Journal of obstetrics and gynaecology Canada最新文献

{"title":"Umbilical Port Site Metastasis After Laparoscopic Radical Hysterectomy for Cervical Cancer","authors":"Zi-yun Liao MD, Yu Chen MD, Zhenbo OuYang MD","doi":"10.1016/j.jogc.2025.103109","DOIUrl":"10.1016/j.jogc.2025.103109","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"47 11","pages":"Article 103109"},"PeriodicalIF":2.2,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145067558","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":"Stage IVC Low Grade Endometrial Carcinoma with delayed Oligometastases to the Diaphragm and Vagina","authors":"Gabriel Levin MD , Reitan Ribeiro MD , Tuyet Nhung Ton Nu MD , Yoav Brezinov MD , Joanne Alfieri MD , James M.G. Tsui MD , Phuong-Nam Nathalie Nguyen MSc , Lucy Gilbert MD","doi":"10.1016/j.jogc.2025.103108","DOIUrl":"10.1016/j.jogc.2025.103108","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"47 11","pages":"Article 103108"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056596","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":"Predictors of In-Hospital Opioid Consumption and Discharge Prescribing Following Cesarean Delivery","authors":"Katy Dmowski MSc ,&nbsp;Uyen Do MSc ,&nbsp;Danielle Cutler BSc ,&nbsp;Tahereh Najafi Ghezeljeh PhD ,&nbsp;Elahe Khorasani PhD ,&nbsp;Pepa Kaneva MSc ,&nbsp;Agnihotram V. Ramanakumar PhD ,&nbsp;Liane S. Feldman MD ,&nbsp;Andrew Zakhari MD ,&nbsp;Julio F. Fiore Jr. PhD","doi":"10.1016/j.jogc.2025.103121","DOIUrl":"10.1016/j.jogc.2025.103121","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess the extent to which patient and care characteristics are associated with in-hospital opioid consumption and discharge prescribing following cesarean delivery (CD).</div></div><div><h3>Methods</h3><div>This retrospective cohort study included patients undergoing CD under neuraxial anesthesia at a university-affiliated hospital from December 2020 to December 2021. Patient demographics, care characteristics, in-hospital opioid consumption, and discharge prescription (in number of morphine 5 mg pills) were collected from medical records. Predictors were analyzed using negative binomial regression, with multiple imputations for missing data.</div></div><div><h3>Results</h3><div>Overall, 904 patients were included (age 35 ± 5 years, gestational age 38⁰ ± 2⁶ weeks, multiple gestations 5.3%, previous CD 44.7%, emergency delivery 40.9%, and hospital stay 2.3 ± 1.1 days). In-hospital analgesia prescriptions included acetaminophen (100%), nonsteroidal anti-inflammatory drugs (91.2%), and opioids (100%). Median in-hospital opioid consumption was zero (IQR 0–2) morphine 5 mg pills. Opioid consumption was associated with opioid use during pregnancy (incidence rate ratio [IRR] 9.419; 95% CI 3.425–25.900), higher postoperative pain scores (IRR 1.599; 95% CI 1.524–1.678), higher post-anesthesia care unit opioid consumption (IRR 1.007; 95% CI 1.002–1.013), and nonsteroidal anti-inflammatory drugs consumption (IRR 0.613; 95% CI 0.460–0.818). At discharge, 89.2% of patients were prescribed opioids (median = 20 [IQR 20–20] morphine 5 mg pills). Decreased discharge prescribing was associated with receiving a preprinted discharge prescription with fewer morphine 5 mg pills (10 vs. 20; 0.548 [95% CI 0.389–0.770]).</div></div><div><h3>Conclusions</h3><div>In this study, in-hospital opioid consumption following CD was low and was associated with patient and care-related factors. At discharge, the only factor associated with prescription size was the use of preprinted prescriptions. These findings can inform strategies to mitigate opioid-related harms following CD.</div></div>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"47 11","pages":"Article 103121"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056526","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":"Obstetrician-Midwifery Shared Care for Adolescents: A Patient and Practitioner Perspective","authors":"Caroline Leps MSc, MD ,&nbsp;Valerie Bloomfield MD ,&nbsp;Anjali Aggarwal MD, MHSc ,&nbsp;Rachel F. Spitzer MD, MPH","doi":"10.1016/j.jogc.2025.103104","DOIUrl":"10.1016/j.jogc.2025.103104","url":null,"abstract":"<div><div>This cross-sectional study aimed to assess the desirability of a shared obstetrics-gynecology–midwifery care model for adolescents at an acute tertiary hospital in Canada. Validated questionnaires were given to adolescents and practitioners. Thirteen (86% response rate) respondents completed the antenatal survey and identified being given results of tests, feeling safe, and having a variety of health care professionals as important to them. Practitioners (n = 10, 100% response rate) identified having a good sense of their role but struggled with time efficiency amongst a large team. This quality improvement study shows promising results that shared care between obstetrician-gynecologists and midwives is desirable.</div></div>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"47 11","pages":"Article 103104"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056540","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":"Influence of Planned Versus Unplanned Cesarean Delivery on Postpartum Peritraumatic Distress: A Prospective Observational Study","authors":"Luc Saulnier BA, MA ,&nbsp;Anthony Chau MD, MMSc ,&nbsp;Juliana Barrera MD, MSc ,&nbsp;Simon Massey MB, BCh","doi":"10.1016/j.jogc.2025.103114","DOIUrl":"10.1016/j.jogc.2025.103114","url":null,"abstract":"<div><h3>Objectives</h3><div>Postpartum post-traumatic stress disorder (PTSD) is a significant contributor to maternal morbidity. Peritraumatic distress, an immediate reaction to a traumatic event, is an early indicator of PTSD and may help identify patients at risk for postpartum PTSD soon after delivery. Previous studies report higher rates of postpartum PTSD after unplanned cesarean delivery. We hypothesized that peritraumatic distress scores, measured using the peritraumatic distress inventory (PDI), would differ between planned and unplanned cesarean deliveries.</div></div><div><h3>Methods</h3><div>In this observational prospective study, patients completed the PDI and patient perception score (PPS) 24 hours after cesarean delivery. The primary outcome was the median difference in PDI scores by delivery urgency (planned vs. unplanned), assessed using the Mann–Whitney U-test. Secondary outcomes included the correlation between PDI scores and patient satisfaction, as measured by Kendall tau correlation.</div></div><div><h3>Results</h3><div>A total of 220 patients (110 planned, 110 unplanned) were included. Patients who underwent unplanned cesarean delivery reported significantly higher PDI scores (<em>P</em> &lt; 0.001). A greater proportion of unplanned versus planned deliveries exceeded the PDI threshold for PTSD risk (25.5% vs. 5.5%). There was a significant negative correlation between PDI and patient perception scores (τ = −0.25; <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Unplanned cesarean delivery was associated with elevated peritraumatic distress and increased risk for postpartum PTSD. Early PDI screening may help identify patients in need of psychological support before discharge. However, low PDI scores should not preclude follow-up because some may develop delayed trauma responses. These findings support universal screening and underscore the need for future research on serial postpartum assessments.</div></div>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"47 11","pages":"Article 103114"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056559","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":"Vulvar cancer combined with cervical cancer","authors":"Haimin Jiang BMed ,&nbsp;Xiaoyan Chen MMed","doi":"10.1016/j.jogc.2025.103105","DOIUrl":"10.1016/j.jogc.2025.103105","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"47 11","pages":"Article 103105"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056547","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":"Can I get an Abortion Without my Parents’ Permission? Publicly Available Information About Age and Parental Consent for Abortion in Canada","authors":"Eleanor McGrath BComm, MSW","doi":"10.1016/j.jogc.2025.103099","DOIUrl":"10.1016/j.jogc.2025.103099","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate the availability and clarity of online abortion access information in Canada and identify, through the lens of a minor, if websites provide a clear answer to: “Can I get an abortion without my parents’ permission?”</div></div><div><h3>Methods</h3><div>Using ChoiceConnect, 139 abortion providers and 17 health resource websites were identified for analysis. Provider information was searched to discover an associated website. Identified websites were searched using Boolean operators for plain-language keywords on abortion access for minors (‘abortion,’ ‘consent,’ ‘permission,’ ‘parent,’ or ‘age,’) followed by manual searches. Results were classified as: (1) no abortion information; (2) no consent information; or (3) included consent information. Those that included consent information were further categorized thematically as either (1) statements that parental consent is not required; (2) statement regarding capacity to consent; or (3) stating an age of consent. These categories overlapped in some cases.</div></div><div><h3>Results</h3><div>Of the 139 providers, 72 had identifiable websites. Of those, 14 (19%) did not mention abortion and 28 (39%) provided information about parental or age of consent. Among those 28, 20 (74%) stated no parental consent was required, 10 (37%) mentioned capacity to consent, and 6 (22%) indicated an age to consent. Overall, 75% of providers and resources did not have a website, mention abortion, or provide consent information.</div></div><div><h3>Conclusions</h3><div>There is a lack of clear information online about minors’ abortion care access without parental consent. Absence of information presents a substantial barrier to abortion care access for minors.</div></div>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"47 11","pages":"Article 103099"},"PeriodicalIF":2.2,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017120","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":"Pregnancy Complications and Postpartum Cardiovascular Risk Screening","authors":"Graeme N. Smith MD, PhD","doi":"10.1016/j.jogc.2025.103065","DOIUrl":"10.1016/j.jogc.2025.103065","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"47 9","pages":"Article 103065"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144802391","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":"Artificial Intelligence Applications in Obstetrics and Gynaecology","authors":"S. Swaroop Vedula MBBS, PhD ,&nbsp;Chi Chiung Grace Chen MD, MHS","doi":"10.1016/j.jogc.2025.103067","DOIUrl":"10.1016/j.jogc.2025.103067","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"47 9","pages":"Article 103067"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144860051","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":"Revitalizing the SOGC’s Roles and Activities in Academic Education: Introducing the SOGC’s Council for Excellence in Obstetrics and Gynaecology Education","authors":"Nicholas Leyland MD ,&nbsp;Talia Melone XX ,&nbsp;Rashmi Bhargava MD ,&nbsp;Diane Francoeur MD ,&nbsp;Venu Jain MD ,&nbsp;Nancy Kent MD ,&nbsp;Vanessa Poliquin MD ,&nbsp;Frank Potestio MD ,&nbsp;Graeme Smith MD ,&nbsp;Marisa Horniachek MD ,&nbsp;Jocelynn L. Cook PhD","doi":"10.1016/j.jogc.2025.103081","DOIUrl":"10.1016/j.jogc.2025.103081","url":null,"abstract":"<div><h3>Objectives</h3><div>To re-establish and define the role of the Society of Obstetricians and Gynaecologists of Canada’s (SOGC) in medical education for obstetrician gynaecologists and develop a governance structure to guide activities.</div></div><div><h3>Methods</h3><div>A narrative synthesis of the evolution of the SOGC’s role in medical education for obstetrician gynaecologists was conducted using 3 methodological sources: (1) structured deliberations by a working group of national educators and clinicians convened quarterly over 18 months, (2) thematic analysis of 3 national educational needs assessments completed between 2020 and 2023; and (3) comparative benchmarking against academic structures in peer organizations.</div></div><div><h3>Results</h3><div>The SOGC’s Council for Excellence in Obstetrics and Gynaecology Education features a matrix membership model representing university departments, subspecialty societies, trainees and, very importantly, community practitioners. The new mandate emphasizes equity, innovation, collaboration, and lifelong learning across the educational continuum. Anticipated programming includes national examinations, research courses, educator development, and digital learning. An evaluation framework and partnerships were embedded to ensure accountability and growth. Importantly, gaps in engagement, sustainability, and mentorship will be addressed.</div></div><div><h3>Conclusions</h3><div>The SOGC’s Council for Excellence in Obstetrics and Gynaecology Education will serve as a national platform for academic leadership in women’s health, unifying educational efforts from undergraduate learning to post-retirement mentorship. It offers a replicable model for aligning education with rapidly evolving clinical and social priorities in specialty care.</div></div>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"47 9","pages":"Article 103081"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985996","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}