Journal of obstetrics and gynaecology Canada最新文献

{"title":"Bilateral Multiple Mature Cystic Teratoma: An Unusual Case Report","authors":"Priyanka Mathe MBBS, MS, Priya Samanta MBBS, Richa Aggarwal MBBS, MS","doi":"10.1016/j.jogc.2024.102712","DOIUrl":"10.1016/j.jogc.2024.102712","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 12","pages":"Article 102712"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meckel-Gruber Syndrome: Prenatal Diagnosis of a Lethal Ciliopathy with Multisystem Anomalies","authors":"Avantika Gupta MD , Chetan Khare DM , Satish Choudhury MD , Manpreet Kaur MD , Mangani Deepika MBBS","doi":"10.1016/j.jogc.2024.102716","DOIUrl":"10.1016/j.jogc.2024.102716","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"47 1","pages":"Article 102716"},"PeriodicalIF":2.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consensus clinique No 455 : Déterminer et révéler le sexe fœtal","authors":"Michiel C. Van den Hof M.D., Venu Jain M.D., Ph. D., Ori Nevo M.D.","doi":"10.1016/j.jogc.2024.102676","DOIUrl":"10.1016/j.jogc.2024.102676","url":null,"abstract":"<div><h3>Objectif</h3><div>Donner une orientation sur l’examen échographique du périnée du fœtus ainsi que sur la détermination et la divulgation du sexe fœtal.</div></div><div><h3>Population cible</h3><div>Toutes les personnes ayant une grossesse évolutive.</div></div><div><h3>Options</h3><div>Inclure l’examen du périnée fœtal et la détermination du sexe fœtal comme élément de l’examen anatomique à l’échographie obstétricale de routine du deuxième trimestre et respecter le souhait des patientes en ce qui concerne la divulgation du sexe fœtal.</div></div><div><h3>Résultats</h3><div>Diagnostic prénatal des anomalies ou variantes sexuelles ou génitales du fœtus, connaissance du sexe fœtal par les parents et le personnel obstétrical et respect du souhait des parents concernant la connaissance du sexe fœtal.</div></div><div><h3>Bénéfices, risques et coûts</h3><div>Les bénéfices regroupent la possibilité d’améliorer les issues périnatales grâce au diagnostic des anomalies génitales fœtales et le respect de l’autonomie légitime des femmes en matière de renseignements personnels de santé. Les préjudices et coûts potentiels sont une erreur possible de détermination du sexe fœtal; une augmentation du temps consacré par les patientes et les professionnels de la santé à la planification et à la réalisation de l’examen d’imagerie; et le risque minime que les patientes choisissent d’avorter si le fœtus n’est pas du sexe désiré.</div></div><div><h3>Données probantes</h3><div>Les données probantes reposent sur la littérature de la version précédente de cette déclaration par l’examen de lignes directrices à l’international, la consultation des décisions juridiques canadiennes et une recherche documentaire dans les bases de données PubMed et Cochrane Database. Les articles de recherche, les articles de synthèse et les revues systématiques publiés en anglais entre le 1 janvier 2003 et le 31 décembre 2023 ont été inclus. Les termes de recherche utilisés étaient <em>fetal ultrasonography</em>, <em>sex determination</em> et <em>genitalia</em>. Les bibliographies des articles pertinents ont été évaluées et les articles applicables ont également été inclus.</div></div><div><h3>Professionnels concernés</h3><div>Tous les prestataires de soins aux personnes enceintes au Canada.</div></div><div><h3>Résumé des médias sociaux</h3><div>Les organes génitaux du fœtus doivent être examinés pendant la grossesse et le sexe doit être divulgué en toute sécurité à la patiente si elle souhaite obtenir cette information.</div></div><div><h3>DÉCLARATIONS DE CONSENSUS SUR LES BONNES PRATIQUES</h3><div><ul><li><span>1.</span><span><div>Les professionnels d’imagerie diagnostique et les autres professionnels de la santé doivent respecter les souhaits des parents concernant la divulgation du sexe fœtal.</div></span></li><li><span>2.</span><span><div>Les professionnels d’imagerie diagnostique doivent s’efforcer de déterminer le sexe fœtal au cours d’une échographie obstétricale à partir du de","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 11","pages":"Article 102676"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consent and Educational Sensitive Exams on Anesthetized Patients: Experiences of Medical Students Across Canada","authors":"Phoebe Friesen PhD ,&nbsp;Wan-Li Sun BSc ,&nbsp;Sarah Towle MSc","doi":"10.1016/j.jogc.2024.102585","DOIUrl":"10.1016/j.jogc.2024.102585","url":null,"abstract":"<div><h3>Objectives</h3><div>This study investigates experiences of medical students across Canada related to consent for educational sensitive (i.e., pelvic, rectal) exams under anesthesia (EUAs).</div></div><div><h3>Methods</h3><div>A bilingual online questionnaire was developed and distributed to medical students across Canada.</div></div><div><h3>Results</h3><div>Of 134 respondents, 63% had performed a pelvic EUA, 35% a rectal EUA, and 11% another sensitive EUA during their training. For those who had performed pelvic EUA, 28% were unsure if consent had taken place, 26% reported no specific consent, 20% reported specific consent, and 25% had mixed experiences of consent. For rectal EUAs, 48% reported no specific consent, 37% were unsure if consent had taken place, 13% reported that there had been specific consent, and 2% reported mixed experiences. Most respondents were uncomfortable (36%) or not sure if they were comfortable (32%) with how the consent process was handled for student pelvic EUAs; 31% were comfortable. In open-ended responses, respondents described experiences related to variability, discomfort, and authority.</div></div><div><h3>Conclusions</h3><div>Non-consensual educational sensitive EUAs continue to take place in medical training across Canada, although practices of consent are highly variable. The majority of respondents reported being uncomfortable or unsure if they were comfortable with how consent for educational sensitive EUAs was practised during their training, and some respondents struggled to express their discomfort given the power dynamics at play.</div></div>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 11","pages":"Article 102585"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introducing a Series of Clinical Vignettes on Maternal Mortality and Morbidity in Canada","authors":"Rohan D’Souza MD, PhD, FRCOG ,&nbsp;Graeme Smith MD, PhD, FRCSC, FCAHS","doi":"10.1016/j.jogc.2024.102728","DOIUrl":"10.1016/j.jogc.2024.102728","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 11","pages":"Article 102728"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building Trust in Medical Education: Ensuring Consent and Transparency in Sensitive Procedures","authors":"Diane Francoeur MD, FRCSC, MHCM, ICD.D ,&nbsp;Lynn Murphy-Kaulbeck MD, MMgmt, MSC, FRCSC","doi":"10.1016/j.jogc.2024.102725","DOIUrl":"10.1016/j.jogc.2024.102725","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 11","pages":"Article 102725"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehausser la confiance dans l’enseignement de la médecine : Assurer le consentement et la transparence entourant les examens pelviens","authors":"Diane Francoeur MD, FRCSC, MHCM, ICD.D ,&nbsp;Lynn Murphy-Kaulbeck MD, MMgmt, MSC, FRCSC","doi":"10.1016/j.jogc.2024.102727","DOIUrl":"10.1016/j.jogc.2024.102727","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 11","pages":"Article 102727"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Consensus No. 455: Fetal Sex Determination and Disclosure","authors":"Michiel C. Van den Hof MD,&nbsp;Venu Jain MD, PhD,&nbsp;Ori Nevo MD","doi":"10.1016/j.jogc.2024.102675","DOIUrl":"10.1016/j.jogc.2024.102675","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To provide guidance on ultrasound review of the fetal perineum as well as fetal sex determination and disclosure.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Target Population&lt;/h3&gt;&lt;div&gt;All individuals with ongoing pregnancies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Options&lt;/h3&gt;&lt;div&gt;To include a review of the fetal perineum and determination of fetal sex as a component of the anatomic review during the routine second-trimester obstetric ultrasound and adhere to patient wishes regarding the disclosure of fetal sex.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Outcomes&lt;/h3&gt;&lt;div&gt;Prenatal diagnosis of fetal genital and sex anomalies or variants, parental and pregnancy caregiver knowledge of fetal sex, and adherence to parental wishes regarding knowledge of fetal sex.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Benefits, Harms, and Costs&lt;/h3&gt;&lt;div&gt;Benefits include the potential to improve perinatal outcomes through the diagnosis of fetal genital anomalies and respect for women’s rightful autonomy over personal health information. Potential harms or costs include a possible error in fetal sex determination, increased time for patients and health care providers in scheduling and performing the imaging, and the minimal risk of patients choosing to abort a pregnancy if the fetus is not the desired sex.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Evidence&lt;/h3&gt;&lt;div&gt;Evidence built on the literature from the prior version of this statement through a review of international guidelines, Canadian legal rulings, and a literature search of PubMed and the Cochrane Database. English language research articles, review articles, and systematic reviews between January 1, 2003, and December 31, 2023, were included. Search terms included &lt;em&gt;fetal ultrasonography&lt;/em&gt;, &lt;em&gt;sex determination&lt;/em&gt;, and &lt;em&gt;genitalia&lt;/em&gt;. The references of relevant articles were assessed, and applicable articles were included as well.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Intended Audience&lt;/h3&gt;&lt;div&gt;All care providers for pregnant individuals in Canada.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Social Media Abstract&lt;/h3&gt;&lt;div&gt;Fetal genitalia should be examined in pregnancy and the sex safely disclosed to the patient if they want this information.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;CONSENSUS-BASED GOOD PRACTICE STATEMENTS&lt;/h3&gt;&lt;div&gt;&lt;ul&gt;&lt;li&gt;&lt;span&gt;1.&lt;/span&gt;&lt;span&gt;&lt;div&gt;Diagnostic imaging providers and other health care providers should respect parental wishes regarding the disclosure of fetal sex.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;2.&lt;/span&gt;&lt;span&gt;&lt;div&gt;Diagnostic imaging providers should make every effort to determine fetal sex during an obstetric ultrasound examination from the second trimester onwards and should include this information in the ultrasound report.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;3.&lt;/span&gt;&lt;span&gt;&lt;div&gt;If fetal sex cannot be determined, re-examination or appropriate referral is recommended.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;4.&lt;/span&gt;&lt;span&gt;&lt;div&gt;The obstetric ultrasound examination reports should contain a visible alert at the beginning of the report regarding the presence of information on fetal sex, thus giving parents the option of not reading an","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 11","pages":"Article 102675"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Directive clinique N° 456 : Dépistage prénatal des anomalies chromosomiques fœtales","authors":"Franҫois Audibert M.D., M.Sc.,&nbsp;Karen Wou M.D.,&nbsp;Nanette Okun M.D.,&nbsp;Isabelle De Bie M.D., Ph. D.,&nbsp;R. Douglas Wilson M.D.","doi":"10.1016/j.jogc.2024.102695","DOIUrl":"10.1016/j.jogc.2024.102695","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectif&lt;/h3&gt;&lt;div&gt;Examiner les possibilités de dépistage prénatal des aneuploïdies et fournir des lignes directrices cliniques actualisées aux prestataires de soins de la reproduction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Population cible&lt;/h3&gt;&lt;div&gt;Personnes enceintes qui reçoivent des conseils sur le dépistage prénatal et qui donnent leur consentement éclairé.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Bénéfices, risques et coûts&lt;/h3&gt;&lt;div&gt;La mise en application des recommandations de la présente directive devrait améliorer la compétence des cliniciens pour conseiller les patientes sur les options de dépistage prénatal et leur donner accès aux interventions indiquées. Compte tenu de la diversité des options disponibles pour le dépistage prénatal, dont la fiabilité, le coût et la disponibilité varient d’un bout à l’autre du Canada, il est primordial d’offrir des conseils appropriés pour permettre aux personnes enceintes canadiennes de faire un choix éclairé. Le dépistage prénatal peut être source d’anxiété, et les décisions relatives aux examens de diagnostic prénatal sont complexes compte tenu du risque de perte fœtale.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Données probantes&lt;/h3&gt;&lt;div&gt;La littérature publiée avant la fin de juillet 2023 a été colligée par des recherches dans les bases de données Medline, PubMed et Cochrane Library au moyen de termes (&lt;em&gt;prenatal diagnosis, amniocentesis, chorionic villi sampling, non-invasive prenatal screening&lt;/em&gt;) et mots clés (&lt;em&gt;prenatal screening, prenatal genetic counselling&lt;/em&gt;) pertinents et validés. Les seuls résultats retenus proviennent de revues systématiques, d’essais cliniques randomisés ou comparatifs et d’études observationnelles publiés en anglais entre janvier 1995 et juillet 2023.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthodes de validation&lt;/h3&gt;&lt;div&gt;Les auteurs ont évalué la qualité des données probantes et la force des recommandations en utilisant le cadre méthodologique GRADE (Grading of Recommendations, Assessment, Development, and Evaluation). Voir l’&lt;span&gt;&lt;span&gt;annexe A&lt;/span&gt;&lt;/span&gt; en ligne (&lt;span&gt;&lt;span&gt;tableau A1&lt;/span&gt;&lt;/span&gt; pour les définitions et &lt;span&gt;&lt;span&gt;tableau A2&lt;/span&gt;&lt;/span&gt; pour l’interprétation des recommandations fortes et faibles).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Professionnels concernés&lt;/h3&gt;&lt;div&gt;Professionnels de la santé impliqués dans le dépistage prénatal, y compris les omnipraticiens, les obstétriciens, les sages-femmes, les spécialistes en médecine fœto-maternelle, les généticiens et les radiologues.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résumé des médias sociaux&lt;/h3&gt;&lt;div&gt;Le test génomique prénatal non invasif est la méthode la plus fiable pour détecter les aneuploïdies majeures. Il n’est pas universellement disponible dans le système de santé publique et comporte certaines limites.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;DÉCLARATIONS SOMMAIRES&lt;/h3&gt;&lt;div&gt;&lt;ul&gt;&lt;li&gt;&lt;span&gt;1.&lt;/span&gt;&lt;span&gt;&lt;div&gt;L’échographie du premier trimestre (entre 11 et 14 semaines d’aménorrhée) est particulièrement utile pour le dépistage prénatal et la prise en charge de la grossesse en permettant notamment d’obt","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 11","pages":"Article 102695"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"We Speak for the Dead to Protect the Living: Unrecognized Cardiovascular Complications","authors":"Jon F.R. Barrett MD, PhD ,&nbsp;Sara Thorne MBBS, MD ,&nbsp;Louise McNaughton-Filion MD CM, CCPE ,&nbsp;Ontario Maternal and Perinatal Death Review Committee","doi":"10.1016/j.jogc.2024.102710","DOIUrl":"10.1016/j.jogc.2024.102710","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 11","pages":"Article 102710"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}