8,190 results match your criteria Archives Of Gynecology And Obstetrics[Journal]


Trial of labor after cesarean in women with hypertensive disorders and no prior vaginal delivery.

Arch Gynecol Obstet 2022 May 16. Epub 2022 May 16.

Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Hadassah-Hebrew University Medical Center, POB 12000, 91120, Ramat-GanJerusalem, Israel.

Key Message: Trial of labor among women who never delivered vaginally with hypertensive disorder is associated with nearly half the success rate of the general population.

Purpose: To study the trial of labor after cesarean (TOLAC) among women with hypertensive disorders and no prior vaginal delivery.

Methods: A retrospective cohort study was conducted including women with no prior vaginal delivery undergoing TOLAC during 2010-2020. Read More

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Intrapartum ultrasound use in clinical practice as a predictor of delivery mode during prolonged second stage of labor.

Arch Gynecol Obstet 2022 May 16. Epub 2022 May 16.

Department of Obstetrics and Gynecology, Kaplan Medical Center, 76100, Rehovot, Israel.

Purpose: To determine the validity of intrapartum ultrasound (IPUS), and particularly the angle of progression (AOP), in predicting delivery mode when measured in real-life clinical practice among women with protracted second stages of labor.

Methods: Using electronic medical records, nulliparous women with a second stage of labor of ≥ 3 h ("prolonged") and a documented AOP measurement during the second stage were identified. The ability of a single AOP measurement in "prolonged" second stage to predict a vaginal delivery (VD) was assessed. Read More

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Endometriosis and pregnancy: a complication to be aware of.

Arch Gynecol Obstet 2022 May 15. Epub 2022 May 15.

Shamir Medical Center, Shamir Medical Center Assaf Harofeh, Beer Yaakov, Israel.

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Metabolomic analysis of endometrial cancer by high-resolution magic angle spinning NMR spectroscopy.

Arch Gynecol Obstet 2022 May 14. Epub 2022 May 14.

Reproductive Sciences & Advanced Bioinformatics Application & Research Center, Inonu University, Malatya, Turkey.

Purpose: To analyze endometrial metabolite profiles between patients with endometrial cancer and controls.

Methods: Seventeen (17) women with endometrium cancer and 18 controls were enrolled in this study. H HR-MAS (High Resolution-Magic Angle Spinning) NMR (Nuclear Magnetic Resonance) spectroscopy data obtained from endometrial tissue samples of patients with endometrial cancer and control group were analyzed with bioinformatics methods. Read More

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Prenatal diagnosis of acrania/exencephaly/anencephaly sequence (AEAS): additional structural and genetic anomalies.

Arch Gynecol Obstet 2022 May 12. Epub 2022 May 12.

Department of Gynecologic Oncology and Obstetrics, Professor Witold Orlowski Public Teaching Hospital, Warsaw, Poland.

Objectives: To analyse additional structural and genetic anomalies in fetuses with acrania/exencephaly/anencephaly sequence (AEAS).

Methods: A retrospective analysis of 139 fetuses with AEAS diagnosed between 2006 and 2020 in a single tertiary referral ultrasound department.

Results: The median gestational age at diagnosis decreased from 15 weeks in 2006 to 13 weeks in 2020 (- 0. Read More

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Comparison of intravenous paracetamol infusion versus intramuscular tramadol as labor analgesia: a randomized control trial.

Arch Gynecol Obstet 2022 May 12. Epub 2022 May 12.

Department of Obstetrics and Gynecology, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam, Puducherry, 605107, India.

Purpose: Labor pain is one of the most agonizing pains experienced by all delivered women. Many pharmacological agents used in labor analgesia require intense monitoring facilities, which are not available in routine obstetric practice in low-resource settings. This study aimed to compare the efficacy of intravenous (IV) paracetamol and intramuscular (IM) tramadol on labor pain relief, labor progression, and maternal and neonatal outcomes. Read More

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Development and psychometric properties of the human papillomavirus-quality of life (HPV-QoL) questionnaire to assess the impact of HPV on women health-related-quality-of-life.

Arch Gynecol Obstet 2022 May 13. Epub 2022 May 13.

EACCOS Research Group, Universidad Autónoma de Madrid, Madrid, Spain.

Purpose: The HPV-Quality-of-Life (HPV-QoL) questionnaire was developed to determine the impact of Human-Papillomavirus (HPV) infection and related interventions on women health-related quality-of-life. This study provides the development and preliminary psychometric properties of a novel HPV-QoL questionnaire for adult women with HPV.

Methods: After reviewing literature and cognitive debriefing interviews in women who had experienced HPV-related conditions, instrument items and domains were developed. Read More

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The impact of biparental hepatitis B virus infection on pregnancy outcomes in patients undergoing assisted reproductive technology treatment: a systematic review and meta-analysis.

Arch Gynecol Obstet 2022 May 13. Epub 2022 May 13.

Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, 610041, China.

Purpose: To evaluate the association between biparental hepatitis B virus (HBV) infection (hepatitis B surface antigen [HBsAg] seropositivity) and pregnancy outcomes in patients undergoing assisted reproductive technology (ART) treatment, including clinical pregnancy rate (CPR) and live birth rate (LBR).

Methods: We searched various literature databases from the earliest date available until May 20, 2021, including PubMed, Embase, Medline, Web of Science, Scopus, CNKI, and Wangfang. Four patterns of biparental HBV infection for pregnancy outcomes following ART were synthesized separately by using random-effects model. Read More

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How to do a second trimester anomaly scan.

Arch Gynecol Obstet 2022 May 11. Epub 2022 May 11.

Department of Obstetrics and Gynaecology, University of Tuebingen, Calwerstrasse 7, 72076, Tübingen, Germany.

A systematic evaluation of the fetal anatomy as part of the second trimester ultrasound examination in pregnancy is useful in detecting pregnancy complications, fetal abnormalities, and genetic diseases. We aim to illustrate the basic and detailed second trimester scan, according to current international and national guidelines, as well as to our own every-day practice in the Department for Prenatal Diagnosis at the University of Tübingen, Germany. Read More

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A comparison of frozen-thawed embryo transfer protocols in 2920 single-blastocyst transfers.

Arch Gynecol Obstet 2022 May 11. Epub 2022 May 11.

Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, McGill University, Montreal, QC, Canada.

Objective: To assess the effect of frozen-thawed embryo transfer (FET) protocol on live-birth rate (LBR) and clinical pregnancy rate (CPR), in single-vitrified-blastocyst transfer MATERIALS AND METHODS: Retrospective cohort study with FET of a single-blastocyst embryos (n = 2920 cycles) thawed 2013-2018. FET protocols were natural cycles (NC-FET) (n = 147), artificial hormone replacement treatment cycles (HRT-FET) (n = 2645), and modified NC (mNC) with hCG triggering (n = 128). Primary outcome was LBR. Read More

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A machine learning approach applied to gynecological ultrasound to predict progression-free survival in ovarian cancer patients.

Arch Gynecol Obstet 2022 May 9. Epub 2022 May 9.

Interdisciplinar Department of Medicine, Obstetrics and Gynecology Unit, University of Bari "Aldo Moro", Piazza Giulio Cesare 11, 70124, Bari, Italy.

In a growing number of social and clinical scenarios, machine learning (ML) is emerging as a promising tool for implementing complex multi-parametric decision-making algorithms. Regarding ovarian cancer (OC), despite the standardization of features that can support the discrimination of ovarian masses into benign and malignant, there is a lack of accurate predictive modeling based on ultrasound (US) examination for progression-free survival (PFS). This retrospective observational study analyzed patients with epithelial ovarian cancer (EOC) who were followed in a tertiary center from 2018 to 2019. Read More

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Maternal and neonatal outcomes in women with a history of chemotherapy exposure: a population-based study of 8 million obstetric admissions.

Arch Gynecol Obstet 2022 May 7. Epub 2022 May 7.

Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Pavilion H, Room 325, 5790 Cote-des-Neiges Road, Montreal, H3S 1Y9, Canada.

Purpose: With improvement in cancer care and fertility preservation, increasing numbers of cancer survivors are requiring obstetrical care. The objective of our study was to evaluate the effect of history of chemotherapy exposure on maternal and neonatal outcomes.

Methods: A retrospective population-based cohort study was conducted using the Healthcare Cost and Utilization Project-Nationwide Inpatient Sample (HCUP-NIS) to obtain data on maternal and newborn outcomes in a cohort of births occurring between the years 2006 and 2015. Read More

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The worsening impact of programmed cell death ligand 1 in ovarian clear cell carcinomas.

Arch Gynecol Obstet 2022 May 4. Epub 2022 May 4.

Department of Obstetrics and Gynecology, National Defense Medical College Hospital, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.

Purpose: To investigate the clinical significance of programmed cell death ligand 1 (PD-L1) expression in ovarian clear cell carcinoma (CCC).

Materials And Methods: Patients with CCC who underwent primary surgery at our hospital between 1984 and 2014 were enrolled in this study. PD-L1 and mismatch repair (MMR) protein expression in tumor cells, tumor-infiltrating lymphocytes (TILs), including cluster of differentiation (CD) 8, CD4, forkhead box P3 (FOXP3), programmed cell death 1 (PD-1), and BAF250a, were evaluated using immunohistochemistry. Read More

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Can axillary lymphadenectomy be avoided in breast cancer with positive sentinel lymph node biopsy? Predictors of non-sentinel lymph node metastasis.

Arch Gynecol Obstet 2022 May 3. Epub 2022 May 3.

Thoracic Surgery. University Hospital La Ribera, km 1, Corbera Road, 46600, Alzira, Valencia, Spain.

Purpose: Completion axillary lymph node dissection (cALND) can currently be avoided in those patients with a low tumor load (LTL) and/or a low-risk profile that tested with positive sentinel lymph node biopsy (SLNB). Our objective is to identify prognostic factors that significantly influence axillary lymph node involvement to identify patients who could benefit from surgery without axillary lymphadenectomy.

Methods: This is an observational retrospective study of consecutive patients diagnosed and operated of breast cancer between 2000 and 2014 at University Hospital La Ribera (UHR). Read More

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Early recurrence of aggressive leiomyosarcoma of the vagina.

Arch Gynecol Obstet 2022 Apr 30. Epub 2022 Apr 30.

Department of Obstetrics and Gynecology, Hospital de Denia, Avenida Marina alta, s/n, 03700, Denia, Alicante, Spain.

Malignant mesenchymal tumors of the female genital tract are uncommon gynecological cancers, particularly in the vagina. They are typically aggressive and often relapse, both locally and at distant sites. The treatment of choice for primary tumors is surgical excision as they are generally refractory to chemotherapy and radiotherapy. Read More

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Prolonged operative time of cesarean is a risk marker for subsequent cesarean maternal complications.

Arch Gynecol Obstet 2022 Apr 29. Epub 2022 Apr 29.

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Affiliated with the Hebrew University School of Medicine, 12 Bayit Street, 91031, Jerusalem, Israel.

Purpose: Prolonged cesarean operative time (OT) is a well-established proxy for post-operative maternal complications. We aimed to study whether prolonged OT may serve as a proxy for maternal complications in the subsequent cesarean delivery.

Methods: A retrospective cohort study of women who underwent cesarean delivery between 2005 and 2019. Read More

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Array study in fetuses with nuchal translucency above the 95th percentile: a 4-year observational single-centre study.

Arch Gynecol Obstet 2022 Apr 29. Epub 2022 Apr 29.

Maternal-Fetal Medicine Department, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Ps. Vall d'Hebron 119-129, 08035, Barcelona, Spain.

Purpose: To evaluate the performance of chromosomal microarray analysis (CMA) in fetuses with nuchal translucency (NT) > 95th percentile. Secondary objectives were to analyze these results according to NT thickness, below or above 3.5 mm, and those without associated anomalies. Read More

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Intrauterine adhesions combined with Robert's uterus: a case report and literature review.

Arch Gynecol Obstet 2022 Apr 29. Epub 2022 Apr 29.

Department of Center for Reproductive Medicine, Center for Prenatal Diagnosis, First Hospital, Jilin University, 71 Xinmin Street, Chaoyang District, Changchun, 130021, Jilin Province, China.

Purpose: To summarize the clinical characteristics and surgical option of Robert's uterus.

Methods: We reported a rare case of Robert's uterus with severe uterine adhesion with successive laparoscopic and hysteroscopic surgery. To our knowledge, such a case has not been reported previously. Read More

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Opinion paper: gynecological surgery in local anesthesia?

Arch Gynecol Obstet 2022 Apr 29. Epub 2022 Apr 29.

Department of Obstetrics and Gynecology, University Hospital Tübingen, Calwerstrasse 7, 72076, Tübingen, Germany.

Purpuse: The paracervical block (PCB) is a local anesthesia procedure that can be used to perform gynecological surgeries without the need for further anesthesia. With the PCB, surgeries can be moved from the central operating room to outpatient operating rooms, where they can be performed without the presence of an anesthesia team.

Methods: In this paper, the indications, implementation and limitations of the procedure are discussed. Read More

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Long-term effects of preeclampsia on maternal cardiovascular health and postpartum utilization of primary care: an observational claims data study.

Arch Gynecol Obstet 2022 Apr 28. Epub 2022 Apr 28.

Department of Obstetrics and Gynecology, Heidelberg University, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany.

Purpose: Preeclampsia occurs in up to 15% of pregnancies and constitutes a major risk factor for cardiovascular disease. This observational cohort study aimed to examine the association between preeclamptic pregnancies and cardiovascular outcomes as well as primary and specialized care utilization after delivery.

Methods: Using statutory claims data we identified women with singleton live births between 2010 and 2017. Read More

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The clinical features and long-term surgical outcomes of different types of abdominal wall endometriosis.

Arch Gynecol Obstet 2022 Apr 28. Epub 2022 Apr 28.

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Shuaifuyuan No. 1, Dongcheng District, Beijing, 100730, China.

Purpose: To classify abdominal wall endometriosis (AWE) according to the invasive levels of tissue mass, and to compare the differences in clinical characteristics between different types of AWE.

Methods: In this study, we retrospectively analyzed the clinical data of 367 patients who had undergone resection of abdominal-wall endometriotic lesions at the Peking Union Medical College Hospital from January 2008 to December 2018, and we divided the patients into three types according to their deepest level of lesion invasion. Type I designated invasion of skin and subcutaneous tissue; type II, of fascia and rectus abdominis; and type III, of peritoneum. Read More

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Ovarian granulosa cells from women with PCOS express low levels of SARS-CoV-2 receptors and co-factors.

Arch Gynecol Obstet 2022 Apr 27. Epub 2022 Apr 27.

Department of Molecular Endocrinology, National Institute for Research in Reproductive Health, Indian Council of Medical Research, J.M. Street, Parel, Mumbai, 400012, India.

Purpose: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is global pandemic with more than 5 million deaths so far. Female reproductive tract organs express coronavirus-associated receptors and factors (SCARFs), suggesting they may be susceptible to SARS-CoV-2 infection; however, the susceptibility of ovary/follicle/oocyte to the same is still elusive. Co-morbidities like obesity, type-2 diabetes mellitus, cardiovascular disease, etc. Read More

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Human papillomavirus anogenital screening in solid organ transplant recipients: a narrative review.

Arch Gynecol Obstet 2022 Apr 27. Epub 2022 Apr 27.

University of Rochester Medical Center, Obstetrics and Gynecology, Rochester, NY, USA.

Purpose: To provide a narrative review of anogenital screening for human papillomavirus in solid organ transplant recipients.

Methods: Keyword searches of PubMed and Ovid MEDLINE databases were performed. Keywords included human papillomavirus, malignancy, cervical cancer, Pap smear, solid organ transplant, and immunosuppression. Read More

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Neonatal morbidity and mortality for preterm in breech presentation regarding the onset mode of labor.

Arch Gynecol Obstet 2022 Apr 27. Epub 2022 Apr 27.

Service de Gynécologie Obstétrique, Assistance Publique-Hôpitaux de Paris, Hôpital Robert Debré, Paris, France.

Purpose: To assess severe neonatal morbidity and mortality in induced labor in preterm breech deliveries, compared to spontaneous labor.

Methods: This is a retrospective study conducted in a tertiary university center in France. Women with single live breech pregnancy between 28 + 0 and 36 + 6 weeks gestation were included. Read More

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Abdominal pregnancy: a case report and review of 17 cases.

Arch Gynecol Obstet 2022 Apr 26. Epub 2022 Apr 26.

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100010, China.

Purpose: To analyze the clinical characteristics of abdominal pregnancy, and to explore the diagnosis and prognosis of different treatment methods.

Methods: The cases of patients with abdominal pregnancy admitted to Peking Union Medical College Hospital between January 1, 1989 and January 1, 2021, were analyzed retrospectively.

Results: The median age of 17 patients was 34 years (22-42 years); the median gestational duration was 57 days (from 41 days to 32 weeks). Read More

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How previous treatment changes the metabolomic profile in patients with metastatic breast cancer.

Arch Gynecol Obstet 2022 Apr 25. Epub 2022 Apr 25.

Department of Gynecology and Obstetrics, University of Heidelberg, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany.

Purpose: Metabolites are in the spotlight of attention as promising novel breast cancer biomarkers. However, no study has been conducted concerning changes in the metabolomics profile of metastatic breast cancer patients according to previous therapy.

Methods: We performed a retrospective, single-center, nonrandomized, partially blinded, treatment-based study. Read More

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Clinical factors and surgical decision-making when managing premenopausal women with adnexal torsion.

Arch Gynecol Obstet 2022 Apr 24. Epub 2022 Apr 24.

Department of Obstetrics and Gynaecology, Westmead Hospital, Westmead, NSW, Australia.

Purpose: The primary objective of this study is to identify if and which clinical factors may influence surgical decision-making when managing premenopausal women who present emergently with adnexal torsion (AT).

Methods: This retrospective cohort study was conducted at a single tertiary hospital. Medical records for all admissions for AT between 1 January 2010 and 30 June 2020 were reviewed and data regarding patient demographics, history of torsion, and the index admission were collected. Read More

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Diagnostic and prognostic role of TFF3, Romo-1, NF-кB and SFRP4 as biomarkers for endometrial and ovarian cancers: a prospective observational translational study.

Arch Gynecol Obstet 2022 Apr 24. Epub 2022 Apr 24.

Department of Biochemistry, School of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.

Purpose: This study aimed to evaluate trefoil factor 3 (TFF3), secreted frizzled-related protein 4 (sFRP4), reactive oxygen species modulator 1 (Romo1) and nuclear factor kappa B (NF-κB) as diagnostic and prognostic markers of endometrial cancer (EC) and ovarian cancer (OC).

Methods: Thirty-one patients with EC and 30 patients with OC undergone surgical treatment were enrolled together with 30 healthy controls in a prospective study. Commercial ELISA kits determined serum TFF-3, Romo-1, NF-кB and sFRP-4 concentrations. Read More

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Sleep disturbances and depressive and anxiety symptoms during pregnancy: associations with delivery and newborn health.

Arch Gynecol Obstet 2022 Apr 24. Epub 2022 Apr 24.

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

Background: Sleep disturbances and mood symptoms are common in late pregnancy; according to the literature, they can affect delivery and newborn outcomes. This study evaluated the effect of sleep and mood symptoms on delivery and newborn health, because there are insufficient and partly contradictory studies on the topic.

Methods: A cohort of 1414 mothers in their third trimester was enrolled in this prospective cross-sectional questionnaire study. Read More

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