Imogen Jury,Kelly Thompson,Jane E. Hirst
doi : 10.1002/ijgo.13648
Volume 155, Issue 3 p. 319-330
Sepsis is a leading cause of maternal death. Antimicrobials save lives, but inappropriate overuse increases risk of antimicrobial resistance.
Samia Aziz,Shania Rossiter,Caroline S. E. Homer,Alyce N. Wilson,Liz Comrie-Thomson,Nick Scott,Joshua P. Vogel
doi : 10.1002/ijgo.13654
Volume 155, Issue 3 p. 331-344
Postpartum hemorrhage (PPH) is responsible for nearly one quarter of maternal deaths. A 2017 multicountry trial found that incorporating tranexamic acid (TXA) into the PPH management package was effective in reducing maternal death due to bleeding.
Linda C. Giudice,Erlidia F. Llamas-Clark,Nathaniel DeNicola,Santosh Pandipati,Marya G. Zlatnik,Ditas Cristina D. Decena,Tracey J. Woodruff,Jeanne A. Conry,the FIGO Committee on Climate Change and Toxic Environmental Exposures
doi : 10.1002/ijgo.13958
Volume 155, Issue 3 p. 345-356
Climate change is one of the major global health threats to the world's population. It is brought on by global warming due in large part to increasing levels of greenhouse gases resulting from human activity, including burning fossil fuels (carbon dioxide), animal husbandry (methane from manure), industry emissions (ozone, nitrogen oxides, sulfur dioxide), vehicle/factory exhaust, and chlorofluorocarbon aerosols that trap extra heat in the earth's atmosphere. Resulting extremes of weather give rise to wildfires, air pollution, changes in ecology, and floods. These in turn result in displacement of populations, family disruption, violence, and major impacts on water quality and availability, food security, public health and economic infrastructures, and limited abilities for civil society to maintain citizen safety. Climate change also has direct impacts on human health and well-being. Particularly vulnerable populations are affected, including women, pregnant women, children, the disabled, and the elderly, who comprise the majority of the poor globally. Additionally, the effects of climate change disproportionally affect disadvantaged communities, including low income and communities of color, and lower-income countries that are at highest risk of adverse impacts when disasters occur due to inequitable distribution of resources and their socioeconomic status. The climate crisis is tilting the risk balance unfavorably for women's sexual and reproductive health and rights as well as newborn and child health. Obstetrician/gynecologists have the unique opportunity to raise awareness, educate, and advocate for mitigation strategies to reverse climate change affecting our patients and their families. This article puts climate change in the context of women's reproductive health as a public health issue, a social justice issue, a human rights issue, an economic issue, a political issue, and a gender issue that needs our attention now for the health and well-being of this and future generations. FIGO joins a broad coalition of international researchers and the medical community in stating that the current climate crisis presents an imminent health risk to pregnant people, developing fetuses, and reproductive health, and recognizing that we need society-wide solutions, government policies, and global cooperation to address and reduce contributors, including fossil fuel production, to climate change.
Vani Sethi,Tashi Choedon,Ranadip Chowdhury,Neena Bhatia,Konsam Dinachandra,Zivai Murira,Arti Bhanot,Dinesh Baswal,Arjan de Wagt,Madhavi Bhargava,Indrapal Ishwarji Meshram,Giridhara R. Babu,Bharati Kulkarni,Hema Divakar,Chandni Maria Jacob,Sarah Louise Killeen,Fionnuala McAuliffe,Mini Vergehese,Sebanti Ghosh,Mark Hanson
doi : 10.1002/ijgo.13939
Volume 155, Issue 3 p. 357-379
This paper answers research questions on screening and management of severe thinness in pregnancy, approaches that may potentially work in India, and what more is needed for implementing these approaches at scale. A desk review of studies in the last decade in South Asian countries was carried out collating evidence on six sets of strategies like balanced energy supplementation (BEP) alone and in combination with other interventions like nutrition education. Policies and guidelines from South Asian countries were reviewed to understand the approaches being used. A 10-point grid covering public health dimensions covered by World Health Organization and others was created for discussion with policymakers and implementers, and review of government documents sourced from Ministry of Health and Family Welfare. Eighteen studies were shortlisted covering Bangladesh, India, Nepal, and Pakistan. BEP for longer duration, preconception initiation of supplementation, and better pre-supplementation body mass index (BMI) positively influenced birthweight. Multiple micronutrient supplementation was more effective in improving gestational weight gain among women with better pre-supplementation BMI. Behavior change communication and nutrition education showed positive outcomes on dietary practices like higher dietary diversity. Among South Asian countries, Sri Lanka and Nepal are the only two countries to have management of maternal thinness in their country guidelines. India has at least nine variations of supplementary foods and three variations of full meals for pregnant women, which can be modified to meet additional nutritional needs of those severely thin. Under the National Nutrition Mission, almost all of the globally recommended maternal nutrition interventions are covered, but the challenge of reaching, identifying, and managing cases of maternal severe thinness persists. This paper provides four actions for addressing maternal severe thinness through available public health programs, infrastructure, and human resources.
Tashi Choedon,Vani Sethi,Ranadip Chowdhury,Neena Bhatia,Konsam Dinachandra,Zivai Murira,Arti Bhanot,Dinesh Baswal,Arjan de Wagt,Madhavi Bhargava,Indrapal Ishwarji Meshram,Giridhara R. Babu,Bharati Kulkarni,Hema Divakar,Chandni Maria Jacob,Sarah Louise Killeen,Fionnuala McAuliffe,Ruby Alambusha,William Joe,Mark Hanson
doi : 10.1002/ijgo.13940
Volume 155, Issue 3 p. 380-397
To examine prevalence, risk factors, and consequences of maternal severe thinness in India.
Elisa Picardo,Maria G. Baù,Caterina Anatrone,Aurelia Mondino,Alessandra Surace,Federica Gallo,Saverio Danese,Marco Mitidieri
doi : 10.1002/ijgo.13825
Volume 155, Issue 3 p. 398-403
To analyze oncological patients’ perception of telemedicine during the COVID-19 pandemic.
Serdar Ayd?n,Ayse F. G. Karasu,Mustafa Mara?l?,Neslihan Bademler,Gürkan K?ran,Hanife R. Dural
doi : 10.1002/ijgo.13662
Volume 155, Issue 3 p. 404-410
To evaluate the interobserver and intraobserver reliability of smartphone colposcopy (SPC) versus conventional colposcopy and to determine diagnostic performance.
Raanan Meyer,Nir Meller,Aya Mohr-Sasson,Eiman Abu-Bandora,Adiel Cohen,Mordechai Tamir,Roy Mashiach,Gabriel Levin
doi : 10.1002/ijgo.13660
Volume 155, Issue 3 p. 411-416
To develop a risk score for preoperative prediction of recurrent adnexal torsion (rAT) among women with a history of previous adnexal torsion (AT).
Songul Unuvar,Rauf Melekoglu,Nese B. Turkmen,Ercan Yilmaz,Seyma Yasar,Hande Yuce
doi : 10.1002/ijgo.13666
Volume 155, Issue 3 p. 417-424
To compare the predictive value of serum levels of neopterin, periostin, YKL-40, tenascin-C (TNC), and indoleamine 2,3-dioxygenase (IDO) with current tumor markers for the primary diagnosis of early-stage endometrial cancer.
Salvatore Giovanni Vitale,Antonio Simone Laganà,Salvatore Caruso,Simone Garzon,Giada Maria Vecchio,Valentina Lucia La Rosa,Jvan Casarin,Fabio Ghezzi
doi : 10.1002/ijgo.13669
Volume 155, Issue 3 p. 425-432
To compare three types of biopsy forceps for hysteroscopic endometrial biopsy in postmenopausal women.
Cheong Lung Henry Wong,Po Lam So
doi : 10.1002/ijgo.13656
Volume 155, Issue 3 p. 433-441
To determine the prevalence of malignant lesions in endometrial polyps by hysteroscopic polypectomy, and risk factors for malignant transformation. The secondary aim was to evaluate background endometrium of atypical hyperplasia in endometrial polyps, and the risk of coexisting endometrial carcinoma after hysterectomy.
Alberto Agarossi,Giovanni Delli Carpini,Francesco Sopracordevole,Matteo Serri,Luca Giannella,Barbara Gardella,Marta Maestri,Anna Del Fabro,Matilde Sansone,Maria Grazia Fallani,Annalisa Pieralli,Maria Michela Fasolo,Cristina Mazzali,Andrea Ciavattini
doi : 10.1002/ijgo.13674
Volume 155, Issue 3 p. 442-449
To evaluate the risk factors for recurrence of high-grade disease after cervical excision in women living with HIV (WLWH), with a specific interest in the role of high-risk (HR-) HPV positivity.
Ezgi Turgut,Sule Goncu Ayhan,Deniz Oluklu,Eda Ozden Tokalioglu,Ozlem Moraloglu Tekin,Dilek Sahin
doi : 10.1002/ijgo.13916
Volume 155, Issue 3 p. 450-454
To evaluate fetal lung development using pulmonary artery Doppler in pregnant women who had recovered from COVID-19.
Samantha Budhram,Valerie Vannevel,Tanita Botha,Lawrence Chauke,Shastra Bhoora,Gaynor M. Balie,Natalie Odell,Hennie Lombaard,Amy Wise,Chrysanthi Georgiou,Nondumiso Ngxola,Emma Wynne,Unati Mbewu,Mfundo Mabenge,Sibusiso Phinzi,Nontsikelelo Gubu-Ntaba,Gareth Goldman,Kay Tunkyi,Sudhir Prithipal,Keshree Naidoo,Santhi Venkatachalam,Terence Moodley,Sean Mould,Mzuvele Hlabisa,Logie Govender,Charlene Maistry,John P. Habineza,Priya Israel,Serantha Foolchand,Nomandla V. Tsibiyane,Mala Panday,Priya Soma-Pillay,Sumaiya Adam,Felicia Molokoane,Matthew S. Mojela,Elizabeth J. van Rensburg,Tshililo Mashamba,Mushi Matjila,Sue Fawcus,Ayesha Osman,Mareli Venter,Gregory Petro,Ahminah Fakier,Eduard Langenegger,Catherine A. Cluver,Adrie Bekker,Liesl de Waard,Chantal Stewart,Nnabuike C. Ngene,Ongombe Lunda,Sylvia N.Cebekhulu,Siva Moodley,Mama-Asu Koranteng-Peprah,Emmanuel M. C. Ati,Salome Maswime,Laura M. Yates
doi : 10.1002/ijgo.13917
Volume 155, Issue 3 p. 455-465
To describe risk factors and outcomes of pregnant women infected with SARS-CoV-2 admitted to South African healthcare facilities.
Jose A. Puertas-Gonzalez,Carolina Mariño-Narvaez,Borja Romero-Gonzalez,Maria Isabel Peralta-Ramirez
doi : 10.1002/ijgo.13803
Volume 155, Issue 3 p. 466-474
To compare the postpartum psychopathological symptoms of women who gave birth before the pandemic with those who gave birth during the pandemic.
Carlos A. Scheler,Michelle G. Discacciati,Diama B. Vale,Giuliane J. Lajos,Fernanda Surita,Julio C. Teixeira
doi : 10.1002/ijgo.13804
Volume 155, Issue 3 p. 475-482
To estimate fatality rates due to severe acute respiratory distress syndrome (ARDS) related to COVID-19 in Brazilian women, comparing pregnant and postpartum women with nonpregnant women.
Maxi S. Kniffka,Natalie Nitsche,Roland Rau,Mine Kühn
doi : 10.1002/ijgo.13832
Volume 155, Issue 3 p. 483-489
To examine possible changes in the rate of stillbirths in Germany during the first COVID-19 lockdown.
Tzanka Vatcheva,Anne Mostaert,Valérie Van Ingelgem,Elisabeth Henrion,Ludovic Legros
doi : 10.1002/ijgo.13859
Volume 155, Issue 3 p. 490-495
To examine the impact of the coronavirus disease 2019 (COVID-19) pandemic and the resulting isolation measures on the risk of postpartum depression (PPD) after preterm birth.
Mehmet Obut,Deniz Balsak,Kemal Sarsmaz,Harun E. Tolunay,Erol N. Varl?,Dilek ?ahin,Aykan Yücel
doi : 10.1002/ijgo.13807
Volume 155, Issue 3 p. 496-504
To introduce a new handmade device, the double Foley catheter (DFC), and compare it with the Foley catheter (FC) and Cook cervical ripening balloon for its effectiveness in labor induction.
Run Li,Ju Zhang,Yan Gao,Yiqi Zhang,Xi Lan,Hongli Dong,Cheng Wu,Chengwei Yu,Min Peng,Guo Zeng
doi : 10.1002/ijgo.13584
Volume 155, Issue 3 p. 505-511
To explore the associations of duration and quality of sleep during pregnancy with preterm birth and small for gestational age (SGA).
Ahmed N. Afifi,Mohammad A. Taymour,Waleed M. El-Khayat
doi : 10.1002/ijgo.13604
Volume 155, Issue 3 p. 512-517
To evaluate the efficacy of isosorbide mononitrate (IMN) for stimulating cervical ripening among pregnant women with premature rupture of membranes (PROM) at or post term.
Hong-Li Liu,Shuai Huang,Xing Wang,Hong-Bo Qi,Jun-Nan Li,Lan Zhang
doi : 10.1002/ijgo.13590
Volume 155, Issue 3 p. 518-523
To analyze the discordances of the umbilical artery velocities between pregnancies with twin-twin transfusion syndrome (TTTS) at stage I and those with normal monochorionic-diamniotic (MCDA) twins, and investigate the value of their discordances in predicting TTTS at stage I.
Pietro Pinheiro Alves,Leila Costa Volpon,Fabio Carmona
doi : 10.1002/ijgo.13612
Volume 155, Issue 3 p. 524-531
To compare the outcomes of adolescent versus adult women during pregnancy and puerperium admitted to a dedicated intensive care unit (ICU) in Manaus, Amazonas, Brazil.
Yi Pei Goh,Peng Chiong Tan,Jesrine Gek Shan Hong,Sofiah Sulaiman,Siti Zawiah Omar
doi : 10.1002/ijgo.13613
Volume 155, Issue 3 p. 532-538
To evaluate the combined effect of massage and warm compress to the perineum (MassComp) compared with standard “hands-off” in the second stage of labor.
Ling Han,Ai Zheng,YaLi Chen
doi : 10.1002/ijgo.13782
Volume 155, Issue 3 p. 539-540
Alieu B. Sanneh
doi : 10.1002/ijgo.13812
Volume 155, Issue 3 p. 541-542
Kavita Khoiwal,Deepjyoti Kalita,Deepika Dhundi,Reena Kumari,Ravi Shankar,Amrita Gaurav,Anupama Bahadur,Jaya Chaturvedi
doi : 10.1002/ijgo.13928
Volume 155, Issue 3 p. 542-546
Allison Lankford,Jeffrey Berger,Ivy Benjenk,Amanda Jackson,Homa Ahmadzia,Michael Mazzeffi
doi : 10.1002/ijgo.13927
Volume 155, Issue 3 p. 547-548
Yamini Sarwal,Tanvi Sarwal,Rakesh Sarwal
doi : 10.1002/ijgo.13930
Volume 155, Issue 3 p. 549-550
Dan Feng,Li He
doi : 10.1002/ijgo.13820
Volume 155, Issue 3 p. 551-552
Mandisa Singata-Madliki,G Justus Hofmeyr
doi : 10.1002/ijgo.13817
Volume 155, Issue 3 p. 553-555
Bernard M. Dickens
doi : 10.1002/ijgo.13979
Volume 155, Issue 3 p. 556-560
Medical associations and leading courts reinforce the duty of physicians who conscientiously object to participating in treatment indicated for their patients to refer them to non-objecting practitioners. Ethical and legal duties require continuity of care when physicians withdraw from patients’ treatment on grounds of conscience. The duty to refer might affect gynecologists when their patients request for example, contraceptive means, sterilization, abortion, medically assisted reproductive procedures, or gender reassignment. Legislation and leading law courts, notably the UK Supreme Court and Constitutional Court of Colombia, and professional associations such as the College of Physicians and Surgeons of Ontario, have clarified the duty to refer. Physicians are expected to cater their individual conscience to their professional ethical and legal duties, favoring their patients’ choices over their personal objections. Physicians can object to “hands-on” conduct of procedures they find objectionable, but cannot deny referral on grounds of complicity in what other care providers do.
Lin Yang,Thomas Waldhoer
doi : 10.1002/ijgo.13977
Volume 155, Issue 3 p. 561-561
Imogen D. Grant,Dino A. Giussani,Catherine E. Aiken
doi : 10.1002/ijgo.13978
Volume 155, Issue 3 p. 562-562
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