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 'International Journal of Gynaecology and Obstetrics' source. Wed, 08 Feb 2012 23:00:56 +0100 http://www.medworm.com/index.php?rid=5650716&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729212000136%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650716 Fri, 03 Feb 2012 03:46:17 +0100 5650716 http://www.medworm.com/index.php?rid=5650715&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729212000112%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650715 Fri, 03 Feb 2012 03:46:17 +0100 5650715 http://www.medworm.com/index.php?rid=5650714&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729212000227%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650714 Fri, 03 Feb 2012 03:46:17 +0100 5650714 http://www.medworm.com/index.php?rid=5650713&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729212000203%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650713 Fri, 03 Feb 2012 03:46:17 +0100 5650713 http://www.medworm.com/index.php?rid=5650700&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005650%2Fabstract%3Frss%3Dyes Abstract: Objective: To determine whether magnesium sulfate (MgSO4) prophylaxis is needed for up to 24hours postpartum in all patients with pre-eclampsia.Methods: In a randomized open clinical trial conducted in a tertiary health center in India between September 2008 and April 2010, 150 women with severe pre-eclampsia who received intrapartum MgSO4 and delivered at more than 20weeks gestation were enrolled. After 6hours postpartum, the participants were randomized to continue receiving (control group) or to discontinue (intervention group) MgSO4, and outcomes were compared.Results: Administration of MgSO4 had to be reinstituted for 1 woman in the intervention group. Under the current protocol in the institution, all 75 women in the intervention group would have received MgSO4 for 24hours ... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650700 Fri, 20 Jan 2012 05:00:00 +0100 5650700 http://www.medworm.com/index.php?rid=5650703&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211006345%2Fabstract%3Frss%3Dyes Conclusion: Critical care providers would support abortion in situations excluded from the current abortion law and before 12weeks of pregnancy, in both public and private hospitals. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650703 Thu, 19 Jan 2012 05:00:00 +0100 5650703 http://www.medworm.com/index.php?rid=5650688&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211006308%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650688 Fri, 13 Jan 2012 05:00:00 +0100 5650688 http://www.medworm.com/index.php?rid=5650694&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211006102%2Fabstract%3Frss%3Dyes Conclusion: The number of women at risk of rubella infection fell short of the national target set for elimination of CRS. Increased involvement and collaboration by all healthcare workers are, therefore, required to disseminate the information necessary to prevent CRS. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650694 Tue, 10 Jan 2012 05:00:00 +0100 5650694 http://www.medworm.com/index.php?rid=5650706&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005959%2Fabstract%3Frss%3Dyes Recourse to the intensive care unit (ICU) for obstetric complications is relatively rare. However, in low-resource countries the technical and organizational capacities required for hospital management of serious complications of pregnancy are often limited. The aim of the present study was to determine the occurrence of third trimester obstetric admissions to an ICU in Morocco over a 4-year period, and to identify the associated obstetric pathologies. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650706 Mon, 26 Dec 2011 05:00:00 +0100 5650706 http://www.medworm.com/index.php?rid=5650698&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005996%2Fabstract%3Frss%3Dyes Conclusion: Overall, ECV is not widely practiced in East, Central, and Southern Africa, mainly owing to concerns related to safety and policy. Efforts aimed at reviving ECV in these regions should address these concerns. A conceptual framework of such efforts is proposed herein. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650698 Mon, 26 Dec 2011 05:00:00 +0100 5650698 http://www.medworm.com/index.php?rid=5650697&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005947%2Fabstract%3Frss%3Dyes Abstract: Objective: To evaluate the diagnostic accuracy of measuring cervical length (CL) in combination with cervical and plasma nitric oxide metabolite (NOx) levels to identify women undergoing preterm labor (PTL) who will deliver preterm.Methods: A hospital-based prospective cohort study of 730 women undergoing spontaneous PTL between 24 and 33weeks+6days of pregnancy was conducted. Measurement of cervical and plasma NOx levels and ultrasonographic assessment of CL were performed to find the best model to predict preterm delivery (PTD). Optimal cut-off values were calculated by receiver operating characteristic (ROC) curve analysis. Logistic regression analysis and rank correlation tests were also performed.Results: CL of 15mm or less, cervical NOx levels greater than 87.6μmol/L, and ... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650697 Mon, 26 Dec 2011 05:00:00 +0100 5650697 http://www.medworm.com/index.php?rid=5650696&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211006084%2Fabstract%3Frss%3Dyes Conclusion: Despite the high costs, use of MD-ARVs, such as HAART, for PMTCT offer societal savings because fewer perinatally acquired infections are anticipated to require treatment. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650696 Mon, 26 Dec 2011 05:00:00 +0100 5650696 http://www.medworm.com/index.php?rid=5650695&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211006047%2Fabstract%3Frss%3Dyes Conclusion: Early treatment with oseltamivir may prevent serious complications associated with H1N1 infection in pregnant women but it does not affect perinatal outcome. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650695 Mon, 26 Dec 2011 05:00:00 +0100 5650695 http://www.medworm.com/index.php?rid=5650692&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211006059%2Fabstract%3Frss%3Dyes Abstract: Objective: To compare 2 routine obstetric ultrasound protocols regarding number of clinically relevant events detected and total ultrasound workload.Methods: An interventional before-and-after study comparing 2 groups of 750 consecutive low-risk pregnant women was conducted. The 1st group was routinely offered mid-trimester ultrasound and selective ultrasound examinations for specific indications; the 2nd group was, in addition to this, offered a scan at 1st prenatal visit.Results: The groups were comparable at baseline, and 78% underwent booking scan. The expanded protocol showed no improvement in detection of most clinically relevant findings but did detect twins slightly earlier (P=0.3) and significantly reduced the number of presumed post-term deliveries (8.4% vs 13.1%; OR 0.... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650692 Mon, 26 Dec 2011 05:00:00 +0100 5650692 http://www.medworm.com/index.php?rid=5650691&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005972%2Fabstract%3Frss%3Dyes Conclusion: A positive change in the attitude of health workers and the elimination of fee-for-service in emergency obstetric care would reduce type 3 delays in public health facilities, and consequently reduce maternal mortality. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650691 Mon, 26 Dec 2011 05:00:00 +0100 5650691 http://www.medworm.com/index.php?rid=5650690&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005911%2Fabstract%3Frss%3Dyes Conclusion: Notable progress has been made in Afghanistan over the past 8years in improving the quality, coverage, and utilization of EmONC services, but gaps remain. Re-examination of the criteria for selecting and positioning EmONC facilities is recommended, as is the provision of high-quality, essential maternal and neonatal health services at all levels of the healthcare system, linked by appropriate communication and functional referral systems. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650690 Mon, 26 Dec 2011 05:00:00 +0100 5650690 http://www.medworm.com/index.php?rid=5650689&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005960%2Fabstract%3Frss%3Dyes Abstract: Objective: To compare the safety and efficacy of laparoscopy and laparotomy on clinical outcomes among patients with endometrial cancer.Methods: Eligible randomized controlled trials (RCTs) conducted between 1966 and June 2010 were analyzed by meta-analysis.Results: Eight RCTs were included, with 3599 patients in total. No significant difference was observed between laparoscopy and laparotomy in overall (odds ratio [OR], 0.96; 95% confidence interval [CI], 0.50–1.82; P=0.892), disease-free (OR, 0.96; 95% CI, 0.50–1.82; P=0.892), or cancer-related (OR, 0.90; 95% CI, 0.27–3.08; P=0.871) survival. More intraoperative complications (OR, 1.33; 95% CI, 1.03–1.73; P=0.030), fewer postoperative complications (OR, 0.59; 95% CI, 0.46–0.75; P (Source: International Journal of Gyna... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650689 Mon, 26 Dec 2011 05:00:00 +0100 5650689 http://www.medworm.com/index.php?rid=5650712&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211006060%2Fabstract%3Frss%3Dyes Abstract: Objective: To review the clinical aspects of ovarian hyperstimulation syndrome and provide recommendations on its diagnosis and clinical management.Outcomes: These guidelines will assist in the early recognition and management of ovarian hyperstimulation. Early recognition and prompt systematic supportive care will help avert poor outcomes.Evidence: Medline, Embase, and the Cochrane database were searched for relevant articles, using the key words “ovarian hyperstimulation syndrome” and “gonadotropins,” and guidelines created by other professional societies were reviewed.Values: The quality of evidence was rated using the criteria described in the Report of the Canadian Task Force on Preventive Health Care. Recommendations for practice were ranked according to the method ... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650712 Fri, 23 Dec 2011 05:00:00 +0100 5650712 http://www.medworm.com/index.php?rid=5527486&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211006254%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527486 Thu, 22 Dec 2011 15:51:53 +0100 5527486 http://www.medworm.com/index.php?rid=5527485&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211006230%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527485 Thu, 22 Dec 2011 15:51:53 +0100 5527485 http://www.medworm.com/index.php?rid=5527484&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211006217%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527484 Thu, 22 Dec 2011 15:51:53 +0100 5527484 http://www.medworm.com/index.php?rid=5650705&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005984%2Fabstract%3Frss%3Dyes Although the pathophysiology of vascular complications in pregnancy remains unclear, placental vascular bed thrombotic lesions are frequently observed in pregnancies complicated by pre-eclampsia and intrauterine growth restriction (IUGR). A greater prevalence of inherited thrombophilia has also been widely reported in these conditions . Factor VIII:C coagulant is a major procoagulant protein, and while a high level of factor VIII:C is generally recognized as an independent risk factor for thromboembolic diseases, substantial controversy exists . The aim of the present study was to investigate plasma levels of factor VIII:C in women with pre-eclampsia or IUGR compared with levels in healthy pregnant women. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650705 Thu, 22 Dec 2011 05:00:00 +0100 5650705 http://www.medworm.com/index.php?rid=5650701&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005935%2Fabstract%3Frss%3Dyes Conclusion: Postpartum treatment with domperidone can augment breast milk production after full-term cesarean, with minimal adverse effects. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650701 Thu, 22 Dec 2011 05:00:00 +0100 5650701 http://www.medworm.com/index.php?rid=5650699&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005923%2Fabstract%3Frss%3Dyes Conclusion: A combination of nifedipine as an antihypertensive drug, magnesium sulfate as an anticonvulsant, rapid interruption of pregnancy, and managing the patients in the ICU resulted in a marked improvement in the outcome for both mother and fetus at Assiut University Hospital. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650699 Thu, 22 Dec 2011 05:00:00 +0100 5650699 http://www.medworm.com/index.php?rid=5650693&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211006096%2Fabstract%3Frss%3Dyes Abstract: Objective: To determine whether supplementation with vitamin B6 improves nausea and/or vomiting in pregnancy.Methods: This experimental study was conducted with 60 pregnant women experiencing nausea and/or vomiting prior to the 12th gestational week. Of these women, 30 were treated daily with 10mg and the remaining 30 with 1.28mg of pyridoxine hydrochloride for 2weeks. The primary outcome was the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) score in each group at the end of treatment.Results: The women experiencing nausea and/or vomiting in pregnancy had significantly lower levels of circulating vitamin B6 (P=0.007) compared with those without this symptom. Vitamin B6 supplementation significantly increased plasma vitamin B6 concentration (P (Source: International ... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650693 Thu, 22 Dec 2011 05:00:00 +0100 5650693 http://www.medworm.com/index.php?rid=5650709&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005637%2Fabstract%3Frss%3Dyes Laparoendoscopic single-site surgery (LESS) represents the last frontier of minimally invasive surgery. Varied and more complex gynecological procedures have been performed as surgeons become more familiar with the technique . (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650709 Mon, 19 Dec 2011 05:00:00 +0100 5650709 http://www.medworm.com/index.php?rid=5650708&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005881%2Fabstract%3Frss%3Dyes Misoprostol has been used for cervical preparation before diagnostic hysteroscopic procedures, but there is no agreement on the recommended dose, route, or time of administration . The aim of the present study was to compare the efficacy of 3 different misoprostol regimens for cervical ripening before diagnostic hysteroscopy in nulliparous women. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650708 Wed, 14 Dec 2011 05:00:00 +0100 5650708 http://www.medworm.com/index.php?rid=5650707&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005625%2Fabstract%3Frss%3Dyes Obstetric fistula is still common in low-resource countries . Training courses on the management of obstetric fistula began at the Kitovu Health Care Complex in Masaka, Uganda, in 2004. Teamwork forms the basis of treatment and therefore the trainees include nurses, doctors, and nondoctor anesthetists. Training comprises tutorials in small groups and hands-on experience. The patients are poor, have suffered much, and are in great need of compassion. There is no private practice. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650707 Wed, 14 Dec 2011 05:00:00 +0100 5650707 http://www.medworm.com/index.php?rid=5650702&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005893%2Fabstract%3Frss%3Dyes Conclusion: Decisions to undergo D&E or medical abortion are highly personal and could affect how women recover after ending a desired pregnancy. Women should be offered counseling about and access to both methods. Understanding these decision processes may help when counseling women faced with these diagnoses and decisions. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650702 Wed, 14 Dec 2011 05:00:00 +0100 5650702 http://www.medworm.com/index.php?rid=5496387&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005789%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496387 Tue, 13 Dec 2011 16:28:58 +0100 5496387 http://www.medworm.com/index.php?rid=5496386&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005819%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496386 Tue, 13 Dec 2011 16:28:58 +0100 5496386 http://www.medworm.com/index.php?rid=5496385&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005790%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496385 Tue, 13 Dec 2011 16:28:58 +0100 5496385 http://www.medworm.com/index.php?rid=5527468&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005613%2Fabstract%3Frss%3Dyes Abstract: Objective: To determine obstetric outcomes after external cephalic version (ECV) performed at term.Methods: In a retrospective study of ECV among pregnant women at term at Klinikum Kreuzschwestern Wels between January 1999 and June 2010, univariate and multivariate logistic regression was used to analyze factors influencing success rate.Results: Among 379 ECV attempts, 49.1% (95% confidence interval, 44.1–54.1) were successful. Success rate was dependent on parity, gestational age, and performing physician. Increasing parity was associated with increasing success rate (P=0.05). Gestational age had no influence until week 39, after which the success rate increased (success after completion of week 35, 48.1%; week 37, 43.7%; week 38, 43.5%; week 39, 64.9%; week 40 or more, 90.9%;... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527468 Mon, 12 Dec 2011 05:00:00 +0100 5527468 http://www.medworm.com/index.php?rid=5650711&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005674%2Fabstract%3Frss%3Dyes Splenosis is a benign, usually asymptomatic, condition involving autotransplantation of splenic tissue that occurs frequently after splenic rupture caused by trauma or surgery . When located in the pelvis it can mimic gynecologic pathologies and the diagnosis can be arduous . A case of pelvic splenosis in an infertile patient is presented. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650711 Fri, 09 Dec 2011 05:00:00 +0100 5650711 http://www.medworm.com/index.php?rid=5650710&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005649%2Fabstract%3Frss%3Dyes The uterus is a major female reproductive organ with fibromuscular characteristics. During pregnancy, its smooth muscles undergo marked hypertrophy, increasing from 70g to about 1100g. Such a dramatic increase suggests that these changes may not be attributable to hypertrophy and hyperplasia of existing myometrial cells alone. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650710 Fri, 09 Dec 2011 05:00:00 +0100 5650710 http://www.medworm.com/index.php?rid=5650704&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005662%2Fabstract%3Frss%3Dyes Conclusion: Autosomal genes have a crucial role in reproductive development. More candidate genes need to be recognized for appropriate genetic counseling and clinical management. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5650704 Fri, 09 Dec 2011 05:00:00 +0100 5650704 http://www.medworm.com/index.php?rid=5527463&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005601%2Fabstract%3Frss%3Dyes Conclusion: Most hysterectomies were carried out abdominally rather than vaginally, in part because many patients presented with advanced cancer or other condition that warranted this approach. Because of resource constraints, patients with benign conditions were more likely to be offered surgery if they had a clearly defined condition. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527463 Tue, 06 Dec 2011 05:00:00 +0100 5527463 http://www.medworm.com/index.php?rid=5527474&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005583%2Fabstract%3Frss%3Dyes Conclusion: In Ireland, a large stand-alone maternity hospital can achieve a low maternal mortality ratio, according to international standards, despite an increase in cesarean rate over the past 2 decades. There was no evidence that the increased cesarean rate had an adverse impact on maternal mortality ratio. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527474 Mon, 28 Nov 2011 05:00:00 +0100 5527474 http://www.medworm.com/index.php?rid=5527479&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005017%2Fabstract%3Frss%3Dyes In 2009, the Chinese Ministry of Health estimated that approximately 230 000 women aged 15years and older were living with HIV/AIDS in China . However, a substantial proportion of these women did not know their HIV status. In the same year, UNAIDS estimated that 370 000 children worldwide were infected with HIV during the perinatal and breastfeeding period. More than half of all people living with HIV/AIDS worldwide are women of childbearing age . (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527479 Thu, 24 Nov 2011 05:00:00 +0100 5527479 http://www.medworm.com/index.php?rid=5527470&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005510%2Fabstract%3Frss%3Dyes Abstract: Objective: To determine the association of hemoglobin (Hb) and plasma nitrite (PN) concentrations on admission to the delivery ward with the occurrence of atonic postpartum hemorrhage (PPH).Methods: Of 319 women admitted to the Department of Obstetrics and Gynecology, Dayrout General Hospital, Assiut, Egypt, for delivery in July 2010, 200, who were not considered to be at risk of atonic PPH, were eligible for inclusion. Plasma levels of Hb and nitrite were measured on admission. The third stage of labor was actively managed.Results: A total of 22 participants had significantly raised PN levels (P (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527470 Thu, 24 Nov 2011 05:00:00 +0100 5527470 http://www.medworm.com/index.php?rid=5527466&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005595%2Fabstract%3Frss%3Dyes Conclusion: The study has identified a need to improve safe motherhood knowledge and practices of OCPs in the Bugesera District of Rwanda. OCPs support additional training as an intervention to reduce maternal mortality. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527466 Thu, 24 Nov 2011 05:00:00 +0100 5527466 http://www.medworm.com/index.php?rid=5527467&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005558%2Fabstract%3Frss%3Dyes Conclusion: PRONTO brings simulation training to low-resource settings and can empower interprofessional teams to respond more effectively within their institutional limitations to emergencies involving women and newborns. Further study is warranted to evaluate the potential impact of the program on obstetric and neonatal outcome. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527467 Wed, 23 Nov 2011 05:00:00 +0100 5527467 http://www.medworm.com/index.php?rid=5496382&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004887%2Fabstract%3Frss%3Dyes Endometrial curettage and biopsy samples are among the most frequent tissue specimens encountered in the daily clinical practice of most pathologists. Major indications for endometrial biopsy/curettage include abnormal uterine bleeding, retained products of conception, and monitoring patients undergoing exogenous hormonal therapy . (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496382 Wed, 23 Nov 2011 05:00:00 +0100 5496382 http://www.medworm.com/index.php?rid=5527472&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005376%2Fabstract%3Frss%3Dyes Abstract: Objective: To determine whether common perinatal complications could explain variation in risk of cesarean among foreign-born and Australian-born women in Western Australia (WA).Methods: Complication prevalence was calculated using the linked records of 208 982 confinements to non-indigenous women in WA between 1998 and 2006. Logistic regression was used to estimate differences in risk of elective cesarean and emergency cesarean compared with vaginal delivery for foreign-born women from different regions.Results: The most common complications in emergency cesareans were failure to progress (36.7%) and fetal distress (35.7%). The most common complications in elective cesareans were previous cesarean (56.2%) and malpresentation (16.3%). Women from Sub-Saharan Africa, Southeast Asia... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527472 Mon, 21 Nov 2011 05:00:00 +0100 5527472 http://www.medworm.com/index.php?rid=5527469&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005509%2Fabstract%3Frss%3Dyes Abstract: Objective: To compare sublingual misoprostol with intramuscular oxytocin for prevention of postpartum hemorrhage (PPH) in low-risk vaginal birth.Methods: In a prospective, randomized, double-blind trial, 530 women without risk of PPH were randomly allocated to receive either 400μg of misoprostol sublingually or 10 units of oxytocin intramuscularly within 1minute of delivery. The outcome measures were incidence of PPH, postpartum blood loss, drop in hemoglobin level in 24hours, need for additional uterotonic drug, incidence of adverse effects, and need for blood transfusion. Student t, χ2, Mann–Whitney U, and Fisher exact tests were used for comparison.Results: Incidence of postpartum hemorrhage (≥500mL) and postpartum blood loss in the misoprostol group were similar to thos... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527469 Mon, 21 Nov 2011 05:00:00 +0100 5527469 http://www.medworm.com/index.php?rid=5527458&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005467%2Fabstract%3Frss%3Dyes Abstract: Objective: To evaluate whether laparoscopic salpingectomy compromises ovarian response in women undergoing controlled ovarian hyperstimulation in vitro fertilization (IVF).Methods: In a retrospective study in Changsha, China, data from 76 women who underwent ovarian stimulation before and after laparoscopic salpingectomy for ectopic pregnancy were compared with those from 80 women who underwent 2 IVF cycles without surgical intervention between 2004 and 2009.Results: There were no differences in basal serum follicle-stimulating hormone (FSH) or estradiol (E2); length of stimulation; or numbers of follicles, retrieved and fertilized oocytes, or high-quality embryos between the cycles before and after salpingectomy; however, initial and total doses of gonadotropins were significant... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527458 Mon, 21 Nov 2011 05:00:00 +0100 5527458 http://www.medworm.com/index.php?rid=5527478&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005522%2Fabstract%3Frss%3Dyes The time to resumption of sexual intercourse after childbirth varies in different cultural settings and contexts. Postpartum sexual abstinence may last up to 30months among women in Sub-Saharan Africa . In areas of high HIV prevalence, HIV-positive mothers who do not breastfeed are at higher risk of an earlier return of fertility compared with mothers who practice exclusive breastfeeding . Little is known about the impact of HIV on sexual practices and use of contraception in the postpartum period. The aim of the present study was to assess the factors associated with resumption of sexual intercourse and use of contraception in the 6-week postpartum period among women attending postnatal care at Kabale Regional Hospital, Kabale, Uganda. (Source: International Journal of Gynaecology and Obs... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527478 Fri, 18 Nov 2011 05:00:00 +0100 5527478 http://www.medworm.com/index.php?rid=5527477&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005546%2Fabstract%3Frss%3Dyes Advanced gestational trophoblastic disease (GTD) is highly responsive to chemotherapy, which provides an opportunity to achieve remission and save reproductive function in young patients . The incidence of GTD for the department of gynecology and obstetrics at the University Clinical Center of Serbia was 1.5 per 1000 deliveries between 2000 and 2010. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527477 Fri, 18 Nov 2011 05:00:00 +0100 5527477 http://www.medworm.com/index.php?rid=5527476&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005480%2Fabstract%3Frss%3Dyes Ovarian reserve is reduced in patients with ovarian endometriomas . Healthy ovarian tissue can be removed during laparoscopic stripping, and electrocoagulation further diminishes ovarian reserve. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527476 Fri, 18 Nov 2011 05:00:00 +0100 5527476 http://www.medworm.com/index.php?rid=5527475&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005479%2Fabstract%3Frss%3Dyes Abstract: Objective: To estimate the number and causes of maternal deaths in Tunisia from 1999 to 2007, and compare the results with the last report (1993–1994).Methods: Data on all deaths of women of reproductive age in the public (1999–2007) and private (2006 only) health sectors were collected and assessed for whether the death was due to pregnancy. Number of live births was provided by the National Institute of Statistics.Results: Mean maternal mortality ratio (MMR) in Tunisia decreased from 68.9 per 100000 live births in 1993–1994 to 36.3 (95% confidence interval, 27.9–46.5) in 2005–2007 (P (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527475 Fri, 18 Nov 2011 05:00:00 +0100 5527475 http://www.medworm.com/index.php?rid=5527471&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS002072921100539X%2Fabstract%3Frss%3Dyes Conclusion: When left untreated, infection with the 2009 H1N1pdm virus during pregnancy appears to have increased fetal mortality and morbidity. Because CAs are traumatic for all concerned, their possible association with the virus should be further evaluated. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527471 Fri, 18 Nov 2011 05:00:00 +0100 5527471 http://www.medworm.com/index.php?rid=5527465&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005492%2Fabstract%3Frss%3Dyes Conclusion: Current indications for abortion under Guatemalan law, as well as OB/GYN practices and beliefs regarding medical abortion, are hindering women's access to safe medical abortion and, therefore, potential reductions in maternal morbidity and mortality. Future research should aim to identify whether and why Guatemalan OB/GYNs are unfamiliar with these drugs, prefer to use other methods, or are completely against abortion. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527465 Fri, 18 Nov 2011 05:00:00 +0100 5527465 http://www.medworm.com/index.php?rid=5527462&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS002072921100556X%2Fabstract%3Frss%3Dyes Abstract: Objective: To compare the surgical outcomes of laparoscopic hysterectomy (LH) versus abdominal hysterectomy (AH) in patients with severe pelvic endometriosis.Methods: A retrospective review of patients undergoing hysterectomy for endometriosis was conducted between January 2002 and December 2007. A total of 503 patients had severe pelvic endometriosis; of these, 115 patients underwent LH and 388 patients underwent AH. Surgical outcomes—including operative time, blood loss, length of hospital stay, and need for blood transfusion—were analyzed and compared between the 2 treatment groups.Results: Operative time was significantly longer for LH than for AH (185.1±48.7 minutes and 139.9±52.4 minutes, respectively; P (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527462 Fri, 18 Nov 2011 05:00:00 +0100 5527462 http://www.medworm.com/index.php?rid=5527461&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005042%2Fabstract%3Frss%3Dyes Abstract: Objective: To determine whether performing uterine artery embolization (UAE) immediately before laparoscopic myomectomy can facilitate a minimally invasive surgical approach for larger uterine fibroids.Methods: In a retrospective case–control study, laparoscopic myomectomy with and without preoperative UAE was examined. Data were analyzed from 26 laparoscopic myomectomies performed by a single surgeon at Northwestern University Feinberg School of Medicine between 2004 and 2010. Controls were matched for age, calendar year, surgeon, and number of fibroids removed. Surgical outcomes included preoperative clinical uterine size, operative time, operative blood loss, and postoperative myoma specimen weight. Data were analyzed via 2-tailed Student t test.Results: Twelve women underwe... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527461 Fri, 18 Nov 2011 05:00:00 +0100 5527461 http://www.medworm.com/index.php?rid=5527460&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005571%2Fabstract%3Frss%3Dyes Abstract: Objective: To evaluate the efficacy of methotrexate treatment for extrauterine pregnancy and define criteria for prediction of success.Methods: Of 829 patients with an ectopic pregnancy admitted to E. Wolfson Medical Center, Holon, Israel, from January 1997 through December 2009, 238 had asymptomatic tubal pregnancies and increasing serum β-human chorionic gonadotropin (βhCG) levels. These patients were treated with a single intramuscular injection of 50mg of methotrexate (MTX) per square meter of body surface. Success was defined as undetectable βhCG levels without the need for a surgical intervention.Results: The groups of patients successfully treated (n=167 [70%]) and unsuccessfully treated (n=71 [30%]) were compared. They were similar regarding age and gravidity. The init... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527460 Fri, 18 Nov 2011 05:00:00 +0100 5527460 http://www.medworm.com/index.php?rid=5527459&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005534%2Fabstract%3Frss%3Dyes Conclusion: Both clinical examination and standardized ultrasonography were found to be useful for accurate evaluation of hemoperitoneum in patients presenting with EP. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527459 Fri, 18 Nov 2011 05:00:00 +0100 5527459 http://www.medworm.com/index.php?rid=5527481&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005078%2Fabstract%3Frss%3Dyes Amniotic fluid embolism (AFE) is a rare life-threatening complication that typically occurs during labor, delivery, or the immediate postpartum period. Its diagnosis, combining nonspecific clinical and biological signs, can be difficult. The present study reports a case of AFE that occurred during the second trimester of pregnancy in the absence of labor and other known risk factors . This was followed by ischemic fetal brain damage without maternal sequelae. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527481 Thu, 17 Nov 2011 05:00:00 +0100 5527481 http://www.medworm.com/index.php?rid=5496384&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005406%2Fabstract%3Frss%3Dyes This article focuses on the analysis of the principal arguments voiced in the courts: the difference between contraceptives and abortifacients, the scientific status of available research on EC, and the age at which people develop a legal right to make decisions about their personal health. The conclusion is that Latin American countries whose laws or regulations ban access to EC in the public and/or the private sector fail to fulfill their obligations under international human rights law. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496384 Wed, 16 Nov 2011 05:00:00 +0100 5496384 http://www.medworm.com/index.php?rid=5496362&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004899%2Fabstract%3Frss%3Dyes Conclusion: Foot length is a good differentiator of early and late fetal death, which is important for the global recording of the number of stillbirths. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496362 Wed, 16 Nov 2011 05:00:00 +0100 5496362 http://www.medworm.com/index.php?rid=5527482&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005388%2Fabstract%3Frss%3Dyes A 31-year-old woman of Southeast Asian origin received routine prenatal care in her second pregnancy in 2005; at 28weeks of pregnancy she was diagnosed with gestational diabetes. At 31weeks of pregnancy the patient complained of severe pelvic pain and consulted a physiotherapist. A diagnosis of symphysis pubis dysfunction (SPD) was made on clinical grounds and the patient was treated conservatively. At 37weeks of pregnancy the patient was admitted in labor and underwent forceps delivery for failure to progress in the second stage. The baby weighed 4.5kg. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527482 Mon, 14 Nov 2011 05:00:00 +0100 5527482 http://www.medworm.com/index.php?rid=5527464&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005029%2Fabstract%3Frss%3Dyes Abstract: Objective: To validate the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire short form (PISQ-12) in a Chinese population.Methods: The PISQ-12 was translated into Chinese; 106 women with pelvic floor disorders then completed the questionnaire and the 12-item short-form health survey (SF-12). The reliability and validity of the PISQ-12 were analyzed.Results: The PISQ-12 had an adequate and high internal consistency (Cronbach α=0.725) and a high test–retest reliability (intraclass correlation coefficient coefficient=0.745; P (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527464 Mon, 14 Nov 2011 05:00:00 +0100 5527464 http://www.medworm.com/index.php?rid=5496356&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005030%2Fabstract%3Frss%3Dyes Abstract: Clinical and operational evidence indicates that misoprostol is a safe and effective technology for addressing postpartum hemorrhage, a major cause of maternal death. This research has not yet been translated into effective policies, programs, and practice in many parts of the world. Efforts to expand evidence-based use of misoprostol are often complicated by misoprostol's range of indications, insufficient availability, a lack of evidence-based guidelines and provider training, and misconceptions about the drug. The medical and health policy communities need to work together to translate research findings into changes in policy, knowledge, and clinical practice so that we can deliver on the world's promise to improve maternal health. (Source: International Journal of Gynaecology... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496356 Mon, 14 Nov 2011 05:00:00 +0100 5496356 http://www.medworm.com/index.php?rid=5401908&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005194%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401908 Sun, 13 Nov 2011 15:27:25 +0100 5401908 http://www.medworm.com/index.php?rid=5401907&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005170%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401907 Sun, 13 Nov 2011 15:27:25 +0100 5401907 http://www.medworm.com/index.php?rid=5401906&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005339%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401906 Sun, 13 Nov 2011 15:27:25 +0100 5401906 http://www.medworm.com/index.php?rid=5401905&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005327%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401905 Sun, 13 Nov 2011 15:27:25 +0100 5401905 http://www.medworm.com/index.php?rid=5527483&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005054%2Fabstract%3Frss%3Dyes A large multicenter study of teaching hospitals in the USA showed no important differences in maternal or neonatal morbidity rates after unscheduled cesarean delivery according to work shift . However, Peled et al. observed that cesarean deliveries performed during the night shift were associated with longer operative time and an increased risk for maternal but not neonatal morbidity. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527483 Fri, 11 Nov 2011 05:00:00 +0100 5527483 http://www.medworm.com/index.php?rid=5527480&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211005066%2Fabstract%3Frss%3Dyes The objective of the present study was to evaluate the results of prenatal genetic diagnosis of chromosomal anomalies conducted over a 35-month period in Cameroon. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527480 Fri, 11 Nov 2011 05:00:00 +0100 5527480 http://www.medworm.com/index.php?rid=5496383&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004929%2Fabstract%3Frss%3Dyes The mode of HIV transmission—often associated with marginalized lifestyles and behaviors such as drug use, homosexuality, and commercial sex—has led to AIDS becoming a stigmatized disease . HIV/AIDS-related discrimination is regarded as a major barrier to effective HIV/AIDS prevention and care programs because it could lead to people denying risk behaviors, refusing voluntary counseling and testing, and not disclosing their HIV status. Despite the efforts of the Chinese Government to control the HIV/AIDS epidemic, discriminatory attitudes toward people living with HIV/AIDS (PLWHA) still occur . Research into HIV/AIDS-related discrimination in China has targeted mainly healthcare providers, community populations, and migrants . (Source: International Journal of Gynaecology and Obstetric... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496383 Mon, 31 Oct 2011 04:00:00 +0100 5496383 http://www.medworm.com/index.php?rid=5496380&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004917%2Fabstract%3Frss%3Dyes Cervical cancer remains the second most common malignancy among women worldwide, although the widespread use of cervical cytology screening has led to a marked reduction in the incidence of the disease . (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496380 Mon, 31 Oct 2011 04:00:00 +0100 5496380 http://www.medworm.com/index.php?rid=5496377&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004814%2Fabstract%3Frss%3Dyes Although pre-eclampsia and eclampsia are relatively uncommon in high-resource countries, the incidence in low-resource countries is about 30%, and about 40%–50% of cases may become severe . Pre-eclampsia continues to be one of the main causes of maternal and perinatal morbidity and mortality worldwide. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496377 Mon, 31 Oct 2011 04:00:00 +0100 5496377 http://www.medworm.com/index.php?rid=5496374&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004905%2Fabstract%3Frss%3Dyes Abstract: Objective: To report the efficacy and complications of anterior pelvic organ prolapse (POP) repair with mesh placed through the transobturator route (Perigee system; AMS, Minnetonka, MN, USA).Methods: In total, 198 women with anterior POP grade II or higher according to the POP Quantification (POP-Q) system were treated with the Perigee procedure. The primary outcome was defined as anterior POP grade I or lower at 12months’ follow-up. The secondary outcomes included the incidences of perioperative, mesh-related, short-term, and long-term postoperative complications.Results: The cure rate was 92.9% overall and 90.6% among women who had previously undergone a hysterectomy or a traditional anterior colporrhaphy. The mean POP-Q Aa and Ba values were significantly improved after the... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496374 Mon, 31 Oct 2011 04:00:00 +0100 5496374 http://www.medworm.com/index.php?rid=5496373&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS002072921100484X%2Fabstract%3Frss%3Dyes Conclusion: For treatment of EP, double-dose methotrexate had efficacy and safety comparable to that of single-dose methotrexate; it had better success among patients with moderately high β-hCG and led to a shorter follow up. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496373 Mon, 31 Oct 2011 04:00:00 +0100 5496373 http://www.medworm.com/index.php?rid=5496372&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004796%2Fabstract%3Frss%3Dyes Conclusion: In this population of women with VVF but no rectovaginal fistulas, we found a low prevalence of fecal incontinence and a high prevalence of constipation. Despite significant pelvic floor trauma resulting in VVF, the majority of patients appeared to have an intact bowel continence mechanism. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496372 Mon, 31 Oct 2011 04:00:00 +0100 5496372 http://www.medworm.com/index.php?rid=5496370&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004930%2Fabstract%3Frss%3Dyes Conclusion: Ovarian endometriosis was often (98%) associated with PBL endometriosis; deep endometriosis of PBL correlated with pain symptoms. Although PBL resection increased the incidence of mid-cycle pain, it was associated with low recurrence of endometrioma. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496370 Mon, 31 Oct 2011 04:00:00 +0100 5496370 http://www.medworm.com/index.php?rid=5496368&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004826%2Fabstract%3Frss%3Dyes Conclusion: Population-based cancer registries were an efficient source of data for evaluating the incidence of cervical cancer once data quality had been established. Geographic and temporal variations in cervical cancer burden were documented in Peru. The trends suggest that cervical ADC is increasing among young women in urban Peru, particularly in Trujillo. We recommend supplementing current Papanicolaou test screening with complementary methods of cervical cancer control, including human papillomavirus (HPV) vaccination and HPV DNA testing. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496368 Mon, 31 Oct 2011 04:00:00 +0100 5496368 http://www.medworm.com/index.php?rid=5496364&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004875%2Fabstract%3Frss%3Dyes Abstract: Objective: To evaluate the impact of a copper-containing intrauterine contraceptive device (IUCD) and the levonorgestrel-releasing intrauterine system (IUS) on puerperal and menstrual bleeding when fitted intraoperatively during scheduled elective cesarean.Methods: Participants were allocated to 3 groups: cesarean with no device inserted; IUCD inserted during cesarean; and IUS inserted during cesarean.Results: There was significantly shorter and lighter puerperium in the IUS group (20.2±7.7days and 3.1±1.6 pads/day) than in the IUCD (33.4±9.5days and 4.9±2.4 pads/day) and the control (27.0±11.4days and 4.9±2.3 pads/day) groups (P (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496364 Mon, 31 Oct 2011 04:00:00 +0100 5496364 http://www.medworm.com/index.php?rid=5496361&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004851%2Fabstract%3Frss%3Dyes Abstract: Objective: To reduce maternal and neonatal death at a large regional hospital through the use of quality improvement methodologies.Methods: In 2007, Kybele and the Ghana Health Service formed a partnership to analyze systems and patient care processes at a regional hospital in Accra, Ghana. A model encompassing continuous assessment, implementation, advocacy, outputs, and outcomes was designed. Key areas for improvement were grouped into “bundles” based on personnel, systems management, and service quality. Primary outcomes included maternal and perinatal mortality, and case fatality rates for hemorrhage and hypertensive disorders. Implementation and outcomes were evaluated tri-annually between 2007 and 2009.Results: During the study period, there was a 34% decrease in matern... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496361 Mon, 31 Oct 2011 04:00:00 +0100 5496361 http://www.medworm.com/index.php?rid=5401902&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004644%2Fabstract%3Frss%3Dyes Conclusion: Better alignment between policy and practice, and support and training, and more efficient utilization of clinical staff are needed to achieve the quality health care for which the Malawian and Tanzanian health ministries and governments are accountable. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401902 Mon, 31 Oct 2011 04:00:00 +0100 5401902 http://www.medworm.com/index.php?rid=5527473&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004978%2Fabstract%3Frss%3Dyes Conclusion: Intrathecal administration of dexamethasone with morphine significantly decreased PONV and improved overall patient satisfaction after cesarean delivery. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5527473 Fri, 28 Oct 2011 04:00:00 +0100 5527473 http://www.medworm.com/index.php?rid=5496376&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004802%2Fabstract%3Frss%3Dyes Spousal violence (SV) is prevalent among pregnant women in Pakistan , and is associated with a broad range of adverse gynecologic and obstetric outcomes such as spontaneous abortion, placental abruption, preterm delivery, perinatal mortality, intrauterine growth restriction, fetal death, and low birth weight . Historically, Pakistan is a traditional patriarchal society where women are relatively powerless and are often subordinate to men . It is difficult for victims of SV to directly confront violent men or to fight back since this strategy may further exacerbate violence . Women are not passive victims however, but may adopt various creative strategies to resist violence . (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496376 Fri, 28 Oct 2011 04:00:00 +0100 5496376 http://www.medworm.com/index.php?rid=5496375&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004772%2Fabstract%3Frss%3Dyes Vitamin D is a fat-soluble vitamin obtained by the human body in two ways: dietary intake from mainly fatty fish, eggs, and fortified food; and endogenous production in the skin after UVB exposure. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496375 Fri, 28 Oct 2011 04:00:00 +0100 5496375 http://www.medworm.com/index.php?rid=5496369&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004838%2Fabstract%3Frss%3Dyes Conclusion: Continued education on HPV and HPV testing is needed for frontline healthcare providers of screening in Hong Kong. The stigmatizing attitudes toward HPV-infected individuals warrant further exploration of the impact of HPV infection on patient care and interventions. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496369 Fri, 28 Oct 2011 04:00:00 +0100 5496369 http://www.medworm.com/index.php?rid=5496359&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004942%2Fabstract%3Frss%3Dyes Abstract: Objective: To investigate the epidemiology of Schistosoma mansoni infection among pregnant women in a secondary-care hospital in Geizera state, Sudan.Method: Between August and September 2010, a cross-sectional study was conducted and questionnaires were administered to obtain basic sociodemographic and obstetric characteristics of pregnant women attending prenatal care at Araba Waeshreen Hospital. Stool samples were investigated for helminth infection via formol–ether concentration and Kato–Katz techniques.Results: Of 292 pregnant women, 38 (13.0%) had S. mansoni infections. Hymenolepis nana and hookworm infections were present in 5 (1.7%) and 1 (0.3%) women, respectively. The intensity of the S. mansoni infection was light, moderate, and high in 13 (34.2%), 21 (55.3%), and ... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496359 Fri, 28 Oct 2011 04:00:00 +0100 5496359 http://www.medworm.com/index.php?rid=5496357&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004966%2Fabstract%3Frss%3Dyes Humans obtain vitamin D via synthesis from sun exposure and a small contribution from certain foods. The major determinants of vitamin D status are the characteristics of the skin and ultraviolet action over keratinocytes. Over the years, lifestyle changes (e.g. reduced exposure to sunlight, dietary changes, increased weight), migration, poverty, and climate change have produced an increase in the prevalence of hypovitaminosis D. Vitamin D status is expressed by levels of serum 25-hydroxyvitamin D (25[OH]D)—the main precursor of the bioactive hormone calcitriol. Placental vitamin D receptors and the 1-alpha-hydroxylase (CYP27B1) activating enzyme contribute to vitamin D adjustments during pregnancy. Calcitriol levels and the calcitriol/25(OH)D quotient are higher in pregnant women to opt... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496357 Fri, 28 Oct 2011 04:00:00 +0100 5496357 http://www.medworm.com/index.php?rid=5401904&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004784%2Fabstract%3Frss%3Dyes The publisher regrets that Anibal Faúndes was specified as an author of the original article. The correct authorship is the FIGO Working Group on the Prevention of Unsafe Abortion and its Consequences, of which Professor Faúndes is Chair. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401904 Fri, 28 Oct 2011 04:00:00 +0100 5401904 http://www.medworm.com/index.php?rid=5496379&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004954%2Fabstract%3Frss%3Dyes Laparoendoscopic single-site surgery (LESS) has emerged as a method for increasing the cosmetic benefits of minimally invasive surgery and reducing the risks and morbidity associated with multiple working ports. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496379 Mon, 24 Oct 2011 04:00:00 +0100 5496379 http://www.medworm.com/index.php?rid=5496378&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004991%2Fabstract%3Frss%3Dyes Retained adherent placenta occurs in 0.5%–3.0% of deliveries . If placental removal following active management of the third stage of labor (AMTSL) via uterotonics, umbilical cord traction, and drainage fails, modified Mojon–Gabastou methods can be used before proceeding to manual removal of the placenta (MRP), which is associated with potential complications such as early peripartum hemorrhage, uterine atony, uterine rupture, puerperal infection, secondary anemia, and anesthesia incidents. Clinical acupuncture has been recommended for the management of retained placenta . (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496378 Mon, 24 Oct 2011 04:00:00 +0100 5496378 http://www.medworm.com/index.php?rid=5496371&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS002072921100498X%2Fabstract%3Frss%3Dyes Conclusions: Women with endometriosis were successfully recruited to participate in a general biobank, and a novel gene–environment interaction was identified. The findings suggest that important potential genetic associations may be missed if gene–environment interactions with known epidemiologic risk factors are not considered. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496371 Mon, 24 Oct 2011 04:00:00 +0100 5496371 http://www.medworm.com/index.php?rid=5496363&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004863%2Fabstract%3Frss%3Dyes Conclusion: Domestic violence during pregnancy and related factors contributed to postnatal depression in a population of Chinese women. The findings emphasize the importance of intervention among vulnerable populations in low-income countries. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496363 Mon, 24 Oct 2011 04:00:00 +0100 5496363 http://www.medworm.com/index.php?rid=5401901&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004371%2Fabstract%3Frss%3Dyes Abstract: Objective: To implement the Safe Abortion Care (SAC) model in public health facilities in the Tigray region of Ethiopia and document the availability, utilization, and quality of SAC services over time.Methods: The project oriented providers in 50 public health facilities in Tigray to the SAC model. Changes in SAC indicators between baseline and endline were assessed using a retrospective review of procedure logbooks at baseline and prospective monitoring of procedure logbooks for facility performance after introduction of the SAC model.Results: Availability of SAC services increased from 39% to 86% of the recommended number of 5 facilities per 500000 population, primarily as a result of functional improvements at health centers. Decentralization was accompanied by a 94% increase... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401901 Mon, 24 Oct 2011 04:00:00 +0100 5401901 http://www.medworm.com/index.php?rid=5401903&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004760%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401903 Thu, 20 Oct 2011 04:00:00 +0100 5401903 http://www.medworm.com/index.php?rid=5496366&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004735%2Fabstract%3Frss%3Dyes Conclusion: Based on the present study, pulsed actinomycin D seems to be an appropriate first-line treatment for patients with low-risk gestational trophoblastic disease. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496366 Fri, 14 Oct 2011 04:00:00 +0100 5496366 http://www.medworm.com/index.php?rid=5401900&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004632%2Fabstract%3Frss%3Dyes Conclusion: Utilization of maternal health services is extremely low in Ethiopia and, although there is a government decree against charging for maternity service, 65% of health centers do charge for some aspects of maternal care. As health facilities are not reimbursed by the government for the costs of maternity services, this loss of revenue may account for the more and better services offered in facilities that continue to charge user fees. User fees are not the only factor that determines utilization in settings where the coverage of maternity services is extremely low. Additional factors include other out-of-pocket payments such as cost of transport and food and lodging for accompanying relatives. It is important to keep quality of care in mind when user fees are under discussion. (S... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401900 Mon, 10 Oct 2011 04:00:00 +0100 5401900 http://www.medworm.com/index.php?rid=5401899&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004607%2Fabstract%3Frss%3Dyes Conclusions: GIS mapping and modeling enable spatial and temporal analyses critical to understanding the population's access to health services and the emergency referral system. The provision of vehicles and communication and the upgrading of health centers to first level referral hospitals are short- and medium-term strategies that can rapidly increase access to lifesaving services. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401899 Mon, 10 Oct 2011 04:00:00 +0100 5401899 http://www.medworm.com/index.php?rid=5401898&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004619%2Fabstract%3Frss%3Dyes Just over a decade ago Professor Deborah Maine (now of Boston University) and the late Dean Allan Rosenfield of Columbia University's Mailman School of Public Health in New York City asked FIGO if we could assist them in recognizing those who made meaningful contributions to decreasing maternal deaths. Accordingly, at the 2000 FIGO World Congress held in Washington DC, a program was initiated to provide awards to clinicians who, by their individual efforts, were showing the world that progress could be made using local resources. The program was well received by the delegates attending the World Congress. At the same time, Professors Rosenfield and Maine felt that the maternal mortality community would benefit if the IJGO developed a regular section devoted to publishing papers on the topi... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401898 Mon, 10 Oct 2011 04:00:00 +0100 5401898 http://www.medworm.com/index.php?rid=5401897&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004395%2Fabstract%3Frss%3Dyes is a rare form of ectopic pregnancy comprising interstitial, cervical, cesarean scar, ovarian, abdominal, and cornual pregnancy. In recent years, there has been an increase in the incidence of these rare conditions, especially cesarean scar pregnancy, which pose a diagnostic and treatment challenge for clinicians . Previously, non-tubal ectopic pregnancies were commonly associated with significant morbidity and mortality because of late diagnosis . Recently, many cases have been diagnosed earlier via the routine use of ultrasonography and quantitative human chorionic gonadotropin (hCG) measurement for assessment of women with early pregnancy complications . Therefore, the management of these rare ectopic pregnancies has evolved from open surgical treatment to the use of minimally invasive... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401897 Mon, 10 Oct 2011 04:00:00 +0100 5401897 http://www.medworm.com/index.php?rid=5401885&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004747%2Fabstract%3Frss%3Dyes Conclusion: The women tended to have favorable attitudes toward genetic testing, but numerous barriers remained that precluded knowledge of their carrier status or the pursuit of this knowledge. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401885 Mon, 10 Oct 2011 04:00:00 +0100 5401885 http://www.medworm.com/index.php?rid=5401882&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004723%2Fabstract%3Frss%3Dyes Conclusion: Timely management of PPH is essential to reduce maternal mortality. With limited training, auxiliary midwives achieved the correct administration of oral misoprostol that can attain this goal. Community delivery supervised by a skilled attendant limits access to, and need not be a requirement for, PPH prevention. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401882 Mon, 10 Oct 2011 04:00:00 +0100 5401882 http://www.medworm.com/index.php?rid=5401875&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS002072921100436X%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401875 Mon, 10 Oct 2011 04:00:00 +0100 5401875 http://www.medworm.com/index.php?rid=5401872&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004620%2Fabstract%3Frss%3Dyes Luis Cabero Roura, MDChair of the FIGO Committee for Capacity Building in Education and Training Professor Luis Cabero Roura was born in Barcelona, Spain, in 1947 and became a specialist in obstetrics and gynecology in 1973. He has been the Head of the Department and Chairman of Obstetrics and Gynecology at Hospital Materno-infantil Valle Hebron at the Autonomous University of Barcelona since 1991. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401872 Mon, 10 Oct 2011 04:00:00 +0100 5401872 http://www.medworm.com/index.php?rid=5496381&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004668%2Fabstract%3Frss%3Dyes In December 2006, a 24-year-old married woman presented to the All India Institute of Medical Sciences, New Delhi, India, with a 1-month history of abdominal pain. Examination revealed an abdominopelvic mass; ultrasound and computed tomography (CT) showed a solid cystic tumor originating from the right ovary and measuring 8×8cm. The level of cancer antigen 125 (CA-125) was 31.5 U/mL; the level of lactate dehydrogenase (LDH) was 2189 U/L; the level of α-fetoprotein was 2.5ng/mL; the level of β-human chorionic gonadotropin (hCG) was less than 1.2 U/mL. Laparoscopy revealed a right ovarian solid cystic tumor measuring 6×8cm. There was a 1-cm deposit on the surface of the left ovary. Right ovarian cystectomy was performed, together with left ovarian biopsy and omentectomy (the patient did ... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496381 Wed, 05 Oct 2011 04:00:00 +0100 5496381 http://www.medworm.com/index.php?rid=5496367&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004656%2Fabstract%3Frss%3Dyes Conclusion: The number of pelvic nodes removed was not associated with 5-year disease-free survival or number of positive pelvic nodes. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496367 Wed, 05 Oct 2011 04:00:00 +0100 5496367 http://www.medworm.com/index.php?rid=5401895&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004401%2Fabstract%3Frss%3Dyes Many women worldwide experience infertility as a result of endometriosis . The present retrospective study aimed to determine the demographic, clinical, and laparoscopic characteristics of infertile Maltese women diagnosed with endometriosis, in addition to the type of treatment administered. Approval was obtained from the Research and Ethics Committee at the University of Malta, Msida, Malta. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401895 Wed, 05 Oct 2011 04:00:00 +0100 5401895 http://www.medworm.com/index.php?rid=5401891&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004383%2Fabstract%3Frss%3Dyes Sacral fractures resulting from childbirth are rare , with only 10 cases reported in the literature . Foot drop is more common, but mostly associated with prolonged labor, lithotomy position, and traumatic birth . (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401891 Wed, 05 Oct 2011 04:00:00 +0100 5401891 http://www.medworm.com/index.php?rid=5401888&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004280%2Fabstract%3Frss%3Dyes Abstract: Objective: To evaluate follicle loss and its associated factors during laparoscopic cystectomy for ovarian endometrioma.Method: Between October 2008 and December 2009, 140 patients with ovarian cysts undergoing laparoscopic cystectomy at Peking Union Medical Hospital were enrolled: 74 had ovarian endometrioma with no preoperative hormonal therapy (group A), 40 had ovarian endometrioma pretreated with GnRHa (group B), and 26 had non-endometriotic cysts (group C). Pre-, peri- , and postoperative clinical data were collected, and cyst specimens were evaluated histologically.Results: The number of capsules showing follicles and the mean number of follicles per capsule were lower in group C than in group A or B (P (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401888 Fri, 30 Sep 2011 04:00:00 +0100 5401888 http://www.medworm.com/index.php?rid=5263091&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004553%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263091 Thu, 29 Sep 2011 16:29:18 +0100 5263091 http://www.medworm.com/index.php?rid=5263090&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS002072921100453X%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263090 Thu, 29 Sep 2011 16:29:18 +0100 5263090 http://www.medworm.com/index.php?rid=5263089&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004516%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263089 Thu, 29 Sep 2011 16:29:18 +0100 5263089 http://www.medworm.com/index.php?rid=5496365&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004346%2Fabstract%3Frss%3Dyes Abstract: Objective: To evaluate the efficacy of the levonorgestrel-releasing intrauterine system (LNG-IUS) in reducing menstrual blood loss (MBL) in myoma-related menorrhagia and to assess the effect of the LNG-IUS on uterine and leiomyoma volume.Methods: A prospective comparative study investigated the effect of LNG-IUS use in women with myoma-related menorrhagia (n=54) and women with idiopathic menorrhagia (n=50). The outcome was assessed in terms of reductions in MBL and in myoma and uterine volume.Results: Within 1month of LNG-IUS insertion, the Pictorial Blood Loss Assessment Chart score in the myoma group fell by 86.8% (P (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496365 Wed, 28 Sep 2011 04:00:00 +0100 5496365 http://www.medworm.com/index.php?rid=5496360&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004309%2Fabstract%3Frss%3Dyes Conclusion: Conventional oral misoprostol is as effective as titrated misoprostol for cervical ripening and labor induction, but has a lower incidence of tachysystole and a lower total dose of misoprostol is required. ClinicalTrial.gov: NCT00886860. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496360 Wed, 28 Sep 2011 04:00:00 +0100 5496360 http://www.medworm.com/index.php?rid=5496358&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004322%2Fabstract%3Frss%3Dyes Conclusion: The pregnancy outcome was independent of the first-trimester 25(OH)D status. Overall, the 25(OH)D levels significantly decreased in the third trimester. More research in this area is warranted. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5496358 Wed, 28 Sep 2011 04:00:00 +0100 5496358 http://www.medworm.com/index.php?rid=5401890&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004358%2Fabstract%3Frss%3Dyes Abstract: Objective: To evaluate the impact of valerian—a herb with sedative effects and antispasmodic effects on smooth muscles—on the severity of dysmenorrhea.Methods: In a double-blind, randomized, placebo-controlled trial, 100 students were randomly assigned to receive valerian (n=49) or placebo (n=51). Valerian (dose 255mg) was given 3 times daily for 3days beginning at the onset of menstruation, for 2 consecutive menstrual cycles. At baseline and during the intervention cycles, the pain severity was evaluated with a visual analog scale and the systemic manifestations were assessed using a multidimensional verbal scale.Results: The pain severity at baseline did not differ significantly between the groups. After the intervention, the pain severity was significantly reduced in both ... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401890 Wed, 28 Sep 2011 04:00:00 +0100 5401890 http://www.medworm.com/index.php?rid=5401883&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004267%2Fabstract%3Frss%3Dyes Abstract: Objective: To identify factors involved in the persistence of stress urinary incontinence (SUI) from pregnancy to 2years post partum.Method: In a longitudinal study at Donostia Hospital, San Sebastián, Spain, 458 primigravid women were recruited from April to October 2007. SUI was diagnosed via the 2002 International Continence Society definition. Severity was assessed via the Incontinence Severity Index, and impact on quality of life via the International Consultation on Incontinence Questionnaire. Means (Student t test and analysis of variance) and percentages (χ2 and Fisher exact tests) were compared, and multiple logistic regression analysis was performed with variables that were significant or close to significant in a univariate analysis (P (Source: International Journal ... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401883 Wed, 28 Sep 2011 04:00:00 +0100 5401883 http://www.medworm.com/index.php?rid=5401893&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004310%2Fabstract%3Frss%3Dyes Dalmau et al. described 12 young women who presented with psychiatric symptoms, amnesia, seizures, dyskinesia, autonomic dysfunction, and loss of consciousness. These patients required advanced vital support measures for a prolonged period of time. The cases were associated with ovarian teratoma and antibodies against N-methyl-D-aspartate (NMDA) receptors NR1, NR2A, and NR2B subunits. Anti-NMDA receptor encephalitis pathophysiology is explained by cross reactivity of antibodies produced by the immune system against ectopic brain tissues, such as those found in teratomas. The main epitope targeted by the antibodies is the extracellular N-terminal domain of the NR1 subunit. The NMDA receptor requires binding of glutamate or, with less affinity, aspartate, to its NR2 subunit and the co-agonis... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401893 Mon, 26 Sep 2011 04:00:00 +0100 5401893 http://www.medworm.com/index.php?rid=5401887&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS002072921100422X%2Fabstract%3Frss%3Dyes Conclusion: Laparoscopic visualization of endometriosis does not always correlate with histopathologic diagnosis; several other lesions may mimic endometriosis on histopathologic examination. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401887 Mon, 26 Sep 2011 04:00:00 +0100 5401887 http://www.medworm.com/index.php?rid=5401884&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004334%2Fabstract%3Frss%3Dyes Abstract: Objective: To evaluate whether hysteroscopic septoplasty should be performed in all women diagnosed with subseptate uterus.Methods: In a prospective study, 138 patients diagnosed with subseptate uterus at the First Affiliated Hospital of Guangxi Medical University, Nanning, China, were enrolled between January 1, 2006, and March 1, 2011, and reproductive outcomes were compared among women who did and those who did not undergo hysteroscopic resection. Women were divided in 2 groups: group A comprised women with a history of recurrent spontaneous abortion (RSA), and was subdivided into control (A1) and surgery (A2) groups; group B comprised women with no history of poor reproductive outcomes, and was subdivided into control (B1) and surgery (B2) groups.Results: The rates of pregnan... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401884 Mon, 26 Sep 2011 04:00:00 +0100 5401884 http://www.medworm.com/index.php?rid=5401881&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004279%2Fabstract%3Frss%3Dyes Conclusion: In Eritrea, critical gaps in the health system—especially those related to human resources—will impede progress toward MDG 5, and it will not be possible to reduce maternal mortality without addressing the high burden of abortion. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401881 Mon, 26 Sep 2011 04:00:00 +0100 5401881 http://www.medworm.com/index.php?rid=5240589&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004036%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5240589 Thu, 22 Sep 2011 16:25:53 +0100 5240589 http://www.medworm.com/index.php?rid=5240588&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004061%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5240588 Thu, 22 Sep 2011 16:25:53 +0100 5240588 http://www.medworm.com/index.php?rid=5240587&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004048%2Fabstract%3Frss%3Dyes (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5240587 Thu, 22 Sep 2011 16:25:53 +0100 5240587 http://www.medworm.com/index.php?rid=5401894&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004243%2Fabstract%3Frss%3Dyes In 2010 at the Division of Urology, Melegnano Hospital, Milan, Italy, a 51‐year‐old woman with a previous diagnosis (in 2001) of breast carcinoma and with no history of previous urogenital carcinomas underwent removal of a mass from the lower‐right vaginal wall, which was sampled in toto. The lack of infiltration of lamina propria and of a squamous cell component enabled excisional biopsy with preservation of the uterus and the ovaries. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401894 Thu, 22 Sep 2011 04:00:00 +0100 5401894 http://www.medworm.com/index.php?rid=5401879&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004188%2Fabstract%3Frss%3Dyes Conclusion: NT screening is often performed without patients’ full understanding of the implications of potential results and may cause anxiety. Providers should elicit patients’ preferences regarding prenatal testing and engage them in shared decision making about whether to undergo screening, particularly when abortion is not an option. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401879 Thu, 22 Sep 2011 04:00:00 +0100 5401879 http://www.medworm.com/index.php?rid=5401874&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004292%2Fabstract%3Frss%3Dyes The randomized controlled trial of the effect of tranexamic acid (TXA) on blood loss during and after cesarean delivery reported by Movafegh et al. in this issue of IJGO is clinically important for two reasons. First, because hemorrhage is a serious complication of cesarean delivery and their data show that bleeding can be reduced by TXA administration; and second, because it raises the possibility that TXA could contribute importantly to reducing the unacceptable high maternal mortality from postpartum hemorrhage. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401874 Thu, 22 Sep 2011 04:00:00 +0100 5401874 http://www.medworm.com/index.php?rid=5401896&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004255%2Fabstract%3Frss%3Dyes Dysmenorrhea, deep dyspareunia, and chronic pelvic pain are major symptoms of endometriosis. Treatment of endometriosis with pharmacologic agents or surgery often leads to only temporary relief, with the condition having a high rate of recurrence. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401896 Wed, 21 Sep 2011 04:00:00 +0100 5401896 http://www.medworm.com/index.php?rid=5401892&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004231%2Fabstract%3Frss%3Dyes After episiotomy, chronic pain and dyspareunia due to neuroma formation are a serious problem. Vulvar neuromas are often only millimeters in size but, despite this, they can cause severe pain syndromes. It has been postulated that, in most patients, dyspareunia after episiotomy may be associated with disorganized proliferation of proximal nerve stumps . If pain persists beyond 3–6months, consideration for surgical excision is advised. Simple resection of the tissue containing the focal point of pain often leads to postoperative recurrence owing to surrounding cicatricial adhesions . (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401892 Wed, 21 Sep 2011 04:00:00 +0100 5401892 http://www.medworm.com/index.php?rid=5401889&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004218%2Fabstract%3Frss%3Dyes Abstract: Objective: To determine the prevalence of and factors associated with urologic complications among women with advanced cervical cancer before treatment in Uganda.Methods: In total, 283 women with histologically confirmed stage IIB–IVB cervical cancer who were admitted to Mulago Hospital over a 6-month period were studied. Abdominopelvic scan was carried out to check for hydronephrosis and hydroureter and to measure the tumor volume. Serum creatinine and urea levels were measured, and the presence of anuria and vesicovaginal fistula (VVF) was ascertained from self-reporting and clinical records.Results: Urologic complications were present in 138 (48.8%) women. Hydronephrosis, VVF, hydroureter, and anuria were present in 112 (39.6%), 21 (7.4%), 11 (3.9%), and 9 (3.2%) women, resp... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401889 Wed, 21 Sep 2011 04:00:00 +0100 5401889 http://www.medworm.com/index.php?rid=5401877&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211004176%2Fabstract%3Frss%3Dyes Conclusions: Previous experiences and cultural beliefs can affect how Somali immigrant women understand labor and delivery practices in the USA and can explain why some women are wary of cesarean delivery. Educating providers and encouraging patient–provider communication about cesarean delivery and female circumcision can ease fears, increase trust, and improve birth experiences for Somali immigrant women in the USA. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401877 Wed, 21 Sep 2011 04:00:00 +0100 5401877 http://www.medworm.com/index.php?rid=5401880&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003924%2Fabstract%3Frss%3Dyes Conclusion: The high rates of maternal mortality recorded in tertiary maternity centers among women who were referred reveal the urgent need for interventions to improve the referral system. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401880 Mon, 19 Sep 2011 04:00:00 +0100 5401880 http://www.medworm.com/index.php?rid=5401878&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003900%2Fabstract%3Frss%3Dyes Conclusion: Limited drug supply and lack of specific institutional guidelines, equipment, and trained staff hinder the translation of evidence-based policy on magnesium sulfate into practice. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401878 Mon, 19 Sep 2011 04:00:00 +0100 5401878 http://www.medworm.com/index.php?rid=5401873&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003912%2Fabstract%3Frss%3Dyes Conclusions: The conference working group recommended expanding the use of prenatal corticosteroids in hospitals with high-level newborn care in low-income countries. For other low-income country settings, further research regarding efficacy and safety should precede the widespread introduction of prenatal corticosteroids. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401873 Mon, 19 Sep 2011 04:00:00 +0100 5401873 http://www.medworm.com/index.php?rid=5263083&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003869%2Fabstract%3Frss%3Dyes The Bakri balloon, which is used as a uterine tamponade, is the only balloon product specifically designed for the control of atonic postpartum hemorrhage (PPH); however, it may lose its effect if displaced into the vagina . The aim of the present study was to evaluate the effectiveness of a new technique for keeping the balloon inside the uterine cavity. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263083 Mon, 19 Sep 2011 04:00:00 +0100 5263083 http://www.medworm.com/index.php?rid=5263064&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003894%2Fabstract%3Frss%3Dyes Conclusions: The integration of TBAs with formal health systems increases skilled birth attendance. The greatest impact is seen when TBA integration is combined with complementary actions to overcome context-specific barriers to contact among SBAs, TBAs, and women. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263064 Mon, 19 Sep 2011 04:00:00 +0100 5263064 http://www.medworm.com/index.php?rid=5263084&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003705%2Fabstract%3Frss%3Dyes Postpartum pulmonary embolism (PE) is a challenging diagnosis because physiologic changes during pregnancy can yield benign symptoms that mimic or mask the condition. All PE tests have limitations, and diagnosis is confirmed only in approximately one-third of high-risk symptomatic women . (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263084 Mon, 05 Sep 2011 04:00:00 +0100 5263084 http://www.medworm.com/index.php?rid=5263082&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003845%2Fabstract%3Frss%3Dyes Obstetric acute renal failure (ARF) can be defined as a sudden decline in renal function during pregnancy or after delivery. Acute renal failure in the first trimester of pregnancy may be associated with septic abortion and excessive vomiting; third-trimester ARF may be associated with pre-eclampsia; and postpartum ARF may be associated with septic states and thrombotic microangiopathies. Although it is rare in high-income countries, there is a high incidence of pregnancy-related ARF in low-income countries, where it accounts for a large number of maternal deaths . (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263082 Thu, 01 Sep 2011 04:00:00 +0100 5263082 http://www.medworm.com/index.php?rid=5263077&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003729%2Fabstract%3Frss%3Dyes Conclusion: There was no difference among SCC, AC, and AS in most tumor characteristics, spread, recurrence, and survival in patients with early-stage cervical cancer. Among patients with pelvic lymph node metastasis, AC was associated with less favorable outcomes than SCC. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263077 Thu, 01 Sep 2011 04:00:00 +0100 5263077 http://www.medworm.com/index.php?rid=5263063&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003778%2Fabstract%3Frss%3Dyes Conclusions: Important gains have been made in reducing maternal deaths attributable to unsafe abortion. However, 1 in 8 maternal deaths globally and 1 in 5 maternal deaths in Eastern Africa continue to be attributable to unsafe abortion. Averting these preventable deaths can contribute to achieving Millennium Development Goal number 5 of improving maternal health. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263063 Thu, 01 Sep 2011 04:00:00 +0100 5263063 http://www.medworm.com/index.php?rid=5401886&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003791%2Fabstract%3Frss%3Dyes Abstract: Objective: To evaluate the rate and pattern of complications associated with use of the Copper T 380A intrauterine device (IUD) among adolescents.Methods: A prospective comparative study of women eligible for IUD insertion who attended the family planning clinic of Sohag University Hospital, Egypt, between July 1, 2008 and December 31, 2010. The participants were categorized as adolescents or adults. The Copper T 380A IUD was inserted in all participants and follow-up visits were scheduled at 1, 3, and 6months. Odds ratio and χ2 square tests were used to compare the rates of complications at each visit.Results: Of 1512 patients eligible for IUD insertion, 852 met the inclusion criteria: 281 adolescents and 571 adults. The rates of pain, bleeding, displacement, expulsion, and rem... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401886 Mon, 29 Aug 2011 04:00:00 +0100 5401886 http://www.medworm.com/index.php?rid=5401876&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003870%2Fabstract%3Frss%3Dyes Abstract: Objective: To assess the effect of intravenous tranexamic acid on blood loss during and after cesarean delivery.Methods: One hundred pregnant women were randomized to receive either 10mg/kg of tranexamic acid or placebo intravenously 20minutes before incision in a double-blind controlled study. Postplacental delivery blood loss, postoperative hemorrhage 2hours after surgery, and oxytocin administration were recorded.Results: The patients’ mean age, weight, and duration of surgery were similar between the 2 groups. Mean blood loss was significantly less in the tranexamic acid group compared with the control group for both intraoperative bleeding (262.5±39.6 vs 404.7±94.4mL) and postoperative bleeding (67.1±6.5 vs 141.0±33.9mL; P (Source: International Journal of Gynaecology ... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5401876 Mon, 29 Aug 2011 04:00:00 +0100 5401876 http://www.medworm.com/index.php?rid=5263087&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003833%2Fabstract%3Frss%3Dyes Ovarian cancer accounts for approximately 3% of all cancers in women, and is the fifth leading cause of cancer-related death among women in the USA . According to WHO histologic classification , ovarian tumors belong to 3 main categories: epithelial tumors (75% of all ovarian tumors); sex cord–stromal tumors (5%–10%); and germ cell tumors (15%–20%). (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263087 Mon, 29 Aug 2011 04:00:00 +0100 5263087 http://www.medworm.com/index.php?rid=5263085&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003857%2Fabstract%3Frss%3Dyes In 2008, a 41-year-old woman who had undergone 2 cesarean deliveries presented at Daping Hospital, Chongqing, China, with a painful mass in her abdominal wall. A year before presentation, the woman underwent simultaneous panhysterectomy without bilateral adnexectomy and excision of an endometriotic lesion from the abdominal wall. Her pathology report indicated endometriosis in the subcutaneous tissue of the abdomen, fibromyoma uteri, and adenomyosis. Four months before the current presentation, a mass similar to the excised lesion developed in her abdominal wall, and she often experienced gas pain. The mass gradually grew and was diagnosed as a recurrent endometriotic lesion. She underwent gestrinone treatment—under the supervision of a physician—for 1month; however, the mass continue... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263085 Mon, 29 Aug 2011 04:00:00 +0100 5263085 http://www.medworm.com/index.php?rid=5263081&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS002072921100378X%2Fabstract%3Frss%3Dyes Following the publication of numerous reports of severe anatomic birth defects in children born to mothers who had taken thalidomide in early pregnancy, there is now a greater appreciation of teratogenicity and other risks of drug therapy during pregnancy . It is estimated that more than 90% of expectant mothers in Nepal take 3–4 drugs at some stage during pregnancy ; generally, however, information on the use of medicines during pregnancy in low-income countries is scarce. The aim of the present study was to determine the type and number of orthodox and herbal medicines used by pregnant women who attended Dormaa Presbyterian Hospital, a district hospital in Dormaa Ahenkro, Ghana. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263081 Mon, 29 Aug 2011 04:00:00 +0100 5263081 http://www.medworm.com/index.php?rid=5263080&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003699%2Fabstract%3Frss%3Dyes Gestational trophoblastic disease (GTD) comprises a spectrum of tumors with benign or malignant potential, including hydatidiform mole, invasive mole, choriocarcinoma, and placental site trophoblastic tumor. Hydatidiform moles, which comprise 80% of all GTD cases, are classified as complete or partial moles . (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263080 Mon, 29 Aug 2011 04:00:00 +0100 5263080 http://www.medworm.com/index.php?rid=5263079&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003882%2Fabstract%3Frss%3Dyes Abstract: Objective: To evaluate the differences in visceral fat between women using tibolone and those not using tibolone.Methods: Sixty-five healthy postmenopausal women were included in the study: 26 who were taking tibolone (2.5mg/day); and 39 who were not receiving tibolone treatment. Anthropometric measurements were performed, with subcutaneous and visceral fat measured via ultrasound. Differences between the groups were determined via Student t test.Results: There were no significant differences in age (P=0.796), weight (P=0.256), height (P=0.456), body mass index (P=0.08), waist circumference (P=0.420), or waist–hip ratio (P=0.1) between the groups. Hip circumference was significantly lower in the study group than in the control group (97.7±12.2cm vs 103±8.1cm; P (Source: Inter... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263079 Mon, 29 Aug 2011 04:00:00 +0100 5263079 http://www.medworm.com/index.php?rid=5263078&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003754%2Fabstract%3Frss%3Dyes Conclusion: Involvement of female internal genitalia in bladder cancer is uncommon. Thus, preservation of these organs in young women undergoing radical cystectomy should be considered in selected cases after careful preoperative assessment. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263078 Mon, 29 Aug 2011 04:00:00 +0100 5263078 http://www.medworm.com/index.php?rid=5263076&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003651%2Fabstract%3Frss%3Dyes Conclusion: The findings suggest that the HPV genotypes responsible for causing cervical cancer in Sri Lanka are similar to those reported elsewhere worldwide. Consequently, women in Sri Lanka could benefit from currently available prophylactic HPV vaccines should they be implemented. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263076 Mon, 29 Aug 2011 04:00:00 +0100 5263076 http://www.medworm.com/index.php?rid=5263075&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003717%2Fabstract%3Frss%3Dyes Conclusions: HPV18 infection was predominant in cervical NECA. Variations in HPV genotype may be related to the clinicopathologic features and pathogenetic pathways of NECA. Vaccination against HPV16 and HPV18 might provide protection against cervical NECA in almost 90% of cases. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263075 Mon, 29 Aug 2011 04:00:00 +0100 5263075 http://www.medworm.com/index.php?rid=5263074&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003766%2Fabstract%3Frss%3Dyes Abstract: Objective: To assess the effectiveness of an educational program in visual inspection with acetic acid (VIA) for cervical cancer screening among healthcare providers in 2 low-resource countries.Methods: A cohort of multidisciplinary healthcare workers in Uganda and El Salvador were recruited to the study. A pretest was administered before the intervention of a 5-day educational program on VIA. A posttest was performed immediately after the educational program and again at a 6-month follow-up visit to assess retention of knowledge.Results: In total, 42 (93%) of the healthcare workers who participated in the educational program completed the initial posttest evaluation, and 18 (40%) healthcare workers completed the 6-month follow-up evaluation. Mean test scores increased after part... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263074 Mon, 29 Aug 2011 04:00:00 +0100 5263074 http://www.medworm.com/index.php?rid=5263072&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS002072921100381X%2Fabstract%3Frss%3Dyes Abstract: Objectives: To determine the stillbirth rate and factors predisposing to a stillbirth delivery at a teaching hospital in Nigeria, with the aim of identifying solutions.Method: A descriptive study of all stillbirths delivered at Enugu State University of Science and Technology Teaching Hospital, Parklane, Nigeria between January 1 and December 31, 2009. The sociodemographic characteristics of the mothers were documented and the possible causes of death were analyzed.Results: There were 153 stillbirths and 2064 total deliveries, giving a stillbirth rate of 74 per 1000 deliveries. Of the stillbirths, 52.3% were fresh and 47.7% were macerated. Women who had not received prenatal care had a significantly higher stillbirth rate (P (Source: International Journal of Gynaecology and Obste... International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263072 Mon, 29 Aug 2011 04:00:00 +0100 5263072 http://www.medworm.com/index.php?rid=5263071&cid=s_35640_29_f&fid=35640&url=http%3A%2F%2Fwww.ijgo.org%2Farticle%2FPIIS0020729211003663%2Fabstract%3Frss%3Dyes Conclusion: Cell salvage was acceptable, beneficial, and without adverse events in both high-risk elective cesareans and emergency cesareans for unexpected hemorrhaging. The skills refined during use of cell salvage in elective cesareans were crucial for successful implementation during emergency situations. (Source: International Journal of Gynaecology and Obstetrics) International Journal of Gynaecology and Obstetrics journals http://www.medworm.com/rss/comments.php?id=5263071 Mon, 29 Aug 2011 04:00:00 +0100 5263071