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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
Nilanjan Panda, Ian Pearce
{"title":"Bladder pain syndrome","authors":"Nilanjan Panda,&nbsp;Ian Pearce","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":"34 9","pages":"Pages 235-243"},"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":"34 7","pages":"Pages 189-196"},"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":"34 7","pages":"Pages 197-199"},"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":"34 7","pages":"Pages 200-202"},"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":"34 7","pages":"Pages 181-188"},"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
How to investigate, counsel and manage women with congenital infections 如何调查、咨询和管理患有先天性感染的妇女
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.ogrm.2024.04.001
Martin Cameron
{"title":"How to investigate, counsel and manage women with congenital infections","authors":"Martin Cameron","doi":"10.1016/j.ogrm.2024.04.001","DOIUrl":"10.1016/j.ogrm.2024.04.001","url":null,"abstract":"<div><p>The diagnosis of a congenital infection leads to feeling of anxiety and fear not only the pregnant woman but also in the medical practitioner caring for the woman. This is not surprising given that these conditions are rare events and so each clinician may only see a handful in their career. This article gives practical advice for when to suspect congenital infection, and to provide a framework for investigation, counselling and management of seven important congenital infections: toxoplasmosis, cytomegalovirus (CMV), zika virus, parvovirus B19, rubella, syphilis, and varicella zoster.</p></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"34 7","pages":"Pages 175-180"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141143736","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 : 2024-06-28 DOI: 10.1016/j.ogrm.2024.06.005
Anna Richmond
{"title":"Self-assessment questions","authors":"Anna Richmond","doi":"10.1016/j.ogrm.2024.06.005","DOIUrl":"10.1016/j.ogrm.2024.06.005","url":null,"abstract":"","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"34 9","pages":"Pages 264-265"},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142088643","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
Childbirth-related perineal trauma and its complications: prevalence, risk factors and management 与分娩有关的会阴创伤及其并发症：发病率、风险因素和处理方法
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-06-19 DOI: 10.1016/j.ogrm.2024.06.003
Rebecca Man, Victoria Hodgetts Morton, R. Katie Morris
{"title":"Childbirth-related perineal trauma and its complications: prevalence, risk factors and management","authors":"Rebecca Man,&nbsp;Victoria Hodgetts Morton,&nbsp;R. Katie Morris","doi":"10.1016/j.ogrm.2024.06.003","DOIUrl":"10.1016/j.ogrm.2024.06.003","url":null,"abstract":"<div><p><span>Childbirth<span> related perineal trauma is extremely common after </span></span>vaginal birth<span>. Limited evidence suggests that subsequent complications such as wound infection or dehiscence occur frequently, yet interventions aimed at improving outcomes in this large group of women remain scarce. Here, we review the different types of tear after childbirth, their prevalence, risk factors, complications and best management, as well as exploring the evidence underlying current recommendations and practice.</span></p></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"34 9","pages":"Pages 252-259"},"PeriodicalIF":0.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086947","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
Ethnicity, disadvantage and pregnancy outcomes in the UK 英国的种族、不利条件和妊娠结果
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-06-19 DOI: 10.1016/j.ogrm.2024.06.004
Nicola Vousden, Marian Knight
{"title":"Ethnicity, disadvantage and pregnancy outcomes in the UK","authors":"Nicola Vousden,&nbsp;Marian Knight","doi":"10.1016/j.ogrm.2024.06.004","DOIUrl":"10.1016/j.ogrm.2024.06.004","url":null,"abstract":"<div><p>Inequalities in maternal and perinatal outcomes related to ethnicity and socioeconomic deprivation are widening. Being of Black and Asian ethnicity independently increases the risk of maternal mortality and severe morbidity, as does living in the most deprived areas. Since a higher proportion of women of Asian and Black ethnicity live in the most deprived areas, this effect is compounded. Individual risks, such as obesity, are influenced by health and cultural beliefs and behaviour, social networks and norms, the environments in which we live, and access to and experience of healthcare, which are all intertwined with ethnicity and socioeconomic status. Clinicians can listen to women's and communities needs around ethnicity, race, and social determinants of health. Clinicians can also identify and use networks of community support and promote awareness within their practice and teams. Institutions can employ and retain diverse teams, measure health equity of services and develop an anti-discriminatory institutional culture.</p></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"34 9","pages":"Pages 260-263"},"PeriodicalIF":0.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086948","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 guide to understanding fetal growth and newborn birthweight charts 了解胎儿发育和新生儿出生体重图表的实用指南
Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-06-17 DOI: 10.1016/j.ogrm.2024.06.002
Jack Hamer, Mah Jabeen, Leo Gurney, R. Katie Morris, Victoria Hodgetts Morton
{"title":"A practical guide to understanding fetal growth and newborn birthweight charts","authors":"Jack Hamer,&nbsp;Mah Jabeen,&nbsp;Leo Gurney,&nbsp;R. Katie Morris,&nbsp;Victoria Hodgetts Morton","doi":"10.1016/j.ogrm.2024.06.002","DOIUrl":"10.1016/j.ogrm.2024.06.002","url":null,"abstract":"<div><p>Appropriate assessment of fetal growth is essential for safe clinical care. There have been many recent strategies to improve the detection of aberrant fetal growth patterns, one of which has been to optimize fetal growth centile charts. Over recent years there has been ongoing debates regarding the optimal growth chart for clinical usage. Controversy can arise where growth charts have demonstrated wide variance in the proportion of fetuses classified within the extremities of growth. Standards for growth charts need to be evidenced based and validated against pregnancy outcomes to demonstrate clinical utility and widespread usage. They should be supplied by high quality methodological reasoning and ideally evidenced through large prospective multicentre studies. Given the variable terminology to classify growth centile charts, including the variety of charts available, a complete understanding by healthcare professional can be troublesome to achieve. This practical guide aims to provide clarity on this diverse subject.</p></div>","PeriodicalId":53410,"journal":{"name":"Obstetrics, Gynaecology and Reproductive Medicine","volume":"34 9","pages":"Pages 244-251"},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086946","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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