Danish Journal of Obstetrics and Gynaecology 2022-05-17T00:00:00+00:00 Paul Axelsson Open Journal Systems <p><strong>Danish Journal of Obstetrics and Gynaecology (DJOG)</strong> represents a new forum in the field of obstetrics and gynaecology, with the intent to publish a broad range of original, peer-reviewed papers, from scientific and clinical research to reviews and guidelines relevant to practice. It also aims to include a new platform for publishing protocols, case reports, pilot studies and Quality Assurance/Clinical Audit Projects.</p> <p>Our editors have recognized the difficulties that junior doctors encounter in achieving their first publication(s) and would like to offer a platform for studies that traditionally can be difficult to get published in high-impact journals including studies with negative findings. Our goal is to attract a world-wide readership thanks to the emphasis on practical applicability and open access.</p> Blood Pressure Measurement in Pregnancy – Interarm Differences and The Necessity of Multiple Consecutive Measurements 2022-01-20T12:00:35+00:00 Karoline Hedetoft Frederikke Lihme Jacob Alexander Lykke <p><strong>Objective: </strong>To investigate multiple blood pressure measurements and interarm differences in a pregnant population.</p> <p><strong>Method</strong>: Pregnant women attending routine antenatal ultrasound scans in gestational weeks 11-13 or week 20 had three consecutive blood pressure measurements on each arm conducted according to international guidelines. Mean and mean difference between the 1<sup>st</sup> measurement (BP-A) and 2<sup>nd </sup>+ 3<sup>rd</sup> measurements combined (BP-B) as well as between right and left arm, respectively, were calculated and compared by paired t-test. Bland-Altman plots illustrate means and mean-differences of systolic and diastolic pressure between BP-A and BP-B.</p> <p><strong>Results</strong>: One-hundred women were included. Mean systolic, diastolic and arterial blood pressure for BP-A were 112.1 mmHg, 70.6 mmHg and 84.4 mmHg, respectively, while mean BP-B were 109.8 mmHg, 69.2 mmHg and 82.8 mmHg. Mean differences in systolic, diastolic and mean arterial pressure (MAP) between BP-A and BP-B were 2.5 mmHg (<em>P</em>&lt;0.001, 95% Confidence interval (CI) 1.7;3.2), 1.5 mmHg (<em>P</em>&lt;0.001, 95% CI 1.0;2.0) and 1.8 mmHg (<em>P</em>&lt;0.001, 95% CI 1.4;2.2). Mean interarm differences in systolic, diastolic and MAP were 3.1 mmHg (<em>P</em>&lt;0.001, 95% CI 1.9;4.3), 0.75 mmHg (<em>P</em>=0.019, 95%CI 0.1;1.4) and 2.4 mmHg (<em>P</em>=0.01, 95% CI 0.6;4.2).</p> <p><strong>Conclusion: </strong>In pregnancy, the first blood pressure measurement of three consecutive is significantly higher than the following two. Blood pressure on the right arm is significantly higher compared to the left arm. International guidelines on blood pressure measurements should apply to pregnant women.</p> 2022-05-29T00:00:00+00:00 Copyright (c) 2022 Karoline Hedetoft, Frederikke F. Lihme, Jacob Alexander Lykke Tubo-ovarian abscesses and the effect of transvaginal ultrasound guided drainage – a retrospective cohort study 2021-11-18T13:57:42+00:00 Julie Plougmann Gislinge Therese Faurschou Nielsen Helle Vibeke Clausen <p><strong>Objective:<br /></strong>Tubo-ovarian abscesses (TOA) are a serious complication to pelvic inflammatory disease with long-term complications such as infertility and chronic pain. Treatment consists of intravenous antibiotics combined with laparoscopic or transvaginal ultrasound-guided drainage (TVULD), but the evidence regarding optimal treatment are scarce, and evaluation of short- and long-term effects have yielded inconsistent results. Our aim was to evaluate the effect of transvaginal ultrasound-guided drainage with antibiotic treatment on both short- and long-term outcomes for patients admitted with a tubo-ovarian abscess. </p> <p><strong>Methods:<br /></strong>All women admitted with a TOA to our department were included from March 2017- May 2020. They were evaluated with a gynecological examination, TVUL, white blood cell count (WBC) and CRP. All received intravenous antibiotics and were evaluated for possible TVULD. All received orally administered antibiotics upon discharge, and follow-up was with a 1-3-month interval until patients were without symptoms or underwent laparoscopic surgery.</p> <p><strong>Results:<br /></strong>Forty patients were included, 30 (75%) premenopausal. Mean size of TOA were 6.3 cm (SD 2.3), and 35 (87.5%) patients received both antibiotics and drainage. Eighteen (45%) patients underwent secondary surgery following the TOA, and comparing the surgery vs. non-surgery group, we found that at admission temperature<em>,</em> WBC count at admission<em>,</em> aspirated material in ml and need of more than one drainage predicted undergoing laparoscopy following discharge. However, when performing multivariate analysis comparing the two groups regarding the abovementioned factors as well as age, admission time, antibiotic treatment time and follow-up, we did not find any statistically significant difference (<em>p=0.072). </em>Finally, we found that more than one drainage increased the risk of undergoing laparoscopy (OR 8, <em>CI 1.43-44.92). </em></p> <p><strong>Conclusion:<br /></strong>TVULD combined with antibiotics are a safe and effective treatment for TOAs. We found a trend supporting that patients needing laparoscopy following initial TVULD present with a more severe clinical picture and that different clinical and paraclinical factors could be used as predictors for undergoing secondary laparoscopy. Finally, we saw that patients with more than one drainage, have an increased risk of requiring secondary laparoscopy. These findings and predictors need to be tested and confirmed in larger prospective studies.</p> 2022-05-17T00:00:00+00:00 Copyright (c) 2022 Julie Plougmann Gislinge, Therese Faurschou Nielsen, Helle Vibeke Clausen