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

{"title":"Role of mediolateral or lateral episiotomy in preventing obstetric anal sphincter injury (OASI) in nulliparous women undergoing vacuum-assisted delivery: A systematic review and meta-analysis","authors":"Giovanni Morganelli ,&nbsp;Gabriella Maria Celora ,&nbsp;Maria Chiara Bassi ,&nbsp;Andrea Dall’Asta ,&nbsp;Maurizio Di Serio ,&nbsp;Vito Andrea Capozzi ,&nbsp;Tullio Ghi ,&nbsp;Stefania Fieni","doi":"10.1016/j.ejogrb.2026.114939","DOIUrl":"10.1016/j.ejogrb.2026.114939","url":null,"abstract":"<div><h3>Background</h3><div>The potential preventive effect of mediolateral and lateral episiotomy on the risk of anal sphincter injury related to vacuum delivery in nullipara has been reported by different well-designed studies in the last years.</div></div><div><h3>Objectives</h3><div>The aim of this systematic review and <em>meta</em>-analysis is to summarize the available evidence on the protective effect of mediolateral or lateral episiotomy towards the occurrence of obstetric anal sphincter injury (OASI) in nulliparous women who were submitted to vacuum-assisted delivery.</div><div><em>Search strategy:</em> PubMed, Embase, CINAHL, Cochrane Library and Scopus databases were retrospectively searched without any temporal restriction up to March 1st 2025.</div><div><em>Selection criteria:</em> Randomized controlled trials, retrospective, prospective case-control or cohort studies investigating the incidence of perineal tears involving anal sphincter muscles and/or rectal mucosa after vacuum-assisted birth with and without mediolateral/lateral episiotomy in nulliparous women were included.</div><div><em>Data collection and analysis:</em> Risk of bias assessment was conducted for each included study by applying ROB2 score for RCTs and ROBINS-I score for non-randomized studies. Data were extracted and analyzed with Review Manager 5.4.1, results were reported by means of pooled Odd-ratios (ORs) and presented as Forest plots.</div><div><em>Main results:</em> 31 studies (3 RCTs and 28 non-randomized studies) were included. Cumulative sample size consisted in 608,359 nulliparous women who were submitted to vacuum-assisted delivery. Mediolateral/lateral episiotomy was found to halve the incidence of OASI (OR 0.56 [95 % CI 0.42–0.73]) with high between-study heterogeneity reported (I² = 99 %). At sensitivity analysis, a significant reduction in OASI incidence in case of mediolateral/lateral episiotomy was confirmed (OR 0.58 [95 %CI 0.44–0.78]); this analysis was conducted on low/moderate risk of bias studies (1RCT e 5 non-randomized studies, 15,799 patients) and associated with low heterogeneity (I² = 42 %).</div></div><div><h3>Conclusions</h3><div>This updated meta-analysis on the role of mediolateral/lateral episiotomy in nulliparous women submitted to vacuum assisted delivery confirms its protective role from OASI.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"318 ","pages":"Article 114939"},"PeriodicalIF":1.9,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922007","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":"Microbiota and infertility: a translational review of mechanisms and clinical applications in assisted reproduction","authors":"Bixiu Du ,&nbsp;Yaru Yang ,&nbsp;Lang He ,&nbsp;Ying Tang","doi":"10.1016/j.ejogrb.2026.114941","DOIUrl":"10.1016/j.ejogrb.2026.114941","url":null,"abstract":"<div><div>Infertility constitutes a major global health concern, affecting approximately 17.5% of couples of reproductive age. Although advances in assisted reproductive technologies (ART) have expanded treatment options, success rates remain highly variable due to host-specific and biological determinants. This review synthesizes current evidence on the reproductive impact of the human microbiota and its translational relevance to ART outcomes. Vaginal microbial communities dominated by <em>Lactobacillus</em>, particularly <em>L. crispatus</em>, are associated with improved conception and implantation, whereas genital or intestinal dysbiosis correlates with infertility and suboptimal treatment responses. The microbiota modulates reproductive competence through intertwined immune, endocrine–metabolic, and mucosal barrier pathways that regulate inflammation, hormonal balance, and epithelial integrity. Emerging findings indicate that gut microbial alterations linked to polycystic ovary syndrome (PCOS) and endometriosis are accompanied by insulin resistance and chronic inflammation, impairing ovulation, endometrial receptivity, and embryo viability. Interventions such as probiotics and synbiotics yield heterogeneous efficacy; individualized antimicrobial strategies, metabolic modulation, and lifestyle optimization may offer complementary benefit, while microbiota reconstruction remains experimental. Methodological limitations, including contamination in low biomass samples, variations in sequencing workflows, and population heterogeneity, still hinder data comparability and mechanistic interpretation. Future research should prioritize adequately powered randomized controlled trials using standardized microbiome metrics and live birth as a primary endpoint. Integrating microbiome profiling into ART workflows may refine patient stratification and inform precision adjuvant therapies. However, clinical implementation requires stronger causal evidence, validated biomarkers, and harmonized methodological frameworks to translate microbiome discoveries into reproducible reproductive gains.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"318 ","pages":"Article 114941"},"PeriodicalIF":1.9,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922006","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":"Should we modify eligibility criteria for fetal surgery for open spinal dysraphism?","authors":"Jean-Marie Jouannic ,&nbsp;Anaïs Dugas ,&nbsp;Paul Maurice ,&nbsp;Ferdinand Dhombres ,&nbsp;Catherine Garel ,&nbsp;Éléonore Blondiaux ,&nbsp;Timothée de Saint Denis ,&nbsp;Lucie Guilbaud","doi":"10.1016/j.ejogrb.2025.114912","DOIUrl":"10.1016/j.ejogrb.2025.114912","url":null,"abstract":"","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"318 ","pages":"Article 114912"},"PeriodicalIF":1.9,"publicationDate":"2026-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145921950","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":"Lactobacillus, vitamin C, cranberry and hibiscus versus placebo for prolonging the latency period of premature rupture of membranes: a double-blind randomized clinical trial","authors":"Iris Janeth Portillo Gonzales ,&nbsp;Ramon Armando Lobo Oliva ,&nbsp;Betsaida María Colindres Cruz ,&nbsp;Lessy Yolanda Díaz Galeas ,&nbsp;Ricardo Arturo Gutierrez-Ramirez","doi":"10.1016/j.ejogrb.2026.114938","DOIUrl":"10.1016/j.ejogrb.2026.114938","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effect of a supplement blend (<strong>lactobacillus, vitamin C, cranberry and hibiscus</strong>) on the latency period after preterm premature rupture of membranes (PPROM).</div></div><div><h3>Study design</h3><div>A single-center, randomized (1:1), double-blind, placebo-controlled trial enrolled 84 patients with PPROM (24–34 weeks). Participants were assigned to daily oral supplements or an identical placebo. The primary outcome was the latency period from membrane rupture to delivery. Analysis was by intention-to-treat.</div></div><div><h3>Result</h3><div>The mean latency period was significantly longer in the intervention group compared to the placebo group (11.7 ± 7.2 days vs. 7.6 ± 4.8 days; mean difference 4.1 days, 95 % CI 1.4–6.8; p = 0.003). The standardized mean difference (Cohen’s d) was 0.67 (95 % CI 0.23–1.10), indicating a moderate-to-large effect size. Exploratory analysis suggested a more pronounced effect when treatment was initiated before 32 weeks and continued for over six days.</div></div><div><h3>Conclusion</h3><div>Supplementation with lactobacillus, vitamin C, cranberry and hibiscus significantly prolonged the latency period in PPROM, which may represent a low-cost adjunct to conservative management.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"318 ","pages":"Article 114938"},"PeriodicalIF":1.9,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145917417","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":"Robotic indocyanine green-guided sentinel lymph node mapping in early-stage cervical cancer: The fluorescent robotic indocyanine endoscopic node detection series (FRIENDS)","authors":"Rahul Chatterjee ,&nbsp;Marielle Nobbenhuis ,&nbsp;Jenneke Kasius ,&nbsp;Manou Kaur ,&nbsp;Katherine Vroobel ,&nbsp;Ayoma Attygalle ,&nbsp;Thomas Edward James Ind","doi":"10.1016/j.ejogrb.2025.114927","DOIUrl":"10.1016/j.ejogrb.2025.114927","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe the implementation of robotic indocyanine green (ICG)–guided sentinel lymph node (SLN) mapping for nodal staging in early-stage cervical cancer and to report mapping outcomes, anatomical distribution of SLNs, and perioperative morbidity.</div></div><div><h3>Methods</h3><div>This single-centre cohort study included women with presumed early-stage cervical cancer who underwent robotic ICG-guided SLN mapping between 2015 and 2025. SLN mapping was performed with or without pelvic lymphadenectomy according to a side-specific algorithm. Institutional practice evolved over time from routine SLN mapping with lymphadenectomy to selective SLN-only staging. Outcomes included SLN detection rates, anatomical distribution of SLNs, nodal metastases, and postoperative morbidity.</div></div><div><h3>Results</h3><div>A total of 161 women underwent robotic SLN mapping. SLN detection was achieved in all patients, with bilateral mapping in 145 (90.1 %). Sixteen women (9.9 %) had nodal metastases; all metastatic disease was identified within sentinel lymph nodes. SLNs were most frequently located in the obturator and external iliac regions, with occasional upper pelvic and <em>para</em>-aortic drainage when lymphatic channels extended cranially. Lymphoedema occurred in 18 women (11.2 %) and was observed only in those who underwent pelvic lymphadenectomy.</div></div><div><h3>Conclusions</h3><div>This study describes long-term, real-world implementation of robotic ICG-guided SLN mapping in early-stage cervical cancer. The findings demonstrate consistent SLN detection, characteristic patterns of lymphatic drainage, and a lower observed incidence of lymphoedema when lymphadenectomy is avoided, supporting the role of SLN-guided nodal staging within contemporary, algorithm-based surgical practice.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"318 ","pages":"Article 114927"},"PeriodicalIF":1.9,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922009","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":"Developmental kinetics distinguish meiotic from mitotic chromosomal defects: Day-5 blastocyst achievement as age-independent predictor of euploid embryo yield","authors":"Mai Vuong Hung ,&nbsp;Pham Thi Hai Ha ,&nbsp;Nguyen Khac Han Hoan ,&nbsp;Nguyen Thanh Luan","doi":"10.1016/j.ejogrb.2026.114935","DOIUrl":"10.1016/j.ejogrb.2026.114935","url":null,"abstract":"<div><h3>Background</h3><div>While maternal age is established as a dominant reproductive risk factor, the mechanistic distinction between age-dependent meiotic errors and age-independent mitotic errors remains uncharacterized. These divergent pathways have profound implications for patient counseling and treatment stratification but are rarely differentiated clinically.</div></div><div><h3>Objectives</h3><div>To establish distinct etiological pathways underlying chromosomal abnormalities by quantifying the differential age-sensitivity of whole-chromosome aneuploidies (meiotic origin) versus mosaic abnormalities (mitotic origin), determining whether developmental timing serves as an age-independent biomarker of genomic competence, and enabling practitioners to provide pathway-specific counseling and treatment recommendations.</div></div><div><h3>Search strategy</h3><div>PubMed, Embase, and ClinicalTrials.gov were searched for relevant studies.</div></div><div><h3>Selection criteria</h3><div>Retrospective cohort of 490 IVF patients (2,472 embryos) stratified by maternal age (≤35, 35–40, ≥40 years) with complete extended culture and next-generation sequencing (NGS)-based preimplantation genetic testing for aneuploidy.</div></div><div><h3>Data collection and analysis</h3><div>Age-stratified analysis of developmental kinetics and comprehensive chromosomal classification. Multivariate logistic regression identified independent predictors of aneuploidy, adjusting for maternal age and day-5 blastocyst count.</div></div><div><h3>Main results</h3><div>Whole-chromosome aneuploidies demonstrated striking age-sensitivity (14.0 % to 36.5 %, 2.6-fold increase, p &lt; 0.001), reflecting progressive cohesin complex degradation, spindle checkpoint decline, and mitochondrial bioenergetic insufficiency. Mosaicism remained age-independent (∼41 %, p = 0.383), arising from post-meiotic mitotic errors. Day-5 blastocyst formation declined 30 % with age (p = 0.0154), yet day-6 formation remained age-independent (p = 0.106), indicating developmental delay rather than failure. Day-5 blastocyst count independently protected against aneuploidy (OR 0.965, 95 % CI: 0.944–0.987, p = 0.002), persisting after multivariate adjustment.</div></div><div><h3>Conclusions</h3><div>Mechanistic differentiation between age-dependent meiotic and age-independent mitotic chromosomal abnormalities reveals fundamentally distinct etiological pathways with profound implications for clinical decision-making. In particular, day-5 blastocyst achievement emerges as an independent biomarker of oocyte quality, enabling precise within-age-group risk stratification regardless of chronological age. These findings translate developmental kinetics into quantitative clinical algorithms that substantially improve reproductive counseling accuracy and patient-specific prognostication beyond traditional age-based approaches.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"318 ","pages":"Article 114935"},"PeriodicalIF":1.9,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922008","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 influence of discordant growth during pregnancy in dichorionic twins on adverse birth outcomes","authors":"Shuang Ran ,&nbsp;Xiaozhou Jia ,&nbsp;Jun He ,&nbsp;Tuanmei Wang ,&nbsp;Donghua Xie ,&nbsp;Xianglian Peng ,&nbsp;Xingli Li","doi":"10.1016/j.ejogrb.2026.114937","DOIUrl":"10.1016/j.ejogrb.2026.114937","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the influence of growth discordance in different trimesters of dichorionic twins on frequent adverse birth outcomes (preterm birth (PTB), low birth weight (LBW), and small for gestational age (SGA)).</div></div><div><h3>Methods</h3><div>Based on the Hunan Maternal and Child Health Hospital (HMCH) twin pregnancy cohort. Participants with dichorionic twin pregnancies who received prenatal care and delivered at HMCH between January 2019 and December 2024 were divided into four groups: whole-pregnancy concordant group (n = 428), isolated third-trimester discordant group (n = 30), isolated first-trimester discordant group (n = 35), and whole-pregnancy discordant group (n = 12). Grouping was based on whether first- and third-trimester fetal growth measured by ultrasound is concordant and tracking adverse birth outcomes in each group.</div></div><div><h3>Results</h3><div>Our study included 505 dichorionic twin pregnancies, with a maternal mean age of 30.97 ± 3.70 years. Compared to whole-pregnancy concordant group, isolated first-trimester discordant group did not have a higher risk of any adverse birth outcome (<em>p</em> ≥ 0.05), isolated third-trimester discordant group had a higher risk of SGA (RR = 3.48, 95 % <em>CI</em>: 2.38––5.10), and whole-pregnancy discordant group had a higher risk of both SGA and LBW (RR = 5.07, 95 % <em>CI</em>: 3.43–7.47; RR = 1.51, 95 % <em>CI</em>: 1.25–1.83). The risk of SGA and LBW was linearly correlated with the degree of growth discordance in the third trimester.</div></div><div><h3>Conclusion</h3><div>In dichorionic twin pregnancies, discordant growth in the first trimester does not increase the risk of adverse birth outcomes. The presence of discordant growth in the third trimester is the critical gestational period contributing to SGA and LBW. Therefore, it is essential to maintain growth concordance in dichorionic twins when entering the third trimester.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"318 ","pages":"Article 114937"},"PeriodicalIF":1.9,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145899680","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":"Clinical and biological characteristics of dengue in pregnant women in Reunion Island: A nested case-control analysis in the EPIDENGUE cohort study","authors":"Anne Cécilia Etoa Ndoko ,&nbsp;Phuong Lien Tran ,&nbsp;Marine Lafont ,&nbsp;Yves Marie Diarra ,&nbsp;Malik Boukerrou ,&nbsp;Antoine Bertolotti ,&nbsp;Patrick Gérardin","doi":"10.1016/j.ejogrb.2025.114932","DOIUrl":"10.1016/j.ejogrb.2025.114932","url":null,"abstract":"<div><h3>Introduction</h3><div>Dengue is globally the most widespread arboviral disease, especially in tropical and subtropical regions. The primary aim of this study was to compare clinical and biological characteristics of dengue in pregnant and non-pregnant women on Reunion Island.</div></div><div><h3>Methods</h3><div>In the EPIDENGUE retrospective cohort conducted in University Hospital Center (CHU) of Saint Pierre, Réunion Island, between January 1, 2019, and June 30, 2019, we matched pregnant women (“PWG”, cases) and non-pregnant women (“NPWG”, controls) infected with dengue on age and identified the characteristics associated with dengue in pregnant women using a conditional logistic regression model.</div></div><div><h3>Results</h3><div>Among 274 female patients (median age 28.3 years) that were matched, patients in the PWG were more likely to develop pruritus (OR 5.18 [95 %CI 1.34–20.08] p = 0.017), less likely to experience anorexia (OR 0.19 [95 %CI 0.06–0.59] (p = 0.004), fever (OR 0.15 [95 %CI 0.04–0.65], p = 0.012), or to have a hematocrit of 38 % or above (OR 0.05 [95 %CI 0.01–0.22] p &lt; 0.001) once controlled age, as compared to NPWG. We observed a non-significant trend towards a higher hematocrit level in women presenting warning signs (34.7 % <em>vs</em> 34.2 %, p = 0.084).</div></div><div><h3>Conclusion</h3><div>This nested case-control analysis highlights several clinical and-biological differences between pregnant and non-pregnant women with dengue, which are important to consider for avoiding the overdiagnosis of intrahepatic cholestasis of pregnancy and tailoring the monitoring of dengue in pregnant women. That implies screening for anorexia, fever and increase in hematocrit (prior to the decrease in platelet counts) as potential harbingers of progression to dengue with warning signs.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"318 ","pages":"Article 114932"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881265","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":"Expression of concern “Abdominal electromyography may predict the response to tocolysis in preterm labor”. [Eur. J. Obstet. Gynecol. Reprod. Biol. 160/1 (2012) 18–21]","authors":"Mohamed A. Kandil,&nbsp;Mehany M. Abdel-Sattar,&nbsp;Sherif M. Abdel-Salam,&nbsp;SaidA. Saleh,&nbsp;Mohamed M. Khalafallah","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"319 ","pages":"Article 114970"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146076469","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":"Expression of concern “Bacterial vaginosis and infertility: cause or association?” [Eur. J. Obstet. Gynecol. Reprod. Biol. 167/1 (2013) 59–63]","authors":"Rasheed M. Salah ,&nbsp;Abdelmonem M. Allam ,&nbsp;Amin M. Magdy ,&nbsp;Abeer Sh. Mohamed","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"318 ","pages":"Article 114934"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022744","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}