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    5202 results match your criteria Australian and New Zealand Journal of Obstetrics and Gynaecology[Journal]

    1 OF 105

    Incidence, trends and severity of primary postpartum haemorrhage in Australia: A population-based study using Victorian Perinatal Data Collection data for 764 244 births.
    Aust N Z J Obstet Gynaecol 2018 May 22. Epub 2018 May 22.
    Department of Obstetrics and Gynaecology, Monash University, Melbourne, Victoria, Australia.
    Background: Increasing incidence and severity of postpartum haemorrhage, together with postpartum haemorrhage-associated morbidities, have been reported in many high-resource countries. In-depth analysis of such factors in Victorian births since 2002 was lacking.

    Aims: Our aim was to determine the incidence and trends for primary postpartum haemorrhage (World Health Organization and International Classification of Diseases 10th revision, Australian Modification definitions) for all confinements in Victoria, Australia, for the years 2003-2013 and the incidence and trends for severe postpartum haemorrhage (≥1500 mL) for 2009-2013. Read More

    Mother-to-child transmission of HIV in Australia and other high-income countries: Trends in perinatal exposure, demography and uptake of prevention strategies.
    Aust N Z J Obstet Gynaecol 2018 May 22. Epub 2018 May 22.
    College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.
    Virtual elimination of mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV) is a global target. A review of the literature was conducted using medical databases and health department websites to examine the current trends related to perinatal HIV exposure and MTCT in Australia in comparison with other high-income countries (HICs). The review discusses the uptake of prevention strategies and barriers that impede MTCT prevention. Read More

    Clinical approach to vulvovaginal cysts and abscesses, a review.
    Aust N Z J Obstet Gynaecol 2018 May 21. Epub 2018 May 21.
    Department of Gynaecology, The Mercy Hospital for Women, Heidelberg, Victoria, Australia.
    Vulvovaginal cysts are a common problem for women, causing significant pain, discomfort and impact on quality of life. For clinicians, classifying and differentiating these cysts from each other and selecting appropriate management can be challenging, yet there is no integrated classification system and little literature that broadly summarises a clinical approach. We aimed to create a useful tool for clinicians by providing a detailed summary of various vulvovaginal cysts and abscesses with a clear novel classification system and hierarchy for diagnosis and management, to aid clinicians in this process. Read More

    Surgical approach to hysterectomy and barriers to using minimally invasive methods.
    Aust N Z J Obstet Gynaecol 2018 May 15. Epub 2018 May 15.
    Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
    Minimally invasive approaches to hysterectomy have been shown to be safe, effective and have recovery advantages over open hysterectomy, yet in Australia 36% of hysterectomies are still conducted by open surgery. In 2006, a survey of Australian gynaecological specialists found the main impediment to increasing laparoscopic hysterectomy to be a lack of surgical skills training opportunities. We resurveyed specialists to explore contemporary factors influencing surgeons' approaches to hysterectomy; 258 (estimated ~19%) provided analysable responses. Read More

    Prescription opioid use in pregnancy.
    Aust N Z J Obstet Gynaecol 2018 May 10. Epub 2018 May 10.
    Women's Alcohol and Drug Service, Royal Women's Hospital, Melbourne, Victoria, Australia.
    Prescription medications, including opioid analgesics, are increasingly prescribed in Australia and internationally. More women are presenting in pregnancy with prescription opioid use which can potentially cause harm to the mother and fetus. This article outlines the different types of prescription opioids, defines how prescription opioid use disorder presents clinically and suggests a rational clinical approach to assess and manage patients in the context of pregnancy and their infants. Read More

    Obesity, gestational diabetes and macrosomia are associated with increasing rates of early-term induction of labour at The Canberra Hospital.
    Aust N Z J Obstet Gynaecol 2018 May 2. Epub 2018 May 2.
    Australian National University Medical School, The Canberra Hospital, Canberra, ACT, Australia.
    Background: Early-term delivery is an important cause of short-term neonatal morbidity and associated high healthcare costs, with possible additional long-term developmental ramifications. As a form of 'iatrogenic' delivery, induction of labour (IOL) is a potentially modifiable contributor to this burden.

    Aims: To determine patterns of, and primary indication for, early-term IOL, as well as temporal trends in this primary indication and differences from other modes of delivery with respect to maternal factors and maternal/neonatal outcomes. Read More

    Why we miss fetal growth restriction: Identification of risk factors for severely growth-restricted fetuses remaining undelivered by 40 weeks gestation.
    Aust N Z J Obstet Gynaecol 2018 Apr 27. Epub 2018 Apr 27.
    Faculty of Medicine, University of Melbourne, Melbourne, Victoria, Australia.
    Background: Severe fetal growth restriction (FGR) is a leading cause of adverse perinatal morbidity and mortality; however, in Victoria, 35% of severely growth-restricted infants are undelivered by 40 weeks gestation.

    Aims: We aimed to identify factors associated with failure to deliver severely growth-restricted fetuses by 40 weeks gestation.

    Methods: We conducted a retrospective case-control study of term singletons born <3rd centile for gestation at a single tertiary centre (2010-2017). Read More

    Timing of elective pre-labour caesarean section: A decision analysis.
    Aust N Z J Obstet Gynaecol 2018 Apr 26. Epub 2018 Apr 26.
    Department of Obstetrics and Gynaecology, The Robinson Research Institute, University of Adelaide, North Adelaide, South Australia, Australia.
    Background: Since caesarean sections (CSs) before 39  weeks gestation are associated with higher rates of neonatal respiratory morbidity, it is recommended to delay elective CSs until 39  weeks. However, this bears the risk of earlier spontaneous labour resulting in unplanned CSs, which has workforce and resource implications, specifically in smaller obstetric units.

    Aim: To assess, in a policy of elective CSs from 39  weeks onward, the number of unplanned CSs to prevent one neonate with respiratory complications, as compared to early elective CS. Read More

    An audit of pregnancy outcomes in solid organ transplant recipients at a metropolitan hospital.
    Aust N Z J Obstet Gynaecol 2018 Apr 22. Epub 2018 Apr 22.
    Westmead Institute for Maternal Fetal Medicine, Westmead Hospital, Westmead, New South Wales, Australia.
    Background: Pregnancies in patients with solid organ transplants have higher rates of complications and caesarean sections (CS).

    Aim: To perform an audit of the pregnancy outcomes in transplant recipients, to determine the rate of CS in our cohort, the appropriate skin incision for CS in these patients and to formulate recommendations for preoperative planning.

    Materials And Methods: This is a retrospective cohort study. Read More

    Abortion law reform: Why ethical intractability and maternal morbidity are grounds for decriminalisation.
    Aust N Z J Obstet Gynaecol 2018 Apr 22. Epub 2018 Apr 22.
    The Myuma Group, Mount Isa, Queensland, Australia.
    In this paper, we present two grounds for arguing that abortion should be decriminalised. First, we consider the implications of the fact that the long-standing ethical debate concerning the morality of abortion has to date proven intractable. We maintain that because the philosophical literature has failed to demonstrate conclusively that views either for or against abortion's moral acceptability are false, the matter remains at a stalemate in terms of rational debate, contributing to the ongoing absence of political and popular consensus about the issue in our society. Read More

    Efficacy, feasibility and patient acceptability of ultrasound-guided manual vacuum aspiration for treating early pregnancy loss.
    Aust N Z J Obstet Gynaecol 2018 Apr 19. Epub 2018 Apr 19.
    Department of Obstetrics and Gynaecology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.
    Background: Ultrasound-guided manual vacuum aspiration (USG-MVA) is an effective but underutilised alternative to medical or surgical evacuation of the uterus following first trimester miscarriage.

    Aims: To evaluate the efficacy, feasibility and patient acceptability of USG-MVA for treating early pregnancy loss.

    Material And Methods: We invited patients with early pregnancy losses to participate in this prospective cohort study. Read More

    Timing of diagnosis of gestational diabetes and pregnancy outcomes: A retrospective cohort.
    Aust N Z J Obstet Gynaecol 2018 Apr 19. Epub 2018 Apr 19.
    Mercy Perinatal Research Centre, Mercy Hospital for Women, Melbourne, Victoria, Australia.
    Background: Recent guidelines suggest screening high-risk women in early pregnancy for gestational diabetes (GDM); however, there is little evidence to support this.

    Aims: To compare pregnancy outcomes associated with diabetes for women with risk factors for GDM according to gestation of diagnosis. Early GDM was defined as a positive test before 20 weeks gestation, late GDM as a positive test at 20 or more weeks and no GDM when both tests were negative. Read More

    Estimating success of vaginal birth after caesarean section in a regional Australian population: Validation of a prediction model.
    Aust N Z J Obstet Gynaecol 2018 Apr 19. Epub 2018 Apr 19.
    Obstetrics & Gynaecology Department, Albury-Wodonga Health, Wodonga, Victoria, Australia.
    Background: Following a primary caesarean section (CS), women must decide between attempted vaginal birth after caesarean (VBAC) and elective repeat caesarean section (ERCS) in subsequent pregnancies. Both options carry potential morbidity and mortality for mother and child, with the most feared being uterine rupture and its consequences. In attempts to reduce morbidity, several predictive nomograms have been developed to assist in delivery mode decisions. Read More

    Diagnosis and management practices for gestational diabetes mellitus in Australia: Cross-sectional survey of the multidisciplinary team.
    Aust N Z J Obstet Gynaecol 2018 Apr 18. Epub 2018 Apr 18.
    School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Queensland, Australia.
    Background: Gestational diabetes mellitus (GDM) is one of the most common pregnancy disorders; however, if well managed, women with GDM experience similar pregnancy outcomes to those without. Currently, there is limited evidence on actual management practices across Australia or how multidisciplinary teams interact to optimise care.

    Aims: To examine the current screening, diagnostic, task and role perceptions and management practices, as reported by members of the GDM multidisciplinary team. Read More

    Natural fertility, infertility and the role of medically assisted reproduction: The knowledge amongst women of reproductive age in North Queensland.
    Aust N Z J Obstet Gynaecol 2018 Apr 16. Epub 2018 Apr 16.
    James Cook University College of Medicine and Dentistry, Cairns, Queensland, Australia.
    Background: The demand for medically assisted reproduction continues to increase, with more women encountering challenges with fertility. Due to misconceptions and gaps in knowledge, women are often unaware of the risks related to delayed childbearing. Lack of understanding of natural fertility, infertility and the role of medically assisted reproduction can lead to emotional suffering and changes in family plans. Read More

    Medical management of miscarriage: Predictive factors of success.
    Aust N Z J Obstet Gynaecol 2018 Apr 6. Epub 2018 Apr 6.
    Women and Babies Department, Royal Prince Alfred Hospital, Sydney, Australia.
    Medical management of miscarriage is an acceptable option available to women, and has advantages of providing timely treatment, while avoiding exposure to surgery and anaesthesia. This retrospective cohort study aimed to determine factors predictive of successful medical management, utilising a single dose protocol of 800 µg vaginal misoprostol. In this cohort, the success rate was 67% (199/296), and smaller mean gestational sac diameter independent of gestational age predicted success (P = 0. Read More

    A direct-to-patient telemedicine abortion service in Australia: Retrospective analysis of the first 18 months.
    Aust N Z J Obstet Gynaecol 2018 Mar 30. Epub 2018 Mar 30.
    Gynuity Health Projects, New York, NY, USA.
    Background: In 2015, the Tabbot Foundation launched a nationwide direct-to-patient telemedicine service to enable women to obtain medical abortion without visiting an abortion provider.

    Aims: We aimed to describe results from the first 18 months of this service.

    Materials And Methods: To have an abortion through the Foundation, a woman obtained screening tests locally and had a telephone consultation with a Foundation doctor. Read More

    Appendicectomy during pregnancy and the risk of preterm birth: A population data linkage study.
    Aust N Z J Obstet Gynaecol 2018 Mar 30. Epub 2018 Mar 30.
    Clinical and Population Perinatal Health Research, Kolling Institute, Northern Sydney Local Health District, Sydney, Australia.
    Background: Suspected appendicitis is a common non-obstetric indication for emergency abdominal surgery during pregnancy.

    Aims: Assess the risk of preterm birth and other maternal and neonatal adverse birth outcomes following appendicectomy during pregnancy.

    Materials And Methods: Population-based data linkage study of women with singleton births in New South Wales, Australia, 2002-2014. Read More

    Pain after vaginal prolapse repair surgery with mesh is a post-surgical neuropathy which needs to be treated - and can possibly be prevented in some cases.
    Aust N Z J Obstet Gynaecol 2018 Mar 25. Epub 2018 Mar 25.
    Women's Health & Research Institute of Australia, Sydney, New South Wales, Australia.
    Post-surgical neuropathy leading to chronic pain is a recognised complication. It also can occur after surgery for pelvic organ prolapse repair involving mesh. Post-surgical neuropathy needs to be identified and properly treated to minimise the occurrence of chronic pain. Read More

    Improved laparoscopic skills in gynaecology trainees following a simulation-training program using take-home box trainers.
    Aust N Z J Obstet Gynaecol 2018 Mar 24. Epub 2018 Mar 24.
    Mater Research, University of Queensland, South Brisbane, Queensland, Australia.
    Background: Lack of time and access to equipment are recognised barriers to simulation training.

    Aim: To investigate the effect of a take-home laparoscopic simulator training program on the laparoscopic skills of gynaecology trainees.

    Method: Participants (n = 17 in 2015, n = 16 in 2016) were supplied with a box trainer, associated equipment and instructions on self-directed training. Read More

    The feasibility of a clinical audit tool to investigate stillbirth in Australia - a single centre experience.
    Aust N Z J Obstet Gynaecol 2018 Mar 23. Epub 2018 Mar 23.
    Centre for Advanced Prenatal Care, The Royal Brisbane and Women's Hospital, Brisbane, Australia.
    Background: The stillbirth rate in Australia is 7 per 1000 births (Australia's Mothers and Babies 2014-in brief. Perinatal Statistics Series no. 32. Read More

    Medical students and midwives - How do they view each other?
    Aust N Z J Obstet Gynaecol 2018 Mar 23. Epub 2018 Mar 23.
    School of Health, University of New England, Armidale, New South Wales, Australia.
    Medical students from James Cook University who had completed their rotation in obstetrics, and midwives working in Cairns Hospital who had undertaken supervision of medical students in the birth suite, were invited to complete anonymous questionnaires on their views of their respective roles in the birth suite. Several issues were identified including increased medical and midwifery student numbers, and lack of communication between midwives and medical students. Increased cooperation and communication between medical and midwifery education providers is urgently needed to improve both student groups' learning experiences. Read More

    The interval transfer of a frozen-thawed embryo is more successful than a fresh embryo transfer for women undergoing IVF with recurrent implantation failure after cleavage stage embryo biopsy.
    Aust N Z J Obstet Gynaecol 2018 Mar 18. Epub 2018 Mar 18.
    Fertility Specialists of Western Australia, Bethesda Hospital, Perth, Western Australia, Australia.
    Background: Recurrent implantation failure (RIF) is repeated unsuccessful embryo transfers (ETs).

    Aims: To identify predictive embryonic markers of implantation in RIF, following pre-implantation genetic screening (PGS) of cleavage stage embryos, after accounting for male and female factors.

    Materials And Methods: Retrospective analysis of RIF patients undergoing PGS after correction of modifiable causes. Read More

    The effect of a major earthquake experienced during the first trimester of pregnancy on the risk of preterm birth.
    Aust N Z J Obstet Gynaecol 2018 Mar 8. Epub 2018 Mar 8.
    Biostatistics Department, Christchurch Hospital, Canterbury District Health Board, Christchurch, New Zealand.
    Background: On 22 February 2011 an earthquake (magnitude 6.3) hit Christchurch, New Zealand. Earthquakes have been associated with increased risks of preterm birth (PTB) and other adverse pregnancy outcomes. Read More

    Late stillbirth post mortem examination in New Zealand: Maternal decision-making.
    Aust N Z J Obstet Gynaecol 2018 Mar 5. Epub 2018 Mar 5.
    Department of Obstetrics and Gynaecology, University of Auckland, Auckland, New Zealand.
    Background: For parents who experience stillbirth, knowing the cause of their baby's death is important. A post mortem examination is the gold standard investigation, but little is known about what may influence parents' decisions to accept or decline.

    Aim: We aimed to identify factors influencing maternal decision-making about post mortem examination after late stillbirth. Read More

    An evaluation of the objective quality and perceived usefulness of maternity clinical practice guidelines at a tertiary maternity unit.
    Aust N Z J Obstet Gynaecol 2018 Mar 5. Epub 2018 Mar 5.
    Women's Health, Auckland District Health Board, Auckland, New Zealand.
    Background: Compliance with maternity clinical practice guidelines developed by National Women's Health has been found to be low at audit.

    Objective: To explore the reasons for poor compliance with maternity guidelines by evaluating the quality of a sample of National Women's Health guidelines using a validated instrument and assessing local guideline users' perceptions of and attitudes toward guidelines.

    Design: Five independent reviewers evaluated the quality of 10 purposively selected guidelines for adherence to the Appraisal of Guidelines Research & Evaluation (AGREE) II instrument standards. Read More

    Readmissions for surgical site infections following caesarean section.
    Aust N Z J Obstet Gynaecol 2018 Mar 5. Epub 2018 Mar 5.
    Westmead Hospital, Sydney, New South Wales, Australia.
    This retrospective study was conducted to identify the incidence and characteristics associated with readmissions for surgical site infections following caesarean section in a tertiary hospital from 2012 to 2015. Of 6334 patients who underwent caesarean section, 165 (2.6%) were readmitted, most commonly for surgical site infection (25. Read More

    Prenatal diagnosis of persistent right umbilical vein - Incidence and clinical impact. A prospective study.
    Aust N Z J Obstet Gynaecol 2018 Mar 2. Epub 2018 Mar 2.
    Department of Obstetrics and Pathology of Pregnancy, Medical University of Lublin, Lublin, Poland.
    Background: Persistent right umbilical vein (PRUV) is usually an isolated finding but it may be accompanied by other fetal malformations.

    Aims: We aimed to determine the incidence of prenatally diagnosed PRUV in a referral population, assess the neonatal outcome and discuss the findings together with those from previous publications.

    Materials And Methods: A total of 2360 women with low-risk singleton pregnancies were examined in the second and third trimesters. Read More

    Quality management of nuchal translucency ultrasound measurement in Australia.
    Aust N Z J Obstet Gynaecol 2018 Feb 22. Epub 2018 Feb 22.
    Sydney Ultrasound for Women, Sydney, New South Wales, Australia.
    Background: Nuchal translucency measurement has an established role in first trimester screening. Accurate measurement requires that technical guidelines are followed. Performance can be monitored by auditing the distribution of measurements obtained in a series of cases. Read More

    Accuracy of point-of-care HbA1c testing in pregnant women.
    Aust N Z J Obstet Gynaecol 2018 Feb 22. Epub 2018 Feb 22.
    Counties Manukau Health, Auckland, New Zealand.
    Background: In New Zealand, it is recommended that all pregnant women have a haemoglobin A1c (HbA1c) test performed with their booking antenatal bloods to identify previously unrecognised diabetes. However, screening rates in some groups are low. Use of a point-of-care device may improve compliance with screening. Read More

    Prostaglandin gel versus oxytocin - prelabour rupture of membranes at term - A randomised controlled trial.
    Aust N Z J Obstet Gynaecol 2018 Feb 22. Epub 2018 Feb 22.
    Caboolture Hospital, Caboolture, Australia.
    Background: Pre-labour rupture of membranes (PROM) at term is a common event with early induction of labour reducing infectious morbidity without increasing the caesarean rate. Syntocinon is commonly used for induction but prostaglandins are also routinely used. Large studies have shown no difference in the maternal and neonatal outcomes with either method. Read More

    Severe maternal morbidity due to sepsis: The burden and preventability of disease in New Zealand.
    Aust N Z J Obstet Gynaecol 2018 Feb 20. Epub 2018 Feb 20.
    Centre for Women's Health Research, Faculty of Health, Victoria University of Wellington, Wellington, New Zealand.
    Background: Sepsis is a life-threatening systemic condition that appears to be increasing in the obstetric population. Clinical detection can be difficult and may result in increased morbidity via delays in the continuum of patient care.

    Aims: To describe the burden of severe maternal morbidity (SMM) caused by sepsis in New Zealand and investigate the potential preventability. Read More

    The analgesic efficacy of forced coughing during cervical punch biopsy: A prospective randomised controlled study.
    Aust N Z J Obstet Gynaecol 2018 Feb 7. Epub 2018 Feb 7.
    Department of Obstetrics & Gynecology, Carmel Medical Center, Haifa, Israel.
    Introduction: Cervical punch biopsies are a common ambulatory procedure, performed routinely by gynaecologists. The aim of the present study was to assess the efficacy of forced coughing as a pain-reducing technique during cervical punch biopsy compared to a control group.

    Materials And Methods: The study was a prospective randomised-control trial. Read More

    Iodine-containing supplement use by pregnant women attending antenatal clinics in Western Australia.
    Aust N Z J Obstet Gynaecol 2018 Feb 7. Epub 2018 Feb 7.
    School of Public Health, Curtin University, Perth, Western Australia.
    Background: Iodine requirements increase during pregnancy and although national recommendations for daily iodine supplementation (150 µg) exist, there is no research related to the uptake of these recommendations by pregnant women in Western Australia.

    Aims: To investigate the use of iodine-containing supplements and associations with their use in a sample of Western Australian pregnant women.

    Materials And Methods: A cross-sectional study was conducted on pregnant women attending antenatal clinics in a public tertiary hospital for women and neonates in Perth during 2012 and 2013 (n = 425). Read More

    Outcomes for women without conventional treatment for stage 1A (microinvasive) carcinoma of the cervix.
    Aust N Z J Obstet Gynaecol 2018 Feb 6. Epub 2018 Feb 6.
    Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
    Background: An unethical clinical study that entailed withholding treatment from women diagnosed with cervical intraepithelial neoplasia 3 (CIN3) was conducted at National Women's Hospital, Auckland, New Zealand. Women with microinvasive carcinoma of the cervix also had treatment withheld.

    Aims: To describe the management and outcomes for women with microinvasive carcinoma for many of whom conventional treatment was withheld. Read More

    Socio-demographic predictors of unintended pregnancy and late antenatal booking in Honiara, Solomon Islands.
    Aust N Z J Obstet Gynaecol 2018 Jan 31. Epub 2018 Jan 31.
    Department of Women's Health, Neonatology and Paediatrics, Royal Prince Alfred Hospital, Sydney, Australia.
    Background: The Solomon Islands is a Pacific nation with a maternal mortality of 114 per 100 000 births. Around 57% of pregnancies are unintended and only 15% of women attend their first antenatal visit in the first 12 weeks as recommended by the World Health Organization.

    Aims: We sought to examine the socio-demographic predictors of unintended pregnancy and late antenatal booking (>18 weeks) among women attending antenatal care in Honiara. Read More

    Infusion-fill method versus standard auto-fill trial of void protocol following a TVT-exact procedure: A randomised controlled trial.
    Aust N Z J Obstet Gynaecol 2018 Jan 31. Epub 2018 Jan 31.
    Gold University Hospital, Southport, Queensland, Australia.
    Objective: To establish whether the infusion method trial of void (TOV) after a mid-urethral sling procedure, in contrast to the standard auto-fill TOV, permits discharge home from recovery, as these procedures are eminently suited to same day discharge, and the delay in achieving a successful TOV often keeps the patient in hospital overnight.

    Method: A randomised controlled trial performed between December 2014 and April 2016 at the University Hospital, enrolling 40 women undergoing a mid-urethral sling procedure for stress urinary incontinence. The women were randomised to infusion method or auto-fill method TOV. Read More

    The association between ragged or incomplete membranes and postpartum haemorrhage: A retrospective cohort study.
    Aust N Z J Obstet Gynaecol 2018 Jan 30. Epub 2018 Jan 30.
    Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
    Background: The association between an incomplete placenta and postpartum haemorrhage (PPH) is well documented; however, the significance of ragged or incomplete membranes has not been explored as an independent risk factor for PPH.

    Aims: To explore the association between the completeness of the amniotic and chorionic membranes and the risk of PPH, independent to placental status.

    Materials And Methods: 37 176 birth records were retrospectively extracted from the period 1 July, 2008 to 30 June, 2016 from the databases of two public hospitals in Melbourne, Australia. Read More

    Association between visual inspection of the cervix with acetic acid examination and high-risk human papillomavirus infection, Chlamydia trachomatis, Neisseria gonorrhoeae and Trichomonas vaginalis in Papua New Guinea.
    Aust N Z J Obstet Gynaecol 2018 Jan 30. Epub 2018 Jan 30.
    The Kirby Institute, UNSW Sydney, Sydney, New South Wales, Australia.
    Background: Papua New Guinea (PNG) has among the highest estimated burdens of cervical cancer globally but currently has no national cervical screening program. Visual inspection of the cervix with acetic acid (VIA) is a low-cost screening strategy endorsed by the World Health Organization that has been adopted in many low-resource settings but not previously evaluated in PNG.

    Aim: To evaluate the association between VIA examination findings and high-risk HPV (hrHPV) infection; and the impact of concomitant genital Chlamydia trachomatis, Neisseria gonorrhoeae and Trichomonas vaginalis on the interpretation of VIA findings. Read More

    An evaluation of routine antenatal depression screening and psychosocial assessment in a regional private maternity setting in Australia.
    Aust N Z J Obstet Gynaecol 2018 Jan 30. Epub 2018 Jan 30.
    Perinatal and Women's Mental Health Unit, St John of God Health Care and School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia.
    Background: There is limited information relating to routine depression screening and psychosocial assessment programs in private maternity settings in Australia.

    Aims: To describe the psychosocial profile of a sample of private maternity patients who participated in a depression screening and psychosocial risk assessment program as part of routine antenatal care, and to explore women's experience of receiving this component of pregnancy care.

    Materials And Methods: We conducted a retrospective medical records audit of 455 consecutive women having a routine psychosocial assessment and referral. Read More

    Prenatal diagnosis and socioeconomic status in the non-invasive prenatal testing era: A population-based study.
    Aust N Z J Obstet Gynaecol 2018 Jan 30. Epub 2018 Jan 30.
    Public Health Genetics, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Victoria, Australia.
    Background: Advances in technology can bring great benefits to human health, but their implementation may be influenced by socioeconomic factors, particularly in the field of prenatal screening for Down syndrome.

    Aim: To analyse screening test indications for, and diagnostic yield of, invasive prenatal diagnostic testing (PNDx) according to socioeconomic status.

    Methods: Retrospective analysis of population-based data on PNDx and karyotype results for 2014-2015 in the Australian state of Victoria. Read More

    Maternal-choice caesarean section versus planned vaginal birth in low-risk primigravid women.
    Aust N Z J Obstet Gynaecol 2018 Jan 23. Epub 2018 Jan 23.
    School of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.
    Rising rates of caesarean section (CS) have been attributed, in part, to maternal-choice CS (MCCS). There are few published data regarding maternal and perinatal risks comparing MCCS with planned vaginal birth (VB) in uncomplicated first pregnancies to inform choice. We report the results of a pragmatic patient-preference cohort study of private patients in Australia: 64 women planning MCCS and 113 women planning VB. Read More

    Laparoscopic transabdominal cerclage: Outcomes of 121 pregnancies.
    Aust N Z J Obstet Gynaecol 2018 Jan 23. Epub 2018 Jan 23.
    Agora Centre for Women's Health, Epworth HealthCare Richmond, Richmond, Victoria, Australia.
    Background: Cervical insufficiency is a significant cause of morbidity and mortality. Cervical cerclage is one option in the management of cervical insufficiency.

    Aim: To evaluate obstetric outcomes following insertion of a pre-pregnancy laparoscopic transabdominal cerclage in women at high risk for pre-term labour and/or mid-trimester pregnancy loss. Read More

    The levonorgestrel-releasing intrauterine system is associated with a reduction in dysmenorrhoea and dyspareunia, a decrease in CA 125 levels, and an increase in quality of life in women with suspected endometriosis.
    Aust N Z J Obstet Gynaecol 2018 Jan 23. Epub 2018 Jan 23.
    Department of Obstetrics and Gynecology, Düzce University, Faculty of Medicine, Düzce, Turkey.
    Background And Aims: The aim of this study was to investigate the effectiveness of a levonorgestrel-releasing intrauterine device (LNG-IUS) in the symptomatic relief of pain in women with endometriosis and additionally, to assess the changes in women's life quality and serum cancer antigen (CA) 125 levels.

    Materials And Methods: All women who had an LNG-IUS inserted for the treatment of dysmenorrhea, chronic pelvic pain or both for more than six months over a two-year period were included in the study. Each woman was asked to complete questionnaires of the Short Form-36 and visual analogue scales (VAS) in the first visit and the third, sixth, ninth and twelfth months after the LNG-IUS insertion. Read More

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