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MedWorm.com provides a medical RSS filtering service. Over 7000 RSS medical sources are combined and output via different filters. This feed contains the latest news and research in OBGYN



Last Build Date: Sun, 27 Mar 2016 23:44:04 +0100

 



Development and validation of a surgical-pathologic staging and scoring system for cervical cancer.

Sun, 27 Mar 2016 05:28:02 +0100

CONCLUSIONS: Surgical-pathologic staging and SPSs improve characterization of tumor severity and disease invasion, which may more accurately predict outcome and guide postoperative therapy. PMID: 27014971 [PubMed - as supplied by publisher] (Source: Oncotarget)

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Association of OHVIRA syndrome with aortic stenosis and block vertebra: A case report and anaesthetic management.

Sun, 27 Mar 2016 03:07:01 +0100

Authors: Goswami D, Sharma A, Vyas V, Vasudevan B PMID: 27013360 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)



Differential effects of cigarette smoking on birth weight by maternal body mass index.

Sun, 27 Mar 2016 03:07:01 +0100

This study further develops those relationships. In particular, this article analyses whether high maternal weight acts to dampen the previously established link between tobacco exposure and low birth weight. A retrospective cohort study was undertaken, reviewing the birth weights of 13,473 live singleton pregnancies born at a Sydney regional hospital between 1998 and 2003. Results demonstrated a statistically significant decline in reduced birth weight as BMI increased. That is, as body weight increases, tobacco use has a smaller effect on reducing birth weight. Inversely, the effect on reducing birth weight for each cigarette smoked by leaner women was greater. In effect, the adverse influence of tobacco use on birth weight appears to be modulated by increasing maternal BMI. PMID: 27...



Is there a correlation between aberrant embryonic crown-rump length growth velocities and subsequent birth weights?

Sun, 27 Mar 2016 03:07:01 +0100

In this study, we tested the hypothesis that anomalous first trimester growth affects birth weight. Four hundred and fifteen women with viable singleton pregnancies at the primary transvaginal scan who had at least two crown rump length (CRL) and birth weight data were included. A linear mixed model was fitted to the Box-Cox transformed CRL values to evaluate the association between the GA and the embryonic growth. For multivariate analysis we included maternal age, height, weight, parity, number of miscarriages, vaginal bleeding, smoking, foetal gender, birth weight, small-for-gestation (SGA) and large-for gestation (LGA) categories at delivery. Smoking appeared to be significant for predicting the initial CRL from the beginning of the pregnancy (p value = 0.013). The SGA foetuses app...

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Cervical ripening balloon: A successful treatment for massive bleeding in cervical pregnancy.

Sun, 27 Mar 2016 03:07:01 +0100

Authors: Turgal M, Aydin E, Kender N, Tuncer ZS PMID: 27013222 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)



Arabin cervical pessary to prevent preterm birth in twin pregnancies with short cervix.

Sun, 27 Mar 2016 03:07:01 +0100

Authors: Di Tommaso M, Seravalli V, Arduino S, Bossotti C, Sisti G, Todros T Abstract A retrospective study was conducted to evaluate the effect of Arabin cervical pessary in twin pregnancies with cervical length (CL)  <25 mm between 21 and 31 weeks. Forty patients receiving pessary were matched with 40 controls without pessary. They were matched for gestational age (GA) at admission and CL. GA at delivery, delivery before 36, 34 and 32 weeks, latency between detection of short cervix and delivery, and duration of hospital admission were compared between groups. Women with the pessary delivered at higher GA compared to controls (35 vs. 33 weeks, p = 0.02). Cervical pessary significantly reduced the incidence of delivery  <36 and  < 34 weeks (p < 0.05),...



Monochorionic versus dichorionic twins: Are obstetric outcomes always different?

Sun, 27 Mar 2016 03:07:01 +0100

Authors: Coutinho Nunes F, Domingues AP, Vide Tavares M, Belo A, Ferreira C, Fonseca E, Moura P Abstract This prospective cohort study compared obstetric, perinatal and postpartum outcomes of monochorionic diamniotic (n = 228) versus (vs.) dichorionic (n = 598) twin pregnancies. Statistical analysis was performed using software SPSS® v19.0.0.2. Chi square, Fischer's exact, Student's t and Mann-Withney tests were applied. Obstetrical complications rates were 85.5% vs. 75.1% (p < 0.01). Differences were found in preterm premature rupture of membranes (26.3% vs. 19.3%, p < 0.05) and intrauterine growth restriction (19.7% vs. 10.5%, p < 0.01). Twin-to-twin transfusion syndrome (TTTS) occurred in 7.9% of monochorionic pregnancies. Vaginal delivery occurred ...



Leptin, IL-6 and TNF-α levels in umbilical cord blood of healthy term newborns in relation to mode of delivery.

Sun, 27 Mar 2016 03:07:01 +0100

Authors: Treviño-Garza C, Villarreal-Martínez L, Estrada-Zúñiga CM, Leal-Treviño M, Rodríguez-Balderrama I, Nieto-Sanjuanero A, Cárdenas-Del Castillo B, Montes-Tapia FF, de la O-Cavazos M Abstract In the development of the foetal immune system, cytokines play an important role in its function. Therefore, we sought to determine whether the mode of delivery affects the expression of leptin, IL-6 and TNF-α in umbilical cord blood in healthy term newborns. We collected 125 samples of umbilical cord blood to analyse leptin, IL-6 y TNF-α levels with multiplex immunoassay (MIA). The samples were classified according to mode of delivery: vaginal delivery (VD) and caesarean section (CS). Leptin and IL-6 had higher concentrations in umbilical cord blood in VD than in CS: 42.55 ng/...



Eye care services utilisation among pregnant women in Nigeria.

Sun, 27 Mar 2016 03:07:01 +0100

Authors: Ibraheem WA, Ibraheem AB, Owonikoko M, Tijani A, Olamoyegun MA, AbdSalam S Abstract One hundred and sixty-five pregnant Nigerian women attending the antenatal clinic of LAUTECH teaching hospital, Ogbomoso, Nigeria between January and April 2014 were interviewed using a structured questionnaire. Socio-demographic characteristics of the respondents were obtained. Respondents were also asked: if they had had their eye examined by an eye specialist during the index pregnancy, frequencies of visit to eye care centers and indications for their visitation. A history of previous eye examination by eye care specialist/visit to eye clinic was considered as eye care utilisation. Selection of eligible subjects who consented to participate in the study was done using simple random tech...

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Should we interpret the results of 'two-step' glucose screening again according to the obstetric outcomes?

Sun, 27 Mar 2016 03:07:01 +0100

Authors: Seval MM, Cavkaytar S, Atak Z, Cagman M Abstract We aimed to re-evaluate the 'two-step' antenatal glucose screening programme in relation to maternal and foetal outcomes in pregnant women screened for gestational diabetes mellitus and to compare maternal and foetal outcomes between different groups divided according to glucose tolerance test results. Two-thousand four-hundred and two pregnant women attending for antenatal care were recruited retrospectively for the study. Mean birthweight for pregnancies with single-value abnormality (SVA) in 100-g oral glucose tolerance test (OGTT) was significantly higher than the control group [3420 ± 378 vs. 3294 ± 444]. We found a significantly higher rate of macrosomia in the subgroup of 50-g glucose challenge test (GCT) be...



An evaluation of the guidelines of the Society of Obstetricians and Gynaecologists of Canada.

Sun, 27 Mar 2016 03:07:01 +0100

Authors: Ghui R, Bansal JK, McLaughlin C, Kotaska A, Lokugamage A Abstract Clinical practice guidelines hope to offer unbiased, evidence-based guidance for clinicians. This paper examines levels of evidence contained within the guidelines of the Society of Obstetricians and Gynaecologists of Canada and compares classification of the recommendation (CoR) A/B/C/D/E/L (derived from evidence and consensus) versus quality of evidence assessment (QoEA) I-III. 1250 recommendations were analysed and 43% of recommendations were graded as "good" evidence, the highest grade of CoR, while just 24.6% of recommendations were based on the highest level of QoEA (level I). The paper discusses possible reasons for this discrepancy. The authors hope that this analysis promotes greater transparency in...



Medical termination of pregnancy after endometrial ablation resulting in uterine rupture.

Sun, 27 Mar 2016 03:07:01 +0100

Authors: Finneran M, Temming L, Stephenson C PMID: 27012735 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)



Shear wave elastography of the placenta in patients with gestational diabetes mellitus.

Sun, 27 Mar 2016 03:07:01 +0100

Authors: Yuksel MA, Kilic F, Kayadibi Y, Alici Davutoglu E, Imamoglu M, Bakan S, Mihmanli I, Kantarci F, Madazli R Abstract To evaluate placental elasticty in women with gestational diabetes mellitus (GDM) and non-diabetic controls. Thirty-three pregnant women with GDM according to the current criteria of the American Diabetes Association and 43 healthy pregnant women who were admitted to the antenatal clinic were recruited for this case-control study. Elasticity values of both the peripheral and the central parts of the placentas of the patients in both groups were determined by shear wave elastography (SWE) imaging. Mean elasticity values of both the central and the peripheral part of the placentas were significantly higher in GDM pregnancies (p < 0.001). No difference was...



A 5-year experience of the changing management of ectopic pregnancy.

Sun, 27 Mar 2016 03:07:01 +0100

Authors: Berry J, Davey M, Hon MS, Behrens R Abstract This retrospective audit reviewed all ectopic pregnancies over a 5-year period in a district general hospital setting. Of 215 ectopic pregnancies identified, notes were available for 208 (97%). 202 cases were determined to have been diagnosed and managed as ectopic pregnancies. Six cases were excluded as they were pregnancies of unknown location managed as such. The proportion of patients managed non-surgically has increased following the introduction of our consultant-led early pregnancy assessment unit from 25% prior to 31% currently. The success rates have improved in both those managed expectantly (50%-73%) and those with methotrexate (75%-90%). There has been a corresponding drop in those managed surgically from 75% to 69%,...

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A rare case of rhombencephalosynapsis and prenatal diagnosis.

Sun, 27 Mar 2016 03:07:01 +0100

Authors: Arisoy R, Erdogdu E, Pekin O, Tugrul S, Aydin H, Yorganci C PMID: 27012487 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)



A case of choriocarcinoma with concurrent rare presentations: Spontaneous uterine rupture and extensive thoracic spine metastases.

Sun, 27 Mar 2016 03:07:01 +0100

Authors: Hashemi SM, Derakhshandi H, Fazeli SA, Sanei Sistani S, Amirifard H PMID: 27012373 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)



New findings in fetal valproate syndrome: hiatal hernia, gastric volvulus and ectopic kidney.

Sun, 27 Mar 2016 03:07:01 +0100

Authors: Arman D, Sancak S, Topcuoglu S, Karatekin G PMID: 27012229 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)



Importance of cervical length in dysmenorrhoea aetiology.

Sun, 27 Mar 2016 03:07:01 +0100

The objective of this prospective case-control study was to determine whether uterine corpus and cervical length measurements have a role in dysmenorrhoea aetiology in virgins. Patients with severe primary dysmenorrhoea with visual analog scale scores of ≥7 composed the dysmenorrhoea group (n = 51), while the control group (n = 51) was of women with painless menstrual cycles or with mild pain. Longitudinal and transverse axes of the uterine cervix and uterine corpus were measured. Correlation between severity of dysmenorrhoea and uterine cervix and corpus axes was calculated. Longitudinal and transverse axes of uterine cervix as well as uterine cervix volume were significantly higher in the dysmenorrhoea group compared to the controls. There was a significant positive correlation...



Ultrasound diagnosis of uterine myomas.

Sat, 26 Mar 2016 17:33:02 +0100

Authors: Fascilla FD, Cramarossa P, Cannone R, Olivieri C, Vimercati A, Exacoustos C Abstract Myomas represent a large part of benign gynecological pathology, widely spread in fertile female population. First step to diagnose fibroids is ultrasound (US) that can be 2-dimensional (2D), 3-dimensional (3D), Color Doppler (CD) and sonohysterography (SHG). This review develops according to MUSA's sonographic features (Morphological Uterus Sonographic Assessment). One of the main topic of interest for ultrasonographer today is endo/myometrial Junctional Zone (JZ) because it may be useful to discern a diagnosis of myoma and adenomyosis. Another important aspect of ultrasound is the analysis of vasculariza- tion in front of an uterine lesion. Indeed, vascular pattern can be used to make di...

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Preventing Transmission of Zika Virus in Labor and Delivery Settings Through Implementation of Standard Precautions - United States, 2016.

Sat, 26 Mar 2016 14:09:02 +0100

Authors: Olson CK, Iwamoto M, Perkins KM, Polen KN, Hageman J, Meaney-Delman D, Igbinosa II, Khan S, Honein MA, Bell M, Rasmussen SA, Jamieson DJ Abstract Zika virus transmission was detected in the Region of the Americas (Americas) in Brazil in May 2015, and as of March 21, 2016, local mosquito-borne transmission of Zika virus had been reported in 32 countries and territories in the Americas, including Puerto Rico and the U.S. Virgin Islands.* Most persons infected with Zika virus have a mild illness or are asymptomatic. However, increasing evidence supports a link between Zika virus infection during pregnancy and adverse pregnancy and birth outcomes (1), and a possible association between recent Zika virus infection and Guillain-Barré syndrome has been reported (2). Although Zik...



10-Second Answers To This Week's Pressing Health Questions

Sat, 26 Mar 2016 11:45:34 +0100

ICYMI Health features what we're reading this week. This week, we sought out simple answers to tough health questions. While such questions require a degree of nuance -- if they didn't, they wouldn't be tough, right? -- consider this an at-a-glance jumping off point to explore the research in more detail.    Read on and tell us in the comments: What did you read and love this week? Q: How can we reduce the United States' high C-section rate?  A: Give women more time to push. According to a study published in the American Journal of Obstetrics and Gynecology in March, giving women just one more hour to push during the second stage of labor cut the C-section rate of the 78 first-time moms in the study by half.   While the study was limited to women who'd receive...



Perinatal Backgrounds and NICU Bed Occupancy of Multiple-Birth Infants in Japan.

Sat, 26 Mar 2016 10:06:02 +0100

Authors: Koshida S, Ono T, Tsuji S, Murakami T, Takahashi K Abstract Multiple pregnancies (twin, triplet, and higher-order pregnancy) are associated with an increased risk of resultant preterm and low birth weight infants. The increase of multiple pregnancies for several decades in Japan has been an important consideration in bed allocation planning for neonatal intensive care unit (NICU). The guideline of the Japan Society of Obstetrics and Gynecology (JSOG) in 2008 recommended that embryo transfer be limited to one. The epidemiological data of Japanese regional multiple pregnancies before the JSOG recommendation are valuable in assessing the perinatal effects after this recommendation. The aim of this study was to investigate regional backgrounds of multiple pregnancies and neona...

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The 2015 ISSVD Terminology of Vulvar Squamous Intraepithelial Lesions: Erratum

Sat, 26 Mar 2016 08:13:16 +0100

No abstract available (Source: Journal of Lower Genital Tract Disease)



Vaginal Stenosis After Gonadotropin-Releasing Hormone Agonist Therapy During Treatment for Acute Lymphoblastic Leukemia

Sat, 26 Mar 2016 08:13:16 +0100

Abstract: A 26-year-old patient with a history of chemotherapy for acute lymphoblastic leukemia presented with secondary amenorrhea and cyclic abdominal pain, and she was found to have vaginal stenosis due to adhesion of vaginal wall. The cause of the adhesion was considered to be vaginal inflammation induced by anticancer agents themselves. It was also considered that poor estrogenization of vaginal mucosa as a result of gonadotropin-releasing hormone agonist therapy, conducted for ovarian protection during chemotherapy, might have exacerbated it. Because it is more likely than ever for us to encounter patients who will undertake or had undertaken chemotherapy with gonadotropin-releasing hormone agonist therapy, keen observation and proper intervention would be important. (Source: Journal...






Metastatic Genital Tract Adenocarcinoma to the Vulva: A Rare Occurrence Presenting as Painful Vulvar Enlargement

Sat, 26 Mar 2016 08:13:16 +0100

No abstract available (Source: Journal of Lower Genital Tract Disease)



Toker Cells in an Erythematous Vulva From the Case Consultation Committee of the International Society for the Study of Vulvovaginal Disease

Sat, 26 Mar 2016 08:13:16 +0100

No abstract available (Source: Journal of Lower Genital Tract Disease)

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Glomus Tumor Excision With Clitoral Preservation

Sat, 26 Mar 2016 08:13:16 +0100

No abstract available (Source: Journal of Lower Genital Tract Disease)



A Common Clinical Dilemma: Management of Abnormal Vaginal Cytology and Human Papillomavirus Test Results

Sat, 26 Mar 2016 08:13:15 +0100

Conclusions: Vaginal cancer is rare, and asymptomatic low-risk women should not be screened. An algorithm based on expert opinion is proposed for managing women with abnormal vaginal test results. (Source: Journal of Lower Genital Tract Disease)



2015 ISSVD, ISSWSH, and IPPS Consensus Terminology and Classification of Persistent Vulvar Pain and Vulvodynia

Sat, 26 Mar 2016 08:13:15 +0100

Conclusions: In 2015, the International Society for the Study of Vulvovaginal Disease, International Society for the Study of Women's Sexual Health, and International Pelvic Pain Society adopted a new vulvar pain and vulvodynia terminology that acknowledges the complexity of the clinical presentation and pathophysiology involved in vulvar pain and vulvodynia, and incorporates new information derived from evidence-based studies conducted since the last terminology published in 2003. (Source: Journal of Lower Genital Tract Disease)



A Cross-Sectional Study of Human Papillomavirus Vaccine Utilization Among University Women: The Role of Ethnicity, Race, and Risk Factors

Sat, 26 Mar 2016 08:13:15 +0100

Conclusions: Human papillomavirus vaccine is highly acceptable among college women, particularly among Hispanic women. Efforts to vaccinate should include time of college enrollment. Such efforts are critical for the large scale prevention of cervical cancer and its precursor lesions and ultimately for preventable cervical cancer mortality. (Source: Journal of Lower Genital Tract Disease)



Barriers to Cervical Cancer Screening in Geneva (DEPIST Study)

Sat, 26 Mar 2016 08:13:15 +0100

Conclusions: Practical considerations seem to play a more important role in screening participation than emotional reasons and other beliefs. Particular attention should be paid to immigrant communities, where women seem more likely to skip cervical screening. (Source: Journal of Lower Genital Tract Disease)

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A Randomized Trial of Human Papillomavirus Self-Sampling as an Intervention to Promote Cervical Cancer Screening Among Women With HIV

Sat, 26 Mar 2016 08:13:15 +0100

Conclusions: The intervention did not improve cytology test attendance, although education about HPV and cervical cancer risk as part of study procedures was associated with testing for 35% of this group of women whose previous cytology occurred an average of 3.6 years before the baseline appointment. Self-sampling for HPV testing was feasible. (Source: Journal of Lower Genital Tract Disease)



Introducing a High-Risk HPV DNA Test Into a Public Sector Screening Program in El Salvador

Sat, 26 Mar 2016 08:13:15 +0100

Conclusions: Women in the CM arm were less likely to complete care than women in the ST arm. Targeted outreach to underscreened women successfully identified women with higher prevalence of HPV and possibly higher disease burden. (Source: Journal of Lower Genital Tract Disease)



Performance of an Human Papillomavirus Test in Samples From Women With Histolopathologically Confirmed Invasive Cervical Cancer

Sat, 26 Mar 2016 08:13:15 +0100

Conclusions: With a sensitivity of 94% of the first HPV test, 6 of 100 cervical cancers will be missed if this was the only test used in a population screening program. The missed cancers were however all clinically detectable. (Source: Journal of Lower Genital Tract Disease)



Comparison of Colposcopic Impression Based on Live Colposcopy and Evaluation of Static Digital Images

Sat, 26 Mar 2016 08:13:15 +0100

Conclusions: Colposcopic impressions of acetowhitening or worse are highly sensitive for identifying cervical precancers and reproducible on static image-based pattern recognition. (Source: Journal of Lower Genital Tract Disease)



Association of Cervical Microglandular Hyperplasia With Exogenous Progestin Exposure

Sat, 26 Mar 2016 08:13:15 +0100

Conclusions: Our data show that a significantly higher percentage of women with microglandular hyperplasia had progestin exposure than women who do not exhibit this benign lesion. Clinicians and pathologists should be aware of this association, as well as the benign nature of the lesion. (Source: Journal of Lower Genital Tract Disease)

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HPV-Associated Atypical Mitotic Figures in Squamous Intraepithelial Lesions of the Lower Female Genital Tract

Sat, 26 Mar 2016 08:13:15 +0100

Conclusions: HAM was useful to confirm SIL, but the incidence was too low for absence to exclude SIL. Although HAM are more common in HSIL, they cannot be relied upon to distinguish HSIL from LSIL. The dot form of HAM is less reliable than the rod form, as extra dots of chromosomes may be occasionally seen in differentiated VIN and rarely seen in normal proliferative endometrium. (Source: Journal of Lower Genital Tract Disease)



Spray Versus Forced Coagulation in Large Loop Excision of the Transformation Zone: A Randomized Trial

Sat, 26 Mar 2016 08:13:15 +0100

Conclusions: Spray coagulation is superior to forced coagulation in women undergoing LLETZ and should be used as the standard approach. (Source: Journal of Lower Genital Tract Disease)



Distinguishing Erosive Lichen Planus From Differentiated Vulvar Intraepithelial Neoplasia

Sat, 26 Mar 2016 08:13:15 +0100

Conclusions: A small subset of clinically diagnosed vulvovaginal erosive LP will show on histopathology a regenerative erosive vulvitis with loss of epithelial maturation and nuclear changes, which requires clinicopathologic correlation to distinguish from dVIN. (Source: Journal of Lower Genital Tract Disease)



Vulvar Lichen Sclerosus and Neoplastic Transformation: A Retrospective Study of 976 Cases

Sat, 26 Mar 2016 08:13:15 +0100

Conclusions: Vulvar lichen sclerosus has a nonnegligible risk of neoplastic transformation and requires a careful and lifelong follow-up in all patients, particularly in elderly women. Early clinical and histological detection of preinvasive lesions is essential to reduce the risk of vulvar cancer. (Source: Journal of Lower Genital Tract Disease)



Surgical Treatment of Paget Disease of the Vulva: Prognostic Significance of Stromal Invasion and Surgical Margin Status

Sat, 26 Mar 2016 08:13:15 +0100

Conclusions: The rate of recurrence of the disease after therapy is high. Patients should be subjected to a close and long-term follow-up to identify those who must undergo further treatment, especially if they presented with an invasive or even microinvasive disease. A free margin of no greater than 1 to 2 cm might be the most appropriate surgical choice. (Source: Journal of Lower Genital Tract Disease)

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When Should Endocervical Curettage Be Done?

Sat, 26 Mar 2016 08:13:15 +0100

No abstract available (Source: Journal of Lower Genital Tract Disease)



What You Should Know When Your OBGYN Suggests...

Fri, 25 Mar 2016 23:00:00 +0100

(Source: About.com Cervical Cancer)



Reduced Levels of Genital Tract Immune Biomarkers in Postmenopausal Women: Implications for HIV Acquisition

Fri, 25 Mar 2016 23:00:00 +0100

Rates of HIV infections are increasing in older adults. Although it is known that the HIV/AIDS epidemics affects women disproportionately, little is known regarding immune functions in the genital tract of postmenopausal women, as relevant to HIV susceptibility. (Source: American Journal of Obstetrics and Gynecology)



Pregnancy-associated homicide and suicide in 37 US states with enhanced pregnancy surveillance

Fri, 25 Mar 2016 23:00:00 +0100

Pregnant and postpartum women may be at increased risk of violent death including homicide and suicide relative to non-pregnant women, but US national data have not been reported since implementation of enhanced mortality surveillance. (Source: American Journal of Obstetrics and Gynecology)

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Gastroschisis: Epidemiology and Mode of Delivery, 2005-2013

Fri, 25 Mar 2016 23:00:00 +0100

Gastroschisis is a severe congenital anomaly the etiology of which is unknown. Research evidence supports attempted vaginal delivery for pregnancies complicated by gastroschisis in the absence of obstetric indications for cesarean delivery. (Source: American Journal of Obstetrics and Gynecology)



Clinical feasibility of Axillary Reverse Mapping and its influence on breast cancer related lymphedema: a systematic review

Fri, 25 Mar 2016 23:00:00 +0100

Publication date: May 2016 Source:European Journal of Obstetrics & Gynecology and Reproductive Biology, Volume 200 Author(s): Nick Gebruers, Wiebren A.A. Tjalma Breast cancer is the most common malignancy in women worldwide. Fortunately, the overall survival is good. Therefore it is important to focus on the morbidities related to breast cancer treatment. One of the most dreaded morbidities is lymphedema. In 2007 the Axillary Reverse Mapping (ARM) was introduced to limit the invasiveness in the axilla during breast cancer surgery. It is hypothesized that ARM is able to limit the incidence of breast cancer related lymphedema (BCRL) considerably. This systematic review aims to answer the following research questions: (1) which approaches for ARM are described? (2) Is ARM surgical...



Anti-M Alloimmunization in Pregnancy: An Unusual Cause of Bad Obstetric History

Fri, 25 Mar 2016 23:00:00 +0100

(Source: The Journal of Obstetrics and Gynecology of India)



McCune Albright Syndrome from Gynaecological Perspective

Fri, 25 Mar 2016 23:00:00 +0100

(Source: The Journal of Obstetrics and Gynecology of India)



CDC updates advice on preventing sexual transmission of Zika virus

Fri, 25 Mar 2016 21:37:15 +0100

Men potentially exposed to Zika virus should use a condom during all sex or abstain from sex for at least 8 weeks, according to new recommendations from the Centers for Disease Control and Prevention... (Source: Ob.Gyn. News)

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Liberia: Juli Endee Identifies With Triplet Mother

Fri, 25 Mar 2016 16:23:36 +0100

[NEWS] A 32-year old woman who recently gave birth to a triplet at the Lucanus Clinic located in the Tusafield Community in New Georgia said she's breathing a sigh of relief after Cultural Ambassador Juli Endee Thursday made substantial contributions toward her medical bill, as well as the welfare of the children. (Source: AllAfrica News: Pregnancy and Childbirth)



'Tandem balloon tamponade' for arterial bleeding from the uterine fundus: two case reports.

Fri, 25 Mar 2016 15:12:02 +0100

Authors: Higashiyama N, Kondoh E, Ueda A, Baba T, Mogami H, Kawasaki K, Chigusa Y, Konishi I PMID: 27002785 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)



Optimising the diagnosis of ectopic pregnancy.

Fri, 25 Mar 2016 15:12:02 +0100

This study found that the introduction of a dedicated, multi-professional, EPAU with a stable workforce improved ultrasound visualisation of ectopic pregnancies at first ultrasound scan from 22% prior to its commencement, to 61% over this period. The improvement in positive scan diagnosis of ectopic pregnancy was associated with a reduction in negative laparoscopy rate from 13% to 6%. PMID: 27002651 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology)



Efficacy of L-arginine for preventing preeclampsia in high-risk pregnancies: A double-blind, randomized, clinical trial.

Fri, 25 Mar 2016 15:08:02 +0100

CONCLUSION: L-arginine is effective for preventing preeclampsia. PMID: 27003763 [PubMed - as supplied by publisher] (Source: Hypertension in Pregnancy)



Maternal blood pressures during pregnancy and the risk of delivering a small-for-gestational-age neonate.

Fri, 25 Mar 2016 15:08:02 +0100

CONCLUSION: Blood pressure improvement throughout pregnancy decreases the preeclampsia rate without increasing SGA frequency. Theoretical risks of fetal growth delay should not prevent investigations into improved maternal blood pressure control, possibly at thresholds lower than commonly used in obstetric practice, beginning in the first trimester of pregnancy. PMID: 27003637 [PubMed - as supplied by publisher] (Source: Hypertension in Pregnancy)



Serum nitrate and NOx levels in preeclampsia are higher than in normal pregnancy.

Fri, 25 Mar 2016 15:08:02 +0100

CONCLUSION: Increase of NO was observed in preeclampsia women. Failure in the mechanism of action, dependent on cyclic GMP, may justify this finding. PMID: 27003519 [PubMed - as supplied by publisher] (Source: Hypertension in Pregnancy)



Variations of malondialdehyde in pre-eclampsia.

Fri, 25 Mar 2016 15:08:02 +0100

Authors: Khoubnasabjafari M, Ansarin K, Jouyban A Abstract Malondialdehyde, as a biomarker of oxidative stress in pre-eclampsia, is discussed in terms of the determination methods, the validity of the obtained data, and variations in different studies, and it is concluded that there is a need for re-validation of the analytical methods and re-evaluation of its role as a biomarker of oxidative stress. PMID: 27002362 [PubMed - as supplied by publisher] (Source: Hypertension in Pregnancy)

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Morphometrical analysis of placental functional efficiency in normotensive versus preeclamptic South African black women.

Fri, 25 Mar 2016 15:08:02 +0100

CONCLUSION: This study demonstrates reduced placental morphometrics with impaired placental efficiency in preeclampsia. PMID: 27002286 [PubMed - as supplied by publisher] (Source: Hypertension in Pregnancy)



Antepartum surgical management of Pott’s paraplegia along with maintenance of pregnancy during second trimester

Fri, 25 Mar 2016 13:25:05 +0100

Conclusion Although this is only a single case but being the first to our knowledge, the good results highlight the point that both surgical management and maintenance of pregnancy during second trimester complicated by Pott’s paraplegia are possible, involving a multi-disciplinary team approach for optimal maternal and fetal outcome. (Source: European Spine Journal)



Nigeria: Reducing Maternal, Child Mortality in Nigeria

Fri, 25 Mar 2016 10:19:56 +0100

[This Day] With Nigeria losing an estimated 2,300 children under the age of five and 145 women of child bearing age every single day, and accounting for the second largest number of maternal and child deaths in the world, Martins Ifijeh writes on the recent efforts by stakeholders to reduce the deaths. (Source: AllAfrica News: Pregnancy and Childbirth)



Nigeria: Ningi VVF Centre Treats Over 400 Patients

Fri, 25 Mar 2016 08:00:12 +0100

[Daily Trust] Bauchi -The National Obstetrics Fistula Centre in Ningi, Bauch State, has carried out corrective surgeries on over 400 patients within the last two years. (Source: AllAfrica News: Health and Medicine)



Procedures of cervical conization: a national survey among Italian colposcopy units.

Fri, 25 Mar 2016 05:38:02 +0100

CONCLUSIONS: The administrative regimen in which conizations are performed is an expression of behaviors of different health authorities and hospitals in relation to the costs that this procedure entails. PMID: 27008241 [PubMed - in process] (Source: Minerva Ginecologica)

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Office hysteroscopy: an update.

Fri, 25 Mar 2016 05:38:02 +0100

Authors: Petraglia F, Luisi S PMID: 27008240 [PubMed - in process] (Source: Minerva Ginecologica)



Delivery after external cephalic version, is there an increased rate of cesarian section?

Fri, 25 Mar 2016 05:38:02 +0100

CONCLUSIONS: Deliveries following a successful ECV are associated with an increased CS rate compared with deliveries of fetuses with spontaneous cephalic presentations. PMID: 27008239 [PubMed - in process] (Source: Minerva Ginecologica)



Enhanced oral bioavailability of a novel folate salt: comparison with folic acid and a calcium folate salt in a pharmacokinetic study in rats.

Fri, 25 Mar 2016 05:38:02 +0100

CONCLUSIONS: Quatrefolic® has demonstrated an enhanced oral bioavailability in comparison to other reduced folates and to folic acid in rats. PMID: 27008238 [PubMed - in process] (Source: Minerva Ginecologica)



Resectoscopic myomectomy.

Fri, 25 Mar 2016 05:38:02 +0100

Authors: Mazzon I, Bettocchi S, Fascilla F, DE Palma D, Palma F, Zizolfi B, DI Spiezio Sardo A Abstract Hysteroscopic myomectomy currently is the 'gold standard' procedure for treating submucous myoma and represents an effective and safe solution to abnormal uterine bleeding and infertility myoma-related.Severalstudiedhaveshownthat,inthecaseofsubmucousmyomas, resectoscopic myomectomy has several advantages compared with the traditional surgical treatment of myomectomy by laparotomy, in terms of reduced myometrial trauma, shorter hospitalization times and decreased risk of postoperative adhesion formation. The aim of this paper is to describe the alternative techniques, currently available, of resectoscopic myomectomy. The choice of the procedure mostly depends on the intramural ext...

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Current trends and controversies in reproductive surgery.

Fri, 25 Mar 2016 05:38:02 +0100

Authors: Choussein S, Hariton E, Bortoletto P, Gargiulo A Abstract Even in the context of the expansion of assisted reproductive technologies (ART), reproductive surgery continues to fulfill its deserved place in the arsenal of fertility treatments. Rather than being competitive, these two avenues of treatment can optimize fertility care when utilized as an adjunct to one another. Surgical indications and techniques in modern reproductive surgery continue to evolve based on new information about the effects of pelvic pathology on infertility and new technology. This review aims to disentangle some of the common clinical dilemmas facing reproductive specialists in regard to the effect of benign gynecologic pathology on fertility and the relevance of surgical intervention in enhancin...



The value of magnetic resonance imaging in investigating complex atypical hyperplasia of the endometrium.

Fri, 25 Mar 2016 05:38:02 +0100

CONCLUSION: In our series, we found that MRI had no value in the management of CAH. Thirty-three endometrioid endometrial cancers (31%) were identified and we found no high-risk subtypes, and simple hysterectomy and bilateral salpingo-oophorectomy would be performed and the few stage 2 cases diagnosed were microscopic and would not have been diagnosed on MRI. PMID: 27002383 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)



Management of gestational trophoblastic disease: a survey of New Zealand O&G practice.

Fri, 25 Mar 2016 05:09:03 +0100

CONCLUSION: In spite of the low response rate, our research demonstrates existing practice heterogeneity at every level of care. It also confirms that there is a desire for some form of centralisation in diagnosis and management of GTD, and a definite need for data collection in the form of a national register. PMID: 27005872 [PubMed - in process] (Source: New Zealand Medical Journal)



Awareness and prevalence of cervical cancer screening among women in Nepal

Thu, 24 Mar 2016 23:00:00 +0100

Conclusion Nepali women rarely undergo cervical smear screening, with the lowest prevalence recorded among the illiterate and those living in rural areas. To boost screening rates, educational campaigns and rural outreach are needed. (Source: International Journal of Gynecology and Obstetrics)



Knowledge, acceptability, and use of misoprostol for preventing postpartum hemorrhage following home births in rural Ethiopia

Thu, 24 Mar 2016 23:00:00 +0100

Conclusion Awareness of misoprostol was low in the study sample but willingness to use the drug was somewhat higher. Raising awareness and knowledge among communities and traditional birth attendants regarding the advantages of misoprostol is crucial to enhance uptake and reduce the incidence of postpartum hemorrhage. (Source: International Journal of Gynecology and Obstetrics)



Telocytes in the reproductive organs: current understanding and future challenges

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: Available online 25 March 2016 Source:Seminars in Cell & Developmental Biology Author(s): Dragos Cretoiu, Sanda Maria Cretoiu Over the past decades, we were witnessing spectacular molecular medicine advances. However, many of the reproductive medicine problems, such as fertility issues and premature birth still represent major challenges for obstetrics & gynecology worldwide. A new cell population − the telocytes (TCs) − were described in the interstitial space of many organs, and their possible implications in many important physiological and pathological processes should not be overlooked. In this article, we present a historical perspective outlining the landmarks in the discovery, evolution and achievements in the field of TCs over the last ten...



Effect of vitamin C on collagen structure of cardinal and uterosacral ligaments during pregnancy

Thu, 24 Mar 2016 23:00:00 +0100

This study aimed to investigate changes in collagen structure in the cardinal and uterosacral ligaments of rats that were administered vitamin C during pregnancy. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)



Diagnostic imaging tools to elucidate decreased cephalic biometry leading to suspicion of fetal microcephaly: a systematic analysis of the CNS.

Thu, 24 Mar 2016 23:00:00 +0100

Authors: Guibaud L, Lacalm A PMID: 27015746 [PubMed - as supplied by publisher] (Source: The Ultrasound Review of Obstetrics and Gynecology)



Arterial calcium findings on mammograms can predict heart disease risk

Thu, 24 Mar 2016 21:00:00 +0100

Findings that are easily visible on mammograms – but never shared with patients – could be employed as a powerful new tool for cardiovascular risk assessment, a study showed. In this prospective... (Source: Ob.Gyn. News)



Brain imaging suggests link between stress and cardiovascular events

Thu, 24 Mar 2016 21:00:00 +0100

Stress seems to be a strong driver of cardiovascular events, including heart attack, stroke, and even death. For the first time, brain imaging has confirmed a link that has long been suspected:... (Source: Ob.Gyn. News)



Heart attack patients getting younger, fatter, and less healthy

Thu, 24 Mar 2016 21:00:00 +0100

Despite advances in the prevention and early detection of cardiovascular disease, heart attack patients are getting younger, fatter, and less health conscious. A look at 10 years’ worth of patient... (Source: Ob.Gyn. News)



Committee Opinion No. 661: Integrating Immunizations Into Practice.

Thu, 24 Mar 2016 18:43:02 +0100

Authors: Abstract Immunization against vaccine-preventable diseases is an essential component of women's primary and preventive health care. Despite the importance of vaccination and clear guidance from public health agencies, rates of vaccination lag behind national goals. Obstetrician-gynecologists can play a major role in reducing morbidity and mortality from a range of vaccine-preventable diseases, including pertussis, influenza, human papillomavirus, and hepatitis. Given demonstrated vaccine efficacy and safety, and the large potential for prevention of many infectious diseases that affect adults, pregnant women, and newborns, obstetrician-gynecologists should include immunizations as an integral part of their practice. To do so, they must embrace their role as important sour...

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Committee Opinion No. 661 Summary: Integrating Immunizations Into Practice.

Thu, 24 Mar 2016 18:43:02 +0100

Authors: Abstract Immunization against vaccine-preventable diseases is an essential component of women's primary and preventive health care. Despite the importance of vaccination and clear guidance from public health agencies, rates of vaccination lag behind national goals. Obstetrician-gynecologists can play a major role in reducing morbidity and mortality from a range of vaccine-preventable diseases, including pertussis, influenza, human papillomavirus, and hepatitis. Given demonstrated vaccine efficacy and safety, and the large potential for prevention of many infectious diseases that affect adults, pregnant women, and newborns, obstetrician-gynecologists should include immunizations as an integral part of their practice. To do so, they must embrace their role as important sour...



College Publications.

Thu, 24 Mar 2016 18:43:02 +0100

Authors: PMID: 27008233 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)



Table of Contents April 2016 Issue.

Thu, 24 Mar 2016 18:43:02 +0100

Authors: PMID: 27008232 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)



Author Agreement.

Thu, 24 Mar 2016 18:43:02 +0100

Authors: PMID: 27008231 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)



Checklist.

Thu, 24 Mar 2016 18:43:02 +0100

Authors: PMID: 27008230 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)

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Editor's Note.

Thu, 24 Mar 2016 18:43:02 +0100

Authors: Chescheir NC PMID: 27008229 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)



In Reply.

Thu, 24 Mar 2016 18:43:02 +0100

Authors: Bailit JL, Lappen JR PMID: 27008228 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)



A Multi-State Analysis of Early-Term Delivery Trends and the Association With Term Stillbirth Trends in Stillbirth by Gestational Age in the United States, 2006-2012 Stillbirth and the 39-Week Rule: Can We Be Reassured?

Thu, 24 Mar 2016 18:43:02 +0100

Authors: Nicholson J, Kellar L, Ahmad S, Abid A, Henning G, Ural S, Yaklic J PMID: 27008225 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)

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Trends in Stillbirth by Gestational Age in the United States, 2006-2012.

Thu, 24 Mar 2016 18:43:02 +0100

Authors: Myers SA PMID: 27008223 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)



In Reply.

Thu, 24 Mar 2016 18:43:02 +0100

Authors: Feldman RK PMID: 27008222 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)



Changing the Diagnostic Criteria for Gestational Diabetes Mellitus?: Gestational Diabetes Screening: The International Association of the Diabetes and Pregnancy Study Groups Compared With Carpenter-Coustan Screening.

Thu, 24 Mar 2016 18:43:02 +0100

Authors: Daly N, Turner MJ PMID: 27008221 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)



In Reply.

Thu, 24 Mar 2016 18:43:02 +0100

Authors: Aseltine RH, Yan J, Fleischman S, Katz M, DeFrancesco M PMID: 27008220 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)

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Racial and Ethnic Disparities in Hospital Readmissions After Delivery.

Thu, 24 Mar 2016 18:43:02 +0100

Authors: Giovane R, Rezai S, Berjaoui C, Henderson CE PMID: 27008219 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)



2015 ISSVD, ISSWSH and IPPS Consensus Terminology and Classification of Persistent Vulvar Pain and Vulvodynia.

Thu, 24 Mar 2016 18:43:02 +0100

CONCLUSIONS: In 2015,the International Society for the Study of Vulvovaginal Disease, International Society for the Study of Women's Sexual Health, and International Pelvic Pain Society adopted a new vulvar pain and vulvodynia terminology that acknowledges the complexity of the clinical presentation and pathophysiology involved in vulvar pain and vulvodynia, and incorporates new information derived from evidence-based studies conducted since the last terminology published in 2003. PMID: 27008217 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)



Instructiions to Authors

Thu, 24 Mar 2016 18:13:34 +0100

(Source: International Journal of Gynaecology and Obstetrics)



John J. Sciarra Prize Paper Award for 2015

Thu, 24 Mar 2016 18:13:34 +0100

(Source: International Journal of Gynaecology and Obstetrics)

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Top 10 IJGO articles downloaded from ScienceDirect January 2015 - January 2016

Thu, 24 Mar 2016 18:13:34 +0100

(Source: International Journal of Gynaecology and Obstetrics)



MicroRNAs: modified genes and obstetric complications

Thu, 24 Mar 2016 18:13:12 +0100

(Source: BJOG: An International Journal of Obstetrics and Gynaecology)



ACOG: Vaccines Should Be Part of Routine OB/GYN Practice

Thu, 24 Mar 2016 16:35:02 +0100

(MedPage Today) -- Recognizes specialty's role as primary care (Source: MedPage Today OB/GYN)



Gynecologic cancer patients underutilize advance care directives

Thu, 24 Mar 2016 16:25:31 +0100

SAN DIEGO – Fewer than half of gynecologic oncology patients surveyed at a major cancer center had completed advance care directives regarding their preferences for end-of-life care, and most of... (Source: Ob.Gyn. News)



‘Love Hormone’ Levels in Pregnancy May Point to Risk for Postpartum Depression

Thu, 24 Mar 2016 14:00:00 +0100

Goal is to identify and treat this mental health issue early (Source: The Doctors Lounge - Psychiatry)