Proceedings in Obstetrics and Gynecology

http://ir.uiowa.edu/pog

List of Papers (Total 80)

A rare case of posterior uterine rupture with neonatal survival during trial of vaginal birth after cesarean section

Posterior wall uterine rupture is a rare complication. Trial of vaginal birth after cesarean section (CS) is a predisposing factor especially when associated with augmentation of labor. Here we report a case of intrapartum uterine rupture during the second stage of labor in a multiparous woman trying vaginal birth after previous CS. Emergency laparotomy was done and the baby was ...

Recurrent spontaneous third-trimester uterine rupture after hysteroscopic resection of myoma: a case report

Uterine rupture is a catastrophic obstetrical emergency with serious effects on both women and fetuses. Operative hysteroscopic procedures can add more risk factor for occurrence of this tragedy. Here, we report a case of spontaneous recurrent rupture uterus at 33 weeks of gestation in a 32 years old woman with previous history of hysteroscopic resection of submucous myoma after ...

Metastatic squamous cell carcinoma to the colon arising from a mature cystic ovarian teratoma

Malignant transformation of a mature cystic teratoma is extremely rare, occurring in 0.17-2% of cases.1 The most common malignant degeneration is squamous cell carcinoma (SCC) arising from the ectoderm. Approximately half of all cases of SCC of the ovary are confined to the ovary at time diagnosis.1,2 Secondary to its absolute rarity and the relative infrequency of cases with ...

Effects of irregular antenatal care attendance in primiparas on the perinatal outcomes: a cross sectional study

Aim: Antenatal care (ANC) is a key strategy for reducing maternal and neonatal morbidity and mortality rates because adequate utilization of antenatal health care services is associated with improved maternal and neonatal health outcomes. The current study aims to identify the factors causing lack of regular attendance at ANC clinics in primiparas and to determine the effects of ...

First trimester spontaneous rupture of an unscarred uterus in a multiparous woman: a case report

The rupture of an unscarred uterine is a rare life-threatening event that usually occurs late in pregnancy or during labor. Spontaneous uterine rupture, as in our case, is extremely uncommon and rarely diagnosed before laparotomy. Herein, we present a case of spontaneous uterine rupture in a 32 year old multiparous woman with no previous uterine surgery. The patient presented with ...

Role of prophylactic midurethral sling in preventing post-operative stress urinary incontinence following repair of anterior vaginal wall prolapse

Objective: This study was conducted to find whether, among women without preoperative stress incontinence who underwent surgery for repair of anterior vaginal wall prolapse, the placement of a prophylactic midurethral mesh along with the prolapse correction surgery helped to reduce the incidence of post-operative stress urinary incontinence (POSUI). Materials & Methods: 145 women ...

Experimental pain sensitivity in women with vestibulodynia: a pilot study

Objective: Investigate pain sensitivity in women with vestibulodynia using two experimental pain assessments outside the vulvar region: intramuscular infusion of an acidic phosphate buffer and pressure pain thresholds (PPTs) of the lower limb. Methods: Three women with a history of vestibulodynia (all 24 years old) participated after providing written informed consent. PPTs of the ...

Effects of oral ginkgo biloba extract on pregnancy complicated by asymmetrically intrauterine growth restriction: a double-blinded randomized placebo-controlled trial

Objectives: to evaluate the effect of oral ginkgo biloba extract (GB)) on asymmetrical intrauterine growth restriction (IUGR). Study Design: A randomized trial conducted at Assiut Women Health on 226 pregnant women with asymmetrical IUGR. The patients randomly received GB extract or placebo for 6 weeks. The main outcome measures were improvement in fetal weight and feto-maternal ...

Sexual preventative health in US sexual minority women: a review

Despite growing interest and research in lesbian, gay, bisexual, transgender, and queer (LGBTQ) health topics over the last 20 years, relatively little is known about sexual minority women. This review seeks to explore sexual practices, use of preventative measures including barrier methods during sexual activity, sexually transmitted infection rates, and use of screening ...

A rare fetal umbilical cord complication: 37 week antenatal loss

Introduction: Investigation of antenatal fetal loss case due to the umbilical cord wrapping 3 times around the neck of a 37-week fetus and being truly knotted in 2 places in light of the literature. Case: A 35-year old G:4 P:3 patient applied with the complaint of no movement of the baby for 3 days. Ultrasonography observed fetal biometric measurements in accordance with 37 weeks ...

Abdominal resection of a cornual heterotopic pregnancy using intraoperative ultrasound: case report

Background: Heterotopic pregnancy is a rare complication of in vitro fertilization (IVF) and diagnosis and treatment can be challenging, particularly with unusual ectopic sites and desire to maintain the intrauterine pregnancy. Case: We review the case of a 29-year-old female who presented with a cornual heterotopic pregnancy following IVF treated with exploratory laparotomy and ...

Ultrasound evaluation of pelvic masses seen within a university gynecologic oncology clinic: does the scan location matter?

To quantify variations in the reporting of ultrasound characteristics of adnexal masses between local ultrasound centers and a tertiary care center for women referred to gynecologic oncology for evaluation of a pelvic mass. This study also sought to evaluate whether a gynecologic oncologist’s impression regarding the suspicion for malignancy differed based upon the information ...

Renal failure secondary to uterine prolapse

Pelvic organ prolapse is a common problem in female population, and it may cause minor urological problems such as recurrent urinary system infection and voiding difficulty, as well as serious clinical problems such as advanced bilateral hydronephrosis and acute renal failure. Bilateral hydroureteronephrosis and acute renal failure secondary to pelvic organ prolapse are rarely ...

Does leptin predict successful induction of labor?

Obesity in pregnancy is becoming increasingly common and is associated with many pregnancy-related complications such as failed induction of labor (IOL). Leptin, an adipocytokine important in energy homeostasis, is found in higher levels in obese individuals. Leptin has also been demonstrated to have an inhibitory effect on myometrial contractility in vitro. We hypothesize that ...

The unexpected presence of a huge cystic hygroma with thanatophoric dysplasia type I: a case report

Introduction: The presence of a thin-walled, multicystic structure posterior to the fetal head and neck with an intact vertebral column is known as a cystic hygroma. Thanatophoric dysplasia is the most lethal skeletal dysplasia. Thanatophoric dysplasia (TD) is an autosomal dominant disorder with two phenotypes. TD type I is characterized by a normal shaped skull with bowed femurs ...

Association between recurrent bacterial vaginosis and Helicobacter pylori infection: a case report

Background: Nearly one in three women in the United States are affected by bacterial vaginosis at some point in their life, with more than fifty percent experiencing recurrent symptoms within 12 months. Case: A 36 year old G9P2072 with 1 year history of recurrent bacterial vaginosis despite repeated treatments with local and systemic metronidazole, metronidazole suppression, and ...

Impact of obesity on rates of successful vaginal delivery after term induction of labor

Objective: Determine success of term inductions of labor among an obese patient population. Methods: A retrospective chart review of all women greater than 37 weeks gestation who underwent induction of labor at University of Iowa Hospital and Clinics (12-2012 to 03-2013). Chart abstraction included data from the patient’s prenatal care, medical history, labor history, delivery and ...

Mapping change in medical student attitudes regarding lesbian, gay and bisexual healthcare

Despite significant social advances among lesbian, gay, bisexual, and transgender (LGBT) individuals, healthcare disparities remain prevalent. Medical education represents a prime opportunity for addressing this need. Thus, we undertook this study to explore second year medical students’ attitudes regarding equal access to healthcare services including erectile dysfunction ...

Awareness of Pap test among women attending a tertiary center in Bangalore, India

Introduction: In India, cervical cancer is the most common woman-related cancer, killing 1 woman every 8 minutes. Cervical cancer is more common in women who do not have a Pap test regularly. Secondary prevention achieved through Pap smear testing is the single most effective tool in reducing deaths due to cervical cancer. Scores of women in India fail to carry out this important ...

Global fetal DNA methylation and birth outcomes in obese women

Pregnant women who are obese are more likely to have gestational diabetes, gestational hypertension, pre-eclampsia, macrosomia, operative vaginal delivery, and cesarean delivery. Obesity also has adverse implications for the neonate. Congenital anomalies are more common in children born to obese women. These include neural tube defects, gastroschisis, cardiovascular anomalies, and ...

Severe ovarian hyperstimulation syndrome in spontaneous pregnancy treated successfully with cabergoline

Ovarian hyperstimulation syndrome (OHSS) is a relatively common complication in infertile patients treated with exogenous gonadotropins. Ovarian hyperstimulation in spontaneous pregnancies is a rare but possible. The pathogenesis of spontaneous OHSS is not well known. Risk factors for OHSS are young age, polycystic ovaries, low body mass index, high gonadotropin dose, increased ...

Division of Reproductive Science Research

The Division of Reproductive Science Research at the University of Iowa has a long tradition and was formally organized in 2009. Since then, the division has enjoyed extensive growth and development in many areas of reproductive research. Sponsored by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and the NIH Office of Research on ...

Division of Reproductive Endocrinology and Infertility

The Division of Reproductive Endocrinology and Infertility at the University of Iowa is very active clinically and is proud of our highly successful IVF Program. We have one of the highest rates of single embryo transfer with IVF in the country and continue to maintain outstanding pregnancy rates while reducing multiple rates leading to safer IVF treatment. In addition to our IVF ...

Division of Maternal Fetal Medicine

The Division of Maternal Fetal Medicine at the University of Iowa provides care for women with medical, surgical, and obstetrical complications of pregnancy. The patients are cared for in a series of clinics, including the High Risk Obstetric Clinic and the multidisciplinary Fetal Diagnosis and Therapy Unit. The majority of level II scans, anomaly consultations, and interventional ...

Maternal demographic and clinical variables do not predict intrauterine contraception placement: Evidence for postplacental intrauterine contraception placement

Objective: Determine if specific demographic and clinical variables are associated with intra-uterine contraception (IUC) placement by eight weeks postpartum. Methods: This retrospective cohort study included all patients who delivered at Dartmouth-Hitchcock Medical Center (DHMC) (July-December 2008) who identified IUC as their preferred postpartum contraceptive method. Medical ...