Archives of obstetrics and gynaecology最新文献

{"title":"Intrauterine Device Embedment Resulting in Its Fracture: A Case Series","authors":"C. Fernandez, E. Levine, M. Cabiya, I. Ansari, Leah Delfinado","doi":"10.33696/gynaecology.2.009","DOIUrl":"https://doi.org/10.33696/gynaecology.2.009","url":null,"abstract":"As gynecologic providers continue to provide intrauterine devices (IUDs) for long-acting reversable contraception (LARC) with insertion of those devices, the associated complication rate needs to be well-understood, so that patients can make properly informed shared healthcare decisions. There appears to be IUD embedment into the uterine wall that can occur over time, which can cause its fracture when retrieving it with grasp of its string. The authors previously published a case series [1] that described situations in which fractured IUDs were encountered after attempts at their removal occurred. Given that patients continue to be referred to the Director of Gynecologic Sonography at our institution for assistance in managing such complications when they are encountered, this case series was continued, and the authors believe it important to report these findings at this time.","PeriodicalId":93076,"journal":{"name":"Archives of obstetrics and gynaecology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69670438","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":"Strong Association Between Placental Pathology and Second-trimester Miscarriage.","authors":"H J Odendaal","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":93076,"journal":{"name":"Archives of obstetrics and gynaecology","volume":"2 3","pages":"51-56"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39444376","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}

{"title":"Evaluation and Management of chronic Hypertension in Pregnancy","authors":"S. Yadav, Neeta Singh, M. Pradhan","doi":"10.33696/gynaecology.2.011","DOIUrl":"https://doi.org/10.33696/gynaecology.2.011","url":null,"abstract":"Hypertension is a major health issue in pregnancy contributing to significant maternal and neonatal morbidity and mortality. Hypertensive disorders of pregnancy can be classified as chronic hypertension, gestational hypertension and preeclampsia. Chronic hypertension is present in 1-2% of pregnant women [1,2]. Prevalence of chronic hypertension increases with advancing maternal age and obesity. Chronic hypertension during pregnancy is defined as hypertension (blood pressure of more than 140/90 mmHg on 2 occasions 4 hours apart) present before pregnancy or 20 weeks of gestation or hypertension diagnosed during pregnancy that does not resolve in postpartum period after 12 weeks [3].","PeriodicalId":93076,"journal":{"name":"Archives of obstetrics and gynaecology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69669983","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":"Preliminary Study Assessing the Efficiency of a New Singleuse Obstetrical Vacuum Device: Icup2®","authors":"A. D'Antona, N. Mottet, P. Lenoir, C. Toubin, A. Bourtembourg, R. Ramanah, D. Riethmuller","doi":"10.33696/GYNAECOLOGY.1.008","DOIUrl":"https://doi.org/10.33696/GYNAECOLOGY.1.008","url":null,"abstract":"In France, the most commonly used vacuum extraction devices are the multi-use cup by Drapier-Faure (Minicup®) (Collin-Gentile-Drapier, Paris, France) and the single-use Kiwi Omnicup® suction Cup. The Minicup® is made of a rigid metal cup with a suction system which is independent of the traction system [3]. The main disadvantage of this vacuum device is that it must be sterilized and requires the use of a motor to create the vacuum. The Kiwi Omnicup® (Clinical Innovations, Heathrow, UK) is a single-use vacuum device with a rigid plastic cup connected to a hand pump for suction and traction [4]. The cost of this vacuum device, which is made in the USA, is relatively high (about 55 € excl. VAT).","PeriodicalId":93076,"journal":{"name":"Archives of obstetrics and gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48888050","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":"Impact of Estradiol Supplementation during Luteal Phase Support on the In vitro Fertilization Clinical Outcome: Systematic Review and Meta-Analysis","authors":"J. Hao, Bin xu, Yonggang Wang, Yanping Li, J. Zhao","doi":"10.33696/gynaecology.1.005","DOIUrl":"https://doi.org/10.33696/gynaecology.1.005","url":null,"abstract":"This study aimed to clarify whether estradiol (E2) supplementation as luteal phase support (LPS) has benefit effect on the clinical outcomes after IVF/ICSI. A meta-analysis was conducted. E2+P group had significant higher CPR and ongoing PR than that of P-only group. GnRH-a protocol group had a significant higher CPR and ongoing PR with E2+P, whereas GnRH-ant protocol group had no difference in CPR, ongoing PR, IR, and AR among E2+P and Ponly groups. So, E2 supplementation as LPS has beneficial effect on the clinical outcomes only during cycles with GnRH-a protocol. Background","PeriodicalId":93076,"journal":{"name":"Archives of obstetrics and gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42525302","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":"Family Planning Laboratory Review of Factors Affecting the Choice of Contraceptive Methods in Three Teenagers Populations in Thrace, Greece","authors":"P. Tsikouras, G. Galazios, X. Anthoulaki, A. Chalkidou, A. Bothou, Theodora Deuteraiou, M. Koutsogiannis, I. Babageorgaka, F. Gaitatzi, K. Nikolettos, S. Zervoudis, N. Nikolettos","doi":"10.33696/gynaecology.1.003","DOIUrl":"https://doi.org/10.33696/gynaecology.1.003","url":null,"abstract":"Contraception was applied for decades on an empirical basis but the discovery of contraceptive pills has brought a real revolution on this field because with the use of scientific techniques, we managed to prevent ovulation which is the cornerstone of reproduction. [1,2]. Since the AIDS outbreak, the use of contraceptive pills has decreased due to the fact that they do not offer any protection against sexually transmitted diseases [3,4]. On the other hand, barrier contraception which offers protection against STDs prevents direct contact. Birth control pill continues to be a unique scientific achievement and at the same time an invaluable contribution to every woman, which if combined with intrauterine devices creates a protective shield to unwanted pregnancy [3-5]. The clinical application of oral contraception dates back to the 1960s, but its history goes back to the early 20th century, when experimental data showed that the ovaries were organs with hormonal activity [3-5].","PeriodicalId":93076,"journal":{"name":"Archives of obstetrics and gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48405676","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":"Low-level Progesterone on the Day of hCG Injection Has No Detrimental Effect on the Pregnancy Outcome after IVF with GnRH-a Protocol: A Retrospective Study","authors":"J. Hao, Bin xu, Yonggang Wang, Yanping Li, J. Zhao","doi":"10.33696/gynaecology.1.004","DOIUrl":"https://doi.org/10.33696/gynaecology.1.004","url":null,"abstract":"In addition, animal experiments have indicated that the P level during the late follicular phase is important for the maturation of oocyte [15], fertilization of oocyte [16], and luteinization of theca / granulosa [17,18]. Additionally, P is important to support the endometrium in the luteal phase. Therefore, we suppose that low level P in the phase of late follicular may compromise pregnancy outcome after IVF cycles. Abstract","PeriodicalId":93076,"journal":{"name":"Archives of obstetrics and gynaecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48481664","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":"Ultrasound in Obstetrics and Gynecology","authors":"Elliot M. Levine","doi":"10.1002/(issn)1469-0705","DOIUrl":"https://doi.org/10.1002/(issn)1469-0705","url":null,"abstract":"We are witnessing the evolution of the diagnostic imaging that is rapidly becoming available to Women’s Health physicians (OB/GYN’s), enabling the use of technology to augment our ability to medically palpate on examination of the patient, to identify conditions which we were unable to appreciate a short time ago. Threedimensional transvaginal sonography (3DTVS), along with power Doppler angiography (PDA), are examples of such technologies. Clinicians have long appreciated the ability to view a three-dimensional image from the use of X-Rays (e.g. in computed tomography [CT] scans), or with magnetic resonance imaging (MRI). We can now create 3-D images with the use of ultrasound, in an easier and less costly way, and with possibly lesser harmful radiation. The tissue which is an ideal target of this imaging is found in the pelvis. Naturally, looking at the uterus, fallopian tubes, and ovaries is within the province of the OB/GYN.","PeriodicalId":93076,"journal":{"name":"Archives of obstetrics and gynaecology","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86647923","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":"Early Onset Fetal Growth Restriction: Does Path to Diagnosis Impact Outcomes and Pathology?","authors":"Brian Burnett,&nbsp;Linda Street,&nbsp;Kristen Quinn,&nbsp;Jeff M Denney","doi":"10.33696/gynaecology.1.002","DOIUrl":"https://doi.org/10.33696/gynaecology.1.002","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate demographics and outcomes of maternal-fetal pairs in early onset fetal growth restriction (FGR) requiring delivery prior to 34 weeks' gestation based on ultrasound indication leading to diagnosis.</p><p><strong>Study design: </strong>This is a descriptive study of maternal-fetal pairs with early FGR diagnosed prior to 30 weeks' gestation and delivering between 22w0d and 34w0d under the care of Wake Forest University Perinatology 01/2012-12/2016. Serial ultrasounds to assess fetal growth and umbilical artery flow Doppler velocimetry were evaluated. Pairs were dichotomized into those with maternal comorbidities leading to ultrasound diagnosis, and those with ultrasound indicated only by appreciation of uterine size less than dates on exam. Patient characteristics and outcomes were tracked. Univariate and multivariate analyses were performed as appropriate.</p><p><strong>Results: </strong>56 pregnancies were identified with FGR prior to 30 weeks and subsequent delivery prior to 34 weeks. Common comorbidities present in the group with maternal comorbidities included chronic hypertension (30.5%), hypertensive disorders of pregnancy (36.1%), preexisting diabetes (13.9%), gestational diabetes (5.6%). None of the women in the S<D group developed hypertensive disorders of pregnancy or GDM. Other background characteristics were similar. Pregnancies evaluated for size less than dates were diagnosed on average 3 weeks later in gestation, had higher incidence of reverse end diastolic flow on Doppler evaluation both at diagnosis (80% vs. 22.9%, p=0.01, OR 0.08 (<0.01,0.74) and were more likely to be delivered for an urgent indication. Both groups of babies had similar survival to discharge rates and length of stay in the NICU. A subanalysis evaluating only babies with abnormal Doppler studies showed a shorter diagnosis to delivery interval and continued to show increased risk of urgent delivery due to fetal status in those pregnancies diagnosed based on size<dates.</p><p><strong>Conclusion: </strong>Women measuring size less than dates in the mid-trimester should be evaluated by ultrasound without delays. Early FGR carries a high mortality rate in all cases and in our pilot data, women measuring small were diagnosed later with fetal growth restriction and may represent a severe phenotype with poor fetal-placental circulation. These pregnancies often met criteria for urgent delivery in a short time frame, especially if abnormal umbilical artery Doppler velocimetry was noted.</p>","PeriodicalId":93076,"journal":{"name":"Archives of obstetrics and gynaecology","volume":"1 1","pages":"5-12"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7671592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38725390","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}

{"title":"Ultrasound in Obstetrics and Gynecology","authors":"E. Levine","doi":"10.33696/GYNAECOLOGY.1.001","DOIUrl":"https://doi.org/10.33696/GYNAECOLOGY.1.001","url":null,"abstract":"We are witnessing the evolution of the diagnostic imaging that is rapidly becoming available to Women’s Health physicians (OB/GYN’s), enabling the use of technology to augment our ability to medically palpate on examination of the patient, to identify conditions which we were unable to appreciate a short time ago. Threedimensional transvaginal sonography (3DTVS), along with power Doppler angiography (PDA), are examples of such technologies. Clinicians have long appreciated the ability to view a three-dimensional image from the use of X-Rays (e.g. in computed tomography [CT] scans), or with magnetic resonance imaging (MRI). We can now create 3-D images with the use of ultrasound, in an easier and less costly way, and with possibly lesser harmful radiation. The tissue which is an ideal target of this imaging is found in the pelvis. Naturally, looking at the uterus, fallopian tubes, and ovaries is within the province of the OB/GYN.","PeriodicalId":93076,"journal":{"name":"Archives of obstetrics and gynaecology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69670425","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}