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Special Issue "Modern Trends in Obstetrics and Gynecology"

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A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Obstetrics and Gynecology".

Deadline for manuscript submissions: 31 December 2023 | Viewed by 1916

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Special Issue Editor

Dr. Ahmed Abu-Zaid

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Guest Editor

College of Graduate Health Sciences, University of Tennessee Health Science Center, Memphis, TN 38163, USA
Interests: obstetrical labor; general gynecology; gynecological oncology

Special Issue Information

Dear Colleagues,

Obstetrics and gynecology is the primary medical specialty that holistically cares for women’s health. Obstetrics is largely focused on pregnancy, childbirth, and the postpartum period. On the other hand, gynecology is largely focused on the health of the female reproductive system, most importantly uterus, ovaries, and breasts to some extent. Approximately half of the world’s population is women, and this population requires excellence in care, represented by improvement in quality of life and reductions in morbidity and mortality. It is very important that efforts geared toward improving women’s health should not only be looked at from the angle of absence of disease. Rather, it should be broadly expanded to encompass care of social, sexual, physical, and nutritional aspects, as well. Frequent obstetric problems comprise high-risk obstetric labor, induction of labor, preterm labor, miscarriage, abortion, and peripartum infections, to name a few. On the other hand, common gynecological problems include menstrual disorders, pelvic floor prolapse, pelvic pain, postmenopausal symptoms, infertility, and tumors. In this Special Issue, we look forward to exciting worldwide research investigations, including both basic and clinical sciences, centered on modern trends in all fields/subspecialties of obstetrics and gynecology, without any limitations. These investigations can be novel in nature or single-center experiences from underrepresented countries to share their perspectives. Topics that involve multidisciplinary crosstalk between obstetrics and gynecology and other medical specialties (e.g., perinatology and pathology) are equally important. All types of manuscripts are welcome, including full-length articles, reviews (narrative and systematic with/without meta-analysis), and case reports.

Dr. Ahmed Abu-Zaid
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

labor induction
preterm labor
miscarriage
abortion
high-risk pregnancy
menstrual disorders
urogynecology
post menopause
infertility
tumors

Published Papers (4 papers)

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Research

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Open AccessArticle

Intrapartum Cesarean Section and Perinatal Outcomes after Epidural Analgesia or Remifentanil-PCA in Breech and Twin Deliveries

Miha Lucovnik

Ivan Verdenik

and

Tatjana Stopar Pintaric

Medicina 2023, 59(6), 1026; https://doi.org/10.3390/medicina59061026 - 25 May 2023

Viewed by 218

Abstract

Comparative data on the potential impact of various forms of labor analgesia on the mode of delivery and neonatal complications in vaginal deliveries of singleton breech and twin fetuses are lacking. The present study aimed to determine the associations between type of labor analgesia (epidural analgesia (EA) vs. remifentanil patient-controlled analgesia (PCA)) and intrapartum cesarean sections (CS), and maternal and neonatal adverse outcomes in breech and twin vaginal births. A retrospective analysis of planned vaginal breech and twin deliveries at the Department of Perinatology, University Medical Centre Ljubljana, was performed for the period 2013–2021, using data obtained from the Slovenian National Perinatal Information System. The pre-specified outcomes studied were the rates of CS in labor, postpartum hemorrhage, obstetric anal sphincter injury (OASI), an Apgar score of <7 at 5 min after birth, birth asphyxia, and neonatal intensive care admission. A total of 371 deliveries were analyzed, including 127 term breech and 244 twin births. There were no statistically significant nor clinically relevant differences between the EA and remifentanil-PCA groups in any of the outcomes studied. Our findings suggest that both EA and remifentanil-PCA are safe and comparable in terms of labor outcomes in singleton breech and twin deliveries. Full article

(This article belongs to the Special Issue Modern Trends in Obstetrics and Gynecology)

Open AccessArticle

Prevalence of Stress Urinary Incontinence and Risk Factors among Saudi Females

Abdulrahim M. Gari

Ethar H. Alhashmi Alamer

and

Medicina 2023, 59(5), 940; https://doi.org/10.3390/medicina59050940 - 13 May 2023

Viewed by 297

Abstract

Background and Objectives: Stress urinary incontinence (SUI) is involuntary urine leakage upon effort or physical exertion, sneezing, or coughing, and it is the most prevalent type of urinary incontinence (UI) in women. We aimed to estimate the prevalence of SUI and its risk factors among Saudi females. Materials and Methods: A descriptive cross-sectional study was conducted in the Kingdom of Saudi Arabia between March 2022 and July 2022, with a total of 842 respondents. We included Saudi females over the age of 20 years. Data were collected through an online questionnaire distributed to the target group and analyzed using SPSS software. Results: The prevalence of SUI was found to be 3.3% among Saudi women. Moreover, only 41.8% of the participants had at least one pregnancy; the majority had five or more pregnancies (29%). According to our findings, the majority of the participants diagnosed with SUI had the following risk factors: increased age, widowhood, a family history of SUI, and a history of pregnancy. The results revealed that the odds of SUI increased among Saudi females with a family history of SUI by 19.68-fold compared with those who had no family history of SUI, and this was statistically significant (p < 0.001). Conclusion: The prevalence of SUI among Saudi females was found to be relatively low. The above-listed associated factors should be considered in future research and interventions. Full article

(This article belongs to the Special Issue Modern Trends in Obstetrics and Gynecology)

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Open AccessArticle

Awareness of Placental Pathologic Examination Criteria and Utilization of Pathology Reports among Obstetricians

and

Medicina 2023, 59(3), 574; https://doi.org/10.3390/medicina59030574 - 15 Mar 2023

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Abstract

Background and Objectives: Several studies have reported a low rate of pathological examination of the placentas and a poor utilization of pathology reports. We assessed Saudi obstetricians’ awareness and utilization of the placental pathological examination guidelines of the College of American Pathologists (CAP) and evaluated their understanding of the reports. Materials and Methods: An anonymous survey was distributed to obstetricians registered in the Saudi Commission of Health Specialties database. We examined the association between the participants’ level of training or practice as well as their institution type with the surveyed elements. Results: Of 292 respondents, 34.2% were aware of the CAP guidelines. Most of them were practicing in government hospitals. Moreover, 18.2% of them routinely sent the placenta for pathological examination, and approximately 70.5% routinely reviewed the pathology reports and understood the nomenclature used; these percentages were significantly higher among university hospital practitioners. The residents were the least aware of the CAP guidelines and the least likely to review and understand the pathology reports. Regardless of the CAP guidelines awareness, the most common indication for placental pathologic examination was fetal anomalies, followed by medicolegal reasons and infections. Conclusions: Placental pathologic examination appeared uniformly underutilized in Saudi Arabia. Obstetricians are required to generate awareness of the need to comply with the CAP guidelines and to improve the understanding and utilization of pathology reports. Full article

(This article belongs to the Special Issue Modern Trends in Obstetrics and Gynecology)

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Review

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Open AccessReview

Analgesic Efficacy of Intraoperative Superior Hypogastric Plexus (SHP) Block during Abdominal Hysterectomy: A Systematic Review and Meta-Analysis of Controlled Trials

Hany Salem

Ibtihal Abdulaziz Bukhari

Maha Al Baalharith

Nasser AlTahtam

Safa Alabdrabalamir

Mohammed Ziad Jamjoom

Saeed Baradwan

Ehab Badghish

Mohammed Abuzaid

Fatimah Shakir AbuAlsaud

Osama Alomar

Abdullah Alyousef

Ahmed Abu-Zaid

and

Ismail Abdulrahman Al-Badawi

Medicina 2023, 59(5), 893; https://doi.org/10.3390/medicina59050893 - 06 May 2023

Viewed by 501

Abstract

Background and Objectives: Abdominal hysterectomy is a major surgery that is often associated with pronounced postsurgical pain. The objective of this research is to conduct a systematic review and meta-analysis of all randomized controlled trials (RCTs) and nonrandomized comparative trials (NCTs) that have surveyed the analgesic benefits and morbidity of intraoperative superior hypogastric plexus (SHP) block (intervention) compared with no SHP block (control) during abdominal hysterectomy. Materials and Methods: The Cochrane Central Register of Controlled Trials (CENTRAL), Google Scholar, Web of Science, PubMed, Scopus, and Embase were searched from inception until 8 May 2022. The Cochrane Collaboration tool and Newcastle–Ottawa Scale were used to evaluate the risk of bias of RCTs and NCTs, respectively. In a random effects mode, the data were pooled as risk ratio (RR) or mean difference (MD) with 95% confidence interval (CI). Results: Five studies (four RCTs and one NCT) comprising 210 patients (SHP block = 107 and control = 103) were analyzed. The overall postsurgical pain score (n = 5 studies, MD = −1.08, 95% CI [−1.41, −0.75], p < 0.001), postsurgical opioid consumption (n = 4 studies, MD = −18.90 morphine milligram equivalent, 95% CI, [−22.19, −15.61], p < 0.001), and mean time to mobilization (n = 2 studies, MD = −1.33 h, 95% CI [−1.98, −0.68], p < 0.001) were significantly decreased in the SHP block group contrasted with the control arm. Nevertheless, there was no significant variance between both arms regarding operation time, intraoperative blood loss, postsurgical NSAID consumption, and hospital stay. There were no major side effects or sympathetic block-related aftermaths in both groups. Conclusions: During abdominal hysterectomy and receiving perioperative multimodal analgesia, the administration of intraoperative SHP block is largely safe and exhibits better analgesic effects compared to cases without administration of SHP block. Full article

(This article belongs to the Special Issue Modern Trends in Obstetrics and Gynecology)

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Special Issue "Modern Trends in Obstetrics and Gynecology"

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