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Optimizing Management of the Second Stage of Labor: A Multicenter Randomized Controlled Trial. 优化第二产程管理：多中心随机对照试验。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-06-01 Epub Date: 2024-01-15 DOI: 10.1097/GRF.0000000000000854
Alexander M Saucedo, Alison G Cahill
{"title":"Optimizing Management of the Second Stage of Labor: A Multicenter Randomized Controlled Trial.","authors":"Alexander M Saucedo, Alison G Cahill","doi":"10.1097/GRF.0000000000000854","DOIUrl":"10.1097/GRF.0000000000000854","url":null,"abstract":"<p><p>To review the findings of the Optimizing Management of the Second Stage of Labor randomized controlled trial in the context of prior and subsequent obstetric literature. A multi-database search was performed in addition to a review of the parent trial and secondary studies. Nulliparous patients with neuraxial anesthesia randomized to either immediate or delayed pushing showed no difference in vaginal delivery rates. However, delayed pushing is associated with an increased duration of the second stage and perinatal morbidity. Patients should be appropriately counseled on the timing of second-stage pushing and the risks of prolonged second-stage labor.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466080","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
Clinical Trials That Have Changed Obstetric Practice: The Chronic Hypertension and Pregnancy (CHAP) Trial. 改变产科实践的临床试验：慢性高血压与妊娠（CHAP）试验。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-06-01 Epub Date: 2024-03-11 DOI: 10.1097/GRF.0000000000000857
Ayodeji A Sanusi, Rachel G Sinkey, Alan T N Tita
{"title":"Clinical Trials That Have Changed Obstetric Practice: The Chronic Hypertension and Pregnancy (CHAP) Trial.","authors":"Ayodeji A Sanusi, Rachel G Sinkey, Alan T N Tita","doi":"10.1097/GRF.0000000000000857","DOIUrl":"10.1097/GRF.0000000000000857","url":null,"abstract":"<p><p>We describe the evolution of treatment recommendations for chronic hypertension (CHTN) in pregnancy, the CHTN and pregnancy (CHAP) trial, and its impact on obstetric practice. The US multicenter CHAP trial showed that antihypertensive treatment for mild CHTN in pregnancy [blood pressures (BP)<160/105 mm Hg] to goal<140/90 mm Hg, primarily with labetalol or nifedipine compared with no treatment unless BP were severe reduced the composite risk of superimposed severe preeclampsia, indicated preterm birth <35 weeks, placental abruption, and fetal/neonatal death. As a result of this trial, professional societies in the United States recommended treatment of patients with CHTN in pregnancy to BP goal<140/90 mm Hg.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11062801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Beneficial Effects of Antenatal Magnesium (BEAM) Sulfate Trial. 产前硫酸镁（BEAM）的有益效果试验。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-06-01 Epub Date: 2024-02-29 DOI: 10.1097/GRF.0000000000000856
Dwight J Rouse
{"title":"The Beneficial Effects of Antenatal Magnesium (BEAM) Sulfate Trial.","authors":"Dwight J Rouse","doi":"10.1097/GRF.0000000000000856","DOIUrl":"10.1097/GRF.0000000000000856","url":null,"abstract":"<p><p>The BEAM Trial.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989535","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
Reflections on the Multicenter Randomized Trial of Treatment for Mild Gestational Diabetes. 对轻度妊娠糖尿病治疗多中心随机试验的思考。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-06-01 Epub Date: 2024-03-12 DOI: 10.1097/GRF.0000000000000858
Mark B Landon
{"title":"Reflections on the Multicenter Randomized Trial of Treatment for Mild Gestational Diabetes.","authors":"Mark B Landon","doi":"10.1097/GRF.0000000000000858","DOIUrl":"10.1097/GRF.0000000000000858","url":null,"abstract":"<p><p>After the 2006 hyperglycemia and adverse pregnancy outcomes study, which confirmed the relationship between maternal glycemia and pregnancy outcomes, the debate remained on whether treatment benefited gestational diabetes mellitus (GDM). Nonetheless, practitioners continued to universally screen for and treat women identified as GDM. To assess the benefits and harms of screening and treatment of GDM, the National Institute of Child Health and Human Development Maternal and Fetal Medicine Unit Network designed and conducted a well-designed randomized controlled trial in women with mild GDM. The trial established that treatment of GDM resulted in a significant reduction in several important perinatal and maternal outcomes.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11246703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140101188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contributors: Clinical Trials That Have Changed Obstetric Practice. 贡献者：改变产科实践的临床试验。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-06-01 Epub Date: 2024-04-29 DOI: 10.1097/01.grf.0001017340.00733.67
{"title":"Contributors: Clinical Trials That Have Changed Obstetric Practice.","authors":"","doi":"10.1097/01.grf.0001017340.00733.67","DOIUrl":"https://doi.org/10.1097/01.grf.0001017340.00733.67","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851606","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 Recruitment Pipeline: A Call to Action for Centering the Success of Under-represented Minority Trainees in Obstetrics and Gynecology. 超越招聘渠道：以妇产科中代表性不足的少数族裔受训人员的成功为中心的行动呼吁》（A Call to Action for Centering the Success of Under-represented Minority Trainees in Obstetrics and Gynecology）。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-04-29 DOI: 10.1097/grf.0000000000000872
Omar M Young, Ayana G R DeGaia, Oluwabukola Ajagbe Akingbola, Halley Staples
{"title":"Beyond the Recruitment Pipeline: A Call to Action for Centering the Success of Under-represented Minority Trainees in Obstetrics and Gynecology.","authors":"Omar M Young, Ayana G R DeGaia, Oluwabukola Ajagbe Akingbola, Halley Staples","doi":"10.1097/grf.0000000000000872","DOIUrl":"https://doi.org/10.1097/grf.0000000000000872","url":null,"abstract":"Just like all aspects of the American experience, racism has had a significant presence in Obstetrics and Gynecology (OBGYN). Black physicians in OBGYN face unique challenges in training programs, having to learn a specialty while combating racial macroaggression and microaggressions constantly and, often, in isolation. We present the stories of black OBGYNs who have sustained such an experience while also offering equitable and actionable solutions to improve clinical training environments.","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140831337","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 Role of Obstetrics and Gynecology in Shaping Sex-diverse Leadership in Medicine. 妇产科在塑造医学界性别多元化领导力中的作用。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-04-26 DOI: 10.1097/GRF.0000000000000871
A. Winkel, Nadine T Katz
{"title":"The Role of Obstetrics and Gynecology in Shaping Sex-diverse Leadership in Medicine.","authors":"A. Winkel, Nadine T Katz","doi":"10.1097/GRF.0000000000000871","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000871","url":null,"abstract":"Sex inequity persists in academic medicine. This article reviews the historical context, ongoing leadership challenges, and societal biases. The persistent barriers to sex equity in leadership roles, pay, and professional recognition are considered through the lens of obstetrics and gynecology where these issues persist despite a significant presence of women in the field. The impact of sex stereotypes, the role of intersectionality, and the need for systemic change are evident. Embracing diverse leadership styles and creating inclusive pathways to leadership will help actualize the potential benefits of a sex-diverse workforce, enhancing health care outcomes and fostering innovation.","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140653061","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
"Hypertension in Pregnancy Intervention Trial At Term" and "Disproportionate Intrauterine Growth Intervention Trial At Term" Studies. "临产妊娠高血压干预试验 "和 "临产宫内发育不全干预试验 "研究。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-04-10 DOI: 10.1097/grf.0000000000000866
Marielle G van Pampus, Joris A M van der Post, Corine J Verhoeven, Corine M Koopmans, Josje Langenveld, Kim Broekhuijsen, Catherine M W de Sonnaville, Karin van der Tuuk, Kim Boers, Henk Groen, Sylvia Vijgen, Denise Bijlenga, Sicco Scherjon, Ben W Mol
{"title":"\"Hypertension in Pregnancy Intervention Trial At Term\" and \"Disproportionate Intrauterine Growth Intervention Trial At Term\" Studies.","authors":"Marielle G van Pampus, Joris A M van der Post, Corine J Verhoeven, Corine M Koopmans, Josje Langenveld, Kim Broekhuijsen, Catherine M W de Sonnaville, Karin van der Tuuk, Kim Boers, Henk Groen, Sylvia Vijgen, Denise Bijlenga, Sicco Scherjon, Ben W Mol","doi":"10.1097/grf.0000000000000866","DOIUrl":"https://doi.org/10.1097/grf.0000000000000866","url":null,"abstract":"In 2003, in the context of a national research funding program in which obstetric research was prioritized, several perinatal centers took the initiative to jointly submit a number of applications to the subsidy programs of Effectiveness Research and Prevention of ZonMw. This has led to the funding of the Obstetric Consortium with several projects, including the \"Hypertension in Pregnancy Intervention Trial At Term\" and the \"Disproportionate Intrauterine Growth Intervention Trial At Term\" studies. The studies showed that induction of labor for hypertension and growth restriction at term was the appropriate management. Subsequent implementation improved maternal and perinatal outcomes.","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140598927","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 Career Reflections. 前言 职业反思
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-04-10 DOI: 10.1097/GRF.0000000000000869
James R Scott, S. Gabbe
{"title":"Foreword Career Reflections.","authors":"James R Scott, S. Gabbe","doi":"10.1097/GRF.0000000000000869","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000869","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140717009","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 Long Road is Never Lonely. 长路不寂寞
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-04-09 DOI: 10.1097/grf.0000000000000864
Lauren A Gimbel
{"title":"The Long Road is Never Lonely.","authors":"Lauren A Gimbel","doi":"10.1097/grf.0000000000000864","DOIUrl":"https://doi.org/10.1097/grf.0000000000000864","url":null,"abstract":"An early reflection on a career just begun.","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140599419","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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