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

{"title":"Evaluation of the Performance of the IOTA ADNEX Model in Discriminating Adnexal Masses Preoperatively: An Ambispective Study.","authors":"Anupama Bahadur, Shreya Singhvi, Rajlaxmi Mundhra, Amrita Gaurav, Shalinee Rao, Anjum Syed, Sakshi Heda, Gupchee Singh, Rashmi Verma, Ayush Heda","doi":"10.1016/j.jogc.2025.103071","DOIUrl":"https://doi.org/10.1016/j.jogc.2025.103071","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the performance of the International Ovarian Tumour Analysis (IOTA) ADNEX model in discriminating adnexal masses preoperatively.</p><p><strong>Methods: </strong>This ambispective observational study included 112 women with at least one adnexal mass, from January 2016 to April 2023. Cases underwent pelvic ultrasound and CA125 level assessments prior to surgery. The masses were classified into various subcategories by the IOTA ADNEX model and compared with postoperative histopathological reports. Sensitivity, specificity, negative predictive value, positive predictive value, and diagnostic accuracy were calculated for classifying tumours into various histological subtypes.</p><p><strong>Results: </strong>Among the 112 women, 66 (58.9%) had benign ovarian tumours, 10 (8.9%) had borderline ovarian tumours, 17 (15.2%) had stage I ovarian cancer (OC), 15 (13.4%) had stage II-IV OC, and 4 (3.6%) had ovarian metastasis. The area under the ROC curve (AUC) was 0.852 (0.772-0.912) for distinguishing between benign and malignant tumours using the IOTA ADNEX model at a 50% cut-off, with a sensitivity of 84.78%, specificity of 84.85%, positive predictive value of 79.6%, and negative predictive value of 88.9%.</p><p><strong>Conclusion: </strong>The IOTA ADNEX model is effective in classifying adnexal masses into benign and malignant categories, making it a valuable tool for triaging adnexal masses for further management.</p>","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"103071"},"PeriodicalIF":0.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862769","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":"Fertility Care for Trainees: The Need for National Policy and Transparent Institutional Support.","authors":"Sylvie Bowden","doi":"10.1016/j.jogc.2025.103030","DOIUrl":"10.1016/j.jogc.2025.103030","url":null,"abstract":"","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"103030"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602695","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":"Episiotomy as a Strategy to Minimize OASIS Risk.","authors":"Chelsea Harris, Jocelyn Stairs","doi":"10.1016/j.jogc.2025.102931","DOIUrl":"https://doi.org/10.1016/j.jogc.2025.102931","url":null,"abstract":"","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"102931"},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145104","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":"Prenatal screening for and diagnosis of aneuploidy in twin pregnancies.","authors":"François Audibert,&nbsp;Alain Gagnon","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To provide a Canadian consensus document with recommendations on prenatal screening for and diagnosis of fetal aneuploidy (e.g., Down syndrome and trisomy 18) in twin pregnancies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Options: &lt;/strong&gt;The process of prenatal screening and diagnosis in twin pregnancies is complex. This document reviews the options available to pregnant women and the challenges specific to screening and diagnosis in a twin pregnancy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes: &lt;/strong&gt;Clinicians will be better informed about the accuracy of different screening options in twin pregnancies and about techniques of invasive prenatal diagnosis in twins.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Evidence: &lt;/strong&gt;PubMed and Cochrane Database were searched for relevant English and French language articles published between 1985 and 2010, using appropriate controlled vocabulary and key words (aneuploidy, Down syndrome, trisomy, prenatal screening, genetic health risk, genetic health surveillance, prenatal diagnosis, twin gestation). Results were restricted to systematic reviews, randomized controlled trials, and relevant observational studies. Searches were updated on a regular basis and incorporated in the guideline to August 2010. Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology assessment-related agencies, clinical practice guideline collections, clinical trial registries, and national and international medical specialty societies. The previous Society of Obstetricians and Gynaecologists of Canada guidelines regarding prenatal screening were also reviewed in developing this clinical practice guideline.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Values: &lt;/strong&gt;The quality of evidence was rated using the criteria described in the Report of the Canadian Task Force on Preventive Health Care (Table 1).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Benefits, harms, and costs: &lt;/strong&gt;There is a need for specific guidelines for prenatal screening and diagnosis in twins. These guidelines should assist health care providers in the approach to this aspect of prenatal care of women with twin pregnancies. SUMMARY STATEMENTS 1. Fetal nuchal translucency combined with maternal age is an acceptable first trimester screening test for aneuploidies in twin pregnancies. (II-2) 2. First trimester serum screening combined with nuchal translucency may be considered in twin pregnancies. It provides some improvement over the performance of screening by nuchal translucency and maternal age by decreasing the false-positive rate. (II-3) 3. Integrated screening with nuchal translucency plus first and second trimester serum screening is an option in twin pregnancies. Further prospective studies are required in this area, since it has not been validated in prospective studies in twins. (III) 4. Non-directive counselling is essential when invasive testing is offered. (III) 5. When chorionic villus sampling is performed in non-monochorionic multiple pregnancies, a combination of tra","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"754-67"},"PeriodicalIF":1.8,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30000875","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":"SOGC clinical practice guidelines: Canadian contraception consensus.","authors":"Amanda Black,&nbsp;Diane Francoeur,&nbsp;Timothy Rowe,&nbsp;John Collins,&nbsp;Dianne Miller,&nbsp;Thomas Brown,&nbsp;Michèle David,&nbsp;Sheila Dunn,&nbsp;William A Fisher,&nbsp;Nathalie Fleming,&nbsp;Claude A Fortin,&nbsp;Edith Guilbert,&nbsp;Louise Hanvey,&nbsp;André Lalonde,&nbsp;Ruth Miller,&nbsp;Margaret Morris,&nbsp;Teresa O'Grady,&nbsp;Helen Pymar,&nbsp;Thirza Smith,&nbsp;Elke Henneberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To provide guidelines for health-care providers on the use of contraceptive methods to prevent pregnancy and sexually transmitted diseases.</p><p><strong>Outcomes: </strong>Overall efficacy of cited contraceptive methods, assessing reduction in pregnancy rate, risk of infection, safety, ease of use, and side effects; the effect of cited contraceptive methods on sexual health and general well-being; and the cost and availability of cited contraceptive methods in Canada.</p><p><strong>Evidence: </strong>Medline and the Cochrane Database were searched for articles in English on subjects related to contraception, sexuality, and sexual health from January 1988 to March 2003, in order to update the Report of the Consensus Committee on Contraception published in May-July 1998. Relevant Canadian Government publications and position papers from appropriate health and family planning organizations were also reviewed.</p><p><strong>Values: </strong>The quality of the evidence is rated using the criteria described in the Report of the Canadian Task Force on the Periodic Health Examination. Recommendations for practice are ranked according to the method described in this Report.</p>","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"219-96"},"PeriodicalIF":1.8,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40837547","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}