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Journal of Obstetrics and Gynaecology Canada: JOGC

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https://read.qxmd.com/read/31085110/correction
#1
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No abstract text is available yet for this article.
May 10, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/31085109/correction
#2
(no author information available yet)
No abstract text is available yet for this article.
May 10, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/31078434/spontaneous-uterine-rupture-in-the-second-trimester-in-a-patient-with-previous-pelvic-radiotherapy-in-childhood-a-case-report
#3
María Huarte Ciganda, Cecilia Estaún Echavarren, Ana García Jiménez, Isabel Huarte Sala
BACKGROUND: Pelvic irradiation in childhood may result in abnormal uterine function. Poor obstetric outcomes have been reported in these patients. CASE: A 30-year-old woman with a previous midtrimester miscarriage, gravida 2, para 0, presented at 234 weeks of gestation with acute abdominal pain and signs of hemodynamic instability. The patient was treated in childhood for Ewing sarcoma of the pelvis. Spontaneous uterine rupture was diagnosed. A supracervical hysterectomy with intrauterine fetus was performed...
May 8, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/31060985/severe-maternal-morbidity-in-canada-temporal-trends-and-regional-variations-2003-2016
#4
Susie Dzakpasu, Paromita Deb-Rinker, Laura Arbour, Elizabeth K Darling, Michael S Kramer, Shiliang Liu, Wei Luo, Phil A Murphy, Chantal Nelson, Joel G Ray, Heather Scott, Michiel VandenHof, K S Joseph
OBJECTIVE: This study sought to quantify temporal trends and provincial and territorial variations in severe maternal morbidity (SMM) in Canada. METHODS: The study used data on all hospital deliveries in Canada (excluding Québec) from 2003 to 2016 to examine temporal trends and from 2012 to 2016 to study regional variations. SMM was identified using diagnosis and intervention codes. Contrasts among periods and regions were quantified using rate ratios (RRs) and 95% confidence intervals (CIs)...
May 3, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/31053566/impact-of-patient-directed-cytology-results-correspondence-program-on-follow-up-of-high-grade-pap-tests
#5
Simon M Tavasoli, Eli Kane, Rachel Kupets
OBJECTIVE: Proper follow-up of high-grade (HG) Pap tests is critical to the prevention of cervical cancer. This study evaluated the impact of a patient-directed cytology results correspondence program on follow-up of HG Pap tests among at-risk women aged 21 to 69 in Ontario. METHODS: A cohort study with a historical control was used to investigate the impact of a result letter on adherence to follow-up after an HG Pap test. Analyses were conducted on an intention-to-treat basis...
April 30, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/31053565/choosing-wisely-bedrest-a-panacea-for-all-that-ails-the-gravida
#6
Venu Jain
Bedrest has been frequently prescribed for various high-risk conditions during pregnancy. A common indication cited is concern regarding increased risk of spontaneous preterm birth, known to be associated with gestations with twins or higher-order multiples, polyhydramnios, presence of preterm contractions with or without evidence of cervical change, sonographic cervical shortening, presence of a dilated cervix with bulging membranes, or preterm premature rupture of membranes. In some cases, there is concern that excessive movement may increase the risk of antepartum hemorrhage, as may be with placenta previa, with or without a higher risk of a morbidly adherent placenta or a vasa previa...
April 30, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/31053564/phenotypic-classification-of-preterm-birth-among-nulliparous-women-a-population-based-cohort-study
#7
Siavash Maghsoudlou, Zhijie Michael Yu, Joseph Beyene, Sarah D McDonald
OBJECTIVE: A classification model based on preterm birth clinical presentations (phenotypes) was proposed at the International Conference on Prematurity and Stillbirth, with calls for validation. This study sought to determine the distribution of clinical phenotypes of preterm birth among nulliparous women, their corresponding associations with maternal characteristics, and the odds ratios (ORs) of preterm Caesarean section and other adverse outcomes. METHODS: A population-based cohort study was performed of all nulliparous women with singleton pregnancies (>20 weeks) who gave birth in a hospital in Ontario between 2012 and 2014...
April 30, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/31047831/maternal-area-of-residence-socioeconomic-status-and-risk-of-adverse-maternal-and-birth-outcomes-in-adolescent-mothers
#8
Sana Amjad, Sujata Chandra, Alvaro Osornio-Vargas, Don Voaklander, Maria B Ospina
OBJECTIVE: Adolescent pregnancy is a significant public health issue in Canada. Current evidence highlights the individual role of social determinants of health such as maternal residence and socioeconomic status (SES) on teen pregnancy outcomes. This study evaluated the joint association between residence/SES and adverse adolescent pregnancy outcomes. METHODS: This was a population-based retrospective cohort study of all singleton, live deliveries (2010-2015) from women aged 15 to 19 who were registered in the Alberta Perinatal Health Program...
April 29, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/31056278/a-matched-cohort-study-of-postpartum-placentophagy-in-women-with-a-history-of-mood-disorders-no-evidence-for-impact-on-mood-energy-vitamin-b-12-levels-or-lactation
#9
Emily Morris, Caitlin Slomp, Catriona Hippman, Angela Inglis, Prescilla Carrion, Rolan Batallones, Heather Andrighetti, Jehannine Austin
OBJECTIVE: Although empirical studies investigating its effects are scarce, postpartum placentophagy is increasing in popularity because of purported benefits on mood, energy, lactation, and overall nutrition. Therefore, this study sought to test the hypotheses that women who consumed their placenta (placentophagy exposed [PE]) would have (1) fewer depressive symptoms, (2) more energy, (3) higher vitamin B12 levels, and (4) less pharmaceutical lactation support during the postpartum than women who did not consume their placenta (non-placentophagy exposed [NE])...
April 24, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/31006541/figo-stage-is-the-strongest-prognostic-factor-in-adenocarcinoma-of-the-uterine-cervix
#10
Sarah Glaze, Qiuli Duan, Aylin Sar, Sandra Lee, Martin Köbel, Elena Park, Máire A Duggan
OBJECTIVE: This study aimed to identify clinical and pathological determinants of invasive adenocarcinoma of the uterine cervix (AC) in a large, single-centre series serving a population of 1.5 million. METHODS: Data on clinical (n = 27) and pathological (n = 23) variables for 166 women with a diagnosis of AC treated between 2000 and 2013 were extracted from their charts and pathology reports. Overall survival (OS) was calculated, and significant determinants were identified using Kaplan-Meier analyses and log-rank tests, respectively (Canadian Task Force Classification II-2)...
April 19, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/31003949/classical-caesarean-what-are-the-maternal-and-infant-risks-compared-with-low-transverse-caesarean-in-preterm-birth-and-subsequent-uterine-rupture-risks-a-systematic-review-and-meta-analysis
#11
REVIEW
Veronica Moramarco, Sugee Korale Liyanage, Kiran Ninan, Amit Mukerji, Sarah D McDonald
Classical Caesarean section may be associated with increased short- and long-term risks. The objectives of this study were to review the following systematically: first, the short-term maternal and infant risks with preterm classical compared with low transverse Caesarean sections; and second, the risk of spontaneous or early-labour uterine rupture. The data sources used were Medline, EMBASE, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov from January 1980 to July 2018. A total of 772 studies were independently screened by two reviewers, and 91 full texts were reviewed...
April 16, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://read.qxmd.com/read/31003948/the-quality-of-information-on-combined-oral-contraceptives-available-on-the-internet
#12
Andreana Marcinkow, Polina Parkhomchik, Alyssa Schmode, Nese Yuksel
OBJECTIVE: Combined oral contraceptives (COC) are a popular choice among women. The Internet is an accessible and popular source of information on contraception. The objective of this study was to evaluate the quality of online information on COC. METHODS: A quantitative content analysis was completed on websites containing patient health information on COCs. The search was completed in October 2016 using Google; search terms included "birth control pill," "oral contraception," "oral birth control", "birth control," and "pregnancy prevention...
April 16, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/31003947/impact-of-episiotomy-during-operative-vaginal-delivery-on-obstetrical-anal-sphincter-injuries
#13
Priscilla Frenette, Susan Crawford, Jane Schulz, Maria B Ospina
OBJECTIVE: The purpose of this study was to describe associations between episiotomy at the time of forceps or vacuum-assisted delivery and obstetrical anal sphincter injuries (OASIS). METHODS: This population-based retrospective cohort study used delivery information from a provincial perinatal clinical database. Full-term, singleton, in-hospital, operative vaginal deliveries of vertex-presenting infants from April 1, 2006 to March 31, 2016 were identified. Odds ratios (ORs) and 95% confidence intervals (CIs) for associations between episiotomy and third- or fourth-degree lacerations were calculated in multiple logistic regression models (Canadian Task Force Classification II-2)...
April 16, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://read.qxmd.com/read/30987849/predictors-of-obstetric-fistula-repair-outcomes-in-lubango-angola
#14
Laurence Bernard, Andrew Giles, Sam Fabiano, Stacey Giles, Sarah Hudgins, Annelise Olson, Mark G Shrime, Sarah Feldman, Robert Riviello
OBJECTIVE: Obstetric fistulas have a significant physical and social impact on many women in Angola. The majority of the population of this sub-Saharan African nation does not have access to high-quality obstetric care, and this is associated with a risk of prolonged labour and formation of obstetric fistulas. Fistulas are challenging to correct surgically and may require repeated operations. The objective of the study was to determine predictors of successful obstetric fistula repair...
April 12, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/30981618/efficacy-of-non-ablative-laser-therapy-for-lichen-sclerosus-a-randomized-controlled-trial
#15
Urška Bizjak Ogrinc, Sabina Senčar, Boštjan Luzar, Adolf Lukanović
OBJECTIVE: The aim of this randomized controlled trial was to evaluate the safety and efficacy of neodymium: yttrium aluminum garnet laser treatment of lichen sclerosus (LS) by comparing it with topical corticosteroid treatment. METHODS: A total of 40 female patients with vulvar LS were randomized 1:1 into a study (laser) group and a control (topical corticosteroids) group. The laser group received three laser treatments. Blinded evaluators evaluated biopsies and graded improvement on clinical photographs at baseline and at 3 months...
April 11, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/30981617/postpartum-mental-health-disorders-in-indigenous-women-a-systematic-review-and-meta-analysis
#16
Kristin A Black, Isaiah MacDonald, Thane Chambers, Maria B Ospina
OBJECTIVE: This systematic review synthesized and evaluated the evidence on the prevalence of postpartum mental health disorders in Indigenous women. METHODS: Comprehensive searches of biomedical electronic databases including Medline, EMBASE, PsychINFO, CINAHL, and Web of Science were performed for peer-reviewed literature published from 1990 to September 2018. The search strategy included terms related to the postpartum period, mental health disorders, and Indigenous ancestry...
April 10, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/30981616/streptococcal-toxic-shock-syndrome-after-insertion-of-a-levonorgestrel-intrauterine-device
#17
Jacques Balayla, Yaron Gil, James Mattina, Eman Al-Shehri, Cleve Ziegler
BACKGROUND: The insertion of intrauterine devices (IUDs) is associated with a small increased risk of pelvic inflammatory disease and ascending infection, particularly in patients with risk factors. However, the risk of sepsis and toxic shock syndrome after insertion of an IUD is a rare event, described only through case reports in the literature. CASE: This report describes the case of a 40-year-old woman who presented with high fever, myalgias, and abdominal pain 2 days following the insertion of a levonorgestrel-releasing IUD...
April 10, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/30952625/screening-for-gonorrhea-and-chlamydia-in-pregnancy-room-for-improvement
#18
Marina Vainder, Sari Kives, Mark H Yudin
OBJECTIVE: This study sought to determine the proportion of pregnant women who are tested for gonorrhea and chlamydia as part of their prenatal care and to examine patient and provider factors affecting testing rates. METHODS: The study investigators conducted a retrospective chart review of all patients who were delivered at St. Michael's Hospital, an urban tertiary care centre in Toronto, Ontario, between November 2015 and April 2016. Rates of testing and the prevalence of positive test results for gonorrhea and chlamydia were calculated...
April 2, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/30948338/increasing-the-technicity-index-to-92-in-a-community-hospital-a-5-year-retrospective-review
#19
Justin Mui, Lila Gottenbos, Christine Liu, Samar Hejazi, Fariba Mohtashami
OBJECTIVE: This study describes the observed trends in hysterectomy routes at Langley Memorial Hospital (LMH) in Langley, British Columbia, over 5 consecutive years. Associations between patient characteristics and surgical approach were explored, and approach-based surgical outcomes were evaluated using the Institutional Technicity Index (TI), defined as the ratio of hysterectomies performed by minimally invasive surgery to all hysterectomies. METHODS: A retrospective descriptive study involving 706 women who underwent hysterectomy at LMH between January 1, 2012 and December 31, 2016 by six full-time surgeons was performed...
April 1, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/30948337/surgical-management-of-the-placenta-accreta-spectrum-an-institutional-experience
#20
Cristina Mitric, Jade Desilets, Jacques Balayla, Cleve Ziegler
OBJECTIVE: The incidence of placenta accreta spectrum (PAS) has risen over the past decades, primarily in response to increasing Caesarean section rates. The surgical management of PAS is associated with significant morbidity, including hemorrhage and intensive care unit (ICU) admission. This study sought to evaluate the surgical outcomes of a PAS operative approach. METHODS: A single-centre retrospective chart review of all Caesarean hysterectomies for PAS by an assigned surgeon over a 16-year period was performed...
April 1, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
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