International Journal of Gynecology & Obstetrics (IJGO)

The official journal of FIGO, the International Journal of Gynecology & Obstetrics, is published monthly and is available by subscription from the publishers, Elsevier Science.  

The Journal addresses a broad range of day-to-day problems encountered by Ob/Gyn practitioners worldwide.  It is distributed to subscribers, member societies of FIGO, those donating specific sums to the FIGO Charitable Foundation, Executive Board members and to medical libraries worldwide.

How to subscribe: Visit IJGO's subscription section. Personal subscribers can then access the full text of the journal.

Contacts: The Editorial Office of the Journal is located at the FIGO Secretariat in London. The Editor is Dr Timothy RB Johnson, who is based at the University of Michigan, Ann Arbor, Michigan, USA. 

Latest articles from the International Journal of Gynecology & Obstetrics:

Replacement of dilation and curettage/evacuation by manual vacuum aspiration and medical abortion, and the introduction of posta

Abstract: Manual vacuum aspiration (MVA) and medical abortion were introduced to replace dilation and curettage/evacuation for incomplete abortions, and postabortion contraception was provided in 5 selected public hospitals in Pakistan. In the largest hospital, an Ipas MVA training center since 2007, MVA use reached 21% in 2008. After the International Federation of Gynecology and Obstetrics (FIGO) and UNFPA provided MVA kits, MVA use increased dramatically to 70%−90% in 2010−2013. In 2 of the remaining 4 hospitals in which the Society of Obstetricians and Gynecologists of Pakistan trained doctors in May 2012 and January 2013, the target of having 50% of women managed by MVA and medical abortion (MA) was met; however, in the third hospital only 43% were treated with MVA and MA. In the fourth hospital, where misoprostol and electric vacuum aspiration use was 64% and 9%, respectively, before training, an MVA workshop introduced the technique. Postabortion contraception was provided to 9%−29% of women, far below the target of 60%.

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Achievements of the FIGO Initiative for the Prevention of Unsafe Abortion and its Consequences in South-Southeast Asia.

Abstract: Since 2008, the FIGO Initiative for the Prevention of Unsafe Abortion and its Consequences has contributed to ensuring the substitution of sharp curettage by manual vacuum aspiration (MVA) and medical abortion in selected hospitals in participating countries of South-Southeast Asia. This initiative facilitated the registration of misoprostol in Pakistan and Bangladesh, and the approval of mifepristone for “menstrual regulation” in Bangladesh. The Pakistan Nursing Council agreed to include MVA and medical abortion in the midwifery curriculum. The Bangladesh Government has approved the training of nurses and paramedics in the use of MVA to treat incomplete abortion in selected cases. The Sri Lanka College of Obstetricians and Gynaecologists, in collaboration with partners, has presented a draft petition to the relevant authorities appealing for them to liberalize the abortion law in cases of rape and incest or when lethal congenital abnormalities are present. Significantly, the initiative has introduced or strengthened the provision of postabortion contraception.

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A single-visit approach to cervical cancer prevention in rural Thailand.

Cervical cancer incidence and mortality in Thailand are nearly 3 and 4 times higher, respectively, than rates in more developed countries . Visual inspection with acetic acid (VIA), an effective method of accurately detecting precancerous lesions and testing and treatment within a single visit , has proven safe and acceptable in rural Thailand. The objective of the present study was to assess long-term results among women 7years after VIA screening.

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Increase in preference for female obstetricians and gynecologists in job advertisements in Turkey.

The number of male students applying to obstetrics and gynecology residency programs is decreasing . Although no evidence has been found that male physicians required more effort to find a suitable position or attended more job interviews , one of the plausible explanations is fear of being unable to secure employment after residency . Although some studies did not find a difference based on the gender of the physician, according to a recent study, most patients preferred a female obstetrician/gynecologist . Stereotyping and idealization of a physician’s gender in obstetrics and gynecology is a threat, especially in countries where religious and cultural influences play an important role in daily life. The purpose of the present study was to evaluate gender bias in obstetrics and gynecology job advertisements in Turkey.

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Evaluation of healthcare professionals’ understanding of eponymous maneuvers and mnemonics in emergency obstetric care provision

Abstract: Objective: To evaluate whether eponymous maneuvers and mnemonics taught for the management of shoulder dystocia, vaginal breech delivery, and uterine inversion were remembered and understood in practice.Methods: A questionnaire was distributed to obstetricians and midwives collecting information about the HELPERR and PALE SISTER mnemonics. Three extended matching questions evaluated participants’ knowledge of the correct maneuvers, with their matching eponyms, used in the management of shoulder dystocia, vaginal breech delivery, and uterine inversion.Results: Of the 112 participants, 90% were familiar with the HELPERR mnemonic, with 79% using it in their practice. Of those who used it, only 32% could correctly decipher it (P=0.032). PALE SISTER was mostly unfamiliar. The percentages of correct maneuvers used for managing shoulder dystocia, breech delivery, and uterine inversion were 84.6%, 58.3%, and 28.6%, respectively. However, the eponyms were correctly matched to their maneuvers in only 33.3%, 14.3%, and 0% of cases, respectively (P<0.01).Conclusion: The meanings of the mnemonics for obstetric emergencies were frequently recalled incorrectly. This, together with the poor correlation between knowledge of maneuvers and their eponyms, limits their usefulness and indicates that teaching should focus on learning without relying on mnemonics and eponyms.

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Contribution of obstetrics and gynecology societies in South America to the prevention of unsafe abortion in the region.

Abstract: Unsafe abortion is one of the most serious public health and human rights issues in South America. Rates are among the highest in the world and account for 13% of maternal deaths. Nine out of 10 South American countries have enrolled in the International Federation of Gynecology and Obstetrics (FIGO) Initiative for the Prevention of Unsafe Abortion and its Consequences. Each individual society of obstetrics and gynecology prepared a situational analysis, and an action plan was elaborated with the participation of their respective Ministries of Health, national and international agencies, and other collaborating institutions. Action plans were designed to respond to the problems identified in the situational analyses, with objectives corresponding with all or some of the 4 levels of prevention proposed in the FIGO initiative. This article reports the progress achieved in implementing the action proposed by each country, as well as some activities carried out in addition to those included in the formal plans.

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Contraception following abortion and the treatment of incomplete abortion.

Abstract: Family planning counseling and the provision of postabortion contraception should be an integrated part of abortion and postabortion care to help women avoid another unplanned pregnancy and a repeat abortion. Postabortion contraception is significantly more effective in preventing repeat unintended pregnancy and abortion when it is provided before women leave the healthcare facility where they received abortion care, and when the chosen method is a long-acting reversible contraceptive (LARC) method. This article provides evidence supporting these two critical aspects of postabortion contraception. It suggests that gynecologists and obstetricians have an ethical obligation to do everything necessary to ensure that postabortion contraception, with a focus on LARC methods, becomes an integral part of abortion and postabortion care, in line with the recommendations of the International Federation of Gynecology and Obstetrics and of several other organizations.

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Contribution of obstetrics and gynecology societies in West and Central African countries to the prevention of unsafe abortion.

Abstract: Unsafe abortion is a major public health issue in low-resource countries. In the countries of West and Central Africa, abortion-related maternal mortality rates are extremely high, the prevalence of modern contraceptive use is very low, and the unmet need for family planning is also high. The International Federation of Gynecology and Obstetrics (FIGO) Initiative for the Prevention of Unsafe Abortion and its Consequences has contributed substantially toward increasing awareness of the problem of abortion, bringing abortion-related issues to the attention of the professional societies, individual gynecologists and obstetricians, Ministries of Health, healthcare providers, and to the community in general. The promotion of quality postabortion care including the use of manual vacuum aspiration, misoprostol, and postabortion contraception has greatly improved access to services; however, there is still a long way to go.

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Prevalence and etiology of menstrual disorders in Lebanese university students.

A small number of publications, primarily from Europe , have reported on menstrual disorders in a broad set of adolescents and medical students. Publications from Lebanon have focused on dysmenorrhea and premenstrual syndrome in select samples of students from a single university or town in South Lebanon , but did not investigate all menstrual cycle abnormalities or their relationship with lifestyle. The present cross-sectional study was performed on a population-based sample of 18−25-year-old students from 6 universities in Lebanon.

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Contraceptive use among HIV-positive women in Enugu, southeast Nigeria.

Abstract: Objective: To determine the prevalence and pattern of, and factors associated with, contraceptive usage among HIV-positive women in Enugu, southeastern Nigeria.Methods: In a questionnaire-based cross-sectional study, 400 consecutive HIV-positive, sexually active women receiving care at the adult HIV clinics of 2 tertiary health institutions in Enugu were interviewed using pre-tested questionnaires between March and August 2012. Descriptive and inferential statistical analysis was carried out via Epi Info.Results: The rate of contraceptive use was 73.1%; 26.9% (n=91) of women were not using modern contraceptives. Male condoms were the most frequent contraception used (78.1%, n=193), but 48.2% of women reported inconsistent use. The proportion of women using a dual-contraceptive method was 25.1%; none used the female condom. Having a regular sexual partner was significantly associated with use of modern contraception (odds ratio, 73.00; 95% confidence interval, 34.13–156.13; P<0.001). Misconception and fear of adverse effects were the most common reasons for not using contraception.Conclusion: A considerable proportion of HIV-positive women in Enugu who did not desire to achieve pregnancy in the following 2years (26.9%) had an unmet need for contraception. The use of contraception prevents unintended pregnancy and subsequent mother-to-child transmission of HIV and should be promoted in the region.

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