Obstetrical & Gynecological Survey最新文献

{"title":"Cannabis and Pregnancy: A Review.","authors":"Sarena Hayer, Ava D Mandelbaum, Lester Watch, Kimberly S Ryan, Madeline A Hedges, Jennifer A Manuzak, Charles A Easley, Danny J Schust, Jamie O Lo","doi":"10.1097/OGX.0000000000001159","DOIUrl":"10.1097/OGX.0000000000001159","url":null,"abstract":"<p><strong>Importance: </strong>Prenatal cannabis use is rising and is a major public health issue. Cannabis use in pregnancy and during lactation has been associated with increased maternal and offspring morbidity and mortality.</p><p><strong>Objective: </strong>This review aims to summarize the existing literature and current recommendations for cannabis use during pregnancy or lactation.</p><p><strong>Evidence acquisition: </strong>A PubMed, Cochrane Library, and Google Scholar literature search using the following terms was performed to gather relevant data: \"cannabis,\" \"cannabinoid,\" \"delta-9-tetrahydrocannabinol,\" \"THC,\" \"cannabidiol,\" \"fetal outcomes,\" \"perinatal outcomes,\" \"pregnancy,\" and \"lactation.\"</p><p><strong>Results: </strong>Available studies on cannabis use in pregnancy and during lactation were reviewed and support an association with increased risk of preterm birth, neonatal intensive care unit admission, low birth weight, and small-for-gestational-age infants.</p><p><strong>Conclusion and relevance: </strong>There is a critical need for research on the effects of cannabis use in pregnancy and during lactation. This is a necessary first step before furthering patient education, developing interventions, and targeting antenatal surveillance to ameliorate the adverse impacts on maternal and fetal health.</p>","PeriodicalId":19409,"journal":{"name":"Obstetrical & Gynecological Survey","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10372687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9886210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antibiotic Recommendations After Postpartum Uterine Exploration or Instrumentation.","authors":"Katherine A Lambert,&nbsp;Anne West Honart,&nbsp;Brenna L Hughes,&nbsp;Jeffrey A Kuller,&nbsp;Sarah K Dotters-Katz","doi":"10.1097/OGX.0000000000001167","DOIUrl":"10.1097/OGX.0000000000001167","url":null,"abstract":"<p><strong>Importance: </strong>Multiple postpartum scenarios require uterine exploration or instrumentation. These may introduce bacteria into the uterus, increasing the risk of endometritis. Data on the use of antibiotics in these scenarios is limited, resulting in few guidelines and divergent care.</p><p><strong>Objective: </strong>To describe postpartum scenarios requiring uterine exploration and/or instrumentation, review data on antibiotic prophylaxis, and delineate antibiotic recommendations for each scenario.</p><p><strong>Evidence acquisition: </strong>Original articles were obtained from literature search in PubMed, MEDLINE, and OVID; pertinent articles were reviewed.</p><p><strong>Results: </strong>These recommendations are based on published evidence and professional society guidelines. Antibiotic prophylaxis following manual placenta removal should include 1-time combination of ampicillin 2 g intravenously (IV) or cefazolin 1 g IV, plus metronidazole 500 mg IV. Antibiotic prophylaxis before postpartum dilation and curettage, manual vacuum aspiration, and intrauterine balloon tamponade should include 1-time combination of ampicillin 2 g IV plus metronidazole 500 mg IV. If the patient in any of the above scenarios has received group B <i>Streptococcus</i> prophylaxis, then only metronidazole is recommended. Further randomized clinical trials are needed to optimize these regimens.</p><p><strong>Conclusions: </strong>Uterine exploration or instrumentation increases the risk of postpartum endometritis and requires antibiotic prophylaxis. For manual placenta removal, we recommend 1-time combination of ampicillin 2 g IV or cefazolin 1 g IV, plus metronidazole 500 mg IV. For dilation and curettage, manual vacuum aspiration, and intrauterine balloon tamponade, we recommend 1-time combination of ampicillin 2 g IV plus metronidazole 500 mg IV. For patients who already received antibiotic prophylaxis for group B <i>Streptococcus</i>, we recommend 1-time dose of metronidazole 500 mg IV.</p><p><strong>Relevance: </strong>Providers can utilize our guidelines to prevent postpartum endometritis in these scenarios requiring postpartum uterine exploration and/or instrumentation.</p>","PeriodicalId":19409,"journal":{"name":"Obstetrical & Gynecological Survey","volume":null,"pages":null},"PeriodicalIF":6.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9906923","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}

{"title":"Impact of Simulation Training on the Management of Shoulder Dystocia and Incidence of Permanent Brachial Plexus Birth Injury: An Observational Study","authors":"Marja Kaijomaa, Mika Gissler, Outi Äyräs, Assi Sten, Petra Grahn","doi":"10.1097/ogx.0000000000001174","DOIUrl":"https://doi.org/10.1097/ogx.0000000000001174","url":null,"abstract":"(Abstracted from BJOG 2023;130:70–77) The incidence of brachial plexus birth injury (BPBI) varies from 0.4 to 3.8 per 1000 vaginal births. It is a complication caused by traction to the cervical and thoracic nerve roots that can lead to decreased strength, complete paralysis, or limited range of motion in the affected limb in the first year of life.","PeriodicalId":19409,"journal":{"name":"Obstetrical & Gynecological Survey","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135509337","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}

{"title":"A Double-blinded, Randomized Trial Comparing Surgeon-Administered Transversus Abdominis Plane Block With Placebo After Midline Laparotomy in Gynecologic Oncology Surgery","authors":"Laurence Bernard, Melissa Lavecchia, Gabrielle Trepanier, Sarah Mah, Alida Pokoradi, Justin M. McGinnis, Mohammad Alyafi, Bryan Glezerson, Julie Nguyen, Vanessa Carlson, Limor Helpman, Laurie Elit, Waldo Jimenez, Lua Eiriksson, Clare J. Reade","doi":"10.1097/01.ogx.0000947148.64785.3a","DOIUrl":"https://doi.org/10.1097/01.ogx.0000947148.64785.3a","url":null,"abstract":"(Abstracted from Am J Obstet Gynecol 2023;228:553.e1–553.e8) The transversus abdominis plane (TAP) block is an anesthetic technique wherein a local anesthetic solution is into the fascial plane between the transversus abdominis and the internal oblique muscles. The TAP block has been shown to reduce requirements of opioids after surgery; however, it can be time-consuming for use in the operating room setting.","PeriodicalId":19409,"journal":{"name":"Obstetrical & Gynecological Survey","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135509339","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}

{"title":"Long-term Childhood Outcomes for Babies Born at Term Who Were Exposed to Antenatal Corticosteroids","authors":"Samantha J. Osteen, Ziyi Yang, Alexandra H. McKinzie, Evgenia Teal, Robert S. Tepper, Eli Rhoads, Sara K. Quinney, Laura S. Haneline, David M. Haas","doi":"10.1097/01.ogx.0000947120.64129.9e","DOIUrl":"https://doi.org/10.1097/01.ogx.0000947120.64129.9e","url":null,"abstract":"(Abstracted from Am J Obstet Gynecol 2023;228(1):80.e1–80.e6) The use of antenatal corticosteroids (ACSs) is standard practice for women who are at risk of preterm birth to accelerate the development of vital organs, in particular the fetal lungs. Previous research has shown the efficacy of this treatment and its benefits in infants who are born preterm, but there is little research on the effects of ACS on infants who are subsequently born at term.","PeriodicalId":19409,"journal":{"name":"Obstetrical & Gynecological Survey","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135509346","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}

{"title":"Pembrolizumab Plus Chemotherapy in Advanced Endometrial Cancer","authors":"Ramez N. Eskander, Michael W. Sill, Lindsey Beffa, Richard G. Moore, Joanie M. Hope, Fernanda B. Musa, Robert Mannel, Mark S. Shahin, Guilherme H. Cantuaria, Eugenia Girda, Cara Mathews, Juraj Kavecansky, Charles A. Leath, Lilian T. Gien, Emily M. Hinchcliff, Shashikant B. Lele, Lisa M. Landrum, Floor Backes, Roisin E. O'Cearbhaill, Tareq Al Baghdadi, Emily K. Hill, Premal H. Thaker, Veena S. John, Stephen Welch, Amanda N. Fader, Matthew A. Powell, Carol Aghajanian","doi":"10.1097/01.ogx.0000947152.26004.f9","DOIUrl":"https://doi.org/10.1097/01.ogx.0000947152.26004.f9","url":null,"abstract":"(Abstracted from N Engl J Med 2023;388(23):2159–2170) Endometrial cancer is one of the only cancer types for which both incidence and mortality are rising, and survival has not improved during the past 4 decades. First-line treatment for advanced or recurrent endometrial cancer typically involves paclitaxel plus carboplatin.","PeriodicalId":19409,"journal":{"name":"Obstetrical & Gynecological Survey","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136184753","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}

{"title":"Diagnosis and Management of Prediabetes: A Review","authors":"Justin B. Echouffo-Tcheugui, Leigh Perreault, Linong Ji, Sam Dagogo-Jack","doi":"10.1097/ogx.0000000000001177","DOIUrl":"https://doi.org/10.1097/ogx.0000000000001177","url":null,"abstract":"(Abstracted from JAMA 2023;329(14):1206–1216) Prediabetes is a highly prevalent intermediate stage of glucose dysregulation that may precede type 2 diabetes. In the United States, approximately 10% of those with prediabetes will develop diabetes each year, and the prevalence of prediabetes is steadily increasing.","PeriodicalId":19409,"journal":{"name":"Obstetrical & Gynecological Survey","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135509341","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}

{"title":"Peripartum Pubic Symphysis Diastasis.","authors":"Mary Katherine Anastasio,&nbsp;Albert T Anastasio,&nbsp;Jeffrey A Kuller","doi":"10.1097/OGX.0000000000001156","DOIUrl":"https://doi.org/10.1097/OGX.0000000000001156","url":null,"abstract":"<p><strong>Importance: </strong>Peripartum separation of the pubic symphysis is a rare but potentially severe complication of childbirth, which may lead to prolonged immobilization. Thus, prompt diagnosis and treatment are paramount.</p><p><strong>Objective: </strong>The purpose of this review is to define peripartum separation of the pubic symphysis and provide a thorough review of its etiology, clinical manifestations, diagnostic imaging techniques, management, and prognosis.</p><p><strong>Evidence acquisition: </strong>This was a literature review using PubMed and Google Scholar.</p><p><strong>Results: </strong>Peripartum pubic symphysis separation is defined as disruption of the pubic symphysis joint and ligamentous structures with greater than 1 cm of separation during delivery. Risk factors include fetal macrosomia, nulliparity, and precipitous labor. Patients often present with a sensation of something \"giving way\" in the pubic symphysis area at the time of delivery, or with severe pain in the pubic symphysis region with attempted mobilization postpartum. In severe cases, associated hematomas, pelvic fractures, sacroiliac joint disruption, and urinary tract injury may be seen. Imaging such as x-ray or ultrasound may be used to confirm the diagnosis. Although most patients recover well with conservative management, orthopedic surgical intervention may be indicated in more severe or unresolved cases.</p><p><strong>Conclusions and relevance: </strong>Pubic symphysis separation is increasingly identified peripartum due enhanced accessibility and utilization of imaging modalities. It can be debilitating and lead to prolonged immobility postpartum. Therefore, early recognition and diagnosis are important, as this can guide decision-making for management. A multidisciplinary team approach, including coordination with obstetrics, orthopedic surgery, physical therapy, and occupational therapy should be used for early detection and treatment to ensure optimal patient outcomes.</p>","PeriodicalId":19409,"journal":{"name":"Obstetrical & Gynecological Survey","volume":null,"pages":null},"PeriodicalIF":6.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9708988","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}

{"title":"Cell-Free Fetal DNA for Genetic Evaluation in Copenhagen Pregnancy Loss Study (COPL): A Prospective Cohort Study","authors":"Tanja Schlaikjær Hartwig, Louise Ambye, Jennifer R. Gruhn, Jesper Friis Petersen, Tine Wrønding, Letizia Amato, Andrew Chi-Ho Chan, Boyang Ji, Maiken Hemme Bro-Jørgensen, Lene Werge, Mette Marie Babiel Schmidt Petersen, Clara Brinkmann, Julie Birch Petersen, Morten Dunø, Iben Bache, Markus J. Herrgård, Finn Stener Jørgensen, Eva R. Hoffmann, Henriette Svarre Nielsen","doi":"10.1097/ogx.0000000000001163","DOIUrl":"https://doi.org/10.1097/ogx.0000000000001163","url":null,"abstract":"(Abstracted from Lancet 2023;401:762–771 Spontaneous pregnancy loss occurs in approximately 1 in 4 pregnancies; however, diagnostic workup is mostly restricted to women with recurrent pregnancy loss. The lack of workup on first pregnancy loss is likely a result of the high de novo fetal aneuploidy rate; however, this ignores the association of euploid pregnancy loss with an increased risk of future losses.","PeriodicalId":19409,"journal":{"name":"Obstetrical & Gynecological Survey","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135946461","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}

{"title":"Perioperative Opioid Dispensing and Persistent Use After Benign Hysterectomy: A Systematic Review and Meta-analysis","authors":"Kamran Hessami, Jennifer Welch, Anja Frost, Abdelrahman AlAshqar, Sara E. Arian, Ethan Gough, Mostafa A. Borahay","doi":"10.1097/ogx.0000000000001164","DOIUrl":"https://doi.org/10.1097/ogx.0000000000001164","url":null,"abstract":"(Abstracted from Am J Obstet Gynecol 2022; doi: 10.1016/j.ajog.2022.12.015 Between 1999 and 2019, the opioid epidemic claimed the lives of nearly 250,000 individuals in the United States. Many patients first opioid prescription is dispensed in a surgical setting, and hysterectomy is the second most common surgical procedure in women.","PeriodicalId":19409,"journal":{"name":"Obstetrical & Gynecological Survey","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135946459","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}