Journal of obstetrics and gynaecology Canada最新文献

英文中文

Circulating Very Long-Chain Saturated Fatty Acids in Early Pregnancy: Association With Blood Pressure and Weight Gain 妊娠早期循环的长链饱和脂肪酸：与血压和体重增加有关。

IF 2.2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada

Pub Date : 2025-09-10 DOI: 10.1016/j.jogc.2025.103103

Hana Arghavani MSc , Line Berthiaume BSc , Karine Greffard BSc , Pierre Julien PhD , François Audibert MD, MSc , William D. Fraser MD, MSc , Iwona Rudkowska PhD, RD , Jean-François Bilodeau PhD

Objectives

To examine the associations of circulating very long-chain saturated fatty acids (VLSFAs) with maternal blood pressure (BP), weight gain, and incidence of gestational hypertension (GH)/preeclampsia (PE) in a retrospective longitudinal study.

Methods

Blood samples from 92 pregnant women, including normotensive (n = 64) and hypertensive pregnancies (GH/PE, n = 28), from the International Trial of Antioxidants in the Prevention of PE (INTAPP; ISRCTN 85024310) were used at 8–14 weeks (visit 1) and 20–24 weeks (visit 2). Plasma Fatty acids (FA) profiles were measured by gas chromatography with flame ionization detection. Partial correlations and mixed models assessed BP and FA associations. Logistic regression models were used to assess GH/PE risks using FAs.

Results

Weight gain adjusted for pre-pregnancy BMI was inversely correlated to arachidic acid at visit 1 (r = –0.364, P < 0.001). VLSFAs, arachidic acid, and tricosylic acid were negatively correlated with both systolic BP and diastolic BP (DBP) at visit 1 (r < –0.274, P < 0.03). Higher levels of VLSFAs were also associated with the lower quartile of DBP (P = 0.01). Integrating clinical parameters with FA profiles (palmitoleic acid and eicosapentaenoic acid) presented a promising predictive model for GH/PE.

Conclusions

VLSFA levels in circulating phospholipids, especially arachidic acid, are associated with weight gain and BP, and with tricosylic acid, could be linked to a potentially protective role within FAs in a more complex lipid signature against hypertension in pregnancy.

目的：通过一项回顾性纵向研究，探讨循环甚长链饱和脂肪酸（VLSFAs）与孕妇血压（BP）、体重增加和妊娠高血压(GH)/子痫前期（PE）发生率的关系。方法：使用来自国际抗氧化剂预防先兆子痫试验（INTAPP; ISRCTN 85024310）的92名孕妇的血液样本，包括血压正常的孕妇（n = 64）和高血压孕妇（GH/PE, n = 28），于8-14周（访问1）和20-24周（访问2）使用。采用气相色谱火焰电离检测法测定血浆脂肪酸（FA）谱。部分相关和混合模型评估了BP和FA的关联。Logistic回归模型用于FAs评估GH/PE风险。结果：妊娠前体重指数调整后的体重增加与就诊1时花生四烯酸呈负相关（r = -0.364, P < 0.001）。vlsfa、花生四酸、三叶草酸与就诊1时收缩压、舒张压均呈负相关（r < -0.274, P < 0.03）。高水平的vlsfa也与DBP低四分位数相关（P = 0.01）。将临床参数与FAs谱（棕榈油酸和二十碳五烯酸）相结合，提出了一种很有前景的GH/PE预测模型。结论：循环磷脂中的vlsfa水平，特别是花生四烯酸，与体重增加和血压有关，而三叶草酸可能与FAs中潜在的保护作用有关，在更复杂的脂质特征中对抗妊娠期高血压。

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引用次数: 0

Development of Quality Indicators for Pregnancy Care of People With Disabilities Using a RAND-Modified Delphi Method 采用改进rand的德尔菲法制定残疾人孕期护理质量指标。

IF 2.2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada

Pub Date : 2025-09-10 DOI: 10.1016/j.jogc.2025.103106

Kyara J. Liu MPH , Evelina Pituch OT, PhD , Kathryn Barrett MLIS , Anne Berndl MD, MSc , Lisa Graves MD , Yona Lunsky PhD, CPsych , Marina Vainder MD , Andi Camden PhD , Meredith Evans PhD , Lesley A. Tarasoff PhD , Hilary K. Brown PhD

Objectives

This study aimed to develop quality indicators (QIs) for pregnancy care of people with disabilities.

Methods

We used a RAND-modified Delphi method. We first conducted a scoping review of Medline, Embase, PsycInfo, and CINAHL (2004–2024) to identify candidate QIs related to the structures, clinical processes, and interpersonal processes of pregnancy care for people with disabilities. Draft QIs were then validated in a 3-round Delphi study from June 2023 to October 2024, with an expert panel of 17 pregnancy care providers and 10 birthing people with disabilities. In round 1, panellists rated draft QIs on importance and feasibility in a survey. New QIs and QIs requiring rephrasing were identified. In round 2, QIs were discussed and refined in focus groups. In round 3, panellists rated new and revised QIs on importance and feasibility. The final list of QIs was created on the basis of panel consensus on importance.

Results

The review identified 98 studies, from which 44 candidate QIs were created for structures (n = 12), clinical processes (n = 22), and interpersonal processes of care (n = 10). In round 1 of the Delphi survey, consensus on importance was achieved for all QIs, 5 of which were identified as requiring rephrasing. Panellists suggested 10 new QIs. In round 2, the new and revised QIs were discussed in focus groups. In round 3, the new and revised QIs achieved consensus on importance, resulting in a final list of 54 QIs (n = 43 achieving consensus on feasibility).

Conclusions

These QIs can assist health care providers, administrators, and policymakers in optimising the quality of pregnancy care for people with disabilities.

目的：建立残疾人孕期护理质量指标体系。方法：采用rand修正的德尔菲法。我们首先对Medline、EMBASE、PsycInfo和CINAHL 2004-2024进行了范围综述，以确定与残疾人妊娠护理的结构、临床过程和人际过程相关的候选QIs。然后，由17名妊娠护理提供者和10名残疾分娩人员组成的专家小组在6/2023-10/2024期间进行了3轮德尔菲研究，对QIs草案进行了验证。在第一轮中，小组成员根据调查中的重要性和可行性对QIs草案进行评级。确定了新的质量指标和需要重新表述的质量指标。在第二轮中，在焦点小组中讨论和完善质量指标。在第三轮中，小组成员根据重要性和可行性对新的和修订后的质量指标进行评级。最终的QIs列表是基于小组对重要性的共识而创建的。结果：本综述确定了98项研究，从中创建了n = 44个候选质量指标，涉及结构（n = 12）、临床过程（n = 22）和护理人际过程（n = 10）。在德尔菲调查的第一轮中，对所有QIs的重要性达成了共识，其中5个被确定为需要重新措辞。小组成员提出了10个新的质量指标。在第二轮中，焦点小组讨论了新的和修订后的质量指标。在第3轮中，新的和修订的质量指标在重要性上达成了共识，从而产生了54个质量指标的最终列表（n = 43个在可行性上达成了共识）。结论：这些质量指标可以帮助医疗服务提供者、管理人员和决策者优化残疾人妊娠护理的质量。

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引用次数: 0

In Practice: Maternal Heart Rate Artifact 在实践中：产妇心率人工制品。

IF 2.2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada

Pub Date : 2025-09-10 DOI: 10.1016/j.jogc.2025.103102

Daniel J. Kiely MDCM, MSc , Sebastian Hobson MD, MPH, PhD , Katherine Tyndall RN, BScN, PNC , Lawrence Oppenheimer MD

Maternal heart rate artifact occurs during fetal heart rate monitoring when the maternal heart rate is mistaken for the fetal heart rate. Unrecognized maternal heart rate artifact poses major patient safety risks due to errors of commission and omission when healthcare teams do not realise that the supposedly “fetal” heart rate tracing that they are observing is misleading. In 2022, a technical update was published by the Society of Obstetricians and Gynaecologists of Canada to mitigate this risk by describing the signs of possible maternal heart rate artifact and the steps to obtain an accurate fetal heart rate tracing. Despite this, concerns remain regarding implementation in clinical practice. Here, we present 2 illustrative fetal and maternal heart rate tracings to increase awareness and help with knowledge translation.

在胎儿心率监测中，当母体心率被误认为胎儿心率时，就会出现母体心率伪影。当医疗团队没有意识到他们正在观察的所谓的“胎儿”心率追踪具有误导性时，由于委托和遗漏的错误，未被识别的产妇心率伪造物会给患者带来重大的安全风险。2022年，加拿大妇产科医师协会发布了一份技术更新，试图通过描述可能的产妇心率伪象的迹象和获得准确的胎儿心率追踪的步骤来降低这种风险。尽管如此，在临床实践中的实施仍然令人担忧。在这里，我们提出两个说明性的胎儿和母亲的心率跟踪，以提高认识和帮助知识翻译。

引用次数: 0

Vulvar cancer combined with cervical cancer 外阴癌合并子宫颈癌。

IF 2.2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada

Pub Date : 2025-09-10 DOI: 10.1016/j.jogc.2025.103105

Haimin Jiang BMed , Xiaoyan Chen MMed

引用次数: 0

Influence of Planned Versus Unplanned Cesarean Delivery on Postpartum Peritraumatic Distress: A Prospective Observational Study 计划与非计划剖宫产对产后创伤周围窘迫的影响：一项前瞻性观察研究。

IF 2.2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada

Pub Date : 2025-09-10 DOI: 10.1016/j.jogc.2025.103114

Luc Saulnier BA, MA , Anthony Chau MD, MMSc , Juliana Barrera MD, MSc , Simon Massey MB, BCh

Objectives

Postpartum post-traumatic stress disorder (PTSD) is a significant contributor to maternal morbidity. Peritraumatic distress, an immediate reaction to a traumatic event, is an early indicator of PTSD and may help identify patients at risk for postpartum PTSD soon after delivery. Previous studies report higher rates of postpartum PTSD after unplanned cesarean delivery. We hypothesized that peritraumatic distress scores, measured using the peritraumatic distress inventory (PDI), would differ between planned and unplanned cesarean deliveries.

Methods

In this observational prospective study, patients completed the PDI and patient perception score (PPS) 24 hours after cesarean delivery. The primary outcome was the median difference in PDI scores by delivery urgency (planned vs. unplanned), assessed using the Mann–Whitney U-test. Secondary outcomes included the correlation between PDI scores and patient satisfaction, as measured by Kendall tau correlation.

Results

A total of 220 patients (110 planned, 110 unplanned) were included. Patients who underwent unplanned cesarean delivery reported significantly higher PDI scores (P < 0.001). A greater proportion of unplanned versus planned deliveries exceeded the PDI threshold for PTSD risk (25.5% vs. 5.5%). There was a significant negative correlation between PDI and patient perception scores (τ = −0.25; P < 0.001).

Conclusions

Unplanned cesarean delivery was associated with elevated peritraumatic distress and increased risk for postpartum PTSD. Early PDI screening may help identify patients in need of psychological support before discharge. However, low PDI scores should not preclude follow-up because some may develop delayed trauma responses. These findings support universal screening and underscore the need for future research on serial postpartum assessments.

目的：产后创伤后应激障碍是产妇发病的重要因素。创伤周围窘迫是对创伤事件的直接反应，是创伤后应激障碍的早期指标，可以帮助识别分娩后不久有产后创伤后应激障碍风险的患者。先前的研究报告称，意外剖宫产后出现产后创伤后应激障碍的几率更高。我们假设，使用围腹膜窘迫量表（PDI）测量的围腹膜窘迫评分在计划和非计划剖宫产之间会有所不同。方法：在这项观察性前瞻性研究中，患者在剖宫产后24小时完成PDI和患者感知评分（PPS）。主要终点是分娩紧迫性（计划分娩与非计划分娩）的PDI评分中位数差异，采用Mann-Whitney u检验评估。次要结局包括通过Kendall-Tau相关测量PDI评分与患者满意度之间的相关性。结果：共纳入220例患者（计划110例，非计划110例）。接受计划外剖宫产的患者报告PDI评分明显较高（P < 0.001）。计划外分娩与计划分娩的比例超过PDI PTSD风险阈值的比例更大（25.5%对5.5%）。PDI与PPS评分呈显著负相关（τ = -0.25, P < 0.001）。结论：意外剖宫产与围产儿窘迫升高及产后PTSD风险增加有关。早期PDI筛查可能有助于在出院前确定需要心理支持的患者。然而，低PDI评分不应排除随访，因为一些患者可能出现延迟的创伤反应。这些发现支持普遍筛查，并强调了未来对产后系列评估研究的必要性。

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引用次数: 0

Can I get an Abortion Without my Parents’ Permission? Publicly Available Information About Age and Parental Consent for Abortion in Canada 我可以在没有父母允许的情况下堕胎吗？加拿大关于年龄和父母同意堕胎的公开信息。

IF 2.2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada

Pub Date : 2025-09-05 DOI: 10.1016/j.jogc.2025.103099

Eleanor McGrath BComm, MSW

Objectives

This study aimed to investigate the availability and clarity of online abortion access information in Canada and identify, through the lens of a minor, if websites provide a clear answer to: “Can I get an abortion without my parents’ permission?”

Methods

Using ChoiceConnect, 139 abortion providers and 17 health resource websites were identified for analysis. Provider information was searched to discover an associated website. Identified websites were searched using Boolean operators for plain-language keywords on abortion access for minors (‘abortion,’ ‘consent,’ ‘permission,’ ‘parent,’ or ‘age,’) followed by manual searches. Results were classified as: (1) no abortion information; (2) no consent information; or (3) included consent information. Those that included consent information were further categorized thematically as either (1) statements that parental consent is not required; (2) statement regarding capacity to consent; or (3) stating an age of consent. These categories overlapped in some cases.

Results

Of the 139 providers, 72 had identifiable websites. Of those, 14 (19%) did not mention abortion and 28 (39%) provided information about parental or age of consent. Among those 28, 20 (74%) stated no parental consent was required, 10 (37%) mentioned capacity to consent, and 6 (22%) indicated an age to consent. Overall, 75% of providers and resources did not have a website, mention abortion, or provide consent information.

Conclusions

There is a lack of clear information online about minors’ abortion care access without parental consent. Absence of information presents a substantial barrier to abortion care access for minors.

目的：调查加拿大在线堕胎信息的可用性和清晰度，并通过未成年人的视角确定网站是否为“我可以在未经父母允许的情况下堕胎吗？”提供了明确的答案。方法：使用ChoiceConnect对139家人工流产服务提供者和17家健康资源网站进行分析。搜索提供商信息以发现关联网站。对确定的网站使用布尔运算符搜索有关未成年人堕胎途径的简单语言关键词（“堕胎”、“同意”、“许可”、“父母”或“年龄”），然后进行人工搜索。结果分为：1-无流产信息；2-无同意信息；或3-包括同意信息。那些包含同意信息的内容被进一步分类为：1-不需要父母同意的声明；2-关于同意能力的声明；或3岁-说明同意年龄。这些类别在某些情况下是重叠的。结果：在139家供应商中，72家有可识别的网站。其中，14个（19%）没有提到堕胎，28个（39%）提供了父母或同意年龄的信息。在这28人中，20人（74%）表示不需要父母的同意，10人（37%）提到了同意的能力，6人（22%）表示同意的年龄。总的来说，75%的提供者和资源没有网站，没有提到堕胎，也没有提供同意信息。结论：网上缺乏关于未成年人未经父母同意获得人工流产护理的明确信息。缺乏信息是未成年人获得堕胎护理的一个重大障碍。

{"title":"Can I get an Abortion Without my Parents’ Permission? Publicly Available Information About Age and Parental Consent for Abortion in Canada","authors":"Eleanor McGrath BComm, MSW","doi":"10.1016/j.jogc.2025.103099","DOIUrl":"10.1016/j.jogc.2025.103099","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate the availability and clarity of online abortion access information in Canada and identify, through the lens of a minor, if websites provide a clear answer to: “Can I get an abortion without my parents’ permission?”</div></div><div><h3>Methods</h3><div>Using ChoiceConnect, 139 abortion providers and 17 health resource websites were identified for analysis. Provider information was searched to discover an associated website. Identified websites were searched using Boolean operators for plain-language keywords on abortion access for minors (‘abortion,’ ‘consent,’ ‘permission,’ ‘parent,’ or ‘age,’) followed by manual searches. Results were classified as: (1) no abortion information; (2) no consent information; or (3) included consent information. Those that included consent information were further categorized thematically as either (1) statements that parental consent is not required; (2) statement regarding capacity to consent; or (3) stating an age of consent. These categories overlapped in some cases.</div></div><div><h3>Results</h3><div>Of the 139 providers, 72 had identifiable websites. Of those, 14 (19%) did not mention abortion and 28 (39%) provided information about parental or age of consent. Among those 28, 20 (74%) stated no parental consent was required, 10 (37%) mentioned capacity to consent, and 6 (22%) indicated an age to consent. Overall, 75% of providers and resources did not have a website, mention abortion, or provide consent information.</div></div><div><h3>Conclusions</h3><div>There is a lack of clear information online about minors’ abortion care access without parental consent. Absence of information presents a substantial barrier to abortion care access for minors.</div></div>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"47 11","pages":"Article 103099"},"PeriodicalIF":2.2,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pregnancy Complications and Postpartum Cardiovascular Risk Screening 妊娠并发症和产后心血管风险筛查。

IF 2.2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada

Pub Date : 2025-09-01 DOI: 10.1016/j.jogc.2025.103065

Graeme N. Smith MD, PhD

引用次数: 0

Artificial Intelligence Applications in Obstetrics and Gynaecology 人工智能在妇产科中的应用。

IF 2.2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada

Pub Date : 2025-09-01 DOI: 10.1016/j.jogc.2025.103067

S. Swaroop Vedula MBBS, PhD , Chi Chiung Grace Chen MD, MHS

引用次数: 0

Revitalizing the SOGC’s Roles and Activities in Academic Education: Introducing the SOGC’s Council for Excellence in Obstetrics and Gynaecology Education 重振妇产科教育谘询会在学术教育中的角色和活动：介绍妇产科教育谘询会的妇产科教育卓越委员会。

IF 2.2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada

Pub Date : 2025-09-01 DOI: 10.1016/j.jogc.2025.103081

Nicholas Leyland MD , Talia Melone XX , Rashmi Bhargava MD , Diane Francoeur MD , Venu Jain MD , Nancy Kent MD , Vanessa Poliquin MD , Frank Potestio MD , Graeme Smith MD , Marisa Horniachek MD , Jocelynn L. Cook PhD

Objectives

To re-establish and define the role of the Society of Obstetricians and Gynaecologists of Canada’s (SOGC) in medical education for obstetrician gynaecologists and develop a governance structure to guide activities.

Methods

A narrative synthesis of the evolution of the SOGC’s role in medical education for obstetrician gynaecologists was conducted using 3 methodological sources: (1) structured deliberations by a working group of national educators and clinicians convened quarterly over 18 months, (2) thematic analysis of 3 national educational needs assessments completed between 2020 and 2023; and (3) comparative benchmarking against academic structures in peer organizations.

Results

The SOGC’s Council for Excellence in Obstetrics and Gynaecology Education features a matrix membership model representing university departments, subspecialty societies, trainees and, very importantly, community practitioners. The new mandate emphasizes equity, innovation, collaboration, and lifelong learning across the educational continuum. Anticipated programming includes national examinations, research courses, educator development, and digital learning. An evaluation framework and partnerships were embedded to ensure accountability and growth. Importantly, gaps in engagement, sustainability, and mentorship will be addressed.

Conclusions

The SOGC’s Council for Excellence in Obstetrics and Gynaecology Education will serve as a national platform for academic leadership in women’s health, unifying educational efforts from undergraduate learning to post-retirement mentorship. It offers a replicable model for aligning education with rapidly evolving clinical and social priorities in specialty care.

目的：重建和确定加拿大妇产科医师协会（SOGC）在妇产科医师医学教育中的作用，并制定一个治理结构来指导活动。方法：通过三种方法来源，对加拿大妇产科医师协会（SOGC）在妇产科医生医学教育中的作用的演变进行了叙述综合：(1)由全国教育工作者和临床医生组成的工作组在18个月内每季度召开一次会议，进行结构化审议；(2)对2020-2023年完成的三项国家教育需求评估进行专题分析；(3)与同行组织的学术结构进行比较基准测试。结果：SOGC的妇产科卓越教育委员会（CEOGE）采用矩阵式会员模式，代表大学院系、亚专业协会、学员以及非常重要的社区从业人员。新的任务强调整个教育连续体的公平、创新、协作和终身学习。预期的规划包括国家考试、研究课程、教育工作者发展和数字学习。建立了评估框架和伙伴关系，以确保问责制和增长。重要的是，参与、可持续性和指导方面的差距将得到解决。结论：SOGC的妇产科教育卓越委员会（CEOGE）将作为妇女健康学术领导的国家平台，统一从本科学习到退休后指导的教育工作。它提供了一种可复制的模式，使教育与快速发展的临床和社会优先事项在专科护理中保持一致。

{"title":"Revitalizing the SOGC’s Roles and Activities in Academic Education: Introducing the SOGC’s Council for Excellence in Obstetrics and Gynaecology Education","authors":"Nicholas Leyland MD , Talia Melone XX , Rashmi Bhargava MD , Diane Francoeur MD , Venu Jain MD , Nancy Kent MD , Vanessa Poliquin MD , Frank Potestio MD , Graeme Smith MD , Marisa Horniachek MD , Jocelynn L. Cook PhD","doi":"10.1016/j.jogc.2025.103081","DOIUrl":"10.1016/j.jogc.2025.103081","url":null,"abstract":"<div><h3>Objectives</h3><div>To re-establish and define the role of the Society of Obstetricians and Gynaecologists of Canada’s (SOGC) in medical education for obstetrician gynaecologists and develop a governance structure to guide activities.</div></div><div><h3>Methods</h3><div>A narrative synthesis of the evolution of the SOGC’s role in medical education for obstetrician gynaecologists was conducted using 3 methodological sources: (1) structured deliberations by a working group of national educators and clinicians convened quarterly over 18 months, (2) thematic analysis of 3 national educational needs assessments completed between 2020 and 2023; and (3) comparative benchmarking against academic structures in peer organizations.</div></div><div><h3>Results</h3><div>The SOGC’s Council for Excellence in Obstetrics and Gynaecology Education features a matrix membership model representing university departments, subspecialty societies, trainees and, very importantly, community practitioners. The new mandate emphasizes equity, innovation, collaboration, and lifelong learning across the educational continuum. Anticipated programming includes national examinations, research courses, educator development, and digital learning. An evaluation framework and partnerships were embedded to ensure accountability and growth. Importantly, gaps in engagement, sustainability, and mentorship will be addressed.</div></div><div><h3>Conclusions</h3><div>The SOGC’s Council for Excellence in Obstetrics and Gynaecology Education will serve as a national platform for academic leadership in women’s health, unifying educational efforts from undergraduate learning to post-retirement mentorship. It offers a replicable model for aligning education with rapidly evolving clinical and social priorities in specialty care.</div></div>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":"47 9","pages":"Article 103081"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lessons on the Grief of Perinatal Loss as an Obstetric Provider 关于作为产科提供者的围产期损失的悲伤的教训。

IF 2.2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada

Pub Date : 2025-09-01 DOI: 10.1016/j.jogc.2025.103100

Nicole Thompson BScOT, MClSc, MD, FRCSC

引用次数: 0

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