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Major obstetric haemorrhage of 2000  ml or greater: a clinical audit.
Major obstetric haemorrhage of 2000 ml or greater: a clinical audit. J Obstet Gynaecol. 2018 May 04;:1-8 Authors: O'Sullivan J, Mansfield R, Talbot R, Cairns AE Abstract Haemorrhage remains a leading cause of maternal death. We conducted an audit to identify strategies to improve the management at our local NHS Trust. A data collection form was based on our local guideline. A coded database search was conducted for all deliveries where the estimated blood loss was ≥2000 ml (from June 1 2015 to December 31 2015), returning 68 search results (13.7/1000 births). Fifty-six records were inc...
Source: Journal of Obstetrics and Gynaecology - May 8, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Management of combined factor V and factor VIII deficiency in pregnancy.
Authors: Fogarty H, Doyle MM, Campbell R, Keenan C, White B, Ryan K, O'Donnell JS, Slevin J, O'Keeffe D, O'Connell NM, Lavin M PMID: 29667457 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 19, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Prenatal diagnosis of Wolf-Hirschhorn syndrome at the first trimester using chromosomal microarray analysis.
Authors: Lin MF, Huang LY, Yang YD, Li DZ PMID: 29635948 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 12, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Laparoscopic hysterectomy for endometrial cancer: impact of age on clinical outcomes.
CONCLUSIONS: Total laparoscopic hysterectomy appears to be feasible and safe in elderly women with no significant difference between groups. Minimally invasive surgery has shown to extend considerable benefits to patient safety regardless of their age. PMID: 29621923 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 8, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Giant chorangioma presenting with an absent foetus: a mystery!
Authors: Rathi R, Jain A, Mandal S, Khurana N, Tripathi R PMID: 29620423 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 6, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Disseminated peritoneal leiomyomatosis (DPL): a case report.
Authors: Gehring A, Gerber B, Tolla-Jensen C, Wiessner R PMID: 29620425 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 6, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Beyond self-monitored plasma glucose and HbA1c: the role of non-traditional glycaemic markers in gestational diabetes mellitus.
Authors: Mendes N, Tavares Ribeiro R, Serrano F Abstract Strict glycaemic management is the cornerstone of metabolic control in gestational diabetes mellitus (GDM). Current monitoring standards involve self-monitoring plasma glucose (SMBG) and haemoglobin A1c (HbA1c). However, both have important limitations. SMBG only reflects instantaneous blood glucose and the inconvenience of self-collecting blood frequently results in poor compliance. HbA1c provides information on blood glucose levels from the previous 2 to 3 months and it is influenced by iron-deficient states, common during pregnancy. There is an urge...
Source: Journal of Obstetrics and Gynaecology - April 6, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Vascular injury at laparoscopy: a guide to management.
Authors: Asfour V, Smythe E, Attia R Abstract Vascular laparoscopic injuries are rare (0.2/1000), however, they are associated with 6-13% morbidity and mortality. Commonest sites for catastrophic haemorrhage are the right iliac vessels, inferior vena cava and less commonly the abdominal aorta. The injuries commonly occur at entry using a Veress needle or insertion of trocars. These risks are inherent to all laparoscopic surgery. A systematic approach for managing these includes prompt recognition, communication within the operative team, immediate resuscitation and specific operative strategies for the control of v...
Source: Journal of Obstetrics and Gynaecology - April 6, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Prognosis and related factors of HPV infections in postmenopausal Uyghur women.
This study would offer a theoretical basis for a better screening design, especially the women above 2 years' menopause who have been infected with HPV16 and HPV58 in the Xinjiang region. PMID: 29575971 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - March 27, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Comparison of barbed unidirectional suture with figure-of-eight standard sutures in vaginal cuff closure in total laparoscopic hysterectomy.
Authors: Karacan T, Ozyurek E, Usta T, Odacilar E, Hanli U, Kovalak E, Dayan H Abstract The aim of the study was to compare postoperative vaginal cuff complications due to the use of barbed sutures (V-Loc™ 180 unidirectional suture; Covidien, Mansfield, MA) and standard braided sutures (Vicryl®; Ethicon Inc., Somerville, MA) during vaginal cuff closure of patients undergoing a total laparoscopic hysterectomy (TLH) due to benign diseases. Eighty-nine patients were in the standard suture group and 208 patients were included in the barbed suture group. Vaginal cuff dehiscence was identified in only three (3....
Source: Journal of Obstetrics and Gynaecology - March 27, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Complicated unsafe abortion in a Nigerian teaching hospital: pattern of morbidity and mortality.
Authors: Akinlusi FM, Rabiu KA, Adewunmi AA, Imosemi OD, Ottun TA, Badmus SA Abstract Addressing unsafe abortion in developing countries may propel a rapid decline in overall maternal death. A retrospective review of patients with complicated unsafe abortion was conducted in a Nigerian Tertiary Hospital. In order to provide evidence that may inform policy changes, we describe patients' clinical profiles, abortion providers, and morbidity and mortality patterns. Of 3122 gynaecological admissions, 231 (7.4%) had unsafe abortion-related complications. The majority (53.2%) of admissions were between 16 and 25 ye...
Source: Journal of Obstetrics and Gynaecology - March 27, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Association between preterm labour and pelvic floor muscle function.
Authors: Aran T, Pekgöz I, Bozkaya H, Osmanagaoglu MA Abstract We hypothesised that the pressure on the cervix increases with advancing gestation and it may lead to a cervical shortening and cause preterm labour in women with weak pelvic floor muscles. The aim of this prospective study was to measure vaginal resting pressure and pelvic floor muscle strength in the first trimester of pregnancy and to investigate their effects on labour. A study was conducted on the pregnant women with a low risk for preterm birth. The pelvic floor muscle strength and vaginal resting pressure were assessed in 320 pregnant women ...
Source: Journal of Obstetrics and Gynaecology - March 25, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Combination of three-dimensional ultrasound measurement of foetal adrenal gland enlargement and placental alpha microglobulin-1 for the prediction of the timing of delivery within seven days in women with threatened preterm labour and preterm labour.
Authors: Santipap M, Phupong V Abstract The aim of this study was to predict the timing of delivery within seven days in singleton pregnant women with threatened preterm labour and preterm labour by using a three-dimensional (3D) ultrasound measurement of foetal adrenal gland volume enlargement, a foetal zone enlargement and cervicovaginal placental alpha microglobulin-1 (PAMG-1) test. This prospective cohort study included singleton pregnant women at 22-36+6 weeks of gestation who presented with threatened preterm labour and with preterm labour. Transabdominal 3D ultrasound measurement of the whole foeta...
Source: Journal of Obstetrics and Gynaecology - March 25, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Spontaneous prelabour recurrent uterine rupture after laparoscopic myomectomy.
Authors: Abbas AM, Michael A, Ali SS, Makhlouf AA, Ali MN, Khalifa MA PMID: 29566573 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - March 25, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Chromosomal microarray analysis detects trisomy 9 mosaicism in a prenatal case not revealed by conventional cytogenetic analysis of cord blood.
Authors: Tang HS, Wang DG, Huang LY, Li DZ PMID: 29560757 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

GnRH agonist pre-treatment for microwave endometrial ablation in women with less than 1 centimetre myometrial thickness.
Authors: Nakamura K, Nakayama K, Ishikawa M, Katagiri A, Katagiri H, Ishibashi T, Sato E, Kyo S Abstract We evaluated the efficacy of gonadotropin-releasing hormone agonist (GnRHa) therapy for improving the myometrial thickness in women with thin (less than 1 cm) uterine walls, a contraindication for microwave endometrial ablation (MEA). The normal myometrium thickness was 0.5 cm, 0.7 cm and 0.9 cm. After the third GnRHa dose, the myometrial thickness increased to over 1 cm in all the three patients, and all were able to undergo MEA. The VAS score for menorrhagia improved in all t...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Postoperative pain and neuropathy after caesarean operation featuring blunt or sharp opening of the fascia: a randomised, parallel group, double-blind study.
Authors: Yazici Yilmaz F, Aydogan Mathyk B, Yildiz S, Yenigul NN, Saglam C Abstract The purpose of this study was to compare postoperative pain and neuropathy after primary caesarean sections with either blunt or sharp fascial expansions. A total of 123 women undergoing primary caesarean sections were included in the study. The sharp group had 61 patients, and the blunt group had 62. In the sharp group, the fascia was incised sharply and extended using scissors. In blunt group, the fascia was bluntly opened by lateral finger-pulling. The primary outcome was postoperative pain. The long-term chronic pain scores were...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Expression of p53, Bcl-2 and Bax in endometrial carcinoma, endometrial hyperplasia and normal endometrium: a histopathological study.
Authors: Mirakhor Samani S, Ezazi Bojnordi T, Zarghampour M, Merat S, Fouladi DF Abstract Our objective was to examine the expression rates of p53, Bcl-2 and Bax in endometrial carcinoma, endometrial hyperplasia and normal endometrium. A total of 94 endometrial frozen sections (carcinoma 48, hyperplasia 21, normal tissue 25) were examined immunohistochemically in terms of the expression rates of p53, Bcl-2 and Bax. All of the specimens in the non-malignant groups were positive for Bax, whereas this rate was 85.4% in the group with malignant specimens (p = .03). Conversely, p53 was expressed only in th...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

An exploration of attitudes towards female genital mutilation (FGM) in men and women accessing FGM clinical services in London: a pilot study.
This study demonstrates the opposition to FGM by participants, but some lack of knowledge regarding the legal and health implications. The exploration of attitudes in diaspora community groups is often cited as key to safeguarding girls from FGM. This is one of the first UK studies of individuals from FGM-practising communities, and we recommend use of the study questionnaires for a multicentre, cross-community study. Impact statement What is already known about this subject? Women and children are affected by female genital mutilation (FGM) globally and in the United Kingdom (UK). The majority of knowledge on practices an...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Large pregnancy-associated pyogenic granuloma: a case report.
Authors: Bi J, Sun Y, Bi L, Larjava HS PMID: 29560775 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

MBRRACE in simulation: an evaluation of a multi-disciplinary simulation training for medical emergencies in obstetrics (MEmO).
This study evaluated the first multi-disciplinary, simulation-based training programme designed to address Medical Emergencies in Obstetrics (MEmO). Training significantly improved participants' management of medical deterioration in pregnancy and human factors skills, particularly in the areas of leadership, communication and teamwork. Moreover, the participants learning translated into their clinical practice. What are the implications of these findings for clinical practice and/or further research? The delivery of multi-disciplinary team training for all healthcare staff involved in the complex management of medical con...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Menstrual disorders and premenstrual symptoms in adolescents: prevalence and relationship to serum calcium and vitamin D concentrations.
Authors: Bahrami A, Bahrami-Taghanaki H, Afkhamizadeh M, Avan A, Mazloum Khorasani Z, Esmaeili H, Amin B, Jazebi S, Kamali D, Ferns GA, Sadeghnia HR, Ghayour-Mobarhan M Abstract There have been several studies evaluating the association between vitamin and mineral status and menstrual disturbance. In the present study, we aimed to assess the relationship between the menstrual bleeding pattern and premenstrual syndrome (PMS) symptoms with serum 25-hydroxyvitamin D, and calcium levels in adolescent girls. A cross-sectional study was carried out in 897 high school girls from northeastern Iran. The prevalence of hypoca...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

The effects of sclerotherapy with 5% trichloroacetic acid on the cyst diameter and ovarian tissue in the rat ovarian cyst model.
In conclusion, application of 5% TCA to the ovarian cysts for five minutes significantly reduces the cyst size. Impact Statement What is already known on this subject: Minimally invasive therapies come into prominence to avoid surgical complications and diminished fertility in the treatment of ovarian cysts. USG-guided aspiration and sclerosis has been reported as cost-efficient and effective treatment methods for localised benign cysts in other organs such as the thyroid, parathyroid, liver, kidney and spleen. It has been shown that sclerotherapy applied to infertile women with ovarian cysts reduces pelvic pain without af...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Use of ARFI elastography in the prediction of placental invasion anomaly via a new Virtual Touch Quantification Technique.
Authors: Cim N, Tolunay HE, Boza B, Arslan H, Ates C, İlik İ, Tezcan FM, Yıldızhan R, Sahin HG, Yavuz A Abstract We aimed to evaluate the efficiency of placental elasticity in predicting a placental invasion anomaly with the Virtual Touch Quantification (VTQ) technique. Pregnant women in the third trimester with suspected placental invasion anomaly were enrolled into the research (n = 58). The placenta was evaluated and divided into three equal parts as foetal edge (inner 1/3 of placenta), maternal edge (outer 1/3 of placenta) and the central part (central 1/3 of placenta). Shear wave velocity (SW...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Healthcare provider advice on gestational weight gain: uncovering a need for more effective weight counselling.
Authors: Emery RL, Benno MT, Salk RH, Kolko RP, Levine MD Abstract Limited research has examined the factors related to knowledge of gestational weight gain (GWG) recommendations and the receipt of advice from healthcare providers regarding GWG recommendations among women with pre-pregnancy overweight/obesity. Women with pre-pregnancy overweight/obesity (N = 191) reported the amount of gestational weight they believed they should gain and that healthcare providers advised them to gain. Only 24% (n = 46) of women had a correct knowledge of GWG recommendations. Women were less likely to ha...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

A new method used in laparoscopic hysterectomy for uterine manipulation: uterine rein technique.
In conclusion, this method has the advantages of not requiring any vaginal manipulator, reducing the number of people required during operation, permitting a near maximum manipulation of the uterus in all three dimensions, and giving the control of these manipulations directly to the surgeon. On the other hand, the technique also has some inadequacies which should be discussed and improved on in the future. Impact of statement What is already known on this subject? In a laparoscopic hysterectomy, manipulation of the uterus is essential for anatomical dissection of the regions and completion of the operation without complic...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Scalp metastasis from endometrial carcinoma: a case report and literature review.
Authors: Khurelbaatar T, Ryu KJ, Min KJ, Lee S, Hong JH, Song JY, Lee JK, Lee NW PMID: 29565186 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Pregnancy outcomes in women reporting exposure to ofloxacin in early pregnancy.
This study aimed to analyse perinatal outcomes in ofloxacin-exposed pregnancies. This prospective study was conducted on 143 singleton pregnancies between January 2001 and April 2014, after oral ofloxacin exposure in the first trimester. A total of 33 exposed mothers were compared with 110 age-matched controls who were not exposed to teratogen. The mean maternal age was 31.4 ± 3.6 years, and the median gestational age was 4.1 weeks at the exposure. No significant differences were observed in either gestational age or in the foetal ultrasonographic long bone length between the exposed and cont...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Safety of cetirizine in pregnancy.
The objective of this study was to provide information on the pregnancy outcomes of women exposed to the antihistamine cetirizine (CTZ). The UCB Pharma Patient Safety Database was searched for pregnancies up to 28 February 2015. Maternal CTZ exposure reports were extracted, and pregnancy outcomes were examined, including exposure, comorbidities and infant events. 228 of 522 pregnancies with maternal CTZ exposure had available outcomes; 49 were prospective. The majority (83.7%) resulted in live births; four spontaneous miscarriages, three induced abortions and one stillbirth were reported. Most pregnancies were exposed duri...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Unintended hysterotomy extension during caesarean delivery: risk factors and maternal morbidity.
Authors: Giugale LE, Sakamoto S, Yabes J, Dunn SL, Krans EE Abstract We conducted an observational retrospective cohort study to evaluate the risk factors and the maternal morbidity associated with unintended extensions of the hysterotomy during caesarean delivery. We evaluated 2707 women who underwent low-transverse caesarean deliveries in 2011 at an academic, tertiary-care hospital. Hysterotomy extensions were identified through operative reports. Of the 2707 caesarean deliveries, 392 (14.5%) had an unintended hysterotomy extension. On the multivariable regression modelling, neonatal weight (OR 1.42; 95%CI 1.17-1...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Survey on knowledge, attitude, acceptance and related factors among pregnant women in Thailand regarding antenatal thalassaemia screening.
Authors: Hanprasertpong T, Raungrongmorakot K, Geater A, Puapornpong P, Laosooksathit W, Hemachandra A, Suksamarnwong M Abstract Thalassaemia is a common haematologic health condition in Southeast Asian countries (SEA) including Thailand. Reducing the birth of new thalassaemia cases is an effective method to control disease. The background level of knowledge and attitude of pregnant women on the disease influences their decision to perform antenatal screening. Unfortunately, the information about pregnant women's knowledge and attitude on antenatal thalassaemia screening in a developing country such as Thailand is ...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Influence of maternal factors and mode of induction on labour outcomes: a pragmatic retrospective cohort study.
Authors: Jonker L, Memon F Abstract Since recent research indicates that other modalities are at a minimum non-inferior to the NICE-recommended hormonal agent prostaglandin E2 (PGE2), a retrospective cohort study was conducted on 1971 consecutively induced singleton pregnancies. Multinominal regression analysis showed that the odds ratio (OR) for vaginal delivery with balloon-mediated labour induction (84% vaginal deliveries; OR 1.6; 95% CI 0.7-3.5) is similar to the PGE2 agents propess (81%; OR 1.2; 95% CI 0.68-1.98) and prostin (79%; OR 0.99; 95% CI 0.55-1.79) when using a triple multi-agent induction as a refere...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Management of herpes zoster (shingles) during pregnancy.
Authors: Hayward K, Cline A, Stephens A, Street L Abstract An infection with the varicella-zoster virus (VZV) causes both varicella and herpes zoster (HZ). Although rare, the development of HZ does occur during pregnancy. Maternal HZ does not result in increased foetal mortality, and the passage of VZV to the foetus rarely occurs. However, HZ does increase maternal morbidity. Upon infection with HZ, patients typically present with a viral prodrome preceding the appearance of the characteristic zoster rash. HZ is usually diagnosed clinically by the zoster rash, but can also be confirmed by a polymerase chain reactio...
Source: Journal of Obstetrics and Gynaecology - March 23, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

The passage of fluid into the peritoneal cavity during hysteroscopy in pre-menopausal and post-menopausal patients.
Authors: Palancsai Siftar J, Sobocan M, Takac I Abstract The present study aimed to determine the amount of fluid medium passing through the Fallopian tubes into the peritoneal cavity during a hysteroscopy. This was done to understand the pathophysiology of complications related to the hysteroscopy. Conducted in a general hospital setting, the study examined the fluid inflow-outflow during a hysteroscopy both in pre- and post-menopausal women. A hysteroscopy was performed vaginoscopically for both diagnostic and therapeutic procedures. The study involved 117 patients. 84 (71.8%) of them were pre-menopausal and 33 (...
Source: Journal of Obstetrics and Gynaecology - March 22, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Hysteroscopic evaluation of tubal peristaltic dysfunction in unexplained infertility.
Authors: Yücel B, Demirel E, Kelekci S, Shawki O Abstract It has been realised that rhythmic peristalsis of the ostia and tubes can be observed during hysteroscopy. The aim of this study was to examine the presence of tubal peristaltic dysfunction in unexplained infertility (UI). Hysteroscopy was performed in 35 women with UI and in 37 healthy fertile women. Bilateral tubal peristalses were assessed hysteroscopically by the observation of methylene blue injection and its transport to the Fallopian tubes. Tubal patency was evaluated with laparoscopic chromopertubation. Two women in control group (6.67%) and eig...
Source: Journal of Obstetrics and Gynaecology - March 22, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Vaginal birth in breech presentation in morbidly obese woman.
Authors: Stefanović M, Lukic B, Kutlešić R, Vukomanović P PMID: 29557224 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - March 22, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

The effectiveness of the double B-lynch suture as a modification in the treatment of intractable postpartum haemorrhage.
Authors: Şahin H, Soylu Karapınar O, Şahin EA, Dolapçıoğlu K, Baloğlu A Abstract A broader range of more effective compression techniques are needed in the patients who have an intractable postpartum haemorrhage due to uterine atony despite medical treatment and B-Lynch sutures. The aim of this study was to report the outcome of a series of patients with haemorrhage who were managed by double B-Lynch suture. Fourteen patients who were treated in a tertiary hospital between July 2010 and February 2015 were included in the study. The intractable haemorrhage rate was 0.35% over 5 years (14/4000 births). B...
Source: Journal of Obstetrics and Gynaecology - March 22, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

A randomised trial to compare 200  mg micronised progesterone effervescent vaginal tablet daily with 250 mg intramuscular 17 alpha hydroxy progesterone caproate weekly for prevention of recurrent preterm birth.
A randomised trial to compare 200 mg micronised progesterone effervescent vaginal tablet daily with 250 mg intramuscular 17 alpha hydroxy progesterone caproate weekly for prevention of recurrent preterm birth. J Obstet Gynaecol. 2018 Mar 20;:1-7 Authors: Shambhavi S, Bagga R, Bansal P, Kalra J, Kumar P Abstract For prevention of a recurrent preterm birth (PTB), intramuscular 17-α-hydroxy progesterone caproate (IM 17 OHPC) weekly is recommended. Vaginal progesterone is preferred for women at risk for PTB due to a short cervical length, but may be useful in women with a prior PTB. How...
Source: Journal of Obstetrics and Gynaecology - March 22, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Aetiology of recurrent miscarriage and the role of adjuvant treatment in its management: a retrospective cohort review.
In conclusion, empirical adjuvant treatment for the management of women with unexplained RM does not appear to offer any benefit as they have a good prognosis with early pregnancy support alone. Impact statement What is already known on this subject? Does the adjuvant treatment in the management of unexplained recurrent miscarriage (RM) improve successful pregnancy outcomes? High-quality data regarding the management and outcomes of RM is very limited, with many clinicians prescribing adjuvant treatments for unexplained RM with very little good quality evidence of their benefit or risk. What do the results of this study ad...
Source: Journal of Obstetrics and Gynaecology - March 22, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

The effect of a vaginal suppository formulation of dill (Anethum graveolens) in comparison to clotrimazole vaginal tablet on the treatment of vulvovaginal candidiasis.
This study was a single centre, single-blind, randomised, placebo-controlled trial, in which 60 women with microbiology-confirmed vulvovaginal candidiasis were randomly assigned to dill and clotrimazole groups. At the end of the study, the estimated prevalence of leucorrhoea, burning, and itching was 23%, 23% and 20% in dill users, respectively. This figure was 20%, 10% and 16.7% for the clotrimazole group, respectively. The difference between the two groups was not significant. 13% of suppository patients, compared with 10% of clotrimazole-treatment patients, had a positive culture, which was not significant (p =&t...
Source: Journal of Obstetrics and Gynaecology - March 20, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Knowledge and attitude of women attending Subharti Medical College towards Pap smear.
This study analysed the knowledge and attitude of women towards the Pap smear. What are the implications of these findings for clinical practice and/or further research? The results have brought into light the many factors hindering an effective cervical cancer screening in India. Further actions need to be directed in the direction to address these issues. PMID: 29553837 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - March 20, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Preliminary evaluation of foetal liver volume by three-dimensional ultrasound in women with gestational diabetes mellitus.
Authors: İlhan G, Gültekin H, Kubat A, Gokmen Karasu AF, Güngör ES, Zebitay GA, Verit Atmaca FF Abstract The aim of the study was to assess the standard foetal biometric measurements and foetal liver volume (FLV) in pregnancies complicated by gestational diabetes mellitus (GDM) at the time of GDM screening and to compare the results with foetuses in normal pregnancies. Ninety-seven pregnant women with normal singleton uncomplicated pregnancies between 24 and 28 weeks of gestation were allocated into GDM (+) (n: 33) and GDM (-) (n: 64) groups based on their 75 g oral glucose tolerance test res...
Source: Journal of Obstetrics and Gynaecology - March 20, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Cervical biomarkers as predictors of successful induction of labour by Foley catheter.
This study investigated the role of cervical biochemical mediators during Foley catheter-induced cervical ripening, and their predictive value in a successful labour induction and vaginal delivery. The IGFBP-1 and phosphorylated IGFBP-1 concentrations increased, whereas MMP-8 and MMP-9 concentrations decreased during the Foley catheter-induced cervical ripening in nulliparous women. However, these changes did not predict the outcome of labour induction, thus appearing not suitable for clinical use. What are the implications of these findings for clinical practice and/or further research? Prediction of a successful labour i...
Source: Journal of Obstetrics and Gynaecology - March 20, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

A comparative study of ranitidine and quince (Cydonia oblonga mill) sauce on gastroesophageal reflux disease (GERD) in pregnancy: a randomised, open-label, active-controlled clinical trial.
Authors: Shakeri A, Hashempur MH, Mojibian M, Aliasl F, Bioos S, Nejatbakhsh F Abstract Quince (Cydonia oblonga Mill) is a popular medicinal herb in different traditional medicines. Concentrated quince fruit extract, also known as quince sauce (QS), is traditionally used for the treatment of a variety of gastrointestinal disorders. The aim of this study was to compare the efficacy of QS versus ranitidine on gastroesophageal reflux disease (GERD) in pregnant women. We compared the efficacy of 4 weeks of ranitidine (150 mg, twice daily) with the efficacy of QS (10 mg, after meals) on 137 pregnant...
Source: Journal of Obstetrics and Gynaecology - March 20, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Low prevalence of contraceptive use among Brazilian women of reproductive age with systemic lupus erythematosus.
Authors: Brito MB, Casqueiro JS, Alves FSS, Lopes JB, Alves RDMS, Santiago M Abstract This was a cross-sectional study of women of reproductive age with systemic lupus erythematosus (SLE) being treated at Bahiana School Rheumatology Service in Brazil. The study aimed to assess the prevalence of contraceptive counselling and use. An interview was performed, and the results were analysed before and after the SLE diagnosis. Eighty-five women were included; the mean age of the group was 32.98 ± 8.39 years. Before SLE diagnosis, most of the patients had used some contraceptive method; mainly or...
Source: Journal of Obstetrics and Gynaecology - March 20, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Influence of age on tolerability, safety and effectiveness of subdermal contraceptive implants.
This study shows that implants were highly effective, safe and well-tolerated in our population. The age of users had no influence on any of the study variables analysed. Impact Statement What is already known on this subject? Subdermal contraceptive implants are long-acting reversible contraceptives which are both safe and effective. What do the results of this study add? The age of users had no influence on any of the study variables analysed. Nulliparity and weight gain were significantly associated with an increased probability of implant removal. What are the implications of these findings for clinical practice and/or...
Source: Journal of Obstetrics and Gynaecology - March 20, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Effect of maternal betamethasone on hydrops fetalis caused by extralobar pulmonary sequestration: a case report.
Authors: Guenot C, Dubrit K, Lepigeon K, Giannoni E, Baud D, Vial Y PMID: 29553854 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - March 20, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

A retrospective exploratory study of fetal genetic invasive procedures at a University Hospital.
Authors: Andrew C, Koshy T, Gopal S, Paul SFD Abstract This is a retrospective analysis of the patient demographics and cytogenetic results of patients who underwent prenatal invasive testing for genetic analysis at the Foetal Medicine Division of the Department of Obstetrics and Gynecology, Sri Ramachandra Medical College and Research Institute. The main objective of this study was to characterise the changing trends in indications of pregnant women for foetal karyotyping in a 7-year period. A total of 257 procedures were performed in this period, and there was a significant change in the trend of indications for ...
Source: Journal of Obstetrics and Gynaecology - March 20, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Characteristics of prenatally detected right aortic arch cases in a single institution.
This study aimed to elucidate the diagnostic process, the associated anomalies and the perinatal outcomes of right aortic arch (RAA) in a group of low-risk patients. The obstetric imaging database and digital patient files were reviewed between January 2015 and June 2016. There were 12 RAA cases detected prenatally. Seven foetuses had an aberrant left subclavian artery and one foetus had mirror image branching. The prevalence of RAA was 1.8 in 1000. Invasive prenatal diagnosis was offered to patients and seven tests were performed. There was one associated cardiac anomaly (8.3%) and one extra-cardiac anomaly (8.3%) in the ...
Source: Journal of Obstetrics and Gynaecology - March 20, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Functioning left uterine horn with cervico-vaginal atresia and ovarian maldescent - an unclassified M üllerian anomaly treated with horn-vaginal anastomosis.
Functioning left uterine horn with cervico-vaginal atresia and ovarian maldescent - an unclassified Müllerian anomaly treated with horn-vaginal anastomosis. J Obstet Gynaecol. 2018 Mar 19;:1-3 Authors: Bagga R, Muthyala T, Saha PK, Kalra J, Singla R, Arora A, Singh T PMID: 29553867 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - March 20, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research