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Incidence of neonatal sepsis after universal antenatal culture-based screening of group B streptococcus and intrapartum antibiotics: a multicentre retrospective cohort study BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-10 Ying Tze Viola Chan, Steven Yuk Fai Lau, Shuk Yi Annie Hui, Teresa Ma, Choi Wah Kong, Lee Ting Kwong, Diana Chan, Diana Lee, Sau Lan Mok, Vinci Ma, Yim Chong Lo, Kwok Yin Leung, Wing Cheong Leung
To compare the incidences of early and late-onset neonatal sepsis, including group B streptococcus (GBS) and Escherichia coli (E.coli) before and after implementation of universal screening and intrapartum antibiotics prophylaxis (IAP).
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Patient’s preference for sacrospinous hysteropexy or modified Manchester operation: a discrete choice experiment BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-10 Sascha F. M. Schulten, Brigitte Essers, Kim J. B. Notten, Rosa A. Enklaar, Sanne A. L. van Leijsen, Hugo W. F. van Eijndhoven, Kirsten B. Kluivers, Mirjam Weemhoff
To investigate women’s preference for modified Manchester(MM) or sacrospinous hysteropexy(SH) as surgery for uterine prolapse.
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Impact of simulation training on the management of shoulder dystocia and incidence of permanent brachial plexus birth injury: an observational study BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-10 M. Kaijomaa, M. Gissler, O. Äyräs, A. Sten, P. Grahn
To study the impact of shoulder dystocia (SD) simulation training on the SD management and the incidence of permanent brachial plexus birth injury (BPBI).
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Impact of lifetime lactation on the risk and duration of frequent vasomotor symptoms: A longitudinal dose-response analysis BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-10 Natalie V. Scime, Alison K. Shea, Peter Faris, Erin A. Brennand
To examine the association between lifetime lactation and risk and duration of frequent vasomotor symptoms (VMS).
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Editorial BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-09 Bob Silver
Deputy Editor-in-Chief, Bob Silver, discusses his main topic in an audio podcast available at: https://soundcloud.com/bjog/September-editorial-2022
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Intrahepatic cholestasis of pregnancy BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-09 Joanna Girling, Caroline L. Knight, Lucy Chappell
This is the third edition of the guideline. The first edition was published in 2006 and the second in 2011 under the title Obstetric Cholestasis.
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Induction of labour and caesarean delivery rates: The need for a national and international consensus. BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-10 Eric Jauniaux
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It's never too late to prevent neonatal sepsis. BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-10 Mark Turrentine
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Where the Ockenden report goes wrong: let us keep calm and follow the evidence. BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-10 Ank de Jonge,Raymond De Vries,Eugene Declercq
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The added value of digital imaging to reflex cytology for triage of high-risk human papillomavirus positive self-sampled material in cervical cancer screening: a prospective cohort study BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-03 Danique Wiersma, Anne Vinke, Albert G. Siebers, Willem J. G. Melchers, Ruud L. M. Bekkers, Diede L. Loopik
Cytology performed directly on hrHPV-positive self-samples (reflex-cytology) is feasible and for women with abnormal cytology, an additional cytology test at the general practitioner could be omitted. The aim of this study is to assess the added-value of digital-imaging (ThinPrep® Imaging System) on the clinical utility of reflex-cytology by reducing screening-error.
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Association between high levels of comorbid anxiety and depressive symptoms and decreased likelihood of birth without intervention: a longitudinal prospective cohort study BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-03 Lianne P. Hulsbosch, Myrthe G. B. M. Boekhorst, Paul Lodder, Eva S. Potharst, Ivan Nyklíček, Veerle Bergink, S. Guid Oei, Corine J. M. Verhoeven, Victor J. M. Pop
To assess the association between trajectories of comorbid anxiety and depressive (CAD) symptoms assessed at each pregnancy trimester and physiological birth.
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Variability in COVID-19 vaccination rates in pregnant women: Vaccine hesitancy or supply limitations? BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-03 Robert L. Goldenberg, Seemab Naqvi, Sarah Saleem, Elizabeth McClure
We thank Drs Sookaromdee and Wiwanitkit for their interest in our paper describing COVID-19 vaccine knowledge, attitude and practices among pregnant women in the eight sites of the Global Network for Women’s and Children’s Health, and especially for their focus on discrepancies in vaccination rates and vaccine hesitancy among pregnant women.1, 2 Several health data systems track population vaccination
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Emergency Caesareans are associated with increased risk of recurrent early preterm birth: a commentary. BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-08 Agnieszka Glazewska-Hallin,Hannah Rosen O'Sullivan,Andrew Shennan
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Children after uterus transplantation: 2-year outcomes from the Dallas UtErus Transplant Study (DUETS) BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-03 Philipp Schulz, Giuliano Testa, Jackie R. York, Liza Johannesson
To describe outcomes in the first 2 years of life for the children born in the Dallas UtErus Transplant Study.
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Re: Reducing health inequality in Black, Asian and other minority ethnic pregnant women: impact of first-trimester combined screening for placental dysfunction on perinatal mortality: The dangers of biological essentialism in addressing birth equity: Re: Reducing health inequality in Black, Asian and other minority ethnic pregnant women: Impact of first-trimester combined screening for placental dysfunction BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-01 Isioma Dianne Okolo,Krithi Ravi,Tejumola Adegoke
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Author's reply re: The dangers of biological essentialism in addressing birth equity. BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-01 Becky Liu,Morakinyo Alakaloko,Alexander Frick,Amarnath Bhide,Basky Thilaganathan
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Re: Impact of analysis technique on our understanding of the natural history of labour. BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-01 Bradley S de Vries,Mark Lauer,Sarah McDonald,Farmey A Joseph,Rhett Morton,Jon A Hyett,Hala Phipps,Kevin McGeechan
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Choices facing pregnant women regarding COVID-19 vaccination BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-08-01 Pathum Sookaromdee, Viroj Wiwanitkit
We congratulate Naqvi et al.1 on their study that reports knowledge, attitudes and practices of pregnant women regarding COVID-19 vaccination, from the Global Network for Women and Children’s Health Research.1 This COVID-19 vaccine survey in seven LMICs indicated that knowledge regarding the vaccine’s effectiveness and safety was typically poor but did vary. Concerns regarding vaccine safety and effectiveness
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Laser treatment for genitourinary syndrome of menopause BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-07-27 Christian Phillips, Timothy Hillard, Stefano Salvatore, Linda Cardozo, Philip Toozs-Hobson
Genitourinary syndrome of menopause (GSM) is the term used to describe the group of symptoms including vaginal pain, vaginal dryness, itching, pain during sexual intercourse and fragile vaginal tissues as well as urinary symptoms including urinary frequency, urgency, incontinence, blood in the urine (haematuria) and recurrent urinary tract infections that occur due to a lack of the hormone estrogen
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An mHealth-Supported antenatal lifestyle intervention may be associated with improved maternal sleep in pregnancy: Secondary analysis from the PEARS trial BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-07-25 Helena C. Bartels, Maria A. Kennelly, Sarah Louise Killeen, Karen L. Lindsay, Rachel K. Crowley, Fionnuala M. McAuliffe
To investigate the effect of an antenatal diet and exercise intervention during pregnancy on sleep duration. As a secondary objective, associations between sleep duration and gestational weight gain (GWG), maternal metabolic parameters and pregnancy outcomes were assessed.
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Ropivacaine perineal infiltration for postpartum pain management in episiotomy repair: a double-blind, randomised, placebo-controlled trial BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-07-25 Claire Cardaillac, Lucie Planche, Agnès Dorion, Stéphane Ploteau, Thibault Thubert, Emelyne Lefizelier, Norbert Winer, Guillaume Ducarme
To investigate whether perineal infiltration of ropivacaine after episiotomy would decrease the incidence of postpartum pain compared with placebo.
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Copy number variants and placental abnormalities in stillborn fetuses: A secondary analysis of the Stillbirth Collaborative Research Network study BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-07-25 Tsegaselassie Workalemahu, Susan Dalton, Amanda Allshouse, Andrew Z. Carey, Jessica M. Page, Nathan R. Blue, Vanessa Thorsten, Robert L. Goldenberg, Halit Pinar, Uma M. Reddy, Robert M. Silver
To examine the association of fetal/placental DNA copy number variants (CNVs) with pathologic placental lesions (PPLs) in pregnancies complicated by stillbirth.
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Use of combined oral contraceptives and risk of venous thromboembolism in young women: a nested case–control analysis using German claims data BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-07-25 Tania Schink, Christina Princk, Malte Braitmaier, Ulrike Haug
To compare the risk of venous thromboembolism (VTE) among young women for nine combined oral contraceptives (COCs), including progestogens with an as yet unclear risk of VTE such as chlormadinone and nomegestrol, using COCs containing levonorgestrel with low ethinylestradiol (<50 μg) as a reference.
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Current and prior human papillomavirus (HPV) type and cytology results enable risk assessment for triage to colposcopy BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-07-24 Sarah Feldman
The findings reported by Gustafson et al., that, among Danish women aged 45+, the rate of cervical intraepithelial neoplasia grade 2+ (CIN2+) was significantly higher (32.4%) in specimens from large loop excision of the transformation zone (LLETZ) than in colposcopic biopsies (14.7%), is based on a thoughtful analysis. Patients were screened and managed using Danish guidelines, which included predominantly
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How should we interpret lactate in labour? A reference study BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-07-22 Samuel Dockree, Joseph O'Sullivan, Brian Shine, Tim James, Manu Vatish
To investigate maternal lactate concentrations in labour and the puerperium.
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‘Petrificus Totalus’: Dynamic consent in obstetric practice? BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-07-20 Harsha Ananthram, Ajay Rane
1 DYNAMIC CONSENT Dynamic consent (DC) is ‘an approach to informed consent supported by an electronic interface’ that allows patients to ‘revisit and review consent decisions over time’.1 DC emphasises ‘communication and engagement on information delivered through a variety of media, over time, recognising the importance of catering for various informational needs and ensuring accessibility’.1 Currently
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Mode of delivery and maternal sexual wellbeing: A longitudinal study BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-07-20 Florence Z. Martin, Paul Madley-Dowd, Viktor H. Ahlqvist, Egill Jónsson-Bachmann, Abigail Fraser, Harriet Forbes
To investigate the association between mode of delivery and subsequent maternal sexual wellbeing.
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Robotic surgery in gynaecology BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-07-17 Marielle A. E. Nobbenhuis, Nahid Gul, Peter Barton-Smith, Orfhlaith O'Sullivan, Esther Moss, Thomas E. J. Ind
The use of robotic-assisted keyhole surgery in gynaecology has expanded in recent years owing to technical advances. These include 3D viewing leading to improved depth perception, limitation of tremor, potential for greater precision and discrimination of tissues, a shorter learning curve and improved comfort for surgeons compared with conventional keyhole and open abdominal surgery. Robotic-assisted
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Editorial BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-07-10 John M. Thorp
Deputy Editor-in-Chief, John M. Thorp Jr., discusses his top articles from this issue in an audio podcast available at: https://soundcloud.com/bjog/August-editorial-2022
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Cervical ablation versus excision for CIN2/3: What is the current evidence? BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-07-05 Dimitrios Papoutsis
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Randomised trial of population-based BRCA testing in Ashkenazi Jews: long-term secondary lifestyle behavioural outcomes BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-07-04 Matthew Burnell, Faiza Gaba, Monika Sobocan, Rakshit Desai, Saskia Sanderson, Kelly Loggenberg, Sue Gessler, Lucy Side, Angela F. Brady, Huw Dorkins, Yvonne Wallis, Chris Jacobs, Rosa Legood, Uziel Beller, Ian Tomlinson, Jane Wardle, Usha Menon, Ian Jacobs, Ranjit Manchanda
Ashkenazi-Jewish (AJ) population-based BRCA testing is acceptable, cost-effective and amplifies primary prevention for breast & ovarian cancer. However, data describing lifestyle impact are lacking. We report long-term results of population-based BRCA testing on lifestyle behaviour and cancer risk perception.
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Subclinical hypothyroidism and antithyroid autoantibodies in women with subfertility or recurrent pregnancy loss BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-28 Rima K. Dhillon-Smith, Kristien Boelaert, Yadava B. Jeve, Abha Maheshwari, Arri Coomarasamy
The thyroid is a gland located in the neck and is important for many processes in the body. Problems with the thyroid gland are common in women of reproductive age. It is essential to have a normal working thyroid gland in order to achieve a successful pregnancy. One of the most common problems with the thyroid is underactivity (known as hypothyroidism). An early, mild form of an underactive thyroid
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More answers are needed before proposing surgical management of pudendal nerve entrapment after sacrospinous ligament fixation. BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-27 Nicola Adanna Okeahialam,Indranil Banerjee,Ka Woon Wong,Ranee Thakar,Abdul H Sultan
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Hypertension during pregnancy BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-20 Patrick Chien
Deputy Editor-in-Chief, Dr Patrick Chien, discusses his top articles from this issue in an audio podcast available at: https://soundcloud.com/bjog/July-editorial-2022
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Corrigendum BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-20
DOI: 10.1111/1471-0528.17010 In the article by van Beek et al,1 in page 530, under Prognostic model of the Methods section, there is an error in the regression formula to predict survival below in which the plus sign ‘+’ before 0.47 should have been ‘−’: The formula should have read: LP(Survival)=−10.28+0.46⋅gestation+0.47⋅1birthweight2+0.45⋅gender+−0.28⋅gest23. The online version has been updated
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Corrigendum BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-20
DOI: 10.1111/1471-0528.16292 In the article by Xu et al1, there are errors in the affiliation details for author C. Xu and F. Yang. Affiliation ‘a’ was incorrect and affiliation ‘g’ should be removed. The affiliation for the first and last author should read as follows: Cailing Xua,b, Fang Yanga,b aDepartment of Fetal Medicine and Prenatal Diagnosis, Zhujiang Hospital, Southern Medical University,
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Author reply: “The need for serial monitoring of COVID-19 vaccine uptake among pregnant and postpartum individuals” BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-19 Kartik K. Venkatesh, Maged M. Costantine, Kara M. Rood
Sir, We agree that tracking changes in vaccination patterns over time in the peripartum period is critical.1 The follow up in our cohort2 was relatively short (6 months), and further follow up is needed. Such data may highlight how pregnancy and the postpartum period, including breastfeeding, may impact coronavirus disease 2019 (COVID-19) vaccination relative to other less transient factors, including
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Efficacy, acceptability and safety of ablative versus excisional procedure in the treatment of histologically confirmed CIN2/3: A systematic review BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-11 Li Zhang, Catherine Sauvaget, Isabel Mosquera, Partha Basu
Outcomes of earlier systematic reviews of the efficacy of ablative and excisional techniques to treat cervical intraepithelial neoplasia grade 2 or 3 (CIN2/3) were biased, as most of the included studies did not compare the techniques head-to-head.
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Fetal movement trials: Where is the evidence in settings with a high burden of stillbirths? BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-10 Natasha Housseine, Joyce Browne, Nanna Maaløe, Brenda Sequeira Dmello, Sam Ali, Muzdalifat Abeid, Tarek Meguid, Marcus J. Rijken, Hussein Kidanto
Fetal movement (FM) is a sign of fetal life and wellbeing that is felt by the pregnant woman, and reduced FM is known to precede stillbirths.1, 2 Therefore, healthcare providers may advise women to monitor and report if their babies’ movements are fewer than usual. In high-income countries (HICs), there has been a renewed interest in FM with a recent wave of large-scale randomised controlled clinical
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Clinician bias on the low-resource workfloor BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-10 Evelyn Verheijen
In this study in two low- and middle-income country (LMIC) settings in Asia, expert panels who looked at cause of death of premature neonates, with significantly more information available, found far more birth asphyxia and less respiratory distress syndrome (RDS) than the discharging neonatal intensive care unit (NICU) physicians did. Some NICU physicians attributed respiratory distress in the premature
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Clinical utility of p16/Ki67 dual-stain cytology for detection of cervical intraepithelial neoplasia grade two or worse in women with a transformation zone type 3: A cross-sectional study BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-10 Line Winther Gustafson, Mette Tranberg, Pia Nørgaard Christensen, Rikke Brøndum, Nicolas Wentzensen, Megan A. Clarke, Berit Andersen, Lone Kjeld Petersen, Pinar Bor, Anne Hammer
To evaluate the clinical utility of p16/Ki67 dual-stain (DS) compared with cytology for detecting cervical intraepithelial lesion grade two or worse (CIN2+) in women with a transformation zone type 3 (TZ3).
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Once a caesarean: Prediction of pelvic floor injury is needed BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-10 Sophia Brismar Wendel
Obstetric anal sphincter injury (OASI) is a dreaded complication of vaginal delivery as it may cause anal incontinence, erode self-image, impair an active lifestyle and shatter sexual relationships. Most countries and clinicians strive actively to reduce the prevalence of OASI in their practice, and some care bundles to prevent OASI have been effective (Laine et al. BMJ Open 2012;2:5). Risk factors
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Expectant management for women with prelabour rupture of membranes in the presence of GBS at 34-37 weeks' gestation. BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-08 Kassam Mahomed
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Top Scoring Abstracts of the RCOG World Congress 2022. BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-01
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The need for serial monitoring of COVID-19 vaccine uptake among pregnant and postpartum individuals BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-01 Rujittika Mungmunpuntipantip, Viroj Wiwanitkit
Sir, We would like to comment on the recent publication by Germann et al., on the association of initial coronavirus disease 2019 (COVID-19) vaccine hesitancy with subsequent vaccination among pregnant and postpartum individuals.1 We read with interest that COVID-19 vaccination hesitation persisted throughout the peripartum period, and only a few people who were hesitant at baseline were later immunised
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The need for serial monitoring of COVID-19 vaccine uptake among pregnant and postpartum individuals. BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-01 Rujittika Mungmunpuntipantip,Viroj Wiwanitkit
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Re: Impact of analysis technique on our understanding of the natural history of labour. BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-06-01 Jun Zhang,James Troendle,João P Souza,Olufemi T Oladapo
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Idiopathic intracranial hypertension: Evaluation of births and fertility through the Hospital Episode Statistics dataset BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-05-27 Mark Thaller, Jemma Mytton, Benjamin R. Wakerley, Susan P. Mollan, Alexandra J. Sinclair
Idiopathic intracranial hypertension (IIH) predominantly affects women of reproductive age with obesity, and these women have a distinct profile of hyperandrogenism and insulin resistance. Polycystic ovary syndrome (PCOS) has an established adverse fertility phenotype that typically affects obese women. As IIH may impact reproductive health, we sought to evaluate fertility, gestational complications
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Maternal race and pre-eclampsia: Cohort study and systematic review with meta-analysis BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-05-27 Anastasjja Arechvo, Diana Voicu, María M. Gil, Argyro Syngelaki, Ranjit Akolekar, Kypros H. Nicolaides
To examine the association between race and pre-eclampsia and gestational hypertension after adjustment for factors in maternal characteristics and medical history in a screening study from the Fetal Medicine Foundation (FMF) in England, and to perform a systematic review and meta-analysis of studies on pre-eclampsia.
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Risk of obstetric anal sphincter injuries at the time of admission for delivery: A clinical prediction model BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-05-27 Douglas Luchristt, Ana Rebecca Meekins, Congwen Zhao, Chad Grotegut, Nazema Y. Siddiqui, Brooke Alhanti, John Eric Jelovsek
To develop and validate a model to predict obstetric anal sphincter injuries (OASIS) using only information available at the time of admission for labour.
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Fertility preservation for women with ovarian endometriosis: it is time to adopt this as routine practice. BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-05-25 Martin Hirsch,Christian Becker,Melanie Davies
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Can a tragedy serve to improve the quality of placenta accreta spectrum care in the future? BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-05-25 Albaro José Nieto-Calvache,Lorgio Rudy Aguilera,Julio Fernández,Wilson Mereci,Edgar Iván Ortiz,Stiven Ernesto Sinisterra-Díaz,Juliana Maya
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Obstetrics and gynaecology in an Ethiopian war zone. BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-05-25 Awol Yemane,Hale Teka,Frewoini Tesfay,Hagos Gidey,Ashenafi Tekle,Ytbarek Tadesse,Mohammedtahir Yahiya,Habtom Tadesse,Birhane Amare,Fanos Gebru,Mulugeta G/Her,Selam Hailay,Tsega G/Mariam,Yibrah Berhe,L Lewis Wall
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Treatment of twin–twin transfusion syndrome: “They also serve who only stand and wait” BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-05-25 Mariano Lanna
The widespread knowledge of monochorionic (MC) twin pregnancy complications among obstetricians has led to the identification of more and more cases at risk of twin–twin transfusion syndrome (TTTS) even before 16 weeks of gestation, the time when MC surveillance is supposed to start according to guidelines (NICE guidelines 2019). Based on the report of reference ranges of amniotic fluid in MC twins
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Personalised pre-eclampsia prevention—Are we a step further? BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-05-25 Neville J. Fields, Rui Wang, Kirsten R. Palmer
Personalised medicine seeks to identify individuals who will benefit most (maximal effects and/or minimal risk) from a particular treatment. The use of aspirin in women at high-risk of preterm pre-eclampsia is an excellent example of personalised pre-eclampsia prevention (Rolnik et al. NEJM. 2017;377:613–22). What do we know about other preventative strategies, such as calcium supplementation? In this
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Potential missed opportunities for antenatal corticosteroid exposure and outcomes among periviable births: Observational cohort study BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-05-24 Colm P. Travers, Nellie I. Hansen, Abhik Das, Matthew A. Rysavy, Edward F. Bell, Namasivayam Ambalavanan, Myriam Peralta-Carcelen, Alan T. Tita, Krisa P. Van Meurs, Waldemar A. Carlo
To test the hypothesis that potential missed opportunities for antenatal corticosteroids increase as gestational age decreases and are associated with adverse outcomes.
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Gender inclusivity in women’s health research BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-05-21 Lori A. Brotto, Liisa A. M. Galea
The advent of greater inclusivity of minority groups in research and clinical trials is long overdue. The historical lack of representation of women and gender minorities in the medical literature has led to an over-reliance on male physiology and experience to understand disease. It is important to recognise that to understand and respond to the known health disparities among groups that research
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Putting patients at the centre of pain management BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-05-21 Alexandra Wojtaszewska, Arvind Vashisht, Martin Hirsch
Pelvic pain affects 15% of women yet we still have limited understanding of the underlying mechanisms involved, resulting in a dearth of effective treatments. Chronic pain represents an increasing burden on both individuals and societies, negatively influencing finances, productivity and psychological wellbeing (Mathias et al. Obstet Gynecol 1996;87:321–7). Establishing the association between pelvic
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Putting patients at the centre of pain management. BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-05-21 Alexandra Wojtaszewska,Arvind Vashisht,Martin Hirsch
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Increased variability of fetal heart rate during labour: a review of preclinical and clinical studies BJOG An Int. J. Obstet. Gynaecol. (IF 7.331) Pub Date : 2022-05-21 Mikko J. Tarvonen, Christopher A. Lear, Sture Andersson, Alistair J. Gunn, Kari A. Teramo
Increased fetal heart rate variability (FHRV) in intrapartum cardiotocographic recording has been variably defined and poorly understood, limiting its clinical utility. Both preclinical (animal) and clinical (human) evidence support that increased FHRV is observed in the early stage of intrapartum fetal hypoxaemia but can also be observed in a subset of fetuses during the preterminal stage of repeated