European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2016
Detection of circulating tumour cells may add value in endometrial cancer management.
To evaluate the role of circulating tumour cells (CTCs) in patients with endometrial cancer (EC). ⋯ The presence of CTCs was correlated with cervical involvement. Early-stage EC patients with CTCs may benefit from additional adjuvant therapies. Assessment of CTCs may be useful in the management of high-risk EC patients.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2016
Comparative StudyC-reactive protein response is higher in early than in late ovarian hyperstimulation syndrome.
Many in vitro fertilization (IVF) complications are inflammatory by nature, some of which are even life-threatening. We evaluated the response of C-reactive protein (CRP) in IVF complications, especially in early and late ovarian hyperstimulation syndrome (OHSS), to support clinical decision making in gynecological emergency policlinics. ⋯ Early OHSS associates with a distinct rise in CRP level beyond that induced by uncomplicated oocyte pick-up, whereas the CRP levels in late OHSS are comparable to those in the control cycles. CRP identifies, but cannot distinguish IVF complications.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2016
Peripartum hysterectomy incidence, risk factors and clinical characteristics in Ireland.
The incidence of peripartum hysterectomy (PH) shows fifty-fold variation worldwide (0.2-10.5/1000 deliveries) and risk factors include advancing maternal age and parity, previous caesarean section (CS) and abnormal placentation. ⋯ The incidence of PH in Ireland has been consistently low over 15 years, averaging one case every 3000 deliveries. The recognised risk factors of MAP, placenta praevia and PPH were independently associated with PH, with MAP being by far the strongest predictor. The vast majority of PH cases in our clinical audit were associated with MOH. Some deficiencies were noted in antenatal care, in certain elements of treatment and clinical governance protocols but adherence to guidelines was generally high.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2016
Correlations between impulsiveness and biochemical parameters in women with polycystic ovary syndrome.
The aim of this study was to investigate the relationship between anger, impulsiveness, and biochemical parameters (testosterone, insulin, insulin resistance) in women with polycystic ovary syndrome. ⋯ Androgens and glucose dysregulation seemingly affect anger expression as well as the attentional, motor, and non-planning-related impulsiveness of women with polycystic ovary syndrome.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2016
Randomized Controlled Trial Multicenter StudyEpidural analgesia during labour, routinely or on request: a cost-effectiveness analysis.
To assess the cost-effectiveness of routine labour epidural analgesia (EA), from a societal perspective, as compared with labour analgesia on request. ⋯ Routine labour EA generates comparable costs as analgesia on request, but results in more operative deliveries and more EA-related maternal adverse effects. Based on cost-effectiveness, no preference can be given to routine labour EA as compared with analgesia on request.