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

英文中文

Validation and psychometric analysis of the Spanish version of the menstrual attitude questionnaire

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2025-02-11 DOI: 10.1016/j.ejogrb.2025.02.023

Natalia Hernández-Segura , Tania Fernández-Villa , Raquel Leirós-Rodríguez , Óscar Rodríguez-Nogueira

Problem

In Spanish, there is no instrument available to assess the symptoms associated with the menstrual cycle.

Background

The evaluation of menstrual attitudes is clinically important, particularly for women who experience discomfort or pain during their menstrual cycle.

Aim

To validate and analyse the psychometric properties of the Menstrual Attitude Questionnaire (MAQ) in a Spanish population.

Methods

Adaptation and translation of the MAQ into Spanish, and cross-validation with data collected between March 2023 and March 2024 from 800 women (age 18–57 years).

Findings

The first factor analysis showed that six items did not load on any factor, so they were excluded from the analysis (Items 9, 17, 18, 24, 28 and 29). Once these items had been eliminated, the exploratory factor analysis showed that four factors could be extracted: performance, positivity, anticipation and subjectivity.

Discussion

Statistical analysis revealed that the proposed Spanish version of the MAQ consists of four factors. This implies a reduction of one factor compared with the original MAQ, resulting from the merging of two sections: ’Menstruation as an annoying event’ and ’Menstruation as a natural event’. Both components of the questionnaire refer to the ’identity’ or meaning that women attribute to their menstruation.

Conclusions

The Spanish version of the MAQ consists of four factors and 29 items, explaining most of the variability in the data. The Spanish version of the MAQ demonstrates good internal consistency and, therefore, represents a valuable tool for healthcare professionals who work daily with women with menstrual symptoms.

{"title":"Validation and psychometric analysis of the Spanish version of the menstrual attitude questionnaire","authors":"Natalia Hernández-Segura , Tania Fernández-Villa , Raquel Leirós-Rodríguez , Óscar Rodríguez-Nogueira","doi":"10.1016/j.ejogrb.2025.02.023","DOIUrl":"10.1016/j.ejogrb.2025.02.023","url":null,"abstract":"<div><h3>Problem</h3><div>In Spanish, there is no instrument available to assess the symptoms associated with the menstrual cycle.</div></div><div><h3>Background</h3><div>The evaluation of menstrual attitudes is clinically important, particularly for women who experience discomfort or pain during their menstrual cycle.</div></div><div><h3>Aim</h3><div>To validate and analyse the psychometric properties of the Menstrual Attitude Questionnaire (MAQ) in a Spanish population.</div></div><div><h3>Methods</h3><div>Adaptation and translation of the MAQ into Spanish, and cross-validation with data collected between March 2023 and March 2024 from 800 women (age 18–57 years).</div></div><div><h3>Findings</h3><div>The first factor analysis showed that six items did not load on any factor, so they were excluded from the analysis (Items 9, 17, 18, 24, 28 and 29). Once these items had been eliminated, the exploratory factor analysis showed that four factors could be extracted: performance, positivity, anticipation and subjectivity.</div></div><div><h3>Discussion</h3><div>Statistical analysis revealed that the proposed Spanish version of the MAQ consists of four factors. This implies a reduction of one factor compared with the original MAQ, resulting from the merging of two sections: ’Menstruation as an annoying event’ and ’Menstruation as a natural event’. Both components of the questionnaire refer to the ’identity’ or meaning that women attribute to their menstruation.</div></div><div><h3>Conclusions</h3><div>The Spanish version of the MAQ consists of four factors and 29 items, explaining most of the variability in the data. The Spanish version of the MAQ demonstrates good internal consistency and, therefore, represents a valuable tool for healthcare professionals who work daily with women with menstrual symptoms.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"307 ","pages":"Pages 214-219"},"PeriodicalIF":2.1,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422130","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}

引用次数: 0

A rare case of giant placental chorioangioma causing polyhydramnios and fetal hydrops: A case report and literature review 一例罕见的巨大胎盘绒毛膜血管瘤导致多胎妊娠和胎儿水肿：病例报告和文献综述

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2025-02-11 DOI: 10.1016/j.ejogrb.2025.02.024

Jia-Yue Wang , Jian-Jiao Chen

Background

Placental chorioangioma is a benign tumour of the placenta. In most cases, chorioangiomas are small and do not result in maternal or fetal complications. This report presents a case with a large placental chorioangioma, which was associated with an intrapartum event leading to significant maternal and perinatal morbidity.

Case presentation

A case of placental chorioangioma was diagnosed at 29 + 1 weeks of gestation. As the tumour enlarged progressively with polyhydramnios, further ultrasound examination indicated signs of fetal hydrops. Following multi-disciplinary team discussion, caesarean section was performed with delivery of a female infant. Pathological examination of the placenta confirmed an infarcted chorioangioma.

Conclusions

Placental chorioangiomas are benign, non-trophoblastic vascular neoplasms. While often asymptomatic, they can occasionally have unfavourable outcomes. Ultrasound examination plays a critical role in their diagnosis and monitoring. These neoplasms exhibit a wide range of clinical manifestations, leading to their classification as a spectrum of symptoms rather than a distinct syndrome. Early diagnosis, vigilant prenatal surveillance, and timely intervention are essential to minimize fetal morbidity and mortality.

{"title":"A rare case of giant placental chorioangioma causing polyhydramnios and fetal hydrops: A case report and literature review","authors":"Jia-Yue Wang , Jian-Jiao Chen","doi":"10.1016/j.ejogrb.2025.02.024","DOIUrl":"10.1016/j.ejogrb.2025.02.024","url":null,"abstract":"<div><h3>Background</h3><div>Placental chorioangioma is a benign tumour of the placenta. In most cases, chorioangiomas are small and do not result in maternal or fetal complications. This report presents a case with a large placental chorioangioma, which was associated with an intrapartum event leading to significant maternal and perinatal morbidity.</div></div><div><h3>Case presentation</h3><div>A case of placental chorioangioma was diagnosed at 29 + 1 weeks of gestation. As the tumour enlarged progressively with polyhydramnios, further ultrasound examination indicated signs of fetal hydrops. Following multi-disciplinary team discussion, caesarean section was performed with delivery of a female infant. Pathological examination of the placenta confirmed an infarcted chorioangioma.</div></div><div><h3>Conclusions</h3><div>Placental chorioangiomas are benign, non-trophoblastic vascular neoplasms. While often asymptomatic, they can occasionally have unfavourable outcomes. Ultrasound examination plays a critical role in their diagnosis and monitoring. These neoplasms exhibit a wide range of clinical manifestations, leading to their classification as a spectrum of symptoms rather than a distinct syndrome. Early diagnosis, vigilant prenatal surveillance, and timely intervention are essential to minimize fetal morbidity and mortality.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"307 ","pages":"Pages 220-222"},"PeriodicalIF":2.1,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422129","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}

引用次数: 0

Betamethasone dosing interval at 12 or 24 h apart: A systematic review and meta-analysis

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2025-02-10 DOI: 10.1016/j.ejogrb.2025.02.017

Mohammed R. Said , Fabrizio Zullo , Moti Gulersen , Vincenzo Berghella

Objective

To compare the effectiveness of administering 24 mg of betamethasone in two doses (12 mg each) at 12-hour versus 24-hour intervals in patients at risk of preterm delivery.

Data sources

A search was conducted in Ovid, Embase, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov, CINAHL, Scopus, and Google Scholar up to February 22, 2023. Search terms included “Betamethasone,” “Preterm delivery,” “Respiratory distress,” “Dosing interval,” and related keywords. No language or geographic restrictions were applied.

Study eligibility criteria

Randomized controlled trials of pregnant women at risk for preterm delivery between 23 and 34 weeks of gestation, randomized to receive 24 mg of betamethasone in two doses, either 12 or 24 h apart.

Study appraisal and synthesis methods

The primary outcome was the incidence of respiratory distress syndrome, with secondary outcomes including adverse maternal and neonatal events. Summary measures were reported as relative risk with 95% confidence intervals.

Results

Two randomized controlled trials (429 patients) were included. The rate of RDS was lower in the 12-hour dosing group (34.3 % vs. 45.7 %; RR 0.76, 95 % CI 0.46–1.25), but the difference was not statistically significant. Significant reductions in NICU admissions, surfactant use, and an increase in birthweight were observed in the 12-hour group. No significant differences were found for perinatal mortality, neonatal sepsis, necrotizing enterocolitis, intraventricular hemorrhage, retinopathy of prematurity, chorioamnionitis, or maternal fever > 100°F.

Conclusions

The 12-hour betamethasone dosing regimen showed benefits in reducing NICU admissions and surfactant use. Further studies are needed to confirm its advantages for other outcomes.

{"title":"Betamethasone dosing interval at 12 or 24 h apart: A systematic review and meta-analysis","authors":"Mohammed R. Said , Fabrizio Zullo , Moti Gulersen , Vincenzo Berghella","doi":"10.1016/j.ejogrb.2025.02.017","DOIUrl":"10.1016/j.ejogrb.2025.02.017","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the effectiveness of administering 24 mg of betamethasone in two doses (12 mg each) at 12-hour versus 24-hour intervals in patients at risk of preterm delivery.</div></div><div><h3>Data sources</h3><div>A search was conducted in Ovid, Embase, Cochrane Central Register of Controlled Trials, <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span>, CINAHL, Scopus, and Google Scholar up to February 22, 2023. Search terms included “Betamethasone,” “Preterm delivery,” “Respiratory distress,” “Dosing interval,” and related keywords. No language or geographic restrictions were applied.</div></div><div><h3>Study eligibility criteria</h3><div>Randomized controlled trials of pregnant women at risk for preterm delivery between 23 and 34 weeks of gestation, randomized to receive 24 mg of betamethasone in two doses, either 12 or 24 h apart.</div></div><div><h3>Study appraisal and synthesis methods</h3><div>The primary outcome was the incidence of respiratory distress syndrome, with secondary outcomes including adverse maternal and neonatal events. Summary measures were reported as relative risk with 95% confidence intervals.</div></div><div><h3>Results</h3><div>Two randomized controlled trials (429 patients) were included. The rate of RDS was lower in the 12-hour dosing group (34.3 % vs. 45.7 %; RR 0.76, 95 % CI 0.46–1.25), but the difference was not statistically significant. Significant reductions in NICU admissions, surfactant use, and an increase in birthweight were observed in the 12-hour group. No significant differences were found for perinatal mortality, neonatal sepsis, necrotizing enterocolitis, intraventricular hemorrhage, retinopathy of prematurity, chorioamnionitis, or maternal fever > 100°F.</div></div><div><h3>Conclusions</h3><div>The 12-hour betamethasone dosing regimen showed benefits in reducing NICU admissions and surfactant use. Further studies are needed to confirm its advantages for other outcomes.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"307 ","pages":"Pages 164-169"},"PeriodicalIF":2.1,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387846","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}

引用次数: 0

Association between low basal serum total testosterone levels and the risk of recurrent pregnancy loss in women with infertility

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2025-02-10 DOI: 10.1016/j.ejogrb.2025.02.018

Yang Zhao , Fengyi He , Ping Pan , Wenming Xu , Huiyu Xu , Dongzi Yang , Xiaomiao Zhao

Objective

This study aimed to investigate the association between low basal total testosterone (TT) levels and the risk of recurrent pregnancy loss (RPL) in women with infertility.

Design

The study included women under 40 years with infertility, normal ovarian reserve, and regular ovulation. Participants were categorized into two groups: those with a history of recurrent pregnancy loss (RPL group) and those without a history of miscarriage (control group). All participants underwent in vitro fertilization (IVF) treatment. Serum TT and other sex hormone levels were measured on day 2 of spontaneous menstrual cycles and subsequently evaluated. Endocrine and coagulation conditions were also assessed.

Results

A total of 561 women were enrolled, into either the RPL group (n = 364) or the control group (n = 197) between January 2012 and December 2020. The RPL group demonstrated significantly lower median TT levels and were older compared with the control group (1.21 vs. 1.37 nmol/L, P = 0.001; 34 vs. 33 years, P = 0.010). Additionally, fasting plasma insulin levels were higher in the RPL group (10.67 vs. 8.84 mU/L, P < 0.001). A negative correlation between basal TT levels and pregnancy loss frequency was observed. Low basal TT levels were significantly associated with RPL (OR: 1.58, 95 % CI: 1.04 – 2.41), with TT cut-off value of <1.33 nmol/L indicating an increased likelihood of RPL (P < 0.001).

Conclusion

Low basal serum TT levels are associated with an increased risk of RPL. However, further studies are required to evaluate the predictive value of basal TT levels in RPL risk.

{"title":"Association between low basal serum total testosterone levels and the risk of recurrent pregnancy loss in women with infertility","authors":"Yang Zhao , Fengyi He , Ping Pan , Wenming Xu , Huiyu Xu , Dongzi Yang , Xiaomiao Zhao","doi":"10.1016/j.ejogrb.2025.02.018","DOIUrl":"10.1016/j.ejogrb.2025.02.018","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the association between low basal total testosterone (TT) levels and the risk of recurrent pregnancy loss (RPL) in women with infertility.</div></div><div><h3>Design</h3><div>The study included women under 40 years with infertility, normal ovarian reserve, and regular ovulation. Participants were categorized into two groups: those with a history of recurrent pregnancy loss (RPL group) and those without a history of miscarriage (control group). All participants underwent in vitro fertilization (IVF) treatment. Serum TT and other sex hormone levels were measured on day 2 of spontaneous menstrual cycles and subsequently evaluated. Endocrine and coagulation conditions were also assessed.</div></div><div><h3>Results</h3><div>A total of 561 women were enrolled, into either the RPL group (n = 364) or the control group (n = 197) between January 2012 and December 2020. The RPL group demonstrated significantly lower median TT levels and were older compared with the control group (1.21 vs. 1.37 nmol/L, <em>P</em> = 0.001; 34 vs. 33 years, <em>P</em> = 0.010). Additionally, fasting plasma insulin levels were higher in the RPL group (10.67 vs. 8.84 mU/L, <em>P</em> < 0.001). A negative correlation between basal TT levels and pregnancy loss frequency was observed. Low basal TT levels were significantly associated with RPL (OR: 1.58, 95 % CI: 1.04 – 2.41), with TT cut-off value of <1.33 nmol/L indicating an increased likelihood of RPL (<em>P</em> < 0.001).</div></div><div><h3>Conclusion</h3><div>Low basal serum TT levels are associated with an increased risk of RPL. However, further studies are required to evaluate the predictive value of basal TT levels in RPL risk.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"307 ","pages":"Pages 191-196"},"PeriodicalIF":2.1,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143394740","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}

引用次数: 0

Proctored single surgeon learning curve for vaginal natural orifice transluminal endoscopic surgery (NOTES) hysterectomy

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2025-02-10 DOI: 10.1016/j.ejogrb.2025.02.020

Susanne Housmans , Jan Baekelandt , Jan Deprest

Objective

We studied the learning curve of vaginally assisted NOTES hysterectomy (VANH) for individual surgical steps and competence scores.

Design

Single centre, prospective cohort study in a Belgian teaching hospital.

Measurements and main results

In a cohort of 57 women undergoing VANH we analysed 29 procedures performed completely or partly by the novice and 35 procedures performed completely or partly by the expert. Primary outcome was operation time dedicated to the endoscopic steps, unique to vNOTES. Operation time was determined by post hoc analysis of surgical videos. Standardised values of the operation time were expressed as a moving average. Adequate operation time, i.e. an operation time within 2 standard deviations of the average operation time of the expert, was after 16 cases. Secondary outcomes were operation time per step and competence scores based on Objective Structured Assessment of Technical Skills (OSATS). These measurements were used to determine critical steps in the learning process, which are not captured by reporting total operation time alone. Adequate operating times for critical steps (anterior colpotomy and right uterine artery), were obtained after 16 cases. Conversely, some vaginal and endoscopic steps on the right-hand side took longer. Competence was obtained after 18 cases.

Conclusion

We present the results of a proctored learning curve of a novice in vaginally assisted NOTES hysterectomy, expressed as operation time for different steps compared to an expert and with competence scores. For the primary outcome, the endoscopic operation time, adequate operation time was achieved after 16 cases. Regarding secondary outcomes, analysis per step showed that several vaginal steps and the endoscopic steps on the patient’s right-hand side required a longer learning period. Competence score expressed as a CUSUM chart suggest a learning curve of 18 cases. Identifying critical steps can be used to adapt training novices. Adding competence scores rather than focusing on operation time alone provides valuable insights in the learning process of a new technique by trained surgeons.

{"title":"Proctored single surgeon learning curve for vaginal natural orifice transluminal endoscopic surgery (NOTES) hysterectomy","authors":"Susanne Housmans , Jan Baekelandt , Jan Deprest","doi":"10.1016/j.ejogrb.2025.02.020","DOIUrl":"10.1016/j.ejogrb.2025.02.020","url":null,"abstract":"<div><h3>Objective</h3><div>We studied the learning curve of vaginally assisted NOTES hysterectomy (VANH) for individual surgical steps and competence scores.</div></div><div><h3>Design</h3><div>Single centre, prospective cohort study in a Belgian teaching hospital.</div></div><div><h3>Measurements and main results</h3><div>In a cohort of 57 women undergoing VANH we analysed 29 procedures performed completely or partly by the novice and 35 procedures performed completely or partly by the expert. Primary outcome was operation time dedicated to the endoscopic steps, unique to vNOTES. Operation time was determined by post hoc analysis of surgical videos. Standardised values of the operation time were expressed as a moving average. Adequate operation time, i.e. an operation time within 2 standard deviations of the average operation time of the expert, was after 16 cases. Secondary outcomes were operation time per step and competence scores based on Objective Structured Assessment of Technical Skills (OSATS). These measurements were used to determine critical steps in the learning process, which are not captured by reporting total operation time alone. Adequate operating times for critical steps (anterior colpotomy and right uterine artery), were obtained after 16 cases. Conversely, some vaginal and endoscopic steps on the right-hand side took longer. Competence was obtained after 18 cases.</div></div><div><h3>Conclusion</h3><div>We present the results of a proctored learning curve of a novice in vaginally assisted NOTES hysterectomy, expressed as operation time for different steps compared to an expert and with competence scores. For the primary outcome, the endoscopic operation time, adequate operation time was achieved after 16 cases. Regarding secondary outcomes, analysis per step showed that several vaginal steps and the endoscopic steps on the patient’s right-hand side required a longer learning period. Competence score expressed as a CUSUM chart suggest a learning curve of 18 cases. Identifying critical steps can be used to adapt training novices. Adding competence scores rather than focusing on operation time alone provides valuable insights in the learning process of a new technique by trained surgeons.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"307 ","pages":"Pages 223-229"},"PeriodicalIF":2.1,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427699","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}

引用次数: 0

How same sex couples attending maternity services would like to be addressed

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2025-02-10 DOI: 10.1016/j.ejogrb.2025.02.013

Esmé Denvir, Stephen W. Lindow, Michael P. O’Connell

引用次数: 0

Respiratory distress after planned births compared to expectant management – Target trial emulation

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2025-02-10 DOI: 10.1016/j.ejogrb.2025.02.012

Johanna Gunnarsdottir , Erik Lampa , Maria Jonsson , Linda Lindström , Kristjana Einarsdottir , Anna-Karin Wikström , Susanne Hesselman

Objective

The primary aim of this study was to determine the appropriate gestational age for planned births by elective cesarean section (ECS) or induction of labor (IOL) in relation to no excess risk of neonatal respiratory distress.

Study design

Register-based Swedish cohort study including 575,817 singleton live births at 36 weeks or later. Births not eligible for vaginal delivery, preterm premature rupture of membranes and infants with congenital anomalies were excluded. The primary outcome was respiratory distress, and a secondary outcome was Apgar score <7 at five minutes. The risk of outcomes according to onset of birth was calculated for each day from gestational week 36 to 41 and compared with expectant management (EM), defined as births at least one day later.

Results

No excess risk of respiratory distress was found for ECS from 40 weeks and for IOL from 38 weeks compared with EM. At 37 weeks, the absolute risk of respiratory distress was 12.4 % for ECS (aRR:5.7; 95 %CI:4.8; 6.5) and 4.0 % for IOL (aRR:1.7; 95 %CI:1.5; 2.0). At 39 weeks, the absolute risk of respiratory distress for ECS was 3.2 % (aRR:1.6; 95 %CI:1.3; 1.8) whereas the risk was reduced for IOL. ECS <38 weeks increased the risk of Apgar <7 compared with EM.

Conclusion

Regarding neonatal respiratory distress, IOL was safe from 38 weeks and ECS from 40 weeks. At earlier gestational ages, the risk of respiratory distress was significantly higher, which highlights the importance of clear health policies regarding appropriate timing and indications for planned births by ECS and IOL.

{"title":"Respiratory distress after planned births compared to expectant management – Target trial emulation","authors":"Johanna Gunnarsdottir , Erik Lampa , Maria Jonsson , Linda Lindström , Kristjana Einarsdottir , Anna-Karin Wikström , Susanne Hesselman","doi":"10.1016/j.ejogrb.2025.02.012","DOIUrl":"10.1016/j.ejogrb.2025.02.012","url":null,"abstract":"<div><h3>Objective</h3><div>The primary aim of this study was to determine the appropriate gestational age for planned births by elective cesarean section (ECS) or induction of labor (IOL) in relation to no excess risk of neonatal respiratory distress.</div></div><div><h3>Study design</h3><div>Register-based Swedish cohort study including 575,817 singleton live births at 36 weeks or later. Births not eligible for vaginal delivery, preterm premature rupture of membranes and infants with congenital anomalies were excluded. The primary outcome was respiratory distress, and a secondary outcome was Apgar score <7 at five minutes. The risk of outcomes according to onset of birth was calculated for each day from gestational week 36 to 41 and compared with expectant management (EM), defined as births at least one day later.</div></div><div><h3>Results</h3><div>No excess risk of respiratory distress was found for ECS from 40 weeks and for IOL from 38 weeks compared with EM. At 37 weeks, the absolute risk of respiratory distress was 12.4 % for ECS (aRR:5.7; 95 %CI:4.8; 6.5) and 4.0 % for IOL (aRR:1.7; 95 %CI:1.5; 2.0). At 39 weeks, the absolute risk of respiratory distress for ECS was 3.2 % (aRR:1.6; 95 %CI:1.3; 1.8) whereas the risk was reduced for IOL. ECS <38 weeks increased the risk of Apgar <7 compared with EM.</div></div><div><h3>Conclusion</h3><div>Regarding neonatal respiratory distress, IOL was safe from 38 weeks and ECS from 40 weeks. At earlier gestational ages, the risk of respiratory distress was significantly higher, which highlights the importance of clear health policies regarding appropriate timing and indications for planned births by ECS and IOL.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"307 ","pages":"Pages 184-190"},"PeriodicalIF":2.1,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143394973","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}

引用次数: 0

Spontaneous double ectopic pregnancy of the cervix and right adnexa

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2025-02-10 DOI: 10.1016/j.ejogrb.2025.02.016

Nat Jones, Jason Chang

The purpose of this case report is to describe a spontaneous double ectopic pregnancy of the cervix and right adnexa which necessitated multiple interventions.

引用次数: 0

Management of impacted fetal head at caesarean section − Current practice and future development

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2025-02-10 DOI: 10.1016/j.ejogrb.2025.02.019

Laura van der Krogt, Natalie Suff, Lisa Story, Andrew Shennan

Worldwide, more than 1 in 5 women give birth by cesarean delivery, and at least 5% of these births are at full dilatation. In labour and at full dilatation, a caesarean section can be technically challenging and is associated with greater risks. The fetal head is lower and can be wedged within the maternal pelvis making it more difficult to deliver, a situation known as ‘impacted fetal head’. This is associated with increased maternal and neonatal morbidity including uterine extensions, haemorrhage, fetal trauma and hypoxic ischaemic encephalopathy. This review explores the scope of the issue including the evidence for prevention and management of impacted fetal head, while highlighting key areas for future research.

引用次数: 0

Gestational diabetes mellitus and Group B streptococci in the urine

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2025-02-09 DOI: 10.1016/j.ejogrb.2025.02.014

Susani R. Karkov , Niels Uldbjerg , Jens K. Møller , Poul Bak Thorsen , Mohammed R. Khalil

Background

We hypothesized that gestational diabetes mellitus (GDM) increases the risk of urinary Group B Streptococcus (uGBS) colonization during pregnancy. The primary aim of this study was to compare the incidence of GDM between pregnant women with uGBS and those without uGBS.

Methods

From a population of 34,285 consecutive singleton pregnancies, we included the women 6,014 tested for uGBS. Of these, 249 were uGBS-positive, and the reminder 5,765 being uGBS-negative. GDM status and secondary outcomes were recorded prospectively, and the analysis included pregestational diabetes, age, parity, BMI, tobacco use, and cystitis during pregnancy as confounders.

Results

The incidence of GDM was 9.2 % (23 of 249) among uGBS-positive women and 4.1 % (236 of 5,520) among uGBS-negative women, resulting in an odds ratio (OR) of 2.4 (95 % CI: 1.5–3.7) and an adjusted OR of 2.2 (95 % CI: 1.4–3.6).

Conclusion

GDM may be a risk factor to consider in risk-based screening programs aimed at preventing early-onset GBS disease.

{"title":"Gestational diabetes mellitus and Group B streptococci in the urine","authors":"Susani R. Karkov , Niels Uldbjerg , Jens K. Møller , Poul Bak Thorsen , Mohammed R. Khalil","doi":"10.1016/j.ejogrb.2025.02.014","DOIUrl":"10.1016/j.ejogrb.2025.02.014","url":null,"abstract":"<div><h3>Background</h3><div>We hypothesized that gestational diabetes mellitus (GDM) increases the risk of urinary Group B Streptococcus (uGBS) colonization during pregnancy. The primary aim of this study was to compare the incidence of GDM between pregnant women with uGBS and those without uGBS.</div></div><div><h3>Methods</h3><div>From a population of 34,285 consecutive singleton pregnancies, we included the women 6,014 tested for uGBS. Of these, 249 were uGBS-positive, and the reminder 5,765 being uGBS-negative. GDM status and secondary outcomes were recorded prospectively, and the analysis included pregestational diabetes, age, parity, BMI, tobacco use, and cystitis during pregnancy as confounders.</div></div><div><h3>Results</h3><div>The incidence of GDM was 9.2 % (23 of 249) among uGBS-positive women and 4.1 % (236 of 5,520) among uGBS-negative women, resulting in an odds ratio (OR) of 2.4 (95 % CI: 1.5–3.7) and an adjusted OR of 2.2 (95 % CI: 1.4–3.6).</div></div><div><h3>Conclusion</h3><div>GDM may be a risk factor to consider in risk-based screening programs aimed at preventing early-onset GBS disease.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"307 ","pages":"Pages 236-240"},"PeriodicalIF":2.1,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437098","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}

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European journal of obstetrics, gynecology, and reproductive biology

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