Clinical obstetrics and gynecology最新文献

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Foreword: Update on Sexually Transmitted Diseases in Women. 前言:妇女性传播疾病研究进展。
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.0000000000000948
Patrick S Ramsey, Angela R Boyd
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引用次数: 0
Placental Abruption: Pathophysiology, Diagnosis, and Management. 胎盘早剥:病理生理学、诊断和处理。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-03-01 Epub Date: 2024-11-18 DOI: 10.1097/GRF.0000000000000903
Emily Schneider, Wendy L Kinzler
{"title":"Placental Abruption: Pathophysiology, Diagnosis, and Management.","authors":"Emily Schneider, Wendy L Kinzler","doi":"10.1097/GRF.0000000000000903","DOIUrl":"10.1097/GRF.0000000000000903","url":null,"abstract":"<p><p>Placental abruption is a complete or partial separation of the placenta from the uterine decidua. Clinical manifestations include vaginal bleeding, abdominal pain, uterine contractions, and abnormalities in the fetal heart rate tracing. Placental abruption occurs in 0.4% to 1.0% of all pregnancies. However, the pathophysiology remains incompletely understood. We present a review of the pathophysiology, diagnosis, and management of placental abruption, exploring overlapping processes which contribute to premature placental separation. Classic findings and limitations of ultrasound in evaluating placental abruption are explained. Finally, we discuss the management of placental abruption based on gestational age, fetal status, and maternal hemodynamic stability.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"98-104"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945776","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
Female Sexual Health and Cancer. 女性性健康与癌症。
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":"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
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
Index. 索引。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-03-01 Epub Date: 2025-01-23 DOI: 10.1097/01.grf.0001098456.64729.fa
{"title":"Index.","authors":"","doi":"10.1097/01.grf.0001098456.64729.fa","DOIUrl":"https://doi.org/10.1097/01.grf.0001098456.64729.fa","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"68 1","pages":"148-150"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022467","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
Menopause and Sexual Health: Hormones, Aging or Both? 更年期与性健康:激素、衰老还是两者兼而有之?
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.0000000000000910
Rossella E Nappi, Laura Cucinella
{"title":"Menopause and Sexual Health: Hormones, Aging or Both?","authors":"Rossella E Nappi, Laura Cucinella","doi":"10.1097/GRF.0000000000000910","DOIUrl":"10.1097/GRF.0000000000000910","url":null,"abstract":"<p><p>Sexual health is multidimensional across the lifespan. At midlife, women may face challenges to sexuality, often requiring intervention. Menopause-related and age-related hormonal changes intermingle with common medical conditions and contribute to biological substrates less favorable to a healthy sexual response. Psychological, sociocultural, and relational factors modulate the impact of such changes positively or negatively, contributing to adaptation or manifestation of sexually related distress. A comprehensive diagnostic approach and multidimensional management are needed to address sexual symptoms due to both menopause and aging, individualizing non-pharmacological and pharmacological evidence-based treatment options according to personal goals and expectations in the woman/couple.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"44-50"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766900","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 Previa. 胎盘后。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-03-01 Epub Date: 2024-12-10 DOI: 10.1097/GRF.0000000000000911
Yinka Oyelese, Scott A Shainker
{"title":"Placenta Previa.","authors":"Yinka Oyelese, Scott A Shainker","doi":"10.1097/GRF.0000000000000911","DOIUrl":"10.1097/GRF.0000000000000911","url":null,"abstract":"<p><p>Placenta previa is an important and potentially life-threatening cause of bleeding. Historically, it was a major contributor to maternal mortality until advancements in obstetric care, including prenatal ultrasound, cesarean delivery, and transfusion medicine, drastically improved outcomes. Today, placenta previa is typically identified during routine second-trimester ultrasound, with the overwhelming majority of cases resolving before term. Key risk factors include prior cesarean delivery, advanced maternal age, and smoking. When placenta previa is diagnosed, it is essential to assess for associated conditions like placenta accreta and vasa previa. A planned cesarean delivery is recommended in cases that persist into the late third trimester.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"86-92"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799533","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
Pelvic Floor Physical Therapy and Female Sexual Dysfunction. 盆底物理治疗与女性性功能障碍。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-03-01 Epub Date: 2024-12-20 DOI: 10.1097/GRF.0000000000000907
Stephanie A Prendergast, Jandra Mueller
{"title":"Pelvic Floor Physical Therapy and Female Sexual Dysfunction.","authors":"Stephanie A Prendergast, Jandra Mueller","doi":"10.1097/GRF.0000000000000907","DOIUrl":"10.1097/GRF.0000000000000907","url":null,"abstract":"<p><p>The pelvic floor muscles, integral to urinary, bowel, and sexual function, can cause various symptoms when impaired, including pelvic pain, bowel and bladder dysfunction, incontinence, pelvic organ prolapse, and sexual dysfunction. This chapter explores pelvic floor anatomy, symptoms, and associated diagnoses. It provides screening tools for OBGYNs to use in practice, language to help address patient fears around sexual dysfunction, and emphasizes the role of pelvic floor physical and occupational therapy in treating these conditions.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"37-43"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863552","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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