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Is the scalpel the greatest proof of the failure of medicine?
Sebastian Gidlöf
doi : 10.1111/aogs.14257
Volume 100, Issue 10 p. 1755-1755
COVID-19 pandemic and population-level pregnancy and neonatal outcomes: a living systematic review and meta-analysis
Jie Yang,Rohan D’Souza,Ashraf Kharrat,Deshayne B. Fell,John W. Snelgrove,Kellie E. Murphy,Prakesh S. Shah,
doi : 10.1111/aogs.14206
Volume 100, Issue 10 p. 1756-1770
Conflicting reports of increases and decreases in rates of preterm birth (PTB) and stillbirth in the general population during the COVID-19 pandemic have surfaced. The objective of our study was to conduct a living systematic review and meta-analyses of studies reporting pregnancy and neonatal outcomes by comparing the pandemic and pre-pandemic periods.
Progress in the management of ovarian granulosa cell tumor: A review
Junting Li,Ran Chu,Zhongshao Chen,Jinyu Meng,Shu Yao,Kun Song,Beihua Kong,
doi : 10.1111/aogs.14189
Volume 100, Issue 10 p. 1771-1778
Ovarian granulosa cell tumor (GCT) is a rare, low-grade malignant tumor that accounts for 70% of the sex cord-stromal tumors. It has two histopathologic types with different clinical and biologic features: adult GCT and juvenile GCT. Most women diagnosed with the adult GCT have a favorable prognosis, with a 5-year survival rate of 97%–98%, but adult GCT has a feature of late relapse; the recurrence time could be more than 20 years after diagnosis. Juvenile GCT has a survival rate of 97% in stage I and a 5-year survival rate of 0%–22% in advanced stage with earlier recurrence than adult GCT. Consequently, the scenario emphasizes the need for early diagnosis, standardized treatment protocols, and long-term follow up. However, there is a lack of consensus regarding accurate diagnosis of GCT and adjuvant treatment. Furthermore, GCT tends to occur in young women, which emphasizes the viability of fertility-sparing surgery. The current review performed a systematic literature review of 60 articles to summarize the latest advances in GCT, with an emphasis on the molecular pathogenesis and survival after fertility-sparing surgery. We found that young women with fertility-sparing surgery had a desirable reproductive and survival outcome compared with those undergoing radical surgery.
The combined use of endometrial ablation or resection and levonorgestrel-releasing intrauterine system in women with heavy menstrual bleeding: A systematic review
Tamara J. Oderkerk,Majorie M.A. van de Kar,Carlijn H.M. van der Zanden,Peggy M.A.J. Geomini,Malou C. Herman,Marlies Y. Bongers,
doi : 10.1111/aogs.14219
Volume 100, Issue 10 p. 1779-1787
Despite endometrial ablation/resection being a very successful treatment for women with heavy menstrual bleeding, re-intervention with additional surgery is needed in 12%–25% of cases. Introducing a levonorgestrel-intrauterine system (LNG-IUS) immediately after ablation could preserve the integrity of the uterine cavity and suppress the regenerated or non-ablated endometrial tissue. Therefore, this combined treatment can perhaps lower the re-intervention rate. The aim of this systematic review was to assess the impact of the combined treatment.
The diagnostic accuracy of human epididymis protein 4 (HE4) for discriminating between benign and malignant pelvic masses: a systematic review and meta-analysis
Maria Olsen,Pien Lof,Anna Stiekema,Daan van den Broek,Erica A. Wilthagen,Patrick M. Bossuyt,Christianne A. R. Lok,
doi : 10.1111/aogs.14224
Volume 100, Issue 10 p. 1788-1799
Many women with benign pelvic masses, suspected of ovarian cancer, are unnecessarily referred for treatment at specialized centers. There is an unmet clinical need to improve diagnostic assessment in these patients. Our objective was to obtain summary estimates of the accuracy of human epididymis protein (HE4) for diagnosing ovarian cancer and to compare the performance of HE4 with that of cancer antigen 125 (CA125).
Gender incongruence in Denmark, a quantitative assessment
Malene Hilden,Dorte Glintborg,Marianne Skovsager Andersen,Natacha Kyster,Steen Christian Rasmussen,Anders Tolstrup,Øjvind Lidegaard,
doi : 10.1111/aogs.14227
Volume 100, Issue 10 p. 1800-1805
The number of persons with gender incongruence referred to health care is increasing, but national data on the incidence of gender incongruence are lacking. The aim of this study was to quantify the development in number of individuals with gender incongruence over time and to estimate the national incidence in Denmark.
High maternal blood lipid levels during early pregnancy are associated with increased risk of congenital heart disease in offspring
Li Cao,Yan Du,Mo Zhang,Feng Wang,Jian-Yuan Zhao,Yun-Yun Ren,Yong-Hao Gui,
doi : 10.1111/aogs.14225
Volume 100, Issue 10 p. 1806-1813
This study aimed to investigate whether maternal blood lipid levels during early pregnancy are associated with the occurrence of congenital heart disease (CHD) in their offspring.
Streptococcus agalactiae do not penetrate human chorioamniotic membranes in vitro but alter their biomechanical properties
Nasteha A. Mohamed,Mogens Hinge,Ole H. Larsen,Uffe B. S. Sørensen,Niels Uldbjerg,Lene N. Nejsum,
doi : 10.1111/aogs.14232
Volume 100, Issue 10 p. 1814-1821
Vaginal colonization with Streptococcus agalactiae (group B streptococci) is hypothesized to constitute a risk factor for preterm prelabor rupture of membranes. In vitro studies have shown that S. agalactiae strains isolated from infants with neonatal sepsis adhere to chorion cells of the human chorioamniotic membrane. However, it is still unknown whether S. agalactiae strains penetrate the chorioamniotic membranes and whether S. agalactiae colonization affects the biomechanical properties of the membranes and thus contributes to increased risk of preterm prelabor rupture. The aim of this in vitro study was to explore if different strains of S. agalactiae penetrate and affect the biomechanical properties of human chorioamniotic membranes.
The association of endometriosis with work ability and work life participation in late forties and lifelong disability retirement up till age 52: A Northern Finland Birth Cohort 1966 study
Henna-Riikka Rossi,Outi Uimari,Riikka Arffman,Eeva Vaaramo,Linda Kujanpää,Leena Ala-Mursula,Terhi T. Piltonen,
doi : 10.1111/aogs.14210
Volume 100, Issue 10 p. 1822-1829
Endometriosis may cause a deterioration of daily functioning due to related symptoms such as pain, fatigue and psychological distress. Accordingly, endometriosis may jeopardize work ability, as suggested in mainly survey-based case–control studies, including clinically established cases at fertile age. This is the first general population-level study to evaluate how endometriosis is associated with (1) self-rated work ability and sick leave dates at age 46 years, (2) registered disability and unemployment days between age 46 and 48 and (3) lifelong emergence of registered disability retirement up to age 52.
Post robotic investment: Cost consequences and impact on length of stay for obese women with endometrial cancer
Malene Korsholm,Dorte Gyrd-Hansen,Ole Mogensen,Sören Möller,Siv L. Joergensen,Pernille T. Jensen,
doi : 10.1111/aogs.14237
Volume 100, Issue 10 p. 1830-1839
The aim of the study was to investigate whether robotic-assisted surgery is associated with lower incremental resource use among obese patients relative to non-obese patients after a Danish nationwide adoption of robotic-assisted surgery in women with early-stage endometrial cancer. This is a population-based cohort study based on registers and clinical data.
Uterine artery closure at the origin vs at the uterus level in total laparoscopic hysterectomy: A randomized controlled trial
Stefano Uccella,Simone Garzon,Gabriele Lanzo,Davide Gallina,Mariachiara Bosco,Irene Porcari,Salvatore Gueli-Alletti,Stefano Cianci,Massimo Franchi,Pier Carlo Zorzato,
doi : 10.1111/aogs.14238
Volume 100, Issue 10 p. 1840-1848
The transfusion rate in hysterectomies for benign pathology is almost 3%. However, despite the strong interest in reducing intraoperative bleeding, limited evidence is available regarding the technical aspects concerning uterine vessel management during a total laparoscopic hysterectomy (TLH). Uterine artery (UA) closure in TLH can be performed at the origin from the internal iliac artery or at the uterus level (UL). However, low-quality evidence is available regarding the superiority of one method over the other.
Long-term growth in offspring of infertile parents: A 20-year follow-up study
Ninna Hinchely Ebdrup,Lena Hohwü,Bjørn Bay,Carsten Obel,Ulla Breth Knudsen,Ulrik Schiøler Kesmodel,
doi : 10.1111/aogs.14215
Volume 100, Issue 10 p. 1849-1857
Long-term growth has been poorly investigated in boys and girls born to parents receiving fertility treatment. This study aimed to investigate the growth of children born following fertility treatment up to adulthood hypothesizing comparable growth in children born to parents receiving fertility treatment or to subfertile parents conceiving spontaneously to that in children spontaneously conceived by fertile parents.
Paternal age over 50 years decreases assisted reproductive technology (ART) success: A single UK center retrospective analysis
Guy Morris,Dimitrios Mavrelos,Rabi Odia,Xavier Viñals Gonzalez,Suzanne Cawood,Ephia Yasmin,Wael Saab,Paul Serhal,Srividya Seshadri,
doi : 10.1111/aogs.14221
Volume 100, Issue 10 p. 1858-1867
To study whether paternal age exerts an effect, independent of maternal age, on the outcomes of fresh in vitro fertilization/ intracytoplasmic sperm injection (IVF/ICSI) cycles. Semen quality deteriorates with increasing paternal age; however, there is conflicting evidence for any impact paternal age may have on the outcome of IVF/ICSI. Several retrospective and prospective cohort studies have shown that paternal age increases the miscarriage rate and reduces the live birth rate. Some studies have shown no effect of paternal age on live birth rate or miscarriage rate. Studies involving donor oocytes have tended to show no independent effect of paternal age on assisted reproductive technology (ART) outcomes. The age at which paternal age may exert a significant deleterious effect on outcome is not known and there is no limit to paternal age in IVF/ICSI treatment.
Time points and risk factors for RhD immunizations after the implementation of targeted routine antenatal anti-D prophylaxis: A retrospective nationwide cohort study
Riina Jernman,Camilla Isaksson,Katri Haimila,Malla Kuosmanen,Kaarin Mäkikallio-Anttila,Suvi Toivonen,Maija-Riitta Ordén,Kati Sulin,Kati Tihtonen,Marja Vääräsmäki,Susanna Sainio,
doi : 10.1111/aogs.14216
Volume 100, Issue 10 p. 1868-1875
Targeted routine antenatal anti-D prophylaxis was introduced to the national prophylaxis program in Finland in late 2013. The aim of this study was to assess the incidence, time-points, and risk factors for Rhesus D immunization after the implementation of routine antenatal anti-D prophylaxis, in all women in Finland with antenatal anti-D antibodies detected in 2014–2017.
Soluble fms-like tyrosine kinase 1 (sFlt-1): A novel biochemical marker for acute fatty liver of pregnancy
Fabienne Trottmann,Luigi Raio,Sofia Amylidi-Mohr,Beatrice Mosimann,Araceli Jarquin Campos,Franz H. Messerli,Lorenz Risch,Marc U. Baumann,
doi : 10.1111/aogs.14218
Volume 100, Issue 10 p. 1876-1884
Acute fatty liver of pregnancy (AFLP) substantially contributes to maternal and neonatal morbidity and mortality. Other liver-associated pregnancy complications such as preeclampsia-associated HELLP (hemolysis, elevated liver enzyme, low platelet) syndrome may be difficult to differentiate from AFLP as these diseases overlap with regard to multiple clinical and laboratory features. The aim of this study was to investigate angiogenic profiles by measuring soluble fms-like tyrosine kinase-1 (sFlt-1) and placental growth factor (PlGF) in pregnancies compromised by AFLP and to compare them with those complicated by HELLP syndrome.
Offspring birthweight and placental weight—does the type of maternal diabetes matter? A population-based study of 319 076 pregnancies
Ellen M. Strøm-Roum,Anne M. Jukic,Anne Eskild,
doi : 10.1111/aogs.14217
Volume 100, Issue 10 p. 1885-1892
Our aim was to estimate the difference in birthweight and in placental weight in pregnancies with type 1 diabetes, type 2 diabetes, and gestational diabetes compared with pregnancies without diabetes.
The association between placenta-associated circulating biomarkers and composite adverse delivery outcome of a likely placental cause in healthy post-date pregnancies
Sophie Bowe,Birgitte Mitlid-Mork,Antoniya Georgieva,Jon M. Gran,Christopher W. G. Redman,Anne Cathrine Staff,Meryam Sugulle,
doi : 10.1111/aogs.14223
Volume 100, Issue 10 p. 1893-1901
Post-date pregnancies have an increased risk of adverse delivery outcome. Our aim was to explore the association between placenta-associated circulating biomarkers and composite adverse delivery outcome of a likely placental cause in clinically healthy post-date pregnancies.
Time matters—a Swedish cohort study of labor duration and risk of uterine rupture
Susanne Hesselman,Erik Lampa,Anna Wikman,Anna E. Törn,Ulf Högberg,Anna-Karin Wikström,Maria Jonsson,
doi : 10.1111/aogs.14211
Volume 100, Issue 10 p. 1902-1909
Uterine rupture is an obstetric emergency associated with maternal and neonatal morbidity. The main risk factor is a prior cesarean section, with rupture occurring in subsequent labor. The aim of this study was to assess the risk of uterine rupture by labor duration and labor management.
Does gestational age at term play a role in the association between cerebroplacental ratio and operative delivery for intrapartum fetal compromise?
Javier U. Ortiz,Oliver Graupner,Anne Karge,Sarah Flechsenhar,Bernhard Haller,Eva Ostermayer,Kathrin Abel,Bettina Kuschel,Silvia M. Lobmaier,
doi : 10.1111/aogs.14222
Volume 100, Issue 10 p. 1910-1916
To assess the impact of gestational age at term on the association between cerebroplacental ratio (CPR) and operative delivery for intrapartum fetal compromise (IFC) and prognostic performance of CPR to predict operative delivery for IFC.
Antepartum evaluation of the obstetric conjugate at transabdominal 2D ultrasound: A feasibility study
Elvira Di Pasquo,Nicola Volpe,Corinne Labadini,Giovanni Morganelli,Andrea Di Tonto,Giovanni B. L. Schera,Giuseppe Rizzo,Tiziana Frusca,Tullio Ghi,
doi : 10.1111/aogs.14226
Volume 100, Issue 10 p. 1917-1923
The obstetric conjugate represents the shortest anteroposterior diameter of the birth canal and it reflects the capacity of the pelvic inlet to allow the passage and the engagement of the fetal head. The antepartum evaluation of this parameter may be attempted at digital examination to predict the risk of cephalopelvic disproportion, but the accuracy of clinical pelvimetry is notoriously poor. The aim of our study was to describe the sonographic measurement of the obstetric conjugate at transabdominal 2D-ultrasound and to assess its reproducibility.
Changes in obstetric interventions and preterm birth during COVID-19: A nationwide study from Iceland
Kristjana Einarsdóttir,Emma Marie Swift,Helga Zoega,
doi : 10.1111/aogs.14231
Volume 100, Issue 10 p. 1924-1930
Previous evidence has been conflicting regarding the effect of coronavirus disease 2019 (COVID-19) pandemic lockdowns on obstetric intervention and preterm birth rates. The literature to date suggests potentially differential underlying mechanisms based on country economic setting. We aimed to study these outcomes in an Icelandic population where uniform lockdown measures were implemented across the country.
Unmet need for evidence of volume–outcome relation and maternal outcomes of placenta accreta spectrum
Hitomi Sakaguchi,Shinya Matsuzaki,Shoji Kamiura,
doi : 10.1111/aogs.14213
Volume 100, Issue 10 p. 1931-1931
Factors to consider when seeking better results in placenta accreta spectrum
Albaro J. Nieto-Calvache,Jose M. Palacios-Jaraquemada,Rozi A. Aryananda,
doi : 10.1111/aogs.14214
Volume 100, Issue 10 p. 1932-1933
