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Prevention of gynecological cancers: cervical cancer screening in Turkey: a role model for the world.
Curr Opin Obstet Gynecol
February 2025
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Hacettepe University.
Purpose Of Review: This review examines Turkey's cervical cancer screening programme, highlighting its evolution from a cytology-based approach to a more effective HPV-based strategy. The review is timely given the global push to reduce cervical cancer incidence through improved screening practices, and it positions Turkey's programme as a potential model for other countries facing similar public health challenges.
Recent Findings: Recent advances in cervical cancer screening in Turkey include the nationwide introduction of HPV DNA testing, centralized laboratory systems and innovative management software.
Difficult fetal extraction in cesarean section: Number 8 - 2024.
Rev Bras Ginecol Obstet
October 2024
Hospital das Clínicas São SebastiãoSP Brazil Hospital das Clínicas, São Sebastião, SP, Brazil.
Article Synopsis
- Difficult fetal extraction during cesarean sections is mainly caused by a deeply impacted fetal head and floating fetus presentation, with limited scientific evidence supporting various management techniques.
- Maternal complications from managing a deeply impacted fetal head include lacerations and hematomas, while neonates may suffer serious issues like hemorrhage, fractures, nerve injuries, and perinatal asphyxia.
- The abdominovaginal delivery method is linked to higher complications, while the internal podalic version followed by pelvic extraction is a distinct approach for floating fetal presentations.
Just go with your body? A conversation analytic study of the transition from first to second stage of labor in UK midwife-led care.
Birth
December 2024
Department of Sociology, University of York, York, UK.
Background: The transition from first to second stage of labor is poorly understood. While the onset of second stage is defined by cervical measurement, dilation cannot be directly sensed or externally observed. Thus, uncertainty exists when women report pushing urges before dilation is confirmed.
View Article and Find Full Text PDFManagement of impacted fetal head at cesarean birth: A systematic review and meta-analysis.
Acta Obstet Gynecol Scand
September 2024
Royal College of Obstetricians & Gynaecologists, London, UK.
Article Synopsis
- The study addresses the increasing occurrence of impacted fetal heads during cesarean sections and the need for effective prevention and management techniques, emphasizing a lack of high-quality evidence in the area.
- Researchers conducted a thorough review of various medical databases, including MEDLINE and Cochrane, to identify randomized and non-randomized studies focused on this issue, employing specific criteria to assess risks and certainty of the evidence.
- Out of 24 eligible studies involving 3,558 women, the analysis revealed low to very low certainty in outcomes across different techniques, indicating no significant differences in effectiveness while highlighting some questionable maternal outcome differences related to specific methods.
Feasibility and applicability of self-sampling based online cervical cancer screening: findings from the China online cervical cancer screening trial.
Infect Agent Cancer
April 2024
Center of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, 518036, People's Republic of China.
Objective: This study aims to evaluate the feasibility and applicability of an online cervical cancer screening program using a website as the public platform and self-collected HPV testing as the primary screening method.
Methods: A website (mcareu.com) was developed to facilitate the online cervical cancer screening program by Peking University Shenzhen Hospital (PUSH).
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