Can we Define Excess Vaginal Space? - Genital Hiatus Size and Prolapse Severity are Correlated With Cube Pessary Size
Pelvic organ prolapse (POP) is a relatively common disease; it is described as a loss of anatomical support of the pelvic organs leading to the partial, or total downward displacement of the uterus and/or the different vaginal compartments and their neighboring organs such as bladder, rectum, or bowel into the vagina [1]. In the pathogenesis of the disease, several risk factors play a role, including menopause, genetic factors, chronically increased intraabdominal pressure, joint hypermobility and particularly obstetric pelvic floor trauma [2]. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - August 2, 2020 Category: OBGYN Authors: Zoltan Nemeth, Nelli Farkas, Balint Farkas Tags: Full length article Source Type: research

Target Product Profile for an endometrial receptivity test: women ’s perspective
To assess the women ’s views in relation to the characteristics of an endometrial receptivity test in the context of recurrent miscarriage with an overarching aim to guide the development of a Target Product Profile (TPP) based on minimum acceptable (“worst-case”) and ideal (“best-case”) features. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - August 1, 2020 Category: OBGYN Authors: Laurentiu Craciunas, Oonagh Pickering, Justin Chu, Justina Žurauskienė, Arri Coomarasamy Source Type: research

Acquired reactive perforating collagenosis in association with pregnancy
A 32 year-old woman, at 17 weeks gestation, presented to dermatology with a pruritic erythematous urticarial-like eruption present on the trunk and limbs. A diagnosis of polymorphic eruption of pregnancy (PEP) was made and the patient was referred for ultraviolet B TL01 phototherapy. However at 24 weeks gestation, a separate papular eruption on the forearms and lower limbs was noted, mainly appearing at sites of superficial trauma. This eruption then evolved into tender, umbilicated nodules with a central keratin plug, in keeping with acquired reactive perforating collagenosis (ARPC) (Fig. (Source: European Journal of Obst...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - August 1, 2020 Category: OBGYN Authors: Michael Joseph Lavery, Sophie Winters, Deborah Lorenzelli, Su Enn Low, Naveen Sharma, Kok Ngan Tags: Correspondence Source Type: research

Diagnosis and outcome of hydatidiform moles in missed-miscarriage: a cohort-study, systematic review and meta-analysis
To evaluate the ultrasound diagnostic rates of complete hydatidiform moles (CHM) and partial hydatidiform moles (PHM) in women presenting with a missed miscarriage, the clinical complications at diagnosis and the risk of gestational trophoblastic neoplasia (GTN) after surgical evacuation and to compare our findings with those of the published literature by completing a systematic review and meta-analysis (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 31, 2020 Category: OBGYN Authors: Maria Memtsa, Jemma Johns, Davor Jurkovic, Jackie A Ross, Neil J Sebire, Eric Jauniaux Tags: Full length article Source Type: research

Being an Obstetrics and Gynaecology Resident during the COVID-19: Impact of the Pandemic on the residency training program
to evaluate the impact of the COVID-19 pandemic on the obstetrics and gynecology residency training program in Italy. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 31, 2020 Category: OBGYN Authors: Giovanna Bitonti, Anna Rita Palumbo, Cinzia Gallo, Erika Rania, Gabriele Saccone, Valentino De Vivo, Fulvio Zullo, Costantino Di Carlo, Roberta Venturella Tags: Full length article Source Type: research

Can a health care worker have sex in the time of COVID-19?
Covid-19 is not transmitted by sex but close proximity during the act could aide in spread of the disease. Health care workers by virtue of the nature of their work have higher chances of exposure to the virus and them indulging in sex needs risk reduction strategies. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 31, 2020 Category: OBGYN Authors: B.Sadananda Naik Tags: Correspondence Source Type: research

Comparative study of changes in maternal and perinatal morbidity inequalities among migrant and native women over time, between 2008 and 2014 in France
An increased risk of severe maternal morbidity and mortality has been described in migrant women, particularly in those born in sub-Saharan Africa. The mechanisms in question are poorly identified and rarely studied specifically. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 31, 2020 Category: OBGYN Authors: Maxime Eslier, R émy Morello, Elie Azria, Michel Dreyfus Tags: Full length article Source Type: research

First follow-up of art pregnancies in the context of the COVID-19 outbreak
The aims of this study were to follow up the monitoring, health and anxiety from women who became pregnant after an embryo transfer or a intrauterine insemination during the COVID-19 epidemic in France (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 30, 2020 Category: OBGYN Authors: Anne Mayeur, Olivier Binois, Vanessa Gallot, Laetitia Hesters, Alexandra Benoit, Anne Oppenheimer, Marion Presse, Faycal Zeghari, Jonas Benguigi, Michael Grynberg, Nelly Frydman, Charlotte Sonigo Tags: Full length article Source Type: research

Trends and Predictors of Survival for Small Cell Carcinoma of the Cervix Uteri: a SEER Population Study
Small cell carcinoma of the cervix uteri (SCCC) is an uncommon cancer associated with unsatisfactory survival outcomes. We aimed to investigate the incidence and prognostic factors of survival in SCCC patients using the Surveillance, Epidemiology, and End Results database. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 30, 2020 Category: OBGYN Authors: Tao Song, Qiuyan Wan, Min Fang, Wenming Zhan, Hong ’en Xu, Huafeng Shou Tags: Full length article Source Type: research

Fertility preservation after fertility-sparing surgery in women with borderline ovarian tumours
To present a case series of women with borderline ovarian tumours (BOTs) who underwent oocyte vitrification in addition to fertility-sparing surgery. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 29, 2020 Category: OBGYN Authors: S. Khiat, M. Provansal, P. Bottin, J. Saias-Magnan, C. Metzler-Guillemain, B. Courbiere Tags: Full length article Source Type: research

Predictive value of bubble sign for tubal patency during office hysteroscopy
Our purpose was to investigate the predictive value of visible air bubble sign for real tubal patency during hysteroscopic procedures. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 29, 2020 Category: OBGYN Authors: Judit L örincz, Szabolcs Molnár, Tünde Herman, Salvatore Giovanni Vitale, Singh Jashanjeet, Rudolf Lampé, László Kardos, Péter Török Tags: Full length article Source Type: research

The Rate of SARS-CoV-2 Positivity in Asymptomatic Pregnant Women Admitted to Hospital for Delivery: Experience of A Pandemic Center in Turkey
To investigate the rate of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positivity in asymptomatic pregnant women admitted to hospital for delivery in a Turkish pandemic center. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 29, 2020 Category: OBGYN Authors: Atakan Tanacan, Seyit Ahmet Erol, Batuhan Turgay, Ali Taner Anuk, Elcin Islek Secen, Gulin Feykan Yegin, Sebnem Ozyer, Fisun Kirca, Bedia Dinc, Serpil Unlu, Elif Gul Yapar Eyi, Huseyin Levent Keskin, Dilek Sahin, Aziz Ahmet Surel, Ozlem Moraloglu Tekin Tags: Full length article Source Type: research

Functionally significant polymorphisms of ESR1and PGR and risk of intrauterine growth restriction in population of Central Russia
This study aimed to investigate the role ofESR1 and PGR gene polymorphisms in development of intrauterine growth restriction (IUGR) among Russian women in Central Russia. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 27, 2020 Category: OBGYN Authors: Oleg Golovchenko, Maria Abramova, Irina Ponomarenko, Evgeny Reshetnikov, Inna Aristova, Alexey Polonikov, Volodymyr Dvornyk, Mikhail Churnosov Tags: Full length article Source Type: research

Influence of the Universal Two-Child Policy on Obstetric Issues
The objective of this study was to compare the influence of change in fertility policy on obstetric issues. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 25, 2020 Category: OBGYN Authors: Fang Zhao, Yang Xu, Yan-Ting Chen, Jiao-Ying Cheng, Xiao-Yu Pan Tags: Full length article Source Type: research

Intrauterine transfusion in COVID-19 positive mother vertical transmission risk assessment
Since its recent outbreak Sars-CoV-2 infection has emerged as a potential threat to feto-maternal wellbeing. Literature data supporting possibility of vertical transmission haven ’t been reported yet, but insufficient data so far cannot rule this possibility out (1,2). (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 25, 2020 Category: OBGYN Authors: Mandic Markovic, Vladimir Djukic, Ivana Pesic Stevanovic, Sladjana Mihajlovic Tags: Correspondence Source Type: research

Smoking cessation in early-pregnancy, gestational weight gain and subsequent risks of pregnancy complications
Maternal smoking during pregnancy is a major public health problem leading to increased risks of pregnancy complications (1,2). Despite strong recommendations to quit smoking before pregnancy, approximately 15% of women smoke at the start of pregnancy and 8% of women continue to smoke during pregnancy (3 –5). Women might be reluctant to quit smoking due to concerns of potential unfavorable effects subsequent to smoking cessation, such as excessive weight gain (6–8). In general, excessive weight gain is a well-known side effect of smoking cessation, and might discourage women from cessation attem pts (9). (Sourc...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 25, 2020 Category: OBGYN Authors: Lina Al-Hassany, Rama J. Wahab, Eric A.P. Steegers, Vincent W.V. Jaddoe, Romy Gaillard Source Type: research

Sars-CoV-2 in pregnancy: Why is it better than expected?
In December 2019, a novel coronavirus (Sars-CoV-2) was first reported in Wuhan, in the Hubei province of China and was declared pandemic by the World Health Organization (WHO) on March 11, 2020. While data regarding COVID-19 continues to come out improving our understanding of this disease, data specific to pregnancy remains limited and the clinical characteristics of SARS-CoV-2 infection in pregnant women are still scarce. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 23, 2020 Category: OBGYN Authors: Tullio Ghi, Elvira di Pasquo, Arsene Mekinian, Leonardo Calza, Tiziana Frusca Tags: Review article Source Type: research

Comparison between cerebroplacental ratio and umbilicocerebral ratio in predicting adverse perinatal outcome at term
Cerebroplacental ratio (CPR) has been associated with adverse perinatal outcome irrespective of fetal weight. More recently, it has been proposed that the ratio between umbilical and middle cerebral artery pulsatility index, the umbilicocerebral ratio (UCR) had a higher diagnostic accuracy compared to CPR in predicting adverse outcome. The aim of the study was to compare the diagnostic accuracy of CPR and UCR in predicting adverse perinatal outcome in the third trimester of pregnancy. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 23, 2020 Category: OBGYN Authors: Daniele Di Mascio, Giuseppe Rizzo, Danilo Buca, Alice D ’Amico, Martina Leombroni, Sara Tinari, Antonella Giancott, Ludovico Muzii, Luigi Nappi, Marco Liberati, Francesco D’Antonio Tags: Review article Source Type: research

A Comparison of Placental Pathology between Small for Gestational Age Infants at < 5% Versus 5-9%
Newborns are classified according to their birth weight centile after delivery. Infants whose birth weights fall below the 10th % for their gestational age (GA) at delivery are termed small for gestational age (SGA). [1,2] SGA infants are at an increased risk for perinatal morbidity and mortality [3 –7]. The highest mortality risk is among SGA infants who measure (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 23, 2020 Category: OBGYN Authors: Adam T. Sandlin, Everett F. Magann, Songthip T. Ounpraseuth, Ibrahim A. Hammad, Christopher G. Goodier, Andrew S. Thagard, Joshua D. Dahlke, Eugene Y. Chang, Charles M. Quick, Suneet P. Chauhan Tags: Full length article Source Type: research

Potential release of toxic metal elements from Essure ® device in symptomatic patients: first results of the French Ablimco cohort
Since the decision to halt sales of the Essure ® implants for permanent birth control in December 2018 (Bayer©, Leverkusen, Germany), many patients have complained of unspecific symptoms, such as gynecological disorders (pain, menorrhagia), but also broad extrapelvic symptoms (persistent asthenia and fatigue, heart palpitations, tinnitus, prur itus, joint and / or muscularis pain, skin rashes, digestive disorders) [1]. Several studies have shown an improvement in symptomatology and quality of life after Essure® removal in symptomatic patients [1,2]. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 22, 2020 Category: OBGYN Authors: Fran çois Parant, Muriel Bost, Erdogan Nohuz, Julie Prost, Emanuele Cerruto, Stephanie Moret, Julien Maurin, Gautier Chene Tags: Full length article Source Type: research

Predictors for de novo stress urinary incontinence following pelvic reconstructive surgery with mesh
The aims of this study are to describe the postoperative incidence of de novo stress urinary incontinence (SUI) in women who underwent anterior vaginal compartment prolapse repair using synthetic polypropylene mesh and to identify risk factors for this outcome. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 22, 2020 Category: OBGYN Authors: Rodrigo A Cruz, Carlos A Faria, Saint-Clair S Gomes Tags: Full length article Source Type: research

Predictive value of serum uric acid levels for adverse maternal and perinatal outcomes in pregnant women with high blood pressure. A systematic review and meta-analysis
Pre-eclampsia is a pregnancy complication afflicting between 2% and 8% of pregnancies in worldwide, and rates vary according to etnicity and diagnostic criteria of e [1]. It is a multisystem disorder charachterized by hypertension after the 20th week of gestation with high proteins levels in urine (>300  mg in 24 hours). However, it can results in maternal complications such as severe hypertension (blood pressure ≥140/90 mmHg), eclampsia and HELLP syndrome (hemolytic anemia, delevated liver enzymes levels, low platelet count) or maternal death, and neonatal morbidity [2]. (Source: European Journa...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 22, 2020 Category: OBGYN Authors: Valentina Pecoraro, Tommaso Trenti Tags: Review article Source Type: research

Evaluation of the severity of striae gravidarum in women with pelvic organ prolapse
To evaluate the severity of abdominal striae in women presenting with pelvic organ prolapse. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 21, 2020 Category: OBGYN Authors: Amal A. Ahmed, Omima Tharwat Taha, Mohamed Elprince Tags: Full length article Source Type: research

Maternal and neonatal characteristics and outcomes among COVID-19 infected women: An updated systematic review and meta-analysis
Coronavirus disease 2019 (COVID-19) has become a global pandemic and may adversely affect pregnancy outcomes. We estimated the adverse maternal and neonatal characteristics and outcomes among COVID-19 infected women and determined heterogeneity in the estimates and associated factors. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 21, 2020 Category: OBGYN Authors: Pallavi Dubey, Sireesha Reddy, Sharron Manuel, Alok K. Dwivedi Tags: Review article Source Type: research

Universal Screening for SARS-CoV-2 in Pregnant Women at Term Admitted to an East London Maternity Unit
To explore the prevalence of asymptomatic SARS-CoV-2 in the maternity population. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 21, 2020 Category: OBGYN Authors: Sanduni Abeysuriya, Samreen Wasif, Callum Counihan, Neha Shah, Stamatina Iliodromiti, Maria-Teresa Cutino-Moguel, Ferha Saeed, Luxmimalar Velauthar Tags: Full length article Source Type: research

Use of noninvasive prenatal screening with cell-free DNA in late pregnancy with sonographic soft markers
To report the experience on the clinical use of noninvasive cell-free (cf) DNA testing at late pregnancy. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 21, 2020 Category: OBGYN Authors: Jun-Hui Wan, Li Zhen, Jin Han, Min Pan, Xin Yang, Dong-Zhi Li Tags: Full length article Source Type: research

COVID-19 positive mothers are not more anxious or depressed than non COVID pregnant women during the pandemic: a pilot case-control comparison
Most recent studies on SARS-Cov-2 in pregnancy have focused on physical effects of the pandemic on infected mothers and the possibility of vertical transmission rather than the equally pertinent maternal mental wellbeing. There is little doubt that pregnant women express greater levels of anxiety and depression during the pandemics weeks compared to before [1] and in particular, voiced concerns about health of their family and unborn children, as well as anxiety regarding behavioural changes such as social-isolation, working remotely, transport difficulties, childcare and stockpiling (especially of food, hand sanitizers an...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 21, 2020 Category: OBGYN Authors: P. Kotabagi, M. Nauta, L. Fortune, W. Yoong Tags: Correspondence Source Type: research

Women ’s view on fasting during labor in a tertiary care obstetric unit. A prospective cohort study
This study aimed to assess the satisfaction and the wishes of parturients with regards to fasting during labor. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 21, 2020 Category: OBGYN Authors: Lionel Bouvet, Julie Garrigue, Fran çois-Pierrick Desgranges, Federica Piana, Gery Lambin, Dominique Chassard Tags: Full length article Source Type: research

Reply to correspondence: Prenatal Diagnosis of Central Nervous System Abnormalities: Neurosonography Versus Fetal Magnetic Resonance Imaging
We read with interest the letter of Tanacan et al. [1], about the role of ultrasound i.e. Neurosonography (NS) compared to Magnetic Resonance Imaging (MR) in prenatal diagnosis of fetal brain malformations. According to the authors findings, it seems to be no significant difference between the diagnostic performance of these two tools, at any gestational age. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 20, 2020 Category: OBGYN Authors: Ilma Floriana Carbone, Gabriele Saccone Tags: Correspondence Source Type: research

Adverse intrapartum outcome in pregnancies complicated by small for gestational age and late fetal growth restriction undergoing induction of labor with Dinoprostone, Misoprostol or mechanical methods: a systematic review and meta-analysis
To investigate the outcome of pregnancies with small baby, including both small for gestational age (SGA) and late fetal growth restriction (FGR) fetuses, undergoing induction of labor (IOL) with Dinoprostone, Misoprostol or mechanical methods. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 18, 2020 Category: OBGYN Authors: Alessandra Familiari, Asma Khalil, Giuseppe Rizzo, Anthony Odibo, Patrizia Vergani, Danilo Buca, Nobuhiro Hidaka, Daniele Di Mascio, Chinedu Nwabuobi, Serena Simeone, Federico Mecacci, Silvia Visentin, Eric Cosmi, Marco Liberati, Alice D ’Amico, Maria E Tags: Review article Source Type: research

Genital-peritoneal tuberculosis: a case with different diagnostic work up
We report a case of genital-peritoneal tuberculosis (GTB/PTB) in a 21-year-old woman who presented to us with mild abdominal pain and distension that started three weeks previously. She reported regular menstrual cycle and no previous pregnancy. She had no other signs or symptoms, chest examination was negative. She neither had past medical, surgical history nor history of recent diseases in her family. Abdominal examination revealed a distended abdomen, lower abdominal tenderness, no rebound tenderness. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 16, 2020 Category: OBGYN Authors: Orsola Brasile, Ruby Martinello, Gennaro Scutiero, Pantaleo Greco Tags: Correspondence Source Type: research

Maternal COVID-19 infection, clinical characteristics, pregnancy, and neonatal outcome: A prospective cohort study
To study the effect of COVID-19 on pregnancy and neonatal outcomes. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 15, 2020 Category: OBGYN Authors: Lina Antoun, Nashwa El Taweel, Irshad Ahmed, Shalini Patni, Honest Honest Source Type: research

COVID-19 in pregnant women: A systematic review and meta-analysis
Coronavirus disease 2019 (COVID-19) is a novel infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Several reports highlighted the risk of infection and disease in pregnant women and neonates. To assess the risk of clinical complications in pregnant women and neonates infected with SARS-CoV-2 carrying out a systematic review and meta-analysis of observational studies. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 15, 2020 Category: OBGYN Authors: Capobianco Giampiero, Saderi Laura, Aliberti Stefano, Mondoni Michele, Piana Andrea, Dessole Francesco, Dessole Margherita, Cherchi Pier Luigi, Dessole Salvatore, Sotgiu Giovanni Tags: Full length article Source Type: research

Maternal COVID-19 infection, clinical characteristics, pregnancy, and neonatal outcome A prospective cohort study
To study the effect of COVID-19 on pregnancy and neonatal outcomes. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 15, 2020 Category: OBGYN Authors: Lina Antoun, Nashwa El Taweel, Irshad Ahmed, Shalini Patni, Honest Honest Source Type: research

EBCOG Position Statement on “Ethical analysis of Cross-Border Reproductive Care”
Cross-border reproductive care (CBRC) has been a growing phenomenon for at least 15 years, and describes the movements by candidate health care recipients from one country or jurisdiction where treatment is unavailable to another country or jurisdiction where they can obtain the treatment they need. This term is considered more neutral than “reproductive tourism” which is felt to penalise patients who usually engage in CBRC by necessity rather than choice (1). The reasons for patients to seek fertility treatment abroad usually fall under one of two categories ‘legal restrictions’ and/or ‘treat...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 15, 2020 Category: OBGYN Authors: Francoise Shenfield, Ioannis Messinis, Tahir Mahmood Tags: Review article Source Type: research

In utero and early life exposures in relation to endometriosis in adolescents and young adults
Endometriosis is a common gynecologic disorder often associated with severe pelvic pain and infertility with very few known modifiable risk factors. We investigated whether in utero and early life exposures are associated with surgically diagnosed endometriosis among adolescents and young adults. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 13, 2020 Category: OBGYN Authors: Naoko Sasamoto, Leslie V. Farland, Allison F. Vitonis, Holly R. Harris, Amy D. DiVasta, Marc R. Laufer, Kathryn L. Terry, Stacey A. Missmer Tags: Full length article Source Type: research

Meta-analysis of the diagnostic accuracy of HE4 for endometrial carcinoma
To analyze and evaluate the value of serum human epididymis protein 4 (HE4) for the diagnosis of endometrial cancer (EC). (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 13, 2020 Category: OBGYN Authors: Jing Liu, LiLi Han, Sun Qi, Yuanyuan Li, Mayinuer Niyazi Tags: Review article Source Type: research

The use of a strict protocol in the trial of labor following two previous cesarean deliveries: Maternal and neonatal results
The past few decades have seen a persistent increment in the rate of cesarean deliveries (CD) worldwide [1]. This phenomenon was recently described as an “epidemic” by the International Federation Of Gynecology and Obstetrics (FIGO) [2]. Owing to the fact that CD is known to be associated with various short and long-term consequences on the health of parturients and children [3], great efforts have been made on a global scale to reduce the number of CDs performed without medical indication. Instead, parturients have been encouraged to opt for trial of labor following CD (TOLAC) [4,5]. (Source: European Journal ...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 13, 2020 Category: OBGYN Authors: Reut Rotem, Hen Y. Sela, Ayala Hirsch, Arnon Samueloff, Sorina Grisaru-Granovsky, Misgav Rottenstreich Tags: Full length article Source Type: research

Ethical considerations relevant to infections in pregnancy: Application to Sars-Covid-19
Despite wide diversity and scope, the ethical dimensions relevant to infections in pregnancy remain little explored. Important questions span topics with personal or wider societal and public health impact. The conceptualization of the status and responsibilities of the pregnant woman and the legitimate limits of third-party interests are key determinants of our appreciation of applicable ethical obligations. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 12, 2020 Category: OBGYN Authors: Marwan Habiba, Andrea Akkad Tags: Full length article Source Type: research

Reference ranges of filling time and systolic-to-diastolic time index of the left ventricle, right ventricle, and interventricular septum using both spectral and tissue Doppler of fetal heart between 20 and 36  + 6 weeks of gestation
The objective of this study is to determine the reference ranges for filling time (FT) and systolic-to-diastolic time index (SDI) of the left ventricle (LV) by using spectral Doppler, and FT ’ and SDI’ of the LV, right ventricle, and interventricular septum (IVS) by using tissue Doppler of the fetal heart. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 12, 2020 Category: OBGYN Authors: Alberto Borges Peixoto, Nathalie Jeanne Magioli Bravo-valenzuela, Wellington P. Martins, Rosiane Mattar, Antonio Fernandes Moron, David Baptista da Silva Pares, Gabriele Tonni, Edward Araujo Source Type: research

AMeTHYST (AMbulatory HYsterectomy surgery). Feasibility of minimally invasive outpatient hysterectomy, a preliminary study
Hysterectomy, one of the most frequent surgical procedures in women, is commonly performed by a minimally-invasive approach (laparoscopic or vaginal) as recommended by the French guidelines. The French authorities aim to have 66% of all procedures performed as same-day surgery in 2020. The aim of this study was to evaluate the feasibility and identify factors associated with success or failure of same-day surgery for minimally-invasive hysterectomy. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 12, 2020 Category: OBGYN Authors: Enora Dolivet, Arthur Foulon, Th érèse Simonet, Sophie Sanguin, Mélusine Turck, Anne-Cécile Pizzoferrato, Raffaèle Fauvet Tags: Full length article Source Type: research

Can we improve women ’s experience of operative vaginal birth?
It is well understood that advanced skills are required for operative vaginal delivery to ensure a woman ’s birth experience is safe, positive and to prevent adverse long term harm. We sought to identify non-technical skills determined by women to enhance experience of operative vaginal delivery by qualitative analysis of interviews conducted during the postpartum period. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 12, 2020 Category: OBGYN Authors: Gemma K.S. Cass, Karen Goyder, Bryony Strachan, Rachna Bahl Tags: Full length article Source Type: research

Temperature gradients in the mammalian ovary and genital tract: A clinical perspective
In a research climate dominated by advances in molecular biology, the pursuit of straightforward physiological measurements may appear to lack inspiration. Nonetheless, our recent determination of temperatures within female reproductive tissues has produced exciting new findings, raised difficult questions of interpretation, and offered a significant breakthrough in approaches to the selection of oocytes for use in human IVF or fertility preservation programmes. In essence, cooling of the pre-ovulatory follicles and increase of temperature differences within the oviduct shortly before ovulation may well remain as an evolut...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 12, 2020 Category: OBGYN Authors: Ronald H.F. Hunter, Fernando L ópez-Gatius Tags: Review article Source Type: research

Reply to the IUGA Obstetric Pelvic Floor Trauma Special Interest Group ’s response to Gachon B et al/EBCOG re: Should we advise women that pre-labor caesarean section prevents pelvic floor dysfunction?
We read with great interest the IUGA obstetric pelvic floor trauma interest group ’s response to our recent paper “Should we advise women that pre-labor caesarean section prevents pelvic floor dysfunction?” [1]. In this opinion paper we analyzed the causality between vaginal delivery and pelvic floor dysfunction to devise a policy of advising pre-labor caesareans section. I n their response, our colleagues agreed with the necessity to be careful before promoting caesarean section for all women but also highlighted that they think that women with higher risk should be informed about the protective effect o...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 12, 2020 Category: OBGYN Authors: Bertrand Gachon, Renaud De Tayrac, Thomas Schmitz, Tahir Mahmood, Xavier Fritel Tags: Correspondence Source Type: research

Late miscarriage as a presenting manifestation of COVID-19
We report an unusual case of a second-trimester miscarriage as the presenting symptom of COVID-19 in an otherwise healthy pregnant patient. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 12, 2020 Category: OBGYN Authors: R. Hachem, G. Markou, C. Veluppillai, C. Poncelet Tags: Correspondence Source Type: research

Ethical considerations relevant to infections in pregnancy: application to Covid-19
Despite wide diversity and scope, the ethical dimensions relevant to infections in pregnancy remain little explored. Important questions span topics with personal or wider societal and public health impact. The conceptualization of the status and responsibilities of the pregnant woman and the legitimate limits of third-party interests are key determinants of our appreciation of applicable ethical obligations. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 12, 2020 Category: OBGYN Authors: Marwan Habiba, Andrea Akkad Tags: Full length article Source Type: research

Vacuum intraoperative specimen mammography: a novel technique
A free margin is regarded as an essential outcome for a correct surgical procedure. According to currently available evidence, the presence of a free margin correlates with a better postoperative prognosis. The concept of a free margin surgical intervention goes beyond the idea of an excessive margin procedure. In this context, the St. Gallen consensus conference stated that ‘no ink on tumour’ is the standard goal for conservative surgery for invasive cancer [1]. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 10, 2020 Category: OBGYN Authors: Maria Grazia Ba ù, Alessandra Surace, Gianluca Gregori, Corrado De Sanctis, Vincenzo Marra, Cecilia Marengo, Donatella Tota, Fulvio Borella, Chiara Benedetto, Maria Piera Mano Source Type: research

Er:YAG Laser Treatment of Urinary Incontinence After Failed TOT/TVT Procedures
Stress urinary incontinence (SUI) which is defined as involuntary urinary leakage by physical efforts, is one of the most common seen health problem among the women of a certain age [1,2]. Although there are numerous notifications released by some institutions and societies regarding the serious complications of the tension-free vaginal tape (TVT) and trans-obtrator tape (TOT) porcedures itself and used synthetic materials, these two operative techniques are the most commonly preferred invasive procedures as a treatment choice for SUI [3,4]. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 9, 2020 Category: OBGYN Authors: C. Tamer Erel, Luis Diego Carazo Fernandez, Deniz Inan, Melike Makul Tags: Full length article Source Type: research

Impact of bupivacaine injection to trocar sites on postoperative pain following laparoscopic hysterectomy: Results from a prospective, multicentre, double-blind randomized controlled trial
This study aimed to evaluate the effect of bupivacaine injection to trocar sites following laparoscopic hysterectomy for the management of postoperative pain. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 6, 2020 Category: OBGYN Authors: Ismet Hortu, Unal Turkay, Hasan Terzi, Ahmet Kale, Mehmet Y ılmaz, Canan Balcı, Umit Aydın, Antonio Simone Laganà Tags: Full length article Source Type: research

Acute colonic pseudo-obstruction after cesarean section and gastrointestinal symptoms
To investigate whether women who developed acute colonic pseudo-obstruction (ACPO) after cesarean section have a higher degree of gastro-intestinal symptoms than women who did not develop ACPO after cesarean section. ACPO is a colonic dilatation without mechanical obstruction, and with an unknown pathophysiology. In younger people it is mostly seen in women after cesarean section. The hypothesis of the present study is that long-term consequences of gastrointestinal symptoms evolve after ACPO, due to the impact on the colon. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 3, 2020 Category: OBGYN Authors: Katrine Christensen, Line H. Ostersen, Karin Glavind, Anne L. Krarup, Niels Kj ærgaard Tags: Full length article Source Type: research