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Clinical obstetrics and gynecology最新文献

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HIV Infections and Prevention in Women.
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-03-25 DOI: 10.1097/GRF.0000000000000939
Anna M Powell
{"title":"HIV Infections and Prevention in Women.","authors":"Anna M Powell","doi":"10.1097/GRF.0000000000000939","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000939","url":null,"abstract":"<p><p>This paper examines the challenges and advancements related to human immunodeficiency virus (HIV) in women, focusing on incidence, disparities, and reproductive health. HIV disproportionately affects Black women, with socioeconomic and health care access factors worsening outcomes. Pre-exposure prophylaxis (PrEP) is promising but underutilized due to awareness and accessibility issues. Contraception access and abortion care remain limited for women living with HIV, while menopause poses additional health risks. Future directions in research and policy call for expanded prevention, improved health care services, and greater support for reproductive and menopausal care, aiming to enhance health care equity and quality of life for women affected by HIV.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699880","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
Pathologic Diagnosis of Placenta Accreta Spectrum.
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-03-20 DOI: 10.1097/GRF.0000000000000924
Katelyn Dannheim
{"title":"Pathologic Diagnosis of Placenta Accreta Spectrum.","authors":"Katelyn Dannheim","doi":"10.1097/GRF.0000000000000924","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000924","url":null,"abstract":"<p><p>In an effort to parallel the terminology and guidelines adopted by the International Federation of Gynecology and Obstetrics (FIGO) and published in July 2019, a panel of expert obstetric and perinatal pathologists (the Placenta Accreta Task Force) was convened within the Perinatal Subcommittee of the Society for Pediatric Pathology (SPP) in October 2019 to create consensus recommendations for the pathologic diagnosis and reporting of Placenta Accreta Spectrum (PAS). This chapter will discuss the approach to gross and histopathologic examination of PAS, standardized pathologic classification system, and reporting guidelines.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662952","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
Placenta Accreta Spectrum Care in Middle-Resource Settings.
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-03-11 DOI: 10.1097/GRF.0000000000000935
Albaro J Nieto-Calvache, José M Palacios-Jaraquemada, Rozi A Aryananda, Ahmed M Hussein
{"title":"Placenta Accreta Spectrum Care in Middle-Resource Settings.","authors":"Albaro J Nieto-Calvache, José M Palacios-Jaraquemada, Rozi A Aryananda, Ahmed M Hussein","doi":"10.1097/GRF.0000000000000935","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000935","url":null,"abstract":"<p><p>Management of the placenta accreta spectrum (PAS) in resource-limited settings poses significant challenges. Traditional approaches, which often involve hysterectomy and extensive technology in all the patients are being replaced by individualized treatment plans considering each patient's specific clinical situation, available resources, and team expertise. Using ultrasonographic and surgical staging based on PAS topographic classification can help design tailored surgical plans and optimize resource use. This article explores the need for personalized PAS management, safe surgical option selection, and how medical teams can adapt to provide more versatile treatment options in resource-constrained environments.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604219","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
Sexually Transmitted Infection Considerations for Transgender and Gender Expansive Persons.
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-03-06 DOI: 10.1097/GRF.0000000000000934
Lydia A Fein, Staci Marbin, Rebecca Barnett, Makella Coudray
{"title":"Sexually Transmitted Infection Considerations for Transgender and Gender Expansive Persons.","authors":"Lydia A Fein, Staci Marbin, Rebecca Barnett, Makella Coudray","doi":"10.1097/GRF.0000000000000934","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000934","url":null,"abstract":"<p><p>Transgender and gender expansive persons (TGE) are at increased risk for sexually transmitted infections (STIs) compared with other demographic groups and face barriers to health care access that may limit their ability to obtain testing and treatment. Herein, we highlight unique, yet vital, aspects of STI screening and treatment in TGE persons utilizing a gender-affirming care approach, including best practices for gender-inclusive care and special considerations for TGE persons who have undergone gender-affirming hormone therapy and/or surgery. Opportunities exist to improve sexual health in TGE persons, which can be achieved through culturally competent, gender inclusive STI testing and treatment.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566228","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
Monochorionic Twin Gestation.
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-03-05 DOI: 10.1097/GRF.0000000000000927
Taylor Pitt, Ramen H Chmait, Martha A Monson
{"title":"Monochorionic Twin Gestation.","authors":"Taylor Pitt, Ramen H Chmait, Martha A Monson","doi":"10.1097/GRF.0000000000000927","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000927","url":null,"abstract":"<p><p>Care of the pregnant patient with monochorionic (MC) twin gestation entails specific steps that are imperative in recognizing complications that are unique to MC placentation. Here, we will review recommendations for care of the patient with known MC twin gestation, as well as discuss the pathophysiology, diagnosis, and management of these complications including, but not limited to, twin-twin transfusion syndrome (TTTS), twin anemia-polycythemia sequence (TAPS), selective fetal growth restriction (SFGR), and twin reversed arterial perfusion (TRAP) sequence.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556038","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
Ethical Considerations for Maternal-Fetal Interventions: Innovation, Research, and Oversight.
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-03-05 DOI: 10.1097/GRF.0000000000000936
Michele D Anzabi, Claudio Schenone, Steven J Ralston, Christy L Cummings
{"title":"Ethical Considerations for Maternal-Fetal Interventions: Innovation, Research, and Oversight.","authors":"Michele D Anzabi, Claudio Schenone, Steven J Ralston, Christy L Cummings","doi":"10.1097/GRF.0000000000000936","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000936","url":null,"abstract":"<p><p>Advances in prenatal diagnostics, imaging, and surgical techniques have accelerated maternal-fetal interventions (MFI), fetal care centers, and expanded options for families. Progress in this field has also raised ethical issues surrounding maternal autonomy, informed consent and decision-making, innovation versus research, equitable access, and disability and reproductive rights. We review ethical frameworks to evaluate MFIs, from innovation to research and, ideally, clinical practice. Necessary oversight and resources are summarized to promote ethical, equitable innovation and research while protecting maternal autonomy and supporting the informed consent and decision-making process. Additional implications amidst abortion restrictions are discussed, along with areas for future research.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556034","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
Female Sexual Health and Cancer.
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-03-01 Epub Date: 2025-01-23 DOI: 10.1097/GRF.0000000000000918
Sharon L Bober, Sandy J Falk
{"title":"Female Sexual Health and Cancer.","authors":"Sharon L Bober, Sandy J Falk","doi":"10.1097/GRF.0000000000000918","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000918","url":null,"abstract":"<p><p>As the majority of female cancer survivors can now expect to live long lives beyond cancer diagnosis and treatment, there is a growing need to address the significant late effects of treatment. Unfortunately, sexual health remains a primary concern that often goes unaddressed among female cancer survivors. Sexual dysfunction is one of the most common and distressing effects of treatment. Management of issues related to sexual health and sexual function depends upon the type of malignancy, stage and other tumor characteristics, treatment, and the history, concerns, and goals of the individual patient.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"68 1","pages":"51-59"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022465","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
Rare Pathologic Placenta Ultrasound Findings. 罕见的胎盘超声病理发现。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-03-01 Epub Date: 2024-12-02 DOI: 10.1097/GRF.0000000000000912
Edgar Hernandez-Andrade, Donatella Gerulewicz-Vannini, Eleazar E Soto-Torres, Ramesha Papanna
{"title":"Rare Pathologic Placenta Ultrasound Findings.","authors":"Edgar Hernandez-Andrade, Donatella Gerulewicz-Vannini, Eleazar E Soto-Torres, Ramesha Papanna","doi":"10.1097/GRF.0000000000000912","DOIUrl":"10.1097/GRF.0000000000000912","url":null,"abstract":"<p><p>Rare ultrasound placenta findings, such as avascular cystic lesions, hyperechogenic and thick placenta, and enlarged placenta, are associated with infarcts, perivillous fibrin deposition, and mesenchymal dysplasia. These lesions can be present in 20% of normal pregnancies but are more frequent in pregnant women with pre-eclampsia (PE) and/or fetal growth restriction, autoimmune diseases, and infections, and can increase the risk of perinatal complications, including fetal death. Evaluation of the placental surface may also identify cases with circumvallate placenta and chorioangiomas. These rare placental findings require close clinical follow-up and serial fetal evaluations to identify those at a higher risk of abnormal perinatal outcomes.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"139-147"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766910","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
Orgasmic Disorders. 性高潮障碍。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-03-01 Epub Date: 2024-12-09 DOI: 10.1097/GRF.0000000000000917
Annamaria Giraldi
{"title":"Orgasmic Disorders.","authors":"Annamaria Giraldi","doi":"10.1097/GRF.0000000000000917","DOIUrl":"10.1097/GRF.0000000000000917","url":null,"abstract":"<p><strong>Aim: </strong>To describe orgasm disorders in women.</p><p><strong>Results: </strong>Orgasmic problems are prevalent in women, and many experience distress related to the condition. The problem often co-exist with other sexual disorders and can be caused by many biopsychocial factors. A comprehensive assessment focusing on biopsychosocial factors contributing to the orgasmic problem is necessary. This includes a sexological, medical, and psychological history. Treatment should include cognitive and behavioral interventions, which may include the partner. No pharmacological treatment is approved to treat orgasmic disorders in women.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"15-20"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799574","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
Umbilical Cord Abnormalities. 脐带异常。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-03-01 Epub Date: 2024-12-19 DOI: 10.1097/GRF.0000000000000915
Michael G Pinette, Maria Tropepe
{"title":"Umbilical Cord Abnormalities.","authors":"Michael G Pinette, Maria Tropepe","doi":"10.1097/GRF.0000000000000915","DOIUrl":"10.1097/GRF.0000000000000915","url":null,"abstract":"<p><p>The umbilical cord is the connection between mother and fetus through which gases and nutrients are exchanged. It's remarkable structure allows for freedom of movement while providing a cushioned, protected conduit from mother to fetus. Fetal development and survival are dependent upon the umbilical cord. This article reviews abnormalities of the umbilical cord that can be seen with structural and chromosomal abnormalities and altered umbilical cord flow associated with fetal growth restriction and poor pregnancy outcomes.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"111-118"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853315","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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