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BJOG: An International Journal of Obstetrics & Gynaecology最新文献

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Women's Experience of the Consent Process to Planned Caesarean Section and Its Surgical Risk: A Qualitative Study 妇女对计划剖宫产同意过程的经验及其手术风险:一项定性研究
Pub Date : 2024-12-25 DOI: 10.1111/1471-0528.18049
Malathy Nithiyananthan, Jacqueline Nicholls, Melissa Whitten, Katherine Maslowski, Anne Lanceley
To explore how women appreciated the risks discussed within the consent process for planned caesarean section (CS).
探讨妇女如何认识在同意程序中讨论的风险计划剖宫产(CS)。
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引用次数: 0
Safety of Fertility Treatments in Women With Systemic Lupus Erythematosus: Data From a Prospective Population-Based Study 系统性红斑狼疮妇女生育治疗的安全性:来自前瞻性人群研究的数据
Pub Date : 2024-12-19 DOI: 10.1111/1471-0528.18050
Amandine Dernoncourt, Gaëlle Guettrot-Imbert, Loïc Sentilhes, Marie Charlotte Besse, Anna Molto, Viviane Queyrel-Moranne, Maelle Le Besnerais, Estibaliz Lazaro, Nathalie Tieulié, Christophe Richez, Eric Hachulla, Françoise Sarrot-Reynauld, Gaëlle Leroux, Pauline Orquevaux, Jonathan London, Laurent Sailler, Odile Souchaud-Debouverie, Perrine Smets, Bertrand Godeau, Emmanuelle Pannier, Anne Murarasu, Alice Berezne, Tiphaine Goulenok, Nathalie Morel, Luc Mouthon, Pierre Duhaut, Véronique Le Guern, Nathalie Costedoat-Chalumeau
To assess safety of fertility treatments in women with systemic lupus erythematosus (SLE).
评估女性系统性红斑狼疮(SLE)生育治疗的安全性。
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引用次数: 0
Effect of Gonadotropin-Releasing Hormone Agonist Pre-Treatment on Outcomes of Fresh and Frozen Embryo Transfers in Women With Adenomyosis: A Retrospective Cohort Study With Literature Review 促性腺激素释放激素激动剂预处理对子宫腺肌症女性新鲜和冷冻胚胎移植结局的影响:一项回顾性队列研究并文献综述
Pub Date : 2024-12-17 DOI: 10.1111/1471-0528.18026
Xin Li, Yixin Li, Hexiang Peng, Mengying Wang, Yuqi Liu, Tao Wu, Qing Xue
To investigate the effect of gonadotropin-releasing hormone agonist (GnRHa) pre-treatment on the clinical outcomes of fresh and frozen embryo transfers (ETs and FETs, respectively) in infertile patients with adenomyosis.
目的:研究促性腺激素释放激素激动剂(GnRHa)预处理对子宫腺肌症不孕患者新鲜胚胎移植(ET)和冷冻胚胎移植(FET)临床结果的影响。
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引用次数: 0
Pre-Existing and Gestational Diabetes and Risk of Maternal Venous Thromboembolism: A Systematic Review and Meta-Analysis of Observational Studies 既往和妊娠期糖尿病与母体静脉血栓栓塞的风险:观察性研究的系统回顾和荟萃分析
Pub Date : 2024-12-17 DOI: 10.1111/1471-0528.18043
Molly Orrin, Emilia Barber, Matthew J. Grainge
Women who are pregnant are at increased risk of venous thromboembolism (VTE), which persists for up to 3 months following childbirth. Diabetes is known to increase the risk of serious cardiovascular outcomes.
怀孕妇女患静脉血栓栓塞症(VTE)的风险会增加,这种风险在产后会持续长达 3 个月。众所周知,糖尿病会增加发生严重心血管后果的风险。
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引用次数: 0
Serum Progesterone Level on the Day of Embryo Transfer Is Not a Reliable Predictor for Frozen–Thawed Embryo Transfer Outcomes With Euploid Blastocyst Transfer: A Retrospective Cohort Study 胚胎移植当天血清孕酮水平不是整倍体囊胚移植冻融胚胎移植结果的可靠预测指标:一项回顾性队列研究
Pub Date : 2024-12-17 DOI: 10.1111/1471-0528.18045
Wenjun Chen, Yiyao Xu, Xinyan Liu, Jiafu Pan, Bing Cai, Canquan Zhou, Yanwen Xu, Fang Gu
To investigate whether serum progesterone (P4) levels on embryo transfer (ET) day correlate with the likelihood of live birth in artificial frozen–thawed transfer cycles using intramuscular progesterone.
研究在使用肌肉注射孕酮的人工冻融移植周期中,胚胎移植(ET)日的血清孕酮(P4)水平是否与活产的可能性相关。
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引用次数: 0
Effect of Preimplantation Genetic Testing for Aneuploidy on Live Birth Rate in Young Women With Recurrent Implantation Failure: A Secondary Analysis of a Multicentre Randomised Trial 植入前非整倍体基因检测对反复植入失败的年轻女性活产率的影响:一项多中心随机试验的二次分析
Pub Date : 2024-12-16 DOI: 10.1111/1471-0528.18027
Hengyu Guan, Yaqiong He, Yao Lu, Jiaan Huang, Yuan Wang, Qinling Zhu, Jia Qi, Wen Lin, Steven R. Lindheim, Zhe Wei, Ying Ding, Yun Sun
To investigate the benefit of preimplantation genetic testing for aneuploidy (PGT-A) in recurrent implantation failure (RIF).
研究植入前非整倍体基因检测(PGT-A)对复发性植入失败(RIF)的益处。
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引用次数: 0
Neglected for Too Long: Perinatal Mental Health Impacts of Stillbirth in Low- and Middle-Income Countries 长期忽视:中低收入国家死产对围产期心理健康的影响
Pub Date : 2024-12-16 DOI: 10.1111/1471-0528.18051
Hannah Blencowe, Oona Campbell, Toma Kerac, Renae Stafford, Vandana Tripathi, Veronique Filippi
<p>Stillbirths are one of the world's most neglected tragedies. The estimated 1.9 million babies that are stillborn after 28 completed weeks of pregnancy in 2021 underestimates the overall burden of all fetal deaths from 22 weeks onward [<span>1</span>]. Each death has an important impact on affected women, families and healthcare workers [<span>2</span>]. Yet, despite this, until very recently, national governments, UN organisations and civil society institutions (including non-governmental organisations and professional associations) worldwide have given little attention to stillbirths. This has resulted in lack of prioritisation of stillbirths in data strengthening efforts, limiting visibility of underlying biomedical causes [<span>3</span>]. This coupled with the failure to include stillbirths in maternal and child health dialogues exacerbates stigma towards affected women, and frequently leaves bereaved parents to deal with their grief in silence.</p><p>Perinatal mental health disorders, occurring during pregnancy and in the first year after childbirth, affect almost one in five women giving birth and have only recently been brought out of the shadows [<span>4</span>]. Many organisations are now accelerating their focus on the issue and global guidance on the integration of perinatal mental health into routine healthcare provision is now available [<span>5</span>]. However, despite a strong body of evidence describing increased risks of adverse perinatal mental health outcomes associated with stillbirth in high-income countries [<span>2</span>], and newer evidence reporting similar effects across a wide range of low- and middle- income countries (LMICs) [<span>6-9</span>], stillbirths have been to-date largely left out of perinatal mental health guidance.</p><p>We conducted a rapid review of evidence on the perinatal mental health consequences of stillbirth as part of the MOMENTUM Safe Surgery in Family Planning and Obstetrics (MOMENTUM Safe Surgery) project's work to improve postnatal services [<span>10, 11</span>]. Collating available data across 20 studies from 12 low- and middle-income countries, a median of 41% of women reported evidence of depression in the year following a perinatal loss (stillbirth or early neonatal death) [<span>9</span>]. This is at least double the risk compared to after a live birth, translating to around 1.2 million women annually with depression in the year following a stillbirth or early neonatal death in sub-Saharan Africa and South Asia alone. Increases in anxiety and stress were also observed, presenting a substantial burden on women, families and communities in these regions.</p><p>Adverse perinatal mental health consequences following stillbirth can be partly mitigated through timely, person-centred supportive bereavement care. The past decade has seen large advances in understanding the experiences and care needs for affected women, partners and families, including the introduction of national care be
死胎是世界上最容易被忽视的悲剧之一。据估计,2021 年有 190 万名婴儿在怀孕满 28 周后死产,这低估了怀孕满 22 周后所有胎儿死亡的总体负担[1]。每一例死亡都会对受影响的妇女、家庭和医护人员产生重大影响 [2]。然而,尽管如此,直到最近,世界各国政府、联合国组织和民间社会机构(包括非政府组织和专业协会)都很少关注死胎问题。这导致在数据强化工作中缺乏对死胎的优先考虑,限制了对潜在生物医学原因的了解[3]。围产期心理健康失调发生在孕期和产后第一年,几乎每五名产妇中就有一人受到影响,直到最近才走出阴影[4]。目前,许多机构都在加快对这一问题的关注,并出台了将围产期心理健康纳入常规医疗保健服务的全球指南[5]。然而,尽管有大量证据表明高收入国家与死胎相关的围产期心理健康不良后果的风险增加[2],也有新的证据表明中低收入国家(LMICs)也有类似的影响[6-9],但迄今为止,死胎在很大程度上仍未被纳入围产期心理健康指南。作为 MOMENTUM 计划生育和产科安全手术(MOMENTUM Safe Surgery in Family Planning and Obstetrics,MOMENTUM 安全手术)项目改善产后服务工作的一部分,我们对死胎对围产期心理健康影响的证据进行了快速回顾[10, 11]。对来自 12 个中低收入国家的 20 项研究的现有数据进行整理后发现,在围产期损失(死胎或新生儿早期死亡)后的一年中,有中位数 41% 的妇女报告了抑郁症的证据[9]。仅在撒哈拉以南非洲和南亚地区,每年就有约 120 万妇女在死产或新生儿早期死亡后一年内患上抑郁症。通过及时的、以人为本的支持性丧亲护理,可以在一定程度上减轻死产对围产期心理健康造成的不良后果。过去十年间,人们在了解受影响妇女、伴侣和家庭的经历和护理需求方面取得了巨大进步,包括一些高收入国家引入了全国性的丧亲护理路径[12]。虽然不同环境下的丧亲护理原则可能相似,但在如何为低收入和中等收入国家的丧亲妇女提供最佳护理和量身定制护理方面,还存在很大的证据差距[13]。在这些地区,死产往往带有严重的耻辱感,悲伤的表达方式千差万别,一线医疗资源也可能受到限制。这些独特的背景因素突出表明,有必要开展有针对性的研究并制定相关策略,以应对与 LMICs 死产丧亲相关的特殊挑战。"MOMENTUM 安全手术 "综述调查了 LMICs 死产妇女围产期心理健康需求的干预措施[10]。仅找到了三项已发表的小型研究(来自印度和伊朗),这些研究提供了低质量的证据,表明通过对丧亲妇女进行正念、个人和小团体咨询干预,心理结果有所改善[14-16]。目前正在进行另外三项研究[17-19]。在低收入和中等收入国家的干预措施缺乏有力的证据基础,这可能是全球指南中缺少这一重要问题的部分原因。然而,指导和培训文件中的这种沉默可能会错失将现有知识转化为实践的重要机会。文献中新出现的证据表明,来自低收入和中等收入国家的广大妇女对旨在提高死产后福祉的特定护理内容表达了共同的愿望。值得注意的是,沟通、积极参与管理决策、满足生理需求、接受尊重的护理以及为后续妊娠提供个性化支持被一致认为是改善这些妇女整体体验的关键主题(见方框 1)[10]。 方框 1. LMICs 妇女报告的改善死产后体验和福祉的护理的积极方面[10]:用产妇自己的语言,真实、清晰、富有同情心地直接告知产妇其婴儿已经死亡。用她自己的语言。在私密空间。检查理解情况。
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引用次数: 0
A Care Bundle Aiming to Reduce the Risk of Obstetric Anal Sphincter Injury: A Survey of Women's Experiences 旨在降低产科肛门括约肌损伤风险的护理包:一项妇女经验调查
Pub Date : 2024-12-11 DOI: 10.1111/1471-0528.18029
Magdalena Jurczuk, Lizzie Phillips, Posy Bidwell, Dorian Martinez, Louise Silverton, Nick Sevdalis, Jan van der Meulen, Ipek Gurol-Urganci, Ranee Thakar
To study experiences of women who gave birth in maternity units that have implemented a ‘care bundle’ quality improvement initiative to reduce obstetric anal sphincter injury (OASI) and associated morbidity.
研究在实施“护理包”质量改进倡议以减少产科肛门括约肌损伤(OASI)和相关发病率的产科单位分娩的妇女的经验。
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引用次数: 0
Factors Contributing to Uptake of Stillbirth Evaluations: A Qualitative Analysis 促成死产评估的因素:定性分析
Pub Date : 2024-12-09 DOI: 10.1111/1471-0528.18038
Naomi O. Riches, Tsegaselassie Workalemahu, Erin P. Johnson, Sarah Lopez, Nathan Blue, Jessica Page, Robert M. Silver, Erin Rothwell
The purpose of this study was to explore individuals' beliefs, values, and experiences surrounding stillbirth evaluation decisions.
本研究的目的是探讨个人的信念,价值观,以及死胎评估决策的经验。
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引用次数: 0
Improving Access to Opioid Use Disorder in Pregnancy: A Quality Improvement Initiative 改善妊娠期阿片类药物使用障碍:一项质量改进倡议
Pub Date : 2024-12-09 DOI: 10.1111/1471-0528.18041
Samuel J. Gentle, Brian Brocato, Evelyne Coronado-Guillaumet, Britta Cedergren, Martha Wingate

Disclosure

The authors have nothing to report.

作者没有什么可报告的。
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引用次数: 0
期刊
BJOG: An International Journal of Obstetrics & Gynaecology
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