Second Trimester Placental Growth Factor Levels And Placental Histopathology In Low Risk Nulliparous Pregnancies
The objective of this study was to determine the relationship between PlGF levels in the second trimester and the development of placental diseases that underlie adverse perinatal outcomes.METHODS: We performed a secondary analysis of the prospective Placental Health Study in unselected healthy nulliparous women (n = 773). Maternal demographic data, Doppler ultrasound measurements, and plasma PlGF levels at 15 to 18 weeks gestation were analyzed for association with pregnancy outcomes and placental pathology following delivery.RESULTS: Low PlGF levels in the second trimester (
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - February 23, 2021 Category: OBGYN Authors: Melanie C Audette Kelsey McLaughlin John C Kingdom Source Type: research

The accuracy of sonographic fetal head circumference in twin pregnancies
CONCLUSION: In our cohort, sonographic head circumference underestimated postnatal head circumference. Accuracy measurements were not significantly different between the first and second twin.PMID:33621678 | DOI:10.1016/j.jogc.2021.02.114 (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - February 23, 2021 Category: OBGYN Authors: Rinat Gabbay-Benziv Saja Anabusi Erez Nadir Dalit Kamar Mordechai Hallak Alon Shrim Source Type: research

Effect of Co-twin Fetal Sex on Fetal Anthropometry and Birth Time in Twin Pregnancies
This study of twin deliveries aimed to examine the effect of fetal sex and fetal sex of the co-twin on fetal anthropometry and length of gestation.METHODS: Pregnancies were grouped as male/male, male/female, and female/female. Birth weight, head circumference, body length and delivery time of newborns were compared between unlike-sex and like-sex twin pregnancies.RESULTS: A total of 1028 pregnant women who met the inclusion criteria were enrolled in the study. Of these pregnancies, 32.6% (n = 335) were male/male, 33.4% (n = 343) were male/female, and 34.0% (n = 350) were female/female. The discordant (male/female) newborns...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - February 23, 2021 Category: OBGYN Authors: Burak Bayraktar Tayfun Vural Ceren G ölbaşı Hakan G ölbaşı Miyase Gizem Bayraktar Source Type: research

An initiative to increase resident performance of operative vaginal deliveries
The objective of this single-centre, action research study was to increase resident experience performing operative vaginal deliveries. The secondary objective was to assess the incidence of maternal and neonatal complications. The rate of forceps deliveries increased in the post-training period (1.8%-4.0%; P
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - February 23, 2021 Category: OBGYN Authors: Constance Cottrell Sarah Clausen David Sullivan James Bena David Biats Source Type: research

Directive clinique n < sup > o < /sup >  416 : Soins pendant l'accouchement et la période post-partum chez les personnes ayant un handicap physique
J Obstet Gynaecol Can. 2021 Feb 20:S1701-2163(21)00217-6. doi: 10.1016/j.jogc.2021.02.112. Online ahead of print.ABSTRACTOBJECTIF: Décrire les pratiques fondées sur des données probantes en matière de prise en charge des soins pendant l'accouchement et la période post-partum chez les personnes ayant un handicap physique au Canada.POPULATION CIBLE: La présente directive clinique aborde les besoins des personnes ayant un handicap physique en mettant l'accent sur les problèmes de santé qui affectent la force et la mobilité, ainsi que sur ceux qui touchent les fonc...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - February 23, 2021 Category: OBGYN Authors: Anne Berndl Noor Ladhani R Douglas Wilson Melanie Basso Elizabeth Jung Lesley A Tarasoff Pamela Angle Nancy Soliman Source Type: research

Understanding Minimally Invasive Gynecologic Surgery Fellowship Training in Canada: A National Survey of Recent Graduates.
CONCLUSION: Canada has made meaningful progress in MIGS training over the past decade with 11 well-established fellowship programs. Although this survey identifies a general interest in standardized training and accreditation for Canadian MIGS programs, more research is needed on how best to accomplish this. PMID: 33581348 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - February 14, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Perspectives of Canadian Health Care Providers on Fetal Alcohol Spectrum Disorder: A brief report exploring 15 years.
Authors: Green CR, Kaminsky KJ, Tough S, Roberts N, Nagpal TS, Cook JL Abstract Initiatives have been implemented to provide training to health care providers (HCPs) on the adverse health outcomes associated with alcohol use during pregnancy, including the risk of fetal alcohol spectrum disorder (FASD). The purpose of this exploratory study was to compare two cross-sectional data sets of HCP perspectives over 15 years. In 2002 and 2017, two samples of HCPs received a survey on FASD. The findings from these surveys may inform the development of ongoing educational initiatives to help HCPs with screening for alcohol ...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - February 14, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Fetal Ultrasound Challenges and Solutions for Scanning Pregnant People with Physical Disabilities: A Two Years' Initiative for Adaptation.
Authors: Berndl A, Khatib S Abstract The Accessible Care Pregnancy Clinic provides consolidated pregnancy care, including ultrasound, for people with physical disabilities. Sonography was identified as likely presenting unique challenges for this population. Therefore, over a 2-year period, sonographers recorded notes describing ultrasound techniques and challenges on 136 scans from 23 patients. These notes, along with ongoing communication between sonographers, administrative staff, nurses, and physicians, informed troubleshooting, which included preparing equipment, scheduling extra time with patients, and includ...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - February 13, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Canadian Surveillance of COVID-19 in Pregnancy (CANCOVID-Preg): A Rapidly Coordinated National Response Using Established Regional Infrastructures.
Authors: McClymont E, Abenhaim H, Albert A, Boucoiran I, Cassell K, Castillo E, Crane J, Elwood C, Fell DB, Joynt C, Kotaska A, Murphy PA, Murphy-Kaulbeck L, Poliquin V, Ryan S, Saunders S, Scott H, Shah P, Snelgrove J, van Schalkwyk J, Yudin MH, Money D PMID: 33546778 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - February 7, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Directive clinique no  413 : Traitement chirurgical du prolapsus génital apical chez les femmes.
Directive clinique no 413 : Traitement chirurgical du prolapsus génital apical chez les femmes. J Obstet Gynaecol Can. 2021 Feb 03;: Authors: Geoffrion R, Larouche M Abstract OBJECTIF: Comparer les taux de réussite et de complications des interventions de suspension apicale pour le traitement du prolapsus symptomatique de l'utérus ou du dôme vaginal. POPULATION CIBLE: Les femmes présentant un prolapsus symptomatique de l'utérus ou du dôme vaginal qui souhaitent obtenir un traitement chirurgical. OPTIONS: Les interventions abordées ...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - February 7, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Guideline No. 413: Surgical Management of Apical Pelvic Organ Prolapse in Women.
Authors: Geoffrion R, Larouche M Abstract OBJECTIVE: To compare success and complication rates of apical suspension procedures for the surgical management of symptomatic uterine or vaginal vault prolapse. TARGET POPULATION: Women with symptomatic uterine or vaginal vault prolapse seeking surgical correction. OPTIONS: Interventions included abdominal apical reconstructive repairs (sacrocolpopexy, sacrohysteropexy, or uterosacral hysteropexy) via open, laparoscopic, or robotic approaches; vaginal apical reconstructive repairs (vault suspensions or hysteropexy, sacrospinous, uterosacral, iliococcygeus, McCall'...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - February 7, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Prise en charge des fibromes ut érins après le retrait de Fibristal du marché.
Prise en charge des fibromes utérins après le retrait de Fibristal du marché. J Obstet Gynaecol Can. 2021 Jan 23;: Authors: Tulandi T, Casper R PMID: 33497779 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 28, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Comparison of Adverse Maternal and Neonatal Outcomes in Women Affected by Placenta Previa With and Without a History of Cesarean Delivery: A Cohort Study.
CONCLUSIONS: History of caesarean delivery is associated with an increased risk of adverse maternal outcomes but not with neonatal outcomes with placenta previa. PMID: 33497780 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 28, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Residual defects of the anal sphincter complex following primary repair of obstetrical anal sphincter injuries at a large Canadian obstetrical centre.
CONCLUSION: These data demonstrate deficiencies in diagnosis and repair of OASIS. Continued training for health care providers on identification and effective repair of OASIS may improve outcomes for women who experience this complication. PMID: 33493679 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 27, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Directive clinique no  414 : Prise en charge des grossesses de localisation indéterminée et des grossesses ectopiques tubaires et non tubaires: (In English: Management of Pregnancy of Unknown Location and Tubal and Nontubal Ectopic Pregnancies).
Directive clinique no 414 : Prise en charge des grossesses de localisation indéterminée et des grossesses ectopiques tubaires et non tubaires: (In English: Management of Pregnancy of Unknown Location and Tubal and Nontubal Ectopic Pregnancies). J Obstet Gynaecol Can. 2021 Jan 13;: Authors: Po L, Thomas J, Mills K, Zakhari A, Tulandi N, Shuman M, Page A Abstract OBJECTIF: Fournir un algorithme fondé sur des données probantes pour orienter le diagnostic et la prise en charge de la grossesse de localisation indéterminée et de la grossesse ectopique tubai...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 18, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Guideline No. 414: Management of Pregnancy of Unknown Location and Tubal and Nontubal Ectopic Pregnancies.
Authors: Po L, Thomas J, Mills K, Zakhari A, Tulandi T, Shuman M, Page A Abstract OBJECTIVE: To provide an evidence-based algorithm to guide the diagnosis and management of pregnancy of unknown location and tubal and nontubal ectopic pregnancy. TARGET POPULATION: All patients of reproductive age. BENEFITS, HARMS, AND COSTS: The implementation of this guideline aims to benefit patients with positive β-human chorionic gonadotropin results and provide physicians with a standard algorithm for expectant, medical, and surgical treatment of pregnancy of unknown location and tubal pregnancy and nontubal ectopi...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 18, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Perinatal Mental Healthcare Needs Among Women at a Community Hospital.
CONCLUSIONS: Web- and telephone-based approaches have the potential to address the most common barriers to access support for women experiencing perinatal mental health problems. PMID: 33446473 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 17, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Hegde's Modification of Fothergill Surgery for Cervical Elongation: A 7-Year Retrospective Review.
CONCLUSION: Hegde's modification of Fothergill surgery can be considered as a surgical option for the repair of isolated CE with a healthy cervix in women who desire uterine preservation with the major advantage of preventing cervical stenosis. PMID: 33436347 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 15, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Unintended Consequences: The Impact of Cervical Cancer Screening Guidelines on Rates of STI Screening in Primary Care.
Authors: Zur R, Casson M, Bellaire J, Yudin M Abstract OBJECTIVE: In 2012, cervical cancer screening guidelines in Ontario shifted from recommending yearly Pap testing to recommending Pap tests every 3 years. We sought to investigate how these changes have impacted rates of sexually transmitted infection (STI) screening in young women. METHODS: We conducted a retrospective cohort study of 600 patients aged 19-25 years who presented to 1 of 2 community family health teams from May 1, 2009 to April 30, 2012 (the annual Pap test group) or from Nov 1, 2012 to Oct 31, 2015 (the triennial Pap test group). The primary...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 11, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Prevalence of Chlamydia and Gonorrhea Among Pregnant Adolescents Screened in the Third Trimester using a Urine PCR Test: A Retrospective Review.
Authors: Jamieson MA, Tyker A, Pudwell J, Schneiderman M, Hundal P, Thorne J Abstract OBJECTIVE: Our study assessed the rate of new and recurrent Chlamydia trachomatis and Neisseria gonorrhoeae infections in the third trimester at an adolescent obstetrics clinic. METHOD: Between October 2016 and June 2020, routine third-trimester screening for C. trachomatis and N. gonorrhoeae was implemented according to new Canadian recommendations. Urine nucleic acid amplification was performed. Patient records were reviewed retrospectively, and demographic data; pregnancy and delivery characteristics; and information on scr...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 8, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Evaluation Of Adjunctive Azithromycin Prophylaxis In Women Undergoing Caesarean Delivery in a Setting With Low Baseline Incidence of Surgical Site Infection.
CONCLUSION: Adding azithromycin to the standard antibiotic prophylaxis for cesarean delivery showed no statistically significant reduction in SSI rates in a population with low baseline rates of SSI. PMID: 33412302 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 8, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Idiopathic Intracranial Hypertension in Pregnancy.
Authors: Park DSJ, Park JSY, Sharma S, Sharma RA Abstract Idiopathic intracranial hypertension (IIH) is a syndrome characterized by elevated intracranial pressure without an identifiable underlying cause. Pregnancy has unique and important diagnostic and therapeutic implications for patients with IIH. Despite these implications, there are no guidelines to assist clinicians in managing IIH during pregnancy. Our review aims to summarize the key considerations related to the diagnosis and management of IIH during pregnancy, to optimize the care of these patients and mitigate the risk of disease-related complications. ...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 8, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Decreasing Insulin Requirements in Pregnancy with Preexisting or Gestational Diabetes: Management Practices across Canada.
Authors: Pihelgas A, Prior A, Ospina MB, Jain V Abstract Decreasing insulin requirements in pregnant women with preexisting or gestational diabetes has been attributed to placental insufficiency, which results in increased surveillance or early delivery. This practice is not evidence based. A 5-item questionnaire was administered electronically to a convenience sample of Canadian resident and staff obstetrician-gynaecologists and maternal-fetal medicine specialists. Practice patterns varied widely among the 142 survey respondents, and this variation did not correlate to their level of training. There is a paucity o...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 8, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Does radical hysterectomy for clinically apparent stage II endometrial cancer affect risk of local recurrence?
CONCLUSIONS: Fifty-one percent of patients with clinical stage II endometrial cancer had advanced disease on final pathology, highlighting the importance of surgical staging. RH was not associated with RFS or reduced morbidity. Most recurrences were distant. Although RH could be performed to achieve negative surgical margins, SH may be sufficient for central, small tumours given the high risk of advanced disease and distant recurrence. Research efforts should further elucidate the ideal management of these patients. PMID: 33412305 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 8, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Fetal Diaphragmatic Eventration: A Case report.
CONCLUSION: CDE is a rare and difficult diagnosis to consider prenatally. Probable associated features may aid diagnosis. Additional, larger case series are needed to improve prenatal differentiation of this condition. PMID: 33412306 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 8, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Letter: Development of a High-Fidelity Surgical Simulator for Invasive Placentation.
Authors: Jones M, Windrim R, Janeteas C, Kazlovich K, Phillips J, Lizama TF, Zelko S, Murji A, Kfouri J PMID: 33393470 [PubMed - in process] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 5, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Directive clinique no 408  : Prise en charge des maladies gestationnelles trophoblastiques.
Directive clinique no 408 : Prise en charge des maladies gestationnelles trophoblastiques. J Obstet Gynaecol Can. 2021 Jan;43(1):106-123.e1 Authors: Eiriksson L, Dean E, Sebastianelli A, Salvador S, Comeau R, Jang JH, Bouchard-Fortier G, Osborne R, Sauthier P Abstract OBJECTIF: Cette directive passe en revue l'évaluation clinique et la prise en charge des maladies gestationnelles trophoblastiques, notamment les traitements chirurgicaux et médicamenteux des tumeurs bénignes, prémalignes et malignes. L'objectif de la présente directive clinique est d'aider les four...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 3, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

A Call to Action: Ending the Neglect of Female Genital Schistosomiasis.
Authors: Krentel A, Steben M PMID: 33384138 [PubMed - in process] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 3, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Appel à l'action : Cessons de négliger la schistosomiase génitale féminine.
Appel à l'action : Cessons de négliger la schistosomiase génitale féminine. J Obstet Gynaecol Can. 2021 Jan;43(1):5-6 Authors: Krentel A, Steben M PMID: 33384139 [PubMed - in process] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 3, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Letter: Equity, Diversity and Inclusion in Departments of Obstetrics, Gynaecology and Reproductive Health.
Authors: El Hajj M PMID: 33384140 [PubMed - in process] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 3, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Guideline No. 408: Management of Gestational Trophoblastic Diseases.
The objective of this guideline is to assist health care providers in promptly diagnosing gestational trophoblastic diseases, to standardize treatment and follow-up, and to ensure early specialized care of patients with malignant or metastatic disease. INTENDED USERS: General gynaecologists, obstetricians, family physicians, midwives, emergency department physicians, anaesthesiologists, radiologists, pathologists, registered nurses, nurse practitioners, residents, gynaecologic oncologists, medical oncologists, radiation oncologists, surgeons, general practitioners in oncology, oncology nurses, pharmacists, physician as...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 3, 2021 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Interventions to prevent and treat burnout in obstetrics/gynecology: a scoping review.
CONCLUSIONS: Institutions should continue to implement interventions that address burnout in obstetrics and gynaecology. Further research is required on long-term outcomes of interventions as well as structural strategies. PMID: 33373695 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 31, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

N ° 412, mars 2021 (remplace N° 193, mai 2007, réaffirmé juillet 2017).
N° 412, mars 2021 (remplace N° 193, mai 2007, réaffirmé juillet 2017). J Obstet Gynaecol Can. 2020 Dec 26;: Authors: Vilos GA, Ternamian A, Laberge PY, Vilos AG, Abu-Rafea B, Scattolon S, Leyland N Abstract OBJECTIF: Évaluer les risques et bénéfices de la chirurgie laparoscopique et fournir une orientation clinique sur les techniques et technologies d'entrée et sur leurs complications associées en chirurgie gynécologique. POPULATION CIBLE: Toutes les patientes, y compris les femmes enceintes et les femmes atteintes d'obésit&eacu...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 31, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Guideline No. 412: Laparoscopic Entry for Gynaecological Surgery.
Authors: Vilos GA, Ternamian A, Laberge PY, Vilos AG, Abu-Rafea B, Scattolon S, Leyland N Abstract OBJECTIVE: To evaluate the benefits and risks of laparoscopic surgery and provide clinical direction on entry techniques, technologies, and their associated complications in gynaecological surgery. TARGET POPULATION: All patients, including pregnant women and women with obesity, undergoing laparoscopic surgery for various gynaecological indications. OPTIONS: The laparoscopic entry techniques and technologies reviewed in formulating this guideline included the closed (Veress needle-pneumoperitoneum-trocar) tech...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 31, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Screening and Testing Pregnant Patients for SARS-CoV-2: First-Wave Experience of a Designated COVID-19 Hospitalization Centre in Montreal.
CONCLUSION: Our findings suggest that most pregnant patients with SARS-CoV-2 are asymptomatic or have mild symptoms of COVID-19. Particularly in endemic areas, universal testing of pregnant patients presenting to the hospital should be strongly considered as an important measure to prevent in-hospital and community transmission of COVID-19. PMID: 33358711 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 29, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Evaluating the transvaginal ultrasound diagnostic criteria for abnormal first-trimester pregnancy with follow-up into the third trimester and validation of results.
CONCLUSION: In our cohort, MSD ≥20 mm in the absence of yolk sac or an embryo with heartbeat always predicted a non-viable pregnancy. PMID: 33358971 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 29, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Pain Characteristics, Psychosocial, and Sexual Wellbeing of Women Diagnosed with Provoked Vestibulodynia and a History of Sexual Abuse.
CONCLUSION: Ten percent of women in our sample self-reported a history of sexual abuse, but the two groups did not differ significantly with respect to their baseline psychosocial or sexual functioning concerns, and both groups reported reductions in sexual distress following treatment for PVD. These findings indicate that a history of sexual abuse does not significantly affect the efficacy of multidisciplinary treatment approaches for PVD. RÉSUMÉ OBJECTIF: La vestibulodynie provoquée est un problème de douleur chronique courant qui se caractérise par une douleur au vestibule vulvaire d&e...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 29, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Trimester-specific and total gestational weight gain in two consecutive pregnancies: Gestational weight gain in consecutive pregnancies.
Authors: Lebrun A, Cloutier-Langevin C, Plante AS, Savard C, Weisnagel SJ, Robitaille J, Lemyre FC, Morisset AS Abstract OBJECTIVE: This retrospective study aimed to characterize trimester-specific and total gestational weight gain (GWG) over the course of two consecutive pregnancies, as well as maternal determinants associated with interpregnancy weight change (IPWC) and excessive GWG in the second pregnancy. METHODS: We analyzed the electronic medical records of women who delivered their first two consecutive infants at term between 2001 and 2017. RESULTS: Weight gain trajectories differed between first p...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 29, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Association between bowel obstruction or intussusception and endometriosis.
Authors: Aldhaheri S, Suarthana E, Capmas P, Badeghiesh A, Gil Y, Tulandi T Abstract OBJECTIVE: To evaluate the association between endometriosis and bowel obstruction or intussusception using a large population database. METHODS: This was a population-based study using data from the Healthcare Cost and Utilization Project-Nationwide Inpatient Sample (HCUP-NIS) from 2005 to 2014. We studied women aged 18 to 55 years without inflammatory bowel disease or cancer. Multivariate logistic regression was used to examine the association between endometriosis and bowel obstruction. RESULTS: Of the 18 427 5...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 29, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Clinical Profile, Viral Load, Maternal-Fetal Outcomes of Pregnancy With COVID-19: 4-Week Retrospective, Tertiary Care Single-Centre Descriptive Study.
CONCLUSIONS: A majority of pregnant women with COVID-19 had mild disease and recovered with good perinatal outcomes. Women with comorbidities may have an increased risk of severe morbidity and mortality. The cycle threshold signifying the viral load and degree of infectivity can modify management during pregnancy. Long-term outcomes and the potential mother-to-child vertical/horizontal transmission need further study. PMID: 33349556 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 24, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

A 20-centimeter peritoneal inclusion cyst presenting as vaginal prolapse.
Authors: Kashi PK, Stone GW, Rose GS, Welgoss JA, Dengle KL Abstract This video shows the surgical excision of a 20-cm peritoneal inclusion cyst with laparoscopic repair of pelvic floor defects caused by the mass effect of the cyst. A 44-year-old woman presented with bulge symptoms and a reducible posterior prolapse extending 4 cm beyond the introitus inconsistent with an enterocele/rectocele. Dynamic MRI revealed a 20-cm cystic mass surrounding the uterine fundus extending down the posterior wall of the vagina, anterior to the rectum. Robotic-assisted laparoscopy revealed stage-IV endometriosis and a large periton...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 19, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Does excess first or second trimester weight gain predict excess total gestational weight gain? A multicentre prospective cohort study.
CONCLUSION: In the first known Canadian study of early excess weight gain as the predictor of total GWG, we found that excess first-trimester GWG did not predict total excess GWG, but that the sensitivity of excess second-trimester GWG for excess total GWG was high across BMI categories. PMID: 33333314 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 19, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Maternal Visceral Adipose Tissue and Risk of Having a Small or Large for Gestational Age Infant.
CONCLUSION: Higher first-trimester maternal VAT depth was associated with a somewhat greater newborn weight percentile, which varies by which birthweight curve is used. There were marginally higher odds of giving birth to an LGA infant for women in highest quartile for VAT depth, with no evident association with SGA. PMID: 33333315 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 19, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Postpartum Analgesia In New Mothers (PAIN) Study: a survey of Canadian obstetricians' post-delivery opioid prescribing practices.
CONCLUSION: Further research on barriers to screening are needed to support and enhance safer opioid prescribing practices among Canadian obstetricians. PMID: 33321248 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 16, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Excerpts from the World Medical Literature: Obstetrics.
Authors: Maxwell C PMID: 33308789 [PubMed - in process] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 15, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

La litt érature médicale mondiale : obstétrique.
La littérature médicale mondiale : obstétrique. J Obstet Gynaecol Can. 2020 Dec;42(12):1466-1468 Authors: Maxwell DC PMID: 33308790 [PubMed - in process] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 15, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Guideline No. 409: Intrauterine Fetal Diagnostic Testing in Women with Chronic Viral Infections.
Authors: Wilson RD Abstract OBJECTIVE: This revised guideline provides updated information for the care of women with chronic viral infections who require intrauterine fetal diagnostic testing. TARGET POPULATION: Women with chronic viral infections who are pregnant or planning a pregnancy. OPTIONS: Non-invasive screening tests for diagnosis: maternal serum placental analytes with or without nuchal translucency, sonography, maternal serum cell-free placental DNA; and intrauterine fetal diagnostic testing: amniocentesis, chorionic villus sampling, cordocentesis. OUTCOMES: The recommendations in this guide...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 15, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Directive clinique no  409 : Tests diagnostiques fœtaux intra-utérins en cas d'infection virale chronique maternelle.
Directive clinique no 409 : Tests diagnostiques fœtaux intra-utérins en cas d'infection virale chronique maternelle. J Obstet Gynaecol Can. 2020 Dec;42(12):1563-1570.e1 Authors: Wilson RD Abstract OBJECTIF: La présente directive clinique révisée met à jour les renseignements sur la prestation de soins aux femmes atteintes d'une infection virale chronique devant se soumettre à un test diagnostique fœtal intra-utérin. POPULATION CIBLE: Femmes atteintes d'une infection virale chronique qui sont enceintes ou prévoient le deve...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 15, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Women's Selection of Mode of Birth for their Breech Presentation.
CONCLUSION: Despite the availability of options for breech pregnancy, the majority of women continue to have planned cesarean deliveries. The retrospective process reveals that women did not fully understand the eligibility criteria for VBB and all available options (including external cephalic version). Shared decision-making and continuity of care should remain a priority during the counselling process and delivery of care. PMID: 33309018 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 15, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Trends in Adolescent Rapid Repeat Pregnancy in Canada.
Authors: Ramage K, Tough S, Scott C, McLaughlin AM, Metcalfe A Abstract OBJECTIVE: Rapid repeat pregnancy (RRP), a birth occurring within 33 months of a previous birth, is associated with adverse neonatal outcomes. RRP occurs among 25%-35% of adolescents who become pregnant. The current study examines trends in and outcomes of adolescent RRP in the Canadian context. METHODS: Using population-based data from the Discharge Abstract Database, we linked maternal and newborn records from labour and delivery hospitalizations across Canada (excluding Québec) from fiscal years 2004/2005 to 2014/2015. Women were ...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 15, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research