Ginekologia polska最新文献

{"title":"Abdominal pain turned out to be OHVIRA syndrome.","authors":"Marta Zalewska-Zacharek, Wojciech Pawlak, Agnieszka Kolossa, Agnieszka Szykanowska, Michalina Gruszczynska","doi":"10.5603/gpl.96363","DOIUrl":"https://doi.org/10.5603/gpl.96363","url":null,"abstract":"","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059085","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":"Understanding caesarean section indications in Poland: trends and analysis.","authors":"Adrianna Zahorowska, Adrianna Cwiertnia, Aleksandra Winter, Natalia Wolkowska, Katarzyna Maksym, Sylwia Dzidek, Hanna Jasiak-Jozwik, Piotr Tousty, Martyna Drzycimska, Magdalena Bednarek-Jedrzejek, Ewa Kwiatkowska, Andrzej Torbe, Sebastian Kwiatkowski","doi":"10.5603/gpl.101867","DOIUrl":"https://doi.org/10.5603/gpl.101867","url":null,"abstract":"<p><strong>Objectives: </strong>The rate of caesarean sections has increased noticeably worldwide in recent years. Many efforts are being made to understand this phenomenon, one of which is to analyse the changing indications for caesarean deliveries over the years. To analyse and compare the indications for caesarean section over 3 years (2020-2022) and to identify the trends for the increasing caesarean section rate.</p><p><strong>Material and methods: </strong>All women who delivered in the Department of Obstetrics and Gynaecology of the University Clinical Hospital in Szczecin were included in the analysis between January 2020 and December 2022. We analysed outcomes of 6870 deliveries both vaginal and via caesarean section. The indications for caesarean section were analysed and the results were compared to the results of the study conducted at the same centre between 2014 and 2018.</p><p><strong>Results: </strong>There were 3661 CS (53.29%) and 3309 vaginal deliveries (46.71%). 50.61% first time mothers (primipara) delivered with caesarean section. The most common obstetric indication for caesarean section was previous lower segment caesarean section 671 (19.65%) and the most common non-obstetric indication was psychological disorder 524 (50.68%).</p><p><strong>Conclusions: </strong>Based on the results of this study, we observed a persistently high rate of caesarean sections. Caesarean section is still a significant obstetric problem, especially among first-born women. There is a need to look for ways to reduce the caesarean section rate to the recommended 15-20%.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034986","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":"Logistic regression analysis of ultrasound features for predicting borderline ovarian tumours in young women aged ≤ 40 year.","authors":"Wei Lian Feng, Xiu Jing Xie, Jian Jiang, Tian An Jiang","doi":"10.5603/gpl.99589","DOIUrl":"https://doi.org/10.5603/gpl.99589","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the ability of sonographic characteristics to distinguish borderline ovarian tumours (BOT) from benign and malignant tumours in young women by using logistic regression analysis.</p><p><strong>Material and methods: </strong>147 patients with ovarian masses were analysed retrospectively. We recorded and compared the available preoperative serum CA125 and CA199 levels, ultrasound and pathological findings from patient records to distinguish BOT from benign and malignant tumours using single-factor and multiple stepwise logistic regression analyses.</p><p><strong>Results: </strong>Seventy-six women aged ≤ 40 years diagnosed with BOT, 31 women with malignant tumours, and 40 women with benign cystadenomas were included. The significant features identified in the single-factor analysis were CA125 and CA199 levels, tumour size, multilocularity, presence of solid components within cysts, colour Doppler flow, presence of microcystic pattern (MCP), and proportion of the maximum solid area covering < 50% of the inner surface within the cyst (p < 0.05). The latter two ultrasound features were identified as independent predictors for differentiating BOT from benign and malignant tumours in the logistic regression analysis. The area under the receiver operating curve (AUC) was 0.893 and 0.904, respectively. The corresponding sensitivity, specificity, positive predictive value, and negative predictive value were 84.2%, 89.5%, 94.1%, and 73.9%, respectively, while the corresponding values were 93.4%, 76.3%, 88.7%, and 85.3%, respectively.</p><p><strong>Conclusions: </strong>Combining both ultrasonic features of the microcystic pattern and the proportion of the maximum solid area covering < 50% of the inner surface within the cystic region appears to be the optimal method for characterizing BOT.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060380","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":"The prevalence of Group B Streptococcus rectovaginal colonization and antimicrobial susceptibility pattern in Turkish and Syrian pregnant women.","authors":"Emine Kirtis, Burak Karadag, Aysel Uysal, Yeşim Çekin, Gul Alkan Bulbul","doi":"10.5603/gpl.102721","DOIUrl":"https://doi.org/10.5603/gpl.102721","url":null,"abstract":"<p><strong>Objectives: </strong>Colonization with Group B Streptococcus (GBS) during pregnancy can lead to invasive GBS disease (iGBS) in neonates, including meningitis, pneumonia or sepsis, which carries a high mortality risk. American College of Obstetricians and Gynecologists (ACOG) recommends universal GBS screening for all pregnant individuals between 36 0/7 and 37 6/7 weeks of gestation. However, due to the insufficient population-based studies on universal screening and GBS colonization rates in late periods of pregnancy in Türkiye, we aimed to evaluate the prevalence of GBS and its antibiotic resistance to enhance awareness regarding GBS screening and prophylaxis during pregnancy and promote the use of appropriate antibiotics.</p><p><strong>Material and methods: </strong>This prospective, single-center study was conducted between May 2017 and December 2017 on 518 pregnant women (363 Turkish and 155 Syrian). Vaginal and rectal samples were collected and cultured in Todd-Hewitt broth. Standard microbiological protocols were used to assess GBS colonization and antibiotic susceptibility.</p><p><strong>Results: </strong>In the study, we found that 10.6% (n = 55) of pregnant women were colonized with GBS asymptomatically. Group B Streptococcus colonization rates did not differ significantly between Turkish patients (11%, n = 40) and Syrian patients (9.7%, n = 15) (p = 0.756, p > 0.05). All patients colonized with GBS were penicillin-sensitive. However, resistance to at least one non-penicillin antibiotic was observed in 42.5% (n = 17) of Turkish patients and 60% (n = 9) of Syrian patients. Although not statistically significant (p > 0.05), Syrian patients exhibited relatively higher rates of antibiotic resistance, especially to erythrosine and clindamycin.</p><p><strong>Conclusions: </strong>In our country, implementing universal screening for asymptomatic GBS in pregnant women, as recommended by the Centers for Disease Control and Prevention (CDC), would be more beneficial than a risk-based screening approach. Given the increased resistance patterns observed in antibiogram results, GBS prophylaxis at delivery, especially in patients with penicillin allergies, should be planned based on antibiotic susceptibility testing.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722961","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":"Current approach to the use of transvaginal mesh systems in pelvic organ prolapse.","authors":"Monika Pycek, Justyna M Zarzecka, Wojciech Majkusiak, Ewa M Barcz, Aneta Zwierzchowska","doi":"10.5603/gpl.101432","DOIUrl":"https://doi.org/10.5603/gpl.101432","url":null,"abstract":"<p><p>Pelvic organ prolapse (POP) involves the descent of vaginal walls, uterus, or vaginal apex. Traditional native tissue repair techniques, while low in complications, exhibit significant relapse rates. To enhance durability of surgical repair, synthetic mesh systems were adopted. However, early generations faced complications such as vaginal mesh exposure and dyspareunia, leading to critical reevaluation and regulatory actions. The Food and Drug Administration issued first warning in 2008 and reclassified mesh as high-risk in 2016, banning it for transvaginal anterior compartment prolapse in 2019. European and Canadian regulations similarly increased scrutiny, with prominent professional organizations and regulatory bodies endorsing limited use and thorough counseling. Subsequent innovations introduced lighter mesh systems with sacrospinous ligament fixation, which improved anatomical outcomes and reduced adverse effects. Recent studies on these systems demonstrate promising success rates, with notable reductions in prolapse recurrence and improved quality of life. Given these developments, current perspectives advocate for selective use of advanced mesh systems in POP surgery, emphasizing rigorous patient selection, informed consent, and meticulous surgical technique. This careful approach, as opposed to a categorical ban, aims to balance the therapeutic benefits with potential risks, ensuring optimized patient outcomes in POP management.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723004","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 in dichorionic diamniotic twin pregnancies: a comparison between assisted reproductive technology and spontaneous conception.","authors":"Gizem Berfin Uluutku Bulutlar, Eralp Bulutlar, Büşra Parlak Somuncu, Çetin Kılıççı, Pınar Kumru","doi":"10.5603/gpl.103514","DOIUrl":"https://doi.org/10.5603/gpl.103514","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate and compare maternal and neonatal outcomes in dichorionic diamniotic (DCDA) twin pregnancies conceived via assisted reproductive technology (ART) versus those conceived spontaneously (SC).</p><p><strong>Material and methods: </strong>This single-center, retrospective cohort study included 852 DCDA twin pregnancies, with 591 conceived spontaneously (SC group) and 261 conceived via ART (ART group). Maternal and neonatal outcomes were extracted from the hospital's automation system and analyzed using statistical methods, including chi-square and Mantel-Haenszel chi-square tests, to account for potential confounding factors.</p><p><strong>Results: </strong>Our findings indicate that ART twin pregnancies have significantly poorer outcomes compared to SC twin pregnancies. The risk of cerclage application is 12.6 times higher in the ART group. Furthermore, ART pregnancies exhibit a 19.2-fold increased risk of intrahepatic cholestasis of pregnancy (ICP). The rates of preterm birth, including late preterm, moderate preterm, very preterm, and extremely preterm, are significantly higher in the ART group. Moreover, ART pregnancies are associated with higher incidences of very low birth weight (VLBW), NICU admissions, and neonatal death. The ART group also experiences significantly higher rates of gestational diabetes mellitus (GDM), pregnancy-induced hypertension (PIH), postpartum hemorrhage, and cesarean section, with postpartum atony occurring 4 times more frequently.</p><p><strong>Conclusions: </strong>Maternal and neonatal outcomes in ART-conceived DCDA twin pregnancies are markedly worse compared to those conceived spontaneously. The observed disparities underscore the necessity for intensive monitoring and tailored management strategies in ART twin pregnancies. Further research is essential to uncover the mechanisms driving these adverse outcomes.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722927","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":"Postpartum emotional disorders - a narrative review.","authors":"Roza Motyka, Urszula Sioma-Markowska","doi":"10.5603/gpl.104124","DOIUrl":"https://doi.org/10.5603/gpl.104124","url":null,"abstract":"<p><p>Emotional disorders during pregnancy and the postpartum period affect many women worldwide and present a significant challenge in perinatal care. The first year after childbirth is particularly demanding for a woman's emotional well-being, asitismarked by profound physical, emotional, and social changes. The aim of this article is to review and compare the latest data on the prevalence, risk factors, and treatment options for baby blues and postpartum depression. For this purpose, the electronic databases - including PubMed, NLM, MDPI, Europe PMC, and Google Scholar - were searched for recent English-language articles with full-text availability. The search terms included: postpartum depression, baby blues, maternity blues, postpartum depression prevalence, postpartum depression risk factors, postpartum depression treatment, online psychotherapy, and postpartum depression covid. The review was compiled and evaluated using SANRA (Scale for the Assessment of Narrative Review Articles).</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722929","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":"Vitamin D and calcium levels related to bone mineral density during pregnancy and postpartum.","authors":"Wiktor Wojczakowski, Konrad Futyma","doi":"10.5603/gpl.102995","DOIUrl":"https://doi.org/10.5603/gpl.102995","url":null,"abstract":"<p><p>Bone mineral density (BMD) is crucial for bone strength, with even a modest decrease significantly elevating fracture risk. Calcium imbalance during pregnancy contributes to BMD loss, as maternal stores are mobilized to support fetal skeletal development. Vitamin D deficiency exacerbates this issue, with prevalence rates alarming in various populations. Supplementation with vitamin D and calcium aims to mitigate BMD decline; however, optimal dosing and efficacy remain debated. Studies utilizing innovative diagnostic tools like radiofrequency echographic multi spectrometry (REMS) and quantitative ultrasonometry (QUS) shed light on BMD changes during pregnancy, offering safer alternatives to traditional methods such as dual-energy X-ray absorptiometry (DEXA), prohibited during pregnancy due to fetal radiation risks. Despite methodological challenges, research reveals significant BMD reductions during pregnancy, particularly in weight-bearing bones. In conclusion, maintaining maternal bone health during pregnancy and postpartum is critical, requiring comprehensive monitoring and support. Further research is needed to elucidate optimal strategies for preserving BMD throughout the reproductive lifespan, reducing fracture risk and enhancing maternal well-being.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722965","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 multiple male and female pregnancy in a patient with stage IV endometriosis undergoing single embryo transfer after IVF-ICSI.","authors":"Piotr Olcha, Lukasz Nowakowski, Lechoslaw Putowski, Iwona Radzik, Michal Ciebiera","doi":"10.5603/gpl.100073","DOIUrl":"https://doi.org/10.5603/gpl.100073","url":null,"abstract":"","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722808","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":"The relationship between major anomalies and chorionicity in twin pregnancies referred for first trimester and second trimester detailed anatomic ultrasonography.","authors":"Ercan Koçkaya, Yasemin Doğan, Abdulkadir Babaoğlu","doi":"10.5603/gpl.102670","DOIUrl":"https://doi.org/10.5603/gpl.102670","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study is to validate the relationship between chorionicity and congenital anomalies.</p><p><strong>Material and methods: </strong>A retrospective analysis twin pregnancies that underwent ultrasonographic fetal anatomy screening in the first or second trimester was conducted. Analyzed variables were, gestational age, chorionicity, presence of major fetal structural anomalies, number of affected fetuses, anomaly type, and use of assisted reproductive techniques (ART).</p><p><strong>Results: </strong>Of the 824 twin pregnancies included in the study, 116 (14%) had major fetal anomalies. The frequency of major fetal structural anomalies was higher in monochorionic (MC) twin pregnancies compared to dichorionic (DC) twin pregnancies (p < 0.001). When anomalies were categorized into cardiac, central nervous system, and other system anomalies, no significant correlation was found between chorionicity and anomaly groups (p = 0.794).</p><p><strong>Conclusions: </strong>In MC twin pregnancies, major fetal structural abnormalities are more prevalent. Prioritizing the evaluation of chorionicity is essential due to the increased risk associated with twin pregnancies.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722963","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}