Ginekol. Pol. [JOURNAL]
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200 papers
Obstetric and neonatal risks of Streptococcus agalactiae in adolescent pregnancy: a retrospective matched cohort study.
Staniczek J, Manasar-Dyrbus M, Stojko R … +6 more , Matonog A, Wilk-Sikora K, Zieba-Domalik M, Troszka J, Stojko S, Drosdzol-Cop A
Ginekol Pol · 2025 May · PMID 40351272 · Publisher ↗
OBJECTIVES: Streptococcus agalactiae (GBS) infection is significant in obstetric and neonatal complications. Maternal age, particularly adolescent pregnancy, may influence the prevalence of GBS colonization and associate...
OBJECTIVES: Streptococcus agalactiae (GBS) infection is significant in obstetric and neonatal complications. Maternal age, particularly adolescent pregnancy, may influence the prevalence of GBS colonization and associated clinical outcomes. This study aimed to evaluate the impact of maternal age on obstetric and neonatal outcomes, with a specific focus on the modifying effect of GBS status. The analysis explored whether the associations between maternal age and selected outcomes remained statistically significant after adjusting for GBS interactions. MATERIAL AND METHODS: A retrospective matched cohort study was conducted with 582 participants, comprising a study group and a matched control group selected through propensity score matching. The study group included adolescents (≤ 19 years, n = 194) and older individuals (> 19 years, n = 388). Inclusion criteria required GBS screening after the 35th week of gestation, bacterial culture upon hospital admission, and delivery during the same hospitalization. Statistical analyses included logistic and linear regression models adjusted for interactions with GBS. RESULTS: In unadjusted analyses, adolescent mothers showed a higher likelihood of postpartum hemorrhage (OR = 2.715, p = 0.02), uterine atony (OR = 3.594, p = 0.043), transient tachypnea of the newborn (TTN) (OR = 6.16, p = 0.027), and shorter neonatal length (Estimation = -0.791, p = 0.001). However, after adjusting for interactions with GBS, these associations lost statistical significance: postpartum hemorrhage (AOR = 0.67, p = 0.711), uterine atony (AOR = 2.417, p = 0.315), TTN (AOR = 4.87, p = 0.117), and neonatal length (Estimation = -0.207, p = 0.584). CONCLUSIONS: These findings indicate that GBS colonization confounds the observed relationships between maternal age and these outcomes. These results underscore the importance of accounting for GBS status in assessing age-related risks during pregnancy and tailoring clinical management accordingly.
Sudden cardiac arrest during Hysterosalpingo Contrast Sonography - a case report.
Dymanowska I, Frankowska K, Poplawska M … +2 more , Przenioslo K, Polak G
Ginekol Pol · 2025 · PMID 40351271 · Publisher ↗
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Transforming clinical practice in just one year: lessons from external cephalic version success.
Manasar-Dyrbus M, Seifert B, Drosdzol-Cop A … +2 more , Stojko R, Staniczek J
Ginekol Pol · 2025 · PMID 40351270 · Publisher ↗
OBJECTIVES: This study aimed to assess the safety and feasibility of implementing an external cephalic version (ECV) with routinely offered regional anesthesia and its impact on the cesarean section (CS) rate at a single...
OBJECTIVES: This study aimed to assess the safety and feasibility of implementing an external cephalic version (ECV) with routinely offered regional anesthesia and its impact on the cesarean section (CS) rate at a single large center in Poland. MATERIAL AND METHODS: A retrospective analysis was conducted on 110 pregnant women with non-cephalic fetal presentations who were offered an ECV procedure at term between October 2023 and November 2024. Patients were offered regional anesthesia regularly. The endpoints studied were the success rates of ECV, pain levels in the VAS (Visual Analogue Scale) score and subsequent delivery methods. A univariable regression model was employed to identify factors influencing ECV success. RESULTS: Of the 110 pregnant patients fulfilling the criteria for ECV, 56 underwent a total of 61 ECV attempts. Of those, 39 attempts (63.9%) were successful, resulting in 30 vaginal deliveries. Once administered, regional anesthesia significantly reduced procedural pain (VAS 3 [2-4] vs 0 [0-1] points, p < 0.001). A logistic regression model identified maternal BMI as a significant factor influencing ECV success (OR = 1.257, p = 0.018). Of the 61 attempts of ECV, two resulted in urgent cesarean section. ECV implementation resulted in a 2.12% reduction in the overall CS rate at the institution. Further reductions-up to nearly 4% - could be achieved if all eligible patients consented to the procedure. CONCLUSIONS: This study demonstrates that ECV, especially with regional anesthesia, is a feasible and effective strategy for reducing cesarean section rates and can be easily implemented into routine clinical practice. Widespread adoption of ECV could significantly decrease CS rates, improving perinatal care in Poland.
The challenge of Mevalonate Kinase Deficiency as one of the causes of nonimmune hydrops fetalis.
Mikolajczak A, Bernat-Sitarz K
Ginekol Pol · 2025 · PMID 40351269 · Publisher ↗
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Hysteroscopic isthmocele resection: evaluating quality of life and symptom improvements based on isthmocele volume.
Olcenoglu MF, Olcenoglu M, Onal M … +1 more , Ozdemir AZ
Ginekol Pol · 2025 · PMID 40351268 · Publisher ↗
OBJECTIVES: To investigate grade 3 isthmocele resection performed via hysteroscopy and the impact of isthmocele size on symptoms caused by isthmocele and quality of life. MATERIAL AND METHODS: This retrospective study in...
OBJECTIVES: To investigate grade 3 isthmocele resection performed via hysteroscopy and the impact of isthmocele size on symptoms caused by isthmocele and quality of life. MATERIAL AND METHODS: This retrospective study included patients with grade 3 isthmocele who underwent hysteroscopy between January 2014 and June 2022. Age, body mass index, obstetric & gynecologic characteristics, operation duration, complications, and pre- and postoperative hemoglobin levels were recorded. Quality of life was assessed using the 36-Item Short Form Survey (SF-36). Patients were divided into two groups based on isthmocele volume: < 36 mm² and ≥ 36 mm². RESULTS: A total of 47 women with a mean age of 36.6 ± 4.7 were included in the study. Twenty-two (46.81%) had an isthmocele size of < 36 mm² while 25 (53.19%) were in the ≥ 36 mm² group. There were no significant differences between the groups in terms of demographic and surgical characteristics, and there were no complications. Both groups demonstrated significant improvements in menstrual bleeding length, severity of postmenstrual spotting, frequency of postcoital bleeding, dyspareunia and dysmenorrhea, analgesic use, and quality of life. Compared to the < 36 mm² group, the ≥ 36 mm² group had significantly higher frequency of preoperative analgesic use (p = 0.041), better postoperative quality of life (p = 0.031), and greater improvement in quality of life (p = 0.028). CONCLUSIONS: Hysteroscopic isthmocele resection is an effective and safe method for treating isthmocele and achieves considerable improvements in symptoms and quality of life. Patients with larger isthmoceles experience greater improvements in several parameters, suggesting the inclusion of isthmocele volume in treatment decisions.
NMR-based serum metabolomics in patients with low-differentiated serous ovarian cancer.
Klimek MM, Skorupa A, Ciszek M … +5 more , Cichon T, Cichon B, Boguszewicz L, Witek A, Sokol M
Ginekol Pol · 2025 · PMID 40278006 · Publisher ↗
OBJECTIVES: In this pilot study the proton Nuclear Magnetic Resonance (¹H NMR)-based metabolomics was applied to explore the serum metabolomes of the patients with high-grade serous ovarian carcinoma (HGSOC) and the pati...
OBJECTIVES: In this pilot study the proton Nuclear Magnetic Resonance (¹H NMR)-based metabolomics was applied to explore the serum metabolomes of the patients with high-grade serous ovarian carcinoma (HGSOC) and the patients with benign gynaecological disease and to identify the characteristic biomarkers. MATERIAL AND METHODS: We analyzed serum samples from 17 HGSOC patients and 14 control patients with benign gynecological conditions. Serum metabolites were profiled using 1H NMR spectroscopy, and multivariate data analyses, including Orthogonal Partial Least Squares Discriminant Analysis (OPLS-DA), were performed to identify discriminating metabolites. RESULTS: The multivariate analysis revealed the lower levels of the lipid compounds, choline, branched-chain amino acids, 3-hydroxybutyrate (3HB), acetoacetate, and the higher level of lactate in the sera of the HGSOC patients compared to the control group. CONCLUSIONS: NMR-based metabolomic analysis can serve as a supporting method for the detection of ovarian cancer and may be useful as an adjunct to molecular diagnostics.
Understanding caesarean section indications in Poland: trends and analysis.
Zahorowska A, Cwiertnia A, Winter A … +10 more , Wolkowska N, Maksym K, Dzidek S, Jasiak-Jozwik H, Tousty P, Drzycimska M, Bednarek-Jedrzejek M, Kwiatkowska E, Torbe A, Kwiatkowski S
Ginekol Pol · 2025 · PMID 40226954 · Publisher ↗
OBJECTIVES: The rate of caesarean sections has increased noticeably worldwide in recent years. Many efforts are being made to understand this phenomenon, one of which is to analyse the changing indications for caesarean...
OBJECTIVES: The rate of caesarean sections has increased noticeably worldwide in recent years. Many efforts are being made to understand this phenomenon, one of which is to analyse the changing indications for caesarean deliveries over the years. To analyse and compare the indications for caesarean section over 3 years (2020-2022) and to identify the trends for the increasing caesarean section rate. MATERIAL AND METHODS: All women who delivered in the Department of Obstetrics and Gynaecology of the University Clinical Hospital in Szczecin were included in the analysis between January 2020 and December 2022. We analysed outcomes of 6870 deliveries both vaginal and via caesarean section. The indications for caesarean section were analysed and the results were compared to the results of the study conducted at the same centre between 2014 and 2018. RESULTS: There were 3661 CS (53.29%) and 3309 vaginal deliveries (46.71%). 50.61% first time mothers (primipara) delivered with caesarean section. The most common obstetric indication for caesarean section was previous lower segment caesarean section 671 (19.65%) and the most common non-obstetric indication was psychological disorder 524 (50.68%). CONCLUSIONS: Based on the results of this study, we observed a persistently high rate of caesarean sections. Caesarean section is still a significant obstetric problem, especially among first-born women. There is a need to look for ways to reduce the caesarean section rate to the recommended 15-20%.
Life satisfaction and self-efficacy of nurses and midwives in caring for newborns with lethal anomalies.
Urbańska KA, Naworska BM, Bednarz K … +2 more , Stojko S, Drosdzol-Cop AB
Ginekol Pol · 2025 Apr · PMID 40226953 · Publisher ↗
OBJECTIVES: The nursing and midwifery professions are potential influences on life satisfaction and self-efficacy, especially in obstetric settings dealing with fetal demise or severe congenital anomalies. This study aim...
OBJECTIVES: The nursing and midwifery professions are potential influences on life satisfaction and self-efficacy, especially in obstetric settings dealing with fetal demise or severe congenital anomalies. This study aimed to assess how sociodemographic factors (e.g., workplace, marital status, financial situation, occupation, and tenure) and specific job exposures (frequency of neonatal death and caregiving for newborns with lethal defects) impact life satisfaction and self-efficacy among nurses and midwives. The study further explored the role of employer-provided psychological support in influencing job satisfaction and self-efficacy. MATERIAL AND METHODS: A diagnostic survey with a custom questionnaire, supplemented by the General Self-Efficacy Life satisfaction and self-efficacy (GSES) and Satisfaction with Life Scale (SWLS), was conducted in level II and III referral centers in Poland's Silesian region in 2023. Participants included nurses and midwives in various neonatal and obstetric departments. Statistical analyses encompassed descriptive statistics, chi-square tests, and Spearman correlations, with significance set at p < 0.05. RESULTS: A majority of participants reported moderate to high life satisfaction (41.7%) and self-efficacy (59.0%). Key factors impacting life satisfaction included marital status, financial situation, education, tenure, and caregiving frequency for newborns with lethal defects. High self-efficacy was significantly associated with job satisfaction, tenure, and workplace environment but was unaffected by marital status, financial situation, or psychological support. CONCLUSIONS: The findings highlight the emotional burden on nurses and midwives in neonatal care. Enhanced psychological support, stress-coping training, and policy adjustments are recommended to support this workforce. Further studies should broaden regional scope and examine links between life satisfaction, self-efficacy, and job satisfaction.
Abdominal pain turned out to be OHVIRA syndrome.
Zalewska-Zacharek M, Pawlak W, Kolossa A … +2 more , Szykanowska A, Gruszczynska M
Ginekol Pol · 2025 · PMID 40226952 · Publisher ↗
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Comparison of USG-MRI and post-natal results of cases with anomalies detected in fetal CNS examination.
Bütün Z, Kayapınar M, Şenol G
Ginekol Pol · 2025 · PMID 40226951 · Publisher ↗
OBJECTIVES: Magnetic resonance imaging (MRI) imaging can be useful when fetal central nervous system (CNS) anomalies are detected by ultrasound (USG). This study aims to compare the findings from USG and MRI with post-na...
OBJECTIVES: Magnetic resonance imaging (MRI) imaging can be useful when fetal central nervous system (CNS) anomalies are detected by ultrasound (USG). This study aims to compare the findings from USG and MRI with post-natal results in cases of fetal CNS anomalies. MATERIAL AND: METHODS: This is a retrospective/prospective study that analyzed the records of 55 pregnant women who underwent both fetal MRI and USG and whose birth results were obtained due to suspected CNS abnormalities between 2020 and 2023. RESULTS: Pearson correlation analysis and Blant-Altman analysis showed that USG and MRI results of right lateral ventricle measurement were more similar compared to left lateral ventricle measurement. When the cut-off value for lateral ventricle measurement was 10 mm, there was a difference in the USG and MRI results of only 1 pregnant woman in the right lateral ventricle USG-MRI comparison, whereas no difference was observed in 9 pregnant women in the left lateral ventricle analysis. One pregnant woman with healthy USG results was found to have corpus callosum hypoplasia by MRI and one pregnant woman with posterior fossa anomaly by USG had healthy MRI results. All other measurements showed similar results between USG and MRI. CONCLUSIONS: Fetal MRI, when performed with appropriate indications in selected cases evaluated by USG, is useful for measuring the lateral ventricles and detecting various CNS anomalies. The advancing technology of USG and MRI devices, along with the experience of the physicians interpreting these examinations, will always be important.
Logistic regression analysis of ultrasound features for predicting borderline ovarian tumours in young women aged ≤ 40 year.
Feng WL, Xie XJ, Jiang J … +1 more , Jiang T
Ginekol Pol · 2025 · PMID 40226950 · Publisher ↗
OBJECTIVES: To determine the ability of sonographic characteristics to distinguish borderline ovarian tumours (BOT) from benign and malignant tumours in young women by using logistic regression analysis. MATERIAL AND MET...
OBJECTIVES: To determine the ability of sonographic characteristics to distinguish borderline ovarian tumours (BOT) from benign and malignant tumours in young women by using logistic regression analysis. MATERIAL AND METHODS: 147 patients with ovarian masses were analysed retrospectively. We recorded and compared the available preoperative serum CA125 and CA199 levels, ultrasound and pathological findings from patient records to distinguish BOT from benign and malignant tumours using single-factor and multiple stepwise logistic regression analyses. RESULTS: Seventy-six women aged ≤ 40 years diagnosed with BOT, 31 women with malignant tumours, and 40 women with benign cystadenomas were included. The significant features identified in the single-factor analysis were CA125 and CA199 levels, tumour size, multilocularity, presence of solid components within cysts, colour Doppler flow, presence of microcystic pattern (MCP), and proportion of the maximum solid area covering < 50% of the inner surface within the cyst (p < 0.05). The latter two ultrasound features were identified as independent predictors for differentiating BOT from benign and malignant tumours in the logistic regression analysis. The area under the receiver operating curve (AUC) was 0.893 and 0.904, respectively. The corresponding sensitivity, specificity, positive predictive value, and negative predictive value were 84.2%, 89.5%, 94.1%, and 73.9%, respectively, while the corresponding values were 93.4%, 76.3%, 88.7%, and 85.3%, respectively. CONCLUSIONS: Combining both ultrasonic features of the microcystic pattern and the proportion of the maximum solid area covering < 50% of the inner surface within the cystic region appears to be the optimal method for characterizing BOT.
The attitudes of pregnant or breastfeeding polish women towards COVID-19 vaccinations: a cross-sectional survey study.
Dancewicz H, Kwiatkowska A, Gebarowska J … +2 more , Bienkowski C, Pokorska-Spiewak M
Ginekol Pol · 2025 · PMID 40226949 · Publisher ↗
OBJECTIVES: Pregnant women are at higher risk of severe course of COVID-19. The vaccination against COVID-19 is recommended in pregnant and breastfeeding women. The aim of the study was to assess the attitude towards vac...
OBJECTIVES: Pregnant women are at higher risk of severe course of COVID-19. The vaccination against COVID-19 is recommended in pregnant and breastfeeding women. The aim of the study was to assess the attitude towards vaccination against COVID-19 among Polish pregnant or breastfeeding women. MATERIAL AND METHODS: A cross-sectional survey study was performed from April 20th, 2021, to October 23rd, 2021, using an online questionnaire distributed via social media. Women who weren't Polish or didn't live in Poland were excluded from the study. RESULTS: The study group consisted of 662 women. Their median age was 32.5 years (interquartile range IQR: 27.25-33.75 years). Most of the women lived in acity with over 500000 inhabitants (333/662, 50.30%), were in a relationship (658/662, 99.40%), had higher education (559/662, 84.44%), were currently employed (326/662, 49.25%), but not in a medical field (574/662, 86.71%). Willingness to be vaccinated was expressed in 231/662 (34.89%) of the surveyed women. A positive attitude towards vaccinations was more common among women working in the medical field (p = 0.006679), with higher education (p = 0.000054), who trusted their doctors (p = 0.003900), thought that vaccines against COVID-19 were effective (p < 0.00001), and those afraid of COVID-19 (p < 0.00001). CONCLUSIONS: The study showed that only one third of the surveyed women wanted to be vaccinated against COVID-19. Women working in the medical field, with higher education, who trusted their doctors, thought that vaccines against COVID-19 were effective, and those afraid of COVID-19 were more prone to be vaccinated against COVID-19 with recommended vaccines. Educational role of healthcare workers might be crucial for increasing the COVID-19 vaccine coverage in pregnant and breastfeeding women.
Vitamin D and calcium levels related to bone mineral density during pregnancy and postpartum.
Wojczakowski W, Futyma K
Ginekol Pol · 2025 · PMID 40145707 · Publisher ↗
Bone mineral density (BMD) is crucial for bone strength, with even a modest decrease significantly elevating fracture risk. Calcium imbalance during pregnancy contributes to BMD loss, as maternal stores are mobilized to...
Bone mineral density (BMD) is crucial for bone strength, with even a modest decrease significantly elevating fracture risk. Calcium imbalance during pregnancy contributes to BMD loss, as maternal stores are mobilized to support fetal skeletal development. Vitamin D deficiency exacerbates this issue, with prevalence rates alarming in various populations. Supplementation with vitamin D and calcium aims to mitigate BMD decline; however, optimal dosing and efficacy remain debated. Studies utilizing innovative diagnostic tools like radiofrequency echographic multi spectrometry (REMS) and quantitative ultrasonometry (QUS) shed light on BMD changes during pregnancy, offering safer alternatives to traditional methods such as dual-energy X-ray absorptiometry (DEXA), prohibited during pregnancy due to fetal radiation risks. Despite methodological challenges, research reveals significant BMD reductions during pregnancy, particularly in weight-bearing bones. In conclusion, maintaining maternal bone health during pregnancy and postpartum is critical, requiring comprehensive monitoring and support. Further research is needed to elucidate optimal strategies for preserving BMD throughout the reproductive lifespan, reducing fracture risk and enhancing maternal well-being.
Maternal and neonatal outcomes in dichorionic diamniotic twin pregnancies: a comparison between assisted reproductive technology and spontaneous conception.
Uluutku Bulutlar GB, Bulutlar E, Parlak Somuncu B … +2 more , Kılıççı Ç, Kumru P
Ginekol Pol · 2025 · PMID 40145706 · Publisher ↗
OBJECTIVES: To evaluate and compare maternal and neonatal outcomes in dichorionic diamniotic (DCDA) twin pregnancies conceived via assisted reproductive technology (ART) versus those conceived spontaneously (SC). MATERIA...
OBJECTIVES: To evaluate and compare maternal and neonatal outcomes in dichorionic diamniotic (DCDA) twin pregnancies conceived via assisted reproductive technology (ART) versus those conceived spontaneously (SC). MATERIAL AND METHODS: This single-center, retrospective cohort study included 852 DCDA twin pregnancies, with 591 conceived spontaneously (SC group) and 261 conceived via ART (ART group). Maternal and neonatal outcomes were extracted from the hospital's automation system and analyzed using statistical methods, including chi-square and Mantel-Haenszel chi-square tests, to account for potential confounding factors. RESULTS: Our findings indicate that ART twin pregnancies have significantly poorer outcomes compared to SC twin pregnancies. The risk of cerclage application is 12.6 times higher in the ART group. Furthermore, ART pregnancies exhibit a 19.2-fold increased risk of intrahepatic cholestasis of pregnancy (ICP). The rates of preterm birth, including late preterm, moderate preterm, very preterm, and extremely preterm, are significantly higher in the ART group. Moreover, ART pregnancies are associated with higher incidences of very low birth weight (VLBW), NICU admissions, and neonatal death. The ART group also experiences significantly higher rates of gestational diabetes mellitus (GDM), pregnancy-induced hypertension (PIH), postpartum hemorrhage, and cesarean section, with postpartum atony occurring 4 times more frequently. CONCLUSIONS: Maternal and neonatal outcomes in ART-conceived DCDA twin pregnancies are markedly worse compared to those conceived spontaneously. The observed disparities underscore the necessity for intensive monitoring and tailored management strategies in ART twin pregnancies. Further research is essential to uncover the mechanisms driving these adverse outcomes.
Association between the triglyceride-glucose index in third trimester pregnant women and neonatal birth weight.
Shen J, Liu W, Cao K … +1 more , Wang F
Ginekol Pol · 2025 · PMID 40145705 · Publisher ↗
OBJECTIVES: Neonatal birth weight is a pivotal measure of fetal growth and development, with profound implications for an infant's immediate health and long-term well-being. The triglyceride-glucose (TYG) index, a marker...
OBJECTIVES: Neonatal birth weight is a pivotal measure of fetal growth and development, with profound implications for an infant's immediate health and long-term well-being. The triglyceride-glucose (TYG) index, a marker of insulin resistance and metabolic health, has become an essential tool for evaluating maternal metabolic status during pregnancy. Recognizing the impact of metabolic abnormalities on fetal development, this study aims to delineate the association between the TYG index in the third trimester and neonatal birth weight. MATERIAL AND METHODS: Our study cohort comprised 475 neonates. We calculated the maternal TYG index in the third trimester and documented neonatal birth weights. Correlation and multivariate linear regression analyses were conducted to evaluate the association between the TYG index and neonatal weight. Subgroup analyses were further examined using multivariate logistic regression. RESULTS: A significant positive correlation was observed between the TYG index and neonatal birth weight (r = 0.314, p < 0.001). The multivariate linear regression analysis substantiated this association, revealing that an increment in the TYG index was associated with an average neonatal weight increase of 227.22 grams (β: 227.22, 95% CI: 148.74 to 305.71, p < 0.001). Notably, this correlation was more robust in subgroups without GDM (β: 281.17, p = 0.002), among male neonates (β: 213.06, p = 0.003) and in mothers over the age of 31 (β: 253.58, p < 0.001). CONCLUSIONS: The TYG index during the third trimester of pregnancy is significantly and positively associated with neonatal birth weight, with particularly strong associations in specific subgroups. These insights imply that the TYG index could serve as a predictive biomarker for neonatal weight, offering potential benefits for managing pregnancy and neonatal health.
Dermabond-adhesive glue versus polypropylene sutures for cesarean section-skin closure.
Jaafar ZAA, Sarkulova Z, Tokshilykova A … +5 more , Abdelazim IA, Sarkulov M, Sagidanova Y, Balmaganbetova F, Donayeva A
Ginekol Pol · 2025 · PMID 40145704 · Publisher ↗
OBJECTIVES: To compare the Dermabond-adhesive glue versus polypropylene sutures for cesarean section (CS) skin closure. MATERIAL AND METHODS: One hundred women admitted for elective CSs (ECSs) were randomized into two gr...
OBJECTIVES: To compare the Dermabond-adhesive glue versus polypropylene sutures for cesarean section (CS) skin closure. MATERIAL AND METHODS: One hundred women admitted for elective CSs (ECSs) were randomized into two groups; Dermabond group including women underwent CS-skin closure using Dermabond-adhesive glue and polypropylene group including women underwent CS-skin closure using polypropylene sutures. Participants were evaluated weekly for two months after the ECSs to detect the post-CS surgical site infection (SSI). Participants were asked to complete a modified Patient Scar Assessment Scale (PSAS) to detect the CS-scar related symptoms and overall satisfaction. RESULTS: The superficial post-CS SSI was reported in 10% (5/50) of participants; 2 cases (4%) in Dermabond group and 3 cases (6%) in polypropylene group (p = 0.6). No statistical differences were reported between studied groups regarding, ECS duration (44.78 ± 3.44 min for Dermabond group vs 45.6 ± 3.78 for polypropylene group) (p = 0.7) or CS-skin closure duration (2.46 ± 0.34 min for Dermabond group vs 3.6 ± 0.36 for polypropylene group) (p = 0.6). Third-day post-CS pain score was statistically lower, and overall satisfaction was statistically higher when Dermabond group was compared to polypropylene group (2.34 ± 0.47 and 2.9 ± 0.3, respectively vs 2.86 ± 0.35 and 2.34 ± 0.47, respectively), (p = 0.02 and < 0.0001, respectively). CONCLUSIONS: Dermabond-adhesive glue was a safe and successful alternative to polypropylene for CS-skin closure. Third-day post-CS pain score was statistically lower, and overall satisfaction was statistically higher when Dermabond group was compared to polypropylene group.
Ectopic pregnancy - a comparision of treatment methods in terms of effectiveness and impact on fertility.
Zieba W, Guzowski G, Sieroszewski P
Ginekol Pol · 2025 · PMID 40145703 · Publisher ↗
OBJECTIVES: The aim of this study was to compare the available methods of treating a pregnancy located in the fallopian tube with regard to their efficacy and impact on patient fertility. MATERIAL AND METHODS: The retros...
OBJECTIVES: The aim of this study was to compare the available methods of treating a pregnancy located in the fallopian tube with regard to their efficacy and impact on patient fertility. MATERIAL AND METHODS: The retrospective study involved a total of 217 patients treated at the Department of Fetal Medicine and Gynaecology at the Medical University of Lodz between 2018 and 2023. Medical records were analysed and a telephone survey was carried out to assess the follow-up of patients after discharge from the Department. RESULTS: 84% of patients were qualified for surgical treatment achieving a combined success rate of both methods (salpingotomy and salpingectomy) close to 100%. No positive effect on fertility of preserving the fallopian tube after pregnancy termination compared to removal of the fallopian tube was observed. The method with the highest risk of recurrent fallopian tube pregnancy was salpingotomy. CONCLUSIONS: The results of this study show surgical treatment as the option for the treatment of pregnancy located in the fallopian tube. Appropriate qualification of patients allows to choose optimal therapeutic strategy. A positive effect on further fertility of the salpingotomy strategy compared to salpingectomy has not been demonstrated.
A retrospective analysis of the characteristics of acquired uterine arteriovenous malformations associated with retained products of conception.
Sun Y, Yang M, Bai W
Ginekol Pol · 2025 · PMID 40145702 · Publisher ↗
OBJECTIVES: To compare the clinical characteristics and imaging manifestations of retained products of conception (RPOC) with retained products of conception combined with uterine arteriovenous malformation (UAVM-RPOC),...
OBJECTIVES: To compare the clinical characteristics and imaging manifestations of retained products of conception (RPOC) with retained products of conception combined with uterine arteriovenous malformation (UAVM-RPOC), to provide a basis for the early identification and clinical treatment of UAVM-RPOC. MATERIAL AND METHODS: A retrospective analysis was conducted on women of reproductive age (89 cases) for retained products of conception. Among the cases, 28 were identified with UAVM-RPOC through ultrasound diagnosis, while 61 were diagnosed with RPOC. The clinical and imaging characteristics of the two groups of women were analyzed, and the treatment methods and prognosis of UAVM-RPOC were also analyzed. RESULTS: 71.43% women with UAVM-RPOC had a history of two or more previous pregnancies, which was significantly higher than the 45.8% observed in the RPOC group (p < 0.05). The median serum level of β-human chorionic gonadotropin (β-HCG) was 128.7 (16.32-977) mIU/mL. The median time for detecting RPOC in women was 23 days, while the median time to diagnose UAVM-RPOC was 39.5 days. In transvaginal sonography (TVS), 92.86% of women with UAVM-RPOC exhibited low-resistance (RI < 0.5) ultrasound manifestations of the lesion, which was significantly higher than that in the RPOC group (32.79%), p < 0.0001. The contrast-enhanced ultrasound (CEUS) features of UAVM-RPOC were characterized by early-stage lesions showing rapid enhancement, which was followed by a late-stage delay in the washout of the contrast agent compared to the myometrium, leading to sustained enhancement. Out of 28 cases, only one woman underwent hysteroscopic surgery following pre-treatment with uterine artery embolization; the remaining female did not receive pre-treatment, and the surgical success rate for all women was 100%. CONCLUSIONS: Our study revealed the clinical and imaging characteristics of UAVM-RPOC. Transvaginal ultrasound is the preferred examination for diagnosing UAVM-RPOC, but for cases with rich local blood flow signals, further refinement with CEUS examination can be beneficial. The combined examination can better assess the depth of muscle layer infiltration of the lesion, further evaluate the risk level of UAVM-RPOC, and guide clinical treatment.
Importance of anogenital distance parameters on duloxetine success in women with stress urinary incontinence.
Ortac M, Ozervarli MF, Caglar U … +4 more , Aydin R, Tonyali S, Sarilar O, Ozgor F
Ginekol Pol · 2025 · PMID 40145701 · Publisher ↗
OBJECTIVES: To clarify the impact of anogenital distance (AGD) on duloxetine success in the management of women with stress urinary incontinence (SUI). MATERIAL AND METHODS: Patients who have been diagnosed with SUI, wer...
OBJECTIVES: To clarify the impact of anogenital distance (AGD) on duloxetine success in the management of women with stress urinary incontinence (SUI). MATERIAL AND METHODS: Patients who have been diagnosed with SUI, were evaluated for inclusion in the study. Distance between anus and clitoris (AGDAC), distance between anus and fourchette (AGDAF), and length of genital hiatus (GH) were measured. All patients started duloxetine 20 mg twice daily for 2 weeks, and then patients received 40 mg duloxetine twice daily. Patients were categorized into two groups (patients who benefited from duloxetine and patients who did not benefit from duloxetine). Patient characteristics and AGD parameters were compared between these two groups. RESULTS: In total, 178 women were included in study and mean duration of SUI was 2.9 years. The mean body mass index (BMI) was significantly higher in patients with unsuccessful therapy (p = 0.001). In contrast, nulliparous rate was significantly higher in patients who benefited from duloxetine (p = 0.043). The distance of AGDAC (71.4 mm vs 77.9 mm, p = 0.001) and distance of GH were significantly shorter (21.7 mm and 26.7 mm, p = 0.001) in patients who were successfully treated with duloxetine. Multivariate regression analysis found that BMI < 30 kg/m², shorter AGDAC, and GH lengths were significantly related with duloxetine success (p = 0.037, p = 0.036, and p = 0.039, respectively). CONCLUSIONS: This study showed that duloxetine improved SUI in more than half of women and obesity was a predictive factor for duloxetine failure. In addition, shorter AGDAC length and shorter GH distance were significantly associated with duloxetine success in the management of SIU.
Selected variables of the risk of sensory processing disorder.
Szczepara-Fabian M, Emich-Widera E, Kazek B … +4 more , Potepa-Kowalczyk S, Stachura K, Buczek A, Paprocka J
Ginekol Pol · 2025 · PMID 40145700 · Publisher ↗
OBJECTIVES: The aim of the study was to establish the risk factors for sensory processing disorder (SPD). The study included 332 Caucasian children aged 3 to 12 years. The main inclusion criterion was the occurrence of S...
OBJECTIVES: The aim of the study was to establish the risk factors for sensory processing disorder (SPD). The study included 332 Caucasian children aged 3 to 12 years. The main inclusion criterion was the occurrence of SPD in the study group. The occurrence of this condition was not found in the control group. MATERIAL AND METHODS: The source of information included: medical records, the author questionnaire. The therapist used: The Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC:0-5™), the case report form and the Southern California Sensory Integration Tests (SCSIT). RESULTS: The risk factors in the SPD group were as follows: intrauterine infection and stressful events during pregnancy, bed rest in the first and second trimesters of pregnancy, intraventricular hemorrhage grade 2, serological conflict, abnormal cardiotocography, cesarean section, premature birth and/or birth weight below 2500 grams and a stay in an incubator. CONCLUSIONS: Children with the above risk factors reported during pregnancy and delivery should be specifically monitored for their development. The frequency of visits assessing skills and behavior should be increased to introduce elements of care and therapy for children with SPD as early as possible. Attention should be paid to bed rest in pregnancy since it has a negative impact on maternal health and on fetal development.
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