OBGYN This is an OPML file. It can be used to export all the MedWorm RSS feeds on this topic into your personal RSS reader (usually you have to save this file to your own computer before clicking on an Import OPML command in your own feed reader to upload the file which will then import all the feeds) or it can be used by webmasters to integrate MedWorm feeds with their own website. This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 33.

35th Annual San Antonio Breast Cancer Symposium (SABCS)35th Annual San Antonio Breast Cancer Symposium (SABCS)
Read clinically focused news coverage of key developments from SABCS 2012. Medscape Hematology-Oncology
Source: Medscape ObGyn and Womens Health Headlines - December 3, 2012 Category: OBGYN Tags: Conference Coverage Source Type: news

Kenya: Western Province Targeted for Maternal and Newborn Project
[The Star]The Public Health Ministry is this morning launching a project to reduce maternal and newborn deaths in three districts in Western Province. The community-based nutrition project aims to create demand at community level for essential obstetric, newborn and nutrition services as well as improve health workers' skills.
Source: AllAfrica News: Pregnancy and Childbirth - December 3, 2012 Category: OBGYN Source Type: news

Tanzania: Foundation to Initiate Global Development Process
[Daily News]THE Economic and Social Research Foundation (ESRF) plans to initiate an inclusive consultations process on the future global development agenda.
Source: AllAfrica News: Pregnancy and Childbirth - December 3, 2012 Category: OBGYN Source Type: news

My Journey of Recovery – Debbie’s Story
I had my surgery full abdominial hysterectomy at West Suffolk Hospital. My experience was not great Instead of recovering on the gynaecology ward I was put on the short stay surgical ward, staff were very junior and the experience was very inpersonnel. I had previously undergone a gynea operation two years ago where things had not gone so well where I ended up in the intensive care so was worried about my care already. I went down for surgery at 13.30pm and remember being in recovery where stabilizing my pain seemed to take some time. I went back to the short stay surgical ward at 18.40pm – there were 5 other people ...
Source: The Hysterectomy Association - December 3, 2012 Category: OBGYN Authors: Linda Parkinson-Hardman Tags: Hysterectomy Recovery Latest News Your Stories after care west sussex hospital Source Type: news

Tanzania: Doctor Takes on Maternal Mortality
[Daily News]IF it were in Christianity, a doctor in Kigoma town jokingly said recently, Dr Godfrey Mbaruku would be revered as another Jesus Christ, for saving the region's pregnant women from being depleted by maternal mortality.
Source: AllAfrica News: Pregnancy and Childbirth - December 3, 2012 Category: OBGYN Source Type: news

Borderline ovarian tumors: features and controversial aspects
Conclusion: The BOT is closer to a benign than to a malignant tumor in the early stages, when confined to the ovary (IA and IB). In these stages conservative surgery is safe and advisable for women seeking offspring. In the other stages the need for a careful and long-term follow-up arises. CA125, despite its modest sensitivity and specificity, has a role in the follow-up of BOT.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 3, 2012 Category: OBGYN Authors: Enrico M. Messalli, Flavio Grauso, Giancarlo Balbi, Antonella Napolitano, Elisabetta Seguino, Marco Torella Tags: Gynecology and Gynecological Oncology Source Type: research

Neonatal brachial plexus palsy with vaginal birth after cesarean delivery: a case-control study
Conclusion: Women who desire VBAC should be informed about the low rate of NBPP and, if eligible, encouraged to have a trial of labor after cesarean delivery.
Source: American Journal of Obstetrics and Gynecology - December 3, 2012 Category: OBGYN Authors: Ibrahim A. Hammad, Suneet P. Chauhan, Robert B. Gherman, Joseph G. Ouzounian, James B. Hill, Alfred Z. Abuhamad Tags: Selected papers from the 79th Annual Scientific Meeting of the Central Association of Obstetricians and Gynecologists Source Type: research

Adolescence is Risky Business
Adolescence is a period of time in one's life when the body is changing rapidly, from the development of acne to menstrual onset. It is also a time when adolescents may engage in normal exploration with partner relationships. Not all normal exploration may be high risk. Nonetheless, providers must be aware of the statistics which demonstrate that despite sexual education from family, school, or peers, 63% of adolescents may become sexually active by grade 12. It is therefore important to continue to use every opportunity to engage teens in a discussion about risk behaviors.
Source: Journal of Pediatric and Adolescent Gynecology - December 3, 2012 Category: OBGYN Authors: Jennifer E. Dietrich Tags: The Guest Editor's Workshop Source Type: research

Editor’s Workshop
Our guest for the Editor’s Workshop is Dr. Jennifer Dietrich, who is tenured Associate Professor of Obstetrics and Gynecology and has a joint appointment in the Department of Pediatrics at Baylor College of Medicine in Houston, TX. Dr. Dietrich received her medical degree from Medical College of Wisconsin and proceeded to Baylor for her residency in Obstetrics and Gynecology. Upon completion of this segment of her training, she then completed a Fellowship in Pediatric and Adolescent Gynecology at University of Louisville. During the latter she was CREST Scholar resulting in a Master of Science in Epidemiology & Clinical ...
Source: Journal of Pediatric and Adolescent Gynecology - December 3, 2012 Category: OBGYN Authors: Joseph S. Sanfilippo Tags: The Editor's Workshop Source Type: research

Early fetal loss in monochorionic and dichorionic twin pregnancies: the STORK multiple pregnancy cohort.
Conclusions: Early pregnancy loss is significantly more common in MC than in DC twins, but the trend in prospective risk of mortality in MC twins is not evident after 24 weeks' gestation. This rate has almost halved compared to those in the published literature. Early detection and prompt treatment of complications in MC twins is likely to have contributed to this improvement in outcomes. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd. PMID: 23208731 [PubMed - as supplied by publisher]
Source: The Ultrasound Review of Obstetrics and Gynecology - December 3, 2012 Category: Radiology Authors: D'Antonio F, Khalil A, Dias T, Thilaganathan B, on behalf of the Southwest Thames Obstetric Research Collaborative (STORK) Tags: Ultrasound Obstet Gynecol Source Type: research

Meta-analysis of second-trimester markers for trisomy 21.
Conclusion: Presence of sonographic markers increases and absence decreases the risk for trisomy 21. In the case of most isolated markers there is only a small effect on modifying the pre-test odds for trisomy 21, but with ventriculomegaly, nuchal fold thickness and ARSA there is a 3-4 fold increase in risk and with hypoplastic nasal bone a 6-7 fold increase. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd. PMID: 23208748 [PubMed - as supplied by publisher]
Source: The Ultrasound Review of Obstetrics and Gynecology - December 3, 2012 Category: Radiology Authors: Agathokleous M, Chaveeva P, Poon LC, Kosinski P, Nicolaides KH Tags: Ultrasound Obstet Gynecol Source Type: research

[Assessment of Quality of Life and Gynaecological Follow-Up after Transvaginal Cholecystectomy.]
PMID: 23208857 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Chirurgie - December 3, 2012 Category: Surgery Authors: Hensel M, Schernikau U, Schmidt A, Arlt G Tags: Zentralbl Chir Source Type: research

Meta‐analysis of second‐trimester markers for trisomy 21
Conclusion: Presence of sonographic markers increases and absence decreases the risk for trisomy 21. In the case of most isolated markers there is only a small effect on modifying the pre‐test odds for trisomy 21, but with ventriculomegaly, nuchal fold thickness and ARSA there is a 3‐4 fold increase in risk and with hypoplastic nasal bone a 6‐7 fold increase. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.
Source: Ultrasound in Obstetrics and Gynecology - December 3, 2012 Category: Radiology Authors: Maria Agathokleous, Petya Chaveeva, Leona CY Poon, Przemyslaw Kosinski, Kypros H. Nicolaides Tags: Systematic Review or Meta‐Analysis Source Type: research

Early fetal loss in monochorionic and dichorionic twin pregnancies: the STORK multiple pregnancy cohort
Conclusions: Early pregnancy loss is significantly more common in MC than in DC twins, but the trend in prospective risk of mortality in MC twins is not evident after 24 weeks' gestation. This rate has almost halved compared to those in the published literature. Early detection and prompt treatment of complications in MC twins is likely to have contributed to this improvement in outcomes. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.
Source: Ultrasound in Obstetrics and Gynecology - December 3, 2012 Category: Radiology Authors: Francesco D'Antonio, Asma Khalil, Thiran Dias, Basky Thilaganathan, Tags: Original Paper Source Type: research

Metformin intake is associated with better survival in ovarian cancer
CONCLUSIONS:The results of this study indicated an association of metformin intake with survival in patients with ovarian cancer. The receipt of metformin was associated with better survival, and the authors concluded that metformin is worthy of clinical trials in ovarian cancer. Cancer 2012. © 2012 American Cancer Society.
Source: Cancer - December 3, 2012 Category: Cancer & Oncology Authors: Sanjeev Kumar, Alexandra Meuter, Prabin Thapa, Carrie Langstraat, Shailendra Giri, Jeremy Chien, Ramandeep Rattan, William Cliby, Viji Shridhar Tags: Original Article Source Type: research

Kenya: Kenyans Urged to Know Their HIV/Aids Status
[Capital FM]"The only solution to effectively respond to HIV/AIDs is to know your status," this the message National AIDS and STD Control Programme (NASCOP) Head Dr Maina Kahindo sent to Kenyans a day before the globe marked the World AIDs Day.
Source: AllAfrica News: Pregnancy and Childbirth - December 2, 2012 Category: OBGYN Source Type: news

Causes of perinatal death at a tertiary care hospital in Northern Tanzania 2000--2010: a registry based study
Conclusion: The distribution of causes of death in this population suggests a great potential for prevention. Early identification of mothers at risk of pregnancy complications through antenatal care screening, teaching pregnant women to recognize signs of pregnancy complications, timely access to obstetric care, monitoring of labour for fetal distress, and proper newborn resuscitation may reduce some of the categories of deaths.
Source: BMC Pregnancy and Childbirth - Latest articles - December 2, 2012 Category: OBGYN Authors: Blandina MmbagaRolv LieRaimos OlomiMichael MahandeOneko OlolaAnne Daltveit Source Type: research

Antenatal depression strongly predicts postnatal depression in primary health care.
CONCLUSIONS: Antenatal and postnatal depression are highly prevalent in the primary care setting. PMID: 23429816 [PubMed - in process]
Source: Revista Brasileira de Psiquiatria - December 1, 2012 Category: Psychiatry Authors: Faisal-Cury A, Menezes PR Tags: Rev Bras Psiquiatr Source Type: research

Pacific Island publications in the reproductive health literature 2000–2011: With New Zealand as a reference
ConclusionThere is a need for reproductive research in PIFC. PNG had the most publications on the back of a well‐funded dedicated research institute and a significant collaboration with Australian researchers. The large number of papers in PIFC countries without PIFC authors raises the question about the need to require non‐PIFC researchers to enter into genuine research partnerships in order to build research capacity in the PIFC.
Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology - December 1, 2012 Category: OBGYN Authors: Alec J. Ekeroma, Terina Pollock, Tim Kenealy, Boaz Shurulf, Faafetai Sopoaga, Gabriela Montorzi, Lesley Me McCowan, Andrew Hill Tags: Original Article Source Type: research

Cardiac disease in pregnancy.
Abstract Cardiac disease is the leading cause of maternal mortality in the UK. The major causes of cardiac deaths in pregnancy include cardiomyopathy, myocardial infarction, ischaemic heart disease and dissection of the thoracic aorta. With increasing numbers of migrant women in the UK, rheumatic heart disease in pregnancy has also re-emerged. Women with uncorrected congenital heart disease and those who have undergone corrective or palliative surgery may have complicated pregnancies. Women with metal prosthetic valves face difficult decisions regarding anticoagulation in pregnancy and have an increased risk of hae...
Source: Clinical Medicine - December 1, 2012 Category: Journals (General) Authors: Nanda S, Nelson-Piercy C, Mackillop L Tags: Clin Med Source Type: research

A survey of prescribing for the management of nausea and vomiting in pregnancy in Australasia
ConclusionsDespite guidelines suggesting the use of antihistamines and dopamine agonists (phenothiazines), very few practitioners in this region make use of these in any numbers.
Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology - December 1, 2012 Category: OBGYN Authors: Stephen H. Raymond Tags: Original Article Source Type: research

Ethnicity and risk of Caesarean section in a term, nulliparous New Zealand obstetric cohort
ConclusionsAfter adjustment for confounding, we report ethnic differences in elective and emergency CS rates, which may be related to patient and/or care provider factors. Further prospective research is recommended to examine reasons for these ethnic differences in CS rates.
Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology - December 1, 2012 Category: OBGYN Authors: Ngaire H. Anderson, Lynn C. Sadler, Alistair W. Stewart, Elaine M. Fyfe, Lesley M.E. McCowan Tags: Original Article Source Type: research

[Quality assurance for ultrasound diagnostics in Germany - a never-ending story].
Abstract The discussion about ultrasound quality control can be traced back to before 1980. The first multidisciplinary panel discussion on this topic was held at the Dreiländertreffen in 1980 in Böblingen. The founding editors of the the Ulltraschall in der Medizin (now European Journal of Ultrasound) already addressed this topic in the 1980 s and it is worthwhile to look back since the papers published at that time provide an overview of ultrasound quality control 12345678910111213141516. The following citations from this time are still extremely current. The editors wrote: "Effective ultrasound training on...
Source: Ultraschall in der Medizin - December 1, 2012 Category: Radiology Authors: Seitz K Tags: Ultraschall Med Source Type: research

[Molecular biology and cytopathology. Principles and applications].
Abstract Some of the main applications of molecular techniques using cellular materials obtained from tumors by means of non-gynaecological exfoliative cytology or fine needle aspiration are briefly described in this review. PMID: 23244478 [PubMed - in process]
Source: Annales de Pathologie - December 1, 2012 Category: Pathology Authors: Vielh P, Schmitt FC Tags: Ann Pathol Source Type: research

Multiple daily injections of insulin versus continuous subcutaneous insulin infusion for pregnant women with type 1 diabetes
ConclusionContinuous subcutaneous insulin infusion (CSII) treatment in pregnant women with type 1 diabetes is associated with a reduced number of hypoglycaemia and decreased insulin requirement. We noted no difference in perinatal outcome comparing women on multiple insulin injections with those on continuous insulin infusion.
Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology - December 1, 2012 Category: OBGYN Authors: Ewa Wender‐Ozegowska, Agnieszka Zawiejska, Katarzyna Ozegowska, Katarzyna Wroblewska‐Seniuk, Rafal Iciek, Urszula Mantaj, Danuta Olejniczak, Jacek Brazert Tags: Original Article Source Type: research

Vaginal leiomyoma in pregnancy presenting as a prolapsed vaginal mass.
Abstract Vaginal leiomyomas are rare benign solid tumours of the vagina. They can cause mechanical dystocia, which is a common problem in obstetrics leading to serious maternal and perinatal complications. Here we describe a patient with a vaginal leiomyoma diagnosed during the mid-trimester that could have caused dystocia. This 22-year-old woman presented with a vaginal mass and leaking vaginal fluid during pregnancy. On examination, a prolapsed, pedunculated mass, measuring 5 × 3 × 4 cm was detected in the anterior vaginal wall. Via a midline incision, the mass was easily enucleated and removed. Transvaginal su...
Source: Hong Kong Med J - December 1, 2012 Category: Journals (General) Authors: Dane C, Rustemoglu Y, Kiray M, Ozkuvanci U, Tatar Z, Dane B Tags: Hong Kong Med J Source Type: research

Human Immunodeficiency Virus (HIV) in Pregnancy: A Review of the Guidelines for Preventing Mother-to-Child Transmission in Malaysia.
Abstract Mother-to-child transmission (MTCT) of human immunodefi ciency virus (HIV) is a devastating consequence of HIV infection during pregnancy and is largely preventable. Evidence-based interventions such as universal antenatal screening, provision of antiretroviral therapy, delivery by elective caesarean section and avoidance of breastfeeding have ensured that the rates of MTCT remain low in Malaysia. This review discusses the most recent advances in the management of HIV infection in pregnancy with emphasis on antiretroviral treatment strategies and obstetric care in a middle income country. PMID: 2330311...
Source: Annals of the Academy of Medicine, Singapore - December 1, 2012 Category: Journals (General) Authors: Azwa I, Khong SY Tags: Ann Acad Med Singapore Source Type: research

[Silent cardiotocogram during general anesthesia : Indication for emergency Cesarean section?].
[Silent cardiotocogram during general anesthesia : Indication for emergency Cesarean section?]. Anaesthesist. 2012 Dec;61(12):1049-53 Authors: Bock H, List E, Kosmala A, Lex B, Moratin P Abstract This case report of a silent cardiotocogram (CTG) registration during general anesthesia in a 33-week-pregnant patient undergoing non-obstetric surgery demonstrates the possibility of misinterpretation whereby typical CTG patterns of fetal reactions to anesthetics can be misinterpreted as fetal hypoxia or even asphyxia. PMID: 23223840 [PubMed - in process]
Source: Der Anaesthesist - December 1, 2012 Category: Anesthesiology Authors: Bock H, List E, Kosmala A, Lex B, Moratin P Tags: Anaesthesist Source Type: research

Group A Streptococcus Toxic Shock Syndrome: An outbreak report and review of the literature
Highlights: ► Invasive GAS TSS is a serious disease with a high case fatality rate; an ongoing health challenge. ► Early implementation of infection control measures is very crucial in the successful management and control of this outbreak. ► Infection control investigations should start after the identification of the first case. ► Mode of GAS transmission needs further studies. ► The first report on GAS Toxic Shock Syndrome in Qatar.Summary: Group A Streptococcal (GAS) Toxic Shock Syndrome (TSS) is an acute, rapidly progressive, and often fatal illness. Outbreaks can occur in hospitals. However, early infection...
Source: Journal of Infection and Public Health - December 1, 2012 Category: Global & Universal Authors: Jameela Alkhowaiter Al-ajmi, Peter Hill, Carol O’ Boyle, Ma. Leni Basco Garcia, Manal Malkawi, Ancy George, Fatma Saleh, Bency Lukose, Badriya Al Ali, Mamoun Elsheikh Tags: Original Articles Source Type: research

A prospective longitudinal study on rotation thromboelastometry in women with uncomplicated pregnancies and postpartum
ConclusionThis study provides a better knowledge about physiological changes in ROTEM measurements during pregnancy. These normative data may serve as assistance for future studies and interventions.
Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology - December 1, 2012 Category: OBGYN Authors: Leonie E. Rheenen‐Flach, Sonja Zweegman, Fleur Boersma, Joris E. Lenglet, Jos W. R. Twisk, Antoinette C. Bolte Tags: Original Article Source Type: research

Non-invasive monitoring and evaluating cardiac function of pregnant women based on a relative value method.
Abstract This paper proposed a relative value method for measuring the indicators of cardiac reserve and investigated the application on monitoring and evaluating cardiac function for pregnant women. A heart sound sensor is placed at the precordial region to detect phonocardiogram. In order to access the cardiac reserve mobilization level during pregnancy, the cardiac reserve indicators of 1,683 normal pregnant women, 96 abnormal cases with different obstetric complications and 624 non-pregnant women were measured, analyzed and compared. The result shows that the differences between the indicators of pregnant and n...
Source: Acta Physiologica Hungarica - December 1, 2012 Category: Physiology Authors: Guo X, Ding X, Lei M, Xie M, Zhong L, Xiao S Tags: Acta Physiol Hung Source Type: research

[Expectations of pregnant women on an ideal maternity hospital].
Abstract The aim of this study was to evaluate expectations of pregnant women on an ideal maternity hospital.We prospectively performed a survey among 566 pregnant women with regard to their expectations on a perfect hospital for obstetrics. Data collection was accomplished in 3 obstetrical departments in Mannheim, Germany. The questionnaire contained 23 general questions about sociodemographic characteristics and 34 specific questions about the anticipated childbirth. Women who were less than 20 weeks pregnant and women who did not speak German fluently were excluded from this study.In our survey the possibility t...
Source: Zeitschrift fur Geburtshilfe und Neonatologie - December 1, 2012 Category: Perinatology & Neonatology Authors: Tuschy B, Berlit S, Hägele F, Job H, Sütterlin M, Kehl S, Siemer J Tags: Z Geburtshilfe Neonatol Source Type: research

[Severe maternal hepatopathies in the peripartum period - a case series with review of the literature focusing on pathogenesis and differential diagnosis].
In this study, we present a series of 3 cases with life-threatening hepatopathies and discuss the current state of the literature. A special focus is placed on pathogenesis and differential diagnosis.Pathological, radiological and gynaecological/surgical procedures were performed according to the current German guidelines. Laboratory tests were conducted in the clinics' routine diagnostics section. The existing literature was reviewed via the US National Library of Medicine database "PubMed.gov".The first patient had been afflicted by a fulminant HELLP syndrome causing delivery after 32 weeks of pregnancy. Consecutively, s...
Source: Zeitschrift fur Geburtshilfe und Neonatologie - December 1, 2012 Category: Perinatology & Neonatology Authors: Häusler SF, Bernar T, Rau S, Kranke P, Dietl J, Rieger L Tags: Z Geburtshilfe Neonatol Source Type: research

Obstetric nephrology: pregnancy and the kidney--inextricably linked.
This article presents an overview of the renal physiology of normal pregnancy and exciting new developments in the understanding of both common renal disorders, such as lupus nephritis, diabetic kidney disease, and preeclampsia, and less common but life-threatening disorders, such as thrombotic microangiopathies. PMID: 23221097 [PubMed - in process]
Source: Clinical Journal of the American Society of Nephrology : CJASN - December 1, 2012 Category: Urology & Nephrology Authors: August P Tags: Clin J Am Soc Nephrol Source Type: research

Seroepidemiology of Helicobacter pylori Infection in a Mennonite Community in Durango State, Mexico
ConclusionsThis is the first report on the seroprevalence of H. pylori among Mennonites, factors contributing to such infection, and the association of H. pylori infection with abortions and low frequencies of eating out of home and meat. Further research should be conducted on this topic.
Source: Helicobacter - December 1, 2012 Category: Gastroenterology Authors: Cosme Alvarado‐Esquivel Tags: Original Article Source Type: research

Prevalence of chromosomal abnormalities in Sri Lankan women with primary amenorrhea
ConclusionA considerable proportion of women with primary amenorrhea had chromosomal abnormalities. Mean age at testing was late suggesting delay in referral for karyotyping. Early referral for cytogenetic evaluation is recommended for the identification of underlying chromosomal aberrations in women with primary amenorrhea.
Source: Journal of Obstetrics and Gynaecology Research - December 1, 2012 Category: OBGYN Authors: Lasitha Samarakoon, Nirmala D. Sirisena, Kalum T. Wettasinghe, Kariyawasam Warnakulathanthrige Jayani C. Kariyawasam, Rohan W. Jayasekara, Vajira H. W. Dissanayake Tags: Original Article Source Type: research

Ultrasound in labor: is it time for a more simplified approach?
Abstract No. Abs
Source: Ultrasound in Obstetrics and Gynecology - December 1, 2012 Category: Radiology Authors: Aly Youssef, Federica Bellussi, Elisa Maroni, Gianluigi Pilu, Nicola Rizzo, Tullio Ghi Tags: Letter to the Editor Source Type: research

Findings from a needs assessment of public sector emergency obstetric and neonatal care in four governorates in Yemen: a human resources crisis
Abstract: Recent reviews suggest that it is unlikely Yemen will reach Millennium Development Goal 5 on maternal health by 2015. We conducted a needs assessment in 2010 to identify the human resources constraints in delivery of emergency obstetric and neonatal care (EmONC), in one urban and three under-served rural governorates. The assessment tools were adapted from the UN Guidelines for Monitoring Availability and Use of EmONC. Findings showed that while the urban governorate (total population 666,210 with 26,648 expectant mothers yearly) had 54 obstetricians, 10 anaesthetists and 72 paediatricians, the three rural govern...
Source: Reproductive Health Matters - December 1, 2012 Category: Global & Universal Authors: Abdul Wahed Al Serouri, Abdulla Al Rukeimi, Mohammed Bin Afif, Abdulrahman Al Zoberi, Jamela Al Raeby, Catherine Briggs, Hamouda Hanafi Source Type: research

Still living with fistula: an exploratory study of the experience of women with obstetric fistula following corrective surgery in West Pokot, Kenya
Abstract: Obstetric fistula is a complication of pregnancy that affects women following prolonged obstructed labour. Although there have been achievements in the surgical treatment of obstetric fistula, the long-term emotional, psychological, social and economic experiences of women after surgical repair have received less attention. This paper documents the challenges faced by women following corrective surgery and discusses their needs within the broader context of women's health. We interviewed a small sample of women in West Pokot, Kenya, during a two-month period in 2010, including eight in-depth interviews with fistu...
Source: Reproductive Health Matters - December 1, 2012 Category: Global & Universal Authors: Anne M Khisa, Isaac K Nyamongo Source Type: research

Structural barriers to screening for and treatment of cervical cancer in Peru
Abstract: Through in-depth interviews with 30 key informants from 19 institutions in the health care system in four regions of Peru, this study identifies multiple barriers to obtaining cervical cancer screening, follow-up, and treatment. Some facilities outside Lima do not have the capacity to take Pap smear samples; others cannot do so on a continuing basis. Variation in procedures used by facilities and between regions, differences in women's ability to pay, as well as varying levels of training of laboratory personnel, all affect the quality and timing of service delivery and outcomes. In some settings, perverse incent...
Source: Reproductive Health Matters - December 1, 2012 Category: Global & Universal Authors: Valerie A Paz-Soldán, Angela M Bayer, Lauren Nussbaum, Lilia Cabrera Source Type: research

The treatment experiences of Australian women with gynaecological cancers and how they can be improved: a qualitative study
This study aimed to understand how care is received by women in order to improve both their experience and outcomes. We interviewed 25 women treated for ovarian, cervical and uterine cancers in public or private hospitals in four states, including urban, rural and Indigenous women. Referral pathways were efficient and effective; the women were diagnosed and referred for definitive management through well-established systems. They appreciated the quality of treatment and the care they received during the inpatient and acute phases of their care. Three main problems were identified – serious post-operative morbidity that c...
Source: Reproductive Health Matters - December 1, 2012 Category: Global & Universal Authors: Jo Wainer, Eileen Willis, Judith Dwyer, Debra King, Kei Owada Source Type: research

The contribution of research results to dramatic improvements in post-abortion care: Centre Hospitalier de Libreville, Gabon
Abstract: In 2009, we published an article in RHM showing a large delay in provision of emergency obstetric care to women who died from unsafe abortion complications at the Centre Hospitalier de Libreville. The paper raised awareness among hospital and government authorities of a serious delay in timely treatment, and they supported the recommendation of the hospital's Maternal Mortality Committee to greatly reduce the delay and also improve the care of women with abortion complications. Training in manual vacuum aspiration (MVA) for uterine evacuation was introduced, for use by midwives as well as obstetrician-gynaecologi...
Source: Reproductive Health Matters - December 1, 2012 Category: Global & Universal Authors: Sosthène Mayi-Tsonga, Pamphile Assoumou, Boniface Sima Olé, Jacques Bang Ntamack, Jean François Meyé, Maria Helena Souza, Anibal Faúndes Source Type: research

Fetal megacystis as a prenatal challenge: megacystis‐microcolon‐intestinal hypoperistalsis syndrome in a male fetus
Abstract No. Abs
Source: Ultrasound in Obstetrics and Gynecology - December 1, 2012 Category: Radiology Authors: Luísa Machado, Alexandra Matias, Manuela Rodrigues, Carlos Mariz, Joaquim Monteiro, Nuno Montenegro Tags: Picture of the Month Source Type: research

Bladder emptying to an umbilical cord cyst: a prenatal sonographic sign of allantoic cyst with patent urachus
Abstract No. Abs
Source: Ultrasound in Obstetrics and Gynecology - December 1, 2012 Category: Radiology Authors: Cátia Rasteiro, Carla Ramalho, Teresa Loureiro, José Pereira, Alexandra Matias Tags: Letter to the Editor Source Type: research

Maternal‐fetal medicine fellowship obstetrical ultrasound experience: results from a fellowship survey
ConclusionMost fellows are trained in ultrasound during their first year of fellowship and feel comfortable performing routine exams. However, ultrasound mentorship, structured training and research in prenatal ultrasound are limited in some programs. © 2012 John Wiley & Sons, Ltd.
Source: Prenatal Diagnosis - December 1, 2012 Category: Perinatology & Neonatology Authors: Yair J. Blumenfeld, Amen Ness, Lawrence D. Platt Tags: Original Article Source Type: research

Prenatal diagnosis of chromosomal abnormalities in fetuses with cardiac ultrasound findings: evaluation of chromosomal microarray‐based analysis
CONCLUSIONS: The diagnostic yield may be increased by 2% in pregnancies with cardiac ultrasound findings if CMA was used as a complementary tool to conventional cytogenetics. Our results also suggest that CMA could be an appealing alternative to karyotyping in these pregnancies, preferably after excluding most common aneuploidies and triploidy by a rapid and inexpensive method. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.
Source: Ultrasound in Obstetrics and Gynecology - December 1, 2012 Category: Radiology Authors: Irene Mademont‐Soler, Carme Morales, Anna Soler, José María Martínez‐Crespo, Yiping Shen, Ester Margarit, Núria Clusellas, María Obón, Bai‐Lin Wu, Aurora Sánchez Tags: Original Paper Source Type: research

Image assessment of cervical dimensions after LLETZ: a prospective observational study
ConclusionsThe volume of tissue removed at LLETZ is related to the subsequent cervical volume, as well as the uterine length and volume, 6 months after the procedure.
Source: BJOG: An International Journal of Obstetrics and Gynaecology - December 1, 2012 Category: OBGYN Authors: X Carcopino, JA Maycock, J Mancini, M Jeffers, K Farrar, M Martin, S Khalid, W Prendiville Tags: Original Article Source Type: research

Med Sci Monit 2012; 18(12):CR741-746 "Long-term follow-up for organic dysfunction in breech – presenting children"
Conclusions: Vaginal breech deliveries are safe in both primiparous and multiparous mothers.
Source: Medical Science Monitor - December 1, 2012 Category: Research Source Type: research

Self-assessment
Source: Obstetrics, Gynaecology and Reproductive Medicine - December 1, 2012 Category: OBGYN Authors: Alec McEwan Tags: Self-Assessment Source Type: research

Caesarean section on demand
Drafts of the NICE Caesarean Section guideline update (with details being overlooked) prompted a debate over whether women should be able to demand a Caesarean delivery without medical indication? Caesarean section “on-demand” has been hotly debated for many years.
Source: Obstetrics, Gynaecology and Reproductive Medicine - December 1, 2012 Category: OBGYN Authors: Mary Goodin, Malcolm Griffiths Tags: Ethics/Education Source Type: research