Effectiveness of cold coagulation in treating high-grade cervical intraepithelial neoplasia: the human papillomavirus evidence of cure.
This study provides evidence that cold coagulation achieves similar cure rates to that of LLETZ not only in cytology but also in HPV test of cure. This finding is significant as we are moving to a primary HPV cervical screening programme. What the implications are of these findings for clinical practice and/or further research? A negative high-risk HPV test provides a greater reassurance of a low risk of CIN 3 or cancer than a negative cytology result. Therefore, given parity to LLETZ in 'virological cure' rate and having no known adverse effects on fertility and pregnancy, cold coagulation should be used to treat most cas...
Source: Journal of Obstetrics and Gynaecology - May 18, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Non-traumatic haematoma in a healthy young woman: a case report.
Authors: Matsumoto Y, Amano T, Kimura F, Takahashi K, Murakami T PMID: 31081423 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - May 15, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Laparoscopic management of a low-lying tailgut cyst: a rare case.
Authors: Aydin Y, Tokgöz VY, Basgun N, Erdemir R PMID: 31064225 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - May 10, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Spontaneous unilateral twin tubal pregnancy: a rare case report with conservative management.
Authors: Tsakiridis I, Chatzikalogiannis I, Dagklis T, Athanasiadis A, Mamopoulos A PMID: 31064228 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - May 10, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Association between circulating neuregulin 4 levels and metabolic, aterogenic, and AMH profile of polycystic ovary syndrome.
Authors: Kurek Eken M, Sahin Ersoy G, Yayla Abide C, Sanverdi İ, Devranoglu B, Kutlu T, Çevik Ö Abstract Polycystic ovary syndrome (PCOS) is a metabolic disorder associated with obesity and energy metabolic system disturbances in adipose tissue. Neuregulin 4 (NRG4), which is secreted by adipose tissue, regulates energy metabolism. In the present study, we aimed to evaluate the association between serum NRG4 levels in obese and normal weight PCOS patients. This cross-sectional study was conducted at a tertiary hospital in Turkey from April to August 2017. We included 148 women who were divided into four...
Source: Journal of Obstetrics and Gynaecology - May 10, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Effects of gestational diabetes mellitus on stereological parameters and extravillous trophoblast cells of placenta compared to the control group.
Authors: Heidari Z, Mahmoudzadeh-Sagheb H, Narouei M, Sheibak N Abstract The quantitative changes of extravillous trophoblast cells (EVTs) in placenta of gestational diabetes mellitus (GDM) patients were investigated compared to healthy controls using stereological methods. The volumetric parameters of the placenta and EVTs were estimated using Cavalieri's principle and Physical Disector stereological methods. The placental volume and weight in the GDM group increased compared to the control group (p 
Source: Journal of Obstetrics and Gynaecology - May 10, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

The role of neopterin and anti-Mullerian hormone in unexplained recurrent pregnancy loss - a case-control study.
Authors: Sencan H, Keskin N, Khatib G Abstract This case-control study was conducted to assess whether neopterin (NP) and anti-Mullerian hormone (AMH) can be used as markers in the condition of unexplained recurrent pregnancy loss (RPL). To the best of our knowledge, this is the first work which has studied the association between AMH, NP and RPL. A total of 110 patients were included; 53 women who had at least two consecutive unexplained miscarriages (
Source: Journal of Obstetrics and Gynaecology - May 10, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Evaluation of elabela, apelin and nitric oxide findings in maternal blood of normal pregnant women, pregnant women with pre-eclampsia, severe pre-eclampsia and umbilical arteries and venules of newborns.
Authors: Deniz R, Baykus Y, Ustebay S, Ugur K, Yavuzkir Ş, Aydin S Abstract Pre-eclampsia is multisystem metabolic diseases, commonly accompanied by hypertension and proteinuria, which are among the important causes of maternal and perinatal mortality and morbidity worldwide. In a pre-eclampsia animal model study in the last year, Elabela (ELA) infusion was reported to correct hypertension and proteinuria and to normalise the birth weights of the offspring. Therefore, our main goal in this human study is to compare ELA, apelin (APLN) and nitric oxide (NO) levels in the maternal blood of pregnant women with pre-ecl...
Source: Journal of Obstetrics and Gynaecology - May 10, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

How well do women understand and remember information in labour versus in late pregnancy? A pilot randomised study.
This study aimed to examine women's abilities to understand and remember during labour. Women were prospectively recruited at 36 weeks of gestation and randomised to undertake questionnaires which assessed their ability to understand and remember information. They were randomised to: (1) information given in labour only, written format (2) information in labour, verbal (3) information at 36 weeks plus labour, written (4) information at 36 weeks plus labour, verbal. Immediate comprehension and retention was assessed at 36 weeks, in labour, and 24-72 hours after birth. Forty-nine women comp...
Source: Journal of Obstetrics and Gynaecology - May 10, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Obstetric complications as a challenge after radical trachelectomy: a review of the literature.
We present the case of a patient diagnosed with stage IB1 cervical cancer managed with a vaginal radical trachelectomy (VRT), who subsequently had two successful gestations that resulted in premature deliveries with associated neonatal morbidity. PMID: 31064268 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - May 10, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Relationship between anaemia during pregnancy and preterm delivery.
Authors: Ardic C, Usta O, Omar E, Yıldız C, Memis E, Zeren Öztürk G Abstract The purpose of this study was to analyse the relationship between preterm delivery and maternal anaemia. This retrospective cohort study was completed with 483 women; 294 of them had a normal delivery and 189 had a preterm delivery. The haemoglobin (Hb) values of all the women participating in the study were measured in the first and second trimesters, and the average Hb values were calculated. The pregnant women participating in the study were divided into three groups, according to their Hb level: those with Hb level 11&thins...
Source: Journal of Obstetrics and Gynaecology - May 10, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Prenatal diagnosis and prognosis assessment of fetal intra-abdominal cystic lesions: a retrospective study in 264 cases.
Authors: Lv M, Zhao B, Luo Q Abstract To assess the accuracy of prenatal diagnosis and the prognosis of fetal-abdominal masses, we reviewed all of the cases which had been diagnosed as having abdominal masses from January 2014 to December 2016. In total, 264 cases were identified as having abdominal masses. Among them, 141 cases (53%) had received specific prenatal diagnoses by prenatal ultrasound (US). MRI had assisted in the diagnosis and prognostic evaluation in 69 cases, increasing the diagnostic rate to 65%. The prenatal diagnoses of 111 cases (65%) were concordant with the postnatal diagnoses. Surgical interv...
Source: Journal of Obstetrics and Gynaecology - May 5, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Accuracy of the Manipal Cervical Scoring System for predicting successful induction of labour.
Authors: Mohamed El Bishry G, Serag Allam I, Rasheedy R, Mahmoud A Abstract The Manipal Cervical Scoring System is an accurate and objective sonographic score that predicts the outcome of induced labour. The aim of the current study was to compare the performance of the Manipal Cervical Scoring System against the Bishop Score. A prospective study was conducted on 105 women underwent labour induction in Ain Shams University Hospital, Cairo, Egypt. Both scores were assessed pre-induction. Successful induction occurred in 78.09% of the cases. The area under the ROC curve (AUC) was of 0.940 (95% CI = 0.876 to 0.977; p ...
Source: Journal of Obstetrics and Gynaecology - May 5, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

An unusual cause of post-partum pyrexia.
Authors: Bracewell-Milnes T, Marcus S, MacDonald R PMID: 31023111 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 28, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

The prognostic value of haematologic parameter changes during treatment in cervical cancer patients treated with definitive chemoradiotherapy.
Authors: Yildirim BA, Guler OC, Kose F, Onal C Abstract We retrospectively analysed the prognostic significance of changes in absolute neutrophil count (ANC), absolute lymphocyte count (ALC) and neutrophil/lymphocyte ratio (NLR) during treatment with definitive chemoradiotherapy (CRT) in 104 cervical cancer patients. The absolute white blood cell, ANC and ALC decrease during treatment, NLR increased throughout treatment and reached to a plateau at fifth week. The ANC and NLR after 3rd week of definitive CRT were significantly higher and ALC after 3rd week of treatment was significantly lower in patients with progre...
Source: Journal of Obstetrics and Gynaecology - April 28, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

The efficacy of pelvic arterial embolisation for the treatment in massive vaginal haemorrhage in obstetric and gynaecological emergencies: a single-centre experience.
This study aimed to identify the role, efficacy and safety of pelvic arterial embolisation (PAE) in the management of massive vaginal haemorrhage occurring in 25 patients with obstetric and gynaecological emergencies where bleeding could not be controlled by conservative treatment methods. Nine of the cases had disseminated intravascular coagulation (DIC) and eight were haemodynamically unstable. PAE was successful in 23 of 25 patients without any major complication. Vascular blush was the most common (100%) angiographic finding. Active extravasation was observed in 9 of 25 of the cases. Permanent embolic agents including ...
Source: Journal of Obstetrics and Gynaecology - April 28, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Primary neoplasms of the uterus simultaneously presenting as neuroendocrine carcinoma of the cervix and adenosquamous carcinoma of the endometrium: a case report.
Authors: Jeong S, Park SB, Lee EJ, Kim MK, Choi SL, Park HJ, Lee ES PMID: 31023120 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 28, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Prenatal diagnosis and molecular cytogenetic characterisation of hereditary chromosomal deletions with a favourable outcome.
Authors: Wang B, Yu F, Xie M, Sun G PMID: 31023133 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 28, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Aplasia cutis congenita: a case report.
Authors: Arslanca SB, Arslanca T, Koç A PMID: 31023179 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 28, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Anti-NMDA receptor encephalitis: two case reports associated with ovarian teratoma and a literature review.
Authors: Sancho-Saúco J, Corraliza-Galán V, Lázaro-Carrasco de la Fuente J, Sánchez-Martínez C, Pelayo-Delgado I, De Pablos-Antona MJ, Cabezas-López E, García-Pérez JC PMID: 31017481 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 26, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Pregnancy outcomes in women with sickle cell disease: a retrospective study from Eastern India.
Authors: Patel S, Purohit P, Jit BP, Meher S PMID: 31018726 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 26, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

An unusual complication of LEEP cervical conisation with a retained intrauterine device (IUD): a case report.
Authors: Gül A, Gül Kebapçılar A, Şahin G, Akar S, Çelik Ç PMID: 31018730 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 26, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Estimation of fetal weight: a comparison of clinical and sonographic methods.
In conclusion, the sonographic method had a better accuracy than the clinical methods. However, fetal weight overestimation by clinical methods warrants their usefulness in resource-poor settings such that the clinical determination of a normal weight foetus will exclude fear of complications from macrosomia. Impact statement What is already known on this subject? An accurate estimation of fetal weight is important in the management of labour and delivery. However, there is limited evidence that any of the available methods of fetal weight estimation is more accurate than the others. What do the results of this study add? ...
Source: Journal of Obstetrics and Gynaecology - April 26, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Plasma cell vulvitis presenting as postmenopausal atrophic vaginitis - a case report.
Authors: Sharma B, Jain V, Narang T, Radotra BD PMID: 31018733 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 26, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Factors related to episiotomy practice: an evidence-based medicine systematic review.
Authors: Clesse C, Lighezzolo-Alnot J, De Lavergne S, Hamlin S, Scheffler M Abstract Episiotomy practice is influenced by many factors studied in the scientific literature. Evidence-based medicine has isolated many factors that are linked to episiotomy practice, thus creating a need to group all these factors to create a relevant and useful database for scientific research. Based on the PRISMA methodology, the authors conducted a systematic literature review with the aim of covering this very need. Using 12 French and English combinations of relevant keywords, 15 databases containing publications published between ...
Source: Journal of Obstetrics and Gynaecology - April 26, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Primary vaginal malignancies: a single oncology centre experience.
This study also showed an association between vaginal SCC and a previous hysterectomy with cervical dysplasia. What are the implications of these findings for clinical practice and/or further research? The histologic type of vaginal malignancy has clinical and management impact. Although MRI is usually performed after histologic characterisation, this is not always the case. We think that this study can constitute a starting point to better understand the MRI features of these rare tumours. Although this technique will obviously never preclude histologic characterisation, it may provide some initial hint on the type of tum...
Source: Journal of Obstetrics and Gynaecology - April 26, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

An unusual case of ovarian torsion in a pregnant woman with prior history of ipsilateral salpingectomy.
Authors: Levin G, Knigin D, Porat S, Abu-Daya M, Mankuta D, Gil M, Rottenstreich A PMID: 31020880 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 26, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Osler-Weber-Rendu syndrome in pregnancy affecting lungs and brain-a case report.
Authors: Borovac-Pinheiro A, Cavichiolli FS, Costa ML, Surita FG PMID: 31020882 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 26, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Gorlin syndrome presenting with primary infertility and bilateral calcified ovarian fibromas.
Authors: Bagga R, Garg S, Muthyala T, Kalra J, Kumar Saha P, Arora A, Singla R, Singh T, Gupta N PMID: 31020883 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 26, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Feasibility of using a handheld tissue hardness meter to quantify uterine contractions and its clinical application for obstetric bleeding management.
Authors: Imai K, Kotani T, Ushida T, Moriyama Y, Nakano T, Kikkawa F Abstract Postpartum haemorrhage (PPH) is a potentially life-threatening condition. Women undergoing caesarean section (CS) are at particular risk, and improvements in the management of PPH during CS are required. We investigated the use of a tissue hardness metre to quantify uterine contractions during CS with a view to its application for obstetric bleeding management. Fifty pregnant women at term who underwent elective CS were recruited. Using a tissue hardness metre, we measured uterine hardness twice during CS: after placental removal and befo...
Source: Journal of Obstetrics and Gynaecology - April 26, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Sexual experiences and quality of life in Turkish women using methods of contraception.
Authors: Ertekin Pinar S, Demirel G, Yildirim G, Daglar G Abstract The aim of this study was to examine the sexual experiences and quality of life in women using methods of contraception. The sample of this descriptive study consisted of 259 women. The data were collected by the Personal Information Form, the Arizona Sexual Experiences Scale (ASES) and the World Health Organisation Quality of Life Scale (WHOQOL-BREF). It was found that 35.1% of the women use condoms, 30.1% of them use the Intrauterine Device (IUD), 22.0% had problems using the method and 39% had the side effects while using the method. There was a ...
Source: Journal of Obstetrics and Gynaecology - April 26, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Fibroepithelial stromal polyp in the labia minora of a female adolescent.
Authors: Arpacı H, Guvendi GF, Baykus Y, Deniz R, Ardic N, Çılgın H PMID: 31010332 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 25, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Contraceptive choices of adolescents before and after the voluntary termination of pregnancy.
Authors: Kokanalı D, Kuntay Kokanalı M, Ayhan S, Cengaver N, Özakşit G, Engin-Üstün Y Abstract In this retrospective study, we aimed to investigate the contraceptive choices before and after voluntary termination of pregnancy among adolescents. Seventy pregnant adolescents aged 17-19 and undergone voluntary pregnancy termination were included. Counseling about contraceptives was given before the procedure. Contraceptive choices before and after termination of pregnancy were evaluated. Before pregnancy termination, all of the adolescents reported the use of a contraceptive method. The most commonly...
Source: Journal of Obstetrics and Gynaecology - April 25, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Recurrent lone atrial fibrillation in a twin pregnancy: a case report.
Authors: Palmer J, Sizer AR PMID: 31010337 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 25, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Can fetal abdominal visceral adipose tissue and subcutaneous fat thickness be used for correct estimation of fetal weight? A preliminary study.
Authors: Köşüş N, Köşüş A Abstract The aim of this study was to assess the accuracy of a new formula for the calculation of an estimated fetal weight (EFW) and to evaluate value of fetal visceral adipose tissue (VAT) and abdominal subcutaneous fat (SF) thickness on the prediction of birth weight. In this prospective study, fetal biometry, EFW, fetal VAT and SF thickness were measured in low-risk 37-41 gestational weeks pregnant women by ultrasonography. The linear regression analysis was performed to investigate the relationship between birth weight and obstetric measurements. It was found t...
Source: Journal of Obstetrics and Gynaecology - April 25, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

The effect of intrauterine misoprostol on blood loss during caesarean section.
This study evaluates the effect of intrauterine misoprostol with oxytocin in comparison with oxytocin alone on blood loss during caesarean section. A retrospective data analysis of 160 women who underwent lower segment caesarean section was conducted. Eighty-five out of 160 (53%) women received tablet misoprostol 800 µg by intrauterine route after delivery of a baby in addition to routine oxytocin infusion (group A), while 75 women (47%) received only oxytocin (group B). Blood loss, Haemoglobin (Hb) difference (pre-operative Hb - post-operative Hb) and need of any other oxytocic were compared in both the groups. Demo...
Source: Journal of Obstetrics and Gynaecology - April 25, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Two cases of anti-N-methyl-d-aspartate-receptor encephalitis associated with ovarian teratoma.
Authors: Chung SH, Choi JK PMID: 31010348 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 25, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Decreased ADAMTS-1, -9 and -20 levels in women with endometrial polyps: a possible link between extracellular matrix proteases and endometrial pathologies.
In conclusion, ADAMTS-9 protein is decreased in women with EPs. Impact statement What is already known on this subject? Endometrial polyps (EPs) are common and are generally benign gynaecologic disorders. ADAMTS enzymes comprise a zinc metalloproteinase gene family that has roles in vascular biology, inflammation and especially in the control of the function and structure of the extracellular matrix (ECM). ECM plays an important role in the pathogenesis of myomas, adenomyosis and abnormal uterine bleeding, as well as EPs. There is an interest in these proteases, especially with regard to the physiology of ovulation and imp...
Source: Journal of Obstetrics and Gynaecology - April 25, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

The pivotal role of betaHCG levels in the diagnosis and management of heterotopic twin pregnancy, a rare and life threatening high-risk condition.
Authors: Algeri P, Ornaghi S, Rota SM, Intelisano G, Vergani P PMID: 31010376 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 25, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Isolated abdominal wall metastasis in early ovarian cancer: a true systemic metastasis or local tumour cells implantation.
Authors: Choudhary D, Sharma G, Singh T, Chishi N, Garg PK PMID: 31010379 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 25, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

A vexing vulvitis: a case report and review of plasma cell vulvitis.
Authors: Pourzan G, Laird-Fick HS PMID: 31006288 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 23, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

A review of reproductive outcomes of women with two consecutive miscarriages and no living child.
In conclusion, supportive care and selective medical management in dedicated pregnancy loss and early pregnancy clinics achieve excellent reproductive outcomes. Impact Statement What is already known on this subject? The definition of recurrent miscarriage is varied. It ranges from two miscarriages according to the American Society for Reproductive Medicine and the European Society of Human Reproduction and Embryology, to three consecutive pregnancy losses as defined by the Royal College of Obstetricians and Gynaecologists. Recurrent miscarriage affects between 1 and 5% of women. Past studies suggest several causative fact...
Source: Journal of Obstetrics and Gynaecology - April 23, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Efficacy and safety of ultrasound-guided high-intensity focused ultrasound for uterine fibroids: a preliminary experience.
The objective of this prospective cohort study was to evaluate the therapeutic efficacy and safety of ultrasound-guided high-intensity focussed ultrasound (HIFU) in the treatment of uterine fibroids. Twenty premenopausal women with symptomatic fibroids underwent ultrasound-guided HIFU therapy. Twenty-two fibroids with a median baseline volume of 127.0 cm3 (range 18.5-481.2 cm3) were treated. The percentages fibroid volume reduction were 46.9 (range -8.8-73.1) at 1-month, 57.4 (-51.5-95.2) at 3-month, 60.1 (-18.9-97.8) at 6-month and 75.9 (-33.7-99.3) at 12-month, after treatment. The modified Uterine Fibroid ...
Source: Journal of Obstetrics and Gynaecology - April 23, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Feasibility of early postoperative bladder catheter removal without prior bladder-training exercises after laparoscopic nerve sparing radical hysterectomy.
This study's results support early postoperative bladder catheter removal without prior bladder-training exercises after laparoscopic nerve sparing RH. What the implications are of these findings for clinical practice and/or further research? Excluding the unnecessary procedure of bladder training, which is time- and effort-consuming, after the operation. PMID: 31006315 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 23, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Fear of childbirth and associated factors among low-risk pregnant women.
Authors: Phunyammalee M, Buayaem T, Boriboonhirunsarn D Abstract The aims of this study were to determine prevalence of childbirth fear among uncomplicated pregnant women in Siriraj Hospital and possible associated factors. A total of 305 uncomplicated, singleton pregnant women were enrolled during early third trimester. All participants were interviewed regarding baseline demographic, social, economic, family, and obstetric characteristics. Fear of childbirth (FOC) was evaluated by Thai version of Wijma Delivery Expectancy/Experience Questionnaire Version A (W-DEQ). W-DEQ scores and level of FOC were compared betw...
Source: Journal of Obstetrics and Gynaecology - April 23, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Association between glycated haemoglobin, glycated albumin and fructosamine with neonatal birthweight and large-for-date status infants in gestational diabetes mellitus: a prospective cohort study.
This study aims to investigate associations between glycated haemoglobin (HbA1c), glycated albumin (GA) and fructosamine with neonatal birthweight in gestational diabetes mellitus (GDM). The prospective cohort consisted of 82 women with GDM and their newborns, enrolled between November 2016 and September 2017. Considering neonatal birthweight and birthweights ≥90th percentile for gestational age as outcomes, linear and logistic regression models were used, respectively. Fructosamine (R2=0.62) and GA (R2=0.61) performed very similarly between them and best than HbA1c (R2=0.58). The added value of GA or fructosamine to Hb...
Source: Journal of Obstetrics and Gynaecology - April 23, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Predominance of cervicitis agents with minimal testing rate within the student population in Benin city, Nigeria.
Authors: Ezeanya CC, Agbakoba NR, Enweani IB, Oguejiofor C Abstract Here, we aimed to investigate the predominance of cervicitis agents with minimal testing rates among asymptomatic students in a Tertiary Institution and its associated risk factors. Endocervical swabs were collected from randomly selected 133 female students (15-34 years of age) in Benin City, Nigeria and screened for six genital pathogens (Chlamydia trachomatis, Mycoplasma hominis, M. genitalium, Ureaplasma urealyticum, U. parvum and Trichomonas vaginalis) using multiplex PCR. Out of the 133 subjects, 80 were positive for cervicitis with 46...
Source: Journal of Obstetrics and Gynaecology - April 23, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Patient costs and outcomes before and after the institution of a pre-eclampsia quality improvement initiative in a southwestern tertiary facility.
Authors: Banke-Thomas A, Rosser C, Brady R, E Shields L Abstract The study objective was to evaluate the effect of the California Maternal Quality Care Collaborative (CMQCC) initiative, as implemented in a southwestern U.S. tertiary hospital, on associated patient costs and outcomes. Using a quasi-experimental study design, we collected existing data (cost and patient outcomes) comparing two six-month period at the baseline and one-year follow-up. Following descriptive statistics, Chi-square tests and t-tests were used to compare categorical and continuous variables, respectively. One hundred and eighty-nine women ...
Source: Journal of Obstetrics and Gynaecology - April 23, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Surgical termination of pregnancy for fetal anomaly: what role can an independent abortion service provider play?
We describe the safety and acceptability of a surgical TOPFA service delivered by an independent-sector abortion provider. Non-identifiable data for women undergoing TOPFA at British Pregnancy Advisory Service from 1 January 2015 to 31 March 2016 was extracted from existing databases. Anonymous feedback was obtained using a questionnaire. Women (n = 389) were treated along a specialised care pathway within routine abortion lists. The anomalies were chromosomal (64.0%), structural (30.8%), suspected chromosomal and/or structural or unknown (5.1%). The termination method was vacuum aspiration (41.9%) or dilatio...
Source: Journal of Obstetrics and Gynaecology - April 20, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Correction to: Pourali et  al., Induction of labour in term premature rupture of membranes; oxytocin versus sublingual misoprostol; a randomised clinical trial.
Correction to: Pourali et al., Induction of labour in term premature rupture of membranes; oxytocin versus sublingual misoprostol; a randomised clinical trial. J Obstet Gynaecol. 2019 Apr 19;:1 Authors: PMID: 30999797 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - April 20, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research