Journal of Clinical Obstetrics and Gynecology Research最新文献

{"title":"Taking Preventive Strategies Reduces the Risks from Pregnancy to Childbirth","authors":"Xiao-wen Liu","doi":"10.52338/directive.2023.1001","DOIUrl":"https://doi.org/10.52338/directive.2023.1001","url":null,"abstract":"Pregnancy is a felicific period, but also is a sophisticated and dynamic process, which could be very taxing on the mother’s body. Although pregnancy is only a temporary condition, it can have lasting effects on the health of maternal and child. The purpose of this paper is to review the high-risks from pregnancy to childbirth and provide preventive strategies from planning for pregnancy to childbirth. Understanding this knowledge will help you to reduce maternal complications and promote the health of fetuses and newborns","PeriodicalId":359273,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology Research","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115079248","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":"Synethic or Biochemical Material for Reconstruction of Pelvic Organ Prolapse, It Matters!","authors":"Hun‐Shan Pan, Wei-Jiun Li, Lee‐Wen Huang, M. Ko, Jier-Zen Chang, Hu Chang, Pinchen Pan","doi":"10.52338/directive.2020.1004","DOIUrl":"https://doi.org/10.52338/directive.2020.1004","url":null,"abstract":"Pelvic Organ Prolapse (POP) is a disabling and chronic condition that affects women of all ages. Pelvic organs can protrude outside the body through the vagina due to weakness in the pelvic floor. POP affects patients both physically and psychologically. Most women with POP suffer from at least one other pelvic floor disorder, such as incontinence. Pelvic organ prolapse increases nationwide, namely, anterior, posterior and middle compartments prolapse. Plenty of different kits had created in recent years for reconstruction surgery. Among those surgical kits, synthetic material augmentation plays a major role, for last Decade, however, Food and Drug Administ-ration raised (FDA) a red flag due to massive complication, such as spontaneous vaginal pain, extrution, there-fore, Nowdays, selection of proper material for reconstruction surgery is important for life quality. it divides into two systems: anchor non-anchor system. Hence, we attempt to compare a novel modified surgical technique involving a non-anchor system with the conventional anchor approach to determine the effectiveness of these two systems for treating POP. In this study, we compared the benefit, disadvantage, side effects, and complications for the two systems. Then we found that the modified tiling approach can be used to prevent the aforementioned surgical risks. Furthermore, if patients cannot bear the cost of using the required instruments, they can consider undergoing the modified nonanchor surgical procedure.","PeriodicalId":359273,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123553546","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":"Comparison Single Embryo Transfer (SET) and Fetal Reduction (Three to One) Outcomes of Pregnant Women After Fetal Reduction","authors":"Yue-Lin Fang, I. Yang, Wei-Jiun Li, Lee‐Wen Huang, Jier-Zen Chang Hun-Shan, Pan Kenneth Pan, C.J. Pan, Li Lu, Yi-Ho Cheng","doi":"10.52338/directive.2020.1005","DOIUrl":"https://doi.org/10.52338/directive.2020.1005","url":null,"abstract":"1. Background and Purpose Compared with multiple births, single embryo transfer pregnancies are not as high as risk of significant child morbidity, particularly cerebral palsy, after high-order fetal reduction. This is termed the vanishing-twin syndrome, and is an important etiology of cerebral palsy. Antenatal corticosteroid therapy (CCT) is widely used during preterm labor to enhance lung maturity, the use of dexamethasone, however, increase the risk for detrimental long-term neurodevelopmental effects. Thus, in this study we assess the effect of CCT on neurological disability and congenital abnormality in SET and control group after fetal reduction and over 2 years of age. 2. Methods The CCT (38 sets of SET) and control (56 sets) groups were compared for the incidences of cerebral palsy and congenital abnormalities, as well as mean birth weight, maternal age, and mean gestational age at delivery and at fetal reduction using records from Shin-Kong Memorial Hospital for the period 2008-2017. 3. Results There were 94 quadruplet-reduced sets of SET in our study. All of these SET were alive and aged over 2 years at the time of this writing. The gestational age at the time of delivery was 39+-2.4 weeks for the SET group vs. 36 ± 2.9 weeks for the controls, with mean birth weights of 2798 ± 555g vs. 2685 ± 519g, respectively (p<0.01). All 94 sets of twins were delivered by cesarean section, with only 1 case of cerebral palsy in Control group, while the others had developed normally by the age of 2 years. Only mean birth weight and gestational age at delivery showed significant differences in comparisons of the 2 groups of twins. 4. Conclusion The reasons why IVF treatment sometimes results in twin or triplet births – even though only one embryo is used – have been found by the largest study to date on single embryo transfer (SET) and multiple pregnancy. However, despite performing SET, multiple pregnancies do happen due to a phenomenon known as ‘zygotic splitting’, when one embryo divides resulting in twins or triplets. It is more prevalent following SET than in spontaneous conception.","PeriodicalId":359273,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology Research","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114339756","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":"Unusual presentation of Endocervical Adenocarcinoma following hysterectomy for high grade CGIN","authors":"T. Hall, A. Phillips, G. Schalkwyk, A. Bali","doi":"10.52338/directive.2020.1003","DOIUrl":"https://doi.org/10.52338/directive.2020.1003","url":null,"abstract":"Cervical carcinoma is the fourteenth most common cancer in the UK with 1 in every 142 women being diagnosed (1). Cervical carcinoma can be subdivided into numerous histological types, of which endocervical adenocarcinoma, represents 20-25% of all cancers (2). The proportion of cervical cancers diagnosed as endocervical adenocarcinomas has increased as the introduction of the cervical screening for squamous precancerous lesions has reduced the number of squamous cell cancers of the cervix. The most common subtype of endocervical adenocarcinoma is associated with human papillomavirus (HPV) type 18 (3). Often these cancers have a diffuse growth pattern and are closely associated with CGIN (adenocarcinoma in situ) making measurement of the extent of disease difficult. Cervical adenocarcinomas are staged according to the (FIGO) International Federation of Gynaecology and Obstetrics) system. Early stage cervical cancer is usually treated increasing radicality of surgical excision whilst advanced cervical cancer is treated with radiotherapy and chemotherapy.","PeriodicalId":359273,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology Research","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124113737","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":"Increased serum ferritin levels in women with preeclampsia","authors":"O. Taha, A. M. Elshahat, Z. Ibrahim, E. Kishk, Rabab A. Basuony","doi":"10.52338/directive.2020.1001","DOIUrl":"https://doi.org/10.52338/directive.2020.1001","url":null,"abstract":"To study the correlation between serum ferritin level and the severity of preeclampsia. Methods: This was a case-control study conducted in the emergency ward of Obstetrics and Gynecology Department of Suez Canal University Hospitals. We recruited sixty patients with preeclampsia and 60 normal pregnant women before parturition. All women were subjected to complete history and routine obstetric ultrasonography evaluation. Serum ferritin, serum iron, transferrin saturation, total iron-binding capacity, and unsaturated iron-binding capacity were assessed for all participants. Results: The mean serum ferritin was significantly higher in mild and severe preeclampsia groups vs. the control group (33.27 ± 6.9 and 69.47 ± 20.1 ng/ml versus 16.9 ± 20.9ng ng/ml, respectively, p-value < 0.001). Regarding, the mean serum iron level in the mild, severe preeclampsia and control groups, it was 201.87 ± 58.13, 219.4 ± 53.1 µg/dl and 173.9 ± 56.58 µg/dl respectively (p-value < 0.05). There was a highly significant correlation between ferritin and each of systolic and diastolic blood pressures (r= 0.8, p<0.001 and r=0.7, p<0.001 respectively).","PeriodicalId":359273,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology Research","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127083311","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 induction of labour, which represents an increase in maternal-fetal risks and the expense of hospital resources, has become a very frequent procedure in Obstetrics","authors":"S. D. Miguel","doi":"10.52338/directive.2020.1002","DOIUrl":"https://doi.org/10.52338/directive.2020.1002","url":null,"abstract":"The induction of labour, which represents an increase in maternal-fetal risks and the expense of hospital resources, has become a very frequent procedure in Obstetrics, accounting for up to 24.5% of all births in the USA in 2016. Since EH Bishop in 1964 published her pelvic scoring in relation to the result of labor induction, there have been many authors who have studied both cervical and maternal characteristics and ultrasound measurements, with the aim of improving the predictive capacity of the Bishop score. This score is, today, the most widely used in the previous management of labour induction.","PeriodicalId":359273,"journal":{"name":"Journal of Clinical Obstetrics and Gynecology Research","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126498631","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}