Journal of pediatric and adolescent gynecology最新文献_第10页

Comparison of Diagnosis Experiences of Adolescent and Young Adult Polycystic Ovary Syndrome Patients 青少年多囊卵巢综合征患者与年轻成人多囊卵巢综合征患者诊断经历的比较。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-06-19 DOI: 10.1016/j.jpag.2024.06.007

{"title":"Comparison of Diagnosis Experiences of Adolescent and Young Adult Polycystic Ovary Syndrome Patients","authors":"","doi":"10.1016/j.jpag.2024.06.007","DOIUrl":"10.1016/j.jpag.2024.06.007","url":null,"abstract":"<div><h3>Study Objective</h3><div>The manner in which an individual experiences a polycystic ovary syndrome (PCOS) diagnosis may affect prognosis and vary with age. This study aimed to evaluate and compare the diagnosis experiences of adolescent and young adult PCOS patients.</div></div><div><h3>Methods</h3><div>PCOS patients from the same institution were divided into two groups according to age and clinic (adolescents diagnosed in the adolescent medicine clinic and young adults diagnosed in the obstetrics and gynecology clinic). Patients completed a questionnaire designed to assess the information and support received during diagnosis, their satisfaction with this information, existing concerns regarding PCOS symptoms, and support requirements.</div></div><div><h3>Results</h3><div>Thirty-six patients were included in each group. Among the participants, 52.8% of the adolescents and 63.9% of the young adults reported that they had consulted more than one specialist before receiving a diagnosis. We found that 83.3% of adolescents and 63.9% of young adults were satisfied with their overall PCOS diagnosis experience. The highest ratio of information given in both groups was related to medical treatment (88.9% in both groups), and the lowest ratios were associated with emotional support (13.9% vs 5.6%). Irregular menstruation was reported to be the most disturbing concern in both groups (94.4% vs 86.1%), and the biggest difference between the two groups was related to body dissatisfaction, which was observed more in adolescents (33.3% vs 5.6%).</div></div><div><h3>Conclusion</h3><div>While overall diagnosis experiences and satisfaction levels were similar across both groups, we identified distinct differences that may warrant attention to address age-specific needs and preferences.</div></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 6","pages":"Pages 561-568"},"PeriodicalIF":1.7,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437026","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}

引用次数: 0

Contraceptive Method Usage Pattern and Percentage of New Pregnancies Among Adolescent and Young Adult Family Planning Patients: A Mixed-Methods Retrospective Study 青少年和年轻成人计划生育患者使用避孕方法的模式和新怀孕的百分比：一项混合方法回顾性研究。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-06-19 DOI: 10.1016/j.jpag.2024.06.008

{"title":"Contraceptive Method Usage Pattern and Percentage of New Pregnancies Among Adolescent and Young Adult Family Planning Patients: A Mixed-Methods Retrospective Study","authors":"","doi":"10.1016/j.jpag.2024.06.008","DOIUrl":"10.1016/j.jpag.2024.06.008","url":null,"abstract":"<div><h3>Objectives</h3><p>Despite increased access to contraceptive methods (CM), the United States still has the highest rate of adolescent pregnancy among industrialized nations, and adolescents from historically marginalized groups are disproportionately affected. In this study, we sought to (1) understand if differences in CM usage were associated with differential percentages of new pregnancies among adolescents and young adult patients attending a family planning (FP) clinic at an urban community practice and (2) identify areas of improvement in our FP counseling.</p></div><div><h3>Methods</h3><p>Mixed-methods study design consisting of (1) a 12-month retrospective chart review and (2) a self-answered cross-sectional survey of FP patients. Chi-square, Fisher's exact tests, and risk ratio were performed to analyze the percentage of new pregnancies according to CM usage.</p></div><div><h3>Results</h3><p>The percentage of new pregnancies was 11 among our FP patients (N = 555) during this study period. As anticipated, pregnancy was associated with no CM use, CM discontinuation, and, interestingly, multiple CM changes (<em>P</em> < .001). The probability of no-pregnancy significantly decreased among patients on no method, who discontinued their CM or made multiple CM changes compared to those with continuous CM use. There was no association between the percentage of new pregnancies and any particular CM type.</p></div><div><h3>Conclusion</h3><p>Despite adequate access to FP patient services and high patient satisfaction levels, our findings indicate a need to adopt a more patient-centered approach in our FP counseling that addresses patient's reproductive life plans, preferences, and method side effects to increase CM uptake and satisfaction and decrease frequency of CM changes which is associated with increased risk of mistimed pregnancy during method switching.</p></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 5","pages":"Pages 516-522"},"PeriodicalIF":1.7,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437027","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}

引用次数: 0

Oral Hormone Replacement Therapy and Uterine Volume in Korean Adolescents with Turner Syndrome: A Retrospective Case-Control Study 韩国特纳综合征青少年的口服激素替代疗法与子宫体积：一项回顾性病例对照研究。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-06-19 DOI: 10.1016/j.jpag.2024.06.006

{"title":"Oral Hormone Replacement Therapy and Uterine Volume in Korean Adolescents with Turner Syndrome: A Retrospective Case-Control Study","authors":"","doi":"10.1016/j.jpag.2024.06.006","DOIUrl":"10.1016/j.jpag.2024.06.006","url":null,"abstract":"<div><h3>Study Objective</h3><div>We aimed to identify critical factors for uterine development by comparing uterine volume (UV) among patients with Turner syndrome (TS) who underwent pubertal induction (PI), patients with TS who had natural menarche (NM), and patients in a non-TS control group.</div></div><div><h3>Methods</h3><div>This retrospective case-control study included patients with TS who had undergone PI with oral estrogen in a PI group (<em>n</em> = 31) and an NM group (<em>n</em> = 7). The control group included patients without TS with spontaneous puberty who underwent pelvic ultrasound at 16 years of age. For TS patients, both the UV from the first ultrasound performed at age 16 or older (1st-UV) and the UV from the most recent final ultrasound (final-UV) were obtained.</div></div><div><h3>Results</h3><div>The 1st-UV was larger for patients in the NM group than those in the PI group (<em>P</em> < .001), but did not differ significantly between the NM and control groups (<em>P</em> = .375). The final-UV of the PI group was larger than their 1st-UV (<em>P</em> < .001), but still smaller than the NM group (<em>P</em> = .021). Hormone replacement therapy (HRT) duration and 1st-UV of PI group were positively correlated (<em>P</em> = .048). There were no variables that were significantly correlated with final-UV of PI group.</div></div><div><h3>Conclusion</h3><div>Patients with TS who experienced NM showed normal uterine development, but TS patients who underwent PI showed significantly smaller, undeveloped UV. While HRT duration and UV are positively correlated at the beginning of HRT, it is unclear what determines the final UV; however, late PI initiation and use of oral estrogen probably contributed to the lack of UV development.</div></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 6","pages":"Pages 555-560"},"PeriodicalIF":1.7,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437028","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}

引用次数: 0

Ovary and Fallopian Tube Displacement in an Adolescent Patient with a History of Omphalocele 一名有脐膨出病史的青少年患者的卵巢和输卵管移位。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-06-18 DOI: 10.1016/j.jpag.2024.06.003

引用次数: 0

Examining Menstrual Health and Hygiene Educational Initiatives for American Middle and High School Menstruating Students: A Scoping Review 研究针对美国初中和高中月经期学生的月经健康和卫生教育活动：范围审查。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-06-17 DOI: 10.1016/j.jpag.2024.06.004

{"title":"Examining Menstrual Health and Hygiene Educational Initiatives for American Middle and High School Menstruating Students: A Scoping Review","authors":"","doi":"10.1016/j.jpag.2024.06.004","DOIUrl":"10.1016/j.jpag.2024.06.004","url":null,"abstract":"<div><p>According to the American Medical Women's Association, period poverty refers to “inadequate access to menstrual hygiene tools and education, including but not limited to sanitary products, washing facilities, and waste management.” A component of period poverty in the US can be attributed to the neglect of menstrual education and lack of menstrual health and hygiene tools in schools. This scoping review aims to examine the educational methods employed to improve menstrual knowledge in middle and high school menstruating students in both school and clinical settings. It also highlights gaps and barriers in equitable access to menstrual hygiene products. The five-stage framework by Arksey and O'Malley (2005) and the updated Joanna Briggs Institute (JBI) guide were used to guide the review. Six studies were retained for analysis. Two-thirds of menstruating students reported using at least one of the school's resources to obtain period products, and one-third of the participants reported missing school due to a lack of period products. Nearly half of the students needed period products at least once in the past school year but lacked the financial resources to purchase such products. Menstruating students reported embarrassment and a need for secrecy when accessing school bathrooms since the social and physical environments of school bathrooms heightened their discomfort while menstruating. Although a majority of adolescent students had basic knowledge of menstrual periods prior to menarche, the depth of their understanding of menstruation was limited. Findings from this review can inform the future development of evidence-based educational interventions to improve the overall menstruation experience for US menstruating adolescents.</p></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 5","pages":"Pages 465-476"},"PeriodicalIF":1.7,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141427050","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}

引用次数: 0

FIGIJ and NASPAG Advocacy Statement Supporting Fertility Preservation for Pediatric and Adolescent Patients Receiving Gonadotoxic Therapy FIGIJ 和 NASPAG 支持为接受促性腺激素治疗的儿童和青少年患者保留生育能力的倡议声明。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-06-14 DOI: 10.1016/j.jpag.2024.06.001

引用次数: 0

Adolescents’ Intention to Use Long-Acting Reversible Contraception Postpartum 青少年产后使用长效可逆避孕药具的意向。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-06-13 DOI: 10.1016/j.jpag.2024.06.002

{"title":"Adolescents’ Intention to Use Long-Acting Reversible Contraception Postpartum","authors":"","doi":"10.1016/j.jpag.2024.06.002","DOIUrl":"10.1016/j.jpag.2024.06.002","url":null,"abstract":"<div><h3>Study Objective</h3><p>Multiparous teens, compared to primiparous teens, are at increased risk for adverse neonatal and maternal outcomes. Long-acting reversible contraception (LARC) is infrequently used among postpartum teens. This study identifies predictors of teens’ intentions to use LARC postpartum when it is widely available.</p></div><div><h3>Methods</h3><p>Colorado teens who were patients during their pregnancy in an adolescent-centered clinic where all common methods of contraception were easily accessible were surveyed in clinic during their third trimester and following delivery regarding life circumstances (relationships, stress, and family function) and intended method of postpartum contraception. Multinomial logistic regression analyses were used to examine predictors of intended postpartum contraceptive method: LARC, non-LARC effective (condoms, birth control pills, shot, patch, or ring), or low-effective method or no contraception (abstinence, no method, or undecided).</p></div><div><h3>Results</h3><p>A total of 1203 patients were enrolled. Greater life stress was associated with greater likelihood of intending to use low-effective contraception versus LARC postpartum. Teens in a longer relationship with their baby's father (versus those never in a relationship with the baby's father) were less likely to intend to use low-effective contraception or non-LARC effective methods and more likely to intend to use LARC postpartum.</p></div><div><h3>Conclusion</h3><p>When structural barriers are minimized, non-clinical factors such as relationship context and life stress are most associated with postpartum LARC use intentions. Health care providers can help teen patients obtain the postpartum contraception the patients believe is best by employing developmentally appropriate, person-centered care that is sensitive to life stressors and relationship context.</p></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 5","pages":"Pages 510-515"},"PeriodicalIF":1.7,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327616","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}

引用次数: 0

Examining Results of Post-Thelarche Screening Pelvic Ultrasound in Females with Anorectal Malformations 检查肛门直肠畸形女性初潮后盆腔超声波筛查的结果。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-05-18 DOI: 10.1016/j.jpag.2024.05.001

{"title":"Examining Results of Post-Thelarche Screening Pelvic Ultrasound in Females with Anorectal Malformations","authors":"","doi":"10.1016/j.jpag.2024.05.001","DOIUrl":"10.1016/j.jpag.2024.05.001","url":null,"abstract":"<div><h3>Study Objective</h3><p><span><span>Mullerian duct anomalies are common in females with anorectal malformations (ARMs), although there are no universally recommended screening protocols for identification. Historically, at our institution, we have recommended a screening pelvic ultrasound (PUS) 6 months after </span>thelarche and </span>menarche. We aimed to evaluate outcomes associated with our post-thelarche screening PUS in females with ARMs.</p></div><div><h3>Methods</h3><p>An institutional review board–approved retrospective chart review was performed for all female patients 8 years old or older with ARMs and documented thelarche. Data were collected on demographic characteristics and clinical course. The primary outcome was adherence to the recommended PUS. Secondary outcomes included imaging correlation with suspected Mullerian anatomy and need for intervention on the basis of imaging findings.</p></div><div><h3>Results</h3><p>A total of 112 patients met the inclusion criteria. Of them, 87 (77.7%) completed a recommended post-thelarche screening PUS. There were no differences in completion on the basis of age, race, establishment with a primary care provider, insurance status, or type of ARM. Nine patients (10.3%) had findings on their PUS that did not correlate with their suspected Mullerian anatomy; five (5.7%) required intervention, with two requiring menstrual suppression, two requiring surgical intervention, and one requiring further imaging.</p></div><div><h3>Conclusion</h3><p>Most patients completed the recommended post-thelarche screening PUS. In a small subset of patients, PUS did not correlate with suspected Mullerian anatomy and generated a need for intervention. Post-thelarche PUS can be a useful adjunct in patients with ARMs to identify gynecologic abnormalities.</p></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 5","pages":"Pages 500-504"},"PeriodicalIF":1.7,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141071242","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}

引用次数: 0

Standard Opiate Prescribing in Pediatric and Adolescent Gynecologic Surgery to Reduce Opiate Use: Brief Report 在儿科和青少年妇科手术中使用阿片类药物的标准处方，以减少阿片类药物的使用：简要报告。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-05-18 DOI: 10.1016/j.jpag.2024.05.003

{"title":"Standard Opiate Prescribing in Pediatric and Adolescent Gynecologic Surgery to Reduce Opiate Use: Brief Report","authors":"","doi":"10.1016/j.jpag.2024.05.003","DOIUrl":"10.1016/j.jpag.2024.05.003","url":null,"abstract":"<div><h3>Study Objective</h3><p>The aim of this quality improvement (QI) project was to assess postoperative narcotic use after pediatric gynecologic surgeries and establish standard postoperative opioid dosing. Through standard dosing, we hoped to decrease variability in postoperative opioid prescriptions and decrease excess opioid doses in the community.</p></div><div><h3>Methods</h3><p>This quality improvement project was approved by the Children's Minnesota institutional review board. Counseling on postoperative pain management was provided pre- and postoperatively. At the 2-week postoperative visit, patients were asked about the number of opioid doses used and pain control satisfaction. Baseline data were collected for 6 months, with surgeons prescribing the number of opioid doses on the basis of their personal preference. After reviewing the prescribing practices and number of doses used, standard opioid doses were established, and data collection was repeated.</p></div><div><h3>Results</h3><p>Complete data were recorded for 30 cases before implementation of standard doses and for 29 cases after implementation. Standardized opioid dosing resulted in a 30% decrease in total opioid doses in circulation (252 to 176 doses; <em>P</em> = .014) and a 15% reduction in excess doses in circulation (162 to 137 doses). Forty-three percent of patients did not use any opioid doses. There was no significant difference (<em>P</em> = .8818) in patient pain control satisfaction rating.</p></div><div><h3>Conclusion</h3><p>Standard opioid dose prescribing is feasible for common pediatric gynecologic surgeries without affecting patient pain control satisfaction. Opioid dose standardization may decrease opioid circulation within the community. Approximately 2 of every 5 patients used 0 opioid doses, which suggests that a further reduction in the standard dose prescriptions is possible.</p></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 4","pages":"Pages 444-447"},"PeriodicalIF":1.7,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141071219","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}

引用次数: 0

Endometriosis in a Prepubertal Patient with 46,XY Difference in Sex Development: A Case Report 46,XY 性别发育差异青春期前患者的子宫内膜异位症：病例报告。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-05-18 DOI: 10.1016/j.jpag.2024.05.002

引用次数: 0