International Journal of Gynecology & Obstetrics最新文献

{"title":"Impact of hospital surgical volume on in-hospital outcomes of peripartum hysterectomy: A nationwide retrospective cohort study.","authors":"Shunya Sugai, Yusuke Sasabuchi, Hideo Yasunaga, Yuya Kimura, Hiroki Matsui, Kiyohide Fushimi, Kosuke Yoshihara, Koji Nishijima","doi":"10.1002/ijgo.70169","DOIUrl":"https://doi.org/10.1002/ijgo.70169","url":null,"abstract":"<p><strong>Objective: </strong>This study was performed to evaluate the association between hospital surgical volume and in-hospital outcomes among patients undergoing peripartum hysterectomy in Japan.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted using data from the Diagnostic Procedure Combination database from July 2010 to March 2022. Patients who underwent peripartum hysterectomy were identified, and hospitals were categorized into low-, medium-, and high-volume groups based on annual surgical volume. Multivariable analyses, adjusted for patient- and hospital-level variables, were performed to assess associations between surgical volume and in-hospital outcomes, including maternal death, reoperation, surgical complications, transfusion volumes, operative time, and length of postoperative stay. A subgroup analysis was conducted focusing on patients with placenta accreta spectrum.</p><p><strong>Results: </strong>In total, 2819 patients were included in the final cohort. The high-volume group had a higher prevalence of placenta previa and placenta accreta spectrum, while the low-volume group had more cases of uterine rupture. After multivariable adjustment, no significant differences were found in all in-hospital outcomes. In the subgroup analysis, longer operative times were observed in the high-volume group for patients with placenta accreta spectrum than in the low-volume group, but no other significant differences in outcomes were detected.</p><p><strong>Conclusion: </strong>Hospital surgical volume was not found to be significantly associated with in-hospital outcomes for peripartum hysterectomy. This result indicates that the perinatal healthcare system in Japan may contribute to maintaining consistent care quality across various institutions.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001840","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: FIGO Position statement on opportunistic salpingectomy as an ovarian cancer prevention strategy","authors":"Annika Strandell,&nbsp;Karin Sundfeldt,&nbsp;Mathias Pålsson,&nbsp;Elin Collins,&nbsp;Anna Darelius,&nbsp;Leonidas Magarakis,&nbsp;Sara Knip,&nbsp;Maria Forslund,&nbsp;Annika Idahl","doi":"10.1002/ijgo.70188","DOIUrl":"10.1002/ijgo.70188","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":"169 3","pages":"1266-1267"},"PeriodicalIF":2.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009799","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":"Barriers in the prevention and early detection of human papillomavirus in Latin America.","authors":"Leopoldo Santiago Sanabria, Viviana Angélica Laverde Cardona, Yotin Ramón Pérez D, Fabrizio Abreu, María Luisina Cicerchia, Camila Cajelli, Martín de Jesús Inurreta Díaz, Mirtha Jimena Vásquez Medina, Karina Auxiliadora Amador, Gery Rosmary Ruiz Carillo","doi":"10.1002/ijgo.70177","DOIUrl":"https://doi.org/10.1002/ijgo.70177","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971316","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: Navigating the complexities of managing placenta accreta spectrum—A case series and literature review","authors":"Aashima Arora,&nbsp;Pradip Kumar Saha,&nbsp;Rashmi Bagga","doi":"10.1002/ijgo.70181","DOIUrl":"10.1002/ijgo.70181","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":"169 3","pages":"1258-1259"},"PeriodicalIF":2.6,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999722","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":"Effectiveness of the \"5 + 4\" warm chain dynamic intervention in maternal temperature regulation and the incidence of postoperative complications after cesarean section.","authors":"Gui-Fen Liu, Lin Zhao, Rui-Gang Lin, Mei Guo, Ming Yu","doi":"10.1002/ijgo.70172","DOIUrl":"https://doi.org/10.1002/ijgo.70172","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to explore the effects of the \"5 + 4\" warm chain dynamic intervention on maternal temperature regulation and the incidence of postoperative complications after a cesarean section.</p><p><strong>Methods: </strong>A total of 108 patients scheduled for elective cesarean section between April 2022 and April 2024 were randomly assigned to either a conventional group, who received standard intraoperative thermal insulation, or an intervention group, which underwent the \"5 + 4\" warm chain dynamic intervention, with 54 participants in each group. Maternal temperature, heart rate, incidence of hypothermia, severity of shivering, perioperative indicators (postpartum hemorrhage volume, time to first flatus, time to first ambulation, anesthesia recovery time, and hospital stay), and the incidence of complications such as wound infection, fever, abdominal pain, and urinary retention were assessed at the following time points: upon entering the operating room (T₁), at the onset of anesthesia (T₂), at skin incision (T₃), after fetal delivery (T₄), and at the end of surgery (T₅).</p><p><strong>Results: </strong>The body temperature of both groups demonstrated a decreasing trend from T₁-T₅, with the intervention group exhibiting significantly higher temperatures at T₃-T₅ compared to the conventional group (P < 0.05). The incidence of hypothermia was significantly lower in the intervention group (P < 0.05). Heart rate in both groups initially increased and subsequently decreased from T₁ to T₅, with the intervention group revealing significantly lower heart rates from T₂ to T₅ compared to the conventional group (P < 0.05). Postpartum blood loss was reduced in the intervention group, and both anesthesia recovery time and hospital stay duration were shorter compared to the conventional group (P < 0.05). No significant differences were observed between the groups in the severity or incidence of chills, time to first flatus, time to getting out of bed, or complication rates (P > 0.05).</p><p><strong>Conclusion: </strong>The \"5 + 4\" warm-chain dynamic intervention effectively stabilizes body temperature and heart rate during the perioperative period of cesarean section, reduces the incidence of postoperative hypothermia, minimizes postpartum blood loss, and facilitates anesthesia recovery and postoperative rehabilitation.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965236","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":"Age and BMI-related changes in hormonal profile in women with polycystic ovary syndrome (PCOS): Association with infertility.","authors":"Ewa Zabiegło, Robert Jach, Magdalena Piróg","doi":"10.1002/ijgo.70160","DOIUrl":"https://doi.org/10.1002/ijgo.70160","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to evaluate age- and body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters)-related changes in hormonal profile in women with PCOS and to compare hormonal changes among women with polycystic ovary syndrome (PCOS) with and without infertility.</p><p><strong>Methods: </strong>In this case-control study, conducted from March 2018 to January 2024, we enrolled women with PCOS with infertility (n = 265) and controls (n = 265) matched for age and BMI at the Department of Endocrinological Gynecology in University Hospital, Krakow, Poland. The assessment of anti-Müllerian hormone (AMH) along with hormonal profile including follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E₂), androgens (testosterone, 17-hydroxyprogesterone [17-OHP], dehydroepiandrosterone sulfate [DHEA-S]) as well as sex-hormone binding globulin was performed among these women, after assignment to different age BMI groups.</p><p><strong>Results: </strong>Women with POCS and infertility showed higher AMH (+42.9%), E₂ (+15.9%) and LH (+41.9%) along with increased androgen levels reflected by increased testosterone (+20%), DHEA-S (+28.7%) and lower FSH (-10.3%) in contrary to women without infertility. Younger women (≤25 years) showed higher AMH, LH and androgens levels (total testosterone and DHEA-S) with lower FSH concentration. Women with higher BMI (≥30) had lower AMH together with increased free androgen index (FAI) and decreased sex hormone binding globulin (SHBG).</p><p><strong>Conclusion: </strong>Infertile women with PCOS represent higher AMH together with elevated total testosterone, DHEA-S and FAI levels in contrary to fertile ones. Higher BMI together with older age have a negative impact on AMH in women with PCOS.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983435","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":"Corrections to “Outcome differences of emergency cesarean delivery in the delivery room versus the operating room: A study based on propensity score matching”","authors":"","doi":"10.1002/ijgo.70182","DOIUrl":"10.1002/ijgo.70182","url":null,"abstract":"<p>Zhao K, Yuan C, He S, Yan J, Huang J. Outcome differences of emergency cesarean delivery in the delivery room versus the operating room: A study based on propensity score matching. <i>Int J Gynecol Obstet</i>. 2025; 168: 1124–1130. doi: 10.1002/ijgo.15972</p><p>In the “Patients and Methods” section of the “Abstract”, the text “The analysis included 126 singleton pregnant women who underwent inpatient delivery at the Second People's Hospital of Nanning between January 2021 and May 2024. Following propensity score matching, 21 cases were in the delivery room group, and 105 cases were in the operating room group.” was incorrect.</p><p>This should have read: “The analysis included 126 singleton pregnant women who underwent inpatient delivery at the Second Nanning People's Hospital between January 2021 and May 2024. Prior to propensity score matching, 21 cases underwent on-the-spot cesarean section in the delivery room, while 105 cases were transferred to the operating room for cesarean section. Following propensity score matching, the analysis included a total of 36 parturients, with 18 in the observational group and 18 in the control group.”.</p><p>In sub-section “1.5 Statistical Analysis” of the “Materials and Methods” section, the text “Statistical analysis was conducted using SPSS version 29.0 statistical software (IBM). The mean ± standard deviation (<span></span><math>\u0000 <semantics>\u0000 <mrow>\u0000 <mover>\u0000 <mi>x</mi>\u0000 <mo>¯</mo>\u0000 </mover>\u0000 </mrow>\u0000 </semantics></math>±s) was employed for econometric data conforming to or approximating a normal distribution.” was incorrect.</p><p>This should have read: “The statistical analysis was conducted using SPSS 29.0 software (IBM). Propensity score matching (PSM) was utilized to match the study group with the control group based on variables including maternal age, pre-pregnancy body mass index (BMI), gravidity, parity, gestational weeks, pre-operative HB levels, WBC count, NEU%, and HCT. The nearest neighbor matching method was applied with a 1:1 ratio and a matching tolerance of 0.02. Prior to PSM, 21 cases underwent on-the-spot cesarean section in the delivery room, while 105 cases were transferred to the operating room for cesarean section. Following PSM, the analysis included a total of 36 parturients, with 18 in the observational group and 18 in the control group. The mean ± standard deviation (<span></span><math>\u0000 <semantics>\u0000 <mrow>\u0000 <mover>\u0000 <mi>x</mi>\u0000 <mo>¯</mo>\u0000 </mover>\u0000 </mrow>\u0000 </semantics></math>±s) was employed for econometric data conforming to or approximating a normal distribution.”</p><p>We apologize for this error.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":"169 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ijgo.70182","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035281","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":"Prevention of RhD alloimmunization in the first trimester of pregnancy: Clinical practice guidelines of the French College of Obstetricians and Gynecologists.","authors":"Paul Maurice, Solène Vigoureux, Charles Garabedian, Jeanne Sibiude, Nicolas Sananès","doi":"10.1002/ijgo.70166","DOIUrl":"https://doi.org/10.1002/ijgo.70166","url":null,"abstract":"<p><p>The French College of Obstetricians and Gynecologists has decided to update its clinical practices guidelines for preventing RhD alloimmunization in the first trimester of pregnancy. The quality of evidence of the literature was assessed following the GRADE methodology with questions formulated in the Patients, Intervention, Comparison, Outcome (PICO) format and outcomes defined a priori and classified according to their importance. An extensive bibliographic search was performed using Pubmed, Cochrane, EMBASE, and Google Scholar databases. The quality of evidence was assessed (high, moderate, low, very low) and a recommendation was formulated: strong, weak, or no recommendation. The recommendations were reviewed in two rounds by members of the scientific board of the French College of Obstetricians and Gynecologists (Delphi survey) in order to select the consensus recommendations. The three recommendations from the PICO questions were agreed upon through the use of the Delphi method. It is not recommended to administer RhD immune globulin before 12 weeks of gestation to reduce the risk of alloimmunization in the event of induced or spontaneous abortion in RhD-negative patients when the progenitor is RhD-positive or unknown (weak recommendation, very low-quality evidence). It is not recommended to administer RhD immune globulin before 12 weeks of gestation to reduce the risk of alloimmunization in the event of bleeding (weak recommendation, very low-quality evidence). The quality and quantity of literature data are insufficient to determine whether injection of RhD immune globulin can reduce the risk of alloimmunization in ectopic pregnancy, so no recommendation could be made.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980437","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":"Do MRI structured reports with FIGO classifications of leiomyomas contain adequate information for clinical decision making?","authors":"Laura Tordjman, Haleh Amirian, Alexandra Alvarez, Sara Shir, Julieta Aristizabal, Patricia Castillo, Prasoon Mohan, Stephanie Delgado, Francesco Alessandrino","doi":"10.1002/ijgo.70163","DOIUrl":"https://doi.org/10.1002/ijgo.70163","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate if structured reports (SR) of pelvic magnetic resonance imaging (MRI) scans using the PALM-COEIN FIGO (the International Federation of Gynecology & Obstetrics) uterine leiomyomas classification (SR-FIGO) contain adequate information for clinical decision making compared with narrative reports (NR).</p><p><strong>Methods: </strong>Three reporting templates for pelvic MRI scans were compared: NR, SR without the PALM-COEIN FIGO classification of leiomyomas, and SR-FIGO, for presence of 19 key-features (KF) deemed relevant for leiomyoma management. Kruskal-Wallis test was used to evaluate KF distribution across the report types. One gynecologist and one gynecologist-in-training evaluated the reports and MRI scans to assess the presence of sufficient information to decide on: (1) treatment type (observation/medical treatment/surgery/uterine artery embolization); (2) surgical approach (hysteroscopic/laparoscopic/robotic/open); (3) surgery type (myomectomy/hysterectomy); (4) necessity to review MRI scans; and (5) time spent reviewing MRI scans. The responses of the gynecologist and gynecologist-in-training to points 1 to 5 among report types were compared using χ² test.</p><p><strong>Results: </strong>Twenty NR, 20 SR, and 20 SR-FIGO were reviewed. The number of KF was significantly different among reports (P < 0.001): SR-FIGO had the highest number of KF, followed by SR, and NR. In pairwise comparison, significant differences were observed between NR and SR (P = 0.001) and between NR and SR-FIGO (P = 0.001), but not between SR and SR-FIGO (P = 0.063). There were significant differences in answers to question 1 between the gynecologist and gynecologist-in-training for SR (P = 0.007) and SR-FIGO (P = 0.024), with the gynecologist deeming SR and SR-FIGO to provide enough information for treatment decisions more commonly than the gynecologist-in-training.</p><p><strong>Conclusion: </strong>Although this investigation revealed that SR offers a greater wealth of information in contrast to NR, additional investigation is required to ascertain whether the integration of the PALM-COEIN FIGO classification in SR enhances the clinical decision making capacity of gynecologists.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982356","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":"Impact of labiaplasty on psychological well-being and quality of life in Chinese women: Findings from a single-center retrospective study.","authors":"Ying Liu, Xiao-Fang Chen","doi":"10.1002/ijgo.70171","DOIUrl":"https://doi.org/10.1002/ijgo.70171","url":null,"abstract":"<p><strong>Objectives: </strong>To assess preoperative and postoperative psychological and quality of life (QoL) outcomes in patients undergoing labiaplasty for labia minora hypertrophy, providing insights into the psychological impact of the procedure and contributing clinical evidence to inform future treatments and patient care strategies.</p><p><strong>Methods: </strong>This single-center retrospective study included 35 Chinese women who underwent labiaplasty and evaluated their outcomes using the Short Form 36 Health Survey (SF-36) and Hospital Anxiety and Depression Scale (HADS) assessments, as well as treatment satisfaction, at three time points: preoperatively, 1 week postoperatively, and 3 months postoperatively. Among the women, 68.6% (24/35) sought surgery due to pain and discomfort experienced during walking or physical activity, 20.0% (7/35) due to discomfort during sexual intercourse, and 42.9% (15/35) due to dissatisfaction or feelings of inferiority related to the appearance or color of their labia minora.</p><p><strong>Results: </strong>At 3 months postoperatively, the SF-36 total score demonstrated a significant improvement compared with the preoperative period, increasing from 87.13 ± 15.77 to 93.52 ± 4.73 (P < 0.05). The improvement in the mental component summary (MCS) score which assesses psychological well-being was particularly notable, increasing from 82.76 ± 18.47 preoperatively to 91.50 ± 4.96 at 3 months postoperatively (P < 0.05). Additionally, the HADS-Anxiety score, which measures anxiety, significantly decreased from 6.23 ± 4.49 preoperatively to 2.49 ± 2.44 at 3 months postoperatively (P < 0.001). Similarly, the HADS-Depression score, assessing depression, revealed a reduction from 8.09 ± 4.12 preoperatively to 6.17 ± 2.68 at 3 months postoperatively (P < 0.05).</p><p><strong>Conclusion: </strong>Labiaplasty significantly reduces anxiety and depression, contributing to improvements in mental health and overall quality of life.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988706","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}