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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.
Latest articles from the International Journal of Gynecology & Obstetrics:
Pregnancy constitutes a period of heightened risk for domestic violence, which can be physical, sexual, psychological, or emotional. A woman may be at risk irrespective of race, age, socioeconomic status, or educational level . The abdomen is the most common target for physical violence .
Pilot study outcomes from a resource-limited setting for a low-cost training program for laparoscopic surgical skills.Thursday, 6th March 2014
Training initiatives for expanding the use of laparoscopic surgery in resource-limited regions could have significant benefits for the health outcomes and economies of the population .
Female genital mutilation and efforts to achieve Millennium Development Goals 3, 4, and 5 in southeast Nigeria.Wednesday, 5th March 2014
Abstract: Objective: To determine the prevalence of female genital mutilation (FGM), the common forms of FGM, reasons for the practice, associated obstetric outcomes, and how these have affected efforts to achieve Millennium Development Goals (MDGs) 3, 4, and 5 in southeast Nigeria.Methods: A prospective descriptive study of parturients in southeast Nigeria was conducted from January to December 2012. All primigravid women attending delivery services at 2 health institutions during the study period were recruited, examined, and classified using the 2008 WHO classification for FGM.Results: The mean age of the 516 participants was 27.24±4.80years and most (66.3%) had undergone FGM. Type II FGM was the most common form, accounting for 59.6% of cases. Most FGM procedures were performed in infancy (97.1%) and for cultural reasons (60.8%). Women who had undergone FGM had significantly higher risk for episiotomy, perineal tear, hemorrhage, cesarean delivery, neonatal resuscitation, fresh stillbirth/early neonatal death, and longer hospitalization, with higher risk ratios associated with higher degrees of FGM.Conclusion: FGM is still a common practice in southeast Nigeria, where its association with adverse reproductive outcomes militates against efforts to achieve MDGs 3, 4, and 5.
Abstract: Objective: To investigate risk factors for hepatitis B virus (HBV) intrauterine infection.Methods: Peripheral blood samples and clinical data were collected from 174 pregnant women who were positive for hepatitis B surface antigen (HBsAg). Their 176 neonates received an active–passive immunization schedule at 0, 1, and 6months. Blood samples from the infants, collected before immune prophylaxis administration, were tested for HBV markers and HBV DNA.Results: The intrauterine infection rate at 6months after birth was 5.1%. Maternal HBV DNA positivity (OR 11.362; 95% CI, 1.389–92.931), hepatitis B e antigen (HBeAg) positivity (OR 7.278; 95% CI, 1.734–30.538), and thalassemia minor (OR 15.619; 95% CI, 2.239–108.964) were associated with intrauterine infection. The intrauterine infection rate for mothers with 105 copies/mL of serum HBV DNA or more was 18.2%, compared with 0.8% for mothers with less than 105 copies/mL.Conclusion: A positive HBsAg test at 24hours and/or 1month of age followed by a positive test at 6months is an objective and comprehensive criterion for the diagnosis of HBV intrauterine infection. Maternal HBV DNA positivity (especially 105 copies/mL of HBV DNA or more), HBeAg positivity, and thalassemia minor are risk factors for HBV intrauterine infection.
Etiology, treatment, and reproductive prognosis of women with moderate-to-severe intrauterine adhesions.Tuesday, 4th March 2014
Abstract: Objective: To analyze data from the hysteroscopic adhesiolysis of moderate-to-severe intrauterine adhesions (IUAs), and to review the disease etiology, changes in menstruation, uterine recovery, and reproductive prognosis of women after comprehensive therapy.Methods: In a retrospective descriptive analysis, clinical data were assessed from 683 patients with moderate-to-severe IUAs who were treated by hysteroscopic adhesiolysis at Third Xiangya Hospital, Changsha, China, between January 2007 and December 2011. Patients underwent comprehensive treatment. After hysteroscopic adhesiolysis, a persistent balloon urinary catheter was inserted, together with an intrauterine device (IUD). Intrauterine sodium hyaluronate gel was injected to prevent adhesion reformation, and oral estrogen was administered to promote endometrial regeneration. The outcomes were menstrual changes and uterine recovery under hysteroscopy, and the reproductive prognosis of patients with fertility intentions.Results: At the 3-month follow-up, the postoperative recovery of uterine shape was better than the recovery of menstruation among patients with moderate-to-severe IUAs. Among the 475 patients with fertility intentions, the pregnancy and live birth rates were 66.1% (314/475) and 64.0% (201/314), respectively.Conclusion: Comprehensive treatment prevented the recurrence of IUAs to a certain extent, but some severe endometrial injuries were found to be irreparable, reducing the rate of subsequent pregnancy and live birth.
Cervical cancer is the second most frequent cancer among women and represents the third most common cause of cancer-related death worldwide. In French Guiana—a French overseas territory in South America—the age-standardized incidence rate of cervical cancer is 4 times higher than that in France, and the mortality rate is 5.5 times higher. These rates are close to those in the neighboring countries of Brazil and Suriname, despite a higher gross domestic product (GDP) per capita .
Abstract: Objective: To investigate whether a virtual reality simulator (LapSim) and traditional box trainer are effective tools for the acquisition of basic laparoscopic skills, and whether the LapSim is superior to the box trainer in surgical education.Methods: In a study at Ege University School of Medicine, Izmir, Turkey, between September 2008 and March 2013, 40 first- and second-year residents were randomized to train via the LapSim or box trainer for 4weeks, and 20 senior residents were allocated to a control group. All 3 groups performed laparoscopic bilateral tubal ligation. Video records of each operation were assessed via the general rating scale of the Objective Structured Assessment of Laparoscopic Salpingectomy and by operation time in seconds.Results: Compared with the control group, the LapSim and box trainer groups performed significantly better in total score (P<0.01 and P<0.01, respectively) and time (P=0.03 and P=0.01, respectively). There were no differences between the LapSim and box trainer groups.Conclusion: Novice residents who trained on a LapSim or box trainer performed better live laparoscopies than residents who trained via standard clinical surgical education. Training with a virtual reality simulator or box trainer should be considered before actual laparoscopic procedures are carried out.
Abstract: Objective: To assess the magnitude of postpartum depression among women in Upper Egypt, in addition to the role of newborn gender.Methods: A cross-sectional study was conducted at the outpatient family-planning clinic of a university hospital. Women were enrolled if their first offspring was female and if they had 2 previous deliveries, the last within 3months; no obstetric complications; regular marital life; middle social class or higher; and no past or family history of psychiatric illness. The Edinburgh Postnatal Depression Scale (EPDS) and Beck Depression Inventory (BDI) were used to assess the prevalence and severity of postpartum depressive symptoms.Results: Of the 290 participants, 150 had a female second child (group 1) and 140 had a male second child (group 2). Overall, 113 (39.0%) women scored more than 13 on the EPDS: 70 in group 1 and 43 in group 2. Of the 113 women, 35 (31.0%) scored mild, 29 (25.7%) scored moderate, and 49 (43.4%) scored severe on the BDI. Significantly more women with a female second child had severe depression (P<0.001).Conclusion: Postpartum depressive symptoms were common among the present sample of women in Upper Egypt. Having female-only offspring is an important potential risk factor for postpartum depression and its severity.
Abstract: Objective: To compare quality-of-life gender differences within infertile couples from Tunisia and between infertile couples and controls.Methods: The present case–control study included 100 couples with primary infertility who, during 2009, underwent assisted reproductive technology at Farhat Hached Hospital in Sousse, Tunisia, and 100 control couples. The 36-item Short-Form Health Survey (SF-36) was administered to assess quality of life.Results: Compared with male controls, men in the infertility group had lower scores in the mental dimension (P=0.020), social functioning (P=0.007), and role–emotional (P<0.001) categories of the SF-36. Women in the infertility group had lower mental and physical dimension scores (P<0.001) and lower vitality (P=0.022), social functioning (P<0.001), role–emotional (P<0.001), and mental health (P<0.001) scores than female controls. Within infertile couples, female partners had lower total (P=0.01) and mental dimension (P<0.001) scores than their spouses. Delay of the first consultation was correlated with bodily pain, vitality, and mental health among women in the infertility group.Conclusion: Women in infertile couples had a lower quality of life than their spouses, and infertile couples had a lower quality of life than controls. These findings confirm the need for psychological support for infertile couples.
Rabies is almost 100% fatal, unless post exposure prophylaxis is administered . Maternal death caused by rabies is particularly tragic since the disease is preventable. The present report describes an unusual case of maternal death from rabies and delivery of a healthy neonate.