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Australian and New Zealand Journal of Obstetrics and Gynaecology最新文献

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Accuracy of second trimester prediction of preterm preeclampsia by three different screening algorithms 三种不同筛选算法对早产子痫前期妊娠中期预测的准确性
Pub Date : 2018-04-01 DOI: 10.1097/01.aoa.0000552910.82459.67
A. Al-Amin, D. Rolnik, C. Black, A. White, C. Stolarek, S. Brennecke, F. da Silva Costa
To compare the performance of three different screening methods (National Institute for Health and Clinical Excellence (NICE) guidelines, American College of Obstetricians and Gynecologists (ACOG) recommendations and Fetal Medicine Foundation (FMF) algorithm) for second trimester prediction of preeclampsia.
比较三种不同筛查方法(美国国家健康与临床卓越研究所(NICE)指南、美国妇产科学会(ACOG)建议和胎儿医学基金会(FMF)算法)在妊娠中期预测子痫前期的表现。
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引用次数: 19
The evidence for laser treatments to the vulvo‐vagina: Making sure we do not repeat past mistakes 外阴阴道激光治疗的证据:确保我们不会重复过去的错误
Pub Date : 2018-03-01 DOI: 10.1097/01.ogx.0000530616.31429.3b
Sophia Song, A. Budden, Asha Short, E. Nesbitt-Hawes, R. Deans, J. Abbott
Following menopause, up to 49% of women will experience genitourinary symptoms such as vaginal itching, dryness, dyspareunia and incontinence as a result of oestrogen deficiency. Treatments such as vaginal lubricants and moisturisers only temporarily relieve symptoms, while local oestrogen treatments are often unacceptable or unsafe for many women. Recently, a novel laser treatment has been proposed as a non‐invasive, long‐term solution to vulvo‐vaginal and urinary symptoms. While preliminary histological results have been promising, its therapeutic, clinical effect has yet to be determined. However, despite the scarcity of evidence for its safety and long‐term benefit, laser treatments are widely marketed for a range of genitourinary symptoms, with high uptake by both clinicians and women alike. This review aims to examine the evidence for laser treatments to the vulvo‐vagina and to evaluate its safety and efficacy. Our results include 17 studies investigating the effect of laser therapy for vulvo‐vaginal symptoms, seven for its effects on urinary incontinence and four for histology. These are limited to non‐randomised, observational data with small sample sizes between 15 to 175 women and follow‐up duration from none to two years. As such, strong evidence for laser efficacy and safety is limited and warrants more robust, placebo‐controlled, randomised trials before widespread implementation.
绝经后,多达49%的女性会因雌激素缺乏而出现阴道瘙痒、干燥、性交困难和尿失禁等泌尿生殖系统症状。阴道润滑剂和保湿剂等治疗只能暂时缓解症状,而局部雌激素治疗对许多妇女来说往往是不可接受的或不安全的。最近,一种新的激光治疗被提出,作为一种非侵入性的、长期的解决外阴阴道和泌尿系统症状的方法。虽然初步的组织学结果很有希望,但其治疗和临床效果尚未确定。然而,尽管缺乏其安全性和长期益处的证据,激光治疗被广泛推广用于一系列泌尿生殖系统症状,临床医生和女性都有很高的接受度。本综述旨在研究激光治疗外阴阴道的证据,并评价其安全性和有效性。我们的研究结果包括17项关于激光治疗外阴阴道症状的研究,7项关于其对尿失禁的影响,4项关于组织学的研究。这些研究仅限于非随机的观察性数据,样本量在15至175名女性之间,随访时间从0到2年不等。因此,激光有效性和安全性的有力证据是有限的,需要在广泛应用之前进行更有力的安慰剂对照随机试验。
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引用次数: 26
Journal Editorial Board 期刊编辑委员会
Pub Date : 2018-02-01 DOI: 10.1111/ajo.12700
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引用次数: 0
Journal Editorial Board 期刊编辑委员会
Pub Date : 2017-12-01 DOI: 10.1111/ajo.12545
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引用次数: 0
Intrapartum and neonatal outcomes in singleton pregnancies following conception by assisted reproduction techniques 辅助生殖技术受孕后单胎妊娠的产时和新生儿结局
Pub Date : 2017-12-01 DOI: 10.1097/01.aoa.0000542361.17448.44
K. Rozdarz, C. Flatley, Sailesh Kumar
To characterise maternal demographics and ascertain whether clinically important differences exist in the intrapartum and neonatal outcomes associated with assisted reproductive technology (ART).
描述产妇人口统计特征,并确定与辅助生殖技术(ART)相关的产中和新生儿结局是否存在临床重要差异。
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引用次数: 4
Endometriosis in patients with irritable bowel syndrome: Specific symptomatic and demographic profile, and response to the low FODMAP diet 肠易激综合征患者的子宫内膜异位症:特定的症状和人口特征,以及对低FODMAP饮食的反应
Pub Date : 2017-04-01 DOI: 10.1097/01.ogx.0000521120.13781.58
Judith S Moore, P. Gibson, R. E. Perry, R. Burgell
Women with endometriosis are frequently misdiagnosed with irritable bowel syndrome (IBS) for some time before a correct diagnosis is made. Visceral hypersensitivity is a key feature in both conditions.
患有子宫内膜异位症的妇女在做出正确诊断之前,经常被误诊为肠易激综合征(IBS)。内脏过敏是这两种情况的关键特征。
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引用次数: 56
Placental implantation and migration following a previous caesarean section scar 先前剖腹产留下疤痕后的胎盘植入和迁移
Pub Date : 2017-02-01 DOI: 10.1111/ajo.12555
R. Pirjani, Farahnaz Seifmanesh, A. Tehranian, Ladan Hosseini, R. Heidari, A. Ghajar, M. Sepidarkish
This prospective cohort study was conducted in Arash Women's Hospital between August 2014 and August 2015 to define the relationship between caesarean section scar and placental implantation and migration. Seven hundred and thirty women with one previous birth (caesarean section or vaginal delivery) and a singleton pregnancy underwent three ultrasound examinations for placental evaluation at 11–14, 20 and 34 weeks gestation. Previous caesarean section was related to the increased odds of anterior placental implantation but no relation was seen between low‐lying placenta or placenta praevia and previous caesarean. The placental migration from low‐lying to non‐low‐lying position was similar between women with and without previous caesarean.
本前瞻性队列研究于2014年8月至2015年8月在Arash妇女医院进行,目的是明确剖宫产疤痕与胎盘植入和迁移的关系。730名前一次分娩(剖腹产或阴道分娩)和单胎妊娠的妇女在妊娠11 - 14,20和34周接受了三次超声检查以评估胎盘。既往剖宫产与前胎盘植入几率增加有关,但低位胎盘或前置胎盘与既往剖宫产没有关系。胎盘从低位到非低位的迁移在有和没有剖腹产史的妇女中是相似的。
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引用次数: 9
The effectiveness of the levonorgestrel intrauterine system in obese women with heavy menstrual bleeding 左炔诺孕酮宫内系统治疗重度月经出血肥胖妇女的疗效
Pub Date : 2016-12-01 DOI: 10.1111/ajo.12528
V. Shaw, A. Vandal, C. Coomarasamy, A. Ekeroma
To evaluate the effectiveness of the levonorgestrel intrauterine system (LNG‐IUS) in obese women with heavy menstrual bleeding in Counties Manukau Auckland area, New Zealand.
目的:评价左炔诺孕酮宫内系统(LNG - IUS)在新西兰麦努考-奥克兰地区重度月经出血的肥胖妇女中的有效性。
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引用次数: 7
For love or money? Australian attitudes to financially compensated (commercial) surrogacy 为了爱还是为了钱?澳大利亚人对经济补偿(商业)代孕的态度
Pub Date : 2016-12-01 DOI: 10.1111/ajo.12559
K. Tremellen, S. Everingham
Australian law allows for altruistic surrogacy but prohibits compensation of surrogates beyond their expenses, or the use of professional surrogacy agencies. These restrictions limit local access to surrogacy, driving Australians overseas where they can access commercial surrogacy.
澳大利亚法律允许利他性代孕,但禁止对代孕者提供超出其费用的补偿,也禁止使用专业代孕机构。这些限制限制了当地代孕的机会,迫使澳大利亚人到海外寻求商业代孕。
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引用次数: 13
Review of peripartum hysterectomy rates at a tertiary Australian hospital 澳大利亚一家三级医院围产期子宫切除术率综述
Pub Date : 2016-12-01 DOI: 10.1097/01.aoa.0000527014.23219.a4
H. C. Cheng, A. Pelecanos, R. Sekar
Peripartum hysterectomy is commonly performed for catastrophic postpartum haemorrhage uncontrolled by conservative medical and surgical therapies. Currently, information about the incidence and indications for peripartum hysterectomy are not well defined in Australia.
围产期子宫切除术通常用于经保守药物和手术治疗无法控制的产后大出血。目前,关于围产期子宫切除术的发生率和适应症的信息在澳大利亚还没有很好的定义。
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引用次数: 16
期刊
Australian and New Zealand Journal of Obstetrics and Gynaecology
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