13 results match your criteria Open Journal of Obstetrics and Gynecology

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Characterization of Perineum Elasticity and Pubic Bone-Perineal Critical Distance with a Novel Tactile Probe: Results of an Intraobserver Reproducibility Study.

Open J Obstet Gynecol 2020 Apr;10(4):493-503

Advanced Tactile Imaging, Inc., Trenton, NJ, USA.

Background: Tactile imaging provides biomechanical mapping of soft tissues. Objective biomechanical and anatomical assessment of critical structures within the vagina and pelvis may allow development and validation of a clinical tool that could assist with clinical decisions regarding obstetrical procedures and mode of delivery. Objective: To assess intraobserver reproducibility of measurements of perineal elasticity and pubic bone-perineal critical distance with a novel tactile probe in pregnant women. Read More

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Cervical Characterization with Tactile-Ultrasound Probe.

Open J Obstet Gynecol 2020 Jan 8;10(1):85-99. Epub 2020 Jan 8.

Advanced Tactile Imaging, Trenton, NJ, USA.

Background: Premature cervical softening and shortening may be considered an early mechanical failure that predisposes to preterm birth. Preliminary clinical studies demonstrate that cervical elastography may be able to quantify this phenomenon and predict spontaneous preterm delivery.

Objective: To explore a new approach for cervix elasticity and length measurements with tactile-ultrasound probe. Read More

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January 2020

Persistent Zika Virus Infection Associated with Early Fetal Demise: A Case Report.

Open J Obstet Gynecol 2019 May;9(5):698-706

Centers for Disease Control and Prevention (CDC), Dengue Branch, San Juan, Puerto Rico.

Background: Infection with Zika virus (ZIKV) during pregnancy is known to cause birth defects and could also be linked to pregnancy loss.

Case: A pregnant woman in Puerto Rico contracted ZIKV at 16 weeks gestation. ZIKV RNA persisted in serum from her initial test at 16 weeks through 24 weeks gestation, when fetal demise occurred, and was detected in placental tissue. Read More

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Biomechanical Mapping of the Female Pelvic Floor: Prolapse versus Normal Conditions.

Open J Obstet Gynecol 2018 Aug 31;8(10):900-924. Epub 2018 Aug 31.

Princeton Urogynecology, Princeton, USA.

Background: Quantitative biomechanical characterization of pelvic supportive structures and functions is thought to provide insight into pathophysiology of pelvic organ prolapse (POP). An innovative approach-vaginal tactile imaging-allows biomechanical mapping of the female pelvic floor to quantify tissue elasticity, pelvic support, and pelvic muscle functions. The Vaginal Tactile Imager (VTI) records high definition pressure patterns from vaginal walls under an applied tissue deformation and during pelvic floor muscle contractions. Read More

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Brain Metastases in Patients with Gynecologic Cancers: A Single Institution Experience and Review of the Literature.

Open J Obstet Gynecol 2016 Aug 15;6(9):544-552. Epub 2016 Aug 15.

Sidney Kimmel Cancer Center, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

Objective: Brain Metastasis (BM) from primary gynecologic cancers is a rare entity. The advances and successes in the treatment of primary gynecologic malignancies, have led to prolonged survival and, a higher incidence of BM. This study aims to report the experience at our institution in managing these patients, and provide possible data points that may be essential to note as prognostic factors, and see if our findings are consistent with the literature in this subject. Read More

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Teaching by Teleconference: A Model for Distance Medical Education across Two Continents.

Open J Obstet Gynecol 2015 Nov 18;5(13):754-761. Epub 2015 Nov 18.

Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, USA.

Introduction: In Uganda, an estimated 120 obstetrician/gynecologists serve a population of 30 million people demonstrating the need to train additional skilled clinician leaders in reproductive health. In 2012, a partnership was formed with the Mbarara Regional Referral Hospital (MRRH) in southwest Uganda and the Massachusetts General Hospital (MGH) in Boston, USA, in part to increase access to specialist training. This report presents an update in the development of a teaching conference between the institutions. Read More

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November 2015

Tactile Imaging Markers to Characterize Female Pelvic Floor Conditions.

Open J Obstet Gynecol 2015 Aug;5(9):505-515

Artann Laboratories, Trenton, NJ, USA.

The Vaginal Tactile Imager (VTI) records pressure patterns from vaginal walls under an applied tissue deformation and during pelvic floor muscle contractions. The objective of this study is to validate tactile imaging and muscle contraction parameters (markers) sensitive to the female pelvic floor conditions. Twenty-two women with normal and prolapse conditions were examined by a vaginal tactile imaging probe. Read More

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Life Space Assessment in Older Women Undergoing Non-Surgical Treatment for Urinary Incontinence.

Open J Obstet Gynecol 2014 Oct;4(14):809-816

Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL.

Objectives: Urinary incontinence (UI) impacts all aspects of life activities. This study aims to characterize change in mobility within the community utilizing the Life Space Assessment (LSA) questionnaire in women undergoing non-surgical UI treatment.

Design: Prospective cohort study, performed from July 2007 to March 2009, which followed women seeking non-surgical UI treatment and assessed their mobility and symptoms using LSA, Urogenital Distress Inventory (UDI-6), and Incontinence Impact Questionnaire (IIQ-7) at baseline and 2, 6, and 12 months post-treatment. Read More

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October 2014

Predicting Birth-Related Levator Ani Tear Severity in Primiparous Women: Evaluating Maternal Recovery from Labor and Delivery (EMRLD Study).

Open J Obstet Gynecol 2014 Apr;4(6):266-278

School of Nursing, University of Michigan, Ann Arbor, Michigan, USA ; Department of Obstetrics and Gynecology, School of Medicine, University of Michigan, Ann Arbor, Michigan, USA.

Objective: To determine which maternal characteristics or birth events independently predict severity of levator ani muscle (LA) tears at first vaginal birth in a longitudinal/observational investigation in a tertiary care hospital.

Sample: Ninety primiparas with at least one at risk for LA tear inclusion factor at vaginal birth: maternal age ≥ 33 years, second stage ≥ 150 minutes, macrosomia, instrumented delivery, and/or anal sphincter laceration were studied.

Methods: Magnetic Resonance Imaging (MRI) was obtained early postpartum (mean ± sd 48. Read More

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Enhanced physician prompts in prenatal electronic medical records impact documentation on smoking cessation.

Open J Obstet Gynecol 2013 Dec;3(10):717-721

Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, USA.

Objective: Smoking cessation during pregnancy is a modifiable intervention that can improve maternal and neonatal outcomes. Encouraging smoking cessation is an assessed measure of the Meaningful Use incentives to ensure best practices with the increased use of the electronic medical record (EMR). Physician EMR prompts have been used shown to be successful with preventive care but there is a paucity of data evaluating prompts within obstetrics. Read More

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December 2013

Psychological distress and SSRI use predict variation in inflammatory cytokines during pregnancy.

Open J Obstet Gynecol 2013 Feb;3(1A):184-191

College of Nursing, University of Utah, Salt Lake City, USA.

Evidence supports the premise that maternal psychological distress adversely affects pregnancy outcomes and that inflammatory markers and placentally-produced corticotrophin-releasing hormone (pCRH) are likely mediating factors. The primary aim of the study was to explore the associations between maternal psychological distress, use of selective serotonin re-uptake inhibitors, pCRH, and maternal plasma inflammatory markers during pregnancy. Measures of maternal plasma pCRH, Interleukins-1, 6, & 10, C-Reactive Protein, Macrophage Migration Inhibitory Factor, and Tumor Necrosis Factor- were completed in 100 pregnant women. Read More

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February 2013

Gestational carriers: A viable alternative for women with medical contraindications to pregnancy.

Open J Obstet Gynecol 2013 Jul;3(5B):24-31

Department of Obstetrics, Gynecology and Reproductive Biology, Brigham & Women's Hospital and Harvard Medical School, Boston, USA.

Objective: Compare the efficacy of surrogate or gestational carrier (GC) cycles to that of autologous fertilization (IVF)/intracytoplasmic sperm injections (ICSI) in patients with gynecologic or medical co-morbidities contraindicative to pregnancy.

Design: Retrospective cohort study.

Setting: Infertility patients from a single university hospital-based program from 1998-2009. Read More

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Perinatal transmission of dengue virus in Puerto Rico: a case report.

Open J Obstet Gynecol 2011 Jan;1(3):90-93

Dengue Branch, Division of Vector-Borne Diseases, Centers For Disease Control and Prevention, San Juan, Puerto Rico.

We report a laboratory confirmed case of vertical transmission of dengue in a mother-child pair in the eastern part of Puerto Rico. The clinical course of the pregnant female suggested a GBS infection, but laboratory tests confirmed it was dengue infection, one week after delivery. The male infant was healthy at birth, but one week after birth developed clinical complications related to vertical transmission of dengue. Read More

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January 2011
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