5,523 results match your criteria Australian and New Zealand Journal of Obstetrics and Gynaecology[Journal]


Gestational diabetes mellitus testing in the COVID-19 pandemic: The problems with simplifying the diagnostic process.

Aust N Z J Obstet Gynaecol 2020 Jul 13. Epub 2020 Jul 13.

Biochemistry, Southern IML Pathology, Wollongong, New South Wales, Australia.

Background: Multiple professional bodies have temporarily revised recommendations for gestational diabetes mellitus (GDM) testing during the COVID-19 pandemic to reduce person-to-person contact. The current Australian temporary criteria advise that if the fasting glucose is ≤4.6 mmol/L, then no glucose tolerance test (GTT) is required. Read More

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http://dx.doi.org/10.1111/ajo.13203DOI Listing

The quality of information about elective oocyte cryopreservation (EOC) on Australian fertility clinic websites.

Aust N Z J Obstet Gynaecol 2020 Jul 9. Epub 2020 Jul 9.

Global and Women's Health, Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Background: The number of women who undergo elective oocyte cryopreservation (EOC) in the hope of preserving their fertility is increasing. Fertility clinic websites often serve as the first point of contact for women contemplating EOC. There are no guidelines for Australian fertility clinics regarding how information about procedures should be presented. Read More

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http://dx.doi.org/10.1111/ajo.13174DOI Listing

Preparing maternity for COVID-19: A translational simulation approach.

Aust N Z J Obstet Gynaecol 2020 Jul 9. Epub 2020 Jul 9.

Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.

COVID-19 has posed major challenges for health care. Hospitals around the world have needed to rapidly prepare for the emerging pandemic. Translational simulation - simulation that is integrated and focused on emerging clinical priorities - offers numerous opportunities to aid in pandemic preparation. Read More

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http://dx.doi.org/10.1111/ajo.13185DOI Listing

Lessons learned from the Czech uterus transplant trial related to surgical technique that may affect reproductive success.

Aust N Z J Obstet Gynaecol 2020 Jun 23. Epub 2020 Jun 23.

Department of Obstetrics and Gynaecology, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.

Uterus transplantation is an experimental method in the treatment of infertility in women with congenital or acquired absence of uterus. The majority of uterus transplants worldwide have been performed in women with Mayer-Rokitansky-Küster-Hauser syndrome, with neovagina and absent uterus. We report two aspects affecting reproductive success related to the surgical technique of transplantation. Read More

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http://dx.doi.org/10.1111/ajo.13184DOI Listing

Characteristics and preventability of obstetric intensive care unit admissions in Far North Queensland.

Aust N Z J Obstet Gynaecol 2020 Jun 18. Epub 2020 Jun 18.

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

Background: The rarity of maternal deaths in developed countries has increased interest in auditing cases of severe maternal morbidity or maternal 'near miss'. The assessment and preventability of cases of maternal 'near misses' are important in improving the provision of maternity care.

Aims: To describe the epidemiology and determine aspects of preventability in care among women admitted to an obstetric intensive care unit (ICU) in Far North Queensland. Read More

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http://dx.doi.org/10.1111/ajo.13198DOI Listing

External validation of risk prediction model M4 in an Australian population: Rationalising the management of pregnancies of unknown location.

Aust N Z J Obstet Gynaecol 2020 Jun 15. Epub 2020 Jun 15.

Acute Gynaecology, Early Pregnancy and Advanced Endoscopic Surgery Unit, Nepean Hospital, Nepean Clinical School University of Sydney, Sydney, New South Wales, Australia.

Background: The prediction model M4 can successfully classify pregnancy of unknown location (PUL) into a low- or high-risk group in developing ectopic pregnancy. M4 was validated in UK centres but in very few other countries outside UK.

Aim: To validate the M4 model's ability to correctly classify PULs in a cohort of Australian women. Read More

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http://dx.doi.org/10.1111/ajo.13201DOI Listing
June 2020
1.620 Impact Factor

Women's epidural decision-making in labour: A Townsville perspective.

Aust N Z J Obstet Gynaecol 2020 Jun 8. Epub 2020 Jun 8.

College of Medicine and Dentistry, Anton Breinl Research Centre for Health Systems Strengthening, James Cook University, Townsville, Queensland, Australia.

Background: Despite being an efficacious means of labour analgesia, there is a broad range of usage rates among countries worldwide. Australia sits between common usage in North America and more conservative usage in the UK. The reason for this is unclear, raising the question of whether there is a difference between Australia and other Western countries in pregnant women's attitudes toward epidural use, or the hospital context. Read More

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http://dx.doi.org/10.1111/ajo.13199DOI Listing

Implementing changes to cervical screening: A qualitative study with health professionals.

Aust N Z J Obstet Gynaecol 2020 Jun 8. Epub 2020 Jun 8.

Faculty of Medicine and Health, School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.

Background: Profound changes were made to the Australian National Cervical Screening Program in December 2017, which included a reduction in the frequency of screening and a new cervical screening test.

Aim: To explore the attitudes and experiences of health professionals practising in Australia since implementation of these changes.

Materials And Methods: Thirty-one semi-structured interviews were conducted with general practitioners, obstetricians and gynaecologists, pathologists and nurses involved in cervical screening Australia-wide. Read More

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http://dx.doi.org/10.1111/ajo.13200DOI Listing

The new gestational diabetes: Treatment, evidence and consent.

Aust N Z J Obstet Gynaecol 2020 Jun;60(3):482-485

Queensland Health, Warwick Hospital, Warwick, Queensland, Australia.

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http://dx.doi.org/10.1111/ajo.13116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317553PMC

Wilson and Homer reply to Papadakis.

Aust N Z J Obstet Gynaecol 2020 Jun;60(3):E7

Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia.

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http://dx.doi.org/10.1111/ajo.13164DOI Listing

The Australian Preterm Birth Prevention Alliance.

Aust N Z J Obstet Gynaecol 2020 Jun;60(3):321-323

Division of Obstetrics and Gynaecology, University of Western Australia, Perth, Western Australia, Australia.

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http://dx.doi.org/10.1111/ajo.13171DOI Listing

Transvaginal ultrasonography in superficial endometriosis.

Aust N Z J Obstet Gynaecol 2020 Jun;60(3):E5

Department of Obstetrics and Gynecology, University of Cagliari, Cagliari, Italy.

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http://dx.doi.org/10.1111/ajo.13131DOI Listing

Perineal integrity can be guarded by polishing our intrapartum skills.

Aust N Z J Obstet Gynaecol 2020 Jun;60(3):E6

Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

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http://dx.doi.org/10.1111/ajo.13165DOI Listing

Language matters.

Authors:
Marilla L Druitt

Aust N Z J Obstet Gynaecol 2020 Jun;60(3):E5

Avonlea Clinic, Geelong, Victoria, Australia.

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http://dx.doi.org/10.1111/ajo.13154DOI Listing

The benefits of the use of the new International Association of Diabetes in Pregnancy Study Groups guidelines for gestational diabetes mellitus.

Authors:
David Simmons

Aust N Z J Obstet Gynaecol 2020 Jun;60(3):486-488

Macarthur Diabetes Service, Campbelltown Hospital, Campbelltown, New South Wales, Australia.

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http://dx.doi.org/10.1111/ajo.13167DOI Listing

'Please Squeeze': A novel approach to perineal guarding at the time of delivery reduced rates of obstetric anal sphincter injury in an Australian tertiary hospital.

Aust N Z J Obstet Gynaecol 2020 Jun 5. Epub 2020 Jun 5.

Pelvic Floor Unit, Westmead Hospital, Sydney, Australia.

Background: Over the last decade the incidence of obstetric anal sphincter injuries (OASIS) has been steadily increasing locally and internationally. Investigations into reducing rates, and the long-term complications, of OASIS are required.

Aims: To determine if applying a new method of perineal guarding at the time of delivery reduces the incidence of OASIS at an Australian tertiary hospital. Read More

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http://dx.doi.org/10.1111/ajo.13181DOI Listing

Trends in metabolic surgery in reproductive-age women in Australia.

Aust N Z J Obstet Gynaecol 2020 Jun 1. Epub 2020 Jun 1.

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

Obesity and polycystic ovary syndrome (PCOS) are common and have important reproductive consequences: 'metabolic surgery' - bariatric surgery and laparoscopic ovarian drilling (LOD) - have roles in their management. Using national data to determine age-stratified incidence rates of these procedures, we found that bariatric surgery is much more common than LOD. While the uptake of bariatric surgery is rapidly increasing, there has been a decline in the use of LOD in young women. Read More

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http://dx.doi.org/10.1111/ajo.13168DOI Listing

Investigating women with postmenopausal bleeding: The utility of endometrial thickness in transvaginal ultrasound.

Aust N Z J Obstet Gynaecol 2020 May 29. Epub 2020 May 29.

Gynaecology Department, Gold Coast University Hospital, Gold Coast, Queensland, Australia.

Background: Australian clinical guidelines recommend further investigation in females with postmenopausal bleeding (PMB) and endometrial thickness (ET) of ≥4 mm on transvaginal ultrasound (TVUS). However, the literature indicates that an ET of ≥3 mm as an upper limit is a more sensitive predictor of endometrial malignancy (EM) in females with PMB.

Aims: To assess whether Australian guidelines for PMB with an upper limit of 4 mm ET on ultrasound investigation, is sensitive enough for malignancy detection. Read More

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http://dx.doi.org/10.1111/ajo.13183DOI Listing

Asherman syndrome: Audit of a single-operator cohort of 423 cases.

Aust N Z J Obstet Gynaecol 2020 May 26. Epub 2020 May 26.

Women's Health and Research Institute of Australia, Sydney, New South Wales, Australia.

Background: The diagnosis of Asherman syndrome, or 'intra-uterine adhesions' is often overlooked when the symptoms of amenorrhea and hematometra are missing.

Aims: This audit reviews the clinical data of a large cohort of patients treated by a single operator.

Materials And Methods: From July 1998 till the end of December 2017, 423 patients with intra-uterine adhesions were treated by a single operator. Read More

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http://dx.doi.org/10.1111/ajo.13182DOI Listing

Patterns of surgical care for women with ovarian cancer in New South Wales.

Aust N Z J Obstet Gynaecol 2020 May 26. Epub 2020 May 26.

The Cancer Institute NSW, Sydney, New South Wales, Australia.

Background: Little is known about the delivery of surgical services and outcomes for women with ovarian cancer across New South Wales (NSW).

Aim: The study objective was to provide a descriptive analysis of the proportion of women who had surgery for ovarian cancer in NSW in specialist gynaecological oncology hospitals and compare outcomes for women attending specialist and non-specialist services in NSW.

Materials And Methods: This study is a retrospective analysis of women with primary ovarian, fallopian tube or peritoneal cancer from 2009 to 2012. Read More

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http://dx.doi.org/10.1111/ajo.13180DOI Listing

Malignant extra-ovarian endometriosis: A case series of ten patients and review of the literature.

Aust N Z J Obstet Gynaecol 2020 May 25. Epub 2020 May 25.

Epworth Freemasons Victoria Parade, Melbourne, Victoria, Australia.

Background: The malignant transformation of endometriosis within the ovary is a recognised condition. There is less literature surrounding the malignant transformation of extra-ovarian endometriosis (MEOE).

Aims: We report our experience with MEOE in ten patients and present a review of the literature regarding this rare malignancy. Read More

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http://dx.doi.org/10.1111/ajo.13178DOI Listing

The experience and outcomes of a specialised preterm birth clinic in New Zealand.

Aust N Z J Obstet Gynaecol 2020 May 18. Epub 2020 May 18.

Liggins Institute, The University of Auckland, Auckland, New Zealand.

Background: A greater understanding of the risk factors for spontaneous preterm birth and the importance of risk stratification to guide interventions has led to the introduction of preterm birth prevention clinics.

Aim: To evaluate the experience and outcomes of the first specialised preterm birth clinic in New Zealand.

Materials And Methods: This observational study reviewed pregnancies cared for in a preterm birth clinic from 2013 to 2018. Read More

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http://dx.doi.org/10.1111/ajo.13176DOI Listing

Quality audit of the guidelines for the use of RhD immunoglobulin in obstetrics: Are we getting it right?

Aust N Z J Obstet Gynaecol 2020 May 18. Epub 2020 May 18.

Australian Red Cross Lifeblood, Brisbane, Queensland, Australia.

Background: Administration of RhD immunoglobulin (Ig) is important for RhD negative women throughout pregnancy and postnatally to prevent alloimmunisation and haemolytic disease of the fetus and newborn in subsequent pregnancies.

Aims: The aim of this audit was to understand compliance with the Australian guidelines on RhD Ig prophylaxis in pregnancy.

Materials And Methods: This was a retrospective audit of RhD negative pregnant women in Victoria, Northern Territory, Australian Capital Territory and Tasmania at maternity services of level 2 or higher care, between July 2017 and June 2018. Read More

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http://dx.doi.org/10.1111/ajo.13177DOI Listing

Having a baby in your 40s with assisted reproductive technology: The reproductive dilemma of autologous versus donor oocytes.

Aust N Z J Obstet Gynaecol 2020 May 18. Epub 2020 May 18.

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

Background: Increasing numbers of women ≥40 years old are accessing assisted reproductive technology (ART) due to age-related infertility. There is limited population-based evidence about the impact on the cumulative live birth rate (CLBR) of women aged ≥40 years using their own oocytes, compared to women of a similar age, using donor oocytes.

Aims: To compare the CLBR for women ≥40 years undergoing ART using autologous oocytes and women of similar age using donor oocytes. Read More

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http://dx.doi.org/10.1111/ajo.13179DOI Listing

Use of fertility services in Australian lesbian, bisexual and queer women's pathways to parenthood.

Aust N Z J Obstet Gynaecol 2020 May 18. Epub 2020 May 18.

Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Victoria, Australia.

Background: It is estimated that up to one in three lesbian, bisexual or queer (LBQ) women in Australia have children. In the past decade, it has become common for LBQ women to pursue pregnancy using clinic-acquired donor sperm.

Aims: The aims of this paper are to explore pathways to parenthood among Australian LBQ women in the context of increased access to fertility clinics and identify the type of clinical fertility services being used. Read More

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http://dx.doi.org/10.1111/ajo.13175DOI Listing

Outcomes following acute tocolysis prior to emergency caesarean section.

Aust N Z J Obstet Gynaecol 2020 May 6. Epub 2020 May 6.

Obstetrics and Gynaecology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.

Aim: To determine if a policy recommending administration of terbutaline prior to emergency caesarean section improved arterial umbilical cord pH.

Materials And Methods: This was a prospective audit between February 2018 and June 2019 among women who underwent a category one or two caesarean section. Neonatal cord gas results and perinatal outcomes were compared before and after the introduction of a policy recommending subcutaneous terbutaline prior to emergency caesarean section. Read More

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http://dx.doi.org/10.1111/ajo.13170DOI Listing

The risk of adverse maternal outcomes in cases of placenta praevia in an Australian population between 2007 and 2017.

Aust N Z J Obstet Gynaecol 2020 May 5. Epub 2020 May 5.

Westmead Institute for Maternal and Foetal Medicine, Westmead Hospital, Sydney, Australia.

Background: Placenta praevia is characterised by an inferior placental margin that overlies or falls within 20 mm of the endocervical os. It remains a common cause of antepartum haemorrhage and is associated with adverse maternal and neonatal outcomes.

Aims: We aimed to determine the association between antepartum and postpartum haemorrhage and adverse outcomes in cases of placenta praevia. Read More

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http://dx.doi.org/10.1111/ajo.13172DOI Listing

Feto-placental Dopplers are not altered in women with obstructive sleep apnoea symptoms.

Aust N Z J Obstet Gynaecol 2020 May 5. Epub 2020 May 5.

Mater Research Institute, University of Queensland, Brisbane, Queensland, Australia.

Background: Snoring, gasping or choking during sleep are common symptoms of sleep-disordered breathing and are associated with multiple adverse maternal and obstetric outcomes. The mechanisms responsible remain unknown; however, placental dysfunction is suspected.

Aims: The aim of this study was to investigate feto-placental and fetal cardiac function in women with pregnancies complicated by obstructive sleep apnoea symptoms. Read More

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http://dx.doi.org/10.1111/ajo.13166DOI Listing

Use of the Robson Ten Group Classification System to categorise operative vaginal delivery.

Aust N Z J Obstet Gynaecol 2020 Apr 29. Epub 2020 Apr 29.

Department of Obstetrics and Gynaecology, Rotunda Hospital, Dublin 1, Ireland.

Background: Operative vaginal delivery (OVD), either vacuum or forceps, can be used to expedite vaginal delivery. While rates of OVD have been reducing worldwide, rates in Ireland remain high. The Robson Ten Group Classification System (TGCS) was originally created to compare rates of caesarean delivery between healthcare units, although no similar system exists for the analysis of OVD. Read More

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http://dx.doi.org/10.1111/ajo.13169DOI Listing

Good at heart: Developing a tertiary perinatal cardiac service; the first eight years of experience.

Aust N Z J Obstet Gynaecol 2020 Apr 23. Epub 2020 Apr 23.

Department of Perinatal Medicine, Mercy Hospital for Women, Melbourne, Victoria, Australia.

Background: Maternal cardiac disease is the most common cause of indirect maternal death, and women with pre-existing cardiac disease have complex medical, obstetric and anaesthetic requirements. Our hospital commenced a multidisciplinary perinatal cardiac service in 2009 to optimise outcomes in women with cardiac disease.

Aim: To assess the maternal and perinatal outcomes of women referred to the clinic to evaluate clinical practice and inform future service provision. Read More

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http://dx.doi.org/10.1111/ajo.13160DOI Listing

Continuing a pregnancy after diagnosis of a lethal fetal abnormality: Views and perspectives of Australian health professionals and parents.

Aust N Z J Obstet Gynaecol 2020 Apr 23. Epub 2020 Apr 23.

Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.

Background: Couples who receive a prenatal diagnosis of a fetal anomaly in Victoria, Australia, are generally offered a choice about whether or not to continue with the pregnancy. When a severe or 'lethal' abnormality is diagnosed, some couples decide to continue the pregnancy in the knowledge that their baby may die before or shortly after birth. Several Australian parents who published personal accounts of that experience describe a lack of clear clinical pathways, suggesting those who decide to continue a pregnancy following a diagnosis of a 'lethal fetal abnormality' (LFA) may not be receiving optimal care. Read More

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http://dx.doi.org/10.1111/ajo.13157DOI Listing

Examining adverse fetal/neonatal outcomes associated with severe maternal morbidity.

Aust N Z J Obstet Gynaecol 2020 Apr 21. Epub 2020 Apr 21.

Department of Obstetrics and Gynecology, Center for Research on Women and Gender, National Center of Excellence in Women's Health, College of Medicine, University of Illinois, Chicago, USA.

Background: While there is a global focus on severe maternal morbidity (SMM), less is known about the impact of SMM on fetal and neonatal outcomes.

Aims: To examine fetal/neonatal outcomes associated with SMM.

Materials And Methods: A national New Zealand (NZ) retrospective cohort study describing fetal/neonatal outcomes of all women with SMM admitted to a NZ Intensive Care Unit (ICU) or High Dependency Unit (HDU) in 2014. Read More

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http://dx.doi.org/10.1111/ajo.13163DOI Listing

Predictors of successful ring pessary use in women with pelvic organ prolapse.

Aust N Z J Obstet Gynaecol 2020 Apr 15. Epub 2020 Apr 15.

Sydney Medical School Nepean, The University of Sydney, Sydney, Australia.

Background: Pelvic organ prolapse (POP) is a common chronic health issue. Pessary rings are used for conservative management. To date, there is little evidence on objective anatomical findings as predictors of successful ring pessary management. Read More

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http://dx.doi.org/10.1111/ajo.13152DOI Listing

COVID-19 vaginal delivery - A case report.

Aust N Z J Obstet Gynaecol 2020 06 28;60(3):465-466. Epub 2020 May 28.

Department of Obstetrics and Gynaecology, Gold Coast University Hospital, Southport, Queensland, Australia.

The novel coronavirus termed SARS-CoV-2 (COVID-19) is a major public health challenge. Many maternity units around the country are currently considering management protocols for these patients. We report a case from a tertiary Australian hospital describing an uncomplicated vaginal birth in a COVID-19 positive mother. Read More

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http://dx.doi.org/10.1111/ajo.13173DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262173PMC

Letter to the Editor: Neonatal sepsis.

Aust N Z J Obstet Gynaecol 2020 04;60(2):E3-E4

Auckland City Hospital, Auckland, New Zealand.

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http://dx.doi.org/10.1111/ajo.13149DOI Listing

Sadler et al reply to Blanchette.

Aust N Z J Obstet Gynaecol 2020 04;60(2):E2

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

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http://dx.doi.org/10.1111/ajo.13138DOI Listing

Response to 'Induction of labour at 39 weeks should be routinely offered to low-risk women'.

Aust N Z J Obstet Gynaecol 2020 04;60(2):312-313

Faculty of Medicine and Health, The University of Sydney Northern Clinical School, Sydney, New South Wales, Australia.

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http://dx.doi.org/10.1111/ajo.13139DOI Listing

Informed decision making around induction of labour at 39 weeks.

Aust N Z J Obstet Gynaecol 2020 04;60(2):309-311

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

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http://dx.doi.org/10.1111/ajo.13135DOI Listing

Authors' reply to Blanchette.

Aust N Z J Obstet Gynaecol 2020 04;60(2):E1-E2

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

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http://dx.doi.org/10.1111/ajo.13153DOI Listing

Standardised antenatal antibiotic regimens and neonatal sepsis-Are we certain we have it right?

Aust N Z J Obstet Gynaecol 2020 04;60(2):E4

Department of Neonatal Medicine, Women's and Children's Hospital, Adelaide, South Australia, Australia.

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http://dx.doi.org/10.1111/ajo.13142DOI Listing

Ansell et al. reply to Blanchette. Shoulder dystocia.

Aust N Z J Obstet Gynaecol 2020 04;60(2):E2-E3

Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.

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http://dx.doi.org/10.1111/ajo.13137DOI Listing

Shoulder dystocia; NAPLAN scores.

Authors:
Glenn Blanchette

Aust N Z J Obstet Gynaecol 2020 04;60(2):E1

Obstetrics and Gynaecology, Nepean Hospital, Sydney, New South Wales, Australia.

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http://dx.doi.org/10.1111/ajo.13151DOI Listing

Cancer of the cervix - The view from Australia's nearest neighbour.

Aust N Z J Obstet Gynaecol 2020 04;60(2):173-174

Department of Obstetrics and Gynaecology, James Cook University College of Medicine and Dentistry, Cairns, Australia.

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http://dx.doi.org/10.1111/ajo.13140DOI Listing

Preventing Early-Onset Group B Streptococcus neonatal infection and reducing antibiotic exposure using a rapid PCR test in term prelabour rupture of membranes.

Aust N Z J Obstet Gynaecol 2020 Apr 14. Epub 2020 Apr 14.

Department of Women's and Newborn Health, Westmead Hospital, Sydney, New South Wales, Australia.

Background: How best to target intrapartum antibiotic prophylaxis (IAP) to minimise both Early-Onset Group B Streptococcus (EOGBS) neonatal infection and maternal/fetal antibiotic exposure is uncertain, with both routine-screening and risk-factor approaches available.

Aims: This retrospective cohort study was undertaken to examine the outcomes of a hybrid risk-and-screen approach to EOGBS prevention using GBS polymerase chain reaction (PCR). The target population was women with term prelabour rupture of membranes (TermPROM) having the risk factor of prolonged rupture of membranes (ROM) ≥18 h. Read More

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http://dx.doi.org/10.1111/ajo.13159DOI Listing

Accuracy of sonographic estimation of weight in fetuses with abdominal wall defects.

Aust N Z J Obstet Gynaecol 2020 Apr 14. Epub 2020 Apr 14.

Fetal Diagnostic Unit, Monash Health, Melbourne, Victoria, Australia.

Background: Accurate estimation of fetal weight is essential in guiding management of fetuses with abdominal wall defects (AWDs), as growth restriction is an important predictor of perinatal morbidity and mortality. Several sonographic formulae are available involving multiple biometric parameters, but abdominal circumference measurements may underestimate weight in fetuses with AWDs. No formula has yet shown superior accuracy. Read More

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http://dx.doi.org/10.1111/ajo.13162DOI Listing

Infertility in Aboriginal and Torres Strait Islander people: A cause for concern?

Aust N Z J Obstet Gynaecol 2020 Jun 13;60(3):479-481. Epub 2020 Apr 13.

Child Nutrition Research Centre, South Australian Health Research and Medical Institute, The University of Adelaide, Adelaide, South Adelaide, Australia.

In many Aboriginal and Torres Strait Islander communities, women and men are disproportionately affected by a range of risk factors for infertility including sexually transmitted infections, polycystic ovary syndrome and obesity. However, very little is known about the occurrence of infertility in this group or how Aboriginal and Torres Strait Islander people access fertility treatments. This opinion piece aims to reflect on current evidence concerning infertility risk factors and infertility per se among Aboriginal and Torres Strait Islander people, highlighting gaps in the literature about access and outcomes in this group. Read More

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http://dx.doi.org/10.1111/ajo.13158DOI Listing

Short-term outcomes following intrauterine transfusions for fetal anaemia: A retrospective cohort study.

Aust N Z J Obstet Gynaecol 2020 Apr 13. Epub 2020 Apr 13.

School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia.

Background: Intrauterine transfusion (IUT) is the accepted standard for management of severe fetal anaemia. However, fetal transfusion may be associated with procedural complications such as fetal demise. There is a paucity of recent data on outcomes for severe fetal anaemia in Australia as compared with published outcomes from large international centres. Read More

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http://dx.doi.org/10.1111/ajo.13155DOI Listing

Intrapartum fetal surveillance education in Victorian hospitals revisited.

Aust N Z J Obstet Gynaecol 2020 Jun 30;60(3):467-469. Epub 2020 Mar 30.

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

Fifteen years ago a survey of Victorian public maternity services showed that the majority of services provided no fetal surveillance education to their staff and that only one in ten undertook any sort of assessment of staff knowledge. Today, all hospitals, public and private, provide training and all public hospitals require their midwifery and medical staff to undertake regular assessment of knowledge. The requirements of specialist obstetricians in private practice remain variable. Read More

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http://dx.doi.org/10.1111/ajo.13156DOI Listing

The influence of maternal obesity on pregnancy intention: A cross-sectional analysis.

Aust N Z J Obstet Gynaecol 2020 Jun 29;60(3):474-478. Epub 2020 Mar 29.

Discipline of Obstetrics Gynaecology and Neonatology, The University of Sydney, Sydney, New South Wales, Australia.

This prospective cross-sectional study of 1498 pregnant women in early pregnancy sought to investigate the prevalence of pregnancy intention between women of differing body mass index (BMI) categories. There was no difference in the risk of unintended pregnancy between women who were in the healthy weight, overweight or obesity BMI categories. The study identifies and highlights the potential missed opportunities for all women to engage in healthy reproductive life planning behaviours to support health in pregnancy and beyond. Read More

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http://dx.doi.org/10.1111/ajo.13148DOI Listing

Lipiodol visibility under ultrasound.

Aust N Z J Obstet Gynaecol 2020 Mar 23. Epub 2020 Mar 23.

Department of Obstetrics and Gynaecology, Westmead Hospital, Sydney, New South Wales, Australia.

Background: Lipiodol is an oil-based solution commonly used in hysterosalpingogram (HSG), but not hysterosalpingo contrast sonography (HyCoSy). In women with unexplained infertility, evidence suggests that tubal flushing with Lipiodol results in improved fertility post-procedure. We propose that Lipiodol can be visualised under ultrasound similar to commonly used saline, and hence utilised for HyCoSy, allowing the benefit of an oil-based tubal flushing to occur with HyCoSy. Read More

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http://dx.doi.org/10.1111/ajo.13150DOI Listing