American journal of obstetrics and gynecology最新文献

{"title":"Optimizing Delivery Timing Need to be based on the Risk Stratification of Placenta Accreta Spectrum.","authors":"Chen Yunshan,Xiang Guochun,Jiang Yanming","doi":"10.1016/j.ajog.2025.04.039","DOIUrl":"https://doi.org/10.1016/j.ajog.2025.04.039","url":null,"abstract":"","PeriodicalId":7574,"journal":{"name":"American journal of obstetrics and gynecology","volume":"41 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Importance of Risk Stratification of Placenta Accreta Spectrum: Reply to Letter to Editor.","authors":"Alesha White,Catherine Y Spong,Christina L Herrera","doi":"10.1016/j.ajog.2025.04.040","DOIUrl":"https://doi.org/10.1016/j.ajog.2025.04.040","url":null,"abstract":"","PeriodicalId":7574,"journal":{"name":"American journal of obstetrics and gynecology","volume":"58 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antenatal diagnosis of early-onset small-for-gestational age: absolute and relative risks of adverse outcomes.","authors":"Jessica Liauw,Sanne J Gordijn,Wessel Ganzevoort,Chantal Mayer,Jennifer A Hutcheon","doi":"10.1016/j.ajog.2025.04.041","DOIUrl":"https://doi.org/10.1016/j.ajog.2025.04.041","url":null,"abstract":"OBJECTIVETo determine the absolute and relative risks of adverse maternal, perinatal, and longer-term child outcomes for pregnancies with antenatally-detected early-onset small for gestational age fetuses, compared with baseline population rates.STUDY DESIGNWe linked ultrasound data from pregnancies with antenatally-detected, non-anomalous, early-onset SGA fetuses (estimated fetal weight and/or abdominal circumference <10th percentile at 16+0 to 31+6 weeks) from our tertiary referral centre with provincial health and education databases. We compared risks of adverse pregnancy (e.g., stillbirth, gestational hypertension/ preeclampsia, caesarean section) and child outcomes (e.g., infant death, intensive care unit admission, composite neonatal morbidity, cerebral palsy, Early Development Index score and Ministry of Education Special Needs designation at school entry age) among pregnancies with early-onset SGA fetuses to the general population of births in British Columbia, Canada. We calculated relative risks and absolute risk differences with 95% confidence intervals (CI).RESULTSAmong 581 pregnancies with non-anomalous early-onset SGA fetuses, risk ratios for adverse pregnancy outcomes ranged from 4-fold higher for gestational hypertension/ preeclampsia [95% CI: 3.8 to 5.1], to 10-fold higher for stillbirth [95% CI: 5.6 to 16.6], compared with the rest of the 359,602 non-anomalous births in the province. These relative risks corresponded to 16.5 per 100 excess cases [95% CI: 13.1 to 19.8] and 2.2 per 100 excess cases [95% CI 0.9 to 3.6], respectively. Risks of neonatal complications were similarly elevated (e.g. composite neonatal morbidity was 31-fold higher). While Ministry Special Needs designation was 3-fold higher [95% CI: 2.1 to 5.6], corresponding to 7 per 100 excess cases [95% CI: 2.0-11.5], there was only a trend towards a higher risk of cerebral palsy.CONCLUSIONRisks of adverse maternal and childhood outcomes are elevated in pregnancies with early-onset SGA fetuses. Presenting these risks in relative and absolute terms from baseline population risks may facilitate clinical counselling and risk comprehension.","PeriodicalId":7574,"journal":{"name":"American journal of obstetrics and gynecology","volume":"102 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143866440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The risk for preeclampsia at 36 weeks and at 12 weeks predicts intrapartum fetal compromise and spontaneous onset of labor.","authors":"Paolo I Cavoretto,Antonio Farina,Argyro Syngelaki,Filippos Solonos,Kypros H Nicolaides","doi":"10.1016/j.ajog.2025.04.042","DOIUrl":"https://doi.org/10.1016/j.ajog.2025.04.042","url":null,"abstract":"","PeriodicalId":7574,"journal":{"name":"American journal of obstetrics and gynecology","volume":"35 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143866441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clarifying the clinical relevance of HPV detection transitions over time.","authors":"Patti E Gravitt,Anne Hammer,","doi":"10.1016/j.ajog.2025.04.031","DOIUrl":"https://doi.org/10.1016/j.ajog.2025.04.031","url":null,"abstract":"","PeriodicalId":7574,"journal":{"name":"American journal of obstetrics and gynecology","volume":"12 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143861996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ibuprofen in postpartum mothers with severe hypertensive disorders of pregnancy: a letter.","authors":"Amiya Das,Avir Sarkar,Lisley Konar,Prathamesh Lanjewar","doi":"10.1016/j.ajog.2025.04.028","DOIUrl":"https://doi.org/10.1016/j.ajog.2025.04.028","url":null,"abstract":"","PeriodicalId":7574,"journal":{"name":"American journal of obstetrics and gynecology","volume":"4 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143862000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practical Applications of Artificial Intelligence Chatbots in Obstetrics and Gynecology Medical Education.","authors":"Christopher M Morosky,Laura Baecher-Lind,Katherine T Chen,Angela Fleming,Shireen Madani Sims,Helen Kang Morgan,Celeste S Royce,Tammy Sonn,Alyssa Stephenson-Famy,Jill Sutton,Jonathan Schaffir,Rashmi Bhargava","doi":"10.1016/j.ajog.2025.04.021","DOIUrl":"https://doi.org/10.1016/j.ajog.2025.04.021","url":null,"abstract":"Generative artificial intelligence (AI) chatbots are sophisticated conversational AI tools that have the capability to interpret natural language inputs and produce responses that closely resemble human speech. AI chatbots hold significant promise in revolutionizing medical education by offering invaluable support across various educational domains, including teaching, learning, and assessment. Their practical applications span a wide spectrum, from aligning learning objectives and simplifying administrative tasks to facilitating feedback, aiding faculty development, and supporting mentorship initiatives. However, alongside their potential benefits, concerns exist regarding data privacy, inherent biases, and occasional errors termed \"hallucinations,\" underscoring the imperative for a cautious and informed approach to their integration within educational settings. It therefore becomes essential for medical educators and academic institutions to proactively engage with AI technologies like chatbots, not only to leverage their benefits but also to critically assess and address associated challenges such as bias, privacy, and misinformation. By thoughtfully integrating AI tools, medical educators can determine where these technologies are most beneficial, implement safeguards against potential harms, and explore innovative applications to enhance medical education.","PeriodicalId":7574,"journal":{"name":"American journal of obstetrics and gynecology","volume":"52 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143857243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgery for placenta accreta spectrum: Randomized controlled study by whom?","authors":"Shigeki Matsubara","doi":"10.1016/j.ajog.2025.04.025","DOIUrl":"https://doi.org/10.1016/j.ajog.2025.04.025","url":null,"abstract":"","PeriodicalId":7574,"journal":{"name":"American journal of obstetrics and gynecology","volume":"30 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143857241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reaffirming the Clinical Value of Dual Antibiotic Prophylaxis in Term Prelabor Rupture of Membranes.","authors":"Raneen Abu Shqara,Hadas Shasha-Lavsky,Maya Frank Wolf","doi":"10.1016/j.ajog.2025.04.038","DOIUrl":"https://doi.org/10.1016/j.ajog.2025.04.038","url":null,"abstract":"","PeriodicalId":7574,"journal":{"name":"American journal of obstetrics and gynecology","volume":"126 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143857246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing clinical equipoise with placenta accreta associated morbidity and prospective studies.","authors":"Jessian L Munoz,Hendrik A Lombaard,Amir A Shamshirsaz","doi":"10.1016/j.ajog.2025.04.026","DOIUrl":"https://doi.org/10.1016/j.ajog.2025.04.026","url":null,"abstract":"","PeriodicalId":7574,"journal":{"name":"American journal of obstetrics and gynecology","volume":"219 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143857245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}