Journal of gynecology obstetrics and human reproduction最新文献

{"title":"Global, regional, and national burden of pregnancy loss from 1990 to 2021: a systematic analysis of incidence and DALYs with projections to 2040","authors":"Shuangfei Xu,&nbsp;Jing Wang,&nbsp;Jinli Ding","doi":"10.1016/j.jogoh.2025.103065","DOIUrl":"10.1016/j.jogoh.2025.103065","url":null,"abstract":"<div><h3>Background</h3><div>Pregnancy loss is one of the most prevalent pregnancy-related complications in women of reproductive age. The study aimed to investigate the global, regional, and national burden of pregnancy loss in 204 countries and regions worldwide from 1990 to 2021, based on Global Burden of Disease (GBD) 2021.</div></div><div><h3>Methods</h3><div>Data on the incidence, disability-adjusted life-years (DALYs), age-standardized incidence (ASIR), and age-standardized DALYs rate (ASDR) were extracted and analyzed from GBD 2021, by using joinpoint regression analysis, decomposition analysis, and the health inequality concentration analysis. The Bayesian age-period-cohort (BAPC) model was used to predict the trends up to 2040. The age-period-cohort model was applied to estimate the longitudinal age curves cohort and period relative risks.</div></div><div><h3>Results</h3><div>There were 38.64 million of pregnancy loss at the global level in 2021, with a decrease of 17.9 % compared to 1990. The DALYs, ASIR and ASDR all showed decreasing trend, mainly driven by epidemiological change (245.19 % and 143.13 % for incidence and DALYs, respectively). The lowest ASIR and ASDR were observed in high SDI regions, while low SDI regions had the highest. Andean Latin America had the highest ASIR (2129.91 per 100,000, 95 % UI: 1702.62, 2655.06), and Central Sub-Saharan Africa had the highest ASDR (179.29 per 100, 000, 95 % UI:125.24, 257.97). BAPC projections indicated continued global decline in both cases and incidence rate though 2040.</div></div><div><h3>Conclusion</h3><div>Although the global burden of pregnancy loss shows an overall decline from 1990 to 2021, it remains significant, especially in low and low-middle SDI regions, which indicates that the targeted decision-making efforts are needed to raise public awareness of this condition, improve management practices and strategies, and increase support to reduce the risk.</div></div>","PeriodicalId":15871,"journal":{"name":"Journal of gynecology obstetrics and human reproduction","volume":"55 1","pages":"Article 103065"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145458946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and temporal validation of a deep learning model for automatic fetal biometry from ultrasound videos","authors":"M. Goetz-Fu ,&nbsp;M. Haller ,&nbsp;T. Collins ,&nbsp;N. Begusic ,&nbsp;F. Jochum ,&nbsp;Y. Keeza ,&nbsp;J. Uwineza ,&nbsp;J. Marescaux ,&nbsp;A.S. Weingertner ,&nbsp;N. Sananès ,&nbsp;A. Hostettler","doi":"10.1016/j.jogoh.2025.103039","DOIUrl":"10.1016/j.jogoh.2025.103039","url":null,"abstract":"<div><h3>Objectives</h3><div>The objective was to develop an artificial intelligence (AI)-based system, using deep neural network (DNN) technology, to automatically detect standard fetal planes during video capture, measure fetal biometry parameters and estimate fetal weight.</div></div><div><h3>Methods</h3><div>A standard plane recognition DNN was trained to classify ultrasound images into four categories: head circumference (HC), abdominal circumference (AC), femur length (FL) standard planes, or ‘other’. The recognized standard plane images were subsequently processed by three fetal biometry DNNs, automatically measuring HC, AC and FL. Fetal weight was then estimated with the Hadlock 3 formula. The training dataset consisted of 16,626 images. A prospective temporal validation was then conducted using an independent set of 281 ultrasound videos of healthy fetuses. Fetal weight and biometry measurements were compared against an expert sonographer. Two less experienced sonographers were used as controls.</div></div><div><h3>Results</h3><div>The AI system obtained a significantly lower absolute relative measurement error in fetal weight estimation than the controls (AI vs. medium-level: <em>p</em> = 0.032, AI vs. beginner: <em>p</em> &lt; 1e-8), so in AC measurements (AI vs. medium-level: <em>p</em> = 1.72e-04, AI vs. beginner: <em>p</em> &lt; 1e-06). Average absolute relative measurement errors of AI versus expert were: 0.96 % (S.D. 0.79 %) for HC, 1.56 % (S.D. 1.39 %) for AC, 1.77 % (S.D. 1.46 %) for FL and 3.10 % (S.D. 2.74 %) for fetal weight estimation.</div></div><div><h3>Conclusion</h3><div>The AI system produced similar biometry measurements and fetal weight estimation to those of the expert sonographer. It is a promising tool to enhance non-expert sonographers’ performance and reproducibility in fetal biometry measurements, and to reduce inter-operator variability.</div></div>","PeriodicalId":15871,"journal":{"name":"Journal of gynecology obstetrics and human reproduction","volume":"54 10","pages":"Article 103039"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of GLP-1 receptor agonists in obstetrics and perinatal outcomes: A systematic review and meta-analysis","authors":"Bruna Benigna Sales Armstrong ,&nbsp;Ana Clara Pimenta Servidoni ,&nbsp;Giovanna Cristina de Castro Martin ,&nbsp;Guilherme Franceschini Machado ,&nbsp;Wellgner Fernandes Oliveira Amador ,&nbsp;Abdelrahman Yousif","doi":"10.1016/j.jogoh.2025.103046","DOIUrl":"10.1016/j.jogoh.2025.103046","url":null,"abstract":"<div><h3>Objective</h3><div>Primary endpoint is maternal and fetal complications during pregnancy, labor, and delivery after exposure to GLP-1 receptor agonists.</div></div><div><h3>Data Sources</h3><div>A systematic search was conducted across PubMed, Embase, and Cochrane Central databases, including studies published from 2020 to 2025.</div></div><div><h3>Study eligibility criteria</h3><div>Included studies: (1) RCTs or cohorts; (2) exposure to GLP-1 RAs during pregnancy or preconception; (3) control group not exposed to GLP-1 RAs. Excluded studies: (1) without outcomes of interest; (2) lacking data transparency; (3) retracted; (4) abstracts, case reports, reviews; (5) no control group.</div></div><div><h3>Study appraisal and synthesis methods</h3><div>Six studies evaluated GLP-1 RA exposure during preconception or first trimester. Two authors screened studies; a third resolved disagreements. Risk of bias was assessed with ROBINS-I and RoB 2. Meta-analysis pooled continuous outcomes with mean differences and binary outcomes with odds ratios. Heterogeneity was evaluated via Cochrane Q and I². Subgroup analysis focused on first-trimester exposure.</div></div><div><h3>Results</h3><div>No statistically significant differences in pregnancy outcomes between GLP-1 RA and control group, including fetal growth restriction or small for gestational age (<em>p</em> = 0.12), live births (<em>p</em> = 0.10), major birth defects (<em>p</em> = 0.79), miscarriages (<em>p</em> = 0.41), preterm delivery (<em>p</em> = 0.62); and stillbirths (<em>p</em> = 0.09). GLP-1 RAs were linked to a lower risk of congenital heart defects (<em>p</em> = 0.03), even in the subgroup analysis (<em>p</em> = 0.03), and showed no significant protective effect against gestational diabetes (<em>p</em> = 0.49). In subgroup analysis, there were no notable differences in miscarriage (<em>p</em> = 0.32), major birth defects (<em>p</em> = 0.83) and preterm delivery (<em>p</em> = 0.88); there were fewer live births that did not reach statistical significance (<em>p</em> = 0.06).</div></div><div><h3>Conclusion</h3><div>No statistically significant difference was observed between the control and intervention groups. GLP-1 RAs were connected to a lower risk of congenital heart defects.</div></div>","PeriodicalId":15871,"journal":{"name":"Journal of gynecology obstetrics and human reproduction","volume":"54 10","pages":"Article 103046"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with mode of delivery in large-for-gestational-age fetuses: A retrospective cohort study","authors":"Salomé Azeroual,&nbsp;Mohamed Dakin,&nbsp;Théo Joannes,&nbsp;Olivier Graesslin,&nbsp;René Gabriel,&nbsp;Benjamin Birene","doi":"10.1016/j.jogoh.2025.103047","DOIUrl":"10.1016/j.jogoh.2025.103047","url":null,"abstract":"<div><h3>Background</h3><div>Large-for-gestational-age (LGA) fetuses are often associated with increased maternal and neonatal morbidity. Although suspicion of LGA can prompt closer surveillance and interventions such as labor induction, the actual impact on delivery outcomes and complications remains controversial.</div></div><div><h3>Purpose</h3><div>To assess maternal and fetal factors associated with the mode of delivery in pregnancies with LGA fetuses.</div></div><div><h3>Basic procedures</h3><div>Retrospective, single-center study (2018–2021) including term, singleton pregnancies with birthweight ≥ 90th percentile (AUDIPOG). Exclusion criteria were prior cesarean, multiples, preterm birth, non-cephalic presentation, planned cesarean, maternal request, or incomplete records. Primary outcome was mode of delivery. Multiple logistic regression was used.</div></div><div><h3>Main findings</h3><div>A total of 211 women met inclusion criteria. The rate of operative delivery (cesarean or instrumental vaginal birth) was 32.2% (68/211). In multiple logistic regression, nulliparity (OR 8.1, 95% CI 3.2–20.5, <em>p</em> &lt; 0.001), induction of labor (OR 2.6, 95% CI 1.1–6.3, <em>p</em> = 0.035), greater gestational weight gain (OR 1.07 per kg, 95% CI 1.01–1.14, <em>p</em> = 0.021), and prenatal suspicion of macrosomia (EFW &gt; 90th percentile at growth or third-trimester ultrasound, OR 2.9, 95% CI 1.2–7.1, <em>p</em> = 0.019) were independently associated with an increased risk of non-spontaneous birth. Maternal age, diabetes, and a history of LGA were not significantly associated after adjustment. Neonatal outcomes were favorable, with only one case of umbilical arterial pH &lt; 7.00 (0.5%) and no severe traumatic complications.</div></div><div><h3>Conclusions</h3><div>In LGA pregnancies, nulliparity and suspected macrosomia were associated with higher rates of medical intervention, whereas induction and prior vaginal delivery favored spontaneous birth. Neonatal weight did not differ between delivery modes. These findings underscore the complexity of managing suspected LGA fetuses and the need for prospective multicenter studies to refine risk stratification.</div></div>","PeriodicalId":15871,"journal":{"name":"Journal of gynecology obstetrics and human reproduction","volume":"54 10","pages":"Article 103047"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Morbidity of surgical induced abortion between 14 and 16 weeks of gestation","authors":"Aurélie Jugnet ,&nbsp;Lise Amart ,&nbsp;Hamza Benjelloun ,&nbsp;Mathilde Gibier ,&nbsp;Claire Burnet ,&nbsp;Héléne Piclet ,&nbsp;Aubert Agostini","doi":"10.1016/j.jogoh.2025.103055","DOIUrl":"10.1016/j.jogoh.2025.103055","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the morbidity associated with surgical induced abortion (SIA) using the dilation and evacuation (D&amp;E) technique between 14 and 16 weeks of gestation (WG).</div></div><div><h3>Material and Methods</h3><div>A retrospective single-center cohort study was conducted at Hôpital de la Conception, Marseille, including patients who underwent SIA between 14 and 16 WG from April 4, 2022, to February 8, 2024.</div></div><div><h3>Results</h3><div>Among the 127 patients included, 17 cases (13.39%) of haemorrhage (blood loss &gt; 500 mL) were reported, 1 case (0.79%) required a hemostatic hysterectomy and a blood transfusion due to placenta accreta, 2 cases (1.57%) involved cervical lacerations, and 2 cases (1.57%) postoperative infections. No uterine perforations or secondary surgeries for retained products were reported. Blood loss volume decreased over the course of the study (beta -0.55; 95% CI -0.79, -0.30; <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>SIA using the D&amp;E method between 14 and 16 WG is a procedure with a low risk of major complications. As with any surgical procedure, this technique requires a learning curve.</div></div>","PeriodicalId":15871,"journal":{"name":"Journal of gynecology obstetrics and human reproduction","volume":"54 10","pages":"Article 103055"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on \"Impact of a national public health plan on the time frame for moderate and severe endometriosis diagnosis\"","authors":"Ruihang Luo ,&nbsp;Maosen Liu ,&nbsp;Wei Zhong ,&nbsp;Jian Bo Wu ,&nbsp;Yuxin Fan ,&nbsp;Mingshan Liu","doi":"10.1016/j.jogoh.2025.103048","DOIUrl":"10.1016/j.jogoh.2025.103048","url":null,"abstract":"","PeriodicalId":15871,"journal":{"name":"Journal of gynecology obstetrics and human reproduction","volume":"54 10","pages":"Article 103048"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors for the efficacy of methotrexate and mifepristone treatment in ectopic pregnancy","authors":"Chaoying Feng","doi":"10.1016/j.jogoh.2025.103022","DOIUrl":"10.1016/j.jogoh.2025.103022","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the efficacy of methotrexate (MTX) alone versus MTX plus mifepristone for stable ectopic pregnancy, identify predictors of treatment success, and explore outcome-prediction models.</div></div><div><h3>Methods</h3><div>We conducted a retrospective, two‑arm observational cohort of consecutive patients with stable ectopic pregnancy treated in routine care (MTX‑only <em>n</em> = 138; MTX+mifepristone <em>n</em> = 132). Treatment assignment was non‑randomized, reflecting clinician judgment and patient preference. Baseline characteristics and treatment details were recorded, and the primary outcome—resolution of the EP without surgery—was assessed. Predictive factors were analyzed via logistic regression with Hosmer–Lemeshow testing for calibration. We further evaluated advanced machine learning models to classify treatment success.</div></div><div><h3>Results</h3><div>Overall treatment success rates were 73.91% (MTX-only) and 78.79% (MTX plus mifepristone), with no statistically significant difference between groups (<em>p</em> = 0.38). Across the combined cohort, factors strongly predicting success included initial hCG &lt;1500 mIU/mL (adjusted OR 2.70, <em>p</em> = 0.01), absence of fetal cardiac activity (adjusted OR 2.10, <em>p</em> = 0.04), lower gestational age at diagnosis (adjusted OR 0.82 per week, <em>p</em> = 0.02), and <em>a</em> ≥ 15% hCG decline by Day 4 (adjusted OR 2.40, <em>p</em> = 0.02). By location, success rates were similar in tubal and non‑tubal strata. The treatment × location interaction was not significant (<em>p</em> = 0.85), and tubal‑only results were unchanged. The multivariable logistic regression predicting treatment success vs failure showed good discrimination (AUC 0.82) and adequate calibration (Hosmer–Lemeshow <em>p</em> = 0.45). In exploratory benchmarking of algorithms trained to predict success vs failure on the same predictors, gradient boosting yielded the highest apparent discrimination (accuracy 84%; AUC 0.88) in this dataset.</div></div><div><h3>Conclusions</h3><div>MTX plus mifepristone did not significantly outperform MTX alone in resolving stable ectopic pregnancy. Key predictors of successful medical management included lower baseline hCG levels, earlier gestational age, and substantial early hCG declines. Advanced machine learning approaches may improve predictive accuracy, supporting more individualized treatment selection for ectopic pregnancy.</div></div>","PeriodicalId":15871,"journal":{"name":"Journal of gynecology obstetrics and human reproduction","volume":"54 10","pages":"Article 103022"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to detect and remove deep or nonpalpable contraceptive implants ? A technical note","authors":"Gautier Chene ,&nbsp;Ana Gjorgjievska-Delov ,&nbsp;Anthony Atallah ,&nbsp;Alexandra Ohannessian ,&nbsp;Emanuele Cerruto ,&nbsp;Erdogan Nohuz","doi":"10.1016/j.jogoh.2025.103036","DOIUrl":"10.1016/j.jogoh.2025.103036","url":null,"abstract":"<div><div>Removing deep subcutaneous contraceptive implants is a challenge. Despite modifications to the inserter and insertion site, the prevalence of deep implants is still estimated at 1/1000. In this technical note, we describe strategies for safely locating and removing deep implants.</div></div>","PeriodicalId":15871,"journal":{"name":"Journal of gynecology obstetrics and human reproduction","volume":"54 10","pages":"Article 103036"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obstetrics and gynecology residents’ preparedness to perform essential obstetric procedures autonomously: A national survey among French residents and teachers","authors":"Laura Puroski ,&nbsp;Salma Touleimat ,&nbsp;Patrice Crochet ,&nbsp;Olivia Guerin ,&nbsp;Jean-michel Coq ,&nbsp;Eric Verspyck ,&nbsp;Sophia Braund","doi":"10.1016/j.jogoh.2025.103038","DOIUrl":"10.1016/j.jogoh.2025.103038","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the self-evaluation of French residents and the opinion of academic teachers regarding the autonomy granted during residents’ training and the level of preparation achieved at the end of the residency to perform essential obstetric procedures.</div></div><div><h3>Methods</h3><div>A national survey of French obstetrics and gynecology residents and their academic teachers was conducted using an online questionnaire distributed in 2023, which gathered the self-evaluation by residents and opinion of academic teachers on the level of autonomy for essential obstetric procedures and perceptions of preparedness upon graduation. The survey also examined perceptions on the impact of factors that improve autonomy.</div></div><div><h3>Results</h3><div>510 of the 1197 (43%) residents and 49 of the 137 academic teachers (36%) completed the questionnaire. Both residents and academic teachers were confident that residents would be prepared at the end of residency to perform most essential obstetric procedures, including vacuum and forceps or spatula assisted vaginal delivery. However, regarding advanced obstetric surgery in case of severe postpartum hemorrhage (PPH), only 36% of 6th-year residents reported feeling capable of performing a uterine artery ligation in case of an emergency, and 11% in performing a hemostatic hysterectomy. Main factors that were perceived as important for improving autonomy were the number of cases and the quality of coaching.</div></div><div><h3>Conclusion</h3><div>French residents reported a gradual increase in autonomy throughout their residency for the majority of essential obstetric procedures, with the exception of surgical management of severe PPH. Teachers shared a similar opinion. Simulation and the quality of supervision appear to be promising pathways for enhancing their autonomy.</div></div>","PeriodicalId":15871,"journal":{"name":"Journal of gynecology obstetrics and human reproduction","volume":"54 10","pages":"Article 103038"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long hours, limited rest: a national snapshot of ObGyn resident work conditions in France and paths to reform","authors":"Charline Bertholdt ,&nbsp;Nadia Magroune ,&nbsp;Anne-Laure Fijean ,&nbsp;Mikaël Agopiantz ,&nbsp;Kévin Guillez ,&nbsp;Matthieu Dap ,&nbsp;Olivier Morel","doi":"10.1016/j.jogoh.2025.103033","DOIUrl":"10.1016/j.jogoh.2025.103033","url":null,"abstract":"<div><h3>Objectives</h3><div>The main aim was to describe the weekly working time of French ObGyn residents. As secondary objectives, we aimed to evaluate the respect of training time and day off for safety and finally, to describe proposed adjustments to respect maximal weekly working time.</div></div><div><h3>Methods</h3><div>This national descriptive survey was addressed among ObGyn residents in 2024. The primary outcome was the average weekly working time declared by all residents. For the secondary outcomes, we assessed the mean number of weekday and weekend on-call, the rate of applicability of day off after on-call, the rate of presence of training days and the description of modalities proposed regarding additional day off to respect working time.</div></div><div><h3>Results</h3><div>413 responses were obtained with 92.8 % of universities represented. The mean weekly working time was 63 h with a daily time range of 10.5 h. In total, 98.1 % of residents worked &gt;48 h by week. In 25 % of cases, residents assumed professional activity after on-call. 57.1 % of French universities offered adjustments to reduce weekly working time consisting of an additional day off for on-call during Friday, Saturday or Sunday.</div></div><div><h3>Conclusion</h3><div>The weekly working time is insufficiently controlled in French ObGyn residents but there are very promising suggestions for improvement.</div></div>","PeriodicalId":15871,"journal":{"name":"Journal of gynecology obstetrics and human reproduction","volume":"54 10","pages":"Article 103033"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}