1,174 results match your criteria Current opinion in obstetrics & gynecology[Journal]


Expanded genetic carrier screening in clinical practice: a current survey of patient impressions and attitudes.

J Assist Reprod Genet 2019 Feb 13. Epub 2019 Feb 13.

Department of Obstetrics and Gynecology, Boonshoft School of Medicine, Wright State University, 128 Apple Street, Suite 3800 Weber CHE, Dayton, OH, 45409, USA.

Purpose: Expanded genetic carrier screening (ECS) is an important part of gynecological practice and preconception planning. We evaluated the awareness and attitudes among women regarding ECS and factors that may influence decision-making in a family planning context.

Methods: A 32-question survey in an academic university practice was given to 521 women who were either currently pregnant (n = 108), undergoing gynecologic care who were considering future fertility (n = 308), and considering or receiving fertility treatment (n = 105). Read More

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http://dx.doi.org/10.1007/s10815-019-01414-zDOI Listing
February 2019
1 Read

Current state of the art and emerging pharmacotherapy for uterine leiomyosarcomas.

Expert Opin Pharmacother 2019 Feb 6:1-11. Epub 2019 Feb 6.

a Academic Unit of Obstetrics and Gynecology , IRCCS Ospedale Policlinico San Martino , Genoa , Italy.

Introduction: Uterine leiomyosarcomas (ULMS) account for 1% of all uterine malignancies and for 30% of all uterine sarcomas. The preoperative diagnosis of ULMS is challenging for the physicians, as the symptoms of these tumors are often vague and nonspecific. Moreover, as ULMS have an aggressive biologic behavior, affected women frequently have very poor prognosis. Read More

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http://dx.doi.org/10.1080/14656566.2019.1571042DOI Listing
February 2019
4 Reads
3.534 Impact Factor

Current and emerging pharmacotherapy for emergency management of preeclampsia.

Expert Opin Pharmacother 2019 Feb 1:1-12. Epub 2019 Feb 1.

a Ritchie Centre, Department of Obstetrics and GynaecologySchool of Clinical Sciences , Monash University , Clayton , Australia.

Introduction: Preeclampsia is a disease specific to pregnancy characterised by new onset hypertension with maternal organ dysfunction and/or fetal growth restriction. It remains a major cause of maternal and perinatal morbidity and mortality. For fifty years, antihypertensives have been the mainstay of treating preeclampsia, reducing maternal morbidity and mortality. Read More

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http://dx.doi.org/10.1080/14656566.2019.1570134DOI Listing
February 2019
2 Reads

The energy based devices for vaginal "rejuvenation," urinary incontinence, vaginal cosmetic procedures, and other vulvo-vaginal disorders: An international multidisciplinary expert panel opinion.

Neurourol Urodyn 2019 Jan 29. Epub 2019 Jan 29.

Ain Shams University, Department of Urology, Cairo, Egypt.

Aims: Energy-based devices using radiofrequency and laser technologies have gained popularity as therapies for vaginal atrophy, urinary incontinence, and vaginal prolapse. They have been promoted by cosmetic and aesthetic industries for vaginal "laxity" and vaginal "rejuvenation," both of which are undefined conditions and terms. This article aims to review the current available literature and its quality on this emerging technology. Read More

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http://dx.doi.org/10.1002/nau.23927DOI Listing
January 2019
1 Read

Beliefs, attitudes and funding of assisted reproductive technology: Public perception of over 6,000 respondents from 6 European countries.

PLoS One 2019 25;14(1):e0211150. Epub 2019 Jan 25.

Theramex HQ UK Limited, London, United Kingdom.

Background: Fertility rates in Europe are among the lowest in the world, which may be attributed to both biological and lifestyle factors. Cost and reimbursement of fertility treatments vary across Europe, although its citizens enjoy wide access to fertility care. Since few regional studies evaluating public support for fertility treatment exist, we conducted the Listening IVF and Fertility in Europe (LIFE) survey to ascertain public perception of in vitro fertilization (IVF) and gamete donation as a treatment for infertility among European men and women. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211150PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347360PMC
January 2019
3 Reads

Female oncofertility attitude and knowledge: a survey of reproductive health professionals in Shanghai, China.

Future Oncol 2019 Feb 8;15(4):371-379. Epub 2019 Jan 8.

Department of Environmental Health Sciences, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA.

Aim: To evaluate the female oncofertility attitude and knowledge of reproductive health professionals in China.

Methods: An online survey was distributed to reproductive health professionals in Shanghai, China.

Results: Female professionals were more likely to consider that cancer patients would want to preserve their fertility. Read More

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https://www.futuremedicine.com/doi/10.2217/fon-2018-0428
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http://dx.doi.org/10.2217/fon-2018-0428DOI Listing
February 2019
5 Reads

Women's Attitudes Toward Self-Monitoring of Their Pregnancy Using Noninvasive Electronic Devices: Cross-Sectional Multicenter Study.

JMIR Mhealth Uhealth 2019 Jan 7;7(1):e11458. Epub 2019 Jan 7.

Department of Gynecology and Obstetrics, University Women's Clinic Heidelberg, Heidelberg, Germany.

Background: Pregnancy can be distressing, particularly if expectant mothers are worried about the well-being of their fetus. Consequently, the desire for reassurance and frequent fetal monitoring is often pronounced. Smart wearable devices and telemedicine are promising tools that could assist women in self-monitoring their pregnancy at home, hence disburdening emergency departments (EDs). Read More

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http://dx.doi.org/10.2196/11458DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329419PMC
January 2019
1 Read

A survey of opinion and practice regarding prenatal diagnosis of vasa previa among obstetricians from Australia and New Zealand.

Int J Gynaecol Obstet 2019 Mar 16;144(3):252-259. Epub 2019 Jan 16.

Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.

Objectives: To define current obstetric opinion and clinical practice regarding the prenatal diagnosis of vasa previa in Australia and New Zealand.

Methods: A population-based cross-sectional survey of Fellows of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists was conducted from April to May, 2016. Descriptive analysis was used to define factors influencing opinion and practice regarding definition of vasa previa, attributable risk factors, and the value of screening. Read More

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http://dx.doi.org/10.1002/ijgo.12747DOI Listing
March 2019
2 Reads

From mother to baby: antenatal exposure to monoclonal antibody biologics.

Expert Rev Clin Immunol 2019 Mar 24;15(3):221-229. Epub 2019 Jan 24.

i Departments of Pediatrics and Community Health & Epidemiology , Dalhousie University , Halifax , NS , Canada.

Introduction: More women with autoimmune and inflammatory conditions are being treated with monoclonal antibody biologics (mAbs) during their pregnancy, to maintain clinical remission. The use of anti-tumor necrosis factor alpha agents in pregnancy appears to be safe but less is known regarding other mAbs, such as anti-integrins and anti-cytokine agents. There are currently no comprehensive guidelines on how to manage the exposed infants. Read More

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https://www.tandfonline.com/doi/full/10.1080/1744666X.2019.1
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http://dx.doi.org/10.1080/1744666X.2019.1561282DOI Listing
March 2019
11 Reads

Creation of an Enhanced Recovery After Surgery (ERAS) Guideline for neonatal intestinal surgery patients: a knowledge synthesis and consensus generation approach and protocol study.

BMJ Open 2018 Dec 9;8(12):e023651. Epub 2018 Dec 9.

Department of Surgery, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

Introduction: Enhanced Recovery After Surgery (ERAS) guidelines integrate evidence-based practices into multimodal care pathways designed to optimise patient recovery following surgery. The objective of this project is to create an ERAS protocol for neonatal abdominal surgery. The protocol will identify and attempt to bridge the gaps between current practices and best evidence. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023651DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303622PMC
December 2018
2 Reads
2.063 Impact Factor

A review of the reproductive consequences of consanguinity.

Eur J Obstet Gynecol Reprod Biol 2019 Jan 1;232:87-96. Epub 2018 Nov 1.

Department of Obstetrics and Gynaecology, Sidra Medical and Research Center, PO Box 26999, Doha, Qatar. Electronic address:

Background: Consanguinity is the close union, sexual relationship or marriage between persons who have common biological ancestors usually up to about 2nd cousins. Contrary to general opinion consanguinity is quite common and is practiced worldwide. It is an important topic as while rates of consanguineous unions in certain society have decreased over time, rates have remained stable or increased in other societies with rates as high as 80. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2018.10.042DOI Listing
January 2019
2 Reads

Knowledge and use of family planning among men in rural Uganda.

BMC Public Health 2018 Nov 26;18(1):1294. Epub 2018 Nov 26.

African Community Center for Social Sustainability (ACCESS), Nakaseke, Uganda.

Background: Unmet need for family planning exceeds 33% in Uganda. One approach to decreasing unmet need is promoting male involvement in family planning. Male disapproval of use of family planning by their female partners and misconceptions about side effects are barriers to family planning globally and in Uganda in particular. Read More

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https://bmcpublichealth.biomedcentral.com/articles/10.1186/s
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http://dx.doi.org/10.1186/s12889-018-6173-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258500PMC
November 2018
17 Reads
2.264 Impact Factor

Preventing complications by persistence with iron replacement therapy: a comprehensive literature review.

Curr Med Res Opin 2018 Nov 26:1-18. Epub 2018 Nov 26.

b Department of Women , Child, and General and Specialist Surgery, University of Campania Luigi Vanvitelli , Naples , Italy.

Objective: Iron deficiency and particularly iron deficiency anemia (IDA) can lead to negative health consequences. This review describes the importance of adherence and persistence (adhering to treatment for the recommended duration) with iron replacement therapy in the prevention of complications, particularly regarding its recommended dosing schedule.

Methods: Comprehensive literature searches were performed of Medline and the Cochrane library from 2000-2018. Read More

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https://www.tandfonline.com/doi/full/10.1080/03007995.2018.1
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http://dx.doi.org/10.1080/03007995.2018.1552850DOI Listing
November 2018
12 Reads

Perceived Barriers to Antepartum HIV Medication Adherence in HIV Infected Pregnant Women.

Infect Dis Obstet Gynecol 2018 16;2018:4049212. Epub 2018 Oct 16.

Department of Gynecology and Obstetrics, Emory University School of Medicine, Glenn Building, 4th Floor-412B, 69 Jesse Hill Jr Drive SE, Atlanta, GA 30303, USA.

Introduction: Although rare, perinatal HIV transmission still occurs in the United States and most transmissions are preventable. We aim to identify patient barriers to antiretroviral therapy (ART) adherence during pregnancy and assess patient understanding of perinatal transmission.

Methods: This cross-sectional survey recruited HIV positive postpartum women at a large safety net hospital in Atlanta, Georgia, between January 2016 and February 2018. Read More

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https://www.hindawi.com/journals/idog/2018/4049212/
Publisher Site
http://dx.doi.org/10.1155/2018/4049212DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206578PMC
February 2019
13 Reads

Should we combine vaginal prolapse surgery with continence surgery?

Int Urogynecol J 2018 Nov 8. Epub 2018 Nov 8.

Department of Obstetrics and Gynecology, Academic Medical Center, University of Amsterdam, PO Box 22.660, 1100 DD, Amsterdam, The Netherlands.

The risk of postoperative stress urinary incontinence (SUI) can be reduced by combining prolapse repair with continence surgery. However, more women face a serious adverse event (SAE) after vaginal prolapse surgery combined with a midurethral sling (MUS). It is difficult to predict a woman's individual postoperative SUI and SAE risk; therefore, weighing the benefits and risks of combination surgery is complex. Read More

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http://dx.doi.org/10.1007/s00192-018-3808-yDOI Listing
November 2018
2 Reads

Inequities in utilization of prenatal care: a population-based study in the Canadian province of Manitoba.

BMC Pregnancy Childbirth 2018 Nov 1;18(1):430. Epub 2018 Nov 1.

Department of Obstetrics, Gynecology and Reproductive Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, WR120-735 Notre Dame Avenue, Winnipeg, MB, R3E 0L8, Canada.

Background: Ensuring high quality and equitable maternity services is important to promote positive pregnancy outcomes. Despite a universal health care system, previous research shows neighborhood-level inequities in utilization of prenatal care in Manitoba, Canada. The purpose of this population-based retrospective cohort study was to describe prenatal care utilization among women giving birth in Manitoba, and to determine individual-level factors associated with inadequate prenatal care. Read More

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http://dx.doi.org/10.1186/s12884-018-2061-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6211437PMC
November 2018
1 Read

Establishing Sexual Assault Care Centres in Belgium: health professionals' role in the patient-centred care for victims of sexual violence.

BMC Health Serv Res 2018 Oct 22;18(1):807. Epub 2018 Oct 22.

International Centre for Reproductive Health (ICRH), Department of Uro-Gynaecology, Faculty of Medicine and Health Sciences, Ghent University, Corneel Heymanslaan 10, UZP114, 9000, Ghent, Belgium.

Background: Having ratified the Convention of Istanbul, the Belgian federal government commits itself to the foundation of Sexual Assault Care Centres (SACC). In the light of researching the feasibility of these centres, this study aimed to evaluate the care for victims of sexual violence (SV) in Belgian hospitals anno 2016 as well as to formulate recommendations for the intended model.

Methods: Between April and October 2016, a questionnaire was distributed to 159 key health professionals active in 17 different hospitals attached to an AIDS Referral Centre. Read More

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http://dx.doi.org/10.1186/s12913-018-3608-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196455PMC
October 2018
10 Reads

Cancer clinical trials - Survey evaluating patient participation and acceptance in a university-based Comprehensive Cancer Center (CCC).

Clin Transl Radiat Oncol 2018 Nov 4;13:44-49. Epub 2018 Oct 4.

Department of Radiation Oncology, Technical University of Munich (TUM), Ismaninger Straße 22, Munich, Germany.

Introduction: Prospective clinical trials are essential to translate new therapy concepts or rather any scientific development into the medical routine. Besides a sophisticated trial protocol, the success of clinical trials depends on patient recruitment and participation. Patient recruitment remains a challenge and depends on several factors. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24056308183008
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http://dx.doi.org/10.1016/j.ctro.2018.10.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6192009PMC
November 2018
13 Reads

Screening for History of Childhood Abuse: Beliefs, Practice Patterns, and Barriers Among Obstetrician-Gynecologists.

Womens Health Issues 2018 Nov - Dec;28(6):559-568. Epub 2018 Oct 16.

The American College of Obstetricians and Gynecologists, Washington, DC.

Background: A history of childhood abuse is strongly linked to adult health problems. Obstetrician-gynecologists will undoubtedly treat abuse survivors during their careers, and a number of patient presenting problems may be related to a history of childhood abuse (e.g. Read More

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http://dx.doi.org/10.1016/j.whi.2018.09.001DOI Listing
January 2019
3 Reads

Management of gynecological cancer in pregnant patients.

Minerva Ginecol 2018 Oct 11. Epub 2018 Oct 11.

Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA -

Introduction: Cancer during pregnancy is a rare but challenging condition. More women delay childbearing and consequently the incidence of cancer during pregnancy is constantly increasing.

Evidence Acquisition: An extensive electronic search was performed in PubMed and Scopus. Read More

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https://www.minervamedica.it/index2.php?show=R09Y9999N00A181
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http://dx.doi.org/10.23736/S0026-4784.18.04324-1DOI Listing
October 2018
8 Reads

Women's perceptions of body mass index.

Clin Obes 2019 Feb 9;9(1):e12286. Epub 2018 Oct 9.

Department of Mathematics and Statistics, University of South Alabama, Mobile, Alabama, United States.

Women may not have an accurate perception of their own body weight and vary in understanding about healthy weight. The study's aim was to assess women's accuracy of their own body mass index (BMI), understanding of the healthiest body weight and opinion of the most attractive body figure. We surveyed 385 women (age, 19-77 years) attending our obstetrics and gynaecology clinics with an anonymous survey demonstrating a selection of Body Image Scale graphics to represent their current body, the healthiest body and the most attractive body. Read More

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http://dx.doi.org/10.1111/cob.12286DOI Listing
February 2019
2 Reads

A mixed-method evaluation of the views of medical teachers on the applicability of the 'infant and young child feeding chapter' in Saudi medical colleges.

BMC Med Educ 2018 Oct 8;18(1):232. Epub 2018 Oct 8.

Department of Educational Development and Research, School of Health Professions Education, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.

Background: Lack of sufficient preparation of physicians for the provision of breastfeeding support and counselling has been well-documented. The development of training in breastfeeding medicine for medical students is currently ongoing worldwide. This study was conducted to gain insights into a potential framework for a breastfeeding education curriculum. Read More

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http://dx.doi.org/10.1186/s12909-018-1282-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176500PMC
October 2018
2 Reads

Lack of pain relief during labor is blamable for the increase in the women demands towards cesarean delivery: a cross-sectional study.

Facts Views Vis Obgyn 2017 Dec;9(4):175-180

Department of Obstetrics & Gynecological Nursing. Faculty of Nursing. Assiut University, Egypt.

Background: This study aims to assess knowledge, attitude and acceptance of antenatal women for pain relief methods during labor and to know the effect of presumed availability of pain relief methods during labor on the attitude of women towards the mode of delivery.

Materials And Methods: A cross sectional study was conducted at a tertiary hospital between January and December 2016. A structured interview questionnaire had been administered including data related to current pregnancy, knowledge, attitude and previous experience of pain, labor analgesia, women's attitude toward the mode of delivery and its relation to the availability of adequate analgesia during labor. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143085PMC
December 2017
15 Reads

Towards a more integrated and gender-sensitive care delivery for victims of sexual assault: key findings and recommendations from the Belgian sexual assault care centre feasibility study.

Int J Equity Health 2018 09 24;17(1):152. Epub 2018 Sep 24.

International Centre for Reproductive Health (ICRH), Department of Uro-Gynaecology, Faculty of Medicine and Health Sciences, Ghent University, Corneel Heymanslaan 10, UZP114, B-9000, Ghent, Belgium.

Background: Sexual assault remains a major threat to public health, affecting every gender, gender identity and sexual orientation. Following the Belgian ratification of the Istanbul Convention in 2016, the feasibility of a Belgian sexual assault centre model was investigated, aiming to provide more integrated and patient-centred health and judiciary services to victims of sexual assault. By actively involving health professionals, police and judiciary system representatives, as well as victims themselves, this feasibility study eventually fed into the Belgian Sexual Assault Care Centre model. Read More

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http://dx.doi.org/10.1186/s12939-018-0864-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6154874PMC
September 2018
2 Reads

Active management of the third stage of labor: A brief overview of key issues.

Turk J Obstet Gynecol 2018 Sep 3;15(3):188-192. Epub 2018 Sep 3.

University of Health Sciences, İzmir Tepecik Training and Research Hospital, Department of Obstetrics and Gynecology, İzmir, Turkey.

Postpartum hemorrhage is a potentially life-threatening, albeit preventable, condition that persists as a leading cause of maternal death. It occurs mostly during the third stage of labor, and active management of the third stage of labor (AMTSL) can prevent its occurrence. AMTSL is a recommended series of steps, including the provision of uterotonic drugs immediately upon fetal delivery, controlled cord traction, and massage of the uterine fundus, as developed by the World Health Organization. Read More

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http://cms.galenos.com.tr/Uploads/Article_19544/tjod-15-188-
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http://dx.doi.org/10.4274/tjod.39049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6127474PMC
September 2018
12 Reads

A study comparing the practice of Australian maternity care providers in relation to maternal immunisation.

Aust N Z J Obstet Gynaecol 2018 Sep 7. Epub 2018 Sep 7.

The Ritchie Centre, Department of Obstetrics and Gynaecology, Monash University, Melbourne, Australia.

Background: Women's decisions regarding vaccination during pregnancy are heavily influenced by maternity care provider (MCP) recommendations. Understanding why MCPs may not recommend vaccination is central to improving vaccination rates.

Aims: To examine the knowledge, attitudes and practice of Australian MCPs to maternal vaccination. Read More

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http://dx.doi.org/10.1111/ajo.12888DOI Listing
September 2018
2 Reads

Prevalence and Determinants of Complete Postnatal Care Service Utilization in Northern Shoa, Ethiopia.

J Pregnancy 2018 14;2018:8625437. Epub 2018 Aug 14.

Department of Midwifery, Institute of Medicine and Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia.

Background: Postnatal period presents the highest risk of death for mothers and newborns. Although progress has been made in expanding the coverage for most of maternal health services, national prevalence of postnatal care service utilization in Ethiopia is still extremely limited. Hence, this study aims to determine the prevalence and factors associated with complete postnatal care service utilization in Northern Shoa, Ethiopia. Read More

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http://dx.doi.org/10.1155/2018/8625437DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112074PMC
January 2019

Contraceptive method mix and preference: A focus on long acting reversible contraception in Urban Cameroon.

PLoS One 2018 23;13(8):e0202967. Epub 2018 Aug 23.

Department of Obstetrics and Gynaecology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.

Introduction: Meeting targets of the Sustainable Development Goals in the domain of maternal health and the Family Planning 2020 commitments for Cameroon requires an increased use of modern contraception. Long acting reversible contraceptives (LARCs) are methods which have been proven highly efficient with contraceptive failure rates of less than 1%. The objective of this survey was to determine the contraceptive method mix in the Biyem-Assi Health District and identify factors associated to the use of LARCs. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0202967PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6107242PMC
February 2019
2 Reads
3.234 Impact Factor

An overview of properties of Amphora (Acidform) contraceptive vaginal gel.

Authors:
Anita L Nelson

Expert Opin Drug Saf 2018 Sep 3;17(9):935-943. Epub 2018 Sep 3.

a Department of Obstetrics and Gynecology , Western University of Health Sciences , Pomona , CA , USA.

Introduction: Although only a minority of contracepting women rely solely on spermicides, they may soon be the only ongoing female method available without a prescription in the United States. Spermicides are also combined with other methods for additional pregnancy protection and/or lubrication. Nonoxynol-9 (N-9), the active ingredient in most spermicides, is cytotoxic and may increase risk of transmission of HIV and other sexually transmitted infections, especially in high-risk women. Read More

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http://dx.doi.org/10.1080/14740338.2018.1515197DOI Listing
September 2018
16 Reads

Pre-induction cervical ripening using two different dinoprostone vaginal preparations: A randomized clinical trial of tablets and slow release retrievable insert.

Taiwan J Obstet Gynecol 2018 Aug;57(4):560-566

Pharmacy Department, Armed Forces Hospitals Southern Region, Khamis Mushait, Saudi Arabia.

Objective: The current study compared the safety and efficacy of two different dinoprostone preparations (dinoprostone vaginal tablets & dinoprostone slow release retrievable vaginal insert) to ripen the cervix at term.

Materials And Methods: Women admitted for pre-induction cervical ripening were included in a randomized controlled trial. Eligible women were randomly assigned to receive Dinoprostone either in the form of vaginal tablets or slow release retrievable vaginal insert. Read More

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http://dx.doi.org/10.1016/j.tjog.2018.06.016DOI Listing
August 2018
3 Reads

Decision-making during trial of labour after caesarean; a qualitative study with gynaecologists.

PLoS One 2018 18;13(7):e0199887. Epub 2018 Jul 18.

Department of Obstetrics and Gynaecology, Amsterdam UMC, location VUmc, Amsterdam, The Netherlands.

Objective: The attempt of a woman to deliver vaginally after having had a caesarean in a previous pregnancy is increasingly common in current obstetric practice. During a trial of labour after caesarean, gynaecologists consider whether continuing vaginal birth is safe or, alternately, whether a repeat caesarean is advised. There is large variation in the success rates of women with comparable medical risk factors, requiring better insight in how this assessment is made. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0199887PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051596PMC
December 2018
8 Reads

Is Abortion Included in Maternal and Child Health Curricula in the United States?

Matern Child Health J 2018 Nov;22(11):1556-1562

Ipas, P.O. Box 9990, 300 Market Street, Chapel Hill, 27515, NC, USA.

Purpose The purpose of this study is to assess whether Maternal and Child Health (MCH) graduate programs address abortion content in their programs' foundational courses, elective courses, and general curricula. Description Between January and March 2017, we conducted a descriptive study with faculty from the 13 Centers of Excellence in Maternal and Child Health Education, Science and Practice (COEs). We reviewed syllabi and discussed foundational and elective course content via email and key informant interviews with COE faculty. Read More

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http://dx.doi.org/10.1007/s10995-018-2578-yDOI Listing
November 2018
6 Reads

Delivery of progestins via the subdermal versus the intrauterine route: comparison of the pharmacology and clinical outcomes.

Expert Opin Drug Deliv 2018 07 18;15(7):717-727. Epub 2018 Jul 18.

b Department of Physical Sciences , MacEwan University , Edmonton , Alberta , Canada.

Introduction: Subdermal and intrauterine progestin releasing systems are two types of long-acting reversible contraceptive systems (LARC). Their use has transformed current contraceptive practice management. There is not much objective evidence to help decide which method is preferable and in which particular circumstance using objective criteria. Read More

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https://www.tandfonline.com/doi/full/10.1080/17425247.2018.1
Publisher Site
http://dx.doi.org/10.1080/17425247.2018.1498080DOI Listing
July 2018
2 Reads

Current and emerging treatment options for endometriosis.

Expert Opin Pharmacother 2018 Jul 5;19(10):1109-1125. Epub 2018 Jul 5.

a Academic Unit of Obstetrics and Gynecology , Ospedale Policlinico San Martino , Genoa , Italy.

Introduction: Pharmacotherapy has a pivotal role in the management of endometriosis with long-term treatments balancing clinical efficacy (control of pain symptoms and prevention of recurrence of the disease after surgery) with an acceptable safety profile. Treatment choice is based on several factors including age and patient preference, reproductive plans, intensity of pain, severity of disease and incidence of adverse effects. Areas covered: The aim of this review is to provide the reader with a complete overview of drugs that are currently available or are under investigation for the treatment of endometriosis highlighting on-going clinical trials. Read More

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http://dx.doi.org/10.1080/14656566.2018.1494154DOI Listing
July 2018
18 Reads

Knowledge, attitudes and practice regarding copper intrauterine contraceptive devices among doctors in Malaysia.

BMJ Sex Reprod Health 2018 Jun 1. Epub 2018 Jun 1.

Department of Obstetrics and Gynaecology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.

Background And Objective: Intrauterine contraceptive devices (IUDs) are an important method to reduce unmet need for family planning and for prevention of unintended pregnancy. However, IUD use in Malaysia is still low. Doctors play a major role in influencing IUD uptake among women. Read More

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http://dx.doi.org/10.1136/bmjsrh-2017-101869DOI Listing
June 2018
9 Reads

Current treatment options for vulvovaginal candidiasis caused by azole-resistant Candida species.

Authors:
J D Sobel R Sobel

Expert Opin Pharmacother 2018 Jun 22;19(9):971-977. Epub 2018 Jun 22.

b Department of Obstetrics & Gynecology , Jefferson Medical College , Philadelphia , PA , USA.

Introduction: Clinicians are increasingly challenged by patients with refractory vulvovaginal candidiasis (VVC) caused by azole-resistant Candida species. Fluconazole resistant C.albicans is a growing and perplexing problem following years of indiscriminate drug prescription and unnecessary drug exposure and for which there are few therapeutic alternatives. Read More

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http://dx.doi.org/10.1080/14656566.2018.1476490DOI Listing
June 2018
7 Reads

Experiences Influencing upon the Significance of Obstetric Care in Mexican Nurses.

Invest Educ Enferm 2018 02;36(1):e12

Universidad Autónoma de San Luis Potosí, San Luis Potosí, México,

Objectives: This work sought to learn which and how are the professional experiences that influence upon significance processes of obstetric care in nurses working in toco-surgery rooms.

Methods: This was a qualitative study with grounded theory approach. Individual interviews were conducted with 16 nurses who work in two public hospitals in a border city in northern Mexico. Read More

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http://dx.doi.org/10.17533/udea.iee.v36n1e12DOI Listing
February 2018
2 Reads

Factors Influencing Children's Eating Behaviours.

Nutrients 2018 May 31;10(6). Epub 2018 May 31.

Pediatric Intermediate Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.

Relevant factors involved in the creation of some children's food preferences and eating behaviours have been examined in order to highlight the topic and give paediatricians practical instruments to understand the background behind eating behaviour and to manage children's nutrition for preventive purposes. Electronic databases were searched to locate and appraise relevant studies. We carried out a search to identify papers published in English on factors that influence children's feeding behaviours. Read More

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http://dx.doi.org/10.3390/nu10060706DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6024598PMC
May 2018
2 Reads

Rheumatic diseases and pregnancy: a national survey about practice patterns among rheumatologists and obstetricians.

Clin Exp Rheumatol 2018 Nov-Dec;36(6):1014-1021. Epub 2018 May 24.

Department of Rheumatology, Dubai Hospital, UAE.

Objectives: Management of rheumatic diseases (RD) is often problematic in pregnant patients, hence the need for guideline implementation. This survey-based study aimed to assess beliefs among obstetricians and rheumatologists about managing RD in pregnant Lebanese patients.

Methods: Questionnaires were completed by a representative sample of rheumatologists and obstetricians practicing throughout Lebanon. Read More

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May 2018
8 Reads

Are there unmet needs in contraceptive counselling and choice? Findings of the European TANCO Study.

Eur J Contracept Reprod Health Care 2018 Jun 22;23(3):183-193. Epub 2018 May 22.

d Department of Obstetrics/Gynecology , University Hospital , Basel , Switzerland.

Introduction: Effective use of contraception requires women to make an informed choice about methods that match their individual needs and expectations. The European Thinking About Needs in Contraception (TANCO) study is a quantitative, online survey of healthcare provider and women's views on aspects of counselling around contraception and contraceptive use.

Methods: Healthcare providers and women attending their practices for contraceptive counselling were invited to complete online questionnaires. Read More

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http://dx.doi.org/10.1080/13625187.2018.1465546DOI Listing
June 2018
2 Reads

A survey of health professionals' views on acceptable gestational age and termination of pregnancy for fetal anomaly.

Eur J Med Genet 2018 Sep 16;61(9):493-498. Epub 2018 May 16.

Institute of Health & Society, Baddiley-Clark Building, Newcastle University, NE2 4AX, UK.

Termination of pregnancy for fetal anomaly is legal in the UK with no upper limit, if two doctors, in good faith, agree "there is a substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously handicapped". This is Clause E of the Human Fertlisation and Embryology Act. The most commonly sighted Clause is C, which states "the pregnancy has not exceeded its twenty-fourth week and that the continuance of the pregnancy would involve risk, greater than if the pregnancy were terminated, of injury to the physical or mental health of the pregnant woman". Read More

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http://dx.doi.org/10.1016/j.ejmg.2018.05.011DOI Listing
September 2018
3 Reads

Recurrent complete hydatidiform mole: where we are, is there a safe gestational horizon? Opinion and mini-review.

J Assist Reprod Genet 2018 Jun 8;35(6):967-973. Epub 2018 May 8.

3rd Department of Obstetrics and Gynaecology, Hippokration General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Benign hydatidiform mole, complete or partial, is the most common type of gestational trophoblastic disease (GTD) characterised by excessive trophoblastic proliferation and abnormal embryonic development. Although most complete hydatidiform moles (CHMs) are diploid androgenetic, a few cases of CHMs are biparental, characterised by recurrence and familial clustering. In these rare cases, mutations in NLRP7 or KHDC3L genes, associated with maternal imprinting defects, have been implicated. Read More

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http://dx.doi.org/10.1007/s10815-018-1202-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6030002PMC
June 2018
7 Reads

Abortion: Still Unfinished Agenda in Nepal.

J Nepal Health Res Counc 2018 Mar 13;16(1):93-98. Epub 2018 Mar 13.

Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal.

Unsafe abortion is affecting a lot, in health, socio-economic and health care cost of many countries. Despite invention of simple technology and scientifically approved safe abortion methods, women and girls are still using unsafe abortion practices. Since 2002, Nepal has achieved remarkable progress in developing policies, guidelines, task shifting, training human resources and increasing access to services. Read More

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March 2018
3 Reads

Umbilical cord clamping practices of U.S. obstetricians.

J Neonatal Perinatal Med 2018 ;11(1):51-60

John Hopkins University, Baltimore, USA.

Background: Delayed umbilical cord clamping is associated with significant benefits to preterm and term newborns and is recommended for all infants by the World Health Organization and the American College of Obstetricians and Gynecologists (ACOG). Little is known about the cord management practices of U.S. Read More

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http://dx.doi.org/10.3233/NPM-181729DOI Listing
October 2018
1 Read

Association between Breastfeeding Duration and Type of Birth Attendant.

J Pregnancy 2018 1;2018:7198513. Epub 2018 Mar 1.

School of Medicine, Division of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA, USA.

Introduction: Healthcare providers play an integral role in breastfeeding education and subsequent practices; however, the education and support provided to patients may differ by type of provider. The current study aims to evaluate the association between type of birth attendant and breastfeeding duration.

Methods: Data from the prospective longitudinal study, Infant Feeding Practices Survey II, was analyzed. Read More

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http://dx.doi.org/10.1155/2018/7198513DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852850PMC
December 2018
2 Reads

The potential role of statins in preeclampsia and dyslipidemia during gestation: a narrative review.

Expert Opin Investig Drugs 2018 May 26;27(5):427-435. Epub 2018 Apr 26.

h Department of Hypertension, Chair of Nephrology and Hypertension , Medical University of Lodz , Lodz , Poland.

Introduction: Statins have several pleiotropic effects that have the potential to be beneficial during pregnancy. This study evaluates the available evidence for the teratogenicity of statins, and their utility in treating preeclampsia and dyslipidemia in pregnancy, as good alternatives in these domains are currently lacking. Areas covered: The possible teratogenicity of statins is a primary focus of this paper. Read More

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http://dx.doi.org/10.1080/13543784.2018.1465927DOI Listing
May 2018
3 Reads

Factors associated with Chinese nulliparous women's choices of mode of delivery: A longitudinal study.

Midwifery 2018 Jul 27;62:42-48. Epub 2018 Mar 27.

Nursing Department, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.

Background: Caesarean section rates have risen beyond the WHO recommended level in many countries worldwide. An emerging epidemic in caesareans has appeared in China over the past two decades, mainly driven by non-medical factors. China's one-child policy was previously seen as a potential factor for contributing to women's high caesarean section rates. Read More

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http://dx.doi.org/10.1016/j.midw.2018.03.013DOI Listing
July 2018
6 Reads

Relational continuity with primary and secondary care doctors: a qualitative study of perceptions of users of the Catalan national health system.

BMC Health Serv Res 2018 04 10;18(1):257. Epub 2018 Apr 10.

Grup de Recerca en Serveis Sanitaris i Resultats en Salut, Serveis de Salut Integrats Baix Empordà, Carrer Hospital 17-19 Edifici Fleming, 17230, Palamós, Spain.

Background: In the current context of increasingly fragmented healthcare systems where patients are seen by multiple doctors in different settings, patients' relational continuity with one doctor is regaining relevance; however little is known about relational continuity with specialists. The aim of this study is to explore perceptions of relational continuity with primary care and secondary care doctors, its influencing factors and consequences from the viewpoint of users of the Catalan national health system (Spain).

Methods: We conducted a descriptive-interpretative qualitative study using a two-stage theoretical sample; (i) contexts: three healthcare areas in the Catalan national health system with differing characteristics; (ii) informants: users 18 years or older attended to at both care levels. Read More

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http://dx.doi.org/10.1186/s12913-018-3042-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891958PMC
April 2018
2 Reads

Current understanding on pharmacokinetics, clinical efficacy and safety of progestins for treating pain associated to endometriosis.

Expert Opin Drug Metab Toxicol 2018 Apr 10;14(4):399-415. Epub 2018 Apr 10.

a Academic Unit of Obstetrics and Gynecology , Ospedale Policlinico San Martino , Genoa , Italy.

Introduction: Endometriosis is a chronic estrogen and progestogen responsive inflammatory disease associated with pain symptoms and infertility. The medical therapy of endometriosis aims to induce decidualization within the hormonally dependent ectopic endometrium, and it is often administered to ameliorate women' pain symptoms or to prevent post-surgical disease recurrence. A variety of progestins have been used in monotherapy for the medical management of women with endometriosis. Read More

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http://dx.doi.org/10.1080/17425255.2018.1461840DOI Listing
April 2018
4 Reads