Best Practice & Research Clinical Obstetrics & Gynaecology最新文献_第6页

Preventing maternal morbidity and mortality from preeclampsia and eclampsia particularly in low- and middle-income countries 特别是在低收入和中等收入国家预防先兆子痫和子痫导致的孕产妇发病率和死亡率

IF 5.5 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-02-15 DOI: 10.1016/j.bpobgyn.2024.102473

Nnabuike Chibuoke Ngene , Jagidesa Moodley

{"title":"Preventing maternal morbidity and mortality from preeclampsia and eclampsia particularly in low- and middle-income countries","authors":"Nnabuike Chibuoke Ngene , Jagidesa Moodley","doi":"10.1016/j.bpobgyn.2024.102473","DOIUrl":"10.1016/j.bpobgyn.2024.102473","url":null,"abstract":"<div><p>Preeclampsia (PE) is a complex heterogeneous disorder with overlapping clinical phenotypes that complicate diagnosis and management. Although several pathophysiological mechanisms have been proposed, placental dysfunction due to inadequate remodelling of uterine spiral arteries leading to mal-perfusion and syncytiotrophoblast stress is recognized as the unifying characteristic of early-onset PE. Placental overgrowth and or premature senescence are probably the causes of late-onset PE. The frequency of PE has increased over the last few decades due to population-wide increases in risk factors viz. obesity, diabetes, multifetal pregnancies and pregnancies at an advanced maternal age. Whilst multimodal tools with components comprising risk factors, biomarkers and sonography are used for predicting PE, aspirin is most effective in preventing early-onset PE. The incidence and clinical consequences of PE and eclampsia are influenced by socioeconomic and cultural factors, therefore management strategies should involve multi-sector partnerships to mitigate the adverse outcomes.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1521693424000191/pdfft?md5=eca890bbc1d26f3406fa3b443459d414&pid=1-s2.0-S1521693424000191-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139897682","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

Perineal injuries during vaginal birth in low-resource countries 低资源国家阴道分娩过程中的会阴损伤

IF 5.5 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-02-15 DOI: 10.1016/j.bpobgyn.2024.102484

S.R Ramphal , A.H. Sultan

引用次数: 0

Sentinel Lymph node detection in endometrial cancer - Anatomical and scientific facts 子宫内膜癌前哨淋巴结检测--解剖学和科学事实

IF 5.5 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-02-15 DOI: 10.1016/j.bpobgyn.2024.102483

Rainer Kimmig, Fabinshi Thangarajah, Paul Buderath

{"title":"Sentinel Lymph node detection in endometrial cancer - Anatomical and scientific facts","authors":"Rainer Kimmig, Fabinshi Thangarajah, Paul Buderath","doi":"10.1016/j.bpobgyn.2024.102483","DOIUrl":"10.1016/j.bpobgyn.2024.102483","url":null,"abstract":"<div><p>Anatomical and functional aspects of the lymphatic drainage of the uterine corpus in endometrial cancer are demonstrated. Main lymphatic pathway runs along the upper pelvic pathway from the uterine artery first line to the medial external iliac nodes, followed by the lateral external and common iliac node basin. The second important pathway runs along the ovarian vessels directly to the paraaortic nodes. Pathways may visualized best by injection of indocyanine green (ICG) into the uterus. In contrast to the upper pelvic pathway visualized by cervical injection, the paraaortic drainage can only be marked by corporal injection. Lymphatic drainage works downstream (peripheral to central, with respect to vascular valves) only. Clinically, pelvic sentinel node excision replaced systematic lymphadenectomy for diagnostic purposes and even paraaortic node staging can be omitted in most of pelvic node negative patients. For therapeutic purposes compartmental resection of the uterus together with its lymphovascular system and first line nodes “en bloc” could be an option as performed in peritoneal mesometrial resection/targeted compartmental lymphadenctomy (PMMR/TCL).</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1521693424000294/pdfft?md5=7a4edd06c0ed855c74a3399ad18fae44&pid=1-s2.0-S1521693424000294-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139897157","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

Robotic-assisted fertility sparing surgery in gynecological oncology 妇科肿瘤中的机器人辅助保胎手术

IF 5.5 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-02-15 DOI: 10.1016/j.bpobgyn.2024.102485

Christos Iavazzo, Kalliopi Kokkali, Emmanouil Kaouras, Alexandros Fotiou

引用次数: 0

Post-pregnancy family planning in Southeast Asia with a focus on novel training techniques 东南亚的孕后计划生育，重点是新型培训技术

IF 5.5 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-02-14 DOI: 10.1016/j.bpobgyn.2024.102479

Kusum Thapa , Sapana Amatya , Anil Thapa , Meghan Greeley

{"title":"Post-pregnancy family planning in Southeast Asia with a focus on novel training techniques","authors":"Kusum Thapa , Sapana Amatya , Anil Thapa , Meghan Greeley","doi":"10.1016/j.bpobgyn.2024.102479","DOIUrl":"10.1016/j.bpobgyn.2024.102479","url":null,"abstract":"<div><p>Postpartum Family Planning is a critical strategy in the first 12 months post-childbirth. It aims to prevent unintended, closely spaced pregnancies and thereby help reducing maternal, neonatal as well as child morbidity and mortality. Despite its significance, many women remain without contraception despite a desire to avoid pregnancy. The World Health Organization suggests a 24-month inter-pregnancy interval after delivery, emphasizing the importance of contraceptive counselling from the antenatal to the immediate postpartum period. In South Asia, utilization of PPFP is minimal, even though the inclination towards birth spacing is high. Addressing these needs requires strengthening the capacity of service providers and promoting evidence-based practices. Novel training approaches in South Asia are Competency-Based On-the-Job Training, Group Based Training, Simulation Training, E-Learning, Mentorship Programs, and Continuing Professional Development. Among these, On-the-Job Training and Group Based Training were notably implemented. Emphasizing PPFP and ensuring proper training in this domain is essential for women's health and well-being post-delivery.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139897490","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

An overview of diabetes mellitus in pregnant women with obesity 肥胖孕妇糖尿病概述

IF 5.5 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-02-10 DOI: 10.1016/j.bpobgyn.2024.102469

Mohammed Bashir , Yassin Fagier , Badreldeen Ahmed , Justin C Konje

{"title":"An overview of diabetes mellitus in pregnant women with obesity","authors":"Mohammed Bashir , Yassin Fagier , Badreldeen Ahmed , Justin C Konje","doi":"10.1016/j.bpobgyn.2024.102469","DOIUrl":"https://doi.org/10.1016/j.bpobgyn.2024.102469","url":null,"abstract":"<div><p>Rates of obesity are increasing world-wide with an estimated 1billion people projected to be obese by 2030 if current trends remain unchanged. Obesity currently considered one of the most significant associated factors of non-communicable diseases poses the greatest threat to health. Diabetes mellitus is an important metabolic disorder closely associated with obesity. It is therefore expected that with the increasing rates of obesity, the rates of diabetes in pregnancy will also be rising. This disorder may pre-date pregnancy (diagnosed or undiagnosed and diagnosed for the first time in pregnancy) or may be of onset in pregnancy. Irrespective of the timing of onset, diabetes in pregnancy is associated with both fetal and maternal complications. Outcomes are much better if control is maximised. Early diagnosis, multidisciplinary care and tailored management with optimum glycaemic control is associated with a significant reduction in not only pregnancy complications but long-term consequences on both the mother and offspring. This review brings together the current understanding of the pathogenesis of the endocrine derangements that are associated with diabetes in pregnancy how screening should be offered and management including pre-pregnancy care and the role of newer agents in management.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1521693424000154/pdfft?md5=e56efa6888c53a0945910188a18284a0&pid=1-s2.0-S1521693424000154-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139738814","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

Chapter 11. Endometriosis-related complications in women undergoing in-vitro fertilization 第11章体外受精妇女的子宫内膜异位症相关并发症

IF 5.5 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-01-12 DOI: 10.1016/j.bpobgyn.2024.102456

Laura Melado , Baris Ata

引用次数: 0

Epidemiology of infertility in women with endometriosis 子宫内膜异位症妇女不孕症的流行病学研究

IF 5.5 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-01-03 DOI: 10.1016/j.bpobgyn.2023.102454

Umberto Leone Roberti Maggiore , Valentina Chiappa , Marcello Ceccaroni , Giovanni Roviglione , Luca Savelli , Simone Ferrero , Francesco Raspagliesi , Ludovica Spanò Bascio

引用次数: 0

Surgical treatment of deep endometriosis: Impact on spontaneous conception 深部子宫内膜异位症的手术治疗：对自然受孕的影响

IF 5.5 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-01-03 DOI: 10.1016/j.bpobgyn.2024.102455

Georgios Grigoriadis , Angelos Daniilidis , Benjamin Merlot , Konstantinos Stratakis , Thomas Dennis , Adrien Crestani , Isabella Chanavaz-Lacheray , Horace Roman

{"title":"Surgical treatment of deep endometriosis: Impact on spontaneous conception","authors":"Georgios Grigoriadis , Angelos Daniilidis , Benjamin Merlot , Konstantinos Stratakis , Thomas Dennis , Adrien Crestani , Isabella Chanavaz-Lacheray , Horace Roman","doi":"10.1016/j.bpobgyn.2024.102455","DOIUrl":"10.1016/j.bpobgyn.2024.102455","url":null,"abstract":"<div><p><span>Deep endometriosis (DE) is the most severe form of endometriosis and is commonly associated with infertility. Surgical treatment of DE appears to increase chances of spontaneous conception in appropriately selected patients wishing to conceive. Identifying, however, the exact impact of DE, and its surgical removal, on natural conception is highly challenging. The surgical approach should be favoured in symptomatic patients with pregnancy intention. Limited data from infertile patients suggest that outcomes may not differ from patients without known infertility. Complex DE surgery carries a risk of serious complications, therefore, it should be performed in centers of expertise. Such complications may, however, not have a significant negative impact on fertility outcomes, according to limited available data. Data on </span>obstetric<span> outcomes of spontaneous conceptions after DE surgery are too scarce. In asymptomatic, infertile patients the debate between primary surgery or Artifial Reproductive Technology is ongoing, until randomized studies report their results.</span></p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139082124","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

Tips and tricks in gynaecological robotic surgery 妇科机器人手术的技巧和窍门

IF 5.5 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-12-31 DOI: 10.1016/j.bpobgyn.2023.102453

Kamana Subba , Esther Lambert , Alaa El-Ghobashy

引用次数: 0