Best Practice & Research Clinical Obstetrics & Gynaecology最新文献_第7页

Reproductive decision-making in cancer susceptibility syndromes 癌症易感综合征的生殖决策。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102527

引用次数: 0

Screening for women at risk of spontaneous preterm birth, including cervical incompetence 筛查有自然早产风险的妇女，包括宫颈机能不全的妇女

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102519

引用次数: 0

Antenatal reproductive screening for pregnant people including preconception: Provides the best reproductive opportunity for informed consent, quality, and safety 为孕妇提供产前生殖筛查，包括孕前筛查：为知情同意、质量和安全提供最佳生殖机会。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102520

{"title":"Antenatal reproductive screening for pregnant people including preconception: Provides the best reproductive opportunity for informed consent, quality, and safety","authors":"","doi":"10.1016/j.bpobgyn.2024.102520","DOIUrl":"10.1016/j.bpobgyn.2024.102520","url":null,"abstract":"<div><h3>Introduction</h3><p><span>This antenatal screening review will include reproductive screening evidence and approaches for pre-conception and post-conception, using first to </span>third trimester screening opportunities.</p></div><div><h3>Methods</h3><p>Focused antenatal screening peer-reviewed publications were evaluated and summarized.</p></div><div><h3>Results</h3><p>Evidenced-based reproductive antenatal screening elements should be offered and discussed, with the pregnancy planning or pregnant person, during Preconception (genetic carrier screening for reproductive partners, personal and family (including reproductive partner) history review for increased genetic and pregnancy morbidity risks); First Trimester<span><span> (fetal dating with ultrasound; fetal aneuploidy<span> screening plus consideration for expanded fetal morbidity criteria, if appropriate; pregnant person preeclampsia<span> screening; early fetal anatomy screening; early fetal cardiac screening); </span></span></span>Second Trimester<span> for standard fetal anatomy screening (18–22 weeks) including cardiac; pregnant person placental and cord pathology screening; pregnant person preterm birth screening with cervical length measurement); Third Trimester (fetal growth surveillance; continued preterm birth risk surveillance).</span></span></p></div><div><h3>Conclusion</h3><p>Antenatal reproductive screening has multiple elements, is complex, is time-consuming, and requires the use of pre- and post-testing counselling for most screening elements. The use of preconception and trimesters ‘one to three’ requires clear patient understanding and buy-in. Informed consent and knowledge transfer is a main goal for antenatal reproductive screening approaches.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"96 ","pages":"Article 102520"},"PeriodicalIF":3.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592417","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

Bladder Endometriosis: What do we know and what is left to find out? A narrative review 膀胱子宫内膜异位症：我们知道什么，还有什么有待发现？叙述性综述。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102536

Kyle Fleischer , Averyl Bachi , Jonathan Kam , Priya Narayanan , Rajesh Nair , Shaheen Khazali

引用次数: 0

Is there a need for screening of cervical HPV infections and carcinoma? 是否有必要筛查宫颈 HPV 感染和癌变？

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102522

{"title":"Is there a need for screening of cervical HPV infections and carcinoma?","authors":"","doi":"10.1016/j.bpobgyn.2024.102522","DOIUrl":"10.1016/j.bpobgyn.2024.102522","url":null,"abstract":"<div><p>Antenatal cervical screening aims to detect cervical intraepithelial neoplasms as precancerous lesions and invasive cervical cancer. Whether this screening is performed routinely during pregnancy varies depending on each country’s screening participation rates, guidelines, and the risks to the pregnant woman. In some countries with the high rate of routinely implemented cervical screening among the target women, women are recommended to defer cervical screening intentionally to post-delivery, though having screening in consultation with physicians may be possible if routine screening overlaps. However, when cervical screening rate in fertile women is low and the incidence of cervical cancer is high, cervical screening during pregnancy may play an important role in the early detection of cervical cancer. Cervical screening using high-risk human papillomavirus (HPV) testing is accepted worldwide as a highly sensitive and objective test method, and it should replace traditional primary cervical cytology in the future. However, the benefits and disadvantages of using HPV testing in pregnant women is unclear because a false positive rate may be increased due to pregnant women being generally under an immunosuppressed condition.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"96 ","pages":"Article 102522"},"PeriodicalIF":3.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1521693424000683/pdfft?md5=823b9a81d381b63a535ecc31562e5a06&pid=1-s2.0-S1521693424000683-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141408350","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

Pre-eclampsia challenges and care in low and middle-income countries: Understanding diagnosis, management, and health impacts in remote and developing regions 中低收入国家的子痫前期挑战与护理：了解偏远和发展中地区的诊断、管理和健康影响。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102525

{"title":"Pre-eclampsia challenges and care in low and middle-income countries: Understanding diagnosis, management, and health impacts in remote and developing regions","authors":"","doi":"10.1016/j.bpobgyn.2024.102525","DOIUrl":"10.1016/j.bpobgyn.2024.102525","url":null,"abstract":"<div><p>As an example of a low- and middle-income country (LMIC), India ranks pre-eclampsia among the top three causes of maternal mortality, following haemorrhage and infections. It is one of the primary concerns for maternal and perinatal health<span> in LMICs. Many LMICs lack clear consensus and guidelines for the prevention, diagnosis, and management of hypertensive disorders in pregnancy, including pre-eclampsia. The International Society for the Study of Hypertension in Pregnancy<span> 2021 guidelines address LMIC applications, offering customisable solutions. Atypical presentations of pre-eclampsia contribute to diagnostic delays, resulting in additional adverse maternal and perinatal outcomes. Implementing management strategies faces challenges in both urban and rural settings. Adapting global research involving local populations is imperative, with the potential for cost-effective adoption of international guidelines. Prevention, early diagnosis, and education dissemination are essential, involving healthcare providers and advocacy initiatives. Encouraging government investment in pre-eclampsia management as a public health initiative is important. This article explores socio-economic, cultural, and legislative factors influencing the management of pre-eclampsia in LMICs, addressing emerging challenges and potential partnerships for healthcare provision.</span></span></p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"96 ","pages":"Article 102525"},"PeriodicalIF":3.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536104","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

“The Green Peace” How ICG can prevent complications in endometriosis surgery? "绿色和平 "ICG 如何预防子宫内膜异位症手术并发症

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102505

引用次数: 0

Screening for viral hepatitis carriage 筛查病毒性肝炎携带者。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102523

引用次数: 0

Endometrioma surgery: Hit with your best shot (But know when to stop) 子宫内膜瘤手术：全力一击（但要懂得适可而止）。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102528

{"title":"Endometrioma surgery: Hit with your best shot (But know when to stop)","authors":"","doi":"10.1016/j.bpobgyn.2024.102528","DOIUrl":"10.1016/j.bpobgyn.2024.102528","url":null,"abstract":"<div><p>Ovarian endometriomas (OEs) are commonly detected by ultrasound in individuals affected by endometriosis. Although surgery was widely regarded in the past as the gold standard for treating OEs, especially in the case of large cysts, the surgical management of OEs remains debated. Firstly, OEs often represent the “tip of the iceberg” of underlying deep endometriosis, and this should be considered when treating OEs to ameliorate patients’ pain for focusing on the surgical objectives and providing better patient counseling. In the context of fertility care, OEs may have a detrimental effect on ovarian reserve through structural alterations, inflammatory responses, and oocyte reserve depletion. Conversely, the surgical approach may exacerbate the decline within the same ovarian reserve. While evidence suggests no improvement in in-vitro fertilization (IVF) outcomes following OE surgery, further studies are needed to understand the impact of OE surgery on spontaneous fertility. Therefore, optimal management of OEs is based on individual patient and fertility characteristics such as the woman's age, length of infertility, results of ovarian reserve tests, and surgical background. Among the available surgical approaches, cystectomy appears advantageous in terms of reduced recurrence rates, and traditionally, bipolar coagulation has been used to achieve hemostasis following this approach. Driven by concerns about the negative impact on ovarian reserve, alternative methods to obtain hemostasis include suturing the cyst bed, and novel methodologies such as CO2 laser and plasma energy have emerged as viable surgical options for OEs. In instances where sonographic OE features are non-reassuring, surgery should be contemplated to obtain tissue for histological diagnosis and rule out eventual ovarian malignancy.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"96 ","pages":"Article 102528"},"PeriodicalIF":3.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1521693424000749/pdfft?md5=0d301360268f8831263b171bd1607df1&pid=1-s2.0-S1521693424000749-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560564","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

Impact of surgery on reproductive outcomes in women with deep endometriosis and proven presurgical infertility: Facts and controversies 手术对患有深部子宫内膜异位症并经证实在手术前不孕的妇女生育结果的影响：事实与争议。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102524

{"title":"Impact of surgery on reproductive outcomes in women with deep endometriosis and proven presurgical infertility: Facts and controversies","authors":"","doi":"10.1016/j.bpobgyn.2024.102524","DOIUrl":"10.1016/j.bpobgyn.2024.102524","url":null,"abstract":"<div><p><span>In women with proven infertility and deep endometriosis (DE), optimal management is controversial. To date, there is no clear evidence on the association between infertility and different stages of rASRM, nor is there clear guidance from leading scientific societies for surgical treatment of DE patients. A comprehensive literature search was conducted on the main databases for English-language trials describing the effectiveness of surgery for DE in patients with proven infertility; 16 studies were deemed eligible for inclusion in this </span>systematic review<span> (CRD42024498888). Quantitative analysis was not possible because of the heterogeneity of the data. A descriptive summary of the results according to location of pathology, surgical technique used, and whether assisted reproductive technology (ART) was needed or not was provided.</span></p><p>A total of 947 infertile women were identified, 486 of whom became pregnant, with an average pregnancy rate of 51.3%. Our review suggests that surgery can be of valuable help in improving reproductive outcomes by improving the results of ART. It has not been possible to reach robust conclusions on the outcomes of surgery based on the location of DE because of the heterogeneity of evidence available to date.</p><p>Overall, although some data encourage first-line surgical management, further investigation is needed to determine its effective application before or after ART failure.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"96 ","pages":"Article 102524"},"PeriodicalIF":3.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443929","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