Journal of Obstetrics and Gynaecology Canada : JOGC

OBJECTIVE: Chorioamnionitis has implications for parturient and neonatal outcomes but is difficult to diagnose accurately. The particulars of management also differ between providers and between institutions. Clinical order sets have been shown to standardize and improve care. This study compares characteristics of chorioamnionitis and aspects of management before and after implementation of an order set. METHODS: Chart review facilitated comparison of 76 cases occurring prior to implementation of the order set and 66 cases occurring after...

OBJECTIVES: Combatting fatigue is an ongoing challenge in surgical residency programs impacting both patient care and resident well-being. There is a gap in understanding the nuances of fatigue perpetuation, especially where it relates to specific on-call duties. This pilot study seeks to explore the extent of sleep deprivation among Obstetrics and Gynecology (OBGYN) residents and identify obstacles to obtaining adequate rest. METHODS: A survey was sent out to all OBGYN residents at the University of Alberta, collecting demographic and baseline sleep information and assessing perceived barriers to sleep...

OBJECTIVE: The objective is to evaluate maternal and fetal outcomes at an extremely advanced maternal age (over age 50) in Calgary. The secondary objective is to determine if there is a role to protocolize complex care plans for patients at extremely advanced maternal ages. METHOD: A retrospective chart review was conducted of all pregnancies ≥20 weeks gestation in patients over the age of 50 that delivered in Calgary between January 2007 and December 2021...

OBJECTIVE: The objective of this study was to gather Ontario clinicians' and public members' views on the design of a pre-conception patient education program. METHODS: In this mixed methods study, online surveys comprised of rank order, multiple choice, and short answer questions were completed by clinicians and public members. Semi-structured focus groups consisting of 2-6 participants each were then held by videoconference. Demographic variables and survey responses were analyzed quantitatively using descriptive and summary statistics...

OBJECTIVE: Single incision laparoscopic surgery (SILS) and robotic SILS (rSILS) have been found to be safe, minimally invasive techniques in gynaecology. However, one major perceived drawback of these techniques is increased risk of incisional hernia, compared to multiport laparoscopy or robotic surgery. This study's aim was to determine the optimal technique to reduce postoperative incisional complications such as hernia. METHOD: A retrospective cohort study was performed at an academic center from November 2014 to June 2022 on 1036 women who underwent SILS and rSILS gynaecologic procedures with various closure techniques...

OBJECTIVES: To quantify variation in the association between episiotomy and obstetric anal sphincter injury (OASI) by maternity care provider in spontaneous and operative vaginal deliveries (SVDs and OVDs). METHODS: Population-based retrospective cohort study of vaginal, term deliveries among nullipara in Canada (2004-2015). Adjusted rate ratios (ARRs) and 95% CIs were estimated using log-binomial regression to quantify the associations between episiotomy and OASI, stratified by care provider (obstetrician [OB], family physician [FP], or registered midwife [RM]) while adjusting for potential confounders...

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This study aims to measure acceptability, feasibility, and satisfaction with self-traction during mechanical cervical dilatation to induce labour and to explore its effects on pain and the process of labour and delivery. 60 parturients were randomly assigned to self-traction or regular traction. Participants completed questionnaires about sociodemographic characteristics, acceptability, and satisfaction. Self-traction participants reported significantly higher acceptability (P = 0.026), and adequacy (P = 0...

OBJECTIVE: To review recent data that affected the clinical management of infertility associated with endometriosis. DATA SOURCE: PubMed review of all articles that included the following key words: endometriosis, infertility, IVF, and ART. STUDY SELECTION: Study was selected based on the pertinence of the topic addressed in relation with the study's set objectives. DATA EXTRACTION AND SYNTHESIS: All identified articles were first assessed based on review of the abstract...

OBJECTIVE: Examine whether preoperative antibiotics in class I/ clean abdominal gynaecologic surgery decrease incidence of SSI. METHODS: Retrospective cohort study at academic safety net hospital of patients undergoing class I laparoscopic or open gynaecologic surgery between November 2013 and September 2017. Performance improvement initiative to administer preoperative antibiotics to all surgical patients starting July 2016. RESULTS: 510 patients included: 283 in antibiotic group, 227 in no antibiotic group...

OBJECTIVES: Nausea and vomiting in pregnancy (NVP) is a common condition that reduces the quality of life by negatively affecting work and family life, physical and mental health, and economic well-being. However, its risk factors remain unclear. This study aimed to explore the association between NVP and verbal rating scale (VRS)-measured dysmenorrhea and to explore potential protective factors. METHODS: This retrospective cohort study was conducted from June 2018 to December 2020 at Tongji Hospital in Wuhan...

OBJECTIF: L'objectif principal de la présente directive clinique est de fournir aux gynécologues un algorithme et des données probantes pour guider le diagnostic et la prise en charge des polypes endométriaux. POPULATION CIBLE: Toutes les patientes présentant des polypes endométriaux symptomatiques ou asymptomatiques. OPTIONS: Les options de prise en charge des polypes endométriaux sont l'expectative ou la prise en charge médicamenteuse ou chirurgicale...

OBJECTIF: Évaluer les indications, les risques et les bénéfices de l'hystéroscopie dans la prise en charge des patientes atteintes d'infertilité et fournir des conseils aux gynécologues qui prennent en charge les problèmes les plus fréquents chez ces patientes. POPULATION CIBLE: Patientes atteintes d'infertilité (incapacité à concevoir après 12 mois de rapports sexuels non protégés) en processus diagnostique ou sous traitement...

OBJECTIVE: The primary objective of this clinical practice guideline is to provide gynaecologists with an algorithm and evidence to guide the diagnosis and management of endometrial polyps. TARGET POPULATION: All patients with symptomatic or asymptomatic endometrial polyps. OPTIONS: Options for management of endometrial polyps include expectant, medical, and surgical management. These will depend on symptoms, risks for malignancy, and patient choice...

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