10,096 results match your criteria Acta Obstetricia et Gynecologica Scandinavica[Journal]


Role of prenatal magnetic resonance imaging in fetuses with isolated agenesis of corpus callosum in the era of fetal neurosonography: a systematic review and meta-analysis.

Acta Obstet Gynecol Scand 2020 Jul 11. Epub 2020 Jul 11.

Center for Fetal Care and High-risk Pregnancy, Department of Obstetrics and Gynecology, University Hospital of Chieti, Chieti, Italy.

Introduction: Corpus callosum agenesis (ACC) is frequently diagnosed during fetal life; its prognosis depends also on additional anomalies. The additional value of fetal magnetic resonance imaging (MRI) in fetuses with 'isolated' complete (cACC) and partial (pACC) agenesis of the corpus callosum on ultrasound is still debated.

Material And Methods: We performed a systematic literature review and meta-analysis including fetuses with a prenatal diagnosis of cACC and pACC without associated structural anomalies on ultrasound, undergoing fetal MRI. Read More

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http://dx.doi.org/10.1111/aogs.13958DOI Listing

Postpartum urinary retention in women undergoing instrumental delivery: a cross sectional analytic study.

Acta Obstet Gynecol Scand 2020 Jul 11. Epub 2020 Jul 11.

Department of Obstetrics & Gynecology, Jawaharlal Institute of Medical Education & Research, Puducherry, India.

Introduction: Women undergoing instrumental delivery are known to be at higher risk of urinary retention, which can lead to long term complications such as voiding dysfunction Nulliparous women undergo a pronounced and sudden change in perineum due to stretching during delivery which may add to the perineal trauma from an episiotomy, increasing the risk of urinary retention. We aim to study the incidence and risk factors associated with postpartum urinary retention in women undergoing instrumental delivery.

Material And Methods: Pregnant women who had instrumental delivery after 37 weeks of gestation, at JIPMER, Puducherry, India between January - June 2017 were included in the study. Read More

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http://dx.doi.org/10.1111/aogs.13954DOI Listing
July 2020
1.985 Impact Factor

Uterocervical angle as a predictor of preterm birth on a high risk collective between 20 and 31 weeks of gestation: a cohort analysis.

Acta Obstet Gynecol Scand 2020 Jul 10. Epub 2020 Jul 10.

Department of Obstetrics and Gynecology, Rostock University Medical Center, Rostock, Germany.

Introduction: The cervical length (CL) measurement is a widely used method to estimate the risk of preterm birth. In particular due to the high false-positive rate the establishment of markers with improved test characteristics is a great challenge. A potential predictor of preterm birth is the uterocervical angle (UCA) and an additional measurement may improve the risk assessment. Read More

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http://dx.doi.org/10.1111/aogs.13955DOI Listing

Fetal dynamic magnetic resonance imaging using Doppler ultrasound gating for the assessment of the aortic isthmus: a feasibility study.

Acta Obstet Gynecol Scand 2020 Jul 10. Epub 2020 Jul 10.

Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Introduction: Cardiovascular magnetic resonance imaging (MRI) is established in the cardiac evaluation in postnatal life, but its application to the fetus has been hampered by technical limitations. We aimed to investigate the feasibility of dynamic (MRI) of the fetal aortic isthmus using a magnetic resonance-compatible Doppler ultrasound device for cardiac gating.

Material And Methods: This prospective study included 19 fetuses at a median gestational age of 32. Read More

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http://dx.doi.org/10.1111/aogs.13957DOI Listing

Association between utilization and quality of antenatal care with stillbirths in four tertiary hospitals in a low income urban setting.

Acta Obstet Gynecol Scand 2020 Jul 10. Epub 2020 Jul 10.

Department of Human Anatomy, University of Nairobi, Nairobi, Kenya.

Introduction: About 2.6 million stillbirths per year occur globally with 98% occurring in low and middle income countries including Kenya where an estimated 35,000 stillbirths occur annually. Most studies have focused on the direct causes of stillbirth. Read More

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http://dx.doi.org/10.1111/aogs.13956DOI Listing

Association of traction force and adverse neonatal outcome in vacuum assisted vaginal delivery: a prospective cohort study.

Acta Obstet Gynecol Scand 2020 Jul 9. Epub 2020 Jul 9.

Children and Women´s Health, Karolinska University hospital, Stockholm, Sweden.

Introduction: Traction force is a possible risk factor for adverse neonatal outcome in vacuum extraction delivery, but the knowledge is scarce and further investigation is needed. Our hypothesis was that high level traction force increases the risk of admission to the neonatal intensive care unit.

Material And Methods: The study was a hospital based prospective cohort study on low and mid vacuum extractions at the labor and delivery ward, Karolinska University hospital, Huddinge, Sweden. Read More

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http://dx.doi.org/10.1111/aogs.13952DOI Listing

The completeness and accuracy of the Norwegian Female Incontinence Registry.

Acta Obstet Gynecol Scand 2020 Jul 8. Epub 2020 Jul 8.

Department of Obstetrics and Gynecology, Oslo University Hospital, Oslo, Norway.

Introduction: Medical quality registries have gained popularity as tools for monitoring the quality of medical treatments and serve as data source for research. The Norwegian Female Incontinence Registry (NFIR) was established in 1998 to monitor and improve the quality of surgery for women with stress and mixed urinary incontinence in Norway and to collect data for research. The present study aimed to assess the completeness and accuracy of the Norwegian Female Incontinence Registry, and potential differences in data accuracy over time and according to surgical volume of the reporting hospitals. Read More

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http://dx.doi.org/10.1111/aogs.13951DOI Listing

Perinatal and perioperative factors associated with mortality and an increased need for hospital care in infants with transposition of the great arteries: a nationwide 11-year population-based cohort.

Acta Obstet Gynecol Scand 2020 Jul 8. Epub 2020 Jul 8.

Department of Pediatric Cardiology, Children's Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Introduction: Newborns with transposition of the great arteries (d-TGA) need immediate care for an optimal outcome. This study comprised a nationwide 11-year population-based cohort of d-TGA infants, and assessed whether the implementation of a nationwide systematic fetal screening program, or other perinatal - or perioperative factors, are associated with mortality or an increased need for hospital care.

Material And Methods: The national cohort consisted of all live-born infants with simple d-TGA (TGA +/- small ventricular septal defect, n = 127) born in Finland during 2004-2014. Read More

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http://dx.doi.org/10.1111/aogs.13953DOI Listing

Adverse pregnancy outcomes and maternal health: action needed for long-term benefit.

Acta Obstet Gynecol Scand 2020 Jul 1. Epub 2020 Jul 1.

Department of Clinical Intervention, Science & Technology (CLINTEC), Karolinksa Institutet, Stockholm, Sweden.

In recent years, high-quality evidence has been accumulating that pregnancy complications are linked to a range of chronic diseases in later life. Pregnancy is regarded as a metabolic "stress test" which may unmask women's underlying risk of future cardiovascular disease (CVD) or chronic kidney disease (CKD). However, the potential for this information to be used in long-term cardio-renal risk reduction has not been fully realised. Read More

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http://dx.doi.org/10.1111/aogs.13945DOI Listing

Unplanned out-of-hospital deliveries in Finland: a national register study on incidence, characteristics and maternal and infant outcomes.

Acta Obstet Gynecol Scand 2020 Jul 1. Epub 2020 Jul 1.

Department of Pediatrics, Tampere University Hospital, Tampere, Finland.

Introduction: Unplanned out-of-hospital deliveries (UOHDs) have earlier been related to higher perinatal mortality and morbidity, but recent research has not given much attention to them. Our aim was to evaluate the incidence, characteristics, risk factors, and maternal and perinatal mortality and morbidity in UOHDs in Finland.

Material And Methods: We conducted a national register study on births, causes of death, and congenital anomalies for all live and stillbirths over 1996-2013. Read More

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http://dx.doi.org/10.1111/aogs.13947DOI Listing

Induction of labor and nulliparity: a nation-wide clinical practice pilot evaluation.

Acta Obstet Gynecol Scand 2020 Jul 1. Epub 2020 Jul 1.

Department of Obstetrics and Gynecology, Oslo University Hospital, Oslo, Norway.

Introduction: Induction of labor has become an increasingly common obstetric procedure. However, in nulliparous women or women with a previous cesarean section, induction of labor can pose a clinical challenge. Despite an overall expansion of medical indications for labor induction, there is little international consensus regarding the criteria for induction of labor, or for the recommended methods among nulliparous women. Read More

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http://dx.doi.org/10.1111/aogs.13948DOI Listing

Combined transcervical endometrial resection and levonorgestrel device treatment compared to transcervical endometrial resection for abnormal uterine bleed.

Acta Obstet Gynecol Scand 2020 Jul 1. Epub 2020 Jul 1.

Department. of Obstetrics and Gynecology, Odense University Hospital, Odense, Denmark.

Introduction: Transcervical resection of the endometrium (TCRE) is a first line surgical treatment of abnormal uterine bleeding. However, many patients experience unsuccessful results, causing hysterectomy in up 17% of cases. The aim of this study was to describe the odds of hysterectomy in patients with abnormal uterine bleeding, treated with TCRE and Levonorgestrel intrauterine device (TCRE+LNG-IUD) or TCRE alone. Read More

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http://dx.doi.org/10.1111/aogs.13949DOI Listing

Botulinum toxin injection for chronic pelvic pain: a systematic review.

Acta Obstet Gynecol Scand 2020 Jun 29. Epub 2020 Jun 29.

Department of Obstetrics and Gynecology, Cumming School of Medicine, University of Calgary, Calgary, Canada.

Introduction: Botulinum toxin has proven therapeutic effects in alleviating pain in several myofascial disorders, with an expanding potential in chronic pelvic pain. The objective of this systematic review is to evaluate the efficacy and safety of botulinum toxin injection as an off-label treatment for female chronic pelvic pain.

Material And Methods: Using PRISMA guidelines, MEDLINE, EBM Reviews, PubMed, CINAHL, TRIP Database, EMBASE, Web of Science and gray literature were searched. Read More

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http://dx.doi.org/10.1111/aogs.13946DOI Listing

Placental location and risk of retained placenta in women with a previous caesarean section: A population-based cohort study.

Acta Obstet Gynecol Scand 2020 Jun 23. Epub 2020 Jun 23.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Introduction: Some studies have shown that women with a previous cesarean section, compared with women with a previous vaginal delivery, have an increased risk of retained placenta during a subsequent vaginal delivery. It is unknown whether this is mediated by anterior placental location, when the placenta might cover the uterine scar. The aim of this study was to evaluate whether the increased risk of retained placenta in women with a previous cesarean section is mediated by anterior placental location. Read More

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http://dx.doi.org/10.1111/aogs.13943DOI Listing

Information on early medical abortion for women using an audiovisual animation versus face-to-face consultation: A consortium randomized and quasi-randomized trial.

Acta Obstet Gynecol Scand 2020 Jun 23. Epub 2020 Jun 23.

MRC Centre for Reproductive Healthcare, University of Edinburgh, Edinburgh, UK.

Introduction: There is some evidence that audiovisual formats can be an effective way of providing information about early medical abortion (EMA). A short animation (3 minutes) was developed about EMA in three languages that summarized the EMA process for use in the UK, France and Sweden.

Material And Methods: We conducted a multicenter randomized controlled trial to compare information on EMA delivered by an animated film versus a face-to-face consultation. Read More

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http://dx.doi.org/10.1111/aogs.13944DOI Listing

Assessment of the cervix in pregnant women with a history of cervical insufficiency during the first trimester using elastography.

Acta Obstet Gynecol Scand 2020 Jun 21. Epub 2020 Jun 21.

Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan.

Introduction: To investigate changes in first trimester cervical elastography, cervical length and endocervical canal width in pregnant women with a history of cervical insufficiency, and further discuss the possibility of using these markers as predictors of cervical insufficiency in early pregnancy.

Material And Methods: This was an observational ultrasound study of first trimester cervical changes in singleton pregnancies between January 2016 and June 2018. Cervical elastography, cervical length and endocervical canal width were measured during the first trimester. Read More

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http://dx.doi.org/10.1111/aogs.13942DOI Listing

Is obesity in pregnancy associated with signs of chronic fetal hypoxia?

Acta Obstet Gynecol Scand 2020 Jun 18. Epub 2020 Jun 18.

Department of Clinical Science and Education, Unit of Obstetrics and Gynecology, Karolinska Institute, Södersjukhuset Hospital, Stockholm, Sweden.

Introduction: The prevalence of obesity in pregnancy is increasing worldwide. Maternal obesity increases risks of severe fetal and neonatal complications. The underlying pathophysiological mechanisms are unclear. Read More

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http://dx.doi.org/10.1111/aogs.13941DOI Listing

Planned delivery route and outcomes of cephalic singletons born spontaneously at 24-31 weeks' gestation: The EPIPAGE-2 cohort study.

Acta Obstet Gynecol Scand 2020 Jun 18. Epub 2020 Jun 18.

Pôle Femme Mère Nouveau-né, CHU Lille, Jeanne de Flandre Hospital, University of Lille, Lille, France.

Introduction: The objective of this study was to investigate the association between planned mode of delivery and neonatal outcomes with spontaneous very preterm birth among singletons in cephalic presentation.

Material And Methods: Etude Epidémiologique sur les Petits Ages Gestationnels 2 is a French national, prospective, population-based cohort study of preterm infants. For this study, we included women with a singleton cephalic pregnancy and spontaneous preterm labor or preterm premature rupture of membranes at 24-31 weeks' gestation. Read More

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http://dx.doi.org/10.1111/aogs.13939DOI Listing

Family history and risk of miscarriage: A systematic review and meta-analysis of observational studies.

Acta Obstet Gynecol Scand 2020 Jun 18. Epub 2020 Jun 18.

Aberdeen Centre for Women's Health Research, Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.

Introduction: Miscarriage, a spontaneous pregnancy loss at <24 weeks' gestation, is a common complication of pregnancy but the etiologies of miscarriage and recurrent miscarriage are not fully understood. Other obstetric conditions such as preeclampsia and preterm birth, which may share similar pathophysiology to miscarriage, exhibit familial patterns, suggesting inherited predisposition to these conditions. Parental genetic polymorphisms have been associated with unexplained miscarriage, suggesting there could be a genetically inherited predisposition to miscarriage. Read More

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http://dx.doi.org/10.1111/aogs.13940DOI Listing

The use of magnetic resonance imaging to predict placenta previa with placenta accreta spectrum.

Acta Obstet Gynecol Scand 2020 Jun 15. Epub 2020 Jun 15.

Department of Obstetrics and Gynecology, National Defense Medical College Hospital, Tokorozawa, Saitama, Japan.

Introduction: Massive hemorrhage due to placenta previa with placenta accreta spectrum is associated with high maternal mortality and morbidity. Therefore, accurate prediction of placenta previa with placenta accreta spectrum is essential and magnetic resonance imaging (MRI) is a useful tool for this purpose. This study investigated novel predictors of anterior and posterior placenta previa with placenta accreta spectrum using MRI. Read More

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http://dx.doi.org/10.1111/aogs.13937DOI Listing

Jarl A. Kahn (09 May 1943-16 May 2020).

Acta Obstet Gynecol Scand 2020 Jul 12;99(7):955. Epub 2020 Jun 12.

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http://dx.doi.org/10.1111/aogs.13934DOI Listing

The psychological impact of abortion as a predictive factor for pain experienced during medical termination.

Acta Obstet Gynecol Scand 2020 Jun 11. Epub 2020 Jun 11.

Faculty of Medical and Human Sciences, University of Manchester, Manchester, UK.

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http://dx.doi.org/10.1111/aogs.13932DOI Listing

Prenatal ultrasound and magnetic resonance evaluation and fetal outcome in high-risk fetal tumors: A retrospective single-center cohort study over 20 years.

Acta Obstet Gynecol Scand 2020 Jun 11. Epub 2020 Jun 11.

Division of Neuroradiology and Musculoskeletal Radiology, Department of Radiology, Medical University of Vienna, Vienna, Austria.

Introduction: Fetal tumors are rare and usually followed by poor outcome. We describe our single-center experience with fetal tumors evaluated by ultrasound and magnetic resonance imaging (MRI). Our aims were to evaluate mortality and morbidity including long-term outcome and to determine which ultrasound and MRI characteristics were helpful for pre- and perinatal management. Read More

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http://dx.doi.org/10.1111/aogs.13933DOI Listing

Maternal arterial blood gas values during delivery: Effect of mode of delivery, maternal characteristics, obstetric interventions and correlation to fetal umbilical cord blood.

Acta Obstet Gynecol Scand 2020 Jun 11. Epub 2020 Jun 11.

Department of Obstetrics and Gynecology, Institution of Clinical Sciences Malmö, Lund University, Lund, Sweden.

Introduction: Obstetricians routinely use biochemical parameters from non-pregnant women to assess the condition of the laboring mother. However, it is well known that pregnancy leads to significant physiological changes in most organ systems. The aim of this study was to determine normal values for maternal arterial blood gases during vaginal deliveries as compared with control values from planned cesarean sections. Read More

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http://dx.doi.org/10.1111/aogs.13936DOI Listing

BMP-6 and SMAD4 gene expression is altered in cumulus cells from women with endometriosis-associated infertility.

Acta Obstet Gynecol Scand 2020 Jun 10. Epub 2020 Jun 10.

Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

Introduction: Oocyte competence and quality depend on communication between the oocyte and the cumulus and theca cells. In the preantral phase, the members of the transforming growth factor β (TGF-β) superfamily are responsible for this communication and play an important role in folliculogenesis. Members of the TGF-β superfamily are related to endometriosis (overexpression in the ectopic endometrium); however, few studies have explored these proteins as influencing fertility in endometriosis. Read More

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http://dx.doi.org/10.1111/aogs.13931DOI Listing

Pregnancy in metabolic healthy and unhealthy obese women.

Acta Obstet Gynecol Scand 2020 Jun 3. Epub 2020 Jun 3.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Introduction: Obesity-associated adverse obstetric outcomes are well-known but still relatively rare and difficult to predict. Not all obese individuals are unhealthy; some have metabolically healthy obesity (MHO) and others have metabolic unhealthy obesity (MUO). Our aim was to investigate whether the MHO and MUO classification could be used for prediction of obesity-associated complications in pregnancy. Read More

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http://dx.doi.org/10.1111/aogs.13929DOI Listing

Claims for compensation from women with cervical cancer in Norway-A retrospective, descriptive study of a 12-year period.

Acta Obstet Gynecol Scand 2020 Jun 3. Epub 2020 Jun 3.

Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway.

Introduction: In Norway, all patient-reported claims for compensation are evaluated by The Norwegian System of Patient Injury Compensation (NPE). The number of claims from women with cervical cancer is rising, and the approval rate is high. Our aim was to study claims for compensation from women with cervical cancer to identify the type of failures, when, during the time-course of treatment, the medical failures occurred, and the consequences of the failures. Read More

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http://dx.doi.org/10.1111/aogs.13930DOI Listing

Anxiety and depression levels among pregnant women with COVID-19.

Acta Obstet Gynecol Scand 2020 07 13;99(7):953-954. Epub 2020 Jun 13.

Department of Obstetrics and Gynecology, North Middlesex University Hospital, London, UK.

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http://dx.doi.org/10.1111/aogs.13928DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7300632PMC

Coronavirus disease-2019 in pregnancy with neurological manifestations versus pregnancy with eclampsia: Need for liberal testing to rule out the masquerades.

Authors:
Sweta Singh

Acta Obstet Gynecol Scand 2020 Jul 9;99(7):950. Epub 2020 Jun 9.

All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India.

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http://dx.doi.org/10.1111/aogs.13927DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7300980PMC
July 2020
1.985 Impact Factor

Impact of smoking on gestational diabetes mellitus and offspring birthweight in primiparous women.

Acta Obstet Gynecol Scand 2020 May 28. Epub 2020 May 28.

Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Introduction: Smoking has been shown to affect glucose homeostasis and increase the risk for type 2 diabetes mellitus. Further, gestational diabetes mellitus (GDM) and smoking are known to influence offspring birthweight. The effect of smoking on glucose homeostasis in pregnancy is less studied and the findings are inconsistent. Read More

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http://dx.doi.org/10.1111/aogs.13924DOI Listing
May 2020
1.985 Impact Factor

Resources needed to teach midwife sonographers to measure cervical length with transvaginal ultrasound in the second trimester.

Acta Obstet Gynecol Scand 2020 May 28. Epub 2020 May 28.

Department of Obstetrics and Gynecology, Skåne University Hospital, Malmö, Sweden.

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http://dx.doi.org/10.1111/aogs.13926DOI Listing

Personalized medicine for the embryo and the fetus - Options in modern genetics influence preconception and prenatal choices.

Acta Obstet Gynecol Scand 2020 Jun;99(6):689-691

Center for Fetal Diagnostics, Department of Clinical Genetics, Aarhus University Hospital, Aarhus, Denmark.

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http://dx.doi.org/10.1111/aogs.13882DOI Listing

Uptrend in distress and psychiatric symptomatology in pregnant women during the coronavirus disease 2019 pandemic.

Acta Obstet Gynecol Scand 2020 07 3;99(7):848-855. Epub 2020 Jun 3.

CERVO Brain Research Center, Quebec City, QC, Canada.

Introduction: Prenatal maternal distress has a negative impact on the course of pregnancy, fetal development, offspring development, and later psychopathologies. The study aimed to determine the extent to which the coronavirus disease 2019 (COVID-19) pandemic may aggravate the prenatal distress and psychiatric symptomatology of pregnant women.

Material And Methods: Two cohorts of pregnant volunteer women were evaluated, one that was recruited before the COVID-19 pandemic (n = 496) through advertisements in prenatal clinics in Quebec, Canada, from April 2018 to March 2020; the other (n = 1258) was recruited online during the pandemic from 2 April to 13 April 2020. Read More

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http://dx.doi.org/10.1111/aogs.13925DOI Listing

Gestational age reference ranges for umbilical cord blood lactate: An external validation study of post-date pregnancies.

Acta Obstet Gynecol Scand 2020 May 22. Epub 2020 May 22.

Division of Obstetrics and Gynecology, Oslo University Hospital, Oslo, Norway.

A previous study published in 2008 by Wiberg et al demonstrated increasing umbilical cord blood lactate at delivery by gestational age in vigorous offspring (n = 10 169, gestational age 24-43 weeks). Based on these results the authors concluded that gestational age-independent umbilical cord lactate cut-off could give false-negative or false-positive diagnosis of lacticemia. To our knowledge, these findings have not been incorporated into clinical interpretations in delivery units. Read More

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http://dx.doi.org/10.1111/aogs.13922DOI Listing

Clinical course of coronavirus disease-2019 in pregnancy.

Acta Obstet Gynecol Scand 2020 07 10;99(7):839-847. Epub 2020 Jun 10.

Department of Obstetrics and Gynecology, University Hospital Puerta de Hierro Majadahonda, Autonoma University of Madrid, Madrid, Spain.

Introduction: The aim of this study is to report our clinical experience in the management of pregnant women infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the first 30 days of the coronavirus disease (COVID-19) pandemic.

Material And Methods: We reviewed clinical data from the first 60 pregnant women with COVID-19 whose care was managed at Puerta de Hierro University Hospital, Madrid, Spain from 14 March to 14 April 2020. Demographic data, clinical findings, laboratory test results, imaging findings, treatment received, and outcomes were collected. Read More

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http://dx.doi.org/10.1111/aogs.13921DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280597PMC

Pain during medical abortion in early pregnancy in teenage and adult women.

Acta Obstet Gynecol Scand 2020 May 22. Epub 2020 May 22.

The Department of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Introduction: Women experience pain during medical abortion, yet optimal pain management remains unclear. We studied the pain experience and need of analgesics during early medical abortion (≤63 days of gestation) among teenage and adult women. We also assessed predictive factors of severe pain. Read More

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http://dx.doi.org/10.1111/aogs.13920DOI Listing

Cervical length surveillance for predicting spontaneous preterm birth in women with uterine anomalies: A cohort study.

Acta Obstet Gynecol Scand 2020 May 21. Epub 2020 May 21.

Pregnancy Research Centre, Department of Maternal Fetal Medicine, The Royal Women's Hospital, Parkville, VIC, Australia.

Introduction: Uterine anomalies occur in an estimated 5% of women and have been shown to confer a higher risk of spontaneous preterm birth (SPTB). A sonographically short cervix (<25 mm) is a risk indicator for SPTB, although its predictive utility has been little studied in this specific high-risk population. We aimed to assess the pregnancy outcomes and predictive ability of short cervix in a cohort of women with uterine anomalies attending a high-risk antenatal clinic. Read More

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http://dx.doi.org/10.1111/aogs.13923DOI Listing

Augmentation of labor with oxytocin and its association with delivery outcomes: A large-scale cohort study in 12 public hospitals in Nepal.

Acta Obstet Gynecol Scand 2020 May 19. Epub 2020 May 19.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Introduction: The use of oxytocin to augment labor is increasing in many low-resource settings; however, little is known about the effects of such use in contexts where resources for intrapartum monitoring are scarce. In this study, we sought to assess the association between augmentation of labor with oxytocin and delivery outcomes.

Material And Methods: We conducted a cohort study in 12 public hospitals in Nepal, including all deliveries with and without augmentation of labor with oxytocin, but excluding elective cesarean sections, women with missing information on augmentation of labor, and women without fetal heart rate on admission. Read More

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http://dx.doi.org/10.1111/aogs.13919DOI Listing

Reproductive outcome after cesarean scar pregnancy: A systematic review and meta-analysis.

Acta Obstet Gynecol Scand 2020 May 18. Epub 2020 May 18.

Center for High Risk Pregnancy and Fetal Care, Department of Obstetrics and Gynecology, University of Chieti, Chieti, Italy.

Introduction: To evaluate subsequent reproductive among women with a prior cesarean scar pregnancy (CSP).

Material And Methods: MEDLINE, Embase and ClinicalTrials.gov databases were searched. Read More

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http://dx.doi.org/10.1111/aogs.13918DOI Listing
May 2020
1.985 Impact Factor

Pedagogy in a pandemic - COVID-19 and virtual continuing medical education (vCME) in obstetrics and gynecology.

Acta Obstet Gynecol Scand 2020 06 17;99(6):692-695. Epub 2020 May 17.

Department of Obstetrics and Gynecology, National University Hospital, Singapore.

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http://dx.doi.org/10.1111/aogs.13885DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276875PMC

Management of pregnancy after fertility-sparing surgery for cervical cancer.

Acta Obstet Gynecol Scand 2020 Jul 1;99(7):830-838. Epub 2020 Jun 1.

Department of Gynecology and Obstetrics, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

Cervical cancer is increasingly diagnosed in women who have not yet completed their reproductive plans. For women with early-stage disease (FIGO stage IA1-IB1), fertility-sparing procedures, such as conization, trachelectomy or radical trachelectomy, represent the treatments of choice. However, women who undergo repeated conization or trachelectomy represent a challenge for obstetricians because they are at increased risk of infertility, mid-trimester miscarriage, preterm premature rupture of membranes and preterm delivery. Read More

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http://dx.doi.org/10.1111/aogs.13917DOI Listing

Risk factors of unsuccessful vaginal twin delivery.

Acta Obstet Gynecol Scand 2020 May 16. Epub 2020 May 16.

Department of Obstetrics and Gynecology, Tampere University Hospital, Tampere, Finland.

Introduction: Twin trial of labor presents a challenge to obstetricians, as it is associated with a greater number of adverse birth outcomes compared with singleton deliveries. The risk of poor outcome has shown to be highest with unsuccessful vaginal twin delivery. The purpose of this study was to identify the clinical risk factors associated with intrapartum cesarean section in late preterm and term twin births. Read More

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http://dx.doi.org/10.1111/aogs.13916DOI Listing

Blood pressure and hypertension during pregnancy in women with polycystic ovary syndrome: Odense Child Cohort.

Acta Obstet Gynecol Scand 2020 May 15. Epub 2020 May 15.

Department of Endocrinology and Metabolism, Odense University Hospital, Odense, Denmark.

Introduction: The aim of this study was to compare blood pressure and prevalence of pregnancy-induced hypertension in women with polycystic ovary syndrome and the reference group throughout pregnancy.

Material And Methods: This retrospective study was part of the prospective study Odense Child Cohort. Pregnant women were recruited from January 2010 to December 2012. Read More

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http://dx.doi.org/10.1111/aogs.13914DOI Listing

Breast shield design impacts milk removal dynamics during pumping: A randomised controlled non-inferiority trial.

Acta Obstet Gynecol Scand 2020 May 13. Epub 2020 May 13.

Medela AG, Baar, Switzerland.

Introduction: While many studies have investigated the importance of optimising pumping patterns for milk removal, the influence of breast shield design on milk removal has not been the focus of extensive investigation. This study aimed to determine the effectiveness of breast shields with either a 105° or a 90° flange opening angle on breast drainage and milk volume expressed during pumping.

Material And Methods: This study was a cross-over, randomised controlled non-inferiority trial (Registration; NCT03091985). Read More

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http://dx.doi.org/10.1111/aogs.13897DOI Listing

Can a probiotic supplement in pregnancy result in transfer to the neonatal gut: A systematic review.

Acta Obstet Gynecol Scand 2020 May 13. Epub 2020 May 13.

UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, Dublin, Ireland.

Introduction: The establishment of the neonatal gut microbiome is a crucial step that may have lifelong health implications. We aimed to systematically review evidence on maternal probiotic supplementation during pregnancy and vertical transfer of the corresponding strain to the infant gut.

Material And Methods: Medline, CINAHL, Embase, Web of Science, and OVID were searched from inception to September 2018. Read More

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http://dx.doi.org/10.1111/aogs.13899DOI Listing

Second trimester cervical length measurements with transvaginal ultrasound: A prospective observational agreement and reliability study.

Acta Obstet Gynecol Scand 2020 May 11. Epub 2020 May 11.

Department of Medical Sciences Malmö, Lund University, Lund, Sweden.

Introduction: Universal screening for preterm delivery by adding transvaginal ultrasound measurement of cervical length to routine second trimester ultrasound has been proposed. The aim is to estimate inter- and intraobserver agreement and reliability of second trimester transvaginal ultrasound measurements of cervical length performed by specially trained midwife sonographers.

Material And Methods: This is a prospective reliability and agreement study performed in seven Swedish ultrasound centers. Read More

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http://dx.doi.org/10.1111/aogs.13895DOI Listing

Group-based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial.

Acta Obstet Gynecol Scand 2020 May 9. Epub 2020 May 9.

Department of Obstetrics and Gynecology, University Hospital of North Norway, Tromsø, Norway.

Introduction: Chronic pelvic pain in women is a complex condition, and physical therapy is recommended as part of a broader treatment approach. The objective of this study was to compare structured group-based multimodal physical therapy in a hospital setting (intervention group) with primary-care physical therapy (comparator group) for women with chronic pelvic pain.

Material And Methods: Women aged 20-65 years with pelvic pain ≥6 months and referred for physical therapy were eligible. Read More

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http://dx.doi.org/10.1111/aogs.13896DOI Listing

Public Health Agency of Sweden's Brief Report: Pregnant and postpartum women with severe acute respiratory syndrome coronavirus 2 infection in intensive care in Sweden.

Acta Obstet Gynecol Scand 2020 07 13;99(7):819-822. Epub 2020 Jun 13.

Public Health Agency of Sweden, Solna, Sweden.

The Public Health Agency of Sweden has analyzed how many pregnant and postpartum women with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have been treated in intensive care units (ICU) in Sweden between 19 March and 20 April 2020 compared with non-pregnant women of similar age. Cases were identified in a special reporting module within the Swedish Intensive Care Registry (SIR). Fifty-three women aged 20-45 years with SARS-CoV-2 were reported in SIR, and 13 of these women were either pregnant or postpartum (<1 week). Read More

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http://dx.doi.org/10.1111/aogs.13901DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273089PMC

Severe maternal morbidity and mortality associated with COVID-19: The risk should not be downplayed.

Acta Obstet Gynecol Scand 2020 07 13;99(7):815-816. Epub 2020 Jun 13.

Division of Obstetrics and Gynecology, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.

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http://dx.doi.org/10.1111/aogs.13900DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273078PMC

Professor emeritus Berndt Kjessler has passed away at the age of 86 in Stockholm, Sweden.

Acta Obstet Gynecol Scand 2020 Jun 7;99(6):809-810. Epub 2020 May 7.

Professor emeritus, Linköping, Sweden.

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http://dx.doi.org/10.1111/aogs.13889DOI Listing