Archives of Gynecology and Obstetrics最新文献

筛选
英文 中文
Comparison of the complications rate of different suture-passing techniques at the time of sacrospinous ligament fixation: a systematic review and meta-analysis 骶棘韧带固定时不同缝合技术并发症发生率的比较:系统回顾和荟萃分析。
IF 2.1 3区 医学
Archives of Gynecology and Obstetrics Pub Date : 2024-11-05 DOI: 10.1007/s00404-024-07788-5
Elaheh Amiri, Parvin Bastani, Fatemeh Mallah, Helia Mostafaei, Hanieh Salehi-Pourmehr
{"title":"Comparison of the complications rate of different suture-passing techniques at the time of sacrospinous ligament fixation: a systematic review and meta-analysis","authors":"Elaheh Amiri,&nbsp;Parvin Bastani,&nbsp;Fatemeh Mallah,&nbsp;Helia Mostafaei,&nbsp;Hanieh Salehi-Pourmehr","doi":"10.1007/s00404-024-07788-5","DOIUrl":"10.1007/s00404-024-07788-5","url":null,"abstract":"<div><h3>Objective</h3><p>This study was designed to assess the complications raised in different suture-passing techniques when fixating the Sacrospinous ligament for pelvic organ prolapse (POP).</p><h3>Search strategy</h3><p>We searched PubMed, Embase, Scopus, Web of Sciences, ProQuest, Google Scholar, and Cochrane Library, and performed a systematic review meta-analysis to assess complications when implementing different suture passings in fixating the sacrospinous ligament.</p><h3>Selection criteria</h3><p>The inclusion and exclusion criteria for literature screening were predetermined to allow for a more rigorous process. Interventions should include sacrospinous fixation (SSF) as a point of attachment for POP. To eliminate confounding bias and effect modification, at least one arm must include SSLF without mesh or graft.</p><h3>Data collection and analysis</h3><p>The primary endpoint used was the need for reoperation, nerve injury, hematoma, and the need for blood transfusion. The secondary endpoint was study screening. For eligible articles, data were extracted and summarized independently by two reviewers.</p><h3>Main results</h3><p>The systemic review used the data from 125 studies, including 10,216 cases. The reoperation rate was 1.2% overall, with higher rates in the Shutt Suture Punch System, Laurus, and Anchorsure. The nerve injury rate was 3.8%, with Capio having the highest rate. The hematoma rate was 1.7%, with Laurus and Raz anchoring showing higher rates. Blood transfusion rates were higher with Modified Deschamps and Deschamps devices.</p><h3>Conclusions</h3><p>Complications related to suture passing are increased when suture capturing is the method applied in passing the suture through the sacrospinous ligament.</p></div>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":"310 6","pages":"2791 - 2809"},"PeriodicalIF":2.1,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The influence of celiac disease on fertility and pregnancy: an Italian survey 乳糜泻对生育和怀孕的影响:一项意大利调查。
IF 2.1 3区 医学
Archives of Gynecology and Obstetrics Pub Date : 2024-11-05 DOI: 10.1007/s00404-024-07781-y
Martina Arcieri, Carlotta Abrami, Annalisa Graziano, Stefano Restaino, Elisa Barbui, Elisa Rizzante, Silvia D’Ippolito, Giuseppe Vizzielli, Lorenza Driul
{"title":"The influence of celiac disease on fertility and pregnancy: an Italian survey","authors":"Martina Arcieri,&nbsp;Carlotta Abrami,&nbsp;Annalisa Graziano,&nbsp;Stefano Restaino,&nbsp;Elisa Barbui,&nbsp;Elisa Rizzante,&nbsp;Silvia D’Ippolito,&nbsp;Giuseppe Vizzielli,&nbsp;Lorenza Driul","doi":"10.1007/s00404-024-07781-y","DOIUrl":"10.1007/s00404-024-07781-y","url":null,"abstract":"<div><h3>Background</h3><p>Celiac disease (CD) is an inflammatory enteropathy that has been associated to obstetric and gynecological disorders. However, it is still not adequately tested by gynecologists due to the misconception that it is solely a gastrointestinal disease. This underestimation requires the development of targeted interventions.</p><h3>Purpose</h3><p>This study aims to evaluate the association between CD and obstetric/gynecological complications, highlight the importance of informing patients about CD manifestations, and assess the patient satisfaction with the information provided by healthcare professionals on the disease.</p><h3>Methods</h3><p>A digital survey was administered to celiac women via the Italian Celiac Association's website.</p><h3>Results</h3><p>We analyzed 493 questionnaires. Obstetric and gynecological disorders led to the diagnosis of CD in 11.7% of interviewed. The study revealed that untreated CD patients are more predisposed to miscarriages (41.8% vs 34% before/after diagnosis, respectively, <i>p</i> = 0.111), anemia in pregnancy (71.4% vs 40.4% before/after diagnosis, respectively, <i>p</i> &lt; 0.001) and the risk of low birth weight (newborns weighing &lt; 1500 g were 4.0% before and 1.1% after the gluten-free diet, <i>p</i> = 0.028). Women with CD, both before and after gluten-free diet, had higher infertility rates (about 19%) than the general population. Additionally, 73% of interviewees were dissatisfied with the information they received from health professionals about the reproductive implications of CD.</p><h3>Conclusion</h3><p>Our research contributes to a deeper understanding of the intersection between CD and reproductive outcomes, highlighting the main obstetric and gynecological problems related to it. It emphasizes the importance of patient's perspective and the need for greater awareness about celiac disease from healthcare workers.</p></div>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":"310 6","pages":"2907 - 2914"},"PeriodicalIF":2.1,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Paracetamol versus ibuprofen for early postpartum pain control: a randomized controlled trial. 对乙酰氨基酚与布洛芬用于产后早期疼痛控制:随机对照试验。
IF 2.1 3区 医学
Archives of Gynecology and Obstetrics Pub Date : 2024-11-05 DOI: 10.1007/s00404-024-07797-4
Shai Ram, Dotan Madar, Hila Shalev Ram, Goni Peleg, Yotam Lior, Ayelet Greenfeld, Gala Yakov, Yariv Yogev, Sharon Maslovitz
{"title":"Paracetamol versus ibuprofen for early postpartum pain control: a randomized controlled trial.","authors":"Shai Ram, Dotan Madar, Hila Shalev Ram, Goni Peleg, Yotam Lior, Ayelet Greenfeld, Gala Yakov, Yariv Yogev, Sharon Maslovitz","doi":"10.1007/s00404-024-07797-4","DOIUrl":"https://doi.org/10.1007/s00404-024-07797-4","url":null,"abstract":"<p><strong>Introduction: </strong>To evaluate the effectiveness of paracetamol and ibuprofen as non-opioid treatments for postpartum pain control after vaginal delivery.</p><p><strong>Materials and methods: </strong>This randomized controlled study at a university-affiliated medical center involved parturient who received blindly oral tablets of either 1000 mg of paracetamol or 400 mg of ibuprofen, post-vaginal birth. Pain levels were assessed using a numeric rating scale (NRS) at four time points: before treatment, and 1, 4, and 6 h post-treatment (T0, T1, T4, and T6, respectively). We also compared the need for additional analgesia, breastfeeding initiation, mobilization, and urination following the delivery between the groups. To ensure statistical power, the study was designed to detect differences of one point on the NRS with at least 37 women per group.</p><p><strong>Results: </strong>A total of 107 women participated, including paracetamol (n = 52) and ibuprofen (n = 55) groups. Demographics and perinatal outcomes were similar across groups. No significant differences were found in the interval between delivery and request for pain control (8 ± 6-10.5 and 11 ± 6-16 h for the paracetamol and the ibuprofen, respectively, P = .13). Pain levels on the NRS were similar for both groups at all intervals. There were also no group differences in the time to the initiation of breastfeeding, mobilization, urination, or the need for additional analgesia.</p><p><strong>Conclusion: </strong>Both, paracetamol and ibuprofen, can be considered equivalent and effective non-opioid alternatives for postpartum pain control. REGISTRY AT CLINICALTRIALS.GOV: (NCT04653506), https://register.</p><p><strong>Clinicaltrials: </strong>gov/prs/beta/studies/S000AFOR00000066/recordSummary .</p>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The "full rectangle" sign: a novel method for ultrasonographic diagnosis of fetal aberrant right subclavian artery. 全长方形 "征象:超声诊断胎儿右锁骨下动脉异常的新方法。
IF 2.1 3区 医学
Archives of Gynecology and Obstetrics Pub Date : 2024-11-05 DOI: 10.1007/s00404-024-07785-8
Ettie Piura, Offra Engel, Neta Doctory, Ofer Markovitch
{"title":"The \"full rectangle\" sign: a novel method for ultrasonographic diagnosis of fetal aberrant right subclavian artery.","authors":"Ettie Piura, Offra Engel, Neta Doctory, Ofer Markovitch","doi":"10.1007/s00404-024-07785-8","DOIUrl":"https://doi.org/10.1007/s00404-024-07785-8","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the feasibility and accuracy of a novel ultrasonographic screening method for an aberrant right subclavian artery (ARSA) using the novel \"full rectangle\" method.</p><p><strong>Methods: </strong>This prospective study was conducted at a tertiary care center, September 2022 to February 2023. The study included unselected pregnant women at 14-38 weeks of gestation referred for routine or targeted anomaly scans. All participants underwent scanning by two experienced sonographers to ascertain the presence or absence of aberrant right subclavian artery (ARSA) using both conventional and novel \"full rectangle sign\" methods for validation purposes. This is a novel screening method for ARSA that demonstrates the retro-tracheal course at the level of the supra-aortic vessels, forming what we term the \"full rectangle sign\".</p><p><strong>Results: </strong>A cohort of 138 patients was enrolled. The \"full rectangle\" sign was discerned in 6 fetuses with ARSA (4.3%), while the typical three-sided figure of the right subclavian artery was demonstrated in the remaining 132 fetuses (95.7%). The novel method demonstrated 100% feasibility and complete concordance with the conventional method.</p><p><strong>Conclusion: </strong>The study results indicate that the full rectangle sign serves as an effective and dependable screening tool for identifying ARSA. It offers the advantage of a clear, unobstructed view at a level unaffected by sternum shadowing and eliminates confusion with the azygous vein.</p>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Birthing positions and mother`s satisfaction with childbirth: a cross-sectional study on the relevance of self determination. 分娩姿势与母亲对分娩的满意度:关于自我决定相关性的横断面研究。
IF 2.1 3区 医学
Archives of Gynecology and Obstetrics Pub Date : 2024-11-04 DOI: 10.1007/s00404-024-07770-1
Nadine Scholten, Brigitte Strizek, Mi-Ran Okumu, Ibrahim Demirer, Jan Kössendrup, Lissa Haid-Schmallenberg, Malte Bäckmann, Arno Stöcker, Natalie Stevens, Anna Volkert
{"title":"Birthing positions and mother`s satisfaction with childbirth: a cross-sectional study on the relevance of self determination.","authors":"Nadine Scholten, Brigitte Strizek, Mi-Ran Okumu, Ibrahim Demirer, Jan Kössendrup, Lissa Haid-Schmallenberg, Malte Bäckmann, Arno Stöcker, Natalie Stevens, Anna Volkert","doi":"10.1007/s00404-024-07770-1","DOIUrl":"https://doi.org/10.1007/s00404-024-07770-1","url":null,"abstract":"<p><strong>Introduction: </strong>Considering the inconclusive evidence regarding the clinical benefits of specific birthing positions, emphasis has been placed on adhering to women's preferences during the second stage of labour. Therefore, the present study aimed to assess the association between birthing position, the freedom to choose a birth position during the second stage of labour, and women's subjective satisfaction with childbirth.</p><p><strong>Methods: </strong>We performed a cross-sectional survey of women 8 or 12 months after a vaginal birth in a hospital. The women were recruited via two cooperating health insurance companies. Multivariate analyses were conducted to assess the strength of the association between birthing position and maternal satisfaction with childbirth, with a particular focus on interactions with self-determination.</p><p><strong>Results: </strong>In total, the data from 761 women were analysed. The supine position was the most frequently reported birthing position in the second stage of labour at 77.5%. Notably, 39.0% and 30.5% of the women who gave birth in the dorsal and lateral supine positions, respectively, stated that the birth position was not chosen voluntarily. The regression models show a significant negative association between supine birthing position and satisfaction with childbirth, which is significantly related to self-determination. The most common reason for the adoption of a specific birthing position was instructions from medical staff.</p><p><strong>Discussion: </strong>The data provide insight into the perceived satisfaction with childbirth depending on the birthing position, whereby the relevance of self-determination is particularly evident. At the same time, self-determination is often not given, which is associated with reduced birth satisfaction.</p>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does the timing of postprandial glucose monitoring affect the obstetric and neonatal outcomes in patients with gestational diabetes? A prospective study comparing 1 and 2-h postprandial monitoring. 餐后血糖监测的时间会影响妊娠糖尿病患者的产科和新生儿预后吗?一项比较餐后 1 小时和餐后 2 小时监测的前瞻性研究。
IF 2.1 3区 医学
Archives of Gynecology and Obstetrics Pub Date : 2024-11-04 DOI: 10.1007/s00404-024-07803-9
Noa Ben Shoshan, Yossi Mizrachi, Liliya Tamayev, Tal Ben-Ari, Eran Weiner, Giulia Barda
{"title":"Does the timing of postprandial glucose monitoring affect the obstetric and neonatal outcomes in patients with gestational diabetes? A prospective study comparing 1 and 2-h postprandial monitoring.","authors":"Noa Ben Shoshan, Yossi Mizrachi, Liliya Tamayev, Tal Ben-Ari, Eran Weiner, Giulia Barda","doi":"10.1007/s00404-024-07803-9","DOIUrl":"https://doi.org/10.1007/s00404-024-07803-9","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to examine the obstetrical and neonatal outcomes in patients with gestational diabetes mellitus (GDM) who had postprandial glucose monitoring 1 vs. 2 h following meals.</p><p><strong>Study design: </strong>In this prospective cohort study, we included patients with GDM who were referred to our medical center between July 2019 and June 2021. Patients chose the timing of postprandial glucose monitoring based on their own preferences. Obstetrical and neonatal outcomes, as well as patient satisfaction, were compared between patients who performed postprandial glucose monitoring 1 and 2 h after meals (PPG1 vs. PPG2). The primary outcome was birth weight. The study was powered to detect a 250 g increase in birth weight.</p><p><strong>Results: </strong>Overall, 99 patients were included: 50 in the PPG1 group and 49 in the PPG2 group. Baseline characteristics were comparable between the groups. Neonates in the PPG1 and PPG2 groups had similar birth weights (3319 ± 355 vs. 3319 ± 520 g, respectively, p = 0.99). Glycemic control, mode of delivery, gestational age at delivery, and satisfaction rates were also similar between the study groups.</p><p><strong>Conclusion: </strong>In patients with GDM, performing1 vs. 2 h following meals resulted in similar obstetrical and neonatal outcomes and similar satisfaction rates. We therefore recommend counseling patients to choose either strategy based on their personal preference.</p>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determining the relationship between gynecologic cancer awareness and health literacy among women of reproductive age: a descriptive study 确定育龄妇女对妇科癌症的认识与健康知识之间的关系:一项描述性研究。
IF 2.1 3区 医学
Archives of Gynecology and Obstetrics Pub Date : 2024-11-04 DOI: 10.1007/s00404-024-07806-6
Fatma Nur Duman, Ayse Ozdemir, Zehra Golbasi
{"title":"Determining the relationship between gynecologic cancer awareness and health literacy among women of reproductive age: a descriptive study","authors":"Fatma Nur Duman,&nbsp;Ayse Ozdemir,&nbsp;Zehra Golbasi","doi":"10.1007/s00404-024-07806-6","DOIUrl":"10.1007/s00404-024-07806-6","url":null,"abstract":"<div><h3>Purpose</h3><p>To determine the relationship between gynecologic cancer awareness and health literacy among women of reproductive age.</p><h3>Methods</h3><p>This study was conducted in a descriptive design and involved 510 women. Data collection utilized the “Personal Information Form”, “Gynecologic Cancer Awareness Scale (GCAS)” and “Health Literacy Scale (HLS)”, gathered. Pearson correlation and linear regression analyses, independent samples t-test, one-way analysis of variance and post hoc analyses were employed for data analysis. Effect sizes were calculated using eta-squared (η<sup>2</sup>) coefficients.</p><h3>Results</h3><p>The mean total score of women on the GCAS was 154.42 ± 18.27, while the mean total score on the HLS was 57.07 ± 7.86. Significant differences were observed in women's GCAS total scores concerning age, perceived income status, and history of gynecological examination, whereas significant differences were noted in HLS total scores concerning age, educational status, marital status, and perceived income status. A weak positive correlation was detected betwixt women's GCAS and HLS total scores. It was determined that 20.8% of the total variation in gynecologic cancer awareness level was explained by health literacy.</p><h3>Conclusion</h3><p>Women exhibit an above-average level of awareness regarding gynecologic cancers. Health literacy level contributes to an increase in gynecologic cancer awareness.</p></div>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":"310 6","pages":"3067 - 3076"},"PeriodicalIF":2.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlation of factor XIII subunit A with factor XIII activity in a population of parturient women. 产妇人群中因子 XIII 亚基 A 与因子 XIII 活性的相关性。
IF 2.1 3区 医学
Archives of Gynecology and Obstetrics Pub Date : 2024-11-04 DOI: 10.1007/s00404-024-07799-2
M L Frevert, J Bürgi, R Brun, T Hothorn, M Rösslein, N Ochsenbein-Kölble, C Haslinger, W Korte
{"title":"Correlation of factor XIII subunit A with factor XIII activity in a population of parturient women.","authors":"M L Frevert, J Bürgi, R Brun, T Hothorn, M Rösslein, N Ochsenbein-Kölble, C Haslinger, W Korte","doi":"10.1007/s00404-024-07799-2","DOIUrl":"https://doi.org/10.1007/s00404-024-07799-2","url":null,"abstract":"<p><strong>Background: </strong>The role of factor XIII in acute bleeding situations is gaining more and more importance. It has previously been shown that prepartum factor XIII activity has a significant impact on postpartum blood loss. Whether factor XIII antigen behaves in a similar manner is unknown. As postpartum hemorrhage is one of the leading causes of maternal morbidity and mortality worldwide and factor XIII antigen determination might be available more readily in some centers as compared to factor XIII activity, this is an important question to answer, especially in the emergency situation of a postpartum hemorrhage.</p><p><strong>Objective: </strong>To assess the correlation of prepartum factor XIII antigen with prepartum factor XIII activity and to evaluate the correlation between prepartum factor XIII antigen on measured postpartum blood loss.</p><p><strong>Methods: </strong>This is a secondary analysis of a prospective cohort study which analyzed the impact of prepartum blood coagulation factor XIII activity on postpartum blood loss in 1300 women at the University Hospital Zurich, Switzerland between October 2015 and November 2016 (\"PPH-1300 study\"). Blood loss was quantified using a previously validated technique. The association of factor XIII activity and factor XIII antigen was assessed by means of a Spearman rank correlation and differences were displayed using Bland-Altman plot and Passing-Bablok regression. The effect of the prepartum factor XIII antigen on blood loss was estimated by continuous outcome logistic regression.</p><p><strong>Results: </strong>Prepartum factor XIII activity significantly correlated with prepartum factor XIII antigen (Spearman rank correlation coefficient for prepartum values 0.89, p < 0.001 and postpartum values 0.902, p < 0.001). Elevated values of prepartum factor XIII antigen showed a trend toward lower measured postpartum blood loss.</p><p><strong>Conclusion: </strong>The correlation of factor XIII activity with factor XIII antigen (subunit A) in a large real-world sample as well as an association of prepartum factor XIII antigen and postpartum blood loss is observed. Factor XIII antigen determination, a highly automatable test, could be useful in emergency situations such as a PPH (as well as other bleeding situations) if the determination of factor XIII activity is not possible. To evaluate whether FXIII replenishment reduces blood loss is the focus of ongoing studies.</p>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of ovarian teratoma with anti-N-methyl-D-aspartate receptor encephalitis: a case report and narrative review. 卵巢畸胎瘤与抗 N-甲基-D-天冬氨酸受体脑炎的关系:病例报告和综述。
IF 2.1 3区 医学
Archives of Gynecology and Obstetrics Pub Date : 2024-11-04 DOI: 10.1007/s00404-024-07779-6
Konrad Joseph, Sarah van der Hock, Ishith Seth, Nipuni Hapangama, Lara Gibson, Roberto Cuomo, Warren M Rozen, Nita Dhupar
{"title":"Association of ovarian teratoma with anti-N-methyl-D-aspartate receptor encephalitis: a case report and narrative review.","authors":"Konrad Joseph, Sarah van der Hock, Ishith Seth, Nipuni Hapangama, Lara Gibson, Roberto Cuomo, Warren M Rozen, Nita Dhupar","doi":"10.1007/s00404-024-07779-6","DOIUrl":"https://doi.org/10.1007/s00404-024-07779-6","url":null,"abstract":"<p><strong>Background: </strong>Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is a potentially life-threatening autoimmune disorder which is strongly associated with ovarian teratomas in young female patients. The primary aim is to highlight the importance of considering NMDAR encephalitis in the differential diagnosis of young female patients presenting with acute or subacute neuropsychiatric symptoms, especially when accompanied by ovarian teratomas.</p><p><strong>Case description: </strong>This case report and literature review detail the presentation, diagnosis, and treatment of a 35-year-old G4P3 Indigenous woman who initially presented with neuropsychiatric symptoms and fever, having a history of extensive drug and alcohol use. Misdiagnosed initially, the patient's lack of response to standard treatments led to further investigations, revealing paraneoplastic anti-NMDAR encephalitis secondary to a left ovarian teratoma. The report examines the treatment regimen followed, including prednisolone, intravenous immunoglobulin, rituximab injections, and laparoscopic bilateral salpingo-oophorectomy.</p><p><strong>Conclusions: </strong>This case underscores the critical need for increased clinical vigilance for anti-NMDAR encephalitis in patients, particularly young females, presenting with neuropsychiatric symptoms and potential ovarian teratomas. The literature review accompanying the case report provides valuable insights into the presentation, diagnosis, and management of this complex condition. Lastly, this study emphasised the diagnostic challenges inherent in paraneoplastic neuropsychiatric syndromes, advocating for a multidisciplinary approach in similar clinical scenarios.</p>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Metabolomics for the identification of biomarkers in endometriosis 用于鉴定子宫内膜异位症生物标志物的代谢组学。
IF 2.1 3区 医学
Archives of Gynecology and Obstetrics Pub Date : 2024-11-04 DOI: 10.1007/s00404-024-07796-5
Swarnima Pandey
{"title":"Metabolomics for the identification of biomarkers in endometriosis","authors":"Swarnima Pandey","doi":"10.1007/s00404-024-07796-5","DOIUrl":"10.1007/s00404-024-07796-5","url":null,"abstract":"<div><h3>Background</h3><p>Endometriosis affects the quality of life in women during their reproductive years, causing immense pain and can result in infertility. It is characterized by inflammation and the growth of the endometrium outside the uterine cavity. Metabolomics has the potential to resolve the major bottleneck of endometriosis which is delay in diagnosis due to the invasive diagnostic approach.In this review, the author has summarized the identified biomarkers of endometriosis from different bodily fluids. Metabolomics promises a non-invasive diagnostic approach for endometriosis that could aid in earlier diagnosis and prognosis.</p><h3>Methods</h3><p>Patients with endometriosis keywords were searched in correspondence with the assigned keywords, including metabolomics from PubMed, from its inception to Dec 2023. The relevant studies from this search were extracted and included in the study.</p><h3>Results</h3><p>This article provides information regarding metabolomics studies in endometrisis.</p><h3>Conclusions</h3><p>We demonstrated that metabolomics is about to change the world of endometriosis by analyzing and detecting the diagnosis, prognosis, mortality and treatment response biomarkers.</p></div>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":"310 6","pages":"2823 - 2827"},"PeriodicalIF":2.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信