Obstetrics - Science topic

A Ansiedade Puerperal é um fenómeno frequente, uma vez que o puerpério é o período de maior risco para o surgimento ou agravamento de ansiedade. Geralmente manifesta-se por irritabilidade, fadiga, dificuldades de concentração, tensão e perturbações do sono. Pode provocar consequências tanto na mulher como na sua relação com o bebé e com o companhei...

A Ansiedade Puerperal é um fenómeno frequente, uma vez que o puerpério é o período de maior risco para o surgimento ou agravamento de ansiedade. Geralmente manifesta-se por irritabilidade, fadiga, dificuldades de concentração, tensão e perturbações do sono. Pode provocar consequências tanto na mulher como na sua relação com o bebé e com o companhei...

Objetivo: verificar a taxa de avaliação correta com o uso da comparação visual direta nas medidas de dilatação cervical em modelos de simulação de colo com consistência dura. Método: estudo randomizado aberto com 63 estudantes de obstetrícia que foram designados para usar comparação visual direta em um guia de dilatação ou não. Os estudantes estima...

Objetivo: comprobar la tasa de evaluación correcta mediante la comparación visual directa de las medidas de dilatación cervical en modelos de cuello uterino de consistencia dura. Método: estudio aleatorizado abierto con 63 estudiantes de obstetricia a los que se les asignó usar o no la comparación visual directa con una guía de dilatación. Los estu...

Background: Malaria in pregnancy has been associated with adverse outcomes for the mother, foetus and newborn, including maternal anaemia, low birth weight and neonatal mortality. Intermittent preventive treatment of malaria during pregnancy with sulphadoxine-pyrimethamine (IPTp-SP) is one of the key interventions recommended by the World Health Or...

Objective To assess changes in caesarean section (CS) rates in Europe from 2015 to 2019 and utilise the Robson Ten Group Classification System (TGCS) to evaluate the contribution of different obstetric populations to overall CS rates and trends. Design Observational study utilising routine birth registry data. Setting A total of 28 European count...

OBJECTIVES To determine the frequency of malpresentation in pregnant women with polyhydramnios. METHODOLOGY This Cross-Sectional Study was conducted at the Department of Obstetrics and Gynecology of Lady Reading Hospital, Peshawar, from March 2021 to September 2021. A total of 175 pregnant women with polyhydramnios were included in the study. Ultra...

The timing of umbilical cord clamping after birth can influence neonatal physiological parameters, which may affect immediate neonatal outcomes. This study sought to determine the effects of early cord clamping (ECC) and delayed cord clamping (DCC) on neonates' heart rate and oxygen saturation during the first ten minutes of life. The Obstetrics an...

Objectives First objective was to strengthen the national maternal death review, by addressing local challenges with each step of the review cycle. Second objective was to describe review findings and compare these with available findings of previous reviews. Methods Confidential Enquiry into Maternal Deaths methodology was used to review maternal...

Purpose of Review Increasing attention is being focused on improving access to surgical care worldwide. This article reviews current urologic and urogynecologic efforts in global surgery and opportunities for future impact. Recent Findings Numerous global surgery organizations exist with focus on urologic and urogynecologic care. We provide an ove...

RESUMO Este estudo tem como objetivo analisar a luz da literatura científica as produções sobre a Esporotricose no Brasil nos últimos 10 anos. Trata-se de uma revisão integrativa da literatura, realizada entre março e abril de 2020, através das bases de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde e na biblioteca virtual Scien...

Iron metabolism has been found to be closely related to gestational diabetes mellitus (GDM). Excessive ferritin levels were shown to be related to an increased risk of GDM because of iron overload which may lead to insulin resistance and β-cell injury by enhancing oxidative stress and inflammatory responses. On the contrary, insufficient ferritin l...

A cirurgia robótica é uma operação minimamente invasiva na qual a manipulação dos instrumentos se dá pelos braços do robô comandados por um cirurgião à distância, através de um dispositivo que aciona e dirige os movimentos do robô. As vantagens são a realização de movimentos mais precisos, a redução de sangramentos e dos riscos de infecção, o menor...

Background: Candida auris is a multidrug-resistant yeast capable of invasive infection with high mortality and healthcare-associated outbreaks globally. Due to limited labratory capacity, the burden of C. auris is unknown in Bangladesh. We estimated the extent of C. auris colonization and infection among patients in Dhaka city intensive care units....

While the term obstetric violence has a variable definition given its immensely personal and internally compassionate nature; many accept it to mean: harm inflicted during or in relation to pregnancy, childbearing, and the post-partum period often on the part of a healthcare provider. Obstetric violence, an enigmatic and labyrinthine concern, predo...

Background: Objective of the study was to review the obstetric outcomes of vaginal birth after caesarean section (VBAC) in Bingham University Teaching Hospital (BhUTH). Methods: A retrospective review of women planned for VBAC at BhUTH from January, 2020 to December 2021. Variables measured included gestational age at time of delivery, inter-delive...

OBJECTIVE To explore the association of the Dobbs v Jackson Women's Health Organization ( Dobbs ) decision on future practice locations of graduating obstetrics and gynecology residents. METHODS This is a mixed-methods survey study of obstetrics and gynecology residents graduating from sites with Ryan Program abortion training programs (109 sites)...

Background Obstetric sonography plays a significant role in the determination of gestational age because of its accuracy and easy reproducibility. Fetal kidney length is claiming to be more accurate in certain situations and emerging as a new parameter. Methods: A cross-sectional study was done on 200 pregnant women from January 2023 to July 2023;...

First-time mothers often lack effective breastfeeding techniques and may perceive they have insufficient milk due to inadequate experience in breastfeeding. There are limited programs for enhancing effective breastfeeding and perceived sufficient milk among first-time mothers in Thailand. This randomized controlled trial study investigated the effe...

There is a high frequency of overweight and obesity in women of reproductive age. Women who start pregnancy with overweight or obesity have an increased risk of developing maternal obstetric complications such as gestational hypertension, pre-eclampsia, gestational diabetes mellitus, postpartum hemorrhage, and requiring C-section to resolve the pre...

Background: Inter-pregnancy interval (IPI) refers to the duration between the birth of one baby and the conception of the next pregnancy. In developing countries, a short inter-pregnancy interval (SIPI) poses a significant challenge, leading to higher risks of maternal and neonatal mortality. Aim was to determine the impact of SIPI on maternal and...

Intrahepatic cholestasis of pregnancy (ICP) also known as obstetric cholestasis is a liver disorder of pregnancy which is characterised by maternal pruritus usually in the third trimester, raised serum bile acids and increased incidence of adverse fetal outcomes and usually complete resolution of symptoms post-delivery. The etiology of ICP is compl...

Background: Every day approximately 810 women die from complications related to pregnancy and childbirth worldwide. Around two thirds of these deaths happen in sub-Saharan Africa. One of the strategies to decrease these numbers is improving the quality of care by emergency obstetric simulation-based training. The effectiveness of such training prog...

Background: Aim was to study whether sonohysterosalpingography (sono HSG) can be used for tubal and uterine assessment in primary and secondary infertility instead of invasive methods like diagnostic largo-hysteroscopy (DLH). Methods: This was prospective interventional study. This study conducted at Obstetrics and gynecology Department, Lala Lajpa...

Background To compare the oncological outcomes of radical chemotherapy (R‐CT), abdominal radical hysterectomy (ARH), and neoadjuvant chemotherapy and radical surgery (NACT) for International Federation of Gynecology and Obstetrics (FIGO) 2018 stage IIIC cervical cancer, according to histological types: squamous cell carcinoma (SCC) and adenocarcino...

This objective of this study was to diagnose Obstructive Sleep Apnoea (OSA) in pregnant women using Questionnaire-based methods and to determine any association of Sleep-Disordered Breathing (SDB) with Hypertensive Disorder of Pregnancy (HDP). Additionally, the study aimed to identify factors associated with OSA. This case–control study was conduct...

Objetivo: analisar a frequência de palavras correlacionando com o título e resumo da produção científica sobre a qualidade e segurança na assistência obstétrica à luz da Lei de Zipf (frequência de palavras). Método: trata-se de um estudo bibliométrico, que possibilita compreender os padrões de produtividade científica ao longo dos anos. realizaram-...

Objective: Childbirth is a life-changing experience for new mothers, birth partners, and families. The coronavirus disease 2019 (COVID-19) pandemic restricted laboring mothers' access to support in hospitals through visitor restrictions. The goal of this research was to describe childbirth support in hospitals during the COVID-19 pandemic. Methods:...

Background Timely initiation of breastfeeding reduces the risk of neonatal mortality. However, there was paucity of literature on the timely initiation of breastfeeding among women who gave birth by cesarean section (CS) in Ethiopia. Thus, the aim of this study was to assess the magnitude of timely initiation of breastfeeding and factors associated...

Background: (1) The aim of this article is to describe the physiopathology underlying umbilical cord diseases and their relationship with obstetric and perinatal outcomes. (2) Methods: Multicenter case series of umbilical cord diseases with illustrations from contributing institutions are presented. (3) Results: Clinical presentations of prenatal u...

Introduction The decision to delivery interval is a key indicator of the quality of obstetric care. This study assessed the decision to delivery interval for emergency cesarean sections and factors associated with delay. Methods We conducted a cross-sectional study between October 2022 and December 2022 in the labor ward at Mbale regional referral...

HYPOTHESIS / AIMS OF STUDY Obstetric fistula is a debilitating condition prevalent in low-and middle-income countries; it is estimated that there are between 50,000 to 100,000 new cases each year. The World Health Organization (WHO) aims to eradicate obstetric fistula by 2030. However, there is no overview of the breadth and quality of evidence sur...

Objective: To explore and analyze the impact of the whole-process companionship and responsible midwiferymodel on delivery outcomes. Methods: 200 women who were about to give birth admitted to Lianyungang Maternal and Child Health Hospital’s Obstetrics and Gynecology Department from May 2021 to May 2023 were recruited and divided into whole process...

Objective: To analyze the diagnostic value of combined abdominal and vaginal B-scan ultrasound in obstetricsand gynecology acute abdomen. Methods: A total of 80 patients with suspected obstetric and gynecological acute abdomen admitted from February 2021 to October 2023 were recruited. All patients underwent abdominal and vaginal B-scan ultrasound...

In this prospective, monocentric study, we investigated the potency of a novel three-dimensional (3D) body scanner for external pelvic assessment in birth planning for intended vaginal breech delivery. Between April 2021 and June 2022, 73 singleton pregnancies with intended vaginal birth from breech presentation (>36.0 weeks of gestation) were meas...

This study identifies factors contributing to increased cesarean section rates among mothers at the obstetrics department of Kampala International University Hospital, Bushenyi District. A cross-sectional study design and quantitative methodology were used. As expected, 70 participants (100%) had data analyzed using SPSS results presented in the fr...

Objective To investigate the risk of recurrent maternal red‐cell transfusion in delivery. Design Nationwide long‐standing retrospective cohort study. Setting Swedish medical birth register. Population All registered births from 2000 to 2017 in Sweden. Methods We included all women with between one and three consecutive registered births from 22...

Feticide is the practice of inducing fetal demise before the termination of pregnancy. In England and Wales, it is recommended for terminations of pregnancy beyond 21+6 weeks of gestation. This project analyses the trends in feticide in singleton pregnancy in England and Wales between 2012 and 2020. This project was a retrospective study that analy...

Background Delayed cord clamping is a proven intervention to improve both maternal and neonatal health and nutrition. World Health Organization recommends not clamping the umbilical cord before 1 minute of delivery. However, little is known about the timing of umbilical cord clamping, and associated factors in Ethiopia. Objective To assess the timi...

Objetivo: Identificar y analizar la respuesta emocional de un grupo de internos de Obstetricia durante el desarrollo de un escenario clínico simulado de entrega de malas noticias en salud. Métodos: Estudio cualitativo con enfoque fenomenológico en el que participaron 21 estudiantes de último año de la carrera de Obstetricia de la Universidad Mayor...

Background: Medical abortion pills have revolutionised the freedom of woman in her decision for abortion. Due to self-medication of these drugs by pregnant women without any medical consultation or supervision has become very common. This study was carried out to study the analyse the effect of unsupervised self-prescription abortion pill in women...

Choriocarcinoma can be gestational and nongestational. Gestational choriocarcinoma is rare with an incidence of 9.2 in 40,000 pregnancies in Asian population. They can occur following molar, partial molar pregnancy, abortion, or delivery. It is detected by elevated levels of serum beta-human chorionic gonadotropin (beta-hCG) and by imaging modality...

Background Placenta praevia is one of the leading causes of obstetric haemorrhages and a major contributor to maternal and fetal morbidity and mortality. Although low-lying placentae are common during routine midtrimester anomaly scans, the incidence of placenta praevia at term remains low, probably due to placenta migration. It is important to fol...

Introduction: The aim of the present study was to preliminarily evaluate the effectiveness of an obstetric balloon (Bakri Balloon) as a pelvic filler to prevent EPS. Methods: Single-center, prospective, single arm, interventional study was carried out between October 2021 and June 2022. All patients that underwent a total pelvic exenteration were...

A 36-year-old patient presented with severe early-onset obstetric cholestasis on a background of having pre-term induction of labor at 33 weeks during her only previous pregnancy. The patient had significantly abnormal liver biochemistry with a bilirubin of 78 µmol/L, ALP of 318 u/L, ALT of 280 µmol/L, and bile acid levels of 420 µmol/L. The patien...

Background: The potential impact of the pandemic on mental health should not be overlooked, especially among vulnerable populations such as women who gave birth during the COVID-19 pandemic. The aim of the study was to assess the mental health status of women who gave birth during a pandemic and to examine the possible links between the onset of de...

Background: Antiphospholipid syndrome is an autoimmune disease characterized by the development of autoantibodies and the impairment of the coagulation system. Knowledge about this syndrome is increasing over time, but kidney involvement, especially APS nephropathy, still represents a challenge for physicians. Summary: A “two hit” model has been hy...

METHODOLOGY CONCLUSION The use of Point-of-Care Ultrasound (PoCUS) in emergency has setting revolutionized medical practice in emergency medicine nationally and internationally. Introduction of ultrasound enables first-line doctors in a resource-limited setting to obtain rapid information and expedite diagnosis-making. Hence, there has been a rapid...

Background: Different birthing positions categorized as upright and supine have been utilized during birthing processes. Contemporary midwives mainly use supine positions despite the more effective delivery outcomes associated with upright positions. This may be attributed to inadequate knowledge of midwives on different birthing positions. This st...

Introduction Few studies have described obstetric and critical care outcomes in pregnant women with COVID-19 needing intensive care unit (ICU) admission. Material and methods Obstetric and critical care outcomes of COVID-19 women admitted to eight ICUs from April 1, 2020 to September 15, 2021, in the North West of England were retrospectively anal...

Objectives To derive accurate estimates of the incidence of vasa praevia (VP) in a routine population of unselected pregnancies. Design Systematic review and meta-analysis. Data sources A search of MEDLINE, EMBASE, CINAHL and the Cochrane database was performed to review relevant citations reporting outcomes in pregnancies with VP from January 20...

Objective: The sepsis-induced inflammatory response may potentially affect malignant cells. Recently, a case of spontaneous regression of a histologically confirmed International Federation of Gynecology and Obstetrics (FIGO) stage IIIC epithelial ovarian cancer (EOC) following sepsis was reported. The aim of our study was to assess the impact of s...

Background Placenta accreta spectrum (PAS) is a rare, life-threatening complication of pregnancy. Predicting PAS severity is critical to individualise care planning for the birth. We aim to explore whether radiomic analysis of T2-weighted magnetic resonance imaging (MRI) can predict severe cases by distinguishing between histopathological subtypes...

Doppler fluximetry in obstetrics refers to the use of Doppler ultrasound technology to assess blood flow patterns and velocities in the maternal and fetal circulations during pregnancy. It provides valuable information about the vascular dynamics in the p

Objectives: Epithelial ovarian cancer (EOC) is the most common histologic type among ovarian cancers. It is usually diagnosed at an advanced stage and the prognosis worsens. The aim of our study was to investigate the predictive value of serum platelet-to-lymphocyte ratio (PLR) and neutrophil-to-lymphocyte ratio (NLR), which are systemic inflammato...

Objective To examine the accuracy of gestational weight gain (GWG) reported on birth certificates (BCs) in comparison with electronic medical records (EMRs), the gold standard. Methods BC data and EMR data were from a random sample of pregnant women who enrolled in CenteringPregnancy program, a type of group-based prenatal care, at three obstetric...

Simulation-based training is a valuable approach for enhancing learning in obstetric anesthesia. Simulations offer a controlled and realistic environment for healthcare providers to practice and refine their skills, improving their proficiency and confidence in managing complex obstetric anesthesia scenarios. Simulation-based training in obstetric...

Background Studies on the use of contraception in the Saudi community highlight the need for improving community knowledge about contraception, implementing guidelines, and restricting contraception dispensing. However, there is a lack of studies assessing the need for contraception protocols from obstetricians’ and gynecologists’ (Ob/Gyn) perspect...

Aim The AGG (Working Group for Obstetrics and Prenatal Diagnostics, Section Maternal Diseases) has issued these recommendations to improve the detection and management of Toxoplasma gondii infection in pregnancy. Methods Members of the Task Force developed the recommendations and statements presented here using recently published literature. The re...

Background: Early and accurate detection of fetal asphyxia is crucial to prevent perinatal mortality and morbidity. This study aims to study the relationship between the intrapartum fetal condition by cardiotocography (CTG) and paired umbilical cord pH and to correlate the CTG to the paired umbilical cord pH. Methods: A cross-sectional observationa...

Purpose Obstetric outcomes in women following pelvic injuries requiring surgical fixation is not thoroughly known. We aimed to evaluate if radiographic measurements (RMs) can be used to provide information on delivery methods outcome after these injuries, and to evaluate if metal work removal is required prior to delivery. Method A retrospective s...

Objective We aimed to construct and validate a prognostic nomogram to predict cancer-specific survival (CSS) after surgery in patients with advanced endometrial carcinoma (EC). Design Retrospective cohort study. Setting and participants The Surveillance, Epidemiology, and End Results (SEER) Database contains cancer incidence and survival data fro...

Background:Patients with gestational trophoblastic neoplasia (GTN) have significant anxiety, depression, sexual dysfunction, and fertility problems according to pieces of previous studies. This study aims to explore the factors influencing the psychological health and life satisfaction of patients with GTN. Methods: In a single-center, cross-sectio...

Introduction This study examined postpartum depression (PPD) among mothers in the Bawku municipality of Ghana, aiming to assess its prevalence and associated risk factors. Methods A total of 242 women, 2–12 weeks postpartum, were randomly recruited for this cross‐sectional analytical study. The Edinburgh Postnatal Depression Scale was used for dep...

Background: Teamwork is one of the competencies necessary for physicians to work effectively in health systems and is a competency that can be developed with simulation in professionals and medicine students. The Team Emergency Assessment Measurement (TEAM) was created to evaluate the non-technical performance of team members during resuscitation e...

Keeping in view the substantial risk of obstetric complications due to a high prevalence of pregnancies among adolescent and young adult women across the globe, this study aims to ascertain an association between independent risk factors and unmet needs of contraception among currently married women, aged 15–24 years, living in India. The present s...

Background: Catestatin has been identified as an important factor in blood pressure control in non-pregnant adults. A possible impact on the development of hypertensive disorders of pregnancy has been indicated. Data on catestatin levels in pregnancy are scarce. The aim of this study was to investigate a potential association of maternal serum cate...

La obstetricia es una disciplina de la medicina encargada de los cuidados del embarazo, parto y puerperio. Etimológicamente, “obstetricia” deriva del verbo en latín obstare, que significa “estar allí a la espera”. El término apareció en la lengua castellana hasta 1728, en un ensayo de Benito Jerónimo Feijoo titulado “Teatro crítico universal”, en e...

Introduction: For over a century, educational policies have vigorously promoted competency-based education in higher education students. Objective: It was proposed to determine the incidence of empathy in the competencies of specific norms of Obstetrics students at universities in Ica. Methods: There was a quantitative approach, a non-experimental...

Introduction Gender disparities exist in the OBGYN discipline. This study investigates, for the first time, whether gender impacts on the confidence of practical and surgical skills among OBGYN residents, and of being prepared to work as a specialist. Methods The gynecological societies of Austria, Germany, and Switzerland established a web-based...

Emergency imaging in pregnancy and puerperium poses unique challenges both for clinicians and radiologists, requiring timely and accurate diagnosis. Delay in treatment may result in poor outcomes for both the patient and the foetus. Pregnant and puerperal patients may present in the emergency setting with acute abdominopelvic pain for various compl...

Antiphospholipid syndrome is an autoimmune disorder with arterial events, venous thromboembolism, and obstetric morbidity associated with antiphospholipid antibodies. Cerebral arteries are the most common site for arterial thrombosis causing stroke (13.1%). The occurrence of arterial thrombosis carries a poor predictive value, given the high risk o...

Purpose To elucidate the clinicopathological features and prognostic factors of minimal deviation adenocarcinoma (MDA) of the uterine cervix, a clinically rare but highly invasive disease. Methods This was a retrospective, observational, real-world study of 43 patients with pathologically confirmed MDA at the Obstetrics and Gynaecology Hospital of...