BJOG: An International Journal of Obstetrics and GynaecologyThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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Labial surgery for well women: a review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This review investigates the quality and content of published reports relating to labial surgery for well women. Electronic databases were searched for relevant articles between 1950 and April 2009. Forty articles were identified, 18 of which included patient data. The specification of the study design was unavailable in 15 of the 18 papers; the remaining three were retrospective reports. No prospective, randomised or controlled studies were found. All reports claimed high levels of patient satisfaction and contained anecdotes pertaining to success. Medically nonessential surgery to the labia minora is being promoted as an...
Source: BJOG: An International Journal of Obstetrics and Gynaecology - November 11, 2009 Category: OBGYN Authors: L-M Liao, L Michala, SM Creighton Source Type: journals

Cervical cancer: problem solved? Vaccinating girls against human papillomavirusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - November 4, 2009 Category: OBGYN Authors: EJ Crosbie, L Brabin Source Type: journals

The levonorgestrel intrauterine system (Mirena) for the treatment of menstrual problems in adolescents with medical disorders, or physical or learning disabilitiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report experience with the levonorgestrel intrauterine system (LNG IUS) for treatment of menstrual problems in adolescents with a range of medical problems or with severe learning disability. It provided of significant therapeutic benefit for 12 of 14 participants, with the majority opting to continue for the 5-year duration of the device. The rates of expulsion, bleeding and amenorrhoea appear similar to those reported in older women, where contraception is the primary indication. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 29, 2009 Category: OBGYN Authors: M Pillai, K O'Brien, E Hill Source Type: journals

High prevalence of bacterial vaginosis in adolescent girls in a tropical area of EcuadorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Bacterial vaginosis (BV) is a common clinical syndrome, but data are scarce on the BV prevalence in tropical regions among sexually active and virgin adolescents. To estimate the prevalence of BV among adolescent girls in an Ecuadorian coastal town, girls were asked to complete a questionnaire on risk factors for BV and vaginal samples were examined. Bacterial vaginosis was present in 31.5% of 213 girls, and the prevalence was similar in self-reported virgin and sexually active girls (OR 1.06, 95% CI, 0.51[ndash]2.21, P = 0.88), although the power of this analysis was limited. The prevalence of BV was high among Ecuadorian...
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 29, 2009 Category: OBGYN Authors: M Vaca, I Guadalupe, S Erazo, K Tinizaray, ME Chico, PJ Cooper, P Hay Source Type: journals

The menstrual disorder of teenagers (MDOT) study: determining typical menstrual patterns and menstrual disturbance in a large population-based study of Australian teenagersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Menstrual pain and symptoms are common in teenagers. Girls indicating moderate to severe pain in association with a high number of menstrual symptoms, school absence and interference with life activities should be effectively managed to minimise menstrual morbidity. Those girls who do not respond to medical management should be considered for further investigation for possible underlying pathology, such as endometriosis. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 29, 2009 Category: OBGYN Authors: MA Parker, AE Sneddon, P Arbon Source Type: journals

Risk of ovarian failure and fertility preserving methods in girls and adolescents with a malignant diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the effect of chemo- and radiotherapy on gonadal function, and thus fertility, and offers different fertility preserving methods based on the literature. Cryopreservation of ovarian tissue is a possible way of preserving fertility in this group of patients in the future. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 29, 2009 Category: OBGYN Authors: KT Schmidt, EC Larsen, CY Andersen, AN Andersen Source Type: journals

Reasons for not seeking medical help for severe pelvic floor symptoms: a qualitative study in survivors of gynaecological cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions There is a need for standardised attention to adverse effects on pelvic floor function after cancer treatment. This could be realised by quantifying symptoms using questionnaires, standardised attention for such symptoms by gynaecological oncologists or oncology nurses, and timely referral to pelvic floor specialists of women with bothersome pelvic floor symptoms. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 29, 2009 Category: OBGYN Authors: MH Hazewinkel, MAG Sprangers, EF Taminiau-Bloem, J van der Velden, MPM Burger, J-PWR Roovers Source Type: journals

Prognosis of patients with relapsed and chemoresistant gestational trophoblastic neoplasia transferred to the Peking Union Medical College HospitalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The patients with chemoresistant GTN had a worse outcome compared with patients with relapsed GTN. The importance of obtaining a normal [beta]-hCG level with treatment for GTN should be emphasised, and novel therapies should be pursued for these patients. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 29, 2009 Category: OBGYN Authors: F Feng, Y Xiang, X Wan, Y Zhou Source Type: journals

Clinical networks in paediatric and adolescent gynaecologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Please cite this paper as: MacDougall J, Creighton S, Wood P. Clinical networks in paediatric and adolescent gynaecology. BJOG 2009; DOI: 10.1111/j.1471-0528.2009.02384.x. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 19, 2009 Category: OBGYN Authors: J MacDougall, SM Creighton, PL Wood Source Type: journals

Service users' experiences of obtaining and giving information about disorders of sex developmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Our results suggest that difficulties in obtaining DSD information from care providers were common, and that communication has improved for younger participants. The study also confirmed that many people with DSD continue to struggle with confiding, even in those closest to them, about aspects of their diagnosis. Care protocol needs to centralise psychological adaptation, which should also be a primary focus for future research. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 19, 2009 Category: OBGYN Authors: L-M Liao, H Green, SM Creighton, NS Crouch, GS Conway Source Type: journals

Disorders of ovarian function in childhood and adolescence: evolving needs of the growing child. An endocrine perspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Please cite this paper as: Zacharin M. Disorders of ovarian function in childhood and adolescence: evolving needs of the growing child. An endocrine perspective. BJOG 2009; DOI: 10.1111/j.1471-0528.2009.02399.x. Over the past 15 years there have been changes in the care of children and adolescents paralleling increased longevity of those with chronic illnesses and increased survival after childhood cancer and organ transplantation. A broad understanding of holistic management and long-term risks is required. Optimisation of pubertal progress and normalisation of bone and hormonal health by the end of puberty will reduce th...
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 19, 2009 Category: OBGYN Authors: M Zacharin Source Type: journals

Adolescents' beliefs about their parents' human papillomavirus vaccination decisionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Please cite this paper as: Forster A, Marlow L, Waller J. Adolescents' beliefs about their parents' human papillomavirus vaccination decisions. BJOG 2009; DOI: 10.1111/j.1471-0528.2009.02412.x. A significant minority of parents are concerned that human papillomavirus vaccination will affect sexual behaviour. We explored this issue with 162 adolescent girls. Most (between 90 and 92%) did not perceive a connection between parental consent to vaccination and parental authorisation for sexual activity, but a small percentage believed that vaccination consent implied that they were old enough to have sex (8%), or that it was ok...
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 19, 2009 Category: OBGYN Authors: AS Forster, LAV Marlow, J Waller Source Type: journals

Metabolic syndrome in young women with the polycystic ovary syndrome: revisiting the threshold for an abnormally decreased high-density lipoprotein cholesterol serum levelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Please cite this paper as: Dewailly D, Contestin M, Gallo C, Catteau-Jonard S. Metabolic syndrome in young women with the polycystic ovary syndrome: revisiting the threshold for an abnormally decreased high-density lipoprotein cholesterol serum level. BJOG 2009; DOI: 10.1111/j.1471-0528.2009.02386.x.Objective To verify whether the adult threshold for an abnormally decreased high-density lipoprotein cholesterol (HDL-C) serum level (0.5 g/l) is appropriate in young women with polycystic ovary syndrome (PCOS).Design Retrospective analysis of a database.Setting Academic Hospital.Population A total of 854 women aged 16[ndash]40...
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 13, 2009 Category: OBGYN Authors: D Dewailly, M Contestin, C Gallo, S Catteau-Jonard Source Type: journals

Effects of gestational diabetes on fetal oxygen and glucose levels in vivoEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Our data indicate that fetuses from gestational diabetic mothers have increased umbilical glucose concentrations despite normal maternal glucose levels and a reduction in oxygen saturation and O2 content together with increased lactate concentration, reflecting altered fetal metabolism. These data suggest that 'good maternal metabolic control' achieved by currently used methods of monitoring glucose control is not sufficient to ensure a normal oxygenation status and metabolic milieu for the fetus in GDM pregnancies. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: E Taricco, T Radaelli, G Rossi, MS Nobile de Santis, GP Bulfamante, L Avagliano, I Cetin Source Type: journals

Hyperoxia and prevention of adhesion formation: a laparoscopic mouse model for open surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Hyperoxia-enhanced adhesions were prevented by hypothermia, dexamethasone, phospholipids, Hyalobarrier® gel, diltiazem, r-PA and AA. All effects were similar to those in the hypoxia-enhanced adhesion model, suggesting that the underlying mechanisms are similar. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: MM Binda, PR Koninckx Source Type: journals

Relationship between maternal growth, infant birthweight and nutrient partitioning in teenage pregnanciesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Maternal growth was not detrimental to fetal growth in this UK population of teenagers. Greater weight gain and higher concentrations of IGF-I in growing teenagers may provide anabolic drive for maternal and fetal growth. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: RL Jones, HMS Cederberg, SJ Wheeler, L Poston, CJ Hutchinson, PT Seed, RL Oliver, PN Baker Source Type: journals

Posterior axilla sling traction for intractable shoulder dystocia: case reportsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Please cite this paper as: Hofmeyr G, Cluver C. Posterior axilla sling traction for intractable shoulder dystocia: case reports. BJOG 2009; DOI: 10.1111/j.1471-0528.2009.02373.x. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: GJ Hofmeyr, CA Cluver Source Type: journals

Low birthweight and preterm birth rates 1 year before and after the Irish workplace smoking banEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Significant declines in preterm births and in maternal smoking rates after the smoking ban are welcome signs. However, the increased LBW birth risks might reflect a secular trend, as observed in many industrialised nations, and merits further investigations. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: Z Kabir, V Clarke, R Conroy, E McNamee, S Daly, L Clancy Source Type: journals

Pregnancy complicated by a uterine fundal defect resulting from a previous B-Lynch sutureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Please cite this paper as: Saman Kumara Y, Marasinghe J, Condous G, Marasinghe U. Pregnancy complicated by a uterine fundal defect resulting from a previous B-Lynch suture. BJOG 2009; DOI: 10.1111/j.1471-0528.2009.02375.x. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: YVAL Saman Kumara, JP Marasinghe, G Condous, U Marasinghe Source Type: journals

Prescriptions filled during pregnancy for drugs with the potential of fetal harmEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions This study documents an important level of prescriptions filled during pregnancy for drugs harmful to the developing fetus. The proportions of both TOPs and babies born with MCMs were elevated compared with the expected values. Clinicians caring for women during pregnancy should conduct a medication inventory prior to a planned pregnancy, or as soon as an unplanned pregnancy is recognised. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: S Kulaga, A Zagarzadeh, A Bérard Source Type: journals

Indicators for intervention during the expulsive second-stage arrest of labourEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Multiple significant antepartum and intrapartum indicators associated with intervention for expulsive second-stage arrest of labour were identified in this large retrospective study. Prominent were the associations of parity, maternal age and fetal head position with expulsive second-stage arrest. The identified factors should be further evaluated in prospective studies that aim to develop prediction models. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: E Leushuis, M Tromp, ACJ Ravelli, AM van Huis, BW Mol, GHA Visser, JAM van der Post Source Type: journals

Fertility and pregnancy following pelvic arterial embolisation for postpartum haemorrhageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Embolisation, whether or not associated with a uterine-sparing surgical procedure, for postpartum haemorrhage does not appear to compromise a woman's subsequent fertility and obstetric outcome. Nevertheless, these women should be considered at high risk for postpartum haemorrhage during future deliveries. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 12, 2009 Category: OBGYN Authors: L Sentilhes, A Gromez, E Clavier, B Resch, E Verspyck, L Marpeau Source Type: journals

Complications during pregnancy in women with epilepsy: population-based cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Women with epilepsy have a low complication rate, but special attention should be paid to those using AED during pregnancy. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - September 22, 2009 Category: OBGYN Authors: I Borthen, MG Eide, G Veiby, AK Daltveit, NE Gilhus Source Type: journals

Soy intake and risk of endocrine-related gynaecological cancer: a meta-analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Please cite this paper as: Myung S-K, Ju W, Choi H, Kim S; The Korean Meta-Analysis (KORMA) Study Group. Soy intake and risk of endocrine-related gynaecological cancer: a meta-analysis. BJOG 2009; DOI: 10.1111/j.1471-0528.2009.02322.x.Background Epidemiology studies have reported associations between soy intake and the risk of endocrine-related gynaecological cancers. However, to date there have been no quantitative meta-analyses reported regarding this topic.Objectives We investigated the quantitative associations between soy food intake and the risk of endometrial cancer and ovarian cancer by a meta-analysis of case[ndas...
Source: BJOG: An International Journal of Obstetrics and Gynaecology - September 22, 2009 Category: OBGYN Authors: S-K Myung, W Ju, HJ Choi, SC Kim Source Type: journals

Serum insulin patterns and the relationship between insulin sensitivity and glycaemic profile in women with polycystic ovary syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Normoglycaemic women with PCOS are heterogeneous regarding insulin sensitivity. The treatment offered to those with DM and IGT could be extended to subgroups B and C of normoglycaemic subjects. Normoglycaemic women with PCOS with high insulin sensitivity (group A) would not qualify for this treatment. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - September 22, 2009 Category: OBGYN Authors: HR Seneviratne, D Lankeshwara, S Wijeratne, N Somasunderam, D Athukorale Source Type: journals

A qualitative study of pharmacists' views on offering chlamydia screening to women requesting emergency hormonal contraceptionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Please cite this paper as: Thomas G, Humphris G, Ozakinci G, O'Brien K, Roberts SA, Hopkins M, Brabin L. A qualitative study of pharmacists' views on offering chlamydia screening to women requesting emergency hormonal contraception. BJOG 2009; DOI: 10.1111/j.1471-0528.2009.02362.x. This was a qualitative study to understand why pharmacists, asked to offer free chlamydia postal screening to Emergency Hormonal Contraception clients, had not offered screening to all eligible women. Twenty-six pharmacists completed exit interviews and 12 agreed to semi-structured in-depth interviews. Although pharmacists were keen to expand th...
Source: BJOG: An International Journal of Obstetrics and Gynaecology - September 22, 2009 Category: OBGYN Authors: G Thomas, G Humphris, G Ozakinci, K O'Brien, SA Roberts, M Hopkins, L Brabin Source Type: journals

A simple tool to measure patient perceptions of operative birthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The PPS is a simple and valid tool for patient-centred assessments. High scores were observed for most births but there were a small minority of accoucheurs who consistently scored poorly and these data could be used during appraisal and training. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - September 22, 2009 Category: OBGYN Authors: D Siassakos, J Clark, T Sibanda, G Attilakos, A Jefferys, L Cullen, D Bisson, T Draycott Source Type: journals

Age at menarche and the risk of operative first deliveryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Later menarche is associated with a decreased risk of operative delivery by decreasing the interval between menarche and first birth. The observation is consistent with the hypothesis that prolonged hormonal stimulation of the uterus prior to the first birth has a deleterious effect on uterine function. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - September 15, 2009 Category: OBGYN Authors: GCS Smith Source Type: journals

Detection of cervical intraepithelial neoplasia in vivo using confocal endomicroscopyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Confocal endomicroscopy is a sensitive imaging tool for detection and assessment of CIN. The technique enables in vivo imaging of cervical histology and the potential for 'see-and-treat' workflows. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - September 13, 2009 Category: OBGYN Authors: J Tan, MA Quinn, JM Pyman, PM Delaney, WJ McLaren Source Type: journals

Characteristics of different phenotypes of polycystic ovary syndrome based on the Rotterdam criteria in a large-scale Chinese populationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Nonclassic phenotypes for PCOS (O + P, H + P and O + H + P) were more frequent than the classic phenotype (O + H). The nonhyperandrogenic PCOS phenotype (O + P), one of the new phenotypes created by the Rotterdam criteria, may represent a form of PCOS associated with milder metabolic profile compared with the other phenotypes. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - September 13, 2009 Category: OBGYN Authors: HY Zhang, FF Zhu, J Xiong, XB Shi, SX Fu Source Type: journals

Vaginal birth after two caesarean sections (VBAC-2)—a systematic review with meta-analysis of success rate and adverse outcomes of VBAC-2 versus VBAC-1 and repeat (third) caesarean sectionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Women requesting for a trial of vaginal delivery after two caesarean sections should be counselled appropriately considering available data of success rate 71.1%, uterine rupture rate 1.36% and of a comparative maternal morbidity with repeat CS option. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - September 13, 2009 Category: OBGYN Authors: Samina Tahseen, Malcolm Griffiths Source Type: journals

The haemodynamic, renal excretory and hormonal changes induced by resting in the left lateral position in normal pregnant women during late gestationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Rest in the LLP induces systemic and intra-renal haemodynamic and hormonal changes that may play a central physiological role in the renal excretory response to restore excessive sodium/water retention in late pregnancy. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - September 13, 2009 Category: OBGYN Authors: FA Almeida, MV Pavan, CIS Rodrigues Source Type: journals

Colposuspension or TVT with anterior repair for urinary incontinence and prolapse: results of and lessons from a pilot randomised patient-preference study (CARPET 1)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study demonstrates the importance of pilot work for complex trials to identify issues likely to adversely affect recruitment. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - September 13, 2009 Category: OBGYN Authors: DG Tincello, S Kenyon, M Slack, P Toozs-Hobson, C Mayne, D Jones, D Taylor Source Type: journals

ST depression at caesarean section and the relation to oxytocin dose. A randomised controlled trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion ST depressions were associated with oxytocin administration significantly more often in subjects receiving 10 units compared with 5 units. Interventions to prevent hypotension during caesarean section may reduce the occurrence of ST depressions on electrocardiograms. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - September 13, 2009 Category: OBGYN Authors: M Jonsson, U Hanson, C Lidell, S Nordén-Lindeberg Source Type: journals

Poor sensitivity of field rapid HIV testing: implications for mother-to-child transmission programmeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We validated rapid HIV tests among pregnant women in a clinical setting. Field testing was performed using First Response 1,2,3 or Standard Diagnostic and Pareekshak tests. Results were confirmed by third generation HIV ELISA. Discordant or negative, specimens were confirmed by RNA PCR and a fourth generation ELISA test. Sensitivity and specificity were 94.5% (CI: 85.8[ndash]98.2) and 100% for First Response; 87.5% (CI: 46.7[ndash]99.3) and 100% (CI: 87.7[ndash]100%) for Standard Diagnostic and 90.2% (CI: 81.2[ndash]95.4) and 100% (CI: 98[ndash]100%) for Pareekshak. These sensitivities were lower than laboratory validation...
Source: BJOG: An International Journal of Obstetrics and Gynaecology - September 13, 2009 Category: OBGYN Authors: V Black, CE von Mollendorf, JA Moyes, LE Scott, A Puren, WS Stevens Source Type: journals

Preterm premature rupture of membranes, chorioamnion inflammatory scores and neonatal respiratory outcomeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Histological chorioamnionitis is a significant PPROM and CLD risk factor, but it fails to provide any protection from RDS. HCA in the setting of PPROM also failed to reveal any RDS protection or subtype CLD risk. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - September 13, 2009 Category: OBGYN Authors: V Zanardo, S Vedovato, E Cosmi, P Litta, F Cavallin, D Trevisanuto, S Chiarelli Source Type: journals

Associations of drugs routinely given in labour with breastfeeding at 48 hours: analysis of the Cardiff Births SurveyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Prospective studies on drugs in labour are needed to investigate potential causative associations between intrapartum medications and breastfeeding. Such studies will delineate the optimum balance between breastfeeding and maternal health, most importantly the risk of PPH. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - August 31, 2009 Category: OBGYN Authors: S Jordan, S Emery, A Watkins, JD Evans, M Storey, G Morgan Source Type: journals

Immediate and delayed add-back hormonal replacement therapy during ultra long GnRH agonist treatment of chronic cyclical pelvic painEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Long-term use of GnRH agonist plus immediate add-back HRT is a safe and acceptable approach to intractable cyclical pelvic pain. Given the delay in reactivation of the hypothalamo-pituitary-ovarian axis after long-term suppression, an intermittent dose regime with GnRH agonist might warrant investigation. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - August 31, 2009 Category: OBGYN Authors: M Al-Azemi, G Jones, F Sirkeci, S Walters, M Houdmont, W Ledger Source Type: journals

Current status of contraceptive use among rural married women in Anhui Province of ChinaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions A significant increase in contraceptive use of rural married women in Anhui Province of China. Female sterilisation and IUD still play the dominant role. Effective family planning methods should be advocated through adequate counselling on the correct use and proper management, with consideration of the background of custom and belief. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - August 31, 2009 Category: OBGYN Authors: X-J Zhang, G-Y Wang, Q Shen, Y-L Yu, Y-H Sun, G-B Yu, D Zhao, D-Q Ye Source Type: journals

How much does the levator hiatus have to stretch during childbirth?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions We have obtained normative data for the required distension of the levator hiatus in a largely Caucasian population. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - August 31, 2009 Category: OBGYN Authors: K Svabík, KL Shek, HP Dietz Source Type: journals

The recurrence risk of severe de novo pre-eclampsia in singleton pregnancies: a population-based cohortEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The recurrence risk of severe de novo pre-eclampsia in our population-based cohort study (6.8%) is lower than previously published reports in selected populations. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - August 14, 2009 Category: OBGYN Authors: SD McDonald, C Best, K Lam Source Type: journals

Noninvasive methods of detecting fetal anaemia: a systematic review and meta-analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion Although middle cerebral artery peak systolic velocity Doppler has limited diagnostic accuracy, it remains the gold standard for noninvasive screening of fetal anaemia. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - August 13, 2009 Category: OBGYN Authors: SJ Pretlove, CE Fox, KS Khan, MD Kilby Source Type: journals

Vitamin D in pregnancy-time for action: a paediatric auditEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Please cite this paper as: Sharma S, Khan N, Khadri A, Julies P, Gnanasambandam S, Saroey S, Jacobs B, Beski S, Coren M, Alexander S. Vitamin D in pregnancy-time for action: a paediatric audit. BJOG 2009; DOI: 10.1111/j.1471-0528.2009.02285.x. Maternal vitamin D deficiency is a significant public health issue. This retrospective multicentre audit was undertaken to identify the scale of maternal vitamin D deficiency in London, using infant vitamin D deficiency as a surrogate marker. During January 2006 to June 2008, 74 infants presented with symptomatic vitamin D deficiency, a prevalence of 1.6 per 1000 deliveries in London...
Source: BJOG: An International Journal of Obstetrics and Gynaecology - August 13, 2009 Category: OBGYN Authors: S Sharma, N Khan, A Khadri, P Julies, S Gnanasambandam, S Saroey, B Jacobs, S Beski, M Coren, S Alexander Source Type: journals

Association between antidepressant drug use during pregnancy and child healthcare utilisationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Antidepressant use during pregnancy is associated with increased child healthcare utilisation and increased risk of major cardiac interventions in early childhood. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - August 13, 2009 Category: OBGYN Authors: TF Ververs, K van Wensen, MW Freund, M van der Heide, GHA Visser, AFAM Schobben, LTW de Jong-van den Berg, ACG Egberts Source Type: journals

Haemostatic changes in the puerperium '6 weeks postpartum' (HIP Study) — implication for maternal thromboembolismEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Coagulation screens as well as thomboelastometry suggest a persistent hypercoagulation during the first 3 weeks after delivery. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - August 13, 2009 Category: OBGYN Authors: P Saha, D Stott, R Atalla Source Type: journals

Maternal complications and pregnancy outcome in women with mechanical prosthetic heart valves treated with enoxaparinEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Compliance with therapeutic dose enoxaparin and aspirin during pregnancy in women with mechanical heart valves is associated with a low risk of valve thrombosis and good fetal outcomes, but close monitoring is essential. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - August 13, 2009 Category: OBGYN Authors: C McLintock, LME McCowan, RA North Source Type: journals

Comparison of pregnancy outcomes in women with repaired versus unrepaired atrial septal defectEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Women with an unrepaired ASD are at increased risk of neonatal events in comparison with women with a repaired ASD. Compared with the general population, women with an unrepaired ASD are at increased risk of pre-eclampsia, small-for-gestational-age births and fetal mortality. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - August 13, 2009 Category: OBGYN Authors: S-C Yap, W Drenthen, FJ Meijboom, P Moons, BJM Mulder, HW Vliegen, APJ van Dijk, VWV Jaddoe, EAP Steegers, JW Roos-Hesselink, PG Pieper Source Type: journals

Visceral hyperalgesia in chronic pelvic painEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Please cite this paper as: Aslam N, Harrison G, Khan K, Patwardhan S. Visceral hyperalgesia in chronic pelvic pain. BJOG 2009; DOI: 10.1111/j.1471-0528.2009.02305.x. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - August 13, 2009 Category: OBGYN Authors: N Aslam, G Harrison, K Khan, S Patwardhan Source Type: journals

Urethrovaginal fistula associated with 'sterile abscess' formation following periurethral injection of dextranomer/hyaluronic acid co-polymer (Zuidex™) for the treatment of stress urinary incontinence—a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Please cite this paper as: Hilton P. Urethrovaginal fistula associated with 'sterile abscess' formation following periurethral injection of dextranomer/hyaluronic acid co-polymer (Zuidex[trade]) for the treatment of stress urinary incontinence[mdash]a case report. BJOG 2009; DOI: 10.1111/j.1471-0528.2009.02306.x. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - August 13, 2009 Category: OBGYN Authors: P Hilton Source Type: journals

Association of interferon-γ +874A polymorphism with the risk of developing cervical cancer in north-Indian populationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Variation in IFN-[gamma] +874 AA genotype because of ethnicity in north-Indian population may represent an important susceptibility biomarker for cervical cancer risk as well as other diseases and should be explored further. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - August 13, 2009 Category: OBGYN Authors: R Gangwar, S Pandey, RD Mittal Source Type: journals