International Journal of Gynecology & Obstetrics最新文献

{"title":"Effects of anti-inflammatory dietary supplements on pelvic pain in females with endometriosis: A GRADE-assessed systematic review and meta-analysis of RCTs.","authors":"Fatemeh Naeini, Fatemeh Davari Tanha, Hastimansooreh Ansar, Mohammad Javad Hosseinzadeh-Attar","doi":"10.1002/ijgo.16103","DOIUrl":"https://doi.org/10.1002/ijgo.16103","url":null,"abstract":"<p><strong>Background: </strong>Endometriosis, the most perplexing gynecologic condition, impairs the quality of life because it is usually accompanied by persistent severe acyclic pelvic pain and infertility as its two main symptoms. The majority economic burden of endometriosis is due to infertility and pelvic pain. Therefore, alleviating pelvic pain in patients with endometriosis is a necessity.</p><p><strong>Objectives: </strong>The present systematic review and meta-analysis aimed to summarize evidence about the effects of anti-inflammatory dietary supplements on pelvic pain in females with endometriosis.</p><p><strong>Search strategy: </strong>PubMed, Scopus, and Web of Science as online databases were systematically searched by relevant keywords up to December 2023.</p><p><strong>Selection criteria: </strong>Randomized controlled clinical trials (RCTs) with either a parallel or crossover design conducted in adults with endometriosis were selected.</p><p><strong>Data collection and analysis: </strong>Random effect analysis was used to run meta-analysis. Subgroup analyses were run to detect heterogeneity sources. Quality assessment was done by revised Cochrane Collaboration tool II. The certainty of evidence was evaluated by the GRADE tool.</p><p><strong>Main results: </strong>A significant decrease in pelvic pain following supplementation with anti-inflammatory dietary supplements was detected. Also, anti-inflammatory dietary supplements could significantly decline pelvic pain in patients with endometriosis when the age of the participants was ≥32 years, the duration of supplementation was >8 weeks, the type of intervention was anti-inflammatory vitamins, the stage of endometriosis of study participants was > II, and baseline body mass index (BMI) of the participants was >23 kg/m².</p><p><strong>Conclusions: </strong>Use of anti-inflammatory dietary supplements in females with endometriosis results in a remarkable decrease in pelvic pain.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846429","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":"Correlation between perinatal abnormalities and decreased fetal movement as counted by a fetal movement acceleration measurement recorder: A prospective cohort study.","authors":"Eiji Ryo, Hideo Kamata, Keita Yatsuki","doi":"10.1002/ijgo.16101","DOIUrl":"https://doi.org/10.1002/ijgo.16101","url":null,"abstract":"<p><strong>Objective: </strong>The objective was to study the relationship between a decrease in gross fetal movement during maternal night sleep counted by an objective method and abnormal perinatal outcomes.</p><p><strong>Methods: </strong>This was a prospective cohort study. A total of 470 pregnant women recorded fetal movement with the fetal movement acceleration measurement recorder weekly after 28 weeks. The ratio of 10-s epochs with fetal movement to all epochs was calculated as the fetal movement parameter. When the parameter was below the 10th percentile of the previously made reference curve, it was defined as decreased movement. Women who showed a decreased movement at least once were classified into a study group, and the other women were classified into a control group. Abnormal perinatal outcomes between the two groups were compared with the Chi-square test.</p><p><strong>Results: </strong>There were more preterm births (19%) in the study group than in the control group (10%) (P = 0.0210). There was a significant difference for iatrogenic preterm birth (P = 0.0241) but not for spontaneous preterm birth (P = 0.4566). There were more hypertensive disorders of pregnancy (11.6%), small-for-gestational-age newborns (10.7%), and Apgar scores below 7 points at 1 min (7.4%) in the study group than in the control group (5.2%, 4.8%, and 2.6%, respectively) (P = 0.0329, 0.0459, and 0.0487, respectively).</p><p><strong>Conclusion: </strong>A decrease in gross fetal movement during maternal night sleep was related to iatrogenic preterm births, small-for-gestational-age newborns, hypertensive disorders of pregnancy, and low Apgar scores at 1 min.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142836522","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":"Adult anterior sacral myelomeningocele associated with a didelphys uterus: A rare case report presentation.","authors":"Chadi Fakih, Fadi Fakih, Mayssaloon Khairallah, Maha Trad, Madiha Hijazi, Jacqueline Saad, Youmna Mourad","doi":"10.1002/ijgo.16102","DOIUrl":"https://doi.org/10.1002/ijgo.16102","url":null,"abstract":"<p><p>Anterior spinal myelomeningocele (ASM) is a rare congenital anomaly which may remain asymptomatic until adulthood. This anomaly may reveal in different presentations causing in its turn a diagnostic dilemma. Definitive diagnosis is usually made through magnetic resonance imaging (MRI) and when an association with other abnormalities can be found, especially ones including the genitourinary system. Through this case report, we present an extremely rare case of an anterior sacral myelomeningocele associated with a didelphys uterus diagnosed in an adult female.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142836518","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":"Turkish translation and validation of the body image in the pelvic organ prolapse questionnaire.","authors":"İlaynur Kul, Funda Güngör Uğurlucan, Cenk Yaşa, Serap Özgül","doi":"10.1002/ijgo.16095","DOIUrl":"https://doi.org/10.1002/ijgo.16095","url":null,"abstract":"<p><strong>Objective: </strong>The primary aim was to adapt the Body Image in the Pelvic Organ Prolapse Questionnaire (BIPOP-Q) to Turkish culture and evaluate its reliability and validity. The secondary aim was to examine how body image is affected by partner status and the presence of pelvic organ prolapse (POP) symptoms.</p><p><strong>Methods: </strong>The study included 150 women with POP stage ≥2. The reliability of the BIPOP-Q was evaluated by internal consistency and test-retest analyses. To assess the criterion validity of BIPOP-Q, genital image and POP questionnaires were administered. Correlation coefficients were determined by Spearman correlation analysis. To evaluate the construct validity of the BIPOP-Q, confirmatory factor analysis was conducted. The Mann-Whitney U test was used to compare independent groups.</p><p><strong>Results: </strong>The internal consistency of the BIPOP-Q (Cronbach α = 0.918) was found to be high, and the test-retest reliability of the scale items (r = 0.538-0.828) ranged from moderate to excellent. Correlations between the BIPOP-Q and criterion scale scores were found to be low to moderate (r = -0.450 to 0.377, P < 0.05). The two-factor construct validity of the BIPOP-Q was confirmed. Women without a partner or with symptomatic POP exhibited lower body image scores than women with a partner or with asymptomatic POP (P < 0.05).</p><p><strong>Conclusion: </strong>The Turkish BIPOP-Q is a reliable and valid scale for assessing POP-specific body image. Turkish women without a partner or with symptomatic POP appear to have more impaired body image. Further studies are needed to examine the responsiveness of the BIPOP-Q to interventions.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142836538","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":"John J. Sciarra Prize Paper Award for 2025","authors":"","doi":"10.1002/ijgo.16104","DOIUrl":"https://doi.org/10.1002/ijgo.16104","url":null,"abstract":"<p>The editors of the <i>International Journal of Gynecology and Obstetrics</i> (IJGO) are pleased to announce a prize award for the best clinical research paper from a low- or middle-income country published in the IJGO during 2025.</p><p>All clinical research articles from low- and middle-income countries published in 2025 will be considered for this prize. Selection will be made by the editors and the decision will be announced in IJGO in 2025. The winning corresponding author will receive an £800 stipend, a certificate of recognition, and complimentary access to the online version of IJGO for a period of 1 year from the date the prize is awarded. Notification will be made to the corresponding author, who will be responsible for determining distribution of the winnings.</p><p>This award has been established for the purpose of encouraging investigators, especially young scientists, from low- and middle-income countries to submit their very best clinical research articles for publication in IJGO.</p><p>IJGO is the official publication of the International Federation of Gynecology and Obstetrics (FIGO), the primary international organization for the specialty of obstetrics and gynecology. FIGO is dedicated to enhancing the health care of women worldwide, and the prize award is intended to encourage authors to work toward the FIGO mission, which is, in part, to serve an international audience by publishing original scientific articles and communications originating in low-income countries, emphasizing important obstetric and gynecologic problems, issues, and perspectives, such as maternal mortality and family planning.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":"168 1","pages":"417"},"PeriodicalIF":2.6,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ijgo.16104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142868594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and risk factors of maternal dissatisfaction after vaginal delivery: A multicenter prospective study.","authors":"Marie Tartaglia, Alizée Froeliger, Fleur Delva, Hugo Madar, Hanane Bouchghoul, Catherine Deneux-Tharaux, Loïc Sentilhes","doi":"10.1002/ijgo.16091","DOIUrl":"https://doi.org/10.1002/ijgo.16091","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the prevalence and risk factors of maternal dissatisfaction 2 days after a singleton vaginal delivery at or near term.</p><p><strong>Methods: </strong>We conducted a planned ancillary cohort study of the TRanexamic Acid for Preventing Postpartum Hemorrhage After Vaginal Delivery (TRAAP) randomized controlled trial. Maternal dissatisfaction, related to the birth and to the subsequent hospital stay, was assessed 2 days postpartum by two self-administered questions: \"Are you satisfied with the care you received during your child's birth?\" and \"Are you satisfied with the care you have received during your hospital stay?\". Satisfaction was defined by answers of \"extremely satisfied\" or \"very satisfied,\" and dissatisfaction by the responses \"moderately satisfied,\" \"not very satisfied,\" or \"not at all satisfied\". Their association with maternal dissatisfaction was analyzed by random-effects logistic regression.</p><p><strong>Results: </strong>The prevalence of maternal dissatisfaction with the birth was 2.9%, and with the hospital stay 9.5%. Characteristics associated with a higher risk of maternal dissatisfaction with the birth were labor exceeding 6 h, bad memories of the birth and, only for women without complicated deliveries, manual examination of the uterine cavity. The only characteristic associated with a higher risk of dissatisfaction with the hospital stay was non-French nationality. None of the postpartum hemorrhage, third- or fourth-degree perineal lacerations, operative vaginal delivery, episiotomy and uterine massage were associated with a higher risk of maternal dissatisfaction.</p><p><strong>Conclusion: </strong>Maternal dissatisfaction was low after singleton vaginal deliveries at or near term. Strategies aiming to avoid labor longer than 6 h and manual examination of the uterine cavity may decrease maternal dissatisfaction after delivery.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823960","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":"Clinical and radiologic characteristics of ruptured epidermal inclusion cysts in the nipple and subareolar regions: A report of two cases.","authors":"Reine Fahed, Kariman Ghazal","doi":"10.1002/ijgo.16090","DOIUrl":"https://doi.org/10.1002/ijgo.16090","url":null,"abstract":"<p><p>Epidermal inclusion cysts (EICs) in the breast, particularly in the nipple and subareolar regions, are rare entities that pose significant diagnostic challenges and management dilemmas in clinical practice. This study retrospectively analyzes two case reports of women presenting with EICs located in these unusual breast areas. The subjects included a 35-year-old female with congested nipple symptoms and bilateral mastodynia, and a 58-year-old female with a palpable right breast nodule. Diagnostic efforts involved magnetic resonance imaging (MRI), sonography, and mammography, which highlighted the cysts' onion-like asymmetry and heterogeneous characteristics with posterior acoustic enhancement. Despite detailed imaging, distinguishing these cysts from malignancies or typical abscesses proved difficult. Both cases experienced spontaneous cyst rupture with subsequent resolution following antibiotic therapy. A literature review confirmed the rarity of such cases, emphasizing the importance of recognizing EICs to avoid unnecessary surgical interventions. These findings underscore the need for heightened clinical awareness and detailed imaging to accurately diagnose and manage EICs in atypical breast locations, and call for further research to explore their etiology and optimal treatment strategies.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824041","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":"Adenomyosis, especially in its focal nature, hampers implantation and live birth rate after single euploid embryo transfer.","authors":"Rafael Trinchant, María Cruz, Antonio Requena, Juan Antonio García-Velasco","doi":"10.1002/ijgo.16082","DOIUrl":"https://doi.org/10.1002/ijgo.16082","url":null,"abstract":"<p><strong>Objective: </strong>The primary objective of this study was to assess if uterine adenomyosis impacts live birth rate per euploid embryo transfer. The secondary objectives included addressing obstetric and perinatal outcomes in the study group.</p><p><strong>Methods: </strong>This was a multicenter and retrospective cohort study in which 228 patients diagnosed with adenomyosis undergoing single euploid embryo transfer between 2016 and June 2023 were included and matched on 1:1 ratio to control patients without ultrasonographic diagnostic criteria for adenomyosis.</p><p><strong>Results: </strong>A significant higher live birth rate per embryo transfer was observed in controls compared to women with adenomyosis: 107/228 (46.9%) versus 56/228 (24.6%), respectively (odds ratio (OR) = 2.71, 95% confidence interval [CI]: 1.73-4.13, p < 0.001). When dividing adenomyotic patients regarding the nature of the disease, a higher live birth rate per transfer was described in diffuse adenomyosis compared to focal adenomyosis: 47/166 (28.3%) versus 9/62 (15%), respectively (OR = 2.32, 95% CI: 1.03-5.78, p = 0.034). Described differences were constant even when correcting for multiple variables. There was no statistically significant difference in childbirth delivery method (vaginal vs. cesarean section) between the adenomyosis and control groups. Mean gestational age at the time of delivery, newborn size and weight, and incidences of low birth weight, preterm birth, and admission to the neonatal intensive care unit did not differ between the two groups. In addition, in vitro fertilization (IVF) and perinatal outcomes were similar in patients with diffuse compared with focal adenomyosis.</p><p><strong>Conclusion: </strong>Adenomyosis, especially focal adenomyosis, affects clinical but may not affect perinatal outcomes after single euploid embryo transfer.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824040","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":"Prevention of births in Gaza: Where lies the future?","authors":"Bilal Irfan, Abdallah Abu Shammala, Khaled J Saleh","doi":"10.1002/ijgo.16092","DOIUrl":"https://doi.org/10.1002/ijgo.16092","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823961","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":"Readmission following methotrexate treatment for tubal pregnancy.","authors":"Bo Gao, Fang Fang Gao, Wei Xu, Fei Su","doi":"10.1002/ijgo.16106","DOIUrl":"https://doi.org/10.1002/ijgo.16106","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823963","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}