Journal of Obstetrics and Gynaecology Canada : JOGC

OBJECTIVE: To assess the impact of the COVID-19 pandemic on endometrial cancer stage and surgical treatment in Ontario, Canada. METHODS: This descriptive study identified cases from January 1, 2017 to December 31, 2021 from endometrial cancer hysterectomy specimens in Ontario Health - Cancer Care Ontario, ePath system. Endometrial biopsy records from January 1, 2016 to December 31, 2021 were matched to surgical specimens by provincial health card number. Time to surgery and surgical stage were compared before (2017-2019) and during (2020-2021) the COVID-19 pandemic...

A retrospective five-year province-wide evaluation of prenatal Neisseria gonorrhoeae (GC) and Chlamydia trachomatis (CT) screening for Alberta, Canada, was carried out to assess compliance with the provincial recommendations for universal prenatal screening as a prevention for neonatal ophthalmia. Screening generally improved across the province each year; 82.1% in 2018 and reaching 87.3% in 2022. Women in the age group under 25 years were the most likely to not have the recommended first trimester screening and demonstrated the highest prevalence of GC and CT infections...

OBJECTIVE: Endometriosis is a common gynecological disease for which surgery is often required. To evaluate the potential determinants of perioperative complications in day surgeries for endometriosis. METHODS: We conducted a retrospective cohort study of patients undergoing day surgeries for endometriosis using Canadian administrative data between 2015 and 2019. A multilevel logistic model with a random intercept at the center level was created to assess the association between potential determinants, including age, site(s) of endometriosis lesion, center-volume, surgical intervention, and a composite outcome of complications or specific complications...

OBJECTIVE: To determine whether intrathecal morphine analgesia (ITM) in abdominal surgery for presumed gynecological malignancy was associated with better self-reported sleep quality postoperatively compared with epidural analgesia (EDA), and to evaluate risk factors for bad sleep quality. METHODS: A secondary analysis of a randomized open controlled trial, comparing ITM and EDA as postoperative analgesia in 80 women undergoing laparotomy under general anesthesia in an ERAS framework...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

OBJECTIVES: Early assessment of pregnant individuals for risk of preterm preeclampsia (PE) is possible at the 11-14 week ultrasound visit using a validated multiple marker algorithm, allowing timely use of preventative low dose acetylsalicylic acid (LDA) in high-risk patients. With no established early screening program for preterm PE in Canada, our objectives were to assess the acceptability and operational impact of routine screening for preterm PE during the 11-14 week ultrasound visit, evaluate uptake and adherence to LDA when recommended, and assess screening performance...

OBJECTIVE: To evaluate a tailored opioid reduction strategy (TORS) in minimizing opioid prescriptions for patients undergoing hysterectomy. METHODS: This quality improvement initiative was developed by multiple stakeholders at an academic hospital in a Canadian urban centre. The intervention consisted of a three-pronged approach: (1) patient and provider education, (2) perioperative multimodal analgesia, and (3) targeted opioid reduction strategy. All eligible patients were asked to fill pre- and post-operative questionnaires...

OBJECTIVE: This study aims to evaluate the endocrine differences among polycystic ovary syndrome (PCOS) phenotypes in Japanese women. METHODS: 118 Japanese women that we diagnosed with PCOS agreed to be included in the study. The study group was classified into the following four phenotypes: A) hyperandrogenism (HA); ovulatory disorder (OvD) and polycystic ovary morphology (PCOM); B) HA and OvD; C) HA and PCOM; and D) OvD and PCOM. We also recruited 66 healthy Japanese women to the study as control participants...

OBJECTIVE: The purpose of this study was to measure the proportion of non-vaccination for pertussis in mothers in Canada who had been advised by their prenatal care provider to get vaccinated, and to identify socio-demographic factors and beliefs associated with non-vaccination. METHODS: The Survey on Vaccination during Pregnancy (part of childhood National Immunization Coverage Survey) included biological mothers of children born from September 2018 to March 2019...

OBJECTIVES: Clinical practice guidelines recommend determining gestational age (GA) for twin pregnancies using the fetal crown rump length (CRL) of the larger fetus. This study investigated whether the CRL of the larger or smaller fetus at 11-14 weeks best predicted in vitro fertilization (IVF) assigned GA. METHODS: A retrospective cohort study of twin pregnancies conceived by IVF ± intracytoplasmic sperm injection, 2004-2022, generated GA estimations for each co-twin CRL at the 11-14 week ultrasound, to determine which fetus (smaller or larger) more consistently predicted IVF-assigned GA...

BACKGROUND: Treatment options for cases of pelvic organ prolapse still lead to the use of a pessary rather than a surgical method. Additional therapy is needed to help treat or prevent pelvic organ prolapse. Vitamin D deficiency has consistently been associated with decreased muscle function, so it is assumed that it will affect the pelvic floor muscles. OBJECTIVES: This paper systematically explores the differences between 25(OH) vitamin D levels in patients with pelvic organ prolapse and non-pelvic organ prolapse...

OBJECTIVES: Although patient-centeredness is a pinnacle in high-quality healthcare, there is a lack of research measuring patient-centeredness from the perspective of the patient in the context of perinatal care. Therefore, the objectives of this study were to 1) measure patient-perceived patient-centeredness from pregnant people receiving prenatal care in Nova Scotia, and 2) explore potential correlates of patient-perceived patient-centeredness. METHODS: Participants completed an e-survey through REDCap software...

No abstract text is available yet for this article.

OBJECTIVE: Surgical site infections (SSI) are common causes of postoperative morbidity at cesarean delivery (CD). The objective of this study was to compare the risk of SSI and other wound complications associated with different suture materials for subcuticular skin closure at CD. DATA SOURCES: We searched Cochrane library, MEDLINE, EMBASE, and Clinicaltrials.gov from inception to June 3, 2021, and limited our search to English, peer-reviewed, randomized controlled trials and cohort studies...

No abstract text is available yet for this article.

OBJECTIVE: Our objective was to explore the workforce and clinical care of first and second trimester surgical abortion (FTSA, STSA) providers following the publication of updated Society of Obstetricians and Gynaecologists of Canada (SOGC) surgical abortion guidelines. METHODS: We conducted a national, cross-sectional, online, self-administered survey of physicians who provided abortion care in 2019. This anonymized survey collected participant demographics, types of abortion services, and characteristics of FTSA and STSA clinical care...

No abstract text is available yet for this article.

The Personal Quality Index (PQI) provides individual annual reports of benchmarked clinical data to inform practice development. This 5-year longitudinal retrospective study of PQI performance indicators, also surveyed department members(n=104) on utility, using T-Test and Wilcoxon test. Technicity increased from 59% in 2014 to 72% in 2018 (p <0.001). VBAC rate did not improve, but the Combined Forceps/ Vacuum Delivery rate decreased for sites and physicians (p <0.001). Survey response was 35%. Most physicians (62%) found it valuable, and it informed professional development in 23%...

OBJECTIVE: This review aimed to assess the evidence available in the literature about the protocols for using peanut ball (PB) in women during labor and delivery. DATA SOURCES: A systematic search was carried out by two independent researchers in the PubMed/MedLine, Web of Science, Embase, Cochrane, and Scopus databases, and the reference lists were scanned for additional articles. STUDY SELECTION: Search terms employed were selected from MeSH and DeCS and combined in each database: "Pregnant Women" AND "Peanut Ball", "Peanut Ball" AND "Labor, Obstetric", as well as "Peanut Ball" AND "Parturition"...