Multidisciplinary Approach to Evaluation of Rectovaginal Fistulas
Thorough evaluation of a rectovaginal fistula (RVF) is essential to optimize surgical repair. The underlying cause should be addressed and treated, which can affect the timing as well as approach to repair. It is imperative to be well-prepared as the highest chance of successful closure occurs during the initial repair attempt. Our objective is to demonstrate how multidisciplinary colorectal surgery and urogynecology teams use specific methods during exam under anesthesia to evaluate a complex RVF and optimize surgical approach to repair. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - May 2, 2024 Category: OBGYN Authors: Jaclyn M. Mu ñoz, Pamela J. Levin, Nicole M. Saur, Caroline K. Cox Tags: Surgeon's Corner Source Type: research

Ovarian cancer risk among older patients with stable adnexal masses
Few studies have evaluated the risk of cancer among older patients with stable adnexal masses in community-based settings to inform the duration of observation time needed. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - May 1, 2024 Category: OBGYN Authors: Elizabeth J. SUH-BURGMANN, Yun-Yi HUNG, Julie A. SCHMITTDIEL Tags: Original Research: Gynecology Source Type: research

Associations between Hysterectomy and Metabolic Syndrome: The Multi-Ethnic Study of Atherosclerosis
Metabolic syndrome is linked to an increased risk of incident cardiovascular disease (CVD) and all-cause mortality. Notable associations exist between hysterectomy with bilateral salpingo-oophorectomy and metabolic syndrome. However, there is emerging evidence that even with ovarian conservation, hysterectomy may be independently associated with long-term CVD risk. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - May 1, 2024 Category: OBGYN Authors: Eric K. BRONI, Justin B. ECHOUFFO TCHEUGUI, Anna PALATNIK, Ernest M. GRAHAM, Ruth-Alma TURKSON-OCRAN, Yvonne COMMODORE-MENDAH, Chiadi E. NDUMELE, Erin D. MICHOS Tags: Original Research: Gynecology Source Type: research

Impact of Hypertensive Disorders of Pregnancy and Gestational Diabetes Mellitus on Offspring Cardiovascular Health in Early Adolescence
Adverse pregnancy outcomes, including hypertensive disorders of pregnancy (HDP) and gestational diabetes mellitus (GDM), influence maternal cardiovascular heath (CVH) long after pregnancy, but their relationship to offspring CVH following in utero exposure remains uncertain. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - May 1, 2024 Category: OBGYN Authors: Kartik K. Venkatesh, Amanda M. Perak, Jiqiang Wu, Patrick Catalano, Jami L. Josefson, Maged M. Costantine, Mark B. Landon, Nicola Lancki, Denise Scholtens, William Lowe, Sadiya S. Khan, William A. Grobman Tags: Original Research: Obstetrics Source Type: research

Fetal Blood Sampling in Cytomegalovirus Infection: Balancing the Risks and Benefits.
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - May 1, 2024 Category: OBGYN Authors: L éo POMAR, Joanna SICHITIU, David BAUD Tags: Letter to the Editors Source Type: research

Prediction of venous thromboembolism in average-risk young candidates for oral contraceptive use: to genotype, or not to genotype, that is the question
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - April 30, 2024 Category: OBGYN Authors: Paolo Vercellini, Andrea Artoni, Maria Abbattista, Ida Martinelli, Chiara Pillinini, Francesca Forzano Tags: Letter to the Editors Source Type: research

Genotyping oral contraceptive users for venous thromboembolism risk
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - April 30, 2024 Category: OBGYN Authors: Valeria Lo Faro, Åsa Johansson Tags: Letter to the Editors Source Type: research

Fetal blood sampling in fetuses with cCMV and normal prenatal imaging
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - April 30, 2024 Category: OBGYN Authors: Anna Seidenari, Camilla Dionisi, Giuliana Simonazzi Tags: Letter to the Editors Source Type: research

Validity of a Delphi consensus definition of growth restriction in the newborn for identifying neonatal morbidity
Small-for-gestational age (SGA) is defined as a birthweight below a birthweight-percentile threshold, usually the 10th percentile, with the 3rd or 5th percentile used to identify severe SGA. SGA is used as a proxy for growth restriction in the newborn, but SGA newborns can be physiologically small and healthy. This definition also excludes growth restricted newborns who have weights above the 10th percentile. To address these limits, a Delphi study developed a new consensus definition of growth restriction in the newborn based on neonatal anthropometric and clinical parameters, but it has not been evaluated. (Source: Ameri...
Source: American Journal of Obstetrics and Gynecology - April 30, 2024 Category: OBGYN Authors: Isabelle MONIER, Anne EGO, Alice HOCQUETTE, Alexandra BENACHI, Fran çois GOFFINET, Nathalie LELONG, Camille LE RAY, Jennifer ZEITLIN, ENP2021 Study Group Tags: Original Research: Obstetrics Source Type: research

High Rates of Placental Inflammation Among Samples Collected by the MOMI Consortium
The Multi-Omics for Mothers and Infants (MOMI) consortium aims to improve birth outcomes. Preterm birth is a major obstetric complication globally causing significant infant and childhood morbidity and mortality. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - April 30, 2024 Category: OBGYN Authors: Joshua F. ROBINSON, Sayan DAS, Waqasuddin KHAN, Rasheda KHANAM, Joan T. PRICE, Anisur RAHMAN, Salahuddin AHMED, Said Mohammed ALI, Saikat DEB, Brian DEVEALE, Arup DUTTA, Matthew GORMLEY, Steven C. HALL, A.S.M. Tarik HASAN, Aneeta HOTWANI, Mohamed Hamid JU Tags: Original Research: Obstetrics Source Type: research

Reducing Severe Maternal Morbidity for Birthing Persons with Severe Hypertension through a Statewide Quality Improvement Initiative
Hypertensive disorders of pregnancy are a leading preventable cause of severe maternal morbidity and maternal mortality worldwide. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - April 30, 2024 Category: OBGYN Authors: Ann BORDERS, Lauren KEENAN-DEVLIN, Elissa H. OH, Danielle YOUNG, William GROBMAN, Patricia LEE KING Tags: Original Research: Obstetrics Source Type: research

Covid-19 vaccination during pregnancy is not associated with an increased risk of severe post-partum hemorrhage
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - April 30, 2024 Category: OBGYN Authors: Maria C. Magnus, Trine Damsted Rasmussen, Anne K. Örtqvist, Laura L. Oakley, Stine Kjaer Urhoj, Olof Stephansson, Siri E. Håberg Tags: Research Letter Source Type: research

Expectant management of preeclampsia with severe features diagnosed at less than 24 weeks
The recent ACOG practice bulletin offers no guidance on management of preeclampsia with severe features (PreE with SF) less than 24 weeks. Historically, immediate delivery was recommended due to poor perinatal outcomes and high maternal morbidity. Recently, advances in neonatal resuscitation have led to increased survival at peri-viable gestational ages. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - April 30, 2024 Category: OBGYN Authors: Kristen A. CAGINO, Rylee D. TROTTER, Katherine E. LAMBERT, Saloni C. KUMAR, Baha M. SIBAI Tags: Original Research: Obstetrics Source Type: research

Blood pressure cut-offs at 11-13 weeks ’ gestation and risk of preeclampsia
A parallel has been drawn between first trimester placental vascular maturation and maternal cardiovascular adaptations, including blood pressure. Although 140/90 mmHg is well-accepted as the threshold for chronic hypertension in the general obstetric population in early pregnancy, a different threshold could apply to stratify risk of adverse outcomes, such as preeclampsia. This could have implications for interventions, such as the threshold for initiation of antihypertensive therapy and the target blood pressure level. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - April 30, 2024 Category: OBGYN Authors: Laura J. SLADE, Argyro SYNGELAKI, Milly WILSON, Hiten D. MISTRY, Ranjit AKOLEKAR, Peter VON DADELSZEN, Kypros H. NICOLAIDES, Laura A. MAGEE Tags: Original Research: Obstetrics Source Type: research

A prospective study of dietary patterns and the incidence of endometriosis diagnosis
Although endometriosis is a common condition —affecting ∼10% of premenopausal individuals—its etiology is unknown. Diet receives large patient attention, but studies of the role of diet are limited. Examining dietary patterns is essential to provide new insight. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - April 29, 2024 Category: OBGYN Authors: Marcelle M. DOUGAN, Sable FEST, Kara CUSHING-HAUGEN, Leslie V. FARLAND, Jorge CHAVARRO, Holly R. HARRIS, Stacey A. MISSMER Tags: Original Research: Gynecology Source Type: research