MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'European Clinics in Obstetrics and Gynaecology' source. Sat, 10 Oct 2009 19:31:02 +0100 http://www.medworm.com/index.php?rid=1759061&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5665853195456313%2F Abstract  Although unusual, pregnancy in chronic dialysis patients does occur. In fact, the percent of successful pregnancies in women on chronic dialysis may be increasing. But unfortunately, the rates for premature delivery, neonatal death, maternal hypertension, and preeclampsia in chronic pregnant dialysis patients are high. Only 50% of pregnancies result in a surviving infant and over 80% of live born infants are premature, often severely premature. The key to improving the outcome of pregnancy in dialysis patients lies in decreasing premature labor and premature rupture of membranes in the late second and early third trimester. In this article, the incidence, duration, fetal and maternal complications, and outcomes of pregnancy in women on chronic dialysis are reviewe... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=1759061 Tue, 02 Sep 2008 06:24:44 +0100 1759061 http://www.medworm.com/index.php?rid=1759062&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv20h068w65538t76%2F Abstract  Venous thrombo-embolism (VTE) is a major cause of morbidity and mortality during pregnancy. Most of the evidence being used in the management of this condition in pregnancy is extrapolated from the general population. One such intervention is the use of the D-dimer test for the diagnosis of thromboembolism in pregnancy. Although this test has been found to be useful in low-risk non-pregnant patients, its negative predictive value is limited in high-risk patients in the general population to be used as a reliable diagnostic tool. Considering pregnancy as a high-risk state for VTE, we have evaluated the role of D-dimer in diagnosing VTE in pregnancy and proposed a diagnostic algorithm for the management of VTE based on the current evidence available. Content Type... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=1759062 Tue, 02 Sep 2008 06:24:39 +0100 1759062 http://www.medworm.com/index.php?rid=1729135&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj22164k81g37g574%2F We report a case of a patient with a uterine lipoleiomyoma as an incidental finding. Diagnosis of uterine lipoleiomyoma is possible with the use of ultrasound and computed tomography scanning of the abdomen and pelvis. Content Type Journal ArticleCategory Review ArticleDOI 10.1007/s11296-008-0078-0Authors S. Mylona, Hellenic Red Cross Hospital Department of Radiology Athens GreeceN. Giannoulakos, Hellenic Red Cross Hospital Department of Radiology Athens GreeceN. Roppa-Lepida, Hellenic Red Cross Hospital Department of Radiology Athens GreeceA. Koutsodimitropoulou, General Hospital Nikaia-Piraeus Department of Obstetrics and Gynecology Athens GreeceN. Batakis, Hellenic Red Cross Hospital Department of Radiology Athens Greece Journal European Clinics in Obstetrics and Gynaecolog... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=1729135 Fri, 22 Aug 2008 09:26:10 +0100 1729135 http://www.medworm.com/index.php?rid=1729134&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft19321n522tu5011%2F Abstract  Leiomyosarcoma of the broad ligament is a rare tumor, with only 16 cases. In this paper we examine the case of a 52-year-old women consulted for pelvic pain. Clinical examination revealed a solid mass on the right side of the uterus. Abdominal ultrasonography and CT scan confirmed a mass presumably ovarian in origin. Laparotomy found a tumor of the right broad ligament, independent from uterus, tubes and ovaries. A total hysterectomy with bilateral salpingo-oophorectomy was performed and the histologic examination led to the diagnosis of leiomyosarcoma of the broad ligament. No evidence of metastasis is noted after 42 months' follow-up. Content Type Journal ArticleCategory Review ArticleDOI 10.1007/s11296-008-0076-2Authors Wided Stita, Farhat Hached Hospi... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=1729134 Fri, 22 Aug 2008 09:26:10 +0100 1729134 http://www.medworm.com/index.php?rid=1729136&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F41m358122167qt86%2F Abstract  Female acute urinary retention in pregnancy is a relatively uncommon condition. Its relatively low incidence and little published evidence base leads to inconsistent and often suboptimal management. The underlying cause of urinary retention must be diagnosed and treated. There is a lack of prospective trials of investigations and management. The following databases were searched: the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE and SCOPUS. Content Type Journal ArticleCategory Review ArticleDOI 10.1007/s11296-008-0079-zAuthors Dushyant Maharaj, University of Otago Department of Obstetrics and Gynecology, Wellington School of Medicine P.O. Box 4373 Wellington South 6242 New ZealandMalanie Gajanayaka, Wellington Women’s Hospital Depar... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=1729136 Thu, 21 Aug 2008 09:23:46 +0100 1729136 http://www.medworm.com/index.php?rid=1722917&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0448uq8363t24g27%2F Abstract  Though uncommon, Wolff–Parkinson–White syndrome (WPW) can cause life threatening cardiac rhythm disorders in pregnancy. We examine a case report of a 20-year-old primigravida with WPW referred by her GP at 16 weeks of gestation. After consultation with the tertiary care cardiac treatment centre, she was prescribed flecainide (40 mg twice daily), resulting in a settling of the palpitations and chest pain. In pregnant WPW syndrome patients with tachyarrhythmia, therapeutic strategies should be based on interdisciplinary co-operation (obstetrics, cardiology, and neonatology). With an appropriate management strategy, most pregnant women will have a normal and uneventful pregnancy. Content Type Journal ArticleCategory Review ArticleDOI 10.1007/s11296-00... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=1722917 Wed, 20 Aug 2008 08:29:18 +0100 1722917 http://www.medworm.com/index.php?rid=1699853&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6v105k4484m41q7h%2F Abstract  To assess whether outpatient hysteroscopy without anesthesia confers any advantages over the traditional technique, we conducted a retrospective study. Participants consisted of 2,255 women who were referred to outpatient hysteroscopy at Alexandra Hospital from October 1991 to July 2007. The procedure was done without general or any other form of anesthesia; only in some cases was local anesthetic used. Diagnostic hysteroscopy was performed by means of a 2.7-mm hysteroscope and a 3.2-mm diagnostic sheath. The mean age was 36.37 years, 78.89% were nulliparous, and 94.01% were pre-menopausal. Hysteroscopy was successful in 98.40% of the participants. The morbidity ratio of the procedure was 0.13%. Cervical dilation was required in 10.15%. Local anesthesia was u... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=1699853 Mon, 11 Aug 2008 13:35:47 +0100 1699853 http://www.medworm.com/index.php?rid=1016927&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F446089u447810866%2F Abstract  The aim of the current review is to provide the obstetrics and gynecology residents with the fundamental knowledge of cryobiology and cryopreservation. This might be beneficial during routine practice while consulting a candidate woman. Although a comprehensive knowledge doubtlessly requires further reading, this review will help them attain at least the basics. Content Type Journal ArticleCategory Clinical ReviewDOI 10.1007/s11296-007-0072-yAuthors Tansu Küçük, Gülhane Military Medical Academy Department of Obstetrics and Gynecology Etlik Ankara Turkeyİskender Başer, Gülhane Military Medical Academy Department of Obstetrics and Gynecology Etlik Ankara Turkey Journal European Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=1016927 Thu, 08 Nov 2007 16:11:50 +0100 1016927 http://www.medworm.com/index.php?rid=1016928&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu01603u155h14838%2F This article discusses the actual practice of the vaginal examination and compare the different methods that commonly are used in Europe, particularly the UK and the north European way. The advantages and disadvantages for the patient and the gynaecologist are described in a comprehensive way explaining why different gynaecological positions may be more efficient for both the patient and the gynaecologist. Emphasis is given on the training validation for the junior doctors and the future general practitioners. Content Type Journal ArticleCategory Tips and TricksDOI 10.1007/s11296-007-0071-zAuthors Costas Panayotidis, University of Manchester 6 Angela Avenue, Royton Oldham OL2 6AQ UK Journal European Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=1016928 Thu, 08 Nov 2007 16:11:49 +0100 1016928 http://www.medworm.com/index.php?rid=946665&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F481414w570376440%2F Abstract  During the last few decades, the use of ultrasonography for the detection of fetal abnormalities has become widespread in many industrialised countries. This resulted in a shift in timing of the diagnosis of congenital abnormalities in infants from the neonatal period to the prenatal period. This has major implications for both clinicians and the couples involved. In case of ultrasound diagnosis of fetal anomaly, there are several options for the obstetric management, ranging from standard care to non-aggressive care and termination of pregnancy. This essay explores the context of both clinical and parental decision making after ultrasound diagnosis of fetal abnormality, with emphasis on the Dutch situation. While normal findings at ultrasound examination have str... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=946665 Thu, 11 Oct 2007 15:22:39 +0100 946665 http://www.medworm.com/index.php?rid=802031&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3m3118827r871206%2F Abstract  Allogeneic transplantations of haematopoietic stem cells derived from cord blood have become a clinical routine. Applications are successful in malignant and non-malignant diseases, with high engraftment capacities and, compared to bone marrow stem cell transplantations, less strict human leucocyte antigen-match criteria. A major concern in using haematopoietic stem cells from cord blood is the relatively low number of stem cells that can be retrieved; however, recent research focuses on using several cord blood transplants as tandem transplants or increasing the number of progenitors by in vitro expansion strategies. In contrast to these running applications in allogeneic stem cell transplantation, autologous stem cell transplantations so far are very rare, and f... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=802031 Wed, 15 Aug 2007 06:40:50 +0100 802031 http://www.medworm.com/index.php?rid=701795&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F07434011w3332514%2F Abstract  The purpose of this review is to investigate to what extent menopause is related to ocular pathological changes and whether hormone replacement therapy (HRT) can delay these changes to occur. This review of international bibliography reveals that hormonal changes during menopause are responsible for changes in lachrymal secretion, quality and quantity of tears, changes in conjunctiva and cornea, the development and progress of cataract, changes in intraocular pressure, the risk for glaucoma, the age-related macular degeneration, and changes in ocular blood flow. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=701795 Wed, 27 Jun 2007 08:05:31 +0100 701795 http://www.medworm.com/index.php?rid=701794&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy4526k0135404580%2F This article describes two other vulvar ulcerous diseases, Behet’s disease and Lipschtz ulcus, to show the importance of a careful clinical examination and diagnostic testing. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=701794 Wed, 27 Jun 2007 08:05:30 +0100 701794 http://www.medworm.com/index.php?rid=681194&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv01168m3h8m7554w%2F Abstract  The safety of women undergoing childbirth with prior caesarean delivery is a major public health concern. Most of the earlier studies focused on the success rate of vaginal birth after caesarean section; later focus shifted to maternal and neonatal safety, and presently, each factor that would influence the outcome of trial of labour is being considered on both the success and the safety of vaginal birth following caesarean delivery. The contribution of induction of labour to uterine rupture is not entirely clear. Although large multi-center randomised trials comparing planned elective repeat caesarean delivery vs vaginal delivery following prior caesarean delivery are required for conclusive evidence; current evidence suggests that, in properly selected women, va... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=681194 Sat, 16 Jun 2007 07:03:33 +0100 681194 http://www.medworm.com/index.php?rid=670620&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F755g3662084w23gu%2F We present our experience that originates from the recent hospital visiting in our unit. During our department’s presentation several training issues were identified. Dealing with these issues will result in improvement of the training provided and convergence of training and health care standards in Europe. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=670620 Thu, 14 Jun 2007 07:30:33 +0100 670620 http://www.medworm.com/index.php?rid=465699&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe83673vwg4417430%2F Abstract??The goal of the study is to evaluate the risk factors having an impact on attendance at antenatal care services in Latvia during the years of economic transition as well as the impact of those factors on mothers and newborns? health. Based on Latvian statistical data and published surveys, we analysed the possible impact of social and economic factors on attendance at antenatal care services. To illustrate the posed problems, we carried out a small pilot follow-up study, comparing social profiles, incidences of reproductive tract infections and HIV infection and pregnancy outcome on 200 consecutive unselected pregnant women who received antenatal care and 25 pregnant women who did not. Despite the fact that antenatal care is free of charge and the social security system facilitat... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=465699 Sun, 11 Mar 2007 08:19:10 +0100 465699 http://www.medworm.com/index.php?rid=460641&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn6260l368606783k%2F Abstract??HPV (human papillomavirus) is a virus responsible for many female and male genital tract diseases. It is a small nonenveloped virus with icosahedral symmetry that contains a double-stranded DNA genomes of approximately 7,900?bp. Approximately 200 different HPVs have been characterized, classified in mucosal and cutaneous viruses, responsible for a wide spectrum of clinical conditions, from simple feet and hands warts to genital cancer. Their genome is functionally distinct in three regions. The condition of the host immune system is one of the factors that can strongly influence the natural history of HPV infection. The primary response to viral infection is cell-mediated, so conditions that compromise the immune system increase the viral infection risk. The molecular mechanisms ... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=460641 Thu, 08 Mar 2007 08:01:45 +0100 460641 http://www.medworm.com/index.php?rid=460640&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe6243680846280kk%2F Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=460640 Thu, 08 Mar 2007 08:01:45 +0100 460640 http://www.medworm.com/index.php?rid=455563&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc117843357410328%2F Abstract??Hysteroscopic treatment of submucous myomas is a safe and effective treatment in patients presenting with abnormal uterine bleeding and subfertility. Resection of fibroids can be performed with the assistance of monopolar or bipolar energy, hysteroscopic scissors or by applying yttrium aluminium garnet (Nd:YAG) laser. Modern resectoscopic techniques have expanded treatment options for these patients. Before surgery, the size, number, localization and intramural extent should be determined by hysteroscopy and/or sonohysterography to be able to ascertain the possibilities for resection and the technique to be used. Appropriate patient preparation will make the operation easier and reduce complication rates. There is a greater chance of successful procedure with the smaller proporti... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=455563 Fri, 02 Mar 2007 08:43:22 +0100 455563 http://www.medworm.com/index.php?rid=455562&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl37565kqq6203760%2F Abstract??Misoprostol has been used off-label for labor induction for many years. A large number of randomized controlled studies have assessed the efficacy and safety of misoprostol in different dose ranges between 10 and 100?mcg, with different dose intervals and different administration routes including oral, intravaginal, rectal, sublingual, and buccal administration. Currently, registration trials are underway, and misoprostol for registered indication of labor induction might be available in several European countries in the near future. Meanwhile, guidelines for off-label use should be provided by authorities or OB/GYN associations. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 (Source: European Clini... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=455562 Fri, 02 Mar 2007 08:43:22 +0100 455562 http://www.medworm.com/index.php?rid=455561&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4u612w2581u225g2%2F We report the collaboration between the First Postgraduate School of Obstetrics and Gynecology at the University of Milan, Italy, and the nongovernmental organization ?Emergency? that operates through its own hospitals in countries devastated by armed conflicts. The collaboration was centered on the maternity clinic that Emergency opened in 2003 in northern Afghanistan. After a woman resident spent 5?months on-site, the collaboration is now extended to all residents with a group with four areas of intervention: guidelines, clinical records and data collection, drugs and medical devices, and teaching material. In addition, it offers consultation by e-mail for any clinical issue that might arise. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline IS... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=455561 Fri, 02 Mar 2007 08:43:21 +0100 455561 http://www.medworm.com/index.php?rid=439601&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg77m42n523x7873w%2F Abstract??It is known for years that breast cancer is a hormone-dependent disease and that reproductive factors can contribute to the increase of its incidence. Among the factors, hormone replacement therapy (HRT) appears to be a contributor at least in some women. HRT remains to be the most efficient intervention to alleviate postmenopausal symptoms. However, the possible mild increase in the risk remains a limit to its prescription. From one country to another, regimens are different, and thus, the increase risk can also vary. It is thus important for a clinician to be informed on the evidence concerning the use of such treatments and thus be able, in front of their patients, to evaluate the risk?benefit balance in each case. Because Europe and the USA have different products and differe... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=439601 Sat, 24 Feb 2007 08:32:12 +0100 439601 http://www.medworm.com/index.php?rid=439600&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F861h72k715232wr4%2F Abstract??For several reasons, surgical training is suffering important reductions in terms of time and opportunities. New approaches to surgical training are required, and new training strategies should be proposed to maintain surgical standards. Affordable technologies allowing digital capture and recording of surgical procedures are now widely available, and we believe that the use of such technologies could play a role in the surgical training. Digital videos are useful to surgeons involved in teaching, because they are much easier to edit and share. In the operating theatre, the use of real-time digitised video during operations performed by trainees has different useful applications. A computer screen, with the use of a mouse cursor, can enhance the interaction between trainees and s... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=439600 Sat, 24 Feb 2007 08:32:12 +0100 439600 http://www.medworm.com/index.php?rid=414548&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn00425n3k8560644%2F Abstract??Medical image processing led to a major improvement of patient care by guiding the surgical gesture. From these initial data, new technologies of Virtual Reality and Augmented Reality can increase the potential of such images. The 3-D modeling of patients from their computed tomography scan or magnetic resonance image thus allows an improved surgical planning. Simulation offers the opportunity to train the surgical gesture before carrying it out. These two preoperative steps can be used intra-operatively thanks to the development of Augmented Reality (AR), which consists in superimposing the preoperative 3-D modeling of the patient onto the real intra-operative view of the patient. AR provides surgeons with a view in transparency of their patient and can also guide surgeons, than... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=414548 Tue, 13 Feb 2007 08:23:11 +0100 414548 http://www.medworm.com/index.php?rid=397751&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F408w505x3231411x%2F Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=397751 Fri, 02 Feb 2007 07:47:50 +0100 397751 http://www.medworm.com/index.php?rid=360718&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp211740450151478%2F Abstract??The Dutch obstetric system is based upon risk selection and risk management. The level of care is matched to the level of risk. Low-risk patients are assigned to primary care and the others to secondary care. As risk factors can arise during the course of pregnancy, delivery, and puerperium, this is a dynamic process. The organization is described and an overview of various Dutch studies of this system and the changes of referral rates in the course of time are given. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=360718 Wed, 17 Jan 2007 07:49:38 +0100 360718 http://www.medworm.com/index.php?rid=347207&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fwh3u184652759330%2F This study presents in detail what the national guidelines of the member states of the EU recommend for antenatal care. These findings demonstrate for the first time that extracting the measures from national guidelines that are recommended by the majority of states and apply to the majority of inhabitants of the EU leads to the development of a guideline compatible with scientific evidence. On the basis of these findings, a common minimum guideline for antenatal care in the EU should be established. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=347207 Fri, 05 Jan 2007 10:57:32 +0100 347207 http://www.medworm.com/index.php?rid=343127&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr3j41t180q48m076%2F Abstract??Genital herpes is caused by herpes simplex virus (HSV)-1 and HSV-2. It is an underdiagnosed and undertreated sexually transmitted infection characterised by latency followed by reactivation. The seroprevalence of both types of HSV varies throughout Europe, and HSV-1 is an increasing cause of genital herpes. Transmission is through skin-to-skin contact, and neonatal herpes resulting from transmission during delivery is a particularly serious problem. Diagnosis of genital herpes is not straightforward, and a clinical diagnosis alone is usually insufficient. Correct diagnosis is essential for appropriate management and reduction of transmission. Laboratory diagnosis can be by direct detection of the virus or indirect measurement of antibodies. Direct testing has traditionally been t... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=343127 Wed, 03 Jan 2007 18:24:22 +0100 343127 http://www.medworm.com/index.php?rid=337791&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft021213k21535146%2F Abstract??Genital herpes infections may be caused by either the herpes simplex virus type 1 or 2 (HSV-1 or HSV-2). The changing patterns of HSV-1 acquisition in childhood have meant that many individuals will acquire this disease in adult life when at least one third of such late infections will involve the genital area. In many parts of the world, HSV-1 is the principal cause of acquisition of HSV disease. However, the majority of cases of frequent and severe genital disease remain due to HSV-2. The management of genital HSV infections involves a careful assessment of the impact of the disease upon the patient. Such an assessment must take into consideration not only the severity and frequency of the disease, but also the impact of infection upon the patient?s psychosexual well-being as w... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=337791 Tue, 26 Dec 2006 20:32:56 +0100 337791 http://www.medworm.com/index.php?rid=337790&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj71w842073480364%2F Abstract??The European Society for Human Reproduction and Embryology?s Special Interest Group Early Pregnancy recently published a revised terminology for the description of early pregnancy events as well as evidence-based guidelines for the investigation and medical treatment for patients with recurrent miscarriage (RM). This review, designed for clinicians working in the field of human reproduction, starts with the updated glossary of terms essential for an accurate assessment and documentation of clinical events. The revised terminology is summarized in this article. Many terms used in early pregnancy were old and had persisted before or since the introduction of ultrasound. Based on the data of recently published randomized controlled trials (RCTs) and meta-analysis, recommendations ar... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=337790 Tue, 26 Dec 2006 20:32:56 +0100 337790 http://www.medworm.com/index.php?rid=327803&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg5h1g0764m2n3517%2F In conclusion, Virtual Reality simulators are valid and objective tools in surgical education. Several systems are currently considered sufficiently validated and ready to be implemented in comprehensive educational curricula in minimally invasive surgery. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=327803 Tue, 19 Dec 2006 10:29:45 +0100 327803 http://www.medworm.com/index.php?rid=293825&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn24752654g5h4p42%2F Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=293825 Thu, 23 Nov 2006 08:16:52 +0100 293825 http://www.medworm.com/index.php?rid=293828&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F24642n02l1567460%2F This article describes different uterine brace compression sutures, their advantages and complications and their place among other treatment modalities. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=293828 Wed, 22 Nov 2006 18:02:36 +0100 293828 http://www.medworm.com/index.php?rid=293826&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr11m1678ullq6080%2F Abstract Intractable postpartum haemorrhage (PPH) is exceedingly rare. Most complications result from procrastination or lack of adherence to a structured protocol of management. Active management of the third stage of labour is highly effective in preventing PPH. If haemorrhage nevertheless occurs, the following measures are implemented in rapid succession until the bleeding stops: 1) methylergometrine maleate is administered, 2) the uterus is massaged and compressed, 3) oxytocin is infused intravenously, 4) a second intravenous line is installed and blood is drawn for determination of the haematocrit, platelets and coagulation profile, and for cross-matching of blood, 5) a senior obstetrician and a senior anaesthetist are summoned, and the haematologist on call is notified, 6) the patien... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=293826 Wed, 22 Nov 2006 18:02:36 +0100 293826 http://www.medworm.com/index.php?rid=293827&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh05l6782vm23j758%2F Abstract Severe intra-operative and post-operative bleeding is a potentially life-threatening complication of gynaecologic surgery. A sound clinical judgement and the adequate assessment and preparation of the patient are the best pre-operative means to avoid its occurrence. Intra-operative prevention requires knowledge of surgical anatomy and haemostatic techniques. The management of haemorrhagic complications can be extremely challenging. Its success depends on the perfect integration of surgical expertise, the supporting role of the anaesthesiologist and on the availability of a fully equipped interventional radiology team with much experience. A methodical and stepwise surgical approach is needed to selectively dissect and identify the bleeding site without damaging adjacent structures... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=293827 Wed, 22 Nov 2006 18:02:35 +0100 293827 http://www.medworm.com/index.php?rid=284741&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb85630g478j53105%2F Abstract Placenta accreta occurs when a defect of the decidua basalis results in abnormally invasive placental implantation. Risk factors include placenta previa, previous cesarean section, advanced maternal age, multiparity, and previous uterine curettage. The conventional sonographic criteria for abnormally adherent placenta include the absence of a normal hypo-echogenic retroplacental myometrial zone, the thinning or disruption of the hyper-echogenic uterine serosa–bladder interface, the presence of focal mass-like elevations or extensions of placental tissue beyond the uterine serosa, and the presence of intraplacental lacunae. Standard recommendations include a cesarean hysterectomy if risk factors and imaging findings are highly suggestive of this diagnosis. A conservative appr... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=284741 Tue, 21 Nov 2006 06:16:39 +0100 284741 http://www.medworm.com/index.php?rid=278906&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9687727u406387t0%2F Abstract The global maternal mortality ratio (MMR) of 400 per 100,000 live births results in an estimated 529,000 maternal deaths annually. Most of these deaths occur in developing countries and only about 1% in developed countries. Besides mortality data, the identification and accurate documentation of “near-miss” morbidity (a more sensitive index) is extremely important to assess the quality of health care systems. It can suitably guide to adopt appropriate measures to reduce maternal mortality and morbidity. Haemorrhage remains a major cause of maternal mortality in both developing and developed countries followed by anaemia and infection, which are more common in developing countries. Post-partum haemorrhage (PPH) is a frequent complication of delivery. PPH occurred in 10.... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=278906 Thu, 16 Nov 2006 01:57:35 +0100 278906 http://www.medworm.com/index.php?rid=278905&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh81808648214710p%2F Abstract Extrauterine pregnancies contribute substantially to maternal mortality in all parts of the world. The most common cause of these deaths is massive bleeding after rupture of the ectopic pregnancy. The advent of transvaginal ultrasonography in early pregnancy and the use of quantitative measurement of the β-unit of human chorionic gonadotropin have revolutionized the management of this condition. These diagnostic modalities allow its early detection and, in many cases, treatment before rupture occurs. There is an ever increasing body of evidence supporting expectant, medical, and surgical management of ectopic pregnancy according to certain criteria. The indications and criteria for the different management options are described in the literature and in clear guidelines from i... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=278905 Thu, 16 Nov 2006 01:57:35 +0100 278905 http://www.medworm.com/index.php?rid=278904&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F14546x2242r01537%2F Abstract The worldwide increase in caesarean sections, as well as that in laparoscopic and hysteroscopic surgery, augments the risk for women to suffer a uterine rupture. Also the use of misoprostol for the termination of pregnancy and induction of labour, particularly in developing countries, contributes to the greater incidence of uterine rupture. In developing countries, again, neglected obstructed labour remains a very frequent cause of uterine rupture. Diagnosis of uterine rupture may be difficult and, if made too late, serious and even devastating complications may follow, culminating in infant and/or maternal death. A high index of suspicion is indicated when dealing with women at risk. Options in terms of managing uterine rupture include simple repair of the tear, subtotal, and tot... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=278904 Thu, 16 Nov 2006 01:57:34 +0100 278904 http://www.medworm.com/index.php?rid=269901&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fqkp2332v13653q8k%2F Abstract Vasa praevia constitutes a rare obstetric complication that is potentially lethal for the generally healthy infant. If unrecognized antenatally, the condition carries a higher fetal mortality rate than any other complication in pregnancy. Only in the past two decades have major diagnostic advances led to a dramatic improvement of perinatal survival and lower morbidity rates. Good outcomes depend primarily on prenatal diagnosis and appropriate management. The performance of a caesarean section before rupture of the membranes and the onset of labour is mandatory. Simple modifications of standard screening protocols and the recognition of high-risk patients will allow identification of most cases of vasa praevia. Content TypeJournal Article JournalEuropean Clinics in Obstetrics... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=269901 Wed, 08 Nov 2006 08:31:47 +0100 269901 http://www.medworm.com/index.php?rid=261561&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft375415761632wx1%2F Abstract Antepartum haemorrhage is defined as bleeding from the genital tract from 24 weeks of gestation onwards. The incidence is around 2–5% of all pregnancies progressing beyond 24 weeks. Placenta praevia and placental abruption are of great clinical importance as causes of antepartum haemorrhage. Placenta praevia occurs when the placenta is totally or partly inserted in the lower uterine segment. The aetiology of placenta praevia may merely represent an accident of nature but is associated with advanced maternal age, multiparity and previous uterine damage such as in a previous caesarean section. Usually, the initial bleed is painless and mild, but it may be severe. Screening and diagnosis are normally by ultrasound. A dilemma exists as to whether hospitalisation should be offere... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=261561 Wed, 01 Nov 2006 11:43:41 +0100 261561 http://www.medworm.com/index.php?rid=179432&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff586117245247365%2F Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 Journal VolumeVolume 2 Journal IssueVolume 2, Number 2 / September, 2006 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179432 Tue, 29 Aug 2006 07:19:36 +0100 179432 http://www.medworm.com/index.php?rid=179428&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv108369221251r78%2F Abstract  The survival rate for infants born preterm has improved over the last two decades. However, the incidence of moderate and severe neurodevelopmental disability amongst the surviving infants is high, and these infants require prolonged intensive care. Many countries have developed guidelines how and when to treat these infants. Usually, these guidelines are based upon the outcome data of large studies, but social, cultural and economical factors have a major impact on these guidelines as well. Some European countries have set guidelines at when to start treatment based upon gestational age alone. However, recent data show that ethnicity, gender and birth weight are important determinants for survival and morbidity as well. Thus, policies for initiating and withdrawing intensive c... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179428 Tue, 29 Aug 2006 07:19:36 +0100 179428 http://www.medworm.com/index.php?rid=179433&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp554845q86807267%2F This article review takes into consideration the multiple symptoms fibroid uterus can cause in pregnancy and summarises the recent treatment options of leiomyomas in pregnancy with emphasis on the possible use of surgery during pregnancy in selected cases. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 Journal VolumeVolume 2 Journal IssueVolume 2, Number 2 / September, 2006 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179433 Tue, 29 Aug 2006 07:19:35 +0100 179433 http://www.medworm.com/index.php?rid=179431&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5q5h50235172483h%2F Abstract  The second half of the last century saw remarkable changes in the delivery of maternity care services, with the introduction of antibiotics and safe anaesthesia. This was associated with a continued decrease in maternal and perinatal mortality and some were quick to establish a cause-and-effect relationship. However, this was challenged by statisticians and technological developments have also been challenged later by some, though embraced by others. An initial study of midwives’ practice and perception of risk had demonstrated not only a slight link between higher intrapartum intervention rate and higher perception of risk but also an over-pessimistic evaluation of the chances of normal women to progress normally and an over-optimistic risk perception of the outcomes associa... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179431 Tue, 29 Aug 2006 07:19:35 +0100 179431 http://www.medworm.com/index.php?rid=179430&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa3161547l4n51468%2F Abstract  As one of the basic modalities of oncological therapy, chemotherapy usually leads to permanent consequences. Infertility is one of the most common consequences resulting from irreversible gonadal damage. The potentially effective method of reproductive function protection in women undergoing chemotherapy for haematological malignancy is administration of GnRH analogues during chemotherapy by creating pre-pubertal hormonal milieu. The other useful methods are the cryopreservation of oocytes and ovarian tissue from patients undergoing anti-cancer therapy. The presented OvarOnko project sets the primary target to verify the potential protective effect of GnRH analogues to protect ovarian tissue over the course of three different chemotherapy regimens in female patients with childb... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179430 Tue, 29 Aug 2006 07:19:34 +0100 179430 http://www.medworm.com/index.php?rid=179426&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F204667qng66255u7%2F Abstract  Premenstrual syndrome (PMS) can be a source of real distress and discomfort to menstruating women. There is a spectrum of severity from one end where women have mild symptoms to the severe end that is premenstrual dysphoric disorder. These symptoms may be so severe that they disrupt the normal functioning, quality of life and interpersonal relationships. It is critical to note the cyclical nature of the condition. The definitive aetiology of PMS remains obscure though it appears to be directly related to the ovarian hormone cycle. The management of PMS is based on the principles of ovulation suppression or correction of the neurotransmitter deficiency, which is considered to be responsible for the cyclical symptoms. There are numerous studies evaluating the various treatment op... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179426 Tue, 29 Aug 2006 07:19:34 +0100 179426 http://www.medworm.com/index.php?rid=179429&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb241111183j06161%2F Abstract  To diagnose scar endometriosis when an abdominal wall mass is found near the scar from a previous operation requires a high degree of suspicion. Pre-operatively, ultrasound and fine needle aspiration can be of help. Awareness of diagnosis avoids delay in diagnosis, treatment, and unnecessary referrals to other specialities. We reviewed five cases of scar endometriosis presenting to our unit in the last 5 years and included a literature review. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 Journal VolumeVolume 2 Journal IssueVolume 2, Number 2 / September, 2006 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179429 Tue, 29 Aug 2006 07:19:33 +0100 179429 http://www.medworm.com/index.php?rid=179427&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb3512805731r01w5%2F Abstract  Obstetrical care providers are highly trained, highly skilled professionals working with complex systems in an unpredictable environment. Perinatal units have many built-in mechanisms that work to prevent errors from occurring. Unintentional failures usually are the result of a chain of events, almost never from a single cause or a single provider. Within most unintentional failures, there is usually no single explanatory cause for the event. Rather, there is a complex interaction between a varied set of systems, including human behavior, performance and interdependency, technological aspects, socio-cultural factors, and a range of organizational and procedural weaknesses. To enable meaningful analysis of the underlying causes of an adverse event, errors and near-misses must be... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179427 Tue, 29 Aug 2006 07:19:33 +0100 179427 http://www.medworm.com/index.php?rid=179425&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe226n7216883q447%2F Abstract  With the introduction of training programmes and logbooks for basic postgraduate training and subspecialty training, the European Board and College of Obstetrics and Gynaecology has given impulses to harmonise training in obstetrics and gynecology in the European Union. Current changes in the practice of medicine, among which the European Working Time Directive, numbers of surgical procedures decreasing, more demanding patients and a change in work ethos, challenge both trainers and trainees to optimise postgraduate training. For training to be effective and efficient, it is necessary to clearly define learning goals and outcomes and to create a stimulating educational environment. This requires trainers who (a) have knowledge of adult learning and educational theory and (b) wi... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179425 Tue, 29 Aug 2006 07:19:32 +0100 179425 http://www.medworm.com/index.php?rid=179435&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc78hk877795jk603%2F Pre-pregnancy planning in chronic renal patients has relied mainly on information gleaned from case reports, small series and variable registries. Nevertheless, guidelines have emerged to help clinicians in the care of their patients, so that as with other chronic medical conditions, it is becoming recognised as part of the traditional organisation of care associated with pregnancy. Nevertheless, most chronic renal patients do not plan their pregnancies with their health care team, and this complex behaviour is affected by the quality of the relationship with the team and by the woman’s attitude to her health and beliefs. The basic components of pre-pregnancy counselling should be analysis of risks, provision of health education and advice, and then making specific helpful interventions.... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179435 Thu, 13 Apr 2006 07:27:51 +0100 179435 http://www.medworm.com/index.php?rid=179434&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F42124426961u6604%2F Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 Journal VolumeVolume 2 Journal IssueVolume 2, Number 1 / May, 2006 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179434 Thu, 13 Apr 2006 07:27:51 +0100 179434 http://www.medworm.com/index.php?rid=179436&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq6310333851g048r%2F Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 Journal VolumeVolume 2 Journal IssueVolume 2, Number 1 / May, 2006 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179436 Wed, 12 Apr 2006 07:29:28 +0100 179436 http://www.medworm.com/index.php?rid=179437&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp1u16q1425358665%2F When considering the chances of establishing a healthy ongoing pregnancy after in vitro fertilization (IVF), the cause of infertility plays a relatively minor role. In recent years, there has been a shift from determining the diagnosis to the individual prognosis for a given patient. A number of prognostic factors were identified, which enabled clinicians to appropriately counsel patients. Patient-determined factors are of crucial importance and some are amenable to intervention such as lifestyle and nutritional advice. However, the attention of clinicians remains on seeking adjuvant therapeutic interventions designed to improve the outcomes of IVF treatment. In this article, the patient-determined factors underlying the individual chance of conceiving and the more commonly prescribed empi... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179437 Tue, 11 Apr 2006 09:00:37 +0100 179437 http://www.medworm.com/index.php?rid=179438&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd214556r2l22h342%2F An acardiac twin is probably the most severe malformation found in humans and is found in 1:100 of all monozygotic twin pregnancies and in about 1:30 of all monozygotic triplets. There are several types of acardiac fetuses; in fact, two major theories exist on their origin. Arterio-arterial anastomoses between the umbilical cord of the normal and the acardiac twin are responsible for the clinical presentation of a Twin Reversed Arterial Perfusion or TRAP sequence. Possible complications for the healthy twin are circulatory overload, which can lead to congestive heart failure, polyhydramnios (and, thus, preterm labor), and eventually intra-uterine demise. Furthermore, perinatal complications can occur due to the acardiac mass itself and hypoxia and intra-uterine growth retardation of the no... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179438 Wed, 05 Apr 2006 06:36:12 +0100 179438 http://www.medworm.com/index.php?rid=179440&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F84k7r4646r017144%2F In the course of the last 20 years, ultrasound has become a dominant technology in the daily practice of obstetrics and gynecology. Except for women living in rural outposts in underdeveloped countries, there is hardly a pregnant woman in the world who does not have at least one ultrasound and there are many who have five, ten or more ultrasound examinations. In some countries this is part of a structured, determined screening program, entitling every woman to one or two, sometimes three, ultrasound examinations, specifically for the purpose of finding fetal malformations and considering the option to terminate pregnancies should the malformation found on ultrasound be severe enough. In other countries, ultrasound in pregnancy is almost entirely left to the forces of the free market that h... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179440 Wed, 15 Mar 2006 16:10:28 +0100 179440 http://www.medworm.com/index.php?rid=179439&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F02064t4525g81837%2F Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 Journal VolumeVolume 1 Journal IssueVolume 1, Number 4 / March, 2006 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179439 Wed, 15 Mar 2006 16:10:28 +0100 179439 http://www.medworm.com/index.php?rid=179441&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd3u7145825588547%2F Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 Journal VolumeVolume 1 Journal IssueVolume 1, Number 4 / March, 2006 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179441 Tue, 14 Mar 2006 19:15:26 +0100 179441 http://www.medworm.com/index.php?rid=179442&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp2274425x34x07g2%2F Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 Journal VolumeVolume 1 Journal IssueVolume 1, Number 4 / March, 2006 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179442 Sat, 11 Mar 2006 08:13:23 +0100 179442 http://www.medworm.com/index.php?rid=179443&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F24536181120q113w%2F Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 Journal VolumeVolume 2 Journal IssueVolume 2, Number 1 / May, 2006 (Source: European Clinics in Obstetrics and Gynaecology) European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179443 Fri, 10 Mar 2006 08:22:05 +0100 179443 http://www.medworm.com/index.php?rid=179444&cid=s_33415_29_f&fid=33415&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw541768142r82606%2F The features of the Greek Continuing Medical Education (CME) and Continuing Professional Development (CPD) model in obstetrics and gynecology are reviewed and the type of educational activities that fulfill the prerequisites for granting CME credits are reported. The Greek approach to CME/CPD is mostly based on professional self-regulation. The National Medical Societies of the discipline together with the University Departments of Obstetrics and Gynaecology, the private sector and the National Health System select the topics and coordinate the scientific activities. Sponsoring reduces the cost for individual participants, although funding can occasionally be a problem. Finally, novel approaches to improve the current CPD model in Greece are discussed. Content TypeJournal Article Jou... European Clinics in Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=179444 Thu, 09 Mar 2006 15:54:17 +0100 179444