Current opinion in gynecology and obstetrics最新文献_第3页

A Pilot Study of Family Planning Perspectives and Practices among Syrian Child Brides in Lebanon 黎巴嫩境内叙利亚童养媳计划生育观点和做法试点研究

Current opinion in gynecology and obstetrics Pub Date : 2019-05-02 DOI: 10.18314/COGO.V2I1.1657

Han A, Helal S, Bakhache N, Bunting A, Michael S, Davison C, Bartels Sa

{"title":"A Pilot Study of Family Planning Perspectives and Practices among Syrian Child Brides in Lebanon","authors":"Han A, Helal S, Bakhache N, Bunting A, Michael S, Davison C, Bartels Sa","doi":"10.18314/COGO.V2I1.1657","DOIUrl":"https://doi.org/10.18314/COGO.V2I1.1657","url":null,"abstract":"Child marriage is associated with adolescent pregnancy, which increases maternal and child health risks and rates of child marriage have increased among families affected by the Syrian conflict. Although contraception reduces these risks, data about contraception practices among Syrian child brides is sparse. This cross sectional, descriptive pilot study examined contraceptive knowledge, attitudes, barriers, needs and practices among young Syrian brides. A convenience sample of female Syrian refugees aged 13-25 who had married before the age of 18 was recruited through a civil society organization in Lebanon. Among the 32 participants, there were significant knowledge gaps and negative attitudes towards contraception, with approximately one fifth of participants (18.8%) unaware of contraceptive methods and 84.4% unaware of emergency contraception. Negative attitudes towards contraception were common, including beliefs that it was physically harmful (47.0%), contradicted religious views (43.8%), and lacked support by husbands (50%). The majority of participants (53.1%) had never used contraception with the most common reason being fear of side effects (47%). Approximately one-third (30%) of participants with two or more children reported sub-optimal birth spacing of less than a year and almost one-quarter of participants (24.1%) reported a history of terminating a pregnancy. Notably, one-fifth of participants (20.8%) had an unmet need for contraception, and unwanted pregnancies were common among women who were currently (42.9%) or previously (48.1%) pregnant. Results from this small convenience sample of Syrian child brides in Lebanon identify an urgent need to further explore contraception use among this population and to inform interventions for increased contraception usage to decrease adolescent pregnancies and improve maternal and child health.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89186885","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: 4

Cesarean Scar Ectopic Pregnancy - Operative Management with Bilateral Temporary Iliac Artery Occlusion 剖宫产瘢痕异位妊娠伴双侧暂时性髂动脉闭塞的手术处理

Current opinion in gynecology and obstetrics Pub Date : 2019-04-30 DOI: 10.18314/COGO.V2I1.1574

N. Horst, A. Dera-Szymanowska, A. Malinger, K. Stanisławska, R. Juszkat, J. Beltrano, K. Szymanowski

引用次数: 0

Intrapartum Ultrasonography for Detecting Fetal Macrosomia 产时超声检查胎儿巨大症

Current opinion in gynecology and obstetrics Pub Date : 2019-04-16 DOI: 10.18314/COGO.V2I1.1567

P. Croce, G. Croce, L. Panzeri, Zanchi Sm, D. Perotti, B. Arena

{"title":"Intrapartum Ultrasonography for Detecting Fetal Macrosomia","authors":"P. Croce, G. Croce, L. Panzeri, Zanchi Sm, D. Perotti, B. Arena","doi":"10.18314/COGO.V2I1.1567","DOIUrl":"https://doi.org/10.18314/COGO.V2I1.1567","url":null,"abstract":"Objective: To compare the accuracy of three ultrasound methods to estimate fetal weight within 48 hours before delivery, in order to recognize macrosomia, defined as birth weight greater than 4000 g.Methods: A prospective and ultrasonic study was performed on a sample of singleton pregnancies between 37 weeks and 41 weeks plus 6 days of gestation. Fetal weight was evaluated with Estimated Fetal Weight (EFW) formula, with the measurement of the Abdominal Circumference (AC) and with the assessment of the Abdominal Circumference corrected with the constant “c” (ACc).Results: 1030 patients with single pregnancy were included, 67.28% of them were primiparous, average Body Mass Index (BMI) at birth was 27.37 and macrosomia was found in 77 (8,08%) fetuses. EFW showed a sensitivity of 61.53%, a specificity of 90.72%, a positive predictive value (PPV) of 27.58% and negative predictive value (NPV) of 97.46%, to recognize birth weight of more than 4000 g. AC greater than 375 mm presented a sensitivity of 53.24%, a specificity of 93.21%, a PPV of 41.41% and a NPV of 95.67%, to detect macrosomic fetuses. ACc greater than 375 mm showed a sensitivity of 66.23%, a specificity of 88.65%, a PPV of 34.35% and a NPV of 96.68%, to predict macrosomia. The mean absolute error when the neonatal weight was greater than 4000 g, with EFW was 9,23%, with AC were 11,02% and with ACc was 9,32%.Conclusions: In this study was shown that either EFW, or AC-only, or ACc are useful tools to detect fetal macrosomia. The measurement of AC and Acc seem to be the easiest methods to learn and to be used every time. During the first stage of labor, ultrasound scan associated to clinic evaluation, provides further elements to physician, to allow a better management of delivery. The finding of a NPV greater than 95% with the three methods, leads to exclude macrosomia with a good approximation, even in case of clinic hypothesis.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81263291","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

C-ERB-2, P53, Ki67 Proteins and Receptors of Estrogen and Progesterone on the Prognosis of Epithelial Ovarian Cancer c - erbb -2、P53、Ki67蛋白及雌激素、孕激素受体对上皮性卵巢癌预后的影响

Current opinion in gynecology and obstetrics Pub Date : 2019-04-08 DOI: 10.18314/COGO.V2I1.1588

Tomé A, L. I, Palmeiras C, Matos E, Amado J, Abreu M, L. C.

{"title":"C-ERB-2, P53, Ki67 Proteins and Receptors of Estrogen and Progesterone on the Prognosis of Epithelial Ovarian Cancer","authors":"Tomé A, L. I, Palmeiras C, Matos E, Amado J, Abreu M, L. C.","doi":"10.18314/COGO.V2I1.1588","DOIUrl":"https://doi.org/10.18314/COGO.V2I1.1588","url":null,"abstract":"Ovarian cancer is the seventh most common cancer diagnosed in women worldwide. To date, many studies inepithelial ovarian cancer (EOC) have reported on the association HER-2/neu, p53 proteins and steroid hormones and their respective receptors with prognosis and/or the carcinogenesis process, but no definitive conclusion has been reached.Objectives: To assess the proteins c-erbB-2, p53, Ki67 and receptors of estrogen (ER) and progesterone (PR) of EOC, with regard to clinical stage findings and its effect on survival.Methods: 125 patients with a diagnosis of EOC treated by primary surgery and chemotherapy have participated. A surgical stage was noted and analyzed the correlation with c-erbB-2, p53, Ki67, ER and PR. Immunohistochemical analysis, using the anti-c-erbB-2, p53, Ki67 monoclonal antibodies, the antibody cod PR clone PgR and code ER-6-F11 Anti human estrogen. The c-erbB-2 study was complemented by genetic amplification and was reported univariate and multivariate analysis.Results: Age 55.7 ± 16; 50.2% with residual disease (< 2 cm); initial (54.6%) and advanced (45.4%) stage. Univariate analysis showed positive staining for c-erbB-2, p-53, Ki67, PR and ER. The patients with negative receptors had a significantly shortened survival time (p = 0.01) than patients with positive receptors. Multivariable analysis revealed only clinical FIGO stage as an independent prognostic of overall survival (p = 0.002). Other variables like c-erbB-2, p53, Ki67, and ER were not significantly related to survival.Conclusions: We concluded that patients with negative PR had a significantly shortened survival time than patients with positive receptors. The overexpression of markers c-erbB-2, p53, Ki67, and ER, were not significantly related to survival in EOC. Only the FIGO stage was achieved to be an independent predictor of overall survival. They should be evaluated together with the patient’s clinical status and other prognostic factors.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79516759","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

The Effect of Ethnicity on Preterm Birth and its Influence on the Risk Factors for Prematurity 种族对早产的影响及其对早产危险因素的影响

Current opinion in gynecology and obstetrics Pub Date : 2019-03-25 DOI: 10.18314/COGO.V2I1.1456

P. Bachkangi, A. Taylor, J. Konje

{"title":"The Effect of Ethnicity on Preterm Birth and its Influence on the Risk Factors for Prematurity","authors":"P. Bachkangi, A. Taylor, J. Konje","doi":"10.18314/COGO.V2I1.1456","DOIUrl":"https://doi.org/10.18314/COGO.V2I1.1456","url":null,"abstract":"Preterm birth (PTB) affects 9.6% of pregnancies worldwide and is associated with a very high perinatal mortality that depends on the gestational age at delivery. As a result, PTB has a significant health and financial impact on health systems, families and societies. Its aetiology is not fully understood, but in most cases it is multifactorial, with several maternal, paternal, and epidemiological factors associated with increased risk. Other factors include parental ethnicity, maternal age and body mass index, socioeconomic status, and where the families live. This review examines the influence of ethnicity as an individual risk factor for PTB. It also explores its influence on the epidemiology of PTB and demonstrates that data on certain ethnicities are lacking, despite the fact that these ethnic clusters are within the very ‘high-risk groups’ that are adequately represented in some Western societies. This review examines the influence of ethnicity as an individual risk factor for PTB and also explores its influence on the different epidemiological aspects. A thorough revisit of the ethnic epidemiology unveiled other unnoticed risk factors that if addressed appropriately prematurity can be prevented. Moreover, certain ethnicities were not within the attention of researchers, despite the facts that they are very ‘high-risk groups’ and are also adequately represented in some Western societies.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86368312","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

Bilateral Essure Perforation into the Abdominal Cavity 双侧压力穿孔进入腹腔

Current opinion in gynecology and obstetrics Pub Date : 2019-03-11 DOI: 10.18314/cogo.v2i1.1483

P. Adedayo, M. Scheiber

引用次数: 0

Research Progress of Angiogenin in Fertility and Reproduction Endocrinology 血管生成素在生育与生殖内分泌学中的研究进展

Current opinion in gynecology and obstetrics Pub Date : 2019-02-20 DOI: 10.18314/COGO.V2I1.1429

H Xiaotao, W. Yunxia

{"title":"Research Progress of Angiogenin in Fertility and Reproduction Endocrinology","authors":"H Xiaotao, W. Yunxia","doi":"10.18314/COGO.V2I1.1429","DOIUrl":"https://doi.org/10.18314/COGO.V2I1.1429","url":null,"abstract":"Angiogenin (ANG) was previously proved one of the potent proangiogenic factors in the process of formation, remodeling and maturation of new blood vessel, then was found playing a dual role in tumor growth by promoting both tumor angiogenesis and cancerous cell proliferation and promoting neuron neurite growth, recently it has been proved an important regulator in stem cell regeneration and stemness maintenance by affecting nucleic acid hydrolysis and protein synthesis. Here we review the related research about ANG in reproduction. ANG was detected in different levels of follicle except in primordial stage in bovine and human and reveals that it may play role in follicle development and mature. During pregnancy, large amount of ANG dramatically expressed in maternal, amniotic fluid or fetal placenta, it may play a role in embryo implantation, the growth and development of fetus. The occurrence of reproduction related diseases such as infertility, endometriosis, ovarian hyperstimulation syndrome, gestational hypertension, fetal growth retardation and etc seems related with ANG. However, detailed research on the mechanism of ANG in related diseases is lack. Therefore, the further study about the role of ANG is of great significance for the understanding ANG function and may bring promising treatment of fertility, reproduction related diseases.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78217626","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

Laparoscopic Surgery for a 91-year-old Woman with a Huge Solid Adult Granulosa Cell Tumor: A Case Report 腹腔镜手术治疗91岁女性巨大实性成人颗粒细胞瘤1例

Current opinion in gynecology and obstetrics Pub Date : 2019-02-07 DOI: 10.18314/cogo.v2i1.1512

Akiko Otake, Megumi Horai, Atsuko Suzuki, J. Usui, N. Sato, Eriko Tanaka, Aska Toda, Rina Funada, Yoshimitsu Yamamoto, K. Adachi

{"title":"Laparoscopic Surgery for a 91-year-old Woman with a Huge Solid Adult Granulosa Cell Tumor: A Case Report","authors":"Akiko Otake, Megumi Horai, Atsuko Suzuki, J. Usui, N. Sato, Eriko Tanaka, Aska Toda, Rina Funada, Yoshimitsu Yamamoto, K. Adachi","doi":"10.18314/cogo.v2i1.1512","DOIUrl":"https://doi.org/10.18314/cogo.v2i1.1512","url":null,"abstract":"Adult granulosa cell tumors are rare ovarian malignancies. They are usually stage I tumors and have a relatively good prognosis. Surgery is the mainstay of primary therapy. Recent studies showed that a minimally invasive laparoscopic approach is an option for selected patients with adult granulosa cell tumors. We report the case of a 91-year-old woman with an 18 cm solid adult granulosa cell tumor treated with laparoscopic surgery. The patient complained of pelvic discomfort and was found to have a solid ovarian tumor. The tumor was expected to be an early-stage sex cord-stromal tumor such as a granulosa cell tumor or thecoma because of the pelvic magnetic resonance imaging findings and abnormal hormonal blood test results. She underwent laparoscopic bilateral salpingo-oophorectomy. We successfully performed laparoscopic surgery in an elderly woman with an 18-cm solid adult granulosa cell tumor without scattering and spillage of the tumor, using a Vagi-Bag. She had no perioperative complications and recovery was rapid. She was doing well and disease-free at 8 months of follow-up.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89830419","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

Primary Ovarian Choriocarcinoma: One Case in 20 Years at INCA and Literature Review 原发性卵巢绒毛膜癌:INCA 20年1例及文献综述

Current opinion in gynecology and obstetrics Pub Date : 2019-01-25 DOI: 10.18314/cogo.v2i1.1396

L. C. D. Silva, G. Guitmann, P. Patury, D. Fernandes, E. Lustosa

引用次数: 0

The Time has come: Gestational Carrier and the Use of Pre-implantation Genetic Testing (PGT) 时代已经到来:妊娠载体和植入前基因检测(PGT)的使用

Current opinion in gynecology and obstetrics Pub Date : 2019-01-22 DOI: 10.18314/cogo.v2i1.1386

J. Nulsen, D. Grow, R. Makhijani

{"title":"The Time has come: Gestational Carrier and the Use of Pre-implantation Genetic Testing (PGT)","authors":"J. Nulsen, D. Grow, R. Makhijani","doi":"10.18314/cogo.v2i1.1386","DOIUrl":"https://doi.org/10.18314/cogo.v2i1.1386","url":null,"abstract":"Purpose of review: Gestational carrier reproduction is restricted in much of the industrialized world due to complex ethical issues between the intended parents (IP) and the gestational carrier (GC), as well as safety concerns for the GC. Over 3% of all embryo transfers done in the United States involve GCs. Recent review has revealed high perinatal risks associated with assisted reproductive technologies (ART) for GCs. Compared to spontaneous conception, which the GC is familiar with, GCs using IVF have increased risk for twins and triplets of 20 and 46 fold, respectively. The resultant perinatal mortality rates are increased 4-6 fold. Costs in the first year of life for multiples are 5 to 20 times greater than for singletons. As GC cycles continue to increase, we must develop strategies to reduce perinatal risks for GCs and their offspring.Recent findings: Recent advances in IVF with pre-implantation genetic testing allow detection of euploidy for all 24 chromosomes. Elective single embryo transfer has reduced the risk of multiple pregnancy, preterm delivery and perinatal morbidity for women across the age spectrum.Summary: Elective euploid single embryo transfer, through the use of PGT, allows for very high pregnancy rates while reducing perinatal morbidity to natural levels. Both multiple gestation and miscarriage are dramatically reduced. Implementation of this technology in GCs will greatly enhance the safety of pregnancies, protecting this vulnerable population of altruistic women.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86808176","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