American journal of clinical and experimental obstetrics and gynecology最新文献

Anesthesiologic management of pregnant women with SARS-COV-2 infection undergoing cesarean delivery SARS-COV-2感染孕妇剖宫产的麻醉处理

American journal of clinical and experimental obstetrics and gynecology Pub Date : 2021-01-01 DOI: 10.31083/j.ceog.2021.03.2446

A. Coviello, C. Posillipo, L. Golino, C. De Angelis, E. Gragnano, G. Saccone, M. Ianniello, G. Castellano, A. Marra, A. Maresca, M. Vargas, G. Servillo

{"title":"Anesthesiologic management of pregnant women with SARS-COV-2 infection undergoing cesarean delivery","authors":"A. Coviello, C. Posillipo, L. Golino, C. De Angelis, E. Gragnano, G. Saccone, M. Ianniello, G. Castellano, A. Marra, A. Maresca, M. Vargas, G. Servillo","doi":"10.31083/j.ceog.2021.03.2446","DOIUrl":"https://doi.org/10.31083/j.ceog.2021.03.2446","url":null,"abstract":"Background: Pregnant women are usually more susceptible to infection due to typical physiological and mechanical changes, such as increased heart rate, stroke volume and pulmonary residual capacity. The aim of this study was to evaluate an innovative anesthesiologic opioid-free management protocol in symptomatic pregnant women, with COVID-19 and with oxygen therapy, undergoing cesarean delivery with spinal anesthesia. Methods: With the patient in the sitting position, spinal anesthesia was performed at the L1-L2 level. Vertebral level has been identified starting from the sacrum, we counted the laminae in the caudal-to-cephalad direction, which was then marked with a surgical pen. The technique was performed in asepsis, in the subarachnoid space after vision of clear Cephalo-Spinal Fluid (CSF) in the spinal needle 27 Gauge, without letting out the CSF, bupivacaine 0.5% 10 mg, dexmedetomidine 10 μg and dexamethasone 4 mg was injected. Results: During the study period, 40 pregnant women with one or more symptoms and supplemental oxygen (FiO2 35-40%) who underwent cesarean delivery were included in the study. All pregnant women had pain visual analog scale (VAS) <3, and no pregnant women required rescue dose. Adverse effects, such as nausea, vomiting, shivering, or pruritus were not recorded in any case. After a mean of 2.5 hours from the spinal anesthesia, all the included women had a complete motility of the lower limbs and were able to mobilize independently within 12 hours after delivery. Mean time to first latus was about 8 hours after delivery. Conclusions: Pregnant women in COVID-19 can safely receive intrathecal dexamethasone and dexmedetomidine during planned cesarean delivery. © 2021 The Author(s). Published by IMR Press.","PeriodicalId":90428,"journal":{"name":"American journal of clinical and experimental obstetrics and gynecology","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87689423","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: 2

Real-world implementation and adaptation to local settings of first trimester preeclampsia screening in Italy: a systematic review 现实世界的实施和适应当地设置的早期妊娠子痫前期筛查在意大利:一个系统的回顾

American journal of clinical and experimental obstetrics and gynecology Pub Date : 2021-01-01 DOI: 10.31083/j.ceog4804130

S. Amodeo, G. Bonavina, A. Seidenari, P. Cavoretto, A. Farina

{"title":"Real-world implementation and adaptation to local settings of first trimester preeclampsia screening in Italy: a systematic review","authors":"S. Amodeo, G. Bonavina, A. Seidenari, P. Cavoretto, A. Farina","doi":"10.31083/j.ceog4804130","DOIUrl":"https://doi.org/10.31083/j.ceog4804130","url":null,"abstract":"Background: Preeclampsia (PE) is a multisystem disease of pregnancy representing a major cause of maternal and perinatal morbidity and mortality. Early identification of pregnancies at risk of developing PE is crucial for implementing preventive strategies. The effectiveness of PE screening in the first trimester is widely recognized and endorsed by several guidelines, but unfortunately real-world implementation of this practice within local settings remains difficult. Methods: We performed a systematic review of the literature to understand the critical issues hampering the implementation of PE screening procedures in Italy. All studies on first trimester PE screening in the Italian population were eligible for inclusion. Key-concepts relevant for implementation of PE screening in Italy were extracted and analysed qualitatively. Results: Nine articles were selected and included. Lack of evidence concerning the topic of PE screening in Italy was shown. Major critical issues found encompassed healthcare personnel education, training of sonographers, economic coverage for biochemical markers and adjustment of algorithms based on population characteristics. Conclusions: Identification and adaptation of specific protocols to local settings and population characteristics is critical for successful implementation of early PE screening in Italy. This process has the potential to improve pregnancy outcomes and to save valuable health-care resources, particularly scarce in the COVID-19 era. There is an urgent need for research studies on specific local populations focussing on subtle details capable of maximizing PE screening uptake. This action will likely potentiate PE screening implementation reducing the burden and the cost of perinatal and maternal complications.","PeriodicalId":90428,"journal":{"name":"American journal of clinical and experimental obstetrics and gynecology","volume":"107 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88050377","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

Satisfaction with work-life balance among U.S. gynecologic oncologists, a cross-sectional study. 美国妇科肿瘤学家对工作与生活平衡满意度的横断面研究

American journal of clinical and experimental obstetrics and gynecology Pub Date : 2015-01-01

J Brian Szender, Kassondra S Grzankowski, Kevin H Eng, Shashikant B Lele, Kunle Odunsi, Peter J Frederick

{"title":"Satisfaction with work-life balance among U.S. gynecologic oncologists, a cross-sectional study.","authors":"J Brian Szender, Kassondra S Grzankowski, Kevin H Eng, Shashikant B Lele, Kunle Odunsi, Peter J Frederick","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To evaluate the satisfaction with work-life balance (WLB) and career satisfaction of gynecologic oncologists.Methods: In August 2014, members of the Society of Gynecologic Oncology (SGO) were sent an anonymous, cross-sectional survey evaluating demographic variables, practice characteristics, career satisfaction, fatigue, and satisfaction with WLB. Fatigue was assessed using a visual-analog scale. Career satisfaction and WLB were assessed with a Likert scale. Inferential statistics were computed with type I error rates of 0.05.Results: Out of the 1002 gynecologic oncologists surveyed, 290 (28.9%) responded. Only 18.6% of respondents were satisfied with WLB and there were significant associations between gender (P = 0.0157), time spent in work related activities at home (P = 0.0024), on weekends (P = 0.0017), and in the hospital (P = 0.0001). More than 84% of physicians reported they would choose medicine as a career again and of those 90% would choose to be a gynecologic oncologist again. Fatigue was strongly associated with dissatisfaction with WLB in univariate and multivariate analysis (P < 0.0001).Conclusions: Although gynecologic oncologists indicated they are satisfied with their careers, most are not satisfied with their WLB. Given the forecast shortage of gynecologic oncologists and projected increased cancer rates, understanding the factors associated with career satisfaction may assist the SGO in meeting future gynecologic cancer care needs.","PeriodicalId":90428,"journal":{"name":"American journal of clinical and experimental obstetrics and gynecology","volume":"2 4","pages":"166-175"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4830436/pdf/nihms774986.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34411054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tubal origin of ovarian low-grade serous carcinoma. 卵巢低级别浆液性癌的输卵管起源。

American journal of clinical and experimental obstetrics and gynecology Pub Date : 2013-12-15

Chenglu Chen, Jie Li, Guang Yao, Setsuko K Chambers, Wenxin Zheng

引用次数: 0