International journal of gynaecology and obstetrics : the official organ of the International Federation of Gynaecology and Obstetrics
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Int J Gynaecol Obstet · Apr 2020
Prophylactic uterine artery embolization during cesarean delivery for placenta previa complicated by placenta accreta.
To evaluate the efficacy and safety of prophylactic uterine artery embolization (UAE) during cesarean delivery for women with placenta previa complicated by placenta accreta. ⋯ Prophylactic intraoperative UAE seemed to effectively reduce blood loss, need for blood transfusion, and incidence of DIC among women with placenta previa complicated by placenta accreta.
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Int J Gynaecol Obstet · Apr 2020
Laparoscopic metroplasty for unicornuate uterus with a functional noncommunicating rudimentary horn.
To evaluate the feasibility of laparoscopic metroplasty for the treatment of unicornuate uterus with a functional noncommunicating rudimentary horn. ⋯ Laparoscopic metroplasty, with or without robotic assistance, is an acceptable alternative to resection for a noncommunicating rudimentary horn with a functional endometrium.
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Int J Gynaecol Obstet · Mar 2020
The association between intrauterine balloon tamponade volume and postpartum hemorrhage outcomes.
To determine the effect of intrauterine balloon tamponade (IUBT) on the outcomes of postpartum hemorrhage (PPH) according to the balloon volume and to investigate the clinical factors associated with poor PPH outcomes. ⋯ It is better to avoid unnecessary balloon inflation in IUBT if the bleeding is reduced, and more attention should be paid to the procedure when the balloon is large (≥350 mL) than when it is small (<350 mL).
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FIGO's priority is to address the barriers of clinicians to respond to violence against women through the use of advocacy, training and services.
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Int J Gynaecol Obstet · Feb 2020
Sexual violence against women. The role of gynecology and obstetrics societies in Brazil.
Sexual violence is highly prevalent although barely visible in most countries. While its prevention is a task of the whole society, the care of the women who suffer sexual violence, from immediate assistance to treatment of its consequences, is a responsibility of obstetricians-gynecologists. ⋯ The role of obstetricians-gynecologists in solving this problem is described, giving as an example the work of the Brazilian Federation of Gynecology and Obstetrics Societies (FEBRASGO). After 5 years of work of a special FEBRASGO Committee, services for the comprehensive care of women victims of sexual violence exist in all mayor cities in Brazil and are rapidly expanding.