Opportunities for, and barriers to, uterus ‐preserving surgical techniques for placenta accreta spectrum
ConclusionsUterus-preserving treatment strategies such as focal resection appear to be safe alternatives to peripartum hysterectomy. However, less than half of the IS-PAS centers perform them. Acceptance of conservative treatments could be increased by standardized criteria for their implementation and by systematic training for PAS experts. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - May 3, 2024 Category: OBGYN Authors: Alexander Paping, Anja Bluth, Ammar Al  Naimi, Mina Mhallem, Magdalena Kolak, Andrzej Jaworowski, Hubert Huras, Maddalena Morlando, George Daskalakis, Pedro Viana Pinto, Loïc Sentilhes, Heleen J. van Beekhuizen, Vedran Stefanovic, Karin A. Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Recurrent postmenopausal bleeding: Pathological findings and  predictive factors. A multicenter, prospective, observational study
ConclusionsRecurrent PMB is common in women with a previous episode of PMB. Compared to patients with a single episode of PMB, patients with recurrent PMB and benign histological outcomes at accurate workup during their first episode were less often diagnosed with malignancies and more frequently with benign polyps. Benign polyps at first PMB are predictive for recurrent PMB, but not for a higher risk of (pre)malignancy. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - May 2, 2024 Category: OBGYN Authors: Laura D. P. R. van Maldegem, Johanna A. van der Zande, Lucy A. van Werkhoven, Patricia C. Ewing ‐Graham, Bernadette A. M. Heemskerk‐Gerritsen, Helena C. van Doorn Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Expression of concern: Randomized comparison of superovulation with letrozole vs. clomiphene citrate in an IUI program for women with recently surgically treated minimal to mild endometriosis
(Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - May 2, 2024 Category: OBGYN Tags: EXPRESSION OF CONCERN Source Type: research

A new bicornuate model of rat uterus transplantation
ConclusionsOur novel bicornuate rat uterus transplantation model provides a distinctive opportunity for sequential biopsies at various intervals after transplantation and, therefore, comprehensive monitoring of graft health, viability, and identification of potential signs of rejection. Furthermore, this model allows for different interventions in each horn for comparative studies without interobserver differences contrary to the established unicornuate model. By closely replicating the clinical setting, this model stands as a valuable tool for ongoing research in the field of uterus transplantation, promoting further inno...
Source: Acta Obstetricia et Gynecologica Scandinavica - May 2, 2024 Category: OBGYN Authors: Dietrich Polenz, Igor Maximilian Sauer, Friederike Martin, Anja Reutzel ‐Selke, Muhammad Imtiaz Ashraf, Anja Schirmeier, Steffen Lippert, Kirsten Führer, Johann Pratschke, Stefan Günther Tullius, Simon Moosburner Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Evaluating the development of endometriosis and adenomyosis lesions over time: An ultrasound study of symptomatic women
ConclusionsOur findings suggest that in symptomatic women, endometriosis and adenomyosis lesions visible at ultrasound may develop over time. However, majority of women remain having normal ultrasound examinations despite symptoms. Exacerbation of dysmenorrhea or chronic pelvic pain during follow-up was not associated with the development of endometriosis or adenomyosis lesions visible at ultrasound, suggesting that even women with less severe symptoms might benefit from a follow-up ultrasound when indicated. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - May 1, 2024 Category: OBGYN Authors: Sofie Orlov, Povilas Sladkevicius, Ligita Jokubkiene Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Comparative analysis of endometrial, vaginal, and gut microbiota in patients with and without adenomyosis
ConclusionsThe study revealed reduced gut microbiota diversity in adenomyosis patients, accompanied by distinct compositions in gut and vaginal microbiota compared with controls. Overrepresented or underrepresented bacterial taxa were noted in the gut and endometrial microbiota of adenomyosis patients, with variations in microbiota profiles among those with internal and external adenomyosis phenotypes. These findings suggest a potential association between microbiota and adenomyosis, indicating the need for further research to comprehensively understand the implications of these differences. (Source: Acta Obstetricia et Gy...
Source: Acta Obstetricia et Gynecologica Scandinavica - April 26, 2024 Category: OBGYN Authors: Marta Vald és‐Bango, Meritxell Gracia, Elisa Rubio, Andrea Vergara, Climent Casals‐Pascual, Cristina Ros, Mariona Rius, Maria Ángeles Martínez‐Zamora, Eduard Mension, Lara Quintas, Francisco Carmona Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

High first trimester ferritin levels differ according to parity and are independently related to preterm birth: A prospective cohort study
ConclusionsFirst trimester parity specific ferritin and CRP levels could play a part in predictive models for preterm birth, and further research for their additive role in preterm birth is needed. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - April 23, 2024 Category: OBGYN Authors: Annabel Broekhuis, Steven V. Koenen, Maarten A. C. Broeren, Johannes G. Krabbe, Victor J. M. Pop Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Vitamin D3 among neonates born after in  vitro fertilization compared with neonates from the general population
ConclusionsIn this study, children born after in  vitro fertilization have a higher vitamin D3 than a random sample of neonates in Denmark. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - April 19, 2024 Category: OBGYN Authors: Karen Christina Walker, Sofie Gry Pristed, Fanney Thorsteinsdottir, Ina Olmer Specht, Arieh Cohen, Berit Lilienthal Heitmann, Ulrik Schi øler Kesmodel Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Expression of concern: Intrauterine insemination versus timed intercourse with clomiphene citrate in polycystic ovary syndrome: A randomized controlled trial
(Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - April 18, 2024 Category: OBGYN Tags: EXPRESSION OF CONCERN Source Type: research

Regional practice variation in hysterectomy and the implementation of less invasive surgical procedures: A register ‐based study in the Netherlands
ConclusionsRegional variation exists in the rates of hysterectomy and minimally invasive techniques. The absence of a significant substitution effect provides no clear evidence that minimally invasive techniques have replaced hysterectomy in clinical practice. However, although the result was not significant, embolization could be an exception based on its stronger negative association. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - April 18, 2024 Category: OBGYN Authors: Maarten D. H. Vink, France R. M. Portrait, Wouter J. K. Hehenkamp, Tim van Wezep, Xander Koolman, Marlies Y. Bongers, Eric J. E. van der Hijden Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Issue Information
(Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - April 16, 2024 Category: OBGYN Tags: ISSUE INFORMATION Source Type: research

Task ‐shifting from healthcare staff to patients is necessary for the future
(Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - April 16, 2024 Category: OBGYN Authors: Sebastian Gidl öf Tags: EDITORIAL Source Type: research

vNOTES retroperitoneal sentinel lymph node dissection for endometrial cancer staging: First multicenter, prospective case series
ConclusionsThis prospective multicenter case series demonstrates the feasibility of the vNOTES approach for identifying and removing sentinel lymph nodes in women with endometrial carcinoma successfully and safely. vNOTES allows sole transvaginal access with exposure of the entire retroperitoneal space, following the natural lymph trajectory caudally to cranially, and without the need for a Trendelenburg position. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - April 16, 2024 Category: OBGYN Authors: Jan Baekelandt, Astrid Jespers, Daniela Huber, Levon Badiglian ‐Filho, Andrea Stuart, Linus Chuang, Oudai Ali, Alexander Burnett Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Objective assessment tools in laparoscopic or robotic ‐assisted gynecological surgery: A systematic review
ConclusionsExisting objective assessment tools lack evidence on predicting patient outcomes and suffer from limitations in transferability outside of the research environment, particularly for automated performance metrics. Future research should prioritize filling these gaps while integrating advanced technologies like kinematic data and AI for robust, objective surgical skill assessment within gynecological advanced surgical training programs. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - April 13, 2024 Category: OBGYN Authors: Freweini Martha Tesfai, Jasleen Nagi, Iona Morrison, Matt Boal, Adeola Olaitan, Dhivya Chandrasekaran, Danail Stoyanov, Anne Lanceley, Nader Francis Tags: SYSTEMATIC REVIEW Source Type: research

Hypertensive disorders of pregnancy among women with cardiovascular disease in Norway: A historical cohort study
ConclusionsThe occurrence of hypertensive disease of pregnancy in the study cohort was more than doubled compared to the general population in Norway. The risk of HDP increased with maternal cardiovascular risk group. We recommend taking into account maternal cardiovascular risk group when assessing risk and prophylaxis of HDP. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - April 11, 2024 Category: OBGYN Authors: Ingrid Langen, Eldrid Langes æter, Nina Gunnes, Vibeke Marie Almaas, Guttorm Haugen, Mette‐Elise Estensen, Ingvil Krarup Sørbye Tags: ORIGINAL RESEARCH ARTICLE Source Type: research