The Journal of Obstetrics and Gynaecology ResearchEditor-in-ChiefKiyoko Kato

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Editor-in-Chief of ACTA OBSTETRICA ET GYNAECOLOGICA JAPONICA

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Editor-in-Chief EmeritusYuji Murata

Yoon Seok Chang (Korea)Felix Wong (Hong Kong)

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A. Rana, P. PradhanA. EkeromaS.S. Syed, S.Z. BhuttaravinG.D. MolaD.A. Tan, W.W. SumpaicoK.H. Tan, E.H. TanH.R. Seneviratne, H. SenenayakeT.H. SuJ. Srisomboon, N. Sukcharoen,E. Kovavisarach

Shingo Fujii (Japan)Koyo Yoshida (Japan)

Hirohisa Kurachi (Japan)

Kiyoko Kato

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Takashi OkaiTomoyuki Fujii

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Shigeo Akira Masaki Fujimura Seishi Furukawa Hiromi Hamada Junichi Hasegawa Satoshi Hayakawa Nobuhiro Hidaka Takeshi Hirasawa Hiroaki Itoh Shunichiro Izumi Takeshi Kajihara Hiroaki Kajiyama Yasuhito Kato Kei Kawana Yasushi Kawano Khaleque N. Khan Hiroshi Kishi Michio Kitajima Masayasu Koyama Koji Kugu Tetsuji Kurokawa Toshiya Matsuzaki Seiichi Morokuma Satoru Nagase Kaei Nasu Hirotaka Nishi Katsutoshi Oda Akihide Ohkuchi Hideya Sakakibara Mikiko Sato Toyomi Satoh Masayuki Sekine Eiji Shibata Kazuhisa Shimodaira Koichiro Shimoya Tanri Shiozawa Kenzo Sonoda Seiji Sumigama Nobuhiro Suzumori Yasushi Takai Masashi Takano Takuji Tomimatsu Soko Uchida Yoh Watanabe Wataru Yamagami Tatsuo Yamamoto Takahiro Yamashita Koji Yamazawa Nozomu Yanaihara Yoshihito Yokoyama

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Overview The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynaecology andof the Japan Society of Obstetrics and Gynecology. The journal aims to provide a medium for the publication of articles in the fields of obstetrics andgynecology from within and beyond the Asia Pacific region. Organized in a reader­friendly format with articles available Early View ahead of printpublication. Submissions of original articles both experimental and clinical, case reports and letters are welcome via ScholarOne Manuscripts .Authors benefit from peer­review mediated through an internationally representative editorial board. The journal biennially presents Young ScientistsAwards of 1000 US dollars to the authors of three papers selected by the international editorial board.

Aims and Scope The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynecology andof the Japan Society of Obstetrics and Gynecology, and aims to provide a medium for the publication of articles in the fields of obstetrics andgynecology.

The Journal publishes original research articles, case reports, review articles and letters to the editor. The Journal will give publication priority to originalresearch articles over case reports. Accepted papers become the exclusive licence of the Journal. Manuscripts are peer reviewed by at least tworeferees and/or Associate Editors expert in the field of the submitted paper.

Keywords obstetrics, gynaecology, gynecology, obstetric, japan, society, asia, oceania, federation, official, journal, research, investigation, pregnancy,intrauterine, ovary, ovaries, uterus, hormone, cisplatin, leukoencephalopathy, cervical, cervix, intraepithelial, umbilical, chorioangioma, medical,medicine, blackwell, publishing, science, aofog, indexed, cited, citation, clinical, murata, chang, ikenoue, wong, fujii, kurachi, fujimoto, pandit,enomoto, kanzaki, koyama, shimoya, tasaka, yoshida, synergy, birth, gynaecological, gynaecological, obgyn, gynandrism, vagina, vaginal, cesarean,caesarean, smear, smears, cytology, pre­eclampsia, preeclampsia, women

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Editors’ Choice

To read all of the Editor's choice papers click here.

Associated Societies

JOGR Article Awards

Journal of Obstetrics and Gynaecology Research is pleased to announce the following article awardees. Young Scientists Awardee 2013­2014 Uterus allotransplantation in cynomolgus macaque: A preliminary experience with non­human primate models Iori Kisu Yoon Seok Chang Endowment Awardee 2013­2014 Resveratrol suppresses inflammatory responses in endometrial stromal cells derived from endometriosis: A possible role of the sirtuin 1pathway Ayumi Taguchi Yuji Murata Endowment Awardees 2013­2014 Prediction of women's long­term cardiometabolic risks using glycemic indices during pregnancy Wing Hung Tam

Journal Resources

All IssuesBrowse a free sample issue

Possible non­sexual modes of transmission of human papilloma virusVitamin D receptor polymorphisms and the polycystic ovary syndrome: A systematic reviewOral contraceptive therapy reduces serum relaxin­2 in elite female athletes

The Asia and Oceania Federation of Obstetrics and GynaecologyThe Japan Society of Obstetrics and Gynecology

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Issue Contents

Volume 41, Issue Supplement S1

Special Issue: AOCOG 2015 24th Asian & Oceanic Congress of Obstetrics & Gynaecology, “Old World Charm Meeting NewTechnology”, Borneo Convention Centre Kuching Kuching, Sarawak, Malaysia, 3 – 6 June 2015October 2015Pages 1–198

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YOUNG GYNECOLOGISTS AWARD 2015 ORAL PRESENTATIONS

ORAL PRESENTATIONS

AOCOG 2015 24th Asian & Oceanic Congress of Obstetrics & Gynaecology, “Old World CharmMeeting New Technology”, Borneo Convention Centre Kuching Kuching, Sarawak, Malaysia, 3 – 6June 2015

AOCOG 2015 24TH ASIAN & OCEANIC CONGRESS OF OBSTETRICS & GYNAECOLOGY, “OLD WORLD CHARM MEETING NEW TECHNOLOGY”, BORNEO CONVENTIONCENTRE KUCHING KUCHING, SARAWAK, MALAYSIA, 3 – 6 JUNE 2015

First Published: October 2015 Vol: 41, 1–2 DOI: 10.1111/jog.12893Abstracts

Abstract | Full Text (HTML) | PDF (101.4KB) Free

AOCOG 2015 24TH ASIAN & OCEANIC CONGRESS OF OBSTETRICS & GYNAECOLOGY, “OLD WORLD CHARM MEETING NEW TECHNOLOGY”, BORNEO CONVENTIONCENTRE KUCHING KUCHING, SARAWAK, MALAYSIA, 3 – 6 JUNE 2015YOUNG GYNECOLOGISTS AWARD 2015 ORAL PRESENTATIONS

First Published: October 2015 Vol: 41, 1–5 DOI: 10.1111/jog.12871Young Gynaecologist Award 2015 Oral Presentations

Abstract | Full Text (HTML) | PDF (160.9KB) Free

AOCOG 2015 24TH ASIAN & OCEANIC CONGRESS OF OBSTETRICS & GYNAECOLOGY, “OLD WORLD CHARM MEETING NEW TECHNOLOGY”, BORNEO CONVENTIONCENTRE KUCHING KUCHING, SARAWAK, MALAYSIA, 3 – 6 JUNE 2015ORAL PRESENTATIONS

First Published: October 2015 Vol: 41, 6–93 DOI: 10.1111/jog.12872Oral Presentations

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VIDEO PRESENTATIONS

YGA 2015 ELECTRONIC POSTER PRESENTATIONS

ELECTRONIC POSTER PRESENTATIONS, MATERNAL FETAL MEDICINE

ELECTRONIC POSTER PRESENTATIONS, GYNAE‐ONCOLOGY

ELECTRONIC POSTER PRESENTATIONS, REPRODUCTIVE ENDOCRINOLOGY

ELECTRONIC POSTER PRESENTATIONS, GENERAL GYNAECOLOGY/UROGYNAECOLOGY

AOCOG 2015 24TH ASIAN & OCEANIC CONGRESS OF OBSTETRICS & GYNAECOLOGY, “OLD WORLD CHARM MEETING NEW TECHNOLOGY”, BORNEO CONVENTIONCENTRE KUCHING KUCHING, SARAWAK, MALAYSIA, 3 – 6 JUNE 2015VIDEO PRESENTATIONS

First Published: October 2015 Vol: 41, 94–97 DOI: 10.1111/jog.12873Video Presentations

Abstract | Full Text (HTML) | PDF (148.5KB) Free

AOCOG 2015 24TH ASIAN & OCEANIC CONGRESS OF OBSTETRICS & GYNAECOLOGY, “OLD WORLD CHARM MEETING NEW TECHNOLOGY”, BORNEO CONVENTIONCENTRE KUCHING KUCHING, SARAWAK, MALAYSIA, 3 – 6 JUNE 2015YGA 2015 ELECTRONIC POSTER PRESENTATIONS

First Published: October 2015 Vol: 41, 98–109 DOI: 10.1111/jog.12874YGA 2015 Electronic Poster Presentations

Abstract | Full Text (HTML) | PDF (226.9KB) Free

AOCOG 2015 24TH ASIAN & OCEANIC CONGRESS OF OBSTETRICS & GYNAECOLOGY, “OLD WORLD CHARM MEETING NEW TECHNOLOGY”, BORNEO CONVENTIONCENTRE KUCHING KUCHING, SARAWAK, MALAYSIA, 3 – 6 JUNE 2015ELECTRONIC POSTER PRESENTATIONS, MATERNAL FETAL MEDICINE

First Published: October 2015 Vol: 41, 110–142 DOI: 10.1111/jog.12875Electronic Poster Presentations, Maternal Fetal Medicine

Abstract | Full Text (HTML) | PDF (436.1KB) Free

AOCOG 2015 24TH ASIAN & OCEANIC CONGRESS OF OBSTETRICS & GYNAECOLOGY, “OLD WORLD CHARM MEETING NEW TECHNOLOGY”, BORNEO CONVENTIONCENTRE KUCHING KUCHING, SARAWAK, MALAYSIA, 3 – 6 JUNE 2015ELECTRONIC POSTER PRESENTATIONS, GYNAE‐ONCOLOGY

First Published: October 2015 Vol: 41, 143–163 DOI: 10.1111/jog.12890Electronic Poster Presentations, Gynae‐Oncology

Abstract | Full Text (HTML) | PDF (312.0KB) Free

AOCOG 2015 24TH ASIAN & OCEANIC CONGRESS OF OBSTETRICS & GYNAECOLOGY, “OLD WORLD CHARM MEETING NEW TECHNOLOGY”, BORNEO CONVENTIONCENTRE KUCHING KUCHING, SARAWAK, MALAYSIA, 3 – 6 JUNE 2015ELECTRONIC POSTER PRESENTATIONS, REPRODUCTIVE ENDOCRINOLOGY

First Published: October 2015 Vol: 41, 164–170 DOI: 10.1111/jog.12891Electronic Poster Presentations, Reproductive Endocrinology

Abstract | Full Text (HTML) | PDF (175.4KB) Free

AOCOG 2015 24TH ASIAN & OCEANIC CONGRESS OF OBSTETRICS & GYNAECOLOGY, “OLD WORLD CHARM MEETING NEW TECHNOLOGY”, BORNEO CONVENTIONCENTRE KUCHING KUCHING, SARAWAK, MALAYSIA, 3 – 6 JUNE 2015

ELECTRONIC POSTER PRESENTATIONS, GENERAL GYNAECOLOGY/UROGYNAECOLOGY

5/24/2017 Journal of Obstetrics and Gynaecology Research ­ Issue ­ Wiley Online Library

file:///M:/Konsulen/Dr.%20John%20Wantania/2017/B.%20HSL%20SCAN%20%20(PINDAI)/6AB.%20JOGYR%20Hal%20dpn%20­%20Wiley%20Online%20Lib… 3/4

Editors’ Choice

To read all of the Editor's choice papers click here.

Associated Societies

JOGR Article Awards

Journal of Obstetrics and Gynaecology Research is pleased to announce the following article awardees. Young Scientists Awardee 2013­2014 Uterus allotransplantation in cynomolgus macaque: A preliminary experience with non­human primate models Iori Kisu Yoon Seok Chang Endowment Awardee 2013­2014 Resveratrol suppresses inflammatory responses in endometrial stromal cells derived from endometriosis: A possible role of the sirtuin 1pathway Ayumi Taguchi Yuji Murata Endowment Awardees 2013­2014 Prediction of women's long­term cardiometabolic risks using glycemic indices during pregnancy Wing Hung Tam

Journal Resources

ELECTRONIC POSTER PRESENTATIONS, GENERAL GYNAECOLOGY/UROGYNAECOLOGY

First Published: October 2015 Vol: 41, 171–198 DOI: 10.1111/jog.12892Electronic Poster Presentations, General Gynaecology/Urogynaecology

Abstract | Full Text (HTML) | PDF (369.3KB) Free

All IssuesBrowse a free sample issue

Possible non­sexual modes of transmission of human papilloma virusVitamin D receptor polymorphisms and the polycystic ovary syndrome: A systematic reviewOral contraceptive therapy reduces serum relaxin­2 in elite female athletes

The Asia and Oceania Federation of Obstetrics and GynaecologyThe Japan Society of Obstetrics and Gynecology

5/24/2017 Journal of Obstetrics and Gynaecology Research ­ Issue ­ Wiley Online Library

file:///M:/Konsulen/Dr.%20John%20Wantania/2017/B.%20HSL%20SCAN%20%20(PINDAI)/6AB.%20JOGYR%20Hal%20dpn%20­%20Wiley%20Online%20Lib… 4/4

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Virtual Issue for 2016 highlights­Invited Articles & Committee Reports

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General Gynaecology/UrogynaecologyGGU P 01Case Study: Lymphangioma Circumscriptum ofVulva – Report of a Rare CaseDr Lipika Das Mukhopadhyay*, Dr Bijay Khan*Assistant Professor, Dept. of Obstetrics &Gynaecology, KPCMedical College, Jadavpur, KolkataCorresponding author -Dr Lipika Das MukhopadhyayAddress - Flat-11-3A; Devalok Decasa; Sonarpur StationRoad, 1348 South Kumrakhali, Kolkata- 700103, IndiaLymphangioma circumscriptum (LC) mimicking con-dyloma acuminata is reported here for its rarity. It isa localised group of thin walled and translucent vesi-cles resembling frog spawn 1. This is benign in natureand involves deep dermal and subcutaneous lym-phatic channels. Typical clinical appearance is fluidfilled septated vesicles that contain lymphatic fluid.LC can occur either as a congenital abnormality oras acquired damage to previously normal lymphaticchannels. A fifty-one year old nondiabetic womanwithout any history of sexually transmitted diseaseand radiotherapy was admitted to our hospital withthe complaint of extremely itchy vulvar lesion alongwith pain and swelling. Clinically, there were multiplevesicles grouped into textures resembling frogspawnparticularly on the right side of the vulva involving la-bia majora and extending from the mons pubis to theperineal raphe and one small lesion over left labialower part (Fig. 1) along with white discharge andbroad swelling of the vulva These fluid-filled vesiclesfirst appeared 10 years back and these lesions hadprogressed in size very slowly till last year. Generalexamination was normal and had normal Pap smearreport of cervix, normal laboratory workup includingblood biochemistry and serology for sexually transmit-ted diseases. Chest X-ray showed no lesion. Clinicallyit was diagnosed as a case of vulval wart with second-ary infection. Patient was treated with some antifungal(clotrimazole powder.) and 5% Povidone Iodine solu-tion three times daily for local cleaning for 5 days) wasadvised. Local excision of the lesion with elliptical inci-sion all around it including 1 cm. of healthy margin,was done under spinal anaesthesia - including the vul-val pad of fat. The wound was closed without a skinflap. Post operative recovery was uneventful.Histopathological examination confirmed the diagnosisof LC, with no evidence of malignancy and marginswere free from lesion.

Discussion: Lymphangioma circumscriptum (LC) isa benign lymphatic malformation commonly occur-ring in shoulders, axillary folds etc. 3,4 and canpresent at any age. LC usually manifests with clus-ters of pseudo vesicles with thin walls. It can beasymptomatic but rarely may it appear as papules,nodules or wart-like lesions with pruritus, pain, se-cretion and cellulitis. Rarely the lesion can have afirm hyperkeratotic appearance. Since our patient’slesions were diffuse and extensive and the durationof disease was long (more than 5 years), hyperker-atosis and wart-like lesions may be due to long-term skin irritation. Most common cause of ac-quired form.

GGU P 02Curb Teenage Pregnancy. Are we too Late?Mimita M1, Magendra R2, Farouk A2

1Klinik Kesihatan Klang, PKD Klang, 2Hospital TengkuAmpuan Rahimah KlangAim: To study and evaluate the awareness of teen-age pregnancy among patients attending the MCHclinic.Methodology: A prospective questionnaire based sur-vey carried out at the MCH clinic.Results: A total of 100 questionnaires were analysed.From the analysis, 50.3% of respondents were between20 to 30 years old, 38.7% between 31 to 40 years, 6%messthan 20 years. 56 were of Malay orgin, 15% Chinese and29%were Indians. 21% received primary education, 62%had secondary education and 17% had tertiary educa-tion. 12.5% defined teenage pregnancy as 20 years endabove, 42% (defined it correctly and 38% were unsure.85.8% had heard about teenage pregnancy. Main sourceof information were from newspapers 53%, magazines23%, rest from television and friends. 8%% felt that tee.age pregnancy can be prevented. 44% said that we pre-vent by creating public awareness, 27% said that parentsshould educate children, and 20% said by using contra-ception. 48% felt that teenage pregnancy was due to pa-rental neglect, 23% due to broken families and 12% dueto school dropouts. Only 28% of respondents agreedfor sex education in primary schools. 15% felt that thechildren were too young, 30% want sexual knowledgeto be a secret and 28% of parents feel shy to answer theirquestions. 63% said that teenage mothers should con-tinue schooling, 37% said no of which 15% felt it was ahumiliation, 14% felt they won’t be able to concentrate

© 2015 Japan Society of Obstetrics and Gynecology 171

doi:10.1111/jog.12892 J. Obstet. Gynaecol. Res. Vol. 41, No. S1: 171–198, October 2015

the trend was due to inadequate SRH education atschools. There was a significant difference between dif-ferent types of devotees in agreeing whether a compe-tent adolescent should be given the freedom to choosetheir own sexuality and to decide when to start havingsex. In this context, Muslim respondents were least likelyto agree on both constructs. The respondents’ perceptionof the best contraception if required by an adolescentwas condoms (52.2%).The Mann-Whitney test revealedthat respondents significantly preferred parents toteachers in assisting adolescents’ decision for contra-ceptive use. Interestingly, for respondents who sup-ported in providing adequate SRH education atschool and were aware of the benefit of contraception,may not agree in making contraception easily avail-able for adolescents; Spearman’s rho analysis reporteda very weak relationship (r = 0.07) between the twoconstructs.Conclusions: Malaysian adults were supportive of SRHeducation at school and support parental involvement inimproving adolescents SRH. However, due to religiousvalues and social norm, providing contraception andwidening its accessibility to adolescents have become acontroversial issue.

GGU P 13Case Study of Cervical Ectopic PregnancySulaiman S, Azhary JMK, Chua SCObstetrics & Gynaecology Department, University MalayaMedical Centre, Kuala LumpurBackground:We report a case of a cervical ectopic preg-nancy that was diagnosed using a transvaginalultrasound and it was treated successfully with intra-muscular (IM) Methotrexate. The gestational sac wasshown to have reduced in size 2 weeks afterpresentation.CaseDescription:A 36 year old lady in her second preg-nancy had presented to us at 6 weeks period of amenor-rhea with a chief complain of persistent vaginal bleed for3 weeks. She has had two uterine surgery done in pastfor uterine fibroid (myomectomy) and delivery of herfirst child (lower segment cesarean section). On assess-ment, her vitals were stable and clinical shewas not pale.Her abdomen was soft with no mass palpable. On vagi-nal examination revealed a healthy cervix, pin point cer-vical os with no active bleeding seen. However, thetransvaginal scan (TVS) showed empty uterine cavitywith a gestational sac seen within the anterior lip of thecervix measuring approximately 15 mm in diameterwhich was initially thought to be an intrauterine gesta-tion sac by transabdominal scan. Fetal echo was clearly

seen (CRL: 8.8 mm) but no fetal heart activity was de-tected. An immediate B-hCG was 3761 IU/L. After dis-cussion the option management with the patient, sheopted for medical treatment. She was subsequentlygiven IM Methotrexate 100 mg. At day 4 post adminis-tration of Methotrexate, the B-hCG fell to 2633 IU/L.The B-hCG continued to decrease to 1125 IU/l and91 IU/L at day 7 and day 14 post treatment respectively.The repeated TVS at day 14 post treatment revealed nei-ther a gestational sac seen within the cervix or free fluidin her pelvic cavity. We repeated a TVS and B-hCG3 weeks after the administration of Methotraxate. TheB-hCG was less than 2 IU/L and there was no signs ofpregnancy by scan. She resumed her normal mensesthe following month. She was advised be on contracep-tion for 6 to 12 months after treatment.Conclusion: Diagnosis of a cervical pregnancy with theuse of ultrasound maybe not be easy with atransabominal scan. The option management for a he-modynamically stable woman with a cervical ecptopicpregnancy should include medical treatment. This candecreased associatedmorbidity and improved the possi-bility of on-going fertility in affected patients.

GGU P 14Imperforate Hymen in an Adolescent a Rare Cause ofAcute Abdominal Pain: A Case ReportAldo Suseno, John J.E. Wantania, Freddy W. WageyObstetric and Gynecology Department, Sam Ratulangi Uni-versity, ManadoBackground: Imperforate hymen is a condition wherehymen is completely closed so that menstrual bloodcannot flow out. Imperforate hymen is likely the mostfrequent obstructive anomaly of the female genital tract,but estimates of its frequency vary from 1 case per 1000population to 1 case per 10 000 population. Apopulation-based study estimated the frequency at 0.5case per 1000 women. The diagnosis in these patients isestablished based on history and physical examination.Imperforate hymen is a congenital malformation, but itcan also occur as a result of scar tissue due to previousocclusive injury or infection.Case Description: JK, female, Minahasan, 12 years9 months, came to Emergency department at PancaranKasih Hospital, Manado on September 27th, 2014 withmain complaint of never hadmenstruation yet accompa-nied by lower abdominal pain. Treatment of ImperforateHymen can be done in non surgical and surgical mea-sure. An imperforate hymen at the time of puberty mustcorrected by surgically. The objective of a hymenotomyprocedure is opened the hymenal membrane in such a

AOCOG 2015 Abstract, Electronic Poster Presentations, General Gynaecology/Urogynaecology

© 2015 Japan Society of Obstetrics and Gynecology 177

way as to leave a normally patent vaginal orifice thatdoes not scar. Currently, in this patient has donehymenotomy and vaginal drainage that aims to removethe existing hematocolpos. The prognosis of this patientis dubia.Conclusion: Imperforate hymen is a rare condition butshould be easy to diagnose when it presents. It shouldbe suspected in pubertal girls who presented with acuteabdominal pain.

GGU P 15Case Series of Endometriosis Presenting as AcuteAppendicitisZamzida Yusoff1, Syed Rahim Syed Hamid2, Hakim GharibBilal21KPJ Ipoh Sepecialist Hospital, 2RCMP UniKLThese are 2 case series of patients who presented withacute abdomen and were operated for acute appendici-tis. The cases were from 1998–2014. 1 had obvious endo-metriosis whilst the other had clean pelvis. All 2clinically had acute appendicitis and underwent appen-dicectomy. HPE however showed the pathology was ac-tually endometriosis.Conclusion: Pelvic endometriosis may presentpurely as appendicitis, following HPE confirma-tion, further treatment will be as conventionalendometriosis.

GGU P 16Application of Robotic Single-access Surgery inBenign Gynecological FieldsSang Hoon Kwon, MD., So Jin Shin, MD., Hyewon Chung,MD., Soon Do Cha, M.D, Chi Heum Cho, MDDepartment of Obstetrics & Gynecology, Keimyung Univer-sity, School of Medicine, Daegu, KoreaPurpose: To evaluate the feasibility and safety of roboticsingle-access surgery using da Vinci single-site in benigngynecologic fields.Method: prospective analysis of thirty six patientstreated with robotic single-access surgery for benign gy-necologic conditios from February, 2014 to August, 2014at department of obstetrics and Gynecology, Keimyunguniversity, school of medicine.Result: Thirty six patients had robotic single-accessusing da Vinci single-site surgical platform includingthirty four cases of total hysterectomy and two casesof ovarian cystectomy. No additional port wasnecessary and there was no case of conversion tomultiport or laparotomy. There was no major com-plications; however there was one minor complica-tion of fever.

Conclusion: Robotic single-access surgery using daVinci single-site surgical platform is feasible and safefor benign gynecologic surgery. It restorres triangula-tion and provides stable 3D HD visualization and pre-cise ergonomic control. Nevertheless some limitationsstill exist including limited range of motion, inade-quate movement of nonarticulating instruments andrestricted usage of electrosurgical appliances. Furtherdevelopments for instruments and prospective multi-center randomized clinical trial are necessary to proveand evaluate the possible benefits of robotic single-access surgery.

GGU P 17A Prospective Comparative Randomized ControlledTrial on the Effectiveness and Efficacy between Lami-naria Tent and Gemeprost (CERVAGEM) in the Man-agement of Mid Trimester Missed MiscarriageDaniel RD*, M Pazudin Ismail**, A Amir Ismail**, M IsmailIbrahim***, N M Zaki N Mahmood***Department of Obstetrics & Gynaecology, Hospital SultanIsmail, Johor Bahru**Department of Obstetrics & Gynaecology, HUSM, KotaBharu***Department of Community Medicine, HUSM, Kota BharuObjective: To compare the effectiveness and efficacy oflaminaria tent and gemeprost in the management ofmid trimester missed miscarriage.Methodology: A 10 months randomized controlledtrial over a total of 68 patients in HospitalUniversiti Sains Malaysia (HUSM) and HospitalRaja Perempuan Zainab II (HRPZ II) who hadmid trimester missed miscarriage from November2005 till August 2006, were randomized to receiveeither laminaria tent or gemeprost. The primary out-comes were the completeness of abortion in 48 hoursor less, and the induction-abortion interval in bothgroups. Secondary outcomes were side effects of thetrial drugs, length of hospital stay and maternalacceptance.Results: The mean induction-abortion interval was sig-nificantly shorter in the gemeprost group (18.9 +/ SD15.4 hours) than that in laminaria tent group (43.1+/SD 13.26 hours), P< 0.001. There was statistically signif-icant difference (P < 0.001) in patients whom hadaborted within 48 hours. 30 (68.2%) patients ingemeprost group, whereas only 14 (31.8%) patients inlaminaria tent group aborted within 48 hours. Therewas statistically significant difference in term of com-pleteness of abortion in patients whom had abortedwithin 48 hours, P = 0.04. There were 12 (85.7%) patients

AOCOG 2015 Abstract, Electronic Poster Presentations, General Gynaecology/Urogynaecology

© 2015 Japan Society of Obstetrics and Gynecology178

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Journal of Obstetrics and GynaecologyResearch

Country Australia 38H Index

Subject Area andCategory

MedicineMedicine (miscellaneous)Obstetrics and Gynecology

Publisher Blackwell Publishing Inc.

Publication type Journals

ISSN 13418076, 14470756

Coverage 1996-ongoing

Scope The Journal of Obstetrics and Gynaecology Research is the ocial Journal of the Asia andOceania Federation of Obstetrics and Gynecology and of the Japan Society of Obstetrics andGynecology, and aims to provide a medium for the publication of articles in the elds ofobstetrics and gynecology. The Journal publishes original research articles, case reports,review articles and letters to the editor. The Journal will give publication priority to originalresearch articles over case reports. Accepted papers become the exclusive licence of theJournal. Manuscripts are peer reviewed by at least two referees and/or Associate Editorsexpert in the eld of the submitted paper. (source)

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Quartiles

The set of journals have been ranked according to their SJR and divided into four equal groups, four quartiles. Q1 (green)comprises the quarter of the journals with the highest values, Q2 (yellow) the second highest values, Q3 (orange) the thirdhighest values and Q4 (red) the lowest values.

Category Year QuartileMedicine (miscellaneous) 1999 Q1Medicine (miscellaneous) 2000 Q1Medicine (miscellaneous) 2001 Q1Medicine (miscellaneous) 2002 Q1

SJR

The SJR is a size-independent prestige indicator thatranks journals by their 'average prestige per article'. It isbased on the idea that 'all citations are not createdequal'. SJR is a measure of scientic inuence ofjournals that accounts for both the number of citationsreceived by a journal and the importance or prestige ofthe journals where such citations come from Itmeasures the scientic inuence of the average articlein a journal, it expresses how central to the global

Citations per document

This indicator counts the number of citations received bydocuments from a journal and divides them by the totalnumber of documents published in that journal. Thechart shows the evolution of the average number oftimes documents published in a journal in the past two,three and four years have been cited in the current year.The two years line is equivalent to journal impact factor™ (Thomson Reuters) metric.

1999 2001 2003 2005 2007 2009 2011 2013 2015

Medicine (miscellaneous)

Obstetrics and Gynecology

1999 2001 2003 2005 2007 2009 2011 2013 2015

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Cites per document Year ValueCites / Doc. (4 years) 1999 0.466Cites / Doc. (4 years) 2000 0.653Cites / Doc. (4 years) 2001 0.645Cites / Doc. (4 years) 2002 0.749Cites / Doc. (4 years) 2003 0.910Cites / Doc. (4 years) 2004 0.806Cites / Doc. (4 years) 2005 1.029Cites / Doc. (4 years) 2006 1.199Cites / Doc. (4 years) 2007 1.195Cites / Doc. (4 years) 2008 1.254Cites / Doc. (4 years) 2009 1.198

Total Cites Self-Cites

Evolution of the total number of citations and journal'sself-citations received by a journal's publisheddocuments during the three previous years.Journal Self-citation is dened as the number of citationfrom a journal citing article to articles published by thesame journal.

Cites Year Value

External Cites per Doc Cites per Doc

Evolution of the number of total citation per documentand external citation per document (i.e. journal self-citations removed) received by a journal's publisheddocuments during the three previous years. Externalcitations are calculated by subtracting the number ofself-citations from the total number of citations receivedby the journal’s documents.

Cites Year Value

% International Collaboration

International Collaboration accounts for the articles thathave been produced by researchers from severalcountries. The chart shows the ratio of a journal'sdocuments signed by researchers from more than onecountry; that is including more than one country address.

Year International Collaboration1999 4.232000 3.85

Citable documents Non-citable documents

Not every article in a journal is considered primaryresearch and therefore "citable", this chart shows theratio of a journal's articles including substantial research(research articles, conference papers and reviews) inthree year windows vs. those documents other thanresearch articles, reviews and conference papers.

Documents Year ValueNon-citable documents 1999 4

Cited documents Uncited documents

Ratio of a journal's items, grouped in three yearswindows, that have been cited at least once vs. thosenot cited during the following year.

Documents Year ValueUncited documents 1999 174Uncited documents 2000 147Uncited documents 2001 142Uncited documents 2002 131

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1

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1.6

1999 2001 2003 2005 2007 2009 2011 2013 2015

0

600

1.2k

1999 2001 2003 2005 2007 2009 2011 2013 2015

0

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1

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8

16

1999 2001 2003 2005 2007 2009 2011 2013 2015

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500

1k

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500

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Medicine Obstetrics andGynecology Paciퟪc Region Journals 2015

Display only Open Access Journals Display only SciELO Journals (In Progress) Display journals with at least 0 Citable Docs. (3years)

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Enter Journal Title, ISSN or Publisher Name

Title Type SJR Hindex

Total Docs.(2015)

Total Docs.(3years)

TotalRefs.

Total Cites(3years)

Citable Docs.(3years)

Cites / Doc.(2years)

1Australian and New Zealand Journal ofObstetrics and Gynaecology

journal0.814

Q249 132 377 2928 538 311 1.75

2Journal of Obstetrics and GynaecologyResearch

journal0.521

Q238 304 901 6046 996 828 1.16

3 Breastfeeding Review journal0.310

Q319 10 66 195 30 41 0.54