Obstetrics, Gynaecology and Reproductive Medicine最新文献

Self-assessment questions 自我评估的问题

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-05-01 DOI: 10.1016/j.ogrm.2025.02.005

Anna Richmond

引用次数: 0

Pre-implantation genetic testing: a practical guide 植入前基因检测：实用指南

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-05-01 DOI: 10.1016/j.ogrm.2025.02.004

Karolina Palinska-Rudzka, Raj Mathur

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Psychosexual problems in gynaecological practice 妇科实践中的性心理问题

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-05-01 DOI: 10.1016/j.ogrm.2025.02.001

Sheila Radhakrishnan

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Management of ovarian cysts and cancer in pregnancy 妊娠期卵巢囊肿和癌症的处理

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-05-01 DOI: 10.1016/j.ogrm.2025.02.002

Kshitij Jamdade, Ketankumar Gajjar

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Contraception options for women with medical conditions 为有疾病的妇女提供避孕选择

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-05-01 DOI: 10.1016/j.ogrm.2025.02.003

Rachel Barlow-Evans, Kate Johanna Campbell

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Maternal cardiac disease in pregnancy 妊娠期产妇心脏病

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-04-01 DOI: 10.1016/j.ogrm.2025.01.003

Bernadette Jenner, William Jenner, Rahul Chattopadhyay, Catriona J Bhagra

{"title":"Maternal cardiac disease in pregnancy","authors":"Bernadette Jenner, William Jenner, Rahul Chattopadhyay, Catriona J Bhagra","doi":"10.1016/j.ogrm.2025.01.003","DOIUrl":"10.1016/j.ogrm.2025.01.003","url":null,"abstract":"<div><div>The 2024 MBRRACE-UK report showed a rise in overall maternal mortality, with deaths from cardiac disease remaining the main indirect cause, barring deaths from COVID-19. Advancing maternal age and a rise in cardiovascular co-morbidities, along with improvements in congenital heart disease management and assisted reproductive technology have all contributed to an increasingly complex maternity population with higher pregnancy risks. Despite improvements in obstetric and cardiac care, health inequalities for women with multiple comorbidities, socio-economic deprivation and those from Black and Asian ethnic groups persist, with these groups being more likely to have poor cardiovascular and pregnancy outcomes. In this review we consider the importance of pre-conception counselling for women with known heart disease, review the physiological changes of pregnancy and explore maternal risk, from a cardiovascular perspective. Importantly, management of women with moderate to severe heart disease during pregnancy should be delivered by the pregnancy heart team, as coined by the European Society of Cardiology in its 2018 guidelines. Individualized care empowers trust and shared decision making, and early access to multidisciplinary care is vital in optimizing maternal and fetal outcomes.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 4","pages":"Pages 101-110"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791457","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

Modern approaches to surgical treatment for female stress urinary incontinence 女性压力性尿失禁手术治疗的现代方法

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-04-01 DOI: 10.1016/j.ogrm.2025.01.001

Natalia Price, Paul Moran

{"title":"Modern approaches to surgical treatment for female stress urinary incontinence","authors":"Natalia Price, Paul Moran","doi":"10.1016/j.ogrm.2025.01.001","DOIUrl":"10.1016/j.ogrm.2025.01.001","url":null,"abstract":"<div><div>Stress urinary incontinence (SUI) is a prevalent condition, affecting a significant proportion of women, with 13.6% requiring surgical intervention during their lifetime. Surgical treatments primarily aim to provide suburethral support or enhance urethral closure mechanisms. Traditionally, colposuspensions and autologous rectus fascial slings have been considered effective first-line surgical options for managing SUI. These procedures have shown reliable outcomes in terms of symptom relief and long-term efficacy. The use of midurethral tapes, once the most popular treatment option in the UK, is currently suspended due to the concerns about the risk of chronic pelvic pain and vaginal mesh exposure. It remains an option for women with deemed ‘exceptional circumstances’ and may be cautiously reintroduced into practice with certain prerequisites. The mesh ‘pause’ has driven a much-improved process of patient counselling, expectation setting, utilizsation of the ‘MDT’, enhanced surgical standards and data collection. It has led to a reassessment of surgical approaches. The current trend is for many women to request intra-urethral bulking (Bladder neck injection) as a first line procedure to treat primary SUI. There is a renewed focus on established methods like colposuspension, open or laparoscopic, and modified autologous fascial ‘sling on a string’. These procedures avoid mesh related risks but are associated with different risks such as new onset vaginal prolapse and post-operative voiding difficulty, respectively.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 4","pages":"Pages 89-97"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792036","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

Principles of palliative care for advanced gynaecological cancers 晚期妇科癌症姑息治疗原则

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-04-01 DOI: 10.1016/j.ogrm.2025.01.004

Marika Ai Victoria Reinius, Arjun David Napier Kingdon

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Self-assessment questions 自我评估的问题

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-04-01 DOI: 10.1016/j.ogrm.2025.01.005

Anna Richmond

引用次数: 0

Aetiology and management of postcoital and intermenstrual bleeding: a review of literature 性交后和经间出血的病因和处理：文献综述

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-04-01 DOI: 10.1016/j.ogrm.2025.01.002

Bidisha Chatterjee, Helen Bolton

引用次数: 0