International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics最新文献

{"title":"Adverse neonatal outcomes in pregnant women with asthma: An updated systematic review and meta-analysis.","authors":"Annelies L. Robijn, S. Harvey, M. Jensen, Samuel Atkins, Kiah Quek, Gang Wang, Hannah Smith, Christina Chambers, Jennifer Namazy, Michael Schatz, Peter Gibson, Vanessa Murphy","doi":"10.1016/j.jaci.2023.11.737","DOIUrl":"https://doi.org/10.1016/j.jaci.2023.11.737","url":null,"abstract":"","PeriodicalId":517240,"journal":{"name":"International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics","volume":"35 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139897498","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}

{"title":"Climate change, women's health, and the role of obstetricians and gynecologists in leadership.","authors":"Linda C Giudice,&nbsp;Erlidia F Llamas-Clark,&nbsp;Nathaniel DeNicola,&nbsp;Santosh Pandipati,&nbsp;Marya G Zlatnik,&nbsp;Ditas Cristina D Decena,&nbsp;Tracey J Woodruff,&nbsp;Jeanne A Conry","doi":"10.1002/ijgo.13958","DOIUrl":"https://doi.org/10.1002/ijgo.13958","url":null,"abstract":"<p><p>Climate change is one of the major global health threats to the world's population. It is brought on by global warming due in large part to increasing levels of greenhouse gases resulting from human activity, including burning fossil fuels (carbon dioxide), animal husbandry (methane from manure), industry emissions (ozone, nitrogen oxides, sulfur dioxide), vehicle/factory exhaust, and chlorofluorocarbon aerosols that trap extra heat in the earth's atmosphere. Resulting extremes of weather give rise to wildfires, air pollution, changes in ecology, and floods. These in turn result in displacement of populations, family disruption, violence, and major impacts on water quality and availability, food security, public health and economic infrastructures, and limited abilities for civil society to maintain citizen safety. Climate change also has direct impacts on human health and well-being. Particularly vulnerable populations are affected, including women, pregnant women, children, the disabled, and the elderly, who comprise the majority of the poor globally. Additionally, the effects of climate change disproportionally affect disadvantaged communities, including low income and communities of color, and lower-income countries that are at highest risk of adverse impacts when disasters occur due to inequitable distribution of resources and their socioeconomic status. The climate crisis is tilting the risk balance unfavorably for women's sexual and reproductive health and rights as well as newborn and child health. Obstetrician/gynecologists have the unique opportunity to raise awareness, educate, and advocate for mitigation strategies to reverse climate change affecting our patients and their families. This article puts climate change in the context of women's reproductive health as a public health issue, a social justice issue, a human rights issue, an economic issue, a political issue, and a gender issue that needs our attention now for the health and well-being of this and future generations. FIGO joins a broad coalition of international researchers and the medical community in stating that the current climate crisis presents an imminent health risk to pregnant people, developing fetuses, and reproductive health, and recognizing that we need society-wide solutions, government policies, and global cooperation to address and reduce contributors, including fossil fuel production, to climate change.</p>","PeriodicalId":517240,"journal":{"name":"International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics","volume":" ","pages":"345-356"},"PeriodicalIF":3.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9298078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39555004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of three biopsy forceps for hysteroscopic endometrial biopsy in postmenopausal patients (HYGREB-1): A multicenter, single-blind randomized clinical trial.","authors":"Salvatore Giovanni Vitale,&nbsp;Antonio Simone Laganà,&nbsp;Salvatore Caruso,&nbsp;Simone Garzon,&nbsp;Giada Maria Vecchio,&nbsp;Valentina Lucia La Rosa,&nbsp;Jvan Casarin,&nbsp;Fabio Ghezzi","doi":"10.1002/ijgo.13669","DOIUrl":"https://doi.org/10.1002/ijgo.13669","url":null,"abstract":"<p><strong>Objective: </strong>To compare three types of biopsy forceps for hysteroscopic endometrial biopsy in postmenopausal women.</p><p><strong>Methods: </strong>Postmenopausal women undergoing operative hysteroscopy with endometrial biopsy for abnormal uterine bleeding or endometrial thickness (≥5 mm) were included. Operative hysteroscopy with endometrial biopsy was performed by hysteroscopic forceps. Women were randomized (1:1:1 ratio) in three groups and allocated to undergo endometrial biopsy by hysteroscopy using spoon, alligator, or snake forceps.</p><p><strong>Results: </strong>Seventy-five women were included in the study, 25 in each group. The duration of the biopsy was comparable between the three groups (P = 0.334) with a median of 180 seconds (range 20-480 seconds). No differences were observed about the number of attempts (P = 0.602), the use of another instrument (P = 0.276), and the biopsy appropriateness (P = 0.592). The spoon forceps group reported higher levels of pain compared to the alligator and snake forceps groups (P < 0.001). The spoon forceps received significantly lower scores by the operator compared to the alligator and snake forceps (P < 0.001). The alligator and snake forceps reported wider biopsy than the spoon forceps (P < 0.001).</p><p><strong>Conclusion: </strong>Snake and alligator hysteroscopic forceps may be considered the first choice to perform an endometrial biopsy in postmenopausal women. ClinicalTrials.gov: NCT03427957.</p>","PeriodicalId":517240,"journal":{"name":"International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics","volume":" ","pages":"425-432"},"PeriodicalIF":3.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ijgo.13669","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25450139","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}

{"title":"Fetal pulmonary artery Doppler evaluation in pregnant women after recovery from COVID-19.","authors":"Ezgi Turgut,&nbsp;Sule Goncu Ayhan,&nbsp;Deniz Oluklu,&nbsp;Eda Ozden Tokalioglu,&nbsp;Ozlem Moraloglu Tekin,&nbsp;Dilek Sahin","doi":"10.1002/ijgo.13916","DOIUrl":"https://doi.org/10.1002/ijgo.13916","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate fetal lung development using pulmonary artery Doppler in pregnant women who had recovered from COVID-19.</p><p><strong>Methods: </strong>The prospective case-control study included 41 pregnant women who had recovered from COVID-19 and 43 healthy pregnant women (control group). All the women in the study group had been diagnosed with COVID-19 and had completed a quarantine period.</p><p><strong>Results: </strong>The demographic data of patients were similar in the groups (P > 0.05). Main pulmonary artery peak systolic velocity was higher and pulsatility indices were lower in pregnant women who recovered from COVID-19 compared to the controls (P < 0.001, P = 0.001). Acceleration time, ejection time, and acceleration/ejection time ratio (PATET) of the fetal MPA Doppler were significantly decreased in pregnant women who recovered from COVID-19 (P < 0.001, P = 0.036, and P = 0.002, respectively). The patients who had recovered from COVID-19 were divided into two groups: those treated with expectant management and those treated in hospital. The pulmonary artery acceleration time and PATET ratio were significantly lower in the group treated in the hospital (P = 0.023 and P = 0.045, respectively).</p><p><strong>Conclusion: </strong>Detailed Doppler evaluations of the pulmonary artery may help in evaluating the fetal adverse effects of COVID-19 disease.</p>","PeriodicalId":517240,"journal":{"name":"International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics","volume":" ","pages":"450-454"},"PeriodicalIF":3.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9087611/pdf/IJGO-155-450.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39398908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and diagnostic performance of smartphone colposcopy.","authors":"Serdar Aydın,&nbsp;Ayse F G Karasu,&nbsp;Mustafa Maraşlı,&nbsp;Neslihan Bademler,&nbsp;Gürkan Kıran,&nbsp;Hanife R Dural","doi":"10.1002/ijgo.13662","DOIUrl":"https://doi.org/10.1002/ijgo.13662","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the interobserver and intraobserver reliability of smartphone colposcopy (SPC) versus conventional colposcopy and to determine diagnostic performance.</p><p><strong>Methods: </strong>A smartphone back camera was used to capture cervical images before and after application of acetic acid, and after application of lugol solution. Captured images were reviewed independently by two experienced colposcopists and findings were noted as per colposcopy. Smartphone-based diagnostic performance was calculated, and kappa statistics were used for measurement of agreement between SPC and conventional colposcopy findings.</p><p><strong>Results: </strong>A total of 114 women were included in the study. The kappa statistic for intraobserver reliability was 0.77 for both normal colposcopic findings and the transformation zone, indicating substantial agreement. Kappa values were 0.54 for acetowhite epithelium, 0.51 for lugol staining, and 0.51-0.60 for atypical vascularization. Kappa values for interobserver reliability were 0.76 for normal colposcopic findings, 0.56 for acetowhite epithelium, and 0.60 for lugol staining. The sensitivity, specificity, PPV, and NPV of SPC for CIN2+ were 88.2 (95% CI, 72.5-96.7), 48.7 (95% CI, 37.4-60.2), 0.42 (95% CI, 0.36-0.48), and 0.91 (95% CI, 0.79-0.96), respectively.</p><p><strong>Conclusion: </strong>SPC showed substantial agreement between the histologic diagnoses based on the captured images and conventional colposcopic findings.</p>","PeriodicalId":517240,"journal":{"name":"International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics","volume":" ","pages":"404-410"},"PeriodicalIF":3.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ijgo.13662","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25403971","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}

{"title":"Double Foley catheter for labor induction: An alternative method.","authors":"Mehmet Obut,&nbsp;Deniz Balsak,&nbsp;Kemal Sarsmaz,&nbsp;Harun E Tolunay,&nbsp;Erol N Varlı,&nbsp;Dilek Şahin,&nbsp;Aykan Yücel","doi":"10.1002/ijgo.13807","DOIUrl":"https://doi.org/10.1002/ijgo.13807","url":null,"abstract":"<p><strong>Objective: </strong>To introduce a new handmade device, the double Foley catheter (DFC), and compare it with the Foley catheter (FC) and Cook cervical ripening balloon for its effectiveness in labor induction.</p><p><strong>Methods: </strong>This prospective randomized controlled trial included 222 patients with unfavorable cervices. The patients were randomly allocated to the DFC, FC, and Cook cervical ripening balloon groups (n = 74 patients per group). The outcomes were evaluated using SPSS v. 23.</p><p><strong>Results: </strong>Bishop scores successfully increased with all three methods (P = 0.000 for all groups), and the rates of vaginal delivery within 24 and 48 h were similar (P = 0.101 and P = 0.390, respectively). The pain scores of the DFC and Cook cervical ripening balloon groups were similar, but were lower than those of the FC group (P = 0.011). The overall maternal satisfaction scores of the DFC and Cook cervical ripening balloon groups were not significantly different but were higher than those of the FC group (P = 0.014).</p><p><strong>Conclusion: </strong>The maternal safety and success rate of labor induction were comparable between groups. However, the FC group had a higher pain score during catheter insertion and a lower maternal satisfaction rate. Moreover, considering the high cost of the Cook cervical ripening balloon, the DFC has an advantage, especially in low-resource countries.</p>","PeriodicalId":517240,"journal":{"name":"International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics","volume":" ","pages":"496-504"},"PeriodicalIF":3.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ijgo.13807","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39047762","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}

{"title":"The role of umbilical artery velocities in the clinical assessment of twin-twin transfusion syndrome at stage.","authors":"Hong-Li Liu,&nbsp;Shuai Huang,&nbsp;Xing Wang,&nbsp;Hong-Bo Qi,&nbsp;Jun-Nan Li,&nbsp;Lan Zhang","doi":"10.1002/ijgo.13590","DOIUrl":"https://doi.org/10.1002/ijgo.13590","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the discordances of the umbilical artery velocities between pregnancies with twin-twin transfusion syndrome (TTTS) at stage I and those with normal monochorionic-diamniotic (MCDA) twins, and investigate the value of their discordances in predicting TTTS at stage I.</p><p><strong>Methods: </strong>We recruited 58 twin pregnancies with TTTS at stage I and 60 normal MCDA twin pregnancies in a tertiary referral center retrospectively. The umbilical artery velocities and their discordances were compared between the normal and TTTS twins.</p><p><strong>Results: </strong>The discordances of umbilical artery mean diastolic velocity (UA-MDV), umbilical artery time-averaged maximum velocity (UA-TAmax), umbilical artery peak systolic velocity (UA-PSV), and umbilical artery end-diastolic velocity (UA-EDV) were higher in the TTTS group than in the normal group. In TTTS co-twins, the UA-MDV, UA-TAmax, UA-PSV, and UA-EDV in recipients were higher than those in donors. The discordances of UA-TAmax and UA-PSV were found to be independent predicting factors for TTTS at stage I.</p><p><strong>Conclusion: </strong>Co-twin umbilical artery velocity discordances were significantly associated with stage I TTTS. The results suggest that UA-TAmax and UA-PSV might be new parameters for predicting TTTS at stage I.</p>","PeriodicalId":517240,"journal":{"name":"International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics","volume":" ","pages":"518-523"},"PeriodicalIF":3.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ijgo.13590","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38802544","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}

{"title":"Prediction score for recurrent adnexal torsion in women with a previous adnexal torsion.","authors":"Raanan Meyer,&nbsp;Nir Meller,&nbsp;Aya Mohr-Sasson,&nbsp;Eiman Abu-Bandora,&nbsp;Adiel Cohen,&nbsp;Mordechai Tamir,&nbsp;Roy Mashiach,&nbsp;Gabriel Levin","doi":"10.1002/ijgo.13660","DOIUrl":"https://doi.org/10.1002/ijgo.13660","url":null,"abstract":"<p><strong>Objective: </strong>To develop a risk score for preoperative prediction of recurrent adnexal torsion (rAT) among women with a history of previous adnexal torsion (AT).</p><p><strong>Methods: </strong>A retrospective cohort study. We included women with a history of AT, presenting with suspected rAT who underwent diagnostic laparoscopy between March 2011 and March 2020. We compared women with rAT to those without. We constructed a prediction score and validated it in a prospectively collected cohort between April 2020 and June 2020.</p><p><strong>Results: </strong>One hundred and fifteen women composed the study cohort. Recurrent AT was confirmed laparoscopically in 86 (74.8%) cases. A risk score for rAT was developed, based on three associated factors: enlarged ovary, no previous oophoropexy and current IVF treatment. In the construction cohort, the rate of torsion was 44.4%, 67.9%, 82.9% and 100% if none, one, two, or three risk factors were present, respectively. In the prospective validation of the risk score, the prediction of one and two risk factors was 60.0% and 100% respectively.</p><p><strong>Conclusion: </strong>Enlarged ovary is independently associated with preoperative rAT diagnosis. Coupled with information regarding the previous surgical approach in previous AT and current IVF use, these factors could be used to efficiently predict rAT among women with a previous AT.</p>","PeriodicalId":517240,"journal":{"name":"International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics","volume":" ","pages":"411-416"},"PeriodicalIF":3.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ijgo.13660","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25403844","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}

{"title":"Maternal characteristics and pregnancy outcomes of hospitalized pregnant women with SARS-CoV-2 infection in South Africa: An International Network of Obstetric Survey Systems-based cohort study.","authors":"Samantha Budhram,&nbsp;Valerie Vannevel,&nbsp;Tanita Botha,&nbsp;Lawrence Chauke,&nbsp;Shastra Bhoora,&nbsp;Gaynor M Balie,&nbsp;Natalie Odell,&nbsp;Hennie Lombaard,&nbsp;Amy Wise,&nbsp;Chrysanthi Georgiou,&nbsp;Nondumiso Ngxola,&nbsp;Emma Wynne,&nbsp;Unati Mbewu,&nbsp;Mfundo Mabenge,&nbsp;Sibusiso Phinzi,&nbsp;Nontsikelelo Gubu-Ntaba,&nbsp;Gareth Goldman,&nbsp;Kay Tunkyi,&nbsp;Sudhir Prithipal,&nbsp;Keshree Naidoo,&nbsp;Santhi Venkatachalam,&nbsp;Terence Moodley,&nbsp;Sean Mould,&nbsp;Mzuvele Hlabisa,&nbsp;Logie Govender,&nbsp;Charlene Maistry,&nbsp;John P Habineza,&nbsp;Priya Israel,&nbsp;Serantha Foolchand,&nbsp;Nomandla V Tsibiyane,&nbsp;Mala Panday,&nbsp;Priya Soma-Pillay,&nbsp;Sumaiya Adam,&nbsp;Felicia Molokoane,&nbsp;Matthew S Mojela,&nbsp;Elizabeth J van Rensburg,&nbsp;Tshililo Mashamba,&nbsp;Mushi Matjila,&nbsp;Sue Fawcus,&nbsp;Ayesha Osman,&nbsp;Mareli Venter,&nbsp;Gregory Petro,&nbsp;Ahminah Fakier,&nbsp;Eduard Langenegger,&nbsp;Catherine A Cluver,&nbsp;Adrie Bekker,&nbsp;Liesl de Waard,&nbsp;Chantal Stewart,&nbsp;Nnabuike C Ngene,&nbsp;Ongombe Lunda,&nbsp;Sylvia N Cebekhulu,&nbsp;Siva Moodley,&nbsp;Mama-Asu Koranteng-Peprah,&nbsp;Emmanuel M C Ati,&nbsp;Salome Maswime,&nbsp;Laura M Yates","doi":"10.1002/ijgo.13917","DOIUrl":"https://doi.org/10.1002/ijgo.13917","url":null,"abstract":"<p><strong>Objective: </strong>To describe risk factors and outcomes of pregnant women infected with SARS-CoV-2 admitted to South African healthcare facilities.</p><p><strong>Methods: </strong>A population-based cohort study was conducted utilizing an amended International Obstetric Surveillance System protocol. Data on pregnant women with SARS-CoV-2 infection, hospitalized between April 14, 2020, and November 24, 2020, were analyzed.</p><p><strong>Results: </strong>A total of 36 hospitals submitted data on 673 infected hospitalized pregnant women; 217 (32.2%) were admitted for COVID-19 illness and 456 for other indications. There were 39 deaths with a case fatality rate of 6.3%: 32 (14.7%) deaths occurred in women admitted for COVID-19 illness compared to 7 (1.8%) in women admitted for other indications. Of the women, 106 (15.9%) required critical care. Maternal tuberculosis, but not HIV co-infection or other co-morbidities, was associated with admission for COVID-19 illness. Rates of cesarean delivery did not differ significantly between women admitted for COVID-19 and those admitted for other indications. There were 179 (35.4%) preterm births, 25 (4.7%) stillbirths, 12 (2.3%) neonatal deaths, and 162 (30.8%) neonatal admissions. Neonatal outcomes did not differ significantly from those of infected women admitted for other indications.</p><p><strong>Conclusion: </strong>The maternal mortality rate was high among women admitted with SARS-CoV-2 infection and higher in women admitted primarily for COVID-19 illness with tuberculosis being the only co-morbidity associated with admission.</p>","PeriodicalId":517240,"journal":{"name":"International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics","volume":" ","pages":"455-465"},"PeriodicalIF":3.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9087659/pdf/IJGO-155-455.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39398907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Duration and quality of sleep during pregnancy are associated with preterm birth and small for gestational age: A prospective study.","authors":"Run Li,&nbsp;Ju Zhang,&nbsp;Yan Gao,&nbsp;Yiqi Zhang,&nbsp;Xi Lan,&nbsp;Hongli Dong,&nbsp;Cheng Wu,&nbsp;Chengwei Yu,&nbsp;Min Peng,&nbsp;Guo Zeng","doi":"10.1002/ijgo.13584","DOIUrl":"https://doi.org/10.1002/ijgo.13584","url":null,"abstract":"<p><strong>Objective: </strong>To explore the associations of duration and quality of sleep during pregnancy with preterm birth and small for gestational age (SGA).</p><p><strong>Methods: </strong>A prospective study was carried out on 1082 healthy women with singleton pregnancies from Chengdu, China. Self-report questionnaires, including duration and quality of sleep and other information, were administered at 8-12, 24-28, and 32-36 weeks of pregnancy. Data on gestational age and weight and length of the neonates were recorded after delivery. After controlling the potential confounders, a multivariable logistic regression model was performed to evaluate whether duration and quality of sleep were associated with preterm birth and SGA.</p><p><strong>Results: </strong>Participants with short duration of sleep during the third trimester were more likely to report preterm birth (odds ratio [OR] 2.16, 95% confidence interval [CI] 1.26-4.81) and SGA (OR 2.67, 95% CI 1.18-6.54). Participants with poor quality of sleep during the third trimester were at high risk for preterm birth (OR 2.26, 95% CI 1.29-5.84) and SGA (OR 2.08, 95% CI 1.19-5.38).</p><p><strong>Conclusion: </strong>Short duration and poor quality of sleep during pregnancy are associated with an increased risk of preterm birth and SGA. Sleep characteristics should be assessed during prenatal evaluations to decrease adverse maternal and fetal outcomes.</p>","PeriodicalId":517240,"journal":{"name":"International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics","volume":" ","pages":"505-511"},"PeriodicalIF":3.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/ijgo.13584","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38800259","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}