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Obstetrics, Gynaecology and Reproductive Medicine最新文献

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Self-assessment questions 自我评估问题
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.ogrm.2024.05.005
{"title":"Self-assessment questions","authors":"","doi":"10.1016/j.ogrm.2024.05.005","DOIUrl":"10.1016/j.ogrm.2024.05.005","url":null,"abstract":"","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950377","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
Fertility care for persons considering gender transition 为考虑性别转换者提供生育护理
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.ogrm.2024.07.004
{"title":"Fertility care for persons considering gender transition","authors":"","doi":"10.1016/j.ogrm.2024.07.004","DOIUrl":"10.1016/j.ogrm.2024.07.004","url":null,"abstract":"<div><div>Referrals to the gender identity development service and gender identity clinics are increasing. Gender-affirming medical interventions can adversely impact on the fertility potential of the individual. The possible fertility impact of various treatments such as gonadotropin hormone releasing hormone agonists and cross over hormones, and surgery of genitalia and reproductive organs, should be discussed. An opportunity should be provided to discuss options for fertility preservation and patients should be assisted in decision making. It should be appreciated that transgender individuals have an increased incidence of mental health problems, and that there are currently many barriers to optimal care. Oocyte and spermatozoa cryopreservation provide options for biological parenthood.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311625","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
Antenatal screening in the UK 英国的产前筛查
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.ogrm.2024.05.001
{"title":"Antenatal screening in the UK","authors":"","doi":"10.1016/j.ogrm.2024.05.001","DOIUrl":"10.1016/j.ogrm.2024.05.001","url":null,"abstract":"<div><p><span><span>The process of screening aims to reduce the burden of disease. In pregnancy this is relevant to both the mother and her baby. There are national screening programmes for infectious disease, haemoglobinopathy and </span>fetal anomalies, all of which have the potential to reduce the life-long burden of disease in the </span>newborn. But screening extends beyond these programmes and when risk factors are identified, interventions might be instigated to reduce the impact of disease on pregnancy outcomes. This article reviews screening in its broadest sense. It describes the various screening opportunities and considers the actions that can be taken to optimize the health of the mother and her baby. The process of screening continues throughout pregnancy, in the same way that risks evolve as pregnancy progresses.</p></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950374","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 management of pelvic floor dysfunction in pregnancy 孕期盆底功能障碍的治疗
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-07-31 DOI: 10.1016/j.ogrm.2024.07.001
{"title":"The management of pelvic floor dysfunction in pregnancy","authors":"","doi":"10.1016/j.ogrm.2024.07.001","DOIUrl":"10.1016/j.ogrm.2024.07.001","url":null,"abstract":"<div><div>Physiological changes in pregnancy can trigger or worsen a variety of pelvic floor symptoms, including stress incontinence, overactive bladder, stress incontinence and prolapse. In order to minimize both physical and psychological morbidity in the short and long term, it is important for clinicians to appropriately stratify individual risk scores and identify and manage pelvic floor disorders during pregnancy. There has been an introduction of perinatal pelvic health services as part of a government review of pelvic health in pregnancy, which aim to prevent pelvic floor dysfunction following pregnancy but identifying women at risk and referring them onwards for support from physiotherapists or specialist nurses and midwives.</div><div>This review article aims to discuss the assessment tools, government initiatives and management options for common pelvic floor disorders during pregnancy.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311622","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 : 2024-07-31 DOI: 10.1016/j.ogrm.2024.07.005
{"title":"Self-assessment questions","authors":"","doi":"10.1016/j.ogrm.2024.07.005","DOIUrl":"10.1016/j.ogrm.2024.07.005","url":null,"abstract":"","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311626","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
Bladder pain syndrome 膀胱疼痛综合征
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-07-14 DOI: 10.1016/j.ogrm.2024.06.001
{"title":"Bladder pain syndrome","authors":"","doi":"10.1016/j.ogrm.2024.06.001","DOIUrl":"10.1016/j.ogrm.2024.06.001","url":null,"abstract":"<div><p><span>Bladder pain syndrome (BPS) is a benign condition of chronic bladder pain or discomfort that can significantly disrupt normal daily activities and reduce </span>quality of life. It can be difficult to diagnose as it’s a diagnosis of exclusion and symptoms are vague. Refractory cases are difficult to manage due to poorly understood aetiology and few universally effective treatments. Over the last two decades, there have been important efforts directed at understanding the syndrome's aetiology and therapeutic challenges. This article reviews the current literature on BPS aetiology, clinical presentation, diagnosis, and treatment options.</p></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141699821","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 the critically ill obstetric patient 危重产科病人的管理
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.ogrm.2024.04.003
Charlotte J. Frise
{"title":"Management of the critically ill obstetric patient","authors":"Charlotte J. Frise","doi":"10.1016/j.ogrm.2024.04.003","DOIUrl":"10.1016/j.ogrm.2024.04.003","url":null,"abstract":"<div><p>From 2019 to 2021, 241 women in the UK died during pregnancy or in the 6-week period postpartum, as a direct or indirect result of the pregnancy, a mortality rate of almost 1 in 10,000. In 14% of cases, care was considered ‘good’, but in 52%, opportunities to improve care were identified that might have altered the outcome in a positive way. The admission rate to intensive care units for women who are pregnant or within the first six postnatal weeks exceeds 1 in 500 maternities, and is more common among women of black ethnic origin, older age, or those with severe obesity. Reasons for admission range from provision of close observation with or without invasive monitoring, to multi-organ support including extracorporeal therapies. An understanding of the types of organ support available, along with their indications and objectives, is important for all medical professionals caring for such women. This review describes the range of critical care organ support modalities available and how the physiology of pregnancy influences their use. The non-clinical challenges faced by professionals caring for these women who are critically unwell, from logistical to psychological, are also discussed.</p></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141028477","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 and pre-implantation genetic testing for monogenic disorders for germline cancer susceptibility gene variants: summary of the UK British Society for Genetic Medicine joint consensus guidance 针对单基因遗传病的产前和胚胎植入前基因检测，以确定种系癌症易感基因变异：英国遗传医学会联合共识指南摘要
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.ogrm.2024.04.004
Mohamed Wafik, Anjana Kulkarni
{"title":"Prenatal and pre-implantation genetic testing for monogenic disorders for germline cancer susceptibility gene variants: summary of the UK British Society for Genetic Medicine joint consensus guidance","authors":"Mohamed Wafik,&nbsp;Anjana Kulkarni","doi":"10.1016/j.ogrm.2024.04.004","DOIUrl":"10.1016/j.ogrm.2024.04.004","url":null,"abstract":"<div><p>The previous lack of national UK guidance on the use of Prenatal and Pre-implantation Genetic Testing (PND and PGT-M) for Monogenic Disorders for Germline Cancer Susceptibility Gene Variants (gCSGV) has led to disparities in care across the UK, and inequitable access to reproductive options for families living with cancer susceptibility syndromes. In 2023, the UK Cancer Genetics Group and Fetal Genomics Group of the British Society of Genetic Medicine developed joint consensus guidance seeking to provide healthcare professionals with a clear counselling framework to support individuals/couples during their reproductive decision-making process. The guidance is for healthcare professionals, individuals and couples with a gCSGV and their families, policy makers and charities supporting people with cancer susceptibility syndromes. Details about the consensus group participants, the main workshop's format, and the pre- and post-workshop nationwide surveys, are available in the full document.</p></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141139327","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 : 2024-07-01 DOI: 10.1016/j.ogrm.2024.04.005
Anna Richmond
{"title":"Self-assessment questions","authors":"Anna Richmond","doi":"10.1016/j.ogrm.2024.04.005","DOIUrl":"https://doi.org/10.1016/j.ogrm.2024.04.005","url":null,"abstract":"","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487531","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
Resuscitation of the newborn 新生儿复苏
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.ogrm.2024.04.002
Daniel Keen, Rachel Davies-Foote, Nigel Kennea
{"title":"Resuscitation of the newborn","authors":"Daniel Keen,&nbsp;Rachel Davies-Foote,&nbsp;Nigel Kennea","doi":"10.1016/j.ogrm.2024.04.002","DOIUrl":"https://doi.org/10.1016/j.ogrm.2024.04.002","url":null,"abstract":"<div><p>Most newborns are born vigorous and do not require resuscitation. However, the World Health Organization has estimated that 10% of all newborn infants need some intervention at birth and approximately 0.5% will require cardiopulmonary resuscitation. Frequently, the need for resuscitation may be anticipated based on maternal and obstetric history, but this is not always the case and therefore anyone involved in the delivery of newborn infants should be trained in resuscitation.</p></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487530","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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