간행물

대한산부인과학회> Obstetrics & Gynecology Science

Obstetrics & Gynecology Science update

  • : 대한산부인과학회
  • : 의약학분야  >  산부인과학
  • : KCI등재
  • : SCOPUS
  • : 연속간행물
  • : 격월
  • : 2287-8572
  • :
  • : 대한산부인과학회지(~2011)→Korean Journal of Obstetrics & Gynecology(2011~)→Obstetrics & Gynecology Science (2013~)

수록정보
수록범위 : 1권0호(1958)~63권1호(2020) |수록논문 수 : 10,933
Obstetrics & Gynecology Science
63권1호(2020년 01월) 수록논문
최근 권호 논문
| | | |

KCI등재 SCOPUS

1Nonpersistent endocrine disrupting chemicals and reproductive health of women

저자 : Yeon Jean Cho , Jeong Hye Yun , Su Jin Kim , Hyun Young Kwon

발행기관 : 대한산부인과학회 간행물 : Obstetrics & Gynecology Science 63권 1호 발행 연도 : 2020 페이지 : pp. 1-12 (12 pages)

다운로드

(기관인증 필요)

초록보기

Nonpersistent endocrine disrupting chemicals (npEDCs) are exogenous chemicals or mixtures of industrial agents that can interfere with the normal action of hormone with a shorter half-life and lower liposolubility. These are commonly found in plastics, medical equipment, detergents, and cosmetics. Recently, role of npEDCs on the changes of ovary and/or uterus development and alterations in hormonal signaling has been emphasized. However, many controversial results exist on the effects of npEDCs and reproductive health of women. Thus, we have focused to review the scientific evidence of a causal relationship between exposure to npEDCs and representative female reproductive issues such as menstrual cycle, endometriosis, uterine fibroids, polycystic ovarian syndrome and infertility/subfertility. Though not all studies indicated a positive correlation of npEDCs with female reproductive issues, the reviewed data illustrated that the majority of the available data strengthen the evidence of reproductive health-related actions of npEDCs. In future, recommendations should be made in order to reduce human exposure to npEDCs and to protect from steadily increasing reproductive health risks.

KCI등재 SCOPUS

2Height of elevated fetal buttock for prediction of successful external cephalic version

저자 : Jun Yi Lee , Yeorae Kim , In Sook Sohn , You Jung Han , Jin Hoon Chung , Moon Young Kim , Min Hyoung Kim , Hyun-mee Ryu , Sunghong Joo , Jung Yeol Han

발행기관 : 대한산부인과학회 간행물 : Obstetrics & Gynecology Science 63권 1호 발행 연도 : 2020 페이지 : pp. 13-18 (6 pages)

다운로드

(기관인증 필요)

초록보기

Objective
To increase the rate of successful external cephalic version (ECV) and to minimize the complications, it is important to identify the predictors of success. Therefore, the purpose of this study was to investigate whether the height of the elevated fetal buttock (HOB) is a valuable predictor of successful ECV or not.
Methods
This prospective study was conducted from August 2016 to June 2018. A total of 139 pregnant women with breech presentation were enrolled in the study. HOB from the maternal pubic symphysis was measured on ultrasonography. The predictability and cut-off value of HOB for successful ECV were evaluated.
Results
Among the 139 patients, 114 (82%) had successful ECV. The adjusted odds ratio for multiparity, amniotic fluid index (AFI) >14 cm, and HOB >7.8 cm were 10.80 (95% confidence interval [CI], 1.57-74.94), 5.26 (95% CI, 1.06-26.19), and 10.50 (95% CI, 1.03-107.12), respectively. Areas under the curve (AUCs) for AFI, HOB, and parity were 0.66 (95% CI, 0.54-0.78), 0.74 (95% CI, 0.64-0.85), and 0.69 (95% CI, 0.62-0.76), respectively. HOB had the largest AUC, but there were no significant differences among the AUCs of other factors. The cut-off value of HOB was 6 cm.
Conclusion
This study showed that the AUC of HOB was greater than that of parity and AFI, although it was not statistically significant. As HOB is a noninvasive and comprehensive marker to predict successful ECV, consideration of HOB would be helpful before conducting ECV. Further studies are needed.

KCI등재 SCOPUS

3Treatment of gestational diabetes diagnosed by the IADPSG criteria decreases excessive fetal growth

저자 : Kyoung-hee Lee , You-jung Han , Jin-hoon Chung , Moon-young Kim , Hyun-mee Ryu , Jin-ha Kim , Dong-wook Kwak , Sung-hoon Kim , Seongwoo Yang , Minhyoung Kim

발행기관 : 대한산부인과학회 간행물 : Obstetrics & Gynecology Science 63권 1호 발행 연도 : 2020 페이지 : pp. 19-26 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objective
We evaluated the effect on treatment using the new International Association of Diabetes and Pregnancy Study Group (IADPSG) criteria for gestational diabetes mellitus (GDM) diagnosis.
Methods
Singleton pregnant women whose plasma glucose levels were ≥140 mg/dL on the 50 g glucose challenge test (GCT) underwent 75 g oral glucose tolerance for GDM diagnosis. During the first half of the study period, GDM was diagnosed using 2 abnormal values by Carpenter-Coustan (C-C) criteria. In the second half of the study period, 1 or more abnormal values by IADPSG criteria were used for GDM diagnosis. Pregnant women were classified into 5 groups: normal 50 g GCT, positive 50 g GCT but non-GDM, GDM by IADPSG criteria and non-treated, GDM by IADPSG criteria and treated, GDM by C-C criteria and treated. The odds ratios (ORs) for large for gestational age (LGA) and macrosomia were analyzed.
Results
Of the 2,678 patients, the frequency of GDM diagnosed by C-C and IADPSG criteria was 2.6% and 7.5%. ORs (95% confidence intervals [CIs]) for LGA and macrosomia in the group with GDM by IADPSG criteria and non-treated were 2.81 (95% CI, 1.47-5.38) and 2.84 (95% CI, 1.08-7.47). The risk of LGA and macrosomia did not increase in the group with GDM by IADPSG criteria and treated.
Conclusion
The risk of LGA and macrosomia for mild GDM diagnosed solely by IADPSG criteria depends on whether they are treated or not. Treatment of GDM based on IADPSG criteria reduces the risk of excessive fetal growth.

KCI등재 SCOPUS

4Wound complication among different skin closure techniques in the emergency cesarean section: a randomized control trial

저자 : Bhimeswar Nayak G , Pradip Kumar Saha , Rashmi Bagga , Bharti Joshi , Minakshi Rohilla , Shalini Gainder , Pooja Sikka

발행기관 : 대한산부인과학회 간행물 : Obstetrics & Gynecology Science 63권 1호 발행 연도 : 2020 페이지 : pp. 27-34 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objective
Cesarean section is the most commonly performed obstetrical surgical procedure; however, there are no standard guidelines on appropriate skin closure techniques and materials. Only few comparative studies have been conducted on different skin closure techniques, and they have shown conflicting results. Therefore, we compared different skin closure techniques during emergency cesarean section to identify the best technique with minimal wound complication rates.
Methods
Patients were randomized into 3 groups (group A, n=100; group B, n=102; and group C, n=98). In group A, the skin was closed using staples; in group B, via the subcuticular technique using monocryl 3-0; and in group C, using mattress suture nylon (2-0). The primary outcome was a composite of wound complications, including infection, seroma, gaping, and need for resuturing and antibiotic administration. The secondary outcome included closure time, pain perception, patient satisfaction, and cost. Analyses were performed in accordance with the intention-to-treat principle.
Results
The composite wound complication rate in the entire cohort was 16.6% (n=50); the complication rate was significantly higher in group A than in the other groups. Infection was the most common wound complication observed in the entire study group (86%) and was significantly higher in group A than in groups B and C (P≤0.001).
Conclusion
The use of staples for cesarean section skin closure is associated with an increased risk of wound complications and prolonged hospital stay postoperative visits.

KCI등재 SCOPUS

5Can the cervical length in mid-trimester predict the use of vacuum in vaginal delivery?

저자 : Jee Yoon Park , Sun Min Kim , Jeenah Sohn , Sejin Kim , Eunjin Song , Byoung Jae Kim , Hye Won Jeon

발행기관 : 대한산부인과학회 간행물 : Obstetrics & Gynecology Science 63권 1호 발행 연도 : 2020 페이지 : pp. 35-41 (7 pages)

다운로드

(기관인증 필요)

초록보기

Objective
This study aimed to evaluate whether an increased cervical length (CL) measured in the mid-trimester is associated with vacuum-assisted vaginal delivery.
Methods
This retrospective cohort study included women who delivered vaginally in Seoul National University Bundang Hospital (n=820) and Boramae Medical Center (n=509) between January 2017 and February 2019. Multifetal pregnancies and preterm births before 37 weeks of gestation were excluded. Only those cases in which CL was measured at 18-22 weeks of gestation for the purpose of screening for preterm birth risk in each institution were analyzed (n=537). Other significant risk factors were reviewed.
Results
The median gestational age at delivery was 39.4 weeks (range, 37.0-41.6 weeks); 18.6% (100/537) were vacuumassisted delivery. There was no relationship between mid-trimester CL and vacuum-assisted delivery (odds ratio [OR], 0.96; 95% confidence interval [CI], 0.57-1.62), while nulliparity was associated with a higher risk (OR, 3.64; 95% CI, 1.55-8.57) than multiparity. When the population was divided into 3 groups by CL range, vacuum-assisted delivery rates increased as CL length increased in nulliparous women.
Conclusion
Mid-trimester CL did not predict the need for vacuum-assisted vaginal delivery.

KCI등재 SCOPUS

6Standardization of measurement of cervical elastography, its reproducibility, and analysis of baseline clinical factors affecting elastographic parameters

저자 : Hyun-joo Seol , Ji-hee Sung , Won Joon Seong , Hyun Mi Kim , Hyun Soo Park , Hayan Kwon , Han-sung Hwang , Yun Ji Jung , Ja-young Kwon , Soo-young Oh

발행기관 : 대한산부인과학회 간행물 : Obstetrics & Gynecology Science 63권 1호 발행 연도 : 2020 페이지 : pp. 42-54 (13 pages)

다운로드

(기관인증 필요)

초록보기

Objective
To provide a standardized protocol for the measurement of cervical strain elastography, present its reproducibility, and analyze baseline clinical factors affecting the measurement of elastographic parameters.
Methods
This study was performed by the Korean Research Group of Cervical Elastography. We enrolled pregnant women according to our study protocol. After measuring the cervical length, elastography was performed using the E-Cervix™ quantification tool to measure the strain of the cervix using intrinsic compression. We evaluated 5 elastographic parameters, namely, the strain of the internal os of the cervix (IOS), strain of the external os of the cervix (EOS), ratio of the strain of IOS and EOS, elasticity contrast index, and hardness ratio. For baseline clinical factors, we examined the maternal body mass index, blood pressure, heart rate, uterine artery Doppler indices, and fetal presentation.
Results
We established a specific protocol for the measurement of cervical elastography using the E cervix program. For all elastographic parameters, the intra-observer intraclass correlation coefficient (ICC) ranged from 0.633 to 0.723 for single measures and from 0.838 to 0.887 for average measures, and the inter-observer ICC ranged from 0.814 to 0.977 for single measures and from 0.901 to 0.988 for average measures. Regression analysis showed that the measurement of the elastographic parameter was not affected by baseline clinical factors.
Conclusion
We present a standardized protocol for the measurement of cervical elastography using intrinsic compression. According to this protocol, reproducibility was acceptable and the measurement of elastographic parameters was not affected by the baseline clinical factors studied.

KCI등재 SCOPUS

7Potential predictors for chemotherapeutic response and prognosis in epithelial ovarian, fallopian tube and primary peritoneal cancer patients treated with platinum-based chemotherapy

저자 : Dhammapoj Jeerakornpassawat , Prapaporn Suprasert

발행기관 : 대한산부인과학회 간행물 : Obstetrics & Gynecology Science 63권 1호 발행 연도 : 2020 페이지 : pp. 55-63 (9 pages)

다운로드

(기관인증 필요)

초록보기

Objective
This study aimed to investigate the potential predictive factors for platinum resistance and poor prognosis in epithelial ovarian, fallopian tube, and primary peritoneal cancer treated with platinum-based chemotherapy.
Methods
Medical records of 306 patients with the above mentioned cancers treated with platinum-based chemotherapy between 2007 and 2017 were retrospective reviewed. Clinical data, preoperative neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), platinum-free interval, and survival time were recorded. NLR, PLR, and cancer antigen 125 (CA125) levels were calculated for an optimal cutoff point using receiver operating characteristic curves. The clinicopathological variables were compared using univariate and multivariate analyses to identify independent predictive factors for platinum resistance and poor survival outcomes.
Results
The optimal cutoff points for NLR, PLR, and CA125 were 3.38, 210, and 365 IU/L, respectively. Univariate analysis indicated that NLR >3.38, PLR >210, CA125 >365, advanced stage, suboptimal disease, serous type, and ascites were significant predictive factors for platinum resistance. However, only NLR >3.38 and advanced stage were independent predictive factors with an adjusted odds ratio of 1.880 and 3.333, respectively. Regarding factors associated with poor survival outcomes, only PLR >210 and advanced stage were independent factors, with a hazard ratio of 1.578 and 3.994, respectively.
Conclusion
High NLR and advanced stage were potential independent predictive factors for platinum resistance, whereas high PLR and advanced stage were potential independent predictive factors for poor survival outcomes.

KCI등재 SCOPUS

8Factors associated with surgical morbidity of primary debulking in epithelial ovarian cancer

저자 : Emre Gunakan , Yusuf Aytac Tohma , Mehmet Tunc , Huseyin Akıllı , Hanifi Şahin , Ali Ayhan

발행기관 : 대한산부인과학회 간행물 : Obstetrics & Gynecology Science 63권 1호 발행 연도 : 2020 페이지 : pp. 64-71 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objective
Epithelial ovarian cancer (EOC) requires an aggressive surgical approach. The important part of literature on ovarian cancer surgery emphasize residual tumor and survival analyses. Morbidity issue keeps in background. Therefore, we aimed to report on morbidity of cytoreductive surgery for EOC in this study.
Methods
EOC patients who underwent primary debulking were evaluated. Intraoperative and postoperative complications that occurred within 30 days after the surgery and factors that affect morbidity were considered.
Results
The study involved 359 patients. Forty-six intraoperative complications occurred in 42 (11.6%) patients. Advanced stage and cancer antigen level of 125 were independently and significantly associated with operative complications (hazard ratio [HR], 1.66; 95% confidence interval [CI], 1.01-2,73; P=0.044, and HR, 1.47; 95% CI, 1.05-2.06; P=0.025, respectively). The need for intensive care unit admission was significantly higher in patients with intraoperative complications (28.6% vs. 8.8%, P=0.001). Intraoperative and postoperative complication rates were significantly higher in extended surgery than in standard surgery (18.9%vs. 8.5%, P=0.005 and 38.7% vs. 10.9%, P<0.001, respectively). Intraoperative and postoperative transfusion need, hospital stay duration, and chemotherapy start day were also significantly higher in extended surgery than in standard surgery. Hundred postoperative complications occurred in 70 patients. Age, extended surgery, presence of ascites, and presence of operative complications were independently and significantly associated with postoperative complications.
Conclusion
Morbidity of extensive surgical approach should be kept in mind in ovarian cancer surgery aimed at leaving no residual tumor. Patient-based management with an appropriate preoperative evaluation may avoid morbidity of extended/extensive surgical approaches.

KCI등재 SCOPUS

9Association between in vitro fertilization success rate and ambient air pollution: a possible explanation of within-year variation of in vitro fertilization success rate

저자 : Jongkyeong Kang , Ji Yi Lee , Haengseok Song , Seung Jun Shin , Jayeon Kim

발행기관 : 대한산부인과학회 간행물 : Obstetrics & Gynecology Science 63권 1호 발행 연도 : 2020 페이지 : pp. 72-79 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objective
To evaluate patterns in air pollution concentrations and in vitro fertilization (IVF) success rates using data from a large, long-term clinical database.
Methods
We conducted a retrospective cohort study investigating South Korean women who pursued IVF and embryo transfer (IVF-ET) between 2011 and 2017. Hourly concentrations of air pollutants measured at 318 air quality monitoring sites in South Korea between 2011 and 2017 were obtained from the National Institute of Environmental Research. Monthly trends in pregnancy rates and concentrations of air pollutants were assessed.
Results
A total of 34,427 IVF-ET cycles in 18,478 patients were analyzed. The mean age of women at the time of IVF-ET was 36.6 years. The clinical pregnancy rate in the IVF-ET cycle was 30%. Analysis of pregnancy failure rates by month showed that IVF-ET failure rates tended to be higher in March and April and lower in July and August. Concentrations of air pollutants including particulate matter (PM) less than 10 μm in diameter, PM less than 2.5 μm in diameter, sulfur dioxide, nitrogen dioxide, and carbon monoxide were highest in March and April and lowest between July and September.
Conclusion
Within-year variations were similar between IVF-ET failure rates and air pollution concentrations based on analysis of a large, long-term database. Specifically, IVF-ET success rates were highest when PM concentrations were lowest. Further studies are warranted to examine the mechanisms accounting for the association between IVF success and air pollutant exposure.

KCI등재 SCOPUS

10Influence of combined oral contraceptives on polycystic ovarian morphology-related parameters in Korean women with polycystic ovary syndrome

저자 : Chan-hong Park , Sungwook Chun

발행기관 : 대한산부인과학회 간행물 : Obstetrics & Gynecology Science 63권 1호 발행 연도 : 2020 페이지 : pp. 80-86 (7 pages)

다운로드

(기관인증 필요)

초록보기

Objective
This study aimed to assess the effect of combined oral contraceptives (COCs) on polycystic ovarian morphology (PCOM) and serum anti-Mullerian hormone (AMH) levels in Korean women with polycystic ovary syndrome (PCOS).
Methods
This university hospital study enrolled 36 Korean women who were newly diagnosed with PCOS based on the Rotterdam criteria and were treated with COCs for at least 1 year. We retrospectively evaluated the ovarian volume and number of antral follicles using ultrasonography and assessed serum AMH levels at baseline and after 1 year of COC treatment.
Results
Significant decreases in ovarian volume and antral follicle count were observed after 1 year of COC treatment. Compared to baseline, serum AMH levels were significantly decreased after 1 year.
Conclusion
COC treatment significantly affects ultrasound-assessed PCOM and serum AMH levels of patients with PCOS.

12
권호별 보기
가장 많이 인용된 논문

(자료제공: 네이버학술정보)

가장 많이 인용된 논문
| | | |
1연안해역에서 석유오염물질의 세균학적 분해에 관한 연구

(2006)홍길동 외 1명심리학41회 피인용

다운로드

2미국의 비트코인 규제

(2006)홍길동심리학41회 피인용

다운로드

가장 많이 참고한 논문

(자료제공: 네이버학술정보)

가장 많이 참고한 논문

다운로드

2미국의 비트코인 규제

(2006)홍길동41회 피인용

다운로드

해당 간행물 관심 구독기관

대구보건대학교 대동대학교 백석대학교 대구대학교 한국방송통신대학교
 237
 96
 64
 64
 55
  • 1 대구보건대학교 (237건)
  • 2 대동대학교 (96건)
  • 3 백석대학교 (64건)
  • 4 대구대학교 (64건)
  • 5 한국방송통신대학교 (55건)
  • 6 경희대학교 (29건)
  • 7 가톨릭상지대학교 (28건)
  • 8 고려대학교 (24건)
  • 9 동의과학대학교 (23건)
  • 10 부산대학교 (23건)

내가 찾은 최근 검색어

최근 열람 자료

맞춤 논문

보관함

내 보관함
공유한 보관함

1:1문의

닫기