Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC最新文献_第2页

Trans Peoples' Interest in Reproduction and Fertility Preservation: a Cross-Sectional, Descriptive study into Barriers to Reproductive Care. 跨性别人群对生殖和生育保护的兴趣：对生殖保健障碍的横断面描述性研究。

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC Pub Date : 2025-09-18 DOI: 10.1016/j.jogc.2025.103125

Lara Des Roches, Bianca Ziegler, Stacy Deniz

{"title":"Trans Peoples' Interest in Reproduction and Fertility Preservation: a Cross-Sectional, Descriptive study into Barriers to Reproductive Care.","authors":"Lara Des Roches, Bianca Ziegler, Stacy Deniz","doi":"10.1016/j.jogc.2025.103125","DOIUrl":"https://doi.org/10.1016/j.jogc.2025.103125","url":null,"abstract":"Introduction: Trans folks comprise a growing, vulnerable population. Historically, gender-affirming care was synonymous with the loss of reproductive options. Trans and fertility care have been evolving, as such, inquiry into current reproductive interest and barriers to reproduction is warranted.Objective: To ascertain trans peoples' interest in reproductive choices. Our secondary objective was to understand barriers to meeting their reproductive goals.Methods: We conducted a descriptive cross-sectional study using a one-time anonymous survey. Analysis was conducted using descriptive statistics and a thematic analysis by means of inductive coding.Results: Analysis of trans participants' responses revealed 82% (N = 169) of participants are interested in pursuing reproductive options (biologically related children, donor gametes, gestational carriers, or fertility preservation). Sixty eight percent (N = 172) of participants are taking gender affirming hormone therapy or plan to start. Forty nine percent (N = 124) have had, or plan to have, gender-affirming surgery that affects fertility. Trans folks experience many barriers when accessing fertility care; cost, and trans-specific barriers were the most common and insurmountable barriers.Conclusions: Our study highlights that trans folks are interested in reproductive options. However, many trans folks experience significant barriers to meeting their reproductive goals and the impact is significant to quality of life. With most of our survey population identifying as trans at an age, during the window of peak fertility, we highlight the importance of early assessment and treatment to achieve fertility goals.","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"103125"},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103088","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}

引用次数: 0

Healthcare system burden during COVID-19 pandemic and pregnancy outcomes: a population-based study. COVID-19大流行期间的卫生保健系统负担和妊娠结局：一项基于人群的研究

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC Pub Date : 2025-09-18 DOI: 10.1016/j.jogc.2025.103127

Atar Ben Shmuel, Nikola Rasevic, Howard Berger, Elad Mei-Dan, Jon F R Barrett, Nir Melamed, Amir Aviram

{"title":"Healthcare system burden during COVID-19 pandemic and pregnancy outcomes: a population-based study.","authors":"Atar Ben Shmuel, Nikola Rasevic, Howard Berger, Elad Mei-Dan, Jon F R Barrett, Nir Melamed, Amir Aviram","doi":"10.1016/j.jogc.2025.103127","DOIUrl":"https://doi.org/10.1016/j.jogc.2025.103127","url":null,"abstract":"Objective: We aimed explore how the COVID-19 pandemic impacted the incidence of preterm birth and other perinatal outcomes.Methods: A population-based cohort study, using provincial-level population data. The study population consisted of individuals who gave birth in a setting of a single-payer insurer during the period from January 2020 to December 2020. The comparator group included individuals who delivered in the same setting between January 2017 and December 2019. The main outcome measured was preterm birth (PTB) before 37 weeks of gestation. Additionally, we analyzed several secondary outcomes, including PTB at different gestational ages, hypertensive disorders in pregnancy, and composite neonatal morbidity (5-minute Apgar score <5, respiratory distress syndrome, or need for mechanical ventilation).Results: Between January 2020 and December 2020, 116 244 births were documented (study group) and were compared with 363 650 births that occurred between January 2017 and December 2019 (control group). There was no difference in the rate of PTB prior to 37 weeks (7.57% vs. 7.57%, aRR 1.00, 95% CI 0.98-1.02), nor were there differences in the rate of PTB prior to 34, 32, 28 or 26 weeks of gestation. The risk for gestational diabetes was slightly higher (9.54% vs. 8.67%, aRR 1.07, 95% CI 1.05-1.10), as was the risk of composite neonatal morbidity (11.65% vs. 10.85%, aRR 1.06, 95% CI 1.04-1.08).Conclusion: During the first year of the COVID-19 pandemic, the rate of preterm birth was not higher than in previous years. But, a higher risk of gestational diabetes and composite neonatal morbidity was noted.","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"103127"},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102880","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}

引用次数: 0

Validation of a New Malnutrition Screening Tool for Hospitalized Pregnant Women. 一种新的住院孕妇营养不良筛查工具的验证

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC Pub Date : 2025-09-18 DOI: 10.1016/j.jogc.2025.103126

Thi Thu Lieu Nguyen, Thu Huyen Doan, Kieu Trang Ha, Hien Anh Le, Thi Tu Anh Tran, Thi Thanh Xuan Le, Thi Van Anh Nguyen, Thi Huong Le, Thi My Thuc Luu

{"title":"Validation of a New Malnutrition Screening Tool for Hospitalized Pregnant Women.","authors":"Thi Thu Lieu Nguyen, Thu Huyen Doan, Kieu Trang Ha, Hien Anh Le, Thi Tu Anh Tran, Thi Thanh Xuan Le, Thi Van Anh Nguyen, Thi Huong Le, Thi My Thuc Luu","doi":"10.1016/j.jogc.2025.103126","DOIUrl":"10.1016/j.jogc.2025.103126","url":null,"abstract":"Objectives: The Screening for Obstetric Undernutrition in Pregnancy Detection (SOUND-P) is a questionnaire designed to assess the nutrition status of hospitalized pregnant women. The aim of this study was to evaluate the validity and reliability of the SOUND-P among inpatients.Methods: A total of 200 pregnant women were admitted to the National Hospital of Obstetrics and Gynecology, Vietnam from November 2023 to January 2024. Nutritional risk screened by SOUND-P was compared with the International Federation of Gynecology and Obstetrics Nutrition Checklist, the obstetric nutritional risk screening, composite diagnostic criteria, and estimated fetal weight. We determined sensitivity, specificity, positive predictive values, negative predictive values, receiver operator characteristics curve, and the best cut-off scores. Inter-rater reliability was assessed using κ measurements.Results: Using SOUND-P, the optimal cut-off score to identify malnourished pregnant women was 1, with 62.5% of patients at risk of malnutrition. The percentage agreement between dietitian and nurse was 98.0%, with a κ value of 0.96 (95% CI 0.94-1.00). SOUND-P demonstrated sensitivity ranging from 80.65% to 90.70%, specificity ranging from 40.11% to 45.22%, positive predictive values from 12.80% to 31.20%, and negative predictive values from 92.00% to 97.33%. The areas under the receiver operating characteristic curve for SOUND-P were above 0.6.Conclusions: The SOUND-P is a valid and reliable nutrition screening tool for determining malnutrition risk in hospitalized pregnant women.","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"103126"},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103051","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}

引用次数: 0

The proportion of birth asphyxia associated with maternal heart rate artifact during electronic fetal monitoring in labor. 分娩时电子胎儿监护中与母体心率伪影相关的分娩窒息比例。

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC Pub Date : 2025-09-18 DOI: 10.1016/j.jogc.2025.103128

Lawrence Oppenheimer, Mariah Colussi, Laura Payant, Liisa Honey, Daniel Kiely, Jun Ji, Qian Yang, Anna MacIntyre, Reem El Sheriff, Karen Young, Sue Woods, Gary Garber

{"title":"The proportion of birth asphyxia associated with maternal heart rate artifact during electronic fetal monitoring in labor.","authors":"Lawrence Oppenheimer, Mariah Colussi, Laura Payant, Liisa Honey, Daniel Kiely, Jun Ji, Qian Yang, Anna MacIntyre, Reem El Sheriff, Karen Young, Sue Woods, Gary Garber","doi":"10.1016/j.jogc.2025.103128","DOIUrl":"https://doi.org/10.1016/j.jogc.2025.103128","url":null,"abstract":"Objective: To estimate the proportion of birth asphyxia cases associated with delay in delivery (DD) due to maternal heart rate artifact (MHRA).Methods: Retrospective review of Canadian Medical Protective Association closed medico-legal cases of birth asphyxia from 2011-2020 in term labor, leading to hypoxic ischemic encephalopathy, cerebral palsy or stillbirth. The final two hours of electronic fetal monitoring (EFM) were analyzed in 10-minute time epochs by three independent experts using a template for evidence of MHRA judged to have resulted in DD. Records were also assessed for EFM classification, documentation of maternal pulse / MHRA and labor factors.Results: Thirty-four cases of birth asphyxia were identified. Thirteen cases (38%) were found to have DD due to MHRA of which 9 (69%) were in the second stage of labor. The average estimated DD was 44.2 minutes +21.9. There was a lower proportion of time epochs with abnormal EFM in the 13 cases with DD versus 21 cases without DD [14.7% vs. 47.3%, (OR 0.19 (0.11-0.33) P < 0.002)]. Conversely, there was a higher proportion of MHRA [62.9% vs. 5.4%, (OR 29.8 (15.5-57.3) P = 0.002)]. The maternal pulse was documented in 34% vs. 30% respectively. Chart review revealed no recognition by the caregivers of the occurrence of MHRA.Conclusion: Unrecognized MHRA resulting in a falsely reassuring fetal heart rate, mainly in the active second stage, led to DD in more than one third of birth asphyxia cases. These outcomes may be preventable by education and the routine use of technologies to detect MHRA.","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"103128"},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103048","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}

引用次数: 0

Fatal Obstetrical Hemorrhage: A 20-Year Analysis From Ontario. 致死性产科出血：安大略省20年分析。

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC Pub Date : 2025-09-12 DOI: 10.1016/j.jogc.2025.103112

Carolina Lavin Venegas, Kasim E Abdulaziz, Joel G Ray, Mark Walker, Janet Brownlee, Ann E Sprague

{"title":"Fatal Obstetrical Hemorrhage: A 20-Year Analysis From Ontario.","authors":"Carolina Lavin Venegas, Kasim E Abdulaziz, Joel G Ray, Mark Walker, Janet Brownlee, Ann E Sprague","doi":"10.1016/j.jogc.2025.103112","DOIUrl":"10.1016/j.jogc.2025.103112","url":null,"abstract":"Objectives: Obstetric hemorrhage is a leading cause of pregnancy-related death. This study examined the characteristics, subtypes, and timing of obstetrical hemorrhagic deaths within a universal health care system.Methods: Secondary analysis of a retrospective cohort study of linked administrative data, in which 485 post-pregnancy deaths over a 20-year period were identified. Obstetric hemorrhage deaths within 365 days of birth were reviewed by at least 3 clinicians to determine the main cause and timing of death.Results: Of 485 post-pregnancy deaths, 46 (9.5%) were attributed to obstetric hemorrhage, representing 27% of pregnancy-related deaths (46 of 169). All 46 obstetric hemorrhage deaths occurred within 12 days postpartum, with 26 deaths (56.5%) on the day of delivery. The top causes of fatal obstetrical hemorrhage were 9 (19.6%) amniotic fluid embolisms, 6 (13.0%) placental abruptions, and 5 (10.9%) uterine ruptures; but in 14 (30%) cases, the main cause was uncertain. Of all fatal hemorrhages, 3 (6.5%) began antepartum, 17 (37.0%) intrapartum, and 20 (43.5%) postpartum. Deaths were higher in more materially deprived neighbourhoods (39.1% in quintile 5 vs. 6.5% in quintile 1). Obstetric hemorrhage deaths were highest for Sunday deliveries (3.7 per 100 000 births, rate ratio 3.8; 95% CI 0.8-18.8), followed by Monday deliveries (2.7 per 100 000, rate ratio 2.7; 95% CI 0.5-13.9).Conclusions: Obstetric hemorrhage remains a major contributor to pregnancy-related deaths, with most fatalities occurring very early postpartum. This study provides important insights into maternal post-pregnancy deaths due to obstetric hemorrhage in Ontario over a 20-year period.","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"103112"},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145067473","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}

引用次数: 0

First-Line Treatment Use and Survival Outcomes for Patients With Primary Advanced or Recurrent Endometrial Cancer in Alberta, Canada. 加拿大艾伯塔省原发性晚期或复发子宫内膜癌患者的一线治疗使用和生存结果

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC Pub Date : 2025-09-11 DOI: 10.1016/j.jogc.2025.103107

Jacob McGee, Dylan E O'Sullivan, Sophia Pin, Winson Y Cheung, Justin Riemer, Patrick C Turnbull, Diana Martins

{"title":"First-Line Treatment Use and Survival Outcomes for Patients With Primary Advanced or Recurrent Endometrial Cancer in Alberta, Canada.","authors":"Jacob McGee, Dylan E O'Sullivan, Sophia Pin, Winson Y Cheung, Justin Riemer, Patrick C Turnbull, Diana Martins","doi":"10.1016/j.jogc.2025.103107","DOIUrl":"10.1016/j.jogc.2025.103107","url":null,"abstract":"Objective: To describe first-line treatment patterns and factors impacting survival for patients with primary advanced (stage III-IV) or recurrent (A/R) endometrial cancer (EC) in Canada.Methods: This retrospective cohort study used health administrative data for patients with primary A/R EC (2010-2020) in Alberta, Canada. Characteristics by receipt of first-line systemic therapy were compared. Factors impacting overall survival (OS) after first-line chemotherapy were evaluated using a multivariable Cox proportional hazards model.Results: Of 1185 patients included, 817 (68.9%) received first-line systemic therapy (advanced, n = 679 of 885; recurrent, n = 138 of 300). Patients in this cohort were generally younger, with fewer comorbidities than those who did not receive first-line systemic therapy. Patients with recurrent disease who received previous chemotherapy and who had a longer time to recurrence were more likely to receive first-line systemic therapy. The median OS was 53.5 months (95% CI 37.8-80.1); the OS was shorter with older age (≥75 vs. <65 years, adjusted hazard ratio [aHR] 1.62; 95% CI 1.18-2.23) and high-grade versus low-grade histology (aHR 1.99; 95% CI 1.59-3.67). The OS was longer in patients in stage III who had surgery (aHR 0.35; 95% CI 0.24-0.51).Conclusion: Characteristics such as age and comorbidities impacted first-line systemic therapy use in primary A/R EC. Patients who were older, with high-grade histology, stage IV without surgery, and receiving platinum monotherapy had the shortest OS. Effective treatment options are needed to prolong survival for primary A/R EC.","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"103107"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058883","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}

引用次数: 0

Predictors of Supportive Care in Young Adults Diagnosed With a Gynaecologic Malignancy. 诊断为妇科恶性肿瘤的年轻成人支持治疗的预测因素。

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC Pub Date : 2025-09-11 DOI: 10.1016/j.jogc.2025.103115

Catriona J Buick, Akinkunle Oye-Somefun, Charlotte Lee, Allyson Nowell, Meagan Kennedy, Parmis Mirzadeh, Danielle Vicus

{"title":"Predictors of Supportive Care in Young Adults Diagnosed With a Gynaecologic Malignancy.","authors":"Catriona J Buick, Akinkunle Oye-Somefun, Charlotte Lee, Allyson Nowell, Meagan Kennedy, Parmis Mirzadeh, Danielle Vicus","doi":"10.1016/j.jogc.2025.103115","DOIUrl":"10.1016/j.jogc.2025.103115","url":null,"abstract":"Objective: In Canada, gynaecologic cancers significantly impact adults aged 18-40 years, who may undergo multiple treatment modalities impacting their overall well-being. The objective of this study was to understand the individual characteristics, supportive care, and informational needs of these persons.Methods: A cross-sectional survey of N = 50 adults (aged ≤40 years) receiving treatment (chemotherapy, surgery, and/or radiation) or under surveillance for gynaecologic cancer at a tertiary cancer centre in Toronto, Canada.Results: Unmet supportive care needs were commonly reported, with more than half of the participants indicating unmet needs in all but 1 of the 5 domains (psychological [78%], health system and information [68%], physical and daily living [54%], sexuality [50%], and patient care and support [46%]). Unmet supportive care needs were associated with a host of psychosocial, demographic, and clinical factors. Notably, for psychosocial factors, low resilience was associated with a higher likelihood of unmet supportive care needs (health system and information [OR 2.97, 95% CI 1.06-8.35], physical and daily living [4.95, 1.69-22.66], and patient care and support [5.91, 1.77-40.50] domains and low perceived information and satisfaction [3.11, 1.30-11.60]). Various other socio-demographic (e.g., non-European cultural origins and other ethnicity, further distance to cancer centre) and clinical factors (e.g., number of treatment modalities) were also related to unmet needs.Conclusion: Future studies must examine how to best meet the needs of younger adults affected by gynaecologic cancers to improve client-centred, supportive care through early intervention and adequate resources.","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"103115"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058880","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}

引用次数: 0

Implementation of Placental Growth Factor (PlGF) in a Tertiary Western Canadian Centre: Association with Ultrasound findings and Perinatal Outcomes. 胎盘生长因子（PlGF）在加拿大西部三级中心的实施：与超声结果和围产期结局的关系。

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC Pub Date : 2025-09-10 DOI: 10.1016/j.jogc.2025.103120

Ernesto A Figueiro-Filho, Genevieve Dietrich, Adrielle P Souza Lira, Eman Ramadan, Adewumi Adanlawo, John Matelski, Joshua D Buse

{"title":"Implementation of Placental Growth Factor (PlGF) in a Tertiary Western Canadian Centre: Association with Ultrasound findings and Perinatal Outcomes.","authors":"Ernesto A Figueiro-Filho, Genevieve Dietrich, Adrielle P Souza Lira, Eman Ramadan, Adewumi Adanlawo, John Matelski, Joshua D Buse","doi":"10.1016/j.jogc.2025.103120","DOIUrl":"https://doi.org/10.1016/j.jogc.2025.103120","url":null,"abstract":"Objective: To evaluate the association between placental growth factor (PlGF) levels, ultrasound findings, and perinatal outcomes in a high-risk pregnant population at a tertiary referral centre in Western Canada, and to assess the predictive performance of the PlGF test.Methods: We conducted a retrospective cohort study of 389 high-risk pregnant individuals who underwent PlGF testing between 12+0 and 36+0 weeks' gestation. Participants were stratified by PlGF levels: normal (≥ 10th centile), inconclusive (5th-9th centile), and low (≤ 5th centile). Clinical, biochemical, ultrasound, and perinatal outcomes were compared across groups. Odds ratios, sensitivity, specificity, and predictive values were calculated.Results: Low PlGF levels were observed in 33.9% pregnancies, with testing performed at a median gestational age of 27.7 weeks. Low PlGF levels were significantly associated with higher maternal BMI, elevated blood pressure, and increased creatinine, uric acid, and proteinuria levels. Ultrasound findings in the low PlGF group revealed higher rates of fetal growth restriction, abnormal Doppler studies, and abnormal placental morphology. These pregnancies had increased incidence of preterm birth <34 weeks (52/132 39.3%), preeclampsia (69/132 52.3%), NICU admissions (54/132 40.9%), and small-for-gestational-age neonates (15/132 11.4%). Most negative predictive values exceeded 90%.Conclusion: Low maternal PlGF levels are strongly associated with ultrasound and biochemical indicators of placental dysfunction and adverse perinatal outcomes. PlGF testing may serve as an effective risk stratification tool in high-risk pregnancies, particularly in rural and underserved populations.","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"103120"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056538","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}

引用次数: 0

Evaluation of an obstetric medicine curriculum for obstetrics and gynecology trainees: a quality improvement study. 妇产科培训生产科医学课程评价：质量改进研究。

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC Pub Date : 2025-09-10 DOI: 10.1016/j.jogc.2025.103116

Kelsey MacEachern, Katherine Steckham, Michelle Morais, Serena Gundy, Amanda Huynh

{"title":"Evaluation of an obstetric medicine curriculum for obstetrics and gynecology trainees: a quality improvement study.","authors":"Kelsey MacEachern, Katherine Steckham, Michelle Morais, Serena Gundy, Amanda Huynh","doi":"10.1016/j.jogc.2025.103116","DOIUrl":"https://doi.org/10.1016/j.jogc.2025.103116","url":null,"abstract":"Objective: Medical disorders in pregnancy are increasing. This highlights the need for Obstetrics trainees to develop a strong foundation in managing medical conditions in pregnancy.Methods: To address this, the Internal Medicine curriculum at our institution was redesigned for first year Obstetrics residents to include an Obstetric Medicine (OBM) rotation.Results: Before implementation, only 19% of residents felt at least moderately comfortable with OBM topics outlined by the Canadian Consensus for a Curriculum in Obstetric Medicine (CanCOM). This increased to 66% following introduction of the redesigned curriculum. Using Quality Improvement (QI) methodology, we aimed to increase this to 80% via iterative Plan-Do-Study-Act cycles. Post-intervention, 81% of trainees reported feeling at least moderately comfortable in 14 of 17 CanCOM topics.Conclusion: This QI-driven curriculum enhancement was well received and further highlights the value of early OBM integration in Obstetrics training.","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"103116"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056534","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}

引用次数: 0

Socio-Cultural Barriers and Facilitators for Breastfeeding: A Qualitative Study of Parents and Healthcare Providers in a Small Canadian City. 母乳喂养的社会文化障碍和促进因素：加拿大一个小城市父母和医疗保健提供者的定性研究。

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC Pub Date : 2025-09-10 DOI: 10.1016/j.jogc.2025.103119

Leanne Skerry, Natasha Hanson, Morgan Nesbitt, Tracy Freeze, Kimberly Butt

{"title":"Socio-Cultural Barriers and Facilitators for Breastfeeding: A Qualitative Study of Parents and Healthcare Providers in a Small Canadian City.","authors":"Leanne Skerry, Natasha Hanson, Morgan Nesbitt, Tracy Freeze, Kimberly Butt","doi":"10.1016/j.jogc.2025.103119","DOIUrl":"https://doi.org/10.1016/j.jogc.2025.103119","url":null,"abstract":"Background: Despite efforts to protect, promote and support breastfeeding, breastfeeding duration and exclusivity rates remain inadequate within Canada and worldwide. A New Brunswick (Canada) hospital observed declining rates of exclusive breastfeeding 2014/2015 to 2020/2021 that were both the lowest in NB and below national averages. Thus, within the catchment area of this NB hospital, a targeted constructivist qualitative approach was used to shed light on these low levels of breastfeeding by examining both parents' and healthcare providers' (HCPs) perceptions of breastfeeding barriers and facilitators during the pre- and post-natal periods.Methods: Semi-structured interviews were conducted with parents (N = 16) and HCPs working in family medicine or within maternal health (N = 13) in 2022 during the COVID-19 pandemic. Iterative reflexive thematic analysis was performed.Results: Many themes discussing barriers and facilitators to breastfeeding were documented, with a particular focus on social and cultural influences. Both parent and HCP groups predominantly discussed the need for further education on breastfeeding; the parents focused on the education that they wanted for themselves, and HCPs felt that education was needed for both parents and HCPs.Conclusions: Education on infant feeding is strongly needed for parents, HCPs, as well as the entire population in general. Education should be appropriately tailored to individuals' respective educational and cultural needs to move the needle forward on social and cultural acceptance and normalization of breastfeeding. Increased support throughout the breastfeeding journey, whereby a patient-centred approach is used, and available resources are made known, is also essential.","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"103119"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056550","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}

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