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Bringing Endometriosis to the Road of Contemporary Pain Science
Pub Date : 2025-02-05 DOI: 10.1111/1471-0528.18096
Marcelo de França Moreira, Marco Aurelio Pinho Oliveira
Endometriosis pain is mainly understood based on peripheral lesion characteristics and an outdated perspective equating nociception with pain. This limited view may divert understanding of interventions beyond peripheral logic, leading clinicians to see approaches targeting other processes as supplementary, limiting the effective addressing of treatment failure. Integrating critical advancements in pain and endometriosis can promote more comprehensive knowledge.
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引用次数: 0
Prenatal Screening for CMV Primary Infection: A Cost-Utility Model
Pub Date : 2025-02-03 DOI: 10.1111/1471-0528.18080
Gebrael El Hachem, Thomas G. Poder, Catherine Mc Carey, Soren Gantt, Fatima Kakkar, Marc Sab, Christian Renaud, Isabelle Boucoiran
Congenital cytomegalovirus (CMV) infection is a major cause of deafness and neurodevelopmental disability in children. Our objective was to assess the cost utility of first-trimester serological CMV screening, compared to screening of high-risk pregnancies and no serological screening.
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引用次数: 0
Antenatal Physical Activity Interventions and Pregnancy Outcomes: A Systematic Review and Meta-Analysis With a Focus on Trial Quality
Pub Date : 2025-02-03 DOI: 10.1111/1471-0528.18084
Amanda J. Poprzeczny, Andrea R. Deussen, Megan Mitchell, Laura Slade, Jennie Louise, Jodie M. Dodd
Guidelines recommending regular physical activity in pregnancy for improving pregnancy outcomes are informed by published meta-analyses. Inclusion of randomised trials of poor methodological quality may bias effect estimates.
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引用次数: 0
Influence of Hormonal Contraceptive Usage on Risk of Endometriosis
Pub Date : 2025-01-30 DOI: 10.1111/1471-0528.18086
Su-Mei Niu, De-Xiu Kong, Can Li, Fang Li, Lei Lei
Click on the article title to read more.
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引用次数: 0
Impact of Laser-Assisted Hatching on Cognitive and Metabolic Development of Singletons Conceived Through Frozen–Thawed Embryo Transfer: A Matched Cohort Study 激光辅助孵化对冻融胚胎移植单胎认知和代谢发育的影响:一项匹配队列研究
Pub Date : 2025-01-23 DOI: 10.1111/1471-0528.18047
Xin-Yi Liu, Chun-Xi Zhang, Jian-Peng Chen, Qi Liang, Yi-Qing Wu, Jing-Lei Xue, Ling-Hui Li, Qi-Qi Xu, Fang-Hong Zhang, Ying-Zhi Yang, Yue-Mei Wang, Yi-Feng Liu, Dan Zhang
This study aimed to examine the impact of laser-assisted hatching (LAH) on the physical, metabolic, cognitive and behavioural profiles of singletons conceived through frozen–thawed embryo transfer (FET) at the preschool age.
本研究旨在探讨激光辅助孵化(LAH)对学龄前通过冷冻解冻胚胎移植(FET)受孕的单胎的身体、代谢、认知和行为特征的影响。
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引用次数: 0
Impact of the COVID-19 Pandemic on Cervical Cancer Screening: An International Comparative Study by INTRePID COVID-19大流行对宫颈癌筛查的影响:INTRePID的国际比较研究
Pub Date : 2025-01-22 DOI: 10.1111/1471-0528.18077
Maria Carla Lapadula, Dorsa Mohammadrezaei, Angela Ortigoza, Amanda Freitas, Javier Silva-Valencia

Conflicts of Interest

The authors declare no conflicts of interest.

利益冲突作者声明没有利益冲突。
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引用次数: 0
Managing Pregnancies of Unknown Location With the M4 Prediction Model or the NICE Algorithm: A Randomised Controlled Trial With Cross-Sectional Diagnostic Accuracy Data 使用M4预测模型或NICE算法管理未知位置的妊娠:一项具有横断面诊断准确性数据的随机对照试验
Pub Date : 2025-01-22 DOI: 10.1111/1471-0528.18079
Johan Fistouris, Helen Garbergs, Katja Bergman, Christina Bergh, Annika Strandell
To determine the diagnostic performance and clinical utility of the M4 prediction model and the NICE algorithm managing women with pregnancy of unknown location (PUL).
目的:确定M4预测模型和NICE算法对不明位置妊娠(PUL)的诊断性能和临床应用。
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引用次数: 0
Evaluating the Cost-Effectiveness of Antenatal Screening for Major Structural Anomalies During the First Trimester of Pregnancy: A Decision Model 评估主要结构异常产前筛查在妊娠前三个月的成本效益:决策模型
Pub Date : 2025-01-21 DOI: 10.1111/1471-0528.18053
Helen E. Campbell, Jehan N. Karim, Aris T. Papageorghiou, Edward C. F. Wilson, Oliver Rivero-Arias
To assess the cost-effectiveness of modifying current antenatal screening by adding first trimester structural anomaly screening to standard of care second trimester anomaly screening.
通过在标准的妊娠中期异常筛查中增加妊娠早期结构异常筛查,来评估修改现行产前筛查的成本效益。
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引用次数: 0
Joint Effects of Maternal Comorbidity and Neighbourhood Income Mobility on the Ensuing Risk of Severe Maternal Morbidity 孕产妇共病和邻里收入流动对随之而来的严重孕产妇发病风险的共同影响
Pub Date : 2025-01-20 DOI: 10.1111/1471-0528.18078
Jennifer A. Jairam, Eyal Cohen, Christina Diong, Hilary K. Brown, Jun Guan, Howard Berger, Joel G. Ray

Conflicts of Interest

The authors declare no conflicts of interest.

利益冲突作者声明无利益冲突。
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引用次数: 0
INTERGROWTH-21st Birthweight Charts Offer Excellent Concordance With UK-WHO Birthweight Charts Used by Neonatologists intergrowth -21出生体重图与英国-世卫组织新生儿学家使用的出生体重图具有良好的一致性
Pub Date : 2025-01-20 DOI: 10.1111/1471-0528.18048
Relph Sophie Alexandra, Stirnemann Julien Josseph, Napolitano Raffaele
<p>There is a wide range of charts available for the assessment of estimated foetal weight (EFW) and measured neonatal weight centiles at a given gestational age. Charts vary in methodology, with descriptive and prescriptive, population and customised versions available, many designed with a high risk of bias [<span>1, 2</span>]. In many countries, including the UK, operators use varied charts for prenatal and neonatal care, leading to disagreement on diagnosis of abnormal growth. In determining which chart to apply in our tertiary centre and potentially nationwide, we aimed to identify a chart package that is applicable to our population, offers charts for assessment of EFW, actual birthweight and fundal height and is concordant with the UK-WHO birthweight charts recommended nationally by the Royal College of Paediatrics and Child Health (RCPCH—rcpch.ac.uk) which are based on British growth reference centiles derived by Cole in 1990 [<span>3</span>]. Such concordance should facilitate agreement on small or large sizes, including the presence of growth restriction, between obstetricians and neonatologists, improving continuity of care with regard to the risk of perinatal morbidity and mortality. The INTERGROWTH-21st package offers both foetal and neonatal charts and has previously shown good continuity of growth between prenatal and neonatal centiles at late pre-term and term gestations in these populations when EFW in grams was calculated using both their formula including head and abdominal circumference only, or the Hadlock's formula, using three parameters (head, abdominal circumference and femur length) [<span>4, 5</span>]. INTERGROWTH-21st prenatal chart centiles have also been shown to adequately fit the distribution of a large French prospective sample of ultrasound-derived foetal measurements [<span>6</span>]. Here, we describe work to evaluate whether the INTERGROWTH-21st birthweight centiles are concordant with those of the UK-WHO birthweight charts for pre-term and term births [<span>7</span>].</p><p>We used 10th, 50th and 90th centile thresholds published by the INTERGROWTH-21st group for neonatal birthweight charts at each gestational day between 24 and 42 weeks to produce centile charts for male and female babies. UK-WHO birthweight centiles have only been published in chart format, from which it is difficult to derive the exact birthweight for the 10th, 50th and 90th centiles during each gestational day. We therefore produced a simulation data set, including male and female neonates with birthweights of 10-g increments between 400 and 5500 g, for each gestational day between 24 and 42 weeks. We calculated the UK-WHO birthweight centiles using the Stata ‘zanthro’ command (StataCorp LLC, Texas, USA). <i>Zanthro</i> is a user-written command that calculates z-scores for anthropometric measures according to reference growth charts, with a specific option to apply the Cole UK-WHO charts. We then converted z-scores into birthweight cen
有各种各样的图表可用于评估估计的胎儿体重(EFW)和在给定胎龄测量的新生儿体重百分位数。图表的方法各不相同,有描述性和规范性版本,有总体版本和定制版本,许多设计具有高偏倚风险[1,2]。在包括英国在内的许多国家,操作员使用不同的图表进行产前和新生儿护理,导致对异常生长的诊断存在分歧。在确定在我们的三级中心和潜在的全国范围内应用哪个图表时,我们的目标是确定一个适用于我们人口的图表包,提供EFW,实际出生体重和基础身高评估图表,并与皇家儿科和儿童健康学院(RCPCH-rcpch.ac.uk)在全国范围内推荐的英国-世卫组织出生体重图表一致,该图表基于英国生长参考百分位数,由Cole在1990年得出。这种一致性应促进产科医生和新生儿科医生就小尺寸或大尺寸(包括是否存在生长限制)达成一致,从而提高围产期发病率和死亡率风险方面护理的连续性。intergrowth -21包提供了胎儿和新生儿图表,并且在这些人群中,当使用仅包括头和腹围的公式或使用三个参数(头、腹围和股骨长度)的Hadlock公式计算以克为单位的EFW时,先前显示出产前和早产儿晚期和足月妊娠期间新生儿centiles之间生长的良好连续性[4,5]。intergrowth -21产前图百分位也被证明充分符合法国超声衍生胎儿测量的大型前瞻性样本的分布[6]。在这里,我们描述了评估intergrowth -21出生体重百分位数与英国-世界卫生组织早产儿和足月新生儿出生体重图表是否一致的工作。我们使用intergrowth -21组公布的第10、50和90百分位阈值,在24至42周的每个妊娠日制作男婴和女婴的百分位图。英国-世卫组织出生体重百分位数仅以图表格式公布,从中很难得出每个妊娠日第10、50和90百分位数的确切出生体重。因此,我们制作了一个模拟数据集,包括出生体重在400至5500克之间增加10克的男性和女性新生儿,每个妊娠日在24至42周之间。我们使用Stata ‘ zanthro ’命令(StataCorp LLC, Texas, USA)计算了英国-世卫组织出生体重百分位数。Zanthro是一个用户编写的命令,可以根据参考生长图表计算人体测量的z分数,并具有应用Cole UK-WHO图表的特定选项。然后,我们将z分数转换为出生体重百分位数,以确定每个胎龄的第10、50和90百分位数的出生体重。我们将所有intergrowth -21和UK-WHO的出生体重百分位数绘制在同一个图表上,但分别针对男性和女性婴儿。在图1中,我们显示了男女婴儿的intergrowth -21出生体重图与英国新生儿学家使用的英国-世卫组织人口参考图在38周之前具有良好的一致性,并且在每个百分位的出生体重和总体轨迹方面具有令人满意的一致性。对于38周出生的雄性,图表之间的差异是第10百分位10g,第50百分位60g,第90百分位80g(雌性分别为20g, 30g和50g)。到42周时,这一差异在第10百分位增加到210克,在第50百分位增加到370克,在第90百分位增加到510克(雌性分别为200、330和430克)。对于给定的出生体重和胎龄,每个图表得出的百分位数的差异如图1所示。图1打开图形查看器(powerpoint),比较intergrowth -21和Cole等人的出生体重大小图表。英国世卫组织出生体重百分位数。该研究的局限性在于使用模拟数据集来计算每个百分位阈值的胎龄特异性出生体重;然而,由于原始公式尚未被Cole等人发表,这是探索图表差异最合适的方法。我们的结论是,intergrowth -21出生体重图满足我们在英国产科单位和全国范围内实施的标准。intergrowth -21提供了一套完整的胎儿和新生儿体重评估图表,以及基础身高图表(英国-世卫组织提供的图表中并非所有选项都可用),与英国-世卫组织出生体重图表的一致性令人满意,RCPCH在全国范围内推荐,特别是针对胎龄较小的婴儿。 孕38周以上的第50百分位和第90百分位的差异更大,intergrowth -21出生体重将更大比例的婴儿归类为大胎龄婴儿。
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BJOG: An International Journal of Obstetrics & Gynaecology
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