5,339 results match your criteria Australian and New Zealand Journal of Obstetrics and Gynaecology[Journal]


Does fentanyl epidural analgesia affect breastfeeding: A prospective cohort study.

Aust N Z J Obstet Gynaecol 2019 Apr 8. Epub 2019 Apr 8.

Women's and Children's Services, Ipswich Hospital, Ipswich, Queensland, Australia.

Background: Concerns have been expressed in relation to a possible negative effect of fentanyl epidural analgesia on breastfeeding rates. A 2016 systematic review was inconclusive and suggested cohort studies be performed with control groups to allow for other potential confounding factors.

Aims: To assess the effect of fentanyl epidural analgesia in labour on breastfeeding practices. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/ajo.12970
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http://dx.doi.org/10.1111/ajo.12970DOI Listing
April 2019
6 Reads

Development, implementation and evaluation of an advanced practice in continence and women's health physiotherapy model of care.

Aust N Z J Obstet Gynaecol 2019 Apr 8. Epub 2019 Apr 8.

Monash Health, Bentleigh East, Victoria, Australia.

Background: With public health facing workforce shortages, increasing costs and increasing demands, innovative patient pathways are vital to meet patient needs. Advanced practice physiotherapy roles are well established in emergency departments and musculoskeletal/orthopaedic services and have begun to emerge in other clinical areas.

Aims: In 2014, the Royal Women's Hospital, Monash Health and Barwon Health received a Victorian Department of Health and Human Services (DHHS) Workforce Innovation grant to develop and implement an advanced practice in continence and women's health physiotherapy assessment model of care. Read More

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http://dx.doi.org/10.1111/ajo.12974DOI Listing
April 2019
1 Read

Why should the obstetrics and gynaecology community care about sex and gender issues in health?

Aust N Z J Obstet Gynaecol 2019 Apr;59(2):181-182

Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Victoria, Australia.

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http://dx.doi.org/10.1111/ajo.12968DOI Listing

Gender equity in obstetrics and gynaecology - where are we heading?

Aust N Z J Obstet Gynaecol 2019 Apr;59(2):177-180

James Cook University, Cairns, Queensland, Australia.

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http://dx.doi.org/10.1111/ajo.12969DOI Listing

Response to Letter to Editor 'Additional procedures for pelvic gauze packing for obstetric haemorrhage'.

Aust N Z J Obstet Gynaecol 2019 Apr;59(2):E6

Department of Obstetrics and Gynaecology, North Middlesex University Hospital, London, UK.

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http://dx.doi.org/10.1111/ajo.12943DOI Listing
April 2019
2 Reads

Deliveries at early term gestation: A view from the NICU.

Aust N Z J Obstet Gynaecol 2019 Apr;59(2):E7

Royal Women's Hospital, Melbourne, Victoria, Australia.

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http://dx.doi.org/10.1111/ajo.12961DOI Listing
April 2019
1 Read

Additional procedures for pelvic gauze packing for obstetric haemorrhage.

Aust N Z J Obstet Gynaecol 2019 Apr;59(2):E5

Department of Surgery, Jichi Medical University, Tochigi, Japan.

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http://dx.doi.org/10.1111/ajo.12959DOI Listing

Solitary confinement.

Aust N Z J Obstet Gynaecol 2019 Apr;59(2):E8

University of Melbourne, Melbourne, Victoria, Australia.

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http://dx.doi.org/10.1111/ajo.12967DOI Listing

Factors predicting recurrence of gestational diabetes in a high-risk multi-ethnic population.

Aust N Z J Obstet Gynaecol 2019 Apr 1. Epub 2019 Apr 1.

South Western Sydney Clinical School, University of New South Wales, Sydney, New South Wales, Australia.

Background: Women with gestational diabetes mellitus (GDM) have an increased risk of adverse pregnancy outcomes. This study examined predictors for GDM recurrence at their next pregnancy in a multi-ethnic population. Clinical outcomes of women with GDM at the index as well as the subsequent pregnancies were also compared. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/ajo.12973
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http://dx.doi.org/10.1111/ajo.12973DOI Listing
April 2019
6 Reads

Peritonectomy and hyperthermic intraperitoneal chemotherapy for advanced epithelial ovarian cancer: What gynaecological oncologists really think.

Authors:
Rhonda Farrell

Aust N Z J Obstet Gynaecol 2019 Mar 27. Epub 2019 Mar 27.

Prince of Wales Private Hospital, Sydney, New South Wales, Australia.

Background: Peritonectomy and hyperthermic intraperitoneal chemotherapy (HIPEC) is used in specialised units outside of gynaecological cancer centres in Australia and New Zealand to treat advanced epithelial ovarian cancer (AEOC). There is significant equipoise toward this treatment by gynaecological oncologists (CGOs).

Aims: To determine the attitudes and preferences of CGOs toward peritonectomy and HIPEC for the treatment of AEOC. Read More

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http://dx.doi.org/10.1111/ajo.12972DOI Listing
March 2019
1 Read

The effects of expressing antenatal colostrum in women with diabetes in pregnancy: A retrospective cohort study.

Aust N Z J Obstet Gynaecol 2019 Mar 19. Epub 2019 Mar 19.

Mackay Clinical School, College of Medicine and Dentistry, James Cook University, Mackay, Queensland, Australia.

Background: Some women with diabetes in pregnancy express and store colostrum in the antenatal period for the purposes of preventing and treating neonatal hypoglycaemia.

Aims: Our primary aim was to compare rates of neonatal hypoglycaemia in babies born to mothers who express and store antenatal colostrum to babies born to mothers who do not.

Materials And Methods: Retrospective cohort study involving 357 women with diabetes in pregnancy, who had live, singleton births delivered after 36 weeks gestation, in a regional hospital in North Queensland (2014-2015). Read More

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http://dx.doi.org/10.1111/ajo.12966DOI Listing
March 2019
1 Read

Pre-eclampsia causing severe maternal morbidity - A national retrospective review of preventability and opportunities for improved care.

Aust N Z J Obstet Gynaecol 2019 Mar 18. Epub 2019 Mar 18.

Department of Obstetrics and Gynaecology, University of Auckland, Auckland, New Zealand.

Introduction: Pre-eclampsia and related sequelae are a leading cause of severe maternal and neonatal morbidity and mortality. A significant proportion of these poor outcomes may be preventable with improvements along the continuum of maternal and neonatal care.

Aims: The aim of this study was to review cases of pre-eclampsia resulting in severe maternal morbidity, describing the maternal and neonatal outcomes and the potential preventability of severe maternal morbidity (SMM). Read More

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http://dx.doi.org/10.1111/ajo.12971DOI Listing
March 2019
1 Read

Referral patterns for genetic counselling of women diagnosed with tubo-ovarian or peritoneal high-grade serous carcinoma (HGSC) within the Auckland Gynaecological Oncology Centre.

Aust N Z J Obstet Gynaecol 2019 Mar 18. Epub 2019 Mar 18.

Auckland City Hospital, Auckland, New Zealand.

Background: Germline BRCA1/2 mutations account for approximately 15% of invasive ovarian carcinomas. Referral of all women with non-mucinous epithelial tubo-ovarian and peritoneal cancer, especially high-grade serous carcinoma (HGSC) to genetic services for genetic counselling and subsequent BRCA testing, has become standard of care in many countries. Publicly funded BRCA testing was restricted to women ≤70 years old with HGSC in New Zealand for most of our study period. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/ajo.12964
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http://dx.doi.org/10.1111/ajo.12964DOI Listing
March 2019
3 Reads

Anterior abdominal wall defects managed at a tertiary maternal-fetal medicine service in New Zealand: What counselling advice can we offer parents?

Aust N Z J Obstet Gynaecol 2019 Mar 6. Epub 2019 Mar 6.

Maternal Fetal Medicine, School of Medicine, University of Auckland, Auckland, New Zealand.

Background: Anterior abdominal wall defects, including gastroschisis and omphalocoele, are common fetal anomalies. The management remains complicated, and their diagnosis may lead to significant parental distress. Effective parental counselling may impact on parental perceptions of the defect and help guide pregnancy management. Read More

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http://doi.wiley.com/10.1111/ajo.12965
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http://dx.doi.org/10.1111/ajo.12965DOI Listing
March 2019
11 Reads

Preimplantation genetic testing for aneuploidy (PGT-A): The biology, the technology and the clinical outcomes.

Aust N Z J Obstet Gynaecol 2019 Apr 27;59(2):317-324. Epub 2019 Feb 27.

Christopher Chen Oocyte Biology Research Laboratory, UQ Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia.

Preimplantation genetic testing for aneuploidy (PGT-A) seeks to identify preimplantation embryos with a normal chromosome complement (euploid) during in vitro fertilisation (IVF). By sifting out embryos with abnormal chromosome numbers (aneuploid), PGT-A should theoretically improve pregnancy success. However, earlier versions of PGT-A were ineffective, and in some cases, detrimental, due to biopsy-induced trauma and because the technology at the time could analyse only a fraction of all chromosomes. Read More

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http://dx.doi.org/10.1111/ajo.12960DOI Listing
April 2019
1 Read

Are the changes in diagnostic criteria for gestational diabetes mellitus reflected in perinatal outcomes? A retrospective assessment.

Aust N Z J Obstet Gynaecol 2019 Feb 27. Epub 2019 Feb 27.

The Australian National University Medical School, Australian National University, Canberra, Australian Capital Territory, Australia.

Background: Gestational diabetes mellitus (GDM) is glucose intolerance first diagnosed during pregnancy not due to overt diabetes. Recent changes to the diagnostic guidelines have been shown to increase the apparent occurrence of GDM.

Aim: The aim of this study was to compare retrospectively the neonatal outcomes between groups defined using the new and old criteria to assess the impact of guideline changes on pregnancy outcomes. Read More

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http://dx.doi.org/10.1111/ajo.12956DOI Listing
February 2019

Delivery mode, levator avulsion and obstetric anal sphincter injury: A cross-sectional study 20 years after childbirth.

Aust N Z J Obstet Gynaecol 2019 Feb 21. Epub 2019 Feb 21.

Department of Women's and Children's Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.

Background: Levator ani muscle (LAM) and anal sphincter injuries are common after vaginal birth and are associated with pelvic organ prolapse and anal incontinence.

Aims: Our objective was to investigate long-term association between delivery mode, LAM avulsion and obstetric anal sphincter injuries (OASIS) in women at least 20 years after their first birth.

Methods: All women recruited at 'index birth' of the Dunedin (New Zealand) arm of ProLong (PROlapse and incontinence LONG-term research) Study, were invited to have translabial and transperineal ultrasound assessment of LAM and anal sphincters. Read More

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http://dx.doi.org/10.1111/ajo.12948DOI Listing
February 2019
3 Reads

A focus on sexual and reproductive health is central to achieving RANZCOG's goal of excellence in women's health care.

Aust N Z J Obstet Gynaecol 2019 Feb;59(1):18-20

Department of Women's and Children's Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.

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http://dx.doi.org/10.1111/ajo.12949DOI Listing
February 2019

Reducing early preterm birth for 25 cents a day.

Authors:
Julie Quinlivan

Aust N Z J Obstet Gynaecol 2019 Feb;59(1):15-17

Institute for Health Research, University of Notre Dame Australia, Fremantle, Western Australia, Australia.

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http://dx.doi.org/10.1111/ajo.12941DOI Listing
February 2019
1 Read

Author response to Letter to the Editor.

Aust N Z J Obstet Gynaecol 2019 Feb;59(1):E3-E4

Gynaecological Research and Clinical Evaluation (GRACE) Unit, Royal Hospital for Women, Sydney, New South Wales, Australia.

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http://dx.doi.org/10.1111/ajo.12898DOI Listing
February 2019
2 Reads

Response to 'We need to treat pregnant women as adults'.

Aust N Z J Obstet Gynaecol 2019 Feb;59(1):166

ANU Medical School, ANU College of Health and Medicine, Canberra, Australian Capital Territory, Australia.

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http://dx.doi.org/10.1111/ajo.12939DOI Listing
February 2019
1 Read

Often overlooked: Fundoscopy and diabetic retinopathy in Australian pregnancy.

Aust N Z J Obstet Gynaecol 2019 Feb;59(1):E1-E2

Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.

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http://dx.doi.org/10.1111/ajo.12928DOI Listing
February 2019
1 Read

Re: The evidence for laser treatments to the vulvovagina: Making sure we do not repeat past mistakes.

Aust N Z J Obstet Gynaecol 2019 Feb;59(1):E2-E3

Junic Specialist Imaging and Women's Center, Canberra ACT, Australia.

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http://dx.doi.org/10.1111/ajo.12899DOI Listing
February 2019

Should antenatal corticosteroids be considered in women with gestational diabetes before planned late gestation caesarean section.

Aust N Z J Obstet Gynaecol 2019 Feb 18. Epub 2019 Feb 18.

Waikato Regional Diabetes Service, Waikato District Health Board, Hamilton, New Zealand.

Babies born to mothers with gestational diabetes mellitus (GDM) are at a greater risk of developing respiratory complications and hypoglycaemia than those born to mothers without diabetes. However, there is currently insufficient evidence as to whether these risks are altered by antenatal corticosteroids after 37 weeks gestation. This retrospective study suggests that antenatal corticosteroids probably reduce respiratory admissions to the newborn intensive care unit with a mild increase in neonatal hypoglycaemia in women with GDM who deliver via caesarean section after 37 weeks gestation. Read More

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http://dx.doi.org/10.1111/ajo.12963DOI Listing
February 2019
2 Reads
1.620 Impact Factor

Simulation-based educational package to improve delivery of the deeply impacted fetal head at caesarean section.

Aust N Z J Obstet Gynaecol 2019 Apr 18;59(2):308-311. Epub 2019 Feb 18.

Mater Mother's Hospital, Brisbane, Queensland, Australia.

Deeply impacted fetal head at caesarean section at full dilation is a rare obstetric emergency, and exposure for trainees can be limited. We aimed to pilot and evaluate a hospital-based training program incorporating mastery learning principles for trainees performing caesarean section at full dilation. We demonstrated improvements in knowledge, skills and self-confidence, and feel that this educational package shows promise as an important component of obstetric training, and warrants further exploration in the future. Read More

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http://dx.doi.org/10.1111/ajo.12946DOI Listing

Obstructive sleep apnoea in multiple pregnancy.

Aust N Z J Obstet Gynaecol 2019 Feb 17. Epub 2019 Feb 17.

Department of Respiratory and Sleep Disorders Medicine, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.

Obstructive sleep apnoea (OSA) during pregnancy has been associated with gestational diabetes mellitus, hypertension and low birth weight. Multiple pregnancy is associated with similar adverse perinatal outcomes. Multiple pregnancy rates have risen with increased access to assisted conception; simultaneously, advancing maternal age and weight are also driving a rise in the incidence of OSA in pregnancy. Read More

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http://dx.doi.org/10.1111/ajo.12958DOI Listing
February 2019
5 Reads

Understanding and provision of preconception care by general practitioners.

Aust N Z J Obstet Gynaecol 2019 Feb 17. Epub 2019 Feb 17.

Charles Perkins Centre, The University of Sydney, Sydney, Australia.

Background: Preconception care (PCC) defines health interventions prior to conception aimed at improving pregnancy and infant outcomes.

Aim: To explore the understanding and provision of PCC by general practitioners (GPs) within the Sydney Local Health District.

Materials And Methods: A questionnaire developed with GPs assessed structure and content of PCC provided, attitudes toward PCC and perceived barriers and facilitators. Read More

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http://dx.doi.org/10.1111/ajo.12962DOI Listing
February 2019
1 Read

Obstetric anal sphincter injuries among women with gestational diabetes and women without gestational diabetes: A NSW population-based cohort study.

Aust N Z J Obstet Gynaecol 2019 Feb 17. Epub 2019 Feb 17.

The Australian Centre for Public and Population Health Research, Faculty of Health, University of Technology Sydney, Sydney, Australia.

Background: Obstetric anal sphincter injuries (OASIs) are associated with maternal morbidity; however, it is uncertain whether gestational diabetes (GDM) is an independent risk factor when considering birthweight mode of birth and episiotomy.

Aims: To compare rates of OASIs between women with GDM and women without GDM by mode of birth and birthweight. To investigate the association between episiotomy, mode of birth and the risk of OASIs. Read More

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http://dx.doi.org/10.1111/ajo.12950DOI Listing
February 2019
3 Reads

Birth choices for women in a 'Positive Birth after Caesarean' clinic: Randomised trial of alternative shared decision support strategies.

Aust N Z J Obstet Gynaecol 2019 Feb 18. Epub 2019 Feb 18.

School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Background: Systematic approaches to information giving and decision support for women with previous caesarean sections are needed.

Aim: To evaluate decision support within a 'real-world' shared decision-making model.

Methods: A pragmatic comparative effectiveness randomised trial in the Positive Birth After Caesarean Clinic. Read More

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http://dx.doi.org/10.1111/ajo.12955DOI Listing
February 2019
1.620 Impact Factor

Contributory factors and potentially avoidable neonatal encephalopathy associated with acute peripartum events: An observational study.

Aust N Z J Obstet Gynaecol 2019 Feb 12. Epub 2019 Feb 12.

Neonatal Paediatrics, Auckland District Health Board, Auckland, New Zealand.

Background: In 25% of affected babies, neonatal encephalopathy results from acute peripartum events, but rigorous review of these cases for quality improvement is seldom reported. New Zealand has maintained a national database of all babies diagnosed with Sarnat moderate and severe neonatal encephalopathy since 2010 under the Perinatal and Maternal Mortality Review Committee.

Aims: To determine the rate of contributory factors, potentially avoidable mortality or morbidity, and to identify key areas for improvements to maternity and neonatal care among cases of neonatal encephalopathy following an acute peripartum event. Read More

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http://dx.doi.org/10.1111/ajo.12957DOI Listing
February 2019
3 Reads

Implications of vaginal instrumental delivery for children's school achievement: A population-based linked administrative data study.

Aust N Z J Obstet Gynaecol 2019 Feb 7. Epub 2019 Feb 7.

Department of Obstetrics and Gynaecology, Monash Medical Centre, Monash University, Melbourne, Victoria, Australia.

Background: Vaginal instrumental delivery is a common obstetrical intervention, but its effect on children's later development is not well known.

Aims: To determine if vaginal instrumental delivery is associated with adverse neurodevelopment as measured by school achievement.

Material And Methods: We performed a whole-of-population study involving linkage of routinely collected perinatal data with school assessments among children born in South Australia from 1999 to 2008. Read More

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http://dx.doi.org/10.1111/ajo.12952DOI Listing
February 2019
2 Reads

Female genital mutilation: Obstetric outcomes in metropolitan Sydney.

Aust N Z J Obstet Gynaecol 2019 Apr 7;59(2):312-316. Epub 2019 Feb 7.

Department of Obstetrics and Gynaecology, Royal Prince Alfred Hospital and The Canterbury Hospital, Sydney, Australia.

Background: Female genital mutilation (FGM) and its impact on women's health are becoming relevant in Australia due to increases in numbers of refugees and migrants from affected countries. Notwithstanding the psychological trauma from FGM, there is a broad range of sequelae relevant to obstetrics and gynaecology, particularly related to maternal morbidity from labour and delivery.

Aims: To assess the prevalence of FGM in our unit and document its effect on maternal and neonatal outcomes. Read More

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http://dx.doi.org/10.1111/ajo.12954DOI Listing
April 2019
7 Reads

First-trimester ultrasound features associated with subsequent miscarriage: A prospective study.

Aust N Z J Obstet Gynaecol 2019 Feb 6. Epub 2019 Feb 6.

Discipline of Obstetrics, Gynaecology and Neonatology, Central Clinical School, Faculty of Medicine, University of Sydney, Sydney, New South Wales, Australia.

Background: First-trimester miscarriage is common, with women increasingly offered an ultrasound scan early in the first trimester to assess the status of their pregnancy. Ultrasound is uniquely situated to significantly impact the clinical management of these women.

Aims: This study aims to determine whether there were any differences in the early ultrasound appearances of pregnancies that continued to be viable or resulted in miscarriage before 12 weeks gestation. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/ajo.12944
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http://dx.doi.org/10.1111/ajo.12944DOI Listing
February 2019
5 Reads

'Small cost to pay for peace of mind': Women's experiences with non-invasive prenatal testing.

Aust N Z J Obstet Gynaecol 2019 Feb 6. Epub 2019 Feb 6.

Murdoch Children's Research Institute, Melbourne, Victoria, Australia.

Background: Non-invasive prenatal testing (NIPT) has been available in Australia on a user-pays basis since 2012. Since its introduction, it has grown in popularity as a screening method for fetal aneuploidy and may become publicly funded.

Aims: To assess the motivations and experiences of women who have undergone NIPT in a user-pays system in Australia. Read More

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http://dx.doi.org/10.1111/ajo.12945DOI Listing
February 2019
8 Reads

The efficacy of quantitative fetal fibronectin in predicting spontaneous preterm birth in symptomatic women: A retrospective cohort study.

Aust N Z J Obstet Gynaecol 2019 Feb 6. Epub 2019 Feb 6.

Centre for Advanced Prenatal Care, The Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.

Background: Recent data suggest that quantitative measurements of fetal fibronectin can be used accurately to predict increased risk of preterm birth.

Aim: The purpose of this study was to demonstrate that the quantification of fetal fibronectin improves diagnostic accuracy in women who present with symptoms suggestive of threatened preterm labour (TPL) using a quantitative fetal fibronectin (qfFN) bedside analyser.

Study Design: This was a retrospective cohort study of pregnant women who presented between 22 and 32  weeks gestation with symptoms of TPL who had qfFN measured using the Rapid fFN Q10 system. Read More

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http://dx.doi.org/10.1111/ajo.12947DOI Listing
February 2019
1 Read

Is peritonectomy and hyperthermic intraperitoneal chemotherapy a new standard of treatment for advanced epithelial ovarian cancer?

Authors:
Rhonda Farrell

Aust N Z J Obstet Gynaecol 2019 Feb 1. Epub 2019 Feb 1.

Prince of Wales Private Hospital, Sydney, New South Wales, Australia.

Ovarian cancer is the leading cause of death due to gynaecological malignancy with a five-year relative survival of only 20-30% for Australian women with stage 3 and 4 disease. Most cases present with spread of cancer cells outside the pelvis to the peritoneal surfaces of the abdomen and associated viscera. Efforts to improve survival from advanced disease have therefore led to more extensive cytoreductive surgery, including the use of peritonectomy surgery, which is usually combined with hyperthermic intraperitoneal chemotherapy (HIPEC). Read More

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http://dx.doi.org/10.1111/ajo.12953DOI Listing
February 2019
4 Reads

Clinical evaluation of a first trimester pregnancy algorithm predicting the risk of small for gestational age neonates.

Aust N Z J Obstet Gynaecol 2019 Jan 24. Epub 2019 Jan 24.

RPA Women and Babies, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.

Background: The Fetal Medicine Foundation developed a multiple logistic regression algorithm for risk prediction of delivering a small for gestational age neonate.

Aim: To validate this algorithm in an Australian population.

Methods: At the combined first trimester screen participants' medical histories, demographic data, mean arterial pressure, uterine artery pulsatility index and pregnancy-associated plasma protein-A were assessed. Read More

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http://doi.wiley.com/10.1111/ajo.12951
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http://dx.doi.org/10.1111/ajo.12951DOI Listing
January 2019
7 Reads

Preconception and antenatal knowledge and beliefs about gestational weight gain.

Aust N Z J Obstet Gynaecol 2019 Jan 24. Epub 2019 Jan 24.

School of Public Health and Preventive Medicine, Monash Centre for Health Research and Implementation, Monash University, Melbourne, Victoria, Australia.

Background: Prevention of excessive gestational weight gain during pregnancy is difficult; targeting women before pregnancy may be more effective.

Aims: In order to generate knowledge that may influence the development of effective interventions to promote healthy weight in reproductive-aged women, this study aimed to explore knowledge and belief formation regarding gestational weight gain for preconception and pregnant women.

Materials And Methods: Women ≥18 years (preconception n = 265; pregnant women at 16 weeks gestation n = 271) completed questionnaires assessing knowledge and beliefs about gestational weight gain. Read More

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http://dx.doi.org/10.1111/ajo.12942DOI Listing
January 2019

Maternal mortality and 'near miss' morbidity at a tertiary hospital in Timor-Leste.

Aust N Z J Obstet Gynaecol 2019 Jan 20. Epub 2019 Jan 20.

School of Health, University of New England, Armidale, New South Wales, Australia.

Background: Assessment of severe maternal morbidity is increasingly being undertaken to understand the aetiology and factors which lead to adverse maternal outcomes. Their use in conjunction with maternal deaths may allow a comprehensive assessment of care provided, highlight areas for improvement within the health system and allow benchmarking of care against other institutions. Timor-Leste has one of the highest rates of maternal mortality in the Asia-Pacific region; however, there has been limited research into the level of severe obstetric morbidity in the country. Read More

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http://dx.doi.org/10.1111/ajo.12940DOI Listing
January 2019
3 Reads

Causes of stillbirths in diabetic and gestational diabetes pregnancies at a NSW tertiary referral hospital.

Aust N Z J Obstet Gynaecol 2019 Jan 20. Epub 2019 Jan 20.

Department of Diabetes and Endocrinology, Westmead Hospital, Sydney, Australia.

Background: Diabetes in pregnancy may result in stillbirth or neonatal death.

Aim: This audit examined stillbirths of mothers with pre-existing diabetes in pregnancy (DIP) and gestational diabetes (GDM) to determine maternal and diabetic characteristics implicated in these deaths.

Materials And Methods: A retrospective cohort study was conducted to identify stillbirths occurring in diabetic pregnancies at Westmead Hospital during 2006-2017. Read More

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http://doi.wiley.com/10.1111/ajo.12936
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http://dx.doi.org/10.1111/ajo.12936DOI Listing
January 2019
13 Reads

Incidence of adverse events, preventability and mortality in gynaecological hospital admissions: A systematic review and meta-analysis.

Aust N Z J Obstet Gynaecol 2019 Apr 20;59(2):195-200. Epub 2019 Jan 20.

Women's and Newborn Services, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.

Background: Adverse events (AEs) are unintended consequences of healthcare management that result in temporary or permanent disability, death or prolonged hospital stay. The incidence of AEs has been reported to be higher in surgical specialties compared to medical specialties but information on the incidence of AEs in gynaecology is sparse.

Aims: To collect evidence on the incidence, preventability and mortality of AEs in gynaecological hospital admissions by conducting a systematic review and meta-analysis. Read More

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http://dx.doi.org/10.1111/ajo.12937DOI Listing
April 2019
8 Reads

Response to Vaginal delivery: An argument against requiring consent.

Aust N Z J Obstet Gynaecol 2019 Feb 20;59(1):165. Epub 2019 Jan 20.

Sydney Law School, University of Sydney, Sydney, New South Wales, Australia.

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http://dx.doi.org/10.1111/ajo.12938DOI Listing
February 2019
1 Read

Acceptability of self-taken vaginal HPV sample for cervical screening among an under-screened Indigenous population.

Aust N Z J Obstet Gynaecol 2019 Apr 7;59(2):301-307. Epub 2019 Jan 7.

He Kamaka Waiora, Waitemata and Auckland District Health Board, Auckland, New Zealand.

Background: Human papillomavirus (HPV), the causative agent of cervical cancer, can be screened for using self-collected vaginal samples (self-testing). This may overcome barriers to screening for Māori women who suffer a greater burden of cervical disease than New Zealand European women.

Aims: This study aimed to explore the potential acceptability of HPV self-testing for never/under-screened (self-reported no cervical screen in 4+ years, aged 25+) Māori women by Kaupapa Māori (by, with and for Māori) mixed methods, involving hui (focus groups/interviews) and survey. Read More

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http://dx.doi.org/10.1111/ajo.12933DOI Listing
April 2019
1 Read

Outcomes of induction of labour in nulliparous women at 38 to 39 weeks pregnancy by clinical indication: An observational study.

Aust N Z J Obstet Gynaecol 2018 Dec 27. Epub 2018 Dec 27.

RPA Women and Babies, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.

Background: Knowledge of the outcomes of induction of labour for different indications is sparse.

Aims: To describe the mode of birth and other outcomes for nulliparous women induced at 38-39 weeks gestational age by indication for induction of labour.

Material And Methods: This was a retrospective observational study in a tertiary referral hospital, and a metropolitan teaching hospital in Sydney. Read More

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http://dx.doi.org/10.1111/ajo.12930DOI Listing
December 2018
3 Reads

Prolonged second stage of labour increases maternal morbidity but not neonatal morbidity.

Aust N Z J Obstet Gynaecol 2018 Dec 21. Epub 2018 Dec 21.

Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.

Background: Prolonged second stage of labour is known to be associated with higher caesarean section rates. However, the association between prolonged second stage of labour (PSSL) and adverse neonatal outcomes remains contradictory. The aim of this study was to assess the association between prolonged second stage of labour and obstetric and neonatal outcomes. Read More

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http://doi.wiley.com/10.1111/ajo.12935
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http://dx.doi.org/10.1111/ajo.12935DOI Listing
December 2018
25 Reads

Experience and confidence in vaginal breech and twin deliveries among obstetric trainees and new specialists in Australia and New Zealand.

Aust N Z J Obstet Gynaecol 2018 Dec 18. Epub 2018 Dec 18.

Department of Obstetrics and Gynaecology, Eastern Health, Melbourne, Victoria, Australia.

Background: The number of vaginal breech and twin deliveries may be insufficient for adequate training.

Objective: To determine whether advanced trainees and new Fellows in obstetrics are gaining adequate experience and confidence in vaginal breech and twin deliveries.

Methods: An online survey was emailed to registered Royal Australia and New Zealand College of Obstetrics and Gynaecology (RANZCOG) advanced trainees and new Fellows (Years 1-5). Read More

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http://dx.doi.org/10.1111/ajo.12931DOI Listing
December 2018
2 Reads

The multidisciplinary management of placenta accreta spectrum (PAS) within a single tertiary centre: A ten-year experience.

Aust N Z J Obstet Gynaecol 2018 Dec 18. Epub 2018 Dec 18.

Department of Obstetrics and Gynaecology, Flinders Medical Centre, Southern Adelaide Local Health Network (SALHN), Adelaide, Australia.

Introduction: Placenta accreta spectrum (PAS) covers a spectrum of placental adherence abnormalities: placenta accreta, increta and percreta. PAS is associated with significant maternal morbidity and mortality. Studies have shown the importance of multidisciplinary teamwork in the management of PAS. Read More

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http://dx.doi.org/10.1111/ajo.12932DOI Listing
December 2018
1 Read

Setting the record straight on obstetric gaps.

Authors:
David Molloy

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):E33-E34

National Association of Specialist Obstetricians and Gynaecologists 1995-2003, 2006-2008, Brisbane, Australia.

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http://dx.doi.org/10.1111/ajo.12924DOI Listing
December 2018
1 Read

Response to Invited Editorial: Intravenous iron use in pregnancy: Ironing out the issues and evidence.

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):E28-E29

Department of Obstetrics and Maternal/Fetal Medicine, Canberra Hospital and Health Service, Canberra, Australian Capital Territory, Australia.

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http://dx.doi.org/10.1111/ajo.12895DOI Listing
December 2018
1 Read

Management of iron-deficiency anaemia in pregnancy: a tale of surrogates and supposition.

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):E32-E33

Department of Obstetrics and Gynaecology, Flinders Medical Centre, Adelaide, South Australia, Australia.

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http://dx.doi.org/10.1111/ajo.12884DOI Listing
December 2018
2 Reads