Pub Date : 2023-06-09DOI: 10.29011/2577-2236.100161
Lyubov Tiegs, Erin Rholl, S. McDonnell, J. Paradise, M. Uhing, M. Basir
Objective: Pain and quality of death are important considerations in treatment choices for children. Our objective is to assess the intensive care-associated experiences of 22-25 weeks gestational age (GA) infants who die despite intensive care treatment. Study Design: In a 1:1 case-control study, medical records were screened for all inborn 22-25 weeks GA infants who received intensive care treatments between 2014 and 2020. Cases were all infants who died. Each case was matched by GA and birth weight to an infant who survived to discharge (control). Data was collected on cases and controls for a matched timeframe based on the case’s duration of intensive care treatment. Information collected included intensive care-associated negative experiences (invasive procedures, surgeries, use of pain medication) and positive experiences (enteral feedings, being held by family). Results: The cases (n=20) survived for 0 to 93 days, with median (IQR) survival 8 (5, 24) days. The mean (SD) number of invasive procedures was higher for cases than controls, 34 (30) vs. 24 (22), p=0.004. Cases underwent 8 surgeries compared to 4 in the controls. Additionally, compared to controls, cases spent more time receiving pain medications (64% vs. 27%, p<0.001) and without being fed (54% vs. 39%, p<0.001). Half of cases were never held by parents until the day they died. Conclusion: Extremely premature infants who die despite intensive care face more treatment burdens than the survivors. Larger studies are needed to confirm these findings and gather information necessary for informed decisions about intensive care treatment of these infants. Obstetrics & Gynecology: Open Access Tiegs L, et al. Gynecol Obstet Open Acc 7: 161. www.doi.org/10.29011/2577-2236.100161 www.gavinpublishers.com
{"title":"Intensive Care Associated Experiences of Extremely Premature Infants Who Die","authors":"Lyubov Tiegs, Erin Rholl, S. McDonnell, J. Paradise, M. Uhing, M. Basir","doi":"10.29011/2577-2236.100161","DOIUrl":"https://doi.org/10.29011/2577-2236.100161","url":null,"abstract":"Objective: Pain and quality of death are important considerations in treatment choices for children. Our objective is to assess the intensive care-associated experiences of 22-25 weeks gestational age (GA) infants who die despite intensive care treatment. Study Design: In a 1:1 case-control study, medical records were screened for all inborn 22-25 weeks GA infants who received intensive care treatments between 2014 and 2020. Cases were all infants who died. Each case was matched by GA and birth weight to an infant who survived to discharge (control). Data was collected on cases and controls for a matched timeframe based on the case’s duration of intensive care treatment. Information collected included intensive care-associated negative experiences (invasive procedures, surgeries, use of pain medication) and positive experiences (enteral feedings, being held by family). Results: The cases (n=20) survived for 0 to 93 days, with median (IQR) survival 8 (5, 24) days. The mean (SD) number of invasive procedures was higher for cases than controls, 34 (30) vs. 24 (22), p=0.004. Cases underwent 8 surgeries compared to 4 in the controls. Additionally, compared to controls, cases spent more time receiving pain medications (64% vs. 27%, p<0.001) and without being fed (54% vs. 39%, p<0.001). Half of cases were never held by parents until the day they died. Conclusion: Extremely premature infants who die despite intensive care face more treatment burdens than the survivors. Larger studies are needed to confirm these findings and gather information necessary for informed decisions about intensive care treatment of these infants. Obstetrics & Gynecology: Open Access Tiegs L, et al. Gynecol Obstet Open Acc 7: 161. www.doi.org/10.29011/2577-2236.100161 www.gavinpublishers.com","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125603597","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}
Pub Date : 2023-04-26DOI: 10.29011/2577-2236.100160
Objective: The aim of this study was to assess the impact of the COVID-19 pandemic on women’s childbirth experience. It is a significant part of quality care which is affected by various factors. It may result in positive or negative shortand longterm effects on well-being, confidence and life in general. Exceptional circumstances like the COVID-19 pandemic have altered many different aspects of our lives and possibly also women’s childbirth experience. Design: Single-center crosssectional cohort study using a modified version of the Childbirth Experience Questionnaire (CEQ) as a validated instrument. Setting: Labour ward at the Department for Obstetrics and Gynaecology at the Medical University Graz, Austria. Sample: 230 women undergoing labour at the Medical University Graz were included in the study. Methods: Women received the CEQ during their stay at the labour ward and were asked to return it upon discharge. Results: No major difference in birth experience subscales was found between women giving birth during the COVID-19 pandemic and data collected in different countries in recent years. There was also no statistically significant difference between women having their partner absent or present at birth. Conclusion: Despite the COVID-19 pandemic being a time of global crisis, women rated their childbirth experience comparably to prepandemic data emphasizing good obstetric healthcare provided. Obstetrics & Gynecology: Open Access Eisnecker K, et al. Gynecol Obstet Open Acc 7: 160. www.doi.org/10.29011/2577-2236.100160 www.gavinpublishers.com
{"title":"Childbirth Experience during COVID-19 Pandemic: A Cross-Sectional Study","authors":"","doi":"10.29011/2577-2236.100160","DOIUrl":"https://doi.org/10.29011/2577-2236.100160","url":null,"abstract":"Objective: The aim of this study was to assess the impact of the COVID-19 pandemic on women’s childbirth experience. It is a significant part of quality care which is affected by various factors. It may result in positive or negative shortand longterm effects on well-being, confidence and life in general. Exceptional circumstances like the COVID-19 pandemic have altered many different aspects of our lives and possibly also women’s childbirth experience. Design: Single-center crosssectional cohort study using a modified version of the Childbirth Experience Questionnaire (CEQ) as a validated instrument. Setting: Labour ward at the Department for Obstetrics and Gynaecology at the Medical University Graz, Austria. Sample: 230 women undergoing labour at the Medical University Graz were included in the study. Methods: Women received the CEQ during their stay at the labour ward and were asked to return it upon discharge. Results: No major difference in birth experience subscales was found between women giving birth during the COVID-19 pandemic and data collected in different countries in recent years. There was also no statistically significant difference between women having their partner absent or present at birth. Conclusion: Despite the COVID-19 pandemic being a time of global crisis, women rated their childbirth experience comparably to prepandemic data emphasizing good obstetric healthcare provided. Obstetrics & Gynecology: Open Access Eisnecker K, et al. Gynecol Obstet Open Acc 7: 160. www.doi.org/10.29011/2577-2236.100160 www.gavinpublishers.com","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130820524","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}
Pub Date : 2023-04-12DOI: 10.29011/2577-2236.100159
Y. Enatsu, N. Enatsu, J. Otsuki, E. Okamoto, S. Kokeguchi, M. Shiotani
Objective: To evaluate the differences in implantation timing after Embryo Transfer (ET) based on embryo characteristics. Patients: This retrospective study evaluated cases of 7,269 frozen-thawed ET cycles using single blastocysts that resulted in single live birth. The implantation timings after ET were speculated by a calculation formula made for the dynamics of serum human chorionic gonadotropin (HCG) changes. The patients were divided into two groups based on the initial serum HCG (10 days after ET): high-HCG group (HCG > 800) and low-HCG group (HCG < 50). Results: The average estimated implantation timing (HCG = 0) was 3.3 days after ET. The serum HCG levels after logarithmic conversion (logHCG) changed in parallel regardless of the starting HCG levels. The estimated implantation timing varied approximately five days (2.5–7.5 days after ET) based on the starting HCG levels. The ratios of matured blastocysts (3 or higher in Gardner’s grading scale) were significantly higher in the high-HCG group (90.9%) than in the low-HCG group (47.4%). Similarly, the average grade of blastocysts was higher in the high-HCG group than in the low-HCG group (4.72 vs. 3.15, p < 0.01). Conclusions: The implantation timing after ET varies based on embryo characteristics.
{"title":"Differences in Implantation Timing After Embryo Transfer Based on Embryo Characteristics","authors":"Y. Enatsu, N. Enatsu, J. Otsuki, E. Okamoto, S. Kokeguchi, M. Shiotani","doi":"10.29011/2577-2236.100159","DOIUrl":"https://doi.org/10.29011/2577-2236.100159","url":null,"abstract":"Objective: To evaluate the differences in implantation timing after Embryo Transfer (ET) based on embryo characteristics. Patients: This retrospective study evaluated cases of 7,269 frozen-thawed ET cycles using single blastocysts that resulted in single live birth. The implantation timings after ET were speculated by a calculation formula made for the dynamics of serum human chorionic gonadotropin (HCG) changes. The patients were divided into two groups based on the initial serum HCG (10 days after ET): high-HCG group (HCG > 800) and low-HCG group (HCG < 50). Results: The average estimated implantation timing (HCG = 0) was 3.3 days after ET. The serum HCG levels after logarithmic conversion (logHCG) changed in parallel regardless of the starting HCG levels. The estimated implantation timing varied approximately five days (2.5–7.5 days after ET) based on the starting HCG levels. The ratios of matured blastocysts (3 or higher in Gardner’s grading scale) were significantly higher in the high-HCG group (90.9%) than in the low-HCG group (47.4%). Similarly, the average grade of blastocysts was higher in the high-HCG group than in the low-HCG group (4.72 vs. 3.15, p < 0.01). Conclusions: The implantation timing after ET varies based on embryo characteristics.","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131473959","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}
Pub Date : 2023-03-30DOI: 10.29011/2577-2236.100158
{"title":"Basic Social and Psychοlogical Determinants of Infertile Couples Health in Greece during the COVID-19 Pandemic","authors":"","doi":"10.29011/2577-2236.100158","DOIUrl":"https://doi.org/10.29011/2577-2236.100158","url":null,"abstract":"","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125283807","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}
Pub Date : 2023-03-08DOI: 10.29011/2577-2236.100157
{"title":"Tension and Recurrent Spontaneous Pneumothorax during Pregnancy: A Case Report","authors":"","doi":"10.29011/2577-2236.100157","DOIUrl":"https://doi.org/10.29011/2577-2236.100157","url":null,"abstract":"","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122959595","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}
Pub Date : 2023-02-16DOI: 10.29011/2577-2236.100156
{"title":"Quantitative Image Analysis for Detecting into the Myometrium of the Placenta Accreta Spectrum: A Case Report","authors":"","doi":"10.29011/2577-2236.100156","DOIUrl":"https://doi.org/10.29011/2577-2236.100156","url":null,"abstract":"","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121614173","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}
Pub Date : 2023-01-24DOI: 10.29011/2577-2236.100154
{"title":"Efficacy of Granisetron in the Treatment of Nausea and Vomiting Post-Cesarean Section (A Single Centre Retrospective Cohort Study)","authors":"","doi":"10.29011/2577-2236.100154","DOIUrl":"https://doi.org/10.29011/2577-2236.100154","url":null,"abstract":"","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114785993","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}
Pub Date : 2022-12-26DOI: 10.29011/2577-2236.100151
{"title":"Multi-Professional Collaboration for a Fetal Anomaly in an Adolescent Pregnancy: A Case Report","authors":"","doi":"10.29011/2577-2236.100151","DOIUrl":"https://doi.org/10.29011/2577-2236.100151","url":null,"abstract":"","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114602362","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}
Pub Date : 2022-08-08DOI: 10.29011/2577-2236.100148
{"title":"Comprehensive Review of Management of Hypertension in Pregnancy","authors":"","doi":"10.29011/2577-2236.100148","DOIUrl":"https://doi.org/10.29011/2577-2236.100148","url":null,"abstract":"","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125325884","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}
Pub Date : 2022-04-08DOI: 10.29011/2577-2236.100144
{"title":"One Pregnancy Can Hide Another about a Case of Spontaneous Heterotopic Pregnancy Maternity, Ward of the Hospital Principal De Dakar","authors":"","doi":"10.29011/2577-2236.100144","DOIUrl":"https://doi.org/10.29011/2577-2236.100144","url":null,"abstract":"","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127812973","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}
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