Identification of vaginal microbiome associated with IVF pregnancy.

The factors that cause a preterm birth (PTB) are not completely understood up to date. Moreover, PTB is more common in pregnancies achieved by in-vitro fertilization (IVF) than in spontaneous pregnancies. Our aim was to compare the composition of vaginal microbiome at 12 weeks of gestation between women who conceived naturally or through IVF in order to study whether IVF PTB-risk could be related to vaginal microbiome composition.

Rationalisation of the caesarean section rate in a tertiary referral hospital using the Robson classification.

The aim of this study was to implement the Robson Ten Groups Classification System (RTGCS) to identify the main contributors to the caesarean section (CS) rate and to evaluate whether the introduction of a plan of obstetrical interventions reduced this rate. An observational retrospective cross-sectional study was conducted during two time periods at Alicante University General Hospital. In the pre-implementation period (2009-2012), RTGCS was applied to identify the main groups contributing to the overall CS rate.

Worldwide scientific production in obstetrics: a bibliometric analysis.

Background: Randomised clinical trials are considered to be the most reliable study design for assessing the efficacy and safety of health interventions.

Aims: To analyse worldwide obstetrics research carried out through randomised clinical trials, from 2002 to 2013.

Methods: A bibliometric analysis was performed.

Moderately increased albuminuria unmasked hypertension.

The normal rate of albumin excretion is less than 30 mg/day (20 µg/min); persistent albumin excretion between 30 and 300 mg/day (20-200 µg/min) is called moderately increased albuminuria (formerly called microalbuminuria). In addition to being associated with diabetic nephropathy, moderately increased albuminuria has also been associated with cardiovascular disease in patients with as well as without diabetes. We present a case report of a man with moderately increased albuminuria who developed hypertension only detected by an ambulatory blood pressure monitoring procedure.

Congenital vesicovaginal fistula with or without menouria: a literature review.

Congenital vesicovaginal fistula (CVVF) is a rare, complex female genital malformation that is difficult to diagnose, classify and treat. Symptoms include menouria, cyclical haematuria and urinary incontinence from birth. The aim of this review was to highlight the importance of correct diagnosis and treatment of this congenital anomaly.