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    5093 results match your criteria Australian and New Zealand Journal of Obstetrics and Gynaecology[Journal]

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    A descriptive study on the efficacy and complications of the Capio (Boston Scientific) suturing device for sacrospinous ligament fixation.
    Aust N Z J Obstet Gynaecol 2017 Sep 22. Epub 2017 Sep 22.
    The Sunshine Coast Private Hospital, Nambour General Hospital, Nambour, Queensland, Australia.
    Background: Sacrospinous colpopexy is an effective vaginal apical support operation. Due to morbidity associated with traditional approaches which require wide dissection, slim-line suture delivery devices have been introduced in the hope of reducing morbidity without compromise to outcomes.

    Aim: The aim of our series was to report outcomes and complications (particularly buttock pain and blood loss) of the sacrospinous colpopexy using the Capio suturing device and evaluate it against published results using the Miya hook. Read More

    Safety and efficacy of intravenous iron polymaltose, iron sucrose and ferric carboxymaltose in pregnancy: A systematic review.
    Aust N Z J Obstet Gynaecol 2017 Sep 18. Epub 2017 Sep 18.
    The Robinson Research Institute, Adelaide Medical School, The University of Adelaide, Adelaide, SA, Australia.
    Background: Intravenous (IV) iron in pregnancy is useful where oral iron is not tolerated or a rapid replenishment of iron is required.

    Aims: To review the literature on the efficacy and safety of different IV iron preparations in the management of antenatal iron-deficiency anaemia (IDA).

    Materials And Methods: We searched MEDLINE, Embase and Scopus from inception to June 2016. Read More

    A randomised controlled trial of consumption of dark chocolate in pregnancy to reduce pre-eclampsia: Difficulties in recruitment, allocation and adherence.
    Aust N Z J Obstet Gynaecol 2017 Sep 15. Epub 2017 Sep 15.
    College of Medicine and Dentistry, James Cook University, Cairns, QLD, Australia.
    In 2013-2014 we undertook a randomised controlled trial (RCT) to determine whether the daily ingestion of dark chocolate during pregnancy could reduce the incidence of pre-eclampsia in primigravidae. However, after two years we had not succeeded in recruiting more than 3.5% of the number of participants required to answer the research question, and the trial was halted. Read More

    Distress levels in pregnant and matched non-pregnant women.
    Aust N Z J Obstet Gynaecol 2017 Sep 14. Epub 2017 Sep 14.
    School of Psychology, University of Waikato, Hamilton, New Zealand.
    This study examined self-rated symptoms of distress (Depression Anxiety and Stress Scale-DASS-21 and Perceived Stress Scale-PSS-4) among 93 pregnant women and a comparison group of 93 non-pregnant women matched on age and educational attainment. There were no significant differences between the groups, either on mean levels of distress or on proportions above a clinical cut-off point. Overall, 22%, 31% and 16% of pregnant women reported experiencing at least moderate levels of depression, anxiety and stress, respectively. Read More

    Interval between IVF stimulation cycle and frozen embryo transfer: Is there a benefit to a delay between cycles?
    Aust N Z J Obstet Gynaecol 2017 Sep 14. Epub 2017 Sep 14.
    Department of Obstetrics and Gynaecology, Monash Medical Centre, Monash University, Clayton, Victoria, Australia.
    Background: There is currently limited evidence available regarding ideal timing for frozen embryo transfer (FET). Demonstrating that delaying FETs has few clinical benefits would allow patients to proceed with FET at their earliest convenience.

    Aims: To examine whether the time interval between stimulation cycle and subsequent FET affects pregnancy and live birth rates. Read More

    Impact of shoulder dystocia, stratified by type of manoeuvre, on severe neonatal outcome and maternal morbidity.
    Aust N Z J Obstet Gynaecol 2017 Sep 14. Epub 2017 Sep 14.
    Mater Mothers' Hospital, South Brisbane, Queensland, Australia.
    Background: Shoulder dystocia is an uncommon and unpredictable obstetric emergency. It is associated with significant neonatal, maternal and medico-legal consequences.

    Aim: To ascertain the impact shoulder dystocia has on severe neonatal and maternal outcomes specific to the type of manoeuvre. Read More

    Effect of obesity on neonatal hypoglycaemia in mothers with gestational diabetes: A comparative study.
    Aust N Z J Obstet Gynaecol 2017 Sep 13. Epub 2017 Sep 13.
    School of Medicine, University of Notre Dame Australia, Fremantle, Western Australia, Australia.
    Background: Rates of pre-gestational obesity and gestational diabetes mellitus (GDM) are increasing in Australia. While both are established risk factors for neonatal hypoglycaemia, the additive effect of both risks on neonatal hypoglycaemia is not well understood.

    Aims: To determine the influence of obesity on neonatal hypoglycaemia among infants born to GDM mothers. Read More

    The future of robotic-assisted laparoscopic gynaecologic surgery in Australia - A time and a place for everything.
    Aust N Z J Obstet Gynaecol 2017 Aug 31. Epub 2017 Aug 31.
    Queensland Centre for Gynaecological Cancer, Brisbane, Queensland, Australia.
    There has been a significant increase in minimally invasive surgery in gynaecology over the last 15 years, with approximately only one-third of hysterectomies for benign disease now performed via laparotomy. While robotic surgery offers considerable technical advantages over conventional laparoscopy and is associated with only a modest learning curve, the improvement in clinical outcomes is marginal and there are several disadvantages. There are increased set-up and operating times, the need to accommodate and maintain large sophisticated equipment, and the requirement for additional training. Read More

    Accuracy of postpartum haemorrhage data in the 2011 Victorian Perinatal Data Collection: Results of a validation study.
    Aust N Z J Obstet Gynaecol 2017 Aug 31. Epub 2017 Aug 31.
    Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia.
    Background: The postpartum haemorrhage (PPH) rate in Victoria in 2009 for women having their first birth, based on information reported to the Victorian Perinatal Data Collection (VPDC), was 23.6% (primiparas). Prior to 2009 PPH was collected via a tick box item on the perinatal form. Read More

    Very preterm birth before arrival at hospital.
    Aust N Z J Obstet Gynaecol 2017 Aug 30. Epub 2017 Aug 30.
    Clinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
    Background: Our aim was to report perinatal characteristics of very preterm births before arrival (BBAs) at a hospital, and perinatal and infant mortality rates up to one year, comparing BBAs with births in a hospital.

    Materials And Methods: A population-based cohort study of 22-31 weeks' gestation births in the state of Victoria, Australia from 1990-2009. BBAs were defined as unintentional births at home or on route to hospital. Read More

    Fly Thru imaging: Feasibility study and comparison with outpatient hysteroscopy.
    Aust N Z J Obstet Gynaecol 2017 Aug 30. Epub 2017 Aug 30.
    Women's Health and Neonatology, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
    Background: In the investigation of abnormal uterine bleeding, hysteroscopy with endometrial biopsy is considered the gold standard. Fly Thru™ imaging is a new application used to generate virtual hysteroscopy clips.

    Aims: We aimed to investigate the feasibility and diagnostic accuracy of sonohysterogram with virtual hysteroscopy as an alternative to outpatient diagnostic hysteroscopy. Read More

    Subsequent pregnancy outcome after mid-trimester termination of pregnancy for preeclampsia.
    Aust N Z J Obstet Gynaecol 2017 Aug 29. Epub 2017 Aug 29.
    Department of Obstetrics and Gynecology, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.
    Background: In this study we determined the outcome of subsequent pregnancies after termination of pregnancy for preeclampsia, with the purpose of presenting data useful for counselling these women on future pregnancies.

    Study Design: The cohort consisted of 131 women with a history of termination of pregnancy for preeclampsia.

    Results: Data of 79 pregnancies were available for analysis, including 13 women with chronic hypertension and 16 women with thrombophilia. Read More

    Accuracy of second trimester prediction of preterm preeclampsia by three different screening algorithms.
    Aust N Z J Obstet Gynaecol 2017 Aug 29. Epub 2017 Aug 29.
    Monash Ultrasound for Women, Clayton, Victoria, Australia.
    Aim: To compare the performance of three different screening methods (National Institute for Health and Clinical Excellence (NICE) guidelines, American College of Obstetricians and Gynecologists (ACOG) recommendations and Fetal Medicine Foundation (FMF) algorithm) for second trimester prediction of preeclampsia.

    Methods: This was a prospective non-intervention study in singleton pregnancies, including women attending for second trimester morphologic ultrasound at 19-22 weeks. Maternal characteristics, medical history, mean arterial pressure and mean uterine artery Doppler pulsatility index were recorded and used for risk assessment. Read More

    Chlamydia testing and diagnosis following initiation of long-acting reversible contraception: A retrospective cohort study.
    Aust N Z J Obstet Gynaecol 2017 Aug 22. Epub 2017 Aug 22.
    Department of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.
    Background: Long-acting reversible contraception (LARC) effectively protects against pregnancy but provides no protection against sexually transmitted infections (STIs).

    Aim: To compare rates of chlamydia testing and diagnosis for women initiating long-acting versus oral contraception.

    Materials And Methods: Retrospective cohort study involving data collection for 6160 women initiating post-abortion contraception at a large New Zealand regional public hospital abortion clinic (2009-2012), with chlamydia testing data obtained from the local laboratory during two-year follow up. Read More

    Keeping in time: Issues affecting the sustainability of obstetric emergency simulation training in outer metropolitan, rural and remote centres in Western Australia.
    Aust N Z J Obstet Gynaecol 2017 Aug 14. Epub 2017 Aug 14.
    King Edward Memorial Hospital, Perth, Subiaco, Western Australia, Australia.
    Background: Obstetric emergency simulation training is an evidence-based intervention for the reduction of perinatal and maternal morbidity. In Western Australia, obstetric emergency training has been run using the In Time course since 2006.

    Aims: The study aimed to determine if the provision of In Time train the trainer courses to outer metro, rural and remote units in Western Australia had led to sustained ongoing training in those units. Read More

    Mode of delivery for singleton extreme preterm breech fetuses: A 10 year retrospective review from a single tertiary obstetric centre.
    Aust N Z J Obstet Gynaecol 2017 Aug 11. Epub 2017 Aug 11.
    Clinical Lead Maternal Fetal Medicine Department, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.
    Background: Preterm breech delivery is associated with a higher perinatal mortality rate compared with preterm vertex delivery, and some studies suggest caesarean section leads to lower mortality rates. Few studies include infants delivered less than 26 weeks gestation, and where included, results are often not stratified by gestational age. There is also a lack of consistent reporting on neonatal and maternal morbidity outcome measures. Read More

    The Great Divide: Country of birth as a risk factor for obstetric anal sphincter injuries.
    Aust N Z J Obstet Gynaecol 2017 Aug 4. Epub 2017 Aug 4.
    Department of Obstetrics and Gynaecology, Westmead Hospital, Sydney, New South Wales, Australia.
    Background: Obstetric anal sphincter injuries (OASIS) can complicate up to 6% of births and are a major contributor to preventable maternal morbidity. Asian women have a risk of third and fourth degree perineal tears up to four times greater than women of other ethnicities in the same community, but the lack of differentiation of Asian women into regional groups has limited insight into the reasons behind their increased risk.

    Aims: To investigate risk of OASIS associated with country of birth. Read More

    Contribution of maternal age, medical and obstetric history to maternal and perinatal morbidity/mortality for women aged 35 or older.
    Aust N Z J Obstet Gynaecol 2017 Aug 4. Epub 2017 Aug 4.
    Clinical and Population Perinatal Health Research, Kolling Institute, Northern Sydney Local Health District, St Leonards, New South Wales, Australia.
    Background: As age is not modifiable, pregnancy risk information based on age alone is unhelpful for older women.

    Aim: To determine severe morbidity/mortality rates for women aged ≥35 years according to maternal profile based on parity, pre-existing medical conditions and prior pregnancy complications, and to assess the independent contribution of age.

    Materials And Methods: Population-based record-linkage study using NSW hospitalisation and birth records 2006-2012. Read More

    Postpartum obstetric red cell transfusion practice: A retrospective study in a tertiary obstetric centre.
    Aust N Z J Obstet Gynaecol 2017 Aug 4. Epub 2017 Aug 4.
    The Canberra Hospital, Canberra, Australian Capital Territory, Australia.
    Background: Traditional management of anaemia due to postpartum haemorrhage (PPH) has relied upon salvage therapy with red cell transfusion. Recently published guidance recommends a change in approach toward holistic patient blood management.

    Aims: To determine whether postpartum red cell transfusion practices are consistent with best practice and to identify opportunities for improvement. Read More

    Bereaved parents' experience of care and follow-up after stillbirth in Sydney hospitals.
    Aust N Z J Obstet Gynaecol 2017 Aug 4. Epub 2017 Aug 4.
    RPA Newborn Care, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
    Background: Despite stillbirth being identified as one of the most traumatic events a woman can experience, there is a lack of evidence on which to inform best practice in hospital and follow-up care.

    Aims: The aim of this study was to identify which strategies are most valued by parents regarding care following stillbirth in order to improve the support and management of grieving families.

    Method: Mixed methods questionnaires were sent to bereaved participants of the Sydney Stillbirth Study. Read More

    Point-of-care measurement of fetal blood lactate - Time to trust a new device.
    Aust N Z J Obstet Gynaecol 2017 Jul 31. Epub 2017 Jul 31.
    Department of Obstetrics and Gynaecology, Westmead Hospital, Sydney, New South Wales, Australia.
    Background: Point-of-care lactate devices are used worldwide for intrapartum decision making. Current practice is often based on Lactate Pro (Arkray) but its imminent product discontinuation necessitates determination of an optimal replacement device.

    Aims: To evaluate the performance of Lactate Pro and two other point-of-care devices, Lactate Pro 2 (Arkray) and StatStrip (Nova Biomedical), and to derive scalp lactate cut-offs equivalent to the current intervention trigger of >4. Read More

    Use of the Control of Allergic Rhinitis and Asthma Test and pulmonary function tests to assess asthma control in pregnancy.
    Aust N Z J Obstet Gynaecol 2017 Jul 27. Epub 2017 Jul 27.
    Serviço de Imunoalergologia, Centro Hospitalar São João, Porto, Portugal.
    Introduction: Asthma is one of the most prevalent chronic medical conditions to complicate pregnancy. Similarly, active management strategies that prioritise asthma control in this vulnerable population can have a far-reaching impact.

    Aim: To describe lung function parameters and results of the Control of Allergic Rhinitis and Asthma Test (CARAT) questionnaire in pregnant asthmatics and to analyse correlations between lung function tests and CARAT results. Read More

    The IADPSG diagnostic criteria identify women with increased risk of adverse pregnancy outcomes in Victoria.
    Aust N Z J Obstet Gynaecol 2017 Jul 25. Epub 2017 Jul 25.
    Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
    Controversy remains surrounding International Association of Diabetes and Pregnancy Study Group (IADPSG) diagnostic criteria for gestational diabetes mellitus (GDM), including perceived improvement in perinatal outcomes and health service implications. We compared perinatal outcomes for untreated women meeting IADPSG-only criteria and women without GDM in Victoria. Women meeting IADPSG-only criteria were characterised according to fasting and one hour glucose thresholds and by region of birth. Read More

    Effect of excessive gestational weight gain on trial of labour after caesarean: A retrospective cohort study.
    Aust N Z J Obstet Gynaecol 2017 Jul 21. Epub 2017 Jul 21.
    Department of Obstetrics and Gynaecology, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
    Background: Counselling women for and managing birth after caesarean section are important. Research is needed on evaluation of antenatal factors that predict likelihood of successful trial of labour after caesarean section (TOLAC).

    Aim: To evaluate the effect of gestational weight gain on mode of delivery in women having TOLAC. Read More

    The shift toward neo-adjuvant chemotherapy and interval debulking surgery for management of advanced ovarian and related cancers in a population-based setting: Impact on clinical outcomes.
    Aust N Z J Obstet Gynaecol 2017 Jul 18. Epub 2017 Jul 18.
    Queensland Centre for Gynaecological Cancer, Brisbane, Queensland, Australia.
    Objectives: The aim of this study was to determine the proportion of patients with advanced ovarian and related cancers (EOC+RC), treated with neoadjuvant chemotherapy and interval debulking surgery (NACT - IDS), and to determine if there was any relationship with optimal cytoreduction rates and overall survival (OS) in a state-wide gynaecologic oncology service over time.

    Methods: A retrospective review was undertaken using a population-based database of patients with stages 3 and 4 EOC+RC treated from 1982 till 2013 at the Queensland Centre for Gynaecological Cancer (QCGC). The proportion of patients treated with NACT - IDS compared with primary debulking surgery (PDS) was determined and compared with debulking rates and with the moving five-year OS probability. Read More

    Fetal megacystis: Institutional experience and outcomes.
    Aust N Z J Obstet Gynaecol 2017 Jul 12. Epub 2017 Jul 12.
    Maternal Fetal Medicine, Women's Health, Obstetrics and Maternity, Wellington Hospital, Wellington, New Zealand.
    Background: Fetal megacystis is a sonographic feature that may be indicative of several underlying pathologies. Despite advances in diagnosis and management, the overall prognosis of affected fetuses remains poor and about 50% of such pregnancies are terminated.

    Aims: To define the frequency, management, survival and renal outcomes of fetal megacystis over nine years at Wellington Hospital, New Zealand. Read More

    A better model of care after surgery for early endometrial cancer - Comprehensive needs assessment and clinical handover to a woman's general practitioner.
    Aust N Z J Obstet Gynaecol 2017 Jul 10. Epub 2017 Jul 10.
    Oncology/Dysplasia Service, The Royal Women's Hospital, Parkville, Victoria, Australia.
    Background: Endometrial cancer is the most common invasive gynaecological cancer in Australia. Despite the fact that review after treatment of early endometrial cancer has not been shown to detect recurrent disease, practice at several hospitals brings women back for specialist hospital review for 5 years after definitive cancer surgery.

    Aim: Implement an improved model of follow-up care following hospital treatment for early endometrial cancer. Read More

    Trends in receipt of single and repeat courses of antenatal corticosteroid administration among preterm and term births: A retrospective cohort study.
    Aust N Z J Obstet Gynaecol 2017 Jul 10. Epub 2017 Jul 10.
    Adelaide Medical School, The Robinson Research Institute, The University of Adelaide, Adelaide, Australia.
    Aim: To investigate trends in receipt and timing of antenatal corticosteroid (ACS) administration over a ten-year interval.

    Methods: Retrospective cohort study of all live births from 2006 to 2015 occurring at a tertiary level teaching hospital in Adelaide, Australia. We analysed temporal trends in the receipt of single courses and repeat doses of ACSs, according to administration timing prior to birth. Read More

    Views of the obstetric profession on non-invasive prenatal testing in Aotearoa New Zealand: A national survey.
    Aust N Z J Obstet Gynaecol 2017 Jul 6. Epub 2017 Jul 6.
    Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, The University of Auckland, Auckland, New Zealand.
    Background: Non-invasive prenatal testing (NIPT) has been available in Aotearoa New Zealand (NZ) for approximately four years. It is likely to be introduced into the publicly funded prenatal screening service.

    Aim: To explore obstetrician use and views of NIPT, with consideration to its implementation into screening services for Down syndrome and other conditions. Read More

    SOMANZ guidelines for the investigation and management sepsis in pregnancy.
    Aust N Z J Obstet Gynaecol 2017 Jul 3. Epub 2017 Jul 3.
    Department of Nephrology, Liverpool Hospital, Liverpool, New South Wales, Australia.
    SOMANZ (Society of Obstetric Medicine Australia and New Zealand) has written a guideline to provide evidence-based guidance for the investigation and care of women with sepsis in pregnancy or the postpartum period. The guideline is evidence-based and incorporates recent changes in the definition of sepsis. The etiology, investigation and treatment of bacterial, viral and non-infective causes of sepsis are discussed. Read More

    Embedding assessment in a simulation skills training program for medical and midwifery students: A pre- and post-intervention evaluation.
    Aust N Z J Obstet Gynaecol 2017 Jun 28. Epub 2017 Jun 28.
    Department of Obstetrics and Gynaecology, Monash University, Clayton, Australia.
    Background: Simulation-based programs are increasingly being used to teach obstetrics and gynaecology examinations, but it is difficult to establish student learning acquired through them. Assessment may test student learning but its role in learning itself is rarely recognised. We undertook this study to assess medical and midwifery student learning through a simulation program using a pre-test and post-test design and also to evaluate use of assessment as a method of learning. Read More

    Rapid response team calls to obstetric patients in a busy quaternary maternity hospital.
    Aust N Z J Obstet Gynaecol 2017 Jun 28. Epub 2017 Jun 28.
    The Ritchie Centre, Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia.
    Aims: There is limited published information regarding intensive care unit (ICU) led rapid response team (RRT) calls to obstetric patients. We examined the characteristics of RRT calls to obstetric patients at a tertiary teaching hospital.

    Methods: Details of calls to pregnant and postpartum patients between October 2010 and June 2014 were obtained from the hospital RRT database. Read More

    A survey of the experiences of families with bereavement support services following a perinatal loss.
    Aust N Z J Obstet Gynaecol 2017 Jun 28. Epub 2017 Jun 28.
    Australian National University Medical School, Canberra, Australian Capital Territory, Australia.
    Background: Although there are many studies that explore complicated grief, no studies have examined the impact of bereavement support services on the progression to complicated grief. The aims of our study were to describe the types of bereavement services utilised by families who have experienced a perinatal loss, and explore the impact of these services on the families' bereavement journey.

    Methods: Women who experienced a perinatal loss were sent a survey consisting of the modified Perinatal Post Traumatic Stress Disorder (PTSD) questionnaire, items addressing use of bereavement services, and the Inventory of Complicated Grief. Read More

    Demographic characteristics and pregnancy outcomes in adolescents - Experience from an Australian perinatal centre.
    Aust N Z J Obstet Gynaecol 2017 Jun 20. Epub 2017 Jun 20.
    Mater Research Institute, University of Queensland, South Brisbane, QLD, Australia.
    Background: Adolescent pregnancy is defined as pregnancy in girls aged 10-19 years and can be associated with increased risks.

    Aim: To investigate obstetric and perinatal outcomes in a cohort of adolescent girls from a major Australian tertiary centre.

    Materials And Methods: This was a nine-year retrospective cohort study of women who birthed at the Mater Mother's Hospital (MMH) in Brisbane, Australia between 1 January 2007 and 31 December 2015. Read More

    Inequity in timing of prenatal screening in New Zealand: Who are our most vulnerable?
    Aust N Z J Obstet Gynaecol 2017 Jun 15. Epub 2017 Jun 15.
    Department of Obstetrics and Gynaecology, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
    Background: In New Zealand (NZ), Maori and Pacific women are less likely to complete prenatal screening for Down's syndrome and other aneuploidies than other ethnic groups. Young women <20 have low rates of completed screening compared with women >20 years. Women living in deprived areas have lower completed screen rates than women living in more affluent areas. Read More

    Use of intravenous iron polymaltose in the management of iron deficiency in pregnancy: A retrospective cohort study.
    Aust N Z J Obstet Gynaecol 2017 Jun 13. Epub 2017 Jun 13.
    SA Pharmacy, Flinders Medical Centre, SA Health, Adelaide, South Australia, Australia.
    Background: Intravenous iron polymaltose (IPM) is commonly utilised in pregnancy when oral treatment is not tolerated or where rapid replenishment of iron stores is required, but data on use in pregnancy is scarce.

    Aim: To examine the use, safety and efficacy of intravenous IPM in pregnancy.

    Methods: Retrospective cohort study of pregnant women administered intravenous IPM between January 2014 and January 2016 at a Tertiary teaching hospital in Adelaide, Australia. Read More

    Elevated anti-Mullerian hormone in lean women may not indicate polycystic ovarian syndrome.
    Aust N Z J Obstet Gynaecol 2017 Jun 9. Epub 2017 Jun 9.
    Westmead Fertility Centre, Sydney, New South Wales, Australia.
    Background: Polycystic ovarian syndrome (PCOS) is a heterogeneous disorder with clinical features shared with functional hypogonadotrophic hypogonadism (FHH).

    Aim: To investigate the usefulness of an elevated (>40 pmol/L) anti-Mullerian hormone (AMH) in identifying PCOS and distinguishing PCOS from FHH.

    Materials And Methods: 141 patients with an elevated AMH and body mass index either <20 kg/m(2) (lean) or >30 kg/m(2) (obese) were selected and three subgroups analysed - obese, lean, lean with suspected FHH. Read More

    Maternal near-misses at a provincial hospital in Papua New Guinea: A prospective observational study.
    Aust N Z J Obstet Gynaecol 2017 Jun 5. Epub 2017 Jun 5.
    Department of Paediatrics, Modilon Hospital, Madang, Papua New Guinea.
    Background: Maternal near-miss indices are World Health Organisation (WHO) recognised indicators that may improve our understanding of factors associated with maternal morbidity and mortality. In Papua New Guinea (PNG) where maternal mortality is among the highest in the world, only one study has documented near-miss indices in a tertiary-level hospital, but none from provincial hospitals where the majority of under-privileged women access healthcare services.

    Aims: To determine the near-miss ratio, maternal mortality index (MMI), and associated maternal indices for Modilon Hospital in Madang Province of PNG. Read More

    Cervical cancer in women under 25 years of age in Queensland, Australia: To what extent is the diagnosis made by screening cytology?
    Aust N Z J Obstet Gynaecol 2017 Aug 4;57(4):469-472. Epub 2017 Jun 4.
    Queensland Centre for Gynaecological Cancer, Royal Women's Hospital, Brisbane, Queensland, Australia.
    Introduction: The current Australian National Cervical Screening Program (NCSP) involves biennial, cytology-based screening of women from the age of 18 years. From December, 2017 this will change to a five-yearly human papilloma virus-based screening commencing at age 25. There is some concern that the new program may delay the opportunistic detection of cervical cancers in women under 25 years. Read More

    Comparison of induction of labour regimes for termination of pregnancy, with and without mifepristone, from 20 to 41 weeks gestation.
    Aust N Z J Obstet Gynaecol 2017 Jun 5. Epub 2017 Jun 5.
    John Hunter Hospital, Newcastle, New South Wales, Australia.
    Aim: To investigate the efficacy of mifepristone for induction of labour in pregnancies at 20-41 weeks' gestation, by comparing the outcomes of length of labour and duration of admission in women with and without mifepristone pretreatment.

    Method: In this retrospective cohort study, all women who underwent a medical termination of a singleton pregnancy between 20 and 41 weeks gestation for either a fetal abnormality or fetal death in utero between 1 January, 2009 and 1 January, 2014 were identified. Women who went into spontaneous labour, required a primary surgical delivery or had a multiple pregnancy were not included. Read More

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