Editorial

Dimitris Loutradis

Obstetric complications during pregnancy and delivery are significant contributors to neonatal morbidity and mortality worldwide. These complications often necessitate admission of neonates to the Neonatal Intensive Care Unit (NICU), where specialized care is provided to stabilize and manage vulnerable infants. Understanding the relationship between maternal complications and neonatal outcomes is essential for improving both obstetric and neonatal care …

Neonatal Outcomes following admission to a Neonatal Intensive Care Unit of Northern Greece: A Retrospective Study

Elpida Salasidou, Eirini Boureka, Antigoni Pavlaki, Apostolos Mamopoulos, Themistoklis Dagklis, Ioannis Tsakiridis

Introduction:  Neonatal intensive care units provide specialized care for infants at risk of morbidity and mortality, with prematurity remaining the leading cause of admission worldwide. Material and Methods: This retrospective study analyzed neonates admitted to a tertiary NICU in Northern Greece between January 2022 and December 2024, examining outcomes in relation to gestational age, birthweight, cause of admission, delivery mode and feeding practices….

Diagnostic Accuracy of Trans-Vaginal Ultrasound for Deep Infiltrative Endometriosis: A systematic review

Fatima Batool, Javeria Khan, Syed Muhammad Yousaf Farooq, Syed Amir Gillani, M Mudassar Mahmood, Syeda Khadija Tul Sughra Maryam

Introduction: Deep infiltrative endometriosis (DIE) is a severe form of endometriosis, affecting approximately 20% of women with the disease. It often goes undiagnosed due to its complex presentation and overlap with other pelvic conditions. Early and accurate detection is key to guiding treatment and reducing the disease burden. Transvaginal ultrasound (TVUS) is a first-line imaging method used in clinical settings due to its accessibility and low cost. Despite this, reported accuracy in identifying DIE remains inconsistent…

Effect of Structured Educational Program on Nurses’ Attitudes and their Barriers toward Pain Relief Measures for Postpartum Mothers

Sabah Lofty Mohamed, Amina Saad Gonied, Nesreen Zakria Hassan

Background: Effective postpartum pain management is crucial for maternal well-being and recovery. Nurses play a pivotal role in assessing and managing postpartum pain, yet many face knowledge deficits and systemic barriers that hinder optimal care delivery. Structured education may bridge this gap and enhance pain management practices. Objective: To assess the effect of a structured educational program on nurses’ attitudes and perceived barriers regarding pain relief measures for postpartum mothers at Al-Ahrar Hospital…

Evaluating the role of nuchal translucency in early detection of congenital defects: A systematic review

Elizabet C. Jusuf, Karloman A. Paipinan

Background: Nuchal translucency (NT) measurement is widely used in prenatal screening to detect chromosomal abnormalities, but its role in identifying congenital defect remains variably reported. Congenital heart disease (CHD) refers to structural malformations of the heart and/or great vessels, which predispose affected individuals to multiple morbidities across their lifespan and contribute to reduced long-term survival.. Although numerous studies have evaluated NT, none have specifically summarized…

Obstetric complications associated with obesity in the major Hospital of Honduras. A case-control study

Genesis Y. Vallecillo Mendoza, Nancy G. Garcia Urrutia, Norman G. Morales Alvarado, Ricardo A. Gutierrez-Ramirez

Background: Obesity represents the most prevalent medical condition among women of reproductive age and significantly increases the risk of adverse pregnancy outcomes. Objective: This study aimed to determine the perinatal and maternal complications associated with pre-gestational and first-trimester overweight and obesity at the Hospital Escuela, Honduras (2019-2024). Methodology: A case-control study was conducted with 260 cases (BMI ≥25 kg/m²) and 261 controls (BMI 18.5-24.9 kg/m²). Cases were stratified into overweight (BMI 25-29.9; n=100, 38.5%) and obese (BMI ≥30; n=160, 61.5%)….

Beyond the Benchmark: A Comprehensive Analysis of Escalating Cesarean Section Rates in Greece

Vasilis S. Gavalas

Greece has one of the highest cesarean section rates in the European Union, far exceeding the 10-15% benchmark recommended by the World Health Organization. This study aims to comprehensively analyze this escalating trend by examining demographic and social factors that influence the delivery method. Using unpublished nationwide data from the Hellenic Statistical Authority (ELSTAT) for 161,152 births in 2021-2022, we explored the spatial distribution of cesarean sections…

Vaginal flora and pregnancy complications: A narrative literature review

Georgios Michail, Asimina Farmakioti, Georgios Michos, Ioulia Magaliou, Georgios Androutsopoulos, Evangelos. G. Papanikolaou, Alexandros Daponte, George Valasoulis

The vaginal microbiota is a dynamic microbial community with a crucial role in the health and homeostasis of the reproductive system, particularly during pregnancy. This literature review investigates the physiological composition and changes of the vaginal microbiome throughout pregnancy, analyzing forms of dysbiosis and their association with complications such as premature rupture of membranes…

Artificial Intelligence in Reproductive Medicine: Transforming Diagnosis, Treatment, and IVF Outcomes

Santosh Ramesh Achwani, Faique Tanvir Falke, C. Anchana Devi, C. Oviya, Harish Narayanan, Rajkumar Krishnan Vasanthi, Shamina S, Sovan Bagchi

Artificial Intelligence (AI) is rapidly transforming assisted reproductive technologies (ART) by enhancing diagnostic accuracy, treatment personalization, and clinical decision-making. AI-driven tools can predict embryo viability, optimize sperm selection in real time, and tailor ovarian stimulation protocols to individual patient characteristics. Emerging applications, such as convolutional neural networks for embryo imaging and machine learning models for sperm analysis, reduce subjectivity and improve the reproducibility…