Search our Database of Scientific Publications and Authors

I’m looking for a

    9399 results match your criteria Acta Obstetricia et Gynecologica Scandinavica[Journal]

    1 OF 188

    High birth rates despite easy access to contraception and abortion : a cross-sectional study.
    Acta Obstet Gynecol Scand 2017 Sep 16. Epub 2017 Sep 16.
    Department of Obstetrics and Gynecology, Sahlgrenska Academy at Gothenburg University, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Introduction: The aim was to describe and compare contraceptive use, fertility, birth and abortion rates in the Nordic countries.

    Material And Methods: National data on births, abortions, fertility rate (1975-2013), redeemed prescriptions of hormonal contraceptives and sales figures of copper intrauterine devices (2008-2013) among women 15-49 years of age in the Nordic countries were collected and analysed.

    Results: Use of hormonal contraceptives and copper intrauterine devices varied between 31-44%. Read More

    Delayed cord clamping and cord gas analysis at birth.
    Acta Obstet Gynecol Scand 2017 Sep 16. Epub 2017 Sep 16.
    Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA.
    Delayed cord clamping for at least 60 seconds in both term and preterm babies is a major recent change in clinical care. Delayed cord clamping has several effects on other possible interventions. One of these is the effect of delayed cord clamping on umbilical artery gas analysis. Read More

    Women's experiences of continuous fetal monitoring - a mixed-methods systematic review.
    Acta Obstet Gynecol Scand 2017 Sep 13. Epub 2017 Sep 13.
    Maternal and Fetal Health Research Centre, Division of Developmental Biology and Medicine, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, St. Mary's Hospital, Manchester.
    Introduction: Antepartum stillbirth is often preceded by detectable signs of fetal compromise, including changes in fetal heart rate and movement. It is hypothesised that continuous fetal monitoring could detect these signs more accurately and objectively than current forms of fetal monitoring and allow for timely intervention. This systematic review aimed to explore available evidence on women's experiences of continuous fetal monitoring to investigate its acceptability prior to clinical implementation and to inform clinical studies. Read More

    Intrapartum transperineal ultrasound used to predict cases of complicated operative (vacuum and forceps) deliveries in nulliparous women.
    Acta Obstet Gynecol Scand 2017 Sep 10. Epub 2017 Sep 10.
    Biostatistics Unit, Department of Preventive Medicine and Public Health, University of Seville, Seville, Spain.
    Introduction: The objective of this study was to investigate the predictive value of intrapartum transperineal ultrasound in the identification of complicated operative(vacuum or forceps) deliveries in nulliparous women.

    Material And Methods: Prospective observational study of nulliparous women with an indication for operative-delivery who underwent intrapartum transperineal ultrasound before fetal extraction. Managing obstetricians were blinded to the ultrasound data. Read More

    Intraoperative cervical treatment does not affect the prevalence of vaginal bleeding one year postoperatively after subtotal hysterectomy. A register study from the Swedish National Register for Gynecological Surgery.
    Acta Obstet Gynecol Scand 2017 Sep 2. Epub 2017 Sep 2.
    Department of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, Faculty of Medicine and Health Science, Linköping University, Linköping, Sweden.
    Introduction: The objectives were to establish the prevalence of persistent vaginal bleeding (PVB) following subtotal hysterectomy, to analyze the effect of intraoperative cervical treatment on the occurrence of PVB and to evaluate the impact of PVB on the patient-reported opinion concerning result of surgery and medical condition.

    Material And Methods: Retrospective study with data from the Swedish National Register for Gynecological Surgery including 5240 women undergoing subtotal hysterectomy for benign conditions between January 2004 and June 2016. Demographic and clinical data were obtained from the pre- and perioperative forms. Read More

    Doppler-based fetal heart rate analysis markers for the detection of early intrauterine growth restriction.
    Acta Obstet Gynecol Scand 2017 Sep 1. Epub 2017 Sep 1.
    Departments of Biomedical Informatics and Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA, USA.
    Introduction: One indicator for fetal risk of mortality is intra-uterine growth restriction (IUGR). Whether markers reflecting the impact of growth restriction on the cardiovascular system, computed from a Doppler-derived heart rate signal, would be suitable in its detection antenatally were studied MATERIAL AND METHODS: We used a cardiotocography archive of 1163 IUGR cases and 1163 healthy controls, matched for gestation and gender. We assessed the discriminative power of short-term variability (STV) and long-term variability (LTV) of the fetal heart rate, computed over episodes of high and low variation aiming to separate growth-restricted fetuses from controls. Read More

    Propensity score method for analyzing the effect of labor induction in prolonged pregnancy.
    Acta Obstet Gynecol Scand 2017 Aug 21. Epub 2017 Aug 21.
    Public Health, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
    Introduction: There is an ongoing debate on the optimal time of labor induction to reduce the risks associated with prolonged pregnancy.

    Material And Methods: Registry-based study of 212 716 term, singleton cephalic deliveries between 2006 and 2012 in Finland comparing the outcomes of labor induction with those of expectant management in five, three-day gestational age periods between 40 and 42 weeks (group 1: 40(+0) -40(+2) ; group 2: 40(+3) -40(+5) ; group 3: 40(+6) -41(+1) ; group 4: 41(+2) -41(+4) ; group 5: 41(+5) -42(+0) ). Using Poisson regression, induced deliveries in each of the gestational age periods were compared with all ongoing pregnancies. Read More

    Reduced incidence of neonatal early-onset group B streptococcal infection after promulgation of guidelines for risk-based intrapartum antibiotic prophylaxis in Sweden: analysis of a national population-based cohort.
    Acta Obstet Gynecol Scand 2017 Aug 19. Epub 2017 Aug 19.
    Center for Reproductive Epidemiology, Tornblad Institute, University of Lund, Lund, Sweden.
    Introduction: To investigate the incidence of neonatal early-onset group B streptococcal (GBS) infection in Sweden after promulgation of guidelines (2008) for risk factor-based intrapartum antibiotic prophylaxis, and evaluate the presence of risk factors and obstetric management in mothers.

    Material And Methods: National registers were searched for infants with early-onset GBS infection during 2006-2011. Medical records of cases and case mothers were abstracted. Read More

    Mortality and causes of death among women with a history of placental abruption.
    Acta Obstet Gynecol Scand 2017 Aug 21. Epub 2017 Aug 21.
    Department of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
    Introduction: Women with a history of placental abruption have an increased later morbidity, but not much is known of the later mortality.

    Material And Methods: Data on women with placental abruption (index cohort) between 1969 and 2005 (n = 7805) were collected from the Finnish Hospital Discharge Register and the Finnish Medical Birth Register. A matched reference cohort consisted of women without placental abruption (n = 23 523). Read More

    Comparing the accuracy of maternal, clinical, and ultrasound estimations to predict birthweight: a meta-analysis.
    Acta Obstet Gynecol Scand 2017 Aug 18. Epub 2017 Aug 18.
    Department of Medicine and Public Health, Nagoya Medical Science Research Institute, Nagoya, Japan.
    Introduction: Accurate prediction of birthweight prior to delivery is necessary to establish periconceptional strategies to reduce the rates of adverse pregnancy outcomes. This study was performed to determine whether maternal, clinical, or ultrasound estimation provides the best predictor of birthweight.

    Material And Methods: Meta-analysis was performed to summarize the relative ratios of the rate of one of maternal, clinical, and ultrasound estimation within 10% of actual birthweight to that of each of the others within the same range and the difference in correlation coefficient of actual birthweight between clinical and ultrasound estimations. Read More

    Longitudinal transvaginal ultrasound evaluation of cesarean scar niche incidence and depth in the first two years after single- or double-layer uterotomy closure: a randomized controlled trial.
    Acta Obstet Gynecol Scand 2017 Aug 21. Epub 2017 Aug 21.
    Department of Obstetrics, Charité-University Medical Center, Berlin, Germany.
    Introduction: Cesarean deliveries are the most common abdominal surgery procedure globally, and the optimal way to suture the hysterotomy remains a matter of debate. The aim of this study was to assess the incidence of cesarean scar niches and the depth after single- or double-layer uterine closure.

    Material And Methods: We performed a randomized controlled trial in which women were allocated to three uterotomy suture techniques: continuous single-layer unlocked, continuous locked single-layer, or double-layer sutures. Read More

    Complications in operative hysteroscopy - is prevention possible?
    Acta Obstet Gynecol Scand 2017 Aug 18. Epub 2017 Aug 18.
    Department of Gynecology, Hospital St. John of God, Vienna, Austria.
    Operative hysteroscopy in a hospital setting has revolutionized surgical treatment of benign uterine disorders. It is minimally invasive, cost and time-effective and may spare patients from major surgical interventions. Operative hysteroscopy in a day-case hospital setting is regarded as a safe and well-tolerated procedure with low complication rates. Read More

    Thrombocalc: Implementation and uptake of personalized postpartum venous thromboembolism risk assessment in a high throughput obstetric environment.
    Acta Obstet Gynecol Scand 2017 Aug 18. Epub 2017 Aug 18.
    Pharmacy Department, Rotunda Hospital, Dublin.
    Introduction: Venous thromboembolism risk assessment (VTERA) is recommended in all pregnant and postpartum women. Our objective was to develop, pilot and implement a user-friendly electronic VTERA tool MATERIALS AND METHODS: We developed 'Thrombocalc', an electronic VTERA tool using Microsoft Excel(™) . Thrombocalc was designed as a score-based tool to facilitate rapid assessment of all women after childbirth. Read More

    Declining prevalence of cytological squamous intraepithelial lesions of the cervix among women living with well-controlled HIV - Most women living with HIV do not need annual PAP smear screening.
    Acta Obstet Gynecol Scand 2017 Aug 18. Epub 2017 Aug 18.
    Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
    Introduction: Cervical screening by means of annual Papanicolaou (PAP) smears has been recommended for all women living with HIV. We analysed the results of our annual PAP smear screening program to identify low-risk subgroups for less rigorous screening.

    Material And Methods: The study comprised 369 women followed at the Helsinki University Hospital 2002-2013, with a total of 2033 PAP smear results. Read More

    Is the incidence of recurrent pregnancy loss increasing?: a retrospective register-based study in Sweden.
    Acta Obstet Gynecol Scand 2017 Aug 18. Epub 2017 Aug 18.
    Fertility Clinic 4071, University Hospital Rigshospitalet, Copenhagen, Denmark.
    Introduction: The aim of this study was to estimate the incidence of recurrent pregnancy loss (RPL). The prevalence of RPL defined as ≥3 consecutive miscarriages before gestation week 22, is often stated to be 1%. To our knowledge no study has estimated the incidence of RPL, which might be more informative and clinically relevant than the prevalence. Read More

    Sequence variants in ESR1 and OXTR are associated with Mayer-Rokitansky-Küster-Hauser syndrome.
    Acta Obstet Gynecol Scand 2017 Aug 16. Epub 2017 Aug 16.
    Department of Women's Health, Women's University Hospital, Center for Rare Female Genital Malformations, Tübingen University Hospital, Tübingen.
    Introduction: Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) is characterized by congenital absence of the uterus and the upper two-thirds of the vagina in otherwise phenotypically normal females. It is found isolated or associated with renal, skeletal and other malformations. Despite of ongoing research, the etiology is mainly unknown. Read More

    Fertility preservation in women with borderline ovarian tumors- how does it impact disease outcome? A cohort study.
    Acta Obstet Gynecol Scand 2017 Aug 16. Epub 2017 Aug 16.
    Sheba Medical Center, Tel Hashomer, Tel Aviv University, Tel Aviv, Israel.
    Introduction: Borderline ovarian tumors are typically indolent neoplasms. Since many are diagnosed in younger women, fertility conservation is an important consideration and has been advocated based on retrospective data. The objective of this study was to identify features impacting on recurrence and survival in a series of borderline ovarian tumors, and to assess the safety of a fertility-sparing approach. Read More

    Adjustable mini-sling compared with conventional mid-urethral slings in women with urinary incontinence. A randomized controlled trial.
    Acta Obstet Gynecol Scand 2017 Aug 16. Epub 2017 Aug 16.
    Department of Obstetrics and Gynecology, Skåne University Hospital, Lund University, Lund, Sweden.
    Introduction: The primary aim of this study was to compare the objective and subjective outcomes and short-term complication rates of an adjustable single-incision mini-sling (SIMS) vs. standard mid-urethral slings (SMUS). The secondary aim was to report pain perception and complications at the one-year follow up. Read More

    Clusters of week-specific maternal gestational weight gain pattern and their association with birthweight:an observational cohort study.
    Acta Obstet Gynecol Scand 2017 Aug 16. Epub 2017 Aug 16.
    Department of Obstetrics, Obstetrics and Gynecology Hospital of Fudan University, Shanghai.
    Introduction: Gestational weight gain (GWG) varies widely among different populations, and an inappropriate GWG is associated with adverse pregnancy outcomes. We aimed to investigate week-specific serial changes in GWG in an urban Chinese population to derive clusters of GWG pattern and explore the impact of GWG patterns on birthweight.

    Material And Methods: This was an observational cohort study of 6130 women delivered at a university hospital in Shanghai, China. Read More

    Maternal and neonatal outcomes following abnormally invasive placenta: a population-based record linkage study.
    Acta Obstet Gynecol Scand 2017 Aug 14. Epub 2017 Aug 14.
    Clinical and Population Perinatal Health Research, Kolling Institute, Northern Sydney Local Health District, St Leonards, New South Wales, Australia.
    Introduction: Abnormally invasive placenta involves abnormal adherence of the placenta to the myometrium and is associated with severe pregnancy complications such as blood transfusion and hysterectomy. Knowledge of outcomes has been limited by small sample sizes and a focus on maternal rather than neonatal outcomes. This study uses population-level data collected over 10 years to investigate maternal and neonatal outcomes and trends in incidence of abnormally invasive placenta (also known as placenta accreta, increta and percreta). Read More

    Insulin resistance in pregnant women with and without polycystic ovary syndrome, and measures of body composition in offspring at birth and three years of age.
    Acta Obstet Gynecol Scand 2017 Aug 14. Epub 2017 Aug 14.
    Department of Endocrinology, Odense University Hospital, Odense, Denmark.
    Introduction: Polycystic ovary syndrome is associated with obesity and insulin resistance in the non-pregnant state, but little is known about insulin sensitivity in the pregnant state. Our objective was to compare insulin resistance in pregnant women with and without polycystic ovary syndrome and explore the impact of polycystic ovary syndrome on body composition in offspring at birth and at three years of age.

    Material And Methods: A prospective cohort study including 2548 live-born singleton mother-child pairs residing in Odense municipality, Denmark, during 2010-2013. Read More

    A national, prospective observational study of first recurrence after primary treatment for gynecological cancer in Norway.
    Acta Obstet Gynecol Scand 2017 Aug 10. Epub 2017 Aug 10.
    Department of Gynecologic Oncology, Oslo University Hospital, Norwegian Radium Hospital, Oslo.
    Introduction: Gynecological cancer patients are routinely followed up for 5 years after primary treatment. However, the value of such follow-up has been debated, as retrospective studies indicate that first recurrence is often symptomatic and occurs within 2-3 years of primary treatment. We prospectively investigated time to first recurrence, symptoms at recurrence, diagnostic procedures, and recurrence treatment in gynecological cancer patients after primary curative treatment. Read More

    E-cigarette use in pregnancy: a human rights-based approach to policy and practice.
    Acta Obstet Gynecol Scand 2017 Aug 8. Epub 2017 Aug 8.
    Center for Tobacco Control Research and Education, University of California San Francisco, San Francisco, CA, USA.
    The health risks associated with e-cigarette use in pregnancy are mostly unknown. Guidelines by the World Health Organization and national health agencies warn women against using e-cigarettes in pregnancy; however, in the UK, a recent multiagency guideline takes a different approach by not discouraging e-cigarette use in pregnancy. Furthermore, e-Voke(™) , an e-cigarette, has been approved for use in pregnancy in the UK. Read More

    Prematurity and neonatal outcome including congenital malformations after maternal malignancy within six months prior to or during pregnancy.
    Acta Obstet Gynecol Scand 2017 Aug 4. Epub 2017 Aug 4.
    Department of Obstetrics and Gynecology, Lund University, Lund, Sweden.
    Introduction: The proportion of women who postpone childbearing is increasing. As malignancy risk increases with age, pregnancy in connection with malignancy will become more common.

    Material And Methods: We compared infants born 1994-2011 to women with a malignancy within six months prior to the last menstrual period or during pregnancy with offspring of women without a previous malignancy. Read More

    Fertility options in transgender and gender diverse adolescents.
    Acta Obstet Gynecol Scand 2017 Jul 31. Epub 2017 Jul 31.
    Vancouver Coastal Health & Provincial Health Services, Vancouver, BC.
    Transgender coverage in media is becoming more commonplace and children and adolescents from resource-rich countries are accessing transgender healthcare at an exponentially increasing rate. What factors should care providers, adolescents and parents/guardians or caretakers take into consideration with respect to fertility? The World Professional Association for Transgender Health (WPATH) is the only global interdisciplinary association that is solely devoted to transgender health. This article is protected by copyright. Read More

    Information about first-trimester screening and self-reported distress among pregnant women and partners - comparing two methods of information giving in Sweden.
    Acta Obstet Gynecol Scand 2017 Jul 25. Epub 2017 Jul 25.
    Department of Clinical Science, Intervention and Technology, Karolinska Institutet and Center for Fetal Medicine, Karolinska University Hospital, Stockholm, Sweden.
    Introduction: Balanced information before prenatal diagnosis (PND) aims to help expectant parents to make an informed choice. However, it is important that the information does not increase the expectant parents' psychological distress. The aim was to examine psychological distress among expectant parents, before and after receiving information about PND, to evaluate the possible differences between two different procedures of information giving, and to evaluate the association between satisfaction with the information and psychological distress. Read More

    The fetuses-at-risk approach: survival analysis from a fetal perspective.
    Acta Obstet Gynecol Scand 2017 Jul 25. Epub 2017 Jul 25.
    Departments of Pediatrics and of Epidemiology, Biostatistics and Occupational Health, McGill University Faculty of Medicine, Montreal, QC, Canada.
    Several phenomena in contemporary perinatology create challenges for analyzing pregnancy outcomes. These include recent increases in iatrogenic delivery at late preterm and early term gestation, which are incongruent with the belief that stillbirth and neonatal death risks decrease exponentially with advancing gestational age. Perinatal epidemiologists have also puzzled over the paradox of intersecting birthweight-specific and gestational age-specific perinatal mortality curves for decades. Read More

    Is there a revision needed of the current FIGO staging system?
    Acta Obstet Gynecol Scand 2017 Jul 18. Epub 2017 Jul 18.
    Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, E. Wolfson Medical Center, Holon, Israel.
    The FIGO staging system has undergone many modifications since it first appeared in about the middle of the previous century. Due to the use of modern diagnostic tools, namely computed tomography, magnetic resonance imaging, positron emission tomography, sentinel lymph node biopsy and neoadjuvant chemotherapy, certain gynecological cancer cases cannot be allocated to a specific stage if one wishes to adhere strictly to FIGO requirements. In these circumstances such cases actually remain unstaged. Read More

    Self-management of stress urinary incontinence via a mobile app: two-year follow-up of a randomized controlled trial.
    Acta Obstet Gynecol Scand 2017 Jul 17. Epub 2017 Jul 17.
    Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
    Introduction: We investigated the long-term effects of using a mobile app to treat stress urinary incontinence with a focus on pelvic floor muscle training.

    Material And Methods: A previous randomized controlled trial of 123 women aged 27-72 years found that three months of self-managing stress urinary incontinence with support from the Tät(®) app was effective. We followed up the women in the app group (n = 62) two years after the initial trial with the same primary outcomes for symptom severity (International Consultation on Incontinence Questionnaire Short Form) and condition-specific quality of life (ICIQ-Lower Urinary Tract Symptom Quality of Life) and compared the scores with those at baseline. Read More

    Targeted antenatal anti-D prophylaxis program for RhD-negative pregnant women - outcome of the first two years of a national program in Finland.
    Acta Obstet Gynecol Scand 2017 Jul 17. Epub 2017 Jul 17.
    Finnish Red Cross Blood Service, Helsinki, Finland.
    Introduction: The aim of this study was to assess the accuracy of the non-invasive fetal RHD test at 24-26 weeks of gestation as part of the national antenatal screening program to target routine antenatal anti-D prophylaxis (RAADP) at 28-30 weeks at women carrying an RhD-positive fetus.

    Material And Methods: A prospective cohort study involving all maternity care centers and delivery hospitals in Finland between February 2014 and January 2016. Fetal RHD genotyping using cell-free fetal DNA in maternal plasma was performed with real-time polymerase chain reaction in a centralized setting. Read More

    Human papillomavirus infects placental trophoblast and Hofbauer cells, but appears not to play a causal role in miscarriage and preterm labor.
    Acta Obstet Gynecol Scand 2017 Jul 12. Epub 2017 Jul 12.
    Center for Clinical Research, North Denmark Regional Hospital, Hjørring, Denmark.
    Introduction: Recently, an association between human papillomavirus infection and both spontaneous abortion and spontaneous preterm delivery was suggested. However, the reported human papillomavirus prevalence in pregnant women varies considerably and reliable conclusions are difficult. We aimed to investigate human papillomavirus infection in placental tissue of a Danish study cohort. Read More

    Accelerated fetal growth in early pregnancy and risk of severe large-for-gestational-age and macrosomic infant: a cohort study in a low-risk population.
    Acta Obstet Gynecol Scand 2017 Jul 6. Epub 2017 Jul 6.
    Clinical Epidemiology Unit, Department of Medicine Solna, Karolinska University Hospital and Institutet, Stockholm, Sweden.
    Introduction: The objective was to examine the association between fetal growth in early pregnancy and risk of severe large-for-gestational-age (LGA) and macrosomia at birth in a low-risk population.

    Material And Methods: Cohort study that included 68 771 women with non-anomalous singleton pregnancies, without history of diabetes or hypertension, based on an electronic database on pregnancies and deliveries in Stockholm-Gotland Region, Sweden, 2008-2014. We performed multivariable logistic regression to estimate the association between accelerated fetal growth occurring in the first through early second trimester as measured by ultrasound and LGA and macrosomia at birth. Read More

    Characterizing levator-ani muscle stiffness pre- and post-childbirth in European and Polynesian women in New Zealand: a pilot study.
    Acta Obstet Gynecol Scand 2017 Jun 30. Epub 2017 Jun 30.
    Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand.
    Introduction: The influence of levator-ani muscles on second-stage labor is poorly understood. The ability of these muscles to stretch without damage may affect birth outcomes, but little is known about material properties, effects of pregnancy and/or ethnicity on levator-ani stiffness. There are strong associations between muscle damage and subsequent pelvic floor disorders. Read More

    Pregnancy outcome in women with cystic fibrosis-related diabetes.
    Acta Obstet Gynecol Scand 2017 Jun 24. Epub 2017 Jun 24.
    Cystic Fibrosis Adult Referral Care Center, Department of Internal Medicine, Civil Hospices of Lyon, EA-HESPER7425, University of Lyon, Lyon, France.
    Introduction: With increasing life expectancy, more women with cystic fibrosis and diabetes mellitus become pregnant. We investigated how pre-gestational diabetes (cystic fibrosis-related diabetes) influenced pregnancy outcome and the clinical status of these women.

    Material And Methods: We analyzed all pregnancies reported to the French cystic fibrosis registry between 2001 and 2012, and compared forced expiratory volume (FEV1 ) and body mass index before and after pregnancy in women with and without pre-gestational diabetes having a first delivery. Read More

    Early insights into Zika's microcephaly physiopathology from the epicenter of the outbreak: teratogenic apoptosis in the central nervous system.
    Acta Obstet Gynecol Scand 2017 Sep;96(9):1039-1044
    Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil.
    Fetal infection by the Zika virus has been implicated in the exceptional rise in the number of microcephalic newborns recorded by the end of 2015 in Brazil. The mechanism by which this teratogenic effect is produced in the developing brain has not been fully established. Very early in the outbreak, we addressed this question by evaluating available initial data from a gestational and postnatal clinical investigation in the Brazilian state of Pernambuco. Read More

    Hysterectomy trends in Australia, 2000-2001 to 2013-2014: joinpoint regression analysis.
    Acta Obstet Gynecol Scand 2017 Jun 19. Epub 2017 Jun 19.
    Centre for Longitudinal and Life Course Research, School of Public Health, University of Queensland, Herston, QLD, Australia.
    Introduction: Hysterectomy is a common gynecological procedure, particularly in middle and high income countries. The aim of this paper was to describe and examine hysterectomy trends in Australia from 2000-2001 to 2013-2014.

    Material And Methods: For women aged 25 years and over, data on the number of hysterectomies performed in Australia annually were sourced from the National Hospital and Morbidity Database. Read More

    Delivery parameters, neonatal parameters and incidence of urinary incontinence six months postpartum: a cohort study.
    Acta Obstet Gynecol Scand 2017 Jun 19. Epub 2017 Jun 19.
    Research Group for General Practice, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
    Introduction: Contradictory results have been reported regarding most delivery parameters as risk factors for urinary incontinence. We investigated the association between the incidence of urinary incontinence six months postpartum and single obstetric risk factors as well as combinations of risk factors.

    Material And Methods: This study was based on the Norwegian Mother and Child Cohort Study, conducted by the Norwegian Institute of Public Health during 1998-2008. Read More

    ZEB1 expression is a potential indicator of invasive endometriosis.
    Acta Obstet Gynecol Scand 2017 Sep 7;96(9):1128-1135. Epub 2017 Jul 7.
    Division of Gene Regulation, Institute for Advanced Medical Research, Keio University School of Medicine, Tokyo, Japan.
    Introduction: Although endometriosis is a benign disease, it shares some features with cancers, such as invasiveness and the potential to metastasize. This study sought to investigate the epithelial-mesenchymal transition status in human endometriotic lesions.

    Material And Methods: Thirteen endometriosis patients and 10 control women without endometriosis undergoing surgery for benign indications were recruited. Read More

    Vitamin D insufficiency, preterm delivery and preeclampsia in women with type 1 diabetes - an observational study.
    Acta Obstet Gynecol Scand 2017 Jun 7. Epub 2017 Jun 7.
    Center for Pregnant Women with Diabetes, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
    Introduction: The aim was to evaluate whether vitamin D insufficiency is associated with preterm delivery and preeclampsia in women with type 1 diabetes.

    Material And Methods: An observational study of 198 pregnant women with type 1 diabetes. 25-Hydroxy-Vitamin D and HbA1c were measured in blood samples in early (median 8 weeks, range 5-14) and late (34 weeks, range 32-36) pregnancy. Read More

    Routine provision of intrauterine contraception at elective cesarean section in a national public health service: a service evaluation.
    Acta Obstet Gynecol Scand 2017 Sep 7;96(9):1144-1151. Epub 2017 Jul 7.
    NHS Lothian, Chalmers center, Edinburgh, UK.
    Introduction: We conducted a prospective health service evaluation to assess the feasibility and acceptability of routinely offering insertion of intrauterine contraception at cesarean section in a maternity setting in the UK.

    Material And Methods: One month before scheduled cesarean section, women were sent information about postpartum contraception including the option of insertion of an intrauterine contraception at cesarean. Women choosing intrauterine contraception (copper intrauterine device or levonorgestrel intrauterine system) were followed up in person at six weeks, and telephone contact was made at three, six and 12 months postpartum. Read More

    Tonic immobility during sexual assault - a common reaction predicting post-traumatic stress disorder and severe depression.
    Acta Obstet Gynecol Scand 2017 Aug 22;96(8):932-938. Epub 2017 Jun 22.
    Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden.
    Introduction: Active resistance is considered to be the 'normal' reaction during rape. However, studies have indicated that similar to animals, humans exposed to extreme threat may react with a state of involuntary, temporary motor inhibition known as tonic immobility. The aim of the present study was to assess the occurrence of tonic immobility during rape and subsequent post-traumatic stress disorder and severe depression. Read More

    Modified posterior pelvic exenteration for advanced ovarian malignancies: a single-institution study of 35 cases.
    Acta Obstet Gynecol Scand 2017 Sep 6;96(9):1136-1143. Epub 2017 Jul 6.
    Department of Pathology, University Hospital Brno, Brno, Czech Republic.
    Introduction: This study aimed to investigate the possible benefits of a complete cytoreduction in patients with advanced ovarian cancer and concomitant rectal invasion. Furthermore, we evaluated the morbidity associated with radical surgery.

    Material And Methods: A retrospective analysis examined 35 women who underwent radical surgery in the form of modified posterior pelvic exenteration. Read More

    Pregnancy outcomes after liver transplantation in Finland.
    Acta Obstet Gynecol Scand 2017 Sep 7;96(9):1106-1111. Epub 2017 Jul 7.
    Department of Obstetrics and Gynecology, University of Turku and Turku University Hospital, Turku, Finland.
    Introduction: Pregnancy after liver transplantation is possible but associated with increased risk of obstetrical complications. We report here for the first time the pregnancy outcomes after liver transplantation in Finland.

    Material And Methods: All of the 25 pregnancies ending in deliveries after liver transplantation in Finland in 1998-2015 were analyzed. Read More

    Echographic features and perinatal outcomes in fetuses with congenital absence of ductus venosus.
    Acta Obstet Gynecol Scand 2017 Jun 2. Epub 2017 Jun 2.
    Department of Obstetrics and Gynecology, Hospital Universitario Materno Infantil de Canarias, Las Palmas de Gran Canaria, Spain.
    Introduction: The purpose of this study was to describe the echographic features and perinatal outcomes of fetuses with absence of ductus venosus.

    Material And Methods: Retrospective review of 10 cases with absence of ductus venosus diagnosed by prenatal ultrasonography between January 2014 and February 2016 at a single referral center. Prenatal findings, umbilical shunting type, perinatal outcomes, and autopsy reports were reviewed. Read More

    1 OF 188