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Journals BJOG : An International Journa...

BJOG : An International Journal of Obstetrics and Gynaecology

https://read.qxmd.com/read/32681610/minimising-duplicate-reports-in-estimating-covid-19-impact
#21
Declan Devane
The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) disease (COVID-19) in China at the end of 2019 brought with it uncertainty as to whether it would bring an increase in maternal, fetal and neonatal morbidity and mortality. This uncertainty drove fear; understandable given the high case fatality rate associated with previous severe respiratory illness causing coronaviruses.
July 18, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32672876/core-outcome-sets-are-valuable-but-methodological-evidence-can-improve-robustness
#22
I M Beune, W Ganzevoort, S J Gordijn
A core outcome set (COS) is the agreed minimum set of outcomes to be measured in studies regarding a specific topic. A COS is considered to encompass the most relevant outcomes and does not restrict researchers. One should realize that outcomes not included in the COS may actually be important for specific research questions and different study-designs. The COMET handbook (Core Outcome Measures in Effectiveness Trials), used in the current study, describes consensus methodology for COS development. (Williamson et al...
July 16, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32672857/when-to-expect-the-unexpected-uterine-rupture-before-onset-of-labour
#23
Griet Vandenberghe
Uterine rupture is a feared complication when a woman with a uterus scarred by a caesarean section (CS) is in labour. The increased awareness of the possibility of uterine rupture and dramatic consequences including perinatal asphyxia has lead to guidelines for management when undertaking a trial of labour after caesarean section Uterine rupture occurs in an estimated 35 per 10 000 women with a previous CS undergoing labour (INOSS study of uterine rupture, BJOG 2019;126:370-381), but is extremely rare before the onset of labour and in the unscarred uterus...
July 16, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32672389/female-underweight-and-risk-of-ectopic-pregnancy
#24
José Bellver
Ectopic pregnancy (EP) is most frequently located in the fallopian tube. Risk factors that have been identified so far include a history of pelvic inflammatory disease, a smoking habit, genital/pelvic surgery, previous ectopic pregnancy, endometriosis and infertility (Hendriks et al. Am Fam Physician.2020;101:599-606). These factors act through anatomical or functional (motility) alterations caused by mechanical defects, inflammation or local immunity disturbances, which are sometimes also responsible for subfertility and for the need for IVF...
July 16, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32671930/authors-reply-re-incidence-and-characteristics-of-pregnancy-related-death-across-ten-low-and-middle-income-geographical-regions-secondary-analysis-of-a-cluster-randomised-controlled-trial-the-underestimated-incidence-of-eclampsia-in-low-income-countries-variation
#25
LETTER
https://read.qxmd.com/read/32671881/re-cerebroplacental-ratio-in-predicting-adverse-perinatal-outcome-a-meta-analysis-of-individual-participant-data
#26
LETTER
José Morales-Roselló, Gabriela Loscalzo, Silvia Buongiorno, Vaidilė Jakaitė, Alfredo Perales-Marín
No abstract text is available yet for this article.
July 16, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32662210/authors-reply-re-effect-of-progestogen-for-women-with-threatened-miscarriage-a-systematic-review-and-meta-analysis
#27
LETTER
Lingjie Li, Yu Zhang, Fang Fang
No abstract text is available yet for this article.
July 14, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32662204/authors-reply-re-evaluation-of-treatments-for-bartholin-s-cyst-or-abscess-a-systematic-review
#28
LETTER
James Mn Duffy, Emma Kirk, Benjamin Jg Illingworth, Katie Stocking, Marian Showell
No abstract text is available yet for this article.
July 13, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32659035/postoperative-medical-therapies-for-the-prevention-of-endometrioma-recurrence-do-we-now-have-the-final-answer
#29
Ertan Saridogan
Endometriosis is often described as a chronic condition. Surgical or medical treatment approaches do not always cure it, and recurrence of the disease or its symptoms is common. Medical treatment is usually used to achieve symptomatic control whilst surgery aims to eliminate the visible lesions. However, recurrence is frequently seen even after very radical surgery.
July 13, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32659031/parents-experiences-of-care-and-support-after-stillbirth-in-rural-and-urban-maternity-facilities-a-qualitative-study-in-kenya-and-uganda
#30
Elizabeth Ayebare, Raheli Mukhwana, Jonan Mweteise, Allen Nabisere, Anne Nendela, Paul Ndungu, Marion Okello, Grace Omoni, Sabina Wakasiaka, Rebecca Wood, Tina Lavender, Tracey A Mills
OBJECTIVE: To explore parents' lived experiences of care and support following stillbirth in urban and rural health facilities. DESIGN: Qualitative, interpretative, guided by Heideggerian phenomenology. SETTING: Nairobi and Western Kenya, Kampala and Central Uganda. SAMPLE: A purposive sample of 75 women and 59 men who had experienced the stillbirth of their baby, (≤ 1 year), received care in the included facilities...
July 13, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32654406/a-systematic-review-on-reported-outcomes-and-outcome-measures-in-female-idiopathic-chronic-pelvic-pain-for-the-development-of-a-core-outcome-set
#31
REVIEW
Vishalli Ghai, Venkatesh Subramanian, Haider Jan, Vasilios Pergialiotis, Ranee Thakar, Stergios K Doumouchtsis
BACKGROUND: A core outcome set (COS) is required to address inconsistencies in outcome reporting in chronic pelvic pain (CPP) trials. OBJECTIVES: Evaluation of reported outcomes and selected outcome measures in CPP trials by producing a comprehensive inventory to inform a COS. SEARCH STRATEGY: Systematic review of RCT identified from Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE and MEDLINE databases. SELECTION CRITERIA: RCT assessing efficacy and safety of medical, surgical and psychological interventions for women with idiopathic CPP...
July 12, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32654312/parp-inhibitors-as-maintenance-therapy-in-newly-diagnosed-advanced-ovarian-cancer-a-meta-analysis
#32
Qingqing Lin, Wenchao Liu, Song Xu, Hongkai Shang, Juan Li, Yanglong Guo, Jinyi Tong
BACKGROUND: Up to 70% of the patients with advanced ovarian cancer have a relapse after primary therapy. New agents and approaches are urgently needed to avoid or slow down the reccurence. OBJECTIVES: To investigate the efficacy of PARP inhibitors (PARPis) as maintenance treatment in patients with newly diagnosed advanced ovarian cancer. SEARCH STRATEGY: PubMed, Medline, Embase, Cochrane Library and Web of Science databases. SELECTION CRITERIA: All randomized clinical trials (RCTs) that compared PARPis and placebo as first-line maintenance therapy in ovarian cancer...
July 12, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32649031/sacrocolpopexy-tends-to-be-superior-to-transvaginal-mesh-surgery
#33
Nikolaus Veit-Rubin, Rufus Cartwright
The use of synthetic mesh prostheses to treat pelvic organ prolapse (POP) remains highly controversial. Despite complete restriction on vaginally placed mesh in Australia and New Zealand (2017), the UK (2018), and the USA (2019), transvaginal mesh (TVM) prolapse repair remain widely in many countries, including China and most of East Asia. Sacrocolpopexy (SC) is widely considered as the gold-standard for surgical correction of vaginal vault prolapse. (Maher C et al,. Cochrane Database of Systematic Reviews 2016, Issue 11...
July 10, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32639633/new-pathways-to-diagnose-preeclampsia
#34
Ignacio Herraiz
Correct clinical decision making that avoids unnecessary complications for the mother and the child, rests in differentiating when pre-eclampsia is present and when it is not. The first step is to always keep this condition in mind. There is no point in having the most up-to-date guidance if we do not recognize the palpebral edema of a pregnant woman that enters through our office door while looking at the computer screen. The second step is to achieve a diagnostic confirmation as soon as possible. The inaccuracy of the diagnostic criteria used - that are not based on the etiopathogenic knowledge - has been written about widely...
July 8, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32638462/cost-effectiveness-of-hpv-based-cervical-screening-based-on-first-year-results-in-the-netherlands-a-modelling-study
#35
Erik E L Jansen, Steffie K Naber, Clare A Aitken, Harry J de Koning, Marjolein van Ballegooijen, Inge M C M de Kok
OBJECTIVE: We aim to compare the cost-effectiveness of the old cytology programme with the new high-risk human papillomavirus (hrHPV) screening programme, using performance indicators from the new Dutch hrHPV screening programme. DESIGN: Model-based cost-effectiveness analysis. SETTING: The Netherlands. POPULATION: Dutch 30-year-old unvaccinated females followed up lifelong. METHODS: We updated the microsimulation screening analysis (MISCAN) model using the most recent epidemiological and screening data from the Netherlands...
July 7, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32633022/pregnancy-and-postpartum-outcomes-in-a-universally-tested-population-for-sars-cov-2-in-new-york-city-a-prospective-cohort-study
#36
Malavika Prabhu, Kristen Cagino, Kathy C Matthews, Rachel L Friedlander, Shannon M Glynn, Jeffrey M Kubiak, Yawei J Yang, Zhen Zhao, Rebecca N Baergen, Jennifer I DiPace, Armin S Razavi, Daniel W Skupski, Jon R Snyder, Harjot K Singh, Robin B Kalish, Corrina M Oxford, Laura E Riley
OBJECTIVE: To describe differences in outcomes between pregnant women with and without COVID-19 DESIGN: Prospective cohort study of pregnant women consecutively admitted for delivery, and universally tested via nasopharyngeal (NP) swab for SARS-CoV-2 using reverse transcriptase polymerase chain reaction (RT-PCR). All infants of mothers with COVID-19 underwent SARS-CoV-2 testing. SETTING: Three New York City hospitals POPULATION: Pregnant women > 20 weeks' gestation admitted for delivery METHODS: Data were stratified by SARS-CoV-2 result and symptomatic status, and summarized using parametric and nonparametric tests...
July 7, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32627934/the-influence-of-learning-curve-of-robot-assisted-laparoscopy-on-oncological-outcomes-in-early-stage-cervical-cancer-an-observational-cohort-study
#37
I G T Baeten, J P Hoogendam, H W R Schreuder, I M Jürgenliemk-Schulz, R H M Verheijen, R P Zweemer, C G Gerestein
OBJECTIVE: To investigate the learning curve of robot-assisted laparoscopy in early stage cervical cancer and quantify impact on oncological outcomes. DESIGN: Observational cohort study. SETTING: Tertiary referral centre with one surgical team. POPULATION: All early stage cervical cancer patients treated consecutively with robot-assisted laparoscopy between 2007 and 2017. METHODS: With multivariate risk-adjusted cumulative sum analysis (RA-CUSUM), we assessed the learning curve of robot-assisted laparoscopy of a single surgical team based on cervical cancer recurrence...
July 6, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32621403/free-text-patient-experience-data-inform-service-development
#38
Mike Bracher
Understanding patients' experiences of treatment and care is essential to effective service development, and is therefore a common topic of investigation for clinicians and health services researchers. For service development, different kinds of investigation may be useful for a different purpose. Closed measures of patient satisfaction (e.g. rating scales) are useful in providing reproducible measures in specified domains; however, they are often limited both by the scope of predefined questions, and the level of detail they provide on processes affecting reported outcomes...
July 4, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32621349/prevention-of-gestational-diabetes-where-do-we-go-from-here
#39
Christina Scifres
Gestational diabetes mellitus (GDM) increases the risk for short-term adverse perinatal outcomes for mothers and their infants. In addition, women with GDM are at increased risk for type 2 diabetes, and their offspring also face long-term risk for diabetes and obesity. Women who develop GDM have a high rate of recurrence in subsequent pregnancies. However, prevention of GDM remains a significant challenge. Weight gain during pregnancy has not been consistently associated with development of GDM, and dietary and physical activity interventions have shown only modest benefit in reducing the risk for GDM...
July 4, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/32621319/vitamin-d-another-puzzle-piece-in-pelvic-floor-protection
#40
Markus Huebner
Pelvic floor protection strategies have become are an important area of research. Our knowledge and understanding of such strategies continue to increase with the growing body of research in this area. Urinary incontinence is the most common pelvic floor disorder with prevalences up to 67% in parous women (Wesnes, S. L. et al.; Obstet Gynecol 2007;109;922-8). Risk factors for pelvic floor disorders such as age, body mass index and parity have been well established (Nygaard, I. et al.; JAMA 2008;300;1311-6)...
July 4, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
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