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Modern considerations in perioperative care in gynaecology 妇科围手术期护理的现代思考
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-01-01 DOI: 10.1016/j.ogrm.2024.10.001
Ee Thong Lim, Nikolaos Tsampras
{"title":"Modern considerations in perioperative care in gynaecology","authors":"Ee Thong Lim,&nbsp;Nikolaos Tsampras","doi":"10.1016/j.ogrm.2024.10.001","DOIUrl":"10.1016/j.ogrm.2024.10.001","url":null,"abstract":"<div><div>Modern lifestyle has led to an increased number of surgical patients having comorbidities, often related to increased perioperative morbidity and mortality. Early recognition of risk factors and optimization of the patients can improve outcomes. The continuous trend of minimal access procedures in gynaecology and the application of enhanced recovery programmes have improved clinical and cost effectiveness. Following the COVID-19 pandemic, surgical waiting lists in Gynaecology have grown to levels not seen in a decade. Day case surgery has been promoted to reduce the pressure on hospitals and improve the patient experience. National and global organizations, as the National Institute for Health and Care Excellence (NICE), the World Health Organization (WHO), the Centre for the Perioperative Care (CPOC) and the Enhanced Recovery after Surgery Society (ERAS), are producing guidance, promoting knowledge, understanding and research regarding optimal perioperative care. In this review we summarize the current evidence and discuss its applications in modern gynaecology practice.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 1","pages":"Pages 1-7"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143165541","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 management of teenage pregnancy 少女怀孕的产前管理
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-01-01 DOI: 10.1016/j.ogrm.2024.10.002
Emily M Frier, Marie Anne Ledingham
{"title":"Antenatal management of teenage pregnancy","authors":"Emily M Frier,&nbsp;Marie Anne Ledingham","doi":"10.1016/j.ogrm.2024.10.002","DOIUrl":"10.1016/j.ogrm.2024.10.002","url":null,"abstract":"<div><div>Teenage pregnancy has major implications for the mother and child, their wider family, and at a societal and population level. Although teenage pregnancy rates have fallen substantially over the last 30 years, they remain higher in the UK relative to other countries in Western Europe, and a high proportion of teenage pregnancies are unplanned. Teenage pregnancy is associated with major health inequalities, including lower maternal socioeconomic status and education. Furthermore, there is a lack of guidance to inform the antenatal management of teenage mothers to optimize both short- and long-term outcomes for mother and child. This review article outlines the latest trends in teenage pregnancy in the UK, the risks of teenage pregnancy for the mother, fetus and child, and presents proposed antenatal management strategies to optimize outcomes of teenage pregnancies.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 1","pages":"Pages 8-14"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143165542","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 treatment in women over 50: clinical and ethical considerations 50岁以上妇女的生育治疗：临床和伦理考虑
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-01-01 DOI: 10.1016/j.ogrm.2024.10.004
Sharon Tay, Peter Kerecsenyi, Raj Mathur
{"title":"Fertility treatment in women over 50: clinical and ethical considerations","authors":"Sharon Tay,&nbsp;Peter Kerecsenyi,&nbsp;Raj Mathur","doi":"10.1016/j.ogrm.2024.10.004","DOIUrl":"10.1016/j.ogrm.2024.10.004","url":null,"abstract":"<div><div>As more women prioritize education, career growth, and personal milestones, family planning is increasingly postponed until later in life. Contributing factors such as advanced education, career ambitions, highly effective contraceptive methods, and finding life partners at later stages have led to a growing interest in fertility treatments for women over 50. However, pursuing pregnancy at this age comes with significant clinical and ethical challenges. Women over 50 face elevated risks of aneuploidy, miscarriage, pre-eclampsia, gestational diabetes, and preterm delivery. These complications necessitate rigorous pre-treatment evaluations, enhanced monitoring protocols, and comprehensive care throughout pregnancy. Additionally, ethical concerns arise regarding the welfare of both mother and child, as well as the societal implications of offering fertility treatments to this demographic. This spotlight article explores the clinical risks, ethical considerations, and practical approaches to managing fertility treatment in women over 50.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 1","pages":"Pages 21-23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143165544","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
Benign ovarian cysts in premenopausal women 绝经前妇女良性卵巢囊肿
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-01-01 DOI: 10.1016/j.ogrm.2024.10.003
Navneet Kaur, Kenneth Ma
{"title":"Benign ovarian cysts in premenopausal women","authors":"Navneet Kaur,&nbsp;Kenneth Ma","doi":"10.1016/j.ogrm.2024.10.003","DOIUrl":"10.1016/j.ogrm.2024.10.003","url":null,"abstract":"<div><div>Benign ovarian cysts are a common gynaecological presentation. Up to 10% of women will have surgery for an ovarian cyst in their lifetime. When an adnexal mass is diagnosed, the differential diagnosis is wide and up to 10% may be non-ovarian in origin. The goal of management is to determine the underlying pathology and to risk stratify patients to guide further management. Transvaginal ultrasound scanning remains the imaging modality of choice and the use of simple rules as well as benign and malignant features should form the basis for diagnosis, with serum markers used as an adjunct. Cross-sectional imaging with other modalities including magnetic resonance imaging are useful in the management of indeterminate masses. Most ovarian cysts are benign in nature and most functional and simple cysts are likely to resolve spontaneously without intervention. This review will demonstrate four clinical scenarios with different underlying pathology and their management.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 1","pages":"Pages 15-20"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143165543","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 : 2025-01-01 DOI: 10.1016/j.ogrm.2024.10.005
Anna Richmond
{"title":"Self-assessment questions","authors":"Anna Richmond","doi":"10.1016/j.ogrm.2024.10.005","DOIUrl":"10.1016/j.ogrm.2024.10.005","url":null,"abstract":"","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"35 1","pages":"Pages 24-26"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143166574","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
Endocrine disorders in pregnancy 孕期内分泌失调
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-10-29 DOI: 10.1016/j.ogrm.2024.08.008
Bidisha Chatterjee, Hsu Phern Chong
{"title":"Endocrine disorders in pregnancy","authors":"Bidisha Chatterjee,&nbsp;Hsu Phern Chong","doi":"10.1016/j.ogrm.2024.08.008","DOIUrl":"10.1016/j.ogrm.2024.08.008","url":null,"abstract":"<div><div>Endocrine disorders in pregnancy are common. Good outcomes can be achieved with multi-disciplinary care in pregnancy. The primary objective of this review is to provide the reader with an overview of national guidelines and recent advances regarding the care of women with endocrine disorders in pregnancy. We have outlined care for a broad range of conditions ranging from diabetes and thyroid disorders, to the rarer conditions such as phaeochromocytoma.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"34 12","pages":"Pages 332-337"},"PeriodicalIF":0.0,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704166","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
International travel during pregnancy: a review of current literature and guidelines 孕期国际旅行：当前文献和指南综述
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-09-25 DOI: 10.1016/j.ogrm.2024.08.009
Brittany Jasper, Catherine Aiken
{"title":"International travel during pregnancy: a review of current literature and guidelines","authors":"Brittany Jasper,&nbsp;Catherine Aiken","doi":"10.1016/j.ogrm.2024.08.009","DOIUrl":"10.1016/j.ogrm.2024.08.009","url":null,"abstract":"<div><div>International travel among pregnant women has become increasingly common, prompting clinicians to seek evidence-based guidance of travel safety and precautions during pregnancy. This article provides a comprehensive summary of current literature and guidelines on international travel for pregnant women, addressing key concerns such as prevention of venous thromboembolism, advisability of travel vaccinations, and zoonotic diseases including malaria, Zika virus, yellow fever, rabies, and Japanese encephalitis. Additionally, this article covers food and water safety, focussing on pathogens responsible for travellers’ diarrhoea, typhoid fever, and hepatitis A, and offers guidance on managing environmental factors of travel such as extremes of temperature, high-altitude travel, and air quality. Practical advice for pregnant travellers, including travel insurance and documentation should always be considered. This article aims to equip clinicians with the necessary knowledge to support women in making informed, evidence-based, and safe travel decisions during pregnancy.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"34 12","pages":"Pages 338-343"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704165","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 : 2024-09-24 DOI: 10.1016/j.ogrm.2024.08.010
Anna Richmond
{"title":"Self-assessment questions","authors":"Anna Richmond","doi":"10.1016/j.ogrm.2024.08.010","DOIUrl":"10.1016/j.ogrm.2024.08.010","url":null,"abstract":"","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"34 12","pages":"Pages 344-346"},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704894","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
Obstetric anaesthesia for major interventions 重大介入手术的产科麻醉
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-09-23 DOI: 10.1016/j.ogrm.2024.08.007
Alice Bunce, Elizabeth Maronge
{"title":"Obstetric anaesthesia for major interventions","authors":"Alice Bunce,&nbsp;Elizabeth Maronge","doi":"10.1016/j.ogrm.2024.08.007","DOIUrl":"10.1016/j.ogrm.2024.08.007","url":null,"abstract":"<div><div>In recent years there has been an increase in the number of women undergoing surgical intervention to facilitate birth or in the immediate postnatal period. This review describes the types of anaesthesia employed for various obstetric interventions, including caesarean birth, assisted vaginal birth, repair of a perineal tear and manual removal of placenta. It provides a comparison between the different techniques used within obstetric anaesthesia and discusses the principles of the decision-making process when selecting a specific anaesthetic technique. An understanding of the factors influencing the anaesthetic and an appreciation of the potential anaesthetic risks and complications is key for those involved in caring for women undergoing an obstetric surgical procedure.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"34 12","pages":"Pages 326-331"},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704167","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
Endometriosis and fertility 子宫内膜异位症与生育
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-09-19 DOI: 10.1016/j.ogrm.2024.08.006
Karolina Skorupskaite, Harish M Bhandari
{"title":"Endometriosis and fertility","authors":"Karolina Skorupskaite,&nbsp;Harish M Bhandari","doi":"10.1016/j.ogrm.2024.08.006","DOIUrl":"10.1016/j.ogrm.2024.08.006","url":null,"abstract":"<div><div>Endometriosis is a chronic inflammatory condition of reproductive age which can lead to infertility and chronic pelvic pain. Endometriosis-associated infertility is not well understood and it appears to be multi-factorial; mechanical, inflammatory, hormonal, genetic and environmental processes can disturb each step of the normal reproductive physiology; folliculogenesis, ovulation, sperm function, gamete transport, fertilization and implantation. Medical management has limited role for patients with endometriosis wishing to conceive. On-going pregnancy rate for infertile patients with milder disease is improved by surgery. Surgical management of severe disease and endometrioma for infertility needs careful consideration as the evidence for benefits of improved reproductive outcome lacks consistency but is associated with increased surgical risks and can lead to iatrogenic decline in ovarian reserve and fertility. Endometriosis-associated infertility is a recognized indication for assisted reproductive technology procedures. Fertility preservation may be appropriate for those with risk factors for premature endometriosis-related fertility loss.</div></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"34 12","pages":"Pages 319-325"},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704168","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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