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BJOG publishes original, peer-reviewed research in all areas of obstetrics and gynaecology. Its content is enriched with expert commentaries, journal club, CPD/CME, perspectives articles, and digital content such as audio podcasts and video abstracts.
Featured in BJOG: an International Journal of Obstetrics & Gynaecology
Browse articles
Spontaneous Haemoperitoneum in Pregnancy: Nationwide Surveillance and Delphi Audit System
-  6 June 2023
Patient-initiated follow-up in women with early-stage endometrial cancer: a long-term follow-up of the OPAL trial
-  5 June 2023
Subsequent fertility, pregnancy, and gynaecological and psychological outcomes after maternal–fetal surgery for open spina bifida: A prospective cohort study
-  4 June 2023
Variation in outcome reporting in studies of fertility‐sparing surgery for cervical cancer: A systematic review
- BJOG: An International Journal of Obstetrics & Gynaecology
-  163-175
-  11 November 2022
Abstract
This article includes Author Insights, a video abstract available at: https://vimeo.com/771508530
Covid‐19 vaccination during the third trimester of pregnancy: rate of vaccination and maternal and neonatal outcomes, a multicentre retrospective cohort study
- BJOG: An International Journal of Obstetrics & Gynaecology
-  248-255
-  23 September 2021
Characteristics and perceptions associated with COVID‐19 vaccination hesitancy among pregnant and postpartum individuals: A cross‐sectional study
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1342-1351
-  1 February 2022
Trends in maternal mortality in India over two decades in nationally representative surveys
- BJOG: An International Journal of Obstetrics & Gynaecology
-  550-561
-  29 August 2021
Balancing restrictions and access to maternity care for women and birthing partners during the COVID‐19 pandemic: the psychosocial impact of suboptimal care
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1720-1725
-  16 July 2021
Fetal exome sequencing for isolated increased nuchal translucency: should we be doing it?
- BJOG: An International Journal of Obstetrics & Gynaecology
-  52-61
-  19 August 2021
Intrahepatic cholestasis of pregnancy
- BJOG: An International Journal of Obstetrics & Gynaecology
-  e95-e114
-  9 August 2022
Antenatal corticosteroids to reduce neonatal morbidity and mortality
- BJOG: An International Journal of Obstetrics & Gynaecology
-  e35-e60
-  16 February 2022
Cervical Cerclage
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1178-1210
-  24 February 2022
Amniocentesis and chorionic villus sampling
- BJOG: An International Journal of Obstetrics & Gynaecology
-  e1-e15
-  24 October 2021
How to do qualitative research?
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1166-1167
-  17 April 2022
December 2022
free accessBinning data‐bliss or bane
Open accessCervical intraepithelial neoplasia in women with transformation zone type 3: cervical biopsy versus large loop excision
Line Winther Gustafson, Anne Hammer, Mary Holten Bennetsen, Christina Blach Kristensen, Huda Majeed, Lone Kjeld Petersen, Berit Andersen, Pinar Bor,- BJOG: An International Journal of Obstetrics & Gynaecology
-  2132-2140
-  10.1111/1471-0528.17200
Abstract
Linked article: This article is commented on by Sarah Feldman, pp. 2141 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.17260
Current and prior human papillomavirus (HPV) type and cytology results enable risk assessment for triage to colposcopy
- BJOG: An International Journal of Obstetrics & Gynaecology
-  2141-2141
-  10.1111/1471-0528.17260
Abstract
Linked article: This is a mini commentary on Gustafson et al., pp. 2132–2141. in this issue. To view this article visit https://doi.org/10.1111/1471-0528.17200
Open accessCross-sectional diagnostic accuracy study of self-testing for proteinuria during hypertensive pregnancies: The UDIP study
Bethany Ellen Jakubowski, Richard Stevens, Hannah Wilson, Layla Lavallee, Lesley Brittain, Carole Crawford, James Hodgkinson, Lisa Hinton, Lucy Mackillop, Lucy C. Chappell, Richard J. McManus, Katherine Louise Tucker,- BJOG: An International Journal of Obstetrics & Gynaecology
-  2142-2148
-  10.1111/1471-0528.17180
Abstract
Linked article: This article is commented on by Wessel Ganzevoort, pp. 2149 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.17202
Is home proteinuria testing pragmatic?
- BJOG: An International Journal of Obstetrics & Gynaecology
-  2149-2149
-  10.1111/1471-0528.17202
Abstract
Linked article: This is a mini commentary on Bethany Ellen Jakubowski et al., pp. 2142–2148. in this issue. To view this article visit https://doi.org/10.1111/1471-0528.17180
Open accessInduction of labour at 41 weeks of gestation versus expectant management and induction of labour at 42 weeks of gestation: A cost‐effectiveness analysis
Mårten Alkmark, Ulla-Britt Wennerholm, Sissel Saltvedt, Christina Bergh, Ylva Carlsson, Helen Elden, Helena Fadl, Maria Jonsson, Lars Ladfors, Verena Sengpiel, Jan Wesström, Henrik Hagberg, Mikael Svensson,- BJOG: An International Journal of Obstetrics & Gynaecology
-  2157-2165
-  10.1111/1471-0528.16929
Tweetable Abstract
Induction of labour at 41 weeks of gestation is cost-effective compared with expectant management until 42 weeks of gestation.
Open accessPut your weight behind it—Effect of body mass index on the active second stage of labour: A retrospective cohort study
Tilde Broch Østborg, Ragnar Kvie Sande, Jørg Kessler, Christian Tappert, Phillip von Brandis, Torbjørn Moe Eggebø,- BJOG: An International Journal of Obstetrics & Gynaecology
-  2166-2174
-  10.1111/1471-0528.17186
Abstract
This article includes Author Insights, a video abstract available at https://vimeo.com/bjogabstracts/authorinsights17186.
Linked article This article is commented on by Whitney A. Booker, pp. 2175 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.17185
free accessThe effect of maternal obesity on labour
- BJOG: An International Journal of Obstetrics & Gynaecology
-  2175-2175
-  10.1111/1471-0528.17185
Abstract
Linked article: This is a mini commentary on Tilde Broch Østborg et al., pp. 2166–2174 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.17186
free accessLate‐onset gestational diabetes: Could earlier delivery be the key?
- BJOG: An International Journal of Obstetrics & Gynaecology
-  2184-2184
-  10.1111/1471-0528.17184
Abstract
Linked article: This is a mini commentary on Matthew Cauldwell et al., pp. 2176–2183 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.17154
Open accessAn mHealth-Supported antenatal lifestyle intervention may be associated with improved maternal sleep in pregnancy: Secondary analysis from the PEARS trial
free accessIntrahepatic cholestasis of pregnancy
free accessCorrigendum
November 2022
free accessGlobal health and global conflict
Once a caesarean: Prediction of pelvic floor injury is needed
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1969-1969
-  10.1111/1471-0528.17250
Abstract
Linked article: This is a mini commentary on Perslev et al., pp. 1961–1968 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.17227
Open accessRandomised trial of population-based BRCA testing in Ashkenazi Jews: long-term secondary lifestyle behavioural outcomes
Matthew Burnell, Faiza Gaba, Monika Sobocan, Rakshit Desai, Saskia Sanderson, Kelly Loggenberg, Sue Gessler, Lucy Side, Angela F. Brady, Huw Dorkins, Yvonne Wallis, Chris Jacobs, Rosa Legood, Uziel Beller, Ian Tomlinson, Jane Wardle, Usha Menon, Ian Jacobs, Ranjit Manchanda,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1970-1980
-  10.1111/1471-0528.17253
Tweetable Abstract
Jewish Pop BRCA testing increases vitamin use and has similar lifestyle impact as FH testing on diet, exercise, alcohol, breast screening.
Open accessAssociation between pelvic pain bothersomeness and pain sensitivity: A community‐based cross‐sectional study of young adult females in the Raine Study
Darren Beales, Renata Asinelli, Marit Klokset, Lindsay O'Kane, Tonje Urstad, Emma Wise, Juliana Zabatiero, Judith Thompson, Jennifer Pontre, Robert Waller,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1981-1991
-  10.1111/1471-0528.17232
Tweetable abstract
Pain sensitivity can contribute to pelvic pain and should be considered in multimodal management approaches.
Linked article: This article is commented on by Alexandra Wojtaszewska, pp. 1992 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.17229
Clinician bias on the low‐resource workfloor
- BJOG: An International Journal of Obstetrics & Gynaecology
-  2001-2001
-  10.1111/1471-0528.17245
Abstract
Linked article: This is a mini commentary on R. Goldenberg et al., pp. 1993–2000. in this issue. To view this article visit https://doi.org/10.1111/1471-0528.17220
Knowledge, attitudes, and practices of pregnant women regarding COVID‐19 vaccination in pregnancy in 7 low‐ and middle‐income countries: An observational trial from the Global Network for Women and Children’s Health Research
Seemab Naqvi, Sarah Saleem, Farnaz Naqvi, Sk Masum Billah, Eleanor Nielsen, Elizabeth Fogleman, Nalini Peres-da-Silva, Lester Figueroa, Manolo Mazariegos, Ana L. Garces, Archana Patel, Prabir Das, Avinash Kavi, Shivaprasad S. Goudar, Fabian Esamai, Elwyn Chomba, Adrien Lokangaka, Antoinette Tshefu, Rashidul Haque, Shahjahan Siraj, Sana Yousaf, Melissa Bauserman, Edward A. Liechty, Nancy F. Krebs, Richard J. Derman, Waldemar A. Carlo, William A. Petri, Patricia L. Hibberd, Marion Koso-Thomas, Vanessa Thorsten, Elizabeth M. McClure, Robert L. Goldenberg,- BJOG: An International Journal of Obstetrics & Gynaecology
-  2002-2009
-  10.1111/1471-0528.17226
Tweetable abstract
The COVID-19 vaccine survey in seven LMIC indicates that the knowledge of pregnant women about the effectiveness and safety of the vaccine was generally low and a third of the women did not plan to be vaccinated.
Open accessMode of delivery and maternal sexual wellbeing: A longitudinal study
Open accessIdiopathic intracranial hypertension: Evaluation of births and fertility through the Hospital Episode Statistics dataset
- BJOG: An International Journal of Obstetrics & Gynaecology
-  2019-2027
-  10.1111/1471-0528.17241
Abstract
This article includes Author Insights, a video abstract available at: https://vimeo.com/bjogabstracts/authorinsights17241
Open accessPreoperative application of the Enzian classification for endometriosis (The cEnzian Study): A prospective international multicenter study
Simon-Hermann Enzelsberger, Peter Oppelt, Konstantinos Nirgianakis, Beata Seeber, Jan Drahoňovský, Leopold Wanderer, Bernhard Krämer, Kristin Nannette Grübling, Sudip Kundu, Darius Salehin, Maciej Mierzwinski, Harald Krentel, Philipp Hermann, Helga Wagner, Omar Shebl, Sebastian Schäfer,- BJOG: An International Journal of Obstetrics & Gynaecology
-  2052-2061
-  10.1111/1471-0528.17235
Tweetable Abstract
The Enzian classification is a useful tool for an ‘at a glance’ description of preoperative workup regarding DE.
Open accessIncreased variability of fetal heart rate during labour: a review of preclinical and clinical studies
- BJOG: An International Journal of Obstetrics & Gynaecology
-  2070-2081
-  10.1111/1471-0528.17234
Tweetable abstract
Increased fetal heart rate variability is parasympathetic-mediated and is caused by acutely deteriorating placental function.
free accessSubclinical hypothyroidism and antithyroid autoantibodies in women with subfertility or recurrent pregnancy loss
October 2022
free accessStriving towards personalised obstetric care
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1803-1804
-  10.1111/1471-0528.17281
Abstract
Deputy Editor-in-Chief, Dr Patrick Chien, discusses his top articles from this issue in an audio podcast available at: https://soundcloud.com/bjog/October-editorial-2022
Open accessBirthweight and isolated congenital heart defects – A systematic review and meta‐analysis
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1805-1816
-  10.1111/1471-0528.17164
Tweetable abstract
Infants with a congenital heart defect (CHD) have a lower birthweight z-score and a higher incidence of small-for-gestational age (<10th percentile). This was encountered both in the major CHD-group as well as in all-CHD combined group analysis. Future research on the association between birthweight and CHD should include all types of CHDs (including mild cardiac defects) and placental-related disease, such as pre-eclampsia. We advocate the use of international standardised fetal growth and birthweight charts in CHD research.
Open accessCalcium for pre‐eclampsia prevention: A systematic review and network meta‐analysis to guide personalised antenatal care
Mai-Lei Woo Kinshella, Catherine Sarr, Akshdeep Sandhu, Jeffrey N. Bone, Marianne Vidler, Sophie E. Moore, Rajavel Elango, Gabriela Cormick, José M. Belizan, G. Justus Hofmeyr, Laura A. Magee, Peter von Dadelszen, the PRECISE Network,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1833-1843
-  10.1111/1471-0528.17222
Tweetable abstract
A network meta-analysis of 25 trials found that low-dose calcium supplementation (<1 g/day) is as effective as high-dose calcium supplementation (≥1 g/day) in halving the risk of pre-eclampsia when baseline calcium intake is low.
Linked article: This article is commented on by Fields et al., pp. 1844 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17236.
Open accessWhole-exome sequencing uncovers new variants in GDF15 associated with hyperemesis gravidarum
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1845-1852
-  10.1111/1471-0528.17129
Tweetable abstract
Whole-exome sequencing reveals placenta and vomiting hormone GDF15 most likely cause of Hyperemesis Gravidarum.
Open accessThe role of intervening pregnancy loss in the association between interpregnancy interval and adverse pregnancy outcomes
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1853-1861
-  10.1111/1471-0528.17223
Tweetable abstract
Not considering pregnancy loss in interpregnancy interval estimation resulted no meaningful differences in observed risks of adverse pregnancy outcomes.
Open accessShift in harms and benefits of cervical cancer screening in the era of HPV screening and vaccination: a modelling study
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1862-1869
-  10.1111/1471-0528.17190
Tweetable abstract:
Cervical cancer screening: both harms and benefits of hrHPV screening will decrease in the future.
Open accessAngiogenic factors for planning fetal surveillance in fetal growth restriction and small‐for‐gestational‐age fetuses: A prospective observational study
Erika Bonacina, Manel Mendoza, Alba Farràs, Pablo Garcia-Manau, Berta Serrano, Ivan Hurtado, Raquel Ferrer-Oliveras, Lidia Illan, Mireia Armengol-Alsina, Elena Carreras,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1870-1877
-  10.1111/1471-0528.17151
Tweetable abstract
sFlt-1/PlGF values in early-onset SGA/FGR could be used in addition to Doppler for planning fetal surveillance.
Linked article: This article is commented on by Cecilia Villalaín, pp. 1878 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17172
Open accessIntrahepatic cholestasis of pregnancy – Time to redefine the reference range of total serum bile acids: A cross‐sectional study
Mor Huri, Viola Seravalli, Camilla Lippi, Lorenzo Tofani, Andrea Galli, Felice Petraglia, Mariarosaria Di Tommaso,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1887-1896
-  10.1111/1471-0528.17174
Tweetable abstract
Normal pregnancy is associated with mild hypercholanaemia, a higher threshold should be considered for the diagnosis of ICP.
Linked article: This article is commented on by Ovadia et al., pp. 1897–1898. in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17171
Open accessUse of induction of labour and emergency caesarean section and perinatal outcomes in English maternity services: A national hospital‐level study
Ipek Gurol-Urganci, Jennifer Jardine, Fran Carroll, Alissa Frémeaux, Patrick Muller, Sophie Relph, Lara Waite, Kirstin Webster, Sam Oddie, Jane Hawdon, Tina Harris, Asma Khalil, Jan van der Meulen, National Maternity and Perinatal Audit Project Team,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1899-1906
-  10.1111/1471-0528.17193
Abstract
Linked article: This article is commented on by Eric Jauniaux, pp. 1907 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17277
This article includes Author Insights, a video abstract available at: https://vimeo.com/bjogabstracts/authorinsights17193
Induction of labour and caesarean delivery rates: the need for a national and international consensus
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1907-1907
-  10.1111/1471-0528.17277
Abstract
Linked article: This is a mini commentary for on Gurol-Urganci et al., pp. 1899–1906 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.17193
Open accessSurgical management of pudendal nerve entrapment after sacrospinous ligament fixation
Eva V. Vodegel, Kim W. M. van Delft, Charlotte H. C. Nuboer, Claudia R. Kowalik, Jan-Paul W. R. Roovers,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1908-1915
-  10.1111/1471-0528.17145
Tweetable abstract
The surgical removal of sacrospinous ligament sutures is safe and efficacious for pain relief, even remote from initial placement.
Open accessShort‐term morbidity and types of intrapartum hypoxia in the newborn with metabolic acidaemia: a retrospective cohort study
Elvira di Pasquo, Arianna Commare, Bianca Masturzo, Sonia Paolucci, Antonella Cromi, Benedetta Montersino, Chiara M. Germano, Rossella Attini, Serafina Perrone, Francesco Pisani, Andrea Dall'Asta, Stefania Fieni, Tiziana Frusca, Tullio Ghi,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1916-1925
-  10.1111/1471-0528.17133
Tweetable abstract
This study demonstrates that in a large population of neonates with metabolic acidaemia at birth, the overall incidence of short-term adverse outcome is around 15%. Such risk seems closely correlated to the duration and the type of hypoxic injury, being higher in fetuses admitted in labour with antepartum chronic hypoxia than those experiencing intrapartum hypoxia.
Open accessMetabolically healthy and unhealthy obesity and risk of vasomotor symptoms in premenopausal women: cross‐sectional and cohort studies
Sunju Namgoung, Yoosoo Chang, Chae-Yeon Woo, Yejin Kim, Jeonggyu Kang, Ria Kwon, Ga-Young Lim, Hye Rin Choi, Kye-Hyun Kim, Hoon Kim, Yun Soo Hong, Di Zhao, Juhee Cho, Eliseo Guallar, Hyun-Young Park, Seungho Ryu,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1926-1934
-  10.1111/1471-0528.17224
Tweetable abstract
Avoiding obesity and a metabolically unhealthy status may help reduce vasomotor symptoms in premenopausal women.
September 2022
free accessEditorial
Open accessPregnancy in women with liver cirrhosis is associated with increased risk for complications: A systematic review and meta‐analysis of the literature
Laurine L. van der Slink, Irma Scholten, Faridi S. van Etten-Jamaludin, Robert B. Takkenberg, Rebecca C. Painter,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1644-1652
-  10.1111/1471-0528.17156
Tweetable abstract
Systematic review and meta-analysis: higher risks that pregnant women with liver cirrhosis face are quantified.
Linked article: This article is commented on by Orene Greer, pp. 1653 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17155.
Open accessTwo-year follow-up of infant and maternal outcomes after planned early delivery or expectant management for late preterm pre-eclampsia (PHOENIX): A randomised controlled trial
Alice Beardmore-Gray, Melanie Greenland, Louise Linsell, Edmund Juszczak, Pollyanna Hardy, Anna Placzek, Rachael Hunter, Jenie Sparkes, Marcus Green, Andrew Shennan, Neil Marlow, Lucy C. Chappell, the PHOENIX Study Group,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1654-1663
-  10.1111/1471-0528.17167
Abstract
Linked article: This article is commented on by Susan Walker and Brett Manley, pp. 1664-1665 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17165.
Open accessPlacenta accreta spectrum – variations in clinical practice and maternal morbidity between the UK and France: a population-based comparative study
Stephen J. McCall, Catherine Deneux-Tharaux, Loïc Sentilhes, Rema Ramakrishnan, Sally L. Collins, Aurélien Seco, Jennifer J. Kurinczuk, Marian Knight, Gilles Kayem,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1676-1685
-  10.1111/1471-0528.17169
Tweetable abstract
In women with placenta accreta spectrum, severe haemorrhage was more common in the UK than in France.
Linked article: This article is commented on by Amarnath Bhide, pp. 1686 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17170.
Open accessMiddle cerebral arterial flow redistribution is an indicator for intrauterine fetal compromise in late pregnancy in low‐resource settings: A prospective cohort study
Sam Ali, Michael G. Kawooya, Josaphat Byamugisha, Isaac M. Kakibogo, Esther A. Biira, Adia N. Kagimu, Diederick E. Grobbee, David Zakus, Aris T. Papageorghiou, Kerstin Klipstein-Grobusch, Marcus J. Rijken,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1712-1720
-  10.1111/1471-0528.17115
Tweetable abstract
Blood flow redistribution to the fetal brain is strongly associated with stillbirths in low-resource settings.
This article includes Author Insights, a video abstract available at https://vimeo.com/bjogabstracts/authorinsights17115.
Open accessRisk factors for RhD immunisation in a high coverage prevention programme of antenatal and postnatal RhIg: a nationwide cohort study
Y. M. Slootweg, C. Zwiers, J. M. Koelewijn, E. van der Schoot, D. Oepkes, I. L. van Kamp, M. de Haas,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1721-1730
-  10.1111/1471-0528.17118
Tweetable abstract
Complicated delivery (caesarean section, manual removal placenta, major bleeding) is the most valid risk factor for RhD immunization despite antenatal and postnatal RhIg.
Open accessReducing health inequality in Black, Asian and other minority ethnic pregnant women: impact of first trimester combined screening for placental dysfunction on perinatal mortality
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1750-1756
-  10.1111/1471-0528.17109
Tweetable abstract
Multimodal early pregnancy placental dysfunction screening can lead to a significant reduction in perinatal deaths in non-white women.
This article includes Author Insights, a video abstract available at https://vimeo.com/bjogabstracts/authorinsights17109.
Open accessImmediate birth for women between 34 and 37 weeks of gestation with prolonged preterm prelabour rupture of membranes and detection of vaginal or urine group B streptococcus: an economic evaluation
Jeremy Dietz, Jane Plumb, Philip Banfield, Aung Soe, Fadi Chehadah, Stacey Chang-Douglass, Gabriel Rogers,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1779-1789
-  10.1111/1471-0528.17119
Tweetable abstract
For women with preterm prelabour rupture of membranes and group B streptococcus in vaginal or urine samples, immediate birth is associated with improved health in their babies and reduced costs, compared with expectant management.
Open accessImpact of obesity on uterine contractile activity during labour: A blinded analysis of a randomised controlled trial cohort
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1790-1797
-  10.1111/1471-0528.17128
Tweetable abstract
Despite higher strength of uterine contractions among obese parturients, they reach the active stage of labour less often than leaner ones.
Linked article: This article is commented on by Mikko Tarvonen, pp. 1798 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17153
Open accessQuality not quantity
August 2022
free accessEditorial
Open accessA commentary on the discrepancy between blood and tumour BRCA testing: An open question
Open accessSperm mitochondrial DNA copy numbers in normal and abnormal semen analysis: A systematic review and meta‐analysis
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1434-1446
-  10.1111/1471-0528.17078
Tweetable abstract
There is significantly higher mitochondrial DNA in sperm cells of men with abnormal semen analysis in comparison to men with normal semen analysis.
Open accessSecond and third trimester estimation of gestational age using ultrasound or maternal symphysis‐fundal height measurements: A systematic review
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1447-1458
-  10.1111/1471-0528.17123
Tweetable abstract
Many vulnerable women seek antenatal care late in pregnancy. How should gestational age be determined? We examine all available studies estimating GA >20 weeks. Ultrasound is much better than fundal height, and using cerebellar measurement appears to be the most accurate.
Linked article: This article is commented on by Philip J. Steer, pp. 1459 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17127.
Open accessOne year effectiveness of an app‐based treatment for urinary incontinence in comparison to care as usual in Dutch general practice: A pragmatic randomised controlled trial over 12 months
Anne MM Loohuis, Henk Van Der Worp, Nienke J Wessels, Janny H Dekker, Marijke CPh Slieker-Ten Hove, Marjolein Y Berger, Karin M Vermeulen, Marco H Blanker,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1474-1480
-  10.1111/1471-0528.16875
Tweetable abstract
App-based treatment for female urinary incontinence is a viable alternative to care-as-usual after 12 months.
Linked article: See related article at https://doi.org/10.1111/1471-0528.17191.
Open accessAdverse childhood experiences are associated with increased risk of hysterectomy and bilateral oophorectomy: A national retrospective cohort study of women in England
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1481-1489
-  10.1111/1471-0528.17088
Tweetable abstract
Adverse childhood experiences are associated with increased risk of hysterectomy and bilateral oophorectomy in a national sample of women in England.
Linked article: This article is commented on by Walter A. Rocca, pp. 1491–1492 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17105.
Open accessCiprofloxacin exposure and adverse pregnancy outcomes: A Danish nationwide cohort study
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1503-1511
-  10.1111/1471-0528.17083
Tweetable abstract
No association between maternal ciprofloxacin exposure and adverse pregnancy outcomes.
Open accessCost‐effectiveness of an app‐based treatment for urinary incontinence in comparison with care‐as‐usual in Dutch general practice: a pragmatic randomised controlled trial over 12 months
Anne M. M. Loohuis, Henk Van Der Worp, Nienke J. Wessels, Janny H. Dekker, Marijke C. Ph. Slieker-Ten Hove, Marjolein Y. Berger, Karin M. Vermeulen, Marco H. Blanker,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1538-1545
-  10.1111/1471-0528.17191
Tweetable abstract
App-treatment for female urinary incontinence cost-effective compared to care-as-usual in general practice after 12 months.
Linked article: See related article at https://doi.org/10.1111/1471-0528.16875.
Open accessWhere is the ‘C’ in antenatal care and postnatal care: A multi-country survey of availability of antenatal and postnatal care in low- and middle-income settings
Barbara Madaj, Somasundari Gopalakrishnan, Alexandre Quach, Simone Filiaci, Adama Traore, Dankom Bakusa, Mselenge Mdegela, Abdul Wali Yousofzai, Ahmed Javed Rahmanzai, Grace Kodindo, Jean-Pierre Gami, Njiki Dounou Rostand, Hamit Kessely, Stephen Ayisi Addo, Mercy Abbey, Mary Sapali, Ali Omar, Alex Ernest, Rugola Mtandu, Abram Agossou, Guillaume K. Ketoh, Nicholas Furtado, Viviana Mangiaterra, Nynke van den Broek,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1546-1557
-  10.1111/1471-0528.17106
Tweetable abstract
ANC and PNC are essential care bundles. We identified 15 core components. These are not in place in the majority of LMIC settings.
Linked article: This article is commented on by Carolyn Paul, pp. 1558–1559 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17113.
Open accessAntibiotic prophylaxis in preterm premature rupture of membranes at 24–31 weeks’ gestation: Perinatal and 2‐year outcomes in the EPIPAGE‐2 cohort
Elsa Lorthe, Mathilde Letouzey, Héloïse Torchin, Laurence Foix L'Helias, Christèle Gras-Le Guen, Valérie Benhammou, Pascal Boileau, Caroline Charlier, Gilles Kayem, for the EPIPAGE-2 Obstetric Writing Group,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1560-1573
-  10.1111/1471-0528.17081
Tweetable Abstract
Antibiotic prophylaxis after PPROM at 24–31 weeks: 3rd-generation cephalosporins associated with improved neonatal outcomes.
Open accessCorrelation between fetal heart rate evolution patterns and magnetic resonance imaging findings in severe cerebral palsy: A longitudinal study
Masahiro Nakao, Yukiko Nanba, Asumi Okumura, Junichi Hasegawa, Satoshi Toyokawa, Kiyotake Ichizuka, Naohiro Kanayama, Shoji Satoh, Nanako Tamiya, Akihito Nakai, Keiya Fujimori, Tsugio Maeda, Hideaki Suzuki, Mitsutoshi Iwashita, Akira Oka, Tomoaki Ikeda,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1574-1582
-  10.1111/1471-0528.17089
Tweetable abstract
Basal ganglia-thalamus injury constitutes 76% of severe cerebral palsy cases, predominant even in antenatal-onset cases.
This article includes Author Insights, a video abstract available at https://vimeo.com/bjogabstracts/authorinsights17089.
July 2022
free accessHypertension during pregnancy
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1229-1230
-  10.1111/1471-0528.17243
Abstract
Deputy Editor-in-Chief, Dr Patrick Chien, discusses his top articles from this issue in an audio podcast available at: https://soundcloud.com/bjog/July-editorial-2022
Open accessFetal and maternal outcomes after maternal biologic use during conception and pregnancy: A systematic review and meta‐analysis
Laura J. O'Byrne, Safi G. Alqatari, Gillian M. Maher, Aoife M. O'Sullivan, Ali S. Khashan, Grainne P. Murphy, Fergus P. McCarthy,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1236-1246
-  10.1111/1471-0528.17093
Tweetable abstract
Meta-analysis of 11 172 pregnancies exposed to biologic medications shows no evidence of harm for the fetus or the mother.
Linked article: This article is commented on by Laurine L. van der Slink, pp. 1247 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17095.
Open accessColposcopic assessment by Swedescore, evaluation of effectiveness in the Swedish screening programme: a cross‐sectional study
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1261-1267
-  10.1111/1471-0528.17054
Tweetable abstract
No safe cutoff level for refraining from biopsy nor for see-and-treat with Swedescore.
Linked article: This article is commented on by Margaret Cruickshank, pp. 1268 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17055.
Open accessAge‐specific outcomes from the first round of HPV screening in unvaccinated women: Observational study from the English cervical screening pilot
Matejka Rebolj, Christopher S. Mathews, Francesca Pesola, Kate Cuschieri, Karin Denton, Henry Kitchener, the HPV Pilot Steering Group,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1278-1288
-  10.1111/1471-0528.17058
Tweetable abstract
Data from the English pilot study provide a comprehensive overview of abnormalities detected through HPV screening.
Knowledge, attitude and practices of pregnant women related to COVID-19 infection: A cross-sectional survey in seven countries from the Global Network for Women's and Children's Health
Farnaz Naqvi, Seemab Naqvi, Sk Masum Billah, Sarah Saleem, Elizabeth Fogleman, Nalini Peres-da-Silva, Lester Figueroa, Manolo Mazariegos, Ana L. Garces, Archana Patel, Prabir Das, Avinash Kavi, Shivaprasad S. Goudar, Fabian Esamai, Elwyn Chomba, Adrien Lokangaka, Antoinette Tshefu, Rashidul Haque, Shahjahan Siraj, Sana Yousaf, Melissa Bauserman, Edward A. Liechty, Nancy F. Krebs, Richard J. Derman, Waldemar A. Carlo, William A. Petri, Patricia L. Hibberd, Marion Koso-Thomas, Carla M. Bann, Elizabeth M. McClure, Robert L. Goldenberg,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1289-1297
-  10.1111/1471-0528.17122
Tweetable abstract
Pregnant women in 7 low and middle income sites often had incomplete knowledge related to COVID-19 and practices to prevent COVID-19 during pregnancy varied.
Health care in pregnancy during the COVID-19 pandemic and pregnancy outcomes in six low- and-middle-income countries: Evidence from a prospective, observational registry of the Global Network for Women’s and Children’s Health
Seemab Naqvi, Farnaz Naqvi, Sarah Saleem, Vanessa R. Thorsten, Lester Figueroa, Manolo Mazariegos, Ana Garces, Archana Patel, Prabir Das, Avinash Kavi, Shivaprasad S. Goudar, Fabian Esamai, Musaku Mwenchanya, Elwyn Chomba, Adrien Lokangaka, Antoinette Tshefu, Sana Yousuf, Melissa Bauserman, Carl L. Bose, Edward A. Liechty, Nancy F. Krebs, Richard J. Derman, Waldemar A. Carlo, Patricia L. Hibberd, Sk Masum Billah, Nalini Peres-da-Silva, Rashidul Haque, William A. Petri, Marion Koso-Thomas, Tracy Nolen, Elizabeth M. McClure, Robert L. Goldenberg,Comparative evaluation of the impact of the COVID‐19 lockdown on perinatal experience: A prospective multicentre study
Charline Bertholdt, Jonathan Epstein, Camille Alleyrat, Gaëlle Ambroise Grandjean, Lysa Claudel, Marie-France Olieric, Sandra Dahlhoff, Nicolas Mottet, Claire Banasiak, Olivier Morel,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1333-1341
-  10.1111/1471-0528.17082
Tweetable Abstract
Perinatal experience, while most affected by caesarean, was worse in lockdown than later in the pandemic.
Characteristics and perceptions associated with COVID‐19 vaccination hesitancy among pregnant and postpartum individuals: A cross‐sectional study
Miranda K. Kiefer, Rebecca Mehl, Maged M. Costantine, Alyson Johnson, Jessica Cohen, Taryn L. Summerfield, Mark B. Landon, Kara M. Rood, Kartik K. Venkatesh,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1342-1351
-  10.1111/1471-0528.17110
Tweetable abstract
COVID-19 vaccination hesitancy is frequent among pregnant and postpartum individuals, and those who face barriers to accessing healthcare services are more likely to report COVID-19 vaccine hesitancy.
Open accessAssociation of initial COVID-19 vaccine hesitancy with subsequent vaccination among pregnant and postpartum individuals
Katherine Germann, Miranda K. Kiefer, Kara M. Rood, Rebecca Mehl, Jiqiang Wu, Radhika Pandit, Courtney D. Lynch, Mark B. Landon, William A. Grobman, Maged M. Costantine, Kartik K. Venkatesh,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1352-1360
-  10.1111/1471-0528.17189
Tweetable abstract
COVID-19 vaccination hesitancy among pregnant and postpartum individuals persists over time, and few of the individuals who reported hesitancy were later vaccinated.
Open accessClinical-pathological features in placentas of pregnancies with SARS-CoV-2 infection and adverse outcome: case series with and without congenital transmission
Mehreen Zaigham, David Gisselsson, Anna Sand, Anna-Karin Wikström, Emma von Wowern, David A. Schwartz, Linda Iorizzo, Maria Nelander, Marie Blomberg, Nikos Papadogiannakis, Sandra Holmström, Åsa Leijonhfvud, Verena Sengpiel,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1361-1374
-  10.1111/1471-0528.17132
Tweetable abstract
SARS-CoV-2 can cause rapid placental dysfunction and intrauterine fetal compromise.
Linked article: This article is commented on by Yves Ville, pp. 1375 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17162.
This article includes Author Insights, a video abstract available at: https://vimeo.com/bjogabstracts/authorinsights17132
The placenta in COVID-19 infection in pregnancy
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1375-1375
-  10.1111/1471-0528.17162
Abstract
Linked article: This is a mini commentary on Mehreen Zaigham et al., pp. 1361-1374 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.17132
Open accessTreatment preferences for medication or surgery in patients with deep endometriosis and bowel involvement – a discrete choice experiment
Jeroen Metzemaekers, M. Elske van den Akker-van Marle, Jonathan Sampat, Mathilde J. G. H. Smeets, James English, Elke Thijs, Jacques W. M. Maas, Frank Willem Jansen, Brigitte Essers,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1376-1385
-  10.1111/1471-0528.17053
Tweetable abstract
First discrete choice experiment in patients with deep endometriosis.
Open access‘There's only so much you can be pushed’: Magnification of the maternity staffing crisis by the 2020/21 COVID-19 pandemic
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1408-1409
-  10.1111/1471-0528.17203
Abstract
This article includes Author Insights, a video abstract available at: https://vimeo.com/bjogabstracts/authorinsights17203
free accessEvaluating misoprostol and mechanical methods for induction of labour
free accessCorrigendum
June 2022
free accessMaximising health outcomes
Open accessEvaluation of the short‐term host response and biomechanics of an absorbable poly‐4‐hydroxybutyrate scaffold in a sheep model following vaginal implantation
Chantal M. Diedrich, Zeliha Guler, Lucie Hympanova, Eva Vodegel, Manuel Zündel, Edoardo Mazza, Jan Deprest, Jan Paul Roovers,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1039-1049
-  10.1111/1471-0528.17040
Tweetable Abstract
Degradable vaginal P4HB implant might be a solution for treatment of POP.
Open accessImpact of SARS-CoV-2 infection on risk of prematurity, birthweight and obstetric complications: A multivariate analysis from a nationwide, population-based retrospective cohort study
Emmanuel Simon, Jean-Bernard Gouyon, Jonathan Cottenet, Sonia Bechraoui-Quantin, Patrick Rozenberg, Anne-Sophie Mariet, Catherine Quantin,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1084-1094
-  10.1111/1471-0528.17135
Tweetable Abstract
The risk of prematurity is twice as high in women with COVID-19 after adjustment for factors usually associated with prematurity.
Open accessGestational weight gain, appetite regulating hormones, and metformin treatment in polycystic ovary syndrome: A longitudinal, placebo‐controlled study
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1112-1121
-  10.1111/1471-0528.17042
Tweetable Abstract
Metformin counteracts excessive weight gain and leptin resistance in pregnant women with polycystic ovary syndrome.
Open accessQuality of life from cytoreductive surgery in advanced ovarian cancer: Investigating the association between disease burden and surgical complexity in the international, prospective, SOCQER‐2 cohort study
Sudha Sundar, Carole Cummins, Satyam Kumar, Joanna Long, Vivek Arora, Janos Balega, Tim Broadhead, Tim Duncan, Richard Edmondson, Christina Fotopoulou, Ros Glasspool, Desiree Kolomainen, Simon Leeson, Ranjit Manchanda, Orla McNally, Jo Morrison, Asima Mukhopadhyay, Jim Paul, John Tidy, Nick Wood,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1122-1132
-  10.1111/1471-0528.17041
Tweetable Abstract
Compared with surgery of lower complexity, extensive surgery does not result in poorer quality of life in patients with advanced ovarian cancer.
Open accessCervical cancer and COVID—an assessment of the initial effect of the pandemic and subsequent projection of impact for women in England: A cohort study
Jennifer M. Davies, Alice Spencer, Sian Macdonald, Lucy Dobson, Emily Haydock, Holly Burton, Georgios Angelopoulos, Pierre Martin-Hirsch, Nick J. Wood, Amudha Thangavelu, Richard Hutson, Sarika Munot, Marina Flynn, Michael Smith, Bridget DeCruze, Eva Myriokefalitaki, Katelijn Sap, Brett Winter-Roach, Robert Macdonald, Richard J. Edmondson,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1133-1139
-  10.1111/1471-0528.17098
Tweetable Abstract
Covid will result in 919 extra cases of cervical cancer in England alone. Effects can be mitigated by increasing surgical capacity.
Linked article This article is commented on by Leslie Stewart Massad, pp. 1140 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17100.
Impacts of the COVID-19 pandemic on cervical cancer will be severe
- BJOG: An International Journal of Obstetrics & Gynaecology
-  1140-1140
-  10.1111/1471-0528.17100
Abstract
Linked article: This is a mini commentary on Jennifer M. Davies et al., pp. 1133–1139 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.17098
Open accessHow to do qualitative research?
free accessCervical Cerclage
free accessUnderstanding the relationship between social determinants of health and maternal mortality
Georgina L. Jones, Caroline A. Mitchell, Jane E. Hirst, Dilly O.C. Anumba, the Royal College of Obstetricians and Gynaecologists,- BJOG: An International Journal of Obstetrics & Gynaecology
-  1211-1228
-  10.1111/1471-0528.17044
PLAIN LANGUAGE SUMMARY
This paper aims to inform those involved in the care of pregnant women in the UK about the relationship between social determinants of health and the risk of maternal death. Social determinants are the social conditions in which people are born, grow, live, work and age. These conditions can shape a person's health, their exposure to illness and access to care. The worse social and economic positions people are in, the worse their health outcomes are likely to be.
Exploring these issues in relation to maternal outcomes is timely because the profile of mothers giving birth in the UK is changing. Increasingly, babies are being born to older or obese mothers, or to women born outside of the UK.
The evidence suggests a strong relationship between social determinants and poor maternal outcomes, including an increased risk of maternal death. Despite the provision of free reproductive and maternity services, current models of care are still failing those pregnant women living in adverse social circumstances prior to, during and after pregnancy. The reasons are complex but maternal outcomes are particularly poor for socially disadvantaged women affected by pre-existing physical or mental health problems, those who misuse substances, have a low level of education, are overweight, undernourished or poorly sheltered, and those who are at increased risk because of abusive and unsupportive partners, families and peers. Some traditional, cultural and social norms, and reproductive laws and policies, also appear to influence a pregnant woman's relationships, behaviour and access to healthcare services. These factors can reinforce a web of social disadvantage and poor outcomes for some pregnant women, which can persist for future generations. Public awareness of these issues has increased as a result of the COVID-19 pandemic which has highlighted the ways in which health inequalities can adversely affect health outcomes beyond an individual's control. However, addressing the relationship between COVID-19 and social determinants of health is outside the scope of this paper. While social determinants of maternal health also have an impact on offspring health, this is also outside the remit of this paper.
Healthcare professionals have limited power on their own to modify social determinants of health, but this paper concludes with recommendations to improve the maternal outcomes of vulnerable pregnant women residing in the UK and proposes improvements to the collection and reporting of maternal outcome data, with further investment in prevention and intervention measures to better support these women.
Special Issue: Top Scoring Abstracts of the RCOG World Congress 2022
May 2022
free accessInternational action day on women's health
Open accessOvercoming blame culture: key strategies to catalyse maternal and perinatal death surveillance and response
Open accessRisk of preterm birth in relation to history of preterm birth: a population‐based registry study of 213 335 women in Norway
Tweetable abstract
Preterm first birth is a major risk factor for subsequent preterm birth, regardless of maternal, obstetric or fetal risk factors.
This article includes Author Insights, a video abstract available at: https://vimeo.com/bjogabstracts/authorinsights17013
Open accessCaesarean birth in women with infertility: population‐based cohort study
Tweetable abstract
Caesarean delivery is more common in women with infertility independent of demographics and prenatal conditions.
Open accessThere is no association between combined oral hormonal contraceptives and depression: a Swedish register‐based cohort study
Tweetable abstract
There is no association between combined hormonal contraceptives and depression.
Open accessContributions of side effects to contraceptive discontinuation and method switch among Kenyan women: a prospective cohort study
CW Rothschild, BA Richardson, BL Guthrie, P Kithao, T Omurwa, J Mukabi, LS Callegari, EL Lokken, G John-Stewart, JA Unger, J Kinuthia, AL Drake,Tweetable abstract
Bleeding, weight changes, sexual problems associated with discontinuation of #contraception, but many continue despite side effects.
Open accessHow does uterine contractile activity affect the success of trial of labour after caesarean section, and the risk of uterine rupture? An exploratory, blinded analysis of a cohort from a randomised controlled trial
Tweetable abstract
During VBAC the response to oxytocin, assessed as intrauterine pressure, is greater and adequate, in contrast to failed TOLAC.
Linked article This article is commented on by PJ Steer, pp. 985 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17035.
Open accessThe effect of hormone replacement therapy on the survival of UK women: a retrospective cohort study 1984−2017
Tweetable abstract
Estrogen-only HRT is not associated with all-cause mortality and combined HRT reduces the risks.
April 2022
free accessCurb your enthusiasm
WHO next‐generation partograph: revolutionary steps towards individualised labour care?
Open accessRisk of caesarean delivery in labour induction: a systematic review and external validation of predictive models
N López-Jiménez, F García-Sánchez, R Hernández-Pailos, V Rodrigo-Álvaro, A Pascual-Pedreño, M Moreno-Cid, M Delgado-Rodríguez, A Hernández-Martínez,Tweetable abstract
Predictive models that predict the risk of cesarean section in labor inductions are currently not applicable.
Open accessCardiac output and peripheral vascular resistance during normotensive and hypertensive pregnancy – a systematic review and meta‐analysis
EG Mulder, S de Haas, Z Mohseni, N Schartmann, F Abo Hasson, F Alsadah, SMJ van Kuijk, J van Drongelen, MEA Spaanderman, C Ghossein-Doha,Tweetable abstract
Monitoring haemodynamic changes in pregnancy helps identify women at risk for hypertensive complications.
Open accessThe unexplored role of sedentary time and physical activity in glucose and lipid metabolism‐related placental mRNAs in pregnant women who are obese: the DALI lifestyle randomised controlled trial
P Acosta-Manzano, B Leopold-Posch, D Simmons, R Devlieger, S Galjaard, R Corcoy, JM Adelantado, F Dunne, J Harreiter, A Kautzky-Willer, P Damm, ER Mathiesen, DM Jensen, LL Andersen, M Tanvig, A Lapolla, MG Dalfra, A Bertolotto, E Wender-Ozegowska, A Zawiejska, DJ Hill, FJ Snoek, JGM Jelsma, G Desoye, MNM van Poppel,Tweetable abstract
Reducing sedentary behaviour in pregnancy might modulate placental expression of genes related to lipid metabolism in women who are obese.
Open accessPregnancy rates and outcomes in women with cystic fibrosis in the UK: comparisons with the general population before and after the introduction of disease‐modifying treatment, 2003–17
Open accessPrenatal diagnosis and pre‐implantation genetic diagnosis for cancer susceptibility conditions
Open accessStillbirth or neonatal death before 45 post‐menstrual weeks in relation to gestational duration in pregnancies at 39 weeks of gestation or beyond: the impact of parity and body mass index. A national cohort study
Tweetable abstract
In term pregnancies the risk for stillbirth and neonatal death is affected by gestational age, parity and BMI.
Open accessLow incidence of pulmonary metastases in vulvar cancer patients: limited value of routine chest imaging based on a cohort study
Tweetable abstract
The incidence of pulmonary metastases is 1.9%, none in early stage disease planned for SN. Omitting chest imaging in this group is advised.
Open accessFirst‐trimester maternal haemodynamic adaptation to pregnancy and placental, embryonic and fetal development: the prospective observational Rotterdam Periconception cohort
Open accessPessary or surgery for a symptomatic pelvic organ prolapse: the PEOPLE study, a multicentre prospective cohort study
LR van der Vaart, A Vollebregt, AL Milani, AL Lagro-Janssen, RG Duijnhoven, J-PWR Roovers, CH Van der Vaart,Tweetable abstract
Pessary treatment and vaginal surgery are both efficacious in reducing the presence and severity of prolapse symptoms, although the chance of significant improvement is higher following surgery.
March 2022
free accessWomen's health following childbirth
Open accessTrends in maternal mortality in India over two decades in nationally representative surveys
C Meh, A Sharma, U Ram, S Fadel, N Correa, JW Snelgrove, P Shah, R Begum, M Shah, T Hana, SH Fu, L Raveendran, B Mishra, P Jha,Tweetable abstract
We estimated that 1.3 million Indian women died from maternal causes over the last two decades. Although maternal mortality rates have fallen by 70% overall, the poorer states lag behind.
Open accessPostpartum haemorrhage trends in Sweden using the Robson ten group classification system: a population‐based cohort study
Tweetable abstract
Changes in risk factors could not explain the increasing trend of PPH in Sweden, and rates of PPH varied widely between Robson groups.
Open accessIncidence and risk factors of female urinary incontinence: a 4‐year longitudinal study among 24 985 adult women in China
Tweetable abstract
The incidence of female urinary incontinence was 21.2 per 1000 person-years in China. Delivery, BMI, diabetes and old age are risk factors.
Open accessPregnancy outcomes in women with Budd–Chiari syndrome or portal vein thrombosis – a multicentre retrospective cohort study
HMG Wiegers, EN Hamulyák, SE Damhuis, JR van Duuren, S Darwish Murad, LJJ Scheres, SJ Gordijn, J Leentjens, JJ Duvekot, MN Lauw, BA Hutten, S Middeldorp, W Ganzevoort,Tweetable abstract
Budd–Chiari syndrome and/or portal vein thrombosis should not be considered as an absolute contraindication for pregnancy.
Linked article This article is commented on by YY Chung & MA Heneghan pp. 618 in this issue. To view this minicommentary visit https://doi.org/10.1111/1471-0528.17002.
Open accessProposed cutoff for fetal scalp blood lactate in intrapartum fetal surveillance based on neonatal outcomes: a large prospective observational study
L Iorizzo, Y Carlsson, C Johansson, R Berggren, A Herbst, M Wang, M Leiding, P-E Isberg, K Kristensen, E Wiberg-Itzel, T McGee, N Wiberg,Tweetable abstract
Scalp blood lactate <5.2 mmol/l using the StatstripLactate®/StatstripXpress® system has an excellent ability to rule out fetal acidosis.
This article includes Author Insights, a video abstract available at https://vimeo.com/bjog/authorinsights16924
Open accessWhat women emphasise as important aspects of care in childbirth – an online survey
Tweetable abstract
Having a baby is a pivotal life-changing experience and not just a clinical event, according to a survey of 8400 women in Norway. Positive birth and motherhood experiences depend on maternity staff who are both skilled and kind.
Open accessImpact of a mid‐urethral synthetic mesh sling on long‐term risk of systemic conditions in women with stress urinary incontinence: a national cohort study
Tweetable abstract
No evidence of increased risk of systemic conditions after stress incontinence treatment with a mesh sling.
February 2022
free accessBetter living through chemistry
Open accessConsolidated Health Economic Evaluation Reporting Standards 2022 (CHEERS 2022) statement: updated reporting guidance for health economic evaluations
free accessGuidelines: is it time for a change?
Abstract
Linked article: This is a mini commentary on A Amoah et al., pp. 356–364 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16928
free accessMaternal medicine: calling for improved research quality
Abstract
Linked article: This is a mini commentary on Z Xu et al., pp. 367–377 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16968
Open accessFactors affecting use of magnesium sulphate for pre‐eclampsia or eclampsia: a qualitative evidence synthesis
Tweetable abstract
Global qualitative review identifies factors affecting underutilisation of MgSO4 for pre-eclampsia and eclampsia.
This article includes Author Insights, a video abstract available at https://vimeo.com/manage/videos/623192027
Linked article This article is commented on by LA Magee, p. 392 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.16971.
free accessRefreshing our magnesium sulphate strategy
Abstract
Linked article: This is a mini commentary on KE Eddy et al., pp. 379–391 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16913
Open accessMaternal morbidity and mortality: an iceberg phenomenon
Tweetable abstract
Study shows that haemorrhage and hypertension are main causes of #maternalmorbidity in Ireland. Timely interventions for #maternalhealth and focus on prevention of severe and non-severe morbidities are needed.
@NPEC #maternityservices #clinicalaudit #qualityimprovement.
Open accessEfficacy and safety of oral ibrexafungerp for the treatment of acute vulvovaginal candidiasis: a global phase 3, randomised, placebo‐controlled superiority study (VANISH 306)
R Sobel, P Nyirjesy, MA Ghannoum, DA Delchev, NE Azie, D Angulo, IA Harriott, K Borroto-Esoda, JD Sobel,Tweetable abstract
Ibrexafungerp is statistically superior to placebo for the treatment of vulvovaginal candidiasis.
Linked article This article is commented on by KSJ Olah, p. 421–422 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.17000.
free accessWhat's in a name? A candid assessment of a new candida therapy
Abstract
Linked article: This is a mini commentary on R Sobel et al., pp. 412–420 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16972
Open accessObstetric anal sphincter injury by maternal origin and length of residence: a nationwide cohort study
Tweetable abstract
Anal sphincter injury during birth is more common among Asian and Sub-Saharan migrants and particularly among recent arrivals.
Linked article This article is commented on by M-L Marschalek, p. 432 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.16991.
free accessRates of obstetric anal sphincter injuries among immigrant women
Abstract
Linked article: This is a mini commentary on Sorbye et al., pp. 423–431 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16985
Open accessThe detection of germline and somatic BRCA1/2 genetic variants through parallel testing of patients with high-grade serous ovarian cancer: a national retrospective audit
B Frugtniet, S Morgan, A Murray, S Palmer-Smith, R White, R Jones, L Hanna, C Fuller, E Hudson, A Mullard, AE Quinton,Tweetable abstract
Parallel germline and tumour testing maximises BRCA pathogenic variant detection in ovarian cancer.
Linked article This article is commented on by C Gourley, p. 443 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.16978.
free accessGene sequencing in ovarian cancer: continually moving targets
Abstract
Linked article: This is a mini commentary on B Frugtniet et al., pp. 433-442 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16975
Open accessThe psychological impact of gestational trophoblastic disease: a prospective observational multicentre cohort study
Tweetable abstract
Patients with gestational trophoblastic disease (GTD) experience short-term psychological consequences such as distress, anxiety and depression, suggesting that the diagnosis GTD has a substantial effect on the psychological wellbeing of patients. Various patient characteristics affect the impact of GTD diagnosis.
Open accessImpact of lymphadenectomy and lymphoedema on health‐related quality of life 1 year after surgery for endometrial cancer. A prospective longitudinal multicentre study
M Wedin, K Stålberg, J Marcickiewicz, E Ahlner, Å Åkesson, G Lindahl, NB Wodlin, P Kjølhede, the LASEC study group,Tweetable abstract
Lymphoedema has impact on lymphoedema-specific, but not on generic, HRQoL, 1 year after surgery for EC.
Open accessRisk of pre‐eclampsia after gastric bypass: a matched cohort study
Tweetable abstract
In this large study including two comparison groups matched for pre-surgery or early-pregnancy BMI, gastric bypass was associated with lower risk of pre-eclampsia.
Linked article This article is commented on by R Devlieger & D Ceulemans, p. 472 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.16959.
free accessPregnancy after bariatic surgery and the risk of pre‐eclampsia
Abstract
Linked article: This is a mini commentary on K Johansson et al., pp. 461–471 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16871
free accessMedical management of GDM: following the evidence on ‘Changing patterns in medication prescription for gestational diabetes during a time of guideline change in the USA: a cross‐sectional study’
Abstract
Linked article: This is a mini commentary on K Venkatesh et al., pp. 473–483 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16960
Open accessPregnancy denial: a complex symptom with life context as a trigger? A prospective case–control study*
H Delong, J Eutrope, A Thierry, A-L Sutter-Dallay, L Vulliez, V Gubler, S Saad Saint-Gilles, E Tessier, J Le Foll, S Viaux, G Apter, A Danion, J Auer, A-C Rolland, the Pregnancy Denial Study Group,Tweetable abstract
Life context can be a trigger for pregnancy denial.
The relationship between delivery and the PaO2/FiO2 ratio in COVID-19: a cohort study
BL Pineles, A Stephens, LM Narendran, MA Tigner, C Leidlein, C Pedroza, H Mendez-Figueroa, BM Sibai,Tweetable abstract
Delivery improves the P/F ratio in COVID-19-related ARDS, though individualised delivery management is needed.
Themed Issue: Infections in Pregnancy
January 2022
free accessWelcome to 2022
Open access‘Never waste a crisis’: a commentary on the COVID‐19 pandemic as a driver for innovation in maternity care
free accessInterventions to increase maternal awareness of fetal movements no more effective than standard care
Abstract
Linked article: This is a mini commentary on V Flenady et al., pp. 29–41 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16944
Open accessFetal exome sequencing for isolated increased nuchal translucency: should we be doing it?
R Mellis, RY Eberhardt, SJ Hamilton, The PAGE Consortium, DJ McMullan, MD Kilby, ER Maher, ME Hurles, JL Giordano, V Aggarwal, DB Goldstein, RJ Wapner, LS Chitty,Tweetable abstract
Prenatal ES has a low diagnostic rate (<2%) for isolated increased NT but is significantly more likely to yield a diagnosis where there are additional fetal structural anomalies.
Linked article This article is commented on by AN Talati and NL Vora, p. 61–62 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.16942.
free accessIncreased nuchal translucency: is advanced sequencing the answer?
Abstract
Linked article: This is a mini commentary on R Mellis et al., pp. 52–61 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16869
Open accessEstetrol‐Drospirenone combination oral contraceptive: a clinical study of contraceptive efficacy, bleeding pattern and safety in Europe and Russia
K Gemzell-Danielsson, D Apter, J Zatik, S Weyers, T Piltonen, L Suturina, I Apolikhina, M Jost, MD Creinin, J-M Foidart,Tweetable abstract
A phase 3 trial with E4/DRSP shows high contraceptive efficacy, a predictable bleeding pattern and favourable safety profile.
This article includes Author Insights, a video abstract available at: https://vimeo.com/bjog/authorinsights16840
free accessThe Project Appropriate Birth: significance of the Robson classification in confronting the caesarean section ‘pandemic’
Abstract
Linked article: This is a mini commentary on D Ferreira D'Agostini Marin et al., pp. 72–80 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16919
Open accessFasting plasma glucose, diagnosis of gestational diabetes and the risk of large for gestational age: a regression discontinuity analysis of routine data
Tweetable abstract
Regression discontinuity analysis shows that untreated mild hyperglycaemia increases the odds of large for gestational age, but that a diagnosis of gestational #diabetes lowers the odds by three times.
Linked article This article is commented on by S John and KS Joseph, p. 90 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.16939.
free accessGestational diabetes: false dichotomy and slippery slope
Abstract
Linked article: This is a mini commentary on PWG Tennant et al., pp. 82–89 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16906
Open accessSARS‐CoV‐2 infection in pregnancy during the first wave of COVID‐19 in the Netherlands: a prospective nationwide population‐based cohort study (NethOSS)
Tweetable abstract
Pregnant women with SARS-CoV-2 in the Netherlands show increased hospital/ICU admission and caesarean section.
This article includes Author Insights, a video abstract available at: https://vimeo.com/manage/videos/583325455/8fa530cd6e
Open accessPregnancy and risk of COVID‐19: a Norwegian registry‐linkage study
MC Magnus, L Oakley, HK Gjessing, O Stephansson, HM Engjom, F Macsali, PB Juliusson, A-M Nybo Andersen, SE Håberg,Tweetable abstract
Pregnant women are at increased risk of hospitalisation for COVID-19.
Open accessAssociation of hysterectomy and invasive epithelial ovarian and tubal cancer: a cohort study within UKCTOCS
JA Taylor, M Burnell, A Ryan, C Karpinskyj, JK Kalsi, H Taylor, S Apostolidou, A Sharma, R Manchanda, R Woolas, S Campbell, M Parmar, N Singh, IJ Jacobs, U Menon, A Gentry-Maharaj,Tweetable abstract
Hysterectomy does not alter risk of invasive epithelial ovarian and tubal cancer.
Linked article This article is commented on by LF Wilson and SJ Jordan, p. 119 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.16952.
free accessHysterectomy and ovarian cancer: further research is needed to inform clinical decision making
Abstract
Linked article: This is a mini commentary on JA Taylor et al., pp. 110–118 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16943
Open accessWhat is an appropriate caesarean delivery rate for China: a multicentre survey
Y Zhang, AP Betran, X Li, D Liu, N Yuan, L Shang, W Lin, S Tu, L Wang, X Wu, T Zhu, Y Zhang, Z Lu, L Zheng, C Gu, J Fang, Z Liu, L Ma, Z Cai, X Yang, H Li, H Zhang, X Zhao, L Yan, L Wang, X Sun, Q Luo, L Liu, J Zhu, W Qin, Q Yao, S Dong, Y Yang, Z Cui, Y He, X Feng, L He, H Zhang, L Zhang, X Wang, JP Souza, H Qi, T Duan, J Zhang,Tweetable abstract
The caesarean rate in 2015–2016 in China was 38.9%, whereas the reference rate was 28.5%.
Linked article This article is commented on by M Varner, p. 148 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.16953.
free accessUsing data to drive obstetric practice policies
Abstract
Linked article: This is a mini commentary on Y Zhang et al., pp. 138–147 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16951
free accessTelemedicine trailblazers pave the way to better abortion care for all
Abstract
Linked article: This is a mini commentary on H Nortén et al., pp. 151–159 in this issue. To view this article visit https://doi.org/10.1111/1471-0528.16765
free accessAmniocentesis and chorionic villus sampling
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