AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY澳大利亚与新西兰妇产科学杂志
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY(英文缩写 AUST NZ J OBSTET GYN),ISSN 0004-8666,eISSN 1479-828X,中文译名:澳大利亚与新西兰妇产科学杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-11-01 至 2026-10-31，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 1.884 | Q4 |
| 2022 | 1.700 | Q4 |
| 2023 | 1.400 | Q3 |
| 2024 | 1.700 | Q3 |
| 2025 | 1.500 | Q3 |
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY 最新收录文献
-
1. Impact of Human Papillomavirus Primary Cervical Screening on Referral Rates and Outcomes for People Referred to Colposcopy for Clinical Reasons.
PMID:日期:2026-10Colposcopy is most commonly indicated for people with screen-positive cervical screening tests. However, clinical reasons such as post-coital bleeding (PCB) or an abnormal appearing cervix can also prompt referral. Aotearoa New Zealand (AoNZ) transitioned from a cytology-based to an HPV-based cervical screening programme in September 2023. To assess the incidence of high-grade or malignant pathology in people seen in Capital & Coast colposcopy clinic for clinical reasons and to evaluate the impact of HPV-based primary screening on these referral patterns and outcomes. A retrospective review was undertaken of individuals referred to Capital & Coast colposcopy services for clinical indications. Two cohorts were analysed: Cohort 1 (June 2021-June 2023), during cytology-based screening and Cohort 2 (November 2023-November 2025), following implementation of HPV-based screening. Clinical outcomes were obtained from hospital databases. Referrals for clinical reasons decreased significantly following the introduction of HPV screening, from 494/1699 (29%) in Cohort 1 to 252/2809 (9%) in Cohort 2 (p < 0.01). High-grade or malignant pathology was detected less frequently in Cohort 2 (0/252 (0%) vs. 7/494 (1.4%)), although this was not statistically significant (p = 0.10). Referrals to colposcopy for clinical reasons decreased substantially following the introduction of HPV-based primary screening, with no high-grade or malignant pathology detected among those referred in Cohort 2 who did not meet screening-based referral criteria. While reassuring, HPV testing does not detect all cervical disease. Clinical assessment remains important for persistent or concerning symptoms or abnormal cervical findings, including consideration of HPV-independent disease.
-
2. Transvaginal Ultrasound for Endometriosis: Learning From a Decade of Diagnostic Challenges Through a Retrospective Observational Cohort Study.
PMID:日期:2026-09-29Endometriosis is a chronic, inflammatory condition associated with pelvic pain, subfertility, and reduced quality of life. Advances in enhanced transvaginal ultrasound (eTVUS), including systematic compartment-based scanning protocols and improved operator training, have increased diagnostic accuracy, particularly for deep endometriosis. To evaluate and critically reflect on the diagnostic performance of eTVUS during its implementation prior to the adoption of standardised scanning protocols. Using the #ENZIAN classification system, the diagnostic performance of eTVUS was assessed by comparing ultrasound findings with laparoscopic visualisation as the reference standard. A retrospective observational study of patients with suspected endometriosis who underwent preoperative eTVUS and subsequent laparoscopy between January 2015 and January 2024 at a single tertiary hospital. Ultrasound and surgical findings were mapped to #ENZIAN compartments and grades. Agreement and diagnostic metrics were calculated using laparoscopy as the reference standard. Among 221 patients with paired ultrasound and laparoscopy, adnexal endometriomas were detected with a sensitivity of 81.4% and specificity of 84.1%. Tubo-ovarian complex disease demonstrated a sensitivity of 72.9% and specificity of 68.8%. Sensitivity for deep endometriosis was lower, with specificity for detection depending on anatomical location varying from 83%-95%. Bladder involvement had a PPV of 83.3% and NPV of 94.8%; ureteric disease had a PPV of 0% and NPV of ~100%. Peritoneal disease was rarely identified. eTVUS demonstrated high diagnostic accuracy for ovarian endometriomas, moderate performance for bowel involvement, and low sensitivity for peritoneal disease.
-
3. Beliefs and Experiences of People in Australia Living With Chronic Pelvic Pain, and Associations Between Their Illness Perceptions and Pain.
3. 澳大利亚慢性盆腔疼痛患者信念与经历及其疾病感知与疼痛的关联PMID:日期:2026-09-19There are gaps in understanding females' beliefs related to chronic pelvic pain. Beliefs might be linked to illness perceptions and behaviours. (1) Explore beliefs and experiences of Australian females living with chronic pelvic pain, against categories based on clinical guidelines. (2) Explore associations between illness perceptions and pain experience (severity and interference). A community-based, online cross-sectional study targeting women with chronic pelvic pain in Australia (n = 465) was performed. Data collected included participant beliefs and experiences related to diagnosis, healthcare practitioner interactions, assessments undertaken and management. Associations were assessed between illness perceptions and separately for pain severity and pain interference. 64.3% experienced pain before 18 years of age, but only 36.4% first sought help before 18. Of those seen by a healthcare practitioner, 42.9% felt their pain was not validated and 45.6% were not asked about their personal beliefs regarding the cause of their pain. Of those consenting to answer sexual abuse questions, only 25.6% reported having been screened by healthcare practitioners for a history of sexual abuse. Controlling for confounders, more threatening illness perceptions were associated with higher pain severity (coefficient 0.07 (95% confidence interval 0.05 to 0.09), p < 0.001) and higher pain interference (coefficient 0.15 (95% confidence interval 0.12 to 0.18), p < 0.001). Participants with chronic pelvic pain reported delayed care seeking during adolescence, a lack of validation by healthcare practitioners when seeking care and suboptimal screening of sexual abuse. These issues contradict guideline-based recommendations, might negatively impact illness perceptions, which could contribute to increased burden.
-
4. Functional Outcomes After Vaginal Natural Orifice Transluminal Endoscopic Surgery Hysterectomy: A Systematic Review of Sexual Function and Pelvic Floor Integrity.
4. 经阴道自然腔道内镜手术子宫切除术后的功能结局：关于性功能与盆底完整性的系统综述PMID:日期:2026-09-19Vaginal hysterectomy is guideline-preferred for benign disease, yet uptake is declining. Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) offers enhanced visualisation while optimising recovery; however, impact on functional outcomes remains unclear. To evaluate sexual function and pelvic floor outcomes following vNOTES hysterectomy compared with minimally invasive alternatives. A systematic review was conducted per PRISMA 2020 and Cochrane guidelines (PROSPERO CRD420251247524). MEDLINE, Embase, Cochrane and Scopus were searched to February 2026. Comparative studies (≥ 25 vNOTES patients) reporting functional outcomes (Female Sexual Function Index [FSFI], Pelvic Floor Distress Inventory [PFDI], International Consultation on Incontinence Questionnaire [ICIQ], Pelvic Organ Prolapse Quantification [POP-Q]) were included. Non-comparative studies and those without validated measures were excluded. Risk of bias was assessed using RoB2 and Newcastle-Ottawa Scale. Results were synthesised narratively (SWiM). Five studies (n = 526; one randomised trial, four cohort studies) were included. Sexual function was equivalent between vNOTES and laparoscopic approaches at 3-6 months. One study with variable follow-up extending beyond 6 months reported higher FSFI scores (p = 0.003), whereas others showed no difference (p > 0.05). Dyspareunia rates were comparable (2 studies). Pelvic floor outcomes (1 study) were limited, suggesting improved anterior compartment support (POP-Q Aa; p < 0.003), with similar apical and posterior support. Overall certainty of evidence was low. vNOTES hysterectomy demonstrates comparable medium-term sexual and pelvic floor outcomes to laparoscopic approaches, with no signal of harm. Small samples, observational design and heterogeneity limited evidence, restricting definitive conclusions. Standardised long-term studies are required to define functional safety and guide counselling.
-
5. Fertility-Sparing Treatment of Endometrial Cancer: Survey of Australian Practice.
5. 子宫内膜癌的保留生育功能治疗：澳大利亚临床实践调查PMID:日期:2026-09-17Endometrial cancer is the most common gynaecological malignancy in Australia. Patients diagnosed in their reproductive window may desire a fertility-sparing approach, opposed to standard surgical care. International guidelines on fertility-sparing management exist; however, these highlight the lack of high-level evidence to support the recommendations. There are no Australian-specific guidelines or registries, leading to uncertainty as to how patients are managed locally. To survey clinicians in Australia regarding fertility-sparing management of endometrial cancer, to identify areas of consensus and variation, barriers to care and research priorities. A 47-item online survey was distributed to clinicians who manage patients with endometrial cancer in Australia between November 2024 and January 2025. Responses were analysed descriptively. Of 70 eligible clinicians, 56% responded. There was agreement on appropriate candidate selection for FIGO grade 1 disease with absent/focal myoinvasion, use of hysteroscopy for diagnosis, and preference for levonorgestrel intra-uterine device as initial therapy. Opinions were divided on management of patients with Lynch syndrome or more extensive myoinvasion, the diagnostic utility of endometrial pipelle, and treatment of recurrences. POLE mutation testing and hysteroscopic resection were uncommon practices. Most respondents referred patients to fertility specialists, while other members of the multi-disciplinary team were less frequently utilised. The most frequent research priorities were weight-loss strategies (31%) and molecular profiling (27%). Clinicians in Australia have common approaches to diagnosis and first-line therapy, but there is variation in patient selection, surveillance and engagement with a multi-disciplinary team. These discrepancies highlight the potential benefits of local guidelines and further research.
-
6. Clinical Pregnancy and Live Birth Outcomes From 445 Vitrified Oocyte Cycles in Australia.
PMID:日期:2026-09-09To describe the outcomes for women in Australia who proceed with vitrified oocyte-thaw (VOT) cycles to achieve pregnancy. Our descriptive retrospective cohort study of 445 medical and personal VOT cycles over 12 years (2009-2021) at 11 Australian IVF clinics assessed outcomes in oocyte survival, ICSI fertilisation rate, embryo utilisation rate, clinical pregnancy rate (CPR) and live birth rate (LBR), using age-stratified data (≤ 35, 35-39 and ≥ 40 years). Women were on average 36.8 years of age (range 22-46 years) when undergoing planned oocyte cryopreservation (POC) cycles. Of the 445 VOT cycles, 4276 oocytes were warmed; 91% of oocytes survived and 63.5% fertilised normally. A total of 206 fresh embryo transfers and 253 frozen embryo transfers were performed. CPR per fresh transfer was 28% (58/206) and per frozen transfer was 35% (88/253), while LBR per fresh transfer was 24% (50/206) and per frozen transfer was 23% (57/253). The LBR after fresh transfer per VOT cycle initiated was 11% (50/445) and the LBR for combined fresh and frozen transfers was 23% (107/459) per VOT cycle initiated. Younger women at age of cryopreservation had higher pregnancy rates; LBR from combined fresh and frozen embryo transfers for women ≤ 35 years was 30.2% (38/126), for women 35-39 years was 24.1% (54/220) and for women ≥ 40 years was 14.2% (16/113). Rates of live birth from medical VOT cycles in Australia are reasonable and decrease as women age. This information can help counsel patients on VOT-cycle outcomes.
-
7. Improving Clinical Outcomes Related to Preeclampsia: Real-World Impacts of Implementation of a Redesigned Approach to Antenatal Care-The Initial Maternity Assessment and Planning (IMAP) Service.
7. 改善与子痫前期相关的临床结局：实施重新设计的产前保健方法的现实世界影响——初始孕产妇评估与规划（IMAP）服务PMID:日期:2026-09-07Preeclampsia is a major contributor to maternal and perinatal morbidity. First-trimester predictive models for preterm preeclampsia have better efficacy than history-based screening for prevention of this adverse pregnancy outcome. There are, however, few data describing implementation of this method of screening at a population level within public healthcare. A retrospective service evaluation compared a historical cohort receiving standard maternity care and a contemporary cohort managed through the Initial Maternity Assessment and Planning (IMAP) service, a redesigned antenatal care approach focused on early multidisciplinary specialist maternity assessment and algorithm-based preeclampsia screening prior to 14 weeks gestation. Singleton pregnancies within a metropolitan public hospital catchment were included. The primary outcome was preterm preeclampsia (leading to birth < 37 weeks). Secondary clinical outcomes included early-onset preeclampsia (leading to birth < 32 weeks), severe maternal preterm preeclampsia, and rates of potential aspirin-related obstetric complications. Secondary service outcomes included gestation at first visit and rates of early aspirin therapy for women at elevated risk. Historical and contemporary cohorts included 5 004 and 6 036 pregnancies, respectively. Median gestation at first visit decreased from 20 to 12 weeks. Analysis demonstrated a 49% reduction in the odds of preterm preeclampsia (0.91% to 0.60%; aOR 0.51, 95% CI 0.31-0.82) and a 59% reduction in the odds of severe preterm preeclampsia (0.38% to 0.20%; aOR 0.43, 95% CI 0.19-0.91). No significant differences were observed in early-onset or term preeclampsia, fetal growth restriction, or complications related to antiplatelet therapy. The screen positive rate fell from 9.0% to 7.2%, while aspirin recommendation for high-risk women increased from 23.9% to 77.8% overall and 98.2% in those receiving FMF screening. A comprehensive, population-based multidisciplinary first-trimester assessment service, prioritizing FMF preeclampsia screening, can be successfully implemented within a public health setting and may be associated with lower odds of adverse clinical outcomes.
-
8. Self-Harm and Suicidal Ideation in Pregnancy: The Impact of Education on Knowledge, Confidence and Documentation Related to Screening and Follow-Up to Question Ten-Positive on the Edinburgh Postnatal Depression Scale.
PMID:日期:2026-09-04Suicide in the peripartum is a leading cause of death in Australia. Appropriate screening and response to self-harm and suicidality during antenatal appointments is key to reducing the risk of suicide. The study explores the knowledge, confidence and behavioural changes resulting from an educational intervention for midwives in assessing and making appropriate referrals based on self-harm and suicide risks in antenatal women, as screened by question ten of the Edinburgh Postnatal Depression Scale (EPDS) eliciting thoughts of self-harm in the previous 7 days. Educational workshops aimed at improving midwives' confidence and capabilities in conducting suicide risk assessments, developing safety plans and understanding referral pathways were completed. Changes to medical documentation in relation to risk assessment and follow-up actions were reviewed pre- and post- the education sessions. Midwives' (N = 115) self-reported knowledge and confidence increased from pre- to post-education. Pre-intervention, 86 (5.87%) antenatal women answered question ten positively on the EPDS. Medical documentation revealed that more midwives were able to screen for the frequency and persistence of suicidal thoughts following the training. While education enhanced knowledge and confidence as well as resulted in improvements to some risk assessment practices, further systemic and organisational support may be necessary to achieve consistent and comprehensive risk assessments and adherence to recommended follow-up actions in clinical practice. The study underscores the critical role of continuous training for midwives in self-harm/suicide assessment, particularly given the significant maternal mortality associated with suicide.
-
9. Robotic Surgery in Australasian Gynaecology: Results of a 2025 Cross-Sectional Survey.
PMID:日期:2026-08-31Robotic-assisted gynaecologic surgery has expanded globally, yet its adoption in Australasia remains variable. To evaluate the current attitudes, practice patterns, and perceived barriers surrounding robotic-assisted gynaecologic surgery among clinicians in Australia and New Zealand (Australasian). A cross-sectional, anonymised electronic survey was distributed to all RANZCOG-certified obstetrician-gynaecologists practicing in Australasian. The survey assessed demographics, access to and use of robotic platforms, perceived advantages and limitations, and willingness to expand robotic practice. Associations between years of clinical experience and access, utilisation, and attitudes toward robotic surgery were analysed. A total of 276 clinicians responded. Most (62.2%) had more than 10 years of clinical experience. 37.5% reported access to robotic-assisted surgery, and among those, 34% currently performed robotic procedures mostly for < 25% of major operations. Willingness to expand usage remained low even if access improved (42.8%). Ergonomic benefit and surgeon longevity were the most cited advantages, while fewer than half believed robotics improved patient outcomes. Main barriers were high cost, longer operative time, limited evidence of benefit, and scarce training opportunities. Clinicians with ≤ 10 years of experience were more likely than senior colleagues to perceive advantages (68.3% vs. 38.8%) and to express willingness to adopt robotics if given access (56.9% vs. 33.7%). As of 2025, robotic surgery remains limited in Australasian gynaecology, with adoption shaped by practical concerns, limited evidence, cost, and access. Nevertheless, greater enthusiasm among early-career clinicians suggests future practice may evolve. Ongoing evaluation and evidence-based decision-making will be essential as the field advances.
-
10. Resting Metabolic Rate Rises in Pregnancy, but Energy Intake and Active Expenditure Remain Stable: A Pilot Study.
PMID:日期:2026-08-28Adequate nutrition during pregnancy is well established; however, how pregnancy affects energy metabolism, particularly the relationship between energy intake, expenditure and maternal mass, remains poorly understood. Current dietary recommendations advise increasing energy intake across pregnancy, but these are based on theoretical estimates rather than contemporary empirical data. To describe changes in energy intake, total daily energy expenditure (TDEE) and body composition across pregnancy in a pilot study of pregnant people living in Australia and to assess the associations with maternal fat mass. Pregnant people aged ≥ 18 years with singleton pregnancies were included. Assessments were conducted in each trimester (first: 8-13 weeks'; second: 23-25 weeks'; third: 34-37 weeks'). Dietary intake was measured using a 3-day weighed food diary. Total and active energy expenditure was assessed by a thigh-worn accelerometer and resting metabolic rate assessed using indirect calorimetry. Twenty-seven people were included. The mean (SD) total daily energy intake (8895 (2279) kJ to 8973 (1745) kJ), TDEE (10343 (2056) kJ to 11307 (1922) kJ) and active energy expenditure (3212 (1225) kJ to 3161 (1199) kJ) remained consistent over pregnancy (all p > 0.05), whereas resting metabolic rate increased (6081 (972) kJ to 7041 (1052) kJ, p = 0.002). Higher TDEE and active energy expenditure were positively associated with fat mass. Total energy intake, TDEE and activity-related energy expenditure was stable during pregnancy while resting metabolic rate increased. Larger, adequately powered studies are needed to better characterise energy balance in pregnancy and its clinical implications.