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Thinking outside the pelvis: a modern approach to chronic pelvic pain 骨盆外思考：一种治疗慢性骨盆疼痛的现代方法
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-05-23 DOI: 10.1016/j.ogrm.2025.04.001
Julia Lord, Katy Vincent
{"title":"Thinking outside the pelvis: a modern approach to chronic pelvic pain","authors":"Julia Lord,&nbsp;Katy Vincent","doi":"10.1016/j.ogrm.2025.04.001","DOIUrl":"10.1016/j.ogrm.2025.04.001","url":null,"abstract":"<div><div>Chronic pelvic pain is a major public health problem that impacts all areas of a woman's life. The diagnosis is frequently difficult and delayed with women often presenting to a variety of specialties and undergoing multiple investigations before a diagnosis is reached. Aetiology is frequently multifactorial with both precipitating and perpetuating factors. An understanding of the role of the nervous system in chronic pain is essential both to plan appropriate management and to provide the patient with an acceptable explanation of her symptoms. Optimal management is within a multidisciplinary team who can fully address the range of factors that may maintain pelvic pain. Focussing solely on the pelvic organs and associated pathologies is likely to leave the majority of women with persistent symptoms.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 7","pages":"Pages 173-179"},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480444","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
Self-assessment questions 自我评估的问题
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-05-11 DOI: 10.1016/j.ogrm.2025.04.004
Anna Richmond
{"title":"Self-assessment questions","authors":"Anna Richmond","doi":"10.1016/j.ogrm.2025.04.004","DOIUrl":"10.1016/j.ogrm.2025.04.004","url":null,"abstract":"","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 7","pages":"Pages 199-201"},"PeriodicalIF":0.0,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480408","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
Preterm labour and birth: prevention strategies and preparation for delivery 早产和分娩：预防战略和分娩准备
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-05-07 DOI: 10.1016/j.ogrm.2025.04.003
Alexandra Emms, Nicole Pilarski, Victoria Hodgetts-Morton
{"title":"Preterm labour and birth: prevention strategies and preparation for delivery","authors":"Alexandra Emms,&nbsp;Nicole Pilarski,&nbsp;Victoria Hodgetts-Morton","doi":"10.1016/j.ogrm.2025.04.003","DOIUrl":"10.1016/j.ogrm.2025.04.003","url":null,"abstract":"<div><div>Preterm birth (PTB) is the leading cause of child mortality (under the age of 5 years), and accounts for 10% of all births worldwide. It is the most important single determinant for infant survival and quality of life. The aetiology of PTB is multifactorial; spontaneous PTB is often associated with cervical weakness, infectious processes, uterine overdistension or a decline in progesterone function. Iatrogenic PTB is predominantly due to maternal medical conditions such as pre-eclampsia or fetal growth restriction. This article will review the key elements of risk assessment and stratification, additional screening protocols following secondary care referral, and prophylactic management strategies for the prevention of PTB. It will also provide an overview of perinatal optimization when PTB is planned or imminent. It encompasses guidance from NICE, RCOG, UK Preterm Birth Network and BAPM to consolidate information in a concise and comprehensive format.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 7","pages":"Pages 193-198"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480407","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
Renal disease in pregnancy 妊娠期肾病
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-05-06 DOI: 10.1016/j.ogrm.2025.04.005
Mona Hersi, Natasha Asselin-Miller, Charlotte Patient
{"title":"Renal disease in pregnancy","authors":"Mona Hersi,&nbsp;Natasha Asselin-Miller,&nbsp;Charlotte Patient","doi":"10.1016/j.ogrm.2025.04.005","DOIUrl":"10.1016/j.ogrm.2025.04.005","url":null,"abstract":"<div><div>Renal disease affects approximately 3% of pregnant women in high income countries and is associated with increased maternal and fetal risks. Pre-pregnancy counselling will allow the mother to better understand the risks and optimize her management prior to pregnancy. Alongside providing pregnancy care in an appropriate centre with a multidisciplinary team this will help to minimize risk and improve outcomes.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 7","pages":"Pages 187-192"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480406","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
How to manage risk and respond to safety concerns in gynaecology: doing ‘safety differently’ 如何管理风险和应对妇科安全问题：“以不同的方式做安全”
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-05-05 DOI: 10.1016/j.ogrm.2025.04.002
Cathrine Holland
{"title":"How to manage risk and respond to safety concerns in gynaecology: doing ‘safety differently’","authors":"Cathrine Holland","doi":"10.1016/j.ogrm.2025.04.002","DOIUrl":"10.1016/j.ogrm.2025.04.002","url":null,"abstract":"<div><div>Healthcare providers must seek to reduce the risk of harm to patients using their services. A good safety culture within an organization assures service users, staff, and the public, that there is commitment to provision of safe, high quality and effective care. Managing risk is everybody's responsibility, and all clinicians should understand risk management processes. Robust risk management demonstrates a blame-free reporting culture and learning from clinical errors whilst pro-actively measuring patient safety indicators within the organization. This review outlines the key elements of risk management within gynaecology and explains how risks are identified, assessed, quantified and managed. The new NHS Patient Safety Incident Response Framework is introduced, together with the new tools used to respond to and learn from incidents and events.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 7","pages":"Pages 180-186"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480405","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
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
{"title":"Self-assessment questions","authors":"Anna Richmond","doi":"10.1016/j.ogrm.2025.02.005","DOIUrl":"10.1016/j.ogrm.2025.02.005","url":null,"abstract":"","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 5","pages":"Pages 147-148"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912254","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
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
{"title":"Pre-implantation genetic testing: a practical guide","authors":"Karolina Palinska-Rudzka,&nbsp;Raj Mathur","doi":"10.1016/j.ogrm.2025.02.004","DOIUrl":"10.1016/j.ogrm.2025.02.004","url":null,"abstract":"<div><div>Pre-implantation genetic testing (PGT) is a specialized technique that combines in vitro fertilization (IVF) technology with genetic testing. This paper provides a comprehensive overview of the different types of PGT, including PGT-A, PGT-M, and PGT-SR, highlighting their roles in reducing miscarriage rates, optimizing embryo selection, and minimizing the transmission of genetic conditions. Additionally, it discusses the technical aspects of embryo biopsy, the challenges associated with mosaicism, and ethical considerations, and patient counselling.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 5","pages":"Pages 144-146"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912890","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
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
{"title":"Psychosexual problems in gynaecological practice","authors":"Sheila Radhakrishnan","doi":"10.1016/j.ogrm.2025.02.001","DOIUrl":"10.1016/j.ogrm.2025.02.001","url":null,"abstract":"<div><div>Sexual health is an important area of public and personal health. It is linked to sexual well-being where respect and positivity in relationships is promoted. A focus on promoting intimacy and pleasure needs to be emphasized in any form of sex education, rather than in only preventing disease and pregnancy. Symptoms in gynaecology clinics are frequently representative of the somatization of unrecognized sexual problems. Studies estimate 40% of gynaecological consultations have a psychosexual component to them, which may be overt or covert. Although a 20 minute consultation is insufficient for dealing with sexual difficulties, useful work can easily be done in this time. Having exposure to psychosexual skills can help gynaecologists uncover the distress, explore feelings generated, use sensitive language to communicate, examine with the patient the area of distress and help them obtain some insight into their difficulty.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 5","pages":"Pages 123-127"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912887","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
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
{"title":"Management of ovarian cysts and cancer in pregnancy","authors":"Kshitij Jamdade,&nbsp;Ketankumar Gajjar","doi":"10.1016/j.ogrm.2025.02.002","DOIUrl":"10.1016/j.ogrm.2025.02.002","url":null,"abstract":"<div><div>The incidence of ovarian cysts in pregnancy appears to be rising, especially with the increased use of routine antenatal ultrasounds. Most of them are benign and tend to resolve spontaneously. It is rare to diagnose malignant ovarian tumours during pregnancy. Evaluating the adnexa during routine antenatal ultrasound is considered opportunistic screening. Even though several factors can make ultrasound less reliable during pregnancy, it is the preferred initial imaging method. MRI is also a safe option during pregnancy for further evaluation of ovarian lesions. Surgery is recommended for larger, symptomatic cysts or those suspected of malignancy. Laparoscopic management of ovarian cysts is possible between 14 and 16 weeks of gestation but requires advanced laparoscopic skills. Due to the risk of adverse fetal and maternal outcomes associated with surgery during pregnancy, conservative management is preferred when it is deemed safe. Multi-disciplinary team approach is recommended for complicated and malignant adnexal masses.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 5","pages":"Pages 128-137"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912888","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
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
{"title":"Contraception options for women with medical conditions","authors":"Rachel Barlow-Evans,&nbsp;Kate Johanna Campbell","doi":"10.1016/j.ogrm.2025.02.003","DOIUrl":"10.1016/j.ogrm.2025.02.003","url":null,"abstract":"<div><div>Women with complex medical conditions face increased risk during pregnancy or when using certain contraceptive methods. This makes appropriate contraception provision planning essential for their health and well-being. Effective contraception provision will enable these women to plan and space pregnancies or avoid unintended pregnancies and therefore reduce the risk of maternal or fetal complications. Obstetricians and Gynaecologists along with other healthcare providers will frequently encounter these women and may be expected to advise on suitable contraceptive options. In this case-based article, we explore how to assess these patients and provide tailored contraceptive advice by considering medical eligibility, efficacy and acceptability of various contraceptive methods. We hope to emphasize the importance of individualized care, shared decision-making, and maintaining up to date clinical knowledge when providing contraceptive advice.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 5","pages":"Pages 138-143"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912889","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
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