Obstetrics - Science topic

Whether localized surgical treatment has advantages over traditional hormone therapy for young women who desire to preserve their fertility and have Stage 1a and Grade 1 endometrial cancer. We present a case study of a patient who was diagnosed with endometrial cancer (Grade 1a, Stage 1) and was experiencing infertility. The patient underwent conse...

Introduction: The HDP-Gestosis score is an innovative risk assessment tool designed to predict the likelihood of pre-eclampsia in pregnant women. Individuals scoring three or more on this scale are categorized as "at risk," enabling early identification of potential complications. Objective: To assess the diagnostic performance of the HDP-Gestosis...

Background This study aimed to analyze the impact of preoperative cervical length before cervical cerclage on the extension of gestational days in patients with various diagnostic types of cervical insufficiency, including obstetric history-based diagnosis, ultrasound-based diagnosis, and physical examination-based diagnosis. Methods 168 patients...

Background This study aimed to investigate the prevalence and clinicopathological correlates of intestinal endometriosis, amongst other extra-pelvic endometriosis foci, presenting as bowel obstruction in general surgery practice. Methods A total of 23 female patients (mean ± SD age: 34.9 ± 6.5 years) who underwent abdominal surgery for acute bowel...

Introduction Choosing a medical specialty is a pivotal moment in a physician’s career, shaped by personal interests, clinical experiences, and professional interactions. Obstetrics and gynecology (OB-GYN) offers a unique blend of surgical and medical care focused on women’s health. Given the growing demand for OB-GYN specialists, understanding the...

Introduction Vasa previa (VP) is a serious pregnancy complication in which fetal vessels, unprotected by the umbilical cord, run across or within close proximity to the internal cervical os, which can potentially result in fetal exsanguination in the event of membrane rupture. There is global consensus that women with antenatally diagnosed VP shoul...

Biosensors have revolutionized the diagnosis of infectious diseases in livestock by offering sensitive and rapid detection methods for important pathogens. These devices, particularly luciferase-based biosensors, convert biological responses into quantifiable signals, enabling the real-time, non-invasive monitoring of critical biomarkers. This revi...

Aim This study aimed to assess the levels of maternal perception of control and support during birth and the factors influencing them in the postpartum period. Design A cross‐sectional design was employed. The STROBE checklist was used. Methods The study was conducted between July 2021 and March 2022 with 400 mothers who were in their first 2 mon...

Purpose To investigate the rare obstetric emergency with no specific treatments called acute fatty liver of pregnancy. The primary objective was to evaluate association of adverse perinatal outcomes with blood components transfusion. While the secondary objective focused on further establishing the predictive risk factors for adverse perinatal outc...

Introduction One of the key strategies to achieve the sustainable development goal by reducing maternal deaths below 70 per 100,000 is improving knowledge of obstetric danger signs (ODS). However, mothers’ knowledge of ODS is low in general and very low in rural settings, regardless of local and national efforts in Ethiopia. Further, there is signi...

Albumin, the most abundant protein, contributes significantly to various physiological processes, indicating its multifunctional properties. It has drawn the attention of scientists and physicians because of its primary role in maintaining osmotic pressure and involvement in transporting numerous small molecules, including hormones, fatty acids, an...

Introduction: Diabetes mellitus (DM) has established itself as a global epidemic, with increasing prevalence worldwide. In 2017, approximately 425 million people were diagnosed with DM, a figure that is expected to increase to 629 million by 2045. Among the main complications of DM, gestational diabetes (GD) is one of the most relevant, especially...

One of the medical specialities with the highest worldwide litigation rate is obstetrics. An obstetrician would have to be extra careful and must have sound knowledge of ethical and medicolegal principles, to be able to escape legal actions from patients. In many African nations including Nigeria, the way medical personnel treated their patients wa...

Background Understanding the risk factors for early recurrence is crucial for improving endometrial cancer (EC) patient outcomes. Methods We conducted a retrospective analysis of clinicopathological data from 473 patients diagnosed with EC at the First Affiliated Hospital of Chongqing Medical University between October 2013 and May 2019. We evalua...

Gestational diabetes (GD) is a disease that increases the risk of suffering obstetric problems and developing post-pregnancy diseases in both mother and child. A descriptive and cross-sectional study was carried out with the aim of evaluating the level of knowledge of diabetic pregnant women about gestational diabetes in the Maternity Inpatient War...

Background/Objectives: This single-center analysis evaluated the number of potential candidates for endocrine-based oral maintenance therapy in a real-world setting, focusing on three therapeutic agents, namely, olaparib, abemaciclib, and ribociclib, for patients with hormone receptor-positive HER2-negative early breast cancer. Methods: All breast...

Objective To evaluate the worldwide use of FIGO's two systems for the classification of causes and contributors to nongestational abnormal uterine bleeding in the reproductive years by obstetrics and gynecology professionals worldwide, to identify knowledge gaps, and explore barriers to implementation. Methods An electronic survey was developed by...

Objetivo: Investigar na literatura o que existe publicado com relação à Classificação de Risco (CR) realizada nos setores de Pronto Atendimento (PA) e Serviços de Urgência e Emergência (SUE), utilizando cores. Método: Foi realizada uma Revisão Integrativa utilizando os seguintes descritores: Enfermagem, Triagem, Emergência no Brasil, Acolhimento co...

Convulsões durante a gestação são eventos neurológicos raros, mas com implicações significativas na morbimortalidade materna e fetal. Este estudo teve como objetivo analisar os protocolos de emergência aplicados em unidades de pronto atendimento, abordando as causas, diagnóstico diferencial e manejo terapêutico das convulsões gestacionais. Foi real...

Background There is evidence that exercise may reduce the risk of gestational diabetes mellitus (GDM) and improve other obstetric outcomes in overweight or obese pregnant women. However, the available evidence is of low quality and inconclusive. The purpose of this study is to assess the effects of exercise, compared with usual care, in reducing GD...

Objective An upward trend in maternal age has been observed in the United States (US) over the last twenty years. The study objective was to examine the association of maternal age with maternal mortality in the US and examine temporal trends in mortality by maternal age. Methods A retrospective population-based analysis in the US between 2000–201...

Background: One of the most common obstetric treatments worldwide is labour induction. Numerous studies have suggested that castor oil and membrane sweeping can shorten the duration of the active phase of labour and eliminate the necessity for formal induction of labour. By comparing the two approaches, it will be possible to determine whether one...

Background: Umbilical artery thrombosis (UAT) masquerading as a single umbilical artery (SUA) is a rare but critical diagnostic challenge in prenatal care. Case Presentation: We described a case of a 22-year-old primigravida with an uneventful obstetric history who presented with reduced fetal movements at 22 weeks of gestation. Ultrasound showed n...

En Colombia, la hemorragia postparto (HPP) se destaca como la primera causa de mortalidad materna asociada principalmente a la atonía uterina, seguida de los trastornos hipertensivos asociados al embarazo. Objetivo: Determinar las características clínicas, epidemiológicas y factores de riesgo de las pacientes que presentaron hemorragia postparto en...

Objective: In 2018, experts published recommendations for training and assessing obstetric and gynecologic ultrasound skills in residency programs [1-3]. This report evaluates the utilization of these recommended guidelines among various practitioners. Study Design: To all participants, including residents, we offered an online curriculum of 18 nar...

Background Studies have demonstrated that standardizing labor induction (IOL), often with the use of protocols, may reduce racial inequities in obstetrics. IOL protocols are complex, multi-component interventions. To target identified implementation barriers, audit and feedback (A&F) was selected as an implementation strategy. Here, we aimed to und...

Purpose The main objective of this study was to assess the impact of a composite quality improvement intervention on mode of birth in nullipara term singleton vertex (NTSVs). Material and methods This was an ambidirectional study following the implementation of the intervention to reduce cesarean section rate in NSTV by comparing two birth cohorts...

Uterine inversion refers to the condition where the fundus is turned inside and positioned within the uterine cavity. Uterine inversion is a life-threatening and uncommon obstetric emergency that can be fatal because of postpartum hemorrhage and shock. Acute uterine inversion is the most common type, which occurs within 24 h of delivery and is usua...

Objective: This study examines the effect of risk perception and socio-demographic and obstetric factors on the level of decision-making of pregnant women via the internet. Method: This study employed a cross-sectional and analytical design and was conducted online with 384 pregnant women living in Turkey. Data were collected using descriptive info...

Background: Postpartum depression and suicide are two of the most frequent mental health disorders in the perinatal period and have an increasing trend.. An increasing number of women report receiving inadequate treatment during childbirth care. There are no studies that relate inadequate treatment to any of these mental health disorders; those tha...

Background/Objectives: Previous literature has described that non-white pregnant patients are at increased risk of severe morbidity from obstetric hemorrhage (OBH). Here, we investigate whether such disparities are secondary to delay in the administration of postpartum oxytocin for non-white patients compared to white patients. Methods: This is a r...

There are various forms of traditional practices, and one of them is FGM, in which there is the excision of a female genital part for non-medical reasons. The grave violation occurs in the form of piercing of female genitalia during the infanthood of a female child on the ground that this is a pious obligation to get remedies for sinful practices....

Objective To determine the degree of agreement, sensitivity and specificity of the priority of care determined by inter-rater nurses, based on the use of the protocol for care and risk classification in obstetrics, in an obstetric emergency unit. Method Cross-sectional study with a methodological approach, carried out in a maternity school in Belo...

Background: Anemia is a leading contributor to maternal mortality in India. Early identification and timely intervention during pregnancy can help prevent adverse health outcomes. This study aimed to estimate the prevalence of anaemia among pregnant women and identify associated socio-demographic and obstetric factors. Methodology: A cross-sectiona...

The appropriateness of selected features, contingent upon anthropometric factors, influences the efficacy of algorithm classification in pregnancy monitoring and obstetric outcome forecasting. Obstetricians often lack the technology to determine whether a cesarean delivery is necessary based on antepartum circumstances. The objective of this study...

Introduction: Preeclampsia is a health problem that is among the main causes of maternal death and prematurity. It has an unknown etiology and is multifactorial in nature. This research was conducted with the aim of identifying the level of knowledge about preeclampsia in pregnant women.Methods: A descriptive, observational, cross-sectional study w...

Critical care management in obstetrics

The study aimed to assess the rate of cesarean section and to analyse the risk factors contributing to C-sections to introduce measures to check unwanted, non-medical reasons to go for a C-section. The study was retrospectively conducted at Sheikh Khalifa Bin Zaid Hospital Rawlakot Azad Kashmir on 5226 normal deliveries and 1604 C-sections. The rat...

Background The term “danger signs” refers to any symptoms or indicators that suggest a pregnant woman may be at risk during pregnancy. Mothers are often burdened with responsibilities, and the majority of them do not even receive treatment for potential complications, which can ultimately lead to the loss of their lives. This situation highlights t...

Nigeria's over 40 million women of childbearing age suffer a disproportionally high level of health issues surrounding birth and currently contributes up to 10 per cent of global deaths for pregnant mothers. Child delivery conducted without proper knowledge of the placental position and adequate management techniques could result in severe bleedi...

Sir, I have read the article “Hypopituitarism: A preventable cause of maternal mortality” by Bhushan and Agarwal published in the Indian Journal of Community and Family Medicine (July–December 2016, Volume 2, Issue 2, p. 64-66), wherein the authors have written about a health issue that has nearly disappeared from the developed world owing to bett...

Introduction: Placenta Accreta Spectrum disorders, characterized by abnormal adherence of the placenta to the uterine wall, represent a significant obstetric challenge due to their association with severe maternal hemorrhage and increased maternal morbidity and mortality. Material and Methods: This ambispective observational study was conducted ove...

International Research in the Field of Obstetrics and Gynecology Nursing (Doğum ve Kadın Hastalıkları Hemşireliği)

Changes in the global lifestyle have led to dysfunctional eating behaviors during pregnancy. In this sense, the Mindful Eating approach is a practice with the potential to positively influence eating habits, with a beneficial impact on the health of pregnant women. To evaluate the levels of Mindful Eating of women before and during pregnancy and to...

Introduction: In the present world as the incidence of Caesarean section have increased, Placenta accreta also has increased and considered as an important cause of maternal and fetal/neonatal morbidity and mortality. In the present case series, we report a case series of five patients of placenta accreta spectrum diagnosed intraoperative presentin...

Objectives: Summer time is a challenging period in obstetric care as many health care workers are on holiday. We aimed to explore the Scandinavian birth patterns and the Norwegian kindergarten reform’s possible influence on time of delivery in Norway. Methods: A retrospective analysis using data (2000-12) from the medical birth registries of Denmar...

Sándor Árvay (1903-1997) was professor and head of the Obstetrics and Gynecology Clinic of the Medical University of Debrecen for 22 years. Three years after his appointment, he performed the duties of a dean of the university with the rights of a rector. Ten years later, as clinical vice rector, he managed the curative and preventive tasks of the...

Adolescent pregnancy is a social and public health concern in Ghana, with high prevalence in some regions in the country, including the Ashanti Region, particularly at Dakodwamu. This study investigates the pregnancy psychosocial outcomes on adolescent girls at Dakodwamu a suburb of Kumasi in the Ashanti Region, Ghana. A cross-sectional descriptive...

Changes in the global lifestyle have led to dysfunctional eating behaviors during pregnancy. In this sense, the Mindful Eating approach is a practice with the potential to positively influence eating habits, with a beneficial impact on the health of pregnant women. To evaluate the levels of Mindful Eating of women before and during pregnancy and to...

Background and Objectives: Ankylosing spondylitis (AS) is a chronic progressive inflammatory process of the axial skeleton and sacroiliac joints (SIJ). Symptoms typically appear between the ages of 20 and 40, although there are also cases of juvenile-onset AS. This suggests that most patients with AS are of reproductive age at the time of diagnosis...

Objective: This study was aimed to identify the most effective machine learning (ML) algorithm for predicting preeclampsia based on sociodemographic and obstetric factors during the preconception period. Methods: Data from pregnant women admitted to the obstetric clinic during their first trimester were analyzed, focusing on maternal age, body mass...

Background The increasing rate of cesarean delivery (CD) is a significant concern in many societies worldwide. Vaginal delivery (VD) is preferred over CD for subsequent pregnancies after successful VD, for women with no specific obstetrical indications, primarily because of concerns about potential complications arising from the surgical procedure....

The aim of this study was to determine the causes and factors influencing maternal mortality. All maternal deaths occurring between January 2007 and November 2013 in the Elazig Province of Turkey were retrospectively investigated. The maternal age, obstetric history, cause of death, encountered delay model of each case, as well as the overall numbe...

Background: Approximately 3000 instances of fistulas are known to emerge annually in Kenya, with a 1/1000-woman incidence. Within the ever-increasing backlog are 300,000 cases of untreated fistulas, which are important to guide the application of appropriate therapies. Finding sociodemographic variables associated with the emergence of obstetric fi...

Introduction The expectations and needs of users and those assisting determine the quality of services. It becomes a priority to understand how all elements involved in the care process perceive the quality of the services offered, aiming to intervene promptly and organize them to satisfy the needs of both and improve the assistance provided. Obje...

Introduction: Bacterial vaginosis (BV) is one of the most prevalent infections in women of reproductive age. Amsel’s criteria and Nugent scoring system are among the most commonly used diagnostic methods. Although Nugent scoring system is considered the gold standard for diagnosing BV, it is time consuming and costly, and its interpretation needs l...

Background The aim of this retrospective study was to evaluate the outcomes of laparoscopic radical hysterectomy (LRH) for International Federation of Gynecology and Obstetrics (FIGO) 2018 stage IA1 IB1 patients with low-risk cervical cancer (CC), which was defined as tumor ≤ 2cm, less than 1/2 stromal invasion and no lymph node involvement. Patie...

El libro aborda aspectos clave de la práctica de la salud y la investigación en diversas áreas. En el primer capítulo, se valida un instrumento para evaluar la praxis de enfermería quirúrgica, evidenciando la necesidad de contar con herramientas más robustas en México. El segundo capítulo examina la integración de saberes ancestrales en el sistema...

El libro aborda aspectos clave de la práctica de la salud y la investigación en diversas áreas. En el primer capítulo, se valida un instrumento para evaluar la praxis de enfermería quirúrgica, evidenciando la necesidad de contar con herramientas más robustas en México. El segundo capítulo examina la integración de saberes ancestrales en el sistema...

Background: Ensuring timely access to safe and affordable surgery within a travel time of a 2-h drive or 30-min walk is crucial for achieving universal health coverage, as endorsed by the Lancet Commission on Global Surgery (LCoGS). In this study, we aimed to quantify the percentage of Indonesian women of reproductive age (WRA) who can access a hos...

Background: The Birth Plan is an essential tool for obstetric care centered on the pregnant woman, reflecting her preferences and expectations during childbirth. This plan aims to personalize the experience, reduce unnecessary interventions and promote a safe and respectful environment. Aims: To investigate the role of the nurse as an inducer of th...