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• W2169179967 abstract "This is the last issue of our 90th year of Acta Obstetricia et Gynecologica Scandinavica. We go into a new tenth decennium with a rising impact factor and with considerable good will among our Nordic and many other readers around the world, who each month access the journal's contents up to 8000 thousand times on the web. We are continuing and hoping to speed up publication, raise article quality, add variety in content, theme issues, and catch attention of international and Nordic media with press releases on some key articles of special importance. The correspondence section is active and we also add there some small clinical notes from authors who want to remind us about something that they (and we) consider noteworthy or important, to clarify etiology or highlight new management. Letters do not affect our impact factor, which the rarely cited case reports do (we have them only occasionally), but letters get listed in PubMed and arouse the interest of clinicians immersed in daily patient care. We have also greatly increased reviews and overviews of which there are several in this issue. While we do get many good articles, we must increase quality even better to reach the target of an impact factor of over 2.0. With 1.86 now, we are close enough and it would take not so much to go higher, with a little help from our friends, not least those of you who are part of Nordic academic circles. Although a higher impact factor counts in university funding in some countries, the visibility of an article is largely the same on the web. All journals are on equal terms in PubMed. Publishing in AOGS is free, the journal is widely marketed to key institutions and libraries around the world, and open access for all is available at a much reduced fee to Nordic society authors. That might be used more. Our scientific reviewers are also a key factor for success and such work is really necessary for science. It is as much of a duty for anyone with scientific training and expert knowledge as is clinical work. Each little stone matters for building an edifice i.e. the advancement of scientific information. Willingness to do the work of being a reviewer is much appreciated. Our first article is somewhat unusual. An old colleague in Tampere, Finland, Pentti Leppäluoto, who spent his working life in histopathology, has been given the opportunity to reflect on bacterial vaginosis, where he did differ in some ways with the views of Harold Gardner (after whom Gardnerella vaginalis is named). He proposes pathophysiological ideas and explanations for this condition which do not wholly fall in line with accepted understanding (pp. 1302–1306), but they are worthy of attention and debate. This is followed by three related overviews/reviews and a commentary from the group of Ramunkumar Menon from Atlanta and Nashville in the USA, on pp. 1307–1341, where they comprehensively cover the racial differences that have long been noted in relation to preterm birth, with specific regard to the inter-pregnancy interval, to infectious and inflammatory causes, to nutritional deficiencies and lastly stress. This is clarifying reading, which we have gathered in one place in this printed issue, and comes from a group that has published in the journal before on this topic (1). It should not be by-passed by those of us who concentrate on the obstetric side of the specialty. Jeannet Lauenborg and colleagues (1357–1363), from the greater Copenhagen area and Odense, Denmark, publish an important article on later diabetic abnormalities in relation to birthweight and the history of diabetes in the parents. A family history of diabetes has been known to increase the offspring risk of later diabetes and this is almost twice as high if it is the mother who had Type 2 diabetes as opposed to a father. If the child had such a family history and was of relatively low birthweight then the risk of later diabetes was even higher. Through a mother with diabetes the risk of excessive birthweight also increases. There is thus a mixture of genetic tendencies and adverse intrauterine environment possibly affecting the function of the genes that the child inherits from its parents which is contributing to the risk of later diabetic illness. This is important knowledge which must be translated into public health combat against the obesity epidemic and into antenatal care. Jeroen Becker and colleagues from Utrecht in the Netherlands write on pp. 1364–1370 on the ST-analysis technique and conclude that the use of epidural anesthesia has not adverse effects on the occurrence of so-called ST-events. For those units where the STAN-technique is used this will be welcome news. You will recall our recent publications on this issue (2,3) and more is to be published on this in the journal. Debate is welcome. Multicenter studies are useful and indeed necessary as an approach to lend adequate power to research and thus create results that can have an impact. One such study comes from Eva Dahlgren and co-workers at several centers in Sweden (pp. 1393–1401) and concerns the major and too little investigated issue of recurrent prolapse surgery and the use of a commercial skin graft “mesh” in those situations. The Introduction of this article is informative as is the Discussion. It is illustrated how difficult it may be to conduct such a study and maintain its momentum. This is also the reason why we and other journals have published case series and case-control studies done with the retrospectoscope in these fields, since the prospective studies have been lacking. Therefore this study, even given its relatively minor drawbacks, is welcome. Many good points are raised and given the marketing efforts for appliances such as this semi-synthetic mesh, it seems of interest that conventional methods appear to give in most ways comparable results. The research by Annemieke Evers and colleagues from four Dutch centers (pp. 1416–1422) on stillbirths complements a study by Elizabeth McClure in Durham, USA, who was leading a large international group (pp. 1379–1385) in gathering information on stillbirths and on the care that women receive in those circumstances. It has been shown repeatedly that human failure of some sort, with substandard care as a result, can be seen in a third of these instances and it may be difficult to improve on that. Fallibility is part of life. However, this is also a situation where continued efforts must be made to analyze and understand what happens and try to find ways through this to prevent the tragic event of an intrauterine death of a seemingly healthy fetus. You might have noticed a landmark article from Nordic colleagues on oral contraception in one of the leading journals in the world only last week (4). If not, then look up the reference given below as you also glance through this last AOGS issue of 2011 heading onwards to 2012 and the Bergen congress in June. The left upper quadrant approach is an effective, safe and easy technique for peritoneal cavity access in women having laparoscopic gynecologic surgery and should be considered in women with periumbilical adhesions and large pelvic masses (pp. 1406–1409). Pregnant women with high positive antiphospholipid antibody titers are an extremely high risk group for adverse fetal/ neonatal outcome (pp. 1428–1433). A male fetus may increase the risk for the mother having an invasive diagnostic test following a risk assessment for Downs'syndrome. (pp. 1446–1449). Surgical abortion could damage the endometrial lining, increasing the risk for postpartum hemorrhage and add to the risk for emergency hysterectomy. (pp. 1450–1453). Visit http://www.nfog.org for information on the 38th NFOG Congress on June 16th-19th 2012 in Bergen, Norway, on the NFOG Fund, the Thesis registry, NFOG and FIGO news, the Nordic Obstetric Surveillance Study (NOSS) and for a short-cut to AOGS on the NFOG website or at Wiley-Online Library. Establish YOUR personal on-line access. If you only wish to use the net version we would like to know through the secretary of your national society." @default.
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• W2169179967 date "2011-11-15" @default.
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• W2169179967 title "A 90th anniversary of AOGS and onwards" @default.
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