International Journal of Gynecology & Obstetrics最新文献

{"title":"Changing patterns of domestic and sexual gender-based violence among survivors attending a referral center in north-east Nigeria: A 5-year retrospective review.","authors":"Bilkisu Mohammad Aliyu, Sagir Muhammad, Yahya Musa Sulaiman","doi":"10.1002/ijgo.71071","DOIUrl":"https://doi.org/10.1002/ijgo.71071","url":null,"abstract":"<p><strong>Objective: </strong>This study assesses the changing patterns of domestic, sexual, and gender-based violence (DSGBV) among survivors managed at a dedicated referral center in North-East Nigeria over a 5-year period (2021-2025).</p><p><strong>Methods: </strong>A retrospective descriptive study was conducted at the Gender-Based Violence Unit of the Specialist Hospital Gombe. Records of all survivors of DSGBV managed between January 1, 2021, and December 31, 2025, were reviewed. Data on year of presentation, age, sex, type of violence, place of residence, and time of reporting were extracted. Descriptive statistics were used to summarize trends and distributions. Inferential analysis was performed using IBM SPSS version 26 (IBMCorporation, Armonk, NY, USA). This study was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.</p><p><strong>Results: </strong>A total of 675 survivors were recorded, with a progressive increase from 79 cases in 2021 to 171 in 2025. Adolescents aged 10-14 years consistently accounted for the highest proportion of cases (196/675; 29%). Females constituted 81.6% (551/675) of survivors. Sexual violence was the predominant form of abuse (556/675; 82.3%). Most survivors (601/675; 89.0%) resided in rural areas. Delayed reporting beyond 72 h was the most common pattern across all years.</p><p><strong>Conclusion: </strong>Reported cases of DSGBV increased progressively over 5 years, with children and adolescents bearing a disproportionate burden and sexual violence predominating. These findings highlight the need for strengthened routine screening, provider training, and equitable access to survivor-centered services, particularly for rural and adolescent populations in conflict-affected settings.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fibroids and infertility.","authors":"Edgar Mocanu, Basil Tarlatzis, Dov Feldberg, Ivonne Diaz, Christina O'Brien, Nikhil Purandare","doi":"10.1002/ijgo.71062","DOIUrl":"https://doi.org/10.1002/ijgo.71062","url":null,"abstract":"<p><p>The presence of uterine fibroids impacts fertility through multiple mechanisms. While subserosal fibroids have minimal impact, especially when of reduced size, the presence of intramural fibroids impacts both the likelihood of pregnancy and its outcomes. Submucosal fibroids significantly reduce the chance of pregnancy and increase pregnancy complications. While noninvasive techniques can treat fibroids and appear safe, surgical management of FIGO Type 0, 1, 2, and 3 fibroids remains the gold standard in women desiring pregnancy. Uterine artery embolization is not recommended. Where the ovaries are not visible due to the presence of large fibroids, assisted reproduction and transvaginal oocyte pick-up become a challenge and consideration for myomectomy should be given. A cesarean section should be performed for women where the uterine cavity has been opened at the time of myomectomy.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of menstrual disorders and their association with sleep characteristics and mental health in Pakistani women.","authors":"Laraib Fatima, Hamna Khan, Muhammad Bilal, Saba Rafique, Sumera Siddique, Madiha Kanwal, Mahwish Mahmood, Muhammad Irfan","doi":"10.1002/ijgo.71068","DOIUrl":"https://doi.org/10.1002/ijgo.71068","url":null,"abstract":"<p><strong>Objectives: </strong>Menstrual disorders adversely affect women's physical and psychological health. This study aimed to determine the prevalence of menstrual disorders and their association with sleep characteristics and mental health among young women in Pakistan.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from October 2024 to June 2025 among women aged 18-40 years. Data were collected using standardized tools, including the Pictorial Blood Assessment Chart, the Verbal Multidimensional Scoring System, the Sleep Timing Questionnaire, the Perceived Stress Scale-10, the Center for Epidemiologic Studies Depression Scale, and Generalized Anxiety Disorder-7.</p><p><strong>Results: </strong>Initially, a total of 412 women were contacted, while 323 answered the questionnaire, and data from 217 complete questionnaires were analyzed. The prevalence of dysmenorrhea was 77.2%, while cycle-length disorders and bleeding disorders affected 19.0% and 20.4% of participants, respectively. Women with menstrual disorders showed significantly shorter sleep duration (449.4 ± 16.2 vs 505.2 ± 20.8 min; P = 0.040), greater sleep interruption (P = 0.001), and lower sleep efficiency (87.5% vs 93.2%; P = 0.003). The mean stress and depression scores were higher in women with menstrual disorders, with stress increasing by approximately 4.7 points and depression by 5.1 points. Each one-point rise in stress score increased the odds of menstrual disorders by 7.1%, and stress remained a significant independent predictor in the multivariate model.</p><p><strong>Conclusion: </strong>Menstrual disorders are highly prevalent among young Pakistani women and are strongly linked to elevated stress levels, poor sleep quality, and reduced sleep efficiency. Interventions addressing stress management, sleep hygiene, and menstrual awareness could improve both reproductive and mental health outcomes in this population.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applied surgical anatomical approach to pudendal nerve: Step-by-step key neurovascular structures for pelvic nerve surgery.","authors":"Merve Didem Eşkin Tanrıverdi, Ayhan Cömert, Zekiye Gözde Kara, Hasan Onur Topçu, Halil İbrahim Açar","doi":"10.1002/ijgo.71065","DOIUrl":"https://doi.org/10.1002/ijgo.71065","url":null,"abstract":"<p><strong>Objective: </strong>To define and demonstrate a step-by-step surgical anatomical approach to pudendal nerve dissection using female cadavers, focusing on the identification of safe roadmap and key neurovascular structures to optimize pelvic nerve surgery.</p><p><strong>Methods: </strong>A descriptive anatomical study was conducted on 60 hemipelvises from 30 female cadavers. Dissections were performed in three stages comprising nine procedural steps to expose the pudendal nerve and related pelvic nerves. Key neurovascular landmarks were documented using video recordings.</p><p><strong>Results: </strong>The dissection was organized into three stages: (1) exposure of the genitofemoral nerve and obturator fossa and its contents, (2) identification of the lumbosacral trunk and sciatic nerve, and greater sciatic notch (3) visualization of the pudendal nerve beneath the sacrospinous ligament. Variations in pudendal nerve branching and anatomical relationships with adjacent structures, including the sacrospinous ligament and ischial spine, were documented. This stepwise approach provided clear surgical landmarks to minimize the risk of nerve injury during pelvic surgery.</p><p><strong>Conclusion: </strong>This cadaveric study provides a detailed, practical roadmap for pudendal nerve dissection, enhancing anatomical understanding of pelvic neurovascular structures. The defined surgical approach in three stages, nine steps, and this comprehensive anatomical understanding can improve surgical precision and supports safer nerve-sparing techniques in complex pelvic surgery including gynecologic pelvic surgical procedures, surgeries for pudendal neuralgia, and deep infiltrating endometriosis.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of descending aortic occlusion for massive obstetric hemorrhage: Nationwide analysis of maternal death in Japan.","authors":"Makoto Aoki, Soichiro Obata, Manabu Ogoyama, Koki Shimura, Yutaka Iwagoi, Makiko Kasahara, Yui Yoshida, Saya Yamashita, Akihiko Sekizawa, Koji Hashii, Masahiko Nakata, Takeshi Murakoshi, Shinji Katsuragi, Hiroaki Tanaka, Kayo Tanaka, Yoko Sagara, Tatsuya Arakaki, Junichi Hasegawa","doi":"10.1002/ijgo.71067","DOIUrl":"https://doi.org/10.1002/ijgo.71067","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effects of aortic occlusion (AO) on severe postpartum hemorrhage (PPH)-a leading cause of preventable maternal mortality-using a nationwide maternal death registry in Japan.</p><p><strong>Methods: </strong>A nationwide retrospective observational study of hemorrhage-related maternal deaths was conducted in Japan between 2010 and 2024. Patients were classified into an AO group (resuscitative endovascular balloon occlusion of the aorta [REBOA] and/or resuscitative thoracotomy with aortic cross-clamping [RT-ACC]) and a non-AO group. The primary outcome was the achievement of definitive hemostatic procedures. Secondary outcomes included 24-h survival.</p><p><strong>Results: </strong>Among 109 hemorrhage-related maternal deaths, 19 patients underwent AO (13 REBOA, six RT-ACC). Patients in the AO group were more frequently transferred to tertiary care centers than those in the non-AO group (84.2% (16/19) vs 43.3% (39/90), P < 0.01). Achievement of definitive hemostasis was significantly higher in the AO group (78.9% (15/19) vs 42.2% (38/90), P < 0.01), as were 24-h survival (42.1% (8/19) vs 15.6% (14/90), P = 0.02). Approximately 90% of AO procedures (17/19) were performed at tertiary centers, and only 16% (3/19) were initiated before cardiopulmonary arrest.</p><p><strong>Conclusion: </strong>AO, including REBOA and RT-ACC, was associated with higher rates of hemostasis and short-term survival among cases of maternal death due to severe PPH. Earlier application of AO before cardiopulmonary arrest may be critical to improving outcomes.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perinatal outcomes in normotensive versus hypertensive HELLP syndrome.","authors":"Matan Anteby, Keren-Or Wertheimer, Omri Dominsky, Liran Hiersch, Yariv Yogev","doi":"10.1002/ijgo.71073","DOIUrl":"https://doi.org/10.1002/ijgo.71073","url":null,"abstract":"<p><strong>Objective: </strong>To compare maternal and neonatal outcomes between women with hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome with and without associated hypertension.</p><p><strong>Methods: </strong>This was a retrospective cohort study at a tertiary university-affiliated medical center including all singleton HELLP cases >24 weeks gestation (January 2011-March 2023). Cases were categorized as normotensive or hypertensive HELLP and compared for demographics, presentation, laboratory findings, and outcomes.</p><p><strong>Results: </strong>Among 157 282 deliveries, 108 met the full criteria for HELLP syndrome: a total of 74 (68.5%) were hypertensive and 34 (31.5%) were normotensive. Normotensive HELLP cases were diagnosed at a significantly later gestational age (37.5 ± 3.0 vs 34.5 ± 4.4 weeks, P < 0.001). Proteinuria was less common in normotensive cases (58.8% vs 87.8%, P < 0.001). Laboratory parameters did not differ significantly between the groups. Neonates in the normotensive group had significantly higher mean birth weight (2574.6 ± 746.2 vs 1947 ± 816.6 g, P < 0.001), fewer neonatal intensive care admissions (29.4% vs 56.8%, P = 0.008), and lower rates of respiratory distress syndrome (2.9% vs 24.3%, P = 0.007). Maternal complications related to HELLP syndrome did not differ significantly between groups.</p><p><strong>Conclusion: </strong>Normotensive HELLP was diagnosed at a later gestational age and was associated with more favorable neonatal outcomes, yet comparable maternal outcomes. Despite the absence of hypertension, maternal complications were not reduced.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: Vacuum 5-step technique versus OdonAssist: Which is easier to learn for professionals without experience in assisted vaginal births? A simulation study.","authors":"Jose Sanin-Blair","doi":"10.1002/ijgo.71041","DOIUrl":"https://doi.org/10.1002/ijgo.71041","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter in response to article \"Fertility after cancer\" by J Malhotra et al Int J Obstet Gynecol 2025;169:883-890)\".","authors":"Debra Kennedy, Rachael Rodgers, Giselle Kidson-Gerber","doi":"10.1002/ijgo.71001","DOIUrl":"https://doi.org/10.1002/ijgo.71001","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to: Letter to the editor-Fertility after cancer.","authors":"Louise Hull, Jaideep Malhotra, Nikhil C Purandare","doi":"10.1002/ijgo.70999","DOIUrl":"https://doi.org/10.1002/ijgo.70999","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reproductive outcomes after rescue luteal phase support for women with low serum progesterone in artificial cycles around frozen embryo transfer day: Systematic review and network meta-analysis of over 7500 patients.","authors":"Andrea Etrusco, Vittorio Agrifoglio, Antonio D'Amato, Christine Wyns, Mariano Catello Di Donna, Amerigo Vitagliano, Carlo Alviggi, Alessandro Conforti, Antonio Simone Laganà, Andrea Busnelli, Paolo Emanuele Levi Setti, Gaetano Riemma","doi":"10.1002/ijgo.71059","DOIUrl":"https://doi.org/10.1002/ijgo.71059","url":null,"abstract":"<p><strong>Background: </strong>Low serum progesterone levels around the time of frozen embryo transfer (FET) in artificially prepared cycles have been associated with reduced reproductive success. Rescue luteal phase support (LPS) has been proposed as a strategy to optimize outcomes in these cases.</p><p><strong>Objectives: </strong>This study assesses the effectiveness of rescue LPS in improving reproductive outcomes among women with suboptimal serum progesterone levels prior to FET.</p><p><strong>Method: </strong>A comprehensive literature search was conducted to identify randomized and non-randomized (prospective or retrospective) studies evaluating the impact of additional progesterone administration in women with low serum levels around FET in artificial cycles. Twelve observational studies comprising more than 7500 participants were included. Eligible studies assessed clinical outcomes following supplemental progesterone via various routes in patients with below-threshold serum levels. A network meta-analysis was performed to compare the effectiveness of different rescue LPS protocols. Routes of progesterone administration included intramuscular, vaginal, oral, subcutaneous, and rectal. Primary outcomes included clinical pregnancy rate, live birth rate, ongoing pregnancy rate, pregnancy loss rate, and biochemical pregnancy rate.</p><p><strong>Results: </strong>Rescue LPS in women with low serum progesterone was associated with improved reproductive outcomes, approaching that observed in women with adequate progesterone levels. Intramuscular and vaginal administration were frequently ranked highest, although no protocol demonstrated clear superiority. Significant heterogeneity existed across studies, particularly regarding progesterone cutoff values.</p><p><strong>Conclusion: </strong>Rescue luteal phase support appears to be a promising approach for managing low serum progesterone before FET. However, randomized controlled trials with standardized thresholds and protocols are needed to confirm these findings and guide clinical practice.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}