Clara Rollet, Camille Le Ray, Françoise Vendittelli, Béatrice Blondel, Anne Alice Chantry
{"title":"Severe adverse maternal and neonatal outcomes according to the planned birth setting being midwife-led birth centers or obstetric-led units","authors":"Clara Rollet, Camille Le Ray, Françoise Vendittelli, Béatrice Blondel, Anne Alice Chantry","doi":"10.1111/aogs.14971","DOIUrl":"https://doi.org/10.1111/aogs.14971","url":null,"abstract":"The establishment of midwife-led birth centers (MLBCs) is still being debated. The study aimed to compare severe adverse outcomes and mode of birth in low-risk women according to their birth planned in MLBCs or in obstetric-led units (OUs) in France.","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":"102 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255760","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}
Parnian Hossein-Pour, Maya Rajasingham, Giulia M. Muraca
{"title":"Risk of cervical laceration in forceps vs vacuum delivery: A systematic review and meta-analysis","authors":"Parnian Hossein-Pour, Maya Rajasingham, Giulia M. Muraca","doi":"10.1111/aogs.14969","DOIUrl":"https://doi.org/10.1111/aogs.14969","url":null,"abstract":"Cervical laceration is an obstetric injury associated with severe postpartum hemorrhage and subsequent spontaneous preterm birth. While operative vaginal delivery is a known risk factor for cervical laceration, it is unclear whether forceps and vacuum deliveries incur the same risk. The aim of this systematic review was to compare the risk of cervical laceration between operative instruments (forceps vs vacuum).","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":"24 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255761","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":"PREGNANCY IN HETEROTOPIC FALLOPIAN TUBE AND UNILATERAL OVARIAN HYPERSTIMULATION","authors":"Menachem Granat, Shmuel Evron, Danny Navot","doi":"10.1111/j.1600-0412.1981.tb00041.x","DOIUrl":"https://doi.org/10.1111/j.1600-0412.1981.tb00041.x","url":null,"abstract":"A rare genital anomaly is described, consisting of a right hemiulerus with a rudimentary horn and a remotely located left fallopian tube, totally disconnected from the pelvic genitalia, and ruptured by an ectopic pregnancy. An associated finding was a unilateral hyperstimulated ovary (post HMO‐HCG therapy), confined to an acessory ovary on the left. The case is presented in detail, and the unusual anatomical and functional features are discussed.","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":"29 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142211552","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":"PERSISTANCE OF AMPICILLIN IN THE INTRAUTERINE CONTENT FOLLOWING SINGLE AND MULTIPLE DOSES TO PREGNANT WOMEN","authors":"Agneta Philipson","doi":"10.1111/j.1600-0412.1981.tb00021.x","DOIUrl":"https://doi.org/10.1111/j.1600-0412.1981.tb00021.x","url":null,"abstract":"Cord plasma, and amniotic fluid (AF), as well as maternal plasma from women who had been given ampicillin in single or multiple doses prior to delivery were assayed for levels of the antibiotic. If medication had been discontinued two days prior to delivery or less, ampicillin could still be demonstrated in AF, where it remained demonstrable longer than in cord plasma. Ampicillin, when given during pregnancy, crosses the placenta, enters the fetal circulation, and is excreted by the fetal kidneys into the AF. The results of the present study indicate that as medication is continued, the level of ampicillin in AF rises through continuous renal excretion by the fetus. Once medication is discontinued, ampicillin is slowly cleared from the AF mainly through absorption from AF to fetal circulation and further passage to maternal circulation.","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":"79 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142211554","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":"IRON PROPHYLAXIS IN MENORRHAGIA","authors":"B. Arvidsson, G. Ekenved, G. Rybo, L. Sölvell","doi":"10.1111/j.1600-0412.1981.tb00029.x","DOIUrl":"https://doi.org/10.1111/j.1600-0412.1981.tb00029.x","url":null,"abstract":"Heavy menstrual bleedings frequently lead to iron deficiency. Iron suplementation is usually given to cover the increased losses. In the present study one tablet containing 100 mg of iron (Duroferon<jats:sup>R</jats:sup>, Durules<jats:sup>R</jats:sup>) was given daily for 10 days in connection with the menstrual period in 15 women with menorrhagia. The tablets contained <jats:sup>59</jats:sup>Felabelled FeSO<jats:sub>4</jats:sub> and the total absorption was measured in a whole‐body counter. The mean menstrual blood loss was 117 ml (range 46–259 ml), corresponding to 53 mg of iron (range 21–117 mg). The mean absorption was 81 mg (range 19–145 mg). Individually, 14 of 15 subjects absorbed more iron from the tablets than was lost by the menstrual bleedings. Thus, the iron prophylaxis as applied in the present study seems to be sufficient in most women with menorrhagia.","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":"21 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142211569","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":"CYCLIC VARIATION OF PLASMINOGEN ACTIVATION IN HUMAN UTERINE FLUID AND THE INFLUENCE OF AN INTRAUTERINE DEVICE","authors":"Bertil Casslén, Kjell Ohlsson","doi":"10.1111/j.1600-0412.1981.tb00018.x","DOIUrl":"https://doi.org/10.1111/j.1600-0412.1981.tb00018.x","url":null,"abstract":"Activation of plasminogen to plasmin in uterine fluid results in the formation of plasmin‐α<jats:sub>2</jats:sub>‐antiplasmm complexes. The degree of plasminogen activation was studied during the menstrual cycle in IUD‐users and non‐users. The absence of free plasminogen in the presence of plasmin complexes indicated complete activation of the zymogen. The simultaneous occurrence of free plasminogen and plasmin complexes was interpreted to represent incomplete activation. Results were correlated with the concentration of α<jats:sub>2</jats:sub>‐antiplasmin, a major inhibitor of urokinase and plasmin. In the midcycle phase of IUD‐non‐users, plasminogen activation was complete and the concentration of α<jats:sub>2</jats:sub>‐antiplasmin was low. In the luteal phase of the same population the concentration of α<jats:sub>2</jats:sub>‐arttiplasmin was high and there was no plasminogen activation. In contrast, IUD‐users generally had an incomplete activation of plasminogen throughout the menstrual cycle. Also, their concentrations of α<jats:sub>2</jats:sub>‐antiplasmin were increased in the proliferative and midcycle phases.","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":"58 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142211559","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":"URINARY BILE ACIDS IN WOMEN TREATED WITH CONTRACEPTIVE STEROIDS","authors":"Peter A. Thomassen","doi":"10.1111/j.1600-0412.1981.tb00032.x","DOIUrl":"https://doi.org/10.1111/j.1600-0412.1981.tb00032.x","url":null,"abstract":"Twenty‐five different bile acids were determined by gas chromatography‐mass spectrometry in 24 hour urine specimens before and during treatment with a commercial contraceptive drug. Neither excretion pattern nor individual amounts of bile acids showed any change during treatment of 4 healthy women. One woman with a history of recurrent cholestasis of pregnancy showed a slight increase in the levels of S‐ALAT and total amount of urinary bile acids one day before she stopped taking the pill because of generalized itching. Another patient had a normal pattern of urinary bile acids after one year with a daily intake of 10 mg of estradiol valerate.","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":"15 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142211564","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":"SMOKING IN PREGNANCY","authors":"Odd Harald Jensen, Olav Per Foss","doi":"10.1111/j.1600-0412.1981.tb00033.x","DOIUrl":"https://doi.org/10.1111/j.1600-0412.1981.tb00033.x","url":null,"abstract":"The connection between maternal smoking during pregnancy and a lower birth weight in the baby is confirmed. The maternal blood thiocyanate level, as measured post partum, was found to be higher in smokers than in non‐smokers. A significant negative correlation was found between the maternal thiocyanate level and the birth weight. A significant association was found between the thiocyanate levels in maternal and umbilical cord blood. A similar correlation was found between the umbilical cord blood and the amniotic fluid thiocyanate concentrations.","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":"21 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142211497","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":"SEVERE CONTRACTED PELVIS APPEARING AFTER NORMAL DELIVERIES","authors":"W. Chaim, A. Alroi, J. R. Leiberman, A. Cohen","doi":"10.1111/j.1600-0412.1981.tb00024.x","DOIUrl":"https://doi.org/10.1111/j.1600-0412.1981.tb00024.x","url":null,"abstract":"Three cases of contracted pelvis in Bedouin women, appearing after two and three previous normal vaginal deliveries, are presented. In these three cases cesarean section had to be performed to deliver the babies. A roentgen‐ray screening revealed osteomalacic pelves in all cases with typical pseudo‐fractures (Milkman) and Looser zones. Pelvic deformities of the osteomalacic type are considered rare medical curiosities, and elective cesarean section is usually indicated.It has been found that Bedouins consume large quantities of “raghif”, an unleavened bread with high content of phytic acid, very similar to Indian “chapati”. Phytic acid impairs the absorption of calcium from the intestine by the precipitation of an amorphous calcium phytate and causes probably some interference with the action of vitamin D. Withdrawal of this alimentation improves the illness. There is emphasis on the fact that vaginal delivery is not granted from a pelvic point of view for multiparous women who have delivered normally in the past.Bedouin women constitute a rather important fraction of the obstetric population admitted to our hospital, the only one in the Negev area. Almost 15 per cent of the deliveries in our Obstetrics Department belong to Bedouin women. The sudden appearance of three consecutive cases of contracted pelvis in which we had to perform cesarean section on women who had previously delivered vaginally at least twice, produced this investigation, whose interesting results we describe herewith.","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":"106 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142211533","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":"SCREENING OF ENDOMETRIAL CARCINOMA BY JET WASH AND ENDOUTERINE ASPIRATION CYTOLOGY","authors":"O. Niklasson, R. Johansson, N. Stormby","doi":"10.1111/j.1600-0412.1981.tb00022.x","DOIUrl":"https://doi.org/10.1111/j.1600-0412.1981.tb00022.x","url":null,"abstract":"The results obtained from the use or a new instrument designed to simplify endometrial aspiration were compared to those obtained by Gravlee Jet Wash. The observed difference in accuracy in the diagnosis of endometrial neoplasia between Jet Wash (95 per cent) and endouterine aspiration (91 per cent) is discussed. It is concluded that endometrial cytology by either method is a valuable complement to the Papanicolaou smear in asymptomatic postmenopausal women. The new endouterine aspiration instrument is recommended because of its greater simplicity.","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":"21 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142211550","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}