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Most Downloaded Gynecology and Obstetrics Clinical Medicine Articles

The most downloaded articles from ScienceDirect in the last 90 days.

1. The delay, symptoms, and survival of Ivorian adolescent girls and young adults with uterine cervical cancer

September 2021
Edele Kacou Aka | Apollinaire Horo | Mohamed Fanny | Abdoul Koffi | Luc Olou | Perel Konan | Ana Toure-Ecra | Mamourou Kone

To generate data on the nature and duration of cervical cancer symptoms, risk factors for delayed consultation, and diagnosis of adolescent and young adult groups in Côte d'Ivoire....

2. Fertility sparing endometriosis surgery: A review

September 2021
Amira Quevedo | Resad Pasic | Alexandria Connor | Petra Chamseddine

Endometriosis is a chronic inflammatory condition involving endometrial-like tissue outside of the uterus. There are no medical management options available to improve fertility in patients with known...

3. Bilateral hydrosalpinges, what to do :Salpingectomy or salpingoplasty? Result of a 480 cases continuous series

March 2021
Antoine Watrelot | Jing Guan

Hydrosalpinx is the most common lesion of the distal part of the tube. Hydrosalpinx is well known to have deleterious effect on fertility....

4. Expert consensus on the management process of gynecological emergency under the regular epidemic prevention and control of COVID-19

June 2021
Hongbo Wang | Wei Zhang | Xin Du | Yan Kuang | Xiaomao Li | Xiaoxin Ma | Lan Xiao | Xiaojun Chen | Yu Zhang | Donglin Li | Lang Zheng | Yanhui Li | Jianliu Wang

At present, China is in the stage of the COVID-19 epidemic where regular prevention and control measures are required to contain the spread of disease. Reports of new sporadic cases are still widespread...

5. Early-life gut microbiota development from maternal vertical transmission

June 2021
Jing Wang | Li Lin

The gut microbiota of early life is crucial for childhood growth and development. Maternal gut microbiota directly or indirectly affects the colonization and development of early-life gut microbiota....

6. Laparoscopic management of recurrent ectopic pregnancy: A retrospective cohort study describing 10-years of experience in a tertiary care hospital

June 2021
Xiaoming Yu | Xingbang Zheng | Ying Lu | Wei Zhao | Jing Guan

Recurrent ectopic pregnancy (REP) is rare, but can have severe consequences for patients. The aim of this study was to report outcomes of laparoscopic management of REP in our center....

7. Comparison of lateral episiotomy, traditional midwifery without episiotomy, and hands-off techniques delivery on pelvic floor function

March 2021
Jingjing Gong | Lili Xing | Xiaodan Li | Xiaona Wang | Huijuan Chen

Prolonged vaginal delivery times and episiotomy are associated with damage to the muscles of the pelvic floor, and with complications that include postpartum sexual dysfunction and urinary stress incontinence....

8. Natural orifice transluminal endoscopic surgery in gynecology: What do we know till now?

June 2021
Graziella Moufawad | Obey Albaini | Stephanie Farah | Karl Jallad

Surgical advancements are focusing currently on minimally invasive techniques, the latest of which is natural orifice transluminal endoscopic surgery. Though this approach is feasible through different...

9. The study of endometriosis and adenomyosis related microbiota in female lower genital tract in Northern Chinese population

September 2021
Sikai Chen | Zhiyue Gu | Wen Zhang | Shuangzheng Jia | Ping Zheng | Yi Dai | Jinhua Leng

Endometriosis is a chronic disease that affects women in reproductive age, and adenomyosis was known as “endometriosis in the uterus”. Endometriosis is an immune-dysfunction-related disease, contributing...

10. Differential diagnosis of high-grade squamous intraepithelial lesions and benign atrophy in older women using p16 immunocytochemistry

March 2021
Peisha Yan | Hui Du | Chun Wang | Fangbin Song | Xia Huang | Yingjie Luo | Ruifang Wu

For cervical cancer screening, routine cytology has a high specificity but a lower sensitivity. In older women, atrophy, which may mimic HSIL, presents a diagnostic challenge. p16 is a widely used biomarker...

11. Chinese expert consensus on fertility-preserving treatment for young women with early stage well differentiated endometrial cancer

March 2021
Rong Zhou | Qun Lu | Guoli Liu | Yiqin Wang | Jianliu Wang

For young women with early stage well differentiated endometrial cancer who have fertility desire, it is import to give comprehensive assessment before initiation of conservative treatment. Progestin...

12. Cohort study of use of the hands-and knees-position as the first approach to resolving shoulder dystocia and preventing neonatal birth trauma

September 2021
Lixia Zheng | Hong Li | Hongyu Zhang

McRoberts' maneuver, turning the woman's thighs up in the supine position, has become the dominant method for resolving shoulder dystocia (defined as failure to deliver the fetal shoulder(s) with gentle...

13. Pathogenesis of overactive bladder and surgical treatment according to the Integral Theory Paradigm

June 2021
Peter Petros

Overactive bladder (OAB is a definition by the International Continence Society (ICS). It comprises three symptoms, urge, frequency and nocturia. OAB is a major problem for up to 30% of women, more...

14. Hydroxyprogesterone caproate for preterm birth: A situational analysis from the Indian perspective

September 2021
Pugazhenthan Thangaraju | Shoban Babu Varthya | Prakash Srinivasan Timiri Shanmugam | T.Y. Sree Sudha | Chaitanya Mittal

Preterm birth can cause morbidity and mortality in addition to trauma or loss to the mother, and present a major financial burden to the family. This risk may be minimized by timely intervention....

16. Quality of life among women with postpartum urinary incontinence: A cross-sectional study

September 2021
Yi Liang | Yiqian Chen | Xiaojie Yu | Xiaodan Li

To provide a general description of women with postpartum urinary incontinence (PPUI), and investigate the effect of different types of PPUI with varied severity on affected women's quality of life...

17. Comparison of two methods for evaluating lower urinary tract symptoms in cervical cancer patients following radical hysterectomy

June 2021
Fang An | Sha Wang | Zhiqi Wang | Lingying Wu | Qiubo Lv | Aiming Lv | Hongwu Wen | Jinsong Han | Yumei Wu | Yunong Gao | Qing Liu | Sumei Wang | Hongxia Li | Luwen Wang | Yanlong Wang | Ruifang Wu | Huan Li | Xiuli Sun

To compare the degree of agreement and consistency of urodynamic studies (UDS) with low urinary tract symptoms (LUTS) questionnaires for evaluating LUTS in cervical cancer patients following radical...

18. Pregnancy outcomes after fertility preservation in women with endometrial carcinoma and atypical endometrial hyperplasia: A systematic review and meta-analysis

Available online 1 September 2021
Zerui Xiao | Ziyi Song | Jianliu Wang | Huixin Liu | Qun Lu

The objective of the study was to compare the effects of assisted reproductive technology (ART) and spontaneous pregnancy on pregnancy outcomes in women with endometrial carcinoma (EC) and atypical...

19. Robust cost efficacy of a novel, validated screening test at 12–20 ​Weeks gestation for the prediction of preterm birth (PTB) at or before 32 ​Weeks in singletons

September 2021
Robert H. Lee | Carl P. Weiner

Preterm birth (PTB) at or before 32 weeks complicates up to 2 ​% of United States (US) births and accounts for 80 ​% of perinatal expenditures in the first year of life. Existing screening tests for...

20. BRCA1/2 mutations and survival of high-grade endometrioid endometrial cancer

March 2021
Yibo Dai | Jingyuan Wang | Luyang Zhao | Zhiqi Wang

BRCA1/2 mutations have been shown to be associated with the development of many solid tumors including endometrial cancer (EC). The objectives of this study are to analyze the association between BRCA1/2...

21. The effect of different cancer therapies on clinical outcomes of assisted reproductive technology in breast cancer patients

March 2021
Mengmeng Zhang | Xueling Song | Caihong Ma | Xiumei Zhen | Hongbin Chi | Xiaowei Zhang | Rong Li | Jie Yan | Jie Qiao

To evaluate the clinical outcomes of assisted reproductive technology (ART) on fertility preservation and infertility treatment in breast cancer patients who had undergone different cancer therapie...

22. Analysis of the clinical characteristics and neonatal outcomes of seven cases of pregnancy luteoma discovered incidentally at cesarean section

June 2021
Junhua Shen | Lanlan Tang | Genping Huang | Xiaoxia Bai | Baohua Li | Zhengping Wang

In this study, we summarize the clinical characteristics and neonatal outcomes of patients with pregnancy luteomas that were identified incidentally at cesarean section in our hospital. We also provide...

23. C/EBP-β and SIRT1 regulate IL-18 expression in the proliferative phase endometria of polycystic ovary syndrome patients

June 2021
Xiaoyu Long | Honghao Wang | Xiaohui Zhu | Rong Li | Yan Yang | Jie Qiao

Previous studies have shown that polycystic ovary syndrome (PCOS) patients suffer from low-grade chronic inflammation. Furthermore, our previous studies have confirmed that IL-18 is highly expressed...

24. An experimental study on autologous transplantation of fresh ovarian tissue in sheep

June 2021
Hongyan Cheng | Xue Ye | Honglan Zhu | Yi Li | Xudong liang | Xiaohong Chang | Heng Cui

To investigate current autologous transplantation methods and sites of ovarian tissues in sheep....

25. Incidence of persistent and high-risk human papillomavirus infection and associated factors among HIV-positive women in China, 2015–2016

September 2021
Yaping Qiao | Ailing Wang | Liwen Fang | Linhong Wang

Persistent human papillomavirus (HPV) infection is the necessary factor for cervical cancer. Human immunodeficiency virus (HIV)-positive women are a high-risk population for cervical cancer, but little...

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