Archives of Obstetrics and Gynaecology

Review Article Open Access

Racial Disparities in Surgical Outcomes for Uterine Fibroids: A Systematic Review

Devaun Reid , Britannia Noel , Janetta Lam , Julyssa Renteria , Sarah McCrackin , Gwendolyn Quinn

Objective: To systematically review disparities in surgical outcomes for uterine fibroids among Black women compared to non-Black women and identify contributing factors. Data sources: Systematic searches of PubMed, Embase, and Scopus from January 2010 to May 2024 were conducted. Study eligibility criteria: Included studies focused on surgical interventions for uterine fibroids in diverse populations, evaluating outcomes such as efficacy, safety, and complications. Excluded studies lacked racial stratification or reported non-surgical treatments.

Case Report Open Access

Treatment of Iatrogenic Thermal Bladder Injury

Dimitrios Megaritis , Annette Kuhn , Anna-Sophie Villiger

Injuries to the urinary tract are a frequent occurrence during gynecological procedures, particularly laparoscopic hysterectomy, with acute and chronic complications being reported. Urinary tract injuries occur in about 0.73% of laparoscopic hysterectomies, similar to abdominal hysterectomy rates. These injuries can lead to significant complications, including the formation of vesicovaginal (3.4%) and ureterovaginal (2.4%) fistulas, often requiring additional surgery.

Editorial Open Access

Primary Dysmenorrhea: A Questionable Diagnosis in the Modern Era

Elliot M. Levine , Carlos M. Fernandez , Teresa Tam

The term “Primary Dysmenorrhea” may no longer adequately describe a patient’s diagnosis, given the capabilities of modern imaging technology to detect possible deep infiltrating endometriosis. Laparoscopy alone may not be sufficient for diagnosing endometriosis. Considering the availability of specific therapeutic interventions tailored for endometriosis, there is a compelling case for pursuing a more targeted diagnostic approach.

Original Research Open Access

Maternal Psoriasis – Pregnancy Outcomes and Long-term Infectious Morbidity of the Offspring: A Population-based Study

Moran Shahar , Gil Gutvirtz , Gali Pariente , Tamar Wainstock , Eyal Sheiner

Background: Limited data exists regarding long-term morbidity of the offspring in women with psoriasis. The objective of this study was to assess long-term infectious morbidity of the offspring born to women with psoriasis. Study Design: We conducted a population-based cohort study comparing the long-term infectious-related morbidity of offspring (up to the age of 18) born to mothers with and without psoriasis, between the years 1991-2021 in a regional tertiary medical center.

Review Article Open Access

Origins of the Obstetric and Gynaecological Syndromes

MJ Quinn

For many decades (1945–2011) narrowed, uterine arterioles were thought to be the histological hallmark of preeclampsia after their original description by AT Hertig, Harvard, MA, in 1945. More recently Professors Brosens & Romero, described narrowed, uterine arterioles in many of the “great” obstetric syndromes