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Pregnancy in chronic renal failure patients treated by hemodialysis: two case reports and a clinical review of management guidelinesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Although unusual, pregnancy in chronic dialysis patients does occur. In fact, the percent of successful pregnancies in women on chronic dialysis may be increasing. But unfortunately, the rates for premature delivery, neonatal death, maternal hypertension, and preeclampsia in chronic pregnant dialysis patients are high. Only 50% of pregnancies result in a surviving infant and over 80% of live born infants are premature, often severely premature. The key to improving the outcome of pregnancy in dialysis patients lies in decreasing premature labor and premature rupture of membranes in the late second a...
Source: European Clinics in Obstetrics and Gynaecology - September 2, 2008 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

D-dimer negative deep vein thrombosis in puerperiumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Venous thrombo-embolism (VTE) is a major cause of morbidity and mortality during pregnancy. Most of the evidence being used in the management of this condition in pregnancy is extrapolated from the general population. One such intervention is the use of the D-dimer test for the diagnosis of thromboembolism in pregnancy. Although this test has been found to be useful in low-risk non-pregnant patients, its negative predictive value is limited in high-risk patients in the general population to be used as a reliable diagnostic tool. Considering pregnancy as a high-risk state for VTE, we have evaluated t...
Source: European Clinics in Obstetrics and Gynaecology - September 2, 2008 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Leiomyosarcoma of the broad ligament: a case report and literature reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Leiomyosarcoma of the broad ligament is a rare tumor, with only 16 cases. In this paper we examine the case of a 52-year-old women consulted for pelvic pain. Clinical examination revealed a solid mass on the right side of the uterus. Abdominal ultrasonography and CT scan confirmed a mass presumably ovarian in origin. Laparotomy found a tumor of the right broad ligament, independent from uterus, tubes and ovaries. A total hysterectomy with bilateral salpingo-oophorectomy was performed and the histologic examination led to the diagnosis of leiomyosarcoma of the broad ligament. No evidence of metastasi...
Source: European Clinics in Obstetrics and Gynaecology - August 22, 2008 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Uterine lipoleiomyoma: transvaginal ultrasound and computed tomography findings of an unusual entityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a patient with a uterine lipoleiomyoma as an incidental finding. Diagnosis of uterine lipoleiomyoma is possible with the use of ultrasound and computed tomography scanning of the abdomen and pelvis. Content Type Journal ArticleCategory Review ArticleDOI 10.1007/s11296-008-0078-0Authors S. Mylona, Hellenic Red Cross Hospital Department of Radiology Athens GreeceN. Giannoulakos, Hellenic Red Cross Hospital Department of Radiology Athens GreeceN. Roppa-Lepida, Hellenic Red Cross Hospital Department of Radiology Athens GreeceA. Koutsodimitropoulou, General Hospital Nikaia-Piraeus Department of Obstetr...
Source: European Clinics in Obstetrics and Gynaecology - August 22, 2008 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Acute urinary retention in pregnancy: a case presentation and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Female acute urinary retention in pregnancy is a relatively uncommon condition. Its relatively low incidence and little published evidence base leads to inconsistent and often suboptimal management. The underlying cause of urinary retention must be diagnosed and treated. There is a lack of prospective trials of investigations and management. The following databases were searched: the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE and SCOPUS. Content Type Journal ArticleCategory Review ArticleDOI 10.1007/s11296-008-0079-zAuthors Dushyant Maharaj, University of Otago Dep...
Source: European Clinics in Obstetrics and Gynaecology - August 21, 2008 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Wolff–Parkinson syndrome in pregnancy: risks and management dilemmas—a review of literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Though uncommon, Wolff–Parkinson–White syndrome (WPW) can cause life threatening cardiac rhythm disorders in pregnancy. We examine a case report of a 20-year-old primigravida with WPW referred by her GP at 16 weeks of gestation. After consultation with the tertiary care cardiac treatment centre, she was prescribed flecainide (40 mg twice daily), resulting in a settling of the palpitations and chest pain. In pregnant WPW syndrome patients with tachyarrhythmia, therapeutic strategies should be based on interdisciplinary co-operation (obstetrics, cardiology, and neonatology). With an appr...
Source: European Clinics in Obstetrics and Gynaecology - August 20, 2008 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Evaluation of office hysteroscopy in pre-menopausal and post-menopausal women: experience with 2,255 casesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract To assess whether outpatient hysteroscopy without anesthesia confers any advantages over the traditional technique, we conducted a retrospective study. Participants consisted of 2,255 women who were referred to outpatient hysteroscopy at Alexandra Hospital from October 1991 to July 2007. The procedure was done without general or any other form of anesthesia; only in some cases was local anesthetic used. Diagnostic hysteroscopy was performed by means of a 2.7-mm hysteroscope and a 3.2-mm diagnostic sheath. The mean age was 36.37 years, 78.89% were nulliparous, and 94.01% were pre-menopausal. Hys...
Source: European Clinics in Obstetrics and Gynaecology - August 11, 2008 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Cryopreservation of female fertility: a review on the basics of cryobiology for obstetrics and gynecology residentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The aim of the current review is to provide the obstetrics and gynecology residents with the fundamental knowledge of cryobiology and cryopreservation. This might be beneficial during routine practice while consulting a candidate woman. Although a comprehensive knowledge doubtlessly requires further reading, this review will help them attain at least the basics. Content Type Journal ArticleCategory Clinical ReviewDOI 10.1007/s11296-007-0072-yAuthors Tansu Küçük, Gülhane Military Medical Academy Department of Obstetrics and Gynecology Etlik Ankara Turkeyİskender Başer, Gülhane Military Medi...
Source: European Clinics in Obstetrics and Gynaecology - November 8, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Vaginal examination, have we forgotten the basics?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the actual practice of the vaginal examination and compare the different methods that commonly are used in Europe, particularly the UK and the north European way. The advantages and disadvantages for the patient and the gynaecologist are described in a comprehensive way explaining why different gynaecological positions may be more efficient for both the patient and the gynaecologist. Emphasis is given on the training validation for the junior doctors and the future general practitioners. Content Type Journal ArticleCategory Tips and TricksDOI 10.1007/s11296-007-0071-zAuthors Costas Panayotid...
Source: European Clinics in Obstetrics and Gynaecology - November 8, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Decision-making after ultrasound diagnosis of fetal abnormalityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract During the last few decades, the use of ultrasonography for the detection of fetal abnormalities has become widespread in many industrialised countries. This resulted in a shift in timing of the diagnosis of congenital abnormalities in infants from the neonatal period to the prenatal period. This has major implications for both clinicians and the couples involved. In case of ultrasound diagnosis of fetal anomaly, there are several options for the obstetric management, ranging from standard care to non-aggressive care and termination of pregnancy. This essay explores the context of both clinical and ...
Source: European Clinics in Obstetrics and Gynaecology - October 11, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Cord blood for allogeneic and autologous bankingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Allogeneic transplantations of haematopoietic stem cells derived from cord blood have become a clinical routine. Applications are successful in malignant and non-malignant diseases, with high engraftment capacities and, compared to bone marrow stem cell transplantations, less strict human leucocyte antigen-match criteria. A major concern in using haematopoietic stem cells from cord blood is the relatively low number of stem cells that can be retrieved; however, recent research focuses on using several cord blood transplants as tandem transplants or increasing the number of progenitors by in vitro ex...
Source: European Clinics in Obstetrics and Gynaecology - August 15, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Ophthalmic effects of menopause and the role of hormone replacement therapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The purpose of this review is to investigate to what extent menopause is related to ocular pathological changes and whether hormone replacement therapy (HRT) can delay these changes to occur. This review of international bibliography reveals that hormonal changes during menopause are responsible for changes in lachrymal secretion, quality and quantity of tears, changes in conjunctiva and cornea, the development and progress of cataract, changes in intraocular pressure, the risk for glaucoma, the age-related macular degeneration, and changes in ocular blood flow. Content TypeJournal Article J...
Source: European Clinics in Obstetrics and Gynaecology - June 27, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Vulvar ulcers: a differential diagnosis between Behçet’s disease and Lipschütz ulcusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes two other vulvar ulcerous diseases, Behet’s disease and Lipschtz ulcus, to show the importance of a careful clinical examination and diagnostic testing. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412
Source: European Clinics in Obstetrics and Gynaecology - June 27, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Current evidence in the management of previous caesarean section: clinical reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The safety of women undergoing childbirth with prior caesarean delivery is a major public health concern. Most of the earlier studies focused on the success rate of vaginal birth after caesarean section; later focus shifted to maternal and neonatal safety, and presently, each factor that would influence the outcome of trial of labour is being considered on both the success and the safety of vaginal birth following caesarean delivery. The contribution of induction of labour to uterine rupture is not entirely clear. Although large multi-center randomised trials comparing planned elective repeat caesar...
Source: European Clinics in Obstetrics and Gynaecology - June 16, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

EBCOG hospital visit in the First Department of Obstetrics and Gynecology, University of Athens Medical School, Greece. Proposals for the improvement of training in obstetrics and gynecologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present our experience that originates from the recent hospital visiting in our unit. During our department’s presentation several training issues were identified. Dealing with these issues will result in improvement of the training provided and convergence of training and health care standards in Europe. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412
Source: European Clinics in Obstetrics and Gynaecology - June 14, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

The impact of social factors on attendance at antenatal care services and the subsequent effect on mothers’ health, measured during the years of economic transition in LatviaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract??The goal of the study is to evaluate the risk factors having an impact on attendance at antenatal care services in Latvia during the years of economic transition as well as the impact of those factors on mothers and newborns? health. Based on Latvian statistical data and published surveys, we analysed the possible impact of social and economic factors on attendance at antenatal care services. To illustrate the posed problems, we carried out a small pilot follow-up study, comparing social profiles, incidences of reproductive tract infections and HIV infection and pregnancy outcome on 200 consecutive unselected pre...
Source: European Clinics in Obstetrics and Gynaecology - March 11, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Proceedings of the XVI European meeting of trainees in obstetrics and gynaecologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412
Source: European Clinics in Obstetrics and Gynaecology - March 8, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Human papillomavirus genital infection in modern gynecology: genetic and genomic aspectsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract??HPV (human papillomavirus) is a virus responsible for many female and male genital tract diseases. It is a small nonenveloped virus with icosahedral symmetry that contains a double-stranded DNA genomes of approximately 7,900?bp. Approximately 200 different HPVs have been characterized, classified in mucosal and cutaneous viruses, responsible for a wide spectrum of clinical conditions, from simple feet and hands warts to genital cancer. Their genome is functionally distinct in three regions. The condition of the host immune system is one of the factors that can strongly influence the natural history of HPV infecti...
Source: European Clinics in Obstetrics and Gynaecology - March 8, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Misoprostol for labor induction in term pregnancyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract??Misoprostol has been used off-label for labor induction for many years. A large number of randomized controlled studies have assessed the efficacy and safety of misoprostol in different dose ranges between 10 and 100?mcg, with different dose intervals and different administration routes including oral, intravaginal, rectal, sublingual, and buccal administration. Currently, registration trials are underway, and misoprostol for registered indication of labor induction might be available in several European countries in the near future. Meanwhile, guidelines for off-label use should be provided by authorities or OB/...
Source: European Clinics in Obstetrics and Gynaecology - March 2, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Hysteroscopic myomectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract??Hysteroscopic treatment of submucous myomas is a safe and effective treatment in patients presenting with abnormal uterine bleeding and subfertility. Resection of fibroids can be performed with the assistance of monopolar or bipolar energy, hysteroscopic scissors or by applying yttrium aluminium garnet (Nd:YAG) laser. Modern resectoscopic techniques have expanded treatment options for these patients. Before surgery, the size, number, localization and intramural extent should be determined by hysteroscopy and/or sonohysterography to be able to ascertain the possibilities for resection and the technique to be used....
Source: European Clinics in Obstetrics and Gynaecology - March 2, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Postgraduate school of obstetrics and gynecology and nongovernmental organizations: is collaboration possible?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the collaboration between the First Postgraduate School of Obstetrics and Gynecology at the University of Milan, Italy, and the nongovernmental organization ?Emergency? that operates through its own hospitals in countries devastated by armed conflicts. The collaboration was centered on the maternity clinic that Emergency opened in 2003 in northern Afghanistan. After a woman resident spent 5?months on-site, the collaboration is now extended to all residents with a group with four areas of intervention: guidelines, clinical records and data collection, drugs and medical devices, and teaching material. In addition, ...
Source: European Clinics in Obstetrics and Gynaecology - March 2, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Digital video technology and surgical trainingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract??For several reasons, surgical training is suffering important reductions in terms of time and opportunities. New approaches to surgical training are required, and new training strategies should be proposed to maintain surgical standards. Affordable technologies allowing digital capture and recording of surgical procedures are now widely available, and we believe that the use of such technologies could play a role in the surgical training. Digital videos are useful to surgeons involved in teaching, because they are much easier to edit and share. In the operating theatre, the use of real-time digitised video during...
Source: European Clinics in Obstetrics and Gynaecology - February 24, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Hormone replacement therapy and breast cancer. The European viewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract??It is known for years that breast cancer is a hormone-dependent disease and that reproductive factors can contribute to the increase of its incidence. Among the factors, hormone replacement therapy (HRT) appears to be a contributor at least in some women. HRT remains to be the most efficient intervention to alleviate postmenopausal symptoms. However, the possible mild increase in the risk remains a limit to its prescription. From one country to another, regimens are different, and thus, the increase risk can also vary. It is thus important for a clinician to be informed on the evidence concerning the use of such ...
Source: European Clinics in Obstetrics and Gynaecology - February 24, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

Computer-assisted operative procedure: from preoperative planning to simulationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract??Medical image processing led to a major improvement of patient care by guiding the surgical gesture. From these initial data, new technologies of Virtual Reality and Augmented Reality can increase the potential of such images. The 3-D modeling of patients from their computed tomography scan or magnetic resonance image thus allows an improved surgical planning. Simulation offers the opportunity to train the surgical gesture before carrying it out. These two preoperative steps can be used intra-operatively thanks to the development of Augmented Reality (AR), which consists in superimposing the preoperative 3-D mode...
Source: European Clinics in Obstetrics and Gynaecology - February 13, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

EBCOG Newsletter September 2006Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412
Source: European Clinics in Obstetrics and Gynaecology - February 2, 2007 Category: OBGYN Tags: European Clinics in Obstetrics and Gynaecology Source Type: journals

The basis of the Dutch obstetric system: risk selectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract??The Dutch obstetric system is based upon risk selection and risk management. The level of care is matched to the level of risk. Low-risk patients are assigned to primary care and the others to secondary care. As risk factors can arise during the course of pregnancy, delivery, and puerperium, this is a dynamic process. The organization is described and an overview of various Dutch studies of this system and the changes of referral rates in the course of time are given. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412
Source: European Clinics in Obstetrics and Gynaecology - January 17, 2007 Category: OBGYN Source Type: journals

National guidelines on antenatal care: a survey and comparison of the 25 member states of the European UnionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study presents in detail what the national guidelines of the member states of the EU recommend for antenatal care. These findings demonstrate for the first time that extracting the measures from national guidelines that are recommended by the majority of states and apply to the majority of inhabitants of the EU leads to the development of a guideline compatible with scientific evidence. On the basis of these findings, a common minimum guideline for antenatal care in the EU should be established. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412
Source: European Clinics in Obstetrics and Gynaecology - January 5, 2007 Category: OBGYN Source Type: journals

Diagnosis of genital herpes: the role and place of HSV testing in clinical practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract??Genital herpes is caused by herpes simplex virus (HSV)-1 and HSV-2. It is an underdiagnosed and undertreated sexually transmitted infection characterised by latency followed by reactivation. The seroprevalence of both types of HSV varies throughout Europe, and HSV-1 is an increasing cause of genital herpes. Transmission is through skin-to-skin contact, and neonatal herpes resulting from transmission during delivery is a particularly serious problem. Diagnosis of genital herpes is not straightforward, and a clinical diagnosis alone is usually insufficient. Correct diagnosis is essential for appropriate management ...
Source: European Clinics in Obstetrics and Gynaecology - January 3, 2007 Category: OBGYN Source Type: journals

Early pregnancy failure: a reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract??The European Society for Human Reproduction and Embryology?s Special Interest Group Early Pregnancy recently published a revised terminology for the description of early pregnancy events as well as evidence-based guidelines for the investigation and medical treatment for patients with recurrent miscarriage (RM). This review, designed for clinicians working in the field of human reproduction, starts with the updated glossary of terms essential for an accurate assessment and documentation of clinical events. The revised terminology is summarized in this article. Many terms used in early pregnancy were old and had p...
Source: European Clinics in Obstetrics and Gynaecology - December 26, 2006 Category: OBGYN Source Type: journals

The clinical management of genital herpesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract??Genital herpes infections may be caused by either the herpes simplex virus type 1 or 2 (HSV-1 or HSV-2). The changing patterns of HSV-1 acquisition in childhood have meant that many individuals will acquire this disease in adult life when at least one third of such late infections will involve the genital area. In many parts of the world, HSV-1 is the principal cause of acquisition of HSV disease. However, the majority of cases of frequent and severe genital disease remain due to HSV-2. The management of genital HSV infections involves a careful assessment of the impact of the disease upon the patient. Such an as...
Source: European Clinics in Obstetrics and Gynaecology - December 26, 2006 Category: OBGYN Source Type: journals

Virtual reality simulation in training and assessment of laparoscopic skillsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, Virtual Reality simulators are valid and objective tools in surgical education. Several systems are currently considered sufficiently validated and ready to be implemented in comprehensive educational curricula in minimally invasive surgery. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412
Source: European Clinics in Obstetrics and Gynaecology - December 19, 2006 Category: OBGYN Source Type: journals

Life-threatening haemorrhage in Obstetrics and GynaecologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412
Source: European Clinics in Obstetrics and Gynaecology - November 23, 2006 Category: OBGYN Source Type: journals

Management of severe postpartum haemorrhage: an updated protocolEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Intractable postpartum haemorrhage (PPH) is exceedingly rare. Most complications result from procrastination or lack of adherence to a structured protocol of management. Active management of the third stage of labour is highly effective in preventing PPH. If haemorrhage nevertheless occurs, the following measures are implemented in rapid succession until the bleeding stops: 1) methylergometrine maleate is administered, 2) the uterus is massaged and compressed, 3) oxytocin is infused intravenously, 4) a second intravenous line is installed and blood is drawn for determination of the haematocrit, platelets and coagu...
Source: European Clinics in Obstetrics and Gynaecology - November 22, 2006 Category: OBGYN Source Type: journals

Uterine brace compression sutures for the treatment of post-partum haemorrhageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes different uterine brace compression sutures, their advantages and complications and their place among other treatment modalities. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412
Source: European Clinics in Obstetrics and Gynaecology - November 22, 2006 Category: OBGYN Source Type: journals

Prevention and management of severe intra-operative and post-operative bleeding in gynaecologic surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Severe intra-operative and post-operative bleeding is a potentially life-threatening complication of gynaecologic surgery. A sound clinical judgement and the adequate assessment and preparation of the patient are the best pre-operative means to avoid its occurrence. Intra-operative prevention requires knowledge of surgical anatomy and haemostatic techniques. The management of haemorrhagic complications can be extremely challenging. Its success depends on the perfect integration of surgical expertise, the supporting role of the anaesthesiologist and on the availability of a fully equipped interventional radiology t...
Source: European Clinics in Obstetrics and Gynaecology - November 22, 2006 Category: OBGYN Source Type: journals

Clinical aspects and management of morbidly adherent placentaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Placenta accreta occurs when a defect of the decidua basalis results in abnormally invasive placental implantation. Risk factors include placenta previa, previous cesarean section, advanced maternal age, multiparity, and previous uterine curettage. The conventional sonographic criteria for abnormally adherent placenta include the absence of a normal hypo-echogenic retroplacental myometrial zone, the thinning or disruption of the hyper-echogenic uterine serosa–bladder interface, the presence of focal mass-like elevations or extensions of placental tissue beyond the uterine serosa, and the presence of intrapla...
Source: European Clinics in Obstetrics and Gynaecology - November 21, 2006 Category: OBGYN Source Type: journals

Ruptured extrauterine pregnancyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Extrauterine pregnancies contribute substantially to maternal mortality in all parts of the world. The most common cause of these deaths is massive bleeding after rupture of the ectopic pregnancy. The advent of transvaginal ultrasonography in early pregnancy and the use of quantitative measurement of the β-unit of human chorionic gonadotropin have revolutionized the management of this condition. These diagnostic modalities allow its early detection and, in many cases, treatment before rupture occurs. There is an ever increasing body of evidence supporting expectant, medical, and surgical management of ectopic...
Source: European Clinics in Obstetrics and Gynaecology - November 16, 2006 Category: OBGYN Source Type: journals

The impact of post-partum haemorrhage in “near-miss” morbidity and mortality in developing countriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The global maternal mortality ratio (MMR) of 400 per 100,000 live births results in an estimated 529,000 maternal deaths annually. Most of these deaths occur in developing countries and only about 1% in developed countries. Besides mortality data, the identification and accurate documentation of “near-miss” morbidity (a more sensitive index) is extremely important to assess the quality of health care systems. It can suitably guide to adopt appropriate measures to reduce maternal mortality and morbidity. Haemorrhage remains a major cause of maternal mortality in both developing and developed countries f...
Source: European Clinics in Obstetrics and Gynaecology - November 16, 2006 Category: OBGYN Source Type: journals

Uterine rupture: the road ahead?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The worldwide increase in caesarean sections, as well as that in laparoscopic and hysteroscopic surgery, augments the risk for women to suffer a uterine rupture. Also the use of misoprostol for the termination of pregnancy and induction of labour, particularly in developing countries, contributes to the greater incidence of uterine rupture. In developing countries, again, neglected obstructed labour remains a very frequent cause of uterine rupture. Diagnosis of uterine rupture may be difficult and, if made too late, serious and even devastating complications may follow, culminating in infant and/or maternal death....
Source: European Clinics in Obstetrics and Gynaecology - November 16, 2006 Category: OBGYN Source Type: journals

Vasa praevia: a lethal threat to the fetusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Vasa praevia constitutes a rare obstetric complication that is potentially lethal for the generally healthy infant. If unrecognized antenatally, the condition carries a higher fetal mortality rate than any other complication in pregnancy. Only in the past two decades have major diagnostic advances led to a dramatic improvement of perinatal survival and lower morbidity rates. Good outcomes depend primarily on prenatal diagnosis and appropriate management. The performance of a caesarean section before rupture of the membranes and the onset of labour is mandatory. Simple modifications of standard screening protocols ...
Source: European Clinics in Obstetrics and Gynaecology - November 8, 2006 Category: OBGYN Source Type: journals

Placental abruption and placenta praeviaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Antepartum haemorrhage is defined as bleeding from the genital tract from 24 weeks of gestation onwards. The incidence is around 2–5% of all pregnancies progressing beyond 24 weeks. Placenta praevia and placental abruption are of great clinical importance as causes of antepartum haemorrhage. Placenta praevia occurs when the placenta is totally or partly inserted in the lower uterine segment. The aetiology of placenta praevia may merely represent an accident of nature but is associated with advanced maternal age, multiparity and previous uterine damage such as in a previous caesarean section. Usually, the ini...
Source: European Clinics in Obstetrics and Gynaecology - November 1, 2006 Category: OBGYN Source Type: journals

Treatment decisions at the threshold of viabilityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The survival rate for infants born preterm has improved over the last two decades. However, the incidence of moderate and severe neurodevelopmental disability amongst the surviving infants is high, and these infants require prolonged intensive care. Many countries have developed guidelines how and when to treat these infants. Usually, these guidelines are based upon the outcome data of large studies, but social, cultural and economical factors have a major impact on these guidelines as well. Some European countries have set guidelines at when to start treatment based upon gestational age alone. However, recent ...
Source: European Clinics in Obstetrics and Gynaecology - August 29, 2006 Category: OBGYN Source Type: journals

The relation of EBCOG and the UEMS section with the scientific organisations in EuropeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 Journal VolumeVolume 2 Journal IssueVolume 2, Number 2 / September, 2006
Source: European Clinics in Obstetrics and Gynaecology - August 29, 2006 Category: OBGYN Source Type: journals

Midwives’ perception of intrapartum risk in England, Belgium and FranceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The second half of the last century saw remarkable changes in the delivery of maternity care services, with the introduction of antibiotics and safe anaesthesia. This was associated with a continued decrease in maternal and perinatal mortality and some were quick to establish a cause-and-effect relationship. However, this was challenged by statisticians and technological developments have also been challenged later by some, though embraced by others. An initial study of midwives’ practice and perception of risk had demonstrated not only a slight link between higher intrapartum intervention rate and higher per...
Source: European Clinics in Obstetrics and Gynaecology - August 29, 2006 Category: OBGYN Source Type: journals

Fibroid uterus in pregnancy and management—what changed in the last 20 years?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article review takes into consideration the multiple symptoms fibroid uterus can cause in pregnancy and summarises the recent treatment options of leiomyomas in pregnancy with emphasis on the possible use of surgery during pregnancy in selected cases. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 Journal VolumeVolume 2 Journal IssueVolume 2, Number 2 / September, 2006
Source: European Clinics in Obstetrics and Gynaecology - August 29, 2006 Category: OBGYN Source Type: journals

Evidence-based management of premenstrual syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Premenstrual syndrome (PMS) can be a source of real distress and discomfort to menstruating women. There is a spectrum of severity from one end where women have mild symptoms to the severe end that is premenstrual dysphoric disorder. These symptoms may be so severe that they disrupt the normal functioning, quality of life and interpersonal relationships. It is critical to note the cyclical nature of the condition. The definitive aetiology of PMS remains obscure though it appears to be directly related to the ovarian hormone cycle. The management of PMS is based on the principles of ovulation suppression or corr...
Source: European Clinics in Obstetrics and Gynaecology - August 29, 2006 Category: OBGYN Source Type: journals

Fertility preservation strategies in women undergoing chemotherapy for haematological malignancyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract As one of the basic modalities of oncological therapy, chemotherapy usually leads to permanent consequences. Infertility is one of the most common consequences resulting from irreversible gonadal damage. The potentially effective method of reproductive function protection in women undergoing chemotherapy for haematological malignancy is administration of GnRH analogues during chemotherapy by creating pre-pubertal hormonal milieu. The other useful methods are the cryopreservation of oocytes and ovarian tissue from patients undergoing anti-cancer therapy. The presented OvarOnko project sets the primary target to ...
Source: European Clinics in Obstetrics and Gynaecology - August 29, 2006 Category: OBGYN Source Type: journals

Patient safety in obstetricsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Obstetrical care providers are highly trained, highly skilled professionals working with complex systems in an unpredictable environment. Perinatal units have many built-in mechanisms that work to prevent errors from occurring. Unintentional failures usually are the result of a chain of events, almost never from a single cause or a single provider. Within most unintentional failures, there is usually no single explanatory cause for the event. Rather, there is a complex interaction between a varied set of systems, including human behavior, performance and interdependency, technological aspects, socio-cultural fa...
Source: European Clinics in Obstetrics and Gynaecology - August 29, 2006 Category: OBGYN Source Type: journals

Scar endometriosis—a diagnostic dilemmaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract To diagnose scar endometriosis when an abdominal wall mass is found near the scar from a previous operation requires a high degree of suspicion. Pre-operatively, ultrasound and fine needle aspiration can be of help. Awareness of diagnosis avoids delay in diagnosis, treatment, and unnecessary referrals to other specialities. We reviewed five cases of scar endometriosis presenting to our unit in the last 5 years and included a literature review. Content TypeJournal Article JournalEuropean Clinics in Obstetrics and GynaecologyOnline ISSN 1613-3420Print ISSN 1613-3412 Journal VolumeVolume 2 Journal I...
Source: European Clinics in Obstetrics and Gynaecology - August 29, 2006 Category: OBGYN Source Type: journals

Train the trainers!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract With the introduction of training programmes and logbooks for basic postgraduate training and subspecialty training, the European Board and College of Obstetrics and Gynaecology has given impulses to harmonise training in obstetrics and gynecology in the European Union. Current changes in the practice of medicine, among which the European Working Time Directive, numbers of surgical procedures decreasing, more demanding patients and a change in work ethos, challenge both trainers and trainees to optimise postgraduate training. For training to be effective and efficient, it is necessary to clearly define learning...
Source: European Clinics in Obstetrics and Gynaecology - August 29, 2006 Category: OBGYN Source Type: journals