Journal of obstetrics and gynaecology Canada最新文献

{"title":"Lifetime Induced Abortions and Live Births: A 40-Year Historical Cohort Study","authors":"Øjvind Lidegaard MD, DMSci ,&nbsp;Hjarn V. Zernichow Borberg MEcon ,&nbsp;Steen C. Rasmussen MSci, MPH ,&nbsp;Anders P. Mikkelsen MD, PhD","doi":"10.1016/j.jogc.2024.102612","DOIUrl":"10.1016/j.jogc.2024.102612","url":null,"abstract":"<div><h3>Objectives</h3><p>Little is known about whether induced abortions are associated with the final lifetime number of live births (life births). The objective of this study was to examine the association between the number of life births with the number of abortions a female has had in her lifetime.</p></div><div><h3>Methods</h3><p>In a national cohort design, we followed all Danish females from ages 15 to 44 years through the period 1977–2017 for induced abortions and live births. For each lifetime number of induced abortions, the average number of life births was assessed, and rates with 95% CI were calculated.</p></div><div><h3>Results</h3><p>The study included 409 497 females who completed 222 482 induced abortions and 831 742 live births. Of 265 573 (64.9%) females who did not have any induced abortion, the average number of life births was 2.09 (95% CI 2.08–2.10). For females with 1 (23.4%), 2 (7.4%), 3 (2.6%), 4 (1.0%), and ≥5 (0.7%) induced abortions during their reproductive lifespan, the average number of life births was 1.88 (1.87–1.89), 1.99 (1.98–2.00), 2.09 (2.06–2.11), 2.13 (2.09–2.15), and 2.25 (2.21–2.29), respectively. The increase in number of life births in females with 1 to females with 5+ induced abortions was 4.7% for each additional induced abortion.</p></div><div><h3>Conclusion</h3><p>We found the number of induced abortions during a woman’s reproductive lifespan to be positively correlated to the number of live births. This association is likely explained by a high fecundity in females with multiple pregnancies including induced abortions and suggests that even several induced abortions do not compromise a woman’s general reproductive end points.</p></div>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 9","pages":"Article 102612"},"PeriodicalIF":2.0,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1701216324004353/pdfft?md5=9c8635ffc82aa254d653bd4e5c7b9c51&pid=1-s2.0-S1701216324004353-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616671","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":"Oblique Vaginal Septum with Solitary Kidney","authors":"Xiaoyan Chen MMed ,&nbsp;Haimin Jiang BMed ,&nbsp;Yuan Liu MMed ,&nbsp;Lifeng Chen PhD ,&nbsp;Jiaming Wang MMed","doi":"10.1016/j.jogc.2024.102613","DOIUrl":"10.1016/j.jogc.2024.102613","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 9","pages":"Article 102613"},"PeriodicalIF":2.0,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616672","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 no 451 : Épaississement asymptomatique de l’endomètre chez les femmes ménopausées","authors":"Wendy Wolfman M.D.,&nbsp;Olga Bougie M.D.,&nbsp;Innie Chen M.D.,&nbsp;Yale Tang M.D.,&nbsp;Susan Goldstein M.D.,&nbsp;Jeanne Bouteaud M.D.","doi":"10.1016/j.jogc.2024.102590","DOIUrl":"10.1016/j.jogc.2024.102590","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectif&lt;/h3&gt;&lt;p&gt;Formuler des stratégies d’évaluation clinique de l’épaississement de l’endomètre confirmé à l’échographie chez les femmes ménopausées n’ayant pas de saignement.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Population cible&lt;/h3&gt;&lt;p&gt;Femmes ménopausées de tous âges.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;p&gt;Réduire les interventions et examens invasifs inutiles chez les femmes présentant un épaississement asymptomatique de l’endomètre tout en évaluant de manière sélective les cas impliquant un risque de cancer de l’endomètre.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Bénéfices, risques et coûts&lt;/h3&gt;&lt;p&gt;L’adoption de ces recommandations devrait éviter angoisses, douleurs et risques de complications opératoires inutiles aux femmes ménopausées. Ces mesures devraient aussi réduire les coûts pour le système de santé en éliminant les interventions inutiles.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Données probantes&lt;/h3&gt;&lt;p&gt;Des recherches ont été faites dans les bases de données Medline, Cochrane et PubMed pour répertorier les articles pertinents évalués par des pairs et publiés en anglais dans la période de 1995 à 2022 qui traitent notamment des sujets suivants : épaississement asymptomatique de l’endomètre, cancer de l’endomètre, saignements postménopausiques, échographie endovaginale, biopsie de l’endomètre, sténose cervicale, hormonothérapies et endomètre, tamoxifène, tibolone et inhibiteurs de l’aromatase. Seuls les résultats de revues systématiques avec méta-analyse, d’essais cliniques randomisés, d’essais cliniques comparatifs et d’études observationnelles ont été retenus.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthodes de validation&lt;/h3&gt;&lt;p&gt;Les auteurs ont évalué la qualité des données probantes et le niveau des recommandations en utilisant l’échelle GRADE (Grading of Recommendations, Assessment, Development, and Evaluation). Voir l’annexe A (&lt;span&gt;tableau A1&lt;/span&gt; pour les définitions et &lt;span&gt;tableau A2&lt;/span&gt; pour l’interprétation des recommandations fortes et faibles).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Professionnels concernés&lt;/h3&gt;&lt;p&gt;Médecins, incluant les gynécologues, obstétriciens, médecins de famille, radiologistes, anatomopathologistes et internistes; infirmières et infirmières praticiennes; stagiaires en médecine, y compris étudiants en médecine, résidents et moniteurs cliniques; et autres prestataires de soins auprès de la population ménopausée.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résumé des médias sociaux&lt;/h3&gt;&lt;p&gt;Les femmes ménopausées présentent souvent un épaississement de la muqueuse utérine à l’échographie. En l’absence de saignements, un endomètre de moins de 11 mm d’épaisseur est rarement un problème grave, mais doit être évalué par un professionnel de la santé.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;DÉCLARATIONS SOMMAIRES&lt;/h3&gt;&lt;p&gt;&lt;/p&gt;&lt;ul&gt;&lt;li&gt;&lt;span&gt;1.&lt;/span&gt;&lt;span&gt;&lt;p&gt;Un épaississement endométrial asymptomatique de plus de 5 mm est observé chez 3 à 15 % des femmes ménopausées, selon la population étudiée (&lt;em&gt;moyenne&lt;/em&gt;).&lt;/p&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;2.&lt;/span&gt;&lt;span&gt;&lt;p&gt;Dans 99 % des cas, les femmes ménopausées atteintes d’un cancer de l’endomètre présentent des saigneme","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 7","pages":"Article 102590"},"PeriodicalIF":2.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141432165","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":"The French Ambulatory Cesarean Section: Safety and Recovery Characteristics","authors":"","doi":"10.1016/j.jogc.2024.102606","DOIUrl":"10.1016/j.jogc.2024.102606","url":null,"abstract":"<div><h3>Objectives</h3><p>The French AmbUlatory Extraperitoneal Cesarean Section (FAUCS) is aimed at improving patients’ birth experience and recovery. However, data are scarce regarding its maternal and neonatal safety. This study seeks to compare maternal and neonatal outcomes between FAUCS and conventional cesarean deliveries at term.</p></div><div><h3>Methods</h3><p>This was a retrospective cohort study involving women who underwent scheduled cesarean deliveries at term. We compared a total of 810 cases using the FAUCS technique with 217 cases using conventional cesarean deliveries. Surgical complications, adverse neonatal events, and maternal recovery parameters were compared.</p></div><div><h3>Results</h3><p>The incidence of overall surgical complications was comparable between the 2 groups, with rates of 1.97% for FAUCS and 1.85% for the conventional cesarean deliveries. The rates of specific complications such as bladder injury (0.1%), bowel injury (0.1%), blood transfusion (1.35%), and postpartum hemorrhage (1%) were consistent with existing literature. Neonatal outcomes, including neonatal acidemia and admission rates to the neonatal intensive care unit, were comparable between the groups and demonstrated favourable comparisons with previously reported data. Notably, women in the FAUCS group required less analgesia, with only 0.8% receiving morphine, as opposed to 38% in the control group. Furthermore, the FAUCS group demonstrated significantly quicker recovery, with 86% achieving autonomy and early discharge at their discretion within 48 hours after operation, in contrast to only 17% in the control group.</p></div><div><h3>Conclusions</h3><p>When performed by experienced practitioners, FAUCS proves to be a safe procedure, with no increased risk for maternal or neonatal complications. Its significant benefits in terms of enhancing maternal recovery are noteworthy.</p></div>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 8","pages":"Article 102606"},"PeriodicalIF":2.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141498253","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":"Farewell to the JOGC’s Esteemed Leader, Dr. Tulandi","authors":"Diane Francoeur MD, FRCSC, MHCM, ICD.D,&nbsp;Lynn Murphy-Kaulbeck MD, MMgmt, MSC, FRCSC","doi":"10.1016/j.jogc.2024.102595","DOIUrl":"https://doi.org/10.1016/j.jogc.2024.102595","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 7","pages":"Article 102595"},"PeriodicalIF":2.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141606213","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":"Spontaneous Resolution of Prolapsed Fallopian Tube After Outpatient Loop Electrosurgical Excision Under Local Anaesthesia","authors":"Carmen Diana Chung MBBS","doi":"10.1016/j.jogc.2022.07.003","DOIUrl":"10.1016/j.jogc.2022.07.003","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 7","pages":"Article 101993"},"PeriodicalIF":2.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40685611","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":"Masthead Pages","authors":"","doi":"10.1016/S1701-2163(24)00424-9","DOIUrl":"https://doi.org/10.1016/S1701-2163(24)00424-9","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 7","pages":"Article 102601"},"PeriodicalIF":2.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1701216324004249/pdfft?md5=33ab9dbb83df8a5f5728e0cee931d3e7&pid=1-s2.0-S1701216324004249-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141606212","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":"Excerpts from the World Medical Literature: Gynaecology","authors":"Paul J. Yong MD, PhD","doi":"10.1016/j.jogc.2024.102564","DOIUrl":"https://doi.org/10.1016/j.jogc.2024.102564","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 7","pages":"Article 102564"},"PeriodicalIF":2.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141606215","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":"Aurevoir à une personne remarquable du JOGC, Dr Tulandi","authors":"Diane Francoeur MD, FRCSC, MHCM, ICD.D,&nbsp;Lynn Murphy-Kaulbeck MD, MMgmt, MSC, FRCSC","doi":"10.1016/j.jogc.2024.102596","DOIUrl":"https://doi.org/10.1016/j.jogc.2024.102596","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 7","pages":"Article 102596"},"PeriodicalIF":2.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141606214","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.2024.102593","DOIUrl":"https://doi.org/10.1016/j.jogc.2024.102593","url":null,"abstract":"","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"46 7","pages":"Article 102593"},"PeriodicalIF":2.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141606216","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}