Journal of Obstetrics and Gynaecology Canada : JOGC

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No abstract text is available yet for this article.

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...

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...

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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.

OBJECTIVES: To prospectively evaluate pain-related quality-of-life (Endometriosis Health Profile-30 [EHP-30] pain subscale) after surgery at an interdisciplinary centre of expertise for endometriosis and pelvic pain. METHODS: A prospective cohort study was completed of persons undergoing surgical management for pelvic pain between December 2013 and July 2016 at an interdisciplinary tertiary referral centre for pelvic pain and endometriosis. We compared the change in EHP-30 scores for the following scenarios: (1) type of surgery (conservative surgery vs...

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OBJECTIVE: To evaluate the indications, benefits, and risks of hysteroscopy in the management of patients with infertility and provide guidance to gynaecologists who manage common conditions in these patients. TARGET POPULATION: Patients with infertility (inability to conceive after 12 months of unprotected intercourse) undergoing investigation and treatment. BENEFITS, HARMS, AND COSTS: Hysteroscopic surgery can be used to diagnose the etiology of infertility and improve fertility treatment outcomes...

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OBJECTIVE: To assess the potential costs and benefits of PGT-A across age groups, considering financial costs, total euploidy rates and the potential for morphology grading to predict a euploid embryo. METHODS: This study is a blinded retrospective chart review of patients who incorporated PGT-A as part of their IVF treatment cycle at a university-affiliated fertility clinic. Patients between 25-44 years of age undergoing IVF with ICSI and PGT-A with autologous oocytes (n=220) were included in this study...

OBJECTIVE: To estimate the prevalence of regret among Canadians undergoing tubal ligation or bilateral salpingectomy for contraception in the context of widely available, highly effective, and tolerable reversible contraceptive methods including long-acting reversible contraceptives (LARCs). METHODS: We performed an online cross-sectional survey of regret following tubal sterilization using Qualtrics software. A convenience sample was used to recruit Canadian residents between the ages of 18-60 who had undergone tubal ligation or salpingectomy for contraception...

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OBJECTIVE: There is no consensus on the best option for the management of Bartholin's gland abscesses. This systematic review and meta-analysis aimed to compare the Word catheter placement and marsupialization methods in the management of women with a cyst or abscess of the Bartholin's glands. DATA SOURCES: The PubMed, Scopus, Embase, Web of Science (WoS), and Cochrane Library databases, as well as Google Scholar were searched to retrieve articles published between January 1990 and July 2023, comparing the Word catheter treatment with marsupialization for women with a cyst or abscess of the Bartholin's glands...

OBJECTIVE: Syphilis-related stillbirths disproportionately affect marginalized women with 11% of all local stillbirths having maternal syphilis as a contributory factor in 2020. This study describes the incidence of and perinatal factors associated with syphilis-related stillbirths (SRSB). METHODS: This was a retrospective cohort study of all stillbirths occurring from January 1st 2017 to December 31st 2020 at a single tertiary-level referral hospital in Winnipeg, Manitoba...

The group and screen (G&S) is performed in early pregnancy to identify clinically significant antibodies (CSA) that may necessitate fetal monitoring for hemolysis/anemia or affect RhIg eligibility. Guidelines vary, including differences between RhD positive and negative patients, but typically, the G&S is repeated at 28 weeks, and sometimes pre-delivery. We reviewed data showing a low risk (0.01-0.43%) of detecting a new CSA in late gestation (late alloimmunization) and the risk of late alloimmunization causing severe hemolysis/anemia is even lower at <0...

OBJECTIVES: Gender and racial diversity in academic Canadian departments of Obstetrics and Gynecology (OBGYN) have not been previously described. We examined gender representation in leadership in academic OBGYN departments and Gynecologic Oncology (GO) divisions, and determined factors predictive of leadership and promotion including racialized status. METHODS: This cross-sectional study of Canadian residency-affiliated academic OBGYN departments queried institutional websites in January 2021 to compile a list of academic faculty...