{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T22:42:35Z","timestamp":1787784155491,"version":"build-2784847793"},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,10,27]],"date-time":"2020-10-27T00:00:00Z","timestamp":1603756800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the effect of the Valsalva maneuver on ease of the endometrial sampling procedure in cases where the cervix cannot be passed spontaneously.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized prospective trial was conducted in 84 patients whose cervix could not pass spontaneously with pipelle, and they were randomized for the Valsalva maneuver or tenaculum groups. In 43 of a total of 84 patients, we requested Valsalva maneuver throughout the process to pass the cervical canal, and in 41 patients, we performed tenaculum to pass the cervix.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Valsalva and tenaculum groups did not differ in success rates (<jats:italic>P<\/jats:italic> = 0.314). There was no difference between the two groups in the history of the disease, past surgery and education (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In endometrial sampling procedure with pipelle, when the cervix cannot be passed spontaneously, the transition with the Valsalva maneuver should be tried before using the tenaculum. Thus, a more painful procedure can be avoided and patient satisfaction may increase.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.14546","type":"journal-article","created":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T03:21:52Z","timestamp":1603855312000},"page":"529-532","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Is Valsalva maneuver an alternative to use tenaculum for endometrial sampling procedure in cases where the cervix cannot be passed spontaneously with pipelle? A randomized study"],"prefix":"10.1111","volume":"47","author":[{"given":"Raziye","family":"Narin","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Health Sciences, Adana City Education and Research Hospital  Adana Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fcls\u00fcm","family":"Uysal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Health Sciences, Adana City Education and Research Hospital  Adana Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevda","family":"Ba\u015f","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Oncology University of Health Sciences, Adana City Education and Research Hospital  Adana Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet A.","family":"Narin","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Oncology University of Health Sciences, Adana City Education and Research Hospital  Adana Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emine G.","family":"K\u00fc\u00e7\u00fckbing\u00f6z","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Karaisal\u0131 State Hospital  Adana Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.13882"},{"key":"e_1_2_6_3_1","first-page":"418","article-title":"Comparison of pipelle de cornier with conventional dilatation and curettage in terms of patients' acceptability","volume":"26","author":"Shams G","year":"2012","journal-title":"J Postgrad Med Inst (Peshawar\u2010Pakistan)"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2018.04.565"},{"key":"e_1_2_6_5_1","first-page":"343","article-title":"Endometrial cancer","volume":"3954","author":"Saso S","year":"2011","journal-title":"BMJ"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2002.01088.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-013-3005-7"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/apha.12639"},{"key":"e_1_2_6_9_1","volume-title":"Pfenninger and Fowler's Procedures for Primary Care","author":"Choby BA","year":"2019"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2016.11.041"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2019-200376"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.14546","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jog.14546","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.14546","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T15:40:21Z","timestamp":1693755621000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.14546"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,27]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1111\/jog.14546"],"URL":"https:\/\/doi.org\/10.1111\/jog.14546","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,27]]},"assertion":[{"value":"2020-04-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}