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Acta obstetricia et gynecologica Scandinavica : AO...Acta obstetricia et gynecologica Scandinavica : AOGS 23건

  1. [해외논문]   The Nordic Fertility Society  


    Acta obstetricia et gynecologica Scandinavica : AOGS v.84 no.5 ,pp. 411 - 411 , 2005 , 0001-6349 ,

    초록

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  2. [해외논문]   Survey of clinical practice: pre- and postoperative physiotherapy for pelvic surgery  

    Frawley, Helena C. (From the Rehabilitation Sciences Research Center, School of Physiotherapy, The University of Melbourne, Parkville, Victoria, Australia ) , Galea, Mary P. (From the Rehabilitation Sciences Research Center, School of Physiotherapy, The University of Melbourne, Parkville, Victoria, Australia ) , Phillips, Bev A. (From the Rehabilitation Sciences Research Center, School of Physiotherapy, The University of Melbourne, Parkville, Victoria, Australia)
    Acta obstetricia et gynecologica Scandinavica : AOGS v.84 no.5 ,pp. 412 - 418 , 2005 , 0001-6349 ,

    초록

    Background.  The objective of this survey was to obtain information about current physiotherapy practice for patients undergoing pelvic surgery. The aims were to evaluate whether differences exist in service provision between women's health physiotherapists (WHPTs) and hospital physiotherapists (HPTs) and in the guidelines used by physiotherapists to direct their service delivery. Methods.  A questionnaire was posted to the members of the Victorian Continence and Women's Health Physiotherapy Group ( n = 130) and physiotherapists working in metropolitan and rural hospitals ( n = 90). The questionnaire comprised questions relating to the aspects of treatment, including how referrals are made, funding, interventions provided and how they are delivered, and use of outcome measures. Data were summarized using descriptive statistics and Chi-square analysis of differences between WHPTs and HPTs. Results.  The response rate was 75.9%. In 67% of cases, service delivery was initiated by surgeon request, and most commonly for gynecologic patients (85%). Individual consultations were used on 96% of occasions and 8% were group sessions. Content of physiotherapy treatment for in-patients varied, with WHPTs significantly more likely to prescribe pelvic floor muscle exercises ( P = 0.003), bowel advice ( P = 0.001), avoidance of risk activities ( P = 0.002), and awareness of postoperative symptoms ( P = 0.001). Conversely, HPTs were significantly more likely to perform respiratory checks ( P = 0.002) and mobilization ( P = 0.001). Eighty-seven percent of respondents regarded their service as suboptimal, citing the need for evidence to support the content and best timing of intervention. Conclusion.  Differences exist in physiotherapy treatment for pelvic surgery patients. Further research is required to establish whether, and which, elements of physiotherapy intervention are effective.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  3. [해외논문]   Maternal complications in women with chronic hypertension: a population-based cohort study  

    Zetterströ (Department of Obstetrics and Gynecology, University Hospital, Örebro, ) , m, Karin (Department of Women's and Children's Health, University Hospital, Uppsala and ) , Lindeberg, Solveig Nordé (Department of Women's and Children's Health, University Hospital, Uppsala and ) , n (Department of Women's and Children's Health, University Hospital, Uppsala and) , Haglund, Bengt , Hanson, Ulf
    Acta obstetricia et gynecologica Scandinavica : AOGS v.84 no.5 ,pp. 419 - 424 , 2005 , 0001-6349 ,

    초록

    Background.  The aim of the study was to determine if pregnant women with chronic hypertensive disease have an independent risk for preeclampsia, gestational diabetes or placental abruption. To examine if superimposed preeclampsia in this group of women is related to an increased risk of placental abruption. Methods.  This study is a population-based cohort study using the Swedish Medical Birth Register 1992–98. A population of 681 515 women aged between 15–44 years with singleton pregnancies, excluding women with systemic lupus erythematosus (SLE), diabetes mellitus and chronic renal disease were studied. Among these, 3374 women were diagnosed with chronic hypertensive disease. Multiple logistic regression analysis was performed and the outcome measures of crude and adjusted odds ratios (OR) were presented with 95% confidence intervals (CI). Results.  Chronic hypertensive disease is associated with multiparity, age, high body mass index and Nordic ethnicity. After controlling for confounders, chronic hypertensive disease is an independent risk factor for preeclampsia (OR 3.8; 95% CI 3.4–4.3), gestational diabetes (OR 1.8; 95% CI 1.4–2.4) and placental abruption (OR 2.3; 95% CI 1.6–3.4). Conclusion.  Chronic hypertensive disease is independently associated with an increased incidence of preeclampsia, gestational diabetes and placental abruption.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  4. [해외논문]   Impact of rapid socio-economic changes on teenage pregnancies in Estonia during 1992–2001  

    Haldre, Kai (Tartu University Women's Clinic, Tartu, ) , Karro, Helle (Tartu University Women's Clinic, Tartu, ) , Rahu, Mati (Department of Epidemiology and Biostatistics, National Institute for Health Development, and ) , Tellmann, Alvi (Department of Epidemiology and Biostatistics, National Institute for Health Development, and)
    Acta obstetricia et gynecologica Scandinavica : AOGS v.84 no.5 ,pp. 425 - 431 , 2005 , 0001-6349 ,

    초록

    Background.  Major socio-economic changes, including health care reforms and changes in the school curriculum, took place in Estonia after the country regained its independence in 1991. These changes affected people's reproductive behavior in many ways. In this article, the impact of the changes on the reproductive behavior of teenage girls, measured by adolescent fertility and abortion rates between 1992 and 2001, is analyzed. Methods.  National data on abortions and births were obtained from official medical statistics, particularly from the Estonian Abortion Registry and the Estonian Medical Birth Registry. Female population denominators for the age group 15–19 were obtained from the Statistical Office of Estonia. Results.  In teenagers, the birth rate decreased more than two times, from 49.7 per 1000 in 1992 to 23.8 per 1000 in 2001. The abortion rate per 1000 decreased from 55.5 in 1992 to 30.4 in 2001. Compared with all women of fertile age (15–49 years), at the beginning of the decade, teenagers decided more often to have a baby, and, at the end of the decade, they decided more often to terminate the pregnancy. Two-thirds of all pregnancies in teenagers end in abortion – either legally induced abortion (legal abortion and therapeutic abortion) or spontaneous abortion. In 2001, the abortion ratio was 116.4 among ethnic Estonians and 147.9 among non-Estonians. Conclusions.  The case in Estonia again proves that the availability of information, contraceptives, services and education, and the existence of other goals in life besides childbearing, have an impact on teenage birth and abortion rates. Successful health promotion activities should take into consideration the differences in the reproductive behavior of different ethnic groups.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  5. [해외논문]   Intensive management and early delivery reduce antenatal mortality in monoamniotic twin pregnancies  

    Ezra, Yossef (Hadassah Hebrew University Medical Center, Ein-Kerem, Jerusalem, ) , Shveiky, David (Hadassah Hebrew University Medical Center, Ein-Kerem, Jerusalem, ) , Ophir, Ella (Naharia Medical Center, Naharia, and ) , Nadjari, Michael (Hadassah Hebrew University Medical Center, Ein-Kerem, Jerusalem, ) , Eisenberg, Vered H. (Shaare Zedek Medical Center (affiliated to Ben-Gurion University of the Negev), Jerusalem, Israel ) , Samueloff, Arnon (Shaare Zedek Medical Center (affiliated to Ben-Gurion University of the Negev), Jerusalem, Israel ) , Rojansky, Nathan (Hadassah Hebrew University Medical Center, Ein-Kerem, Jerusalem,)
    Acta obstetricia et gynecologica Scandinavica : AOGS v.84 no.5 ,pp. 432 - 435 , 2005 , 0001-6349 ,

    초록

    Background.  Intensive management and elective delivery between 32 and 35 weeks of monoamniotic twin pregnancies were suggested as improving perinatal outcome. We sought to evaluate this management as viewed by the outcome of monoamniotic twin pregnancies in our population. Methods.  A retrospective systematic chart review of all monoamniotic twin pregnancies, diagnosed from January 1986 to June 2002, was performed in three medical centers. Demographics, pregnancy course, and perinatal outcome were evaluated. The management and outcome were compared between the group of survivors and the groups of intrauterine fetal demise (IUFD) and miscarriage. Results.  Thirty-three pairs of monoamniotic twins were identified. Excluded were three women, who chose to terminate the pregnancy. Total survival rate was 60% (of 60 fetuses, 36 were born alive, but one neonate died due to sepsis). None of the IUFD occurred in hospitalized patients, and two pairs of twins died after 32 weeks. In the 10 twin pairs who died in utero , cord entanglement was documented in eight (80%). There were two cases of twin discordance and two cases of twin-to-twin transfusion syndrome. One twin of the live-born group had congenital transposition of the great arteries. Furthermore, one of the hospitalized patients was delivered by means of an emergency cesarean section because of a non-reassuring non-stress test at 30 weeks. Conclusions.  Women with monoamniotic twin pregnancies should be advised about the very high mortality and morbidity rate. Early diagnosis, close in-hospital antenatal surveillance starting at fetal viability, and elective delivery at 32 weeks would reduce the antenatal mortality.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Childbirth and parenthood education classes in Sweden. Women's opinion and possible outcomes  

    Fabian, Helena M. (Department of Nursing, Karolinska Institutet, Stockholm, and the ) , Rå (Department of Caring and Public Sciences, Mälardalens University, Västerås, Sweden ) , destad, Ingela J. (Department of Nursing, Karolinska Institutet, Stockholm, and the) , Waldenströ , m, Ulla
    Acta obstetricia et gynecologica Scandinavica : AOGS v.84 no.5 ,pp. 436 - 443 , 2005 , 0001-6349 ,

    초록

    Objective.  To investigate first-time mothers' views about antenatal childbirth and parenthood education and their contact with other class participants after birth, and to compare participants and non-participants with respect to the use of pain relief, experience of pain, mode of delivery, childbirth overall, duration of breastfeeding, and assessment of parental skills. Methods.  A national cohort of 1197 Swedish-speaking women completed three questionnaires: during early pregnancy, 2 months, and 1 year after giving birth. Results.  Seventy-four percent of first-time mothers stated that antenatal education helped prepare them for childbirth, and 40% for early parenthood. One year after giving birth, 58% of the mothers had met with other class participants. These outcomes were associated with the number of class sessions. When controlling for the selection of women into participants and non-participants, no statistical differences were found concerning memory of labor pain, mode of delivery, overall birth experience, duration of breastfeeding, and assessment of parental skills. However, participants had a higher rate of epidural analgesia. Mothers who were young, single, with low level of education, living in a small city, and smokers were less likely to find the classes helpful. Conclusion.  Participation in childbirth and parenthood education classes did not seem to affect first-time mothers' experience of childbirth and assessment of parental skills, but expanded their social network of new parents. The higher epidural rate suggests that participation in classes made women more aware of pain relief techniques available, rather than improving their own coping with pain. More research should focus on current forms of antenatal education, with special focus on women of low socioeconomic status.

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    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Surgical uterine devascularization for placenta accreta: immediate and long-term follow-up  

    Verspyck, Eric (From the Department of Obstetrics and Gynecology, Rouen University Hospital, Rouen, France ) , Resch, Benoit (From the Department of Obstetrics and Gynecology, Rouen University Hospital, Rouen, France ) , Sergent, Fabrice (From the Department of Obstetrics and Gynecology, Rouen University Hospital, Rouen, France ) , Marpeau, Loï (From the Department of Obstetrics and Gynecology, Rouen University Hospital, Rouen, France) , c
    Acta obstetricia et gynecologica Scandinavica : AOGS v.84 no.5 ,pp. 444 - 447 , 2005 , 0001-6349 ,

    초록

    Background.  To report immediate and long-term outcome in patients with surgical  uterine devascularization for placenta accreta. Methods.  Six patients with placenta accreta were treated conservatively during a cesarean section by a bilateral uterine and ovarian surgical devascularization procedure. Menstrual flow, imaging monitoring and further pregnancy were retrospectively reported. Results.  Blood transfusion was necessary in five cases and a hysterectomy was performed in one patient with placenta previa accreta. All patients resumed menstruation without oral contraception but one of them reported temporary clinical symptoms of estrogen insufficiency. A chronic placental retention occurred in three patients with incomplete placenta removal. One patient with both bilateral uterine and ovarian arterial ligations had a subsequent pregnancy complicated by a recurrent placenta accreta that was subsequently treated conservatively. Conclusions.  Surgical uterine devascularization for placenta accreta may be useful for uterine conservation. However, reproductive capacity may be altered by placental chronic retention and further pregnancies may be complicated by recurrent placenta accreta.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  8. [해외논문]   Cesarean section: Is pretransfusion testing for red cell alloantibodies necessary?  

    Larsen, Rune (Clinical Immunology, ) , Titlestad, Kjell (Clinical Immunology, ) , Lillevang, Søren Thue (Clinical Immunology, ) , Thomsen, Sten Grove (Obstetrics and Gynecology, and ) , Kidholm, Kristian (Research and Development, Odense University Hospital, Odense, Denmark ) , Georgsen, Jørgen (Clinical Immunology,)
    Acta obstetricia et gynecologica Scandinavica : AOGS v.84 no.5 ,pp. 448 - 455 , 2005 , 0001-6349 ,

    초록

    Background.  Routine pretransfusion testing for red cell alloantibodies (RBCab) in cesarean patients is standard practice in many obstetric centers. The objective of the present study was to evaluate the usefulness of this test. Method.  A retrospective study was conducted using computerized registers to extract data on blood transfusions and the occurrence of RBCab in cesarean patients. Results.  A total of 4434 admissions for cesarean section were identified. Only 10 patients (0.23%) had clinically significant RBCab, which had not been previously detected. Blood transfusions were required in relation to 147 cesarean sections (3.3%). A number of preoperative conditions, traditionally believed to be risk factors for preoperative and postpartum hemorrhage, occurred more frequently in transfused patients than in nontransfused. The probability of a cesarean patient having a previously undetected clinically significant RBCab and receiving a blood transfusion during admission for delivery was estimated to be 9.0 × 10 −5 (1 in 11 050 cesarean sections). Analyses of the time relationships between cesarean sections and initiation of blood transfusions indicated that most often there would be enough time for postoperative antibody screening and/or cross matching if the routine pretransfusion testing was omitted. Conclusion.  These findings suggest that routine pretransfusion testing in cesarean patients can be omitted.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  9. [해외논문]   Emergency cesarean delivery in induction of labor: an evaluation of risk factors  

    Cnattingius, Ragnhild (Department of Women's and Children's Health, Obstetrics and Gynecology, Uppsala University Hospital, Uppsala, Sweden, and ) , Hö (Department of Women's and Children's Health, Obstetrics and Gynecology, Uppsala University Hospital, Uppsala, Sweden, and ) , glund, Berit (Department of Women's and Children's Health, Obstetrics and Gynecology, Uppsala University Hospital, Uppsala, Sweden, and) , Kieler, Helle
    Acta obstetricia et gynecologica Scandinavica : AOGS v.84 no.5 ,pp. 456 - 462 , 2005 , 0001-6349 ,

    초록

    Background.  Induction of labor has been associated with an increased risk of emergency cesarean delivery. Knowledge of factors that influence the risk of cesarean delivery in women with induced labor is limited. Methods.  We performed a case–control study, nested within a population-based cohort of women with induced labor at term during 1991–1996 in Uppsala County, Sweden. Cases were women delivered with emergency cesarean delivery, and controls were women vaginally delivered ( n = 193, respectively). Using logistic regression, analyses were performed. Odds ratio (OR) with 95% confidence intervals (CI) was used as a measure of relative risk. Results.  Women with a previous cesarean delivery had high risks of cesarean delivery (adjusted OR = 10.10, 95% CI = 3.30–30.92). The risk of cesarean delivery was also increased among nulliparous (adjusted OR = 4.92, 95% CI = 2.81–8.61), short (adjusted OR = 2.20, 95% CI = 1.06–4.59), and obese women (adjusted OR = 2.03, 95% CI = 1.07–3.84). A cervix dilatation less than 1.5 cm doubled the risk of cesarean delivery (adjusted OR = 2.26, 95% CI = 1.09–4.66). Mother's age, epidural analgesia, oxytocin augmentation, gestational age, and birthweight were not significantly associated with risks of cesarean delivery. Conclusions.  Women with a previous cesarean delivery, nulliparous, short, and obese women with induced labor are at high risk of a cesarean delivery. When there is a need to deliver a woman with a previous cesarean section or a nulliparous woman with other risk factors for cesarean delivery, it may be prudent to consider an elective cesarean section.

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    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  10. [해외논문]   Genetics and assisted reproduction technology  

    Aittomä (Department of Clinical Genetics, Helsinki University Central Hospital, Helsinki, Finland, ) , ki, Kristiina (Department of Obstetrics and Gynecology, Institute of Women and Children's Health, Sahlgrenska University Hospital, Göteborg, Sweden, ) , Bergh, Christina (Department of Reproductive Medicine, Volvat Medical Center, Oslo, Norway, ) , Hazekamp, Johan (IVF Clinic, Sophiahemmet, Stockholm, ) , Nygren, Karl-Gö (Department of Obstetrics and Gynecology, Linköping University Hospital, Linköping, Sweden, and ) , sta (Infertility Clinic, the Family Federation of Finland, Helsinki, Finland ) , Selbing, Anders (Department of Obstetrics and Gynecology, Institute of Women and Children's Health, Sahlgrenska University Hospital, Göteborg, Sweden,) , Sö , derströ , m-Anttila, Viveca , Wennerholm, Ulla-Britt
    Acta obstetricia et gynecologica Scandinavica : AOGS v.84 no.5 ,pp. 463 - 473 , 2005 , 0001-6349 ,

    초록

    In the past 20 years, a significant improvement has been shown in the treatment for infertility in both women and men through the development of in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). Only donated sperm could be previously used for treatment; now oocytes can also be donated. Furthermore, the combination of IVF and ICSI with advanced genetic methods has made preimplantation genetic diagnosis possible for many genetic conditions. These methods enable genetic testing of the early human embryo by using only a single cell, one blastomere biopsied from the embryo, as the sample from which the diagnosis of many chromosome rearrangements and other inherited diseases can be made. It has also been established that a considerable proportion of infertility is caused by genetic defects, which have several implications for infertility treatment. The purpose of this review is to give a concise introduction on how genetics is involved in assisted reproduction technology to specialists who may not be working in this particular field of gynecology, but who would need some knowledge of this for proper care of their patients.

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