AJOG global reports最新文献

{"title":"Corrigendum to ’Primary prevention with vaginal chlorhexidine before 16 weeks reduces the incidence of preterm birth: results of the Preterm Labor Prevention Using Vaginal Antiseptics study’ [AJOG Global Reports Volume 3, Issue 4, November 2023, 100277]","authors":"José Morales-Roselló MD , Gabriela Loscalzo MD , Alicia Martínez-Varea MD , Blanca Novillo-Del Álamo , Mar Nieto-Tous","doi":"10.1016/j.xagr.2024.100373","DOIUrl":"https://doi.org/10.1016/j.xagr.2024.100373","url":null,"abstract":"","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"4 3","pages":"Article 100373"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666577824000674/pdfft?md5=4972c3f47cddbebbbd71e8981d41eff4&pid=1-s2.0-S2666577824000674-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141593123","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}

{"title":"Association of neighborhood social determinants of health and hypertensive disorders of pregnancy","authors":"Tracy C. Bank MD, Courtney D Lynch PhD, MPH, Lynn M. Yee MD, MPH, Jasmine Johnson MD, Jiqiang Wu MSc, Rebecca McNeil PhD, Brian Mercer MD, Hyagriv Simhan MD, Uma Reddy MD, Robert M. Silver MD, Samuel Parry MD, George Saade MD, Judith Chung MD, Ronald Wapner MD, William A Grobman MD, MBA, Kartik K Venkatesh MD, PhD","doi":"10.1016/j.xagr.2024.100372","DOIUrl":"10.1016/j.xagr.2024.100372","url":null,"abstract":"","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"4 3","pages":"Article 100372"},"PeriodicalIF":0.0,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666577824000662/pdfft?md5=abf575177c2176d142ca2b5d6af45d4c&pid=1-s2.0-S2666577824000662-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141638707","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}

{"title":"A case report and review of the literature of 7-millimeter lateral port-site herniation following total laparoscopic hysterectomy","authors":"Chartchai Srisombut MD ,&nbsp;Nahathai Paktinun MD ,&nbsp;Poochong Timratana MD","doi":"10.1016/j.xagr.2024.100368","DOIUrl":"10.1016/j.xagr.2024.100368","url":null,"abstract":"<div><p>Port-site herniation (PSH) is a rare complication observed postlaparoscopic surgery, typically associated with port sizes of 10 mm or larger, commonly occurred at umbilicus. While occurrences of extra-umbilicus with port size smaller than 10 mm are rare, we present a case detailing a lateral 7 mm PSH diagnosed on the 8th day following a total laparoscopic hysterectomy. The patient exhibited clinical symptoms indicative of partial small bowel obstruction, which became apparent on the third postoperative day. Computed tomography revealed significant small bowel dilatation and herniation through the previously employed 7 mm trocar site. Notably, this trocar site had been utilized with uterine screw. Prompt laparoscopic repair successfully addressed the herniation. The patient demonstrated satisfactory recovery and was subsequently discharged. While current practice recommends fascial incision closure for port size ≥10 mm. In light of our case, we propose considering fascial closure for small-size trocar subjected to any use of a manipulator.</p></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"4 3","pages":"Article 100368"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666577824000625/pdfft?md5=47adc3927bb2bce12f8d54b996272116&pid=1-s2.0-S2666577824000625-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141630402","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}

{"title":"Racial/ethnic disparity in severe maternal morbidity among women who conceived by in vitro fertilization","authors":"Jenna Victory MSc ,&nbsp;Sid John MSc ,&nbsp;Li Qing Wang PhD ,&nbsp;Johanna Koegl MD ,&nbsp;Lindsay L Richter MSc ,&nbsp;Hamideh Bayrampour PhD ,&nbsp;K.S. Joseph MD, PhD ,&nbsp;Sarka Lisonkova MD, PhD","doi":"10.1016/j.xagr.2024.100367","DOIUrl":"https://doi.org/10.1016/j.xagr.2024.100367","url":null,"abstract":"<div><h3>Background</h3><p>In vitro fertilization (IVF) as a fertility treatment is associated with adverse perinatal outcomes. Racial/ethnic disparity in severe maternal morbidity (SMM) in women who conceived by IVF is understudied.</p></div><div><h3>Objective</h3><p>To examine differences in the association between race/ethnicity and SMM between women who conceived spontaneously and those who conceived using IVF.</p></div><div><h3>Methods</h3><p>We included all singleton live births and stillbirths in the United States, 2016–2021; data were obtained from the National Center for Health Statistics. Maternal race/ethnicity included non-Hispanic White (NHW), non-Hispanic Black (NHB), American Indian and Alaska Native (AIAN), Asian, Pacific Islander (PI), Hispanic, and mixed-race categories. The SMM composite outcome included eclampsia, uterine rupture, peripartum hysterectomy, blood transfusion, and intensive care unit (ICU) admission. We used logistic regression to adjust for potential confounders (such as age, education, parity, prepregnancy body mass index, smoking during pregnancy, chronic hypertension, and preexisting diabetes) and to assess modification of the association between race/ethnicity and SMM by IVF.</p></div><div><h3>Results</h3><p>The study population included 21,585,015 women: 52% were NHW, 15% NHB, 0.8% AIAN, 6% Asian, 0.2% PI, 24% Hispanic, and 2% were of mixed race. IVF was used by 183,662 (0.85%) women; the rate of the SMM composite outcome was 18.5 per 1000 deliveries and 7.9 per 1000 deliveries in the IVF and spontaneous conception groups, respectively (unadjusted rate ratio 2.34, 95% confidence interval [CI] 2.26–2.43). In women with spontaneous conception, NHB, Asian and mixed-race women had elevated odds of SMM compared with NHW women (adjusted odds ratio [aOR]=1.39, 95% CI 1.37–1.41; aOR=1.04, 95% CI 1.02–1.07; and aOR=1.42, 95% CI 1.38–1.46, respectively). Racial/ethnic disparities in SMM and its components were not different between the IVF and spontaneous conception groups for the mixed-race category. NHB and Hispanic women had significantly higher aORs for uterine rupture/intrapartum hysterectomy compared with NHW women in the IVF group, while Asian women had a higher aOR for ICU admission compared with NHW women in the IVF group.</p></div><div><h3>Conclusion</h3><p>Women who conceived by IVF have a greater than two-fold higher risk of SMM and this higher risk is evident across all racial/ethnic groups. However, NHB and Hispanic women who conceived by IVF had a higher risk of uterine rupture/hysterectomy, and Asian women who conceived by IVF had a higher risk of ICU admission. Our results warrant further investigation examining pregnancy and postpartum care issues among racial/ethnic minority women who conceive using IVF.</p></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"4 3","pages":"Article 100367"},"PeriodicalIF":0.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666577824000613/pdfft?md5=33083b59abf6a2b1a5d6dab2f42d2ba6&pid=1-s2.0-S2666577824000613-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592959","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}

{"title":"Regional disparities in primary cesarean delivery rates in Japan: the role of obstetrician availability","authors":"Akihiko Ueda MD ,&nbsp;Baku Nakakita MD ,&nbsp;Yoshitsugu Chigusa MD, PhD ,&nbsp;Haruta Mogami MD, PhD ,&nbsp;Genta Kato MD, PhD ,&nbsp;Hiroaki Ueshima PhD ,&nbsp;Masaki Mandai MD, PhD ,&nbsp;Eiji Kondoh MD, PhD","doi":"10.1016/j.xagr.2024.100366","DOIUrl":"10.1016/j.xagr.2024.100366","url":null,"abstract":"<div><h3>Background</h3><p>The prevalence of cesarean section procedures is on the rise worldwide, necessitating a deeper understanding of the factors driving this trend to mitigate potential adverse consequences associated with unnecessary cesarean section deliveries.</p></div><div><h3>Objectives</h3><p>This study aims to investigate the rate of primary cesarean deliveries (PCD), a potential key indicator of obstetric care quality.</p></div><div><h3>Study Design</h3><p>A national retrospective cohort study was conducted utilizing extensive data from the National Database of Health Insurance Claims and Specific Health Checkups of Japan spanning the years 2012 to 2018. The study examined the temporal trends in PCD rates and the indications for these procedures across different prefectures. Additionally, the study employed the obstetrician disproportionality index, as published by the Ministry of Health, Labour, and Welfare, to assess the influence of obstetrician availability on PCD rates.</p></div><div><h3>Results</h3><p>Throughout the study period from 2012 to 2018, the rate of PCD in Japan remained relatively stable at approximately 14%. The primary indications for PCD in 2018 included labor arrest (18.3%), malpresentation (16.5%), nonreassuring fetal status (6.5%), and macrosomia (6.0%). Substantial regional disparities in PCD rates were observed, ranging from 8.9% to 20.4% among prefectures in 2018. Notably, prefectures categorized in the bottom 10 of the obstetrician disproportionality index exhibited significantly higher PCD rates compared to the top 10 prefectures (<em>P</em>=.0232), with a similar trend noted for PCD due to labor arrest (<em>P</em>=.0288). Furthermore, a negative correlation was identified between the obstetrician disproportionality index and PCD rates at the prefectural level (<em>r</em>=–0.3119, <em>P</em>=.0328).</p></div><div><h3>Conclusions</h3><p>Our study presents a comprehensive analysis of PCD rates in Japan, shedding light on regional disparities and highlighting the notable influence of obstetrician availability on clinical decision-making. This study contributes to the ongoing discourse on the escalating global trend in cesarean sections and the importance of healthcare resource allocation in maternal care.</p></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"4 3","pages":"Article 100366"},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666577824000601/pdfft?md5=3e029750fd690072b813496984771bcb&pid=1-s2.0-S2666577824000601-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141630405","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}

{"title":"Impact of planned delivery mode on neonatal outcomes and costs in twin pregnancies in Kenya","authors":"Fred O. Omondi MBChB ,&nbsp;Meghan K. Murphy DO ,&nbsp;Moselle M. Stark MD ,&nbsp;Cheryl B. Cowles MD ,&nbsp;Phillip C. Greig MD ,&nbsp;Benoît J. Ndikumana MMed (Obs & Gyn) ,&nbsp;Robert K. Parker MD, MPH","doi":"10.1016/j.xagr.2024.100370","DOIUrl":"10.1016/j.xagr.2024.100370","url":null,"abstract":"<div><h3>Background</h3><p>Twin pregnancies are associated with higher risks of adverse neonatal outcomes compared to singleton pregnancies. The choice of delivery mode, when twin A presents cephalic, remains a subject of debate. In low- and middle-income countries, where healthcare resources are limited, the decision on the mode of delivery is even more critical.</p></div><div><h3>Objective</h3><p>To evaluate the neonatal outcomes and the hospital costs of planned vaginal delivery compared to cesarean section (CS) in twin pregnancies with twin A presenting cephalic at Tenwek Hospital, Kenya.</p></div><div><h3>Study Design</h3><p>This retrospective cohort study analyzed data from all twin deliveries at Tenwek Hospital, Kenya from, April 1, 2017, to March 30, 2023. Maternal data, mode of delivery, and neonatal data were collected from delivery logs, electronic health records, and neonatal records. Neonatal outcomes were a composite of either Appearance, Pulse, Grimace, Activity, and Respiration score less than seven at 5 minutes, neonatal intensive care unit admission, resuscitation, birth trauma, or neonatal complications, including death before discharge from the hospital. A logistic regression model was created to assess the impact of the planned mode of delivery on neonatal outcomes, controlling for antenatal care clinic visits, noncephalic presentation of twin B, and birth weight category.</p></div><div><h3>Results</h3><p>The study included 177 twin deliveries: 129 (72.9%) were planned as vaginal deliveries and 48 (27.1%) were planned for CS. Among the planned vaginal deliveries, 66 (51.2%) experienced adverse outcomes, compared to 14 (29.2%) in the CS group (<em>P</em>=.009). Logistic regression showed that the odds of adverse outcomes were 0.35 times lower in the CS group compared to the planned vaginal delivery group (95% CI: 0.15–0.83; <em>P</em>=.017). The average total hospital costs for planned vaginal delivery were 104,608 Kenya Shillings (standard deviation 111,761) compared to 100,708 Kenya Shillings (standard deviation 75,468) for CS (<em>P</em>=.82).</p></div><div><h3>Conclusion</h3><p>Planned cesarean deliveries in twin pregnancies with twin A presenting cephalic at Tenwek Hospital were associated with fewer adverse neonatal outcomes compared to planned vaginal deliveries. There was no significant difference in hospital costs. These findings raise the question of the safest mode of delivery for patients in a resource-constrained setting.</p></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"4 3","pages":"Article 100370"},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666577824000649/pdfft?md5=1e7004f4c1399c0ceff463f32afe1c91&pid=1-s2.0-S2666577824000649-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141623319","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}

{"title":"A gluten-free diet for endometriosis patients lacks evidence to recommend it","authors":"Annelotte P. van Haaps MD ,&nbsp;Fred Brouns MD ,&nbsp;Anneke M.F. Schreurs MD, PhD ,&nbsp;Daniel Keszthelyi MD PhD ,&nbsp;Jacques W.M. Maas MD, PhD ,&nbsp;Velja Mijatovic MD, PhD","doi":"10.1016/j.xagr.2024.100369","DOIUrl":"https://doi.org/10.1016/j.xagr.2024.100369","url":null,"abstract":"<div><p>Endometriosis is an estrogen-dependent chronic disease characterized by the presence of endometriumlike tissue outside the uterus and is often associated with symptoms, such as dysmenorrhea, dysuria, dyschezia, chronic pelvic pain, and infertility. Moreover, women diagnosed with endometriosis can report gastrointestinal symptoms, including bloating, constipation or diarrhea, and abdominal cramping, which can be associated with irritable bowel syndrome and can result in the misdiagnosis of endometriosis as irritable bowel syndrome at first. Treatment usually involves hormonal therapy, pain management, surgery, and/or assisted reproductive techniques in case of infertility. Nonetheless, these treatment methods can be insufficient for alleviating symptoms or can have unacceptable side effects, leading to noncompliance. Therefore, women often apply self-management strategies, including dietary interventions.</p><p>One of the diets frequently suggested as a tool to manage endometriosis-related symptoms on social media and patient forums is a gluten-free diet. Although a gluten-free diet has been proven effective in managing nonceliac wheat sensitivity or celiac disease, its effectiveness in endometriosis remains uncertain. The Nurses’ Health Study II found it unlikely that gluten intake was a strong factor in endometriosis etiology and symptomatology. To the best of our knowledge, the most frequently cited and sole published intervention study on the efficacy of a gluten-free diet for endometriosis has several important limiting factors, including the absence of a control group. In addition, gluten consumption is highly susceptible to a placebo effect and a nocebo effect, where women might experience symptom relief after eliminating gluten and return of symptoms after they consume gluten again, solely because they believe that gluten is bad for them. Despite the inverse association between body mass index and endometriosis and between a gluten-free diet and increased body mass index, this is an association, and no causality was proven. In addition, other factors should be taken into consideration.</p><p>Of note, a gluten-free diet is expensive, has limited availability, and has a significant effect on quality of life. Moreover, without proper dietary guidance, it may adversely affect the gastrointestinal microbiome. Therefore, scientifically substantiated advice regarding the use of a gluten-free diet for endometriosis-related symptoms is currently not available, and a gluten-free diet should be discouraged unless there is an additional diagnosis of nonceliac wheat sensitivity or celiac disease.</p></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"4 3","pages":"Article 100369"},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666577824000637/pdfft?md5=d7f1c3604216cb6e7b35f6c151cfbcc0&pid=1-s2.0-S2666577824000637-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141541326","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}

{"title":"Improving health equity through sustained academic partnership: development of a maternal-fetal medicine fellowship training program in Western Kenya","authors":"David Nding'ori MMed ,&nbsp;Rachel F. Spitzer MD, MPH ,&nbsp;Julia Songok MMed ,&nbsp;Marie Buitendyk MD, MSc ,&nbsp;Pallavi Mishra MMed ,&nbsp;Wycliffe Kosgei MMed ,&nbsp;Bett Kipchumba MMed ,&nbsp;Mutindi Kakuti MMed ,&nbsp;Philip Tonui MMed ,&nbsp;Karen Fung-Kee-Fung MD, MHPE ,&nbsp;Heidi Leftwich DO ,&nbsp;Adrian Gardner MD, MPH ,&nbsp;Paul Nyongesa MMed ,&nbsp;Nanette Okun MD, MHsc","doi":"10.1016/j.xagr.2024.100362","DOIUrl":"10.1016/j.xagr.2024.100362","url":null,"abstract":"<div><p>Low- and middle-income countries are underresourced in subspecialist care. This study describes a unique maternal-fetal medicine clinical fellowship training program at Moi University School of Medicine and Moi Teaching and Referral Hospital in Eldoret, Western Kenya. The first of its kind in Eastern Africa, it has met with success in the retention of highly qualified practitioners providing complex pregnancy care to a population that has been heretofore underserved.</p></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"4 3","pages":"Article 100362"},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266657782400056X/pdfft?md5=91f02a3750508b02a6cd5453b2f1e830&pid=1-s2.0-S266657782400056X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141415023","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}

{"title":"The United States landscape of global women's health fellowship training programs","authors":"Dhanalakshmi K. Thiyagarajan MD,&nbsp;Evan Keil MD,&nbsp;Kati Shanks BSN,&nbsp;Maeve Sullivan BS,&nbsp;Emma R. Lawrence MD, MS","doi":"10.1016/j.xagr.2024.100363","DOIUrl":"10.1016/j.xagr.2024.100363","url":null,"abstract":"","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"4 3","pages":"Article 100363"},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666577824000571/pdfft?md5=a31f88daedd7c030af817ec5e3026137&pid=1-s2.0-S2666577824000571-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141414076","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}

{"title":"An analysis of oral contraceptive related videos on TikTok","authors":"Melanie Shackleford MD ,&nbsp;Anna Horvath BS ,&nbsp;Mayra Repetto BS ,&nbsp;Andrea Thi BS ,&nbsp;Rory Twells BS ,&nbsp;Maggie Sanders BS ,&nbsp;Stephanie Fernandez BS ,&nbsp;Dale Netski PhD ,&nbsp;Kavita Batra PhD, MPH, BDS, FRSPH ,&nbsp;Nadia Gomez MD, MBA ,&nbsp;Leanne Free MD, MSCS","doi":"10.1016/j.xagr.2024.100364","DOIUrl":"10.1016/j.xagr.2024.100364","url":null,"abstract":"<div><h3>Background</h3><p>TikTok has increasingly become a source of information about reproductive health. Patients seeking health information about oral contraception on TikTok may be influenced by videos containing misinformation or biased information.</p></div><div><h3>Objective</h3><p>This social media infodemiological study aims to provide a descriptive content analysis of the quality and reliability of oral contraceptive health information on TikTok.</p></div><div><h3>Study Design</h3><p>Researchers screened 1,000 TikTok videos from December 2022 to March 2023 retrieved under various search terms related to oral contraceptives. Data, including engagement metrics such as views, likes, comments, saves, and shares, were recorded. Video content including contraceptive methods discussed, efficacy, tolerability, and side effects were recorded. Two reviewers independently used a modified DISCERN criteria and Global Quality Scale (GQS) to assess the quality and reliability of information for each video.</p></div><div><h3>Results</h3><p>Five hundred seventy-four videos were analyzed after applying exclusion criteria. Videos had a median length of 27 seconds (Q1=13sec, Q3=57sec) and received a median of 35,000 total views (Q1=4856 views, Q3=411,400 views) and 166 views per day (Q1=28 views per day, Q3=2021 views per day). Video creators were 83.3% female and 58.7% white. The mean modified DISCERN score was 1.63 (SD=1.06) and the mean GQS score was 2.28 (SD=1.37). Video creators were 83.3% female and 58.7% white. The mean modified DISCERN score was 1.63 (SD=1.06) and the mean GQS score was 2.28 (SD=1.37). The most common topic discussed in the videos was the effects of contraception. Healthcare professionals had significantly higher DISCERN and GQS scores (<em>p</em>&lt;.001) than non-healthcare professionals. However, they received fewer views, likes, and comments on their videos (<em>p</em>&lt;.001). Healthcare professionals were 86 times more likely than non-healthcare professionals to post educational videos (<em>p</em>&lt;.001). However, non-educational content received significantly more views, likes, and comments than educational content (<em>p</em>&lt;.001).</p></div><div><h3>Conclusion</h3><p>TikTok videos related to oral contraceptive health had low quality and reliability of information. The majority of videos were made by non-healthcare providers, and the most common topic discussed was the effects of contraception. Videos made by healthcare professionals contained more reliable contraceptive information, but received less engagement than videos made by non-healthcare professionals. Healthcare providers should consider the prevalence of poor-quality information about oral contraceptives on social media when counseling and educating patients about reproductive health.</p></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"4 3","pages":"Article 100364"},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666577824000583/pdfft?md5=5f992e9207e8a384ef1eabae2ed8b761&pid=1-s2.0-S2666577824000583-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141404202","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}