Clinical obstetrics, gynecology and reproductive medicine最新文献_第10页

Foreword. 前言。

Clinical obstetrics, gynecology and reproductive medicine Pub Date : 2019-12-01 DOI: 10.1097/GRF.0000000000000490

B. Levy

{"title":"Foreword.","authors":"B. Levy","doi":"10.1097/GRF.0000000000000490","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000490","url":null,"abstract":"The practice of medicine and the science informing that practice is changing so rapidly that no one physician can keep abreast of current guidelines and best practices. Many of us have limited our practices to a subspecialty within women’s health care which makes it even more challenging to read and absorb the vast array of data published every month. In addition, our patients have immediate access to “Dr Google” and various online sources—be they evidence-based, scientifically sound, or biased, inflammatory or financially motivated—which drive their choices and their appointments with us. It is critically important for actively practicing women’s health care physicians and providers to have a basic understanding of all aspects of medicine that impact our patients. In this series, we have compiled a commentary on some of the most controversial and difficult aspects of current practice by experts in the respective areas. Their practical summary of the current literature and guidelines, along with recommendations for management, should help inform each of our daily practices. We have endeavored to provide short, pointed and carefully considered chapters to give readers a quick overview of various areas in women’s health care that are of high impact and for which there may be considerable controversy. From approaching women with chronic pelvic pain to the cutting edge of Precision Medicine, I hope you will find the subject matter interesting, engaging and valuable in your daily care of patients. I am grateful for the dedicated and expert authors who contributed their time and lent their vast experience to help all of us understand the nuances of these complicated and difficult topics.","PeriodicalId":87233,"journal":{"name":"Clinical obstetrics, gynecology and reproductive medicine","volume":"153 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86389456","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}

引用次数: 0

Index 指数

Clinical obstetrics, gynecology and reproductive medicine Pub Date : 2019-12-01 DOI: 10.1097/01.grf.0000605580.74210.6a

引用次数: 0

Pancreatic Disorders of Pregnancy. 妊娠期胰腺疾病。

Clinical obstetrics, gynecology and reproductive medicine Pub Date : 2019-11-26 DOI: 10.1097/GRF.0000000000000503

Stacy L Beck

引用次数: 1

Integration of Clinical and Molecular Features into Prediction Models for Outcomes in Endometrial Cancer. 将临床和分子特征整合到子宫内膜癌预后预测模型中。

Clinical obstetrics, gynecology and reproductive medicine Pub Date : 2019-11-12 DOI: 10.1097/GRF.0000000000000498

Marina D Miller, E. Devor

引用次数: 1

Oocyte Cryopreservation: Retrospective Analysis Of 5 Years Experience 卵母细胞冷冻保存:5年经验的回顾性分析

Clinical obstetrics, gynecology and reproductive medicine Pub Date : 2019-11-01 DOI: 10.21613/gorm.2019.1014

Halime Goktepe, E. Turkyilmaz, G. Doğan Durdağ, Murat Sonmezer, C. Atabekoğlu, B. Ozmen

{"title":"Oocyte Cryopreservation: Retrospective Analysis Of 5 Years Experience","authors":"Halime Goktepe, E. Turkyilmaz, G. Doğan Durdağ, Murat Sonmezer, C. Atabekoğlu, B. Ozmen","doi":"10.21613/gorm.2019.1014","DOIUrl":"https://doi.org/10.21613/gorm.2019.1014","url":null,"abstract":"OBJECTIVE: To analyze demographic and clinical data of patients who resorted to oocyte freezing between January 2014 and December 2018. STUDY DESIGN: Patients who applied to the Reproductive Endocrinology and Infertility Unit of Ankara University School of Medicine between January 2014 and December 2018 with the request of oocyte freezing were included in this study. The files and computer records of the patients were analyzed retrospectively and sociodemographic, clinical and laboratory data were evaluated. RESULTS: A total of 46 cycles were recorded in 40 patients over a 5-year period. The main indications were low ovarian reserve and/or advanced age (68.3%) and malignancy diagnosis (31.7%). There was a significant difference between elective fertility preservation and oncofertility preservation (Onco-FP) groups in terms of the age (38.4±4.7 vs 28.4±6.1; p=0.001). There was a significant difference between two groups in favor of oncofertility group in terms of anti-Mullerian hormone level, basal follicle-stimulating hormone level, antral follicle count, trigger day estradiol (E2) level, number of obtained oocytes, MII oocytes, and frozen oocytesCONCLUSION: According to our study, the most prominent oocyte cryopreservation indication was advanced age and/or low ovarian reserve. The number of oocytes collected from patients in the Onco-FP group and thus the number of frozen oocytes was significantly higher than in the elective fertility preservation group, due to younger ages and better ovarian reserve in the Onco-FP group. Abdominal administration of the technique is particularly important for virgin patients in our country. Oocyte freezing is a fertility protection method available in a wide range of indications for reproductive-aged women.","PeriodicalId":87233,"journal":{"name":"Clinical obstetrics, gynecology and reproductive medicine","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86338715","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}

引用次数: 0

A Technique to Reduce Trendelenburg Degree during Gynaecological Laparoscopic Surgeries 降低妇科腹腔镜手术中Trendelenburg度的技术

Clinical obstetrics, gynecology and reproductive medicine Pub Date : 2019-10-16 DOI: 10.24966/rmgo-2574/100029

Razan Nasir

引用次数: 0

Lichen Sclerosis Involving Vagina and Cervix 包括阴道和子宫颈的地衣硬化

Clinical obstetrics, gynecology and reproductive medicine Pub Date : 2019-10-16 DOI: 10.24966/rmgo-2574/100026

{"title":"Lichen Sclerosis Involving Vagina and Cervix","authors":"","doi":"10.24966/rmgo-2574/100026","DOIUrl":"https://doi.org/10.24966/rmgo-2574/100026","url":null,"abstract":"Background: Lichen Sclerosus (LS) is commonly a disease of the vulva usually seen in postmenopausal women. It presents as an atrophic white patchy area in a figure of 8 pattern. Fissuring is also commonly seen because of skin fragility. It is diagnosed by history and clinical assessment but usually confirmed with a biopsy. There is no cure for LS. The mainstay of treatment is potent topical steroids and in some cases oral immunosuppressive medicines may also be used. It is important to acknowledge the role of laser surgery in treat ing the sequel of scarring secondary to LS. Because LS is associ ated with increased risk of squamous cell carcinoma in women with genital involvement, it is important for those affected to have lifelong screening examinations as well as continued treatment to keep the disorder under control. Only six cases of vaginal LS, but no cases of cervical LS exist in the literature. Case: The authors present a case of a postmenopausal lady pre senting with a 30 year history of prolapse and a urinary tract infec tion. Examination revealed, 3rd degree utero-vaginal prolapse with widespread whitish discoloration of anterior, posterior and lateral vaginal walls, which also included the cervix. After counseling the patient and presenting her with the options for treatment, she chose to have the gellhorn pessary inserted in the outpatient clinic. Vaginal and cervical biopsy was taken under local anesthesia and histology confirmed LS. Patient was followed up in clinic and prescribed ste -roids. Conclusion: LS involving the vagina and cervix is a rare occurrence, unlike lichen planus, which can present in the vagina. Long term untreated genital prolapse may have a role in the development. As the occurrence of this condition is rare, each case should be treated individually and ideally after discussion in MDT meeting.","PeriodicalId":87233,"journal":{"name":"Clinical obstetrics, gynecology and reproductive medicine","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80586344","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}

引用次数: 0

Indemnification of Risk by Obstetrical Providers 产科医生的风险赔偿

Clinical obstetrics, gynecology and reproductive medicine Pub Date : 2019-10-16 DOI: 10.24966/rmgo-2574/100028

Steven BCherry

引用次数: 0

The Correlation between CGB Gene Splice Variants in Women with Recurrent Spontaneous Abortions 复发性自然流产妇女CGB基因剪接变异的相关性研究

Clinical obstetrics, gynecology and reproductive medicine Pub Date : 2019-10-16 DOI: 10.24966/rmgo-2574/100027

A. Psarris, Alexandra

引用次数: 0

Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia ≥40岁妇女的产科和围产期结局:马赫迪亚421例回顾性研究

Clinical obstetrics, gynecology and reproductive medicine Pub Date : 2019-10-11 DOI: 10.21613/gorm.2019.912

S. Kraiem, Leila Souilem, Dhekra Toumi, H. Bouchahda

{"title":"Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia","authors":"S. Kraiem, Leila Souilem, Dhekra Toumi, H. Bouchahda","doi":"10.21613/gorm.2019.912","DOIUrl":"https://doi.org/10.21613/gorm.2019.912","url":null,"abstract":"OBJECTIVES: All this study is aimed to evaluate obstetrical and neonatal outcomes among women age 40 years and older.STUDY DESIGN: Among 9962 women who delivered in Mahdia’s hospital between January 2015 and December 2016, 421 women (4.22%) were 40 years old or older at the time of delivery. Our retrospective study included 421 pregnant women aged more than 40 years and 421 controls aged 18-39, stratified to parity. Data were analyzed using Pearson’s χ22 test.RESULTS: The mean age of the case group was 41.32 years and that for the control group was 31.25 years. Preeclampsia and diabetes were the most common pathologies (p=0.01), the mode of delivery was marked by a high rate of cesarean section. The rate of instrumental extractions was not influenced by age. The rate of neonatal admission and 10-minute Apgar Scores<7 were significantly higher in the older group (p<0.05). The rate of abruption placenta, placenta previa, postpartum hemorrhage, and stillbirth were increased in mothers over 40 years but there was no difference statically. CONCLUSION: Based on findings, maternal age over 40 years is associated with a high rate of obstetrical, medical complications and cesarean section deliveries. Better pregnancy monitoring helps to improve this risky situation.","PeriodicalId":87233,"journal":{"name":"Clinical obstetrics, gynecology and reproductive medicine","volume":"1549 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86506680","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}

引用次数: 1