispin, Alireza A. Shamshirsaz, Raphael C. Sun, Ahmed A. Nassr, Roopali Donepudi, Jimmy Espinoza, Michael A. Belfort, Eumenia C. Casrto, Magda Sanz-Cortes Tags: Correspondence Source Type: research

Prenatal diagnosis of pseudocoarctaion of the aorta
Pseudocoarctation is a rare congenital anomaly which is characterized by kinking or buckling of the aorta. The condition does not cause any hemodynamic obstruction, and decreased blood pressure in the lower extremities is thought to not be observed [1,2]. Although asymptomatic cases are incidentally recognized by auscultation and/or chest X-ray, pseudocoarctation presents severe symptoms such as headache, dizziness and even sudden death [1]. Owing to the rarity of this entity, characteristic findings of pseudocoarctation in utero have not been reported so far. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 29, 2021 Category: OBGYN Authors: Tomoki Sengiku, Daisuke Tachibana, Katsutoshi Matsui, Yosuke Murakami, Atsushi Nakanishi, Jun Yoshimatsu Tags: Short communication Source Type: research

Placental expression of miR-517-5p and miR-518f-5p: Fetal sex-specific relations with human fetoplacental growth
Infants born small for gestational age (SGA) are at higher risk of perinatal morbidity and metabolic disorders in later life [1]. India has a high burden of SGA babies [2] and early antenatal identification of such pregnancies can help in mitigating the effect of associated adverse perinatal outcomes [3]. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 28, 2021 Category: OBGYN Authors: Prachi Kochhar, Pratibha Dwarkanath, Gayatri Ravikumar, Annamma Thomas, Julian Crasta, Tinku Thomas, Anura V. Kurpad, Arpita Mukhopadhyay Tags: Full length article Source Type: research

A modified technique for paravaginal repair of cystocele with paravaginal defect:a retrospective study
Anterior vaginal prolapse and cystocele are the most difficult challenges to overcome when treating cases involving prolapse of the pelvic organs[1]. Controversy and debate persist over which surgical procedure to select when performing cystocele repair, due to the need to consider a series of complicated issues[2], including specific bulging site (central or lateral type), apical prolapse, combined symptoms (urinary incontinence, dysuria, cough, constipation), the choice of conservative treatment, the choice of surgical methods and the patient's physical condition. (Source: European Journal of Obstetrics, Gynecology, and ...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 27, 2021 Category: OBGYN Authors: Shuai Huang, Qiubo Lv, Ye li, Qingwei Meng, Min li Source Type: research

Rational development and evaluation of novel formulations for urinary health
Among the conditions that are persistently a part of the practice of obstetrics and gynecology are vaginitis and urinary tract infections. Both conditions are of concern because they may be chronic or recurrent and are associated with more serious conditions, especially when occurring during pregnancy. Acute pyelonephritis is associated with asymptomatic bacteriuria in pregnancy [1] and vaginal and urinary tract infection has been associated with preeclampsia [2] and low birth weight, intrauterine growth restriction and preterm birth [3]. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 27, 2021 Category: OBGYN Authors: Francesco De Seta, Zoe Johnson, Guglielmo Stabile, Audrey Martin, Bryan Larsen Tags: Full length article Source Type: research

Understanding human immunity in idiopathic Recurrent Pregnancy Loss
Miscarriage, defined as the loss of a pregnancy before a viable gestation, affects 1 in 6 couples. Recurrent pregnancy loss (RPL), defined as two or more miscarriages, affects up to 1.9% of couples. The physical, psychological, and financial impact of miscarriage can be substantial. However, despite its multifactorial etiology, for up to 50% of couples a reason behind this condition cannot be identified, termed ‘idiopathic RPL’. Much recent research has strived to understand this, with immune dysregulation being a source of particular interest. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 27, 2021 Category: OBGYN Authors: Danai Bagkou Dimakou, David Lissauer, Jennifer Tamblyn, Arri Coomarasamy, Alex Richter Tags: Review article Source Type: research

Application Of Pelvic Floor Ultrasound During Pregnancy To Detect Patients At Risk Of Cesarean Section Due To Failure Of Labor Progression IN A SPANISH Population
The frequency of cesarean sections (CS) in developed countries is very high. In recent years, in Spain it is around 26% overall. [1]Fig 1.Fig 2. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 27, 2021 Category: OBGYN Authors: Alicia Gunti ñas, Carolina Galocha, Rodrigo Madurga, Janette Kirk, Ramón Usandizaga, Miguel Ángel Rodríguez-Zambrano Source Type: research

Bowel Injury in Laparoscopic Gynaecological Surgery; 19 Medicolegal Cases
Bowel injury is an inherent risk of any gynecological surgery. A review of 10,375 gynecological laparotomic, laparoscopic or vaginal operations reported total bowel injury rates of 2.51%, 0.35%, and 1.14%, respectively. When injuries were categorized into entry- and non-entry-related, the rates of entry-related were 0.84% (48/5700), 0.30% (11/3710), 0.73% (7/967), respectively [1]. Molloy et al, reported laparoscopic bowel injury rate of 1 per 1000 (0.10%) [2] while Llarema et al reported 1 in 769 (0.13%) laparoscopic operations [3]. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 27, 2021 Category: OBGYN Authors: George A Vilos, Angelos G. Vilos, Basim Abu-Rafea, George Jacob, Ayman Oraif, Fawaz Edris, Artin Ternamian Source Type: research

Intrapartum sonographic features of cephalopelvic disproportion in occiput anterior fetuses diagnosed with protracted active phase of labor
recent data from our group demonstrate that the flexion of the fetal head assessed by means of the occiput-spine angle (OSA) is associated with the mode of delivery in non-occiput posterior (OP) fetuses diagnosed with protracted active phase of labor1. When analyzing the relationship between the OSA and the sonographic station – assessed by means of the head-perineum distance (HPD) and the angle-of-progression (AoP) – cesarean delivery (CD) was found to occurr in two clusters of non-OP fetuses with high station, one characterized by head deflexion and another featured by favorable flexion1. (Source: European Jo...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 23, 2021 Category: OBGYN Authors: Andrea Dall'Asta, Tullio Ghi Source Type: research

Prenatal ultrasound findings regarding obstruction to blood flow and an umbilical artery varix caused by umbilical cord torsion
A 28-year-old female, G2P1, underwent regular prenatal examinations beginning from 12+5 weeks of gestation in the outpatient department of our hospital. Systemic ultrasonography of the fetus at 24 weeks of gestation indicated polyhydramnios (amniotic fluid index: 27.8 cm) and no apparent abnormalities in fetal structure. The patient was admitted to our hospital with complaints of dull pain in the lower abdomen at 30+2 weeks of gestation, and an emergency ultrasound indicated opening of the internal os and shortening of the uterine cervical canal. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 22, 2021 Category: OBGYN Authors: Qing-Yun Song, Juan Wen, Hong Luo Source Type: research

Attitudes and knowledge regarding episiotomy use and technique in vacuum extraction: A web-based survey among doctors in Sweden
Episiotomy should be used selectively and restrictively [1 –3]. The clinical application of this wording is unclear, although operative vaginal delivery could be such a selected situation [3,4]. A rate below 60% is proposed to be selective in a Cochrane review of selective versus routine episiotomy in vaginal birth [5]. In this review, routine episiotomy [6z0-100%) was not protective against obstetric anal sphincter injuries (OASIS) in spontaneous vaginal delivery [5]. Further research is needed to clarify if routine episiotomy is useful in women with operative vaginal delivery [5]. (Source: European Journal of Obste...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 21, 2021 Category: OBGYN Authors: Victoria Ankarcrona, Susanne Hesselman, Helena Kopp Kallner, Sophia Brismar Wendel Tags: Full length article Source Type: research

Nulliparous women with an unfavourable cervix at 41 weeks: which women go into spontaneous labor during the expectant period?
ContextAfter 41 weeks, the labor induction term varies according to countries and obstetrical teams. The French recommendations are not to exceed 41 weeks 6 days. However, there are no data on the percentage of nulliparous women with an unfavorable cervix at 41 weeks going into spontaneous labor within five or six days. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 21, 2021 Category: OBGYN Authors: C. Meyer, E. Cohen, A. Girault, F. Goffinet Source Type: research

Diabetic ketoacidosis in pregnancy- Case series, pathophysiology, and review of the literature
Diabetic ketoacidosis (DKA) during pregnancy is a life-threatening emergency for both the mother and the fetus. The pathophysiology of DKA in pregnancy has its own characteristics due to multiple factors, such as insulin resistance, accelerated starvation and respiratory alkalosis, thus creating ketosis-prone state, with DKA occurring at milder degrees of hyperglycemia, even in normoglycemic levels, which can result in delayed diagnosis and treatment with potential for adverse metabolic consequences. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 20, 2021 Category: OBGYN Authors: Tamar Eshkoli, Leonid Barski, Yaniv Faingelernt, Alan Jotkowitz, Alona Finkel-Oron, Dan Schwarzfuchs Source Type: research

Prognostic indicators of persistent carotid intima-media thickness increase in postpartum period in a population of normotensive women with gestational diabetes mellitus
The association between gestational diabetes mellitus (GDM) and common carotid artery (CCA)-intima media thickness (IMT) is still controversial. In the present study, we aimed to compare the CCA-IMT measured in GDM women to that obtained in healthy pregnant women in the third trimester of pregnancy. Secondly, we investigated the main independent predictors of persistent CCA-IMT increase (defined as CCA-IMT ≥0.6 mm) in postpartum period in GDM women. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 20, 2021 Category: OBGYN Authors: Andrea Sonaglioni, Gian Luigi Nicolosi, Valentina Esposito, Stefano Bianchi, Michele Lombardo Source Type: research

Concerns about the contemporary labor curves and guidelines: is it time to revisit the old ones?
One of the main reasons for the rising caesarean section rate is labor progression abnormalities. New guidelines were released promoting the changing paradigm from Friedman to Zhang ’s labor curves. However, the lack of evidence of its safety and the unclear effect on caesarean section rates have been challenging its adoption. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 20, 2021 Category: OBGYN Authors: Jo ão Pedro Nunes, Pedro Viana Pinto, Ana Mafalda Neves, Filipa Malheiro, Tiago Aguiar, Hernâni Gonçalves, Antónia Costa Tags: Full length article Source Type: research

Impact of postpartum pain and birth pain management on the pelvic floor function. A retrospective study including over 300 mothers
It is known that pregnancy and childbirth bring biological, psychological and social changes in a woman ’s life. Studies regarding the pelvic floor function focus on the year after delivery, but unfortunately, long-term studies are rare. Furthermore, an association between postpartum pain and birth pain management on the pelvic floor function has rarely been examined. The aim of this study is the ev aluation of the pelvic floor function years after delivery in order to detect possible risk factors. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 20, 2021 Category: OBGYN Authors: Sabine Sch ütze, Johanna Krepsz, Margarete Lorenz, Juliane Schütze, Maria Kersten, Wolfgang Janni, Miriam Deniz Source Type: research

Association of interleukin-12B gene polymorphisms and mRNA expression with preeclampsia
Preeclampsia (PE) is a pregnancy-specific disease characterized by hypertension and proteinuria after the 20th week of pregnancy. It affects approximately 3-5% of pregnant women and remains a major cause of maternal and neonatal morbidity and mortality worldwide [1]. Despite significant effort over many years, the exact pathogenesis of PE is still unknown. Emerging evidence suggests that PE may be an excessive maternal inflammatory response involving a T helper type 1 (Th1)/Th2 imbalance [2,3], and increases in various Th1 cytokines play an important role in the pathogenesis of PE [4,5]. (Source: European Journal of Obstet...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 20, 2021 Category: OBGYN Authors: Ya Duan, Xinling Wang, Min Li, Cui Zhang, Sisi Li, Runfang Wang, Jian Zhao Source Type: research

Post-cesarean ileus: An assessment of incidence, risk factors and outcomes
To estimate the frequency of post cesarean paralytic ileus and to identify associated risk factors and outcomes. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 20, 2021 Category: OBGYN Authors: Barak Zlakishvili, Hen Y. Sela, James Tankel, Alexander Ioscovich, Reut Rotem, Sorina Grisaru-Granovsky, Misgav Rottenstreich Source Type: research

Evaluating the Reproducibility of Research in Obstetrics and Gynecology
Reproducibility is a core tenet of scientific research. A reproducible study is one where the results can be recreated by using the same methodology and materials as the original researchers. Unfortunately, reproducibility is not a standard to which the majority of research is currently adherent. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 20, 2021 Category: OBGYN Authors: Shelby Rauh, Aaron Bowers, Drayton Rorah, Daniel Tritz, Heather Pate, Lance Frye, Matt Vassar Source Type: research

Lower and Extended Dosage of Misoprostol for Cervical Ripening in 1st Trimester Miscarriage (MISO200): a Randomized Clinical Trial
Miscarriage is defined by the World Health Organization as the interruption of pregnancy up to 20-23 weeks, or the products of pregnancy weighing less than 500 grams[1]. According to international guidelines, uterine evacuation can be achieved either by pharmacological or by surgical treatment in the first trimester of pregnancy[2,3]. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 19, 2021 Category: OBGYN Authors: Michele Strelow, Jackson Maissiat, Michele S. Savaris, Daniel M. da Silva, Ricardo F. Savaris Source Type: research

Early pregnancy teaching and training amongst obstetric trainees in a tertiary maternity hospital
The first trimester of pregnancy, defined as the first thirteen completed weeks of pregnancy in The National Institute for Health and Care Excellence (NICE) guidelines, is commonly referred to as “early pregnancy”[1] . Common complications and presentations to the emergency department (ED) in early pregnancy include vaginal bleeding and abdominal pain, affecting one in four of all women internationally [2]. Serious risks, such as ectopic pregnancy, have incidence rates of 14.8 per 1000 m aternities in Ireland[3]. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 19, 2021 Category: OBGYN Authors: A. Rowan, D. Hayes-Ryan, J. Hogan, S. Cooley, M. Geary Source Type: research

Obstetric Cholestasis: Investigation of A Suspected High Incidence In The West of Ireland
To identify the incidence of Obstetric Cholestasis in a Maternity unit. To compare our investigation, criteria for diagnosis and management plan with National Guidelines. To assess adverse maternal and neonatal outcomes associated with this condition. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 18, 2021 Category: OBGYN Authors: Aoife Corcoran, Heather Langan Tags: Full length article Source Type: research

Transient Fetal Hypertrichosis - Three Cases
In this study we describe the finding of hypertrichosis which resolved later in gestation.Case N1: A prominent unibrow (synophrys) and elongated eyelashes were noted at 24 weeks of gestation with no other abnormal features.Case N 2: A prenatal ultrasound scan was performed at 24 weeks and revealed: horseshoe kidney and localized hypertrichosis on the lower back. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 15, 2021 Category: OBGYN Authors: M. Bronshtein, Nguyen To Hac, A. Gover, N. Khatib Tags: Correspondence Source Type: research

Risks factors for anastomotic leakage in advanced ovarian cancer: a systematic review and meta-analysis
An optimal cytoreduction achievement (removing all visible tumour) is the most favourable prognostic factor for overall survival in patients with advanced ovarian cancer (OC) [1 –3]. Single or multiple bowel resections (BR) are frequently necessary to achieve an optimal cytoreduction and occur between 30 to 50% during primary OC surgery [4–7]. Rectosigmoid resection (RSR) is the most common type of BR performed during OC surgery [8,9]. After RSR, the primary anastomosis of the bowel tract is the gold standard technique for bowel reconstruction [10,11]. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 13, 2021 Category: OBGYN Authors: Gaetano Valenti, Amerigo Vitagliano, Matteo Morotti, Giorgio Giorda, Francesco Sopracordevole, Fabrizio Sapia, Viviana Lo presti, Benito Chiofalo, Sara Forte, Lucia Lo presti, Roberto Tozzi Tags: Review article Source Type: research

Cesarean delivery on maternal request: How do French obstetricians feel about it?
The number of cesarean deliveries on maternal request (CDMR) is unknow in France. We aimed to evaluate the rate of obstetricians willing to perform a CDMR in 2020 in Paris and to compare OB/GYN seniors ’ and residents’ points of view about CDMR using six hypothetical clinical scenarios. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 13, 2021 Category: OBGYN Authors: Anne-Sophie Boucherie, Aude Girault, Laura Berlingo, Fran çois Goffinet, Camille Le Ray Source Type: research

The impact of breast augmentation on breast feeding in primigravida women – A cohort study
During the first six months of life, human milk is recommended as the exclusive and optimal nutrient source for term infants 1,2. The Center for Disease Control and Prevention, as a key strategy to improve public health, is committed to increasing breastfeeding rates throughout the United States 3,4. Failure to breastfeed is associated with maternal characteristics such as young maternal age, lower socioeconomic status, cigarette smoking, 5 –8 and high risk obstetrical conditions 9. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 6, 2021 Category: OBGYN Authors: Shai Ram, Hila Shalev Ram, Yael Shalev Rosenthal, Emmanuel Attali, Miriam Warshaviak, Ronni Gamzu, Yariv Yogev, Gabriel Chodick Source Type: research

Worldwide beliefs among pregnant women on SARS-CoV-2 vaccine: a systematic review
SARS-CoV-2 vaccine has been recommended to pregnant women, but survey studies showed contrasting findings worldwide in relation to the willingness to accept vaccination during pregnancy. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 6, 2021 Category: OBGYN Authors: Luigi Carbone, Raffaella Di Girolamo, Ilenia Mappa, Gabriele Saccone, Antonio Raffone, Daniele Di Mascio, Valentino De Vivo, Francesco D'Antonio, Maurizio Guida, Giuseppe Rizzo, Giuseppe Maria Maruotti Tags: Review article Source Type: research