International Journal of Gynecology & Obstetrics最新文献

{"title":"Multicystic peritoneal mesothelioma in the myometrium during pregnancy: A case report and literature review.","authors":"Yutong Chen, Huizhi Wang, Wentong Zhao, Ying Wu, Min Zhu, Xueli Zhang, Yunshuang Liu","doi":"10.1002/ijgo.70187","DOIUrl":"https://doi.org/10.1002/ijgo.70187","url":null,"abstract":"<p><p>Multicystic peritoneal mesothelioma (MCPM) is a rare tumor originating from mesothelial cells, primarily affecting women of reproductive age and typically found in the pelvic peritoneum. Its occurrence in the myometrium is extremely rare. Currently, there have been no reported cases of MCPM in the myometrium during pregnancy, and existing clinical guidelines do not provide specific management recommendations for this condition. This article aimed to explore the diagnosis, management, and treatment for MCPM in the myometrium during pregnancy, thereby providing a valuable reference for clinicians dealing with similar cases.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987293","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":"HPV vaccination coverage rate in women undergoing conization for cervical intraepithelial neoplasia in Spain: The COVAR study.","authors":"Aureli Torné Blade, María Del Mar Ramírez Mena, Jesús de la Fuente Valero, Raquel Oliva Sánchez, José Quílez Conde, Manuela Sala Ferichola, Jesús Osuna Pérez, Antonio Rivera, Bruno Herrera Bruch, Gonzalo Fernández, Noelia López, María Villarejo, Marta Del Pino Saladrigues","doi":"10.1002/ijgo.70170","DOIUrl":"https://doi.org/10.1002/ijgo.70170","url":null,"abstract":"<p><strong>Objective: </strong>Females subjected to cervical excisional therapy (conization) due to high-grade squamous intraepithelial lesions/cervical intraepithelial neoplasia HSIL/CIN have a higher risk of developing cervical lesions compared to the general population. Research suggests that HPV vaccination may reduce post-treatment HSIL/CIN risk. Since 2014, HPV vaccination is recommended and funded in Spain at regional level for women who had undergone treatment for cervical precancerous lesions (HSIL/CIN2-3 or any other potentially tumoral cytohistological alteration). In 2018, the Ministry of Health standardized the recommendations but the vaccination coverage rate (VCR) for this population has not been published. The COVAR Study aimed to estimate the annual HPV VCR among women undergoing conization for SIL/CIN in Spain and assess sociodemographic and COVID-19 pandemic influence. To estimate the annual HPV vaccination coverage rate (VCR) among women undergoing conization for squamous intraepithelial lesions/cervical intraepithelial neoplasia (SIL/CIN) in Spain and assess the influence of sociodemographics and the COVID-19 pandemic.</p><p><strong>Methods: </strong>This was a multicentric, cross-sectional retrospective study conducted in six Spanish public hospitals from January 1, 2019, to December 31, 2021.</p><p><strong>Results: </strong>Annual HPV VCR was 87.3% (1135/1300), increasing to 89.8% (983/1095) in women with a conization for high-grade SIL (HSIL)/CIN. Among vaccinated women, 30.2% (343/1135) were vaccinated after SIL/CIN diagnosis but before conization and 58.3% (662/1135) were vaccinated after conization; the remaining 11.5% (130/1135) received at least one dose before SIL/CIN diagnosis. Of the conizations, 32.4% (517/1594) were performed during the pre-pandemic period, decreasing to 19.6% (312/1594) during the first COVID-19 restriction period; the annual HPV VCR also decreased (30% [259/865] to 20.7% [179/865], P < 0.001), for women vaccinated after conization.</p><p><strong>Conclusion: </strong>The annual HPV VCR in our population was 87.3%, reflecting effective vaccination strategies. The COVID-19 pandemic substantially impacted the annual percentage of conizations and HPV vaccination.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012165","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 cardiac events in pregnant women with cardiac diseases using modified WHO, CARPREG II, and ZAHARA risk assessments in southern Thailand.","authors":"Panisa Poungsuntorn, Chitkasaem Suwanrath, Natthicha Chainarong, Krantarat Peeyananjarassri, Sirichai Cheewatanakornkul, Pongsanae Duangpakdee, Kanjarut Wongwaitaweewong","doi":"10.1002/ijgo.70196","DOIUrl":"https://doi.org/10.1002/ijgo.70196","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the predictive performance of three cardiovascular risk assessment models-modified WHO (mWHO) classification, Cardiac Disease in Pregnancy II (CARPREG II), and Zwangerschap bij Aangeboren Hartafwijking (Pregnancy in Women with Congenital Heart Disease; ZAHARA)-in predicting cardiac events among pregnant women with cardiac diseases.</p><p><strong>Methods: </strong>A retrospective review of medical records was conducted for all pregnant women with cardiac diseases who delivered at Songklanagarind Hospital between January 1, 2011, and December 31, 2022. Pregnancies ending in termination or miscarriage before 24 weeks were excluded. The mWHO, CARPREG II, and ZAHARA classifications were applied to each patient, with ZAHARA used only for congenital cardiac diseases. The discriminative ability of each model was evaluated using the area under the receiver operating characteristic curve (AUC).</p><p><strong>Results: </strong>Among 333 pregnancies with cardiac diseases (163 congenital and 170 acquired), 100 (30.0%) experienced cardiac events. The AUCs for predicting cardiac events in all cases were 0.774 (95% confidence interval [CI] 0.719-0.826) for CARPREG II and 0.744 (95% CI 0.689-0.799) for mWHO. In acquired cardiac disease, the AUC for mWHO (0.700 [95% CI 0.621-0.779]) was higher than that for CARPREG II (0.677 [95% CI 0.596-0.758]). For congenital cardiac disease, CARPREG II exhibited the best predictive performance, followed by mWHO and ZAHARA, with AUC values of 0.768 (95% CI 0.658-0.877), 0.754 (95% CI 0.653-0.854), and 0.685 (95% CI 0.563-0.806), respectively.</p><p><strong>Conclusion: </strong>CARPREG II demonstrated the highest predictive performance for cardiac events in pregnant women with all cardiac diseases, while ZAHARA exhibited the lowest predictive performance for congenital cardiac diseases.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964738","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":"Trends in mortality related to malignant neoplasms of female genital organs in young females in the United States, 1999-2023.","authors":"Sameen Aftab, Qazi Muhammad Zarlish","doi":"10.1002/ijgo.70162","DOIUrl":"https://doi.org/10.1002/ijgo.70162","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the site-specific mortality and demographic, racial, and regional trends of mortality related to malignant neoplasms of female genital organs in young females in the USA, 1999-2023 and to highlight the importance of targeted health policies.</p><p><strong>Methods: </strong>This was an analysis of a database that was collected by the CDC prospectively between 1999 and 2023.</p><p><strong>Results: </strong>An overall decrease in age-adjusted gynecologic cancer-related mortality rates in young females through the years 1999-2023, although the age-adjusted mortality rate increased slightly from 2010 to 2023.</p><p><strong>Conclusion: </strong>There is an urgent need to devise targeted health policies to reduce the burden of malignant neoplasms of genital organs in young females, keeping in view the site and demographic, regional, and racial disparities.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983564","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":"In Memoriam: Charles Ngwena.","authors":"Rebecca Cook, Bernard Dickens","doi":"10.1002/ijgo.70092","DOIUrl":"https://doi.org/10.1002/ijgo.70092","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":"169 2","pages":"456-457"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966684","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":"Association between umbilical cord arterial pH and neurodevelopment of offspring at the age of 3 years: The Japan environment and Children's study.","authors":"Hyo Kyozuka, Tsuyoshi Murata, Takahiro Omoto, Toma Fukuda, Shun Yasuda, Toshifumi Takahashi, Akiko Sato, Yuka Ogata, Mitsuaki Hosoya, Seiji Yasumura, Koichi Hashimoto, Keiya Fujimori, Hidekazu Nishigori","doi":"10.1002/ijgo.70179","DOIUrl":"https://doi.org/10.1002/ijgo.70179","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the association between umbilical cord pH at birth and neurodevelopment in 3-year-old offspring.</p><p><strong>Methods: </strong>In this prospective cohort study, we identified 71 680 term deliveries in Japanese women recruited to the Japan Environment and Children's Study (JECS) between January 2011 and March 2014. Data on singleton pregnancies involving live-term births between 2011 and 2014 were extracted from the JECS database. Participants were stratified into umbilical cord artery pH (UmA-pH) quintiles (G1: pH ≥7.30 and G5: pH <7.00) and sex. G1 acted as a reference for the multiple logistic regression model used to estimate the effect of UmA-pH on impaired neurodevelopment at 3 years of age using the Age and Stages Questionnaire, third edition. The main outcome measure was neurodevelopmental state of 3-year-old children.</p><p><strong>Results: </strong>We obtained 71 680 maternal and neonatal paired records (36 499 male and 35 181 female offspring). This study found that male offspring in the G5 group had an increased risk of communication, gross motor, and fine motor skill impairments. The adjusted odds ratios (aOR) for G5 male offspring were 2.60 (95% confidence interval [CI] 1.23-5.53), 4.22 (95% CI 2.17-8.20), and 1.94 (95% CI 1.00-3.76) for communication, gross motor, and fine motor skills impairment, respectively. The aOR for G5 female offspring was 4.15 (95% CI 1.27-13.61) for social skills impairment.</p><p><strong>Conclusion: </strong>Low UmA-pH, less than 7.00, was associated with neurodevelopmental outcomes in the offspring, and sex differences were observed, indicating the need for individual follow up of newborns with low UmA-pH.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987259","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":"Menstruation myths scale: A scale development study.","authors":"Şeyma Kilci Erciyas, Ebru Cirban Ekrem, Şirin Çetin","doi":"10.1002/ijgo.70122","DOIUrl":"https://doi.org/10.1002/ijgo.70122","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to develop a scale of menstruation myths.</p><p><strong>Methods: </strong>The current research was conducted using a methodologic approach with a sample of 330 women who met the inclusion criteria. The scope, structural validity, and internal consistency of the scale were tested.</p><p><strong>Results: </strong>As a result of the analyses, it was determined that the scale consisted of 18 items and three factors that explain approximately 57% of the total variance. The Cronbach α value of the scale was 0.86 in the first factor, 0.82 in the second factor, 0.83 in the third factor, and 0.91 in total.</p><p><strong>Conclusion: </strong>The Menstruation Myths Scale was found to be a valid and reliable measuring tool for reproductive-aged women in Turkish society. It is recommended that the scale be tested with women of different ages, populations, and countries. Additionally, it is believed that the scale can be used to determine myths about menstruation among men.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009800","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":"What is the effect of postpartum hemorrhage on physical activity after cesarean?","authors":"Mina Felfeli, Samuel Lehn, Meghan Tveit, Devin Hill, Homa K Ahmadzia","doi":"10.1002/ijgo.70072","DOIUrl":"https://doi.org/10.1002/ijgo.70072","url":null,"abstract":"<p><strong>Objectives: </strong>This study introduces a novel approach, utilizing activity tracking devices (ATDs), such as Fitbit, to monitor mobility during cesarean recovery and investigate the relationship between physical activity (PA) and postpartum hemorrhage (PPH).</p><p><strong>Methods: </strong>We conducted a prospective cohort study involving postpartum patients aged 18-50 years who delivered at George Washington University and underwent a scheduled or emergent cesarean from December 2022 to September 2023. The primary outcome was assessing the relationship between PPH and PA for 2 weeks postpartum using the Fitbit. Data from all patients were extracted from the electronic medical records. The Fitbit Model of Inspire was used to monitor patients' PA.</p><p><strong>Results: </strong>Statistical analyses of the relationship between quantitative blood loss (QBL) during cesarean delivery and average steps per day postpartum found statistically non-significant results (Δ1.16 [1.16%], P = 0.817) for the collective cohort. Excluding one outlier from the patient cohort, analysis of the relationship between the same two variables found statistically significant results (Δ1.83 [1.83%], P = 0.023). A coefficient of 1.83 (1.83%) on the QBL variable was found, signifying that an increase of 1 mL in QBL corresponds to an average decrease of 1.83 (1.83%) in average steps per day postpartum.</p><p><strong>Conclusion: </strong>This study's findings underscore the potential clinical relevance of monitoring PA to identify and address postpartum complications. Further research could explore interventions to mitigate the observed decline in mobility associated with PPH, ultimately enhancing maternal healthcare outcomes.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015464","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":"Emerging human rights standards on obstetric violence and abuse during childbirth.","authors":"Camilla Pickles","doi":"10.1002/ijgo.70174","DOIUrl":"https://doi.org/10.1002/ijgo.70174","url":null,"abstract":"<p><p>This article considers emerging human rights standards relevant to obstetric violence and abuse during childbirth in healthcare facilities. It examines the evolution of \"safe motherhood\" from a focus on physical safety to the recognition of respectful and dignified care as a fundamental right. The analysis traces key developments from WHO, UN Special Rapporteurs, and landmark decisions from human rights bodies like the Committee on the Elimination of Discrimination against Women and the Inter-American Court of Human Rights. These decisions define obstetric violence as a form of gender-based discrimination, clarifying state obligations to prevent and address it through legislative reforms, training, effective complaint mechanisms, and remedies for victims. The present article emphasizes free and informed consent, addressing structural inequalities, and promoting respectful maternity care to protect women's reproductive rights.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997175","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":"FIGO guideline on liver disease and pregnancy.","authors":"Melanie Nana, Virna Medina, Cynthia Maxwell, Ciara McCormick, Gloria Taliani, Ulrich Beuers, Deborah Money, Bo Jacobsson, Anil Kapur, Titus Beyuo, Francisco Ruiloba, Graeme Smith, Lina Bergman, Sharleen O'Reilly, Patrick O'Brien, Mark Hanson, Mary Rosser, Claudio Sosa, Sumaiya Adam, Valerie Guinto, Liona Poon, Fionnuala McAuliffe, Catherine Williamson","doi":"10.1002/ijgo.70161","DOIUrl":"https://doi.org/10.1002/ijgo.70161","url":null,"abstract":"<p><p>The number of women entering pregnancy with chronic liver disease is rising. Gestational liver disorders affect 3% of the pregnant population. Both can be associated with significant maternal and fetal morbidity and mortality. European guidance has recently been published to inform management. This FIGO (the International Federation of Gynecology & Obstetrics) guideline aims to use the latest evidence to inform practice relevant to a global population. The immediate past and present chairs of FIGO's Committee on the Impact of Long-term Health invited the Chair of the European guideline, alongside two trainees with an interest in liver disorders in pregnancy, to develop a guideline relevant to a global audience, thus serving the real-world population and fulfilling FIGO's ambition to enhance their global voice for women's health. Experts in the field with experience in managing liver disorders in pregnancy from a diverse selection of continents helped to develop a guideline. A guideline has been developed including the most common pre-existing and gestational liver disorders. Evidence-based best practice recommendations are summarized in addition to pragmatic recommendations. Printable tables/figures are included in the guideline for ease of use. These include a table of normal ranges of commonly used blood tests, a table outlining safety of investigations, and a table of delivery considerations relevant to a global audience. Figures designed to summarize each section of the guideline and the multidisciplinary approach to managing liver disorders in pregnancy are also included. This guideline incorporates guidance for a global audience aimed at improving the management of women with pre-existing and new liver disease in pregnancy.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063207","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}