Journal of Obstetrics and Gynaecology Canada : JOGC

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OBJECTIVES: We investigated how the Antenatal Late Preterm Steroids (ALPS) trial findings have been translated into clinical practice in Canada and the United States (U.S.). METHODS: The study included all live births in Nova Scotia, Canada and the United States from 2007 to 2020. ACS administration within specific categories of gestational age was assessed by calculating rates per 100 live births, and temporal changes were quantified using odds ratios (OR) and 95% CI...

OBJECTIVE: (s):The objectives of this study were to determine the obstetric and neonatal outcomes of people who acquired spinal cord injuries (SCI) during pregnancy. METHODS: This is part of an international observational questionnaire examining pregnancy outcomes of people with SCI. The outcome measures included demographics, such as level of injury and American Spinal Injury Association (ASIA) scores, prenatal and postnatal complications, and neonatal outcomes...

OBJECTIVE: To compare maternal outcomes of uterine balloon tamponade (UBT) versus an intrauterine vacuum-induced hemorrhage-control device (VHD) for the management of primary postpartum hemorrhage (PPH). METHODS: Retrospective cohort of all patients with PPH due to uterine atony treated with an intrauterine device within a university health system from January 2019 to June 2021. The primary outcome of massive transfusion, defined as PPH requiring transfusion of ≥ 4 units of packed red blood cells (PRBC), was compared between 2 groups: UBT (n = 78) versus VHD (n = 36)...

OBJECTIVES: To 1) define quality indicators for severe hypertension (sustained systolic blood pressure [BP] ≥160 mm Hg or diastolic BP ≥110 mm Hg) management, 2) describe care gaps, and 3) identify process issues in severe hypertension management at our tertiary care centre. METHODS: Pregnant and postpartum individuals diagnosed with a hypertensive disorder of pregnancy from 2018 to 2019 were identified. A retrospective cohort of patients with severe hypertension was constructed, and data were collected through chart review...

This study determined the accuracy of first trimester serum Human Chorionic Gonadotrophin (HCG) for estimating gestational age (GA). We included 273,584 singleton livebirths that had a first trimester ultrasound and measured serum HCG at 4-12 weeks gestation in XXX from 2012-2018. We estimated HCG accuracy compared to known GA, within a boundary of +/- 1 week. Between 4-8 weeks gestation, sensitivity of HCG was over 88%, and specificity over 51%. However, at 9-12 weeks, sensitivity declined from 72% to 0%, and specificity rose from 86% to 100%...

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No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

Acute pelvic pain due to venous thrombosis can be encountered in the context of Pelvic Congestion Syndrome (PCS). Some vascular anomalies such as nutcracker syndrome or May-Thurner syndrome may cause left ovarian vein or left iliofemoral vein thrombosis. Smaller parametrial or paravaginal vein thrombi have rarely been reported as etiologies of acute pelvic pain. We present a case of spontaneous paravaginal venous plexus thrombosis presenting as acute lower pelvic pain in which thrombophilia was diagnosed. Small vein thrombosis or an unusual location of thrombus should prompt vascular studies and a thrombophilia work-up...

UNLABELLED: Human papillomavirus (HPV), a sexually transmitted disease, is identified as the source of 99.7% of cervical cancers. Screening for cervical cancer using oncogenic HPV (HR HPV) detection is more sensitive than traditional cytology. However, few Canadian data exist on HR HPV self-sampling. OBJECTIVE: To evaluate the acceptability of HR HPV self-sampling by patients, the percentage of correctly collected samples, the return rate of mailed kits, and the HPV positivity rate in a population sample based on different cervical cancer risk factors...

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While laparoscopy has classically been defined as the gold standard for diagnosis of endometriosis, there is now a strong recommendation for the use of advanced imaging in diagnosing the disease. In addition to playing a crucial role in the diagnosis of endometriosis, advanced imaging is also essential for assisting gynaecologic surgeons in planning the surgical management of complex cases of deep endometriosis. This case demonstrates a metaverse of high-level imaging modalities, including advanced ultrasound and magnetic resonance (MRI), which were further enhanced with medical virtual reality, and used for assessment of a patient seen in an outpatient tertiary care gynaecology clinic...

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No abstract text is available yet for this article.

No abstract text is available yet for this article.

OBJECTIVE: The Society of Obstetricians and Gynaecologists of Canada (SOGC) recommends the use of an ultrasound performed between 70 and 140 weeks gestation to accurately predict gestational age (GA). This study aimed to assess the accuracy of earlier ultrasounds (50 to 66 weeks gestation) by comparing the estimated delivery dates (EDD) in participants that had undergone both earlier ultrasound and ultrasound completed during the standard of care timeframe. METHODS: EDD based on crown rump length (CRL) were retrospectively reviewed for patients that had undergone an ultrasound between 50 -66 weeks GA versus the recommended 70 -140 weeks GA at the Montfort Hospital during 2018 and 2019...

OBJECTIVE: To examine trends in the frequency and method (one-step vs. two-step) of gestational diabetes screening in British Columbia (BC), Canada across subgroups of pregnant individuals in the context of changing local and national clinical practice guidelines. METHODS: We conducted a retrospective cohort study using de-identified linked perinatal and laboratory billing data. We included all pregnancies delivered in BC after 28 weeks gestation, with screening dates between June 2004 and May 2019...

OBJECTIVE: To quantify the risk of severe maternal morbidity (SMM) in fresh versus frozen-thawed embryo transfers among pregnancies conceived by in vitro fertilization (IVF), and to assess severe maternal morbidity risk according to the number of fresh embryo transfers prior to the index pregnancy. METHODS: Retrospective cohort study using the provincial birth registry in Ontario, Canada. We included 13 929 individuals aged 18 to 55 years who conceived via in vitro fertilization between January 1, 2013, and March 5, 2018, and delivered a live or stillborn infant ≥20 weeks gestation...