European journal of obstetrics, gynecology, and reproductive biology最新文献

{"title":"Ob/Gyn physician perspectives on maintenance of certification","authors":"Brent W. Bost ,&nbsp;Jillian Harvey ,&nbsp;Elinor Borgert ,&nbsp;Jami Jones","doi":"10.1016/j.ejogrb.2025.113974","DOIUrl":"10.1016/j.ejogrb.2025.113974","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate physician perspectives on the current maintenance of certification (MOC) activities utilized by the American Board of Obstetrics and Gynecology (ABOG).</div></div><div><h3>Study design</h3><div>We performed a convergent mixed methods study, using parallel quantitative and qualitative data collected via the internet plus paper surveys of a nationwide sample of Obstetrics and Gynecology physicians from November 12 to December 13, 2024. The questionnaire included 23 items about various aspects of maintenance of certification, physician burnout and demographics. Three open-ended questions regarding the pros and cons of MOC and recommendations for improvement were also included.</div></div><div><h3>Results</h3><div>Of the 5,083 requests sent, we received 503 responses (response rate 9.9 %), 54 were excluded because they do not participate in MOC through ABOG. Of the 449 remaining respondents, a significant majority of physicians reported that MOC was valuable relative to their time spent (62.8 %) and relevant to caring for their patients (77.8 %). Most respondents felt that MOC aided their professional development (70.3 %), lifelong learning (64.3 %) and patient safety (53.3 %). Conversely, forty-six percent of respondents perceived MOC activities as a burden. Over half of physicians presently experience burnout (54.1 %) and one-third of these felt MOC was a major contributor. Extending the recertification cycle to 2-years was supported by 61.8 % of respondents and to a 3-year cycle by 46 %. The most common suggestions for improving MOC were extending the time for recertification and stopping or overhauling the Practice Improvement/Chart Review activities.</div></div><div><h3>Conclusion</h3><div>Most Ob/Gyn physicians view the current MOC process as valuable and relevant to their practice of Medicine. However, most respondents also felt the process could be improved.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"310 ","pages":"Article 113974"},"PeriodicalIF":2.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855680","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}

{"title":"Respiratory syncytial virus vaccination in pregnancy – Position statement by the European board and college of obstetrics and gynaecology (EBCOG)","authors":"Diana Ramasauskaite ,&nbsp;Charles Savona-Ventura ,&nbsp;Meile Minkauskiene ,&nbsp;Tahir Mahmood","doi":"10.1016/j.ejogrb.2025.113978","DOIUrl":"10.1016/j.ejogrb.2025.113978","url":null,"abstract":"<div><div>The European Board and College of Obstetrics and Gynaecology (EBCOG) expresses its concerns on the morbidity associated with respiratory syncytial virus (RSV) infections in pregnant women and their infants. This position statement reviews the role of maternal vaccination against RSV during the third trimester of pregnancy to reduce the morbidity of RSV in both mother and child. The EBCOG Standing Committee on Standards of Care and Position Statements endorses the recommendation for the administration of 120 μg of a bivalent RSV prefusion F protein–based (RSVpreF) vaccine to pregnant women early in the third trimester. This provides protection against RSV and its attendant comorbidities both to the mother and the infant. Repeat RSV vaccination in subsequent pregnancies is not recommended due to lack of data. regular targeted vaccination of pregnant women.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"310 ","pages":"Article 113978"},"PeriodicalIF":2.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859285","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}

{"title":"Sleep quality in late pregnancy is associated with maternal mental health in the early postpartum period","authors":"Rikke Brandt Bangsgaard ,&nbsp;Stinne Høgh ,&nbsp;Camilla Borgsted ,&nbsp;Eleonora Cvetanovska ,&nbsp;Anja Pinborg ,&nbsp;Hanne Hegaard ,&nbsp;Emma S. Høgsted ,&nbsp;Vibe G. Frokjaer","doi":"10.1016/j.ejogrb.2025.113980","DOIUrl":"10.1016/j.ejogrb.2025.113980","url":null,"abstract":"<div><h3>Objective</h3><div>Several studies suggest an association between poor sleep quality during late pregnancy and postpartum depressive symptoms. However, so far no studies have comprehensively examined how sleep quality during pregnancy might impact overall mental well-being postpartum. This study aimed to investigate if sleep quality in pregnancy is associated with postpartum mental well-being, and/or with hormonal fluctuations, immune status, and parity.</div></div><div><h3>Methods</h3><div>We used data from 56 healthy women acquired in late pregnancy and five weeks postpartum. Sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI), and mental well-being was measured with the World Health Organization Well-Being Index (WHO-5) as the primary outcome. Secondary outcomes included the Total Mood Disturbance (TMD) Score of the Profile of Mood States (POMS) and the Edinburgh Postnatal Depression Scale (EPDS) sum score. Blood samples for estradiol and high-sensitivity C-reactive protein (hsCRP) analysis were taken on the day of delivery and five weeks postpartum.</div></div><div><h3>Results</h3><div>We found a significant association between poor sleep quality in late pregnancy and lower levels of mental well-being five weeks postpartum (p = 0.02). Post hoc analyses showed a significant interaction with parity in this association (p = 0.016) such that multiparous women appeared more affected by poor sleep quality in late pregnancy. Sleep quality pre- and postpartum were highly correlated (p &gt; 0.001). Meanwhile, hormonal and inflammatory markers did not significantly interact with sleep quality and postpartum well-being.</div></div><div><h3>Conclusion</h3><div>Sleep quality in late pregnancy is associated with maternal mental health early postpartum and this phenomenon appeared to be most pronounced for multiparous women.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"311 ","pages":"Article 113980"},"PeriodicalIF":2.1,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902453","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}

{"title":"How to influence rising caesarean section rates in Europe? An invited scientific review by European Board and College of Obstetrics and Gynaecology (EBCOG)","authors":"Petr Velebil ,&nbsp;Charles Savona-Ventura ,&nbsp;Mehreen Zaigham ,&nbsp;Tahir Mahmood ,&nbsp;Juriy Wladimiroff ,&nbsp;Frank Louwen","doi":"10.1016/j.ejogrb.2025.113979","DOIUrl":"10.1016/j.ejogrb.2025.113979","url":null,"abstract":"<div><div>Over the past two decades, caesarean section rates have been steadily increasing with rates are now approaching 55% in some European countries. While caesarean section remains one of the most critical obstetric interventions, often lifesaving for both mother and newborn, it also carries significant risks for maternal and neonatal health. The growing reliance on caesarean birth is further linked to a marked decline in instrumental births, thereby limiting opportunities for future obstetric trainees to acquire essential clinical skills. This invited review offers evidence-based recommendations aimed at safely reducing the incidence of caesarean sections, without compromising the quality of care provided during childbirth.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"311 ","pages":"Article 113979"},"PeriodicalIF":2.1,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903947","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}

{"title":"Development and validation of a body image scale for Polycystic Ovary Syndrome","authors":"Yingzhu Huang ,&nbsp;Zhengjie Wang ,&nbsp;Zhongsheng Hu ,&nbsp;Lialian Wang ,&nbsp;Lili Yu ,&nbsp;Yuanjia Hu ,&nbsp;Lichang Sun ,&nbsp;Jialing Yang ,&nbsp;Xun Lei","doi":"10.1016/j.ejogrb.2025.113977","DOIUrl":"10.1016/j.ejogrb.2025.113977","url":null,"abstract":"<div><h3>Background</h3><div>Research on body image in women with polycystic ovary syndrome (PCOS) has increased due to its significant physical and psychological impact.The aim of this study was to develop and validate the Polycystic Ovary Syndrome Body Image Scale (PCOSBIS).</div></div><div><h3>Design</h3><div>An instrument development and validation study was completed in the following three phases: (Ⅰ) the generation and revision of the item, (Ⅱ) the preliminary reduction of items and construct validation (Ⅲ) the psychometric evaluation of the scale.</div></div><div><h3>Methods</h3><div>Data were collected from April to September in 2024. An item pool was generated through literature review, Delphi expert consultation, and interviews with 21 PCOS patients. The instrument-verification phase surveyed 400 PCOS patients from three tertiary general hospitals. Exploratory factor analysis and confirmatory factor analysis were conducted, and criterion validity, internal consistency, and test–retest reliability were assessed.</div></div><div><h3>Results</h3><div>The PCOSBIS was comprised six dimensions with 23 items, accounting for 70.79 % of the variance. Confirmatory factor analysis showed a good model fit. PCOSBIS exhibited strong reliability (α = 0.92) and test–retest stability. As expected, the PCOSBIS is positively correlated with the Connor-Davidson Resilience Scale (CD-RISC) and Medical Outcomes Study Short-Form 36-Item Health Survey (SF-36). Analysis of 400 patients’ score revealed a mean score of 48.60 ± 10.85, with the lowest score in ‘Physiological Function Satisfaction.’</div></div><div><h3>Conclusion</h3><div>PCOSBIS exhibits robust psychometric properties, making it a valuable tool for assessing body image disturbances in PCOS patients.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"310 ","pages":"Article 113977"},"PeriodicalIF":2.1,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143837899","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}

{"title":"Upfront and interval debulking surgery in advanced/metastatic endometrial cancer in the era of molecular classification","authors":"Fabio Caiazzo ,&nbsp;Francesco Raspagliesi ,&nbsp;Valentina Chiappa ,&nbsp;Simone Bruni ,&nbsp;Lorenzo Ceppi ,&nbsp;Giorgio Bogani","doi":"10.1016/j.ejogrb.2025.113958","DOIUrl":"10.1016/j.ejogrb.2025.113958","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate oncologic outcomes and prognostic factors of the different molecular subtypes of advanced/metastatic endometrial cancer treated with primary debulking surgery (PDS) or neoadjuvant chemotherapy (NACT) followed by interval debulking surgery (IDS).</div></div><div><h3>Methods</h3><div>We conducted a retrospective analysis of patients with endometrial cancer and peritoneal carcinomatosis and/or “bulky” nodal metastasis surgically treated between September 2010 and February 2024. Survival outcomes were compared across four molecular subtypes (p53-mutant, MMR-deficient, NSMP, and POLE-mutant) and surgical approaches.</div></div><div><h3>Results</h3><div>Overall, 51 patients with stage IIIC-IVB endometrial cancer underwent surgical treatment. Thirty-six (70.5 %) patients had PDS followed by adjuvant chemotherapy, while fifteen (29.5 %) received NACT followed by IDS. Most patients in both groups had FIGO stage IVB disease: 24 (66.6 %) in the PDS group and 14 (93.3 %) in the IDS group. Complete cytoreduction was achieved in 83.3 % of the PDS group and 40 % of the IDS group, with no significant differences in postoperative morbidity between the groups. Molecular profiling data were available for most patients, with p53-mutated tumors being the most common subtype (36.1 % in the PDS group and 46.6 % in the IDS group), followed by MMR-deficient tumors (30.5 % in the PDS group and 26.6 % in the IDS group). The type of surgical approach (PDS vs. IDS) did not show a statistically significant correlation with disease-free survival (p = 0.523, log-rank test) or overall survival (p = 0.123, log-rank test). Similarly, molecular classification did not predict patient outcomes in terms of disease-free survival (p = 0.397, log-rank test) or overall survival (p = 0.797, log-rank test).</div></div><div><h3>Conclusions</h3><div>Oncologic outcomes for patients with advanced endometrial cancer remain poor. Neoadjuvant chemotherapy continues to be a viable treatment option for patients with unresectable disease. A personalized approach to neoadjuvant therapy, taking into account histologic and molecular profiles, may improve survival outcomes in this patient population.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"310 ","pages":"Article 113958"},"PeriodicalIF":2.1,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143837902","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}

{"title":"Second line tests of fetal wellbeing in labor – A national survey of practice in the Republic of Ireland","authors":"Sahr D. Yambasu,&nbsp;Crystal Rose Percival,&nbsp;Lauren Hayes,&nbsp;Yulia Shahabuddin,&nbsp;Deirdre J. Murphy","doi":"10.1016/j.ejogrb.2025.113973","DOIUrl":"10.1016/j.ejogrb.2025.113973","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to evaluate obstetricians’ views on digital fetal scalp stimulation (dFSS) and fetal blood sampling (FBS), and to establish their reported practice when performing second line tests of fetal wellbeing in labor.</div></div><div><h3>Methods</h3><div>A survey was distributed via email and post to every trainee and consultant obstetrician in maternity units in the Republic of Ireland. The survey explored current practice, views on test performance, and the management of clinical scenarios with abnormal intrapartum cardiotocography.</div></div><div><h3>Results</h3><div>We received 177 responses from 430 doctors (41 %). There was a perception that dFSS is easier (93 %) and faster to perform (94 %), but that FBS is the most reliable test (59 % FBS, 5 % dFSS, 22 % no difference). The need for a well-designed randomized controlled trial to determine which test performs best was recognized (80 %). Willingness to participate in such a trial was higher among trainees than consultants (91 % versus 67 %, p = 0.001). There was marked variation in reported practice for the clinical scenarios and diverse views were expressed within the free-text comments.</div></div><div><h3>Conclusion</h3><div>Perspectives on dFSS and FBS vary between clinicians. This uncertainty about commonly used intrapartum tests supports the need for randomized controlled trials to provide robust evidence on the effectiveness of each test.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"310 ","pages":"Article 113973"},"PeriodicalIF":2.1,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851461","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}

{"title":"Probiotics in pregnancy and group B streptococcus colonization: A multicentric, randomized, placebo-controlled, double-blind study with a focus on vaginal microbioma","authors":"Daniela Menichini ,&nbsp;Francesco De Seta ,&nbsp;Salvatore Andrea Mastrolia ,&nbsp;Irene Cetin ,&nbsp;Anastasia Carafa ,&nbsp;Susanna Santagni ,&nbsp;Claudio Foschi ,&nbsp;Matteo Cerboneschi ,&nbsp;Serena Smeazzetto ,&nbsp;Isabella Neri ,&nbsp;Fabio Facchinetti","doi":"10.1016/j.ejogrb.2025.113976","DOIUrl":"10.1016/j.ejogrb.2025.113976","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the feasibility and effects of the use of probiotics in pregnancy, starting in the third trimester, on rectovaginal colonization of group B streptococcus (GBS) in women at low obstetric risk.</div></div><div><h3>Methods</h3><div>A multicentre, randomized, placebo-controlled, double-blind, parallel-group study was conducted in three tertiary hospitals in northern Italy and included low-risk pregnant women. The intervention consisted of oral administration of two capsules of probiotics or placebo from 30 weeks of pregnancy until 37 weeks of pregnancy. The primary outcome was GBS colonization, evaluated with rectovaginal swabs. In a subgroup, selected at random, changes in the vaginal microbiome after treatment administration were evaluated using 16S Metagenomic Sequencing Library Preparation sequencing and analysis.</div></div><div><h3>Results</h3><div>In total, 267 pregnant women were randomized to receive probiotics (<em>n</em> = 133) or placebo (<em>n</em> = 134). The two groups were similar at baseline. After treatment, no differences were found in the rates of positive rectovaginal swabs (<em>p</em> = 0.24) and antibiotic administration (<em>p</em> = 0.27). Only one case of postpartum fever (&gt;38 °C) was found in the placebo group. Labour and delivery outcomes and neonatal outcomes were similar in both groups. Analysis of the vaginal microbiota showed that the relative abundance of <em>Lactobacillus</em> spp. was not modified significantly by the probiotics, but the relative abundance of <em>Gardnerella</em> spp. decreased significantly (3.6 ± 7.9 vs 5.5 ± 10.2; <em>p</em> = 0.03). Interestingly, the relative abundance of <em>Lactobacillus</em> spp. reduced significantly in women who subsequently presented with partial rupture of membranes (46.9 ± 43.6 vs 77.7 ± 24.9; <em>p</em> = 0.02).</div></div><div><h3>Conclusion</h3><div>Although the clinical outcomes were unaffected, administration of probiotics led to favourable changes in vaginal microbiota. It remains to be established how this effect could be translated into clinical advantage.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"310 ","pages":"Article 113976"},"PeriodicalIF":2.1,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843634","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}

{"title":"Safety and efficacy of extended expectant management in preterm premature rupture of membrane between 32 and 34 weeks of pregnancy-A randomization control trial","authors":"Deepti Ghosh ,&nbsp;Pramila Jena ,&nbsp;Partha Sarathi Sahu ,&nbsp;Deepti Damayanty Pradhan ,&nbsp;Jyochnamayi Panda ,&nbsp;Bandita Panda","doi":"10.1016/j.ejogrb.2025.113971","DOIUrl":"10.1016/j.ejogrb.2025.113971","url":null,"abstract":"<div><h3>Background</h3><div>Cases of preterm premature rupture of membranes (PPROM) occur in approximately 3 % of pregnancies and are a significant contributor to preterm birth and its associated complications. Traditionally expectant management followed by delivery at 34 weeks is the recommended standard for treatment of PPROM but recent evidence suggests that extended expectant management in selected cases improves the pregnancy outcome. Thus the study aims to compare the feto-maternal outcome in PPROM cases between traditional management (delivery at 34 weeks) and extended expectant management (delivery at 36 weeks)</div></div><div><h3>Methodology</h3><div>Women presenting to labor emergency with leakage due to membrane rupture at 32 to 34 weeks of gestation were randomly assigned as per CONSORT guidelines into two groups, group A (n = 72) with traditional treatment and group B (n = 72) with extended expectant management. The pregnancy outcomes and feto-maternal outcomes of both groups were analyzed by appropriate statistical tools.</div></div><div><h3>Results</h3><div>Out of a total of 144 cases with comparable baseline characteristics, 72 patients in group A had the mean gestational age at delivery was 34.02 weeks and in group B it was 35.02 weeks. There is no significant increase in chorioamnionitis and other maternal morbidity in group B. The mean birth weight was significantly higher in group B patients<strong>.</strong> The median duration of NICU stay, need for mechanical ventilation and complications like neonatal jaundice and necrotizing enterocolitis were significantly lower (p-value &lt; 0.05) in Group B as compared to Group A reflecting a better perinatal outcome.</div></div><div><h3>Conclusion</h3><div>Extended expectant management can safely be considered in PPROM cases till 36 weeks based on the timing of onset of PPROM without the fear of increased risk of maternal chorioamnionitis and adverse neonatal outcomes.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"310 ","pages":"Article 113971"},"PeriodicalIF":2.1,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143837903","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}

{"title":"Acceptability of intrapartum cardiotocography using wireless transabdominal fetal ECG and electrohysterography: A prospective cohort","authors":"Catarina Reis-de-Carvalho ,&nbsp;Maria Carvalho-Afonso ,&nbsp;Cristiana Marinho-Soares ,&nbsp;Inês David ,&nbsp;Diogo Ayres-de-Campos","doi":"10.1016/j.ejogrb.2025.113955","DOIUrl":"10.1016/j.ejogrb.2025.113955","url":null,"abstract":"<div><h3>Aim</h3><div>To compare patient and staff acceptability of intrapartum cardiotocographic (CTG) monitoring using wireless transabdominal fetal ECG (TAfECG) plus electrohysterography (EH) with conventional wireless CTG, using Doppler ultrasound (US) and tocodynamometry (TOCO).</div></div><div><h3>Methods</h3><div>This was a prospective observational study, carried out in a tertiary care university hospital, between January and June 2023. A total of 264 labouring women with singleton pregnancies at term, in cephalic presentation, and more than 18 years of age, undergoing wireless CTG monitoring with wireless TAfECG + EH or US + TOCO were evaluated. A 10-point Likert scale patient satisfaction questionnaire was given to all participants in the early postpartum period. A second questionnaire evaluated 264 opinions of healthcare professionals regarding the two methods.</div></div><div><h3>Results</h3><div>Women reported more favourable satisfaction scores with TAfECG + EH regarding comfort of use, ease and freedom of movement, skin irritation, and ability to rest in labour. Healthcare professionals reported a more favourable evaluation of TAfECG + EH regarding patient comfort during application, signal loss with mobility, ease of interpretation of contraction signals, and ease of interpretation of FHR signals in the 1st stage. Conversely, this technology was found to be more difficult to apply and to take more time to obtain an interpretable FHR signal. These aspects were evaluated more favourably after healthcare professionals had gained more experience with the method (p &lt; 0.0001). The likelihood of women recommending the technique to others was similar between TAfECG + EH (81.2 %) and US + TOCO (81.1 %). Changing the CTG acquisition method occurred in 33.8 % of TAfECG + EH group and 9.1 % of US + TOCO group.</div></div><div><h3>Conclusions</h3><div>Wireless CTG monitoring with TAfECG + EH is well accepted by both labouring women and healthcare professionals, it is judged to be more comfortable for women than US + TOCO, and to allow greater mobility. However, in about a third of the cases it needs to be changed to another acquisition method during labour.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"310 ","pages":"Article 113955"},"PeriodicalIF":2.1,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820409","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}