Obstetrics and gynaecology

A review of publications relating to significant advances in the specialty of Obstetrics and Gynaecology over the past four years will be discussed: topics reviewed will have an important impact on reducing maternal/fetal morbidity and mortality and should improve on woman's health care.peer-reviewe

The role of immunogenetic factors in the aetiology of pre-eclamptic toxaemia of human pregnancy

2 volume setThesis (M.D.) -- University of Adelaide, Dept. of Obstetrics and Gynaecology, 197

Faecal incontinence persisting after childbirth : a 12 year longitudinal study

© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.Peer reviewedPostprin

Psychometric properties of the Pelvic Organ Prolapse Symptom Score

Objective To assess the internal consistency, construct validity and sensitivity to change of a pelvic organ prolapse symptom score (POP-SS). Design Analysis of data from three prolapse studies, including symptomatic and asymptomatic women who completed the POP-SS. Setting (1) A community setting in New Zealand, (2) two gynaecology outpatient departments in Scotland and (3) a gynaecological surgery department in Scotland. Population or sample (1) Participants from a survey of postnatal women at 12-year follow up, invited to complete a prolapse questionnaire and have prolapse assessment, (2) new gynaecology outpatients presenting with prolapse symptoms, randomised to pelvic floor muscle training (PFMT) or control and (3) women having anterior and/or posterior prolapse surgery, randomised to mesh insert or no mesh. Method Data were analysed to assess internal consistency, construct validity and sensitivity to change of the POP-SS. Main outcome measures Cronbach's alpha, significance of differences in POP-SS scores between studies and significance of difference in POP-SS scores pre- to post-intervention. Results For internal consistency, Cronbach's alpha ranged from 0.723 to 0.828. Women having surgery had higher POP-SS scores than those having conservative management (mean difference 5.0, 95% CI 3.1–6.9), who in turn had higher scores than the asymptomatic women (mean difference 5.9, 95% CI 4.4–7.4). Significant differences in POP-SS score were detected after surgery and PFMT. The improvement due to surgery was significantly greater than that associated with PFMT (z =−3.006, P = 0.003). Conclusion The POP-SS has good internal consistency and construct validity and is sensitive to change.1 ProLong: University of Otago Postgraduate Scholarship in Obstetrics and Gynaecology. 2 POPPY: Health Services Research Committee grant, Chief Scientist Office, Scottish Government. 3 IMPRESS: None

Prevalence of rear seat belt use among pregnant women in a suburban area of Japan

学位記番号：保博甲122 This is the accepted version of the following article: FULL CITE, which has been published in final form at [https://doi.org/10.1111/jog.13468]

Reflecting on the methodological challenges of recruiting to a United Kingdom-wide, multi-centre, randomised controlled trial in gynaecology outpatient settings

Peer reviewedPublisher PD

ROLE OF FETAL THIGH CIRCUMFERENCE IN ESTIMATION OF BIRTH WEIGHT BY ULTRASOUND

OBJECTIVE: To evaluate the accuracy and usefulness of predicting birth weight by measuring fetal thigh circumference by ultrasound. METHODS: In 110 pregnant women, fetuses without structural or chromosomal anomalies were studied prospectively and cross-sectionally. Thigh circumference (TC) was determined at the mid level of the thigh. Biparietal diameter (BPD), Head circumference (HC), Abdominal circumference (AC), and Femur length (FL) were measured using standard techniques. Fetal weights were estimated within a week prior to delivery. Statistical analysis of various ultrasound birth weight formulae in different weight categories was done and compared with each other and also with clinical methods. RESULTS: Estimated fetal birth weight using TC correlated well with actual birth weights in all categories and was superior to clinical and birth weight formulae using BPD, HC, AC and FL measurements. CONCLUSIONS: There was a good correlation between ultrasound measurement and actual postnatal measurements of thigh circumference (r2=0.89, p<0.01). Thigh circumference measurement was simple and there was better accuracy when it was combined along with BPD, HC, AC and FL measurements

Gestational Diabetes Mellitus (GDM) : excellent control or non-disease

The National Diabetes Data Group makes the case for universal screening of the obstetrical population. The American College of Obstetrics and Gynaecology (ACOG), falls short of recommending universal screening, and suggests instead that screening should be reserved for pregnant women 30 years or older unless they have risk factors. In this article the author states that the practising obstetrician faces a dilemma when it comes to gestational diabetes mellitus which appears to be impossible to resolve.peer-reviewe

Antimicrobial catheters for reduction of symptomatic urinary tract infection in adults requiring short-term catheterisation in hospital : a multicentre randomised controlled trial

Copyright © 2012 Elsevier Ltd. All rights reserved. PMID: 23134837 [PubMed - indexed for MEDLINE]Peer reviewedPostprin