Search results for "obstetric"

showing 10 items of 2144 documents

Nationwide Analysis on Surgical Staging Procedures and Systemic Treatment for Patients With Endometrial Cancer in Germany

2012

ObjectiveIn 2009 and 2006, the Arbeitsgemeinschaft Gynäkologische Onkologie evaluated therapeutic approaches for endometrial carcinoma (EC) in Germany.Methods and MaterialsA questionnaire was developed and sent to 775 German gynecologic departments in 2009 (500 in 2006). The results of the questionnaires were compared with each other and with the recommendations of the Arbeitsgemeinschaft Gynäkologische Onkologie’s guideline. Subgroup analyses were performed, dividing the participating centers into small and large centers and into centers with less and more experience with EC.ResultsResponses were available in 33.3% in 2009 and 35.8% in 2006. Comparing 2009 with 2006, it became apparent tha…

medicine.medical_specialtyGynecologic oncologySurgical stagingGynecologic Surgical ProceduresGermanySurveys and QuestionnairesCytologyAntineoplastic Combined Chemotherapy ProtocolsmedicineCarcinomaHumansMulticenter Studies as TopicPelvic lymphadenectomyDiagnostic Techniques Obstetrical and GynecologicalNeoplasm StagingGynecologybusiness.industryData CollectionGeneral surgeryEndometrial cancerObstetrics and GynecologyProfessional PracticeGuidelinemedicine.diseaseHospitalsPeritoneal washingEndometrial NeoplasmsOncologyLymph Node ExcisionFemaleGuideline AdherencebusinessCarcinoma EndometrioidInternational Journal of Gynecologic Cancer
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Female Genital Mutilation Consequences and Healthcare Received among Migrant Women: A Phenomenological Qualitative Study

2021

European healthcare systems are increasingly being challenged to respond to female genital mutilation (FGM). This study explores the FGM experiences of migrant women coming from FGM-practicing countries residing in a European host country. A qualitative phenomenological study was carried out and 23 participants were included. Data were collected through 18 face-to-face open-ended interviews and a focus group and were analysed using Giorgi’s four-step phenomenological approach. Three main themes were derived: “FGM consequences”, “healthcare received” and “tackling FGM”. Participants highlighted obstetric, gynaecological and genitourinary consequences such as haemorrhages, perineal tears, cae…

medicine.medical_specialtyHealth Toxicology and MutagenesisHuman sexualityfemale genital mutilationmigrationArticlefemale circumcision03 medical and health sciences0302 clinical medicinenursingPregnancywomen’s healthHealth carehealth consequencesmedicineHumans030212 general & internal medicinemidwiferyhealth equity030219 obstetrics & reproductive medicinebusiness.industryRisk of infectionRPublic Health Environmental and Occupational HealthHumiliationFocus groupHealth equityEuropeSexual intercourseGynecologyFamily medicineCircumcision FemaleMedicineFemalebusinessPsychologyDelivery of Health Carequalitative researchQualitative researchInternational Journal of Environmental Research and Public Health
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Add-On Effect of Postural Instructions to Abdominopelvic Exercise on Urinary Symptoms and Quality of Life in Climacteric Women with Stress Urinary In…

2021

The aim of this study was to investigate the add-on effect of postural instructions to an abdominopelvic exercise program on incontinence urinary symptoms (UI symptoms) and quality of life (QoL) in climacteric women with stress urinary incontinence (SUI). A randomized controlled trial was performed with a total of 40 climacteric women with SUI aged between 46 and 75 years old. Participants were randomly assigned to two groups: a group performing an abdominopelvic exercise program (AEP) (n = 20) and a group performing abdominopelvic exercise with the addition of postural instructions (AEPPI) (n = 20). Primary outcome measures were UI symptoms, UI impact and QoL related to UI (UI-QoL), measur…

medicine.medical_specialtyHealth Toxicology and MutagenesisUrinary Incontinence Stress030232 urology & nephrologylcsh:MedicineUrinary incontinencePilot Projectspelvic floor musclespostural controlArticlelaw.invention03 medical and health sciences0302 clinical medicineExercise programPrimary outcomeabdominal musclesQuality of lifeRandomized controlled triallawAparell urinariSurveys and QuestionnairesmedicineAbdominals (Exercici)HumansAgedClimacteric030219 obstetrics & reproductive medicineUrinary symptomsbusiness.industrylcsh:RPublic Health Environmental and Occupational HealthDones MalaltiesMiddle Agedstress urinary incontinenceurinary symptomsExercise TherapyPad testSòl pelviàUrinary Incontinencequality of lifePhysical therapyFemalemedicine.symptomClimactericbusinessInternational Journal of Environmental Research and Public Health
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Analysis of Caesarean Section Rates Using the Robson Classification System at a University Hospital in Spain

2020

Background: The WHO recommends the use of the Robson ten-group classification system (RTGCS) as an effective monitoring and analysis tool to assess the use of caesarean sections (CS). The present study aimed to conduct an analysis of births using the RTGCS in La Ribera University Hospital over nine years and to assess the levels and trends of CS births. Methods: Retrospective study between January 1, 2010, and December 31, 2018. All eligible women were allocated in RTGCS to determine the absolute and relative contribution made by each group to the overall CS rate

medicine.medical_specialtyHealth Toxicology and Mutagenesismedicine.medical_treatmentCaesarean deliverylcsh:MedicinelaborToxicologyRobson ten-group classification systemArticleHospitals University03 medical and health sciences0302 clinical medicinePregnancyLinear regressionMedicineHumansCaesarean section030212 general & internal medicineRetrospective Studies030219 obstetrics & reproductive medicineLabor Obstetricbusiness.industryObstetricsSingletonCesarean Sectionlcsh:RRPublic Health Environmental and Occupational HealthRegression analysisRetrospective cohort studyOdds ratioUniversity hospitalParitySpaincaesarean sectionFemalebusinessObstetríciadelivery classification
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Clinical presentation, disease course and outcome of COVID-19 in hospitalized patients with and without pre-existing cardiac disease – a cohort study…

2021

AbstractAimsPatients with cardiac disease are considered high risk for poor outcomes following hospitalization with COVID-19. The primary aim of this study was to evaluate heterogeneity in associations between various heart disease subtypes and in-hospital mortality.Method and resultsWe used data from the CAPACITY-COVID registry and LEOSS study. Multivariable Poisson regression models were fitted to assess the association between different types of pre-existent heart disease and in-hospital mortality. 16,511 patients with COVID-19 were included (21.1% aged 66 – 75 years; 40.2% female) and 31.5% had a history of heart disease. Patients with heart disease were older, predominantly male and of…

medicine.medical_specialtyHeart diseaseCoronavirus disease 2019 (COVID-19)business.industryDiseasemedicine.diseasesymbols.namesakeHeart failureInternal medicineRelative riskmedicinesymbolsPoisson regressionPresentation (obstetrics)businessCohort study
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Diagnosis, phenotype, and prevalence of polycystic ovary syndrome.

2006

New diagnostic criteria for polycystic ovary syndrome (PCOS) suggested three main phenotypes: classic (hyperandrogenism and anovulation), ovulatory, and normoandrogenic. However, it is unclear whether the normoandrogenic phenotype actually represents PCOS. Overall, 6% to 8% of reproductive-aged women suffer from PCOS, making this disorder one of the most common endocrine abnormalities.

medicine.medical_specialtyHirsutismendocrine system diseasesPolycystic ovary syndrome anovulation hyperandrogenismThree main phenotypesBiologyAnovulationDiagnosis DifferentialEpidemiologymedicinePrevalenceEndocrine systemHumansCystGynecologyHyperandrogenismnutritional and metabolic diseasesObstetrics and Gynecologymedicine.diseasePolycystic ovaryPhenotypefemale genital diseases and pregnancy complicationsPhenotypeReproductive MedicineFemaleHyperandrogenismAnovulationPolycystic Ovary SyndromeFertility and sterility
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The effect of oral hormone replacement therapy on lipoprotein profile, resistance of LDL to oxidation and LDL particle size

2001

Abstract Objectives: To disclose if oral estradiol (E 2 ), alone or in combination with natural progesterone (P) or medroxyprogesterone acetate (MPA), may modify the oxidizability of low density lipoprotein (LDL), and if the effect is achieved at physiological dosages. LDL oxidizability was assessed by the resistance to oxidation by copper and by the particle size profile, since small particles have increased oxidation susceptibility. Methods: Thirty-three women received two consecutive, two-month length doses of 1 and 2 mg/day of oral E 2 . They were then randomly assigned to a fourteen-day treatment of 2 mg/day E 2 plus either 300 mg/day P or 5 mg/day MPA. A parallel group of experiments …

medicine.medical_specialtyHormone Replacement Therapymedicine.drug_classMedroxyprogesteroneAdministration OralMedroxyprogesterone AcetateGeneral Biochemistry Genetics and Molecular Biologychemistry.chemical_compoundHigh-density lipoproteinOral administrationInternal medicinemedicineHumansMedroxyprogesterone acetateParticle SizeProgesteroneDiminutionDose-Response Relationship DrugEstradiolbusiness.industryObstetrics and GynecologyCholesterol LDLMiddle AgedPostmenopauseEndocrinologychemistryEstrogenLow-density lipoproteinFemalelipids (amino acids peptides and proteins)businessOxidation-Reductionmedicine.drugLipoproteinMaturitas
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Beneficial Effect of Melatonin on Blastocyst In Vitro Production from Heat-Stressed Bovine Oocytes

2013

Melatonin may play an important role in protecting gametes and embryos from the potential harmful effects of oxidative stress. In this study, we first examined two different heat stress (HS) treatments for in vitro oocyte maturation (Experiment 1: 38.5 vs 41.0°C, during the first 20 h; Experiment 2: 38.5 vs 41.5°C, during the entire period) on bovine oocyte maturation and embryo development. Second, we tested different melatonin concentrations added to the maturation and culture medium (Experiment 3: 0, 10(-12) , 10(-9) , 10(-4)  m; Experiment 4: 0, 10(-3)  m), both with and without HS (38.5 or 41.5°C, respectively). In Experiment 1, the HS treatment resulted in a lower maturation rate and …

medicine.medical_specialtyHot TemperatureFertilization in VitroBiologymedicine.disease_causeCleavage (embryo)Melatonin03 medical and health sciences0302 clinical medicineEndocrinologyStress PhysiologicalInternal medicinemedicineAnimalsBlastocyst030304 developmental biologyMelatonin0303 health sciences030219 obstetrics & reproductive medicineEmbryogenesisEmbryoOocyteIn vitroIn Vitro Oocyte Maturation Techniquesmedicine.anatomical_structureEndocrinologyBlastocystembryonic structuresOocytesAnimal Science and ZoologyCattleFemaleOxidative stressBiotechnologymedicine.drugReproduction in Domestic Animals
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Vitrification of zona-free rabbit expanded or hatching blastocysts: a possible model for human blastocysts.

2003

BACKGROUND: The purpose of this study was to test the effectiveness of one two-step (A) and two one-step (B1 and B2) vitrification procedures on denuded expanded or hatching rabbit blastocysts held in standard sealed plastic straws as a possible model for human blastocysts. The effect of blastocyst size was also studied on the basis of three size categories (I: diameter <200 μm; II: diameter 200-299 μm; III: diameter ≥300 μm). METHODS: Rabbit expanded or hatching blastocysts were vitrified at day 4 or 5. Before vitrification, the zona pellucida was removed using acidic phosphate buffered saline. For the two-step procedure, prior to vitrification, blastocysts were pre-equilibrated in a solut…

medicine.medical_specialtyHot TemperatureZona freeBiologyAndrologychemistry.chemical_compoundEmbryonic and Fetal DevelopmentmedicineAnimalsHumansVitrificationBlastocystZona pellucidaZona PellucidaCryopreservationTissue SurvivalDimethyl sulfoxideHatchingRehabilitationHistological TechniquesObstetrics and GynecologyEmbryoSurgerymedicine.anatomical_structureBlastocystReproductive MedicinechemistryModels AnimalFemaleRabbitsEthylene glycolHuman reproduction (Oxford, England)
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Anxiety and depressive symptoms, and stress biomarkers in pregnant women after in vitro fertilization: a prospective cohort study.

2017

STUDY QUESTION Does in vitro fertilization (IVF) affect the course of anxiety and depressive symptoms as well as physiological stress from pregnancy to postpartum period? SUMMARY ANSWER IVF mothers have more anxiety symptoms and higher stress biomarker levels but fewer depression symptoms than natural conception mothers at the third trimester of pregnancy, but these differences are negligible during postpartum period. WHAT IS KNOWN ALREADY Cross-sectional studies have found an association between IVF and high stress levels during the prenatal period. There is, however, no follow-up study about the IVF effect on the mental health status from pregnancy to postpartum, adopting simultaneous mea…

medicine.medical_specialtyHydrocortisonemedicine.medical_treatmentPregnancy Trimester ThirdFertilization in VitrocortisolAnxiety03 medical and health sciences0302 clinical medicinePregnancymedicineHumans030212 general & internal medicineProspective StudiesProspective cohort studySalivaDepression (differential diagnoses)HydrocortisonePregnancy030219 obstetrics & reproductive medicineIn vitro fertilisationbusiness.industryObstetricsDepressionRehabilitationObstetrics and Gynecologyalpha-amylaseOdds ratioanxietymedicine.diseaseReproductive MedicineSalivary alpha-AmylasesdepressionAnxietyFemalePregnant Womenmedicine.symptombusinessin vitro fertilizationPostpartum periodBiomarkersStress Psychologicalmedicine.drugHuman reproduction (Oxford, England)
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