To assess the impact of thermal ablation (TA) for the treatment of cervical dysplasia on fertility and pregnancy outcomes among women screened for cervical cancer in Cameroon.

Assessment of COVID-19 vaccine safety in pregnancy using population-based data.

Globally, caesarean births (CB), including emergency caesareans births (EmCB), are rising. It is estimated that nearly a third of all births will be CB by 2030.

ObjectiveChild marriage forces a girl into adult roles before physical and psychological maturity, which can take a toll on women's health over the life course. This article aims to assess whether child marriage and adolescent childbearing are associated with elevated risk of gynaecologic disorders leading to hysterectomy.DesignCross‐sectional and time‐to‐event analysis.SettingIndia.Population528 816

ObjectiveUncertainty surrounds the risk–benefit of low‐molecular‐weight heparin to prevent postpartum venous thromboembolism (VTE). Data from randomised clinical trials (RCT) are critically needed, but recent feasibility studies in North America yielded low participation rates, with <1 enrolment per month per centre. Our aim was to assess the feasibility of a trial of postpartum short‐term enoxaparin

To identify factors associated with neonatal respiratory distress (NRD) in early Gestational diabetes mellitus (eGDM).

All gynaecology departments should provide a dedicated outpatient hysteroscopy service to aid care of women and people with abnormal uterine bleeding, reproductive problems, and insertion/retrieval of intrauterine devices. [Grade A] Written information should be provided to the woman prior to their appointment. This should include details about the procedure, the benefits and risks, advice regarding

ObjectiveTo assess whether procedural‐induced abortion or provider‐initiated preterm delivery are associated with improved survival in pregnant people with cancer.DesignRetrospective population‐based cohort study.SettingProvinces of Alberta and Ontario, Canada, 2003–2016.PopulationFemales aged 18–50 years diagnosed with cancer at <20 weeks' (for the assessment of procedural‐induced abortion) or <37

ObjectiveTo examine if peritoneal conditioning with an altered insufflation gas mixture is associated with reduced postoperative pain intensity compared to the standard insufflation gas (i.e., 100% CO2).DesignA prospective, single‐centre, randomized, double‐blind, superiority trial was performed.SettingThis study was conducted between 4 April 2019 and 10 February 2022 at the Jessa Hospital, Hasselt

1 INTRODUCTION The prenatal diagnosis of placental anomalies was one of the first use of ultrasound imaging in obstetrics from the end of the 1960s.1, 2 Conditions such as placenta praevia and hydatidiform mole had been known for centuries to be associated with a high maternal morbidity and mortality, when undiagnosed before labour for placenta praevia or when presenting with severe anaemia and eclampsia

ObjectiveTo describe the intrapartum and postpartum use of non‐study antibiotics in low‐ and middle‐income countries (LMICs) during the double‐blinded NICHD Global Network Azithromycin in Labor (A‐PLUS) trial.DesignThe antibiotic use sub‐study was a planned prospective, observational sub‐study of the A‐PLUS trial.SettingsThe study was carried out in hospitals or health centres affiliated with eight

The practical medical use of artificial intelligence is rapidly progressing. Specifically, the application of ChatGPT was explored in medical education and even medical clinical data evaluation.1, 2 Tumour board is an integral and pivotal part of patient treatment and management in gynaecologic oncology.3 It entails the processing of various pathological and clinical parameters, coupled with the familiarity

ObjectiveTo correlate the clinical history with imaging findings of women with Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome.DesignRetrospective cohort study.SettingA UK IOTA and ESGO‐certified tertiary referral centre for disorders of reproductive development.PopulationAll patients with a diagnosis of MRKH and who had undergone an MRI pelvis between 1 January 2011 and 31 April 2021 were included

ObjectiveGlobally, obstetric fistula is a tragic outcome following obstructed labour. Failure of complex repair and post‐operative incontinence are common. We describe an innovative surgical technique incorporating the rectus abdominus flap at the time of fistula repair.DesignRetrospective case series.SettingMalawi, Fistula Care Centre.MethodsPatients were followed for 3 months after discharge to determine

ObjectivesAccurate assessment of gestational age (GA) is important at both individual and population levels. The most accurate way to estimate GA in women who book late in pregnancy is unknown. The aim of this study was to externally validate the accuracy of equations for GA estimation in late pregnancy and to identify the best equation for estimating GA in women who do not receive an ultrasound scan

BackgroundAround half of preterm births lack identifiable causes, indicating the need for further investigation to understand preterm birth risk factors. Existing studies on the intergenerational association of preterm birth showed inconsistency in effect size and direction.ObjectiveThis systematic review and meta‐analysis aimed to review existing studies and provide comprehensive evidence on the intergenerational

ObjectiveTo analyse the global burden, trends and cross‐country inequalities of female breast and gynaecologic cancers (FeBGCs).DesignPopulation‐Based Study.SettingData sourced from the Global Burden of Disease Study 2019.PopulationIndividuals diagnosed with FeBGCs.MethodsAge‐standardised mortality rates (ASMRs), age‐standardised Disability‐Adjusted Life Years (DALYs) rates (ASDRs) and their 95% uncertainty

CONFLICT OF INTEREST STATEMENT The authors have no conflicts of interest to declare.

The aim of this document is to provide guidance for the management of women and birthing people with a permanent pacemaker (PPM) or implantable cardioverter defibrillator (ICD). Cardiac devices are becoming more common in obstetric practice and a reference document for contemporary evidence-based practice is required. Where evidence is limited, expert consensus has established recommendations. The

One of the most concerning papers in this issue of BJOG is a study from the Netherlands noting an increased percentage of maternal deaths (through one year postpartum) are due to suicide (Lommerse et al, BJOG 2024). The percentage of maternal deaths in the Netherlands due to suicide increased from 18% between 1996 to 2005, to 28% between 20006 to 2020. Indeed, suicide is now the leading cause of maternal

ObjectiveTo investigate pelvic floor dysfunction (PFD; urinary incontinence (UI), faecal incontinence (FI) and prolapse) ≥20 years after childbirth and their association with delivery mode history and demographic characteristics.DesignCohort study with long‐term follow‐up.SettingMaternity units in Aberdeen and Birmingham (UK) and Dunedin (NZ).PopulationWomen giving birth in 1993/1994.MethodsPostal

ObjectivePregnancy complicated with type B aortic dissection is a rare but devastating condition. Guidelines for managing this condition are lacking. We present our observation and experiences in managing five pregnant women with complicated type B aortic dissection in the second or third trimesters, aiming to gain insights that can aid in proposing an appropriate management strategy.DesignA retrospective

A Serous Tubal Intraepithelial Carcinoma (STIC) without concomitant invasive carcinoma is occasionally identified and associated with a high risk of subsequent peritoneal carcinomatosis. Management needs optimisation. This study explores professionals' opinions and clinical practices regarding the diagnosis, counselling, treatment and follow-up of isolated STIC to facilitate clinical decision making

ObjectiveTo explore how women with Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome experience dilation or surgical vaginal lengthening treatment, and their current sexual well‐being.DesignA qualitative interview study.SettingDenmark.PopulationWomen aged ≥25 years diagnosed with MRKH syndrome.MethodsSemi‐structured video interviews were conducted with 18 women. Interviews lasted a median of 92 min and

ObjectiveTo quantify the variation, triggers and impact on quality of life of symptom flares in women with chronic pelvic pain (CPP).DesignCross‐sectional questionnaire within the Translational Research in Pelvic Pain clinical cohort study.SettingWomen with CPP, with subgroups of women with endometriosis (EAP), interstitial cystitis/bladder pain syndrome (BPS), comorbid endometriosis and interstitial

ObjectiveTo determine the prevalence and secular trends of obstetric anal sphincter injuries (OASIS) in vacuum and forceps deliveries in Norway, both with and without episiotomy.DesignPopulation‐based real‐world data collected during 2001–2018.SettingMedical Birth Registry Norway.Population or SampleNulliparous women with singleton foetuses in a cephalic presentation delivered by either vacuum or forceps

ObjectiveTo evaluate whether physical function and quality of life was influenced by discharge on the same‐day after a total laparoscopic hysterectomy.DesignMulticentre non‐inferiority randomised controlled trial.SettingFive teaching hospitals and two university hospitals in the Netherlands.PopulationPatients undergoing laparoscopic hysterectomy for benign or premalignant disease.MethodsFollowing informed

To compare the effectiveness of endometriosis excision alone to excision plus hysterectomy, with and without bilateral oophorectomy, for endometriosis-related symptoms.

To compare stillbirth rates and risks for small for gestational age (SGA), large for gestational age (LGA) and appropriate for gestational age (AGA) pregnancies at 24–44 completed weeks of gestation using a birth-based and fetuses-at-risk approachs.

The aim of this manuscript is to develop evidence-based clinical algorithms for the assessment and management of spontaneous, uncomplicated labour and vaginal birth. The population is pregnant women at any stage of labour, with singleton, term pregnancies considered to be at low risk of developing complications in health facilities in low and middle income countries. We searched for relevant published

To examine the prevalence of overactive bladder (OAB) according to menopausal stages in middle-aged women.

CONFLICT OF INTEREST STATEMENT YO receives royalties from UpToDate and BMJ Best Practice as an author and also is on the Scientific Advisory Board for Sonio, LLC, but none of these are related in any way to this commentary.

The use of donor gametes to conceive is increasing in many high-income countries. One reason for this is that the average age of women at first birth has increased in the last few decades and is now around 30 years in many countries (oe.cd/fdb). This in turn increases the risk of age-related infertility and the need for donor eggs. There is also now more acceptance of non-traditional families, such

BackgroundClinical and preclinical evidence indicate that in utero maternal asthma exposure increases progeny asthma risk. Whether maternal asthma also increases the risks of progeny allergy is unclear.ObjectivesTo synthesise the available evidence on the relationship between in utero exposure to maternal asthma and postnatal asthma, wheezing and allergic diseases (Prospero: CRD42020201538).Search

BackgroundApproximately 50% women who give birth after obstetric anal sphincter injury (OASI) develop anal incontinence (AI) over their lifetime.ObjectiveTo evaluate current evidence for a protective benefit of planned caesarean section (CS) to prevent AI after OASI.Search StrategyMEDLINE/PubMed, Embase 1974–2024, CINAHL and Cochrane to 7 February 2024 (PROSPERO CRD42022372442).Selection CriteriaAll

Cervical cerclage is an established intervention for the management of pregnancies at high risk of preterm birth. Although studies exist to support its use in certain situations, particularly in singleton pregnancies, many questions such as adjunct therapies and efficacy in specific subgroups of high‐risk women have not been fully elucidated. This review will assess the current evidence as well as

The rise in carbon dioxide (CO2) in the atmosphere has contributed significantly to climate change, which has been called the greatest threat to human health.1, 2 The healthcare system accounts for 4.4% of all CO2 emissions worldwide, more than global aviation, with the United States contributing 27% of this effect.3, 4 Telemedicine has been adopted in various medical disciplines with the emergence

ObjectiveDetermine prevalence, risk factors and outcomes of hypertensive disorders in pregnancy (HDP).DesignCross‐sectional analysis of data captured in the Maternal and Perinatal Database for Quality, Equity and Dignity (MPD‐4‐QED) between September 2019 and August 2020.SettingFifty‐four referral level facilities in Nigeria.PopulationWomen whose pregnancy ended (irrespective of the location or duration

To identify current practices in the management of selective fetal growth restriction (sFGR) in monochorionic diamniotic (MCDA) twin pregnancies.

CONFLICT OF INTEREST STATEMENT EJC is Chair of the Research Advisory Committee of the Eve Appeal. The authors have no conflicts of interest.

ObjectiveTo utilise combined diffusion‐relaxation MRI techniques to interrogate antenatal changes in the placenta prior to extreme preterm birth among both women with PPROM and membranes intact, and compare this to a control group who subsequently delivered at term.DesignObservational study.SettingTertiary Obstetric Unit, London, UK.PopulationCases: pregnant women who subsequently spontaneously delivered

“I would rather stand three times with a shield in battle than give birth once.” (Euripides, Medea 251) Misoprostol, a synthetic analogue of prostaglandin E1, was approved in 1988, for the prevention and treatment of peptic ulcers associated with the use of nonsteroidal anti-inflammatory drugs. It is hard to believe that a drug initially used by gastroenterologists could become a crucial medication

ObjectiveTo investigate the positive rate of late‐onset gestational diabetes mellitus (GDM) by additional fasting blood glucose (FBG) screening at 32–34 gestational weeks (GW) and analyse the perinatal outcomes of late‐onset GDM after standard treatment.DesignAn Prospective cohort study.SettingSingle centre in China.Population1130 singleton pregnancies with negative GDM screening in their first and

ObjectiveTo investigate the association between postpartum haemorrhage (PPH) and subsequent cardiovascular disease.DesignPopulation‐based retrospective cohort study, using record linkage between Aberdeen Maternity and Neonatal Databank (AMND) and Scottish healthcare data sets.SettingGrampian region, Scotland.PopulationA cohort of 70 904 women who gave birth after 24 weeks of gestation in the period

To characterise pregnant women diagnosed with primary or recurrent cancer who died during pregnancy, during delivery or within 1 year postpartum.