AI Article Synopsis
- A study highlights the lack of large-scale databases on pregnancy outcomes after myomectomy, which leads to inconsistent prenatal counseling and delivery decisions.
- Clinician opinions were sought through a survey to assess the need for standardizing myomectomy operation notes for better data collection on pregnancy outcomes.
- Results showed strong support (95%) from responding specialists for standardization, with key criteria for data collection identified, which could enhance future prenatal care decisions.
Article Abstract
Background: No large-scale databases exist of pregnancy outcomes and rate of uterine rupture for women after myomectomy, resulting in inconsistent antenatal counselling and decision-making regarding mode and timing of delivery. Standardising information collected at myomectomy may facilitate data collection, informing prenatal/ antenatal counselling.
Objectives: To determine clinician opinions regarding standardisation of myomectomy operation notes to allow comprehensive data input into a prospective database of pregnancy outcomes, toward an evidence-based approach to decision making regarding timing and mode of delivery in subsequent pregnancies.
Materials And Methods: A google forms survey was emailed to all consultant (attending-level) obstetricians and gynaecologists across 25 hospitals in London, Kent, Surrey, and Sussex (UK) between March and May 2022. To enhance response rates, two further email reminders were sent alongside in-person reminders from selected local unit representatives.
Main Outcome Measures: Senior clinician opinion for characteristics necessary to collect at time of surgery to develop a widescale database of post myomectomy pregnancy outcomes.
Results: 209/475 (44%) responses received; 95% (198/209) agreed with standardising operation notes. Criteria selected for inclusion included cavity breach (98%, 194/198), location (98%, 194/198), number of fibroids removed (93%, 185/198) and number of uterine incisions (96%, 190/198).
Conclusions: Gynaecologists support standardising myomectomy operation notes to inform the development of prospective large-scale databases of pregnancy outcomes after myomectomy.
What Is New?: Acquisition of clinician opinions on the development and content of a standardised myomectomy operation note to aid the development of a pregnancy-outcome database for women after myomectomy.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11198879 | PMC |
| http://dx.doi.org/10.52054/FVVO.16.4.006 | DOI Listing |
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