Journals Acta Obstetricia et Gynecologi...

Acta Obstetricia et Gynecologica Scandinavica
Karen Christina Walker, Sofie Gry Pristed, Fanney Thorsteinsdottir, Ina Olmer Specht, Arieh Cohen, Berit Lilienthal Heitmann, Ulrik Schiøler Kesmodel
INTRODUCTION: Sufficient levels of vitamin D have been associated with higher chances for both clinical pregnancy and live birth among women undergoing assisted reproductive techniques, whereas low levels of maternal vitamin D have been associated with preeclampsia and late miscarriage. In Denmark, subgroups at risk for low vitamin D levels, including neonates and toddlers, are recommended to use supplementation. The aim was to study the level of vitamin D3 among neonates born after in vitro fertilization compared with neonates from the general population...
April 18, 2024: Acta Obstetricia et Gynecologica Scandinavica
(no author information available yet)
No abstract text is available yet for this article.
April 18, 2024: Acta Obstetricia et Gynecologica Scandinavica
Maarten D H Vink, France R M Portrait, Wouter J K Hehenkamp, Tim van Wezep, Xander Koolman, Marlies Y Bongers, Eric J E van der Hijden
INTRODUCTION: Many women experience bleeding disorders that may have an anatomical or unexplained origin. Although hysterectomy is the most definitive and common treatment, it is highly invasive and resource-intensive. Less invasive therapies are therefore advised before hysterectomy for women with fibroids or bleeding disorders. This study has two aims related to treating bleeding disorders and uterine fibroids in the Netherlands: (1) to evaluate the regional variations in prevalence and surgical approaches; and (2) to assess the associations between regional rates of hysterectomies and less invasive surgical techniques to analyze whether hysterectomy can be replaced in routine practice...
April 17, 2024: Acta Obstetricia et Gynecologica Scandinavica
Jan Baekelandt, Astrid Jespers, Daniela Huber, Levon Badiglian-Filho, Andrea Stuart, Linus Chuang, Oudai Ali, Alexander Burnett
INTRODUCTION: The current standard treatment for endometrial cancer is a laparoscopic hysterectomy with adnexectomies and bilateral sentinel node resection. A retroperitoneal vNOTES sentinel node resection has several theoretical potential advantages. These include being less invasive, leaving no visible scars, operating without Trendelenburg, and therefore offering the anesthetic advantage of easier ventilation in obese patients and following the natural lymph node trajectory from caudally to cranially and therefore a lower risk of missing the sentinel node...
April 16, 2024: Acta Obstetricia et Gynecologica Scandinavica
Freweini Martha Tesfai, Jasleen Nagi, Iona Morrison, Matt Boal, Adeola Olaitan, Dhivya Chandrasekaran, Danail Stoyanov, Anne Lanceley, Nader Francis
INTRODUCTION: There is a growing emphasis on proficiency-based progression within surgical training. To enable this, clearly defined metrics for those newly acquired surgical skills are needed. These can be formulated in objective assessment tools. The aim of the present study was to systematically review the literature reporting on available tools for objective assessment of minimally invasive gynecological surgery (simulated) performance and evaluate their reliability and validity. MATERIAL AND METHODS: A systematic search (1989-2022) was conducted in MEDLINE, Embase, PubMed, Web of Science in accordance with PRISMA...
April 12, 2024: Acta Obstetricia et Gynecologica Scandinavica
Ingrid Langen, Eldrid Langesæter, Nina Gunnes, Vibeke Marie Almaas, Guttorm Haugen, Mette-Elise Estensen, Ingvil Krarup Sørbye
INTRODUCTION: Women with cardiovascular disease may be at increased risk of hypertensive disorders of pregnancy (HDP). We aimed to: (1) Investigate the occurrence of HDP in a cohort of pregnant women with cardiovascular disease and compare it with the occurrence in the general population. (2) Assess the association between maternal cardiovascular risk and risk of HDP. MATERIAL AND METHODS: We reviewed clinical data on a cohort of 901 pregnancies among 708 women with cardiovascular disease who were followed at the National Unit for Pregnancy and Heart Disease and gave birth at Oslo University Hospital between 2003 and 2018...
April 10, 2024: Acta Obstetricia et Gynecologica Scandinavica
Millicent Nwandison, Elizabeth Daly-Jones, Alexandra Drought, Lisa Story, Philippe De-Rosnay, Neil Sebire, David Nyberg, Yinka Oyelese
INTRODUCTION: Vasa previa (VP), defined as unprotected fetal vessels traversing the membranes over the cervix, is associated with a high perinatal mortality when undiagnosed prenatally. Conversely, prenatal diagnosis with ultrasound and cesarean delivery before the membranes rupture is associated with excellent outcomes. However, controversy exists regarding screening for VP. In the UK, routine screening for VP is not recommended. The objective of this study was to report the incidence of VP and our experience in the detection of VP with a universal screening protocol at the time of the second-trimester fetal anomaly scan with third-trimester confirmation in an unselected population of pregnancies...
April 9, 2024: Acta Obstetricia et Gynecologica Scandinavica
Sophie Vanbelle, Ellen Blix
No abstract text is available yet for this article.
April 3, 2024: Acta Obstetricia et Gynecologica Scandinavica
Milla Juhantalo, Tuija Hautakangas, Outi Palomäki, Jukka Uotila
INTRODUCTION: Sufficient contractions are necessary for a successful delivery but each contraction temporarily constricts the oxygenated blood flow to the fetus. Individual fetal or placental characteristics determine how the fetus can withstand this temporary low oxygen saturation. However, only a few studies have examined the impact of uterine activity on neonatal outcome and even less attention has been paid to parturients' individual characteristics. Our objective was therefore to find out whether fetuses compromised by maternal or intrapartum risk factors are more vulnerable to excessive uterine activity...
April 3, 2024: Acta Obstetricia et Gynecologica Scandinavica
Marine Lallemant, Tiguida Kadiakhe, Jerôme Chambert, Arnaud Lejeune, Rajeev Ramanah, Nicolas Mottet, Emmanuelle Jacquet
INTRODUCTION: Data concerning the mechanical properties of the perineum during delivery are very limited. In vivo experiments raise ethical issues. The aim of the study was to describe some of the biomechanical properties of each perineal tissue layer collected from sows in order to better understand perineal tears during childbirth. MATERIAL AND METHODS: Samples of each perineal tissue layer were obtained from the skin, the vagina, the external anal sphincter (EAS), the internal anal sphincter (IAS), and the anal mucosa of fresh dead sows...
March 29, 2024: Acta Obstetricia et Gynecologica Scandinavica
José Luis Sánchez-Iglesias, Clara Morales-Coma, Lucas Minig, Víctor Lago, Santiago Domingo, Gemma Mancebo, Jaime Siegrist, María Soledad Fidalgo García, Antoni Llueca, Anna Serra, Paloma Cobas Lozano, Arantza Lekuona Artola, Natalia R Gómez-Hidalgo, Úrsula Acosta, Roser Ferrer-Costa, Melissa Bradbury, Assumpció Pérez-Benavente, Antonio Gil-Moreno
INTRODUCTION: Serum levels of procalcitonin and C-reactive protein (CRP) have been used to predict anastomotic leakage after colorectal surgery, but information is scarce in advanced ovarian cancer (AOC) surgery with bowel resection. This study aimed to assess the predictive value of procalcitonin and CRP in detecting anastomotic leakage after AOC surgery with bowel resection. The study also aimed to determine the optimal postoperative reference values and the best day for evaluating these markers...
March 26, 2024: Acta Obstetricia et Gynecologica Scandinavica
Bich Ngoc Bui, Viktorija Kukushkina, Alvin Meltsov, Catharina Olsen, Nienke van Hoogenhuijze, Signe Altmäe, Femke Mol, Gijs Teklenburg, Jan-Peter de Bruin, Dagmar Besselink, Linda Stevens Brentjens, Darina Obukhova, Masoud Zamani Esteki, Ron van Golde, Andrea Romano, Triin Laisk, Gaby Steba, Shari Mackens, Andres Salumets, Frank Broekmans
INTRODUCTION: Implantation failure after transferring morphologically "good-quality" embryos in in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) may be explained by impaired endometrial receptivity. Analyzing the endometrial transcriptome analysis may reveal the underlying processes and could help in guiding prognosis and using targeted interventions for infertility. This exploratory study investigated whether the endometrial transcriptome profile was associated with short-term or long-term implantation outcomes (ie success or failure)...
March 22, 2024: Acta Obstetricia et Gynecologica Scandinavica
Caroline Diguisto, Elfreda Baker, Simon Stanworth, Peter W Collins, Rachel E Collis, Marian Knight
INTRODUCTION: Pregnant women with a fibrinogen level <2 g/L represent a high-risk group that is associated with severe postpartum hemorrhage and other complications. Women who would qualify for fibrinogen therapy are not yet identified. MATERIAL AND METHODS: A population-based cross-sectional study was conducted using the UK Obstetric Surveillance System between November 2017 and October 2018 in any UK hospital with a consultant-led maternity unit. Any woman pregnant or immediately postpartum with a fibrinogen <2 g/L was included...
March 22, 2024: Acta Obstetricia et Gynecologica Scandinavica
Yingrong Li, Irene X Y Wu, Xuan Wang, Jinlu Song, Quan Chen, Weiru Zhang
INTRODUCTION: Unexplained recurrent pregnancy loss (URPL), affecting approximately 1%-5% of women, exhibits a strong association with various maternal factors, particularly immune disorders. However, accurately predicting pregnancy outcomes based on the complex interactions and synergistic effects of various immune parameters without an automated algorithm remains challenging. MATERIAL AND METHODS: In this historical cohort study, we analyzed the medical records of URPL patients treated at Xiangya Hospital, Changsha, China, between January 2020 and October 2022...
March 21, 2024: Acta Obstetricia et Gynecologica Scandinavica
Marian Kacerovsky, Helena Hornychova, Sunil Jaiman, Ladislava Pavlikova, Magdalena Holeckova, Bo Jacobsson, Panagiotis Tsiartas, Ivana Musilova
INTRODUCTION: This study aimed to identify whether microbial invasion of the amniotic cavity and/or intra-amniotic inflammation in women with late preterm prelabor rupture of membranes (PPROM) was associated with changes in concentrations of soluble fms-like tyrosine kinase-1 (sFlt-1), placental growth factor (PlGF) and its ratio in maternal serum, and whether placental features consistent with maternal vascular malperfusion further affect their concentrations. MATERIAL AND METHODS: This historical study included 154 women with singleton pregnancies complicated by PPROM between gestational ages 34+0 and 36+6 weeks...
March 21, 2024: Acta Obstetricia et Gynecologica Scandinavica
Maia Brik, Miguel Sandonis, Alina Hernández-Fleury, Judit Gil, Miriam Mota, Francisco José Barranco, Itziar Garcia, Nerea Maiz, Elena Carreras
INTRODUCTION: Cannabis potency and its use during pregnancy have increased in the last decade. The aim of this study was to investigate the impact of antenatal cannabis use on fetal growth, preterm birth and other perinatal outcomes. MATERIAL AND METHODS: A propensity score-matched analysis was performed in women with singleton pregnancies attending a tertiary care site in Barcelona. Women in the cannabis group were selected based on the results of a detection test...
March 19, 2024: Acta Obstetricia et Gynecologica Scandinavica
Kjersti Engen Marsdal, Ingvil Krarup Sørbye, Stine Bernitz, Ranveig Elise T Sve, Kristine Ask, Mirjam Lukasse
INTRODUCTION: Labor induction rates have increased over the last decades, and in many high-income countries, more than one in four labors are induced. Outpatient management of labor induction has been suggested in low-risk pregnancies to improve women's birth experiences while also promoting a more efficient use of healthcare resources. The primary aim of this paper was to assess the proportion of women in a historical cohort that would have been eligible for outpatient labor induction with oral misoprostol...
March 19, 2024: Acta Obstetricia et Gynecologica Scandinavica
Mette Østergaard Thunbo, Julie Hauer Vendelbo, Daniel R Witte, Agnete Larsen, Lars Henning Pedersen
INTRODUCTION: Maternal demographics have evolved, and more women than ever enter pregnancy with preexisting comorbidity and with potentially complex medication exposure, including polypharmacy (concomitant intake of multiple medications). This study aims to describe the evolution of medication use in pregnancy in Denmark from 1998 to 2018 with special focus on polypharmacy, patterns of use, and underlying demographics. MATERIAL AND METHODS: A Danish nationwide historical registry study based on all clinically recognized pregnancies with a gestation ≥10 weeks between 1998 and 2018...
March 15, 2024: Acta Obstetricia et Gynecologica Scandinavica
Jesrine Hong, Kylie Crawford, Erika Cavanagh, Vicki Clifton, Sailesh Kumar
INTRODUCTION: To assess the rate of change in soluble fms-like tyrosine kinase-1/placental growth factor (sFlt-1/PlGF) ratio and PlGF levels per week compared to a single sFlt-1/PlGF ratio or PlGF level to predict preterm birth for pregnancies complicated by fetal growth restriction. MATERIAL AND METHODS: A prospective cohort study of pregnancies complicated by isolated fetal growth restriction. Maternal serum PlGF levels and the sFlt-1/PlGF ratio were measured at 4-weekly intervals from recruitment to delivery...
March 14, 2024: Acta Obstetricia et Gynecologica Scandinavica
Hiba J Mustafa, Muhammad Jawwad, Ayesha Iqbal Mansoor, Giorgio Pagani, Francesco D'Antonio, Asma Khalil
INTRODUCTION: We aimed to investigate the incidence, prenatal factors and outcomes of twin-to-twin transfusion (TTTS) with right ventricular outflow tract obstruction (RVOTO). MATERIAL AND METHODS: A systematic search was conducted to identify relevant studies published until February 2023 in English using the databases PubMed, Scopus and Web of Science. Studies reporting on pregnancies with TTTS and RVOTO were included. The random-effect model pooled the mean differences or odds ratios (OR) and the corresponding 95% confidence intervals...
March 14, 2024: Acta Obstetricia et Gynecologica Scandinavica
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