Journal of Obstetrics and Gynaecology Research最新文献

{"title":"Elevated Risk of Endometrial Cancer and Precursor Lesions in Patients With Myotonic Dystrophy: A Retrospective Study at a Single Institution in Japan","authors":"Ruka Hano,&nbsp;Hirofumi Ando,&nbsp;Marina Fujioka,&nbsp;Masako Nakajima,&nbsp;Manaka Shinagawa,&nbsp;Hodaka Takeuchi,&nbsp;Mitsuko Shinagawa,&nbsp;Hisanori Kobara,&nbsp;Tsuneaki Yoshinaga,&nbsp;Tsutomu Miyamoto","doi":"10.1111/jog.70221","DOIUrl":"10.1111/jog.70221","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Myotonic dystrophy (MD) has been associated with an increased risk of endometrial cancer (EC) in Western countries; however, data from Japan are limited. This study aimed to evaluate the incidence and clinical characteristics of EC and its precursor lesion, atypical endometrial hyperplasia (AEH), in Japanese patients with MD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We retrospectively reviewed medical records of female patients with MD (MD group, <i>n</i> = 36) and those with other types of muscular dystrophy (control group, <i>n</i> = 84) treated at a single institution between 2008 and 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>EC/AEH was identified in 5 of 36 patients in the MD group (13.9%), including 3 cases of EC and 2 of AEH, whereas 1 case of EC (1.2%) was observed among 84 control patients, indicating a significantly higher incidence in the MD group (<i>p</i> = 0.014). The median age at diagnosis of EC/AEH in the MD group was 45 years, which was significantly younger than that of non-MD EC/AEH cases treated during the same period (median 59 years). All surgically treated EC cases were early-stage endometrioid carcinoma and achieved favorable oncological outcomes, although perioperative respiratory complications were observed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Japanese MD patients have a significantly higher risk of developing EC/AEH at a younger age compared with non-MD patients. These findings highlight the importance of regular gynecological surveillance in women with MD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"52 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12939248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Number of Authors in Japanese Obstetrics and Gynecology Case Reports: A Preliminary Observation","authors":"Shigeki Matsubara","doi":"10.1111/jog.70227","DOIUrl":"10.1111/jog.70227","url":null,"abstract":"","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"52 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147307023","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":"Uterine Tumor Resembling Ovarian Sex Cord Tumor (UTROSCT) With a GREB1-NCOA2 Fusion: A Case Report and Diagnostic Considerations","authors":"Yueya Liang,&nbsp;Xiaofang Li,&nbsp;Yaxian Yang,&nbsp;Weiquan Luo,&nbsp;Jian Huang","doi":"10.1111/jog.70226","DOIUrl":"10.1111/jog.70226","url":null,"abstract":"<div>\u0000 \u0000 <p>Uterine Tumor Resembling Ovarian Sex Cord Tumor (UTROSCT) is a rare mesenchymal neoplasm with uncertain malignant potential. We report a 37-year-old woman with menorrhagia, initially suspected as a leiomyoma on MRI. Hysteroscopic resection revealed an infiltrative tumor with cords, glands, and spindle cells showing mild-to-moderate atypia. Immunohistochemistry was positive for ER, PR, WT-1, Calretinin, and FOXL2. RNA-based NGS identified the GREB1-NCOA2 fusion. Despite treatment, the patient died from metastases within 24 months. This case highlights UTROSCT's aggressive potential in young patients and underscores the diagnostic utility of molecular testing (e.g., GREB1 rearrangements) to distinguish it from mimics like LG-ESS. The fatal outcome suggests GREB1-NCOA2 may correlate with high-risk behavior, warranting close follow-up.</p>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"52 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147307016","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":"List of Reviewers for The Journal of Obstetrics and Gynaecology Research 2025","authors":"","doi":"10.1111/jog.70197","DOIUrl":"10.1111/jog.70197","url":null,"abstract":"","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147568179","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":"Comparison of the Effectiveness and Safety of Single-Port Laparoscopic Surgery and Multi-Port Laparoscopic Surgery in the Treatment of Ectopic Pregnancy in Vietnam","authors":"Ngiem Xuan Huynh,&nbsp;Tri Bao Nguyen,&nbsp;Khanh Phuong Pham Le,&nbsp;Hieu Trung Nguyen,&nbsp;Hung Quang Truong,&nbsp;Hien Thu Thi Pham,&nbsp;Phuoc Ngoc Huynh,&nbsp;Dien Thanh Nguyen,&nbsp;Ngoc Thien Lam","doi":"10.1111/jog.70218","DOIUrl":"10.1111/jog.70218","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Single-port laparoscopic surgery has been increasingly used in the management of ectopic pregnancy, but direct comparisons with the conventional four-port method remain limited. This study aimed to assess the effectiveness and safety of single-port laparoscopic surgery compared to the four-port approach at Hung Vuong Hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 100 patients were enrolled and allocated to either the single-port or four-port group, with 50 cases in each. Operative time, estimated blood loss, postoperative pain (using the Visual Analog Scale), cosmetic satisfaction, complications, and gastrointestinal recovery were recorded and compared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The average operative time was similar between the two groups (58 ± 18.15 min for single-port vs. 57.42 ± 29.72 min for four-port, <i>p</i> &gt; 0.05), as was the estimated blood loss (84 ± 78.87 mL vs. 84.3 ± 57.78 mL, <i>p</i> &gt; 0.05). Patients in the single-port group reported significantly less pain within the first 12 h (VAS 2.14 ± 0.50 vs. 3.46 ± 0.79, <i>p</i> &lt; 0.001) and expressed higher satisfaction with cosmetic results (<i>p</i> &lt; 0.001). No major complications, such as organ injury or conversion to open surgery, occurred in either group during the study period. However, the time to first bowel movement was longer in the single-port group (1.86 ± 0.83 days vs. 1.10 ± 0.30 days, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Both single-port and four-port laparoscopic surgeries showed favorable short-term perioperative outcomes in this cohort and were feasible approaches for the management of ectopic pregnancy. The single-port method provided advantages of reduced postoperative pain and improved cosmetic outcomes but was associated with a slightly slower recovery of bowel function.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271256","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":"Abdominal Pregnancy in the Right Uterosacral Ligament: A Novel Case Report","authors":"Yu Zhang,&nbsp;Yongli Fan,&nbsp;Hongjing Wang,&nbsp;Ying Xiong","doi":"10.1111/jog.70219","DOIUrl":"10.1111/jog.70219","url":null,"abstract":"<div>\u0000 \u0000 <p>Abdominal pregnancy is a rare type of ectopic pregnancy, accounting for about 1% of ectopic pregnancies. Early diagnosis of abdominal pregnancy is challenging and may lead to serious complications. This article reports a case of a patient who was 58 days postmenopausal and presented with acute lower abdominal pain. The patient's preoperative ultrasound suggested ectopic pregnancy. Laparoscopy and therapeutic surgery were performed. During the surgical procedure, the gestational sac was identified in the right uterosacral ligament, and the gestational tissue was successfully removed with minimal bleeding. Histopathological examination confirmed it to be chorionic tissue. The serum human chorionic gonadotropin level decreased significantly in the postoperative period, and she was discharged from the hospital on the fourth postoperative day. Abdominal pregnancies are rare and early diagnosis is crucial to prevent serious complications. Laparoscopic surgery is an efficacious treatment for early abdominal pregnancy.</p>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271206","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":"A Decade-Long Diagnostic Challenge: A Case of Nonclassical 21-Hydroxylase Deficiency Mistaken for Polycystic Ovary Syndrome","authors":"Emi Kondo,&nbsp;Mika Makimura,&nbsp;Kano Hayashi,&nbsp;Kosuke Kawakami,&nbsp;Takeshi Usui,&nbsp;Toshiyuki Yoshizato","doi":"10.1111/jog.70191","DOIUrl":"10.1111/jog.70191","url":null,"abstract":"<div>\u0000 \u0000 <p>We report a rare case of nonclassical 21-hydroxylase deficiency (NC21-OHD) diagnosed in adulthood after being misdiagnosed as polycystic ovary syndrome (PCOS) for 9 years. A 27-year-old Japanese woman presented with longstanding amenorrhea, hirsutism, and polycystic ovarian morphology on ultrasonography but did not exhibit withdrawal bleeding after standard estrogen/progestin (E/P) therapy. Hormonal evaluation revealed a low luteinizing hormone (LH) level, elevated testosterone (T), and a significantly increased 17α-hydroxyprogesterone level, which further increased following adrenocorticotropic hormone stimulation. Genetic analysis identified compound heterozygous mutations in the <i>CYP21A2</i> gene (c.92C&gt;T; c.293-13C&gt;G), confirming the diagnosis of NC21-OHD. This case underscores the importance of considering NC21-OHD in adolescents and young adults with atypical PCOS features, such as severe hirsutism, abnormal hormonal profiles (low LH with markedly elevated T levels), and resistance to standard E/P therapy.</p>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271188","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":"A Cross-Sectional Study on Healthcare Workers' Knowledge and Attitudes Regarding Menstrual Cup Use in Turkey","authors":"Deniz Taşkıran","doi":"10.1111/jog.70212","DOIUrl":"10.1111/jog.70212","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Misconceptions surrounding menstrual bleeding and its management persist among the general population, often rooted in cultural norms and upbringing. However, such misconceptions can also be observed among healthcare professionals, who are expected to serve as advocates for public health. This study aimed to assess the knowledge and awareness of healthcare professionals in Turkey regarding menstrual cup use and associated topics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patients and Methods</h3>\u0000 \u0000 <p>This cross-sectional study was conducted between July 25 and August 10, 2025, using a self-administered online questionnaire via Google Forms. The target population included female healthcare workers employed in various healthcare institutions across Turkey who voluntarily agreed to participate. A total of 309 participants were included through a simple random sampling method based on their institutions of employment. The data were collected using structured questionnaires completed by the participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Only 6.8% of participants reported ever using a menstrual cup. During menstruation, 97.7% of respondents reported using sanitary pads, whereas 5.2% reported using menstrual cups. Among menstrual cup users, 34.9% expressed satisfaction with the product, while 51.2% were uncertain. Additionally, 62.2% reported no problems during use, 55% stated they felt comfortable, and 60% believed menstrual cups to be environmentally friendly. Overall awareness of menstrual cups among healthcare professionals was low. Most users were physicians and had learned about menstrual cups primarily through social media and peers. Those who used menstrual cups reported lower expenditures on menstrual hygiene products.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is a clear need to improve awareness and knowledge about menstrual cup use among healthcare professionals. Enhancing educational efforts and providing accurate information may empower healthcare workers to offer better guidance and promote sustainable menstrual hygiene practices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271230","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":"Short-Term Outcomes of Expectant Management With Antibiotics for Preterm Subclinical Intra-Amniotic Infection","authors":"Makoto Nomiyama,&nbsp;Keisuke Tsumura,&nbsp;Takashi Shimomura,&nbsp;Yuko Oshima,&nbsp;Takeshi Ono,&nbsp;Yutaka Kozuma,&nbsp;Fumio Yamasaki,&nbsp;Yukiko Nakura,&nbsp;Itaru Yanagihara,&nbsp;Masatoshi Yokoyama","doi":"10.1111/jog.70220","DOIUrl":"10.1111/jog.70220","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study assessed the efficacy of expectant management with antibiotics in patients with intra-amniotic infections diagnosed and treated at our institution. Antimicrobial and corticosteroid treatments were initiated for patients with intra-amniotic inflammation and a high infection risk, and the diagnosis was confirmed 2 days later by culture results, including <i>Ureaplasma</i> spp. and <i>Mycoplasma hominis</i>, which guided further treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective cohort study included singleton pregnant women diagnosed with intra-amniotic infection between 20 + 0 and 33 + 6 weeks of gestation between 2014 and 2021. Intra-amniotic inflammation was defined as an interleukin-6 concentration of ≥ 3.0 ng/mL in amniotic fluid, and intra-amniotic infection was confirmed by positive amniotic fluid cultures combined with inflammation. First-line antimicrobial therapy consisted of sulbactam/ampicillin and azithromycin. Primary outcome was the proportion of patients in which pregnancy was prolonged beyond 48 h without exacerbation of intra-amniotic inflammation. Secondary outcome was prolonged pregnancy beyond 168 h.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 56 diagnosed patients, 45 were analyzed. Pregnancy was prolonged beyond 48 h without exacerbation in 71.9% of the women in a <i>Ureaplasma</i> spp./<i>Mycoplasma hominis</i>-only group compared with 23.0% in the other bacterial group (<i>p</i> = 0.006). Pregnancy was significantly prolonged beyond 168 h in the <i>Ureaplasma</i> spp./<i>Mycoplasma hominis</i>-only group compared with that in the other bacterial group (28.1% vs. 0%, <i>p</i> = 0.04).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Expectant management with antibiotics is feasible in the short term for subclinical intra-amniotic infections caused solely by <i>Ureaplasma</i> spp./<i>Mycoplasma hominis</i>. However, for cases caused by the other bacteria, further studies are needed to determine appropriate management strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271253","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":"Nationwide Faculty Development Seminars in Obstetrics and Gynecology in Japan: An Observational Study of Practical Initiatives and Educational Outcomes","authors":"Tokumasa Suemitsu,&nbsp;Yoko Nagayasu,&nbsp;Manaka Shinagawa,&nbsp;Hiroaki Komatsu,&nbsp;Jota Maki,&nbsp;Yusuke Hirose,&nbsp;Eriko Eto,&nbsp;Masanori Isobe,&nbsp;Hisashi Masuyama,&nbsp;Hidemichi Watari","doi":"10.1111/jog.70214","DOIUrl":"10.1111/jog.70214","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate the educational outcomes of a nationwide faculty development initiative tailored to obstetrician-gynecologists in Japan, addressing the gap in systematic faculty development implementation and assessment within the specialty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This observational study evaluated three online faculty development seminars conducted by the Japan Society of Obstetrics and Gynecology between December 2023 and August 2024. Using Kirkpatrick's four-level model, we assessed participant satisfaction (Level 1), self-assessed knowledge gain (Level 2), and behavioral implementation in clinical practice (Level 3). Data were collected using post-seminar and longitudinal follow-up questionnaires.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Level 1 (Reaction): Among the 195 participants, 85.1% completed the post-seminar surveys, with satisfaction rates ranging from 87.9% to 93.0%. Level 2 (Learning): Self-assessed knowledge scores significantly improved across all three seminars (e.g., Seminar 1: from 4.0 to 7.0 on a 9-point scale, <i>p</i> &lt; 0.05). Level 3 (Behavior): Among participants who attended multiple sessions, 74.1% reported implementing learned skills, such as feedback techniques and leadership strategies, with the majority noting positive educational outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nationwide faculty development programs tailored to obstetrics and gynecology can enhance educational competence and promote behavioral change. Our findings highlight the feasibility and effectiveness of specialty-specific faculty development and indicate the need for long-term objective assessments to ensure a sustainable impact. These findings have significant implications for the field of obstetrics and gynecology, suggesting that targeted faculty development initiatives can play a crucial role in improving the quality of medical education and addressing workforce shortages.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146227292","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}