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Parental race and the risk of primary cesarean birth in primigravidas: a retrospective population-based cohort study in the United States 父母种族与初产妇初次剖宫产的风险:美国一项基于人群的回顾性队列研究
AJOG global reports Pub Date : 2025-02-01 DOI: 10.1016/j.xagr.2025.100466
Hamideh Bayrampour PhD, Ziwen Zhang MSc, Yiye Zhang PhD
{"title":"Parental race and the risk of primary cesarean birth in primigravidas: a retrospective population-based cohort study in the United States","authors":"Hamideh Bayrampour PhD, Ziwen Zhang MSc, Yiye Zhang PhD","doi":"10.1016/j.xagr.2025.100466","DOIUrl":"10.1016/j.xagr.2025.100466","url":null,"abstract":"","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 1","pages":"Article 100466"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143512328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Balancing screen time during pregnancy: implications for maternal and fetal health 平衡孕期屏幕时间:对母婴健康的影响。
AJOG global reports Pub Date : 2025-02-01 DOI: 10.1016/j.xagr.2024.100422
Md. Kamrul Hasan MS, MPH, PhD(s)
{"title":"Balancing screen time during pregnancy: implications for maternal and fetal health","authors":"Md. Kamrul Hasan MS, MPH, PhD(s)","doi":"10.1016/j.xagr.2024.100422","DOIUrl":"10.1016/j.xagr.2024.100422","url":null,"abstract":"","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 1","pages":"Article 100422"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11719367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A comparative analysis of generative artificial intelligence responses from leading chatbots to questions about endometriosis 领先聊天机器人对子宫内膜异位症问题的生成式人工智能反应的比较分析。
AJOG global reports Pub Date : 2025-02-01 DOI: 10.1016/j.xagr.2024.100405
Natalie D. Cohen MD, Milan Ho BS, Donald McIntire PhD, Katherine Smith MD, Kimberly A. Kho MD
{"title":"A comparative analysis of generative artificial intelligence responses from leading chatbots to questions about endometriosis","authors":"Natalie D. Cohen MD,&nbsp;Milan Ho BS,&nbsp;Donald McIntire PhD,&nbsp;Katherine Smith MD,&nbsp;Kimberly A. Kho MD","doi":"10.1016/j.xagr.2024.100405","DOIUrl":"10.1016/j.xagr.2024.100405","url":null,"abstract":"<div><h3>Introduction</h3><div>The use of generative artificial intelligence (AI) has begun to permeate most industries, including medicine, and patients will inevitably start using these large language model (LLM) chatbots as a modality for education. As healthcare information technology evolves, it is imperative to evaluate chatbots and the accuracy of the information they provide to patients and to determine if there is variability between them.</div></div><div><h3>Objective</h3><div>This study aimed to evaluate the accuracy and comprehensiveness of three chatbots in addressing questions related to endometriosis and determine the level of variability between them.</div></div><div><h3>Study Design</h3><div>Three LLMs, including Chat GPT-4 (Open AI), Claude (Anthropic), and Bard (Google) were asked to generate answers to 10 commonly asked questions about endometriosis. The responses were qualitatively compared to current guidelines and expert opinion on endometriosis and rated on a scale by nine gynecologists. The grading scale included the following: (1) Completely incorrect, (2) mostly incorrect and some correct, (3) mostly correct and some incorrect, (4) correct but inadequate, (5) correct and comprehensive. Final scores were averaged between the nine reviewers. Kendall's <em>W</em> and the related chi-square test were used to evaluate the reviewers’ strength of agreement in ranking the LLMs’ responses for each item.</div></div><div><h3>Results</h3><div>Average scores for the 10 answers amongst Bard, Chat GPT, and Claude were 3.69, 4.24, and 3.7, respectively. Two questions showed significant disagreement between the nine reviewers. There were no questions the models could answer comprehensively or correctly across the reviewers. The model most associated with comprehensive and correct responses was ChatGPT. Chatbots showed an improved ability to accurately answer questions about symptoms and pathophysiology over treatment and risk of recurrence.</div></div><div><h3>Conclusion</h3><div>The analysis of LLMs revealed that, on average, they mainly provided correct but inadequate responses to commonly asked patient questions about endometriosis. While chatbot responses can serve as valuable supplements to information provided by licensed medical professionals, it is crucial to maintain a thorough ongoing evaluation process for outputs to provide the most comprehensive and accurate information to patients. Further research into this technology and its role in patient education and treatment is crucial as generative AI becomes more embedded in the medical field.</div></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 1","pages":"Article 100405"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knowledge of obstetric fistula and contributing factors among reproductive-age women in Ethiopia: a systematic review and meta-analysis 埃塞俄比亚育龄妇女的产科瘘知识和影响因素:系统回顾和荟萃分析。
AJOG global reports Pub Date : 2025-02-01 DOI: 10.1016/j.xagr.2024.100426
Agerie Mengistie Zeleke , Worku Chekol Tassew , Getnet Azanaw Takele , Yosef Aragaw Gonete , Yeshiwas Ayale Ferede
{"title":"Knowledge of obstetric fistula and contributing factors among reproductive-age women in Ethiopia: a systematic review and meta-analysis","authors":"Agerie Mengistie Zeleke ,&nbsp;Worku Chekol Tassew ,&nbsp;Getnet Azanaw Takele ,&nbsp;Yosef Aragaw Gonete ,&nbsp;Yeshiwas Ayale Ferede","doi":"10.1016/j.xagr.2024.100426","DOIUrl":"10.1016/j.xagr.2024.100426","url":null,"abstract":"<div><h3>Introduction</h3><div>Obstetric fistulas are one of the most severe injuries resulting from prolonged, obstructed labor, particularly when timely medical care is unavailable. In Ethiopia, numerous women and girls continue to endure the consequences of obstetric fistula due to contributing factors like early marriage and limited access to skilled healthcare during childbirth. The development of prevention strategies remains challenging, as reports on the knowledge surrounding obstetric fistulas and their causes are inconsistent across the country. To assess the overall, knowledge of reproductive-aged women regarding obstetric fistulas and the contributing factors to its occurrence.</div></div><div><h3>Methods</h3><div>Studies were systematically searched from May 30 2024 to July 1, 2024, using Web of Science, Scopus, PubMed/Medline, Science Direct, African Journal Online, and the Wiley Online Library. This review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A random-effects meta-analysis was performed with STATA version 11 software to estimate the knowledge, and the results are reported in a forest plot. Simple charts and tables were used to summarize the evidence for the pooled level of knowledge and its determinants.</div></div><div><h3>Results</h3><div>The pooled knowledge of fistula complications among reproductive-aged women in Ethiopia was 43.3% (95% CI: 35.2, 51.4). Above secondary education level (OR=3.73[2.40, 5.86]), urban residence (OR=3.77 [2.45, 5.80], access to media (OR=2, 82[1.26, 6.33]), and women attended pregnancy conference (OR=3.75[2.35, 5.99]) were determinants of good knowledge of obstetric fistula.</div></div><div><h3>Conclusions</h3><div>In Ethiopia, only 43.3% of reproductive-age women had good knowledge about obstetric fistulas. Factors that contribute to a higher knowledge include having a secondary education, living in urban areas, access to media, and attending pregnancy-related conferences. To improve knowledge, it is recommended to increase specific education on obstetric fistulas and prevention strategies, particularly for women living in rural areas. Promoting institutional deliveries and providing better health education on how to prevent obstetric fistulas, including pregnancy conferences is essential. Additionally, policymakers and stakeholders should focus on empowering women of reproductive age and addressing the overlooked yet significant public health issue of obstetric fistulas.</div></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 1","pages":"Article 100426"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A systematic review on the assessment of pregnancy-specific psychological trauma during pregnancy: A call to action 对妊娠期特定心理创伤评估的系统回顾:行动呼吁
AJOG global reports Pub Date : 2025-02-01 DOI: 10.1016/j.xagr.2025.100451
Soudabeh Givrad MD , Kathryn M. Wall , Lindsey Wallace Goldman , Jin Young Shin , Eloise H. Novak , Amanda Lowell , Francesca Penner , Michèle J. Day , Lea Papa , Drew Wright , Helena J.V. Rutherford
{"title":"A systematic review on the assessment of pregnancy-specific psychological trauma during pregnancy: A call to action","authors":"Soudabeh Givrad MD ,&nbsp;Kathryn M. Wall ,&nbsp;Lindsey Wallace Goldman ,&nbsp;Jin Young Shin ,&nbsp;Eloise H. Novak ,&nbsp;Amanda Lowell ,&nbsp;Francesca Penner ,&nbsp;Michèle J. Day ,&nbsp;Lea Papa ,&nbsp;Drew Wright ,&nbsp;Helena J.V. Rutherford","doi":"10.1016/j.xagr.2025.100451","DOIUrl":"10.1016/j.xagr.2025.100451","url":null,"abstract":"<div><h3>Objective</h3><div>Psychological trauma negatively impacts maternal and infant health during the perinatal period. A history of traumatic experiences related to previous pregnancies and births (termed pregnancy-specific psychological trauma or PSPT) increases the risk of a host of psychological disorders. It can impede women's/the pregnant individual's relationship with the healthcare system and their developing child. There are, however, no guidelines or agreed-upon validated screening measures to assess PSPT during the perinatal period. To build a knowledge base to develop future measure(s) of PSPT, we conducted a systematic review to understand how and when PSPT has been measured during pregnancy.</div></div><div><h3>Data sources</h3><div>Searches were run in July 2021 on the following databases: Ovid MEDLINE (In‐Process &amp; Other Non‐Indexed Citations and Ovid MEDLINE 1946 to Present), Ovid EMBASE (1974 to present), Scopus, Web of Science, PsycInfo, and Cochrane. Updated searches and reference searching/snow-balling were conducted in September 2023.</div></div><div><h3>Study eligibility criteria</h3><div>The search strategy included all appropriate controlled vocabulary and keywords for psychological trauma and pregnancy.</div></div><div><h3>Methods</h3><div>This systematic review was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Two independent researchers screened abstracts and, subsequently, full-texts of abstracts for appropriateness, with conflicts resolved via a third independent reviewer. A secondary analysis was performed on studies measuring PSPT during pregnancy.</div></div><div><h3>Results</h3><div>Of the 576 studies examining psychological trauma in pregnancy, only 15.8% (n=91) had a measure of PSPT. Of these 91 studies, 53 used a measure designed by the research team to assess PSPT. Critically, none of the measurements used screened for PSPT comprehensively.</div></div><div><h3>Conclusion</h3><div>It is time to screen for and study PSPT in all perinatal individuals. Recognition of PSPT should promote trauma-informed care delivery by obstetrics and neonatology/pediatric teams during the perinatal period.</div></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 1","pages":"Article 100451"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cervical elastography at 18 to 23 weeks to predict spontaneous preterm birth in individuals with a history of preterm birth 宫颈弹性图在18至23周预测自发性早产史的个体
AJOG global reports Pub Date : 2025-02-01 DOI: 10.1016/j.xagr.2025.100462
Miranda K. Kiefer DO, Jessica R. Russo RDMS, Pamela M. Foy MS, RDMS, Jiqiang Wu MSc, Mark B. Landon MD, Heather A. Frey MD, MSCI
{"title":"Cervical elastography at 18 to 23 weeks to predict spontaneous preterm birth in individuals with a history of preterm birth","authors":"Miranda K. Kiefer DO,&nbsp;Jessica R. Russo RDMS,&nbsp;Pamela M. Foy MS, RDMS,&nbsp;Jiqiang Wu MSc,&nbsp;Mark B. Landon MD,&nbsp;Heather A. Frey MD, MSCI","doi":"10.1016/j.xagr.2025.100462","DOIUrl":"10.1016/j.xagr.2025.100462","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;BACKGROUND&lt;/h3&gt;&lt;div&gt;Individuals with a history of spontaneous preterm birth are at increased risk for recurrence in a subsequent pregnancy. Current methods used to predict those at highest risk are not precise. Cervical elastography is an investigational ultrasonographic technique that measures cervical tissue stiffness and may aid in identifying individuals at highest risk.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;OBJECTIVE&lt;/h3&gt;&lt;div&gt;This study aimed to assess the association between previously described cervical elastography measures—obtained using a semiautomatic application (E-cervix)—and preterm birth &lt;37 weeks’ gestation in a high-risk cohort with a history of spontaneous preterm birth.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;STUDY DESIGN&lt;/h3&gt;&lt;div&gt;Individuals with a singleton pregnancy between 18+0 and 23+6 weeks of gestation with a history of spontaneous preterm birth &lt;37 weeks were prospectively enrolled. Exclusion criteria included the presence of a current cerclage or any uterine anomaly. The primary exposures were the E-cervix quantitative parameters (internal os stiffness, external os stiffness, internal–to–external os stiffness ratio, hardness ratio, and elasticity contrast index), which were measured at the time of enrollment. Transvaginal cervical length was also measured as an exposure to compare the current standard of care and accepted cutpoint of 25 mm alongside the E-cervix parameters. The primary outcome was preterm birth &lt;37 weeks. The intra- and interrater reliability intraclass correlation coefficient for each parameter was calculated using a mixed-effects model. The area under the curve was derived from receiver operating characteristic curves to evaluate the association of each parameter with the primary outcome, and the optimal cutpoints for each continuous parameter were identified. Multivariable logistic regression was performed for the parameters that were either significant on univariate analysis or had an area under the curve of ≥0.6, using the calculated cutpoint to create a binary exposure and adjusting for gestational age at the earliest prior preterm birth, number of prior preterm births, and progesterone use. A sensitivity analysis was performed excluding medically indicated preterm birth.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;RESULTS&lt;/h3&gt;&lt;div&gt;Of the enrolled 245 individuals with a history of spontaneous preterm birth, 69 (28%) had preterm birth &lt;37 weeks. Intrarater and interrater reliability were good for all parameters (intrarater: 0.60–0.74; interrater: 0.62–0.71). In univariate analysis, only the internal–to–external os stiffness ratio was significantly associated with increased risk of preterm birth compared with no preterm birth (0.97±0.23 vs 0.90±0.20; &lt;em&gt;P&lt;/em&gt;=.01). Cervical length, internal os stiffness, external os stiffness, hardness ratio, and elasticity contrast index did not show significant associations. The area under the curve for external os stiffness was 0.6, indicating a good association, whereas the values for the remaining ","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 1","pages":"Article 100462"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143526933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence, determinants, and complications of adolescent pregnancy: an umbrella review of systematic reviews and meta-analyses 青少年怀孕的患病率、决定因素和并发症:系统评价和荟萃分析的综合综述
AJOG global reports Pub Date : 2025-02-01 DOI: 10.1016/j.xagr.2025.100441
Biruk Beletew Abate , Ashenafi Kibret Sendekie MSc , Addis Wondimagegn Alamaw MSc , Kindie Mekuria Tegegne MSc , Tegene Atamenta Kitaw MSc , Molla Azmeraw Bizuayehu MSc , Amare Kassaw MSc , Gizachew Yilak MSc , Alemu Birara Zemariam MSc , Befkad Derese Tilahun MSc
{"title":"Prevalence, determinants, and complications of adolescent pregnancy: an umbrella review of systematic reviews and meta-analyses","authors":"Biruk Beletew Abate ,&nbsp;Ashenafi Kibret Sendekie MSc ,&nbsp;Addis Wondimagegn Alamaw MSc ,&nbsp;Kindie Mekuria Tegegne MSc ,&nbsp;Tegene Atamenta Kitaw MSc ,&nbsp;Molla Azmeraw Bizuayehu MSc ,&nbsp;Amare Kassaw MSc ,&nbsp;Gizachew Yilak MSc ,&nbsp;Alemu Birara Zemariam MSc ,&nbsp;Befkad Derese Tilahun MSc","doi":"10.1016/j.xagr.2025.100441","DOIUrl":"10.1016/j.xagr.2025.100441","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;OBJECTIVE&lt;/h3&gt;&lt;div&gt;This study aimed to assess the magnitude, determinants, and outcomes of adolescent pregnancy by combining data from previous systematic reviews and meta-analyses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;DATA SOURCES&lt;/h3&gt;&lt;div&gt;Online databases.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;STUDY ELIGIBILITY CRITERIA&lt;/h3&gt;&lt;div&gt;Systematic Review and Meta-analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;METHODS&lt;/h3&gt;&lt;div&gt;Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, PubMed, Embase, Scopus, Web of Sciences, Cochrane Database of Systematic Reviews, Scopus, and Google Scholar, which reported the magnitude, predictors, and/or outcomes of adolescent pregnancy, were searched. The quality of the included studies was assessed using the Assessment of Multiple Systematic Reviews. A weighted inverse variance random-effects model was used to determine the pooled estimates. In addition, subgroup heterogeneity, publication bias, and sensitivity were assessed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;RESULTS&lt;/h3&gt;&lt;div&gt;A total of 14 systematic reviews and meta-analyses involving 677,431 participants were included in the final analysis of this umbrella review. The pooled prevalence of adolescent pregnancy from global systematic reviews and meta-analyses was found to be 17.90 (95% confidence interval, 12.25–23.54). Level of education (adjusted odds ratio ranging from 1.40 to 9.07), socioeconomic status (lower: adjusted odds ratio ranging from 1.13 to 3.81), residency (rural: adjusted odds ratio ranging from 1.80 to 3.60), abuse (adjusted odds ratio ranging from 2.21 to 3.83), marital status (married: adjusted odds ratio ranging from 1.27 to 6.02), and contraceptive use (no: adjusted odds ratio ranging from 0.19 to 3.53) were identified as predictors of adolescent pregnancy. Anemia (adjusted odds ratio, 1.49; 95% confidence interval, 0.29–1.69; &lt;em&gt;I&lt;sup&gt;2&lt;/sup&gt;&lt;/em&gt;= 91.7%), stillbirth (adjusted odds ratio, 1.71; 95% confidence interval, 0.24–3.17; &lt;em&gt;I&lt;sup&gt;2&lt;/sup&gt;&lt;/em&gt;= 61.3%), preeclampsia/eclampsia, (adjusted odds ratio, 1.63; 95% confidence interval, 0.72–2.55), preterm birth (adjusted odds ratio, 1.90; 95% confidence interval, 1.36–2.40), and low birthweight (adjusted odds ratio, 1.46; 95% confidence interval, 1.25–1.66) were found to be significant complications of adolescent pregnancy in a global context.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;CONCLUSION&lt;/h3&gt;&lt;div&gt;The prevalence of adolescent pregnancy varied significantly across previous systematic reviews and meta-analyses. The key determinants identified included low socioeconomic status, rural residency, a history of abuse, early marriage, and no contraceptive use. The complications associated with adolescent pregnancy included anemia, stillbirth, preeclampsia/eclampsia, preterm birth, and low birthweight. To reduce the burden of adolescent pregnancy, collaborative efforts are required from global, regional, and local stakeholders, such as policymakers and reproductive health program planners, through health education and training that focus on","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 1","pages":"Article 100441"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143526939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maternal mortality ratios in low- and middle-income countries: a comparison of estimation methods and relationships with sociodemographic covariates 低收入和中等收入国家的孕产妇死亡率:估计方法的比较及其与社会人口协变量的关系
AJOG global reports Pub Date : 2025-02-01 DOI: 10.1016/j.xagr.2024.100438
Biraj Sharma MBBS, MPH , Roger Smith MBBS, PhD , Binod Bindu Sharma PhD , Craig Pennell MBBS, PhD
{"title":"Maternal mortality ratios in low- and middle-income countries: a comparison of estimation methods and relationships with sociodemographic covariates","authors":"Biraj Sharma MBBS, MPH ,&nbsp;Roger Smith MBBS, PhD ,&nbsp;Binod Bindu Sharma PhD ,&nbsp;Craig Pennell MBBS, PhD","doi":"10.1016/j.xagr.2024.100438","DOIUrl":"10.1016/j.xagr.2024.100438","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;BACKGROUND&lt;/h3&gt;&lt;div&gt;Maternal mortality is most prevalent in low- and middle-income countries, especially those from sub-Saharan Africa and South Asia. The Sustainable Development Goal 3.1 aims to reduce global maternal mortality by 2030 to &lt;70 per 100,000 live births globally and &lt;140 per 100,000 live births at the national level. For maternal mortality ratio estimations, the World Health Organization recommends a census in low- and middle-income countries that lack civil registration and vital statistics; however, other methods have also been used.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;OBJECTIVE&lt;/h3&gt;&lt;div&gt;This study aimed to compare maternal mortality ratio estimating methods and maternal mortality ratio trends over time. Associations between sociodemographic variables in low- and middle-income countries and maternal mortality ratios are described and compared between countries projected to meet or fall short of Sustainable Development Goal 3.1.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;STUDY DESIGN&lt;/h3&gt;&lt;div&gt;Publications from the World Health Organization and the Maternal Mortality Estimation Inter-Agency Group were used to identify countries that reported maternal mortality ratio estimates at least twice since 2004 using census, noncensus, or both approaches. Maternal mortality ratios were extracted from the Maternal Mortality Estimation Inter-Agency Group, and covariates associated with maternal mortality ratios were obtained from the Our World in Data and the Fragile States Index web pages. Group comparisons were performed using paired &lt;em&gt;t&lt;/em&gt; tests, and correlations between variations among maternal mortality ratio estimates and population demographic covariates were analyzed using linear mixed-effect models. Projected maternal mortality ratio estimates for 2030 were calculated using the exponential growth/decay method used by the World Health Organization.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;RESULTS&lt;/h3&gt;&lt;div&gt;Data were available for 45 countries for comparison; 21 countries had data from different maternal mortality ratio estimation methods, and 42 countries reported maternal mortality ratios using the same estimation method over time. Census maternal mortality ratio estimates were 83.2 per 100,000 live births higher than the estimates from noncensus methods, although this difference was statistically nonsignificant (&lt;em&gt;P&lt;/em&gt;=.19). Of the 45 countries assessed, 30.1% were projected to meet the Sustainable Development Goal 3.1 maternal mortality ratio target of &lt;140 per 100,000 births by 2030. National maternal mortality ratio estimates were significantly influenced by total fertility rate, skilled birth attendance rate, gross domestic product per capita, female and male literacy rates, female rate of access to modern contraceptives, and the Fragile States Index.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;CONCLUSION&lt;/h3&gt;&lt;div&gt;Maternal mortality ratio estimates are reproducible using different estimation methods in low- and middle-income countries. Only 30% of the low- and middle-income countries for","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 1","pages":"Article 100438"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vertical transmission potential of Oropouche virus infection in human pregnancies 人类妊娠中Oropouche病毒感染的垂直传播潜力。
AJOG global reports Pub Date : 2025-02-01 DOI: 10.1016/j.xagr.2024.100431
Pradip Dashraath MRCOG, Karin Nielsen-Saines MD, David A. Schwartz MD, Didier Musso MD, David Baud
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引用次数: 0
Severe endometriosis during pregnancy: incarcerated gravid uterus with concurrent placenta previa 妊娠期严重子宫内膜异位症:嵌顿妊娠子宫并发前置胎盘
AJOG global reports Pub Date : 2025-02-01 DOI: 10.1016/j.xagr.2025.100463
Mariya Kobayashi MD , Kosuke Hiramatsu MD, PhD , Tateki Tsutsui MD, PhD
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引用次数: 0
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