AJOG global reports最新文献

{"title":"Racial, ethnic, and neighborhood disparities in diagnosis of perinatal psychiatric illness","authors":"Jessica C. Rohr PhD ,&nbsp;Pedro T. Ramirez MD ,&nbsp;Farhaan S. Vahidy PhD, MBBS, MPH, FAHA ,&nbsp;Alok Madan PhD, MPH","doi":"10.1016/j.xagr.2025.100511","DOIUrl":"10.1016/j.xagr.2025.100511","url":null,"abstract":"<div><h3>Background</h3><div>Rates of maternal morbidity and mortality are a global health crisis, and perinatal psychiatric illness is the most common morbidity in pregnancy. Racial, ethnic, and socioeconomic disparities in perinatal psychiatric illness contribute to disparities in maternal morbidity and mortality. There is limited data on diagnosis rates across race/ethnicity and neighborhood deprivation.</div></div><div><h3>Objective</h3><div>To identify prevalence of perinatal psychiatric illness diagnosis and determine differences based on race, ethnicity, and neighborhood deprivation.</div></div><div><h3>Study design</h3><div>This cross-sectional study included women who gave birth between 2020 and 2023 at a Houston Methodist hospital. Houston Methodist is a hospital system serving the greater Houston area. During the study period, 20 015 women received perinatal care from and delivered at a Houston Methodist system hospital. The first birth per individual was used for analyses. 2 women were removed due to missing data. A final 20 013 were eligible for inclusion. Variables of interest included neighborhood deprivation, defined as a score on the Area Deprivation Index, a validated socioeconomic measure, and self-reported race and ethnicity as reported in electronic health record. The main a priori outcome was any psychiatric illness diagnosed between estimated date of conception and 3 months postpartum.</div></div><div><h3>Results</h3><div>The sample was distributed across race and ethnicity, with 2 098 (10.5%) Asian, 2 893 (14.5%) Black, 5 208 (26.0%) Hispanic White, 8 218 (41.1%) non-Hispanic White, and 1596 (8.0%) other. Mean age of women included in our analyses was 30.50 years (SD= 5.33). Perinatal psychiatric illness was diagnosed in 19.1% of patients. Non-Hispanic White women were diagnosed at the highest rates (24.8%), while Asian women were diagnosed at the lowest rates (9.1%). Rates trended higher as area deprivation increases across the total sample. However, this trend only held for non-Hispanic White women, for whom higher deprivation has significantly higher prevalence rates than lower deprivation (30.6% vs 18.7%, <em>P</em>&lt;.001).</div></div><div><h3>Conclusions</h3><div>One in five women in our study was diagnosed with perinatal psychiatric illness. Our stratified findings were inconsistent with previous reports of higher symptom burden in women of color. Neighborhood deprivation has differential impact depending on race/ethnicity, highlighting the importance of accounting for sociocultural variables when analyzing prevalence.</div></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 3","pages":"Article 100511"},"PeriodicalIF":0.0,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144255249","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}

{"title":"Obstetric violence informed by theories of intersectionality, oppression, and power dynamics—a Ghanaian’s perspectives","authors":"Ephraim Senkyire MSN ,&nbsp;Gloria Senkyire B-TECH ,&nbsp;Ernestina Asiedua PhD ,&nbsp;Victor Tawose-Adebayo MSC ,&nbsp;Magdalena Ohaja PhD","doi":"10.1016/j.xagr.2025.100505","DOIUrl":"10.1016/j.xagr.2025.100505","url":null,"abstract":"<div><div>This essay explores obstetric violence (OV) from a Ghanaian perspective, applying theories of intersectionality, oppression, and power dynamics to critically analyze its causes and manifestations. OV, defined as mistreatment during childbirth, includes acts of physical abuse, nonconsensual care, discrimination, and breaches of privacy. Despite efforts to reduce maternal mortality in Ghana, systemic challenges persist, contributing to a high prevalence of OV, particularly among vulnerable groups such as adolescents, the socioeconomically disadvantaged, and ethnic minorities. The essay highlights that midwives, while essential to maternal care, often operate within oppressive healthcare systems characterized by poor resourcing, rigid hierarchies, and systemic gender bias. Through the lens of intersectionality, the study reveals how overlapping social identities—such as age, ethnicity, and socioeconomic status—influence women’s vulnerability to mistreatment. Oppressed group theory explains how midwives, themselves marginalized within patriarchal and medically dominated structures, may internalize oppression and perpetuate violence toward patients. Foucault’s theory of power and knowledge is used to illustrate how institutional norms and knowledge hierarchies empower midwives to exercise control over birthing women, often compromising women’s autonomy and dignity. The essay further discusses how systemic issues, including underinvestment in healthcare infrastructure, inadequate training on respectful maternity care, and normalization of abusive practices, contribute to the persistence of OV. It calls for comprehensive reforms such as empowering midwives through education and leadership training, decentralizing healthcare authority, promoting respectful maternity care practices, and addressing systemic inequities. Raising awareness, fostering accountability, and embedding patient-centered care principles into healthcare institutions are critical steps toward eliminating OV. Ultimately, the essay argues that addressing OV in Ghana requires not only confronting individual behaviors but dismantling the deeper structural and institutional forces that sustain power imbalances and systemic oppression. Empowering both midwives and birthing women is essential for transforming maternity care and advancing equitable, respectful maternal health outcomes in Ghana.</div></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 3","pages":"Article 100505"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263238","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}

{"title":"The feasibility and surgical outcomes of robotic vaginal natural orifice transluminal endoscopic single port hysterectomy for benign gynecologic diseases: a systematic review and meta-analysis","authors":"Greg Marchand MD, FACS, FICS, FACOG ,&nbsp;Hollie Ulibarri BS ,&nbsp;Amanda Arroyo BS ,&nbsp;Daniela Gonzalez Herrera BS ,&nbsp;Brooke Hamilton BS ,&nbsp;Kate Ruffley BS ,&nbsp;Mckenna Robinson BS ,&nbsp;Ali Azadi MD, FACOG, FPMRS","doi":"10.1016/j.xagr.2025.100512","DOIUrl":"10.1016/j.xagr.2025.100512","url":null,"abstract":"<div><h3>Objective</h3><div>Vaginal natural orifice transluminal endoscopic surgery (vNOTES) combines vaginal surgery with single-port laparoscopy, providing a minimally invasive technique designed to overcome the challenges in traditional vaginal surgery. Several authors have now described techniques for performing these procedures with robotic assistance (R-vNOTES). We aim to evaluate the surgical outcomes and the safety of R-vNOTES hysterectomy in patients with benign diseases.</div></div><div><h3>Data Sources</h3><div>We searched six major databases from their inception through October 2024 for studies analyzing the surgical outcomes of hysterectomy by R-vNOTES in cases with benign gynecologic diseases.</div></div><div><h3>Study eligibility criteria</h3><div>We included all primary research studies that included at least one of our selected outcomes and did not include surgeries for malignant conditions.</div></div><div><h3>Study appraisal and synthesis methods</h3><div>Study quality was appraised using the National Heart, Lung, and Blood Institute quality assessment tools. Data synthesis was accomplished using OpenMetaAnalyst and RevMan software. Mean difference and 95% confidence intervals were used for continuous outcomes following inverse variance analyses. Dichotomous outcomes were analyzed using an odds ratio and 95% confidence intervals.</div></div><div><h3>Results</h3><div>Ultimately 10 eligible studies were included in our synthesis, including two studies that compared the R-vNOTES technique to robot-assisted laparoscopic hysterectomy (RALH) performed for the same indications. Our overall pooled analysis demonstrated that the operation time of R-vNOTES was 142 minutes, with an estimated blood loss of 67 mL. The overall length of hospital stay among the included studies was 2.04 days. We found an approximate decrease of 1.4 grams of hemoglobin after surgery. The incidence of conversion was 1.3%, and the complication rate was 13.3%. We found, R-vNOTES was to have a shorter operative time (<em>P</em>&lt;.001) and lower blood loss than RALH (<em>P</em>=.002), with no significant differences seen between the cohorts in total hospital stay (<em>P</em>=.29) or complication rates (<em>P</em>=.98).</div></div><div><h3>Conclusion</h3><div>Initial data shows that R-vNOTES seems to be a feasible minimally invasive technique with comparable outcomes and a favorable safety profile. Compared to RALH, R-vNOTES was associated with a shorter operation time and less blood loss.</div></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 3","pages":"Article 100512"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144255306","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}

{"title":"Bone mineral density changes during use of progestin-only contraceptives: a rapid review of recent evidence","authors":"Blake Erhardt-Ohren MPH ,&nbsp;Ndola Prata MD, MSc ,&nbsp;Scott Rosenblum MS","doi":"10.1016/j.xagr.2025.100509","DOIUrl":"10.1016/j.xagr.2025.100509","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this paper is to consolidate existing evidence and identify knowledge and research gaps on the bone health effects of progestin-only oral contraception, injectables, hormonal intrauterine devices, and implants. implementation.</div></div><div><h3>Data sources</h3><div>We searched PubMed, CINAHL, Web of Science, and The Cochrane Library for conference abstracts, original research articles, systematic reviews, and meta-analyses published between 05 May 2012 and 31 August 2023.</div></div><div><h3>Study eligibility criteria</h3><div>We limited results to any study design published as a conference abstract, original research study, meta-analysis, or systematic review in English-language peer-reviewed journals.</div></div><div><h3>Study appraisal and synthesis methods</h3><div>Two independent reviewers screened item titles. One reviewer read all abstracts and full papers, and a second reviewer confirmed alignment with a 5% sample of each. One reviewer extracted relevant information into Excel with a 5% sample review by another research team member. We reviewed the references for all included items and screened potentially relevant items in the same manner as described above. Subject matter experts contributed additional items. We assessed items using the Mixed Methods Appraisal tool.</div></div><div><h3>Results</h3><div>The search strategy yielded 32 items, most of which explored the use of intra-muscular depot medroxyprogesterone acetate 150mg. We found a clear association between any use of depot medroxyprogesterone acetate and bone mineral density loss. This negative effect seems to be more common among younger women and women on antiretrovirals. There is, however, evidence to suggest that bone loss can be restored after depot medroxyprogesterone acetate discontinuation. Hormonal intrauterine device and implant users do not seem to experience bone mineral density loss.</div></div><div><h3>Conclusions</h3><div>While there is a clear association between bone mineral density loss and depot medroxyprogesterone acetate injectable use, treatment during contraceptive use and bone health restoration following discontinuation are not adequately researched. In this review, we provide evidence that bone health can be partially or completely restored after depot medroxyprogesterone acetate discontinuation, identify opportunities to learn more about depot medroxyprogesterone acetate injectables and bone health during and after use, and find gaps in knowledge on potential associations between bone health and other progestin-only contraceptives.</div></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 3","pages":"Article 100509"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297794","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}

{"title":"Perceived, objective, and applied numeracy among pregnant women engaged in home blood pressure monitoring in Ghana","authors":"Emma R. Lawrence MD ,&nbsp;Sanaya Irani BS ,&nbsp;Betty Nartey MPH ,&nbsp;Brittney Collins BS ,&nbsp;Elorm Segbedzi-Rich MD ,&nbsp;Andrea Pangori MS ,&nbsp;Titus K. Beyuo MD ,&nbsp;Cheryl A. Moyer PhD ,&nbsp;Jody R. Lori PhD ,&nbsp;Samuel A. Oppong MD","doi":"10.1016/j.xagr.2025.100468","DOIUrl":"10.1016/j.xagr.2025.100468","url":null,"abstract":"<div><h3>Background</h3><div>Hypertensive disorders of pregnancy are associated with poor maternal and neonatal outcomes. Since elevated blood pressure is often a first presenting sign, a major function of antenatal care is frequent blood pressure monitoring. A newer approach to this—patient-performed home monitoring—has not been widely implemented in low- and middle-income countries, including Ghana. Patient numeracy levels that are sufficient to understand and interpret home blood pressure values are a critical component of a successful home monitoring intervention.</div></div><div><h3>Objective</h3><div>To evaluate perceived, objective, and applied numeracy to identify elevated blood pressure values among pregnant women engaged in home blood pressure monitoring in Ghana.</div></div><div><h3>Study Design</h3><div>Participants were 80 pregnant women at a tertiary hospital in Accra, Ghana. After training, participants engaged in home blood pressure monitoring for 2 to 4 weeks. A post-monitoring survey evaluated confidence and experience interpreting blood pressure values, a validated numeracy scale, and interpretation of blood pressure monitor outputs—half with numbers only and half with both numbers and colors. Mean correct responses on numbers only and numbers and colors outputs were compared. Linear regression evaluated predictors of correct interpretation of blood pressures.</div></div><div><h3>Results</h3><div>On a validated numeracy scale, mean score was 16.73 (SD: 6.01) out of 25, with 73.8% (n=59) having numeracy. Perceived ability was high, with 70.9% (n=56) definitely believing they could interpret blood pressures values. However, on objective evaluation, only 36.3% (n=29) correctly identified the cutoff for elevated systolic and 26.3% (n=21) for elevated diastolic blood pressure values. Out of eight displayed blood pressure monitor outputs, correct identification was significantly higher on outputs with both numbers and colors (μ=7.19, σ=0.81) compared to numbers only (μ=6.54, σ=1.35). On an adjusted linear regression, only scores on the numeracy scale had a significant yet small association with correctly identifying blood pressure monitor outputs (β 0.07, <em>P</em>=.025).</div></div><div><h3>Conclusion</h3><div>Home blood pressure monitoring would benefit from monitors with both numerical and color-coded output. Focused training, rather than education level or general numeracy, may best predict blood pressure interpretation.</div></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 2","pages":"Article 100468"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143886604","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}

{"title":"Assessments of midwives’ knowledge and practice toward postpartum hemorrhage management and associated factors at selected public hospitals in Addis Ababa, Ethiopia, 2023","authors":"Ashenu Bidiru MSc ,&nbsp;Heyria Hussein MSc ,&nbsp;Tola Getachew Bekele MSc ,&nbsp;Tilahun Teshager MSc ,&nbsp;Fenta Wondimneh MSc ,&nbsp;Indeshaw Ketema MSc ,&nbsp;Beyene Feleke MSc ,&nbsp;Lema Daba MSc ,&nbsp;Merga Shelema MSc","doi":"10.1016/j.xagr.2025.100495","DOIUrl":"10.1016/j.xagr.2025.100495","url":null,"abstract":"<div><h3>BACKGROUND</h3><div>Postpartum hemorrhage as the primary cause was associated with 41% to 51% of all maternal deaths in Ethiopia between 2013 and 2018. The majority of postpartum hemorrhage–related deaths can be avoided by using efficient therapies and having midwives with good knowledge and skills.</div></div><div><h3>OBJECTIVE</h3><div>This study aimed at determining the knowledge and practices of midwives related to postpartum hemorrhage management and associated factors at selected public hospitals in Addis Ababa, Ethiopia.</div></div><div><h3>STUDY DESIGN</h3><div>An institutional-based, cross-sectional study design was employed from March 15 to April 15, 2023. A simple random sampling technique was used to select the 207 sampled participants. Data were collected using a pretested, structured, self-administered questionnaire. Data coding and cleaning were done before data analysis. Variables with a <em>P</em> value &lt;.25 in the bivariate logistic regression analysis were entered and checked for association in a multivariable logistic regression model so as to not miss an important variable. The finding was expressed as the adjusted odd ratio with 95% confidence interval and a variable at a <em>P</em> value of &lt;.05 was declared as statistically significant.</div></div><div><h3>RESULTS</h3><div>In this study, 34.3% (95% confidence interval, 28–41) of the study participants had good knowledge, whereas 65.7% (95% confidence interval, 59–72) had poor knowledge. Participants who had received job training in the labor ward had 3 times better knowledge than those who did not receive it (adjusted odds ratio, 3.386; 95% confidence interval, 1.427–8.033). In total, 30.4% (95% confidence interval, 24.6–37.6) of the participants had good practice, whereas 69.6% (95% confidence interval, 62.4–75.4) had poor practice.</div></div><div><h3>CONCLUSION</h3><div>The participant responses showed that the majority of midwives lacked adequate knowledge of and practice related to postpartum hemorrhage management. All stakeholders should consider on-job training for participants, improving educational levels, and continuous screening and identification of institutional needs.</div></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 2","pages":"Article 100495"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167561","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}

{"title":"Cost-effectiveness of the sFlt-1/PlGF ratio test in pregnant patients with suspected pre-eclampsia: a systematic review","authors":"Charlotte S. Goutallier MD ,&nbsp;Alayna Carrandi MPH ,&nbsp;Shaun P. Brennecke MBBS, DPhil ,&nbsp;Emily J. Callander PhD","doi":"10.1016/j.xagr.2025.100498","DOIUrl":"10.1016/j.xagr.2025.100498","url":null,"abstract":"<div><h3>Objectives</h3><div>Pre-eclampsia (PE) affects approximately 2%–4% of pregnancies. Diagnosis involves repeated assessment of pregnant patients with risk factors. The sFlt-1/PlGF ratio test is shown to have clinical utility in ruling in and out PE among at-risk patients. By excluding the probability of PE, the addition of the sFlt-1/PlGF ratio test to antenatal care may prevent unnecessary hospital admissions, intensive management, and premature delivery, thus reducing costs. The objective of this systematic review is to determine the cost-effectiveness of the sFlt-1/PlGF ratio test globally for pregnant patients at-risk of developing PE.</div></div><div><h3>Data sources</h3><div>PubMed, Medline (OVID), National Health Service Economic Evaluation Database, Web of Science, Econlit, and Cost Effectiveness Analysis Registry was systematically searched between 2013-April 2023.</div></div><div><h3>Study eligibility criteria</h3><div>Empirical studies quantifying costs of the sFlt-1/PlGF ratio test compared to other diagnostic options for pregnant patients with suspected PE.</div></div><div><h3>Study appraisal and synthesis methods</h3><div>Eleven studies were included in the systematic review; all were cost analyses and modelled economic evaluations, and most used a health system perspective. Cost data were extracted into tables and indexed to 2022 United States Dollars (USD). An assessment of risk of bias for each study was performed using the Drummond critical appraisal checklist.</div></div><div><h3>Results</h3><div>All studies reported “cost-savings” of the test in antenatal care. Studies varied with costs and assumptions included, therefore a large range of incremental cost savings per patient was reported ($15–$1,881, 2022USD). No Incremental Cost-Effectiveness Ratios or health outcomes including Quality Adjusted Life Years were reported.</div></div><div><h3>Conclusions</h3><div>The included studies demonstrated “cost-savings” of the sFlt-1/PlGF ratio test in antenatal care for at-risk pregnant patients. However, this does not account for health outcome differences and long-term health care utilisation and expenditure.</div></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 2","pages":"Article 100498"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124374","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}

{"title":"Building a safe operative laparoscopy service in a resource-constrained setting: a case series","authors":"Xun Lian MD ,&nbsp;Emilia Selemane MD ,&nbsp;Sibone Mocumbi MD ,&nbsp;Naima Guterriez MD ,&nbsp;Sierra Washington MD, MSc","doi":"10.1016/j.xagr.2025.100510","DOIUrl":"10.1016/j.xagr.2025.100510","url":null,"abstract":"<div><h3>BACKGROUND</h3><div>Successful laparoscopic programs in low- and middle-income countries can be difficult to implement because of expensive equipment and limited skills. We describe the establishment of a gynecologic laparoscopic program through collaboration between two hospitals, namely one in New York (a high-income setting) and the other in Mozambique (a low-income setting).</div></div><div><h3>OBJECTIVE</h3><div>This study aimed to evaluate the safety of a gynecologic laparoscopic program through a novel recycling program and collaboration between two hospitals.</div></div><div><h3>STUDY DESIGN</h3><div>This was a prospective cohort study.</div></div><div><h3>RESULTS</h3><div>The patient characteristics, length of stay, and postoperative complications were evaluated. A total of 29 patients were identified. All underwent an operative laparoscopy. The ages ranged from 23 to 52 years. The procedures included 8 ovarian cystectomies, 6 bilateral salpingectomies, 10 hysterectomies, and 4 myomectomies. The majority of patients were discharged on the same day of surgery (19 of 29). There were no conversions to laparotomy or intraoperative blood transfusions. Four patients were lost to follow-up. No postoperative complications were noted up to two months postoperatively.</div></div><div><h3>CONCLUSION</h3><div>This case series provides preliminary evidence that the re-use and recycling of needed instrumentation can be implemented in laparoscopy programs in low-income countries without compromising patient safety. However, larger cohorts are required to be certain.</div></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 2","pages":"Article 100510"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271994","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}

{"title":"Erratum to ‘Prevalence, determinants, and complications of adolescent pregnancy: an umbrella review of systematic reviews and meta-analyses’ [AJOG Global Reports Volume 5, Issue 1, February 2025, 100441]","authors":"Biruk Beletew Abate ,&nbsp;Ashenafi Kibret Sendekie MSc ,&nbsp;Addis Wondimagegn Alamaw MSc ,&nbsp;Kindie Mekuria Tegegne MSc ,&nbsp;Tegene Atamenta Kitaw MSc ,&nbsp;Molla Azmeraw Bizuayehu MSc ,&nbsp;Amare Kassaw MSc ,&nbsp;Gizachew Yilak MSc ,&nbsp;Alemu Birara Zemariam MSc ,&nbsp;Befkad Derese Tilahun MSc","doi":"10.1016/j.xagr.2025.100517","DOIUrl":"10.1016/j.xagr.2025.100517","url":null,"abstract":"","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 2","pages":"Article 100517"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144239857","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}

{"title":"What delivery-related factors affect postpartum recovery? A systematic review","authors":"Zayël Z. Frijmersum MD ,&nbsp;Eva Van der Meij PhD ,&nbsp;Petra C.A.M. Bakker PhD ,&nbsp;Ralph De Vries MSc ,&nbsp;Johannes R. Anema PhD ,&nbsp;Judith A.F. Huirne PhD","doi":"10.1016/j.xagr.2025.100496","DOIUrl":"10.1016/j.xagr.2025.100496","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>This study aimed to identify the delivery-related factors that affect postpartum recovery.</div></div><div><h3>DATA SOURCES</h3><div>The PubMed, Embase, and Web of Science databases were searched until April 2024 using the following terms: “Childbirth,” “Caesarean section,” “Complications,” “Recovery,” and “Time Factors.” Studies in English or Dutch were considered for inclusion.</div></div><div><h3>STUDY ELIGIBILITY CRITERIA</h3><div>All studies that included participants aged ≥18 years who delivered a live-born singleton and that evaluated the effect of delivery-related factors on recovery of health, ability, and activity in the postpartum period with a minimum follow-up period of 6 weeks were included.</div></div><div><h3>METHODS</h3><div>Data from the included studies were extracted, and quality assessment was performed using the Newcastle-Ottawa Scale.</div></div><div><h3>RESULTS</h3><div>A total of 38 articles were included. Of note, 5 different factors related to delivery that could affect recovery were identified as follows: mode of delivery, perineal lacerations, birth experience, parity, and neonatal factors. Articles could evaluate multiple affecting factors. Outcome measures were related to (genitopelvic or surgical site) pain, incontinence, mental health, and functional ability. Of note, 8 articles reported a negative effect on at least one of the outcome measures after cesarean delivery, 4 articles reported no significant difference between the delivery modes, and 2 articles found a negative effect on one of the outcome measures after vaginal delivery compared with cesarean delivery. Most articles (14/17) on perineal trauma reported a negative effect on recovery regarding incontinence and perineal pain. A negative birth experience was significantly associated with postpartum depression up to 6 weeks after childbirth. Parity of &gt;2 was associated with more dyspareunia, and a high neonatal birthweight was associated with more pelvic pain.</div></div><div><h3>CONCLUSION</h3><div>Our study findings indicate that mode of delivery, particularly cesarean delivery, is most frequently reported as having an effect on postpartum recovery. Recovery took longer (and was more painful) after cesarean delivery than after vaginal delivery. Extensive (third- and fourth-degree) perineal lacerations are frequently reported as an affecting factor. A small number of articles used functional ability as an outcome measure and attention for social participation.</div></div>","PeriodicalId":72141,"journal":{"name":"AJOG global reports","volume":"5 2","pages":"Article 100496"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143907505","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}