Ultrasound before operative vaginal delivery: why and how.
Authors: Kahrs BH
Abstract
Safe management of the second stage of labor is important. Wait for spontaneous delivery, operative vaginal deliveries and second stage cesarean sections are all options when prolonged second stage occurs. The important question is which option to choose. Fetal head station and fetal head position are used to decide mode of delivery, this has traditionally been decided by performing a digital vaginal examination. Studies have shown that theses clinical examinations of both fetal head station and position are unreliable and that ultrasound might be better option. The International...
Source: Minerva Ginecologica - December 2, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Obstetric anal sphincter injuries: strategies for prevention, diagnosis, and management.
Authors: Seidenari A, Cuicchi D, Youssef A, Oliver EA, Montaguti E, Bellussi F
Abstract
Obstetric anal sphincter injuries (OASIS) are one of the most common causes of anal incontinence (AI) in women of reproductive age and can have a significant impact on quality of life. However, many women do not report symptoms to their physicians because of embarrassment and shame. Therefore, prevention and diagnosis of the tear is essential. Diagnostic strategies have evolved considerably in recent years, with an increase in prevalence of OASIS as a consequence. The use of 3D endoanal (3D-EAUS) and 4D transperineal ul...
Source: Minerva Ginecologica - December 2, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Tailoring parametrectomy for early cervical cancer (Stage IA-IIA FIGO): a review on surgical, oncologic outcome and sexual function.
CONCLUSIONS: Reduced radicality on the parametrium offers positive effects on the quality of life (sexual life and bladder function) of patients without impacting on survival, oncological outcome.
PMID: 33249819 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - December 2, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
STAN: a reappraisal of its clinical usefulness.
The objective of this review article is to present the state of art about the use of STAN technology in labor ward.
PMID: 33249820 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - December 2, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Pregnant woman infected by Coronavirus Disease (COVID-19) and calcifications of the fetal bowel and gallbladder: a case report.
CONCLUSIONS: although gallbladder calcifications and echogenic bowel are highly suspicious of viral infection and were thought to be due to the vertical transmission of SARS-CoV-2, these findings were not corroborated by the results of our diagnostic tests; these sonographic findings might represent a false positive of fetal infection in mother affected by COVID-19 since vertical transmission appears to be rare.
PMID: 33249821 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - December 2, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Hysteroscopic approach to uterine cervical canal stenosis.
Authors: Zizolfi B, Foreste V, Cammarota A, Manzi A, Gallo A, Di Spiezio Sardo A
Abstract
Cervical stenosis is defined as an adhesion process of variable degree, producing narrowing, distortion, or complete obliteration of the cervix. Several techniques have been defined to access to the uterine cavity and nowadays hysteroscopy seems to be the best option. In this manuscript, we review all the hysteroscopic modalities to overcome a cervical stenosis and access to the uterine cavity.
PMID: 33249822 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - December 2, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Greetings from the new Editor-in-Chief.
Authors: La Marca A
PMID: 33249823 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - December 2, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Fetal heart rate monitoring in labor: from pattern recognition to fetal physiology.
Authors: Oikonomou M, Chandraharan E
Abstract
The journey of human labour involves hypoxic and mechanical stresses as a result of progressively increasing frequency, duration and strength of uterine contractions and resultant compression of umbilical cord. In addition, occlusion of the spiral arteries during myometrial contractions also leads to repetitive interruptions in the utero-placental circulation, predisposing a fetus to progressively worsening hypoxic stress as the labour progresses. The vast majority of fetuses are equipped with compensatory mechanisms to withstand these hypoxic and mechanical st...
Source: Minerva Ginecologica - November 28, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Intrapartum Doppler ultrasound.
Authors: Dall'Asta A, Ghi T, Mappa I, Maqina P, Frusca T, Rizzo G
Abstract
Intrapartum hypoxic events most commonly occur in low-risk pregnancies with appropriately grown fetuses. Continuous intrapartum monitoring by means of cardiotocography has not demonstrated a reduction in the frequency of adverse perinatal outcome but has been linked with an increase in the caesarean section rate, particularly among women considered at low risk. Available evidence from the literature suggests that abnormalities in the uterine artery Doppler and in the ratio between fetal cerebral and umbilical Doppler (i.e. cerebropl...
Source: Minerva Ginecologica - November 22, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Simulation for intrapartum care - from training to novel device innovation.
Authors: Hotton EJ, Merialdi M, Crofts JF
Abstract
Improving maternal and perinatal care is a global priority. Simulation training and novel applications of simulation for intrapartum care may help to reduce preventable deaths worldwide. Evaluation studies have published details of the effectiveness of simulation training for obstetric emergencies, exploring clinical and non-clinical factors as well as the impact on patient outcomes (both maternal and neonatal). This review summarises the many uses of simulation in obstetric emergencies from training to assessment. It also describes the adaption of trainin...
Source: Minerva Ginecologica - November 19, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Postoperative pelvic dysfunctions associated with the reconstruction of the pelvic floor.
CONCLUSIONS: The use of synthetic implants causes the formation of de novo pelvic dysfunctions more often than the native tissue repair.
PMID: 33200600 [PubMed - in process] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - November 19, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Relationship between cervical excisional treatment for CIN and obstetrical outcome.
CONCLUSIONS: This systematic review shows that the surgical treatment of the CIN was associated with an increased risk of PD, LBW and pPROM before 37 pregnancy weeks compared to untreated women, especially in a CKC and LLETZ procedure. Moreover, the increase of the of PD was associated with cone size, cervical length, repeated treatment and a short conization-to-pregnancy interval.
PMID: 33140628 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - November 5, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
The role of sentinel-node biopsy in ovarian cancer.
Authors: Mach P, Kimmig R, Buderath P
Abstract
Lymph node involvement is an important prognostic factor in early and advanced epithelial ovarian cancer (eoc). However, to date there is no reliable method of detecting lymph node involvement, apart from surgical staging. Thus, pelvic and paraaortic lymphadenectomy (lNe) are still part of standard surgery of early ovarian cancer. There is conflicting evidence about the therapeutic value of systematic lNe in early eoc. Thus, the developmemt of a method to predict nodal status accurately, without extensive lNe, is the subject of ongoing research. Sentinel lymph...
Source: Minerva Ginecologica - November 5, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Fluid deficit calculation at hysteroscopy: could consideration of intraperitoneal fluid accumulation add insight to safety limits?
CONCLUSIONS: Most women with patent tubes undergoing hysteroscopy have accumulation of distention fluid in the pelvis and that the passage was not correlated with the intrauterine fluid pressure. These findings add new insight to the current guidelines, suggesting more accurate and patient-centered safety protocols.
PMID: 33103407 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - October 27, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Update on surgical treatment of female stress urinary incontinence.
CONCLUSIONS: Urinary incontinence is an underestimated health problem. Many surgical options exist for women with stress urinary incontinence. Nevertheless new strategies need to be evaluated in order to improve quality of life of patients.
PMID: 33103408 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - October 27, 2020 Category: OBGYN Tags: Minerva Ginecol Source Type: research
