2,935 results match your criteria Journal of Obstetrics and Gynaecology Canada[Journal]


Classical Caesarean: What Are the Maternal and Infant Risks Compared With Low Transverse Caesarean in Preterm Birth, and Subsequent Uterine Rupture Risks? A Systematic Review and Meta-analysis.

J Obstet Gynaecol Can 2019 Apr 16. Epub 2019 Apr 16.

Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON; Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON; Department of Radiology, McMaster University, Hamilton, ON.

Classical Caesarean section may be associated with increased short- and long-term risks. The objectives of this study were to review the following systematically: first, the short-term maternal and infant risks with preterm classical compared with low transverse Caesarean sections; and second, the risk of spontaneous or early-labour uterine rupture. The data sources used were Medline, EMBASE, Cochrane Central Register of Controlled Trials, and ClinicalTrials. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.02.015DOI Listing
April 2019
1 Read

The Quality of Information on Combined Oral Contraceptives Available on the Internet.

J Obstet Gynaecol Can 2019 Apr 16. Epub 2019 Apr 16.

Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, AB. Electronic address:

Objective: Combined oral contraceptives (COC) are a popular choice among women. The Internet is an accessible and popular source of information on contraception. The objective of this study was to evaluate the quality of online information on COC. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.01.024DOI Listing
April 2019
1 Read

Impact of Episiotomy During Operative Vaginal Delivery on Obstetrical Anal Sphincter Injuries.

J Obstet Gynaecol Can 2019 Apr 16. Epub 2019 Apr 16.

Department of Obstetrics and Gynecology, University of Alberta, Lois Hole Hospital for Women, Edmonton, AB. Electronic address:

Objective: The purpose of this study was to describe associations between episiotomy at the time of forceps or vacuum-assisted delivery and obstetrical anal sphincter injuries (OASIS).

Methods: This population-based retrospective cohort study used delivery information from a provincial perinatal clinical database. Full-term, singleton, in-hospital, operative vaginal deliveries of vertex-presenting infants from April 1, 2006 to March 31, 2016 were identified. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.02.016DOI Listing

N 379 - Assistance et ressources en matière de prestation de soins de maternité optimaux.

J Obstet Gynaecol Can 2019 May;41(5):697-707.e5

Vancouver (C.-B.).

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http://dx.doi.org/10.1016/j.jogc.2019.02.127DOI Listing

No. 379-Attendance at and Resources for Delivery of Optimal Maternity Care.

J Obstet Gynaecol Can 2019 May;41(5):688-696.e4

Vancouver, BC.

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http://dx.doi.org/10.1016/j.jogc.2018.12.003DOI Listing

N 378 - Placentophagie.

J Obstet Gynaecol Can 2019 May;41(5):683-687

Vancouver (C.-B.).

La consommation du placenta humain a récemment été mise en évidence. Toutefois, aucune donnée probante ne fait état des bienfaits qui seraient liés à cette pratique. De plus, elle peut nuire à la santé. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.01.007DOI Listing

No. 378-Placentophagy.

J Obstet Gynaecol Can 2019 May;41(5):679-682

Vancouver, BC.

Consumption of human placenta has recently been highlighted; however, there is no evidence of benefit from its consumption. In addition, there is potential for harm. Therefore the SOGC does not recommend the practice of placentophagy. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.10.006DOI Listing

La littérature médicale mondiale : obstétrique.

Authors:
Amira El-Messidi

J Obstet Gynaecol Can 2019 May;41(5):587-590

Département d'obstétrique et de gynécologie, Université McGill, Montréal (Qc).

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http://dx.doi.org/10.1016/j.jogc.2019.03.011DOI Listing

Excerpts From the World Medical Literature: Obstetrics.

Authors:
Amira El-Messidi

J Obstet Gynaecol Can 2019 May;41(5):584-586

Royal Victoria Hospital, McGill University Health Centre, Montréal, Québec. Electronic address:

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http://dx.doi.org/10.1016/j.jogc.2019.02.129DOI Listing

Revues prédatrices et réunions « bidon ».

J Obstet Gynaecol Can 2019 May;41(5):581-583

Department of Obstetrics and Gynecology, McGill University, Montréal (Qc).

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http://dx.doi.org/10.1016/j.jogc.2019.03.009DOI Listing

Predatory Journals and Junk Meetings.

J Obstet Gynaecol Can 2019 May;41(5):579-580

Department of Obstetrics and Gynecology, McGill University, Montréal, QC.

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http://dx.doi.org/10.1016/j.jogc.2019.02.012DOI Listing

Fournier's Necrosis Associated With Extraintestinal Amebiasis: A Rare Presentation of a Common Infection.

J Obstet Gynaecol Can 2019 May;41(5):577

Fundación Valle del Lili, Cali, Colombia; Universidad Icesi, Cali, Colombia.

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http://dx.doi.org/10.1016/j.jogc.2018.01.030DOI Listing

Predictors of Obstetric Fistula Repair Outcomes in Lubango, Angola.

J Obstet Gynaecol Can 2019 Apr 12. Epub 2019 Apr 12.

Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA; Center for Surgery and Public Health,(,) Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Objective: Obstetric fistulas have a significant physical and social impact on many women in Angola. The majority of the population of this sub-Saharan African nation does not have access to high-quality obstetric care, and this is associated with a risk of prolonged labour and formation of obstetric fistulas. Fistulas are challenging to correct surgically and may require repeated operations. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.01.025DOI Listing
April 2019
6 Reads

Efficacy of Non-ablative Laser Therapy for Lichen Sclerosus: A Randomized Controlled Trial.

J Obstet Gynaecol Can 2019 Apr 11. Epub 2019 Apr 11.

Department of Gynecology, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Objective: The aim of this randomized controlled trial was to evaluate the safety and efficacy of neodymium: yttrium aluminum garnet laser treatment of lichen sclerosus (LS) by comparing it with topical corticosteroid treatment.

Methods: A total of 40 female patients with vulvar LS were randomized 1:1 into a study (laser) group and a control (topical corticosteroids) group. The laser group received three laser treatments. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.01.023DOI Listing

Postpartum Mental Health Disorders in Indigenous Women: A Systematic Review and Meta-Analysis.

J Obstet Gynaecol Can 2019 Apr 10. Epub 2019 Apr 10.

Department of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB; Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB; School of Public Health, University of Alberta, Edmonton, AB. Electronic address:

Objective: This systematic review synthesized and evaluated the evidence on the prevalence of postpartum mental health disorders in Indigenous women.

Methods: Comprehensive searches of biomedical electronic databases including Medline, EMBASE, PsychINFO, CINAHL, and Web of Science were performed for peer-reviewed literature published from 1990 to September 2018. The search strategy included terms related to the postpartum period, mental health disorders, and Indigenous ancestry. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.02.009DOI Listing
April 2019
3 Reads

Streptococcal Toxic Shock Syndrome After Insertion of a Levonorgestrel Intrauterine Device.

J Obstet Gynaecol Can 2019 Apr 10. Epub 2019 Apr 10.

Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Montréal, QC. Electronic address:

Background: The insertion of intrauterine devices (IUDs) is associated with a small increased risk of pelvic inflammatory disease and ascending infection, particularly in patients with risk factors. However, the risk of sepsis and toxic shock syndrome after insertion of an IUD is a rare event, described only through case reports in the literature.

Case: This report describes the case of a 40-year-old woman who presented with high fever, myalgias, and abdominal pain 2 days following the insertion of a levonorgestrel-releasing IUD. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.02.017DOI Listing
April 2019
2 Reads

Screening for Gonorrhea and Chlamydia in Pregnancy: Room for Improvement.

J Obstet Gynaecol Can 2019 Apr 2. Epub 2019 Apr 2.

Department of Obstetrics and Gynaecology, St. Michael's Hospital, University of Toronto, Toronto, ON.

Objective: This study sought to determine the proportion of pregnant women who are tested for gonorrhea and chlamydia as part of their prenatal care and to examine patient and provider factors affecting testing rates.

Methods: The study investigators conducted a retrospective chart review of all patients who were delivered at St. Michael's Hospital, an urban tertiary care centre in Toronto, Ontario, between November 2015 and April 2016. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.02.006DOI Listing

Increasing the Technicity Index to 92% in a Community Hospital: A 5-Year Retrospective Review.

J Obstet Gynaecol Can 2019 Apr 1. Epub 2019 Apr 1.

Department of Obstetrics and Gynaecology, Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Obstetrics and Gynecology, Langley Memorial Hospital, Fraser Health Authority, Langley, BC. Electronic address:

Objective: This study describes the observed trends in hysterectomy routes at Langley Memorial Hospital (LMH) in Langley, British Columbia, over 5 consecutive years. Associations between patient characteristics and surgical approach were explored, and approach-based surgical outcomes were evaluated using the Institutional Technicity Index (TI), defined as the ratio of hysterectomies performed by minimally invasive surgery to all hysterectomies.

Methods: A retrospective descriptive study involving 706 women who underwent hysterectomy at LMH between January 1, 2012 and December 31, 2016 by six full-time surgeons was performed. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.02.003DOI Listing

Surgical Management of the Placenta Accreta Spectrum: An Institutional Experience.

J Obstet Gynaecol Can 2019 Apr 1. Epub 2019 Apr 1.

Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Montréal, QC. Electronic address:

Objective: The incidence of placenta accreta spectrum (PAS) has risen over the past decades, primarily in response to increasing Caesarean section rates. The surgical management of PAS is associated with significant morbidity, including hemorrhage and intensive care unit (ICU) admission. This study sought to evaluate the surgical outcomes of a PAS operative approach. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.01.016DOI Listing

Intermittent Sinusoidal Fetal Heart Rate and Massive Maternal-Fetal Hemorrhage: A Case Report.

J Obstet Gynaecol Can 2019 Apr 1. Epub 2019 Apr 1.

Coordinator, Perinatal Outreach Education Program Regina General Hospital, Saskatchewan Health Authority - Regina Site, Regina, SK.

Background: A sinusoidal fetal heart rate pattern is a well-documented sign of maternal-fetal hemorrhage; however, an intermittent sinusoidal pattern is rare.

Case: This is a case of a 26-year-old primigravida who presented with decreased fetal movement. On fetal heart rate monitoring there were episodes of intermittent sinusoidal fetal heart rate pattern, and the baby was born with anemia. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.01.022DOI Listing

N 387 - La bandelette sous-urétrale dans le traitement de l'incontinence urinaire à l'effort.

Authors:
Aisling Clancy

J Obstet Gynaecol Can 2019 Mar 28. Epub 2019 Mar 28.

Ottawa (Ont.).

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http://dx.doi.org/10.1016/j.jogc.2019.01.015DOI Listing

No. 387-Mid-Urethral Slings for Stress Urinary Incontinence.

Authors:
Aisling Clancy

J Obstet Gynaecol Can 2019 Mar 28. Epub 2019 Mar 28.

Ottawa, ON.

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http://dx.doi.org/10.1016/j.jogc.2018.12.020DOI Listing
March 2019
1 Read

Endometritis and Bacteremia With a New Delhi Metallo-beta-Lactamase 1 (NDM-1)-containing Organism in a Remote Traveler.

J Obstet Gynaecol Can 2019 Mar 25. Epub 2019 Mar 25.

Department of Medicine, University of Toronto, Divisions of General Internal Medicine and Infectious Diseases, Toronto General Hospital, University Health Network, Toronto, ON. Electronic address:

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http://dx.doi.org/10.1016/j.jogc.2019.02.008DOI Listing
March 2019
1 Read

Prevalence of Pre-Pregnancy Diabetes, Obesity, and Hypertension in Canada.

J Obstet Gynaecol Can 2019 Mar 23. Epub 2019 Mar 23.

Department of Medicine, St. Michael's Hospital, University of Toronto, Toronto, ON; Department of Obstetrics and Gynaecology, St. Michael's Hospital, University of Toronto, Toronto, ON.

Objective: Pre-existing diabetes mellitus (D), obesity (O), and chronic hypertension (H) can each alter the natural course of pregnancy, especially when they cluster together. Because the prevalence of various combinations of D, O, and H is unknown, the current study was undertaken.

Methods: This population-based cross-sectional study included 506 483 singleton and twin live birth and stillbirth deliveries in Ontario, occurring at ≥20 weeks gestation. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.01.020DOI Listing
March 2019
2 Reads

Is There a Difference in Sonographic Estimation of Amniotic Fluid Volume When Measuring With the Probe Perpendicular to the Floor Compared With Perpendicular to the Uterine Contour?

J Obstet Gynaecol Can 2019 Mar 22. Epub 2019 Mar 22.

Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, Little Rock, AR. Electronic address:

Objective: This study sought to determine whether there is a significant difference in amniotic fluid measurements when measuring perpendicular to the floor compared with perpendicular to the uterine contour using both amniotic fluid index and single deepest pocket.

Methods: This was a single-centre, prospective study of women with singleton gestation who were undergoing fetal ultrasound examination. A total of 240 women were enrolled, and single deepest pocket and amniotic fluid index were measured with both techniques. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.01.017DOI Listing

The Use of Pulsed Radiofrequency for the Treatment of Pudendal Neuralgia: A Case Series.

J Obstet Gynaecol Can 2019 Mar 22. Epub 2019 Mar 22.

The Ottawa Hospital Research Institute, Ottawa, ON; Department of Obstetrics and Gynecology, The Ottawa Hospital, Ottawa, ON; Department of Medicine, University of Ottawa, Ottawa, ON. Electronic address:

Objective: Pudendal neuralgia is a recognized cause of chronic pelvic pain. The diagnosis is complex, and there is no consensus on ideal management. Many current methods do not provide adequate relief. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163193003
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http://dx.doi.org/10.1016/j.jogc.2019.01.019DOI Listing
March 2019
3 Reads

Water Birth Maternal and Neonatal Outcomes Among Midwifery Clients in Alberta, Canada, from 2014 to 2017: A Retrospective Study.

J Obstet Gynaecol Can 2019 Mar 21. Epub 2019 Mar 21.

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

Objectives: This study sought to evaluate retrospectively the maternal and neonatal outcomes of water births (WBs) managed by Registered Midwives in Alberta compared with traditional or "land" vaginal birth outcomes for clinical evidence or knowledge and to assist in health care management planning.

Methods: This study was a retrospective cohort comparison of maternal and neonatal outcomes of WB (1716) and traditional or land birth (non-WB) (21 320) from selected low-risk maternal cohorts with spontaneous onset of labour and vaginal delivery in Alberta (2014-2017) using Alberta Perinatal Health Program data sets. Anonymized client and patient records linked the Alberta Perinatal Health Program data with inpatient Discharge Abstract Database for newborn and/or maternal personal health number (PHN/ULI) analyzed using SPSS 19. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.12.014DOI Listing
March 2019
1 Read

More Than a Myoma: A Review of Myomatous Erythrocytosis Syndrome.

J Obstet Gynaecol Can 2019 Mar 20. Epub 2019 Mar 20.

Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC; Vancouver Island Health Authority, Victoria General Hospital, Victoria, BC.

Myomatous erythrocytosis syndrome (MES) is gynaecological condition marked by isolated erythrocytosis and a fibroid uterus. This report presents a case of MES and reviews common clinical presentations, hematological trends, and patient outcomes. This study was a combined case report and review of published cases of MES. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.12.025DOI Listing

Intrauterine Contraception: Knowledge and Prescribing Practices of Canadian Health Care Providers.

J Obstet Gynaecol Can 2019 Mar 18. Epub 2019 Mar 18.

Department of Obstetrics and Gynaecology, University of Western Ontario, London, ON.

Objective: Contraception is an important issue in the lives of women, their partners, and society. Canadians and their health care providers play a critical role in contraceptive decision making that influences individuals and Canadian society. The purpose of this study was to gather data on contraception-related knowledge, counselling, and prescribing practices of Canadian health care providers. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.027DOI Listing
March 2019
1 Read

Barbed Versus Conventional Suture forUterine Repair During Caesarean Section: A Randomized Controlled Study.

J Obstet Gynaecol Can 2019 Mar 16. Epub 2019 Mar 16.

Department of Obstetrics and Gynecology, Barzilai University Medical Center, Faculty of Health Sciences, Ben-Gurion University of Negev, Ashkelon, Israel.

Objective: This study sought to compare the short-term outcome of uterine incision repair during a Caesarean section (CS) using a bidirectional knotless barbed suture versus polyglactin suture.

Methods: A randomized controlled trial was conducted at a university hospital. Participants undergoing a CS were randomized for uterine incision closure by bidirectional knotless barbed suture (group A) or polyglactin (group B). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163193002
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http://dx.doi.org/10.1016/j.jogc.2019.01.011DOI Listing
March 2019
4 Reads

Prediction of Hypoxic Acidemia in Last 2 Hours of Labour in Low-Risk Women.

J Obstet Gynaecol Can 2019 Mar 15. Epub 2019 Mar 15.

Department of Maternal and Fetal Medicine, The Ottawa Hospital, Ottawa, ON.

Objective: Prediction of hypoxic acidemia in neonates using cardiotocogram (CTG) features continues to be challenging. The objective of this study was to explore the association between contraction frequency and fetal heart rate characteristics with hypoxic acidemia in low-risk women in labour.

Methods: Cases were singleton, vertex, in labour with umbilical artery pH ≤7. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.12.015DOI Listing
March 2019
2 Reads

Does Cost Influence the Choice of Disposable Versus Reusable Instruments? Mailed Survey of Obstetrician/Gynaecologists.

J Obstet Gynaecol Can 2019 Mar 15. Epub 2019 Mar 15.

Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB; Women and Children's Health Research Institute, University of Alberta, Edmonton, AB. Electronic address:

Objective: A "cost-awareness" campaign was undertaken at a tertiary hospital from 2015 to 2016 to raise awareness about costs of disposable versus reusable instruments in laparoscopic procedures. We undertook a before and after survey of obstetrician/gynecologists (Ob/Gyns) to find out if the campaign had affected their attitudes about choosing disposable versus less expensive reusable instruments.

Methods: In 2015 (before the cost-awareness campaign) and 2017 (after the cost-awareness campaign), all full-time university-associated Ob/Gyns were mailed a cover letter, questionnaire, and coffee card ($5) with a postage-paid return envelope. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.01.002DOI Listing

Internal Iliac Artery Balloon Tamponade in Placenta Accreta: Outcomes From the Largest Tertiary Accreta Referral Centre in British Columbia.

J Obstet Gynaecol Can 2019 Apr 27;41(4):466-472. Epub 2018 Oct 27.

Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC.

Objective: Placenta accreta syndromes are well-recognized risk factors for severe postpartum hemorrhage and are associated with significant maternal morbidity. Internal iliac artery balloon tamponade is an adjunctive procedure used to reduce blood loss at the time of Caesarean hysterectomy with variable results in the reported literature. This study investigated the outcomes of preoperative balloon tamponade at the largest tertiary referral centre for placenta accreta in British Columbia. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.06.020DOI Listing
April 2019
1 Read

Effect of Hospital Choice on the Risk of Caesarean Delivery.

J Obstet Gynaecol Can 2019 Mar 14. Epub 2019 Mar 14.

Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Montréal, QC; Centre for Clinical Epidemiology and Community Studies, Jewish General Hospital, Montréal, QC. Electronic address:

Objective: This study aimed to evaluate the variation in Caesarean delivery rate (CDR) among hospitals across the United States, its effect on maternal and neonatal outcomes, and whether differences in pregnancy and hospital characteristics can explain the higher CDRs seen in certain hospitals.

Methods: This retrospective population-based cohort study was conducted using the 2014 Healthcare and Utilization Project Nationwide Inpatient Sample. The investigators identified all hospitals with birth admissions and compared hospitals with high CDRs with hospitals with low/mid CDRs, in terms of hospital characteristics, maternal characteristics, and maternal and neonatal outcomes. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.013DOI Listing

N 377- Indications gynécologiques bénignes de l'hystérectomie.

J Obstet Gynaecol Can 2019 Apr;41(4):558-574

Hamilton (Ont.).

Objectif: Aider les médecins qui pratiquent la chirurgie gynécologique dans leur processus décisionnel relatif aux indications bénignes de l'hystérectomie.

Public Cible: Médecins, y compris gynécologues, obstétriciens, médecins de famille, chirurgiens généralistes, urgentologues; infirmières, y compris les infirmières autorisées et les infirmières praticiennes; apprentis en médecine, y compris étudiants de médecine, résidents, stagiaires (fellows); et autres fournisseurs de soins de santé.

Population Cible: Femmes adultes (18 ans et plus) qui devront subir une hystérectomie pour une indication gynécologie bénigne. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.02.002DOI Listing
April 2019
1 Read

No. 377-Hysterectomy for Benign Gynaecologic Indications.

J Obstet Gynaecol Can 2019 Apr;41(4):543-557

Hamilton, ON.

Objective: To assist physicians performing gynaecologic surgery in decision making surrounding hysterectomy for benign indications.

Intended Users: Physicians, including gynaecologists, obstetricians, family physicians, general surgeons, emergency medicine specialists; nurses, including registered nurses and nurse practitioners; medical trainees, including medical students, residents, and fellows; and all other health care providers.

Target Population: Adult women (18 years and older) who will undergo hysterectomy for benign gynaecologic indications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183102
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http://dx.doi.org/10.1016/j.jogc.2018.12.006DOI Listing
April 2019
12 Reads

N 376 - Recours au sulfate de magnésium aux fins de neuroprotection fœtale.

J Obstet Gynaecol Can 2019 Apr;41(4):523-542

Vancouver (C.-B.).

Objectif: Fournir des directives sur l'administration prénatale de sulfate de magnésium visant à offrir une neuroprotection aux enfants prématurés.

Options: L'administration prénatale de sulfate de magnésium aux fins de neuroprotection fœtale devrait être envisagée chez les femmes enceintes de 33+6 semaines ou moins étant sur le point d'accoucher prématurément; l'accouchement prématuré imminent est défini par une forte probabilité d'accouchement en raison d'un travail actif accompagné d'une dilatation du col d'au moins 4 cm, avec ou sans rupture prématurée des membranes avant le travail, ou comme un accouchement prématuré planifié pour des indications maternelles ou fœtales. Outre le sulfate de magnésium, aucun autre agent offrant une neuroprotection fœtale n'est connu. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.033DOI Listing
April 2019
3 Reads

No. 376-Magnesium Sulphate for Fetal Neuroprotection.

J Obstet Gynaecol Can 2019 Apr;41(4):505-522

Vancouver, BC.

Objective: The objective is to provide guidelines for the use of antenatal magnesium sulphate for fetal neuroprotection of the preterm infant.

Options: Antenatal magnesium sulphate administration should be considered for fetal neuroprotection when women present at ≤33 + 6 weeks with imminent preterm birth, defined as a high likelihood of birth because of active labour with cervical dilatation ≥4 cm, with or without preterm pre-labour rupture of membranes, and/or planned preterm birth for fetal or maternal indications. There are no other known fetal neuroprotective agents. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.09.018DOI Listing
April 2019
1 Read

La littérature médicale mondiale.

Authors:
Cleve Ziegler

J Obstet Gynaecol Can 2019 Apr;41(4):416-418

Département d'obstétrique et de gynécologie, Hôpital général juif, et Université McGill, Montréal (Qc).

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http://dx.doi.org/10.1016/j.jogc.2019.02.020DOI Listing

Excerpts From the World Medical Literature.

Authors:
Cleve Ziegler

J Obstet Gynaecol Can 2019 Apr;41(4):413-415

Department of Obstetrics and Gynecology, McGill University, Montréal, QC. Electronic address:

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http://dx.doi.org/10.1016/j.jogc.2019.02.010DOI Listing

La banque de données néerlandaise sur les médicaments pendant la grossesse : une bonne idée pour le Canada?

J Obstet Gynaecol Can 2019 Apr;41(4):410-412

Société néerlandaise d'obstétrique et gynécologie (Dutch Society for Obstetrics and Gynaecology, NVOG), Utrecht, Pays-Bas.

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https://linkinghub.elsevier.com/retrieve/pii/S17012163193003
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http://dx.doi.org/10.1016/j.jogc.2019.01.018DOI Listing
April 2019
5 Reads

Pneumomediastinum and Retropharyngeal Emphysema Following Laparoscopic Ovarian Cystectomy.

J Obstet Gynaecol Can 2019 Mar 14. Epub 2019 Mar 14.

Department of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB.

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http://dx.doi.org/10.1016/j.jogc.2019.01.021DOI Listing
March 2019
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Patients' Motivation for Surgical Versus Medical Abortion.

J Obstet Gynaecol Can 2019 Mar 13. Epub 2019 Mar 13.

Department of Obstetrics and Gynaecology, Faculty of Health Sciences, Queen's University, Kingston, ON.

Objective: Induced abortion is the second most common reproductive health procedure in Canada. Among all Canadian women, 31% will have at least one induced abortion in their life. Unfortunately, abortion services are disparate throughout the country. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.01.009DOI Listing
March 2019
9 Reads

Recommendations From a National Panel on Quality Improvement in Obstetrics.

J Obstet Gynaecol Can 2019 May 11;41(5):653-659. Epub 2019 Mar 11.

Society for Obstetricians and Gynaecologists of Canada, Ottawa, ON.

This paper describes the recommendations of a national panel on quality improvement in obstetrics to identify priorities for action among five areas of greatest medico-legal risk. Using previously conducted medico-legal data analyses and a systematic literature review, the panel reviewed existing data and developed recommendations for areas of focus in quality improvement in five obstetrical high-risk areas. The panel recommended clarification of definitions in some areas, identified needs for data collection and standardization of practices in others. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163193008
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http://dx.doi.org/10.1016/j.jogc.2019.02.011DOI Listing
May 2019
6 Reads

Treating Postpartum Depression With 1-Day Cognitive Behavioural Therapy-Based Workshops.

J Obstet Gynaecol Can 2019 May 9;41(5):591-592. Epub 2019 Mar 9.

Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON.

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https://linkinghub.elsevier.com/retrieve/pii/S17012163193009
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http://dx.doi.org/10.1016/j.jogc.2019.02.018DOI Listing
May 2019
4 Reads

Barriers Preventing Medical Students From Performing Pelvic Examinations During Obstetrics and Gynaecology Clinical Clerkship Rotations.

J Obstet Gynaecol Can 2019 Feb 22. Epub 2019 Feb 22.

Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, NS. Electronic address:

Objective: This study sought to identify barriers that prevent medical students from performing pelvic examinations in their Obstetrics and Gynaecology (Ob/Gyn) clinical clerkship rotations and to compare the perspectives of faculty, residents, nurses, and students regarding perceived barriers.

Methods: An electronic survey was distributed to third-year Dalhousie University (Halifax, NS) medical students on completion of their Ob/Gyn clerkship rotations in the 2015-2016 academic year and to Ob/Gyn nursing staff, faculty, and residents (Canadian Task Force classification III).

Results: There were 82 responses, giving an overall response rate of 28%. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.12.023DOI Listing
February 2019

Limitations in Correspondence Programs for Cervical Cancer Screening: Who Are the Women We Are Missing?

J Obstet Gynaecol Can 2019 Feb 22. Epub 2019 Feb 22.

Division of Gynecologic Oncology, University of Toronto, Toronto, ON; Cancer Care Ontario, Toronto, ON; Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON.

Objective: This study sought to identify factors associated with gaps in the correspondence program and the characteristics of those women who are not reached with a mailed invitation to screening within an organized cervical cancer screening program.

Methods: This population-based, retrospective observational study examined the factors associated with failed correspondence mailings as part of the Ontario cervical cancer screening program. Administrative databases were used to identify eligible women who were overdue for screening or never screened yet did not receive an invitation to screening as a result of a failed mailing. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.034DOI Listing
February 2019
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Improving Physician Knowledge: A Necessary but Not Sufficient Requirement of Improving Intrauterine Contraception Access in Canada.

J Obstet Gynaecol Can 2019 Feb 22. Epub 2019 Feb 22.

Department of Obstetrics and Gynaecology, Queen's University, Kingston, ON. Electronic address:

Objective: This study sought to identify knowledge gaps and attitudinal barriers to prescribing intrauterine contraception (IUC).

Methods: A national, Web-based survey of Canadian gynaecology (GYN) and family medicine (FM) physicians was conducted. The survey was distributed through several channels, including physicians' databases, invitations through a commercial email aggregating service, and contacting residency programs. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.005DOI Listing
February 2019
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Strangulated Congenital Diaphragmatic Hernia of Bochdalek Diagnosed in Late Pregnancy: A Case Report and Review of the Literature.

J Obstet Gynaecol Can 2019 Feb 22. Epub 2019 Feb 22.

Department of Surgery, Centre Hospitalier Universitaire de Québec, Québec, QC. Electronic address:

Background: Congenital diaphragmatic hernia is an unusual condition in the adult population because it is mostly a neonatal diagnosis. This entity may be triggered by pregnancy and threaten the life of the mother and her fetus.

Case: This report presents the case of a maternal diaphragmatic hernia diagnosed at 35 weeks of pregnancy with epigastric pain, nausea, and vomiting. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.12.024DOI Listing
February 2019
3 Reads