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Obstetrics and Gynecology Commons

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Sentinel Lymph Node In Early Stage Ovarian Cancer; A Literature Review, Irina Balescu, Nicolae Bacalbasa, Mihaela Vilcu, Vladislav Brasoveanu, Iulian Brezean 2018 Ponderas Academic Hospital, Department of Visceral Surgery, Bucharest, Romania

Sentinel Lymph Node In Early Stage Ovarian Cancer; A Literature Review, Irina Balescu, Nicolae Bacalbasa, Mihaela Vilcu, Vladislav Brasoveanu, Iulian Brezean

Journal of Mind and Medical Sciences

Although sentinel lymph node mapping has been widely implemented in gynecological malignancies in order to minimize the number of unnecessary lymph node dissections and to diminish postoperative morbidity rate, little is known about ovarian cancer sentinel lymph node mapping. This article presents a literature review regarding the effectiveness, safety and benefits of this method.

Sentinel lymph node detection in early stage ovarian cancer seems to be a safe and effective method, able to minimize the rate of patients submitted to unnecessary lymph node dissection. The second goal of the procedure, to minimize the risk of missing involved lymph nodes, seems ...


Postpartum Depression: Prevention And Multimodal Therapy, Anca Daniela Stanescu, Denisa Oana Balalau, Liana Ples, Stana Paunica, Cristian Balalau 2018 Carol Davila University of Medicine and Pharmacy, Bucur Maternity Hospital, St. John's Emergency Hospital, Bucharest, Romania

Postpartum Depression: Prevention And Multimodal Therapy, Anca Daniela Stanescu, Denisa Oana Balalau, Liana Ples, Stana Paunica, Cristian Balalau

Journal of Mind and Medical Sciences

A woman goes through many biological (hormonal, physical), psychological (emotional), and socio-cultural changes during pregnancy. Furthermore, changes also occur in the mother's familial and interpersonal world after childbirth. While some mothers have positive emotions at birth, such as joy and pleasure, others complain of negative experiences varying from sadness and depression to psychosis. Thus, the risk of depression is higher for women during the postpartum period, having a tendency to decrease in most cases over the first 2 weeks after delivery. Unfortunately, this favorable evolution does not happen in about 1 in 4-7 women, who develops postpartum depression. Postpartum ...


The University Of Iowa Residency Training Program In Obstetrics And Gynecology And Impact Of Recent State Abortion Legislation, Marygrace Elson 2018 University of Iowa Hospitals and Clinics, Department of Obstetrics and Gynecology, Iowa City, Iowa

The University Of Iowa Residency Training Program In Obstetrics And Gynecology And Impact Of Recent State Abortion Legislation, Marygrace Elson

Proceedings in Obstetrics and Gynecology

Impact of state legislation on the University of Iowa residency progam in Obstetrics and Gynecology.


Let’S Talk About Sex History: Impact Of A Communication Curriculum On Medical Student Performance And Perceived Competency, Colleen K. Stockdale, John Kippes, Marcy Rosenbaum, Marygrace Elson 2018 Department of Obstetrics and Gynecology, University of Iowa Carver College of Medicine, Iowa City, IA

Let’S Talk About Sex History: Impact Of A Communication Curriculum On Medical Student Performance And Perceived Competency, Colleen K. Stockdale, John Kippes, Marcy Rosenbaum, Marygrace Elson

Proceedings in Obstetrics and Gynecology

Introduction: Communication in general, but especially regarding difficult topics such as sexual health is inadequately addressed in undergraduate medical education. Students often feel they are poorly trained in this area due to a lack of opportunities to practice taking sexual history. Thus, a communication curriculum was implemented to address this gap, including formal small group practice sessions on taking a sexual history during the Obstetrics and Gynecology (OB/GYN) clerkship.

Aim: Determine whether medical students who completed a sexual history communication curriculum performed better during a formal standardized patient based assessment (PBA) at the conclusion of the OB/GYN clerkship ...


Marygrace Elson, Md, Mme, 2018 University of Iowa

Marygrace Elson, Md, Mme

Proceedings in Obstetrics and Gynecology

Dr. Marygrace Elson is a Clinical Professor of General Obstetrics and Gynecology at the University of Iowa Hospital and Clinics. She received a BA from the University of Illinois, an MD from the University of Illinois College of Medicine and completed a residency in Obstetrics and Gynecology at the University of Wisconsin Hospitals and Clinics. She received an MME from the University of Iowa Carver College of Medicine. Dr. Elson worked as a private practitioner in California and Illinois, before joining the University of Iowa Hospitals and Clinics to serve as a clinical physician and on the medical faculty. She ...


The Impact Of Great Leadership, Emily Boevers 2018 Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242

The Impact Of Great Leadership, Emily Boevers

Proceedings in Obstetrics and Gynecology

The mentorship I’ve enjoyed from some UIHC Ob-Gyn faculty has influenced not only my decision to enter this field, but also shaped the way I will practice in the future and given me reason to teach and mentor others. Finding faculty who really pushed me to be not just a better student but a more engaged health care provider, teacher, citizen and leader has cemented my career trajectory. I hope it will lead to richer experiences for the others that I work with along the way. Beyond what I have experienced in other departments, Ob-Gyn faculty at UIHC are ...


Healthy Moms. Healthy Babies., Jennifer C. Steines 2018 The Group, Obstetrics & Gynecology Specialists, Davenport, Iowa

Healthy Moms. Healthy Babies., Jennifer C. Steines

Proceedings in Obstetrics and Gynecology

Healthy moms. Healthy babies. That's my goal as a board certified OB/GYN.

The University of Iowa, most specifically the Women's Health Department, will always remain a special place to me. I will forever be grateful for the knowledge I learned, the support I continue to receive, and for the camaraderie that we have in support of Women's health for all of Iowa.


Reflections On The University Of Iowa Department Of Obstetrics And Gynecology, Thaddeus L. Anderson 2018 Dubuque Obstetrics and Gynecology, P.C., Dubuque, Iowa

Reflections On The University Of Iowa Department Of Obstetrics And Gynecology, Thaddeus L. Anderson

Proceedings in Obstetrics and Gynecology

My association with the University of Iowa Department of Obstetrics and Gynecology began over 30 years ago as a fourth year medical student when I did a rotation on the High Risk Antepartum service. I am fortunate to have been trained by, and my care supported by, the University of Iowa Department of Obstetrics and Gynecology.


The Foundation For A Successful Career In Academic Medicine, Alireza A. Shamshirsaz 2018 Department of Obstetrics and Gynecology/Department of Surgery, Baylor College of Medicine, Houston, Texas

The Foundation For A Successful Career In Academic Medicine, Alireza A. Shamshirsaz

Proceedings in Obstetrics and Gynecology

After being exposed to all facets of medicine, I have found Obstetrics and Gynecology to be the most challenging, artistic and amazing field in medicine. The University of Iowa Obstetrics and Gynecology Residency Program shaped my personality to become a successful academic obstetrician and gynecologist. With the confidence built at the University of Iowa, Department of Obstetrics and Gynecology I saw Fetal Surgery/ Maternal Fetal Medicine as an opportunity to combine these two passions and I did it, thanks to my residency program at Iowa.


Obstetrics In Uganda: A Reflection, Eleanor Germano 2018 Roy J. & Lucille A.Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242

Obstetrics In Uganda: A Reflection, Eleanor Germano

Proceedings in Obstetrics and Gynecology

After having been immersed in rural maternal care in Uganda and completing my Ob/Gyn clerkship at the University of Iowa, I appreciate even more how limited the resources, technology, and preventive measures truly are and how incredibly fortunate we are to practice medicine in the United States. We have hospitals with sterile equipment, post-partum hemorrhage and mass transfusion protocols, access to emergency transport services, and so much more to maximize good outcomes. This experience gave me so much insight and encouraged me to pursue my interests in global women’s health but also to appreciate the training I’m ...


Supporting Family Physician Maternity Care Providers, Jessica Taylor Goldstein, Scott G. Hartman, Matthew R. Meunier, Bethany Panchal, Christine Chang Pecci, Nancy M. Zink, Sara G. Shields 2018 University of California, San Francisco

Supporting Family Physician Maternity Care Providers, Jessica Taylor Goldstein, Scott G. Hartman, Matthew R. Meunier, Bethany Panchal, Christine Chang Pecci, Nancy M. Zink, Sara G. Shields

Open Access Articles

Maternity care access in the United States is in crisis. The American Congress of Obstetrics and Gynecology projects that by 2030 there will be a nationwide shortage of 9,000 obstetrician-gynecologists (OB/GYNs). Midwives and OB/GYNs have been called upon to address this crisis, yet in underserved areas, family physicians are often providing a majority of this care. Family medicine maternity care, a natural fit for the discipline, has been on sharp decline in recent years for many reasons including difficulties cultivating interdisciplinary relationships, navigating privileging, developing and maintaining adequate volume/competency, and preventing burnout. In 2016 and 2017 ...


University Of Iowa Hospitals And Clinics Obstetrics And Gynecology Residency: Vital For Iowa Women, Abigail Mancuso 2018 Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242

University Of Iowa Hospitals And Clinics Obstetrics And Gynecology Residency: Vital For Iowa Women, Abigail Mancuso

Proceedings in Obstetrics and Gynecology

I knew right away when I came to the University of Iowa Hospitals and Clinics for my residency interview that it was where I wanted to complete my training; and now that I am done with residency and continuing on in fellowship, I’ve never had one regret about choosing to come to Iowa. Iowa is a unique place – it is a nationally recognized program with faculty that are leaders in their fields, yet it is also a close-knit program where the trainees are treated with respect. The ObGyn residents receive well-rounded training and fortunately, many find that after 4 ...


Simulation Training In Forceps Assisted Vaginal Birth: Trainee Competence, Clinical Behavior And Procedural Competence, Marygrace Elson, Michael L. Haugsdal, Donna A. Santillan 2018 Department of Obstetrics and Gynecology, University of Iowa Carver College of Medicine, Iowa City, IA

Simulation Training In Forceps Assisted Vaginal Birth: Trainee Competence, Clinical Behavior And Procedural Competence, Marygrace Elson, Michael L. Haugsdal, Donna A. Santillan

Proceedings in Obstetrics and Gynecology

To determine whether simulation training in forceps assisted vaginal delivery affected:

· The confidence of the trainee in offering and performing forceps assisted vaginal delivery before and after the intervention
· The frequency with which forceps assisted vaginal delivery is offered to the parturient compared to vacuum assisted vaginal delivery.


"Born Out Of Fear": A Grounded Theory Study Of The Stigma Of Bipolar Disorder For New Mothers, Walker Ladd Ph.D. 2018 University of Phoenix

"Born Out Of Fear": A Grounded Theory Study Of The Stigma Of Bipolar Disorder For New Mothers, Walker Ladd Ph.D.

The Qualitative Report

Childbirth is an established trigger for the onset of bipolar disorders (BD) in the postpartum period, causing significant pathology and disability. Research has shown that the stigma of mental illness for new mothers is a powerful obstacle to care, preventing women from accessing critical treatment and social support. However, the majority of research has examined the relationship between the stigma and postpartum depression, leaving a gap in knowledge regarding stigma and postpartum bipolar disorder. The problem addressed in this grounded theory study was the lack of knowledge regarding the stigma of a diagnosis of bipolar disorder (BD) in the first ...


Relapsed Ovarian High-Grade Serous Carcinoma With Long-Term Survival Associated With Synchronous Primary Squamous Cell Carcinoma Of The Colon, Karla Sladoljev, Ena Perin, Ani Mihaljević Ferrari, Marko Klarić, Alemka Brnčić-Fischer, Senija Eminović, Danijela Vrdoljak-Mozetič, Emina Babarovic 2018 School of Medicine University of Rijeka, University of Rijeka, Croatia

Relapsed Ovarian High-Grade Serous Carcinoma With Long-Term Survival Associated With Synchronous Primary Squamous Cell Carcinoma Of The Colon, Karla Sladoljev, Ena Perin, Ani Mihaljević Ferrari, Marko Klarić, Alemka Brnčić-Fischer, Senija Eminović, Danijela Vrdoljak-Mozetič, Emina Babarovic

Proceedings in Obstetrics and Gynecology

High-grade serous ovarian cancer (HGSOC) is the most common and also the most aggressive subtype of ovarian cancer while squamous cell carcinoma (SCC) of the colon is an extremely rare histologic subtype of all colonic malignancies with poor prognosis.

Here we report a unique case of synchronous primary SCC of the colon and second recurrence of HGSOC in a patient with 15-years survival. Our patient developed two recurrent HGSOCs with disease-free survival time of five and nine years, respectively. The second recurrence of HGSOC was associated with the synchronous primary SCC of the ascending colon and was further complicated with ...


A Case Of Uterine Gangrene After Termination Of Second Trimester Pregnancy Complicated By Chorioamnionitis, Mohammed N. Salem, Ibrahim M. A. Hassanin, Ahmed M. Abbas 2018 Department of Obstetrics and Gynecology, Sohag University, Sohag, Egypt

A Case Of Uterine Gangrene After Termination Of Second Trimester Pregnancy Complicated By Chorioamnionitis, Mohammed N. Salem, Ibrahim M. A. Hassanin, Ahmed M. Abbas

Proceedings in Obstetrics and Gynecology

Uterine gangrene is a rare event during pregnancy. Here, we report the case of a 22-year-old patient pregnant in her second trimester presenting with premature rupture of membranes and a low-lying placenta. Hysterotomy was done to evacuate the pregnancy. The procedure was complicated by hemorrhage so bilateral uterine arteries and the left internal iliac artery were ligated to control the bleeding. She continued to run a fever in spite of antibiotics and on the 11th postoperative day, the patient developed signs of septicemia. Abdominal re-exploration was done revealing a gangrenous uterus with signs of peritonitis. Subtotal hysterectomy was done ...


Colleen K. Stockdale, Md, Ms, 2018 University of Iowa

Colleen K. Stockdale, Md, Ms

Proceedings in Obstetrics and Gynecology

Dr. Colleen K. Stockdale is a Clinical Professor of General Obstetrics and Gynecology at the University of Iowa Hospitals and Clinics. She received a BS in Nursing from Eastern Washington University, Post Baccalaureate Pre-Med at the University of Pennsylvania, MD from the Medical College of Pennsylvania, MS in Epidemiology from the University of Iowa, and completed a residency in Obstetrics and Gynecology at the University of Iowa Hospitals and Clinics. She has served as the Program Director for the Medical Student Clerkship and is now the Associate Residency Program Director. She is the Director of the Colposcopy Clinic and the ...


Early Investigations And Recent Advances In Intraperitoneal Immunotherapy For Peritoneal Metastasis., Anusha Thadi, Marian Khalili, William F. Morano, Scott D. Richard, Steven C. Katz, Wilbur B. Bowne 2018 Drexel University College of Medicine

Early Investigations And Recent Advances In Intraperitoneal Immunotherapy For Peritoneal Metastasis., Anusha Thadi, Marian Khalili, William F. Morano, Scott D. Richard, Steven C. Katz, Wilbur B. Bowne

Department of Obstetrics and Gynecology Faculty Papers

Peritoneal metastasis (PM) is an advanced stage malignancy largely refractory to modern therapy. Intraperitoneal (IP) immunotherapy offers a novel approach for the control of regional disease of the peritoneal cavity by breaking immune tolerance. These strategies include heightening T-cell response and vaccine induction of anti-cancer memory against tumor-associated antigens. Early investigations with chimeric antigen receptor T cells (CAR-T cells), vaccine-based therapies, dendritic cells (DCs) in combination with pro-inflammatory cytokines and natural killer cells (NKs), adoptive cell transfer, and immune checkpoint inhibitors represent significant advances in the treatment of PM. IP delivery of CAR-T cells has shown demonstrable suppression of tumors ...


Metformin As A Therapeutic Target In Endometrial Cancers., Teresa Lee, Ubaldo E. Martinez-Outshoorn, Russell J. Schilder, Christine H. Kim, Scott D. Richard, Norman G. Rosenblum, Jennifer Johnson 2018 Thomas Jefferson University

Metformin As A Therapeutic Target In Endometrial Cancers., Teresa Lee, Ubaldo E. Martinez-Outshoorn, Russell J. Schilder, Christine H. Kim, Scott D. Richard, Norman G. Rosenblum, Jennifer Johnson

Department of Medical Oncology Faculty Papers

Endometrial cancer is the most common gynecologic malignancy in developed countries. Its increasing incidence is thought to be related in part to the rise of metabolic syndrome, which has been shown to be a risk factor for the development of hyperestrogenic and hyperinsulinemic states. This has consequently lead to an increase in other hormone-responsive cancers as well e.g., breast and ovarian cancer. The correlation between obesity, hyperglycemia, and endometrial cancer has highlighted the important role of metabolism in cancer establishment and persistence. Tumor-mediated reprogramming of the microenvironment and macroenvironment can range from induction of cytokines and growth factors to ...


Both Maternal And Paternal Risk Factors For Term Singleton Low Birthweight Infants In Rural Chinese Population: A Population-Based, Retrospective Cohort Study, Shi Chen, Bill Q. Lian, Hui Pan 2018 Peking Union Medical College

Both Maternal And Paternal Risk Factors For Term Singleton Low Birthweight Infants In Rural Chinese Population: A Population-Based, Retrospective Cohort Study, Shi Chen, Bill Q. Lian, Hui Pan

Open Access Articles

No large population-based study has focused on both maternal paternal risk factors for low birthweight (LBW) in China. We aimed to identify parental risk factors associated with LBW. A population-based, retrospective cohort study was conducted on 202,725 singleton infants at 37-42 weeks. These term singleton newborns were classified as LBW with birthweight < /=2500 g(TLBW) and normal birthweight between 50(th) to 97(th) percentile (TNBW 50(th)-97(th)) according to Chinese singleton norms. Multiple logistic regression analyses were used to find those parental risk factors of LBW by comparing two groups. TLBW and TNBW(50(th)-97(th)) occupied 4.8% and 70.8% of the study population, respectively. Logistic regression showed a significant association with positive maternal hepatitis B surface antigen (RR = 1.979, P = 0.047), irregular folic acid intake (RR = 1.152, P = 0.003), paternal history of varicocele (RR = 2.404, P = 0.003) and female babies (RR = 1.072, P = 0.046). Maternal smoking, hypertension and history of stillbirth were found related to LBW but no statistically significant. Positive maternal hepatitis B surface antigen, irregular folic acid intake, paternal history of varicocele had a negative effect on birth weight. Measures are necessarily taken to avoid them to improve pregnancy outcomes. Further studies should be done to investigate each detailed risk factors on LBW.


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