Acta Obstetricia et Gynecologica Scandinavica最新文献

{"title":"Seasonal patterns of preterm birth in the Netherlands: A population-based cohort study.","authors":"Annabelle L van Gils, Anita C Ravelli, Brenda M Kazemier, Eva Pajkrt, Martijn A Oudijk","doi":"10.1111/aogs.15134","DOIUrl":"https://doi.org/10.1111/aogs.15134","url":null,"abstract":"<p><strong>Introduction: </strong>Preterm birth is subject to seasonal periodicity, dependent on geographical, meteorological, and environmental factors. This study aims to assess whether preterm birth in the Netherlands is subject to seasonal periodicity.</p><p><strong>Material and methods: </strong>We performed a population-based cohort including singleton births between January 1, 2010 and December 31, 2019 between 24 + 0 and 42 + 6 weeks of gestation in the Netherlands. The primary outcome was the incidence of preterm birth <37 weeks. Secondary outcomes were total, spontaneous, and iatrogenic preterm birth <28, <32, and <37 weeks of gestation. Preterm birth incidence was calculated per conception month and as a proportion of fetuses-at-risk, taking into account the number of ongoing pregnancies at risk for preterm birth. The incidence of preterm birth <37 weeks per conception month and out of fetuses-at-risk was plotted for the 10-year study period. Incidences were reported as rates, and seasonality was tested with logistic regression and autocorrelation function with a 12-month lag.</p><p><strong>Results: </strong>In total, 1 598 554 births were included in the 10-year study period. The average monthly birth count varied from 12 006 (February) to 14 293 (September). The average monthly preterm birth count varied from 610 (February) to 728 (July). Over the total study period, the incidence of preterm birth <37 weeks was 5.16%. Pregnancies conceived in April and May had the highest incidences of preterm birth <37 weeks (5.58% and 5.38%, respectively). Out of fetuses-at-risk, preterm birth incidences were highest in October, December, and January (between 1.38% and 1.42%) and lowest in February (1.22%) and April (1.22%). The ten-year incidence of preterm birth <37 weeks revealed a consistent seasonal pattern, with annually recurrent peaks in preterm birth incidence each year (p < 0.001).</p><p><strong>Conclusions: </strong>In the Netherlands, the incidence of preterm birth in singletons is subject to seasonal periodicity. Conception in April and May is associated with the highest risk of preterm birth. Fetuses are at the highest risk for preterm birth from October to January and at the lowest risk in February and April.</p>","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postpartum maternal thrombophilia workup value in pregnancies with severe small for gestational age.","authors":"Maëlig Abgral, Céline Desconclois, Sophie Prevot, Isabelle Monier, Raluca Sterpu, Alexandra Benachi, Alexandre J Vivanti","doi":"10.1111/aogs.15108","DOIUrl":"https://doi.org/10.1111/aogs.15108","url":null,"abstract":"<p><strong>Introduction: </strong>In the absence of prenatal etiology explaining small for gestational age (SGA), a blood workup may be performed postpartum to look for maternal thrombophilia if a newborn is confirmed to be growth-restricted at birth. The literature regarding thrombophilia factors and fetal growth restriction is discordant. The main objective was to assess the prevalence and type of maternal thrombophilia among women delivering newborns of birthweight below the 3rd percentile and undergoing a postpartum thrombophilia workup and placental analysis.</p><p><strong>Material and methods: </strong>This was a single-center retrospective observational cohort study in a tertiary care French maternity. The study population included all women delivering a liveborn infant with severe SGA, defined as a birthweight below the 3rd percentile according to French charts between January 2014 and December 2018. Data from thrombophilia workups (antiphospholipid antibodies, protein C assay, protein S assay, antithrombin assay, factor V Leiden mutation, and factor II G 20210A mutation search) were collected from medical records. Placental pathology analysis, if available, was also collected. The primary endpoint was the prevalence of positive expanded thrombophilia workup (inherited or acquired).</p><p><strong>Results: </strong>A total of 733 patients were included in our study, 401 of whom (54.7%) underwent a postpartum thrombophilia workup. The overall prevalence of hereditary thrombophilia was 6.7%, 95% confidence interval (4.3 to 9.2) and of acquired thrombophilia was 2.0%, 95% confidence interval (0.6 to 3.4). Among hereditary anomalies, heterozygous factor V mutation and heterozygous factor II mutation were the most frequently observed, respectively, 4% and 1.7%. Concerning the presence of antiphospholipid antibodies, triple positivity was present in one patient (0.2%). The presence of a single antiphospholipid antibody was more frequently observed in 3 patients (0.7%).</p><p><strong>Conclusions: </strong>Among patients with a severe SGA infant and postpartum investigation of maternal thrombophilia, an extensive workup of postpartum thrombophilia contributed to a low proportion of positive findings. This suggests that the prescription of such a workup should be targeted, based on personal and family medical history. In fact, testing for inherited thrombophilia should be reserved for patients with a personal or family history of thrombosis. Testing for antiphospholipid antibodies should follow ACR/EULAR criteria.</p>","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lessons to be learnt from intracervical hypervascularity.","authors":"Sarah P Walker, Mohamed Elhodaiby","doi":"10.1111/aogs.15153","DOIUrl":"https://doi.org/10.1111/aogs.15153","url":null,"abstract":"","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors associated with progression from pre-eclampsia to eclampsia: A prospective cohort study and population-wide data analysis.","authors":"Annettee Nakimuli, Brittany A Jasper, Sarah Nakubulwa, Moses Adroma, Jackline Akello, Imelda Namagembe, Musa Sekikubo, Eve Nakabembe, Ashley Moffett, Catherine E Aiken","doi":"10.1111/aogs.15154","DOIUrl":"https://doi.org/10.1111/aogs.15154","url":null,"abstract":"<p><strong>Introduction: </strong>Eclampsia is a life-threatening complication of pre-eclampsia. There are currently no means of reliably identifying women with pre-eclampsia who are at the highest risk of progression to eclampsia and would thus benefit from prioritization for intensive monitoring and urgent delivery. This is particularly challenging in obstetric settings where resources are limited. We identify risk factors for the progression of pre-eclampsia to eclampsia in low- and middle-income settings.</p><p><strong>Material and methods: </strong>Women diagnosed with pre-eclampsia were prospectively recruited at a single tertiary referral centre in urban Uganda (2011-2016). Multivariable logistic regression models were used to identify risk factors that predicted the likelihood of progression to eclampsia. Key findings were validated in a geographically, socioeconomically, and ethnically distinct population using population-wide hospital admission data from Ecuador (2021-2023).</p><p><strong>Results: </strong>In urban Uganda, progression from pre-eclampsia to eclampsia was associated with nulliparity (OR 2.4; 95% CI: 1.1-5.4, p = 0.03), Baganda ethnicity (OR 1.9; 95% CI: 1.1-3.9, p = 0.01), unskilled/unemployed paternal occupation (OR 2.8; 95% CI: 1.3-6.4, p = 0.03), and a trend toward younger maternal age (OR 0.9; 95% CI: 0.9-1.0 per year; p = 0.09). Risk of progression to eclampsia was not related to the severity of pre-eclampsia or the number of antenatal clinic visits. In Ecuador, population-wide analysis showed that progression to eclampsia was associated with younger maternal age (p < 0.001) and a trend toward public vs privately funded obstetric care (p = 0.09).</p><p><strong>Conclusions: </strong>Eclampsia risk extends beyond clinical markers of pre-eclampsia severity, with socioeconomic factors and maternal age playing crucial roles in disease progression. A targeted, context-specific approach prioritizing high-risk young women with socioeconomic vulnerabilities could optimize healthcare resources and mitigate severe hypertensive disorder risks.</p>","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143951703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI-driven simplification of surgical reports in gynecologic oncology: A potential tool for patient education.","authors":"Maximilian Riedel, Bastian Meyer, Raphael Kfuri Rubens, Caroline Riedel, Niklas Amann, Marion Kiechle, Fabian Riedel","doi":"10.1111/aogs.15123","DOIUrl":"https://doi.org/10.1111/aogs.15123","url":null,"abstract":"<p><strong>Introduction: </strong>The emergence of large language models heralds a new chapter in natural language processing, with immense potential for improving medical care and especially medical oncology. One recent and publicly available example is Generative Pretraining Transformer 4 (GPT-4). Our objective was to evaluate its ability to rephrase original surgical reports into simplified versions that are more comprehensible to patients. Specifically, we aimed to investigate and discuss the potential, limitations, and associated risks of using these simplified reports for patient education and information in gynecologic oncology.</p><p><strong>Material and methods: </strong>We tasked GPT-4 with generating simplified versions from n = 20 original gynecologic surgical reports. Patients were provided with both their original report and the corresponding simplified version generated by GPT-4. Alongside these reports, patients received questionnaires designed to facilitate a comparative assessment between the original and simplified surgical reports. Furthermore, clinical experts evaluated the artificial intelligence (AI)-generated reports with regard to their accuracy and clinical quality.</p><p><strong>Results: </strong>The simplified surgical reports generated by GPT-4 significantly improved our patients' understanding, particularly with regard to the surgical procedure, its outcome, and potential risks. However, despite the reports being more accessible and relevant, clinical experts highlighted concerns about their lack of medical precision.</p><p><strong>Conclusions: </strong>Advanced language models like GPT-4 can transform unedited surgical reports to improve clarity about the procedure and its outcomes. It offers considerable promise for enhancing patient education. However, concerns about medical precision underscore the need for rigorous oversight to safely integrate AI into patient education. Over the medium term, AI-generated, simplified versions of these reports-and other medical records-could be effortlessly integrated into standard automated postoperative care and digital discharge systems.</p>","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term quality of life, vulvar symptoms, and sexual functioning: A cross-sectional study of Norwegian vulvar cancer survivors.","authors":"Christin Julia Meltzer-Gunnes, Milada C Hagen, Yun Wang, Pernille T Jensen, Ingvild Vistad","doi":"10.1111/aogs.15155","DOIUrl":"https://doi.org/10.1111/aogs.15155","url":null,"abstract":"<p><strong>Introduction: </strong>Vulvar cancer survivors are at risk of experiencing impaired health-related quality of life and sexual functioning after treatment. However, studies on survivorship challenges, particularly several years after treatment, are scarce. Our aim was to assess health-related quality of life in Norwegian vulvar cancer survivors more than 5 years after treatment and to compare reported vulvar symptoms and sexual functioning with women from a normative sample of the general Norwegian female population.</p><p><strong>Material and methods: </strong>Patients treated primarily for early-stage vulvar squamous cell carcinoma at the Norwegian Radium Hospital between 2006 and 2016 were invited to participate. Health-related quality of life, vulvar symptoms, and sexual functioning were assessed using the EORTC QLQ-C30 and EORTC QLQ-VU34. To recruit a normative sample, the EORTC QLQ-VU34 was also distributed to a sample of Norwegian women with no prior history of cancer. EORTC QLQ-C30 scores among vulvar cancer survivors were compared to \"thresholds for clinical importance.\" EORTC QLQ-VU34 scores among cancer survivors were compared to those of the normative sample.</p><p><strong>Results: </strong>A total of 44 (57%) of 77 vulvar cancer survivors completed the questionnaires, and 334 women from the general population were included for the normative sample. A considerable proportion of cancer survivors reported clinically relevant problems: 43% reported impaired physical functioning, while 30% experienced impaired emotional, cognitive, and social functioning. Genital and groin symptoms were significantly more common among cancer survivors than among women in the normative sample. Fewer vulvar cancer survivors were sexually active (9/44 (20%) versus 232/334 (69%)) and they reported a higher degree of sexual dysfunction compared to the normative sample.</p><p><strong>Conclusions: </strong>Vulvar cancer survivors reported impaired health-related quality of life even several years after treatment. Vulvar complaints and impaired sexual functioning were more common among vulvar cancer survivors than among women from the normative sample.</p>","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal-fetal transfer and longitudinal trends of antibodies to Chlamydia trachomatis and Mycoplasma genitalium in early childhood.","authors":"Nea Koskela, Julia Butt, Birgitta E Michels, Kari Syrjänen, Seija Grenman, Tim Waterboer, Stina Syrjänen, Karolina Louvanto","doi":"10.1111/aogs.15105","DOIUrl":"https://doi.org/10.1111/aogs.15105","url":null,"abstract":"<p><strong>Introduction: </strong>Sexually transmitted infections caused by Chlamydia trachomatis and Mycoplasma genitalium can have significant implications during early childhood. This study aimed to assess maternal antibodies to C. trachomatis and M. genitalium in newborns, their vanishing, and offspring's own seroconversion to these pathogens during the first 3 years of life.</p><p><strong>Material and methods: </strong>Altogether, 309 mother-neonate pairs originally enrolled in the prospective Finnish Family HPV (FFHPV) cohort study at Turku University Hospital, Finland, were analyzed for serum IgG antibodies to plasmid protein gene 3 (pGP3) for C. trachomatis and M. genitalium protein of adhesion (MgPa N-term) and recombinant MgPa for M. genitalium using multiplex serology, by serial sampling during a 3-year follow-up.</p><p><strong>Results: </strong>A significant correlation between maternal and neonate antibodies to both C. trachomatis and M. genitalium was evident up to 2 months after birth and to C. trachomatis also at 6 months (p < 0.001). During the first 3 years of life, three children seroconverted IgG antibodies to C. trachomatis and one to M. genitalium. At the last (36-month) follow-up visit, five (2.1%) children were seropositive for C. trachomatis and only one (0.4%) for M. genitalium.</p><p><strong>Conclusions: </strong>Both C. trachomatis and M. genitalium IgG antibodies are transferred from the mother to her offspring during pregnancy; similarly, this is shown for nearly all maternal IgG antibodies. Seroconversion for both C. trachomatis and M. genitalium in early childhood was a rare event. Further studies are required to elucidate the significance of C. trachomatis and M. genitalium antibodies acquired in early life.</p>","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High-sensitivity CRP is elevated in pregnant women with overweight and obesity and modulated by gestational weight gain.","authors":"Ann-Christin Tallarek, Tanja Zeller, Alina Goßling, Caroline Kellner, Gudula Hansen, Mirja Pagenkemper, Charlotte Humke, Evelyn Annegret Huhn, Christopher Urbschat, Petra Clara Arck, Anke Diemert","doi":"10.1111/aogs.15135","DOIUrl":"https://doi.org/10.1111/aogs.15135","url":null,"abstract":"<p><strong>Introduction: </strong>The global obesity epidemic presents a growing challenge in perinatal medicine and obstetrics, as it is associated with a higher risk of adverse maternal and perinatal outcomes. In addition to metabolic disturbances, obesity contributes to chronic low-grade inflammation. This study aims to investigate the relationship between maternal overweight, obesity, and excessive weight gain during pregnancy and high-sensitivity C-reactive protein (hs-CRP), an acute-phase reactant of inflammation and infection in maternal serum.</p><p><strong>Material and methods: </strong>The PRINCE (Prenatal Identification of Children's Health) study is a prospective longitudinal pregnancy cohort conducted at the University Medical Centre Hamburg-Eppendorf in Germany. In this study, biosamples and metadata were collected from 2011 to 2023. Hs-CRP levels were measured in each trimester among 582 healthy, low-risk women. Participants were categorized into weight classes based on their body mass index. Weight gain during pregnancy was evaluated according to the recommendations of the Institute of Medicine. For statistical analysis, the Wilcoxon and Kruskal-Wallis tests were employed for continuous variables, whereas the Mann-Whitney test was used for binary groups.</p><p><strong>Results: </strong>Hs-CRP levels are significantly higher in overweight and obese pregnant women throughout their pregnancy. During the first trimester, hs-CRP compared to those of normal-weight individuals (mean 3.4 mg/L; 95% CI 3.1 to 3.7) showed a 1.7-fold increase in overweight (mean 5.9 mg/L; 95% CI 5.0 to 6.7; p < 0.0001) and a 2.7-fold increase in obesity (mean 9.3 mg/L; 95% CI 7.6 to 11.0; p < 0.0001). Excessive weight gain during pregnancy is more common among overweight women (67%) and is associated with 1.5-fold heightened hs-CRP levels in the third trimester (mean 5.6 mg/L; 95% CI 4.7 to 6.4), compared to overweight women who follow the recommended weight gain guidelines (mean 3.7 mg/L; 95% CI 2.9 to 4.4; p = 0.009).</p><p><strong>Conclusions: </strong>Overweight and obesity, along with excessive gestational weight gain in individuals with preexisting overweight status, correlate with elevated levels of hs-CRP during pregnancy. This phenomenon indicates chronic low-grade inflammation in adipose tissue.</p>","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency and determinants of words, gestures, and attitudes experienced as disrespectful during childbirth and postpartum: A national population-based study.","authors":"Marianne Jacques, Anne Alice Chantry, Anne Evrard, Nathalie Lelong, Camille Le Ray","doi":"10.1111/aogs.15119","DOIUrl":"https://doi.org/10.1111/aogs.15119","url":null,"abstract":"<p><strong>Introduction: </strong>Disrespectful maternity care is receiving increasing attention but remains poorly assessed in high-income countries. The aim was to assess the frequency and determinants of professionals' words, gestures and attitudes experienced as disrespectful by women during childbirth and postpartum stays.</p><p><strong>Material and methods: </strong>This national quantitative observational study used the population-based Enquête Nationale Périnatale (ENP) 2021 database, which provides a representative sample of women who gave birth in metropolitan France and includes a 2-month postpartum follow-up (n = 7394). At the 2-month follow-up, women were asked about professionals' words, gestures, and attitudes that made them feel uncomfortable, shocked, or offended during childbirth or postpartum stays. Associations between disrespectful care and maternal, obstetric, and maternity ward characteristics were assessed by robust variance Poisson regression. Multiple imputation was used for missing data, and attrition was accounted for by weighting.</p><p><strong>Results: </strong>Among the 7332 women analyzed, 24.8% (95% confidence interval 23.8-26.0) reported they experienced disrespectful care (especially words or attitudes), predominantly during the postpartum stay. They were more frequently nulliparous, had a high education level, a birth plan (adjusted relative risk [aRR] 1.20, 95% CI 1.09-1.32) and an instrumental or cesarean birth. Women with a psychiatric history or antenatal psychological distress were more prevalent among women experiencing disrespectful care (aRR 1.43, 95% CI 1.26-1.63). Disrespectful care was reported more frequently when women breastfed. No other maternal (age, place of birth, marital status), obstetric (pregnancy's level of risk, delivery complication), neonatal (term of birth, poor neonatal outcome), postpartum (duration of the stay in the unit), or maternity ward characteristics showed an association.</p><p><strong>Conclusions: </strong>A quarter of women delivering in France felt they had experienced disrespectful care during childbirth and/or postpartum stay. Support for psychological vulnerabilities and awareness campaigns for all maternity care professionals could improve women's experiences. Professionals should address women's expectations respectfully, especially in complex childbirth situations. The healthcare system may play a role in this phenomenon, although its impact is more challenging to quantify. Interventions are necessary to promote and ensure respectful maternity care.</p>","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Polycystic ovary syndrome: What to say when asked about the chance of pregnancy.","authors":"Laure Morin-Papunen, Sari Pelkonen, Terhi Piltonen","doi":"10.1111/aogs.15149","DOIUrl":"https://doi.org/10.1111/aogs.15149","url":null,"abstract":"","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}