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Hysterectomy at a Young Age: A Reasonable Option or a Recipe for Regret? 年轻时切除子宫：合理选择还是后悔药？
IF 5.7 2区 医学
Obstetrics and gynecology Pub Date : 2024-12-01 DOI: 10.1097/AOG.0000000000005766
Olga Bougie
{"title":"Hysterectomy at a Young Age: A Reasonable Option or a Recipe for Regret?","authors":"Olga Bougie","doi":"10.1097/AOG.0000000000005766","DOIUrl":"10.1097/AOG.0000000000005766","url":null,"abstract":"","PeriodicalId":19483,"journal":{"name":"Obstetrics and gynecology","volume":"144 6","pages":"755-756"},"PeriodicalIF":5.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Tamsulosin and Time to Spontaneous Void After Hysterectomy: A Randomized Controlled Trial. 坦索罗辛与子宫切除术后自然排气时间：随机对照试验。
IF 5.7 2区 医学
Obstetrics and gynecology Pub Date : 2024-12-01 Epub Date: 2024-09-12 DOI: 10.1097/AOG.0000000000005724
Martina Gabra, Christine Hall, Lelan McCann, Jeenal Shah, Ismael Jones, Aaron Masjedi, Stephanie Runke, Chiu-Hsieh Hsu, Andrea Aguirre
{"title":"Tamsulosin and Time to Spontaneous Void After Hysterectomy: A Randomized Controlled Trial.","authors":"Martina Gabra, Christine Hall, Lelan McCann, Jeenal Shah, Ismael Jones, Aaron Masjedi, Stephanie Runke, Chiu-Hsieh Hsu, Andrea Aguirre","doi":"10.1097/AOG.0000000000005724","DOIUrl":"10.1097/AOG.0000000000005724","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate whether a single preoperative dose of tamsulosin reduces the time to postoperative void and time to discharge in patients who are undergoing minimally invasive hysterectomy.</p><p><strong>Methods: </strong>This single-center, block-randomized, placebo-controlled, double-blind superiority trial evaluated the effect of 0.4 mg tamsulosin compared with placebo on the time to void after hysterectomy. Patients who underwent outpatient minimally invasive hysterectomy were randomized to a single dose of tamsulosin or placebo 1 hour before surgery. All participants underwent a standardized backfill void trial to eliminate discrepancies in bladder volume that would otherwise affect the time to void. For our primary aim, we planned to enroll 150 participants to show a 30-minute reduction in the time to postoperative void (80% power, α<0.05). The secondary aim was to compare the time to discharge from the postanesthesia care unit.</p><p><strong>Results: </strong>From June 2021 through January 2023, 344 patients were screened, and 150 were included in the final data analysis: 77 in the tamsulosin group and 73 in the placebo group. The time to spontaneous void was not different between the tamsulosin and placebo groups (106 minutes vs 100 minutes, P =.5). In addition, there was no statistical difference in time to discharge from the postanesthesia care unit (144 minutes vs 156 minutes, P =.4). Demographics and surgical details were not different between each group.</p><p><strong>Conclusion: </strong>A single dose of tamsulosin preoperatively does not lead to a decrease in postoperative time to void or time to discharge in patients undergoing minimally invasive hysterectomy for benign conditions.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov , NCT04859660.</p>","PeriodicalId":19483,"journal":{"name":"Obstetrics and gynecology","volume":" ","pages":"810-816"},"PeriodicalIF":5.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Editorial Consultants. 编辑顾问。
IF 5.7 2区 医学
Obstetrics and gynecology Pub Date : 2024-12-01 DOI: 10.1097/AOG.0000000000005773
{"title":"Editorial Consultants.","authors":"","doi":"10.1097/AOG.0000000000005773","DOIUrl":"10.1097/AOG.0000000000005773","url":null,"abstract":"","PeriodicalId":19483,"journal":{"name":"Obstetrics and gynecology","volume":"144 6","pages":"e160-e166"},"PeriodicalIF":5.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
In Reply. 回复中。
IF 5.7 2区 医学
Obstetrics and gynecology Pub Date : 2024-12-01 DOI: 10.1097/AOG.0000000000005763
Teale M Muir, Jessica Pruszynski, Kimberly A Kho, Christina I Ramirez, Nicole M Donnellan, Lisa Chao
{"title":"In Reply.","authors":"Teale M Muir, Jessica Pruszynski, Kimberly A Kho, Christina I Ramirez, Nicole M Donnellan, Lisa Chao","doi":"10.1097/AOG.0000000000005763","DOIUrl":"10.1097/AOG.0000000000005763","url":null,"abstract":"","PeriodicalId":19483,"journal":{"name":"Obstetrics and gynecology","volume":"144 6","pages":"e134-e135"},"PeriodicalIF":5.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
ACOG Clinical Practice Update: Rh D Immune Globulin Administration After Abortion or Pregnancy Loss at Less Than 12 Weeks of Gestation. 妊娠不足 12 周的流产或妊娠失败后注射 Rh D 免疫球蛋白。
IF 5.7 2区 医学
Obstetrics and gynecology Pub Date : 2024-12-01 Epub Date: 2024-09-10 DOI: 10.1097/AOG.0000000000005733
{"title":"ACOG Clinical Practice Update: Rh D Immune Globulin Administration After Abortion or Pregnancy Loss at Less Than 12 Weeks of Gestation.","authors":"","doi":"10.1097/AOG.0000000000005733","DOIUrl":"10.1097/AOG.0000000000005733","url":null,"abstract":"<p><p>This Clinical Practice Update provides revised guidance on Rh testing and Rh D immune globulin administration for individuals undergoing abortion or experiencing pregnancy loss at less than 12 0/7 weeks of gestation. This document updates Practice Bulletin No. 225, Medication Abortion Up to 70 Days of Gestation (Obstet Gynecol 2020;136:e31-47); Practice Bulletin No. 200, Early Pregnancy Loss (Obstet Gynecol 2018;132:e197-207); and Practice Bulletin No. 181, Prevention of Rh D Alloimmunization (Obstet Gynecol 2017;130:e57-70).</p>","PeriodicalId":19483,"journal":{"name":"Obstetrics and gynecology","volume":" ","pages":"e140-e143"},"PeriodicalIF":5.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
ACOG publications: December 2024.
IF 5.7 2区 医学
Obstetrics and gynecology Pub Date : 2024-12-01 DOI: 10.1097/AOG.0000000000005774
{"title":"ACOG publications: December 2024.","authors":"","doi":"10.1097/AOG.0000000000005774","DOIUrl":"https://doi.org/10.1097/AOG.0000000000005774","url":null,"abstract":"","PeriodicalId":19483,"journal":{"name":"Obstetrics and gynecology","volume":"144 6","pages":"853"},"PeriodicalIF":5.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Trends in Uterine Cancer Cases After the Coronavirus Disease 2019 (COVID-19) Pandemic. 2019年冠状病毒病（COVID-19）大流行后子宫癌病例的趋势。
IF 5.7 2区 医学
Obstetrics and gynecology Pub Date : 2024-12-01 Epub Date: 2024-09-19 DOI: 10.1097/AOG.0000000000005731
Nathan Tran, Joshua E Chan, Chelsea Stewart, Caitlin R Johnson, Kathleen Darcy, Chunqiao Tian, Daniel S Kapp, Cheng-I Liao, John K Chan
{"title":"Trends in Uterine Cancer Cases After the Coronavirus Disease 2019 (COVID-19) Pandemic.","authors":"Nathan Tran, Joshua E Chan, Chelsea Stewart, Caitlin R Johnson, Kathleen Darcy, Chunqiao Tian, Daniel S Kapp, Cheng-I Liao, John K Chan","doi":"10.1097/AOG.0000000000005731","DOIUrl":"10.1097/AOG.0000000000005731","url":null,"abstract":"<p><p>We assessed the temporal trends in diagnosis of uterine cancer before and during the coronavirus disease 2019 (COVID-19) pandemic using data from the United States Cancer Statistics database spanning from 2001 to 2020. A comparison between projected and observed new cases in 2020 revealed a 4,232-case discrepancy, indicating 9.3% fewer diagnosed cases than predicted based on trends. Hispanic and Asian and Pacific Islander patients exhibited the highest discrepancy at 14.6% and 12.0% fewer cases, respectively, compared with 8.6% and 6.9% for White and Black patients. Our results highlight the importance of targeting health resources toward vulnerable populations in an effort to address accumulated cases of uterine cases after the pandemic.</p>","PeriodicalId":19483,"journal":{"name":"Obstetrics and gynecology","volume":"144 6","pages":"829-831"},"PeriodicalIF":5.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ACOG Committee Statement No. 13: Self-Managed Abortion. 美国妇产科委员会第 13 号声明：自我管理的人工流产。
IF 5.7 2区 医学
Obstetrics and gynecology Pub Date : 2024-12-01 DOI: 10.1097/AOG.0000000000005755
{"title":"ACOG Committee Statement No. 13: Self-Managed Abortion.","authors":"","doi":"10.1097/AOG.0000000000005755","DOIUrl":"10.1097/AOG.0000000000005755","url":null,"abstract":"<p><p>Self-managed abortion (SMA) refers to actions people take to end a pregnancy outside the formal health care system. There are a variety of reasons people choose to self-manage their abortions, and these reasons may vary based on regional contexts. For some people, medically delivered abortion care is no longer, or has never been, available in their community. Available options might be inaccessible or unacceptable, or the person might have a preference for self-managed care as a primary choice. The majority of SMAs are completed safely with misoprostol, either alone or with mifepristone. Rare medical complications should be managed as they would be in any case of spontaneous pregnancy loss. For many people, the greatest risk of harm related to SMA comes from the threat of criminalization. Many U.S. states have at least one law in place that could be misused to prosecute people attempting or assisting with SMA. Criminalization makes people less safe and harms the confidential patient-practitioner relationship. Obstetrician-gynecologists and other health care professionals should provide all people with compassionate, nonjudgmental medical care, including those presenting before, during, or after self-managing an abortion.</p>","PeriodicalId":19483,"journal":{"name":"Obstetrics and gynecology","volume":"144 6","pages":"e152-e159"},"PeriodicalIF":5.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Treating Mild Chronic Hypertension During Pregnancy: A Cost-Effectiveness Analysis. 治疗妊娠期轻度慢性高血压：成本效益分析。
IF 5.7 2区 医学
Obstetrics and gynecology Pub Date : 2024-12-01 DOI: 10.1097/AOG.0000000000005759
Sana Zekri
{"title":"Treating Mild Chronic Hypertension During Pregnancy: A Cost-Effectiveness Analysis.","authors":"Sana Zekri","doi":"10.1097/AOG.0000000000005759","DOIUrl":"10.1097/AOG.0000000000005759","url":null,"abstract":"","PeriodicalId":19483,"journal":{"name":"Obstetrics and gynecology","volume":"144 6","pages":"e136"},"PeriodicalIF":5.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Video-Based Coaching for Laparoscopic Salpingectomy: A Randomized Controlled Trial. 腹腔镜输卵管切除术的视频指导：随机对照试验
IF 5.7 2区 医学
Obstetrics and gynecology Pub Date : 2024-12-01 DOI: 10.1097/AOG.0000000000005762
Gary Sutkin, Arthur Ollendorff, Nancy Gaba
{"title":"Video-Based Coaching for Laparoscopic Salpingectomy: A Randomized Controlled Trial.","authors":"Gary Sutkin, Arthur Ollendorff, Nancy Gaba","doi":"10.1097/AOG.0000000000005762","DOIUrl":"10.1097/AOG.0000000000005762","url":null,"abstract":"","PeriodicalId":19483,"journal":{"name":"Obstetrics and gynecology","volume":"144 6","pages":"e134"},"PeriodicalIF":5.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
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