Alexandra Hunt, Laura Bonnett, Jon Heron, Michael Lawton, Gemma Clayton, Gordon Smith, Jane Norman, Louise Kenny, Deborah Lawlor, Abi Merriel
Globally, caesarean births (CB), including emergency caesareans births (EmCB), are rising. It is estimated that nearly a third of all births will be CB by 2030.
{"title":"Systematic Review of Clinical Prediction Models for the Risk of Emergency Caesarean Births","authors":"Alexandra Hunt, Laura Bonnett, Jon Heron, Michael Lawton, Gemma Clayton, Gordon Smith, Jane Norman, Louise Kenny, Deborah Lawlor, Abi Merriel","doi":"10.1111/1471-0528.17948","DOIUrl":"https://doi.org/10.1111/1471-0528.17948","url":null,"abstract":"Globally, caesarean births (CB), including emergency caesareans births (EmCB), are rising. It is estimated that nearly a third of all births will be CB by 2030.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142166633","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}
ObjectiveTo determine the prevalence and secular trends of obstetric anal sphincter injuries (OASIS) in vacuum and forceps deliveries in Norway, both with and without episiotomy.DesignPopulation‐based real‐world data collected during 2001–2018.SettingMedical Birth Registry Norway.Population or SampleNulliparous women with singleton foetuses in a cephalic presentation delivered by either vacuum or forceps (n = 70 783).MethodsLogistic regression analyses were applied to the OASIS prevalence in six 3‐year time periods. Both crude odds ratios and adjusted odds ratios (aORs) with 95% confidence intervals (CIs) were determined.Main Outcome MeasuresOASIS prevalence.ResultsThe OASIS prevalence in vacuum and forceps deliveries decreased from 14.8% during 2001–2003 to 5.2% during 2016–2018. The overall reduction between the first and last 3‐year time period was 61% (aOR = 0.39, 95% CIs = 0.35–0.43). The only exception to this decreasing trend in OASIS was found in forceps deliveries performed without an episiotomy. The OASIS prevalence was approximately twofold higher in forceps compared to vacuum deliveries (aOR = 1.92, 95% CIs = 1.79–2.05). Performing either a mediolateral or lateral episiotomy was associated with a 45% decrease in the prevalence of OASIS relative to no episiotomy (aOR = 0.55, 95% CIs = 0.52–0.58).ConclusionsOpting for vacuum rather than forceps delivery in conjunction with a mediolateral or lateral episiotomy could significantly lower the OASIS prevalence in nulliparous women.
{"title":"Obstetric anal sphincter injuries during instrumental vaginal delivery: An observational study based on 18‐years of real‐world data","authors":"Kathrine Fodstad, Katariina Laine, Sari Räisänen","doi":"10.1111/1471-0528.17914","DOIUrl":"https://doi.org/10.1111/1471-0528.17914","url":null,"abstract":"ObjectiveTo determine the prevalence and secular trends of obstetric anal sphincter injuries (OASIS) in vacuum and forceps deliveries in Norway, both with and without episiotomy.DesignPopulation‐based real‐world data collected during 2001–2018.SettingMedical Birth Registry Norway.Population or SampleNulliparous women with singleton foetuses in a cephalic presentation delivered by either vacuum or forceps (<jats:italic>n</jats:italic> = 70 783).MethodsLogistic regression analyses were applied to the OASIS prevalence in six 3‐year time periods. Both crude odds ratios and adjusted odds ratios (aORs) with 95% confidence intervals (CIs) were determined.Main Outcome MeasuresOASIS prevalence.ResultsThe OASIS prevalence in vacuum and forceps deliveries decreased from 14.8% during 2001–2003 to 5.2% during 2016–2018. The overall reduction between the first and last 3‐year time period was 61% (aOR = 0.39, 95% CIs = 0.35–0.43). The only exception to this decreasing trend in OASIS was found in forceps deliveries performed without an episiotomy. The OASIS prevalence was approximately twofold higher in forceps compared to vacuum deliveries (aOR = 1.92, 95% CIs = 1.79–2.05). Performing either a mediolateral or lateral episiotomy was associated with a 45% decrease in the prevalence of OASIS relative to no episiotomy (aOR = 0.55, 95% CIs = 0.52–0.58).ConclusionsOpting for vacuum rather than forceps delivery in conjunction with a mediolateral or lateral episiotomy could significantly lower the OASIS prevalence in nulliparous women.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141726305","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}
Lydia Coxon, Celia Lugt, Andrew W. Horne, Emma Evans, Pedro Abreu‐Mendes, Lars Arendt‐Nielsen, Qasim Aziz, Christian M. Becker, Judy Birch, Ana Charrua, Lysia Demetriou, Joana Ferreira‐Gomes, Anja Hoffman, Lone Hummelshoj, Michal Krassowski, Claire E. Lunde, Jane Meijlink, Stacey A. Missmer, Danielle Perro, Krina T. Zondervan, Christine B. Sieberg, Francisco Cruz, Jens Nagel, Katy Vincent
ObjectiveTo quantify the variation, triggers and impact on quality of life of symptom flares in women with chronic pelvic pain (CPP).DesignCross‐sectional questionnaire within the Translational Research in Pelvic Pain clinical cohort study.SettingWomen with CPP, with subgroups of women with endometriosis (EAP), interstitial cystitis/bladder pain syndrome (BPS), comorbid endometriosis and interstitial cystitis/bladder pain syndrome (EABP), and those with pelvic pain without endometriosis or interstitial cystitis/bladder pain syndrome (PP).Population or SampleA total of 100 participants.MethodsDescriptive and comparative analysis from flares questionnaire.Main Outcome MeasuresThe prevalence, characteristics and triggers of short, medium and long symptom flares in CPP.ResultsWe received 100 responses of 104 questionnaires sent. Seventy‐six per cent of women with CPP have ever experienced symptom flares of at least one length (short, medium and/or long). Flares are associated with painful and non‐painful symptoms. There is large variation for the frequency, duration, symptoms and triggers for flares. Over 60% of participants reported flares as stopping them from doing things they would usually do, >80% reported thinking about symptoms of flares and >80% reported flares being bothersome.ConclusionsFlares are prevalent and clinically very important in CPP. More research is needed to elucidate the mechanisms and characteristics underlying flares. Clinical practice should include an enquiry into flares with the aim of finding strategies to lessen their burden.
{"title":"Symptom flares in women with chronic pelvic pain: Questionnaire study within a cohort study (translational research in pelvic pain (TRiPP))","authors":"Lydia Coxon, Celia Lugt, Andrew W. Horne, Emma Evans, Pedro Abreu‐Mendes, Lars Arendt‐Nielsen, Qasim Aziz, Christian M. Becker, Judy Birch, Ana Charrua, Lysia Demetriou, Joana Ferreira‐Gomes, Anja Hoffman, Lone Hummelshoj, Michal Krassowski, Claire E. Lunde, Jane Meijlink, Stacey A. Missmer, Danielle Perro, Krina T. Zondervan, Christine B. Sieberg, Francisco Cruz, Jens Nagel, Katy Vincent","doi":"10.1111/1471-0528.17915","DOIUrl":"https://doi.org/10.1111/1471-0528.17915","url":null,"abstract":"ObjectiveTo quantify the variation, triggers and impact on quality of life of symptom flares in women with chronic pelvic pain (CPP).DesignCross‐sectional questionnaire within the Translational Research in Pelvic Pain clinical cohort study.SettingWomen with CPP, with subgroups of women with endometriosis (EAP), interstitial cystitis/bladder pain syndrome (BPS), comorbid endometriosis and interstitial cystitis/bladder pain syndrome (EABP), and those with pelvic pain without endometriosis or interstitial cystitis/bladder pain syndrome (PP).Population or SampleA total of 100 participants.MethodsDescriptive and comparative analysis from flares questionnaire.Main Outcome MeasuresThe prevalence, characteristics and triggers of short, medium and long symptom flares in CPP.ResultsWe received 100 responses of 104 questionnaires sent. Seventy‐six per cent of women with CPP have ever experienced symptom flares of at least one length (short, medium and/or long). Flares are associated with painful and non‐painful symptoms. There is large variation for the frequency, duration, symptoms and triggers for flares. Over 60% of participants reported flares as stopping them from doing things they would usually do, >80% reported thinking about symptoms of flares and >80% reported flares being bothersome.ConclusionsFlares are prevalent and clinically very important in CPP. More research is needed to elucidate the mechanisms and characteristics underlying flares. Clinical practice should include an enquiry into flares with the aim of finding strategies to lessen their burden.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141730580","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}
Charlotte Talbot, Nathan Hodson, Joanne Rose, Susan Bewley
BackgroundOver 70 000 donor‐conceived (DC) people have been born in the UK since 1991. Little is known about their long‐term psychological outcomes and no systematic review has assessed these.ObjectivesTo conduct a systematic review of the psychological experiences of DC people through childhood and adulthood (Prospero: CRD42021257863).Search strategySearches of Cumulative Index to Nursing and Allied Health Literature (CINHAL), the Excerpta Medica database (Embase), MEDLINE® and PsycINFO, conducted on 4 January 2024.Selection criteriaQuantitative and qualitative studies were included if: there were five or more participants; they were peer reviewed; and any DC psychological outcomes were assessed. No limits on date, language or country were applied.Data collection and analysisDouble screening, selection, data extraction and quality assessment were performed, using Joanna Briggs Institute (JBI) scoring.Main resultsFifty studies (with 4666 DC participants), mostly from high‐income anglophone countries, with heterogeneity of design, populations and outcome measures, were included. Of 19 comparative studies, 14 found no difference in outcomes between DC and non‐DC people, ten found better outcomes (in health, well‐being, self‐esteem and emotional warmth) and six found worse outcomes (increased autism spectrum disorder and attention deficit hyperactivity disorder, addiction issues, mental illness, disruptive behaviour and identity problems). Qualitative data revealed common themes relating to identity formation, mistrust and concerns regarding genetic heritage. The evidence regarding adulthood outcomes was very limited.ConclusionsThe research on DC individuals presents a nuanced picture, with most studies suggesting comparable or improved outcomes in terms of well‐being and relationships, but with a notable minority indicating higher rates of mental health and identity struggles. Qualitative findings underscore common negative experiences, whereas the early disclosure of DC status appears beneficial for psychological well‐being.
{"title":"Comparing the psychological outcomes of donor and non‐donor conceived people: A systematic review","authors":"Charlotte Talbot, Nathan Hodson, Joanne Rose, Susan Bewley","doi":"10.1111/1471-0528.17892","DOIUrl":"https://doi.org/10.1111/1471-0528.17892","url":null,"abstract":"BackgroundOver 70 000 donor‐conceived (DC) people have been born in the UK since 1991. Little is known about their long‐term psychological outcomes and no systematic review has assessed these.ObjectivesTo conduct a systematic review of the psychological experiences of DC people through childhood and adulthood (Prospero: CRD42021257863).Search strategySearches of Cumulative Index to Nursing and Allied Health Literature (CINHAL), the Excerpta Medica database (Embase), MEDLINE® and PsycINFO, conducted on 4 January 2024.Selection criteriaQuantitative and qualitative studies were included if: there were five or more participants; they were peer reviewed; and any DC psychological outcomes were assessed. No limits on date, language or country were applied.Data collection and analysisDouble screening, selection, data extraction and quality assessment were performed, using Joanna Briggs Institute (JBI) scoring.Main resultsFifty studies (with 4666 DC participants), mostly from high‐income anglophone countries, with heterogeneity of design, populations and outcome measures, were included. Of 19 comparative studies, 14 found no difference in outcomes between DC and non‐DC people, ten found better outcomes (in health, well‐being, self‐esteem and emotional warmth) and six found worse outcomes (increased autism spectrum disorder and attention deficit hyperactivity disorder, addiction issues, mental illness, disruptive behaviour and identity problems). Qualitative data revealed common themes relating to identity formation, mistrust and concerns regarding genetic heritage. The evidence regarding adulthood outcomes was very limited.ConclusionsThe research on DC individuals presents a nuanced picture, with most studies suggesting comparable or improved outcomes in terms of well‐being and relationships, but with a notable minority indicating higher rates of mental health and identity struggles. Qualitative findings underscore common negative experiences, whereas the early disclosure of DC status appears beneficial for psychological well‐being.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141462202","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}
Elizabeth O. Bodunde, Daire Buckley, Eimear O'Neill, Sukainah Al Khalaf, Gillian M. Maher, Karen O'Connor, Fergus P. McCarthy, Karolina Kublickiene, Karen Matvienko-Sikar, Ali S. Khashan
Few studies have examined the associations between pregnancy and birth complications and long-term (>12 months) maternal mental health outcomes.
很少有研究探讨妊娠和分娩并发症与长期（12 个月）孕产妇心理健康结果之间的关联。
{"title":"Pregnancy and birth complications and long-term maternal mental health outcomes: A systematic review and meta-analysis","authors":"Elizabeth O. Bodunde, Daire Buckley, Eimear O'Neill, Sukainah Al Khalaf, Gillian M. Maher, Karen O'Connor, Fergus P. McCarthy, Karolina Kublickiene, Karen Matvienko-Sikar, Ali S. Khashan","doi":"10.1111/1471-0528.17889","DOIUrl":"https://doi.org/10.1111/1471-0528.17889","url":null,"abstract":"Few studies have examined the associations between pregnancy and birth complications and long-term (>12 months) maternal mental health outcomes.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141334714","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}
Paolo Vercellini, Paola Viganò, Edgardo Somigliana, Sun‐Wei Guo
{"title":"Chemicals in menstrual products: Biological plausibility should be combined with epidemiological evidence to define the magnitude of exposure","authors":"Paolo Vercellini, Paola Viganò, Edgardo Somigliana, Sun‐Wei Guo","doi":"10.1111/1471-0528.17834","DOIUrl":"https://doi.org/10.1111/1471-0528.17834","url":null,"abstract":"","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140818024","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}
Shireen R. Jaufuraully, Carmen Salvadores Fernandez, Nadine Abbas, Adrien Desjardins, Manish K. Tiwari, Anna L. David, Dimitrios Siassakos
To create a sensorised surgical glove that can accurately identify obstetric anal sphincter injury to facilitate timely repair, reduce complications and aid training.
制作一种可准确识别产科肛门括约肌损伤的传感手术手套，以便及时进行修复，减少并发症，并帮助开展培训。
{"title":"A sensorised surgical glove to improve training and detection of obstetric anal sphincter injury: A preclinical study on a pig model","authors":"Shireen R. Jaufuraully, Carmen Salvadores Fernandez, Nadine Abbas, Adrien Desjardins, Manish K. Tiwari, Anna L. David, Dimitrios Siassakos","doi":"10.1111/1471-0528.17762","DOIUrl":"https://doi.org/10.1111/1471-0528.17762","url":null,"abstract":"To create a sensorised surgical glove that can accurately identify obstetric anal sphincter injury to facilitate timely repair, reduce complications and aid training.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514571","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}
The authors would like to correct the analytic approach in their investigation that assessed the association between hospital volume for caesarean hysterectomy and surgical morbidity in pregnant patients with placenta accreta spectrum. In the previous analysis, they calculated the relative hospital surgical volume as the summation of number of patients who had caesarean hysterectomy for placenta accreta spectrum over the 3-year study period by using the anonymized hospital classifiers. They would like to clarify that this analytic schema is to be corrected as the annualized number. In this annualized fashion, the relative hospital volume for caesarean hysterectomy was calculated in each year. The remaining patient-level analysis was unchanged.
The authors identified the following errors:
Prior Figure 1 was incorrect and the distribution of patients according to the revised relative caesarean hysterectomy hospital volume is shown in corrected Figure 1 below. Nearly two-thirds of patients in the study underwent caesarean hysterectomy where the relative hospital surgical volume was five cases a year. Nearly 10% of patients in the study population had caesarean hysterectomy at centers where the relative surgical volume was 15 or more cases a year.
FIGURE 1
Open in figure viewerPowerPoint
Distribution of relative cesarean hysterectomy hospital volume. Distribution of annualized relative hospital cesarean hysterectomy volume for placental accreta spectrum a year in the weighted model is shown. SV, annualized relative hospital surgical volume for cesarean hysterectomy.
Prior Figure 2 was incorrect and the results of revised relative surgical volume cutpoint analysis for the measured surgical morbidity, predefined as haemorrhage, coagulopathy, shock, urinary tract injury, and death are shown in corrected Figure 2 below. Relative hospital surgical volume of 25 cases or more was associated with a statistically significantly lower rate of surgical morbidity (56.7% vs. 63.6%, p = 0.002). Based on this, patients in the study p
{"title":"Correction to Hospital surgical volume–outcome relationship in caesarean hysterectomy for placenta accreta spectrum","authors":"","doi":"10.1111/1471-0528.17728","DOIUrl":"https://doi.org/10.1111/1471-0528.17728","url":null,"abstract":"<p>Matsuo, K, Youssefzadeh, AC, Mandelbaum, RS, Sangara, RN, Matsuzaki, S, Matsushima, K, Klar, M, Ouzounian, JG, Wright, JD. Hospital surgical volume–outcome relationship in caesarean hysterectomy for placenta accreta spectrum. <i>BJOG</i> 2022; 129: 986–993. https://doi.org/10.1111/1471-0528.16993</p>\u0000<p>The authors would like to correct the analytic approach in their investigation that assessed the association between hospital volume for caesarean hysterectomy and surgical morbidity in pregnant patients with placenta accreta spectrum. In the previous analysis, they calculated the relative hospital surgical volume as the summation of number of patients who had caesarean hysterectomy for placenta accreta spectrum over the 3-year study period by using the anonymized hospital classifiers. They would like to clarify that this analytic schema is to be corrected as the annualized number. In this annualized fashion, the relative hospital volume for caesarean hysterectomy was calculated in each year. The remaining patient-level analysis was unchanged.</p>\u0000<div>The authors identified the following errors: <ol start=\"1\">\u0000<li>Prior Figure 1 was incorrect and the distribution of patients according to the revised relative caesarean hysterectomy hospital volume is shown in corrected Figure 1 below. Nearly two-thirds of patients in the study underwent caesarean hysterectomy where the relative hospital surgical volume was five cases a year. Nearly 10% of patients in the study population had caesarean hysterectomy at centers where the relative surgical volume was 15 or more cases a year.</li>\u0000</ol>\u0000</div>\u0000<figure><picture>\u0000<source media=\"(min-width: 1650px)\" srcset=\"/cms/asset/f3023b1f-1a50-43bb-8413-1499dfa1d055/bjo17728-fig-0001-m.jpg\"/><img alt=\"Details are in the caption following the image\" data-lg-src=\"/cms/asset/f3023b1f-1a50-43bb-8413-1499dfa1d055/bjo17728-fig-0001-m.jpg\" loading=\"lazy\" src=\"/cms/asset/8a1580ad-98cb-4f5c-a747-5edf402f2ea3/bjo17728-fig-0001-m.png\" title=\"Details are in the caption following the image\"/></picture><figcaption>\u0000<div><strong>FIGURE 1</strong><div>Open in figure viewer<i aria-hidden=\"true\"></i><span>PowerPoint</span></div>\u0000</div>\u0000<div>Distribution of relative cesarean hysterectomy hospital volume. Distribution of annualized relative hospital cesarean hysterectomy volume for placental accreta spectrum a year in the weighted model is shown. SV, annualized relative hospital surgical volume for cesarean hysterectomy.</div>\u0000</figcaption>\u0000</figure>\u0000<div>\u0000<ol start=\"2\">\u0000<li>Prior Figure 2 was incorrect and the results of revised relative surgical volume cutpoint analysis for the measured surgical morbidity, predefined as haemorrhage, coagulopathy, shock, urinary tract injury, and death are shown in corrected Figure 2 below. Relative hospital surgical volume of 25 cases or more was associated with a statistically significantly lower rate of surgical morbidity (56.7% vs. 63.6%, <i>p</i> = 0.002). Based on this, patients in the study p","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138578389","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}
Lorena Suárez-Idueta, Eric O. Ohuma, Chia-Jung Chang, Elizabeth A. Hazel, Judith Yargawa, Yemisrach B. Okwaraji, Ellen Bradley, Adrienne Gordon, Jessica Sexton, Harriet L. S. Lawford, Enny S. Paixao, Ila R. Falcão, Sarka Lisonkova, Qi Wen, Petr Velebil, Jitka Jírová, Erzsebet Horváth-Puhó, Henrik T. Sørensen, Luule Sakkeus, Lili Abuladze, Khalid A. Yunis, Ayah Al Bizri, Sonia Lopez Alvarez, Lisa Broeders, Aimée E. van Dijk, Fawziya Alyafei, Mai AlQubaisi, Neda Razaz, Jonas Söderling, Lucy K. Smith, Ruth J. Matthews, Estelle Lowry, Neil Rowland, Rachael Wood, Kirsten Monteath, Isabel Pereyra, Gabriella Pravia, Joy E. Lawn, Hannah Blencowe
We aimed to compare the prevalence and neonatal mortality associated with large for gestational age (LGA) and macrosomia among 115.6 million live births in 15 countries, between 2000 and 2020.
{"title":"Neonatal mortality risk of large-for-gestational-age and macrosomic live births in 15 countries, including 115.6 million nationwide linked records, 2000–2020","authors":"Lorena Suárez-Idueta, Eric O. Ohuma, Chia-Jung Chang, Elizabeth A. Hazel, Judith Yargawa, Yemisrach B. Okwaraji, Ellen Bradley, Adrienne Gordon, Jessica Sexton, Harriet L. S. Lawford, Enny S. Paixao, Ila R. Falcão, Sarka Lisonkova, Qi Wen, Petr Velebil, Jitka Jírová, Erzsebet Horváth-Puhó, Henrik T. Sørensen, Luule Sakkeus, Lili Abuladze, Khalid A. Yunis, Ayah Al Bizri, Sonia Lopez Alvarez, Lisa Broeders, Aimée E. van Dijk, Fawziya Alyafei, Mai AlQubaisi, Neda Razaz, Jonas Söderling, Lucy K. Smith, Ruth J. Matthews, Estelle Lowry, Neil Rowland, Rachael Wood, Kirsten Monteath, Isabel Pereyra, Gabriella Pravia, Joy E. Lawn, Hannah Blencowe","doi":"10.1111/1471-0528.17706","DOIUrl":"https://doi.org/10.1111/1471-0528.17706","url":null,"abstract":"We aimed to compare the prevalence and neonatal mortality associated with large for gestational age (LGA) and macrosomia among 115.6 million live births in 15 countries, between 2000 and 2020.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138442176","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}
In 2020, I wrote an editorial in this Journal on social determinants of health, defined by the WHO as “The conditions in which people are born, grow, live, work and age” (BJOG. 2020;127(4):431–2). Therefore, I am really pleased that in this issue we are able to give our readers a highly relevant Scientific Impact Paper on precisely this subject. It aims to inform all of us about the relationship between social determinants of health and the risk of maternal death. The paper is written on behalf of the Royal College of Obstetricians and Gynaecologists and for this reason it has a UK focus, but anyone who reads it will see that the extensive literature review and recommendations are of relevance everywhere. Social determinants have a strong inf luence on a person's health and it is crucial to understand and appreciate that this remains the case even within a public health system such as the UK National Health Service (NHS), where reproductive and maternity services are provided for free. The COVID pandemic clearly meets the criteria and definition of an important Social Determinant of Health. In this issue, Davies and colleagues (1133–1139) present data on the effects of the pandemic on the diagnosis of cervical cancer, from six major cancer centres in the North of England. They observed a reduction in cancer diagnoses (by 25%) when comparing data from May to October 2020 to a similar period in 2019. Sadly, these data do not suggest a reduction in cancer: rather they are due to early disease that has gone undetected during the pandemic. The authors use these observations to develop forecasts, also taking into account the temporary cessation in screening during the pandemic; these projections suggest there will be a significant increase in cervical cancer cases presenting over the next 3 years. Usefully, the authors also suggest what changes are required (including increases in surgical capacity) to deal with this increase, and demonstrate that associated morbidity or mortality could be mitigated. The associated minicommentary by Leslie Massad (1140) brilliantly explains how the pandemic is likely to disrupt cervical cancer prevention efforts well into the future and highlights the need for health DOI: 10.1111/1471-0528.17196
{"title":"Maximising health outcomes","authors":"A. Papageorghiou","doi":"10.1111/1471-0528.17196","DOIUrl":"https://doi.org/10.1111/1471-0528.17196","url":null,"abstract":"In 2020, I wrote an editorial in this Journal on social determinants of health, defined by the WHO as “The conditions in which people are born, grow, live, work and age” (BJOG. 2020;127(4):431–2). Therefore, I am really pleased that in this issue we are able to give our readers a highly relevant Scientific Impact Paper on precisely this subject. It aims to inform all of us about the relationship between social determinants of health and the risk of maternal death. The paper is written on behalf of the Royal College of Obstetricians and Gynaecologists and for this reason it has a UK focus, but anyone who reads it will see that the extensive literature review and recommendations are of relevance everywhere. Social determinants have a strong inf luence on a person's health and it is crucial to understand and appreciate that this remains the case even within a public health system such as the UK National Health Service (NHS), where reproductive and maternity services are provided for free. The COVID pandemic clearly meets the criteria and definition of an important Social Determinant of Health. In this issue, Davies and colleagues (1133–1139) present data on the effects of the pandemic on the diagnosis of cervical cancer, from six major cancer centres in the North of England. They observed a reduction in cancer diagnoses (by 25%) when comparing data from May to October 2020 to a similar period in 2019. Sadly, these data do not suggest a reduction in cancer: rather they are due to early disease that has gone undetected during the pandemic. The authors use these observations to develop forecasts, also taking into account the temporary cessation in screening during the pandemic; these projections suggest there will be a significant increase in cervical cancer cases presenting over the next 3 years. Usefully, the authors also suggest what changes are required (including increases in surgical capacity) to deal with this increase, and demonstrate that associated morbidity or mortality could be mitigated. The associated minicommentary by Leslie Massad (1140) brilliantly explains how the pandemic is likely to disrupt cervical cancer prevention efforts well into the future and highlights the need for health DOI: 10.1111/1471-0528.17196","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75021772","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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