International Journal of Gynecology & Obstetrics最新文献

{"title":"Response: The future of patient education: A study on AI-driven responses to urinary incontinence inquiries","authors":"Reut Rotem, Adi Y. Weintraub, Misgav Rottenstreich","doi":"10.1002/ijgo.15943","DOIUrl":"10.1002/ijgo.15943","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390446","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":"Women attending the sexual assault treatment unit services in the Republic of Ireland: A 7-year review.","authors":"D Kane, J Walshe, N Maher, C Pucillo, D Richardson, A Holmes, K Flood, M Eogan","doi":"10.1002/ijgo.15947","DOIUrl":"https://doi.org/10.1002/ijgo.15947","url":null,"abstract":"<p><strong>Objective: </strong>Sexual assault is pervasive in today's society, with the numbers of those reporting it increasing. In Ireland, 50% of women will experience some form of sexual violence in their lifetime. We sought to describe the incident details of females presenting to the Sexual Assault Treatment Unit (SATU) network in the Republic of Ireland and to determine associations between incident characteristics and: (1) victim age, (2) presence of injury, (3) victim-perpetrator relationship, and (4) number of assailants.</p><p><strong>Methods: </strong>This was a retrospective cross-sectional study of all females who attended between 2017 and 2023. Descriptive bivariate analysis was performed.</p><p><strong>Results: </strong>There were 5942 female attendances, with an average age of 26 years. The largest age group was women between 18 and 25 years (38.1%, n = 2263). Forensic examinations were performed in 76.6% (n = 4549). Assailants were male in 92% (n = 5469) of incidents, with multiple assailants disclosed in 7.3% (n = 435). Strangers or recent acquaintances were the assailant in 38.5% (n = 2290) of incidents, and close associates in 22.9% (n = 1359). Incidents occurred at the survivor's home in 22% (n = 1306) of incidents, and in the assailant's home in 22.6% (n = 1342). Drug use within 24 h was reported in 15.1% (n = 897) of cases, and alcohol use in 72% (n = 4276). Drug-facilitated assault was suspected by 16.1% (n = 955). Injuries (genital and extra-genital) occurred in 30.3% (n = 1800) of attendances and were more likely to be seen in those who disclosed ingesting alcohol (Relative risk [RR] 1.325, P < 0.001) or drugs (RR 1.111, P = 0.04) in the 24 h preceding the incident, in those who presented within 24 h (RR 1.646, P < 0.001), those aged 18 years or older (RR 1.07, P = 0.003), and those where the incident occurred outdoors (RR 1.24, P < 0.001).</p><p><strong>Conclusion: </strong>This study, one of the largest on female attendances to a national SATU network, offers detailed insights into demographics, incident details, and circumstances. Most were young women, mainly 18 years and older, many of whom were full-time students. Forensic examinations were the primary reason for attendance, underscoring the network's key role in evidence collection. The study also identified factors linked to a higher risk of injury detection, such as immediate post-incident attendance, being over 18, outdoor incidents, perpetration by a stranger, and prior alcohol or drug use.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390448","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":"Uterine rupture following prostaglandins use in second trimester medical abortion: Fact or fiction? A systematic review.","authors":"Antonio Malvasi, Andrea Tinelli, Vanessa Mulone, Ettore Cicinelli, Amerigo Vitagliano, Gianluca Raffaello Damiani, Giorgio Maria Baldini, Miriam Dellino, Antonio D'Amato, Antonella Vimercati","doi":"10.1002/ijgo.15946","DOIUrl":"https://doi.org/10.1002/ijgo.15946","url":null,"abstract":"<p><strong>Background: </strong>Prostaglandins (PGs) have emerged as key drugs in second trimester medical abortion (STMA) and are currently a cornerstone in obstetric practice. Nevertheless, the application of PGs, integral to labor and abortion procedures, is not risk-free, and has been associated with several complications, particularly maternal fever and uterine rupture (UR).</p><p><strong>Objectives: </strong>The main outcome of the present systematic review was to assess the safety of PGs use in STMA, particularly in scarred uterus (SC).</p><p><strong>Search strategy: </strong>The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. We performed a comprehensive systematic review by searching multiple databases, including MEDLINE, EMBASE, Global Health, The Cochrane Library, Health Technology Assessment Database, and the research registers of Web of Science during the years 1990-2022.</p><p><strong>Selection criteria: </strong>Only articles regarding cases of UR occurred after the use of PGs for STMA were included in the article. We excluded papers regarding UR during first trimester abortion induction of labor or pregnancy or unrelated to PGs use for STMA. Risk of bias was assessed employing a modified version of the \"Newcastle-Ottawa Scale\" (NOS).</p><p><strong>Data collection and analysis: </strong>A total of 178 studies were initially identified as potentially meeting the criteria for inclusion in the review. After full text evaluation, 110 other articles were excluded and 67 studies that suited the inclusion criteria were included. A total of 19 of the included studies were judged to have a high risk of bias. Given the heterogeneous nature of the findings, we opted for a narrative synthesis of the results.</p><p><strong>Main results and conclusions: </strong>PGs appear to be an effective pharmacologic tool for STMA; however, their use is not entirely risk-free. STMA requires well-equipped obstetric centers with skilled clinicians and surgeons prepared for emergencies. Ultrasonographic scans should be routinely performed during STMA management, since a UR can also be silent during the induction of labor. Intrapartum transabdominal, transperineal, and transvaginal ultrasound may have the diagnostic potential to early recognize this obstetric emergency, to facilitate rapid medical and surgical treatment, improving the outcome.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390447","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":"Current status of paternal mental health care in obstetric institutes in Japan.","authors":"Shin-Ichi Hoshi, Shunji Suzuki, Akihiko Sekizawa, Yoko Sagara, Isamu Ishiwata","doi":"10.1002/ijgo.15929","DOIUrl":"https://doi.org/10.1002/ijgo.15929","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390445","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":"Routine ultrasound does not improve instrument placement at operative vaginal delivery: An updated systematic review and meta-analysis.","authors":"Rossana Orabona, Anna Fichera, Carolina Scala, Ambrogio P Londero, Federico Prefumo","doi":"10.1002/ijgo.15948","DOIUrl":"https://doi.org/10.1002/ijgo.15948","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371814","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":"Beyond borders: The global impact of violating reproductive human rights.","authors":"Aparna Sridhar, Mikaela R Koch, Asha Kasliwal, Jessica L Morris, Laura Gil, Nikhil Purandare, Ivonne Diaz","doi":"10.1002/ijgo.15945","DOIUrl":"https://doi.org/10.1002/ijgo.15945","url":null,"abstract":"<p><p>A fundamental component of the basic right to health is the right to sexual health, encompassing an individual's right to decide freely on matters of sexual and reproductive health without discrimination. Provision of these rights is inextricably linked with a wide range of other internationally agreed upon human rights, including the right to information, participation, and equality. Evidence has shown that provision of these rights not only improves maternal and neonatal health, but also healthcare worker safety and the provision of a vast array of critical and necessary medical care. And yet, too often-and with increasing frequency-sexual and reproductive rights are being violated worldwide, with rising taboos, stigma, and discrimination, particularly within abortion, contraception, and fertility care. FIGO strongly supports comprehensive, equitable, and accessible sexual and reproductive health care for all individuals, recognizing that these rights are essential components of global health and fundamental human rights. This includes a particular emphasis on special populations, healthcare workers, and women and girls in crisis zones. FIGO encourages its member societies to deliver comprehensive sexual and reproductive health care, advocate for coverage for sexual and reproductive health care, become involved in analyzing barriers to access within health systems, and provide nonjudgemental, confidential, person-centered care.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371813","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":"Trustworthiness criteria for meta-analyses of randomized controlled studies: OBGYN Journal guidelines","authors":"The OBGYN Editors' Integrity Group (OGEIG)","doi":"10.1002/ijgo.15885","DOIUrl":"10.1002/ijgo.15885","url":null,"abstract":"&lt;p&gt;Meta-analysis is a quantitative statistical technique used to combine and analyze data from the results of multiple previous independent studies on a particular topic, to derive overall conclusions or effect estimates. In general (but not exclusively), meta-analyses are based on RCTs. The results are often used to develop standard practice or clinical guidelines. However, RCTs may be inaccurate or fabricated, leading to journal withdrawal or retraction. This article aims to expand upon the list of RCT quality criteria for authors of meta-analyses of RCTs, so that low-quality and fabricated studies are excluded from meta-analyses.&lt;/p&gt;&lt;p&gt;The editors in the group were invited to participate in monthly or bimonthly calls regarding trustworthiness in OBGYN publishing, with the aim of preventing publication of untrustworthy science in women's health. Using data from the published literature, including our prior work,&lt;span&gt;&lt;sup&gt;1, 2&lt;/sup&gt;&lt;/span&gt; Cochrane guidance,&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; the TRACT Checklist,&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; the author instructions of the various journals, and other publications related to trustworthiness of meta-analyses of RCTs,&lt;span&gt;&lt;sup&gt;5&lt;/sup&gt;&lt;/span&gt; criteria for meta-analyses were reviewed, reaching consensus by majority.&lt;/p&gt;&lt;p&gt;By consensus, 21 quality criteria were agreed upon by the editors. The aim is for authors to check and confirm the quality criteria for &lt;i&gt;each&lt;/i&gt; identified RCT when carrying out a meta-analysis of RCTs (Tables 1 and 2). These criteria help to identify trustworthy RCTs, and are assigned to two groups: absolute criteria, and ‘other quality’ criteria. ‘Absolute’ trustworthiness criteria are those that, if not met, would suggest non-inclusion in the main results of meta-analyses of RCTs (Table 1). ‘Other quality’ criteria are those that, if not met, would suggest lower quality of RCTs (Table 2). In addition, the meta-analysis should be prospectively registered in the PROSPERO database (or a similar international, publicly accessible database, e.g. INPLASY; Research Registry—Registry of Systematic Review/Meta-Analysis).&lt;/p&gt;&lt;p&gt;The consensus decision was that the abstract and primary analysis of meta-analyses should report only trustworthy, ‘high-quality’ RCTs that meet all of the ‘absolute’ criteria (Table 1). Authors of meta-analyses are encouraged to contact RCT authors for additional information regarding the criteria in Tables 1 and 2 if the details cannot be found in the published manuscript or registered protocol. At a minimum, all co-authors of meta-analyses should confirm at the point of submission that each included article meets the criteria included in Table 1. Individual journals may also ask authors to confirm that each article meets the criteria in Table 2, or may go further and ask authors to complete and submit a checklist for the criteria in Tables 1 and 2 for each article included in the meta-analysis. In general, RCTs that are published as an abstract only seldom report all crite","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ijgo.15885","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361483","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":"Menstrual management using the etonogestrel implant in individuals with intellectual disabilities in Joinville, Brazil.","authors":"Giordana Campo Braga, Carla Josene Zarabia, Adriana Kelly Soares de S da Trindade, Carolina Sales Vieira","doi":"10.1002/ijgo.15930","DOIUrl":"https://doi.org/10.1002/ijgo.15930","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to describe the use of etonogestrel (ENG) implants for menstrual management (i.e., management of bleeding and symptoms associated with menstruation) in individuals with intellectual disabilities.</p><p><strong>Methods: </strong>This study retrospectively analyzed a cohort of individuals with intellectual disabilities who began using ENG implants between 2003 and 2018, in Joinville, Brazil. We collected sociodemographic, clinical, and reproductive data from the medical records, along with information related to ENG implant use.</p><p><strong>Results: </strong>In total, 369 implants were placed in 130 individuals with intellectual disabilities. The median age at the first implant was 20 (interquartile range [IQR], 17-26) years, and 43.8% of the patients were adolescents. By December 2018, 90 patients had received two or more subsequent implants. The median duration of current ENG implant use was 19 (IQR, 12.8-22) months. More than 40% of the patients had comorbidities, with epilepsy being the most common. During the use of the current implant, 80% of the patients had a favorable bleeding profile (no bleeding or ≤1 bleeding episode per month), and 53.8% (70/130) had no bleeding within 3 months before their last medical visit. Among patients experiencing dysmenorrhea and premenstrual syndrome (PMS), 79% (64/81) and 82% (54/66) reported complete improvement, respectively. The premature implant removal rate was 8.9% (33/369). Unfavorable bleeding was the main reason for premature implant removal (20 out 33 removals).</p><p><strong>Conclusions: </strong>ENG implants might be a suitable option for individuals with intellectual disabilities who require management of menstrual bleeding and symptoms associated with menstruation. Most patients had a favorable bleeding profile and experienced significant improvements in dysmenorrhea and PMS, contributing to the high continuation rates of ENG implants.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346607","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 outcome of embryo transfer after three different procedures for laparoscopic correction of hydrosalpinx.","authors":"Juan Wang, Simi Liao, Yanfen Luo, Xiaofeng Pang, Rirong Li, Arshad Mehmood","doi":"10.1002/ijgo.15932","DOIUrl":"https://doi.org/10.1002/ijgo.15932","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effect of three different surgical approaches: simple terminal salpingostomy, bilateral proximal tubal ligation plus terminal salpingostomy, and bilateral salpingectomy.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on the clinical data of 292 patients who underwent laparoscopic surgery for hydrosalpinx and embryo transfer within 2 years postoperatively from January 2018 to August 2021. The patients were divided into three groups: Group A (68 cases) underwent simple terminal salpingostomy, Group B (199 cases) underwent ligation plus terminal salpingostomy, and Group C (25 cases) underwent bilateral salpingectomy.</p><p><strong>Results: </strong>Age, body mass index, surgical time, intraoperative bleeding, length of hospital stay, and infertility type showed no significant differences among the different surgical groups (P > 0.05), except for the age 30-39 group, which showed statistically significant differences in surgical time (P < 0.001) and length of hospital stay (P < 0.001); the age 40 or above group showed statistically significant differences in intraoperative bleeding (P = 0.008). A total of 336 oocyte retrievals and 451 embryo transfers were successfully performed in the 292 patients within 2 years postoperatively.</p><p><strong>Conclusion: </strong>The choice of surgical approach for hydrosalpinx does not affect pregnancy rates after embryo transfer within the same age group.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346611","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: Relationship between menopausal hormone therapy and breast cancer: A nationwide population-based cohort study","authors":"Jin-Sung Yuk","doi":"10.1002/ijgo.15944","DOIUrl":"10.1002/ijgo.15944","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346609","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}