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Journal of Obstetrics and Gynaecology Research

Ji H Hong, Hye Y Kim, Ji Y Kim, Hyun K Kim
AIM: To test a hypothetical path model evaluating the influence of menopause symptoms on sexual function among middle-aged perimenopausal women, as well as identify the mediating roles of body image, depression and sexual communication in this relationship. METHODS: We used a cross-sectional, correlational design. We included one exogenous variable (menopause symptoms) and four endogenous variables (body image, depression, sexual communication and sexual function) in the proposed model...
February 14, 2019: Journal of Obstetrics and Gynaecology Research
Selçuk Erkılınç, Enes Taylan, Volkan Karataşlı, İpek Uzaldı, Tuğba Karadeniz, Mehmet Gökçü, Muzaffer Sancı
AIM: To evaluate the effect of lymphadenectomy on surgical morbidity and survival in adult granulosa cell tumor (AGCT) of the ovary. METHODS: Patients who underwent surgical treatment for AGCT between January 1993 and January 2016 were identified. Data were collected for patient age, menopausal status, surgical staging, lymphadenectomy, postoperative complications (anemia, wound infection, incisional hernia), length of hospital stay, follow-up duration, site and time for recurrence, management of recurrence and vital status...
February 13, 2019: Journal of Obstetrics and Gynaecology Research
Misooja Lee, Kazuya Mimura, Masayuki Endoh, Yoko Kawanishi, Tatsuya Miyake, Aiko Kakigano, Tsuyoshi Takiuchi, Shinya Matsuzaki, Takuji Tomimatsu, Tadashi Kimura
AIM: In this study, we aimed to investigate whether there was a significant prognostic difference between single and multiple cervical dilations when inducing second-trimester abortion. METHODS: We conducted a retrospective review of 238 pregnant women who underwent termination of pregnancy at 12-21 weeks of gestation at Osaka University Hospital in Osaka, Japan, between January 2010 and May 2018. Termination of pregnancy was performed by vaginal administration of 1 mg gemeprost every 3 h for up to five doses per day after uterine cervical dilation using lamicel...
February 13, 2019: Journal of Obstetrics and Gynaecology Research
Gowri Dorairajan, Murali S Subbaiah, Esha R Shanbhag
Lymphedema of filarial origin affecting the vulva is extremely rare. It is a dilemma if seen in a pregnant woman as there are no guidelines regarding excision and the mode of delivery. With the World Health Organization-driven global program to eradicate filaria, it is unfortunate to see such cases. We report of a woman who had massive lymphedema of both the labia majora following filarial infection with a small secondary ulcer. She presented to our outpatient department in early pregnancy. After detailed counseling with the couple, a decision was taken for excision...
February 13, 2019: Journal of Obstetrics and Gynaecology Research
Sansanee Aungsataporn, Chadakarn Phaloprakarn, Siriwan Tangjitgamol
AIM: To identify the rate and associated factors of loss to post-partum follow-up among adolescent mothers. METHODS: A matched case-control study was conducted among Thai adolescents who gave birth between January 2011 and December 2016 and were scheduled for a 6-week post-partum visit. Cases (n = 568) included mothers who did not return for follow-up whereas controls (n = 568) were mothers who attended a post-partum visit. Cases were matched with controls according to age group and date of delivery...
February 13, 2019: Journal of Obstetrics and Gynaecology Research
Sophelia H S Chan, Raymond H W Li, Vivian C Y Lee, Mary H Y Tang, Ernest H Y Ng
AIM: Increasing preimplantation genetic testing (PGT) cycles are being performed in Hong Kong. This study aims to evaluate the knowledge, attitude and ethical consideration of Chinese couples toward PGT. METHODS: Couples requesting PGT between June 2013 and March 2014 were invited to complete a questionnaire. RESULTS: Total 49 couples (49 women, 47 men) completed the questionnaires. Eighteen couples (37%) were waiting for PGT (pre-PGT group), 15 couples (31%) were undergoing PGT (PGT group) and 16 couples (32%) had completed at least one PGT cycle (post-PGT group)...
February 11, 2019: Journal of Obstetrics and Gynaecology Research
Yasuhiro Miki, Yumi Sugawara, Yukiko Shibahara, Ichiro Tsuji, Hironobu Sasano, Kiyoshi Ito
AIM: A thorough analysis of multiple primary cancers (MPC) could provide important information as to the pathogenesis of human malignancies. Analysis of MPC using clinical databases has been performed, but little has been done using autopsy cases. Therefore, in this study, we first retrospectively analyzed MPC associated with endometrial and ovarian cancers using the Japan Autopsy Annual Database. METHODS: The Japan Autopsy Annual Database from 2002 to 2010 was established by the Japanese Society of Pathology, Tokyo, Japan...
February 7, 2019: Journal of Obstetrics and Gynaecology Research
Ratpaporn Piyawetchakarn, Kittipat Charoenkwan
AIM: To examine the effect of lidocaine spray for reducing pain during endometrial aspiration biopsy by comparing it with placebo and no intervention. METHODS: Women undergoing endometrial aspiration biopsy from March 2017 to January 2018 were invited to participate. The participants were randomly assigned into three groups. In group 1 (lidocaine spray), eight puffs (80 mg, 10 mg/puff, 0.8 mL) of 10% lidocaine spray was applied thoroughly to the cervix, 3 min before starting the procedure...
February 7, 2019: Journal of Obstetrics and Gynaecology Research
Yukio Suzuki, Akiko Sukegawa, Aya Nishikawa, Kazumi Kubota, Yoko Motoki, Mikiko Asai-Sato, Yutaka Ueda, Masayuki Sekine, Takayuki Enomoto, Fumiki Hirahara, Takeharu Yamanaka, Etsuko Miyagi
AIM: The human papillomavirus (HPV) vaccination rate in Japan fell to nearly 0% following widespread coverage of possible adverse events. Developing a next approach to promote the effective prevention of HPV-related diseases including cervical cancer (CC) in Japan requires comprehensive understanding of knowledge and attitudes regarding CC prevention, HPV infection and HPV vaccination among the population including laypersons and medical professions in Japan. METHODS: A questionnaire survey was administered in a wide variety of settings in Japan...
February 5, 2019: Journal of Obstetrics and Gynaecology Research
Mehrnoosh Aref-Adib, Natasha S-Y Liou, Funlayo Odejinmi
No abstract text is available yet for this article.
February 5, 2019: Journal of Obstetrics and Gynaecology Research
Akira Nakabayashi, Toshiyuki Kanno, Nobuko Takahashi, Yoshika Akizawa, Hiromi Onizuka, Hideo Matsui
Nephroblastoma (also known as Wilms' tumor) mainly occurs in the kidneys of children. Nephroblastoma outside the kidneys may be observed in three situations: primary disease, metastatic disease and nephroblastoma arising in teratoma. Teratoma with nephroblastoma (TWN) of the adult ovary is a rare tumor and only one case has been reported. We report an unusual adult case of ovarian TWN presented to us with acute abdomen due to the spontaneous rupture of the ovary. The rupture occurred at the site of TWN, while contralateral ovary with only mature cystic teratoma component had no rupture...
January 30, 2019: Journal of Obstetrics and Gynaecology Research
Kenji Horie, Hironori Takahashi, Yoko Fujimoto, Daisuke Kaneko, Yukari Yada, Shigeki Matsubara
Takotsubo syndrome (TTS) patients show transient ventricular dysfunction without coronary artery stenosis. We report a pregnant woman with TTS occurring concomitantly with severe pre-eclampsia (PE). A primiparous woman complained of dyspnea at 35 weeks of gestation. She showed severe PE, and cardiac ultrasound identified akinesis of the anterior lower wall. On the same day, emergent cesarean section was performed due to a nonreassuring fetus status, yielding a male infant with an umbilical artery pH of 6...
January 28, 2019: Journal of Obstetrics and Gynaecology Research
Jieyu Wang, Yuantao Liu, Jun Li, Xin Lu
AIM: To investigate the prognostic value of serum cancer antigen 125 (CA125) levels during chemotherapy in relapsed epithelial ovarian cancer (EOC) and to identify cut-off values that distinguish patients who relapse beyond 12 months from those who relapse within 12 months. METHODS: About 93 relapsed EOC patients who received cytoreductive surgery and adjuvant chemotherapy at Obstetrics and Gynecology Hospital of Fudan University between January 2003 and March 2015 were selected...
January 27, 2019: Journal of Obstetrics and Gynaecology Research
Satoko Tanaka, Keisuke Tsumura, Yukiko Nakura, Tsugumichi Tokuda, Hiroaki Nakahashi, Tomoko Yamamoto, Takeshi Ono, Itaru Yanagihara, Makoto Nomiyama
AIM: The optimal antibiotic regimen for preterm premature rupture of membrane (pPROM) is still unclear. This study aimed to determine the effects of ampicillin-sulbactam (SBT/ABPC) and azithromycin (AZM) on the incidence of bronchopulmonary dysplasia (BPD). METHODS: This retrospective study included women with singleton gestations and a diagnosis of pPROM between 22 and 27 weeks of gestation. In patients presenting with a high risk of intra-amniotic infection between January 2011 and May 2013, piperacillin or cefmetazole + clindamycin (regimen 1 group; n = 11) was administered, whereas SBT/ABPC and AZM (regimen 2 group; n = 11) were administered in patients presenting a similar risk between June 2013 and May 2016...
January 27, 2019: Journal of Obstetrics and Gynaecology Research
Kazuya Yabumoto, Fumitake Ito, Hiroshi Matsushima, Taisuke Mori, Izumi Kusuki, Jo Kitawaki
Prolapsed uterine fibroids are pedunculated submucous fibroids that prolapse through the cervical canal. Herein, we describe the laparoscopic treatment of massive prolapsed submucous fibroids. A 47-year-old woman had experienced frequent urination and abnormal vaginal bleeding for 7 years. She presented with persistent lower abdominal pain. The uterine fundus was palpable at 3 cm above the umbilicus. Vaginal examination revealed a dark purple and easily bleeding mass in her vagina. Pelvic magnetic resonance imaging revealed a large mass prolapsing from the uterine endometrium, which occupied the cervical canal and vagina, without evidence of malignancy...
January 25, 2019: Journal of Obstetrics and Gynaecology Research
Ryuji Kawaguchi, Koji Matsumoto, Shigeo Akira, Ken Ishitani, Kazuhiro Iwasaku, Yutaka Ueda, Ryugo Okagaki, Hiroya Okano, Toshimichi Oki, Kaori Koga, Michiko Kido, Takumi Kurabayashi, Yasushi Kuribayashi, Yuichi Sato, Kaori Shiina, Yasushi Takai, Satoshi Tanimura, Osamu Chaki, Masakazu Terauchi, Yukiharu Todo, Yasuyuki Noguchi, Sayaka Nose-Ogura, Tsukasa Baba, Akira Hirasawa, Takuma Fujii, Tsuneo Fujii, Tetsuo Maruyama, Etsuko Miyagi, Kaoru Yanagida, Osamu Yoshino, Mitsutoshi Iwashita, Tsugio Maeda, Takashi Minegishi, Hiroshi Kobayashi
Six years after the first edition of The Guideline for Gynecological Practice, which was jointly edited by The Japan Society of Obstetrics and Gynecology and The Japan Association of Obstetricians and Gynecologists, the third revised edition was published in 2017. The 2017 Guidelines includes 10 additional clinical questions (CQ), which brings the total to 95 CQ (12 on infectious disease, 28 on oncology and benign tumors, 27 on endocrinology and infertility and 28 on healthcare for women). Currently a consensus has been reached on the Guidelines and therefore the objective of this report is to present the general policies regarding diagnostic and treatment methods used in standard gynecological outpatient care that are considered appropriate...
January 24, 2019: Journal of Obstetrics and Gynaecology Research
Yeon Hee Hong, Soo Jin Han, Dayong Lee, Seul Ki Kim, Byung Chul Jee
AIM: To evaluate various adverse symptoms during short-term use of ulipristal acetate in women with uterine myomas (n = 90), adenomyosis (n = 3) or both (n = 7). METHODS: One hundred premenopausal women who received ulipristal acetate for 4-12 weeks during 2016 to 2017 were selected. The medical records were reviewed and the following information was collected; adverse symptoms during medication, presence of menorrhagia or menstrual cramps, blood hemoglobin and liver function test...
January 24, 2019: Journal of Obstetrics and Gynaecology Research
Takahiro Kasamatsu, Mitsuya Ishikawa, Naoya Murakami, Satoshi Okada, Shun-Ichi Ikeda, Tomoyasu Kato, Jun Itami
AIM: This retrospective study sought to identify the selection criteria required for a non-radical hysterectomy with minimal parametrectomy in patients with International Federation of Gynecology and Obstetrics (FIGO) stage IB invasive cervical cancer. METHODS: Overall, 461 patients with FIGO stage IB cervical cancer who underwent a radical hysterectomy were reviewed clinicopathologically according to pathological tumor size (≤2 cm, >2 - ≤4 cm, and > 4 cm)...
January 22, 2019: Journal of Obstetrics and Gynaecology Research
Shin Ushiro, Hideaki Suzuki, Shigeru Ueda
The Japan Obstetric Compensation System for Cerebral Palsy (JOCS-CP), which investigates, develops preventive mechanisms and awards monetary compensation, to cases of cerebral palsy was urgently introduced in 2009 in response to growing concern about Japan's deteriorating perinatal care and low birthrate. Under the political leadership, the Japan Council for Quality Health Care launched the JOCS-CP with support of various stakeholders. The JOCS-CP features of no-fault-based compensation which was discussed decades ago in the Japan Medical Association aiming at financial aid to patient and family and early settlement of dispute...
January 22, 2019: Journal of Obstetrics and Gynaecology Research
Burcu D Cakmak, Ulku A Turker, Muzaffer Temur, Emin Ustunyurt
AIM: Subclinical hypothyroidism is thought to be associated with adverse pregnancy outcomes but the data is conflicting and generally depends on antibody positivity and treatment. We evaluated the pregnancy outcomes in Turkish population with untreated, antibody negative subclinical hypothyroidism for the first time. METHODS: We searched for 30 015 patients between January 2016 and May 2017 retrospectively. Finally, a total of 930 pregnant women with untreated, antibody negative subclinical hypothyroidism and 7986 controls were included...
January 22, 2019: Journal of Obstetrics and Gynaecology Research
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