Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Dec 2015
Comparative StudySurgical methods for tubal pregnancy - effects on ovarian response to controlled stimulation during IVF.
Tubal pregnancy is often treated by surgery: salpingotomy or salpingectomy. Concern has been raised regarding the risk of compromising the vascular and nervous supply to the ovary, following salpingectomy. The aim of this study was to investigate whether the ovarian response to controlled ovarian stimulation for in vitro fertilization (IVF) is reduced after salpingectomy in comparison with salpingotomy, among women undergoing IVF subsequent to surgical treatment of tubal pregnancy. ⋯ Among women undergoing IVF after surgery for tubal pregnancy, the ovarian response was not influenced by the surgical method. Our results do not support the theory that salpingectomy, compared with salpingotomy, impairs ovarian reserve measured as number of oocytes retrieved during subsequent IVF treatment.
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Acta Obstet Gynecol Scand · Dec 2015
Neonatal outcomes after the obstetric near-miss events uterine rupture, abnormally invasive placenta and emergency peripartum hysterectomy - prospective data from the 2009-2011 Finnish NOSS study.
Neonatal outcomes after the maternal obstetric near-miss complications of uterine rupture, abnormally invasive placenta, and emergency peripartum hysterectomy were assessed. ⋯ The prospective data collected from clinicians, combined with the information gathered from national health registers, provided valuable insights into rare maternal near-miss cases. These complications also predisposed stillbirth and neonatal death. In this study, 75% of fetal losses were associated with uterine rupture.
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Acta Obstet Gynecol Scand · Dec 2015
Multicenter Study Observational StudyCan we improve the prediction of pouch of Douglas obliteration in women with suspected endometriosis using ultrasound-based models? A multicenter prospective observational study.
A negative "sliding sign" during transvaginal sonography (TVS) is associated with pouch of Douglas (POD) obliteration at laparoscopy in women with suspected endometriosis. The aim of the current study was to develop and validate mathematical ultrasound models to determine whether a combination of TVS markers could improve the prediction of POD obliteration as compared with the TVS "sliding sign" alone. ⋯ Incorporation of TVS markers such as bowel endometriosis, endometrioma and ovarian fixation into mathematical models does not appear to improve the prediction of POD obliteration as compared with the TVS "sliding sign" alone.