Philippine Journal of Obstetrics and Gynecology最新文献

{"title":"Regional differences in online interest in COVID-19 infection and COVID-19 vaccine in pregnancy: A Google Trends analysis","authors":"Manuel Vidal Jr., Ourlad G. Tantengco, Melissa L. Amosco","doi":"10.4103/pjog.pjog_49_23","DOIUrl":"https://doi.org/10.4103/pjog.pjog_49_23","url":null,"abstract":"BACKGROUND: With the advent of the COVID-19 pandemic, pregnant women may turn to online information searches regarding COVID-19 and COVID-19 vaccination. OBJECTIVE: We aimed to determine global online interest in COVID-19 infection and COVID-19 vaccination in pregnancy. MATERIALS AND METHODS: We utilized Google Trends data to determine the global search volume index (SVI) for the search terms “COVID-19 in pregnancy” and “COVID vaccine pregnancy” from January 1, 2020, to February 12, 2022, and ranked the top 15 search queries via their individual SVIs to assess the worldwide distribution of interest. Using Pearson correlation, we correlated several economic and pandemic-related country-specific data with the SVIs for the two search terms, while we utilized a one-way analysis of variance to country income groups with the SVIs using ANOVA. Significant correlations were denoted with P < 0.05. RESULTS: SVI for “COVID-19” in pregnancy showed a minimal and nonsignificant downward trend in 2022. SVI for this search term was positively correlated with the SVI for “COVID vaccine pregnancy” (P < 0.05). On the other hand, SVI for “COVID vaccine in pregnancy” showed an exponential decline from November 2020 to 2022. SVI for this search term was also negatively correlated with deaths per 100,000 cases (P < 0.05). Although this was nonsignificant, high-income countries showed higher online interest with the two search terms than low- to low-middle-income countries. There were no significant correlations among specific economic and pandemic-related country-specific data and SVI for both search terms. CONCLUSION: We observed a constant online interest in COVID-19 in pregnancy during the time period of the study, which may reflect the watchful engagement of people in the absence of face-to-face physician consultations. Peak online interest in COVID-19 vaccine in pregnancy declined steadily, which may reflect either vaccine hesitancy or an increase in public knowledge of COVID-19 vaccines. High-income countries have apparently higher online interest in COVID-19 vaccines, which may be due to access to early mass administration to the general public. These data can be used as a reference regarding future policy-making in the setting of potentially massive public health emergency in the future.","PeriodicalId":337281,"journal":{"name":"Philippine Journal of Obstetrics and Gynecology","volume":"151 1","pages":"190 - 198"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364558","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 prevalence of COVID-19 infection among gynecologic oncology patients receiving cancer treatment in a COVID-19 referral hospital","authors":"Renee Cartago Medalla, Jericho P. Luna","doi":"10.4103/pjog.pjog_47_23","DOIUrl":"https://doi.org/10.4103/pjog.pjog_47_23","url":null,"abstract":"INTRODUCTION: Cancer patients are more susceptible to coronavirus disease-19 (COVID-19) infection because they are immunosuppressed by their disease or therapy, most of them have coexisting medical conditions, and they frequently visit hospitals for treatment and surveillance. OBJECTIVE: The objective of this study was to determine the prevalence of COVID-19 infection among gynecologic oncology patients receiving treatment in a COVID-19 referral hospital. MATERIALS AND METHODS: A descriptive, cross-sectional study involving 47 gynecologic cancer patients receiving treatment from June 2020 to December 2020 was performed. All patients underwent SARS-CoV-2 reverse transcription-polymerase chain reaction (RT-PCR) swab test and symptom and exposure assessment before the start of cancer treatment. Patients with negative SARS-CoV-2 RT-PCR swab test results received their planned treatment, and a repeat swab test and triage assessment were done midtreatment and after treatment. RESULTS: Five (10.6%) patients had positive baseline SARS-CoV-2 RT-PCR swab results, but all proceeded with treatment after negative results were obtained. Only 1 (2.13%) patient had a positive SARS-CoV-2 RT-PCR swab test result at midtreatment. All patients had no COVID-19-associated symptoms and none of them tested positive for COVID-19 infection posttreatment. CONCLUSION: The prevalence of COVID-19 infection among gynecologic cancer patients receiving cancer treatment is 2.13%. All patients who had positive SARS-CoV-2 RT-PCR swab test results at baseline or midtreatment were able to continue and complete treatment. There were no severe clinical events or mortalities among those affected with COVID-19 infection.","PeriodicalId":337281,"journal":{"name":"Philippine Journal of Obstetrics and Gynecology","volume":"22 1","pages":"199 - 205"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364569","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":"Tumor rupture and partial gut obstruction: Atypical presentations in a patient with adenomyosis","authors":"Ma O. Siao, I. Figueras-Prieto","doi":"10.4103/pjog.pjog_56_23","DOIUrl":"https://doi.org/10.4103/pjog.pjog_56_23","url":null,"abstract":"A 49-year-old woman, Gravida 8 Para 8 (8007), came in due to vomiting and enlarging abdominal mass. Initial diagnosis was partial gut obstruction and acute kidney injury probably secondary to adenomyosis versus colonic pathology. Ultrasound showed adenomyosis but computed tomography scan showed a uterine mass with possible tumor rupture and mass effects. Emergency hysterectomy was done and showed an ill-defined endometrial mass with multiple areas of rupture. It was diagnosed with malignant but final histopathology revealed extensive adenomyosis with acute inflammation and necrosis with no malignancy identified. Unusual symptoms such as uterine rupture and mass effects can accompany adenomyosis, alongside typical signs like pain and bleeding. Ultrasound aided the diagnosis, although it missed uterine rupture, highlighting its limitations. Magnetic resonance imaging could have been useful. Ultimately, histopathology is the gold standard for diagnosing adenomyosis.","PeriodicalId":337281,"journal":{"name":"Philippine Journal of Obstetrics and Gynecology","volume":"10 1","pages":"220 - 228"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364776","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":"Why and how should professional societies and their journals promote scientific integrity in their publications?","authors":"Jean Balajadia Toral","doi":"10.4103/pjog.pjog_71_23","DOIUrl":"https://doi.org/10.4103/pjog.pjog_71_23","url":null,"abstract":"","PeriodicalId":337281,"journal":{"name":"Philippine Journal of Obstetrics and Gynecology","volume":"1 1","pages":"163 - 164"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365511","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":"Metastatic placental site trophoblastic tumor with pelvic arteriovenous malformation: A case report","authors":"Victoria Velasco-Redondo, Ma Octavio","doi":"10.4103/pjog.pjog_40_23","DOIUrl":"https://doi.org/10.4103/pjog.pjog_40_23","url":null,"abstract":"Placental site trophoblastic tumor (PSTT) with uterine arteriovenous malformation (AVM) is a rare and potentially catastrophic occurrence. A high index of suspicion and immunohistochemistry secured the diagnosis. The use of appropriate imaging modalities led to the identification of the extent of the disease. Sequential planned management from neoadjuvant intensive chemotherapy, bilateral uterine artery embolization, and laparotomy, and coordinated among different medical disciplines resulted to a successful definitive treatment. Due to its relatively chemoresistant nature, hysterectomy is the mainstay of treatment. Adjuvant platinum-based intensive chemotherapy has been shown to improve overall survival in patients with metastatic disease and those with poor prognostic factors. This case of PSTT with a typical clinical profile was noteworthy due to the development of a significant AVM, a rare complication of PSTT. This case report included a review of treatment experiences as well as peculiarities that set PSTT apart from the more common gestational trophoblastic diseases.","PeriodicalId":337281,"journal":{"name":"Philippine Journal of Obstetrics and Gynecology","volume":"5 1","pages":"214 - 219"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364598","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":"Short-, mid-, and long-term outcomes of suburethral slings with concomitant pelvic organ prolapse surgeries","authors":"Lilibeth Lim-Navarro, Almira Amin-Ong","doi":"10.4103/pjog.pjog_52_23","DOIUrl":"https://doi.org/10.4103/pjog.pjog_52_23","url":null,"abstract":"BACKGROUND: This retrospective cohort study assessed the outcomes of combined surgeries for pelvic organ prolapse (POP) and stress urinary incontinence (SUI) in 31 patients with a follow-up of 7 years. OBJECTIVE: The study aimed to determine the success and recurrence rates of POP and SUI while comparing the outcomes, analyzing the predictors for recurrence, and reporting on complications. MATERIALS AND METHODS: Demographic and clinical profiles were analyzed descriptively using frequency and percentages. Objective SUI cure rate was assessed via office cystometry with a cough stress test, while POP was evaluated using the POP-Q system. Subjective cure rates for both conditions were determined using a symptom severity checklist based on the King's Health Questionnaire. Chi-square tests assessed associations between objective outcome parameters and time elapsed since surgery, and other outcome predictors, with significance set at p < 0.05. RESULTS: The results showed a high objective cure rate of 96% for SUI and subjective cure rates of 96% for both SUI and POP. Long-term symptoms included urine frequency and retention, while mesh erosion occurred in one patient. The objective cure rate for POP was 67.7%, with recurrence in the anterior compartment at the midterm and in various compartments at long term. Vault fixation suggests efficacy in reducing apical prolapse recurrence. The preoperative age was identified as a significant risk factor for POP recurrence. CONCLUSION: This study supports the durability and efficacy of combined surgeries for SUI and POP, with high patient satisfaction.","PeriodicalId":337281,"journal":{"name":"Philippine Journal of Obstetrics and Gynecology","volume":"98 1","pages":"178 - 189"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364478","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":"Association of maternal clinical factors with neonatal respiratory morbidity in meconium-stained labor among term parturients: A retrospective cohort study","authors":"Jelli-Ann Magno, Brenda B. Zamora","doi":"10.4103/pjog.pjog_42_23","DOIUrl":"https://doi.org/10.4103/pjog.pjog_42_23","url":null,"abstract":"OBJECTIVE: This study aimed to determine the maternal clinical factors associated with neonatal respiratory morbidity and other adverse neonatal outcomes in meconium-stained labor among term parturients. METHODOLOGY: A retrospective cohort study was done on admitted obstetric patients with term gestation and had meconium-stained labor. Maternal clinical factors such as age, parity, gestational age, manner of delivery, duration of labor, presence of term prelabor rupture of membranes (PROM), character of meconium-stained liquor (MSL), and presence of comorbidities were identified and analyzed to determine their association with neonatal respiratory morbidity and other adverse neonatal outcomes. RESULTS: In this study, there were 986 cases identified to have meconium-stained labor, and 168 developed neonatal respiratory morbidity. As to primary outcome, maternal clinical factors, such as age >35 years, multiparity, age of gestation >41 weeks, prolonged labor, presence of PROM, significant MSL upon admission, presence of change from nonsignificant to significant MSL, presence of intrauterine growth restriction, and hypertension, were all shown to be statistically significant. CONCLUSION: The presence of maternal clinical factors in meconium-stained labor was observed to be a risk factor in developing neonatal respiratory morbidity and other adverse neonatal outcomes. Hence, identification of maternal risk factors and early detection of meconium-stained amniotic fluid are vital in administering timely intervention to labor and delivery to reduce neonatal complications.","PeriodicalId":337281,"journal":{"name":"Philippine Journal of Obstetrics and Gynecology","volume":"6 1","pages":"165 - 177"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364559","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":"Preinvestigation psychological state and related demographic factors as predictors of pain perception in women undergoing hysterosalpingography","authors":"Ademola Adeyekun, O. Koleoso, O. Akanni","doi":"10.4103/pjog.pjog_50_23","DOIUrl":"https://doi.org/10.4103/pjog.pjog_50_23","url":null,"abstract":"BACKGROUND: The majority of women described hysterosalpingography (HSG) as a painful procedure. There is little information on the features of HSG-associated pain and factors that predispose to increased pain experience. OBJECTIVES: This study investigated preprocedure psychological state and related demographic factors as predictors of pain perception in women undergoing HSG. METHODS: The sample included 99 women selected through consecutive sampling at the Radiology Department, University of Benin Teaching Hospital, Benin City, Nigeria. The study utilized a cross-sectional survey design to collect data using Spielberger's State-Trait Anxiety Inventory, Zung Self-rating Depression Scale, and Visual Analog Scale for the perception of pain and state anxiety. RESULTS: The women with lower state anxiety reported significantly lower pain perception (X¯ = 6.69) than the women with high anxiety (X¯ = 7.93). Trait anxiety, state anxiety, and depression jointly predicted pain perception among the women undergoing HSG, with R2 = 0.117, F (3,95) = 6.797; P < 0.001. They collectively accounted for about 17.7% variance in pain perception. CONCLUSION: Patients being prepared for the HSG procedure can be educated on concerns related to anxiety and coping strategies and be provided with anxiolytics or other medication as clinically indicated.","PeriodicalId":337281,"journal":{"name":"Philippine Journal of Obstetrics and Gynecology","volume":"68 1","pages":"206 - 213"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364742","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 obstetrician-gynecologist as a researcher with integrity","authors":"E. Domingo, J. Espino","doi":"10.4103/pjog.pjog_25_23","DOIUrl":"https://doi.org/10.4103/pjog.pjog_25_23","url":null,"abstract":"","PeriodicalId":337281,"journal":{"name":"Philippine Journal of Obstetrics and Gynecology","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125518288","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":"Prevalence of premalignant cervical lesions among women in community-based screening program using visual inspection with acetic acid in Metro Manila","authors":"G. Amparo, Carolyn R. Zalameda-Castro, Michelle Diwa-Hernandez","doi":"10.4103/pjog.pjog_14_23","DOIUrl":"https://doi.org/10.4103/pjog.pjog_14_23","url":null,"abstract":"BACKGROUND: Cervical cancer remains a health-care burden in our country. Majority of women afflicted with this cancer are diagnosed in advanced stage. Several groups like the Philippine Society for Cervical Pathology and Colposcopy (PSCPC) have put forth efforts to decrease and eventually eliminate cervical cancer through improvement in level of awareness on the disease and community-based cervical cancer screening programs using visual inspection using acetic acid (VIA). Data on the prevalence of premalignant lesions using this screening method are limited in our country. Thus, the initiative of the society (PSCPC) to embark on this study. OBJECTIVE: The objective of this study was to determine the prevalence of premalignant cervical lesions among women screened in community-based screening program using VIA in Metro Manila. METHODOLOGY: A retrospective cross-sectional study with collection of data from medical records of cervical screening programs done by the PSCPC from March 2017 to December 2019 was done. VIA was done for screening. All VIA-positive women underwent colposcopy and those with abnormal findings had colposcopically guided cervical punch biopsy. RESULTS: A total of 1072 women were screened with a positivity rate of 14.6%. One hundred and fifty-six women were VIA positive and 79 of these women underwent colposcopically guided biopsy. Premalignant cervical lesions were seen in 21 women. The prevalence rate of premalignant cervical lesions in VIA-positive women was 13.5%. The prevalence of premalignant cervical lesions among all women screened was 2%. Risk factors associated with premalignant lesions were early coitarche and smoking. CONCLUSION: The prevalence of premalignant cervical lesions among women who underwent community-based cervical cancer screening using VIA is lower compared to other studies at 2%.","PeriodicalId":337281,"journal":{"name":"Philippine Journal of Obstetrics and Gynecology","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129785508","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}