Pub Date : 2021-09-15DOI: 10.21203/rs.3.rs-887730/v1
H. Ohseto, M. Ishikuro, T. Obara, K. Murakami, T. Onuma, A. Noda, F. Ueno, N. Iwama, M. Kikuya, H. Metoki, J. Sugawara, S. Kuriyama
ObjectiveThe aim of our study was to develop prediction model for preeclampsia (PE) using routinely examined items in early pregnancy especially dipstick test for proteinuria.MethodThe Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study recruited pregnant women and we included 9,086 of them in analysis. Maternal basic characteristics were obtained by self-report, and blood pressure and dipstick test of proteinuria were obtained by medical record at regular antenatal care. The outcome was defined as PE including superimposed preeclampsia. We developed prediction model without dipstick test of proteinuria (model 1) and model with it (model 2), and we compared them by the mean of area under the receiver operating characteristic curve (mAUROC) using five-fold cross validation.ResultsmAUROC of model 1 was 0.769 (95% CI; 0.741 to 0.797) and that of model 2 was 0.785 (95% CI; 0.758 to 0.812). The difference of two mAUROCs was 0.016 (95% CI; 0.004 to 0.028). In model 2, detection rates at false-positive rate of 5%, 10% and 20% were 40%, 49% and 64%, respectively.ConclusionsWe could develop prediction model for PE using routine antenatal care items and it was improved by including dipstick test for proteinuria.
{"title":"Preeclampsia prediction model using the dipstick test for proteinuria during early gestation","authors":"H. Ohseto, M. Ishikuro, T. Obara, K. Murakami, T. Onuma, A. Noda, F. Ueno, N. Iwama, M. Kikuya, H. Metoki, J. Sugawara, S. Kuriyama","doi":"10.21203/rs.3.rs-887730/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-887730/v1","url":null,"abstract":"\u0000 ObjectiveThe aim of our study was to develop prediction model for preeclampsia (PE) using routinely examined items in early pregnancy especially dipstick test for proteinuria.MethodThe Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study recruited pregnant women and we included 9,086 of them in analysis. Maternal basic characteristics were obtained by self-report, and blood pressure and dipstick test of proteinuria were obtained by medical record at regular antenatal care. The outcome was defined as PE including superimposed preeclampsia. We developed prediction model without dipstick test of proteinuria (model 1) and model with it (model 2), and we compared them by the mean of area under the receiver operating characteristic curve (mAUROC) using five-fold cross validation.ResultsmAUROC of model 1 was 0.769 (95% CI; 0.741 to 0.797) and that of model 2 was 0.785 (95% CI; 0.758 to 0.812). The difference of two mAUROCs was 0.016 (95% CI; 0.004 to 0.028). In model 2, detection rates at false-positive rate of 5%, 10% and 20% were 40%, 49% and 64%, respectively.ConclusionsWe could develop prediction model for PE using routine antenatal care items and it was improved by including dipstick test for proteinuria.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48578503","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 : 2021-08-31DOI: 10.14390/jsshp.hrp2021-008
R. Kurashina, Y. Kuwabara, T. Takeshita, Shunji Suzuki
{"title":"Influence of second stage of labor duration on umbilical artery lactate levels in uncomplicated multiparous women","authors":"R. Kurashina, Y. Kuwabara, T. Takeshita, Shunji Suzuki","doi":"10.14390/jsshp.hrp2021-008","DOIUrl":"https://doi.org/10.14390/jsshp.hrp2021-008","url":null,"abstract":"","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47930764","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 : 2021-08-31DOI: 10.14390/JSSHP.HRP2020-020
Ryuta Miyake, Y. Takeda, M. Ichikawa, Juria Akasaka, S. Maruyama, K. Naruse
The transverse fundal uterine incision (TFUI), a new cesarean section technique, is effective in cases of abnormal placentation which may cause massive hemorrhage. A 43-year-old multipara woman underwent TFUI cesarean section after being diagnosed with placenta previa. One year and 4 months later, she conceived naturally. The placenta was located on the previous cesarean section scar, and placenta percreta was suspected on magnetic resonance imaging. At 35 weeks and 2 days of gestation, cesarean delivery was performed. After a decision was made not to remove the placenta, total hysterectomy was performed, and bleeding was successfully controlled. Histopathological analysis of the uterus revealed placenta accreta. Although TFUI is a useful cesarean section method, the risk of placenta accreta may increase in the next pregnancy, requiring careful perinatal management.
{"title":"Placenta accreta after cesarean section with a transverse fundal uterine incision","authors":"Ryuta Miyake, Y. Takeda, M. Ichikawa, Juria Akasaka, S. Maruyama, K. Naruse","doi":"10.14390/JSSHP.HRP2020-020","DOIUrl":"https://doi.org/10.14390/JSSHP.HRP2020-020","url":null,"abstract":"The transverse fundal uterine incision (TFUI), a new cesarean section technique, is effective in cases of abnormal placentation which may cause massive hemorrhage. A 43-year-old multipara woman underwent TFUI cesarean section after being diagnosed with placenta previa. One year and 4 months later, she conceived naturally. The placenta was located on the previous cesarean section scar, and placenta percreta was suspected on magnetic resonance imaging. At 35 weeks and 2 days of gestation, cesarean delivery was performed. After a decision was made not to remove the placenta, total hysterectomy was performed, and bleeding was successfully controlled. Histopathological analysis of the uterus revealed placenta accreta. Although TFUI is a useful cesarean section method, the risk of placenta accreta may increase in the next pregnancy, requiring careful perinatal management.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43899577","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 : 2021-05-31DOI: 10.14390/JSSHP.HRP2020-021
Naohiro Suzuki, Yoshitsugu Chigusa, S. Minamiguchi, Ayami Ishida, A. Horie, Masaki Mandai, E. Kondoh
Few reports have described the impact of chemical pregnancy on a viable fetus in heterotopic cervical pregnancy. A 38-year-old primigravida was transferred to our hospital with severe abdominal pain at 32 weeks of gestation. She was tentatively diagnosed with placental abruption with intrauterine fetal death (IUFD), and a stillborn fetus was delivered vaginally. Massive vaginal bleeding continued during labor and was uncontrolled after delivery, requiring a hysterectomy. Macroscopic examination revealed a solid nodule in the uterine cervix. Histologically, the nodule consisted of villous tissue. Fluorescent in situ hybridization revealed two placental tissues derived from different embryos, indicating heterotopic cervical pregnancy. Although pregnancy was achieved after double embryo transfer, no early ultrasound findings suggested cervical pregnancy. This is the first report of heterotopic cervical pregnancy in which retained products after a chemical pregnancy caused sudden massive hemorrhage and IUFD in the third trimester.
{"title":"Third trimester fetal death in heterotopic cervical pregnancy: a case report and literature review","authors":"Naohiro Suzuki, Yoshitsugu Chigusa, S. Minamiguchi, Ayami Ishida, A. Horie, Masaki Mandai, E. Kondoh","doi":"10.14390/JSSHP.HRP2020-021","DOIUrl":"https://doi.org/10.14390/JSSHP.HRP2020-021","url":null,"abstract":"Few reports have described the impact of chemical pregnancy on a viable fetus in heterotopic cervical pregnancy. A 38-year-old primigravida was transferred to our hospital with severe abdominal pain at 32 weeks of gestation. She was tentatively diagnosed with placental abruption with intrauterine fetal death (IUFD), and a stillborn fetus was delivered vaginally. Massive vaginal bleeding continued during labor and was uncontrolled after delivery, requiring a hysterectomy. Macroscopic examination revealed a solid nodule in the uterine cervix. Histologically, the nodule consisted of villous tissue. Fluorescent in situ hybridization revealed two placental tissues derived from different embryos, indicating heterotopic cervical pregnancy. Although pregnancy was achieved after double embryo transfer, no early ultrasound findings suggested cervical pregnancy. This is the first report of heterotopic cervical pregnancy in which retained products after a chemical pregnancy caused sudden massive hemorrhage and IUFD in the third trimester.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45639099","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 : 2021-01-21DOI: 10.14390/JSSHP.HRP2020-013
Hirotada Suzuki, K. Takagi, Kanji Tanaka, A. Ichihara, H. Seki
Aim: A questionnaire survey was conducted by the scientific committee of the Japan Society for the Study of Hypertension in Pregnancy (JSSHP) to clarify whether the measurement of blood pressure in pregnant women and management of hypertensive disorders of pregnancy differ between obstetricians. Methods: We distributed anonymous questionnaires to 624 members of the JSSHP by mail in May 2019. Results: Valid responses were obtained from 206 obstetricians. The majority of obstetricians used an automatic sphygmomanometer to screen for hypertension in clinical settings. Home blood pressure measurements were used by 97% of obstetricians to diagnose white coat hypertension. However, blood pressure measurements performed by many obstetricians in clinical and non-clinical settings did not comply with standards for non-pregnant adults. Furthermore, blood pressure goals in women with hypertensive disorders of pregnancy varied among obstetricians. Conclusions: In Japan, an automatic sphygmomanometer in clinical settings and home blood pressure measurements in non-clinical settings are commonly used in practice for pregnant women. However, obstetricians may need to be re-educated on how to perform correct blood pressure measurements in these settings. Further evidence is needed to establish appropriate blood pressure goals in pregnant women with hypertensive disorders of pregnancy.
{"title":"A survey on the measurement of blood pressure in pregnant women and management of hypertensive disorders of pregnancy by the Japan Society for the Study of Hypertension in Pregnancy (JSSHP)","authors":"Hirotada Suzuki, K. Takagi, Kanji Tanaka, A. Ichihara, H. Seki","doi":"10.14390/JSSHP.HRP2020-013","DOIUrl":"https://doi.org/10.14390/JSSHP.HRP2020-013","url":null,"abstract":"Aim: A questionnaire survey was conducted by the scientific committee of the Japan Society for the Study of Hypertension in Pregnancy (JSSHP) to clarify whether the measurement of blood pressure in pregnant women and management of hypertensive disorders of pregnancy differ between obstetricians. Methods: We distributed anonymous questionnaires to 624 members of the JSSHP by mail in May 2019. Results: Valid responses were obtained from 206 obstetricians. The majority of obstetricians used an automatic sphygmomanometer to screen for hypertension in clinical settings. Home blood pressure measurements were used by 97% of obstetricians to diagnose white coat hypertension. However, blood pressure measurements performed by many obstetricians in clinical and non-clinical settings did not comply with standards for non-pregnant adults. Furthermore, blood pressure goals in women with hypertensive disorders of pregnancy varied among obstetricians. Conclusions: In Japan, an automatic sphygmomanometer in clinical settings and home blood pressure measurements in non-clinical settings are commonly used in practice for pregnant women. However, obstetricians may need to be re-educated on how to perform correct blood pressure measurements in these settings. Further evidence is needed to establish appropriate blood pressure goals in pregnant women with hypertensive disorders of pregnancy.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42916167","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 : 2021-01-15DOI: 10.14390/JSSHP.HRP2020-017
K. Sagawa, Shunji Suzuki, S. Takeda, K. Kinoshita
Many facilities in Japan currently perform elective cesarean section for term singleton breech presentation, and young doctors training in obstetrics and gynecology may not have had a chance to experience vaginal breech delivery. However, vaginal breech delivery remains an option if comprehensive informed consent is obtained. To reduce the incidence of nuchal arm, “transverse figure 8 breech delivery (TF8 maneuver)” has been widely recommended in Japan. This review discusses trends in mode of breech delivery in Japan, with a focus on the TF8 maneuver.
{"title":"Trends in mode of breech delivery in Japan","authors":"K. Sagawa, Shunji Suzuki, S. Takeda, K. Kinoshita","doi":"10.14390/JSSHP.HRP2020-017","DOIUrl":"https://doi.org/10.14390/JSSHP.HRP2020-017","url":null,"abstract":"Many facilities in Japan currently perform elective cesarean section for term singleton breech presentation, and young doctors training in obstetrics and gynecology may not have had a chance to experience vaginal breech delivery. However, vaginal breech delivery remains an option if comprehensive informed consent is obtained. To reduce the incidence of nuchal arm, “transverse figure 8 breech delivery (TF8 maneuver)” has been widely recommended in Japan. This review discusses trends in mode of breech delivery in Japan, with a focus on the TF8 maneuver.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47844790","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 : 2021-01-01DOI: 10.14390/JSSHP.HRP2020-016
H. Shinagawa, Ryosei Shikano, A. Takagi, K. Kuromaki
We describe the emergency measures taken in response to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in an obstetrics ward in Japan. In April 2020, two midwives in our obstetric ward were diagnosed with SARS-CoV-2 infection. We immediately closed the ward and performed polymerase chain reaction (PCR) testing for 25 patients and 42 staff members who had possible contact with the midwives. Pregnant women at or near term were referred to nearby obstetric facilities. One patient, who delivered before the midwives were diagnosed, and her neonate tested positive for SARS-CoV-2. All other tested patients and staff had negative PCR test results. In total, 14 pregnant women at term and 15 at 34–36 weeks gestation were referred to other facilities. Of these, 13 delivered in transfer destinations and 16 delivered in our hospital after a 14-day temporary closure of the ward. Our prompt measures successfully prevented the nosocomial spread of coronavirus disease.
{"title":"Preventive measures against the spread of nosocomial COVID-19 infection: a report of experiences in an obstetric facility at a regional hospital in Japan","authors":"H. Shinagawa, Ryosei Shikano, A. Takagi, K. Kuromaki","doi":"10.14390/JSSHP.HRP2020-016","DOIUrl":"https://doi.org/10.14390/JSSHP.HRP2020-016","url":null,"abstract":"We describe the emergency measures taken in response to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in an obstetrics ward in Japan. In April 2020, two midwives in our obstetric ward were diagnosed with SARS-CoV-2 infection. We immediately closed the ward and performed polymerase chain reaction (PCR) testing for 25 patients and 42 staff members who had possible contact with the midwives. Pregnant women at or near term were referred to nearby obstetric facilities. One patient, who delivered before the midwives were diagnosed, and her neonate tested positive for SARS-CoV-2. All other tested patients and staff had negative PCR test results. In total, 14 pregnant women at term and 15 at 34–36 weeks gestation were referred to other facilities. Of these, 13 delivered in transfer destinations and 16 delivered in our hospital after a 14-day temporary closure of the ward. Our prompt measures successfully prevented the nosocomial spread of coronavirus disease.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66621361","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 : 2021-01-01DOI: 10.14390/jsshp.hrp2021-015
R. Kurashina, S. Akira, H. Kaseki, Shunji Suzuki
{"title":"Gasless laparoscopic ovarian cystectomy for pregnant women","authors":"R. Kurashina, S. Akira, H. Kaseki, Shunji Suzuki","doi":"10.14390/jsshp.hrp2021-015","DOIUrl":"https://doi.org/10.14390/jsshp.hrp2021-015","url":null,"abstract":"","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66621492","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 : 2021-01-01DOI: 10.14390/jsshp.hrp2021-011
R. Kurashina, Shunji Suzuki
We examined the association between ‘specified expectant mothers (SEMs; pregnant women with social problems)’ at our institute and their mental status at one month after delivery. We examined 890 pregnant women who delivered at ≥ 37 weeks of gestation at our institute between January 2019 and October 2019. We excluded mothers with mental disorders requiring medication and whose children were hospitalized in the neonatal intensive care unit. During the study period, there were 148 SEMs with healthy babies (16.6%). The frequency of screening positive on the Japanese version of the Mother-to-Infant Bonding Scale and the Edinburgh Postnatal Depression Scale was higher in SEMs than in non-SEMs (P = 0.04 and 0.02). In addition, there was a strong positive correlation between scores on the two scales in SEMs (r2 = 0.41, P < 0.01). The present results indicate the quantitatively clarify of the mental vulnerabilities in SEMs.
我们研究了特定准妈妈(SEMs);有社会问题的孕妇和产后一个月的精神状况。我们检查了2019年1月至2019年10月期间在我们研究所分娩的890名妊娠≥37周的孕妇。我们排除了需要药物治疗的有精神障碍且其孩子在新生儿重症监护病房住院的母亲。在研究期间，有148名有健康婴儿的sem(16.6%)。日本版《母婴依恋量表》和《爱丁堡产后抑郁量表》筛选阳性的频率在中小企业组高于非中小企业组(P = 0.04和0.02)。此外，两种量表的SEMs得分之间存在较强的正相关(r2 = 0.41, P < 0.01)。本研究结果为中小企业心理脆弱性的定量研究提供了依据。
{"title":"Postpartum Mental Status in Women with Social Problems at a Japanese perinatal center","authors":"R. Kurashina, Shunji Suzuki","doi":"10.14390/jsshp.hrp2021-011","DOIUrl":"https://doi.org/10.14390/jsshp.hrp2021-011","url":null,"abstract":"We examined the association between ‘specified expectant mothers (SEMs; pregnant women with social problems)’ at our institute and their mental status at one month after delivery. We examined 890 pregnant women who delivered at ≥ 37 weeks of gestation at our institute between January 2019 and October 2019. We excluded mothers with mental disorders requiring medication and whose children were hospitalized in the neonatal intensive care unit. During the study period, there were 148 SEMs with healthy babies (16.6%). The frequency of screening positive on the Japanese version of the Mother-to-Infant Bonding Scale and the Edinburgh Postnatal Depression Scale was higher in SEMs than in non-SEMs (P = 0.04 and 0.02). In addition, there was a strong positive correlation between scores on the two scales in SEMs (r2 = 0.41, P < 0.01). The present results indicate the quantitatively clarify of the mental vulnerabilities in SEMs.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66621857","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 : 2021-01-01DOI: 10.14390/jsshp.hrp2021-007
Hirotada Suzuki, A. Ohkuchi, K. Horie, S. Nagayama, M. Ogoyama, R. Usui, Hironori Takahashi, Hiroyuki Fujiwara
Aim: A questionnaire survey was conducted to establish whether opportunistic salpingectomy has been performed at cesarean delivery or is intended in the future and also to clarify the steps taken to achieve the goal of performing opportunistic salpingectomy at cesarean delivery in Japan. Methods: We distributed anonymous questionnaires on opportunistic salpingectomy at cesarean delivery to registered physicians of the Maternal Fetal Intensive Care Unit Liaison Council of Japan using a mailing list in 2019. Answer sheets were returned by fax with an unscripted name. Results: Valid responses were obtained from 68 physicians; 28% ( n = 19/68) performed opportunistic salpingectomy at cesarean delivery, while 16% ( n = 8/49) hoped to conduct opportunistic salpingectomy in the future. Most of the physicians performing opportunistic salpingectomy (74%: n = 14/19) had conducted salpingectomy as one of the permanent surgical contraception procedures provided for by law without the approval of an Ethics Committee. Conclusions: Opportunistic salpingectomy at cesarean delivery to reduce the risk of ovarian, fallopian tube, and peritoneal carcinoma in patients at average risk has not yet been widely practiced in Japan. Approximately 25% of physicians have performed opportunistic salpingectomy, 75% of whom conducted this procedure instead of tubal ligation for pregnant women who requested sterilization at cesarean delivery.
{"title":"Opportunistic salpingectomy at cesarean delivery in Japan: A questionnaire for registered physicians of the MFICU Liaison Council","authors":"Hirotada Suzuki, A. Ohkuchi, K. Horie, S. Nagayama, M. Ogoyama, R. Usui, Hironori Takahashi, Hiroyuki Fujiwara","doi":"10.14390/jsshp.hrp2021-007","DOIUrl":"https://doi.org/10.14390/jsshp.hrp2021-007","url":null,"abstract":"Aim: A questionnaire survey was conducted to establish whether opportunistic salpingectomy has been performed at cesarean delivery or is intended in the future and also to clarify the steps taken to achieve the goal of performing opportunistic salpingectomy at cesarean delivery in Japan. Methods: We distributed anonymous questionnaires on opportunistic salpingectomy at cesarean delivery to registered physicians of the Maternal Fetal Intensive Care Unit Liaison Council of Japan using a mailing list in 2019. Answer sheets were returned by fax with an unscripted name. Results: Valid responses were obtained from 68 physicians; 28% ( n = 19/68) performed opportunistic salpingectomy at cesarean delivery, while 16% ( n = 8/49) hoped to conduct opportunistic salpingectomy in the future. Most of the physicians performing opportunistic salpingectomy (74%: n = 14/19) had conducted salpingectomy as one of the permanent surgical contraception procedures provided for by law without the approval of an Ethics Committee. Conclusions: Opportunistic salpingectomy at cesarean delivery to reduce the risk of ovarian, fallopian tube, and peritoneal carcinoma in patients at average risk has not yet been widely practiced in Japan. Approximately 25% of physicians have performed opportunistic salpingectomy, 75% of whom conducted this procedure instead of tubal ligation for pregnant women who requested sterilization at cesarean delivery.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66621527","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：