Clinica e Investigacion en Ginecologia y Obstetricia最新文献

Systematic review and meta-analysis of the ultrasound diagnosis of pelvic organ prolapse (MUDPOP)

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2025-01-15 DOI: 10.1016/j.gine.2024.101018

J.A. García-Mejido , F. Fernández-Palacín , J.A. Sainz-Bueno

{"title":"Systematic review and meta-analysis of the ultrasound diagnosis of pelvic organ prolapse (MUDPOP)","authors":"J.A. García-Mejido , F. Fernández-Palacín , J.A. Sainz-Bueno","doi":"10.1016/j.gine.2024.101018","DOIUrl":"10.1016/j.gine.2024.101018","url":null,"abstract":"<div><div>We want to determine what the diagnostic criteria for pelvic organ prolapse (POP) should be for each pelvic compartment, establishing their diagnostic capability based on the current literature.</div><div>This is a systematic review and meta-analysis of studies published until March 2024 that compared the diagnosis of POP between transperineal ultrasound and clinical POP-Q examination. The authors searched various databases including PubMed/MEDLINE, Scopus, Web of Science, CINAHL, The Cochrane Library and ClinicalTrials.gov.</div><div>The Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool was used to assess study quality. Estimates of odds ratios, 95% confidence intervals and significance of sensitivity and specificity were obtained by aggregating all selected studies. All analyses were performed with R software.</div><div>The search identified 2359 citations and after applying the inclusion and exclusion criteria, a total of 8 studies were finally included. All studies were considered to have low applicability concerns in terms of patient selection, index test, reference standard, flow and timing. The pooled sensitivity for ultrasound diagnosis of POP was 72.3% with a standard error of 3.1% (<em>p</em>  <0.001). The pooled specificity for ultrasound diagnosis of POP was 78.0% with a standard error of 4.4% (<em>p</em>  <0.001).</div><div>The value of 10mm is the cut-off point for the diagnosis of symptomatic cystocele (static measurement). A value of 15mm is used for the diagnosis of symptomatic rectocele (static measurement) and for uterine prolapse (dynamic measurement). The current evidence is limited, so future research is needed to provide further confirmation.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 2","pages":"Article 101018"},"PeriodicalIF":0.1,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168601","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}

引用次数: 0

Impacto del uso de redes sociales en las gestantes del área norte de Madrid

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2025-01-11 DOI: 10.1016/j.gine.2024.101030

N. Mateos-Canals, S. Ruiz-Martínez, N. Martínez Sánchez, J.L. Bartha Rasero, M.C. Fernández-Miranda

{"title":"Impacto del uso de redes sociales en las gestantes del área norte de Madrid","authors":"N. Mateos-Canals, S. Ruiz-Martínez, N. Martínez Sánchez, J.L. Bartha Rasero, M.C. Fernández-Miranda","doi":"10.1016/j.gine.2024.101030","DOIUrl":"10.1016/j.gine.2024.101030","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the use of social media (SM) and its impact on pregnant women in the northern area of Madrid, Spain.</div></div><div><h3>Method</h3><div>An anonymous survey was conducted with 231 pregnant women who were monitored in the Obstetrics Service of La Paz University Hospital (Madrid). The use of various SM platforms and the information sought were evaluated, as well as the perceived credibility, influence on attitudes, and effects on perceived anxiety following their use.</div></div><div><h3>Results</h3><div>97% of pregnant women used SM, with 83.5% using it daily. Usage was higher among younger age groups, with Instagram being the most used SM platform. 81.7% of them followed profiles related to obstetrics/perinatal care, but one in five was unaware of the professionalism of the person behind the profile. Information about pregnancy, childbirth, neonatal care, and breastfeeding were the most sought-after topics, with an increase in the search for breastfeeding information among younger women. 45.4% considered the information to be highly credible, and 49.3% believed it could moderately influence their attitudes. Finally, 47.4% reported feeling moderately calm with the information, and 51.2% experienced low levels of anxiety.</div></div><div><h3>Conclusions</h3><div>The use of SM among pregnant women reflects that of the general population, with Instagram being the most popular platform. Many patients seek medical information on SM but often verify it with healthcare professionals. The credibility of information on SM varies, having a moderate influence on attitudes and perceived anxiety.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 2","pages":"Article 101030"},"PeriodicalIF":0.1,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168256","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}

引用次数: 0

Women empowerment and its impact on fertility 妇女赋权及其对生育率的影响

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-11-29 DOI: 10.1016/j.gine.2024.101017

J. Puerta Suárez , S.M. Vélez Cuervo , W.D. Cardona Maya

引用次数: 0

Uso de plasma rico en plaquetas en el campo de la reproducción humana asistida 在人类辅助生殖领域使用富血小板血浆

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-11-27 DOI: 10.1016/j.gine.2024.101016

P. Luque González , M. Pineda Mateo , J. Rodríguez Sánchez-Reyman

{"title":"Uso de plasma rico en plaquetas en el campo de la reproducción humana asistida","authors":"P. Luque González , M. Pineda Mateo , J. Rodríguez Sánchez-Reyman","doi":"10.1016/j.gine.2024.101016","DOIUrl":"10.1016/j.gine.2024.101016","url":null,"abstract":"<div><div>Assisted reproductive therapies have a limited success rate. New therapies are currently being investigated to increase their effectiveness, such as the use of platelet-rich plasma (PRP). This agent has demonstrated efficacy at the level of regenerative medicine and consists of the administration of blood plasma extracted from the patient herself with a high platelet count. Given the recent incorporation of this treatment in clinical research, the objective is to carry out a bibliographic review to elucidate the characteristics of its use, effects and benefits. The literature available in the main databases offers very optimistic results. It has been shown that PRP favors endometrial regeneration and folliculogenesis as well as restoration of the menstrual cycle, which may be useful in patients with thin endometrium refractory to classical treatments, chronic endometritis, repeated implantation failure, early ovarian failure or Asherman's syndrome. However, there are few studies and they have a small sample size, so it is necessary to continue and expand the research on PRP.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 1","pages":"Article 101016"},"PeriodicalIF":0.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722615","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}

引用次数: 0

Bases fisiológicas, técnicas y principales indicaciones de preservación de la fertilidad en la paciente oncológica 肿瘤患者保留生育能力的生理基础、技术和主要适应症。

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-10-28 DOI: 10.1016/j.gine.2024.101005

Y. Barral , M. Vidal , S. Peralta , L. Magnano

{"title":"Bases fisiológicas, técnicas y principales indicaciones de preservación de la fertilidad en la paciente oncológica","authors":"Y. Barral , M. Vidal , S. Peralta , L. Magnano","doi":"10.1016/j.gine.2024.101005","DOIUrl":"10.1016/j.gine.2024.101005","url":null,"abstract":"<div><div>In recent decades, the use of fertility preservation techniques in women with oncologic pathology has increased, aiming to improve their future reproductive prognosis. This trend is attributed to the increasing incidence of neoplasms in women of reproductive age, improved survival rates, and the progressive delay of motherhood. The gonadotoxicity of chemotherapy is influenced by factors like the patient's age, baseline ovarian reserve, and the type and cumulative dose of chemotherapy. Therefore, it is crucial to provide appropriate reproductive counseling and refer patients to specialized fertility preservation programs, where comprehensive assessment of gonadotoxic risk and individual patient risk are performed. Oocyte cryopreservation is the main technique for fertility preservation, non-experimental since 2013. Controlled ovarian stimulation starts at any phase of the menstrual cycle (<em>random start</em>), avoiding the delay in starting chemotherapy. In addition, the treatment with letrozole is recommended to breast cancer patients performing ovarian stimulation to prevent excessive increases in serum estrogen levels. The ovarian cortex cryopreservation is still considered experimental in many countries. However, it is performed in some cases, for example, when chemotherapy cannot be delayed for 2 weeks or in prepubertal patients. At the present time, gonadotropin-releasing hormone (GnRH) treatment is not regarded as a fertility preservation technique. However, it can be employed in certain clinical contexts.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 1","pages":"Article 101005"},"PeriodicalIF":0.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142528477","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}

引用次数: 0

Diagnostic rentability of IOTA models for differentiating between benign and malignant complex adnexal masses 用于区分良性和恶性复杂附件肿块的 IOTA 模型的诊断可租性

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-10-19 DOI: 10.1016/j.gine.2024.101000

A. Rodríguez Pérez , A. Caruso , M. Pantoja Garrido , I. Rodríguez Jiménez , A. Polo Velasco , J.J. Fernández Alba

{"title":"Diagnostic rentability of IOTA models for differentiating between benign and malignant complex adnexal masses","authors":"A. Rodríguez Pérez , A. Caruso , M. Pantoja Garrido , I. Rodríguez Jiménez , A. Polo Velasco , J.J. Fernández Alba","doi":"10.1016/j.gine.2024.101000","DOIUrl":"10.1016/j.gine.2024.101000","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the diagnostic accuracy of the <em>International Ovarian Tumor Analysis (IOTA)</em> Logistic Regression Model 1, 2 (LR1, LR2) ADNEX model and IOTA Simple Rules, in the pre-surgical evaluation of ovarian tumors classified as complex adnexal masses.</div></div><div><h3>Methods</h3><div>This is a cross-sectional observational study of diagnostic accuracy. We will select patients, who undergo surgical intervention due to adnexal mass with indeterminate, intermediate or high suspicion of malignancy (GI-RADS 4–5), as assessed by an expert ultrasound operator. We analyzed and compared the diagnostic performance and predictive capacity of the different models in the studied population, and also we analyzed each model by creating subgroups based on menopausal status.</div></div><div><h3>Results</h3><div>One hundred thirty five malignant masses (45%), one hundred forty benign (46.7%) and twenty five border line (8.3%) were included.</div><div>LR1 and LR2 models, and ADNEX were applicable to all lesions; however, in 72 lesions (24%), the simple rules were inconclusive.</div><div>We observed better performance for LR1 and simple rules, based on the following results: Sensitivity: LR1 91%. Specificity: simple rules 86%. PPV: simple rules 79%. NPV: LR1 88%.</div></div><div><h3>Conclusions</h3><div>Our study suggests that the subgroup of patients with complex adnexal masses, the IOTA risk stratification through LR1 shows higher sensitivity for risk stratification of malignancy, while simple rules has the highest specificity and diagnostic accuracy. However, it is inconclusive in one out of every four adnexal masses. Additionally, LR1–LR2 and ADNEX do not show significant differences in diagnostic accuracy.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 1","pages":"Article 101000"},"PeriodicalIF":0.1,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142528478","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}

引用次数: 0

Fisioterapia en el dolor tras cesárea 剖腹产后疼痛的物理治疗

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-10-16 DOI: 10.1016/j.gine.2024.101002

L. Monroy Martínez , I. Da Cuña Carrera , A. Alonso Calvete , L. Núñez Remiseiro , M. Fernández Paz

{"title":"Fisioterapia en el dolor tras cesárea","authors":"L. Monroy Martínez , I. Da Cuña Carrera , A. Alonso Calvete , L. Núñez Remiseiro , M. Fernández Paz","doi":"10.1016/j.gine.2024.101002","DOIUrl":"10.1016/j.gine.2024.101002","url":null,"abstract":"<div><div>Cesarean section is one of the most commonly performed surgeries in obstetrics and involves the removal of a neonate through an abdominal and uterine incision. This intervention can cause different consequences, such as pain, which can be treated using physiotherapy techniques. The objective of this work is to analyze the existing literature to know what the effects of physiotherapy are on pain after cesarean section. A bibliographic search was carried out in the databases PudMed, Cinahl, Medline, PEDro, Scopus, Web of Science and ENFISPO. The search terms «Pain», «Cesarean Section», «Physiotherapy», «Physical Therapy» and «Physical Therapy Modalities» were used. Studies were limited to randomized clinical trials published in English or Spanish. Of the 220 initial results, 12 articles were chosen for analysis. The therapies carried out were varied, including electrotherapy, massage therapy and cryotherapy to analyze different variables. Physiotherapy is beneficial in controlling pain in patients after a cesarean section through techniques such as TENS. Other therapies such as massage therapy and cryotherapy seem to obtain some improvements, but it cannot be concluded that they have significant benefits.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 1","pages":"Article 101002"},"PeriodicalIF":0.1,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441298","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}

引用次数: 0

Violencia obstétrica: primera, segunda y tercera víctima 产科暴力：第一、第二和第三受害者

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-10-15 DOI: 10.1016/j.gine.2024.101001

L. Guillén Vargas , E.M. Aragoneses Tiburcio , M.J. Galván León , J.M. Martínez-Sánchez

引用次数: 0

¿Es la gestación a edad materna muy avanzada éticamente aceptable? 从伦理角度讲，孕产妇晚期妊娠是否可以接受？

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-10-14 DOI: 10.1016/j.gine.2024.101003

A. Martínez-Varea

{"title":"¿Es la gestación a edad materna muy avanzada éticamente aceptable?","authors":"A. Martínez-Varea","doi":"10.1016/j.gine.2024.101003","DOIUrl":"10.1016/j.gine.2024.101003","url":null,"abstract":"<div><div>In recent years, there has been an increase in the age at which women conceive and have children, especially in developed countries.</div><div>This study aims to elucidate whether pregnancy at a very advanced maternal age is ethically acceptable or if it is better to promote pregnancy at a younger age. The specific objectives include evaluating the medical risks associated with pregnancy at a very advanced maternal age and analyzing the ethical and social implications of pregnancies at advanced maternal ages.</div><div>A systematic review was conducted using PubMed and Web of Science with the keywords pregnancy outcome, 45 years, 50 years, very advanced maternal age, menopause, ethics, bioethics. Studies published in the last 10 years in Spanish or English were included. Reviews, meta-analyses, clinical cases, letters to the editor, comments, and opinion articles were excluded.</div><div>The systematic review revealed that pregnancy at age 45 or older is associated with more adverse maternal-fetal outcomes compared to younger ages. Thus, patients of very advanced maternal age should receive appropriate prenatal counseling and close prenatal monitoring. Women of very advanced age wishing to conceive with their own oocytes should be informed about the low probabilities of success and high risk of embryonic aneuploidies. Preimplantation genetic diagnosis is recommended for women over 43 years with good ovarian reserve, and in vitro fertilization cycles should be limited to three for patients aged 44-45 years. Patients aged 45-46 years should be informed about the minimal probability of success with autologous oocytes.</div><div>As a conclusion, pregnancy at a very advanced maternal age is increasingly common and is considered ethically acceptable by both patients and specialists in reproductive medicine and obstetrics and gynecology.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 1","pages":"Article 101003"},"PeriodicalIF":0.1,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433429","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}

引用次数: 0

Management of thoracic neuropathic pain with an ESP block in a pregnant patient 用 ESP 阻滞治疗怀孕患者的胸椎神经痛

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-10-11 DOI: 10.1016/j.gine.2024.101004

L. Arce Gálvez , R.E. Valencia Gómez , A. Ceballos Vejarano , J. Daes Mora , D.A. Méndez Vega

引用次数: 0