Journal of clinical gynecology and obstetrics最新文献

{"title":"Staphylococcus aureus as Pelvic Inflammatory Disease and Tubo-Ovarian Abscess Pathogen","authors":"Hector Chapa, Carley Hagar, Estefany Rueda Chavez","doi":"10.14740/jcgo864","DOIUrl":"https://doi.org/10.14740/jcgo864","url":null,"abstract":"Tubo-ovarian abscess is typically the end result of pelvic inflammatory disease. Although most are associated with recent or concomitant sexually transmitted infections, cases of non-sexual tubo-ovarian abscesses are documented. However, most cases occur with pathogens typically associated with lower genital tract infections, such as Escherichia coli . We present a unique case of a non-sexual tubo-ovarian abscess with an intrauterine device in utero caused by Staphylococcus aureus presenting as an acute surgical abdomen. Our case highlights that not all tubo-ovarian abscesses are linked to a sexually transmitted infection and may occur after potential introduction of bacteria into the upper genital tract resulting from intrauterine device placement.","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41578133","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":"What Are the Top Benefits of a Prenatal Diagnosis of Fetal Esophageal or Intestinal Atresia?","authors":"","doi":"10.14740/jcgo833","DOIUrl":"https://doi.org/10.14740/jcgo833","url":null,"abstract":"Background: The aim of the study was to investigate how prenatal diagnosis of fetal esophageal or intestinal atresia impacts obstetric and neonatal outcomes. Methods: This was a retrospective cohort study of mothers and their neonates affected by fetal esophageal or intestinal atresia and followed in our center. The study population comprised 29 mothers and their fetuses (57%) identified prenatally, and 22 mothers and their neonates (43%) diagnosed postnatally. Results: There was no significant difference between the two groups in induction of labor or mode of delivery. In the prenatal group, there was significantly higher prevalence of preterm birth before 37 and 34 weeks (59% vs. 31% and 24% vs. 0%, respectively) with no significant differences in rates of hospitalizations in a high-risk maternity unit and severe polyhydramnios (24% vs. 9% and 14% vs. 0%, respectively). Univariate regression analysis demonstrated that the only significant contribution to the prediction of delivery before 37 weeks was provided by prenatal diagnosis (R 2 = 0.08, P = 0.046). Furthermore, we found no differences in age at surgery, neonatal complications and neonatal death. We observed significant differences in the duration of a neonatal intensive care unit stay (12 days (interquartile range: 41) vs. 6 (interquartile range: 4)). Conclusions: We were not able to demonstrate any benefits of a prenatal diagnosis of fetal esophageal or intestinal atresia. This should reassure maternity care providers anytime such an unexpected delivery occurs.","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43108540","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 the COVID-19 Pandemic Changed a New Mother’s Sense of Loneliness, and Who Was Key to Helping Them Through It","authors":"A. Miyoshi, Y. Ueda, A. Yagi, Toshihiro Kimura, E. Kobayashi, K. Hiramatsu, S. Nakagawa, T. Tabuchi, Yoshihiko Hosokawa, S. Okawa, T. Kimura","doi":"10.14740/jcgo824","DOIUrl":"https://doi.org/10.14740/jcgo824","url":null,"abstract":"Background: We report here on new mothers’ changing sense of loneliness before and after the first year of the coronavirus disease 2019 (COVID-19) pandemic and assess what and who they felt were important to them for reducing their loneliness. Methods: We conducted an online survey of mothers. The questionnaire had sections regarding the home childcare environment, her anxiety and sense of loneliness levels, and whether or not she could consult with. Results: It revealed that 58.6% of mothers had felt lonely more often than they had before COVID-19 pandemic and that 45.0% had felt lonely within recent 30 days. Mothers who were not working, or who could not get anyone’s help for the first month after childbirth, or who had anxiety about child-rearing or their economic situation, or whose family was unable to respond to her feelings or support her, or who did not have anyone to consult with, or who did not have sufficient opportunities to consult with her friends and neighbors, or who could not consult with, or had refrained from consulting with, pediatric clinic, felt loneliness more often. Mothers who could not consult with their husband, mother, father, brothers, and sisters, mother-in-law, neighborhood friends, or business colleagues felt loneliness more. Conclusions: A new mother’s perception that her needs were not being met, or whether she could consult with her neighborhood friends or work colleagues as well as her husband, parents, and/or mother-in-law, was associated with more loneliness. Stronger involvement of family and friend in her child-rearing should be promoted.","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43767380","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":"Will the Scan Change the Plan? Point of Care Ultrasound for Timely Decision Making in a Rural Obstetrics and Gynecology Department","authors":"Scott Taylor, K. Ng, B. McCully","doi":"10.14740/jcgo816","DOIUrl":"https://doi.org/10.14740/jcgo816","url":null,"abstract":"","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49165104","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":"Huge Mature Cystic Teratoma With Compression and Obstructive Outcome","authors":"W. F. W Adnan, M. Ismail, Erinna Mohamad Zon, N. M. Z. Nik Mahmood, M. Othman, Z. Kamaludin","doi":"10.14740/jcgo828","DOIUrl":"https://doi.org/10.14740/jcgo828","url":null,"abstract":"","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44746032","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":"Pyometrium as an Early Indicator of Cervical Squamous Cell Carcinoma: A Systematic Review","authors":"Brittany R. Derynda, Gulten Yuksek, Mohtashim Naeem, R. Malik","doi":"10.14740/jcgo830","DOIUrl":"https://doi.org/10.14740/jcgo830","url":null,"abstract":"We present the case of an 81-year-old G5P5 Caucasian female who presented to the emergency room for lower abdominal pain, bloating, and green-colored vaginal discharge for the past 3 weeks. A computed tomography of the abdomen and pelvis showed markedly distended endometrial cavity containing fluid and small air bubble concerning for cervical stenosis verses endometrial neoplasm/ endometritis suggestive of pyometra. Dilation and curettage was performed with endometrial curette, of which pathology revealed endometritis and detached fragments of squamous cell carcinoma, which showed positive staining with p16, p63, and high Ki67, which is consistent with cervical HPV-related squamous cell carcinoma. The endometrial tissue seen was negative for malignancy. The patient underwent total hysterectomy with bilateral salpingo-oophorectomy and pelvic/para-aortic lymph node dissection, and postoperative recovery was complicated by postoperative ileus which led to a small bowel obstruction. Pyometrium is uncommon, however often presents in postpartum or postmenopausal women and has an 80% association with malignancy. After thorough review of 80 case reports of women with pyometrium, we highlight the importance of considering gynecological malignancy as an underlying cause of pyometra in postmenopausal women, and the importance of early diagnosis in attempt to decrease rates of spontaneous per-forated pyometra.","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41621770","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":"Preeclampsia While on Venovenous Extracorporeal Membrane Oxygenation Support","authors":"M. Abu-Rmaileh, A. Hackmann, E. Adhikari, B. Lussier","doi":"10.14740/jcgo829","DOIUrl":"https://doi.org/10.14740/jcgo829","url":null,"abstract":"","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47881857","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 Report on an 18-Year-Old Primigravida Patient With Uterine Didelphys","authors":"Sameer Narula, Maggie Jiang, P. Rosa","doi":"10.14740/jcgo818","DOIUrl":"https://doi.org/10.14740/jcgo818","url":null,"abstract":"We present a case of an 18-year-old primigravida who presented to labor and delivery at 41 weeks and 3 days, admitted for induction of labor at late term. During her antepartum course, the patient was suspected to have a uterine anomaly, bicornuate vs. uterine didelphys, given the findings during her first trimester ultrasound. The patient was eventually taken for primary cesarean section for category 2 fetal heart tracings after being admitted for induction of labor. After delivery of the fetus and closure of the hysterotomy, patient was noted to have severe uterine atony, requiring massive transfusion protocol and cesarean hysterectomy with a total estimated blood loss of 6,680 cc. This was an interesting case due to the confirmation of the Mullerian anomaly found intraoperatively, and the adverse outcome for the young patient who required a hysterectomy for life-saving measures. Based on literature review, and in consideration of this case, we suggest if suspicion of a Mullerian anomaly in the antepartum period, a full evaluation of the anomaly be performed along with a plan for delivery.","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49357085","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":"Alternatives to Hysterectomy in Patients With Uterovaginal Prolapse","authors":"Baburam Dixit Thapa, Tulasa Basnet, G. Davila, Mohan Chandra Regmi","doi":"10.14740/jcgo795","DOIUrl":"https://doi.org/10.14740/jcgo795","url":null,"abstract":"Background: Uterovaginal prolapse is a common problem in women. Hysterectomy has been considered as a standard procedure during surgical management of pelvic organ prolapse. However, in recent years, interest has been growing in the use of uterus-preserving surgeries. Different options available for uterine preservation include the Manchester Fothergill’s operation, sacral hysteropexy (abdominal, laparoscopic or robotic with or without mesh), uterosacral ligament hysteropexy, sacrospinous hysteropexy (with or without mesh) and colpocleisis. The aim of this review was to analyze the different options of uterus-preserving surgeries and compare their outcomes with prolapse surgeries including hysterectomy. Methods: PubMed, MEDLINE, Clinical trials.gov and the Hinari database were reviewed through 2020 by two of the authors. Only randomized controlled trials (RCTs) or non-randomized prospective controlled studies (nrPCSs) where different uterus-preserving surgeries for uterovaginal prolapse were compared with surgeries involving hysterectomy were included for the review. Results: We identified 225 articles from the electronic search and 19 articles meeting the inclusion and exclusion criteria were reviewed. Among them, 10 were RCTs and nine were nrPCSs. The review identified that objective prolapse recurrence, quality of life and adverse events were similar between uterine preservation and hysterectomy groups. Abdominal routes were non-inferior to vaginal uterus-pre-serving surgeries. Need for repeat surgery after a hysteropexy procedure ranged from 2% to 29%. The Manchester operation demonstrated good anatomical and symptomatic improvement as compared to hysterectomy. When comparing sacrohysteropexy routes, the laparoscopic approach had lower recurrent prolapse symptoms than open sacrohysteropexy. Operating time and estimated blood loss were less with uterus-preserving surgeries. The most common adverse events in hysteropexy surgeries were urinary incontinence, voiding dysfunction, sexual dysfunction and mesh erosion, when mesh used. Conclusion: The evidence from currently available literature suggests the vaginal and abdominal uterus-preserving surgeries to be equally effective, and not inferior to surgical procedures including hysterectomy. When surgeons are faced with a patient requesting uterine preservation, counseling should be performed cautiously regarding choosing one type of hysteropexy over another. However, the data on long-term follow-up and outcomes are lacking.","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42761793","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":"Variation of the Cerebral Flow Dynamics in Mexican Pregnant Women During the Third Trimester","authors":"Roberto A Castillo Reyther, Marco Antonio Rivera Avalos, Cesar David Guzman Penaloza, Jose Rafael Villafan Bernal, Lizda Linett Anaya Dahud, Venance Basil Kway","doi":"10.14740/jcgo801","DOIUrl":"https://doi.org/10.14740/jcgo801","url":null,"abstract":"","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48440260","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}