2,850 results match your criteria Journal of Obstetrics and Gynaecology Canada[Journal]


Cannabis Use in Pregnancy in British Columbia and Selected Birth Outcomes.

J Obstet Gynaecol Can 2019 Feb 7. Epub 2019 Feb 7.

Perinatal Services British Columbia, Vancouver, BC; School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC.

Objective: This study sought to determine the association between cannabis use in pregnancy and stillbirth, SGA (<10th percentile), and spontaneous preterm birth (<37 weeks).

Methods: The study used abstracted obstetrical and neonatal medical chart records for deliveries in British Columbia from April 1, 2008 to March 31, 2016 that were contained in the Perinatal Data Registry of Perinatal Services British Columbia. Chi-square tests were conducted to compare maternal sociodemographic characteristics by cannabis use. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.014DOI Listing
February 2019

Canadian Pregnant Women's Preferences Regarding NIPT for Down Syndrome: The Information They Want, How They Want to Get It, and With Whom They Want to Discuss It.

J Obstet Gynaecol Can 2019 Feb 7. Epub 2019 Feb 7.

Bioethics Program, Department of Social and Preventive Medicine, School of Public Health, Université de Montréal, Montréal, QC.

Objective: This study sought to assess Canadian pregnant women's and their partners' preferences for information about non-invasive prenatal testing (NIPT).

Methods: Pregnant women and their partners across Canada were surveyed as part of the Personalized Genomics for prenatal Aneuploidy Screening Using maternal blood (PEGASUS) study.

Results: A total of 882 pregnant women and 395 partners participated. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.003DOI Listing
February 2019

Birth Outcomes for Midwifery Clients Who Begin Postdates Induction of Labour Under Midwifery Care Compared With Those Who Are Transferred to Obstetrical Care.

J Obstet Gynaecol Can 2019 Jan 31. Epub 2019 Jan 31.

McMaster Midwifery Research Centre, Hamilton, ON; Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON; Midwifery Education Program, McMaster University, Hamilton, ON. Electronic address:

Objective: This study sought to compare clinical outcomes of midwifery clients who had postdates induction of labour with oxytocin under midwifery care with those transferred to obstetrical care.

Methods: This was a retrospective cohort study using 2006-2009 Ontario Midwifery Program data. All low-risk Ontario midwifery clients who had postdates oxytocin induction were included. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.024DOI Listing
January 2019
2 Reads

What Are the Clinical Factors That Are Predictive of Persistent Pessary Use at 12 Months?

J Obstet Gynaecol Can 2019 Jan 31. Epub 2019 Jan 31.

Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB.

Objective: Urinary incontinence and pelvic organ prolapse are highly prevalent in women and have a significant impact on quality of life. Pessaries are devices that are used as a conservative management option. Many women use pessaries, which avoid surgical intervention with its associated morbidity and cost. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.015DOI Listing
January 2019
1 Read

Letrozole and Unexplained Infertility: A Contemporary Meta-analysis.

J Obstet Gynaecol Can 2019 Jan 31. Epub 2019 Jan 31.

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

The results of a meta-analysis comparing the efficacy of clomiphene versus letrozole among couples with unexplained infertility in 2014 are in contrast to those of a randomized trial in 2015. This new meta-analysis included randomized studies that were not previously included and found that the efficacy of clomiphene or letrozole in women with unexplained infertility is comparable (Canadian Task Force Classification I). Read More

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http://dx.doi.org/10.1016/j.jogc.2018.12.001DOI Listing
January 2019

Comprehensive Evaluation of Type 2 Diabetes and Cardiovascular Disease Risk Profiles in Reproductive-Age Women with Polycystic Ovary Syndrome: A Large Canadian Cohort.

J Obstet Gynaecol Can 2019 Jan 31. Epub 2019 Jan 31.

Department of Obstetrics and Gynecology, College of Medicine, University of Saskatchewan, Saskatoon, SK. Electronic address:

Objective: This study compared the prevalence of metabolic syndrome (MetS) and characterized type 2 diabetes (DM2) and cardiovascular disease (CVD) risk profiles between Canadian women with polycystic ovary syndrome (PCOS) and healthy women recruited from the general population. Furthermore, within the PCOS cohort, the study contrasted the CVD and DM2 risk profiles of women with or without MetS.

Methods: Measures of MetS (International Diabetes Federation; National Heart, Lung, and Blood Institute; and the American Heart Association definition), DM2 (Diabetes Canada Clinical Guidelines), and CVD risk factors (Androgen Excess and Polycystic Ovary Syndrome Society statement) were evaluated for 237 women with PCOS (Androgen Excess and PCOS Society definitions) and 42 controls (aged 18-36) in a prospective observational study (Canadian Task Force classification II-2). Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.026DOI Listing
January 2019
1 Read

Uterine Inversion as a Result of a Large Prolapsed Carcinosarcoma of the Uterus.

J Obstet Gynaecol Can 2019 Jan 24. Epub 2019 Jan 24.

Department of Obstetrics, Gynecology, and Reproductive Science, University of Manitoba, Winnipeg, MB.

Background: Uterine inversion is most commonly seen in labour and delivery. However, it can be associated with uterine tumours, including gynaecologic malignancy.

Case: In a 66-year-old woman, uterine inversion identified at laparotomy that was found to be associated with uterine carcinosarcoma (malignant mixed mesodermal tumour) represents an unusual presentation. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.007DOI Listing
January 2019

A Triple-Blind Randomized Trial of Preemptive Use of Gabapentin Before Laparoscopic Hysterectomy for Benign Gynaecologic Conditions.

J Obstet Gynaecol Can 2019 Jan 24. Epub 2019 Jan 24.

Department of Anesthesia, McGill University, Montréal QC.

Objective: This study sought to examine the efficacy of preemptive use of gabapentin in laparoscopic hysterectomy for benign gynaecologic conditions.

Methods: In a triple-blind trial, the study investigators randomized women undergoing laparoscopic hysterectomy to receive 600 mg gabapentin (n = 43) or placebo (n = 45) orally 1 hour before the procedure. Patient-controlled opioid analgesia was provided postoperatively. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.019DOI Listing
January 2019
1 Read

Occult Vaginal Evisceration: Case Report.

J Obstet Gynaecol Can 2019 Jan 24. Epub 2019 Jan 24.

Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, The Ottawa Hospital, Ottawa, ON.

Background: Vaginal evisceration is a rare gynaecologic emergency that necessitates surgical intervention. It may manifest with obvious vaginal rupture, or it may be occult, specifically in patients with chronic pelvic organ prolapse.

Case: A 66-year-old woman with a history of bowel cancer and irradiation presented with occult vaginal evisceration. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.025DOI Listing
January 2019
1 Read

Introduction of Physician-Nurse Bedside Rounding and Ward Task List to Improve Quality of Care in Gynaecology: Prospective, Single-Blinded, Pre- and Post-Intervention Study.

J Obstet Gynaecol Can 2019 Jan 24. Epub 2019 Jan 24.

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

Objective: This study sought to determine whether physician-nurse bedside rounds and ward task list improve quality of care as measured by patient satisfaction, earlier discharge, and reduced trainee interruptions.

Methods: This prospective, single-blind, pre- and post-intervention study included patients admitted to the gynaecology ward at St. Michael's Hospital in Toronto, Ontario, involving a 6-week baseline, 6-week intervention, and 2-week second baseline phase. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.004DOI Listing
January 2019

Hysterectomy in Ontario: A Population-Based Study of Outcomes and Complications in Minimally Invasive Compared With Abdominal Approaches.

J Obstet Gynaecol Can 2019 Jan 24. Epub 2019 Jan 24.

Department of Obstetrics and Gynaecology, Western University, London, ON; Institute for Clinical Evaluative Sciences, London, ON. Electronic address:

Objective: As quality-based procedures (QBPs) are being established across the province of Ontario, it is important to identify reliable quality indicators (QIs) to ensure that compensation coincides with quality. Hysterectomy is the most commonly performed gynaecologic procedure and as such is a care process for which a QBP is being developed. The aim of this study was to evaluate the technicity index (TI) as a QI for hysterectomy by defining it in the context of specific surgical outcomes and complications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183083
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http://dx.doi.org/10.1016/j.jogc.2018.10.026DOI Listing
January 2019
3 Reads

Maternal BMI in Twin Pregnancies and Impact on Neonatal Outcomes in the Level I Unit: A Retrospective Cohort Study.

J Obstet Gynaecol Can 2019 Jan 24. Epub 2019 Jan 24.

Department of Paediatrics, Mount Sinai Hospital, Toronto, ON; Department of Paediatrics, University of Toronto, Toronto, ON; Maternal-Infant Care Research Centre, Mount Sinai Hospital, Toronto, ON. Electronic address:

Objective: With maternal obesity rates and twin pregnancies on the rise, the aim of this study was to assess the impact of pre-pregnancy or first trimester BMI on short-term neonatal morbidities in twins admitted to a level I unit.

Methods: This retrospective single-centre cohort study was conducted on twins born between January 1, 2010 and December 31, 2013 and admitted to the level I unit at Mount Sinai Hospital in Toronto, Ontario. Twin pairs were categorized according to maternal BMI: underweight (<18. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.011DOI Listing
January 2019
2 Reads

Gaining Insight Into Ondansetron Safety in Early Pregnancy.

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

Department of Obstetrics and Gynecology, University of Alberta, Lois Hole Hospital for Women, Edmonton, AB; Women and Children's Health Research Institute, Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB.

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http://dx.doi.org/10.1016/j.jogc.2019.01.001DOI Listing
January 2019
1 Read

Cardiovascular Risk Assessment and Follow-Up of Women After Hypertensive Disorders of Pregnancy: A Prospective Cohort Study.

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

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

Objective: Hypertensive disorders of pregnancy (HDP) comprise an independent, sex-specific risk factor for cardiovascular disease (CVD) in women. This study examined the utility of CVD risk models proposed in the 2016 Canadian Cardiovascular Society (CCS) lipid guidelines to identify women requiring further screening or lipid treatment following HDP.

Methods: Using data collected from the postpartum Maternal Health Clinic (MHC) at Kingston General Hospital in Kingston, Ontario and the Preeclampsia New Emerging Team (PE-NET) cohort study, the study investigators used the models recommended by the CCS guidelines and the cardiometabolic model of life expectancy in each cohort to estimate CVD risk in women after HDP. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.10.024DOI Listing
January 2019
3 Reads

Cervical Digital Photography: An Alternative Method to Colposcopy.

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

Postgraduate Program in Medicine, Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

Objective: This study sought to evaluate the performance of cervical digital photography as an alternative to colposcopy.

Methods: Colposcopy and cervical digital photography were performed on 228 women. The cervical digital photographs were evaluated through the Internet by three colposcopy experts. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.10.025DOI Listing
January 2019
2 Reads

Respiratory Morbidity in Late Preterm and Term Babies Born by Elective Caesarean section.

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

Department of Obstetrics and Gynaecology. Division of Maternal Fetal Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON. Electronic address:

Objective: This study sought to determine the incidence and severity of respiratory morbidity among late preterm and term babies born by elective Caesarean section (CS) in London, Ontario.

Methods: A retrospective chart review was conducted of all elective CSs performed at or beyond 36+0 weeks gestation from June 2010 to June 2014 at London Health Sciences Centre and St. Joseph's Health Care (Canadian Task Force Classification II-2). Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.002DOI Listing
January 2019
5 Reads

A Quality Improvement Initiative: Using Lean Methodology to Improve Efficiency of the Morning Cycle Monitoring at an Ambulatory Academic Fertility Clinic.

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

Department of Obstetrics and Gynaecology, Mount Sinai Hospital, Toronto, ON; Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON. Electronic address:

Objective: Patients receiving fertility treatments require near-daily blood work and ultrasound for cycle monitoring. Patient volumes at an academic hospital-based ambulatory clinic were expected to increase with expanded provincial funding. The aim of this quality improvement project was for 85% of cycle monitoring patients to have a turnaround time (TAT) of 20 minutes or less from arrival until checkout. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183083
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http://dx.doi.org/10.1016/j.jogc.2018.10.027DOI Listing
January 2019
6 Reads

Impact of Audits and Multifaceted Intervention on Vaginal Birth After Caesarean: Secondary Analysis of QUARISMA Trial.

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

Centre de recherche du CHU de Québec-Université Laval, Quebec City, QC; Department of Obstetrics, Gynecology and Reproduction, Faculty of Medicine, Université Laval, Quebec City, QC. Electronic address:

Objectives: This study estimated the effect that a multifaceted intervention aiming to improve the quality of obstetrical care and reduce CS had on the rate of VBAC.

Methods: This is a secondary analysis of the cluster RCT Quality of Care, Obstetrics Risk Management, and Mode of Delivery involving (1) audits regarding the indications for CS, (2) provision of feedback to health professionals, and (3) implementation of best practices to reduce CS rates in Quebec. The impact of intervention on VBAC, trial of labour (TOL), and maternal and neonatal morbidity was reported using adjusted ORs with 95% CIs. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.05.044DOI Listing
January 2019

The Association of Inadequate and Intensive Prenatal Care With Maternal, Fetal, and Infant Outcomes: A Population-Based Study in Manitoba, Canada.

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

Department of Obstetrics, Gynecology and Reproductive Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB.

Objective: Little is known about how prenatal care influences health outcomes in Canada. The objective of this study was to examine the association of prenatal care utilization with maternal, fetal, and infant outcomes in Manitoba.

Methods: This retrospective cohort study conducted at the Manitoba Centre for Health Policy investigated all deliveries of singleton births from 2004-2005 to 2008-2009 (N = 67 076). Read More

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http://dx.doi.org/10.1016/j.jogc.2018.09.006DOI Listing
January 2019
2 Reads

Effect of Menopausal Status on the Diagnosis of Endometrial Polyp.

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

Department of Obstetrics and Gynecology, Kaplan Medical Center, Faculty of Health Sciences, Hebrew University, Rehovot, Israel.

Objective: This study sought to compare the value of transvaginal ultrasonography (TVUS) and hysteroscopy in premenopausal and postmenopausal women in the diagnosis of endometrial polyp.

Methods: The records of 694 women with an ultrasonographic diagnosis of suspected endometrial polyp who underwent hysteroscopy were studied. Patients were divided into two groups according to menopausal status, and a comparison was made between two groups. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.08.012DOI Listing
January 2019
2 Reads

No. 313-Menstrual Suppression in Special Circumstances.

J Obstet Gynaecol Can 2019 Feb;41(2):e7-e17

Calgary, AB.

Objective: To provide a Canadian consensus document for health care providers with recommendations for menstrual suppression in patients with physical and/or cognitive challenges or those who are undergoing cancer treatment in whom menstruation may have a deleterious effect on their health.

Options: This document reviews the options available for menstrual suppression, its specific indications, contraindications, and side effects, both immediate and long-term, and the investigations and monitoring necessary throughout suppression.

Outcomes: Clinicians will be better informed about the options and indications for menstrual suppression in patients with cognitive and/or physical disabilities and patients undergoing chemotherapy, radiation, or other treatments for cancer. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183099
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http://dx.doi.org/10.1016/j.jogc.2018.11.030DOI Listing
February 2019
8 Reads

N 373 - Insuffisance cervicale et cerclage cervical.

J Obstet Gynaecol Can 2019 Feb;41(2):248-263

Vancouver (C.-B.).

Objectif: La présente directive clinique vise à fournir aux cliniciens un cadre à utiliser pour déterminer quelles femmes présentent un risque accru d'insuffisance cervicale et dans quelles situations le cerclage aurait une valeur potentielle. DONNéES PROBANTES: Nous avons examiné des études publiées récupérées au moyen de recherches dans PubMed, Medline, CINAHL et The Cochrane Library en 2018 à l'aide d'une terminologie (p. ex. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183099
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http://dx.doi.org/10.1016/j.jogc.2018.11.028DOI Listing
February 2019
1 Read

No. 373-Cervical Insufficiency and Cervical Cerclage.

J Obstet Gynaecol Can 2019 Feb;41(2):233-247

Vancouver, BC.

Objective: The purpose of this guideline is to provide a framework that clinicians can use to determine which women are at greatest risk of having cervical insufficiency and in which set of circumstances a cerclage is of potential value.

Evidence: Published literature was retrieved through searches of PubMed or Medline, CINAHL, and The Cochrane Library in 2018 using appropriate controlled vocabulary (e.g. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183064
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http://dx.doi.org/10.1016/j.jogc.2018.08.009DOI Listing
February 2019
7 Reads

N° 372 - Déclaration sur l'accouchement à domicile planifié.

J Obstet Gynaecol Can 2019 Feb;41(2):228-232

Hamilton (Ont.).

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http://dx.doi.org/10.1016/j.jogc.2018.12.011DOI Listing
February 2019

No. 372-Statement on Planned Homebirth.

J Obstet Gynaecol Can 2019 Feb;41(2):223-227

Hamilton, ON.

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http://dx.doi.org/10.1016/j.jogc.2018.08.008DOI Listing
February 2019

Author Response: Cannabis: Implications for Pregnancy, Fetal Development and Longer Term Health Outcomes.

J Obstet Gynaecol Can 2019 Feb;41(2):158-159

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

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183093
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http://dx.doi.org/10.1016/j.jogc.2018.11.021DOI Listing
February 2019
1 Read

Letter: Cannabis: Implications for Pregnancy, Fetal Development, and Longer-Term Health Outcomes.

J Obstet Gynaecol Can 2019 Feb;41(2):156-157

Department of Biological Sciences, Simon Fraser University, Burnaby, BC.

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http://dx.doi.org/10.1016/j.jogc.2018.11.020DOI Listing
February 2019

La littérature médicale mondiale : obstétrique.

Authors:
Amira El-Messidi

J Obstet Gynaecol Can 2019 Feb;41(2):152-155

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

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http://dx.doi.org/10.1016/j.jogc.2018.12.016DOI Listing
February 2019

Excerpts From the World Medical Literature: Obstetrics.

Authors:
Amira El-Messidi

J Obstet Gynaecol Can 2019 Feb;41(2):149-151

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

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http://dx.doi.org/10.1016/j.jogc.2018.11.029DOI Listing
February 2019

Hystérectomie radicale à effraction minimale pour le traitement d'un cancer du col de l'utérus : point de vue de la GOC.

Authors:
James R Bentley

J Obstet Gynaecol Can 2019 Feb;41(2):146-148

Président de la Société de gynéco-oncologie du Canada (GOC).

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http://dx.doi.org/10.1016/j.jogc.2018.12.021DOI Listing
February 2019

Minimally-Invasive Radical Hysterectomy for Cancer of the Cervix: The Perspective of the Society of Gynecologic Oncologists of Canada (GOC).

Authors:
James R Bentley

J Obstet Gynaecol Can 2019 Feb;41(2):143-145

President of GOC, Society of Gynecologic Oncology of Canada.

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http://dx.doi.org/10.1016/j.jogc.2018.12.013DOI Listing
February 2019
4 Reads

Prenatal Exercise and Pre-gestational Diseases: A Systematic Review and Meta-analysis.

J Obstet Gynaecol Can 2018 Dec 28. Epub 2018 Dec 28.

Program for Pregnancy and Postpartum Health, Physical Activity and Diabetes Laboratory, Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB; Women and Children's Health Research Institute, University of Alberta, Edmonton, AB; Alberta Diabetes Institute, University of Alberta, Edmonton, AB. Electronic address:

Objective: This study sought to examine the effect of prenatal exercise on birth outcomes in women with pre-gestational diseases, including chronic hypertension, type 1 diabetes, and type 2 diabetes.

Methods: A structured search of online databases up to June 8, 2018 was conducted. Studies of all designs and languages were included if they contained information on the population (pregnant women with pre-gestational diseases), intervention (subjective or objective measures of frequency, intensity, duration, volume, or type of exercise), comparator (no exercise or different frequency, intensity, duration, volume, or type of exercise), and outcome (birth weight, macrosomia [birth weight >4000 g], large for gestational age (LGA) low birth weight [<2500 g], small for gestational age (SGA) [<10th percentile], Apgar score, preterm birth [<37 weeks], CS, preeclampsia, and glycemic control). Read More

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http://dx.doi.org/10.1016/j.jogc.2018.10.007DOI Listing
December 2018
3 Reads

A National Survey of Canadian Physicians on HPV: Knowledge, Barriers, and Preventive Practices.

J Obstet Gynaecol Can 2018 Dec 28. Epub 2018 Dec 28.

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

Objective: Physicians are the sole prescribers of the HPV vaccine for adults in Canada. This survey of Canadian physicians aimed to explore knowledge, barriers, and preventive practices regarding HPV vaccination.

Method: A survey of general practitioners (GPs) (n = 337) and obstetrician/gynaecologists (OB/GYNs) (n = 81) was conducted in May and June 2016 using an online panel. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183075
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http://dx.doi.org/10.1016/j.jogc.2018.09.016DOI Listing
December 2018
1 Read

Hysterosalpingosonography Is Not as Effective as Hysterosalpingography to Increase Chances of Pregnancy.

J Obstet Gynaecol Can 2018 Dec 28. Epub 2018 Dec 28.

Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire de Québec-Université Laval, Québec, QC; Centre Hospitalier Universitaire de Québec-Université Laval Research Center, Québec, QC.

Objective: This study sought to examine whether hysterosalpingosonography (sono-HSG) is as effective as hysterosalpingography (HSG) in facilitating conception by comparing pregnancy rates in the 6 months following the procedures.

Methods: This retrospective noninferiority study (Canadian Task Force classification II-2) was conducted at a tertiary university centre. The investigators studied 440 consecutive eligible infertile women. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.10.001DOI Listing
December 2018

The Dutch Pregnancy Drug Register, a Good Idea for Canada?

J Obstet Gynaecol Can 2018 Dec 28. Epub 2018 Dec 28.

Dutch Society for Obstetrics and Gynaecology (NVOG), Utrecht, The Netherlands.

Drug use during pregnancy and breastfeeding is widespread. However, information on the safety of drug use during pregnancy and/or breastfeeding is limited. For well-informed decision making, clear and high-quality information on the potential effects of drugs used during pregnancy or breastfeeding is essential for women and their health care providers. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.10.017DOI Listing
December 2018

Rationale and Design of the FREQUENCY Study: The Fetal Cardiac Registry of Québec to Improve Resource Utilization in Fetal Cardiology.

J Obstet Gynaecol Can 2018 Dec 24. Epub 2018 Dec 24.

Division of Pediatric and Fetal Cardiology, Department of Pediatrics, Faculty of Medicine and Heath Sciences, Université de Sherbrooke, Sherbrooke, QC; Centre de Recherche du Centre Hospitalier Universitaire de Sherbrooke, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie - Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC. Electronic address:

Objective: Prenatal detection of congenital heart diseases (CHD) decreases morbidity and cost. To improve detections rates, most physicians refer pregnant women with high-risk pregnancies to fetal cardiologists even when there is no suspicion of CHD at the second trimester screening. This paper presents the rationale and detailed method of the Fetal Cardiac Registry of Québec to Improve Resource Utilization in Fetal Cardiology (FREQUENCY) study. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.10.009DOI Listing
December 2018

Where Are We in Terms of Sexual Health Education: An Ontario Perspective.

J Obstet Gynaecol Can 2018 Dec 24. Epub 2018 Dec 24.

Division of Gynecology, The Children's Hospital of Eastern Ontario, Ottawa, ON; Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON; Ottawa Hospital Research Institute, Ottawa, ON.

In the present study, sexual health educators in schools in the catchment area for the Children's Hospital of Eastern Ontario were surveyed to determine whether sexual health education programs were available to youth, whether the structure and content of sexual health education programs followed the guidelines, the instructors' qualifications and level of comfort with the material, and the need for additional resources that could be offered by health care professionals. Survey results showed that only 85% of participating schools had a sexual health education program in place. Only one third of educators stated they had formal training on the topic of sexual health. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183089
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http://dx.doi.org/10.1016/j.jogc.2018.11.001DOI Listing
December 2018
4 Reads

Interventions to Try to Prevent Preterm Birth in Women With a History of Conization: A Systematic Review and Meta-analyses.

J Obstet Gynaecol Can 2019 Jan 26;41(1):76-88.e7. Epub 2018 Oct 26.

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

Objectives: The most effective preterm birth (PTB) intervention is unknown for women who are at risk of PTB due to a history of conization. The objective of this systematic review was to determine whether PTB interventions, progesterone, cerclage, and pessary decrease the risk of PTB compared to no treatment in singleton-and separately in twin-pregnancies of women with history of conization.

Methods: We searched Cochrane Central, MEDLINE, EMBASE, CINAHL, and ClinicalTrials. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.04.026DOI Listing
January 2019
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Screening in the Prenatal Period for Intimate Partner Violence and History of Abuse: A Survey of Edmonton Obstetrician/Gynaecologists.

J Obstet Gynaecol Can 2019 Jan 26;41(1):38-45. Epub 2018 Oct 26.

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

Objective: This study sought to understand how obstetrician gynaecologists (OB/GYNs) in Edmonton, Alberta screen prenatal patients for intimate partner violence (IPV). It also aimed to explore attitudes, beliefs, and perceptions regarding IPV and identify barriers to screening for IPV. Institutional protocols, resources, and support available to clinicians and patients were also reviewed. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.05.003DOI Listing
January 2019

No. 370-Management of Squamous Cell Cancer of the Vulva.

J Obstet Gynaecol Can 2019 Jan;41(1):89-101

Montréal, QC.

Objective: This guideline reviews the clinical evaluation and management of squamous cell cancer (SCC) of the vulva with respect to diagnosis, primary surgical, radiation, or chemotherapy management and need for adjuvant treatment with chemotherapy and/or radiation therapy. Other vulvar cancer pathologic diagnoses are not included in the guideline.

Intended Users: The first part of this document which includes recommendations 1 through 3 is for general gynaecologists, obstetricians, family doctors, registered nurses, nurse practitioners, residents, and health care providers with a focus on the presentation, diagnosis, and updated information about surgical procedures performed by subspecialists. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183057
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http://dx.doi.org/10.1016/j.jogc.2018.07.004DOI Listing
January 2019
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Excerpts from the World Medical Literature.

Authors:
Cleve Ziegler

J Obstet Gynaecol Can 2019 Jan;41(1):7-9

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

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http://dx.doi.org/10.1016/j.jogc.2018.10.015DOI Listing
January 2019

Fetal Exome Sequencing on the Horizon.

J Obstet Gynaecol Can 2019 Jan;41(1):64-67

Department of Obstetrics & Gynaecology, University of Calgary, Calgary, AB.

Prenatal whole exome sequencing has recently been introduced. It is evolving and although not currently ready for everyday clinical practice, it will likely become part of the diagnostic arsenal available to clinicians caring for couples carrying a pregnancy for which fetal anomalies have been identified. This commentary discusses what it is, its indications, its benefits, and its limitations. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.06.016DOI Listing
January 2019

La laparoscopie durant la grossesse.

J Obstet Gynaecol Can 2019 Jan;41(1):5-6

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http://dx.doi.org/10.1016/j.jogc.2018.10.028DOI Listing
January 2019

Laparoscopy in Pregnancy.

J Obstet Gynaecol Can 2019 Jan;41(1):3-4

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http://dx.doi.org/10.1016/j.jogc.2018.08.010DOI Listing
January 2019

Author Response: Pregnancy Outcomes Following Ulipristal Acetate for Uterine Fibroids: A Systematic Review.

J Obstet Gynaecol Can 2019 Jan;41(1):14

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

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http://dx.doi.org/10.1016/j.jogc.2018.09.014DOI Listing
January 2019
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Pregnancy Outcomes Following Ulipristal Acetate for Uterine Fibroids: A Systematic Review.

J Obstet Gynaecol Can 2019 Jan;41(1):13

Brighton and Sussex University Hospitals NHS Trust, Princess Royal Hospital, Haywards Heath, United Kingdom.

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183070
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http://dx.doi.org/10.1016/j.jogc.2018.09.011DOI Listing
January 2019
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N 371 - Le morcellement durant la chirurgie gynécologique: Son utilisation, ses complications et les risques liés à la présence de tumeurs malignes insoupçonnées.

J Obstet Gynaecol Can 2019 Jan;41(1):127-138

London (Ont.).

Objectif: La présente directive clinique conseille les gynécologues quant au recours au morcellement tissulaire pendant une chirurgie gynécologique. RéSULTATS: Le morcellement effectué au cours d'une chirurgie gynécologique peut permettre l'ablation de masses utérines volumineuses, offrant ainsi aux femmes une solution chirurgicale à effraction minimale. Les conséquences oncologiques indésirables du morcellement tissulaire devraient être atténuées par l'amélioration de la sélection des patientes, la tenue d'examens préopératoires et l'adoption de techniques novatrices réduisant au minimum la dispersion tissulaire. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.11.017DOI Listing
January 2019
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