International Journal of Gynecology & Obstetrics最新文献

{"title":"Longitudinal change in cervical length measured after prophylactic cerclage in predicting spontaneous preterm birth.","authors":"Min Lv, Neng Jin, Danxiao Wang, Liping Qiu, Danqing Chen, Qiong Luo","doi":"10.1002/ijgo.16041","DOIUrl":"10.1002/ijgo.16041","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the value of serial post-cerclage cervical length measurements in predicting preterm birth.</p><p><strong>Methods: </strong>This was a retrospective study of women with a singleton pregnancy who underwent prophylactic transvaginal cerclage from 2017 to 2023. Prophylactic cerclage was performed in women with an obstetric history of cervical insufficiency. After cerclage, all participants underwent routine transvaginal cervical measurement every 2-4 weeks until 32-34 weeks of gestation. Trajectory patterns of changes in cervical length were identified through latent class trajectory modeling. The association of patterns with spontaneous preterm birth and pregnancy interval was analyzed by multivariable logistic regression analysis and Cox proportional hazards regression models. The specific characteristics of changes in cervical length associated with preterm birth were identified.</p><p><strong>Results: </strong>We involved 225 women and acquired a total of 1248 measurements of cervical length. Two distinct trajectories of cervical length change along gestation were identified: Class 1 (persistent shortening of cervix, n = 52 [23.11%]) and class 2 (stable cervix, n = 173 [76.89%]). Women in class 1 were highly associated with spontaneous preterm birth, with a hazard ratio (95% confidence interval [CI]) of 2.00 (1.36, 2.96). The average shortening rate ≥0.24 cm per week and cervical length ≤1.1 cm was significantly associated with spontaneous preterm birth at different gestational age.</p><p><strong>Conclusion: </strong>Serial sonographic cervical length measurements after prophylactic cerclage are valuable in predicting preterm birth.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666760","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":"Gout in pregnancy: Obstetric and neonatal outcomes.","authors":"Sam Amar, Ahmad Badeghiesh, Haitham Baghlaf, Michael H Dahan","doi":"10.1002/ijgo.16025","DOIUrl":"10.1002/ijgo.16025","url":null,"abstract":"<p><strong>Objective: </strong>The pregnancy, delivery, and neonatal outcomes of pregnancies complicated by gout have yet to be evaluated in a population-based study. We sought to evaluate the obstetric and neonatal outcomes in pregnant patients with gout using a national population database.</p><p><strong>Methods: </strong>This is a retrospective population-based cohort study utilizing the Healthcare Cost and Utilization Project, Nationwide Inpatient Sample (HCUP-NIS). All women who delivered or had a maternal death in the USA (2004-2014) were included in the study. Pregnancy, delivery, and neonatal outcomes were compared between women with an ICD-9 diagnosis of gout to those without.</p><p><strong>Results: </strong>Overall, 9 096 788 women met the inclusion criteria. Of these, 168 women (1.8/100000) had gout. Patients with gout, compared to those without, were more likely to be older and obese and to have chronic hypertension, pregestational diabetes mellitus, and thyroid disease. Pregnant women with gout were more likely to develop gestational diabetes mellitus (aOR 1.78 [95% CI 1.17-2.72], P = 0.008), to require operative vaginal delivery (aOR 3.26 [95% CI 2.03-5.22], P = 0.0001), and to experience venous thromboembolism (aOR 8.47 [95% CI 2.06-34.82], P = 0.003) compared to pregnant patients without gout. Patients with gout were more likely to deliver a neonate with congenital anomalies compared to those without gout (aOR 3.38 [95% CI 1.24-9.20], P = 0.02).</p><p><strong>Conclusion: </strong>Gout in pregnancy, or pregnancies complicated by a history of gout, are associated with increased risk of gestational diabetes mellitus, pulmonary embolism, and neonatal anomalies.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666459","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":"RETRACTION: Calcium Supplementation for the Prevention of Pre-Eclampsia.","authors":"","doi":"10.1002/ijgo.16012","DOIUrl":"10.1002/ijgo.16012","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666973","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":"Machine learning model-based preterm birth prediction and clinical nomogram: A big retrospective cohort study.","authors":"Ya Liu, Jiangling Liu, Heqing Shen","doi":"10.1002/ijgo.16036","DOIUrl":"https://doi.org/10.1002/ijgo.16036","url":null,"abstract":"<p><strong>Objective: </strong>This study sought to develop a multifactorial predictive model for preterm birth risk, with the goal of providing clinical practitioners with early prevention.</p><p><strong>Methods: </strong>This retrospective cohort study utilized 2022 and 2018 National Vital Statistics System (NVSS) birth data, with the 2022 cohort arbitrarily split into training (70%) and internal verification (30%) subsets, and the 2018 cohort for external validation. Four machine learning algorithms-logistic regression, adaptive lasso regression, bootstrap forest, and boosted trees-identified features associated with preterm birth. The study then integrated the consensus features identified across the four models to construct a logistic regression-based preterm birth prediction nomogram. To evaluate the model's efficacy, calibration, receiver operating characteristic (ROC), and decision curve analysis were applied to both the internal and external validation sets.</p><p><strong>Results: </strong>The study included 2 567 040 mother-infant pairs from the 2022 cohort and 2 688 568 mother-infant pairs from the 2018 cohort. All four machine learning models demonstrated high accuracy (area under the curve [AUC] >0.7) in predicting preterm birth, and the internal validation results indicated good model generalizability. Feature selection identified nine common risk factors associated with preterm birth. The prediction nomogram based on these nine common features achieved AUCs of 0.701, 0.702, and 0.704 in the training, internal validation, and external validation sets, respectively. The calibration curves showed good agreement, and the decision curve analysis confirmed the model's net clinical benefits.</p><p><strong>Conclusion: </strong>This study developed a reliable preterm birth prediction tool using large-scale birth cohort data, filling the gap of lacking external validation for existing preterm birth prediction models.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647431","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":"Prediction of intrapartum cesarean delivery among women with obesity: A retrospective cohort study.","authors":"Daniel Gabbai, Itamar Gilboa, Emmanuel Attali, Yariv Yogev, Anat Lavie","doi":"10.1002/ijgo.16020","DOIUrl":"https://doi.org/10.1002/ijgo.16020","url":null,"abstract":"<p><strong>Objective: </strong>To determine risk factors and design a clinically based predictive model for the risk of intrapartum cesarean delivery (CD) in women with obesity.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted in a single tertiary medical center between 2012 and 2022 and included all consecutive women with a pre-gestational body mass index (BMI) ≥30 who planned a trial of labor. Uni- and multivariate analyses compared maternal and neonatal characteristics of women who delivered vaginally to those who underwent intrapartum CD. A specific risk prediction score was developed in accordance with the relative risk to predict the need for intrapartum CD.</p><p><strong>Results: </strong>Of the 5663 women with obesity included in the study cohort, 424 (7.5%) underwent intrapartum CD and 5239 (92.5%) delivered vaginally. The independent risk factors for CD were maternal age >35 years, pre-gestational BMI category (BMI 35-40 and BMI >40), nulliparity, epidural anesthesia, induction of labor, antibiotic administration during labor, multiple gestation, previous uterine scar, and pre-eclampsia. The intrapartum CD prediction score model demonstrated predictive performance with 85% sensitivity and 70% specificity.</p><p><strong>Conclusion: </strong>Score model for intrapartum CD can be used by caregivers to offer a more informed consultation to women with obesity facing the decision of mode of delivery.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647538","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":"A successful in vitro fertilization outcome in a hermaphrodite male.","authors":"Shima Elbakhit M E Albasha, Sami Saadi Al-Said, Haitham Tharwat M H El Bardisi","doi":"10.1002/ijgo.16039","DOIUrl":"https://doi.org/10.1002/ijgo.16039","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647311","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":"Assessment of an oocyte retrieval simulation training program for residents: From training to clinical practice.","authors":"Amélie Watelet, Benoit Brilland, Hady El Hachem, Cécile Dreux, Pauline Jeanneteau, Guillaume Legendre, Philippe Descamps, Pascale May-Panloup, Pierre-Emmanuel Bouet","doi":"10.1002/ijgo.16031","DOIUrl":"https://doi.org/10.1002/ijgo.16031","url":null,"abstract":"<p><strong>Objective: </strong>To assess the impact of an oocyte retrieval simulation training program (ORSTP) on the clinical performance of residents.</p><p><strong>Methods: </strong>We performed a prospective comparative study. The Simulation (S) group included oocyte retrieval (OR) performed by residents who had undergone an ORSTP before performing them on patients (n = 422 OR), and the control (C) group included OR performed by residents who had not received prior simulation training (n = 329 OR). Our main outcome measure was the OR rate (ORR) (number of oocytes collected/number of follicles aspirated) during the first 3 months of the rotation.</p><p><strong>Results: </strong>In the S group, six residents aspirated 657 ovaries, while in the C group, five residents aspirated 508 ovaries. The mean ORR during the first 3 months of rotation were comparable between the S and C groups (59% vs. 58%, P = 0.68). ORR during the first and second month, and at the end of the rotation were also comparable between the S and C groups (54% vs. 63% [P = 0.13], 58% vs. 59% [P = 0.82], and 58% vs. 58% [P = 0.90], respectively). There was no significant difference in the rate of failed OR (ORR = 0%) (3.3% vs. 1.8%, P = 0.13) between the S and C groups. Finally, 16% of residents in the S group reported being stressed before their first OR compared to 40% in the C group (P = 0.85), and 83% of residents in the S group felt confident about the results of their retrievals compared to 20% in the C group (P = 0.13).</p><p><strong>Conclusion: </strong>The ORSTP does not improve the residents' clinical performance, but it could decrease their stress and improve their confidence in clinical practice.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647347","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":"Characteristics and outcomes of patients with postpartum hemorrhage undergoing transcatheter arterial embolization: A nationwide observational study.","authors":"Kyosuke Kamijo, Mikio Nakajima, Daisuke Shigemi, Richard H Kaszynski, Hiroyuki Ohbe, Tadahiro Goto, Yusuke Sasabuchi, Kiyohide Fushimi, Hiroki Matsui, Hideo Yasunaga","doi":"10.1002/ijgo.16040","DOIUrl":"https://doi.org/10.1002/ijgo.16040","url":null,"abstract":"<p><strong>Objective: </strong>To elucidate the demographics, clinical characteristics, and outcomes of patients with postpartum hemorrhage (PPH) who underwent transcatheter arterial embolization (TAE).</p><p><strong>Methods: </strong>We conducted a retrospective observational study using the Japanese Diagnosis Procedure Combination inpatient database, which covers roughly 90% of all tertiary emergency hospitals in Japan, between April 2012 to March 2020. We identified patients with PPH who underwent TAE using the Japanese medical procedure status and code, and the device or drug code. We examined the patient characteristics, interventions administered, and clinical outcomes.</p><p><strong>Results: </strong>Among 64 893 patients diagnosed with PPH, we identified 2705 (4.2%) patients with PPH who underwent TAE. The most common cause of PPH was uterine atony (68.7%), followed by disseminated intravascular coagulation after labor (30.0%) and placenta accreta spectrum disorders (23.4%). The proportion of patients who underwent repeat TAE and a hysterectomy was 64 (2.4%) and 188 (7.0%), respectively. Among hysterectomies (n = 188), 26 (13.8%) had the procedure performed before TAE, 73 (38.8%) underwent hysterectomy on the same day as TAE, and 89 (47.4%) had the procedure conducted after TAE. Of those who underwent a hysterectomy after TAE (n = 89), 33 (37%) were performed more than 1-week after initial TAE. Overall in-hospital mortality was 14/2705 (0.5%).</p><p><strong>Conclusion: </strong>Even if hemostasis is achieved through TAE, one must be mindful that a hysterectomy may become necessary more than 1 week after the procedure. These results could be helpful in clinical decision making and providing patients with additional treatment options for PPH that preserve patient fertility.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647337","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":"The effects of an educational intervention on women's contraceptive preferences in the immediate postpartum period: A cross-sectional study.","authors":"Elaine Meireles Castro Maia, Raquel Autran Coelho Peixoto, Cristina Aparecida Falbo Guazzelli","doi":"10.1002/ijgo.16027","DOIUrl":"https://doi.org/10.1002/ijgo.16027","url":null,"abstract":"<p><strong>Objectives: </strong>To assess postpartum women's contraceptive preferences and the impact of an educational intervention on these preferences, identifying factors motivating method choices.</p><p><strong>Method: </strong>This cross-sectional quantitative study included women within 48 h after delivery in a public Brazilian hospital. Participants were asked about their contraceptive preferences before and after an educational intervention, which aimed to inform women about the importance of early postpartum contraception, available methods, mechanisms of action, effectiveness, proper use, and side effects. A nursing professional explained contraceptives to postpartum women in individual sessions, demonstrating their use on simulators interactively for about 15 min. Statistical analyses were performed using JAMOVI version 2.3.28 and Microsoft Excel 2016.</p><p><strong>Results: </strong>A total of 402 women (226 adolescents and 176 adults) were included. After the intervention, preference for long-acting reversible contraceptives (LARCs) increased significantly from 157 (39.1%) to 279 (68.7%) (P < 0.001). At the initial assessment, contraceptive preferences were injectable hormonal contraceptives (159 [39.6%]), intrauterine devices (IUDs) (109 [27.1%]), and implants (48 [11.9%]). After the educational intervention, IUDs became the most popular method, at 143 (35.6%), followed by implants (133 [33.1%]) and injectables (81 [20.1%]). Among adolescents, there was a significant increase in implant choice (P < 0.001) and a decrease in injectables and pills (P < 0.001; P = 0.006). Adults showed increased preference for implants (P < 0.001) and IUDs (P < 0.001), with a reduction in injectable hormonal contraceptives (P = 0.005) and tubal ligation (P = 0.006).</p><p><strong>Conclusion: </strong>An educational intervention during postpartum period can influence women's contraceptive choices. Timely education was associated with a significant increase in LARC preference.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142643918","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":"Characteristics of longitudinal maternal health studies in sub-Saharan Africa: A systematic mapping of literature between 2012 and 2022.","authors":"Ijeoma Solarin, Cherlynn Dumbura, Darshnika Pemi Lakhoo, Kshama Chande, Gloria Maimela, Stanley Luchters, Matthew Chersich","doi":"10.1002/ijgo.16035","DOIUrl":"https://doi.org/10.1002/ijgo.16035","url":null,"abstract":"<p><strong>Background: </strong>High maternal mortality rates in sub-Saharan Africa necessitate the need for aligned research focusing on prevalent causes and neglected conditions in the region.</p><p><strong>Objective: </strong>This mapping review aimed to describe the characteristics of longitudinal maternal health studies between 2012 and 2022 in sub-Saharan Africa and identify gaps in priority conditions or geographical locations.</p><p><strong>Search strategy: </strong>We identified references through a Medline (PubMed) search covering September 2012 to June 2022.</p><p><strong>Selection criteria: </strong>We included prospective cohort or clinical trials that enrolled at least 1000 pregnant women, with a study site in sub-Saharan Africa, and published in English or French.</p><p><strong>Data collection and analysis: </strong>Screening and data extraction were done in duplicate using EPPI-reviewer software. Descriptive analysis was used to summarize the results, identifying patterns in studies across time, country, study design, topics, and funders.</p><p><strong>Main results: </strong>We identified 213 eligible studies, which were covered in 534 publications. We identified studies in 33 of the 48 sub-Saharan African countries, with the majority in east and southern Africa. The predominant study topics were HIV (36.4%), nutrition (20%), and malaria (16.3%), with very few publications on hypertensive disorders of pregnancy (6.4%), ante/postpartum hemorrhage (3.7%), and sexually transmitted infections (3.2%). More studies were cohorts (115/213; 54%) than clinical trials. The National Institutes of Health (31.5%), Bill and Melinda Gates Foundation (22.1%), and USAID (10.8%) were the largest research funders.</p><p><strong>Conclusion: </strong>Identifying research trends and mismatches between research topics and disease burden provides useful information for guiding future research prioritization. In particular, gaps exist for studies on hypertensive disorders of pregnancy and ante/postpartum hemorrhage, among the top causes of maternal mortality in sub-Saharan Africa.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142643970","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}