The journal of obstetrics and gynaecology research
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J. Obstet. Gynaecol. Res. · Sep 2018
Unidirectional barbed suture for vaginal cuff closure without backward stitch in total laparoscopic hysterectomy.
To evaluate the safety and efficacy of unidirectional barbed suture technique for vaginal cuff closure in total laparoscopic hysterectomy (TLH). ⋯ According to the results of current study, the use of unidirectional barbed suture without backward stitching appears to be safe for the vaginal cuff closure in TLH.
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J. Obstet. Gynaecol. Res. · Jul 2018
Association of primary dysmenorrhea with anthropometrical and socio-economic factors in Polish university students.
To examine the prevalence and factors correlated with primary dysmenorrhea in young female subjects. ⋯ The results suggest that healthy body mass and lack of abdominal obesity may reduce the risk of PD.
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J. Obstet. Gynaecol. Res. · Jun 2018
Labor induction versus expectant management at early term in pregnancies with second trimester elevated human chorionic gonadotropin or alpha fetoprotein.
Elevated human chorionic gonadotropin (HCG) and alpha fetoprotein (AFP) have been linked to placental dysfunction and associated morbidities. We aimed to compare the induction of labor with expectant management at term in those pregnancies for the prevention of neonatal and maternal morbidities. ⋯ In pregnancies with elevated AFP and/or HCG, early term labor induction initiated a trend towards improvement in maternal outcome but increased the rate of mild neonatal morbidity. The statistical insignificance of the large effect on the maternal outcome might reflect the lack of statistical power. Further research is needed to address this limitation.
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J. Obstet. Gynaecol. Res. · May 2018
Review Meta AnalysisEffect of chewing gum on gastrointestinal function after gynecological surgery: A systematic literature review and meta-analysis.
Recently, several randomized controlled trials (RCT) reported the effect of chewing gum on gastrointestinal function after gynecological surgery; however, these results are inconsistent. The aim of this study was to systematically analyze the effect of chewing gum on postoperative gastrointestinal function and complications in women undergoing gynecological surgery. ⋯ Chewing gum is an effective measure to ameliorate gastrointestinal function and decrease complications after gynecological surgery.
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J. Obstet. Gynaecol. Res. · May 2018
Fetoscopic laser photocoagulation for twin-twin transfusion syndrome.
The aim of this study was to review fetoscopic laser photocoagulation (FLP), which ablates placental vascular anastomoses to treat twin-twin transfusion syndrome (TTTS). A review of studies reporting on the procedures, outcomes, complications and nonconventional applications of FLP for TTTS was conducted. FLP has been established as the primary treatment for monochorionic twin pregnancy associated with TTTS at 16-26 weeks. ⋯ FLP appears to be applicable in triplets, TTTS after 26 weeks and cases of selective intrauterine growth restriction with abnormal Doppler findings and oligohydramnios. FLP is the most common and successful fetal intervention. Improvement in the neurodevelopmental outcomes after FLP is a future focus.