Field Of Obstetrics Research Articles

IKAR: An Interdisciplinary Knowledge-Based Automatic Retrieval Method from Chinese Electronic Medical Record

To date, information retrieval methods in the medical field have mainly focused on English medical reports, but little work has studied Chinese electronic medical reports, especially in the field of obstetrics and gynecology. In this paper, a dataset of 180,000 complete Chinese ultrasound reports in obstetrics and gynecology was established and made publicly available. Based on the ultrasound reports in the dataset, a new information retrieval method (IKAR) is proposed to extract key information from the ultrasound reports and automatically generate the corresponding ultrasound diagnostic results. The model can both extract what is already in the report and analyze what is not in the report by inference. After applying the IKAR method to the dataset, it is proved that the method could achieve 89.38% accuracy, 91.09% recall, and 90.23% F-score. Moreover, the method achieves an F-score of over 90% on 50% of the 10 components of the report. This study provides a quality dataset for the field of electronic medical records and offers a reference for information retrieval methods in the field of obstetrics and gynecology or in other fields.

Obstetrical and gynecologic implications of COVID-19: what have we learned over the first two years of the pandemic.

The rapidly evolving nature of the coronavirus disease 2019 (COVID-19) pandemic has resulted in the publication of a breadth of information in the field of Obstetrics and Gynecology. This article is an examination of the impacts of COVID-19 on women's health, specifically on pregnancy, fertility, and delays to care. We review, in brief, the clinical presentation, transmission, and definitions of post-COVID conditions. Additionally, this article explores the reassuring evidence published regarding the use of mRNA vaccines in preconception and fertility treatments.

An Experimental Study to Determine the Effectiveness of Strategic Teaching Module on Knowledge Regarding Prevention of Cervical Cancer Among Women of Reproductive Age Residing in Selected Urban Area of Maharashtra State

This study has been undertaken to investigate the effectiveness of a Strategic Teaching Module on knowledge regarding prevention of Cervical Cancer among women of reproductive age residing in selected urban area of Maharashtra. The abnormal growth of cells with the capacity to invade or spread to other parts of the body is what causes cervical cancer. A quantitative research approach was adopted for this particular study. A one group pre-test and post-test experimental design was used to determine the effect of Strategic Teaching Module on knowledge of women of reproductive age regarding prevention of Cervical cancer. The study comprised of 50 women of reproductive age who fulfilled inclusive criteria and were drawn by Purposive Sampling method. A self-administered questionnaire (SAQ) was used for collecting data from the study participants. The content Validity of the tool was established in consultation with 10 experts from the field of Obstetrics and Gynecological Nursing, Medical Surgical Nursing, an educationist and a statistician. Further, the Reliability coefficient of knowledge questionnaire was calculated using the Karl Pearson correlation coefficient method. However, a formal permission was obtained from authorities concerned for data collection. Later, the Collected data were tabulated and analyzed using descriptive and inferential statistics. The study revealed that the mean score among women of reproductive age was 12 during pre-test rose up to 19 in the post-test evaluation. Result interpreted that there was a significant increase in knowledge level of women of reproductive age after the intervention and the calculated ‘t’ value was greater than the table value of ‘t’ at 0.05 level. This indicates that Strategic Teaching Module was effective in improving the knowledge of the women of reproductive age. Keywords: Effectiveness, Strategic Teaching Module, Cervical Cancer, Knowledge, Women of reproductive age

Experience and Thinking for the Education of Ultrasound Imaging Students in the Field of Obstetrics and Gynecology

Experience and Thinking for the Education of Ultrasound Imaging Students in the Field of Obstetrics and Gynecology

Common obstetrics and gynecologic topics in critical care: A narrative review.

The fields of Obstetrics and Gynecology and Critical Care often share medically and surgically complex patients. Peripartum anatomic and physiologic changes can predispose or exacerbate certain conditions and rapid action is often needed. This review discusses some of the most common conditions responsible for the admission of obstetrical and gynecological patients to the critical care unit. We will consider both obstetrical and gynecologic concepts including postpartum hemorrhage, antepartum hemorrhage, abnormal uterine bleeding, preeclampsia and eclampsia, venous thromboembolism, amniotic fluid embolism, sepsis and septic shock, obstetrical trauma, acute abdomen, malignancies, peripartum cardiomyopathy, and substance abuse. This article aims to be a primer for the Critical Care provider.

The Role of Three-dimensional Printed Models in Women's Health.

Three-dimensional printing is an innovative technology that has gained prominence in recent years due to its attractive features such as affordability, efficiency, and quick production. The technology is used to produce a three-dimensional model by depositing materials in layers using specific printers. In the medical field, it has been increasingly used in various specialties, including neurosurgery, cardiology, and orthopedics, most commonly for the pre-planning of complex surgeries. In addition, it has been applied in therapeutic treatments, patient education, and training wof medical professionals. In the field of obstetrics and gynecology, there is a limited number of studies in which three-dimensional printed models were applied. In this review, we aim to provide an overview of three-dimensional printing applications in the medical field, highlighting the few reported applications in obstetrics and gynecology. We also review all relevant studies and discuss the current challenges and limitations of adopting the technology in routine clinical practice. The technology has the potential to expand for wider applications related to women's health, including patient counseling, surgical training, and medical education.

Dr Aleksandar Sosberger - the first director of the Novi Sad City Hospital

The first director of the Novi Sad City Hospital, which eventually grew into the modern Clinical Center of Vojvodina, was Dr. Aleksandar-Sandor Sosberger, born in Novi Sad on September 13, 1873. He graduated at the Faculty of Medicine in Budapest, and then trained in hospitals in numerous European cities. The desire to learn and further hone his training led him to specialize in the field of gynecology and obstetrics ? thus, he became the first gynecologist-obstetrician specialist in Vojvodina. At the beginning of the 20th century, with the sudden increase in the number of inhabitants of Novi Sad, the existing hospital facilities were insufficient for the hospitalization of the patients; thus, the City Magistrate made a decision in April of 1907 to build a new city hospital, the construction of which was completed in 1909, and the facilities built at that time are units in which some clinics of the Clinical Center of Vojvodina are still located today. It was organized in such a way that it had Internal Medicine, Surgical, Dermatology-Venereology, and Gynecology- Obstetrics departments, with the bed capacity of about 300. With his comprehensive education, experience, high expertise, intelligence, and organizational skills recognized, Dr. Aleksandar Sosberger was appointed as the first manager of the newly built City Hospital. He was the first in the City Hospital to apply the Wasserman reaction, and he obtained the first X-ray machine in Novi Sad, for his private practice. As the first gynecologist-obstetrician specialist in Vojvodina, he made a great contribution to the introduction and improvement of surgical techniques. Dr. Aleksandar Sosberger showed that with dedicated professional work and responsibility, great results, and improvements in the field of healthcare can be achieved, as evidenced by the fact that the City Hospital, over time, grew into a tertiary healthcare institution, the Clinical Center of Vojvodina.

Knowledge, attitude, and practice related to craniosynostosis among physicians in Saudi Arabia: a national survey

Objectives: To evaluate the knowledge, attitude, and practice of physicians in Saudi Arabia about various aspects of the craniosynostosis. Methods: A cross-sectional study was conducted through a self-administered online survey that was distributed to a targeted sample of clinical specialists in the field of pediatric, family medicine, radiology, plastic surgery, obstetrics and gynecology, and neurosurgery in Saudi Arabia from November 2021 to February 2022. Results: Physicians' overall knowledge was poor, which seemed to influence their attitudes. In addition, plastic surgeons and neurosurgeons showed significantly higher knowledge scores than other specialists. Consultants and specialists showed better attitudes toward craniosynostosis management than residents. Finally, scores of clinical practices related to craniosynostosis were notably higher among physicians in public (ministry of health), academic, and military hospitals than in private hospitals. Conclusion: Poor knowledge of craniosynostosis might negatively affect physicians' behavior and clinical practice. Efforts should be made to increase awareness of this condition among physicians.

A Clinical Case Study of Menstrual Irregularities as a Result of Vaccinosis: To Proclaim the Efficacy of Homoeopathic Medicines and Over Come the Toxic Effects of Disease in Women

Above the preceding two years, the COVID-19 pandemic devises occupied the sphere by squall, distressing every single phase of human life. From corner to corner subsequently after receiving COVID-19 vaccine several womankind are being with the abnormalities of their menstrual bleeding across the sphere; more or less females experiencing with heavy menstrual bleeding (menorrhagia), or bleeding frequently (metrorrhagia /polymenorrhea), whereas anonymously complaining of postmenopausal bleeding besides. The menstrual strife’s are owed with peculiar human plasma to coerce the vaccine as for feasibly with hormonal scums. The furthermost communal appellation is reported as late, blood loss, quick, stretched, dense, spotting, petite, agony, stopover, tardy, recommence, heavy bleeding and overdue period. The menstrual cycle reflects women’s general health status as disruptive physical and/or emotional warning signs approaching besides throughout menstruation, comprising by hefty flow of blood, mislaid periods and unsurmountable mood swings. COVID 19 vaccine is intentional to afford with acquired immunity contrary to severe acute respiratory syndrome coronavirus 2(SARS CoV 2) nonetheless contemporaneously it replicates the pre-eminent disorder in menstrual cycle inordinately. Homoeopathic medicine partakes the vast potential in treating menstrual irregularities harmonized with similimum of acquired plodding and declining the intensity of symptoms in menstrual irregularities after covid-19 vaccination. A well preferred and designated Homeopathic medicine perhaps and benefits to progress the disputes in menstrual cycle and spectacles the striking exploits upon the female sexual organs and subsidize the reputation of Homoeopathy in the field of Gynaecology and Obstetrics.

Integrative transcriptomics and proteomics analyses to reveal the therapeutic effect and mechanism of Buxue Yimu Pills in medical-induced incomplete abortion rats

Ethnopharmacological relevanceMedical abortions using mifepristone and misoprostol have been approved in many countries for early pregnancy loss. Despite its high success rate, this medication regimen can result in incomplete abortion, which is responsible for endometrial damage, prolonged uterine bleeding, abdominal pain, etc. Buxue Yimu Pills (BYP) is a famous Chinese medicine prescription that is widely used in the field of gynecology and obstetrics for treating patients with postpartum complications. However, the therapeutic effect and mechanism of BYP remain to be explored. Aim of the studyThis study aimed to clarify the therapeutic effect and mechanism of action of BYP in postpartum complications using mifepristone and misoprostol-induced incomplete abortion in rats. Materials and methodsExperimental medical-induced incomplete abortion model rats were constructed using mifepristone and misoprostol, and further treated with saline or BYP by intragastric administration. Detailed information regarding the changes in mRNA and protein levels in the uterine tissues of rats regulated by BYP was illustrated by RNA sequencing (RNA-seq) analysis and quantitative proteomics analysis. The differentially expressed genes and proteins were further subjected to Gene Ontology (GO) and pathway enrichment analyses and further verified using quantitative Real-time PCR (qRT-PCR) analysis and western blot assay. ResultsBYP administration markedly alleviated the increase in serum prostaglandin F2α (PGF2α) and expression of PGF2α receptor (PGF2αR) in uterine tissues and inhibited the decrease in serum chorionic gonadotrophin (CG). Compared with the model group, 674 genes were upregulated and 344 genes were downregulated by BYP administration; 108 proteins were upregulated and 48 proteins were downregulated by BYP administration. qRT-PCR analysis of the uterine tissues showed that BYP treatment reversed the variation tendency of genes, including Mmp7, Mmp14, Timp2, Col6a4, Jak2, Wnt7a, and Mylk compared with the model group. Western blot analysis showed that BYP administration affected PKCδ, Collagen VI, MMP7, TIMP2, MLCK, and p-MLC protein levels. ConclusionBYP administration facilitated uterine recovery in medical-induced incomplete abortion rats, and this therapeutic effect involved various targets and biological processes, including the TIMP2/MMP7 and MLCK/p-MLC signaling pathways, etc.

Experience and Thinking for the Education of Ultrasound Imaging Students in the Field of Obstetrics and Gynecology

Ultrasound technology has been widely used in the diagnosis and treatment of clinical diseases, which can provide an important reference for the diagnosis and treatment of obstetrics and gynecology diseases. However, acute onset and rapid change were the major characters of obstetrics and gynecology diseases, thus, the results of ultrasound technology could offer robust evidence on the diagnosis of obstetrics and gynecology diseases. However, ultrasound images have variable characters and which also illustrated "one picture might have more implications of different disease", so it was very necessary for constructing system training lessons by the experienced teachers to culture the students of ultrasound imaging subject in the field of obstetrics and gynecology. In considering of the characteristics for ultrasound of obstetrics and gynecology, this paper summarizes and discusses issues on how to optimize the improving the quality of students of ultrasound in the field obstetrics and gynecology, rapidly improve the ability of the students for diagnosis and treatment of obstetrics and gynecology diseases, thus, several important points including the self-improvement of teachers, pre-job training of students, the cultivation of humanistic literacy, clinical practice, standardized training of operation, the improvement of diagnostic ideas, follow-up of patients, and the habit of long life learning were analyzed and discussed in this work, which would provide reliable evidence for doctors to diagnosis the obstetrics and gynecology diseases. This study would provide benefit reference for the future training of ultrasound imaging talents.

Clinical Outcome in Patient Undergoing LSCS via ERAS Pathway versus Traditional Pathway: A Prospective Observational Study.

ERAS is an evidence-based management protocol for perioperative care, to accelerate patient recovery. The field of obstetrics has been a late adapter of ERAS pathway for CS, and the literature is limited from Indian population. This prospective non-randomized comparative clinical study was conducted on 190 pregnant patients, out of which 95 were subjected to ERAS protocol (Group 1) and remaining 95 cases were enrolled in existing traditional protocol (Group 2). The primary objective was to compare quality of recovery based on obstetric-specific QoR 11 questionnaire between patients undergoing ERAC and traditional protocol for elective LSCS. Secondary objective was to compare perioperative bleeding, breast feeding initiation and difficulties, first oral intake, ambulation attempts, decatheterization, surgical site infection and length of hospital stay. At 24h postoperatively, mean QoR score was significantly higher for patients in the ERAC group (85.5 ± 7.46 vs 57.1 ± 11.33, p value < 0.01). In the ERAC group, 50.5% of the mothers started breastfeeding within first hour. The mean duration to start oral intake postoperatively was significantly lower in ERAC group. In the ERAC group, ambulation and decatheterization were attempted within 6h postoperatively in 86.3%. The mean length of hospital stay was significantly lower for patients in the ERAC group (68.8 ± 1.9 vs 105.4 ± 25.7h, p value < 0.001). The use of ERAC protocol at cesarean delivery significantly improves quality of recovery and length of hospital stay.

Penerapan Penggunaan Telehealth terhadap Kepuasan Ibu Hamil pada Masa Pandemi Covid-19 : A Systematic Review

The COVID-19 pandemic has led to a decrease pregnant women visit to health services and changes in health care. Various midwifery services have been developed using telehealth. The purpose of this study was to 2022. Results: 11 articles met the inclusion criteria. The research were conducted in United States, England, Japan, and Zimbabwe. The use of telehealth for pregnant women during the COVID-19 analyze the effect of using telehealth on the satisfaction of pregnant women during the COVID-19 pandemic through systematic review study. The method was to search through Pubmed, ProQuest, Science Direct, and Wiley Library databases with the publication year from December 2019 to January pandemic resulted in high satisfaction and appeared in 10 articles. Only 1 article resulted in lower satisfaction. Telehealth in the future will be very useful and become an innovation in the field of obstetrics, especially to provide pregnancy care even after the COVID-19 pandemic ends. Although the use of telehealth still has limitations in physical examination, it can be used as an adjunct and complement to in-person visits. Further research can be conducted to develop research on the factors that influence the satisfaction of implementing telehealth in pregnant women.

Updates on Group B Streptococcus Infection in the Field of Obstetrics and Gynecology.

Group B Streptococcus (GBS, Streptococcus agalactiae) is a Gram-positive bacterium that is commonly found in the gastrointestinal and urogenital tracts. However, its colonization during pregnancy is an important cause of maternal and neonatal morbidity and mortality worldwide. Herein, we specifically looked at GBS in relation to the field of Obstetrics (OB) along with the field of Gynecology (GY). In this review, based on the clinical significance of GBS in the field of OBGY, topics of how GBS is being detected, treated, and should be prevented are addressed.

Only Kampo medicine can cure these symptoms in the field of obstetrics and gynecology “1st international symposium on Kampo medicine”

Only Kampo medicine can cure these symptoms in the field of obstetrics and <scp>gynecology</scp> “1st international symposium on Kampo medicine”

Introduction to Machine Learning in Obstetrics and Gynecology

(Obstet Gynecol. 2022;139:669–679. doi: 10.1097/AOG.0000000000004706) Artificial intelligence has been shown to outperform human intelligence at times. A technology’s ability to accurately and quickly perform medical tasks makes machine learning an important innovation within obstetrics and gynecology. This article reviews and identifies how artificial intelligence enhances the medical practice, specifically the field of obstetrics and gynecology.

Infection and the evaluation of biomarkers in obstetrics and gynecology patients with infectious disease: a retrospective observational study from clinical pharmacists’ consultation experience

BackgroundThe use of empirical anti-infective medication calls for the identification of common pathogens and accurate infectious biomarkers. However, clinical pharmacists’ anti-infective experience in the field of obstetrics and gynaecology is rare in the literature. This study aimed to retrospectively analyze the correlation between the anti-infective effectiveness after 7 days of antibiotic treatment and infectious biomarkers, according to clinical pharmacists’ consultation cases of gynecological and obstetric infections.MethodsIn this retrospective study, clinical pharmacists’ anti-infective consultation experiences applied by physicians from January 1, 2018, to December 31, 2020, were included. The exclusion criteria were as follows: (1) the patient died or left the hospital before undergoing an effectiveness evaluation after the consultation; (2) treatment was discontinued due to adverse reactions related to antibiotics; (3) the patient did not undergo an effectiveness evaluation within 3 or 7 days after application of the clinical pharmacist’s treatment plan; and (4) the physician did not adopt the clinical pharmacist’s suggestions. The registered information included patient characteristics, pathological bacteria, anti-infective medication and changes in infection indices before and after treatment. Statistical analysis of temperature, white blood cells (WBCs), C-reactive protein (CRP), procalcitonin (PCT) and WBCs in urine after 3 days and 7 days of anti-infective treatment, compared with before anti-infective treatment, was performed by the chi-square test. A t test was conducted to further study WBC count and CRP. A receiver operating characteristic curve verified the sensitivity and specificity of WBC count, CRP and PCT.ResultsA total of 265 cases were included. The CRP levels of patients 3 d and 7 d after antibiotic treatment were significantly lower than before antibiotic treatment (P < 0.05, P < 0.01), while the WBC count showed a downward trend after 3 days and a significant decrease after 7 days (P < 0.01). The areas under the curve (AUCs) for prognosis on the 7th day for WBC count, CRP and PCT were 0.90, 0.75 and 0.522, respectively. The AUC for WBC count combined with CRP was 0.90, which was higher than that for the biomarkers tested separately, especially compared to PCT. The most common gynecological infections were surgical site infection (SSI), urinary tract infection and fever of unknown origin, and the most common pathogens were E. coli and E. faecalis in Gram-negative and Gram-positive samples, respectively. Pharmacists’ recommended treatment plans included carbapenems and β-lactam antibiotics.ConclusionsOur dual-center study indicates that the combination of WBC count and CRP can improve diagnostic accuracy and treatment efficiency, and PCT alone is insensitive to gynecological infections, according to clinical pharmacists’ experience.

Assessing the Competencies of the Medical Faculty Graduates within the frame of Pre-Graduate Medical Education National Core Curriculum

In this descriptive study, it is aimed to determine the competencies of physicians according to NCC-2014, to create databases for current educational output, to consider graduate competencies while preparing medical faculty training curriculum and to make suggestions for education. For this purpose, a total of 501 physicians agreed to answer the questionnaire and working in designated military hospitals and military primary care examination centers and residents at Ankara University Faculty of Medicine Hospital were included in the study. The data were collected by the researcher by face-to-face interviews with the participants between 10 March 2016 and 30 June 2016. The scores of the physicians regarding the basic medical practices were collected under six main topics and compared with the minimum levels described in NCC-2014. As a result of the study, 161 (32.1%) participants were adequate in “history taking” applications, 78 (15.6%) participants were adequate in “recording, reporting and notification”, 72 (14.4%) participants were competent in “preventive medicine and community medicine practice”, 62 (12.4%) participants were competent in “interventional and noninterventional practice”, 26 (5.2%) participants were competent in “laboratory tests and other related procedures”, and 25 (5.0%) participants were competent in “general and problem focused physical examinations”. It has been determined that physicians do not receive adequate training in the medical faculty, especially in the field of forensic medicine and obstetrics and gynecology. Curriculum programs should be prepared that will include measures for the development of all application areas, especially the practices determined under the heading of “general and problem focused physical examinations” and “laboratory tests and other related procedures”, where the participants have the lowest proficiency.

Patient Satisfaction Level of Enhanced Recovery after C-Section at Abby Maternal and Child Hospital Lhokseumawe

Enhanced recovery after surgery (ERAS) is a multimodal approach to optimize perioperative management and postoperative outcome. In the field of obstetrics, the implementation of ERAS, called enhanced recovery after caesarian section (ERACS), is still quite lagging behind compared to other surgical specialties. This study aims to describe patient satisfaction with the ERACS method in anesthesia services at Abby Maternal and Child Hospital, Lhokseumawe. This study is a descriptive study and was conducted on post-cesarean section patients who were treated at Abby Maternal and Child Hospital, Lhokseumawe. The sampling technique used purposive sampling technique with a population of 46 respondents. The results of the analysis showed that 45 respondents (97.8%) were satisfied with the service at the hospital after undergoing a cesarean section with the ERACS method of pain management at Abby Maternal and Child Hospital, Lhokseumawe. Most respondents experienced mild pain (87%) and were able to mobilize early after cesarean section and carry the baby for breastfeeding (95.7%). The side effects felt were nausea and vomiting in 8 patients (17.4%) and chills in 11 patients (23.6%). In conclusion, the majority of respondents stated that they were satisfied with the ERACS method of pain management at postoperative C-sections.

Is It Time to Redefine Fetal Decelerations in Cardiotocography?

Historically, fetal heart rate (FHR) decelerations were classified into “early”, “late”, and “variable” based on their relationship with uterine contractions. So far, three different putative etiologies were taken for granted. Recently, this belief, passed down through generations of birth attendants, has been questioned by physiologists. This narrative review aimed to assess the evidence on pathophysiology behind intrapartum FHR decelerations. This narrative review is based on information sourced from online peer-reviewed articles databases and recommendations from the major scientific societies in the field of obstetrics. Searches were performed in MEDLINE/PubMed, EMBASE, and Scopus and selection criteria included studies in animals and humans, where the physiology behind FHR decelerations was explored. The greater affinity for oxygen of fetal hemoglobin than the maternal, the unicity of fetal circulation, and the high anaerobic reserve of the myocardium, ensure adequate oxygenation to the fetus, under basal conditions. During acute hypoxic stress the efficiency of these mechanisms are increased because of the peripheral chemoreflex. This reflex, activated at each uterine contraction, is characterized by the simultaneous activation of two neural arms: the parasympathetic arm, which reduces the myocardial consumption of oxygen by decreasing the FHR and the sympathetic component, which promotes an intense peripheric vasoconstriction, thus centralizing the fetal blood volume. This review summarizes the evidence supporting the hypoxic origin of FHR decelerations, therefore archiving the historical belief that FHR decelerations have different etiologies, according to their shape and relationship with uterine contractions. The present review suggests that it is time to welcome the new scientific evidence and to update the CTG classification systems.