5,310 results match your criteria Australian and New Zealand Journal of Obstetrics and Gynaecology[Journal]


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
1 Read

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
1 Read

Female genital mutilation: Obstetric outcomes in metropolitan Sydney.

Aust N Z J Obstet Gynaecol 2019 Feb 7. 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
February 2019
2 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
2 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
7 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
2 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
2 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
6 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 Jan 20. 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
January 2019
6 Reads

Re. Vaginal delivery: An argument against requiring consent.

Aust N Z J Obstet Gynaecol 2019 Jan 20. 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
January 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 Jan 7. 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
January 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
1 Read

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
15 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
1 Read

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

Response to Re: 'Neoadjuvant chemotherapy for advanced ovarian cancer. Who really benefits?'

Authors:
Neville F Hacker

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):E26-E27

Gynaecological Cancer Centre Royal Hospital for Women Randwick, Australia.

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http://dx.doi.org/10.1111/ajo.12925DOI Listing
December 2018
1 Read

Re: Neoadjuvant chemotherapy for advanced ovarian cancer. Who really benefits?

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):E25-E26

The Sydney Gynaecologic Group, Chris O Brien Lifehouse, Camperdown, New South Wales, Australia.

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http://dx.doi.org/10.1111/ajo.12827DOI Listing
December 2018
1 Read

We need to treat pregnant women as adults: Women should be consented for an attempt at normal vaginal birth as for operative delivery, with risks and potential complications explained.

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):701-703

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

Since the mid-90s, Australian law has required doctors to disclose material risks of proposed treatment. Medical practitioners have had two decades to adapt, and, by and large, patient autonomy is acknowledged and respected by obtaining 'informed consent'. While problems with obtaining consent do surface in medico-legal litigation, practitioners are generally aware of the need to do so and usually comply with requirements. Read More

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http://dx.doi.org/10.1111/ajo.12885DOI Listing
December 2018
1 Read

Vaginal delivery: An argument against requiring consent.

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):704-706

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

Birth by vaginal delivery is an evolutionary process refined over millennia to create a sustainable and safe method of human reproduction. A key argument against requiring consent for vaginal birth acknowledges that from an evolutionary point of view, vaginal delivery has successfully accompanied human development and remains the natural and default form of human birth. Concern has been raised by the Montgomery court case in the United Kingdom; however, the ruling does not mean consent is required for normal birth. Read More

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http://dx.doi.org/10.1111/ajo.12919DOI Listing
December 2018
1 Read

Response to: Vaginal examination and fear of childbirth.

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):E25

Centre of Fetal Care - Fetal Medicine, Imperial College London, London, UK.

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http://dx.doi.org/10.1111/ajo.12908DOI Listing
December 2018
1 Read

Iron in pregnancy.

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):E29-E30

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

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http://dx.doi.org/10.1111/ajo.12892DOI Listing
December 2018
1 Read

What exactly is excellence in women's health?

Authors:
Steve Robson

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):603-605

President, Royal Australian and New Zealand College of Obstetricians and Gynaecologists, East Melbourne, Victoria, Australia.

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http://dx.doi.org/10.1111/ajo.12915DOI Listing
December 2018
1 Read

Are women with a recent diagnosis of pre-eclampsia aware of their cardiovascular disease risk? A cross-sectional survey.

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):E27-E28

School of Health Sciences, Faculty of Health and Medicine, Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, New South Wales, Australia.

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http://dx.doi.org/10.1111/ajo.12900DOI Listing
December 2018
2 Reads

Response to Setting the record straight on obstetric gaps.

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):E34-E35

Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Queensland, Australia.

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http://dx.doi.org/10.1111/ajo.12927DOI Listing
December 2018
1 Read

Reply to: Response to placental growth factor as an indicator of fetal growth restriction in late-onset small-for-gestational age pregnancies.

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):E24

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

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http://dx.doi.org/10.1111/ajo.12916DOI Listing
December 2018
2 Reads

Vaginal examination and fear of childbirth.

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):E24-E25

Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan.

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http://dx.doi.org/10.1111/ajo.12905DOI Listing
December 2018
1 Read

Authors' reply to letters commenting on the editorial entitled Intravenous iron use in pregnancy: Ironing out the issues and evidence.

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):E31-E32

Clinical and Population Perinatal Health Research, Kolling Institute, St Leonards, New South Wales, Australia.

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http://dx.doi.org/10.1111/ajo.12923DOI Listing
December 2018
1 Read

Letter to the Editor in response to: Intravenous iron use in pregnancy: Ironing out the issues and the evidence.

Authors:
Esther Calje

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):E30-E31

Christchurch Women's Hospital, Christchurch, New Zealand.

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http://dx.doi.org/10.1111/ajo.12901DOI Listing
December 2018
1 Read

Response to: Placental growth factor as an indicator of fetal growth restriction in late-onset small-for-gestational age pregnancies.

Aust N Z J Obstet Gynaecol 2018 Dec;58(6):E23-E24

Brighton and Sussex Medical School, Brighton, UK.

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http://dx.doi.org/10.1111/ajo.12917DOI Listing
December 2018
2 Reads

Changes in the incidence and uptake of reproductive surgery versus in vitro fertilisation in Australia between 2001 and 2015: A population-based study.

Aust N Z J Obstet Gynaecol 2018 Nov 28. Epub 2018 Nov 28.

School of Mathematics and Applied Statistics, The University of Wollongong, Wollongong, New South Wales, Australia.

Objective: Improvements in success rates of assisted reproduction led to predictions that infertility surgery in both women and men would become extinct in developed countries. We sought to identify the changes in reproductive surgery that occurred between 2001 and 2015 to determine whether these predictions have been accurate.

Design: The Australian Institute of Health and Welfare (AIHW) national procedural dataset and the Australian Medicare Benefits Scheme (MBS) claims database were searched for procedure data for male and female reproductive surgery and assisted reproduction from January 2001 to December 2015. Read More

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http://dx.doi.org/10.1111/ajo.12926DOI Listing
November 2018
1 Read

Simplifying the language of fetal monitoring.

Aust N Z J Obstet Gynaecol 2018 Nov 20. Epub 2018 Nov 20.

Mothers Babies and Women's Health Services Mater Health, Mater Research, The University of Queensland, Brisbane, Queensland, Australia.

Background: Health professionals in Australia and New Zealand have used various intrapartum fetal surveillance (IFS) guidelines, with clear differences in how these guidelines present information. Based on clinician feedback, the 2015 Queensland Clinical Guideline on IFS structured the prose-based Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) IFS Guidelines as a traffic-light matrix and represented the categorical terms of unlikely, maybe, possible and likely fetal compromise, as the colours GREEN, BLUE, AMBER, and RED, respectively.

Aims: To determine whether the interpretation of the RANZCOG IFS Guidelines in Table Format is more accurate and quicker compared to the current presentation of the RANZCOG Guideline in prose format. Read More

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http://dx.doi.org/10.1111/ajo.12929DOI Listing
November 2018
13 Reads

The use of pre-caesarean prophylactic intra-arterial balloon catheters for suspected placenta accreta.

Aust N Z J Obstet Gynaecol 2018 Nov 8. Epub 2018 Nov 8.

Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel.

Introduction: The incidence of placenta accreta (PA) has markedly increased in the United States, from 1/30 000 in 1950 to 1/731 deliveries in 2011. Although placenta praevia after prior caesarean sections (CS) is the most important risk factor for PA, other risk factors make up 1-5% of PA occurrences. At our referral hospital, we use the pre-caesarean prophylactic balloon catheter with or without post-surgery embolisation in a hybrid room. Read More

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http://dx.doi.org/10.1111/ajo.12921DOI Listing
November 2018
3 Reads

Multicentre retrospective study to assess diagnostic accuracy of ultrasound for superficial endometriosis-Are we any closer?

Aust N Z J Obstet Gynaecol 2018 Nov 8. Epub 2018 Nov 8.

Mercy Hospital for Women, Melbourne, Victoria, Australia.

Background: To establish whether the ultrasound findings of minimal endometriosis are confirmed at laparoscopy and that a correlation can be established as to the anatomical sites in this mild form of the disease.

Aims: Patients with pain and suspicion of endometriosis had an ultrasound scan by a sonologist with expertise in endometriosis as part of their pre-operative workup.

Measurements And Main Results: The clinical histories of 53 patients who had laparoscopy to investigate pelvic pain were reviewed. Read More

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http://doi.wiley.com/10.1111/ajo.12911
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http://dx.doi.org/10.1111/ajo.12911DOI Listing
November 2018
13 Reads

Emergency peripartum hysterectomy in a Western Australian population: Ten-year retrospective case-note analysis.

Aust N Z J Obstet Gynaecol 2018 Nov 8. Epub 2018 Nov 8.

King Edward Memorial Hospital, Perth, Western Australia, Australia.

Background: Emergency peripartum hysterectomy (EPH) is a life-saving obstetric procedure reserved for conditions where medical treatment and conservative surgery have failed. EPH is associated with significant morbidity and mortality.

Aim: To examine the incidence, indications, risk factors, maternal and neonatal outcomes of EPH in a tertiary hospital in Western Australia (WA). Read More

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http://doi.wiley.com/10.1111/ajo.12922
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http://dx.doi.org/10.1111/ajo.12922DOI Listing
November 2018
15 Reads

Clinical and financial evaluation of carbetocin as postpartum haemorrhage prophylaxis at caesarean section: A retrospective cohort study.

Aust N Z J Obstet Gynaecol 2018 Nov 9. Epub 2018 Nov 9.

Obstetrics and Gynaecology, Lyell McEwin Hospital, Adelaide, South Australia, Australia.

Background: The long-acting oxytocic agent; carbetocin, has been consistently shown to reduce the need for additional uterotonics at caesarean section, but not postpartum haemorrhage (PPH). While promising, current evidence is limited by heterogenicity in study design and findings.

Aims: To examine whether carbetocin confers clinical or economic benefit compared to oxytocin at caesarean section in an all-risk Australian population. Read More

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http://doi.wiley.com/10.1111/ajo.12907
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http://dx.doi.org/10.1111/ajo.12907DOI Listing
November 2018
6 Reads

Modern management of recurrent miscarriage.

Aust N Z J Obstet Gynaecol 2018 Nov 4. Epub 2018 Nov 4.

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

Recurrent miscarriage (RM), also known as recurrent pregnancy loss, is a distressing condition affecting around 1% of couples trying to conceive It can be very frustrating for both clinicians and patients as, despite intensive workup, no clear underlying pathology is forthcoming in at least 50% of couples. This leads to despair for patients and leaves clinicians at a loss for how to help. Desperation in both camps can promote the uptake of investigations and interventions of unproven benefit. Read More

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http://doi.wiley.com/10.1111/ajo.12920
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http://dx.doi.org/10.1111/ajo.12920DOI Listing
November 2018
10 Reads

Evaluation of fetal fibronectin for threatened preterm labour in reducing inappropriate interventions.

Aust N Z J Obstet Gynaecol 2018 Nov 4. Epub 2018 Nov 4.

Queensland Institute of Medical Research, Brisbane, Queensland, Australia.

Background: Preterm birth is associated with significant perinatal morbidity and mortality. The fetal fibronectin test (fFN) is used to manage women presenting with threatened preterm labour (TPTL).

Aim: To evaluate the use of fFN in women presenting with TPTL with regard to hospital admission, tertiary hospital transfer and use of tocolytics and steroids in our hospital, against recommended guidelines. Read More

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http://dx.doi.org/10.1111/ajo.12914DOI Listing
November 2018
1 Read

Pregnancy outcomes for women with pre-pregnancy diabetes mellitus in Australian populations, rural and metropolitan: A review.

Aust N Z J Obstet Gynaecol 2018 Oct 31. Epub 2018 Oct 31.

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

Background: Historically, pre-pregnancy diabetes (PPDM) is a recognised risk factor for poor pregnancy outcome. Co-existing pathology and adverse social determinants including rural-metropolitan inequities in health and healthcare access may confer additional risks. Multidisciplinary care before, during and after pregnancy can improve outcomes for women with PPDM and their infants. Read More

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http://doi.wiley.com/10.1111/ajo.12913
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http://dx.doi.org/10.1111/ajo.12913DOI Listing
October 2018
4 Reads

Seasonal and gestational variation in perinatal depression in a prospective cohort in New Zealand.

Aust N Z J Obstet Gynaecol 2018 Oct 29. Epub 2018 Oct 29.

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

Background: Perinatal depression has wide-ranging impacts on the health of mothers, babies and their families. Previously published data suggest seasonal variation in the prevalence of perinatal depression, as well as possible variation with gestation.

Aims: To describe the prevalence of perinatal depression in a New Zealand population; to describe the trend in depression over gestational age; and to assess the influence of season on perinatal depression. Read More

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http://doi.wiley.com/10.1111/ajo.12912
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http://dx.doi.org/10.1111/ajo.12912DOI Listing
October 2018
9 Reads

Abdomino-pelvic packing revisited: An often forgotten technique for managing intractable venous obstetric haemorrhage.

Aust N Z J Obstet Gynaecol 2018 Oct 24. Epub 2018 Oct 24.

St Mary's Hospital and Imperial College, London, UK.

Background: Surgical packing should not be seen as a 'bail out' for the less skilled obstetrician who is unable to control obstetric haemorrhage using conventional techniques. Rather, this should be considered in cases of coagulopathy or where haemorrhage persists from raw surfaces, venous plexuses and inaccessible areas.

Materials And Methods: Data from seven women who underwent abdomino-pelvic packing for intractable postpartum bleeding were collected. Read More

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http://doi.wiley.com/10.1111/ajo.12909
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http://dx.doi.org/10.1111/ajo.12909DOI Listing
October 2018
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Health professionals' roles and practices in supporting women experiencing miscarriage: A qualitative study.

Aust N Z J Obstet Gynaecol 2018 Oct 19. Epub 2018 Oct 19.

Department of General Practice, University of Melbourne, Melbourne, Australia.

Background: Miscarriage can result in significant psychological morbidity. Research suggests health professionals play a role in shaping women's experience of miscarriage.

Aims: This study explored the views and practices of Australian health professionals in caring for women experiencing miscarriage. Read More

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http://dx.doi.org/10.1111/ajo.12910DOI Listing
October 2018
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Reviewing the cost-effectiveness of long-acting reversible contraceptive methods in an Australian context.

Aust N Z J Obstet Gynaecol 2018 Oct 12. Epub 2018 Oct 12.

Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, Australia.

Background: Relative to the oral contraceptive pill, uptake of long-acting reversible contraceptive methods (LARCs) in Australia continues to be lower than might be suggested by the evidence on their clinical and economic benefits.

Aim: To undertake a critical appraisal of published economic evaluations of LARCs to assess the generalisability of their results to the Australian healthcare context.

Materials And Methods: A search of the literature was conducted to identify studies of economic evaluations of LARCs using the Medline, Embase and PubMed databases. Read More

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http://doi.wiley.com/10.1111/ajo.12906
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http://dx.doi.org/10.1111/ajo.12906DOI Listing
October 2018
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Awareness and use of iodine supplementation among Australian women attending a low-risk pregnancy clinic.

Aust N Z J Obstet Gynaecol 2018 Oct;58(5):E16-E17

Department of Endocrinology and Diabetes, Alfred Health, Melbourne, Victoria, Australia.

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http://dx.doi.org/10.1111/ajo.12829DOI Listing
October 2018
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A common medical schools curriculum in obstetrics and gynaecology.

Authors:
Ian Symonds

Aust N Z J Obstet Gynaecol 2018 Oct;58(5):491-493

Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia.

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http://dx.doi.org/10.1111/ajo.12887DOI Listing
October 2018
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