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Musculoskeletal Insights and Team-based Solutions for Chronic Pelvic Pain. 慢性骨盆疼痛的肌肉骨骼洞察和团队解决方案。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-06-11 DOI: 10.1097/GRF.0000000000001031
Erin T Carey, Christine M Chu, Lauren D Schiff, Asha McClurg, Noor Dasouki Abu-Alnadi, Ingrid Harm-Ernandes, Colleen M Fitzgerald
{"title":"Musculoskeletal Insights and Team-based Solutions for Chronic Pelvic Pain.","authors":"Erin T Carey, Christine M Chu, Lauren D Schiff, Asha McClurg, Noor Dasouki Abu-Alnadi, Ingrid Harm-Ernandes, Colleen M Fitzgerald","doi":"10.1097/GRF.0000000000001031","DOIUrl":"10.1097/GRF.0000000000001031","url":null,"abstract":"<p><p>Chronic pelvic pain (CPP) affects up to 24% of women worldwide, with musculoskeletal pain and dysfunction present in most cases yet often overlooked in traditional organ-focused approaches. Comprehensive musculoskeletal assessment, including movement pattern analysis, pelvic floor examination, and evaluation of hip, spine, and abdominal wall pathology is essential for accurate diagnosis. First-line treatment with pelvic floor physical therapy demonstrates significant efficacy, though multidisciplinary team-based care optimizes outcomes through coordinated treatment plans. Despite evidence supporting this integrated approach, barriers including insurance coverage gaps, limited specialists, and insufficient musculoskeletal education prevent widespread implementation, necessitating advocacy, curriculum expansion, and systematic changes prioritizing comprehensive patient-centered care.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"414-421"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148210419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Case for History-Indicated Cerclage: A Patient-Centered Approach to Preventing Pregnancy Loss and Preterm Birth. 病例的历史表明环扎：以患者为中心的方法来预防妊娠损失和早产。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-06-26 DOI: 10.1097/GRF.0000000000001040
Anna Marie P Young, Emily Miller
{"title":"The Case for History-Indicated Cerclage: A Patient-Centered Approach to Preventing Pregnancy Loss and Preterm Birth.","authors":"Anna Marie P Young, Emily Miller","doi":"10.1097/GRF.0000000000001040","DOIUrl":"10.1097/GRF.0000000000001040","url":null,"abstract":"<p><p>This review summarizes evidence supporting history-indicated cerclage and the evolution of commonly used eligibility thresholds. Randomized trials and meta-analyses demonstrate that cerclage reduces very early preterm birth in high-risk pregnancies without meaningful heterogeneity of treatment effect across risk strata. Although studies comparing cervical length surveillance versus history-indicated cerclage report similar population-level outcomes, differences in patient selection and study design limit interpretation. History-indicated cerclage, therefore, remains an important option for selected patients at risk for pregnancy loss or extreme preterm birth. Current evidence highlights the importance of individualized counseling and shared decision-making that incorporates clinical history, risk assessment, and patient preferences.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"462-465"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148338137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contributors: Chronic Pelvic Pain. 贡献者：慢性盆腔疼痛。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-10-19 DOI: 10.1097/01.grf.0001288836.73734.09
{"title":"Contributors: Chronic Pelvic Pain.","authors":"","doi":"10.1097/01.grf.0001288836.73734.09","DOIUrl":"https://doi.org/10.1097/01.grf.0001288836.73734.09","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"69 4","pages":"vi-viii"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond the Pelvis: Central Sensitization, Chronic Pain Syndromes, and Their Impact on Chronic Pelvic Pain. 骨盆外：中枢致敏、慢性疼痛综合征及其对慢性骨盆疼痛的影响。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-06-25 DOI: 10.1097/GRF.0000000000001035
Eric Shuffle, Jaden R Kohn, Aakriti R Carrubba
{"title":"Beyond the Pelvis: Central Sensitization, Chronic Pain Syndromes, and Their Impact on Chronic Pelvic Pain.","authors":"Eric Shuffle, Jaden R Kohn, Aakriti R Carrubba","doi":"10.1097/GRF.0000000000001035","DOIUrl":"10.1097/GRF.0000000000001035","url":null,"abstract":"<p><p>Chronic pelvic pain (CPP) represents a complex condition where peripheral nociceptive drivers and central nervous system processes produce symptoms that extend beyond the pelvis. Central sensitization (CS) is a state of heightened neuronal responsiveness with amplified pain signaling and diminished inhibitory control, in which patients experience multifocal pain, fatigue, sleep disturbance, cognitive difficulties, and hypersensitivity to sensory stimuli. Management of CS requires a multimodal and comprehensive approach, including pain neuroscience education, targeted pelvic physical therapy, and behavioral therapies. As the field advances, incorporating sensitization science offers a more accurate, patient-centered framework to reduce symptom burden and improve quality of life.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"402-408"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mind Matters: Integrating Psychological Insights Into Chronic Pelvic Pain Care. 心理问题：整合心理洞察到慢性盆腔疼痛护理。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-06-22 DOI: 10.1097/GRF.0000000000001037
Alexandra T Milspaw, Emily J Bartley
{"title":"Mind Matters: Integrating Psychological Insights Into Chronic Pelvic Pain Care.","authors":"Alexandra T Milspaw, Emily J Bartley","doi":"10.1097/GRF.0000000000001037","DOIUrl":"10.1097/GRF.0000000000001037","url":null,"abstract":"<p><p>Chronic pelvic pain (CPP) is a debilitating and costly condition that imposes substantial physical, psychological, and economic burden. It is associated with a high prevalence of psychiatric comorbidity, and the persistent nature of pain significantly disrupts psychological well-being and social functioning, with profound effects on quality of life. This brief review synthesizes current evidence on the mechanistic pathways implicated in CPP, as well as associated psychological factors, including depression, anxiety, and post-traumatic stress disorder. In addition, the efficacy of established psychological interventions for CPP is reviewed including emerging treatments that have not yet been systematically assessed in individuals with CPP.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"371-377"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148283295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vulvovaginal Pain-Difficult to Diagnose; Difficult to Treat. 外阴阴道疼痛——难以诊断；难以治疗。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-07-23 DOI: 10.1097/GRF.0000000000001047
Insiyyah Patanwala, Josef Jackson, Laura Douglass
{"title":"Vulvovaginal Pain-Difficult to Diagnose; Difficult to Treat.","authors":"Insiyyah Patanwala, Josef Jackson, Laura Douglass","doi":"10.1097/GRF.0000000000001047","DOIUrl":"10.1097/GRF.0000000000001047","url":null,"abstract":"<p><p>Vulvovaginal pain disorders can manifest with varying symptomology and can take years to diagnose and even longer to treat. Given the nature and location of the pain, these disorders can significantly affect interpersonal relationships and quality of life. Therapy options range from behavioral interventions to medications and minimally invasive procedures, and in rare cases surgery. The following review covers common etiologies of vulvovaginal pain, evaluation strategies, currently used treatments and promising future therapies.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"397-401"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148561091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Foreword: When Experts Disagree: Contemporary Controversies in Maternal-Fetal Medicine. 当专家不同意：当代母胎医学的争议。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-08-12 DOI: 10.1097/GRF.0000000000001050
Yinka Oyelese, Yalda Afshar
{"title":"Foreword: When Experts Disagree: Contemporary Controversies in Maternal-Fetal Medicine.","authors":"Yinka Oyelese, Yalda Afshar","doi":"10.1097/GRF.0000000000001050","DOIUrl":"10.1097/GRF.0000000000001050","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"429"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148711574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond the Basics: Cutting-Edge Approaches to Chronic Pelvic Pain Evaluation. 超越基础：慢性骨盆疼痛评估的前沿方法。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-08-06 DOI: 10.1097/GRF.0000000000001048
Jorge Carrillo, Mario Castellanos
{"title":"Beyond the Basics: Cutting-Edge Approaches to Chronic Pelvic Pain Evaluation.","authors":"Jorge Carrillo, Mario Castellanos","doi":"10.1097/GRF.0000000000001048","DOIUrl":"10.1097/GRF.0000000000001048","url":null,"abstract":"<p><p>This review explores transitioning toward a multidisciplinary, biopsychosocial framework for evaluating chronic pelvic pain (CPP), considered a global epidemic. The manuscript introduces the updated FIGO-IPPS CPP definition, which lowers the diagnostic threshold to pain typically lasting 3 months or more and prioritizes functional impairment. Central to this definition is the R U MOVVING SOMe classification system, enabling systematic identification of overlapping pain generators and central sensitization. The authors advocate for a cutting-edge methodology integrating trauma-informed care (TIC), specialized musculoskeletal and neurological examinations, and validated Patient-Reported Outcomes (PROs). This framework provides clinicians a standardized pathway to optimize diagnostic accuracy and treatment.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"361-370"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148677234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Argument in Favor of Reporting Adult-onset Conditions in Prenatal Diagnosis. 赞成在产前诊断中报告成人发病条件的论点。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-09-10 DOI: 10.1097/GRF.0000000000001056
Brittany Arditi, Caitlin D Baptiste, Jessica L Giordano, Ronald J Wapner
{"title":"Argument in Favor of Reporting Adult-onset Conditions in Prenatal Diagnosis.","authors":"Brittany Arditi, Caitlin D Baptiste, Jessica L Giordano, Ronald J Wapner","doi":"10.1097/GRF.0000000000001056","DOIUrl":"10.1097/GRF.0000000000001056","url":null,"abstract":"<p><p>Prenatal genomic sequencing can detect far more than clinicians conventionally report. Whether adult-onset conditions diagnosed in the fetus should be disclosed prenatally remains debated, and most laboratories and guidelines restrict reporting to childhood-onset disease. We argue that this restriction is not supported by available evidence. Prospective parents consistently elect to receive adult-onset findings, most often to plan for a child's future health. Pediatric and newborn sequencing studies have not demonstrated the psychological, relational, or developmental harms critics anticipated, and pregnancy offers an unmatched opportunity to reach an otherwise unscreened population. Policy should be guided by informed consent and patient autonomy.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"441-447"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148917852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Foreword: Redefining Boundaries: Advancing the Global Health Agenda and a New Classification System for Chronic Pelvic Pain. 重新定义边界：推进全球健康议程和慢性骨盆疼痛的新分类系统。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-07-09 DOI: 10.1097/GRF.0000000000001043
Georgine Lamvu, Juan D Villegas-Echeverri
{"title":"Foreword: Redefining Boundaries: Advancing the Global Health Agenda and a New Classification System for Chronic Pelvic Pain.","authors":"Georgine Lamvu, Juan D Villegas-Echeverri","doi":"10.1097/GRF.0000000000001043","DOIUrl":"10.1097/GRF.0000000000001043","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"359-360"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148410404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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