Journal of obstetrics and gynaecology Canada最新文献

{"title":"Guideline No. 454: Identification and Treatment of Perinatal Mood and Anxiety Disorders","authors":"Alison Shea MD, PhD, Naana Afua Jumah MD, Milena Forte MD, Christina Cantin RN, PhD Student, Hamideh Bayrampour MSc, PhD, Kim Butler MD, Diane Francoeur MD, Courtney Green PhD, Jocelynn Cook PhD","doi":"10.1016/j.jogc.2024.102696","DOIUrl":"10.1016/j.jogc.2024.102696","url":null,"abstract":"<div><h3>Objective</h3><div>To help perinatal health care providers identify and assist pregnant and postpartum patients with perinatal mental illness, specifically perinatal mood and anxiety disorders. Areas of focus include risk factors and identification, screening, treatment, and referral.</div></div><div><h3>Target Population</h3><div>All individuals who are pregnant or in the first year postpartum.</div></div><div><h3>Outcomes</h3><div>Open dialogue and evidence-informed care for perinatal mood and anxiety disorders, including competency for identification, screening, treatment, and referral, which will lead to improvements in patient care.</div></div><div><h3>Benefits, Harms, and Costs</h3><div>Pregnant and postpartum individuals with untreated perinatal mental illness, including mood and anxiety disorders, may suffer devastating effects and their family may experience short- and long-term adverse outcomes.</div></div><div><h3>Evidence</h3><div>A literature search was conducted using Medline (Ovid), PubMed, Embase and the Cochrane library from inception to June 2024. Additional articles were identified from article bibliographies and grey literature published by reputable societies and organizations (see online <span><span>Appendix A</span></span>).</div></div><div><h3>Validation Methods</h3><div>The authors rated the quality of evidence and strength of recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. See online <span><span>Appendix B</span></span> (<span><span>Tables B1</span></span> for definitions and <span><span>B2</span></span> for interpretations of strong and weak recommendations).</div></div><div><h3>Intended Audience</h3><div>All heath care providers who provide preconception counselling and/or care during pregnancy and the postpartum period. The term “perinatal” will be used throughout this guideline to refer to these health care providers.</div></div><div><h3>Social Media Abstract</h3><div>New SOGC Guideline! Identify, support, and treat perinatal mood and anxiety disorders. Focused on risk factors, screening, treatment and referrals during pregnancy and the postpartum period. Let's open dialogue and provide evidence-informed care for improved patient outcomes.</div></div><div><h3>SUMMARY STATEMENTS</h3><div><ul><li><span>1.</span><span><div>Perinatal mood and anxiety disorders are common (<em>high</em>); postpartum depression and anxiety are the most common maternal complications of pregnancy (<em>high</em>).</div></span></li><li><span>2.</span><span><div>The psychological aspects of the transition to parenthood are important factors that affect perinatal mental health (<em>moderate</em>).</div></span></li><li><span>3.</span><span><div>Suicide in the perinatal period is emerging as one of the most common causes of maternal mortality in Canada (<em>moderate</em>).</div></span></li><li><span>4.</span><span><div>Symptoms of anxiety or depression during pregnancy are high","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468225","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":"Corrigendum to Co-Creating an Online Platform to Advance Access to Abortion: Findings From the CART-ACCESS Project","authors":"Abdul-Fatawu Abdulai, Cam Duong, Efrat Czerniak, Aashay Mehta","doi":"10.1016/j.jogc.2024.102652","DOIUrl":"10.1016/j.jogc.2024.102652","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578579","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° 454 : Identification et traitement des troubles périnataux de l'humeur et de l'anxiété","authors":"Alison Shea MD, PhD, Naana Afua Jumah MD, Milena Forte MD, Christina Cantin RN, PhD étudiant, Hamideh Bayrampour MSc, PhD, Kim Butler MD, Diane Francoeur MD, Courtney Green PhD, Jocelynn Cook PhD","doi":"10.1016/j.jogc.2024.102697","DOIUrl":"10.1016/j.jogc.2024.102697","url":null,"abstract":"<div><h3>Objectif</h3><div>Soutenir le personnel de santé en périnatalité à identifier et à assister les personnes enceintes et en post-partum vivant avec des troubles de santé mentale périnatale, plus particulièrement des troubles de l'humeur et d'anxiété en contexte périnatal. L'accent est mis sur les facteurs de risque et l'identification, le dépistage, le traitement et le référencement.</div></div><div><h3>Population cible</h3><div>Toutes les personnes enceintes ou dans la première année du post-partum.</div></div><div><h3>Résultats</h3><div>Dialogue ouvert et soins basés sur des données probantes lors de troubles périnataux de l'humeur et de l'anxiété, y compris les compétences en matière d'identification, de dépistage, de traitement et de référencement.</div></div><div><h3>Bénéfices, risques et coûts</h3><div>Les personnes enceintes et celles en post-partum atteinte de troubles de santé mentale périnatale non traitée, y compris de troubles de l'humeur et d'anxiété, peuvent subir, ainsi que leur famille, des effets néfastes ainsi que des conséquences négatives à leur santé, à court et à long terme.</div></div><div><h3>Données probantes</h3><div>Une recherche documentaire a été effectuée sur Medline (Ovid), PubMed, Embase et la bibliothèque Cochrane depuis le début jusqu'à juin 2024. Des articles supplémentaires ont été identifiés à partir de bibliographies d'articles et de la littérature grise publiée par des sociétés et des organisations réputées (voir l'<span><span>annexe A</span></span> en ligne).</div></div><div><h3>Méthodes de validation</h3><div>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’<span><span>annexe B</span></span> en ligne (<span><span>tableau B1</span></span> pour les définitions et <span><span>tableau B2</span></span> pour l’interprétation des recommandations fortes et faibles).</div></div><div><h3>Professionnels concernés</h3><div>Tous les prestataires de soins de santé qui fournissent offrent des conseils en périnatalité. Le terme \"périnatal\" sera utilisé tout au long de cette directive pour désigner ces professionnels de la santé.</div></div><div><h3>Résumé des médias sociaux</h3><div>Nouvelle directive clinique de la SOGC ! Identifier, accompagner et traiter les troubles d'humeur et d'anxiété périnataux. Axée sur les déterminants et les facteurs de risque, le dépistage, le traitement et le référencement tout au long de la trajectoire périnatale. La directive vise un dialogue et des soins personnalisés basés sur des données probantes pour des soins de qualité en contexte de santé mentale périnatale.</div></div><div><h3>DÉCLARATIONS SOMMAIRES</h3><div><ul><li><span>1.</span><span><div>Les troubles périnataux de l'humeur et de l'anxiété sont fréquents (<em>élevée</em>) ; la dépression et l'anxiété post-partum représentent des complications maternelles les plus f","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468222","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":"Extraits de la littérature médicale mondiale : Gynécologie","authors":"Paul J. Yong MD, PhD","doi":"10.1016/j.jogc.2024.102677","DOIUrl":"10.1016/j.jogc.2024.102677","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578578","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":"Towards Better Perinatal Mental Health Care","authors":"Simone N. Vigod MD, MSc , Benicio N. Frey MD, PhD","doi":"10.1016/j.jogc.2024.102680","DOIUrl":"10.1016/j.jogc.2024.102680","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578575","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, Venu Jain, Ori Nevo","doi":"10.1016/j.jogc.2024.102675","DOIUrl":"10.1016/j.jogc.2024.102675","url":null,"abstract":"<p><strong>Objective: </strong>To provide guidance on ultrasound review of the fetal perineum as well as fetal sex determination and disclosure.</p><p><strong>Target population: </strong>All individuals with ongoing pregnancies.</p><p><strong>Options: </strong>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.</p><p><strong>Outcomes: </strong>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.</p><p><strong>Benefits, harms, and costs: </strong>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.</p><p><strong>Evidence: </strong>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 fetal ultrasonography, sex determination, and genitalia. The references of relevant articles were assessed, and applicable articles were included as well.</p><p><strong>Intended audience: </strong>All care providers for pregnant individuals in Canada.</p><p><strong>Social media abstract: </strong>Fetal genitalia should be examined in pregnancy and the sex safely disclosed to the patient if they want this information. CONSENSUS-BASED GOOD PRACTICE STATEMENTS.</p>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","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":"Vers de meilleurs soins en santé mentale périnatale","authors":"Simone N. Vigod MD, MSc ,&nbsp;Benicio N. Frey MD, PhD","doi":"10.1016/j.jogc.2024.102681","DOIUrl":"10.1016/j.jogc.2024.102681","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578576","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":"Bilateral Sacrospinous Vaginal Vault Fixation With Synthetic Mesh Arms: A Novel Technique","authors":"Roxana Geoffrion MDCM,&nbsp;Nicole Koenig BA, CCRP,&nbsp;Lina Roa MD, MPH","doi":"10.1016/j.jogc.2024.102671","DOIUrl":"10.1016/j.jogc.2024.102671","url":null,"abstract":"<div><div>Sacrospinous ligament suspension is used for suspension of apical prolapse; however, it has a high rate of recurrence compared with sacrocolpopexy, and a high rate of pain compared with uterosacral suspension. We developed a novel surgical procedure of bilateral sacrospinous vaginal vault fixation with synthetic mesh arms. We previously demonstrated its safety, and in Supplementary video 1, we describe a step-by-step surgical approach that could be replicated. This technique restores support, creating an anatomically correct midline configuration of the vaginal axis with minimal tension. A randomized controlled trial is underway to examine durability of mesh versus suture techniques for sacrospinous ligament suspension.</div></div>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348695","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":"Prevalence and Associated Risk Factors with Unawareness of Folic Acid Benefits Prior to Pregnancy: Results From Canadian Community Health Survey","authors":"Vrati M. Mehra BSc, MSc ,&nbsp;Ellen M. Greenblatt BSc, MD ,&nbsp;Hala Tamim BSc, MSc, PhD ,&nbsp;John W. Snelgrove BSc, MD, MSc ,&nbsp;Claire A. Jones BSc, MD","doi":"10.1016/j.jogc.2024.102670","DOIUrl":"10.1016/j.jogc.2024.102670","url":null,"abstract":"<div><div>Recent national studies on awareness of folic acid (FA) prior to pregnancy among Canadian women are lacking. Using the 2017–2018 Canadian Community Health Survey, we aimed to estimate prevalence and risk factors associated with Canadian women who reported they were unaware of the benefits of FA supplementation before pregnancy. Prevalence of unawareness of FA was 22.1%. Lower education, lack of a health care provider, low household income, and an immigrant background were associated with greater odds of unawareness of the benefits of FA supplementation. Persistent associations with measures of social disadvantage and social determinants of health emphasize the need for new targeted public health campaigns.</div></div>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348699","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":"Exclusive Breastfeeding Rates Upon Hospital Discharge at a Tertiary Centre Prior to and During the COVID-19 Pandemic","authors":"Hannah Matthews BSc ,&nbsp;Jo Watson PhD, RN(EC), IBCLC ,&nbsp;Sue Hermann MN, RN, IBCLC, PNC(C) ,&nbsp;Karen Fleming MD","doi":"10.1016/j.jogc.2024.102669","DOIUrl":"10.1016/j.jogc.2024.102669","url":null,"abstract":"<div><div>This study aimed to describe exclusive breastfeeding (EBF) rates at discharge at Sunnybrook Health Sciences Centre and explore factors that contributed to changes in breastfeeding rates during the COVID-19 pandemic. Overall, 4762 patient charts were reviewed, 2000 from the pre-pandemic period, and 2762 from the lockdown period. Data was collected on EBF status at discharge, on maternal health history, and on infant characteristics. EBF rates fell from 75.8% to 73.85% from the pre-COVID-19 to COVID-19 period. During the pandemic, EBF was positively associated with BMI &lt;30, spontaneous conception, and infants at risk of low blood sugar. Non-spontaneous conception was associated with lower EBF.</div></div>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348697","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}