Archives of Obstetrics and Gynaecology

Case Report Open Access

Vasa Praevia: Diagnosis and Management in a Sub-Saharan Maternity Unit

Jacques Albert Bang Ntamack , Elsy Ntsame , Robert Eya’ama , Chiesa Moutandou , Opheelia Makoyo Komba , Pamphile Assoumou Obiang , Ulysse Pascal Minkobame Zaga Minko , Jean François Meye

The presence of vasa previa is a rare but serious complication for the fetus due to the occurrence of Benckiser’s hemorrhage. This report presents a clinical case of vasa previa diagnosed antenatally in a spontaneous pregnancy. Performing a transvaginal ultrasound combined with pulsed Doppler in pregnant women with risk factors for placenta previa or low-lying placenta allows diagnosis in nearly 98% of cases.

Original Research Open Access

Enhanced Recovery After Gynecologic Surgery in Austria: A National Survey of Implementation and Awareness

Teresa L. Pan , Christina Hütter , Irina Tsibulak , Karl Tamussino

Enhanced Recovery After Surgery (ERAS) pathways improve postoperative outcomes across surgical specialties; however, implementation in gynecologic surgery remains inconsistent. This study assessed national ERAS implementation in Austrian gynecologic departments and compared reported practices between departmental leadership and frontline clinicians.

Case Report Open Access

A Case of Spontaneous Ovarian Hyperstimulation Complicating First-Trimester Pregnancy

Derjeie Weldeselasse Tufa , Alexander Napoleon Kifle , Henok Bahru Wodajene , Eyosias Lemma Teshome , Tewelde Berhane Gebretsadik

Background: Spontaneous ovarian hyperstimulation syndrome (sOHSS) is a rare condition in naturally conceived pregnancies, characterized by ovarian enlargement and extravascular fluid accumulation.

Review Article Open Access

The Choice between Intrauterine Contraceptive Device Options: A Narrative Review

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

Deciding on intrauterine device selection requires consideration of multiple factors beyond contraceptive efficacy. Device frame dimensions relative to uterine cavity size, differences in bleeding and pain profiles between copper and levonorgestrel-releasing devices, rates of mechanical complications, and patient-specific anatomic factors are not often adequately addressed during contraceptive counseling despite their influence on device tolerance and continuation. 

Original Research Open Access

Evaluation of Adenomyosis by MUSA-Based Transvaginal Ultrasound in Women Undergoing Hysterectomy

Merve Nur Taspınar , Çetin Çelik , Ersin Çintesun

Adenomyosis diagnosis has improved substantially with high-resolution transvaginal ultrasound and the standardized Morphological Uterus Sonographic Assessment (MUSA) criteria; however, the relative diagnostic contribution of individual sonographic signs to histopathological confirmation remains incompletely defined.

Opinion Article Open Access

Best Practices for Novice Oocyte Retrieval: Minimizing Oocyte Loss and Temperature Related Injury

Bruce I. Rose , Samuel E. Brown

Surgeons new to oocyte retrieval should initially focus on patient safety and the number of oocytes retrieved. This monograph reviews the basis for minor changes in technique that may limit loss of an oocyte into the abdomen or ovarian parenchyma. More significantly, it discusses the importance of maintaining fluid flow in obtaining optimally functional oocytes.

Review Article Open Access

The Thin Endometrial Lining, Casper’s Hypothesis, and the Promise of Platelet-Rich Plasma (PRP)

Bruce I. Rose , Samuel E. Brown

Cohort studies involving more than 500,000 transfers have shown that having an endometrial lining less than 7 or 8 mm at the time of IVF trigger or cryo-defrost progesterone cycle start is associated with having a lower clinical pregnancy and live birth rate than for women with cycles having thicker endometrial linings. The use of platelet-rich plasma has been proposed as a therapy to compensate for having a thin endometrial lining.

Review Article Open Access

Phenotype-Guided IVF Management in Polycystic Ovary Syndrome: Biological Basis, Reproductive Outcomes, and Future Perspectives

Nehir Ulkumen , Ada Sude Guzey , Tugce Onel , Canan Hurdag

Polycystic Ovary Syndrome (PCOS) is a heterogeneous endocrine–metabolic disorder and one of the leading causes of anovulatory infertility. Although women with PCOS are often managed as a relatively homogeneous population during assisted reproductive treatment, the four Rotterdam phenotypes differ substantially in endocrine function, metabolic profile, ovarian reserve, follicular microenvironment, ovarian responsiveness, and reproductive potential.