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Trial of Labor After Cesarean Delivery in Individuals With Twin Pregnancies and Two Prior Cesarean Deliveries.
Obstet Gynecol
January 2025
Riley Children's, the Division of Maternal-Fetal Medicine, Indiana University Health Fetal Center, and the Department of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, Indiana; the Division of Maternal-Fetal Medicine and Surgery, Fetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; the Department of Obstetrics and Gynecology, Brown University Medical School, Providence, Rhode Island; the Fetal Medicine Unit, St George's Hospital, St George's University of London, London, United Kingdom; the Division of Maternal-Fetal Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania; and the Division of Maternal-Fetal Medicine, The Ohio State University, Columbus, Ohio.
Objective: To investigate short-term maternal and neonatal outcomes in individuals with twin pregnancies and two prior cesarean deliveries who underwent trial of labor after cesarean (TOLAC).
Methods: A cross-sectional study of live-birth data was conducted between 2014 and 2021 in the United States. Individuals with more than two prior cesarean deliveries and multiple gestations higher than twins were excluded.
Effect of Patient Age on Decisional Regret After Laparoscopic Hysterectomy.
Obstet Gynecol
December 2024
Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, Illinois; the Department of Obstetrics, Gynecology & Reproductive Sciences, UPMC Magee-Womens Hospital, and the Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, Pennsylvania; and the Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, Providence, Rhode Island.
Article Synopsis
- The study aimed to compare long-term decision regret in younger patients (30 years or younger) versus older patients (31-49 years) who underwent laparoscopic hysterectomy for benign conditions.
- Researchers conducted a matched retrospective cohort study from 2009 to 2016, gathering survey responses focused on surgical decision regret and loss-of-fertility regret from 287 participants, with 241 completing the survey.
- Results showed that younger participants experienced significantly higher rates of regret regarding both surgical decisions and loss of fertility compared to older participants, indicating that age influences feelings of regret post-surgery.
Radiofrequency Ablation for the Treatment of Uterine Fibroids: A Systematic Review and Meta-Analysis by the AAGL Practice Committee.
J Minim Invasive Gynecol
January 2025
Department of Obstetrics & Gynecology, Division of Gynecology University of Texas Southwestern Medical Center (Dr. Kho), Dallas, Texas.
Objective: To systematically review clinical and patient-reported outcomes after radiofrequency ablation (RFA) for the treatment of uterine fibroids.
Data Sources: We searched Medline, EMBASE, Cochrane Registry of Controlled Trials (CENTRAL) on September 8, 2023, and requested additional data from industry sources. We included published, peer-reviewed studies of patient-centered outcomes of RFA when used for symptomatic fibroids.
Intergenerational Occurrence of Premature Birth and Reproductive Health in Prematurely-Born Women in the Women's Health Initiative.
Matern Child Health J
October 2024
Department of Epidemiology, Brown University, Providence, RI, USA.
Objective: To compare reproductive history and postmenopausal health by birth status (preterm vs. full term) in a U.S.
View Article and Find Full Text PDFPeripartum Uterine Clostridial Myonecrosis: A Report of Two Fatal Cases.
WMJ
July 2024
Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington.
Article Synopsis
- Uterine clostridial myonecrosis is a rare but deadly infection, highlighted by two cases of maternal mortality linked to Clostridium bacteria during childbirth and medication abortion.
- The first case involved a 30-year-old woman with septic shock after labor complications, while the second case involved an adolescent who developed septic shock post-abortion, with both patients dying shortly after hospital admission.
- Timely diagnosis and treatment are critical, requiring quick identification of symptoms and immediate surgical action, such as hysterectomy, along with antibiotics to improve survival chances and prevent fatal outcomes.
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