Article
Biology
Shatha Awawdeh, Hasan Rawashdeh, Haneen Aljalodi, Rafeef Abu Shamleh, Sumyah Alshorman
Summary: The rate of cesarean section has increased worldwide, leading to concerns regarding mode of delivery in future pregnancies for women with a history of lower segment cesarean section. This paper aims to develop a clinical decision support system to evaluate the individualized likelihood mode of delivery for these women based on their unique characteristics. The study involved data pre-processing, feature selection, and the use of machine learning classifiers to build a prediction model. The results showed that imputing missing values and feature selection improved the efficiency of the model.
COMPUTATIONAL BIOLOGY AND CHEMISTRY
(2023)
Article
Nursing
Caroline S. E. Homer, Deborah L. Davis, Lyndall Mollart, Sabera Turkmani, Rachel M. Smith, Marian Bullard, Bernadette Leiser, Maralyn Foureur
Summary: The use of midwifery continuity of care does not significantly increase the proportion of women with a previous caesarean section who plan to attempt a vaginal birth in their current pregnancy. The models of care had more similarities than differences, suggesting that continuity of care could be described as informational continuity.
Article
Obstetrics & Gynecology
Hasan Rawashdeh, Haneen Aljalodi, Rafeef Abu Shamleh, Sumyah Alshorman, Heba AboShindi, Shatha Awawdeh
Summary: This study aimed to validate the two models of Grobman nomogram (the antenatal model and the intrapartum model) for predicting successful intended VBAC in a Jordanian population. A retrospective study was conducted using data from women who opted for TOLAC between January 2014 and December 2020. The results showed that both models are valid in the Jordanian population, and adopting the antenatal model can lead to a higher rate of successful TOLAC.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Article
Medicine, Research & Experimental
Alexandru Carauleanu, Ingrid Andrada Tanasa, Dragos Nemescu, Raluca Haba, Demetra Socolov
Summary: The VBAC rate in Romania is low, with main complications including postpartum hemorrhage and uterine atony; common injuries post-VBAC in the country are cervical tear, labial fissure, and vaginal tear; lack of confidence in the healthcare system leads many women to opt for attempting TOLAC at home.
EXPERIMENTAL AND THERAPEUTIC MEDICINE
(2021)
Article
Obstetrics & Gynecology
Andrea Tinelli, Ioannis P. Kosmas, Jose Tony Carugno, Howard Carp, Antonio Malvasi, Shlomo B. Cohen, Antonio Simone Lagana, Marta Angelini, Paolo Casadio, Jenifer Chayo, Ettore Cicinelli, Sandro Gerli, Jose Palacios Jaraquemada, Giulia Magnarelli, Mykhailo V. Medvediev, Jose Jimenez Metello, Luigi Nappi, Jude Okohue, Radmila Sparic, Radomir Stefanovic, Avinoam Tzabari, Antonella Vimercati
Summary: The study found that uterine rupture is associated with previous uterine surgery and fibroids, but does not increase exponentially with the number of surgeries. Various surgical methods are available for fertility preservation, and peripartum outcomes do not seem to be affected.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2022)
Review
Obstetrics & Gynecology
Birye Dessalegn Mekonnen, Aragaw Awoke Asfaw
Summary: This meta-analysis aimed to determine the predictors of successful vaginal birth after previous cesarean section in Ethiopia. The study found that living in rural residence, history of previous spontaneous vaginal delivery, previous successful vaginal birth after previous cesarean section, history of stillbirth, cervical dilation of >=4 cm at admission, and spontaneous ruptured membranes at admission were independent determinants of successful vaginal birth after previous cesarean section.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Article
Obstetrics & Gynecology
Patrick Rozenberg, Marie-Victoire Senat, Philippe Deruelle, Norbert Winer, Emmanuel Simon, Yves Ville, Gilles Kayem, Raphael Porcher, Elodie Perrodeau, Raoul Desbriere, Isabelle Boutron
Summary: This multicenter, randomized, controlled trial aimed to evaluate the impact of proposing mode of delivery based on ultrasound measurement of lower uterine segment thickness on maternal-fetal mortality and morbidity among pregnant women with previous cesarean delivery. The study results did not show a statistically significant difference in adverse outcomes between the study group and control group, indicating the need for further research due to low statistical power.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2022)
Article
Obstetrics & Gynecology
Yi Ting Chen, Yun-Chiao Hsieh, Hung Shen, Chin-Ho Cheng, Kuang-Han Lee, Pao-Ling Torng
Summary: Vaginal birth after cesarean delivery (VBAC) is a safe and feasible option for women with previous cesarean section. When considering trial of labor after cesarean section (TOLAC) for women with a history of cesarean section due to cephalo-pelvic disproportion (CPD), the modes of delivery should be thoroughly discussed due to the association with TOLAC failure in the second stage of labor.
TAIWANESE JOURNAL OF OBSTETRICS & GYNECOLOGY
(2022)
Article
Obstetrics & Gynecology
Yehui Lan, Shuangjia Pan, Baoyi Chen, Lingli Peng, Ruyang Chen, Ying Hua, Yanyan Ma
Summary: This study investigated the labor characteristics, intervention measures, and perinatal outcomes of women who had a vaginal birth after cesarean section (VBAC) compared to primiparas and multiparas who did not undergo VABC. The findings suggest that women who had a VBAC had distinct labor characteristics and outcomes compared to those who did not undergo VBAC.
BMC PREGNANCY AND CHILDBIRTH
(2022)
Article
Obstetrics & Gynecology
Karin Dahlquist, Andrea Stuart, Karin Kallen
Summary: Among pregnant women without medical indication for cesarean section, the risks of short-term maternal complications were higher with planned cesarean section compared to planned vaginal delivery.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2022)
Article
Obstetrics & Gynecology
Chiaki Banzai, Hikaru Hiraishi, Daisuke Higeta, Noriko Tsukagoshi, Tomomi Murata, Masayuki Soda
Summary: This case report describes a pregnant patient who underwent emergency laparoscopic surgery due to rupture of the residual corneal segment of the fallopian tube, resulting in simultaneous internal and external pregnancy. Despite the complications, the baby in the uterus grew smoothly and was delivered by cesarean section. The management methods for similar cases were also reviewed in the literature.
JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH
(2021)
Article
Obstetrics & Gynecology
Liang Qian, Jiashan Ding, Lan Shi, Qing Yu, Jiawei Zhu, Anfeng Huang
Summary: This study aimed to investigate pregnancy outcomes in pregnancies with uterine malformations when the pregnancy is confined to a hemi-uterus. The results showed that women with a unicornuate, didelphic, or complete bicornuate uterus are at higher risk for adverse pregnancy outcomes compared to those with a normal uterus. The study group had higher rates of spontaneous abortion, intrauterine fetal death, assisted reproductive technology use, and cord-around-the-neck occurrence. Modified Poisson regression analyses indicated that the study group had higher risks of preterm birth, preterm premature rupture of membranes, malpresentation, and cesarean section.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Article
Obstetrics & Gynecology
Gabriel Levin, Abraham Tsur, Yechiel Z. Burke, Raanan Meyer
Summary: This study examined the association between the method of induction of labor and perinatal outcomes in women undergoing labor after cesarean with no prior vaginal delivery. The results showed that all examined induction methods had similar outcomes in an unfavorable cervix, suggesting the need for individualized clinical practice.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Article
Obstetrics & Gynecology
Anastasia Lazarou, Magdalena Oestergaard, Johanna Netzl, Jan-Peter Siedentopf, Wolfgang Henrich
Summary: The study found that the majority of trials of labor after cesarean resulted in vaginal delivery. Factors such as high BMI, lack of previous spontaneous deliveries, and fetal distress as a cesarean indication were negatively correlated with successful vaginal birth after cesarean. These factors should be considered during consultation with pregnant women.
JOURNAL OF PERINATAL MEDICINE
(2021)
Article
Acoustics
L. Paymova, K. Svabik, A. Neumann, V Kalis, K. M. Ismail, Z. Rusavy
Summary: This study demonstrated that VBAC is associated with a significantly higher risk of LAM avulsion compared to vaginal delivery in primiparous women, even after controlling for age and BMI.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2021)
Article
Clinical Neurology
Mads L. Larsen, Gija Rackauskaite, Gorm Greisen, Bjarne Laursen, Peter Uldall, Lone Krebs, Christina E. Hoei-Hansen
Summary: Reasons for the declining prevalence of cerebral palsy in Denmark appear to be multifactorial, including factors such as maternal smoking and children born post-term decreasing, while the proportion of females with high BMI increased. Most significant risk factors were found in the neonatal period, with an increase in children with diagnosed birth defects and children admitted to neonatal care.
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY
(2022)
Article
Pediatrics
Paula L. Hedley, Gitte Hedermann, Christian M. Hagen, Marie Baekvad-Hansen, Henrik Hjalgrim, Klaus Rostgaard, Anna D. Laksafoss, Steen Hoffmann, Jorgen Skov Jensen, Morten Breindahl, Mads Melbye, Anders Hviid, David M. Hougaard, Lone Krebs, Ulrik Lausten-Thomsen, Michael Christiansen
Summary: The study conducted in Denmark found that during the COVID-19 restrictions and lockdown, there was a reduction in extremely preterm birth rate and stillbirth rate, suggesting that these measures may provide some level of protection for pregnant women and fetuses. However, no significant difference was observed in perinatal mortality rates. The observational study does not allow for causal inference, but supports the need for further research to determine if behavioral or social changes in pregnant women can improve pregnancy outcomes.
EUROPEAN JOURNAL OF PEDIATRICS
(2022)
Article
Dermatology
Paula L. Hedley, Steen Hoffmann, Ulrik Lausten-Thomsen, Marianne Voldstedlund, Karsten Dalsgaard Bjerre, Anders Hviid, Lone Krebs, Jorgen S. Jensen, Michael Christiansen
Summary: The study found that COVID-19 restrictions in Denmark had negligible effects on laboratory-confirmed C. trachomatis transmission. The first lockdown led to a reduction in testing and positive cases, while the second lockdown showed similar incidence rates to previous years.
ACTA DERMATO-VENEREOLOGICA
(2022)
Editorial Material
Pediatrics
Paula L. Hedley, Marie Baekvad-Hansen, Gitte Hedermann, Henrik Hjalgrim, David M. Hougaard, Mads Melbye, Morten Breindahl, Lone Krebs, Anders Hviid, Ulrik Lausten-Thomsen, Michael Christiansen
Review
Obstetrics & Gynecology
Herman A. Sorensen, Josephine Obel, Jeppe B. Schroll, Lone Krebs
Summary: This study assessed the impact of singleton vaginal breech delivery (VBD) and cesarean breech delivery (CBD) on neonatal and maternal mortality and morbidity in low- and lower-middle-income settings. The results showed that VBD increased the risk of perinatal mortality and 5-minute Apgar score below 7 compared to CBD. On the other hand, CBD was associated with a higher risk of hospitalization and postpartum bleeding.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Article
Obstetrics & Gynecology
Anna J. M. Aabakke, Tanja G. Petersen, Karen Wojdemann, Mette H. Ibsen, Fjola Jonsdottir, Elisabeth Ronneberg, Charlotte S. Andersen, Anne Hammer, Tine D. Clausen, Julie Milbak, Lars Burmester, Rikke Zethner, Birgitte Lindved, Annette Thorsen-Meyer, Mohammed R. Khalil, Birgitte Henriksen, Lisbeth Jonsson, Lise L. T. Andersen, Kamilla K. Karlsen, Monica L. Pedersen, Gitte Hedermann, Marianne Vestgaard, Dorthe Thisted, Agnethe N. Fallesen, Josephine N. Johansson, Ditte C. Moller, Greta Dubietyte, Charlotte B. Andersson, Richard Farlie, Ane-Kersti Skaarup Knudsen, Lea Hansen, Lone Hvidman, Anne N. Sorensen, Sidsel L. Rathcke, Katrine H. Rubin, Lone K. Petersen, Jan S. Jorgensen, Lone Krebs, Mette Bliddal
Summary: This study analyzed the risk factors and outcomes of SARS-CoV-2 infection during pregnancy using national health registers and medical records in Denmark. The results showed that pregnant women infected with SARS-CoV-2 were more likely to develop hypertensive disorders in pregnancy, early pregnancy loss, preterm delivery, and have children small for gestational age. The Danish national registers had acceptable accuracy in identifying SARS-CoV-2 infection during pregnancy.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2023)
Review
Public, Environmental & Occupational Health
Veronica N. E. Malange, Gitte Hedermann, Ulrik Lausten-Thomsen, Steen Hoffmann, Marianne Voldstedlund, Anna J. M. Aabakke, Anna K. K. Eltvedt, Jorgen S. Jensen, Morten Breindahl, Lone Krebs, Michael Christiansen, Paula L. L. Hedley
Summary: In the past decade, there have been numerous infectious disease outbreaks worldwide, which have had significant effects on perinatal health, including increased risk of preterm delivery and the delivery of low birth weight or small for gestational age babies. Severe perinatal outcomes, such as perinatal and infant death, have also been observed in relation to various infectious diseases. It is important to monitor perinatal health and collect systematic data to understand the implications of these diseases for pregnant women and their unborn infants.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Obstetrics & Gynecology
Mads Langager Larsen, Veronika Schreiber, Lone Krebs, Christina Engel Hoei-Hansen, Sailesh Kumar
Summary: This study analyzed the relationship between the magnitude of decline in fetal growth and stillbirth, perinatal mortality, and adverse neonatal outcomes. The findings showed a significant increase in stillbirth and perinatal mortality when the decline in fetal growth was more than 50th percentile. These results provide guidance for identifying late fetal growth restriction in prenatal diagnosis.
AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
(2023)
Article
Obstetrics & Gynecology
Anne K. Ortqvist, Maria C. Magnus, Anna J. M. Aabakke, Stine Kjaer Urhoj, Anne Vinkel Hansen, Anne-Marie Nybo Andersen, Lone Krebs, Karin Pettersson, Siri E. Haberg, Olof Stephansson
Summary: This study aimed to explore the characteristics of pregnant women admitted to the ICU with severe COVID-19, including maternal factors, pregnancy outcomes, vaccination status, and virus variants. The results showed that unvaccinated pregnant women of non-Scandinavian origin and lower socioeconomic status were at higher risk of ICU admission. Additionally, pregnant women admitted to the ICU for COVID-19 had a higher risk of adverse pregnancy outcomes.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2023)
Article
Multidisciplinary Sciences
Victoria de Knegt, Paula Hedley, Gitte N. Hedermann, Casper Wilstrup, Marie Baekvad-Hansen, Ida Thagaard, Henrik M. Hjalgrim, Jorgen Kanters, Mads Melbye, David Hougaard, Anders Hviid, Lone Krebs, Morten Breindahl, Ulrik Lausten-Thomsen, Michael Christiansen
Summary: A nationwide COVID-19 lockdown in Denmark resulted in a reduced prevalence of extremely preterm or extremely low birthweight births. This study aimed to investigate the impact of the lockdown on term birthweights in Denmark. The findings showed a small but significant increase in birthweight during the lockdown period, primarily driven by an increase in birthweight in gestational weeks 40 and 41. Additionally, the proportion of infants with a large-for-gestational-age (LGA) increased during the lockdown.
Article
Obstetrics & Gynecology
Maria Jeppegaard, Steen C. Rasmussen, Jacob Anhoj, Lone Krebs
Summary: The purpose of this study was to investigate the seasonal variation in placenta-mediated pregnancy complications. The researchers found a significant seasonal variation in the risk of hypertensive disorders during pregnancy, with the highest risk in pregnancies conceived in the spring and summer season. However, there was no apparent seasonality in other placenta-mediated complications.
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2023)
Article
Obstetrics & Gynecology
Simon Foged Victor, Maria Jeppegaard, Steen Christian Rasmussen, Marie Hoygaard Larsen, Lone Krebs
Summary: The study aimed to develop placental weight percentile curves adjusted by gestational age and stratified by major maternal comorbidities. The results showed that diabetic placentas generally had higher weight, while hypertensive placentas had lower weight.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2023)
Article
Obstetrics & Gynecology
Rebecka Hansen, Veronika Markova Sommer, Anja Pinborg, Lone Krebs, Lars Lykke Thomsen, Torben Moos, Charlotte Holm
Summary: This study aims to compare the efficacy of intravenous iron and oral iron in the treatment of persistent iron deficiency in pregnant women. The results showed that intravenous iron was superior to oral iron in preventing anemia and also improved fatigue and quality of life.
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2023)
Article
Obstetrics & Gynecology
Simon Foged Victor, Diana Bottcher Brondum Bach, Anna Carolina Hvelplund, Carsten Nickelsen, Jens Lyndrup, Charlotte Wilken-Jensen, Lise Jul Scharff, Tom Weber, Niels Jorgen Secher, Lone Krebs
Summary: Intrapartum monitoring with cardiotocography (CTG) in combination with ST analysis (STAN) did not reduce the incidence of neonatal metabolic acidosis compared to CTG in combination with fetal blood sampling (FBS). However, CTG + STAN was associated with an increased risk of operative vaginal delivery and a reduced use of FBS.
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2023)
Article
Obstetrics & Gynecology
Amalie Birkmose Thams, Marie Hoygaard Larsen, Steen Christian Rasmussen, Maria Jeppegaard, Lone Krebs
Summary: This study examined the incidence and risk factors for postpartum hemorrhage (PPH), and found that women who had previous PPH had an increased risk of PPH in subsequent deliveries. Additionally, labor induction increased the risk of recurrent PPH, while planned cesarean section reduced the risk. Personalized counseling based on risk factors, labor history, and maternal preferences is recommended for preventing recurrent PPH.
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2023)
Article
Obstetrics & Gynecology
Tal Margaliot Kalifa, Hen Y. Sela, Jordanna Joseph, Sorina Grisaru-Granovsky, Fayez Khatib, Misgav Rottenstreich
Summary: Pregnancies following a second trimester uterine evacuation do not have an increased risk of preterm delivery or other adverse perinatal outcomes compared to pregnancies following a first trimester uterine evacuation.
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2024)
Article
Obstetrics & Gynecology
Dominique A. Badr, Mieke M. Cannie, Caroline Kadji, Xin Kang, Andrew Carlin, Jacques C. Jani
Summary: The objective of this study was to assess the influence of the test-to-delivery interval on the performance of ultrasound and MRI in predicting birthweight. The results showed that MRI performed best in predicting birthweight greater than gestational age if delivery occurred within two weeks of the examination, with a slight decrease thereafter, while ultrasound performance decreased drastically over time.
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2024)
Article
Obstetrics & Gynecology
Corina N. Schoen, Sami Backley, Lauren Orr, Amrita Roy, Tiffany Corlin, Alexander B. Knee
Summary: This retrospective cohort study aimed to evaluate whether induction of labor is associated with a lower risk of cesarean section in patients with isolated polyhydramnios. The study found that planned induction was associated with a lower rate of cesarean delivery compared to expectant management, but the difference was not statistically significant. Additionally, no differences were observed in maternal or fetal secondary outcomes.
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2024)
Article
Obstetrics & Gynecology
Ohad Houri, Asaf Romano, Yossi Geron, Gil Zeevi, Eran Hadar, Shiri Barbash-Hazan, Shir Danieli-Gruber
Summary: Women with prior uterine rupture have good maternal and neonatal outcomes in subsequent pregnancies when managed at a tertiary medical center, with planned elective term cesarean delivery, or even earlier, at the onset of spontaneous preterm labor.
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2024)
Correction
Obstetrics & Gynecology
Laura E. Janssen, Marjon A. de Boer, Eline C. E. von Konigslow, Elisa Dal, Martijn A. Oudijk, Danielle Robbers-Visser, Christianne J. M. de Groot
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2024)
Review
Obstetrics & Gynecology
Natalia Rzewuska, Jacek Kunicki, Katarzyna Pieniak, Paulina Laskus, Bernadeta Zabielska, Roman Smolarczyk, Michal Kunicki
Summary: This systematic review examined the comorbidity of idiopathic intracranial hypertension (IIH) and polycystic ovarian syndrome (PCOS) and their impact on metabolism, hormone levels, and reproduction. The findings showed a high prevalence of comorbidity between the two conditions, which may have significant clinical implications for patient management.
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2024)