Best Practice & Research Clinical Obstetrics & Gynaecology最新文献_第4页

Do all women after hypertensive diseases of pregnancy have the same long-term risk of cardiovascular disease in later life? 妊娠期患有高血压疾病的女性在以后的生活中患心血管疾病的长期风险是否相同？

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2025-03-20 DOI: 10.1016/j.bpobgyn.2025.102597

Johannes J. Duvekot

{"title":"Do all women after hypertensive diseases of pregnancy have the same long-term risk of cardiovascular disease in later life?","authors":"Johannes J. Duvekot","doi":"10.1016/j.bpobgyn.2025.102597","DOIUrl":"10.1016/j.bpobgyn.2025.102597","url":null,"abstract":"<div><div>During pregnancy, most maternal organ systems increase in function or size. This is indeed also the case for cardiovascular function and maternal hemodynamics. Most systems show enormous changes that put a serious strain on these systems. Gestational complications develop when an organ system is unable to meet the increased physiological demands of pregnancy. Pregnancy can be considered as the ultimate stress test for these organ systems. Preeclampsia and gestational hypertension may be considered as a derangement of the hemodynamic and cardiovascular system during pregnancy. During later life the hemodynamic and cardiovascular system again derails when aging has its toll. Cardiovascular morbidity and mortality are greatly increased after pregnancies complicated by hypertensive disorders of pregnancy. These complications must be acknowledged by health care providers as a risk factor for later cardiovascular disease. All women after HDP should be followed scrutinous at least during the first 5–10 years after their deliveries. The focus of the follow-up should be on the development of hypertension. Women with an increased risk are those with early-onset preeclampsia, recurrent preeclampsia and preeclampsia in the last pregnancy. Uncomplicated pregnancies after pregnancies complicated by HDP improve the prognosis substantially. Multiplet pregnancies with HDP tend to have lower risks for CVD in later life than singleton pregnancies with HDP.</div></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"100 ","pages":"Article 102597"},"PeriodicalIF":3.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697739","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

The role of point-of-care ultrasound (POCUS) in maternal medicine 点护理超声（POCUS）在产妇医学中的作用

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2025-03-20 DOI: 10.1016/j.bpobgyn.2025.102599

J.A. van der Zande , K. Rijs , A.A. Shamshirsaz , H. Soliman , A. Franx , R.M. Kauling , J.W. Roos-Hesselink , C.D. van der Marel , K. Verdonk , J.M.J. Cornette

引用次数: 0

Second trimester echocardiography 妊娠中期超声心动图

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2025-03-19 DOI: 10.1016/j.bpobgyn.2025.102592

Enery Gómez-Montes, Ignacio Herraiz, Cecilia Villalain, Alberto Galindo

{"title":"Second trimester echocardiography","authors":"Enery Gómez-Montes, Ignacio Herraiz, Cecilia Villalain, Alberto Galindo","doi":"10.1016/j.bpobgyn.2025.102592","DOIUrl":"10.1016/j.bpobgyn.2025.102592","url":null,"abstract":"<div><div>Fetal echocardiography involves a comprehensive cardiac assessment aiming to make a complete structural examination of the heart as well as to detect signs of cardiovascular adaptation to different insults. For the former, this assessment entails expert's evaluation of the anatomy of the heart including additional views beyond the five axial views used in cardiac screening examinations and always complemented with colour and pulsed Doppler. Echocardiography may accurately diagnose most congenital heart defects in fetal life, which enables adjusting the perinatal management. For the latter, echocardiography encompasses cardiac morphometric assessment to identify signs of cardiac remodeling indicative of cardiac adaptation in structure, shape, and size in response to underlying diseases, and cardiac functional assessment to detect signs of systolic and/or diastolic dysfunction. The most used parameters to study the systolic function (stroke volume, cardiac output, ejection fraction, fractional shortening, and mitral and tricuspid annular plane systolic excursion), diastolic function (characteristics of flow in the precordial veins and through the atrioventricular valves) and global myocardial function (myocardial performance index) will be discussed in this review.</div></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"100 ","pages":"Article 102592"},"PeriodicalIF":3.9,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682823","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

3rd trimester ultrasound assessment 妊娠晚期超声检查

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2025-03-19 DOI: 10.1016/j.bpobgyn.2025.102593

Cecilia Villalain, Alberto Galindo, Enery Gómez-Montes, Ignacio Herraiz

引用次数: 0

Carrier screening and pregnancy 携带者筛查与妊娠

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2025-03-15 DOI: 10.1016/j.bpobgyn.2025.102601

Borut Peterlin , Ana Peterlin

{"title":"Carrier screening and pregnancy","authors":"Borut Peterlin , Ana Peterlin","doi":"10.1016/j.bpobgyn.2025.102601","DOIUrl":"10.1016/j.bpobgyn.2025.102601","url":null,"abstract":"<div><div>Recessive genetic conditions impose a significant burden, often leading to severe childhood disorders, many of which remain untreatable. It is estimated that 1–2 % of couples are at risk of having an affected child in the general population, with the risk being significantly higher in consanguineous couples. Understanding the increased risk of having a child with a recessive disorder empowers prospective parents to make informed reproductive choices. With technological advancements, genetic screening has evolved beyond identifying only a few common conditions. Expanded carrier screening (ESC) now offers a single test that covers a comprehensive list of recessive disorders, addressing those that contribute most significantly to the burden of these conditions within specific populations.</div><div>ESC is recommended for all couples planning a pregnancy, with particular emphasis on consanguineous couples or those who are subfertile. To ensure responsible use of ESC, clinical service delivery should adopt a multidisciplinary approach, providing couples with the information they need to make voluntary, informed decisions. This includes access to high-quality genetic testing, genetic counseling, and psychosocial support.</div><div>National professional societies and governments play a crucial role in shaping guidelines, policies, oversight, and funding to guarantee equitable access to high-quality ESC services.</div></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"100 ","pages":"Article 102601"},"PeriodicalIF":3.9,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682822","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

Fetal Doppler assessment in pregnancy 妊娠期胎儿多普勒评估

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2025-03-14 DOI: 10.1016/j.bpobgyn.2025.102594

Jose H. Ochoa , Daniel Cafici

引用次数: 0

Optimizing advice and approaches for elective fertility preservation 选择性生育保留的优化建议和方法

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2025-03-01 DOI: 10.1016/j.bpobgyn.2025.102591

Nalini Kaul Mahajan

{"title":"Optimizing advice and approaches for elective fertility preservation","authors":"Nalini Kaul Mahajan","doi":"10.1016/j.bpobgyn.2025.102591","DOIUrl":"10.1016/j.bpobgyn.2025.102591","url":null,"abstract":"<div><div>Elective fertility preservation enables women to extend their reproductive window, potentially reducing the need for ineffective fertility treatments later in life. Oocyte cryopreservation (OC), an established fertility preservation technique, is often seen as a means of reproductive autonomy, though its impact remains debated. To avoid detrimental effects of aging it is suggested that OC should be done by 37 years. Freezing ≥20 mature oocytes before 38 years gives a 60–70°% possibility of pregnancy. Success of ovarian tissue cryopreservation and transplantation (OTCT) in cancer survivors has encouraged its use in reproductive aging. OTCT provides a longer reproductive window, allows for spontaneous conception and restores ovarian endocrine function but is highly invasive. Ethical concerns raised for elective fertility preservation include medicalization of reproduction, idealization of the right time for pregnancy, psychological effects of advanced age parenthood and promotion of social inequity. With an increasing demand for elective oocyte freezing there is an urgent need to create awareness about the pros and cons of the techniques, the risks of pregnancy complications at an advanced maternal age and long term health of children born. Gamete preservation cannot guarantee a child. Profertility counselling should be a part of the discussion as there is no substitute for spontaneous conception at a younger age.</div></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"99 ","pages":"Article 102591"},"PeriodicalIF":3.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143644111","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

Cervical assessment 颈评估

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2025-03-01 DOI: 10.1016/j.bpobgyn.2025.102590

Eduardo B. da Fonseca , Thais Bezerra Vasconcelos de Castro , Thereza Dias , Lara Araujo , Daniela Aires

引用次数: 0

Controversies related to the cardiac origin of preeclampsia – Does a mother's heart know? 子痫前期心脏起源的争议——母亲的心脏知道吗？

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2025-03-01 DOI: 10.1016/j.bpobgyn.2025.102600

Eric J. Stöhr

引用次数: 0

Egg freezing for young women: A new dawn for reproductive autonomy? 年轻女性冷冻卵子：生殖自主的新曙光？

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2025-03-01 DOI: 10.1016/j.bpobgyn.2025.102589

Michiel De Proost , Molly Johnston , Heidi Mertes

引用次数: 0