European journal of obstetrics, gynecology, and reproductive biology最新文献

{"title":"Trustworthiness criteria for meta-analyses of randomized controlled studies: OBGYN journal guidelines","authors":"OBGYN Editors’ Integrity Group OGEIG","doi":"10.1016/j.ejogrb.2024.08.043","DOIUrl":"10.1016/j.ejogrb.2024.08.043","url":null,"abstract":"","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"305 ","pages":"Pages 416-418"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and safety of oral versus vaginal misoprostol for medical management of first trimester missed abortion: A systematic review and meta-analysis","authors":"Kanwal Majeed,&nbsp;Hina Syed,&nbsp;Muzna Murtaza,&nbsp;Zainab Muhammad Hanif,&nbsp;Hassam Ali","doi":"10.1016/j.ejogrb.2024.12.015","DOIUrl":"10.1016/j.ejogrb.2024.12.015","url":null,"abstract":"<div><h3>Background</h3><div>Missed abortion in the first trimester is characterized by the cessation of embryonic or fetal development while the cervix remains closed, often resulting in little to no bleeding. Ultrasound examinations typically reveal an empty gestational sac or an embryo/fetus that lacks cardiac activity. Misoprostol is the primary medication used to manage early pregnancy loss<strong>.</strong></div></div><div><h3>Objectives</h3><div>To compare the efficacy of misoprostol, orally and vaginally in management of first trimester missed abortion.“</div></div><div><h3>Study Selection</h3><div>This systematic review included randomised control trials of patients with a confirmed diagnosis with first-trimester missed abortion, comparing oral and vaginal misoprostol for uterine evacuation success, induction-expulsion time, patient satisfaction and adverse events.</div></div><div><h3>Data Extraction and Analysis</h3><div>Ten studies were included in this meta-analysis. All of them are RCTs with a number of patients 1,142 [578 in oral misoprostol group and 564 in vaginal misoprostol group]. Independent data extraction and quality assessment ensured unbiased results. We estimated risk ratios (RR) with 95% CIs using random-effects meta-analysis and evaluated quality of the included studies using Cochrane’s Risk of Bias tool (RoB 2).</div></div><div><h3>Results</h3><div>We included 10 studies in our analysis and for our primary outcome, vaginal misoprostol had a higher success rate, [RR: 0.85, P = 0.004], shorter induction-expulsion interval [MD:4.95, P = 0.0001], and greater patient satisfaction compared to oral administration [RR:0.85, P = 0.01]. Secondary outcomes revealed significantly higher nausea and vomiting in the oral group, with no significant difference in headache, dizziness, diarrhea, fever, excessive bleeding, or discharge. Severe crampy pain was also significantly higher in the oral group.</div></div><div><h3>Conclusion</h3><div>Our comprehensive review and meta-analysis indicate that the vaginal route of misoprostol is the most effective method for managing first-trimester missed abortions. This route achieves a significantly higher success rate and shorter induction- to-expulsion interval, along with greater patient satisfaction during follow-up sessions and fewer side effects.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"305 ","pages":"Pages 92-99"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prenatal diagnosis of vasa praevia in routine clinical practice: Prevention of stillbirths and impact on perinatal outcomes","authors":"Weiyu Zhang ,&nbsp;Tara Giacchino ,&nbsp;Harriet Hickey ,&nbsp;Yehia Ghanem ,&nbsp;Ranjit Akolekar","doi":"10.1016/j.ejogrb.2024.12.016","DOIUrl":"10.1016/j.ejogrb.2024.12.016","url":null,"abstract":"<div><h3>Background</h3><div>Vasa praevia (VP) is defined as the presence of unsupported fetal blood vessels in close proximity of the internal os of the cervix. There is robust evidence from observational cohort studies and meta-analysis that prenatal diagnosis of VP is associated with excellent perinatal outcomes. We have previously proposed a two-stage strategy for prenatal diagnosis that can be implemented in routine clinical practice leading to effective prenatal diagnosis and prevention of fetal and neonatal mortality and morbidity.</div></div><div><h3>Objectives</h3><div>To demonstrate the feasibility and effectiveness of a two-stage screening strategy for prenatal diagnosis of VP in routine clinical practice and to estimate the potential impact on prevention of stillbirths and perinatal deaths.</div></div><div><h3>Study design</h3><div>This was an observational retrospective cohort study carried out at the Medway Fetal and Maternal Medicine Centre between January 2010 and June 2022. We examined the feasibility and effectiveness of this policy in terms of identification of a high-risk cohort and prenatal diagnosis of VP through routine 11–13 and 20–22 weeks’ ultrasound assessments based on the two-stage protocol. We also examined the impact on maternal, neonatal and perinatal outcomes in pregnancies with a confirmed diagnosis of VP. Absolute risks (95 %) were calculated based on rates of events in the two groups. Logistic regression analysis was used to estimate independent contribution from maternal and pregnancy characteristics in prediction of VP.</div></div><div><h3>Results</h3><div>The study population of 53,648 singleton pregnancies included 45 pregnancies with VP (0.83 per 1,000 pregnancies or an incidence of 1 in 1,192 pregnancies). VP was suspected in 56 cases and were resolved in 11 cases (19.6 %), thus leaving 45 pregnancies with a confirmed diagnosis of VP. The main findings that predicted VP included a low-lying placenta at 20–22 weeks’, placenta praevia, bilobed placenta and a velamentous cord insertion. In our study population, pregnancies with a prenatal diagnosis of VP had a livebirth rate of 100 % and an intact perinatal survival rate of 97.8 %.</div></div><div><h3>Conclusion</h3><div>Our study demonstrates that effective prenatal diagnosis of pregnancies with VP can be achieved in routine clinical practice with good perinatal outcomes.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"305 ","pages":"Pages 117-121"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of phloroglucinol on uterine peristalsis after frozen embryo transfer in patients experiencing recurrent implantation failure: A retrospective case-control study","authors":"Wei-wei Ma,&nbsp;Ting-ting Li,&nbsp;Jing Li","doi":"10.1016/j.ejogrb.2024.12.026","DOIUrl":"10.1016/j.ejogrb.2024.12.026","url":null,"abstract":"<div><h3>Objective</h3><div>To retrospectively investigate the efficacy of phloroglucinol administration after freeze-thawed embryo transfer in patients experiencing recurrent implantation failure (RIF).</div></div><div><h3>Materials and Methods</h3><div>A total of 139 infertile couples who experienced RIF undergoing in vitro fertilisation and embryo transfer were divided into the control (n = 66) and the phloroglucinol (n = 73) groups. Women in the phloroglucinol group received 80 mg phloroglucinol 30 min after transfer, then once daily up to day 3 after the embryo transfer. Those in the control group did not receive phloroglucinol.</div></div><div><h3>Results</h3><div>Administration of phloroglucinol was associated with significantly higher rates of positive pregnancy tests [52.1 % versus (vs) 30.3 %], clinical pregnancy (45.2 % vs 27.3 %), and live births (38.4 % vs 21.2 %) compared with the control group (p &lt; 0.05). Notably, patients with uterine peristalsis exceeding 3 waves/min exhibited significant improvement in positive pregnancy tests (67.6 % vs 38.5 %), implantation (50 % vs 24.6 %), and clinical pregnancy rates (58.8 % vs 33.3 %) following phloroglucinol intervention (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Results suggested that the administration of phloroglucinol after frozen embryo transfer may improve pregnancy outcomes in patients who experienced RIF, primarily in those with uterine peristalsis &gt;3 waves/min.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"305 ","pages":"Pages 223-227"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI in obstetrics: Evaluating residents’ capabilities and interaction strategies with ChatGPT: Correspondence","authors":"Benoit de la Fourniere,&nbsp;Pierre-François Ceccaldi,&nbsp;Mikhail Dziadzko,&nbsp;David Desseauve","doi":"10.1016/j.ejogrb.2024.12.006","DOIUrl":"10.1016/j.ejogrb.2024.12.006","url":null,"abstract":"","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"305 ","pages":"Pages 419-420"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serial intrapartum ultrasound to predict vaginal delivery using angle of progression and head- progression distance in term nulliparous women","authors":"Rajvi Hans,&nbsp;Deepa Reddy ,&nbsp;Jyothi Shetty","doi":"10.1016/j.ejogrb.2024.12.014","DOIUrl":"10.1016/j.ejogrb.2024.12.014","url":null,"abstract":"<div><h3>Introduction</h3><div>Over the past decade, intrapartum ultrasound (ITU) has been in the global limelight for labour monitoring. The use of the same in clinical settings of low- and middle-income countries (LMIC’s) however, is limited. Till date, angle of progression (AOP) stands as the most studied parameter. Very few studies, most from developed countries, have shown that other ITU measurements could also hold relevance to labour and delivery. In recent times, serial ITU has also garnered some attention and could possibly be a better predictor of labour outcome.</div></div><div><h3>Aims</h3><div>This study aimed to compare the predictive accuracies of AOP and head PD for vaginal delivery and to investigate whether the rate of change of serially measured AOP and head PD in the first stage is predictive of vaginal delivery.</div></div><div><h3>Methods</h3><div>A prospective observational study was conducted on 90 nulliparous women between April 2023 and July 2024 at a tertiary teaching hospital in South India. Participants had singleton pregnancies in cephalic presentation between 37–40 weeks with regular contractions, and cervical dilation ≥ 3 cm. Exclusion criteria included prior LSCS and abnormal cardiotocography. Intrapartum ultrasound was performed twice, once at recruitment and 3–5 h apart, to measure AOP and PD. Statistical analysis included ROC curve plotting for diagnostic accuracy of AOP and PD in predicting vaginal delivery.</div></div><div><h3>Results</h3><div>Of the 90 participants, 71 (78.9 %) delivered vaginally and 19 (21.1 %) had caesarean sections. AOP ≥ 120° and PD ≥ 2.7 cm at ≥ 6 cm cervical dilation showed a strong correlation with vaginal delivery, with sensitivity and specificity of 70.4 % and 94.7 %, and 63.4 % and 89.5 % respectively. Change (delta) in AOP &gt; 10° had the highest diagnostic accuracy (81 %), with a positive predictive value of 92.2 %.</div></div><div><h3>Conclusion</h3><div>ITU offers valuable insights into labour progression. AOP and PD, particularly at cervical dilation of ≥ 6 cm, are predictive of vaginal delivery. Delta AOP serves as the most accurate predictor. Incorporating ITU into routine labour management enhances clinical decision-making, helping reduce unnecessary interventions and caesarean deliveries.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"305 ","pages":"Pages 125-131"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of virtual wards in maternity in the United Kingdom","authors":"Lisa Story ,&nbsp;Melanie Nana ,&nbsp;Megan Hall ,&nbsp;Adam Fitzgerald ,&nbsp;Gina Brockwell ,&nbsp;Eugene Oteng-Ntim ,&nbsp;Sonji Clarke ,&nbsp;Fiona Challacombe ,&nbsp;Catherine Nelson-Piercy ,&nbsp;Andrew Shennan","doi":"10.1016/j.ejogrb.2024.12.038","DOIUrl":"10.1016/j.ejogrb.2024.12.038","url":null,"abstract":"<div><div>Virtual wards are an initiative which aims to provide hospital care from the comfort of the patient’s own home. Monitoring and additional services, such as intravenous drugs and fluids and blood tests can be undertaken through this system. Although virtual wards have been used in the UK since 2005 in specialties such as General Medicine, General Surgery and Paediatrics, their use in maternity has been more limited. This article aims to review their current use in the UK and beyond as well as to discuss some of the advantages and challenges they may pose to a maternity population.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"305 ","pages":"Pages 228-231"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of dance and massage applied by spouses during childbirth on labor pain, comfort, and satisfaction","authors":"Kübra Yavaş ,&nbsp;Ayça Şolt Kırca","doi":"10.1016/j.ejogrb.2024.12.031","DOIUrl":"10.1016/j.ejogrb.2024.12.031","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study is to evaluate the effects of endorphin massage and dance applied by spouses during labor on labor pain, satisfaction with childbirth, postpartum comfort, and person-centered maternity care.</div></div><div><h3>Materials and methods</h3><div>The sample of this randomized controlled experimental study consists of 105 pregnant women in their second childbirth (35 in the birth dance group,35 in the endorphin massage group, and 35 in the control group). The endorphin massage taught by the researcher to the pregnant women and their spouses was applied for 10 min. For the dance group, the birth dance, taught by the researcher to the pregnant women and their spouses, was performed for at least 15 min per session. The control group received routine midwifery care. Data were collected using the Descriptive Information Form, Visual Analog Scale, Birth Satisfaction Scale, Postpartum Comfort Scale, and Person Centered Maternity Care Scale.</div></div><div><h3>Results</h3><div>No significant difference was found in the total scores of the Person Centered Maternity Care scale between the groups. However, the communication and autonomy subscale scores of the massage group were significantly higher than those of the dance group. The total Birth Satisfaction Scale score of the dance group was significantly higher than those of the massage and control groups (133,17 ± 9,85; 125,54 ± 11,18; 122,4 ± 11,55, respectively). The VAS-2 scores of participants in the dance and massage groups were significantly lower than those in the control group after the interventions (4,83 ± 0,79; 4,69 ± 0,72, 7,89 ± 0,93, respectively).</div></div><div><h3>Conclusion</h3><div>The study found that dance and massage had a positive effect on postpartum comfort, person-centered maternity care, and childbirth satisfaction, and significantly reduced the average pain scores felt during labor.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"305 ","pages":"Pages 305-311"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142902796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trend and characteristics of endometrial cancer in Guangzhou from 2000 to 2020","authors":"Jia Wang,&nbsp;YingXiang Wang,&nbsp;YunHui Li,&nbsp;XiaoMao Li","doi":"10.1016/j.ejogrb.2024.12.052","DOIUrl":"10.1016/j.ejogrb.2024.12.052","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore temporal trends in the age of endometrial cancer in Guangzhou over the past 21 years.</div></div><div><h3>Study Design</h3><div>We conducted a retrospective analysis of women diagnosed with endometrial cancer from 2000 to 2020 at a major teaching hospital in Guangzhou, China. One-way analysis of variance was utilized to compare the average age of onset for each year, while the <em>t</em>-test was employed to compare groups A (2000–2009) and B (2010–2020) over the 21-year period. Stratified analysis was conducted based on age group and pathological type. Chi-square and Fisher’s exact tests were utilized to compare histopathological types across different groups. Multiple linear regression analysis was used to analyze the independent factors.</div></div><div><h3>Results</h3><div>The number of endometrial cancer cases increased annually over the 21-years period. A total of 610 patients were included in the study. The age of onset ranged from 14 to 89 years, with a mean age of 52.9 ± 9.3 years. One-way variance analysis revealed no statistically significant difference in the mean age between years (F = 1.518, p = 0.069). When grouped into decades, the mean ages of the 2000–2009 and 2010–2020 were 53.91 ± 10.23 years and 52.69 ± 9.79 years respectively, with no statistically significant difference observed (p = 0.23). From 2000 to 2020, patients aged ≤ 45 years accounted for 18.4 % of cases, with a significant increasing trend observed over time (F= 11.10, p&lt; 0.001). However, there was no statistically significant difference in the composition ratio of patients aged ≤ 45 years (<em>χ</em>² = 13.885, p = 0.836). Patients aged ≥ 60 years accounted for 22.8 % of cases, with no significant change observed over time (F=4.782, p=0.017) and there was no difference in the composition ratio of elderly patients aged ≥ 60 years (<em>χ</em>²= 28.489, p= 0.098). Stratified analysis by age group and pathological type revealed no statistically significant difference in the mean age between Type 1 and Type 2 Endometrial Cancer (p = 0.18). While the proportion of Type 1 Endometrial Cancer slightly increased over time, the difference was not statistically significant (p= 0.52). Similarly, there was no statistically significant difference in the proportion of different pathological types between patients aged ≤ 45 years and patients &gt; 45 years old (p= 0.17); however, Type 2 Endometrial Cancer, associated with higher risk, was more prevalent in patients &gt; 45 years old.</div></div><div><h3>Conclusions</h3><div>The mean age of endometrial cancer in this region remained relatively stable over the past 21 years, with no observable trend towards younger or older. The proportion of young patients in this region was higher than that of other countries.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"305 ","pages":"Pages 381-386"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and determinants of lower urinary tract symptoms in pregnant women","authors":"Pınar Kara","doi":"10.1016/j.ejogrb.2024.12.050","DOIUrl":"10.1016/j.ejogrb.2024.12.050","url":null,"abstract":"<div><h3>Objective(s)</h3><div>The management of lower urinary tract symptoms (LUTS) is crucial for providing quality pregnancy care. This study aims to determine the prevalence and predictors of LUTS in pregnant women.</div></div><div><h3>Study design</h3><div>This cross-sectional study was conducted between November 2023 and February 2024 with a total of 1703 pregnant women who attended routine pregnancy care at four state hospital obstetrics outpatient clinics. Data were collected using a pregnant woman information form and the “Bristol Female Lower Urinary Tract Symptoms-Short Form (BFLUTS-SF)”. Descriptive statistics, the independent sample <em>t</em>-test, analysis of variance (ANOVA) test, Tukey or Tamhane’s T2 post-hoc tests, and multiple linear regression (Stepwise) analysis were carried out. All analyses were conducted with a 95 % confidence interval and a significance level of p &lt; 0.05.</div></div><div><h3>Results</h3><div>The prevalence of LUTS among pregnant women was found to be 99.2 %. High prevalence rates were obtained for storage symptoms, voiding symptoms, and urinary incontinence symptoms (respectively, 99.2 %, 48.8 %, and 61.2 %). Multiple linear regression analysis indicated that previous pregnancy stress urinary incontinence (SUI), history of curettage and urinary tract infection (UTI), absence of episiotomy, presence of SUI in the mother and/or sister, smoking, being employed, and being in the third trimester are significant predictors of LUTS during pregnancy (p &lt; 0.05).</div></div><div><h3>Conclusion(s)</h3><div>The findings of this study indicate that LUTS is commonly in pregnant women. For quality pregnancy care, it is recommended to organize community-based, repeated educational programs and counseling services aimed at preventing and reducing LUTS in women.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"305 ","pages":"Pages 375-380"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}