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Microbiology and clinical outcomes of puerperal sepsis: a prospective cohort study.
This study confirms Escherichia coli as the commonest cause of sepsis in Harare. There is high level resistance to first-line antibiotic regimens on most Gram-negative isolates from the endocervix among women with puerperal sepsis. Emerging resistance to carbapenems is demonstrated. MDRO significantly increased length of hospital stay, and there was a clinically important trend towards higher rates of pelvic abscess, septic shock, death, need for laparotomy and ICU admission specific to puerperal sepsis. What are the implications for clinical practice and further research? Clinical culture surveillance to monitor epidemiol...
Source: Journal of Obstetrics and Gynaecology - February 17, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

The behaviour of pelvic floor muscles during uterine contractions in spontaneous and oxytocin-induced labour.
Authors: Karahan N, Arslan H, Çam Ç Abstract Term pregnant women were divided into oxytocin infusion and control groups. The electrical activities of pelvic floor muscles (PFM) were recorded at rest and during contractions electromyographically. The beginning and the end of each contraction were marked on the recorded electromyographic trace. A trace was regarded as 'negative' if no increase in electrical activity was observed and 'positive' if increased electrical activity was observed during the contractions. To evaluate the relative frequency of the areas of electrical activity during uterine contr...
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

A case of twin IVF pregnancy complicated with sclerosing encapsulating peritonitis diagnosed at caesarean delivery.
Authors: Yuce E, Akgun N, Altındis Bal A, Namli Kalem M, Bayrak R, Duvan CI PMID: 29430973 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Maternal serum irisin levels in early and late-onset pre-eclamptic and healthy pregnancies.
Authors: Ozel A, Davutoglu EA, Firat A, Erenel H, Karslı MF, Korkmaz SÖ, Madazli R Abstract The aim of the study was to investigate whether plasma irisin concentrations differ between uncomplicated, early-onset and late-onset pre-eclamptic pregnancies. This cross-sectional study was conducted on 27 women with early-onset, 27 women with late-onset pre-eclampsia (PE) and 26 healthy pregnant women. Maternal levels of serum irisin were measured with the use of an enzyme-linked immunosorbent assay kit. The mean maternal serum irisin level of early-onset PE was significantly lower than late-onset PE (1.14 &p...
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Chronic non-puerperal uterine inversion in an asymptomatic woman.
Authors: Lima T, Sousa R, Pinheiro A, Almeida A PMID: 29430980 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

C-reactive protein and white blood cell count as predictors of maternal and neonatal infections in prelabour rupture of membranes between 34 and 41 weeks of gestation.
Authors: Rewatkar M, Jain S, Jain M, Mohod K Abstract Prelabour rupture of the membranes (PLROM) is defined as rupture of membranes before the onset of labour. It is one of the most common clinical events, where pregnancy can turn into a high-risk situation for mother and foetus. As prevention of PLROM is difficult, one has to concentrate on management to reduce its complications. Accurate prediction of infection remains a main challenge in cases of PLROM. We conducted a prospective study of all women admitted for PLROM at or after 34-41 weeks of gestation to investigate the predictive value of C-reactive pr...
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Is Chemerin associated with gestational diabetes mellitus? An evidence-based clinical research from Chinese women.
Authors: Liang Z, Zhou M, Xu XK, Qu F, Chen D Abstract The present study aimed to explore the association between gestational diabetes mellitus (GDM) and Chemerin, by analysing Chemerin level, clinical data and biochemical parameters among 46 GDM patients and 43 controls. It was found that the Chemerin levels from cord blood, peripheral blood, adipose tissue and placenta tissue were all significantly higher in the GDM group than those in the control group (p 
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Aortic arch anomalies detected in foetal life by echocardiography.
Authors: Oztunc F, Ugan Atik S, Dedeoglu R, Yuksel MA, Madazlı R Abstract Aortic arch anomalies refer to congenital malformations of position or branching pattern of the aortic arch. To-date, only a few small studies have documented prenatal detection of aortic arch anomalies. In this article, we share our experience in detecting aortic arch anomalies. Foetal echocardiograms, clinic and genetic histories of 33 patients who had been diagnosed with aortic arch anomaly from 2007 to 2015 were reviewed. In 15 patients, right aortic arch with mirror image branching; in 13 patients, right aortic arch with left ductus art...
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

A questionnaire survey of second year graduate-entry medical students' perception of obstetrics and gynaecology as a future career speciality.
Authors: Ismail SIMF, Kevelighan EH Abstract The aim of this study was to explore the impressions of second year graduate-entry medical students of Obstetrics and Gynaecology, before their attachment in the speciality in the subsequent year, so as to improve its appeal to them and increase their recruitment into it. A total of 74 questionnaires were distributed at the end of the Learning Opportunities in Clinical Setting (LOCS) week in the speciality and 66 (89.19%) completed questionnaires were returned. Over 4% of the respondents were considering the speciality as their career choice and less than half would cons...
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

A review of post-caesarean infectious morbidity: how to prevent and treat.
Authors: Pierson RC, Scott NP, Briscoe KE, Haas DM Abstract Post-caesarean infectious complications result in significant maternal morbidity and mortality as well as increased readmissions and increased health care cost worldwide. This review provides a discussion of several risk factors that have been identified which predispose women to post-surgical infection. We also provide an overview of strategies for infection prevention including antibiotics, surgical techniques and negative pressure wound therapy. Criteria for diagnosis of wound infection are provided, as well as appropriate treatment regimens. Given the ...
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Prenatal diagnosis of double trisomy 48, XXX, +18; case report.
Authors: Ercan F, Taşdemir P, Tazegül Pekin A, Sayal B, Görkemli H, Acar A PMID: 29433353 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

The use of medial, wider vertical compression sutures to reduce uterine blood flow for effaced uterine isthmus: a case report.
Authors: Takeda J, Hiranuma K, Hirayama T, Makino S, Itakura A, Takeda S PMID: 29433354 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

What would be missed in the first trimester if nuchal translucency measurement is replaced by cell free DNA foetal aneuploidy screening?
Authors: Huang LY, Pan M, Han J, Zhen L, Yang X, Li DZ Abstract The aim of this study was to evaluate which chromosomal abnormalities in our cohort of foetuses with increased nuchal translucency (NT) in the first trimester of pregnancy could be detected by cell free (cf)DNA screening as well. There were 775 singleton pregnancies referred for cytogenetic testing due to an increased NT (≥3.0 mm). Chromosome aberrations were investigated using karyotyping or chromosomal microarray analysis (CMA). Karyotyping had been chosen for foetal cytogenetic testing by 446 patients, and CMA by 329 patients. Common aneup...
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Complex maternal congenital anomalies - a rare presentation and delivery through a supra-umbilical abdominal incision.
Authors: Bonner S, Mohammed Y PMID: 29433356 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

To 'douche' or not to 'douche': hygiene habits may have detrimental effects on vaginal microbiota.
Authors: Aslan E, Bechelaghem N Abstract The importance of a healthy vaginal micro-flora is indisputable. Therefore, intravaginal practices, such as vaginal douching (VD), may inhibit or lower the colonisation of beneficial Lactobacilli strains. Although the results of disrupted vaginal microbiota have been widely reported in the literature, direct microbicidal effects of products used for VD have been rarely studied. Moreover, there are certain studies advocating the beneficial effects of VD. This in vitro study was designed to provide more evidence to help health care givers in disseminating the knowledge that VD...
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Mode of birth in twins: data and reflections.
Authors: Reitter A, Daviss BA, Krimphove MJ, Johnson KC, Schlößer R, Louwen F, Bisits A Abstract Our primary objective was to compare neonatal and maternal outcomes in women with twin pregnancies, beyond 32 weeks, having a planned vaginal birth or a planned caesarean section (CS). This was a retrospective cohort study from a single tertiary centre over nine years. 534 sets of twins ≥32 + 0 weeks of gestation were included. 401 sets were planned vaginally and 133 sets were planned by CS. We compared a composite adverse perinatal outcome (perinatal mortality or ...
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Teaching childbirth with high-fidelity simulation. Is it better observing the scenario during the briefing session?
This study evaluates two different designs of simulator-based learning activity on childbirth with regard to respect to the patient, obstetric manoeuvres, interpretation of cardiotocography tracings (CTG) and infection prevention. This randomised experimental study which differs in the content of their briefing sessions consisted of two groups of undergraduate students, who performed two simulator-based learning activities on childbirth. The first briefing session included the observations of a properly performed scenario according to Spanish clinical practice guidelines on care in normal childbirth by the teachers whereas...
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Postpartum thromboprophylaxis in a multireligious cohort: a retrospective review of indications and uptake.
Authors: Voon HY, Chai MC, Hii LY, Amin R, Suharjono HN Abstract Strategies to prevent mortality from obstetric venous thromboembolism begin with identification, risk stratification and subsequently, implementation of prophylactic measures. We sought to identify the burden of pharmacologic thromboprophylaxis in postpartum women, including the main clinical indications and its uptake in a multireligious population, with Islam as the official religion. A total of 2514 deliveries between 1st January to 31st December 2016, across three centres in Malaysia were reviewed retrospectively from hospital-based registries. 77...
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Vitamin D deficiency in pregnant women and newborns in Lagos, Nigeria.
Authors: Owie E, Afolabi BB Abstract We aimed to determine the prevalence of Vitamin D deficiency among pregnant women and their newborns in order to make recommendations for Vitamin D supplementation, if necessary. It was a cross-sectional study carried out over a period of 12 months. Information such as use of Vitamin D supplements, number of daytime hours spent outdoors and dressing style was obtained from 166 pregnant women in Lagos, Nigeria; maternal and cord blood 25(OH)D concentration was determined using ELISA. The prevalence of Vitamin D deficiency (
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Pregnancy complicated by systemic lupus erythematosus and its outcome over 10 years.
Authors: Khan A, Thomas M, P K SD Abstract The aim was to study the feto-maternal outcome of pregnancies complicated by systemic lupus erythematosus (SLE). Analysis of a prospectively-maintained database of 73 patients (June 2006-March 2016) was done. Diagnosis of SLE was made by ACR(American College of Rheumatology)-criteria. Protocol scans and blood tests were done and patients with active disease were followed biweekly for 28 weeks, and weekly thereafter. Mean age + SD was 29 ± 4.9. SLE was diagnosed before conception in 86% of patients. A total of 33% had active disease s...
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Expression of angiogenic factors in sclerosing stromal tumours of the ovary.
Authors: Hirakawa T, Kawano Y, Mizoguchi C, Nasu K, Narahara H Abstract Sclerosing stromal tumours (SSTs) are rare benign tumours and are generally observed in individuals in their teens to 20 s. Many cases are suspected as malignant tumours pre-operatively, owing to their high vascularity on diagnostic imaging. Herein, we aimed to evaluate the expressions of various angiogenic factors in SSTs. The expressions of vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF) and hepatocyte growth factor (HGF) were examined by immunohistochemical staining. Upon immunohistochemistry, overexpr...
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

The characteristics of hypoactive sexual desire disorder in Korean women who visited a community-based gynaecology hospital for sexual dysfunction.
Authors: Yun HJ, Cho HH Abstract This cross-sectional study analysed the characteristics of HSDD (hypoactive sexual desire disorder) in Korean women. Two hundred and seventeen women seen for sexual dysfunction were assessed using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Revised (DMS IV-TR) and the Female Sexual Function Index (FSFI). A diagnosis of HSDD was more common in women in their 40 s (56%), who had previously undergone surgery for a feeling of 'wide vagina'. Both too much or too little sexual activity caused HSDD. Longer physical contact and sexual foreplay duration ...
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Anti-Xa based dose changes during low molecular weight heparin anticoagulation for mechanical prosthetic heart valves during pregnancy.
Authors: Snape E, Thachil J, Clarke B, Vause S PMID: 29436886 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 14, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Twin gestation in a Swyer syndrome patient with superimposed pre-eclampsia.
Authors: Shah JS, Viteri OA, Longo M, Abdallah M, Sibai B PMID: 29421927 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 11, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

A case of partial hydatidiform molar pregnancy with a placental diploid-triploid mosaicism associated with a euploid viable foetus complicated with severe pre-eclampsia.
Authors: Booth S, Eskandar O PMID: 29421928 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 11, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Haematocolpos caused by a large vulvar dermoid cyst complicating type Ib female circumcision.
Authors: Torky HA, Elshenawy AA, Ahmad AM PMID: 29421931 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 11, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

The effect of catalase C262T gene polymorphism in susceptibility to ovarian cancer in Kermanshah province, Western Iran.
Authors: Moradi MT, Khazaei M, Khazaei M Abstract Ovarian cancer has a heterogeneous biology and behaviour. Oxidative stress can initiate chronic inflammation, which can sequentially facilitate chronic diseases, including cancer. Oxidative stress may arise when there is extra reactive oxygen species (ROS) production and/or inadequate defence mechanisms. There are some antioxidant defences that can fight against oxidative damage, including catalase (CAT) enzyme. We sought to evaluate the association of CAT C262T gene polymorphism with increased risk of ovarian cancer. A total of 74 paraffin-embedded ovarian cancer b...
Source: Journal of Obstetrics and Gynaecology - February 11, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Effect of blue dye guided lymph channel ligation on the surgical morbidity of groin lymphadenectomy for vulval cancer: a feasibility study.
Authors: Bharathan R, Madhuri K, Fish A, Larsen-Disney P, Chatterjee J, Butler-Manuel S, Tailor A, Kehoe S Abstract Inguinal lymphadenectomy has significant morbidity. Blue dye-guided lymph channel ligation is an effective technique for resolving lymphocele. This was a feasibility study in a preventative setting. Patients with vulval cancer requiring bilateral inguinal lymphadenectomy were recruited. After lymphadenectomy, patent blue V dye was injected and the severed lymph channels leaking blue dye, on the randomly-designated side were ligated. The median age was 72.5 years and the median body mass index was 25. ...
Source: Journal of Obstetrics and Gynaecology - February 11, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Comparison between maternal and neonatal outcome of PPROM in the cases of amniotic fluid index (AFI) of more and less than 5  cm.
Comparison between maternal and neonatal outcome of PPROM in the cases of amniotic fluid index (AFI) of more and less than 5 cm. J Obstet Gynaecol. 2018 Feb 09;:1-5 Authors: Mousavi AS, Hashemi N, Kashanian M, Sheikhansari N, Bordbar A, Parashi S Abstract The study was performed on pregnant women with a gestational age of 26-32 weeks of pregnancy, who had been admitted to the hospital with a confirmed diagnosis of premature rupture of membranes. In all eligible women, ultrasounds were performed for the evaluation of amniotic fluid index. Then, the women were divided into two groups accord...
Source: Journal of Obstetrics and Gynaecology - February 11, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Molecular karyotyping in early miscarriages: potential for the routine use of cytogenetic microarrays.
Authors: Szewczyk K, Bik-Multanowski M PMID: 29426265 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 11, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

46,XX,der(9)t4;9)(q31.1;p24) as a novel genetic marker for spontaneous resolution of foetal pleural effusion.
Authors: Comert EH, Guvendag Guven ES, Guven S, Kart C, Cansu A, Cebi A PMID: 29426268 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 11, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Identification of preterm birth in women with threatened preterm labour between 34 and 37 weeks of gestation.
Authors: Gezer C, Ekin A, Solmaz U, Sahingoz Yildirim AG, Dogan A, Ozeren M Abstract The aim of this study was to assess whether serum markers would be useful as a new predictor of preterm birth in patients with spontaneous, late preterm labour. Patients diagnosed with late preterm labour were divided into preterm delivery (229 patients) and term delivery (178 patients) groups. The two groups were compared in terms of clinical characteristics and levels of serum markers (leukocyte subtypes, platelet, C-reactive protein [CRP], neutrophil to lymphocyte ratio [NLR] and platelet to lymphocyte ratio [PLR]), which were o...
Source: Journal of Obstetrics and Gynaecology - February 11, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Evening primrose oil and labour, is it effective? A randomised clinical trial.
Authors: Kalati M, Kashanian M, Jahdi F, Naseri M, Haghani H, Sheikhansari N Abstract The purpose of the present study was to evaluate the effects of evening primrose oil (EvPO) on the duration of pregnancy and labour. The study was performed as a triple blind placebo controlled randomised clinical trial on nulliparous low-risk women with a certain gestational age of 40 weeks of pregnancy and a Bishop score of less than 4. In the case group (EvPO group), EvPO capsules were administered, 1000 mg, twice daily, for 7 days, and in the control group, placebo was administered similarly. The women of ...
Source: Journal of Obstetrics and Gynaecology - February 11, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Urinary tract infection during pregnancy: current concepts on a common multifaceted problem.
Authors: Kalinderi K, Delkos D, Kalinderis M, Athanasiadis A, Kalogiannidis I Abstract Urinary tract infections (UTIs) are the most common bacterial infection in pregnancy, increasing the risk of maternal and neonatal morbidity and mortality. Urinary tract infections may present as asymptomatic bacteriuria, acute cystitis or pyelonephritis. Escherichia coli is the most common pathogen associated with both symptomatic and asymptomatic bacteriuria. If asymptomatic bacteriuria is untreated, up to 30% of mothers develop acute pyelonephritis, with an increased risk of multiple maternal and neonatal complications, such a...
Source: Journal of Obstetrics and Gynaecology - February 8, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Non-indicated use of prophylactic antibiotics in gynaecological surgery at an academic tertiary medical centre.
This study represents a quality improvement analysis assessing surgeon compliance with established guidelines regarding antibiotic use in gynaecological surgery. This is a single centre, retrospective study examining gynaecological procedures over two years. Cases were identified using Current Procedure Terminology codes. Perioperative antibiotics were used contrary to published guidelines in 199 of 1046 cases. Three variables were independently associated with inappropriate administration of perioperative antibiotics: entrance into abdominal cavity, higher EBL, and longer procedures. Impact statement Overuse of antibiotic...
Source: Journal of Obstetrics and Gynaecology - February 8, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Cervical cancer - does the morphological subtype affect survival rates?
This study uses excess mortality modelling to investigate the effects of the morphological subtypes whilst adjusting the other factors that affect cervical cancer survival such as stage, age and grade. What the implications are of these findings for clinical practice and/or further research: It is known that cervical neuroendocrine tumours have a poor prognosis and this is confirmed by this study. Squamous cell carcinomas (SCC), adenocarcinomas (AC) and adenosquamous carcinomas (ASC) have the highest net survival and when accounting for other factors there are no differences amongst these morphological subtypes in terms of...
Source: Journal of Obstetrics and Gynaecology - February 8, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

A previous caesarean section is not a risk factor for tubal abnormalities in the infertile population.
Authors: Farhi J, Oron G, Orbach S, Levran D, Barkat J, Tzelnick S, Ben-Haroush A Abstract In this retrospective cohort study of 1716 cases of women undergoing infertility treatment between the years 1999-2012, we aimed to identify whether parturients with a previous surgical history are at a higher risk for tubal abnormalities as determined by hysterosalpingography (HSG) in this infertile population. Amongst the study population, tubal obstruction was identified on HSG in 15.8% of patients with no past history of an abdominal surgery and 16.3% of patients with a previous caesarean section (CS) delivery. These rate...
Source: Journal of Obstetrics and Gynaecology - February 8, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Pregnancy and subsequent uterine rupture in a 72-year-old gravida: medical tourism versus procreative freedom.
Authors: Afshar Y, Tabsh K PMID: 29390892 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 4, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Factorial structure of the Persian version of Childbearing Questionnaire in first time engaged couples in Iran.
This study supported the use of CBQ as a valid and reliable instrument of childbearing in engaged couples. Impact statement Current research on the subject: Some studies have suggested that the construct validity, internal consistency and the test-retest reliability of a Childbearing Questionnaire (CBQ) are high. The contribution made by the results of this study: It determined the reliability (internal consistency and test-retest reliability), the content validity and construct validity (confirmatory factor analysis) of the Persian version of the Childbearing Questionnaire. The implications of findings for clinical practi...
Source: Journal of Obstetrics and Gynaecology - February 4, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Elevated circulating nitric oxide levels correlates with enhanced oxidative stress in patients with hyperemesis gravidarum.
Authors: Beyazit F, Türkön H, Pek E, Ozturk FH, Ünsal M Abstract Since the biochemical and molecular mechanisms responsible for ongoing oxidative stress in hyperemesis gravidarum (HEG) patients have not yet been fully elucidated, the aim of this study was to evaluate the possible role of nitric oxide (NO), malondialdehyde (MDA) and other oxidative stress markers in the disease pathophysiology. Moreover, the relation between oxidative stress markers and Helicobacter pylori (H. pylori) infection was also investigated. Women with pregnancies complicated by HEG (n = 33) were compared with p...
Source: Journal of Obstetrics and Gynaecology - February 4, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Comparison of the symptoms and localisation of endometriosis involvement according to fertility status of endometriosis patients.
Authors: Aliani F, Ashrafi M, Arabipoor A, Shahrokh-Tehraninejad E, Jahanian Sadatmahalleh S, Akhond MR Abstract This cross-sectional study aimed to assess the prevalence of endometriosis in women who were referred for Diagnostic Laparoscopy Unit due to infertility or pelvic pain between January 2012 and January 2013 and compare the symptoms and laparoscopic signs among the three groups according to the fertility status. Four hundred and thirteen women were evaluated; of these, 383 patients for infertility and 30 patients for pelvic pain and/or cyst. Endometriosis symptoms were compared between fertile and infertil...
Source: Journal of Obstetrics and Gynaecology - February 4, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Impact of late pregnancy haemoglobin A1c at 29-30 weeks' gestation on adverse pregnancy outcomes among women with pre-existing diabetes: a retrospective analysis.
In conclusion, elevated late pregnancy HbA1C levels at 29-30 gestational weeks had a negative impact on APOs in pregnant women with pre-existing diabetes. However, HbA1C cut-off levels of neither ≥6.1% nor>5.6% were ideal for predicting APOs. Impact statement What is already known on this subject: Poorly controlled diabetes is associated with adverse pregnancy outcomes (APOs). Periconceptual haemoglobin A1C (HbA1C) correlates well with the risk of foetal anomaly but is not predictive of APOs at time of delivery. New evidence suggested that late pregnancy HbA1C is predictive of APOs but the definitions of a late pregn...
Source: Journal of Obstetrics and Gynaecology - February 4, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Colpocytological abnormalities in HIV infected and uninfected pregnant women: prevalence, persistence and progression.
Authors: Carriero C, Fascilla FD, Cramarossa P, Lepera A, Bettocchi S, Vimercati A Abstract In this retrospective case-control study, we analyse data of 48 HIV-positive pregnant patients, versus a control group of 99 HIV-negative pregnant women, followed as outpatients by our department from 2009 to 2014. The aims of the study were to investigate the prevalence, persistence and progression of cervical squamous intraepithelial lesions (SIL) in each group and to correlate colpo-cytological lesions to the socio-demographic and clinical-laboratory findings in the HIV + pregnant women. In our study we obse...
Source: Journal of Obstetrics and Gynaecology - February 4, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Social, obstetric and environmental determinants of low Apgar score among infants born in four selected hospitals in Ibadan, Nigeria.
Authors: Omokhodion FO, Roberts OA, Onadeko MO, Beach JR, Cherry N, Burstyn I Abstract Little information exists about socio-economic, environmental or occupational determinants of low Apgar scores among Nigerian neonates. Mothers in lying-in wards of four hospitals in Ibadan were interviewed on socio-demographic characteristics, obstetric history and work activities during index pregnancy. Apgar scores and clinical data were extracted from case notes. Of the 1349 respondents, 20% had Apgar score
Source: Journal of Obstetrics and Gynaecology - February 4, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Ovulation induction and oocyte retrieval for fertility preservation in young adolescents newly diagnosed with medulloblastoma: a case series.
Authors: Kutteh WH, Klosky JL, Green DM, Sparrow CK, Kutteh MA, Robinson GW, Gajjar A PMID: 29390921 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 4, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Interpregnancy interval and subsequent pregnancy outcomes after dilation and evacuation.
Authors: Kuwahara M, Yamasato K, Tschann M, Kaneshiro B Abstract We conducted this study to compare outcomes for pregnancies conceived ≤6 months after dilation and evacuation (D&E) with those conceived>6 months after D&E. This retrospective cohort study included women who underwent D&E (14-26 weeks) and were readmitted with a subsequent pregnancy. The primary outcome was the rate of preterm birth (
Source: Journal of Obstetrics and Gynaecology - February 4, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Pregnancy and iron status in β-thalassaemia major and intermedia: six years' experience in a North London Hospital.
Pregnancy and iron status in β-thalassaemia major and intermedia: six years' experience in a North London Hospital. J Obstet Gynaecol. 2018 Feb 01;:1-4 Authors: Vlachodimitropoulou E, Thomas A, Shah F, Kyei-Mensah A PMID: 29390937 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 4, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

A cross-sectional study on teaching pelvic examination in medical schools in the UK (the COTES study).
Authors: Janjua A, Smith P, Clark TJ Abstract Gynaecological teaching associates (GTAs) appear to be effective in aiding medical students to acquire core skills in female pelvic examination (FPE). The aim was to explore the current provision for teaching and assessment of FPE in Obstetric and Gynaecological (O&G) placements across UK medical schools and in particular, the use of GTAs. An online survey was sent to undergraduate academic leads for O&G, representing 29 of the 30 UK medical schools. The response rate was 21/29 (72%). The average placement was 6.7 weeks and teaching of FPE varied includin...
Source: Journal of Obstetrics and Gynaecology - February 4, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Assessment of total sialic acid levels in patients with hyperemesis gravidarum: a preliminary study.
Authors: Demir SS, Özcan HÇ, Balat Ö, Öztürk E, Uğur MG, Gündüz R, Taysi S Abstract To determine the levels of serum total sialic acid (TSA) in patients with hyperemesis gravidarum (HG) and their gestational age-matched controls. Thirty pregnant women with HG, and 30 healthy pregnant women at up to 14 weeks of gestation were enrolled in this preliminary study. Total sialic acid levels in maternal serum were measured using the quantitative sandwich ELISA method. We observed statistically significant difference in TSA levels between HG and the control groups (p =&thin...
Source: Journal of Obstetrics and Gynaecology - February 4, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Ectopic adrenal rest cells of the fallopian tube: a case report and review of the literature.
Authors: Tingi E, Ogah J PMID: 29385841 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)
Source: Journal of Obstetrics and Gynaecology - February 3, 2018 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research