Obstetrics and gynecology research最新文献

{"title":"Barriers and Facilitators for Physical Activity in Pregnancy and Post- Partum? Findings from a Qualitative Study to Inform the Design of an Intervention for Active Women","authors":"Murali K P Subramanian, P. V. der Graaf, L. Hayes, Rose I Dawson, Kunj Sachdeva, L. Azevedo","doi":"10.26502/ogr0102","DOIUrl":"https://doi.org/10.26502/ogr0102","url":null,"abstract":"Objectives: The benefits of physical activity during and after pregnancy are well established. However, activity levels decline substantially in both inactive and active women. There is limited information on the barriers and facilitators for physical activity participation in active women, which is vital for the development of tailored interventions. The primary aim of this study is to identify the barriers and facilitators for physical activity (PA) in already active women during pregnancy and postpartum. We also explore their views on, and requirements for, the development of an intervention to support maintenance of or increase in physical activity. Methods: Five focus groups, with a total of 19 participants, were conducted using a topic guide structured around the study objectives. Transcripts were analysed using a thematic analysis approach. Results: Twenty-two codes were generated and grouped into 8 themes: (1) cognizant of PA benefits, (2) sources of advice, (3) reasons to be active during pregnancy, (4) reasons for reducing PA levels during pregnancy, (5) barriers to PA during and after pregnancy, (6) facilitators of PA during and after pregnancy, (7) ideal PA intervention, and (8) evaluation support. Conclusion: Already active women show enthusiasm for continuing PA during and after pregnancy. However, factors such as pregnancy- related body changes, childcare and lack of targeted activities deter participation in PA. A new PA programme with social and group elements, including both familiar and new activities, and providing „satisfaction and fun‟ should be developed for previously active pregnant and postpartum women to help increase or maintain PA levels","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69351855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Clinicopathological Study: Expression of ER, PR and HER/2neu in Endometrial Carcinoma Published On: 20","authors":"Jasmeen Kaur, A. Suri, M. Kaur","doi":"10.26502/ogr077","DOIUrl":"https://doi.org/10.26502/ogr077","url":null,"abstract":"Endometrial carcinoma is a common invasive malignancy of the female genital tract. Investigation of endometrial immunomarkers involved in carcinogenesis may influence early detection and treatment, with direct impact on prognosis by increasing life expectancy. It can often be difficult to distinguish higher grade endometrioid carcinomas from serous carcinomas. Use of immunohistochemistry as an adjunct has been the subject of a number of recent studies. Aims and Objectives: To study the association of endometrial carcinoma with relation to age, parity and other presenting feature. To determine the association between the expression of ER, PR, and Her-2/neu and clinicopathological features of endometrial carcinoma patients. To correlate the endometrial histopathology with immunohistochemistry. Material and methods: The present study comprised of analysis of 50 cases of endometrial carcinoma received in the Department of Pathology, Government Medical College, Patiala from January 2018 to May 2020. Routine Haematoxylin and Eosin and on confirmed cases of endometrial carcinoma , IHC for ER, PR and HER-2/neu was performed. Results: Endometrioid carcinomas showed maximum incidence around the age of 65 with G1 tumours 56%, G2 12%, G3 18 % and non Endometrioid were mostly serous and clear representing Obstet Gynecol Res 2022; 5 (1): 041-053 DOI: 10.26502/ogr077 Obstetrics and Gynecology Research Vol. 5 No. 1– March 2022. 42 14% cases. The predominance of grade-I endometrial carcinoma was found in 56% followed by grade-II in 12% and grade-III in 18% cases. Statistical analysis showed that the degree of differentiation significantly correlated (very highly significant) significant) with histology (p value .000). Out of 50 cases of EMC, 32(64%) cases showed ER positivity. PR positivity was seen in 30(60%) cases and HER-2/neu immunehistochemical expression was positive in 11(22%) cases. Conclusion: A decrease of the hormonal receptors expression, ER and PR was observed in parallel with the decreased histological degree of differentiation, the lowest values occurring in the case of Endometrioid G3 carcinomas and were absent in NonEndometrioid carcinomas. This finding may be of a particular clinical importance because almost half of poorly differentiated endometrial carcinomas contain estrogen/progesterone receptors and they might benefit from a progesterone therapy. PR immuneexpression showed statistically significant association with parity, presenting symptom, type, and grade of EMC. Here by, making it an independent prognostic factor.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives of Obstetricians and Women with a History of Prior Cesarean Birth Regarding Subsequent Mode of Birth in Trifinio and Coatepeque, Guatemala.","authors":"Andrea Jimenez-Zambrano,&nbsp;Kathryn Feller,&nbsp;Claudia Rivera,&nbsp;Angela Marchin,&nbsp;Antonio Guillermo Bolanos,&nbsp;Edwin Asturias,&nbsp;Hector Rodas,&nbsp;Margo S Harrison","doi":"10.26502/ogr074","DOIUrl":"https://doi.org/10.26502/ogr074","url":null,"abstract":"<p><strong>Background: </strong>The decision regarding delivery in the context of a prior cesarean birth is complex because both trial of labor after cesarean and elective repeat cesarean birth have risks and benefits.</p><p><strong>Purpose: </strong>Our research objective was to understand the perspective of women and obstetricians regarding factors influencing mode of birth for women with a history of prior cesarean.</p><p><strong>Methods: </strong>In February 2020, qualitative data was collected at Coatepeque Hospital in Coatepeque, Guatemala. In-depth interviews were conducted with obstetricians and women at the Center for Human Development in the Southwest Trifinio region. Interviews were recorded, transcribed, translated, and analyzed using conceptual content analysis of key informant interviews to analyze the meaning of themes and concepts related to mode of delivery for women with a history of prior cesarean birth.</p><p><strong>Results: </strong>Women described feeling conflicted about their preferences on the location and attendant of their future births, but suggested that the hospital setting, and physician providers were more capable of managing complications. Physicians felt trial of labor after cesarean was the safer option but described multiple reasons that made repeat cesarean birth the more common mode of birth.</p><p><strong>Conclusions: </strong>There is a need for innovative approaches to patient messaging and education around mode of delivery after a prior cesarean in the Southwest Region in Guatemala. Findings from this study underscore the need to improve the quality and dissemination of the educational information given, medical history collected during prenatal care, and pain control during labor. Finally, there is a need for obstetric training to support vaginal birth in the facility setting for the successful implementation of evidence-based practices around trial of labor after cesarean at Coatepeque Hospital.</p>","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"5 1","pages":"10-19"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8863362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39645508","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":"Views and experiences of infertile women regarding the role of gluten in their infertility","authors":"J. Bold, D. Diamantopoulou","doi":"10.26502/ogr0104","DOIUrl":"https://doi.org/10.26502/ogr0104","url":null,"abstract":"Background: Prevalence rates for infertility have increased globally. Untreated coeliac disease (CD) and gluten sensitivity can affect fertility. Guidelines encourage testing of women with unexplained infertility for CD and case studies demonstrate pregnancies after introducing a gluten-free diet (GFD). Aims: To understand the experiences of women diagnosed with infertility, investigating the potential role of gluten, including testing and implementation of a GFD. Methods: Participants completed an online survey that included open and closed questions which were coded inductively and analysed using thematic and content analysis. Findings: 29 UK based women completed the survey. The majority identified as White, with one Asian/Asian British, one Mixed, and one Arab participant. Only four had not undergone fertility treatment. Twelve had unexplained infertility, while seven had no diagnosis. Five had primary infertility and five had a secondary infertility diagnosis. TA identified six themes: (1) Experience with gluten in infertility, (2) Experiences with testing for CD, (3) Health beliefs/concerns regarding gluten, (4) Other interventions to help with infertility, (5) Nutritional support for women with infertility, (6) Infertility experience. A GFD alleviated symptoms for those with both intestinal and extra-intestinal symptoms. Participants felt unprepared for CD testing and that healthcare personnel did not treat symptoms seriously. Conclusion: Awareness of extraintestinal manifestations of CD, including unexplained infertility, should be increased amongst healthcare professionals. Women with unexplained infertility should be screened for CD, even without the presence of intestinal symptoms. Women with infertility choosing to implement a GFD need to be better supported.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69351897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Predictive Value of Urinary Progesterone Metabolite PdG Testing in Pregnancy Outcomes","authors":"A. Beckley, J. Klein, John Park, A. Eyvazzadeh, G. Levy, Alexandra Koudele","doi":"10.26502/ogr092","DOIUrl":"https://doi.org/10.26502/ogr092","url":null,"abstract":"Background: Progesterone is essential for establishing and maintaining a pregnancy. However, premature atresia of the corpus luteum (CL) or suboptimal progesterone secretion after ovulation may result in the decreased ability to establish or maintain a pregnancy. The current limitations of serum hormone testing fail to give a complete picture of progesterone production across the luteal phase required for pregnancy. Results: Of the 185 enrolled women, 172 had complete cycles. Of the 172 women who demonstrated complete cycles, 54 (31.4%) women reported pregnancies. Thirty-five (64.8%) of these pregnancies resulted from a PdG positive cycle with a miscarriage rate of 14.3% (5/35). Nineteen pregnancies (35.2%) resulted from PdG negative cycles with a miscarriage rate of 89.5% (17/19). The association of a negative or positive cycle with pregnancy outcome was significant (two-sided p=0.0001). Positive PdG cycles are associated with increased pregnancy rates and lower odds of a first-trimester pregnancy loss. Conclusion: A consideration for luteal phase support with progesterone or ovulation induction in women with negative PdG cycles can be of benefit to increase pregnancy rates. Furthermore, the use of LH and PdG testing prior to conception can be used as a screening tool to potentially identify women who are at risk of subfertility and at a higher risk of first-trimester pregnancy loss related to low progesterone.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of a Prediction Model for Gestational Hypertension in Mezam Division","authors":"Nkem Ernest Njukang, Thomas Obinchemti EGBE, Nicolas Tendongfor, Tah Aldof Yoah, Kah Emmanuel Nji, M. Sama, Fidelis Atabon AKO, J. Kamgno","doi":"10.26502/ogr0103","DOIUrl":"https://doi.org/10.26502/ogr0103","url":null,"abstract":"Objective: Our study aimed to develop and validate a prediction model for identifying women at increased risk of developing gestational hypertension (GH) in Mezam division, Northwest Region (NWR) of Cameroon. Method: A retrospective cohort design was employed. Data for a cohort of 1183 participants were randomly divided into derivation (n = 578) and validation (n = 585) datasets. Inclusion criterion was women without chronic hypertension. Primary outcome was Gestational hypertension. A questionnaire and data abstraction form were used for data collection. Chi square (χ2) test, independent sample t-test and multivariate logistic regression (to derive the prediction model) were used for data analysis. For each significant variable, a score was calculated by multiplying coefficient (β) by 100 and rounding to the nearest integer. Discrimination was estimated by used of the c-statistic. Results: DBP, SBP, hypertension in previous pregnancy, stress and smoking (scores 10, 6, 210, 56 and 18, respectively) were predictors of incident GH. The model accuracy was assessed by the area under the receiver operating characteristic curve (AUC), with optimal cut-off value 936. With the derivation dataset, sensitivity, specificity and AUC of the model were 75.9%, 80.8% and 0.828 (95% CI 0.772–0.884) respectively. The model was validated by dividing the aggregated scores into three ranges (low, moderate and high) and their cumulative incidence calculated which were; 3.5%, 6.1% and 39.4%, respectively, in the derivation dataset and 4.7%, 6.2% and 30.2%, respectively, in the validation dataset. Calibration was good in both cohorts. The negative predictive value of women in the development cohort at high risk of GH was 92.0% compared to 94.0% in the validation cohort. Conclusions: The prediction model revealed adequate performance after validation in an independent cohort and can be used to classify women into high, moderate or low risk of developing GH. It contributes to efforts to provide clinical decision-making support to improve maternal health and birth outcomes.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69351894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anaemia in Pregnancy; An Underdeveloped Country’s Perspective (The First Ever Multicentre Trial in Pakistan from all Four Provinces)","authors":"Muhammad Irfan Khattak, Samina Naseem khattak, Shumaila Hadi, Samina Rehan Khan, Muhammad Numan Khattak, Adeela Yasmeen","doi":"10.26502/ogr076","DOIUrl":"https://doi.org/10.26502/ogr076","url":null,"abstract":"Objective: To determine the true prevalence of anaemia in Pakistani mothers from all four provinces and compare the haematological parameters. Location: Multicentre study at PNS Shifa Karachi (Sind), CMH Kharian (Punjab), CMH Mardan (KPK), CMH Quetta (Balochistan). Duration: Apr-Sep 2021 for 6 months. Study design: prospective observational study. Methods: Four centres were established to collect data on a representative sample of each province. Along with haematological measures, sociodemographic data were obtained and placed into a predefined online proforma. SPSS v 20 was used to analyse the data. Frequencies and percentages were calculated for categorical variables, whereas means and standard deviations were used to represent scales. Results of all four provinces were analysed and compared for similarities and differences. Results: A total of 2060 female patients fulfilling our inclusion criteria from all four provinces were Obstet Gynecol Res 2022; 5 (1): 034-040 DOI: 10.26502/ogr076 Obstetrics and Gynecology Research Vol. 5 No. 1– March 2022. 35 included in the study. Four hundred and sixty (22%) of the total population were in the first trimester, 785 (38%) were in the second, and 815 (40%) were in the third trimester of pregnancy. The study population's mean age was 28 ± 5.033 years. The mean haemoglobin concentration was 10.78 ± 1.49 g/dl. The mean MCV was in the lower limits of normal, 79.73 ± 7.95 3FL. At a cut off haemoglobin concentration of 10.8 g/dl, 50% of the population had Haemoglobin concentrations lower than this value. In terms of mean Haemoglobin levels across Pakistan's provinces, the lowest haemoglobin level was recorded in Sind, at 10.34 ± 1.469 g/dl. It was followed by Punjab, with a mean Haemoglobin concentration of 10.8 g/dl + 1.89. However, the mean Haemoglobin concentration in KPK was significantly high with mean Hb of 11.01 ± 1.330 g/dl. Additionally, comparable Haemoglobin levels were seen in Baloch people, with a mean Hb of 10.95 ± 1.048 g/dl. So according to international standard anaemia was less prevalent in KPK and Balochistan. Conclusion: Anaemia during pregnancy is very common in Pakistani mothers, according to worldwide standards. However, Severe anaemia Hb<8g/dl, on the other hand, is uncommon. Interprovincial variation in haematological parameters is also notable in Pakistan. We may need to formulate local guidelines for diagnosing and managing anaemia.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decision-To-Delivery Interval in Obese Patients Undergoing Emergent Cesarean Birth","authors":"Itamar D. Futterman, Liel Navi, Hae-Young Kim, R. Mendonca, Michael Girshin, Alexander Shilkrut","doi":"10.26502/ogr095","DOIUrl":"https://doi.org/10.26502/ogr095","url":null,"abstract":"Objective: To examine how increased body mass index (BMI) class impacts time to delivery interval in the setting of emergent cesarean birth. Study Design: A cohort study of all emergent cesarean births at our institution from 2012-2018. Three comparison groups were divided by BMI category: Primary outcomes were time interval from decision-to-delivery interval and from skin-incision-to-delivery interval. Results: The mean time interval (minutes +/- standard deviation (SD)) from arrival at the OR to delivery was 25.1 ± 9.7, 26.1 ± 10.6 and 30.2 ±12.2, highlighting that as patient BMI class increased, the interval time to arrival to the OR and to delivery increased (beta coefficient 95% CI 5.15 (1.01,9,30) p=0.037). The mean time interval (minutes +/- SD) from skin incision to delivery was 8.7 ± 5.6, 9.0 ± 6.4 and 11.7 ±7.0, again showing a positive correlation between time interval and increasing BMI class (beta coefficient 95% CI 3.02 (0.65,5.40) p=0.025). Conclusion: This study describes the challenge of urgent cesarean births in obese patients, manifested in longer decision-to-delivery and skin-to-delivery intervals as BMI class increases. These findings support prior literature that describe a longer transport and surgical times in obese patients undergoing cesarean birth.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to Prepare Obstetric Interns for Cardiotocography Interpretation?","authors":"S. Verkleij, I. Graaf, P. Bakker","doi":"10.26502/ogr0106","DOIUrl":"https://doi.org/10.26502/ogr0106","url":null,"abstract":"Background/Introduction:Cardiotocography (CTG) is an important obstetric tool to assess fetal wellbeing. Interns are exposed to a lot of fetal heart traces during their internship. Knowledge on this is gained by (undergraduate) teaching and by working with clinicians. With this prospective cohort study we aim to investigate if introducing a CTG e-learning makes interns feel better prepared and more competent in interpreting CTG. Methods: We evaluated a 1-hour CTG e-learning containing basic principles and interpretation skills. We used anonymous evaluation questionnaires. The answers of the questionnaires were entered in and examined with IBM® SPSS® statistics version 26. Results: Students with access to the CTG e-learning felt better prepared (p=0.001), more competent (p=0.001) and were more satisfied with the education (p=0.000). Students with or without access to the e-learning scored the same on the knowledge test (p=0.504). Conclusions: Providing a CTG e-learning at the start of the obstetrics/ gynecology internship makes students feel more prepared and more competent on interpreting CTG’s. They are satisfied with the education. Affiliation: 1Obstetric and Gynecology department, AmsterdamUMC, The Netherlands *Corresponding author: SPC Verkleij, Meibergdreef 9 (H4-250), NL-1105 AZ Amsterdam, Netherlands. Citation: S P C Verkleij, I M de Graaf, P C A M Bakker. How to prepare obstetric interns for cardiotocography interpretation? Obstetrics and Gynecology Research 5 (2022): 319-324. Received: July 20, 2022 Accepted: July 27, 2022 Published: December 09, 2022","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69351916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Recurrent Massive Secondary Postpartum Haemorrhage following Caesarean Section Due to the Eroded Left Uterine Artery Sealed by Laparoscopic Bipolar Coagulation","authors":"Ramkrishna Purohit, Jay Gopal Sharma, Devajani Meher","doi":"10.26502/ogr078","DOIUrl":"https://doi.org/10.26502/ogr078","url":null,"abstract":"Background: Recurrent massive secondary postpartum haemorrhage (PPH) due to uterine wound dehiscence with uterine artery erosion following LSCS causes management challenges. Case: Primiparous of 26 years had three recurrent episodes of severe PPH within 37 days after LSCS. Hysteroscopy visualized features of uterine scar dehiscence on the left angle side and excluded other causes of PPH after the 2nd episode on the 24th day and found bleeding through the wound gap. Laparoscopy after 3rd episode on 37th day revealed bleeding eroded left uterine artery. Bipolar coagulation of the left uterine artery sealed bleeding and conserved the uterus. Conclusion: Recurrent massive PPH may occur from uterine artery erosion following LSCS scar dehiscence. Abdominal sonography, a quick hysteronscopy, and an emergency laparoscopic bipolar seal of the eroded uterine artery can serve the purpose of minimally invasive surgery in a stable patient.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}