2024 年的 ANZJOG。

IF 1.4 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Scott W. White
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I wish to diversify the ways in which our community interacts with our publication by providing content which is more accessible in an increasingly media-saturated world and to provide clinical context to the published research, allowing it to drive evidence-based practice at the bedside.</p><p>This issue features several invited editorials to draw attention to current topics of relevance to our field. In the first, a group of world-leading journal editors, led by Vincenzo Berghella, discuss the problem of trustworthiness in women's health and how to address it.<span><sup>1</sup></span> Poor experimental design, flawed statistical analysis, and deliberate research fraud, among other factors, contribute to erroneous conclusions being drawn from published research. 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The National Action Plan aims to address the ongoing challenges in endometriosis care, and RANZCOG has key roles in the Plan, particularly in terms of evidence review, guideline development, and clinical implementation, all of which are currently in progress.</p><p>Kothari <i>et al</i><span><sup>3</sup></span> discuss the importance of considering fathers in maternity care, highlighting the important contributions paternal factors make to fertility, obstetric, perinatal, and longer-term offspring outcomes. This editorial also acknowledges the benefits from paternal involvement in maternity care and also the risks to the father from psychological morbidity related to witnessing obstetric complications and in the potentially stressful period of neonatal family transition. 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Lu <i>et al</i> discuss the barriers to screening for intimate partner violence in pregnancy.<span><sup>4</sup></span> Thomas <i>et al</i> explore the healthcare experiences of LGBTQI individuals assigned female sex at birth, identifying barriers to accessing skilled and sensitive care for this group of the community with unique and varied healthcare needs.<span><sup>5</sup></span> Blazé <i>et al</i> discuss the impact of parental smoking upon breastfeeding, identifying these offspring as doubly disadvantaged by the increased perinatal complications and the missed benefits of breastfeeding, both associated with parental smoking during and after pregnancy.<span><sup>6</sup></span> Lai and Cohn assess the efficacy and safety of early medical abortion in regional primary care, an important body of work given the increasing use of medical approaches to early abortion and the recent Australian changes to mifepristone-misoprostol prescribing restrictions.<span><sup>7</sup></span></p><p>Two articles explore educational interventions in obstetrics and gynaecology. 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引用次数: 0

摘要

欢迎阅读《澳大利亚和新西兰妇产科杂志》第 64 卷。我们已经进入了新的一年,在新的一年里,我们将为2024年的期刊开展大量工作。我希望在这一年里,我们能继续将《澳新妇产科杂志》发展成为临床相关科学文献的主要来源,为临床工作者提供指导,并推动妇产科及相关学科研究人员的工作。我希望通过提供在媒体日益饱和的世界中更容易获取的内容,使我们的社区与我们的刊物互动的方式多样化,并为发表的研究提供临床背景,使其能够推动床旁的循证实践。在第一篇社论中,以 Vincenzo Berghella 为首的一组世界领先期刊编辑讨论了妇女健康领域的可信度问题以及如何解决这一问题。1 实验设计不当、统计分析有缺陷、故意研究造假等因素都会导致从已发表的研究中得出错误的结论。这不仅具有学术意义,有缺陷的研究还会导致不恰当的临床实践,无论是针对单项研究本身,还是针对纳入这些研究的系统综述和荟萃分析,或是基于这些证据制定的临床指南。即使有最健全的同行评审程序,也很难发现蓄意的研究不端行为,但通过适当的研究培训和支持,可以减少不良的研究设计和统计方法错误。子宫内膜异位症是一种常见的、可能使人衰弱的疾病,由于社会对正常疾病的期望,以及对妇女健康的厌女观,这种疾病历来(并可能继续)诊断不足或延误诊断。国家行动计划》旨在应对子宫内膜异位症护理方面持续存在的挑战,新西兰皇家妇产科协会在该计划中发挥了关键作用,尤其是在证据审查、指南制定和临床实施方面,所有这些工作目前都在进行中。Kothari 等人3 讨论了在孕产妇护理中考虑父亲因素的重要性,强调了父亲因素对生育、产科、围产期和后代长期结局的重要贡献。这篇社论也承认了父亲参与孕产妇护理的益处,以及父亲因目睹产科并发症和新生儿家庭过渡时期的潜在压力而产生心理疾病的风险。我们将母亲作为一个独特的个体置于'以妇女为中心的护理'的焦点,这是非常正确的,科塔里等人提出了将这一观点扩展到父亲的理由,可以称之为'以家庭为中心的护理',承认父亲在妊娠和分娩中的特殊地位。很显然,这种模式应包括单身女性、性别和性取向不同的夫妇等在不同个人情况下怀孕、生产和为人父母的人,并为他们提供个性化的服务,而不是助长有问题的异性恋。Lu 等人讨论了妊娠期亲密伴侣暴力筛查的障碍。4 Thomas 等人探讨了出生时被指定为女性的 LGBTQI 人士的医疗保健经历,指出了这一具有独特和不同医疗保健需求的群体在获得熟练和敏感护理方面的障碍。5 Blazé 等人讨论了父母吸烟对母乳喂养的影响,指出父母在怀孕期间和之后吸烟会增加围产期并发症并错过母乳喂养的益处,从而使这些后代处于双重不利地位。Lai 和 Cohn 评估了地区初级保健中早期药物流产的有效性和安全性,鉴于越来越多地使用药物方法进行早期流产,以及澳大利亚最近对米非司酮-米索前列醇处方限制的修改,这是一项重要的工作。第一篇文章由 Medeiros 等人撰写,对围产期死亡管理方面成功的 IMPROVE 计划的在线改编进行了评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ANZJOG in 2024

Welcome to the 64th volume of the Australian and New Zealand Journal of Obstetrics and Gynaecology. We are now well into a new year which brings much work to progress for our Journal in 2024. It is my hope that during this year we will continue to grow ANZJOG as a leading source of clinically relevant scientific literature, providing guidance to those in clinical roles and driving the work of those undertaking research in obstetrics and gynaecology and related disciplines. I wish to diversify the ways in which our community interacts with our publication by providing content which is more accessible in an increasingly media-saturated world and to provide clinical context to the published research, allowing it to drive evidence-based practice at the bedside.

This issue features several invited editorials to draw attention to current topics of relevance to our field. In the first, a group of world-leading journal editors, led by Vincenzo Berghella, discuss the problem of trustworthiness in women's health and how to address it.1 Poor experimental design, flawed statistical analysis, and deliberate research fraud, among other factors, contribute to erroneous conclusions being drawn from published research. This is not just of academic significance, with flawed studies contributing to inappropriate clinical practice, either in response to the individual studies themselves, to the systematic reviews and meta-analyses in which they are included, or to the clinical guidelines developed based on this evidence. Deliberate research misconduct is difficult to detect even with the most robust peer-review processes, but poor research design and statistical methodology errors can be reduced with appropriate research training and support, a task for those of us in senior academic positions to take on and implement.

Endometriosis remains a topical and potentially contentious issue, and Jason Abbott reflects on the Australian National Action Plan in his editorial discussing recent achievements and the remaining challenges in this area.2 Endometriosis is a common and potentially debilitating condition which has traditionally been (and may continue to be) underdiagnosed or delayed in diagnosis due to societal expectations of what is normal, steeped in what was a misogynistic view of women's health. The National Action Plan aims to address the ongoing challenges in endometriosis care, and RANZCOG has key roles in the Plan, particularly in terms of evidence review, guideline development, and clinical implementation, all of which are currently in progress.

Kothari et al3 discuss the importance of considering fathers in maternity care, highlighting the important contributions paternal factors make to fertility, obstetric, perinatal, and longer-term offspring outcomes. This editorial also acknowledges the benefits from paternal involvement in maternity care and also the risks to the father from psychological morbidity related to witnessing obstetric complications and in the potentially stressful period of neonatal family transition. We have, quite rightly, placed the mother as a unique individual at the focal point of ‘woman-centred care’, and Kothari et al make the case for expanding this to include fathers in what could be termed ‘family-centred care’, acknowledging the special status of fathers in pregnancy and birth. It is also clear that such models should encompass and be individualised for those navigating pregnancy, birth, and parenthood in various personal circumstances such as single women and gender and sexually diverse couples rather than contribute to problematic heteronormativity.

This issue has several articles relating to public health and equitable access to health care. Lu et al discuss the barriers to screening for intimate partner violence in pregnancy.4 Thomas et al explore the healthcare experiences of LGBTQI individuals assigned female sex at birth, identifying barriers to accessing skilled and sensitive care for this group of the community with unique and varied healthcare needs.5 Blazé et al discuss the impact of parental smoking upon breastfeeding, identifying these offspring as doubly disadvantaged by the increased perinatal complications and the missed benefits of breastfeeding, both associated with parental smoking during and after pregnancy.6 Lai and Cohn assess the efficacy and safety of early medical abortion in regional primary care, an important body of work given the increasing use of medical approaches to early abortion and the recent Australian changes to mifepristone-misoprostol prescribing restrictions.7

Two articles explore educational interventions in obstetrics and gynaecology. The first, by Medeiros et al, evaluates the online adaptation of the successful IMPROVE program for the management of perinatal deaths.8 The second, by Obermair et al, reports a pilot trial of a surgical training program in total laparoscopic hysterectomy, providing important insights into the capacity to acquire new surgical skills outside of specialist or fellowship training positions.9

I trust that you will find these and the other articles interesting. I wish you all the best for a successful new year and look forward to your continued support of ANZJOG in 2024.

The author reports no conflicts of interest.

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来源期刊
CiteScore
3.40
自引率
11.80%
发文量
165
审稿时长
4-8 weeks
期刊介绍: The Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG) is an editorially independent publication owned by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and the RANZCOG Research foundation. ANZJOG aims to provide a medium for the publication of original contributions to clinical practice and/or research in all fields of obstetrics and gynaecology and related disciplines. Articles are peer reviewed by clinicians or researchers expert in the field of the submitted work. From time to time the journal will also publish printed abstracts from the RANZCOG Annual Scientific Meeting and meetings of relevant special interest groups, where the accepted abstracts have undergone the journals peer review acceptance process.
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