Results 141 to 150 of about 193,277 (288)

Association between oxytocin discontinuation during active labor and occiput posterior rotation at birth

open access: yesInternational Journal of Gynecology &Obstetrics, EarlyView.
Abstract Objective Oxytocin is commonly used in occiput posterior (OP) positions based on the assumption that it promotes rotation to the occiput anterior (OA) position, although supporting evidence is lacking. We compared OP‐to‐OA rotation at birth among women in whom oxytocin was discontinued versus continued during active labor.
V. A. Pinho   +3 more
wiley   +1 more source

Pharmacological pain relief and postpartum bleeding in women with moderate or severe anemia: A cohort analysis of the WOMAN‐2 trial

open access: yesInternational Journal of Gynecology &Obstetrics, EarlyView.
Abstract Objective Pain relief could minimize blood loss by limiting the adrenaline stress response to fear and trauma during birth. We examined the association between pharmacological pain relief and postpartum bleeding in a large cohort of women giving birth with anemia in sub‐Saharan Africa and South Asia.
Judith Lieber   +161 more
wiley   +1 more source

Menopause hormone therapy in women with cardiovascular risk factors or established ischemic heart disease: A joint FIGO and WHF position paper

open access: yesInternational Journal of Gynecology &Obstetrics, EarlyView.
Integrated approach to menopausal hormone therapy in women with cardiovascular risk factors or established ischemic heart disease, from early treatment initiation and risk stratification to individualized therapy, multidisciplinary follow‐up, and health‐system recommendations.
Chiara Benedetto   +9 more
wiley   +1 more source

Therapeutic orphans no more: Revisiting the ethical justification for excluding pregnant women from pharmaceutical clinical trials

open access: yesInternational Journal of Gynecology &Obstetrics, EarlyView.
Abstract For six decades, pregnant women have been routinely excluded from pharmaceutical clinical trials, a practice rooted in a protectionist ethic that emerged after the thalidomide tragedy. This narrative review examines whether that exclusion remains ethically justifiable, drawing on the obstetric, pharmacological, and bioethical literature ...
Camila Kruger Cabar   +1 more
wiley   +1 more source

Attacks on sexual, reproductive, maternal and newborn healthcare in armed conflict: Accountability for the gendered reverberating effects

open access: yesInternational Journal of Gynecology &Obstetrics, EarlyView.
Abstract Attacks on sexual, reproductive, maternal and newborn healthcare are an increasingly prominent feature of contemporary armed conflict, yet their gendered effects remain underexamined. This narrative review synthesizes evidence from global health, humanitarian practice, conflict studies, and international law, drawing on examples from Gaza ...
Sunneva Gilmore, Luke Moffett
wiley   +1 more source

Fertility counseling and preservation considerations in patients with gynecologic and non‐gynecologic BRCA and Lynch‐associated malignancies

open access: yesInternational Journal of Gynecology &Obstetrics, EarlyView.
Abstract Lynch syndrome and BRCA‐mutation associated malignancies are fortunately rare. Affected patients have an increased risk of cancer diagnosis at a young age, often significantly overlapping with their reproductive years. In helping these patients, oncologists must navigate the following areas of care: cancer prevention, impact of cancer ...
Anna Weimer   +20 more
wiley   +1 more source

Recombinant activated factor VIIa for severe postpartum hemorrhage in Africa: Evidence, appropriate use, and research priorities—A narrative review

open access: yesInternational Journal of Gynecology &Obstetrics, EarlyView.
Abstract Postpartum hemorrhage (PPH) accounts for 30%–50% of maternal mortality in Africa and occurs in the context of pre‐existing anemia, limited blood product availability, delayed recognition, and constrained referral systems. Although bundle‐based care (E‐MOTIVE), early tranexamic acid (TXA), and uterotonics have substantially improved outcomes, a
Johnny Mahlangu   +3 more
wiley   +1 more source

Factors associated with severe postpartum hemorrhage in women with posterior low‐lying placenta and prior cesarean: A prospective population‐based study

open access: yesInternational Journal of Gynecology &Obstetrics, EarlyView.
Abstract Objective Our objective was to conduct an exploratory assessment of the incidence and factors associated with severe postpartum hemorrhage (PPH) in women with posterior low‐lying placenta and prior cesarean without prenatal suspicion of placenta accreta spectrum (PAS). Methods The study population was derived from the PACCRETA population‐based
Anne Pinton   +4 more
wiley   +1 more source

Impact of real‐time digital dashboard on birth outcomes in high‐volume tertiary center: A retrospective cohort study

open access: yesInternational Journal of Gynecology &Obstetrics, EarlyView.
Abstract Objective This study evaluates the impact of implementing a real‐time intrapartum digital monitoring dashboard on labor progression and birth outcomes in a high‐resource high‐volume tertiary care delivery ward. Study Design This retrospective cohort study was conducted at a university‐affiliated medical center.
Emmanuel Attali   +5 more
wiley   +1 more source

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