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Obstetrics & Gynecology Pubmed »

  • obstetrics gynecology; +254 new citations

    Posted 2017-04-27 20:27:57 dun: Mahammad A. Tafida

    254 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results: obstetrics gynecology These pubmed results were generated on 2017/04/27PubMed comprises more than millions of citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web ...

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  • obstetrics gynecology; +109 new citations

    Posted 2017-04-26 07:05:21 dun: Mahammad A. Tafida

    109 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results: obstetrics gynecology These pubmed results were generated on 2017/04/26PubMed comprises more than millions of citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web ...

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  • Primary ventral or groin hernia in pregnancy: a cohort study of 20,714 women.

    Posted 2017-04-25 07:27:07 dun: Mahammad A. Tafida

    Related Articles Primary ventral or groin hernia in pregnancy: a cohort study of 20,714 women. Hernia. 2017 Apr 22;: Authors: Oma E, Bay-Nielsen M, Jensen KK, Jorgensen LN, Pinborg A, Bisgaard T Abstract BACKGROUND: Prevalence, management, and risk of emergency operation for primary ventral or groin hernia in pregnancy are unknown. The objective of this study was to estimate the prevalences of primary ventral or groin hernia in pregnancy and the potential risks for elective and emergency repair. METHODS: This single-institutional retrospective study included all pregnant women attending one or more prenatal consultations at Hvidovre Hospital, Denmark, during a 3-year period. Patients' medical records were electronically retrieved. A free-text search algorithm and subsequent manual review was conducted to identify patients registered with a primary ventral or groin hernia in pregnancy. Follow-up was conducted by review of medical record notes within the Capital Region of Denmark supplemented with structured telephone interviews on indication. RESULTS: In total, 20,714 pregnant women were included in the study cohort. Seventeen (0.08%) and 25 (0.12%) women were registered with a primary ventral and groin hernia, respectively. None underwent elective or emergency repair in pregnancy, and all had uncomplicated childbirth. In 10 women, the groin bulge disappeared spontaneously after delivery. During postpartum follow-up of median 4.4 years (range 0.2-6.0 years), five (0.02%) and four (0.02%) underwent elective primary ventral and groin hernia repair, respectively. CONCLUSION: Primary ventral or groin hernia seems rare in pregnancy, and the incidence of emergency repair is extremely low. Watchful waiting strategy is recommended during pregnancy in women suspected for a primary ventral or groin hernia. PMID: 28434040 [PubMed - as supplied by ...

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  • Chorioamniotic Membrane Separation after Fetoscopic Laser Photocoagulation.

    Posted 2017-04-25 07:27:07 dun: Mahammad A. Tafida

    Related Articles Chorioamniotic Membrane Separation after Fetoscopic Laser Photocoagulation. Fetal Diagn Ther. 2017 Apr 22;: Authors: Takano M, Nakata M, Murata S, Sumie M, Morita M Abstract INTRODUCTION: This study aimed to investigate the risk factors, incidence, and influence on the perinatal outcome of chorioamniotic membrane separation (CMS) after fetoscopic laser photocoagulation (FLP). MATERIAL AND METHODS: This retrospective study included 312 women who underwent FLP for twin-to-twin transfusion syndrome (TTTS). Clinical records were used to review obstetrical examinations, complications, operative data, ultrasonographic findings, and perinatal and neonatal follow-up data in all patients. RESULTS: A total of 260 cases of TTTS were analyzed. The incidence of CMS was 12.7% (33 cases). The only independent risk factor of CMS was performing FLP before 20 weeks of gestational age (GA) (odds ratio = 3.38 [1.44-7.93], p = 0.005). Concerning perinatal outcome, CMS was only related with increased risk of premature rupture of membranes (PROM) before 32 weeks (33.3 vs. 13.9%, p = 0.005), with no differences in GA at delivery and survival rate. DISCUSSION: In our cohort, the incidence of CMS after FLP was approximately 13%, with surgery before 20 weeks being the only risk factor identified. Although in our population CMS did not worsen perinatal outcome in terms of preterm delivery or survival, the preterm PROM rate was increased and this should be considered for the patients' management. PMID: 28434005 [PubMed - as supplied by ...

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  • Outpatient endometrial aspiration: an alternative to methotrexate for pregnancy of unknown location.

    Posted 2017-04-25 07:27:07 dun: Mahammad A. Tafida

    Related Articles Outpatient endometrial aspiration: an alternative to methotrexate for pregnancy of unknown location. Am J Obstet Gynecol. 2017 Apr 19;: Authors: Insogna IG, Farland LV, Missmer SA, Ginsburg ES, Brady PC Abstract OBJECTIVE: To evaluate the utility of an endometrial sampling protocol for the diagnosis of pregnancies of unknown location following in vitro fertilization. STUDY DESIGN: A retrospective cohort study of 14,505 autologous fresh and frozen in vitro fertilization cycles from 10/2007 to 9/2015 was performed; 110 patients were diagnosed with pregnancy of unknown location, defined as a positive human chorionic gonadotropin (hCG) without ultrasound evidence of intrauterine or ectopic pregnancy, and an abnormal hCG trend (<53% rise or <15% fall in two days). These patients underwent outpatient endometrial sampling with Karman cannula aspiration. Patients with hCG decline ≥15% within 24 hours of sampling and/or villi detected on pathologic analysis were diagnosed with failing intrauterine pregnancy and had weekly hCG measurements thereafter. Those with hCG declines <15% and no villi identified were diagnosed with ectopic pregnancy and treated with intramuscular methotrexate (50 mg/m2) or laparoscopy. RESULTS: Across 8 years of follow-up, among women with pregnancy of unknown location, failed intrauterine pregnancy was diagnosed in 46 patients (42%) and ectopic pregnancy in 64 patients (58%). Clinical variables including fresh or frozen embryo transfer, day of embryo transfer, serum hCG at the time of sampling, endometrial thickness, and presence of an adnexal mass were not significantly different between patients with failed intrauterine pregnancy or ectopic pregnancy. In patients with failed intrauterine pregnancy, 100% demonstrated adequate post-sampling hCG declines, while villi were identified in just 46% (n=21). Patients with failed intrauterine pregnancy had ...

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