International Journal of Gynecology & Obstetrics最新文献

{"title":"Governance in obstetrics and gynecology associations in sub-Saharan Africa: Challenges and adaptive strategies for enhanced organizational effectiveness.","authors":"Hani W Fawzi","doi":"10.1002/ijgo.70051","DOIUrl":"https://doi.org/10.1002/ijgo.70051","url":null,"abstract":"<p><p>This review examines the governance structures of professional associations within the obstetrics and gynecology sector in Sub-Saharan Africa (SSA), emphasizing the need for adaptive and resilient governance models. Using a mixed-methods approach, this study integrates quantitative and qualitative data to assess the effects of governance on organizational effectiveness. The findings indicate that adaptive governance significantly enhances organizational resilience and performance. The review highlights specific governance challenges unique to the African context, such as resource limitations, cultural diversity, and regulatory variability. Recommendations are made for the implementation of flexible, context-aware governance frameworks that can improve health outcomes by enhancing the operational capacities of professional associations in SSA.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742835","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":"Virtual reality simulation training for childbirth: A cluster randomized crossover study.","authors":"Arundhati Gosavi, Abhiram Kanneganti, Eng Tat Khoo, Kuldip Singh, Liang Shen, Mary Rauff, Chang Liu, Mahesh Choolani","doi":"10.1002/ijgo.70053","DOIUrl":"https://doi.org/10.1002/ijgo.70053","url":null,"abstract":"<p><strong>Objective: </strong>To compare knowledge acquisition and domain-specific feedback between virtual reality (VR) and mannequin-based simulation for teaching medical students normal vaginal delivery (NVD).</p><p><strong>Methods: </strong>We conducted a cluster randomized crossover study comparing a novel in-house-developed NVD VR simulator utilizing an Oculus® Quest 2 HMD with the PROMPT Flex® mannequin. We randomly assigned medical student clinical groups to either VR or mannequin simulation. Participants took an 11-item knowledge quiz before and after their first simulation before crossing over to the alternate simulation. Participants took a six-domain, 14-item feedback questionnaire evaluating both simulations. The primary outcome was percentage improvement in knowledge scores, while the secondary outcome was adjusted mean difference in mean feedback scores between each simulation.</p><p><strong>Results: </strong>Twenty clinical groups comprising 111 medical students participated. There was no difference in either arm for baseline characteristics and pre-simulation knowledge scores. Medical students undergoing VR simulation had significantly higher overall post-simulation mean percentage correct scores (79.0% vs. 54.0%; P < 0.001). The mannequin simulator had significantly higher feedback scores (61.0 vs. 58.3; adjusted mean difference 2.45 [95% confidence interval 0.95-3.95]; P = 0.002) and in five of six domains. A total of 40.5% of respondents preferred the mannequin simulation, 4.5% preferred the VR simulation, and 42.5% preferred a mixture of the two.</p><p><strong>Conclusions: </strong>Our novel VR NVD simulator was superior to traditional mannequin simulation in content delivery. As more respondents preferred a mixed approach over any single method, VR simulation could complement legacy mannequin simulation methods by serving as a primer or a distance-learning tool and help increase skill birth attendant training.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742843","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 fetal presentation on mode of delivery in 26 143 twin pregnancies: A nationwide, population-based observational study of 31-year real-world data.","authors":"Meryam Sugulle, Katariina Laine, Tiril Tingleff, Gulim Murzakanova, Sari Räisänen","doi":"10.1002/ijgo.70103","DOIUrl":"https://doi.org/10.1002/ijgo.70103","url":null,"abstract":"<p><strong>Objective: </strong>To describe the rate of combinations of fetal lies and presentations in twin pregnancies at delivery and to assess the effects of fetal lies and presentations on mode of delivery as well as fetal and maternal birth outcomes.</p><p><strong>Methods: </strong>This population-based cohort study used real-world data from the Medical Birth Registry of Norway and included all twin births (n = 26 143) in Norway during 1988-2018. Logistic Regression Analysis was Applied. Main outcome measures were planned and actual modes of delivery categorized into vaginal deliveries and cesarean sections. Secondary outcomes were postpartum hemorrhage and intrapartum stillbirth.</p><p><strong>Results: </strong>Most twin births were planned as vaginal deliveries (83.4%, 21 811/26 143), of which (65.9%, 14 371/21 811) were successful. Vaginal delivery was more often successful in parous than in nulliparous women, or if the first or both twins were in cephalic presentation compared with non-cephalic presentation of the first or both twins. Planned cesarean section was more likely to be chosen if the first or both twins were in non-cephalic presentation than if they were in cephalic presentation. Maternal parity, demographic and obstetric risk factors had little or no effect on the association between twin presentations and planned or actual delivery mode.</p><p><strong>Conclusions: </strong>More than half of women with a twin pregnancy had a successful vaginal delivery. Keeping the option of the vaginal route as the primary mode of delivery in a twin pregnancy maintains the right of the woman to have a vaginal delivery and avoid a uterine scar.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742832","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":"Cervical ripening with Foley catheter balloon: A prospective cohort of 320 women.","authors":"M Carvalho-Afonso, C Policiano, N Clode, D Ayres-de-Campos","doi":"10.1002/ijgo.70088","DOIUrl":"https://doi.org/10.1002/ijgo.70088","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluates the efficacy and safety of cervical ripening with a Foley catheter balloon in a cohort of women with a medical indication for labor induction.</p><p><strong>Methods: </strong>In this prospective observational study, we evaluated 320 women with singleton term pregnancies, Bishop's score less than 6, and scheduled cervical ripening with a Foley catheter balloon. The outcomes assessed were: Bishop's score at first re-evaluation 18-24 h later, gain in Bishop's score at first re-evaluation, Bishop's score ≥6 at first re-evaluation, onset of labor in the 24 h after insertion, delivery within 24 h, delivery within 48 h, and failed labor induction. Overall success of cervical ripening was defined as achieving a favorable Bishop's score or onset of labor within 24 h. Adverse events occurring during balloon insertion or until the first re-evaluation were also documented.</p><p><strong>Results: </strong>At first re-evaluation 18-24 h later, 106 women (33.1%) had a Bishop's score ≥6, and the median gain in Bishop's score was 2. In the first 24 h after balloon insertion, 48 women (15%) went into labor, for an overall success rate of 48.1%. Delivery within 48 h occurred in 214 (66.9%), and failed labor induction in 38 (11.9%). Adverse events were observed in 14 women (4.4%), mainly pain/discomfort, vaginal bleeding, and balloon rupture. All were mild and required no further intervention. The risk of caesarean delivery for failed labor induction was decreased with outpatient cervical ripening (OR 0.39, 95% CI 0.16-0.86), and when an open cervix was present at the start of the process (OR 0.43, 95% CI 0.18-0.97).</p><p><strong>Conclusion: </strong>Approximately half of women undergoing cervical ripening with a Foley catheter balloon achieve a favorable cervix or onset of labor within 24 h; 67% are delivered within 48 h. Adverse events are rare and mild, requiring no further intervention. Outpatient cervical ripening and an open cervix on admission are associated with higher success rates.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719303","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":"Investigation of endoplasmic reticulum stress parameters in patients with gestational diabetes mellitus: A prospective study.","authors":"Sevcan Sarıkaya, Eissa Almaghrebi, Fatma Akat, Eda Nur Hepbildi, Esra Kosucu, Muslu Kazım Körez, Husamettin Vatansev","doi":"10.1002/ijgo.70091","DOIUrl":"https://doi.org/10.1002/ijgo.70091","url":null,"abstract":"<p><strong>Objective: </strong>Our aim in this study was to evaluate the levels of Activating Transcription Factor-6 (ATF-6), Inositol-Requiring Enzyme 1 (IRE-1), and C/EBP-Homologous Protein (CHOP), which are critical markers of endoplasmic reticulum (ER) stress, in patients with gestational diabetes mellitus (GDM), a condition increasingly recognized for its complex biochemical and molecular underpinnings.</p><p><strong>Materials and methods: </strong>A total of 89 patients aged 18-45 years who applied to our hospital between January 2024 and December 2024 were included in our study. Of these, 45 patients were diagnosed with GDM during their routine pregnancy follow-up, while 44 were healthy pregnant women without any additional metabolic or obstetric complications. Serum samples were analyzed for ATF6, IRE-1, and CHOP levels, which are biochemical markers associated with ER stress. The data obtained were compared between the two groups.</p><p><strong>Results: </strong>The patients with GDM were older than those in the control group (31.98 ± 5.29 vs. 27.55 ± 5.92 years, P < 0.001). The mean number of gravidas (3.96 ± 2.01 vs. 2.48 ± 1.62, P < 0.001) and parity (2.18 ± 1.45 vs. 1.14 ± 1.07, P < 0.001) were significantly higher in the GDM group than in the control group. All GDM patients showed elevated levels of hemoglobin A1c (HbA1C) (6.69 ± 1.43% or 49.24 ± 15.25 mmol/mol, n = 45), indicating chronic hyperglycemia. GDM patients had elevated levels of red blood cells (RBC), hematocrit (HCT), mean platelet volume (MPV), platelet distribution width (PDW), red cell distribution width-coefficient of variation (RDW-CV) and potassium. They also had decreased glucose levels. Analysis revealed that there was no significant change in CHOP and IRE-1 levels in the GDM women compared with patients in the control group. However, the level of ATF-6 was significantly reduced in the GDM group compared with the control group (5.30, interquartile range [IQR] 4.59-6.28 vs. 5.92, IQR 5.17-8.43; P = 0.040). Despite no significant changes in CHOP and IRE-1 levels, the reduced ATF-6 levels in GDM patients highlight its potential as a specific biomarker for ER stress in the context of GDM.</p><p><strong>Conclusion: </strong>This study identifies ATF-6 as a potential biomarker for GDM, with reduced levels significantly associated with GDM and key clinical parameters. Our findings support the integration of ER stress and hematological markers into future research and clinical practice for GDM.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719305","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":"Perceived feasibility of a multicomponent prenatal intervention on childhood vaccinations: Findings from a national cross-sectional survey of prenatal care providers, April-June 2022.","authors":"Lavanya Vasudevan, Rachael M Porter, Sandra S Stinnett, Lauren Hart, Elizabeth L Turner, Leah L Zullig, Tara M Vogt, Geeta K Swamy, Emmanuel B Walter, Robert A Bednarczyk, Walter A Orenstein, Beverly Gray","doi":"10.1002/ijgo.15970","DOIUrl":"https://doi.org/10.1002/ijgo.15970","url":null,"abstract":"<p><strong>Background: </strong>There are inadequate proactive interventions that take advantage of medical contacts during pregnancy to build confidence in vaccines recommended for children after birth. In addition, prenatal providers' perceptions on implementing such proactive childhood vaccination-focused interventions are not well understood.</p><p><strong>Methods: </strong>A multicomponent prenatal intervention on childhood vaccines was designed for expectant parents to include a prenatal provider recommendation encouraging age-appropriate vaccines for children after birth, an educational website on vaccine recommendations and resources, and a phone consultation with a vaccine navigator during pregnancy. Members of national prenatal provider organizations in the USA were recruited from April to June 2022 for an online cross-sectional survey to assess their demographic and practice characteristics, perceived role as vaccine advocates, training needs, perceived intervention feasibility, and perceived implementation factors.</p><p><strong>Results: </strong>After data validation, 495 of 1677 responses were included for analysis. Providers expressed agreement (65.1%) with the importance of discussing vaccinations with others, but fewer (46.7%) agreed that they changed people's views on vaccination. Over half of providers agreed or completely agreed that the proposed intervention was feasible, as measured through the four-item Feasibility of Intervention Measure (% agreement range reported across items for educational website: 71.4%-75.2%; provider recommendation: 54.0%-59.7%; and vaccine navigator: 53.9%-56.7%). Availability of adequate staff resources (48.0%), time constraints (47.8%), and adequate training on childhood vaccines (45.4%) were the top three perceived implementation challenges. Perceived facilitators included availability of patient education resources on childhood vaccines (57.7%).</p><p><strong>Conclusion: </strong>The proposed intervention to build confidence in childhood vaccines was perceived by providers to be feasible in prenatal settings. Supportive strategies that reduce time and staff burden and increase provider competency to discuss childhood vaccines will be necessary to overcome perceived implementation challenges. Intervention feasibility and implementation factors should be reassessed upon actual implementation of the intervention.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719307","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":"Appropriateness of the delivery room and healthcare Professionals' communication and health care services during delivery in the Gaza strip: Women's perspective.","authors":"Abd Al-Karim Sammour, Dana Madi, Ruba Musallam, Mohammed W Zimmo","doi":"10.1002/ijgo.70080","DOIUrl":"https://doi.org/10.1002/ijgo.70080","url":null,"abstract":"<p><strong>Introduction: </strong>Properly prepared delivery rooms are crucial for enhancing women's delivery experiences and reducing postpartum complications. Effective communication between healthcare providers and women is equally essential for delivering respectful maternity care. This study aimed to assess delivery room appropriateness and communication effectiveness at Al-Shifa Medical Complex.</p><p><strong>Methods: </strong>This cross-sectional study surveyed all women who delivered at Al-Shifa Medical Complex during a 2-week period. A self-constructed questionnaire with 18 items evaluated communication during delivery, and a mini-scale assessed delivery room appropriateness. The Kruskal-Wallis test determined associations between communication, satisfaction, and sociodemographic factors (significance level, P < 0.05).</p><p><strong>Results: </strong>A total sample of 406 women was interviewed and included in the study, with a median age of 26 years (interquartile range, 23-30 years). Of the overall sample, 189 (46.6%) had a bachelor's degree and 187 (46.1%) had completed their secondary school. The number of deliveries ranged between 1 and 9, with a median of 3 (interquartile range, 2-4). The majority of women demonstrated an excellent communication level with the medical staff (median score, 7). A total of 319 (78.6%) women were satisfied with the way medical services were provided by the medical staff (4 or 5 out of 5). Using the mini-scale, the delivery rooms were appropriate, with 64.7% of the standardized equipment and measures implemented. There was a statistically significant association between satisfaction with medical services and educational level, and the number of previous deliveries (P = 0.002 and P = 0.018, respectively).</p><p><strong>Conclusions: </strong>While communication levels in delivery rooms were generally good, improvements are necessary to align practices with global guidelines and ensure consistently respectful care for women during delivery.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700419","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":"Combined storage and intraoperative autologous blood transfusion with thrombosis prevention for secondary polycythemia induced by a giant broad ligament leiomyoma: A case report.","authors":"Xinyi Wei, Min Zhang, Jingwen Li, Zhiwei Wu, Yuhuan Chen, Xiaohong Yang","doi":"10.1002/ijgo.70078","DOIUrl":"https://doi.org/10.1002/ijgo.70078","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700425","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":"Preventing gender-based violence: A global imperative.","authors":"S Shantha Kumari, Anne-Beatrice Kihara, Rubina Sohail, Hadia Majid, Kristina Gemzell-Danielsson, Giuseppe Benagiano","doi":"10.1002/ijgo.70086","DOIUrl":"https://doi.org/10.1002/ijgo.70086","url":null,"abstract":"<p><p>Gender-based violence (GBV) comes in many different forms, including emotional, physical, economic, and cultural. Regardless of its form, it represents an evil that the international community must work hard to eliminate. A crucial step in eradicating men's violent behavior is implementing initiatives aimed at prevention. However, effective prevention requires collaboration among various stakeholders, including policymakers, healthcare providers, psychological and social services, and community organizations. One major obstacle in combating GBV is the fragmentation of efforts. To improve the chances of success, all stakeholders must unite, fostering a dialogue and joint action. It is important that this dialogue includes scientific harmonization between anthropology and social sciences to better understand the origins and nature of male violence. The United Nations have been extremely active in this respect. In 2023, they posted online a document entitled \"Ten ways to prevent violence against women and girls.\" Progress has also been made in enrolling men in programs for the prevention of violence and in preventing partner violence among adolescents. However, despite these success stories, there remain significant gaps in ensuring effective prevention among marginalized groups and young women with disabilities, groups that are at elevated risk of becoming victims of violence. In conclusion, success in combating GBV depends on effective collaboration among all those committed to prevention. Unfortunately, reproductive health specialists have often failed to work alongside psychologists and social scientists. The time has come to encourage full cooperation and overcome these barriers.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700431","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":"Bacteriuria profile and antimicrobial sensitivity among pregnant women attending antenatal care at Jazan and Sabyia general hospitals, Jazan Region, KSA: A cross-sectional study.","authors":"Isameldin Elamin Medani, Ahlam Hakami, Ahmed Altraifi, Maha Murtada Abdelmageed, Ali Khormi, Uma Chourasia, Essam Falagy, Ahmad Alnamy, Bishi Moukli, Sarah Mnaa, Maha Alanazi, Manal Jamali, Ali Maashi, Hayat Khudhayr, Sara Eltigani, Nouf Shahhar, Safia Muqri, Nada Makein, Yasser Majrabi","doi":"10.1002/ijgo.70082","DOIUrl":"https://doi.org/10.1002/ijgo.70082","url":null,"abstract":"<p><strong>Background: </strong>Bacteria in urine, which is known as bacteriuria, is divided clinically into two types: symptomatic, where the patient experiences urinary complaints, and asymptomatic (ASB), in which the patient has no complaints. Pregnant women who have ASB may later develop symptomatic urinary tract infection, which is considered one of the most common bacterial infections in pregnancy and which, if untreated, can result in serious adverse pregnancy outcomes.</p><p><strong>Objective: </strong>The goal of this research was to find out the prevalence of bacteriuria and its related factors among pregnant women in the Jazan Region, Saudi Arabia, recognize correlated microbial organisms, and identify the antimicrobial profile.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at Jazan and Sabyia general hospitals from June 28, 2023 to June 28, 2024. A systematic random sample of 392 pregnant women was selected. Urine samples were collected from them for bacteriological cultures and antimicrobial sensitivity testing. Data were collected and analyzed.</p><p><strong>Results: </strong>Out of 392 participants, 19% had bacteriuria. Most women were aged 26-35, overweight, and resided in urban areas. The most common bacteria found were Escherichia coli (39.2%) and Klebsiella pneumoniae (17.6%). Antimicrobial sensitivity was highest for cefuroxime and vancomycin and lowest for erythromycin and penicillin. Significant predictors of bacteriuria were residence, body mass index, gestational age, hemoglobin levels, and hemoglobin A1c levels.</p><p><strong>Conclusion: </strong>The study revealed a significant prevalence of bacteriuria among pregnant women in Jazan Region, highlighting the importance of routine screening and targeted interventions for high-risk groups. Effective antibiotic stewardship programs are essential to managing resistance patterns.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691901","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}