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Clinical obstetrics and gynecology最新文献

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In-utero Therapy for Fetal Aqueductal Stenosis. 胎儿导水管狭窄的宫内治疗。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-04-29 DOI: 10.1097/GRF.0000000000000926
Stephen P Emery, Stephanie Greene, Youngjae Chun, Tiffany E Deihl, Nika M Hazen
{"title":"In-utero Therapy for Fetal Aqueductal Stenosis.","authors":"Stephen P Emery, Stephanie Greene, Youngjae Chun, Tiffany E Deihl, Nika M Hazen","doi":"10.1097/GRF.0000000000000926","DOIUrl":"10.1097/GRF.0000000000000926","url":null,"abstract":"<p><p>Advances in prenatal diagnosis, bioengineering, and minimally invasive surgical techniques have led investigators to reconsider in-utero therapy for fetal aqueductal stenosis, a form of congenital hydrocephalus that has been held under a moratorium since the 1980s. This article will review the definition, history, prenatal diagnosis, contemporary management, and future directions in clinical and basic science research for in-utero intervention for fetal aqueductal stenosis.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"448-452"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984339","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
Fetal Therapy for Renal Anomalies and Anhydramnios. 胎儿治疗肾异常和羊水不足。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-07-07 DOI: 10.1097/GRF.0000000000000956
Percy Pacora-Portella, Edgar Hernandez-Andrade, Anthony Johnson
{"title":"Fetal Therapy for Renal Anomalies and Anhydramnios.","authors":"Percy Pacora-Portella, Edgar Hernandez-Andrade, Anthony Johnson","doi":"10.1097/GRF.0000000000000956","DOIUrl":"10.1097/GRF.0000000000000956","url":null,"abstract":"<p><p>Congenital anomalies of the kidneys and urinary tract (CAKUT) are developmental defects affecting 1 in 465 live births and constitute 28% to 33% of neonatal ultrasound anomalies. CAKUT is a major contributor to chronic kidney disease in children and is the leading cause of end-stage kidney disease (ESKD) in this population, accounting for 40% to 50% of cases. Amniotic fluid volume reflects renal function. CAKUT that decreases amniotic fluid can result in serious complications. Although treatments such as amnioinfusion, vesicoamniotic shunting, and cystoscopy shows promise, they carry risks and uncertain long-term outcomes. This highlights the importance of further research to improve management of these conditions.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"399-414"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144574928","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
Creating Safe Spaces in Gynecology for Transgender and Gender-diverse People. 为跨性别者和性别多样化者创造妇科安全空间。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-08-14 DOI: 10.1097/GRF.0000000000000962
John Hayden, Emile Redwood, Angela Chaudhari
{"title":"Creating Safe Spaces in Gynecology for Transgender and Gender-diverse People.","authors":"John Hayden, Emile Redwood, Angela Chaudhari","doi":"10.1097/GRF.0000000000000962","DOIUrl":"10.1097/GRF.0000000000000962","url":null,"abstract":"<p><p>Transgender and gender-diverse patients seeking gynecologic care often have significant barriers to receiving inclusive care. These barriers can occur at every step of the care process from making appointments to seeing a clinician to reading a progress note in the medical record. By recognizing the shortcomings of current care models and incorporating inclusive practices into daily workflows, safer spaces can be achieved for patients obtaining gynecologic care.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"68 3","pages":"322-327"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144844773","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
Fertility Preservation for Transgender and Gender-diverse Individuals: Current Practices and Future Directions. 跨性别和性别多样化个体的生育保护：当前实践和未来方向。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-08-14 DOI: 10.1097/GRF.0000000000000950
Alexandra Minnihan, Dana Baraki, Mindy S Christianson
{"title":"Fertility Preservation for Transgender and Gender-diverse Individuals: Current Practices and Future Directions.","authors":"Alexandra Minnihan, Dana Baraki, Mindy S Christianson","doi":"10.1097/GRF.0000000000000950","DOIUrl":"10.1097/GRF.0000000000000950","url":null,"abstract":"<p><p>It is recommended that transgender individuals undergo fertility preservation counseling before initiating gender-affirming hormone therapy and gender-affirming surgery. Counseling should include reviewing both the short-term and long-term impacts of medical and surgical therapy on fertility, as well as fertility preservation and assisted reproduction options for current or future reproduction. Fertility preservation options for transgender males include embryo, oocyte, and ovarian tissue cryopreservation, and options for transgender females include sperm cryopreservation. Testicular tissue cryopreservation is the only option available for prepubertal males and is considered experimental at this time.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"68 3","pages":"340-346"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144844774","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
Prenatal Diagnosis, In Utero Management, and Perinatal Outcomes of Congenital Diaphragmatic Hernia. 先天性膈疝的产前诊断、子宫内处理和围产儿结局。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-04-29 DOI: 10.1097/GRF.0000000000000946
Felicia V LeMoine, Sami Backley, Edgar Hernandez-Andrade, Neha Agarwal, Eric P Bergh, Gustavo Vilchez Lagos, Ramesha Papanna, Sarah Naranjo, Anthony Johnson, Jimmy Espinoza
{"title":"Prenatal Diagnosis, In Utero Management, and Perinatal Outcomes of Congenital Diaphragmatic Hernia.","authors":"Felicia V LeMoine, Sami Backley, Edgar Hernandez-Andrade, Neha Agarwal, Eric P Bergh, Gustavo Vilchez Lagos, Ramesha Papanna, Sarah Naranjo, Anthony Johnson, Jimmy Espinoza","doi":"10.1097/GRF.0000000000000946","DOIUrl":"10.1097/GRF.0000000000000946","url":null,"abstract":"<p><p>Congenital diaphragmatic hernia (CDH) is a complex malformation complicating 0.02% to 0.03% of live births. The etiology of CDH is often multifactorial. Sonographic screening can aid in the detection of ~70% of CDH cases. Sonographic measures, that is, lung-to-head ratio, can also be utilized to predict the severity of fetal/neonatal disease and guide fetal eligibility for prenatal interventions, such as the FETO procedure. The FETO procedure has provided improved overall morbidity and mortality among fetuses with severe left-sided CDH, although limited data on its role in the treatment of right-sided CDH and long-term infant and childhood outcomes are limited.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"387-398"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964502","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
Fetal Anemia: A Narrative Review of Current Clinical Approaches. 胎儿贫血：当前临床方法的叙述回顾。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-07-01 DOI: 10.1097/GRF.0000000000000949
Enaja V Sambatur, May Abiad, Faezeh Aghajani, Alireza A Shamshirsaz
{"title":"Fetal Anemia: A Narrative Review of Current Clinical Approaches.","authors":"Enaja V Sambatur, May Abiad, Faezeh Aghajani, Alireza A Shamshirsaz","doi":"10.1097/GRF.0000000000000949","DOIUrl":"10.1097/GRF.0000000000000949","url":null,"abstract":"<p><p>Fetal anemia encompasses a wide range of etiologies, most notably red cell alloimmunization, and poses serious risks to fetal and neonatal health if unrecognized. This narrative review outlines the pathophysiology, screening strategies, and evolving diagnostic tools such as noninvasive genotyping and MCA Doppler. We examine immunomodulatory therapies like IVIg and nipocalimab, and discuss technical considerations for intrauterine transfusions. Finally, we address neonatal management and long-term outcomes. With increasing access to prenatal diagnostics and targeted interventions, timely recognition and treatment of fetal anemia can significantly improve perinatal survival and reduce complications.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"415-424"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539249","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
Future Directions in Enhanced Recovery After Surgery (ERAS) for Gynecologic Surgery. 提高妇科手术后恢复的未来方向。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-08-28 DOI: 10.1097/GRF.0000000000000967
Leah Rusnell, Gregg Nelson
{"title":"Future Directions in Enhanced Recovery After Surgery (ERAS) for Gynecologic Surgery.","authors":"Leah Rusnell, Gregg Nelson","doi":"10.1097/GRF.0000000000000967","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000967","url":null,"abstract":"<p><p>Enhanced recovery after surgery (ERAS) represents a global, multidisciplinary surgical quality improvement initiative to improve preoperative, intraoperative, and postoperative patient care with demonstrable economic benefit. In this narrative review, we outline 5 innovative ERAS initiatives, including an improved surgical safety checklist, ongoing advocacy for same-day discharge postoperatively, the role of application-based telehealth in supporting patients after hospital discharge, patient engagement in ERAS protocols and appropriate postoperative opioid prescribing. These innovative strategies are applicable to a broad array of disciplines; however, our focus in this paper is within the fields of gynecology and gynecologic oncology.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945376","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
Anesthetic Considerations and Blood Utilization for Placenta Accreta Spectrum. 胎盘增生谱的麻醉注意事项和血液利用。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-06-01 Epub Date: 2024-12-11 DOI: 10.1097/GRF.0000000000000921
Philip E Hess, Yunping Li
{"title":"Anesthetic Considerations and Blood Utilization for Placenta Accreta Spectrum.","authors":"Philip E Hess, Yunping Li","doi":"10.1097/GRF.0000000000000921","DOIUrl":"10.1097/GRF.0000000000000921","url":null,"abstract":"<p><p>The anesthetic management of the patient with placenta accreta spectrum begins before surgery by assessing the patient and their comorbidities and providing psychological preparation for the perioperative period. Choosing neuraxial or general anesthesia for surgery balances the procedure's clinical needs with the patient's desires. Intraoperatively, management of homeostasis during acute blood loss requires assessments of central volume to avoid over-transfusion. Viscoelastic testing may be useful to assess coagulation to target the replacement of coagulation factors. Postoperative care is an essential continuum of the procedure, and the availability of bedside ultrasound can aid rapid decision-making.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"275-282"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806316","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
Recent Advances in Diagnosis and Management of Cesarean Scar Pregnancy. 剖宫产瘢痕妊娠的诊断与治疗新进展。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-06-01 Epub Date: 2025-04-21 DOI: 10.1097/GRF.0000000000000943
Lorenza Della Valle, Alessandro Lucidi, Marina Piergianni, Francesco D'Antonio
{"title":"Recent Advances in Diagnosis and Management of Cesarean Scar Pregnancy.","authors":"Lorenza Della Valle, Alessandro Lucidi, Marina Piergianni, Francesco D'Antonio","doi":"10.1097/GRF.0000000000000943","DOIUrl":"10.1097/GRF.0000000000000943","url":null,"abstract":"<p><p>Cesarean scar pregnancy (CSP) is among the most severe iatrogenic complications of cesarean delivery (CD) and is associated with a high risk of severe hemorrhage, uterine rupture, and progression towards placenta accreta spectrum disorders. Prenatal diagnosis of CSP has been recently standardized through a modified Delphi consensus, which also allows risk stratification according of this anomaly. However, several issues on the management of CSP are still under debate. The aim of the present review is to provide an up-to-date on the diagnosis and management of CSP.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"234-241"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987798","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
Imaging Modalities for the Diagnosis of Placenta Accreta Spectrum. 胎盘增生谱的影像学诊断。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-06-01 Epub Date: 2025-04-21 DOI: 10.1097/GRF.0000000000000940
Jerri Waller, Alfred Abuhamad
{"title":"Imaging Modalities for the Diagnosis of Placenta Accreta Spectrum.","authors":"Jerri Waller, Alfred Abuhamad","doi":"10.1097/GRF.0000000000000940","DOIUrl":"10.1097/GRF.0000000000000940","url":null,"abstract":"<p><p>Placenta accreta spectrum (PAS) is the result of the invasion of the placental trophoblasts into the myometrium. The rate of PAS continues to increase due to the increased number of cesarean sections. Other risk factors include increasing maternal age, multiparity, uterine surgeries, and placenta previa. Due to the high risk of maternal morbidity and mortality, prenatal diagnosis is essential to ensure proper resources and surgical planning before delivery. Ultrasound is considered the gold standard for diagnosis of PAS. Ultrasound findings include placental lacuna, loss of placental clear space, lower uterine segment thickness, and increased vascularity between the placenta and bladder.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"242-250"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962319","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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