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Obstetrical & Gynecological Survey

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https://read.qxmd.com/read/30756125/proteomics-and-metabolomics-in-pregnancy-an-overview
#1
Niraj Vora, Ram Kalagiri, Lea H Mallett, Jin Ho Oh, Umaima Wajid, Saef Munir, Natalie Colon, Venkata Nakta Raju, Madhava R Beeram, M Nasir Uddin
Importance: Pregnancy is getting more and more complex due to increasing number of complications that may affect fetal outcomes. The introduction of newer "proteomics and metabolomics" technologies in the field of obstetrics and gynecology may allow physicians to identify possible associated etiologies that affect the mother during pregnancy and lead to associated complications affecting the offspring. Objective: The principal objective of this review article is to provide a comprehensive evaluation of the use of proteomics and metabolomics in complicated pregnancies...
February 2019: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30756124/prevention-of-cesarean-delivery-surgical-site-infections
#2
Sarah K Shea, David E Soper
Importance: Surgical site infection (SSI) is a common complication of cesarean delivery. Seen in up to 12% of cesarean deliveries, it is a major cause of prolonged hospital stay and a burden to the healthcare system. Interventions and techniques must be identified to decrease the risk of cesarean delivery SSIs. Objective: We review the categories of SSI, current studies that have focused on various interventions to decrease SSI, and preoperative, intraoperative, and postoperative recommendations for cesarean delivery SSI prevention...
February 2019: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30756123/hsv-hepatitis-in-pregnancy-a-review-of-the-literature
#3
Ashley Lane McCormack, Nader Rabie, Brianna Whittemore, Trevor Murphy, Collin Sitler, Everett Magann
Importance: Herpes simplex virus (HSV) hepatitis is a rare condition with a high mortality rate. Immunocompromised individuals, including pregnant women, are the most susceptible. When primary infection occurs during pregnancy, risk for disseminated HSV is greatly increased. Disseminated HSV can manifest in the form of HSV hepatitis. Objective: We aim to review the literature and summarize what is known about HSV hepatitis in pregnancy to aid in the diagnosis and treatment of this condition...
February 2019: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30648727/tocolysis-a-review-of-the-literature
#4
Margaret Hanley, Lauren Sayres, Emily S Reiff, Amber Wood, Chad A Grotegut, Jeffrey A Kuller
Importance: Preterm delivery represents an important cause of infant morbidity and mortality. Various tocolytics have been studied with the objective of stopping preterm labor, increasing gestational age at delivery, and preventing complications related to preterm birth. Objective: This review aims to summarize the major classes of tocolytics and review the evidence regarding use of each. Evidence Acquisition: A PubMed search of the following terms was performed to gather relevant data: "tocolytic," "preterm labor," "preterm delivery," "PPROM," "magnesium," "indomethacin," "nifedipine," and "betamimetics...
January 2019: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30648726/a-review-of-gynecologic-oncology-in-the-global-setting-educating-and-training-the-next-generation-of-women-s-health-providers
#5
REVIEW
Stephanie A Sullivan, Elizabeth Stringer, Linda Van Le
Importance: Women in low- and middle-income countries (LMICs) are responsible for the stability of their families. Child survival is directly linked to the health and well-being of their mother. Cancer is the leading cause of morbidity and mortality worldwide, and the incidence and mortality for women from cancer are projected to increase over the coming decades. Gynecologic cancer outcomes are improved when women are cared for by a gynecologic oncologist; however, there are limited specialized providers in LMICs...
January 2019: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30648725/addressing-the-needs-of-transgender-patients-how-gynecologists-can-partner-in-their-care
#6
Melina L Dendrinos, Nicole M Budrys, Roopina Sangha
Importance: With the increase in patients who identify as transgender, it is crucial that gynecologists are culturally and clinically competent in understanding their unique needs. Objective: The aim of this study was to identify the key gynecologic issues facing transgender patients and develop an overarching framework of tools needed to address these issues. Evidence Acquisition: A review of the existing literature was undertaken to address the key clinical aspects of care...
January 2019: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30572347/pregnancy-in-women-with-a-history-of-uterine-rupture
#7
REVIEW
Zoë C Frank, Aaron B Caughey
Importance: With increased rates of primary and repeat cesarean deliveries, the potential for uterine rupture and management of women with a history of uterine rupture has also increased. Taking care of a pregnant woman with a prior uterine rupture requires understanding of the risks, the need for additional surveillance, and the limitations of our knowledge about how rupture affects subsequent pregnancies. Objective: The aims of this study were to review the literature on pregnancy after uterine rupture and to summarize the evidence to help the obstetrician care for a pregnant woman with a history of uterine rupture...
December 2018: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30572346/obstetric-anal-sphincter-injuries-at-vaginal-delivery-a-review-of-recently-published-national-guidelines
#8
Ioannis Tsakiridis, Apostolos Mamopoulos, Apostolos Athanasiadis, Themistoklis Dagklis
Importance: Obstetric anal sphincter injuries (OASISs) complicate approximately 1 in 10 deliveries. Objective: The aims of this study were to review and compare recommendations from recently published national guidelines regarding OASISs at vaginal delivery. Evidence Acquisition: Three national guidelines on OASISs at vaginal delivery are presented through a descriptive review: Royal College of Obstetricians and Gynaecologists on "The Management of Third- and Fourth-Degree Perineal Tears," American College of Obstetricians and Gynecologists on "Prevention and Management of Obstetric Lacerations at Vaginal Delivery," and Society of Obstetricians and Gynaecologists of Canada on "Obstetrical Anal Sphincter Injuries (OASIS): Prevention, Recognition, and Repair...
December 2018: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30468240/current-first-line-therapy-for-ovarian-cancer-a-comprehensive-review
#9
REVIEW
Stuart R Pierce, Leslie H Clark
Importance: Ovarian, fallopian tube, and primary peritoneal cancers constitute the deadliest gynecologic malignancies. After primary cytoreductive surgery, there are several standard first-line cytotoxic treatments for providers to consider. Newer molecular targeted therapies are becoming more common and may have a role as first-line therapy in the future. Objective: This article provides an evidence-based review of all approved standard therapies for first-line treatment of advanced-stage, high-grade serous ovarian cancer...
November 2018: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30468239/overcoming-the-challenging-cervix-identification-and-techniques-to-access-the-uterine-cavity
#10
Michelle A Wood, Katherine L Kerrigan, Megan K Burns, Tanya L Glenn, Artur Ludwin, Mindy S Christianson, Bala Bhagavath, Steven R Lindheim
Importance: Cervical stenosis is a challenging clinical entity that requires prompt identification and management in order to avoid iatrogenic injury at the time of endocervical canal cannulation. Objective: The aim of this study was to identify cervical stenosis and discuss associated etiologies, risk factors, and review medical and surgical approaches for overcoming cervical stenosis. Evidence Acquisition: Computerized searches of MEDLINE and PubMed were conducted using the key words "cervix", "cervical stenosis," "embryo transfer," "hysteroscopy complications," "misoprostol," and "ultrasound...
November 2018: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30379321/declining-sperm-counts%C3%A2-or-rather-not-a-mini-review
#11
Konstantinos Ravanos, Stamatios Petousis, Chrysoula Margioula-Siarkou, Achilleas Papatheodorou, Yannis Panagiotidis, Nikos Prapas, Yannis Prapas
Importance: Temporal global trends of sperm quality remain a matter of debate. Objective: The aim of this study was to present a comprehensive review of studies reporting on sperm quality counts, summarize the main end points, and assess the main reasons for potential discrepancies. Evidence Acquisition: An evidence-based review of PubMed and Scopus databases was performed regarding studies reporting on modification of sperm quality counts, independently of study character, study language, or date...
October 2018: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30379320/tranexamic-acid-for-prevention-and-treatment-of-postpartum-hemorrhage-an-update-on-management-and-clinical-outcomes
#12
REVIEW
Homa K Ahmadzia, Jaclyn M Phillips, Quinton S Katler, Andra H James
Importance: Postpartum hemorrhage (PPH) remains a major cause of maternal mortality worldwide, occurring in both vaginal and cesarean deliveries. We have witnessed improvements in both prevention and treatment of PPH. Tranexamic acid (TXA) has been investigated as a potential adjunct therapy to uterotonics within this setting. Objective: The aim of this article is to summarize existing recommendations on the use of TXA in obstetrics and review current data on clinical outcomes after TXA use...
October 2018: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30265741/the-use-of-electronic-cigarettes-in-pregnancy-a-review-of-the-literature
#13
REVIEW
Julie R Whittington, Pamela M Simmons, Amy M Phillips, Sarah K Gammill, Ruiqi Cen, Everett F Magann, Victor M Cardenas
Importance: Electronic cigarette (e-cigarette) use in pregnancy has been steadily increasing and has been hyped as being a safe alternative to cigarette smoking during pregnancy. This review discloses what is currently known about e-cigarette use in pregnancy and the effects of its use on pregnancy outcomes. Objective: To determine what is currently known about the prevalence of e-cigarette use in pregnancy and the effects of e-cigarette use on pregnancy and perinatal/neonatal outcomes...
September 2018: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30265740/vaginal-birth-after-previous-cesarean-birth-a-comparison-of-3-national-guidelines
#14
COMPARATIVE STUDY
Ioannis Tsakiridis, Apostolos Mamopoulos, Apostolos Athanasiadis, Themistoklis Dagklis
Importance: Vaginal birth after previous cesarean birth (VBAC) is a reasonable option for many women with previous cesarean delivery. Objective: The aim of this study was to summarize evidence and compare recommendations from national guidelines regarding VBAC. Evidence Acquisition: A descriptive review of 3 national guidelines on VBAC was conducted: Royal College of Obstetricians and Gynaecologists on "Birth After Previous Caesarean Birth," American College of Obstetricians and Gynecologists on "Vaginal Birth After Cesarean Delivery," and Society of Obstetricians and Gynaecologists of Canada on "Guidelines for Vaginal Birth After Previous Caesarean Birth...
September 2018: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30169887/inconsistent-weight-communication-among-prenatal-healthcare-providers-and-patients-a-narrative-review
#15
REVIEW
Ashley Weeks, Rebecca H Liu, Zachary M Ferraro, Raywat Deonandan, Kristi B Adamo
Importance: Gestational weight gain (GWG) is an independent and modifiable factor for a healthy pregnancy. Gestational weight gain above or below the Institute of Medicine Guidelines has been shown to impact both maternal and fetal health (eg, gestational diabetes, hypertension, downstream obesity). Healthcare providers (HCPs) have the potential to be reliable sources of evidence-based weight information and advice during pregnancy. Objective: The aim of this study was to summarize the literature assessing GWG discussions between patients and their HCPs in a clinical setting to better understand the knowledge that is currently being exchanged...
August 2018: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30169886/antibiotics-for-the-prevention-and-treatment-of-postsurgical-obstetric-infections
#16
Anna E DeNoble, Jeffrey A Kuller, R Phillips Heine, Sarah Dotters-Katz
No abstract text is available yet for this article.
August 2018: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30169885/mode-of-delivery-in-severe-preeclampsia-before-28-weeks-gestation-a-systematic-review
#17
REVIEW
Leonoor van Eerden, Ingrid Gaugler-Senden, Ralph J de Vries, Gerda G Zeeman, Christianne J M de Groot, Antoinette C Bolte
Importance: Preeclampsia with an onset before 28 weeks' gestation poses dilemmas for the obstetrician with regard to the mode of delivery. Objective: The aim of this study was to analyze the success rate of attempted vaginal delivery and the maternal and neonatal outcome according to the mode of delivery in women with preeclampsia and an indicated delivery before 28 weeks' gestation. Evidence Acquisition: A comprehensive search was performed in the bibliographic databases PubMed, Embase...
August 2018: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30062384/minimizing-the-risk-of-perinatal-human-immunodeficiency-virus-transmission
#18
REVIEW
Matthew Givens, Sarah K Dotters-Katz, Elizabeth Stringer, Lisa Rahangdale, Jeffrey A Kuller
Importance: There are approximately 284,500 adolescent and adult women living with human immunodeficiency virus (HIV) in the United States. It is estimated that approximately 8500 of these women give birth annually. While the rate of perinatal transmission in the United States has decreased by more than 90% since the early 1990s, potentially preventable HIV transmission events still occur and cause significant morbidity and mortality. Objective: The aim of this review was to summarize the current data regarding perinatal HIV transmission timing and risk factors, current management recommendations, and implications of timing of transmission on patient management...
July 2018: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30062383/postpartum-hemorrhage-management-of-massive-transfusion
#19
REVIEW
Daneil L Jackson, Thomas G DeLoughery
In women with postpartum hemorrhage, the need to transfuse a large amount of blood products is frequent. The ABCD of massive transfusions-Assessment/Activation, Blood products, Complications, and Drugs-can help manage this complex situation. There needs to be a defined method to activate the massive transfusion protocol and a well-defined means to assess the coagulation status of the patient by either traditional laboratory tests or point of care methods such as thromboelastography. Recent data supports more aggressive use of plasma in the massively transfused patient...
July 2018: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/30062382/uterine-inversion-a-review-of-a-life-threatening-obstetrical-emergency
#20
REVIEW
Michael P Wendel, Kelsey L Shnaekel, Everett F Magann
Importance: Uterine inversion is frequently accompanied by postpartum hemorrhage and hypovolemic shock. Morbidity and mortality occur in as many as 41% of cases. Prompt recognition and management are of utmost importance. Objective: The aim of this review is to describe risk factors, clinical and radiographic diagnostic criteria, and management of this rare but potentially life-threatening complication of pregnancy. Evidence Acquisition: A PubMed, Web of Science, and CINAHL search was undertaken with no limitations on the number of years searched...
July 2018: Obstetrical & Gynecological Survey
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