Journal of Obstetrics and Gynaecology Research最新文献

{"title":"Assessment of thoracoamniotic shunt catheter patency using pulsed-wave Doppler and color flow mapping: A case report","authors":"Shigenori Iwagaki,&nbsp;Yuichiro Takahashi,&nbsp;Ryuichi Shimaoka,&nbsp;Kazuhiko Asai,&nbsp;Masako Matsui,&nbsp;Hitomi Ono","doi":"10.1111/jog.70040","DOIUrl":"10.1111/jog.70040","url":null,"abstract":"<p>Thoracoamniotic shunting is an effective treatment for fetal pleural effusion. Catheter obstruction is a serious and frequently occurring phenomenon that often requires re-shunting; however, accurate diagnosis remains challenging. We present a case in which pulsed-wave Doppler and color flow mapping were used to evaluate fluid flow through a thoracoamniotic shunt catheter. The Doppler assessment revealed alternating fast inflow (median: 69.2 cm/s) and slow outflow (median: 19.0 cm/s) synchronized with fetal breathing movements. Following the cessation of fetal breathing movements, a continuous and steady outflow with a constant velocity was observed. This case highlights the potential utility of Doppler ultrasound in assessing catheter patency, providing valuable information for the diagnosis of catheter obstruction in thoracoamniotic shunting.</p>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"51 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144935294","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":"Maternal and perinatal outcomes in women aged 50 years and older: A nationwide cross-sectional study","authors":"Shunya Sugai,&nbsp;Takahiro Tanaka,&nbsp;Hiroto Yamamoto,&nbsp;Kaoru Yamawaki,&nbsp;Eiri Shima,&nbsp;Kosuke Yoshihara,&nbsp;Koji Nishijima","doi":"10.1111/jog.70063","DOIUrl":"10.1111/jog.70063","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate maternal and perinatal outcomes in pregnancies among women aged50–54 and 55–59, to refine risk assessments and inform evidence-based counseling and perinatal management guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A nationwide registry maintained by the Japan Society of Obstetrics and Gynecology identified pregnancies between January 2013 and December 2022. Analyses included women aged 45–59 years with assisted reproductive technology pregnancies, excluding triplet or higher-order multiple gestations. Participants were categorized into three groups: 45–49, 50–54, and 55–59 years. Outcomes included cesarean section, instrumental delivery, preeclampsia, gestational diabetes mellitus, placenta previa, placenta accreta, placental abruption, postpartum hemorrhage, hysterectomy, maternal mortality, preterm birth, small for gestational age, low 5-min Apgar scores, and perinatal death. Logistic regression analyses estimated the impact of maternal age on these outcomes, adjusting for maternal baseline characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 4272 participants were included: 3877 in the 45–49 years, 350 in the 50–54 years, and 45 in the 55–59 years. Compared to the 45–49 years, women aged 50–54 had significantly higher risks of cesarean section, preeclampsia, gestational diabetes mellitus, placenta previa, placenta accreta, and preterm birth, while the instrumental delivery rate was lower. In particular, placenta previa increased significantly with advancing maternal age. However, the small sample size in the 55–59 years limited the ability to draw definitive conclusions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Women aged 50–54 years experience significantly higher risks of adverse pregnancy outcomes compared to those aged 45–49 years. The small sample size in the 55–59-year age group limits the ability to draw definitive conclusions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"51 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144990748","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":"Evaluating apoptotic biomarkers with endometrial histopathological changes in women with abnormal uterine bleeding","authors":"Bellala Venkata Madhavi,&nbsp;Thallury Shirin Kamal,&nbsp;Bellala Ravi Shankar,&nbsp;Prathipaty Josephine Bindu","doi":"10.1111/jog.70059","DOIUrl":"10.1111/jog.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Abnormal uterine bleeding (AUB) is a common clinical challenge faced by women, often indicating underlying gynecological disorders, including endometrial pathologies. The evaluation of apoptotic biomarkers has gained attention as a potential method to elucidate the mechanisms driving these pathologies. AUB lacks precise diagnostic tools, with an insufficient understanding of apoptotic biomarkers' roles in endometrial changes, hindering effective management and targeted therapies for affected women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The objectives are to identify apoptotic biomarkers associated with endometrial histopathological changes, evaluate their diagnostic potential for abnormal uterine bleeding, and enhance understanding of underlying biological mechanisms in affected women. Analyzing healthcare data reveals patterns that inform clinical decisions and improve patient outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Content-based filtering technique combined with deep feedforward neural networks can uncover patterns in biomarkers, forecast histopathological outcomes, improve diagnostic accuracy, and tailor treatment strategies for women experiencing abnormal uterine bleeding. Findings show that in cycles under 21 days, 5% of patients experienced bleeding for 4 days, while 74% had 4–6 days of bleeding, and 21% bled for more than 6 days. This result was implemented using Python software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Future research could explore targeted therapies based on apoptotic biomarkers, enhancing diagnostic accuracy and personalized treatment strategies for women with abnormal uterine bleeding and associated endometrial histopathological changes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"51 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144990747","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":"The association between age and re-intervention rates in uterine fibroid patients after UsgHIFU therapy: A cohort study","authors":"Lin Wei,&nbsp;Hua Tao,&nbsp;Dingyuan Zeng,&nbsp;Haijing Zhong,&nbsp;Li Wang,&nbsp;Qiuling Shi","doi":"10.1111/jog.70045","DOIUrl":"10.1111/jog.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the correlation between patient age and long-term re-intervention requirements for symptomatic uterine fibroids through stratified age-group analysis following ultrasound-guided high-intensity focused ultrasound (UsgHIFU) ablation therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective cohort study evaluated 443 uterine fibroids from the Liuzhou Maternal and Child Healthcare Hospital (2018–2020). Post-ablation re-intervention trajectories were monitored over 36 months following UsgHIFU. Age-stratified analyses included analysis of variance for continuous parameters and χ² tests for categorical variables. Nonlinear dynamics were modeled using multivariable adaptive regression splines, with threshold regression identifying clinically significant transition points.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 443 patients who underwent UsgHIFU, 35 (7.9%) required re-intervention within 36 postoperative months. Adjusted odds ratio (OR) analysis revealed distinct age-dependent patterns. For patients below the 39-year threshold, each additional year demonstrated a positive association with re-intervention risk (OR = 1.20, 95% confidence interval [CI] 1.05–1.37; <i>p</i> = 0.0079). Conversely, in patients aged ≥39 years, each additional year showed a statistically significant negative association with re-intervention (OR = 0.70, 95% CI 0.56–0.87; <i>p</i> = 0.0012).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In patients with uterine fibroids undergoing UsgHIFU, the correlation between age and the risk of re-intervention after treatment follows an inverted U-shaped curve. Both older and younger age groups are associated with a reduced risk of re-intervention. UsgHIFU is a noninvasive and effective method for treating uterine fibroids. Patients who undergo UsgHIFU treatment experience a low re-intervention rate, with younger patients or those closer to menopause achieving better treatment outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"51 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144935046","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":"Effects of epilepsy and antiepileptic drugs on fetal cardiac functions: A cross-sectional study from a tertiary center","authors":"Göksun İpek,&nbsp;Atakan Tanaçan,&nbsp;Zahid Ağaoğlu,&nbsp;Ayça Peker,&nbsp;Ayşe Gülçin Baştemur,&nbsp;Özgür Kara,&nbsp;Dilek Şahin","doi":"10.1111/jog.70060","DOIUrl":"10.1111/jog.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to assess fetal cardiac function in response to epilepsy and antiepileptic drugs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional prospective study included 31 pregnant women with epilepsy (22 on monotherapy, 9 unmedicated) and 45 randomly selected, gestational age-matched low-risk pregnant women. The mean gestational ages were comparable across groups: 30.27 ± 2.95 weeks for the monotherapy group, 30.11 ± 2.80 weeks for the unmedicated epilepsy group, and 31.13 ± 2.83 weeks for the control group (<i>p</i> = 0.397). Fetal cardiac function was evaluated using indices of systolic and diastolic function: isovolumetric contraction time, isovolumetric relaxation time (IRT), ejection time, myocardial performance index (MPI), mitral and tricuspid maximum early ventricular filling (<i>E</i>) wave velocity, maximum active atrial filling (<i>A</i>) wave velocity, <i>E</i>/<i>A</i> ratios, mitral and tricuspid annular plane systolic excursion, and pulmonary and aortic artery peak velocities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the monotherapy epilepsy group, IRT was significantly prolonged (47.77 vs. 42.78 vs. 43.47, <i>p</i> = 0.006 and <i>p</i> &lt; 0.001), and MPI was significantly increased (0.49 vs. 0.46 vs. 0.46, <i>p</i> = 0.027 and <i>p</i> = 0.194) compared to the unmedicated epilepsy and control groups. Tricuspid valve <i>E</i> values were significantly lower in the monotherapy epilepsy group (40.49 vs. 43.87, <i>p</i> = 0.034). Furthermore, IRT values were prolonged in the subgroup with seizures during pregnancy compared to those without (40.73 vs. 44.45, <i>p</i> = 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To our knowledge, this was the first study to examine the potential cardiac functional impact of epilepsy and antiepileptic drugs. This study demonstrated a small but significant association between maternal antiepileptic drug use and impaired fetal cardiac diastolic function, as assessed by ultrasound.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"51 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144929908","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":"Laparoscopic management of symptomatic uterine myoma in pregnancy: A case report and critical analysis of literature","authors":"Francesca Magni,&nbsp;Filippo Alberto Ferrari,&nbsp;Mauro Minasola,&nbsp;Pier Carlo Zorzato,&nbsp;Simone Garzon,&nbsp;Stefano Uccella","doi":"10.1111/jog.70067","DOIUrl":"10.1111/jog.70067","url":null,"abstract":"<p>Abdominal pain during pregnancy poses diagnostic and management challenges. Uterine leiomyomas complicate 2 to 10% of pregnancies, with severe pain in some cases necessitating surgical intervention. While myomectomy during pregnancy is generally avoided due to increased vascularity and risk of hemorrhagic complications, specific indications warrant consideration, such as severe pain from torsion, hemoperitoneum, or red degeneration. We describe a case of acute abdominal pain at 19 weeks of pregnancy caused by acute uterine myoma degeneration, detailing the diagnostic process, differential diagnosis, and treatment. Our case, along with a discussion of the scarce available literature, highlights that laparoscopic myomectomy during pregnancy is a feasible option for managing symptomatic fibroids. Timely diagnosis, centralized care, and tailored surgical planning are critical to optimizing maternal and fetal outcomes.</p>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"51 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144927267","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":"Human papillomavirus vaccination coverage, intentions, and associated factors among university students in Ho Chi Minh City: A cross-sectional, online survey","authors":"Ngoc-Trinh T. Nguyen,&nbsp;Ngoc-Tuyen Nguyen,&nbsp;My-Huyen Le,&nbsp;Minh-Dang Khac Vu,&nbsp;Hoang-Chuong Nguyen,&nbsp;Lan-Anh T. Do","doi":"10.1111/jog.70057","DOIUrl":"10.1111/jog.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Human papillomavirus (HPV) is a significant public health concern due to its strong association with cervical and other cancers. Despite the availability of effective vaccines, HPV vaccination coverage remains low among university students in Vietnam. This study assesses the vaccination coverage, intentions, and associated factors among university students in Ho Chi Minh City.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted among 811 university students from health-related and non-health-related fields. Data were collected through an online survey that assessed demographic characteristics, HPV knowledge, attitudes, and vaccination status. Univariate and multivariate logistic regression analyses were performed to determine factors influencing HPV vaccine uptake and intention to vaccinate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among participants, 64.9% had not received any HPV vaccine doses, while 26.6% had completed the vaccination schedule. Students in health-related fields were 1.6 times more likely to be fully vaccinated. Only 22.8% of students had adequate knowledge, and 33.2% had a positive attitude toward vaccination. Key barriers included high vaccine costs (33%), lack of information on vaccination sites (10%), and concerns about side effects (10%). Female students, those with a positive attitude, and those with vaccinated family members were more likely to be vaccinated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>HPV vaccination coverage among university students remains suboptimal. Targeted public health strategies, including financial support, education, and improved access, are essential to increasing vaccine uptake and addressing persistent barriers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"51 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144927269","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":"The relationship between lymph node metastasis and immunohistochemical molecular subtypes in endometrial cancer: A cohort study of 339 patients","authors":"Hande Nur Öncü,&nbsp;Gökçen Ege,&nbsp;Neslihan Öztürk,&nbsp;Oğuz Kaan Köksal,&nbsp;Büşra Körpe,&nbsp;Candost Hanedan,&nbsp;Çağanay Soysal,&nbsp;Vakkas Korkmaz","doi":"10.1111/jog.70065","DOIUrl":"10.1111/jog.70065","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study evaluated the association between immunohistochemically (IHC) molecular subtypes and lymph node metastasis (LNM) in endometrial cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study included 339 patients diagnosed with endometrial cancer (EC) confined to the uterus and treated with pelvic ± para-aortic lymph node dissection (LND), who were included in the study. Patients were divided into two groups: LNM-negative (Group 1, <i>n</i> = 289) and LNM-positive (Group 2, <i>n</i> = 50). All patients underwent IHC-based molecular subtype analysis. Demographic, clinical, and histopathological characteristics were evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The median age was 62 years (34–79) in Group 1 and 64 years (48–79) in Group 2 (<i>p</i> = 0.022). Body mass index (BMI) and parity were similar between the groups (<i>p</i> &gt; 0.05). LNM was detected in 14.7% of patients (50/339). Among Group 1, 64.4% (186/289) had a non-specific molecular profile (NSMP), 20.1% (58/289) had mismatch repair deficiency (MMRd), and 15.5% (45/289) had the p53 abnormal (p53abn) subtype. In contrast, in Group 2, 44% (22/50) were NSMP, 24% (12/50) were MMRd, and 32% (16/50) were p53abn (<i>p</i> = 0.008). A statistically significant association was observed between LNM and the p53abn subtype. LNM was present in 26% (16/61) of patients with the p53abn subtype, compared to 17% (12/70) in the MMRd group and 11% (22/208) in the NSMP group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>While our study identified an association between the p53abn subtype and lymph node metastasis, this finding alone does not support using p53 status in isolation to determine lymphatic staging; instead, it should be considered a complementary marker alongside established clinicopathologic factors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"51 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144927422","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":"Awareness, acceptance, and perception of post placental intra uterine contraceptive device (PPIUCD) immediate insertion among maternity care providers in Jordan","authors":"Hasan Rawashdeh,&nbsp;Rawan Obeidat,&nbsp;Shatha Awawdeh,&nbsp;Jehan Hamadneh,&nbsp;Shereen Hamadneh","doi":"10.1111/jog.70061","DOIUrl":"10.1111/jog.70061","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To assess the awareness, acceptance, and perception of the Post Placental Intra Uterine Contraceptive Device (PPIUCD) immediate insertion as a practicable contraceptive method among maternity care providers in Jordan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional observational study that has surveyed maternity care providers in Jordan between May and December 2021. Five hundred and one practitioners from different health districts enrolled themselves electively into the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>46.5% of the practitioners were aware of the PPIUCD immediate insertion, where only 10.2% had prior practical experience. Misconceptions regarding the spontaneous expulsion rate were prevalent, with 35% of practitioners overestimating the expulsion rate to exceed 25%. The fear of high expulsion was the major concern among more than half of the participants (54.6%, <i>n</i> = 113) who did not accept PPIUCD as a practicable method. Practitioners who had attended workshops were notably more likely to incorporate PPIUCD into their clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The rate of acceptance of immediate PPIUCD insertion is low among maternity care givers in Jordan. Workshop training improves competency and acceptance of PPIUCD as an immediate postpartum contraceptive option.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"51 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144927425","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":"Systemic effect of different physiological parameter associated with mirror syndrome","authors":"Shaibal Chandra,&nbsp;Sampurna Chowdhury","doi":"10.1111/jog.70062","DOIUrl":"10.1111/jog.70062","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This review aims to delve into the systemic repercussions of various physiological indicators interrelated in mirror syndrome while an individual is pregnant. This review explores the role of pro-inflammatory cytokines and imbalances in angiogenic factors in disrupting placental function and contributing to endothelial damage in mirror syndrome. It also discusses how these physiological disturbances may affect maternal and fetal health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The narrative literature evaluation comprised papers from the PubMed and Google Scholar databases. We conducted a comprehensive search on the following keyword: “Mirror Syndrome,” “triple edema,” “fetal hydrops,” “endotoxemia” etc. And we can find more than 76 research articles and 26 of them is notable case studies reported on this topic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Mirror syndrome causes systemic effects, including placental insufficiency, endothelial damage, and disrupted angiogenic factors like PlGF and VEGF, leading to hypertension, edema, and renal failure in pregnant women. In 26 case studies, we found that mirror syndrome is classified into rhesus isoimmunization 23.07%; twin pregnancies 38.46%; viral infections 19.23%; and other causes such as tumors and congenital anomalies 19.23% noted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Early detection and management of mirror syndrome are crucial for maternal and fetal health. Blood pressure and health issues should be monitored on a regular basis, and delivery may be necessary depending on the circumstances. Understanding these aspects is key to delivering optimal care and improving outcomes for mothers and babies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"51 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144923851","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}