1,199 results match your criteria Current opinion in obstetrics & gynecology[Journal]


Cord Blood Banking: Antenatal Care Provider's Roles and Responsibilities.

Stem Cells Int 2019 7;2019:3598404. Epub 2019 Mar 7.

Manipal Academy of Higher Education, Department of Obstetrics & Gynecology, Kasturba Medical College, Manipal 576104, India.

Background: Umbilical Cord Blood (UCB) banking done either for private storage or for donation to public cord blood banks involves active participation of obstetricians. Counseling the expectant parents, providing them with unbiased and balanced information, and collecting the UCB with diligence confer a lot of social as well as moral responsibility upon obstetricians. This makes it even more important that the obstetricians in current practice stay well-informed and updated with UCB collection and its storage guidelines. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2019/3598404DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431514PMC
March 2019
1 Read

Current and emerging osteoporosis pharmacotherapy for women: state of the art therapies for preventing bone loss.

Expert Opin Pharmacother 2019 Apr 8:1-12. Epub 2019 Apr 8.

c Academic Orthopaedic Unit , Aristotle University Medical School, Papageorgiou General Hospital , Thessaloniki , Greece.

Introduction: Pharmacological options to address the imbalance between bone resorption and accrual in osteoporosis include anti-resorptive and osteoanabolic agents. Unique biologic pathways such as the Wnt/β-catenin pathway have been targeted in the quest for new emerging therapeutic strategies. Areas covered: This review provides an overview of existing pharmacotherapy for osteoporosis in women and explore state-of-the-art and emerging therapies to prevent bone loss, with an emphasis on the mechanism of action, indications and side effects. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/14656566.2019.1
Publisher Site
http://dx.doi.org/10.1080/14656566.2019.1594772DOI Listing
April 2019
6 Reads

Current practice and physicians' opinion about preoperative hair removal as a part of ERAS pathway implementation in gynecology and gynecology-oncology: a NOGGO-AGO survey of 148 gynecological departments in Germany.

Arch Gynecol Obstet 2019 Apr 5. Epub 2019 Apr 5.

Department of Gynecology with Center for Oncological Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Virchow Campus Clinic, Charité Medical University, Berlin, Germany.

Purpose: To gather standardized information about current practices and doctors' opinions on preoperative hair removal (PHR) from the surgical site and to evaluate the extent of PHR as one of the elements of enhanced recovery after surgery (ERAS) pathways that is established in the clinical routine in gynecology and gynecology-oncology departments in Germany.

Methods: We performed a nationwide survey among 638 primary, secondary and tertiary health care gynecological departments in Germany. Data were obtained by sending a multiple-choice questionnaire about preoperative management of hair removal. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00404-019-05132-wDOI Listing
April 2019
1 Read

How We Evaluate Postgraduate Medical E-Learning: Systematic Review.

JMIR Med Educ 2019 Apr 5;5(1):e13128. Epub 2019 Apr 5.

Athena Institute for Trans-Disciplinary Research, VU University Amsterdam, Amsterdam, Netherlands.

Background: Electronic learning (e-learning) in postgraduate medical education has seen a rapid evolution; however, we tend to evaluate it only on its primary outcome or learning aim, whereas its effectiveness also depends on its instructional design. We believe it is important to have an overview of all the methods currently used to evaluate e-learning design so that the preferred method may be identified and the next steps needed to continue to evaluate postgraduate medical e-learning may be outlined.

Objective: This study aimed to identify and compare the outcomes and methods used to evaluate postgraduate medical e-learning. Read More

View Article

Download full-text PDF

Source
http://mededu.jmir.org/2019/1/e13128/
Publisher Site
http://dx.doi.org/10.2196/13128DOI Listing
April 2019
2 Reads

Consent in the Exam Room.

J Sex Med 2019 Mar 26. Epub 2019 Mar 26.

Division of Education, Graduate Medical Education Committee, The Department of Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA. Electronic address:

Introduction: Explicitly obtaining consent from a patient prior to starting a sensitive physical exam is essential to improve their experience with intimate examinations such as the genitourinary exam.

Aim: The purpose of this article is to raise awareness among providers about how and why to obtain consent for intimate examinations.

Methods: The current literature on consent was reviewed and the opinion piece was created using current events and literature. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jsxm.2019.02.013DOI Listing

Guidelines for Cervical Cancer Screening in Immunosuppressed Women Without HIV Infection.

J Low Genit Tract Dis 2019 Apr;23(2):87-101

Department of Obstetrics and Gynecology, University of Oklahoma Tulsa, OU-TU School of Community Medicine, Tulsa, OK.

Executive Summary: The risk of cervical cancer (CC) among women immunosuppressed for a variety of reasons is well documented in the literature. Although there is improved organ function, quality of life and life expectancy gained through use of immunosuppressant therapy, there may be increased long-term risk of cervical neoplasia and cancer and the need for more intense screening, surveillance, and management. Although guidance for CC screening among HIV-infected women (see Table 1) has been supported by evidence from retrospective and prospective studies, recommendations for CC screening among non-HIV immunosuppressed women remains limited because quality evidence is lacking. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/LGT.0000000000000468DOI Listing
April 2019
2 Reads

Building Health System Capacity through Medical Education: A Targeted Needs Assessment to Guide Development of a Structured Internal Medicine Curriculum for Medical Interns in Botswana.

Ann Glob Health 2018 Apr 30;84(1):151-159. Epub 2018 Apr 30.

Botswana-Harvard Partnership, Gaborone, Botswana, ZA.

Background: Medical internship is the final year of training before independent practice for most doctors in Botswana. Internship training in Botswana faces challenges including variability in participants' level of knowledge and skill related to their completion of medical school in a variety of settings (both foreign and domestic), lack of planned curricular content, and limited time for structured educational activities. Data on trainees' opinions regarding the content and delivery of graduate medical education in settings like Botswana are limited, which makes it difficult to revise programs in a learner-centered way. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.29024/aogh.22DOI Listing
April 2018
1 Read

Health facility service availability and readiness to provide basic emergency obstetric and newborn care in a low-resource setting: evidence from a Tanzania National Survey.

BMJ Open 2019 Feb 19;9(2):e020608. Epub 2019 Feb 19.

Department of Internal Medicine, College of Health Sciences, The University of Dodoma, Dodoma, United Republic of Tanzania.

Objective: This study used a nationally representative sample from Tanzania as an example of low-resource setting with a high burden of maternal and newborn deaths, to assess the availability and readiness of health facilities to provide basic emergency obstetric and newborn care (BEmONC) and its associated factors.

Design: Health facility-based cross-sectional survey.

Setting: We analysed data for obstetric and newborn care services obtained from the 2014-2015 Tanzania Service Provision Assessment survey, using WHO-Service Availability and Readiness Assessment tool. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2017-020608DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398731PMC
February 2019
1 Read
2.063 Impact Factor

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10815-019-01414-zDOI Listing
February 2019
2 Reads

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

Expert Opin Pharmacother 2019 Apr 6;20(6):713-723. 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/14656566.2019.1571042DOI Listing
April 2019
15 Reads
3.534 Impact Factor

Current and emerging pharmacotherapy for emergency management of preeclampsia.

Expert Opin Pharmacother 2019 Apr 1;20(6):701-712. 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/14656566.2019.1570134DOI Listing
April 2019
4 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 Mar 29;38(3):1005-1008. 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/nau.23927DOI Listing
March 2019
2 Reads

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

View Article

Download full-text PDF

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

Endometrial resection and ablation techniques for heavy menstrual bleeding.

Cochrane Database Syst Rev 2019 01 22;1:CD001501. Epub 2019 Jan 22.

Department of Obstetrics and Gynaecology, University of Auckland, Park Rd, Grafton, Auckland, New Zealand, 1142.

Background: Heavy menstrual bleeding (HMB) is a significant health problem in premenopausal women; it can reduce their quality of life and can cause social disruption and physical problems such as iron deficiency anaemia. First-line treatment has traditionally consisted of medical therapy (hormonal and non-hormonal), but this is not always successful in reducing menstrual bleeding to acceptable levels. Hysterectomy is a definitive treatment, but it is more costly and carries some risk. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/14651858.CD001501.pub5DOI Listing
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

View Article

Download full-text PDF

Source
https://www.futuremedicine.com/doi/10.2217/fon-2018-0428
Publisher Site
http://dx.doi.org/10.2217/fon-2018-0428DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462868PMC
February 2019
12 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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

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

Male involvement in the maternal health care system: implication towards decreasing the high burden of maternal mortality.

BMC Pregnancy Childbirth 2018 Dec 14;18(1):493. Epub 2018 Dec 14.

Department of Gynecology and Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, P.O. Box: 196, Gondar, Ethiopia.

Background: One of the essential components of antenatal care (ANC) is birth preparedness and complication readiness (BP/CR). Strengthening BP/CR measures is one of the principal strategies to reduce maternal mortality and morbidity. The current study aimed at determining the level of men's knowledge about obstetric danger signs, and their involvement in BP/CR among community of Northwest Ethiopia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12884-018-2139-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295014PMC
December 2018
1 Read

Determinants of client satisfaction to skilled antenatal care services at Southwest of Ethiopia: a cross-sectional facility based survey.

BMC Pregnancy Childbirth 2018 Dec 6;18(1):479. Epub 2018 Dec 6.

Department of Obstetrics and Gynecology, Tikur Anbesa Specialized Hospital, Addis Ababa University, Addis Ababa, Ethiopia.

Background: Patient satisfaction to Antenatal care services has traditionally been linked to the quality of services given and the extent to which specific needs are met. Even though data in this area was limited in Ethiopia, improving quality of care was one of the strategies in health sector development program IV. This study, therefore, attempted to assess client satisfaction to skilled antenatal care services in the study area. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12884-018-2121-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282368PMC
December 2018

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2018-023651DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303622PMC
December 2018
4 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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
https://bmcpublichealth.biomedcentral.com/articles/10.1186/s
Publisher Site
http://dx.doi.org/10.1186/s12889-018-6173-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258500PMC
November 2018
27 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

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/03007995.2018.1
Publisher Site
http://dx.doi.org/10.1080/03007995.2018.1552850DOI Listing
November 2018
16 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

View Article

Download full-text PDF

Source
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
17 Reads

Abortion care in Haiti: A secondary analysis of demographic and health data.

PLoS One 2018 8;13(11):e0206967. Epub 2018 Nov 8.

Departments of Emergency Medicine and Public Health Sciences, Queen's University, Kingston, Ontario, Canada.

Background: Abortion-related mortality accounts for 8% of all global maternal deaths and 97% of the estimated 25 million unsafe abortions performed each year occur in low- and middle-income countries. Haiti has the highest rate of maternal mortality in the western hemisphere and to further understand the circumstances of induced abortion in Haiti, the current work uses data from the 2012 Demographic and Health Survey (DHS) to describe the methods of induced abortion in Haiti between 2007-2012 and to identify potential factors associated with use of different abortion methods.

Methods: This is a secondary analysis of nationally representative cross-sectional data from the 2012 Haitian DHS, a two-stage cluster randomized household survey. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0206967PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224103PMC
April 2019
14 Reads

Should we combine vaginal prolapse surgery with continence surgery?

Int Urogynecol J 2019 Apr 8;30(4):577-580. 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00192-018-3808-yDOI Listing
April 2019
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-018-3608-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196455PMC
October 2018
11 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

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S24056308183008
Publisher Site
http://dx.doi.org/10.1016/j.ctro.2018.10.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6192009PMC
November 2018
20 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

View Article

Download full-text PDF

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

Management of gynecological cancer in pregnant patients.

Minerva Ginecol 2019 Apr 11;71(2):133-145. 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

View Article

Download full-text PDF

Source
https://www.minervamedica.it/index2.php?show=R09Y9999N00A181
Publisher Site
http://dx.doi.org/10.23736/S0026-4784.18.04324-1DOI Listing
April 2019
13 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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

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

Buprenorphine medication-assisted treatment during pregnancy: An exploratory factor analysis associated with adherence.

Drug Alcohol Depend 2018 11 15;192:146-149. Epub 2018 Sep 15.

Department of Psychiatry, University of Wisconsin, 6001 Research Park Blvd, Madison, WI, 53719 USA. Electronic address:

Background: The treatment of pregnant women with opioid use disorder is challenging due to the myriad of physical, mental, and social complications. Factors influencing adherence to buprenorphine during pregnancy have not been identified.

Materials And Methods: Pregnant women with opioid use disorder followed in a tertiary clinic were included in a retrospective chart review from buprenorphine induction through delivery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.drugalcdep.2018.07.042DOI Listing
November 2018
14 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

View Article

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143085PMC
December 2017
21 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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
http://cms.galenos.com.tr/Uploads/Article_19544/tjod-15-188-
Publisher Site
http://dx.doi.org/10.4274/tjod.39049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6127474PMC
September 2018
18 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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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 09 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/14740338.2018.1515197DOI Listing
September 2018
20 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.tjog.2018.06.016DOI Listing
August 2018
4 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

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0199887PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051596PMC
December 2018
9 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10995-018-2578-yDOI Listing
November 2018
7 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

View Article

Download full-text PDF

Source
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 07 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/14656566.2018.1494154DOI Listing
July 2018
22 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

View Article

Download full-text PDF

Source
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 06 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

View Article

Download full-text PDF

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