Bjog-An International Journal of Obstetrics and Gynaecology最新文献

{"title":"Correction to “Time to Diagnose Endometriosis: Current Status, Challenges and Regional Characteristics—A Systematic Literature Review”","authors":"","doi":"10.1111/1471-0528.18149","DOIUrl":"10.1111/1471-0528.18149","url":null,"abstract":"<p>\u0000 <span>De Corte, P.</span>, <span>Klinghardt, M.</span>, <span>Stockum, S.</span> and <span>Heinemann, K.</span> (<span>2025</span>), <span>Time to Diagnose Endometriosis: Current Status, Challenges and Regional Characteristics—A Systematic Literature Review</span>. <i>BJOG</i>, <span>132</span>: <span>118</span>–<span>130</span>. https://doi.org/10.1111/1471-0528.17973\u0000 </p><p>In the Affiliation, the corresponding author, Pauline De Corte should be affiliated to both “Berlin Center for Epidemiology and Health Research, Berlin, Germany” and “Institute of Public Health, Charité – Universitätsmedizin Berlin, Berlin Germany”.</p><p>We apologize for this error.</p>","PeriodicalId":50729,"journal":{"name":"Bjog-An International Journal of Obstetrics and Gynaecology","volume":"132 7","pages":"1018"},"PeriodicalIF":4.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1471-0528.18149","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Disorders and Having a First Child Among Young Adults: A Nationwide Register-Based Cohort Study","authors":"Kateryna Golovina,&nbsp;Ripsa Niemi,&nbsp;Mai Gutvilig,&nbsp;Markus Jokela,&nbsp;Marko Elovainio,&nbsp;Christian Hakulinen","doi":"10.1111/1471-0528.18151","DOIUrl":"10.1111/1471-0528.18151","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To examine associations between mental disorders and time to first childbirth in Finland, and whether partnership status mediates these associations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Nationwide register-based cohort study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Primary and secondary healthcare data from Finland.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Population</h3>\u0000 \u0000 <p>All individuals born in 1980–1995 who were childless and living in Finland at age 16 (<i>n</i> = 1 210 662).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cox proportional hazards models to examine associations between mental disorders and time to first childbirth. Participants were followed until first childbirth, death, emigration, or the end of 2019.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Measures</h3>\u0000 \u0000 <p>Time to first live childbirth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Both men and women diagnosed with mental disorders had a lower likelihood of becoming parents compared to those without diagnoses. People diagnosed with schizophrenia and intellectual disabilities were the least likely to become parents. Adjusting for partnership status attenuated the associations for all mental disorders. Before age 25, substance use, childhood onset, anxiety, or any mental disorders were associated with a <i>higher</i> likelihood of first childbirth, but after age 30, mental disorders were linked to a <i>lower</i> likelihood of parenthood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Almost all mental disorders were associated with a lower likelihood of having a first child among young people born in 1980–1995. These findings imply that well-functioning mental health services are important from a fertility perspective.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50729,"journal":{"name":"Bjog-An International Journal of Obstetrics and Gynaecology","volume":"132 8","pages":"1147-1155"},"PeriodicalIF":4.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1471-0528.18151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143695288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating Psychosocial Aspects of Pregnancy Care After Baby Loss: A Roadmap for Professionals","authors":"Ana Todorović,&nbsp;Aoife O'Higgins,&nbsp;Shona Johnston,&nbsp;Nathalie Hilton,&nbsp;Guinevere Webster,&nbsp;Brenda Kelly","doi":"10.1111/1471-0528.18126","DOIUrl":"10.1111/1471-0528.18126","url":null,"abstract":"<div>\u0000 \u0000 <p>The death of a baby during pregnancy, birth or in infancy is an intensely traumatic event for the mother and her family. Many women who suffer such loss go on to conceive another baby during this psychologically fragile time when grief and trauma dominate. Although pregnancy after loss may bring hope, it can come with exceptionally high anxiety and distress. Unfortunately, pregnancy after loss, especially if progressed to beyond the gestation of the previous loss, is not always recognised by health professionals as an acutely vulnerable time for parents. Whilst many caregivers receive training in how to break bad news and support bereaved parents around the time of loss, few receive guidance on optimal psychosocial care for parents during a subsequent pregnancy. There can also be hesitance on the part of health professionals to mention the baby who died, which means that many families are left to cope with this distress in their own time. However, if the psychosocial aspects of the new pregnancy are negotiated with skill and the right support, this period can restore some psychological balance for parents and support bonding with the baby who died as well as attachment to the growing baby. This article, written by parents who have experienced pregnancy after loss and caregivers, offers suggestions for psychosocial care based on how trauma and grief impact women and partners in subsequent pregnancies. We propose a set of communication strategies that involve gently acknowledging the loss and anticipating its effects on how the new pregnancy is experienced, as well as organisational strategies that offer an additional emotional safety net. Together, these suggestions have the potential of creating a pregnancy experience that allows for better communication between expectant parents and health professionals.</p>\u0000 </div>","PeriodicalId":50729,"journal":{"name":"Bjog-An International Journal of Obstetrics and Gynaecology","volume":"132 8","pages":"1019-1031"},"PeriodicalIF":4.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Diabetes a Riskfactor for VTE?","authors":"Laurine L. van der Slink","doi":"10.1111/1471-0528.18138","DOIUrl":"10.1111/1471-0528.18138","url":null,"abstract":"<p><b>Linked article:</b> This is a mini commentary on Orrin et al., pp. 1076–1085 in this issue. To view this article, visit https://doi.org/10.1111/1471-0528.18043.</p>","PeriodicalId":50729,"journal":{"name":"Bjog-An International Journal of Obstetrics and Gynaecology","volume":"132 8","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143660400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Author Reply.","authors":"Hitomi Okubo, Shoji F Nakayama, Asako Mito, Naoko Arata, Yukihiro Ohya","doi":"10.1111/1471-0528.18130","DOIUrl":"https://doi.org/10.1111/1471-0528.18130","url":null,"abstract":"","PeriodicalId":50729,"journal":{"name":"Bjog-An International Journal of Obstetrics and Gynaecology","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Sonographic Deviations in the Perineum and Symptoms of a Deficient Perineum in Primiparous Women One Year After Birth: A Prospective Cohort Study","authors":"Hanne S. Lilleberg,&nbsp;Franziska Siafarikas,&nbsp;Marianne Starck,&nbsp;Kari Bø,&nbsp;Emilia Rotstein,&nbsp;Marie Ellström Engh","doi":"10.1111/1471-0528.18135","DOIUrl":"10.1111/1471-0528.18135","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to investigate whether primiparous women with sonographic deviations in the muscles fusing into the perineal body reported more symptoms of deficient perineum than women without deviations 1 year after birth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Non-consecutive prospective cohort study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Akershus University Hospital, Norway.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Population</h3>\u0000 \u0000 <p>Three hundred and eighty-eight primiparas.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Women were examined 1 year after birth using three-dimensional endovaginal and endoanal ultrasound with a high-resolution probe. In the blinded analysis, the transverse perineal, the puboperinealis and the puboanalis muscles were identified where they fuse into the perineal body and assessed for deviations. Symptoms of deficient perineum were evaluated using the ‘Karolinska Symptoms After Perineal Teras Inventory’ (KAPTAIN).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Measures</h3>\u0000 \u0000 <p>Symptoms of a deficient perineum, assessed using two outcomes: the median total score of KAPTAIN and a KAPTAIN score ≥ 8 1 year postpartum.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sonographic deviations in one or more of the muscles fusing into the perineal body 1 year after birth were observed in 168 participants (43.3%). Of these, 54 (32.1%) reported a KAPTAIN score ≥ 8. The median KAPTAIN score was 6.0 (IQR 3.0–9.0) in the group with sonographic deviations and 4.0 (IQR 2.0–6.0) in women with a sonographically intact perineum (<i>p</i> &gt; 0.001). The unadjusted and adjusted odds ratio (OR) for reporting a KAPTAIN score ≥ 8 was 2.9 (95% CI 1.7–4.7) and 2.3 (95% CI 1.2–4.2), respectively, when comparing women with sonographic deviations to those with no sonographic deviations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our results indicate that sonographic deviations of the perineal body are associated with symptoms of a deficient perineum in primiparous women 1 year after birth.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50729,"journal":{"name":"Bjog-An International Journal of Obstetrics and Gynaecology","volume":"132 8","pages":"1114-1121"},"PeriodicalIF":4.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143635357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Medically Assisted Reproduction and Postpartum Depression: A Register-Based Cohort Study","authors":"Sofie Egsgaard,&nbsp;Mette Bliddal,&nbsp;Line Riis Jølving,&nbsp;Xiaoqin Liu,&nbsp;Heidi Sonne,&nbsp;Trine Munk-Olsen","doi":"10.1111/1471-0528.18127","DOIUrl":"10.1111/1471-0528.18127","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Undergoing medically assisted reproduction (MAR) has been linked to mixed mental health outcomes in women. We investigated the risk of postpartum depression (PPD) among mothers conceiving with MAR compared to mothers conceiving spontaneously.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Register-Based Study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Denmark.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Population</h3>\u0000 \u0000 <p>125 870 mothers with a PPD screening record who gave birth between 2015 and 2019.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We linked mothers' PPD screening records to national health registers and defined MAR conception linking childbirths to MAR treatments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Measures</h3>\u0000 \u0000 <p>We defined PPD as an Edinburgh Postnatal Depression Scale score of ≥ 11. We performed logistic regression on the risk of PPD among mothers who conceived with MAR compared to spontaneous conception and further assessed variations according to duration, type, and indication for MAR.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study population included 10 977 mothers with MAR conception and 114 893 with spontaneous conception, of which 767 (7%) and 8767 (8%) had PPD. We found a lower risk (adjusted risk ratio 0.87, 95% CI [0.80–0.93]) of PPD among mothers with MAR conception compared to spontaneous conception, with smaller variations according to type, duration and indication for MAR.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We observed a lower risk of PPD among mothers with MAR conception compared to mothers with spontaneous conception. While it is unlikely that MAR itself is protective of PPD, women who seek MAR may have a strong desire and psychological preparedness for parenthood, which could explain the observed findings. Among mothers conceiving with MAR, PPD risk may vary depending on the type of MAR treatment and underlying reasons for seeking MAR.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50729,"journal":{"name":"Bjog-An International Journal of Obstetrics and Gynaecology","volume":"132 7","pages":"991-999"},"PeriodicalIF":4.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1471-0528.18127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143640804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors for Adverse Pregnancy Outcomes in Reduced Fetal Movement: An IPD Meta-Analysis","authors":"Yongyi Lu,&nbsp;Victoria Palin,&nbsp;Alexander Heazell","doi":"10.1111/1471-0528.18132","DOIUrl":"10.1111/1471-0528.18132","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Women experiencing reduced fetal movements (RFM) have an increased risk of adverse pregnancy outcomes (APO). This study aimed to identify factors most associated with APO in RFM pregnancies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Individual participant data meta-analysis (IPD-MA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Multiple maternity units across the UK.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Population or Sample</h3>\u0000 \u0000 <p>1175 singleton pregnancies with RFM between 28⁺⁰ and 41⁺⁰ weeks' gestation from four prospective cohorts and two randomised controlled trials (RCTs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Factors associated with APO were assessed using two-stage IPD-MA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Measures</h3>\u0000 \u0000 <p>A composite adverse pregnancy outcome, including: adjusted Odds Ratio, stillbirth, fetal growth restriction (FGR, birthweight ≤ 3rd centile) and neonatal intensive care unit (NICU) admission.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Results</h3>\u0000 \u0000 <p>APO occurred in 7.7% of RFM pregnancies, with FGR being the most common complication (4.6%). The strongest associations with APO were observed for abnormal fetal heart rate (adjusted Odds Ratio (aOR) = 3.65, 95% CI: 1.84–7.23), cigarette smoking (aOR = 2.96, 95% CI: 1.36–6.44) and maternal past medical history (aOR = 2.35, 95% CI: 1.14–4.82). Lower estimated fetal weight (EFW) centile was also significantly associated with APO (aOR = 0.97, 95% CI: 0.95–0.99), though substantial heterogeneity was present between studies (<i>I</i>² = 80.74%, <i>Q</i>-statistic: <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>IPD-MA enabled the synthesis of individual-level data across studies, allowing for more accurate and reliable associations by accounting for heterogeneity. Further work is required to investigate the model's generalisability across diverse populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50729,"journal":{"name":"Bjog-An International Journal of Obstetrics and Gynaecology","volume":"132 7","pages":"1000-1009"},"PeriodicalIF":4.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1471-0528.18132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143635323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antenatal Corticosteroids and Neurodevelopmental Outcomes: Some Reassuring Data","authors":"Annie M. Dude","doi":"10.1111/1471-0528.18136","DOIUrl":"10.1111/1471-0528.18136","url":null,"abstract":"<p><b>Linked Article:</b> This is a mini commentary on Frier et al., pp. 902–915 in this issue To view this article, visit https://doi.org/10.1111/1471-0528.18101.</p>","PeriodicalId":50729,"journal":{"name":"Bjog-An International Journal of Obstetrics and Gynaecology","volume":"132 7","pages":"916-917"},"PeriodicalIF":4.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143640802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Importance of Standardised Protocols in Prenatal Ultrasound","authors":"Ilaria Fantasia,&nbsp;Paolo Volpe","doi":"10.1111/1471-0528.18137","DOIUrl":"10.1111/1471-0528.18137","url":null,"abstract":"<p><b>Linked article:</b> This is a mini commentary on Bultez et al., pp. 1065–1073 in this issue. To view this article, visit https://doi.org/10.1111/1471-0528.18102.</p>","PeriodicalId":50729,"journal":{"name":"Bjog-An International Journal of Obstetrics and Gynaecology","volume":"132 8","pages":"1074-1075"},"PeriodicalIF":4.7,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}