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Journal of Clinical Obstetrics and Gynecology最新文献

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Endometriosis as a risk factor for colorectal cancer 子宫内膜异位症是结直肠癌的危险因素
IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2020-08-12 DOI: 10.29328/journal.cjog.1001057
V. Vargas-Hernández, José Raúl Rodríguez Rodríguez, Víctor Manuel Vargas-Aguilar
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引用次数: 0
Maternal, neonatal and children´s health in Sub-Saharan East Africa 撒哈拉以南东非的孕产妇、新生儿和儿童健康
IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2020-05-29 DOI: 10.29328/journal.cjog.1001049
Donát Josef
The Czech model for reducing maternal and neonatal mortality for countries in sub-Saharan East Africa was created on the basis of the Archdiocesan Charity Prague project for a specifi c region-subcounty Buikwe, Diocese of Lugazi, Mukono Region in Uganda, a region with about 30,000 inhabitants. The aim of the fi rst phase of the project was to build a new hospital, equip it completely for obstetric and surgical operations from the Czech Republic, ensure its activities with Czech and Slovak doctors experts, junior Ugandan doctors and Ugandan medical staff , provide obstetric training for villagers, ensure connections with villages and possibility of fast transport and urgent solution of all acute pathologies in the hospital, capable of 24-hour surgical readiness. In the second phase of the project, a school for midwifery was to be established. This second part of the project has not yet been implemented. The project could serve as an example and guide for similar humanitarian activities in other regions of Uganda and other countries in equatorial Africa.
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引用次数: 0
Anal cytology in immunocompetent patients with high-grade intraepithelial neoplasia (CIN II and CIN III) 免疫功能正常的高级别上皮内瘤变(CIN II和CIN III)患者的肛门细胞学
IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2020-02-13 DOI: 10.29328/journal.cjog.1001041
Ribeiro Marcio Erik Franco, Barbosa Lyliana Coutinho Resende, Schnaider Taylor Brandão
1Mestre em Ciências Aplicadas à Saúde da Universidade do Vale do Sapucaí, Pouso Alegre, MG, Brazil 2Pró-Reitora Adjunta da Universidade do Vale do Sapucaí, Pouso Alegre – MG, Profa. Permanente do Mestrado Profi ssional em Ciências Aplicadas à Saúde da Universidade do Vale do Sapucaí, Pouso Alegre, Bazil 3Professor Titular do Departamento de Cirurgia da Faculdade de Medicina da Universidade do Vale do Sapucaí, Pouso Alegre, MG, Prof. Permanente do Mestrado Profi ssional em Ciências Aplicadas à Saúde da Universidade do Vale do Sapucaí, Pouso Alegre, MG, Brazil More Information
1 Vale do sapucai大学健康应用科学硕士,Pouso Alegre, MG,巴西2 Vale do sapucai大学副校长,Pouso Alegre - MG,教授永久的硕士专业在大学的应用科学健康的里斯,巴西,一直三系的教授手术的山谷大学医学院reis巴西永久毫克,教授的硕士专业在大学的应用科学健康的里斯,巴西,MG,现在需要更多的信息
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引用次数: 0
The Obstetrics Outcomes of Vaginal Birth After Cesarean Section in a Cohort with High Induction of Labor Rate 高引产率人群剖宫产后顺产的产科学结局
IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2020-01-01 DOI: 10.5336/jcog.2020-79203
T. Takmaz, H. R. Dural, Irana Gorchiyeva, G. Kilic, Halime Çali Öztürk, Rabia Zehra Bakar, M. S. Kutuk
146 In recent decades, cesarean section (CS) rates have increased in both developed and developing countries. The World Health Organization (WHO) recommends 10-15% as suitable CS rates; however, the rate in Turkey is 52%.1,2 This rise may be attributed to the several changes in the practice environment, including the decreased proportion of operative vaginal deliveries and increased use of electronic fetal monitoring. Likewise, malpractice fears, patient preferences, and demographic factors have influenced this increase in CS rates.3 Furthermore, the belief that “once cesarean, always a cesarean” is related to high rates of planned repeat CS.4 This misconception can cause adverse maternal outcomes and complications in future pregnancies, such as hemorrhages, infections, visceral organ injuries, transfusions, and need for hysterectomies because of abnormal placentation.5
146近几十年来,发达国家和发展中国家的剖宫产率都有所上升。世界卫生组织(世卫组织)建议10-15%为适宜的CS比率;然而,土耳其的这一比例为52%。这种上升可能是由于实践环境的一些变化,包括手术阴道分娩比例的下降和电子胎儿监护的使用增加。同样,医疗事故恐惧、患者偏好和人口因素也影响了CS率的增加此外,“一次剖宫产,永远剖宫产”的观念与高计划重复剖腹产率有关。4这种误解会导致不良的产妇结局和未来妊娠的并发症,如出血、感染、内脏器官损伤、输血,以及因异常胎盘而需要子宫切除术
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引用次数: 0
Pseudoangiomatous Stromal Hyperplasia-Case Report of a Rare Breast Tumor in a Premenarchal Girl 假性血管瘤间质增生:1例罕见的青春期前女孩乳腺肿瘤
IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2020-01-01 DOI: 10.5336/jcog.2020-79475
E. Teixeira, D. Pereira, C. Gonçalves, C. Montenegro, Carlos Firmino, L. Ramalho
ABS TRACT Pseudoangiomatous stromal hyperplasia is a rare benign breast neoplasm. The exact prevalence of this condition is unknown. According to the literature, it is an extremely uncommon disease in adolescent patients, especially when presenting with a giant mass causing significant breast enlargement. The clinical management of pseudoangiomatous stromal hyperplasia continues to be a controversial issue, however, surgical treatment remains the most accepted when there is an important mass-effect. We report the case of a 12-year-old premenarchal female, referred to our hospital with complaints of a rapidly enlarging left breast mass, of 12cm in diameter, causing a significant breast asym- metry. The ultrasonographic findings were unspecific. The core needle biopsy of the mass was consistent with pseudoangiomatous stromal hyperplasia, consequently, successful surgical excision was performed. This case illustrates a particularly unusual presentation of pseudoan- giomatous stromal hyperplasia in a premenarchal adolescent patient, that should be taken into consideration in the differential diagnosis of abrupt breast enlargement.
摘要假性血管瘤间质增生是一种罕见的乳腺良性肿瘤。这种情况的确切患病率尚不清楚。根据文献,这在青少年患者中是一种极其罕见的疾病,特别是当出现巨大的肿块导致显著的乳房增大时。假性血管瘤间质增生的临床治疗仍然是一个有争议的问题,然而,当有重要的肿块效应时,手术治疗仍然是最被接受的。我们报告一名12岁的月经前女性,因左侧乳房肿块迅速增大,直径达12cm,导致乳房明显不对称而转诊至我院。超声检查结果不明确。肿块的核心穿刺活检符合假性血管瘤间质增生,因此成功进行手术切除。这个病例说明了一个特别不寻常的假瘤间质增生的表现在青春期前的患者,这应该考虑到在鉴别诊断突发性乳房增大。
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引用次数: 0
A Prospective Analysis of Sexual Behaviors of Pregnant Women in Southeast Turkey 土耳其东南部孕妇性行为的前瞻性分析
IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2020-01-01 DOI: 10.5336/jcog.2020-76300
Özge Kömürcü Karuserci, S. Sucu
is under different pressures, either culturally or religiously according to the other regions of Turkey. Material and Methods: Three hundred pregnant women completed a 25-question survey about their sexual life. The questions were pre- pared based on the Female Sexual Function Index (FSFI) and the Body Exposure during Sexual Activities Questionnaire (BESAQ) tests. Results: Sexual desire decreased in 65.2% of women (n=163) and increased in 8.4% (n=21). The rate of orgasms was 55.6% (n=139), and higher during anal intercourse (p=0.038). The orgasm rate before and during pregnancy was similar (p=0.72). The orgasm/satisfaction was higher during anal intercourse compared to that during vaginal intercourse (p=0.038). Sixty five percent of the women were worried about coitus dur- ing pregnancy (n=176). However, 85.7% of the pregnant women (n=257) had regular sexual intercourse to maintain a healthy partnership (40%) or for desire (23%). There was no significant relationship between intercourse frequency and education level (p=0.81), abortion history (p=0.63), age (p=0.21), and gestational week (p=0.81). Sexual desire remained mostly unchanged in women following their first, second, and third births (61.1%, 61.7%, and 69.8%, respectively). Conclusion: Our results suggest that despite the geographical, cultural and social dif- ferences between the southeast region and other regions, the fact that sexual life during pregnancy has similar characteristics for every women shows that sexual physiology is independent from external factors.
在文化或宗教方面的压力与土耳其其他地区不同。材料和方法:300名孕妇完成了一项关于她们性生活的25个问题的调查。问题是根据女性性功能指数(FSFI)和性活动期间身体暴露问卷(BESAQ)测试来准备的。结果:65.2%的女性性欲下降(163例),8.4%的女性性欲上升(21例)。性高潮发生率为55.6% (n=139),肛交发生率较高(p=0.038)。怀孕前后性高潮率差异无统计学意义(p=0.72)。肛交的性高潮/满意度高于阴道性交(p=0.038)。65%的女性在怀孕期间担心性交(n=176)。然而,85.7%的孕妇(n=257)定期性交,以维持健康的伴侣关系(40%)或满足欲望(23%)。性交频率与文化程度(p=0.81)、流产史(p=0.63)、年龄(p=0.21)、孕周(p=0.81)无显著相关。女性在生育第一胎、第二胎和第三胎后,性欲基本保持不变(分别为61.1%、61.7%和69.8%)。结论:我们的研究结果表明,尽管东南地区与其他地区存在地理、文化和社会差异,但每个妇女在怀孕期间的性生活具有相似的特征,这表明性生理不受外界因素的影响。
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引用次数: 0
Neurofibromatosis and Pregnancy 神经纤维瘤病与妊娠
IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2020-01-01 DOI: 10.5336/jcog.2020-78717
R. A. Bilir, İlayda Loçlar Karaalp, A. Karateke
ABS TRACT Neurofibromatosis (NF) is an autosomal dominant genetic syndrome which can be seen in 1: 3000- 1:5000 women. Women with NF without infertility problem may have one or more pregnancies during reproductive years. Pregnancies of patients with neurofibromatosis are known to be complicated by intrauterine growth retardation, preterm birth, gestational hypertension and preeclampsia, but history of abruption is very rare in few cases. Physicians should be aware of the complications of this unique pregnancy and manage it multidisciplinary. The purpose of this case report is to share the experience of the pregnancy with neurofibromatosis, having epilepsy and unexplained em- bolism history, which is complicated with intrauterine growth retardation and placental abruption
ABS路神经纤维瘤病(NF)是一种常染色体显性遗传综合征,可在1:30 00- 1:5000的女性中看到。无不育问题的NF患者在生育年龄可能有一次或多次怀孕。神经纤维瘤病患者妊娠合并宫内发育迟缓、早产、妊娠期高血压、先兆子痫,但极少有早剥史。医生应该意识到这种独特的妊娠并发症和管理它的多学科。本病例报告的目的是分享怀孕的经验,神经纤维瘤病,癫痫和不明原因的血栓病史,合并宫内发育迟缓和胎盘早剥
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引用次数: 0
Factors Affecting Successful Vaginal Birth Following Dinoprostone Administration in Post-term Pregnancies 影响足月妊娠服用迪诺前列酮后阴道分娩成功的因素
IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2020-01-01 DOI: 10.5336/jcog.2020-77451
M. H. Bademkıran, Cihan Bademkiran, Serhat Ege, Nurullah Peker, Süleyman Cemil Oğlak
136 Adverse perinatal outcomes increase gradually from the 40th week of pregnancy, and this increase is evident significantly from the 42nd week of pregnancy.1 With the prolongation of pregnancy, the risk of stillbirth increases, and 14% of stillbirth occur in prolonged pregnancies worldwide.2 The World Health Organization recommends inducing labor at week 41, and many countries induce labor from 41 to 42 weeks to prevent prolonged pregnancies.3,4 There are randomized controlled studies in the literature comparing the induction of labor with the expectant control group in the post-term pregnancies. In most of them, conflicting results were found in terms of perinatal morbidity and mortality. The Cochrane review in 2018 showed that the rate of cesarean delivery and perinatal mortality was lower, and the ratio of assisted vaginal delivery was higher in the induction group compared to the control group.5
136围产期不良结局从妊娠第40周开始逐渐增加,从妊娠第42周开始,这种增加尤为明显随着妊娠期的延长,死产的风险增加,全世界14%的死产发生在妊娠期延长的情况下世界卫生组织建议在第41周引产,许多国家在第41至42周引产,以防止妊娠延长。文献中有随机对照研究比较了引产与待产对照组在足月后妊娠的效果。在大多数研究中,在围产期发病率和死亡率方面发现了相互矛盾的结果。2018年Cochrane综述显示,与对照组相比,引产组剖宫产率和围产期死亡率较低,辅助阴道分娩率较高
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引用次数: 0
Meckel Gruber Syndrome: A rare and lethal anomaly 梅克尔-格鲁伯综合征:一种罕见且致命的异常
IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2019-12-06 DOI: 10.29328/journal.cjog.1001035
Ž. Žegarac, Ž. Duić, K. Bojanić
Meckel-Gruber syndrome (MGS) is an autosomal recessive disorder characterized by at least two of the following three manifestations; renal cystic dysplasia (95%-100%), occipital encephalocele (60%-80%) and postaxial polydactyly (55%-75%) [1]. Other anomalies of MGS include a variety of CNS malformations such as microcephaly, anencephaly, holoprosencephaly, hydrocephaly, Arnold-Chiari or Dandy Walker malformation, agenesis of the corpus callosum, absence of olfactory tract or lobe and cardiac anomalies atrial septal defect, ventricular septal defect [2]. The excessively large, cystic kidneys cause marked abdominal distension. Facial anomalies such as cleft lip, high arched palate and hypertelorism are also observed in many cases [2].
梅克尔-格鲁伯综合征(MGS)是一种常染色体隐性遗传病,其特征至少为以下三种表现中的两种:肾囊性发育不良(95%-100%)、枕部脑膨出(60%-80%)、轴后多指畸形(55%-75%)[1]。MGS的其他异常包括各种中枢神经系统畸形,如小头畸形、无脑畸形、前脑全裂畸形、脑积水、Arnold-Chiari畸形或Dandy Walker畸形、胼胝体发育不全、嗅束或嗅叶缺失以及心脏异常房间隔缺损、室间隔缺损[2]。过大的囊性肾脏引起明显的腹胀。面部异常,如唇裂、高弓腭和远视也在许多情况下被观察到[2]。
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引用次数: 0
Previous antibiotic treatment as a risk factor for recurrent vulvovaginal candidiasis 既往抗生素治疗是外阴阴道念珠菌病复发的危险因素
IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2019-12-03 DOI: 10.29328/journal.cjog.1001034
Wen-Chin Yang, You Nie, Shujuan Wang, Hongwei Wang, Enfeng Zhao, Na Dou
The incidence of recurrent vulvovaginal candidiasis (RVVC) is extremely high. RVVC is likely to have a greater impact on patients. The aim of the study was to explore the risk factors of recurrent vulvovaginal candidiasis (RVVC) in the tropical coastal area. In this case-control study, a questionnaire survey was conducted in patients with VVC in the Sanya area from July 2014 to December 2016. The data included demographic characteristics, host factors, and behavioural characteristics. According to the maximum number of symptomatic episodes per year, the participants were classifi ed into a non-recurrent VVC (NRVVC; < 4 episodes/year, including the current one) group or a RVVC group (≥ 4 episodes/year, including the current one). Crude odds ratios were calculated for potential risk factors and were adjusted using logistic regression. All vaginal secretions of patients with RVVC were cultured. Of the 728 cases of VVC, 69.0% (502/728) were NRVVC, and 31.0% (226/728) were RVVC. Previous antibiotic treatment (adjusted OR: 4.41, p < 0.01), repeat abortion (p < 0.05), and vaginal lavage (adjusted OR: 1.62, p < 0.05) were signifi cantly associated with RVVC. A total of 230 yeasts isolates were obtained from 226 patients. C. albicans were the predominant Candida species (194 strains) in all patients of VVC. Our results demonstrate that in the tropical coastal area, a signifi cant association was found between previous antibiotic treatment and incident RVVC. Host factors may be the most important factors in the occurrence of RVVC.
复发性外阴阴道念珠菌病(RVVC)的发病率非常高。RVVC可能对患者产生更大的影响。本研究旨在探讨热带沿海地区外阴阴道念珠菌病复发的危险因素。本病例对照研究于2014年7月至2016年12月对三亚地区VVC患者进行问卷调查。数据包括人口统计学特征、宿主因素和行为特征。根据每年症状发作的最大次数,将参与者分为非复发性VVC (NRVVC;< 4次/年,包括当前1次)组或RVVC组(≥4次/年,包括当前1次)。计算潜在危险因素的粗优势比,并使用逻辑回归进行调整。所有RVVC患者的阴道分泌物均进行培养。728例VVC中,NRVVC占69.0% (502/728),RVVC占31.0%(226/728)。既往抗生素治疗(调整OR: 4.41, p < 0.01)、重复流产(p < 0.05)、阴道灌洗(调整OR: 1.62, p < 0.05)与RVVC显著相关。从226例患者中共分离出230株酵母菌。所有VVC患者念珠菌以白色念珠菌为主(194株)。我们的研究结果表明,在热带沿海地区,以前的抗生素治疗与RVVC事件之间存在显着关联。宿主因素可能是RVVC发生的最重要因素。
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引用次数: 0
期刊
Journal of Clinical Obstetrics and Gynecology
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