{"title":"Core Temperature Improves Detection of Maternal Infection: Redefining Maternal Pyrexia","authors":"Andrew Kotaska, Lisa Avery","doi":"10.1111/1471-0528.70048","DOIUrl":"https://doi.org/10.1111/1471-0528.70048","url":null,"abstract":"","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"444 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145203829","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":"Sexual Function Through Menopause: A Review of Basic Evaluation and Treatment.","authors":"Rachel Pope","doi":"10.1111/1471-0528.70041","DOIUrl":"https://doi.org/10.1111/1471-0528.70041","url":null,"abstract":"BACKGROUNDMenopause represents a significant transition in women's lives characterised by hormonal fluctuations that impact various aspects of health, including sexual function. This paper examines menopausal changes through the framework of the five sexual function domains: desire, arousal/lubrication, orgasm, satisfaction and pain.AIMSA literature review was done regarding evaluation and treatment for each domain of sexual function.MATERIALS/METHODSA search on PubMed was done searching for terms \"menopause\" or \"perimenopause\" + \"hypoactive sexual desire disorder,\" and \"female arousal disorder,\" and \"female orgasmic disorder\" and \"female sexual pain\" or \"dyspareunia.\"RESULTSThe literature demonstrates that while sexual function may decline for many women during menopause, this decline is multifactorial, involving not only hormonal and biological changes but also psychosocial factors, relationship dynamics and societal attitudes. Interventions ranging from hormone therapy, pharmacotherapy to psychosexual approaches have shown varying degrees of efficacy in addressing sexual concerns during menopause.DISCUSSIONUnderstanding the complex interplay between biological, psychological, and social factors within each female sexual domain is essential for healthcare providers to effectively support women's sexual health during this life transition.CONCLUSIONTreatment is available for all domains of female sexual function in perimenopause and menopause and therefore, clinicians and researchers ought to continue work in this important aspect of women's health.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194471","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":"Continuity, Not Sector, Drives Maternity Outcomes","authors":"Carolyn Hastie","doi":"10.1111/1471-0528.70029","DOIUrl":"https://doi.org/10.1111/1471-0528.70029","url":null,"abstract":"","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188506","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-Evaluating the Non-Linear Trends in the Global Female Breast Cancer Burden From 1990 to 2021.","authors":"Jiongjiong Zhang","doi":"10.1111/1471-0528.70019","DOIUrl":"https://doi.org/10.1111/1471-0528.70019","url":null,"abstract":"","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"271 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182682","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":"Maternal and Neonatal Outcomes: Right Data, Wrong Methodology, Misleading Answer?","authors":"Graeme J Duke,John D Santamaria","doi":"10.1111/1471-0528.70025","DOIUrl":"https://doi.org/10.1111/1471-0528.70025","url":null,"abstract":"","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"101 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189382","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":"Uterosacral Ligament Identification and Reconstruction: Reflections on the NASHUS Technique.","authors":"Yinluan Ouyang,Xiaofeng Zhao","doi":"10.1111/1471-0528.70026","DOIUrl":"https://doi.org/10.1111/1471-0528.70026","url":null,"abstract":"","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"155 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182683","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":"Finding the Elephant in the Haystack-A Flawed Analysis of the UK Maternity Crisis.","authors":"Rebecca Matthews,Harsha Ananthram,Nadine Montgomery,Elizabeth Sutton","doi":"10.1111/1471-0528.70027","DOIUrl":"https://doi.org/10.1111/1471-0528.70027","url":null,"abstract":"","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145140354","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":"Caution Remains Warranted in Pregnancy With Vascular Ehlers-Danlos Syndrome.","authors":"Hui-Yun Xiao,Wan-Qing Xiao,Hui-Xiang Liu,Jian-Rong He,Xiu Qiu","doi":"10.1111/1471-0528.70037","DOIUrl":"https://doi.org/10.1111/1471-0528.70037","url":null,"abstract":"","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145140179","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}
Sarah Bunnewell,Sabrina Keating,Jo Parsons,Martha Hickey,Sarah Hillman
{"title":"Women's and Health Care Professionals' Experiences of Discontinuing Hormone Replacement Therapy (HRT): A Systematic Review.","authors":"Sarah Bunnewell,Sabrina Keating,Jo Parsons,Martha Hickey,Sarah Hillman","doi":"10.1111/1471-0528.70023","DOIUrl":"https://doi.org/10.1111/1471-0528.70023","url":null,"abstract":"BACKGROUNDHormone Replacement Therapy (HRT) is used to manage menopausal symptoms, particularly vasomotor symptoms (VMS). HRT prescribing rates are rising, but most women will eventually discontinue.OBJECTIVESTo explore the experiences of women stopping HRT, why women restart HRT, and the HCPs advising them.SEARCH STRATEGYEmbase, MEDLINE, CINAHL, Web of Science and PsycINFO were searched from 2000 to February 2024.SELECTION CRITERIAQuantitative, qualitative and mixed methods studies assessing experiences of HRT discontinuation.DATA COLLECTION AND ANALYSISQuality was appraised using the Mixed Methods Appraisal Toolkit (MMAT). Data were narratively synthesised with weighted averages reported where possible.MAIN RESULTSElectronic database searches identified 9444 reports, with 74 reports from 69 studies, including 32 213 women and 2943 HCPs. Average age of the cohort analysed was 64.7 years. Discontinuation rate was 51.3%, with average HRT duration of 5.4 years. The majority of women abruptly stopped HRT (62.4%). Common reasons for discontinuation were HCP recommendation (31.2% of participants), fear about risks (26.0%) and preference for a natural approach (25.6%). Common symptoms upon discontinuation were unspecified menopausal symptoms (84.4%), sleep disturbances (51.9%) and VMS (45.4%). Four RCTs compared tapered and abrupt discontinuation; two found abrupt discontinuers had greater symptoms initially, but symptoms were comparable to those experienced by taperers after completion of the tapered withdrawal. Two RCTs found no difference. Average rate of restarting was 20.7%, with VMS commonly cited as a reason. HCPs cited health risks as a reason for discontinuation, and 91.6% recommended tapered discontinuation.CONCLUSIONSThis review provides insight into global HRT discontinuation experiences and highlights the need for future research to assess the best approach to discontinuation.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145140357","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":"Addressing Temporal Dynamics and Food Processing Methods in Maternal Dietary Studies.","authors":"Huan Luo,Songjie Liao,Liqiu Kou,Zongyu Yang","doi":"10.1111/1471-0528.70036","DOIUrl":"https://doi.org/10.1111/1471-0528.70036","url":null,"abstract":"","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145140353","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}