7,351 results match your criteria Bjog-an International Journal Of Obstetrics And Gynaecology[Journal]


Intrauterine versus external tocodynamometry in monitoring labour: A randomised controlled clinical trial.

BJOG 2020 Jun 3. Epub 2020 Jun 3.

Department of Obstetrics and Gynecology, Tampere University Hospital and Faculty of Medicine and Health Technology, Tampere University, PL, 2000, 33521, Tampere, Finland.

Objective: To investigate whether the use of intrauterine vs. external tocodynamometry (IT vs. ET) during labour reduces operative deliveries and improves newborn outcome. Read More

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http://dx.doi.org/10.1111/1471-0528.16343DOI Listing

Stop smoking for the next generation.

BJOG 2020 Jun 3. Epub 2020 Jun 3.

Shanghai First Maternity and Infant Hospital of Tongji University, Shanghai, China.

Pregnancy provides optimal opportunities for health promotion and disease prevention. Smoking before and during pregnancy is one of the largest modifiable risk factors for a range of adverse pregnancy outcomes. Concerns over the risks of smoking motivate many pregnant smokers to quit. Read More

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http://dx.doi.org/10.1111/1471-0528.16344DOI Listing

Authors' reply re: Mesh inlay, mesh kit or native tissue repair for women having repeat anterior or posterior prolapse surgery: randomised controlled trial (PROSPECT).

BJOG 2020 Jun 2. Epub 2020 Jun 2.

St Mary's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.

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http://dx.doi.org/10.1111/1471-0528.16302DOI Listing

Expectant Management is appropriate in some sIUGR monochorionic twins.

Authors:
Michael Belfort

BJOG 2020 Jun 1. Epub 2020 Jun 1.

Baylor College of Medicine, Houston, Texas, United States.

The paper by Colmant et al provides welcome new information on sIUGR (BJOG 2020 xxxx). The design is retrospective, single center, with 108 cases of type II sIUGR, with or without reversed or absent a-wave in the ductus venosus (DV)), over a 6 year period. Diagnosis was made before 26-6/7 weeks' and patients were presented with 2 interventions - selective fetoscopic laser coagulation (SFLC) or cord coagulation (CC) - as well as with expectant management (EM). Read More

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http://dx.doi.org/10.1111/1471-0528.16337DOI Listing

Small for Gestational Age - Cognitive Performance from Infancy to Adulthood: An Observational Study.

BJOG 2020 Jun 1. Epub 2020 Jun 1.

Department of Psychology, Lifespan Health and Wellbeing Group, University of Warwick, University Road, Coventry, CV4 7AL, United Kingdom.

Objective: To determine whether cognitive performance from infancy to adulthood is affected by being born SGA, and if this depends on the SGA reference used. Furthermore, to determine SGA's effect while considering the effects of very preterm/very low birth weight (VP/VLBW), socioeconomic status (SES), and parent-infant relationship.

Design, Setting And Population: 414 participants (197 Term-Born, 217 VP/VLBW) of the Bavarian Longitudinal Study METHODS: SGA was classified using neonatal or fetal growth references. Read More

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http://dx.doi.org/10.1111/1471-0528.16341DOI Listing

Vitamin D and stress urinary incontinence in pregnancy: a cross-sectional study.

BJOG 2020 Jun 1. Epub 2020 Jun 1.

Department for Physical Medicine and Rehabilitation, Østfold Hospital Trust, Sarpsborg, Norway.

Objective: To assess the association between levels of vitamin D and urinary incontinence (UI) in pregnancy.

Design: A cross-sectional study. Secondary analysis of a randomised controlled trial. Read More

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http://dx.doi.org/10.1111/1471-0528.16340DOI Listing

Preeclampsia-like syndrome induced by severe COVID-19: a prospective observational study.

BJOG 2020 Jun 1. Epub 2020 Jun 1.

Maternal-Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.

Objectives: To investigate the incidence of clinical, ultrasonographic and biochemical findings related to preeclampsia (PE) in pregnancies with COVID-19, and to assess their accuracy to differentiate between PE and the PE-like features associated with COVID-19.

Design: A prospective, observational study.

Setting: Tertiary referral hospital. Read More

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http://dx.doi.org/10.1111/1471-0528.16339DOI Listing

Re: Mesh inlay, mesh kit or native tissue repair for women having repeat anterior or posterior prolapse surgery: randomised controlled trial (PROSPECT).

BJOG 2020 May 28. Epub 2020 May 28.

Queensland Institute of Medical Research Berghofer Statistics Unit, Brisbane, QLD, Australia.

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http://dx.doi.org/10.1111/1471-0528.16301DOI Listing

Authors' reply re: Electronic cigarettes and obstetric outcomes: a prospective observational study.

BJOG 2020 May 28. Epub 2020 May 28.

Coombe Women and Infants University Hospital, Dublin, Ireland.

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http://dx.doi.org/10.1111/1471-0528.16293DOI Listing

Provision of obstetrics and gynaecology services during the COVID-19 pandemic: a survey of junior doctors in the UK National Health Service.

BJOG 2020 May 27. Epub 2020 May 27.

UK Audit and Research Collaborative in Obstetrics and Gynaecology, London, UK.

Objective: The coronavirus disease 2019 (COVID-19) pandemic is disrupting health services worldwide. We aimed to evaluate the provision of obstetrics and gynaecology services in the UK during the acute phase of the COVID-19 pandemic.

Design: Interview-based national survey. Read More

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http://dx.doi.org/10.1111/1471-0528.16313DOI Listing

Contextual performance of diagnostics for fetal surveillance.

BJOG 2020 May 25. Epub 2020 May 25.

Department of Obstetrics and Gynaecology, Children's and Women's Hospital and Health Centre of British Columbia, and the University of British Columbia, Vancouver, Canada.

Identification of women and fetuses at high risk for adverse perinatal outcomes is a central preoccupation in prenatal care. In recent years, the sonographically derived cerebroplacental ratio (CPR) has gained popularity for its ability to identify compromised fetuses among pregnancies with suspected growth restriction or placental disease. Although numerous studies and systematic reviews have examined the predictive performance of the CPR, there were many limitations. Read More

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http://dx.doi.org/10.1111/1471-0528.16334DOI Listing

Let Them Eat!

Authors:
Rupsa C Boelig

BJOG 2020 May 25. Epub 2020 May 25.

Division of Maternal Fetal Medicine, Department of Obstetrics & Gynecology, Thomas Jefferson University Hospital, 833 Chestnut St 1st floor, Philadelphia, PA, 19107, United States.

The authors Tan PC et al (BJOG this issue) present a randomized controlled trial addressed a commonly held belief, although poorly studied, regarding the benefit of "bowel rest" in the setting of intractable nausea vomiting. I applaud this group for another randomized study in an area where this is no clear standard of care or best practice approach. Read More

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http://dx.doi.org/10.1111/1471-0528.16335DOI Listing

Non- invasive method for prediction of fetal growth restriction: Moving a step forward.

Authors:
Saloni Arora

BJOG 2020 May 24. Epub 2020 May 24.

Apollo Centre for Fetal Medicine, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, 110076, India.

Evolving from an era of predominantly diagnosing and monitoring pregnancies at risk of adverse outcomes, scientific perspective and clinical work are now increasingly shifting towards early prediction and the development of options for the prevention of untoward pregnancy events. One such event of paramount importance is Fetal growth restriction (FGR). Clearly, given that FGR fetuses are at increased risk of perinatal mortality and morbidity (Gardosi et al BMJ 2013; 346: f108) and poor long term outcome, the identification of early predictive markers might enhance the development of more targeted treatment options, which would be an important advance. Read More

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http://dx.doi.org/10.1111/1471-0528.16329DOI Listing

Peripartum thromboprophylaxis.

BJOG 2020 May 24. Epub 2020 May 24.

Baylor College of Medicine, Houston, Texas, USA.

Prophylaxis with low-molecular-weight heparin during pregnancy is advocated for women at risk of venous thromboembolism due to its single daily dosing, expectable therapeutic response and low risk of bleeding occurrences (ACOG Practice Bulletin No. 196. American College of Obstetricians and Gynecologists. Read More

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http://dx.doi.org/10.1111/1471-0528.16332DOI Listing

Re: Universal screening versus risk-based protocols for antibiotic prophylaxis during childbirth to prevent early-onset group B streptococcal disease: a systematic review and meta-analysis.

BJOG 2020 May 22. Epub 2020 May 22.

Research Unit of Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics, Odense University Hospital, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.

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http://dx.doi.org/10.1111/1471-0528.16298DOI Listing

Intrapartum-related perinatal deaths in births planned in midwifery-led settings in Great Britain: findings and recommendations from the ESMiE confidential enquiry.

BJOG 2020 May 21. Epub 2020 May 21.

Policy Research Unit in Maternal Health and Care, National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.

Objective: To review quality of care in births planned in midwifery-led settings, resulting in an intrapartum-related perinatal death.

Design: Confidential enquiry SETTING: England, Scotland and Wales SAMPLE: Intrapartum stillbirths and intrapartum-related neonatal deaths in births planned in alongside midwifery units, freestanding midwifery units or at home, sampled from national perinatal surveillance data for 2015-16 (alongside midwifery units) and 2013-2016 (freestanding midwifery units and home births).

Methods: Multi-disciplinary panels reviewed medical notes for each death, assessing and grading quality of care by consensus, with reference to national standards and guidance. Read More

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http://dx.doi.org/10.1111/1471-0528.16327DOI Listing

Effect of hysterectomy on pain in patients with endometriosis: A population-based registry study.

BJOG 2020 May 21. Epub 2020 May 21.

Department of Clinical Sciences, Obstetrics and Gynaecology, Umea University, SE-90185, Umea, Sweden.

Objective: To assess pain symptoms before and after hysterectomy in women with endometriosis.

Design: A population-based registry study.

Setting: Sweden. Read More

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http://dx.doi.org/10.1111/1471-0528.16328DOI Listing

Increased risk of postpartum depression following severe obstetric lacerations in women with low resilience.

BJOG 2020 May 21. Epub 2020 May 21.

Section of Women's Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London and South London and Maudsley NHS Foundation Trust, London, SE5 8AF, UK.

Depression affects around one in ten women in the first few months after birth, making it one of the most common morbidities to affect women during this time. It is associated with a range of adverse sequalae for women, children and the wider family (Meltzer-Brody et al,Nat Rev Dis Primers,2018;4:18022). A range of risk factors have been identified, many of which occur during pregnancy. Read More

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http://dx.doi.org/10.1111/1471-0528.16326DOI Listing

Vesicular mole in a twin pregnancy.

Authors:
Amarnath Bhide

BJOG 2020 May 21. Epub 2020 May 21.

Fetal Medicine Unit, St George's University Hospitals NHS Foundation Trust, London, UK.

The authors describe the problems associated with a twin pregnancy combining a complete vesicular mole and an apparently normal fetus (BJOG 2020 xxxx). The problem is uncommon and the diagnosis may prove challenging. The ultrasound features of this condition can be very similar to those of placental mesenchymal dysplasia (PMD) or a partial vesicular mole. Read More

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http://dx.doi.org/10.1111/1471-0528.16325DOI Listing

Sacrocolpopexy compared with transvaginal mesh surgery: a systematic review and meta-analysis.

BJOG 2020 May 19. Epub 2020 May 19.

Department of Obstetrics and Gynaecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.

Background: The use of mesh is controversial in the treatment of female pelvic organ prolapse.

Objectives: To systematically review the outcomes of sacrocolpopexy compared with transvaginal mesh surgery and to provide evidence-based suggestions.

Search Strategy: The MEDLINE, EMBASE, Cochrane Library and clinicaltrials. Read More

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http://dx.doi.org/10.1111/1471-0528.16324DOI Listing

Glycosylated fibronectin point-of-care test for diagnosis of preeclampsia in a low-resource setting: a prospective Southeast Asian population study.

BJOG 2020 May 19. Epub 2020 May 19.

Department of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.

Objective: To determine the performance of a glycosylated fibronectin (GlyFn) point-of-care (POC) test for preeclampsia (PE) in a large Southeast Asian cohort (India) in comparison to previously described biomarkers.

Design: 798 pregnant women at 20+ weeks of gestation were enrolled in a prospective case-control study. Study participants included 469 normotensive women with urinary mg protein/mmol creatinine ratio <0. Read More

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http://dx.doi.org/10.1111/1471-0528.16323DOI Listing

Episiotomy: necessity or negligence?

Authors:
S Jha

BJOG 2020 May 17. Epub 2020 May 17.

Department of Urogynaecology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

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http://dx.doi.org/10.1111/1471-0528.16272DOI Listing

BJOG Journal Club.

Authors:
B D Einerson

BJOG 2020 May 17. Epub 2020 May 17.

Department of Obstetrics & Gynecology, University of Utah Health, Salt Lake City, UT, USA.

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http://dx.doi.org/10.1111/1471-0528.16280DOI Listing

Evolution and risk factors of anal incontinence during the first six years after first delivery: A prospective cohort study.

BJOG 2020 May 16. Epub 2020 May 16.

Oslo Centre of Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway.

Objective: To explore changes in prevalence of anal incontinence (AI) from late first pregnancy to six years postpartum, and to evaluate possible risk factors for changes in AI during the six-year period.

Design: Prospective longitudinal cohort study SETTING: Two Norwegian health regions POPULATION OR SAMPLE: Women with first deliveries between May 2009 and December 2010 METHODS: Participants reported AI in late pregnancy, six months, one and six years after first delivery using postal or digital questionnaires. AI prevalence was calculated, and mixed effects poisson regression analyses with robust variance were applied. Read More

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http://dx.doi.org/10.1111/1471-0528.16322DOI Listing

Obstetric hemorrhage and risk of cardiovascular disease after three decades: A population-based cohort study.

BJOG 2020 May 16. Epub 2020 May 16.

Institut national de santé publique du Québec, Montreal, Quebec, Canada.

Objective: To investigate the association between obstetric hemorrhage and cardiovascular disease up to three decades after pregnancy.

Design: Population-based cohort study SETTING AND POPULATION: All women who delivered between 1989 and 2016 in Quebec, Canada.

Methods: Using hospital admissions data, 1,224,975 women were followed from their first delivery until March 2018. Read More

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http://dx.doi.org/10.1111/1471-0528.16321DOI Listing

Better triage tests needed for HPV-positive women.

BJOG 2020 May 16. Epub 2020 May 16.

Hospital Lusíadas Porto, Porto, Portugal.

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http://dx.doi.org/10.1111/1471-0528.16320DOI Listing

Impact of different prenatal management strategies in short and long-term outcomes in monochorionic twin pregnancies with selective intrauterine growth restriction and abnormal flow velocity waveforms in the umbilical artery Doppler: a retrospective observational study of 108 cases.

BJOG 2020 May 16. Epub 2020 May 16.

Obstetrics and Fetal Medicine, Hôpital Necker Enfants Malades, AP-HP, Paris, France.

Objectives: To review perinatal and neurodevelopmental outcome (NDO) following selective fetoscopic laser coagulation (SFLC), cord coagulation (CC), or expectant management of monochorionic diamniotic twin pregnancies complicated with selective intrauterine growth restriction (sIUGR) and absent or reverse end-diastolic flow (AREDF) in the umbilical arteries (UA).

Design And Setting: Single-centre retrospective observational study.

Population: 108 cases of sIUGR diagnosed before 26+6 weeks' with AREDF in the UA METHODS: Survival rate and potential risk factors were analysed. Read More

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http://dx.doi.org/10.1111/1471-0528.16318DOI Listing

The new normal.

BJOG 2020 Jun;127(7):779-780

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http://dx.doi.org/10.1111/1471-0528.16258DOI Listing

Retraction: Cervical mucus removal prior to intrauterine insemination: a randomized trial.

Authors:

BJOG 2020 Jun 11;127(7):915. Epub 2020 Mar 11.

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http://dx.doi.org/10.1111/1471-0528.16164DOI Listing

Maternal haemodynamics: why should we care about it?

Authors:
H Valensise

BJOG 2020 May 14. Epub 2020 May 14.

Department of Surgery section of Obstetrics and Gynaecology, Policlinico Casilino, Tor Vergata University of Rome, Rome, Italy.

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http://dx.doi.org/10.1111/1471-0528.16317DOI Listing

Impact of the size of the lesion in prenatal neural tube defect repair on imaging, neurosurgical and motor outcomes: a retrospective cohort study.

BJOG 2020 May 14. Epub 2020 May 14.

Department of Obstetrics and Gynecology, Texas Children's Hospital & Baylor College of Medicine, Houston, Texas, USA.

Objectives: (1) To compare brain findings between large and non-large neural tube defect (NTD); (2) To evaluate the impact of large lesion on the surgical parameters; (3) To study any associations between the size of the lesions and brain findings six weeks postoperatively, and neurological short-term outcomes.

Design: Retrospective cohort study SETTING: Texas Children's Hospital, between 2011 and 2018 POPULATION: Patients who underwent prenatal NTD repair METHODS: Large lesion was defined when the lesion's surface was greater than the 75 percentile of our cohorts' lesions.

Main Outcome Measures: Time of referral: ventriculomegaly and anatomical level of the lesion; Surgery: duration and need for relaxing incisions; Six post-operative weeks: hindbrain herniation (HBH) and ventriculomegaly; After delivery: dehiscence, need for hydrocephalus treatment and motor function. Read More

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http://dx.doi.org/10.1111/1471-0528.16316DOI Listing

Acupuncture for recurrent urinary tract infection in women: a systematic review and meta-analysis.

BJOG 2020 May 14. Epub 2020 May 14.

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangdong Provincial Academy of Chinese Medical Sciences and The Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China.

Background: Increasing antibiotic resistance has motivated interest in non-antibiotic prophylaxis of recurrent urinary tract infections (rUTI).

Objectives: To conduct a systematic review of the current state of evidence of acupuncture for uncomplicated rUTI in women.

Search Strategy: Nine databases (PubMed, Embase, CENTRAL, CINAHL, AMED, CBM, CNKI, CQVIP, Wanfang) were searched from inception to February 2019. Read More

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http://dx.doi.org/10.1111/1471-0528.16315DOI Listing

Cephalic extraction versus breech extraction in second stage cesarean section: a retrospective study.

BJOG 2020 May 13. Epub 2020 May 13.

Department of Obstetrics and Gynecology, Sheba Medical Center, Tel-Hashomer, Israel.

Objective: Our primary objective was to compare maternal and neonatal outcomes based on the attempted mode of extraction. Our secondary objective was to compare the outcomes based on the actual mode of extraction.

Design: A retrospective cohort study at a single tertiary center between the years 2011 and 2019. Read More

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http://dx.doi.org/10.1111/1471-0528.16314DOI Listing

Powerful evidence on HELLP syndrome from a routine health database.

Authors:
J G Cecatti

BJOG 2020 May 9. Epub 2020 May 9.

University of Campinas, Sao Paulo, Brazil.

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http://dx.doi.org/10.1111/1471-0528.16312DOI Listing

Maternal ADHD and preterm birth: interpret with care.

Authors:
Steven Lane

BJOG 2020 May 8. Epub 2020 May 8.

University of Liverpool, Institute of Translational Medicine, Liverpool, UK.

A note of caution is advised on the definition of a woman considered to have ADHD at some time-point before, during or post pregnancy. In the reported study women were considered to have had an episode of ADHD if they were dispensed a prescription for an ADHD medication (Hesselman et al. BJOG 2020 xxxx). Read More

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http://dx.doi.org/10.1111/1471-0528.16311DOI Listing

Association of maternal attention deficit hyperactivity disorder and preterm birth: a cohort study.

BJOG 2020 May 8. Epub 2020 May 8.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Objective: Attention deficit hyperactivity disorder (ADHD) affects 3-7% of women of childbearing age. Whether ADHD is associated with an increased risk of preterm birth is unclear.

Design: National register-based cohort study. Read More

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http://dx.doi.org/10.1111/1471-0528.16310DOI Listing

Incidence and characteristics of pregnancy-related death across ten low- and middle-income geographical regions: secondary analysis of a cluster randomised controlled trial.

BJOG 2020 May 7. Epub 2020 May 7.

Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.

Objective: The aim of this article is to describe the incidence and characteristics of pregnancy-related death in low- and middle-resource settings, in relation to the availability of key obstetric resources.

Design: This is a secondary analysis of a stepped-wedge cluster randomised controlled trial.

Setting: This trial was undertaken at ten sites across eight low- and middle-income countries in sub-Saharan Africa, India and Haiti. Read More

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http://dx.doi.org/10.1111/1471-0528.16309DOI Listing

Performance of a risk score for predicting preterm pre-eclampsia.

Authors:
U Sovio

BJOG 2020 May 8. Epub 2020 May 8.

Department of Obstetrics and Gynaecology, NIHR Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.

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http://dx.doi.org/10.1111/1471-0528.16306DOI Listing

Covid-19 in pregnancy.

Authors:
Jim G Thornton

BJOG 2020 May 7. Epub 2020 May 7.

Division of Child Health, Obstetrics and Gynaecology, School of Medicine, University of Nottingham, Nottingham, NG5 1PB, UK.

Two papers in this issue, on births to Covid-19 infected mothers, are important additions to this rapidly evolving literature. They are both broadly reassuring. The paper from Lombardy, the epicentre of the pandemic in Italy, is the first detailed report of pregnancies from this large region (Ferrazzi et al. Read More

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http://dx.doi.org/10.1111/1471-0528.16308DOI Listing

Do we have an effective treatment for threatened miscarriage?

Authors:
J S Archer D M Haas

BJOG 2020 May 7. Epub 2020 May 7.

Department of OB/GYN, School of Medicine, Indiana University, Indianapolis, IN, USA.

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http://dx.doi.org/10.1111/1471-0528.16304DOI Listing

Progesterone treatment in women with a threatened miscarriage remains controversial after reviewing the available literature.

Authors:
A B Hooker

BJOG 2020 May 7. Epub 2020 May 7.

Zaans Medical Centre (ZMC), Zaandam, the Netherlands.

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http://dx.doi.org/10.1111/1471-0528.16305DOI Listing

Touch in the Era of COVID-19.

BJOG 2020 May 7. Epub 2020 May 7.

New York University Langone Health, Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, New York, NY, United States.

I moved out of our shared bedroom of nearly 10 years on 3/22/2020. It was not a difficult decision as we have two young children and wondered what would happen if both of us became ill at the same time. As a Maternal-Fetal medicine physician in New York City, I was acutely aware of the coming COVID-19 crisis, and its potential ramifications on the health of my family, friends, patients and community. Read More

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http://dx.doi.org/10.1111/1471-0528.16307DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7267281PMC