Journal of clinical gynecology and obstetrics最新文献_第4页

Virtual Prenatal Care During a Pandemic: How Satisfying Is It to the Caregivers and the Patients? 流行病期间的虚拟产前护理：护理人员和患者的满意度如何？

Journal of clinical gynecology and obstetrics Pub Date : 2022-09-01 DOI: 10.14740/jcgo817

Momina Zulfeen, Nirmala Chandrasekaran

{"title":"Virtual Prenatal Care During a Pandemic: How Satisfying Is It to the Caregivers and the Patients?","authors":"Momina Zulfeen, Nirmala Chandrasekaran","doi":"10.14740/jcgo817","DOIUrl":"https://doi.org/10.14740/jcgo817","url":null,"abstract":"Background: To inform post-pandemic obstetric care, we sought to explore the perceptions of the new virtual prenatal care model by patients and physicians. Methods: The study is a cross-sectional survey of the patients attending the prenatal clinic and physicians during the start of the corona-virus disease 2019 (COVID-19) pandemic. Fifty-three patient-satis-faction and 14 physician-satisfaction questionnaires were collected. Scores were compared between the traditional model and the virtual care model. Results: Mean patient satisfaction scores were significantly higher with regular visits compared to virtual visits (4.56 vs. 4.43, P = 0.023). This difference was more pronounced in women with previous poor obstetric outcomes. While women found their physicians to be friendlier on virtual visits, traditional visits allowed for easier scheduling. Differences in age, ethnicity, distance to travel and working status did not lessen the satisfaction. Conclusions: Mothers were less satisfied with virtual prenatal care telehealth services, especially vulnerable patient populations. Special considerations may be helpful for women with previous poor obstetric outcomes.","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":"41410936","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 Novel Approach in Management of Placenta Accreta Spectrum Disorders: A Single-Center Surgical Experience From Vietnam 一种管理胎盘增生谱系障碍的新方法:来自越南的单中心手术经验

Journal of clinical gynecology and obstetrics Pub Date : 2022-09-01 DOI: 10.14740/jcgo812

Xuan Trang Thi Pham, Anh Dinh Bao Vuong, Lan Ngoc Vuong, PHUC NHON NGUYEN

{"title":"A Novel Approach in Management of Placenta Accreta Spectrum Disorders: A Single-Center Surgical Experience From Vietnam","authors":"Xuan Trang Thi Pham, Anh Dinh Bao Vuong, Lan Ngoc Vuong, PHUC NHON NGUYEN","doi":"10.14740/jcgo812","DOIUrl":"https://doi.org/10.14740/jcgo812","url":null,"abstract":"Background: Placenta accreta spectrum disorder (PASD) is the leading cause which results in highly maternal mortality during pregnancy. Although hysterectomy has been the gold standard for PASD, recent data, together with our experience, suggest that conservative management might be better; and thus, we here attempted to determine this. Methods: A retrospective observational study enrolled 65 patients at the Tu Du Hospital in Vietnam between January 2017 and December 2018. This study included all pregnant women above 28 weeks of gestational age, who had undergone cesarean delivery due to PASD diagnosed preoperatively by ultrasound or upon laparotomy. Additionally, all patients who desired uterine preservation underwent uterine conservative surgery, avoiding hysterectomy. Results: Overall, the rate of successful preservation was 93.8%. Other main parameters evaluated included average operative blood loss of 987 mL, mean blood transfusion of 831 ± 672 mL; mean operative time of 135 ± 31 min, and average postoperative time of 5.79 days. Postoperative complications happened in six out of 65 cases due to intraoperative bleeding and postoperative infection, requiring peri-partum hysterectomy in four patients. Conclusions: Uterine conservative surgery was associated with less operative blood loss and blood transfusion amount. Its success rate of preservative method was approximately 94% in our study. Thus, this method can be acceptable in PASD management. Further studies might be necessary to evaluate the long-term effects of this method in PASD management.","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":"44874389","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

Comparative Study Between Using Only Vaginal Misoprostol and Using Vaginal Misoprostol and Estradiol Cream for Induction of Labor: A Randomized Controlled Trial 仅阴道使用米索前列醇与阴道使用米索前列醇和雌二醇乳膏引产的比较研究:一项随机对照试验

Journal of clinical gynecology and obstetrics Pub Date : 2022-06-01 DOI: 10.14740/jcgo807

M. Ahmed, F. A. Salama, A. Ahmed, R. G. El-Skaan

{"title":"Comparative Study Between Using Only Vaginal Misoprostol and Using Vaginal Misoprostol and Estradiol Cream for Induction of Labor: A Randomized Controlled Trial","authors":"M. Ahmed, F. A. Salama, A. Ahmed, R. G. El-Skaan","doi":"10.14740/jcgo807","DOIUrl":"https://doi.org/10.14740/jcgo807","url":null,"abstract":"Background: The aim of the study was to evaluate the effectiveness of vaginal misoprostol versus vaginal misoprostol and estradiol cream for ripening of the very unfavorable cervix in patients requiring induction of labor (IOL) to shorten induction delivery interval. Methods: This study was a randomized controlled trial conducted on 120 women with unfavorable cervix during the period from April 2021 to October 2021. Patients were randomized into two equal groups as follows: group I included 60 patients who were given only vaginal mis-oprostol 25 µg, and group II included 60 patients in which women were given vaginal misoprostol 25 µg with vaginal estradiol 150 mg. Results: Thirty-two patients (53.3%) in the misoprostol group and 38 patients (63.3%) in the estradiol group reached the active phase. According to the mode of delivery, 29 patients (48.3%) in the misoprostol and 24 patients (40%) in the estradiol group underwent cesarean section (CS). The most common causes of CS were failed induction and fetal distress. With exception of the first minute Apgar score, no statistically significant difference in IOL between both groups was reported. Conclusion: We found that a combination of the misoprostol and estradiol does not achieve a significant difference in IOL compared to vaginal misoprostol alone.","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49216714","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

Disparities in Post Cesarean Section Pain Management 剖宫产术后疼痛管理的差异

Journal of clinical gynecology and obstetrics Pub Date : 2022-06-01 DOI: 10.14740/jcgo786

Allison Wiles, Electra Korn, C. Dinglas, B. Bentley, J. Rosner, S. Rahimi

{"title":"Disparities in Post Cesarean Section Pain Management","authors":"Allison Wiles, Electra Korn, C. Dinglas, B. Bentley, J. Rosner, S. Rahimi","doi":"10.14740/jcgo786","DOIUrl":"https://doi.org/10.14740/jcgo786","url":null,"abstract":"Background: Racial and ethnic disparities exist across all fields of healthcare, especially regarding assessment and treatment of pain. English language proficiency is a less frequently considered and studied aspect contributing to healthcare inequities. We evaluated if the frequency of pain assessment, severe pain scores, and medication administration after cesarean delivery differed by patient race and ethnicity and primary language in women after cesarean delivery at our hospital. Methods: We performed a retrospective cohort study of all women who underwent cesarean birth resulting in a liveborn neonate at a single institution between January 1, 2018 and June 30, 2018. Pain scores documented and medications administered after delivery were grouped into 0 - 24 and 25 - 48 h postpartum time periods. Number of pain scores recorded, whether any pain score was 7 - 10 out of 10, and type and amounts of analgesic medication including non-steroidal anti-inflammatory drugs (NSAIDs) and oxycodone therapeutic equivalents (OTEs) were evaluated. Results: The number of pain assessments was lowest in Hispanic and non-English speaking patients. No differences were observed in pain scores ≥ 7 between groups by race and ethnicity or primary language. NSAID doses were lowest in non-English speaking patients at 0 - 24 (P < 0.05) and 25 - 48 h (P < 0.05) postpartum and in black patients at 25 - 48 h postpartum (P < 0.0009). OTE doses were similar between groups by race and ethnicity and primary language at 0 - 24 h postpartum. OTE doses were lowest in Hispanic and non-English speaking patients and highest in black patients at 25 - 48 h (P < 0.05). Conclusions: Racial, ethnic, and language-related inequities in post-partum pain assessment and treatment were found in our study. The exact cause of these disparities remains unclear. Further work can be done through standardization of postpartum order sets to eliminate these disparities.","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49110639","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

Recurrent First Trimester Miscarriage: A Typical Case Presentation and Evidence-Based Management Review 复发性上半年流产：一个典型的案例介绍和循证管理综述

Journal of clinical gynecology and obstetrics Pub Date : 2022-06-01 DOI: 10.14740/jcgo797

V. Talaulikar

引用次数: 0

Risk Factors for Intrapartum Fever of Infectious Origin and Maternal and Neonatal Morbidity 传染性产热及母婴发病的危险因素

Journal of clinical gynecology and obstetrics Pub Date : 2022-06-01 DOI: 10.14740/jcgo794

Maitane Zubikarai, S. Huerta, Carla BlascoDeImaz, Ane Mujika, Nerea Marin, Jose Angel Navarrina, A. Lekuona

引用次数: 0

Tubal Stump Ectopic Pregnancy Following Two Previous Ectopic Pregnancies 输卵管残端异位妊娠后两次异位妊娠

Journal of clinical gynecology and obstetrics Pub Date : 2022-06-01 DOI: 10.14740/jcgo798

Brittany R. Derynda, Victoria Griffith, R. Malik

引用次数: 0

Medical Marijuana: An Overview for Obstetricians/Gynecologists 医用大麻：妇产科医生综述

Journal of clinical gynecology and obstetrics Pub Date : 2022-03-01 DOI: 10.14740/jcgo757

S. Zimberg

引用次数: 0

Is the Admission Cardiotocography Test Predictive of an Emergent Cesarean Delivery During Labor in Prolonged Pregnancies? 入院时心脏造影检查是否能预测长时间妊娠中的紧急剖宫产?

Journal of clinical gynecology and obstetrics Pub Date : 2022-03-01 DOI: 10.14740/jcgo791

Audrey Astruc, C. Verhaeghe, G. Legendre, P. Descamps, R. Corroenne

{"title":"Is the Admission Cardiotocography Test Predictive of an Emergent Cesarean Delivery During Labor in Prolonged Pregnancies?","authors":"Audrey Astruc, C. Verhaeghe, G. Legendre, P. Descamps, R. Corroenne","doi":"10.14740/jcgo791","DOIUrl":"https://doi.org/10.14740/jcgo791","url":null,"abstract":"Background: The aim of the study was to evaluate if an admission cardiotocography (CTG) test presenting with an indeterminate fetal heart rate tracing (FHR) was predictive of an emergent cesarean delivery during labor at or after 41 weeks. Methods: This was a retrospective cohort study of women who delivered ≥ 41 weeks between January 1, 2019 and December 31, 2019. Admission test was performed during the first 20 min, upon entry into the department in the event of spontaneous labor, or at the beginning of induction of labor. Multivariate logistic regression was performed to evaluate an “indeterminate” FHR during the admission test in the prediction of emergent cesarean delivery during labor controlling for potential covariables. Results: “Normal” and “indetermediate” FHRs were detected in 260/335 (77.6%) and 75/335 (22.3%) of the cases, respectively. There were significantly more emergent cesarean deliveries during labor for FHR abnormalities in the “indeterminate” group compared to the “normal” group (22/38 (57.9%) vs. 24/27 (88.9%), P = 0.02). An “indeterminate” FHR increased the risk of emergent cesarean delivery during labor by 3.47 times (95% confidence interval: 1.8 6.5, P < 0.01). Conclusion: An “indeterminate” FHR during the admission test ≥ 41 weeks increased the risk of emergent cesarean delivery during labor.","PeriodicalId":87296,"journal":{"name":"Journal of clinical gynecology and obstetrics","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41304816","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

Leiomyosarcoma in Pregnancy: Incidental Finding During Routine Cesarean Section 妊娠期平滑肌肉瘤：常规剖宫产时的偶然发现

Journal of clinical gynecology and obstetrics Pub Date : 2022-03-01 DOI: 10.14740/jcgo767

T. Tang, W. L. J. Phoon

引用次数: 0