BJOG: An International Journal of Obstetrics & Gynaecology最新文献

{"title":"A Comment on Green Top Guideline No. 31: Investigating and Care in the Small-For-Gestational-Age and Growth Restricted Foetus","authors":"Ioannis Papastefanou, Kypros H. Nicolaides","doi":"10.1111/1471-0528.17972","DOIUrl":"https://doi.org/10.1111/1471-0528.17972","url":null,"abstract":"Click on the article title to read more.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142329996","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":"Chemicals in menstrual products: Biological plausibility should be combined with epidemiological evidence to define the magnitude of exposure","authors":"Paolo Vercellini, Paola Viganò, Edgardo Somigliana, Sun‐Wei Guo","doi":"10.1111/1471-0528.17834","DOIUrl":"https://doi.org/10.1111/1471-0528.17834","url":null,"abstract":"","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"131 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140818024","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 sensorised surgical glove to improve training and detection of obstetric anal sphincter injury: A preclinical study on a pig model","authors":"Shireen R. Jaufuraully, Carmen Salvadores Fernandez, Nadine Abbas, Adrien Desjardins, Manish K. Tiwari, Anna L. David, Dimitrios Siassakos","doi":"10.1111/1471-0528.17762","DOIUrl":"https://doi.org/10.1111/1471-0528.17762","url":null,"abstract":"To create a sensorised surgical glove that can accurately identify obstetric anal sphincter injury to facilitate timely repair, reduce complications and aid training.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514571","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":"Correction to Hospital surgical volume–outcome relationship in caesarean hysterectomy for placenta accreta spectrum","authors":"","doi":"10.1111/1471-0528.17728","DOIUrl":"https://doi.org/10.1111/1471-0528.17728","url":null,"abstract":"<p>Matsuo, K, Youssefzadeh, AC, Mandelbaum, RS, Sangara, RN, Matsuzaki, S, Matsushima, K, Klar, M, Ouzounian, JG, Wright, JD. Hospital surgical volume–outcome relationship in caesarean hysterectomy for placenta accreta spectrum. <i>BJOG</i> 2022; 129: 986–993. https://doi.org/10.1111/1471-0528.16993</p>\u0000<p>The authors would like to correct the analytic approach in their investigation that assessed the association between hospital volume for caesarean hysterectomy and surgical morbidity in pregnant patients with placenta accreta spectrum. In the previous analysis, they calculated the relative hospital surgical volume as the summation of number of patients who had caesarean hysterectomy for placenta accreta spectrum over the 3-year study period by using the anonymized hospital classifiers. They would like to clarify that this analytic schema is to be corrected as the annualized number. In this annualized fashion, the relative hospital volume for caesarean hysterectomy was calculated in each year. The remaining patient-level analysis was unchanged.</p>\u0000<div>The authors identified the following errors: <ol start=\"1\">\u0000<li>Prior Figure 1 was incorrect and the distribution of patients according to the revised relative caesarean hysterectomy hospital volume is shown in corrected Figure 1 below. Nearly two-thirds of patients in the study underwent caesarean hysterectomy where the relative hospital surgical volume was five cases a year. Nearly 10% of patients in the study population had caesarean hysterectomy at centers where the relative surgical volume was 15 or more cases a year.</li>\u0000</ol>\u0000</div>\u0000<figure><picture>\u0000<source media=\"(min-width: 1650px)\" srcset=\"/cms/asset/f3023b1f-1a50-43bb-8413-1499dfa1d055/bjo17728-fig-0001-m.jpg\"/><img alt=\"Details are in the caption following the image\" data-lg-src=\"/cms/asset/f3023b1f-1a50-43bb-8413-1499dfa1d055/bjo17728-fig-0001-m.jpg\" loading=\"lazy\" src=\"/cms/asset/8a1580ad-98cb-4f5c-a747-5edf402f2ea3/bjo17728-fig-0001-m.png\" title=\"Details are in the caption following the image\"/></picture><figcaption>\u0000<div><strong>FIGURE 1</strong><div>Open in figure viewer<i aria-hidden=\"true\"></i><span>PowerPoint</span></div>\u0000</div>\u0000<div>Distribution of relative cesarean hysterectomy hospital volume. Distribution of annualized relative hospital cesarean hysterectomy volume for placental accreta spectrum a year in the weighted model is shown. SV, annualized relative hospital surgical volume for cesarean hysterectomy.</div>\u0000</figcaption>\u0000</figure>\u0000<div>\u0000<ol start=\"2\">\u0000<li>Prior Figure 2 was incorrect and the results of revised relative surgical volume cutpoint analysis for the measured surgical morbidity, predefined as haemorrhage, coagulopathy, shock, urinary tract injury, and death are shown in corrected Figure 2 below. Relative hospital surgical volume of 25 cases or more was associated with a statistically significantly lower rate of surgical morbidity (56.7% vs. 63.6%, <i>p</i> = 0.002). Based on this, patients in the study p","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138578389","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":"Neonatal mortality risk of large-for-gestational-age and macrosomic live births in 15 countries, including 115.6 million nationwide linked records, 2000–2020","authors":"Lorena Suárez-Idueta, Eric O. Ohuma, Chia-Jung Chang, Elizabeth A. Hazel, Judith Yargawa, Yemisrach B. Okwaraji, Ellen Bradley, Adrienne Gordon, Jessica Sexton, Harriet L. S. Lawford, Enny S. Paixao, Ila R. Falcão, Sarka Lisonkova, Qi Wen, Petr Velebil, Jitka Jírová, Erzsebet Horváth-Puhó, Henrik T. Sørensen, Luule Sakkeus, Lili Abuladze, Khalid A. Yunis, Ayah Al Bizri, Sonia Lopez Alvarez, Lisa Broeders, Aimée E. van Dijk, Fawziya Alyafei, Mai AlQubaisi, Neda Razaz, Jonas Söderling, Lucy K. Smith, Ruth J. Matthews, Estelle Lowry, Neil Rowland, Rachael Wood, Kirsten Monteath, Isabel Pereyra, Gabriella Pravia, Joy E. Lawn, Hannah Blencowe","doi":"10.1111/1471-0528.17706","DOIUrl":"https://doi.org/10.1111/1471-0528.17706","url":null,"abstract":"We aimed to compare the prevalence and neonatal mortality associated with large for gestational age (LGA) and macrosomia among 115.6 million live births in 15 countries, between 2000 and 2020.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"41 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138442176","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":"Re: Impact of analysis technique on our understanding of the natural history of labour.","authors":"Jun Zhang, James Troendle, João P Souza, Olufemi T Oladapo","doi":"10.1111/1471-0528.17221","DOIUrl":"10.1111/1471-0528.17221","url":null,"abstract":"","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"164 1","pages":"1939-1940"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88055127","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":"Maximising health outcomes","authors":"A. Papageorghiou","doi":"10.1111/1471-0528.17196","DOIUrl":"https://doi.org/10.1111/1471-0528.17196","url":null,"abstract":"In 2020, I wrote an editorial in this Journal on social determinants of health, defined by the WHO as “The conditions in which people are born, grow, live, work and age” (BJOG. 2020;127(4):431–2). Therefore, I am really pleased that in this issue we are able to give our readers a highly relevant Scientific Impact Paper on precisely this subject. It aims to inform all of us about the relationship between social determinants of health and the risk of maternal death. The paper is written on behalf of the Royal College of Obstetricians and Gynaecologists and for this reason it has a UK focus, but anyone who reads it will see that the extensive literature review and recommendations are of relevance everywhere. Social determinants have a strong inf luence on a person's health and it is crucial to understand and appreciate that this remains the case even within a public health system such as the UK National Health Service (NHS), where reproductive and maternity services are provided for free. The COVID pandemic clearly meets the criteria and definition of an important Social Determinant of Health. In this issue, Davies and colleagues (1133–1139) present data on the effects of the pandemic on the diagnosis of cervical cancer, from six major cancer centres in the North of England. They observed a reduction in cancer diagnoses (by 25%) when comparing data from May to October 2020 to a similar period in 2019. Sadly, these data do not suggest a reduction in cancer: rather they are due to early disease that has gone undetected during the pandemic. The authors use these observations to develop forecasts, also taking into account the temporary cessation in screening during the pandemic; these projections suggest there will be a significant increase in cervical cancer cases presenting over the next 3 years. Usefully, the authors also suggest what changes are required (including increases in surgical capacity) to deal with this increase, and demonstrate that associated morbidity or mortality could be mitigated. The associated minicommentary by Leslie Massad (1140) brilliantly explains how the pandemic is likely to disrupt cervical cancer prevention efforts well into the future and highlights the need for health DOI: 10.1111/1471-0528.17196","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75021772","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":"FOR: Fertility preservation for women with ovarian endometriosis: It is time to adopt it as routine practice","authors":"S. Latif, E. Sarıdoğan, E. Yasmin","doi":"10.1111/1471-0528.17168","DOIUrl":"https://doi.org/10.1111/1471-0528.17168","url":null,"abstract":"Fertility preservation techniques are widely accepted as standard of care for women undergoing treatment for cancer who are at risk of premature ovarian insufficiency. The same approach is not yet well established in benign conditions. There is ample evidence that women who have endometriosis are twice as likely to experience infertility in the future (Prescott et al. Hum Reprod 2016;31:1475– 82). Ovarian endometriomas reduce the ovarian reserve by exposing healthy ovarian tissue to the pathological process of endometriosis and to mechanical stretch, resulting in a progressive reduction in the pool of primordial follicles. Surgery to treat ovarian endometriomas further reduces ovarian reserve through loss of normal ovarian tissue during cystectomy and ablation. Following surgical removal, there is a reduction in ovarian reserve, as measured by antimüllerian hormone levels, by 30% in unilateral and 44% in bilateral endometriomas (Raffi et al. J Clin Endocrinol Metab 2012;97:3146– 54). The risk of premature ovarian insufficiency after bilateral ovarian endometrioma removal is 2.4% (Busacca et al. Am J Obstet Gynecol 2006;195:421– 5). Younger women have a higher recurrence rate of endometriomas requiring repeat surgery, which compounds the insult to their ovarian reserve. Accepting this risk, the European Society for Gynaecological Endoscopy, the European Society for Human Reproduction and Embryology and the World Endometriosis Society have collaborated in developing recommendations on the practical aspects of endometrioma surgery to reduce its adverse impact. Women with endometriosis are often subjected to the pressure of early childbearing based on their risk of infertility, whereas there is a societal trend towards delaying parenthood. Success rates of in vitro fertilisation are dependent on oocyte yield. The number of oocytes retrieved from women with endometriomas undergoing ovarian stimulation is substantially reduced, particularly in the presence of large and bilateral endometriomas (Kim et al. Reprod Biomed Online 2020;40:827– 34). It is, however, possible to restore cumulative livebirth rates in women with endometriosis when an equivalent number of oocytes is retrieved (Cobo et al. Reprod Biomed Online 2021;42:725– 32). There is evidence that almost half of women who undergo oocyte cryopreservation because of endometriosis subsequently use their oocytes, highlighting substantial utilisation of stored gametes within this group of women (Cobo et al. Fertil Steril 2020;113:836– 44). In light of this information, it is difficult to justify excluding women with endometriosis from having fertility preservation. A structured approach is required to grade the risk to fertility in endometriosis rather than questioning the validity of fertility preservation in these women. For the construction of criteria for offering fertility preservation, prospective data collection is required to understand longterm fertility patterns. Size of endometrioma, bilat","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"59 1","pages":"1935 - 1936"},"PeriodicalIF":0.0,"publicationDate":"2022-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74871937","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":"Bile acid reference intervals for evidence‐based practice","authors":"C. Ovadia, Alice L Mitchell, C. Markus, W. Hague, C. Williamson","doi":"10.1111/1471-0528.17171","DOIUrl":"https://doi.org/10.1111/1471-0528.17171","url":null,"abstract":"In this edition, Huri et al. (BJOG 2022) have added to the growing literature defining pregnancyspecific reference ranges for total serum bile acid (TSBA) concentrations. Reference intervals in clinical pathology are typically calculated using an ‘indirect resource’, such as stored laboratory samples. Results are partitioned into biologically relevant groups (typically age and sex), outliers are excluded to remove anomalous results due to disease, and the central 95% of the population is calculated for each group. Two large studies, that of Huri et al. and our own (Mitchell et al. BJOG 2021;128:1635– 44), have recently calculated reference intervals for nonfasting TSBA concentrations in the third trimester of pregnancy, finding strikingly similar results for the upper limit (20.2 and 18.3 μmol/l, respectively). Both studies excluded samples with cholestatic pathology before analysis, treating the cohorts as a ‘direct resource’ and obviating exclusion of outliers. However, the results demonstrate outliers within each dataset. In the study by Huri et al. this may have been the result of the selected participants having other gestational diseases (for example, gestational diabetes) and originating from samples taken during hospital admission; the reason for women being inpatients may have influenced serum bile acid concentrations and therefore confounded the findings. To assess the impact of excluding outliers, we used the block D/R (Zellner et al. arXiv preprint; 1907.09637.) procedure to identify outliers in our dataset (from outpatient samples routinely taken and limited to uncomplicated pregnancies), and reanalysis revealed a slight reduction in the upper limit of the reference interval and narrowing of the confidence interval (Table 1). Does this matter? When the disease outcomes and management relate closely to peak bile acid concentration (Ovadia et al. Lancet 2019;393:899– 909), what may be of more clinical relevance is a diagnostic threshold rather than a reference interval. Women previously diagnosed with intrahepatic cholestasis of pregnancy (ICP) using an upper limit of the nonfasting TSBA reference interval below 19 μmol/l had no higher rates of stillbirth and spontaneous preterm birth than the matched population, but a slightly higher rate of Accepted: 24 March 2022 | Published Online 10 May 2022","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76883093","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":"Surgery for vaginal vault prolapse: Is autologous fascia a viable alternative to mesh?","authors":"A. Vashisht, Maria Masha Ben Zvi, N. Thanatsis","doi":"10.22541/au.164200499.91345748/v1","DOIUrl":"https://doi.org/10.22541/au.164200499.91345748/v1","url":null,"abstract":"The surgical management of prolapse has followed a meandering path, with innovation, controversy and legislation all being encountered en route. Some of the dust is now settling with respect to the role of mesh implant surgery, and although it continues to have a role, albeit a contracted one, there is very much a new direction set on native tissue and nonmesh repairs with the advent of techniques such as laparoscopic suture hysteropexy, cervicopexy and colporrhaphy. The authors of this paper present the largest series of women undergoing autologous fascia sacrocolpopexy for the treatment of moderate– severe prolapse (Wang et al. BJOG 2022; https://doi.org/10.1111/1471-0528.17107). Learning from the past, two key questions that must always be answered when evaluating any new procedure are safety and efficacy. For both these measures, the authors show encouraging results comparable with the current gold standard— meshaugmented repairs. The use of autologous fascia has been well established for treatment of women with urinary incontinence, namely, pubovaginal/rectus fascial sling (Mcguire et al. J Urol 1978;119:824). There has been a resurgence of this method, following the widespread suspension of synthetic sling procedures. However, reports of autologous fascial support of the vaginal vault are limited to a few shortterm case series. This series involves 132 women, followed up for a median of 2.2 years; the authors present 5year data with comparable success rates to those reported in the landmark CARE study (Nygaard et al. JAMA 2013;309:201624) without the complication of mesh erosion. The mixed bag of patient types and concomitant surgery in this study underscores the myriad of pathologies and presenting symptoms to the pelvic floor surgeon; sadly, this reality hinders forensic evaluation of a single procedure. It is noted that around threequarters of the women in the study were having primary prolapse surgery, with a similar proportion undergoing some form of hysterectomy coupled with autologous fascial vault support. Other sacrocolpopexy series have involved women, the majority of whom have already had primary procedures, are without a uterus and represent an already failed and perhaps more difficult to treat group successfully (Maher et al. Cochrane Database Syst Rev 2016; CD012376). The addition of hysterectomy, as well as the harvesting of autologous fascia, inevitably means a lengthening of procedure times compared with those usually quoted for women undergoing laparoscopic vault suspension procedures of hysteropexy or sacrocolpopexy. The complexities of pelvic f loor patients and their symptoms mean that additionally nearly twothirds of the patients had Burch colposuspensions performed at the time of index surgery. The unpredictability of pelvic f loor surgery on bladder symptoms is amply demonstrated, as around onethird of women complain of stress incontinence and a third suffer overactive bladder symptoms following the procedure. It is ","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89590765","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}