The latest medical research on Obstetrics And Gynecology

The research magnet gathers the latest research from around the web, based on your specialty area. Below you will find a sample of some of the most recent articles from reputable medical journals about obstetrics and gynecology gathered by our medical AI research bot.

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Robotic dismembered pyeloplasty surgical simulation using a 3D-printed silicone-based model: development, face validation and crowdsourced learning outcomes assessment.

Journal of Robotic Surgery

Ureteropelvic junction obstruction (UPJO) is an uncommonly encountered pathology, posing a challenge for resident training. We describe the develop...

Intrapartum fetal surveillance education in Victorian hospitals revisited.

Australian and New Zealand Journal

Fifteen years ago a survey of Victorian public maternity services showed that the majority of services provided no fetal surveillance education to ...

The influence of maternal obesity on pregnancy intention: A cross-sectional analysis.

Australian and New Zealand Journal

This prospective cross-sectional study of 1498 pregnant women in early pregnancy sought to investigate the prevalence of pregnancy intention betwee...

Use Of The Transoral Robotic Surgery (Tors) To Treat Patients With Recurrent Lingual Tonsillitis.

Int J Med

Evaluate the efficacy of lingual tonsil resection by transoral robotic surgery (TORS) in a large group of patients with recurrent lingual tonsillitis (RLT).

Eighty-four patients with recurrent lingual tonsillitis treated with a lingual tonsil surgical resection using TORS were analyzed and in terms of postoperative results, disease recurrence, postoperative dysphagia, and quality of life.

A reduction of the mean number/year of acute lingual tonsillitis episodes emerged after surgery (5.17 vs 0.54 events), comparing the mean number of preoperative and postoperative lingual tonsillitis episodes a statistical significance emerged (P = 0.0001). The postoperative endoscopic evaluation showed 94.1% of patients with absent or poor lymphatic tissue on the tongue base. Evaluation of postoperative dysphagia showed good results with an average score of 85.9 ± 7.5.

In patients with chronic lingual tonsillitis with medical therapy failure and impaired quality of life, TORS could represent a valid therapeutic option. This article is protected by copyright. All rights reserved.

Surgical robotic arm control for tissue ablation.

Journal of Robotic Surgery

In the technology driven era, robot assisted surgery is gradually emerging as a revolutionized surgical procedure over traditional laparoscopic met...

Is Cabergoline Safe and Effective for Postpartum Lactation Inhibition? A Systematic Review.

International Journal of Epidemiology

Despite its benefits, there are some situations where breastfeeding is impossible or not recommended. Breast milk secretion and engorgement can be distressing to these non-breastfeeding women. There is currently no universal guideline on the most appropriate management for these women. Our objective is to evaluate the effectiveness and safety of cabergoline, a dopamine agonist, in lactation inhibition in postpartum women.

Studies were identified through electronic database searching (Cochrane library, EMBASE, Medline, IPA and Scopus) to identify all relevant studies that evaluated the use of cabergoline as a lactation inhibitor in postpartum women. Citations were screened and a narrative synthesis was undertaken given the heterogeneity of study designs.

A total of six randomized trials met the inclusion criteria. Majority of the studies recruited healthy postpartum women electing for lactation inhibition for personal reasons. A range of 0.4 mg to 1 mg of cabergoline was given within 0 to 50 hrs of delivery. Dose-response relationship is established, and the highest rate of complete success was achieved with 1 mg of cabergoline, with time to cessation between 0 and 1 day. Cabergoline is non-inferior to bromocriptine for lactation inhibition while also associated with fewer rebound symptoms and adverse effects. Commonly reported adverse effects of cabergoline (eg, dizziness, headache and nausea) are self-limited.

Cabergoline is simple, effective and generally safe when given to postpartum women either wishing or needing to suppress lactation. Further research is needed to improve postpartum care of these women.

Recurrent Molar in Five Consecutive Pregnancies - A Case Report.

International Journal of Epidemiology

Recurrent molar pregnancy is very rare. In this case report, we highlight a case of a patient who experienced five recurrent molar pregnancies with...

Burden of Menstrual Pain Measured by Heatmap Visualization of Daily Patient-Reported Data in Japanese Patients Treated with Ethinylestradiol/Drospirenone: A Randomized Controlled Study.

International Journal of Epidemiology

Dysmenorrhea negatively affects women's quality of life and poses a considerable economic burden. A recent study in Japanese patients with dysmenorrhea (NCT01892904) reported a significant reduction in the number of days with menstrual pain after treatment with a flexible extended regimen of ethinylestradiol (EE)/drospirenone (DRSP) compared with a cyclic regimen. However, individual patients' menstrual pain patterns and intensities were not indicated. Heatmapping was used to visualize menstrual pain patterns and intensities by re-evaluating the previously published data from NCT01892904.

NCT01892904 was a Phase III, multicenter, randomized, open-label, active-control study of 212 women aged ≥20 years randomized 1:1 to receive flexible extended or 28-day cyclic EE/DRSP treatment. Daily pain levels were recorded in patient diaries, and menstrual pain patterns and intensities were visualized using heatmapping. Patients were stratified by baseline dysmenorrhea scores and primary or secondary dysmenorrhea.

The heatmap data demonstrated that EE/DRSP reduced the degree of menstrual pain. Regular peaks of menstrual pain were alleviated in the extended regimen group but were still observed in the cyclic regimen group. While a decrease in the days with menstrual pain was observed in patients with higher baseline dysmenorrhea scores (5-6), those with lower baseline scores (3-4) were more likely to experience lower intensities of menstrual pain. Although pain relief was less likely in patients with secondary dysmenorrhea, those who had lower baseline dysmenorrhea scores (3-4) and received the flexible extended regimen experienced a greater reduction in the number of days with menstrual pain than those who received the cyclic regimen.

Heatmapping effectively visualized the daily burden of menstrual pain in Japanese patients with dysmenorrhea. The analysis using heatmaps suggested that the flexible extended EE/DRSP treatment regimen was more likely to alleviate the regular occurrence of menstrual pain peaks compared with the cyclic regimen.

Neurodevelopment at age 2 and umbilical artery Doppler in cases of preterm birth after prenatal hypertensive disorder or suspected fetal growth restriction: the EPIPAGE 2 prospective population-based cohort study.

Ultrasound in Obstetrics and Gynecology

To investigate the association of absent or reversed end diastolic flow (ARED) in umbilical artery Doppler ultrasound with poor neurological outcome at age 2 after very preterm birth associated with suspected fetal growth restriction (FGR) or maternal hypertensive disorders.

The study population included all very preterm singletons born because of suspected FGR or maternal hypertensive disorders included in EPIPAGE-2, a prospective, nationwide, population-based cohort of preterm births in France in 2011. We analyzed the association of ARED in the umbilical artery with severe or moderate neuromotor or sensory disabilities, and with an Age and Stages Questionnaire (ASQ) score below the threshold at age 2. ASQ is used to identify children at risk of developmental delay needing reinforced follow-up and further evaluation. We performed univariate and two-level multivariable logistic regression analyses.

The analysis included 484 children followed up at 2 years of age for whom prenatal umbilical Doppler ultrasound was available. Among them, 8 (1.5%) had severe or moderate neuromotor or sensory disabilities, and 156 (43.9%) had an ASQ score below the threshold. Compared to normal or reduced end diastolic flow in the umbilical artery (n=305), ARED (n=179) was associated with either severe or moderate neuromotor or sensory disabilities (adjusted OR 11.3, 95% CI 1.4-93.4) but not with an ASQ score below the threshold (adjusted aOR 1.2, 95% CI 0.8-1.9).

Among children born before 32 weeks of gestation because of suspected fetal growth restriction or hypertensive disorder who survived until age 2, prenatal ARED in the umbilical artery was associated with more frequent moderate or severe neuromotor or sensory disabilities. This article is protected by copyright. All rights reserved.

A randomised trial of caesarean wound coverage: Exposed compared to dressed.

BJOG

To evaluate the superficial surgical site infection (SSI) rate to 28 days and patient satisfaction with wound coverage management when their transverse suprapubic Caesarean wound is left exposed compared to dressed after skin closure DESIGN: Randomised trial SETTING: University Hospital, Malaysia: April 2016-October 2016 POPULATION: 331 women delivered by Caesarean section METHOD: Participants were randomised to leaving their wound entirely exposed (n=165) or dressed (n=166) with a low adhesive dressing (next day removal) MAIN OUTCOME MEASURES: Primary outcomes were superficial SSI rate (assessed by provider inspection up to hospital discharge and telephone questionnaires on Day 14 and 28) and patient satisfaction with wound coverage management before hospital discharge RESULTS: The superficial SSI rates were 2/153(1.3%) versus 5/157(3.2%) RR 0.4 95%CI 0.1-2.1; P=0.45 and patient satisfaction with wound management were 7[5-8] vs. 7[5-8]; P=0.81 in exposed compared with dressed arms respectively. In the wound-exposed arm, stated preference for wound exposure significantly increased from 35.5% to 57.5% whereas in the wound-dressed arm, the stated preference for a dressed wound fell from 48.5% to 34.4% when assessed at recruitment (pre-randomisation) to at Day 28. There were no significant differences in inpatient additional dressing or gauze use for wound care, post-hospital discharge self-reported wound issues of infection, antibiotics, redness and inflammation, swollen, painful, and fluid leakage to Day 28 across trial arms.

The trial is underpowered as SSI rates were lower than expected. Nevertheless, caesarean wounds left exposed appears not to carry detrimental effects, provided patient counseling to manage expectations is undertaken.

Establishing the robotic surgery procedure and techniques for head and neck tumors: a single surgeon's experience of 945 cases.

Journal of Robotic Surgery

We suggested operative techniques and indications of robotic neck surgery. To determine operative techniques and the indications for robotic neck s...