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Differences in Vaginal Progesterone Provision among Racial and Socioeconomic Groups 不同种族和社会经济群体阴道孕酮供应的差异
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2023-06-27 DOI: 10.24966/rmgo-2574/100136
Manasa G Rao
{"title":"Differences in Vaginal Progesterone Provision among Racial and Socioeconomic Groups","authors":"Manasa G Rao","doi":"10.24966/rmgo-2574/100136","DOIUrl":"https://doi.org/10.24966/rmgo-2574/100136","url":null,"abstract":"Objective: Preterm birth is the leading cause of perinatal morbidity and mortality and has been increasing in the United States. Short cervical length is a treatable risk factor for preterm birth. Non-Hispanic black and Hispanic women have significantly higher rates of preterm birth and disparities exist in the obstetrical care of these populations.","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85715963","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
Immediate Postpartum Hemorrhage: Sociodemographic Characteristics, Management and Maternal Prognosis at the Maternity Ward of the Ignace Deen National Hospital 产后立即出血:伊尼亚斯迪恩国立医院产科病房的社会人口学特征、管理和产妇预后
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2023-06-27 DOI: 10.24966/rmgo-2574/100138
Diallo Mamadou Hady
{"title":"Immediate Postpartum Hemorrhage: Sociodemographic Characteristics, Management and Maternal Prognosis at the Maternity Ward of the Ignace Deen National Hospital","authors":"Diallo Mamadou Hady","doi":"10.24966/rmgo-2574/100138","DOIUrl":"https://doi.org/10.24966/rmgo-2574/100138","url":null,"abstract":"Objectives: Determine the frequency of immediate postpartum hemorrhage, describe the sociodemographic characteristics of patients, identify the etiological factors, describe the management and assess the prognosis of patients presenting with immediate postpartum hemorrhage in the maternity ward of the hospital. Ignace Deen National Hospital (Conakry University Hospital).","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87049610","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
Placental Mesenchymal Dysplasia - Prenatal Diagnosis and Clinical Outcome 胎盘间充质发育不良-产前诊断和临床结果
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2023-06-27 DOI: 10.24966/rmgo-2574/100137
M. Tsankova
{"title":"Placental Mesenchymal Dysplasia - Prenatal Diagnosis and Clinical Outcome","authors":"M. Tsankova","doi":"10.24966/rmgo-2574/100137","DOIUrl":"https://doi.org/10.24966/rmgo-2574/100137","url":null,"abstract":"Placental mesenchymal dysplasia is an uncommon vascular anomaly of the placenta with characteristics of placentomegaly and multicystic appearance and with or without association with fetal chromosomal anomaly. In the beginning, it could be confused with a partial hydatidiform mole.","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72738183","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
A practical approach to managing post-menopausal women with ovarian cysts 一种治疗绝经后卵巢囊肿的实用方法
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2023-06-01 DOI: 10.1016/j.ogrm.2023.03.001
Ballari Ghosh, Barnaby Rufford
{"title":"A practical approach to managing post-menopausal women with ovarian cysts","authors":"Ballari Ghosh,&nbsp;Barnaby Rufford","doi":"10.1016/j.ogrm.2023.03.001","DOIUrl":"https://doi.org/10.1016/j.ogrm.2023.03.001","url":null,"abstract":"<div><p><span>Ovarian cysts<span><span> are common among post-menopausal women. Although ovarian cancer is a significant cause of mortality in menopausal women, large population-based studies demonstrate that the majority of adnexal masses are benign. In most cases, a pelvic mass or ovarian cyst is an </span>incidental finding, generally corresponding to a benign cyst and easily diagnosed by conventional ultrasound. However, an </span></span>ovarian tumour<span><span> may be malignant and should be treated as early as possible. Several diagnostic modalities exist including ultrasound, blood tumour markers, advanced imaging modalities such as magnetic resonance imaging, and computerized tomography to diagnose and characterize the ovarian masses. Complex ovarian masses with malignant characteristics are then discussed in </span>gynaecology<span><span> oncology<span> multidisciplinary team meetings to decide on treatment modality and hospital - whether a cancer unit or centre would provide the agreed treatment. Adnexal masses with benign morphological and functional properties may be periodically monitored as an alternative to surgery since </span></span>malignant transformation is rare.</span></span></p></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50198460","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
Mechanisms and management of normal labour 正常劳动的机制和管理
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2023-06-01 DOI: 10.1016/j.ogrm.2023.03.002
Jennifer Mary Thornton, Meenakshi Ramphul
{"title":"Mechanisms and management of normal labour","authors":"Jennifer Mary Thornton,&nbsp;Meenakshi Ramphul","doi":"10.1016/j.ogrm.2023.03.002","DOIUrl":"https://doi.org/10.1016/j.ogrm.2023.03.002","url":null,"abstract":"<div><p><span>Normal labour reflects the culmination of several complex and complimentary processes, relying on hormonal, biochemical and mechanical interdependence. The four phases of parturition<span> (quiescence, activation, stimulation and involution) in short reflect the transition from gestation to initiation and propagation of labour, delivery of the fetus and placenta, and recovery to the non-pregnant state. Appropriate physiological regulation of this process is key to achieving maturity for the neonate and prevention of associated maternal and neonatal morbidity. Myometrial acontractility and cervical structural integrity are maintained throughout gestation chiefly by </span></span>progesterone<span><span>. As gestation advances, functional withdrawal of progesterone, as well as other hormonal influences, mechanical stretch and a cascade of inflammatory processes stimulate the initiation and propagation of labour. Mechanically, labour may only progress when effective uterine contractions<span> occur in conjunction with satisfactory fetal and maternal pelvic dimensions. The three clinical stages of labour reflect regular uterine activity and cervical dilatation up to four centimetres, delivery of the fetus, and the placenta, respectively. Labour represents a challenge for both </span></span>birthing person and fetus, therefore robust knowledge of normal processes and physiological responses is essential to our understanding of how to appropriately care for and monitor those in labour, and to recognize when clinical intervention is indicated, such that maternal and fetal morbidity may be reduced.</span></p></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50198459","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
Male and female sterilisation 男性和女性绝育
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2023-06-01 DOI: 10.1016/j.ogrm.2023.03.003
Emma Lincoln, Catherine Schunmann, Rebecca McKay
{"title":"Male and female sterilisation","authors":"Emma Lincoln,&nbsp;Catherine Schunmann,&nbsp;Rebecca McKay","doi":"10.1016/j.ogrm.2023.03.003","DOIUrl":"https://doi.org/10.1016/j.ogrm.2023.03.003","url":null,"abstract":"<div><p><span><span>Male and female sterilisation are important forms of contraception worldwide despite declining popularity in developed countries and limited access during the Covid-19 global pandemic. </span>Vasectomy is the only highly reliable form of </span>male contraception<span>. Appropriate counselling about permanent methods of contraception in both sexes is vital and should include information about irreversibility, failure rates and complications. The alternatives to sterilisation, particularly long-acting reversible contraception (LARC), should be discussed in detail as they are at least as effective and have the advantage of reversibility. Hysteroscopic techniques for female sterilisation are no longer available. In males the no-scalpel technique vasectomy requires minimal operating time and results in less post-operative discomfort than the incisional method. Regret after sterilisation and requests for reversal are more common in patients under 30 years and in men with no children.</span></p></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50198863","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 自我评估问题
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2023-06-01 DOI: 10.1016/j.ogrm.2023.03.005
Anna Richmond
{"title":"Self-assessment questions","authors":"Anna Richmond","doi":"10.1016/j.ogrm.2023.03.005","DOIUrl":"https://doi.org/10.1016/j.ogrm.2023.03.005","url":null,"abstract":"","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50198891","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
Prenatal diagnosis of single-gene disorders 单基因疾病的产前诊断
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2023-06-01 DOI: 10.1016/j.ogrm.2023.03.004
Katie Johnson, Jacqueline Eason
{"title":"Prenatal diagnosis of single-gene disorders","authors":"Katie Johnson,&nbsp;Jacqueline Eason","doi":"10.1016/j.ogrm.2023.03.004","DOIUrl":"https://doi.org/10.1016/j.ogrm.2023.03.004","url":null,"abstract":"<div><p>Genetic disease can occur due to imbalance of whole chromosomes, smaller chromosome microdeletions or duplications, or at the single-gene level where even a single base change can cause significant disease. This review focuses on the methods available to achieve genetic diagnosis of a fetus in pregnancy, both in the context of a family history of a known disease-causing gene variant and where there is clinical suspicion of a genetic disorder based on ultrasound findings. The indications for rapid trio whole exome sequencing<span> in the prenatal setting will be considered. Until relatively recently, genetic testing of a fetus invariably required invasive procedures to sample fetal tissue, with associated risk of miscarriage. However, non-invasive methods of achieving prenatal diagnosis<span> by sampling fetal DNA present in maternal blood have undergone considerable development. Current applications of invasive and non - invasive prenatal testing are discussed with clinical case studies.</span></span></p></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50198892","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 自我评估问题
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2023-05-01 DOI: 10.1016/j.ogrm.2023.02.005
Anna Richmond
{"title":"Self-assessment questions","authors":"Anna Richmond","doi":"10.1016/j.ogrm.2023.02.005","DOIUrl":"10.1016/j.ogrm.2023.02.005","url":null,"abstract":"","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44489420","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
Inherited bleeding disorders in pregnancy 妊娠期遗传性出血性疾病
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2023-05-01 DOI: 10.1016/j.ogrm.2023.02.002
Jahnavi Daru, Bethan Myers
{"title":"Inherited bleeding disorders in pregnancy","authors":"Jahnavi Daru,&nbsp;Bethan Myers","doi":"10.1016/j.ogrm.2023.02.002","DOIUrl":"https://doi.org/10.1016/j.ogrm.2023.02.002","url":null,"abstract":"<div><p>Women with inherited bleeding disorders in pregnancy are a group of pregnant women with varied and often complex healthcare needs. The antenatal, intrapartum<span> and postnatal care of these women and their babies may require specialist planning and support. This article outlines the key principles of care and provides a summary of the existing Royal College of Obstetricians and Gynaecologists’ guidelines on the management of inherited bleeding disorders in addition to practical advice from clinical experience of looking after these women and their pregnancies.</span></p></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50190654","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: 31
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