Volume 3, Issue 2, p53-78
Articles published in this issue are Open Access and licensed under Creative Commons Attribution License (CC BY NC) where the readers can reuse, download, distribute the article in whole or part by mentioning proper credits to the authors.
Chorioamnionitis is an unprecedented complication arising during labor and the intrapartum period which can lead to adverse outcomes in the mother such as sepsis and postpartum infections and the neonate such as stillbirth, neonatal sepsis, cerebral palsy, and delayed milestones with an increased NICU stay. Several studies have been done over the past years to study the pathophysiology and outcomes of chorioamnionitis.Arch Obstet Gynecol, 2022, Volume 3, Issue 2, p53-58 | DOI: 10.33696/Gynaecology.3.029
The Effects of Vaginal Probiotic Administration on Perinatal Outcomes in Patients with Premature Preterm Rupture of Membrane
Preterm premature rupture of membrane is the rupture of the chorionic-amniotic membrane and leakage of amniotic fluid before the onset of labor pains and prior to the 37th week of pregnancy. Preterm premature rupture of membrane (PPROM) occurs in 3% of pregnancies and is the cause of about 25 to 30% of all preterm births. PPROM is an important contributor to perinatal morbidity.Arch Obstet Gynecol, 2022, Volume 3, Issue 2, p59-63 | DOI: 10.33696/Gynaecology.3.030
On Friday, August 5th, the Indiana legislature passed Senate Bill 1 (SB1), a near-total abortion ban, which was signed into law by Governor Holcomb. Exceptions for rape and incest only exist up to 10 weeks. Both medical and surgical abortions must be performed in a hospital. And, if a physician performs the procedure on someone who does not meet these exceptions, it is categorized as a level 5 felony for an “unlawful abortion”.Arch Obstet Gynecol, 2022, Volume 3, Issue 2, p64-65 | DOI: 10.33696/Gynaecology.3.031
Medical management of hypertension in pregnancy is indicated for severe range blood pressures. This is diagnosed with either systolic blood pressure (SBP) ≥ 160 mm Hg and/or diastolic blood pressure (DBP) ≥110 mm Hg on two occasions at least 4 hours apart. When this diagnosis is established, fast-acting anti-hypertensive medications can be utilized for acutely severe range blood pressures.Arch Obstet Gynecol, 2022, Volume 3, Issue 2, p66-70 | DOI: 10.33696/Gynaecology.3.032
Since the medical management of ectopic pregnancy (EP) was introduced by Dr. Steven Ory, and published in 1986 in the American Journal of Obstetrics and Gynecology, diagnostic criteria have been established to predict its successful medical treatment with methotrexate (MTX), including its maximum diameter (MaxDia), its associated human chorionic gonadotropin (hCG) level, and whether there was identified cardiac motion (CM).Arch Obstet Gynecol, 2022, Volume 3, Issue 2, p71-78 | DOI: 10.33696/Gynaecology.3.033
In order to implement the knowledge of cancer to monitor its evolution and setting, in the last decade, new minimally invasive and repeatable samples collection have been developed such as liquid biopsy.
There are many exciting developments in the field of midlife women’s health which explain how menopause symptoms, particularly hot flashes, may be an important vital sign and predictor of future health status
A national perinatal survey in France in 2016 showed that 12.2% of women have instrumentally assisted vaginal births with vacuum extraction used in 49.8% of cases, making it the most frequently used form of obstetrical assistance.
We are witnessing the evolution of the diagnostic imaging that is rapidly becoming available to Women’s Health physicians (OB/GYN’s), enabling the use of technology to augment our ability to medically palpate on examination of the patient, to identify conditions which we were unable to appreciate a short time ago.
The etiology of fetal growth restriction is rooted in inadequate maternal-placental vascular malperfusion (MVM) of the placenta. Risk factors for MVM are broad and include maternal, fetal, and placental antecedent determinants.
Family Planning Laboratory Review of Factors Affecting the Choice of Contraceptive Methods in Three Teenagers Populations' in Thrace, Greece
Contraception encompasses the concept of avoiding a pregnancy, and is aimed at women of reproductive age who, although are sexually active, do not want to achieve any pregnancy at their option fertility preservation and family planning
Low-level Progesterone on the Day of hCG Injection Has No Detrimental Effect on the Pregnancy Outcome after IVF with GnRH-a Protocol: A Retrospective Study
To investigate the effect of low progesterone (P) level on the day of human chorionic gonadotropin (hCG) injection on the outcome of in vitro fertilization (IVF) with GnRH- agonist (GnRH-a) long protocol.
Impact of Estradiol Supplementation during Luteal Phase Support on the In vitro Fertilization Clinical Outcome: Systematic Review and Meta-Analysis
At present, progesterone administration is widely used. There is no agreement on whether estradiol (E2) addition should be supplement to progesterone (P) as luteal phase support (LPS).
As gynecologic providers continue to provide intrauterine devices (IUDs) for long-acting reversable contraception (LARC) with insertion of those devices, the associated complication rate needs to be well-understood, so that patients can make properly informed shared healthcare decisions.
Recommendation of Tetanus Toxoid Vaccination for Pregnant Females in a Country that Achieved Elimination of Maternal and Neonatal Tetanus
The study “knowledge and health beliefs of reproductive-age women in Alexandria about tetanus toxoid immunization” has shed a new light on the attitude of obstetricians in Alexandria (Egypt) towards recommending tetanus toxoid vaccination to pregnant females.
Medical management of hypertension in pregnancy is indicated for severe range blood pressures. This is diagnosed with either systolic blood pressure (SBP) ≥ 160 mm Hg and/or diastolic blood pressure (DBP) ≥110 mm Hg on two occasions at least 4 hours apart. When this diagnosis is established, fast-acting anti-hypertensive medications can be utilized for acutely severe range blood pressures.
Chronic hypertension is present in 1-2% of pregnant women. Women with chronic hypertension are at an increased risk of maternal and perinatal complications when compared with normotensive women.
In 2020 we published a series of 18 patients who underwent neoadjuvant chemotherapy (NACT) and vaginal radical trachelectomy (VRT) as a fertility sparing alternative in stage 1B2 cervical cancer.
This manuscript reviews treatment of Sickle Cell disease over time. The application of allogeneic stem cells proved the sickle cell disease could be permanently corrected and cured but limited to those with a compatible donor.
Challenges Regarding the Management of Gynecological and Obstetric Complications in Women with Inherited Factor XIII Deficiency
The medical care of patients with inherited bleeding disorders requires a greater understanding and attention, especially in women who can be exposed to specific hemorrhagic complications such as menorrhagia or complications during pregnancies and deliveries.
Practical Considerations Regarding Recommendations for an Educational Program in Robot Assisted Gynaecological Surgery
Robot assisted gynaecological surgery is exponentially expanding its field and gynaecologists need to be prepared to implement this new approach in clinical practice.
For a long time, it was rare to see a case of cervical pregnancy (CP) throughout the journey in the field of obstetrics. Recently, the circumstances showed dramatic changes and I think not uncommonly every one elsewhere in the field may face this problem to some extent and the CP term strikes his/her ears.
After Surgical Menopause, Should Menopausal Hormonal Therapy Started Only Before the Age of 45 Years?
The published study Compliance and health consequences of menopausal hormonal therapy after surgical menopause: A retrospective study in Thailand showed that menopausal hormonal therapy soon after bilateral oophorectomy before the age of natural menopause in Thailand
The Role of Anemia in Term and Preterm Pregnancies: Evidence from the Brazilian Multicenter Study on Preterm Birth (EMIP)
Evaluate the prevalence of anemia in term and preterm pregnancies and compare maternal and perinatal outcomes among groups.
The survival probability of early human conceptions is very low. At least 73% of natural single conceptions have no real chance of surviving six weeks of gestation . After six weeks, survival rates improve rapidly as 90% of the remainder will survive to term.