International Journal of Gynecology & Obstetrics最新文献

{"title":"Experiences of psychological interventions for women and men undergoing assisted reproductive technologies: A qualitative systematic review.","authors":"Crystal Min Siu Chua, Zhongwei Huang, Hsiu Kim Lina Lim, Apiradee Nantsupawat, Orn-Anong Wichaikhum, Jovin Jie Ning Lee, Cornelia Yin Ing Chee, Shefaly Shorey","doi":"10.1002/ijgo.70533","DOIUrl":"https://doi.org/10.1002/ijgo.70533","url":null,"abstract":"<p><strong>Objective: </strong>Given the adverse psycho-emotional impacts, psychological interventions can support couples undergoing assisted reproductive technologies (ART). A qualitative systematic review is needed to help us understand the intricacies of the experiences with ART-based psychological interventions. This study consolidates and synthesizes available evidence of experiences of women and men undergoing ART with psychological interventions.</p><p><strong>Methods: </strong>Six electronic databases were searched for studies published in English from the inception date (1961) up to February 2023: Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Embase, PsycINFO, Scopus, and Mednar. Studies that used qualitative research designs or mixed methods on women and men experience with psychological interventions during ART were included. The Critical Appraisal Skills Program tool was used to appraise the quality of the included studies. The review was registered on the International Prospective Register of Systematic Reviews. The data synthesis was guided by Sandelowski and Barroso's guidelines.</p><p><strong>Results: </strong>Ten qualitative studies were included in this systematic review. The identified overarching theme was the impact of psychological interventions from \"being lost\" to \"finding ways,\" which was supported by three themes: (1) better coping and acceptance of infertility, (2) knowing and \"finding ways\" to what was unknown, and (3) preferred way forward for infertility treatment.</p><p><strong>Conclusion: </strong>The study reveal that psychological interventions were favorable for women and men undergoing ART with perceived lower stress levels and anxiety symptoms. Participants from the included studies also expressed better coping skills. Both women and men in the included studies highlighted that future interventions should provide adequate educational information on ART, teach individualized coping skills, and offer psychological support, specifically for those with unsuccessful ART outcomes. Moreover, couple-based interventions should be further explored from varied geographical and cultural backgrounds.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086247","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":"Long-term results of the Musset surgical technique in the treatment of recto-vaginal fistulas.","authors":"Joy Bloomfield, Bassam Haddad, Geoffroy Canlorbe, Cyril Touboul, Edouard Lecarpentier, Yohann Dabi","doi":"10.1002/ijgo.70532","DOIUrl":"https://doi.org/10.1002/ijgo.70532","url":null,"abstract":"<p><strong>Objective: </strong>Recto-vaginal fistulas (RVF) are a rare pathology, mostly affecting developing countries. They are mainly obstetrical (88% of cases) and have an incidence of 0.5%. Musset's surgical technique in the management of RVF has been the subject of few studies and there is little data in the literature concerning the evaluation of its long-term efficiency and its morbidity. The aim of our study was to investigate the long-term results of patients who underwent Musset's surgery for cure of RVF.</p><p><strong>Methods: </strong>We conducted a monocentric cohort study between January 1, 2002, and December 31, 2020 including patients who had undergone a RVF cure by the Musset technique. These patients were recalled in consultation to be examined and completed a questionnaire designed for this study with validated functional and quality-of-life scores. For patients who did not respond to this solicitation, information was retrieved from their postoperative consultations in their medical records. The surgical technique was considered successful if the patient did not present gas or stool incontinence postoperatively.</p><p><strong>Results: </strong>A total of 38 patients had RVF repair surgery by the Musset technique, and the technique was successful in 48.4% of cases, with high complication and reintervention rates (54.8% and 35.7%, respectively). Half of the patients had a recurrence of symptoms (51.6%) with mainly gas incontinence (43.8%). A total of 11 patients had a long-term evaluation (28.9%) with a median follow-up of 5 years (4-15.5 years). Among the patients that were re-evaluated, all had felt that their life had improved postoperatively and were satisfied with the intervention with a median PGI-I score of 1 (1-1.5). According to the surveys, quality-of-life was improved postoperatively with a median Cleveland score decreasing from 2.5 (1.5-3.75) to 0.5 (0-3.75) and there were no limitations due to physical health or emotional problems according to the SF-36 questionnaire. Patients had satisfactory sexual intercourses after the procedure with a median high score of 5.2/6 according to the FSFI questionnaire.</p><p><strong>Conclusion: </strong>The Musset technique provides good functional results and high satisfaction rates and is associated with improved quality-of-life postoperatively. However, it is also associated with a high rate of complications and reinterventions. Treatment of RVF can be long and complicated and should therefore be done in referral centers in order to optimize the results.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145074989","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":"Transvaginal hemiperitoneal cervical cerclage for cervical insufficiency: A single-center retrospective study.","authors":"Xin Zhao, Meicheng Wang, Le Cai, Yan Sun, Yansong Liu","doi":"10.1002/ijgo.70520","DOIUrl":"https://doi.org/10.1002/ijgo.70520","url":null,"abstract":"<p><strong>Background: </strong>Cervical insufficiency (CI) is thought to be responsible for 8% of miscarriages and preterm births. Cervical cerclage is the main treatment for CI. There are different approaches to cervical cerclage, and it is particularly important to find a method of cervical cerclage that is simple to perform and results in better pregnancy outcomes.</p><p><strong>Objective: </strong>This study investigates the clinical efficacy of transvaginal hemiperitoneal cervical cerclage in the treatment of CI and its impact on maternal and fetal outcomes.</p><p><strong>Methods: </strong>We performed a descriptive retrospective single-center study, including all patients who had a transvaginal hemiperitoneal cervical cerclage between January 1, 2020, and December 31, 2023. The main outcomes measured were pregnancy outcomes.</p><p><strong>Results: </strong>Twenty transvaginal hemiperitoneal cervical cerclages were performed over the period studied: 35% had a history of cervical conization, 65% had history of one or more mid-trimester miscarriages, and 15% had a history of a failed emergency or prophylactic cerclage. The median gestational age (GA) at cerclage placement was 14.19 ± 2.88 weeks of gestation (WG). There was one case of delivery between 28 and 32 weeks, and there were five cases of delivery between 32 and 37 weeks and 11 cases of delivery over 37 weeks, of which three cases were in pregnancy, at gestational weeks of 16, 18, and 21 weeks, respectively. The mean gestational age of cerclage removal, was 36.42 ± 2.76 (WG).</p><p><strong>Conclusion: </strong>The transvaginal hemiperitoneal cervical cerclage is simple to operate, not limited by gestational age, and less invasive and has a low cost. It is effective in patients with a short cervix and has good pregnancy outcomes.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075119","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 position statement on surrogacy: Ethical considerations.","authors":"Rafal Zadykowicz, Katie Watson, Aris Antsaklis","doi":"10.1002/ijgo.70507","DOIUrl":"https://doi.org/10.1002/ijgo.70507","url":null,"abstract":"<p><p>Surrogacy raises complex social and ethical issues related to autonomy, informed consent, potential exploitation, and the welfare of all parties involved. In this article, FIGO advocates for ethically sound surrogacy practices that prioritize voluntary and informed consent, safeguard the well-being of surrogates, uphold the rights and responsibilities of intended parents, and place the welfare of the child at the center of all decisions. FIGO discourages surrogacy arrangements in which a woman agrees in advance to surrender a child to whom she is genetically related (\"traditional surrogacy\") and supports surrogacy arrangements in which a woman agrees in advance to surrender a child to whom she is not genetically related (\"gestational surrogacy\") provided they align with core ethical principles. FIGO also emphasizes the importance of adhering to international ethical standards, particularly in the context of cross-border surrogacy arrangements.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069683","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":"Transverse parallel compression suture with endotracheal tube tamponade for management of hemorrhage in complete placenta previa: A retrospective study.","authors":"Xi-Shi Lin, Xiao-Xing Zhang, Jie Chen, Ling-Li Ning, Li-Yuan Zhang, Ying Jiang, Wei-Miao Yao, Bai-Hui Zhao, Qiong Luo","doi":"10.1002/ijgo.70535","DOIUrl":"https://doi.org/10.1002/ijgo.70535","url":null,"abstract":"<p><strong>Objective: </strong>Our study developed the Transverse Parallel Compression Suture (TPCS) with endotracheal tube tamponade, hypothesizing that its transverse compression design would enhance hemostasis, particularly in placenta accreta spectrum (PAS) cases.</p><p><strong>Methods: </strong>Between January 1, 2022, and December 31, 2024, 346 women with complete placenta previa were enrolled in this study. To minimize selection bias and control for potential con-founders, we performed propensity score matching (PSM) using a 1:1 nearest-neighbor algorithm with a caliper width of 0.02. The matched cohorts (53 TPCS cases vs. 53 uterine packing controls) demonstrated balanced baseline characteristics. Relevant outcomes, such as operative duration, estimated blood loss, transfusion needs, and hospital stays were collected. Additional data included the uterotonics, postoperative pain levels, re-operation rate, and newborn outcomes.</p><p><strong>Results: </strong>The results showed that the TPCS group had significantly shorter operative time (59.62 ± 27.04 min vs. 73.87 ± 26.28 min, P = 0.007), reduced intraoperative blood loss (792.45 ± 892.46 mL vs. 1220.75 ± 1090.93 mL, P = 0.029). Also, TPCS was associated with shorter hospitalization (6.10 ± 2.06 vs. 7.49 ± 3.29 days, P = 0.003) and markedly lower reoperation rates (3.8% vs. 60.4%, P < 0.001). TPCS was associated with markedly improved pain management, with 96.2% of patients reporting mild pain (Visual Analogue Scale less than 4) versus 18.9% in the packing group (P < 0.001), alongside an 84% relative reduction in analgesic use (11.3% vs. 71.7%, P < 0.001). Besides, Neonatally, TPCS showed lower NICU admissions (34.0% vs. 56.6%, P = 0.031) with comparable Apgar scores and birth weights.</p><p><strong>Conclusion: </strong>After rigorous PSM adjustment, TPCS demonstrated superior perioperative safety and recovery advantages over uterine packing in placenta previa management, supporting its adoption in clinical practice. Its simplicity and low resource demand highlight potential utility in diverse settings.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069606","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: Inter-twin delivery interval and outcome of the second twin: A retrospective study.","authors":"Ezra Osnat, Barzilay Eran","doi":"10.1002/ijgo.70540","DOIUrl":"https://doi.org/10.1002/ijgo.70540","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069623","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 impact of routine chronic endometritis screening on clinical pregnancy outcomes in patients first receiving in vitro fertilization or intracytoplasmic sperm injection: A retrospective cohort study.","authors":"Mingmei Lin, Di Mao, Weisi Lian, Kai-Lun Hu, Hua Zhang, Rong Li","doi":"10.1002/ijgo.70435","DOIUrl":"https://doi.org/10.1002/ijgo.70435","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the impact of routine screening for chronic endometritis (CE) through endometrial biopsy and immunohistochemical staining among patients first receiving in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) treatment.</p><p><strong>Methods: </strong>A total of 2108 patients first receiving IVF/ICSI treatment from July 2021 to June 2022 were enrolled in the retrospective cohort study. Patients enrolled were assigned into two groups: the routine screening group (N = 882) and the non-routine screening group (N = 838). Every patient in the routine screening group underwent routine CE screening during hysteroscopy while patients in the non-routine screening group underwent CE screening when suspicious CE manifestations were observed under hysteroscopy. Clinical pregnancy rates and live birth rates were compared between groups. Pregnancy outcomes were also compared between CE (N = 630) and non-CE (N = 755).</p><p><strong>Results: </strong>The routine screening group had 395 clinical pregnancies (44.8%) and 356 live births (40.4%), while the non-routine screening group had 375 clinical pregnancies (44.7%) and 325 live births (38.8%). Single-factor regression analysis showed no statistically significant differences in clinical pregnancy (0.99 [0.83-1.0], P = 0.988) and live birth (0.96 [0.78-1.17], P = 0.647) between the two groups. Multivariate regression analysis yielded similar results for clinical pregnancy (1.07 [0.88-1.30], P = 0.503) and live birth (0.97 [0.94-1.00], P = 0.228) between the groups.</p><p><strong>Conclusion: </strong>It is recommended to conduct CE screening only when suspicious CE manifestations were observed under hysteroscopy in infertile patients first receiving IVF/ICSI treatment and to administer standardized antibiotic treatment when pathological immunohistochemical staining indicates a positive result.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064551","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 a goal attainment program via line OA on self-care behaviors and hematocrit in pregnant adolescents with anemia: A quasi-experimental study.","authors":"Kanokrat Jittra, Warangkana Chatchawet, Sopen Chunuan","doi":"10.1002/ijgo.70536","DOIUrl":"https://doi.org/10.1002/ijgo.70536","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of a goal attainment program using the LINE OA application, Teen Mom Care (GAP-LINE OA: TMC), on self-care behaviors and hematocrit levels among pregnant adolescents with anemia.</p><p><strong>Methods: </strong>A quasi-experimental, two-group pretest-posttest design was used. The study included 54 pregnant adolescents receiving antenatal care at six hospitals in southern Thailand from April to June 2024. Participants were divided into a control group (n = 27), receiving standard care, and an experimental group (n = 27), receiving standard care combined with GAP-LINE OA: TMC. Data were collected twice: at baseline (before 28 weeks of gestation with hematocrit < 33%) and at four weeks post-intervention. Instruments included GAP-LINE OA: TMC, a demographic questionnaire, and a self-care behavior questionnaire for pregnant adolescents with anemia. Data were analyzed using descriptive statistics, chi-square, t-test, Wilcoxon signed-rank test, and Mann-Whitney U test.</p><p><strong>Results: </strong>In the experimental group, self-care behavior scores and hematocrit levels significantly improved after the intervention compared with baseline (P < 0.001). Inter-group analysis showed significantly greater increases in self-care behavior scores and hematocrit levels in the experimental group compared with the control group (P = 0.044).</p><p><strong>Conclusion: </strong>The GAP-LINE OA: TMC program effectively enhances self-care behaviors and improves hematocrit levels in pregnant adolescents with anemia. The GAP-LINE OA: TMC program can enhance antenatal care by providing targeted support, goal-setting interventions, and improved communication for pregnant adolescents with anemia via the LINE OA platform.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064473","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":"Letter to the editor: Pharmacological treatment of ectopic pregnancy - Accuracy, safety and cost-effectiveness of day 1-7 beta-human chorionic gonadotropin measurements.","authors":"Wen-Fei Gu","doi":"10.1002/ijgo.70524","DOIUrl":"https://doi.org/10.1002/ijgo.70524","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040071","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 Fertility Passport: A tool for patients and their healthcare providers.","authors":"Elif Goknur Topcu, M Louise Hull, Scott Nelson, Edgar Mocanu, Eytan Barnea, Dov Feldberg, Togas Tulandi, Akira Iwase, Laurie Henry, Ajey Bhardwaj, Jaideep Malhotra, Jackline Akol, Ivonne Diaz Yamal, Hrishikesh Pai, Nikhil Purandare","doi":"10.1002/ijgo.70498","DOIUrl":"https://doi.org/10.1002/ijgo.70498","url":null,"abstract":"<p><p>Infertility is a condition with significant psychological, economic, and health implications. Investigations are generally conducted by a primary healthcare provider who then refers to a specialist; however, multidisciplinary care is often required. On occasion, patients move clinics, resulting in time delays and repeated investigations, further delaying treatment and adding to the patient's financial burden. To address this critical issue, FIGO's Committee on Reproductive Endocrinology and Infertility (REI) created the Fertility Passport. This passport should be provided to patients experiencing fertility issues so that it can be used during their infertility treatments. It documents basic investigations, diagnosis, treatments, and results. The REI Committee recommends the use of the passport to facilitate the diagnosis and treatment of fertility issues among patients accessing both domestic and cross-border care.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040115","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}